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        <PersonNm>Eleonore Rabelahasa</PersonNm>
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        <PersonNm>Helen Smits</PersonNm>
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        <PersonNm>Holly Stover</PersonNm>
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        <PersonNm>Christopher Schwabe</PersonNm>
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        <PersonNm>Heather M Metten</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>Danielle M Louder</PersonNm>
        <TitleTxt>Director of US Programs</TitleTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 7</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization has a discretionary bonus program for its employees. Any such bonus payments are non-fixed in nature and are awarded at the discretion of the board of directors and organizational management. Awarding of bonuses or other non-fixed payments is based on the achievements or accomplishments of the individual employee above and beyond the employee's regular job duties.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>The Director of Finance will review the near-final draft. The CEO then does a separate review. Upon completion of that review and resolution of any questions, the draft return is forwarded to the Chair of the Board and the Chair of the Finance Committee for their review and approval, and if they have any concerns or questions, a Finance Committee meeting is convened to discuss and resolve them. The resulting draft is finalized, and prior to filing, it is distributed to the voting members of the Board of Directors for information purposes only. The return is subsequently filed.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>Review of conflict of interest is done annually and on an ad hoc basis as needed. At or soon after the annual board meeting, Board Members submit an updated statement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>MCD's Bylaws require that the compensation of the President "shall be fixed from time to time by the Board of Directors." The Board's Chair and Executive Committee review compensation of presidents of other non-profits, the compensation history of MCD's President, and other information, including one or more of various industry surveys of compensation information, in determining the appropriate compensation. In 2022 the CEO's compensation was included as part of an organization-wide compensation study and updating of MCD's compensation philosophy and policies. The CEO's compensation was benchmarked against CEO compensation in similarly sized non-profits and for-profits operating within the social sector market space. The Executive Committee of the Board of Directors conducts an annual performance review and votes on the entire recommended employment agreement, including compensation terms, which in turn are voted on by the full Board of Directors. The current agreement was approved by the Board of Directors in July 2023 for a 1-year term of the agreement. The agreement is automatically renewed for a successive one year along with possible merit and cost-of-living adjustments consistent with MCD's Total Rewards Policy unless the agreement has not been previously terminated or unless written notice is given by either party to the other at least 90 days prior to the expiration date of its intent to terminate the agreement. The compensation for the Assistant Treasurer (also MCD's Director of Finance) and Assistant Secretary (also MCD's Executive Assistant to the CEO) and other key employees (i.e. members of MCD's Executive Leadership Team, Deputy Directors and Senior Managers) were determined as part of a company-wide formal total compensation review conducted with assistance of an independent outside consulting firm in 2022. Each of these positions was mapped to a salary grade and their compensation was benchmarked against comparable positions in the relevant geographies in similarly sized non-profits and for-profits operating within the social sector market space. Compensation for key employees within the same salary grade were then compared to ensure horizontal equity taking into account differences in core competencies, years of experience and/or qualifications. Salary ranges for each position are adjusted annually, as appropriate, to account for labor market wage inflation in different geographic locations. Individual salary adjustments are applied based on cost of living, performance, length of service, etc.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part X, Line 10: Land, Buildings, and Equipment</FormAndLineReferenceDesc>
        <ExplanationTxt>Section 1.263(a)-3(n) Election: Medical Care Development, Inc. 105 Second Street, Suite 2A Hallowell, ME 04347 EIN: 01-6022787 Medical Care Development, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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</Return>