2017-02-15T09:52:04-08:00 2016-06-30 Goranson and Associates Inc 717 College Avenue First Floor Santa Rosa CA 95404 990 2015-07-01 342012430 Pediatric Dental Initiative of the North Coast Inc PEDI 7078378833 1380 19th Hole Drive Windsor CA 95492 Viveka Rydell CEO 2017-02-15 true Susan E Goranson P00049464 7075421256 2015 2021-01-29 14:40:06Z Viveka Rydell 1380 19th Hole Drive Windsor CA 954927713 4621552 false false X www.pdisurgerycenter.org X 2004 CA To maintain a sustainable dentistry resource that will serve the low income children of Northern California who need safe sedation for dental treatment, and to provide prevention education and promote oral health. 9 9 30 11 0 640022 852454 3103591 3315801 -1162 122460 196194 315908 3938645 4606623 0 0 1118749 1274798 0 124304 2266052 2374405 3384801 3649203 553844 957420 2463213 3411292 234425 265738 2228788 3145554 To maintain a sustainable dentistry resource that will serve the low income children of Northern California who need safe sedation for dental treatment, and to provide prevention education and promote oral health. false false 3261386 3315771 PDI Surgery Center provides an oral surgery resource for children from low-income families, and children and adults with developmental disabilities, throughout Northern California. Since opening in January 2008, over 15,000 children have received treatment and over 188 families have received travel assistance.The case management component of PDI Surgery Center is intended to improve long-term oral health outcomes in young children, and in children and adults with developmental disabilities who live in Northern California. Case managers provide extensive support to health care providers and families seeking care at the surgery center. PDI works collaboratively with case managers from referral agencies to assist with filling out referral forms, protocols and procedures into existing case management systems. Our case managers travel throughout Sonoma, Mendocino, Lake, Napa and Marin counties to increase efficiencies in the referral and follow up process.PDI case managers act as problem solvers for families, referring agencies, the community and the surgery center. Their primary responsibility is to provide necessary services to families, assisting them with gaining access to dental services under general anesthesia. These responsibilities include: providing interpretive services, arranging transportation for clients to and from the clinic, lodging if necessary and ensuring that all forms are filled out in a timely manner. Case managers ensure that patients are enrolled in the health insurance program for which they are eligible, and will facilitate that enrollment prior to treatment. If a family is not eligible for an insurance program, and cannot afford care, the case manager will assist the family in applying for enrollment in a Patient Sponsorship Program. As part of its long-term strategy to reduce the need for intervention surgery services, PDI case managers combine prevention education and community outreach efforts to best educate families.PDIs unique Patient Sponsorship Program (PSP) helps families bridge access barriers that include expensive transportation, lodging and medication costs. Other considerations include subsidizing treatment expenses, based on a sliding scale, for families who do not qualify for MediCal, Healthy Families, or other insurance programs. 3261386 true true false false false false false false false false true false false true false true true false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false false false false false true 38 0 true 30 true false false false false false false false false 0 false false false false false false false false false false X 9 9 false false false false false false false true true false false true true true true true true true false false CA X Viveka Rydell 7078378833 1380 19th Hole Drive Windsor CA 954927713 Surani Kwan Vice Chair 2.00 0.00 X 0 0 0 Ross E Stromberg Chair 2.00 0.00 X 0 0 0 Max Dunn Treasurer 2.00 0.00 X 0 0 0 Katherine Foster Secretary 2.00 0.00 X 0 0 0 Bill Hawn Director 2.00 0.00 X 0 0 0 Connie Codding Director 2.00 0.00 X 0 0 0 Tom Jordan Director 2.00 0.00 X 0 0 0 Jesus Guzman Director 2.00 0.00 X 0 0 0 Suzie Shupe Director 2.00 0.00 X 0 0 0 Jack Tibbetts Director 2.00 0.00 X 0 0 0 Thomas Cleland Director 2.00 0.00 X 0 0 0 Tara Jasper Director 2.00 0.00 X 0 0 0 Viveka Rydell CEO 40.00 0.00 X 100197 0 0 Julie Tucker Administrator 40.00 0.00 X 129247 0 0 229444 2 false false false Susan Ryan DDS Post Office Box 218 Petaluma CA 94953 Dentist 173500 Mark Hagele DDS 101 Providence Mine Road Nevada City CA 95959 Dental Director 166300 Michael Mundell MD 1400 Quail Court Santa Rosa CA 95404 Anesthesiologist 144600 Inc lukolt 1236 Sexton Road sebastopol CA 95472 Dentist 139500 Tanvi Shah DDS 1071 Via Alta Lafayette CA 94549 Dentist 126500 5 852454 852454 Other income 30 30 Program fees 3315771 3315771 3315801 122460 122460 0 0 0 0 330837 14929 315908 0 0 0 4606623 3315801 122460 X 0 0 0 0 229444 129247 75148 25049 0 886748 767043 38733 80972 0 68782 55204 7016 6562 89824 71669 9107 9048 0 0 0 0 0 0 1358781 1347637 11144 0 44392 36076 5643 2673 0 0 229290 182851 46439 0 0 0 0 0 114970 114970 20981 15938 5043 supplies and equipment 480559 480559 Other operating expenses 38461 6125 32336 Program expense 37679 37679 Impairment of asset 25000 25000 24292 16388 7904 3649203 3261386 263513 124304 420763 430013 175099 992904 0 839801 338653 0 0 0 63391 57685 19577 25177 1178605 884602 357287 294003 236295 947207 0 0 150000 125000 201000 200650 2463213 3411292 234425 265738 234425 265738 X 2057650 3012922 171138 132632 2228788 3145554 2463213 3411292 957420 -40654 X false true X true false X 541296 236354 1155880 836216 852454 3622200 0 0 541296 236354 1155880 836216 852454 3622200 0 3622200 64 165 2108 122460 124797 0 -1162 -1162 3745835 0.96700 0.99960 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 855170 741147 114023 10113 10113 313322 133342 179980 294003 other receivables 200650 200650 X 4565969 -40654 -40654 4606623 4606623 3649203 3649203 3649203 Part X : FIN48 Footnote PDI is exempt from Federal and State Income taxes under Internal Revenue Code Section 501(c)(3) and California Franchise Tax Board Code Section 23701d. Therefore, no provision for income taxes has been made in the accompanying financial statements. In addition, the Internal Revenue Service has determined PDI is not a private foundation within the meaning of Section 509(a) of the Internal Revenue Code.Management of PDI considers the likelihood of changes by taxing authorities in its filed tax returns and recognizes a liability for or discloses potential significant changes if management believes it is more likely than not for a change to occur, including changes to PDIs status as a not-for-profit entity. Management believes PDI met the requirements to maintain its tax-exempt status and has no income subject to unrelated business income tax; therefore, no provision for income taxes has been provided in these financial statements. PDIs tax returns for the past three years are subject to examination by tax authorities, and may change upon examination. X X X X X X false Make Kids Smile Luncheon/Gold Event 330837 330837 14929 330837 330837 14929 14929 315908 Form 990, Part VI, Line 11b: Form 990 Review Process 990 is emailed to board and reviewed by finance committee before submission Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts Agenda item Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees Reviewed and set by board annually Form 990, Part VI, Line 19: Other Organization Documents Publicly Available Documents available upon request