ISLANDS COMMUNITY MEDICAL SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ISLANDS COMMUNITY MEDICAL SERVICES INC (EIN 01-6012835)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202143199349322359
Schema version: 2020v4.1
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	2021-11-15T15:51:49-06:00	ReturnTs
Tax Period End	2020-12-31	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	2020-01-01	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	2021-11-08	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	RICHARD	PersonFirstNm
Person Last	YOUNG	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BOB DUBE CPA	PreparerPersonNm
PTIN	P01231018	PTIN
Phone	2076224766	PhoneNum
Preparation	2021-11-08	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
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	$3,364,789	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	12	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	42	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,376,456	PYContributionsGrantsAmt
CY Contributions Grants	$2,063,450	CYContributionsGrantsAmt
PY Program Service Revenue	$1,265,515	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,148,093	CYProgramServiceRevenueAmt
PY Investment Income	$161,827	PYInvestmentIncomeAmt
CY Investment Income	$153,246	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$2,803,798	PYTotalRevenueAmt
CY Total Revenue	$3,364,789	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	$1,955,703	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,968,697	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$5,289	CYTotalFundraisingExpenseAmt
PY Other Expenses	$901,400	PYOtherExpensesAmt
CY Other Expenses	$1,065,331	CYOtherExpensesAmt
PY Total Expenses	$2,857,103	PYTotalExpensesAmt
CY Total Expenses	$3,034,028	CYTotalExpensesAmt
PY Revenues Less Expenses	-$53,305	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$330,761	CYRevenuesLessExpensesAmt
Total Assets BOY	$6,451,275	TotalAssetsBOYAmt
Total Assets EOY	$7,543,828	TotalAssetsEOYAmt
Total Liabilities BOY	$463,327	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$916,912	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,987,948	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$6,626,916	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	$1,409,028	ExpenseAmt
Revenue	$828,979	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	$296,553	ExpenseAmt
Revenue	$213,079	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	$123,690	ExpenseAmt
Revenue	$106,035	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	$1,829,271	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	7	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	42	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	12	GoverningBodyVotingMembersCnt
Independent Voting Member	12	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	CAMERON GARRETT	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 (16 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
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
RICHARD YOUNG
PRESIDENT	2.00	Yes (X)	Yes (X)	$0	$0	$0
CONNIE GEMMER
TRUSTEE	1.00	Yes (X)		$0	$0	$0
DIANE COCHRAN
TRUSTEE	1.00	Yes (X)		$0	$0	$0
WILLIAM TREVASKIS
TRUSTEE	1.00	Yes (X)		$0	$0	$0
STEPHEN BLATT
TRUSTEE	1.00	Yes (X)		$0	$0	$0
EMILY LANE
VICE PRESIDENT	1.00	Yes (X)	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
DINAH MOYER
EXECUTIVE DIRECTOR	40.00		Yes (X)	$132,620	$0	$16,371
JENNIFER DESMOND
CLINICAL DIRECTOR, NURSE PRACTITIONER	40.00			$150,744	$0	$12,837	Yes (X)
CHRISTINA QUINLAN
DIRECTOR OF OPERATIONS	32.00			$173,482	$0	$15,299	Yes (X)
JAMES HOGAN
PHYSICIAN ASSISTANT	40.00			$120,291	$0	$17,405	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$577,137	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$61,912	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	4	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	$1,814,030	GovernmentGrantsAmt
All Other Contributions	$249,420	AllOtherContributionsAmt
Total Contributions	$2,063,450	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	PATIENT SERVICE REVENU	Desc
Business	621400	BusinessCd
Total Revenue Column	$1,148,093	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,148,093	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,148,093	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$153,246	TotalRevenueColumnAmt
Exclusion	$153,246	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,364,789	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,148,093	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$153,246	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$148,991	TotalAmt
Program Services	$89,395	ProgramServicesAmt
Management And General	$59,596	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$1,421,938	TotalAmt
Program Services	$915,795	ProgramServicesAmt
Management And General	$506,143	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$42,639	TotalAmt
Program Services	$29,116	ProgramServicesAmt
Management And General	$13,523	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$233,243	TotalAmt
Program Services	$117,185	ProgramServicesAmt
Management And General	$116,058	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$121,886	TotalAmt
Program Services	$76,448	ProgramServicesAmt
Management And General	$45,438	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$24,479	TotalAmt
Management And General	$24,479	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$11,594	TotalAmt
Management And General	$11,594	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$12,524	TotalAmt
Management And General	$12,524	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$74,241	TotalAmt
Program Services	$56,142	ProgramServicesAmt
Management And General	$18,099	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,186	TotalAmt
Management And General	$1,186	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$61,367	TotalAmt
Program Services	$11,270	ProgramServicesAmt
Management And General	$50,097	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$53,853	TotalAmt
Program Services	$29,378	ProgramServicesAmt
Management And General	$24,475	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,455	TotalAmt
Management And General	$12,455	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$115,990	TotalAmt
Program Services	$91,615	ProgramServicesAmt
Management And General	$24,375	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$62,302	TotalAmt
Program Services	$9,843	ProgramServicesAmt
Management And General	$52,459	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL, LAB, & XRAY SU	$266,036	$266,036
MISCELLANEOUS	$113,389	$58,860	$54,529
DISPENSARY SUPPLIES	$59,407	$59,407
BILLING SERVICE FEES	$43,717		$43,717

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$152,791	TotalAmt
Program Services	$18,781	ProgramServicesAmt
Management And General	$128,721	ManagementAndGeneralAmt
Fundraising	$5,289	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,034,028	TotalAmt
Program Services	$1,829,271	ProgramServicesAmt
Management And General	$1,199,468	ManagementAndGeneralAmt
Fundraising	$5,289	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$29,963	BOYAmt
EOY	$23,909	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$274,816	BOYAmt
EOY	$943,230	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$10,445	BOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$150,056	BOYAmt
EOY	$149,298	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$66,847	BOYAmt
EOY	$96,386	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$12,562	BOYAmt
EOY	$10,056	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,236,512	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$823,637	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,420,941	BOYAmt
EOY	$1,412,875	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$3,208,293	BOYAmt
EOY	$3,583,440	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,277,352	BOYAmt
EOY	$1,324,634	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,451,275	BOYAmt
EOY	$7,543,828	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$147,349	BOYAmt
EOY	$133,324	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$491,159	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$281,996	BOYAmt
EOY	$272,574	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,982	BOYAmt
EOY	$19,855	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$463,327	BOYAmt
EOY	$916,912	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	$4,155,421	BOYAmt
EOY	$4,780,593	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,832,527	BOYAmt
EOY	$1,846,323	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,987,948	BOYAmt
EOY	$6,626,916	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$6,451,275	BOYAmt
EOY	$7,543,828	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$330,761	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$260,925	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$47,282	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	$207,657	DepreciationAmt
Book Value	$781,668	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$451,971	OtherCostOrOtherBasisAmt
Depreciation	$67,715	DepreciationAmt
Book Value	$384,256	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$529,427	OtherCostOrOtherBasisAmt
Depreciation	$529,427	DepreciationAmt
Book Value	$0	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$129,334	OtherCostOrOtherBasisAmt
Depreciation	$18,838	DepreciationAmt
Book Value	$110,496	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$1,412,875	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	BENEFICIAL INTEREST IN CHARITABLE TRUST	Desc
Book Value	$1,324,634	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,324,634	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	ACCRUED PENSION PAYABLE	Desc
Amt	$19,855	Amt

Field	Value	IRS element (for citing)
Total Liability	$19,855	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$3,672,996	TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst	$260,925	NetUnrealizedGainsInvstAmt
Other Revenue	$47,282	OtherRevenueAmt
Revenue Not Reported	$308,207	RevenueNotReportedAmt
Revenue Subtotal	$3,364,789	RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt	$0	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$3,364,789	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$3,034,028	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$3,034,028	ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$3,034,028	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 47,282.	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
CHRISTINA QUINLAN
DIRECTOR OF OPERATIONS	$173,482	$0	$0	$0	$0	$0	$8,674	$0	$6,625	$0	$188,781	$0	$0	$0
JENNIFER DESMOND
CLINICAL DIRECTOR, NURSE PRACTITIONE	$150,744	$0	$0	$0	$0	$0	$7,537	$0	$5,300	$0	$163,581	$0	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (3 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 47,282.