Nonprofit · EIN 34-2012430
PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST
Tax-exempt · WINDSOR, CA 95492
Financials
| Year ended | Form | Revenue | Expenses | Net income | Total assets | Liabilities | Net assets |
|---|---|---|---|---|---|---|---|
| June 30, 2025 | 990 | $5,201,530 | $4,702,775 | $498,755 | $6,995,579 | $1,037,173 | $5,958,406 |
| June 30, 2024 | 990 | $4,572,682 | $4,207,722 | $364,960 | $6,599,063 | $1,202,695 | $5,396,368 |
| June 30, 2023 | 990 | $3,947,040 | $4,449,464 | -$502,424 | $5,343,629 | $556,599 | $4,787,030 |
Financial details: 990 for the year ended June 30, 2025
Revenue
- Contributions, gifts and grants
- $526,558
- Program service revenue
- $4,375,208
- Investment income
- $260,665
- Net gain from sales of assets
- $109,259
- Net income from fundraising events
- $9,739
- Other revenue
- $39,099
Expenses
- Grants and similar amounts paid
- $0
- Compensation of officers, directors and key employees
- $145,664
- Other salaries and wages
- $1,120,057
- Salaries, compensation and benefits (total)
- $1,480,707
- Professional fundraising fees
- $0
- Legal fees
- $893
- Accounting fees
- $74,896
- Occupancy
- $395,394
- Travel
- $7,370
- Depreciation
- $19,998
- Program services (functional)
- $3,855,671
- Management and general (functional)
- $776,730
- Fundraising (functional)
- $70,374
Balance sheet and other
- Total assets, start of year
- $6,599,063
- Total assets, end of year
- $6,995,579
- Total liabilities, end of year
- $1,037,173
- Net assets, end of year
- $5,958,406
- Land, buildings and equipment
- $168,964
- Net assets without donor restrictions
- $5,908,406
- Net assets with donor restrictions
- $50,000
- Gross receipts
- $7,343,826
- Employees
- 28
- Volunteers
- 8
- Year formed
- 2004
- State of legal domicile
- CA
From the e-filed returns the IRS publishes as XML (latest three processing years; amended returns replace the original). PDF copies at the IRS.
Officers, directors and key employees
As listed on the 990 for the year ended June 30, 2025, highest compensation first.
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| TARA GOOD-YOUNG | CEO Officer | 40 | $145,664 |
| CAITLIN ANNE ROBLES | NURSE SUPERVISOR Highest-paid employee | 40 | $115,393 |
| LISSETTE VILLANUEVA-CORTEZ | REGISTERED NURSE Highest-paid employee | 40 | $102,543 |
| SURANI HAYRE-KWAN | CHAIR Trustee or director, Officer | 2 | $0 |
| DIANE AQUI ESQ | VICE CHAIR Trustee or director, Officer | 2 | $0 |
| ANDREW MCCORMICK DDS | TREASURER Trustee or director, Officer | 2 | $0 |
| SUZIE SHARPE ESQ | SECRETARY Trustee or director, Officer | 2 | $0 |
| KRISTEN JOHNSON MD | BOARD MEMBER Trustee or director | 2 | $0 |
| HUGO MATA | BOARD MEMBER Trustee or director | 2 | $0 |
| ANTONIO PEREZ-LICEA | BOARD MEMBER Trustee or director | 2 | $0 |
| SANDRA URIBE | BOARD MEMBER Trustee or director | 2 | $0 |
990 for the year ended June 30, 2024: 8 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| TARA GOOD-YOUNG | EXECUTIVE DIRECTOR Officer | 40 | $89,996 |
| SURANI HAYRE-KWAN | CHAIR Trustee or director, Officer | 2 | $0 |
| DIANE AQUI ESQ | VICE CHAIR Trustee or director, Officer | 2 | $0 |
| ANDREW MCCORMICK DDS | TREASURER Trustee or director, Officer | 2 | $0 |
| SUZIE SHARPE ESQ | SECRETARY Trustee or director, Officer | 2 | $0 |
| KRISTEN JOHNSON MD | BOARD MEMBER Trustee or director | 2 | $0 |
| HUGO MATA | BOARD MEMBER Trustee or director | 2 | $0 |
| ANTONIO PEREZ-LICEA | BOARD MEMBER Trustee or director | 2 | $0 |
990 for the year ended June 30, 2023: 9 people
| Name | Title | Hours / week | Compensation |
|---|---|---|---|
| JEN STASCH | Prior Executive Director Key employee, Highest-paid employee, Former | 40 | $70,340 |
| JULIE TUCKER | Director of Clinical Services Key employee, Highest-paid employee | 40 | $55,217 |
| SURANI HAYRE-KWAN DNP MBA FNP-BC FA | CHAIR Trustee or director, Officer | 2 | $0 |
| SUZIE SHARPE ESQ | VICE CHAIR Trustee or director, Officer | 2 | $0 |
| DIANE AQUI ESQ | SECRETARY Trustee or director, Officer | 2 | $0 |
| ANDREW MCCORMICK | TREASURER Trustee or director, Officer | 2 | $0 |
| KRISTEN JOHNSON MD | DIRECTOR Trustee or director | 2 | $0 |
| HUGO MATA | DIRECTOR Trustee or director | 2 | $0 |
| ANTONIO PEREZ-LICEA | DIRECTOR Trustee or director | 2 | $0 |
Address and contacts
- Address (IRS master file)
- 1380 19TH HOLE DRIVE, WINDSOR, CA 95492-7713
- In care of
- % TARA GOOD-YOUNG
- Principal officer (990 for 2024)
- TARA GOOD-YOUNG, 1380 19TH ST HOLE DRIVE, WINDSOR, CA 95492
- Signed the 990
- TARA GOOD-YOUNG, CEO
- Phone
- (707) 838-6560
- Website
- WWW.PDISURGERYCENTER.ORG
- Return prepared by
- EASY OFFICE DBA JITASA
California records
California keeps its own records of charities and corporations. Search them by EIN 34-2012430 or by the name PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST.
- Attorney General, Registry of Charities and Fundraisers
- Registration status and filed reports (CT-TR-1, RRF-1)
- Secretary of State, bizfile Online
- Corporation status, entity number, agent for service
- Franchise Tax Board
- Entity status letter (state tax exemption, good standing)
Mission
TO DELIVER SAFE, HIGH QUALITY, AND SPECIALIZED DENTAL TREATMENT TO THE UNDERSERVED AND PROMOTE ORAL HEALTH THROUGH EDUCATION TO COMMUNITIES OF NORTH CALIFORNIA.
Program accomplishments
- GENERAL PROGRAMS - SUPPORT STAFF AND SERVICES THAT CROSS MULTIPLE PATIENT SUPPORT AND OPERATIONAL SERVICE NEEDS ENCOMPASING PATIENT CARE, EDUCATIONAL OUTREACH, PREVENTIVE ORAL HEALTH KIT DISTRIBUTION, ADMINISTRATIVE SUPPORT, GRANT WRITING, AND ADVOCACY FOR IMPROVED ACCESS TO CARE FOR MARGINALIZED OR SOCIOECONOMICALLY CHALLENGED FAMILIES WITH CHILDREN AT RISK FOR SEVERE TOOTH DECAY.Expenses $1,698,055 · revenue $1,252,241
- ANESTHESIA SERVICES - GENERAL ANESTHESIA SERVICES FOR PEDIATRIC PATIENTS AND SPECIAL NEEDS YOUNG ADULTS REFERRED TO PDI FOR DENTAL SURGERY AND TREATMENT UNDER GENERAL ANESTHESIA.Expenses $1,157,862 · revenue $585,257
- DENTAL SERVICES - DENTAL SURGERY AND RESTORATION SERVICES DELIVERED BY DENTAL PROFESSIONALS FOR PEDIATRIC PATIENTS AND SPECIAL NEEDS YOUTH/ YOUNG ADULTS REFERRED TO PDI FOR TREATMENT UNDER GENERAL ANESTHESIA. 1620 PATIENTS WERE TREATED AND LIVES IMPROVED IN THIS FISCAL YEAR.Expenses $999,754 · revenue $2,537,710
What it must file and when
IRS records say it files Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N. Its accounting year ends in June, so each return is due on the 15th day of the 5th month after that.
| Tax year | Year ended | Due | IRS public records |
|---|---|---|---|
| 2025 | June 30, 2026 | November 16, 2026 | Not due yet |
| 2024 | June 30, 2025 | November 17, 2025 | 990 on file |
| 2023 | June 30, 2024 | November 15, 2024 | 990 on file |
IRS record
- EIN
- 34-2012430
- Tax-exempt status
- 501(c)(3): Charitable, religious, educational or scientific organization
- Foundation status
- Publicly supported organization (170(b)(1)(A)(vi))
- Donations deductible (Pub 78)
- Public charity, 50% deduction limit
- Exempt since
- 2005
- Accounting year ends
- June
- Files
- Form 990 or 990-EZ
- Category (NTEE)
- Human services (P40)
- Assets (IRS master file)
- $6,995,579
- Income (IRS master file)
- $7,343,826
Filing history
| Form | Year ended | Revenue | Expenses | Assets | Return |
|---|---|---|---|---|---|
| 990 | June 2025 | $5,201,530 | $4,702,775 | $6,995,579 | IRS |
| 990 | June 2024 | $4,572,682 | $4,207,722 | $6,599,063 | IRS |
| 990 | June 2023 | $3,947,040 | $4,449,464 | $5,343,629 | XML |
| 990 | June 2022 | $5,098,725 | $4,442,144 | $6,302,132 | IRS |
| 990 | June 2021 | – | – | – | IRS |
| 990 | June 2020 | – | – | – | IRS |
| 990 | June 2019 | – | – | – | IRS |
| 990 | June 2018 | – | – | – | IRS |
990-N: the IRS bulk file holds only the latest e-Postcard per organization; earlier years come from archived copies of that file since 2020 and can have gaps (the IRS e-Postcard search lists every one). 990, 990-EZ, 990-PF, 990-T: every e-filed return in the IRS e-file index since 2019; XML for the latest three processing years, amounts from the IRS Statistics of Income extracts before that. PDF copies and determination letters at the IRS (search EIN 34-2012430).
Questions about PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST
- What is the EIN of PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST?
- The employer identification number (EIN) of PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST is 34-2012430.
- Is PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST tax-exempt?
- Yes. The IRS lists it as tax-exempt under section 501(c)(3) since 2005.
- Are donations to PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST tax-deductible?
- Yes. It is listed in IRS Publication 78 (Public charity, 50% deduction limit).
- Which annual return does PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST file?
- Form 990 or 990-EZ. Based on its last return; a smaller organization may file the 990-N.
- When is the next return of PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST due?
- The return for tax year 2025 (the year ending June 30, 2026) is due November 16, 2026. Form 8868 extends it by six months; the 990-N cannot be extended.
- When did PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST last file with the IRS?
- The latest return in the IRS public files is the 990 for the year ended June 2025.
- Who is the principal officer of PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST?
- The 990 for the year ended June 30, 2025 names TARA GOOD-YOUNG.
- Who are the officers and directors of PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST?
- The 990 for the year ended June 30, 2025 lists 11 people; 3 received compensation from the organization, the highest $145,664 (TARA GOOD-YOUNG, CEO).
- How much revenue does PEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST have?
- On its 990 for the year ended June 30, 2025 it reported revenue of $5,201,530, expenses of $4,702,775 and total assets of $6,995,579 at year end.
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