Civic Intelligence

Impact Mental Health

990 • Fiscal year 2017 • EIN 57-1241243

Jan 01, 2017 to Dec 31, 2017 • Filed on Nov 15, 2018

Organization Profilepolizziclinic.org
515 East 4500 SouthSalt Lake City, UT 84107

(801) 590-9154

Siviq Scores

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

Liabilities / Assets

61st percentile

0.01x

Higher debt load relative to assets than 61% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Liabilities / Revenue

59th percentile

0.00x

Higher debt load relative to revenue than 59% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Net Margin

68th percentile

13%

Higher net margin than 68% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Top Officer Pay

94th percentile

$60,000

Higher top officer pay than 94% of similar nonprofits.

Top officer pay equals 20.5% of source-year revenue.

2017 filings • 501(c)3 • <$500k nonprofits • Source year 2017

Asset Growth

80th percentile

36%

Faster asset growth than 80% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Revenue Growth

76th percentile

25%

Faster revenue growth than 76% of similar nonprofits.

2017 filings • 501(c)3 • <$500k nonprofits • Annualized from 2016 to 2017

Balance Sheet
Liabilities / Assets61st percentile

Assets

Up

$146,180

Up $39,025 (+36%) from 2016

Net Assets

Up

$145,156

Up $38,001 (+35%) from 2016

Liabilities

Up

$1,024

Up $1,024 from 2016

Revenue And Expenses
Liabilities / Revenue59th percentileNet Margin68th percentile

Revenue

Up

$292,734

Up $58,520 (+25%) from 2016

Expenses

Up

$254,733

Up $74,267 (+41%) from 2016

Net Income

Down

$38,001

Down $15,747 (-29%) from 2016

Historical Trend

Balance Sheet Trend

Asset Growth80th percentile

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

2017

Assets$146,180
Liabilities$1,024
Net Assets$145,156
Open 2017 Filing

Operations Trend

Revenue Growth76th percentile

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

2017

Revenue$292,734
Expenses$254,733
Net Income$38,001
Open 2017 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2017 to Dec 31, 2017
Signed
Nov 15, 2018
Return Version
2017v2.2
Gross Receipts
$292,734
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.

Balance Sheet Detail
LineBeginningEndChange
Assets
Cash and Non-Interest-Bearing Accounts$63,007$103,695▲ $40,688
Pledges and Grants Receivable$41,963$40,300▼ $1,663
Land, Buildings, and Equipment, Net$684$684→ $0
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Receivable From Disqualified Prsn-$0-
Receivables From Officers Etc-$0-
Investments Other Securities-$0-
Investments Program Related-$0-
Investments in Publicly Traded Securities-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$107,155$146,180▲ $39,025
Other Assets Total$1,501$1,501→ $0
Liabilities
Accounts Payable and Accrued Expenses-$1,024-
Total Liabilities$0$1,024▲ $1,024
Net Assets / Fund Balance
Unrestricted Net Assets$63,942$104,382▲ $40,440
Temporarily Rstr Net Assets$43,213$40,774▼ $2,439
Total Net Assets Fund Balance$107,155$145,156▲ $38,001
Total Liabilities and Net Assets / Fund Balance$107,155$146,180▲ $39,025

Asset Categories

AssetBook ValueDepreciationBasis
Equipment$684$2,909$3,593
Compensation and Service Providers
Top Officer Pay94th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Noel C Gardner MDMedical DirectorPT$60,000$60,000
Elizabeth KociolekFormer Exec. DirectorFT$48,000$48,000

Board Members and Trustees

NameTitle
Crystal Low MBABoard Chair
Tammer Attallah LCSW MBAPast Brd. Chair
Alex HancockBoard Member
Jeanie Ashby MPHBoard Member
Paul Olavson MS APRNBoard Member
Tom PitcherBoard Member
Tricia Pannier SPHR SHRM-SCPBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$292,703
Program Service Revenue
$0
Investment Income
$31
Other Revenue
$0
All Other Contributions
$292,703
Change in Net Assets
$38,001

Audited Revenue Reconciliation

Revenue per Audited Statements
$292,734
Total Revenue per Audited Statements
$292,734
Total Revenue per Form 990
$292,734
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$137,085
Other Expenses$117,648
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$71,374--$71,374
Current Officers, Directors, Trustees, and Key Employees$60,000--$60,000
Occupancy$21,391--$21,391
Other Employee Benefits$5,711--$5,711
Other Expenses$3,452--$3,452
Total Functional Expenses$254,733$0$0$254,733

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$254,733
Total Expenses per Audited Statements$254,733
Total Expenses per Form 990$254,733
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
Insider Transactions and Loans

Loans and Receivables

Line ItemBeginningEndChange
Receivables from Disqualified Persons-$0-
Receivables from Officers, Directors, Trustees, and Key Employees-$0-
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Annual disclosure for covered persons
Yes
Audit committee
No
Backup withholding compliance
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
Yes
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Part VI, Line 11B: Form 990 Review Process

“The Executive Director of the Polizzi Foundation reviewed the exempt organization tax return.”

Form 990, Part VI, Line 12C: Explanation of Monitoring and Enforcement of Conflicts

“Each officer, director and key employee must annually renew and sign a contract with the Polizzi Clinic. Before signing, each individual must disclose any potential conflicts of interest.”

Form 990, Part VI, Line 19: Other Organization Documents Publicly Available

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name
Polizzi Foundation
EIN
57-1241243
Phone
8015909154
Address
515 East 4500 South, Salt Lake City, UT 84107

Signing Officer

Name
Tammer Attallah LCSW MBA
Title
Past Board Chair
Signed
2018-11-15
Discuss with paid preparer
Yes

Organization Details

Legal Domicile
Ut
Voting Board Members
8
Independent Board Members
7
Employees
5
Volunteers
23

Preparer

Firm
Simmons & Company A Professional CPA Corp
Address
2494 South 1300 East, Salt Lake City, UT 84106-3156
Preparer
Marc L Simmons
Phone
8014862731
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IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0true
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0292703
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0215294
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0176889
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0166330
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt090603
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0163073
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt0812189
IRS990ScheduleA/GovtFurnSrvcFcltsVl509Grp/TotalAmt00
IRS990ScheduleA/GrossInvestmentIncome509Grp/TotalAmt00
IRS990ScheduleA/GrossReceiptsAdmissionsGrp/TotalAmt00
IRS990ScheduleA/GrossReceiptsNonUnrltBusGrp/TotalAmt00
IRS990ScheduleA/InvestmentIncomeCYPct00.00000
IRS990ScheduleA/NetIncomeFromOtherUBIGrp/TotalAmt00
IRS990ScheduleA/OtherIncome509Grp/TotalAmt00
IRS990ScheduleA/Post1975UBTIGrp/TotalAmt00
IRS990ScheduleA/PubliclySupportedOrg509a2Ind0X
IRS990ScheduleA/PublicSupportCY509Pct00.88670
IRS990ScheduleA/PublicSupportPY509Pct00.85180
IRS990ScheduleA/PublicSupportTotal509Amt0720189
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus3YearsAmt050000
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/CurrentTaxYearMinus4YearsAmt042000
IRS990ScheduleA/SubstAndDsqlfyPrsnsTotGrp/TotalAmt092000
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus3YearsAmt050000
IRS990ScheduleA/SubstantialContributorsAmtGrp/CurrentTaxYearMinus4YearsAmt042000
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt092000
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0215294
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0176889
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0166330
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt090603
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0163073
IRS990ScheduleA/Total509Grp/TotalAmt0812189
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0215294
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0176889
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0166330
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt090603
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0163073
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt0812189
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/EquipmentGrp/BookValueAmt0684
IRS990ScheduleD/EquipmentGrp/DepreciationAmt02909
IRS990ScheduleD/EquipmentGrp/OtherCostOrOtherBasisAmt03593
IRS990ScheduleD/ExpensesSubtotalAmt0254733
IRS990ScheduleD/RevenueSubtotalAmt0292734
IRS990ScheduleD/TotalBookValueLandBuildingsAmt0684
IRS990ScheduleD/TotalExpensesPerForm990Amt0254733
IRS990ScheduleD/TotalRevenuePerForm990Amt0292734
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0292734
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0254733
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990ScheduleJ/RebuttablePresumptionProcInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt048000
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Elizabeth Kociolek
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Former Exec. Dir
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt048000
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0false
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Executive Director of the Polizzi Foundation reviewed the exempt organization tax return.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Each officer, director and key employee must annually renew and sign a contract with the Polizzi Clinic. Before signing, each individual must disclose any potential conflicts of interest.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Line 11b: Form 990 Review Process
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Line 19: Other Organization Documents Publicly Available
IRS990/SchoolOperatingInd0false
IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/TaxableDistributionsInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TemporarilyRstrNetAssetsGrp/BOYAmt043213
IRS990/TemporarilyRstrNetAssetsGrp/EOYAmt040774
IRS990/TempOrPermanentEndowmentsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0107155
IRS990/TotalAssetsEOYAmt0146180
IRS990/TotalAssetsGrp/BOYAmt0107155
IRS990/TotalAssetsGrp/EOYAmt0146180
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0292703
IRS990/TotalEmployeeCnt05
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt00
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt00
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0254733
IRS990/TotalFunctionalExpensesGrp/TotalAmt0254733
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt01024
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt01024
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0107155
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0145156
IRS990/TotalProgramServiceExpensesAmt0254733
IRS990/TotalProgramServiceRevenueAmt00
IRS990/TotalReportableCompFromOrgAmt0108000
IRS990/TotalRevenueGrp/ExclusionAmt031
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0292734
IRS990/TotalVolunteersCnt023
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0107155
IRS990/TotLiabNetAssetsFundBalanceGrp/EOYAmt0146180
IRS990/TravelGrp/TotalAmt00
IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UnrestrictedNetAssetsGrp/BOYAmt063942
IRS990/UnrestrictedNetAssetsGrp/EOYAmt0104382
IRS990/UponRequestInd0X
IRS990/VotingMembersGoverningBodyCnt08
IRS990/VotingMembersIndependentCnt07

Document Assets

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Filings

Displayed year

2017 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$146,180
Liabilities
$1,024
Net assets
$145,156
Revenue
$292,734
Expenses
$254,733
Net income
$38,001
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2023Detailed filing. Detailed filing data is available for this year.$0.00$0.00$0.19$5.31$5.13
2022Detailed filing. Detailed filing data is available for this year.$5.23$0.03$5.20$8.26$7.83$0.43
2021Detailed filing. Detailed filing data is available for this year.$4.77$0.00$4.77$8.88$7.60$1.27
2020Detailed filing. Detailed filing data is available for this year.$3.49$0.00$3.49$7.32$6.15$1.17
2019Detailed filing. Detailed filing data is available for this year.$2.32$0.00$2.32$6.80$6.01$0.79
2018Summary only. Only limited summary data is available for this year.$1.53$0.01$1.53$4.06$3.66$0.40
2017Detailed filing. Detailed filing data is available for this year.$1.46$0.01$1.45$2.93$2.55$0.38
2016Detailed filing. Detailed filing data is available for this year.$1.07$0.00$1.07$2.34$1.80$0.54
2015Detailed filing. Detailed filing data is available for this year.$0.58$0.05$0.53$2.06$1.96$0.09
2014Detailed filing. Detailed filing data is available for this year.$0.54$0.10$0.44$0.91$1.17$0.27
2013Detailed filing. Detailed filing data is available for this year.$0.74$0.03$0.71$1.63$0.96$0.67