MOUNT DESERT ISLAND HOSPITAL: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT DESERT ISLAND HOSPITAL (EIN 01-0211797)
- Tax period
- 2023-05-01 to 2024-04-30
- Filed
- 2025-03-05
- IRS object ID
- 202500649349301320
- Schema version
- 2023v6.0
- 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 G
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2025-03-05T14:22:45-06:00 | ReturnTs |
| Tax Period End | 2024-04-30 | 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 | 2023-05-01 | 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 | Michelle Smith | PersonNm |
| Person Title | Treasurer/CFO | PersonTitleTxt |
| Phone | 2072885081 | PhoneNum |
| Signature | 2025-03-04 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | 0 | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Connor Smart | PreparerPersonNm |
| PTIN | P02285543 | PTIN |
| Phone | 2078792100 | PhoneNum |
| Preparation | 2025-03-04 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Christina Maguire | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8 10 Wayman Lane | AddressLine1Txt |
| City | Bar Harbor | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 046090008 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $119,999,417 | 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 | 16 | VotingMembersIndependentCnt |
| Total Employee | 583 | TotalEmployeeCnt |
| Total Volunteers | 51 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,895,822 | PYContributionsGrantsAmt |
| CY Contributions Grants | $27,415,834 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $81,771,454 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $86,998,119 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$169,739 | PYInvestmentIncomeAmt |
| CY Investment Income | $359,193 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$22,785 | PYOtherRevenueAmt |
| CY Other Revenue | -$103,591 | CYOtherRevenueAmt |
| PY Total Revenue | $85,474,752 | PYTotalRevenueAmt |
| CY Total Revenue | $114,669,555 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $19,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $37,500 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $50,706,849 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $51,760,350 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $812,225 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $37,713,376 | PYOtherExpensesAmt |
| CY Other Expenses | $39,406,720 | CYOtherExpensesAmt |
| PY Total Expenses | $88,439,225 | PYTotalExpensesAmt |
| CY Total Expenses | $91,204,570 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,964,473 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $23,464,985 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $80,033,646 | TotalAssetsBOYAmt |
| Total Assets EOY | $106,023,085 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $30,469,070 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $33,702,543 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $49,564,576 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $72,320,542 | 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 | $66,951,382 | ExpenseAmt |
| Grant | $37,500 | GrantAmt |
| Revenue | $86,998,119 | RevenueAmt |
| Desc | In fiscal year 2024, Mount Desert Island (MDI) Hospital provided $12,743,863 in services for which no compensation was expected or received. Financial assistance policies exist to provide relief for those who cannot pay for medical care. MDI Hospital provides care to persons covered by governmental programs including Medicare, Medicaid, VA, and CHAMPUS. The unreimbursed value for providing care to these patients approximates $5,264,813. The Hospital continues to provide a number of health services and preventative health programs to the community. Available programs include cardiac pulmonary rehabilitation, care coordination, wellness programs, diabetes education, annual wellness exams, nutrition counseling, parenting, pregnancy and sibling classes, physical and occupational therapy programs, speech therapy, medication therapy management, health coaching, care management, coagulation management, financial and insurance workshops, and our oral health program which included education and outreach to the community, schools, and service providers. The Hospital provides volunteers as Certified Application Counselors to help enroll and educate members of our community into the Health Insurance Exchange options. Throughout the year, staff from the Hospital make presentations to area school children regarding smoking cessation, wellness, health, activity, nutrition, and oral health. Additionally, community groups such as the YMCA, Alcoholics Anonymous, Cancer Support, and Palliative Care use the Hospital's conference rooms for their meetings. Many hospital staff members serve other nonprofits in capacities such as volunteer hours and board of directors' memberships, as well as memberships in service organizations such as the local Healthy Acadia, Rotary, Chamber of Commerce, and Lions/Lioness clubs. | Desc |
| Total Program Service Expenses | $66,951,382 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (1) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (1) | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 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 | 127 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 583 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 16 | 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 | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Michelle Smith CFO | 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 |
|---|---|---|---|---|---|---|---|---|
| Peter Witham MD | ||||||||
| Trustee/Physician | 41.00 | 0.00 | Yes (X) | $226,958 | $0 | $41,081 | ||
| Julian Kuffler MD | ||||||||
| Trustee/Physician | 41.00 | 0.00 | Yes (X) | $173,993 | $0 | $41,099 | ||
| Christina Maguire | ||||||||
| President & CEO | 41.00 | 1.00 | Yes (X) | $385,636 | $0 | $26,301 | Yes (X) | |
| Enoch Albert | ||||||||
| Trustee | 1.00 | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| Edward Benz MD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Stewart Brecher | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| James R Bright | ||||||||
| Trustee (end 8/2023) | 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 | ||
| Kathryn Lucchesi PhD RPh | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Charles Manee Hutchins | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Arthur Martinez | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Vince Messer PhD | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Dean S Read | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Ed Samek | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Louise Soucy CPA | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Noelle Wolf | ||||||||
| Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||
| Patricia Hand PhD | ||||||||
| Chair (end 9/2023); Trustee | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Martha Wagner PhD | ||||||||
| Trustee; Chair (start 9/2023) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Madeleine Braun PhD MBA | ||||||||
| 1st Vice Chair | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| Michelle Smith | ||||||||
| Vice President/Treasurer & CFO | 41.00 | 1.00 | $184,885 | $0 | $45,768 | Yes (X) | ||
| Morgan Mackenzie | ||||||||
| Clerk/Secretary | 41.00 | 0.00 | $70,506 | $0 | $16,653 | Yes (X) | ||
| Stuart Davidson MD | ||||||||
| Physician | 40.00 | 0.00 | $615,924 | $0 | $42,621 | Yes (X) | ||
| Charles Hendricks MD | ||||||||
| Physician | 40.00 | 0.00 | $577,208 | $0 | $24,087 | Yes (X) | ||
| Joseph Dougherty MD | ||||||||
| Physician | 40.00 | 0.00 | $421,435 | $0 | $33,930 | Yes (X) | ||
| Katherine Gassman MD | ||||||||
| Physician | 40.00 | 0.00 | $374,368 | $0 | $14,686 | Yes (X) | ||
| David Sugerman MD | ||||||||
| Physician | 40.00 | 0.00 | $345,365 | $0 | $49,328 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,376,278 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $335,554 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 101 | 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 |
|---|---|---|---|---|---|
| Cardinal Health | |||||
| 7000 Cardinal Place | Dublin | OH | 43017 | Healthcare services | $4,201,550 |
| Cerner Corporation (aka Oracle) | |||||
| 2300 Oracle Way | Austin | TX | 78741 | Healthcare IT solutions | $1,834,194 |
| Medefis Inc | |||||
| 2121 North 117th Avenue | Omaha | NE | 68164 | Locums staffing | $1,638,397 |
| R1 RCM Inc | |||||
| 433 W Ascension Way Suite 200 | Murray | UT | 84123 | Management consulting | $1,562,673 |
| EL Shea Inc | |||||
| 23 Church Street | Ellsworth | ME | 04605 | Construction services | $1,355,784 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 41 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $456,300 | FundraisingAmt |
| Government Grants | $5,000,000 | GovernmentGrantsAmt |
| All Other Contributions | $21,959,534 | AllOtherContributionsAmt |
| Noncash Contributions | $79,622 | NoncashContributionsAmt |
| Total Contributions | $27,415,834 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient services | 621990 | $85,694,817 | $85,694,817 |
| Pharmacy | 621400 | $895,565 | $895,565 |
| Cafeteria | 722514 | $214,849 | $214,849 |
| Healthcare administration | 621400 | $192,888 | $192,888 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $86,998,119 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $580,207 | TotalRevenueColumnAmt |
| Exclusion | $580,207 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,289 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $7,767 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $6,522 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,522 | TotalRevenueColumnAmt |
| Exclusion | $6,522 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,957,788 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $4,955,981 | SecuritiesAmt |
| Other | $222,821 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,807 | SecuritiesAmt |
| Other | -$222,821 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$221,014 | TotalRevenueColumnAmt |
| Exclusion | -$221,014 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $33,180 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $456,300 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $143,293 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$110,113 | TotalRevenueColumnAmt |
| Exclusion | -$110,113 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $114,669,555 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $86,998,119 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $255,602 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,500 | TotalAmt |
| Program Services | $37,500 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,212,880 | TotalAmt |
| Program Services | $952,289 | ProgramServicesAmt |
| Management And General | $260,591 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $38,120,549 | TotalAmt |
| Program Services | $29,536,561 | ProgramServicesAmt |
| Management And General | $8,082,599 | ManagementAndGeneralAmt |
| Fundraising | $501,389 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $680,059 | TotalAmt |
| Program Services | $533,946 | ProgramServicesAmt |
| Management And General | $146,113 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,104,749 | TotalAmt |
| Program Services | $7,148,564 | ProgramServicesAmt |
| Management And General | $1,956,185 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,642,113 | TotalAmt |
| Program Services | $2,074,446 | ProgramServicesAmt |
| Management And General | $567,667 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $223,663 | TotalAmt |
| Management And General | $223,663 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $132,940 | TotalAmt |
| Management And General | $132,940 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,380 | TotalAmt |
| Management And General | $8,380 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $54,026 | TotalAmt |
| Management And General | $54,026 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,221,868 | TotalAmt |
| Program Services | $8,562,369 | ProgramServicesAmt |
| Management And General | $5,495,625 | ManagementAndGeneralAmt |
| Fundraising | $163,874 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $123,438 | TotalAmt |
| Program Services | $75,183 | ProgramServicesAmt |
| Management And General | $48,255 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,579,939 | TotalAmt |
| Program Services | $872,790 | ProgramServicesAmt |
| Management And General | $560,187 | ManagementAndGeneralAmt |
| Fundraising | $146,962 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,113,641 | TotalAmt |
| Program Services | $1,287,365 | ProgramServicesAmt |
| Management And General | $826,276 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,745 | TotalAmt |
| Program Services | $152,722 | ProgramServicesAmt |
| Management And General | $98,023 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,860 | TotalAmt |
| Program Services | $317,243 | ProgramServicesAmt |
| Management And General | $203,617 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,774 | TotalAmt |
| Program Services | $290,723 | ProgramServicesAmt |
| Management And General | $119,051 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,820,796 | TotalAmt |
| Program Services | $2,001,276 | ProgramServicesAmt |
| Management And General | $819,520 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,166,370 | TotalAmt |
| Program Services | $710,407 | ProgramServicesAmt |
| Management And General | $455,963 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical supplies | $7,383,983 | $4,497,398 | $2,886,585 |
| Provision for bad debt | $5,881,991 | $5,881,991 | |
| Hospital provider tax | $1,246,296 | $1,246,296 | |
| Equipment rent./maint. | $846,880 | $515,813 | $331,067 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $421,130 | TotalAmt |
| Program Services | $256,500 | ProgramServicesAmt |
| Management And General | $164,630 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $91,204,570 | TotalAmt |
| Program Services | $66,951,382 | ProgramServicesAmt |
| Management And General | $23,440,963 | ManagementAndGeneralAmt |
| Fundraising | $812,225 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,650 | BOYAmt |
| EOY | $2,650 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,549,974 | BOYAmt |
| EOY | $12,528,572 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,595,320 | BOYAmt |
| EOY | $19,443,030 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,904,494 | BOYAmt |
| EOY | $15,086,067 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $530,674 | BOYAmt |
| EOY | $627,030 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $656,444 | BOYAmt |
| EOY | $928,730 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $74,123,056 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $40,383,671 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $26,698,856 | BOYAmt |
| EOY | $33,739,385 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,555,222 | BOYAmt |
| EOY | $19,110,178 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,860,117 | BOYAmt |
| EOY | $1,944,756 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,922 | BOYAmt |
| EOY | -$6,707 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $513,586 | BOYAmt |
| EOY | $387,238 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,151,387 | BOYAmt |
| EOY | $2,232,156 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,033,646 | BOYAmt |
| EOY | $106,023,085 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,528,555 | BOYAmt |
| EOY | $13,550,267 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,620 | BOYAmt |
| EOY | $33,750 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,604,626 | BOYAmt |
| EOY | $14,709,239 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,288,586 | BOYAmt |
| EOY | $594,020 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,043,683 | BOYAmt |
| EOY | $4,815,267 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $30,469,070 | BOYAmt |
| EOY | $33,702,543 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,806,734 | BOYAmt |
| EOY | $43,106,563 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,757,842 | BOYAmt |
| EOY | $29,213,979 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $49,564,576 | BOYAmt |
| EOY | $72,320,542 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,033,646 | BOYAmt |
| EOY | $106,023,085 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $23,464,985 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $934,765 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$1,643,784 | 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 | $8,380 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | 0 | OtherActivitiesInd |
| Total Lobbying Expenditures | $8,380 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | Mount Desert Island Hospital was a member of the American Hospital Association and the Maine Hospital Association in the fiscal year ended April 30, 2024. A portion of the dues paid to these organizations were available for lobbying expenditures on behalf of Mount Desert Island Hospital and the other member organizations in furtherance of their exempt purposes. The total dues paid by the Hospital to these organizations, and the portion that was estimated to be available for lobbying, are detailed below: American Hospital Association - total dues: $14,663 American Hospital Association - amount available for lobbying: $4,632 Maine Hospital Association - total dues: $27,359 Maine Hospital Association - amount available for lobbying: $3,748 | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,551,589 | BeginningYearBalanceAmt |
| Contributions | $250,000 | ContributionsAmt |
| Investment Earnings Or Losses | $995,464 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $1,850,000 | OtherExpendituresAmt |
| Administrative Expenses | $22,344 | AdministrativeExpensesAmt |
| End Year Balance | $11,924,709 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,364,900 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $206,804 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $20,115 | AdministrativeExpensesAmt |
| End Year Balance | $12,551,589 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $9,847,696 | BeginningYearBalanceAmt |
| Contributions | $3,675,585 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,133,936 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $24,445 | AdministrativeExpensesAmt |
| End Year Balance | $12,364,900 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,958,392 | BeginningYearBalanceAmt |
| Contributions | $1,000,000 | ContributionsAmt |
| Investment Earnings Or Losses | $1,904,005 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $14,701 | AdministrativeExpensesAmt |
| End Year Balance | $9,847,696 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $6,896,922 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $78,892 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $17,422 | AdministrativeExpensesAmt |
| End Year Balance | $6,958,392 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.94030 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.05970 | 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 | $4,007,948 | OtherCostOrOtherBasisAmt |
| Book Value | $4,007,948 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $31,424,941 | OtherCostOrOtherBasisAmt |
| Depreciation | $20,359,878 | DepreciationAmt |
| Book Value | $11,065,063 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $44,545 | OtherCostOrOtherBasisAmt |
| Depreciation | $28,860 | DepreciationAmt |
| Book Value | $15,685 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,861,659 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,994,933 | DepreciationAmt |
| Book Value | $10,866,726 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,783,963 | OtherCostOrOtherBasisAmt |
| Book Value | $7,783,963 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $33,739,385 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| Deferred compensation | $3,362,352 |
| Malpractice insurance obligations | $663,961 |
| Lease obligations | $788,954 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $4,815,267 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $107,211,681 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $934,765 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $92,406 | OtherRevenueAmt |
| Revenue Not Reported | $1,027,171 | RevenueNotReportedAmt |
| Revenue Subtotal | $106,184,510 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $54,026 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | $8,431,019 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $8,485,045 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $114,669,555 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $84,455,715 | TotExpnsEtcAuditedFinclStmtAmt |
| Other Expenses Included | $7,767 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $7,767 | ExpensesNotReportedAmt |
| Expenses Subtotal | $84,447,948 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $54,026 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | $6,702,596 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $6,756,622 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $91,204,570 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | Endowment amounts restricted by the Board of Directors are released by the Board as needed for special projects supplying benefit to the community at large. These funds are intended solely for the use of expanding services, and not for sustaining current operations. |
| Part X, Line 2: | The Hospital and BBRV are exempt from federal income taxes under Section 501(c)(3) of the Internal Revenue Code (Code). MDMC is a for-profit entity and is, therefore, subject to income taxes. Income taxes are recorded based upon the asset and liability method as prescribed by Financial Accounting Standards Board (FASB) ASC 740, Income Taxes. At April 30, 2024, and 2023, MDMC has certain net operating loss carryforwards which have been reduced by a valuation allowance of an equal amount as it is not presently considered likely that the deferred tax assets will be realized. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the FASB, assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. The Organization has evaluated the positions taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at April 30, 2024. |
| Part XI, Line 2d - Other Adjustments: | Rental property expenses 7,767. Change in value of beneficial interest in trust 84,639. |
| Part XI, Line 4b - Other Adjustments: | Provision for bad debts 5,881,991. Fundraising expenses, net against revenues 820,605. Pledge discount adjustment 1,728,423. |
| Part XII, Line 2d - Other Adjustments: | Rental property expenses 7,767. |
| Part XII, Line 4b - Other Adjustments: | Provision for bad debts 5,881,991. Fundraising expenses, net against revenues 820,605. |
Schedule G IRS990ScheduleG
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | Isleford Dock Benefit | Event1Nm |
| Gross Receipts Event1 | $414,533 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $388,433 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $26,100 | GrossRevenueEvent1Amt |
| Rent Facility Costs Event1 | $20,776 | RentFacilityCostsEvent1Amt |
| Food And Beverage Event1 | $45,991 | FoodAndBeverageEvent1Amt |
| Other Direct Expenses Event1 | $30,442 | OtherDirectExpensesEvent1Amt |
| Event2 | Showhouse | Event2Nm |
| Gross Receipts Event2 | $74,947 | GrossReceiptsEvent2Amt |
| Charitable Contri Event2 | $67,867 | CharitableContriEvent2Amt |
| Gross Revenue Event2 | $7,080 | GrossRevenueEvent2Amt |
| Rent Facility Costs Event2 | $16,839 | RentFacilityCostsEvent2Amt |
| Food And Beverage Event2 | $25,000 | FoodAndBeverageEvent2Amt |
| Other Direct Expenses Event2 | $4,245 | OtherDirectExpensesEvent2Amt |
| Gross Receipts Total | $489,480 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $456,300 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $33,180 | GrossRevenueTotalEventsAmt |
| Rent Fclty Costs Total Events | $37,615 | RentFcltyCostsTotalEventsAmt |
| Food And Beverage Total Events | $70,991 | FoodAndBeverageTotalEventsAmt |
| Oth Direct Expnss Total Events | $34,687 | OthDirectExpnssTotalEventsAmt |
| Direct Expense Summary Events | $143,293 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | -$110,113 | NetIncomeSummaryAmt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent150 | Yes (X) | Percent150Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent250 | Yes (X) | Percent250Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $460,926 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $460,926 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00540 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,876,106 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,869,353 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,006,753 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01180 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $18,470,992 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $14,236,989 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,234,003 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04960 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $28,808,024 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $23,106,342 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $5,701,682 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06680 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,316,216 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $171,074 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,145,142 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02510 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $555,524 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $555,524 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00650 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,877,180 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,818,905 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,058,275 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04760 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $38,000 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $38,000 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $15,786,920 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $8,989,979 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,796,941 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07960 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $44,594,944 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $32,096,321 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $12,498,623 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.14640 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $3,511,867 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $14,236,989 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $18,470,992 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$4,234,003 | 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 |
| 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 | 23 | 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 | 23 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | see Part V, Section C | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 150.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 250.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | see Part V, Section C | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | see Part V, Section C | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | see Part V, Section C | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare | Yes (X) | LookBackMedicareInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Mount Desert Island Hospital | Part V, Section B, Line 5: The 2023 Community Health Needs Assessment (CHNA), covering the fiscal years ending 2024-2026, was conducted by Mount Desert Island Hospital in coordination with Healthy Acadia. In keeping with previous versions, our 2023-2024 CHNA process relied on the nationally-vetted Mobilizing for Action through Planning and Partnerships (MAPP) process and tools developed and published by the National Association of County and City Health Officers (NACCHO). In gathering information to complete this CHNA, the organizations conducted surveys, public discussion forums, and focus groups with community members, institutions, and partners. The organizations also used data analytic tools and census reports to ensure that the CHNA reached a large and representative portion of the community. For additional information, please refer to the supplemental information disclosed on this Form 990, Schedule H, Part VI, Line 2, as well as the full CHNA. |
| Mount Desert Island Hospital | Part V, Section B, Line 6a: The 2023 Community Health Needs Assessment (CHNA), covering the fiscal years ending 2024-2026, was conducted by Mount Desert Island Hospital in coordination with Healthy Acadia, a 501(c)(3) non-profit organization dedicated to building healthy communities. However, many other individuals and organizations contributed to the 2024-2026 needs assessment, a full list of which can be found on the Hospital's complete CHNA, beginning on page 7. |
| Mount Desert Island Hospital | Part V, Section B, Line 6b: The 2023 Community Health Needs Assessment (CHNA), covering the fiscal years ending 2024-2026, was conducted by Mount Desert Island Hospital in coordination with Healthy Acadia, a 501(c)(3) non-profit organization dedicated to building healthy communities. However, many other individuals and organizations contributed to the 2024-2026 needs assessment, a full list of which can be found on the Hospital's complete CHNA, beginning on page 7. |
| Mount Desert Island Hospital | Part V, Section B, Line 11: The Hospital's 2023 CHNA Action Plan identified a series of core health needs, labeled as "Themes", and a variety of strategies to address each of these needs in a way that would be most efficient and effective for the community served by the Hospital. These themes were then later explored and discussed in the Hospital's Initial Implementation Plan which was approved by the Hospital's Board by August 2, 2024.The primary "Theme Areas" identified in the CHNA and its Action Plan were: 1. Access to Care 2. Aging in Place 3. Basic Needs 4. Community Connected 5. Housing 6. Mental and Behavioral HealthThrough the CHNA and its Action plan, across these six themes, multiple goals and strategies arose that are relevant in all areas and to addressing the significant needs identified in the CHNA.Goal 1: Improve knowledge of and communication about existing resources and services.Goal 1 Strategies: - Connect with local websites and social media platforms such as the local Facebook group Bar Harbor Barter & Swap. - Conduct public talks and/or community forums. - Use traditional and social media, including newspapers, newsletters, flyers, television, radio, podcasts, Facebook, Twitter, and Instagram to increase awareness. - Leverage or create community bulletin boards at locations frequented by many people in regular travels, such as food shops, banks and restaurants, post offices, libraries, schools, banks, laundromats, and gyms. - Coordinate with 211 to maximize the effectiveness of that tool for finding services in the LSA. - Promote use of 211 as a resource. - Explore the "Bundle" smart phone app that Heart of Maine United Way developed for Piscataquis County as a model.Goal 2: Offer free support to access and enroll in existing services and programs.Goal 2 Strategies: - Expand and better coordinate navigator programs. - Design programs and recruit volunteers to help people understand and apply for existing programs. - Coordinate to promote and publicize existing programs and services. - Engage those outside the health and social services sectors, such as the business community, schools, faith-based organizations, libraries, and first-responders, to help publicize options and where to find help in accessing services. - Expand online and social media avenues for learning about and accessing services.Goal 3: Improve coordination of existing services.Goal 3 Strategies: - Hold monthly breakfasts or informal meetings for non-profit staff and other interested parties to network, share information, and plan ways of coordinating activities and improving ability to refer people to other options. - Create systems for a "warm hand-off" between services, both clinical and social. - Leverage town office staff and connect with town select boards and comprehensive planning efforts to promote LSA-wide ongoing communication and joint planning. - Explore Washington County's "The Connection Initiative" sponsored by the Community Caring CollaborativeGoal 4: Improve wireless and telecommunication services and expand broadband capacity in ways that will support telehealth, help attract and retain employees, and foster overall economic growth and remote work opportunities in the LSA.Goal 4 Strategies: - Investigate opportunities through Connectivity Maine. - Engage the business community in solutions. - Research state, federal, and philanthropic grant opportunities. - Leverage the services offered by libraries and schools. - Design systems and options for affordable access for low and limited income residents. - Collaborate with libraries and other community centers to offer computer literacy programs and trainings.Goal 5: Improve transportation options.Goal 5 Strategies: - Focus on connectivity and coordination with services and social/community engagement opportunities. - Promote and publicize existing public transportation services, such as Island Connections, the Island Explorer, and transportation resources through MDIH and insurance designed to access health care. - Encourage existing transportation resources to collaborate to promote easy access, such as publicity and coordinating their trip schedules. - Prioritize needs of people without access to a motor vehicle, including older residents, low-income residents, and children. - Explore creating a "water taxi" program to the unbridged islands as a lower cost alternative to the ferries; perhaps identify someone willing to donate a used lobster boat that can be retrofitted for passenger seating as the vehicle. - Improve pedestrian and bicycle lanes for transportation and physical activity options. - Encourage car-pooling and other alternative modes of transportation. - Leverage the opening of the new Acadia Gateway Center for proactive work that will increase public transportation, rideshare, and parking options.Additional information regarding the health need themes, goals, and strategies can be found in the full CHNA and Action Plan. |
| Mount Desert Island Hospital | Part V, Section B, Line 16j: The policy was provided, in writing, to patients on admission to the Hospital facility.The Hospital works with community service organizations to post the Plain Language Summary in public libraries, local municipality facilities, the local YMCA/YWCA, and the Healthy Acadia website.Additionally, a qualified interpreter is made available to patients who need assistance translating the FAP, application, and related documents to another language, and translated copies of our Financial Assistance Policy and Application are available in French and Spanish. |
| Part V, Section B, Lines 7a, 7b, and 10, Publication of Reports: | The Hospital makes its annual reports and other various resources and publications publicly available on its website. The home page for the Hospital's various reports can be found online at:https://www.mdihospital.org/about-us/reports-resources/Prior year Community Health Needs Assessments, Implementation Plans, and other benefits reports may also be found on the Hospital's website at the link provided above.The Hospital's 2020 Implemenation Plan can be downloaded directly from the previous link as a Word Document. The Action Plan proposed with the 2024-2026 CHNA can be found within the full 2024-2026 CHNA document. The 2024-2026 Initial Implementation Plan may be found at the following website:https://www.mdihospital.org/wp-content/uploads/2025/02/MDIH-Community-Health-Needs-Assessment-2024-2026-PC-BOT-Approved-8.2.2024.pdfThe Hospital's 2024-2026 Community Health Needs Assessment (CHNA) is freely available online on the Hospital's website at:https://www.mdihospital.org/wp-content/uploads/\2025/02/2024-MDI-Region-CHNA-Action-Plan-FINAL-REPORT-5.1.2024.pdfThe Hospital's 2024-2026 CHNA can also be found online at:https://static1.squarespace.com/static/5d5fec1f2b3df90001522875/t/663ae39d3e53895271fe7e17/1715135395937/2024+MDI+Region+CHNA+Action+Plan+(2).pdfThe Hospital's Community Benefits Report for the year ending April 2023 is available online at:https://www.mdihospital.org/wp-content/uploads/2023/12/Community-Benefits-Report-FY23-web.pdfLastly, the Hospital's Impact Report for the year ending April 2024 is available online at:https://www.mdihospital.org/wp-content/uploads/2024/10/MDI-Hospital-Impact-Report-2024-webupdateOct2.pdf |
| Schedule H, Part V, Section B, Line 16a-16c: | The Hospital's Financial Assistance Program and related information can be found online at:https://www.mdihospital.org/insurance-and-billing/financialassistance/The Hospital's free care/reduced cost application is available online at:https://www.mdihospital.org/wp-content/uploads/2021/07/MDIH-FA-FORM-2019-1.pdfThe Hospital also provides checklist and guides to accompany its financial assistance application process, available online at:https://www.mdihospital.org/insurance-and-billing-faqs/financial-assistance-application-checklist/The Hospital's Financial Assistance Plain Language Summary is available online at:https://www.mdihospital.org/wp-content/uploads/2019/05/Plain-Language-Summary-of-Financial-Assistance-Program-1557-revised-02-2020.pdfLastly, the Hospital's complete Financial Assistance Policy is available online at:https://www.mdihospital.org/wp-content/uploads/2019/10/MDIH-Finance-Assistance-and-Free-Care-Policy-Approved-FC-2-24-2020.pdf |
| Schedule H, Part V, Section B, Line 20d: | MDI Hospital does not assume or engage in presumptive eligibility in assessing financial assistance or government assistance. However, any individual residing in the State of Maine who indicates the financial inability to pay a bill for a medically necessary service shall be evaluated for Financial Assistance. The patient's potential eligibility for governmental or other coverage will be assessed. This may include Medicaid and participation in Health Insurance Exchange coverage and subsidies. Additionally, a Financial Assistance Application/Disclosure Form is used to document each patient's overall financial situation. Credit reports may be used to verify the individual's financial circumstances. If an engaged collection agency suspects or gains knowledge that someone may need to apply for one of our programs, the agency sends out a financial assistance application to the patient or guarantor and proceeds to notify MDIH of the outreach. Accordingly, each collection agency engaged is aware of the policy on Financial Assistance. This allows the agency to report amounts that they have determined to be uncollectible due to the inability to pay in accordance with the Financial Assistance eligibility guidelines. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 10 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (10 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - Cadillac Family Practice | ||||
| 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 2 - Community Health Center | ||||
| 16 Community Lane | Southwest Harbor | ME | 04679 | Outpatient Clinic |
| 3 - Trenton Health Center | ||||
| 394 Bar Harbor Road | Trenton | ME | 04605 | Outpatient Clinic |
| 4 - Cooper Gilmore Health Center | ||||
| 17 Hancock Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 5 - MDI Behavioral Health Center | ||||
| 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 6 - MDI General Surgery | ||||
| 17 Hancock Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 7 - Lisa Stewart Women's Health Center | ||||
| 330 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 8 - MDI Orthopedics | ||||
| 10 Wayman Lane | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 9 - MDI Urology | ||||
| 10 Wayman Lane | Bar Harbor | ME | 04609 | Outpatient Clinic |
| 10 - Northeast Harbor Health Center | ||||
| Kimball Road | Northeast Harbor | ME | 04679 | Outpatient Clinic |
Supplemental Information Detail SupplementalInformationDetail (15 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | The costing methodology utilized for this table was derived from Worksheet 2, ratio of patient care cost to charges with data from filed cost reports for the fiscal year. |
| Part I, Line 7g: | The Hospital provides to the community several provider-based physician and specialty practices to serve this rural island population. These practices are listed on Part V of this schedule. The facility subsidizes their operating costs to maintain access and coordination of care to our population. |
| Part I, Line 7, Column (f): | The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 5,881,991. |
| Part II, Community Building Activities: | Beyond being a hub of health and care services in the Downeast Region of Maine, Mount Desert Island Hospital engages in multiple community building activities that promote the overall health and wellbeing of the communities it serves.Volunteerism:In a time of social isolation and a loneliness epidemic, the Hospital fosters multiple programs and initiatives that promote collaboration, connection, citizenship, philanthropy, and the common good of the community. The volunteers who donate their time to MDI Hospital, our Health Centers, and Birch Bay Retirement Village play an important role in the experience of our patients, families, and residents. They work alongside healthcare professionals, help in clinical and non-clinical areas, and support our mission to care for our community. Volunteer opportunities through the Hospital include nutrition services; emergency department; nursing department; materials management, and medical and administrative services. MDI Hospital Auxiliary:Beyond directly volunteering to facilitate hospital services, the MDI Hospital Auxiliary Program has for decades provided an opportunity for the Hospital and the community to meet, collaborate, and improve the health of the region together. This volunteer group is comprised of community members, Hospital employees and retirees. Auxiliary members devote many hours each year to various fundraising efforts including their annual auction and raffle, bakes sales, and jewelry sales. The MDI Hospital Auxiliary acts as a liaison between MDI Hospital and the local. Community members organize events and volunteer their time and skills to raise financial support for a variety of needs around MDI Hospital. Members support our annual fundraising efforts through volunteering at various events, baking delicious treats and serving as ambassadors for the Hospital. These efforts help to provide important philanthropic support for needed programs and services.Community Health Education:Mount Desert Island Hospital dedicates significant time and resources to providing a wide array of community engagement and health education programs, designed to improve the general health literacy and day-to-day wellbeing of persons living and working in the community served by the Hospital. Classes and resources offered by the Hospital for community health programs cover the following topics: childbirth and child support; diabetes education; general wellness, fitness, and healthy living; tobacco, drug, and alcohol avoidance programs; nutritional education; affordable care act and patient rights education; and "Serv Safe" courses for restaurant and food establishments.Social Services:The Hospital understands that health resources available at home is just as important as the health care received at a hospital. To that end, Social Services at MDI Hospital serve many important roles in delivery and management of care in our organization and beyond. Our goal is to provide compassionate, professional, confidential support for people suffering from mental health and substance abuse issues. As a liaison between the Hospital and MDI Behavioral Health Center, Clinical Social Work professionals facilitate scheduling of therapy, substance abuse services, outpatient psychiatric consultations, and prescription of medications as needed. We also help coordinate psychiatric admissions, gather information for psychiatric consultations, and provide counseling support. As part of the Care Management Team, our staff meets with Hospital patients to address mental health needs and provide patients with information about available resources. In addition, we offer guidance for families of Hospital patients regarding coping with the health of loved ones, discharge planning, and accessing services like prescription assistance. Our staff also coordinates with providers and services outside MDI Hospital's system to ensure a smooth transition for our patients. Our Social Services staff is also involved in facilitation of a free support group for cancer survivors and employee wellness programs for local employees of MDI Hospital and other local employers.Community Partnerships:Mount Desert Island Hospital understands that its community is composed of a wide variety or stakeholders, individuals, businesses, and cultural groups. To facilitate the wellbeing of this broad collection of personalities and backgrounds, the Hospital routinely collaborates with community partners, government agencies, or other charitable organizations to bolster and improve the health of its community. For example, the Hospital coordinates services and resources with food and clothing banks to address food insecurity. The Hospital also collaborates with local businesses to secure fundraising and grant opportunities, and to help spread health education and healthy lifestyle literature throughout the local service area. |
| Part III, Line 2: | The estimated cost of bad debt expense as reported is derived from the accounting systems and software the organization uses to calculate the cost-to-charge ratio from the as-filed Medicare Cost Reports.Mount Desert Island Hospital (MDI Hospital) estimates the cost of bad debt expense using accounting systems and software from our organization to calculate the cost of care from the as filed Medicare Cost Reports. This estimate best represents the value of providing care for those services that will be considered or deemed uncollectible. The value of these services at cost is estimated to be $3,511,867. This is the amount the Hospital must forgive as a benefit to the community for providing services. |
| Part III, Line 3: | The Hospital's financial assistance policy provides administrative and accounting guidelines for the identification, classification, and reporting of patients receiving financial assistance as distinguished from bad debts. Accordingly, the Hospital has estimated that no amount of bad debt expense at cost is attributable to patients eligible under the organization's financial assistance policy. |
| Part III, Line 4: | See Footnote 2 of the attached audited financial statements. |
| Part III, Line 8: | The IRS Form 990, Schedule H instructions and guidance provide a template in Worksheet 2 as a way to determine the overall cost to charge ratio that could be applied throughout Schedule H in order to convert charges to cost. Where applicable, we have utilized the Worksheet 2 template calculation. The only area where we did not utilize this template calculation was in Schedule H, Part III, Section B, Line 6, Medicare allowable costs and payments related to the subsidized health services. Instead, the Hospital utilized the Medicare Cost Report estimated cost and payment for these services. The Hospital believes that provider-based clinics listed in the Cost Report should be considered a community benefit due to the fact that without the Hospital subsidizing and offering the services that these clinics offer, the community-at-large would have to travel 45 minutes or more to the nearest similar hospital. As such, Mount Desert Island Hospital believes that by offering and subsidizing these clinics within its community, thus enabling community members to have easy access and an easier commute for these services, the entire community at large benefits.Additionally, the Hospital has elected to treat its Medicare Shortfall as Costs of Other Means Tested Government Programs, as reported on this Form 990, Schedule H, Part I, Line 7c. Mount Desert Island Hospital has determined that, in accordance with publications issued by the American Hospital Association and other industry associations, that this Medicare Shortfall should represent a net community benefit. The Hospital considers such net Medicare benefits to be substantially equivalent to a government health program for which eligibility depends on the recipient's income or assets. Additionally, given the shortfall reported on this Schedule H, Part I and III (Medicare revenues are only 77% of Medicare costs), it seems to the Hospital that Medicare reimbursement rates and other related revenues do not represent the true cost to the Hospital of treating Medicare patients. Furthermore, by treating patients eligible for Medicare at a net shortfall, the Hospital alleviates the Federal government's burden to directly provide medical or other care services. As the Hospital provides patient services to those eligible for Medicare benefits, this is also an indication of increased services to promote the overall health of the Hospital's surrounding community; as the Hospital operates in a rural region of its State, and as the State of Maine as a whole has a rapidly aging median age and has one of the oldest average ages in the United States, treating Medicare-eligible patients is critical to providing care to the Hospital's community. |
| Part III, Line 9b: | The Hospital would not initiate collection efforts against a patient that qualified for a sliding fee scale unless that patient failed to meet his or her obligation under a mutually agreed upon payment arrangement. After it was determined that the patient did not qualify for a readjustment to his or her payment terms, the Hospital would follow normal notification practices dictated by our collection policy, which follows the 501(r) regulations. Upon the qualifying defaults a patient's account may result in collection efforts. If the collection agency suspects or gains knowledge that someone may need to apply for one of the programs, the agency sends out a financial assistance application to the patient or guarantor and proceeds to notify MDIH of the outreach. Information about our free and sliding scale programs is on our website, on our account statements, and posted in public areas and at our provider clinics. Our Plain Language Summary is posted within our community as well. We also make available a Patient Financial Counselor to help advocate, assist and navigate the process. |
| Part VI, Line 2: | The 2023 Community Health Needs Assessment (CHNA), covering the fiscal years ending 2024-2026, was conducted by Mount Desert Island Hospital in coordination with Healthy Acadia. In keeping with previous versions, our 2023-2024 CHNA process relied on the nationally-vetted Mobilizing for Action through Planning and Partnerships (MAPP) process and tools developed and published by the National Association of County and City Health Officers (NACCHO). MAPP outlines a four-step assessment process intended to take two years. We modified the process in accordance with the characteristics and small population size of our rural region and our six-month timeline.To start, we convened a Steering Committee to help guide and advise the project. The Steering Committee was composed of leaders from organizations across the MDI region who reflect various perspectives and sectors.As part of the four-step MAPP process, we developed and fielded two surveys: 1. Community Partner Survey 2. Community Health SurveyThrough these surveys, available in both English and Spanish, thousands of community members were invited to answer questions and share their personal perceptions about the health of the community. Dozens of community partners, including Steering Committee members helped publicize and disseminate the survey widely in the region through various modalities, including social media sites, organization's electronic and print newsletters, and posters with a QR code and phone number to request a paper survey at locations including town offices, libraries, gyms, community centers and faith organizations.Additionally, starting in September 2023, community interviews and group discussions were regularly conducted to gather insight, data, and information from the community regarding their health priorities and concerns. These topics were then further scrutinized in themed working groups, and the committees leading the health assessments solicited feedback on their reports to ensure the documents accurately summarized the perspectives and experiences of the community. The CHNA generated responses from community members living, working, playing, and/or receiving services in the local service area ("LSA"). The resulting data were analyzed, organized, and used to identify and frame our six themes further explored and discussed in the full CHNA.Through the survey process, significant efforts were made to ensure that respondents matched the LSA population and recognized data collection norms. This was fulfilled through a diverse survey dissemination effort and frequent evaluation of respondent demographics. Data on town, gender, age, race and ethnicity, household income, and healthcare payment methods were collected. In response to recommendations in the 2020 CHNA report, special considerations and strategic outreach was focused to ensure participation among community members who are traditionally underrepresented in these types of surveys, including people who have low incomes, identify as Black, Indigenous, and people of color (BIPOC), identify as lesbian, gay, bisexual, pansexual, transgender, genderqueer, queer, intersexed, agender, asexual (LGBTQIA+), disabled or having disabilities, essential workers, unemployed and underemployed individuals, and seasonal residents. In response to recommendations in the 2020 CHNA Report, we added features to the demographic data collection: (1) income data; (2) actual name of the town rather than zip code for greater specificity; and (3) expansion of the question "How do you pay for healthcare?" to clarify data on employer-provided, personally purchased, and various types of government-sponsored insurance. A high number of survey responses is always desirable, of course. CHNA Coordinators and Steering Committee Members are pleased that with a population of 15,000 in our LSA, we heard from a large and representative group of community members with varied interests and opinions regarding the health of their communities, where strengths and challenges exist, and what priorities they would like addressed.We also conducted a review of relevant literature and existing data, such as those published by the U.S. Census Bureau and the Maine Center for Disease Control and Prevention, and as framed within the context of 2023 U.S. Census Bureau data. The combined process led to identifying six major themes and a working group was convened to address each of these themes. People with expertise in these areas as well as members of the general public were invited to join a working group to be sure the compositions included myriad perspectives and passions. The six themes are 1) Access to Care; 2) Aging in Place; 3) Basic Needs; 4) Community Connectedness; 5) Housing; and 6) Mental and Behavioral Health, including Substance Use. The working groups helped delineate strengths, challenges, goals and strategies within each theme. |
| Part VI, Line 3: | The Financial Assistance Policy (FAP) information is sent with all account statements and is printed on the back of the statement. A notice of the FAP in plain language is also available on our Hospital website, posted in public areas, and available within the departments and provider clinics of our organization. The Hospital provides a Patient Financial Counselor to help navigate the process to ensure that our patients have access to the care and services they need. MDI Hospital is committed to providing access to quality healthcare services with compassion, dignity, and respect for those we serve, particularly the poor, indigent, and underserved in our communities, regardless of their ability to pay. We assist our patients who cannot afford to pay for part or all of the services received by working with our community to identify those in need and find the financial resources that may be made available to them. MDI Hospital has adopted guiding principles when handling billing, collections, and financial support functions for our patients. We provide effective communications with patients regarding hospital bills and make affirmative efforts to help patients apply for public and private financial support programs, including providing resources to perform the application process on behalf of the patient. We have implemented policies and procedures for assisting low-income patients in a consistent manner that is in compliance with the State of Maine Chapter 150 Guidelines for Free and Reduced Care. These policies are reviewed by the Finance Committee of the Board of Trustees at a minimum annually, or as deemed necessary. The adjustment for Amounts Generally Billed is made annually after the acceptance of MDI Hospital's Medicare Cost Report by the regional Fiscal Intermediary (MAC). A Patient Financial Counselor is also available to assist with triaging patient needs and working with our patients to align resources. This representative is available to explain and review patient payment obligations. We also have a Patient Advocate to facilitate issues that arise during this process. Information about Hospital-based financial support polices and external support programs that provide coverage for services is made available to patients during the pre-registration and registration processes and/or through communications with patients seeking financial assistance. Support is available to uninsured and underinsured patients who do not qualify for public programs or other means of assistance. Notification about financial assistance programs at MDI Hospital, including contact information, is available through messaging included on patient bills, at provider clinics, in public areas, through care management and billing support staff, in registration areas, and at the reception areas in the Hospital and at our provider clinics. Patient brochures describing the financial counseling services, our financial assistance policies, financial assistance application, and the applicable services which are available in these areas as well as on our public website, www.mdihospital.org. The annual review of these policies is done through the Board Appointed Finance Committee. |
| Part VI, Line 4: | Mount Desert Island Hospital serves the Mount Desert Island region local service area, which includes the towns of Bar Harbor, Cranberry Isles, Frenchboro, Hancock, Lamoine, Mount Desert, Southwest Harbor, Swan's Island, Tremont, and Trenton, all of which are located in the Downeast and Acadia Region of the State of Maine, specifically Hancock County.In 2020, the population of Hancock County totaled 55,478, an increase of 2 percent or 1,060 since 2010, according to U.S. Census Bureau data. The population for the ten towns in the LSA was approximately 15,000 in 2023. The LSA includes three municipalities on unbridged islands: Cranberry Isles, Frenchboro, and Swans Island.Census Bureau 2020 data related to health status show Hancock County with demographics that suggest complex and high-usage health-related needs. For example, Maine has the oldest population in the United States and Hancock County has a greater than average number of older adults compared to the overall population in Maine. The County's median age is 48.9 years compared to 45.1 years for Maine. In other words, Maine has the oldest population in the nation and Hancock County is the third oldest county in Maine. The percentage of Hancock County adults over age 65 is 25.7% compared to 22.6% in Maine.Adults in Hancock County without health coverage total 10.2% compared to the statewide average of 6.6%. Hancock County's poverty rate of 10.9% is slightly higher than for all of Maine at 10.8%. Household income parallels those comparisons with a median of $64,149 in Hancock County and $69,543 statewide. Regarding access to services, 2020 Census data reveal limitations on access compared to other areas in Maine. For example, Hancock County has one primary care provider per 950 residents, while Maine overall has one provider per 930 residents. The results for dentists are more dramatic with one dentist per 2030 residents in Hancock County and one for every 1401 residents statewide. According to the Maine Department of Labor, Hancock County unemployment levels are higher than the statewide average, 6% unemployment in Hancock County, compared to 4.5% statewide. Hancock County has the third highest unemployment rate in the State, just below Washington and Piscatquis counties. Seasonal fluctuations in employment are significant and complicate the County and local data because two of the most substantial portions of the economy are highly seasonal - tourism and the fishing industries. |
| Part VI, Line 5: | Mount Desert Island Hospital serves a close-knit island and surrounding communities through a 25-bed critical access facility in Bar Harbor and a network of area health centers-all designed to provide comprehensive healthcare for residents and visitors. Since it was established in 1897, the nonprofit hospital has grown into a premier rural healthcare organization with a retirement community and six primary care health centers, as well as a full-service behavioral health center and a dental clinic.Today, MDI Hospital employs more than 500 people and is the second-largest employer on Mount Desert Island. Our active medical staff includes hospitalists, primary care physicians and practitioners, highly skilled nurses, orthopedic surgeons, general surgeons, psychiatrists, care managers, a board-certified emergency physician, an oncologist, an ophthalmologist, a pathologist, a radiologist, and a urologist.MDI Hospital's groundbreaking teaching partnership with Penn Medicine, established in 2011, has evolved into a model for future urban-rural partnerships across the nation and has established MDI Hospital as a premier rural hospital for emergency medicine and critical care. The hospital's Emergency Department, a critical link in Downeast Maine's trauma delivery system, serves the Mount Desert Island community 24 hours a day, 365 days a year.MDI Hospital received a five-star rating, the highest awarded, from the Centers for Medicare and Medicaid Services in 2020. In addition, the organization's inpatient, outpatient, emergency and surgical care services have been consistently recognized by Avatar International, the Leapfrog Group, the National Rural Health Association, Harvard Pilgrim and Healthgrades.At MDI Hospital and Health Centers, we are dedicated to providing compassionate, high-quality healthcare to every patient who walks through our doors. As an independent, nonprofit critical access health system, we serve our community with respect, dignity, and care-welcoming all individuals, regardless of background, circumstances, or ability to pay.MDI Hospital also serves as a critical education center for the future of the State's healthcare profession, providing technical and professional educational opportunities in a rural health care setting. The Hospital offers multiple programs and incentives to ensure that its community continues to attract and retain health service professionals, which in turn helps protect the viability and future wellbeing of the community. As a Hospital and Health Center serving a rural part of the State, the Hospital ensures it can provide a comprehensive line of services that, were it not for Mount Desert Island Hospital, would not be available in the Downeast Region. Such services include: Adult Day Programs; Anticoagulation Clinics; Behavioral Health services; Breast Health services; Cancer Patient Navigator programs; Cardiac Rehabilitation services; Cardiology services; Cardiopulmonary services; Care Management; Critical Care/ICU access; Dental/Oral Health services; Diabetes Education; Elder Care; Emergency Department access; Family Medicine; Health Coaching; Laboratory services; Medical Imaging; Music Therapy; Nursing; Nutrition Counseling; Obstetrics; Occupational Medicine; Oncology & Hematology services ; Ophthalmology services; Orthopedics services; Palliative Care; Platelet-Rich Plasma Therapy; Pediatric services; Pharmacy access; Physical Medicine; Physical Therapy; Prescription Assistance; Primary Care services; Pulmonology services; Short Term Rehab; Speech Therapy; Sports Medicine; Surgery and Surgical Centers; Urogynecology services; Urology services; Weekend Care Clinic access; and Women's Health.The Hospital openly and directly shares information with its patients regarding pricing, care options, and health logistics to assist patients in navigating what health and care options fits their needs and lifestyle most appropriately. The Hospital also routinely gathers information about its community's needs via volunteer programs, community assessments, and patient surveys. The Hospital is also managed by an Independent Board of Directors made up of members of the community with a vested interest in seeing the health and wellbeing of the Downeast Region improve and prosper. |
| Part VI, Line 6: | Mount Desert Island Hospital is not part of an affiliated health care system. |
| Part VI, Line 7, Reports Filed With States | ME |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | Scholarships for students pursuing a degree in medical or healthcare-related fields | GrantTypeTxt |
| Recipient | 14 | RecipientCnt |
| Cash Grant | $37,500 | CashGrantAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | All high school seniors who are graduates of MDI High School and who are committed to pursuing a degree and career in medical and healthcare services are considered eligible. Potential applicants must work with their school's guidance office to prepare and submit an application to the Hospital on behalf of the Auxiliary Scholarship Committee (the "ASC"). After determining the number of eligible applications and the amount of funds available from available funds, the ASC will determine the amount of scholarships that can be awarded in a given year. A chosen scholarship-recipient may be awarded a grant for multiple years so long as the recipient continues to meet predefined criteria. Separate and unique books and records are maintained to substantiate and track all scholarships awarded and to ensure they are used for their intended purpose. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 | ||||||||||||||
| Physician | $526,649 | $0 | $46,875 | $0 | $42,400 | $0 | $0 | $0 | $42,621 | $0 | $658,545 | $0 | $0 | $0 |
| Charles Hendricks MD | ||||||||||||||
| Physician | $525,680 | $0 | $27,518 | $0 | $24,010 | $0 | $0 | $0 | $24,087 | $0 | $601,295 | $0 | $0 | $0 |
| Joseph Dougherty MD | ||||||||||||||
| Physician | $365,766 | $0 | $25,000 | $0 | $30,669 | $0 | $0 | $0 | $33,930 | $0 | $455,365 | $0 | $0 | $0 |
| Christina Maguire | ||||||||||||||
| President & CEO | $333,286 | $0 | $15,375 | $0 | $36,975 | $0 | $0 | $0 | $26,301 | $0 | $411,937 | $0 | $0 | $0 |
| David Sugerman MD | ||||||||||||||
| Physician | $335,663 | $0 | $7,500 | $0 | $2,202 | $0 | $0 | $0 | $49,328 | $0 | $394,693 | $0 | $0 | $0 |
| Katherine Gassman MD | ||||||||||||||
| Physician | $346,721 | $0 | $27,500 | $0 | $147 | $0 | $0 | $0 | $14,686 | $0 | $389,054 | $0 | $0 | $0 |
| Peter Witham MD | ||||||||||||||
| Trustee/Physician | $216,270 | $0 | $10,000 | $0 | $688 | $0 | $0 | $0 | $41,081 | $0 | $268,039 | $0 | $0 | $0 |
| Michelle Smith | ||||||||||||||
| Vice President/Treasurer & CFO | $176,819 | $0 | $7,841 | $0 | $225 | $0 | $0 | $0 | $45,768 | $0 | $230,653 | $0 | $0 | $0 |
| Julian Kuffler MD | ||||||||||||||
| Trustee/Physician | $169,291 | $0 | $0 | $0 | $4,702 | $0 | $0 | $0 | $41,099 | $0 | $215,092 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | Performance-based variable compensation which is subject to review annually by a board compensation committee. | ExplanationTxt |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|
| MHHEFA Series 2020B | |||||||
| A | 010314384 | 2020-11-01 | $6,596,038 | Financing MRI Equipment, Construction, EMR System. | 0 | 0 | Yes (1) |
| MHHEFA Series 2023B | |||||||
| B | 010314384 | 2023-12-05 | $8,236,713 | Refinance Cadillac building mortgage; central utility plant upgrades. | 0 | 0 | Yes (1) |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Total ProceedsTotalProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | In Reserve FundInReserveFundAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Substantial CompletionSubstantialCompletionYr |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $624,962 | $6,516,000 | $6,516,000 | 0 | 0 | Yes (1) | Yes (1) | ||||||
| B | $698,288 | $9,361,915 | 0 | 0 | 0 | Yes (1) | $698,288 | $2,388,217 | $140,296 | $31 | $6,135,083 | 2025 |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
| B | 0 | 0 | 0 | 0 | 0.00000 | 0.00000 | 0.00000 | 0 | 0 | Yes (1) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
| B | 0 | Yes (1) | 0 | 0 | 0 | 0 | 0 | 0 | Yes (1) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (1) |
| B | Yes (1) |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTradedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Contribution | 5 | ContributionCnt |
| Noncash Contributions Rpt F990 | $79,622 | 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 Trustees are provided with an electronic copy of the full Form 990 and all supporting schedules. Once the Finance Committee has completed its review, all Board of Trustees members are provided with a copy of the Form 990. Trustees are given the opportunity to comment and review the Form 990 before it is filed with the IRS. The President & CEO and the VP of Finance & CFO are available to answer any inquiries from members of the Board of Trustees. |
| Form 990, Part VI, Section B, line 12c | Mount Desert Island Hospital monitors and enforces compliance with the conflict of interest policy by requiring all trustees, officers, and committee members to annually sign a statement affirming that each person has received, read, and understands the conflict of interest policy and that no such conflict exists. Additionally, interested persons have a duty to disclose any actual or possible conflicts of interest at the time they arise. After disclosing a potential conflict of interest and answering any questions that might be asked concerning such interest, the affected person shall withdraw from any meetings, deliberations, votes, or other matters concerning the conflict. To ensure that the Hospital does not engage in activities that could jeopardize its tax exempt status, the Board of Trustees or a committee appointed by the Board of Trustees periodically reviews compensation and similar arrangements to ensure they are reasonable and are the result of arms-length bargaining. In conducting these reviews the Board of Trustees may use outside advisors. |
| Form 990, Part VI, Section B, line 15 | The process used by Mount Desert Island Hospital for determining the President & CEO's compensation includes a review and approval by the governing body of the Organization, specifically the Compensation Committee of the Board of Trustees. The governing body and this committee use 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. Peter Witham and Dr. Julius Kuffler are employees affiliated with Mount Desert Island Hospital. Compensation paid to them is for their services in these roles, and not for their services as members of the Board of Trustees. |
| Form 990, Part IX, line 11g | Purchased services: Program service expenses 3,918,267. Management and general expenses 5,495,625. Fundraising expenses 0. Total expenses 9,413,892. Contract labor: Program service expenses 4,638,901. Management and general expenses 0. Fundraising expenses 0. Total expenses 4,638,901. Consulting fees: Program service expenses 5,201. Management and general expenses 0. Fundraising expenses 163,874. Total expenses 169,075. |
| Form 990, Part XI, line 9: | Change in value of beneficial interest in trust 84,639. Pledge discount adjustment -1,728,423. |
| 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | 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 | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Birch Bay Retirement Village | ||
| L | $192,888 | Actual per Books |
| Birch Bay Retirement Village | ||
| D | $1,268,498 | Actual per Books |