Skip to content
Nonprofiteer
← DENTAL CLINIC OF NORTHERN SHENANDOAH VALLEY INC

Form 990 for tax year 2022

Filed by DENTAL CLINIC OF NORTHERN SHENANDOAH VALLEY INC.

Totals

Total revenue
$57,712
Total expenses
$49,443
Contributions and grants received
$23,194
Grants paid
$0
Program service revenue
$34,502
Investment income
$16
Other revenue
$0
Total assets, end of year
$46,667
Total liabilities, end of year
$10,404
Net assets or fund balances, end of year
$36,263
Program services expenses (Part IX)
$45,978
Management and general expenses
$3,465
Fundraising expenses
$0
Program service expenses (Part III)
$45,978

Program services were 93.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1f · All other contributions, gifts and grants

    $23,194

  • 2a · Program service revenue: PROGRAM INCOME - MEDIC

    total $26,872 · related or exempt $26,872

  • 2b · Program service revenue: PROGRAM INCOME - ADULT

    total $7,630 · related or exempt $7,630

  • 3 · Investment income

    total $16 · excluded $16

Functional expenses

Part IX, the statement of functional expenses.

  • 7 · Other salaries and wages

    total $18,449 · program services $18,449

  • 10 · Payroll taxes

    total $1,438 · program services $1,438

  • 11c · Fees: accounting

    total $1,550 · management and general $1,550

  • 16 · Occupancy

    total $13,584 · program services $13,584

  • 22 · Depreciation, depletion and amortization

    total $3,211 · program services $2,408 · management and general $803

  • 23 · Insurance

    total $1,632 · program services $1,224 · management and general $408

  • 24a · Other expenses: EQUIPMENT MAINTENANCE

    total $3,126 · program services $3,126

  • 24b · Other expenses: CONTRACT LABOR

    total $1,932 · program services $1,932

  • 24c · Other expenses: DENTAL SUPPLIES

    total $1,332 · program services $1,332

  • 24d · Other expenses: OTHER COSTS

    total $1,312 · program services $1,077 · management and general $235

  • 24e · All other expenses

    total $1,877 · program services $1,408 · management and general $469

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $31,331 · end of year $30,735

  • 4 · Accounts receivable

    beginning of year $1,545 · end of year $6,175

  • 10a · Land, buildings and equipment: cost or other basis

    $74,484

  • 10b · Land, buildings and equipment: accumulated depreciation

    $64,727

  • 10c · Land, buildings and equipment, net

    beginning of year $12,968 · end of year $9,757

  • 17 · Accounts payable and accrued expenses

    beginning of year $7,250 · end of year $1,404

  • 24 · Unsecured notes and loans payable

    beginning of year $10,600 · end of year $9,000

  • 27 · Net assets without donor restrictions

    beginning of year $27,994 · end of year $36,263

Mission and programs · 2022

Mission

PROVIDE BASIC DENTAL SERVICES FOR CHILDREN ENROLLED IN MEDICAID, FAMIS, AND FAMIS PLUS, AS WELL AS UNINSURED ADUTLS IN NEED OF DENTAL SERVICE IN THE COMMUNITY.

Activities or mission (Part I)

PROVIDE BASIC DENTAL SERVICES FOR CHILDREN ENROLLED IN MEDICAID, FAMIS, AND FAMIS PLUS, AS WELL AS UNINSURED ADULTS IN NEED OF DENTAL SERVICE IN THE COMMUNITY.

  • RENDERING DENTAL CARE TO CHILDREN ENROLLED IN MEDICAID, FAMIS, AND FAMIS PLUS, AND UNINSURED ADULTS IN WINCHESTER AS WELL AS FREDERICK, CLARKE, AND WARREN COUNTY.

    Expenses $45,978 · Revenue $34,502

As filed on the 2022 return.

Listed in Part VII

  • Dr Thomas Gromling

    TREASURER

    Total calculated
    $0
    Hours/week
    6

  • Richard Taliaferro

    PRESIDENT

    Total calculated
    $0
    Hours/week
    0

  • Julie Carper Hay

    SECRETARY

    Total calculated
    $0
    Hours/week
    0

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
6 November 2023
IRS schema version
2022v5.0
Source object
202323139349303622

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.