2022-07-11T14:42:25-05:00 2022-03-31 010411241 CHESTER M KEARNEY PA PO BOX 1550 PRESQUE ISLE ME 04769 990 2021-04-01 237411014 KATAHDIN VALLEY HEALTH CENTER KATA 2075383700 529 SOUTH PATTEN ROAD PATTEN ME 04765 CHRISTINE NICKERSON BOARD CHAIR 2075282285 2022-06-08 CHRISTINE NICKERSON 999009999 TIMOTHY P POITRAS P00542788 2077643171 2022-07-11 2021 2022-09-23 18:48:47Z CHRISTINE NICKERSON 25947619 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 10 329 0 8258183 8415526 16128029 17527045 4675 5048 0 24390887 25947619 0 0 14448835 16423021 0 0 4974670 5220215 19423505 21643236 4967382 4304383 31606827 35547578 12558087 12194455 19048740 23353123 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 14476432 17527045 THE CENTER PROVIDES HEALTH CARE SERVICES FOR THE PEOPLE OF ALL AGES FROM THE SURROUNDING AREA, CENTRAL AND NORTHERN MAINE. 14476432 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 22 0 329 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 315874 0 33271 JEAN HAMLIN PHYSICIAN 40.00 X 221720 0 34261 MARTHA STEWART DO DOCTOR 40.00 X 212129 0 38974 LISA NIELSEN DOCTOR 40.00 X 206332 0 28151 ERIK JOHNSON DMD DENTIST 40.00 X 196749 0 11171 NICKI LARRABEE MEDICAL DIRE 40.00 X 167903 0 32671 RAYE PORTER CFO 40.00 X 172395 0 14476 RHONDA BROPHY TRUSTEE 1.00 X 0 0 0 KATHLEEN CASE TRUSTEE 1.00 X 0 0 0 JOHN DOE SECRETARY 1.00 X X 0 0 0 ELIZABETH DULIN TRUSTEE 1.00 X 0 0 0 FRED GRANT TRUSTEE 1.00 X 0 0 0 RACHEL HALE TREASURER( T 1.00 X X 0 0 0 BRANDI J MOORE TREASUER (EF 1.00 X X 0 0 0 CHRISTINE NICKERSON BOARD CHAIR 1.00 X X 0 0 0 JASON J PARENT TRUSTEE 1.00 X 0 0 0 CHAD PERKINS VICE CHAIR 1.00 X X 0 0 0 ALICIA M STONE TRUSTEE 1.00 X 0 0 0 1493102 192975 15 false true false ATHENA HEALTH 311 ARSENAL ST WATERTOWN MA 02472 CLAIMS 700135 HALEY WARD MERCHANTES PLAZA SUITE 701 BANGOR ME 04401 ENGINEERING 494897 BOWMAN CONSTRUCTORS 552 MOOSHEAD TRAIL NEWPORT ME 04953 CONTRACTOR 151591 BARTON ASSOCIATES 300 JUBILEE DR PEABODY MA 01960 LOCUMS 131708 VERRILL DANA LLP ONE PORTLAND SQUARE PORTLAND ME 04101 LEGAL 111049 5 8415526 402883 8415526 MEDICAL FEES 13629614 13629614 PHARMACY REVENUE 2527629 2527629 340B PROGRAM 568162 568162 PCMH INCENTIVES 513249 513249 OTHER REVENUE 288391 288391 17527045 5048 5048 25947619 17527045 5048 13991278 9171478 4819800 2431743 1429555 1002188 614003 378737 235266 11951 309 11642 96863 1640 95223 420596 310268 110328 156539 77491 79048 424990 424990 1092157 889144 203013 108371 54061 54310 DATA PROCESSING 764244 724700 39544 SUPPLIES 698892 666185 32707 PROFESSIONAL DUES & FEES 382908 248705 134203 340B PROGRAM COSTS 187776 187776 260925 99169 161756 21643236 14476432 7166804 0 8794355 11464723 193457 134881 1695948 2347877 1995 4069 1405169 1865573 290655 270193 30138822 10678560 19225248 19460262 31606827 35547578 1132633 1274654 11425454 10919801 12558087 12194455 X 19048740 23353123 19048740 23353123 31606827 35547578 4304383 X false true X true true true X 4379543 4817792 5455107 8258183 8415526 31326151 4379543 4817792 5455107 8258183 8415526 31326151 31326151 4175 17333 23385 4675 5048 54616 31380767 71199677 0.99830 0.99820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 968725 968725 23732486 5315385 18417101 5437611 5363175 74436 19460262 25947619 25947619 25947619 21643236 21643236 21643236 X X X X X X false false false false false false false false false CLAUDETTE HUMPHREY CEO 275740 40134 19500 13771 349145 JEAN HAMLIN PHYSICIAN 220588 1132 19500 14761 255981 MARTHA STEWART DO DOCTOR 210900 1229 26000 12974 251103 LISA NIELSEN DOCTOR 205343 989 19500 8651 234483 ERIK JOHNSON DMD DENTIST 195591 1158 4500 6671 207920 NICKI LARRABEE MEDICAL DIRECTOR 156179 11724 19500 13171 200574 RAYE PORTER CFO 161291 11104 8702 5774 186871 X PPE 1 402883 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 MOORE 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.