2024-06-17T10:36:37-05:00 2023-12-31 870343246 Squire & Company PC 1329 S 800 E Orem UT 84097 990 2023-01-01 870515716 Mountainlands Community Health Center MOUN 8013749660 589 South State Street Provo UT 84606 Todd Bailey Executive Director 8013749660 2024-06-04 1 Todd Bailey 999009999 0 M Paul Winward P00290039 8012256900 2024-06-17 3 AAL1 IAL1 2023 2023-04-26 12:10:37Z Todd Bailey 589 South State Street Provo UT 84606 32593954 0 X www.mountainlands.org X 1992 UT To provide medical, mental health, dental care, and affordable medicine to the medically underserved population. 12 12 226 20 0 0 9010040 9349677 8103992 7895935 24401 336447 3425863 3821375 20564296 21403434 0 0 0 0 11651891 13149489 0 0 16202 5224206 5544745 16876097 18694234 3688199 2709200 16282035 19103909 3909628 3923486 12372407 15180423 X To provide medical, mental health, dental care, and affordable medicine to the medically underserved population. 0 0 11469618 6748404 Provided medical care on a sliding fee scale for patients. 2397433 1147531 Provided dental care on a sliding fee scale for patients. 2165841 3821375 Provided affordable medicine/pharmaceuticals for patients. 753021 Provided mental health care on a sliding fee scale for patients. 753021 16785913 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 26 0 226 1 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 0 1 1 1 1 1 1 1 0 X Eric Johnson 8014292020 589 South State Street Provo UT 84606 Charles Stubbs Chair 1.00 X X 0 0 0 Kirk Benge Vice Chair 1.00 X X 0 0 0 Lance Merrell Treasurer 1.00 X X 0 0 0 Adriana Cahua Secretary 1.00 X X 0 0 0 Ralph Clegg Member 1.00 X 0 0 0 Eric Edwards Member 1.00 X 0 0 0 Kathryn Jenson Member 1.00 X 0 0 0 Kimberly Gonzalez Member 1.00 X 0 0 0 Gabriel Roca Member 1.00 X 0 0 0 Bernadine Pacheco Member 1.00 X 0 0 0 Molly McCall Member 1.00 X 0 0 0 Rock Boulter Member 1.00 X 0 0 0 Todd Bailey Exec. Dir. 40.00 X 201226 0 42490 Eric Johnson Finance Director 40.00 X 184606 0 40739 Pahl Bench Doctor 40.00 X 264690 0 52287 Salvador Fernandez Doctor 40.00 X 235405 0 50450 Bruce Grover Doctor 40.00 X 310083 0 61160 Vernon White Doctor 40.00 X 358174 0 34892 Mike Worman Pharmacist 40.00 X 215203 0 44767 1769387 0 326785 21 0 1 0 0 1510 8525274 822893 9349677 Medical fees (net of discount 6748404 6748404 Dental fees (net of discount) 1147531 1147531 7895935 336447 336447 15011895 11190520 3821375 3821375 21403434 11717310 0 336447 385832 385832 9813950 9002135 803281 8534 866419 797105 69314 1337522 1230520 99334 7668 745766 687310 58456 4374 4374 24850 24850 21948 21948 833560 769993 63567 371606 371606 838392 516390 322002 593170 527408 65762 50712 50712 133275 133275 219228 199841 19387 24811 24811 Medical/dental supplies 1455906 1455906 Other 437079 122046 315033 Equipment 363942 363942 Maintenance and cleanin 171892 171892 18694234 16785913 1892119 16202 6318543 402902 570947 6286688 547284 1128802 495301 452072 307723 304364 63432 1966627 4658549 3040608 1045309 1617941 4207078 4429539 2726418 2514974 16282035 19103909 562197 775614 600000 600000 2747431 2547872 3909628 3923486 X 12372407 15180423 12372407 15180423 16282035 19103909 2709200 98816 0 X 0 1 X 1 1 0 X 5444301 7709073 7610665 9010040 9349677 39123756 5444301 7709073 7610665 9010040 9349677 39123756 39123756 19292 54954 96211 21080 336447 527984 39651740 47633970 0.98670 0.99450 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3627934 2630294 997640 1030615 410314 620301 1617941 Right of Use Assets 2514974 2514974 Lease liabilities 2547872 2547872 32670822 98816 11190520 11289336 21381486 21948 21948 21403434 29862806 11190520 11190520 18672286 21948 21948 18694234 Part XI, Line 2d - Other Adjustments: Cost of goods sold 11,190,520. Part XII, Line 2d - Other Adjustments: Cost of good sold 11,190,520. X X X 0 0 0 0 0 0 0 0 0 Vernon White Doctor 358174 0 0 0 0 0 33871 0 1021 0 393066 0 0 0 Bruce Grover Doctor 310083 0 0 0 0 0 36487 0 24673 0 371243 0 0 0 Pahl Bench Doctor 264690 0 0 0 0 0 27613 0 24674 0 316977 0 0 0 Salvador Fernandez Doctor 235405 0 0 0 0 0 24582 0 25868 0 285855 0 0 0 Mike Worman Pharmacist 215203 0 0 0 0 0 22208 0 22559 0 259970 0 0 0 Todd Bailey Exec. Dir. 201226 0 0 0 0 0 21013 0 21477 0 243716 0 0 0 Eric Johnson Finance Director 184606 0 0 0 0 0 19337 0 21402 0 225345 0 0 0 Form 990, Part VI, Section B, line 11b The Form 990 is reviewed by management prior to its submission. The Form 990 is available to board members for their review subsequent to filing. Form 990, Part VI, Section B, line 12c Conflict of interest policy is monitored by the Joint Commission (formerly JCHAO) an independent accreditation body for Hospital and Ambulatory Care Organizations. Form 990, Part VI, Section B, line 15 Executive Director's compensation is approved by the Board, based on median salary levels for the area and experience. Physicians' salaries are recommended by Executive Director, using compensation surveys to determine salary levels based on location and experience. These recommendations are then approved by the Board. Form 990, Part VI, Section C, line 19 Governing documents are available upon request just as the Form 990 is available.