2016-08-15T07:25:57-05:00 2015-12-31 010242373 MACPAGE LLC ONE MARKET SQUARE AUGUSTA ME 04330 990 2015-01-01 016012835 ISLANDS COMMUNITY MEDICAL SERVICES ISLA 2078634341 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 DINAH MOYER EXECUTIVE DIREC 2078634341 2016-08-12 1 ROBERT P DUBE JR P01231018 2076224766 2016-08-08 2015 2016-12-15 16:53:06Z 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 2288924 0 X N/A X 1946 ME TO PROVIDE MEDICAL, DENTAL, AND HEALTH AND COMMUNITY SERVICES FOR THE RESIDENTS OF VINALHAVEN, MAINE AND NEARBY ISLANDS. 20 20 29 0 0 0 824309 1080343 943846 1133865 72912 74716 0 0 1841067 2288924 0 0 0 0 1069986 1180674 0 0 9850 655204 687049 1725190 1867723 115877 421201 3652098 3958490 128563 92707 3523535 3865783 TO PROVIDE MEDICAL, DENTAL, AND HEALTH AND COMMUNITY SERVICES FOR THE RESIDENTS OF VINALHAVEN, MAINE AND NEARBY ISLANDS. 0 0 1083696 764293 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. 152384 127334 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. 117266 242238 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. 1353346 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 1 29 1 0 0 0 0 0 0 0 0 X 20 20 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 TREASURER 2.50 X X 0 0 0 BARBARA HAMILTON TRUSTEE 0.50 X 0 0 0 KAREN CANDAGE SECRETARY 1.00 X X 0 0 0 KATHI YOUNG TRUSTEE 0.50 X 0 0 0 LAURA LAZARO TRUSTEE 0.50 X 0 0 0 HUGH MARTIN PRESIDENT 2.00 X X 0 0 0 STUART N DAMON MED. DIRECTOR 8.00 X 45036 0 0 WYMAN PHILBROOK TRUSTEE 0.50 X 0 0 0 JON EMERSON TRUSTEE 0.50 X 0 0 0 MERRY BOONE TRUSTEE 0.50 X 0 0 0 LAURA BLANKERTZ PHD TRUSTEE 0.50 X 0 0 0 HELEN EVARTS TRUSTEE 0.50 X 0 0 0 BARBARA K KINDER MD VICE PRESIDENT 1.00 X X 0 0 0 WILLIAM A LIEBER MD TRUSTEE 0.50 X 0 0 0 RICHARD LITTLEFIELD TRUSTEE 0.50 X 0 0 0 RICHARD YOUNG TRUSTEE 0.50 X 0 0 0 CONNIE GEMMER TRUSTEE 1.00 X 0 0 0 ALISON THIBAULT TRUSTEE 0.50 X 0 0 0 JOHN WRIGHT TRUSTEE 0.50 X 0 0 0 MARC CANDAGE TRUSTEE 0.50 X 0 0 0 ROBERT WARREN TRUSTEE 0.50 X 0 0 0 DINAH MOYER EXECUTIVE DIRECTOR 40.00 X 74650 0 11580 JENNIFER DESMOND NURSE PRACTITIONER 36.00 X 118995 0 3679 ERWIN MORSE PHYSICIAN ASSISTANT 36.00 X 112206 0 2650 BRIAN WEBSTER NURSE PRACTITIONER 36.00 X 107493 0 5239 458380 0 23148 3 0 0 0 CHRISTINA QUINLAN 40 HIGH STREET FAIRFIELD ME 04937 EMR CONSULTANT; DIRECTOR OF OPERATIONS, 117282 1 799041 281302 1080343 PATIENT SERVICE REVENU 621400 1133865 1133865 1133865 74716 74716 2288924 1133865 0 74716 X 413344 324516 88828 574067 450753 123314 36386 25263 11123 81200 63754 17446 75677 59418 16259 11001 11001 15195 15195 36797 34865 1932 1194 1194 27906 16055 11851 20074 9045 11029 MISCELLANEOUS 171480 123953 47527 MEDICAL, LAB, & XRAY SU 91399 91399 DISPENSARY SUPPLIES 63876 63876 OFFICE SUPPLIES 54077 12573 41504 194050 77876 106324 9850 1867723 1353346 504527 9850 26493 9935 178082 245601 38108 35819 138140 158439 35000 34300 30080 44339 2550 27392 679048 374927 152827 304121 1828396 1954075 1222422 1144469 3652098 3958490 39491 26569 45051 17508 44021 48630 128563 92707 X 2119850 2364034 181263 357280 1222422 1144469 3523535 3865783 3652098 3958490 X 421201 -1000 -77953 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 241362 64444 176918 332983 205780 127203 104703 104703 0 304121 BENEFICIAL INTEREST - PERP. CHAR. TRUST 1144469 1144469 ACCRUED EXPENSES 17101 ACCRUED PENSION PAYABLE 2019 DUE TO STATE OF MAINE 29510 48630 2241121 -1000 41000 -77953 -37953 2279074 9850 9850 2288924 1898873 41000 41000 1857873 9850 9850 1867723 PART XI, LINE 2D - OTHER ADJUSTMENTS: BENEFICIAL INTEREST IN PERPETUAL CHARITA -77,953. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 9,850. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 9,850. FORM 990, PART VI, SECTION B, LINE 11 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 TELEPHONE: PROGRAM SERVICE EXPENSES 12,707. MANAGEMENT AND GENERAL EXPENSES 10,189. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,896. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 16,925. MANAGEMENT AND GENERAL EXPENSES 4,862. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 21,787. CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 20,136. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,136. UTILITIES: PROGRAM SERVICE EXPENSES 13,543. MANAGEMENT AND GENERAL EXPENSES 6,085. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,628. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 2,898. MANAGEMENT AND GENERAL EXPENSES 16,107. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 19,005. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 12,583. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,583. BILLING SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,502. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,502. INVESTMENT MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,107. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,107. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 10,777. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,777. FUNDRAISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 9,850. TOTAL EXPENSES 9,850. POSTAGE & FREIGHT: PROGRAM SERVICE EXPENSES 3,070. MANAGEMENT AND GENERAL EXPENSES 5,657. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,727. WORKERS COMP INSURANCE: PROGRAM SERVICE EXPENSES 3,679. MANAGEMENT AND GENERAL EXPENSES 4,833. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,512. BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,924. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,924. EQUIPMENT LEASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 4,080. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,080. ADVERTISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,842. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,842. LICENSES & PERMITS: PROGRAM SERVICE EXPENSES 1,003. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,003. LOCUMS TENENS: PROGRAM SERVICE EXPENSES 691. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 691. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST -77,953. FORM 990, PART XII, LINE 2C: THE PROCESS IS UNCHANGED FROM THE PRIOR YEAR.