TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) NANCY HASENFUS MD...................................................................... VICE CHAIR	1.00 .................	X	X
(2) TRACY HAWKINS...................................................................... TREASURER	2.00 .................	X	X
(3) KAREN E SIMONE...................................................................... TRUSTEE	2.00 .................	X
(4) CREIGHTON TAYLOR...................................................................... TRUSTEE	2.00 .................	X
(5) DAVID SMITH...................................................................... CHAIR	3.00 .................	X	X
(6) ANN DONAGHY...................................................................... TRUSTEE	1.00 .................	X
(7) JOHN BOUCHARD...................................................................... SECRETARY	1.00 .................	X	X
(8) JAMES ALEXANDER...................................................................... TRUSTEE	1.00 .................	X
(9) BRIAN BOUDREAU...................................................................... TRUSTEE	1.00 .................	X
(10) FRANK BRANCELY JR...................................................................... TRUSTEE	1.00 .................	X
(11) RANDY SEAVER...................................................................... TRUSTEE	0.50 .................	X
(12) NANCY POND...................................................................... TRUSTEE	2.00 .................	X
(13) KATHLEEN KILBRIDE...................................................................... TRUSTEE	1.00 .................	X
(14) JANE CLEAVES...................................................................... TRUSTEE	2.00 .................	X
(15) JAMES GEORGITIS MD...................................................................... TRUSTEE	1.00 .................	X
(16) GEOFFREY GREEN...................................................................... TRUSTEE	2.00 .................	X
(17) LAWRENCE GROSS...................................................................... TRUSTEE	1.00 .................	X

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(18) NORTON LAMB........................................................................ TRUSTEE	2.00 .......................	X			0	0	0
(19) ROBERT LEVINE........................................................................ TRUSTEE	0.50 .......................	X			0	0	0
(20) CHERYL LEE RUST........................................................................ TRUSTEE	2.00 .......................	X			0	0	0
(21) RICHARD CARRIUOLO........................................................................ TRUSTEE	1.00 .......................	X			0	0	0
(22) THOMAS CHADBOURNE........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(23) JANIS COHEN........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(24) MARION FREEMAN........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(25) JIM HARNAR........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(26) RICHARD WHITE........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(27) ROSALYNE BERNSTEIN........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(28) ANNE PRINGLE........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(29) LAURA WARNER........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(30) SCOTT DOW........................................................................ TRUSTEE	1.00 .......................	X			0	0	0
(31) ANNIE LEVINE........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(32) JOSEPH MORESHEAD........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(33) JOAN HOUGHTON........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(34) MARK BENTON........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(35) JENNIFER MOORE........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(36) RICHARD ARONSON........................................................................ TRUSTEE	1.00 .......................0.00	X			0	0	0
(37) GIRARD ROBINSON MD........................................................................ CHIEF MEDICA	20.00 .......................30.00		X		0	419,524	20,495
(38) DENNIS P KING........................................................................ CEO-MBH	50.00 .......................		X		0	407,412	96,174
(39) MARY JANE KREBS........................................................................ PRES SHH/VP	50.00 .......................		X		229,608	0	23,598
(40) GREGORY BOWERS........................................................................ EVP, COO & T	50.00 .......................		X		222,534	0	22,265
(41) JEANNINE LEPITRE........................................................................ SVP RECOVERY	50.00 .......................		X		205,745	0	14,048
(42) JOYCE COTTON........................................................................ VP CLINICAL,	50.00 .......................		X		174,846	0	22,834
(43) MICHAEL ABBATIELLO........................................................................ CFO	50.00 .......................		X		174,516	0	15,767
(44) STEPHEN MERZ........................................................................ CEO-MBH	50.00 .......................		X		0	0	0
(45) ROBERT V MCCARLEY........................................................................ MED. DIR. IN	50.00 .......................			X	276,089	0	24,912
(46) JOHN M MURPHY........................................................................ PSYCHIATRIST	50.00 .......................			X	261,110	0	24,520
(47) MATTHEW M SIEGEL........................................................................ PSYCHIATRIST	50.00 .......................			X	233,584	0	24,851
(48) ANIRUDDH P BEHERE........................................................................ PSYCHIATRIST	50.00 .......................			X	228,280	0	16,248
(49) PATRICK L MAIDMAN........................................................................ MEDICAL DIRE	50.00 .......................			X	225,250	0	15,809

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow

Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization MAINE BEHAVIORAL HEALTHCARE

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization MAINE BEHAVIORAL HEALTHCARE		Employer identification number 01-0524834

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization MAINE BEHAVIORAL HEALTHCARE			Employer identification number 01-0524834
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

9,114

Total. Add lines 1c through 1i ....................................................................................................

9,114

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
SCHEDULE C, PART II-B, LINE 1	A PORTION OF MEMBERSHIP DUES PAID REPRESENTS LOBBYING ACTIVITIES. LOBBYING PORTION OF MAINE HOSPITAL ASSOCAIATION DUES: 5,264 LOBBYING PORTION OF AMERICAN HOSPITAL ASSOCIATION DUES: 3,850 TOTAL DUES PAID REPRESENTING LOBBYING ACTIVITIES: 9,114

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.

			Held at the End of the Year
a	Total number of conservation easements ......................	2a	1
b	Total acreage restricted by conservation easements ....................	2b	54.00
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

5.00

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

$ 250

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	2,032,165	1,596,380	350,000	350,000	350,000
b	Contributions ...	710,681	741,341	1,245,482
c	Net investment earnings, gains, and losses	53,644	-240	898	42,824	29,974
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...	648,809	305,317		42,824	29,974
f	Administrative expenses ....
g	End of year balance ......	2,147,681	2,032,165	1,596,380	350,000	350,000

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

16.530 %

Permanent endowment SchDMd Bullet

32.080 %

Temporarily restricted endowment SchDMd Bullet

51.390 %

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	1,799,227		1,799,227
b	Buildings	30,566,164	12,248,081	18,318,083
c	Leasehold improvements	5,006,525	2,013,651	2,992,874
d	Equipment ...	9,811,861	6,941,597	2,870,264
e	Other ...	139,288		139,288
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				26,119,736

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
AMOUNTS PAYABLE UNDER REIMB. REGS.	10,522,974
INTEREST RATE SWAP	205,521
INSURANCE CLAIMS	172,436
OTHER	65,379
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	10,966,310
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......			1	83,993,816
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a	172,787
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................			2e	172,787
3	Subtract line 2e from line 1..................			3	83,821,029
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b	-44,650
c	Add lines 4a and 4b....................			4c	-44,650
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	83,776,379

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........			1	84,726,919
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d	34,391
e	Add lines 2a through 2d....................			2e	34,391
3	Subtract line 2e from line 1...................			3	84,692,528
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................			4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	84,692,528

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
SCHEDULE D, PAGE 1, PART II, LINE 9	IN 2002 SPRING HARBOR HOSPITAL ACQUIRED A 54-ACRE PARCEL OF LAND DESIGNATED AS A CONSERVATION EASEMENT WHICH WAS CONVEYED AS PART OF A LAND PURCHASE UPON WHICH THE HOSPITAL WAS BUILT.
SCHEDULE D, PAGE 2, PART IV, LINE 2B	MBH MAINTAINS CASH ACCOUNTS FOR CLIENTS WHO ARE INCAPABLE OF MANAGING THEIR SOCIAL SECURITY OR SSI PAYMENTS. THE PAYMENTS ARE DEPOSITED INTO THE ACCOUNT AND A SOCIAL SECURITY REPRESENTATIVE PAYEE MANAGES THE ACCOUNT FOR THEM.
SCHEDULE D, PAGE 2, PART V, LINE 4	THE ENDOWMENT FUNDS ARE USED TO SUPPORT PROGRAMMING AND SPECIAL INITIATIVES AT MAINE BEHAVIORAL HEALTHCARE.
SCHEDULE D, PAGE 3, PART X	MAINE BEHAVIORAL HEALTHCARE IS A NOT-FOR-PROFIT ORGANIZATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC.
SCHEDULE D, PAGE 4, PART XI, LINE 4B	FUND. EXP. PRESENTED NET OF REVENUE ON FINANCIAL STATEMENT -34,391 TEMP RESTRICTED CONTRIBUTIONS 0 CHANE IN BEN. INT. IN PERP. TRUST -5,750 TEMP REST. INV. INCOME & REALIZED GAINS -4,509
SCHEDULE D, PAGE 4, PART XII, LINE 2D	FUND. EXP. PRESENTED NET OF REVENUE ON FINANCIAL STATEMENT 34,391

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE G (Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information Regarding
Fundraising or Gaming Activities

Complete if the organization answered "Yes" on Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

Information about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Part I

Fundraising Activities. Complete if the organization answered "Yes" on Form 990, Part IV, line 17.

Form 990-EZ filers are not required to complete this part.

Indicate whether the organization raised funds through any of the following activities. Check all that apply.

a	Mail solicitations	e	Solicitation of non-government grants
b	Internet and email solicitations	f	Solicitation of government grants
c	Phone solicitations	g	Special fundraising events
d	In-person solicitations

Did the organization have a written or oral agreement with any individual (including officers, directors, trustees

or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?

YesNo

If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.

(i) Name and address of individual or entity (fundraiser)	(iii) Did fundraiser have custody or control of contributions?
	Yes	No










Total . . . . . . . . . . . . . . . . . . . .

List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50083H

Schedule G (Form 990 or 990-EZ) 2015

Page 2

Part II

Fundraising Events. Complete if the organization answered "Yes" on Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.

		(a) Event #1 SIGNS OF HOPE (event type)	(b) Event #2 HEROS WITH HEAR (event type)	(c) Other events 1 (total number)	(d) Total events (add col. (a) through col. (c))
1	Gross receipts . . . . .	171,341	34,034	29,810	235,185
2	Less: Contributions . . . .	162,559	10,173		172,732
3	Gross income (line 1 minus line 2) . . . . . .	8,782	23,861	29,810	62,453

4	Cash prizes . . . . .
5	Noncash prizes . . . .
6	Rent/facility costs . . . .		1,475		1,475
7	Food and beverages . . .	7,128	6,947		14,075
8	Entertainment . . . .
9	Other direct expenses . . .	1,654	3,691	13,497	18,842
10	Direct expense summary. Add lines 4 through 9 in column (d) . . . . . . . . . .				34,392
11	Net income summary. Subtract line 10 from line 3, column (d). . . . . . . . . .				28,061

Part III

Gaming. Complete if the organization answered "Yes" on Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.

		(a) Bingo	(b) Pull tabs/Instant bingo/progressive bingo	(c) Other gaming	(d) Total gaming (add col.(a) through col.(c))
1	Gross revenue . . . . .

2	Cash prizes . . . . .
3	Noncash prizes . . . .
4	Rent/facility costs . . . .
5	Other direct expenses . . .	1,654	3,691	13,497	18,842

Volunteer labor . . . .

	Yes %
	No

	Yes %
	No

	Yes %
	No

Direct expense summary. Add lines 2 through 5 in column (d) . . . . . . . . . . right arrow

Net gaming income summary. Subtract line 7 from line 1, column (d). . . . . . . . . right arrow

Enter the state(s) in which the organization conducts gaming activities:

Is the organization licensed to conduct gaming activities in each of these states? . . . . . . . .

YesNo

If "No," explain:

10a

Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? . . .

YesNo

If "Yes," explain:

Schedule G (Form 990 or 990-EZ) 2015

Page 3

Does the organization conduct gaming activities with nonmembers? . . . . . . . . . . .

YesNo

Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity

formed to administer charitable gaming? . . . . . . . . . . . . . . . . .

YesNo

Indicate the percentage of gaming activity conducted in:

The organization's facility . . . . . . . . . . . . . . . . . .

13a

An outside facility . . . . . . . . . . . . . . . . . . . .

13b

Enter the name and address of the person who prepares the organization's gaming/special events books and records:

Name

Address

15a

Does the organization have a contract with a third party from whom the organization receives gaming

revenue? . . . . . . . . . . . . . . . . . . . . . . . .

YesNo

If "Yes," enter the amount of gaming revenue received by the organization right arrow

$ and the

amount of gaming revenue retained by the third party right arrow

$ .

If "Yes," enter name and address of the third party:

Name

Address

Gaming manager information:

Name

Gaming manager compensation right arrow

Description of services provided right arrow

Director/officer Employee Independent contractor

Mandatory distributions:

Is the organization required under state law to make charitable distributions from the gaming proceeds to

retain the state gaming license? . . . . . . . . . . . . . . . . . . .

YesNo

Enter the amount of distributions required under state law distributed to other exempt organizations or spent

in the organization's own exempt activities during the tax year right arrow

Part IV

Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v); and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also complete this part to provide any additional information (see instructions).

Return Reference	Explanation

Schedule G (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other 175.0000000000 %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	6,265,030	6,265,030	7.400 %
b	Medicaid (from Worksheet 3, column a) . . . . .
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	6,265,030	6,265,030	7.400 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	263,881	263,881	0.310 %
f	Health professions education (from Worksheet 5) . . .	357,779	357,779	0.420 %
g	Subsidized health services (from Worksheet 6) . . . .
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	218,461	218,461	0.260 %
j	Total. Other Benefits . .	840,121	840,121	0.990 %
k	Total. Add lines 7d and 7j .	7,105,151	7,105,151	8.390 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(a) Number of activities or programs (optional)	(b) Persons served (optional)	(c) Total community building expense	(d) Direct offsetting revenue	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development
3	Community support
4	Environmental improvements
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy
8	Workforce development
9	Other
10	Total

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

1,141,499

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

4,135,089

Enter Medicare allowable costs of care relating to payments on line 5.....

5,353,468

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-1,218,379

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?1 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	SPRING HARBOR HOSPITAL 123 ANDOVER ROAD WESTBROOK,ME04092 WWW.MAINEBEHAVIORALHEALTHCARE.ORG 38488	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	SPRING HARBOR HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 16

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): SEE PART V, SECTION C

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 16

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): SEE PART V, SECTION C

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	SPRING HARBOR HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 175.000000000000% and FPG family income limit for eligibility for discounted care of %

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

SEE PART V SECTION C

The FAP application form was widely available on a website (list url):

SEE PART V SECTION C

A plain language summary of the FAP was widely available on a website (list url):
SEE PART V SECTION C

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	SPRING HARBOR HOSPITAL
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
FACILITY 1, SPRING HARBOR HOSPITAL - PART V, LINE 5	COMMUNITY ENGAGEMENT COMMUNITY ENGAGEMENT USING SHARED CHNA REPORTS FOR LOCAL AND REGIONAL PLANNING IS A CRITICAL PART OF THE NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLANNING PROCESS. FOR SOME, WORKING WITH A COMMUNITY MEANS ENGAGING COMMUNITY PARTNERS AT THE ORGANIZATIONAL OR AGENCY LEVEL, AND FOR OTHERS IT ENTAILS WORKING WITH INDIVIDUAL COMMUNITY MEMBERS OR WORKING WITH COMMUNITY LEADERS WHO REPRESENT SPECIFIC POPULATIONS. BOTH TYPES OF ENGAGEMENT SATISFY THE IRS AND PUBLIC HEALTH ACCREDITATION BOARD. COMMUNITY FEEDBACK WAS USED TO COLLABORATIVELY CREATE 3-YEAR IMPLEMENTATION STRATEGIES, ALSO CALLED IMPLEMENTATION PLANS. THE PROCESS, CO-LED BY MAINE CDC DISTRICT LIASONS AND REPRESENTATIVES FROM MAINE SHARED HEALTH NEEDS ASSESSMENT & PLANNING PROCESS (SHNAPP) NOT-FOR- PROFIT HOSPITALS, ACHIEVED THE FOLLOWING: ENSURED BROAD INTERESTS OF THE LOCAL COMMUNITY WERE REPRESENTED. OBTAINED STAKEHOLDER INPUT ON IDENTIFYING SIGNIFICANT HEALTH NEEDS BASED ON REVIEW OF DATA. SOLICITED STAKEHOLDER FEEDBACK ON PRIORITIZEING SIGNIFICANT HEALTH NEEDS; AND IDENTIFIED LOCAL ASSETS AND RESOURCES THAT COULD ADDRESS LOCAL HEALTH PRIORITES. THE PLANNING PROCESS INCLUDED THE DISTRICT LIAISON FROM THE MAINE CDC AND REPRESENTATIVES FROM PARTICIPATING MAINE SHNAPP HOSPITALS IN THE REGION. THE LEADERS REACHED OUT TO COMMUNITY BENEFIT LEADERSHIP AMONG OTHER LOCAL NOT-FOR-PROFIT HOSPITALS, LOCAL PUBLIC HEALTH DEPARTMENTS, AND OTHER ORGANIZATIONS AND COMMUNITY SECTORS WHOSE WORK IMPACTS THE HEALTH OF THE COMMUNITIES IN THE DISTRICT AND/OR COUNTY. THE COMMITTEES ESTABLISHED FOR THIS PURPOSE OR A CURRENT BODY MAY CARRY OUT THE COMMITMENTS. THIS OUTREACH RESULTED IN THE FORMATION OF COMMITTEES WHICH REFLECTED THE POPULATIONS THAT NEED TO BE ENGAGED, AND INCLUDED INDIVIDUALS WITH DIVERSE EXPERTISE OR COMMUNITY ROLES, INCLUDING REPRESENTATIVES FROM THE FOLLOWING SECTORS: PUBLIC HEALTH COMMUNITY HEALTH COALITIONS HEALTHCARE PROVIDERS, INCLUDING ORAL AND BEHAVIORAL HEALTH CARE PROVIDERS MINORITY POPULATIONS (E.G. MAINE NAACP MEMBERS, LATINO STUDENT CLUB, IMMIGRANT SERVICES) BUSINESS AND CIVIC LEADERSHIP (E.G. LOCAL EMPLOYERS, CIVIC ORGANIZATIONS, COMMUNITY LEADERS) FUNDING AGENCIES (E.G. LOCAL PHILANTHROPIC ORGANIZATIONS, BANK AND CREDIT UNION SERVICES) LOCAL AND STATE GOVERNMENT NON-PROFIT ORGANIZATIONS, INCLUDING HOSPITALS COLLEGS AND UNIVERSITIES LOW-INCOME AND/OR MEDICALLY UNDERSERVED PEOPLE THE SHNAPP COMMITTEE COLLECTED INPUT AS RESOURCES ALLOWED THROUGH THE BEST METHODS DETERMINED LOCALLY. SUGGESTIONS FOR OBTAINING FEEDBACK FROM ORGANIZATIONS AND GROUPS INCLUDED, BUT WERE NOT LIMITED TO: ADDITIONAL COMMUNITY FORUMS KEY INFORMANT INTERVIEWS: INTERVIEWS ARE FOCUSED CONVERSATIONS. THEY ARE USED TO LEARN ABOUT ASSUMPTIONS AND PERCEPTIONS IN OUR COMMUNITIES ABOUT HEALTH ISSUES, RESOURCES, AND ACTIONS. FOCUS GROUPS: FOCUS GROUPS ARE DISCUSSIONS LED BY A TRAINED FACILITATOR AMONG A SMALL GROUP OF PEOPLE. MEMBERS OF THE GROUP SHARE OPINIONS ABOUT THE TOPIC AT HAND AND OFFER SUGGESTIONS. WRITTEN OR ELECTRONIC SURVEYS: SURVEYS PROVIDE A CONSISTENT AND STRUCTURED METHOD FOR ASKING QUESTIONS AMONG A SELECTED GROUP OF PEOPLE. PEOPLE RESPONDING TO SURVEYS SHARE THEIR EXPERIENCE OR FEEDBACK AT THEIR CONVENIENCE WITHOUT THE POTENTIAL INFLUENCE OF RESPONDING TO A PERSON. GROUP PRESENTATIONS WITH STRUCTURED FEEDBACK: INSTEAD OF A FORUM OR FOCUS GROUP, A PRESENTATION OF AN ISSUE USING PREPARED SLIDES OR HANDOUTS CAN BE PLANNED DURING A REGULARLY SCHEDULED MEETING OF A GROUP SUCH AS A ROTARY CLUB, SCHOOL BOOSTER CLUB, PUBLIC HEALTH NURSING STAFF MEETING, OR PATIENT ADVISORY BOARD, ETC. WITH THE GOAL OF GAINING INPUT THROUGH NOMINAL GROUP PROCESS OR A VARIATION TO OBTAIN INDIVIDUAL VOTES AND RECOMMENDATIONS.
FACILITY 1, SPRING HARBOR HOSPITAL - PART V, LINE 6A	CENTRAL MAINE HEALTHCARE, EASTERN MAINE HEALTHCASE SYSTEMS, MAINEGENERAL HEALTH AND MAINEHEALTH.
FACILITY 1, SPRING HARBOR HOSPITAL - PART V, LINE 6B	THROUGH THE CUMBERLAND COUNTY COMMUNITY ENGAGEMENT PROCESS, THE FOLLOWING EXISTING HEALTHCARE FACILITIES, ORGANIZATIONS AND OTHER RESOURCES WERE IDENTIFIED TO HELP MEET THE SELECTED HEALTH PRIORITY NEEDS: CAREPARTNERS CATHOLIC CHARITIES OF MAINE COMMUNITY COUNSELING CENTER CUMBERLAND COUNTY PUBLIC HEALTH DISTRICT COORDINATING COUNCIL HEALTHY CASCO BAY (HEALTHY MAINE PARTNERSHIP) HEALTHY LAKES (HEALTHY MAINE PARTNERSHIP) HEALTHY PORTLAND (HEALTHY MAINE PARTNERSHIP) HEALTHY RIVERS (HELAHTY MAINE PARTNERSHIP) HOMEHEALTH VISITING NURSES INDIA STREET CLINIC MAINE BEHAVIORAL HEALTHCARE MAINE CENTER FOR DISEASE CONTROL, DEPARTMENT OF HEALTH AND HUMAN SERVICES MAINE MEDICAL CENTER MAINE MEDICAL PARTNERS MAINE MENTAL HEALTH PARTNERS MERCY HOSPITAL (EASTERN HEALTHCARE SYSTEM) OPPORTUNITY ALLIANCE PORTLAND COMMUNITY HEALTH CENTER PORTLAND PUBLIC HEALTH DEPARTMENT PREBLE STREET RESOURCE CENTER PRIVATE PHYSICIAN PRACTICES ROOT CELLAR SOUTH PORTLAND FIRE/EMS SOUTHERN MAINE AGENCY ON AGING UNITED WAY OF GREATER PORTLAND VNA HOME HEALTH & HOSPICE YMCA OF CUMBERLAND COUNTY
FACILITY 1, SPRING HARBOR HOSPITAL - PART V, LINE 7D	THE CHNA, WHICH INCLUDES THE IMPLEMENTATION PLAN, IS AVAILABLE AT THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/MAINE-BEHAVIORAL-HEALTHCARE/ABOUT/COMMUNITY- HEALTH-NEEDS-ASSESSMENT
FACILITY 1, SPRING HARBOR HOSPITAL - PART V, LINE 11	THE ORGANIZATION HAS COMPLETED ITS WORK ON ADDRESSING THE SIGNIFICANT NEEDS IDENTIFIED IN ITS 2013-2015 CHNA AND IMPLEMENTATION PLAN. PLEASE SEE THE ATTACHED 2013-2015 IMPLEMENTATIO PLAN UPDATE FOR DETAILS OF THE ACTIVITIES UNDERTAKEN BY THE ORGANIZATION TO MEET THE IDENTIFIED NEEDS OF ITS COMMUNITY. FOR THE 2016-2018 CHNA, THE ORGANIZATION HAS IDENTIFIED PRIORITIES AND DEVELOPED STRATEGIES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN ITS MOST RECENTLY CONDUCTED CHNA AND ANY SUCH NEEDS NOT BEING IDENTIFIED AND REASONS WHY SUCH NEEDS ARE NOT BEING ADDRESSED. SEE HTTPS://MAINEHEALTH.ORG/MAINE-BEHAVIORAL-HEALTHCARE/ABOUT/COMMUNITY- HEALTH-NEEDS ASSESSMENT FOR DETAILS.
FACILITY 1, SPRING HARBOR HOSPITAL - PART V, LINE 16I	THE FAP IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/-/MEDIA/MAINE-BEHAVIORAL-HEALTHCARE/SHH- FILES/WORK-FILES/PATIENTS-AND-FAMILY-RESOURCES/SHH-FREE-CARE-POLICY.PDF? LA=EN THE FAP APPLICATION FORM IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/-/MEDIA/MAINE-BEHAVIORAL-HEALTHCARE/SHH- FILES/WORK-FILES/PATIENTS-AND-FAMILY-RESOURCES/APPLICATIONFREECARE.PDF? LA=EN THE PLAIN LANGUAGE SUMMARY IS AVAILABLE ON THE FOLLOWING WEBSITE: HTTPS://MAINEHEALTH.ORG/-/MEDIA/MAINE-BEHAVIORAL-HEALTHCARE/SHH- FILES/WORK-FILES/PATIENTS-AND-FAMILY- RESOURCES/SHHBILLINGCOLLECTIONNOV2016.PDF?LA=EN
FACILITY 1, SPRING HARBOR HOSPITAL - PART V, LINE 22D	CHARGES ARE BASED ON SPRING HARBOR HOSPITAL'S NORMAL FEE STRUCTURE WITH SUBSEQUENT WRITE OFF TO CHARITY CARE.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?32
Name and address		Type of Facility (describe)
1	PORTLAND OFFICE 165 LANCASTER ST PORTLAND,ME04101	OUTPATIENT COUNSELING OFFICES
2	SHERRY SABO CENTER 2 SPRINGBROOK DRIVE BIDDEFORD,ME04005	OUTPATIENT COUNSELING OFFICES
3	ROCKLAND OFFICE 12 UNION STREET ROCKLAND,ME04841	OUTPATIENT OFFICE
4	ADMINISTRATION 77-79 ATLANTIC PLACE SOUTH PORTLAND,ME04106	ADMIN OFFICES AND CENTRAL IT HUB
5	SPRINGVALE OFFICE 474 MAIN STREET SPRINGVALE,ME04083	OUTPATIENT COUNSELING OFFICES
6	CADD 236 GANNETT DRIVE SOUTH PORTLAND,ME04106	CENTER OF AUTISM & DEV DISORDERS
7	ALFRED ST APTS 20 ALFRED STREET BIDDEFORD,ME04005	APARTMENTS W/SUPPORTED HOUSING SERVICES
8	HIGH STREET RESIDENCE 5 HIGH STREET SANFORD,ME04073	SING. ROOM SUPP. HOUSING & FILE STORAGE
9	BELFAST OFFICE 15 MIDCOAST DRIVE BELFAST,ME04915	OUTPATIENT OFFICE
10	WESTBROOK OFFICE 12 WESTBROOK COMMON WESTBROOK,ME04092	OUTPATIENT COUNSELING OFFICES
11	BEACH STREET OFFICES & CSU 31 BEACH STREET SACO,ME04072	RES. CRISIS STABILIZATION UNIT & ADMIN
12	THE ELMS 1-8 SHERRY LANE NORTH BERWICK,ME03906	APTS. WITH SUPP. HOUSING SERVICES
13	KITTERY OFFICE 453 US RT 1 KITTERY,ME03904	OUTPATIENT COUNSELING OFFICES
14	NORTH STREET OFFICES 265 NORTH ST SACO,ME04072	ADMIN. OFFICES & CENTRAL IT HUB
15	WARREN STREET APTS 28 WARREN STREET ROCKLAND,ME04841	APTS, OFFICE & COMMON AREA FOR STAFF
16	BACON STREET APTS 72 BACON STREET BIDDEFORD,ME04005	SING. ROOM SUPP. HOUSING
17	BELFAST APTS 31 MID COAST DRIVE BELFAST,ME04915	APTS., 1 OFFICE AND COMMON AREA
18	CRESCENT PLACE 15 CRESCENT STREET BIDDEFORD,ME04005	6 BED GROUP HOME
19	OWLS HEAD 38 WEST KEAG ROAD OWLS HEAD,ME04854	7 BEDROOM SINGLE ROOM OCCUPANCY
20	WOODBRIDGE 19 WOODBRIDGE ROAD YORK,ME03909	7 BED GROUP HOME
21	BRUNSWICK OFFICE 11 MEDICAL CENTER DRIVE BRUNSWICK,ME04011	OUTPATIENT COUNSELING OFFICES
22	COMMON CONNECTION CLUB 32 ALFRED STREET BIDDEFORD,ME04005	SOCIAL CLUB FOR MBH CLIENTS
23	PLEASANT STREET 407 PLEASANT STREET ROCKLAND,ME04841	3 BEDROOM SINGLE ROOM OCCUPANCY
24	GRACE STREET 47 GRACE STREET ROCKLAND,ME04841	3 BEDROOM SINGLE ROOM OCCUPANCY
25	DAMARISCOTTA OFFICE LINCOLN COUNTY HEALTHCARE CAMPUS DAMARISCOTTA,ME04543	OUTPATIENT OFFICE
26	CEDAR STREET 125 CEDAR STREET ROCKLAND,ME04841	3 BEDROOM SINGLE ROOM OCCUPANCY
27	HARMONY CLUB 19 WASHINGTON STREET SANFORD,ME04073	SOCIAL CLUB FOR MBH CLIENTS
28	GLEN STREET CSU 39 GLEN STREET ROCKLAND,ME04841	CRISIS STABILIZATION UNIT
29	ACT 106 GILMAN STREET PORTLAND,ME04101	ASSERTIVE COMMUNITY TREATMENT TEAM
30	ACT 576 ST JOHN STREET PORTLAND,ME04101	ASSERTIVE COMMUNITY TREATMENT TEAM
31	CORE 66 BARIBEAU DRIVE BRUNSWICK,ME04086	ACT TEAM OFFICES
32	NORWAY OFFICE 193 MAIN STREET RIPLEY MEDICAL OFFICE BUILDING NORWAY,ME04268	OUTPATIENT COUNSELING OFFICES

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C - OTHER INCOME BASED CRITERIA FOR FREE OR DISCOUNTED CARE	MAINE BEHAVIORAL HEALTHCARE (MBH) DOES NOT PROVIDE DISCOUNTED CARE, ONLY FREE CARE, FOR WHICH THE FPG IS USED TO DETERMINE ELIGIBILITY.
PART I, LINE 6A - RELATED ORGANIZATION INFORMATION	MBH'S ANNUAL COMMUNITY BENEFIT REPORT INFORMATION IS CONTAINED IN A REPORT PREPARED BY MAINE BEHAVIORAL HEALTHCARE'S PARENT ORGANIZATION, MAINEHEALTH (EIN 01-0431680). SEE ATTACHED REPORT.
PART I, LINE 7 - COSTING METHODOLOGY EXPLANATION	CHARITY CARE COST DATA PRESENTED IN THIS SECTION HAS BEEN CALCULATED BY ASSIGNING THE VARIOUS PROGRAM LEVEL RATIOS OF COST TO CHARGES TO THE ACTUAL GROSS AMOUNT OF CHARITY CARE CHARGES RECORDED BY MBH PROGRAMS DURING THE PERIOD. OTHER BENEFIT COST DATA HAS BEEN CALCULATED THROUGH THE USE OF A COMBINATION OF ACTUAL GENERAL LEDGER SPECIFIC COST DATA, AND THE USE OF EMPLOYEE TIME STUDIES.
PART III, LINE 2 - BAD DEBT EXPENSE METHODOLOGY	AS OUTLINED IN THE "BAD DEBTS," SECTION OF THE MBH AUDITED FINANCIAL STATEMENTS: "MBH RECOGNIZES A PROVISION FOR BAD DEBTS IN ESTABLISHING AN ALLOWANCE FOR SERVICES PROVIDED WHICH MAY ULTIMATELY BE UNCOLLECTIBLE. THE AMOUNT OF THE ALLOWANCE FOR BAD DEBTS IS BASED ON HISTORICAL TRENDS AND CURRENT MARKET CONDITIONS." THE AMOUNT OF EXPENSE ASSOCIATED WITH THE PROVISION OF SERVICES, ULTIMATELY WRITTEN OFF AS BAD DEBT AT MBH, HAS BEEN CALCULATED AT 1,141,499 FOR THE CURRENT FISCAL YEAR. THIS AMOUNT WAS CALCULATED BY ASSIGNING THE VARIOUS PROGRAM LEVEL RATIOS OF COST TO CHARGES TO THE GROSS AMOUNT OF MBH PROGRAM LEVEL CHARGES WRITTEN OFF AS BAD DEBT DURING THE FISCAL PERIOD. BAD DEBT EXPENSE REPRESENTS HEALTHCARE SERVICES MBH HAS PROVIDED WITHOUT COMPENSATION. AS A TAX-EXEMPT ORGANIZATION, MBH PROVIDES NECESSARY PATIENT CARE REGARDLESS OF THE PATIENT'S ABILITY TO PAY FOR THE SERVICES. MBH CANNOT DETERMINE THE AMOUNT OF BAD DEBT EXPENSE THAT COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO LIKELY WOULD QUALIFY FOR DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES RELATED TO A PORTION OF OUR COMMUNITY BASED PATIENT POPULATION. THEIR MEDICAL BILLS OFTEN PLACE THESE INDIVIDUALS IN UNTENABLE POSITIONS WHERE THEY ARE NOT ABLE TO HANDLE THEIR PERSONAL DEBT AND THEN THEIR NEW MEDICAL DEBT. HOWEVER, BECAUSE OF THEIR INCOME LEVEL, THEY DO NOT QUALIFY FOR FREE CARE. BY PROVIDING NECESSARY HEALTHCARE SERVICES TO THOSE INDIVIDUALS EITHER WHO FAIL TO APPLY FOR FINANCIAL ASSISTANCE OR WHO ARE EXPERIENCING DIFFICULT PERSONAL OR ECONOMIC CIRCUMSTANCES, MBH BELIEVES THAT BAD DEBT EXPENSE SHOULD BE INCLUDED AS A COMMUNITY BENEFIT.
PART III, LINE 8 - MEDICARE EXPLANATION	MBH'S HOSPITAL, SPRING HARBOR HOSPITAL IS CURRENTLY REIMBURSED BY MEDICARE PART A (FOR INPATIENT SERVICES) THROUGH A PROSPECTIVE PAYMENT SYSTEM (PPS) DAY RATE METHODOLOGY, WHILE MEDICARE PART B REIMBURSES THE HOSPITAL FOR PROFESSIONAL SERVICES RENDERED THROUGH A FEE SCHEDULE FOR EACH SERVICE PROVIDED. IN BOTH CASES (PART A AND PART B), THE REIMBURSEMENT PROVIDED DOES NOT FULLY COVER THE HOSPITAL'S COSTS TO PROVIDE SERVICES TO MEDICARE BENEFICIARIES. ACTUAL FY16 COSTS TO PROVIDE CARE FOR MEDICARE PATIENTS HAS BEEN CALCULATED AT 5,353,468, WHILE TOTAL ACTUAL MEDICARE REIMBURSEMENT PROVIDED TOTALED 4,135,089. THE COST CALCULATION WAS DETERMINED USING STANDARD MEDICARE PART A COST REPORTING METHODOLOGIES (COST TO CHARGE RATIOS), COUPLED WITH IN-HOUSE SPRING HARBOR ANALYSIS OF PART B COSTS. THE DIFFERENCE BETWEEN ACTUAL COST AND MEDICARE REIMBURSEMENT OF 1,218,379 REPRESENTS THE COST OF ACTUAL UNREIMBURSED CARE PROVIDED TO MEDICARE BENEFICIARIES. MBH BELIEVES THAT THE MEDICARE SHORTFALL SHOULD BE INCLUDED AS A COMMUNITY BENEFIT BECAUSE THE HOSPITAL HAS A CLEAR MISSION COMMITMENT TO SERVING ELDERLY PATIENTS AND ADULTS WITH DISABILITIES THROUGH THE PROVISION OF SPECIFIC SUBSIDIZED PROGRAMS DEVELOPED TO HELP IMPROVE THE HEALTH STATUS OF THESE PATIENTS. IF THESE CRITICAL SUBSIDIZED PROGRAMS WERE NOT PROVIDED BY MBH, THEY WOULD BECOME THE OBLIGATION OF THE FEDERAL GOVERNMENT.
PART III, LINE 9B - COLLECTION PRACTICES EXPLANATION	MBH OFFERS FINANCIAL ASSISTANCE TO PATIENTS WHO HAVE NO MEANS TO PAY FOR THEIR CARE BY MAINTAINING CHARITY/INDIGENT CARE PROGRAMS. CHARITY CARE IS PROVIDED TO THOSE PATIENTS WHO COMPLETE AN APPLICATION AND WHO OFFER EVIDENCE THAT THEY MEET THE ELIGIBILITY REQUIREMENTS. THOSE PATIENTS WHO REFUSE APPLICATION OR WHO FAIL TO MEET THE REQUIREMENTS FOR UNCOMPENSATED CARE ARE PURSUED FOR COLLECTION. UNSUCCESSFUL ATTEMPTS AT COLLECTION MAY RESULT IN THE ACCOUNT BEING WRITTEN OFF AS BAD DEBT. FOR THOSE PATIENTS THAT DO QUALIFY FOR CHARITY CARE, ACCOUNT BALANCES ARE ADJUSTED ACCORDINGLY ONCE THEIR CHARITY CARE APPLICATION HAS BEEN APPROVED. MORE DETAILS REGARDING THE CHARITY CARE PROCESS AT MBH ARE MAINTAINED IN THE ORGANIZATION'S WRITTEN (AND PUBLICLY AVAILABLE) CHARITY CARE POLICY.
PART VI, LINE 2 - NEEDS ASSESSMENT	MBH IS A MEMBER OF MAINEHEALTH, WHICH CONDUCTS A THOROUGH COMMUNITY NEEDS ASSESSMENT AND DIRECTS ITS MEMBER ORGANIZATIONS TO RESPOND TO THE NEEDS IDENTIFIED. MAINEHEALTH MEMBERS ALSO PARTICIPATE IN VARIOUS INITIATIVES TO KEEP THOSE ASSESSMENTS UP TO DATE. SOME OF THESE INITIATIVES INCLUDE: - CLINICAL STRATEGIC PLANNING - FINANCIAL STRATEGIC PLANNING - FACILITY PLANNING - HUMAN RESOURCE PLANNING - STAFF DEVELOPMENT PLANNING - PHYSICIAN RECRUITMENT STRATEGIC PLANNING - EMERGENCY PREPAREDNESS PLANNING IN ADDITION TO THESE INTERNAL ASSESSMENTS, MAINEHEALTH MEMBER ORGANIZATIONS ALSO REVIEW AND ACT ON MANY OF THE RECOMMENDATIONS PROVIDED BY EXTERNAL GROUPS AND STATE HEALTH PLANNING INITIATIVES, SUCH AS: THE MAINE DEPARTMENT OF HEALTH AND HUMAN SERVICES' HEALTHY MAINE 2010 AND AUTISM SPECTRUM DISORDERS REPORT, THE MAINE CENTER FOR DISEASE CONTROL AND PREVENTION AND THE "STATE HEALTH PLAN" CREATED BY THE ADVISORY COMMITTEE FOR HEALTH SYSTEMS DEVELOPMENT.
PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE	MBH'S HOSPITAL, SPRING HARBOR HOSPITAL, DISTRIBUTES A PATIENT FINANCIAL POLICIES BROCHURE TO EACH PATIENT UPON ADMISSION, WHICH INCLUDES (BUT IS NOT LIMITED TO) INFORMATION ON HOW TO ACCESS AND APPLY FOR SPRING HARBOR HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM, FINANCIAL COUNSELING SERVICES, MAINECARE, MEDICARE AND SOCIAL SECURITY.
PART VI, LINE 4 - COMMUNITY INFORMATION	WITH THE TRIPLE AIM (IMPROVING PATIENT EXPERIENCE AND QUALITY OF CARE, WHILE REDUCING COSTS) AS OUR RUDDER, WE WILL CONTINUE TO MEANINGFULLY INTEGRATE OUR INTENSIVE (HOSPITAL) AND RECOVERY (COMMUNITY) SERVICE LINES TO CREATE A FULL CONTINUUM OF BEHAVIORAL HEALTHCARE ACROSS OUR SERVICE REGION IN SEVEN MAINE COUNTIES. OF MAINE'S APPROXIMATELY 1.3 MILLION RESIDENTS, CLOSE TO 51,000 ADULTS LIVE WITH SERIOUS MENTAL ILLNESS AND ABOUT 13,000 CHILDREN LIVE WITH SERIOUS MENTAL HEALTH CONDITIONS.
PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH	MAINE BEHAVIORAL HEALTHCARE ENGAGES IN MANY COMMUNITY-BUILDING ACTIVITIES INCLUDING COMMUNITY EVENTS, EDUCATION SEMINARS ON BEHAVIORAL HEALTH ISSUES, CRISIS INTERVENTION TRAINING FOR POLICE DEPARTMENTS AND HIGH SCHOOLS, AND PEER SERVICES FOR ADULTS WITH CHRONIC MENTAL ILLNESS. MAINE BEHAVIORAL HEALTHCARE ALSO ORGANIZES EMPLOYEE PARTICIPATION IN COMMUNITY FUNDRAISING ACTIVITIES AND NUMEROUS NONPROFIT BOARDS AND CIVIC ORGANIZATIONS. COMMUNITY HEALTH IMPROVEMENT SERVICES AND COMMUNITY BENEFIT OPERATIONS - IN COLLABORATION WITH MID-COAST HOSPITAL AND PEN BAY MEDICAL CENTER, MBH DEVELOPED THE EMBARK PROGRAM TO ADDRESS THE OPIOID CRISIS IN THE MIDCOAST REGION TO PROVIDE BETTER ACCESS TO THE RIGHT LEVEL OF TREATMENT. - CRISIS TEAM EMPLOYEES PROVIDED WORKSHOPS ON SUICIDE AND OTHER MENTAL HEALTH TOPICS, ASSISTED SCHOOL SYSTEMS IN REFERRAL MANAGEMENT, LED TRAININGS FOR LAW ENFORCEMENT, AND ASSISTED STATE POLICE OUTREACH. - CHILDREN'S TEAM MANAGERS ATTENDED MONTHLY COMMUNITY PARTNERSHIP FOR PROTECTING CHILDREN (CPPC) MEETINGS IN PORTLAND, WESTBROOK AND BIDDEFORD AND ALSO PARTICIPATED IN MENTAL HEALTH AWARENESS WEEK WITH CPPC AND A FREE LUNCH PROGRAM. - PROGRAM MANAGERS PARTICIPATED ON SEVERAL COMMUNITY STEERING COMMITTEES IN WALDO, KNOX, LINCOLN AND YORK COUNTIES. - MBH STAFF PARTICIPATED IN LOCAL TRAUMA ADVISORY GROUP. - MBH'S ENGAGEMENT SPECIALIST MADE PRESENTATIONS TO COMMUNITY GROUPS. - MBH HAS A TRAUMA INTERVENTION PROGRAM (TIP) THAT IS COMPOSED OF SPECIALLY TRAINED CITIZEN VOLUNTEERS WHO PROVIDE SUPPORT TO VICTIMS OF TRAUMATIC EVENTS AND THEIR FAMILIES. VOLUNTEERS ARE AVAILABLE 24X7, 365 DAYS PER YEAR. SUBSIDIZED HEALTH SERVICES - PEER SERVICES ARE PROVIDED THROUGH TWO SOCIAL CLUBS (BIDDEFORD AND SANFORD) ALONG WITH A LIFE ENRICHMENT PROGRAM THAT IS AVAILABLE AT VARIOUS CLINICAL LOCATIONS WITHIN THE MBH FOOTPRINT. COALITION BUILDING - THROUGH THE ADMINISTRATIVE SUPPORT OF AN ALL-VOLUNTEER INITIATIVE CALLED "IT TAKES A COMMUNITY," MBH HELPS TO IMPROVE THE EXPERIENCE OF THOSE WITH MENTAL ILLNESS AND THEIR FAMILIES THROUGH EDUCATION, COMMUNITY OUTREACH PROJECTS AND AWARENESS BUILDLING. MBH STAFF PARTICIPATED IN PUBLIC FORUM MEETINGS AND WITH THE PUBLIC ACCESS TELEVISION SHOW.
PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM	MAINEHEALTH IS A NOT-FOR-PROFIT FAMILY OF LEADING HIGH-QUALITY PROVIDERS AND OTHER HEALTHCARE ORGANIZATIONS WORKING TOGETHER SO THEIR COMMUNITIES ARE THE HEALTHIEST IN AMERICA. RANKED AMONG THE NATION'S TOP 100 INTEGRATED HEALTHCARE DELIVERY NETWORKS, MAINEHEALTH IS GOVERNED BY A BOARD OF TRUSTEES CONSISTING OF COMMUNITY AND BUSINESS LEADERS FROM ITS SOUTHERN, CENTRAL AND WESTERN MAINE REGIONAL SERVICE AREAS. THE COLLABORATION OF MAINEHEALTH MEMBERS MAKES IT POSSIBLE TO OFFER AN EXTENSIVE RANGE OF CLINICAL INTEGRATION AND COMMUNITY HEALTH PROGRAMS, MANY AIMED AT IMPROVING ACCESS TO PREVENTIVE AND PRIMARY CARE SERVICES. MAINEHEALTH INCLUDES THE FOLLOWING MEMBER ORGANIZATIONS; LINCOLN COUNTY HEALTHCARE, MAINE MEDICAL CENTER, MAINE BEHAVIORAL HEALTHCARE (SPRING HARBOR HOSPITAL), COASTAL HEALTHCARE ALLIANCE (PEN BAY MEDICAL CENTER AND WALDO COUNTY GENERAL HOSPITAL), SOUTHERN MAINE HEALTH CARE (SOUTHERN MAINE MEDICAL CENTER AND GOODALL HOSPITAL), WESTERN MAINE HEALTH (STEPHENS MEMORIAL HOSPITAL), MAINEHEALTH CARE AT HOME, THE MEMORIAL HOSPITAL OF CONWAY, NH, NORDX, SYNERNET AND MAINEHEALTH ACCOUNTABLE CARE ORGANIZATION. THE STRATEGIC AFFILIATES OF MAINEHEALTH ARE MAINEGENERAL MEDICAL CENTER, MID COAST HOSPITAL AND ST. MARYS REGIONAL MEDICAL CENTER.
PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT	MAINE

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1GIRARD ROBINSON MDCHIEF MEDICAL OFF.	(i) (ii)	------------- 353,973	------------- 46,240	------------- 19,311	------------- 16,960	------------- 3,535	------------- 440,019	-------------
2DENNIS P KINGCEO-MBH	(i) (ii)	------------- 289,800	------------- 53,000	------------- 64,612	------------- 79,797	------------- 16,377	------------- 503,586	-------------
3MARY JANE KREBSPRES SHH/VP INTENSIV	(i) (ii)	188,508 -------------	30,700 -------------	10,400 -------------	7,458 -------------	16,140 -------------	253,206 -------------	-------------
4GREGORY BOWERSEVP, COO & TREASURER	(i) (ii)	192,534 -------------	30,000 -------------	-------------	6,100 -------------	16,165 -------------	244,799 -------------	-------------
5JEANNINE LEPITRESVP RECOVERY	(i) (ii)	195,545 -------------	-------------	10,200 -------------	5,715 -------------	8,333 -------------	219,793 -------------	-------------
6JOYCE COTTONVP CLINICAL, CNO	(i) (ii)	160,000 -------------	14,846 -------------	-------------	6,994 -------------	15,840 -------------	197,680 -------------	-------------
7MICHAEL ABBATIELLOCFO	(i) (ii)	154,516 -------------	20,000 -------------	-------------	-------------	15,767 -------------	190,283 -------------	-------------
8ROBERT V MCCARLEYMED. DIR. INT. SVCS.	(i) (ii)	253,089 -------------	5,000 -------------	18,000 -------------	9,000 -------------	15,912 -------------	301,001 -------------	-------------
9JOHN M MURPHYPSYCHIATRIST	(i) (ii)	243,136 -------------	-------------	17,974 -------------	8,735 -------------	15,785 -------------	285,630 -------------	-------------
10MATTHEW M SIEGELPSYCHIATRIST	(i) (ii)	233,584 -------------	-------------	-------------	9,000 -------------	15,851 -------------	258,435 -------------	-------------
11ANIRUDDH P BEHEREPSYCHIATRIST	(i) (ii)	223,780 -------------	4,500 -------------	-------------	3,424 -------------	12,824 -------------	244,528 -------------	-------------
12PATRICK L MAIDMANMEDICAL DIRECTOR	(i) (ii)	225,250 -------------	-------------	-------------	4,375 -------------	11,434 -------------	241,059 -------------	-------------

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
SCHEDULE J, PAGE 1, PART I, LINE 4	GIRARD ROBINSON, MD 0 12,203 0 DENNIS P. KING 0 45,954 0
SCHEDULE J, PART III	THE NONQUALIFIED PAYMENTS SHOWN ABOVE ARE FROM RELATED ORGANIZATIONS WHERE THE INDIVIDUALS ARE EMPLOYED. TOP MANAGEMENT OFFICIALS ARE COMPENSATED BY RELATED ORGANIZATIONS. THESE ORGANIZATIONS USED ONE OR MORE OF THE METHODS SHOWN ABOVE TO ESTABLISH THE COMPENSATION OF TOP MANAGEMENT.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Return Reference	Explanation
FORM 990 - ORGANIZATION'S MISSION	MAINE BEHAVIORAL HEALTHCARE WILL PROVIDE A SEAMLESS AND COMPASSIONATE CONTINUUM OF CARE THROUGH A COMMUNITY OF PROVIDERS COLLABORATING TO PROMOTE RECOVERY AND THE OVERALL MENTAL AND PHYSICAL WELL-BEING OF THOSE WE ARE PRIVILEGED TO SERVE.
FORM 990, PAGE 2, PART III, LINE 4A	(CONTINUED FROM PART III, LINE 4A) AS PART OF THE MAINEHEALTH SYSTEM, AND A DIVISION OF MAINE BEHAVIORAL HEALTHCARE, SPRING HARBOR IS CLINICALLY INTEGRATED WITH MENTAL HEALTH PROVIDERS, HOSPITALS AND PRIMARY CARE SITES TO ENSURE EASY AND TIMELY ACCESS TO TREATMENT AND SAFE AND EFFECTIVE TRANSITIONS BETWEEN SERVICES. THROUGH A UNIQUE COLLABORATION WITH MAINE MEDICAL CENTER, SPRING HARBOR IS ABLE TO OFFER THE MOST COMPLETE ARRAY OF PSYCHIATRIC TREATMENT, PHYSICIAN- TRAINING, AND MEDICAL-RESEARCH PROGRAMS NORTH OF BOSTON. INPATIENT SERVICES OUR INPATIENT PROGRAMS FOR CHILDREN, ADOLESCENTS, ADULTS, AND OLDER ADULTS PROVIDE HOPE FOR THOSE WHO SUFFER FROM A VARIETY OF MENTAL ILLNESSES OR CO-OCCURRING DISORDERS. MANY OF OUR HOSPITAL PATIENTS EXPERIENCE SERIOUS DEPRESSION AND/OR ANXIETY AND MAY EXHIBIT SUICIDAL TENDENCIES OR AGGRESSION TOWARD PEERS, FAMILY MEMBERS, COWORKERS, OR SCHOOL PERSONNEL. THAT IS WHY OUR SERVICES ARE PROVIDED ON SECURE TREATMENT UNITS BY MULTIDISCIPLINARY TREATMENT TEAMS WHO SPECIALIZE IN PSYCHIATRIC AND CO-OCCURRING DISORDERS. DEVELOPMENTAL DISORDERS PROGRAM DEVELOPMENTAL DISORDERS PROGRAM PRODUCES THE HIGHEST QUALITY TREATMENT OUTCOMES THROUGH A COMBINATION OF EXPERT PROGRAMMING, SPECIALLY TRAINED CAREGIVERS, AND THE INDIVIDUAL POTENTIAL OF EACH PATIENT. THE DEVELOPMENTAL DISORDERS PROGRAM IS THE ONLY HOSPITAL PROGRAM IN MAINE WHERE CHILDREN WITH A DEVELOPMENTAL DISORDER, SUCH AS AUTISM OR MENTAL RETARDATION, CAN RECEIVE INTENSIVE TREATMENT FOR AGGRESSION, SELF-INJURY, IMPAIRMENT IN FUNCTIONING, AND MENTAL HEALTH CHALLENGES. CHILDREN IN THE PROGRAM RECEIVE EDUCATIONAL SERVICES FROM SPRING HARBOR ACADEMY, A PRIVATE, SPECIAL-PURPOSE SCHOOL LOCATED AT THE HOSPITAL. EACH STUDENT RECEIVES DEVELOPMENTALLY APPROPRIATE EDUCATIONAL PROGRAMMING. THE CHILD'S CURRENT INDIVIDUAL EDUCATION PLAN (IEP) IS FOLLOWED, AND ONGOING EDUCATIONAL NEEDS ARE ASSESSED THROUGH THE IEP TEAM PROCESS. SPRING HARBOR ACADEMY ALSO WORKS WITH THE CHILD'S HOME SCHOOL TO ENSURE THE STUDENT'S SUCCESSFUL TRANSITION AFTER LEAVING THE HOSPITAL.
FORM 990, PAGE 2, PART III, LINE 4B	(CONTINUED FROM PART III, LINE 4B) MAINE BEHAVIORAL HEALTHCARE PROVIDES A FULL RANGE OF SUBSTANCE ABUXE TREATMENT SERVICES FOR ADULTS, ADOLESCENTS AND FAMILIES. OUR LICENSED PROFESSIONALS FOCUS ON HELPING PEOPLE EXAMINE THEIR RELATIONSHIPS WITH ALCOHOL AND DRUGS AND DEVELOP HEALTHY, FULFILLING LIVES.
FORM 990, PAGE 2, PART III, LINE 4C	(CONTINUED FROM PART III, LINE 4B) SUCH AREAS AS CHILD PSYCHIATRY, DEPRESSION COUNSELING, AND GERIATRIC PSYCHIATRY, AS WELL AS A VARIETY OF OTHER MENTAL HEALTH SERVICES.
FORM 990, PAGE 2, PART III, LINE 4D	IN ADDITION TO OUR THREE LARGEST PROGRAMS, MAINE BEHAVIORAL HEALTHCARE OFFERS MANY OTHER PROGRAMS TO PROVIDE A FULL SPECTRUM OF CARE. HERE IS A BRIEF DESCRIPTION OF SOME OF THESE IMPORTANT SERVICES: CASE MANAGEMENT SERVICES CASE MANAGEMENT FOR ADULTS, ALSO CALLED COMMUNITY INTEGRATION, IS A MAINECARE FUNDED SUPPORT SERVICE DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS WHO HAVE BEHAVIORAL HEALTH OR SPECIAL DEVELOPMENTAL NEEDS. CASE MANAGERS DETERMINE THE PERSON'S STRENGTH AND NEEDS AND THEN HELP IDENTIFY AND ACCESS RESOURCES AND SERVICES TO PROMOTE INDEPENDENCE AND INTEGRATION IN THE COMMUNITY. WE WORK WITH OUR CLIENTS TO DEVELOP TREATMENT PLANS THAT MEET THE GOALS THEY IDENTIFY, AND THEN DEVELOP ACTION STEPS WITH THEM TO ASSIST IN ACHIEVING THEIR GOALS. OUR FULL RANGE OF SERVICES ARE TAILORED TO EACH INDIVIDUAL'S NEEDS AND INCLUDE MOBILE OUTREACH, CLIENT ADVOCACY, MAINTENANCE OF BASIC LIVING NEEDS, ASSESSMENT OF BENEFITS, AND LINKING AND MONITORING SERVICES. WE CAN HELP ADULTS THRIVE AT HOME, AT WORK AND IN THEIR COMMUNITIES BY: -CONNECTING WITH NATURAL SUPPORTS AND COMMUNITY RESOURCES. -HELPING NAVIGATE THE SYSTEMS OF BEHAVIORAL AND MEDICAL CARE. -COORDINATING SERVICES AND STREAMLINING COMMUNICATION BETWEEN MULTIPLE PROVIDERS. -DEVELOPING AND MONITORING INDIVIDUALIZED SERVICE PLANS. TARGETED CASE MANAGEMENT FOR CHILDREN AND ADOLESCENTS (UP TO AGE 20) IS A MAINECARE FUNDED SERVICE TO SUPPORT MENTAL OR BEHAVIORAL HEALTH NEEDS. WORKING CLOSELY WITH FAMILIES, THE CASE MANAGER DETERMINES THE CHILD'S STRENGTHS AND NEEDS AND THEN HELPS IDENTIFY AND ACCESS RESOURCES AND SERVICES IN THE COMMUNITY. THE GOAL IS TO HELP THE CHILD OR ADOLESCENT THRIVE IN THE HOME, SCHOOL AND COMMUNITY. TARGETED CASE MANAGEMENT IS GROUNDED IN THE WRAPAROUND PROCESS, A HIGHLY INDIVIDUALIZED PLANNING PROCESS AIMED AT HELPING PEOPLE MEET THEIR UNMET NEEDS BOTH WITHIN AND OUTSIDE OF THE FORMAL SOCIAL SERVICE SYSTEM. WRAPAROUND IS A HOLISTIC PROCESS THAT MEETS NEEDS ACROSS A WIDE RANGE OF LIFE DOMAINS. BEHAVIORAL HEALTH HOMES ARE A MAINECARE SERVICE DESIGNED TO HELP PEOPLE WITH CHRONIC CONDITIONS, SUCH AS DIABETES, HEART DISEASE AND LUNG DISEASE MANAGE THEIR MENTAL AND PHYSICAL HEALTH NEEDS TOGETHER. THIS SPECIALTY SERVICE HELPS PEOPLE ADDRESS ALL OF THEIR HEALTH NEEDS BY COLLABORATING WITH THEIR DOCTOR AND ARRANGING SERVICES. CASE MANAGERS WORK WITH THE INDIVIDUAL, A NURSE, A CLINICAL TEAM LEADER AND A PEER SUPPORT SPECIALIST TO PROVIDE A WHOLE PERSON INTEGRATED APPROACH. THE BEHAVIORAL HEALTH HOME TEAM AND PRIMARY CARE PROVIDERS WORK TOGETHER TO IMPROVE HEALTH. DEVELOPMENTAL DISORDERS PROGRAM FOR CHILDREN CHILDREN IN THE DEVELOPMENTAL DISORDERS PROGRAM AT SPRING HARBOR HOSPITAL RECEIVE EDUCATIONAL SERVICES FROM SPRING HARBOR ACADEMY, A PRIVATE, SPECIAL-PURPOSE SCHOOL LOCATED AT THE HOSPITAL. EACH STUDENT RECEIVES DEVELOPMENTALLY APPROPRIATE EDUCATIONAL PROGRAMMING. THE CHILD'S CURRENT INDIVIDUAL EDUCATION PLAN (IEP) IS FOLLOWED, AND ONGOING EDUCATIONAL NEEDS ARE ASSESSED THROUGH THE IEP TEAM PROCESS. SPRING HARBOR ACADEMY ALSO WORKS WITH THE CHILD'S HOME SCHOOL TO ENSURE THE STUDENT'S SUCCESSFUL TRANSITION AFTER LEAVING THE HOSPITAL. AN EXTENSION OF THE DEVELOPMENTAL DISORDERS PROGRAM AT SPRING HARBOR IS OUR CENTER FOR AUTISM AND DEVELOPMENTAL DISORDERS (CADD), AN OUTPATIENT CLINIC, OFFERING MAINE CHILDREN, ADOLESCENTS AND THEIR FAMILIES A COMPREHENSIVE, COORDINATED DAY TREATMENT PROGRAM WITH PRIMARY CARE CONSULTATION. EACH CHILD RECEIVES AN ASSESSMENT TO IDENTIFY TARGET BEHAVIORS, MENTAL HEALTH NEEDS AND DEVELOPMENTAL CHALLENGES. THE EVALUATION EXPLORES PSYCHIATRIC, SPEECH, OCCUPATIONAL, MEDICAL, FAMILY AND ENVIRONMENTAL FACTORS THAT MAY BE CONTRIBUTING TO THE PROBLEMS. CRISIS SERVICES WE SERVE INDIVIDUALS EXPERIENCING AN ACUTE BEHAVIORAL HEALTH EMERGENCY, ALONG WITH SUPPORT FOR THEIR FAMILIES. THESE INCLUDE A 24/7 CRISIS HOTLINE, MOBILE RESPONSE SERVICES, CRISIS RESPONSE SERVICES AND A CRISIS STABILIZATION UNIT, A SHORT-TERM ALTERNATIVE TO HOSPITALIZATION. ASSERTIVE COMMUNITY TREATMENT (ACT) ADULT ACT IS AN INTENSIVE COMMUNITY BASED (OUTPATIENT) TREATMENT PROGRAM WITH A MULTI-DISCIPLINARY TEAM OF PROVIDERS THAT SUPPORTS MAINECARE ELIGIBLE ADULTS WHO MAY HAVE A MAJOR MENTAL ILLNESS DIAGNOSIS AND OFTEN CO-OCCURRING DISORDERS. THE GOAL OF THE ACT PROGRAM IS TO IMPROVE THE CLIENT'S FUNCTIONING IN THE LEAST RESTRICTIVE SETTING, WHILE STRENGTHENING FAMILY, WORK, SCHOOL AND COMMUNITY TIES. THE CLIENT HAS ACCESS TO SUPPORT 24/7 FOR CRISIS NEEDS. THE ACT PROGRAM IS BASED ON NATIONAL STANDARDS AND IS INTENDED TO PREVENT PSYCHIATRIC HOSPITALIZATION AND CRIMINAL JUSTICE INVOLVEMENT. CHILD ACT STRIVES TO KEEP EACH CHILD IN THE LEAST-RESTRICTIVE SETTING, REDUCING HOSPITALIZATIONS, MENTAL HEALTH-RELATED EMERGENCY ROOM VISITS, AND CRISIS UNIT STAYS. ACT ACCOMPLISHES THIS BY PROVIDING SERVICES WITHIN THE HOME, ALONG WITH 24-HOUR CRISIS SUPPORT. ACT TEAMS GENERALLY SEE CLIENTS AND THEIR FAMILIES A MINIMUM OF TWO TIMES PER WEEK, WITH THE NUMBER OF VISITS BASED ON EACH CLIENT'S INDIVIDUAL NEEDS. ACT WORKS IN THE CHILD'S NATURAL ENVIRONMENT, COLLABORATING WITH SCHOOLS, THE LEGAL SYSTEM, AND OTHERS FOR PERSONALIZED SUPPORT. RESIDENTIAL MAINE BEHAVIORAL HEALTHCARE PROVIDES A VARIETY OF RESIDENTIAL TREATMENT OPTIONS FOR ADULTS WITH MENTAL ILLNESS, RANGING FROM THE LEAST INTENSIVE COMMUNITY REHABILITATION APARTMENT PROGRAMS TO THE MOST INTENSIVE GROUP HOME SETTING. RESEARCH SHOWS THAT COMMUNITY AND SUPPORTED LIVING CAN BE AN IMPORTANT STEP IN THE RECOVERY PROCESS. OUR RESIDENCES ARE LOCATED IN YORK AND KNOX COUNTIES AND STAFFED BY TRAINED 24/7 RESIDENTIAL CARE PROFESSIONALS. OUTPATIENT SERVICES OUR LICENSED CLINICIANS PROVIDE COMPASSIONATE, HIGH-QUALITY CARE INCLUDING CASE MANAGEMENT, OUTPATIENT THERAPY, SUBSTANCE ABUSE, AND A RANGE OF COMMUNITY AND HOME-BASED TREATMENT SERVICES FOR ADULTS AND FAMILIES WHO MAY BE EXPERIENCING LIFE STRESSES, TRANSITIONS, OR OTHER BEHAVIORAL HEALTH ISSUES. CLINICIANS WORK CLOSELY WITH OUR PSYCHIATRY STAFF AND NURSE PRACTITIONERS TO PROVIDE INTEGRATED TREATMENT. BEHAVIORAL HEALTH INTEGRATION BEHAVIORAL HEALTH IS AN IMPORTANT COMPONENT OF OVERALL COMPREHENSIVE CARE. IN PARTNERSHIP WITH MAINEHEALTH AND ITS HOSPITAL MEMBERS, MAINE BEHAVIORAL HEALTHCARE HAS INTEGRATED OVER 40 CLINICIANS IN MORE THAN 50 PRIMARY CARE AND SPECIALTY MEDICAL CARE PRACTICES, FROM WALDO COUNTY TO YORK COUNTY, WITH THE OVERALL AIM OF IMPROVING THE MIND-BODY CONNECTION.
FORM 990, PAGE 6, PART VI, LINE 6	MAINEHEALTH (EIN 01-0431680) IS THE SOLE MEMBER OF THE ORGANIZATION. AS THE SOLE MEMBER, MAINEHEALTH HAS THE RIGHT TO APPROVE SIGNIFICANT DECISIONS OF THE GOVERNING BODY OF MBH.
FORM 990, PAGE 6, PART VI, LINE 7A	THE SOLE MEMBER OF THE ORGANIZATION HAS THE RESPONSIBILITY FOR THE ELECTION OF THE MEMBERS OF THE GOVERNING BODY. THE OFFICERS ARE ELECTED BY THE BOARD OF TRUSTEES, EXCEPT THAT THE CFO, COO, CHIEF MEDICAL OFFICER AND CHIEF CLINICAL & NURSING OFFICER ARE APPOINTED BY THE BOARD OF TRUSTEES BASED UPON A RECOMMENDATION OF THE CEO.
FORM 990, PAGE 6, PART VI, LINE 7B	DECISIONS OF THE GOVERNING BODY SUCH AS BUDGETS, BUSINESS STRATEGIES, SIGNIFICANT FINANCIAL COMMITMENTS, AMENDMENTS TO THE ARTICLES OF INCORPORATION, AND ELECTION OF THE PRESIDENT/CEO AMONG OTHER DECISIONS, ARE SUBJECT TO THE APPROVAL OF THE SOLE MEMBER.
FORM 990, PAGE 6, PART VI, LINE 11B	THE FORM 990 WAS REVIEWED BY THE BOARD OF TRUSTEES. A DETAILED REVIEW OF THE FORM 990 IS PERFORMED BY THE CONTROLLER & CFO PRIOR TO THE CFO SIGNING AND FILING THE RETURN.
FORM 990, PAGE 6, PART VI, LINE 12C	CONFLICT OF INTEREST STATEMENTS ARE OBTAINED ANNUALLY. THE ORGANIZATION REVIEWS THE RESPONSES TO THESE DOCUMENTS AND ADDRESSES ANY ISSUES IMMEDIATELY.
FORM 990, PAGE 6, PART VI, LINE 15A	MAINE BEHAVIORAL HEALTHCARE BOARD OF TRUSTEES ARE RESPONSIBLE FOR AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. IN ADDITION, THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM AND INDUSTRY SURVEY.
FORM 990, PAGE 6, PART VI, LINE 15B	THE MEMBER IS RESPONSIBLE FOR AN ANNUAL EVALUATION OF THE PRESIDENT/CEO AND THE OTHER KEY ADMINISTRATIVE EMPLOYEES OF THE ORGANIZATION. COMPENSATION IS EVALUATED BY THE COMPENSATION COMMITTEE APPOINTED BY THE MEMBER, AND THE ORGANIZATION'S BOARD OF TRUSTEES MUST APPROVE OF THE COMPENSATION. IN ADDITION, THE ORGANIZATION UTILIZES THE SERVICES OF AN INDEPENDENT COMPENSATION CONSULTING FIRM AND INDUSTRY SURVEY.
FORM 990, PAGE 6, PART VI, LINE 19	DOCUMENTS THAT ARE REQUIRED TO BE OPEN FOR PUBLIC INSPECTION ARE MADE AVAILABLE UPON REQUEST.
FORM 990, PART VII	DENNIS KING WAS THE PRESIDENT & CEO OF MBH UNTIL HIS RETIREMENT IN JUNE, 2016. STEVE MERZ, THE CURRENT PRESIDENT & CEO BEGAN IN JUNE, 2016. HE HAD NO CALENDAR YEAR 2015 COMPENSATION,THEREFORE NONE IS REPORTED.
FORM 990, PART XI, LINE 9	TRANSFER TO AFFILIATE -64,000 CHANGE IN PERPETUAL TRUST 5,750 INVESTMENT INCOME ON TRNA 4,509 TOTAL -53,741

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

MAINE BEHAVIORAL HEALTHCARE

Employer identification number

01-0524834

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)MAINEHEALTH 110 FREE STREET PORTLAND,ME04101 01-0431680	HEALTHCARE	ME	501C3	11C	NA		No
(2)MAINE MEDICAL CENTER 22 BRAMHALL STREET PORTLAND,ME04102 01-0238552	HOSPITAL	ME	501C3	3	MAINEHLTH		No
(3)NORDX 301A US ROUTE ONE SCARBOROUGH,ME04074 01-0511356	LAB	ME	501C3	9	MAINEHLTH		No
(4)LINCOLNHEALTH GROUP 6 ST ANDREWS LANE BOOTHBAY HARBOR,ME04538 26-1475629	HEALTHCARE	ME	501C3	11B	MAINEHLTH		No
(5)WESTERN MAINE HEALTH CARE CORP 181 MAIN STREET NORWAY,ME04268 01-0411788	HEALTHCARE	ME	501C3	11B	MAINEHLTH		No
(6)MAINEHEALTH CARE AT HOME 15 INDUSTRIAL PARK DRIVE SACO,ME04072 22-2571902	HEALTHCARE	ME	501C3	9	MAINEHLTH		No
(7)COASTAL HEALTHCARE ALLIANCE 4 WHITE STREET ROCKLAND,ME04841 22-2494475	HEALTHCARE	ME	501C3	11B	MAINEHLTH		No
(8)GERIATRIC RESOURCE NETWORK 110 FREE STREET PORTLAND,ME04101 01-0542842	HEALTHCARE	ME	501C3	7	MAINEHLTH		No
(9)MAINEHEALTH CARDIOLOGY 110 FREE STREET PORTLAND,ME04101 45-2525629	HEALTHCARE	ME	501C3	9	MAINEHLTH		No
(10)SOUTHERN MAINE HEALTH CARE PO BOX 626 BIDDEFORD,ME040050626 01-0179500	HEALTHCARE	ME	501C3	3	MAINEHLTH		No
(11)THE MEMORIAL HOSPITAL AT NORTH CONWAY NH3073 WHITE MOUNTAIN HIGHWAY NORTH CONWAY,NH038605001 02-0222156	HOSPITAL	NH	501C3	3	MAINEHLTH		No
(12)FRANKLIN COMMUNITY HEALTH NETWORK 111 FRANKLIN HEALTH COMMONS FARMINGTON,ME04938 22-3209406	HEALTHCARE	ME	501C3	11B	MAINEHLTH		No
(13)WALDO COUNTY HEALTHCARE INC PO BOX 287 BELFAST,ME049150287 22-2864961	HEALTHCARE	ME	501C3	11B	MAINEHLTH		No

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) MAINEHEALTH ACO 110 FREE STREET PORTLAND,ME04101 45-2929273	HEALTHCARE	ME	N/A				No			No

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) MAINE PHYSICIAN HOSPITAL ORG 110 FREE ST PORTLAND,ME04101 01-0527540	HEALTHCARE	ME	N/A					No
(2) SYNERNET INC 110 FREE ST PORTLAND,ME04101 01-0539789	HEALTHCARE	ME	N/A					No

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

Yes

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

Yes

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: MAINE BEHAVIORAL HEALTHCARE WILL PROVIDE A SEAMLESS AND COMPASSIONATE CONTINUUM OF CARE THROUGH A COMMUNITY OF PROVIDERS COLLABORATING TO PROMOTE RECOVERY AND THE OVERALL MENTAL AND PHYSICAL WELL-BEING OF THOSE WE ARE PRIVILEGED TO SERVE.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	20
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	1,398
6	Total number of volunteers (estimate if necessary) .............	6	50
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,916,066	5,955,053
9	Program service revenue (Part VIII, line 2g) .........	73,922,242	77,118,874
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	432,706	506,695
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	192,064	195,757
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	79,463,078	83,776,379
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...		0
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	60,244,313	64,928,460
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 764,825
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	18,017,009	19,764,068
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	78,261,322	84,692,528
19	Revenue less expenses. Subtract line 18 from line 12.......	1,201,756	-916,149
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	54,080,782	54,078,244
21	Total liabilities (Part X, line 26).............	37,402,403	38,196,968
22	Net assets or fund balances. Subtract line 21 from line 20.....	16,678,379	15,881,276

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 34,576,593 including grants of $ ) (Revenue $ 35,984,122 )
	SPRING HARBOR HOSPITAL LOCATED IN WESTBROOK, MAINE, SPRING HARBOR HOSPITAL IS SOUTHERN MAINE'S ONLY NONPROFIT, PRIVATE PSYCHIATRIC HOSPITAL PROVIDING COMPREHENSIVE INPATIENT SERVICES FOR INDIVIDUALS WHO EXPERIENCE ACUTE MENTAL ILLNESS OR DUAL DISORDERS ISSUES. OUR FACILITY, LICENSED FOR 100 BEDS, IS SET ON 50 PRIVATE ACRES IN GREATER PORTLAND AND OFFERS CHILDREN, ADOLESCENTS, AND ADULTS A COMFORTABLE AND PLEASANT ENVIRONMENT FOR PSYCHIATRIC TREATMENT. WE PROVIDE 24-HOUR INFORMATION AND REFERRAL, VOLUNTARY AND INVOLUNTARY HOSPITALIZATION AND COMPREHENSIVE DISCHARGE PLANNING. (CONTINUED AT SCHEDULE O) (CONTINUED FROM PART III, LINE 4A) AS PART OF THE MAINEHEALTH SYSTEM, AND A DIVISION OF MAINE BEHAVIORAL HEALTHCARE, SPRING HARBOR IS CLINICALLY INTEGRATED WITH MENTAL HEALTH PROVIDERS, HOSPITALS AND PRIMARY CARE SITES TO ENSURE EASY AND TIMELY ACCESS TO TREATMENT AND SAFE AND EFFECTIVE TRANSITIONS BETWEEN SERVICES. THROUGH A UNIQUE COLLABORATION WITH MAINE MEDICAL CENTER, SPRING HARBOR IS ABLE TO OFFER THE MOST COMPLETE ARRAY OF PSYCHIATRIC TREATMENT, PHYSICIAN- TRAINING, AND MEDICAL-RESEARCH PROGRAMS NORTH OF BOSTON. INPATIENT SERVICES OUR INPATIENT PROGRAMS FOR CHILDREN, ADOLESCENTS, ADULTS, AND OLDER ADULTS PROVIDE HOPE FOR THOSE WHO SUFFER FROM A VARIETY OF MENTAL ILLNESSES OR CO-OCCURRING DISORDERS. MANY OF OUR HOSPITAL PATIENTS EXPERIENCE SERIOUS DEPRESSION AND/OR ANXIETY AND MAY EXHIBIT SUICIDAL TENDENCIES OR AGGRESSION TOWARD PEERS, FAMILY MEMBERS, COWORKERS, OR SCHOOL PERSONNEL. THAT IS WHY OUR SERVICES ARE PROVIDED ON SECURE TREATMENT UNITS BY MULTIDISCIPLINARY TREATMENT TEAMS WHO SPECIALIZE IN PSYCHIATRIC AND CO-OCCURRING DISORDERS. DEVELOPMENTAL DISORDERS PROGRAM DEVELOPMENTAL DISORDERS PROGRAM PRODUCES THE HIGHEST QUALITY TREATMENT OUTCOMES THROUGH A COMBINATION OF EXPERT PROGRAMMING, SPECIALLY TRAINED CAREGIVERS, AND THE INDIVIDUAL POTENTIAL OF EACH PATIENT. THE DEVELOPMENTAL DISORDERS PROGRAM IS THE ONLY HOSPITAL PROGRAM IN MAINE WHERE CHILDREN WITH A DEVELOPMENTAL DISORDER, SUCH AS AUTISM OR MENTAL RETARDATION, CAN RECEIVE INTENSIVE TREATMENT FOR AGGRESSION, SELF-INJURY, IMPAIRMENT IN FUNCTIONING, AND MENTAL HEALTH CHALLENGES. CHILDREN IN THE PROGRAM RECEIVE EDUCATIONAL SERVICES FROM SPRING HARBOR ACADEMY, A PRIVATE, SPECIAL-PURPOSE SCHOOL LOCATED AT THE HOSPITAL. EACH STUDENT RECEIVES DEVELOPMENTALLY APPROPRIATE EDUCATIONAL PROGRAMMING. THE CHILD'S CURRENT INDIVIDUAL EDUCATION PLAN (IEP) IS FOLLOWED, AND ONGOING EDUCATIONAL NEEDS ARE ASSESSED THROUGH THE IEP TEAM PROCESS. SPRING HARBOR ACADEMY ALSO WORKS WITH THE CHILD'S HOME SCHOOL TO ENSURE THE STUDENT'S SUCCESSFUL TRANSITION AFTER LEAVING THE HOSPITAL.

4b	(Code: ) (Expenses $ 5,262,133 including grants of $ ) (Revenue $ 5,476,341 )
	OUTPATIENT MENTAL HEALTH AND SUBSTANCE ABUSE THERAPY OUR OUTPATIENT COUNSELING SERVICES PROVIDE INDIVIDUALS, COUPLES AND FAMILIES STRUGGLING WITH A WIDE VARIETY OF PERSONAL AND FAMILY ISSUES WITH HIGH-QUALITY, INNOVATIVE THERAPEUTIC TREATMENT BY LICENSED CLINICIANS. WE ALSO PROVIDE SPECIALIZED TREATMENT FOR THOSE WITH CO-OCCURRING MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. OUR THERAPISTS, IN COLLABORATION WITH CASE MANAGERS, PHYSICIANS AND NURSE PRACTITIONERS, HAVE HELPED THOUSANDS OF PEOPLE RECOVER FROM MILD, SHORT-TERM EMOTIONAL AND PSYCHOLOGICAL DIFFICULTIES, AS WELL AS TO SUCCESSFULLY MANAGE SEVERE AND CHRONIC MENTAL ILLNESS. (CONTINUED AT SCHEDULE O) (CONTINUED FROM PART III, LINE 4B) MAINE BEHAVIORAL HEALTHCARE PROVIDES A FULL RANGE OF SUBSTANCE ABUXE TREATMENT SERVICES FOR ADULTS, ADOLESCENTS AND FAMILIES. OUR LICENSED PROFESSIONALS FOCUS ON HELPING PEOPLE EXAMINE THEIR RELATIONSHIPS WITH ALCOHOL AND DRUGS AND DEVELOP HEALTHY, FULFILLING LIVES.

4c	(Code: ) (Expenses $ 4,805,903 including grants of $ ) (Revenue $ 5,001,540 )
	PSYCHIATRY MAINE BEHAVIORAL HEALTHCARE IS THE LEADING PROVIDER OF PSYCHIATRIC CARE IN MAINE. OUR COMPREHENSIVE SYSTEM OF CARE REACHES ACROSS THE STATE AT CONVENIENT COMMUNITY TREATMENT CENTERS, AT SPRING HARBOR HOSPITAL, AND AT OUR PARTNER HOSPITALS: MAINE MEDICAL CENTER DEPARTMENT OF PSYCHIATRY, SOUTHERN MAINE HEALTH CARE BEHAVIORAL HEALTH SERVICES AND AT PEN BAY MEDICAL CENTER'S PARC UNIT. TRAINED, BOARD-CERTIFIED PHYSICIANS AND NURSE PRACTITIONERS, PROVIDE ASSESSMENTS, MEDICATION MANAGEMENT, AND TREATMENT FOR BOTH CHILDREN, ADOLESCENTS AND ADULTS. OUR PSYCHIATRY PROFESSIONALS WORK COLLABORATIVELY WITH COUNSELORS AND CASE MANAGERS TO PROVIDE COORDINATED CARE THROUGH (CONTINUED AT SCHEDULE O) (CONTINUED FROM PART III, LINE 4B) SUCH AREAS AS CHILD PSYCHIATRY, DEPRESSION COUNSELING, AND GERIATRIC PSYCHIATRY, AS WELL AS A VARIETY OF OTHER MENTAL HEALTH SERVICES.

	(Code: ) (Expenses $ 29,457,719 including grants of $ ) (Revenue $ 30,656,871 )
	IN ADDITION TO OUR THREE LARGEST PROGRAMS, MAINE BEHAVIORAL HEALTHCARE OFFERS MANY OTHER PROGRAMS TO PROVIDE A FULL SPECTRUM OF CARE. HERE IS A BRIEF DESCRIPTION OF SOME OF THESE IMPORTANT SERVICES: CASE MANAGEMENT SERVICES CASE MANAGEMENT FOR ADULTS, ALSO CALLED COMMUNITY INTEGRATION, IS A MAINECARE FUNDED SUPPORT SERVICE DESIGNED TO IMPROVE THE QUALITY OF LIFE FOR INDIVIDUALS WHO HAVE BEHAVIORAL HEALTH OR SPECIAL DEVELOPMENTAL NEEDS. CASE MANAGERS DETERMINE THE PERSON'S STRENGTH AND NEEDS AND THEN HELP IDENTIFY AND ACCESS RESOURCES AND SERVICES TO PROMOTE INDEPENDENCE AND INTEGRATION IN THE COMMUNITY. WE WORK WITH OUR CLIENTS TO DEVELOP TREATMENT PLANS THAT MEET THE GOALS THEY IDENTIFY, AND THEN DEVELOP ACTION STEPS WITH THEM TO ASSIST IN ACHIEVING THEIR GOALS. OUR FULL RANGE OF SERVICES ARE TAILORED TO EACH INDIVIDUAL'S NEEDS AND INCLUDE MOBILE OUTREACH, CLIENT ADVOCACY, MAINTENANCE OF BASIC LIVING NEEDS, ASSESSMENT OF BENEFITS, AND LINKING AND MONITORING SERVICES. WE CAN HELP ADULTS THRIVE AT HOME, AT WORK AND IN THEIR COMMUNITIES BY: -CONNECTING WITH NATURAL SUPPORTS AND COMMUNITY RESOURCES. -HELPING NAVIGATE THE SYSTEMS OF BEHAVIORAL AND MEDICAL CARE. -COORDINATING SERVICES AND STREAMLINING COMMUNICATION BETWEEN MULTIPLE PROVIDERS. -DEVELOPING AND MONITORING INDIVIDUALIZED SERVICE PLANS. TARGETED CASE MANAGEMENT FOR CHILDREN AND ADOLESCENTS (UP TO AGE 20) IS A MAINECARE FUNDED SERVICE TO SUPPORT MENTAL OR BEHAVIORAL HEALTH NEEDS. WORKING CLOSELY WITH FAMILIES, THE CASE MANAGER DETERMINES THE CHILD'S STRENGTHS AND NEEDS AND THEN HELPS IDENTIFY AND ACCESS RESOURCES AND SERVICES IN THE COMMUNITY. THE GOAL IS TO HELP THE CHILD OR ADOLESCENT THRIVE IN THE HOME, SCHOOL AND COMMUNITY. TARGETED CASE MANAGEMENT IS GROUNDED IN THE WRAPAROUND PROCESS, A HIGHLY INDIVIDUALIZED PLANNING PROCESS AIMED AT HELPING PEOPLE MEET THEIR UNMET NEEDS BOTH WITHIN AND OUTSIDE OF THE FORMAL SOCIAL SERVICE SYSTEM. WRAPAROUND IS A HOLISTIC PROCESS THAT MEETS NEEDS ACROSS A WIDE RANGE OF LIFE DOMAINS. BEHAVIORAL HEALTH HOMES ARE A MAINECARE SERVICE DESIGNED TO HELP PEOPLE WITH CHRONIC CONDITIONS, SUCH AS DIABETES, HEART DISEASE AND LUNG DISEASE MANAGE THEIR MENTAL AND PHYSICAL HEALTH NEEDS TOGETHER. THIS SPECIALTY SERVICE HELPS PEOPLE ADDRESS ALL OF THEIR HEALTH NEEDS BY COLLABORATING WITH THEIR DOCTOR AND ARRANGING SERVICES. CASE MANAGERS WORK WITH THE INDIVIDUAL, A NURSE, A CLINICAL TEAM LEADER AND A PEER SUPPORT SPECIALIST TO PROVIDE A WHOLE PERSON INTEGRATED APPROACH. THE BEHAVIORAL HEALTH HOME TEAM AND PRIMARY CARE PROVIDERS WORK TOGETHER TO IMPROVE HEALTH. DEVELOPMENTAL DISORDERS PROGRAM FOR CHILDREN CHILDREN IN THE DEVELOPMENTAL DISORDERS PROGRAM AT SPRING HARBOR HOSPITAL RECEIVE EDUCATIONAL SERVICES FROM SPRING HARBOR ACADEMY, A PRIVATE, SPECIAL-PURPOSE SCHOOL LOCATED AT THE HOSPITAL. EACH STUDENT RECEIVES DEVELOPMENTALLY APPROPRIATE EDUCATIONAL PROGRAMMING. THE CHILD'S CURRENT INDIVIDUAL EDUCATION PLAN (IEP) IS FOLLOWED, AND ONGOING EDUCATIONAL NEEDS ARE ASSESSED THROUGH THE IEP TEAM PROCESS. SPRING HARBOR ACADEMY ALSO WORKS WITH THE CHILD'S HOME SCHOOL TO ENSURE THE STUDENT'S SUCCESSFUL TRANSITION AFTER LEAVING THE HOSPITAL. AN EXTENSION OF THE DEVELOPMENTAL DISORDERS PROGRAM AT SPRING HARBOR IS OUR CENTER FOR AUTISM AND DEVELOPMENTAL DISORDERS (CADD), AN OUTPATIENT CLINIC, OFFERING MAINE CHILDREN, ADOLESCENTS AND THEIR FAMILIES A COMPREHENSIVE, COORDINATED DAY TREATMENT PROGRAM WITH PRIMARY CARE CONSULTATION. EACH CHILD RECEIVES AN ASSESSMENT TO IDENTIFY TARGET BEHAVIORS, MENTAL HEALTH NEEDS AND DEVELOPMENTAL CHALLENGES. THE EVALUATION EXPLORES PSYCHIATRIC, SPEECH, OCCUPATIONAL, MEDICAL, FAMILY AND ENVIRONMENTAL FACTORS THAT MAY BE CONTRIBUTING TO THE PROBLEMS. CRISIS SERVICES WE SERVE INDIVIDUALS EXPERIENCING AN ACUTE BEHAVIORAL HEALTH EMERGENCY, ALONG WITH SUPPORT FOR THEIR FAMILIES. THESE INCLUDE A 24/7 CRISIS HOTLINE, MOBILE RESPONSE SERVICES, CRISIS RESPONSE SERVICES AND A CRISIS STABILIZATION UNIT, A SHORT-TERM ALTERNATIVE TO HOSPITALIZATION. ASSERTIVE COMMUNITY TREATMENT (ACT) ADULT ACT IS AN INTENSIVE COMMUNITY BASED (OUTPATIENT) TREATMENT PROGRAM WITH A MULTI-DISCIPLINARY TEAM OF PROVIDERS THAT SUPPORTS MAINECARE ELIGIBLE ADULTS WHO MAY HAVE A MAJOR MENTAL ILLNESS DIAGNOSIS AND OFTEN CO-OCCURRING DISORDERS. THE GOAL OF THE ACT PROGRAM IS TO IMPROVE THE CLIENT'S FUNCTIONING IN THE LEAST RESTRICTIVE SETTING, WHILE STRENGTHENING FAMILY, WORK, SCHOOL AND COMMUNITY TIES. THE CLIENT HAS ACCESS TO SUPPORT 24/7 FOR CRISIS NEEDS. THE ACT PROGRAM IS BASED ON NATIONAL STANDARDS AND IS INTENDED TO PREVENT PSYCHIATRIC HOSPITALIZATION AND CRIMINAL JUSTICE INVOLVEMENT. CHILD ACT STRIVES TO KEEP EACH CHILD IN THE LEAST-RESTRICTIVE SETTING, REDUCING HOSPITALIZATIONS, MENTAL HEALTH-RELATED EMERGENCY ROOM VISITS, AND CRISIS UNIT STAYS. ACT ACCOMPLISHES THIS BY PROVIDING SERVICES WITHIN THE HOME, ALONG WITH 24-HOUR CRISIS SUPPORT. ACT TEAMS GENERALLY SEE CLIENTS AND THEIR FAMILIES A MINIMUM OF TWO TIMES PER WEEK, WITH THE NUMBER OF VISITS BASED ON EACH CLIENT'S INDIVIDUAL NEEDS. ACT WORKS IN THE CHILD'S NATURAL ENVIRONMENT, COLLABORATING WITH SCHOOLS, THE LEGAL SYSTEM, AND OTHERS FOR PERSONALIZED SUPPORT. RESIDENTIAL MAINE BEHAVIORAL HEALTHCARE PROVIDES A VARIETY OF RESIDENTIAL TREATMENT OPTIONS FOR ADULTS WITH MENTAL ILLNESS, RANGING FROM THE LEAST INTENSIVE COMMUNITY REHABILITATION APARTMENT PROGRAMS TO THE MOST INTENSIVE GROUP HOME SETTING. RESEARCH SHOWS THAT COMMUNITY AND SUPPORTED LIVING CAN BE AN IMPORTANT STEP IN THE RECOVERY PROCESS. OUR RESIDENCES ARE LOCATED IN YORK AND KNOX COUNTIES AND STAFFED BY TRAINED 24/7 RESIDENTIAL CARE PROFESSIONALS. OUTPATIENT SERVICES OUR LICENSED CLINICIANS PROVIDE COMPASSIONATE, HIGH-QUALITY CARE INCLUDING CASE MANAGEMENT, OUTPATIENT THERAPY, SUBSTANCE ABUSE, AND A RANGE OF COMMUNITY AND HOME-BASED TREATMENT SERVICES FOR ADULTS AND FAMILIES WHO MAY BE EXPERIENCING LIFE STRESSES, TRANSITIONS, OR OTHER BEHAVIORAL HEALTH ISSUES. CLINICIANS WORK CLOSELY WITH OUR PSYCHIATRY STAFF AND NURSE PRACTITIONERS TO PROVIDE INTEGRATED TREATMENT. BEHAVIORAL HEALTH INTEGRATION BEHAVIORAL HEALTH IS AN IMPORTANT COMPONENT OF OVERALL COMPREHENSIVE CARE. IN PARTNERSHIP WITH MAINEHEALTH AND ITS HOSPITAL MEMBERS, MAINE BEHAVIORAL HEALTHCARE HAS INTEGRATED OVER 40 CLINICIANS IN MORE THAN 50 PRIMARY CARE AND SPECIALTY MEDICAL CARE PRACTICES, FROM WALDO COUNTY TO YORK COUNTY, WITH THE OVERALL AIM OF IMPROVING THE MIND-BODY CONNECTION.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 29,457,719 including grants of $ ) (Revenue $ 30,656,871 )
4e	Total program service expenses74,102,348

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	2,231,562	826,936	321,521

(A) Name and business address	(B) Description of services	(C) Compensation
NEW ENGLAND INTERPRETER SERVICES, PO BOX 10877 PORTLAND,ME04101	INTERPRETING	109,435




2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1

1a	Federated campaigns..		1a	299,013
b	Membership dues..		1b
c	Fundraising events..		1c	172,732
d	Related organizations		1d	410,000
e	Government grants (contributions)		1e	4,440,637

f	All other contributions, gifts, grants, and similar amounts not included above		1f	632,671

g	Noncash contributions included in lines 1a-1f:$
h Total.Add lines 1a-1f.......		5,955,053

		Business Code
2a	INPATIENT REVENUE	624100	43,666,661	43,666,661
b	OUTPATIENT REVENUE	621400	19,490,538	19,490,538
c	CONTRACT REVENUE	623000	6,765,434	6,765,434
d	RESIDENTIAL INCOME	611600	5,137,280	5,137,280
e	SPRING HARBOR ACADEMY	624100	1,786,081	1,786,081
f	All other program service revenue.			272,880	272,880
g Total.Add lines 2a–2f.....			77,118,874

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			325,023			325,023
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	359,544
b	Less: cost or other basis and sales expenses	177,872
c	Gain or (loss)	181,672
d	Net gain or (loss).....			181,672	181,672
8a	Gross income from fundraising events (not including $ 172,732of contributions reported on line 1c). See Part IV, line 18 ....
	a		62,453
b	Less: direct expenses ...b		34,392
c	Net income or (loss) from fundraising events..			28,061
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a
b	Less: cost of goods sold ..b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	MISC OP		900099	68,263	68,263
b	CHANGE IN FV INT. RATE SWAP		900099	52,036	52,036
c	MEDICARE INCENTIVE		900099	23,498	23,498
d	All other revenue ....			23,899	23,899
e	Total. Add lines 11a–11d ......			167,696
12	Total revenue. See Instructions......			83,776,379	77,468,242		325,023

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21
2	Grants and other assistance to individuals in the United States. See Part IV, line 22
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	981,737	444,944	536,793
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....
7	Other salaries and wages	50,782,013	47,751,987	2,560,657	469,369
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,125,048	1,050,496	64,169	10,383
9	Other employee benefits .......	8,366,571	7,821,241	462,968	82,362
10	Payroll taxes ...........	3,673,091	3,422,407	217,322	33,362
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	144,959	139,302	5,657
c	Accounting ...........	132,400	7,500	124,900
d	Lobbying ...........
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	3,443,434	2,353,454	1,062,100	27,880
12	Advertising and promotion ....	30,182		30,182
13	Office expenses .......	1,713,786	1,413,792	266,266	33,728
14	Information technology ......	3,021,889	191,200	2,828,250	2,439
15	Royalties ..
16	Occupancy ...........	2,866,881	2,542,645	307,531	16,705
17	Travel ............	750,738	703,500	36,939	10,299
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........	779,308	745,780	15,910	17,618
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	2,119,062	1,618,573	492,906	7,583
23	Insurance ...	404,909	403,833	623	453
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	OTHER	1,368,409	1,083,148	237,748	47,513
b	HOSPITAL TAX	1,300,380	1,300,380
c	FOOD SERVICES	708,912	681,482	22,299	5,131
d	MEMBER MANAGEMENT FEES	552,135		552,135
e	All other expenses	426,684	426,684
25	Total functional expenses. Add lines 1 through 24e	84,692,528	74,102,348	9,825,355	764,825
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			943,814	1	183,775
2	Savings and temporary cash investments .........			15,945,116	2	538,308
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			5,683,738	4	6,261,621
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....			402,674	7	1,188,816
8	Inventories for sale or use ........			132,279	8	138,507
9	Prepaid expenses and deferred charges ......			156,821	9	133,360
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	47,323,065
b	Less: accumulated depreciation	10b	21,203,329	26,480,985	10c	26,119,736
11	Investments—publicly traded securities .			2,270,839	11	17,277,635
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			2,064,516	15	2,236,486
16	Total assets. Add lines 1 through 15 (must equal line 34)...			54,080,782	16	54,078,244

17	Accounts payable and accrued expenses .....	4,642,098	17	4,604,147
18	Grants payable ...		18
19	Deferred revenue .........	47,177	19	56,673
20	Tax-exempt bond liabilities .........	18,443,690	20	17,582,008
21	Escrow or custodial account liability. Complete Part IV of Schedule D	105,352	21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..	3,527,365	23	3,047,830
24	Unsecured notes and loans payable to unrelated third parties ..		24	1,940,000
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	10,636,721	25	10,966,310
26	Total liabilities. Add lines 17 through 25..	37,402,403	26	38,196,968

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	14,873,111	27	13,960,759
28	Temporarily restricted net assets ...........	1,145,640	28	1,255,139
29	Permanently restricted net assets	659,628	29	665,378
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	16,678,379	33	15,881,276
34	Total liabilities and net assets/fund balances ........	54,080,782	34	54,078,244