2024-03-18T13:55:29-05:00 2023-12-31 540504608 BROWN EDWARDS & COMPANY LLP 636 SHELBY STREET 4TH FLOOR BRISTOL TN 37620 990PF 2023-01-01 833820038 MISSION DENTAL VIRGINIA INC MISS 2765254487 616 CAMPUS DRIVE 100 ABINGDON VA 24210 SCOTT MILLER BOARD CHAIRMAN 2762855170 2024-03-17 1 SCOTT MILLER XXX-XX-XXXX 1 C STANLEY BOWLES II P00543413 4237975564 2024-03-17 2 AAL1 IAL1 2023 2023-04-26 12:10:37Z X 2098029 X 1624093 0 0 1644508 0 1644508 3268601 0 1644508 0 0 0 0 756240 0 643745 112495 17410 0 17410 0 23910 0 23910 0 3796 0 3796 0 69933 0 69933 0 93129 0 93129 26208 0 26208 0 3104 0 3104 0 763273 0 763273 0 1757003 0 1644508 112495 0 0 1757003 0 1644508 112495 1511598 0 0 360151 433805 433805 2079 0 1750 2079 2079 1846162 184017 105353 1662145 1662145 22000 0 0 489254 2098029 2098029 475 101 51223 123524 27092 52342 78790 175967 X 245730 1733262 164734 188800 410464 1922062 489254 2098029 410464 1511598 0 1922062 0 1922062 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 VA 1 1 1 0 0 1 WWW.APPALACHIANHIGHLANDSDENTAL.COM THE ORGANIZATION 2765254487 616 CAMPUS DRIVE SUITE 100 ABINGDON VA 24210 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 DR SCOTT MILLER 21132 BERMUDA DRIVE ABINGDON VA 24211 CHAIRMAN 24.00 0 0 0 DR MICHAEL MCCRACKEN 2645 ALTADENA ROAD BIRMINGHAM AL 35234 SECRETARY 0.08 0 0 0 DR GRAYSON TUCKER HUNLEY ROYAL SPRINGS BLVD KNOXVILLE TN 37918 BOARD MEMBER 0.00 0 0 0 STACEY ELY 19133 STERLING DRIVE ABINGDON VA 24211 BOARD MEMBER 0.00 0 0 0 DR CINDY SOUTHERN 4457 LEFT FORK LANE PULASKI VA 24301 BOARD MEMBER 0.00 0 0 0 NONE 0 NONE 0 THE MISSION OF MISSION DENTAL VIRGINIA, INC. IS TO PROVIDE DENTAL SERVICES TO THE UNDERSERVED IN SOUTHWEST VIRGINIA. THE VISION OF MISSION DENTAL VIRGINIA IS TO GIVE AWAY $1,000,000 IN DENTAL SERVICES EACH YEAR. 162473 0 0 435297 0 435297 0 0 435297 435297 0 0 X 112495 0 112495 2019-07-24 X 0 0 0 0 0 0 0 0 0 0 112495 67859 117719 98781 396854 162473 0 0 0 162473 -49978 67859 117719 98781 234381 0 0 0 1674071 255390 182615 243370 2355446 1674071 255390 182615 243370 2355446 125000 50000 50000 91470 316470 0 X 0 0 DENTAL CLINIC PATIENT FEES 1586499 CREDIT CARD CASH BACK REWARDS 5069 EMPLOYER RETENTION CREDIT REFUND 50470 IRS INTEREST (NOT INVESTMENT) 2470 0 0 1644508 1644508 1 THE OPERATION OF THE DENTAL CLINIC SERVING THE UNDERSERVED COMMUNITIES OF SOUTHWEST VIRGINIA IS THE MISSION OF THE ORGANIZATION. THE REVENUE REPORTED IS THE NET FEES COLLECTED FROM THE CLINIC PATIENTS. 0 0 0 0 0 0 0 0 0 0 X X 1 JAN HURT 247 VALLEY ST NE ABINGDON VA 24210 80000 X 2 MISSION DENTAL 1700 6TH AVENUE NORTH BESSEMER AL 35020 72500 X 3 VIRGINIA HEALTH CARE FOUNDATION 707 EAST MAIN STREET SUITE 1350 RICHMOND VA 23219 50000 X 4 ENBRIDGE INC SUITE 1100 915 NORTH ELDRIDGE PARKW HOUSTON TX 77079 15000 X 5 BF FOUNDATION PO BOX 1777 GRUNDY VA 24614 25000 X 6 GENAN FOUNDATION DONATION PO BOX 5386 CHARLOTTESVILLE VA 22905 234136 X 7 SKEWES FAMILY FOUNDATION 87 OAK RIDGE COURT BLUE RIDGE VA 24064 75000 X 8 SMYTH COUNTY 121 BAGLEY CIRCLE SUITE 100 MARION VA 24354 50000 X 9 THE THOMPSON CHARITABLE FOUNDATION 4800 OLD KINGSTON PIKE KNOXVILLE TN 37919 100000 X 10 UNITED FOUNDATION COMPANY 1005 GLENWAY AVE BRISTOL VA 24201 50000 X 11 DELTA DENTAL 5415 AIRPORT RD NW ROANOKE VA 24012 75000 X 12 REMOTE AREA MEDICAL (RAM) 2200 STOCK CREEK BLVD ROCKFORD TN 37853 20000 X ACCOUNTING FEES 21127 0 21127 0 PAYROLL PROCESSING FEES 2783 0 2783 0 THE ORGANIZATION OPERATES A DENTAL CLINIC AND ALL OF THE CASH IS TO COVER THE ONGOING OPERATIONS OF THE CLINIC. NONE OF THE FUNDS ARE FOR INVESTMENT PURPOSES. DENTAL EQUIPMENT 2020-02-15 90500 52792 SL 5.000000000000 18100 0 18100 I3D SMART PLUS- DIGITAL PAN/CBCT 2020-09-09 54469 25419 SL 5.000000000000 10894 0 10894 TRIOS SCANNER 2021-08-25 33775 9007 SL 5.000000000000 6755 0 6755 NEW LAB CONSTRUCTION/BUILDOUT 2021-03-12 9300 1348 SL 15.000000000000 795 0 795 INRAORAL CAMERA 2021-08-06 3407 965 SL 5.000000000000 681 0 681 MONITOR FOR SEDATION 2021-08-10 4790 1357 SL 5.000000000000 958 0 958 SERVER DELL EMC R440 2023-07-12 8006 SL 5.000000000000 801 0 801 FORTIGATE 40F FIREWALL/RACK/WIRING 2023-07-12 7116 SL 5.000000000000 712 0 712 PREXION EXCELSIOR PRO CONE BEAM CT 2023-07-12 35792 SL 5.000000000000 3579 0 3579 HENRY SCHEIN DENTAL EQP PHASE 1 2023-07-12 412744 SL 5.000000000000 41274 0 41274 LEASEHOLD IMPROVEMENTS 2023-10-20 1065470 SL 39.000000000000 4553 0 4553 HENRY SCHEIN EQUIPMENT PHASE II 2023-10-20 100464 SL 5.000000000000 3349 0 3349 ENVISION FURNITURE & EQUIPMENT 2023-10-20 20329 SL 5.000000000000 678 0 678 DENTAL EQUIPMENT 90500 70892 19608 I3D SMART PLUS- DIGITAL PAN/CBCT 54469 36313 18156 TRIOS SCANNER 33775 15762 18013 NEW LAB CONSTRUCTION/BUILDOUT 9300 2143 7157 INRAORAL CAMERA 3407 1646 1761 MONITOR FOR SEDATION 4790 2315 2475 SERVER DELL EMC R440 8006 801 7205 FORTIGATE 40F FIREWALL/RACK/WIRING 7116 712 6404 PREXION EXCELSIOR PRO CONE BEAM CT 35792 3579 32213 HENRY SCHEIN DENTAL EQP PHASE 1 412744 41274 371470 LEASEHOLD IMPROVEMENTS 1065470 4553 1060917 HENRY SCHEIN EQUIPMENT PHASE II 100464 3349 97115 ENVISION FURNITURE & EQUIPMENT 20329 678 19651 LEGAL FEES 17410 0 17410 0 DR TIMOTHY COLLINS NONE 70500 0 2020-02 2022-03 24 MONTHS 0.000000000000 EQUIPMENT AQUISITION OF DENTAL EQUIPMENT DENTAL OFFICE EQUIPMENT DR CHAMBERLAIN NONE 15343 0 2021-01 UNDEFINED TERMS 0.000000000000 NONE AQUISITION OF DENTAL EQUIPMENT DENTAL EQUIPMENT TRUPOINT BANK NONE 60000 0 2021-08 MONTHLY PAYMENT OF $807.78 EQUIPMENT AQUISITION OF DENTAL EQUIPMENT DENTAL EQUIPMENT CONSTRUCTION IN PROCESS 22000 0 0 ADVERTISING 50 0 50 0 CLINIC SUPPLIES 45401 0 45401 0 CONTRACT SERVICES AND LABOR 73598 0 73598 0 CREDIT CARD AND BANK FEES 12311 0 12311 0 DE MINIMIS EQUIPMENT 2295 0 2295 0 DENTAL SUPPLIES 478246 0 478246 0 EQUIPMENT RENTALS AND MAINTENACE 30455 0 30455 0 INSURANCE 8966 0 8966 0 LAB EXPENSES 101595 0 101595 0 MEDICATIONS 146 0 146 0 POSTAGE & FREIGHT 151 0 151 0 UNIFORM 309 0 309 0 COPIER RENT 1970 0 1970 0 MEALS AND CATERING 7780 0 7780 0 DENTAL CLINIC PATIENT FEES 1586499 1586499 CREDIT CARD CASH BACK REWARDS 5069 5069 EMPLOYER RETENTION CREDIT REFUND 50470 50470 IRS INTEREST (NOT INVESTMENT) 2470 2470 CREDIT CARD LIABILITY 27092 52342 JAN HURT 247 VALLEY ST NE ABINGDON VA 24210 PAYROLL TAXES 67583 0 67583 0 LICENSES AND REGISTRATIONS 2350 0 2350 0