SPECIAL DELIVERY DENTAL CARE INC: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
SPECIAL DELIVERY DENTAL CARE INC (EIN 93-1071103)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-02
IRS object ID
202323069349302007
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-02T12:11:36-05:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN921372905PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1OPSAHL DAWSON & COMPANY ADVISORS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17701 NE GREENWOOD DRIVE SUITE 200AddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98662ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN931071103EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1SPECIAL DELIVERY DENTAL CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlSPECBusinessNameControlTxt
Phone2067953358PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line116500 SE 15TH STREET SUITE 150AddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAMY LINDERPersonNm
Person TitleEXECUTIVE DIRECTORPersonTitleTxt
Phone2067953358PhoneNum
Signature2023-09-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAMYPersonFirstNm
Person LastLINDERPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSAM CHRISTENSEN CPAPreparerPersonNm
PTINP01879347PTIN
Phone3607378007PhoneNum
Preparation2023-09-01PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerAMY LINDERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line116500 SE 15TH STREET SUITE 150AddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$2,658,652GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GERIATRICDENTAL.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1991FormationYr
Legal Domicile StateWALegalDomicileStateCd
Activity Or MissionPROVIDE LOWER COST DENTAL CARE TO THE ELDERLY AND DISABLED.ActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent4VotingMembersIndependentCnt
Total Employee33TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,580PYContributionsGrantsAmt
CY Contributions Grants$148,534CYContributionsGrantsAmt
PY Program Service Revenue$1,600,283PYProgramServiceRevenueAmt
CY Program Service Revenue$2,243,752CYProgramServiceRevenueAmt
PY Investment Income$28,702PYInvestmentIncomeAmt
CY Investment Income$12,986CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$1,638,565PYTotalRevenueAmt
CY Total Revenue$2,405,272CYTotalRevenueAmt
PY Grants And Similar Paid$210,806PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$51,006CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$961,124PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$1,397,677CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$349,858PYOtherExpensesAmt
CY Other Expenses$617,850CYOtherExpensesAmt
PY Total Expenses$1,521,788PYTotalExpensesAmt
CY Total Expenses$2,066,533CYTotalExpensesAmt
PY Revenues Less Expenses$116,777PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$338,739CYRevenuesLessExpensesAmt
Total Assets BOY$1,289,392TotalAssetsBOYAmt
Total Assets EOY$1,699,425TotalAssetsEOYAmt
Total Liabilities BOY$62,898TotalLiabilitiesBOYAmt
Total Liabilities EOY$105,678TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,226,494NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,593,747NetAssetsOrFundBalancesEOYAmt
MissionPROVIDE LOWER COST DENTAL CARE TO THE ELDERLY AND DISABLED.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$409,319ExpenseAmt
Grant$14,796GrantAmt
Revenue$306,545RevenueAmt
DescPROVIDED GERIATRIC DENTAL CARE AT NO CHARGE OR BELOW STANDARD FEES TO ELDERLY AND DISABLED INDIVIDUALS IN PORTLAND, OREGON. ESTIMATED FAIR MARKET VALUE OF SERVICES PROVIDED 480,155.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,339,298ExpenseAmt
Grant$36,210GrantAmt
Revenue$1,937,207RevenueAmt
DescPROVIDED GERIATRIC DENTAL CARE AT NO CHARGE OR BELOW STANDARD FEES TO ELDERLY AND DISABLED INDIVIDUALS IN VANCOUVER, WASHINGTON. ESTIMATED FAIR MARKET VALUE OF SERVICES PROVIDED 3,239,765.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$1,748,617TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee33EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member4IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of Committees0MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower Policy0WhistleblowerPolicyInd
Document Retention Policy0DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldORStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1AMY LINDERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone2067953358PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line116500 SE 15TH STREET SUITE 150AddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (7 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeInd
BARBARA YAKOVETZ
PRESIDENT0.100.10Yes (X)Yes (X)$0$0$0
PAM LINDER
SECRETARY25.000.10Yes (X)Yes (X)$39,171$0$0
DUANE MCCARDLE
DIRECTOR0.100.10Yes (X)$0$0$0
JUDITH VAUGHT
DIRECTOR0.100.10Yes (X)$0$0$0
AMY LINDER
EXECUTIVE DIRECTOR20.0025.00Yes (X)Yes (X)$129,700$61,400$0
DR ALEXANDER RUDNITSKI
DENTAL DIRECTOR - PORTLAND40.00$256,137$0$0Yes (X)
NAVID KALANTARPOUR
DENTAL DIRECTOR - VANCOUVER40.00$199,572$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$624,580TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$61,400TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K4IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$146RelatedOrganizationsAmt
All Other Contributions$148,388AllOtherContributionsAmt
Total Contributions$148,534TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPATIENT REVENUEDesc
Business621300BusinessCd
Total Revenue Column$2,243,752TotalRevenueColumnAmt
Related Or Exempt Func Income$2,243,752RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$2,243,752TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,283TotalRevenueColumnAmt
Exclusion$14,283ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$252,083SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$253,380SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$1,297SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$1,297TotalRevenueColumnAmt
Exclusion-$1,297ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,405,272TotalRevenueColumnAmt
Related Or Exempt Func Income$2,243,752RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$12,986ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$51,006TotalAmt
Program Services$51,006ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$624,580TotalAmt
Program Services$455,709ProgramServicesAmt
Management And General$168,871ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$558,197TotalAmt
Program Services$491,213ProgramServicesAmt
Management And General$66,984ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$58,965TotalAmt
Program Services$51,889ProgramServicesAmt
Management And General$7,076ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$58,508TotalAmt
Program Services$51,487ProgramServicesAmt
Management And General$7,021ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$97,427TotalAmt
Program Services$85,736ProgramServicesAmt
Management And General$11,691ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,609TotalAmt
Management And General$14,609ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,126TotalAmt
Program Services$6,126ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$18,012TotalAmt
Program Services$15,851ProgramServicesAmt
Management And General$2,161ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$32,195TotalAmt
Program Services$28,332ProgramServicesAmt
Management And General$3,863ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$114,415TotalAmt
Program Services$100,685ProgramServicesAmt
Management And General$13,730ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,171TotalAmt
Program Services$6,310ProgramServicesAmt
Management And General$861ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,184TotalAmt
Program Services$1,042ProgramServicesAmt
Management And General$142ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$2,645TotalAmt
Program Services$2,328ProgramServicesAmt
Management And General$317ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$41,045TotalAmt
Program Services$36,120ProgramServicesAmt
Management And General$4,925ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$17,327TotalAmt
Program Services$15,248ProgramServicesAmt
Management And General$2,079ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
LAB CHARGES$318,589$318,589
DRUGS AND DENTAL SUPPLI$200,186$200,186
CREDIT CARD DISCOUNTS$36,758$32,347$4,411
LICENSES AND TAXES$30,714$27,028$3,686

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$223,126TotalAmt
Program Services-$228,615ProgramServicesAmt
Management And General$5,489ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,066,533TotalAmt
Program Services$1,748,617ProgramServicesAmt
Management And General$317,916ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$272,172BOYAmt
EOY$375,852EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$746,909BOYAmt
EOY$464,693EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$263,308BOYAmt
EOY$479,551EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,500BOYAmt
EOY$12,571EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$986,713LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$619,955LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,503BOYAmt
EOY$366,758EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$1,289,392BOYAmt
EOY$1,699,425EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,898BOYAmt
EOY$105,678EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$62,898BOYAmt
EOY$105,678EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,225,994BOYAmt
EOY$1,593,247EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$500BOYAmt
EOY$500EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,226,494BOYAmt
EOY$1,593,747EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,289,392BOYAmt
EOY$1,699,425EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$338,739ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$57,006NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$85,520OtherChangesInNetAssetsAmt
Method Of Accounting CashYes (X)MethodOfAccountingCashInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$78,560CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$61,000CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$107,500CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,580CurrentTaxYearMinus1YearAmt
Current Tax Year$148,388CurrentTaxYearAmt
Total$402,028TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,756,256CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,721,725CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,220,005CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,533,153CurrentTaxYearMinus1YearAmt
Current Tax Year$2,243,752CurrentTaxYearAmt
Total$8,474,891TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,834,816CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,782,725CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,327,505CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,539,733CurrentTaxYearMinus1YearAmt
Current Tax Year$2,392,140CurrentTaxYearAmt
Total$8,876,919TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$8,876,919PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,621CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,104CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,061CurrentTaxYearMinus2YearsAmt
Current Tax Year$14,284CurrentTaxYearAmt
Total$85,070TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$21,621CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$25,104CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$24,061CurrentTaxYearMinus2YearsAmt
Current Tax Year$14,284CurrentTaxYearAmt
Total$85,070TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,856,437CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$1,807,829CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$1,351,566CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,539,733CurrentTaxYearMinus1YearAmt
Current Tax Year$2,406,424CurrentTaxYearAmt
Total$8,961,989TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99050PublicSupportCY509Pct
Public Support PY5090.98850PublicSupportPY509Pct
Investment Income CY0.00950InvestmentIncomeCYPct
Investment Income PY0.01150InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$452,075OtherCostOrOtherBasisAmt
Depreciation$195,747DepreciationAmt
Book Value$256,328BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$439,839OtherCostOrOtherBasisAmt
Depreciation$339,819DepreciationAmt
Book Value$100,020BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$94,799OtherCostOrOtherBasisAmt
Depreciation$84,389DepreciationAmt
Book Value$10,410BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$366,758TotalBookValueLandBuildingsAmt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1SPECIAL DELIVERY DENTAL CARE FEDERAL WAYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1728 S 320TH ST SUITE AAddressLine1Txt
CityFEDERAL WAYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98003ZIPCd
FieldValueIRS element (for citing)
Recipient EIN364733035RecipientEIN
Cash Grant$50,856CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantTO HELP COVER EXPENSES OF SPECIAL DELIVERY DENTAL CARE, PC.PurposeOfGrantTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DR ALEXANDER RUDNITSKI
DENTAL DIRECTOR - PORTLAND$256,137$0$0$0$0$0$0$0$0$0$256,137$0$0$0
NAVID KALANTARPOUR
DENTAL DIRECTOR - VANCOUVER$199,572$0$0$0$0$0$0$0$0$0$199,572$0$0$0
AMY LINDER
EXECUTIVE DIRECTOR$129,700$61,400$0$0$0$0$0$0$0$0$129,700$61,400$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 3FormAndLineReferenceDesc
ExplanationEXECUTIVE DIRECTORS COMPENSATION IS APPROVED BY THE BOARD.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2PAM LINDER AND AMY LINDER HAVE A FAMILY RELATIONSHIP.
FORM 990, PART VI, SECTION A, LINE 8BNOT APPLICABLE
FORM 990, PART VI, SECTION B, LINE 11BTHE BOARD OF DIRECTORS REVIEWS AND APPROVESS THE TAX RETURN FOR THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 12CEACH COVERED PERSON RECEIVES A COPY OF THE POLICY AND IS REQUIRED TO FILL OUT THE ANNUAL CONFLICT OF INTEREST QUESTIONAIRE. THE BOARD REVIEWS AND DETERMINES IF A CONFLICT OF INTEREST DOES EXIST. THE BOARD WILL LOOK INTO DEVELOPING ALTERNATIVES TO REMOVE THE CONFLICT FROM THE SITUATION OR WILL PROHIBIT THE COVERED PERSON FROM VOTING ON TRANSACTIONS IN WHICH THEY HAVE A CONFLICT OF INTEREST.
FORM 990, PART VI, SECTION B, LINE 15THE BOARD RECOMMENDS AND REVIEWS COMPENSATION OF THE EXECUTIVE DIRECTOR.
FORM 990, PART VI, SECTION C, LINE 19AVAILABLE UPON REQUEST.
FORM 990, PART XI, LINE 9:ACQUISITION OF SPECIAL DELIVERY DENTAL CARE, PLLC 85,520.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SPECIAL DELIVERY DENTAL CARE PLLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line116500 SE 15TH STREET SUITE 150AddressLine1Txt
CityVANCOUVERCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98683ZIPCd
FieldValueIRS element (for citing)
EIN300874104EIN
Primary ActivitiesDENTAL CAREPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Total Income$1,944,095TotalIncomeAmt
End Of Year Assets$666,909EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SPECIAL DELIVERY DENTAL CARE INCBusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1SPECIAL DELIVERY DENTAL CARE PCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1728 S 320TH ST SUITE AAddressLine1Txt
CityFEDERAL WAYCityNm
State AbbreviationWAStateAbbreviationCd
ZIP98003ZIPCd
FieldValueIRS element (for citing)
EIN364733035EIN
Primary ActivitiesDENTAL CAREPrimaryActivitiesTxt
Legal Domicile StateWALegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity StatusLINE 11PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1SPECIAL DELIVERY DENTAL CARE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SPECIAL DELIVERY DENTAL CARE PC
B$50,856FMV
SPECIAL DELIVERY DENTAL CARE PC
C$119,630BOOK VALUE

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSPECIAL DELIVERY DENTAL CARE, INCFormAndLineReferenceDesc
ExplanationDURING 2022 SPECIAL DELIVERY DENTAL CLOSED THEIR PORTLAND, OREGON OFFICE, AND MOVED OPERATIONS TO VANCOUVER, WASHINGTON. SPECIAL DELIVERY DENTAL RUNS TWO NON PROFITS. ONE IS NAMED SPECIAL DELIVERY DENTAL CARE INC. - WHICH CLOSED PORTLAND, AND MOVED TO VANCOUVER. ONE IS CALLED SPECIAL DELIVERY DENTAL CARE, PC - AND IS LOCATED IN FEDERAL HEIGHTS, WASHINGTON. THE VANCOUVER LOCATION WAS FORMED IN A PRIOR YEAR AND HAD BEEN REPORTED IN THE PC ENTITY - IN 2022 THEY MOVE THE ASSETS TO THE INC. ENTITY.ExplanationTxt

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