ISLANDS COMMUNITY MEDICAL SERVICES INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: ISLANDS COMMUNITY MEDICAL SERVICES INC (EIN 01-6012835)
Tax period: 2012-01-01 to 2012-12-31
Filed: 2013-05-09
IRS object ID: 201321299349300532
Schema version: 2012v2.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-05-09T07:40:29-07:00	Timestamp
Tax Period End Date	2012-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Macpage LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	One Market Square	AddressLine1
City	Augusta	City
State	ME	State
ZIP Code	04330	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	016012835	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	ISLANDS COMMUNITY MEDICAL SERVICES	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	ISLA	NameControl
Phone	2078634341	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	15 Medical Center Loop	AddressLine1
City	Vinalhaven	City
State	ME	State
ZIP Code	04863	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Dinah Moyer	Name
Title	Executive Direc	Title
Date Signed	2013-05-09	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Robert Mitchell	Name
PTIN	P01240717	PTIN
Phone	2077745701	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	1464017	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
All Affiliates Included	false	AllAffiliatesIncluded
Organization501c3	X	Organization501c3
Web Site	N/A	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1946	YearFormation
State Legal Domicile	ME	StateLegalDomicile
Activity Or Mission Description	To provide medical, dental, and health and community services for the residents of Vinalhaven, Maine and nearby islands.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	18	NbrIndependentVotingMembers
Total Nbr Employees	27	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	568089	ContributionsGrantsPriorYear
Contributions Grants Current Year	649682	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	656151	ProgramServiceRevenuePriorYear
Program Service Revenue CY	768946	ProgramServiceRevenueCY
Investment Income Prior Year	69041	InvestmentIncomePriorYear
Investment Income Current Year	45389	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	1293281	TotalRevenuePriorYear
Total Revenue Current Year	1464017	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	681007	SalariesEtcPriorYear
Salaries Etc Current Year	940286	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	8594	TotalFundrsngExpCurrentYear
Other Expense Prior Year	825678	OtherExpensePriorYear
Other Expenses Current Year	735678	OtherExpensesCurrentYear
Total Expenses Prior Year	1506685	TotalExpensesPriorYear
Total Expenses Current Year	1675964	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	-213404	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-211947	RevenuesLessExpensesCY
Total Assets BOY	3307633	TotalAssetsBOY
Total Assets EOY	3285235	TotalAssetsEOY
Total Liabilities BOY	145703	TotalLiabilitiesBOY
Total Liabilities EOY	170219	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3161930	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3115016	NetAssetsOrFundBalancesEOY
Mission Description	To provide medical, dental, and health and community services for the residents of Vinalhaven, Maine and nearby islands.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	994759	Expense
Revenue	543105	Revenue
Description	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.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	118148	Expense
Revenue	94317	Revenue
Description	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.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	93573	Expense
Revenue	131524	Revenue
Description	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.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	1206480	TotalProgramServiceExpense
Described In501 C3	true	DescribedIn501C3
Schedule B Required	true	ScheduleBRequired
Political Activities	false	PoliticalActivities
Lobbying Activities	false	LobbyingActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	true	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	true	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	false	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	false	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	false	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	false	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Invest Tax Exempt Bonds	false	InvestTaxExemptBonds
Escrow Account	false	EscrowAccount
On Behalf Of Issuer	false	OnBehalfOfIssuer
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	false	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	false	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	false	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	10	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	27	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Form990-T Filed	false	Form990-TFiled
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Quid Pro Quo Contributions	false	QuidProQuoContributions
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOf
Number Of8282 Filed	0	NumberOf8282Filed
Funds To Pay Premiums	false	FundsToPayPremiums
Premiums Paid	false	PremiumsPaid
Form8899 Filed	false	Form8899Filed
Form1098 C Filed	false	Form1098CFiled
Excess Business Holdings	false	ExcessBusinessHoldings
Taxable Distributions	false	TaxableDistributions
Distribution To Donor	false	DistributionToDonor
Filed Lieu1041	false	FiledLieu1041
Licensed More Than One State	false	LicensedMoreThanOneState
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	18	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	false	MembersOrStockholders
Election Of Board Members	false	ElectionOfBoardMembers
Decisions Subject To Approval	false	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	true	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	false	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	true	DocumentRetentionPolicy
Compensation Process CEO	false	CompensationProcessCEO
Compensation Process Other	false	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	Dinah B Moyer	NamePerson
Telephone Number	2078634109	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	15 Medical Center Loop	AddressLine1
City	Vinalhaven	City
State	ME	State
ZIP Code	04863	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (22 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Average Hours Per Week RelatedAverageHoursPerWeekRelated	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee
Kenneth E White MD
Trustee	0.50	0.00	X	0	0	0
Connie Gemmer
Trustee	1.00	0.00	X	0	0	0
Richard Littlefield
Trustee	0.50	0.00	X	0	0	0
William A Lieber MD
Trustee	0.50	0.00	X	0	0	0
Barbara K Kinder MD
Vice President	1.00	0.00	X	0	0	0	X
Helen Evarts
Trustee	0.50	0.00	X	0	0	0
Bruce L Burhnam
Trustee	0.50	0.00	X	0	0	0
Laura Blankertz PhD
Trustee	0.50	0.00	X	0	0	0
Merry Boone
Trustee	0.50	0.00	X	0	0	0
Carol Petillo
Trustee	0.50	0.00	X	0	0	0
Stephen Rosen
Trustee	0.50	0.00	X	0	0	0
Wyman Philbrook
Treasurer	2.00	0.00	X	0	0	0	X
Stuart N Damon
Med. Director	40.00	0.00	X	33813	0	0
Hugh Martin
President	2.00	0.00	X	0	0	0	X
Laura Lazaro
Trustee	0.50	0.00	X	0	0	0
Kathi Young
Trustee	0.50	0.00	X	0	0	0
Walter Day
Trustee	1.00	0.00	X	0	0	0	X
Karen Candage
Secretary	1.00	0.00	X	0	0	0	X
Barbara Hamilton
Trustee	0.50	0.00	X	0	0	0
Bruce Hopkins
Trustee	0.50	0.00	X	0	0	0
Dinah Moyer
Executive Direc	40.00	0.00		60829	0	3041	X
JENNIFER DESMOND
NURSE PRACTITIONER	40.00	0.00		103700	0	3111		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	198342	TotalReportableCompFromOrg
Total Other Compensation	6152	TotalOtherCompensation
Number Individuals GT100 K	1	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	false	TotalCompGT150K
Compensation From Other Sources	false	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Government Grants	437435	GovernmentGrants
All Other Contributions	212247	AllOtherContributions
Total Contributions	649682	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICE REVENUE	Description
Business Code	621400	BusinessCode
Total Revenue Column	768946	TotalRevenueColumn
Related Or Exempt Function Income	768946	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	768946	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	45389	TotalRevenueColumn
Exclusion	$45,389	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1464017	TotalRevenueColumn
Related Or Exempt Function Income	768946	RelatedOrExemptFunctionIncome
Exclusion	$45,389	ExclusionAmount

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	X	InfoInScheduleOPartIX

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	0	Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	0	Total

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	164529	Total
Program Services	103700	ProgramServices
Management And General	60829	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	556938	Total
Program Services	490022	ProgramServices
Management And General	66916	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	39353	Total
Program Services	26678	ProgramServices
Management And General	12675	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	121898	Total
Program Services	100314	ProgramServices
Management And General	21584	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	57568	Total
Program Services	47375	ProgramServices
Management And General	10193	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	20096	Total
Management And General	20096	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	10568	Total
Management And General	10568	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	0	Total

Advertising Advertising

Field	Value	IRS element (for citing)
Total	0	Total

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	0	Total

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	0	Total

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	24118	Total
Program Services	14918	ProgramServices
Management And General	9200	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	0	Total

Interest Interest

Field	Value	IRS element (for citing)
Total	0	Total

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	36985	Total
Program Services	31734	ProgramServices
Management And General	5251	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	17943	Total
Program Services	7324	ProgramServices
Management And General	10619	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Consultants	57247	25341	31906
Office supplies	60735	5280	55455
Locums tenens	80298	80298
Medical, lab, & xray supplies	117919	117919

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	309769	Total
Program Services	155577	ProgramServices
Management And General	145598	ManagementAndGeneral
Fundraising	8594	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1675964	Total
Program Services	1206480	ProgramServices
Management And General	460890	ManagementAndGeneral
Fundraising	8594	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	109869	BOY
EOY	295	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
EOY	66992	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	140975	BOY
EOY	175385	EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

Field	Value	IRS element (for citing)
EOY	0	EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
EOY	0	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	31487	BOY
EOY	30951	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10333	BOY
EOY	0	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	499847	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	273601	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	263230	BOY
EOY	226246	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1773091	BOY
EOY	1700335	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
EOY	0	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
EOY	0	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	978648	BOY
EOY	1085031	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3307633	BOY
EOY	3285235	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	70035	BOY
EOY	121255	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	75668	BOY
EOY	48964	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	145703	BOY
EOY	170219	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2047778	BOY
EOY	1870685	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	135504	BOY
EOY	159300	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	978648	BOY
EOY	1085031	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3161930	BOY
EOY	3115016	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3307633	BOY
EOY	3285235	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-211947	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	58650	ReconciliationUnrealizedInvest
Reconcilation Other Changes	106383	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Separate	X	FinancialStatementSeparate

Field	Value	IRS element (for citing)
Audit Committee	true	AuditCommittee
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	187177	OtherCostOrOtherBasis
Depreciation	35464	Depreciation
Book Value	151713	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	207966	OtherCostOrOtherBasis
Depreciation	146797	Depreciation
Book Value	61169	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	104704	OtherCostOrOtherBasis
Depreciation	91340	Depreciation
Book Value	13364	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	226246	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	Beneficial Interest - Perp. Char. Trust	Description
Book Value	1085031	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	1085031	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Simplified employee pension cont payable	$17,284
Accrued Expenses	$31,680

Field	Value	IRS element (for citing)
Total Of Amounts	48964	TotalOfAmounts
Tot Revenue Etc Audited Fincl Stmt	1661456	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	58650	NetUnrealizedGainsInvestments
Donated Srvc And Use Of Facilities	41000	DonatedSrvcAndUseOfFacilities
Other Revenues	106383	OtherRevenues
Revenue Not Rptd F990	206033	RevenueNotRptdF990
Revenue Subtotal	1455423	RevenueSubtotal
Other Revenues Not Included	8594	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	8594	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	1464017	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1708370	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	41000	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	41000	ExpensesNotRptdF990
Expenses Subtotal	1667370	ExpensesSubtotal
Other Expenses Not Included	8594	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	8594	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	1675964	TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part XII, Line 4b	Part XII, Line 4b: Other revenue amounts included on 990 but not included in F/S	FUNDRAISING EXPENSE $8594
Part XI, Line 4b	Part XI, Line 4b: Other revenue amounts included on 990 but not included in F/S	FUNRAISING EXPENSE $8594
Part XI, Line 2d	Part XI, Line 2d: Other revenue amounts included in F/S but not included on form 990	BENEFICIAL INTEREST IN PERPETUAL CHARITA $106383

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (21 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Form 990, Part XI, Line 9	Other Changes In Net Assets Or Fund Balances - Other Increases	Beneficial Interest in Perpetual Charitable Trust = $106383
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Workers comp insurance: Column (A) - Total = $10146; Column (B) - Program Services = $4761; Column (C) - Management & General = $5385; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Utilities: Column (A) - Total = $21082; Column (B) - Program Services = $14547; Column (C) - Management & General = $6535; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	TELEPHONE: Column (A) - Total = $18771; Column (B) - Program Services = $10023; Column (C) - Management & General = $8748; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Staff development: Column (A) - Total = $19693; Column (B) - Program Services = $16219; Column (C) - Management & General = $3474; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	repairs & maintenance: Column (A) - Total = $20509; Column (B) - Program Services = $2130; Column (C) - Management & General = $18379; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Postage & freight: Column (A) - Total = $7200; Column (B) - Program Services = $2948; Column (C) - Management & General = $4252; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	MISCELLANEOUS: Column (A) - Total = $52809; Column (B) - Program Services = $35345; Column (C) - Management & General = $17464; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Licenses & permits: Column (A) - Total = $1258; Column (B) - Program Services = $1258; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Laundry: Column (A) - Total = $590; Column (B) - Program Services = $590; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Investment Management Fee: Column (A) - Total = $10335; Column (B) - Program Services = $0; Column (C) - Management & General = $10335; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Fundraising: Column (A) - Total = $8594; Column (B) - Program Services = $0; Column (C) - Management & General = $0; Column (D) - Fundraising = $8594
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Equipment lease: Column (A) - Total = $3603; Column (B) - Program Services = $784; Column (C) - Management & General = $2819; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Dispensary supplies: Column (A) - Total = $27289; Column (B) - Program Services = $27289; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Contracted physician services: Column (A) - Total = $5829; Column (B) - Program Services = $5829; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	CONTRACT LABOR: Column (A) - Total = $33854; Column (B) - Program Services = $33854; Column (C) - Management & General = $0; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Billing service fees: Column (A) - Total = $56371; Column (B) - Program Services = $0; Column (C) - Management & General = $56371; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	Bank Charges: Column (A) - Total = $9573; Column (B) - Program Services = $0; Column (C) - Management & General = $9573; Column (D) - Fundraising = $0
Form 990, Part IX, Line 24e	Form 990, Part IX, Line 24e: Other Expenses	ADVERTISING: Column (A) - Total = $2263; Column (B) - Program Services = $0; Column (C) - Management & General = $2263; Column (D) - Fundraising = $0
Form 990, Part VI, Line 19	Form 990, Part VI, Line 19: Other Organization Documents Publicly Available	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 VI, Line 11b	Form 990, Part VI, Line 11b: Form 990 Review Process	THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING.