2020-11-06T09:13:08-06:00 2019-12-31 390758449 WIPFLI LLP 1 MARKET SQUARE AUGUSTA ME 043304637 990 2019-01-01 016012835 ISLANDS COMMUNITY MEDICAL SERVICES ISLA 2078634341 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 DINAH MOYER EXECUTIVE DIRECTOR 2078634341 2020-11-05 1 BOB DUBE CPA P01231018 2076224766 2020-11-04 174.196.197.84 2020-11-05 06:28:15 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F60847090D07EA8A664346B67C021E159FD4183C 2019 2021-01-29 14:40:06Z DINAH MOYER 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 2813353 0 X N/A X 1946 ME 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. 14 14 41 0 0 0 1561635 1366011 1223822 1285515 199391 161827 0 0 2984848 2813353 0 0 0 0 1736113 1955361 0 0 6594 924257 896705 2660370 2852066 324478 -38713 5915452 6460830 412161 458290 5503291 6002540 X 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. 0 0 1276338 851682 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. 305749 240317 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. 167690 193516 THE ORGANIZATION PROVIDED BEHAVIORAL HEALTH SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION OPERATES THE BEHAVIORAL HEALTH CLINIC WITH ONE FULL TIME THERAPIST WHO WORKS 5 DAYS PER WEEK AND ONE PART TIME THERAPIST. BEHAVIORAL HEALTH EMERGENCIES ARE GENERALLY HANDLED BY THE MEDICAL PROVIDERS IF THE THERAPIST IS NOT AVAILABLE. 1749777 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 9 0 1 41 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 14 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 1 0 0 0 X DINAH B MOYER 2078634341 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 BARBARA HAMILTON TREASURER 1.00 X X 0 0 0 KATHI YOUNG TRUSTEE 1.00 X 0 0 0 LAURA BLANKERTZ PHD SECRETARY 1.00 X X 0 0 0 WILLIAM A LIEBER MD TRUSTEE 1.00 X 0 0 0 RICHARD YOUNG PRESIDENT 2.00 X X 0 0 0 CONNIE GEMMER TRUSTEE 1.00 X 0 0 0 MARC CANDAGE VICE PRESIDENT 1.00 X X 0 0 0 DIANE COCHRAN TRUSTEE 1.00 X 0 0 0 WESLEY ROBINSON TRUSTEE 1.00 X 0 0 0 STEPHEN BLATT TRUSTEE 1.00 X 0 0 0 EMILY LANE TRUSTEE 1.00 X 0 0 0 SYLVIA LACEY TRUSTEE 1.00 X 0 0 0 JEANNE BINEAU-AMES TRUSTEE 1.00 X 0 0 0 CHESTER WARREN TRUSTEE 1.00 X 0 0 0 DINAH MOYER EXECUTIVE DIRECTOR 40.00 X 119857 0 0 JEFF BENSON MEDICAL DIRECTOR 8.00 X 126356 0 0 JENNIFER DESMOND CLINICAL DIRECTOR, NURSE PRACTITIONER 40.00 X 161971 0 0 CHRISTINA QUINLAN DIRECTOR OF OPERATIONS 32.00 X 145925 0 0 PETER LEVANDOSKI DENTAL DIRECTOR 2.00 X 103298 0 0 JAMES HOGAN PHYSICIAN ASSISTANT 40.00 X 120506 0 0 777913 0 0 6 0 1 0 0 1146990 219021 1366011 PATIENT SERVICE REVENU 621400 1285515 1285515 1285515 161827 161827 2813353 1285515 0 161827 119857 80571 39286 1446876 972627 474249 47540 33009 14531 223824 106683 117141 117264 80253 37011 33450 33450 20500 20500 11794 11794 63817 36721 27096 13651 13651 115990 89728 26262 34258 9320 24938 MEDICAL, LAB, & XRAY SU 129878 129878 OFFICE SUPPLIES 87885 6528 81357 MISCELLANEOUS 86581 47294 39287 DISPENSARY SUPPLIES 62820 62820 236081 94345 135142 6594 2852066 1749777 1095695 6594 48560 29963 292336 274816 35529 207048 170056 54976 66847 12548 12562 2128587 707646 1468586 1420941 2644185 3208293 0 1151684 1277352 5915452 6460830 101783 142312 5 294085 281996 16288 33982 412161 458290 X 3882764 6002540 1620527 0 5503291 6002540 5915452 6460830 X -38713 412294 125668 X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 136455 136455 989325 97342 891983 381018 148449 232569 518979 366759 152220 102810 95096 7714 1420941 BENEFICIAL INTEREST - PERP. CHAR. TRUST 1277352 1277352 ACCRUED PENSION PAYABLE 33982 33982 3351315 412294 125668 537962 2813353 0 2813353 2852066 0 2852066 0 2852066 PART XI, LINE 2D - OTHER ADJUSTMENTS: BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST 125,668. 0 0 0 0 0 0 0 0 0 JENNIFER DESMOND CLINICAL DIRECTOR, NURSE PRACTITIONE 161971 0 0 0 0 0 0 0 0 0 161971 0 0 0 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: BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST 125,668.