KENNEBEC VALLEY MENTAL HEALTH CENTER: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- KENNEBEC VALLEY MENTAL HEALTH CENTER (EIN 01-0265559)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-15
- IRS object ID
- 201421359349306272
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2014-05-15T13:33:26-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 450512128 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Gibson LeClair LLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 150 Capitol Street Suite 3 | AddressLine1 |
| City | Augusta | City |
| State | ME | State |
| ZIP Code | 04330 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 010265559 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Kennebec Valley Mental Health Center | BusinessNameLine1 |
| Business Name Line2 | D/B/A Kennebec Behavioral Health | BusinessNameLine2 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | KENN | NameControl |
| Phone | 2078732136 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 67 Eustis Parkway | AddressLine1 |
| City | Waterville | City |
| State | ME | State |
| ZIP Code | 04901 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas McAdam | Name |
| Title | Chief Executive Officer | Title |
| Phone | 2078732136 | Phone |
| Date Signed | 2014-05-15 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Stephen L LeClair CPA | Name |
| PTIN | P01370336 | PTIN |
| Phone | 2076238401 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | Thomas McAdam | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 67 Eustis Parkway | AddressLine1 |
| City | Waterville | City |
| State | ME | State |
| ZIP Code | 04901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 23403583 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.kbhmaine.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1964 | YearFormation |
| State Legal Domicile | ME | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 7 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 403 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1888071 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2928679 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 19409730 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 20210326 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 19127 | InvestmentIncomePriorYear |
| Investment Income Current Year | 7127 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 119444 | OtherRevenuePriorYear |
| Other Revenue Current Year | 257412 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 21436372 | TotalRevenuePriorYear |
| Total Revenue Current Year | 23403544 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 101548 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 906823 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 15140251 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 16126069 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 176189 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 5906790 | OtherExpensePriorYear |
| Other Expenses Current Year | 6203340 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 21148589 | TotalExpensesPriorYear |
| Total Expenses Current Year | 23236232 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 287783 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 167312 | RevenuesLessExpensesCY |
| Total Assets BOY | 5712900 | TotalAssetsBOY |
| Total Assets EOY | 5433998 | TotalAssetsEOY |
| Total Liabilities BOY | 3876240 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 3430026 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1836660 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2003972 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | The mission of KBH is to promote the well-being of children, adults and families who experience mental illness, emotional or developmental difficulties, or behavioral challenges. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2312367 | Expense |
| Grants | 172 | Grants |
| Revenue | 2542487 | Revenue |
| Description | The 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. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 5150915 | Expense |
| Revenue | 4865455 | Revenue |
| Description | Psychiatric Med 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. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 3292636 | Expense |
| Revenue | 3482643 | Revenue |
| Description | Supported Housing Services - Independent, Supported and Transitional community-housing options for persons with mental illness. Our housing units provide income-eligible consumers with housing, community-wide resources and access to agency programs and services. The Independent Housing Program also manages two rental-subsidy programs for eligible individuals. | Description |
Activity Other ActivityOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 10894643 | Expense |
| Grants | 906651 | Grants |
| Revenue | 9319741 | Revenue |
| Description | 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. We offer non-traditional outreach, 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 MST program addresses serious issues that, if unresolved, could lead to a child's removal from the home. MST 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.Family Behavioral Health and Visitation 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 has been helping school-age children and adolescents in the school setting since 1996. This clinical program enhances traditional guidance programs in schools accross central and mid-coast Maine.The Substance Abuse and Co-Ocurring Disorders 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 KBH can do continuous assessment for service planning.The Halcyon House Emergency Shelter for Youth is a 10-bed shelter in central Maine that provides emergency care for kids ages 10-17. The shelter is for runaway and homeless youth or those youth who are at risk of homelessness. The shelter provides homeless youths with food, changes of clothing and personal-care items, a safe place to be and sleep, case management, and transportation to school and help with schoolwork.Shelter staff helps youth identify their needs; provides them with three healthy meals a day and room; crisis intervention support; 24-hour supervision; mental health, substance-abuse and/or sexual-identity counseling and support; and referral to and coordination with other services that include educational, medical and counseling services. Case planning at the shelter guides youth toward a stable, safe living arrangement.Our Developmental Services Targeted Case Management (DSTCM) service is for adults who the State of Maine has determined are eligible for case management based on an MR 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 will also make referrals, complete assessments, coordinate services, ensure that client goals and needs are being addressed, and monitor consumer satisfaction. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 10894643 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 906651 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 9319741 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 21650561 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 160 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 403 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 7 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Josee L Shelley CPA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 2078732136 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 67 Eustis Parkway | AddressLine1 |
| City | Waterville | City |
| State | ME | State |
| ZIP Code | 04901 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| Carol Norcross | ||||||||
| President/Secretary | 2.00 | X | 0 | 0 | 0 | |||
| Samuel N Goddard | ||||||||
| Vice President/Treasurer | 2.00 | X | 0 | 0 | 0 | |||
| Alison Jones Webb | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Patrick S A Flood | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Terri T Watson | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Patsy Garside Crockett | ||||||||
| Director | 1.00 | X | 0 | 0 | 0 | |||
| Thomas McAdam | ||||||||
| Chief Executive Officer | 40.00 | 0 | 159703 | 26093 | X | |||
| Josee Shelley CPA | ||||||||
| Chief Financial Officer | 40.00 | 0 | 108793 | 16031 | X | |||
| Robert T Anderson MD | ||||||||
| Medical Director | 40.00 | 179774 | 0 | 8134 | X | |||
| Janine D Taylor MD | ||||||||
| Psychiatrist | 40.00 | 196071 | 0 | 24683 | X | |||
| Teresa Hermida | ||||||||
| Psychiatrist | 40.00 | 189796 | 0 | 23973 | X | |||
| Arlene C Almazan MD | ||||||||
| Psychiatrist | 40.00 | 181713 | 0 | 14173 | X | |||
| Paige McInerney | ||||||||
| Psychiatrist | 40.00 | 181891 | 0 | 21418 | X | |||
| Emil Bukher | ||||||||
| Nurse Practitioner | 40.00 | 171112 | 0 | 23160 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1100357 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 268496 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 157665 | TotalOtherCompensation |
| Number Individuals GT100 K | 6 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Health Plans Inc | |||||
| 1500 West Park Drive | Westborough | MA | 01581 | Health insurance | 2290631 |
| Maine Employers Mutual Ins | |||||
| PO Box 6900 | Lewiston | ME | 042436900 | Workman's Comp Insurance | 148169 |
| UNUM | |||||
| PO Box 406990 | Atlanta | GA | 303846990 | Insurance | 141625 |
| MST Associates LLC | |||||
| 3213 Westcreek Circle | Columbia | MO | 652030903 | Training | 127957 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 178003 | RelatedOrganizations |
| Government Grants | 2384379 | GovernmentGrants |
| All Other Contributions | 366297 | AllOtherContributions |
| Total Contributions | 2928679 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Patient Service Revenue | 624100 | 19838341 | 19838341 |
| Client Rental Income | 531110 | 227935 | 227935 |
| School Grants | 624100 | 144050 | 144050 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 20210326 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6777 | TotalRevenueColumn |
| Exclusion | $6,777 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 389 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 39 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 350 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 350 | TotalRevenueColumn |
| Exclusion | $350 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Other revenues | Description |
| Business Code | 624100 | BusinessCode |
| Total Revenue Column | 257412 | TotalRevenueColumn |
| Exclusion | $257,412 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 257412 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 23403544 | TotalRevenueColumn |
| Related Or Exempt Function Income | 20210326 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $264,539 | ExclusionAmount |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 906823 | Total |
| Program Services | 906823 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187908 | Total |
| Program Services | 187908 | ProgramServices |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12986849 | Total |
| Program Services | 11706552 | ProgramServices |
| Management And General | 1280297 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 131583 | Total |
| Program Services | 120025 | ProgramServices |
| Management And General | 11558 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1874016 | Total |
| Program Services | 1603152 | ProgramServices |
| Management And General | 270864 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 945713 | Total |
| Program Services | 850286 | ProgramServices |
| Management And General | 95427 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1550999 | Total |
| Management And General | 1374810 | ManagementAndGeneral |
| Fundraising | 176189 | Fundraising |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 277807 | Total |
| Program Services | 243068 | ProgramServices |
| Management And General | 34739 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 46207 | Total |
| Program Services | 32004 | ProgramServices |
| Management And General | 14203 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 322776 | Total |
| Program Services | 242423 | ProgramServices |
| Management And General | 80353 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1144683 | Total |
| Program Services | 1144683 | ProgramServices |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1455557 | Total |
| Program Services | 1328819 | ProgramServices |
| Management And General | 126738 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 643376 | Total |
| Program Services | 587821 | ProgramServices |
| Management And General | 55555 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 154421 | Total |
| Program Services | 136697 | ProgramServices |
| Management And General | 17724 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 16669 | Total |
| Program Services | 16669 | ProgramServices |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 83752 | Total |
| Program Services | 81886 | ProgramServices |
| Management And General | 1866 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| Provider tax | 406912 | 406912 | |
| Bad debt expense | 66914 | 55403 | 11511 |
| Dues and fees | 55069 | 50748 | 4321 |
| Administration and supp | 0 | 1926785 | -1926785 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -21802 | Total |
| Program Services | 21897 | ProgramServices |
| Management And General | -43699 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23236232 | Total |
| Program Services | 21650561 | ProgramServices |
| Management And General | 1409482 | ManagementAndGeneral |
| Fundraising | 176189 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 818724 | BOY |
| EOY | 1305953 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2441008 | BOY |
| EOY | 1598898 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 273774 | BOY |
| EOY | 475282 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2084794 | BOY |
| EOY | 1744127 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 24260 | BOY |
| EOY | 31827 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 295944 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 91766 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 60600 | BOY |
| EOY | 204178 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9740 | BOY |
| EOY | 73733 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5712900 | BOY |
| EOY | 5433998 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2600768 | BOY |
| EOY | 2778263 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31156 | BOY |
| EOY | 20907 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1244316 | BOY |
| EOY | 630856 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3876240 | BOY |
| EOY | 3430026 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1758721 | BOY |
| EOY | 1926033 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 77939 | BOY |
| EOY | 77939 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1836660 | BOY |
| EOY | 2003972 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5712900 | BOY |
| EOY | 5433998 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 167312 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1141056 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1236426 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1496268 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1888071 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2022244 | CurrentTaxYear |
| Total | 7784065 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1141056 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1236426 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1496268 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1888071 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2022244 | CurrentTaxYear |
| Total | 7784065 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total170 | 7784065 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 28602 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 27755 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 21858 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12452 | CurrentTaxYearMinus1Year |
| Current Tax Year | 6777 | CurrentTaxYear |
| Total | 97444 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 7881509 | TotalSupport |
| Gross Receipts From Admissions Etc | 93154170 | GrossReceiptsFromAdmissionsEtc |
| Public Support Pertcentage170 | 0.98760 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.98060 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 639255 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 56945 | InvestmentEarningsOrLosses |
| Administrative Expenses | 5724 | AdministrativeExpenses |
| End Of Year Balance | 690476 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 623871 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 20672 | InvestmentEarningsOrLosses |
| Administrative Expenses | 5288 | AdministrativeExpenses |
| End Of Year Balance | 639255 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 554889 | BeginningOfYearBalance |
| Contributions | 988 | Contributions |
| Investment Earnings Or Losses | 73056 | InvestmentEarningsOrLosses |
| Administrative Expenses | 5061 | AdministrativeExpenses |
| End Of Year Balance | 623871 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 512131 | BeginningOfYearBalance |
| Contributions | 1226 | Contributions |
| Investment Earnings Or Losses | 46308 | InvestmentEarningsOrLosses |
| Administrative Expenses | 4776 | AdministrativeExpenses |
| End Of Year Balance | 554889 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 553254 | BeginningOfYearBalance |
| Investment Earnings Or Losses | -36763 | InvestmentEarningsOrLosses |
| Administrative Expenses | 4360 | AdministrativeExpenses |
| End Of Year Balance | 512131 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Permanent Endowment EOY Balance | 0.79370 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.20630 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 26354 | OtherCostOrOtherBasis |
| Book Value | 26354 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 133862 | OtherCostOrOtherBasis |
| Book Value | 133862 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 135728 | OtherCostOrOtherBasis |
| Depreciation | 91766 | Depreciation |
| Book Value | 43962 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 204178 | TotalOfBookValueLandBuildings |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Deposits & Reserves | $22,222 |
| Other liabilities and Third Party Settlements | $337,500 |
| Due To Affiliates | $184,114 |
| Custodial accounts | $77,772 |
| Refundable advances | $9,248 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 630856 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 23420373 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 16829 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 16829 | RevenueNotRptdF990 |
| Revenue Subtotal | 23403544 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 23403544 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 23253061 | TotExpensesEtcAuditedFinclStmt |
| Donated Services Use Of Facilities | 16829 | DonatedServicesUseOfFacilities |
| Expenses Not Rptd F990 | 16829 | ExpensesNotRptdF990 |
| Expenses Subtotal | 23236232 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 23236232 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Intended Use of Endowment Funds: | Identifier |
| Return Reference | Part V, Line 4: | ReturnReference |
| Explanation | All 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. | Explanation |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 0 | RecordsMaintained |
Form990 Schedule I Part III Form990ScheduleIPartIII (3 entries)
| Type Of GrantTypeOfGrant | Number Of RecipientsNumberOfRecipients | Amount Of Cash GrantAmountOfCashGrant | Method Of ValuationMethodOfValuation |
|---|---|---|---|
| Shelter Plus Care Program provides rental assistance for hard-to-serve homeless persons with disabilities and their families | 249 | 590867 | Actual cost |
| The Bridging Rental Assistance Program is a transitional rental subsidy program | 201 | 315568 | Actual cost |
| Grants for personal items | 4 | 388 | Actual cost |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Thomas McAdam | ||||||||||||||
| Chief Executive Officer | 0 | 130258 | 0 | 10000 | 0 | 19445 | 0 | 4337 | 0 | 21756 | 0 | 185796 | 0 | 0 |
| Robert T Anderson MD | ||||||||||||||
| Medical Director | 173774 | 0 | 6000 | 0 | 0 | 0 | 4609 | 0 | 3525 | 0 | 187908 | 0 | 0 | 0 |
| Janine D Taylor MD | ||||||||||||||
| Psychiatrist | 176236 | 0 | 9000 | 0 | 10835 | 0 | 4936 | 0 | 19747 | 0 | 220754 | 0 | 0 | 0 |
| Teresa Hermida | ||||||||||||||
| Psychiatrist | 184796 | 0 | 5000 | 0 | 0 | 0 | 5198 | 0 | 18775 | 0 | 213769 | 0 | 0 | 0 |
| Arlene C Almazan MD | ||||||||||||||
| Psychiatrist | 176713 | 0 | 5000 | 0 | 0 | 0 | 4870 | 0 | 9303 | 0 | 195886 | 0 | 0 | 0 |
| Paige McInerney | ||||||||||||||
| Psychiatrist | 167353 | 0 | 14538 | 0 | 0 | 0 | 4759 | 0 | 16659 | 0 | 203309 | 0 | 0 | 0 |
| Emil Bukher | ||||||||||||||
| Nurse Practitioner | 157875 | 0 | 0 | 0 | 13237 | 0 | 4543 | 0 | 18617 | 0 | 194272 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Part I, Line 7 | ReturnReference |
| Explanation | The key employee and some highest compensated employees received compensation based on personal productivity standards contained within their employment contracts. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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, CFO, Dr. Taylor's and Dr. Bukher's reportable compensation are $8,420, $2,571, $10,835 and $13,237 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. | Audit Oversight by the Governing Board |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| 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 Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| Kennebec Mental Health Associates - Management services contract | ||
| P | 2513315 | Amount paid |
| Kennebec Mental Health Associates -included in management services contract | ||
| O | ||
| KMHA Real Estate Inc - Rental agreement | ||
| K | 1563662 | Amount paid |
| KMHA Real Estate Inc - included in Rental agreement | ||
| N | ||
| KMHA Foundation Inc | ||
| C | 177678 | Amount paid |
| Kennebec Mental Health Associates | ||
| M | 176189 | Amount paid |
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