Islands Community Medical Services

What Islands Community Medical Services does

Islands Community Medical Services, Inc. (ICMS) is a private, nonprofit 501(c)(3) Federally Qualified Health Center founded in 1946 by Dr. Ralph Earle and incorporated in Maine, operating from a single medical center at 15 Medical Center Loop in Vinalhaven, Maine. The organization delivers an integrated suite of outpatient healthcare services — family medicine, dental, physical therapy, mental and behavioral health, women's health, and telehealth — to the geographically isolated island communities of Matinicus, North Haven, and Vinalhaven in Penobscot Bay. Services are open to all patients regardless of insurance status, supported by a Sliding Fee Discount Program that caps fees at a $30 nominal charge for patients below 100% of Federal Poverty Guidelines and graduated fees up to 200% FPG. As the only physical healthcare provider on these islands, ICMS operates under a structural monopoly for its catchment, reinforced by FTCA deemed-facility status, Health Center Program grantee designation (42 U.S.C. 254b), and National Health Service Corps site support, which together confer federal malpractice coverage, HHS funding access, and mandatory non-denial-of-care obligations.

ICMS revenue is generated through five distinct streams: fee-for-service patient billing, federal healthcare program reimbursement (Medicare, Medicaid, MaineCare), sliding-fee patient payments, tax-deductible donations (via PayPal, credit card, check, ACH, stock, and gifts-in-kind), and a small branded merchandise shop. Distribution is direct-to-patient through the physical medical center plus a telehealth channel introduced during the COVID-19 pandemic in 2020. The organization is governed by a Board of Trustees of 9-20 members (majority must be patients served), with leadership including President Joanna O. Reidy (since April 2024), Vice President Dr. Janann Sherman, Secretary Susan Clapham, and Treasurer Catherine Haley. Governance is supplemented by historical grants including a $950 U.S. Public Health Service diabetes research grant in 1965 and a $300,000+ HHS grant in 2005 for facility and equipment modernization. The organization does not have a parent company, subsidiaries, public ticker, or app presence, and operates with 1-10 employees as a community-rooted, mission-driven safety-net provider rather than a commercially scalable enterprise.

Name

Islands Community Medical Services

Legal name

Islands Community Medical Services, Inc.

Website

https://icmsvh.org

Company type

Private

Founded year

1946

Operating status

Operating

Headcount range

1–10 employees

Short description

Islands Community Medical Services is a nonprofit Federally Qualified Health Center in Vinalhaven, Maine, providing medical, dental, physical therapy, mental health, women's health, and telehealth services to the geographically isolated island communities of Matinicus, North Haven, and Vinalhaven since 1946.

Ownership category

akta.pro rank

Product category

Community Health Services

NAICS

Offices of Physicians (except Mental Health Specialists) (621111)

SIC

Services-Offices & Clinics Of Doctors Of Medicine (8011)

akta.pro primary industry

Public/County Primary Care Clinics (HLAFAGAI)

akta.pro secondary industry

Territorial/Island Health Departments (HLAJAAAE)

Keywords

• Community health services
• Federally qualified health center
• Rural primary care
• Telehealth services
• Sliding fee discount program

Headquarters

HQ city

Vinalhaven

HQ country

United States

HQ region

North America

Offices1 record

Markets served

GTM type

B2C

Offering type

Services

Cost components

Personnel, Operations, Infrastructure, Technology or R&D, Marketing or Sales, Supply Chain

Revenue model

1. Patient Services Revenue: ICMS generates revenue through patient fees for medical, dental, physical therapy, mental/behavioral health, and women's health services. Services are billed to insurance or collected from patients directly.
2. Government Healthcare Program Reimbursement: As a Federally Qualified Health Center, ICMS receives reimbursement through Medicare, Medicaid, and MaineCare programs. The organization also receives HHS funding and operates under Federal PHS deemed status.
3. Sliding Fee Discount Program: Patients with income below 100% Federal Poverty Guidelines pay a $30 nominal fee. Patients with income 100-200% FPG pay graduated percentages. MaineCare applications are assisted for eligible patients.
4. Donations and Philanthropy: Tax-deductible donations accepted via PayPal, credit card, check, ACH/bank transfer, stock donations, and gifts in kind. Donations support operating funds, staff education, and patient assistance.
5. Merchandise Sales: ICMS operates a shop selling branded merchandise including clothing, drinkware, calendars, and accessories with prices ranging from $20 to $58.

Pricing tiers

Go-to-market motion2 records

Distribution channels1 record

Marketing channels3 records

Core offering

Islands Community Medical Services operates a private, nonprofit community health center providing integrated medical, dental, physical therapy, mental and behavioral health, women's health, and telehealth services to residents of Matinicus, North Haven, and Vinalhaven islands in Penobscot Bay, Maine. Services are available to all patients regardless of insurance status, supported by a Sliding Fee Discount Program based on Federal Poverty Guidelines. The center operates from a single medical facility in Vinalhaven with scheduled on-site and remote telehealth delivery.

Product overview

Islands Community Medical Services (ICMS) operates as a private, non-profit community health center providing integrated healthcare services to island communities of Matinicus, North Haven, and Vinalhaven, Maine. The organization offers a coordinated suite of healthcare services including Medical Services, Dental Services, Physical Therapy, Mental and Behavioral Health Services, Women's Health Services, and Telehealth Services. All services are available with or without insurance, and the organization provides a Sliding Fee Discount Program for patients with limited incomes. ICMS also offers COVID-19 resources and maintains community health education initiatives.

Differentiator

Problem solved

Functional benefit

Products and services

• Medical Services Quality family medicine providing full-spectrum healthcare for men, women, and pediatric patients from newborn to end of life, using a partnership approach where the patient is an active participant in care. Services are available at the Vinalhaven medical center to island residents and visitors.
• Dental Services Comprehensive dental care including restorative care for urgent needs and ongoing preventive care for patients of all ages, from children to elderly, delivered on Wednesdays and Thursdays at the Vinalhaven dental office.
• Physical Therapy One-on-one physical therapy care for orthopedic, sports conditions, and post-surgical rehabilitation with individualized treatment programs, available by appointment at the Vinalhaven medical center.
• Mental and Behavioral Health Services Comprehensive array of high-quality, effective, and accessible mental health services available throughout every stage of life for island residents and visitors.
• Women's Health Services Individualized and comprehensive healthcare services for women provided by a skilled Nurse Practitioner, offering primary care for female patients 17 years and older.
• Telehealth Services Telemedicine services delivering safe, efficient, and effective care via video chat or phone call, replacing in-person appointments when appropriate and enabling earlier diagnosis while saving patients travel costs.
• Sliding Fee Discount Program Income-based fee discount program offering reduced fees based on family size and income compared to Federal Poverty Guidelines, with a $30 nominal fee for those below 100% FPG and graduated percentage fees for those between 100% and 200% FPG. MaineCare application assistance is provided to eligible patients.

Named customers3 records

Segments3 records

Ideal customer profiles2 records

Technology focussed No

API detail

Has API

No

API docs

API detail

Core technology

AI maturity

App detail

Feature1 record

Partnerships

One partnership is on record.

• Maine LEND (Leadership Education in Neurodevelopmental Disabilities) ProgramminorStrategic or Co-development PartnerBoard President Joanna Reidy serves as a Family Faculty Member of the Maine LEND Program at the University of New England, providing educational opportunities and training connections.

Scale indicators6 records

Recent moves7 records

Expansion highlights4 records

Regional players

• HealthReach Community Health Centers: Maine-based FQHC network operating multiple community health centers across central and western Maine. Comparable as a Maine FQHC peer delivering primary care, dental, behavioral health, and sliding fee services in rural settings.
• Penobscot Community Health Care: Maine-based FQHC providing primary care, dental, behavioral health, and pharmacy services in the Bangor/Penobscot region. Comparable as a Maine FQHC delivering integrated community health services under federal funding.
• Pen Bay Medical Center: MaineHealth-affiliated hospital and primary care system serving Knox County and Penobscot Bay island communities. Comparable as a regional provider that serves many of the same island populations and coordinates referrals for ICMS patients needing higher-acuity care.

Direct peers

• Outer Cape Health Services: Massachusetts-based FQHC serving remote outer Cape Cod communities. Directly comparable as a federally qualified health center providing primary, dental, behavioral, and telehealth services to geographically isolated populations with sliding fee access.
• Island Health (San Juan County): Critical access hospital and clinic system serving the San Juan Islands in Washington State. Comparable as a remote island community health provider offering primary care, dental, behavioral health, and telehealth services to geographically isolated populations.
• Maine Sea Coast Mission: Maine-based nonprofit serving island and coastal communities with health, education, and social services. Directly comparable in mission to serve geographically isolated Maine populations, with overlapping island service territory.

Others

• National Association of Community Health Centers: National advocacy and support organization representing FQHCs and community health centers. Comparable as the umbrella ecosystem for organizations like ICMS, providing funding advocacy, training, and policy representation.

Broad incumbents

• MaineGeneral Health: Large Maine health system operating hospitals and primary care across central Maine. Comparable as a broader incumbent in the Maine healthcare delivery landscape with overlapping primary care services and FQHC partnerships.

Market position

Strengths4 records

Weaknesses4 records

Competitive moat4 records

Key risks6 records

Key highlights7 records

Customer concentration

• Facebookfacebook.com/icmsvh
• LinkedInlinkedin.com/company/islands-community-medical-services-inc

Revenue estimate

Valuation estimate

Number of profiles

Profiles12 records

Funding overview

Funding rounds

Investors

Funding detail is available on the Subscription and Enterprise plan.Contact sales →

M&A

Investments

M&A and investment is available on the Subscription and Enterprise plan.Contact sales →

Frequently asked questions about Islands Community Medical Services