2014-02-27T09:24:45-06:00 2013-04-30 SQUIRE & COMPANY PC 1329 SOUTH 800 EAST OREM UT 840977737 990 2012-05-01 810587644 BEAR LAKE COMMUNITY HEALTH CENTER BEAR 4359463660 325 W LOGAN HIGHWAY GARDEN CITY UT 84028 LAVAL JENSEN 4359463660 2014-01-31 true M PAUL WINWARD CPA 8012256900 2014-02-27 2012 2015-11-30 17:44:51Z CACHE VALLEY COMMUNITY LAVAL JENSEN 325 W LOGAN HIGHWAY GARDEN CITY UT 84028 6111478 false X X 2002 UT MEDICAL, DENTAL, AND MENTAL HEALTH CARE FOR LOW-INCOME FAMILIES. 10 10 115 0 1070297 1265697 2470891 2790125 22 56 1071600 1225604 4612810 5281482 0 0 3225347 3920206 0 0 1039848 1439261 4265195 5359467 347615 -77985 4327682 4418787 3185797 3354887 1141885 1063900 X MEDICAL, DENTAL, AND MENTAL HEALTH CARE FOR LOW-INCOME FAMILIES. false false 2292316 2355699 PROVIDED MEDICAL SERVICES TO LOW-INCOME FAMILIES. 684327 384368 PROVIDED DENTAL SERVICES TO LOW-INCOME FAMILIES. 123236 45743 PROVIDED MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES. 991088 4315 PROVIDED PHARMACY SERVICES & HEALTH AND WELLNESS SERVICES TO LOW-INCOME FAMILIES. 991088 4315 4090967 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 0 0 115 true false false false false false false false false false false X 10 10 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 1.00 X 0 0 0 ANNA CHRISTENSEN 1.00 X 0 0 0 DAREN WALLENTINE 1.00 X 0 0 0 DOROTHY EVANS 1.00 X 0 0 0 LARAINE SCHNETZER 1.00 X 0 0 0 NORMAN MECHAM 1.00 X 0 0 0 PAT SNELL 1.00 X 0 0 0 SHERRIE DAVIS 1.00 X 0 0 0 MARC TRENERY 1.00 X 0 0 0 TARA MCMULLIN 1.00 X 0 0 0 DAVID J BALLINGHAM 40.00 X 203509 0 27219 LAVAL JENSEN 40.00 X 202642 0 29393 GLADE CROWTHER 40.00 X 132640 0 14588 GREGG LUKE 40.00 X 122170 0 13403 RICHARD BALLAM 40.00 X 121042 0 2960 MICHAEL ADAMS 40.00 X 117318 0 6678 JEFF MADSEN 40.00 X 114776 0 3810 1014097 98051 7 false true false 1170975 94722 84642 1265697 PROFESSIONAL FEES 2790125 2790125 2790125 56 56 2048591 829996 1218595 1218595 OTHER 7009 7009 7009 5281482 4015785 406151 304830 101321 2984074 2199952 784122 78782 52784 25998 178367 124857 53510 272832 190982 81850 18235 18235 16033 11223 4810 46373 46373 435649 304954 130695 97525 97525 266395 239755 26640 84117 75705 8412 109677 98709 10968 167049 167049 30773 28834 1939 OTHER 81494 69034 12460 BANK FEES 31548 22084 9464 RECRUITIN 26228 18360 7868 DUES AND SUBSCRIPTIONS 24359 17051 7308 3806 2671 1135 5359467 4090967 1268500 0 78703 55083 22421 66977 528862 475526 218998 394760 2500 2500 4162732 738791 3476198 3423941 4327682 4418787 465512 633019 2657209 2681483 63076 40385 3185797 3354887 X 1141885 1063900 1141885 1063900 4327682 4418787 -77985 X false true X true true true X 443993 1625820 1109203 1070297 1265697 5515010 443993 1625820 1109203 1070297 1265697 5515010 5515010 31 44 26 22 56 179 5515189 4845781 1.00000 1.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 103000 103000 3012706 248655 2764051 198329 79840 118489 848697 410296 438401 3423941 6111478 829996 829996 5281482 5281482 6189463 829996 829996 5359467 5359467 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 2D PHARMACY COST OF GOODS SOLD 829,996 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D PHARMACY COST OF GOODS SOLD 829,996 false false false false false false false false false DAVID J BALLINGHAM 187259 16250 8140 19079 230728 LAVAL JENSEN 186392 16250 8106 21287 232035 X 1 73190 ESTIMATED MARKET VALUE X VARIOUS ITEMS 1 11452 ESTIMATED MARKET VALUE false false false DOING BUSINESS AS FORM 990, PAGE 1, ITEM C HEALTH CENTER, CACHE VALLEY COMMUNITY HEALTH CENTER - SOUTH, AND EVANSTON COMMUNITY HEALTH CENTER ALL OTHER ACCOMPLISHMENT DESCRIPTION FORM 990, PAGE 2, PART III, LINE 4D PROVIDED PHARMACY SERVICES & HEALTH AND WELLNESS SERVICES TO LOW-INCOME FAMILIES. ORGANIZATION'S PROCESS USED TO REVIEW FORM 990 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. ENFORCEMENT OF CONFLICTS POLICY FORM 990, PAGE 6, PART VI, LINE 12C THE CONFLICTS OF INTEREST POLICY IS REVIEWED AND DISCUSSED ANNUALLY AT THE BOARD RETREAT. COMPENSATION PROCESS FOR TOP OFFICIAL 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. COMPENSATION PROCESS FOR OFFICERS 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. GOVERNING DOCUMENTS DISCLOSURE EXPLANATION FORM 990, PAGE 6, PART VI, LINE 19 GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST JUST AS FORMS 990. RECONCILIATION OF CHANGES - OTHER FORM 990, PART XI, LINE 9 PHARMACY COST OF GOODS SOLD 829,996 PHARMACY COST OF GOODS SOLD -829,996