2020-06-29T16:13:16-05:00 2020-03-31 010411241 CHESTER M KEARNEY PA PO BOX 1550 PRESQUE ISLE ME 04769 990 2019-04-01 237411014 KATAHDIN VALLEY HEALTH CENTER KATA 2075383700 529 SOUTH PATTEN ROAD PATTEN ME 04765 GLENDA DWYER CHAIRPERSON 2075282285 2020-06-24 TIMOTHY P POITRAS P00542788 2077643171 2020-06-29 64.89.241.30 2020-06-29 16:13:16 CD P AF92E7A54F49D3DC554137C1AE83E941A1FFC4BB AF92E7A54F49D3DC554137C1AE83E941A1FFC4BB 2019 2021-01-29 14:40:06Z GLENDA DWYER 20291222 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 AND HOULTON, MAINE AREAS. IT IS A FEDERALLY QUALIFIED HEALTH CENTER. 9 9 276 0 4817792 5455107 13171265 14812730 17333 23385 0 18006390 20291222 0 0 10743283 13345693 0 0 5149021 5034026 15892304 18379719 2114086 1911503 25492668 27406272 13322813 13324914 12169855 14081358 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 AND HOULTON, MAINE AREAS. IT IS A FEDERALLY QUALIFIED HEALTH CENTER. false false 12935966 14812730 THE CENTER PROVIDES HEALTH CARE SERVICES FOR THE PEOPLE OF ALL AGES FROM THE SURROUNDING AREA, CENTRAL AND NORTHERN MAINE. 12935966 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 false false false false false false false false false true 17 0 276 true false false false false false false false false X 9 9 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 279021 0 37616 LISA NIELSEN DOCTOR 40.00 X 193801 0 46055 HENRY ROY MD DOCTOR 40.00 X 204879 0 13072 MARTHA STEWART DO DOCTOR 40.00 X 193466 0 17733 MORGAN ABDUL-KORAH DENTIST 40.00 X 191550 0 18681 ERIK JOHNSON DMD DENTIST 40.00 X 187039 0 19615 RAYE PORTER CFO 40.00 X 148138 0 13164 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 GLENDA DWYER CHAIRPERSON 1.00 X X 0 0 0 FRED GRANT TRUSTEE 1.00 X 0 0 0 RACHEL HALE TREASURER 1.00 X X 0 0 0 CHRISTINE NICKERSON VICE CHAIRPE 1.00 X X 0 0 0 CHAD PERKINS TRUSTEE 1.00 X 0 0 0 1397894 165936 10 false true false ATHENA HEALTH 311 ARSENAL ST WATERTOWN MA 02472 CLAIMS 581864 BARTON ASSOCIATES 120 FRONT ST WORCESTER MA 01608 LOCUM TENENS 159017 BROWN CONSTRUCTION 68 BANGOR ST HOULTON ME 04730 CONSTRUCTION 135435 BERNSTEIN SHUR 146 CAPITOL ST AUGUSTA ME 04330 LEGAL 129443 J MCLAUGHLIN CONSTRUCTION 174 BANGOR ST HOULTON ME 04730 CONSTRUCTION 107308 6 57000 5398107 5455107 MEDICAL FEES 11273629 11273629 PHARMACY REVENUE 1943409 1943409 PCMH INCENTIVES 808082 808082 340B PROGRAM 601154 601154 CORRECTIONS CONTRACT 115523 115523 70933 70933 14812730 23385 23385 20291222 14812730 23385 11308473 7708781 3599692 2037220 1315418 721802 630721 399764 230957 48319 17323 30996 64093 3284 60809 395532 272090 123442 200422 98669 101753 470323 470323 1228097 1082945 145152 84606 48487 36119 DATA PROCESSING 677573 636615 40958 SUPPLIES 578517 518906 59611 340B PROGRAM COSTS 252042 252042 PROFESSIONAL DUES & FEES 164410 765 163645 239371 110554 128817 18379719 12935966 5443753 0 4429330 4963331 448390 1621945 1890573 910 6744 401887 441663 112684 167730 27820068 8332227 18915495 19487841 10417 25492668 27406272 1061732 1457749 12261081 11867165 13322813 13324914 X 12169855 14081358 12169855 14081358 25492668 27406272 1911503 X false true X true true true X 3870250 5254355 4379543 4817792 5455107 23777047 3870250 5254355 4379543 4817792 5455107 23777047 23777047 1556 2078 4175 17333 23385 48527 23825574 48996986 0.99800 0.99880 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 814371 814371 22602397 4073379 18529018 4403300 4258848 144452 19487841 20291222 20291222 20291222 18379719 18379719 18379719 X X X X X X false false false false false false false false false CLAUDETTE HUMPHREY CEO 243930 35091 19000 18616 316637 LISA NIELSEN DOCTOR 193172 629 19000 27055 239856 HENRY ROY MD DOCTOR 204314 565 13072 217951 MARTHA STEWART DO DOCTOR 192901 565 17733 211199 MORGAN ABDUL-KORAH DENTIST 190912 638 11373 7308 210231 ERIK JOHNSON DMD DENTIST 185265 1774 19615 206654 RAYE PORTER CFO 147530 608 2366 10798 161302 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 AND HOULTON, MAINE AREAS. IT IS A FEDERALLY QUALIFIED HEALTH CENTER. FORM 990, PAGE 6, PART VI, LINE 2 CHRISTINE NICKERSON BANGOR SAVINGS BANK VICE CHAIR BANKING 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.