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Nonprofiteer
← SUSQUEHANNA VALLEY DENTAL HEALTH CLINIC

Form 990 for tax year 2022

Filed by SUSQUEHANNA VALLEY DENTAL HEALTH CLINIC.

Totals

Total revenue
$1,381,468
Total expenses
$1,446,300
Contributions and grants received
$195,342
Grants paid
$0
Program service revenue
$1,185,986
Investment income
$17
Other revenue
$123
Total assets, end of year
$865,702
Total liabilities, end of year
$3,705
Net assets or fund balances, end of year
$861,997
Program services expenses (Part IX)
$1,283,106
Management and general expenses
$112,329
Fundraising expenses
$50,865
Program service expenses (Part III)
$1,283,106

Program services were 88.7% 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

    $195,342

  • 1g · Noncash contributions included above

    $7,884

  • 2a · Program service revenue: PATIENT FEES

    total $1,120,680 · related or exempt $1,120,680

  • 2b · Program service revenue: PATIENT FEES - MA REIM

    total $65,306 · related or exempt $65,306

  • 3 · Investment income

    total $17 · excluded $17

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $123 · excluded $123

  • 11e · Other revenue, total

    $123

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $262,167 · program services $210,354 · management and general $31,088 · fundraising $20,725

  • 6 · Compensation of disqualified persons

    total $42,577 · management and general $38,319 · fundraising $4,258

  • 7 · Other salaries and wages

    total $490,009 · program services $481,196 · management and general $8,813

  • 9 · Other employee benefits

    total $81,255 · program services $70,708 · management and general $7,996 · fundraising $2,551

  • 10 · Payroll taxes

    total $61,470 · program services $53,491 · management and general $6,049 · fundraising $1,930

  • 11b · Fees: legal

    total $3,500 · program services $3,046 · management and general $344 · fundraising $110

  • 11c · Fees: accounting

    total $35,611 · program services $30,989 · management and general $3,504 · fundraising $1,118

  • 11e · Fees: professional fundraising services

    total $15,000 · fundraising $15,000

  • 13 · Office expenses

    total $2,581 · program services $2,246 · management and general $254 · fundraising $81

  • 14 · Information technology

    total $21,529 · program services $18,735 · management and general $2,118 · fundraising $676

  • 16 · Occupancy

    total $70,425 · program services $61,283 · management and general $6,931 · fundraising $2,211

  • 22 · Depreciation, depletion and amortization

    total $47,528 · program services $41,359 · management and general $4,677 · fundraising $1,492

  • 23 · Insurance

    total $20,771 · program services $18,075 · management and general $2,044 · fundraising $652

  • 24a · Other expenses: INDEPENDENT CONTRACTORS

    total $113,458 · program services $113,458

  • 24b · Other expenses: DENTAL SUPPLIES

    total $103,127 · program services $103,127

  • 24c · Other expenses: LAB FEES

    total $54,470 · program services $54,470

  • 24d · Other expenses: CONTINUING EDUCATION

    total $12,627 · program services $12,627

  • 24e · All other expenses

    total $8,195 · program services $7,942 · management and general $192 · fundraising $61

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $239,208 · end of year $205,815

  • 2 · Savings and temporary cash investments

    beginning of year $209,630 · end of year $126,402

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

    $901,357

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

    $367,872

  • 10c · Land, buildings and equipment, net

    beginning of year $482,110 · end of year $533,485

  • 17 · Accounts payable and accrued expenses

    beginning of year $4,119 · end of year $3,705

  • 27 · Net assets without donor restrictions

    beginning of year $812,716 · end of year $796,422

  • 28 · Net assets with donor restrictions

    beginning of year $114,113 · end of year $65,575

Mission and programs · 2022

Mission

TO PROVIDE PREVENTATIVE AND CORRECTIVE DENTAL SERVICES TO THE UNDERSERVED IN THE COMMUNITIES OF SNYDER, UNION AND NORTHUMBERLAND COUNTIES. THE CLINIC OPERATES AS A NON-PROFIT TO MINIMIZE THE COST OF CARE TO PATIENTS BY MAINTAINING AN OPERATIONAL AND FISCALLY SOUND BUSINESS MODE.

Activities or mission (Part I)

CLINIC'S MISSION IS TO PROVIDE PREVENTATIVE AND CORRECTIVE DENTAL SERVICES TO THE UNDERSERVED IN THE COMMUNITIES OF SNYDER, UNION AND NORTHUMBERLAND COUNTIES. THE CLINIC OPERATES AS A NON-PROFIT CLINIC TO MINIMIZE THE COST OF CARE TO PATIENTS BY MAINTAINING AN OPERATIONAL AND FISCALLY SOUND BUSINESS MODE.

  • DENTAL CLINIC: TO PROVIDE DENTAL HEALTH SERVICES FOR AT-RISK CHILDREN AND ADULTS, THE WORKING POOR WITH NO PRIVATE INSURANCE, AND THOSE COVERED BY MEDICAID AND MANAGED CARE PROVIDERS IN SNYDER, UNION AND NORTHUMBERLAND COUNTIES.

    Expenses $1,283,106 · Revenue $1,185,986

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

Listed in Part VII

  • Philip Sosland

    CHAIRMAN/HONORARY DIRECTOR

    Total calculated
    $0
    Hours/week
    0.5

  • Brian Neitz

    CO-CHAIRMAN/DIRECTOR/TREASURER/

    Total calculated
    $0
    Hours/week
    0.75

  • Joann Lawer

    SECRETARY/DIRECTOR

    Total calculated
    $0
    Hours/week
    0.75

  • Karen Y Vines

    DIRECTOR/CLINIC MANAGER

    Total calculated
    $63,131
    From this org
    $54,705
    From related orgs
    $0
    Other
    $8,426
    Hours/week
    36.3

  • Karl A Meyer

    CHAIRMAN/DIRECTOR

    Total calculated
    $0
    Hours/week
    3

  • Norman Rich

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.75

  • Ian Proud

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1.5

  • Catalina A Payson

    SECRETARY/DIRECTOR

    Total calculated
    $0
    Hours/week
    0.75

  • Walter Bruce

    DIRECTOR

    Total calculated
    $0
    Hours/week
    0.75

  • Julio Lara

    CLINIC DENTIST

    Total calculated
    $188,825
    From this org
    $188,061
    From related orgs
    $0
    Other
    $764
    Hours/week
    35

    Schedule J breakdown matched by us

    Base
    $177,522
    Bonus
    $10,539
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $188,061

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 · Written employment contract
  • 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
14 May 2024
IRS schema version
2022v5.0
Source object
202431359349307948

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