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Governance Register
US nonprofit · EIN 201957993 · Sandwich, MAiSource and licenceOrganisation record IRS Exempt Organizations Business Master File (EIN 201957993) - NTEE activity code, address.Board and officers IRS Form 990 annual filings, Part VII (directors, trustees, officers, key employees), read year by year to observe time served.Latest return IRS Form 990 series e-file data - 990 for the year to 30 September 2025: assets, liabilities, staff, website, telephone, pay.Finances by year IRS Form 990 e-file data - total revenue and total expenses by tax year.Renewal outlook Computed by Governance Register from the observed filing history and filed revenue. Not a statement that the organisation is recruiting.Principal officer IRS Form 990-N (e-Postcard) - principal officer named for tax year 2008.Deductibility IRS Publication 78 data (code PC), downloaded 18 October 2026.Licence US Federal Government public domain.How we handle data

Medicaid Schip Dental Association's network

15 people5 organisationsi15 people and 5 organisations on this map.The large node is the subject of this page. Solid lines are what the register itself records (15). Violet dotted lines (5) are likely: the same full name sits on the current board of another organisation in the same register and region. Form 990 filings give names without a person identifier; SEC insider filings carry a CIK. It may be a different person.

The board

15 listediTime on the board is observed from the annual filings: the IRS files no appointment date, so the bar counts years from the first filing the person appears on - a lower bound, not a filed start date. Names are exactly as filed. The IRS publishes no person identifier, so this edition does not yet link a person across organisations in the tables. The network map shows same-name matches as likely links only, never as confirmed.Time served and departures are observed across annual filings. Observed time served is a lower bound - a member may have joined before the first year on record. The organisation reported 17 voting members of its governing body on its latest Form 990 Part VI, which matches the board listed here.
NameRole as filedSinceOn the board
Amanda FahrendorfDirector2025
1 yr
Elizabeth PittsVice Preside2023
3 yrs
Heather MillerImmediate Pa2021
5 yrs
John SchaakDirector2025
1 yr
Justin GistDirector2025
1 yr
Kevin ThomasDirector2021
5 yrs
Margaret Delmore MD DDSPresident2024
2 yrs
Mark DohertyDirector2025
1 yr
Michael O'ConnorDirector2025
1 yr
Michele GrigitsSec/Treasure2025
1 yr
Mindy BrodaDirector2023
3 yrs
Samantha JordanDirector2025
1 yr
Scott Cashion DDSDirector2023
3 yrs
Sean ShamlooDirector2025
1 yr
Steve HigginbothamDirector2025
1 yr
Under 5 years5 to 6 years6 years or moreShow all 15 →

Officers and senior leadership

5 listediNamed in Part VII as officers, key employees or highest-compensated staff - not board members, shown for completeness.
NameTitle as filedOn the filings
Heather MillerPresident2023
Margaret Delmore MD DDSVice Preside2023
Marty DellapennaStaffsince 2019
Mary FoleyExecutive Disince 2023
Shirley A SpaterSecretary/Tr2023

Pay and hours

year to 30 September 2025iFrom Part VII of the Form 990: compensation reported for each officer, director, trustee, key employee and highest-paid staff member, and the average hours a week they report. Most board members are unpaid; a blank means nothing was reported. Pay from related organisations is shown separately.
NameTitle as filedHours a weekPay from the organisationRelated organisationsOther
Mary FoleyExecutive Di$169k
Marty DellapennaStaff$131k
Mindy BrodaDirector$0
Margaret Delmore MD DDSPresident$0
Scott Cashion DDSDirector$0
Mark DohertyDirector$0
Amanda FahrendorfDirector$0
Justin GistDirector$0
Michele GrigitsSec/Treasure$0
Steve HigginbothamDirector$0
Samantha JordanDirector$0
Heather MillerImmediate Pa$0
Michael O'connorDirector$0
Elizabeth PittsVice Preside$0
John SchaakDirector$0
Sean ShamlooDirector$0
Kevin ThomasDirector$0

About

Legal name
Medicaid Schip Dental Association
EIN
201957993
Address
2 Grove Street 1, Sandwich, MA, 02563-2124
State
Massachusetts
Mission
To develop, promote, and promulgate evidence and best practices based on state and national medicaid medicare chip oral health policies and practices. (as filed on the Form 990)
Activity (NTEE)
E03 Health care
IRS classification
501(c)03 (tax-exempt under section 501(c)(3) where shown)
Classified purpose
Health Care
Size band
5 (IRS master file code)
Formed
2004
Principal officer
Margaret Delmore MD DDS (as named on the Form 990)
IRS ruling date
1 August 2006
Status
Code 01 (unconditional exemption)
Form 990 filings on record
6, latest 2025
IRS Publication 78
PC (contributions deductible)

Most connected

Longest observed on the filings

≥5years on the filingsHeather Miller
≥5years on the filingsKevin Thomas
≥3years on the filingsElizabeth Pitts
≥3years on the filingsMindy Broda

Latest return

year to 30 September 2025iFigures from the newest Form 990 or 990-EZ in the IRS e-file releases of 2025 and 2026, for the year ending 30 September 2025. US dollars, as filed.
Total assets
$897k
Total liabilities
$1k
Net assets or fund balances
$896k
Contributions and grants received
$192k
Program service revenue
$997k
Employees
2

Filed finances

1 yeariTotals as filed on the IRS Form 990 (revenue and expenses), by tax year.
Tax yearTotal revenueTotal expensesSurplus or deficit
2023$762k$649k$114k

As filed on the IRS Form 990. US dollars.