2023-11-15T16:24:44-06:00 2022-12-31 454084437 WARREN AVERETT LLC 415 E 10TH STREET ANNISTON AL 36207 990 2022-01-01 465159049 COMMUNITY CARE OF KENTUCKY INC COMM 2562413489 3322 WEST END AVENUE 400 NASHVILLE TN 37203 GREGORY WINN ASSISTANT TREASURER 2562413489 2023-11-15 1 GREGORY WINN 999009999 1 RODNEY GIBSON P00535604 2562410560 2023-11-15 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z GREGORY WINN 3322 WEST END AVENUE 400 NASHVILLE TN 37203 355208 0 X N/A X 2014 KY TO BE THE NATIONAL MODEL FOR DELIVERING QUALITY AND COMPASSIONATEDENTAL CARE TO UNDERSERVED COMMUNITIES. 3 0 8 0 0 0 356245 262608 604129 88220 0 0 2543 4380 962917 355208 0 0 0 0 464922 136397 0 0 0 678449 658237 1143371 794634 -180454 -439426 613363 67597 385346 279006 228017 -211409 TO BE THE NATIONAL MODEL FOR DELIVERING QUALITY AND COMPASSIONATEDENTAL CARE TO UNDERSERVED COMMUNITIES. 0 0 471891 92600 THE ORGANIZATION IS A DENTAL CENTER THAT PROVIDES QUALITY DENTAL SERVICES TO THE COMMUNITY'S RESIDENTS WHO LACK ACCESS TO CARE. 471891 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 8 1 0 0 0 0 0 0 0 0 0 0 X 3 0 1 1 0 0 0 1 0 1 1 0 0 1 1 1 1 0 1 1 0 0 X COMMUNITY CARE OF KENTUCKY INC 2567417340 3322 WEST END AVE SUITE 100 NASHVILLE TN 37203 DENISE MARKS TREASURER 04/12/21- 12/31/ 0.50 39.50 X X 0 586199 58934 MYECHIA MINTER-JORDAN DIRECTOR 04/12/21- 12/31/2 0.50 39.50 X X 0 1178962 59255 GRANDY CODY DIRECTOR 01/01/21- 04/12/2 0.50 39.50 X 0 234068 15667 GREGORY WINN ASSISTANT TREASURER 04/12/ 0.50 39.50 X 0 459689 57556 PATRICIA MA CLERK 04/12/21- 12/31/21 0.50 39.50 X 0 479422 15535 TODD R CRUSE FORMER PRESIDENT/DIRECTOR 01/1/2 0.00 40.00 X 0 6141186 40938 KELLY M MASLEY FORMER SECRETARY 01/01/21- 04/12/ 0.50 39.50 X 0 232173 21124 JEFFREY C BROWN FORMER TREASURER 0.00 0.00 X 0 310285 0 0 9621984 269009 0 1 1 0 0 262608 262608 PATIENT FEES 621300 88220 88220 88220 OTHER INCOME 621990 4380 4380 4380 355208 92600 0 0 114372 114372 22025 22025 240625 238219 2406 14387 14387 3040 2858 182 6138 5770 368 8886 8886 4983 4684 299 10670 10670 386 363 23 IMPAIRMENT 283645 283645 OTHER EXPENSES 34175 25631 8544 PROFESSIONAL FEES 25458 8910 16548 EQUIPMENT & LEASES 12412 12412 13432 13374 58 794634 471891 322743 0 219655 67597 88405 3398 7590 0 294315 613363 67597 60812 324534 279006 385346 279006 X 0 0 0 0 228017 -211409 228017 -211409 613363 67597 -439426 0 X X 0 0 0 X 1590000 334374 4380 1928754 2036286 1475316 661529 604129 88220 4865480 2036286 1475316 2251529 938503 92600 6794234 0 0 0 6794234 2036286 1475316 2251529 938503 92600 6794234 1.00000 1.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 ACCRUED EXPENSES 9533 OTHER CURRENT LIABILITIES 269473 279006 X 355208 0 355208 0 355208 794634 0 794634 0 794634 PART X, LINE 2: THE ORGANIZATION APPLIES THE PROVISIONS OF THE ACCOUNTING STANDARDS CODIFICATION (ASC) RELATING TO UNCERTAINTY IN INCOME TAXES. THE GUIDANCE REQUIRES ENTITIES TO ASSESS THEIR UNCERTAIN TAX POSITIONS FOR THE LIKELIHOOD THAT THEY WOULD BE OVERTURNED UPON INTERNAL REVENUE SERVICE (IRS) EXAMINATION. IN ACCORDANCE WITH THIS GUIDANCE, THE ORGANIZATION HAS DETERMINED THAT IT DOES NOT HAVE ANY POSITIONS AT DECEMBER 31, 2021, THAT IT WOULD BE UNABLE TO SUBSTANTIATE. X 1 1 X 0 0 0 1 1 1 1 1 0 TODD R CRUSE FORMER PRESIDENT/DIRECTOR 01/1/2 0 175245 0 195234 0 5770707 0 40035 0 903 0 6182124 0 0 MYECHIA MINTER-JORDAN DIRECTOR 04/12/21- 12/31/2 0 587107 0 591855 0 0 0 54202 0 5053 0 1238217 0 0 DENISE MARKS TREASURER 04/12/21- 12/31/ 0 418640 0 167559 0 0 0 54202 0 4732 0 645133 0 0 GREGORY WINN ASSISTANT TREASURER 04/12/ 0 366307 0 93382 0 0 0 54202 0 3354 0 517245 0 0 PATRICIA MA CLERK 04/12/21- 12/31/21 0 350683 0 128739 0 0 0 12200 0 3335 0 494957 0 0 JEFFREY C BROWN FORMER TREASURER 0 0 0 0 0 310285 0 0 0 0 0 310285 0 0 KELLY M MASLEY FORMER SECRETARY 01/01/21- 04/12/ 0 82211 0 149962 0 0 0 20456 0 668 0 253297 0 0 GRANDY CODY DIRECTOR 01/01/21- 04/12/2 0 179354 0 54714 0 0 0 13069 0 2598 0 249735 0 0 PART I, LINE 1A THE CHIEF EXECUTIVE OFFICER/PRESIDENT MAY TRAVEL FIRST CLASS FOR ALL BUSINESS FLIGHTS. ALL OTHER OFFICERS OF A SR. VICE PRESIDENT LEVEL OR GREATER MAY TRAVEL FIRST CLASS ON DOMESTIC FLIGHTS OF FOUR HOURS OR GREATER OF CONTINUOUS DURATION. ALL BUSINESS RELATED TRAVEL IS NOT TAXED TO THE EMPLOYEE. PART I, LINE 5 DENTAQUEST, LLC SPONSORS A TARGET INCENTIVE PLAN THAT ALLOWS PARTICIPANTS ANNUALLY TO EARN A THRESHOLD, TARGET OR SUPERIOR INCENTIVE (AS A PERCENT OF THEIR BASE SALARY). THE ACTUAL INCENTIVE TO BE AWARDED IS BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR BY THE COMPENSATION COMMITTEE AS PART OF THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY AND PAY FOR PERFORMANCE PHILOSOPHY.AMONG THE PERFORMANCE GOALS ARE A REVENUE GOAL, A NET INCOME GOAL AND A MEMBERSHIP GOAL. EACH PARTICIPANT IN THE TARGET INCENTIVE PLAN HAS A MAXIMUM INCENTIVE THAT CAN BE EARNED REGARDLESS OF THE ATTAINMENT OF THE REVENUE, NET INCOME AND/OR MEMBERSHIP GOALS. THE MAXIMUM INCENTIVE OPPORTUNITY FOR EACH PARTICIPANT IS SET SO THAT THE PARTICIPANT'S TOTAL POSSIBLE COMPENSATION IS REASONABLE FOR PURPOSES OF INTERMEDIATE SANCTIONS, SECTION 4958 OF THE INTERNAL REVENUE CODE. COMPENSATION CONTINGENT ON NET EARNINGS PART I, LINE 6 NON-FIXED PAYMENTS: THE COMPANY PROVIDES ANNUAL INCENTIVE BONUSES TO MANAGEMENT EMPLOYEES THAT ARE CALCULATED BASED ON THE PERFORMANCE OF THE COMPANY AND THE INDIVIDUAL EMPLOYEE. THE PROCESS TO ESTABLISH THE PRESUMPTION THAT COMPENSATION PAID TO COMMUNITY CARE OF KENTUCKY, INC, "CCKY", THE PARENT ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT WAS REASONABLE AS DESCRIBED IN SECTION 4958. THE CCKY BOARD OF DIRECTORS APPROVES THE OVERALL ANNUAL INCENTIVE BONUS POOL AND REVIEWS AND APPROVES COMPENSATION RELEVANT TO EXECUTIVE OFFICERS REPORTING TO CCKY'S CEO. THE CCKY BOARD OF DIRECTORS ALSO REVIEWS AND APPROVES THE COMPENSATION OF THE COMPANY'S CEO. LONG-TERM INCENTIVE COMPENSATION: THE FOLLOWING DENTAQUEST,LLC EMPLOYEES PARTICIPATE IN THE DENTAQUEST,LLC LONG-TERM INCENTIVE COMPENSATION PLAN AND RECEIVED THE PAYMENTS LISTED BELOW DURING 2020 TODD R. CRUSE $362,122 FELIX C. LAYNE $148,122 JACQUELINE S. MELROE $107,000 LONG-TERM INCENTIVE COMPENSATION PLAN PAYMENTS ARE BASED ON THE VALUATION OF THE COMPANY, DENTAQUEST, LLC, AND ARE PAID OUT OVER A FIVE YEAR PERIOD. PAYMENTS ARE MADE ANNUALLY AND PARTICIPANTS RECIVE PAYOUTS FOR ALL VESTED BALANCES. FORM 990, PART VI, SECTION A, LINE 2 TODD CRUSE, FELIX LAYNE, JACQUELINE MELROE, EDWARD CORYELL AND KELLY MASLEY, HAVE A BUSINESS RELATIONSHIP SINCE THEY JOINTLY SERVE AS OFFICERS OR DIRECTORS OF THE ORGANIZATION AND ONE OR MORE OF ITS AFFLILIATES. FORM 990, PART VI, SECTION A, LINE 3 THE COMPANY HIRES DENTAQUEST, LLC (A RELATED PARTY) TO PROVIDE MANAGEMENT SERVICES. FORM 990, PART VI, SECTION A, LINE 7A DENTAQUEST CARE GROUP, INC. HAS THE AUTHORITY TO ELECT OR APPOINT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION B, LINE 11B MEMBERS OF THE EXTERNAL TAX FIRM (CURRENTLY WARREN AVERETT, LLC) INITIALLY DISCUSS, PREPARE AND REVIEW THE FORM 990 RETURN WITH MANAGEMENT. MANAGEMENT REVIEWS THE FORM 990 FOR ACCURACY AND COMPLETENESS AND PROVIDE COMMENTS TO THE PREPARER. ONCE THE RETURN IS FULLY ANALYZED AND PREPARED, A COPY OF THE FINAL FORM 990 IS SENT TO THE FULL BOARD AND OFFICERS BEFORE IT IS FILED. FORM 990, PART VI, SECTION B, LINE 12C BOARD MEMBERS ARE TO DISCLOSE IN WRITING TO THE ENTIRE BOARD IF THEY, ANY MEMBER OF THEIR IMMEDIATE FAMILIES, OR ANY ORGANIZATION WITH WHICH THEY ARE AFFILIATED PRESENTLY TRANSACT BUSINESS WITH COMMUNITY CARE OF KENTUCKY OR MIGHT REASONABLY BE EXPECTED TO DO SO IN THE FUTURE. AN AFFILIATION WITH AN ORGAINIZATION WILL BE CONSIDERED TO EXIST WHEN A BOARD MEMBER OR MEMBER OF HIS/HER IMMEDIATE FAMILY IS AN OFFICER, DIRECTOR, TRUSTEE, PARTNER, EMPLOYEE, OR AGENT OF THE ORGANIZATION OR HAS ANY OTHER SUBSTANTIAL INTEREST OR DEALINGS WITH THE ORGANIZATION. BOARD MEMBERS WITH SUCH RELATIONSHIPS WILL NOT BE ELIGIBLE TO VOTE ON MATTERS DIRECTLY PERTAINING TO THE BUSINESS TO BE TRANSACTED WITH THE IDENTIFIED PERSON OR ORGANIZATION OR ON ISSUES THAT MAY RESULT IN ANY BENEFIT OF THE IDENTIFIED PERSON OR ORGAINIZATION. MINUTES OF APPROPRIATE MEETINGS ARE TO REFLECT THAT SUCH A DISCLOSURE WAS MADE, THAT SUCH BOARD MEMBER ABSTAINED FROM VOTING, AND THAT SUCH BOARD MEMBER WAS NOT COUNTED FOR THE PURPOSE OF DETERMINING A QUORUM. THE FOREGOING REQUIREMENTS; HOWEVER, ARE NOT TO BE CONSTRUED TO PREVENT A PARTICULAR BOARD MEMBER FROM BRIEFLY STATING HIS/HER POSITION ON THE MATTER, NOR FROM ANSWERING PERTINENT QUESTIONS OF OTHER DIRECTORS BY REASON OF THE FACT THAT PERSONAL KNOWLEDGE ON THE MATTERS MAY BE OF ASSISTANCE TO THE BOARD MEMBERS IN REACHING THEIR DECISION. BOARD MEMBERS MAINTAINING NO SUCH RELATIONSHIPS WILL ATTEST TO THE FACT IN WRITING AND AGREE TO NOTIFY THE BOARD SHOULD THEIR STATUS CHANGE. FORM 990, PART VI, SECTION B, LINE 15A THE BOARD SETS COMPENSATION FOR THE CEO. THE CEO THEN SETS THE COMPENSATION FOR ALL EMPLOYEES. COMPENSTATION FOR THE CEO AND EMPLOYEES IS COMPARABLE TO SIMILAR POSITIONS IN THE REGION. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 AND FINANCIAL STATEMENTS ARE AVAILABLE FOR PUBLIC INSPECTION UPON REQUEST. 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 XII, LINE 2(C) PROCESS REMAINS UNCHANGED FROM PRIOR YEAR. CAREQUEST INSTITUTE FOR ORAL HEALTH INC 465 MEDFORD STREET BOSTON MA 02129 384016550 ORAL HEALTH IMPROVEMENT MA 501(C)(4) N/A 0 DENTAL HEALTH PROGRAMS INC 3322 WEST END AVENUE NASHVILLE TN 37203 751823660 ORAL HEALTHCARE SERVICES AND EDUCATION TX 501(C)(3) DENTAQUEST CARE GROUP INC 0 DENTAL SERVICE OF MASSACHUSETTS INC 465 MEDFORD STREET BOSTON MA 02129 046143185 ORAL HEALTH IMPROVEMENT MA 501(C)(4) CAREQUEST INSTITUTE FOR ORAL HEALTH INC 0 DENTAQUEST CARE GROUP INC 465 MEDFORD STREET BOSTON MA 02129 463674034 ORAL HEALTHCARE SERVICES AND EDUCATION MA 501(C)(3) CAREQUEST INSTITUTE FOR ORAL HEALTH INC 0 DENTAQUEST INSTITUTE INC 465 MEDFORD STREET BOSTON MA 02129 205312990 ORAL HEALTH IMPROVEMENT MA 501(C)(3) CAREQUEST INSTITUTE FOR ORAL HEALTH INC 0 CAREQUEST FOUNDATION INC 465 MEDFORD STREET BOSTON MA 02129 043265080 ORAL HEALTH IMPROVEMENT MA 501(C)(3) CAREQUEST INSTITUTE FOR ORAL HEALTH INC 0 SARRELL REGIONAL DENTAL CENTER FOR PUBLIC HEALTH INC 3322 WEST END AVENUE NASHVILLE TN 37203 200232609 ORAL HEALTHCARE SERVICES AND EDUCATION AL 501(C)(3) DENTAQUEST CARE GROUP INC 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0