2023-06-28T16:55:30-04:00 2023-03-31 010411241 CHESTER M KEARNEY PA PO BOX 1550 PRESQUE ISLE ME 04769 990 2022-04-01 237411014 KATAHDIN VALLEY HEALTH CENTER KATA 2075383700 529 SOUTH PATTEN ROAD PATTEN ME 04765 CHRISTINE NICKERSON BOARD CHAIR 2075282285 2023-06-02 CHRISTINE NICKERSON 999009999 true TIMOTHY P POITRAS P00542788 2077643171 2023-06-20 2022 2023-04-26 12:10:37Z CHRISTINE NICKERSON 26981852 false X WWW.KVHC.ORG X THE 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. 10 10 353 0 8415526 6006320 17527045 20935578 5048 39954 0 25947619 26981852 0 0 16423021 18894120 0 0 5220215 6223159 21643236 25117279 4304383 1864573 35547578 40956131 12194455 15738438 23353123 25217693 X THE 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. false false 17938601 20935578 THE CENTER PROVIDES HEALTH CARE SERVICES FOR THE PEOPLE OF ALL AGES FROM THE SURROUNDING AREA, CENTRAL AND NORTHERN MAINE. 17938601 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false true false false false false false false false false true false false false false false false false false true 24 0 353 true false false false false false false false false X 10 10 true false false false false false false true true false false true true true true true true true true false X X CLAUDETTE HUMPHREY 2075383700 529 SOUTH PATTEN ROAD PATTEN ME 04765 CLAUDETTE HUMPHREY CEO 50.00 X 369238 0 34745 LISA NIELSEN DOCTOR 40.00 X 209785 0 29765 ERIK JOHNSON DMD DENTIST 40.00 X 206508 0 22987 MORGAN ABDUL-KORAH DENTIST 40.00 X 194534 0 19098 NICKI LARRABEE MEDICAL DIRE 40.00 X 173416 0 33145 JEAN HAMLIN PHYSICIAN 40.00 X 170158 0 30831 RAYE PORTER CFO 40.00 X 176735 0 15046 MICHAEL G FARRELL CHIEF OPERAT 40.00 X 159154 0 15602 RHONDA BROPHY DIRECTOR 1.00 X 0 0 0 KATHLEEN CASE DIRECTOR 1.00 X 0 0 0 JOHN DOE SECRETARY 1.00 X X 0 0 0 ELIZABETH DULIN DIRECTOR 1.00 X 0 0 0 FRED GRANT DIRECTOR (RE 1.00 X 0 0 0 CHRISTINE NICKERSON BOARD CHAIR 1.00 X X 0 0 0 JASON J PARENT DIRECTOR 1.00 X 0 0 0 CHAD PERKINS VICE CHAIR 1.00 X X 0 0 0 BRANDI STEVENSON DIRECTOR 1.00 X X 0 0 0 ALICIA M STONE DIRECTOR 1.00 X 0 0 0 KATHY WHITE DIRECTOR 1.00 X 0 0 0 1659528 201219 14 false true false BENCHMARK CONSTRUCTION 34 THOMAS DRIVE WESTBROOK ME 04092 CONTRACTOR 5220987 ATHENA HEALTH 311 ARSENAL ST WATERTOWN MA 02472 CLAIMS 871297 IRIS TELEHEALTH 114 W 7TH STREET AUSTIN TX 78701 TELEHEALTH 710182 HALEY WARD MERCHANTES PLAZA SUITE 701 BANGOR ME 04401 ENGINEERING 420562 BOWMAN CONSTRUCTORS 552 MOOSHEAD TRAIL NEWPORT ME 04953 CONTRACTOR 364644 7 6006320 833842 6006320 MEDICAL FEES 15951724 15951724 PHARMACY REVENUE 3360651 3360651 INCENTIVE REWARDS 1119897 1119897 340B PROGRAM 460952 460952 OTHER REVENUE 42354 42354 20935578 39954 39954 26981852 20935578 39954 16097304 11172105 4925199 2796816 1840368 956448 1186151 1042352 143799 37748 1632 36116 90403 44200 46203 530133 364871 165262 125029 88645 36384 307468 307468 941614 736898 204716 109318 55686 53632 SUPPLIES 1140530 1102210 38320 DATA PROCESSING 942936 903717 39219 PROFESSIONAL DUES & FEES 364160 231661 132499 340B PROGRAM COSTS 211501 211501 236168 46788 189380 25117279 17938601 7178678 0 11464723 8741928 134881 2347877 2825915 4069 873 1865573 2511104 270193 284960 38192561 11618804 19460262 26573757 17594 35547578 40956131 1274654 2571339 6184 10919801 13160915 12194455 15738438 X 23353123 25217693 23353123 25217693 35547578 40956131 X 1864573 -3 X false true X true true true X 4817792 5455107 8258183 8415526 6006320 32952928 4817792 5455107 8258183 8415526 6006320 32952928 32952928 17333 23385 4675 5048 39954 90395 33043323 82574647 0.99730 0.99830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 968725 968725 30147075 5715037 24432038 7076761 5903767 1172994 26573757 26981852 26981852 26981852 25117279 25117279 25117279 X X X X X X false false false false false false false false false CLAUDETTE HUMPHREY CEO 328084 41154 20500 14245 403983 LISA NIELSEN DOCTOR 209785 20500 9265 239550 ERIK JOHNSON DMD DENTIST 206508 14042 8945 229495 MORGAN ABDUL-KORAH DENTIST 194534 12933 6165 213632 NICKI LARRABEE MEDICAL DIRECTOR 163021 10395 19500 13645 206561 JEAN HAMLIN PHYSICIAN 170158 15750 15081 200989 RAYE PORTER CFO 166934 9801 8863 6183 191781 MICHAEL G FARRELL CHIEF OPERATIONS OFF 150095 9059 8302 7300 174756 X PPE 1 833842 false false false FORM 990 - ORGANIZATION'S MISSION THE 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 2 BRANDI STEVENSON BANGOR SAVINGS BANK TRUSTEE BANKING RELATIONSHIP ALICIA STONE BANGOR SAVINGS BANK TRUSTEE BANKING RELATIONSHIP FRED GRANT WHOU TRUSTEE ADVERTISING RELATIONSHIP FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS REVIEWED AND APPROVED BY BOARD PRIOR TO SUBMISSION. FORM 990, PAGE 6, PART VI, LINE 12C IF A CONFLICT EXISTS, CHANNELS ARE PRESCRIBED BY ENTITY POLICY. FORM 990, PAGE 6, PART VI, LINE 15A REVIEWED BY COMPENSATION COMMITTEE AND APPROVED BY THE EXECUTIVE BOARD AND FULL BOARD OF DIRECTORS. FORM 990, PAGE 6, PART VI, LINE 15B SAME PROCESS. FORM 990, PAGE 6, PART VI, LINE 19 AVAILABLE UPON REQUEST. FORM 990, PART XI, LINE 9 ROUNDING -3