AMERICAN DENTAL HYGIENTISTS ASSOCIATION: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
AMERICAN DENTAL HYGIENTISTS ASSOCIATION (EIN 36-2372371)
Tax period
2010-07-01 to 2011-06-30
Filed
2012-05-15
IRS object ID
201201369349302085
Schema version
2010v3.4
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)
Timestamp2012-05-15T10:37:57-05:00Timestamp
Tax Period End Date2011-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BLACKMAN KALLICK LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line110 S RIVERSIDE PLAZA 9TH FLOORAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362372371EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1AMERICAN DENTAL HYGIENISTS' ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlAMERNameControl
Phone3124408900Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1444 NORTH MICHIGAN AVE NO 3400AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameANN BATTRELLName
TitleEXECUTIVE DIRECTORTitle
Phone3124408900Phone
Date Signed2012-05-15DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKIMBERLY HAUMANNName
Phone3122071040Phone
Date Prepared2012-05-15DatePrepared
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonANN BATTRELLNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1444 NORTH MICHIGAN AVE NO 3400AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode
FieldValueIRS element (for citing)
Gross Receipts6724671GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.ADHA.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1980YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE PUBLIC'S TOTAL HEALTH. TO ADVANCE THE ART AND SCIENCE OF DENTAL HYGIENE BY ENSURING ACCESS TO QUALITY HEALTH CARE; INCREASING AWARENESS OF THE COST-EFFECTIVE BENEFITS OF PREVENTION; PROMOTING THE HIGHEST STANDARDS OF DENTAL HYGIENE EDUCATION, LICENSURE, PRACTICE AND RESEARCH, AND REPRESENTING AND PROMOTING THE INTERESTS OF DENTAL HYGIENISTS.ActivityOrMissionDescription
Nbr Voting Members Governing Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members12NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers50TotalNbrVolunteers
Total Gross UBI498087TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year5672943ProgramServiceRevenuePriorYear
Program Service Revenue CY6346344ProgramServiceRevenueCY
Investment Income Prior Year34587InvestmentIncomePriorYear
Investment Income Current Year28166InvestmentIncomeCurrentYear
Other Revenue Prior Year617272OtherRevenuePriorYear
Other Revenue Current Year349139OtherRevenueCurrentYear
Total Revenue Prior Year6324802TotalRevenuePriorYear
Total Revenue Current Year6723649TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year67085GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY57003GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2724427SalariesEtcPriorYear
Salaries Etc Current Year2799175SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3250608OtherExpensePriorYear
Other Expenses Current Year3499485OtherExpensesCurrentYear
Total Expenses Prior Year6042120TotalExpensesPriorYear
Total Expenses Current Year6355663TotalExpensesCurrentYear
Revenues Less Expenses Prior Year282682RevenuesLessExpensesPriorYear
Revenues Less Expenses CY367986RevenuesLessExpensesCY
Total Assets BOY5940270TotalAssetsBOY
Total Assets EOY6218362TotalAssetsEOY
Total Liabilities BOY3549089TotalLiabilitiesBOY
Total Liabilities EOY3377992TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY2391181NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY2840370NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE PUBLIC'S TOTAL HEALTH, THE MISSION OF THE AMERICAN DENTAL HYGIENISTS' ASSOCIATION IS TO ADVANCE THE ART AND SCIENCE OF DENTAL HYGIENE BY ENSURING ACCESS TO QUALITY HEALTH CARE; INCREASING AWARENESS OF THE COST-EFFECTIVE BENEFITS OF PREVENTION; PROMOTING THE HIGHEST STANDARDS OF DENTAL HYGIENE EDUCATION, LICENSURE, PRACTICE AND RESEARCH, AND REPRESENTING AND PROMOTING THE INTERESTS OF DENTAL HYGIENISTS.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
DescriptionPROGRAMS FOR APPROXIMATELY 35,000 MEMBERS TO ADVANCE THEIR PROFESSIONAL DEVELOPMENT INCLUDING CONTINUING EDUCATION, INDUSTRY UPDATES, AND EMPLOYMENT SERVICES; AS WELL AS PROMOTING RESEARCH. IN ADDITION TO THE TECHNICAL SKILL PROGRAMS, ADHA ALSO SPONSORS GROUP INSURANCE COVERAGE AND MEMBER DISCOUNTS.Description
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax1SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt0ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109675NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions1NonDeductibleContributions
Non Deductible Disclosure1NonDeductibleDisclosure
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members12NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Other WebsiteXOtherWebsite
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1ISAAC CARPENTERBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3124408935TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1444 N MICHIGAN AVENUEAddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployee
CARYN SOLIE RDH
BOARD CHAIR10.00XX3850000
LYNN RAMER LDH
IMMEDIATE PAST BOARD PRESI10.00XX2867500
PAMELA QUINONES RDH BS
PRESIDENT ELECT10.00XX1207500
ESPERANZA GARZA RDH BS
BOARD TREASURER10.00XX350000
ANN BATTRELL RDH MSDH
EXECUTIVE DIRECTOR/ BOARD55.00XX226001025200
SUSAN SAVAGE RDH BSDH
BOARD VICE PRESIDENT10.00XX375000
DENISE BOWERS RDH MSED
TRUSTEE10.00X495000
DIANE S PETERSON RDH MED
TRUSTEE10.00X457400
JILL GRASSMICK RDH
TRUSTEE10.00X465000
MEGAN BRIGHTBILL RDH BS
TRUSTEE10.00X170000
TONETTE HOLINGSWORTH RDH
TRUSTEE10.00X148400
LOUANN M GOODNOUGH RDH BSDH
TRUSTEE10.00X475000
SANDRA L TESCH RDH MSHP
TRUSTEE10.00X410000
KELLIE SWANSON-JAECKS RDH BSHD MA
TRUSTEE10.00X300000
NORINE RYAN DOWD RDH BHSC
TRUSTEE10.00X420000
VICTORIA E RICHARDS RDH BS
TRUSTEE10.00X440000
CAROLE E DANIELSON RDH MPH
TRUSTEE10.00X475000
SHARON ZASTROW RDH
TRUSTEE10.00X420000
ISAAC CARPENTER
CFO55.00X185425023500
KAREN CASPERS
HR DIRECTOR55.00120017020500X
MADDIE HILPERT
DIRECTOR OF MEETINGS55.00100450018500X
FieldValueIRS element (for citing)
Total Reportable Comp From Org765151TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation87700TotalOtherCompensation
Number Individuals GT100 K4NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmountUnrelated Business RevenueUnrelatedBusinessRevenue
MEMBERSHIP DUES90009937791253779125
SPONSORSHIPS9000991058793$1,058,793
PUBLICATIONS900004887718389631498087
ANNUAL SESSION900099324053324053
PROGRAM EXHIBITS900099257100257100

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column39555TotalRevenueColumn
Related Or Exempt Function Income39555RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue6346344TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column29188TotalRevenueColumn
Exclusion$29,188ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column327416TotalRevenueColumn
Exclusion$327,416ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1022Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-1022Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-1022TotalRevenueColumn
Exclusion-$1,022ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MISCELLANEOUS90009912676$12,676
CATALOG ORDERS90009980078007
MAILING LIST REVENUE90009910401040
FieldValueIRS element (for citing)
Total Other Revenue21723TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column6723649TotalRevenueColumn
Related Or Exempt Function Income4798511RelatedOrExemptFunctionIncome
Unrelated Business Revenue498087UnrelatedBusinessRevenue
Exclusion$1,427,051ExclusionAmount

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total57003Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total743126Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total1566371Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total345029Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total144649Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total17281Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total27000Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total428014Total

Advertising Advertising

FieldValueIRS element (for citing)
Total486695Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total539165Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total400682Total

Travel Travel

FieldValueIRS element (for citing)
Total559141Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total301978Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total61098Total

Insurance Insurance

FieldValueIRS element (for citing)
Total68466Total

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotal
FUND EXPENSES266419
BANK CHARGES178664
MISCELLANEOUS130817
RECRUITMENT24694
CONTINGENCY9371

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total6355663Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY1797539BOY
EOY1625401EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY263533BOY
EOY258134EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY76482BOY
EOY51328EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1482894LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec985877LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY171141BOY
EOY497017EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY3568160BOY
EOY3658141EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY63415BOY
EOY128341EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5940270BOY
EOY6218362EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY479396BOY
EOY88588EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY2042586BOY
EOY1994079EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1027107BOY
EOY1295325EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3549089BOY
EOY3377992EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY2110023BOY
EOY2471212EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY281158BOY
EOY369158EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2391181BOY
EOY2840370EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5940270BOY
EOY6218362EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses367986ReconcilationRevenueExpenses
Reconcilation Other Changes81203ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement BothXFinancialStatementBoth
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Substantially All Dues Nondeduct0SubstantiallyAllDuesNondeduct
Only In House Lobbying0OnlyInHouseLobbying
Agree To Carryover Prior Year0AgreeToCarryoverPriorYear
Dues Assessments3779125DuesAssessments
Non Ded Lobby Political Current78925NonDedLobbyPoliticalCurrent
Non Ded Lobby Political Carryover-1244NonDedLobbyPoliticalCarryover
Non Ded Lobby Political Total77681NonDedLobbyPoliticalTotal
Aggr Amt Reported In Dues Notices82875AggrAmtReportedInDuesNotices
Taxable-$5,194TaxableAmount

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis300500OtherCostOrOtherBasis
Depreciation19741Depreciation
Book Value280759BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1182394OtherCostOrOtherBasis
Depreciation966136Depreciation
Book Value216258BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings497017TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
MUTUAL FUNDS355008F
CORPORATE STOCKS & BONDS3303133F
FieldValueIRS element (for citing)
Total Of Book Value Securities3658141TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO STATE AND LOCAL ORGS$167,499
ACCRUED EXPENSES$1,127,826
FieldValueIRS element (for citing)
Total Of Amounts1295325TotalOfAmounts
Total Revenue6723649TotalRevenue
Total Expenses6355663TotalExpenses
Excess Or Deficit For Year367986ExcessOrDeficitForYear
Net Unrealized GL On Investments81203NetUnrealizedGLOnInvestments
Total Adjustments81203TotalAdjustments
Excess Or Deficit Per FS449189ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt6804852TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments81203NetUnrealizedGainsInvestments
Revenue Not Rptd F99081203RevenueNotRptdF990
Revenue Subtotal6723649RevenueSubtotal
Revenue Not Rptd On Fin Stmt0RevenueNotRptdOnFinStmt
Total Revenue Per Form9906723649TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt6355663TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal6355663ExpensesSubtotal
Expenses Not Rptd On Fin Stmt0ExpensesNotRptdOnFinStmt
Total Expenses Per Form9906355663TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE ASSOCIATION'S APPLICATION OF GAAPUSA REGARDING UNCERTAIN TAX POSITIONS HAD NO EFFECT ON ITS FINANCIAL POSITION AS MANAGEMENT BELIEVES THE ASSOCIATION HAS NO MATERIAL UNRECOGNIZED INCOME TAX BENEFITS, INCLUDING ANY POTENTIAL RISK OF LOSS OF ITS NOT-FOR-PROFIT TAX STATUS. THE ASSOCIATION WOULD ACCOUNT FOR ANY POTENTIAL INTEREST OR PENALTIES RELATED TO POSSIBLE FUTURE LIABILITIES FOR UNRECOGNIZED INCOME TAX BENEFITS AS INCOME TAX EXPENSE. THE ASSOCIATION IS NO LONGER SUBJECT TO EXAMINATION BY FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR PERIODS BEFORE 2008.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Form990 Schedule I Part III Form990ScheduleIPartIII (11 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
AWARDS PRGM/LUNCHEON-GRANTS27684
FONES AWARD11000
MASTER CLINICIAN-AWARDS15000
FUTURE LEADER AWARD-GRANTS11000
CLINICAL DH-GRANTS24000
IRENE AWARD-GRANTS11000
STUDENT PRESENTATIO/AWARDS-AWARDS196752
SADHA COMMUNITY SERVICE AWARD-GRANTS13000
DH EDUCATOR OF THE YEAR AWARD-GRANTS11567
LEGIS FUNDING-GRANTS724000
SIGMA PHI ALPHA22000

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: MONITORED BY BOARD, COMMITTEES, AND COUNCIL.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan0SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement

Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANN BATTRELL RDH MSDH
226001000000105260146742260012520000
ISAAC CARPENTER
1854250000094500140500208925000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE ASSOCIATION HAS MEMBERS. THE DIFFERENT TYPES OF VOTING MEMBERS ARE AS FOLLOWS: ACTIVE MEMBERS, LIFE MEMBERS, RETIRED/SENIOR MEMBERS, MEMBERS WITH DIASABILITIES. NON-VOTING MEMBERS INCLUDE INTERNATIONAL MEMBERS, STUDENT MEMBERS, SUPPORTING MEMBERS, HONORARY MEMBERS, ALLIED MEMBERS AND CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AONLY VOTING MEMBERS MAY VOTE FOR THE ELECTION OF DELEGATES TO THE HOUSE OF DELEGATES, HOLD OFFICE IN THE ASSOCIATION, ITS CONSTITUENTS AND COMPONENTS, AND SERVE ON THE BOARD OF TRUSTEES AND HOUSE OF DELEGATES. OFFICERS (PRESIDENT, VICE-PRESIDENT, TREASURER, SPEAKER OF THE HOUSE AND DISTRICT TRUSTEES) ARE ELECTED BY BALLOT BY THE HOUSE OF DELEGATES TO SERVE FOR ONE YEAR OR UNTIL THEIR SUCCESSORS ARE ELECTED.
FORM 990, PART VI, SECTION B, LINE 11THE COMPLETED FORM 990 INCLUDING ALL SCHEDULES WAS DISTRIBUTED THE ADHA EXECUTIVE COMMITTEE IN MAY 2011 FOR CONSIDERATION PRIOR TO A SCHEDULED COMMITTEE CONFERENCE CALL. A CONFERENCE CALL WAS HELD WITH A REPRESENTATIVE FROM OUR INDEPENDENT ACCOUNTING FIRM, ADHA'S CHIEF FINANCIAL OFFICER AND THE EXECUTIVE DIRECTOR OF ADHA. QUESTIONS WERE ASKED AND ANSWERED. A FULL COPY OF THE RETURN WAS PROVIDED TO THE COMPLETE BOARD OF DIRECTORS PRIOR TO FILING.
AT THE BEGINNING OF EACH FISCAL YEAR, ADHA'S LEGAL COUNSEL ADDRESSES THE NEW BOARD TO EXPLAIN FIDUCIARY RESPONSIBILITY AND THEIR DUTIES OF CARE, LOYALTY AND OBEDIENCE. EACH BOARD MEMBER COMPLETES A NEW CONFLICT OF INTEREST STATEMENT WHICH HIS KEPT ON FILE AT CENTRAL OFFICE. ADDITIONALLY AT THE COMMENCEMENT OF EACH BOARD MEETING, THE PRESIDENT ASKS IF ANYTHING HAS CHANGED TO PRESENT A CONFLICT AND PROVIDES THE OPPORTUNITY FOR BOARD MEMBERS TO DISCLOSE ANY NEW CONFLICT OR PERCEIVED CONFLICT. ADDITIONALLY, EACH APPOINTED MEMBER OF A COUNCIL OR COMMITTEE COMPLETES A CONFLICT OF INTEREST FORM WHICH IS LIKEWISE, KEPT ON FILE IN ADHA'S CENTRAL OFFICE. NEW EMPLOYEES SIGN AND DATE A CONFLICT OF INTEREST STATEMENT UPON COMMENCEMENT OF EMPLOYMENT. ANNUALLY, ALL STAFF MUST SIGN A NEW CONFLICT OF INTEREST STATEMENT.FORM 990, PART VI, SECTION B, LINE 12C
AT THE CONCLUSION OF EACH FISCAL YEAR, THE EXECUTIVE COMMITTEE COMPLETES THE PREVIOUSLY ADOPTED EVALUATION INSTRUMENT FOR THE EXECUTIVE DIRECTOR'S PERFORMANCE. AFTER ALL THE INPUT OF MEMBERS OF THE COMMITTEE IS COMPLETED, THE EXECUTIVE COMMITTEE DISCUSSES THE EVALUATION WITH THE EXECUTIVE DIRECTOR AND PERFORMANCE OBJECTIVES FOR THE COMING YEAR ARE ESTABLISHED. THE RESULTS OF THE PROCESS ARE SHARED WITH THE ENTIRE BOARD OF TRUSTEES AT THE FALL BOARD MEETING. UPON COMPLETION OF THE EVALUATION PROCESS, THE COMPENSATION COMMITTEE (PRESIDENT, IMMEDIATE PAST PRESIDENT AND TREASURER) MEET WITH THE EXECUTIVE DIRECTOR TO DETERMINE A COMPENSATION PACKAGE THAT IS REFLECTIVE OF ADHA'S FINANCIAL POSITION, MARKET CONDITIONS AND SALARY SURVEYS FROM ASSOCIATION FORUM OF CHICAGOLAND AND AMERICAN SOCIETY OF ASSOCIATION EXECUTIVES. AN ADDENDUM TO THE EXECUTIVE DIRECTOR'S CONTRACT IS SIGNED BY THE PRESIDENT AND EXECUTIVE DIRECTOR.FORM 990, PART VI, SECTION B, LINE 15
PUBLIC DISCLOSURE DOCUMENTS ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 81,203.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1AMERICAN DENTAL HYGIENISTS' ASSOCIATION INSTITUTE FOR ORAL HEALTHBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1444 N MICHIGAN SUITE 3400AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60611ZIPCode
FieldValueIRS element (for citing)
EIN363468143EIN
Primary ActivitiesTO PERFORM CHARITABLE, EDUCATIONAL, RESEARCH, AND SCIENTIFIC ACTIVITIES.PrimaryActivities
Legal Domicile StateILLegalDomicileState
Exempt Code Section501(C)3ExemptCodeSection
Public Charity Status501(A)(3) (SUPPORT)PublicCharityStatus
Controlled Org0ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org1LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1AMERICAN DENTAL HYGIENIST ASSOCIATION INSTITUTE FOR ORAL HEALTHBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypeDTransactionType
Amount Involved124677AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination

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