2026-05-07T14:14:50-05:00 2025-06-30 273858252 DEAN DORTON ALLEN FORD PLLC 250 W MAIN STREET STE 1400 LEXINGTON KY 40507 990 2024-07-01 770651881 NORTH FORK VALLEY COMMUNITY HEALTH BOARD INC NORT 6064393557 750 MORTON BLVD 440 HAZARD KY 41701 LARRY QUILLEN CEO 6064393557 2026-05-07 1 0 ALLISON C CARTER P01242412 8592552341 2024 2025-03-06 01:10:19Z LARRY QUILLEN 750 MORTON BLVD 440 HAZARD KY 41701 11497889 0 X WWW.UKHEALTHCARE.UKY.EDU/HOSPITALS-CLINICS/NORTH X 2004 KY TO PROVIDE COMPREHENSIVE AND AFFORDABLE PRIMARY HEALTH CARE AND RELATED SERVICES 11 11 0 11 0 0 2565499 2703092 8273104 8693018 0 0 547217 101779 11385820 11497889 0 0 0 0 0 0 0 0 0 9951735 10407605 9951735 10407605 1434085 1090284 7620131 9169642 774164 1233391 6845967 7936251 TO PROVIDE COMPREHENSIVE AND AFFORDABLE PRIMARY HEALTH CARE AND RELATED SERVICES TO THE RESIDENTS OF PERRY, KNOTT, LETCHER, BREATHITT, AND LESLIE COUNTIES AND THE SURROUNDING KENTUCKY COUNTIES. 0 0 9932068 8794797 THE ORGANIZATION IS A JOINT PROJECT ESTABLISHED IN 2004 AS A COMMUNITY BASED FEDERALLY QUALIFIED HEALTH CENTER UNDER A CO-APPLICATION MADE BY THE NORTH FORK VALLEY COMMUNITY HEALTH BOARD AND THE UNIVERSITY OF KENTUCKY COLLEGE OF MEDICINE. THE HEALTH CENTER HAS CLINICS IN HAZARD, KENTUCKY (PERRY COUNTY) AND IN 2009 EXPANDED ITS SERVICE AREA TO INCLUDE THE JUNE BUCHANON CLINIC IN HINDMAN, KENTUCKY (KNOTT COUNTY). THE ORGANIZATION PROVIDED APPROXIMATELY $92,101 IN CHARITY CARE AT COST IN FYE25. 9932068 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 KY X ORGANIZATION 6064393557 750 MORTON BLVD NO 440 HAZARD KY 41701 X DARRYL PARKER CHAIR 5.00 X X 0 0 0 DON PORTER VICE-CHAIR 5.00 X X 0 0 0 RALPH HOSKINS SECRETARY/TREASURER 5.00 X X 0 0 0 BENNY HAMILTON MEMBER 5.00 X 0 0 0 KAREN ALFANO MEMBER 5.00 X 0 0 0 TERESA REYNOLDS MEMBER 5.00 X 0 0 0 RICHARD MARTIN MEMBER 5.00 X 0 0 0 MIKE WARE MEMBER 5.00 X 0 0 0 CARLA SEALS MEMBER 5.00 X 0 0 0 JOSH MULLINS MEMBER 5.00 X 0 0 0 SCALINDA WEBB MEMBER 5.00 X 0 0 0 0 0 0 0 0 0 0 0 2448952 254140 254140 2703092 NET PATIENT SERVICE REVENUE 621400 8693018 8693018 8693018 OTHER REVENUE 621990 101779 101779 101779 11497889 8794797 0 0 311767 209336 102431 277399 277399 37733 37733 123297 86287 37010 24063 24063 92277 92277 SALARY REIMB. TO UK 5131765 4874645 257120 SUPPLIES 2597403 2597403 BENEFITS REIMB. TO UK 1408527 1332339 76188 MAINTENANCE & REPAIRS 131209 131209 272165 269377 2788 10407605 9932068 475537 0 6173471 6995632 314970 439465 296691 742361 329811 318363 856610 392016 295961 464594 209227 209227 7620131 9169642 106620 109586 667544 1123805 774164 1233391 X 6721481 7860531 124486 75720 6845967 7936251 7620131 9169642 1090284 0 X X 0 1 X 1 0 X 2468517 2043681 2608784 2565499 2703092 12389573 126264 126264 126264 111019 111019 600830 2594781 2169945 2735048 2676518 2814111 12990403 12990403 43356 38860 15431 547217 101779 746643 13737046 40173511 0.94560 0.94460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 732444 392016 340428 124166 124166 464594 DUE TO THE UNIVERSITY OF KENTUCKY 995899 OPERATING LEASES 127906 1123805 11775072 111019 166164 277183 11497889 0 11497889 10684788 111019 166164 277183 10407605 0 10407605 PART XI, LINE 2D - OTHER ADJUSTMENTS: EXPENSES NETTED WITH REVENUE ON 990 166,164. PART XII, LINE 2D - OTHER ADJUSTMENTS: EXPENSES NETTED WITH REVENUE ON 990 166,164. X MEDICAL EQUIPMENT 1 254140 FMV 0 0 0 FORM 990, PART VI, SECTION B, LINE 11B A COPY OF THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR THEIR REVIEW SUBSEQUENT TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS THE SAME AS THE UNIVERSITY OF KENTUCKY'S POLICY REQUIRING DISCLOSURE OF ANY CONFLICT OF INTEREST IN WRITING TO THE BOARD, WHO WILL THEN RECOMMEND APPROVAL OF THE RELATIONSHIP IF THE RELATIONSHIP IS IN THE BEST INTEREST OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOESN'T HAVE ANY EMPLOYEES AND ALL EMPLOYEES ARE EMPLOYEES OF THE UNIVERSITY OF KENTUCKY. THE UNIVERSITY INTENDS TO ATTRACT AND RETAIN QUALIFIED EMPLOYEES BY MAINTAINING A COMPENSATION SYSTEM THAT IS EXTERNALLY COMPETITIVE AND INTERNALLY CONSISTENT. THE UNIVERSITY'S COMPENSATION STRUCTURE AND APPROVAL PROCESS IS THE FOLLOWING: COMPENSATION STRUCTURE 1) JOB GRADES THE UNIVERSITY UTILIZES A SALARY STRUCTURE THAT CONSISTS OF 24 JOB GRADES AND ESTABLISHES A SALARY RANGE FOR EACH REGULAR STAFF POSITION WITHIN THE SALARY STRUCTURE. EACH POSITION RECEIVES A JOB GRADE BASED ON FACTORS SUCH AS A. JOB REQUIREMENTS AND KNOWLEDGE B. COMMUNICATION AND PEOPLE SKILLS C. THINKING AND REASONING D. WORK ENVIRONMENT E. POLICY AND PLANNING F. MANAGEMENT AND FISCAL RESPONSIBILITIES. EACH JOB HAS A SALARY RANGE WITH A MINIMUM, A MIDPOINT AND TOP OF THE RANGE. 2) DEFINITIONS FOR THE PURPOSES OF THIS POLICY, THE FOLLOWING DEFINITIONS APPLY: A. THE MINIMUM OF THE RANGE OF PAY LEVEL IS DETERMINED TO BE COMPETITIVE FOR EMPLOYEES WHO MEET THE MINIMUM QUALIFICATIONS FOR THE JOB; B. THE MIDPOINT OF THE RANGE IS THE MATHEMATICAL MIDPOINT OF THE SALARY RANGE; AND C. THE TOP OF THE RANGE IS THE HIGHEST PAY RATE IN A JOB GRADE. AN EMPLOYEE WHOSE SALARY HAS REACHED OR EXCEEDED THE TOP OF THE RANGE MAY RECEIVE AN ANNUAL ADJUSTMENT IN SALARY BASED ON MERIT UP TO THE AVERAGE PERCENTAGE AVAILABLE TO ALL STAFF EMPLOYEES ON A UNIVERSITY-WIDE BASIS. COMPENSATION APPROVAL PROCESS: THE UNIVERSITY'S ENTIRE ADMINISTRATIVE AND MANAGEMENT TEAM IS RESPONSIBLE FOR THE IMPLEMENTATION AND ADMINISTRATION OF THE COMPENSATION PROGRAM. 1. HUMAN RESOURCES IS RESPONSIBLE FROM A UNIVERSITY-WIDE PERSPECTIVE FOR DEVELOPING, MANAGING, AND COMMUNICATING THE GUIDELINES, STRUCTURE, AND OVERALL EQUITY OF THE COMPENSATION PROGRAM. 2. THE PROVOST AND EACH EXECUTIVE VICE PRESIDENT ARE RESPONSIBLE FOR IMPLEMENTING AND INFORMING EMPLOYEES ABOUT THE COMPENSATION PROGRAM POLICY. 3. HUMAN RESOURCES IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE EXECUTIVE VICE PRESIDENT FOR FINANCE AND ADMINISTRATION WHO IS RESPONSIBLE FOR MAKING RECOMMENDATIONS TO THE PRESIDENT REGARDING THE COMPETITIVENESS OF SALARIES WITHIN THE UNIVERSITY. A. SALARIES SHALL BE COMPARED TO THE EXTERNAL MARKET PLACE APPLYING PUBLISHED MARKET DATA SURVEYS USED TO ESTABLISH RATES FOR SPECIFIC TYPES OF WORK. B. MARKET ANALYSIS, USING A SAMPLE OF UNIVERSITY JOBS, NORMALLY OCCURS AT LEAST EVERY OTHER FISCAL YEAR, OR AS OFTEN AS NEEDED. C. THE REVIEW SHALL CONSIDER FACTORS SUCH AS PAY FOR SIMILAR KINDS OF WORK IN THE APPROPRIATE AREA OF MARKET, PAY FOR COMPARABLE BENCHMARK UNIVERSITIES, SALARY ANALYSIS AND AVAILABILITY OF FUNDS. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORMS 990 AND 1023 ARE PROVIDED UPON REQUEST AND ARE ALSO AVAILABLE ON THE GUIDESTAR WEBSITE. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION PROVIDES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS UPON REQUEST. SOME OF THIS INFORMATION WILL BE AVAILABLE ON THE ORGANIZATION'S WEBSITE AS WELL AS THE GUIDESTAR WEBSITE. FORM 990, PART XII, LINE 2C: THE ORGANIZATION HAS A FINANCE COMMITTEE THAT HAS LIMITED OVERSIGHT AND RESPONSIBILITY FOR THE FINANCIAL STATEMENT AUDIT AS WELL AS A LIMITED ROLE IN THE SELECTION OF THE INDEPENDENT AUDITOR. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.