| FORM 990 - ORGANIZATION'S MISSION |
ISLAND NURSING HOME IS COMMITTED TO PROVIDING THE HIGHEST LEVEL OF INNOVATIVE AND QUALITY HEALTHCARE TO AN AGING POPULATION WHILE MAINTAINING COMMUNITY RELATIONSHIPS AND HONORING OUR CORE VALUES OF CARE, COMPASSION, AND SERVICE. |
| FORM 990, PAGE 2, PART III, LINE 3 |
ORGANIZATION CLOSED THE NURSING HOME AND RESIDENTIAL CARE OPERATIONS IN OCTOBER 2021 DUE TO SEVERE STAFFING SHORTAGES. OPTIONS ARE STILL BEING EXPLORED FOR POTENTIAL REOPENING OF THE RESIDENTIAL CARE FACILITY. |
| FORM 990, PAGE 6, PART VI, LINE 11B |
FORM 990 WAS PROVIDED TO THE GOVERNING BODY BY EMAIL PRIOR TO BEING FILED. IT WAS REVIEWED BY THE EXECUTIVE COMMITTEE AND THE BOARD OF DIRECTORS. |
| FORM 990, PAGE 6, PART VI, 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, AND (C) HAS COMPLIED WITH THE POLICY. 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, PAGE 6, PART VI, 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, PAGE 6, PART VI, LINE 19 |
THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. |
| FORM 990, PART VIII |
FORM 990, PART VIII LINE 7(A) COLUMN (II) INCLUDES 700,000 FROM THE SALE OF BED RIGHTS WITH A 0 COST BASIS. |
Attach to Form 990 or 990-EZ.