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DELTA DENTAL OF PENNSYLVANIA: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF PENNSYLVANIA (EIN 23-1667011)
Tax period
2023-01-01 to 2023-12-31
Filed
2024-11-07
IRS object ID
202413129349300111
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

FieldValueIRS element (for citing)
Return2024-11-07T07:06:12-06:00ReturnTs
Tax Period End2023-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341851358PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ ADVISORS LLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1530 HOWELL ROAD SUITE 209AddressLine1Txt
CityGREENVILLECityNm
State AbbreviationSCStateAbbreviationCd
ZIP29615ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2023-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231667011EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF PENNSYLVANIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone7177668500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 CORPORATE CENTER DR STE600AddressLine1Txt
CityCAMP HILLCityNm
State AbbreviationPAStateAbbreviationCd
ZIP17011ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALICIA F WEBERPersonNm
Person TitleCFOPersonTitleTxt
Phone4159748577PhoneNum
Signature2024-11-06SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLIE A LANFORDPreparerPersonNm
PTINP00538614PTIN
Phone8642412001PhoneNum
FieldValueIRS element (for citing)
Tax2023TaxYr
Build TS2024-10-15 13:58:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerALICIA F WEBERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1560 MISSION STREET STE 1300AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$930,766,180GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALINS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent7VotingMembersIndependentCnt
Total Employee828TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$873,038,758PYProgramServiceRevenueAmt
CY Program Service Revenue$898,236,054CYProgramServiceRevenueAmt
PY Investment Income$8,438,061PYInvestmentIncomeAmt
CY Investment Income$13,175,911CYInvestmentIncomeAmt
PY Other Revenue-$831,661PYOtherRevenueAmt
CY Other Revenue-$3,683,431CYOtherRevenueAmt
PY Total Revenue$880,645,158PYTotalRevenueAmt
CY Total Revenue$907,728,534CYTotalRevenueAmt
PY Grants And Similar Paid$3,999,162PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,449,420CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$748,857,481PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$783,524,378CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$48,142,919PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$52,782,360CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$41,075,289PYOtherExpensesAmt
CY Other Expenses$51,321,958CYOtherExpensesAmt
PY Total Expenses$842,074,851PYTotalExpensesAmt
CY Total Expenses$890,078,116CYTotalExpensesAmt
PY Revenues Less Expenses$38,570,307PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$17,650,418CYRevenuesLessExpensesAmt
Total Assets BOY$400,169,981TotalAssetsBOYAmt
Total Assets EOY$452,498,260TotalAssetsEOYAmt
Total Liabilities BOY$110,546,087TotalLiabilitiesBOYAmt
Total Liabilities EOY$139,902,109TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$289,623,894NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$312,596,151NetAssetsOrFundBalancesEOYAmt
MissionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$877,493,638ExpenseAmt
Revenue$907,728,534RevenueAmt
DescTHE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 2,762,197 BENEFICIARIES IN 2023, PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS SERVING 1,913 PURCHASING GROUPS. THE ORGANIZATION PAID MORE THAN $783.5 MILLION FOR DENTAL CARE DURING 2023.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,449,420ExpenseAmt
Grant$2,449,420GrantAmt
DescTHE ORGANIZATION MADE GRANTS DURING 2023 TO FOSTER IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT, TO SUPPORT PROFESSIONAL DENTAL EDUCATION, AND TO PROVIDE ORAL HEALTH INSTRUCTION FOR PATIENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$879,943,058TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document92732IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee828EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member7IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ALICIA F WEBER CFOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4159748577PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1560 MISSION STREET STE 1300AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
CASTRO MICHAEL J
CHIEF EXECUTIVE OFFICER4.0046.00Yes (X)$0$6,909,365$262,132
JACKSON KEVIN L
EVP/CHIEF GROWTH OFFICER0.00$0$4,160,020$16,795Yes (X)
CHAVARRIA SARAH M
PRESIDENT4.0046.00Yes (X)$0$3,084,552$66,709
WEBER ALICIA F
EVP CHIEF FINANCIAL OFFICER4.0046.00Yes (X)$0$2,737,332$74,060
HANKINSON MICHAEL G
EVP CHIEF LEGAL OFFICER4.0046.00Yes (X)$0$2,237,025$55,810
TITCOMBE DOMINIC
EVP/CHIEF INFORMATION OFFICER4.0046.00Yes (X)$0$1,918,394$66,709
MACGILVRAY JENNIFER
SENIOR VICE PRESIDENT QUALITY CARE AND CLAIMS40.0010.00$692,106$0$64,823Yes (X)
CLARKE JAMIE
VICE PRESIDENT NETWORK DEVELOPMENT40.0010.00$591,677$0$58,075Yes (X)
GRAYBILL RICHARD C
VP UNDERWRITING AND ACTUARIAL29.0021.00$562,132$0$45,704Yes (X)
COOVER ROBERT D
DIRECTOR SALES40.00$399,911$0$60,101Yes (X)
WEIS JOHN P
DIRECTOR INFRASTRUCTURE & OPERATIONS40.00$391,588$0$64,015Yes (X)
DAVIS CHRISTOPHER T
VP SALES40.0010.00$389,200$0$62,231Yes (X)
CEMBROLA MICHAEL
VP SALES29.0021.00$422,548$0$14,665Yes (X)
MOORMAN ROGER W
SALES ACCOUNT EXECUTIVE40.00$361,242$0$62,936Yes (X)
ASHCROFT VALERIE
DIRECTOR TALENT ACQUISITION40.00$328,010$0$56,622Yes (X)
GRAY ALICIA
SENIOR DIRECTOR G&A, UM & REGULATORY ADHERENCE40.00$311,331$0$52,839Yes (X)
BERGERT GLEN F CPA
DIRECTOR2.005.00$35,000$184,500$0Yes (X)
FOSTER JEANNE M
VP FINANCE0.00$192,219$0$0Yes (X)
MAHER DEBRA G
CHAIR2.002.00Yes (X)$46,004$16,500$0Yes (X)
WENGER PHILIP R
VICE CHAIR2.002.00Yes (X)$21,985$15,000$0Yes (X)
BECK JR JOSEPH P
DIRECTOR2.00$35,000$0$0Yes (X)
CARTER JR EUGENE F
DIRECTOR2.00$30,985$0$0Yes (X)
LITTLE SCOTT Q DDS
DIRECTOR1.00$21,985$0$0Yes (X)
BRUNO MICHELLE A
DIRECTOR1.00$18,000$0$0Yes (X)
VEIHDEFFER L WILLIAM DMD
DIRECTOR1.00$18,000$0$0Yes (X)
KOTCHICK CHRISTOPHER J DMD
DIRECTOR1.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,868,923TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$21,262,688TotReportableCompRltdOrgAmt
Total Other Compensation$1,084,226TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K165IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
ELEVATED RESOURCES
3990 WESTERLY PL STE 270NEWPORT BEACHCA92603TEMP SERVICES$1,541,494
CHANGE HEALTHCARE SOLUTIONS LLC
PO BOX 572490MURRAYUT84157ELECTRONIC CLAIMS PROCESSING$554,971
BROADRIDGE OUTPUT SOLUTIONS INC
PO BOX 416423BOSTONMA02241BILLING SERVICE AND GRIEVANCE APPEALS$463,219
NATIONAL ELECTRONIC ATTACHMENT INC
3577 PARKWAY LN 250PEACHTREE CORNERSGA30092ELECTRONIC CLAIMS PROCESSING$384,728
ARMANINO LLP
PO BOX 398285SAN FRANSISCOCA94139AUDIT SERVICES$307,955
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K10CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDIRECT PREMIUMSDesc
Business524114BusinessCd
Total Revenue Column$898,236,054TotalRevenueColumnAmt
Related Or Exempt Func Income$898,236,054RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$898,236,054TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$12,999,854TotalRevenueColumnAmt
Related Or Exempt Func Income$12,999,854RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$23,213,703SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$23,037,646SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$176,057SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$176,057TotalRevenueColumnAmt
Related Or Exempt Func Income$176,057RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
BAD DEBT EXPENSE524114-$645,400-$645,400
MISC EXPENSES524114-$3,038,031-$3,038,031
FieldValueIRS element (for citing)
Other Revenue Total-$3,683,431OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$907,728,534TotalRevenueColumnAmt
Related Or Exempt Func Income$907,728,534RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,449,420TotalAmt
Program Services$2,449,420ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$783,524,378TotalAmt
Program Services$783,524,378ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,076,841TotalAmt
Program Services$2,851,337ProgramServicesAmt
Management And General$225,504ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$34,859,701TotalAmt
Program Services$31,103,955ProgramServicesAmt
Management And General$3,755,746ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,992,244TotalAmt
Program Services$5,395,460ProgramServicesAmt
Management And General$596,784ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$6,376,117TotalAmt
Program Services$5,741,102ProgramServicesAmt
Management And General$635,015ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,477,457TotalAmt
Program Services$2,230,720ProgramServicesAmt
Management And General$246,737ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$222,197TotalAmt
Management And General$222,197ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$373,118TotalAmt
Management And General$373,118ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$218,277TotalAmt
Management And General$218,277ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$759,116TotalAmt
Program Services$683,514ProgramServicesAmt
Management And General$75,602ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$3,677,487TotalAmt
Program Services$3,311,236ProgramServicesAmt
Management And General$366,251ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,037,051TotalAmt
Program Services$933,768ProgramServicesAmt
Management And General$103,283ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$1,942,163TotalAmt
Program Services$1,942,163ProgramServicesAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$4,711,038TotalAmt
Program Services$4,241,853ProgramServicesAmt
Management And General$469,185ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$972,643TotalAmt
Program Services$875,775ProgramServicesAmt
Management And General$96,868ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$313,236TotalAmt
Program Services$282,040ProgramServicesAmt
Management And General$31,196ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$12,072TotalAmt
Program Services$12,072ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$769,783TotalAmt
Program Services$693,118ProgramServicesAmt
Management And General$76,665ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,337,595TotalAmt
Program Services$1,204,380ProgramServicesAmt
Management And General$133,215ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COST TRANSFERS$19,659,878$17,701,897$1,957,981
COMMISSIONS$13,156,446$13,156,446
OUTSIDE SERVICES$3,155,252$2,841,012$314,240

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total-$995,394TotalAmt
Program Services-$1,232,588ProgramServicesAmt
Management And General$237,194ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$890,078,116TotalAmt
Program Services$879,943,058ProgramServicesAmt
Management And General$10,135,058ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
EOY$1,500,955EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$15,117,298BOYAmt
EOY$22,335,681EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$63,997,343BOYAmt
EOY$77,181,542EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$5,000,000BOYAmt
EOY$5,000,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$2,990,669BOYAmt
EOY$10,074,089EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$27,499,846LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$15,131,191LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,278,206BOYAmt
EOY$12,368,655EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$272,009,901BOYAmt
EOY$285,414,739EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$31,776,564BOYAmt
EOY$38,622,599EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$400,169,981BOYAmt
EOY$452,498,260EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$86,169,314BOYAmt
EOY$109,302,137EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$5,783,038BOYAmt
EOY$6,296,038EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,593,735BOYAmt
EOY$24,303,934EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,546,087BOYAmt
EOY$139,902,109EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$289,623,894BOYAmt
EOY$312,596,151EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$289,623,894BOYAmt
EOY$312,596,151EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$400,169,981BOYAmt
EOY$452,498,260EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$17,650,418ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$5,845,437NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$523,598OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,484,639OtherCostOrOtherBasisAmt
Book Value$1,484,639BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$10,235,223OtherCostOrOtherBasisAmt
Depreciation$5,953,024DepreciationAmt
Book Value$4,282,199BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,942,357OtherCostOrOtherBasisAmt
Depreciation$2,830,395DepreciationAmt
Book Value$3,111,962BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,978,181OtherCostOrOtherBasisAmt
Depreciation$5,640,989DepreciationAmt
Book Value$3,337,192BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$859,446OtherCostOrOtherBasisAmt
Depreciation$706,783DepreciationAmt
Book Value$152,663BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$12,368,655TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
DELTA DENTAL INSURANCE COMPANY$4,885C
SECURITIES$38,617,714F
FieldValueIRS element (for citing)
Total Book Value Securities$38,622,599TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
PAYABLES TO AFFILIATES$11,699,250
PREFUNDED DEPOSITS$1,908,688
REFUNDABLE BALANCES$378,296
LONG TERM LEASE LIABILITY$10,317,700
FieldValueIRS element (for citing)
Total Liability$24,303,934TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$354,695,903TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$5,845,437NetUnrealizedGainsInvstAmt
Revenue Not Reported$5,845,437RevenueNotReportedAmt
Revenue Subtotal$348,850,466RevenueSubtotalAmt
Investment Expenses Not Incld$218,277InvestmentExpensesNotIncldAmt
Other Revenues Not Included$558,659,791OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$558,878,068RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$907,728,534TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$331,200,048TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$331,200,048ExpensesSubtotalAmt
Investment Expenses Not Incld2$218,277InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$558,659,791OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$558,878,068ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$890,078,116TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE COMPANY IS A TAX-EXEMPT ORGANIZATION ORGANIZED UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND, AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. CURRENT ACCOUNTING GUIDANCE CLARIFIES HOW UNCERTAINTIES IN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A FINANCIAL STATEMENT RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. POSITIONS INCLUDE THOSE WITH RESPECT TO THE COMPANY'S TAX EXEMPT STATUS AND WITH RESPECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. THE COMPANY HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN UNCERTAINTIES REQUIRING RECOGNITION.
PART XI, LINE 4B - OTHER ADJUSTMENTS:ADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE
PART XII, LINE 4B - OTHER ADJUSTMENTS:CLAIMS ACCRUED FOR ADMINISTRATIVE SERVICE CONTRACTS
PART X, LINE 1, (4) REFUNDABLE BALANCES:ON MARCH 11, 2020, THE WORLD HEALTH ORGANIZATION DECLARED A NOVEL STRAIN OF CORONAVIRUS (COVID-19) AS A GLOBAL PANDEMIC. THE COVID-19 OUTBREAK HAS CAUSED BUSINESS DISRUPTION THROUGH MANDATED AND VOLUNTARY CLOSINGS OF BUSINESSES AND SHELTER IN PLACE ORDERS. THESE DISRUPTIONS IMPACTED THE ORGANIZATION'S CUSTOMERS' ABILITY TO OBTAIN DENTAL SERVICES. THE ORGANIZATION HAS TAKEN A POSITION AND COMMITTED TO ITS CUSTOMERS, PROVIDERS, AND REGULATORS TO NOT EXCESSIVELY PROFIT FROM THE PANDEMIC. TO THIS END, IN 2020, THE ORGANIZATION ESTABLISHED ESTIMATED RESERVES REPRESENTING EXCESS UNDERWRITING GAINS IN THE AMOUNT OF $32.2 MILLION. DURING 2021 THROUGH 2023, RESERVE AMOUNTS WERE USED TO SUPPORT CUSTOMERS THROUGH ONGOING PAYMENT RELIEF AND OTHER PROGRAMS. ALL RESERVES HAVE BEEN EXAUSTED AS OF DECEMBER 31, 2023. IN ADDITION, CERTAIN CONTRACTS PROVIDE THAT PREMIUMS RECEIVED IN EXCESS OF CLAIMS INCURRED AND ADMINISTRATIVE FEES ARE EITHER REFUNDABLE TO THE GROUPS AT THE EXPIRATION OF THE AGREEMENTS OR APPLIED AGAINST FUTURE PREMIUM PAYMENTS.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
DELTA DENTAL COMMUNITY CARE FOUNDATION
560 MISSION STREET ST 1300SAN FRANCISCOCA94105371570764501(C)(3)$2,286,978$0TO PROVIDE DENTAL EDUCATION
AMERICAN ONLINE GIVING FOUNDATION
PO BOX 1010SAFETY HARBORFL34695810739440501(C)(3)$43,483$0TO PROVIDE DENTAL EDUCATION
OPPORTUNITIES INDUSTRIALIZATION CENTER
1232 N BROAD STPHILADELPHIAPA19122236296920501(C)(3)$15,000$0TO PROVIDE DENTAL EDUCATION
BETHESDA MISSION WOMEN'S SHELTER
611 REILY STHARRISBURGPA17102231389397501(C)(3)$15,000$0TO PROVIDE DENTAL EDUCATION
COOL CARS FOR KIDS INC
424 BRENTWOOD RDBALA CYNWYDPA19004813917740501(C)(3)$10,000$0TO PROVIDE DENTAL EDUCATION
SPECIAL OLYMPICS PENNSYLVANIA
55 MILLER STENOLAPA17025232078543501(C)(3)$7,500$0TO PROVIDE DENTAL EDUCATION
PA PARTNERSHIP FOR CULTURE HEALTH AND EDUCATION
222 MARKET STHARRISBURGPA17001251888180501(C)(3)$6,000$0TO PROVIDE DENTAL EDUCATION
FieldValueIRS element (for citing)
Total501c3 Org7Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION AWARDS GRANTS AND PROVIDES OTHER ASSISTANCE THROUGH CONTRIBUTIONS AND/OR SPONSORSHIPS FOR PROGRAMS THAT FOSTER DENTAL HEALTH AND EDUCATION, AS WELL AS COMMUNITY SUPPORT. THROUGH THESE GRANTS, CONTRIBUTIONS AND SPONSORSHIPS, THE ORGANIZATION HELPS FINANCE HEALTH, EDUCATION, AND RESEARCH PROJECTS IN DENTISTRY, HEALTH AND HUMAN SERVICES, AND CIVIC AND/OR COMMUNITY ACTIVITIES. INDIVIDUAL GRANTS, CONTRIBUTIONS AND/OR SPONSORSHIPS WILL GENERALLY NOT EXCEED $100,000 WITH EXCEPTION OF THE CONTRIBUTION MADE TO THE DELTA DENTAL COMMUNITY CARE FOUNDATION. GRANTS WILL BE LIMITED TO ONE-YEAR PROJECTS, SUBJECT TO RENEWAL. EXCEPT IN SPECIAL CASES, AN ORGANIZATION/ENTITY WILL NOT BE ELIGIBLE FOR MORE THAN ONE GRANT DURING ANY YEAR.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
CASTRO MICHAEL J
CHIEF EXECUTIVE OFFICER$0$1,423,077$0$5,037,406$0$448,882$0$230,073$0$32,059$0$7,171,497$0$0
JACKSON KEVIN L
EVP/CHIEF GROWTH OFFICER$0$0$0$2,161,459$0$1,998,561$0$16,795$0$0$0$4,176,815$0$0
CHAVARRIA SARAH M
PRESIDENT$0$875,000$0$2,191,210$0$18,342$0$34,650$0$32,059$0$3,151,261$0$0
WEBER ALICIA F
EVP CHIEF FINANCIAL OFFICER$0$848,558$0$1,821,731$0$67,043$0$57,050$0$17,010$0$2,811,392$0$0
HANKINSON MICHAEL G
EVP CHIEF LEGAL OFFICER$0$674,039$0$1,494,755$0$68,231$0$34,650$0$21,160$0$2,292,835$0$0
TITCOMBE DOMINIC
EVP/CHIEF INFORMATION OFFICER$0$589,231$0$1,296,017$0$33,146$0$34,650$0$32,059$0$1,985,103$0$0
MACGILVRAY JENNIFER
SENIOR VICE PRESIDENT QUALITY CARE A$369,615$0$308,742$0$13,749$0$34,650$0$30,173$0$756,929$0$0$0
CLARKE JAMIE
VICE PRESIDENT NETWORK DEVELOPMENT$337,643$0$249,813$0$4,221$0$34,650$0$23,425$0$649,752$0$0$0
GRAYBILL RICHARD C
VP UNDERWRITING AND ACTUARIAL$272,775$0$278,483$0$10,874$0$34,650$0$11,054$0$607,836$0$0$0
COOVER ROBERT D
DIRECTOR SALES$194,993$0$174,799$0$30,119$0$34,650$0$25,451$0$460,012$0$0$0
WEIS JOHN P
DIRECTOR INFRASTRUCTURE & OPERATIONS$219,280$0$146,820$0$25,488$0$33,890$0$30,125$0$455,603$0$0$0
DAVIS CHRISTOPHER T
VP SALES$254,480$0$128,988$0$5,732$0$33,939$0$28,292$0$451,431$0$0$0
CEMBROLA MICHAEL
VP SALES$70,391$0$313,571$0$38,586$0$8,296$0$6,369$0$437,213$0$0$0
MOORMAN ROGER W
SALES ACCOUNT EXECUTIVE$78,723$0$272,790$0$9,729$0$34,650$0$28,286$0$424,178$0$0$0
ASHCROFT VALERIE
DIRECTOR TALENT ACQUISITION$194,885$0$118,045$0$15,080$0$28,342$0$28,280$0$384,632$0$0$0
GRAY ALICIA
SENIOR DIRECTOR G&A, UM & REGULATORY$194,133$0$119,936$0-$2,738$0$27,163$0$25,676$0$364,170$0$0$0
BERGERT GLEN F CPA
DIRECTOR$35,000$184,500$0$0$0$0$0$0$0$0$35,000$184,500$0$0
FOSTER JEANNE M
VP FINANCE$0$0$192,219$0$0$0$0$0$0$0$192,219$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AFINANCIAL AND TAX PLANNING EXPENSES ARE REIMBURSED TO EMPLOYEES AT THE DIRECTOR OR ABOVE LEVELS OF MANAGEMENT. A COMPANY POLICY OUTLINES THE MAXIMUM REIMBURSEMENT ALLOWED FOR EACH MANAGEMENT LEVEL. TWO COMPANY EXECUTIVES RECEIVED REIMBURSEMENTS FOR FINANCIAL AND TAX PLANNING EXPENSES IN 2023.
PART I, LINE 3COMPENSATION PAID TO THE CEO AND EXECUTIVE VICE PRESIDENTS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION FOR THE ENSUING YEAR AFTER REVIEWING COMPARABILITY DATA PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT, AN ASSESSMENT OF EACH OFFICER'S PERFORMANCE OVER THE PRECEDING YEAR, AND THE ORGANIZATION'S PROGRAM ACCOMPLISHMENTS FOR THE PRIOR YEAR. COMPENSATION PAID TO DIRECTORS IS ALSO APPROVED BY THE COMPENSATION COMMITTEE AFTER REVIEWING COMPARABILITY DATA IN A BENCHMARKING STUDY PREPARED AND PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS. THESE PROCESSES WERE FOLLOWED FOR 2023 COMPENSATION.
PART I, LINE 4ADURING 2023, ONE EXECUTIVE, KEVIN L. JACKSON RECEIVED A SEVERANCE PAYMENT UPON SEPARATION FROM THE ORGANIZATION. THIS PAYMENT IS INCLUDED ON SCHEDULE J AND REPORTED IN PART II, COLUMN (B)(III).
PART I, LINE 7:THE CEO OF THE ORGANIZATION, WITH BOARD OF DIRECTORS APPROVAL, MAY GRANT AN ANNUAL BONUS TO ALL MANAGEMENT EMPLOYEES. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. DELTA DENTAL OF PENNSYLVANIA MAINTAINS A LONG-TERM INCENTIVE PLAN (LTIP) FOR ELIGIBLE EMPLOYEES OF THE ORGANIZATION, LINKING COMPENSATION TO THE COMPANY'S PERFORMANCE. USING SUCCESS METRICS SUCH AS REVENUES, NET GAIN AS A PERCENTAGE OF REVENUES, AND OTHERS, ALLOWS THE COMPANY TO ACCURATELY MEASURE ITS GROWTH, INFORM ON PROGRESS OF ITS BUSINESS TRANSFORMATION, AND EMPOWER CONTINUED SUCCESS. THE LTIP IS UNFUNDED AND ALL PAYMENTS FROM THE LTIP ARE DERIVED FROM THE GAINS OF THE COMPANY. AS SUCH, THERE IS NO GUARANTEE OF INCENTIVE PAYMENTS UNDER THE LTIP. THE CEO MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE FOR ITS REVIEW AND APPROVAL REGARDING THE PERFORMANCE OBJECTIVES, BOTH FINANCIAL AND NON-FINANCIAL, UPON WHICH PAYMENT OF AWARDS ARE BASED AND THE TIME PERIOD DURING WHICH PERFORMANCE SHALL BE MEASURED. EACH LTIP PLAN SPANS THREE YEARS, OVERLAPPING WITH CURRENT PLANS. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION.
PART II, ROW (II):SOME OF THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON ROW (II).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonCHRISTOPHER J KOTCHICK DDSPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionPARTICIPATING PROVIDERRelationshipDescriptionTxt
Transaction$311,889TransactionAmt
TransactionDENTAL CLAIM PAYMENTSTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE CLASS OF MEMBERS, DESIGNATED CORPORATE MEMBERS, WHO ARE DIRECTORS OF DENTEGRA GROUP, INC., THE ORGANIZATION'S PARENT HOLDING COMPANY.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S DIRECTORS VOTE ON PERSONS NOMINATED AS DIRECTORS FOR ENDORSEMENT TO THE CORPORATE MEMBERS, WHO ELECT THE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE CORPORATE MEMBERS MUST APPROVE ANY CHANGES TO SPECIFIED BYLAWS PROVISIONS.
FORM 990, PART VI, SECTION B, LINE 11BTHE ORGANIZATION'S CFO AND LEGAL COUNSEL OVERSEE THE COMPLETION OF THE FORM 990 AND, PRIOR TO FILING, REVIEW IT WITH THE PRESIDENT/CEO AND WITH THE FINANCE COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND BETWEEN ANNUAL STATEMENTS IS REQUIRED TO DISCLOSE ANY NEW POSITION OR RELATIONSHIP FORMED THAT POTENTIALLY RAISES A CONFLICT OF INTEREST. LEGAL COUNSEL REVIEWS THESE DISCLOSURES AND REPORTS THE INFORMATION TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PAID TO THE CEO AND EXECUTIVE VICE PRESIDENTS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION FOR THE ENSUING YEAR AFTER REVIEWING COMPARABILITY DATA PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT, AN ASSESSMENT OF EACH OFFICER'S PERFORMANCE OVER THE PRECEDING YEAR, AND THE ORGANIZATION'S PROGRAM ACCOMPLISHMENTS FOR THE PRIOR YEAR. COMPENSATION PAID TO DIRECTORS IS ALSO APPROVED BY THE COMPENSATION COMMITTEE AFTER REVIEWING COMPARABILITY DATA IN A BENCHMARKING STUDY PREPARED AND PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS. THESE PROCESSES WERE FOLLOWED FOR 2023 COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS FINANCIAL STATEMENT AVAILABLE TO PERSONS OR ENTITIES KNOWN TO HAVE AN INTEREST IN THE ORGANIZATION. STATUTORY FINANCIAL STATEMENTS ARE INCLUDED IN QUARTERLY AND ANNUAL RETURNS TO STATE DEPARTMENTS OF INSURANCE REGULATING THE ORGANIZATION WHICH RETURNS ARE AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART VII; SCHEDULE J; SCHEDULE R:THE ORGANIZATION, REGULATED BY THE PENNSYLVANIA INSURANCE DEPARTMENT, IS A MEMBER OF THE DELTA DENTAL OF CALIFORNIA ENTERPRISE COMPANIES, WHICH INCLUDE DELTA DENTAL OF CALIFORNIA, DELTA DENTAL OF PENNSYLVANIA AND AFFILIATED COMPANIES OPERATING IN 15 STATES, THE DISTRICT OF COLUMBIA, PUERTO RICO AND THE U.S. VIRGIN ISLANDS. THE ENTERPRISE COMPANIES COMPRISE ONE OF THE NATION'S LARGEST DENTAL BENEFITS DELIVERY SYSTEMS COVERING 40.6 MILLION ENROLLEES AND PROCESSING 60 MILLION CLAIMS. TOTAL REVENUE FOR THE ENTERPRISE EXCEEDED $10.5 BILLION IN 2023. THE ORGANIZATION REPRESENTS APPROXIMATELY 9% OF TOTAL ENTERPRISE REVENUES.
FORM 990, PART XI, LINE 9:ADOPTION OF NEW ACCOUNTING STANDARD -523,598.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
DELTA DENTAL OF DELAWARE INC
300 CORPORATE CENTER DR STE 600CAMP HILLPA17011510228088DENTAL INSURANCEDE501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF WEST VIRGINIA INC
300 CORPORATE CENTER DR STE 600CAMP HILLPA17011550523124DENTAL INSURANCEWV501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF THE DISTRICT OF COLUMBIA
300 CORPORATE CENTER DR STE 600CAMP HILLPA17011521479587DENTAL INSURANCEDC501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL COMMUNITY CARE FOUNDATION
560 MISSION STREET STE 1300SAN FRANCISCOCA94105371570764CHARITABLE ORGANIZATIONCA501(C)(3)DENTEGRA GROUP INC0PF
DELTA DENTAL OF CALIFORNIA
560 MISSION STREET STE 1300SAN FRANCISCOCA94105941461312DENTAL INSURANCECA501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF NEW YORK
300 CORPORATE CENTER DR STE 600CAMP HILLPA17011111980218DENTAL INSURANCENY501(C)(4)DENTEGRA GROUP INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdOwnershipOwnershipPctProvince Or StateForeignAddress/ProvinceOrStateNm
DENTEGRA GROUP INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105943386049HOLDING COMPANYDEN/AC0
DENTEGRA INSURANCE COMPANY
560 MISSION STREET STE 1300SAN FRANCISCOCA94105751233841INSURANCE COMPANYDEC0DDC INSURANCE HOLDINGS INC
DENTEGRA INSURANCE CO OF NEW ENGLAND
560 MISSION STREET STE 1300SAN FRANCISCOCA94105300318743INSURANCE COMPANYMAC0DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF NEVADA INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105880244893INSURANCE COMPANYNVC0DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF UTAH INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105860672505INSURANCE COMPANYUTC0DDC INSURANCE HOLDINGS INC
ALPHA DENTAL PROGRAMS INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105742447512INSURANCE COMPANYTXC0DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF ALABAMA INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105630796079INSURANCE COMPANYALC0DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF NEW MEXICO INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105330279230INSURANCE COMPANYNMC0DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF ARIZONA INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105930939835INSURANCE COMPANYAZC0DDC INSURANCE HOLDINGS INC
DELTA DENTAL OF PUERTO RICO
660436769INSURANCE COMPANYC0DELTA DENTAL OF CALIFORNIA14 CALLE 2 SUITE 200GUAYNABORQ00968RQ
DELTA DENTAL INSURANCE COMPANY
560 MISSION STREET STE 1300SAN FRANCISCOCA94105942761537INSURANCE COMPANYDEC0DDC INSURANCE HOLDINGS INC0.00120
DDC INSURANCE HOLDINGS INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105274251930HOLDING COMPANYDEC0DELTA DENTAL OF CALIFORNIA
ALLIED ADMINISTRATORS INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105941713371THIRD PARTY ADMIN SERVICESCAC0DDC INSURANCE HOLDINGS INC
DELTA DENTAL IPA OF NEW YORK
560 MISSION STREET STE 1300SAN FRANCISCOCA94105384063658INDEPENDENT PRACTICE ASSOCIATIONNYC0DDC INSURANCE HOLDINGS INC
ORAL HEALTH INNOVATION CENTER INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105920778836INACTIVEDEC0DDC INSURANCE HOLDINGS INC
DENTEGRA SEGURO DENTALES SA
INSURANCE COMPANYC0DENTEGRA INSURANCE COMPANYINSURGENTES SUR 826 PISO 15COL DEL VALLEMXMXFC DF 01300
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (28 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
DELTA DENTAL OF CALIFORNIA
L$8,010,861
DELTA DENTAL OF CALIFORNIA
M$32,783,411
DELTA DENTAL OF CALIFORNIA
P$23,987,922
DELTA DENTAL OF CALIFORNIA
Q$1,223,445
DELTA DENTAL OF DELAWARE
L$7,475,532
DELTA DENTAL OF DELAWARE
Q$30,179
DELTA DENTAL OF DISTRICT OF COLUMBIA
L$2,390,292
DELTA DENTAL OF DISTRICT OF COLUMBIA
Q$10,903
DELTA DENTAL OF NEW YORK
L$41,757,178
DELTA DENTAL OF NEW YORK
P$644,747
DELTA DENTAL OF NEW YORK
Q$480,292
DELTA DENTAL OF WEST VIRGINIA
L$3,398,859
DELTA DENTAL OF WEST VIRGINIA
Q$19,342
DELTA DENTAL INSURANCE COMPANY
L$4,777,675
DELTA DENTAL INSURANCE COMPANY
M$13,798,507
DELTA DENTAL INSURANCE COMPANY
P$89,063
DELTA DENTAL INSURANCE COMPANY
Q$1,427,650
DENTEGRA INSURANCE COMPANY
P$334,138
ALLIED ADMINISTRATORS INC
M$4,464,850
DELTA DENTAL COMMUNITY CARE FOUNDATION
B$2,286,978
DENTEGRA INSURANCE COMPANY
Q$70,541
ALPHA DENTAL PROGRAMS INC
Q$19,084
ALPHA DENTAL OF NEVADA INC
Q$4,318
ALPHA DENTAL OF ALABAMA INC
Q$874
ALPHA DENTAL OF NEW MEXICO INC
Q$1,760
DENTEGRA INSURANCE CO OF NEW ENGLAND
Q$4,426
ALPHA DENTAL OF UTAH INC
Q$621
DELTA DENTAL OF PUERTO RICO
P$25,348