DENTAL CENTER OF NORTHWEST OHIO: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
DENTAL CENTER OF NORTHWEST OHIO (EIN 34-4441883)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-10
IRS object ID
201713149349300726
Schema version
2016v3.0
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)
Return2017-11-10T07:46:09-06:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN383635706PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Rehmann Robson LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line17124 W Central AveAddressLine1Txt
CityToledoCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43617ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN344441883EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENTAL CENTER OF NORTHWEST OHIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDENTBusinessNameControlTxt
Phone4192416215PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12138 Madison AvenueAddressLine1Txt
CityToledoCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
Personmelinda S creePersonNm
Person Titleexecutive directorPersonTitleTxt
Phone4192416215PhoneNum
Signature2017-11-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCarolyn E Sulewski CPAPreparerPersonNm
PTINP00449650PTIN
Phone4198658118PhoneNum
Preparation2017-11-03PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address72.240.23.230IPv4AddressTxt
FieldValueIRS element (for citing)
IP2017-11-03IPDt
IP Tm13:33:32IPTm
IP TimezoneEDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdE3D460522E435F882FD050EED3C1E23B883C3E4FAtSubmissionCreationDeviceId
At Submission Filing Device IdEFAB1FB79BC1CDD9C0529FF04F1048420B69BB30AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2018-03-14 21:41:22ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal Officermelinda S creePrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12138 madison avenueAddressLine1Txt
CitytoledoCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$6,003,690GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.DENTALCENTERNWO.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1910FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionTO 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 Body13VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee127TotalEmployeeCnt
Total Volunteers8TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,525,174PYContributionsGrantsAmt
CY Contributions Grants$339,145CYContributionsGrantsAmt
PY Program Service Revenue$4,829,362PYProgramServiceRevenueAmt
CY Program Service Revenue$5,029,432CYProgramServiceRevenueAmt
PY Investment Income$35,329PYInvestmentIncomeAmt
CY Investment Income$90,426CYInvestmentIncomeAmt
PY Other Revenue$2,193PYOtherRevenueAmt
CY Other Revenue$1,591CYOtherRevenueAmt
PY Total Revenue$6,392,058PYTotalRevenueAmt
CY Total Revenue$5,460,594CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$3,673,826PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$4,033,423CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$36,901CYTotalFundraisingExpenseAmt
PY Other Expenses$1,866,791PYOtherExpensesAmt
CY Other Expenses$1,621,982CYOtherExpensesAmt
PY Total Expenses$5,540,617PYTotalExpensesAmt
CY Total Expenses$5,655,405CYTotalExpensesAmt
PY Revenues Less Expenses$851,441PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$194,811CYRevenuesLessExpensesAmt
Total Assets BOY$3,081,854TotalAssetsBOYAmt
Total Assets EOY$3,068,276TotalAssetsEOYAmt
Total Liabilities BOY$902,067TotalLiabilitiesBOYAmt
Total Liabilities EOY$1,094,370TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$2,179,787NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,973,906NetAssetsOrFundBalancesEOYAmt
MissionTO 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 Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$5,039,854ExpenseAmt
Revenue$5,029,432RevenueAmt
DescTHE CENTER PROVIDES DENTAL SERVICES FOR THE LOW INCOME POPULATION OF NORTHWEST OHIO. THE POPULATION IS ON FEDERAL ASSISTANCE OR PAYS FOR SERVICES BASED ON A FEDERAL RECOMMENDED SLIDING FEE SCALE. IN 2016, 25,402 unduplicated PATIENTS WERE SERVED VIA 50,501 APPOINTMENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$172,406ExpenseAmt
DescTHE 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 OVER 6,881 INDIVIDUALS AND CASE MANAGEMENT TO APPROXIMATELY 13,250 INDIVIDUALS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$5,212,260TotalProgramServiceExpensesAmt
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
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
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 Organizations0GrantsToOrganizationsInd
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 With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related Entity0RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document7IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee127EmployeeCnt
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
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
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 CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local ChaptersYes (1)LocalChaptersInd
Policies Reference ChaptersYes (1)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
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
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MELINDA S CREEBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4192411644PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12138 MADISON AVENUEAddressLine1Txt
CityTOLEDOCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43604ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (18 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
sam fick dds
member1.00Yes (X)$0$0$0
david grossman md
member1.00Yes (X)$0$0$0
brett pelok dds
Member1.00Yes (X)$0$0$0
WALTER MILLER
MEmber1.00Yes (X)$0$0$0
TOD ARMBRUSTER DDS
MEMBER1.00Yes (X)$0$0$0
NANCY HARTZELL DDS
MEMBER1.00Yes (X)$0$0$0
JOE SEXTON DDS
MEMBER1.00Yes (X)$0$0$0
JENNIFER LUDWIG DDS
Member1.00Yes (X)$0$0$0
Andrew Cauffiel
Member1.00Yes (X)$0$0$0
Tracy Sallah
Member1.00Yes (X)$0$0$0
melinda cree
EXECUTIVE DIRECTOR40.00$70,725$0$9,157Yes (X)
JOE HESSLING
CHAIRMAN2.00$0$0$0Yes (X)
PAUL J WANNEMACHER
TREASURER3.00$0$0$0Yes (X)
Miriam Armstrong RDH
Secretary5.00$0$0$0Yes (X)
Kellie Loar
Finance Director40.00$0$0$0Yes (X)
DR KALPANA YADAV
DENTIST40.00$154,528$0$9,657Yes (X)
Dr Stephen Mattin
Dentist40.00$156,077$0$8,244Yes (X)
Dr Anupama Palakadeti
DENTIST40.00$263,596$0$6,000Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$644,926TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$33,058TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ArakytaBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line11627 Henthorne Dr Suite CAddressLine1Txt
CityMaumeeCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43527ZIPCd
FieldValueIRS element (for citing)
ServicesAccounting, Finance Director, Computer/NServicesDesc
Compensation$475,041CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
All Other Contributions$339,145AllOtherContributionsAmt
Total Contributions$339,145TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
medicare/medicaid paym621300$3,822,368$3,822,368
patient fees & insuran621300$1,207,064$1,207,064
FieldValueIRS element (for citing)
Total Program Service Revenue$5,029,432TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$77,022TotalRevenueColumnAmt
Exclusion$77,022ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$556,500SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$543,096SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$13,404SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,404TotalRevenueColumnAmt
Exclusion$13,404ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescMiscellaneousDesc
Business900099BusinessCd
Total Revenue Column$1,591TotalRevenueColumnAmt
Exclusion$1,591ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,591OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,460,594TotalRevenueColumnAmt
Related Or Exempt Func Income$5,029,432RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$92,017ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$79,882TotalAmt
Management And General$79,882ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$3,393,907TotalAmt
Program Services$3,345,764ProgramServicesAmt
Management And General$19,998ManagementAndGeneralAmt
Fundraising$28,145FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$93,033TotalAmt
Program Services$88,638ProgramServicesAmt
Management And General$3,533ManagementAndGeneralAmt
Fundraising$862FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$186,104TotalAmt
Program Services$173,603ProgramServicesAmt
Management And General$10,812ManagementAndGeneralAmt
Fundraising$1,689FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$280,497TotalAmt
Program Services$253,196ProgramServicesAmt
Management And General$24,819ManagementAndGeneralAmt
Fundraising$2,482FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$4,099TotalAmt
Management And General$4,099ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$234,008TotalAmt
Program Services$135,311ProgramServicesAmt
Management And General$98,697ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$6,272TotalAmt
Program Services$853ProgramServicesAmt
Management And General$5,356ManagementAndGeneralAmt
Fundraising$63FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$226,179TotalAmt
Program Services$182,300ProgramServicesAmt
Management And General$43,879ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$26,151TotalAmt
Program Services$19,772ProgramServicesAmt
Management And General$6,117ManagementAndGeneralAmt
Fundraising$262FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$19,319TotalAmt
Program Services$12,925ProgramServicesAmt
Management And General$6,394ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$130,475TotalAmt
Program Services$87,292ProgramServicesAmt
Management And General$43,183ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$39,562TotalAmt
Program Services$32,734ProgramServicesAmt
Management And General$6,828ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
SUPPLIES$574,935$565,410$6,867$2,658
EQUIPMENT RENTAL AND MA$207,438$194,983$12,455
bad debts$52,461$52,461
TELEPHONE$41,501$29,925$11,161$415

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$59,582TotalAmt
Program Services$37,093ProgramServicesAmt
Management And General$22,164ManagementAndGeneralAmt
Fundraising$325FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,655,405TotalAmt
Program Services$5,212,260ProgramServicesAmt
Management And General$406,244ManagementAndGeneralAmt
Fundraising$36,901FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,629BOYAmt
EOY$1,629EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$131,017BOYAmt
EOY$418,665EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$294,039BOYAmt
EOY$254,923EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$43,168BOYAmt
EOY$44,840EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,239,663LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,681,794LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$585,559BOYAmt
EOY$557,869EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$800,099BOYAmt
EOY$591,138EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,226,343BOYAmt
EOY$1,199,212EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$3,081,854BOYAmt
EOY$3,068,276EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$472,351BOYAmt
EOY$661,060EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$23,337BOYAmt
EOY$17,273EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$406,379BOYAmt
EOY$416,037EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$902,067BOYAmt
EOY$1,094,370EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$787,571BOYAmt
EOY$613,228EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$79,407BOYAmt
EOY$75,000EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$1,312,809BOYAmt
EOY$1,285,678EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,179,787BOYAmt
EOY$1,973,906EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$3,081,854BOYAmt
EOY$3,068,276EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss-$194,811ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$11,070NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
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$350,752CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$534,175CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$439,327CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$1,525,174CurrentTaxYearMinus1YearAmt
Current Tax Year$339,145CurrentTaxYearAmt
Total$3,188,573TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,830,974CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$4,714,920CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,143,321CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$4,829,362CurrentTaxYearMinus1YearAmt
Current Tax Year$5,029,432CurrentTaxYearAmt
Total$24,548,009TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$1,352CurrentTaxYearMinus4YearsAmt
Total$1,352TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,183,078CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,249,095CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,582,648CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,354,536CurrentTaxYearMinus1YearAmt
Current Tax Year$5,368,577CurrentTaxYearAmt
Total$27,737,934TotalAmt

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$27,737,934PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,359CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,413CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,571CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,529CurrentTaxYearMinus1YearAmt
Current Tax Year$90,426CurrentTaxYearAmt
Total$231,298TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$28,359CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$33,413CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$43,571CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$35,529CurrentTaxYearMinus1YearAmt
Current Tax Year$90,426CurrentTaxYearAmt
Total$231,298TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$4,611CurrentTaxYearMinus4YearsAmt
Total$4,611TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$5,216,048CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$5,282,508CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$5,626,219CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$6,390,065CurrentTaxYearMinus1YearAmt
Current Tax Year$5,459,003CurrentTaxYearAmt
Total$27,973,843TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99160PublicSupportCY509Pct
Public Support PY5090.99380PublicSupportPY509Pct
Investment Income CY0.00830InvestmentIncomeCYPct
Investment Income PY0.00600InvestmentIncomePYPct
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

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$159,663BeginningYearBalanceAmt
Investment Earnings Or Losses$9,007InvestmentEarningsOrLossesAmt
Administrative Expenses$818AdministrativeExpensesAmt
End Year Balance$167,852EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$160,600BeginningYearBalanceAmt
Investment Earnings Or Losses-$89InvestmentEarningsOrLossesAmt
Administrative Expenses$848AdministrativeExpensesAmt
End Year Balance$159,663EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$158,108BeginningYearBalanceAmt
Investment Earnings Or Losses$5,263InvestmentEarningsOrLossesAmt
Administrative Expenses$2,771AdministrativeExpensesAmt
End Year Balance$160,600EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$144,686BeginningYearBalanceAmt
Investment Earnings Or Losses$15,999InvestmentEarningsOrLossesAmt
Administrative Expenses$2,577AdministrativeExpensesAmt
End Year Balance$158,108EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$138,916BeginningYearBalanceAmt
Investment Earnings Or Losses$8,229InvestmentEarningsOrLossesAmt
Administrative Expenses$2,459AdministrativeExpensesAmt
End Year Balance$144,686EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY1.00000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.00000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$68,000OtherCostOrOtherBasisAmt
Book Value$68,000BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$576,843OtherCostOrOtherBasisAmt
Depreciation$505,380DepreciationAmt
Book Value$71,463BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,594,820OtherCostOrOtherBasisAmt
Depreciation$2,176,414DepreciationAmt
Book Value$418,406BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$557,869TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

FieldValueIRS element (for citing)
DescBeneficial Interest in TrustDesc
Book Value$1,199,212BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Other Assets$1,199,212TotalBookValueOtherAssetsAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$5,451,930TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$16,060NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$6,505DonatedServicesAndUseFcltsAmt
Other Revenue-$27,130OtherRevenueAmt
Revenue Not Reported-$4,565RevenueNotReportedAmt
Revenue Subtotal$5,456,495RevenueSubtotalAmt
Investment Expenses Not Incld$4,099InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$4,099RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,460,594TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,657,811TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$6,505DonatedServicesUseFcltsAmt
Expenses Not Reported$6,505ExpensesNotReportedAmt
Expenses Subtotal$5,651,306ExpensesSubtotalAmt
Investment Expenses Not Incld2$4,099InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$4,099ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,655,405TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 IS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. THE CENTER IS ALSO EXEMPT FROM STATE AND LOCAL TAXES UNDER THE LAWS OF THE STATE OF OHIO FOR NONPROFIT ORGANIZATIONS. THE CENTER HAS EVALUATED ANY UNCERTAIN INCOME TAX POSITIONS WHICH WOULD IMPACT ITS NONTAXABLE STATUS AND BELIEVES THERE ARE NO UNCERTAIN INCOME TAX POSITIONS OF SIGNIFICANCE THAT ARE REQUIRED TO BE RECORDED OR DISCLOSED.
Part XI, Line 2d - Other Adjustments:change in value of beneficial interest in trust -27,130.

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 KALPANA YADAV
DENTIST$154,528$0$0$0$0$0$0$0$9,657$0$164,185$0$0$0
Dr Stephen Mattin
Dentist$156,077$0$0$0$0$0$0$0$8,244$0$164,321$0$0$0
Dr Anupama Palakadeti
DENTIST$263,596$0$0$0$0$0$0$0$6,000$0$269,596$0$0$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section B, line 11bTHE EXECUTIVE DIRECTOR AND TREASURER REVIEW THE 990 BEFORE FILING.
Form 990, Part VI, Section B, line 12cCONFLICT OF INTEREST STATEMENTS ARE SUBMITTED ANNUALLY AND REVIEWED BY THE EXECUTIVE DIRECTOR AND THE GOVERNANCE COMMITTEE.
Form 990, Part VI, Section B, line 15THE 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 19THE 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 xii, line 2c:the audit committee process has not changed from the prior year.

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