Skip to content
Nonprofiteer
← TOLOSA CHILDRENS DENTAL CENTER

Form 990 for tax year 2022

Filed by TOLOSA CHILDRENS DENTAL CENTER.

Totals

Total revenue
$1,943,684
Total expenses
$1,790,033
Contributions and grants received
$294,302
Grants paid
$0
Program service revenue
$1,651,850
Investment income
$10,746
Other revenue
-$13,214
Total assets, end of year
$3,130,065
Total liabilities, end of year
$322,443
Net assets or fund balances, end of year
$2,807,622
Program services expenses (Part IX)
$1,510,801
Management and general expenses
$170,693
Fundraising expenses
$108,539
Program service expenses (Part III)
$1,510,801

Program services were 84.4% 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.

  • 1c · Fundraising events

    $93,969

  • 1e · Government grants (contributions)

    $58,946

  • 1f · All other contributions, gifts and grants

    $141,387

  • 1g · Noncash contributions included above

    $209

  • 2a · Program service revenue: PRODUCTION PROGRAM REV

    total $1,338,179 · related or exempt $1,338,179

  • 2b · Program service revenue: DTI INCENTIVES

    total $313,671 · related or exempt $313,671

  • 3 · Investment income

    total $10,746 · excluded $10,746

  • 8a · Fundraising events: gross income

    $92,522

  • 8a · Fundraising events: contributions included on line 1c

    $93,969

  • 8b · Fundraising events: direct expenses

    $105,736

  • 8c · Net income from fundraising events

    total -$13,214 · excluded -$13,214

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $183,009 · management and general $105,731 · fundraising $77,278

  • 7 · Other salaries and wages

    total $1,021,708 · program services $1,021,708

  • 8 · Pension plan contributions

    total $18,206 · program services $15,657 · management and general $1,457 · fundraising $1,092

  • 9 · Other employee benefits

    total $54,909 · program services $51,336 · management and general $3,573

  • 10 · Payroll taxes

    total $87,466 · program services $75,221 · management and general $6,997 · fundraising $5,248

  • 11a · Fees: management

    total $8,057 · program services $811 · management and general $7,246

  • 11b · Fees: legal

    total $978 · management and general $978

  • 11c · Fees: accounting

    total $15,715 · management and general $15,715

  • 12 · Advertising and promotion

    total $12,712 · fundraising $12,712

  • 13 · Office expenses

    total $6,296 · program services $5,762 · management and general $305 · fundraising $229

  • 14 · Information technology

    total $31,232 · program services $23,495 · management and general $7,737

  • 16 · Occupancy

    total $38,556 · program services $38,556

  • 22 · Depreciation, depletion and amortization

    total $74,953 · program services $68,957 · management and general $5,996

  • 23 · Insurance

    total $22,427 · program services $19,287 · management and general $1,794 · fundraising $1,346

  • 24a · Other expenses: DENTAL SUPPLIES

    total $99,774 · program services $99,774

  • 24b · Other expenses: OUTSIDE SERVICE

    total $30,552 · program services $28,457 · management and general $1,448 · fundraising $647

  • 24c · Other expenses: REPAIRS

    total $17,493 · program services $17,493

  • 24d · Other expenses: DUES

    total $4,112 · program services $3,094 · management and general $1,018

  • 24e · All other expenses

    total $61,878 · program services $41,193 · management and general $10,698 · fundraising $9,987

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,975,649 · end of year $2,162,841

  • 2 · Savings and temporary cash investments

    beginning of year $156,556 · end of year $162,397

  • 4 · Accounts receivable

    beginning of year $114,230 · end of year $191,292

  • 9 · Prepaid expenses and deferred charges

    beginning of year $14,913 · end of year $18,442

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

    $1,017,141

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

    $612,108

  • 10c · Land, buildings and equipment, net

    beginning of year $464,203 · end of year $405,033

  • 15 · Other assets

    beginning of year $0 · end of year $190,060

  • 17 · Accounts payable and accrued expenses

    beginning of year $71,580 · end of year $132,383

  • 25 · Other liabilities

    beginning of year $0 · end of year $190,060

  • 27 · Net assets without donor restrictions

    beginning of year $2,653,971 · end of year $2,807,622

Mission and programs · 2022

Mission

TO PROVIDE DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTY.

Activities or mission (Part I)

TO PROVIDE DENTAL SERVICES FOR UNDERPRIVILEGED CHILDREN IN SAN LUIS OBISPO COUNTY

  • TO PROVIDE DENTAL SERVICES TO UNDERPRIVILEDGED CHILDREN IN SAN LUIS OBISPO COUNTY. PRODUCTION PROGRAM REVENUE IS DERIVED MAINLY FROM DENTI-CAL REIMBURSEMENTS AND IS REPORTED NET OF CLAIMS ADJUSTMENTS.

    Expenses $1,510,801 · Revenue $1,651,850

As filed on the 2022 return.

Listed in Part VII

  • Jon Hollister DDS

    PRESIDENT

    Total calculated
    $0
    Hours/week
    2

  • James Tedford MD

    VICE PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Scott Milstead

    TREASURER/SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Chuck Braun

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Robyn Flores DMD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Laurie Torgerson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Heidi Williams

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Kristin Kearns

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Shauna Hayes DMD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Suzanne Russell

    EXECUTIVE DIRECTOR

    Total calculated
    $91,281
    From this org
    $82,220
    From related orgs
    $0
    Other
    $9,061
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $82,220
    Bonus
    $0
    Other
    $0
    Deferred
    $3,046
    Nontaxable benefits
    $6,015
    Filer's total
    $91,281

  • Alexandra Chamberlain

    DIRECTOR OF DEVELOPMENT

    Total calculated
    $69,156
    From this org
    $65,981
    From related orgs
    $0
    Other
    $3,175
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $65,981
    Bonus
    $0
    Other
    $0
    Deferred
    $3,175
    Nontaxable benefits
    $0
    Filer's total
    $69,156

  • Dieu Vo DDS

    EMPLOYEE-DENTIST

    Total calculated
    $206,957
    From this org
    $200,942
    From related orgs
    $0
    Other
    $6,015
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,942
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $6,015
    Filer's total
    $206,957

  • Thomas Nakatsuchi DDS

    EMPLOYEE-DENTIST - FORMER

    Total calculated
    $28,074
    From this org
    $28,074
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $28,074
    Bonus
    $0
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $28,074

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. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

None.

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Provenance

Return type
form_990
Tax year
2022
Filed
12 December 2023
IRS schema version
2022v5.0
Source object
202303479349301340

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.