2023-01-19T11:19:21-05:00 2022-04-30 870343246 SQUIRE & COMPANY PC 1329 SOUTH 800 EAST OREM UT 840977737 990 2021-05-01 810587644 BEAR LAKE COMMUNITY HEALTH CENTER INC BEAR 4357556061 517 W 100 N SUITE 210 PROVIDENCE UT 84332 JORGE GARCIA EXEC. DIRECTOR 4359463660 2022-12-16 true JORGE GARCIA 999009999 M PAUL WINWARD CPA P00290039 8012256900 2023-01-18 2021 2023-03-07 01:45:13Z JORGE GARCIA 517 W 100 N SUITE 210 PROVIDENCE UT 84332 20322053 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 9 435 -23306 9450652 8394465 6193012 6945114 310 -156584 2612823 2196007 18256797 17379002 0 0 11639135 12569935 0 0 5572980 4498392 17212115 17068327 1044682 310675 13035699 13304991 10404941 10079550 2630758 3225441 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 7232465 5517793 PROVIDED MEDICAL SERVICES TO LOW-INCOME FAMILIES. 1385286 828348 PROVIDED DENTAL SERVICES TO LOW-INCOME FAMILIES. 635833 598973 PROVIDED MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES. 1838603 PROVIDED PHARMACY SERVICES & HEALTH AND WELLNESS SERVICES TO LOW-INCOME FAMILIES. 1838603 11092187 true true 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 0 435 true true true false false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true true false X JAKE SNOW 4357556061 517 W 100 N SUITE 210 PROVIDENCE UT 84332 DAREN WALLENTINE CHAIR 0.50 X X 0 0 0 LARAINE SCHNETZER VICE CHAIR 0.50 X X 0 0 0 VILMO NINO BOARD MEMBER 0.50 X 0 0 0 COLE NASH BOARD MEMBER 0.50 X X 0 0 0 ROY BUNDERSON TREASURER 0.50 X X 0 0 0 JOHNSON SMITH BOARD MEMBER 0.50 X 0 0 0 YENNY LOPEZ BOARD MEMBER 0.50 X 0 0 0 ROSE MOSBEY BOARD MEMBER 0.50 X 0 0 0 ANNA GUNN BOARD MEMBER 0.50 X 0 0 0 JORGE GARCIA EXEC. DIRECT 40.00 X 75048 0 23203 LAVAL JENSEN EXEC. DIRECT 40.00 X 453084 0 33266 FLORIN REX NIELSEN PHYSICIAN X 264615 0 31591 JEREMY STARR PHYSICIAN X 234004 0 9187 GLENN ROBERTSON PHYSICIAN X 214754 0 22941 ERIC SWENSEN PHYSICIAN X 196453 0 28687 SVEN PEERY DENTIST X 149618 0 23397 1587576 172272 22 false true false 7751656 642809 415316 8394465 FEES FOR SERVICES, NET 6945114 6945114 6945114 10 10 260702 284008 -23306 -23306 -23306 54745 211339 -156594 -156594 -156594 4648438 2447704 2200734 2200734 OTHER 18579 18579 18579 17379002 9007833 -23306 10 528132 528132 10169614 6129502 4040112 131902 105522 26380 920723 736578 184145 819564 639260 180304 118888 118888 32441 32441 234701 205678 29023 431084 395691 35393 444299 444299 868187 624866 243321 115575 50069 65506 443324 346845 96479 459416 359434 99982 62896 49208 13688 SUPPLIES 986251 716481 269770 BANK FEES 111733 106146 5587 OTHER 94157 89449 4708 PATIENT EDUCATION 45628 43347 2281 49812 49812 17068327 11092187 5976140 0 85417 86641 51578 1405 35988 27856 1207577 1676208 504384 451764 18237 18237 13414799 2588340 11060660 10826459 71858 216421 13035699 13304991 1322102 1324059 299 8922818 8688016 131084 50868 28638 16607 10404941 10079550 X 2630758 3225441 2630758 3225441 13035699 13304991 X 310675 284008 X false true X true true true X 5267040 6238838 6619780 9450652 8394465 35970775 5267040 6238838 6619780 9450652 8394465 35970775 35970775 33 11 15 310 10 379 35971154 51069998 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 103000 103000 10791073 1319372 9471701 913070 406465 506605 1607656 862503 745153 10826459 TENANT SECURITY DEPOSITS 16607 16607 20040141 2661139 2661139 17379002 17379002 19445458 2377131 2377131 17068327 17068327 SCHEDULE D, PAGE 4, PART XI, LINE 2D PHARMACY COST OF GOODS SOLD 2,331,576 CAFE EXPENSES 45,555 RENTAL EXPENSES 284,008 SCHEDULE D, PAGE 4, PART XII, LINE 2D PHARMACY COST OF GOODS SOLD 2,331,576 CAFE EXPENSES 45,555 X X X false false false false false false false false false LAVAL JENSEN EXEC. DIRECTOR 453084 26000 7266 486350 FLORIN REX NIELSEN PHYSICIAN 264615 22404 9187 296206 JEREMY STARR PHYSICIAN 234004 9187 243191 GLENN ROBERTSON PHYSICIAN 214754 13754 9187 237695 ERIC SWENSEN PHYSICIAN 196453 19500 9187 225140 SVEN PEERY DENTIST 149618 14516 8881 173015 X 1 415316 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 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 2,331,576 CAFE EXPENSES 45,555 RENTAL EXPENSES 284,008 PHARMACY COST OF GOODS SOLD -2,331,576 CAFE EXPENSES -45,555 TOTAL 284,008