ISLANDS COMMUNITY MEDICAL SERVICES INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: ISLANDS COMMUNITY MEDICAL SERVICES INC (EIN 01-6012835)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-07-31
IRS object ID: 201212139349300311
Schema version: 2011v1.2
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	2012-07-31T07:09:27-07:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Macdonald Page & Co LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	227 Water Street PO Box 2749	AddressLine1
City	Augusta	City
State	ME	State
ZIP Code	04338	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	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	2012-07-31	DateSigned
Authorize Third Party	true	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Erik Nadeau	Name
Phone	2077745701	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	1295825	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	19	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	677256	ContributionsGrantsPriorYear
Contributions Grants Current Year	568089	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	674876	ProgramServiceRevenuePriorYear
Program Service Revenue CY	656151	ProgramServiceRevenueCY
Investment Income Prior Year	48862	InvestmentIncomePriorYear
Investment Income Current Year	69041	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	1400994	TotalRevenuePriorYear
Total Revenue Current Year	1293281	TotalRevenueCurrentYear
Grants And Similar Amnts CY	0	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	713203	SalariesEtcPriorYear
Salaries Etc Current Year	681007	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	6426	TotalFundrsngExpCurrentYear
Other Expense Prior Year	663143	OtherExpensePriorYear
Other Expenses Current Year	825678	OtherExpensesCurrentYear
Total Expenses Prior Year	1376346	TotalExpensesPriorYear
Total Expenses Current Year	1506685	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	24648	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	-213404	RevenuesLessExpensesCY
Total Assets BOY	3555066	TotalAssetsBOY
Total Assets EOY	3307633	TotalAssetsEOY
Total Liabilities BOY	142523	TotalLiabilitiesBOY
Total Liabilities EOY	145703	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	3412543	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	3161930	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	789912	Expense
Revenue	448567	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	104396	Expense
Revenue	113172	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	73936	Expense
Revenue	94411	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	968244	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	12	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	19	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
Form8886 T Filed	false	Form8886TFiled
Non Deductible Contributions	false	NonDeductibleContributions
Non Deductible Disclosure	false	NonDeductibleDisclosure
Quid Pro Quo Contributions	false	QuidProQuoContributions
Quid Pro Quo Disclosure	false	QuidProQuoDisclosure
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
Form720 Filed	false	Form720Filed
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
Policies Reference Chapters	false	PoliciesReferenceChapters
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
Written Policy Or Procedure	false	WrittenPolicyOrProcedure
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	2078634341	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 (19 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
Kenneth E White MD
Trustee	0.50	X	0	0	0
Richard Littlefield
Trustee	0.50	X	0	0	0
William A Lieber MD
Trustee	0.50	X	0	0	0
Barbara K Kinder MD
Vice President	1.00	X	0	0	0	X
Helen Evarts
Trustee	0.50	X	0	0	0
Bruce L Burhnam
Trustee	0.50	X	0	0	0
Laura Blankertz PhD
Trustee	0.50	X	0	0	0
Merry Boone
Trustee	0.50	X	0	0	0
Carol Petillo
Trustee	0.50	X	0	0	0
Stephen Rosen
Trustee	0.50	X	0	0	0
Wyman Philbrook
Treasurer	2.00	X	0	0	0	X
Hugh Martin
Co-President	1.00	X	0	0	0	X
Laura Lazaro
Trustee	0.50	X	0	0	0
Kathi Young
Trustee	0.50	X	0	0	0
Walter Day
Co-President	1.00	X	0	0	0	X
Karen Candage
Secretary	1.00	X	0	0	0	X
Barbara Hamilton
Trustee	0.50	X	0	0	0
Bruce Hopkins
Trustee	0.50	X	0	0	0
Dinah Moyer
Executive Direc	40.00		59399	0	5945	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	59399	TotalReportableCompFromOrg
Total Other Compensation	5945	TotalOtherCompensation
Number Individuals GT100 K	0	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	383618	GovernmentGrants
All Other Contributions	184471	AllOtherContributions
Total Contributions	568089	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	PATIENT SERVICE REVENUE	Description
Business Code	621400	BusinessCode
Total Revenue Column	656151	TotalRevenueColumn
Related Or Exempt Function Income	656151	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	656151	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	71585	TotalRevenueColumn
Exclusion	$71,585	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

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	2544	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-2544	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-2544	TotalRevenueColumn
Related Or Exempt Function Income	-2544	RelatedOrExemptFunctionIncome

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	1293281	TotalRevenueColumn
Related Or Exempt Function Income	653607	RelatedOrExemptFunctionIncome
Exclusion	$71,585	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	59399	Total
Program Services	59399	ProgramServices

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	471682	Total
Program Services	301081	ProgramServices
Management And General	170601	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	19831	Total
Program Services	10993	ProgramServices
Management And General	8838	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	85930	Total
Program Services	48433	ProgramServices
Management And General	37497	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	44165	Total
Program Services	30083	ProgramServices
Management And General	14082	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	2219	Total
Management And General	2219	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	11296	Total
Management And General	11296	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	23232	Total
Program Services	13222	ProgramServices
Management And General	10010	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	41886	Total
Program Services	35366	ProgramServices
Management And General	6520	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	15242	Total
Program Services	9638	ProgramServices
Management And General	5604	ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Office supplies	60414	2246	58168
Medical, lab, & xray supplies	121651	121651
Locums tenens	166433	166433
CONTRACT LABOR	77203	77203
Consultants	72849		72849

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	233253	Total
Program Services	92496	ProgramServices
Management And General	134331	ManagementAndGeneral
Fundraising	6426	Fundraising

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	1506685	Total
Program Services	968244	ProgramServices
Management And General	532015	ManagementAndGeneral
Fundraising	6426	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	188327	BOY
EOY	109869	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	21552	BOY
EOY	0	EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

Field	Value	IRS element (for citing)
BOY	12663	BOY
EOY	0	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	106538	BOY
EOY	140975	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	32491	BOY
EOY	31487	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	14150	BOY
EOY	10333	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	499847	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	236617	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	307660	BOY
EOY	263230	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	1843164	BOY
EOY	1773091	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	1028521	BOY
EOY	978648	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	3555066	BOY
EOY	3307633	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	49972	BOY
EOY	70035	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	92551	BOY
EOY	75668	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	142523	BOY
EOY	145703	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2264798	BOY
EOY	2047778	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	119224	BOY
EOY	135504	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1028521	BOY
EOY	978648	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3412543	BOY
EOY	3161930	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	3555066	BOY
EOY	3307633	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	-213404	ReconcilationRevenueExpenses
Reconcilation Other Changes	-37209	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired
Federal Grant Audit Performed	false	FederalGrantAuditPerformed

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	26105	Depreciation
Book Value	161072	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	207966	OtherCostOrOtherBasis
Depreciation	124808	Depreciation
Book Value	83158	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	104704	OtherCostOrOtherBasis
Depreciation	85704	Depreciation
Book Value	19000	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	263230	TotalOfBookValueLandBuildings

Other Assets OtherAssets

Field	Value	IRS element (for citing)
Description	Beneficial Interest - Perp. Char. Trust	Description
Book Value	978648	BookValue

Field	Value	IRS element (for citing)
Total Book Value Other Assets	978648	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
Simplified employee pension cont payable	$19,720
Accrued Expenses	$55,948

Field	Value	IRS element (for citing)
Total Of Amounts	75668	TotalOfAmounts
Total Revenue	1293281	TotalRevenue
Total Expenses	1506685	TotalExpenses
Excess Or Deficit For Year	-213404	ExcessOrDeficitForYear
Net Unrealized GL On Investments	12664	NetUnrealizedGLOnInvestments
Other	-$49,873	OtherAmount
Total Adjustments	-37209	TotalAdjustments
Excess Or Deficit Per FS	-250613	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	1334281	TotRevenueEtcAuditedFinclStmt
Donated Srvc And Use Of Facilities	41000	DonatedSrvcAndUseOfFacilities
Revenue Not Rptd F990	41000	RevenueNotRptdF990
Revenue Subtotal	1293281	RevenueSubtotal
Total Revenue Per Form990	1293281	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	1547685	TotExpensesEtcAuditedFinclStmt
Donated Services Use Of Facilities	41000	DonatedServicesUseOfFacilities
Expenses Not Rptd F990	41000	ExpensesNotRptdF990
Expenses Subtotal	1506685	ExpensesSubtotal
Total Expenses Per Form990	1506685	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	Part XI, Line 8	Identifier
Return Reference	Part XI, Line 8: Other Changes in Net Assets or Fund Balances	ReturnReference
Explanation	Loss from Beneficial Interest in Perpetual Charitable Trust $ -49873	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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 11	Form 990, Part VI, Line 11: Form 990 Review Process	THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS FOR DISCUSSION, REVIEW AND APPROVAL BEFORE FILING.