The Tooth Truck Inc

Nonprofit profile at a glance

EIN
412028871
IRS 990 coverage
2014–2025
Forms available
Form 990 2025
Location
Springfield, MO, USA
Phone
4178753500
Rating
81
Verdict
STRONG
Rating confidence
Moderate
Sector
Health Treatment Facilities, Primarily Outpatient

Official website

Reported finances

Revenue
$520,463
Expenses
$765,409
Assets
$616,413
Liabilities
$24,082

Source: IRS Form 990. Selected filing: tax year 2025. Amounts in USD.

Leadership & pay

12 people listed

Executive titles in this filing

  • BONNIE KELLER (PRESIDENT AND CEO)

Highest reported compensation

  • DR SARAH CIMINO (DENTIST): $221,378 total reported compensation
  • BONNIE KELLER (PRESIDENT AND CEO): $177,347 total reported compensation

Source: IRS Form 990. Selected filing: tax year 2025. Names and roles reflect this filing, not necessarily current officeholders.

Overview

Mission

The ronald mcdonald care mobile offers children professional dental care their families would otherwise not be able to afford. Since 2002, we've provided more than 73,000 dental appointments for over 36,000 at-risk children.

What it reported doing in 2025

The ronald mcdonald care mobile, lovingly known as the tooth truck, is a mobile dental clinic that brings essential dental care directly to at-risk children in springfield and nearby communities. Serving children who qualify for free or reduced-price school lunches, the tooth truck provides treatment and education at no cost, regardless of medicaid status. Since its first day on the road, july 8, 2002, the tooth truck has delivered over 73,000 dental appointments to more than 36,000 children, with care valued at nearly $28 million. In 2025 alone, the tooth truck provided 2,575 dental appointments for 1,653 children, delivering more than $2.05 million in care. Our commitment to long-term impact includes the healthy smiles academy, a daily toothbrushing program that began in 2011 and was reinstated in fall 2023 after a covid-related pause. In 2025, 3,431 young children benefited from this preventive care initiative.

Operating model

Revenue model
Earned-program. 71% of the money available for current operations came from fees and other program revenue.
Distribution model
Direct operator. The filing allocates 100% of reported program-service expenses outside its grant, affiliate-payment, and member-benefit lines. This expense classification does not rule out separately announced grant awards.
  • Includes noncash contributions: Reported contributions include donated property or goods.

The verdict

STRONG - A large share of available resources goes toward mission work and most voting board members are independent. Few specific pay-setting methods are documented in the filing; unanswered boxes are not proof of absence and expenses are high relative to revenue.

Rating breakdown

  • Financial Efficiency: 88
  • Transparency & Controls: 65
  • Accountability: 100
  • Sustainability: 18
  • Growth: 100

Detailed rating inputs

Financial Efficiency

  • Mission deployment rate: 100%; rating input score 100
  • Program expense ratio: 97.9%; rating input score 98
  • Fundraising efficiency: Limited

Transparency & Controls

  • Consistency checks: 100%; rating input score 100; 63rd percentile among comparable filings
  • Pay-setting controls: 0 of 6 controls in place; rating input score 0
    • Compensation committee: Missing
    • Independent consultant: Missing
    • Other Form 990s reviewed: Missing
    • Written employment contract: Missing
    • Compensation survey or study: Missing
    • Board or committee approval: Missing
  • Foreign activity oversight: Limited
  • Grant itemization coverage: Limited
  • Major donor itemization: Yes; rating input score 100
  • Related-party transparency: Limited

Accountability

  • Independent voting board: 100%; rating input score 100; 64th percentile among comparable filings
  • Governance controls: 8 of 8 controls in place; rating input score 100
    • Conflict-of-interest policy: Pass
    • Whistleblower policy: Pass
    • Document-retention policy: Pass
    • CEO compensation review process: Pass
    • Other executive compensation review process: NotApplicable
    • Form 990 shared with the board: Pass
    • Board meeting minutes documented: Pass
    • Audit committee oversight: Pass
    • Independent financial-statement audit: Pass

Sustainability

  • Operating margin: -47.1%; rating input score 2; 2nd percentile among comparable filings
  • Total-asset coverage ratio: 0.81; rating input score 37; 37th percentile among comparable filings
  • Liabilities to assets ratio: 0.04; rating input score 46; 46th percentile among comparable filings
  • Officer compensation ratio: 31.2%; rating input score 7; 7th percentile among comparable filings

Growth

  • Program expense growth: 3.9% per year; rating input score 100; 31st percentile among comparable filings
  • Revenue growth: 4.2% per year; rating input score 100; 33rd percentile among comparable filings
  • Asset growth: 22.3% per year; rating input score 100; 82nd percentile among comparable filings

Details

  • Where the money goes: 100% of revenue deployed · 97.9% of spending went to programs
  • Governance: 9 of 9 board members independent · 8 of 8 filing controls reported
  • Programs: 1 filed program accomplishment · $749K in reported program spending
  • Leadership: top reported pay $221K · 12 people listed · 0 of 6 pay-setting controls reported
  • Consistency: 30 of 30 current checks pass
  • Schedules: 8 filed schedules · includes major donors and executive pay
  • Filing history: 11 filing years from 2014 to 2025
  • Contacts: How to reach this organization
  • Money network: 1 filed money-flow record
  • Related organizations: 1 filed related-organization link
  • Grant readiness: Federal tax and exclusion status, award history, and grant-maker relationships.
  • People: Everyone the filings name, and which of them the filings identify by more than a name.

Key Signals

Signals prioritize questions for review. They are not findings of misconduct.

  • High — Transparency & Controls: Pay-setting controls scored 0/100.
  • High — Sustainability: Operating margin scored 2/100.
  • Moderate — Sustainability: Total-asset coverage ratio scored 37/100.
  • High — Sustainability: Officer compensation ratio scored 7/100.
  • Moderate — Sustainability: Liabilities to assets ratio scored 46/100.