MOUNT DESERT ISLAND HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT DESERT ISLAND HOSPITAL (EIN 01-0211797)
- Tax period
- 2016-05-01 to 2017-04-30
- Filed
- 2018-03-12
- IRS object ID
- 201840719349300329
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-03-12T14:39:00-05:00 | ReturnTs |
| Tax Period End | 2017-04-30 | 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 | 2016-05-01 | 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-Harding | PersonNm |
| Person Title | VP of Finance & CFO | PersonTitleTxt |
| Phone | 2072885081 | PhoneNum |
| Signature | 2018-03-11 | SignatureDt |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Nicholas E Porto | PreparerPersonNm |
| PTIN | P01310283 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2018-03-11 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.105.168.164 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-03-11 | IPDt |
| IP Tm | 14:44:31 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | AE7C1EA16D8AAA5622960641DD82C01E60BE7149 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 2CC4C4610C7CE537855CCDE76D04A8640C960E3E | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Arthur J Blank | 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 | $67,459,631 | 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 | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 15 | VotingMembersIndependentCnt |
| Total Employee | 510 | TotalEmployeeCnt |
| Total Volunteers | 138 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,413,911 | PYContributionsGrantsAmt |
| CY Contributions Grants | $3,552,887 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $53,807,800 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $59,995,690 | CYProgramServiceRevenueAmt |
| PY Investment Income | $210,657 | PYInvestmentIncomeAmt |
| CY Investment Income | $253,972 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$14,038 | PYOtherRevenueAmt |
| CY Other Revenue | $13,200 | CYOtherRevenueAmt |
| PY Total Revenue | $55,418,330 | PYTotalRevenueAmt |
| CY Total Revenue | $63,815,749 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $31,843,846 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,557,946 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $2,757 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $148,169 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $23,447,485 | PYOtherExpensesAmt |
| CY Other Expenses | $25,698,945 | CYOtherExpensesAmt |
| PY Total Expenses | $55,291,331 | PYTotalExpensesAmt |
| CY Total Expenses | $59,259,648 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $126,999 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,556,101 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $48,075,250 | TotalAssetsBOYAmt |
| Total Assets EOY | $51,969,386 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $27,536,900 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,186,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $20,538,350 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $25,783,350 | 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 | $47,486,844 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $60,008,890 | RevenueAmt |
| Desc | In fiscal year 2017, Mount Desert Island (MDI) Hospital provided $5,753,830 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 $1,374,708. 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, and our oral health program which included education and outreach to the community, schools, and service providers. Throughout the year, staff from the Hospital make presentations to area school children regarding smoking cessation, wellness, health, activity, nutrition, and oral health, including a 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 | $47,486,844 | 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 |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| 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 | 0 | 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 | 0 | 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 With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| 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 | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 96 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 510 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 15 | 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 | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | 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 | 0 | 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 | Arthur J Blank | 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 (27 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 | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| John Benson MD | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Reverend Robert Benson | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Stewart Brecher | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Stuart Davidson MD | ||||||||
| Trustee/Medical Staff Pres | 36.00 | 0.00 | Yes (X) | $485,697 | $0 | $27,368 | ||
| David Einhorn Esq | ||||||||
| 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 | ||
| Patricia Hand PhD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Charles Manee Hutchins | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Lawrence Legutko | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Beverly Paigen PhD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dean Read | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| William Rudolf | ||||||||
| 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 | ||
| Vince Messer PhD | ||||||||
| Board Chair | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| James R Bright | ||||||||
| 1st Vice Chair | 3.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Julian Kuffler MD | ||||||||
| 2nd Vice Chair/Physician | 40.00 | 0.00 | Yes (X) | $256,743 | $0 | $30,696 | Yes (X) | |
| Arthur J Blank | ||||||||
| President & CEO | 40.00 | 2.00 | Yes (X) | $335,546 | $0 | $29,691 | Yes (X) | |
| Christina Maguire-Harding | ||||||||
| VP Finance/Treasurer/Clerk | 40.00 | 1.00 | $182,561 | $0 | $23,959 | Yes (X) | ||
| Holly Thulin | ||||||||
| Secretary (part year) | 40.00 | 0.00 | $29,385 | $0 | $6,212 | Yes (X) | ||
| Erin Levy | ||||||||
| Secretary | 40.00 | 0.00 | $0 | $0 | $0 | Yes (X) | ||
| Mark Kandutsch MD | ||||||||
| Physician | 40.00 | 0.00 | $282,614 | $0 | $34,356 | Yes (X) | ||
| Nathan Donaldson DO MHA FACEP | ||||||||
| Physician | 40.00 | 0.00 | $322,916 | $0 | $30,361 | Yes (X) | ||
| Edward Gilmore MD MACP | ||||||||
| Chief Medical Officer | 40.00 | 0.00 | $282,497 | $0 | $15,767 | Yes (X) | ||
| Diehl Snyder MD | ||||||||
| Physician | 40.00 | 0.00 | $240,117 | $0 | $23,943 | Yes (X) | ||
| Tanya Hanke DO | ||||||||
| Physician | 40.00 | 0.00 | $261,340 | $0 | $17,715 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,679,416 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $240,068 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 35 | 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 | $565,130 |
| Vista Staffing Solutions Inc | |||||
| 275 East 200 South | Salt Lake City | UT | 84111 | Locum Agency | $462,776 |
| Barton Associates Inc | |||||
| 300 Jubilee Drive | Peabody | MA | 01960 | Locum Agency | $435,039 |
| Comprehensive Pharmacy Services Inc | |||||
| PO Box 638316 | Cincinnati | OH | 452638316 | Pharmacy Management Services | $424,466 |
| Hancock Community Health LLC | |||||
| PO Box 8 | Bar Harbor | ME | 04609 | Dental Services | $342,735 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 16 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $3,552,887 | AllOtherContributionsAmt |
| Noncash Contributions | $65,430 | NoncashContributionsAmt |
| Total Contributions | $3,552,887 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Services | 621990 | $56,154,556 | $56,154,556 |
| Pharmacy | 621400 | $1,409,340 | $1,409,340 |
| Other Operating | 621400 | $1,269,830 | $1,269,830 |
| Meaningful Use | 621400 | $743,037 | $743,037 |
| Healthcare Administration | 621400 | $220,795 | $220,795 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $198,132 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $198,132 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $59,995,690 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $251,048 | TotalRevenueColumnAmt |
| Exclusion | $251,048 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,200 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,200 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,200 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,200 | RelatedOrExemptFuncIncomeAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,646,056 | SecuritiesAmt |
| Other | $750 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $3,643,882 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $2,174 | SecuritiesAmt |
| Other | $750 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,924 | TotalRevenueColumnAmt |
| Exclusion | $2,924 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $63,815,749 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $60,008,890 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $253,972 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,709,626 | TotalAmt |
| Program Services | $1,102,271 | ProgramServicesAmt |
| Management And General | $607,355 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,401,743 | TotalAmt |
| Program Services | $18,116,035 | ProgramServicesAmt |
| Management And General | $4,185,976 | ManagementAndGeneralAmt |
| Fundraising | $99,732 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $522,802 | TotalAmt |
| Program Services | $376,222 | ProgramServicesAmt |
| Management And General | $146,580 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,286,072 | TotalAmt |
| Program Services | $5,193,742 | ProgramServicesAmt |
| Management And General | $2,092,330 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,637,703 | TotalAmt |
| Program Services | $1,162,769 | ProgramServicesAmt |
| Management And General | $474,934 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $87,305 | TotalAmt |
| Management And General | $87,305 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,829 | TotalAmt |
| Management And General | $101,829 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,757 | TotalAmt |
| Fundraising | $2,757 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,163 | TotalAmt |
| Management And General | $33,163 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,617,626 | TotalAmt |
| Program Services | $7,396,122 | ProgramServicesAmt |
| Management And General | $2,221,504 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,794 | TotalAmt |
| Management And General | $82,794 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,070,440 | TotalAmt |
| Program Services | $4,941,094 | ProgramServicesAmt |
| Management And General | $83,666 | ManagementAndGeneralAmt |
| Fundraising | $45,680 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $875,065 | TotalAmt |
| Program Services | $726,186 | ProgramServicesAmt |
| Management And General | $148,879 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $56,368 | TotalAmt |
| Program Services | $31,351 | ProgramServicesAmt |
| Management And General | $25,017 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,590 | TotalAmt |
| Program Services | $147,847 | ProgramServicesAmt |
| Management And General | $188,743 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $525,578 | TotalAmt |
| Program Services | $420,462 | ProgramServicesAmt |
| Management And General | $105,116 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,624,208 | TotalAmt |
| Program Services | $1,299,366 | ProgramServicesAmt |
| Management And General | $324,842 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $541,718 | TotalAmt |
| Program Services | $411,644 | ProgramServicesAmt |
| Management And General | $130,074 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Bad Debt Expense | $3,735,577 | $3,735,577 | |
| Hospital Provider Tax | $1,125,762 | $1,125,762 | |
| Equipment Rental/Mainte | $947,700 | $867,253 | $80,447 |
| Food and Nutrition | $201,636 | $201,636 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $735,586 | TotalAmt |
| Program Services | $231,505 | ProgramServicesAmt |
| Management And General | $504,081 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $59,259,648 | TotalAmt |
| Program Services | $47,486,844 | ProgramServicesAmt |
| Management And General | $11,624,635 | ManagementAndGeneralAmt |
| Fundraising | $148,169 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,290 | BOYAmt |
| EOY | $2,289 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,772,351 | BOYAmt |
| EOY | $2,277,866 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,775 | BOYAmt |
| EOY | $1,307,832 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,700,678 | BOYAmt |
| EOY | $6,579,530 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $711,591 | BOYAmt |
| EOY | $719,180 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $452,808 | BOYAmt |
| EOY | $907,193 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $51,319,179 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $29,823,846 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,569,633 | BOYAmt |
| EOY | $21,495,333 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,335,471 | BOYAmt |
| EOY | $9,502,285 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,801,125 | BOYAmt |
| EOY | $1,931,881 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,000 | BOYAmt |
| EOY | $100,000 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $44,629 | BOYAmt |
| EOY | $35,473 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,449,899 | BOYAmt |
| EOY | $7,110,524 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,075,250 | BOYAmt |
| EOY | $51,969,386 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,158,634 | BOYAmt |
| EOY | $7,769,563 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,622,786 | BOYAmt |
| EOY | $2,041,638 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,120,738 | BOYAmt |
| EOY | $6,201,117 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,200,892 | BOYAmt |
| EOY | $2,822,154 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,433,850 | BOYAmt |
| EOY | $7,351,564 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,536,900 | BOYAmt |
| EOY | $26,186,036 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,702,491 | BOYAmt |
| EOY | $20,110,961 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,831,059 | BOYAmt |
| EOY | $3,485,084 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,004,800 | BOYAmt |
| EOY | $2,187,305 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,538,350 | BOYAmt |
| EOY | $25,783,350 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,075,250 | BOYAmt |
| EOY | $51,969,386 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,556,101 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $706,195 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$17,296 | 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 | $7,239 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $7,239 | 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 | A portion of dues paid to the Maine Hospital Association and the American Hospital Association are available for lobbying. For the filing period, the amount paid to MHA available for lobbying was $2,867 and for AHA the amount was $4,372. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,987,538 | BeginningYearBalanceAmt |
| Contributions | $250,000 | ContributionsAmt |
| Investment Earnings Or Losses | $372,871 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,450,000 | OtherExpendituresAmt |
| Administrative Expenses | $26,476 | AdministrativeExpensesAmt |
| End Year Balance | $6,133,933 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,591,431 | BeginningYearBalanceAmt |
| Contributions | $25,000 | ContributionsAmt |
| Investment Earnings Or Losses | $625,391 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $225,000 | OtherExpendituresAmt |
| Administrative Expenses | $29,284 | AdministrativeExpensesAmt |
| End Year Balance | $6,987,538 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,300,481 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $588,719 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $270,000 | OtherExpendituresAmt |
| Administrative Expenses | $27,769 | AdministrativeExpensesAmt |
| End Year Balance | $6,591,431 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.86340 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.13660 | 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 | $4,258,948 | OtherCostOrOtherBasisAmt |
| Book Value | $4,258,948 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $28,456,094 | OtherCostOrOtherBasisAmt |
| Depreciation | $15,665,836 | DepreciationAmt |
| Book Value | $12,790,258 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $235,558 | OtherCostOrOtherBasisAmt |
| Depreciation | $166,904 | DepreciationAmt |
| Book Value | $68,654 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $18,163,408 | OtherCostOrOtherBasisAmt |
| Depreciation | $13,991,106 | DepreciationAmt |
| Book Value | $4,172,302 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $205,171 | OtherCostOrOtherBasisAmt |
| Book Value | $205,171 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $21,495,333 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Due from Affiliates | $4,405,406 |
| Aetna Deposit | $98,000 |
| Other Receivables | $893,896 |
| Estimated Third Party Settlements | $1,713,222 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $7,110,524 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred Compensation | $2,873,043 |
| Estimated Third Party Settlements | $4,078,714 |
| Due to Affiliate | $399,807 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $7,351,564 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $64,340,612 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $706,195 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $706,195 | RevenueNotReportedAmt |
| Revenue Subtotal | $63,634,417 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $33,163 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $148,169 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $181,332 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $63,815,749 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $59,078,316 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $59,078,316 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $33,163 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $148,169 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $181,332 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $59,259,648 | 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) Accounting Standards Coalition (ASC) 740, Income Taxes. At April 30, 2017 and 2016, 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. |
| Part XI, Line 4b - Other Adjustments: | Fundraising Expenses Netted with Revenue on AFS 148,169. |
| Part XII, Line 4b - Other Adjustments: | Fundraising Expenses Netted with Revenue on AFS 148,169. |
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 | $530,343 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $530,343 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00960 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,223,487 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,379,122 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $844,365 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01520 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,753,830 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,379,122 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,374,708 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02480 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $100,496 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $100,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00180 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,971,084 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,072,623 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,898,461 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10620 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,071,580 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $7,072,623 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,998,957 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,825,410 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,451,745 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $7,373,665 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.13280 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $2,261,571 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,168,648 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $17,757,533 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,588,885 | 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 | 15 | 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 | 15 | 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 |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| 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 (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Mount Desert Island Hospital | Part V, Section B, Line 5: Mount Desert Island Hospital participated in the Maine State Statewide Community Health Needs Assessment that focused on individual counties within the State, and during fiscal 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. MDIH felt that our community and service area would best be served by a more focused and representative CHNA. MDIH collaborated with Healthy Acadia to perform a focused CHNA for our services area commencing in September 2015. Additionally, Mount Desert Island Hospital partnered with a number of other medical and community organizations to prepare a county-wide CHNA that was completed in February 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. |
| Mount Desert Island Hospital | Part V, Section B, Line 6a: Additional hospitals participating in the supplemental countywide CHNA were Eastern Maine Health System, MaineHealth, and MaineGeneral Health. |
| Mount Desert Island Hospital | Part V, Section B, Line 6b: The Hospital's primary CHNA published during tax year 2015 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 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 results were approved by the Planning Committee of the Board of Trustees in March of 2016. The Hospital's Planning Committee oversees the work and the implementation of the CHNA including revisions and ongoing implementation evaluations. |
| 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, 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. |
| Part V, 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, Line 7b, Other website: | https://healthyacadia.org/resources/documents/Final-MDIH_HA-2016-CHNA-and-Action-Plan.pdf |
| Part V, Line 10a, Implementation Plan: | CHNA Implementation Guide: https://www.mdihospital.org/wp-content/uploads/2016/01/CHNA-Mount-Desert-Island-Hospital-Organization-Implementation-Guide.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/2017/01/MDIHO-Financial-Assistance-Policy-FC-Approved-01-2017.pdfFinancial Assistance Policy Application URL:https://www.mdihospital.org/wp-content/uploads/2014/08/FAPApplication.pdfFinancial Assistance Plain Languange Summary URL:https://www.mdihospital.org/wp-content/uploads/2017/01/Plain-Language-Summary-of-Financial-Assistance-Program-1557-01-2017.pdf |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 13 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Community Health Center | ||||
| 16 Community Lane | Southwest Harbor | ME | 04679 | Outpatient Clinic |
| 2 - Trenton Health Center | ||||
| 394 Bar Harbor Road | Trenton | ME | 04605 | Outpatient Clinic |
| 3 - Behavioral Health Center | ||||
| 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 4 - Cooper Gilmore Health Center | ||||
| 17 Hancock Road | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 5 - Cadillac Family Practice | ||||
| 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 6 - Family Health Center | ||||
| 9 Hancock Road | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 7 - Lisa Stewart Women's Health Center | ||||
| 8 Wayman Lane | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 8 - MDI Orthopedics | ||||
| 10 Wayman Lane | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 9 - MDI Dermatology Health Center | ||||
| 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 10 - MDI Urology | ||||
| 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 11 - MDI General Surgery | ||||
| 17 Hancock Road | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 12 - Northeast Harbor Health Center | ||||
| Kimball Road | Northeast Harbor | ME | 04679 | Outpatient Clinic |
| 13 - MDI Podiatry | ||||
| 10 Wayman Lane | Bar Harbor | ME | 04609 | 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 $ 3,735,577. |
| 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 (MDIH) 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 are estimated to be $2,261,571. 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 8 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 above 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 like-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, this benefits the entire community at large. |
| 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 are on our website, on our account statements, and posted in public areas and at our provider clinics. We also make available a Patient Financial Counselor to help navigate the process. |
| Part VI, Line 2: | Mount Desert Island 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 Mount Desert Island 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. Mount Desert Island 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 Mount Desert Island 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 as to the barrier for successful implementation and/or alternatives. MDI Hospital is currently implementing the results of the 2016 plan as there are 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 are outlined on our adopted implementation plan under the evaluation process. The revised 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 who 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's county-wide Community Health Needs Assessment, which aligns many state and county partners in Hancock County, was led primarily by Eastern Maine Health Systems 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 clinics of our organization. The Hospital provides a patient financial representative to help navigate the process to ensure that our patients have access to the care and services they need. MDIH 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. MDIH 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. A patient financial representative 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 are 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 MDIH, including contact information, is available through messaging included on patient bills, physician offices, public areas, care management staff, registration areas, billing support staff, and reception in the Hospital and at our 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 this information may be found 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: | Mount Desert Island 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, which has 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 opened 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: | Mount Desert Island 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 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 MDI, the Hospital provided approximately 530 jobs in fiscal year 2017. Our network of island health centers are our frontline, providing the community with top quality, individualized primary care where they feel most at home. Our Hospital network offers seven primary care facilities in Bar Harbor, Northeast Harbor, Southwest Harbor, and Trenton as well as a new full service dental clinic, a nationally recognized Breast Health Center, and comprehensive behavioral health services. MDI Hospital Organization Services: Breast Health Center at MDI Hospital, Cadillac Family Practice, Cooper Gilmore Health Center, Community Health Center, Community Dental Center, Lisa Stewart Women's Health Center, MDI Behavioral Health Center, Northeast Harbor Clinic (seasonal), 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.In fiscal year 2017, 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 $5.7 million in free and uncompensated care during the year. Community PartnershipsDuring fiscal year 2017, MDIH partnered with many area organizations to reach a broad range of community members. These community partnerships included MDI YMCA, Healthy Acadia, Connors Emerson School, AOS 91 School District, Havana Restaurant, Jesup Memorial Library, Southwest Harbor Public Library, Hancock County Emergency Management, MDI Search and Rescue, Acadia National Park, Life Flight of Maine, Eastern Maine Medical Center, Maine Coast Memorial Hospital, 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. Dedicated StaffIn fiscal year 2017, 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, MDI Rotary, Island Connections, MDI YMCA, Island Housing Trust, MDI Lioness Club, Acadia National Park, Beth C. Wright Cancer Center, and American Cancer Society Relay for Life. MDIH staff also hosted a table during Bar Harbor's annual Halloween celebration on Ledgelawn, 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.Community Health ServicesOral Health Services: In fiscal year 2017, MDI Hospital was proud to partner with the American Dental Association (ADA) to host the Island's fourth 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.Flu Shot Clinics: The Hospital conducts low-cost public flu clinics each year at several locations throughout the community. A total of 50 people took advantage of these convenient clinics in fiscal year 2017.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, MDIH is able to connect clinicians in the ICU, ER, and on outer islands with providers' located miles away.Nutrition Education: MDI Hospital dietitians provide a variety of educational and outreach services to the community each year. In fiscal year 2017, these efforts included: health coaching as part of the Jackson Laboratory's Health and Fitness Program; food safety education for the Jackson Laboratory Safety Fair; diabetes education program; nutrition education for the Diabetes Prevention Program classes; participation in the MDI Hospital health fair; individual nutrition counseling to hospital staff; nutrition and exercise education for the Food Revolution Day for elementary school students; nutrition education through grocery store tours as the local Hannaford; and nutrition education presentations and talks for Jackson Lab employees.Palliative Care Team: In fiscal year 2017, MDI Hospital launched a new Palliative Care Program offering both inpatient and outpatient consultations for patients suffering from serious 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: In fiscal year 2017, MDI Hospital began operational implementation of our Integrated Care Model, a way to give our patients better, more personalized care. Under our Integrated Care Model, care is provided by a care team that works together to give 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. Each patient's care team is led by their primary care practitioner, who helps to establish and maintain their care plan. Patients receive regular follow-up calls from their care manager, 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 a patient needs to be hospitalized, their care team works with their hospital care practitioners to coordinate their care.School Based Nurse Program: MDI Hospital provides nursing services to the following schools: Trenton, Tremont, Pemetic Schools and College of the Atlantic. MDIH also provides Family Nurse Practitioner services to MDI High School one day per week during the school year. Oversight and training to all Island emergency medical servicesMDI 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.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 14 years.(continued) |
| Part VI, Line 6: | N/A |
| Part VI, Line 7, Reports Filed With States | ME |
| Schedule H, Part VI, Line 5 (continued) | Subsidized Health Services: YES (Your Exercise Solution) class in Bar Harbor, MDI Hospital's free Wellness Program provided two classes per week for 50 weeks to a total of 1664 participants.Free Blood Pressure Clinics: MDI Hospital's Wellness Department provided free blood pressure clinics throughout the island, serving 60 people.Community Walking Program: A total of 352 people participated in the spring and fall walking programs.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 access free or reduced cost medications available through programs sponsored by pharmaceutical companies. Between May 2016 and April 2017, the program helped 103 patients receive free prescriptions valued at $168,400 wholesale. Since inception, the program has saved participants over $2,034,000. Chronic Disease Prevention Programs: MDI Hospital continues to provide support for programs operated by Healthy Acadia for the management of chronic disease. Affordable Care Act Education: During fiscally year 2017, MDI Hospital offered health insurance enrollment counseling to help community members explore their health insurance options on the Health Insurance Marketplace. Other Programs: In fiscal year 2017, 52 people attend MDI Hospital's health fair; 25 people attended MDI Hospital health screenings held at COA; 20 people participated in bone density and cholesterol screenings at MDI High School; 2 pre-diabetes classes were offered free to the community; MDI Hospital hosted 1 blood drive; and 1 smoking cessation group was offered. |
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 (9 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/Medical Staff Pres | $460,566 | $0 | $0 | $0 | $25,131 | $0 | $0 | $0 | $27,368 | $0 | $513,065 | $0 | $0 | $0 |
| Julian Kuffler MD | ||||||||||||||
| 2nd Vice Chair/Physician | $241,227 | $0 | $0 | $0 | $15,516 | $0 | $0 | $0 | $30,696 | $0 | $287,439 | $0 | $0 | $0 |
| Arthur J Blank | ||||||||||||||
| President & CEO | $283,582 | $0 | $14,163 | $0 | $37,801 | $0 | $0 | $0 | $29,691 | $0 | $365,237 | $0 | $0 | $0 |
| Christina Maguire-Harding | ||||||||||||||
| VP Finance/Treasurer/Clerk | $172,181 | $0 | $8,142 | $0 | $2,238 | $0 | $7,088 | $0 | $16,871 | $0 | $206,520 | $0 | $0 | $0 |
| Mark Kandutsch MD | ||||||||||||||
| Physician | $253,758 | $0 | $21,844 | $0 | $7,012 | $0 | $0 | $0 | $34,356 | $0 | $316,970 | $0 | $0 | $0 |
| Nathan Donaldson DO MHA FACEP | ||||||||||||||
| Physician | $288,489 | $0 | $0 | $0 | $34,427 | $0 | $0 | $0 | $30,361 | $0 | $353,277 | $0 | $0 | $0 |
| Edward Gilmore MD MACP | ||||||||||||||
| Chief Medical Officer | $264,877 | $0 | $0 | $0 | $17,620 | $0 | $0 | $0 | $15,767 | $0 | $298,264 | $0 | $0 | $0 |
| Diehl Snyder MD | ||||||||||||||
| Physician | $230,149 | $0 | $0 | $0 | $9,968 | $0 | $0 | $0 | $23,943 | $0 | $264,060 | $0 | $0 | $0 |
| Tanya Hanke DO | ||||||||||||||
| Physician | $185,852 | $0 | $44,799 | $0 | $30,689 | $0 | $0 | $0 | $17,715 | $0 | $279,055 | $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 $399 per year. The Hospital reimburses all other benefitted employees, including other employees listed in Part VII, $100 annually toward a health club membership with appropriate supporting documentation. |
| 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 (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| MHHEFA 2006F Bond | |||||||
| A | 010314384 | 2005-07-03 | $707,200 | Replacement of central chiller | 0 | 0 | 0 |
| MHHEFA 2007B Bond | |||||||
| B | 010314384 | 2007-07-03 | $4,427,988 | Clinic construction, office and clinic space | 0 | 0 | 0 |
| MHHEFA 2010B Bond | |||||||
| C | 010314384 | 2010-07-01 | Reinfinancing of 1998A bond for renovation of outpatient service area | 0 | 0 | 0 | |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Other Spent ProceedsOtherSpentProceedsAmt |
|---|---|---|---|---|---|---|---|---|
| A | $707,200 | $707,200 | 2008 | 0 | 0 | Yes (1) | Yes (1) | |
| B | $4,427,988 | $4,427,988 | 2009 | 0 | 0 | Yes (1) | Yes (1) | |
| C | $1,200,000 | 1999 | Yes (1) | 0 | Yes (1) | Yes (1) | $1,200,000 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd |
|---|---|---|---|---|---|---|---|---|---|
| A | Yes (1) | 0 | 0 | 0 | 0 | Yes (1) | |||
| B | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| C | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
| C | Yes (1) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Date Rebate Computation Performed | FormAndLineReferenceDesc |
| Explanation | Issuer Name: MHHEFA 2007B Bond Date the Rebate Computation was Performed: 12/29/2012 Issuer Name: MHHEFA 2010B Bond Date the Rebate Computation was Performed: 08/21/2015 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Dr John Benson | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Trustee | RelationshipDescriptionTxt |
| Transaction | $301,766 | TransactionAmt |
| Transaction | John Benson, MD is the proprietor of J&D Imaging, Inc. which is contracted with MDI Hospital to preform radiology and imaging services. The equipment is under lease from J&D Imaging, Inc. Although Dr. Benson is a member of the Board of Trustees, he abstains from any motion or situation which may be deemed a conflict of interest and duly reports and completes all required disclosure documents. All transactions are at arms-length. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 3 | ContributionCnt |
| Noncash Contributions Rpt F990 | $65,430 | 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 (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 performed by the Finance Committee of the Hospital's Board of Directors. Members 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. Board Members 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 Board members. Board Members 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 or a committee appointed by the Board, 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 may use outside advisors. |
| Form 990, Part VI, Section B, line 15a | 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 and Dr. Julius Kuffler are employees and/or independent contractors affiliated with Mount Desert Island Hospital. Compensation paid to them is for their services in these roles, and not for their services as Trustees. |
| Form 990, Part IX, line 11g | Consulting: Program service expenses 0. Management and general expenses 68,932. Fundraising expenses 0. Total expenses 68,932. Purchased Services: Program service expenses 6,162,960. Management and general expenses 2,085,959. Fundraising expenses 0. Total expenses 8,248,919. Physician Fees: Program service expenses 696,336. Management and general expenses 66,613. Fundraising expenses 0. Total expenses 762,949. Outside Lab Fees: Program service expenses 536,826. Management and general expenses 0. Fundraising expenses 0. Total expenses 536,826. |
| Form 990, Part XI, line 9: | Equity Transfer to Affiliate -17,296. |
| 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 | $1,113,479 | Actual per Books |
| Birch Bay Retirement Village | ||
| R | $52,092 | Actual per Books |
| Birch Bay Retirement Village | ||
| S | $1,480,839 | Actual per Books |