2024-05-13T08:32:55-04:00 2023-06-30 560656546 BENSON BLEVINS & ASSOCIATES PLLC 302 9TH ST PO BOX 1026 NORTH WILKESBORO NC 286594106 990 2022-07-01 911943799 WILKES DENTAL CONSORTIUM INCORPORATED WILK 3369039399 1915 WEST PARK DRIVE SUITE 104 NORTH WILKESBORO NC 28659 ARDEN JOLLY EXECUTIVE DIRECTOR 3366675170 2024-05-09 true ARDEN JOLLY 999009999 false STEPHANIE W SHUMATE P00427801 3368383175 2024-05-09 2022 2023-04-26 12:10:37Z DR MARK MAUTNER 1915 WEST PARK DRIVE SUITE 104 WILKESBORO NC 28659 1666786 false X WWW.WILKESPUBLICDENTALCLINIC.COM X 1998 NC PROVIDE DENTAL SERVICES FOR THE UNDERPRIVILEGED 15 15 30 25 0 183250 15507 2296533 1572675 294 1122 69719 77482 2549796 1666786 0 0 1566838 1373848 0 0 810726 852920 2377564 2226768 172232 -559982 1413773 853792 500000 500000 913773 353792 PROVIDE DENTAL SERVICES FOR THE UNDERPRIVILEGED false false 2169805 1572675 PROVIDE DENTAL SERVICES FOR THE UNDERPRIVILEGED CITIZENS OF THE WILKES COUNTY COMMUNITY AND SURROUNDING AREAS. 2169805 true false false false false false false false false false true false false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false false false false false false true 11 0 true 30 true false false false false false false false false false false false false false false false false false X 15 15 false false false false false false false true true false false false false false false false false false X X CORPORATION 3369039399 1915 WEST PARK DRIVE NORTH WILKESBORO NC 28659 DR MONICA HENAO DENTIST 40.00 X 117859 0 575 ARDEN JOLLY EXECUTIVE DI 40.00 X 59548 0 6255 DR MARK MAUTNER PRESIDENT 2.00 X X 53610 0 0 DWAYNE ANDREWS DIRECTOR 1.00 X 0 0 0 DR KYLE COPLEY DIRECTOR 1.00 X 0 0 0 DANIELLE DOWELL DIRECTOR 1.00 X 0 0 0 BARBARA GREGORY VICE PRESIDE 2.00 X X 0 0 0 KAYLA HARLESS DIRECTOR 1.00 X 0 0 0 JENNIFER HASTINGS SECRETARY 2.00 X X 0 0 0 JACKIE MALLORY DIRECTOR 1.00 X 0 0 0 APRIL MARR DIRECTOR 1.00 X 0 0 0 DR ANAND RAMAN DIRECTOR 1.00 X 0 0 0 MICHELLE SHEPHERD DIRECTOR 1.00 X 0 0 0 TAMMY TRIVETTE DIRECTOR 1.00 X 0 0 0 KIMBERLY WALKER TREASURER 2.00 X X 0 0 0 RACHEL WILLARD DIRECTOR 1.00 X 0 0 0 DR BRUCE YOUNG DIRECTOR 1.00 X 0 0 0 231017 6830 1 false false false 15507 15507 MEDICAID PAY - PROGRAM 621300 878140 878140 INSURANCE PAY - PROGRAM 621300 237652 237652 PRIVATE PAY - PROGRAM 621300 230094 230094 MEDICAID COST SETTLEMENT 621300 200945 200945 HEALTH CHOICE PAY - PROGRAM 621300 25844 25844 1572675 1122 1122 43240 43240 SALES TAX REFUND 900099 23802 23802 MISCELLANEOUS INCOME 900099 10440 10440 34242 1666786 1606917 1122 113158 95294 17864 1145677 1145677 24691 22940 1751 90322 88105 2217 17379 17379 43980 43980 1760 1760 11050 11050 104559 104559 84383 84383 LABOR 249741 249741 SUPPLIES 156039 156039 LAB FEES 29214 29214 UTILITIES 28486 28486 126329 108577 17752 2226768 2169805 56963 0 711 711 1107061 651639 2660776 2459334 306001 201442 1413773 853792 500000 500000 500000 500000 X 913773 353792 913773 353792 1413773 853792 X -559982 1 X false true X true false X 74380 95400 56448 183250 15507 424985 1527171 1613320 2205435 2296533 1572674 9215133 1601551 1708720 2261883 2479783 1588181 9640118 9640118 778 736 1009 294 1122 3939 778 736 1009 294 1122 3939 10783 9050 18778 51104 34242 123957 1613112 1718506 2281670 2531181 1623545 9768014 0.98690 0.98890 0.00000 0.00000 X PART III, LINE 12 OTHER INCOME 123,957 665949 647435 18514 1994827 1811899 182928 201442 AUCTION/DINNER 43240 43240 43240 43240 43240 FORM 990, PAGE 6, PART VI, LINE 11B THE FORM 990 IS REVIEWED BY THE TREASURER AND THE FINANCE COMMITTEE CHAIR. THE BOARD OF DIRECTORS HAS AUTHORIZED THE TREASURER AND FINANCE COMMITTEE CHAIR TO BE ABLE TO APPROVE THE FORM 990 FOR FILING. THE FORM 990 IS AVAILABLE FOR REVIEW BY THE BOARD MEMBERS UPON REQUEST. FORM 990, PAGE 6, PART VI, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC AT THEIR OFFICE UPON REQUEST. FORM 990, PART XI, LINE 9 ROUNDING 1