ABCDEFGHIJKLMNOPQTUVWXYZ
1
DentalGeneral FundHispanic Family TherapyMedicalMNSureTOTAL
2
Ordinary Income/Expense
3
Income
4
43300 · Grants
5
43301 · Private Grants
6
43330 · Foundation and Trust Grants55,305.2543,338.1238,724.5955,540.8123,896.01216,804.78
7
43350 · Fernbrook Mental Health0.000.0028,043.890.000.0028,043.89
8
43370 · United Way0.0012,000.000.000.000.0012,000.00
9
46005 · Bright Smiles - Grants10,476.000.000.000.000.0010,476.00
10
Total 43301 · Private Grants
65,781.2555,338.1266,768.4855,540.8123,896.01267,324.67
11
44500 · Government Grants
90,144.691,294.2827,506.9247,663.4730,244.70196,854.06
12
Total 43300 · Grants
155,925.9456,632.4094,275.40103,204.2854,140.71464,178.73
13
43400 · Donations
14
43410 · Corporate Contributions
0.009,288.000.007,587.240.0016,875.24
15
43420 · Nonprofit Organ. Contributions
0.001,248.401,549.0815,000.000.0017,797.48
16
43450 · Individ Contributions
0.0037,542.120.0065.000.0037,607.12
17
43452 · Annual Update Letter
200.0015,077.280.000.000.0015,277.28
18
43453 · Fund Letter
5,488.3239,108.600.000.000.0044,596.92
19
43455 · Thrivent Choice
0.00665.000.000.000.00665.00
20
43460 · Patient Donations
100.000.000.001,833.000.001,933.00
21
43470 · Church Contributions
0.006,500.000.000.000.006,500.00
22
Total 43400 · Donations
5,788.32109,429.401,549.0824,485.240.00141,252.04
23
45000 · Investments
24
45010 · Interest - Misc
0.00209.630.000.000.00209.63
25
45030 · Interest - checking xxx2624
0.00259.790.000.000.00259.79
26
45050 · Interest - Money Mkt xxx7558
0.00394.680.000.000.00394.68
27
Total 45000 · Investments
0.00864.100.000.000.00864.10
28
46000 · Service Income
29
44502 · MNSure Enrollment Fees
0.000.000.000.0012,530.0012,530.00
30
46001 · Patient Fees-Net of write offs
19,623.000.000.000.000.0019,623.00
31
46002 · Insurance Reimbursement
320,391.460.000.000.000.00320,391.46
32
Total 46000 · Service Income
340,014.460.000.000.0012,530.00352,544.46
33
49000 · Miscellaneous Income
34
49010 · Other Income
0.0050.000.000.000.0050.00
35
49000 · Miscellaneous Income - Other
100.0010,136.000.000.00300.0010,536.00
36
Total 49000 · Miscellaneous Income
100.0010,186.000.000.00300.0010,586.00
37
49900 · Gifts of In-Kind
38
49910 · In-Kind Diagnostics
0.000.000.0086,147.000.0086,147.00
39
49920 · In-Kind Facilities
0.0045,500.000.000.000.0045,500.00
40
49930 · In-Kind Goods
0.0037.680.0062,108.750.0062,146.43
41
49940 · In-Kind RX
2,185.900.000.00367,338.200.00369,524.10
42
49950 · In-Kind PAP
0.000.000.00398,640.000.00398,640.00
43
49960 · In-Kind Professional Services
0.00114,943.000.000.000.00114,943.00
44
49999 · In-Kind Other
0.00236.810.000.000.00236.81
45
Total 49900 · Gifts of In-Kind
2,185.90160,717.490.00914,233.950.001,077,137.34
46
Total Income
504,014.62337,829.3995,824.481,041,923.4766,970.712,046,562.67
47
Gross Profit
504,014.62337,829.3995,824.481,041,923.4766,970.712,046,562.67
48
Expense
49
60000-X · Medical Expenses
50
60410 · Medical Wages
0.000.000.000.000.000.00
51
60412 · MNSure Wages
0.000.000.000.000.000.00
52
60450-X · Interpret/translate wages
0.000.000.000.000.000.00
53
Total 60000-X · Medical Expenses
0.000.000.000.000.000.00
54
60000 · Program Expenses
55
60050 · Dues & Subscriptions
0.002,505.000.000.000.002,505.00
56
60100 · Employee Health & Wellness
120.00140.000.000.000.00260.00
57
60150 · Licenses & Permits
224.730.000.000.000.00224.73
58
60200 · Fees
682.13590.220.006.990.001,279.34
59
60250 · Mileage
216.7536.037,633.20427.740.008,313.72
60
60300 · Repairs & Maintenance
4,924.89244.000.000.000.005,168.89
61
60350 · RX Expense
1,092.950.000.0021,391.440.0022,484.39
62
60400 · Small Equip Purch (<$5,000)
0.00972.260.001,867.180.002,839.44
63
60450 · Staff Training & Education
734.90890.100.000.00295.001,920.00
64
60500 · Supplies
65
60520 · Dental Supplies29,092.7329.990.0057.000.0029,179.72
66
60540 · HFT Supplies0.000.00274.120.000.00274.12
67
60560 · Medical Supplies0.0037.870.0022,038.810.0022,076.68
68
60580 · MNsure Supplies0.000.000.000.0013.5913.59
69
Total 60500 · Supplies
29,092.7367.86274.1222,095.8113.5951,544.11
70
61999 · Other Program Expenses
21.290.001,697.310.000.001,718.60
71
Total 60000 · Program Expenses
37,110.375,445.479,604.6345,789.16308.5998,258.22
72
60500-X · Dental Expense
73
60810-X · Dental Wages
0.000.000.000.000.000.00
74
60823-X · Dental Hygienist Wages
0.000.000.000.000.000.00
75
Total 60500-X · Dental Expense
0.000.000.000.000.000.00
76
62000 · Contractor Expenses
77
62100 · Accounting
0.009,455.000.000.000.009,455.00
78
62110 · Advanced Dental Therapist
76,820.0060.000.000.000.0076,880.00
79
62350 · Emergency Dental Services
12,515.250.000.000.000.0012,515.25
80
62400 · Janitor/Sanitation Services
4,006.802,205.00800.103,566.60556.5011,135.00
81
62500 · Therapist
0.000.0056,131.250.000.0056,131.25
82
62550 · Vista
4,250.0055.840.000.000.004,305.84
83
62999 · Misc Profess Contractor Service
0.008,294.760.000.000.008,294.76
84
Total 62000 · Contractor Expenses
97,592.0520,070.6056,931.353,566.60556.50178,717.10
85
64000 · Facility & Operation Expenses
86
64010 · Advertising
50.221,941.740.0016.7416.732,025.43
87
64020 · Depr and Amort - Allowable
3,259.757,404.160.001,184.490.0011,848.40
88
64030 · Donor Appreciation
0.00677.310.000.000.00677.31
89
64040 · Fundraising
0.0028.410.000.000.0028.41
90
64050 · Insurance
91
64060 · Malpractice Insurance2,038.43902.04207.61986.00376.364,510.44
92
64070 · D & O Insurance64.972,044.1012.6457.769.032,188.50
93
64080 · Gen Liability & Property Ins601.14162.15559.94550.031,180.443,053.70
94
64110 · Work Comp Insurance603.32186.8613.05269.57167.231,240.03
95
Total 64050 · Insurance
3,307.863,295.15793.241,863.361,733.0610,992.67
96
64120 · Office Supplies
224.391,392.920.00421.380.002,038.69
97
64130 · Postage & Shipping/handling
200.001,660.080.00311.0058.002,229.08
98
64140 · Printing & Copying
590.341,645.60141.67636.90590.343,604.85
99
64150 · Technology - Equip & Software
251.95600.750.00494.460.001,347.16
100
64160 · Technology - Services & Fees
3,245.332,104.79852.602,823.841,684.2510,710.81