NORTHERN MAINE GENERAL: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHERN MAINE GENERAL (EIN 01-0262323)
Tax period
2011-07-01 to 2012-06-30
Filed
2012-10-01
IRS object ID
201202759349300410
Schema version
2011v1.2
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)
Timestamp2012-10-01T14:27:28-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN010523282EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Berry Dunn McNeil & Parker LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1PO Box 1100AddressLine1
CityPortlandCity
StateMEState
ZIP Code041041100ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN010262323EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Northern Maine GeneralBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone2074445152Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1PO Box 310AddressLine1
CityEagle LakeCity
StateMEState
ZIP Code04739ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameReynold RaymondName
TitleCEOTitle
Phone2074445152Phone
Date Signed2012-09-19DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBarbara J McGuan CPAName
PTINP00219457PTIN
Phone2077752387Phone
Date Prepared2012-09-19DatePrepared
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonReynold RaymondNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1PO Box 310AddressLine1
CityEagle LakeCity
StateMEState
ZIP Code04739ZIPCode
FieldValueIRS element (for citing)
Gross Receipts11384882GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.northernmainegeneral.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1907YearFormation
State Legal DomicileMEStateLegalDomicile
Activity Or Mission DescriptionTo provide healthcare, nursing home, counseling and youth services in northern Maine.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members5NbrIndependentVotingMembers
Total Nbr Employees377TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year83303ContributionsGrantsPriorYear
Contributions Grants Current Year20915ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10706503ProgramServiceRevenuePriorYear
Program Service Revenue CY11277775ProgramServiceRevenueCY
Investment Income Prior Year39050InvestmentIncomePriorYear
Investment Income Current Year60292InvestmentIncomeCurrentYear
Other Revenue Prior Year22200OtherRevenuePriorYear
Other Revenue Current Year22200OtherRevenueCurrentYear
Total Revenue Prior Year10851056TotalRevenuePriorYear
Total Revenue Current Year11381182TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year7210526SalariesEtcPriorYear
Salaries Etc Current Year7277025SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3058105OtherExpensePriorYear
Other Expenses Current Year3386972OtherExpensesCurrentYear
Total Expenses Prior Year10268631TotalExpensesPriorYear
Total Expenses Current Year10663997TotalExpensesCurrentYear
Revenues Less Expenses Prior Year582425RevenuesLessExpensesPriorYear
Revenues Less Expenses CY717185RevenuesLessExpensesCY
Total Assets BOY10406290TotalAssetsBOY
Total Assets EOY11290254TotalAssetsEOY
Total Liabilities BOY4787536TotalLiabilitiesBOY
Total Liabilities EOY4954315TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5618754NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY6335939NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionIt is Northern Maine General's mission to provide individuals with the highest standards of care, promote dignity and respect, encourage talents and individuality, and help all of the people we serve enjoy life to the fullest potential.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense2879632Expense
Revenue3042073Revenue
DescriptionThe Mercy Home is a 5 star rated home located in the quiet community of Eagle Lake. Our home offers three levels of personal care, Residential Care, Skilled Rehabilitation Care, and Long Term Care while providing a warm and stimulating home like environment. Our staff are friendly and encourage our residents to maintain family connections, independence, and a sense of social well-being.The home offers a spacious day room to encourage residents to maintain and enhance their social well-being while interacting with their peers and staff. We also offer a family room for family and friends to visit in a private atmosphere. The Mercy Home has a beautiful, spacious chapel to support and encourage each resident with their spiritual needs.Residents are encouraged to bring personal items from home to decorate their room. Some of the suggested items could include: a bedspread, wall decorations, clothing, special chair, shelf items, and photographs. This opportunity helps residents to feel comfortable and helps ease their concerns. Our Services:Through our detailed get to know you processes, our residents are offered the best possible care. Our residents are encouraged to assist their multi-disciplinary team and family members develop an individualized plan of care.To assist our residents with their person centered care, the Mercy Home is fortunate to have the ability to provide our resident with the best in home care to meet many of their medical and psychological needs. We have established relationships with area providers to care for their patients in the comfort of their own home. Some of these services include:1. 24 hour Direct Nursing Care2. Medical Checkups3. Psychiatric Care4. Psychological Care5. Podiatry Care6. Occupational Therapy7. Physical TherapyThe Mercy Home provides non-medical services for our residents. Some of these services include:1. Self-driven awake and sleep routine2. Continental Breakfast3. Self-driven personal care4. Hair Salon 5. Wireless Internet Access6. Support of Family Involvement A key part of person centered care is how they choose to spend their day. Our recreation department staff bring a sense of humor, smiles, and empathy with each interaction they have with our residents. Mercy Home provides a variety of activities to entertain and enhance the sense of well-being of each resident. Some of the activities offered include:1. Religious Services 2. Baking 3. Community Outings 4. Exercise Classes 5. Bingo 6. Cards 7. Wii 8. Art of many types9. Opportunity for group and 1:1 socializing As part of our recreation programs we host family gatherings along with decorating and celebrating for each holiday. We encourage family members to join us for any of our activities.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense3049906Expense
Revenue3634952Revenue
DescriptionNMG's Children's Case Management program is a home and community based service designed to assist consumers and their families with maximizing their ability to function within their environment. Each consumer receives a thorough psychosocial assessment to identify their strengths and presenting needs. Each comprehensive assessment includes taking a thorough client history, identifying the needs of the individual, and gathering supporting information and documentation from other sources including friends, family, and providers. Strengths Based, comprehensive service plans are developed following the initial assessment and consumers are able to identify individual short and long term goals and specific objectives for meeting those goals. The plans are reviewed minimally every 90 days. Consumers, guardians, and other individuals designated by the consumer are active participants in the assessment and planning process.Through the planning process consumers are linked to supportive services taking care to avoid the duplication of services. Referrals may include but are not limited to medical assessments and services, psychological evaluations, social and natural supports, and educational services. These services are then monitored and evaluated by the Case Manager to ensure that the service plan is effectively implemented and adequately addresses the needs of the consumer.Northern Maine General currently employs three staff persons who provide case management services to children that have been diagnosed with Mental Retardation and Pervasive Developmental Disorders. These staff would continue to provide Case Management services under the mental health license. The current case managers all meet the staff qualifications as defined under Section 13.07-2.B.1.of the MaineCare Benefits Manual. These individuals are responsible for completing the psychosocial assessments, developing the ISP's, providing referrals, participating in crisis resolution services, assisting with residential services, monitoring and coordinating comprehensive services, advocating for consumer needs, and assisting with problem solving and skill development. The program is supervised by a Licensed Clinical Social Worker who is responsible for reviewing and authorizing all psychosocial assessments and ISP's, service reviews, annual assessments, and crisis plans.Consumers served by NMG's Targeted Case Management service meet the eligibility requirements identified in Section 13.03-3.A. of the MaineCare benefits manual. These requirements include; A child with a completed multi-axial evaluation of an Axis I or Axis II diagnosis or a child between birth and five (5) years of age who is determined by a professional approved by the Department as being at risk of developing a mental health disorder due to known environmental or biological risks using DHHS adopted tools, and has significant impairment or limitation in adaptive behavior or functioning according to criteria as established by the Department and determined by a qualified professional approved by the Department. Northern Maine General's Outpatient Services are comprised of professional assessment and counseling services designed to assist consumers with improving functioning, managing disruptive symptoms, decreasing maladaptive behaviors, and promoting positive social, emotional, educational, and vocational growth and development. Services are strengths based and delivered utilizing psychological and sociological evidenced based approaches. Consumers are evaluated and an individualized plan of treatment is developed to maximize personal growth.Children's Outpatient Services assists with improving the consumer's individual functioning and family living environment in order to assist parents, guardians and family members to understand the effects of the consumer's disabilities. Clinicians engage parents and family members and other natural supports to positively affect their consumer's growth and development.Services include a Comprehensive Assessment, diagnosis, individual, family and group therapy. Services focus on the developmental and emotional strengths and needs of consumers and their families. Individual Treatment Plans are created as a collaborative effort between the clinician and consumer and focus on building upon their strengths and existing capabilities. Consumers with co-occurring substance abuse disorders will be referred to another provider of their choice for treatment of the substance related disorder. NMG will coordinate services with that provider to assure continuity of care.Outpatient services are delivered at NMG during a regularly scheduled appointment or on an as needed basis in the consumer's home or other community-based setting.Northern Maine General currently employs three Licensed Clinical Social Workers (LCSW) who will be providing the Outpatient Services. Any additional staff hired to provide these services will possess written evidence from the appropriate governing body that they are conditionally or fully licensed in the State of Maine and are approved to practice.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense965841Expense
Revenue1028113Revenue
DescriptionFranciscan Home is a community residential facility that serves up to sixteen residents who have been diagnosed with severe and prolonged mental illness. Each resident has a private bedroom. There are eight private rooms on the second and third floor and both floors have a separate television room and a library/computer room for residents to use for social activities and for keeping in touch with families and friends. The home has a great deal of historical and sentimental value, as it is the building that originally housed Northern Maine General Hospital. The now renovated facility has enclosed stairwells at either end of the building and a full service elevator centrally located for the resident's conveniences. Close by is NMG Northern Aquatics, a therapeutic pool facility where residents can receive land or pool based physical therapy. Many local businesses are within walking distance of the home, including several small grocery and convenience stores, a senior citizen center, the Good Sheppard Shop, a bottle redemption center, a Catholic and a Christian church. In addition, there is a Health Center nearby with two attending physicians and a Physician Assistant. The Health Center also provides dental service, a podiatry clinic, and mental health counseling clinic. Transportation is provided by the home and, as available, through the Aroostook Regional Transportation system.The Franciscan home serves primarily public wards for which the department has a legal responsibility or others with similar needs. The Franciscan home only admits those with a primary diagnosis of severe and prolonged mental illness. Residents may have functional impairments and behavioral challenges. Priorities for admission are determined in collaboration with the department. Upon admission and then yearly, a comprehensive assessment is completed by a person centered planning team consisting of the resident, family members and friends (identified by the resident), legal representatives, Licensed Clinical Social Worker, the resident care director, Activity Coordinator, Social Services Coordinator, and any other applicable professional. Upon completion of the assessment, each resident will have a service plan that is individualized and person centered. The annual service plan will be reviewed at least quarterly and revised as needed. As part of the service plan, each resident will have a discharge plan which will state the resident's preferred living arrangement and the goals working on to meet the residents' preference. Any unmet needs identified though the assessment will be documented on the service plan. Residents will be encouraged to remain as self-sufficient as possible in their daily living. The services provided by the home will be designed to help residents maintain their independence and improve their quality of life. The Franciscan home will provide the following residential services:1. Housekeeping and home maintenance skills;2. mobility and community transportation skills3. interpersonal relationships, including spouse, family, and friends;4. health maintenance, including personal hygiene, exercise and fitness, nutrition and diet management, and use of medical services and medicine;5. safety practices, including dealing with injuries and life threatening emergencies,6. financial management, including techniques client purchasing, banking, taxes, budgeting, and repaying debts;7. basic academic skills;8. management and personal and legal affairs;9. contingency planning, problem solving, decision-making;10. self-advocacy and assertiveness training;11. utilization of community services and resources, including laundromats, library, post office, client affairs offices;12. recreations and leisure time activities;13. work attitude and skills exploration14. menu planning and meal preparation15. use of the telephone16. human sexuality; and 17. Client affairs, client rights, including familiarity with warranties, policies, and procedure of governmental and community services agencies.The Franciscan Home is supervised by a Licensed Assisted Living Administrator with the weekly consultation services of Licensed Clinical Social Worker. Services will be provided by the following staff:1. Social Services Coordinator (BS/MHRT 2) 2. Activity Coordinator3. Other Qualified Mental Health Professionals: Personal Support Specialists, Residential Care Specialists, and/or Mental Health Support SpecialistsThe Franciscan Home contracts with or procures arrangements for the following services:1. Psychiatric2. Psychological3. Community Support Workers4. Dietary and Nutritional Assessments5. Neurological6. Medical7. Pharmaceutical8. Nursing servicesDescription

Activity Other ActivityOther (5 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
8410521003221Personal Support Services & Shared Living:Northern Maine General's Home Supports Program offers two methods of supporting adults with intellectual and physical disabilities to live in their own homes, apartments, or within a family unit. Personal Support Services:These services are delivered to individuals with intellectual and physical disabilities in their own homes or apartments, throughout Northern and Central Aroostook County. Support can range from a few hours a week up to twenty-four hours per day. The goal of the program is to assist individuals in living their lives with as much independence and as few restrictions as possible. Individuals are encouraged to pursue their wants, needs, and desires.Personal Support Services are delivered by Direct Support Professionals. Staff members are trained in areas that include person centered planning, medication administration, behavior management, residential rights, and environmental safety. The support of the staff allows individuals to live as independently as possible in the community. In fiscal year ending June 30, 2012, NMG supports three individuals under this program.Shared Living:Shared living is a joint service of NMG and DHHS that provides family living arrangements for adults with intellectual and physical disabilities in Northern and Central Aroostook County. The objective of shared living is to provide adults with a warm and supportive home, which allows an individual to live a more independent life and become part of a family and their community. After assessing their strengths and challenges, adults are placed in arrangements where it is most likely that their needs can be met. There are two options for shared living arrangements. An adult with intellectual and physical disabilities may move into a family's home. The other option is for a person who would like to provide support to move into the home of an adult with cognitive or physical disabilities. Considering the family structure of the shared living environment and the needs of the adult helps us ensure that we have made the best placement possible for everyone. We are committed to stopping the cycle of multiple placements that some adults have experienced. Northern Maine General delivers in-home support, training, and emergency crisis consultation services to our shared living providers. Northern Maine General works in a team effort with providers so that we can all make a difference in an adult's life. In fiscal year ending June 30, 2012, NMG is contracted with twelve shared living providers who support ten adults with intellectual disabilities.
502832628172Powell Memorial Center:Northern Maine General's Powell Memorial Center Day Program's purpose is to teach individuals with intellectual and physical disabilities the skills necessary to reach their full potential for independent community living. Powell Day Program operates five days per week, serving individuals ages eighteen and older who have been diagnosed with mental retardation and/or autism. The program serves a wide range of people, from high school graduates who need to learn transition skills in order to live independently, to adults in long term residential care. The program's goal is to focus an individual's skills and build on them, enhancing physical and emotional development. This goal is achieved by providing choices and offering skill building activities that are practical and related to everyday living. Activities are designed to increase individuals' independence in their living, learning, working, and social environments. In order to help participants achieve their goals, the program takes place in the least restrictive environment possible, some in classroom settings and others throughout the community, using public community resources. All learning is targeted towards reaching a long-term goal, whether it is to live independently in the community or to become independent in specific activities of daily living. Activities can be broken down into two main categories: those pertaining to physical well-being, and those related to social and emotional well-being. Activities related to physical well-being might include following a land or aquatic exercise program developed by a physical therapist, or activities designed to maintain or increase strength. The Powell Day Program facility has a large gym and is adjacent to an indoor therapeutic pool facility which participants use regularly for exercise. Independent living skills are taught, as well, including programs that teach proper nutrition and cooking. Social and emotional well-being is enhanced by participation in community service projects and other small group activities targeting community inclusion. In fiscal year 2012, Powell Memorial Center's Day Program served 34 adults.
340811529493Children's Day Habilitation Services:Northern Maine General provides Children's Day Habilitation Treatment services through a program that delivers one-on-one, in home and community based services to children age 20 years or less and who have met the specific eligibility criteria as identified in the MaineCare benefits manual. These criteria include but are not limited to a diagnosis of a mental illness, mental retardation, autism, or a pervasive developmental disorder and a functional assessment administered within one (1) year prior to the date of the referral documenting functional impairment measured as two (2) standard deviations below the mean on the composite score or have one point five (1.5) standard deviations below the mean on the composite score and two standard deviations below the mean in the communication or social domain sub score of the most current version of the Vineland Adaptive Behavior scale. These services are designed to retain or improve functional abilities which have been negatively impacted by the effects of cognitive or functional impairment and are focused on behavior modification and management, social development, and acquisition and retention of developmentally appropriate skills. Services include problem solving activities, behavior management, learning the social skills and behaviors necessary to live with and interact with other community members and independently, building or maintain satisfactory relationships with peers or adults, learning the skills that will improve a member's self awareness, environmental awareness, and learning awareness of and appropriate use of community services and resources.Consumers are admitted to services following a referral from DHHS's central enrollment system. DHHS maintains a waitlist for services and contacts this agency to determine census and availability. Family participation is a requirement of the services and may include being a member of the treatment team, participation in the assessment process, and helping to develop the Individual Treatment Plan (ITP). Family participation may also mean participating in treatment, modeling, and reinforcing skills learned in the course of treatment.During the course of treatment a Comprehensive Assessment is completed and is used to identify strengths and needs of the member and family and to guide the development of an Individual Treatment Plan. The comprehensive assessment process determines the intensity and frequency of medically necessary services and includes utilization of instruments as may be approved or required by DHHS. The treatment team then works to develop the Individual Treatment Plan (ITP). The treatment plan is created to identify each consumer's unique goals and is based on strengths and needs identified in the comprehensive assessment. The Individual Treatment Plan includes a Crisis/Safety Plan and a Discharge Plan, along with other elements of the plan of care. The Individual Treatment Plan describes the medically necessary treatment the member will receive.Currently, Northern Maine General provides services to clients in Central and Northern Aroostook County. The program is clinically supervised by an LCSW and all program staff members receive required training and education to qualify them each as a Behavioral Health Professional. Northern Maine General's Children's Day Habilitation program served 40 unduplicated clients in Fiscal Year 2012.
473847521352Phillip Blanchette Residential:The Phillip Blanchette Residential (PBR) facility is located in the small, rural community of Eagle Lake, Maine. The PBR sits back a safe and fairly private distance from the main highway of Aroostook Road. It offers private bedrooms for six people who have a primary diagnosis of acquired brain injury (ABI). Although some people may need residential services for many years, the ultimate goal of the program is to support survivors of brain injury with continued recovery in order to return to an independent lifestyle. PBR is the only residential facility specializing in providing brain injury services in Aroostook County. The PBR is located within a miles radius of most community resources, such as the local health clinic, a physical therapy clinic which has an indoor therapeutic pool, a bank and credit union, and has several convenience and grocery stores. The community of Eagle Lake boasts numerous outdoor recreational activities and resources, including the beautiful lake and its public beach, walking and cross country ski trails, snowmobile and ATV trails, tennis court, and more. Having a population of only 800 people keeps Eagle Lake a friendly and safe community to live. The PBR offers round the clock, qualified staff, which is available to provide a variety of supports to residents in the program. Each person's strengths and desires are unique and their supports are tailored to meet their individual needs through a person centered planning process. 1. Personal supervision, meaning awareness of a resident's general whereabouts, even though the resident may travel independently in the community; and, observation and assessment of each resident's functioning or behavior to enhance his or her health or safety or the health or safety of others;2. Protection from environmental hazards, meaning mitigation of risk in the physical environment to prevent unnecessary injury or accident;3. Assistance with and skill building of Activities of Daily Living and Instrumental Activities of Daily Living;4. Provision of opportunities for diversional, motivational or recreational activities, meaning activities which respond to residents' interests or which stimulate social interaction, both in individual and group settings;5. Dietary services meaning the provision of regular and therapeutic diets that meet each resident's minimum daily food requirements, as defined by the Recommended Dietary Allowances of the Food and Nutrition Board of the National Research Council, National Academy of Sciences;6. Care Management Services, meaning the coordination and implementation of the Person Centered Plan (PCP) to identify a resident's needs and strengths, develop a service plan and arrange for and monitor service delivery.7. Administration of medications, means services completed by a certified residential medication aide (CRMA) such as administering medications, reading labels for residents, observing residents taking their medications, checking the dosage, removing the prescribed dosage, filling a syringe and administering insulin and bee sting kits (when permitted) and the maintenance of a medication record for each resident;8. Coordination and monitoring of medical, including dental, and other specialist services, meaning that appointments and evaluations will be coordinated, as directed within the person centered plan, and/or as ordered by the primary physician, and approved by the individual and/or their legal guardian. All treatment recommendations/orders will be implemented, as approved by the individual and/or their legal guardian. In fiscal year ending June 30, 2012, the Phillip Blanchette Residential facility served six adults with brain injury.
583932890399Northern Maine General offers diverse services to diverse consumer groups through various other programs working with at-risk children and adolescents, developmentally disabled adults, the elderly, ill, and displaced. Other services include therapeutic foster care, day programming for adults with mental retardation, supportive employment opportunities, and a therapeutic pool facility.
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The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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Business Name Line1Reynold Raymond CEOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number2074445152TelephoneNumber

Address US AddressUS

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Address Line1PO Box 310AddressLine1
CityEagle LakeCity
StateMEState
ZIP Code04739ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (6 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Norman Fournier
President/Vice President1.00XX000
John L Martin
Treasurer/Secretary1.00XX000
Joan Sylvain
Trustee1.00X000
Frances Labrie
Trustee1.00X000
Arnold Devoe
Trustee1.00X000
Reynold Raymond
CEO40.00X109622034656
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Federated Campaigns1000FederatedCampaigns
Government Grants8019GovernmentGrants
All Other Contributions11896AllOtherContributions
Total Contributions20915TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Routine Service Rev.6219901231422612314226
Case Management621990440529440529
Other Revenue621990321034321034
Mental Health621990128836128836
Contractual Adjustment621990-1926850-1926850
FieldValueIRS element (for citing)
Total Program Service Revenue11277775TotalProgramServiceRevenue

Investment Income InvestmentIncome

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Exclusion$61,492ExclusionAmount

Gross Rents GrossRents

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Real0Real

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Real22200Real

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Total Revenue Column22200TotalRevenueColumn
Exclusion$22,200ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other2500Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other3700Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-1200Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1200TotalRevenueColumn
Exclusion-$1,200ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column11381182TotalRevenueColumn
Related Or Exempt Function Income11277775RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$82,492ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total152014Total
Management And General152014ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5116897Total
Program Services4822360ProgramServices
Management And General294537ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1472338Total
Program Services1387588ProgramServices
Management And General84750ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total535776Total
Program Services481768ProgramServices
Management And General54008ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total6691Total
Management And General6691ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total60565Total
Management And General60565ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7402Total
Program Services7402ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total20280Total
Management And General20280ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1321152Total
Program Services1135166ProgramServices
Management And General185986ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total573462Total
Program Services573462ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total96038Total
Program Services46902ProgramServices
Management And General49136ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total23145Total
Management And General23145ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total216952Total
Program Services216952ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total352354Total
Program Services352354ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total110640Total
Program Services61213ProgramServices
Management And General49427ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Service Provider Tax511534511534
Inservice Training4115241152
Miscellaneous2752627526
Bad Debt Expense1807918079

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10663997Total
Program Services9637853ProgramServices
Management And General1026144ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY288903BOY
EOY279138EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY4114418BOY
EOY5410364EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1472130BOY
EOY1268050EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY46889BOY
EOY38782EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY45077BOY
EOY47129EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7545094LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3298303LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4425800BOY
EOY4246791EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY13073BOY
EOY0EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY10406290BOY
EOY11290254EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY694738BOY
EOY834834EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4092798BOY
EOY3915906EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY203575EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4787536BOY
EOY4954315EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY5358301BOY
EOY6088086EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY260453BOY
EOY247853EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5618754BOY
EOY6335939EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY10406290BOY
EOY11290254EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses717185ReconcilationRevenueExpenses
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13482CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10976CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years12138CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83303CurrentTaxYearMinus1Year
Current Tax Year20915CurrentTaxYear
Total140814Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10619657CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11187973CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11214678CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10706503CurrentTaxYearMinus1Year
Current Tax Year11277775CurrentTaxYear
Total55006586Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10633139CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11198949CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11226816CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10789806CurrentTaxYearMinus1Year
Current Tax Year11298690CurrentTaxYear
Total55147400Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50955147400PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116302CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years101701CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86388CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74855CurrentTaxYearMinus1Year
Current Tax Year83692CurrentTaxYear
Total462938Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years116302CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years101701CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years86388CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year74855CurrentTaxYearMinus1Year
Current Tax Year83692CurrentTaxYear
Total462938Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years10749441CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years11300650CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11313204CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10864661CurrentTaxYearMinus1Year
Current Tax Year11382382CurrentTaxYear
Total55610338Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99170PublicSupportPercentage509
Prior Year Support Percentage0.99180PriorYearSupportPercentage
Investment Income Percentage0.00830InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00820PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$1,629OtherActivitiesAmount
Total Lobbying Expenditures IIB1629TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierExplanation of Other Lobbying Activities:Identifier
Return ReferencePart II-B, Line 1i:ReturnReference
ExplanationThe Organization pays dues to the Maine Health Care Association & the Maine Association of Community Service Providers, of which a portion of the dues were attributable to lobbying expense.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis144206OtherCostOrOtherBasis
Book Value144206BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis6228695OtherCostOrOtherBasis
Depreciation2537976Depreciation
Book Value3690719BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis808248OtherCostOrOtherBasis
Depreciation541659Depreciation
Book Value266589BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis363945OtherCostOrOtherBasis
Depreciation218668Depreciation
Book Value145277BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4246791TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionEstimated third-party payor settlementsDescription
Amount$203,575Amount
FieldValueIRS element (for citing)
Total Of Amounts203575TotalOfAmounts
Total Revenue11381182TotalRevenue
Total Expenses10663997TotalExpenses
Excess Or Deficit For Year717185ExcessOrDeficitForYear
Excess Or Deficit Per FS717185ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt11381182TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal11381182RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99011381182TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10663997TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10663997ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010663997TotalExpensesPerForm990

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Michelle Raymond
Family member of Reynold Raymond, CEO50424Employment0
Denise Raymond
Family member of Reynold Raymond, CEO58396Employment0
Lauri Raymond
Family member of Reynold Raymond, CEO30342Employment0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section B, line 11The Form 990 is initially reviewed internally by the CEO and other applicable members of the Organization. The return is then furnished to all members of the board for their review and approval prior to filing.
Form 990, Part VI, Section B, line 12cThe conflict of interest policy is reviewed annually and trustees are asked to declare any conflict of interest. The CEO is responsible for consistently monitoring and enforcing compliance with the policy. Potential conflicts of interest are addressed and brought to the attention of the board by the CEO as they arise.
Form 990, Part VI, Section B, line 15aOn an annual basis, the board of directors conduct an evaluation of the CEO. The chair of the board tabulates the results of the evaluations and presents the results to the board. The chair also compiles compensation comparability data and presents the findings to the full board. The board then reviews the data compiled by the chair. The CEO's compensation is voted upon and approved by the board of directors.
Form 990, Part VI, Section C, line 19The Organization makes its governing documents and conflict of interest policy available to the public upon request. The Organization does not make its financial statements available to the public.
Form 990, Part XI, Line 2c:The process by which the Organization and its board of directors assumes responsibility for the oversight of the audit of its financial statements and selects an independent accountant has not changed from prior years.Oversight of Audit

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