2014-05-15T13:33:26-05:00 2013-06-30 450512128 Gibson LeClair LLC 150 Capitol Street Suite 3 Augusta ME 04330 990 2012-07-01 010265559 Kennebec Valley Mental Health Center D/B/A Kennebec Behavioral Health KENN 2078732136 67 Eustis Parkway Waterville ME 04901 Thomas McAdam 2078732136 2014-05-15 1 Stephen L LeClair CPA P01370336 2076238401 2012 2015-11-30 17:44:51Z Thomas McAdam 67 Eustis Parkway Waterville ME 04901 23403583 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 7 403 0 0 0 1888071 2928679 19409730 20210326 19127 7127 119444 257412 21436372 23403544 101548 906823 0 0 15140251 16126069 0 0 176189 5906790 6203340 21148589 23236232 287783 167312 5712900 5433998 3876240 3430026 1836660 2003972 X 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. 0 0 2312367 172 2542487 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. 5150915 4865455 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. 3292636 3482643 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. 10894643 906651 9319741 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. 10894643 906651 9319741 21650561 1 1 0 0 0 0 0 0 0 1 1 0 0 0 1 0 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 1 160 0 1 403 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 Carol Norcross 2.00 X 0 0 0 Samuel N Goddard 2.00 X 0 0 0 Alison Jones Webb 1.00 X 0 0 0 Patrick S A Flood 1.00 X 0 0 0 Terri T Watson 1.00 X 0 0 0 Patsy Garside Crockett 1.00 X 0 0 0 Thomas McAdam 40.00 X 0 159703 26093 Josee Shelley CPA 40.00 X 0 108793 16031 Robert T Anderson MD 40.00 X 179774 0 8134 Janine D Taylor MD 40.00 X 196071 0 24683 Teresa Hermida 40.00 X 189796 0 23973 Arlene C Almazan MD 40.00 X 181713 0 14173 Paige McInerney 40.00 X 181891 0 21418 Emil Bukher 40.00 X 171112 0 23160 1100357 268496 157665 6 0 1 0 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 4 178003 2384379 366297 2928679 Patient Service Revenue 624100 19838341 19838341 Client Rental Income 531110 227935 227935 School Grants 624100 144050 144050 20210326 6777 6777 389 39 350 350 350 Other revenues 624100 257412 257412 257412 23403544 20210326 0 264539 906823 906823 187908 187908 12986849 11706552 1280297 131583 120025 11558 1874016 1603152 270864 945713 850286 95427 1550999 1374810 176189 277807 243068 34739 46207 32004 14203 322776 242423 80353 1144683 1144683 1455557 1328819 126738 643376 587821 55555 154421 136697 17724 16669 16669 83752 81886 1866 Provider tax 406912 406912 Bad debt expense 66914 55403 11511 Dues and fees 55069 50748 4321 Administration and supp 0 1926785 -1926785 -21802 21897 -43699 23236232 21650561 1409482 176189 818724 1305953 2441008 1598898 273774 475282 2084794 1744127 24260 31827 295944 91766 60600 204178 9740 73733 5712900 5433998 2600768 2778263 31156 20907 1244316 630856 3876240 3430026 X 1758721 1926033 77939 77939 1836660 2003972 5712900 5433998 167312 0 X X 0 1 X 1 1 1 X 1141056 1236426 1496268 1888071 2022244 7784065 1141056 1236426 1496268 1888071 2022244 7784065 7784065 28602 27755 21858 12452 6777 97444 7881509 93154170 0.98760 0.98060 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 639255 56945 5724 690476 623871 20672 5288 639255 554889 988 73056 5061 623871 512131 1226 46308 4776 554889 553254 -36763 4360 512131 0.79370 0.20630 0 0 26354 26354 133862 133862 135728 91766 43962 204178 Deposits & Reserves 22222 Other liabilities and Third Party Settlements 337500 Due To Affiliates 184114 Custodial accounts 77772 Refundable advances 9248 630856 23420373 16829 16829 23403544 0 23403544 23253061 16829 16829 23236232 0 23236232 Description of Intended Use of Endowment Funds: Part V, Line 4: 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. 0 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 X X X X 0 0 0 0 0 0 0 1 0 Thomas McAdam 0 130258 0 10000 0 19445 0 4337 0 21756 0 185796 0 0 Robert T Anderson MD 173774 0 6000 0 0 0 4609 0 3525 0 187908 0 0 0 Janine D Taylor MD 176236 0 9000 0 10835 0 4936 0 19747 0 220754 0 0 0 Teresa Hermida 184796 0 5000 0 0 0 5198 0 18775 0 213769 0 0 0 Arlene C Almazan MD 176713 0 5000 0 0 0 4870 0 9303 0 195886 0 0 0 Paige McInerney 167353 0 14538 0 0 0 4759 0 16659 0 203309 0 0 0 Emil Bukher 157875 0 0 0 13237 0 4543 0 18617 0 194272 0 0 0 Part I, Line 7 The key employee and some 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, 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. Audit Oversight by the Governing Board 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 1 1 1 0 0 0 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