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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (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) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 1 | Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") . | 179,522 | 191,477 | 222,787 | 333,325 | 225,932 | 1,153,043 |
| 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 | 380,293 | 356,304 | 383,319 | 331,574 | 633,585 | 2,085,075 |
| 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 | 559,815 | 547,781 | 606,106 | 664,899 | 859,517 | 3,238,118 |
| 7a | Amounts included on lines 1, 2, and 3 received from disqualified persons | 53,000 | 53,000 | 50,500 | 57,000 | 55,000 | 268,500 |
| 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.. | 53,000 | 53,000 | 50,500 | 57,000 | 55,000 | 268,500 |
| 8 | Public support. (Subtract line 7c from line 6.) | 2,969,618 | |||||
Calendar year
(or fiscal year beginning in)
![]() |
(a) 2019 | (b) 2020 | (c) 2021 | (d) 2022 | (e) 2023 | (f) Total | |
|---|---|---|---|---|---|---|---|
| 9 | Amounts from line 6... | 559,815 | 547,781 | 606,106 | 664,899 | 859,517 | 3,238,118 |
| 10a | Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources.. | 67 | 24 | 21 | 95 | 341 | 548 |
| b | Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975. | ||||||
| c | Add lines 10a and 10b. | 67 | 24 | 21 | 95 | 341 | 548 |
| 11 | Net income from unrelated business activities not included on line 10b, whether or not the business is regularly carried on. | 8,294 | 8,294 | ||||
| 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.).. | 559,882 | 547,805 | 606,127 | 673,288 | 859,858 | 3,246,960 |
| 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 2023 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-2023 |
(iii) Distributable Amount for 2023 |
|
|---|---|---|---|---|
| 1 Distributable amount for 2023 from Section C, line 6 | ||||
|
2
Underdistributions, if any, for years prior to 2023 (reasonable cause required-- explain in Part VI).
See instructions. |
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| 3 Excess distributions carryover, if any, to 2023: | ||||
| a From 2018....... | ||||
| b From 2019....... | ||||
| c From 2020....... | ||||
| d From 2021....... | ||||
| e From 2022....... | ||||
| fTotal of lines 3a through e | ||||
| g Applied to underdistributions of prior years | ||||
| h Applied to 2023 distributable amount | ||||
|
i
Carryover from 2018 not applied (see instructions) |
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| j Remainder. Subtract lines 3g, 3h, and 3i from line 3f. | ||||
| 4Distributions for 2023 from Section D, line 7: | ||||
| $ | ||||
| a Applied to underdistributions of prior years | ||||
| b Applied to 2023 distributable amount | ||||
| c Remainder. Subtract lines 4a and 4b from line 4. | ||||
|
5
Remaining underdistributions for years prior to 2023, 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 2023. 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 2024. Add lines 3j and 4c. |
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| 8 Breakdown of line 7: | ||||
| a Excess from 2019..... | ||||
| b Excess from 2020..... | ||||
| c Excess from 2021..... | ||||
| d Excess from 2022..... | ||||
| e Excess from 2023..... | ||||
| Facts And Circumstances Test |
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| Return Reference | Explanation |
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| Software ID: | |
| Software Version: |
| Return Reference | Explanation |
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| FORM 990, PAGE 2, PART III, LINE 4A | WASATCH FORENSIC NURSES (WFN) COMPLETED ITS 21ST YEAR OF SERVICE IN 2023. THE TEAM FINISHED THE YEAR HAVING COMPLETED 912 EXAMS WITH PHYSICAL ASSAULTS TOTALING 168, FIVE SUSPECT EXAMS AND THE REMAINING 739 EXAMS BEING FOR SEXUAL ASSAULT. IN ADDITION TO THESE EXAMS, WFN COMPLETED A TOTAL OF 325 PATIENT CONSULTS. THROUGHOUT THE YEAR WFN CONTINUED TO PROVIDE SERVICES WITH 40 LAW ENFORCEMENT AGENCIES, THREE ADVOCACY ORGANIZATIONS AND 26 HOSPITALS AND CLINICS THROUGHOUT OUR SERVICE AREA OF SALT LAKE, SUMMIT, UTAH AND WASATCH COUNTIES. OUR COLLABORATIVE EFFORTS HAVE BECOME MORE ROBUST OVER THE YEARS AND REMAIN A FOUNDATIONAL SUPPORT FOR OUR CONTINUED SUCCESS. INTERPERSONAL VIOLENCE/INTIMATE PARTNER VIOLENCE (IPV) FUNDING WAS STILL AVAILABLE TO WFN IN 2023 VIA FEDERAL GRANT FUNDING THROUGH THE COMMISSION ON CRIMINAL AND JUVENILE JUSTICE (CCJJ) BYRNE JUSTICE ASSISTANCE GRANT. WE PARTNERED WITH 23 OF THE 40 LAW ENFORCEMENT AGENCIES WITHIN OUR SERVICE AREA DURING THIS PILOT PROJECT TO PROVIDE IPV EXAMS FOR VICTIMS REQUESTING THIS CARE. SIMILAR TO SEXUAL ASSAULT, THESE EXAMS WERE ABLE TO BE PROVIDED AT NO COST TO THE VICTIM. ALONG WITH THE LAW ENFORCEMENT AGENCIES MENTIONED, THREE MAJOR PROSECUTORIAL AGENCIES AND LOCAL ADVOCATE AGENCIES ENGAGED IN THE PROJECT WITH WFN AND PARTICIPATED IN MULTI-DISCIPLINARY MEETINGS REGARDING THESE TYPES OF CASES. FEEDBACK RECEIVED INDICATED THE FINDINGS AND INFORMATION GATHERED DURING EXAMS ASSISTED IN THE INVESTIGATION AND PROSECUTION OF THESE CRIMES. LOCAL RESEARCHERS EXPRESSED INTEREST IN PARTNERING WITH WFN IN THE COMING YEAR TO GATHER DATA AND INCLUDE IT IN A NATIONAL REPORT AND RESEARCH PROJECT THAT WILL EVENTUALLY BE PRESENTED AT THE FEDERAL LEVEL TO SUPPORT NATIONAL FUNDING IN THE FUTURE. IN 2023, A SMALL AMOUNT OF LEGISLATIVE FUNDING BECAME AVAILABLE FOR IPV EXAMS. WFN COLLABORATIVELY WORKED WITH THE UTAH DOMESTIC VIOLENCE COALITION (UDVC) AND CCJJ BY SHARING DATA FROM OUR IPV PILOT PROJECT TO PROVIDE ADDITIONAL INSIGHT TO THIS GROUP THAT WAS WORKING TO PROVIDE FUNDS VIA REIMBURSEMENT TO LAW ENFORCEMENT AGENCIES WORKING WITH VICTIMS OF IPV. THIS COLLABORATIVE APPROACH ALLOWED WFN TO PROVIDE IPV EXAMS FOR AGENCIES IN OUR SERVICE AREA WHO HAD NOT SIGNED ON TO OUR PILOT PROJECT. COMMUNICATION WITH UDVC BROUGHT TO LIGHT ISSUES WE ENCOUNTERED WITH OUR PILOT PROJECT EARLY ON AND ASSISTED THEM IN UNDERSTANDING THE HISTORY OF THESE EXAMS, LACK OF FUNDING, AND PROVIDED A SECOND FUNDING STREAM (ONCE OUR FUNDING FROM CCJJ WAS EXPENDED) FOR IPV EXAMS. THESE INITIAL CONVERSATIONS HAVE LED TO FURTHER COLLABORATION AND COMMUNICATION BETWEEN OUR AGENCY AND THE STATE DOMESTIC VIOLENCE COALITION WITH REGARD TO ONGOING LEGISLATION AND STATE FUNDING SOURCES. WE ARE PLEASED TO HAVE ANOTHER COMMUNITY PARTNER IN THIS WORK. AT THE BEGINNING OF 2023, WFN RECEIVED WORD THAT FUNDING FOR SEXUAL ASSAULT EXAMS WOULD BE INCREASED SIGNIFICANTLY, AS INCREASED FUNDING FOR EXAMS HAD NOT HAPPENED IN ALMOST A DECADE. THE WFN BOARD FELT STRONGLY THAT NURSE RETENTION NEEDED TO BECOME A MAJOR FOCUS AND THEY GENEROUSLY INCREASED NURSE CASE PAY BY ALMOST 67% WHILE SIMULTANEOUSLY RAISING OTHER PAY THE NURSES RECEIVE FOR VARIOUS ACTIVITIES PERFORMED. THIS ALLOWED WFN TO BECOME MORE CLOSELY ALIGNED WITH HOSPITAL SALARIES AND BECOME MORE COMPETITIVE IN THE WORKFORCE WHEN SEEKING NURSES TO JOIN THE TEAM. WFN INCREASED ITS WORKFORCE THROUGHOUT THE YEAR ENDING WITH AN ALMOST RECORD OF NURSES ON THE TEAM SINCE THE INCEPTION OF THE TEAM. WE HAD A RECORD NUMBER OF NURSES REACH OUT WANTING TO WORK FOR WFN (NUMBERS WE HAVEN'T SEEN SINCE BEFORE THE PANDEMIC). FURTHERMORE, WE RETAINED SEVERAL NURSES ON THE TEAM, WITH APPROXIMATELY 10% OF THE TEAM BEING WITH THE TEAM THREE YEARS OR MORE. PARTWAY THROUGH 2023, FEDERAL FUNDING WAS PULLED FOR PRECEPTORSHIPS FOR RURAL TEAMS, WFN MADE AN OFFERING TO SANE TEAMS ACROSS THE STATE THAT STILL ALLOWED THEM TO PRECEPT WITH OUR TEAM. IN 2023 SIX NURSES FROM RURAL TEAMS PRECEPTED WITH WFN. NURSES SPENT FOUR DAYS RESPONDING TO CASES WITH WFN, FINALIZING THEIR PRECEPTORSHIP WITH HANDS ON TRAINING AND INSIGHTS THEY COULD TAKE BACK TO THEIR RURAL COMMUNITIES. WFN GIVES BACK TO OTHER SEXUAL ASSAULT NURSE EXAMINER (SANE) TEAMS BY PROVIDING THIS INVALUABLE TRAINING TO NURSES FROM RURAL TEAMS WOULD NOT EXPERIENCE. WHILE OUR TEAM SEES HUNDREDS OF PATIENTS A YEAR, SOME RURAL TEAMS MAY ONLY SEE BETWEEN ONE TO 10 PATIENTS A YEAR. PRECEPTING WITH WFN ALLOWS THESE NURSES AN OPPORTUNITY TO SHARPEN THEIR SKILLS AND MAINTAIN BEST PRACTICES AND ALLOWS WFN TO MEET THE GOAL OF SUPPORTING EDUCATION ACROSS THE STATE FOR SANES. WITH THE ASSISTANCE OF FEDERAL VIOLENCE AGAINST WOMEN ACT (VAWA) FUNDING FROM THE STATE OF UTAH OFFICE FOR VICTIMS OF CRIME, WFN WAS ABLE TO SEND THREE NURSES TO ATTEND SANE-SPECIFIC TRAINING AT THE INTERNATIONAL ASSOCIATION OF FORENSIC NURSING (IAFN) ANNUAL CONFERENCE IN ARIZONA. A FOURTH NURSE WAS ABLE TO ATTEND THE CONFERENCE VIRTUALLY. NURSES WHO ATTENDED TRAINING BROUGHT BACK VALUABLE INFORMATION AND PRESENTED IT TO OUR TEAM SO THE ENTIRE TEAM BENEFITTED FROM THIS TRAINING. ALLOWING NURSES TO ATTEND SANE SPECIFIC TRAININGS ALLOWS OUR TEAM TO MAINTAIN THE HIGHEST LEVEL OF CARE AND BEST PRACTICES IN THE FIELD. WE ARE ABLE TO PASS ON THIS KNOWLEDGE NOT ONLY TO OUR TEAM BUT TO OUR COMMUNITY PARTNERS ALIKE. WFN REMAINS COMMITTED TO MAINTAINING A 24 HOUR ON-CALL SCHEDULE, 7 DAYS A WEEK, 365 DAYS A YEAR, COLLABORATING WITH COMMUNITY PARTNERS AND TO HAVE AN EXPERIENCED, DEDICATED TEAM OF FORENSIC NURSE EXAMINERS AVAILABLE TO PROVIDE EXEMPLARY TRAUMA-INFORMED CARE TO VICTIMS OF VIOLENT CRIME WHO HAVE EXPERIENCED RAPE, SEXUAL ASSAULT OR IPV. |
| FORM 990, PAGE 6, PART VI, LINE 11B | THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS FOR REVIEW AND COMMENT PRIOR TO FILING. IN ADDITION, THE EXECUTIVE DIRECTOR AND CONTRACT ACCOUNTANT THOROUGHLY REVIEW THE FORM 990 PRIOR TO FILING. |
| FORM 990, PAGE 6, PART VI, LINE 12C | CONFLICT OF INTEREST POLICY: NO INDIVIDUAL SHALL USE THEIR POSITION WITH THE ORGANIZATION TO RECOMMEND A VENDOR WITH WHO THEY HAVE A PERSONAL OR BUSINESS RELATIONSHIP AT THE EXPENSE OF ANOTHER VENDOR. NO STAFF OR VOLUNTEERS MAY BE INVOLVED IN A PURCHASE BY THE ORGANIZATION IN WHICH THEY HAVE A PRIVATE INTEREST, HAVE ANY FINANCIAL INTERESTS IN OR PROFIT, DIRECTLY OR INDIRECTLY, FROM ANY BUSINESS DEALINGS WITH THE ASSOCIATION. IT SHALL BE THE POLICY OF THE ORGANIZATION THAT AN EMPLOYEE SHALL NOT KNOWINGLY PURCHASE OR PROMOTE THE PURCHASE OF ANY GOODS OR SERVICES FROM ANY MEMBER, EMPLOYEE OR FROM ANY MEMBER OR EMPLOYEE'S IMMEDIATE FAMILY MEMBER WITHOUT PRIOR APPROVAL FROM THE EXECUTIVE BOARD. WHEN IN QUESTION THE INDIVIDUAL SHALL REMOVE THEMSELVES FROM THE RECOMMENDATION AND/OR APPROVAL PROCESS. |
| FORM 990, PAGE 6, PART VI, LINE 15A | THE BOARD OF DIRECTORS REVIEWS THE EXECUTIVE DIRECTOR'S SALARY ANNUALLY BASED ON COMPARISONS WITH OTHER SIMILAR ORGANIZATIONS AND THE RESULTS OF OPERATIONS OF THE ORGANIZATION. |
| FORM 990, PAGE 6, PART VI, LINE 15B | COMPENSATION FOR EMPLOYEES IS DETERMINED BY SEVERAL FACTORS: COST OF LIVING, AMOUNT OF HOURS WORKED, POSITION TITLE, REQUIRED DUTIES OF POSITION, LEVEL OF EDUCATION, ETC. COMPENSATION SCALES FOUND ONLINE AND INQUIRIES WITH PROFESSIONAL ORGANIZATIONS (EX. IAFN, UTAH NON-PROFIT ASSOCIATION) ARE REVIEWED PERIODICALLY TO DETERMINE FAIR AND EQUITABLE COMPENSATION FOR ALL POSITIONS WITHIN THE ORGANIZATION. COMPENSATION FOR EMPLOYEES IS RECOMMENDED BY ADMINISTRATIVE STAFF AND IS REVIEWED AND REJECTED OR APPROVED BY BOARD MEMBERS. |
| FORM 990, PAGE 6, PART VI, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Software ID: | |
| Software Version: |