2022-10-05T14:27:15-05:00 2021-12-31 010494526 Baker Newman & Noyes PO Box 507 Portland ME 04112 990 2021-01-01 113650708 Health Access Network Inc HEAL 2077946700 175 West Broadway PO Box 99 Lincoln ME 04457 Wanda T Kimball CFO 2077946700 2022-10-05 1 Wanda Kimball 999009999 Connor Smart P02285543 2078792100 2022-10-05 3 AAL1 IAL1 2021 2022-09-23 18:48:47Z Nicole Morrison RN CEO 175 West Broadway PO Box 99 Lincoln ME 04457 12330942 0 X www.hanfqhc.org X 2002 ME Outpatient medical, dental, and mental health services 10 10 126 10 0 0 5694444 4463604 7054997 7867071 990 -43729 0 0 12750431 12286946 0 0 0 0 7996098 8032010 0 0 0 2830822 3291523 10826920 11323533 1923511 963413 9520751 10260274 5766099 5011099 3754652 5249175 We will make a difference in the lives of our patients and community by providing compassionate, high quality healthcare services focusing on the whole person, without financial or social discrimination. 0 0 7365243 0 7867071 Health Access Network (HAN) is a Federally Qualified Health Center (FQHC) that began operations in 2003 and now has clinic locations in the rural communities of Lincoln, Medway, Millinocket, West Enfield, and Lee, Maine. HAN's service area includes 19 organized towns, plus numerous unorganized plantations and territories in northern central Maine with a total population of about 23,000 people. HAN provides comprehensive primary healthcare, dental care, podiatry, and behavioral healthcare services to all residents, regardless of their ability to pay. 7365243 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 17 0 1 126 1 0 0 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X Wanda T Kimball CFO 2077946700 175 West Broadway PO Box 99 Lincoln ME 04457 Dawn Birt Director (start 7/21) 1.00 X 0 0 0 Addison Goslin Director 1.00 X 0 0 0 Evelyn Harrison Director (start 7/21) 1.00 X 0 0 0 Patricia Locke Esq Director 1.00 X 0 0 0 Christie McGreevy Director 1.00 X 0 0 0 Earlene Young Director 1.00 X 0 0 0 Harold Cote Chair 1.00 X X 0 0 0 Penelope Kneeland RN Vice Chair 1.00 X X 0 0 0 Richard Broderick Jr Esq Treasurer 1.00 X X 0 0 0 Susan Bailey Secretary 1.00 X X 0 0 0 Nicole Morrison RN CEO 40.00 X 144198 0 9599 Wanda Kimball CFO 40.00 X 95431 0 4602 Katie M Adams MD Medical Director 40.00 X 279417 0 16178 Jessica House DO Physician 40.00 X 240737 0 16178 Collette Charles MD Physician 40.00 X 222635 0 11718 Stratton John Shannon DO Physician 40.00 X 216466 0 16178 Jennifer Horne MD Physician 40.00 X 209857 0 5429 1408741 0 79882 17 0 1 0 Staff Care Inc 8840 Cypress Waters Boulevard Dallas TX 75019 Staffing Services 125600 River City Commercial Cleaning 488 MtHope Avenue Bangor ME 04401 Cleaing Services 122506 Acadia Healthcare 91 Camden Street Rockland ME 04841 Behavioral Health Services 120245 7 4462101 1503 4463604 Patient Services 621110 5507586 5507586 340B Program 621300 1953306 1953306 Other Programs and Services 621400 406179 406179 7867071 267 267 43996 -43996 -43996 -43996 12286946 7867071 0 -43729 253831 159606 94225 6476310 4072231 2404079 839143 535504 303639 462726 295219 167507 36804 36804 39438 39438 321157 274497 46660 3037 1296 1741 681455 614799 66656 291916 29192 262724 264817 157171 107646 19889 13458 6431 27272 18453 8819 201219 201219 450520 297343 153177 38940 38940 340B Expenses 592535 592535 Med. Supplies/Equipment 291549 291549 Snow/Biohazard Removal 30975 12390 18585 11323533 7365243 3958290 0 1917966 3268707 234463 234730 1398394 1152500 27047 45876 9884829 4326368 5942881 5558461 9520751 10260274 637563 632576 571840 24679 4556696 4353844 5766099 5011099 X 3754652 5249175 3754652 5249175 9520751 10260274 X 963413 531110 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 132300 132300 6260740 1706260 4554480 733827 274209 459618 2748177 2345899 402278 9785 9785 5558461 X 12286946 0 12286946 0 12286946 11323533 0 11323533 0 11323533 Part X, Line 2: The Organization operates exclusively for charitable and/or educational purposes. The Organization complies with the provisions of Section 501(c)(3) of the Internal Revenue Code to operate as a not-for-profit organization with exempt income tax status. Tax-exempt organizations could be required to record an obligation for income taxes as the result of a tax position they have historically taken on various tax exposure items including unrelated business income or tax status. Under guidance issued by the Financial Accounting Standards Board (FASB), assets and liabilities are established for uncertain tax positions taken or positions expected to be taken in income tax returns when such positions are judged to not meet the "more-likely-than-not" threshold, based upon the technical merits of the position. Estimated interest and penalties, if applicable, related to uncertain tax positions are included as a component of income tax expense. The Organization has evaluated the position taken on its filed tax returns. The Organization has concluded no uncertain income tax positions exist at December 31, 2021. X X X X 0 0 0 0 0 0 0 0 0 Katie M Adams MD Medical Director 279081 0 0 0 336 0 0 0 16178 0 295595 0 0 0 Jessica House DO Physician 240107 0 0 0 630 0 0 0 16178 0 256915 0 0 0 Collette Charles MD Physician 222299 0 0 0 336 0 0 0 11718 0 234353 0 0 0 Stratton John Shannon DO Physician 211132 0 0 0 5334 0 0 0 16178 0 232644 0 0 0 Jennifer Horne MD Physician 209521 0 0 0 336 0 0 0 5429 0 215286 0 0 0 Nicole Morrison RN CEO 143784 0 0 0 414 0 0 0 9599 0 153797 0 0 0 Form 990, Part VI, Section B, line 11b The Form 990 is prepared by an independent outside accounting firm with assistance from staff members of the filing organization. The complete Form 990 is distributed to the full Board for comments and questions before filing with the IRS. Form 990, Part VI, Section B, line 12c All employees and directors of Health Access Network receive a copy of our standards of conduct policy annually and are required to sign two acknowledgements which stipulate that 1) the employee or director is committed to complying with the standards of conduct and 2) the employee or director has disclosed any conflicts of interest or certifies that none exist. The compliance officer for Health Access Network reviews all internal and external contracts to ensure that there are no conflicts of interest. Form 990, Part VI, Section B, line 15 A salary scale, created by a third party compensation specialist and approved by the Board of Directors, is utilized to determine officer compensation. The CEO's compensation is set by the Board while the CFO's salary is set by the CEO utilizing the approved salary scale. Form 990, Part VI, Section C, line 19 The organization made its governing documents, conflict of interest policy, and financial statements available upon request. Form 990, Part XI, line 9: Reclassification of property and equipment contributions 531,110. Form 990, Part XII, Line 2c: The audit process did not change from the prior year.