2023-08-01T14:24:20-05:00 2022-12-31 390974031 WEGNER CPAS LLP 2921 LANDMARK PL STE 300 MADISON WI 537134236 990 2022-01-01 300436162 WAUKESHA COUNTY COMMUNITY DENTAL CLINIC INC WAUK 2625227645 210 NW BARSTOW STREET 305 WAUKESHA WI 53188 KARIN KULTGEN CHAIRPERSON 2625227645 2023-07-31 1 KARIN KULTGEN 999009999 1 JENNY TARKOWSKI CPA P00634290 6082744020 2023-07-26 0 AAL1 IAL1 2022 2023-04-26 12:10:37Z COMMUNITY SMILES DENTAL RENEE RAMIREZ 210 NW BARSTOW STREET 305 WAUKESHA WI 53188 2974353 0 X COMMUNITYSMILES.ORG X 2007 WI TO PROVIDE DENTAL CARE TO UNINSURED AND UNDER-INSURED LOW-INCOME FAMILIES AND CHILDREN. 13 13 51 37 0 0 614328 1352412 990249 1266613 66405 13079 248445 -38106 1919427 2593998 0 0 0 0 1597783 1786058 0 0 160019 539213 612261 2136996 2398319 -217569 195679 2968289 3356074 37520 450136 2930769 2905938 COMMUNITY SMILES DENTAL IMPROVES THE LIVES OF THE UNDERSERVED THROUGH ORAL HEALTHCARE SERVICES, PREVENTIVE EDUCATION, AND ADVOCATING FOR SYSTEMIC HEALTHCARE CHANGE BECAUSE EVERYONE DESERVES A HEALTHY SMILE. 0 0 2059018 0 1266613 COMMUNITY SMILES DENTAL SERVED 4,470 UNIQUE PATIENTS IN 2022 (3,946 YOUTH AND 524 ADULTS). OF THOSE SERVED 25% OF THE PATIENTS WERE NEW TO COMMUNITY SMILES DENTAL. THE ORGANIZATION PROVIDED A TOTAL VALUE OF CARE OF $3.7 MILLION IN 2022. PROGRAMMING CONTINUES TO FOCUS ON CHILDREN, (88%), PREGNANT MOTHERS, INDIVIDUALS WITH SPECIAL HEALTH NEEDS, AND ADULTS WITH A DENTAL EMERGENCY. TREATING THOSE WHO WOULD LIKELY HAVE NOWHERE ELSE TO TURN TO FOR DENTAL TREATMENT. 2059018 1 1 0 0 0 0 0 0 0 0 1 0 0 1 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 51 1 0 0 0 0 0 1 1 0 0 0 0 0 0 X 13 13 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 0 0 WI X KRISTIN BOFELLI 2629534691 210 NW BARSTOW STREET STE 305 WAUKESHA WI 53188 DEBORAH WALLENDAL CHAIRPERSON 1.00 X X 0 0 0 PAM BRILOWSKI VICE CHAIRPERSON 1.00 X X 0 0 0 SAUL AGUILAR TREASURER 1.00 X X 0 0 0 KATHRYN CONNOR SECRETARY 1.00 X X 0 0 0 LAURA ARNOW BOARD MEMBER 1.00 X 0 0 0 MARK FALCI BOARD MEMBER 1.00 X 0 0 0 MOLLY JASMER BOARD MEMBER 1.00 X 0 0 0 MEGHAN KINATEDER BOARD MEMBER 1.00 X 0 0 0 TERI LUX BOARD MEMBER 1.00 X 0 0 0 JOHN MACY BOARD MEMBER 1.00 X 0 0 0 MIRANDA PETER BOARD MEMBER 1.00 X 0 0 0 KEVIN POLLARD BOARD MEMBER 1.00 X 0 0 0 ANDREW STROMWAL BOARD MEMBER 1.00 X 0 0 0 RENEE RAMIREZ CEO 40.00 X 128231 0 0 128231 0 0 1 0 0 0 0 88307 207298 203281 853526 9383 1352412 DENTAL SERVICE FEES 624100 1266613 1266613 1266613 32550 32550 295187 314658 -19471 -19471 -19471 25111 207298 65697 -40586 -40586 2480 0 2480 2480 2593998 1266613 0 -25027 128231 115390 6431 6410 1471309 1323971 73784 73554 51605 46437 2588 2580 134913 121402 6766 6745 14750 14750 8563 8563 125284 64148 41294 19842 6659 1701 3330 1628 79496 63202 6913 9381 6812 4050 420 2342 76993 74915 1039 1039 4627 2202 1419 1006 34790 7903 3100 23787 66003 59403 3300 3300 16686 12727 3828 131 DENTAL CARE SUPPLIES 155945 155945 DUES AND SUBSCRIPTIONS 14142 5622 1757 6763 1511 1511 2398319 2059018 179282 160019 217446 275393 503503 732686 237305 264698 62252 2470 21607 25655 1339206 901958 483542 437248 1123400 935801 10773 319234 671350 2968289 3356074 37520 35612 0 414524 37520 450136 X 2288071 2610992 642698 294946 2930769 2905938 2968289 3356074 X 195679 -172159 -48351 X 0 1 X 1 0 X 1210789 1173681 1112874 1604577 1352412 6454333 1210789 1173681 1112874 1604577 1352412 6454333 552458 5901875 1135 1424 61683 66405 32550 163197 56810 101483 376449 248445 783187 7400717 1294204 0.79750 0.87520 X SCHEDULE A, PART II, LINE 10, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2018 AMOUNT: $ 56,810. 2019 AMOUNT: $ 101,483. 2020 AMOUNT: $ 376,449. 2021 AMOUNT: $ 248,445. 2022 AMOUNT: $ 0. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 589603 517059 72544 749603 384899 364704 437248 BENEFICIAL INTERESTS IN ASSETS HELD BY COMMUNITY FOUNDATIONS 259923 SECURITY DEPOSIT 2741 OPERATING LEASE RIGHT-OF-USE ASSETS 408686 671350 OPERATING LEASE LIABILITIES 414524 414524 2587554 -172159 182043 -56914 -47030 2634584 -40586 -40586 2593998 2612385 182043 40586 222629 2389756 8563 8563 2398319 PART XI, LINE 2D - OTHER ADJUSTMENTS: CHANGE IN VALUE OF BEN. INTERESTS IN ASSETS HELD BY COMMUNITY FOUNDATIONS -48,351. INVESTMENT MANAGEMENT FEES REPORTED ON FORM 990, PART IX, LINE 11F -8,563. PART XI, LINE 4B - OTHER ADJUSTMENTS: DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B -40,586. PART XII, LINE 2D - OTHER ADJUSTMENTS: DIRECT EXPENSES REPORTED ON FORM 990, PART VIII, LINE 8B 40,586. LAUGH FOR A SMILE 192839 176763 16076 16076 31580 CHEERS FOR SMILES 39570 30535 9035 9035 9006 232409 207298 25111 16076 9035 40586 65697 -40586 FORM 990, PART VI, SECTION B, LINE 11B THE EXECUTIVE DIRECTOR AND BOARD REVIEW AND APPROVE THE 990 BEFORE FILING. FORM 990, PART VI, SECTION B, LINE 12C ALL BOARD MEMBERS REVIEW THE CONFLICT OF INTEREST POLICY AND SIGN THAT IT IS NOT APPLICABLE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD APPROVES THE EXECUTIVE DIRECTOR'S COMPENSATION AND PERCENTAGE INCREASES FOR EMPLOYEES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: CHANGE IN VALUE OF BENEFICIAL INTERESTS IN ASSETS HELD BY COMMUNITY FOUNDATIONS -48,351.