2017-11-13T16:52:37-06:00 2016-12-31 561146197 SHARRARD MCGEE & CO PA PO BOX 5869 HIGH POINT NC 27262 990 2016-01-01 562152124 ACCESS DENTAL CARE INC ACCE 3362925029 125 SOUTH PARK STREET ASHEBORO NC 27203 WILLIAM MILNER DDS PRESIDENT 3362925029 2017-11-01 1 ADDISON MAILLE P00294569 3368840410 66.192.161.162 2017-11-01 14:11:44 ED P F593EF349070CFD08B2CC420B43CDC80A77CC18F 328C93E3C1CBEF80C9A46240A7C3A5CEAF0E1D2F 2016 2017-02-10 21:41:12Z WILLIAM MILNER DDS 125 SOUTH PARK STREET ASHEBORO NC 27203 1818650 0 X ACCESSDENTALCARE.ORG X 1999 NC TO PROVIDE ACCESS TO QUALITY DENTAL CARE TO LONG-TERM CARE AND SPECIAL NEEDS PATIENTS IN AN EFFECTIVE AND EFFICIENT WAY. 11 11 17 0 0 0 70720 136192 1198925 1665868 47 10 13675 2645 1283367 1804715 0 0 0 0 715364 1130668 0 0 5661 598446 623091 1313810 1753759 -30443 50956 146339 196713 732 150 145607 196563 TO PROVIDE ACCESS TO QUALITY DENTAL CARE TO LONG-TERM CARE AND SPECIAL NEEDS PATIENTS IN AN EFFECTIVE AND EFFICIENT WAY. 0 0 1464913 1665868 PROVIDING DENTAL CARE TO INDIGENT SPECIAL CARE PATIENTS WHO CANNOT BE TREATED IN THE STANDARD DENTAL OFFICE SETTING AND TO ELDERLY AND DEBILITATED PATIENTS IN LONG-TERM CARE FACILITIES. 1464913 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 0 0 1 11 0 17 1 0 0 0 0 0 0 0 0 X 11 11 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X DON GWYNN 3362925029 513 AUDUBON DRIVE GREENSBORO NC 27410 RONALD KULINSKI DDS RPH BOARD CHAIR 1.00 X X 0 0 0 ELIZABETH HAILE MED CLS MT TREASURER 5.00 X X 0 0 0 ROBIN CORRELL BOARD MEMBER 1.00 X 0 0 0 SARA ESCUE BOARD MEMBER 1.00 X 0 0 0 DORIAN FREDRICKSEN BOARD MEMBER 1.00 X 0 0 0 LAURA LUCAS BOARD MEMBER 1.00 X 0 0 0 MICHELLE MARTIN RDH BOARD MEMBER 1.00 X 0 0 0 ALLEN SAMUELSON DDS BOARD MEMBER 1.00 X 0 0 0 JEAN SMALL RN BOARD MEMBER 1.00 X 0 0 0 NICOLE REIGER THOMAS BOARD MEMBER 1.00 X 0 0 0 BILL WOOD BOARD MEMBER 1.00 X 0 0 0 PENNY CAMP EX-OFFICIO 1.00 X 0 0 0 DOUGLAS BERKEY DDSS MPH MS EX-OFFICIO 1.00 X 0 0 0 WILLIAM MILNER DDS PRESIDENT 40.00 X 165672 0 0 BETSY WHITE RDH SECRETARY 40.00 X 78090 0 7086 243762 0 7086 1 0 1 0 0 136192 136192 DENTAL SERVICES 621300 1665868 1665868 1665868 10 10 16580 13935 2645 2645 1804715 1665868 0 2655 118500 118500 819026 667716 147405 3905 121513 101902 19105 506 71629 60069 11262 298 11150 11150 952 952 53074 53074 24017 20174 3843 15843 9506 6337 259 259 20391 15014 5377 18209 15296 2913 CONTRACT SERVICES 234286 234286 DENTAL SUPPLIES 100776 100776 DENTAL LAB COST 75901 75901 VEHICLE MAINTENANCE 21898 21898 46335 23875 22460 1753759 1464913 283185 5661 75719 92128 481303 376718 70620 104585 146339 196713 732 150 732 150 X 102107 173963 43500 22600 145607 196563 146339 196713 50956 0 X X 0 1 X 0 0 X 7423 13027 28 70720 136192 227390 967424 1086428 1040075 1198925 1665868 5958720 974847 1099455 1040103 1269645 1802060 6186110 0 0 0 6186110 178 62 53 47 10 350 178 62 53 47 10 350 1490 1490 976515 1099517 1040156 1269692 1802070 6187950 0.99970 0.99890 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 12140 7735 4405 354991 254811 100180 114172 114172 0 104585 PAYROLL AND OTHER LIABILITIES 150 150 1804715 0 1804715 0 1804715 1753759 0 1753759 0 1753759 0 0 0 0 0 0 0 0 0 WILLIAM MILNER DDS PRESIDENT 165672 0 0 0 0 0 0 0 0 0 165672 0 0 0 WILLIAM E MILNER JR DDS PA ENTITY MORE THAN 35% OWNED BY WILLIAM E. MILNER, JR., PRESIDENT 407600 REIMBURSEMENT OF STAFF TIME, EQUIPMENT USAGE, PATIENT BILLING AND RECORDS MAINTENANCE PROVIDED BY ACCESS DENTAL. 0 FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS PRESENTED TO THE BOARD MEMBERS EITHER BY PAPER AT A BOARD MEETING OR BY EMAIL WHEN HOLDING A TELECONFERENCE BOARD MEETING. THE BOARD REVIEWS THE 990 AND VOTES ON APPROVAL, AND ONCE APPROVED IT IS SENT TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE WITH THE POLICY. IF THERE ARE ANY DECISIONS THAT HAVE TO BE MADE THAT ONE OF THE BOARD MEMBERS MAY HAVE A CONFLICT OF INTEREST WITH, THAT BOARD MEMBER IS EXCUSED FROM THE DECISION-MAKING PROCESS. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE WILL CONDUCT AN ANNUAL REVIEW TO EVALUATE THE ORGANIZATION'S EXECUTIVE COMPENSATION PROGRAM AGAINST THE COMPETITIVE MARKET. THE EVALUATION IS REVIEWED IN THE FALL/WINTER OF EACH YEAR AND IS INTENDED TO ENSURE THAT THE COMPENSATION PROGRAM FALLS WITHIN A REASONABLE RANGE OF COMPETITIVE PRACTICES FOR COMPARABLE POSITIONS AMONG SIMILARLY SITUATED ORGANIZATIONS. FOLLOWING THE REVIEW, THE COMMITTEE APPROVES THE BASE SALARY FOR SELECTED KEY EXECUTIVES. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST THROUGH EMAIL, MAIL OR FAX. FORM 990, PART XXII, LINE 1 THE RECORDS OF THE ORGANIZATION ARE MAINTAINED ON THE MODIFIED CASH BASIS OF ACCOUNTING AND THE ACCOMPANYING STATEMENTS HAVE BEEN PREPARED ON THAT BASIS. EXCEPT FOR PROPERTY AND EQUIPMENT, PAYROLL TAX LIABILITIES AND EQUIPMENT DEPOSITS, ALL TRANSACTIONS ARE RECOGNIZED AS EITHER REVENUE OR EXPENSES. THE MODIFIED CASH BASIS DIFFERS FROM GENERALLY ACCEPTED ACCOUNTING PRINCIPLES PRIMARILY BECAUSE CERTAIN REVENUES ARE RECOGNIZED WHEN RECEIVED RATHER THAN WHEN EARNED AND CERTAIN EXPENSES ARE RECOGNIZED WHEN PAID RATHER THAN WHEN THE OBLIGATION IS INCURRED. THE FINANCIAL STATEMENT PRESENTATION FOLLOWS THE RECOMMENDATIONS OF THE FINANCIAL ACCOUNTING STANDARDS BOARD. UNDER THOSE PROFESSIONAL STANDARDS, THE ORGANIZATION IS REQUIRED TO REPORT INFORMATION REGARDING ITS FINANCIAL POSITION AND ACTIVITIES ACCORDING TO THREE CLASSES OF NET ASSETS: UNRESTRICTED NET ASSETS, TEMPORARILY RESTRICTED NET ASSETS AND PERMANENTLY RESTRICTED NET ASSETS. WILLIAM E MILNER JR DDS PA 1255 PARK ST ASHEBORO NC 27203 830368501 DENTAL SERVICES NC N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 1 0 0