ISLAND NURSING HOME INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- ISLAND NURSING HOME INC (EIN 51-0172239)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2013-11-06
- IRS object ID
- 201343109349301019
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-06T09:06:18-06:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010391345 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Berry Dunn McNeil & Parker LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 36 Pleasant Street | AddressLine1 |
| City | Bangor | City |
| State | ME | State |
| ZIP Code | 04401 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 510172239 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Island Nursing Home Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | ISLA | NameControl |
| Phone | 2073482351 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 587 North Deer Isle Road | AddressLine1 |
| City | Deer Isle | City |
| State | ME | State |
| ZIP Code | 04627 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Marc Plourde | Name |
| Title | Administrator | Title |
| Phone | 2073482351 | Phone |
| Date Signed | 2013-10-31 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Barbara J McGuan CPA | Name |
| PTIN | P00219457 | PTIN |
| Phone | 2079421600 | Phone |
| Date Prepared | 2013-10-31 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Marc Plourde | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 587 North Deer Isle Road | AddressLine1 |
| City | Deer Isle | City |
| State | ME | State |
| ZIP Code | 04627 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 4047377 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | n/a | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1975 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | To provide nursing care | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 12 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 133 | TotalNbrEmployees |
| Total Nbr Volunteers | 50 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 133237 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 123311 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 3972672 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 3886660 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 25845 | InvestmentIncomePriorYear |
| Investment Income Current Year | 13505 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | -558 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 4131754 | TotalRevenuePriorYear |
| Total Revenue Current Year | 4022918 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2750 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 750 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 2628091 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 2673824 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1330929 | OtherExpensePriorYear |
| Other Expenses Current Year | 1424353 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 3961770 | TotalExpensesPriorYear |
| Total Expenses Current Year | 4098927 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 169984 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -76009 | RevenuesLessExpensesCY |
| Total Assets BOY | 3800178 | TotalAssetsBOY |
| Total Assets EOY | 3922555 | TotalAssetsEOY |
| Total Liabilities BOY | 1896372 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1959728 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1903806 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1962827 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The mission of Island Nursing Home, Deer Isle, Maine, a non-profit facility, is to incorporate the values of dignity, compassion, professionalism and community in providing life-care services or resources to individuals and families in need; to instill purpose and hope; and to support all stages of living and dying.The Island Nursing Home is committed to a primary obligation to serve residents of the communities of Deer Isle, Stonington, Isle au Haut, Brooksville, Brooklin, Sedgwick and Blue Hill. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 3488847 | Expense |
| Grants | 750 | Grants |
| Revenue | 3886660 | Revenue |
| Description | Nursing Home Care - Seventy-bed long term care facility offering skilled nursing, residential and ancillary services to medically needy residents. | Description |
| Total Program Service Expense | 3488847 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 0 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 21 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 133 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 12 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Marc Plourde | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2073482351 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 587 North Deer Isle Rd | AddressLine1 |
| City | Deer Isle | City |
| State | ME | State |
| ZIP Code | 04627 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (15 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| Deborah DeWitt | ||||||
| President | 1.00 | X | X | 0 | 0 | 0 |
| Robert Lasky | ||||||
| Treasurer | 1.00 | X | X | 0 | 0 | 0 |
| Marilyn Verhey | ||||||
| Secretary | 1.00 | X | X | 0 | 0 | 0 |
| Pamela Siewers | ||||||
| Vice President | 1.00 | X | X | 0 | 0 | 0 |
| Kathleen Billings-Pezaris | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| John Eysenbach | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Kathleen Hayward | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Don Holmes | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Kathleen Osborn | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Joe Perkins | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Deborah Cummins | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Lisa Veazie | ||||||
| Director | 1.00 | X | 0 | 0 | 0 | |
| Joan Freeman | ||||||
| Former Director | 1.00 | X | 0 | 0 | 0 | |
| Claudette Kydd | ||||||
| Former Director | 1.00 | X | 0 | 0 | 0 | |
| Marc Plourde | ||||||
| Administrator | 40.00 | X | 110734 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 110734 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 0 | TotalOtherCompensation |
| Number Individuals GT100 K | 1 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 0 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Synertx | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7540 North 19th Av Suite 200 | AddressLine1 |
| City | Phoenix | City |
| State | AZ | State |
| ZIP Code | 85021 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Phys & Occup Therapy | DescriptionOfServices |
| Compensation | 123160 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 8403 | FundraisingEvents |
| All Other Contributions | 114908 | AllOtherContributions |
| Total Contributions | 123311 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Medicare/medicaid Rev | 623000 | 5727862 | 5727862 |
| Pvt. Pay Nursing Care | 623000 | 791488 | 791488 |
| Miscellaneous Revenue | 623000 | 511 | 511 |
| Contractual Adjustment | 623000 | -2633201 | -2633201 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 3886660 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 33549 | TotalRevenueColumn |
| Exclusion | $33,549 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 3000 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 23044 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -20044 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -20044 | TotalRevenueColumn |
| Exclusion | -$20,044 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 857 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 8403 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 1415 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -558 | TotalRevenueColumn |
| Exclusion | -$558 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 4022918 | TotalRevenueColumn |
| Related Or Exempt Function Income | 3886660 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $12,947 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750 | Total |
| Program Services | 750 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 98408 | Total |
| Management And General | 98408 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1940705 | Total |
| Program Services | 1790527 | ProgramServices |
| Management And General | 150178 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 389023 | Total |
| Program Services | 300110 | ProgramServices |
| Management And General | 88913 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245688 | Total |
| Program Services | 207998 | ProgramServices |
| Management And General | 37690 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26006 | Total |
| Management And General | 26006 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 48119 | Total |
| Management And General | 48119 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151866 | Total |
| Program Services | 137883 | ProgramServices |
| Management And General | 13983 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10086 | Total |
| Program Services | 10086 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40627 | Total |
| Program Services | 33808 | ProgramServices |
| Management And General | 6819 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111661 | Total |
| Program Services | 111661 | ProgramServices |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14448 | Total |
| Program Services | 14448 | ProgramServices |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 39910 | Total |
| Program Services | 39910 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169361 | Total |
| Program Services | 169361 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80149 | Total |
| Program Services | 80149 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provider tax expense | 219579 | 219579 | |
| Supplies | 206571 | 206571 | |
| Food | 123746 | 123746 | |
| Bad debts | 100441 | 100441 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81783 | Total |
| Program Services | 42260 | ProgramServices |
| Management And General | 39523 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4098927 | Total |
| Program Services | 3488847 | ProgramServices |
| Management And General | 610080 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3439 | BOY |
| EOY | 900 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440535 | BOY |
| EOY | 458019 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 414273 | BOY |
| EOY | 276337 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59600 | BOY |
| EOY | 56820 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 57676 | BOY |
| EOY | 23202 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 4135938 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2748933 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1422356 | BOY |
| EOY | 1387005 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1400862 | BOY |
| EOY | 1719065 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1437 | BOY |
| EOY | 1207 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3800178 | BOY |
| EOY | 3922555 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915815 | BOY |
| EOY | 1099175 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 915350 | BOY |
| EOY | 800489 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65207 | BOY |
| EOY | 60064 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1896372 | BOY |
| EOY | 1959728 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1841673 | BOY |
| EOY | 1897491 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18126 | BOY |
| EOY | 21329 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 44007 | BOY |
| EOY | 44007 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1903806 | BOY |
| EOY | 1962827 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3800178 | BOY |
| EOY | 3922555 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | -76009 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 135030 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 25861 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 26212 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 94326 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 133237 | CurrentTaxYearMinus1Year |
| Current Tax Year | 123311 | CurrentTaxYear |
| Total | 402947 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3823024 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3812146 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3995804 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3972672 | CurrentTaxYearMinus1Year |
| Current Tax Year | 3886660 | CurrentTaxYear |
| Total | 19490306 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1564 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 897 | CurrentTaxYearMinus1Year |
| Current Tax Year | 857 | CurrentTaxYear |
| Total | 3318 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3848885 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3838358 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4091694 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4106806 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4010828 | CurrentTaxYear |
| Total | 19896571 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1675 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5350 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6860 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11007 | CurrentTaxYear |
| Total | 33392 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1675 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5350 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 6860 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 8500 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11007 | CurrentTaxYear |
| Total | 33392 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 19863179 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21838 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20134 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23854 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28326 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33549 | CurrentTaxYear |
| Total | 127701 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 21838 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 20134 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 23854 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 28326 | CurrentTaxYearMinus1Year |
| Current Tax Year | 33549 | CurrentTaxYear |
| Total | 127701 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 3870723 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3858492 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4115548 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 4135132 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4044377 | CurrentTaxYear |
| Total | 20024272 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99200 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99260 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00640 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00610 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
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 C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $1,110 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 1110 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Explanation of Lobbying Activities: | Identifier |
| Return Reference | Part II-B, Line 1: | ReturnReference |
| Explanation | 29.80% of dues paid to Maine Health Care Association were attributable to lobbying. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1468405 | BeginningOfYearBalance |
| Contributions | 232520 | Contributions |
| Investment Earnings Or Losses | 168204 | InvestmentEarningsOrLosses |
| Other Expenditures | 43275 | OtherExpenditures |
| End Of Year Balance | 1825854 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 1295208 | BeginningOfYearBalance |
| Contributions | 146678 | Contributions |
| Investment Earnings Or Losses | 42680 | InvestmentEarningsOrLosses |
| Other Expenditures | 16161 | OtherExpenditures |
| End Of Year Balance | 1468405 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 721890 | BeginningOfYearBalance |
| Contributions | 475923 | Contributions |
| Investment Earnings Or Losses | 130404 | InvestmentEarningsOrLosses |
| Other Expenditures | 33009 | OtherExpenditures |
| End Of Year Balance | 1295208 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 435937 | BeginningOfYearBalance |
| Contributions | 254946 | Contributions |
| Investment Earnings Or Losses | 37015 | InvestmentEarningsOrLosses |
| Other Expenditures | 6008 | OtherExpenditures |
| End Of Year Balance | 721890 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 548983 | BeginningOfYearBalance |
| Contributions | 25861 | Contributions |
| Investment Earnings Or Losses | -58999 | InvestmentEarningsOrLosses |
| Other Expenditures | 79908 | OtherExpenditures |
| End Of Year Balance | 435937 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.96420 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.02410 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.01170 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 55290 | OtherCostOrOtherBasis |
| Book Value | 55290 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2595300 | OtherCostOrOtherBasis |
| Depreciation | 1809354 | Depreciation |
| Book Value | 785946 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1048359 | OtherCostOrOtherBasis |
| Depreciation | 690213 | Depreciation |
| Book Value | 358146 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 436989 | OtherCostOrOtherBasis |
| Depreciation | 249366 | Depreciation |
| Book Value | 187623 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1387005 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Estimated third party payor settlement | Description |
| Amount | $60,064 | Amount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 60064 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 4157948 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 135030 | NetUnrealizedGainsInvestments |
| Revenue Not Rptd F990 | 135030 | RevenueNotRptdF990 |
| Revenue Subtotal | 4022918 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 4022918 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 4098927 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 4098927 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 4098927 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | The intended uses of the endowment funds include funding for scholarships and other activities of the nursing home. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section B, line 11 | Form 990 was provided to the governing body by email prior to being filed. It was reviewed by the Chair of the Finance Committee and the President of the Board of Directors. | |
| Form 990, Part VI, Section B, line 12c | Each director, principal officer and member of a committee with governing board-delegated powers shall annually sign a statement, which affirms such person: (a) has received a copy of the conflict of interest policy, (b) has read and understands the policy, (c) has agreed to comply with the policy and (d) understands the Island Nursing Home is charitable and in order to maintain its federal exemption it must engage primarily in activities which accomplish one or more of its tax-exempt purposes. After disclosure of the financial interest and all material facts, and after any discussion with the interested person, he/she shall leave the governing board or committee meeting while the determination of a conflict of interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest transaction shall be approved or ratified. | |
| Form 990, Part VI, Section B, line 15a | The administrator is reviewed annually by the board. The process for determining the administrator's compensation includes a compensation survey or study and approval by the board. This occurs on a periodic basis. | |
| Form 990, Part VI, Section C, line 19 | The Organization makes its governing documents, conflict of interest policy and financial statements available to the public upon request. | |
| Form 990, Part XII, Line 2c | The audit process has not changed from the prior year. | Oversight of Audit |
| Form 990, Part VI, Section B, Line 13 & 14 | Due to an oversight prior year Forms 990 erroneously indicated that a written document retention and destruction policy as well as a written whistleblower policy were in place. Although written policies were not in use at 6/30/13, the Organization has adhered to the Department of Labor's requirement for whistleblower protection by posting the rules in a public place, and by following the State of Maine and Center for Medicare and Medicaid Services' regulations for document retention and destruction for nursing and assisted living facilities. The Organization is in the process of drafting written whistleblower protection and document retention/destruction policies. These written policies will be adopted by December 31, 2013. |