2025-11-17T08:05:50-06:00 2024-12-31 541135771 HOTTEL & WILLIS PC 314 NORTH BRADDOCK STREET WINCHESTER VA 22601 990 2024-01-01 450573607 DENTAL CLINIC OF NORTHERN SHENANDOAH VALLEY INC DENT 5405361684 301 NORTH CAMERON STREET 200 WINCHESTER VA 226016018 DR THOMAS GROMLING TREASURER 5405361684 2025-11-13 1 0 KERRI A BURKHART CPA P00028351 5406620325 2024 2025-03-06 01:10:19Z THOMAS GROMLING 470 GLENDOBBIN RD WINCHESTER VA 22603 38441 0 X N/A X 2008 VA PROVIDE BASIC DENTAL SERVICES FOR CHILDREN ENROLLED IN MEDICAID, FAMIS, AND FAMIS PLUS, AS WELL AS UNINSURED ADULTS IN NEED OF DENTAL SERVICE IN THE COMMUNITY. 3 3 1 16 0 0 11344 6320 23475 32087 31 34 181 0 35031 38441 0 0 0 0 11872 8812 0 0 0 33259 31602 45131 40414 -10100 -1973 36808 35035 10645 1845 26163 33190 PROVIDE BASIC DENTAL SERVICES FOR CHILDREN ENROLLED IN MEDICAID, FAMIS, AND FAMIS PLUS, AS WELL AS UNINSURED ADUTLS IN NEED OF DENTAL SERVICE IN THE COMMUNITY. 0 0 37117 32087 RENDERING DENTAL CARE TO CHILDREN ENROLLED IN MEDICAID, FAMIS, AND FAMIS PLUS, AND UNINSURED ADULTS IN WINCHESTER AS WELL AS FREDERICK, CLARKE, AND WARREN COUNTY. 37117 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 0 X 3 3 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 X DR THOMAS GROMLING 5405361680 301 NORTH CAMERON STREET WINCHESTER VA 226016018 X DR THOMAS GROMLING TREASURER 4.00 X X 0 0 0 RICHARD TALIAFERRO PRESIDENT 0.00 X X 0 0 0 JULIE CARPER HAY SECRETARY 0.00 X X 0 0 0 0 0 0 0 0 0 0 0 6320 6320 PROGRAM INCOME - MEDIC 624100 26060 26060 PROGRAM INCOME - ADULT 624100 6027 6027 32087 34 34 38441 32087 0 34 X 8178 8178 634 634 1740 1740 14820 14820 3167 2375 792 1806 1354 452 EQUIPMENT MAINTENANCE 4078 4078 DENTAL SUPPLIES 3341 3341 CONTRACT LABOR 1398 1398 WEBSITE EXPENSE 868 651 217 384 288 96 40414 37117 3297 0 29273 29522 989 2135 74484 71106 6546 3378 36808 35035 1645 1845 9000 0 10645 1845 X 26163 33190 26163 33190 36808 35035 X -1973 15585 9000 -15585 X 0 0 0 X 54422 38684 35713 23199 21905 173923 54422 38684 35713 23199 21905 173923 173923 12 19 16 31 34 112 174035 0.99940 0.99950 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 74484 71106 3378 3378 FORM 990, PART VI, SECTION B, LINE 11B ORGANIZATION'S PROCESS TO REVIEW FORM 990: THE ORGANIZATION'S BOARD OF DIRECTORS REVIEW THE FORM 990 BEFORE IT IS APPROVED FOR FILING WITH THE IRS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS DISCLOSURE EXPLANATION: GOVERNING DOCUMENTS ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 24E COMPUTER EXPENSE: PROGRAM SERVICE EXPENSES 269. MANAGEMENT AND GENERAL EXPENSES 90. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 359. OTHER COSTS: PROGRAM SERVICE EXPENSES 19. MANAGEMENT AND GENERAL EXPENSES 6. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25. FORM 990, PART XI, LINE 9: DONATED SERVICES EXPENSE -15,585. FORM , PART XI, LINE 8, PRIOR PERIOD ADJUSTMENTS IN 2024, THE ORGANIZATION BECAME AWARE THAT A LIABILITY PREVIOUSLY RECORDED ON ITS BOOKS HAD BEEN FORGIVEN BY AN UNRELATED HEALTH CLINIC. THE FORGIVEN LIABILITY REPRESENTED AN AMOUNT OWED BY THE ORGANIZATION TO THE HEALTH CLINIC, WHICH WAS RELEASED WITHOUT THE HEALTH CLINIC RECEIVING ANY GOODS, SERVICES, OR OTHER COMMENSURATE VALUE IN RETURN. BOTH ENTITIES ARE NONPROFIT ORGANIZATIONS OPERATING IN THE HEALTHCARE SECTOR. THE ORGANIZATION IS PROVIDING THIS EXPLANATION ON SCHEDULE O TO CLARIFY THE NATURE OF THE TRANSACTION AND TO ENSURE TRANSPARENCY IN ITS FINANCIAL REPORTING.