2016-05-12T15:05:20-05:00 2015-06-30 450512128 Gibson LeClair LLC 150 Capitol Street Suite 3 Augusta ME 04330 990 2014-07-01 010265559 Kennebec Valley Mental Health Center D/B/A Kennebec Behavioral Health KENN 2078732136 67 Eustis Parkway Waterville ME 04901 Thomas McAdam Chief Executive Officer 2078732136 2016-05-11 1 Stephen L LeClair CPA P01370336 2076238401 2014 2016-08-17 19:52:53Z Thomas McAdam 67 Eustis Parkway Waterville ME 04901 26276987 0 X www.kbhmaine.org X 1964 ME 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. 7 7 428 43 0 0 3489510 3331062 20583024 22553116 5314 6574 382413 386235 24460261 26276987 1361880 1318317 0 0 16537625 17936985 0 0 170962 6337691 6636259 24237196 25891561 223065 385426 6764853 7152726 4537816 4540263 2227037 2612463 X 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. 0 0 4282484 4665312 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. 4868848 4288152 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. 4007992 4317090 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. 11019816 1318317 9668797 Vocational Clubhouse Program: The Clubhouse Model of Psychiatric Rehabilitation is used at the Capitol Clubhouse in Augusta, the High Hopes Clubhouse in Waterville, 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 mid -coast 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. 11019816 1318317 9668797 24179140 1 0 0 0 0 0 0 0 0 1 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 194 0 1 428 1 0 0 0 0 0 0 0 0 0 0 X 7 7 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X Josee L Shelley CPA 2078732136 67 Eustis Parkway Waterville ME 04901 X Patsy Garside Crockett President/Secretary 2.00 X X 0 0 0 Patrick S A Flood Vice President/Treasurer 2.00 X X 0 0 0 Alison Jones Webb Director 1.00 X 0 0 0 Lori Fowle Director 1.00 X 0 0 0 Alan Dorval Director 1.00 X 0 0 0 William S Johnson PhD Director 1.00 X 0 0 0 William I Branch Director 1.00 X 0 0 0 Thomas McAdam MBA Chief Executive Officer 40.00 X 0 122622 52761 Josee Shelley CPA Chief Financial Officer 40.00 X 0 107788 17570 Robert T Anderson MD Medical Director 40.00 X 212403 0 9177 Janine D Taylor MD Psychiatrist 40.00 X 197394 0 25712 Teresa Hermida MD Psychiatrist 40.00 X 194444 0 24962 Paige McInerney DO Psychiatrist 40.00 X 182067 0 22415 Arlene C Almazan MD Psychiatrist 40.00 X 181214 0 15038 Bukher Emil NP Nurse Practitioner Psychiatry 40.00 X 193012 0 24846 1160534 230410 192481 6 0 1 0 Bernstein Shur Counselors at Law 100 Middle Street Portland ME 04104 Legal services 119587 MST Associates LLC 3213 Westcreek Circle Columbia MO 652030903 Training & accreditation 118513 2 29875 3299187 2000 3331062 Patient Service Revenue 624100 22055322 22055322 Client Rental Income 531110 357493 357493 School Contracts 624100 140301 140301 22553116 6574 6574 Other revenues 624100 386235 386235 386235 26276987 22939351 0 6574 1318317 1318317 216034 216034 14130851 12931816 1199035 182487 167045 15442 2392238 2118147 274091 1015375 928710 86665 1679007 1508045 170962 490379 342142 148237 3739 789 2950 284159 214257 69902 1141181 1141181 1583707 1443424 140283 628094 575128 52966 127016 101929 25087 18356 18356 82221 59955 22266 Provider tax 481838 481838 Bad debt expense 82755 82755 Dues and fees 54278 49682 4596 Administration and supp 0 1963742 -1963742 -20471 23893 -44364 25891561 24179140 1541459 170962 1751722 1959322 1722111 2069499 243872 455546 1920196 1729307 34478 34298 949356 155660 816649 793696 275825 111058 6764853 7152726 3126938 3517698 346469 336630 1064409 685935 4537816 4540263 X 2149098 2534524 77939 77939 2227037 2612463 6764853 7152726 385426 0 X X 0 1 X 1 1 1 X 1496268 1888071 2022244 3871923 3717297 12995803 1496268 1888071 2022244 3871923 3717297 12995803 12995803 21858 12452 6777 4474 6574 52135 13047938 100829870 0.99600 0.99310 X 764956 518 -1248 6512 757714 690476 500 80127 6147 764956 639255 587 56358 5724 690476 623871 600 20072 5288 639255 554889 988 73056 5061 623871 0.72460 0.27540 0 1 1 56182 56182 730693 24695 705998 162481 130965 31516 793696 Deposits & Reserves 26960 Other liabilities and Third Party Settlements 342625 Due To Affiliates 199498 Custodial accounts 112973 Refundable advances 3879 685935 X 26277002 15 15 26276987 0 26276987 25891576 15 15 25891561 0 25891561 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. 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 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) for 2014, 2013, and 2012 are subject to examination by the IRS, generally for three years after they were filed. 0 Shelter Plus Care Program provides rental assistance for hard-to-serve homeless persons with disabilities and their families 134 871977 Actual cost The Bridging Rental Assistance Program is a transitional rental subsidy program 142 446216 Actual cost High Hopes employment fund 8 124 Actual cost X X X X 0 0 0 0 0 0 0 1 0 Thomas McAdam MBA Chief Executive Officer 0 106591 0 0 0 16031 0 34646 0 18115 0 175383 0 0 Robert T Anderson MD Medical Director 206349 0 6000 0 54 0 5522 0 3655 0 221580 0 0 0 Janine D Taylor MD Psychiatrist 183482 0 10100 0 3812 0 4937 0 20775 0 223106 0 0 0 Teresa Hermida MD Psychiatrist 188290 0 6100 0 54 0 5127 0 19835 0 219406 0 0 0 Paige McInerney DO Psychiatrist 180913 0 1100 0 54 0 4766 0 17649 0 204482 0 0 0 Arlene C Almazan MD Psychiatrist 180060 0 1100 0 54 0 4691 0 10347 0 196252 0 0 0 Bukher Emil NP Nurse Practitioner Psychiatry 173184 0 5881 0 13947 0 5097 0 19749 0 217858 0 0 0 Part I, Line 7 The key employee and some of the highest compensated employees received compensation based on personal productivity standards contained within their employment contracts. 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 11 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 the CEO, Dr. Taylor's and Dr. Bukher's reportable compensation are $5,328, $3,758 and $13,893 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. 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 0 0 1 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 Kennebec Mental Health Associates - management agreement M 2646274 Amount paid KMHA Real Estate Inc - rental agreement K 1583707 Amount paid KMHA Foundation Inc C 29875 Amount paid Kennebec Mental Health Associates M 170962 Amount paid