ISLAND NURSING HOME INC: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: ISLAND NURSING HOME INC (EIN 51-0172239)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-02-01
IRS object ID: 201120329349300902
Schema version: 2009v1.7
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 C
Schedule D
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-01T12:25:32-06:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

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	2009-07-01	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	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	2011-01-25	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	Barbara J McGuan CPA	Name
Phone	2079421600	Phone
Date Prepared	2011-01-25	DatePrepared

Field	Value	IRS element (for citing)
Tax Year	2009	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	4014074	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
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 and adult day care	ActivityOrMissionDescription
Nbr Voting Members Governing Body	8	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	130	TotalNbrEmployees
Total Nbr Volunteers	60	TotalNbrVolunteers
Total Gross UBI	0	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	25861	ContributionsGrantsPriorYear
Contributions Grants Current Year	26212	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	3823024	ProgramServiceRevenuePriorYear
Program Service Revenue CY	3812146	ProgramServiceRevenueCY
Investment Income Prior Year	21838	InvestmentIncomePriorYear
Investment Income Current Year	20134	InvestmentIncomeCurrentYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	3870723	TotalRevenuePriorYear
Total Revenue Current Year	3858492	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	500	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	500	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2398984	SalariesEtcPriorYear
Salaries Etc Current Year	2509806	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	1514	TotalFundrsngExpCurrentYear
Other Expense Prior Year	1420866	OtherExpensePriorYear
Other Expenses Current Year	1217018	OtherExpensesCurrentYear
Total Expenses Prior Year	3820350	TotalExpensesPriorYear
Total Expenses Current Year	3727324	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	50373	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	131168	RevenuesLessExpensesCY
Total Assets BOY	2988390	TotalAssetsBOY
Total Assets EOY	3095254	TotalAssetsEOY
Total Liabilities BOY	1751338	TotalLiabilitiesBOY
Total Liabilities EOY	1709555	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	1237052	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	1385699	NetAssetsOrFundBalancesEOY
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	3284840	Expense
Grants	500	Grants
Revenue	3812146	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	3284840	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	0	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
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	12	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Number Of Employees	130	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
Nbr Voting Governing Body Members	8	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	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	1	WhistleblowerPolicy
Document Retention Policy	1	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 (9 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer
Suzanne Bergen
Director	1.00	X	0	0	0
Pamela N Siewers
President	1.00	X	0	0	0	X
Claudette O Kydd
Director	1.00	X	0	0	0
Don Holmes
Director	1.00	X	0	0	0
Robert Laskey
Treasurer	1.00	X	0	0	0	X
Kathleen Billings-Pezari
Vice President	1.00	X	0	0	0
Mindy S Marsheutz
Director	1.00	X	0	0	0
John P Eysenbach
Director	1.00	X	0	0	0
Marc Plourde
Administrator	40.00		92886	0	3046	X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	92886	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	3046	TotalOtherCompensation
Number Individuals GT100 K	0	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	0	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
All Other Contributions	26212	AllOtherContributions
Total Contributions	26212	TotalContributions

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Medicare/medicaid Rev	623000	2907004	2907004
Pvt. Pay Nursing Care	623000	904513	904513
Miscellaneous Revenue	623000	629	629

Field	Value	IRS element (for citing)
Total Program Service Revenue	3812146	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	20134	TotalRevenueColumn
Exclusion	$20,134	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	155582	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	155582	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	0	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

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

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	3858492	TotalRevenueColumn
Related Or Exempt Function Income	3812146	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	0	UnrelatedBusinessRevenue
Exclusion	$20,134	ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	500	Total
Program Services	500	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	92491	Total
Management And General	92491	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	1875415	Total
Program Services	1724631	ProgramServices
Management And General	150784	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	309028	Total
Program Services	252088	ProgramServices
Management And General	56940	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	232872	Total
Program Services	192824	ProgramServices
Management And General	40048	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	906	Total
Program Services	906	ProgramServices

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	33139	Total
Management And General	33139	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	22624	Total
Program Services	10824	ProgramServices
Management And General	11800	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	10878	Total
Program Services	10878	ProgramServices

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	205769	Total
Program Services	198962	ProgramServices
Management And General	5293	ManagementAndGeneral
Fundraising	1514	Fundraising

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	108582	Total
Program Services	108582	ProgramServices

Travel Travel

Field	Value	IRS element (for citing)
Total	4634	Total
Program Services	4634	ProgramServices

Interest Interest

Field	Value	IRS element (for citing)
Total	64801	Total
Program Services	64801	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	165648	Total
Program Services	165648	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	98729	Total
Program Services	98729	ProgramServices

Other Expenses OtherExpenses (5 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
Provider tax expense	201763	201763
Food	127633	127633
Therapy services	91599	91599
Other administrative	18606		18606
Data processing costs	17916		17916

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	43791	Total
Program Services	29838	ProgramServices
Management And General	13953	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	3727324	Total
Program Services	3284840	ProgramServices
Management And General	440970	ManagementAndGeneral
Fundraising	1514	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	448	BOY
EOY	450	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	497711	BOY
EOY	453166	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	450133	BOY
EOY	317657	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	42141	BOY
EOY	45262	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	10410	BOY
EOY	8804	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	4283864	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	2752685	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	1647396	BOY
EOY	1531179	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	337979	BOY
EOY	736805	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2172	BOY
EOY	1931	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	2988390	BOY
EOY	3095254	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	447828	BOY
EOY	555884	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1197793	BOY
EOY	1108608	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	105717	BOY
EOY	45063	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	1751338	BOY
EOY	1709555	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	1185735	BOY
EOY	1334122	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	7310	BOY
EOY	7570	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	1237052	BOY
EOY	1385699	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	2988390	BOY
EOY	3095254	EOY

Field	Value	IRS element (for citing)
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	0	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
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	23693	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	38460	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	192198	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	25861	CurrentTaxYearMinus1Year
Current Tax Year	26212	CurrentTaxYear
Total	306424	Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3520894	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3707714	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3962082	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3823024	CurrentTaxYearMinus1Year
Current Tax Year	3812146	CurrentTaxYear
Total	18825860	Total

Total509 Total509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3544587	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3746174	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4154280	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3848885	CurrentTaxYearMinus1Year
Current Tax Year	3838358	CurrentTaxYear
Total	19132284	Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	1876	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3795	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3233	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1675	CurrentTaxYearMinus1Year
Current Tax Year	5350	CurrentTaxYear
Total	15929	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	1876	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3795	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	3233	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	1675	CurrentTaxYearMinus1Year
Current Tax Year	5350	CurrentTaxYear
Total	15929	Total

Field	Value	IRS element (for citing)
Public Support Total509	19116355	PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	32174	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	32965	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	29285	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	21838	CurrentTaxYearMinus1Year
Current Tax Year	20134	CurrentTaxYear
Total	136396	Total

Investment Income And UBTI InvestmentIncomeAndUBTI

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	32174	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	32965	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	29285	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	21838	CurrentTaxYearMinus1Year
Current Tax Year	20134	CurrentTaxYear
Total	136396	Total

Total Support Total TotalSupportTotal

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	3576761	CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years	3779139	CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years	4183565	CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year	3870723	CurrentTaxYearMinus1Year
Current Tax Year	3858492	CurrentTaxYear
Total	19268680	Total

Field	Value	IRS element (for citing)
Public Support Percentage509	0.99210	PublicSupportPercentage509
Prior Year Support Percentage	0.99200	PriorYearSupportPercentage
Investment Income Percentage	0.00710	InvestmentIncomePercentage
Prior Yr Invest Income Percentage	0.00740	PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509	X	ThirtyThreePercntTestsCY509

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	$1,053	OtherActivitiesAmount
Total Lobbying Expenditures IIB	1053	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	Part II-B, Line 1i:	Identifier
Return Reference	Explanation of Other Lobbying Activities:	ReturnReference
Explanation	27% of dues paid to Maine Health Care Association were attributable to lobbying.	Explanation

Schedule D IRS990ScheduleD

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	2747775	OtherCostOrOtherBasis
Depreciation	1699580	Depreciation
Book Value	1048195	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1038963	OtherCostOrOtherBasis
Depreciation	799990	Depreciation
Book Value	238973	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	441836	OtherCostOrOtherBasis
Depreciation	253115	Depreciation
Book Value	188721	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	1531179	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
Description	Estimated third party payor settlement	Description
Amount	$45,063	Amount

Field	Value	IRS element (for citing)
Total Of Amounts	45063	TotalOfAmounts
Total Revenue	3858492	TotalRevenue
Total Expenses	3727324	TotalExpenses
Excess Or Deficit For Year	131168	ExcessOrDeficitForYear
Net Unrealized GL On Investments	17479	NetUnrealizedGLOnInvestments
Total Adjustments	17479	TotalAdjustments
Excess Or Deficit Per FS	148647	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	3875971	TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments	17479	NetUnrealizedGainsInvestments
Revenue Not Rptd F990	17479	RevenueNotRptdF990
Revenue Subtotal	3858492	RevenueSubtotal
Revenue Not Rptd On Fin Stmt	0	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	3858492	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	3727324	TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F990	0	ExpensesNotRptdF990
Expenses Subtotal	3727324	ExpensesSubtotal
Expenses Not Rptd On Fin Stmt	0	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	3727324	TotalExpensesPerForm990

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (4 entries)

IdentifierIdentifier	ExplanationExplanation
Form 990, Part VI, Section B, line 11	Form 990 was provided to the governing body in person at the board meeting and was reviewed by the governing body at that time.
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 process for determining the administrator's compensation includes a compensation committee, compensation survey or study and approval by the board or compensation committee.
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.