MOUNT DESERT ISLAND HOSPITAL: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
MOUNT DESERT ISLAND HOSPITAL (EIN 01-0211797)
Tax period
2013-05-01 to 2014-04-30
Filed
2015-03-14
IRS object ID
201520759349300507
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-03-14T07:00:08-07:00ReturnTs
Tax Period End2014-04-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-05-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010211797EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MOUNT DESERT ISLAND HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlMOUNBusinessNameControlTxt
Phone2072885081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8AddressLine1
Address Line210 Wayman LaneAddressLine2
CityBar HarborCity
StateMEState
ZIP Code046090008ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonChristina HardingPersonNm
Person TitleCFOPersonTitleTxt
Phone2072885082PhoneNum
Signature2015-03-13SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerARTHUR BLANKPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 WAYMAN LANEAddressLine1
Address Line2PO BOX 8AddressLine2
CityBAR HARBORCity
StateMEState
ZIP Code046090008ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$56,372,674GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.mdihospital.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1897FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionMount Desert Island Hospitals mission is to provide compassionate care and strengthen the health of our community by embracing tomorrow's methods and respecting time honored values.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee529TotalEmployeeCnt
Total Volunteers244TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,254,053PYContributionsGrantsAmt
CY Contributions Grants$1,735,208CYContributionsGrantsAmt
PY Program Service Revenue$47,520,943PYProgramServiceRevenueAmt
CY Program Service Revenue$45,127,799CYProgramServiceRevenueAmt
PY Investment Income$424,924PYInvestmentIncomeAmt
CY Investment Income$72,733CYInvestmentIncomeAmt
PY Other Revenue$2,333,173PYOtherRevenueAmt
CY Other Revenue$3,058,207CYOtherRevenueAmt
PY Total Revenue$52,533,093PYTotalRevenueAmt
CY Total Revenue$49,993,947CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$32,850,936PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$31,466,270CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$155,569CYTotalFundraisingExpenseAmt
PY Other Expenses$22,267,919PYOtherExpensesAmt
CY Other Expenses$21,346,329CYOtherExpensesAmt
PY Total Expenses$55,118,855PYTotalExpensesAmt
CY Total Expenses$52,812,599CYTotalExpensesAmt
PY Revenues Less Expenses-$2,585,762PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$2,818,652CYRevenuesLessExpensesAmt
Total Assets BOY$52,443,534TotalAssetsBOYAmt
Total Assets EOY$49,537,121TotalAssetsEOYAmt
Total Liabilities BOY$31,102,021TotalLiabilitiesBOYAmt
Total Liabilities EOY$28,955,798TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$21,341,513NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$20,581,323NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionMount Desert Island Hospitals mission is to provide compassionate care and strengthen the health of our community by embracing tomorrows methods and respecting time honored values.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$39,585,686ExpenseAmt
Grant$0GrantAmt
Revenue$48,156,006RevenueAmt
DescMount Desert Island hospitals mission statement is described in Part II, Line 1 above. In Fiscal year 2014, MDI Hospital provided 3,326,742 in services for which no compensation was expected or received. 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 and champus. The unreimbursed value for providing care to these patients approximates 1,244,181. The Hospital provides a number of health services and preventative health programs to the community. Available programs include cardiac pulmonary rehabilitation, wellness programs, diabetes education, nutrition counseling, parenting, pregnancy and sibling classes and physical and occupational therapy programs, as well as speech therapy, as well as our newly adopted oral health program adopted in Fiscal year 2014. Thoughout the years, staff from the hospital make presentations to area school children regarding smoking cessation and health nutrition, and now oral health, including a Give Kids a Smile day in which free or reduced cost screenings are available. Additionally, community groups such as Alcoholics Anonymous use the hospitals 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 organization such as the local Rotary, and Lioness clubs.Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$39,585,686TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContriYes (1)DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document56IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee529EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldMEStatesWhereCopyOfReturnIsFldCd
Own WebsiteYes (X)OwnWebsiteInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonArthur BlankPersonNm
Phone2072885081PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 8AddressLine1
Address Line210 Wayman LaneAddressLine2
CityBar HarborCity
StateMEState
ZIP Code046090008ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndInstitutional TrusteeInstitutionalTrusteeIndOfficerOfficerIndKey EmployeeKeyEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Arthur J Blank
President and CEO400Yes (X)Yes (X)Yes (X)Yes (X)$314,555$0$34,783
John Benson MD
Boardmember10Yes (X)$0$0$0
Michael Bonsey
Chairman50Yes (X)Yes (X)$0$0$0
Stewart Brecher
Board Member10Yes (X)$0$0$0
David Einhorn Esq
Board Member10Yes (X)$0$0$0
Kathleen Field
Board Member10Yes (X)$0$0$0
Julius Krevans MD
Board Member10Yes (X)$0$0$0
Julian Kuffler MD
2nd Vice Chair & Family Physician40.000Yes (X)$222,993$0$25,173
Dean Read
Board Member10Yes (X)$0$0$0
Patricia Hand PhD
Board Member10Yes (X)$0$0$0
Elsie Flemings
Board Member10Yes (X)$0$0$0
Noelle Wolf
Board Member10Yes (X)$0$0$0
Vince Messer
1st Vice Chair30Yes (X)Yes (X)$0$0$0
James Bright
Board member10Yes (X)$0$0$0
Christina M Harding
CFO/VP of Finance400Yes (X)Yes (X)$164,345$0$12,970
Terry Musson
Board Member10Yes (X)$0$0$0
Stuart Davidson
Physician400$480,974$0$37,120Yes (X)
Michael Heniser
Physician400$382,683$0$27,638Yes (X)
Michelle Kinbrook
Physician400$282,577$0$27,876Yes (X)
Kendra Blount
General Surgeon400$288,257$0$37,120Yes (X)
Tanya Hanke
Physician400$251,959$0$16,774Yes (X)
Bev Paigen
Board Member10Yes (X)$0$0$0
David Painter
MD401Yes (X)$183,062$0$34,313
Audrey Leavitt
Secretary400Yes (X)$45,568$0$18,721
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,616,973TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$272,488TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K40IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2
Bay View Physical Therapy
125 Oak StreetEllsworthME04605Physical Therapy$522,273
Rao Surapememi P Ramanadha MD
50 358 Broad stBangorME04401Urologist$336,000suite 207
Dahl Chase Diagnostic Services
417 State StreetBangorME04401pathology services$388,859Suite 441
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$116,921GovernmentGrantsAmt
All Other Contributions$1,618,287AllOtherContributionsAmt
Noncash Contributions$655,264NoncashContributionsAmt
Total Contributions$1,735,208TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Patient Service Revenue900099$19,489,185$19,489,185$0$0
Medicare/Medicaid payments900099$25,638,614$25,638,614$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$45,127,799TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column-$39,557TotalRevenueColumnAmt
Related Or Exempt Func Income-$39,557RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,742TotalRevenueColumnAmt
Related Or Exempt Func Income$57,742RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$30,000RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$30,000RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$30,000TotalRevenueColumnAmt
Related Or Exempt Func Income$30,000RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$6,433,275SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$6,378,727SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$54,548SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$54,548TotalRevenueColumnAmt
Related Or Exempt Func Income$54,548RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Cafeteria sales900099$194,338$194,338$0$0
Misc Income - Other900099$2,643,850$2,643,850$0$0
Misc Income - HC Admin900099$190,019$190,019$0$0

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,028,207OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$49,993,947TotalRevenueColumnAmt
Related Or Exempt Func Income$48,258,739RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$727,284TotalAmt
Program Services$0ProgramServicesAmt
Management And General$727,284ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$22,990,330TotalAmt
Program Services$16,945,459ProgramServicesAmt
Management And General$5,942,572ManagementAndGeneralAmt
Fundraising$102,299FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$492,461TotalAmt
Program Services$350,713ProgramServicesAmt
Management And General$139,607ManagementAndGeneralAmt
Fundraising$2,141FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$5,669,829TotalAmt
Program Services$4,051,452ProgramServicesAmt
Management And General$1,594,681ManagementAndGeneralAmt
Fundraising$23,696FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,586,366TotalAmt
Program Services$1,133,407ProgramServicesAmt
Management And General$446,117ManagementAndGeneralAmt
Fundraising$6,842FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$125,961TotalAmt
Program Services$0ProgramServicesAmt
Management And General$125,961ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$117,305TotalAmt
Program Services$0ProgramServicesAmt
Management And General$117,305ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total-$39,557TotalAmt
Program Services$0ProgramServicesAmt
Management And General-$39,557ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$79,239TotalAmt
Program Services$0ProgramServicesAmt
Management And General$79,239ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$4,276,452TotalAmt
Program Services$4,045,497ProgramServicesAmt
Management And General$230,955ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$744,747TotalAmt
Program Services$569,346ProgramServicesAmt
Management And General$175,401ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$136,569TotalAmt
Program Services$113,323ProgramServicesAmt
Management And General$23,246ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$210,982TotalAmt
Program Services$99,791ProgramServicesAmt
Management And General$111,191ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$694,276TotalAmt
Program Services$567,469ProgramServicesAmt
Management And General$126,807ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,771,190TotalAmt
Program Services$1,395,822ProgramServicesAmt
Management And General$375,368ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$597,688TotalAmt
Program Services$486,715ProgramServicesAmt
Management And General$110,973ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Purchased Services$6,564,728$4,686,566$1,878,162$0
Bad Debt expense$2,592,434$2,592,434$0$0
Physician Fees$833,184$828,184$5,000$0
Hospital taxes$1,125,762$1,125,762$0$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,515,369TotalAmt
Program Services$593,746ProgramServicesAmt
Management And General$901,032ManagementAndGeneralAmt
Fundraising$20,591FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$52,812,599TotalAmt
Program Services$39,585,686ProgramServicesAmt
Management And General$13,071,344ManagementAndGeneralAmt
Fundraising$155,569FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$41,553BOYAmt
EOY$76,474EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,379,184BOYAmt
EOY$1,786,054EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,056,753BOYAmt
EOY$6,139,447EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$523,227BOYAmt
EOY$590,932EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$214,932BOYAmt
EOY$271,435EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$48,507,798LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,337,958LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$22,720,683BOYAmt
EOY$23,169,840EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$13,366,094BOYAmt
EOY$12,401,361EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$7,141,108BOYAmt
EOY$5,101,578EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$52,443,534BOYAmt
EOY$49,537,121EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,545,489BOYAmt
EOY$11,237,965EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$11,693BOYAmt
EOY$9,154EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,175,016BOYAmt
EOY$3,640,969EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$9,199,906BOYAmt
EOY$7,980,576EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$5,169,917BOYAmt
EOY$6,087,134EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$31,102,021BOYAmt
EOY$28,955,798EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$14,265,803BOYAmt
EOY$14,865,588EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$5,141,021BOYAmt
EOY$3,674,156EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,934,689BOYAmt
EOY$2,041,579EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,341,513BOYAmt
EOY$20,581,323EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$52,443,534BOYAmt
EOY$49,537,121EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$2,818,652ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$352,042NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$1,706,420OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (1)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$0DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$6,704OtherActivitiesAmt
Total Lobbying Expenditures$6,704TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1FormAndLineReferenceDesc
ExplanationThe CEO, for part of the fiscal year, was an officer of the Maine Hospital Association. As such, he met directly with legislators and other government officials as part of his advocacy efforts within that organization. Some of these meetings were with the intent to influence public opinion on matters relevant to the organization.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,591,431BeginningYearBalanceAmt
Contributions$25,000ContributionsAmt
Investment Earnings Or Losses$625,391InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$225,000OtherExpendituresAmt
Administrative Expenses$29,284AdministrativeExpensesAmt
End Year Balance$6,987,538EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,300,481BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses$588,719InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$270,000OtherExpendituresAmt
Administrative Expenses$27,769AdministrativeExpensesAmt
End Year Balance$6,591,431EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$8,117,020BeginningYearBalanceAmt
Contributions$0ContributionsAmt
Investment Earnings Or Losses-$421,691InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$1,366,000OtherExpendituresAmt
Administrative Expenses$28,848AdministrativeExpensesAmt
End Year Balance$6,300,481EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$6,997,367BeginningYearBalanceAmt
Contributions$17,162ContributionsAmt
Investment Earnings Or Losses$1,180,156InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$46,000OtherExpendituresAmt
Administrative Expenses$31,665AdministrativeExpensesAmt
End Year Balance$8,117,020EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,938,882BeginningYearBalanceAmt
Contributions$1,801,964ContributionsAmt
Investment Earnings Or Losses$1,284,232InvestmentEarningsOrLossesAmt
Grants Or Scholarships$0GrantsOrScholarshipsAmt
Other Expenditures$7,570OtherExpendituresAmt
Administrative Expenses$20,141AdministrativeExpensesAmt
End Year Balance$6,997,367EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.9486BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.0514PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgYes (1)EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$3,829,845OtherCostOrOtherBasisAmt
Book Value$3,829,845BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$24,979,203OtherCostOrOtherBasisAmt
Depreciation$12,702,261DepreciationAmt
Book Value$12,276,942BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$235,558OtherCostOrOtherBasisAmt
Depreciation$149,701DepreciationAmt
Book Value$85,857BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$15,039,507OtherCostOrOtherBasisAmt
Depreciation$12,225,897DepreciationAmt
Book Value$2,813,610BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$4,423,685OtherCostOrOtherBasisAmt
Depreciation$260,099DepreciationAmt
Book Value$4,163,586BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$23,169,840TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDescBook ValueBookValueAmt
Due from affiliates$4,681,817
Deferred financing costs$66,193
Estimated third party payor settlements$249,273
Aetna deposit$98,000
Other receivables$6,295
FieldValueIRS element (for citing)
Total Book Value Other Assets$5,101,578TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Deferred compensation$2,154,482
Estimated third party payor settlements$3,622,845
Due to affiliate$309,807
FieldValueIRS element (for citing)
Total Liability$6,087,134TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$49,197,901TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$0OtherRevenueAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$49,197,901RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$796,046OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$796,046RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$49,993,947TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$50,393,478TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included-$2,419,121OtherExpensesIncludedAmt
Expenses Not Reported-$2,419,121ExpensesNotReportedAmt
Expenses Subtotal$52,812,599ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$52,812,599TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4Endowment 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.
Schedule D, Part X, Line 2No note
Schedule D, Part XI, Line 4bGifts and bequests, temporarily restricted contributions, changes in pledges receivable, net assets released.
Schedule D, Part XII, Line 2dFundraising expenses, investment mgmt fees
Schedule D, Part XII, Line 4bFundraising expenses, investment management fees
Schedule D, Part XII, Line 5The IRS software has a formula error and it won't let you override it. The sum of 50,393,478 and 2,419,121 is 52,812,599, not 47,974,357 as the software states and returns an error on. It is necessary to put this number in as negative in order to calculate correctly.

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent150Yes (X)Percent150Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent250Yes (X)Percent250Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$498,854TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$498,854NetCommunityBenefitExpnsAmt
Total Expense0.01TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$4,684,774TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,939,447DirectOffsettingRevenueAmt
Net Community Benefit Expns$745,327NetCommunityBenefitExpnsAmt
Total Expense0.0141TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,183,628TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,939,447DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,244,181NetCommunityBenefitExpnsAmt
Total Expense0.0241TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$10,726,657TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,399,915DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,326,742NetCommunityBenefitExpnsAmt
Total Expense0.064TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$10,726,657TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$7,399,915DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,326,742NetCommunityBenefitExpnsAmt
Total Expense0.0640TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$15,910,285TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$11,339,362DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,570,923NetCommunityBenefitExpnsAmt
Total Expense0.0881TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$2,592,434BadDebtExpenseAmt
Bad Debt Expense Attributable$1,697,175BadDebtExpenseAttributableAmt
Reimbursed By Medicare$14,407,909ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$19,137,103CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,729,194MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost Accounting SystemYes (X)CostAccountingSystemInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities13HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (13 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1Address Line2USAddress/AddressLine2CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeWebsite AddressWebsiteAddressTxtLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndCritical Access HospitalCriticalAccessHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDescEmergency Room OtherEmergencyRoomOtherInd
Mount Desert Island Hospital
110 Wayman LanePO Box 8Bar HarborME046090008www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)
Cadillac Family Practice and Behavioral Health Center
2322 Main StreetBar HarborME04609Outpatient clinic
Cooper Gilmore Health Center
317 Hancock RoadBar HarborME04609Outpatient clinic
Trenton Health Center
4394 Bar Harbor RoadTrentonME04605Outpatient clinic
Community Health Center
516 Community LaneSouthwest HarborME04679Outpatient clinic
Family Health Center
69 Hancock RoadBar HarborME04609Outpatient Clinic
Women's Health Center
78 Wayman LaneBar HarborME04609Outpatient clinic
Northeast Harbor Clinic
8Kimball RoadNortheast HarborME04679Outpatient clinic
MDI Orthopedic clinic
910 Wayman LaneBar HarborME04609Outpatient Clinic
MDI Dermatology Clinic
10322 Main StreetBar HarborME04609Outpatient Clinic
MDI Urology Clinic
11322 Main StreetBar HarborME04609Outpatient Clinic
MDI General Surgery Clinic
1217 Hancock RoadBar HarborME04609Outpatient clinic
Community Dental Clinic
1316 Community LaneSouthwest HarborME04679www.mdihospital.orgOutpatient ClinicYes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (13 entries)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Upon RequestRptAvailableUponRequestIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndExec Community Wide PlanExecCommunityWidePlanIndInclude Operational PlanIncludeOperationalPlanIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctExplained BasisExplainedBasisIndIncome LevelIncomeLevelIndAsset LevelAssetLevelIndMedical IndigencyMedicalIndigencyIndInsurance StatusInsuranceStatusIndUninsured DiscountUninsuredDiscountIndMedicaid MedicareMedicaidMedicareIndState RegulationStateRegulationIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndPosted In Emergency RoomPostedInEmergencyRoomIndPosted In Admission OfficePostedInAdmissionOfficeIndProvided On AdmissionProvidedOnAdmissionIndAvailable On RequestAvailableOnRequestIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit Report To Credit AgencyPermitReportToCreditAgencyIndPermit Lien On ResidencePermitLienOnResidenceIndCollection ActivitiesCollectionActivitiesIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndMedicare RatesMedicareRatesIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
Mount Desert Island Hospital
1Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
Cadillac Family Practice and Behavioral Health Center
2Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
Cooper Gilmore Health Center
3Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospita.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
Trenton Health Center
4Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
Community Health Center
5Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
Family Health Center
6Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
Women's Health Center
7Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
Northeast Harbor Clinic
8Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
MDI Orthopedic clinic
9Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
MDI Dermatology Clinic
10Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
MDI Urology Clinic
11Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
MDI General Surgery Clinic
12Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)250Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
Community Dental Clinic
13Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)11Yes (1)0Yes (1)Yes (X)www.mdihospital.orgYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (1)Yes (1)150Yes (1)175Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (25 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 3-Mount Desert Island HospitalThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-Cadillac Family Practice and Behavioral Health CenterThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-Cooper Gilmore Health CenterThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-Trenton Health CenterThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-Community Health CenterThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-Family Health CenterThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-Women's Health CenterThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-Northeast Harbor ClinicThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-MDI Orthopedic clinicThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-MDI Dermatology ClinicThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-MDI Urology ClinicThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-MDI General Surgery ClinicThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 3-Community Dental ClinicThe Hospital Partnered with Healthy Acadia to perform a comprehensive community needs assessment, focused on the overall health of the community. The participants were a multifaceted representation of the community, including business, public health, community health and healthcare providers. Healthy Acadia is dedicated to building vibrant communities and making it easier for people to make healthy choices for themselves and their families. They create lasting improvements to the health of our communities by connecting individuals with health supports, building partnerships, coordinating education and prevention services, and improving policies and environments. Healthy Acadia is a 501c3 non profit with more than 100 partners. They address critical locally defined health priorities across Hancock County. They serve as the Healthy Maine Partnership for Hancock County.
Schedule H, Part V, Section B, Line 5-Mount Desert Island HospitalThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-Cadillac Family Practice and Behavioral Health CenterThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-Cooper Gilmore Health CenterThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-Trenton Health CenterThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-Community Health CenterThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-Family Health CenterThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-Women's Health CenterThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-Northeast Harbor ClinicThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-MDI Orthopedic clinicThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-MDI Dermatology ClinicThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-MDI Urology ClinicThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.
Schedule H, Part V, Section B, Line 5-Community Dental ClinicThe Community Health Needs Assessment is available to our community members through our public website and the ongoing implementation and workplan is documented by our Planning and Board Committees.

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 7The costing methodology utilized for this table were derived from Worksheet 2, Ratio of patient care cost to charges with data from filed cost reports for the filing fiscal year.
Schedule H, Part I, Line 7, Column fThe bad debt expense included on Form 990, Part IX, line 25, Column A, but subtracted for puposes of caculating the percentage in this column is 2,952,434
Schedule H, Part I, Line 7gThe 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.
Schedule H, Part III, Section A, Line 4Patient accounts receivable are stated at the amount that management expects to collect from outstanding balances. Management provides for probable uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment to individual accounts and historical adjustments. Balances that are still outstanding, after management has used reasonable collection efforts are written off through a charge to the valuation allowance and a credit to the patient accounts receivable. The Hospital follows the Medicare guidelines for allowable bad debts. It uses the following criteria. A. Establishing that reasonable collection efforts were made B. Establishing that the accounts were uncollectible C. Establishing that there is no likelihood of recovery at anytime in the future.
Schedule H, Part III, Section B, Line 8The IRS 990H instructions and guidance provide a template in worksheet 2 template as a way to determine the overall cost to charge ratio that could be applied throughout the IRS 990H form 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 form 990H worksheet B, Line 2 and 6 Medicare allowable costs and payments related to the subsidized health services we utilized the Medicare cost report estimated cost and payment for these services. The Hospital believes that provider based clinics listed in 1C above should be and are 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 at least 45 to 65 minutes to the nearest like hospital and that hospital's service offerings. As such, Mount Desert Island Hospital believes that by offering and subsidizing these clinics within its community and thus enabling community members to have easy access and an easier commute for these services, that this benefits the whole community at large.
Schedule H, Part III, Section C, Line 9bThe Hospital would not initiate collection efforts against a patient that qualified for a sliding fee scale unless that patient failed to meet their obligation under a mutually agreed upon payment arrangement. After it was determined that the patient did not qualify for a readjustment to their payment terms, the Hospital would follow normal notification practices dictated by our collection policy which may result in the account sent to collections. When a patient is referred out to collections but then applies for free or discounted care, we pull the account back from collections when it is determined they qualify for one of the programs. If the collection agency suspects that someone may need to apply for one of the programs, they send out an application and notify us. We make every effort to screen as many people as possible before we send them to collections. Information about our free and sliding scale programs are on our website, on our account statements, posted in public areas and at our provider clinics. We also make available a Patient Financial Counselor to help navigate the process
Schedule H, Part VI, Line 2Mount Desert Island Hospital assesses the health needs of the community through the use of a collaborative Community Health Needs Assessment. As a key participant in the CHNA process our institution is able to further address and identify those areas of most concern and need in our community. A community needs assessment is a point in time effort to measure the health and well being of the community. It serves as a constructive tool to and basis for Mount Desert Island Hospital's strategic and subsequent action planning to develop Health Policy Advocacy, allocate resources, improve or expand existing services, implement new programs and collaborate with other community health care providers. A community health needs assessment also serves as a benchmark for future assessment of measured progress toward established community health objectives. The Mount Desert Island Hospital's Community Health Needs Assessment provides an opportunity to gain insight into the needs and assets that are served, it also provides a measure to identify and address the needs of the vulnerable populations with our community. The Mount Desert Island Hospital process was a partnership with Healthy Acadia, a comprehensive community health coalition that was formed in 2001 with the public health funding provided by the Maine Center for Disease Control and Prevention. The Community Health Improvement Plan and Health Needs Assessment were performed using the Mobilizing for Action through Planning and Partnerships process utilizing a broad cross section of our demographic and service area. This process delivered the basis for the assessment which demonstrated the strengths and opportunities for our plan. This process involved gather of two types of data, quantitative demographics, health indicators, local statistics, etc. and qualitative Public Surveys, Focus Groups and Community Stakeholders. The data helps support short-term and long-term decisions about allocation of community human and capital resources. Participants included members of the Hospitals medical staff, nursing staff, board of trustees and administration. Focus groups were used to gain feedback from diverse and remote populations, as an institution that serves the rural and coastal community of Mount Desert Island and the other islands off the Coast of Hancock County, this feedback was essential to continue to develop strategies to meet the needs of our residents. This collaborative effort developed the eight themes for strategic initiatives and goals. The organization reviewed the overarching needs and validated those to the health needs of the community. This process was reviewed and prioritized through the Board Designated Planning Committee of the organization, which developed and maintains oversight of the Hospitals official Community Health Needs Assessment and Implementation Plan. The implementation plan is reviewed periodically. Those items that were not achievable are reviewed and documented as to the barrier for successful implementation and or alternatives.
Schedule H, Part VI, Line 3The Financial Assistance Policy application is sent with all account statements, it is printed on the back of the statement. A notice of the FAP is also available on our Hospital website, posted in public areas and available within the departments and clinics of our organization. The hospital provides a Patient Financial Representative to help navigate the process to ensure that our patients have access to care and services they need. MDIH is committed to Providing access to quality healthcare services with compassion, dignity and respect for those we serve, particularly the poor, indigent, and underserved in our communities. Caring for all members of our communities or persons needed care, regardless of their ability to pay for services. Assisting our patients who cannot afford to pay for part or all of the services received by working with our community to address those in need and aid in finding the financial resources available. MDIH has adopted guiding principles when handling the billing, collections and financial support functions for our patients. Provide effective communications with patients regarding hospital bills Make affirmative efforts to help patients apply for public and private financial support programs. We implement policies and procedures for assisting low income patients in a consistent manner. We implement fair and consistent billing and collection practices for all patients with patient payment obligations. We communicate effectively and timely with our patients regarding patient payment obligation. Noting that a patient financial representative is 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 as well we have a patient advocate to facilitate issues that arise in the course of this process. Information about hospital based financial support polices and external support programs that provide coverage for services are made available to patients during the pre registration and registration processes and or through communications with patients seeking financial assistance. Support is available to uninsured and underinsured patients who do not qualify for public programs or other means of assistance. Notification about financial assistance programs at MDIH, including contact information, is available through messaging included on patient bills, physician offices, public areas, care management staff, registration areas, billing support staff and reception in the hospital, and clinics. Patient brochures describing the financial counseling and assistance services are available in these areas as well as on our public website, mdihospital.org.
Schedule H, Part VI, Line 4Mount Desert Island Hospital is a 25 Critical Access Hospital located in Bar Harbor, Maine providing acute, swing, obstetrics and nursery services. It is a not-for profit hospital located in Bar Harbor, Maine Hancock County. The Hospital is licensed by the State of Maine. The mission is to provide compassionate care and strengthen the health of our community by embracing tomorrow's methods and respecting time honored values. Its services include acute inpatient, 24 hours emergency center, and diagnostic and surgical services. Along with hospital services, the Hospital employs the majority of primary and specialty care physicians in the area. The Hospital provides the only Behavioral Health Clinic services in Hancock County. Hancock and Washington county is considered rural by the state of Maine and the United States Census Bureau, under guidelines set forth by the office of Management and Budget OMB. The Hospital service area HSA as defined by the Maine Health Data Organization MHDO uses the statistical method where the greatest proportion of residents received their inpatient care.
Schedule H, Part VI, Line 5The volunteer Board of Trustees sets the strategic direction for the Hospital and is comprised of community members from the Hospital service area. Mount Desert Island Hospital non-profit status allows the Hospital to reinvest any excess of revenues over expense back into the Hospital to continuously improve the medical care it delivers. The Hospital provides staff and space to the community for Health Forums, Medical Certification Courses, Physician Education, Nutrition Education, Advocacy, Community Health Forums, Vaccination Clinics, Public Kiosks to access Healthcare.gov, and a Public Website with links to Healthy Choices. The Hospital works with the local YMCA to promote healthy choices and early education about exercise benefits to the youth of the area. The Hospital engages with the school systems to provide Nurses and Health Coaches to promote the health of the community and sponsors and annual Health Fair for the community to educate and engage the members of the community about choosing wisely and healthy options within their lifestyles. Mount Desert Island Hospital Organization was able to maintain and expand its ongoing Affordable Care Act outreach, enrollment and education efforts during the 2015 open enrollment period on the Health Insurance Marketplace. This was achieved through broadening our base of Certified Application Counselors, which now includes public affairs and care management professionals in addition to patient advocacy representatives and finance specialists. MDI Hospital Organization certified 9 CACs in advance of 2015 open enrollment, which allowed for a robust outreach and education schedule. During the 2015 open enrollment period, MDI Hospital Organization CACs provided enrollment counseling through public enrollment sessions, private appointments, telephone, social media and one-on-one support. MDI Hospital Organization application counselors also provided and will continue to offer counseling to those with questions about how best to utilize their new health insurance coverage through one-on-one, telephone, email and social media support. By expanding our public outreach to local eateries, we connected with a demographic that we had not previously reached, such as area retail and restaurant employees as well as local small business owners. By meeting our community in an environment that was comfortable to them, we removed their hesitancy to explore their options. Additionally, we found that the people we met during this outreach were more apt to share their experience with friends, coworkers and family, so our outreach began to spread much more organically through word of mouth. By expanding our social media outreach, we removed another barrier to access for many people, allowing them to connect with us through text and social media messaging. Our Facebook outreach was not only done through our organization's Facebook page, but through specifically targeted Facebook groups formed around sharing public events and employment options. As a result, we received many email, social media and text inquiries and referrals. By certifying application counselors across a wide variety of disciplines, we were able to more fully integrate our outreach efforts and offer support to a broader community base.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Arthur J Blank
President and CEO$314,555$0$0$0$0$0$17,500$0$34,783$0$366,838$0$0$0
Christina M Harding
CFO/VP of Finance$164,345$0$0$0$0$0$0$0$12,970$0$177,315$0$0$0
Stuart Davidson
Physician$480,974$0$0$0$0$0$17,500$0$37,120$0$535,594$0$0$0
Michael Heniser
Physician$382,683$0$0$0$0$0$17,500$0$27,638$0$427,821$0$0$0
Michelle Kinbrook
Physician$282,577$0$0$0$0$0$17,500$0$27,876$0$327,953$0$0$0
Kendra Blount
General Surgeon$288,257$0$0$0$0$0$17,500$0$37,120$0$342,877$0$0$0
Tanya Hanke
Physician$251,959$0$0$0$0$0$0$0$16,774$0$268,733$0$0$0
David Painter
MD$183,062$0$0$0$0$0$17,500$0$34,313$0$234,875$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aThe Hospital provides the CEO's fitness membership, which is approximately $399 per year. MDI Hospital reimburses all other benefited employees up to $100 per year toward the YMCA or other health club membership with appropriate supporting documentation.
Schedule J, Part I, Line 7Fitness memberships

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)

Bond ReferenceBondReferenceCdBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
MHHEFA 2006F Bond
A2005-07-03$707,200Replacement of central chiller000
MHHEFA 2007B Bond
B2007-07-03$4,427,988Clinic construction, office and clinic space000
MHEFFA 2010 Bond
C2010-07-01$1,200,000Refinancing of 98A Bond for renovation of outpatient service area000

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$707,200$0$0$0$0$0$0$707,200$0$0200800Yes (1)Yes (1)
B$0$0$4,427,988$0$0$0$0$0$0$4,427,988$0$0200900Yes (1)Yes (1)
C$0$0$1,200,000$0$0$0$0$0$0$0$1,200,000$01999Yes (1)0Yes (1)Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0000000Yes (1)0Yes (1)
B0000000Yes (1)0Yes (1)
C0000000Yes (1)0Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A00000000Yes (1)
B00000000Yes (1)
C00000000Yes (1)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1J and D Imaging John Benson MDBusinessNameLine1
FieldValueIRS element (for citing)
Relationship DescriptionBoard memberRelationshipDescriptionTxt
Transaction$379,708TransactionAmt
TransactionEquipment leasing and radiology servicesTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part I, Line 1FormAndLineReferenceDesc
ExplanationJohn Benson, MD is the propiretor of J&D Imaging Co. J&D Imaging does consulting for MDI Hospital in the form of radiology services performed by Dr. John Benson. MDI Hospital also leases radiology equipment from J&D Imaging. Although Dr. Benson is a member of the Board of Directors of MDI Hospital, he abstains from any situation which may be deemed a conflict of interest, and duly reports and compeltes required disclosures.ExplanationTxt

Schedule M IRS990ScheduleM

Securities Publicly Traded SecuritiesPubliclyTradedGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
Contribution7ContributionCnt
Noncash Contributions Rpt F990$515,927NoncashContributionsRptF990Amt
Method Of Determining RevenuesFair Market ValueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Form8283 Received0Form8283ReceivedCnt
Any Property That Must Be Held0AnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (1)ReviewProcessUnusualNCGiftsInd
Third Parties UsedYes (1)ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I, Line 32bFormAndLineReferenceDesc
ExplanationThe hospital policy requires that sotck donations are immediately sold by the Advisors Account to which they are received.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 2Oral Health Services Reference Part III, Line 4a of 990
Form 990, Part VI, Section B, Line 11bThe initial review of the Form 990 is performed by the Finance Sub Committee of the Board of Directors of the Hospital. The members are provided with an electronic copy of the Form 990 and all supporting schedules (printed versions are also available upon request). Once reviewed by the Finance Sub-Committee, all Board of Trustees members are provided with a copy of the Form 990 and supporting schedules for review. Board Members are given the opportunity to comment and review. Both the CEO, President and CFO, Vice President are available to answer any inquiries. Board Members are also given the opportunity to receive the final copy via an electronic format or a printed copy.
Form 990, Part VI, Section B, Line 12cPer the conflict of interest policy, the organization monitors and enforces disclosure compliance of interests that could give rise to conflicts by officers, directors, or trustees and key employees. disclosures are completed and submitted to the CEO. Board members will abstain from discussions or approval if there is even an appearance of possible conflict of interest during meetings.
Form 990, Part VI, Section B, Line 15The compensation for the President and CEO of MDI Hospital is reviewed and approved by the governing body of the organization. The governing body uses market data from an independent source to compare compensation models of similar size organizations within like demographiscs and geographical similarities to align compensation packages. Other officers and key employees' compensation is reviewed by the Human Resource Department of the organization using the same market data guidelines to compare compensation for these positions relative to like organizations with like demographic and geographic similarities.
Form 990, Part VI, Section C, Line 19The annual report and Form 990, including financial information is available to the public through our website at mdihospital.org. Additional financial information is available on federal and state governmental websites for required reporting. Governing documents and conflict of interest policy are available upon request, as are audited financial statements.
Form 990, Part XI, Line 9Changes in pledges rec, value of beneficial interest in perpetual trust

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Birch Bay Village Retirement CommunityBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Wayman LaneAddressLine1
CityBar HarborCity
StateMEState
ZIP Code04609ZIPCode
FieldValueIRS element (for citing)
EIN010481696EIN
Primary ActivitiesRetirement CommunityPrimaryActivitiesTxt
Legal Domicile StateMELegalDomicileStateCd
Exempt Code Section501(c)(3)ExemptCodeSectionTxt
Public Charity Status170(b)(1)(A)(iii)PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Mount Desert Island HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Address Line2USAddress/AddressLine2CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmt
Mount Desert Management Company
PO Box 810 Wayman LaneBar HarborME04609010538776Real Estate DevelopmentMEBirch Bay Village Retirement CommunityC10
Hancock County Community Health LLC
4 Community LanePO Box 731Southwest HarborME04679464278107Lease dental provider servicesMEC0.5$50$50
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Birch Bay Village Retirement Community
a-iv$32,400building costs allocated by square footage equal to amount of rent charged
Birch Bay Village Retirement Community
q$119,970Receivable account - a receivable account is maintained on the general ledger of MDI Hospital, as well as an accounts payable account on the general ledger of Birch Bay Village Retirement Community. Transfers to the Birch Bay Village Retirement Community are recorded as receivables at the time of transfer. A detail of this account in maintained in order to provide this information.

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
Explanationno late filingExplanationTxt

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