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MOUNT DESERT ISLAND HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
MOUNT DESERT ISLAND HOSPITAL (EIN 01-0211797)
Tax period
2022-05-01 to 2023-04-30
Filed
2024-03-11
IRS object ID
202440719349300829
Schema version
2022v5.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2024-03-11T11:06:04-05:00ReturnTs
Tax Period End2023-04-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010494526PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Baker Newman & NoyesBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 507AddressLine1Txt
CityPortlandCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04112ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010211797EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mount Desert Island HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone2072885081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8 10 Wayman LaneAddressLine1Txt
CityBar HarborCityNm
State AbbreviationMEStateAbbreviationCd
ZIP046090008ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichelle SmithPersonNm
Person TitleTreasurer/CFOPersonTitleTxt
Phone2072885081PhoneNum
Signature2024-03-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstMichellePersonFirstNm
Person LastSmithPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonConnor SmartPreparerPersonNm
PTINP02285543PTIN
Phone2078792100PhoneNum
Preparation2024-03-06PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerChristina MaguirePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8 10 Wayman LaneAddressLine1Txt
CityBar HarborCityNm
State AbbreviationMEStateAbbreviationCd
ZIP046090008ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$86,353,966GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mdihospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionCritical access hospital, providing medical & healthcare services located in Bar Harbor, ME.ActivityOrMissionDesc
Voting Members Governing Body20VotingMembersGoverningBodyCnt
Voting Members Independent17VotingMembersIndependentCnt
Total Employee547TotalEmployeeCnt
Total Volunteers62TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$10,755,050PYContributionsGrantsAmt
CY Contributions Grants$3,895,822CYContributionsGrantsAmt
PY Program Service Revenue$80,120,830PYProgramServiceRevenueAmt
CY Program Service Revenue$81,771,454CYProgramServiceRevenueAmt
PY Investment Income$3,690,476PYInvestmentIncomeAmt
CY Investment Income-$169,739CYInvestmentIncomeAmt
PY Other Revenue$13,127PYOtherRevenueAmt
CY Other Revenue-$22,785CYOtherRevenueAmt
PY Total Revenue$94,579,483PYTotalRevenueAmt
CY Total Revenue$85,474,752CYTotalRevenueAmt
PY Grants And Similar Paid$28,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$19,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$47,690,355PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$50,706,849CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$313,148CYTotalFundraisingExpenseAmt
PY Other Expenses$31,821,425PYOtherExpensesAmt
CY Other Expenses$37,713,376CYOtherExpensesAmt
PY Total Expenses$79,539,780PYTotalExpensesAmt
CY Total Expenses$88,439,225CYTotalExpensesAmt
PY Revenues Less Expenses$15,039,703PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,964,473CYRevenuesLessExpensesAmt
Total Assets BOY$84,300,625TotalAssetsBOYAmt
Total Assets EOY$80,033,646TotalAssetsEOYAmt
Total Liabilities BOY$32,119,671TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,469,070TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$52,180,954NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,564,576NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMount Desert Island Hospital's mission is to provide compassionate care and strengthen the health of our community by embracing tomorrow's methods and respecting time-honored values.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$65,931,638ExpenseAmt
Grant$19,000GrantAmt
Revenue$81,771,454RevenueAmt
DescIn fiscal year 2023, Mount Desert Island (MDI) Hospital provided $5,466,982 in services for which no compensation was expected or received. Financial assistance policies exist to provide relief for those who cannot pay for medical care. MDI Hospital provides care to persons covered by governmental programs including Medicare, Medicaid, VA, and CHAMPUS. The unreimbursed value for providing care to these patients approximates $982,159. The Hospital continues to provide a number of health services and preventative health programs to the community. Available programs include cardiac pulmonary rehabilitation, care coordination, wellness programs, diabetes education, annual wellness exams, nutrition counseling, parenting, pregnancy and sibling classes, physical and occupational therapy programs, speech therapy, medication therapy management, health coaching, care management, coagulation management, financial and insurance workshops, and our oral health program which included education and outreach to the community, schools, and service providers. The Hospital provides volunteers as Certified Application Counselors to help enroll and educate members of our community into the Health Insurance Exchange options. Throughout the year, staff from the Hospital make presentations to area school children regarding smoking cessation, wellness, health, activity, nutrition, and oral health. Additionally, community groups such as the YMCA, Alcoholics Anonymous, Cancer Support, and Palliative Care use the Hospital's conference rooms for their meetings. Many hospital staff members serve other nonprofits in capacities such as volunteer hours and board of directors' memberships, as well as memberships in service organizations such as the local Healthy Acadia, Rotary, Chamber of Commerce, and Lions/Lioness clubs.Desc
Total Program Service Expenses$65,931,638TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising ActivitiesYes (1)FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document145IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee547EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members20GoverningBodyVotingMembersCnt
Independent Voting Member17IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Michelle Smith CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2072885081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8 10 Wayman LaneAddressLine1Txt
CityBar HarborCityNm
State AbbreviationMEStateAbbreviationCd
ZIP046090008ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Christina Maguire
President & CEO41.001.00Yes (X)Yes (X)$363,975$0$23,088
Julian Kuffler MD
2nd Vice Chair/Physician41.000.00Yes (X)Yes (X)$167,359$0$47,855
Peter Witham MD
Trustee/Physician41.000.00Yes (X)$225,704$0$43,822
Enoch Albert
Trustee1.001.00Yes (X)$0$0$0
Edward Benz MD
Trustee1.000.00Yes (X)$0$0$0
Stewart Brecher
Trustee1.000.00Yes (X)$0$0$0
James R Bright
Trustee1.000.00Yes (X)$0$0$0
Sarah Fina
Trustee1.000.00Yes (X)$0$0$0
Elsie Flemings
Trustee1.000.00Yes (X)$0$0$0
Edward Gilmore MD
Trustee (end 7/2022)1.000.00Yes (X)$0$0$0
Kathryn Lucchesi PhD RPh
Trustee (start 1/2023)1.000.00Yes (X)$0$0$0
Charles Manee Hutchins
Trustee1.000.00Yes (X)$0$0$0
Arthur Martinez
Trustee (start 1/2023)1.000.00Yes (X)$0$0$0
Vince Messer PhD
Trustee1.000.00Yes (X)$0$0$0
Dean S Read
Trustee1.000.00Yes (X)$0$0$0
Ed Samek
Trustee1.000.00Yes (X)$0$0$0
Louise Soucy CPA
Trustee1.000.00Yes (X)$0$0$0
Martha Wagner PhD
Trustee1.000.00Yes (X)$0$0$0
Noelle Wolf
Trustee1.000.00Yes (X)$0$0$0
Patricia Hand PhD
Chair1.000.00Yes (X)Yes (X)$0$0$0
Madeleine Braun PhD MBA
1st Vice Chair1.000.00Yes (X)Yes (X)$0$0$0
Morgan Mackenzie
Clerk/Secretary41.000.00Yes (X)$72,876$0$15,881
Michelle Smith
Treasurer & CFO41.001.00Yes (X)$189,174$0$47,430
Stu Davidson MD
Physician40.000.00$605,538$0$45,536Yes (X)
Charles Hendricks MD
Physician40.000.00$565,930$0$35,352Yes (X)
Aaron Perme MD
Physician40.000.00$445,289$0$15,620Yes (X)
Katherine Gassman MD
Physician40.000.00$364,299$0$13,702Yes (X)
David Sugerman MD
Physician40.000.00$340,596$0$52,271Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,340,740TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$340,557TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K81IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Medefis Inc
2121 North 117th AvenueOmahaNE68164Locums staffing$3,990,717
Therapy Partners LLC
118 High StreetBelfastME04915Rehabilitation services$745,088
R1 RCM Inc
433 W Ascension Way Suite 200MurrayUT84123Management consulting$481,062
Barton Associates
300 Jubilee DrivePeabodyMA01960Locums staffing$325,304
Surapeneni P Ramanadha Rao
58 Main StreetBucksportME04416Physician Services$294,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K9CntrctRcvdGreaterThan100KCnt
Fundraising$401,136FundraisingAmt
All Other Contributions$3,494,686AllOtherContributionsAmt
Noncash Contributions$69,537NoncashContributionsAmt
Total Contributions$3,895,822TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient services621990$80,045,715$80,045,715
Pharmacy621400$1,396,737$1,396,737
Cafeteria722514$198,202$198,202
Healthcare administration621400$130,800$130,800
FieldValueIRS element (for citing)
Total Program Service Revenue$81,771,454TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$87,072TotalRevenueColumnAmt
Exclusion$87,072ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$56,280RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$37,144RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$19,136RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$19,136TotalRevenueColumnAmt
Exclusion$19,136ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$518,967SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$531,886SecuritiesAmt
Other$243,892OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$12,919SecuritiesAmt
Other-$243,892OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$256,811TotalRevenueColumnAmt
Exclusion-$256,811ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$22,705FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$401,136ContriRptFundraisingEventAmt
Fundraising Direct Expenses$65,459FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column-$42,754TotalRevenueColumnAmt
Exclusion-$42,754ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$1,666GamingGrossIncomeAmt
Gaming Direct Expenses$833GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$833TotalRevenueColumnAmt
Exclusion$833ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,474,752TotalRevenueColumnAmt
Related Or Exempt Func Income$81,771,454RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion-$192,524ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$19,000TotalAmt
Program Services$19,000ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,197,164TotalAmt
Program Services$929,933ProgramServicesAmt
Management And General$267,231ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$36,336,328TotalAmt
Program Services$28,147,864ProgramServicesAmt
Management And General$8,088,732ManagementAndGeneralAmt
Fundraising$99,732FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$650,381TotalAmt
Program Services$505,203ProgramServicesAmt
Management And General$145,178ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$10,016,915TotalAmt
Program Services$7,780,940ProgramServicesAmt
Management And General$2,235,975ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,506,061TotalAmt
Program Services$1,946,658ProgramServicesAmt
Management And General$559,403ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$145,123TotalAmt
Management And General$145,123ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$93,701TotalAmt
Management And General$93,701ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$7,587TotalAmt
Management And General$7,587ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$40,431TotalAmt
Management And General$40,431ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$13,682,016TotalAmt
Program Services$8,764,159ProgramServicesAmt
Management And General$4,751,593ManagementAndGeneralAmt
Fundraising$166,264FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$118,514TotalAmt
Program Services$76,849ProgramServicesAmt
Management And General$41,665ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,159,016TotalAmt
Program Services$720,977ProgramServicesAmt
Management And General$390,887ManagementAndGeneralAmt
Fundraising$47,152FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,976,847TotalAmt
Program Services$1,281,867ProgramServicesAmt
Management And General$694,980ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$215,236TotalAmt
Program Services$139,568ProgramServicesAmt
Management And General$75,668ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$452,918TotalAmt
Program Services$293,690ProgramServicesAmt
Management And General$159,228ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$409,630TotalAmt
Program Services$290,085ProgramServicesAmt
Management And General$119,545ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$2,590,227TotalAmt
Program Services$1,834,303ProgramServicesAmt
Management And General$755,924ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,044,871TotalAmt
Program Services$677,537ProgramServicesAmt
Management And General$367,334ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical supplies$8,099,982$5,252,355$2,847,627
Provision for bad debt$5,266,965$5,266,965
Hospital provider tax$1,253,674$1,253,674
Equipment rent./maint.$721,443$467,813$253,630

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$435,195TotalAmt
Program Services$282,198ProgramServicesAmt
Management And General$152,997ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$88,439,225TotalAmt
Program Services$65,931,638ProgramServicesAmt
Management And General$22,194,439ManagementAndGeneralAmt
Fundraising$313,148FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$2,550BOYAmt
EOY$2,650EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$20,944,843BOYAmt
EOY$11,549,974EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,674,606BOYAmt
EOY$2,595,320EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,075,510BOYAmt
EOY$15,904,494EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$554,048BOYAmt
EOY$530,674EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$802,189BOYAmt
EOY$656,444EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$64,317,152LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$37,618,296LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$27,433,095BOYAmt
EOY$26,698,856EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$14,373,544BOYAmt
EOY$16,555,222EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$1,939,188BOYAmt
EOY$1,860,117EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$32,269BOYAmt
EOY$14,922EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$513,586EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$3,468,783BOYAmt
EOY$3,151,387EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$84,300,625BOYAmt
EOY$80,033,646EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,516,201BOYAmt
EOY$11,528,555EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,620EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,894,688BOYAmt
EOY$6,604,626EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$2,816,972BOYAmt
EOY$2,288,586EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$12,891,810BOYAmt
EOY$10,043,683EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$32,119,671BOYAmt
EOY$30,469,070EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$43,263,977BOYAmt
EOY$39,806,734EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$8,916,977BOYAmt
EOY$9,757,842EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,180,954BOYAmt
EOY$49,564,576EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$84,300,625BOYAmt
EOY$80,033,646EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,964,473ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$427,166NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$79,071OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other OrganizationsYes (1)GrantsOtherOrganizationsInd
Grants Other Organizations$7,587GrantsOtherOrganizationsAmt
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other Activities0OtherActivitiesInd
Total Lobbying Expenditures$7,587TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationMount Desert Island Hospital was a member of the American Hospital Association and the Maine Hospital Association in the fiscal year ended April 30, 2023. A portion of the dues paid to these organizations were available for lobbying expenditures on behalf of Mount Desert Island Hospital and the other member organizations in furtherance of their exempt purposes. The total dues paid by the Hospital to these organizations, and the portion that was estimated to be available for lobbying, are detailed below: American Hospital Association - total dues: $14,236 American Hospital Association - amount available for lobbying: $3,885 Maine Hospital Association - total dues: $26,823 Maine Hospital Association - amount available for lobbying: $3,702ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,364,900BeginningYearBalanceAmt
Investment Earnings Or Losses$206,804InvestmentEarningsOrLossesAmt
Administrative Expenses$20,115AdministrativeExpensesAmt
End Year Balance$12,551,589EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$9,847,696BeginningYearBalanceAmt
Contributions$3,675,585ContributionsAmt
Investment Earnings Or Losses-$1,133,936InvestmentEarningsOrLossesAmt
Administrative Expenses$24,445AdministrativeExpensesAmt
End Year Balance$12,364,900EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,958,392BeginningYearBalanceAmt
Contributions$1,000,000ContributionsAmt
Investment Earnings Or Losses$1,904,005InvestmentEarningsOrLossesAmt
Administrative Expenses$14,701AdministrativeExpensesAmt
End Year Balance$9,847,696EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,896,922BeginningYearBalanceAmt
Investment Earnings Or Losses$78,892InvestmentEarningsOrLossesAmt
Administrative Expenses$17,422AdministrativeExpensesAmt
End Year Balance$6,958,392EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,814,710BeginningYearBalanceAmt
Contributions$1,002ContributionsAmt
Investment Earnings Or Losses$228,814InvestmentEarningsOrLossesAmt
Other Expenditures$130,000OtherExpendituresAmt
Administrative Expenses$17,604AdministrativeExpensesAmt
End Year Balance$6,896,922EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.94330BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.05670PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,007,948OtherCostOrOtherBasisAmt
Book Value$4,007,948BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,078,399OtherCostOrOtherBasisAmt
Depreciation$19,453,464DepreciationAmt
Book Value$10,624,935BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,545OtherCostOrOtherBasisAmt
Depreciation$28,810DepreciationAmt
Book Value$15,735BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$28,041,405OtherCostOrOtherBasisAmt
Depreciation$18,136,022DepreciationAmt
Book Value$9,905,383BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,144,855OtherCostOrOtherBasisAmt
Book Value$2,144,855BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$26,698,856TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
Deferred compensation$3,450,568
Estimated third party settlements$4,314,714
Malpractice insurance obligations$1,758,000
Lease obligations$520,401
FieldValueIRS element (for citing)
Total Liability$10,043,683TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$80,231,860TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$427,166NetUnrealizedGainsInvstAmt
Other Revenue$37,144OtherRevenueAmt
Revenue Not Reported$464,310RevenueNotReportedAmt
Revenue Subtotal$79,767,550RevenueSubtotalAmt
Investment Expenses Not Incld$40,431InvestmentExpensesNotIncldAmt
Other Revenues Not Included$5,666,771OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$5,707,202RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$85,474,752TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$82,848,238TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included$37,144OtherExpensesIncludedAmt
Expenses Not Reported$37,144ExpensesNotReportedAmt
Expenses Subtotal$82,811,094ExpensesSubtotalAmt
Investment Expenses Not Incld2$40,431InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$5,587,700OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$5,628,131ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$88,439,225TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:Endowment amounts restricted by the Board of Directors are released by the Board as needed for special projects supplying benefit to the community at large. These funds are intended solely for the use of expanding services, and not for sustaining current operations.
Part X, Line 2:The Hospital and BBRV are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (Code). MDMC is a for-profit entity and is, therefore, subject to income taxes. Income taxes are recorded based upon the asset and liability method as prescribed by Financial Accounting Standards Board (FASB) ASC 740, Income Taxes. At April 30, 2023 and 2022, MDMC has certain net operating loss carryforwards which have been reduced by a valuation allowance of an equal amount as it is not presently considered likely that the deferred tax assets will be realized. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. The Organization has evaluated the positions taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at April 30, 2023.
Part XI, Line 2d - Other Adjustments:Rental property expenses 37,144.
Part XI, Line 4b - Other Adjustments:Provision for bad debts 5,266,965. Fundraising expenses net against revenues 320,735. Change in value of beneficial interest in trust 79,071.
Part XII, Line 2d - Other Adjustments:Rental property expenses 37,144.
Part XII, Line 4b - Other Adjustments:Provision for bad debts 5,266,965. Fundraising expenses net against revenues 320,735.

Schedule G IRS990ScheduleG

Fundraising Event Information FundraisingEventInformationGrp

FieldValueIRS element (for citing)
Event1Pot & Kettle GalaEvent1Nm
Gross Receipts Event1$411,152GrossReceiptsEvent1Amt
Charitable Contri Event1$392,902CharitableContriEvent1Amt
Gross Revenue Event1$18,250GrossRevenueEvent1Amt
Rent Facility Costs Event1$23,044RentFacilityCostsEvent1Amt
Food And Beverage Event1$11,006FoodAndBeverageEvent1Amt
Entertainment Event1$3,482EntertainmentEvent1Amt
Other Direct Expenses Event1$19,959OtherDirectExpensesEvent1Amt
Event2Golf TournamentEvent2Nm
Gross Receipts Event2$12,689GrossReceiptsEvent2Amt
Charitable Contri Event2$8,234CharitableContriEvent2Amt
Gross Revenue Event2$4,455GrossRevenueEvent2Amt
Non Cash Prizes Event2$1,389NonCashPrizesEvent2Amt
Rent Facility Costs Event2$5,130RentFacilityCostsEvent2Amt
Food And Beverage Event2$1,449FoodAndBeverageEvent2Amt
Gross Receipts Total$423,841GrossReceiptsTotalAmt
Charitable Contributions Tot$401,136CharitableContributionsTotAmt
Gross Revenue Total Events$22,705GrossRevenueTotalEventsAmt
Non Cash Prizes Total Events$1,389NonCashPrizesTotalEventsAmt
Rent Fclty Costs Total Events$28,174RentFcltyCostsTotalEventsAmt
Food And Beverage Total Events$12,455FoodAndBeverageTotalEventsAmt
Entertainment Total Events$3,482EntertainmentTotalEventsAmt
Oth Direct Expnss Total Events$19,959OthDirectExpnssTotalEventsAmt
Direct Expense Summary Events$65,459DirectExpenseSummaryEventsAmt
Net Income Summary-$42,754NetIncomeSummaryAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$205,152TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$205,152NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,092,016TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,315,009DirectOffsettingRevenueAmt
Net Community Benefit Expns$777,007NetCommunityBenefitExpnsAmt
Total Expense0.00930TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,297,168TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,315,009DirectOffsettingRevenueAmt
Net Community Benefit Expns$982,159NetCommunityBenefitExpnsAmt
Total Expense0.01180TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,604,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,119,788DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,484,823NetCommunityBenefitExpnsAmt
Total Expense0.05390TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$10,604,611TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,119,788DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,484,823NetCommunityBenefitExpnsAmt
Total Expense0.05390TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$18,901,779TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$13,434,797DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,466,982NetCommunityBenefitExpnsAmt
Total Expense0.06570TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$3,345,291BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$14,133,345ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$18,002,114CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$3,868,769MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Mount Desert Island HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Wayman Lane PO Box 8AddressLine1Txt
CityBar HarborCityNm
State AbbreviationMEStateAbbreviationCd
ZIP045090008ZIPCd
FieldValueIRS element (for citing)
Website Addresswww.mdihospital.orgWebsiteAddressTxt
State License37457StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Critical Access HospitalYes (X)CriticalAccessHospitalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Mount Desert Island HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
CHNA Conducted20CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLsee Part V, Section COwnWebsiteURLTxt
Other WebsiteYes (X)OtherWebsiteInd
Other Website URLsee Part V, Section COtherWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt20ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLsee Part V, Section CStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care150.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care250.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLsee Part V, Section CFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLsee Part V, Section CFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLsee Part V, Section CFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back MedicareYes (X)LookBackMedicareInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Mount Desert Island HospitalPart V, Section B, Line 5: The 2020 Community Health Needs Assessment and Action Plan was prepared by Mount Desert Island Hospital and Healthy Acadia, and published in July 2020. This CHNA serves as a framework and guide for Mount Desert Island Hospital and Healthy Acadia in developing and strengthening our programming to fulfill community needs. Each organization prioritizes elements of the CHNA and Action Plan for implementation. The Plan is also available to all local organizations and citizens to support efforts to address and coordinate community health improvement.Mount Desert Island Hospital's mission is to provide compassionate care and strengthen the health of the community by embracing tomorrow's methods and respecting time-honored values. MDIH is committed to providing the care that community members need, close to their homes. They foster and appreciate opportunities to hear from their community through bi-annual community forums and through a community health needs assessment every three years. Through the Community Health Needs Assessment (CHNA) process, health care and provider-partners have largely followed a process entitled Mobilizing for Action through Planning and Partnerships (MAPP), which provides the framework for convening the variety of organizations, groups, and individuals that comprise the local public health system to create and implement the 2020 community health action plan. In those instances that the Hospital and its partners diverged from the MAPP process, they are explicit about the change and its purpose.As part of the process of gathering community input for the 2020 CHNA, the Hospital utilized steering committees, community partnerships, surveys, interviews, group and public dialogues, health status assessments, and organized community data to determine the most significant health needs of its community.
Mount Desert Island HospitalPart V, Section B, Line 6a: The 2020 Community Health Needs Assessment was conducted primarily by Mount Desert Island Hospital in conjunction with Healthy Acadia, a 501(c)(3) non-profit organization dedicated to building healthy communities. However, many other individuals and organizations contributed to the 2020 needs assessment, a full list of which can be found on the Hospital's complete CHNA, beginning on page 5. Later disclosures in this Schedule H detail where the 2020 CHNA is available.
Mount Desert Island HospitalPart V, Section B, Line 6b: The 2020 Community Health Needs Assessment was conducted primarily by Mount Desert Island Hospital in conjunction with Healthy Acadia, a 501(c)(3) non-profit organization dedicated to building healthy communities. However, many other individuals and organizations contributed to the 2020 needs assessment, a full list of which can be found on the Hospital's complete CHNA, beginning on page 5. Later disclosures in this Schedule H detail where the 2020 CHNA is available.
Mount Desert Island HospitalPart V, Section B, Line 11: The Hospital's 2020 CHNA Implementation Plan identified a series of core health needs, labeled as "Themes", and a variety of strategies to address each of these needs in a way that would be most efficient and effective for the community served by the Hospital. The four-core health-needs themes identified by the CHNA and its Implementation Plan are:1. Accessibility, Affordability, and Quality of Healthcare2. Mental Health and Community Connectedness3. Social Determinants of Health4. Substance UseThe Hospital aims to address these core health themes through a series of goals and overall strategies, including, but not limited to:1. Accessibility, Affordability, and Quality to Healthcare Goals:- Increase awareness of available healthcare and prevention resources - Make healthcare and prevention resources more affordable and available- Overcome and reduce obstacles to accessing health resources- Increase overall resources to empower individuals to prevent and manage health issues and be active in the development and execution of their health plans 2. Mental Health and Community Connectedness-Increase awareness about available mental health resources and social opportunities-Make mental healthcare more affordable-Overcome obstacles to accessing mental healthcare and prevention resources-Increase resources to empower individuals to prevent and manage mental health issues and be active in the development and execution of their mental healthcare3. Social Determinants of Health-Increase awareness of available positive social, economic and environmental resources-Foster a culture of civic engagement and volunteerism-Increase access to affordable healthy food-Increase access to physical activity-Increase efforts to reduce bias, discrimination, inequality, stigma and shame4. Substance Use-Increase awareness about available substance use disorder prevention, treatment and recovery resources-Make substance use disorder prevention, treatment and recovery resources more affordable-Overcome obstacles to accessing quality substance use disorder prevention, treatment and recovery resources-Reduce risks and substance use in the community-Increase resources to empower individuals to prevent and manage substance use disorders and be active in the development and execution of their treatment plans and recovery.The Hospital aims to achieve these goals by utilizing a combination of public education and health advocacy campaigns; community partnerships, activities, and events; home health initiatives; the strategic use of qualified care professionals and medication programs; developing creative care networks and cost reduction systems; promoting innovative recovery and treatment plans; and to provide accessible and affordable health care across all spectrums of personal health.More specific details on what the Hospital is doing to address the needs of its community as determined in its 2020 CHNA can be found in the Hospital's full 2020 Community Health Implementation Plan.
Mount Desert Island HospitalPart V, Section B, Line 16j: The policy was provided, in writing, to patients on admission to the Hospital facility.The Hospital works with community service organizations to post the Plain Language Summary in public libraries, local municipality facilities, the local YMCA/YWCA, and the Healthy Acadia website.Additionally, a qualified interpreter is made available to patients who need assistance translating the FAP, application, and related documents to another language, and translated copies of our Financial Assistance Policy and Application are available in French and Spanish.
Part V, Section B, Lines 7a, 7b, and 10, Publication of Reports:The Hospital makes its annual reports and other various resources and publications publicly available on its website. The home page for the Hospital's various reports can be found online at:https://www.mdihospital.org/about-us/reports-resources/The Hospital's 2020 Implemenation Plan can be downloaded directly from the previous link as a Word Document.The Hospital's 2020 Community Health Needs Assessment (CHNA), the most recently published version, is freely available online on the Hospital's website at:https://www.mdihospital.org/wp-content/uploads/2020/07/2020-MDI-Region-CHNA-Report-FINAL-7.8.20.pdfThe Hospital's 2020 CHNA can also be found online at:https://static1.squarespace.com/static/5d5fec1f2b3df90001522875/t/5f89d31835d7a45f1c9c4337/1602868000252/2020_MDI_Region_CHNA_Report_FINA.20+-+Copy+1.pdfThe Hospital's Community Benefits Report for the year ending April 2023 is available online at:https://www.mdihospital.org/wp-content/uploads/2023/12/Community-Benefits-Report-FY23-web.pdfLastly, the Hospital's Impact Report for the year ending April 2023 is available online at:https://www.mdihospital.org/wp-content/uploads/2023/09/MDI-Hospital-Impact-Report-2023-web.pdf
Schedule H, Part V, Section B, Line 16a-16c:The Hospital's Financial Assistance Program and related information can be found online at:https://www.mdihospital.org/insurance-and-billing/financialassistance/The Hospital's free care/reduced cost application is available online at:https://www.mdihospital.org/wp-content/uploads/2021/07/MDIH-FA-FORM-2019-1.pdfThe Hospital also provides checklist and guides to accompany its financial assistance application process, available online at:https://www.mdihospital.org/insurance-and-billing-faqs/financial-assistance-application-checklist/The Hospital's Financial Assistance Plain Language Summary is available online at:https://www.mdihospital.org/wp-content/uploads/2019/05/Plain-Language-Summary-of-Financial-Assistance-Program-1557-revised-02-2020.pdfLastly, the Hospital's complete Financial Assistance Policy is available online at:https://www.mdihospital.org/wp-content/uploads/2019/10/MDIH-Finance-Assistance-and-Free-Care-Policy-Approved-FC-2-24-2020.pdf
Schedule H, Part V, Section B, Line 20d:MDI Hospital does not assume or engage in presumptive eligibility in assessing financial assistance or government assistance. However, any individual residing in the State of Maine who indicates the financial inability to pay a bill for a medically necessary service shall be evaluated for Financial Assistance. The patient's potential eligibility for governmental or other coverage will be assessed. This may include Medicaid and participation in Health Insurance Exchange coverage and subsidies. Additionally, a Financial Assistance Application/Disclosure Form is used to document each patient's overall financial situation. Credit reports may be used to verify the individual's financial circumstances. If an engaged collection agency suspects or gains knowledge that someone may need to apply for one of our programs, the agency sends out a financial assistance application to the patient or guarantor and proceeds to notify MDIH of the outreach. Accordingly, each collection agency engaged is aware of the policy on Financial Assistance. This allows the agency to report amounts that they have determined to be uncollectible due to the inability to pay in accordance with the Financial Assistance eligibility guidelines.
FieldValueIRS element (for citing)
Facility10FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - Cadillac Family Practice
322 Main StreetBar HarborME04609Outpatient Clinic
2 - Community Health Center
16 Community LaneSouthwest HarborME04679Outpatient Clinic
3 - Trenton Health Center
394 Bar Harbor RoadTrentonME04605Outpatient Clinic
4 - Cooper Gilmore Health Center
17 Hancock StreetBar HarborME04609Outpatient Clinic
5 - MDI Behavioral Health Center
322 Main StreetBar HarborME04609Outpatient Clinic
6 - MDI General Surgery
17 Hancock StreetBar HarborME04609Outpatient Clinic
7 - Lisa Stewart Women's Health Center
330 Main StreetBar HarborME04609Outpatient Clinic
8 - MDI Orthopedics
10 Wayman LaneBar HarborME04609Outpatient Clinic
9 - MDI Urology
10 Wayman LaneBar HarborME04609Outpatient Clinic
10 - Northeast Harbor Health Center
Kimball RoadNortheast HarborME04679Outpatient Clinic

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:The costing methodology utilized for this table was derived from Worksheet 2, ratio of patient care cost to charges with data from filed cost reports for the fiscal year.
Part I, Line 7g:The Hospital provides to the community several provider-based physician and specialty practices to serve this rural island population. These practices are listed on Part V of this schedule. The facility subsidizes their operating costs to maintain access and coordination of care to our population.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,266,965.
Part II, Community Building Activities:The Hospital strives to be a positive agent for change, care, and civic engagement within its community. As part of its fulfillment of the 2020 Community Health Implementation Plan, the Hospital has made efforts to work with community stakeholders, patients, care providers, community groups, and other organizations to promote efforts and programs related to personal fitness and activity; healthy and affordable food and nutrition; accessible transportation; and general volunteerism and communal engagement. The Hospital offers many volunteer opportunities that allow neighbors and members of the community to engage with one another through a common effort to promote and improve themselves and the quality of life for others. The volunteers who donate their time to MDI Hospital, our Health Centers, and the Birch Bay Retirement Village play an important role in the experience of our patients, their families, and our community's residents. Volunteers frequently work alongside healthcare professionals, help in clinical and non-clinical areas, and support our mission to care for our community. The Hospital actively participates in community public health advisory councils to ensure resources, education and awareness are made available to the population served, including substance use disorder treatment, mental healthcare, and transmissible diseases prevention.The Hospital's various volunteer and community programs foster engagement around a very diverse range of community building activities. MDI Hospital partners with our local food pantry volunteers to provide shelf stable food bags for our patients who are undergoing cancer treatments, recently discharged from inpatient services or may be food insecure. These resources are also made available for its employees. There are also volunteer opportunities for office and computer/technical assistants. Volunteers also contribute to the Hospital's emergency department and other auxiliary services.Outside of the Hospital setting, MDIH promotes volunteerism through its various Birch Bay Retirement Village programs. These programs present an opportunity for community members of all ages to form common bonds and meaningful connections. Volunteers can contribute significantly to the quality of life of those living in the Birch Bay Retirement Home by becoming Care Partners, or by participating in "life enrichment" services, classes, and programs. The Hospital also provides and fosters opportunities for the community to connect over social and athletic clubs, music and public arts programs, and daycare and other youth initiatives. The Hospital also cares deeply about community education. The Hospital partners with various government agencies, health care institutions, schools, colleges, and other organizations to promote medical and public health education and advocacy. The Hospital also offers various internship and apprenticeship opportunities for members of its community to become involved, and to contribute to the growth and success of the broader public.
Part III, Line 2:The estimated cost of bad debt expense as reported is derived from the accounting systems and software the organization uses to calculate the cost-to-charge ratio from the as-filed Medicare Cost Reports.Mount Desert Island Hospital (MDI Hospital) estimates the cost of bad debt expense using accounting systems and software from our organization to calculate the cost of care from the as filed Medicare Cost Reports. This estimate best represents the value of providing care for those services that will be considered or deemed uncollectible. The value of these services at cost is estimated to be $3,345,291. This is the amount the Hospital must forgive as a benefit to the community for providing services.
Part III, Line 3:The Hospital's financial assistance policy provides administrative and accounting guidelines for the identification, classification, and reporting of patients receiving financial assistance as distinguished from bad debts. Accordingly, the Hospital has estimated that no amount of bad debt expense at cost is attributable to patients eligible under the organization's financial assistance policy.
Part III, Line 4:See Footnote 2 of the attached audited financial statements.
Part III, Line 8:The IRS Form 990, Schedule H instructions and guidance provide a template in Worksheet 2 as a way to determine the overall cost to charge ratio that could be applied throughout Schedule H in order to convert charges to cost. Where applicable, we have utilized the Worksheet 2 template calculation. The only area where we did not utilize this template calculation was in Schedule H, Part III, Section B, Line 6, Medicare allowable costs and payments related to the subsidized health services. Instead, the Hospital utilized the Medicare Cost Report estimated cost and payment for these services. The Hospital believes that provider-based clinics listed in the Cost Report should be considered a community benefit due to the fact that without the Hospital subsidizing and offering the services that these clinics offer, the community-at-large would have to travel 45 minutes or more to the nearest similar hospital. As such, Mount Desert Island Hospital believes that by offering and subsidizing these clinics within its community, thus enabling community members to have easy access and an easier commute for these services, the entire community at large benefits.
Part III, Line 9b:The Hospital would not initiate collection efforts against a patient that qualified for a sliding fee scale unless that patient failed to meet his or her obligation under a mutually agreed upon payment arrangement. After it was determined that the patient did not qualify for a readjustment to his or her payment terms, the Hospital would follow normal notification practices dictated by our collection policy, which follows the 501(r) regulations. Upon the qualifying defaults a patient's account may result in collection efforts. If the collection agency suspects or gains knowledge that someone may need to apply for one of the programs, the agency sends out a financial assistance application to the patient or guarantor and proceeds to notify MDIH of the outreach. Information about our free and sliding scale programs is on our website, on our account statements, and posted in public areas and at our provider clinics. Our Plain Language Summary is posted within our community as well. We also make available a Patient Financial Counselor to help advocate, assist and navigate the process.
Part VI, Line 2:The Hospital's 2020 CHNA, which culminates in the Themes, Goals, and Strategies outlined in the report, has largely followed the Mobilizing for Action through Planning and Partnerships (MAPP) framework, including through the completion of three of four assessments prescribed by MAPP. MAPP includes four distinct assessment processes, three of which were completed as part of the 2020 CHNA.- The Community Themes and Strengths Assessment- The Community Health Status Assessment- The Forces of Change AssessmentThe processes for conducting these three assessments are outlined below, as well as the additional COVID-19 assessment previously mentioned. Data from the Community Themes and Strengths, Community Health Status, and Forces of Change assessments was aggregated together to inform community conversations, called Theme Teams, around the theme areas that arose from the data. The process for conducting Theme Teams is also outlined below. Process for conducting the Community Themes and Strengths Assessment: The Community Themes and Strengths Assessment provides largely qualitative data on existing community health strengths, challenges, needs, and opportunities. For this assessment, CHNA coordinators spent four months collecting community input through an electronic and paper survey. Thousands of community members within the LSA were asked to answer broad-based questions about community health. Respondents were asked about area community health concerns and strengths, suggestions for needed services, supports, and spaces, issues they would like to see more public discussion, education, and action around, and what they would like to see happen to build greater community health. We received 402 surveys from community members living, working, and/or receiving services in the LSA. The resulting data was organized into themes that greatly informed the final CHNA theme areas. It was shared with Theme Teams and highlights are included within the Themes sections of this report, under 'key findings'. Through the surveying process, significant efforts were made to ensure that survey participants constitute a broad spectrum of the LSA, with representation proportionate to the LSA population demographics as much as possible. This was fulfilled through a diverse survey dissemination effort and frequent evaluation of respondent demographics. Data on zip code, gender, age, race and ethnicity, and healthcare payment methods were collected through the survey process, which enabled us to evaluate the success of the assessment's reach. In similar future assessment processes, CHNA Coordinators would recommend careful reconsideration of whether to collect income data and a source from which the survey was accessed, (neither were collected during this process out of respect for privacy) as well as clarifications to the question "How do you pay for healthcare?". In the future, this question might benefit from space to indicate employer provided insurance or privately purchased insurance, two categories which were not differentiated in the 2019-2020 survey. While greater representation is always to be strived for as part of every needs assessment, CHNA Coordinators and Steering Committee Members feel confident that we heard from a largely representative group of community members with a range of interests and opinions regarding the health of their communities and the efforts needed to increase community health. Process for conducting Community Health Status Assessment: The Community Health Status report provides quantitative data on demographics and health indicators that are significant in clarifying the landscape of community health needs initially presented through the Community Themes and Strengths Assessment and broadened by the Forces of Change Assessment. This quantitative data, which was shared with Theme Teams and is included within the Themes sections of this report under 'key findings', has been sourced from the Hancock County Health Profile 2018: Maine Shared Community Health Needs Assessment (Maine Shared CHNA, 2018) unless otherwise noted. This tool includes health data from over 30 sources, representing the most recent data available as of March 2018 and most local data available. Data is used to illustrate significant trends impacting community health in the LSA and is not comprehensive.Process for conducting Forces of Change Assessment:There are always 'forces of change' that are occurring or might occur and affect the health of the LSA. These forces are beyond local control but may require local awareness and response. The Forces of Change Assessment explores current forces and possible threats or opportunities because of these forces. This assessment was completed by the CHNA Steering Committee through a member survey and group discussion. The Steering Committee identified numerous forces, as well as various threats and opportunities posed by each force. Highlights of this data was provided to Theme Teams and are included within the Themes sections of the report under 'key findings'.Process for conducting Theme Team Meetings: At the close of 2019, CHNA Coordinators worked together to review data from the three assessments outlined above. All efforts were made to maintain the breadth and depth of Community Themes and Strengths Assessment survey responses while collating data into community health topic areas. This assessment played a key role in the determination of CHNA theme areas, with the Health Status Assessment data and Forces of Change Assessment results complementing and informing our definitions of each theme area. Five unique themes were initially determined to encompass the data. These were 1) Accessibility, Affordability, and Quality of Healthcare, 2) Acute and Chronic Disease and Conditions, 3) Mental Health and Community Connectedness, 4) Social Determinants of Health, and 5) Substance Use. Theme Teams were convened to discuss these five initial themes through a selection process that included invitations to Community Themes and Strengths Assessment survey respondents who indicated interest in involvement in the broader assessment; participants in Theme Teams during the 2015-2016 CHNA cycle, all of whom are considered experts in unique areas of community health; and additional community members and health experts with unique expertise and experience relevant to one of the five initial themes. In a format that differed from that of the previous CHNA assessment, Theme Team invitees were provided an opportunity to self-select the Theme Team or Theme Teams in which they wanted to participate. While this allowed invitees to join one or more given Theme Teams based on their interest and schedule availability, it also effectively resulted in less curated Theme Team participant groups. In similar future assessment processes, CHNA Coordinators would recommend careful reconsideration of whether to restructure this invitation process to ensure a balanced mix of perspectives and representation in each Theme Team.(Continued in Schedule H, Supplemental Information)
Part VI, Line 3:The Financial Assistance Policy (FAP) information is sent with all account statements and is printed on the back of the statement. A notice of the FAP in plain language is also available on our Hospital website, posted in public areas, and available within the departments and provider clinics of our organization. The Hospital provides a Patient Financial Counselor to help navigate the process to ensure that our patients have access to the care and services they need. MDI Hospital is committed to providing access to quality healthcare services with compassion, dignity, and respect for those we serve, particularly the poor, indigent, and underserved in our communities, regardless of their ability to pay. We assist our patients who cannot afford to pay for part or all of the services received by working with our community to identify those in need and find the financial resources that may be made available to them. MDI Hospital has adopted guiding principles when handling billing, collections, and financial support functions for our patients. We provide effective communications with patients regarding hospital bills and make affirmative efforts to help patients apply for public and private financial support programs, including providing resources to perform the application process on behalf of the patient. We have implemented policies and procedures for assisting low-income patients in a consistent manner that is in compliance with the State of Maine Chapter 150 Guidelines for Free and Reduced Care. These policies are reviewed by the Finance Committee of the Board of Trustees at a minimum annually, or as deemed necessary. The adjustment for Amounts Generally Billed is made annually after the acceptance of MDI Hospital's Medicare Cost Report by the regional Fiscal Intermediary (MAC). A Patient Financial Counselor is also available to assist with triaging patient needs and working with our patients to align resources. This representative is available to explain and review patient payment obligations. We also have a Patient Advocate to facilitate issues that arise during this process. Information about Hospital-based financial support polices and external support programs that provide coverage for services is made available to patients during the pre-registration and registration processes and/or through communications with patients seeking financial assistance. Support is available to uninsured and underinsured patients who do not qualify for public programs or other means of assistance. Notification about financial assistance programs at MDI Hospital, including contact information, is available through messaging included on patient bills, at provider clinics, in public areas, through care management and billing support staff, in registration areas, and at the reception areas in the Hospital and at our provider clinics. Patient brochures describing the financial counseling services, our financial assistance policies, financial assistance application, and the applicable services which are available in these areas as well as on our public website, www.mdihospital.org. The annual review of these policies is done through the Board Appointed Finance Committee.
Part VI, Line 4:MDI Hospital is a 25-bed critical access hospital located in Bar Harbor, Maine and licensed by the State of Maine. The mission is to provide compassionate care and strengthen the health of our community by embracing tomorrow's methods and respecting time-honored values. Its services include acute inpatient, swing bed, 24-hour emergency center, diagnostic services, lab, physical therapy, pharmacy, obstetrics, nursery, and surgical services. Along with hospital services, the Hospital employs the majority of primary and specialty care physicians in the area. The Hospital provides the only behavioral health clinic services in Hancock County and partners with community agencies to sponsor Substance Use Disorder Treatment. These services have been identified as a need in the CHNA for mental and substance use treatment availability and the removal of stigma associated with mental and substance use disorders. Hancock and Washington counties are considered rural by the State of Maine and the United States Census Bureau, under guidelines set forth by the Office of Management and Budget (OMB). The Hospital service area (HSA) as defined by the Maine Health Data Organization (MHDO) uses the statistical method where the greatest proportion of residents received their inpatient care. The Hospital's primary service area is Mount Desert Island and the towns it supports as well as the outer islands off the coast of Bar Harbor, Northeast Harbor, and Southwest Harbor. Also included in our service area are the towns of Trenton and Lamoine, Maine. The Hospital entered into a collaborative to bring dental and oral health services to Mount Desert Island, which is defined as a federally underserved location for dental health and identified as a need in the Hospital's CHNA. MDI Hospital sponsors a dental center in Southwest Harbor to address the community's needs for oral health, expanding access the past year to our community for outreach and dental health services.The 2020 Community Health Needs Assessment (CHNA) and Action Plan for the Mount Desert Island Service Area serves as a framework and guide for Mount Desert Island Hospital and Healthy Acadia in developing and strengthening our programming to fulfill community needs. The Plan focuses on the nine-town service area of MDIH. These towns include Bar Harbor, Cranberry Isles, Frenchboro, Lamoine, Mount Desert, Southwest Harbor, Swans Island, Tremont, and Trenton. This nine-town area is the focus of this Plan. It is referred to here as the "Local Service Area" (LSA). In 2010, the population of these 9 towns totaled 14,232, according to the U.S. census data. The LSA includes three municipalities on unbridged islands: Cranberry Isles, Frenchboro, and Swans Island. The LSA has high numbers of older adults, as well as seasonal visitors. There are significant numbers of self-employed individuals, contributing in part to significantly higher than average levels of uninsured people. In Hancock County, 12% of adults are uninsured, compared with 10% statewide (County Health Rankings, 2020). Hancock County has average rates of high school educational attainment, with 88% graduating from high school, compared to the state rate of 87% (County Health Rankings, 2020). We are slightly below average in terms of college attendance; 64% of residents in Hancock County attend at least some college, while 68% of people have attended at least some college statewide (County Health Rankings, 2020). Our unemployment levels are slightly higher than the statewide average, (4.7% unemployment in Hancock County, compared with 3.8% statewide) (Maine Shared CHNA, 2018). Seasonal fluctuations in employment are also significant because a substantial part of our economy is based on seasonal tourism.
Part VI, Line 5:MDI Hospital is committed to improving health and quality of life in the MDI region. Through innovation and effort, we strive to meet the evolving needs of our community with a compassionate, patient-centered approach to care. Our Integrated Care Philosophy is key to our strategies to improve health outcomes, provide improved access to care that is timely and appropriate and improve the overall health outcomes of the population we serve. Our dedication to excellence has been recognized with national awards for patient satisfaction and for the delivery of care in a rural setting. Today, MDI Hospital is a beacon of quality care for residents and visitors and a model of rural care delivery for the nation.The Hospital is the second largest employer on Mount Desert Island. Our network of island health centers is our frontline, providing the community with top quality, individualized primary care where they feel most at home. MDI Hospital's network offers six primary care facilities in Bar Harbor, Southwest Harbor, Northeast Harbor, and Trenton as well as a full-service dental clinic, a nationally recognized Imaging Department, and comprehensive behavioral health services. MDI Hospital Organization Services include the following: Breast Health Center at MDI Hospital, Cadillac Family Practice, Cooper Gilmore Health Center, MDI General Surgery, MDI Orthopedics/Urology, Community Health Center, Community Dental Center, Northeast Harbor Clinic, Lisa Stewart Women's Health Center, MDI Behavioral Health Center, Weekend Care Clinic, Trenton Health Center, 24-7 emergency room, acute care (swing beds), behavioral health services, breast health services including state-of-the-art digital mammography, cardiac rehabilitation, dental/oral health services, diabetes education, general surgery, imaging/radiology, infusion center, palliative care, laboratory services, neurology, nutrition education, obstetrical services, occupational therapy, oncology-hematology, orthopedics, pediatrics, physical therapy, podiatry, primary care, pulmonology, skilled rehabilitation, speech therapy, sports medicine, surgical services, urology, and women's health services. The Hospital is committed to the treatment and prevention of substance use disorder and partners with community agencies, our provider clinics and our behavioral health teams to become certified in medication assisted treatment certifications and continues to develop a sustainable treatment center for the residents of Hancock County, providing medical oversight and medication assisted therapies. Additionally, MDI Hospital's emergency department is trained and prepared to provide first doses to those seeking recovery and align patients with recovery coaches and access to treatment services through the Downeast Treatment Center partnership.During this past tax, our healthcare professionals offered skilled services to the Downeast Region including free and uncompensated care. MDI Hospital and Health Centers do not turn away those in need of medical care, regardless of their ability to pay.Community Partnerships: MDI Hospital partners with many area organizations to reach a broad range of community members. These community partnerships have included AOS-91 (Administrative School District), MDI YMCA, AMHC, Healthy Acadia, Jesup Memorial Library, Southwest Harbor Public Library, Hancock County Emergency Management, MDI Search and Rescue, Acadia National Park, Downeast Treatment Center, Life Flight of Maine, Northern Light Health, Northern Light-Eastern Maine Medical Center, Northern Light-Maine Coast, Northern Light-Blue Hill, Maine Rural Health Collaborative, EMS personnel throughout Hancock County, Bar Harbor Fire Station, Bar Harbor Chamber of Commerce, MDI Rotary, MDI Lioness Club, MDI YWCA, Bar Harbor Food Pantry, the Southwest Harbor and Tremont Chamber of Commerce, and Community Care Partners of Maine (CCPM). These partnerships allow MDI Hospital and Health Centers to provide education, services, training and informational materials to individuals and organizations throughout Downeast Maine.Dedicated Staff: MDI Hospital's dedicated staff contributed countless hours of volunteer time and donations to groups such as Hospice Volunteers of Hancock County, Bar Harbor Food Pantry, Bar Harbor Housing Authority, MDI Marathon, Maine Alzheimer's Association, Next Step Domestic Violence Project, MDI Rotary, Island Connections, MDI YMCA, Island Housing Trust, MDI Lioness Club, Acadia National Park, Beth C. Wright Cancer Center, Ellsworth Lioness and American Cancer Society Relay for Life. MDI Hospital staff also hosted a table during Bar Harbor's annual Halloween celebration on Ledgelawn Avenue, providing warm drinks and healthy snacks to children. In addition, MDI High School sporting events, and Bar Harbor's annual Luminary Walk-in honor of breast cancer awareness.Oral Health Services: MDI Hospital has been proud to partner with the American Dental Association (ADA) to raise awareness of the critical need for access to oral healthcare. The Hospital's efforts provide children with oral hygiene instruction, cleanings, and fluoride varnish from registered dietitians. MDI Hospital is committed to providing greater access to quality dental health services in our community.Childbirth Education Classes: MDI Hospital's OB department provides low-cost classes for new families on labor and delivery, breastfeeding, newborn care, sibling issues, and infant and child CPR. MDIH hosted prenatal yoga classes instructed by one of our OB Nurses.Flu Shot Clinics: The Hospital conducts low-cost public flu clinics each year at several locations throughout the community each year.Diabetes Education: MDI Hospital's Diabetes Education program provides guidance and support to help people manage their disease.Telemedicine Services: Using two-way telecommunications technology, MDI Hospital can connect clinicians in the ICU, ER, and on outer islands with providers located miles away.Nutrition Education: MDI Hospital dietitians provide a variety of educational and outreach services to the community each year. MDI Hospital Community Health Educators and Health Coaches have achieved and continue to maintain National Diabetes Prevention Program status.Palliative Care Team: MDI Hospital continued its Palliative Care Program offering both inpatient and outpatient consultations for patients suffering from life limiting illnesses. Our palliative care program focuses on improving quality-of-life for patients with life-limiting illnesses and their families through the prevention and relief of physical, social, and spiritual aspects of suffering.Patient Navigator Program- MDI Hospital provides nurse navigators for our patients who are diagnosed with cancer. The Nurse Navigator is a support system that provides care, guidance, and service alignment for newly diagnosed patients to ensure seamless transitions of care through empathy and compassion.Integrated Care Team: MDI Hospital continued operating under its Integrated Care Philosophy, a way to give patients better, more personalized care. Under the Integrated Care Philosophy, care is provided by a care team that works together to provide each patient with the best care possible, tailored to meet their needs. Care team members work side by side with patients and their families to improve health, wellness, and quality of life both in and out of the clinic setting. Patient's care teams are led by his or her primary care practitioners, who helps to establish and maintain care plans. Patients receive regular follow-up calls from their care managers, also referred to as "Care Callers", and additional support is available both at home and in the clinic setting to help improve the quality of their care and their access to care. If patient requires hospitalization, their care teams work with their hospital care practitioners to coordinate their care.Oversight and training to all Island emergency medical services: MDI Hospital's Emergency Department is led by Dr. David Sugerman, MD. Dr. Sugerman is the Medical Director for all Bar Harbor, Northeast Harbor and Southwest Harbor Emergency Medical Services (EMS). Dr. Sugerman is a board-certified emergency physician. As an EMS director, Dr. Sugerman facilitates quarterly education reviews and protocol updates for all Island EMS professionals.(Continued in Schedule H, Supplemental Information)
Part VI, Line 6:Mount Desert Island Hospital is not part of an affiliated health care system.
Part VI, Line 7, Reports Filed With StatesME
Schedule H, Part VI, Line 2 (continued):After Theme Team meetings, it became clear that integrating Acute and Chronic Disease and Conditions content into the Accessibility, Affordability, and Quality of Healthcare was a reasonable and appropriate next step; the groups found that one Theme could not be discussed without simultaneously addressing the other. This left us with the following four Theme areas: 1) Accessibility, Affordability, and Quality of Healthcare, 2) Mental Health and Community Connectedness, 3) Social Determinants of Health, and 4) Substance Use. Process for conducting COVID-19 Community Health Impacts and Priorities Assessment:In June 2020, the CHNA Steering Committee participated in an additional assessment process to compile relevant COVID-19 specific content and facilitate necessary updates and additions to content generated by the Community Themes and Strengths, the Community Health Status, and the Forces of Change assessments and the Theme Team meetings. The Steering Committee outlined COVID-19 related community health strengths, challenges, needs, and opportunities within each of the four Theme Areas. Strong consideration was also given to whether some CHNA relevant COVID-19 content might not be encompassed by the four Theme Areas and it was determined that these four Theme Areas are able to accurately contain relevant COVID-19 additions. All content generated through this COVID-19 Community Health Impacts and Priorities Assessment was integrated into this report, including in 'additional COVID-19 considerations' sections within the 'key findings' of each Theme section, as well as throughout the Goals and Strategies content of each Theme section, with footnotes highlighting these.Data from these assessments and Theme Team meetings collectively provide a detailed picture of the current community health landscape in the LSA, are represented in the 'key findings' under each of the following Theme areas, and are the foundation of the subsequent goals and strategies in each Theme area.
Schedule H, Part VI, Line 5 (continued):Pharmaceutical Support for EMS Crash Boxes: The local EMS services and Mount Desert Island Hospital Pharmacy have an ongoing relationship where the Hospital pharmacy provides the medications for the ambulance services at no cost. This service allows the EMS crews to have the needed lifesaving medications on hand for MDI residents. EMS services and the pharmacy work closely to ensure compliance and ensure that the best medications are available for any emergency.MDI Marathon: The Hospital regularly provides medical support and organizes volunteers for the MDI marathon.Subsidized Health Services: MDI Hospital offers free Wellness Programs which include fitness and health classes.Free Blood Pressure Clinics: MDI Hospital's Community Health Educator provided free blood pressure clinics throughout the island.Blood Drives: MDI Hospital regularly sponsors community blood drives when shortages threaten access to care.Community Walking Program: Healthcare Coaches coordinate walking programs for the community.Free Cancer Support Group: With sponsorship from the MDI Behavioral Health Center and in collaboration with Cancer Navigator, MDI Hospital provides free monthly support groups for patients, survivors, and their families. Prescription Assistance Program: At no cost to patients, MDI Hospital's Prescription Assistance Program helps those who lack prescription coverage obtain access to free or reduced cost medications available through programs sponsored by pharmaceutical companies. Chronic Disease Prevention Programs: MDI Hospital continues to provide support for programs operated by Healthy Acadia for the management of chronic disease.Platinum Level Achievement- MDI Hospital has achieved the Platinum Level recognition from the Maine Tobacco-Free Hospital Network, which recognizes excellence in supporting tobacco free lifestyles and educating community about healthy choices and support to tobacco cessation classes.Educational Binders- Asthma Patients, developed educational binders for our asthma patients. These are designed to aid both adult and pediatric patients with educational materials for achieving health goals.Affordable Care Act Education: MDI Hospital offered health insurance enrollment counseling to help community members explore their health insurance options on the Health Insurance Marketplace.Other Programs: MDI Hospital's health fair; MDI Hospital health screenings held at COA; bone density and cholesterol screenings at MDI High School; pre-diabetes classes were offered free to the community; MDI Hospital hosted blood drives; smoking cessation group was offered.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeScholarships for students pursuing a degree in medical or healthcare-related fieldsGrantTypeTxt
Recipient12RecipientCnt
Cash Grant$19,000CashGrantAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationAll high school seniors who are graduates of MDI High School and who are committed to pursuing a degree and career in medical and healthcare services are considered eligible. Potential applicants must work with their school's guidance office to prepare and submit an application to the Hospital on behalf of the Auxiliary Scholarship Committee (the "ASC"). After determining the number of eligible applications and the amount of funds available from available funds, the ASC will determine the amount of scholarships that can be awarded in a given year. A chosen scholarship-recipient may be awarded a grant for multiple years so long as the recipient continues to meet predefined criteria. Separate and unique books and records are maintained to substantiate and track all scholarships awarded and to ensure they are used for their intended purpose.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (9 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stu Davidson MD
Physician$560,670$0$500$0$44,368$0$0$0$45,536$0$651,074$0$0$0
Charles Hendricks MD
Physician$536,526$0$500$0$28,904$0$0$0$35,352$0$601,282$0$0$0
Aaron Perme MD
Physician$404,848$0$20,500$0$19,941$0$0$0$15,620$0$460,909$0$0$0
David Sugerman MD
Physician$334,957$0$3,500$0$2,139$0$0$0$52,271$0$392,867$0$0$0
Christina Maguire
President & CEO$302,779$0$27,000$0$34,196$0$0$0$23,088$0$387,063$0$0$0
Katherine Gassman MD
Physician$343,673$0$20,500$0$126$0$0$0$13,702$0$378,001$0$0$0
Peter Witham MD
Trustee/Physician$201,590$0$23,465$0$649$0$0$0$43,822$0$269,526$0$0$0
Michelle Smith
Treasurer & CFO$188,967$0$0$0$207$0$0$0$47,430$0$236,604$0$0$0
Julian Kuffler MD
2nd Vice Chair/Physician$139,867$0$27,000$0$492$0$0$0$47,855$0$215,214$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7FormAndLineReferenceDesc
ExplanationPerformance-based variable compensation which is subject to review annually by a board compensation committee.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MHHEFA Series 2020BBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN010314384BondIssuerEIN
Bond Issued2020-11-01BondIssuedDt
Issue Price$6,596,038IssuePriceAmt
PurposeFinancing MRI Equipment, Construction, EMR SystemPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool FinancingYes (1)PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$265,000RetiredAmt
Total Proceeds$6,516,000TotalProceedsAmt
Capital Expenditures$6,516,000CapitalExpendituresAmt
Refunding Tax Exempt Bonds0RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation MadeYes (1)FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond RemdtdYes (1)ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective ActionYes (1)ProceduresCorrectiveActionInd

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution6ContributionCnt
Noncash Contributions Rpt F990$69,537NoncashContributionsRptF990Amt
Method Of Determining RevenuesStock exchange valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 32b:FormAndLineReferenceDesc
ExplanationThe Hospital gift acceptance policy stipulates that stock donations are sold by their third-party investment advisors as soon as administratively possible.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2During fiscal year 2023, MDI Hospital, in partnership with the Mount Desert Medical Center, was pleased to celebrate the reopening of the Northeast Harbor Clinic. The Clinic had previously operated on a seasonal basis, but, after a closure due to the COVID-19 Pandemic and extensive renovations, has reopened and is now again seeing patients. The Northeast Harbor Clinic is staffed with a family nurse practitioner, medical assistant, ophthalmology MD, and a receptionist. The Clinic is designed to provide year-round primary care to the Northeast Harbor Community.
Form 990, Part VI, Section A, line 4During the tax year covered by this Form 990, Mount Desert Island Hospital (the "Corporation") approved significant changes to its bylaws. A summary of major changes is as follows: 1 - Article III, Members, detailing and defining the persons who endorsed the purpose of the Corporation and the role of their membership, has been struck from the amended bylaws entirely. The most current version of the Corporation's bylaws does not contain reference to "Members or "Membership" outside of those individuals serving on the Board of Trustees or Board Committees. Accordingly, the amended bylaws removed Members from the Organization's corporate and governance structure. 2 - There is no longer an Annual Meeting of Incorporators, nor any special meetings during the year. Such meetings have been replaced by meetings of the Board of Trustees. 3 - The Board of Trustees shall now hold at least six meetings a year. Previously, the Board was to hold at least ten meetings a year. 4 - The amended bylaws revise and update the procedures and conditions by which an absent or delinquent Trustee may be removed from the Board. The amended bylaws require that Trustees not be absent from more than one-quarter of all regular meetings or three consecutive meetings without reasonable cause. Additionally, Trustees may be removed from their position by vote of the remaining Board. 5 - The amended bylaws modified and updated the duties and responsibilities of the Corporation's President. Specifically, the amended bylaws state that the President: shall be the CEO and shall be an ex-officio member of all committees; is responsible for the general management of the Hospital; shall serve as liaison between the Board and staff; shall prescribe duties, responsibilities, and employment of all Vice Presidents; shall prepare an annual budget, and operate the Hospital within that budget; shall have ultimate responsibility over employees within the Hospital; shall oversee and safeguard Hospital assets and operations, and supervise all business affairs; shall report to and submit to the Board of Trustees, and will attend all Board meetings; shall develop strategic plans for the Hospital; and shall represent the Hospital to the community and other care providers. 6 - The amended bylaws more thoroughly detail how the Board of Trustees may authorize the formation and continuation of auxiliary or associated organizations, and how charters under the Corporation may be established. 7 - The amended bylaws now call for a formal review of the bylaws at least once every three years; the previous requirement was once every two years. Amendments may now also be discussed and voted on virtually.
Form 990, Part VI, Section B, line 11bThe Form 990 is prepared by an outside independent accounting firm with input and assistance from Finance Department staff. The Trustees are provided with an electronic copy of the full Form 990 and all supporting schedules. Once the Finance Committee has completed its review, all Board of Trustees members are provided with a copy of the Form 990. Trustees are given the opportunity to comment and review the Form 990 before it is filed with the IRS. The President & CEO and the VP of Finance & CFO are available to answer any inquiries from members of the Board of Trustees.
Form 990, Part VI, Section B, line 12cMount Desert Island Hospital monitors and enforces compliance with the conflict of interest policy by requiring all trustees, officers, and committee members to annually sign a statement affirming that each person has received, read, and understands the conflict of interest policy and that no such conflict exists. Additionally, interested persons have a duty to disclose any actual or possible conflicts of interest at the time they arise. After disclosing a potential conflict of interest and answering any questions that might be asked concerning such interest, the affected person shall withdraw from any meetings, deliberations, votes, or other matters concerning the conflict. To ensure that the Hospital does not engage in activities that could jeopardize its tax exempt status, the Board of Trustees or a committee appointed by the Board of Trustees periodically reviews compensation and similar arrangements to ensure they are reasonable and are the result of arms-length bargaining. In conducting these reviews the Board of Trustees may use outside advisors.
Form 990, Part VI, Section B, line 15The process used by Mount Desert Island Hospital for determining the President & CEO's compensation includes a review and approval by the governing body of the Organization. The governing body uses market data from an independent source to compare compensation models of similarly sized organizations within like demographic and geographic areas to align compensation packages. The compensation of other officers and key employees is reviewed by the Human Resources Department using the same market data guidelines to compare and establish compensation for these positions.
Form 990, Part VI, Section C, line 19The annual report and Form 990 are available to the public on the Hospital's website. Governing documents, the conflict of interest policy, and the financial statements are available upon request.
Form 990, Part VII, Section A, Line 1:Dr. Peter Witham and Dr. Julius Kuffler are employees affiliated with Mount Desert Island Hospital. Compensation paid to them is for their services in these roles, and not for their services as members of the Board of Trustees.
Form 990, Part IX, line 11gPurchased services: Program service expenses 3,853,116. Management and general expenses 4,689,507. Fundraising expenses 0. Total expenses 8,542,623. Contract labor: Program service expenses 4,911,043. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,911,043. Consulting fees: Program service expenses 0. Management and general expenses 62,086. Fundraising expenses 166,264. Total expenses 228,350.
Form 990, Part XI, line 9:Change in value of beneficial interest in trust -79,071.
Form 990, Part XII, Line 2c:The audit process has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Birch Bay Retirement VillageBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8 10 Wayman LaneAddressLine1Txt
CityBar HarborCityNm
State AbbreviationMEStateAbbreviationCd
ZIP046090008ZIPCd
FieldValueIRS element (for citing)
EIN010481696EIN
Primary ActivitiesRetirement CommunityPrimaryActivitiesTxt
Legal Domicile StateMELegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity StatusLine 12a, IPublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mount Desert Island HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Mount Desert Management CompanyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8 10 Wayman LaneAddressLine1Txt
CityBar HarborCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04609ZIPCd
FieldValueIRS element (for citing)
EIN010538776EIN
Primary ActivitiesReal Estate DevelopmentPrimaryActivitiesTxt
Legal Domicile StateMELegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd
Entity TypeCEntityTypeTxt
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Birch Bay Retirement Village
R$595Actual per Books
Birch Bay Retirement Village
S$300,000Actual per Books
Birch Bay Retirement Village
L$130,800Actual per Books
Birch Bay Retirement Village
D$1,309,499Actual per Books