2019-10-31T14:55:02-05:00 2018-12-31 390758449 WIPFLI LLP 1 MARKET SQUARE AUGUSTA ME 043304637 990 2018-01-01 016012835 ISLANDS COMMUNITY MEDICAL SERVICES ISLA 2078634341 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 DINAH MOYER EXECUTIVE DIREC 2078634341 2019-10-31 1 BOB DUBE CPA P01231018 2076224766 2019-10-14 66.66.227.81 2019-10-31 11:32:16 ED P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 F60847090D07EA8A664346B67C021E159FD4183C 2018 2020-01-14 16:20:31Z 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 2984848 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. 16 16 41 0 0 0 1951778 1561635 1062905 1223822 117510 199391 0 0 3132193 2984848 0 0 0 0 1509508 1736113 0 0 6587 776278 924257 2285786 2660370 846407 324478 5782448 5915452 114882 412161 5667566 5503291 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 1300340 824384 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. 303773 213621 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. 161592 185817 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. 1765705 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 11 0 1 41 1 0 0 0 0 0 0 0 0 0 0 X 16 16 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 BRUCE HOPKINS PRESIDENT 2.00 X X 0 0 0 BARBARA HAMILTON TREASURER 1.00 X X 0 0 0 KATHI YOUNG TRUSTEE 1.00 X 0 0 0 JEFF BENSON MEDICAL DIRECTOR 8.00 X 59866 0 2994 JON EMERSON 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 VICE 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 KEELEY PHILBROOK 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 HEATHER WHITE TRUSTEE 1.00 X 0 0 0 SYLVIA LACEY TRUSTEE 1.00 X 0 0 0 PETER LEVANDOSKI DENTAL DIRECTOR 2.00 X 92129 0 4606 STUART DAMON MEDICAL DIRECTOR 12.00 X 29500 0 0 DINAH MOYER EXECUTIVE DIRECTOR 40.00 X X 110384 0 22026 JENNIFER DESMOND CLINICAL DIRECTOR, NURSE P 40.00 X 142615 0 22976 CHRISTINA QUINLAN DIRECTOR OF OPERATIONS 32.00 X 119568 0 13962 554062 0 66564 3 0 1 0 0 1073446 488189 1561635 PATIENT SERVICE REVENU 621400 1223822 1223822 1223822 199391 199391 2984848 1223822 0 199391 X 554062 387746 166316 836486 585394 251092 45628 32423 13205 196528 137535 58993 103409 72368 31041 19943 19943 23500 23500 56764 35310 21454 6920 6920 105948 85311 20637 33895 9263 24632 MEDICAL, LAB, & XRAY SU 189904 189904 OFFICE SUPPLIES 86672 11525 75147 DISPENSARY SUPPLIES 60144 60144 MISCELLANEOUS 58184 24551 33633 282383 134231 141565 6587 2660370 1765705 888078 6587 22407 48560 359035 292336 69551 35529 194960 207048 77967 54976 20885 12548 2059457 590871 1153614 1468586 2583119 2644185 1300910 1151684 5782448 5915452 30422 44344 26661 5 10042 294085 47757 73727 114882 412161 X 3926723 3882764 439933 0 1300910 1620527 5667566 5503291 5782448 5915452 X 324478 -339527 -149226 X X 0 1 X 1 1 1 X 136453 136453 989325 47877 941448 381018 130202 250816 449851 324819 125032 102810 87973 14837 1468586 BENEFICIAL INTEREST - PERP. CHAR. TRUST 1151684 1151684 ACCRUED EXPENSES 57439 ACCRUED PENSION PAYABLE 16288 73727 2496095 -339527 -149226 -488753 2984848 0 2984848 2660370 0 2660370 0 2660370 PART XI, LINE 2D - OTHER ADJUSTMENTS: BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST -149,226. 0 0 0 0 0 0 0 0 0 JENNIFER DESMOND CLINICAL DIRECTOR, NURSE P 142615 0 0 0 0 0 7131 0 15845 0 165591 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 IX, LINE 24E CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 43,243. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,243. UTILITIES: PROGRAM SERVICE EXPENSES 29,872. MANAGEMENT AND GENERAL EXPENSES 5,272. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,144. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 5,990. MANAGEMENT AND GENERAL EXPENSES 29,102. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 35,092. CONSULTANTS: PROGRAM SERVICE EXPENSES 10,166. MANAGEMENT AND GENERAL EXPENSES 22,923. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 33,089. TELEPHONE: PROGRAM SERVICE EXPENSES 16,700. MANAGEMENT AND GENERAL EXPENSES 9,809. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,509. BILLING SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 25,818. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,818. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 15,785. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,785. INVESTMENT MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 11,395. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,395. WORKERS COMP INSURANCE: PROGRAM SERVICE EXPENSES 5,695. MANAGEMENT AND GENERAL EXPENSES 4,627. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,322. BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 9,370. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,370. POSTAGE & FREIGHT: PROGRAM SERVICE EXPENSES 3,477. MANAGEMENT AND GENERAL EXPENSES 5,328. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,805. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 719. MANAGEMENT AND GENERAL EXPENSES 7,748. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,467. EQUIPMENT LEASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,756. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,756. FUNDRAISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 6,587. TOTAL EXPENSES 6,587. ADVERTISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,417. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,417. LICENSES & PERMITS: PROGRAM SERVICE EXPENSES 1,658. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,658. LOCUMS TENENS: PROGRAM SERVICE EXPENSES 926. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 926. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST -149,226. FORM 990, PART XII, LINE 2C: NO CHANGES FROM PRIOR YEAR.