Civic Intelligence

Impact Mental Health

990 • Fiscal year 2022 • EIN 57-1241243

Jan 01, 2022 to Dec 31, 2022 • Filed on Nov 15, 2023

Organization Profileimpactmentalhealth.org
829 East Forest Brook CircleMurray, UT 84107

(801) 590-9557

Siviq Scores

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

Liabilities / Assets

42nd percentile

0.01x

Higher debt load relative to assets than 42% of similar nonprofits.

2022 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2022

Liabilities / Revenue

38th percentile

0.00x

Higher debt load relative to revenue than 38% of similar nonprofits.

2022 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2022

Net Margin

48th percentile

5.2%

Higher net margin than 48% of similar nonprofits.

2022 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2022

Top Officer Pay

86th percentile

$93,000

Higher top officer pay than 86% of similar nonprofits.

Top officer pay equals 11.3% of source-year revenue.

2022 filings • 501(c)3 • $500k-$1M nonprofits • Source year 2022

Asset Growth

64th percentile

9.8%

Faster asset growth than 64% of similar nonprofits.

2022 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2021 to 2022

Revenue Growth

30th percentile

-6.9%

Faster revenue growth than 30% of similar nonprofits.

2022 filings • 501(c)3 • $500k-$1M nonprofits • Annualized from 2021 to 2022

Balance Sheet
Liabilities / Assets42nd percentile

Assets

Up

$523,300

Up $46,798 (+9.8%) from 2021

Net Assets

Up

$519,804

Up $43,302 (+9.1%) from 2021

Liabilities

Up

$3,496

Up $3,496 from 2021

Revenue And Expenses
Liabilities / Revenue38th percentileNet Margin48th percentile

Revenue

Down

$826,444

Down $61,217 (-6.9%) from 2021

Expenses

Up

$783,142

Up $22,976 (+3.0%) from 2021

Net Income

Down

$43,302

Down $84,193 (-66%) from 2021

Historical Trend

Balance Sheet Trend

Asset Growth64th 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

2022

Assets$523,300
Liabilities$3,496
Net Assets$519,804
Open 2022 Filing

Operations Trend

Revenue Growth30th 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

2022

Revenue$826,444
Expenses$783,142
Net Income$43,302
Open 2022 Filing
Jump To
Filing Snapshot
Filing Period
Jan 1, 2022 to Dec 31, 2022
Signed
Nov 15, 2023
Return Version
2022v5.0
Gross Receipts
$826,444
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$473,797$522,913▲ $49,116
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$476,502$523,300▲ $46,798
Other Assets Total$2,705$387▼ $2,318
Liabilities
Other Liabilities-$3,496-
Total Liabilities$0$3,496▲ $3,496
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$476,502$519,804▲ $43,302
Total Net Assets Fund Balance$476,502$519,804▲ $43,302
Total Liabilities and Net Assets / Fund Balance$476,502$523,300▲ $46,798
Compensation and Service Providers
Top Officer Pay86th percentile

Employees

NameTitleFull / Part TimeBaseTotal
Noel C Gardner MDMedical DirectorPT$93,000$93,000
Carolyn TometichFormer Executive DirectorFT$63,333$63,333

Board Members and Trustees

NameTitle
John ParrishBoard Chair
Zachary TuckerFinancial Chair
Tammer Attallah LCSW MBAMission Chair
Connie GardnerBoard Member
Revenue and Support

Revenue Composition

Contributions and Grants
$824,599
Program Service Revenue
$0
Investment Income
$1,845
Other Revenue
$0
All Other Contributions
$824,599
Change in Net Assets
$43,302

Audited Revenue Reconciliation

Revenue per Audited Statements
$826,444
Total Revenue per Audited Statements
$826,444
Total Revenue per Form 990
$826,444
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Other Expenses$402,552
Salaries, Compensation, and Employee Benefits$380,590
Total Fundraising Expense$77,246
Grants and Similar Amounts Paid$0
Professional Fundraising Fees$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Other Salaries and Wages$186,335$65,528$35,727$287,590
Current Officers, Directors, Trustees, and Key Employees$60,257$21,190$11,553$93,000
Occupancy$25,773$29,950$2,500$58,223
Other Expenses$7,734$21,238$1,617$30,589
Total Functional Expenses$545,749$160,147$77,246$783,142

Audited Expense Reconciliation

Line ItemAmount
Expenses per Audited Statements$783,142
Total Expenses per Audited Statements$783,142
Total Expenses per Form 990$783,142
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-
Debt and Bond Financing

Other Reported Liabilities

LiabilityAmount
Accrued Liabilities$3,496
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
Yes
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, Section A, Line 2

“Noel C. Gardner, the Medical Director, is married to Connie Gardner, a board member.”

Form 990, Part VI, Section A, Line 4

“In September of 2022, Impact Mental Health's board resolved to close the clinic since its medical director retired and there is no suitable replacement. The clinic discontinued scheduling new patients on October 1, 2022. The board offered to refund previous contributions. However, these donors requested that Impact Mental Health contribute these funds to a 501(c)(3) organization with a similar mission.The board resolved that once all expenses, liabilities and contracts have been paid in full, the clinic will close. All remaining funds will be contributed to other, similar 501(c)(3) organizations.Impact Mental Health evaluated all events and transactions occurring after December 31, 2022 through July 6, 2023, the date on which its 2022 audited financial statements were issued. During this period, Impact Mental Health had no material, recognizable subsequent events.Impact Mental Health plans to dissolve the entity by the end of 2023 and will file its final 2023 Form 990 in 2024.”

Form 990, Part VI, Section B, Line 11B

“The Impact Mental Health's Board Chair and Medical Director reviewed the exempt organization tax return.”

Form 990, Part VI, Section B, Line 12C

“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, Section C, Line 19

“No documents available to the public.”

Filing and Contact Details

Filer

Filer Name
Impact Mental Health
EIN
57-1241243
Phone
8015909557
Address
829 East Forest Brook Circle, Murray, UT 84107

Signing Officer

Name
Noel C Gardner MD
Title
Medical Director
Signed
2023-11-15
Discuss with paid preparer
Yes

Organization Details

Legal Domicile
Ut
Voting Board Members
5
Independent Board Members
4
Employees
10
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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IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/BaseCompensationFilingOrgAmt063333
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/PersonNm0Carolyn Tometich
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TitleTxt0Former Executive Dir.
IRS990ScheduleJ/RltdOrgOfficerTrstKeyEmplGrp/TotalCompensationFilingOrgAmt063333
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IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0Noel C. Gardner, the Medical Director, is married to Connie Gardner, a board member.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1In September of 2022, Impact Mental Health's board resolved to close the clinic since its medical director retired and there is no suitable replacement. The clinic discontinued scheduling new patients on October 1, 2022. The board offered to refund previous contributions. However, these donors requested that Impact Mental Health contribute these funds to a 501(c)(3) organization with a similar mission.The board resolved that once all expenses, liabilities and contracts have been paid in full, the clinic will close. All remaining funds will be contributed to other, similar 501(c)(3) organizations.Impact Mental Health evaluated all events and transactions occurring after December 31, 2022 through July 6, 2023, the date on which its 2022 audited financial statements were issued. During this period, Impact Mental Health had no material, recognizable subsequent events.Impact Mental Health plans to dissolve the entity by the end of 2023 and will file its final 2023 Form 990 in 2024.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2The Impact Mental Health's Board Chair and Medical Director reviewed the exempt organization tax return.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3Each 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/ExplanationTxt4No documents available to the public.
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0Form 990, Part VI, Section A, Line 2
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1Form 990, Part VI, Section A, Line 4
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2Form 990, Part VI, Section B, Line 11b
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3Form 990, Part VI, Section B, Line 12c
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc4Form 990, Part VI, Section C, Line 19
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IRS990/TrnsfrExmptNonChrtblRltdOrgInd0false
IRS990/TypeOfOrganizationCorpInd0X
IRS990/UnrelatedBusIncmOverLimitInd0false
IRS990/UponRequestInd0X
IRS990/USAddress/AddressLine1Txt0829 East Forest Brook Circle
IRS990/USAddress/CityNm0Murray
IRS990/USAddress/StateAbbreviationCd0UT
IRS990/USAddress/ZIPCd0841076619
IRS990/VotingMembersGoverningBodyCnt05
IRS990/VotingMembersIndependentCnt04
IRS990/WebsiteAddressTxt0impactmentalhealth.org
IRS990/WhistleblowerPolicyInd0false
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/AuthenticationAssuranceLevelCd0AAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/FederatedAssuranceLevelCd0FAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/IdentityAssuranceLevelCd0IAL1
ReturnHeader/AdditionalFilerInformation/TrustedCustomerGrp/TrustedCustomerCd02
ReturnHeader/BuildTS02023-04-26 12:10:37Z
ReturnHeader/BusinessOfficerGrp/DiscussWithPaidPreparerInd0true
ReturnHeader/BusinessOfficerGrp/PersonNm0Noel C Gardner MD
ReturnHeader/BusinessOfficerGrp/PersonTitleTxt0Medical Director
ReturnHeader/BusinessOfficerGrp/SignatureDt02023-11-15
ReturnHeader/Filer/BusinessName/BusinessNameLine1Txt0Impact Mental Health
ReturnHeader/Filer/BusinessNameControlTxt0IMPA
ReturnHeader/Filer/EIN0571241243
ReturnHeader/Filer/PhoneNum08015909557
ReturnHeader/Filer/USAddress/AddressLine1Txt0829 East Forest Brook Circle
ReturnHeader/Filer/USAddress/CityNm0Murray
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Document Assets

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Filings

Displayed year

2022 • Form 990Detailed filing. Detailed filing data is available for this year.

Open filing
Assets
$523,300
Liabilities
$3,496
Net assets
$519,804
Revenue
$826,444
Expenses
$783,142
Net income
$43,302
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