2017-08-16T12:09:53-05:00 2016-12-31 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2016-01-01 016022787 Medical Care Development Inc MEDI 2076227566 11 Parkwood Drive Augusta ME 04330 Natasha Erb CFO 2076227566 2017-08-15 1 Joseph R Byrne CPA P01289281 2077752387 2017-08-15 69.49.157.66 2017-08-15 12:36:43 ED P A008E2FD9533E1BBB31C63A12AF0D0E643CE99E5 4A7A9222C8D681BBCE9F1B6E7BF5E3969F273E7D 2016 2021-01-29 14:40:06Z Mark E Battista MD 11 Parkwood Drive Augusta ME 04330 50639252 0 X www.mcd.org X 1966 ME Improve the health and well-being of people 13 13 767 108 105080 15390 118853 349089 48251826 49308638 49668 9112 0 -120642 48420347 49546197 0 0 0 0 27186212 27628770 0 0 0 20669662 21608235 47855874 49237005 564473 309192 21551274 21345655 12818777 12290494 8732497 9055161 X Medical Care Development's mission is to improve the health and well-being of people both nationally and internationally. We do this in partnership with communities, organizations, and governments by developing and operating creative, compassionate, and practical programs, and by providing technical advice and assistance to enhance the capacity of others. 0 0 3794356 4190648 Since 1966, MCD Public Health has been a transforming force in public health, earning a reputation for responsive, innovative health initiatives that make an impact. Our highly qualified staff share a passionate commitment to creating, implementing and supporting results-based programs that improve the quality of people's lives on a daily basis, in Maine and throughout the U.S.MCD's Public Health programs are designed to enhance the effectiveness of local, state and regional healthcare and public health systems in achieving collective goals to improve the health and wellbeing of individuals and communities. MCD works with a myriad of partners and stakeholders, including health systems, hospitals, academic medical centers, all disciplines of healthcare providers, policy makers, vendors, federal, state and local governments, community health organizations, insurers, employers and individuals to help them adopt new practice methods, develop new community programs and to find new sources of funding for disease prevention and management interventions, and programs focused on enhancing access to care and resources for rural and underserved populations.Activities include: eLearning as well as traditional curriculum development and training, quality improvement coaching and facilitation, telehealth and technology, and linking providers with community-based supports for their clients. Public Health also works with community-based organizations and public health groups to design, implement, evaluate and spread health promotion, disease prevention and management interventions. Specific areas of expertise include: HIV/AIDS, Diabetes, Oral Health, Lead Screening and Management, Cardiovascular Disease Prevention and Management, Women's Health, Substance Abuse Prevention and Treatment Resources, Cancer Screening and Prevention, Worksite Health and Wellness, Early Childhood, and Public Policy. 17057248 20414926 MCD Communities offers residential and community-based support services to over 300 individuals throughout Maine. MCD Communities programs include assisted living services for the elderly, psychiatric group homes and community based support for adults struggling with severe mental illness, and home and community based programs for adults with developmental and intellectual disabilities. The communities we foster are communities in the truest sense: people working together to ensure everyone enjoys the security and support they need to live their life to the fullest. 21864384 24597984 Medical Care Development International (MCDI) is a division of Medical Care Development, Inc., a private, non-profit voluntary organization whose mission is to enhance the well-being of people and communities in developing nations through the provision of technical assistance to the health sector, including water and sanitation. To this end, MCDI collaborates with institutions and the people they serve to design, implement, manage and evaluate innovative health and health-related programs. Since 1977, MCDI has provided technical assistance in over 40 countries in Africa, Latin America and the Caribbean, Asia, and the Middle East through various multi-lateral, bilateral and corporate donors. MCDI is currently focused on the implementation of integrated national malaria and Zika control programs in several countries in Africa and Latin America, and on providing technical assistance and support to 12 African countries through the USAID/President's Malaria Initiative's MalariaCare Project. In addition, MCDI focuses on the implementation of interventions addressing the Sustainable Development Goals related to maternal and child health, including through the application of performance based budgeting (PBF) in several countries. MCDI also designs and implements water supply and sanitation programs with an emphasis on community solutions such as Community Led Total Sanitation (CLTS). 42715988 1 1 0 0 0 0 0 0 1 0 1 0 0 0 1 0 1 0 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 X 99 0 1 767 1 1 1 1 BN EK MA UK SF LT ZA MI CT 0 0 0 0 0 0 0 0 X 13 13 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Natasha Erb 2076227566 11 Parkwood Dr Augusta ME 04330 Jack Ginty Chair 1.00 X X 0 0 0 Gary Bisson Vice Chair 1.00 X X 0 0 0 Donna Mundy Treasurer 1.00 X X 0 0 0 Craig Gray Secretary 1.00 X X 0 0 0 Alan J Barker MD Director 1.00 X 0 0 0 Doris Browne MD Director 1.00 X 0 0 0 Carrie Fortino Director 1.00 X 0 0 0 Edward Green Director 1.00 X 0 0 0 Evelyn Kieltyka Director 1.00 X 0 0 0 Sebastian Milardo Past Director 1.00 X 0 0 0 Lisa Miller Director 1.00 X 0 0 0 Lloyd Mitchell Director 1.00 X 0 0 0 Alexandra Warhol Director 1.00 X 0 0 0 Michael Wygant Director 1.00 X 0 0 0 Mark E Battista MD President & CEO 40.00 X 362182 0 26230 Natasha Erb CFO 40.00 X 214370 0 9046 Edward W Miles Past CFO 40.00 X 231287 0 20422 Donna Lee Cloutier Assistant Secretary 40.00 X 97854 0 14817 Maureen Conley Director of MCD Communities 40.00 X 257662 0 23082 Christopher Schwabe Director of MCDI 40.00 X 277822 0 35122 Edward Aldrich Head of Finance & Admin. Unit 40.00 X 156189 0 10189 Joseph Carter Senior Business Development Exec. 40.00 X 251318 0 30552 Eric Dimbleby Director of IT 40.00 X 162373 0 22990 Kim Keaney Director of Finance, Communities 40.00 X 130257 0 17548 Hansford Lee Yellott Operations Manager 40.00 X 130674 0 27624 2271988 0 237622 24 0 1 0 Sanaria Inc 9800 Medical Center Drive Suite S2 Rockville MD 20850 Vaccine Production & Consulting 2201500 Ifakara Health Institute Plot 463 Kilo Avenue PO Box 78373 Dar es Salaam Ifakara TZ Consulting 807700 Swiss Tropical and Public Health Institu Socinstrasse 57 Basel SZ Public Health Consulting 360481 Stichting Healthnet Tpo Lizzy Ansinghstraat 163 Amsterdam NL Consulting 112934 Berrry Dunn McNeil & Parker PO Box 1100 Portland ME 04104 Audit and Accounting 105946 6 349089 340000 349089 International 623000 24597985 24597985 Communities 623000 20444282 20414926 29356 Public Health 623000 4266371 4190647 75724 49308638 35266 35266 971749 95152 972276 120779 -527 -25627 -26154 -26154 Goodwill Impairment 900099 -120642 -120642 -120642 49546197 49203558 105080 -111530 1569896 219061 1350835 18863881 16147658 2716223 202158 115920 86238 5677312 4890768 786544 1315523 1126100 189423 63803 7906 55897 138277 20900 117377 5465 5465 977084 841601 135483 1187642 1014386 173256 238082 174289 63793 2149232 1733471 415761 854448 760989 93459 50163 50163 888433 764012 124421 297604 251082 46522 Program Expense 13021439 12996985 24454 Service Provider Tax 1127823 1127823 Other Expenses 311034 177596 133438 Training 297706 295278 2428 49237005 42715988 6521017 0 X 823519 26115 6537233 5828983 4061956 6012327 1648553 1507089 83000 0 468500 635949 21281558 14649979 7177760 6631579 535853 537683 120642 0 94258 165930 21551274 21345655 4800784 5720953 3347514 3560865 24321 21363 2418641 1836182 2227517 1151131 12818777 12290494 X 8512372 8850799 220125 204362 8732497 9055161 21551274 21345655 309192 13472 0 X 0 1 X 1 1 1 X 21717995 23228301 120501 118853 349089 45534739 19796868 20768875 45921006 48251826 49308638 184047213 41514863 43997176 46041507 48370679 49657727 229581952 7005672 6900172 100000 100000 14105844 0 7005672 6900172 100000 100000 14105844 215476108 6274 28926 20480 34389 35266 125335 6274 28926 20480 34389 35266 125335 41521137 44026102 46061987 48405068 49692993 229707287 0.93800 0.90070 0.00050 0.00050 X Part III, Lines 16 & 18 The Organization believes that Section 509(a)(2) better reflects the nature of support received. Therefore, the Organization has elected to complete Schedule A, Part III. The prior year support percentages reported on Part III, Lines 14 & 16 have been recalculated to reflect Section 509(a)(2) treatment in the prior year. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1 42 42 0 Part II-B, Line 1: A portion of various association dues paid during the year pertained to lobbying activities. 0 1 X 953830 953830 16928858 11781367 5147491 1957305 1630869 326436 1441565 1237743 203822 6631579 Resident Security Deposits 7366 Estimated Third Party Settlements 1006564 Deferred Compensation 137201 1151131 49554205 13472 13472 49540733 5464 5464 49546197 49231541 0 49231541 5464 5464 49237005 Part IV, Line 2b: The residents in MCD's assisted living facilities each retain approximately $75 from their monthly SSI payments (the remainder is paid to MCD for room & board). The $75 is used by the residents to pay for personal and other incidental expenses. MCD reports the balance in the accounts as an other asset (resident funds) and also as a corresponding liability on the balance sheet. Sub-Saharan Africa 12 93 Program Services - Malaria Prevention & Treatment Indoor residual spraying, insecticide & drug resistance monitoring, bed net distribution, improving diagnostics and treatment, improving immediate care at the community level, clinical trials of malaria vaccine 19295131 Sub-Saharan Africa 2 5 Program Services - Child Survival Increasing the life of long-lasting insecticide treated bet nets; improving maternal and child health care provision and use 1351691 Sub-Saharan Africa 2 49 Program Services - Water Supply & Sanitation Improving sanitation knowledge at the community level 2673271 South Asia 1 1 Program Services - Child Survival Cervical cancer detection and treatment; bed net distribution in antenatal care clinics 148113 Sub-Saharan Africa 1 1 Program Services - Cervical Cancer Screening Cervical cancer detection and treatment 34482 Central America 2 14 Program Services - Zika prevention BCC/SBC for prevention of Zika, elimination of breeding sites, monitoring 106455 20 163 0 0 20 163 23609143 0 23609143 0 0 1 0 0 0 X 0 1 X X X X X 1 1 0 0 0 0 0 1 0 Mark E Battista MD President & CEO 294236 0 0 0 67946 0 13250 0 12980 0 388412 0 0 0 Natasha Erb CFO 163590 0 21439 0 29341 0 0 0 9046 0 223416 0 0 0 Edward W Miles Past CFO 30756 0 30000 0 170531 0 4408 0 16014 0 251709 0 0 0 Maureen Conley Director of MCD Communities 225429 0 31000 0 1233 0 11490 0 11592 0 280744 0 0 0 Christopher Schwabe Director of MCDI 226257 0 27500 0 24065 0 12598 0 22524 0 312944 0 0 0 Edward Aldrich Head of Finance & Admin. Unit 129063 0 16000 0 11126 0 0 0 10189 0 166378 0 0 0 Joseph Carter Senior Business Development Exec. 171234 0 30539 0 49545 0 6472 0 24080 0 281870 0 0 0 Eric Dimbleby Director of IT 136336 0 25629 0 408 0 7107 0 15883 0 185363 0 0 0 Hansford Lee Yellott Operations Manager 119709 0 8100 0 2865 0 6081 0 21543 0 158298 0 0 0 Part I, Line 1b Temporary housing allowance was provided to the CFO during the year as part of the onboarding and transition process. Part I, Lines 4a-b Ed Miles received a retention payment in the amount of $150,000 upon retirement from his leadership position in order to allow for a smooth transition to the incoming CFO. This payment is reported on page 2 of Schedule J in column B(iii). Mark Battista participated in a supplemental nonqualified retirement plan. Amounts related to this plan, $18,000, are reported on Page 2 of Schedule J in column B(iii). Edward Miles participated in a supplemental nonqualified retirement plan. Amounts related to this plan, $18,000, are reported on Page 2 of Schedule J in column B(iii). Natasha Erb participated in a supplemental nonqualified retirement plan. Amounts related to this plan, $18,000, are reported on Page 2 of Schedule J in column B(iii). Maureen Conley participated in a supplemental nonqualified retirement plan. Amounts related to this plan, $15,000, are reported on Page 2 of Schedule J in column B(iii). Part I, Line 7 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 organizational management. Awarding of bonuses or other performance payments is based on the performance of the individual employee based on criteria specific to the position of the employee and the division where the employee is assigned. X 1 20000 FMV X Bed Nets 1 320000 FMV 0 1 0 Form 990, Part VI, Section A, line 4 In December 2016, the Organization changed the number of Directors to no less than 7 and no more than 35. Additionally, the number of voting members was changed to no less than 7 and no more than 19. Form 990, Part VI, Section A, line 6 There shall be not less than ten (10) nor more than thirty-three (33) Corporate Members selected by the Board of Directors and which shall be organizations with the interest,resources and capacity to fulfill the roles and duties of Corporate Members as defined in this Article and as may be amended from time to time or otherwise prescribed by the Board of Directors. Each Corporate Member shall appoint an individual representative authorized by the Member to vote and otherwise act on its behalf. The following organizations are Members of the Corporation as of the 2016 Annual Meeting of the Corporation: American Cancer Society, New England Division; American Heart Association; Bingham Program; Maine Dental Association; Maine Hospital Association; Maine Medical Association; Maine Municipal Association; Maine Osteopathic Association; Maine State Nurses' Association; University of Maine. Form 990, Part VI, Section A, line 7a The total number of Directors constituting the Board of Directors shall be not less than seven (7) or more than thirty-five (35) and the number of voting directors shall be not less than seven (7) or more than nineteen (19). Directors shall be elected by the Board of Directors at any regularly-scheduled meeting of the Board of Directors or at a special meeting of the Board of Directors duly called for that purpose. Form 990, Part VI, Section A, line 7b The governing documents reserve a number of specified powers to the corporate members. Form 990, Part VI, Section B, line 11b The CFO and the Director of Corporate Finance 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 Finance Committee for their review, and if Committee members have any concerns or questions, a 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. The return is subsequently filed with the IRS. Form 990, Part VI, Section B, line 12c 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. Form 990, Part VI, Section B, line 15 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 Personnel 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 executive compensation information, in determining the appropriate compensation. The Committee may also request a formal, external comparative compensation survey, as was commissioned in 2007, and the Committee reviewed externally-sourced compensation information in 2012 and in 2014. The full Board of Directors provides periodic input on performance, and reviews and votes on the entire recommended employment agreement, including compensation terms. The current agreement was approved by the Board of Directors in December 2014 for the two-year term of the agreement. Form 990, Part VI, Section C, line 19 The Organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: Medical Care Development, Inc. 11 Parkwood Drive Augusta, ME 04330 EIN: 01-6022787 Medical Care Development, Inc. is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n).