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Nonprofiteer
← TRI-COUNTY COMMUNITY DENTAL CLINIC INC

Form 990 for tax year 2024

Filed by TRI-COUNTY COMMUNITY DENTAL CLINIC INC.

Totals

Total revenue
$3,316,076
Total expenses
$2,180,636
Contributions and grants received
$2,235,577
Grants paid
$0
Program service revenue
$927,028
Investment income
$153,471
Other revenue
$0
Total assets, end of year
$6,793,337
Total liabilities, end of year
$104,496
Net assets or fund balances, end of year
$6,688,841
Program services expenses (Part IX)
$1,748,443
Management and general expenses
$316,587
Fundraising expenses
$115,606
Program service expenses (Part III)
$1,748,443

Program services were 80.2% 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

    $2,235,577

  • 1g · Noncash contributions included above

    $37,960

  • 2a · Program service revenue: MEDICAID REIMBURSEMENTS

    total $890,336 · related or exempt $890,336

  • 2b · Program service revenue: CLIENT CO-PAY

    total $36,692 · related or exempt $36,692

  • 3 · Investment income

    total $33,326 · excluded $33,326

  • 7a · Gross sales of assets other than inventory

    other assets $502,002

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

    other assets $381,857

  • 7c · Gain or loss

    other assets $120,145

  • 7d · Net gain or loss

    total $120,145 · related or exempt $120,145

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $151,678 · management and general $98,591 · fundraising $53,087

  • 7 · Other salaries and wages

    total $1,164,764 · program services $996,776 · management and general $143,039 · fundraising $24,949

  • 8 · Pension plan contributions

    total $51,226 · program services $34,720 · management and general $12,372 · fundraising $4,134

  • 9 · Other employee benefits

    total $118,394 · program services $85,872 · management and general $22,500 · fundraising $10,022

  • 10 · Payroll taxes

    total $105,658 · program services $80,834 · management and general $18,962 · fundraising $5,862

  • 11c · Fees: accounting

    total $18,835 · program services $15,250 · management and general $3,534 · fundraising $51

  • 11g · Fees: other

    total $169 · program services $169

  • 13 · Office expenses

    total $33,965 · program services $22,035 · management and general $3,397 · fundraising $8,533

  • 14 · Information technology

    total $51,005 · program services $40,804 · management and general $7,651 · fundraising $2,550

  • 16 · Occupancy

    total $67,727 · program services $60,954 · management and general $3,386 · fundraising $3,387

  • 17 · Travel

    total $4,121 · program services $4,121

  • 19 · Conferences, conventions and meetings

    total $8,958 · program services $7,614 · management and general $1,344

  • 23 · Insurance

    total $16,926 · program services $15,233 · management and general $846 · fundraising $847

  • 24a · Other expenses: CLINICAL SUPPLIES

    total $218,928 · program services $218,928

  • 24b · Other expenses: VEHICLE EXPENSES

    total $50,800 · program services $50,800

  • 24c · Other expenses: CONTRACT LABOR

    total $41,254 · program services $41,254

  • 24d · Other expenses: MARQUETTEU HOUSING COSTS

    total $31,870 · program services $31,870

  • 24e · All other expenses

    total $44,358 · program services $41,209 · management and general $965 · fundraising $2,184

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $334,186 · end of year $527,933

  • 2 · Savings and temporary cash investments

    beginning of year $626,862 · end of year $1,297,153

  • 3 · Pledges and grants receivable

    beginning of year $13,333 · end of year $51,004

  • 4 · Accounts receivable

    beginning of year $20,111 · end of year $529,011

  • 9 · Prepaid expenses and deferred charges

    beginning of year $27,888 · end of year $26,778

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

    $1,865,630

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

    $1,013,498

  • 10c · Land, buildings and equipment, net

    beginning of year $1,195,780 · end of year $852,132

  • 12 · Investments: other securities

    beginning of year $3,246,674 · end of year $3,479,761

  • 15 · Other assets

    beginning of year $13,084 · end of year $29,565

  • 17 · Accounts payable and accrued expenses

    beginning of year $115,947 · end of year $74,906

  • 25 · Other liabilities

    beginning of year $13,425 · end of year $29,590

  • 27 · Net assets without donor restrictions

    beginning of year $4,003,431 · end of year $4,964,207

  • 28 · Net assets with donor restrictions

    beginning of year $1,345,115 · end of year $1,724,634

Mission and programs · 2024

Mission

TO PROVIDE QUALITY ORAL HEALTH CARE SERVICES IN A CARING,COMPASSIONATE MANNER TO THOSE INDIVIDUALS IN CALUMET, OUTAGAMIE AND WINNEBAGO COUNTIES WHOSE ACCESS TO DENTAL HEALTH CARE IS LIMITED DUE TO INADEQUATE INCOME.

  • TO PROVIDE EMERGENCY, PAIN, INFECTION, AND TRAUMA SERVICES FOR MEDICAID AND BADGER CARE PATIENTS AND ALSO FOR THE LOW-INCOME NON-INSURED IN THE COMMUNITY.

    Expenses $1,748,443 · Revenue $927,028

As filed on the 2024 return.

Listed in Part VII

  • Rydlewicz John Dr

    PRESIDENT

    Total calculated
    $0

  • Brown Tipton Dr

    VICE PRESIDE

    Total calculated
    $0

  • Wormley Jody Rdh

    SECRETARY

    Total calculated
    $0

  • Ruppert Kaydee CPA

    TREASURER

    Total calculated
    $0

  • Head Kevin CPA

    DIRECTOR

    Total calculated
    $0

  • Hoff Don DDS

    DIRECTOR, CL

    Total calculated
    $0

  • Krueger Amanda

    DIRECTOR

    Total calculated
    $0

  • Meronk Laura

    DIRECTOR

    Total calculated
    $0

  • Mitchell Heidi Shrm-Scp

    DIRECTOR

    Total calculated
    $0

  • Trent Bret DDS

    DIRECTOR

    Total calculated
    $0

  • Tuchscherer Becky

    DIRECTOR

    Total calculated
    $0

  • Wockenfus Mike DDS

    DIRECTOR

    Total calculated
    $0

  • Drexler Sandy

    EXECUTIVE DI

    Total calculated
    $151,678
    From this org
    $151,678
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $151,678
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    $151,678

  • Miller Melanie

    DIRECTOR

    Total calculated
    $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. 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
2024
Filed
17 November 2025
IRS schema version
2024v5.0
Source object
202503219349318600

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