Civic Intelligence

Impact Mental Health

990 • Fiscal year 2013 • EIN 57-1241243

Jan 01, 2013 to Dec 31, 2013 • Filed on May 14, 2014

4460 S Highland DrRoom/Suite 20084124

(801) 277-7740

Siviq Scores

Precomputed percentiles for this filing year versus similar nonprofits in the same peer cohort.

Liabilities / Assets

70th percentile

0.05x

Higher debt load relative to assets than 70% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Liabilities / Revenue

69th percentile

0.02x

Higher debt load relative to revenue than 69% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Net Margin

89th percentile

41%

Higher net margin than 89% of similar nonprofits.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Top Officer Pay

73rd percentile

$0

Higher top officer pay than 73% of similar nonprofits.

Top officer pay equals 0.0% of source-year revenue.

2013 filings • 501(c)3 • <$500k nonprofits • Source year 2013

Asset Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Revenue Growth

Score unavailable

No value available

No earlier valid filing was available within the previous three public years.

Source year 2013

Assets

$74,047

No earlier filing loaded for comparison.

Net Assets

$70,615

No earlier filing loaded for comparison.

Liabilities

$3,432

No earlier filing loaded for comparison.

Revenue

$163,078

No earlier filing loaded for comparison.

Expenses

$96,289

No earlier filing loaded for comparison.

Net Income

$66,789

No earlier filing loaded for comparison.

Historical Trend

Balance Sheet Trend

The highlighted filing sits inside the broader history for assets, liabilities, and net assets.

$600K$400K$200K$0Assets 2013: $74,047Liabilities 2013: $3,432Net Assets 2013: $70,6152013Assets 2014: $54,224Liabilities 2014: $10,247Net Assets 2014: $43,9772014Assets 2015: $57,920Liabilities 2015: $4,513Net Assets 2015: $53,4072015Assets 2016: $107,155Liabilities 2016: $0Net Assets 2016: $107,1552016Assets 2017: $146,180Liabilities 2017: $1,024Net Assets 2017: $145,1562017Assets 2018: $153,478Liabilities 2018: $500Net Assets 2018: $152,9782018Assets 2019: $232,042Liabilities 2019: $0Net Assets 2019: $232,0422019Assets 2020: $349,007Liabilities 2020: $0Net Assets 2020: $349,0072020Assets 2021: $476,502Liabilities 2021: $0Net Assets 2021: $476,5022021Assets 2022: $523,300Liabilities 2022: $3,496Net Assets 2022: $519,8042022Assets 2023: $0Net Assets 2023: $02023

Highlighted filing

2013

Assets$74,047
Liabilities$3,432
Net Assets$70,615

Operations Trend

Revenue, expenses, and net income across loaded years, with this filing highlighted.

$1.0M$500K$0-$500K-$1.0MRevenue 2013: $163,078Expenses 2013: $96,289Net Income 2013: $66,7892013Revenue 2014: $90,702Expenses 2014: $117,336Net Income 2014: -$26,6342014Revenue 2015: $205,608Expenses 2015: $196,178Net Income 2015: $9,4302015Revenue 2016: $234,214Expenses 2016: $180,466Net Income 2016: $53,7482016Revenue 2017: $292,734Expenses 2017: $254,733Net Income 2017: $38,0012017Revenue 2018: $406,099Expenses 2018: $366,309Net Income 2018: $39,7902018Revenue 2019: $679,850Expenses 2019: $600,786Net Income 2019: $79,0642019Revenue 2020: $731,663Expenses 2020: $614,698Net Income 2020: $116,9652020Revenue 2021: $887,661Expenses 2021: $760,166Net Income 2021: $127,4952021Revenue 2022: $826,444Expenses 2022: $783,142Net Income 2022: $43,3022022Revenue 2023: $18,813Expenses 2023: $531,424Net Income 2023: -$512,6112023

Highlighted filing

2013

Revenue$163,078
Expenses$96,289
Net Income$66,789
Jump To
Filing Snapshot
Filing Period
Jan 1, 2013 to Dec 31, 2013
Signed
May 14, 2014
Return Version
2013v3.1
Gross Receipts
$163,078
Mission and Program Overview

Mission

The Polizzi Clinic provides no-cost, community-based psychiatric care to low-income, uninsured children, adolescents and adults. The Polizzi Clinic is a safety net: A bridge to existing community health services for Utahns most in need.

1)to provide assistance to indigent individuals in need of health care. 2)to provide education for other professionals of where to send indigent individuals for health care.

Balance Sheet Detail
LineBeginningEndChange
Assets
Pledges and Grants Receivable-$48,000-
Savings and Temporary Cash Investments-$14,452-
Cash and Non-Interest-Bearing Accounts$5,274$8,774▲ $3,500
Land, Buildings, and Equipment, Net$540$2,821▲ $2,281
Total Assets$5,814$74,047▲ $68,233
Liabilities
Accounts Payable and Accrued Expenses$1,988$3,432▲ $1,444
Total Liabilities$1,988$3,432▲ $1,444
Net Assets / Fund Balance
Temporarily Rstr Net Assets-$40,000-
Unrestricted Net Assets$3,826$30,615▲ $26,789
Total Net Assets Fund Balance$3,826$70,615▲ $66,789
Total Liabilities and Net Assets / Fund Balance$5,814$74,047▲ $68,233

Asset Categories

AssetBook ValueDepreciationBasis
Other Land Buildings$2,821$521$3,342
Compensation and Service Providers

Board Members and Trustees

NameTitle
Christina CalderonBoard Member
Emily CapitoBoard Member
Greg WilliamsBoard Member
Mansoor EmamBoard Member
Rebecca GlatherBoard Member
Reid RobinsonBoard Member
Steven SzykulaBoard Member
Brian MillerInterim Boar
Revenue and Support

Revenue Composition

Contributions and Grants
$163,073
Program Service Revenue
$0
Investment Income
$5
Other Revenue
$0
All Other Contributions
$163,073
Change in Net Assets
$66,789

Noncash Contribution Practices

Property subject to holding requirements
No
Reviewed unusual noncash gifts
No
Third parties used for noncash contributions
No

Noncash Contributions

Contribution TypeContribution CountReported Amount
Other Non Cash Contri Table1$39,663
Total Noncash Contributions1$39,663
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$50,221
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Salaries, Compensation, and Employee Benefits$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Benefits to Members$46,068--$46,068
Office Expenses-$22,094-$22,094
Occupancy$14,385$6,165-$20,550
Fees for Services Accounting-$5,810-$5,810
Insurance-$945-$945
Depreciation Depletion$322$139-$461
Conferences and Meetings-$361-$361
Total Functional Expenses$60,775$35,514$0$96,289
Fundraising, Events, and Gaming
Fundraising activities
No
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Professional Fundraising Fees$0
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 9

Brian miller 350 south 400 east salt lake city, ut 84111 mansoor emam 65 east 6850 south midvale, ut 84047 steven szykula 1208 e 3300 s salt lake city, ut 84106 rebecca glather 1600 w 2200 s 202 west valley, ut 84119 christina calderon 5695 south 900 east salt lake city, ut 84121 greg williams 6330 south 3000 east 600 salt lake city, ut 84121 reid robinson 3838 s 700 e 202 salt lake city, ut 84106

Form 990, Page 6, Part VI, Line 11B

No review was or will be conducted.

Form 990, Page 6, Part VI, Line 19

No documents available to the public

Filing and Contact Details

Filer

EIN
57-1241243
Phone
8012777740

Signing Officer

Name
Noel Gardner
Title
Chairman
Phone
8012777740
Signed
2014-05-14

Organization Details

Principal Officer
Noel Gardner
Formed
2006
Legal Domicile
Ut
Voting Board Members
8
Independent Board Members
8
Employees
4

Preparer

Preparer
Daniel J Armstrong CPA
Phone
8012631040
Supplemental Narrative

Additional Explanations

Form 990, Page 2, Part III, Line 4D

Depreciation of equipment

Raw XML Appendix314 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1BRIAN MILLER 350 SOUTH 400 EAST SALT LAKE CITY, UT 84111 MANSOOR EMAM 65 EAST 6850 SOUTH MIDVALE, UT 84047 STEVEN SZYKULA 1208 E 3300 S SALT LAKE CITY, UT 84106 REBECCA GLATHER 1600 W 2200 S 202 WEST VALLEY, UT 84119 CHRISTINA CALDERON 5695 SOUTH 900 EAST SALT LAKE CITY, UT 84121 GREG WILLIAMS 6330 SOUTH 3000 EAST 600 SALT LAKE CITY, UT 84121 REID ROBINSON 3838 S 700 E 202 SALT LAKE CITY, UT 84106
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ReturnHeader/BuildTS02015-11-30 17:44:51Z
ReturnHeader/BusinessOfficerGrp/PersonNm0NOEL GARDNER
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0CHAIRMAN
ReturnHeader/BusinessOfficerGrp/PhoneNum08012777740
ReturnHeader/BusinessOfficerGrp/SignatureDt02014-05-14
ReturnHeader/Filer/BusinessName/BusinessNameLine10POLIZZI FOUNDATION
ReturnHeader/Filer/BusinessNameControlTxt0POLI
ReturnHeader/Filer/EIN0571241243
ReturnHeader/Filer/PhoneNum08012777740
ReturnHeader/Filer/USAddress/AddressLine104460 S HIGHLAND DR
ReturnHeader/Filer/USAddress/AddressLine20ROOM/SUITE 200
ReturnHeader/Filer/USAddress/City0SALT LAKE CITY
ReturnHeader/Filer/USAddress/State0UT
ReturnHeader/Filer/USAddress/ZIPCode084124
ReturnHeader/PreparerFirmGrp/PreparerFirmName/BusinessNameLine10ARMSTRONG DUKE & ASSOCIATES LLC
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/AddressLine104541 SOUTH 700 EAST SUITE 200
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/City0SALT LAKE CITY
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/State0UT
ReturnHeader/PreparerFirmGrp/PreparerUSAddress/ZIPCode0841074130
ReturnHeader/PreparerPersonGrp/PhoneNum08012631040
ReturnHeader/PreparerPersonGrp/PreparationDt02014-05-14
ReturnHeader/PreparerPersonGrp/PreparerPersonNm0DANIEL J ARMSTRONG CPA
ReturnHeader/ReturnTs02014-05-14T18:00:11-05:00
ReturnHeader/ReturnTypeCd0990
ReturnHeader/TaxPeriodBeginDt02013-01-01
ReturnHeader/TaxPeriodEndDt02013-12-31
ReturnHeader/TaxYr02013

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