2024-07-30T16:48:13-04:00 2023-04-30 870343246 SQUIRE & COMPANY PC 1329 SOUTH 800 EAST OREM UT 840977737 990 2022-05-01 810587644 BEAR LAKE COMMUNITY HEALTH CENTER INC BEAR 4357556061 517 W 100 N SUITE 210 PROVIDENCE UT 84332 KATHI IZATT EXEC. DIRECTOR 4359463660 2024-07-05 true true M PAUL WINWARD CPA P00290039 8012256900 2024-07-30 2022 2024-08-08 14:25:15Z KATHI IZATT 517 W 100 N SUITE 210 PROVIDENCE UT 84332 19160896 false X WWW.BLCHC.ORG X 2002 UT TO PROVIDE ACCESS TO QUALITY PRIMARY AND URGENT HEALTH CARE, REGARDLESS OF ABILITY TO PAY. THE CENTER TAKES A HOLISTIC APPROACH TO MAINTAINING A HEALTH COMMUNITY THROUGH EDUCATION, PREVENTION, AND A COMMUNITY NETWORKING SYSTEM. 9 9 365 -24479 8394465 8074128 6945114 5646771 -156584 290559 2196007 2939853 17379002 16951311 0 0 12569935 11065682 0 0 4498392 7181662 17068327 18247344 310675 -1296033 13304991 17481775 10079550 15250895 3225441 2230880 X TO PROVIDE ACCESS TO QUALITY PRIMARY AND URGENT HEALTH CARE, REGARDLESS OF ABILITY TO PAY. THE CENTER TAKES A HOLISTIC APPROACH TO MAINTAINING A HEALTH COMMUNITY THROUGH EDUCATION, PREVENTION, AND A COMMUNITY NETWORKING SYSTEM. false false 6677219 4285386 PROVIDED MEDICAL SERVICES TO LOW-INCOME FAMILIES. 1685686 847231 PROVIDED DENTAL SERVICES TO LOW-INCOME FAMILIES. 663844 514155 PROVIDED MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES. 2641116 PROVIDED PHARMACY SERVICES & HEALTH AND WELLNESS SERVICES TO LOW-INCOME FAMILIES. 2641116 11667865 true false false false false false false false false false true false false false true 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 11 0 365 true true true false false false false false false false false false false false X 9 9 false true false false false false false true true false false true true true true true true true true false X LACI HERBST 4357556061 517 W 100 N SUITE 210 PROVIDENCE UT 84332 DAREN WALLENTINE VICE CHAIR 0.50 X X 0 0 0 JACOB MCBRIDE SECRETARY 0.50 X X 0 0 0 BRENT HATCH BOARD MEMBER 0.50 X 0 0 0 RANDAL WENDLING BOARD MEMBER 0.50 X 0 0 0 ROY BUNDERSON CHAIR 0.50 X X 0 0 0 JOHNSON SMITH TREASURER 0.50 X X 0 0 0 YENNY LOPEZ BOARD MEMBER 0.50 X 0 0 0 VANESSA WEBB-BARRAGAN BOARD MEMBER 0.50 X 0 0 0 ANNA GUNN BOARD MEMBER 0.50 X 0 0 0 JORGE GARCIA EXEC. DIRECT 0.00 X 190653 0 20866 KATHI IZATT EXEC. DIRECT 40.00 X 77732 0 0 FLORIN REX NIELSEN PHYSICIAN X 271950 0 32288 BEN P BOYER PHYSICIAN AS X 164049 0 27919 GLENN ROBERTSON PHYSICIAN X 235664 0 30852 NABI N YOUSSEF DENTIST X 167611 0 5675 SVEN PEERY DENTIST X 168261 0 28112 1275920 145712 27 false true false HEALTH WEST INC 500 S 11TH ST SUITE 204 POCATELLO ID 83201 MGMT SERVICES 600000 1 7836569 237559 147384 8074128 FEES FOR SERVICES, NET 5646771 5646771 5646771 290559 290559 276992 301471 -24479 -24479 -24479 4865843 1908114 2957729 2957729 OTHER 6603 6603 6603 16951311 8611103 -24479 290559 268385 268385 8870082 5444625 3425457 134705 107764 26941 1111606 889285 222321 680904 531105 149799 393774 393774 50295 50295 1767120 478098 1289022 404464 390371 14093 654993 654993 857170 671207 185963 74718 33623 41095 77690 23955 53735 939809 733967 205842 586636 473256 113380 8576 6710 1866 SUPPLIES 1011159 913224 97935 BANK FEES 164332 156115 8217 OTHER 104869 75963 28906 PATIENT EDUCATION 49052 46599 2453 37005 37005 18247344 11667865 6579479 0 86641 573717 1405 106 27856 3763154 1676208 1655879 451764 470144 18237 28559 13803818 3109573 10826459 10694245 216421 295971 13304991 17481775 1324059 2161633 8688016 8438961 50868 4414147 16607 236154 10079550 15250895 X 3225441 2230880 3225441 2230880 13304991 17481775 X -1296033 301472 X false true X true true true X 6238838 6619780 9450652 8394465 8074128 38777863 6238838 6619780 9450652 8394465 8074128 38777863 38777863 11 15 21864 260712 290559 573161 39351024 53331115 0.98540 1.00000 X 103000 103000 10791073 1594703 9196370 1171557 508654 662903 1738188 1006216 731972 10694245 OPERATING LEASE LIABILITY 236154 236154 19160897 2209586 2209586 16951311 16951311 20155458 1908114 1908114 18247344 18247344 SCHEDULE D, PAGE 4, PART XI, LINE 2D PHARMACY COST OF GOODS SOLD 1,908,114 RENTAL EXPENSES 301,472 SCHEDULE D, PAGE 4, PART XII, LINE 2D PHARMACY COST OF GOODS SOLD 1,908,114 X X X true false false false false false false false false JORGE GARCIA EXEC. DIRECTOR 180653 10000 20866 211519 FLORIN REX NIELSEN PHYSICIAN 271950 11422 20866 304238 BEN P BOYER PHYSICIAN ASSISTANT 164049 7053 20866 191968 GLENN ROBERTSON PHYSICIAN 235664 9986 20866 266516 NABI N YOUSSEF DENTIST 167611 5675 173286 SVEN PEERY DENTIST 168261 7246 20866 196373 SCHEDULE J, PAGE 1, PART I, LINE 4 JORGE GARCIA 10,000 0 0 X 1 147384 ESTIMATED MARKET VALUE false false false FORM 990, PAGE 1, ITEM C CACHE VALLEY COMMUNITY HEALTH CENTER, EVANSTON COMMUNITY HEALTH CENTER, BOX ELDER COMMUNITY HEALTH CENTER, AND ROCK SPRINGS COMMUNITY HEALTH CENTER FORM 990 - ORGANIZATION'S MISSION TO PROVIDE ACCESS TO QUALITY PRIMARY AND URGENT HEALTH CARE, REGARDLESS OF ABILITY TO PAY. THE CENTER TAKES A HOLISTIC APPROACH TO MAINTAINING A HEALTH COMMUNITY THROUGH EDUCATION, PREVENTION, AND A COMMUNITY NETWORKING SYSTEM. FORM 990, PAGE 2, PART III, LINE 4D PROVIDED PHARMACY SERVICES & HEALTH AND WELLNESS SERVICES TO LOW-INCOME FAMILIES. FORM 990, PAGE 6, PART VI, LINE 3 THE CENTER CONTRACTED WITH HEALTH WEST, INC. TO PROVIDE MANAGEMENT AND ADMINISTRATIVE SERVICES BEGINNING IN JANUARY 2023. FORM 990, PAGE 6, PART VI, LINE 11B FORM 990 IS PREPARED BY OUTSIDE ACCOUNTANT AND PROVIDED TO EXECUTIVE DIRECTOR FOR APPROVAL PRIOR TO SUBMISSION. FORM 990 IS THEN PROVIDED TO BOARD FOR REVIEW AND APPROVAL PRIOR TO SUBMISSION. FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICTS OF INTEREST POLICY IS REVIEWED AND DISCUSSED ANNUALLY AT THE BOARD RETREAT. FORM 990, PAGE 6, PART VI, LINE 15A NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC) SALARY SURVEY INFORMATION IS USED TO IDENTIFY WAGE RANGES FOR SIMILAR POSITIONS. FORM 990, PAGE 6, PART VI, LINE 15B NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTER (NACHC) SALARY SURVEY INFORMATION IS USED TO IDENTIFY WAGE RANGES FOR SIMILAR POSITIONS. FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST JUST AS FORMS 990. FORM 990, PART XI, LINE 9 PHARMACY COST OF GOODS SOLD 1,908,114 RENTAL EXPENSES 301,472 PHARMACY COST OF GOODS SOLD -1,908,114 TOTAL 301,472