DELTA DENTAL PLAN OF MICHIGAN: Form 990, tax year 2023
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL PLAN OF MICHIGAN (EIN 38-1791480)
- Tax period
- 2023-01-01 to 2023-12-31
- Filed
- 2024-11-13
- IRS object ID
- 202403189349304650
- Schema version
- 2023v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2024-11-13T10:50:35-06:00 | ReturnTs |
| Tax Period End | 2023-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 MICHIGAN AVE STE 100 | AddressLine1Txt |
| City | EAST LANSING | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48823 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2023-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381791480 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL PLAN OF MICHIGAN INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 5173496000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4100 OKEMOS ROAD | AddressLine1Txt |
| City | OKEMOS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48864 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | AMY BASEL | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 5173496000 | PhoneNum |
| Signature | 2024-11-12 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IRS Responsible Prty Info Curr | Yes (1) | IRSResponsiblePrtyInfoCurrInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 5173326200 | PhoneNum |
| Preparation | 2024-11-12 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2023 | TaxYr |
| Build TS | 2024-10-15 13:58:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | GORAN JURKOVIC | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4100 OKEMOS ROAD | AddressLine1Txt |
| City | OKEMOS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48864 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,354,438,204 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.DELTADENTALMI.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1957 | FormationYr |
| Legal Domicile State | MI | LegalDomicileStateCd |
| Activity Or Mission | DELTA DENTAL OF MICHIGAN'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH DENTAL SERVICES PROVIDED UNDER CONTRACTS WITH INDEPENDENT PROFESSIONAL SERVICE PROVIDERS, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 1214 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $45,168,078 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $3,872,713 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $1,123,836,261 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $1,177,589,951 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,445,017 | PYInvestmentIncomeAmt |
| CY Investment Income | $10,830,892 | CYInvestmentIncomeAmt |
| PY Other Revenue | $321,914 | PYOtherRevenueAmt |
| CY Other Revenue | $402,047 | CYOtherRevenueAmt |
| PY Total Revenue | $1,131,603,192 | PYTotalRevenueAmt |
| CY Total Revenue | $1,188,822,890 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $7,363,710 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,895,292 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $165,130,835 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $178,033,400 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $946,383,124 | PYOtherExpensesAmt |
| CY Other Expenses | $1,005,821,892 | CYOtherExpensesAmt |
| PY Total Expenses | $1,118,877,669 | PYTotalExpensesAmt |
| CY Total Expenses | $1,187,750,584 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $12,725,523 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,072,306 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $862,011,511 | TotalAssetsBOYAmt |
| Total Assets EOY | $918,626,400 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $191,514,407 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $208,198,626 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $670,497,104 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $710,427,774 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE ODELTA DENTAL OF MICHIGAN'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH DENTAL SERVICES PROVIDED UNDER CONTRACTS WITH INDEPENDENT PROFESSIONAL SERVICE PROVIDERS, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL. DELTA DENTAL OF MICHIGAN IS GOVERNED BY A BOARD OF DIRECTORS CONTROLLED BY INDEPENDENT MEMBERS OF THE COMMUNITY AND IT OFFERS ENROLLMENT IN ORAL HEALTH PLANS TO A BROAD BASE OF THE COMMUNITY THROUGH A VARIETY OF PAYMENT MODELS. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $1,051,671,401 | ExpenseAmt |
| Grant | $3,895,292 | GrantAmt |
| Revenue | $1,132,421,873 | RevenueAmt |
| Desc | PROMOTING DENTAL CAREDELTA DENTAL PLAN OF MICHIGAN, INC. IS A LEADING PREPAID DENTAL BENEFITS PROVIDER IN THE MIDWEST. THE PURPOSE OF THE ORGANIZATION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH. THIS IS DONE BY OFFERING INNOVATIVE, COST-EFFECTIVE PRODUCTS THAT MEET THE NEEDS OF CUSTOMERS. THIS WAS DEMONSTRATED IN 2023 BY PAYING OUT OVER $834 MILLION FOR DENTAL CARE, BY PROVIDING DENTAL BENEFITS FOR THE PUBLIC AND ADVANCING THE SCIENCE OF DENTISTRY. IN ADDITION, OVER 11.1 MILLION CLAIMS WERE PROCESSED FOR OVER 5.9 MILLION MEMBERS.SEE CONTINUATION ON SCHEDULE OCOST SAVING STRATEGIESDELTA DENTAL BENEFIT PLANS ARE COMMITTED TO SAVING GROUPS AND MEMBERS MONEY. THE DELTA DIFFERENCE IS AN INTEGRATION OF ACTIVITIES; SUCH AS COST MANAGEMENT POLICIES, FEE REDUCTION AGREEMENTS WITH DENTISTS, AND AN ANTI-FRAUD HOTLINE, PUT TO WORK ENSURING QUALITY, COST-EFFECTIVE DENTAL BENEFIT DELIVERY. COMMITMENT TO THE COMMUNITYDELTA DENTAL PLAN OF MICHIGAN, INC. BELIEVES ADVANCES IN DENTAL RESEARCH AND ENHANCED EDUCATIONAL OPPORTUNITIES FOR DENTISTS GO A LONG WAY TOWARD IMPROVING ORAL HEALTH. THE COMPANY IS A KEY PLAYER IN GROUNDBREAKING RESEARCH ON TRENDS IN ORAL HEALTH IN THE INSURED POPULATION. THE DELTA DENTAL FUND, THE COMPANY'S PHILANTHROPIC AFFILIATE, ENCOURAGES ADVANCES IN DENTISTRY AND SUPPORTS DENTAL EDUCATION AND RESEARCH. SINCE IT WAS FORMED IN 1980, THE DELTA DENTAL FUND HAS GRANTED OVER $54 MILLION TOWARD THE ADVANCEMENT OF DENTAL SCIENCE AND IMPROVEMENT OF THE ORAL HEALTH OF THE PUBLIC. DELTA DENTAL FUND REGULARLY PROVIDES FUNDING FOR PROGRAMS THAT HELP AT-RISK POPULATIONS AND INDIVIDUALS WITH SPECIAL NEEDS OBTAIN DENTAL TREATMENT, SCHOLARSHIP AND LEADERSHIP AWARDS TO DENTAL STUDENTS, GRANTS TO PURCHASE LEARNING TOOLS AND OTHER DENTAL SCHOOL PROGRAMS, CONTINUING EDUCATION PROGRAMS FOR THE DENTAL PROFESSION, AND EDUCATIONAL MATERIALS ON THE IMPORTANCE OF ORAL HEALTH AND HAZARDS TO ORAL HEALTH.IN 2023, DELTA DENTAL FUND PROVIDED GRANTS TOTALING OVER $7.3 MILLION FOR DENTAL AND COMMUNITY RELATIONS PROJECTS. HIS FUNDING HAS IMPROVED ORAL AND OVERALL HEALTH, ADDED TO WHAT WE KNOW ABOUT DENTAL SCIENCE, HELPED STUDENTS ACHIEVE THEIR GOALS AND IMPROVED THE WELL-BEING OF THOUSANDS OF CHILDREN AND ADULTS IN MICHIGAN, INDIANA, OHIO AND NORTH CAROLINA.DELTA DENTAL PLAN OF MICHIGAN IS ALSO COMMITTED TO BUILDING HEALTHY, SMART, VIBRANT COMMUNITIES. DELTA DENTAL HAS ALWAYS BEEN KEENLY AWARE OF ITS CIVIC AND SOCIAL RESPONSIBILITY. DELTA DENTAL PLANS ARE PROUD TO SHARE, THROUGH DIRECT FINANCIAL CONTRIBUTIONS, WITH HUNDREDS OF COMMUNITY AGENCIES AND GROUPS. IN ADDITION, EMPLOYEES LOG COUNTLESS HOURS OF THEIR OWN TIME AS VOLUNTEERS. COMMUNITY SUPPORT GENERALLY FALLS UNDER THE BROAD CATEGORIES THAT PROVIDE SUPPORT TO AGENCIES AND INSTITUTIONS SERVING CHILDREN, SENIORS, LOW-INCOME INDIVIDUALS, MINORITIES, AND DISABLED AND AT-RISK INDIVIDUALS, TO ORGANIZATIONS THAT PROMOTE EDUCATION, ARTS AND RECREATION AND COMMUNITY DEVELOPMENT, AND TO CHARITABLE PROJECTS OR PROGRAMS RECOMMENDED BY EMPLOYEES, CUSTOMERS, PARTICIPATING DENTISTS AND OTHER KEY GROUPS. WE CONTINUED OUR ROLE AS STRONG ADVOCATES FOR SOUND ORAL HEALTH POLICY AT THE STATE AND FEDERAL LEVELS. THROUGH A PUBLIC-PRIVATE PARTNERSHIP WITH THE MICHIGAN DEPARTMENT OF COMMUNITY HEALTH, DELTA DENTAL PARTICIPATES IN THE HEALTHY KIDS DENTAL (HKD) PROGRAM. HEALTHY KIDS DENTAL IS A DENTAL BENEFITS PROGRAM FOR MEDICAID BENEFICIARIES UNDER AGE 21. IT IS AVAILABLE IN ALL OF MICHIGAN'S 83 COUNTIES AND COVERS BASIC DENTAL HEALTH BENEFITS SUCH AS X-RAYS, CLEANINGS, CAVITY FILLINGS, ROOT CANALS, TOOTH EXTRACTIONS AND DENTURES. NEARLY 1,000,000 MICHIGAN CHILDREN ARE SERVED BY THIS PROGRAM. UNEQUALED ACCESS TO DENTISTSFOR FIVE DECADES, DELTA DENTAL HAS HELPED PROMOTE ORAL HEALTH BY DESIGNING AND ADMINISTERING INNOVATIVE, COST-EFFECTIVE DENTAL BENEFIT PROGRAMS. EXPERTS AT PLAN DESIGN, DELTA DENTAL HAS CREATED DENTAL BENEFIT PROGRAMS THAT MEET CUSTOMER COST-OBJECTIVES WHILE HELPING TO IMPROVE AND MAINTAIN ORAL HEALTH.OUR LONG STANDING RELATIONSHIPS WITH PROVIDERS IN THE COMMUNITIES WE SERVE ALLOWS US TO MAINTAIN LARGE NETWORKS, ALLOWING BROAD ACCESS FOR MEMBERS AND COST-EFFECTIVE CARE. DELTA DENTAL'S GROUP MEMBERS ARE AFFORDED ADDED PROTECTION BECAUSE THEY GUARANTEE THAT PARTICIPATING DENTISTS WILL ACCEPT THEIR PAYMENT FOR COVERED SERVICES AND NO CHARGE, OTHER THAN CO-PAYMENTS AND DEDUCTIBLES ARE BILLED BACK TO THE MEMBER. THIS LOWERS CLAIM COSTS FOR CUSTOMERS AND REDUCES OUT-OF-POCKET COSTS FOR SUBSCRIBERS.WITH TWO NETWORKS OF FULL-TIME PARTICIPATING DENTISTS IN ONE INTEGRATED CLAIMS SYSTEM, DELTA DENTAL CAN DELIVER TO CUSTOMERS AND GROUP MEMBERS BROAD ACCESS TO CARE. | Desc |
| Total Program Service Expenses | $1,051,671,401 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | Yes (1) | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | Yes (1) | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 62165 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 1214 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (1) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | AMY BASEL CFO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5173496000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4100 OKEMOS ROAD | AddressLine1Txt |
| City | OKEMOS | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48864 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| CHRISTOPHER T FISHER | ||||||||||
| DIRECTOR | 5.00 | 10.00 | Yes (X) | $60,000 | $107,004 | $0 | ||||
| SARA DOLAN | ||||||||||
| CHAIR | 5.00 | 5.00 | Yes (X) | $72,000 | $70,008 | $0 | Yes (X) | |||
| MELISSA STOLICKER | ||||||||||
| VICE CHAIR | 5.00 | 5.00 | Yes (X) | $81,000 | $67,512 | $0 | Yes (X) | |||
| KELLY JUBB SCHEIDERER | ||||||||||
| DIRECTOR | 5.00 | 6.00 | Yes (X) | $60,000 | $26,996 | $0 | ||||
| STEPHAN A EKLUND DDS MHSA DRPH | ||||||||||
| DIRECTOR | 5.00 | 6.00 | Yes (X) | $60,000 | $26,996 | $0 | ||||
| ANDREW KOTARBA | ||||||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $75,000 | $14,588 | $0 | ||||
| STEVEN M TACK | ||||||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $75,000 | $0 | $0 | ||||
| BLAKE LIVINGSTON DDS | ||||||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $60,000 | $0 | $0 | ||||
| RAYMOND F GIST DDS | ||||||||||
| DIRECTOR | 5.00 | 1.00 | Yes (X) | $60,000 | $2,000 | $0 | ||||
| SUNCICA TRAVAN DDS MS | ||||||||||
| DIRECTOR | 5.00 | 1.00 | Yes (X) | $60,000 | $1,500 | $0 | ||||
| ANTHONY O WILLIAMS JD | ||||||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $60,000 | $0 | $0 | ||||
| PATRICK K GILLESPIE | ||||||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $60,000 | $0 | $0 | ||||
| LARRY DEGROAT | ||||||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $60,000 | $0 | $0 | ||||
| STEVEN M DATER DDS | ||||||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $60,000 | $0 | $0 | ||||
| LAURA DICKERSON | ||||||||||
| DIRECTOR | 5.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| GORAN M JURKOVIC CPA | ||||||||||
| CEO, PRESIDENT | 35.00 | 15.00 | $9,219,805 | $0 | $2,613,720 | Yes (X) | ||||
| ANTHONY D ROBINSON | ||||||||||
| EVP, CMO & CRO | 43.00 | 7.00 | $2,349,997 | $0 | $718,488 | Yes (X) | ||||
| AMY L BASEL CPA | ||||||||||
| EVP/CFO & CRO/TREASURER | 35.00 | 15.00 | $2,381,009 | $0 | $644,559 | Yes (X) | ||||
| SUE ELLEN JENKINS | ||||||||||
| EVP, CHIEF LEGAL OFF, CAO & SEC. | 37.00 | 13.00 | $1,632,671 | $0 | $426,193 | Yes (X) | ||||
| JEFF BOTKIN | ||||||||||
| SVP, BUSINESS SERVICES | 50.00 | 0.00 | $1,402,972 | $0 | $191,550 | Yes (X) | ||||
| MARK BAUGHMAN | ||||||||||
| SVP & CIO | 50.00 | 0.00 | $1,379,012 | $0 | $118,904 | Yes (X) | ||||
| JEFFERY W JOHNSTON DDS MS | ||||||||||
| SVP & CHIEF SCIENCE OFFICER | 43.00 | 7.00 | $498,455 | $0 | $115,646 | Yes (X) | ||||
| POE A TIMMONS | ||||||||||
| DIRECTOR (ROOSEVELT INNOV. ONLY) | 5.00 | 5.00 | $15,000 | $56,588 | $0 | Yes (X) | ||||
| TOBY HALL | ||||||||||
| PRESIDENT & CEO OF ROOSEVELT | 50.00 | 0.00 | $917,560 | $0 | $412,382 | Yes (X) | ||||
| KUSHTRIM SHAQIRI | ||||||||||
| VP GOVERMENT PROGRAMS | 50.00 | 0.00 | $666,247 | $0 | $45,852 | Yes (X) | ||||
| MIKE BOBAK | ||||||||||
| VP SALES & ACCT MGT | 50.00 | 0.00 | $666,377 | $0 | $91,155 | Yes (X) | ||||
| DANIEL LOVEJOY | ||||||||||
| VP, SALES AND ACCT MGT | 50.00 | 0.00 | $632,132 | $0 | $74,281 | Yes (X) | ||||
| WALTER BUZANOWSKI | ||||||||||
| VP & GENERAL COUNSEL | 50.00 | 0.00 | $391,691 | $0 | $67,183 | Yes (X) | ||||
| EARL MAJOR | ||||||||||
| VP HUMAN RESOURCES | 50.00 | 0.00 | $385,899 | $0 | $77,570 | Yes (X) | ||||
| MARGARET TRIMER | ||||||||||
| VP STRATEGIC PARTNERSHIPS | 50.00 | 0.00 | $372,126 | $0 | $90,300 | Yes (X) | ||||
| MICHAEL GILMORE | ||||||||||
| FORMER CHIEF INVESTMENT OFFICER | 0.00 | 50.00 | $0 | $775,688 | $114,053 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $23,813,953 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,148,880 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $5,801,836 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 337 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DEWPOINT | |||||
| 300 WASHINGTON SQUARE SUITE 200 | LANSING | MI | 48933 | CONSULTING | $19,178,416 |
| WEST MONROE PARTNERS LLC | |||||
| 222 W ADAMS ST FL 11 | CHICAGO | IL | 60606 | CONSULTING | $6,398,474 |
| TEK SYSTEMS | |||||
| 300 WASHINGTON SQUARE SUITE 430 | LANSING | MI | 48933 | CONSULTING | $3,542,216 |
| DPM CONSULTING SERVICES | |||||
| 5440 CORPORATE DR | TROY | MI | 48098 | CONSULTING | $3,043,965 |
| APEX SYSTEMS | |||||
| 3750 COLLECTIONS CENTER DR | CHICAGO | IL | 60693 | CONSULTING | $3,012,002 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 112 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| DENTAL CARE REVENUE | 624100 | $1,026,092,807 | $1,026,092,807 | |
| ADMIN REIMBURSEMENT | 900099 | $106,329,066 | $106,329,066 | |
| EXTERNAL SERVICES | 524292 | $45,168,078 | $45,168,078 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $1,177,589,951 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,494,337 | TotalRevenueColumnAmt |
| Exclusion | $10,494,337 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $165,619,960 | SecuritiesAmt |
| Other | $331,909 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $165,410,508 | SecuritiesAmt |
| Other | $204,806 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $209,452 | SecuritiesAmt |
| Other | $127,103 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $336,555 | TotalRevenueColumnAmt |
| Exclusion | $336,555 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS INCOME | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $402,047 | TotalRevenueColumnAmt |
| Exclusion | $402,047 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $402,047 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,188,822,890 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,132,421,873 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $45,168,078 | UnrelatedBusinessRevenueAmt |
| Exclusion | $11,232,939 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,895,292 | TotalAmt |
| Program Services | $3,895,292 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,707,185 | TotalAmt |
| Program Services | $14,102,049 | ProgramServicesAmt |
| Management And General | $7,605,136 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,368,645 | TotalAmt |
| Program Services | $71,106,253 | ProgramServicesAmt |
| Management And General | $39,262,392 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,737,952 | TotalAmt |
| Program Services | $7,978,701 | ProgramServicesAmt |
| Management And General | $4,759,251 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,768,386 | TotalAmt |
| Program Services | $12,168,529 | ProgramServicesAmt |
| Management And General | $12,599,857 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,451,232 | TotalAmt |
| Program Services | $5,445,089 | ProgramServicesAmt |
| Management And General | $3,006,143 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,531,616 | TotalAmt |
| Program Services | $2,356,860 | ProgramServicesAmt |
| Management And General | $1,174,756 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,264,972 | TotalAmt |
| Management And General | $2,264,972 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $757,151 | TotalAmt |
| Management And General | $757,151 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $120,000 | TotalAmt |
| Management And General | $120,000 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,231,350 | TotalAmt |
| Management And General | $2,231,350 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $882,035,973 | TotalAmt |
| Program Services | $866,756,979 | ProgramServicesAmt |
| Management And General | $15,278,994 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,621,511 | TotalAmt |
| Program Services | $3,689,342 | ProgramServicesAmt |
| Management And General | $1,932,169 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $18,546,131 | TotalAmt |
| Program Services | $13,458,230 | ProgramServicesAmt |
| Management And General | $5,087,901 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,509,890 | TotalAmt |
| Program Services | $13,971,090 | ProgramServicesAmt |
| Management And General | $15,538,800 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,416,154 | TotalAmt |
| Management And General | $3,416,154 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,090,607 | TotalAmt |
| Program Services | $3,520,568 | ProgramServicesAmt |
| Management And General | $570,039 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $990,871 | TotalAmt |
| Program Services | $408,922 | ProgramServicesAmt |
| Management And General | $581,949 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,601,441 | TotalAmt |
| Program Services | $5,429,085 | ProgramServicesAmt |
| Management And General | $12,172,356 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,923,198 | TotalAmt |
| Management And General | $1,923,198 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| FEDERAL TAX EXPENSE | $663,691 | $663,691 | |
| COMMISSIONS | $23,156,181 | $23,156,181 | |
| PROCESSING FEES | $3,048,443 | $3,048,443 | |
| EXCISE TAX | $2,904,540 | $2,904,540 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,408,172 | TotalAmt |
| Program Services | $1,179,788 | ProgramServicesAmt |
| Management And General | $2,228,384 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,187,750,584 | TotalAmt |
| Program Services | $1,051,671,401 | ProgramServicesAmt |
| Management And General | $136,079,183 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,684,933 | BOYAmt |
| EOY | $75,041,440 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,909,259 | BOYAmt |
| EOY | $125,860,389 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,607,462 | BOYAmt |
| EOY | $23,238,789 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $265,686,039 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $157,366,243 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,381,008 | BOYAmt |
| EOY | $108,319,796 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $247,054,783 | BOYAmt |
| EOY | $252,641,292 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $216,392,057 | BOYAmt |
| EOY | $212,216,542 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,982,009 | BOYAmt |
| EOY | $121,308,152 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $862,011,511 | BOYAmt |
| EOY | $918,626,400 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $97,593,871 | BOYAmt |
| EOY | $104,433,318 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $93,920,536 | BOYAmt |
| EOY | $103,765,308 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $191,514,407 | BOYAmt |
| EOY | $208,198,626 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,744,473 | BOYAmt |
| EOY | $15,744,473 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,122,500 | BOYAmt |
| EOY | $5,122,500 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $649,630,131 | BOYAmt |
| EOY | $689,560,801 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $670,497,104 | BOYAmt |
| EOY | $710,427,774 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $862,011,511 | BOYAmt |
| EOY | $918,626,400 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,072,306 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $30,057,982 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $8,800,382 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expended527 Activities | $500 | Expended527ActivitiesAmt |
| Total Exempt Function Expend | $500 | TotalExemptFunctionExpendAmt |
| Form1120 POL Filed | Yes (1) | Form1120POLFiledInd |
Section527 Political Org Section527PoliticalOrgGrp
Organization Business Name OrganizationBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | METRO DETROIT FUND | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 585 E SHEVLIN | AddressLine1Txt |
| City | HAZEL PARK | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48030 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 923971630 | EIN |
| Paid Internal Funds | $500 | PaidInternalFundsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Substantially All Dues Nonded | Yes (1) | SubstantiallyAllDuesNondedInd |
| Only In House Lobbying | 0 | OnlyInHouseLobbyingInd |
| Agree Carryover Prior Year | 0 | AgreeCarryoverPriorYearInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,803,920 | OtherCostOrOtherBasisAmt |
| Book Value | $12,803,920 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $98,692,580 | OtherCostOrOtherBasisAmt |
| Depreciation | $44,292,618 | DepreciationAmt |
| Book Value | $54,399,962 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $57,379,564 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,028,320 | DepreciationAmt |
| Book Value | $12,351,244 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,809,975 | OtherCostOrOtherBasisAmt |
| Depreciation | $68,045,305 | DepreciationAmt |
| Book Value | $28,764,670 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $108,319,796 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| DDIC STOCK | $200,217 | C |
| INVESTMENT IN RHC | $107,277,848 | F |
| INVESTMENT IN THE 4100 GROUP | $104,738,477 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $212,216,542 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (5 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCRUED INTEREST RECEIVABLE | $980,719 |
| DUE FROM AFFILIATES | $18,623,235 |
| OTHER ASSETS | $45,398,026 |
| DEFERRED TAX ASSET | $4,671,109 |
| PENSION & POST RETIRE OBLIGATIONS | $51,635,063 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $121,308,152 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| IBNR - CLAIM ADJUSTMENT RESERVES | $32,238,630 |
| UNEARNED PREMIUMS | $23,582,607 |
| PENSION & POST RETIRE OBLIGATIONS | $5,897,457 |
| DUE TO AFFILIATES | $1,711,494 |
| RISK-SHARING PAYABLES | $40,335,120 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $103,765,308 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (35 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| A KID AGAIN | ||||||||
| 2014 N SAGINAW RD | MIDLAND | MI | 48640 | 311440073 | 501(C)(3) | $40,000 | $0 | CHARITABLE DONATION |
| AMERICAN CANCER SOCIETY | ||||||||
| 20450 CIVIC CENTER DR | SOUTHFIELD | MI | 48076 | 131788491 | 501(C)(3) | $30,275 | $0 | CHARITABLE DONATION |
| AMERICAN HEART ASSOCIATION | ||||||||
| 271 WOODLAND PASS STE 110 | EAST LANSING | MI | 48823 | 135613797 | 501(C)(3) | $10,000 | $0 | CHARITABLE DONATION |
| AMERICAN RED CROSS | ||||||||
| 7800 W OUTER DR | DETROIT | MI | 48235 | 530196605 | 501(C)(3) | $35,000 | $0 | CHARITABLE DONATION |
| AUTISM ALLIANCE OF MICHIGAN | ||||||||
| 30100 TELGRAPH RD | BINGHAM FARMS | MI | 48025 | 270472137 | 501(C)(3) | $50,000 | $0 | CHARITABLE DONATION |
| CINCINNATI ZOO AND BOTANICAL GARDEN | ||||||||
| 3400 VINE ST | CINCINNATI | OH | 45220 | 310537171 | 501(C)(3) | $30,000 | $0 | CHARITABLE DONATION |
| COMMUNITIES IN SCHOOLS OF MICHIGAN | ||||||||
| 721 N CAPITOL STE 1 | LANSING | MI | 48906 | 453736821 | 501(C)(3) | $50,000 | $0 | CHARITABLE DONATION |
| COREWELL HEALTH FOUNDATION OF WEST MICHIGAN | ||||||||
| 100 MICHGAN AVE | GRAND RAPIDS | MI | 49503 | 382752328 | 501(C)(3) | $10,000 | $0 | CHARITABLE DONATION |
| CROSSROADS OF MICHIGAN | ||||||||
| 2424 WEST GRAND BLVD | DETROIT | MI | 48208 | 382539852 | 501(C)(3) | $15,000 | $0 | CHARITABLE DONATION |
| DELTA DENTAL FOUNDATION | ||||||||
| 4100 OKEMOS RD | OKEMOS | MI | 48864 | 382337000 | 501(C)(3) | $1,500,000 | $0 | CHARITABLE DONATION |
| DETROIT RIVERFRONT CONSERVANCY | ||||||||
| 600 RENAISSANCE CENTER | DETROIT | MI | 48243 | 300125283 | 501(C)(3) | $1,022,500 | $0 | CHARITABLE DONATION |
| ELE'S PLACE | ||||||||
| 1145 WEST OAKLAND | LANSING | MI | 48915 | 382976751 | 501(C)(3) | $110,000 | $0 | CHARITABLE DONATION |
| FLEECE & THANK YOU | ||||||||
| 24715 CRESTVIEW | FARMINGTON HILLS | MI | 48335 | 475263037 | 501(C)(3) | $13,500 | $0 | CHARITABLE DONATION |
| GRAND RAPIDS CHILDRENS MUSEUM | ||||||||
| 333 BRIDGE ST STE 1200 | GRAND RAPIDS | MI | 49504 | 383088234 | 501(C)(3) | $10,000 | $0 | CHARITABLE DONATION |
| GREATER LANSING AREA HOLIDAY COMMISSION | ||||||||
| PO BOX 24112 | LANSING | MI | 48909 | 352405362 | 501(C)(3) | $10,000 | $0 | CHARITABLE DONATION |
| GREATER LANSING FOODBANK | ||||||||
| 5303 S CEDAR ST | LANSING | MI | 48911 | 382424756 | 501(C)(3) | $80,000 | $0 | CHARITABLE DONATION |
| HISPANIC DENTAL ASSOCIATION | ||||||||
| 421 HUGUENOT ST STE 54 | NEW ROCHELLE | NY | 10801 | 363719494 | 501(C)(3) | $14,141 | $0 | CHARITABLE DONATION |
| IMPRESSION 5 | ||||||||
| 200 MUSEUM DR | LANSING | MI | 48933 | 237200548 | 501(C)(3) | $132,000 | $0 | CHARITABLE DONATION |
| ITS A BREAST THING INC | ||||||||
| 2771 SOUTHWOOD DR | EAST LANSING | MI | 48823 | 300591532 | 501(C)(3) | $10,000 | $0 | CHARITABLE DONATION |
| JUNIOR ACHIEVEMENT OF MICHIGAN GREAT LAKES | ||||||||
| 600 W ST JOSEPH ST | LANSING | MI | 48933 | 381557861 | 501(C)(3) | $47,000 | $0 | CHARITABLE DONATION |
| JUNIOR ACHIEVEMENT OF SOUTHEASTERN MI | ||||||||
| 577 E LARNED ST | DETROIT | MI | 48226 | 381348535 | 501(C)(3) | $35,000 | $0 | CHARITABLE DONATION |
| JUVENILE DIABETES RESEARCH FOUNDATION | ||||||||
| 24359 NORTHWESTERN HWY | SOUTHFIELD | MI | 48075 | 231907729 | 501(C)(3) | $25,000 | $0 | CHARITABLE DONATION |
| LANSING PROMISE | ||||||||
| 330 MARSHALL ST | LANSING | MI | 48912 | 453363322 | 501(C)(3) | $50,000 | $0 | CHARITABLE DONATION |
| LEADER DOGS FOR THE BLIND | ||||||||
| PO BOX 5000 | ROCHESTER | MI | 48308 | 381366931 | 501(C)(3) | $17,000 | $0 | CHARITABLE DONATION |
| LIFECARE ALLIANCE | ||||||||
| 1699 W MOUND ST | COLUMBUS | OH | 43223 | 314379494 | 501(C)(3) | $18,750 | $0 | CHARITABLE DONATION |
| MICHIGAN ECONOMIC DEVELOPMENT FOUNDATION | ||||||||
| PO BOX 13063 | LANSING | MI | 48901 | 382527475 | 501(C)(3) | $25,000 | $0 | CHARITABLE DONATION |
| MICHIGAN HUMANE SOCIETY | ||||||||
| 30300 TELEGRAPH RD | BINGHAM FARMS | MI | 48025 | 381358206 | 501(C)(3) | $200,000 | $0 | HEALTHY COMMUNITIES PROGRAM |
| MICHIGAN STATE UNIVERSITY | ||||||||
| 220 TROWBRIDGE RD | EAST LANSING | MI | 48824 | 386005984 | GOVT | $95,000 | $0 | CHARITABLE DONATION |
| NAF | ||||||||
| 218 WEST 40TH ST 5TH FL | NEW YORK | NY | 10018 | 133480246 | 501(C)(3) | $11,313 | $0 | CHARITABLE DONATION |
| ROAD TO MICHIGANS FUTURE | ||||||||
| PO BOX 12248 | LANSING | MI | 48901 | 844298056 | 501(C)(4) | $50,000 | $0 | CHARITABLE DONATION |
| SAMARITAS | ||||||||
| 8131 E JEFFERSON AVE | DETROIT | MI | 48214 | 381360553 | 501(C)(3) | $40,000 | $0 | CHARITABLE DONATION |
| SLEEP IN HEAVENLY PEACE INC | ||||||||
| PO BOX 85304 | WESTLAND | MI | 48135 | 464346568 | 501(C)(3) | $12,500 | $0 | CHARITABLE DONATION |
| SOCIETY OF AMERICAN INDIAN DENTISTS | ||||||||
| 230 FAIRVIEW DR | CARSON CITY | NV | 89701 | 205966903 | 501(C)(3) | $11,313 | $0 | CHARITABLE DONATION |
| SPARROW FOUNDATION | ||||||||
| PO BOX 30480 | LANSING | MI | 48909 | 386100687 | 501(C)(3) | $60,000 | $0 | CHARITABLE DONATION |
| THE EDISON INSTITUTE | ||||||||
| 20900 OAKWOOD BLVD | DEARBORN | MI | 48124 | 381359513 | 501(C)(3) | $25,000 | $0 | CHARITABLE DONATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 34 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | CONTRIBUTIONS ARE MADE AT MANAGEMENT DISCRETION TO ORGANIZATIONS THAT SUPPORT DELTA DENTAL PLAN OF MICHIGAN'S MISSION. CONTRIBUTIONS MADE TO THE DELTA DENTAL FUND ARE APPROVED BY THE BOARD OF DIRECTORS. IN ORDER FOR FUNDS TO BE DISBURSED, VOUCHER RECORDS MUST PASS THROUGH THE APPROVAL PROCESS, SIMILAR TO ANY OTHER EXPENDITURE MADE BY DELTA DENTAL PLAN OF MICHIGAN. DETROIT RIVERFRONT CONSERVANCY - DELTA DENTAL OF MICHIGAN CONTRIBUTED $1 MILLION TO BUILD A HEALTH THEMED PLAYGROUND ON DETROIT'S WEST RIVERFRONT. COMMUNITIES IN SCHOOLS OF MICHIGAN - THIS CONTRIBUTION HELPED CIS OF MICHIGAN DEVELOP THE WHOLE-CHILD SCREENER AND CHECK-IN PROCESS TO ASSESS THE NUTRITIONAL, DENTAL, EDUCATIONAL, PHYSICAL HEALTH, AND MENTAL HEALTH NEEDS OF CASE-MANAGEMENT STUDENTS. THIS NEW NEEDS ASSESSMENT PROCESS ENSURES SITE COORDINATORS CAN IDENTIFY IMMEDIATE NEEDS OF STUDENTS TO BROKER AND IMPLEMENT SUPPORTS. THIS ENSURES SITE COORDINATORS CAN REFER STUDENTS TO A DENTIST AND HELP INCREASE SCHOOL-BASED DENTAL SUPPORTS. ELE'S PLACE - IN 2023, DELTA DENTAL OF MICHIGAN PROVIDED $110,000 TO ELE'S PLACE TO SUPPORT ELE'S GROUP, THEIR SCHOOL BASED GRIEF COUNSELING PROGRAM. THROUGH THIS PROGRAM, ELE'S PLACE IS ABLE TO REACH CHILDREN WHO MAY NOT OTHERWISE HAVE TRANSPORTATION TO RECEIVE GRIEF COUNSELING SERVICES AT THEIR OFFICES. IMPRESSION 5 - DELTA DENTAL PROVIDED $110,000 FOR THE CREATION AND DISTRIBUTION OF 2 STEM KITS PER YEAR THAT GO HOME WITH EVERY HEADSTART STUDENT IN INGHAM, EATON, AND CLINTON COUNTIES. ADDITIONALLY, THE PROGRAM PROVIDES 2 KITS PER YEAR TO ALL OF THE HEADSTART TEACHERS FOR USE WITH THE STUDENTS IN THE CLASSROOM. THESE KITS ARE INTENDED TO SUPPORT EARLY CHILDHOOD DEVELOPMENT. MICHIGAN HUMANE SOCIETY - DELTA DENTAL HAS PROVIDED $200,000 AS PART OF A $1 MIILLION COMMITTMENT FOR THE HEALTHY COMMUNITIES PROGRAM WHICH ADDRESSES THE HEALTH OF PEOPLE IN THE COMMUNITY BY REACHING THEM THROUGH THEIR PETS. INTERACTIONS AT PET FOOD PANTRIES AND VACCINATIONS CLINICS ALLOW OTHER HEALTH ENTITIES IN THE COMMUNITY TO OFFER SERVICES LIKE DENTAL CLEANINGS, BLOOD PRESSURE SCREENING ETC TO THE HUMANS WHO ARE WAITING FOR THEIR PETS TO BE TREATED. LANSING PROMISE - DELTA DENTAL PROVIDED $50,000 IN FUNDING TO THE LANSING PROMISE IN 2023. LANSING PROMISE IS A SCHOLARSHIP PROGRAM OFFERING TUITION ASSISTANCE FOR POST-SECONDARY (COLLEGE OR SKILLED TRADE) EDUCATION TO ALL ELIGIBLE HIGH SCHOOL GRADUATES WITHIN THE LANSING SCHOOL DISTRICT BOUNDARIES. THE PROMISE PROVIDES TUITION ASSISTANCE FOR UP TO 65 CREDITS AT LANSING COMMUNITY COLLEGE OR THE EQUIVALENT DOLLAR AMOUNT TOWARD TUITION AND FEES AT MICHIGAN STATE UNIVERSITY OR OLIVET COLLEGE. SPARROW FOUNDATION - OUR DONATION WAS USED TO SPONSOR A VARIETY OF FUNDRAISING EVENTS ALL FOCUSED ON SUPPORTING THE SPARROW FOUNDATION WHICH PLAYS A CRITICAL ROLE IN THE HEALTH SYSTEM LIFE CYCLE BY COLLECTING RESOURCES, BOOSTING COMMUNITY AWARENESS AND IMPROVING THE OVERALL HEALTH OF PEOPLE IN MID-MICHIGAN. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GORAN M JURKOVIC CPA | ||||||||||||||
| CEO, PRESIDENT | $1,474,566 | $0 | $3,570,478 | $0 | $4,174,761 | $0 | $2,588,461 | $0 | $25,259 | $0 | $11,833,525 | $0 | $4,141,456 | $0 |
| ANTHONY D ROBINSON | ||||||||||||||
| EVP, CMO & CRO | $604,517 | $0 | $886,686 | $0 | $858,794 | $0 | $693,229 | $0 | $25,259 | $0 | $3,068,485 | $0 | $838,676 | $0 |
| AMY L BASEL CPA | ||||||||||||||
| EVP/CFO & CRO/TREASURER | $528,195 | $0 | $886,909 | $0 | $965,905 | $0 | $619,300 | $0 | $25,259 | $0 | $3,025,568 | $0 | $938,703 | $0 |
| SUE ELLEN JENKINS | ||||||||||||||
| EVP, CHIEF LEGAL OFF, CAO & SEC. | $542,025 | $0 | $949,448 | $0 | $141,198 | $0 | $419,012 | $0 | $7,181 | $0 | $2,058,864 | $0 | $115,832 | $0 |
| JEFF BOTKIN | ||||||||||||||
| SVP, BUSINESS SERVICES | $371,500 | $0 | $506,573 | $0 | $524,899 | $0 | $173,860 | $0 | $17,690 | $0 | $1,594,522 | $0 | $0 | $0 |
| MARK BAUGHMAN | ||||||||||||||
| SVP & CIO | $371,140 | $0 | $477,488 | $0 | $530,384 | $0 | $101,214 | $0 | $17,690 | $0 | $1,497,916 | $0 | $0 | $0 |
| TOBY HALL | ||||||||||||||
| PRESIDENT & CEO OF ROOSEVELT | $436,889 | $0 | $457,473 | $0 | $23,198 | $0 | $396,375 | $0 | $16,007 | $0 | $1,329,942 | $0 | $0 | $0 |
| MICHAEL GILMORE | ||||||||||||||
| FORMER CHIEF INVESTMENT OFFICER | $0 | $509,237 | $0 | $249,775 | $0 | $16,676 | $0 | $88,796 | $0 | $25,257 | $0 | $889,741 | $0 | $0 |
| MIKE BOBAK | ||||||||||||||
| VP SALES & ACCT MGT | $246,053 | $0 | $401,867 | $0 | $18,457 | $0 | $65,896 | $0 | $25,259 | $0 | $757,532 | $0 | $0 | $0 |
| KUSHTRIM SHAQIRI | ||||||||||||||
| VP GOVERMENT PROGRAMS | $375,156 | $0 | $284,556 | $0 | $6,535 | $0 | $20,593 | $0 | $25,259 | $0 | $712,099 | $0 | $0 | $0 |
| DANIEL LOVEJOY | ||||||||||||||
| VP, SALES AND ACCT MGT | $264,391 | $0 | $361,075 | $0 | $6,666 | $0 | $49,022 | $0 | $25,259 | $0 | $706,413 | $0 | $0 | $0 |
| JEFFERY W JOHNSTON DDS MS | ||||||||||||||
| SVP & CHIEF SCIENCE OFFICER | $339,270 | $0 | $154,289 | $0 | $4,896 | $0 | $97,956 | $0 | $17,690 | $0 | $614,101 | $0 | $0 | $0 |
| EARL MAJOR | ||||||||||||||
| VP HUMAN RESOURCES | $274,743 | $0 | $106,115 | $0 | $5,041 | $0 | $62,522 | $0 | $15,048 | $0 | $463,469 | $0 | $0 | $0 |
| MARGARET TRIMER | ||||||||||||||
| VP STRATEGIC PARTNERSHIPS | $258,833 | $0 | $98,312 | $0 | $14,981 | $0 | $65,041 | $0 | $25,259 | $0 | $462,426 | $0 | $0 | $0 |
| WALTER BUZANOWSKI | ||||||||||||||
| VP & GENERAL COUNSEL | $283,100 | $0 | $107,781 | $0 | $810 | $0 | $41,924 | $0 | $25,259 | $0 | $458,874 | $0 | $0 | $0 |
| CHRISTOPHER T FISHER | ||||||||||||||
| DIRECTOR | $60,000 | $107,004 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $60,000 | $107,004 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | FIRST CLASS TRAVEL FOR BUSINESS PURPOSES IS AVAILABLE TO SENIOR EXECUTIVES AND KEY EMPLOYEES. THIS AMOUNT WAS TREATED AS NONTAXABLE TO THESE INDIVIDUALS. TRAVEL MAY BE AVAILABLE TO SPOUSES ON OCCASION AND WOULD BE TREATED AS TAXABLE INCOME TO THE BOARD MEMBER OR EMPLOYEE AS APPROPRIATE. VARIOUS INDIVIDUALS ON SCHEDULE J ARE ELIGIBLE FOR REIMBURSEMENT OF SUBSTANTIATED HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES THAT HAVE A BUSINESS PURPOSE. THE PERSONAL PORTION OF THIS BENEFIT IS REPORTED ANNUALLY AND IS INCLUDED AS TAXABLE INCOME ON THE EMPLOYEE'S W-2. |
| PART I, LINE 3 | THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS PERFORMANCE AND SETS TOTAL COMPENSATION FOR THE CEO WITHOUT THE PRESENCE OR INFLUENCE OF THE CEO. EVERY TWO YEARS, A STUDY IS PERFORMED BY TOWERS WATSON AND THE DATA IS USED IN COMPENSATION DECISIONS. THE INDEPENDENT CONSULTANT PROVIDES AN OPINION AS TO THE REASONABLENESS AND APPROPRIATENESS OF THE TOTAL COMPENSATION, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. |
| PART I, LINE 4B | DELTA DENTAL PLAN OF MICHIGAN, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ORDER TO BE ELIGIBLE FOR THE SERP, AN EMPLOYEE MUST BE A SENIOR EXECUTIVE AND ADDED TO THE PLAN BY THE BOARD OF DIRECTORS. THE SERP BENEFITS ARE REVIEWED AS PART OF THE TOTAL COMPENSATION BY AN INDEPENDENT CONSULTANT; TOWERS WATSON. IN 2023, GORAN JURKOVIC, AMY BASEL, TOBY HALL, SUE JENKINS, AND ANTHONY ROBINSON ACCRUED BENEFITS AS PARTICIPANTS IN THE SERP PLAN. GORAN JURKOVIC, AMY BASEL, SUE JENKINS, AND ANTHONY ROBINSON BECAME VESTED IN A PORTION OF THEIR ACCRUED BENEFITS AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2023. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFFERED ON PRIOR FORM 990S. |
| PART I, LINE 7 | AS INDICATED IN SCHEDULE J, PART II, TOP MANAGEMENT OFFICIALS RECEIVED A BONUS BASED UPON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THE BONUS WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| BRIAN JACOBSON | |||
| BROTHER OF FORMER DDPMI BOARD MEMBER JED JACOBSON | $118,616 | EMPLOYEE OF DELTA DENTAL PLAN OF MICHIGAN | 0 |
| COLE JACOBSON | |||
| BROTHER OF FORMER DDPMI BOARD MEMBER JED JACOBSON | $158,648 | EMPLOYEE OF DELTA DENTAL PLAN OF MICHIGAN | 0 |
| STEVEN M DATER DDS | |||
| BOARD MEMBER AND OWNER OF STEVEN M DATER DDS & ASSOCIATES II, PLC | $477,019 | PAYMENTS FOR DENTAL SERVICES | 0 |
| RAYMOND GIST DDS | |||
| BOARD MEMBER AND OWNER OF RAYMOND GIST DDS PC | $197,697 | PAYMENTS FOR DENTAL SERVICES | 0 |
| LARRY DEGROAT DDS | |||
| BOARD MEMBER AND OWNER OF LARRY DEGROAT DDS | $133,856 | PAYMENTS FOR DENTAL SERVICES | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | DELTA DENTAL PLAN OF MICHIGAN HAS A SOLE MEMBER, RENAISSANCE HEALTH SERVICE CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE SOLE MEMBER HAS VOTING RIGHTS AND ELECTS DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE SOLE MEMBER HAS THE RIGHTS THAT ARE PRESCRIBED BY LAW, FOR MEMBERS OF NON-PROFIT CORPORATIONS, INCLUDING THE APPROVAL OF SIGNIFICANT EXPENDITURES AND CEO APPOINTMENT. |
| FORM 990, PART VI, SECTION B, LINE 11B | THE INFORMATION PRESENTED ON THE FORM 990 IS GATHERED BY THE EXECUTIVE TAX ADMINISTRATOR FOR THE ORGANIZATION. THE CFO REVIEWS THE INFORMATION. ONCE APPROVED, THE INFORMATION IS GIVEN TO OUTSIDE TAX PREPARERS WHO PREPARE AND REVIEW THE FORM 990. ONCE COMPLETE, AN ELECTRONIC COPY OF THE FORM 990 IS PLACED IN A SECURE PORTAL FOR THE BOARD TO REVIEW. THIS IS DONE BEFORE THE RETURN IS FILED WITH THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | THE COMPANY'S EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO IS CHARGED WITH REVIEWING AND MONITORING ANY POTENTIAL CONFLICT OF INTEREST TRANSACTIONS. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW AND EXECUTE A CONFLICT OF INTEREST POLICY. THIS POLICY REQUIRES THAT ANY CONFLICTS OF INTEREST BE DISCLOSED ON AN ANNUAL BASIS, OR AT ANY OTHER TIME THAT THE PERSON EXECUTING THE POLICY BECOMES AWARE OF A SITUATION OR TRANSACTION THAT ACTUALLY OR POTENTIALLY CREATES A CONFLICT OF INTEREST. ALL CONFLICT OF INTEREST DISCLOSURE FORMS ARE INITIALLY REVIEWED BY THE EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO. IF A PROHIBITED TRANSACTION IS IDENTIFIED, THE MATTER IS ESCALATED TO THE CEO AND TO THE AUDIT, FINANCE, AND RISK MANAGEMENT COMMITTEE OF THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND APPROPRIATE ACTION. IN THE EVENT OF A CONFLICT OF INTEREST INVOLVING A MEMBER OF THE BOARD OF DIRECTORS, SUCH AS A VOTE IN WHICH A MEMBER HAD AN INTEREST, THE MEMBER IS REQUIRED TO DISCLOSE THE POTENTIAL CONFLICT AND ABSTAIN FROM ANY VOTE ON THE MATTER. WHETHER FURTHER PRECAUTIONS ARE REQUIRED (E.G., PROHIBITING THE INTERESTED PARTY FROM ENGAGING IN DISCUSSIONS) WOULD DEPEND UPON THE SPECIFIC NATURE AND BACKGROUND OF THE CONFLICT. |
| FORM 990, PART VI, SECTION B, LINE 15 | COMPENSATION OF THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. COMPENSATION OF THE OTHER EXECTUTIVES IS DETERMINED BY THE CEO IN CONSULTATION WITH THE VP OF HUMAN RESOURCES AND THE CFO. OUTSIDE COMPENSATION CONSULTANTS ARE USED TO DETERMINE MARKET DATA WHICH IS USED TO SET TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES INCLUDING THE CEO, CFO, AND OTHERS AS APPROPRIATE. DELTA DENTAL PLAN OF MICHIGAN, INC. CONTRACTS WITH TOWERS WATSON TO DO A COMPENSATION AND REASONABLENESS ANALYSIS EVERY TWO YEARS. TOWERS WATSON ALSO PROVIDES AN OPINION AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGES, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. THE COMPENSATION WAS LAST REVIEWED UNDER THIS PROCESS DURING 2022. COMPENSATION DECISIONS ARE MADE UTILIZING THE DATA PROVIDED BY TOWERS WATSON. |
| FORM 990, PART VI, SECTION C, LINE 19 | NO DOCUMENTS AVAILABLE TO THE PUBLIC. |
| FORM 990 PART VII: | CERTAIN EMPLOYEES ARE OFFICERS OF MULTIPLE COMPANIES WITHIN THE LARGER ORGANIZATION. THE AVERAGE HOURS WORKED REFLECTS APPROXIMATE TIME SPENT IN EACH OF THOSE INDIVIDUAL COMPANIES. WHILE THE HOURS ARE ALLOCATED TO INDIVIDUAL COMPANIES, MUCH OF THE OFFICERS' TIME IS SPENT WORKING ON ISSUES THAT IMPACT THE ENTIRE ORGANIZATION, NOT JUST ONE COMPANY. COMPENSATION IS REPORTED IN FULL TO AGREE TO THE EMPLOYEE'S W-2 AS REQUIRED BY IRS INSTRUCTIONS. ANY ALLOCATION OF COMPENSATION IS INCLUDED ON SCHEDULE R. |
| FORM 990, PART IX, LINE 11G | CONTRACT LABOR: PROGRAM SERVICE EXPENSES 25,600,675. MANAGEMENT AND GENERAL EXPENSES 11,939,653. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 37,540,328. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 4,548,347. MANAGEMENT AND GENERAL EXPENSES 3,318,677. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,867,024. DENTAL CONSULTANT: PROGRAM SERVICE EXPENSES 2,181,185. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,181,185. PURCHASED DENTAL SERVICES: PROGRAM SERVICE EXPENSES 834,415,772. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 834,415,772. AFFILIATE CONTRACT LABOR: PROGRAM SERVICE EXPENSES 11,000. MANAGEMENT AND GENERAL EXPENSES 20,664. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 31,664. |
| FORM 990, PART XI, LINE 9: | GAIN ON EQUITY IN SUBSIDIARIES -6,845,064. PENSION RELATED CHANGES 15,645,446. |
| FORM 990, PART IV, LINE 12A: | DELTA DENTAL PLAN OF MICHIGAN RECEIVES AN AUDITED FINANCIAL STATEMENT FROM AN INDEPENDENT ACCOUNTANT BUT THESE STATEMENTS ARE PREPARED ON A STATUTORY BASIS AND NOT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| ROOSEVELT INNOVATIONS LLC | |||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 872770512 | CLAIMS PROCESSING | MI | -$12,480,819 | $15,778,064 | DELTA DENTAL PLAN OF MICHIGAN INC |
| ROOSEVELT SOLUTIONS LLC | |||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 371962356 | CLAIMS PROCESSING | MI | $0 | $0 | DELTA DENTAL PLAN OF MICHIGAN INC |
| T4G HEALTH HOLDINGS LLC | |||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 921012982 | FINANCIAL PLANNING | MI | $0 | $0 | T4G MANAGEMENT LLC |
| T4G FUND MANAGEMENT LLC | |||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 932747487 | FINANCIAL PLANNING | MI | $0 | $0 | T4G HEALTH HOLDINGS LLC |
| DEWPOINT LLC | |||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 383300595 | IT CONSULTING | MI | $0 | $0 | T4G MANAGEMENT LLC |
| GRIES FINANCIAL LLC | |||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 341891243 | FINANCIAL PLANNING | MI | $0 | $0 | T4G MANAGEMENT LLC |
| LOGIX INVESTMENTS LLC | |||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 815265121 | FINANCIAL PLANNING | MI | $0 | $0 | GRIES FINANCIAL LLC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| RENAISSANCE HEALTH SERVICE CORPORATION | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 381675667 | PROMOTING DENTAL CARE | MI | 501(C)(4) | N/A | N/A | 0 | |
| DELTA DENTAL PLAN OF OHIO INC | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 310685339 | PROVIDE DENTAL SERVICE PLANS | OH | 501(C)(4) | N/A | Yes (1) | DELTA DENTAL PLAN OF MICHIGAN INC | |
| DELTA DENTAL PLAN OF INDIANA INC | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 351545647 | PROVIDE DENTAL SERVICE PLANS | IN | 501(C)(4) | N/A | Yes (1) | DELTA DENTAL PLAN OF MICHIGAN INC | |
| DELTA DENTAL OF TENNESSEE | |||||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 620812197 | PROVIDE DENTAL SERVICE PLANS | TN | 501(C)(4) | N/A | 0 | RENAISSANCE HEALTH SERVICE CORPORATION | |
| DELTA DENTAL FUND | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 382337000 | SUPPORT DENTAL EDUCATION AND RESEARCH PROGRAMS | MI | 501(C)(3) | LINE 12A, I | Yes (1) | DELTA DENTAL PLAN OF MICHIGAN INC | |
| DELTA DENTAL PLAN OF NEW MEXICO INC | |||||||||||
| 100 SUN AVE NE SUITE 400 | ALBUQUERQUE | NM | 87109 | 850224562 | PROVIDE DENTAL SERVICE PLANS | NM | 501(C)(4) | N/A | 0 | RENAISSANCE HEALTH SERVICE CORPORATION | |
| DELTA DENTAL OF KENTUCKY INC | |||||||||||
| 10100 LINN STATION ROAD NO 700 | LOUISVILLE | KY | 40223 | 610659432 | PROVIDE DENTAL SERVICE PLANS | KY | 501(C)(4) | N/A | 0 | RENAISSANCE HEALTH SERVICE CORPORATION | |
| DELTA DENTAL OF NORTH CAROLINA | |||||||||||
| 3737 GLENWOOD AVENUE SUITE 320 | RALEIGH | NC | 27612 | 561018068 | PROVIDE DENTAL SERVICE PLANS | NC | 501(C)(4) | N/A | 0 | RENAISSANCE HEALTH SERVICE CORPORATION | |
| DELTA DENTAL PLAN OF ARKANSAS INC | |||||||||||
| 1513 COUNTRY CLUB RD | SHERWOOD | AR | 72120 | 710561140 | PROVIDE DENTAL SERVICE PLANS | AR | 501(C)(4) | N/A | 0 | RENAISSANCE HEALTH SERVICE CORPORATION | |
| DELTA DENTAL OF ARKANSAS FOUNDATION INC | |||||||||||
| 1513 COUNTRY CLUB RD | SHERWOOD | AR | 72120 | 261569324 | EMPHASIZE DENTAL HEALTH IN COMMUNITIES | AR | 501(C)(3) | PF | 0 | DELTA DENTAL OF ARKANSAS | |
| RENAISSANCE FAMILY FOUNDATION INC | |||||||||||
| 225 S EAST ST | INDIANAPOLIS | IN | 46202 | 461376165 | EMPHASIZE DENTAL HEALTH IN COMMUNITIES | IN | 501(C)(3) | PF | 0 | RENAISSANCE HOLDING COMPANY | |
| SMILE 180 FOUNDATION | |||||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 471654054 | EMPHASIZE DENTAL HEALTH IN COMMUNITIES | TN | 501(C)(3) | LINE 12A, I | 0 | DELTA DENTAL OF TENNESSEE INC | |
| DELTA DENTAL OF KENTUCKY FOUNDATION INC | |||||||||||
| 10100 LINN STATION ROAD SUITE 700 | LOUISVILLE | KY | 40223 | 874045357 | EMPHASIZE DENTAL HEALTH IN COMMUNITIES | KY | 501(C)(3) | PF | 0 | DELTA DENTAL OF KENTUCKY | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RED CEDAR INVESTMENT MANAGEMENT LLC | |||||||||||||
| 333 BRIDGE STREET NW SUITE 601 | GRAND RAPIDS | MI | 49546 | 462667997 | CAPITAL MANAGEMENT | MI | T4G MANAGEMENT LLC | RELATED | $339,780 | $2,355,852 | 0 | 0 | 0.49000 |
| T4G MANAGEMENT LLC | |||||||||||||
| 300 WASHINGTON SQUARE SUITE 225 | LANSING | MI | 48933 | 884271021 | FINANCIAL PLANNING | MI | THE 4100 GROUP | RELATED | $1,476,506 | $99,649,600 | 0 | 0 | 1.00000 |
| T4G FINANCIAL SERVICES LLC | |||||||||||||
| 300 WASHINGTON SQUARE SUITE 225 | LANSING | MI | 48933 | 921020583 | FINANCIAL PLANNING | MI | T4G MANAGEMENT LLC | RELATED | -$1,486,296 | $18,874,886 | 0 | 0 | 1.00000 |
| ARCIS FUND I LLC | |||||||||||||
| 300 WASHINGTON SQUARE SUITE 225 | LANSING | MI | 48933 | 932945609 | INVESTMENTS | MI | RENAISSANCE HOLDING COMPANY | RELATED | $12,834 | $3,658,541 | 0 | 0 | 0.68000 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| RENAISSANCE HOLDING COMPANY | |||||||||||||
| PO BOX 30381 | LANSING | MI | 48909 | 412177193 | HOLDING COMPANY | MI | DELTA DENTAL OF MICHIGAN | C | -$901,145 | $55,222,992 | 0.58000 | Yes (1) | |
| RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA | |||||||||||||
| PO BOX 30381 | LANSING | MI | 48909 | 470397286 | INSURANCE | IN | RENAISSANCE HOLDING COMPANY | C | -$704,436 | $78,228,576 | 0.58000 | Yes (1) | |
| RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF NEW YORK | |||||||||||||
| PO BOX 30381 | LANSING | MI | 48909 | 134098096 | INSURANCE | NY | RENAISSANCE HOLDING COMPANY | C | $417,023 | $9,697,332 | 0.58000 | Yes (1) | |
| FORE HOLDING CORPORATION | |||||||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 204116122 | HOLDING COMPANY | TN | C | 0 | N/A | ||||
| DENTAL CHOICE INC | |||||||||||||
| 10100 LINN STATION ROAD SUITE 700 | LOUISVILLE | KY | 40223 | 611105118 | PROVIDE DENTAL SERVICE PLANS | KY | C | 0 | N/A | ||||
| DENTAL CHOICE AGENCY INC | |||||||||||||
| 10100 LINN STATION RD SUITE 700 | LOUISVILLE | KY | 40223 | 611336003 | PRIMARY GENERAL AGENCY FOR DDKY & DENTAL CHOICE | KY | C | 0 | N/A | ||||
| OMEGA ADMINISTRATORS INC | |||||||||||||
| 1513 COUNTRY CLUB ROAD | SHERWOOD | AR | 72120 | 043740469 | PROVIDING THIRD-PARTY ADMINISTRATIVE SERVICES | AR | C | 0 | N/A | ||||
| THE 4100 GROUP | |||||||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 472557772 | INVESTMENT IN SUBSIDIARIES | MI | DELTA DENTAL OF MICHIGAN | C | -$1,748,041 | $107,725,035 | 1.00000 | Yes (1) | |
| DENTAL CHOICE ANCILLARY INC | |||||||||||||
| 10100 LINN STATION RD SUITE 700 | LOUISVILLE | KY | 40223 | 881391091 | PROVIDE DENTAL SERVICE PLANS | KY | C | 0 | N/A | ||||
| ANCILLARY CHOICE LIFE INC | |||||||||||||
| 10100 LINN STATION RD SUITE 700 | LOUISVILLE | KY | 40223 | 880574945 | INSURANCE | KY | C | 0 | N/A | ||||
| DYNTL INC | |||||||||||||
| 2800 WHITE OAK DR | NASHVILLE | TN | 37215 | 934527543 | DENTAL SERVICE | TN | T4G HEALTH HOLDINGS LLC | C | $2,222 | $2,502,072 | 1.00000 | Yes (1) | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (17 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DELTA DENTAL PLAN OF OHIO INC | ||
| L | $47,296,948 | ACTUAL COST |
| DELTA DENTAL PLAN OF INDIANA INC | ||
| L | $18,400,122 | ACTUAL COST |
| DELTA DENTAL OF NORTH CAROLINA | ||
| L | $8,684,084 | ACTUAL COST |
| DELTA DENTAL PLAN OF ARKANSAS INC | ||
| L | $8,597,582 | ACTUAL COST |
| DELTA DENTAL OF TENNESSEE | ||
| L | $6,508,086 | ACTUAL COST |
| RENAISSANCE LIFE AND HEALTH INSURANCE COMPANY OF AMERICA | ||
| L | $5,520,671 | ACTUAL COST |
| DELTA DENTAL OF KENTUCKY INC | ||
| L | $4,177,350 | ACTUAL COST |
| DELTA DENTAL PLAN OF NEW MEXICO INC | ||
| L | $2,881,785 | ACTUAL COST |
| DELTA DENTAL FUND | ||
| B | $1,500,000 | ACTUAL COST |
| DELTA DENTAL FUND | ||
| L | $1,305,642 | ACTUAL COST |
| T4G MANAGEMENT | ||
| L | $387,699 | ACTUAL COST |
| RENAISSANCE HEALTH SERVICE CORPORATION | ||
| L | $135,004 | ACTUAL COST |
| THE 4100 GROUP | ||
| L | $132,487 | ACTUAL COST |
| RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF NEW YORK | ||
| L | $111,917 | ACTUAL COST |
| RENAISSANCE HOLDING COMPANY | ||
| L | $90,516 | ACTUAL COST |
| GRIES FINANCIAL LLC | ||
| M | $146,019 | ACTUAL COST |
| RED CEDAR INVESTMENT MANAGEMENT LLC | ||
| M | $2,415,575 | ACTUAL COST |