2026-04-13T18:27:19-04:00 2025-12-31 473123679 SAM BROWN CPA INC PO BOX 1027 TROY OH 453738027 990 2025-01-01 204901192 MIAMI COUNTY DENTAL CLINIC MIAM 9373398656 70 TROY TOWN DR TROY OH 45373 BRENDA CLEMENS CHAIRMAN 9373398656 2026-04-07 true SAM B BROWN P00178037 9378759510 2026-04-07 2025 2025-03-06 01:10:19Z BRENDA CLEMENS 1362515 false X WWW.MIAMICOUNTYDENTAL.ORG X 2006 OH PROVIDE QUALITY DENTAL CARE AND ORAL HEALTH EDUCATION IN A SAFE, COMPASSIONATE, AND ACCESSIBLE ENVIRONMENT SERVING LOW-INCOME, UNINSURED, UNDER-INSURED, AND MEDICAID POPULATIONS OF MIAMI COUNTY. 11 11 17 11 0 642736 627422 796694 735093 0 0 1439430 1362515 0 0 703153 751987 0 0 745172 659482 1448325 1411469 -8895 -48954 556145 508585 6635 8029 549510 500556 X PROVIDE QUALITY DENTAL CARE AND ORAL HEALTH EDUCATION IN A SAFE, COMPASSIONATE, AND ACCESSIBLE ENVIRONMENT SERVING LOW-INCOME, UNINSURED, UNDER-INSURED, AND MEDICAID POPULATIONS OF MIAMI COUNTY. false false 1275208 MIAMI COUNTY DENTAL CLINIC - 2025 TOTALS PATIENT & OPERATIONS O TOTAL PATIENTS SEEN: 5,260 O NEW PATIENTS: 401 O DAYS WORKED: 188 O OSU 4TH-YEAR DENTAL STUDENTS HOSTED: 95 EXAMS & DIAGNOSTICS O X-RAYS: 2,617 O PERIODIC EXAMS: 1,464 O COMPREHENSIVE EXAMS: 320 O EMERGENCY EXAMS: 481 PREVENTIVE CARE O ADULT CLEANINGS: 1,389 O CHILD CLEANINGS: 337 O TOTAL CLEANINGS: 1,726 O FLUORIDE TREATMENTS: 518 O SEALANTS: 377 O DEEP CLEANINGS: 6 RESTORATIVE & SURGICAL O FILLINGS: 1,727 O EXTRACTIONS: 853 O ROOT CANALS: 316 O CROWNS: 107 PROSTHODONTICS / APPLIANCES O DENTURES: 71 O PARTIALS: 47 O FLIPPERS: 9 O ALVEOPLASTY: 54 1275208 true true false false false false false false false false true false false false true false true false false false false false false false false false false false false false false false false false false false false false true false false false false false false false false true 4 0 false 17 true false false false false false false false false X 11 11 false false false false false false false true true false false false true true true true true true true false OH X CHRIS MOELLER 9373398656 70 TROY TOWN DR TROY OH 45373 STEPHANIE WALLER EXECUTIVE DI 30.00 X 83000 0 0 LEASA BEGLEY DIRECTOR 1.00 X 0 0 0 BRYAN CENKY DIRECTOR 1.00 X 0 0 0 BRENDA CLEMENS CHAIRMAN 1.00 X X 0 0 0 MICHELLE COX VICE-CHARI 1.00 X X 0 0 0 TINA FULLER DIRECTOR 1.00 X 0 0 0 MINDY GEARHARDT TREASURER 1.00 X X 0 0 0 CHRIS MOELLER DIRECTOR 1.00 X 0 0 0 GAIL PETERSON DIRECTOR 1.00 X 0 0 0 JAMES SIMS DIRECTOR 1.00 X 0 0 0 JENNY WEBER SECRETARY 1.00 X X 0 0 0 CHRIS WESNER DIRECTOR 1.00 X 0 0 0 83000 false false false 627422 207075 627422 MEDICAID BILLED 441891 441891 SLIDING SCALE CASH PD 191072 191072 GOVERNMENT ASSISTED BILLED 58915 58915 COMMERCIAL INSUR INCOME 27811 27811 SLIDING SCALES CHARGED 15404 15404 735093 1362515 735093 83000 83000 605853 605118 735 63134 55460 7674 2620 2620 264388 249709 14679 5754 5754 51402 50214 1188 630 630 4954 4954 24662 19806 4856 8702 8702 BAD DEBTS 140579 140579 PROGRAM EXPENSES 133030 133030 EQUIPMENT REPAIR 13101 11960 1141 PROFESSIONAL SERVICES 9660 9660 1411469 1275208 136261 0 278747 233535 100187 100832 40700 41368 6794 6994 546422 420985 129298 125437 419 419 556145 508585 1866 2409 4769 5620 6635 8029 X 438725 348743 110785 151813 549510 500556 556145 508585 -48954 X false true X true X 661849 700908 657844 642736 627422 3290759 701994 713396 892072 796694 735093 3839249 1363843 1414304 1549916 1439430 1362515 7130008 7130008 1363843 1414304 1549916 1439430 1362515 7130008 1.00000 1.00000 0.00000 0.00000 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 110141 27076 83065 436281 393909 42372 125437 PAYROLL LIABILITIES 5620 5620 1362515 1362515 1362515 1411469 1411469 1411469 X 1 207075 false false false FORM 990 - ORGANIZATION'S MISSION PROVIDE QUALITY DENTAL CARE AND ORAL HEALTH EDUCATION IN A SAFE, COMPASSIONATE, AND ACCESSIBLE ENVIRONMENT SERVING LOW-INCOME, UNINSURED, UNDER-INSURED, AND MEDICAID POPULATIONS OF MIAMI COUNTY. FORM 990, PAGE 2, PART III, LINE 4A MIAMI COUNTY DENTAL CLINIC - 2025 TOTALS PATIENT & OPERATIONS O TOTAL PATIENTS SEEN: 5,260 O NEW PATIENTS: 401 O DAYS WORKED: 188 O OSU 4TH-YEAR DENTAL STUDENTS HOSTED: 95 EXAMS & DIAGNOSTICS O X-RAYS: 2,617 O PERIODIC EXAMS: 1,464 O COMPREHENSIVE EXAMS: 320 O EMERGENCY EXAMS: 481 PREVENTIVE CARE O ADULT CLEANINGS: 1,389 O CHILD CLEANINGS: 337 O TOTAL CLEANINGS: 1,726 O FLUORIDE TREATMENTS: 518 O SEALANTS: 377 O DEEP CLEANINGS: 6 RESTORATIVE & SURGICAL O FILLINGS: 1,727 O EXTRACTIONS: 853 O ROOT CANALS: 316 O CROWNS: 107 PROSTHODONTICS / APPLIANCES O DENTURES: 71 O PARTIALS: 47 O FLIPPERS: 9 O ALVEOPLASTY: 54 FORM 990, PAGE 6, PART VI, LINE 11B THE BOARD MEMBER'S ARE GIVEN A COPY FOR REVIEW. FORM 990, PAGE 6, PART VI, LINE 12C THE DISCLOSURE IS MADE ANNUALLY IN THE FIRST QUARTER OF THE YEAR. FORM 990, PAGE 6, PART VI, LINE 15A AS DIRECTED IN THE POLICIES AND PROCEDURES. FORM 990, PAGE 6, PART VI, LINE 15B AS DIRECTED IN THE POLICIES AND PROCEDURES. FORM 990, PAGE 6, PART VI, LINE 19 UPON REQUEST.