2015-05-14T07:36:43-05:00 2014-12-31 010242373 MACPAGE LLC ONE MARKET SQUARE AUGUSTA ME 04330 990 2014-01-01 016012835 ISLANDS COMMUNITY MEDICAL SERVICES ISLA 2078634341 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 DINAH MOYER EXECUTIVE DIREC 2078634341 2015-05-13 1 ROBERT P DUBE JR P01231018 2076224766 2015-05-05 2014 2016-02-25 16:41:14Z 15 MEDICAL CENTER LOOP VINALHAVEN ME 04863 1841067 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. 18 18 26 0 0 0 577667 824309 964736 943846 48529 72912 0 0 1590932 1841067 0 0 0 0 953327 1069986 0 0 9261 631362 655204 1584689 1725190 6243 115877 3580643 3652098 205914 128563 3374729 3523535 TO PROVIDE MEDICAL, DENTAL, AND HEALTH AND COMMUNITY SERVICES FOR THE RESIDENTS OF VINALHAVEN, MAINE AND NEARBY ISLANDS. 0 0 1038199 613288 THE ORGANIZATION PROVIDED MEDICAL SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION OPERATES A MEDICAL CLINIC WITH TWO MEDICAL PROVIDERS AND LOCUMS TENENS COVERAGE. THE CLINIC PROVIDED COVERAGE 24 HOURS A DAY, 7 DAYS A WEEK. 112118 89629 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. 139740 240929 THE ORGANIZATION PROVIDED BEHAVIORAL HEALTH SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION OPERATES THE BEHAVIORAL HEALTH CLINIC WITH ONE THERAPIST WHO WORKS 5 DAYS PER WEEK. BEHAVIORAL HEALTH EMERGENCIES ARE GENERALLY HANDLED BY THE MEDICAL PROVIDERS IF THE THERAPIST IS NOT AVAILABLE. 1290057 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 1 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 6 0 1 26 1 0 0 0 0 0 0 0 0 X 18 18 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 TRUSTEE 0.50 X 0 0 0 BARBARA HAMILTON TRUSTEE 0.50 X 0 0 0 KAREN CANDAGE SECRETARY 1.00 X X 0 0 0 WALTER DAY TRUSTEE 0.50 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 4.00 X 18666 0 0 WYMAN PHILBROOK TREASURER 2.00 X X 0 0 0 JON EMERSON TRUSTEE 0.50 X 0 0 0 CAROL PETILLO 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 DINAH MOYER EXECUTIVE DIRECTOR 40.00 X 67295 0 7275 JENNIFER DESMOND NURSE PRACTITIONER 36.00 X 142634 0 4386 ERWIN MORSE PHYSICIAN ASSISTANT 36.00 X 111687 0 0 340282 0 11661 2 0 0 0 0 576072 248237 824309 PATIENT SERVICE REVENU 621400 943846 943846 943846 72912 72912 1841067 943846 0 72912 X 340282 271070 69212 539721 419529 120192 42303 30925 11378 80218 62953 17265 67462 52942 14520 9963 9963 12590 12590 34798 34378 420 36528 31129 5399 17845 7539 10306 MISCELLANEOUS 123303 105380 17923 MEDICAL, LAB, & XRAY SU 114537 114537 OFFICE SUPPLIES 55341 18113 37228 DISPENSARY SUPPLIES 44194 44194 206105 97368 99476 9261 1725190 1290057 425872 9261 1943 26493 138056 178082 38108 219071 138140 35000 28293 30080 2487 2550 499846 347019 189355 152827 1786571 1828396 1214867 1222422 3580643 3652098 121743 39491 45868 45051 38303 44021 205914 128563 X 1981034 2119850 178828 181263 1214867 1222422 3374729 3523535 3580643 3652098 X 115877 25374 7555 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 187177 54184 132993 207966 190777 17189 104703 102058 2645 152827 BENEFICIAL INTEREST - PERP. CHAR. TRUST 1222422 1222422 ACCRUED EXPENSES 15299 ACCRUED PENSION PAYABLE 28722 44021 X 1988807 25374 41000 7555 73929 1914878 -73811 -73811 1841067 1756929 41000 41000 1715929 9261 9261 1725190 PART X, LINE 2: ACCOUNTING STANDARDS CODIFICATION (ASC) 740, INCOME TAXES, REQUIRES THAT A TAX POSITION BE RECOGNIZED OR DERECOGNIZED BASED ON A "MORE LIKELY THAN NOT" THRESHOLD. THIS APPLIES TO POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THIS GUIDANCE DOES NOT HAVE A SIGNIFICANT IMPACT ON THE ORGANIZATION'S FINANCIAL STATEMENTS, AS MANAGEMENT BELIEVES THAT THERE ARE NO UNCERTAIN TAX POSITIONS WITHIN ITS FINANCIAL STATEMENTS. THE ORGANIZATION HAS PROCESSES PRESENTLY IN PLACE TO ENSURE THE MAINTENANCE OF ITS TAX-EXEMPT STATUS; TO IDENTIFY AND REPORT UNRELATED INCOME; DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS; AND TO REVIEW OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. THE ORGANIZATION IS SUBJECT TO U.S. FEDERAL AND STATE EXAMINATIONS BY TAXING AUTHORITIES FOR THE YEARS ENDED DECEMBER 31, 2011 THROUGH 2014. PART XI, LINE 2D - OTHER ADJUSTMENTS: BENEFICIAL INTEREST IN PERPETUAL CHARITA 7,555. PART XI, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 9,261. PRIOR YEAR WRITE OFF OF OUTSTANDING A/R -83,072. PART XII, LINE 4B - OTHER ADJUSTMENTS: FUNDRAISING EXPENSE 9,261. 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 CONTRACT LABOR: PROGRAM SERVICE EXPENSES 32,681. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 32,681. UTILITIES: PROGRAM SERVICE EXPENSES 15,249. MANAGEMENT AND GENERAL EXPENSES 6,851. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,100. REPAIRS & MAINTENANCE: PROGRAM SERVICE EXPENSES 2,494. MANAGEMENT AND GENERAL EXPENSES 18,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,550. STAFF DEVELOPMENT: PROGRAM SERVICE EXPENSES 14,817. MANAGEMENT AND GENERAL EXPENSES 5,542. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,359. TELEPHONE: PROGRAM SERVICE EXPENSES 9,629. MANAGEMENT AND GENERAL EXPENSES 8,547. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,176. CONSULTANTS: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 14,750. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 14,750. BILLING SERVICE FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,218. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,218. INVESTMENT MANAGEMENT FEE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 12,122. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,122. FUNDRAISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 9,261. TOTAL EXPENSES 9,261. POSTAGE & FREIGHT: PROGRAM SERVICE EXPENSES 2,995. MANAGEMENT AND GENERAL EXPENSES 5,051. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,046. WORKERS COMP INSURANCE: PROGRAM SERVICE EXPENSES 4,105. MANAGEMENT AND GENERAL EXPENSES 3,561. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,666. BANK CHARGES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 7,275. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,275. CONTRACTED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 6,573. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 6,573. LOCUMS TENENS: PROGRAM SERVICE EXPENSES 5,978. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,978. EQUIPMENT LEASE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 3,568. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,568. ADVERTISING: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,935. LICENSES & PERMITS: PROGRAM SERVICE EXPENSES 1,740. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,740. FACILITY COSTS: PROGRAM SERVICE EXPENSES 1,107. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,107. FORM 990, PART XI, LINE 9: BENEFICIAL INTEREST IN PERPETUAL CHARITABLE TRUST 7,555. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS NOT CHANGED THE COMMITTEE'S OVERSIGHT OR SELECTION PROCESS.