2016-11-15T09:47:47-06:00 2016-06-30 010523282 Berry Dunn McNeil & Parker LLC PO Box 1100 Portland ME 041041100 990 2015-07-01 237193853 United Cerebral Palsy of Northeastern Maine UNIT 2079412952 700 Mount Hope Avenue No 320 Bangor ME 04401 Scott Tash CEO 2079412952 2016-11-14 1 Barbara J McGuan P00219457 2077752387 2016-11-14 2015 2017-02-10 21:41:12Z Scott Tash 700 Mount Hope Avenue No 320 Bangor ME 04401 10032325 0 X www.ucpofmaine.org X 1954 ME To advance the independence, productivity and full citizenship of people with disabilities. 8 8 330 22 0 0 136848 116533 9692605 9749755 0 -114921 96508 -2589 9925961 9748778 0 0 0 0 7684661 7424972 0 27500 88290 2371111 2215105 10055772 9667577 -129811 81201 2895740 2125628 1877524 1530989 1018216 594639 The mission of UCP of Maine is to advance the independence, productivity and full citizenship of people with disabilities who have multiple needs. 0 0 8306096 9749755 UCP of Northeastern Maine is a disability resource network, providing programs, services, information and support for clients with disabilities as well as other members of the community who support individuals with disabilities. UCP offers a variety of services to support individuals with disabilities, including residential homes, in-home support programs, case management services and early childhood education programs. 8306096 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 10 0 1 330 1 0 0 0 0 0 0 0 0 0 0 X 8 8 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 ME X X Scott Tash 2079412952 700 Mount Hope Avenue Suite 320 Bangor ME 04401 Erica Engelmann Board Past President 1.00 0.00 X X 0 0 0 Valerie Roy Board Director 1.00 0.00 X 0 0 0 Tamara Mitchell Board Director 1.00 0.00 X 0 0 0 Mark Schmelz Board President 1.00 0.00 X X 0 0 0 Avery Olmstead Board Past Director 1.00 0.00 X 0 0 0 Joseph Jay Vetelino Board Past Treasurer 1.00 0.00 X X 0 0 0 Heather Ball Board Secretary 1.00 0.00 X X 0 0 0 Matthew Walsh Board Treasurer 1.00 0.00 X X 0 0 0 Tracy Roberts Board Vice President 1.00 0.00 X X 0 0 0 Jim Marcotte Board Director 1.00 0.00 X 0 0 0 Carrie Murray Board Director 1.00 0.00 X 0 0 0 Scott Tash CEO 40.00 0.00 X 103633 0 13127 Marianne Berube Director of Operations 40.00 0.00 X 80646 0 10690 184279 0 23817 1 0 0 0 0 6105 3620 8245 98563 1500 116533 Behavioral Health 621400 4798163 4798163 Elizabeth Levinson Center 623990 3862049 3862049 Adult Residential 623990 982944 982944 Miscellaneous Revenue 900099 106599 106599 9749755 157073 271994 -114921 -114921 -114921 8964 3620 11553 -2589 -2589 9748778 9749755 0 -117510 208096 208096 5751200 5156718 551378 43104 19259 19259 906965 832672 66980 7313 539452 471964 63723 3765 15571 15571 36795 36795 27500 27500 135506 31345 104161 4922 2354 2568 290592 229688 57425 3479 252045 239845 10660 1540 184237 181896 1888 453 50849 16485 34364 128722 83983 44380 359 69287 64489 4521 277 Miscellaneous Expense 404673 333492 70681 500 Service Provider Tax 377242 377242 Day Habiliatation Expen 264664 264664 9667577 8306096 1273191 88290 X 145459 174544 51489 25190 645124 749737 45872 58389 2432807 1315039 1503019 1117768 504777 0 2895740 2125628 644375 621706 67258 74300 910240 684418 255651 150565 1877524 1530989 X 505194 568117 513022 26522 1018216 594639 2895740 2125628 81201 -504778 0 X X 0 1 X 1 0 X 908338 416813 367566 136848 116533 1946098 908338 416813 367566 136848 116533 1946098 1946098 185567 59787 -84938 96508 256924 2203022 47265930 0.88340 0.99540 X Schedule A, Part II, Line 10, Explanation of Other Income: Other Revenue - 2011 Amount: $ 133,008. 2012 Amount: $ 163,066. 2013 Amount: $ 105,721. 2014 Amount: $ 96,508. Prior Year Grant Amounts - 2012 Amount: $ -103,279. 2013 Amount: $ -190,659. Merger With WCCP - 2011 Amount: $ 30,327. Prior Year Grant Deferrals - 2011 Amount: $ 22,232. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 75311 75311 1674698 739428 935270 628665 538528 90137 54133 37083 17050 1117768 Estimated Third-Party Payor Settlements 150565 150565 X X 1 Jennifer Kierstead 179 Main Street Waterville ME 04901 Grant Writing 0 31426 27500 3926 31426 27500 3926 ME Pumpkins in the Park 12584 3620 8964 40 4760 1282 5471 12584 3620 8964 40 4760 1282 5471 11553 -2589 Form 990, Part VI, Section B, line 11 The 990 is sent to the Finance Committee in advance of a monthly scheduled meeting and the form is reviewed during the next meeting for approval. For 2016, the Form 990 will be reviewed on November 3, 2016 by the Finance Committee, consisting of the Board Treasurer, Matthew Walsh, Board member Valerie Roy, UCP CEO Scott Tash, and UCP Director of Operations, Marianne Berube. The Finance Committee will then report to the full Board on November 8, 2016. Form 990, Part VI, Section B, line 12c UCP does have a Conflict of Interest policy, which covers all staff members, board members and volunteers. All Board members, staff and volunteers are educated on this and given a copy and form to complete at hire/commencement of volunteer work. Each staff member, volunteer and board member is also given this policy annually to review and must complete a Conflict of Interest form indicating any potential conflicts of interest. Following full disclosure of a possible conflict of interest by a board member or upper management, the Board of Directors shall determine whether a conflict of interest exists and if so, the Board shall vote to authorize or reject the transaction or take any action deemed necessary to address the conflict and protect the Organization's best interest. Both votes shall be by a majority vote without counting the vote of any interested director, even if the disinterested directors are less than a quorum provided that at least one consenting director is disinterested. For potential conflicts of interest of staff: A Board member, officer, or staff member shall not participate in any discussion or debate of the Board of Directors, or of any committee or subcommittee thereof in which the subject of discussion is a contract, transaction, or situation in which there may be a perceived or actual conflict of interest. However, they may be present to provide clarifying information in such a discussion or debate unless objected to by any present board or committee member. Anyone in a position to make decisions regarding spending of organizational resources (i.e., transactions such as purchases contracts), who also stands to benefit from that decision, has a duty to disclose that conflict as soon as it arises (or becomes apparent). She/he should not participate in any final decisions. Form 990, Part VI, Section B, line 15 CEO salary - A Personnel Committee made up of board members and the Director of HR. The Director of HR gathers the salary data using compensation websites and resources. 1) Director of Operations - CEO consults with HR and develops salary. 2) Director of Clinical Services - CEO consults with HR and develops salary. Form 990, Part VI, Section C, line 19 The governing documents, conflict of interest policy, financial statements are maintained in the office and are available to the public during standard business hours. Form 990, Part X, Line 10: Land, Buildings, and Equipment Section 1.263(a)-3(n) Election: United Cerebral Palsy of Northeastern Maine 700 Mount Hope Avenue Bangor, ME 04401 EIN 23-7193853 Section 1.263(a)-3(n) Election: United Cerebral Palsy of Northeastern Maine is electing to capitalize repair and maintenance costs under Regulation Section 1.263(a)-3(n). Form 990, Part XII, Line 8: Prior Period Adjustments During 2016, management of the Organization reassessed its relationship with the Penobscot Cerebral Palsy Foundation (a related organization) and concluded the accounts of the Foundation should be consolidated rather than reflected as a beneficial interest. The net effect of this change results in a prior period adjustment of ($504,778). Penobscot Cerebral Palsy Foundation 700 Mount Hope Avenue Bangor ME 04401 222559835 Foundation ME 501(c)(3) Line 11a, I United Cerebral Palsy of Northeastern Maine 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0