Civic Intelligence

Impact Mental Health

990 • Fiscal year 2020 • EIN 57-1241243

Jan 01, 2020 to Dec 31, 2020 • Filed on Nov 12, 2021

Organization Profileimpactmentalhealth.org
515 East 4500 South G220Salt Lake City, UT 84107

(801) 590-9557

Siviq Scores

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

Liabilities / Assets

27th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Liabilities / Revenue

27th percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Net Margin

66th percentile

16%

Higher net margin than 66% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Top Officer Pay

87th percentile

$97,000

Higher top officer pay than 87% of similar nonprofits.

Top officer pay equals 13.3% of source-year revenue.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2020

Asset Growth

83rd percentile

50%

Faster asset growth than 83% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Revenue Growth

63rd percentile

7.6%

Faster revenue growth than 63% of similar nonprofits.

2020 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / Assets27th percentile

Assets

Up

$349,007

Up $116,965 (+50%) from 2019

Net Assets

Up

$349,007

Up $116,965 (+50%) from 2019

Liabilities

Flat

$0

Flat from 2019

Revenue And Expenses
Liabilities / Revenue27th percentileNet Margin66th percentile

Revenue

Up

$731,663

Up $51,813 (+7.6%) from 2019

Expenses

Up

$614,698

Up $13,912 (+2.3%) from 2019

Net Income

Up

$116,965

Up $37,901 (+48%) from 2019

Historical Trend

Balance Sheet Trend

Asset Growth83rd 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

2020

Assets$349,007
Liabilities$0
Net Assets$349,007
Open 2020 Filing

Operations Trend

Revenue Growth63rd 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

2020

Revenue$731,663
Expenses$614,698
Net Income$116,965
Open 2020 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2020 to Dec 31, 2020
Signed
Nov 12, 2021
Return Version
2020v4.0
Gross Receipts
$731,663
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.

Impact Mental Health provides no-cost, community-based psychiatric care to low-income, uninsured children, adolescents and adults. Impact Mental Health 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$230,542$346,301▲ $115,759
Savings and Temporary Cash Investments-$0-
Accounts Receivable-$0-
Other Notes and Loans Receivable, Net-$0-
Pledges and Grants Receivable-$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-
Land, Buildings, and Equipment, Net-$0-
Intangible Assets-$0-
Inventories for Sale or Use-$0-
Prepaid Expenses and Deferred Charges-$0-
Total Assets$232,042$349,007▲ $116,965
Other Assets Total$1,500$2,706▲ $1,206
Liabilities
Total Liabilities$0$0→ $0
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$232,042$349,007▲ $116,965
Total Net Assets Fund Balance$232,042$349,007▲ $116,965
Total Liabilities and Net Assets / Fund Balance$232,042$349,007▲ $116,965
Compensation and Service Providers
Top Officer Pay87th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Noel C Gardner MDMedical DirectorPT$97,000$97,000
Bridget Shears MBAFormer Executive DirectorFT$11,292$11,292

Board Members and Trustees

NameTitle
Crystal Low MBABoard Chair
Tammer Attallah LCSW MBAPast Brd. Chair
Tricia Pannier SPHR SHRM-SCPVice Chair
Bryan Hayes MBABoard Member
Connie GardnerBoard Member
Lynn Whitaker LCSWBoard Member
Rich Lanward LCWS MPA MBBBoard Member
Shawn C FerrinBoard Member
Carolyn Tometich MSN PMHNPExecutive Director
Revenue and Support

Revenue Composition

Contributions and Grants
$731,453
Program Service Revenue
$0
Investment Income
$210
Other Revenue
$0
All Other Contributions
$731,453
Change in Net Assets
$116,965

Audited Revenue Reconciliation

Revenue per Audited Statements
$731,663
Total Revenue per Audited Statements
$731,663
Total Revenue per Form 990
$731,663
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$420,854
Salaries, Compensation, and Employee Benefits$193,844
Total Fundraising Expense$14,918
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Current Officers, Directors, Trustees, and Key Employees$76,795$12,736$7,469$97,000
Other Salaries and Wages$76,666$12,729$7,449$96,844
Occupancy$819$41,740-$42,559
Other Expenses$1,051$271-$1,322
Total Functional Expenses$506,763$93,017$14,918$614,698

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$614,698
Total Expenses per Audited Statements$614,698
Total Expenses per Form 990$614,698
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 35% controlled entity
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 Impact Mental Health's Board Chair and Medical Director 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 Impact Mental Health. 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
Impact Mental Health
EIN
57-1241243
Phone
8015909557
Address
515 East 4500 South G220, Salt Lake City, UT 84107

Signing Officer

Name
Carolyn Tometich MSN PMHNP-BC
Title
Executive Director
Signed
2021-11-12
Discuss with paid preparer
Yes

Organization Details

Legal Domicile
Ut
Voting Board Members
10
Independent Board Members
8
Employees
7
Volunteers
23

Preparer

Firm
Simmons & Company A Professional CPA Corp
Address
2494 South 1300 East, Salt Lake City, UT 84106
Preparer
Marc L Simmons CPA
Phone
8014862731
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IRS990/PayPremiumsPrsnlBnftCntrctInd0false
IRS990/PayrollTaxesGrp/TotalAmt00
IRS990/PensionPlanContributionsGrp/TotalAmt00
IRS990/PledgesAndGrantsReceivableGrp/EOYAmt00
IRS990/PoliticalCampaignActyInd0false
IRS990/PrepaidExpensesDefrdChargesGrp/EOYAmt00
IRS990/ProfessionalFundraisingInd0false
IRS990/ProhibitedTaxShelterTransInd0false
IRS990/PYContributionsGrantsAmt0679795
IRS990/PYExcessBenefitTransInd0false
IRS990/PYInvestmentIncomeAmt055
IRS990/PymtTravelEntrtnmntPubOfclGrp/TotalAmt00
IRS990/PYOtherExpensesAmt0407299
IRS990/PYRevenuesLessExpensesAmt079064
IRS990/PYSalariesCompEmpBnftPaidAmt0193487
IRS990/PYTotalExpensesAmt0600786
IRS990/PYTotalRevenueAmt0679850
IRS990/QuidProQuoContributionsInd0false
IRS990/RcvblFromDisqualifiedPrsnGrp/EOYAmt00
IRS990/RcvFndsToPayPrsnlBnftCntrctInd0false
IRS990/ReceivablesFromOfficersEtcGrp/EOYAmt00
IRS990/ReconcilationRevenueExpnssAmt0116965
IRS990/RegularMonitoringEnfrcInd0true
IRS990/RelatedEntityInd0false
IRS990/RelatedOrganizationCtrlEntInd0false
IRS990/ReportInvestmentsOtherSecInd0false
IRS990/ReportLandBuildingEquipmentInd0false
IRS990/ReportOtherAssetsInd0false
IRS990/ReportOtherLiabilitiesInd0false
IRS990/ReportProgramRelatedInvstInd0false
IRS990/RevenueAmt0731453
IRS990/RoyaltiesGrp/TotalAmt00
IRS990/RoyaltiesRevenueGrp/TotalRevenueColumnAmt00
IRS990/SavingsAndTempCashInvstGrp/EOYAmt00
IRS990ScheduleA/AmountsRcvdDsqlfyPersonGrp/TotalAmt00
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearAmt0380783
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus1YearAmt0348877
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus2YearsAmt0280453
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus3YearsAmt0215294
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/CurrentTaxYearMinus4YearsAmt0176889
IRS990ScheduleA/GiftsGrantsContrisRcvd509Grp/TotalAmt01402296
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/PublicSupportCY509Pct01.00000
IRS990ScheduleA/PublicSupportPY509Pct01.00000
IRS990ScheduleA/PublicSupportTotal509Amt01402296
IRS990ScheduleA/SubstantialContributorsAmtGrp/TotalAmt00
IRS990ScheduleA/TaxRevLeviedOrgnztnlBnft509Grp/TotalAmt00
IRS990ScheduleA/ThirtyThrPctSuprtTestsCY509Ind0X
IRS990ScheduleA/Total509Grp/CurrentTaxYearAmt0380783
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus1YearAmt0348877
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus2YearsAmt0280453
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus3YearsAmt0215294
IRS990ScheduleA/Total509Grp/CurrentTaxYearMinus4YearsAmt0176889
IRS990ScheduleA/Total509Grp/TotalAmt01402296
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearAmt0380783
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus1YearAmt0348877
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus2YearsAmt0280453
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus3YearsAmt0215294
IRS990ScheduleA/TotalSupportCalendarYearGrp/CurrentTaxYearMinus4YearsAmt0176889
IRS990ScheduleA/TotalSupportCalendarYearGrp/TotalAmt01402296
IRS990ScheduleB/ContributorInformationGrp/ContributorBusinessName/BusinessNameLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine10RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/AddressLine20RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/City0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
IRS990/ScheduleBRequiredInd0true
IRS990ScheduleD/ExpensesSubtotalAmt0614698
IRS990ScheduleD/RevenueSubtotalAmt0731663
IRS990ScheduleD/TotalExpensesPerForm990Amt0614698
IRS990ScheduleD/TotalRevenuePerForm990Amt0731663
IRS990ScheduleD/TotalRevEtcAuditedFinclStmtAmt0731663
IRS990ScheduleD/TotExpnsEtcAuditedFinclStmtAmt0614698
IRS990ScheduleJ/AnyNonFixedPaymentsInd0false
IRS990ScheduleJ/CompBasedOnRevenueOfFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsFlngOrgInd0false
IRS990ScheduleJ/CompBsdNetEarnsRltdOrgsInd0false
IRS990ScheduleJ/CompBsdOnRevRelatedOrgsInd0false
IRS990ScheduleJ/EquityBasedCompArrngmInd0false
IRS990ScheduleJ/InitialContractExceptionInd0false
IRS990/ScheduleJRequiredInd0true
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt011292
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Bridget Shears MBA
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Former Executive Dir.
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt011292
IRS990ScheduleJ/SeverancePaymentInd0false
IRS990ScheduleJ/SupplementalNonqualRtrPlanInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0The Impact Mental Health's Board Chair and Medical Director reviewed the exempt organization tax return.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1Each officer, director and key employee must annually renew and sign a contract with Impact Mental Health. 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/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0false
IRS990/TotalAssetsBOYAmt0232042
IRS990/TotalAssetsEOYAmt0349007
IRS990/TotalAssetsGrp/BOYAmt0232042
IRS990/TotalAssetsGrp/EOYAmt0349007
IRS990/TotalCompGreaterThan150KInd0false
IRS990/TotalContributionsAmt0731453
IRS990/TotalEmployeeCnt07
IRS990/TotalFunctionalExpensesGrp/FundraisingAmt014918
IRS990/TotalFunctionalExpensesGrp/ManagementAndGeneralAmt093017
IRS990/TotalFunctionalExpensesGrp/ProgramServicesAmt0506763
IRS990/TotalFunctionalExpensesGrp/TotalAmt0614698
IRS990/TotalGrossUBIAmt00
IRS990/TotalLiabilitiesEOYAmt00
IRS990/TotalLiabilitiesGrp/BOYAmt00
IRS990/TotalLiabilitiesGrp/EOYAmt00
IRS990/TotalNetAssetsFundBalanceGrp/BOYAmt0232042
IRS990/TotalNetAssetsFundBalanceGrp/EOYAmt0349007
IRS990/TotalProgramServiceExpensesAmt0506763
IRS990/TotalProgramServiceRevenueAmt00
IRS990/TotalReportableCompFromOrgAmt0108292
IRS990/TotalRevenueGrp/ExclusionAmt0210
IRS990/TotalRevenueGrp/TotalRevenueColumnAmt0731663
IRS990/TotalVolunteersCnt023
IRS990/TotLiabNetAssetsFundBalanceGrp/BOYAmt0232042

Document Assets

No mirrored PDF or thumbnail assets are attached yet.

Filings

Displayed year

2020 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$349,007
Liabilities
$0
Net assets
$349,007
Revenue
$731,663
Expenses
$614,698
Net income
$116,965
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