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Nonprofiteer
← ISLANDS COMMUNITY MEDICAL SERVICES INC

Form 990 for tax year 2022

Filed by ISLANDS COMMUNITY MEDICAL SERVICES INC.

Totals

Total revenue
$3,696,348
Total expenses
$3,885,932
Contributions and grants received
$2,182,984
Grants paid
$0
Program service revenue
$1,441,541
Investment income
$47,129
Other revenue
$24,694
Total assets, end of year
$7,277,659
Total liabilities, end of year
$396,030
Net assets or fund balances, end of year
$6,881,629
Program services expenses (Part IX)
$1,961,970
Management and general expenses
$1,913,124
Fundraising expenses
$10,838
Program service expenses (Part III)
$1,961,970

Program services were 50.5% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $1,809,941

  • 1f · All other contributions, gifts and grants

    $373,043

  • 2a · Program service revenue: PATIENT SERVICE REVENU

    total $1,441,541 · related or exempt $1,441,541

  • 3 · Investment income

    total $301 · excluded $301

  • 7a · Gross sales of assets other than inventory

    securities $40,982

  • 7b · Less cost or other basis and sales expenses

    securities -$5,846

  • 7c · Gain or loss

    securities $46,828

  • 7d · Net gain or loss

    total $46,828 · excluded $46,828

  • 11d · All other revenue

    total $24,694 · excluded $24,694

  • 11e · Other revenue, total

    $24,694

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $348,208 · program services $127,024 · management and general $221,184

  • 7 · Other salaries and wages

    total $1,532,051 · program services $998,829 · management and general $533,222

  • 8 · Pension plan contributions

    total $66,242 · program services $39,656 · management and general $26,586

  • 9 · Other employee benefits

    total $207,922 · program services $124,475 · management and general $83,447

  • 10 · Payroll taxes

    total $129,185 · program services $77,351 · management and general $51,834

  • 11b · Fees: legal

    total $3,427 · management and general $3,427

  • 11c · Fees: accounting

    total $86,159 · management and general $86,159

  • 11g · Fees: other

    total $377,728 · program services $14,165 · management and general $363,563

  • 12 · Advertising and promotion

    total $2,151 · management and general $2,151

  • 13 · Office expenses

    total $208,841 · program services $18,679 · management and general $190,162

  • 16 · Occupancy

    total $45,192 · program services $38,413 · management and general $6,779

  • 17 · Travel

    total $61,102 · program services $42,817 · management and general $18,285

  • 19 · Conferences, conventions and meetings

    total $8,807 · program services $8,807

  • 20 · Interest

    total $11,940 · management and general $11,940

  • 22 · Depreciation, depletion and amortization

    total $152,581 · program services $76,413 · management and general $76,168

  • 23 · Insurance

    total $58,722 · program services $2,224 · management and general $56,498

  • 24a · Other expenses: MEDICAL, LAB, & XRAY SU

    total $146,655 · program services $146,655

  • 24b · Other expenses: BADDEBTS EXPENSE

    total $103,664 · program services $103,664

  • 24c · Other expenses: REPAIRS & MAINTENANCE

    total $96,030 · program services $5,722 · management and general $90,308

  • 24d · Other expenses: DISPENSARY SUPPLIES

    total $66,878 · program services $66,878

  • 24e · All other expenses

    total $172,447 · program services $70,198 · management and general $91,411 · fundraising $10,838

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $19,111 · end of year $161,724

  • 2 · Savings and temporary cash investments

    beginning of year $950,386 · end of year $688,544

  • 3 · Pledges and grants receivable

    beginning of year $6,382 · end of year $4,188

  • 4 · Accounts receivable

    beginning of year $358,535 · end of year $178,049

  • 8 · Inventories for sale or use

    beginning of year $96,386 · end of year $96,386

  • 9 · Prepaid expenses and deferred charges

    beginning of year $34,902 · end of year $34,902

  • 10a · Land, buildings and equipment: cost or other basis

    $2,643,391

  • 10b · Land, buildings and equipment: accumulated depreciation

    $1,117,114

  • 10c · Land, buildings and equipment, net

    beginning of year $1,525,298 · end of year $1,526,277

  • 11 · Investments: publicly traded securities

    beginning of year $4,099,086 · end of year $3,409,501

  • 15 · Other assets

    beginning of year $1,415,853 · end of year $1,178,088

  • 17 · Accounts payable and accrued expenses

    beginning of year $195,714 · end of year $135,003

  • 23 · Secured mortgages and notes payable

    beginning of year $265,969 · end of year $258,301

  • 25 · Other liabilities

    beginning of year $2,681 · end of year $2,726

  • 27 · Net assets without donor restrictions

    beginning of year $5,906,739 · end of year $5,100,741

  • 28 · Net assets with donor restrictions

    beginning of year $2,134,836 · end of year $1,780,888

Mission and programs · 2022

Mission

ISLANDS COMMUNITY MEDICAL SERVICES IS COMMITTED TO SERVING OUR ISLAND COMMUNITIES BY DEDICATING OURSELVES TO THE HEALTH OF OUR PATIENTS. WE SUPPORT WHOLE HEALTH THROUGH EASE OF ACCESS, PREVENTION, OUTREACH, EDUCATION, AND TREATMENT BY PROVIDING THE HIGHEST QUALITY PRIMARY, URGENT, AND EMERGENT CARE TO OUR PATIENTS AND COMMUNITY.

Activities or mission (Part I)

COMMUNITY HEALTH CENTER DEVOTED TO PROVIDING CARE TO ALL IN NEED REGARDLESS OF ABILITY TO PAY.

  • THE ORGANIZATION PROVIDED MEDICAL SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATIONS OPERATED A MEDICAL CLINIC WITH THREE FULL TIME AND THREE PART TIME MEDICAL PROVIDERS. THE CLINIC PROVIDED COVERAGE 24 HOURS A DAY, 7 DAYS A WEEK.

    Expenses $1,623,875 · Revenue $1,155,226

  • 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.

    Expenses $290,871 · Revenue $175,679

  • THE ORGANIZATION PROVIDED BEHAVIORAL HEALTH SERVICES TO THE COMMUNITIES OF VINALHAVEN, MATINICUS, AND NORTH HAVEN. THE ORGANIZATION OPERATES THE BEHAVIORAL HEALTH CLINIC WITH ONE FULL TIME THERAPIST WHO WORKS MONDAY THROUGH FRIDAY, AND THERE IS ALSO THE OPTION FOR AFTERHOURS VISITS VIA ZOOM WITH TELEHEALTH. BEHAVIORAL HEALTH EMERGENCIES ARE GENERALLY HANDLED BY THE MEDICAL PROVIDERS IF THE THERAPIST IS NOT AVAILABLE.

    Expenses $47,224 · Revenue $110,636

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Richard Young

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • Emily Lane

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Gail Eierweiss

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Jeanne Bineau-Ames

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Laura Blankertz PhD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Stephen Blatt

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Meredith Boone

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Doug Fincham

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Connie Gemmer

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Catherine Haley

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Barbara Kinder

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • William Lieber MD

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Joanna Reidy

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • William Trevaskis

    MEMBER (THRU APRIL)

    Total calculated
    $0
    Hours/week
    1

  • Chet Warren

    MEMBER (THRU JUNE)

    Total calculated
    $0
    Hours/week
    1

  • Kathi Young

    MEMBER

    Total calculated
    $0
    Hours/week
    1

  • Tyson Bouyack

    CONTRACTED CFO

    Total calculated
    $136,500
    From this org
    $136,500
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

  • Jennifer Desmond

    CLINICAL DIRECTOR/NP

    Total calculated
    $187,773
    From this org
    $146,053
    From related orgs
    $0
    Other
    $41,720
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $145,620
    Bonus
    $433
    Other
    $0
    Deferred
    $7,681
    Nontaxable benefits
    $34,039
    Filer's total
    $187,773

  • James Hogan

    PHYSICIAN ASSISTANT

    Total calculated
    $163,040
    From this org
    $124,776
    From related orgs
    $0
    Other
    $38,264
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $124,464
    Bonus
    $312
    Other
    $0
    Deferred
    $6,765
    Nontaxable benefits
    $31,499
    Filer's total
    $163,040

  • Kimberly Saunders

    PHYSICIAN/MEDICAL DIRECTOR

    Total calculated
    $232,674
    From this org
    $190,934
    From related orgs
    $0
    Other
    $41,740
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $190,784
    Bonus
    $150
    Other
    $0
    Deferred
    $9,902
    Nontaxable benefits
    $31,838
    Filer's total
    $232,674

  • Peter Levandoski

    DENTIST

    Total calculated
    $135,990
    From this org
    $129,515
    From related orgs
    $0
    Other
    $6,475
    Hours/week
    40

  • Cameron Garrett

    EXECUTIVE DIRECTOR

    Total calculated
    $211,708
    From this org
    $189,367
    From related orgs
    $0
    Other
    $22,341
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $161,065
    Bonus
    $15,312
    Other
    $12,990
    Deferred
    $5,709
    Nontaxable benefits
    $16,632
    Filer's total
    $211,708

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Housing allowance or residence for personal use
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
THE ORGANIZATION PROVIDED A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE TO THE FOLLOWING INDIVIDUALS LISTED ON FORM 990, PART VII: CAMERON GARRETT - $12,000 KIMBERLY SAUNDERS - $10,000

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
20 October 2023
IRS schema version
2022v5.0
Source object
202343189349313024

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