SPECIAL DELIVERY DENTAL CARE INC: Form 990, tax year 2012
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- Organization
- SPECIAL DELIVERY DENTAL CARE INC (EIN 93-1071103)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-06
- IRS object ID
- 201343109349301544
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-06T17:01:13-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 800305279 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | OPSAHL DAWSON PS | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 931071103 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SPECIAL DELIVERY DENTAL CARE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | SPEC | NameControl |
| Phone | 5037723677 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAM LINDER | Name |
| Title | EXECUTIVE DIRECTOR | Title |
| Phone | 5037723677 | Phone |
| Date Signed | 2013-11-05 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | MATTHEW E LEE | Name |
| PTIN | P01043210 | PTIN |
| Phone | 3607378007 | Phone |
| Date Prepared | 2013-11-06 | DatePrepared |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | PAM LINDER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 2481437 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GERIATRICDENTAL.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1991 | YearFormation |
| State Legal Domicile | OR | StateLegalDomicile |
| Activity Or Mission Description | PROVIDE LOWER COST DENTAL CARE TO THE ELDERLY AND DISABLED. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 8 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 7 | NbrIndependentVotingMembers |
| Total Nbr Employees | 40 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 2849125 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 2444007 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 27876 | InvestmentIncomePriorYear |
| Investment Income Current Year | 37430 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2877001 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2481437 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 1672458 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 1443166 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 1175036 | OtherExpensePriorYear |
| Other Expenses Current Year | 1009596 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2847494 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2452762 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 29507 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 28675 | RevenuesLessExpensesCY |
| Total Assets BOY | 1531298 | TotalAssetsBOY |
| Total Assets EOY | 1101368 | TotalAssetsEOY |
| Total Liabilities BOY | 68765 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 72032 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1462533 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1029336 | NetAssetsOrFundBalancesEOY |
| Mission Description | PROVIDE LOWER COST DENTAL CARE TO THE ELDERLY AND DISABLED. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 2070234 | Expense |
| Revenue | 2444007 | Revenue |
| Description | PROVIDED GERIATRIC DENTAL CARE AT NO CHARGE OR BELOW STANDARD FEES TO OVER 20,655 ELDERLY AND DISABLED INDIVIDUALS IN PORTLAND, OREGON AND FEDERAL WAY, WASHINTON AREAS. | Description |
| Total Program Service Expense | 2070234 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 0 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 40 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 8 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 7 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 0 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 0 | ConflictOfInterestPolicy |
| Whistleblower Policy | 0 | WhistleblowerPolicy |
| Document Retention Policy | 0 | DocumentRetentionPolicy |
| Compensation Process CEO | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | OR | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | PAM LINDER | NamePerson |
| Telephone Number | 5037723677 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (14 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| SHARYN SELBY | ||||||||
| DIRECTOR | 0.20 | X | 0 | 0 | 0 | |||
| RICHARD LINDER | ||||||||
| DIRECTOR | 40.00 | X | 14323 | 0 | 3073 | X | ||
| GEORGE GERDING | ||||||||
| DIRECTOR | 0.20 | X | 0 | 0 | 0 | |||
| SANDY NELSON | ||||||||
| CHAIRMAN | 0.20 | X | 0 | 0 | 0 | X | ||
| DON TURNER | ||||||||
| DIRECTOR | 0.20 | X | 0 | 0 | 0 | |||
| ROGER SHIOSHI | ||||||||
| DIRECTOR | 0.20 | X | 0 | 0 | 0 | |||
| STEVE TSANG | ||||||||
| DIRECTOR | 0.20 | X | 0 | 0 | 0 | |||
| PAM LINDER | ||||||||
| EXECUTIVE DIRECTOR | 50.00 | 67500 | 0 | 2025 | X | |||
| AMY LINDER | ||||||||
| WA CLINIC DIRECTOR | 50.00 | 30000 | 0 | 5000 | X | |||
| JOHN OKI | ||||||||
| SENIOR DENTIST | 40.00 | 153148 | 0 | 14128 | X | |||
| ANDREI M MIHAILESCU | ||||||||
| DENTIST | 40.00 | 143495 | 0 | 11270 | X | |||
| MICHAEL ALLISON | ||||||||
| DENTIST | 40.00 | 35969 | 0 | 4100 | X | |||
| BRIAN KOCH | ||||||||
| DENTIST | 40.00 | 146531 | 0 | 8877 | X | |||
| RYAN P COLLINS | ||||||||
| DENTIST | 40.00 | 125203 | 0 | 0 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 716169 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 48473 | TotalOtherCompensation |
| Number Individuals GT100 K | 4 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PATIENT FEES | Description |
| Business Code | 621300 | BusinessCode |
| Total Revenue Column | 2444007 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2444007 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 2444007 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 37430 | TotalRevenueColumn |
| Exclusion | $37,430 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2481437 | TotalRevenueColumn |
| Related Or Exempt Function Income | 2444007 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $37,430 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | X | InfoInScheduleOPartIX |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 590594 | Total |
| Program Services | 460663 | ProgramServices |
| Management And General | 129931 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 618006 | Total |
| Program Services | 482045 | ProgramServices |
| Management And General | 135961 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18200 | Total |
| Program Services | 16016 | ProgramServices |
| Management And General | 2184 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 110563 | Total |
| Program Services | 97295 | ProgramServices |
| Management And General | 13268 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 105803 | Total |
| Program Services | 93107 | ProgramServices |
| Management And General | 12696 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62559 | Total |
| Management And General | 62559 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50 | Total |
| Program Services | 50 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10800 | Total |
| Program Services | 9504 | ProgramServices |
| Management And General | 1296 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68457 | Total |
| Program Services | 60242 | ProgramServices |
| Management And General | 8215 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1940 | Total |
| Program Services | 1707 | ProgramServices |
| Management And General | 233 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 907 | Total |
| Program Services | 798 | ProgramServices |
| Management And General | 109 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 30194 | Total |
| Program Services | 26571 | ProgramServices |
| Management And General | 3623 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13194 | Total |
| Program Services | 11611 | ProgramServices |
| Management And General | 1583 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| LAB CHARGES | 345271 | 345271 |
| DRUGS AND DENTAL SUPPLI | 228793 | 228793 |
| ENDS CREDIT | 93995 | 93995 |
| CASUAL LABOR | 29000 | 29000 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 124436 | Total |
| Program Services | 113566 | ProgramServices |
| Management And General | 10870 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2452762 | Total |
| Program Services | 2070234 | ProgramServices |
| Management And General | 382528 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 230693 | BOY |
| EOY | 67764 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1017209 | BOY |
| EOY | 980153 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38554 | BOY |
| EOY | 11643 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10274 | BOY |
| EOY | 4047 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 199205 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 161444 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 234568 | BOY |
| EOY | 37761 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1531298 | BOY |
| EOY | 1101368 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68765 | BOY |
| EOY | 72032 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 68765 | BOY |
| EOY | 72032 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1462533 | BOY |
| EOY | 1029336 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1462533 | BOY |
| EOY | 1029336 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1531298 | BOY |
| EOY | 1101368 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 28675 | ReconcilationRevenueExpenses |
| Reconcilation Prior Adjustment | -461872 | ReconcilationPriorAdjustment |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Cash | X | MethodOfAccountingCash |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 0 | FSAudited |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1035 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 25 | CurrentTaxYearMinus3Years |
| Total | 1060 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2530196 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2654868 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2690223 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2849125 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2444007 | CurrentTaxYear |
| Total | 13168419 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2531231 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2654893 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2690223 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2849125 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2444007 | CurrentTaxYear |
| Total | 13169479 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 13169479 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13919 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 33442 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24467 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 32584 | CurrentTaxYearMinus1Year |
| Current Tax Year | 37430 | CurrentTaxYear |
| Total | 141842 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 13919 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 33442 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 24467 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 32584 | CurrentTaxYearMinus1Year |
| Current Tax Year | 37430 | CurrentTaxYear |
| Total | 141842 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2545150 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2688335 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2714690 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 2881709 | CurrentTaxYearMinus1Year |
| Current Tax Year | 2481437 | CurrentTaxYear |
| Total | 13311321 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.98930 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.98970 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.01070 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.01030 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 9745 | OtherCostOrOtherBasis |
| Depreciation | 8293 | Depreciation |
| Book Value | 1452 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 142592 | OtherCostOrOtherBasis |
| Depreciation | 130335 | Depreciation |
| Book Value | 12257 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 46868 | OtherCostOrOtherBasis |
| Depreciation | 22816 | Depreciation |
| Book Value | 24052 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 37761 | TotalOfBookValueLandBuildings |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RICHARD LINDER | ||||||||||||||
| DIRECTOR | ||||||||||||||
| JOHN OKI | ||||||||||||||
| SENIOR DENTIST | 153148 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 153148 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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
General Explanation GeneralExplanation (4 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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 |
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