2025-05-22T16:51:03-05:00 2024-12-31 870343246 Squire & Company PC 1329 S 800 E Orem UT 84097 990 2024-01-01 870515716 Mountainlands Community Health Center MOUN 8014292011 589 South State Street Provo UT 84606 Todd Bailey Executive Director 8014292011 2025-05-22 1 1 M Paul Winward P00290039 8012256900 2025-05-22 2024 2025-03-06 01:10:19Z Todd Bailey 589 South State Street Provo UT 84606 31661435 0 X www.mountainlands.org X 1992 UT To provide medical, mental health, dental care, and affordable medicine to the medically underserved population. 11 11 229 20 0 0 9349677 5800193 7895935 7561755 336447 452257 3821375 5947492 21403434 19761697 0 750000 0 0 13149489 15341761 0 0 36296 5544745 6338628 18694234 22430389 2709200 -2668692 19103909 16545730 3923486 3860588 15180423 12685142 X To provide medical, mental health, dental care, and affordable medicine to the medically underserved population. 0 0 12633886 750000 6084742 Provided medical care on a sliding fee scale for patients. 3040523 1477013 Provided dental care on a sliding fee scale for patients. 3610299 Provided affordable medicine/pharmaceuticals for patients. 794878 Provided mental health care on a sliding fee scale for patients. 794878 20079586 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 19 0 229 1 0 0 0 0 0 0 0 0 0 0 X 11 11 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 Ralph Clegg Member 1.00 X 0 0 0 Eric Edwards Member 1.00 X 0 0 0 Kathryn Asay 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 210162 0 44431 Eric Johnson Finance Director 40.00 X 193809 0 43045 Pahl Bench Doctor 40.00 X 254221 0 52610 Matias Calquin Doctor 40.00 X 267103 0 52516 Bruce Grover Doctor 40.00 X 303972 0 57316 Vernon White Doctor 40.00 X 310162 0 48928 Cameron Smith Doctor 40.00 X 263584 0 49356 1803013 0 348202 27 0 1 0 0 5050193 750000 5800193 Medical fees (net of discount 6084742 6084742 Dental fees (net of discount) 1477013 1477013 7561755 439987 439987 35209 22939 12270 12270 12270 17824291 11876799 5947492 5947492 19761697 13509247 0 452257 750000 750000 403971 403971 11449799 10669303 755910 24586 995823 916158 79665 1671964 1486923 173331 11710 820204 754588 65616 41775 41775 38700 12750 25950 23397 23397 772091 656202 115889 943672 943672 787506 541843 245663 633977 568299 65678 41348 41348 145119 145119 219975 201562 18413 36531 36531 Medical/dental supplies 1777355 1777355 Other 492631 229913 262718 Equipment 213517 213517 Maintenance and cleanin 171034 171034 22430389 20079586 2314507 36296 402902 -461706 6286688 5940420 1128802 81864 452072 704260 304364 478829 1966627 79734 4686984 3244196 1617941 1442788 4429539 4272139 2514974 4007402 19103909 16545730 775614 1133585 600000 600000 2547872 2127003 3923486 3860588 X 15180423 12685142 15180423 12685142 19103909 16545730 -2668692 173411 0 X 0 1 X 1 1 1 X 7709073 7610665 9010040 9349677 5800193 39479648 7709073 7610665 9010040 9349677 5800193 39479648 39479648 54954 96211 21080 336447 439987 948679 40428327 33171111 0.97650 0.98670 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1294662 448280 846382 3392322 2795916 596406 1442788 Right of Use Assets 4007402 4007402 Lease liabilities 2127003 2127003 31788510 173411 11876799 12050210 19738300 23397 23397 19761697 34283791 11876799 11876799 22406992 23397 23397 22430389 Part XI, Line 2d - Other Adjustments: Cost of goods sold 11,876,799. Part XII, Line 2d - Other Adjustments: Cost of good sold 11,876,799. 1 Wasatch Behavorial Health 750 N Freedom Blvd Provo UT 84604 750000 0 Support 1 X X X 0 0 0 0 0 0 0 0 0 Bruce Grover Doctor 303972 0 0 0 0 0 31274 0 26042 0 361288 0 0 0 Vernon White Doctor 310162 0 0 0 0 0 31524 0 17404 0 359090 0 0 0 Matias Calquin Doctor 267103 0 0 0 0 0 26474 0 26042 0 319619 0 0 0 Cameron Smith Doctor 263584 0 0 0 0 0 23314 0 26042 0 312940 0 0 0 Pahl Bench Doctor 254221 0 0 0 0 0 26569 0 26041 0 306831 0 0 0 Todd Bailey Exec. Dir. 210162 0 0 0 0 0 0 21933 0 22498 210162 44431 0 0 Eric Johnson Finance Director 193809 0 0 0 0 0 20255 0 22790 0 236854 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.