MOUNT DESERT ISLAND HOSPITAL: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- MOUNT DESERT ISLAND HOSPITAL (EIN 01-0211797)
- Tax period
- 2010-05-01 to 2011-04-30
- Filed
- 2012-03-15
- IRS object ID
- 201230759349301173
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-03-15T19:02:36-07:00 | Timestamp |
| Tax Period End Date | 2011-04-30 | TaxPeriodEndDate |
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-05-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010211797 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MOUNT DESERT ISLAND HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | MOUN | NameControl |
| Phone | 2072885081 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8 | AddressLine1 |
| Address Line2 | 10 Wayman Lane | AddressLine2 |
| City | Bar Harbor | City |
| State | ME | State |
| ZIP Code | 046090008 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Christina Harding | Name |
| Title | CFO | Title |
| Phone | 2072885082 | Phone |
| Date Signed | 2012-03-07 | DateSigned |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | X | InitialReturn |
| Name Of Principal Officer Person | Arthur Blank | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Wayman Lane | AddressLine1 |
| City | Bar Harbor | City |
| State | ME | State |
| ZIP Code | 046090008 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 51867155 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.mdihospital.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1897 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | Mount Desert Island Hospital's mission is to provide compassionate care and strengthen the health of our community by embracing tomorrow's methods and respecting time-honored values. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 501 | TotalNbrEmployees |
| Total Nbr Volunteers | 146 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1393948 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1540806 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 46369370 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 49496610 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 960875 | InvestmentIncomePriorYear |
| Investment Income Current Year | 28647 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 814995 | OtherRevenuePriorYear |
| Other Revenue Current Year | 801092 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 49539188 | TotalRevenuePriorYear |
| Total Revenue Current Year | 51867155 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 28241495 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 30191177 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 189683 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 20243340 | OtherExpensePriorYear |
| Other Expenses Current Year | 21299884 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 48484835 | TotalExpensesPriorYear |
| Total Expenses Current Year | 51491061 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1054353 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 376094 | RevenuesLessExpensesCY |
| Total Assets BOY | 41225229 | TotalAssetsBOY |
| Total Assets EOY | 52909124 | TotalAssetsEOY |
| Total Liabilities BOY | 20859087 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 30019700 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 20366142 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 22889424 | NetAssetsOrFundBalancesEOY |
| Mission Description | Mount Desert Island Hospital's mission is to provide compassionate care and strengthen the health of our community by embracing tomorrow's methods and respecting time-honored values. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 39301419 | Expense |
| Grants | 0 | Grants |
| Revenue | 49496610 | Revenue |
| Description | Patient Care: Mount Desert Island Hospital's mission statement is described in Part II, Line 1 above. In Fiscal Year 2011, MDI Hospital provided $855,316 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 $11,907,190. The Hospital provides a number of health services and preventative health programs to the community. Most of these programs are either covered by insurance, are offered at very low costs or are free to the community. Available programs include: cardiac pulmonary rehabilitation, wellness program, diabetes education, nutrition counseling, parenting, pregnancy and sibling classes and physical and occupational therapy programs. Throughout the year, staff from the hospital make presentations to area school children regarding smoking cessation and health nutrition. Additionally, community groups such as Alcoholics Anonymous use the hospital's conference rooms for their meetings. | Description |
| Total Of Other Program Service Exp | 0 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 0 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 39301419 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 1 | TaxExemptBonds |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBonds |
| Escrow Account | 0 | EscrowAccount |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuer |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 58 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 501 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | ME | StatesWhereCopyOfReturnIsFiled |
| Own Website | X | OwnWebsite |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | Arthur Blank | NamePerson |
| Telephone Number | 2072885081 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Wayman Lane | AddressLine1 |
| City | Bar Harbor | City |
| State | ME | State |
| ZIP Code | 046090008 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (24 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Terry Musson | |||||||
| Board Chairman | 5 | X | X | 0 | 0 | 0 | |
| Arthur J Blank | |||||||
| President/CEO | 40 | X | X | 254044 | 0 | 36744 | |
| John Adams MD | |||||||
| 1st Vice Chairman | 3 | X | X | 0 | 0 | 0 | |
| O Lee Haynes MD | |||||||
| 2nd Vice Chairman | 40 | X | X | 242908 | 0 | 37932 | |
| John Benson MD | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Michael Bonsey | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Stewart Brecher | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Mary Dudzik MD | |||||||
| Board Member | 40 | X | 162994 | 0 | 17494 | ||
| David Einhorn Esq | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Kathleen Field | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Julius Krevans MD | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Julian Kuffler MD | |||||||
| President of Medical Staff | 40 | X | 220144 | 0 | 22620 | ||
| Dean Read | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Mickey Shattow | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Patricia Hand PhD | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Elsie Flemings | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Noelle Wolf | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Vince Messer | |||||||
| Board Member | 1 | X | 0 | 0 | 0 | ||
| Bradley Perkins | |||||||
| VP Finance/Treasurer | 40 | X | 136542 | 0 | 17414 | ||
| Barbara Hannon | |||||||
| VP Clinical Services | 40 | 129020 | 0 | 28097 | X | ||
| Michael Heniser MD | |||||||
| HC Family Physician | 40 | 285925 | 0 | 9315 | X | ||
| Ronald Prokopuis MD | |||||||
| HC Internal Medicine | 40 | 254874 | 0 | 28048 | X | ||
| Edward White MD | |||||||
| Orthopedic Surgeon | 40 | 334458 | 0 | 37001 | X | ||
| Stuart Davidson | |||||||
| Physician | 40 | 352577 | 0 | 30047 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2373486 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 264712 | TotalOtherCompensation |
| Number Individuals GT100 K | 36 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | Address Line2AddressOfContractor/AddressUS/AddressLine2 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|---|
| Berry Dunn CPAs | ||||||
| 100 Middle Street | PO Box 1100 | Portland | ME | 04104 | Audit and consulting | 177000 |
| Bay View Physical Therapy | ||||||
| 125 Oak Street | Ellsworth | ME | 04605 | Physical Therapy | 547150 | |
| Maine Coast Memorial Hospital | ||||||
| 50 Union Street | Ellsworth | ME | 04605 | Shared physician | 180317 | |
| Dahl Chase Diagnostic Services | ||||||
| 417 State Street | Suite 441 | Bangor | ME | 04401 | pathology services | 192363 |
| NEHE MRI LLC | ||||||
| PO Box 415220 | Boston | MA | 022415220 | medical testing MRI | 448823 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 8 | NumberOfContractorsGT100K |
| Federated Campaigns | 0 | FederatedCampaigns |
| Membership Dues | 0 | MembershipDues |
| Fundraising Events | 0 | FundraisingEvents |
| Related Organizations | 0 | RelatedOrganizations |
| Government Grants | 41955 | GovernmentGrants |
| All Other Contributions | 1498851 | AllOtherContributions |
| Noncash Contributions | 196691 | NoncashContributions |
| Total Contributions | 1540806 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Patient Service Revenue | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 49496610 | TotalRevenueColumn |
| Related Or Exempt Function Income | 49496610 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 49496610 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28647 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $28,647 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28800 | Real |
| Personal | 0 | Personal |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 28800 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 28800 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $28,800 | ExclusionAmount |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 0 | Securities |
| Other | 0 | Other |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrbtns Rprtd Fundraising Events | 0 | CntrbtnsRprtdFundraisingEvents |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount |
|---|---|---|---|---|---|
| Cafeteria Sales | 900099 | 197622 | 197622 | 0 | $0 |
| Miscellaneous Income-Eden | 900099 | 88369 | 88369 | 0 | $0 |
| All Other revenue | 900000 | 486301 | 486301 | 0 | $0 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 772292 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 51867155 | TotalRevenueColumn |
| Related Or Exempt Function Income | 50268902 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $57,447 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 966221 | Total |
| Management And General | 966221 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21952253 | Total |
| Program Services | 16685956 | ProgramServices |
| Management And General | 5141297 | ManagementAndGeneral |
| Fundraising | 125000 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 756771 | Total |
| Program Services | 550732 | ProgramServices |
| Management And General | 201907 | ManagementAndGeneral |
| Fundraising | 4132 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4986849 | Total |
| Program Services | 3631152 | ProgramServices |
| Management And General | 1329101 | ManagementAndGeneral |
| Fundraising | 26596 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1529083 | Total |
| Program Services | 1113257 | ProgramServices |
| Management And General | 407486 | ManagementAndGeneral |
| Fundraising | 8340 | Fundraising |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 25318 | Total |
| Management And General | 25318 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94437 | Total |
| Management And General | 94437 | ManagementAndGeneral |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 37846 | Total |
| Management And General | 37846 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116737 | Total |
| Management And General | 116737 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4766466 | Total |
| Program Services | 4657117 | ProgramServices |
| Management And General | 109349 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 797407 | Total |
| Program Services | 637926 | ProgramServices |
| Management And General | 159481 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41974 | Total |
| Program Services | 29371 | ProgramServices |
| Management And General | 12603 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 313175 | Total |
| Program Services | 143948 | ProgramServices |
| Management And General | 169227 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 480179 | Total |
| Program Services | 384143 | ProgramServices |
| Management And General | 96036 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2013870 | Total |
| Program Services | 1611096 | ProgramServices |
| Management And General | 402774 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 791469 | Total |
| Program Services | 712213 | ProgramServices |
| Management And General | 79256 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|---|
| Purchased Services | 5270357 | 3394916 | 1875441 | 0 |
| Bad debt expense | 2961081 | 2961081 | 0 | 0 |
| Physician fees | 1156168 | 1131168 | 25000 | 0 |
| Tax & Match | 879638 | 879638 | 0 | 0 |
| Space Rental | 444756 | 444756 | 0 | 0 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1109006 | Total |
| Program Services | 332949 | ProgramServices |
| Management And General | 750442 | ManagementAndGeneral |
| Fundraising | 25615 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 51491061 | Total |
| Program Services | 39301419 | ProgramServices |
| Management And General | 11999959 | ManagementAndGeneral |
| Fundraising | 189683 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 47719 | BOY |
| EOY | 34647 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 269981 | BOY |
| EOY | 2976580 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4367952 | BOY |
| EOY | 4988287 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 530874 | BOY |
| EOY | 515042 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 125848 | BOY |
| EOY | 148458 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 43388199 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 19296689 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16954425 | BOY |
| EOY | 24091510 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 11683245 | BOY |
| EOY | 13875549 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7245185 | BOY |
| EOY | 6279051 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41225229 | BOY |
| EOY | 52909124 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10048082 | BOY |
| EOY | 11945764 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5880655 | BOY |
| EOY | 5382336 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1978084 | BOY |
| EOY | 10252880 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2952266 | BOY |
| EOY | 2438720 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20859087 | BOY |
| EOY | 30019700 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16861433 | BOY |
| EOY | 15829167 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1608714 | BOY |
| EOY | 5051084 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1895995 | BOY |
| EOY | 2009173 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20366142 | BOY |
| EOY | 22889424 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 41225229 | BOY |
| EOY | 52909124 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 376094 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 2147188 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Both | X | FinancialStatementBoth |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $5,814 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 5814 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchC_P2B_S00_L01 | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | This amount represents a portion of dues determined expended for specific lobbying purposes. These expenditures are defined as direct communications with certain members of federal, state, or local government to influence legislation. These dues support the organizations advocacy and representation in its broadest sense, activities that are well beyond the scope of defined lobbying activities. For the Maine Hospital Association, total dues are $35,886, of which 16.2% are lobbying expense or $5,814. Total lobbying expenses included in dues is $5,814. | Explanation |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 6997367 | BeginningOfYearBalance |
| Contributions | 17162 | Contributions |
| Investment Earnings Or Losses | 1180156 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 46000 | OtherExpenditures |
| Administrative Expenses | 31665 | AdministrativeExpenses |
| End Of Year Balance | 8117020 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 3938882 | BeginningOfYearBalance |
| Contributions | 1801964 | Contributions |
| Investment Earnings Or Losses | 1284232 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 7570 | OtherExpenditures |
| Administrative Expenses | 20141 | AdministrativeExpenses |
| End Of Year Balance | 6997367 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 0 | BeginningOfYearBalance |
| Contributions | 5077190 | Contributions |
| Investment Earnings Or Losses | -974551 | InvestmentEarningsOrLosses |
| Grants Or Scholarships | 0 | GrantsOrScholarships |
| Other Expenditures | 150000 | OtherExpenditures |
| Administrative Expenses | 13757 | AdministrativeExpenses |
| End Of Year Balance | 3938882 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 1 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 1 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 2947148 | OtherCostOrOtherBasis |
| Book Value | 2947148 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 21742782 | OtherCostOrOtherBasis |
| Depreciation | 10077167 | Depreciation |
| Book Value | 11665615 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 235558 | OtherCostOrOtherBasis |
| Depreciation | 0 | Depreciation |
| Book Value | 235558 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 13898570 | OtherCostOrOtherBasis |
| Depreciation | 9035591 | Depreciation |
| Book Value | 4862979 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 0 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4564141 | OtherCostOrOtherBasis |
| Depreciation | 183931 | Depreciation |
| Book Value | 4380210 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 24091510 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (4 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliates | 4162928 |
| Deferred financing costs, net | 99908 |
| Estimated third party settlements - due from MaineCare | 1918215 |
| Other Assets | 98000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 6279051 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Deferred compensation | $1,254,548 |
| Estimated third party settlements | $874,365 |
| Due to affiliates | $309,807 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 2438720 | TotalOfAmounts |
| Total Revenue | 51867155 | TotalRevenue |
| Total Expenses | 51491061 | TotalExpenses |
| Excess Or Deficit For Year | 376094 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 375355 | NetUnrealizedGLOnInvestments |
| Donated Services And Facilities | 0 | DonatedServicesAndFacilities |
| Investment Expenses | 0 | InvestmentExpenses |
| Prior Period Adjustments | 0 | PriorPeriodAdjustments |
| Other | $3,634,905 | OtherAmount |
| Total Adjustments | 4010260 | TotalAdjustments |
| Excess Or Deficit Per FS | 4386354 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 50581161 | TotRevenueEtcAuditedFinclStmt |
| Net Unrealized Gains Investments | 0 | NetUnrealizedGainsInvestments |
| Donated Srvc And Use Of Facilities | 0 | DonatedSrvcAndUseOfFacilities |
| Recoveries Of Prior Year Grants | 0 | RecoveriesOfPriorYearGrants |
| Other Revenues | 241504 | OtherRevenues |
| Revenue Not Rptd F990 | 241504 | RevenueNotRptdF990 |
| Revenue Subtotal | 50339657 | RevenueSubtotal |
| Investment Expenses Not Included | 0 | InvestmentExpensesNotIncluded |
| Other Revenues Not Included | 1527498 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 1527498 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 51867155 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 51302873 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 0 | DonatedServicesUseOfFacilities |
| Prior Year Adjustments | 0 | PriorYearAdjustments |
| Losses Reported | 0 | LossesReported |
| Other Expenses Included | 0 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 51302873 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 0 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 188188 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 188188 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 51491061 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchD_P01_S00_L04 | Schedule D, Part I, Line 4 | Fundraising expenses and investment management fees recorded on the audited financial statement sas Other income (expense).: Fundraising expenses = 150,615, Investment mgtmt fees - fy11 inc w/expenses (428,124), Total other = (277,509) |
| SchD_P05_S00_L04 | Schedule D, Part V, Line 4 | The quasi endowment funds are held for Hospital use and restricted by the Board of Directors. Interest may be used to fund operational expenses at the discretion of the Board of Directors. Principal funds are to be held in the quasi endowment to fund future liabilities including Earned Time Liabilities and Lines of Credit funding. |
| SchD_P11_S00_L08 | Schedule D, Part XI, Line 8 | Net assets released from restrictions, Change in pledges receivable, net, Contributions of permanently restricted net assets, change in value of beneficial interest in perpetual trusts. |
| SchD_P12_S00_L02d | Schedule D, Part XII, Line 2d | Net assets released from restrictions used for operations |
| SchD_P12_S00_L04b | Schedule D, Part XII, Line 4b | Total of 1,527,138 represents items recorded as revenue below "Loss from operations" on audited financial statements: Gifts and bequests included in other income: $334,956, Temporarily restricted net asset contributions: $1,163,895, Investment Income $28,647 |
| SchD_P13_S00_L04b | Schedule D, Part XIII, Line 4b | Made up of Fundraising expenses of $152,819, and $891 in bank fees, $464 in cash short, and $34,014 gain on disposal of assets. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 1.5 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 1 | ExpensesExceededBudget |
| Unable To Provide Care | 0 | UnableToProvideCare |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 595381 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 595381 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0116 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5805614 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5255164 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 550450 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0107 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 6400995 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 5255164 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1145831 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0223 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 96931 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 96931 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0019 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 197274 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 197274 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0038 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8606149 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7686093 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2981251 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0579 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 137257 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37900 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 99356 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0019 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 9037611 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 7723993 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3374812 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0655 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 15438606 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 12979157 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 4520643 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.0878 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $2,961,081 | BadDebtExpenseAmount |
| Amount Attributable To | 2061194 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 14275261 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 17250360 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -2975099 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 11 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (11 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | Address Line2Address/AddressLine2 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Critical Access HospitalCriticalAccessHospital | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|---|---|
| Mount Desert Island Hospital | ||||||||||
| 1 | 10 Wayman Lane | PO Box 8 | Bar Harbor | ME | 046090008 | X | X | X | X | |
| Cadillac Family Practice and Behavioral Health Center | ||||||||||
| 2 | 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic | |||||
| Cooper Gilmore Health Center | ||||||||||
| 3 | 17 Hancock Road | Bar Harbor | ME | 04609 | Outpatient clinic | |||||
| Trenton Health Center | ||||||||||
| 4 | 394 Bar Harbor Road | Trenton | ME | 04605 | Outpatient clinic | |||||
| Community Health Center | ||||||||||
| 5 | 16 Community Lane | Southwest Harbor | ME | 04679 | Outpatient Clinic | |||||
| Family Health Center | ||||||||||
| 6 | 9 Hancock Road | Bar Harbor | ME | 04609 | Outpatient Clinic | |||||
| Women's Health Center | ||||||||||
| 7 | 8 Wayman Lane | Bar Harbor | ME | 04609 | Outpatient clinic | |||||
| Northeast Harbor Clinic | ||||||||||
| 8 | Kimball Road | Northeast Harbor | ME | 04679 | outpatient clinic | |||||
| MDI Orthodpedic Clinic | ||||||||||
| 9 | 10 Wayman Lane | Bar Harbor | ME | 04609 | Outpatient Clinic | |||||
| MDI Dermatology Clinic | ||||||||||
| 10 | 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic | |||||
| MDI Urology Clinic | ||||||||||
| 11 | 322 Main Street | Bar Harbor | ME | 04609 | Outpatient Clinic | |||||
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (11 entries)
| Hospital Facility NumberHospitalFacilityNumber | CHNA ConductedCHNAConducted | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Asset LevelAssetLevel | Medical IndigencyMedicalIndigency | Insurance StatusInsuranceStatus | Uninsured DiscountUninsuredDiscount | Medicaid MedicareMedicaidMedicare | State RegulationStateRegulation | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Attached To InvoicesAttachedToInvoices | Posted In Admission OfficePostedInAdmissionOffice | Available On RequestAvailableOnRequest | Other PublicityOtherPublicity | Actions On NonpaymentActionsOnNonpayment | Permit Report To Credit AgencyPermitReportToCreditAgency | Permit LawsuitPermitLawsuit | Permit Lien On ResidencePermitLienOnResidence | Collection ActivitiesCollectionActivities | Report To Credit AgencyReportToCreditAgency | Lien On ResidenceLienOnResidence | Notify Upon AdmissionNotifyUponAdmission | Notify Before DischargeNotifyBeforeDischarge | Notified All PatientsNotifiedAllPatients | Documented DeterminationDocumentedDetermination | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Mount Desert Island Hospital | |||||||||||||||||||||||||||||||||||
| 1 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| Cadillac Family Practice and Behavioral Health Center | |||||||||||||||||||||||||||||||||||
| 2 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| Cooper Gilmore Health Center | |||||||||||||||||||||||||||||||||||
| 3 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| Trenton Health Center | |||||||||||||||||||||||||||||||||||
| 4 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | 0 | 1 | |
| Community Health Center | |||||||||||||||||||||||||||||||||||
| 5 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| Family Health Center | |||||||||||||||||||||||||||||||||||
| 6 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| Women's Health Center | |||||||||||||||||||||||||||||||||||
| 7 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | 0 | 1 | |
| Northeast Harbor Clinic | |||||||||||||||||||||||||||||||||||
| 8 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| MDI Orthodpedic Clinic | |||||||||||||||||||||||||||||||||||
| 9 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | X | 0 | 1 |
| MDI Dermatology Clinic | |||||||||||||||||||||||||||||||||||
| 10 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | 1 | 0 | 1 | ||
| MDI Urology Clinic | |||||||||||||||||||||||||||||||||||
| 11 | 0 | 1 | 1 | 100 | 1 | 150 | 1 | X | X | X | X | X | X | X | 1 | 1 | X | X | X | X | 1 | X | X | X | 1 | X | X | X | X | X | X | ||||
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchH_P01_S00_L06b | Schedule H, Part I, Line 6b | Mount Desert Island Hospital Community Benefits Report is available on the hospital website or upon request. Additional Explanation - Community Health Services Provided include: childbirth education classes, flu clinics, Healthy Kid Day at the MDI YMCA, diabetes education, smoking cessation, telemedicine services, Your Exercise Solution classes, free blood pressure clinics, community walking program, school based clinics, free cancer support groups, prescription assistance program, chronic disease prevention program, Mass casualty preparation, event sponsorships, and donated space. MDI Hospital's dedicated staff contributed countless hours of volunteer time to groups such as Hospice of Hancock County, the Maine Alzheimer's Association, Island Connections, the MDI Marathon, and the Healthy Hands Quilt Group. Subsidized Community Physician Services -- Mount Desert Island has few private practice physicians. In order to ensure access to primary care and certain specialty care physicians, MDI Hospital employs physicians and provides their services through its hospital-based practices at the Trenton Clinic, the Women's Health Center, Northeast Harbor Clinic, the Community Health Center, the Cooper Gilmore Health Center, the Cadillac Mountain Family Practice, the Family Health Center, and the Behavioral Health Center. Services include: Family Medicine, General Surgery, Orthopedic Surgery, Internal Medicine, Obstetrics and Women's Health Services, Breast Center, Dermatology, Urology, and many others. Healthy Maine Partnership--As a co-sponsor for the Healthy Acadia organization, MDI contributes and provides funding for the local Healthy Maine Partnership. MDIH staff members participate on their Advisory Group and on various committees. |
| SchH_P01_S00_L07 | Schedule H, Part I, Line 7 | Costing methodology utilized for this table were derived from Worksheet 2, Ratio of patient care cost to charges with data from our fiscal year 2011 filed cost reports. |
| SchH_P01_S00_L07g | Schedule H, Part I, Line 7g | IRS 990H Worksheet 6 -- Subidized Health Services-- (The supporting schedule for part I, Line 7g) We did not utilize the Worksheet 2 percentage when we determining the profit/loss of each of our provider based clinics. In addition, when we were compiling the subsidized provider based lcinics listed in 1C above, we utilized the actual estimated costs on the Medicare cost report we prepared instead of applying the worksheet 2 cost to charge percentage. |
| SchH_P03_S0A_L04 | Schedule H, Part III, Section A, Line 4 | Audit Footnote #2. Accounts Receivable - Accounts receivable are stated at the amount management expects to collect from outstanding balances. Management provides for probably uncollectible amounts through a charge to operations and a credit to a valuation allowance based on its assessment of 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 patient accounts receivable. The bad debt expense of $2,961,081 has been calculated utilizing data from our fiscal year 2011 filed cost report to produce the cost to charge ratio for Worksheet 2 Ratio of Patient Care Cost to Charges. Bad debt expense per audited financial statements is $2,961,081. Bad debts are a community benefit as services are provided regardless of the patient's ability to pay. |
| SchH_P03_S0B_L08 | Schedule H, Part III, Section B, Line 8 | The Medicare shortfall of $2,975,099 would be considered as a community benefit as it is the cost of providing quality acute and primary care services while maintaining careful stewardship of resources with a commitment to service excellence. This was calculated utilizing Medicare net patient revenue with associated Medicare costs per the filed fiscal year 2011 cost report. |
| SchH_P03_S0C_L09b | Schedule H, Part III, Section C, Line 9b | Collection practices follow the free care policy of ensuring those patients who are eligible for federal or state medical assistance programs are covered. If not eligible for these programs, charity care eligibility is determined. The cost share plan guidelines of the free care policy are clearly stated to ensure proper collection policy and practice |
| SchH_P05_S0B_L13 | Schedule H, Part V, Section B, Line 13 | We use Advanced Patient Advocacy as a third party vendor. |
| SchH_P05_S0B_L19 | Schedule H, Part V, Section B, Line 19 | Gross charges less any payments received on account. |
| SchH_P05_S0B_L21 | Schedule H, Part V, Section B, Line 21 | All services are initially billed at the amount of gross charge. Some insurance carriers then negotiate a contractual allowance. Medicare and Medicaid reimburse critical access hospitals at a ratio of cost to charges. Self-pay patients are billed at gross charge and any discounts or other arrangements are applied at the time of payment, with the exception of patients eligible for financial assistance, who are billed at gross less any financial assistance granted. |
| SchH_P06_S00_L02 | Schedule H, Part VI, Line 2 | In addition to the Community Health Needs Assessment, the Board of Directors is made up on community members, who routinely solicit feedback from their fellow community members on the unmet needs of the community. Hospital personnel also regularly attend community events and forums, along with serving on several other community Boards in order to gauge the needs of their communities. |
| SchH_P06_S00_L03 | Schedule H, Part VI, Line 3 | MDI Hospital informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state or local government programs or the Hospitals charity care and cost share policy. This information is distributed via brochures available in admissions areas, emergency department, and other areas throughout the hospital and health centers, documented on the back of patient statements and included in the Free Care and Cost Share policy. Additionally all third parties including collection and law firms working on behalf of MDI Hospital to collect fees are required to follow the hospitals policies regarding patient notification about the availability of financial assistance. The Hospital patient representative is accessible to discuss the availability of various government benefits and or hospital assistance with patients. If a patient is admitted through the Emergency Room, the social worker will coordinate activities to identify and assist eligible patients. The Hospital utilizes a third party contracted firm, APA, to assist patients with the completion of necessary forms and documentation required for various government benefits and or hospital assistance. |
| SchH_P06_S00_L04 | Schedule H, Part VI, Line 4 | As stated above, MDI Hospital provides services to Mount Desert Island and coastal Maine designated as a Critical Access Hospital, in Hancock County, southeastern Maine. Mount Desert Island is comprised of 108 square miles and is the 6th largest island in the continental United States and second largest island (Long Island, NY being the largest) on the eastern seaboard. The primary geographic area serviced consists of Mount Desert Island along with the outer islands of Swans, Frenchboro, and Cranberry Isles, with a total permanent year-round population of approximately 10,000. Mount Desert Island is a destination for tourists from all over the world. Cruise ships are in the harbor from May through October and most often in September. The summer residents increase the island population by at least 30,000. Also, many thousands of additional tourists visit the island annually. It is reported that as many as 2.5 million people visit Acadia National Park on Mount Desert Island annually, many of whom will reside on island during their visit. This population swelling results in a significant increase in medical services provided by Mount Desert Island Hospital and its health centers located throughout the community. While tourism continues to be one of the largest industries, the Jackson Laboratory, boat building, fishing, and aquaculture are also a large part of the economy on MDI. Based on demographic data, approximately 9 percent of the permanent population is below the poverty line. The demographics support an aging population as demonstrated by the 44 percent Medicare utilization at MDI Hospital. MaineCare, the state government program, accounted for 10 percent of the Hospitals gross patient service revenue for the fiscal year. While additional workers are needed to service the significant seasonal influx, the majority is under and or uninsured resulting in increased charity care and bad debts. Although the majority of Mount Desert Islands permanent population is Caucasian the additional tourists seasonal workers and summer residents are a very diverse population. |
| SchH_P06_S00_L05 | Schedule H, Part VI, Line 5 | The governing Board and committee members of MDI Hospital are all local residents of the community serviced by the Hospital. The Hospital's Board is part of the tapestry of the community. They are people who understand the history and culture of the community all helping the Hospital keep pace accessing the needs of their friends and neighbors. The array of community members helps MDI Hospital's Board balance it need for financial stewardship with its caring mission. As the board is comprised of people who live and work on the Island, it also ensures that MDI Hospital maintain its uniquely personal connection and intimacy to the communities it serves. Medical staff privileges are extended to all qualified physicians in the community. As MDI Hospital is located on an Island, additional specialty services are made available on the island by medical staff from the mainland, thus providing many specialty services which would otherwise be unavailable in the community. Patients would still have access to these specialties; they would have to travel off the island to other communities or cities to receive these services. The organization applies surplus funds to patient care improvements through its capital expenditure program, employee and medical staff education, community benefits programs, to remain viable and technologically current. Advocacy initiatives for promoting community wide, state, or national efforts work to improve health of the population and increase access. Community involvement is key as MDI Hospitals ability to provide high quality health care is directly affected by the policies that are adopted in Augusta and Washington. As competing interests are at work in these venues it is necessary for the community to advocate for the Hospital to ensure its health which is essential to the quality of life in the community. MDI Hospital is a community hospital designated as a critical access hospital which participates in all federal, state and local government programs including Medicare, MaineCare (Medicaid), and Champus. MDI Hospital provides acute and primary care services, including a 24 hour emergency room, serving all patients regardless of their ability to pay. Patients are informed of Federal, State and local government benefits as well as the Hospitals financial assistance and sliding scale discounts. Information is also available to patients in various areas of the Hospital as well as written on the back of their bill. While MDI Hospital may not be directly involved in clinical research, the Jackson Laboratory, an independent non-profit organization and leading genetics research laboratory focusing on mammalian genetics research with a strong research program investigating cancer and other genetic diseases, is a vital member of the Mount Desert Island community as well as its largest employer. |
| SchH_P06_S00_L07 | Schedule H, Part VI, Line 7 | Maine |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Arthur J Blank | |||||||||||||
| 247979 | 0 | 6065 | 0 | 0 | 0 | 16500 | 0 | 20274 | 0 | 290818 | 0 | 261451 | 0 |
| O Lee Haynes MD | |||||||||||||
| 242908 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 21432 | 0 | 280840 | 0 | 206959 | 0 |
| Bradley Perkins | |||||||||||||
| 132044 | 0 | 4498 | 0 | 0 | 0 | 6150 | 0 | 11264 | 0 | 153956 | 0 | 138839 | 0 |
| Mary Dudzik MD | |||||||||||||
| 162994 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 17494 | 0 | 180488 | 0 | 174711 | 0 |
| Julian Kuffler MD | |||||||||||||
| 220144 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 22620 | 0 | 242764 | 0 | 252638 | 0 |
| Barbara Hannon | |||||||||||||
| 124142 | 0 | 4878 | 0 | 0 | 0 | 6665 | 0 | 21432 | 0 | 157117 | 0 | 151173 | 0 |
| Michael Heniser MD | |||||||||||||
| 285925 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 9315 | 0 | 295240 | 0 | 306371 | 0 |
| Ronald Prokopuis MD | |||||||||||||
| 254874 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 28048 | 0 | 282922 | 0 | 283216 | 0 |
| Edward White MD | |||||||||||||
| 334458 | 0 | 0 | 0 | 0 | 0 | 15569 | 0 | 21432 | 0 | 371459 | 0 | 277878 | 0 |
| Stuart Davidson | |||||||||||||
| 352577 | 0 | 0 | 0 | 0 | 0 | 16500 | 0 | 13547 | 0 | 382624 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| SchJ_P01_S00_L01a | Schedule J, Part I, Line 1a | The 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 towards the YMCA or other health club membership with appropriate supporting documentation. |
| SchJ_P01_S00_L07 | Schedule J, Part I, Line 7 | The Hospital provides a performance incentive system for Directors and Vice Presidents who are employees in good standing during the entire fiscal year. The program is based on the organization maintaining top 12 status in overall patient satisfaction, meeting its financial target, as well as individual financial performance and quality improvement objectives. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|
| MHHEFA 92 Bond | |||||
| 1992-07-01 | 1300000 | Contruction and renovation of hospital departments | 0 | 0 | 0 |
| MHHEFA 2006F Bond | |||||
| 2005-07-03 | 707200 | Replacement of central chiller | 0 | 0 | 0 |
| MHHEFA 2007B Bond | |||||
| 2007-07-03 | 4427988 | Clinic construction, office and clinic space | 0 | 0 | 0 |
| MHEFFA 2010 Bond | |||||
| 2010-07-01 | 1200000 | Refinancing of 98A Bond for renovation of outpatient service area | 0 | 0 | 0 |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 1300000 | 0 | 0 | 0 | 0 | 0 | 0 | 1300000 | 0 | 0 | 1993 | 0 | 0 | 1 | 1 |
| 0 | 0 | 707200 | 0 | 0 | 0 | 0 | 0 | 0 | 704200 | 0 | 0 | 2008 | 0 | 0 | 1 | 1 |
| 0 | 0 | 4427988 | 0 | 0 | 0 | 0 | 0 | 0 | 4427988 | 0 | 0 | 2009 | 0 | 0 | 1 | 1 |
| 0 | 0 | 1200000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1999 | 1 | 0 | 1 | 1 |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Bond Counsel Routinely EngagedBondCounselRoutinelyEngaged | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
| 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 1 |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
| 0 | 0 | 0 | 0 | 0 | 0 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | John Benson MD -- J and D Imaging | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | Board Member | Relationship |
| Amount Of Transaction | 429723 | AmountOfTransaction |
| Description Of Transaction | Equipment leasing and radiology services | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchL_P04_S00_L00 | Identifier |
| Return Reference | Schedule L, Part IV | ReturnReference |
| Explanation | John Benson, MD is the proprietor 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 completes on required disclosures. | Explanation |
Schedule M IRS990ScheduleM
Securities Publicly Traded SecuritiesPubliclyTraded
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Number Of Contributions | 3 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 196691 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Fair Market Value | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 1 | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | SchM_P01_S00_L32b | Identifier |
| Return Reference | Schedule M, Part I, Line 32b | ReturnReference |
| Explanation | The hospital policy requires that stock donations are immediately sold by the Advisors Account to which they are received. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| F990_P04_S00_L38 | Form 990, Part IV, Line 38 | The answer to this question is Yes. The software will not allow a yes answer. |
| F990_P06_S0B_L11a | Form 990, Part VI, Section B, Line 11a | The initial review of the Form 990 is performed by the Finance Sub-Committee of the Board of Director's of the hospital. The members are provided with an electronic copy of the Form 990 and all supporting schedules (printed versions are available upon request). Once reviewed by the Finance Sub-Committee, all Board of Trustees are provided with a copy of the Form 990 and supporting schedules for review. the Form is provided thirty days in advance of filing giving the Board Members 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. |
| F990_P06_S0B_L12c | Form 990, Part VI, Section B, Line 12c | Per 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. |
| F990_P06_S0B_L15 | Form 990, Part VI, Section B, Line 15 | The compensation for CEO, other Officers and Key Employees of MDI Hospital is reviewed and approved by the governing body. Utilization of data as to comparable compensation for similarly qualified persons in functionally comparable positions at similarly situated organizations is gathered and analyzed to determine compensation for these positions. |
| F990_P06_S0C_L19 | Form 990, Part VI, Section C, Line 19 | The 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, conflict of interest policy are available upon request, as are audited financial statements. |
| F990_P11_S00_L05 | Form 990, Part XI, Line 5 | Net assets for the previous year have been restated in the amount of ($1,862,712), bringing the actual net assets at the beginning of the year to $18,503,430. The actual other change in net assets for the year was $284,834. This is made up of Gifts and bequests, interest income on investments, realized gain on sale of investments, other miscellaneous expense and a loss on early extinguishment of long-term debt. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Birch Bay Village Retirement Community | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Wayman Lane | AddressLine1 |
| City | Bar Harbor | City |
| State | ME | State |
| ZIP Code | 04609 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010481696 | EIN |
| Primary Activities | Retirement Community | PrimaryActivities |
| Legal Domicile State | ME | LegalDomicileState |
| Exempt Code Section | 501(c)(3) | ExemptCodeSection |
| Public Charity Status | 170(b)(1)(A)(iii) | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Desert Island Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | 0 | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Mount Desert Management Company | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 8 | AddressLine1 |
| Address Line2 | 10 Wayman Lane | AddressLine2 |
| City | Bar Harbor | City |
| State | ME | State |
| ZIP Code | 04609 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010538776 | EIN |
| Primary Activity | Real Estate Development | PrimaryActivity |
| Legal Domicile State | ME | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Birch Bay Village Retirement Community | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Entity | C | TypeOfEntity |
| Share Of Total Income | -75432 | ShareOfTotalIncome |
| Share Of EOY Assets | 1263160 | ShareOfEOYAssets |
| Percentage Ownership | 1 | PercentageOwnership |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 0 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Birch Bay Village Retirement Community | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | q | TransactionType |
| Amount Involved | 451739 | AmountInvolved |
| Method Of Amt Determination | Receivable 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 account are recorded as receivables at the time of transfer. A detail of this account is maintained in order to provide this information. | MethodOfAmtDetermination |
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