2015-02-20T13:26:23-08:00 2014-06-30 Goranson and Associates Inc 717 College Avenue First Floor Santa Rosa CA 95404 990 2013-07-01 342012430 Pediatric Dental Initiative of the North Coast Inc PEDI 7078378833 1380 19th Hole Drive Windsor CA 95492 Viveka Rydell CEO 2015-02-20 true Susan E Goranson P00049464 7075421256 2013 2016-02-25 16:41:14Z Viveka Rydell 1380 19th Hole Drive Windsor CA 954927713 3785179 false false X www.pedidental.org X 2005 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 28 20 0 236354 1155880 2241821 2542006 165 2108 201781 74827 2680121 3774821 0 0 981600 1036643 0 0 2051020 2179730 3032620 3216373 -352499 558448 1842321 1884722 700825 209778 1141496 1674944 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 2978136 2542006 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 2,074 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. 2978136 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 36 0 true 28 true false false false false false false false false 0 false false false false false false false false false false X 9 9 true false false false false false false true true false false true true true true true true true false false X Viveka Rydell 7078378833 1380 19th Hole Drive Windsor CA 954927713 Ross E Stromberg Director 2.00 0.00 X 0 0 0 Max Dunn Secretary/Treas 2.00 0.00 X 0 0 0 Katherine Foster Director 2.00 0.00 X 0 0 0 Bill Hawn Chairman 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 Anne Molgaard Vice-chair 2.00 0.00 X 0 0 0 Suzie Shupe Director 2.00 0.00 X 0 0 0 Thomas Cleland Director 2.00 0.00 X 0 0 0 Julie Tucker nurse director 40.00 0.00 X 116445 0 0 Viveka Rydell CEO 40.00 0.00 X 92177 0 0 208622 1 false false false Kristin Johnson MD Post Office Box 863 Geyserville CA 95441 Medical Director 153300 Mark Hagele DDS 101 Providence Mine Road Nevada City CA 95959 Dental Director 157500 Michael Mundell MD 1400 Quail Court Santa Rosa CA 95404 Anesthesiologist 150000 Tanvi Shah DDS 1071 Via Alta Lafayette CA 94549 Dentist 130750 4 150000 601166 404714 1155880 Other revenue 329 329 Program fees 2541677 2541677 2542006 2108 2108 0 0 0 0 85185 150000 10358 74827 0 0 0 3774821 2542006 2108 X 0 0 0 0 208622 116445 92177 0 828021 754292 73729 0 0 0 0 0 0 0 0 0 1314318 1305927 8391 0 29007 25481 3526 0 0 220624 197610 23014 0 0 0 0 0 111492 111299 193 19563 15569 3994 supplies and equipment 399802 399716 86 Other operating expenses 46143 28516 17627 Program expense 26107 15771 10336 communications 8304 4731 3573 4370 2779 1591 3216373 2978136 238237 0 387083 483697 99262 174665 0 384970 350274 0 0 0 88364 78209 22055 26102 1120063 673738 550162 446325 0 0 0 200000 175000 110425 150450 1842321 1884722 682824 206778 18000 3000 1 700825 209778 X 999033 1487369 142463 187575 1141496 1674944 1842321 1884722 X 558448 -25000 X false true X true false X 136370 449234 541296 236354 1155880 2519134 0 0 136370 449234 541296 236354 1155880 2519134 0 2519134 1262 52 64 165 2108 3651 0 0 2522785 0.99860 0.99820 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 855170 570113 285057 10113 10113 254780 93512 161268 446325 other receivables 150450 150450 X 3774821 3774821 3774821 3241373 25000 25000 3216373 3216373 Part X : FIN48 Footnote Pediatric Dental Initiative is exempt from income taxation under Section 501(c)(3) of the Internal Revenue Code. The Internal Revenue Service has determined PDI is not a private foundation under Section 509(a)(2). Generally accepted accounting principles provide accounting and disclosure guidance about positions taken by an Organization in its tax returns that might be uncertain. Management has considered its tax positions and believes that all of the positions taken by the Organization in their federal and state exempt Agency tax returns are more likely than not to be sustained upon examination. PDI's evaluation on June 30, 2012 revealed no tax positions that would have a material impact on the financial statements. PDI does not believe that any reasonably possible changes will occur within the next twelve months that will have a material impact on the financial statements. Part XII, Line 2d: Other expenses and losses per audited F/S IMPAIRMENT OF GOODWILL $25000 X X X X X X false Make Kids Smile Luncheon/Gold Event 235185 150000 85185 10358 235185 150000 85185 10358 10358 74827 Form 990, Part VI, Line 2: Description of Business or Family Relationship of Officers, Directors, Et Revolving line of credit is guaranteed by a community member 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 Other Changes In Net Assets Or Fund Balances - Other Decreases IMPAIRMENT OF GOODWILL = -$25000