NORTHERN MAINE GENERAL: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
NORTHERN MAINE GENERAL (EIN 01-0262323)
Tax period
2010-07-01 to 2011-06-30
Filed
2011-10-14
IRS object ID
201112879349301116
Schema version
2010v3.4
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)
Timestamp2011-10-14T12:02:22-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-07-01TaxPeriodBeginDate

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 Signed2011-10-03DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBarbara J McGuan CPAName
Phone2077752387Phone
Date Prepared2011-10-03DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts10868311GrossReceipts
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 Members4NbrIndependentVotingMembers
Total Nbr Employees385TotalNbrEmployees
Total Nbr Volunteers10TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year12138ContributionsGrantsPriorYear
Contributions Grants Current Year83303ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10398501ProgramServiceRevenuePriorYear
Program Service Revenue CY10706503ProgramServiceRevenueCY
Investment Income Prior Year64646InvestmentIncomePriorYear
Investment Income Current Year39050InvestmentIncomeCurrentYear
Other Revenue Prior Year22200OtherRevenuePriorYear
Other Revenue Current Year22200OtherRevenueCurrentYear
Total Revenue Prior Year10497485TotalRevenuePriorYear
Total Revenue Current Year10851056TotalRevenueCurrentYear
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 Year7136754SalariesEtcPriorYear
Salaries Etc Current Year7210526SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2668971OtherExpensePriorYear
Other Expenses Current Year3058105OtherExpensesCurrentYear
Total Expenses Prior Year9805725TotalExpensesPriorYear
Total Expenses Current Year10268631TotalExpensesCurrentYear
Revenues Less Expenses Prior Year691760RevenuesLessExpensesPriorYear
Revenues Less Expenses CY582425RevenuesLessExpensesCY
Total Assets BOY9577536TotalAssetsBOY
Total Assets EOY10406290TotalAssetsEOY
Total Liabilities BOY4541207TotalLiabilitiesBOY
Total Liabilities EOY4787536TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY5036329NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY5618754NetAssetsOrFundBalancesEOY
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 Services1SignificantNewProgramServices
Significant Change0SignificantChange
Expense2698927Expense
Revenue2619885Revenue
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)
Expense3213953Expense
Revenue3890106Revenue
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)
Expense996361Expense
Revenue1047224Revenue
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
690007854652Personal 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, 2011, 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, 2011, NMG is contracted with nine shared living providers who support ten adults with intellectual disabilities.
513883645428Powell 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 2011, Powell Memorial Center's Day Program served 34 adults.
326881506921Children'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 2011.
305093340159Phillip 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, 2011, the Phillip Blanchette Residential facility served six adults with brain injury.
454391802128Northern 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.
FieldValueIRS element (for citing)
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Total Of Other Program Service Rev3149288TotalOfOtherProgramServiceRev
Total Program Service Expense9199496TotalProgramServiceExpense
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Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
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Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

FieldValueIRS element (for citing)
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
CEO40.00X110090025701
FieldValueIRS element (for citing)
Total Reportable Comp From Org110090TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation25701TotalOtherCompensation
Number Individuals GT100 K1NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K0TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Devoe ConstructionBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1PO Box 40AddressLine1
CityEagle LakeCity
StateMEState
ZIP Code047390040ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesConstruction ServicesDescriptionOfServices
Compensation937047Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Federated Campaigns1079FederatedCampaigns
Government Grants8019GovernmentGrants
All Other Contributions74205AllOtherContributions
Total Contributions83303TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Routine Service Rev.6219901090606410906064
Case Management621990371355371355
Other Revenue621990321140321140
Therapeutic Revenue621990109633109633
Contractual Adjustment621990-1001689-1001689
FieldValueIRS element (for citing)
Total Program Service Revenue10706503TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column52655TotalRevenueColumn
Exclusion$52,655ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real22200Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real22200Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column22200TotalRevenueColumn
Exclusion$22,200ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other3650Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other17255Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-13605Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-13605TotalRevenueColumn
Exclusion-$13,605ExclusionAmount

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10851056TotalRevenueColumn
Related Or Exempt Function Income10706503RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$61,250ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total149229Total
Management And General149229ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5036603Total
Program Services4777948ProgramServices
Management And General258655ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1519185Total
Program Services1441167ProgramServices
Management And General78018ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total505509Total
Program Services457505ProgramServices
Management And General48004ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2458Total
Management And General2458ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total74349Total
Management And General74349ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total4390Total
Program Services4390ProgramServices

Advertising Advertising

FieldValueIRS element (for citing)
Total29662Total
Management And General29662ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total960000Total
Program Services758618ProgramServices
Management And General201382ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total587242Total
Program Services587242ProgramServices

Travel Travel

FieldValueIRS element (for citing)
Total83398Total
Program Services38410ProgramServices
Management And General44988ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total19996Total
Management And General19996ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total221690Total
Program Services221690ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total337263Total
Program Services337263ProgramServices

Insurance Insurance

FieldValueIRS element (for citing)
Total108742Total
Program Services60108ProgramServices
Management And General48634ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Service Provider Tax470844470844
Miscellaneous7786677866
Inservice Training4431144311
Bad Debt Expense3589435894

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total10268631Total
Program Services9199496ProgramServices
Management And General1069135ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY256014BOY
EOY288903EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY3672244BOY
EOY4114418EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1012747BOY
EOY1472130EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY39478BOY
EOY46889EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY25445BOY
EOY45077EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis7398199LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec2972399LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4339522BOY
EOY4425800EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY232086BOY
EOY13073EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY9577536BOY
EOY10406290EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY658052BOY
EOY694738EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3883155BOY
EOY4092798EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4541207BOY
EOY4787536EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY4831579BOY
EOY5358301EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY204750BOY
EOY260453EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5036329BOY
EOY5618754EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY9577536BOY
EOY10406290EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses582425ReconcilationRevenueExpenses
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 Years12155CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years13482CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10976CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year12138CurrentTaxYearMinus1Year
Current Tax Year83303CurrentTaxYear
Total132054Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11381899CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10619657CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11187973CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11214678CurrentTaxYearMinus1Year
Current Tax Year10706503CurrentTaxYear
Total55110710Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11394054CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10633139CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11198949CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11226816CurrentTaxYearMinus1Year
Current Tax Year10789806CurrentTaxYear
Total55242764Total

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 Total50955242764PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years78288CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116302CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86388CurrentTaxYearMinus1Year
Current Tax Year74855CurrentTaxYear
Total457534Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years78288CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years116302CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years101701CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year86388CurrentTaxYearMinus1Year
Current Tax Year74855CurrentTaxYear
Total457534Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11472342CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10749441CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11300650CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year11313204CurrentTaxYearMinus1Year
Current Tax Year10864661CurrentTaxYear
Total55700298Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99180PublicSupportPercentage509
Prior Year Support Percentage0.99120PriorYearSupportPercentage
Investment Income Percentage0.00820InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00880PriorYrInvestIncomePercentage
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$1,727OtherActivitiesAmount
Total Lobbying Expenditures IIB1727TotalLobbyingExpendituresIIB
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 Basis6148646OtherCostOrOtherBasis
Depreciation2268549Depreciation
Book Value3880097BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis775389OtherCostOrOtherBasis
Depreciation490513Depreciation
Book Value284876BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis329958OtherCostOrOtherBasis
Depreciation213337Depreciation
Book Value116621BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4425800TotalOfBookValueLandBuildings
Total Revenue10851056TotalRevenue
Total Expenses10268631TotalExpenses
Excess Or Deficit For Year582425ExcessOrDeficitForYear
Total Adjustments0TotalAdjustments
Excess Or Deficit Per FS582425ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt10851056TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal10851056RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form99010851056TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt10268631TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal10268631ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form99010268631TotalExpensesPerForm990

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Michelle Raymond
Family member of Reynold Raymond, CEO50231Employment0
Denise Raymond
Family member of Reynold Raymond, CEO58364Employment0
Lauri Raymond
Family member of Reynold Raymond, CEO27649Employment0
Devoe Construction
Entity more than 35% owned by family member of Arnold Devoe, Trustee255335Independent contractor arrangement0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
New Program ServicesForm 990, Part III, line 2In October 2010, the Organization started the Phillip Blanchette Residential facility. See detailed description on Form 990, Part III, line 4.
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.
Oversight of AuditForm 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.
Form 990, Part I, Lines 8-18:Prior year numbers have been restated to present revenue net of contractual adjustments.

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