2018-10-09T09:03:47-05:00 2017-12-31 390758449 WIPFLI LLP ONE MARKET SQUARE AUGUSTA ME 04330 990 2017-01-01 016012835 ISLANDS COMMUNITY MEDICAL SERVICES ISLA 2078634341 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 DINAH MOYER EXECUTIVE DIREC 2078634341 2018-10-05 1 ROBERT P DUBE JR P01231018 2076224766 2018-10-05 X 66.186.191.122 2018-10-05 14:06:07 ED P 349BBAAB5D25EE150171BB1D89AA958A37864D47 4905E349CBAC89AB2555E7BD7131420A378BE896 2017 2018-06-14 16:35:46Z 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 3132193 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 32 0 0 0 1326156 1951778 1206595 1062905 289967 117510 0 0 2822718 3132193 0 0 0 0 1309132 1509508 0 0 7779 883652 776278 2192784 2285786 629934 846407 4574491 5782448 101222 114882 4473269 5667566 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 1093817 716272 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. 257826 199885 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. 98478 146748 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. 1450121 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 1 0 0 0 0 0 0 0 0 1 15 0 1 32 1 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 8.00 X X 0 0 0 BARBARA HAMILTON TREASURER 2.00 X X 0 0 0 KATHI YOUNG TRUSTEE 2.00 X 0 0 0 JON EMERSON TRUSTEE 2.00 X 0 0 0 LAURA BLANKERTZ PHD SECRETARY 2.00 X X 0 0 0 WILLIAM A LIEBER MD TRUSTEE 2.00 X 0 0 0 RICHARD YOUNG VICE PRESIDENT 4.00 X X 0 0 0 CONNIE GEMMER TRUSTEE 2.00 X 0 0 0 MARC CANDAGE VICE PRESIDENT 2.00 X X 0 0 0 DIANE COCHRAN TRUSTEE 1.00 X 0 0 0 KEELEY PHILBROOK TRUSTEE 2.00 X 0 0 0 WESLEY ROBINSON TRUSTEE 2.00 X 0 0 0 STEPHEN BLATT TRUSTEE 2.00 X 0 0 0 EMILY LANE TRUSTEE 2.00 X 0 0 0 CHRISTOPHER RADLEY TRUSTEE 2.00 X 0 0 0 HEATHER WHITE TRUSTEE 2.00 X 0 0 0 DINAH MOYER EXECUTIVE DIRECTOR 40.00 X 100824 0 18585 JENNIFER DESMOND CLINICAL DIRECTOR, NURSE P 40.00 X 135915 0 19191 CHRISTINA QUINLAN DIRECTOR OF OPERATIONS 26.00 X 113390 0 14084 ALISON WOOD PHYSICIAN'S ASSISTANT 40.00 X 112252 0 24146 462381 0 76006 4 0 1 0 0 1026666 925112 1951778 PATIENT SERVICE REVENU 621400 1062905 1062905 1062905 117510 117510 3132193 1062905 0 117510 X 462381 315512 146869 756011 515874 240137 37607 26201 11406 163844 111801 52043 89665 61184 28481 15001 15001 19485 19485 62706 39303 23403 1025 1025 58441 43913 14528 22179 8907 13272 MEDICAL, LAB, & XRAY SU 106408 106408 OFFICE SUPPLIES 82178 10175 72003 MISCELLANEOUS 63683 9918 53765 DISPENSARY SUPPLIES 62503 62503 282669 138422 136468 7779 2285786 1450121 827886 7779 92941 22407 360143 359035 40893 69551 180161 194960 33098 46271 77967 9350 20885 1638538 484924 405791 1153614 2233339 2583119 1172504 1300910 4574491 5782448 21681 30422 35005 26661 13932 10042 30604 47757 101222 114882 X 2874271 3926723 426494 439933 1172504 1300910 4473269 5667566 4574491 5782448 X 846407 219484 128406 X X 0 1 X 1 1 1 X 105675 105675 646560 2694 643866 381018 111955 269063 402475 289424 113051 102810 80851 21959 1153614 BENEFICIAL INTEREST - PERP. CHAR. TRUST 1300910 1300910 ACCRUED EXPENSES 36793 ACCRUED PENSION PAYABLE 10964 47757 3516478 219484 36395 128406 384285 3132193 0 3132193 2322181 36395 36395 2285786 0 2285786 PART XI, LINE 2D - OTHER ADJUSTMENTS: BENEFICIAL INTEREST IN PERPETUAL CHARITA 128,406. 0 0 0 0 0 0 0 0 0 JENNIFER DESMOND CLINICAL DIRECTOR, NURSE P 135915 0 0 0 0 0 6796 0 12395 0 155106 0 0 0 X 1 730000 APPRAISAL 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 CONTRACT LABOR: PROGRAM SERVICE EXPENSES 62,399. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 62,399. BILLING SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 31,255. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,255. CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 26,672. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,672. TELEPHONE: PROGRAM SERVICE EXPENSES 15,207. MANAGEMENT AND GENERAL EXPENSES 8,772. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,979. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 3,609. MANAGEMENT AND GENERAL EXPENSES 19,420. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,029. UTILITIES: PROGRAM SERVICE EXPENSES 19,284. MANAGEMENT AND GENERAL EXPENSES 3,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,687. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 21,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,107. WORKERS COMP INSURANCE: PROGRAM SERVICE EXPENSES 9,242. MANAGEMENT AND GENERAL EXPENSES 10,839. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,081. INVESTMENT MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 10,699. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,699. POSTAGE & FREIGHT: PROGRAM SERVICE EXPENSES 2,909. MANAGEMENT AND GENERAL EXPENSES 5,528. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,437. FUNDRAISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 7,779. TOTAL EXPENSES 7,779. BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,237. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,237. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 1,456. MANAGEMENT AND GENERAL EXPENSES 4,859. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,315. EQUIPMENT LEASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 5,473. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,473. LICENSES & PERMITS: PROGRAM SERVICE EXPENSES 2,606. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,606. ADVERTISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,311. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,311. LOCUMS TENENS: PROGRAM SERVICE EXPENSES 603. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 603. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST 128,406. FORM 990, PART XII, LINE 2C: NO CHANGES FROM PRIOR YEAR.