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← MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER INCORPORATED

Form 990 for tax year 2022

Filed by MISSISSIPPI HEADWATERS AREA DENTAL HEALTH CENTER INCORPORATED.

Totals

Total revenue
$5,383,642
Total expenses
$5,320,234
Contributions and grants received
$309,125
Grants paid
$0
Program service revenue
$5,068,375
Investment income
$6,142
Other revenue
$0
Total assets, end of year
$3,662,843
Total liabilities, end of year
$977,095
Net assets or fund balances, end of year
$2,685,748
Program services expenses (Part IX)
$4,998,251
Management and general expenses
$284,282
Fundraising expenses
$37,701
Program service expenses (Part III)
$4,998,251

Program services were 93.9% 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.

  • 1e · Government grants (contributions)

    $178,060

  • 1f · All other contributions, gifts and grants

    $131,065

  • 2a · Program service revenue: PATIENT SERVICE FEES

    total $4,880,744 · related or exempt $4,880,744

  • 2b · Program service revenue: REIMBURSEMENTS

    total $178,862 · related or exempt $178,862

  • 2c · Program service revenue: MISCELLANEOUS INCOME

    total $8,769 · related or exempt $8,769

  • 3 · Investment income

    total $6,142 · excluded $6,142

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $145,457 · management and general $116,366 · fundraising $29,091

  • 7 · Other salaries and wages

    total $2,022,990 · program services $1,985,393 · management and general $37,597

  • 8 · Pension plan contributions

    total $51,961 · program services $44,401 · management and general $6,692 · fundraising $868

  • 9 · Other employee benefits

    total $490,249 · program services $442,732 · management and general $42,001 · fundraising $5,516

  • 10 · Payroll taxes

    total $168,416 · program services $136,844 · management and general $29,346 · fundraising $2,226

  • 11c · Fees: accounting

    total $26,625 · program services $19,625 · management and general $7,000

  • 11g · Fees: other

    total $1,045,419 · program services $1,045,419

  • 13 · Office expenses

    total $51,353 · program services $43,983 · management and general $7,370

  • 14 · Information technology

    total $23,172 · program services $21,413 · management and general $1,759

  • 16 · Occupancy

    total $36,607 · program services $33,778 · management and general $2,829

  • 17 · Travel

    total $94,013 · program services $84,853 · management and general $9,160

  • 20 · Interest

    total $38,052 · program services $38,052

  • 22 · Depreciation, depletion and amortization

    total $201,973 · program services $182,773 · management and general $19,200

  • 23 · Insurance

    total $46,277 · program services $44,324 · management and general $1,953

  • 24a · Other expenses: PROGRAM SUPPLIES

    total $691,251 · program services $691,251

  • 24b · Other expenses: REPAIRS AND MAINTENANCE

    total $61,487 · program services $61,487

  • 24c · Other expenses: PROVIDER TAX

    total $60,925 · program services $60,925

  • 24d · Other expenses: TRAINING AND EDUCATION

    total $35,479 · program services $35,371 · management and general $108

  • 24e · All other expenses

    total $28,528 · program services $25,627 · management and general $2,901

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $885,816 · end of year $409,531

  • 2 · Savings and temporary cash investments

    beginning of year $266,184 · end of year $434,621

  • 3 · Pledges and grants receivable

    beginning of year $45,028 · end of year $107,332

  • 4 · Accounts receivable

    beginning of year $266,802 · end of year $340,508

  • 9 · Prepaid expenses and deferred charges

    beginning of year $42,854 · end of year $52,319

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

    $3,479,176

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

    $1,456,502

  • 10c · Land, buildings and equipment, net

    beginning of year $2,187,755 · end of year $2,022,674

  • 11 · Investments: publicly traded securities

    end of year $101,669

  • 15 · Other assets

    beginning of year $70,001 · end of year $194,189

  • 17 · Accounts payable and accrued expenses

    beginning of year $84,702 · end of year $104,683

  • 19 · Deferred revenue

    beginning of year $69,802 · end of year $80,214

  • 24 · Unsecured notes and loans payable

    beginning of year $842,544 · end of year $625,855

  • 25 · Other liabilities

    beginning of year $146,719 · end of year $166,343

  • 27 · Net assets without donor restrictions

    beginning of year $2,620,673 · end of year $2,685,748

Mission and programs · 2022

Mission

TO PROVIDE ACCESS TO A DENTAL HOME THROUGH ORAL HEALTH EDUCATION, EMERGENCY AND COMPREHENSIVE DENTAL CARE FOR THOSE IN NEED

  • PROVIDES DENTAL CARE AND PATIENT SUPPORT SERVICES FOR UNDERPRIVILEGED AND UNDERINSURED PEOPLE

    Expenses $4,998,251 · Revenue $5,068,375

As filed on the 2022 return.

Listed in Part VII

  • Marcia Syverson

    PRESIDENT

    Total calculated
    $0
    Hours/week
    1

  • Becky Secore

    PRESIDENT EL

    Total calculated
    $0
    Hours/week
    1

  • Nate Dorr

    TREASURER

    Total calculated
    $0
    Hours/week
    1

  • Joan Tronson

    SECRETARY

    Total calculated
    $0
    Hours/week
    1

  • Rita Albrecht

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Mary Eaton

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • James Eliasen

    DIRECTOR

    Total calculated
    $200,885
    From this org
    $200,885
    From related orgs
    $0
    Other
    $0
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $200,885
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    not reported
    Filer's total
    $200,885

  • Muriel Gilman

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Marshall Muirhead

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Kevin Williamson

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1

  • Jeanne Edevold Larson

    EXECUTIVE DI

    Total calculated
    $177,379
    From this org
    $145,457
    From related orgs
    $0
    Other
    $31,922
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $145,457
    Bonus
    not reported
    Other
    not reported
    Deferred
    $4,341
    Nontaxable benefits
    $27,581
    Filer's total
    $177,379

  • Dr Andrew Weaver

    DENTIST

    Total calculated
    $208,061
    From this org
    $193,035
    From related orgs
    $0
    Other
    $15,026
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $193,035
    Bonus
    not reported
    Other
    not reported
    Deferred
    not reported
    Nontaxable benefits
    $15,026
    Filer's total
    $208,061

  • Erica Lundberg

    FINANCE DIRE

    Total calculated
    $130,297
    From this org
    $112,611
    From related orgs
    $0
    Other
    $17,686
    Hours/week
    40

  • Katherine Michalek

    ADV DENTAL T

    Total calculated
    $127,806
    From this org
    $105,003
    From related orgs
    $0
    Other
    $22,803
    Hours/week
    40

  • Emily Frosaker

    DDS

    Total calculated
    $129,116
    From this org
    $116,968
    From related orgs
    $0
    Other
    $12,148
    Hours/week
    40

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

  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee

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
5 October 2023
IRS schema version
2022v5.0
Source object
202343209349302079

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