KENNEBEC VALLEY MENTAL HEALTH CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
KENNEBEC VALLEY MENTAL HEALTH CENTER (EIN 01-0265559)
Tax period
2013-07-01 to 2014-06-30
Filed
2015-05-11
IRS object ID
201521319349301202
Schema version
2013v4.0
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

FieldValueIRS element (for citing)
Return2015-05-11T09:21:43-05:00ReturnTs
Tax Period End2014-06-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN450512128PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Gibson LeClair LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1150 Capitol Street Suite 3AddressLine1
CityAugustaCity
StateMEState
ZIP Code04330ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN010265559EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Kennebec Valley Mental Health CenterBusinessNameLine1
Business Name Line2D/B/A Kennebec Behavioral HealthBusinessNameLine2
FieldValueIRS element (for citing)
Business Name ControlKENNBusinessNameControlTxt
Phone2078732136PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line167 Eustis ParkwayAddressLine1
CityWatervilleCity
StateMEState
ZIP Code04901ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonThomas McAdamPersonNm
Person TitleChief Executive OfficerPersonTitleTxt
Phone2078732136PhoneNum
Signature2015-05-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonStephen L LeClair CPAPreparerPersonNm
PTINP01370336PTIN
Phone2076238401PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerThomas McAdamPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line167 Eustis ParkwayAddressLine1
CityWatervilleCity
StateMEState
ZIP Code04901ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$24,460,261GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.kbhmaine.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateMELegalDomicileStateCd
Activity Or MissionKBH'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 Body7VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee420TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$2,928,679PYContributionsGrantsAmt
CY Contributions Grants$3,489,510CYContributionsGrantsAmt
PY Program Service Revenue$20,210,326PYProgramServiceRevenueAmt
CY Program Service Revenue$20,583,024CYProgramServiceRevenueAmt
PY Investment Income$7,127PYInvestmentIncomeAmt
CY Investment Income$5,314CYInvestmentIncomeAmt
PY Other Revenue$257,412PYOtherRevenueAmt
CY Other Revenue$382,413CYOtherRevenueAmt
PY Total Revenue$23,403,544PYTotalRevenueAmt
CY Total Revenue$24,460,261CYTotalRevenueAmt
PY Grants And Similar Paid$906,823PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,361,880CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$16,126,069PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$16,537,625CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$198,750CYTotalFundraisingExpenseAmt
PY Other Expenses$6,203,340PYOtherExpensesAmt
CY Other Expenses$6,337,691CYOtherExpensesAmt
PY Total Expenses$23,236,232PYTotalExpensesAmt
CY Total Expenses$24,237,196CYTotalExpensesAmt
PY Revenues Less Expenses$167,312PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$223,065CYRevenuesLessExpensesAmt
Total Assets BOY$5,433,998TotalAssetsBOYAmt
Total Assets EOY$6,764,853TotalAssetsEOYAmt
Total Liabilities BOY$3,430,026TotalLiabilitiesBOYAmt
Total Liabilities EOY$4,537,816TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,003,972NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$2,227,037NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionThe 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,339,867ExpenseAmt
Grant$1,131GrantAmt
Revenue$2,663,292RevenueAmt
DescThe Vocational Clubhouses 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.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$4,915,022ExpenseAmt
Revenue$4,524,868RevenueAmt
DescPsychiatric 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

FieldValueIRS element (for citing)
Expense$3,622,528ExpenseAmt
Revenue$3,591,552RevenueAmt
DescSupported 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 inmaintaing stability.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$11,694,914ExpenseAmt
Grant$1,360,749GrantAmt
Revenue$10,185,725RevenueAmt
DescThe 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.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.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.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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$11,694,914TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$1,360,749TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$10,185,725TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$22,572,331TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To IndividualsYes (1)GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document182IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee420EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members7GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Josee L Shelley CPABusinessNameLine1
FieldValueIRS element (for citing)
Phone2078732136PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line167 Eustis ParkwayAddressLine1
CityWatervilleCity
StateMEState
ZIP Code04901ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (15 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Patsy Garside Crockett
President/Secretary2.00Yes (X)Yes (X)$0$0$0
Samuel N Goddard
Vice President/Treasurer2.00Yes (X)Yes (X)$0$0$0
Alison Jones Webb
Director1.00Yes (X)$0$0$0
Patrick S A Flood
Director1.00Yes (X)$0$0$0
Alan Dorval
Director1.00Yes (X)$0$0$0
William S Johnson
Director1.00Yes (X)$0$0$0
William I Branch
Director1.00Yes (X)$0$0$0
Thomas McAdam
Chief Executive Officer40.00Yes (X)$0$149,189$25,003
Josee Shelley CPA
Chief Financial Officer40.00Yes (X)$0$115,796$16,925
Robert T Anderson MD
Medical Director40.00$191,080$0$7,872Yes (X)
Janine D Taylor MD
Psychiatrist40.00$215,328$0$25,870Yes (X)
Teresa Hermida MD
Psychiatrist40.00$195,955$0$25,088Yes (X)
Paige McInerney DO
Psychiatrist40.00$185,042$0$22,651Yes (X)
Arlene C Almazan MD
Psychiatrist40.00$181,487$0$14,995Yes (X)
Sharon Marble MD
Psychiatrist40.00$179,373$0$1,711Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,148,265TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$264,985TotReportableCompRltdOrgAmt
Total Other Compensation$140,115TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K6IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MST Associates LLCBusinessNameLine1

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line13213 Westcreek CircleAddressLine1
CityColumbiaCity
StateMOState
ZIP Code652030903ZIPCode
FieldValueIRS element (for citing)
ServicesTrainingServicesDesc
Compensation$128,821CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$53,577RelatedOrganizationsAmt
Government Grants$3,083,763GovernmentGrantsAmt
All Other Contributions$352,170AllOtherContributionsAmt
Total Contributions$3,489,510TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
Patient Service Revenue624100$20,170,461$20,170,461
Client Rental Income531110$282,294$282,294
School Contracts624100$130,269$130,269
FieldValueIRS element (for citing)
Total Program Service Revenue$20,583,024TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,474TotalRevenueColumnAmt
Exclusion$4,474ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$840OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$840OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$840TotalRevenueColumnAmt
Exclusion$840ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOther revenuesDesc
Business624100BusinessCd
Total Revenue Column$382,413TotalRevenueColumnAmt
Related Or Exempt Func Income$382,413RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$382,413OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$24,460,261TotalRevenueColumnAmt
Related Or Exempt Func Income$20,965,437RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,314ExclusionAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$1,361,880TotalAmt
Program Services$1,361,880ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$206,490TotalAmt
Program Services$206,490ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$13,237,454TotalAmt
Program Services$12,014,261ProgramServicesAmt
Management And General$1,223,193ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$142,310TotalAmt
Program Services$129,057ProgramServicesAmt
Management And General$13,253ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,987,032TotalAmt
Program Services$1,727,669ProgramServicesAmt
Management And General$259,363ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$964,339TotalAmt
Program Services$868,861ProgramServicesAmt
Management And General$95,478ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$1,614,753TotalAmt
Management And General$1,416,003ManagementAndGeneralAmt
Fundraising$198,750FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$389,697TotalAmt
Program Services$351,327ProgramServicesAmt
Management And General$38,370ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$17,182TotalAmt
Program Services$9,985ProgramServicesAmt
Management And General$7,197ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$277,520TotalAmt
Program Services$204,449ProgramServicesAmt
Management And General$73,071ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,019,790TotalAmt
Program Services$1,019,790ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,568,567TotalAmt
Program Services$1,409,722ProgramServicesAmt
Management And General$158,845ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$623,984TotalAmt
Program Services$573,090ProgramServicesAmt
Management And General$50,894ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$132,883TotalAmt
Program Services$111,488ProgramServicesAmt
Management And General$21,395ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$20,407TotalAmt
Program Services$20,407ProgramServicesAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$86,153TotalAmt
Program Services$64,378ProgramServicesAmt
Management And General$21,775ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Provider tax$441,099$441,099
Dues and fees$79,003$46,808$32,195
Bad debt expense$73,047$73,047
Administration and supp$0$1,906,291-$1,906,291

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$6,394TotalAmt
Program Services$32,232ProgramServicesAmt
Management And General-$38,626ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$24,237,196TotalAmt
Program Services$22,572,331ProgramServicesAmt
Management And General$1,466,115ManagementAndGeneralAmt
Fundraising$198,750FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,305,953BOYAmt
EOY$1,751,722EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,598,898BOYAmt
EOY$1,722,111EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$475,282BOYAmt
EOY$243,872EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,744,127BOYAmt
EOY$1,920,196EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$31,827BOYAmt
EOY$34,478EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$934,246LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$117,597LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$204,178BOYAmt
EOY$816,649EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$73,733BOYAmt
EOY$275,825EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$5,433,998BOYAmt
EOY$6,764,853EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,778,263BOYAmt
EOY$3,126,938EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$20,907BOYAmt
EOY$346,469EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$630,856BOYAmt
EOY$1,064,409EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,430,026BOYAmt
EOY$4,537,816EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,926,033BOYAmt
EOY$2,149,098EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$77,939BOYAmt
EOY$77,939EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,003,972BOYAmt
EOY$2,227,037EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$5,433,998BOYAmt
EOY$6,764,853EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$223,065ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit RequiredYes (1)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (1)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,236,426CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,496,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,888,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,022,244CurrentTaxYearMinus1YearAmt
Current Tax Year$3,871,923CurrentTaxYearAmt
Total$10,514,932TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,236,426CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,496,268CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,888,071CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$2,022,244CurrentTaxYearMinus1YearAmt
Current Tax Year$3,871,923CurrentTaxYearAmt
Total$10,514,932TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$10,514,932PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$27,755CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$21,858CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$12,452CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,777CurrentTaxYearMinus1YearAmt
Current Tax Year$4,474CurrentTaxYearAmt
Total$73,316TotalAmt
FieldValueIRS element (for citing)
Total Support$10,588,248TotalSupportAmt
Gross Receipts Rltd Activities$96,335,529GrossReceiptsRltdActivitiesAmt
Public Support CY1700.99310PublicSupportCY170Pct
Public Support PY1700.98760PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$690,476BeginningYearBalanceAmt
Contributions$500ContributionsAmt
Investment Earnings Or Losses$80,127InvestmentEarningsOrLossesAmt
Administrative Expenses$6,147AdministrativeExpensesAmt
End Year Balance$764,956EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$639,255BeginningYearBalanceAmt
Contributions$587ContributionsAmt
Investment Earnings Or Losses$56,358InvestmentEarningsOrLossesAmt
Administrative Expenses$5,724AdministrativeExpensesAmt
End Year Balance$690,476EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$623,871BeginningYearBalanceAmt
Contributions$600ContributionsAmt
Investment Earnings Or Losses$20,072InvestmentEarningsOrLossesAmt
Administrative Expenses$5,288AdministrativeExpensesAmt
End Year Balance$639,255EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$554,889BeginningYearBalanceAmt
Contributions$988ContributionsAmt
Investment Earnings Or Losses$73,056InvestmentEarningsOrLossesAmt
Administrative Expenses$5,061AdministrativeExpensesAmt
End Year Balance$623,871EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$512,131BeginningYearBalanceAmt
Contributions$1,226ContributionsAmt
Investment Earnings Or Losses$46,308InvestmentEarningsOrLossesAmt
Administrative Expenses$4,776AdministrativeExpensesAmt
End Year Balance$554,889EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.71700PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.28300TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$56,182OtherCostOrOtherBasisAmt
Book Value$56,182BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$730,693OtherCostOrOtherBasisAmt
Depreciation$6,283DepreciationAmt
Book Value$724,410BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$147,371OtherCostOrOtherBasisAmt
Depreciation$111,314DepreciationAmt
Book Value$36,057BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$816,649TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Deposits & Reserves$29,728
Other liabilities and Third Party Settlements$409,797
Due To Affiliates$465,731
Custodial accounts$132,123
Refundable advances$27,030
FieldValueIRS element (for citing)
Total Liability$1,064,409TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$24,460,315TotalRevEtcAuditedFinclStmtAmt
Donated Services And Use Fclts$54DonatedServicesAndUseFcltsAmt
Revenue Not Reported$54RevenueNotReportedAmt
Revenue Subtotal$24,460,261RevenueSubtotalAmt
Revenue Not Reported Fincl Stmt$0RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$24,460,261TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$24,237,250TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$54DonatedServicesUseFcltsAmt
Expenses Not Reported$54ExpensesNotReportedAmt
Expenses Subtotal$24,237,196ExpensesSubtotalAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$24,237,196TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationAll endowment funds are held in an account managed by an independent fiduciary and the income therefrom to be used in support of the operations of Kennebec Behavioral Health.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (3 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDesc
Shelter Plus Care Program provides rental assistance for hard-to-serve homeless persons with disabilities and their families175$835,497Actual cost
The Bridging Rental Assistance Program is a transitional rental subsidy program239$525,252Actual cost
High Hopes employment fund9$1,131Actual cost

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Thomas McAdam
Chief Executive Officer$0$129,284$0$10,000$0$9,905$0$4,034$0$20,969$0$174,192$0$0
Robert T Anderson MD
Medical Director$185,080$0$6,000$0$0$0$4,679$0$3,193$0$198,952$0$0$0
Janine D Taylor MD
Psychiatrist$199,032$0$4,000$0$12,296$0$5,017$0$20,853$0$241,198$0$0$0
Teresa Hermida MD
Psychiatrist$183,034$0$5,000$0$7,921$0$5,175$0$19,913$0$221,043$0$0$0
Paige McInerney DO
Psychiatrist$171,854$0$8,188$0$5,000$0$4,846$0$17,805$0$207,693$0$0$0
Arlene C Almazan MD
Psychiatrist$176,487$0$5,000$0$0$0$4,621$0$10,374$0$196,482$0$0$0
Sharon Marble MD
Psychiatrist$179,373$0$0$0$0$0$0$0$1,711$0$181,084$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 7FormAndLineReferenceDesc
ExplanationThe key employee and some highest compensated employees received compensation based on personal productivity standards contained within their employment contracts.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6Kennebec 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 7aThe 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 11A 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 12cThe 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 15The 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 18The 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 19All 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 VIIAll 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 CFO, Dr. Taylor's and Dr. Hermida's reportable compensation are $6,313, $7,296 and $6,447 respectively in vacation buy-out.
Form 990, Part XI, Line 2cThe process of oversight of the audit has not changed from the previous year.
Form 990, Schedule D, Part V Endowment FundsThe endowment funds included on Schedule D are under the control of the related entity KMHA Foundation, Inc. but are maintained for the benefit of this Organization and are therefore included on this 990.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtControlled OrganizationControlledOrganizationInd
Kennebec Mental Health Associates
67 Eustis ParkwayWatervilleME04901611419905Administrative and support services to Kennebec Behavioral HealthME501(c)(3)509(a)(3) Type I Org0
KMHA Real Estate Inc
67 Eustis ParkwayWatervilleME04901611419906Hold title to, manage and maintain properties for Kennebec Behavioral HealthME501(c)(3)509(a)(3) Type I Org0
KMHA Foundation Inc
67 Eustis ParkwayWatervilleME04901611419904Hold, manage and invest funds and gifts for Kennebec Behavioral HealthME501(c)(3)509(a)(3) Type I Org0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Kennebec Mental Health Associates - management agreement
M$2,430,229Amount paid
KMHA Real Estate Inc - rental agreement
K$1,551,718Amount paid
KMHA Foundation Inc
C$53,577Amount paid
Kennebec Mental Health Associates
M$198,750Amount paid

Comments

Anonymous: no account or email. Up to 2,000 characters, at most one link. Comments are checked automatically; some wait for review.