2025-10-14T06:29:34-05:00 2024-12-31 390758449 WIPFLI LLP 1502 LONDON ROAD SUITE 200 DULUTH MN 55812 990 2024-01-01 016012835 ISLANDS COMMUNITY MEDICAL SERVICES ISLA 2078634341 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 JOANNA O REIDY PRESIDENT 2078634341 2025-09-29 1 1 MICHAEL J PETERSON CPA P01833529 2187224705 2025-09-26 2024 2025-03-06 01:10:19Z JOANNA O REIDY 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 3620221 0 X HTTP://WWW.ICMSVH.ORG/ X 1946 ME COMMUNITY HEALTH CENTER DEVOTED TO PROVIDING CARE TO ALL IN NEED REGARDLESS OF ABILITY TO PAY. 12 12 29 12 0 0 1673956 1558268 1551279 1779830 84657 274975 1340 7148 3311232 3620221 0 0 0 0 2261885 2545064 0 0 5650 1499003 1312082 3760888 3857146 -449656 -236925 7420184 7369410 451967 445304 6968217 6924106 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 1640860 0 1149109 THE ORGANIZATION PROVIDED MEDICAL SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATIONS OPERATED A MEDICAL CLINIC WITH THREE FULL TIME AND THREE PART TIME MEDICAL PROVIDERS. THE CLINIC PROVIDED COVERAGE 24 HOURS A DAY, 7 DAYS A WEEK. 415922 0 395672 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. 136854 0 123791 THE ORGANIZATION PROVIDED PHYSICAL THERAPY SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION HAS ONE FULL TIME PHYSICAL THERAPY PROVIDER. 50283 0 111258 THE ORGANIZATION PROVIDED BEHAVIORAL HEALTH SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION OPERATES THE BEHAVIORAL HEALTH CLINIC WITH ONE PART TIME THERAPIST WHO WORKS MONDAY THROUGH FRIDAY, AND THERE IS ALSO THE OPTION FOR AFTERHOURS VISITS VIA ZOOM WITH TELEHEALTH. BEHAVIORAL HEALTH EMERGENCIES ARE GENERALLY HANDLED BY THE MEDICAL PROVIDERS IF THE THERAPIST IS NOT AVAILABLE. 50283 0 111258 2243919 1 1 0 0 0 0 0 0 0 1 1 0 0 1 0 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 5 0 29 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DINAH B MOYER 2078639071 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 JOANNA O REIDY PRESIDENT 1.00 X X 0 0 0 RICHARD YOUNG PRESIDENT (TERMED 04/2024) 1.00 X X 0 0 0 EMILY LANE VICE PRESIDENT (TERMED 04/2024) 1.00 X X 0 0 0 JANANN SHERMAN VICE PRESIDENT 1.00 X X 0 0 0 DOUG FINCHAM TREASURER (TERMED 04/2024) 1.00 X X 0 0 0 CATHERINE HALEY TREASURER 1.00 X X 0 0 0 SUSAN CLAPHAM SECRETARY 1.00 X X 0 0 0 GAIL EIERWEISS SECRETARY 1.00 X X 0 0 0 SANDRA ALLEY MEMBER 1.00 X 0 0 0 JEANNE BINEAU-AMES MEMBER (TERMED 04/2024) 1.00 X 0 0 0 LAURA BLANKERTZ PHD MEMBER 1.00 X 0 0 0 STEPHEN BLATT MEMBER (TERMED 09/2024) 1.00 X 0 0 0 MEREDITH BOONE MEMBER (TERMED 04/2024) 1.00 X 0 0 0 JOSEPH BROCHU MEMBER 1.00 X 0 0 0 BETHANY CANDAGE MEMBER 1.00 X 0 0 0 RICHARD CARLSEN MEMBER 1.00 X 0 0 0 CAITLYN CLAPHAM MEMBER 1.00 X 0 0 0 CONNIE GEMMER MEMBER (TERMED 04/2024) 1.00 X 0 0 0 SANDY GILMAN MEMBER (TERMED 04/2024) 1.00 X 0 0 0 BARBARA KINDER MEMBER (TERMED 05/2024) 1.00 X 0 0 0 WILLIAM LIEBER MD MEMBER (TERMED 09/2024) 1.00 X 0 0 0 RICHARD STEVENSON JR MEMBER 1.00 X 0 0 0 KATHI YOUNG MEMBER (TERMED 08/2024) 1.00 X 0 0 0 DINAH B MOYER EXECUTIVE DIRECTOR 40.00 X 113755 0 3407 CAMERON GARRETT EXECUTIVE DIRECTOR (TERMED 04/2024) 40.00 X 190870 0 598 PATRICK O'REILLY CONTRACTED CFO (BEG. 12/2024) 10.00 X 0 0 0 TYSON BOUYACK CONTRACTED CFO (TERMED 11/2024) 20.00 X 136500 0 0 JOHN KROGER PHYSICIAN/MEDICAL DIRECTOR 40.00 X 224052 0 8073 JENNIFER DESMOND CLINICAL DIRECTOR/NP 40.00 X 152537 0 4913 JAMES HOGAN PHYSICIAN ASSISTANT 40.00 X 131043 0 7977 PETER LEVANDOSKI DENTIST 40.00 X 131818 0 8223 1080575 0 33191 7 0 1 0 OSIS 787 E KEMPER RD SUITE 330 CINCINNATI OH 45249 EHR SERVICES 150180 1 1114826 443442 1558268 PATIENT SERVICE REVENU 621400 1779830 1779830 1779830 274975 274975 7148 7148 7148 3620221 1779830 0 282123 X 445130 185178 259952 1541746 1015825 525921 89583 54151 35432 353894 213939 139955 114711 69340 45371 57152 57152 15000 15000 504052 319461 184591 1568 1568 127255 35948 91307 94257 94257 37366 31761 5605 31671 20371 11300 11123 11123 183194 183194 68835 68835 DISPENSARY SUPPLIES 53832 53832 REPAIRS & MAINTENANCE 22393 22393 STAFF DEVELOPMENT 21239 11124 10115 MEDICAL SUPPLIES 12912 12912 70233 36883 27700 5650 3857146 2243919 1607577 5650 133949 143725 541858 224920 40069 20878 216455 290008 10468 53879 30518 6273 2708443 1444826 1388233 1263617 3754939 4008182 1303695 1357928 7420184 7369410 129403 141463 72284 62046 250280 241795 451967 445304 X 4807195 4601808 2161022 2322298 6968217 6924106 7420184 7369410 X -236925 138581 54233 X 0 1 X 1 1 1 X PART I, LINE 3 THE HOSPITAL IS NOT REQUIRED TO BE LICENSED AS A HOSPITAL UNDER SECTION 170(B)(1)(A)(III). THEREFORE, SCHEDULE H IS NOT REQUIRED. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3754939 402172 148929 4008182 3409501 495535 150097 3754939 4099086 -611204 78381 3409501 3625787 491331 18032 4099086 3208293 452343 14849 20000 3625787 0.77462 0.22538 0.00000 0 0 136455 136455 989325 344672 644653 662766 348839 313927 790563 621981 168582 129334 129334 0 1263617 BENEFICIAL INTEREST IN CHARITABLE TRUST 1357928 1357928 3813035 138581 54233 192814 3620221 0 3620221 3857146 0 3857146 0 3857146 PART V, LINE 4: IN SUPPORT OF THE MISSION OF ISLANDS COMMUNITY MEDICAL SERVICES, THE FUND'S ASSETS ARE INVESTED TO PROVIDE ANNUAL SUPPORT FOR THE ORGANIZATION'S BUDGETARY REQUIREMENT AND TO MAINTAIN THE PRINCIPAL FOR FUTURE OPERATIONAL NEEDS. PART XI, LINE 2D - OTHER ADJUSTMENTS: BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST 54,233. X 1 1 X X X X X 1 0 0 0 0 0 0 0 0 JOHN KROGER PHYSICIAN/MEDICAL DIRECTOR 213793 0 10259 0 0 0 0 0 8073 0 232125 0 0 0 CAMERON GARRETT EXECUTIVE DIRECTOR (TERMED 04/2024) 75417 0 7482 0 107971 0 0 0 598 0 191468 0 0 0 JENNIFER DESMOND CLINICAL DIRECTOR/NP 152320 0 217 0 0 0 0 0 4913 0 157450 0 0 0 PART I, LINE 1A THE ORGANIZATION PROVIDED A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE TO THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII: CAMERON GARRETT - $12,000 JOHN KROGER - $12,000 PART I, LINE 4A CAMERON GARRETT RECEIVED SEVERANCE COMPENSATION IN THE AMOUNT OF $99,878 DURING 2024. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW, AND APPROVAL BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY. THE CONFLICT OF INTEREST POLICY COVERS BOTH EMPLOYEES AND BOARD MEMBERS. EACH ARE EXPECTED TO SIGN A CONFLICT OF INTEREST FORM. THE EXECUTIVE COMMITTEE OF THE BOARD REVIEWS FOR CONFLICTS ON THE BOARD, THE EXECUTIVE DIRECTOR AND RISK MANAGER FOR POTENTIAL CONFLICTS. THE EXECUTIVE COMMITTEE THEN BRINGS CONFLICTS OF INTEREST FOR REVIEW TO THE ENTIRE BOARD. IF A CONFLICT IS IDENTIFIED THE BOARD OR STAFF MEMBER IS ASKED TO RECUSE THEMSELVES FROM ANY DECISION MAKING OR PARTICIPATION IN A DECISION/EVENT RELATED TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION UTILIZED A COMPENSATION CONSULTANT AND FQHC SALARY SURVEY IN 2024 IN EVALUATING, DETERMINING AND APPROVING SALARIES FOR MANAGEMENT EMPLOYEES AND CERTAIN MD POSITIONS. 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. FINANCIAL STATEMENTS ARE AVAILABLE AT PROPUBLICA AND A ONE PAY SYNOPSIS REPORT IS SENT OUT TO THE COMMUNITY. FORM 990, PART IX, LINE 11G FINANCE SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 174,628. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 174,628. EHR SERVICES: PROGRAM SERVICE EXPENSES 150,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 150,180. BILLING SERVICES: PROGRAM SERVICE EXPENSES 70,640. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 70,640. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 98,641. MANAGEMENT AND GENERAL EXPENSES 9,963. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,604. FORM 990, PART XI, LINE 9: CHANGE IN BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST 54,233.