2024-02-22T15:01:10-06:00 2023-06-30 410746749 CLIFTONLARSONALLEN LLP 1188 PADRE DRIVE STE 101 SALINAS CA 93901 990 2022-07-01 770311752 DIENTES COMMUNITY DENTAL CARE DIEN 8314645420 1830 COMMERCIAL WAY SANTA CRUZ CA 95065 LAURA MARCUS CEO 8314645420 2024-02-12 1 LAURA MARCUS XXX-XX-XXXX 1 AUTUMN ROSSI P01404602 8317596300 2024-02-12 3 AAL1 IAL1 2022 2023-04-26 12:10:37Z LAURA MARCUS 1830 COMMERCIAL WAY SANTA CRUZ CA 95065 13710357 0 X WWW.DIENTES.ORG X 1992 CA ORAL HEALTH FOR LOW-INCOME RESIDENTS OF SANTA CRUZ COUNTY AND NEIGHBORING COMMUNITIES. 12 12 118 12 0 0 6095821 3836275 8598436 9739810 15481 80063 2800 54209 14712538 13710357 0 0 0 0 8047942 9077418 0 0 327980 2585718 3496371 10633660 12573789 4078878 1136568 18404361 18746822 3216213 2422106 15188148 16324716 X TO CREATE LASTING ORAL HEALTH FOR THE LOW-INCOME CHILDREN, ADULTS, AND SENIORS OF SANTA CRUZ COUNTY AND NEIGHBORING COMMUNITIES SO THAT EVERYONE HAS THE DIGNITY THAT COMES FROM A HEALTHY SMILE. 0 0 10201658 0 9573724 DIENTES PROVIDES COMPREHENSIVE DENTAL CARE FOR 45,303 VISITS TO 12,319 PATIENTS, INCLUDING CHILDREN, ADULTS AND SENIORS. THEY SERVE MEDI-CAL RECIPIENTS AND OFFER SLIDING SCALE FEES FOR THOSE WITHOUT INSURANCE. 97% OF THEIR PATIENTS ARE AT OR BELOW THE FEDERAL POVERTY LEVEL. THEY PROVIDE ACCESS TO DENTAL EDUCATION AND AFFORDABLE TREATMENT IN ORDER TO IMPROVE THE ORAL HEALTH OF THE COMMUNITY. 243677 0 220295 OUR OUTREACH PROGRAM ELIMINATES TRANSPORTATION AS A BARRIER TO CARE FOR UNDERSERVED SANTA CRUZ COUNTY RESIDENTS AT MANY VENUES, INCLUDING SCHOOLS, SKILLED NURSING FACILITIES (SNFS), HEAD START, AND AT OUR 1-CHAIR OUTREACH CLINIC AT THE HOMELESS SERVICES CENTER IN SANTA CRUZ.OUR PARTNERSHIPS ALLOW PATIENTS WHO MIGHT NOT OTHERWISE GET ACCESS TO THE TREATMENT THEY NEED. IN ADDITION, THE COLLABORATION ENSURE THAT ORAL HEALTH IS A TOPIC IN CLASSROOMS, IN PARENT EDUCATION WORKSHOPS LIKE WIC (WOMEN, INFANTS, AND CHILDREN) CENTERS AND IN THE OUTREACH MATERIALS WE PROVIDE.AT OUR OUTREACH SITES, OUR STAFF DELIVERS ORAL HEALTH EVALUATIONS INCLUDING X-RAYS, AND PROCEDURES SUCH AS CLEANINGS AND FLUORIDE VARNISH. THOSE PATIENTS WHO REQUIRE MORE COMPLEX CARE ARE REFERRED BACK TO OUR CLINIC. 10445335 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 1 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 1 0 0 0 0 1 37 0 1 118 1 0 0 0 0 0 0 0 0 0 0 0 0 X 12 12 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 CA X JESSE NAVARRO 8317101333 9000 SOQUEL AVE SUITE 101 SANTA CRUZ CA 95062 GARY BENCOMO PRESIDENT 2.00 X X 0 0 0 CAMILLE SMITH-BALLON VICE PRESIDENT 2.00 X X 0 0 0 BEN KROMNICK TREASURER 2.00 X X 0 0 0 MASINA HUNNICUTT SECRETARY 2.00 X X 0 0 0 JANIS BOLT DIRECTOR 2.00 X 0 0 0 BRIAN DEL CORE DIRECTOR 2.00 X 0 0 0 ROBERT DAVIDSON DIRECTOR 2.00 X 0 0 0 JENNIFER MARTINEZ DIRECTOR 2.00 X 0 0 0 ALICIA MOODY DIRECTOR 2.00 X 0 0 0 MICHAEL MOORE DIRECTOR 2.00 X 0 0 0 LEEANN LUNA DIRECTOR 2.00 X 0 0 0 STEVEN ROBINS DIRECTOR 2.00 X 0 0 0 SEPIDEH TAGHVAEI EXECUTIVE VP OF OPERATIONS 40.00 X 284993 0 10098 LAURA MARCUS CHIEF EXECUTIVE OFFICER 40.00 X 253800 0 13563 JESSE NAVARRO CHIEF FINANCIAL OFFICER 40.00 X 181555 0 18677 LAURIE HALSEY CHIEF ADMINISTRATIVE OFFICER 40.00 X 172616 0 9781 SHEREE STORM CHIEF STRATEGY OFFICER 40.00 X 147069 0 151 CATHERINE MODJESKI DENTIST 40.00 X 182319 0 24559 SEAN SILVERIO DENTIST 36.00 X 192115 0 5622 SHAWN RAHGOZAR DENTIST 36.00 X 156278 0 5970 HANNAH MIXTER DENTIST 40.00 X 148088 0 14045 ILANA VAYNSHTEYN DENTIST 32.00 X 139903 0 5622 1858736 0 108088 12 0 1 0 MOUNTAIN DENTAL LAB INC 1074 PARK VIEW DRIVE 203 COVINA CA 91724 DENTAL SERVICES 161484 1 1108130 2728145 16650 3836275 PATIENT FEES 624100 7821245 7821245 CLINICAL FEES 624100 1918565 1918565 9739810 80063 80063 OTHER REVENUE 900099 54209 54209 54209 13710357 9794019 0 80063 1089145 119806 899383 69956 6460699 5958022 379162 123515 216614 176842 34695 5077 755882 652910 85959 17013 555078 453161 88906 13011 8111 5959 1816 336 52140 52140 9293 9293 441689 362788 58424 20477 487007 423043 41668 22296 280808 208662 63796 8350 87059 61653 20752 4654 355028 353000 1868 160 97097 77227 17987 1883 DENTAL SUPPLIES & DIREC 1030858 1030858 EQUIPMENT REPAIR & MAIN 392868 388671 4197 DUES & SUBSCRIPTIONS 139378 117355 13220 8803 STAFF DEVELOPMENT 38348 13851 22988 1509 76687 41527 4220 30940 12573789 10445335 1800474 327980 6277489 4358937 218469 415027 1035124 1020834 177961 205508 67532 243929 14303575 2410660 3694314 11892915 6933472 609672 18404361 18746822 1377148 1128263 557254 192692 1279311 1098651 2500 2500 3216213 2422106 X 9959397 15903355 5228751 421361 15188148 16324716 18404361 18746822 1136568 0 X X 0 1 X 1 1 1 X 2850333 1383432 3044168 6095821 3836275 17210029 8088036 6730856 7943291 8598436 9794019 41154638 10938369 8114288 10987459 14694257 13630294 58364667 1441397 534770 557709 2264891 100000 4898767 0 1441397 534770 557709 2264891 100000 4898767 53465900 22008 18349 74606 15481 80063 210507 22008 18349 74606 15481 80063 210507 2800 2800 10960377 8132637 11062065 14712538 13710357 58577974 0.91270 0.90300 0.00360 0.00260 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 807500 807500 7234269 108205 7126064 4184315 1306061 2878254 1840369 802986 1037383 237122 193408 43714 11892915 DEPOSITS 2500 2500 X 13838923 137859 137859 13701064 9293 9293 13710357 12702355 137859 137859 12564496 9293 9293 12573789 PART X, LINE 2: MANAGEMENT HAS CONSIDERED ITS TAX POSITIONS AND BELIEVES THAT ALL OF THE POSITIONS TAKEN IN ITS FEDERAL AND STATE EXEMPT ORGANIZATION TAX RETURNS ARE MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION. THE ORGANIZATION'S RETURNS ARE SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAXING AUTHORITIES, GENERALLY FOR THREE YEAR AND FOUR YEARS, RESPECTIVELY, AFTER THEY ARE FILED. X X 0 0 0 0 0 0 0 0 0 SEPIDEH TAGHVAEI EXECUTIVE VP OF OPERATIONS 284993 0 0 0 0 0 0 0 10098 0 295091 0 0 0 LAURA MARCUS CHIEF EXECUTIVE OFFICER 253800 0 0 0 0 0 0 0 13563 0 267363 0 0 0 CATHERINE MODJESKI DENTIST 182319 0 0 0 0 0 0 0 24559 0 206878 0 0 0 JESSE NAVARRO CHIEF FINANCIAL OFFICER 181555 0 0 0 0 0 0 0 18677 0 200232 0 0 0 SEAN SILVERIO DENTIST 192115 0 0 0 0 0 0 0 5622 0 197737 0 0 0 LAURIE HALSEY CHIEF ADMINISTRATIVE OFFICER 172616 0 0 0 0 0 0 0 9781 0 182397 0 0 0 SHAWN RAHGOZAR DENTIST 156278 0 0 0 0 0 0 0 5970 0 162248 0 0 0 HANNAH MIXTER DENTIST 148088 0 0 0 0 0 0 0 14045 0 162133 0 0 0 FORM 990, PART VI, SECTION A, LINE 1A THE EXECUTIVE COMMITTEE CONSISTS OF THE OFFICERS OF THE CORPORATION. THE EXECUTIVE COMMITTEE IMPLEMENTS THE WILL OF THE BOARD AND ACTS FOR THE ORGANIZATION ONLY DURING THE INTERIM PERIODS BETWEEN BOARD MEETINGS AND MUST ACT CONSISTENT WITH ESTABLISHED BOARD POLICIES AND DIRECTION. THE EXECUTIVE COMMITTEE SHALL ADDITIONALLY PROVIDE DETAILED INVESTIGATION OF MATTERS ON BEHALF OF THE BOARD, BUT SHALL NOT CIRCUMVENT THE BOARD DECISION AND APPROVAL PROCESS. FORM 990, PART VI, SECTION B, LINE 11B MANAGEMENT AND THE BOARD OF DIRECTORS RECEIVE A COPY OF THE 990 FOR REVIEW BEFORE FILING. BOTH THE CEO & CFO REVIEW THE 990 BEFORE SIGNING. FORM 990, PART VI, SECTION B, LINE 12C EACH NEW RESPONSIBLE PERSON, DEFINED AS ANY PERSON SERVING AS AN OFFICER, EMPLOYEE, OR MEMBER OF THE BOARD OF DIRECTORS, SHALL BE REQUIRED TO REVIEW A COPY OF THIS POLICY AND TO ACKNOWLEDGE IN WRITING THAT HE OR SHE HAS DONE SO. EACH RESPONSIBLE PERSON SHALL ANNUALLY COMPLETE A DISCLOSURE FORM IDENTIFYING ANY RELATIONSHIPS, POSITIONS OR CIRCUMSTANCES IN WHICH THE RESPONSIBLE PERSON IS INVOLVED THAT HE OR SHE BELIEVES COULD CONTRIBUTE TO A CONFLICT OF INTEREST ARISING. PROCEDURES: - PRIOR TO BOARD OR COMMITTEE ACTION ON A CONTRACT OR TRANSACTION INVOLVING A CONFLICT OF INTEREST, A DIRECTOR OR COMMITTEE MEMBER HAVING A CONFLICT OF INTEREST AND WHO IS IN ATTENDANCE AT THE MEETING SHALL DISCLOSE ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. SUCH DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. - A DIRECTOR OR COMMITTEE MEMBER WHO PLANS NOT TO ATTEND A MEETING AT WHICH HE OR SHE HAS REASON TO BELIEVE THAT THE BOARD OR COMMITTEE WILL ACT ON A MATTER IN WHICH THE PERSON HAS A CONFLICT OF INTEREST SHALL DISCLOSE TO THE CHAIR OF THE MEETING ALL FACTS MATERIAL TO THE CONFLICT OF INTEREST. THE CHAIR SHALL REPORT THE DISCLOSURE AT THE MEETING AND THE DISCLOSURE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. - A PERSON WHO HAS A CONFLICT OF INTEREST SHALL NOT PARTICIPATE IN OR BE PERMITTED TO HEAR THE BOARD'S OR COMMITTEE'S DISCUSSION OF THE MATTER EXCEPT TO DISCLOSE MATERIAL FACTS AND TO RESPOND TO QUESTIONS. SUCH PERSON SHALL NOT ATTEMPT TO EXERT HIS OR HER PERSONAL INFLUENCE WITH RESPECT TO THE MATTER, EITHER AT OR OUTSIDE THE MEETING. - A PERSON WHO HAS A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT WILL BE VOTED ON AT A MEETING SHALL NOT BE COUNTED IN DETERMINING THE PRESENCE OF A QUORUM FOR PURPOSES OF THE VOTE. THE PERSON HAVING A CONFLICT OF INTEREST MAY NOT VOTE ON THE CONTRACT OR TRANSACTION AND SHALL NOT BE PRESENT IN THE MEETING ROOM WHEN THE VOTE IS TAKEN, UNLESS THE VOTE IS BY SECRET BALLOT. SUCH PERSON'S INELIGIBILITY TO VOTE SHALL BE REFLECTED IN THE MINUTES OF THE MEETING. FOR PURPOSES OF THIS PARAGRAPH, A MEMBER OF THE BOARD OF DIRECTORS OF DIENTES COMMUNITY DENTAL CARE HAS A CONFLICT OF INTEREST WHEN HE OR SHE STANDS FOR ELECTION AS AN OFFICER OR FOR RE-ELECTION AS A MEMBER OF THE BOARD OF DIRECTORS. - RESPONSIBLE PERSONS WHO ARE NOT MEMBERS OF THE BOARD OF DIRECTORS OF DIENTES COMMUNITY DENTAL CARE, OR WHO HAVE A CONFLICT OF INTEREST WITH RESPECT TO A CONTRACT OR TRANSACTION THAT IS NOT THE SUBJECT OF BOARD OR COMMITTEE ACTION, SHALL DISCLOSE TO THE CHAIR OR THE CHAIR'S DESIGNEE ANY CONFLICT OF INTEREST THAT SUCH RESPONSIBLE PERSON HAS WITH RESPECT TO A CONTRACT OR TRANSACTION. SUCH DISCLOSURE SHALL BE MADE AS SOON AS THE CONFLICT OF INTEREST IS KNOWN TO THE RESPONSIBLE PERSON. THE RESPONSIBLE PERSON SHALL REFRAIN FROM ANY ACTION THAT MAY AFFECT DIENTES COMMUNITY DENTAL CARE'S PARTICIPATION IN SUCH CONTRACT OR TRANSACTION. IN THE EVENT IT IS NOT ENTIRELY CLEAR THAT A CONFLICT OF INTEREST EXISTS, THE INDIVIDUAL WITH THE POTENTIAL CONFLICT SHALL DISCLOSE THE CIRCUMSTANCES TO THE CHAIR OR THE CHAIR'S DESIGNEE, WHO SHALL DETERMINE WHETHER THERE EXISTS A CONFLICT OF INTEREST THAT IS SUBJECT TO THIS POLICY. FORM 990, PART VI, SECTION B, LINE 15 A REVIEW OF THE COMPENSATION OF THE ORGANIZATION'S CEO, EXECUTIVE DIRECTOR, OR TOP MANAGEMENT OFFICIAL IS COMPLETED BY THE EXECUTIVE COMMITTEE USING MARKET BASED DATA FOR COMPARABLE HEALTHCARE ORGANIZATIONS (E.G. GEOGRAPHY, BUDGET, FTES.) A REVIEW OF THE COMPENSATION OF THE ORGANIZATION'S OFFICERS AND KEY EMPLOYEES IS COMPLETED BY THE EXECUTIVE DIRECTOR USING MARKET BASED DATA FOR OTHER HEALTHCARE ORGANIZATIONS (E.G. GEOGRAPHY, BUDGET, FTES.) THE PROCESS DESCRIBED HERE WAS LAST COMPLETED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S FOUNDING DOCUMENTS AND COPIES OF RETURNS AND FINANCIAL STATEMENTS CAN BE REQUESTED AT THE ORGANIZATION'S BUSINESS OFFICE. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSIGHT AND SELECTION OF AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PRIOR YEAR. DIENTES CAPITOLA ROAD LLC 1830 COMMERCIAL WAY SANTA CRUZ CA 95065 854214710 REAL PROPERTY OWNERSHIP CA 0 337500 DIENTES COMMUNITY DENTAL CARE