SPECIAL DELIVERY DENTAL CARE INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- SPECIAL DELIVERY DENTAL CARE INC (EIN 93-1071103)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-17
- IRS object ID
- 201423219349304272
- Schema version
- 2013v3.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2014-11-17T11:19:49-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 800305279 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPSAHL DAWSON PS | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 9418 NE VANCOUVER MALL DR | AddressLine1 |
| City | VANCOUVER | City |
| State | WA | State |
| ZIP Code | 98662 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931071103 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECIAL DELIVERY DENTAL CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | SPEC | BusinessNameControlTxt |
| Phone | 5037723677 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6319 SE POWELL BLVD | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 97206 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAM LINDER | PersonNm |
| Person Title | EXECUTIVE DIRECTOR | PersonTitleTxt |
| Phone | 5037723677 | PhoneNum |
| Signature | 2014-11-14 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MATTHEW E LEE | PreparerPersonNm |
| PTIN | P01043210 | PTIN |
| Phone | 3607378007 | PhoneNum |
| Preparation | 2014-11-17 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | PAM LINDER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6319 SE POWELL BLVD | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 97206 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $2,211,977 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GERIATRICDENTAL.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1991 | FormationYr |
| Legal Domicile State | OR | LegalDomicileStateCd |
| Activity Or Mission | PROVIDE LOWER COST DENTAL CARE TO THE ELDERLY AND DISABLED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 26 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $10,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $2,444,007 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $2,062,958 | CYProgramServiceRevenueAmt |
| PY Investment Income | $37,430 | PYInvestmentIncomeAmt |
| CY Investment Income | $22,045 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $2,481,437 | PYTotalRevenueAmt |
| CY Total Revenue | $2,095,003 | 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 | $1,443,166 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $1,223,426 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $1,009,596 | PYOtherExpensesAmt |
| CY Other Expenses | $859,979 | CYOtherExpensesAmt |
| PY Total Expenses | $2,452,762 | PYTotalExpensesAmt |
| CY Total Expenses | $2,083,405 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $28,675 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,598 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,101,368 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,109,771 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $72,032 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $68,837 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $1,029,336 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $1,040,934 | NetAssetsOrFundBalancesEOYAmt |
| Mission | PROVIDE LOWER COST DENTAL CARE TO THE ELDERLY AND DISABLED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,829,083 | ExpenseAmt |
| Revenue | $2,062,958 | RevenueAmt |
| Desc | PROVIDED GERIATRIC DENTAL CARE AT NO CHARGE OR BELOW STANDARD FEES TO OVER 20,655 ELDERLY AND DISABLED INDIVIDUALS IN PORTLAND, OREGON. | Desc |
| Total Program Service Expenses | $1,829,083 | 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 | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | 0 | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 26 | 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | 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 | 0 | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicyInd |
| Whistleblower Policy | 0 | WhistleblowerPolicyInd |
| Document Retention Policy | 0 | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | OR | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAM LINDER | PersonNm |
| Phone | 5037723677 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 619 SE POWELL BLVD | AddressLine1 |
| City | PORTLAND | City |
| State | OR | State |
| ZIP Code | 97206 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (11 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 |
|---|---|---|---|---|---|---|---|
| BARBARA YAKOVETZ | |||||||
| DIRECTOR | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| GEORGE GERDING | |||||||
| DIRECTOR | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| SANDY NELSON | |||||||
| CHAIRMAN | 0.20 | Yes (X) | $0 | $0 | $0 | Yes (X) | |
| DON TURNER | |||||||
| DIRECTOR | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| STEVE TSANG | |||||||
| DIRECTOR | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| JACK BENNETT | |||||||
| DIRECTOR | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| ROBYN BENNETT | |||||||
| DIRECTOR | 0.20 | Yes (X) | $0 | $0 | $0 | ||
| RICHARD LINDER | |||||||
| DIRECTOR | 0.20 | Yes (X) | $13,938 | $0 | $3,073 | ||
| JOHN OKI | |||||||
| SENIOR DENTIST | 40.00 | $144,600 | $0 | $25,869 | Yes (X) | ||
| ANDREI M MIHAILESCU | |||||||
| DENTIST | 40.00 | $154,365 | $0 | $8,637 | Yes (X) | ||
| BRIAN KOCH | |||||||
| DENTIST | 40.00 | $139,933 | $0 | $19,397 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $452,836 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $56,976 | 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 |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| All Other Contributions | $10,000 | AllOtherContributionsAmt |
| Total Contributions | $10,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PATIENT FEES | Desc |
| Business | 621300 | BusinessCd |
| Total Revenue Column | $2,062,958 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,062,958 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $2,062,958 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,971 | TotalRevenueColumnAmt |
| Exclusion | $31,971 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $107,048 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $116,974 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$9,926 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$9,926 | TotalRevenueColumnAmt |
| Exclusion | -$9,926 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,095,003 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,062,958 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $22,045 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $520,336 | TotalAmt |
| Program Services | $438,898 | ProgramServicesAmt |
| Management And General | $81,438 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $482,013 | TotalAmt |
| Program Services | $424,171 | ProgramServicesAmt |
| Management And General | $57,842 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,906 | TotalAmt |
| Program Services | $29,837 | ProgramServicesAmt |
| Management And General | $4,069 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $98,215 | TotalAmt |
| Program Services | $86,429 | ProgramServicesAmt |
| Management And General | $11,786 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $88,956 | TotalAmt |
| Program Services | $78,281 | ProgramServicesAmt |
| Management And General | $10,675 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $67,086 | TotalAmt |
| Management And General | $67,086 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,068 | TotalAmt |
| Program Services | $7,100 | ProgramServicesAmt |
| Management And General | $968 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $53,146 | TotalAmt |
| Program Services | $46,768 | ProgramServicesAmt |
| Management And General | $6,378 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,251 | TotalAmt |
| Program Services | $3,741 | ProgramServicesAmt |
| Management And General | $510 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,365 | TotalAmt |
| Program Services | $1,201 | ProgramServicesAmt |
| Management And General | $164 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,605 | TotalAmt |
| Program Services | $15,492 | ProgramServicesAmt |
| Management And General | $2,113 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,450 | TotalAmt |
| Program Services | $8,316 | ProgramServicesAmt |
| Management And General | $1,134 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| LAB CHARGES | $294,231 | $294,231 |
| DRUGS AND DENTAL SUPPLI | $184,115 | $184,115 |
| ENDS CREDIT | $81,476 | $81,476 |
| CASUAL LABOR | $28,092 | $28,092 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $111,094 | TotalAmt |
| Program Services | $100,935 | ProgramServicesAmt |
| Management And General | $10,159 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,083,405 | TotalAmt |
| Program Services | $1,829,083 | ProgramServicesAmt |
| Management And General | $254,322 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $67,764 | BOYAmt |
| EOY | $102,103 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $980,153 | BOYAmt |
| EOY | $952,352 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,643 | BOYAmt |
| EOY | $28,567 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,047 | BOYAmt |
| EOY | $6,593 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $199,205 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $179,049 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $37,761 | BOYAmt |
| EOY | $20,156 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,101,368 | BOYAmt |
| EOY | $1,109,771 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,032 | BOYAmt |
| EOY | $68,837 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,032 | BOYAmt |
| EOY | $68,837 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,029,336 | BOYAmt |
| EOY | $1,040,934 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,029,336 | BOYAmt |
| EOY | $1,040,934 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,101,368 | BOYAmt |
| EOY | $1,109,771 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $11,598 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Cash | Yes (X) | MethodOfAccountingCashInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | 0 | FSAuditedInd |
| 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 | $25 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year | $10,000 | CurrentTaxYearAmt |
| Total | $10,025 | TotalAmt |
Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,654,868 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,690,223 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,849,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,444,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,062,958 | CurrentTaxYearAmt |
| Total | $12,701,181 | TotalAmt |
Total509 Total509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,654,893 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,690,223 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,849,125 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,444,007 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,072,958 | CurrentTaxYearAmt |
| Total | $12,711,206 | 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 | $12,711,206 | PublicSupportTotal509Amt |
Gross Investment Income509 GrossInvestmentIncome509Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,442 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,467 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,584 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,971 | CurrentTaxYearAmt |
| Total | $159,894 | TotalAmt |
Investment Income And UBTI InvestmentIncomeAndUBTIGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $33,442 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $24,467 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $32,584 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $37,430 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $31,971 | CurrentTaxYearAmt |
| Total | $159,894 | TotalAmt |
Total Support Calendar Year TotalSupportCalendarYearGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | $2,688,335 | CurrentTaxYearMinus4YearsAmt |
| Current Tax Year Minus3 Years | $2,714,690 | CurrentTaxYearMinus3YearsAmt |
| Current Tax Year Minus2 Years | $2,881,709 | CurrentTaxYearMinus2YearsAmt |
| Current Tax Year Minus1 Year | $2,481,437 | CurrentTaxYearMinus1YearAmt |
| Current Tax Year | $2,104,929 | CurrentTaxYearAmt |
| Total | $12,871,100 | TotalAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support CY509 | 0.98760 | PublicSupportCY509Pct |
| Public Support PY509 | 0.98930 | PublicSupportPY509Pct |
| Investment Income CY | 0.01240 | InvestmentIncomeCYPct |
| Investment Income PY | 0.01070 | InvestmentIncomePYPct |
| Thirty Thr Pct Suprt Tests CY509 | Yes (X) | ThirtyThrPctSuprtTestsCY509Ind |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,745 | OtherCostOrOtherBasisAmt |
| Depreciation | $9,074 | DepreciationAmt |
| Book Value | $671 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $142,592 | OtherCostOrOtherBasisAmt |
| Depreciation | $137,785 | DepreciationAmt |
| Book Value | $4,807 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $46,868 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,190 | DepreciationAmt |
| Book Value | $14,678 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $20,156 | TotalBookValueLandBuildingsAmt |
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 | Yes (1) | 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | ANDREI M MIHAILESCU | PersonNm |
| Title | DENTIST | TitleTxt |
| Base Compensation Filing Org | $154,365 | BaseCompensationFilingOrgAmt |
| Compensation Based On Rltd Orgs | $0 | CompensationBasedOnRltdOrgsAmt |
| Bonus Filing Organization | $0 | BonusFilingOrganizationAmount |
| Bonus Related Organizations | $0 | BonusRelatedOrganizationsAmt |
| Other Compensation Filing Org | $0 | OtherCompensationFilingOrgAmt |
| Other Compensation Rltd Orgs | $0 | OtherCompensationRltdOrgsAmt |
| Deferred Compensation Flng Org | $0 | DeferredCompensationFlngOrgAmt |
| Deferred Comp Rltd Orgs | $0 | DeferredCompRltdOrgsAmt |
| Nontaxable Benefits Filing Org | $0 | NontaxableBenefitsFilingOrgAmt |
| Nontaxable Benefits Rltd Orgs | $0 | NontaxableBenefitsRltdOrgsAmt |
| Total Compensation Filing Org | $154,365 | TotalCompensationFilingOrgAmt |
| Total Compensation Rltd Orgs | $0 | TotalCompensationRltdOrgsAmt |
| Comp Report Prior990 Filing Org | $0 | CompReportPrior990FilingOrgAmt |
| Comp Report Prior990 Rltd Orgs | $0 | CompReportPrior990RltdOrgsAmt |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | EXECUTIVE DIRECTORS COMPENSATION IS APPROVED BY THE BOARD. |
| PART I, LINE 6 | BONUSES ARE PAID OUT BASED ON NET EARNINGS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 2 | BOARD MEMBER RICHARD LINDER IS MARRIED TO THE ORGANIZATIONS EXECUTIVE DIRECTOR AND IS THE FATHER OF EMPLOYEE AMY LINDER. |
| FORM 990, PART VI, SECTION A, LINE 8B | NOT APPLICABLE |
| FORM 990, PART VI, SECTION B, LINE 11 | THE EXECUTIVE DIRECTOR REVIEWS THE RETURN FOR THE ORGANIZATION |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVALIABLE TO THE PUBLIC |
| FORM 990, PART IX, LINE 24E | CHARTIABLE/DECEASED CREDIT: PROGRAM SERVICE EXPENSES 23,768. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 23,768. REPAIRS AND MAINTENANCE: PROGRAM SERVICE EXPENSES 20,036. MANAGEMENT AND GENERAL EXPENSES 2,732. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 22,768. CREDIT CARD LEASE: PROGRAM SERVICE EXPENSES 16,503. MANAGEMENT AND GENERAL EXPENSES 2,250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,753. UTILITIES: PROGRAM SERVICE EXPENSES 7,829. MANAGEMENT AND GENERAL EXPENSES 1,068. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,897. MALPRACTICE REIMBURSEMENT: PROGRAM SERVICE EXPENSES 6,478. MANAGEMENT AND GENERAL EXPENSES 883. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,361. JANITORIAL SERVICES: PROGRAM SERVICE EXPENSES 6,290. MANAGEMENT AND GENERAL EXPENSES 858. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,148. TELEPHONE: PROGRAM SERVICE EXPENSES 3,839. MANAGEMENT AND GENERAL EXPENSES 524. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,363. CONTINUING EDUCATION: PROGRAM SERVICE EXPENSES 2,983. MANAGEMENT AND GENERAL EXPENSES 407. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,390. POSTAGE: PROGRAM SERVICE EXPENSES 2,637. MANAGEMENT AND GENERAL EXPENSES 360. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,997. BAD DEBT: PROGRAM SERVICE EXPENSES 2,667. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,667. GIFTS: PROGRAM SERVICE EXPENSES 1,934. MANAGEMENT AND GENERAL EXPENSES 264. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,198. LICENSES AND PERMITS: PROGRAM SERVICE EXPENSES 1,835. MANAGEMENT AND GENERAL EXPENSES 250. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,085. BANK CHARGES: PROGRAM SERVICE EXPENSES 1,705. MANAGEMENT AND GENERAL EXPENSES 232. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,937. INVESTMENTS: PROGRAM SERVICE EXPENSES 1,264. MANAGEMENT AND GENERAL EXPENSES 172. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,436. SOFTWARE AND TECHNOLOGY: PROGRAM SERVICE EXPENSES 803. MANAGEMENT AND GENERAL EXPENSES 109. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 912. MEALS AND ENTERTAINMENT: PROGRAM SERVICE EXPENSES 364. MANAGEMENT AND GENERAL EXPENSES 50. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 414. |
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