2024-11-12T15:38:16-07:00 2024-06-30 990 2023-07-01 870617263 UTAH HEALTHCARE INSTITUTE INC UTAH 8012652000 1250 East 3900 South Ste 260 SLC UT 84124 Melanie Dance Vice President of Operations 8018651980 2024-11-11 1 2023 2024-10-15 13:58:12Z St Mark's Family Medicine Melanie Dance 1250 East 3900 South Suite 260 Salt Lake City UT 84124 6398438 0 X www.utahhealthcare.org X 1998 UT Community-based graduate medical education for family medicine physicians. Provide accessible, cost effective healthcare to underserved in UT. 17 10 67 0 0 0 0 0 6052457 6370365 4756 17934 86051 10139 6143264 6398438 0 0 0 0 4130993 4562533 0 0 45147 1884637 2081048 6015630 6643581 127634 -245143 1436639 1210671 147962 167137 1288677 1043534 Provide graduate medical education including national accredited community-based graduate medical education program for family medicine physicians. 0 0 3237652 0 3201252 Provide accessible, cost effective healthcare to under-served in Utah. Attended a total of 17703 visits in 250 days 3270487 0 3169113 Provide graduate medical education including national accredited, community-based graduate medical education program for family medicine physicians. 0 0 0 6508139 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 10 0 1 67 1 0 0 0 0 0 0 0 0 X 17 10 0 0 0 0 0 0 0 1 1 0 0 1 0 0 1 1 1 0 UT X Cassie Randle 8012652000 1250 East 3900 South Ste 260 SLC UT 84124 Karl Kirby Program Director, President, Board Member, Faculty Physician 40 0 X X X X 252561 0 0 Rich Allen DIO, Board Member, Faculty Physician 40 0 X X X X 234366 0 0 Melanie Dance Board Member, Vice President, Clinic Director, faculty 28 0 X X X X 143302 0 0 Danielle Kfoury Nurse Practitioner 40 0 X X 115928 0 0 Cassie Randle Board Member, Clinic Manager 40 0 X X X 113356 0 0 Diane Chapman Nurse Practitioner 28 0 X 100000 0 0 Erica Veazey Board Member, Resident Physician 40 0 X X 64617 0 0 John Berneike Board Chair 12 0 X X X 62018 0 0 Kalie Goodman Board Member, resident physician 40 0 X X 32737 0 0 Maxwell Otto Board Member, resident physician 40 0 X X 31851 0 0 Michelle Murday Program Director, Board Member 8 0 X X 0 0 0 Michael Herron Board Member 1 0 X 0 0 0 Colleen Swank Board Member 1 0 X X 0 0 0 Jennifer Dailey-Provost Board Member 1 0 X 0 0 0 Darlene Petersen Board Member 1 0 X 0 0 0 Frank Powers Board Member 1 0 X 0 0 0 Isaac Noyes Board Member 1 0 X 0 0 0 Jordan Roberts Board Member 1 0 X 0 0 0 MaryAnn Martindale Board Member 1 0 X 0 0 0 1150736 0 0 6 1 1 0 0 0 Health Care 621110 3169113 3169113 0 0 GME 611600 3201252 3201252 0 0 0 0 0 0 6370365 17934 17934 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10139 10139 0 0 10139 6398438 6398438 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 3869799 3753705 77396 38698 55284 53625 1106 553 321205 313003 5468 2734 316245 306758 6325 3162 0 0 0 0 22424 22424 0 0 255186 255186 0 0 0 0 0 0 0 0 0 0 0 0 400793 400793 0 0 20757 20757 0 0 18699 18699 0 0 189784 189784 0 0 0 0 0 0 324907 324907 0 0 10269 10269 0 0 0 0 0 0 114949 114949 0 0 0 0 0 0 0 0 0 0 18491 18491 0 0 114080 114080 0 0 Medical Supplies 457019 457019 0 0 Professional Fees 97954 97954 0 0 Banking Fees 15983 15983 0 0 Bad Debt 19753 19753 0 0 0 0 0 0 6643581 6508139 90295 45147 1678 2047 595020 357669 0 0 282880 272016 0 0 0 0 510014 542528 0 0 0 0 181477 145066 47047 36411 0 0 0 0 0 0 0 0 0 0 1436639 1210671 60818 57195 87144 109942 147962 167137 X 1288677 1043534 0 0 1288677 1043534 1436639 1210671 -245143 0 0 0 0 0 X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 0 0 0 78149 0 76972 1177 103328 0 68094 35234 36411 0 Accrued vacation 96813 Accrued CME 13129 109942 1 1 0 1 1 1 1 0 0 0 0 0 0 0 0 1 0 1 Schedule E, Part I, Line 3 not applicable Schedule E, Part I, Line 6 Medicare GME funds X X X 0 0 0 0 0 0 0 0 0 Karl Kirby Program Director, President, Board Member, Faculty Physician 252561 0 0 0 0 0 0 0 0 0 252561 0 0 0 Rich Allen DIO, Board Member, Faculty Physician 234366 0 0 0 0 0 0 0 0 0 234366 0 0 0 Melanie Dance Board Member, Vice President, Clinic Director, faculty 143302 0 0 0 0 0 0 0 0 0 143302 0 0 0 Danielle Kfoury Nurse Practitioner 115928 0 0 0 0 0 0 0 0 0 115928 0 0 0 Cassie Randle Board Member, Clinic Manager 113356 0 0 0 0 0 0 0 0 0 113356 0 0 0 Diane Chapman Nurse Practitioner 100000 0 0 0 0 0 0 0 0 0 100000 0 0 0 Erica Veazey Board Member, Resident Physician 64617 0 0 0 0 0 0 0 0 0 64617 0 0 0 John Berneike Board Chair 62018 0 0 0 0 0 0 0 0 0 62018 0 0 0 Kalie Goodman Board Member, resident physician 32737 0 0 0 0 0 0 0 0 0 32737 0 0 0 Maxwell Otto Board Member, resident physician 31851 0 0 0 0 0 0 0 0 0 31851 0 0 0 Michelle Murday Program Director, Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Michael Herron Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Colleen Swank Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Jennifer Dailey-Provost Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Frank Powers Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Darlene Petersen Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Isaac Noyes Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Jordan Roberts Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MaryAnn Martindale Board Member 0 0 0 0 0 0 0 0 0 0 0 0 0 0 Form 990, Part VI, Section B, Line 11b Return is prepared by the vice president and distributed to the board via email Form 990, Part VI, Section B, Line 15 Compensation committee of board which excludes involved officers end employee, determines compensation for key employees Form 990, Part VI, Section C, Line 19 available upon request