Civic Intelligence

Kemple Memorial Children'S Clinic

EIN 93-1241460 • 501(c)3 • Bend, OR

Profile

The clinic provides dental care to children of low income families, either at no cost or for a nominal donation.

1029 NW 14th St 101Bend, OR 97703

kempleclinic.com

Siviq Scores

Precomputed percentiles relative to similar nonprofits. These scores are descriptive rather than judgmental.

Liabilities / Assets

Score unavailable

No value available

Liabilities-to-assets requires both liabilities and assets on the latest valid filing.

Source year 2020

Liabilities / Revenue

62nd percentile

0.00x

Tied with the lowest-debt nonprofits in its peer group.

501(c)3 • <$500k nonprofits • Source year 2020

Net Margin

7th percentile

-176%

Higher net margin than 7% of similar nonprofits.

501(c)3 • <$500k nonprofits • Source year 2020

Top Officer Pay

92nd percentile

$41,292

Higher top officer pay than 92% of similar nonprofits.

Top officer pay equals 45.8% of source-year revenue.

501(c)3 • <$500k nonprofits • Source year 2020

Asset Growth

10th percentile

-100%

Faster asset growth than 10% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Revenue Growth

15th percentile

-59%

Faster revenue growth than 15% of similar nonprofits.

501(c)3 • <$500k nonprofits • Annualized from 2019 to 2020

Balance Sheet
Liabilities / AssetsScore unavailable

Assets

Down

$0

Down $162,178 (-100%) from 2019

Liabilities

Down

$0

Down $4,537 (-100%) from 2019

Net Assets

Down

$0

Down $157,641 (-100%) from 2019

Operations
Liabilities / Revenue62nd percentileNet Margin7th percentile

Revenue

Down

$90,178

Down $131,341 (-59%) from 2019

Expenses

Up

$248,685

Up $60,555 (+32%) from 2019

Net Income

Down

-$158,507

Down $191,896 (-575%) from 2019

Trend Graphs

Balance Sheet Trend

Asset Growth10th percentile

Grouped bars show assets, liabilities, and net assets across loaded filings.

$200K$150K$100K$50K$0Assets 2011: $194,971Net Assets 2011: $194,9712011Assets 2012: $185,316Net Assets 2012: $185,3162012Assets 2013: $169,063Liabilities 2013: $41,500Net Assets 2013: $127,5632013Assets 2014: $142,492Liabilities 2014: $36,626Net Assets 2014: $105,8662014Assets 2015: $183,194Liabilities 2015: $55,894Net Assets 2015: $127,3002015Assets 2016: $158,142Liabilities 2016: $36,242Net Assets 2016: $121,9002016Assets 2017: $148,954Liabilities 2017: $36,185Net Assets 2017: $112,7692017Assets 2018: $128,390Liabilities 2018: $2,503Net Assets 2018: $125,8872018Assets 2019: $162,178Liabilities 2019: $4,537Net Assets 2019: $157,6412019Assets 2020: $0Liabilities 2020: $0Net Assets 2020: $02020

Highlighted filing

2020

Assets$0
Liabilities$0
Net Assets$0
Open 2020 Filing

Operations Trend

Revenue Growth15th percentile

Revenue, expenses, and net income by year, with the latest filing highlighted.

$400K$200K$0-$200KRevenue 2011: $82,776Expenses 2011: $69,616Net Income 2011: $13,1602011Revenue 2012: $68,079Expenses 2012: $73,745Net Income 2012: -$5,6662012Revenue 2013: $77,503Expenses 2013: $139,555Net Income 2013: -$62,0522013Revenue 2014: $195,173Expenses 2014: $219,594Net Income 2014: -$24,4212014Revenue 2015: $224,379Expenses 2015: $201,143Net Income 2015: $23,2362015Revenue 2016: $239,540Expenses 2016: $239,903Net Income 2016: -$3632016Revenue 2017: $233,636Expenses 2017: $247,358Net Income 2017: -$13,7222017Revenue 2018: $237,857Expenses 2018: $225,550Net Income 2018: $12,3072018Revenue 2019: $221,519Expenses 2019: $188,130Net Income 2019: $33,3892019Revenue 2020: $90,178Expenses 2020: $248,685Net Income 2020: -$158,5072020

Highlighted filing

2020

Revenue$90,178
Expenses$248,685
Net Income-$158,507
Open 2020 Filing

Filings

Most recent year

2020 • Form 990Facts available. Structured filing facts are available, but richer extracted sections are limited.

Open filing
Assets
$0
Liabilities
$0
Net assets
$0
Revenue
$90,178
Expenses
$248,685
Net income
-$158,507
Balance SheetOperations
YearAssetsLiabilitiesNet AssetsRevenueExpensesNet Income
2020Facts available. Structured filing facts are available, but richer extracted sections are limited.$0.00$0.00$0.00$0.90$2.49$1.59
2019XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.62$0.05$1.58$2.22$1.88$0.33
2018XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.28$0.03$1.26$2.38$2.26$0.12
2017XML pending. An XML filing is linked for this year, but detailed extraction is still pending.$1.49$0.36$1.13$2.34$2.47$0.14
2016Detailed filing. Detailed filing data is available for this year.$1.58$0.36$1.22$2.40$2.40$0.00
2015Detailed filing. Detailed filing data is available for this year.$1.83$0.56$1.27$2.24$2.01$0.23
2014Detailed filing. Detailed filing data is available for this year.$1.42$0.37$1.06$1.95$2.20$0.24
2013Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.69$0.42$1.28$0.78$1.40$0.62
2012Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.85$1.85$0.68$0.74$0.06
2011Facts available. Structured filing facts are available, but richer extracted sections are limited.$1.95$1.95$0.83$0.70$0.13
Latest Filing Detail
Jump To
Filing Snapshot
Filing Period
Jul 1, 2019 to Jun 30, 2020
Signed
Nov 9, 2020
Return Version
2019v5.0
Gross Receipts
$102,983
Mission and Program Overview

Mission

The clinic provides dental care to children of low income families, either at no cost or for a nominal donation. In addition, preventative dental services are provided to children in the schools and other community venues.

Balance Sheet Detail
LineBeginningEndChange
Assets
Investments in Publicly Traded Securities$94,933--
Cash and Non-Interest-Bearing Accounts$59,524--
Land, Buildings, and Equipment, Net$7,721--
Total Assets$162,178$0▼ $162,178
Liabilities
Other Liabilities$4,537--
Total Liabilities$4,537$0▼ $4,537
Net Assets / Fund Balance
Net Assets Without Donor Restrictions$157,641--
Total Net Assets Fund Balance$157,641$0▼ $157,641
Total Liabilities and Net Assets / Fund Balance$162,178$0▼ $162,178
Compensation and Service Providers
Top Officer Pay92nd percentile

Employees

NameTitleFull / Part TimeBaseTotal
Debbi SmithMgr-programsPT$41,292$41,292
Suzanne BrowningExecutive Di-$24,000$24,000

Board Members and Trustees

NameTitle
Kathy SaterdahlPresident
Dr Ben Bryan DmdBoard Member
Dr Ben Grieb DmdBoard Member
Dr Elise Burrus DdsBoard Member
Dr Jean Martin DdsBoard Member
Dr Tom Rheuben DmdBoard Member
Dr Tran Quach-miller DmdBoard Member
Jake PaltzerBoard Member
Dr Brad Hester DmdAdvisory COU
Dr Catherine Quas DmdAdvisory COU
Dr Jeff Timm DmdAdvisory COU
Dr Mark Jensen DmdAdvisory COU
Terryl KempleAdvisory COU
Corey DriscollSecretary
Stephen L Callan CPATreasurer
Revenue and Support

Revenue Composition

Contributions and Grants
$71,722
Program Service Revenue
$0
Investment Income
$289
Other Revenue
$18,167
All Other Contributions
$31,000
Change in Net Assets
$-158,507
Expenses and Functional Allocation

Major Expense Lines

Line ItemAmount
Salaries, Compensation, and Employee Benefits$104,900
Grants and Similar Amounts Paid$91,123
Other Expenses$52,662
Professional Fundraising Fees$0
Total Fundraising Expense$0

Functional Expense Allocation

Line ItemProgramManagementFundraisingTotal
Grants to Domestic Orgs$91,123--$91,123
Current Officers, Directors, Trustees, and Key Employees$65,292--$65,292
Other Salaries and Wages$33,253--$33,253
Occupancy$7,497--$7,497
Payroll Taxes$6,355--$6,355
Fees for Services Accounting$5,506--$5,506
All Other Expenses$4,626--$4,626
Insurance$3,609--$3,609
Office Expenses$2,640--$2,640
Advertising$2,548--$2,548
Information Technology$2,058--$2,058
Other Expenses$1,361--$1,361
Depreciation Depletion$533--$533
Total Functional Expenses$248,685$0$0$248,685
International Activity

Grant and Assistance Recipients

RecipientLocationCategoryPurposeAmount
Mosaic MedicalPrineville, OR--$80,406
Fundraising, Events, and Gaming
Fundraising activities
Yes
Gaming activities
No
Professional fundraiser used
No

Fundraising and Gaming Totals

Line ItemAmount
Fundraising Gross Income$20,254
Fundraising Direct Expenses$2,087
Professional Fundraising Fees$0

Fundraising Events

EventGross ReceiptsGross RevenueDirect ExpensesNet Income
Brighter Smiles$20,100$20,100$829$19,271
Total Events$20,100$20,100$829$19,271
Political and Lobbying Activity
Political campaign activity
No
Lobbying activity
No
Subject to proxy tax
No
Governance and Compliance

Governance Checklist

Compiled or reviewed by an accountant
No
Backup withholding compliance
No
Business relationship with 35% controlled entity
No
Business relationship with family members
No
Business relationship with organization members
No
Material changes to governing documents
No
Compensation from other sources disclosed
No
CEO compensation reviewed
No
Other officer compensation reviewed
No
Conflict-of-interest policy
No
Audited financial statements prepared
No
Key decisions subject to board approval
No
Management duties delegated
No

Governance Explanations

Form 990, Page 6, Part VI, Line 11B

“Form 990 is reviewed by the president, executive director, and manager of programs and operations prior to filing.”

Form 990, Page 6, Part VI, Line 19

“Governing documents are available upon request.”

Filing and Contact Details

Filer

Filer Name
KEMPLE MEMORIAL CHILDREN'S CLINIC
EIN
93-1241460
Phone
5416171653
Address
1029 NW 14TH ST 101, BEND, OR 97703

Signing Officer

Name
Kathy Saterdahl
Title
President
Phone
5416171653
Signed
2020-11-09

Organization Details

Principal Officer
Kathy Saterdahl
Formed
1998
Legal Domicile
Or
Voting Board Members
10
Independent Board Members
9
Employees
5
Volunteers
20

Preparer

Firm
Callan Accounting Cpas & Advisors LLC
Address
855 SW YATES DR STE 101, BEND, OR 97702-3217
Preparer
Stephen L Callan
Phone
5413883838
Supplemental Narrative

Additional Explanations

FORM 990 - ORGANIZATION'S MISSION

“The clinic provides dental care to children of low income families, either at no cost or for a nominal donation. In addition, preventative dental services are provided to children in the schools and other community venues.”

Form 990, Part XI, Line 9

“Donated services expense -243,750”

Raw XML AppendixShowing 400 of 468 raw XML fields

This appendix keeps the raw XML leaves available for debugging and edge-case review. The human report above is the primary experience.

Path#Value
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IRS990/AdvertisingGrp/ProgramServicesAmt02548
IRS990/AdvertisingGrp/TotalAmt02548
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IRS990/BooksInCareOfDetail/PhoneNum05416171653
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IRS990/CYOtherRevenueAmt018167
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IRS990/CYRevenuesLessExpensesAmt0-158507
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IRS990/DecisionsSubjectToApprovaInd0false
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IRS990/DeductibleNonCashContriInd0false
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IRS990/DescribedInSection501c3Ind0true
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IRS990/DonorAdvisedFundInd0false
IRS990/DonorRstrOrQuasiEndowmentsInd0false
IRS990/ElectionOfBoardMembersInd0false
IRS990/EmployeeCnt05
IRS990/EmploymentTaxReturnsFiledInd0false
IRS990/EngagedInExcessBenefitTransInd0false
IRS990/ExpenseAmt0248685
IRS990/FamilyOrBusinessRlnInd0false
IRS990/FederatedCampaignsAmt040722
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IRS990/FinalReturnInd0X
IRS990/ForeignActivitiesInd0false
IRS990/ForeignFinancialAccountInd0false
IRS990/ForeignOfficeInd0false
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IRS990/Form990PartVIISectionAGrp/OtherCompensationAmt00
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IRS990/Form990PartVIISectionAGrp/PersonNm12DR JEFF TIMM DMD
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IRS990/Form990PartVIISectionAGrp/TitleTxt11ADVISORY COU
IRS990/Form990PartVIISectionAGrp/TitleTxt12ADVISORY COU
IRS990/Form990PartVIISectionAGrp/TitleTxt13ADVISORY COU
IRS990/Form990PartVIISectionAGrp/TitleTxt14ADVISORY COU
IRS990/Form990PartVIISectionAGrp/TitleTxt15EXECUTIVE DI
IRS990/Form990PartVIISectionAGrp/TitleTxt16MGR-PROGRAMS
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IRS990/MissionDesc0THE CLINIC PROVIDES DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES, EITHER AT NO COST OR FOR A NOMINAL DONATION. IN ADDITION, PREVENTATIVE DENTAL SERVICES ARE PROVIDED TO CHILDREN IN THE SCHOOLS AND OTHER COMMUNITY VENUES.
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IRS990/OfficeExpensesGrp/TotalAmt02640
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IRS990/OtherExpensesGrp/Desc1SOFTWARE
IRS990/OtherExpensesGrp/Desc2DENTAL SUPPLIES
IRS990/OtherExpensesGrp/Desc3CONTRACTED SERVICES
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IRS990/PYRevenuesLessExpensesAmt033389
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IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus3YearsAmt0195492
IRS990ScheduleA/GiftsGrantsContriRcvd170Grp/CurrentTaxYearMinus4YearsAmt0195783
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IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearAmt0289
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus1YearAmt07617
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus2YearsAmt05318
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus3YearsAmt02710
IRS990ScheduleA/GrossInvestmentIncome170Grp/CurrentTaxYearMinus4YearsAmt01294
IRS990ScheduleA/GrossInvestmentIncome170Grp/TotalAmt017228
IRS990ScheduleA/GrossReceiptsRltdActivitiesAmt0112077
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IRS990ScheduleA/PublicSupportPY170Pct00.97730
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IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus3YearsAmt0195492
IRS990ScheduleA/TotalCalendarYear170Grp/CurrentTaxYearMinus4YearsAmt0195783
IRS990ScheduleA/TotalCalendarYear170Grp/TotalAmt0847928
IRS990ScheduleA/TotalSupportAmt0865156
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IRS990ScheduleB/ContributorInformationGrp/ContributorNum0RESTRICTED
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IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/State0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/ContributorUSAddress/ZIPCode0RESTRICTED
IRS990ScheduleB/ContributorInformationGrp/TotalContributionsAmt0RESTRICTED
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IRS990ScheduleG/FundraisingEventInformationGrp/GrossReceiptsTotalAmt020100
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueEvent1Amt020100
IRS990ScheduleG/FundraisingEventInformationGrp/GrossRevenueTotalEventsAmt020100
IRS990ScheduleG/FundraisingEventInformationGrp/NetIncomeSummaryAmt019271
IRS990ScheduleG/FundraisingEventInformationGrp/OthDirectExpnssTotalEventsAmt0829
IRS990ScheduleG/FundraisingEventInformationGrp/OtherDirectExpensesEvent1Amt0829
IRS990ScheduleI/GrantRecordsMaintainedInd0false
IRS990ScheduleI/RecipientTable/CashGrantAmt080406
IRS990ScheduleI/RecipientTable/NonCashAssistanceAmt010717
IRS990ScheduleI/RecipientTable/NonCashAssistanceDesc0EQUIPMENT
IRS990ScheduleI/RecipientTable/RecipientBusinessName/BusinessNameLine1Txt0MOSAIC MEDICAL
IRS990ScheduleI/RecipientTable/RecipientEIN0931329158
IRS990ScheduleI/RecipientTable/USAddress/AddressLine1Txt0375 NW BEAVER STREET STE 101
IRS990ScheduleI/RecipientTable/USAddress/CityNm0PRINEVILLE
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IRS990ScheduleN/BondsOutstandingInd0false
IRS990ScheduleN/DirectorOfSuccessorInd0false
IRS990ScheduleN/EmployeeOfSuccessorInd0false
IRS990ScheduleN/LiabilitiesPaidInd0false
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/BusinessName/BusinessNameLine1Txt1MOSAIC MEDICAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt02020-06-30
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/DistributionDt12020-06-30
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IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/FairMarketValueOfAssetAmt110717
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt0501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/IRCSectionTxt1501(C)(3)
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt0ACTUAL
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/MethodOfFMVDeterminationTxt1BOOK VALUE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt0375 NW BEAVER STREET STE 101
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/AddressLine1Txt1375 NW BEAVER STREET STE 101
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm0PRINEVILLE
IRS990ScheduleN/LiquidationOfAssetsTableGrp/LiquidationOfAssetsDetail/USAddress/CityNm1PRINEVILLE
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IRS990ScheduleN/OwnerOfSuccessorInd0false
IRS990ScheduleN/ReceiveCompensationInd0false
IRS990ScheduleN/RequiredToNotifyAGInd0false
IRS990/ScheduleORequiredInd0true
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt0THE CLINIC PROVIDES DENTAL CARE TO CHILDREN OF LOW INCOME FAMILIES, EITHER AT NO COST OR FOR A NOMINAL DONATION. IN ADDITION, PREVENTATIVE DENTAL SERVICES ARE PROVIDED TO CHILDREN IN THE SCHOOLS AND OTHER COMMUNITY VENUES.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt1FORM 990 IS REVIEWED BY THE PRESIDENT, EXECUTIVE DIRECTOR, AND MANAGER OF PROGRAMS AND OPERATIONS PRIOR TO FILING.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt2GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST.
IRS990ScheduleO/SupplementalInformationDetail/ExplanationTxt3DONATED SERVICES EXPENSE -243,750
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc0FORM 990 - ORGANIZATION'S MISSION
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc1FORM 990, PAGE 6, PART VI, LINE 11B
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc2FORM 990, PAGE 6, PART VI, LINE 19
IRS990ScheduleO/SupplementalInformationDetail/FormAndLineReferenceDesc3FORM 990, PART XI, LINE 9
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IRS990/SignificantChangeInd0false
IRS990/SignificantNewProgramSrvcInd0false
IRS990/StatesWhereCopyOfReturnIsFldCd0OR
IRS990/SubjectToExcsTaxNetInvstIncInd0false
IRS990/SubjectToProxyTaxInd0false
IRS990/SubjToTaxRmnrtnExPrchtPymtInd0false
IRS990/TaxablePartyNotificationInd0false
IRS990/TaxExemptBondsInd0false
IRS990/TerminateOperationsInd0true
IRS990/TotalAssetsBOYAmt0162178
IRS990/TotalAssetsEOYAmt00
IRS990/TotalAssetsGrp/BOYAmt0162178
IRS990/TotalAssetsGrp/EOYAmt00

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