EXECUTIVE DIRECTOR

2013-01-23T12:37:28-06:00 2012-04-30 SQUIRE & COMPANY PC 1329 SOUTH 800 EAST OREM UT 840977737 990 2011-05-01 810587644 BEAR LAKE COMMUNITY HEALTH CENTER BEAR 4359463660 325 W LOGAN HIGHWAY GARDEN CITY UT 84028 LAVAL JENSEN EXECUTIVE DIRECTOR 4359463660 2012-12-20 true M PAUL WINWARD CPA 8012256900 2013-01-23 2011 2016-02-25 16:41:14Z CACHE VALLEY COMMUNITY HEALTH LAVAL JENSEN 325 W LOGAN HIGHWAY GARDEN CITY UT 84028 5129233 false X X 2002 UT MEDICAL, DENTAL, AND MENTAL HEALTH CARE FOR LOW-INCOME FAMILIES. 10 10 102 0 1109203 1070297 2130109 2470891 26 22 765131 1071600 4004469 4612810 0 0 3197248 3225347 0 0 1028415 1039848 4225663 4265195 -221194 347615 4224450 4327682 3430178 3185795 794272 1141887 X MEDICAL, DENTAL, AND MENTAL HEALTH CARE FOR LOW-INCOME FAMILIES. false false 1842126 PROVIDED MEDICAL SERVICES TO LOW-INCOME FAMILIES 574928 PROVIDED DENTAL SERVICES TO LOW-INCOME FAMILIES. 124988 PROVIDED MENTAL HEALTH SERVICES TO LOW-INCOME FAMILIES. 860190 PROVIDED PHARMACY SERVICES & HEALTH AND WELLNESS SERVICES TO LOW-INCOME FAMILIES. 860190 3402232 true false 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 true false false false false false false false false false false false false true 8 0 102 true false false false false false false X 10 10 false false false false false false false true true false false false true true true true true true true false X BEAR LAKE COMMUNITY HEALTH CENTER 4359463660 325 W LOGAN HWY GARDEN CITY UT 84028 ANGELA GLOVER BOARD MEMBER 1.00 X 0 0 0 ANNA CHRISTENSEN BOARD MEMBER 1.00 X 0 0 0 DAREN WALLENTINE BOARD MEMBER 1.00 X 0 0 0 DOROTHY EVANS SECRETARY 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 PAT SNELL VICE CHAIR 1.00 X 0 0 0 SHERRIE DAVIS TREASURER 1.00 X 0 0 0 MARC TRENERY BOARD MEMBER 1.00 X 0 0 0 TARA MCMULLIN BOARD MEMBER 1.00 X 0 0 0 DAVID J BALLINGHAM CLINICAL DIR 40.00 X 188178 0 28456 LAVAL JENSEN EXEC. DIRECT 40.00 X 188114 0 31041 GLADE CROWTHER DENTIST 40.00 X 135874 0 8558 BEN BOYER NURSE PRACTI 40.00 X 135874 0 9525 GREGG LUKE PHARMACIST 40.00 X 123941 0 9846 RICHARD BALLAM PHARMACIST 40.00 X 120000 0 0 891981 87426 6 false true false 1058809 11488 1070297 PROFESSIONAL FEES 2470891 2470891 2470891 22 22 1579997 516423 1063574 1063574 OTHER 8026 8026 8026 4612810 3542513 376292 282235 94057 2354071 1852569 501502 56864 56864 226634 118666 107968 211486 211486 6065 6065 20930 12853 8077 33283 33283 302662 262974 39688 72855 72855 143131 129182 13949 81770 19765 62005 113702 102622 11080 172442 155637 16805 36414 32866 3548 BANK FEES 25626 25626 OTHER 18107 13823 4284 DUES AND SUBSCRIPTIONS 6885 6885 PATIENT EDUCATION 3809 3809 2167 2167 4265195 3402232 862963 0 54768 78703 17649 22421 412302 528862 192885 218998 2500 2500 4071032 594834 3544346 3476198 4224450 4327682 610445 465510 10000 2712485 2657209 97248 63076 3430178 3185795 X 794272 1141887 794272 1141887 4224450 4327682 347615 X false true true X true true X 1070297 1070297 1070297 1070297 1070297 1070297 4058936 1.00000 0.99940 X false false false false false false false false false false 103000 103000 3012706 173337 2839369 199147 68127 131020 756179 353370 402809 3476198 4612810 4265195 347615 347615 5129233 516423 516423 4612810 4612810 4781618 516423 516423 4265195 4265195 RECONCILIATION OF CHANGES - OTHER SCHEDULE D, PAGE 4, PART XI, LINE 8 PHARMACY COST OF GOODS SOLD 516,423 PHARMACY COST OF GOODS SOLD -516,423 REVENUE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XII, LINE 2D PHARMACY COST OF GOODS SOLD 516,423 EXPENSE AMOUNTS INCLUDED IN FINANCIALS - OTHER SCHEDULE D, PAGE 4, PART XIII, LINE 2D PHARMACY COST OF GOODS SOLD 516,423 false false false false false false false false false DAVID J BALLINGHAM 159080 29098 7527 20929 216634 LAVAL JENSEN 159016 29098 7579 23462 219155 LAVAL JENSEN EXEC. DIRECTOR 62000 LOAN REPAID BY YEAR false DOING BUSINESS AS FORM 990, PAGE 1, ITEM C 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.