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KATAHDIN VALLEY HEALTH CENTER: Form 990, tax year 2025

View the entire original 990 at ProPublica ↗

Organization
KATAHDIN VALLEY HEALTH CENTER (EIN 23-7411014)
Tax period
2025-04-01 to 2026-03-31
Filed
2026-06-24
IRS object ID
202601759349300435
Schema version
2025v4.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2026-06-24T12:57:02-04:00ReturnTs
Tax Period End2026-03-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN010411241PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CHESTER M KEARNEY PABusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1PO BOX 1550AddressLine1Txt
CityPRESQUE ISLECityNm
State AbbreviationMEStateAbbreviationCd
ZIP04769ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2025-04-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN237411014EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1KATAHDIN VALLEY HEALTH CENTERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlKATABusinessNameControlTxt
Phone2075383700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1529 SOUTH PATTEN ROADAddressLine1Txt
CityPATTENCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04765ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonCHRISTINE NICKERSONPersonNm
Person TitleBOARD CHAIRPersonTitleTxt
Phone2075282285PhoneNum
Signature2026-06-02SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTIMOTHY P POITRASPreparerPersonNm
PTINP00542788PTIN
Phone2077643171PhoneNum
Preparation2026-06-04PreparationDt
FieldValueIRS element (for citing)
Tax2025TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerCHRISTINE NICKERSONPrincipalOfficerNm
Gross Receipts$34,647,796GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.KVHC.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Activity Or MissionTHE PURPOSE OF THE ORGANIZATION IS TO PROVIDE MEDICAL, DENTAL AND OTHER HEALTH CARE SERVICES TO INDIVIDUALS IN THE AREAS OF PATTEN, MILLINOCKET, BROWNVILLE, ASHLAND, ISLAND FALLS, LINCOLN, DOVER AND HOULTON, MAINE AREAS. IT IS A FEDERALLY QUALIFIED HEALTH CENTER.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee396TotalEmployeeCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$5,982,106PYContributionsGrantsAmt
CY Contributions Grants$4,554,193CYContributionsGrantsAmt
PY Program Service Revenue$26,471,009PYProgramServiceRevenueAmt
CY Program Service Revenue$29,865,074CYProgramServiceRevenueAmt
PY Investment Income$167,295PYInvestmentIncomeAmt
CY Investment Income$228,529CYInvestmentIncomeAmt
PY Other Revenue$500,000PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$33,120,410PYTotalRevenueAmt
CY Total Revenue$34,647,796CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,423,088PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,245,109CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,782,205PYOtherExpensesAmt
CY Other Expenses$9,186,416CYOtherExpensesAmt
PY Total Expenses$31,205,293PYTotalExpensesAmt
CY Total Expenses$32,431,525CYTotalExpensesAmt
PY Revenues Less Expenses$1,915,117PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,216,271CYRevenuesLessExpensesAmt
Total Assets BOY$50,682,720TotalAssetsBOYAmt
Total Assets EOY$53,446,077TotalAssetsEOYAmt
Total Liabilities BOY$17,048,874TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,595,960TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$33,633,846NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$35,850,117NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE PURPOSE OF THE ORGANIZATION IS TO PROVIDE MEDICAL, DENTAL AND OTHER HEALTH CARE SERVICES TO INDIVIDUALS IN THE AREAS OF PATTEN, MILLINOCKET, BROWNVILLE, ASHLAND, ISLAND FALLS, LINCOLN, DOVER AND HOULTON, MAINE AREAS. IT IS A FEDERALLY QUALIFIED HEALTH CENTER.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$23,684,388ExpenseAmt
Revenue$29,865,074RevenueAmt
DescTHE CENTER PROVIDES HEALTH CARE SERVICES FOR THE PEOPLE OF ALL AGES FROM THE SURROUNDING AREA, CENTRAL AND NORTHERN MAINE.Desc
Total Program Service Expenses$23,684,388TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesfalseLobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesfalseReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (true)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtfalseConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityfalseRelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document20IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee396EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonCLAUDETTE HUMPHREYPersonNm
Phone2075383700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1529 SOUTH PATTEN ROADAddressLine1Txt
CityPATTENCityNm
State AbbreviationMEStateAbbreviationCd
ZIP04765ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (16 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CLAUDETTE HUMPHREY
CEO50.00Yes (X)$472,112$0$38,170
JEAN HAMLIN
PHYSICIAN40.00$266,804$0$32,671Yes (X)
ERIN CHANDLER
PHYSICIAN40.00$240,022$0$21,088Yes (X)
KATHLEEN THIBAULT
PHYSICIAN40.00$242,836$0$0Yes (X)
MORGAN ABDUL-KORAH
DENTIST40.00$209,742$0$29,286Yes (X)
DAVID FLAHERTY
CHIEF MED OF40.00$222,868$0$0Yes (X)
CHARITY RUDGE
CFO40.00Yes (X)$109,113$0$7,751
RHONDA BROPHY
DIRECTOR1.00$0$0$0Yes (X)
KATHLEEN CASE
DIRECTOR1.00$0$0$0Yes (X)
JOHN DOE
TREASUER1.00Yes (X)$0$0$0Yes (X)
CHRISTINE NICKERSON
BOARD CHAIR1.00Yes (X)$0$0$0Yes (X)
JASON J PARENT
DIRECTOR1.00$0$0$0Yes (X)
CHAD PERKINS
VICE CHAIR1.00Yes (X)$0$0$0Yes (X)
BRANDI STEVENSON
SECRETARY1.00Yes (X)$0$0$0Yes (X)
ALICIA M STONE
DIRECTOR1.00$0$0$0Yes (X)
KATHY WHITE
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$1,763,497TotalReportableCompFromOrgAmt
Total Other Compensation$128,966TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K7IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
DOCSTAR MEDICAL
100 AVE OF THE CHAMPIONSPALM BEACH GARDENSFL33418LOCUM STAFFING$1,562,203
ATHENA HEALTH
311 ARSENAL STWATERTOWNMA02472EHR$1,375,048
NICKERSON & O'DAY
PO BOX 911BANGORME04401CONTRACTOR$943,671
IRIS TELEHEALTH
114 W 7TH STREETAUSTINTX78701TELEHEALTH$772,294
SCRIBE X NORTHWEST
931 SW KING AVEPORTLANDOR97205TRANSCRIPTION$257,012
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K11CntrctRcvdGreaterThan100KCnt
Government Grants$4,554,193GovernmentGrantsAmt
Total Contributions$4,554,193TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICAL FEES$22,836,334$22,836,334
PHARMACY REVENUE$4,390,034$4,390,034
INCENTIVE REWARDS$974,842$974,842
340B PROGRAM$880,459$880,459
OTHER SUBSIDIES$638,218$638,218

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$145,187TotalRevenueColumnAmt
Related Or Exempt Func Income$145,187RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$29,865,074TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$228,529TotalRevenueColumnAmt
Exclusion$228,529ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$34,647,796TotalRevenueColumnAmt
Related Or Exempt Func Income$29,865,074RelatedOrExemptFuncIncomeAmt
Exclusion$228,529ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$19,936,937TotalAmt
Program Services$13,923,647ProgramServicesAmt
Management And General$6,013,290ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,308,172TotalAmt
Program Services$2,201,079ProgramServicesAmt
Management And General$1,107,093ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,440,754TotalAmt
Program Services$2,271,408ProgramServicesAmt
Management And General$169,346ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$11,489TotalAmt
Program Services$330ProgramServicesAmt
Management And General$11,159ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$50,189TotalAmt
Program Services$3,932ProgramServicesAmt
Management And General$46,257ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$667,371TotalAmt
Program Services$505,885ProgramServicesAmt
Management And General$161,486ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$146,818TotalAmt
Program Services$92,585ProgramServicesAmt
Management And General$54,233ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$492,727TotalAmt
Program Services$492,727ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,369,050TotalAmt
Program Services$1,241,680ProgramServicesAmt
Management And General$127,370ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$151,577TotalAmt
Program Services$92,046ProgramServicesAmt
Management And General$59,531ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DATA PROCESSING$1,680,955$1,608,261$72,694
SUPPLIES$1,012,836$887,766$125,070
340B PROGRAM COSTS$599,714$77,821$521,893
PROFESSIONAL DUES & FEES$266,549$113,996$152,553

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$296,387TotalAmt
Program Services$171,225ProgramServicesAmt
Management And General$125,162ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$32,431,525TotalAmt
Program Services$23,684,388ProgramServicesAmt
Management And General$8,747,137ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$6,444,862BOYAmt
EOY$7,527,127EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,433,226BOYAmt
EOY$4,586,728EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$1,771BOYAmt
EOY$1,093EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$2,491,402BOYAmt
EOY$2,608,220EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$214,320BOYAmt
EOY$212,773EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$53,892,539LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,395,886LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$38,082,285BOYAmt
EOY$38,496,653EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$14,854BOYAmt
EOY$13,483EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$50,682,720BOYAmt
EOY$53,446,077EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,993,479BOYAmt
EOY$3,026,429EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$15,055,395BOYAmt
EOY$14,569,531EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,048,874BOYAmt
EOY$17,595,960EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$33,633,846BOYAmt
EOY$35,850,117EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$33,633,846BOYAmt
EOY$35,850,117EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$50,682,720BOYAmt
EOY$53,446,077EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,216,271ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Public Organization170Yes (X)PublicOrganization170Ind

Gifts Grants Contri Rcvd170 GiftsGrantsContriRcvd170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,415,526CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,006,320CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,050,185CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,982,106CurrentTaxYearMinus1YearAmt
Current Tax Year$4,554,193CurrentTaxYearAmt
Total$35,008,330TotalAmt

Total Calendar Year170 TotalCalendarYear170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$8,415,526CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$6,006,320CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$10,050,185CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$5,982,106CurrentTaxYearMinus1YearAmt
Current Tax Year$4,554,193CurrentTaxYearAmt
Total$35,008,330TotalAmt
FieldValueIRS element (for citing)
Public Support Total170$35,008,330PublicSupportTotal170Amt

Gross Investment Income170 GrossInvestmentIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$39,954CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$216,410CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$167,295CurrentTaxYearMinus1YearAmt
Current Tax Year$228,529CurrentTaxYearAmt
Total$657,236TotalAmt

Other Income170 OtherIncome170Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$500,000CurrentTaxYearMinus1YearAmt
Total$500,000TotalAmt
FieldValueIRS element (for citing)
Total Support$36,165,566TotalSupportAmt
Gross Receipts Rltd Activities$118,735,477GrossReceiptsRltdActivitiesAmt
Public Support CY1700.96800PublicSupportCY170Pct
Public Support PY1700.97650PublicSupportPY170Pct
Thirty Thr Pct Suprt Tests CY170Yes (X)ThirtyThrPctSuprtTestsCY170Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferencePART II, LINE 10FormAndLineReferenceDesc
ExplanationOTHER INCOME 500,000ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,154,194OtherCostOrOtherBasisAmt
Book Value$1,154,194BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$44,913,238OtherCostOrOtherBasisAmt
Depreciation$7,609,836DepreciationAmt
Book Value$37,303,402BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,825,107OtherCostOrOtherBasisAmt
Depreciation$7,786,050DepreciationAmt
Book Value$39,057BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$38,496,653TotalBookValueLandBuildingsAmt
Total Rev Etc Audited Fincl Stmt$34,647,796TotalRevEtcAuditedFinclStmtAmt
Revenue Subtotal$34,647,796RevenueSubtotalAmt
Total Revenue Per Form990$34,647,796TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$32,431,525TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$32,431,525ExpensesSubtotalAmt
Total Expenses Per Form990$32,431,525TotalExpensesPerForm990Amt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (6 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtBonus Filing OrganizationBonusFilingOrganizationAmountDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmt
CLAUDETTE HUMPHREY
CEO$414,919$57,193$38,170$510,282
JEAN HAMLIN
PHYSICIAN$258,413$8,391$32,671$299,475
ERIN CHANDLER
PHYSICIAN$234,558$5,464$21,088$261,110
KATHLEEN THIBAULT
PHYSICIAN$235,938$6,898$242,836
MORGAN ABDUL-KORAH
DENTIST$205,916$3,826$29,286$239,028
DAVID FLAHERTY
CHIEF MED OFFICER$212,482$10,386$222,868

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990 - ORGANIZATION'S MISSIONTHE PURPOSE OF THE ORGANIZATION IS TO PROVIDE MEDICAL, DENTAL AND OTHER HEALTH CARE SERVICES TO INDIVIDUALS IN THE AREAS OF PATTEN, MILLINOCKET, BROWNVILLE, ASHLAND, ISLAND FALLS, LINCOLN, DOVER AND HOULTON, MAINE AREAS. IT IS A FEDERALLY QUALIFIED HEALTH CENTER.
FORM 990, PAGE 6, PART VI, LINE 2BRANDI STEVENSON BANGOR SAVINGS BANK SECRETARY BANKING RELATIONSHIP ALICIA STONE BANGOR SAVINGS BANK DIRECTOR BANKING RELATIONSHIP
FORM 990, PAGE 6, PART VI, LINE 11BFORM 990 IS REVIEWED AND APPROVED BY BOARD PRIOR TO SUBMISSION.
FORM 990, PAGE 6, PART VI, LINE 12CIF A CONFLICT EXISTS, CHANNELS ARE PRESCRIBED BY ENTITY POLICY.
FORM 990, PAGE 6, PART VI, LINE 15AREVIEWED BY COMPENSATION COMMITTEE AND APPROVED BY THE EXECUTIVE BOARD AND FULL BOARD OF DIRECTORS.
FORM 990, PAGE 6, PART VI, LINE 15BSAME PROCESS.
FORM 990, PAGE 6, PART VI, LINE 19AVAILABLE UPON REQUEST.