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Nonprofiteer
← MIAMI COUNTY DENTAL CLINIC

Form 990 for tax year 2022

Filed by MIAMI COUNTY DENTAL CLINIC.

Totals

Total revenue
$1,414,260
Total expenses
$1,380,232
Contributions and grants received
$700,908
Grants paid
$0
Program service revenue
$713,396
Investment income
-$44
Other revenue
$0
Total assets, end of year
$607,354
Total liabilities, end of year
$24,451
Net assets or fund balances, end of year
$582,903
Program services expenses (Part IX)
$1,290,830
Management and general expenses
$89,100
Fundraising expenses
$302
Program service expenses (Part III)
$1,290,830

Program services were 93.5% 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

    $700,908

  • 1g · Noncash contributions included above

    $252,135

  • 2a · Program service revenue: MEDICAID BILLED

    total $404,248 · related or exempt $404,248

  • 2b · Program service revenue: SLIDING SCALE CASH PD

    total $165,070 · related or exempt $165,070

  • 2c · Program service revenue: SLIDING SCALES CHARGED

    total $85,496 · related or exempt $85,496

  • 2d · Program service revenue: COMMERCIAL INSUR INCOME

    total $49,840 · related or exempt $49,840

  • 2e · Program service revenue: GOVERNMENT ASSISTED BILLED

    total $8,742 · related or exempt $8,742

  • 7a · Gross sales of assets other than inventory

    other assets $90

  • 7b · Less cost or other basis and sales expenses

    other assets $134

  • 7c · Gain or loss

    other assets -$44

  • 7d · Net gain or loss

    total -$44 · related or exempt -$44

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $52,269 · program services $7,500 · management and general $44,769

  • 7 · Other salaries and wages

    total $440,895 · program services $433,001 · management and general $7,894

  • 10 · Payroll taxes

    total $37,276 · program services $34,163 · management and general $3,113

  • 12 · Advertising and promotion

    total $2,781 · management and general $2,781

  • 13 · Office expenses

    total $299,373 · program services $286,801 · management and general $12,270 · fundraising $302

  • 14 · Information technology

    total $2,076 · management and general $2,076

  • 16 · Occupancy

    total $44,890 · program services $43,702 · management and general $1,188

  • 17 · Travel

    total $922 · program services $922

  • 19 · Conferences, conventions and meetings

    total $3,324 · management and general $3,324

  • 22 · Depreciation, depletion and amortization

    total $36,704 · program services $31,391 · management and general $5,313

  • 23 · Insurance

    total $6,737 · program services $6,737

  • 24a · Other expenses: BAD DEBTS

    total $320,306 · program services $320,306

  • 24b · Other expenses: PROGRAM EXPENSES

    total $116,530 · program services $116,530

  • 24c · Other expenses: EQUIPMENT REPAIR

    total $9,777 · program services $9,777

  • 24d · Other expenses: PROFESSIONAL SERVICES

    total $6,372 · management and general $6,372

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $336,873 · end of year $397,483

  • 4 · Accounts receivable

    beginning of year $85,986 · end of year $84,964

  • 8 · Inventories for sale or use

    beginning of year $44,849 · end of year $40,758

  • 9 · Prepaid expenses and deferred charges

    beginning of year $5,164 · end of year $5,164

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

    $526,810

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

    $448,244

  • 10c · Land, buildings and equipment, net

    beginning of year $102,553 · end of year $78,566

  • 15 · Other assets

    beginning of year $419 · end of year $419

  • 17 · Accounts payable and accrued expenses

    beginning of year $5,780 · end of year $1,903

  • 25 · Other liabilities

    beginning of year $21,189 · end of year $22,548

  • 27 · Net assets without donor restrictions

    beginning of year $546,555 · end of year $577,303

  • 28 · Net assets with donor restrictions

    beginning of year $2,320 · end of year $5,600

Mission and programs · 2022

Mission

PROVIDE QUALITY DENTAL CARE AND ORAL HEALTH EDUCATION IN A SAFE, COMPASSIONATE, AND ACCESSIBLE ENVIRONMENT SERVING LOW-INCOME, UNINSURED, UNDER-INSURED, AND MEDICAID POPULATIONS OF MIAMI COUNTY.

  • IN 2022, THE STAFF AT THE MIAMI COUNTY DENTAL CLINIC SAW 5,331 PATIENTS AND COMPLETED THE FOLLOWING DENTAL CARE: 1,882 RESTORATIVE TREATMENTS (FILLINGS), 1,400 HYGIENE TREATMENTS, 381 SEALANTS, 1,440 EXAMS, 63 DENTURES, 1,015 EXTRACTIONS, 39 ROOT CANALS, 95 CROWNS, 37 PARTIALS, 8 DEEP CLEANINGS, AND SAW 850 EMERGENCY VISITS.

    Expenses $1,290,830

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • STEPHANIE WALLER

    EXECUTIVE DI

    Total calculated
    $52,269
    From this org
    $52,269
    From related orgs
    $0
    Other
    $0
    Hours/week
    30
  • BRYAN CENKY

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • BRENDA CLEMENS

    CHAIRMAN

    Total calculated
    $0
    Hours/week
    1
  • MICHELLE COX

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • DUSTIN DAVIS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • TINA FULLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • MINDY GEARHARDT

    TREASURER

    Total calculated
    $0
    Hours/week
    1
  • MARETA HEADAPOHL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • MELLISA KELLER

    VICE-CHARI

    Total calculated
    $0
    Hours/week
    1
  • CHRIS MOELLER

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • DR JAMES SIMMS

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1
  • JENNY WEBER

    SECRETARY

    Total calculated
    $0
    Hours/week
    1
  • EVELYN WEST

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

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
3 February 2023
IRS schema version
2022v4.1
Source object
202330459349300003

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