MOUNT DESERT ISLAND HOSPITAL: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT DESERT ISLAND HOSPITAL (EIN 01-0211797)
- Tax period
- 2019-05-01 to 2020-04-30
- Filed
- 2021-03-04
- IRS object ID
- 202110639349300036
- Schema version
- 2019v5.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-03-04T13:06:32-06:00 | ReturnTs |
| Tax Period End | 2020-04-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 010494526 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Baker Newman & Noyes | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 507 | AddressLine1Txt |
| City | Portland | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04112 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-05-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010211797 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Desert Island Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | MOUN | BusinessNameControlTxt |
| Phone | 2072885081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8 10 Wayman Lane | AddressLine1Txt |
| City | Bar Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 046090008 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Christina Maguire | PersonNm |
| Person Title | President/CEO | PersonTitleTxt |
| Phone | 2072885081 | PhoneNum |
| Signature | 2021-03-02 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2021-03-02 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Christina Maguire | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8 10 Wayman Lane | AddressLine1Txt |
| City | Bar Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 046090008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $73,574,829 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.mdihospital.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1897 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | Critical access hospital, providing medical & healthcare services located in Bar Harbor, ME. | ActivityOrMissionDesc |
| Voting Members Governing Body | 21 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 17 | VotingMembersIndependentCnt |
| Total Employee | 556 | TotalEmployeeCnt |
| Total Volunteers | 90 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,499,737 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,185,568 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $65,046,354 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $69,440,740 | CYProgramServiceRevenueAmt |
| PY Investment Income | $458,368 | PYInvestmentIncomeAmt |
| CY Investment Income | $296,911 | CYInvestmentIncomeAmt |
| PY Other Revenue | $12,013 | PYOtherRevenueAmt |
| CY Other Revenue | -$52,443 | CYOtherRevenueAmt |
| PY Total Revenue | $67,016,472 | PYTotalRevenueAmt |
| CY Total Revenue | $72,870,776 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $29,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $31,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $38,852,810 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $42,147,617 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $788 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $117,879 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $27,755,182 | PYOtherExpensesAmt |
| CY Other Expenses | $29,182,724 | CYOtherExpensesAmt |
| PY Total Expenses | $66,636,992 | PYTotalExpensesAmt |
| CY Total Expenses | $71,362,629 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $379,480 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,508,147 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $51,760,310 | TotalAssetsBOYAmt |
| Total Assets EOY | $65,183,877 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $23,882,738 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $36,795,473 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $27,877,572 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $28,388,404 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Mount 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 Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $58,517,737 | ExpenseAmt |
| Grant | $31,500 | GrantAmt |
| Revenue | $69,440,740 | RevenueAmt |
| Desc | In fiscal year 2020, Mount Desert Island (MDI) Hospital provided $5,408,863 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 $632,332. 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, including Give Kids a Smile Day, in which free or reduced cost screenings are available. 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 | $58,517,737 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 98 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 556 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 21 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 17 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Christina J Maguire | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2072885081 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8 10 Wayman Lane | AddressLine1Txt |
| City | Bar Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 046090008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | OfficerOfficerInd |
|---|---|---|---|---|---|---|---|---|
| Stuart Davidson MD | ||||||||
| Trustee/Chief Medical Officer | 40.00 | 0.00 | Yes (X) | $555,924 | $0 | $41,104 | ||
| Charles Hendricks MD | ||||||||
| Physician | 40.00 | 0.00 | $548,898 | $0 | $27,773 | Yes (X) | ||
| Aaron Perme MD | ||||||||
| Physician | 40.00 | 0.00 | $465,562 | $0 | $17,753 | Yes (X) | ||
| Nathan Donaldson MD | ||||||||
| Trustee/Medical Staff President | 40.00 | 0.00 | Yes (X) | $365,707 | $0 | $35,458 | ||
| Arthur J Blank | ||||||||
| President & CEO (ret. 12/20) | 40.00 | 2.00 | Yes (X) | $364,066 | $0 | $35,959 | Yes (X) | |
| Katherine Gassman MD | ||||||||
| Physician | 40.00 | 0.00 | $382,245 | $0 | $14,195 | Yes (X) | ||
| Diehl Snyder MD | ||||||||
| Psychiatrist | 40.00 | 0.00 | $298,048 | $0 | $30,195 | Yes (X) | ||
| Andres Abreu MD | ||||||||
| Physician | 40.00 | 0.00 | $303,479 | $0 | $20,601 | Yes (X) | ||
| Christina Maguire | ||||||||
| SVP/COO/CFO | 40.00 | 1.00 | $255,732 | $0 | $28,832 | Yes (X) | ||
| Julian Kuffler MD | ||||||||
| 2nd Vice Chair/Physician | 40.00 | 0.00 | Yes (X) | $164,787 | $0 | $27,816 | Yes (X) | |
| Morgan Mackenzie | ||||||||
| Clerk/Secretary | 40.00 | 0.00 | $46,693 | $0 | $13,948 | Yes (X) | ||
| Reverend Robert Benson | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Edward Benz MD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Stewart Brecher | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| James R Bright | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Sarah Fina | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Elsie Flemings | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Richard Fox | ||||||||
| Trustee/Chair, Birch Bay Retirement Village | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Edward Gilmore MD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Charles Manee Hutchins | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Vince Messer PhD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dean S Read | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| William Rudolf | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Louise Soucy CPA | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Martha Wagner PhD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Noelle Wolf | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Patricia Hand PhD | ||||||||
| Board Chair | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Madeleine Braun PhD MBA | ||||||||
| 1st Vice Chair | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,751,141 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $293,634 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 57 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Therapy Partners LLC | |||||
| 7 Hillview Drive | Bangor | ME | 04401 | Physical Therapy Services | $752,047 |
| Surapeneni P Ramanadha Rao | |||||
| 58 Main Street | Bucksport | ME | 04416 | Physician Services | $315,000 |
| Dahl Chase Diagnostic Services | |||||
| 417 State Street Suite 540 | Bangor | ME | 04401 | Pathology/Diagnostic Services | $267,794 |
| Affiliated Laboratory Inc | |||||
| 417 State Street | Bangor | ME | 04401 | Laboratory/Testing Services | $265,010 |
| Barton Associates Inc | |||||
| 300 Jubilee Drive | Peabody | MA | 01960 | Locum Agency | $256,202 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 12 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $250,197 | FundraisingAmt |
| Government Grants | $1,312,427 | GovernmentGrantsAmt |
| All Other Contributions | $1,622,944 | AllOtherContributionsAmt |
| Noncash Contributions | $70,151 | NoncashContributionsAmt |
| Total Contributions | $3,185,568 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 621990 | $66,587,081 | $66,587,081 |
| Pharmacy | 621400 | $2,100,942 | $2,100,942 |
| Other Operating | 621400 | $266,726 | $266,726 |
| Healthcare Administration | 621400 | $263,919 | $263,919 |
| Cafeteria | 722514 | $222,072 | $222,072 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $69,440,740 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $297,171 | TotalRevenueColumnAmt |
| Exclusion | $297,171 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $612,002 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $612,262 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$260 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$260 | TotalRevenueColumnAmt |
| Exclusion | -$260 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $39,348 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $250,197 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $91,791 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$52,443 | TotalRevenueColumnAmt |
| Exclusion | -$52,443 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $72,870,776 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $69,440,740 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $244,468 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $31,500 | TotalAmt |
| Program Services | $31,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,936,026 | TotalAmt |
| Program Services | $1,560,801 | ProgramServicesAmt |
| Management And General | $375,225 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,153,374 | TotalAmt |
| Program Services | $23,503,104 | ProgramServicesAmt |
| Management And General | $5,550,538 | ManagementAndGeneralAmt |
| Fundraising | $99,732 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $568,289 | TotalAmt |
| Program Services | $458,148 | ProgramServicesAmt |
| Management And General | $110,141 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,424,829 | TotalAmt |
| Program Services | $6,791,997 | ProgramServicesAmt |
| Management And General | $1,632,832 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,065,099 | TotalAmt |
| Program Services | $1,664,858 | ProgramServicesAmt |
| Management And General | $400,241 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $81,868 | TotalAmt |
| Management And General | $81,868 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,412 | TotalAmt |
| Management And General | $93,412 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,718 | TotalAmt |
| Management And General | $6,718 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $788 | TotalAmt |
| Fundraising | $788 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,237 | TotalAmt |
| Management And General | $26,237 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,413,905 | TotalAmt |
| Program Services | $6,579,141 | ProgramServicesAmt |
| Management And General | $1,834,764 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $135,914 | TotalAmt |
| Program Services | $109,833 | ProgramServicesAmt |
| Management And General | $26,081 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,938,514 | TotalAmt |
| Program Services | $2,380,064 | ProgramServicesAmt |
| Management And General | $541,091 | ManagementAndGeneralAmt |
| Fundraising | $17,359 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,494 | TotalAmt |
| Program Services | $44,037 | ProgramServicesAmt |
| Management And General | $10,457 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,260,768 | TotalAmt |
| Program Services | $1,018,836 | ProgramServicesAmt |
| Management And General | $241,932 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $100,170 | TotalAmt |
| Program Services | $80,948 | ProgramServicesAmt |
| Management And General | $19,222 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $346,187 | TotalAmt |
| Program Services | $279,756 | ProgramServicesAmt |
| Management And General | $66,431 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $513,334 | TotalAmt |
| Program Services | $391,691 | ProgramServicesAmt |
| Management And General | $121,643 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,869,272 | TotalAmt |
| Program Services | $1,480,954 | ProgramServicesAmt |
| Management And General | $388,318 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $927,884 | TotalAmt |
| Program Services | $749,830 | ProgramServicesAmt |
| Management And General | $178,054 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad debt expense | $5,975,022 | $5,975,022 | |
| Medical supplies | $3,889,873 | $3,143,436 | $746,437 |
| Hospital provider tax | $1,114,124 | $1,114,124 | |
| Equipment Rent./Maint. | $874,841 | $706,966 | $167,875 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $560,187 | TotalAmt |
| Program Services | $452,691 | ProgramServicesAmt |
| Management And General | $107,496 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,362,629 | TotalAmt |
| Program Services | $58,517,737 | ProgramServicesAmt |
| Management And General | $12,727,013 | ManagementAndGeneralAmt |
| Fundraising | $117,879 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,754 | BOYAmt |
| EOY | $2,645 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,060,586 | BOYAmt |
| EOY | $17,529,735 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $273,455 | BOYAmt |
| EOY | $68,957 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,792,206 | BOYAmt |
| EOY | $6,548,254 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $569,901 | BOYAmt |
| EOY | $531,470 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,160,973 | BOYAmt |
| EOY | $561,238 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $56,517,850 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $35,036,673 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,673,980 | BOYAmt |
| EOY | $21,481,177 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,845,495 | BOYAmt |
| EOY | $10,820,002 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,628,578 | BOYAmt |
| EOY | $1,729,112 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,425 | BOYAmt |
| EOY | $24,111 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,725,957 | BOYAmt |
| EOY | $5,887,176 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,760,310 | BOYAmt |
| EOY | $65,183,877 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,150,080 | BOYAmt |
| EOY | $8,296,483 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,159,783 | BOYAmt |
| EOY | $788,871 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,124,435 | BOYAmt |
| EOY | $13,977,788 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,448,440 | BOYAmt |
| EOY | $13,732,331 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $23,882,738 | BOYAmt |
| EOY | $36,795,473 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,585,624 | BOYAmt |
| EOY | $24,416,171 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,291,948 | BOYAmt |
| EOY | $3,972,233 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,877,572 | BOYAmt |
| EOY | $28,388,404 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,760,310 | BOYAmt |
| EOY | $65,183,877 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $1,508,147 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$985,150 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | -$12,165 | DonatedServicesAndUseFcltsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | Yes (1) | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $6,718 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $6,718 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Mount Desert Island Hospital was a member of the American Hospital Association and the Maine Hospital Association in the fiscal year ended April 30, 2019. 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 available for lobbying, are detailed below: American Hospital Association - total dues: $13,617 American Hospital Association - amount available for lobbying: $3,175 Maine Hospital Association - total dues: $25,486 Maine Hospital Association - amount available for lobbying: $3,543 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,896,922 | BeginningYearBalanceAmt |
| Contributions | $0 | ContributionsAmt |
| Investment Earnings Or Losses | $78,892 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $0 | GrantsOrScholarshipsAmt |
| Other Expenditures | $0 | OtherExpendituresAmt |
| Administrative Expenses | $17,422 | AdministrativeExpensesAmt |
| End Year Balance | $6,958,392 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,814,710 | BeginningYearBalanceAmt |
| Contributions | $1,002 | ContributionsAmt |
| Investment Earnings Or Losses | $228,814 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $130,000 | OtherExpendituresAmt |
| Administrative Expenses | $17,604 | AdministrativeExpensesAmt |
| End Year Balance | $6,896,922 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,135,829 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $699,234 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $20,353 | AdministrativeExpensesAmt |
| End Year Balance | $6,814,710 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $5,390,259 | BeginningYearBalanceAmt |
| Contributions | $35,000 | ContributionsAmt |
| Investment Earnings Or Losses | $735,670 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $25,100 | AdministrativeExpensesAmt |
| End Year Balance | $6,135,829 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,133,933 | BeginningYearBalanceAmt |
| Contributions | $479,781 | ContributionsAmt |
| Investment Earnings Or Losses | -$340,076 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $860,000 | OtherExpendituresAmt |
| Administrative Expenses | $23,379 | AdministrativeExpensesAmt |
| End Year Balance | $5,390,259 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.89770 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.10230 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | Yes (1) | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,488,648 | OtherCostOrOtherBasisAmt |
| Book Value | $4,488,648 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,207,057 | OtherCostOrOtherBasisAmt |
| Depreciation | $18,393,921 | DepreciationAmt |
| Book Value | $10,813,136 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $235,558 | OtherCostOrOtherBasisAmt |
| Depreciation | $186,575 | DepreciationAmt |
| Book Value | $48,983 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $21,586,637 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,456,177 | DepreciationAmt |
| Book Value | $5,130,460 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $999,950 | OtherCostOrOtherBasisAmt |
| Book Value | $999,950 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,481,177 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from affiliates | $2,895,763 |
| Other receivables | $2,991,413 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $5,887,176 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred compensation | $3,581,312 |
| Estimated third party settlements | $6,927,212 |
| Due to affiliates | $399,807 |
| Other payables | $2,824,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $13,732,331 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $65,754,323 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$985,150 | NetUnrealizedGainsInvstAmt |
| Donated Services And Use Fclts | -$12,165 | DonatedServicesAndUseFcltsAmt |
| Revenue Not Reported | -$997,315 | RevenueNotReportedAmt |
| Revenue Subtotal | $66,751,638 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $26,237 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $6,092,901 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $6,119,138 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $72,870,776 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $65,243,491 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $65,243,491 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $26,237 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $6,092,901 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $6,119,138 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $71,362,629 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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, 2020 and 2019, 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. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. 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, 2020. |
| Part XI, Line 4b - Other Adjustments: | Fundraising Expenses Netted with Revenue on AFS 117,879. Bad Debt Expense Netted with Revenue on AFS 5,975,022. |
| Part XII, Line 4b - Other Adjustments: | Fundraising Expenses Netted with Revenue on AFS 117,879. Bad Debt Expense Netted with Revenue on AFS 5,975,022. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Islesford Dock Dinner | Event1Nm |
| Gross Receipts Event1 | $262,350 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $230,500 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $31,850 | GrossRevenueEvent1Amt |
| Cash Prizes Event1 | $0 | CashPrizesEvent1Amt |
| Non Cash Prizes Event1 | $0 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $38,649 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $31,607 | FoodAndBeverageEvent1Amt |
| Entertainment Event1 | $4,061 | EntertainmentEvent1Amt |
| Other Direct Expenses Event1 | $9,976 | OtherDirectExpensesEvent1Amt |
| Event2 | Employee Campaign | Event2Nm |
| Gross Receipts Event2 | $27,195 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $19,697 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $7,498 | GrossRevenueEvent2Amt |
| Other Direct Expenses Event2 | $7,498 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $289,545 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $250,197 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $39,348 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $38,649 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $31,607 | FoodAndBeverageTotalEventsAmt |
| Entertainment Total Events | $4,061 | EntertainmentTotalEventsAmt |
| Oth Direct Expnss Total Events | $17,474 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $91,791 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$52,443 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $306,205 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $306,205 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00470 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,145,312 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,819,186 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $326,126 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00500 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,451,517 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,819,186 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $632,331 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00970 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,769,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,992,834 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,776,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07300 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,769,366 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $10,992,834 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,776,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07300 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $21,220,883 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $15,812,020 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,408,863 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.08270 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,491,573 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $16,194,384 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $20,301,086 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,106,702 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Desert Island Hospital | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Wayman Lane PO Box 8 | AddressLine1Txt |
| City | Bar Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 045090008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | www.mdihospital.org | WebsiteAddressTxt |
| State License | 37457 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Childrens Hospital | Yes (X) | ChildrensHospitalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Desert Island Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | see Part V, Section C | OwnWebsiteURLTxt |
| Other Website | Yes (X) | OtherWebsiteInd |
| Other Website URL | see Part V, Section C | OtherWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | see Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | see Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | see Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | see Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Mount Desert Island Hospital | Part V, Section B, Line 5: In response to the COVID-19 pandemic, on April 9, 2020 the IRS released Notice 2020-23, which extended the time in which a state-licensed hospital must release an updated CHNA until July 15, 2020. Later in 2020, the IRS released Notice 2020-56 which further postponed this due date for hospitals required to complete a CHNA that would have been otherwise due between April 1, 2020 and December 31, 2020 to December 31, 2020. Prior to the issuance of Notice 2020-23 and 2020-56, MDI Hospital had begun the process of completing its next CHNA and Implementation Strategy which was an update to its CHNA completed in tax year 2016. The Hospital was required to make its next CHNA widely available to the public by April 30, 2020. However, due to significant resource constraints brought about by the pandemic, it was unable to complete its new CHNA until after April 30, 2020. As the Hospital was required to complete its next CHNA and Implementation Plan between April 1, 2020 and December 31, 2020 it is eligible for and is relying on the relief provided in Notice 2020-23 and 2020-56. As the Hospital completed both its new CHNA and Implementation Plan prior to December 31, 2020 it did not fail to meet the requirements of Section 501(r) with respect to these publications.However, this Schedule H is to cover the tax period of May 1, 2019 through April 30, 2020 and therefore, in accordance with the IRS instructions, the information conveyed in this filing is to report on the CHNA and Implementation Plan in place during the tax period covered by the return. The Hospital will therefore report on its new CHNA and Implementation Plan on its next Form 990 and Schedule H filing. Mount Desert Island (MDI) Hospital participated in the Maine State Statewide Community Health Needs Assessment (CHNA) that focused on individual counties within the State, and during tax year 2016 also collaborated with Healthy Acadia to perform a service area CHNA. The CHNA for Hancock County provided an avenue to look at State of Maine surveillance data and validate our implementation plan and evaluation plan. MDI Hospital felt that its community and service area would best be served by a more focused and representative CHNA. MDI Hospital collaborated with Healthy Acadia to perform a focused CHNA for our services area commencing in September 2015. Additionally, MDI Hospital partnered with a number of other medical and community organizations to prepare a countywide CHNA that was completed in February 2016 and made widely available to the public at the start of tax year 2016. The CHNA presents the combined findings of three separate studies and surveys, which together consider the responses from a broad cross section of the community, including health care professionals from a variety of backgrounds and people who work at other types of nonprofits, the private sector, education, and social services.MDI Hospital also hosted Community Forums throughout the service area to invite the community, patients, families and key stakeholders to provide feedback on areas of concern regarding access, services, affordability and navigation. Developing access to our integrated care network to help our patients receive care close to home, based on their chronic care conditions, wellness and social determinants of health. |
| Mount Desert Island Hospital | Part V, Section B, Line 6a: Additional hospitals participating in the supplemental countywide CHNA were Northern Light Health, MaineHealth, and Maine General Health. MDI Hospital also uses the Hancock County Community Health Assessment to determine surveillance data on health conditions as a tool to measure improvements in health outcomes and align resources. |
| Mount Desert Island Hospital | Part V, Section B, Line 6b: The Hospital's primary CHNA published during tax year 2016 was conducted in partnership with Healthy Acadia, a 501(c)(3) non-profit organization dedicated to empowering people and organizations to build healthy communities and making it possible for all people to lead healthier lives.Multiple non-hospital community health organization participated in the supplemental countywide CHNA, as well, including Maine Center for Disease Control and Prevention and the University of Southern Maine. |
| Mount Desert Island Hospital | Part V, Section B, Line 11: The Hospital, working with our community and our implementation plan, continues to move strategies forward for a healthy community. While there were two strategies that were outside of the main purview of the Hospital, the organization committed to providing feedback and support to help start a Farmers' Market and created walking maps of the community to encourage healthy activities. The Hospital is continuing with the implementation strategies that were first adopted in tax year 2016 with its current CHNA as they are again recognized as ongoing initiatives in the Hancock County CHNA. The Hospital is using the strategies from the 2014 countywide CHNA survey, as well. The Hospital completed its CHNA in partnership with Healthy Acadia. The Hospital's Planning Committee oversees the work and the implementation of the CHNA including revisions and ongoing implementation evaluations. The implementation plan and updates to the initiatives are approved by the Planning Committee of MDI Hospital at a minimum of twice per annum. |
| Mount Desert Island Hospital | Part 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, Line 7a, Hospital's website: | https://www.mdihospital.org/wp-content/uploads/2016/01/Final-MDIH_HA-2016-CHNA-and-Action-Plan.pdf |
| Part V, Section B, Line 7b, Other website: | https://static1.squarespace.com/static/5d5fec1f2b3df90001522875/t/5f89d31835d7a45f1c9c4337/1602868000252/2020_MDI_Region_CHNA_Report_FINA.20+-+Copy+1.pdf |
| Part V, Section B, Line 10a, Implementation Plan: | CHNA Implementation Guide: https://www.mdihospital.org/wp-content/uploads/2018/01/CHNA-MDIHO-Implementation-Evaluation-2017.pdfCHNA Implementation Plan: https://www.mdihospital.org/wp-content/uploads/2016/01/CHNA-Strategic-Planning-Public-Presentation-Copy.pdf |
| Schedule H, Part V, Section B, Line 16a-16c: | Financial Assistance Policy URL:https://www.mdihospital.org/wp-content/uploads/2019/10/MDIH-Finance-Assistance-and-Free-Care-Policy-Approved-FC-2-24-2020.pdfFinancial Assistance Policy Application URL:https://www.mdihospital.org/insurance-and-billing-faqs/financial-assistance-application-checklist/Financial Assistance Plain Language Summary URL:https://www.mdihospital.org/wp-content/uploads/2019/05/Plain-Language-Summary-of-Financial-Assistance-Program-1557-revised-02-2020.pdf |
| Form 990, Schedule H, Part V-B, Line 2: | MDI Hospital was eligible for, and is relying on, the relief provided to hospitals in IRS Notice 2020-56, which extended the deadline for conducting a CHNA and adopting an implementation strategy until December 31, 2020 for eligible hospitals with CHNA requirements originally due between April 1, 2020 and December 31, 2020.The Hospital completed a CHNA and accompanying Implementation Plan in advance of the December 31, 2020 extended deadline, which are available on the Hospital's website at:CHNA: https://www.mdihospital.org/wp-content/uploads/2020/07/2020-MDI-Region-CHNA-Report-FINAL-7.8.20.pdfImplementation Plan: MDIH-Community-Health-Needs-Assessment-2020-Executive-Summary-Implementation-Plan-12.23.2020-1 (1).docxAccordingly, the Hospital should not be treated as failing to meet the requirements of Section 501(r) for the filing period. |
| 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Cadillac Family Practice | ||||
| 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 2 - Community Health Center | ||||
| 16 Community Lane | Southwest Harbor | ME | 04679 | Outpatient Clinic |
| 3 - Trenton Health Center | ||||
| 394 Bar Harbor Road | Trenton | ME | 04605 | Outpatient Clinic |
| 4 - Cooper Gilmore Health Center | ||||
| 17 Hancock Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 5 - MDI Behavioral Health Center | ||||
| 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 6 - MDI General Surgery | ||||
| 17 Hancock Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 7 - Lisa Stewart Women's Health Center | ||||
| 330 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 8 - MDI Orthopedics | ||||
| 10 Wayman Lane | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 9 - MDI Urology | ||||
| 10 Wayman Lane | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 10 - Northeast Harbor Health Center | ||||
| Kimball Road | Northeast Harbor | ME | 04679 | Outpatient Clinic |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 $ 5,972,022. |
| 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 $3,491,573. 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 on Page 13-14 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 is in compliance with 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: | MDI Hospital assesses the health needs of the community through the use of a collaborative Community Health Needs Assessment. As a key participant in the CHNA process, our institution is able to further address and identify those areas of most concern and need in our community. A community needs assessment is a point-in-time effort to measure the health and wellbeing of the community. It serves as a constructive tool to and basis for MDI Hospital's strategic and subsequent action planning to develop health policy advocacy, allocate resources, improve or expand existing services, implement new programs and collaborate with other community health care providers. A Community Health Needs Assessment also serves as a benchmark for future assessment of measured progress toward established community health objectives. MDI Hospital's Community Health Needs Assessment provides an opportunity to gain insight into the needs and assets that are served. It also provides a measure to identify and address the needs of the vulnerable populations within our community. The MDI Hospital process was a partnership with Healthy Acadia, a comprehensive community health coalition that was formed in 2001 with public health funding provided by the Maine Center for Disease Control and Prevention. The Community Health Improvement Plan and Health Needs Assessment were performed using the Mobilizing for Action through Planning and Partnerships process, which utilized a broad cross-section of our demographic and service area. This process delivered the basis for the assessment which demonstrated the strengths and opportunities for our plan. This process involved the gathering of quantitative data such as demographics, health indicators, and local statistical information as well as qualitative data from public surveys, focus groups, and community stakeholders. The data helps support short-term and long-term decisions about allocation of community human and capital resources. Participants included members of the Hospital's medical staff, nursing staff, board of trustees and administration. Focus groups were used to gain feedback from diverse and remote populations, as we are an institution that serves the rural and coastal community of Mount Desert Island and the other islands off the coast of Hancock County. This assessment, in conjunction with the Maine Shared Health Needs Assessment and Planning Process, which provides detailed surveillance data about the chronic health conditions or improved health of the population we serve, allows for a comparative measurement to determine priorities of focus. This collaborative effort developed several themes for strategic initiatives and goals. The organization reviewed the overarching needs and validated those to the health needs of the community. This process was reviewed and prioritized through the Board Designated Planning Committee of the organization, which develops and maintains oversight of the Hospital's official Community Health Needs Assessment and Implementation and Evaluation Plans. The Implementation Plan is reviewed periodically and updated as strategies and initiatives are completed or modified. Those items that were not achievable are reviewed and documented so as to help surpass the barrier for successful implementation and/or develop alternatives in the future. In its 2019 tax year, MDI Hospital continued to implement the results of the 2016 plan as there were several broad-reaching programs that will continue to be a focus for our organization, using supplemental data from the Maine Shared Health Needs and Planning Process (Maine SHNAPP). They were outlined in our corresponding implementation plan under the evaluation process. The 2016 plan continued on the foundation from the 2011 CHNA addressing the newly identified opportunities and has been approved by the Hospital's CHNA planning committee which has been authorized by the Hospital's board of directors to oversee the CHNA process on the board's behalf. The supplemental plan was approved, as well, while the Hospital engaged in a comprehensive update to its CHNA in partnership again with Healthy Acadia. The results are available upon request and through www.mdihospital.org.The Hospital also hosts community forums strategically located at sites throughout the service area to continue dialogue around accessibility to services, and ongoing healthy viability. These conversations aid in the ongoing development of the CHNA.The Hospital's county-wide Community Health Needs Assessment, which aligns many state and county partners in Hancock County, was led primarily by Northern Light Health and identified several health initiatives that MDI Hospital developed as part of its adopted implementation plan.The implementation and evaluation plans and CHNA are located on the Hospital's public website along with a notice to solicit comments from the community regarding any questions, suggestions or concerns regarding the CHNA and the implementation plan. |
| 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 the course of 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. |
| 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.As one of the largest employers on Mount Desert Island, the Hospital provided approximately 525 jobs in fiscal year 2020. Our network of island health centers is our frontline, providing the community with top quality, individualized primary care where they feel most at home. Our Hospital network offers five primary care facilities in Bar Harbor, Southwest Harbor, and Trenton as well as a full service dental clinic, a nationally recognized Breast Health Center, 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, 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, cardiac rehabilitation, dental/oral health services, digital mammography, 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 disorders 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 Hub and Spoke Center for the residents of Hancock County.In fiscal year 2020, 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. The organization provided $5.4 million in free and uncompensated care during the year.Community Partnerships: During fiscal year 2020, MDI Hospital partnered with many area organizations to reach a broad range of community members. These community partnerships 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, MDI Marathon, Bar Harbor Food Pantry, and the Southwest Harbor and Tremont Chamber of Commerce. These partnerships allow MDI Hospital and Health Centers to provide education, services, training and informational materials to individuals and organizations throughout Downeast Maine.In April 2020, the Hospital played a leading role in establishing the Downeast COVID-19 Task Force, which addresses pandemic-related issues.Dedicated Staff: In fiscal year 2020, 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, Hospital staff volunteered at Harbor House's Basketball Shoot-Out, MDI High School sporting events, and Bar Harbor's annual Luminary Walk in honor of breast cancer awareness.Oral Health Services: In fiscal year 2020, MDI Hospital was proud to partner with the American Dental Association (ADA) to host the Island's sixth annual Give Kids a Smile Day at our Community Dental Center in Southwest Harbor. This event was founded by the ADA to raise awareness of the critical need for access to oral healthcare. Children were provided 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 is able to connect clinicians in the ICU, ER, and on outer islands with providers located miles away. Telemedicine was expanded very rapidly so that MDIH could continue to serve its patients during the COVID pandemic.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.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 patients needs to be hospitalized, 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 Nathan Donaldson, DO, MHA, FACEP. Dr. Donaldson is the Medical Director for all Bar Harbor, Northeast Harbor and Southwest Harbor Emergency Medical Services (EMS). Dr. Donaldson is a board-certified emergency physician with a background in sports medicine. As an EMS director, Dr. Donaldson facilitates quarterly education reviews and protocol updates for all Island EMS professionals.(continued in Schedule H, Supplemental Information section) |
| Part VI, Line 6: | N/A |
| Part VI, Line 7, Reports Filed With States | ME |
| 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: MDI Hospital has provided medical support and organizes volunteers for the MDI marathon for the past 15 years.Subsidized Health Services: YES (Your Exercise Solution) class in Bar Harbor, MDI Hospital's free Wellness Program provides two classes per week for 50 weeks.Free Blood Pressure Clinics: MDI Hospital's Community Health Educator provided free blood pressure clinics throughout the island.Community Walking Program: Healthcare Coaches coordinate both spring and fall walking programs for the community.Free Cancer Support Group: With sponsorship from the MDI Hospital Auxiliary and MDI Behavioral Health Center, and in collaboration with the Beth C. Wright Cancer Resource Center, 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. Between May 2019 and April 2020, the program helped 19 patients receive 65 free prescriptions valued at $30,664 wholesale. Since inception, the program has saved participants over $1,818,256.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: During fiscal year 2020, 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships for students pursuing a degree in medical or healthcare-related fields | GrantTypeTxt |
| Recipient | 21 | RecipientCnt |
| Cash Grant | $31,500 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | All high school seniors within Hancock County, Maine 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. After determining the number of eligible applications and the amount of funds available from available funds, the Hospital will determine the amount of scholarships that it can award in a given year. A chosen scholarship-recipient may be awarded a grant from the Hospital for up to four years. The Hospital maintains separate and unique books and records to substantiate and track all scholarships awarded to ensure they are used for their intended purpose. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stuart Davidson MD | ||||||||||||||
| Trustee/Chief Medical Officer | $541,651 | $0 | $0 | $0 | $14,273 | $0 | $0 | $0 | $41,104 | $0 | $597,028 | $0 | $0 | $0 |
| Charles Hendricks MD | ||||||||||||||
| Physician | $538,857 | $0 | $0 | $0 | $10,041 | $0 | $0 | $0 | $27,773 | $0 | $576,671 | $0 | $0 | $0 |
| Aaron Perme MD | ||||||||||||||
| Physician | $411,015 | $0 | $0 | $0 | $54,547 | $0 | $0 | $0 | $17,753 | $0 | $483,315 | $0 | $0 | $0 |
| Nathan Donaldson MD | ||||||||||||||
| Trustee/Medical Staff President | $340,407 | $0 | $0 | $0 | $25,300 | $0 | $0 | $0 | $35,458 | $0 | $401,165 | $0 | $0 | $0 |
| Arthur J Blank | ||||||||||||||
| President & CEO (ret. 12/20) | $340,989 | $0 | $7,663 | $0 | $15,414 | $0 | $0 | $0 | $35,959 | $0 | $400,025 | $0 | $0 | $0 |
| Katherine Gassman MD | ||||||||||||||
| Physician | $361,642 | $0 | $0 | $0 | $20,603 | $0 | $0 | $0 | $14,195 | $0 | $396,440 | $0 | $0 | $0 |
| Diehl Snyder MD | ||||||||||||||
| Psychiatrist | $294,406 | $0 | $0 | $0 | $3,642 | $0 | $0 | $0 | $30,195 | $0 | $328,243 | $0 | $0 | $0 |
| Andres Abreu MD | ||||||||||||||
| Physician | $262,683 | $0 | $0 | $0 | $40,796 | $0 | $0 | $0 | $20,601 | $0 | $324,080 | $0 | $0 | $0 |
| Christina Maguire | ||||||||||||||
| SVP/COO/CFO | $236,887 | $0 | $12,925 | $0 | $5,920 | $0 | $9,284 | $0 | $19,548 | $0 | $284,564 | $0 | $0 | $0 |
| Julian Kuffler MD | ||||||||||||||
| 2nd Vice Chair/Physician | $159,324 | $0 | $0 | $0 | $5,463 | $0 | $0 | $0 | $27,816 | $0 | $192,603 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | The Hospital provides the President & CEO's fitness membership, which is approximately $443 per year. The Hospital reimburses all other benefitted employees, including other employees listed in Part VII, $150 annually toward a health club membership with appropriate supporting documentation. These amounts are included in employees' taxable wages in Box 5 of their W-2's. |
| Part I, Line 7 | Performance-based variable compensation which is subject to review annually by a board compensation committee. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MHHEFA 2017B Bond | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 010314384 | BondIssuerEIN |
| Bond Issued | 2017-12-26 | BondIssuedDt |
| Issue Price | $1,734,855 | IssuePriceAmt |
| Purpose | Refinancing of 2007B Bond | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $1,710,000 | TotalProceedsAmt |
| Other Spent Proceeds | $1,710,000 | OtherSpentProceedsAmt |
| Substantial Completion | 2007 | SubstantialCompletionYr |
| Refunding Tax Exempt Bonds | Yes (1) | RefundingTaxExemptBondsInd |
| Refunding Taxable Bonds | 0 | RefundingTaxableBondsInd |
| Final Allocation Made | Yes (1) | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | 0 | MgmtContractBondFincdPropInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | Yes (1) | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | Yes (1) | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | Yes (1) | ProceduresCorrectiveActionInd |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $70,151 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Stock Exchange Value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (1) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | Yes (1) | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 32b: | FormAndLineReferenceDesc |
| Explanation | The 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Persons who have endorsed the stated purpose of the Hospital shall be eligible for membership as Incorporators. The term of membership of all Incorporators shall be 5 years and terms expire at each Annual Meeting. At the Annual Meeting, the Incorporators may re-elect some or all of the Incorporators whose terms have expired at that meeting and may elect additional Incorporators provided, however, that the total number of members being re-elected plus additional members being elected shall not exceed thirty five elected members. |
| Form 990, Part VI, Section A, line 7a | The voting Trustees shall be a maximum of 22 in number. The elected Incorporators shall choose up to 19 Trustees, all of whom shall have full voting rights. |
| Form 990, Part VI, Section B, line 11b | The Form 990 is prepared by an outside independent accounting firm with input and assistance from Finance Department staff. The initial review of the Form 990 is Trustees are provided with an electronic copy of the Form 990 and all supporting schedules (printed versions are also available upon request). Once the Finance Committee has completed its review, all Board of Trustees members are provided with a copy of the Form 990 and supporting schedules. Trustees are given the opportunity to comment and review before the Form 990 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. Trustees are also provided with a copy of the final Form 990 as it is filed. |
| Form 990, Part VI, Section B, line 12c | Mount 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 15 | The 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 19 | The 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. Stuart Davidson, Dr. Nathan Donaldson, 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 11g | Consulting: Program service expenses 0. Management and general expenses 66,997. Fundraising expenses 0. Total expenses 66,997. Contract Labor: Program service expenses 1,776,608. Management and general expenses 527,023. Fundraising expenses 0. Total expenses 2,303,631. Physician fees: Program service expenses 4,182,574. Management and general expenses 1,240,744. Fundraising expenses 0. Total expenses 5,423,318. Outside lab fees: Program service expenses 619,959. Management and general expenses 0. Fundraising expenses 0. Total expenses 619,959. |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Birch Bay Retirement Village | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8 10 Wayman Lane | AddressLine1Txt |
| City | Bar Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 046090008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010481696 | EIN |
| Primary Activities | Retirement Community | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(3) | ExemptCodeSectionTxt |
| Public Charity Status | Line 12a, I | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Desert Island Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Desert Management Company | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8 10 Wayman Lane | AddressLine1Txt |
| City | Bar Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04609 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010538776 | EIN |
| Primary Activities | Real Estate Development | PrimaryActivitiesTxt |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Entity Type | C | EntityTypeTxt |
| Controlled Organization | 0 | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Birch Bay Retirement Village | ||
| O | $462,870 | Actual per Books |
| Birch Bay Retirement Village | ||
| R | $16,958 | Actual per Books |
| Birch Bay Retirement Village | ||
| S | $1,050,000 | Actual per Books |