2026-05-01T10:44:12-05:00 2025-12-31 870343246 Squire & Company PC 1329 S 800 E Orem UT 84097 990 2025-01-01 870515716 Mountainlands Community Health Center MOUN 8014292011 589 South State Street Provo UT 84606 Todd Bailey Executive Director 8014292011 2026-04-28 1 M Paul Winward P00290039 8012256900 2026-04-27 2025 2025-03-06 01:10:19Z Todd Bailey 589 South State Street Provo UT 84606 34817173 0 X www.mountainlands.org X 1992 UT To provide medical, mental health, dental care, and affordable medicine to the medically underserved population. 10 10 207 0 0 0 5800193 5460821 7561755 7812622 452257 80081 5947492 7601284 19761697 20954808 750000 0 0 0 15341761 14687890 0 0 36419 6338628 6354391 22430389 21042281 -2668692 -87473 16545730 17143234 3860588 3973776 12685142 13169458 X To provide medical, mental health, dental care, and affordable medicine to the medically underserved population. 0 0 11479323 6163811 Provided medical care on a sliding fee scale for patients. 3107893 1648811 Provided dental care on a sliding fee scale for patients. 3879969 Provided affordable medicine/pharmaceuticals for patients. 622163 Provided mental health care on a sliding fee scale for patients. 622163 19089348 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 16 0 207 1 0 0 0 0 0 0 0 0 0 0 X 10 10 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 Todd Bailey Exec. Dir. 40.00 X 220545 0 46664 Eric Johnson Finance Director 40.00 X 205834 0 45210 Pahl Bench Doctor 40.00 X 282763 0 54093 Drew Gilley Doctor 40.00 X 268010 0 52605 Bruce Grover Doctor 40.00 X 323230 0 57586 Salvador Fernandez Doctor 40.00 X 264570 0 52839 Cameron Smith Doctor 40.00 X 263348 0 52534 1828300 0 361531 26 0 1 0 0 4635311 825510 5460821 Medical fees (net of discount 6163811 6163811 Dental fees (net of discount) 1648811 1648811 7812622 84009 84009 3928 -3928 -3928 -3928 21459721 13858437 7601284 7601284 20954808 15409978 0 84009 426379 426379 10855913 10343054 488273 24586 1039158 956025 83133 1573276 1436350 125093 11833 793164 729711 63453 22093 22093 27200 27200 25331 25331 774154 455103 319051 291308 256980 34328 871107 860994 10113 606249 544219 62030 31572 31572 98671 98671 217013 198847 18166 49637 49637 Medical/dental supplies 2653981 2653981 Other 365397 203163 162234 Equipment 167555 167555 Maintenance and cleanin 153123 153123 21042281 19089348 1916514 36419 -461706 -26310 5940420 5507190 81864 75195 704260 703884 478829 500190 79734 129043 4746235 3459317 1442788 1286918 4272139 5400538 4007402 3566586 16545730 17143234 1133585 1434834 600000 781092 2127003 1757850 3860588 3973776 X 12685142 13149458 20000 12685142 13169458 16545730 17143234 -87473 571789 0 X 0 1 X 1 1 1 X 7610665 9010040 9349677 5800193 5460821 37231396 7610665 9010040 9349677 5800193 5460821 37231396 37231396 96211 21080 336447 439987 655798 1549523 38780919 17939153 0.96000 0.97650 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1050056 486553 563503 3696179 2972764 723415 1286918 Right of Use Assets 3566586 3566586 Lease liabilities 1757850 1757850 35359703 571789 13858437 14430226 20929477 25331 25331 20954808 34875387 13858437 13858437 21016950 25331 25331 21042281 Part XI, Line 2d - Other Adjustments: Cost of goods sold 13,858,437. Part XII, Line 2d - Other Adjustments: Cost of good sold 13,858,437. X X X 0 0 0 0 0 0 0 0 0 Bruce Grover Doctor 323230 0 0 0 0 0 31056 0 26530 0 380816 0 0 0 Pahl Bench Doctor 282763 0 0 0 0 0 27563 0 26530 0 336856 0 0 0 Drew Gilley Doctor 268010 0 0 0 0 0 26075 0 26530 0 320615 0 0 0 Salvador Fernandez Doctor 264570 0 0 0 0 0 25711 0 27128 0 317409 0 0 0 Cameron Smith Doctor 263348 0 0 0 0 0 26004 0 26530 0 315882 0 0 0 Todd Bailey Exec. Dir. 220545 0 0 0 0 0 21534 0 25130 0 267209 0 0 0 Eric Johnson Finance Director 205834 0 0 0 0 0 20420 0 24790 0 251044 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.