2025-09-22T18:18:11-04:00 2024-12-31 460952065 BOUNTIFUL PEAK ADVISORS 1564 SOUTH 500 WEST SUITE 201 BOUNTIFUL UT 840107400 990 2024-01-01 270021804 UTAH PARTNERS FOR HEALTH UTAH 8014170131 7651 S MAIN ST MIDVALE UT 840477101 VERONICA HOBBY CEO 8014170131 2025-07-30 true true JUSTIN R SHAW CPA CFE CGMA P00081558 8012943155 2025-09-22 2024 2025-03-06 01:10:19Z VERONICA HOBBY 7651 S MAIN ST MIDVALE UT 840477101 6814653 false X WWW.UPFH.ORG X 2002 UT UTAH PARTNERS FOR HEALTH PROVIDES COMPASSIONATE, COMPREHENSIVE, QUALITY CARE TO EMPOWER UNDERSERVED INDIVIDUALS, FAMILIES, AND COMMUNITIES IN A PATIENT-CENTERED MEDICAL HOME. 8 8 95 12 0 4426238 3501476 2955381 3149741 176346 111571 49260 51865 7607225 6814653 0 0 4251633 4626454 0 24608 2418731 2665334 6670364 7291788 936861 -477135 6076821 5457552 1611612 1469478 4465209 3988074 X UTAH PARTNERS FOR HEALTH PROVIDES COMPASSIONATE, COMPREHENSIVE, QUALITY CARE TO EMPOWER UNDERSERVED INDIVIDUALS, FAMILIES, AND COMMUNITIES IN A PATIENT-CENTERED MEDICAL HOME. false false 5715546 3149741 2024 WAS A PIVOTAL YEAR OF TRANSITION AND STRATEGIC REALIGNMENT FOR UPFH. FOLLOWING THE RETIREMENT OF LONG-SERVING CEO, DEBBIE TURNER, NEW LEADERSHIP WAS ESTABLISHED UNDER CEO VERONICA HOBBY, WHO JOINED UPFH IN JUNE 2024. THE BOARD OF DIRECTORS USED THIS OPPORTUNITY TO REEXAMINE AND UPDATE THE ORGANIZATION'S MISSION, ESTABLISH A 10-YEAR VISION, AND INITIATE A COMPREHENSIVE FINANCIAL AND OPERATIONAL TURNAROUND PLAN. SIGNIFICANT PROGRESS HAS BEEN MADE IN STRENGTHENING INTERNAL LEADERSHIP, PROMOTING ACCOUNTABILITY, AND ADDRESSING LONG-STANDING INEFFICIENCIES. A NEW SENIOR LEADERSHIP STRUCTURE, CULTURAL TRANSFORMATION, AND A RENEWED FOCUS ON SUSTAINABILITY HAVE LAID THE GROUNDWORK FOR LASTING IMPACT. IN 2024, UPFH IMPLEMENTED A SIGNIFICANT STRUCTURAL REORGANIZATION TO STRENGTHEN OPERATIONAL EFFICIENCY, ENHANCE PROGRAM EFFECTIVENESS, AND IMPROVE INTERNAL ACCOUNTABILITY. THIS REORGANIZATION WAS INITIATED FOLLOWING THE RETIREMENT OF LONG-SERVING CEO AND CFO, DEBBIE TURNER, WHICH PROVIDED AN OPPORTUNITY TO EVALUATE AND RESTRUCTURE THE EXECUTIVE LEADERSHIP MODEL TO BETTER SUPPORT UPFH'S SCOPE OF SERVICES AND COMPLIANCE RESPONSIBILITIES. VERONICA HOBBY WAS HIRED AS THE NEW CHIEF EXECUTIVE OFFICER IN MAY AND BEGAN HER ROLE IN JUNE 2024. IN ADDITION, TWO NEW SENIOR LEADERSHIP POSITIONS WERE CREATED TO ADDRESS LONGSTANDING OPERATIONAL AND PROGRAMMATIC CHALLENGES: CHIEF OPERATING OFFICER AND PROGRAM DEVELOPMENT DIRECTOR. THE CHIEF OPERATING OFFICER ROLE, FILLED BY LADD LARSEN AT THE END OF JULY 2024, WAS CREATED TO FOCUS ON INTERNAL OPERATIONS, IMPROVE WORKFLOW EFFICIENCIES, AND PROVIDE GREATER OVERSIGHT OF CLINIC-LEVEL PERFORMANCE. THE PROGRAM DEVELOPMENT DIRECTOR POSITION, ASSUMED BY RACHEL MORTENSON IN LATE AUGUST 2024, WAS ESTABLISHED TO OVERSEE THE DESIGN, IMPLEMENTATION, AND EVALUATION OF NEW AND EXISTING PROGRAMS, WITH THE GOAL OF INCREASING IMPACT AND ALIGNMENT WITH STRATEGIC GOALS. THESE ROLES WERE ADDED TO ADDRESS STRUCTURAL CONCERNS THAT HAD NEGATIVELY AFFECTED STAFF PRODUCTIVITY, SERVICE DELIVERY, AND THE ORGANIZATION'S ABILITY TO SCALE COMMUNITY HEALTH INITIATIVES. IN PARALLEL WITH LEADERSHIP RESTRUCTURING, UPFH LAUNCHED SEVERAL STAFF- DRIVEN INITIATIVES TO SUPPORT CULTURAL AND PERFORMANCE IMPROVEMENTS. THESE INCLUDED THE CREATION OF NON-MANAGERIAL TASK FORCES FOCUSED ON ACCOUNTABILITY AND EMPLOYEE RECOGNITION, A 12-MONTH HR LEADERSHIP DEVELOPMENT PLAN, AND THE EXPANSION OF KEY COMPLIANCE ROLES SUCH AS THE HEALTH & SAFETY COMPLIANCE OFFICER AND FINANCIAL ANALYST. THESE STRUCTURAL AND OPERATIONAL UPDATES WERE DESIGNED TO POSITION UPFH FOR SUSTAINED GROWTH, REGULATORY COMPLIANCE, AND MEASURABLE IMPROVEMENTS IN PROGRAM OUTCOMES - PARTICULARLY IN PRIORITY AREAS SUCH AS BEHAVIORAL HEALTH INTEGRATION AND EXPANDED CLINIC AND PHARMACY HOURS. THE REORGANIZATION HAS LAID A FOUNDATION FOR IMPROVED INTERNAL CONTROLS AND INCREASED CAPACITY TO MEET FUTURE PROGRAMMATIC AND FISCAL DEMANDS. FEDERALLY QUALIFIED HEALTH CENTER IN-SCOPE PROGRAM ACCOMPLISHMENTS: ENCOUNTERS UPFH SERVED A TOTAL OF 8,169 PATIENTS IN 2024. THIS WAS A SLIGHT INCREASE OVER 2023 WITH 8,160 PATIENTS SERVED. TOTAL OVERALL ENCOUNTERS DECREASED 3% FROM 20,142 ENCOUNTERS IN 2023 TO 19,609 ENCOUNTERS IN 2024 (BOTH UDS AND NON UDS VISITS ARE INCLUDED IN TOTAL). - MEDICAL: 12,016 (MOBILE UNIT: 597; IN-CLINIC: 11,419) - DENTAL: 3,524 - BEHAVIORAL HEALTH: 1,862 - VISION: 2,207 (MOBILE UNIT: 1,478; IN-CLINIC: 729) THE DECREASE IN ENCOUNTERS FROM 2023 IS ATTRIBUTED TO TWO MEDICAL PROVIDERS BEING OUT ON MATERNITY LEAVE FOR A TOTAL OF 6 MONTHS COLLECTIVELY, ONE BEHAVIORAL HEALTH PROVIDER OUT ON MATERNITY FOR THE LAST 4 MONTHS OF 2024, AND ONE DENTAL PROVIDER OUT ON MEDICAL LEAVE DURING JUNE 2024 AND A REORGANIZATION OF THE DENTAL PROGRAM BEGINNING IN DECEMBER 2024. THE INCREASE IN VISION ENCOUNTERS IS DUE TO EXPANDING SERVICES TO INCLUDE IN- CLINIC SERVICES AND CONTINUING OUTREACH TO AT-RISK SCHOOL AGED CHILDREN THROUGH A PARTNERSHIP WITH THE PROMISE NEIGHBORHOOD INITIATIVE WITH UNITED WAY. PHARMACY: THE UPFH PHARMACY CONTINUED TO PROVIDE PATIENTS WITH AFFORDABLE MEDICATIONS THROUGH THE 340B PRESCRIPTION PROGRAM. IN 2024, THE PHARMACY FILLED 16,823 PRESCRIPTIONS-AN INCREASE OF 10.5% FROM 15,225 IN 2023. THIS GROWTH IN PRESCRIPTION VOLUME LED TO A 16.5% INCREASE IN PHARMACY REVENUE, WITH ONLY A 10% INCREASE IN ASSOCIATED COSTS. TO MEET THE RISING DEMAND, UPFH HIRED AN ADDITIONAL FULL-TIME PHARMACIST IN 2024. UNFORTUNATELY, THE PHARMACY EXPERIENCED TWO BREAK-INS IN JUNE, RESULTING IN A TOTAL LOSS OF 12,761.50. PAYOR MIX: UPFH'S PAYOR MIX CONTINUES TO SHIFT AS WE IMPLEMENT STRATEGIES TO INCREASE PATIENTS' ACCESS TO INSURANCE THROUGH MEDICAID AND/OR PRIVATE INSURANCE OPTIONS. IN AUGUST 2024, UTAH LOST ITS NAVIGATOR FUNDING THROUGH CMS DECREASING FUNDING FOR UPFH BY 120,000 THAT PAID FOR TWO PATIENT NAVIGATORS. WITH FUNDING DECREASED, UPFH WAS NO LONGER ABLE TO PAY FOR NAVIGATORS TO FOCUS SOLELY ON HELPING PATIENTS NAVIGATE THE INSURANCE MARKET AND MEDICAID APPLICATION PROCESSES. HOWEVER, PRIOR TO THE DECREASE IN FUNDING, NAVIGATORS WERE ABLE TO HELP ELIGIBLE PATIENTS SIGN UP FOR INSURANCE COVERAGE THROUGH THE MARKETPLACE, WHICH SIGNIFICANTLY SHIFTED OUR PAYOR SOURCE. OUR UNINSURED PATIENT RATIO DECREASED 7% FROM 2023 AND PRIVATE INSURANCE RATIOS INCREASED 20% OVER 2023. A DETAILED COMPARISON OF THE SHIFTS IN INSURANCE COVERAGE BETWEEN 2023 AND 2024 IS BELOW. SELF-PAY: 2024 - 66%; 2023 - 71% MEDICAID: 2024 - 8%; 2023 - 7% MEDICARE: 2024 - 2%; 2023 - 2% PRIVATE INSURANCE: 2024 - 24%; 2023 - 20% PATIENT DEMOGRAPHICS UPFH CONTINUES TO SERVE PATIENTS WHO ARE AT RISK OF NOT RECEIVING ESSENTIAL HEALTHCARE TREATMENT DUE TO SOCIAL ECONOMIC FACTORS. IN 2024, 89% OF PATIENTS WERE BELOW 200% OF FPG, AN INCREASE OF 2% FROM 87% IN 2023. SIXTY PERCENT OF PATIENTS FELL BELOW 100% OF FPG, AN INCREASE OF 6% FROM 2023. TWENTY-THREE PERCENT OF PATIENTS WERE UNDER THE AGE OF 18 WITH 40% OF PATIENTS IDENTIFYING AS MALE AND 60% AS FEMALE. SIXTY-EIGHT PERCENT OF PATIENTS WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, A 1% DECREASE FROM 69% IN 2023. EIGHT PERCENT OF PATIENTS WERE OVER THE AGE OF 65 COMPARED TO 7% IN 2023. STAFFING UPFH CONCLUDED 2024 WITH A TOTAL OF 69 EMPLOYEES, A SLIGHT DECREASE FROM 72 EMPLOYEES AT THE BEGINNING OF THE YEAR. KEY STAFFING CHANGES DURING THE YEAR INCLUDED THE CREATION OF TWO NEW LEADERSHIP POSITIONS - CHIEF OPERATING OFFICER AND PROGRAM DEVELOPMENT DIRECTOR - AS PART OF A BROADER STRUCTURAL REORGANIZATION. ADDITIONALLY, A LICENSED PSYCHOLOGIST WAS ADDED TO THE BEHAVIORAL HEALTH TEAM TO ENHANCE CLINICAL CAPACITY AND EXPAND ACCESS TO MENTAL HEALTH SERVICES. ONE MEDICAL PROVIDER DEPARTED DURING THE YEAR AND WAS SUBSEQUENTLY REPLACED IN EARLY 2025. AS OF THE END OF 2024, UPFH MAINTAINED A CLINICAL PROVIDER TEAM CONSISTING OF SIX MEDICAL PROVIDERS, THREE BEHAVIORAL HEALTH PROVIDERS, TWO DENTISTS, AND ONE VISION PROVIDER. REVENUE SHIFTS, BUDGET LOSSES, AND COSTS: UPFH PROJECTED A LOSS OF 631,076 FOR 2024 BUT ENDED THE YEAR WITH AN ACTUAL LOSS OF 477,137, REPRESENTING A 32% VARIANCE FROM THE PROJECTED BUDGET. THIS LOSS WAS PRIMARILY DUE TO THE EXPIRATION OF ONE-TIME COVID-19 FUNDING FROM THE AMERICAN RESCUE PLAN ACT. GROSS PATIENT REVENUE INCREASED TO 6,733,525 IN 2024, A 7% INCREASE FROM 6,317,256 IN 2023. REVENUE FROM UNINSURED PATIENTS ACCOUNTED FOR 65% OF TOTAL PATIENT REVENUE IN 2024 (4,350,694) SYNONYMOUS WITH 65% IN 2023 (4,090,026). SLIDING FEE DISCOUNTS ROSE 9%, TOTALING 3,472,215 IN 2024, UP FROM 3,185,529 IN 2023. GRANT REVENUE DECLINED BY 28%, TOTALING 2,874,806 IN 2024 COMPARED TO 4,018,066 IN 2023. THE LARGEST PORTION OF THIS DECREASE CAME FROM FEDERAL FUNDING, WHICH DROPPED 37% YEAR OVER YEAR. IN CONTRAST, NON-FEDERAL GRANT REVENUE INCREASED SLIGHTLY BY 6%, AND RENTAL INCOME ROSE BY 5.3%. INTEREST INCOME, HOWEVER, DECLINED SHARPLY BY 36.7%, ENDING AT 111,571. TOTAL COSTS INCREASED BY 9%, RISING FROM 6,670,364 IN 2023 TO 7,291,788 IN 2024. THE MAJORITY OF EXPENSES-64%-WERE RELATED TO EMPLOYEE COMPENSATION. ADDITIONAL COST INCREASES WERE DUE TO HIGHER PHYSICAL THERAPY SERVICES FOR UNINSURED PATIENTS, FACILITY REPAIR COSTS (WHICH MORE THAN DOUBLED), COLLECTION FEES FOR PAST-DUE ACCOUNTS, AND INCREASED SPENDING ON EQUIPMENT, LABORATORY, AND PHARMACY SERVICES. 855585 OUT OF SCOPE PROGRAM - MODEL I UPFH RUNS ONE PROGRAM OUTSIDE THE SCOPE OF THE SECTION 330 FEDERALLY QUALIFIED HEALTH CENTER PROGRAM CALLED MODEL 1. UPFH COLLABORATES WITH SEVERAL FOR-PROFIT CLINICS THAT PROVIDE IN-KIND HEALTHCARE SERVICES TO INDIVIDUALS IN NEED IN MAGNA, WEST VALLEY, AND KEARNS, UTAH. THROUGH MODEL I, PATIENTS GAIN ACCESS TO PRIMARY MEDICAL CARE, PHYSICAL THERAPY, CARDIOLOGY, AND DIAGNOSTIC SERVICES AT A SIGNIFICANTLY REDUCED COST. PRIVATE PARTNER PROVIDERS DONATE APPROXIMATELY 77% OF THEIR STANDARD CHARGES, MAKING CARE MORE ACCESSIBLE FOR LOW-INCOME AND UNINSURED PATIENTS. IN 2024, THIS PROGRAM FACILITATED 111 MEDICAL VISITS, INCLUDING ADVANCED DIAGNOSTIC SERVICES SUCH AS MRI, CT SCANS, AND RADIOLOGY. IN-KIND DONATIONS FOR THESE SERVICES TOTALED 88,632 WITH UPFH MATCHING 21,066 AND PATIENTS PAYING 26,294 FOR A TOTAL VALUE OF 135,992 FOR THESE SERVICES. 6571131 true true false false false false false false false false true false false false false false true false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false true 13 0 95 true false false false false false false false false false false false false X 8 8 false false false false false false false true true false false true true true true true true true false false UT X X VERONICA HOBBY 8014170131 7651 S MAIN ST MIDVALE UT 840477101 DEBRA TURNER CEO 40.00 X 89722 0 12801 VERONICA HOBBY CEO 40.00 X 71551 0 2497 ESTHER AGUIAR-ISLES DIRECTROR 2.00 X 0 0 0 JESSICA LATHAM DIRECTOR 2.00 X 0 0 0 ALMA MAZON-MONGE DIRECTOR 2.00 X 0 0 0 MARTIN MESTRALLET DIRECTOR 2.00 X 0 0 0 SEAN PETERSEN TREASURER 2.00 X X 0 0 0 CESCILEE RALL CHAIR 5.00 X X 0 0 0 SCARLETH RAMNARINE DIRECTOR 2.00 X 0 0 0 BURTON A ROJAS SECRETARY 2.00 X X 0 0 0 JAMIE ROWLEY DIRECTOR 2.00 X 0 0 0 CHERYL SHEPHERD VICE CHAIR 2.00 X X 0 0 0 TRACY STOCKING DIRECTOR 2.00 X 0 0 0 FAHINA TAVAKE-PASI DIRECTOR 2.00 X 0 0 0 161273 15298 false false false 2343957 1157519 606083 3501476 PRIVATE INSURANCE FEES 1147261 1147261 MEDICAID FEES 969139 969139 SELF-PAY FEES 878479 878479 MEDICARE FEES 101205 101205 PUBLIC INSURANCE 53657 53657 3149741 111571 111571 51865 51865 51865 51865 6814653 3149741 163436 152185 148368 3817 3833808 3518153 301391 14264 70335 62080 7936 319 276054 243653 31149 1252 294072 259556 33182 1334 44611 44611 690783 690783 1255 1255 75305 39521 35784 187832 187832 171197 155306 15277 614 25627 18366 7261 31843 6627 25216 43325 43325 213309 202196 8335 2778 36585 33995 2564 26 PHARMACEUTICALS 680298 680298 SUPPLIES 208422 208422 LABORATORY 188960 188960 BANK MERCHANT CHARGES 26440 26440 39542 30803 8535 204 7291788 6571131 696049 24608 1769366 70724 1138139 2336341 273801 365965 138707 114058 181103 206863 9059 9983 3555495 1201877 2566646 2353618 6076821 5457552 449776 367537 1161836 1101941 1611612 1469478 X 4408959 3981824 56250 6250 4465209 3988074 6076821 5457552 -477135 X false true X true true true X 3099983 4283884 4204420 4426238 3501476 19516001 931260 1306844 1989457 2955381 3149741 10332683 4031243 5590728 6193877 7381619 6651217 29848684 29848684 130444 67039 52056 225606 163436 638581 130444 67039 52056 225606 163436 638581 4161687 5657767 6245933 7607225 6814653 30487265 0.97910 0.96130 0.02000 0.02000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 403062 403062 1528106 327939 1200167 1362406 520584 841822 261921 353354 -91433 2353618 6814653 6814653 6814653 7291788 7291788 7291788 X 807 606083 ESTIMATED FMV false false false SCHEDULE M, PAGE 2, PART II THE ORGANIZATION IS REPORTING THE NUMBER OF ITEMS CONTRIBUTED. FORM 990, PAGE 2, PART III, LINE 4A 2024 WAS A PIVOTAL YEAR OF TRANSITION AND STRATEGIC REALIGNMENT FOR UPFH. FOLLOWING THE RETIREMENT OF LONG-SERVING CEO, DEBBIE TURNER, NEW LEADERSHIP WAS ESTABLISHED UNDER CEO VERONICA HOBBY, WHO JOINED UPFH IN JUNE 2024. THE BOARD OF DIRECTORS USED THIS OPPORTUNITY TO REEXAMINE AND UPDATE THE ORGANIZATION'S MISSION, ESTABLISH A 10-YEAR VISION, AND INITIATE A COMPREHENSIVE FINANCIAL AND OPERATIONAL TURNAROUND PLAN. SIGNIFICANT PROGRESS HAS BEEN MADE IN STRENGTHENING INTERNAL LEADERSHIP, PROMOTING ACCOUNTABILITY, AND ADDRESSING LONG-STANDING INEFFICIENCIES. A NEW SENIOR LEADERSHIP STRUCTURE, CULTURAL TRANSFORMATION, AND A RENEWED FOCUS ON SUSTAINABILITY HAVE LAID THE GROUNDWORK FOR LASTING IMPACT. IN 2024, UPFH IMPLEMENTED A SIGNIFICANT STRUCTURAL REORGANIZATION TO STRENGTHEN OPERATIONAL EFFICIENCY, ENHANCE PROGRAM EFFECTIVENESS, AND IMPROVE INTERNAL ACCOUNTABILITY. THIS REORGANIZATION WAS INITIATED FOLLOWING THE RETIREMENT OF LONG-SERVING CEO AND CFO, DEBBIE TURNER, WHICH PROVIDED AN OPPORTUNITY TO EVALUATE AND RESTRUCTURE THE EXECUTIVE LEADERSHIP MODEL TO BETTER SUPPORT UPFH'S SCOPE OF SERVICES AND COMPLIANCE RESPONSIBILITIES. VERONICA HOBBY WAS HIRED AS THE NEW CHIEF EXECUTIVE OFFICER IN MAY AND BEGAN HER ROLE IN JUNE 2024. IN ADDITION, TWO NEW SENIOR LEADERSHIP POSITIONS WERE CREATED TO ADDRESS LONGSTANDING OPERATIONAL AND PROGRAMMATIC CHALLENGES: CHIEF OPERATING OFFICER AND PROGRAM DEVELOPMENT DIRECTOR. THE CHIEF OPERATING OFFICER ROLE, FILLED BY LADD LARSEN AT THE END OF JULY 2024, WAS CREATED TO FOCUS ON INTERNAL OPERATIONS, IMPROVE WORKFLOW EFFICIENCIES, AND PROVIDE GREATER OVERSIGHT OF CLINIC-LEVEL PERFORMANCE. THE PROGRAM DEVELOPMENT DIRECTOR POSITION, ASSUMED BY RACHEL MORTENSON IN LATE AUGUST 2024, WAS ESTABLISHED TO OVERSEE THE DESIGN, IMPLEMENTATION, AND EVALUATION OF NEW AND EXISTING PROGRAMS, WITH THE GOAL OF INCREASING IMPACT AND ALIGNMENT WITH STRATEGIC GOALS. THESE ROLES WERE ADDED TO ADDRESS STRUCTURAL CONCERNS THAT HAD NEGATIVELY AFFECTED STAFF PRODUCTIVITY, SERVICE DELIVERY, AND THE ORGANIZATION'S ABILITY TO SCALE COMMUNITY HEALTH INITIATIVES. IN PARALLEL WITH LEADERSHIP RESTRUCTURING, UPFH LAUNCHED SEVERAL STAFF- DRIVEN INITIATIVES TO SUPPORT CULTURAL AND PERFORMANCE IMPROVEMENTS. THESE INCLUDED THE CREATION OF NON-MANAGERIAL TASK FORCES FOCUSED ON ACCOUNTABILITY AND EMPLOYEE RECOGNITION, A 12-MONTH HR LEADERSHIP DEVELOPMENT PLAN, AND THE EXPANSION OF KEY COMPLIANCE ROLES SUCH AS THE HEALTH & SAFETY COMPLIANCE OFFICER AND FINANCIAL ANALYST. THESE STRUCTURAL AND OPERATIONAL UPDATES WERE DESIGNED TO POSITION UPFH FOR SUSTAINED GROWTH, REGULATORY COMPLIANCE, AND MEASURABLE IMPROVEMENTS IN PROGRAM OUTCOMES - PARTICULARLY IN PRIORITY AREAS SUCH AS BEHAVIORAL HEALTH INTEGRATION AND EXPANDED CLINIC AND PHARMACY HOURS. THE REORGANIZATION HAS LAID A FOUNDATION FOR IMPROVED INTERNAL CONTROLS AND INCREASED CAPACITY TO MEET FUTURE PROGRAMMATIC AND FISCAL DEMANDS. FEDERALLY QUALIFIED HEALTH CENTER IN-SCOPE PROGRAM ACCOMPLISHMENTS: ENCOUNTERS UPFH SERVED A TOTAL OF 8,169 PATIENTS IN 2024. THIS WAS A SLIGHT INCREASE OVER 2023 WITH 8,160 PATIENTS SERVED. TOTAL OVERALL ENCOUNTERS DECREASED 3% FROM 20,142 ENCOUNTERS IN 2023 TO 19,609 ENCOUNTERS IN 2024 (BOTH UDS AND NON UDS VISITS ARE INCLUDED IN TOTAL). - MEDICAL: 12,016 (MOBILE UNIT: 597; IN-CLINIC: 11,419) - DENTAL: 3,524 - BEHAVIORAL HEALTH: 1,862 - VISION: 2,207 (MOBILE UNIT: 1,478; IN-CLINIC: 729) THE DECREASE IN ENCOUNTERS FROM 2023 IS ATTRIBUTED TO TWO MEDICAL PROVIDERS BEING OUT ON MATERNITY LEAVE FOR A TOTAL OF 6 MONTHS COLLECTIVELY, ONE BEHAVIORAL HEALTH PROVIDER OUT ON MATERNITY FOR THE LAST 4 MONTHS OF 2024, AND ONE DENTAL PROVIDER OUT ON MEDICAL LEAVE DURING JUNE 2024 AND A REORGANIZATION OF THE DENTAL PROGRAM BEGINNING IN DECEMBER 2024. THE INCREASE IN VISION ENCOUNTERS IS DUE TO EXPANDING SERVICES TO INCLUDE IN- CLINIC SERVICES AND CONTINUING OUTREACH TO AT-RISK SCHOOL AGED CHILDREN THROUGH A PARTNERSHIP WITH THE PROMISE NEIGHBORHOOD INITIATIVE WITH UNITED WAY. PHARMACY: THE UPFH PHARMACY CONTINUED TO PROVIDE PATIENTS WITH AFFORDABLE MEDICATIONS THROUGH THE 340B PRESCRIPTION PROGRAM. IN 2024, THE PHARMACY FILLED 16,823 PRESCRIPTIONS-AN INCREASE OF 10.5% FROM 15,225 IN 2023. THIS GROWTH IN PRESCRIPTION VOLUME LED TO A 16.5% INCREASE IN PHARMACY REVENUE, WITH ONLY A 10% INCREASE IN ASSOCIATED COSTS. TO MEET THE RISING DEMAND, UPFH HIRED AN ADDITIONAL FULL-TIME PHARMACIST IN 2024. UNFORTUNATELY, THE PHARMACY EXPERIENCED TWO BREAK-INS IN JUNE, RESULTING IN A TOTAL LOSS OF 12,761.50. PAYOR MIX: UPFH'S PAYOR MIX CONTINUES TO SHIFT AS WE IMPLEMENT STRATEGIES TO INCREASE PATIENTS' ACCESS TO INSURANCE THROUGH MEDICAID AND/OR PRIVATE INSURANCE OPTIONS. IN AUGUST 2024, UTAH LOST ITS NAVIGATOR FUNDING THROUGH CMS DECREASING FUNDING FOR UPFH BY 120,000 THAT PAID FOR TWO PATIENT NAVIGATORS. WITH FUNDING DECREASED, UPFH WAS NO LONGER ABLE TO PAY FOR NAVIGATORS TO FOCUS SOLELY ON HELPING PATIENTS NAVIGATE THE INSURANCE MARKET AND MEDICAID APPLICATION PROCESSES. HOWEVER, PRIOR TO THE DECREASE IN FUNDING, NAVIGATORS WERE ABLE TO HELP ELIGIBLE PATIENTS SIGN UP FOR INSURANCE COVERAGE THROUGH THE MARKETPLACE, WHICH SIGNIFICANTLY SHIFTED OUR PAYOR SOURCE. OUR UNINSURED PATIENT RATIO DECREASED 7% FROM 2023 AND PRIVATE INSURANCE RATIOS INCREASED 20% OVER 2023. A DETAILED COMPARISON OF THE SHIFTS IN INSURANCE COVERAGE BETWEEN 2023 AND 2024 IS BELOW. SELF-PAY: 2024 - 66%; 2023 - 71% MEDICAID: 2024 - 8%; 2023 - 7% MEDICARE: 2024 - 2%; 2023 - 2% PRIVATE INSURANCE: 2024 - 24%; 2023 - 20% PATIENT DEMOGRAPHICS UPFH CONTINUES TO SERVE PATIENTS WHO ARE AT RISK OF NOT RECEIVING ESSENTIAL HEALTHCARE TREATMENT DUE TO SOCIAL ECONOMIC FACTORS. IN 2024, 89% OF PATIENTS WERE BELOW 200% OF FPG, AN INCREASE OF 2% FROM 87% IN 2023. SIXTY PERCENT OF PATIENTS FELL BELOW 100% OF FPG, AN INCREASE OF 6% FROM 2023. TWENTY-THREE PERCENT OF PATIENTS WERE UNDER THE AGE OF 18 WITH 40% OF PATIENTS IDENTIFYING AS MALE AND 60% AS FEMALE. SIXTY-EIGHT PERCENT OF PATIENTS WERE BEST SERVED IN A LANGUAGE OTHER THAN ENGLISH, A 1% DECREASE FROM 69% IN 2023. EIGHT PERCENT OF PATIENTS WERE OVER THE AGE OF 65 COMPARED TO 7% IN 2023. STAFFING UPFH CONCLUDED 2024 WITH A TOTAL OF 69 EMPLOYEES, A SLIGHT DECREASE FROM 72 EMPLOYEES AT THE BEGINNING OF THE YEAR. KEY STAFFING CHANGES DURING THE YEAR INCLUDED THE CREATION OF TWO NEW LEADERSHIP POSITIONS - CHIEF OPERATING OFFICER AND PROGRAM DEVELOPMENT DIRECTOR - AS PART OF A BROADER STRUCTURAL REORGANIZATION. ADDITIONALLY, A LICENSED PSYCHOLOGIST WAS ADDED TO THE BEHAVIORAL HEALTH TEAM TO ENHANCE CLINICAL CAPACITY AND EXPAND ACCESS TO MENTAL HEALTH SERVICES. ONE MEDICAL PROVIDER DEPARTED DURING THE YEAR AND WAS SUBSEQUENTLY REPLACED IN EARLY 2025. AS OF THE END OF 2024, UPFH MAINTAINED A CLINICAL PROVIDER TEAM CONSISTING OF SIX MEDICAL PROVIDERS, THREE BEHAVIORAL HEALTH PROVIDERS, TWO DENTISTS, AND ONE VISION PROVIDER. REVENUE SHIFTS, BUDGET LOSSES, AND COSTS: UPFH PROJECTED A LOSS OF 631,076 FOR 2024 BUT ENDED THE YEAR WITH AN ACTUAL LOSS OF 477,137, REPRESENTING A 32% VARIANCE FROM THE PROJECTED BUDGET. THIS LOSS WAS PRIMARILY DUE TO THE EXPIRATION OF ONE-TIME COVID-19 FUNDING FROM THE AMERICAN RESCUE PLAN ACT. GROSS PATIENT REVENUE INCREASED TO 6,733,525 IN 2024, A 7% INCREASE FROM 6,317,256 IN 2023. REVENUE FROM UNINSURED PATIENTS ACCOUNTED FOR 65% OF TOTAL PATIENT REVENUE IN 2024 (4,350,694) SYNONYMOUS WITH 65% IN 2023 (4,090,026). SLIDING FEE DISCOUNTS ROSE 9%, TOTALING 3,472,215 IN 2024, UP FROM 3,185,529 IN 2023. GRANT REVENUE DECLINED BY 28%, TOTALING 2,874,806 IN 2024 COMPARED TO 4,018,066 IN 2023. THE LARGEST PORTION OF THIS DECREASE CAME FROM FEDERAL FUNDING, WHICH DROPPED 37% YEAR OVER YEAR. IN CONTRAST, NON-FEDERAL GRANT REVENUE INCREASED SLIGHTLY BY 6%, AND RENTAL INCOME ROSE BY 5.3%. INTEREST INCOME, HOWEVER, DECLINED SHARPLY BY 36.7%, ENDING AT 111,571. TOTAL COSTS INCREASED BY 9%, RISING FROM 6,670,364 IN 2023 TO 7,291,788 IN 2024. THE MAJORITY OF EXPENSES-64%-WERE RELATED TO EMPLOYEE COMPENSATION. ADDITIONAL COST INCREASES WERE DUE TO HIGHER PHYSICAL THERAPY SERVICES FOR UNINSURED PATIENTS, FACILITY REPAIR COSTS (WHICH MORE THAN DOUBLED), COLLECTION FEES FOR PAST-DUE ACCOUNTS, AND INCREASED SPENDING ON EQUIPMENT, LABORATORY, AND PHARMACY SERVICES. FORM 990, PAGE 2, PART III, LINE 4B OUT OF SCOPE PROGRAM - MODEL I UPFH RUNS ONE PROGRAM OUTSIDE THE SCOPE OF THE SECTION 330 FEDERALLY QUALIFIED HEALTH CENTER PROGRAM CALLED MODEL 1. UPFH COLLABORATES WITH SEVERAL FOR-PROFIT CLINICS THAT PROVIDE IN-KIND HEALTHCARE SERVICES TO INDIVIDUALS IN NEED IN MAGNA, WEST VALLEY, AND KEARNS, UTAH. THROUGH MODEL I, PATIENTS GAIN ACCESS TO PRIMARY MEDICAL CARE, PHYSICAL THERAPY, CARDIOLOGY, AND DIAGNOSTIC SERVICES AT A SIGNIFICANTLY REDUCED COST. PRIVATE PARTNER PROVIDERS DONATE APPROXIMATELY 77% OF THEIR STANDARD CHARGES, MAKING CARE MORE ACCESSIBLE FOR LOW-INCOME AND UNINSURED PATIENTS. IN 2024, THIS PROGRAM FACILITATED 111 MEDICAL VISITS, INCLUDING ADVANCED DIAGNOSTIC SERVICES SUCH AS MRI, CT SCANS, AND RADIOLOGY. IN-KIND DONATIONS FOR THESE SERVICES TOTALED 88,632 WITH UPFH MATCHING 21,066 AND PATIENTS PAYING 26,294 FOR A TOTAL VALUE OF 135,992 FOR THESE SERVICES. 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.