Attach to Form 990 or Form 990-EZ.
Go to
www.irs.gov/Form990 for instructions and the latest information.
| (i) Name of supported organization | (ii) EIN | (iii) Type of organization (described on lines 1- 10 above (see instructions)) | (iv) Is the organization listed in your governing document? | (v) Amount of monetary support (see instructions) | (vi) Amount of other support (see instructions) | |
|---|---|---|---|---|---|---|
| Yes | No | |||||
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Total |
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Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") .. | ||||||
| 2 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.... | ||||||
| 3 | The value of services or facilities furnished by a governmental unit to the organization without charge.. | ||||||
| 4 | Total. Add lines 1 through 3 | ||||||
| 5 | The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f) .. | ||||||
| 6 | Public support. Subtract line 5 from line 4. | ||||||
Calendar year
(or fiscal year beginning in)
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(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 7 | Amounts from line 4.. | ||||||
| 8 | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources... | ||||||
| 9 | Net income from unrelated business activities, whether or not the business is regularly carried on.. | ||||||
| 10 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.).. | ||||||
| 11 | Total support. Add lines 7 through 10 | ||||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 2,338,009 | 2,435,775 | 3,099,983 | 4,283,884 | 4,204,420 | 16,362,071 |
| 2 | Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose | 766,340 | 839,758 | 931,260 | 1,306,844 | 1,989,457 | 5,833,659 |
| 3 | Gross receipts from activities that are not an unrelated trade or business under section 513 ..... | ||||||
| 4 | Tax revenues levied for the organization's benefit and either paid to or expended on its behalf... | ||||||
| 5 | The value of services or facilities furnished by a governmental unit to the organization without charge | ||||||
| 6 | Total. Add lines 1 through 5 | 3,104,349 | 3,275,533 | 4,031,243 | 5,590,728 | 6,193,877 | 22,195,730 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | ||||||
| b | Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year. | ||||||
| c | Add lines 7a and 7b.. | ||||||
| 8 | Public support. (Subtract line 7c from line 6.) | 22,195,730 | |||||
Calendar year (or fiscal year beginning in) ![]() |
(a) 2018 | (b) 2019 | (c) 2020 | (d) 2021 | (e) 2022 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 3,104,349 | 3,275,533 | 4,031,243 | 5,590,728 | 6,193,877 | 22,195,730 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 4,312 | 64,592 | 130,444 | 67,039 | 52,056 | 318,443 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 4,312 | 64,592 | 130,444 | 67,039 | 52,056 | 318,443 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | ||||||
| 12 | Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) .. | ||||||
| 13 | Total support. (Add lines 9, 10c, 11, and 12.).. | 3,108,661 | 3,340,125 | 4,161,687 | 5,657,767 | 6,245,933 | 22,514,173 |
| Section A - Adjusted Net Income | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Net short-term capital gain | 1 | ||||
| 2 | Recoveries of prior-year distributions | 2 | ||||
| 3 | Other gross income (see instructions) | 3 | ||||
| 4 | Add lines 1 through 3 | 4 | ||||
| 5 | Depreciation and depletion | 5 | ||||
| 6 | Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) | 6 | ||||
| 7 | Other expenses (see instructions) | 7 | ||||
| 8 | Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) | 8 | ||||
| Section B - Minimum Asset Amount | (A) Prior Year |
(B) Current Year (optional) |
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| 1 | Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): | 1 | ||||
| a | Average monthly value of securities | 1a | ||||
| b | Average monthly cash balances | 1b | ||||
| c | Fair market value of other non-exempt-use assets | 1c | ||||
| d | Total (add lines 1a, 1b, and 1c) | 1d | ||||
| e |
Discount claimed for blockage or other factors (explain in detail in Part VI): |
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| 2 | Acquisition indebtedness applicable to non-exempt use assets | 2 | ||||
| 3 | Subtract line 2 from line 1d | 3 | ||||
| 4 | Cash deemed held for exempt use. Enter 0.015 of line 3 (for greater amount, see instructions). | 4 | ||||
| 5 | Net value of non-exempt-use assets (subtract line 4 from line 3) | 5 | ||||
| 6 | Multiply line 5 by 0.035 | 6 | ||||
| 7 | Recoveries of prior-year distributions | 7 | ||||
| 8 | Minimum Asset Amount (add line 7 to line 6) | 8 | ||||
| Section C - Distributable Amount | Current Year | |||||
| 1 | Adjusted net income for prior year (from Section A, line 8, Column A) | 1 | ||||
| 2 | Enter 85% of line 1 | 2 | ||||
| 3 | Minimum asset amount for prior year (from Section B, line 8, Column A) | 3 | ||||
| 4 | Enter greater of line 2 or line 3 | 4 | ||||
| 5 | Income tax imposed in prior year | 5 | ||||
| 6 | Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) | 6 | ||||
| Section D - Distributions | Current Year | |
|---|---|---|
| 1 Amounts paid to supported organizations to accomplish exempt purposes | 1 | |
|
2
Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity |
2 | |
| 3 Administrative expenses paid to accomplish exempt purposes of supported organizations | 3 | |
| 4 Amounts paid to acquire exempt-use assets | 4 | |
| 5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI) | 5 | |
| 6 Other distributions (describe in Part VI). See instructions | 6 | |
| 7Total annual distributions. Add lines 1 through 6. | 7 | |
|
8
Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions |
8 | |
| 9 Distributable amount for 2022 from Section C, line 6 | 9 | |
| 10 Line 8 amount divided by Line 9 amount | 10 | |
| Section E - Distribution Allocations (see instructions) |
(i) Excess Distributions |
(ii) Underdistributions Pre-2022 |
(iii) Distributable Amount for 2022 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2022 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2022: | ||||
| a From 2017....... | ||||
| b From 2018....... | ||||
| c From 2019....... | ||||
| d From 2020....... | ||||
| e From 2021....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2022 distributable amount | ||||
|
i
Carryover from 2017 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2022 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2022 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2022, if any. Subtract lines 3g and 4a from line 2. If the amount is greater than zero, explain in Part VI. See instructions. |
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|
6
Remaining underdistributions for 2022. Subtract lines 3h and 4b from line 1. If the amount is greater than zero, explain in Part VI. See instructions. |
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7 Excess distributions carryover to 2023. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2018..... | ||||
| b Excess from 2019..... | ||||
| c Excess from 2020..... | ||||
| d Excess from 2021..... | ||||
| e Excess from 2022..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for the latest information.
| Return Reference | Explanation |
|---|---|
| FORM 990, PAGE 2, PART III, LINE 4A | IN 2022, UPFH SERVED 7,165 PATIENTS WITH 18,068 VISITS. LOOKING BACK, UPFH CREATED: - 4.5 NEW JOBS - PROMOTED 7 PEOPLE INTERNALLY, - AND TURNED OVER 10 JOBS. UPFH HAS GROWN TO 65 EMPLOYEES AND HAVE MAINTAINED BENEFITS OF HEALTH, DENTAL, AND VISION INSURANCE, HEALTH SAVINGS, WHILE KEEPING OUR COST PER VISIT, AND PATIENT, LOWER THAN THE STATE AVERAGE. UPFH CONTINUES TO SERVE THE HIGHEST PERCENTAGE OF UNINSURED PATIENTS OF ANY COMMUNITY HEALTH CENTER IN THE STATE OF UTAH (75%). THIS IS ALWAYS A CHALLENGE BECAUSE IT MEANS WE ARE OPERATING PRIMARILY OUT OF PATIENT COPAYS, GRANTS, AND DONATIONS, RATHER THAN PATIENT SERVICE REVENUES FROM INSURANCE PAYORS. AND YET EVERY DOLLAR DONATED AND EARNED HELPS US SERVE MORE UNDERSERVED PATIENTS. OUR PATIENTS VISITS GREW BY 2.3% AND WE HIT EVERY REVENUE GOAL FOR 2022 DESPITE NOT QUITE HITTING OUR ENCOUNTER GOALS DUE TO BEING DOWN A MEDICAL PROVIDER FOR 7 MONTHS. OUR PATIENT PAYOR MIX HAS CONTINUED TO SHIFT: - SELF-PAY PATIENTS SHIFTED FROM 77% TO 75% - SELF-PAY BILLABLE ENCOUNTERS SHIFTED FROM 73% TO 68% - PRIVATELY INSURED PATIENTS ARE UP 2%. OUR UPFH PATIENTS IN 2022: - 89% UNDER 200% FPG - 54% UNDER 100% FPG - 75% UNINSURED - 75% HISPANIC OR LATINO - 67% BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH. - 61% FEMALE AT BIRTH AND 44% BY GENDER IDENTITY - 39% MALE AT BIRTH AND 27% BY GENDER IDENTITY - 18% LESBIAN, GAY, BISEXUAL OR OTHER - 28% 19 OR UNDER - 44% 20-50 - 21% 51-64 - 7% OVER 65 PHARMACY BROUGHT IN ADDITIONAL INSURANCE REVENUES WHILE LOWERING DRUG COSTS AND COPAYS FOR OUR PATIENTS. IN 2022, THE PHARMACY FILLED NEARLY 12,000 PRESCRIPTIONS. UPFH SUCCESSFULLY STARTED UTILIZING NEW SPACE IN BOTH OUR MEDICAL CLINICS, INCLUDING GAINING 2000 SQUARE FEET ADJACENT TO THE MID-VALLEY HEALTH CLINIC FROM SALT LAKE COUNTY IN JUNE (ACHIEVING A LONG-HELD GOAL TOWARD INTEGRATION OF SPACE AND SERVICES), AND GETTING FULLY STAFFED ON PROVIDERS TO FILL THE WEST JORDAN FAMILY CLINIC. THESE CLINICS PROVIDED 8,421 MEDICAL VISITS, 1395 COMMUNITY HEALTH WORKER/HEALTH EDUCATION VISITS AND 8,436 PATIENT INSURANCE NAVIGATOR ASSISTS IN 2022. UPFH OBTAINED THE EQUIPMENT NEEDED TO START IN-HOUSE OPTICAL SERVICE TO HELP CLEAR OUR WAITING LISTS AND WORKED IN PARTNERSHIP WITH NUMEROUS ORGANIZATION TO CREATE ACCESS TO VISION SERVICES. OUR MOBILE MEDICAL AND VISION TRAILERS WENT ON SITE TO 45 LOCATIONS FOR A TOTAL OF 187 CLINICS IN 2022. SITES INCLUDE A HOMELESS SHELTER, TWO TREATMENT CENTERS, NON-PROFIT ORGANIZATIONS AND TITLE I SCHOOLS IN GRANITE AND CANYONS DISTRICTS. MOBILE MEDICAL CLINICS PROVIDED 747 FREE VISITS, INCLUDING 105 MOBILE MEDICATED ASSISTED TREATMENT (MAT) VISITS FOR PATIENTS WITH INCOMES LESS THAN 200% OF FEDERAL POVERTY GUIDELINES. THE MOBILE CLINICS REDUCE CARE ACCESS BARRIERS, SUCH AS LANGUAGE, TRANSPORTATION, AND INCOME, AND MAKE CARE ACCESSIBLE. OUR VISION SERVICES PROVIDED EXAMS TO 1,761 PATIENTS IN 2022 AND GAVE OUT 1,507 PAIRS OF FREE GLASSES. SUBSTANCE USE DISORDER SERVICES HAVE CONTINUED, AND WE MAINTAINED MOBILE MAT SERVICES AT THE ORANGE STREET TREATMENT CENTER ALL YEAR WITH GOOD SUCCESS AND PARTNERSHIP. WE LOOK FORWARD TO EVEN STRONGER INTEGRATION BETWEEN MEDICAL AND BEHAVIORAL HEALTH FOR OUR PATIENTS IN 2023. WE INCREASED ACCESS AND INTEGRATION OF COUNSELING AND DENTAL SERVICES, ADDING SPACE (TWO MORE DENTAL OPERATORIES), PROVIDERS, AND INTERNS TO EACH SPECIALTY. DENTAL PATIENTS INCREASED 22% AND VISITS INCREASED BY 17%. COUNSELING PATIENTS INCREASED BY 25% AND VISITS BY 31% IN A YEAR WHEN DEMAND FOR COUNSELING SERVICES IS AT AN ALL TIME HIGH NATIONWIDE. UPFH SUCCESSFULLY COMPLETED THE APPLICATION AND WAS AWARDED THE RENEWAL OF OUR FEDERAL GRANT AWARD FOR THE NEXT 3 YEARS. |
| FORM 990, PAGE 2, PART III, LINE 4B | UTAH PARTNERS FOR HEALTH COLLABORATES WITH MULTIPLE FOR-PROFIT CLINICS WILLING TO PROVIDE IN-KIND DONATIONS TO INDIVIDUALS IN NEED OF HEALTH CARE IN MAGNA, WEST VALLEY, AND KEARNS, UTAH. MODEL I - PROVIDES ACCESS TO PRIMARY MEDICAL, PHYSICAL THERAPY, AND DIAGNOSTIC SERVICES AT PARTNER FOR PROFIT HEALTH CARE CLINICS AT A FRACTION OF THE COST. PRIVATE PARTNER PROVIDERS DONATE 77% OF THEIR USUAL CHARGES TO OUR LOW-INCOME AND UNINSURED PATIENTS. THIS PROGRAM PROVIDED 1,303 MEDICAL VISITS IN 2022 INCLUDING DIAGNOSTIC TESTING SUCH AS MRI, CT SCAN, AND RADIOLOGY. IN MODEL ONE, EACH 1 DONATED WAS LEVERAGED FOR 18.61 IN TOTAL CARE. IN-KIND DONATIONS TOTALED 178,810 FOR MODEL 1 AND 277,419 ORGANIZATION WIDE. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE ORGANIZATION'S CFO REVIEWS THE 990 BEFORE IT IS FILED. IN ADDITION, THE ORGANIZATION'S BOARD OF DIRECTORS REVIEWS THE 990 BEFORE IT IS FILED. |
| FORM 990, PAGE 6, PART VI, LINE 12C | DURING 2022, ALL BOARD MEMBERS AND OFFICERS COMPLETED AND SIGNED THE ORGANIZATION'S CONFLICT OF INTEREST DISCLOSURE STATEMENT. THIS STATEMENT REQUIRES THAT ALL POTENTIAL CONFLICTS OF INTEREST BE DISCLOSED AT THE TIME THE BOARD MEMBER BECOMES AWARE OF THE CONFLICT OR BEFORE ANY DISCUSSION ON THE MATTER BY THE BOARD, WHICHEVER OCCURS FIRST. IF AN APPARENT CONFLICT OF INTEREST IS NOT DISCLOSED BY THE BOARD MEMBER HAVING THE CONFLICT, ANOTHER BOARD MEMBER IS REQUIRED TO BRING THE CONFLICT TO THE ATTENTION OF THE BOARD. THE BOARD OF DIRECTORS IS RESPONSIBLE FOR DETERMINING WHETHER AN ACTUAL CONFLICT OF INTEREST EXISTS. ONCE A CONFLICT OF INTEREST IS DISCLOSED, THE BOARD MEMBER SHOULD ALSO NOT PARTICIPATE IN FURTHER DISCUSSION OF THE MATTER BY THE BOARD. |
| FORM 990, PAGE 6, PART VI, LINE 15A | IN ESTABLISHING THE EXECUTIVE DIRECTOR'S COMPENSATION, THE ORGANIZATION USES MARKET COMPARABILITY DATA TO ENSURE THAT THE COMPENSATION IS REASONABLE. THE BOARD OF DIRECTORS ESTABLISHES THE EXECUTIVE DIRECTOR'S COMPENSATION INDEPENDENT FROM THE EXECUTIVE DIRECTOR. THE DELIBERATION AND DETERMINATION OF COMPENSATION IS CONTEMPORANEOUSLY DOCUMENTED IN THE BOARD MINUTES. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST AT THE ORGANIZATION'S OFFICES DURING REGULAR BUSINESS HOURS. |
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