2015-03-09T10:09:34-05:00 2014-04-30 870343246 SQUIRE & COMPANY PC 1329 SOUTH 800 EAST OREM UT 840977737 990 2013-05-01 810587644 BEAR LAKE COMMUNITY HEALTH CENTER BEAR 4359463660 325 W LOGAN HIGHWAY GARDEN CITY UT 84028 LAVAL JENSEN EXECUTIVE DIRECTOR 4359463660 2015-03-06 true M PAUL WINWARD CPA P00290039 8012256900 2015-03-09 2013 2016-02-25 16:41:14Z LAVAL JENSEN 325 W LOGAN HIGHWAY GARDEN CITY UT 84028 7104051 false X WWW.BLCHC.ORG X 2002 UT MEDICAL, DENTAL, AND MENTAL HEALTH CARE FOR LOW-INCOME FAMILIES. 8 8 114 0 1265697 1387917 2790125 3140974 56 18 1225604 1043214 5281482 5572123 0 0 3920206 4228424 0 0 1439261 1208642 5359467 5437066 -77985 135057 4418787 4424845 3354887 3225888 1063900 1198957 X MEDICAL, DENTAL, AND MENTAL HEALTH CARE FOR LOW-INCOME FAMILIES. false false 2317858 2595642 PROVIDED MEDICAL SERVICES TO LOW-INCOME FAMILIES. 694087 494383 PROVIDED DENTAL SERVICES TO LOW-INCOME FAMILIES. 106053 40480 PROVIDED MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES. 990425 10469 PROVIDED PHARMACY SERVICES & HEALTH AND WELLNESS SERVICES TO LOW-INCOME FAMILIES. 990425 10469 4108423 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 true false false false false false false false false true 7 0 114 true false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true true false X REBECCA LOWE 4359463660 325 W LOGAN HWY GARDEN CITY UT 84028 ANGELA GLOVER BOARD MEMBER 1.00 X 0 0 0 ANNA CHRISTENSEN SECRETARY 1.00 X 0 0 0 DAREN WALLENTINE BOARD MEMBER 1.00 X 0 0 0 LARAINE SCHNETZER CHAIR 1.00 X 0 0 0 NORMAN MECHAM BOARD MEMBER 1.00 X 0 0 0 SHERRIE DAVIS VICE CHAIR 1.00 X 0 0 0 MARC TRENERY BOARD MEMBER 1.00 X 0 0 0 TARA MCMULLIN TREASURER 1.00 X 0 0 0 LAVAL JENSEN EXEC. DIRECT 40.00 X 221927 0 21150 DAVID J BALLINGHAM CLINICAL DIR 40.00 X 203234 0 19778 JANELLE WELLS PHYSICIAN 40.00 X 135243 0 3120 GLADE CROWTHER DENTIST 40.00 X 123685 0 11921 DAREN COLE DENTIST 40.00 X 122025 0 11340 GREGG LUKE PHARMACIST 40.00 X 121448 0 11278 RICHARD BALLAM PHARMACIST 40.00 X 120923 0 5589 1048485 84176 10 false true false 1150508 237409 218840 1387917 PROFESSIONAL FEES 3140974 3140974 3140974 18 18 2568449 1531928 1036521 1036521 OTHER REVENUE 6693 6693 6693 5572123 4184206 425161 314197 110964 3257661 2369187 888474 86341 62947 23394 172994 126057 46937 286267 208533 77734 19667 12736 6931 15080 15080 163907 155044 8863 87760 87760 192443 172840 19603 70492 13404 57088 110213 99473 10740 181036 163395 17641 35989 32482 3507 SUPPLIES 245808 195880 49928 BANK FEES 43580 43580 OTHER 20789 13950 6839 RECRUITING 8798 8798 13080 13080 5437066 4108423 1328643 0 55083 91659 66977 38825 475526 407520 394760 450224 2500 2500 4353144 919027 3423941 3434117 4418787 4424845 633019 588099 19800 2681483 2608257 40385 9732 3354887 3225888 X 1063900 1198957 1063900 1198957 4418787 4424845 135057 X false true X true true true X 1625820 1109203 1070297 1265697 1387917 6458934 1625820 1109203 1070297 1265697 1387917 6458934 6458934 44 26 22 56 18 166 6459100 5716134 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 103000 103000 3012706 323973 2688733 198329 92371 105958 1039109 502683 536426 3434117 7104051 1531928 1531928 5572123 5572123 6968994 1531928 1531928 5437066 5437066 SCHEDULE D, PAGE 4, PART XI, LINE 2D PHARMACY COST OF GOODS SOLD 1,531,928 SCHEDULE D, PAGE 4, PART XII, LINE 2D PHARMACY COST OF GOODS SOLD 1,531,928 X X X false false false false false true false false false LAVAL JENSEN EXEC. DIRECTOR 210548 11379 8968 12182 243077 DAVID J BALLINGHAM CLINICAL DIRECTOR 191855 11379 8412 11366 223012 SCHEDULE J, PAGE 1, PART I, LINE 6A EXECUTIVE DIRECTOR AND CLINICAL DIRECTOR RECEIVE 5% OF THE PROFITS MONTHLY AND AN ADDITIONAL 5% OF THE PROFITS QUARTERLY. BONUSES ARE SUBJECT TO A SALARY CAP LIMITATION WRITTEN IN THEIR EMPLOYMENT CONTRACTS. X 4 218840 ESTIMATED MARKET VALUE false false false FORM 990, PAGE 1, ITEM C CACHE VALLEY COMMUNITY HEALTH CENTER CACHE VALLEY COMMUNITY HEALTH CENTER - SOUTH EVANSTON COMMUNITY HEALTH CENTER 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 1,531,928 PHARMACY COST OF GOODS SOLD -1,531,928