2012-03-15T19:02:36-07:00 2011-04-30 990 2010-05-01 010211797 MOUNT DESERT ISLAND HOSPITAL MOUN 2072885081 PO Box 8 10 Wayman Lane Bar Harbor ME 046090008 Christina Harding 2072885082 2012-03-07 2010 2016-02-24 21:20:13Z X Arthur Blank 10 Wayman Lane Bar Harbor ME 046090008 51867155 0 X www.mdihospital.org X 1897 ME 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. 19 12 501 146 0 0 1393948 1540806 46369370 49496610 960875 28647 814995 801092 49539188 51867155 0 0 0 0 28241495 30191177 0 0 189683 20243340 21299884 48484835 51491061 1054353 376094 41225229 52909124 20859087 30019700 20366142 22889424 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. 0 0 39301419 0 49496610 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. 0 0 0 39301419 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 1 0 0 0 0 1 58 0 1 501 1 0 0 0 0 0 0 X 19 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X X X Arthur Blank 2072885081 10 Wayman Lane Bar Harbor ME 046090008 Terry Musson 5 X X 0 0 0 Arthur J Blank 40 X X 254044 0 36744 John Adams MD 3 X X 0 0 0 O Lee Haynes MD 40 X X 242908 0 37932 John Benson MD 1 X 0 0 0 Michael Bonsey 1 X 0 0 0 Stewart Brecher 1 X 0 0 0 Mary Dudzik MD 40 X 162994 0 17494 David Einhorn Esq 1 X 0 0 0 Kathleen Field 1 X 0 0 0 Julius Krevans MD 1 X 0 0 0 Julian Kuffler MD 40 X 220144 0 22620 Dean Read 1 X 0 0 0 Mickey Shattow 1 X 0 0 0 Patricia Hand PhD 1 X 0 0 0 Elsie Flemings 1 X 0 0 0 Noelle Wolf 1 X 0 0 0 Vince Messer 1 X 0 0 0 Bradley Perkins 40 X 136542 0 17414 Barbara Hannon 40 X 129020 0 28097 Michael Heniser MD 40 X 285925 0 9315 Ronald Prokopuis MD 40 X 254874 0 28048 Edward White MD 40 X 334458 0 37001 Stuart Davidson 40 X 352577 0 30047 2373486 0 264712 36 0 1 0 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 8 0 0 0 0 41955 1498851 196691 1540806 Patient Service Revenue 900099 49496610 49496610 0 0 0 0 0 0 49496610 28647 0 0 28647 0 0 0 0 0 0 0 0 28800 0 0 0 28800 0 28800 0 0 28800 0 0 0 Cafeteria Sales 900099 197622 197622 0 0 Miscellaneous Income-Eden 900099 88369 88369 0 0 All Other revenue 900000 486301 486301 0 0 0 0 0 0 772292 51867155 50268902 0 57447 966221 966221 21952253 16685956 5141297 125000 756771 550732 201907 4132 4986849 3631152 1329101 26596 1529083 1113257 407486 8340 25318 25318 94437 94437 37846 37846 116737 116737 4766466 4657117 109349 797407 637926 159481 41974 29371 12603 313175 143948 169227 480179 384143 96036 2013870 1611096 402774 791469 712213 79256 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 1109006 332949 750442 25615 51491061 39301419 11999959 189683 0 0 47719 34647 269981 2976580 4367952 4988287 0 0 0 0 0 0 530874 515042 125848 148458 43388199 19296689 16954425 24091510 11683245 13875549 0 0 0 0 0 0 7245185 6279051 41225229 52909124 10048082 11945764 0 0 0 0 5880655 5382336 0 0 0 0 1978084 10252880 0 0 2952266 2438720 20859087 30019700 X 16861433 15829167 1608714 5051084 1895995 2009173 20366142 22889424 41225229 52909124 X 376094 2147188 X 0 1 1 X 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 5814 5814 0 SchC_P2B_S00_L01 Schedule C, Part II-B, Line 1 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. 6997367 17162 1180156 0 46000 31665 8117020 3938882 1801964 1284232 0 7570 20141 6997367 0 5077190 -974551 0 150000 13757 3938882 1 0 0 1 0 0 2947148 2947148 0 21742782 10077167 11665615 0 235558 0 235558 0 13898570 9035591 4862979 0 4564141 183931 4380210 24091510 Due from Affiliates 4162928 Deferred financing costs, net 99908 Estimated third party settlements - due from MaineCare 1918215 Other Assets 98000 6279051 0 Deferred compensation 1254548 Estimated third party settlements 874365 Due to affiliates 309807 2438720 51867155 51491061 376094 375355 0 0 0 3634905 4010260 4386354 50581161 0 0 0 241504 241504 50339657 0 1527498 1527498 51867155 51302873 0 0 0 0 0 51302873 0 188188 188188 51491061 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. 1 1 X 1 X 1 X 1.5 1 1 1 0 1 1 595381 595381 0.0116 5805614 5255164 550450 0.0107 0 0 6400995 5255164 1145831 0.0223 96931 96931 0.0019 197274 0 197274 0.0038 8606149 7686093 2981251 0.0579 137257 37900 99356 0.0019 0 0 9037611 7723993 3374812 0.0655 0 0 15438606 12979157 4520643 0.0878 1 2961081 2061194 14275261 17250360 -2975099 X 1 1 11 1 Mount Desert Island Hospital

10 Wayman Lane PO Box 8 Bar Harbor ME 046090008

X X X X 2 Cadillac Family Practice and Behavioral Health Center

322 Main Street Bar Harbor ME 04609

Outpatient Clinic 3 Cooper Gilmore Health Center

17 Hancock Road Bar Harbor ME 04609

Outpatient clinic 4 Trenton Health Center

394 Bar Harbor Road Trenton ME 04605

Outpatient clinic 5 Community Health Center

16 Community Lane Southwest Harbor ME 04679

Outpatient Clinic 6 Family Health Center

9 Hancock Road Bar Harbor ME 04609

Outpatient Clinic 7 Women's Health Center

8 Wayman Lane Bar Harbor ME 04609

Outpatient clinic 8 Northeast Harbor Clinic

Kimball Road Northeast Harbor ME 04679

outpatient clinic 9 MDI Orthodpedic Clinic

10 Wayman Lane Bar Harbor ME 04609

Outpatient Clinic 10 MDI Dermatology Clinic

322 Main Street Bar Harbor ME 04609

Outpatient Clinic 11 MDI Urology Clinic

322 Main Street Bar Harbor ME 04609

Outpatient Clinic 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 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 X 1 1 X X X 0 0 0 0 0 0 0 1 0 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 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. 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 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 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 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 John Benson MD -- J and D Imaging Board Member 429723 Equipment leasing and radiology services 0 SchL_P04_S00_L00 Schedule L, Part IV 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. X 3 196691 Fair Market Value 0 0 1 1 SchM_P01_S00_L32b Schedule M, Part I, Line 32b The hospital policy requires that stock donations are immediately sold by the Advisors Account to which they are received. 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. Birch Bay Village Retirement Community 10 Wayman Lane Bar Harbor ME 04609 010481696 Retirement Community ME 501(c)(3) 170(b)(1)(A)(iii) Mount Desert Island Hospital 0 Mount Desert Management Company PO Box 8 10 Wayman Lane Bar Harbor ME 04609 010538776 Real Estate Development ME Birch Bay Village Retirement Community C -75432 1263160 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 Birch Bay Village Retirement Community q 451739 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.