2024-11-07T10:36:32-06:00 2023-12-31 390859910 BAKER TILLY ADVISORY GROUP LP PO BOX 908 BRIDGEPORT WV 26330 990 2023-01-01 550768457 SUSAN DEW HOFF MEMORIAL CLINIC INC SUSA 3047453700 925 LIBERTY STREET WEST MILFORD WV 26451 DR JD HISSEM EXECUTIVE DIRECTOR 3047453700 2024-11-07 1 0 WILLIAM J BEHRENS CPA P00089711 3046245471 2024-11-07 2023 2024-10-15 13:58:12Z SUSAN DEW HOFF MEMORIAL CLINIC DR JD HISSEM 925 LIBERTY STREET WEST MILFORD WV 26451 383655 0 X N/A X OTHER 1999 WV PROVIDE HEALTH AND DENTAL CARE TO THE UNINSURED WORKING POOR. 20 20 2 20 0 0 376039 379738 0 0 1220 3917 0 0 377259 383655 0 0 0 0 79210 86583 0 0 0 334718 361447 413928 448030 -36669 -64375 604355 540870 4393 5283 599962 535587 TO PROVIDE HEALTH ASSESSMENT, PROMOTION AND REFERRAL SERVICES TO THE WORKING POOR WHO LACK MEDICAL AND DENTAL INSURANCE. 0 0 397865 0 IN 2023, WE HELD 70 CLINICS AND SAW 825 PATIENTS. WE PERFORMED 1,040 PROCEDURES WHICH INCLUDED 277 X-RAYS, 6 PANOS, 143 CLEANINGS, 355 FILLINGS, FASHIONED 22 PARTIALS/DENTURES, 26 REPAIR/RELINES, 182 EXTRACTIONS, 16 CROWNS, AND 13 REFERRALS OUT FOR ROOT CANALS/ORAL SURGERY. IN ADDITION, OUR OUTSIDE CONTRACTED DENTIST SAW 258 OF OUR PATIENTS WHO COULD NOT BE SEEN HERE IN A TIMELY MANNER. WE REGISTERED AND TREATED 94 NEW PATIENTS, ALONG WITH 46 CANCER PATIENTS, 53 DIABETICS AND 103 VETERAN VISITS. 397865 1 1 0 0 0 0 0 0 0 0 1 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 1 3 0 1 2 1 0 0 0 0 0 0 0 0 0 0 X 20 20 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 WV X X SUSAN DEW HOFF MEMORIAL CLINIC INC 3047453700 623 LIBERTY STREET WEST MILFORD WV 26451 X GINA SHARPS DIRECTOR 1.00 X 0 0 0 BERNICE JEAN LUCAS DIRECTOR 1.00 X 0 0 0 MARY LOU VARGO DIRECTOR 1.00 X 0 0 0 DR ROBERT WRANKER DDS DIRECTOR 1.00 X 0 0 0 DR MARY BETH HINKLE DDS DIRECTOR 1.00 X 0 0 0 DR ANDREW MINIGH DDS DIRECTOR 1.00 X 0 0 0 SANDRA MANO DIRECTOR 1.00 X 0 0 0 DR MARK SPIKER DDS DIRECTOR 1.00 X 0 0 0 ANDY WHARTON DIRECTOR 1.00 X 0 0 0 CECILIA REID DIRECTOR 1.00 X 0 0 0 BEVERLY TALBERT DIRECTOR 1.00 X 0 0 0 JOELLEN KEMMNER CHAIR 4.00 X X 0 0 0 TODD SOMMERS DIRECTOR 1.00 X 0 0 0 LOU ORTENZIO DIRECTOR 1.00 X 0 0 0 BONNIE STARKEY DIRECTOR 1.00 X 0 0 0 SISTER MARY REBECCA FIDLER RSM MD CEO 5.00 X 0 0 0 DR JD HISSEM DDS EXECUTIVE DIRECTOR 10.00 X 0 0 0 DR RICHARD MECKSTROTH DDS VICE-CHAIR 4.00 X 0 0 0 TERRY WAXMAN SECRETARY 4.00 X 0 0 0 BARBARA PRINCE TREASURER 4.00 X 0 0 0 0 0 0 0 0 0 0 0 20833 358905 379738 3917 3917 383655 0 0 3917 79782 54210 25572 6801 4621 2180 20756 10378 10378 8847 1720 7127 26621 26621 1142 1142 11726 11726 CONTRACT SERVICES 279550 279550 DENTAL SUPPLIES 7897 7897 OTHER EXPENSES 2913 2913 REPAIRS & MAINTENANCE 1995 1995 448030 397865 50165 0 223035 156565 368901 373697 7025 6356 57079 52827 5394 4252 604355 540870 4393 5283 4393 5283 X 599962 535587 599962 535587 604355 540870 -64375 0 X X 1 X 0 0 0 X 375267 322963 486375 376040 379738 1940383 375267 322963 486375 376040 379738 1940383 1940383 7182 10146 12827 1220 3917 35292 1975675 0.98210 0.98040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 6647 5021 1626 50432 47806 2626 4252 X PART X, LINE 2: THE ORGANIZATION IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (CODE) AND IS RECOGNIZED AS TAX EXEMPT UNDER 501(A) OF THE CODE. IN ADDITION, THE ORGANIZATION QUALIFIES FOR THE CHARITABLE CONTRIBUTION DEDUCTION UNDER SECTION 170(B)(1)(A) AND HAS BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION UNDER 509(A)(1). THE ORGANIZATION HAD NO UNRELATED BUSINESS INCOME DURING THE YEAR ENDED DECEMBER 31, 2023. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE THE ORGANIZATION TO EVALUATE TAX POSITIONS TAKEN BY THE ORGANIZATION AND RECOGNIZE A TAX LIABILITY OR ASSET IF THE ORGANIZATION HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICES (IRS). THE ORGANIZATION HAS CONCLUDED THAT AS OF DECEMBER 31, 2023, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR ASSET OR DISCLOSURE IN THE FINANCIAL STATEMENTS. GENERALLY, TAX RETURNS FOR YEAR ENDED DECEMBER 31, 2020, AND THEREAFTER REMAIN SUBJECT TO EXAMINATION BY FEDERAL AND STATE TAX AUTHORITIES. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD MEMBERS ARE PROVIDED A COPY OF THE 990 AND IT IS REVIEWED AT BOARD MEETING. FORM 990, PART VI, SECTION B, LINE 12C THE CLINIC ENFORCES AN ANNUAL DISCLOSURE REQUIREMENT WITH ITS CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION C, LINE 19 THE CLINIC MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 2C THE ORGANIZATION HAS A COMMITEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS FINANCIAL STATEMENTS. THE SELECTION PROCESS FOR CHOOSING AN INDEPENDENT ACCOUNTANT HAS NOT CHANGED FROM THE PREVIOUS YEAR.