DENTAL CENTER OF NORTHWEST OHIO: Form 990, tax year 2018
View the entire original 990 at ProPublica ↗
- Organization
- DENTAL CENTER OF NORTHWEST OHIO (EIN 34-4441883)
- Tax period
- 2018-01-01 to 2018-12-31
- Filed
- 2019-11-08
- IRS object ID
- 201903129349301030
- Schema version
- 2018v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2019-11-08T08:58:58-06:00 | ReturnTs |
| Tax Period End | 2018-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 383635706 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | REHMANN ROBSON LLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 7124 W CENTRAL AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43617 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2018-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 344441883 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENTAL CENTER OF NORTHWEST OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DENT | BusinessNameControlTxt |
| Phone | 4192416215 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2138 MADISON AVENUE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43604 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MELINDA S CREE | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 4192416215 | PhoneNum |
| Signature | 2019-10-30 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | CAROLYN E SULEWSKI CPA | PreparerPersonNm |
| PTIN | P00449650 | PTIN |
| Phone | 4198658118 | PhoneNum |
| Preparation | 2019-10-30 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 72.240.23.230 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2019-10-30 | IPDt |
| IP Tm | 13:08:49 | IPTm |
| IP Timezone | ED | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D5AD56651018DD44698BBAC9DDC816A1959D47B9 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2018 | TaxYr |
| Build TS | 2020-01-14 16:20:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MELINDA S CREE | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2138 MADISON AVENUE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $4,637,332 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.DENTALCENTERNWO.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1910 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE PRIMARY ORAL HEALTH SERVICES FOR UNDERSERVED CHILDREN & ADULTS IN NORTHWEST OHIO, TO PROMOTE THE VALUE OF GOOD ORAL HEALTH THROUGH EDUCATION & TO SERVE AS AN ADVOCATE FOR THOSE WITH LIMITED ACCESS TO DENTAL CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 120 | TotalEmployeeCnt |
| Total Volunteers | 17 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $402,152 | PYContributionsGrantsAmt |
| CY Contributions Grants | $462,427 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $4,709,867 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $3,995,778 | CYProgramServiceRevenueAmt |
| PY Investment Income | $100,770 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,801 | CYInvestmentIncomeAmt |
| PY Other Revenue | $80,694 | PYOtherRevenueAmt |
| CY Other Revenue | $25,384 | CYOtherRevenueAmt |
| PY Total Revenue | $5,293,483 | PYTotalRevenueAmt |
| CY Total Revenue | $4,512,390 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $3,856,425 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $3,191,528 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $28,692 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,579,000 | PYOtherExpensesAmt |
| CY Other Expenses | $1,424,028 | CYOtherExpensesAmt |
| PY Total Expenses | $5,435,425 | PYTotalExpensesAmt |
| CY Total Expenses | $4,615,556 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$141,942 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$103,166 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $2,894,596 | TotalAssetsBOYAmt |
| Total Assets EOY | $3,368,734 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $959,921 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $1,216,239 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,934,675 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $2,152,495 | NetAssetsOrFundBalancesEOYAmt |
| Mission | TO PROVIDE PRIMARY ORAL HEALTH SERVICES FOR UNDERSERVED CHILDREN & ADULTS IN NORTHWEST OHIO, TO PROMOTE THE VALUE OF GOOD ORAL HEALTH THROUGH EDUCATION, AND TO SERVE AS AN ADVOCATE FOR THOSE WITH LIMITED ACCESS TO DENTAL CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $4,116,243 | ExpenseAmt |
| Revenue | $3,999,319 | RevenueAmt |
| Desc | THE CENTER PROVIDES DENTAL SERVICES FOR THE UNDERSERVED POPULATION OF NW OHIO. THE POPULATION IS ON FEDERAL ASSISTANCE OR PAYS FOR SERVICES BASED ON A FEDERAL RECOMMEDED SLIDING FEE SCALE. IN 2018, 21,714 PATIENTS WERE SEEN, WITH UNDUPLICATED PATIENTS TOTALING 12,166. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $102,649 | ExpenseAmt |
| Desc | THE DENTAL CENTER CONDUCTS EDUCATIONAL PROGRAMMING IN SCHOOLS, HEALTH CARE AGENCIES, AND PUBLIC HEALTH CLINICS. EDUCATION IS PROVIDED TO LOW INCOME FAMILIES TO ENCOURAGE GOOD ORAL HYGIENE. PROVIDED ORAL HEALTH EDUCATION TO 216 INDIVIDUALS AND CASE MANAGEMENT TO APPROXIMATELY 781 INDIVIDUALS. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $4,218,892 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | Yes (1) | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | 0 | RelatedEntityInd |
| Related Organization Ctrl Ent | 0 | RelatedOrganizationCtrlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 7 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 120 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CATALYST ELEMENT | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4198845272 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2130 MADISON AVE | AddressLine1Txt |
| City | TOLEDO | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43604 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|
| SAM FICK DDS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| TODD ARMBRUSTER DDS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| NANCY HARTZELL DDS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| JOE HESSLING | |||||||
| VICE-CHAIR | 2.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JOSEPH SEXTON DDS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| PAUL J WANNEMACHER | |||||||
| CHAIRMAN | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| JENNIFER LUDWIG DDS | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MIRIAM ARMSTRONG RDH | |||||||
| SECRETARY | 5.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| TRACY SALLAH | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| BILL SCOTT | |||||||
| TREASURER | 3.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| SARAH TADESSE | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MARCIA VANDUSEN | |||||||
| MEMBER | 1.00 | Yes (X) | $0 | $0 | $0 | ||
| MELINDA CREE | |||||||
| EXECUTIVE DIRECTOR | 40.00 | $68,582 | $0 | $3,900 | Yes (X) | ||
| TRACEY SMITH | |||||||
| FINANCE DIRECTOR | 40.00 | $0 | $0 | $0 | Yes (X) | ||
| DR ANUPAMA PALAKODETI | |||||||
| MEMBER | 40.00 | $205,980 | $0 | $4,204 | Yes (X) | ||
| DR STEPHEN MATTIN | |||||||
| MEMBER | 40.00 | $112,672 | $0 | $6,250 | Yes (X) | ||
| DR KATELYN CODY | |||||||
| MEMBER | 40.00 | $122,973 | $0 | $550 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $510,207 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $14,904 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 3 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ARAKYTA | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1627 HENTHORNE DR SUITE C | AddressLine1Txt |
| City | MAUMEE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43527 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | ACCOUNTING, FINANCE DIRECTOR, COMPUTER/N | ServicesDesc |
| Compensation | $381,537 | CompensationAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 1 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $37,075 | FundraisingAmt |
| All Other Contributions | $425,352 | AllOtherContributionsAmt |
| Total Contributions | $462,427 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| MEDICARE/MEDICAID PAYM | 621300 | $3,076,749 | $3,076,749 |
| PATIENT FEES & INSURAN | 621300 | $919,029 | $919,029 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $3,995,778 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $29,140 | TotalRevenueColumnAmt |
| Exclusion | $29,140 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $94,960 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $95,299 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$339 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$339 | TotalRevenueColumnAmt |
| Exclusion | -$339 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $51,486 | FundraisingGrossIncomeAmt |
| Contri Rpt Fundraising Event | $37,075 | ContriRptFundraisingEventAmt |
| Fundraising Direct Expenses | $29,643 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $21,843 | TotalRevenueColumnAmt |
| Exclusion | $21,843 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | OTHER INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $3,541 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,541 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,541 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,512,390 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $3,999,319 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $50,644 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,482 | TotalAmt |
| Management And General | $72,482 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,744,615 | TotalAmt |
| Program Services | $2,656,369 | ProgramServicesAmt |
| Management And General | $65,866 | ManagementAndGeneralAmt |
| Fundraising | $22,380 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $77,955 | TotalAmt |
| Program Services | $46,749 | ProgramServicesAmt |
| Management And General | $30,482 | ManagementAndGeneralAmt |
| Fundraising | $724 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $93,990 | TotalAmt |
| Program Services | $53,679 | ProgramServicesAmt |
| Management And General | $39,479 | ManagementAndGeneralAmt |
| Fundraising | $832 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $202,486 | TotalAmt |
| Program Services | $171,403 | ProgramServicesAmt |
| Management And General | $29,291 | ManagementAndGeneralAmt |
| Fundraising | $1,792 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,361 | TotalAmt |
| Management And General | $1,361 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,146 | TotalAmt |
| Program Services | $202,377 | ProgramServicesAmt |
| Management And General | $61,769 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,370 | TotalAmt |
| Program Services | $5,562 | ProgramServicesAmt |
| Management And General | $744 | ManagementAndGeneralAmt |
| Fundraising | $64 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $162,001 | TotalAmt |
| Program Services | $156,443 | ProgramServicesAmt |
| Management And General | $5,558 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,315 | TotalAmt |
| Program Services | $22,722 | ProgramServicesAmt |
| Management And General | $5,310 | ManagementAndGeneralAmt |
| Fundraising | $283 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,521 | TotalAmt |
| Program Services | $20,561 | ProgramServicesAmt |
| Management And General | $4,960 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $75,574 | TotalAmt |
| Program Services | $60,885 | ProgramServicesAmt |
| Management And General | $14,689 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $46,818 | TotalAmt |
| Program Services | $43,078 | ProgramServicesAmt |
| Management And General | $3,740 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| SUPPLIES | $446,314 | $442,655 | $1,586 | $2,073 |
| EQUIPMENT RENTAL AND MA | $234,819 | $221,838 | $12,981 | |
| BAD DEBTS | $50,605 | $50,605 | ||
| TELEPHONE | $36,727 | $33,215 | $3,145 | $367 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $45,457 | TotalAmt |
| Program Services | $30,751 | ProgramServicesAmt |
| Management And General | $14,529 | ManagementAndGeneralAmt |
| Fundraising | $177 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,615,556 | TotalAmt |
| Program Services | $4,218,892 | ProgramServicesAmt |
| Management And General | $367,972 | ManagementAndGeneralAmt |
| Fundraising | $28,692 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $760 | BOYAmt |
| EOY | $860 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,552 | BOYAmt |
| EOY | $469,499 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $184,523 | BOYAmt |
| EOY | $143,122 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,448 | BOYAmt |
| EOY | $86,376 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $3,359,236 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $2,828,331 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $554,570 | BOYAmt |
| EOY | $530,905 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $536,803 | BOYAmt |
| EOY | $513,009 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,252,940 | BOYAmt |
| EOY | $1,624,963 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,894,596 | BOYAmt |
| EOY | $3,368,734 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $564,422 | BOYAmt |
| EOY | $602,631 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,205 | BOYAmt |
| EOY | $16,292 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $382,294 | BOYAmt |
| EOY | $597,316 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $959,921 | BOYAmt |
| EOY | $1,216,239 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $548,956 | BOYAmt |
| EOY | $394,753 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,313 | BOYAmt |
| EOY | $46,313 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,339,406 | BOYAmt |
| EOY | $1,711,429 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,934,675 | BOYAmt |
| EOY | $2,152,495 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,894,596 | BOYAmt |
| EOY | $3,368,734 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$103,166 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$51,037 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $372,023 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | Yes (X) | PubliclySupportedOrg509a2Ind |
Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $439,327 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $1,525,174 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $339,145 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $402,152 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $462,427 | CurrentTaxYearAmt |
| Total | $3,168,225 | TotalAmt |
Gross Receipts Admissions GrossReceiptsAdmissionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,143,321 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $4,829,362 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,029,432 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $4,709,867 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $3,995,778 | CurrentTaxYearAmt |
| Total | $23,707,760 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,582,648 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,354,536 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,368,577 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,112,019 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,458,205 | CurrentTaxYearAmt |
| Total | $26,875,985 | TotalAmt |
Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Substantial Contributors Amt SubstantialContributorsAmtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | $26,875,985 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,571 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $90,426 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $78,506 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,140 | CurrentTaxYearAmt |
| Total | $277,172 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $43,571 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $35,529 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $90,426 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $78,506 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $29,140 | CurrentTaxYearAmt |
| Total | $277,172 | TotalAmt |
Net Income From Other UBI NetIncomeFromOtherUBIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | $24,043 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $21,843 | CurrentTaxYearAmt |
| Total | $45,886 | TotalAmt |
Other Income509 OtherIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year | $3,541 | CurrentTaxYearAmt |
| Total | $3,541 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $5,626,219 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $6,390,065 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $5,459,003 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $5,214,568 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $4,512,729 | CurrentTaxYearAmt |
| Total | $27,202,584 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98800 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98910 | PublicSupportPY509Pct |
| Investment Income CY | 0.01020 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01010 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $192,361 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$7,683 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $1,021 | AdministrativeExpensesAmt |
| End Year Balance | $183,657 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $167,852 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $25,488 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $979 | AdministrativeExpensesAmt |
| End Year Balance | $192,361 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $159,663 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $9,007 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $818 | AdministrativeExpensesAmt |
| End Year Balance | $167,852 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $160,600 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | -$89 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $848 | AdministrativeExpensesAmt |
| End Year Balance | $159,663 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $158,108 | BeginningYearBalanceAmt |
| Investment Earnings Or Losses | $5,263 | InvestmentEarningsOrLossesAmt |
| Administrative Expenses | $2,771 | AdministrativeExpensesAmt |
| End Year Balance | $160,600 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.00000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 1.00000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $68,000 | OtherCostOrOtherBasisAmt |
| Book Value | $68,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $332,000 | OtherCostOrOtherBasisAmt |
| Depreciation | $332,000 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $608,663 | OtherCostOrOtherBasisAmt |
| Depreciation | $523,819 | DepreciationAmt |
| Book Value | $84,844 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,350,573 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,972,512 | DepreciationAmt |
| Book Value | $378,061 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $530,905 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | BENEFICIAL INTEREST IN TRUST | Desc |
| Book Value | $1,624,963 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,624,963 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $4,832,015 | TotalRevEtcAuditedFinclStmtAmt |
| Net Unrealized Gains Invst | -$51,037 | NetUnrealizedGainsInvstAmt |
| Other Revenue | $372,023 | OtherRevenueAmt |
| Revenue Not Reported | $320,986 | RevenueNotReportedAmt |
| Revenue Subtotal | $4,511,029 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $1,361 | InvestmentExpensesNotIncldAmt |
| Revenue Not Reported Fincl Stmt | $1,361 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $4,512,390 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $4,614,195 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $4,614,195 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $1,361 | InvestmentExpensesNotIncld2Amt |
| Expenses Not Rpt Fincl Stmt | $1,361 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $4,615,556 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE INCOME FROM THIS ENDOWMENT IS TO BE USED ON ORTHODONTICS AND GENERAL DENTAL CARE FOR LOW INCOME PATIENTS. THE CENTER'S BOARD OF DIRECTORS HAS ADOPTED A SPENDING POLICY THAT ALLOWS FOR ENDOWMENT FUNDS TO BE SPENT AS THE NEED ARISES IN ACCORDANCE WITH DONOR REQUIREMENTS. |
| PART X, LINE 2: | THE CENTER HAS EVALUATED ITS INCOME TAX FILING POSITIONS FOR FISCAL YEARS 2015 THROUGH 2018, THE YEARS WHICH REMAIN SUBJECT TO EXAMINATION AS OF DECEMBER 31, 2018. THE CENTER CONCLUDED THAT THERE ARE NO SIGNIFICANT UNCERTAIN TAX POSITIONS REQUIRING RECOGNITION IN THE CENTER'S FINANCIAL STATEMENTS. THE CENTER DOES NOT EXPECT THE TOTAL AMOUNT OF UNRECOGNIZED TAX BENEFITS ("UTB") (E.G. TAX DEDUCTIONS, EXCLUSIONS, OR CREDITS CLAIMED OR EXPECTED TO BE CLAIMED) TO SIGNIFICANTLY CHANGE IN THE NEXT TWELVE MONTHS. THE CENTER DOES NOT HAVE ANY AMOUNTS ACCRUED FOR INTEREST AND PENALTIES RELATED TO UTBS AT DECEMBER 31, 2018 AND 2017, AND IS NOT AWARE OF ANY CLAIMS FOR SUCH AMOUNTS BY FEDERAL OR STATE INCOME TAX AUTHORITIES. |
| PART XI, LINE 2D - OTHER ADJUSTMENTS: | CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -155,915. CONTRIBUTION OF BENEFICIAL INTEREST IN PERPETUAL TRUST 527,938. |
Schedule G IRS990ScheduleG
| Field | Value | IRS element (for citing) |
|---|---|---|
| Special Fundraising Events | Yes (X) | SpecialFundraisingEventsInd |
| Agrmt Prof Fundraising Acty | 0 | AgrmtProfFundraisingActyInd |
Fundraising Event Information FundraisingEventInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Event1 | PEARLY WHITE PARTY | Event1Nm |
| Gross Receipts Event1 | $88,561 | GrossReceiptsEvent1Amt |
| Charitable Contri Event1 | $37,075 | CharitableContriEvent1Amt |
| Gross Revenue Event1 | $51,486 | GrossRevenueEvent1Amt |
| Non Cash Prizes Event1 | $24,384 | NonCashPrizesEvent1Amt |
| Rent Facility Costs Event1 | $5,259 | RentFacilityCostsEvent1Amt |
| Gross Receipts Total | $88,561 | GrossReceiptsTotalAmt |
| Charitable Contributions Tot | $37,075 | CharitableContributionsTotAmt |
| Gross Revenue Total Events | $51,486 | GrossRevenueTotalEventsAmt |
| Non Cash Prizes Total Events | $24,384 | NonCashPrizesTotalEventsAmt |
| Rent Fclty Costs Total Events | $5,259 | RentFcltyCostsTotalEventsAmt |
| Direct Expense Summary Events | $29,643 | DirectExpenseSummaryEventsAmt |
| Net Income Summary | $21,843 | NetIncomeSummaryAmt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR ANUPAMA PALAKODETI | ||||||||||||||
| MEMBER | $205,980 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $4,204 | $0 | $210,184 | $0 | $0 | $0 |
| DR STEPHEN MATTIN | ||||||||||||||
| MEMBER | $112,672 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $6,250 | $0 | $118,922 | $0 | $0 | $0 |
| DR KATELYN CODY | ||||||||||||||
| MEMBER | $122,973 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $550 | $0 | $123,523 | $0 | $0 | $0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION B, LINE 11B | THE EXECUTIVE DIRECTOR AND TREASURER REVIEW THE 990 BEFORE FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | CONFLICT OF INTEREST STATEMENTS ARE SUBMITTED ANNUALLY AND REVIEWED BY THE EXECUTIVE DIRECTOR AND THE GOVERNANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE EXECUTIVE DIRECTOR'S COMPENSATION IS DETERMINED BY PERFORMANCE AND SALARY REVIEW BY THE PERSONNEL COMMITTEE AND THE EXECUTIVE COMMITTEE. OTHER OFFICERS OR KEY EMPLOYEES' COMPENSATION IS DETERMINED THROUGH PERFORMANCE AND SALARY REVIEW BY THE EXECUTIVE DIRECTOR. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE UPON REQUEST. THE FULL FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. HOWEVER, THE ORGANIZATION DOES SEND OUT POST CARDS TO THOSE ON A MAILING LIST WITH REVENUE AND EXPENSE INFORMATION. |
| FORM 990, PART XI, LINE 9: | CONTRIBUTION OF BENEFICIAL INTEREST IN PERPETUAL TRUST 527,938. CHANGE IN VALUE OF BENEFICIAL INTEREST IN PERPETUAL TRUST -155,915. |
| FORM 990, PART XII, LINE 2C: | THE AUDIT COMMITTEE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
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