2022-03-10T10:56:28-06:00 2021-04-30 870343246 SQUIRE & COMPANY PC 1329 SOUTH 800 EAST OREM UT 840977737 990 2020-05-01 810587644 BEAR LAKE COMMUNITY HEALTH CENTER INC BEAR 4357556061 517 W 100 N SUITE 210 PROVIDENCE UT 84332 JORGE GARCIA EXEC. DIRECTOR 4359463660 2022-03-12 true LAVAL JENSEN 999009999 M PAUL WINWARD CPA P00290039 8012256900 2022-03-10 2020 2022-09-23 18:48:47Z JORGE GARCIA 517 W 100 N SUITE 210 PROVIDENCE UT 84332 20021303 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 9 370 0 6619780 9450652 5894686 6193012 15 310 2829702 2612823 15344183 18256797 0 0 9855698 11639135 0 0 5194864 5572980 15050562 17212115 293621 1044682 8612582 13035699 7026506 10404941 1586076 2630758 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 8137006 4938384 PROVIDED MEDICAL SERVICES TO LOW-INCOME FAMILIES. 1180119 721723 PROVIDED DENTAL SERVICES TO LOW-INCOME FAMILIES. 580803 532060 PROVIDED MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES. 2341164 845 PROVIDED PHARMACY SERVICES & HEALTH AND WELLNESS SERVICES TO LOW-INCOME FAMILIES. 2341164 845 12239092 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 0 370 true false 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 BECKY LOWE 4357556061 517 W 100 N SUITE 210 PROVIDENCE UT 84332 LAVAL JENSEN EXEC. DIRECT 40.00 X 271500 0 24011 FLORIN REX NIELSEN PHYSICIAN 40.00 X 260279 0 19002 JEREMY STARR PHYSICIAN 40.00 X 228694 0 9187 GLENN ROBERTSON PHYSICIAN 40.00 X 211299 0 18128 ERIC SWENSEN PHYSICIAN 40.00 X 165580 0 16390 SVEN PEERY DENTIST 40.00 X 140646 0 11170 ROY BUNDERSON TREASURER 0.50 X X 0 0 0 ANNA GUNN 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 COLE NASH BOARD MEMBER 0.50 X X 0 0 0 VILMO NINO BOARD MEMBER 0.50 X 0 0 0 LARAINE SCHNETZER VICE CHAIR 0.50 X X 0 0 0 JOHNSON SMITH BOARD MEMBER 0.50 X 0 0 0 DAREN WALLENTINE CHAIR 0.50 X X 0 0 0 JORGE GARCIA EXEC. DIRECT 40.00 X 0 0 0 1277998 97888 21 false true false 7290984 2159668 2073968 9450652 FEES FOR SERVICES, NET 6193012 6193012 6193012 310 310 21554 21554 21554 21554 4364026 1764506 2599520 2599520 OTHER -8251 -8251 -8251 18256797 8805835 310 271500 271500 9830158 6675036 3155122 141657 113326 28331 839895 671916 167979 555925 433621 122304 46188 46188 16390 16390 183280 126450 56830 426792 393139 33653 405734 405734 995717 777472 218245 75694 34946 40748 221184 173048 48136 323334 252967 70367 53702 42016 11686 SUPPLIES 2581398 1914782 666616 BANK FEES 144144 129730 14414 OTHER 38280 38280 PATIENT EDUCATION 23327 20994 2333 37816 35635 2181 17212115 12239092 4973023 0 291240 85417 1501629 51578 35988 1162143 1207577 445221 504384 18237 18237 13675284 2614624 5034667 11060660 159445 71858 8612582 13035699 1244254 1322102 15909 299 3783477 8922818 1982866 131084 28638 7026506 10404941 X 1586076 2630758 1586076 2630758 8612582 13035699 X 1044682 X false true X true true true X 3708338 5267040 6238838 6619780 9450652 31284648 3708338 5267040 6238838 6619780 9450652 31284648 31284648 96 33 11 15 310 465 31285113 39457867 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 103000 103000 10882146 1067809 9814337 711482 343030 368452 1978656 1203785 774871 11060660 TENANT SECURITY DEPOSITS 28638 28638 19809420 1552623 1552623 18256797 18256797 18764738 1552623 1552623 17212115 17212115 SCHEDULE D, PAGE 4, PART XI, LINE 2D PHARMACY COST OF GOODS SOLD 1,679,342 CAFE EXPENSES -126,719 SCHEDULE D, PAGE 4, PART XII, LINE 2D PHARMACY COST OF GOODS SOLD 1,679,342 CAFE EXPENSES -126,719 X X X false false false false false false false false false LAVAL JENSEN EXEC. DIRECTOR 271500 10993 13018 295511 FLORIN REX NIELSEN PHYSICIAN 260279 9815 9187 279281 JEREMY STARR PHYSICIAN 228694 9187 237881 GLENN ROBERTSON PHYSICIAN 211299 8941 9187 229427 ERIC SWENSEN PHYSICIAN 165580 7203 9187 181970 SVEN PEERY DENTIST 140646 2289 8881 151816 X 1 2073968 ESTIMATED MARKET VALUE false false false FORM 990, PAGE 1, ITEM C CACHE VALLEY COMMUNITY HEALTH CENTER, EVANSTON 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 1,679,342 CAFE EXPENSES -126,719 PHARMACY COST OF GOODS SOLD -1,679,342 CAFE EXPENSES 126,719