KENNEBEC VALLEY MENTAL HEALTH CENTER: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- KENNEBEC VALLEY MENTAL HEALTH CENTER (EIN 01-0265559)
- Tax period
- 2018-07-01 to 2019-06-30
- Filed
- 2020-07-14
- IRS object ID
- 202001969349303350
- Schema version
- 2018v3.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-07-14T13:01:35-05:00 | ReturnTs |
| Tax Period End | 2019-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 450512128 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gibson LeClair LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 Capitol Street Suite 3 | AddressLine1Txt |
| City | Augusta | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010265559 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kennebec Valley Mental Health Center | BusinessNameLine1Txt |
| Business Name Line2 | D/B/A Kennebec Behavioral Health | BusinessNameLine2Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | KENN | BusinessNameControlTxt |
| Phone | 2078732136 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 67 Eustis Parkway | AddressLine1Txt |
| City | Waterville | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04901 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Thomas mcadam | PersonNm |
| Person Title | Chief Executive Officer | PersonTitleTxt |
| Phone | 2078732136 | PhoneNum |
| Signature | 2020-07-10 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Stephen L LeClair CPA | PreparerPersonNm |
| PTIN | P01370336 | PTIN |
| Phone | 2076238401 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 208.105.172.154 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2020-07-10 | IPDt |
| IP Tm | 16:46:35 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 856FB59EBAC26EF39386EF0B8AC2C857BEF64328 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | DE2F0E8E3BD40074EFF160B803591BF2CB31210D | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-09-22 18:59:49Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Thomas McAdam | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 67 Eustis Parkway | AddressLine1Txt |
| City | Waterville | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $31,550,389 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.kbhmaine.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | ME | LegalDomicileStateCd |
| Activity Or Mission | KBH's mission is to promote the well-being of children, adults and families who experience mental illness, emotional or developmental difficulties, or behavioral challenges. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 458 | TotalEmployeeCnt |
| Total Volunteers | 48 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $3,150,914 | PYContributionsGrantsAmt |
| CY Contributions Grants | $2,382,525 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $26,904,679 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $28,274,460 | CYProgramServiceRevenueAmt |
| PY Investment Income | $20,627 | PYInvestmentIncomeAmt |
| CY Investment Income | $121,728 | CYInvestmentIncomeAmt |
| PY Other Revenue | $272,720 | PYOtherRevenueAmt |
| CY Other Revenue | $298,102 | CYOtherRevenueAmt |
| PY Total Revenue | $30,348,940 | PYTotalRevenueAmt |
| CY Total Revenue | $31,076,815 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,232,236 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,851,234 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $20,345,627 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $20,814,822 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,544,842 | PYOtherExpensesAmt |
| CY Other Expenses | $7,827,297 | CYOtherExpensesAmt |
| PY Total Expenses | $30,122,705 | PYTotalExpensesAmt |
| CY Total Expenses | $30,493,353 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $226,235 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $583,462 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $11,128,475 | TotalAssetsBOYAmt |
| Total Assets EOY | $12,156,250 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $7,482,458 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $7,542,308 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,646,017 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $4,613,942 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | The mission of Kennebec Behavioral Health is to promote the well-being of children, adults and families who experience mental illness, emotional or developmental difficulties, or behavioral challenges. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $5,451,963 | ExpenseAmt |
| Grant | $158,724 | GrantAmt |
| Revenue | $6,216,334 | RevenueAmt |
| Desc | Community Based Case Management - The Community Support Program meets the needs of veterans and other adults and families who experience severe and persistent mental illness, trauma, emotional and behavioral problems. Consumers are provided with support and assistance in the community. Non-traditional outreach is offered, as well as unique, specialized group services. In addition, providers offer quality-of-life services to mental health consumers who live in area boarding homes.Children's Case Management enables parents to become informed about resources and to be able to effectively advocate for their child. For children who need mental health treatment, case management specialists can assist the parent or caregiver, teach the family to maximize the benefits of the treatment and provide continuous assessment for service planning.In addition, the Behavioral Health Homes Program seeks to improve the coordination of physical and behavioral needs of eligible adults and children. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,562,342 | ExpenseAmt |
| Revenue | $5,711,667 | RevenueAmt |
| Desc | Psychiatric Medication Management Program - Services help identify psychiatric or psychosocial problems, and recommendations are made regarding appropriate management and referrals, typically coordinated with primary-care providers. Among the services provided: appropriate medical prescriptions, medication monitoring, reviews, supports and evaluation of possible medication side effects. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $5,977,393 | ExpenseAmt |
| Revenue | $5,588,123 | RevenueAmt |
| Desc | Supported Housing Services - Independent, Supported and Transitional community-housing options for persons with mental illness. Housing units provide income-eligible consumers with housing, community-wide resources and access to agency programs and services. The agency's housing services include community living for homeless mental health consumers who need support in maintaining stability. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $11,507,066 | ExpenseAmt |
| Grant | $1,692,511 | GrantAmt |
| Revenue | $11,056,438 | RevenueAmt |
| Desc | Vocational Clubhouse Program: The Clubhouse Model of Psychiatric Rehabilitation is used at the Capitol Clubhouse in Augusta, the High Hopes Clubhouse in Waterville, Village Clubhouse in Topsham and Looking Ahead Clubhouse in Lewiston. Their mission is to improve the quality of life for adults who experience mental illness by providing social, educational and employment opportunities. The Clubhouses help support members with overcoming barriers to employment by offering services such as job development, job placement, job coaching and job support.The Multi-Systemic Therapy Program is provided to children and family members in their homes. The program addresses serious issues that, if unresolved, could lead to a child's removal from the home. Multi-Systemic Therapy helps identify, support and strengthen the family's skills and resources to meet the needs of the child and family. This therapeutic technique is designed to reduce out-of-home placements through the use of intensive in-home and community-based interventions.Home Community Treatment Services provides an intensive, time-limited home and community-based intervention service for families experiencing difficulties and/or conflict. The program provides safe, appropriate, therapeutic contact between children and parents who have been separated.Kennebec Behavioral Health's School Based Program provides clinical services within a child's academic setting so that children do not have to leave school or miss after school activities in order to receive clinical treatment. This program is available in schools throughout central and midcoast Maine.The Substance Abuse Program helps adults, adolescents and families whose lives have been disrupted by harmful relationships with abused substances. The program provides integrated services for people who have mental health concerns co-occurring with substance-use problems.The Independent Housing Program offers independent housing units which provide income-eligible consumers with housing and access to Kennebec Behavioral Health programs and services and other community services. The program also manages two rental subsidy programs for eligible individuals that pay a monthly rent subsidy to local landlords for eligible consumers helping to reduce their housing costs.Adult and Youth Homeless Outreach Services include outreach and engagement, assessment, case-management linkage with housing and supports and linkages to mainstream resources.Developmental Services Targeted Case Management (DSTCM) is offered to adults who the State of Maine has determined are eligible for case management based on an intellectual disability diagnosis. (People with Asperger's and Autism can also qualify.) Case managers help with the development of individual service plans called PCPs (Person Centered Plans). Case managers also make referrals, complete assessments, coordinate services, ensure that client goals and needs are being addressed, and monitor consumer satisfaction. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $11,507,066 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $1,692,511 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $11,056,438 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $28,498,764 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (1) | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 220 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 458 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Other Website | Yes (X) | OtherWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Josee L Shelley CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 2078732136 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 67 Eustis Parkway | AddressLine1Txt |
| City | Waterville | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04901 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (14 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| Patsy Garside Crockett | ||||||||
| President/Secretary | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Samuel Goddard | ||||||||
| Vice President/Treasurer | 2.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Guy Cousins | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| William I Branch | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Karen Normandin | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| David Bucknam | ||||||||
| Director | 1.00 | Yes (X) | $0 | $0 | $0 | |||
| Thomas McAdam MBA | ||||||||
| Chief Executive Officer | 40.00 | Yes (X) | $0 | $179,017 | $68,519 | |||
| Josee Shelley CPA | ||||||||
| Chief Financial Officer | 40.00 | Yes (X) | $0 | $139,808 | $19,564 | |||
| Janine D Taylor MD | ||||||||
| Medical Director | 40.00 | $238,228 | $0 | $32,639 | Yes (X) | |||
| Teresa Hermida MD | ||||||||
| Psychiatrist | 40.00 | $226,702 | $0 | $7,736 | Yes (X) | |||
| Paige McInerney DO | ||||||||
| Psychiatrist | 34.00 | $165,957 | $0 | $26,401 | Yes (X) | |||
| Arlene C Almazan MD | ||||||||
| Psychiatrist | 40.00 | $245,985 | $0 | $19,318 | Yes (X) | |||
| Bukher Emil NP | ||||||||
| Nurse Practitioner Psychia | 40.00 | $205,547 | $0 | $20,279 | Yes (X) | |||
| Melinda Morissette | ||||||||
| Nurse Practioner | 40.00 | $150,106 | $0 | $22,612 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $1,232,525 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $318,825 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $217,068 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Jim Pepin - Pepin Properties | PersonNm |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Joseph Drive | AddressLine1Txt |
| City | Sidney | CityNm |
| State Abbreviation | ME | StateAbbreviationCd |
| ZIP | 04330 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Rental expense subsidies | ServicesDesc |
| Compensation | $161,044 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $2,258,734 | GovernmentGrantsAmt |
| All Other Contributions | $123,791 | AllOtherContributionsAmt |
| Total Contributions | $2,382,525 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| Patient Service Revenue | 624100 | $25,945,573 | $25,945,573 |
| Fee for Service Grant Revenue | 624100 | $1,871,780 | $1,871,780 |
| Client Rental Income | 531110 | $352,401 | $352,401 |
| School Contracts | 624100 | $104,706 | $104,706 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $28,274,460 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,363 | TotalRevenueColumnAmt |
| Exclusion | $95,363 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $490,870 | SecuritiesAmt |
| Other | $9,069 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $473,574 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,296 | SecuritiesAmt |
| Other | $9,069 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $26,365 | TotalRevenueColumnAmt |
| Exclusion | $26,365 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Other revenues | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $298,102 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $298,102 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $298,102 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,076,815 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $28,572,562 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $121,728 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $438,333 | TotalAmt |
| Program Services | $438,333 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,412,901 | TotalAmt |
| Program Services | $1,412,901 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $254,996 | TotalAmt |
| Program Services | $254,996 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,581,712 | TotalAmt |
| Program Services | $15,096,984 | ProgramServicesAmt |
| Management And General | $1,484,728 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $287,630 | TotalAmt |
| Program Services | $256,823 | ProgramServicesAmt |
| Management And General | $30,807 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,499,742 | TotalAmt |
| Program Services | $2,232,008 | ProgramServicesAmt |
| Management And General | $267,734 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,190,742 | TotalAmt |
| Program Services | $1,063,208 | ProgramServicesAmt |
| Management And General | $127,534 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,968,681 | TotalAmt |
| Management And General | $1,968,681 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,423 | TotalAmt |
| Program Services | $83,758 | ProgramServicesAmt |
| Management And General | $59,665 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $40,298 | TotalAmt |
| Program Services | $17,648 | ProgramServicesAmt |
| Management And General | $22,650 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $372,643 | TotalAmt |
| Program Services | $365,463 | ProgramServicesAmt |
| Management And General | $7,180 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,122 | TotalAmt |
| Program Services | $2,047 | ProgramServicesAmt |
| Management And General | $39,075 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $39,547 | TotalAmt |
| Program Services | $611 | ProgramServicesAmt |
| Management And General | $38,936 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,479,073 | TotalAmt |
| Program Services | $1,479,073 | ProgramServicesAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,693,219 | TotalAmt |
| Program Services | $1,560,857 | ProgramServicesAmt |
| Management And General | $132,362 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $603,364 | TotalAmt |
| Program Services | $574,372 | ProgramServicesAmt |
| Management And General | $28,992 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $170,630 | TotalAmt |
| Program Services | $104,824 | ProgramServicesAmt |
| Management And General | $65,806 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,499 | TotalAmt |
| Program Services | $304 | ProgramServicesAmt |
| Management And General | $1,195 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,741 | TotalAmt |
| Program Services | $16,741 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $79,153 | TotalAmt |
| Program Services | $56,513 | ProgramServicesAmt |
| Management And General | $22,640 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Provider tax | $498,700 | $498,700 | |
| Supplies and food | $396,902 | $351,776 | $45,126 |
| Bad debt expense | $95,158 | $95,158 | |
| Administration and supp | $0 | $2,461,868 | -$2,461,868 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $187,144 | TotalAmt |
| Program Services | $73,798 | ProgramServicesAmt |
| Management And General | $113,346 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,493,353 | TotalAmt |
| Program Services | $28,498,764 | ProgramServicesAmt |
| Management And General | $1,994,589 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,792 | BOYAmt |
| EOY | $64,057 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,973,942 | BOYAmt |
| EOY | $8,013,508 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $267,448 | BOYAmt |
| EOY | $510,939 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,881,052 | BOYAmt |
| EOY | $2,130,372 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,645 | BOYAmt |
| EOY | $58,633 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $1,011,363 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $241,934 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $749,265 | BOYAmt |
| EOY | $769,429 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $621,442 | BOYAmt |
| EOY | $515,702 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $413,889 | BOYAmt |
| EOY | $93,610 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,128,475 | BOYAmt |
| EOY | $12,156,250 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,791,025 | BOYAmt |
| EOY | $5,338,795 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,026 | BOYAmt |
| EOY | $142,053 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $335,400 | BOYAmt |
| EOY | $383,854 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,306,007 | BOYAmt |
| EOY | $1,677,606 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,482,458 | BOYAmt |
| EOY | $7,542,308 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,946,636 | BOYAmt |
| EOY | $4,020,301 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $699,381 | BOYAmt |
| EOY | $593,641 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,646,017 | BOYAmt |
| EOY | $4,613,942 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,128,475 | BOYAmt |
| EOY | $12,156,250 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $583,462 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $24,457 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $360,006 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | Yes (1) | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Organization170 | Yes (X) | PublicOrganization170Ind |
Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,717,297 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,098,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,811,442 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,423,634 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,382,525 | CurrentTaxYearAmt |
| Total | $16,433,610 | TotalAmt |
Total Calendar Year170 TotalCalendarYear170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $3,717,297 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $3,098,712 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $3,811,442 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $3,423,634 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,382,525 | CurrentTaxYearAmt |
| Total | $16,433,610 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | $16,433,610 | PublicSupportTotal170Amt |
Gross Investment Income170 GrossInvestmentIncome170Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $6,574 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $8,189 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $10,823 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $20,627 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $121,728 | CurrentTaxYearAmt |
| Total | $167,941 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | $16,601,551 | TotalSupportAmt |
| Gross Receipts Rltd Activities | $123,644,638 | GrossReceiptsRltdActivitiesAmt |
| Public Support CY170 | 0.98990 | PublicSupportCY170Pct |
| Public Support PY170 | 0.99720 | PublicSupportPY170Pct |
| Thirty Thr Pct Suprt Tests CY170 | Yes (X) | ThirtyThrPctSuprtTestsCY170Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $923,078 | BeginningYearBalanceAmt |
| Contributions | $143,541 | ContributionsAmt |
| Investment Earnings Or Losses | $89,357 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $7,375 | AdministrativeExpensesAmt |
| End Year Balance | $1,148,601 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $888,310 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $42,357 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $7,589 | AdministrativeExpensesAmt |
| End Year Balance | $923,078 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $849,707 | BeginningYearBalanceAmt |
| Contributions | $603 | ContributionsAmt |
| Investment Earnings Or Losses | $45,628 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $7,628 | AdministrativeExpensesAmt |
| End Year Balance | $888,310 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $757,714 | BeginningYearBalanceAmt |
| Contributions | $485 | ContributionsAmt |
| Investment Earnings Or Losses | $98,185 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $6,677 | AdministrativeExpensesAmt |
| End Year Balance | $849,707 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $764,956 | BeginningYearBalanceAmt |
| Contributions | $518 | ContributionsAmt |
| Investment Earnings Or Losses | -$1,248 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $6,512 | AdministrativeExpensesAmt |
| End Year Balance | $757,714 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.36000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.61000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.03000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $56,182 | OtherCostOrOtherBasisAmt |
| Book Value | $56,182 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $730,693 | OtherCostOrOtherBasisAmt |
| Depreciation | $99,638 | DepreciationAmt |
| Book Value | $631,055 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $224,488 | OtherCostOrOtherBasisAmt |
| Depreciation | $142,296 | DepreciationAmt |
| Book Value | $82,192 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $769,429 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Deposits & Reserves | $28,072 |
| Other liabilities and Third Party Settlements | $1,115,859 |
| Due To Affiliates | $391,627 |
| Custodial accounts | $142,048 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,677,606 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $31,101,272 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | $24,457 | NetUnrealizedGainsInvstAmt |
| Revenue Not Reported | $24,457 | RevenueNotReportedAmt |
| Revenue Subtotal | $31,076,815 | RevenueSubtotalAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $31,076,815 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $30,493,353 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $30,493,353 | ExpensesSubtotalAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $30,493,353 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part V, Line 4: | All endowment funds are held in an account owned by KMHA Foundation, Inc. (see Schedule R) and are managed by an independent fiduciary with the income therefrom to be used in support of the operations of Kennebec Behavioral Health. |
| Part X, Line 2: | Income Tax Status - All of the Organizations are exempt from federal income tax under Section 501(c)(3) of the Internal Revenue Code. However, income from certain activities not directly related to the Organizations' tax-exempt purpose is subject to taxation as unrelated business income. In addition, the Organizations qualify for the charitable contribution deduction under Section 170(b)(1)(A). KBH has been classified as an organization that is not a private foundation under Section 509(a)(1). KMHA, KMHA Foundation, and KMHA Real Estate, Inc. have non-private foundation status as a supporting organization under IRC 509(a)(3). Management believes it has no uncertain tax positions with the Internal Revenue Service that require disclosure in its financial statements. The Organization's federal Returns of Organization Exempt from Income Tax (Forms 990) and Exempt Organization Business Income Tax Return (Form 990-T) for 2018, 2017, and 2016 are subject to examination by the IRS, generally for three years after they were filed. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| KMHA Real Estate Inc | |||||||
| 67 Eustis Parkway | Waterville | ME | 04901 | 611419906 | 501(c)(3) | $158,724 | Matching grant for renovation of property |
| The Opportunity Alliance | |||||||
| 50 Lydia Lane | South Portland | ME | 04106 | 010274725 | 501(c)(3) | $138,634 | Subrecipient of PATH grant |
| Catholic Charities of Maine | |||||||
| PO Box 10660 | Portland | ME | 041046060 | 010280225 | 501(c)(3) | $27,179 | Subrecipient of PATH Grant |
| Community Health and Counseling Services | |||||||
| PO Box 425 | Bangor | ME | 044020425 | 010211483 | 501(c)(3) | $81,862 | Subrecipient of PATH Grant |
| Aroostook Mental Health Services Inc | |||||||
| PO Box 1018 | Caribou | ME | 04736 | 010276859 | 501(c)(3) | $25,800 | Subrecipient of PATH Grant |
| Tri County Mental Health Services | |||||||
| 1155 Lisbon Street | Lewiston | ME | 04240 | 010316813 | 501(c)(3) | $6,134 | Subrecipient of PATH Grant |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)
| Grant TypeGrantTypeTxt | RecipientRecipientCnt | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc |
|---|---|---|---|
| Shelter Plus Care Program provides rental assistance for hard-to-serve homeless persons with disabilities and their families | 149 | $749,612 | Actual cost |
| The Bridging Rental Assistance Program is a transitional rental subsidy program | 299 | $661,660 | Actual cost |
| Grants to clubhouse members for employment related needs | 18 | $1,629 | Actual cost |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | All grantees must meet compliance criteria listed in individual contract agreements and include applicable CFDA compliance requirements depending on the source of funds. All grantees must comply with KBH's "Policy Number: 1019, Monitoring of Contracts; Uniform Guidance; Government Auditing Standards; and State of Maine MAAP Requirements in regards to Projects in Transition from Homelessness (PATH). As part KBH's grants management function, each grantee is reviewed annually. Interim work plan progress is required on a quarterly basis. Expense reports are required on a monthly basis. In addition, grantees are required to submit annual financial statements and, where appropriate, Maine MAAP and GAS Audit Reports. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thomas McAdam MBA | ||||||||||||||
| Chief Executive Officer | $0 | $153,299 | $0 | $10,000 | $0 | $15,718 | $0 | $41,758 | $0 | $26,761 | $0 | $247,536 | $0 | $19,615 |
| Josee Shelley CPA | ||||||||||||||
| Chief Financial Officer | $0 | $125,194 | $0 | $12,000 | $0 | $2,614 | $0 | $3,439 | $0 | $16,125 | $0 | $159,372 | $0 | $0 |
| Janine D Taylor MD | ||||||||||||||
| Medical Director | $210,171 | $0 | $19,429 | $0 | $8,628 | $0 | $5,910 | $0 | $26,729 | $0 | $270,867 | $0 | $0 | $0 |
| Teresa Hermida MD | ||||||||||||||
| Psychiatrist | $205,683 | $0 | $13,083 | $0 | $7,936 | $0 | $5,019 | $0 | $2,717 | $0 | $234,438 | $0 | $0 | $0 |
| Paige McInerney DO | ||||||||||||||
| Psychiatrist | $155,296 | $0 | $10,494 | $0 | $167 | $0 | $4,467 | $0 | $21,934 | $0 | $192,358 | $0 | $0 | $0 |
| Arlene C Almazan MD | ||||||||||||||
| Psychiatrist | $222,413 | $0 | $15,327 | $0 | $8,245 | $0 | $6,141 | $0 | $13,177 | $0 | $265,303 | $0 | $0 | $0 |
| Bukher Emil NP | ||||||||||||||
| Nurse Practitioner Psychia | $179,020 | $0 | $20,569 | $0 | $5,958 | $0 | $5,233 | $0 | $15,046 | $0 | $225,826 | $0 | $0 | $0 |
| Melinda Morissette | ||||||||||||||
| Nurse Practioner | $132,073 | $0 | $17,894 | $0 | $139 | $0 | $3,169 | $0 | $19,443 | $0 | $172,718 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 7 | FormAndLineReferenceDesc |
| Explanation | The key employees and some of the highest compensated employees received compensation based on personal productivity standards contained within their employment contracts. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | Kennebec Mental Health Associates, a related 501(c)(3) corporation (See Schedule R) is the sole corporate member of the organization. |
| Form 990, Part VI, Section A, line 7a | The sole corporate member of the organization, Kennebec Mental Health Associates, is given the right by the organization's Bylaws to conduct the annual meeting of the organization for the purpose of electing directors of the governing Board. |
| Form 990, Part VI, Section B, line 11b | A copy of the 990 is provided to the Finance Committee prior to filing with the Internal Revenue Service. The Finance Committee meets bi-monthly and, at its discretion, can add discussion and review of the organization's 990 to its agenda. |
| Form 990, Part VI, Section B, line 12c | The conflict of interest policy requires that each Board member annually sign a statement that they will abide by the policy. Any potential conflict of interest is required to be disclosed by a Board member at a Board meeting with procedures for investigation and resolution being managed by the Board. On an annual basis the Board is reminded of the policy by senior staff. |
| Form 990, Part VI, Section B, line 15 | The compensation of the CEO is established by the Board of Directors based on industry-specific wage survey data. The CEO's performance is reviewed annually by the Board President and any increase in compensation is approved within the framework of salary adjustments approved by the Board for all staff. Compensation of senior managers of the organization is managed by the CEO using current wage survey data and within the framework of salary adjustments approved by the Board for all staff during the annual budget approval process. |
| Form 990, Part VI, Section C, line 18 | The organization's annual form 990 return is available for viewing at the organization's administrative offices and also on www.guidestar.org. Form 1023 is available for public inspection at the administrative offices of the organization |
| Form 990, Part VI, Section C, line 19 | All governing documents, policies and audited financial statements are available to be viewed at the organization's administrative offices. An annual report reflecting a summary of its audited financial statements is available in printed format and on the website of Kennebec Behavioral Health (www.kbhmaine.org). |
| Form 990, Part VII | All employees of KMHA and KBH are eligible to participate in a Vacation Buy-out program, which is taxable income and increases base compensation. Included in Mr. McAdam's, Ms. Shelley's, Dr. Almazan's, Dr. Taylor's, Dr. Hermida's, and Dr. Bukher's reportable compensation are $6,538, $2,447, $8,078, $8,462, $7,770 and $5,904 respectively in vacation buy-out. |
| Form 990, Part XI, Line 2c | The process of oversight of the audit has not changed from the previous year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Kennebec Mental Health Associates | |||||||||
| 67 Eustis Parkway | Waterville | ME | 04901 | 611419905 | Administrative and support services to Kennebec Behavioral Health | ME | 501(c)(3) | 509(a)(3) Type I Org | 0 |
| KMHA Real Estate Inc | |||||||||
| 67 Eustis Parkway | Waterville | ME | 04901 | 611419906 | Hold title to, manage and maintain properties for Kennebec Behavioral Health | ME | 501(c)(3) | 509(a)(3) Type I Org | 0 |
| KMHA Foundation Inc | |||||||||
| 67 Eustis Parkway | Waterville | ME | 04901 | 611419904 | Hold, manage and invest funds and gifts for Kennebec Behavioral Health | ME | 501(c)(3) | 509(a)(3) Type I Org | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| Kennebec Mental Health Associates - management agreement | ||
| M | $3,359,409 | Amount paid |
| KMHA Real Estate Inc - rental agreement | ||
| K | $1,537,744 | Amount paid |
| KMHA Real Estate Inc - grant | ||
| B | $158,724 | Amount paid |
| KMHA Foundation Inc | ||
| C | $123,791 | Amount paid |
| Kennebec Mental Health Associates | ||
| M | $95,353 | Amount paid |
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