2018-05-13T12:06:48-05:00 2017-12-31 410746749 CLIFTONLARSONALLEN LLP 220 SOUTH SIXTH STREET SUITE 300 MINNEAPOLIS MN 55402 990 2017-01-01 043692982 COMMUNITY DENTAL CARE COMM 6519258400 1670 BEAM AVENUE NO 204 MAPLEWOOD MN 551091159 KAREN KLEINHANS CEO 6519258400 2018-05-07 1 KACIE MCEWEN P01599614 6123764500 2017 2022-09-23 18:48:47Z KAREN KLEINHANS 1670 BEAM AVENUE NO 204 MAPLEWOOD MN 551091159 19014511 0 X WWW.CDENTC.ORG X 2004 MN TO ENSURE EQUAL ACCESS TO QUALITY DENTAL CARE AND PREVENTATIVE EDUCATION FOR ALL. 12 10 324 266 3207 1555 2271949 562429 18180192 18402604 303 923 20604 27818 20473048 18993774 3350 3501 0 0 12353078 13730721 79318 0 259171 5117496 5491583 17553242 19225805 2919806 -232031 11059916 12614316 2925808 4712239 8134108 7902077 X THE MISSION OF COMMUNITY DENTAL CARE IS TO PROVIDE CULTURALLY SENSITIVE COMMUNITY ORAL HEALTH CARE, PREVENTIVE EDUCATION, PROFESSIONAL TRAINING, AND TO ADVOCATE FOR ACCESS FOR ALL . OUR VISION IS THAT ALL PEOPLE WILL HAVE ACCESS TO HIGH QUALITY, AFFORDABLE DENTAL CARE TO IMPROVE THEIR OVERALL HEALTH IN A CONVENIENT, CARING, AND RESPECTFUL ENVIRONMENT. 1 0 16976961 3501 18402604 COMMUNITY DENTAL CARE PROVIDES GENERAL DENTAL SERVICES AND PREVENTIVE EDUCATION TO 50,000 PATIENTS EACH YEAR AT ITS FIVE CLINICS LOCATED IN EAST ST. PAUL, MAPLEWOOD, ROCHESTER, AND ROBBINSDALE, MINNESOTA. WE SERVE LOW-INCOME AND MINORITY PATIENTS OF ALL AGES FROM THE TWIN CITY METRO AREA AND SOUTHEASTERN MINNESOTA. OUR PROGRAM TO IMPROVE COMMUNITY ORAL HEALTH (PICOH) PROVIDES ORAL HEALTH EDUCATION TO CHILDREN AND FAMILIES IN OUR CLINICS AS WELL AS IN 70 COMMUNITY OUTREACH LOCATIONS. OUR SCHOOL-BASED SEALANT PROGRAM PARTNERS WITH 23 SCHOOLS TO PROVIDE PREVENTIVE EDUCATION AND SERVICES TO LOW INCOME CHILDREN. WE PARTNER WITH DENTAL EDUCATION PROGRAMS TO PROVIDE CULTURALLY SENSITIVE STUDENT TRAINING FOR DENTAL ASSISTANTS, HYGIENISTS AND ADVANCED DENTAL THERAPISTS. 16976961 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 58 0 324 1 1 1 0 0 0 0 0 0 0 0 0 X 12 10 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 MN X X X PHIL LACHER 6519258400 1670 BEAM AVENUE 204 MAPLEWOOD MN 55109 CEDRIC LONG BOARD CHAIR 10.00 X X 0 0 0 CRAIG W AMUNDSON DDS BOARD VICE CHAIR 5.00 X X 0 0 0 MATTHEW J SCHAAP ESQ BOARD SECRETARY 5.00 X X 0 0 0 KATHLEEN NELSON BOARD TREASURER 5.00 X X 0 0 0 CLARENCE BASS PHD BOARD MEMBER 5.00 X 0 0 0 JANET ERIE BOARD MEMBER 5.00 X 0 0 0 STEPHEN LITTON BOARD MEMBER 5.00 X 0 0 0 ROBERT PICKERING BOARD MEMBER 5.00 X 0 0 0 WALTER PICKHARDT BOARD MEMBER 5.00 X 0 0 0 LINDA KAY SMITH BOARD MEMBER 5.00 X 0 0 0 PA CHUA VANG BOARD MEMBER 5.00 X 0 0 0 VACHAREE S PETERSON DDS BOARD MEMBER / CEO (THRU DECEMBER) 40.00 X X 319855 0 15723 PHILIP G LACHER CHIEF FINANCIAL OFFICER 40.00 X 102871 0 16295 KATHERINE SIEVERT DDS DENTAL DIRECTOR 35.00 X 168491 0 15042 JUSTIN STEVENS DDS DENTIST 35.00 X 164369 0 0 ERIN TOPLEY DDS DENTIST 35.00 X 194028 0 7189 JESSICA WATERBURY DDS DENTIST 35.00 X 204387 0 2043 BAO TRAN DDS DENTIST 35.00 X 199798 0 7189 1353799 0 63481 22 0 1 0 SUNSET DENTAL TECHNOLOGIES 26777 FALLBROOK AVE WYOMING MN 55092 COMPUTER AND IT SERVICES 118589 CLIFTONLARSONALLEN 220 SOUTH 6TH ST STE300 MPLS MN 55402 ACCOUNTING & AUDITING SERVICES 102775 2 221570 340859 562429 NET PATIENT SERVICE 621300 18402604 18402604 18402604 635 635 33483 20737 12746 12746 3207 9539 288 0 288 288 288 MISC INCOME 900099 15072 15072 15072 18993774 18402604 3207 25534 3501 3501 454744 95811 275038 83895 11506965 10356268 1035627 115070 73206 65885 6589 732 820913 738822 73882 8209 874893 787404 78740 8749 -1306 -640 -392 -274 102776 50360 30833 21583 67500 56700 10800 424614 385351 28357 10906 85676 77108 8568 247707 87109 160598 284389 253106 28439 2844 745675 671107 67111 7457 33040 24780 8260 63037 12607 50430 82383 69202 13181 559898 475913 83985 56482 56482 UBIT PAID 399 335 64 DENTAL SUPPLIES/EQUIP 1322855 1322855 LAB EXPENSES 858759 858759 MN PROVIDER TAX 372623 372623 185076 155513 29563 19225805 16976961 1989673 259171 2011734 1680579 1727276 397181 1538720 1347769 58822 64066 10314644 2540312 4372975 7774332 1350389 1350389 11059916 12614316 1047951 1246458 51861 9979 558008 270034 1247206 3134125 20782 51643 2925808 4712239 X 5991484 7014879 2142624 887198 8134108 7902077 11059916 12614316 -232031 0 X 0 1 X 1 0 X 718125 525105 481139 2271949 562429 4558747 11432145 14485086 16757978 18180192 18402604 79258005 12150270 15010191 17239117 20452141 18965033 83816752 30000 20000 15000 65000 0 30000 20000 15000 65000 83751752 5102 4884 6683 14206 17664 48539 5102 4884 6683 14206 17664 48539 3424 5541 4287 3266 3207 19725 261506 32524 206 10759 15072 320067 12420302 15053140 17250293 20480372 19000976 84205083 0.99460 0.99460 0.00060 0.00040 X SCHEDULE A, PART III, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2013 AMOUNT: $ 4,622. 2014 AMOUNT: $ 113. 2015 AMOUNT: $ 206. 2016 AMOUNT: $ 10,759. 2017 AMOUNT: $ 15,072. SALES TAX REFUNDS - 2013 AMOUNT: $ 256,884. 2014 AMOUNT: $ 32,411. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 0 0 0 1 67500 0 0 67500 0 PART II-B, LINE 1: MET WITH INDIVIDUAL LEGISLATURES AND COMMITTEES TO EDUCATE THEM ON COMMUNITY DENTAL CARE'S MISSION AND PURPOSE. 798859 798859 3732147 181127 3551020 1590767 753905 836862 4192871 1605280 2587591 7774332 DUE TO RELATED PARTIES 51643 51643 X 18819784 2708 354298 357006 18462778 530996 530996 18993774 19249250 2708 20737 23445 19225805 0 19225805 PART X, LINE 2: THE ORGANIZATION IS A NONPROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(C)(3) OF THE CODE. THE ORGANIZATION IS ALSO EXEMPT FROM STATE INCOME TAXES UNDER SIMILAR PROVISIONS IN THE MINNESOTA STATUTES. THE ORGANIZATION HAS ELECTED TO ADOPT GUIDANCE IN THE INCOME TAX STANDARD REGARDING THE RECOGNITION AND MEASUREMENT OF UNCERTAIN TAX POSITIONS. THE ORGANIZATION FOLLOWS THE ACCOUNTING STANDARD FOR CONTINGENCIES FOR EVALUATING UNCERTAIN TAX POSITIONS. THE ADOPTION OF THIS STANDARD HAS NO EFFECT ON THE FINANCIAL STATEMENTS. PART XI, LINE 2D - OTHER ADJUSTMENTS: NET ASSETS RELEASED FROM RESTRICTIONS 354,298. PART XI, LINE 4B - OTHER ADJUSTMENTS: INTEREST INCOME 635. RESTRICTED CONTRIBUTIONS 550,810. GAIN ON DISPOSAL OF PPE 288. RENTAL EXPENSES -20,737. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 20,737. X X X X X 0 0 0 1 0 1 0 0 0 VACHAREE S PETERSON DDS BOARD MEMBER / CEO (THRU DECEMBER) 319855 0 0 0 0 0 2383 0 13340 0 335578 0 0 0 KATHERINE SIEVERT DDS DENTAL DIRECTOR 168491 0 0 0 0 0 1702 0 13340 0 183533 0 0 0 JUSTIN STEVENS DDS DENTIST 164369 0 0 0 0 0 0 0 0 0 164369 0 0 0 ERIN TOPLEY DDS DENTIST 194028 0 0 0 0 0 2008 0 5181 0 201217 0 0 0 JESSICA WATERBURY DDS DENTIST 204387 0 0 0 0 0 2043 0 0 0 206430 0 0 0 BAO TRAN DDS DENTIST 199798 0 0 0 0 0 2008 0 5181 0 206987 0 0 0 PART I, LINE 5 DENTISTS ARE COMPENSATED BASED ON APPROXIMATELY 26% OF THE NET PRODUCTION REVENUE RELATED TO THE SERVICES THEY PERFORM, WHICH IS A STANDARD PRACTICE IN THE DENTISTRY PROFESSION. JEDIDIAH PROPERTIES RELATED PARTY TO PURCHASE DENTAL EQUIPMENT X 615000 270034 0 1 1 270034 JEDIDIAH PROPERTIES OWNED BY CEO & CQO 242520 THE ORGANIZATION LEASES FACILITIES AT ITS MAPLEWOOD CLINIC FROM JEDIDIAH PROPERTIES 0 AV PETERSON PROPERTIES OWNED BY CEO & CQO 133716 THE ORGANIZATION LEASES FACILITIES AT ITS ST. PAUL CLINIC FROM AV PETERSON PROPERTIES 0 CAROLYN BASS FAMILY MEMBER OF CURRENT BOARD MEMBER 81694 COMPENSATION 0 FORM 990, PART III, LINE 2 NEW FOR 2017 IS THE MN CAVITY FREE KID'S PROGRAM (MKCKP), A CAVITY PREVENTION PROGRAM DESIGNED FOR CHILDREN AGES 0-3 YEARS OLD. THE MISSION OF THE PROGRAM IS TO ENSURE THAT CHILDREN START SCHOOL FREE OF ORAL DISEASES. FORM 990, PART VI, SECTION A, LINE 1 THE EXECUTIVE COMMITTEE IS MADE UP OF THE BOARD CHAIR, VICE CHAIR, TREASURER AND SECRETARY. THE EXECUTIVE COMMITTEE MAY ACT INDEPENDENT OF THE FULL BOARD IN CASES WHERE BOARD ACTION MUST TAKE PLACE OTHER THAN AT THE QUARTERLY BOARD MEETINGS. THE EXECUTIVE COMMITTEE REPORTS ALL ACTIVITY TO THE FULL BOARD. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 IS PRESENTED LINE BY LINE AND REVIEWED BY THE EXECUTIVE COMMITTEE AND FINANCE COMMITTEE OF THE BOARD ON THE MONDAY PRIOR TO THE APRIL FULL BOARD MEETING AND THE FINANCE COMMITTEE WILL RECOMMEND THE APROVAL OF THE 990 TO THE FULL BOARD AT THE APRIL BOARD MEETING. FORM 990 IS ALSO PRESENTED TO THE FULL BOARD AT THE APRIL BOARD MEETING AT WHICH TIME FORM 990 IS VOTED UPON BY THE FULL BOARD AND APPROVED. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS AND STAFF MEMBERS ARE REQUIRED TO SIGN A CONFLICT OF INTEREST STATEMENT. THE CFO IS RESPONSIBLE FOR MONITORING THE CONFLICT OF INTEREST POLICY. IF THERE IS A CONFLICT OF INTEREST BY A MEMBER OF THE BOARD, THE DIRECTOR MAY BE PRESENT FOR DISCUSSION AND TO ANSWER QUESTIONS, BUT MAY NOT ADVOCATE FOR THE ACTION TO BE TAKEN AND MUST LEAVE THE ROOM WHILE A VOTE IS TAKEN. FORM 990, PART VI, SECTION B, LINE 15 THE EXECUTIVE COMMITTEE OF THE BOARD ANNUALLY REVIEWS AND PRESENTS COMPENSATION FOR THE CEO AND CFO TO THE FULL BOARD FOR APPROVAL. THE COMPENSATION INFORMATION IS RECEIVED FROM THE EXTERNAL AUDITORS. FORM 990, PART VI, SECTION C, LINE 18 THE FORM 990 IS AVAILABE ONLINE AT THE CHARITIES REVIEW COUNCIL WEBSITE AND AT WWW.GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE CHARITIES REVEIW COUNCIL AND UPON REQUEST.