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DELTA DENTAL PLAN OF VIRGINIA: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL PLAN OF VIRGINIA (EIN 54-0844477)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202013179349305666
Schema version
2019v5.1
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)
Return2020-11-12T13:43:06-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540504608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1319 MCCLANAHAN STREET SWAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24014ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540844477EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF VIRGINIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone5409898000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14818 STARKEY ROADAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP240188542ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonR JAMES BARKERPersonNm
Person TitleSECRETARY/TREASURERPersonTitleTxt
Phone5409898000PhoneNum
Signature2020-11-09SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonM C WINGFIELDPreparerPersonNm
PTINP00005971PTIN
Phone5403450936PhoneNum
Preparation2020-11-09PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.248.228.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-09IPDt
IP Tm09:06:23IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id22D48D9E19A82449D8CBBF206804B4CD2B8F9B35AtSubmissionCreationDeviceId
At Submission Filing Device Id99D0D1F6CFEB3F355FC0DB60138D01BD9869373FAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-01-07 14:23:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerR JAMES BARKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14818 STARKEY ROADAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP240188542ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$769,534,678GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALVA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionIMPROVE THE PUBLIC'S ORAL HEALTH.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee68TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$728,773,733PYProgramServiceRevenueAmt
CY Program Service Revenue$746,345,432CYProgramServiceRevenueAmt
PY Investment Income$2,033,224PYInvestmentIncomeAmt
CY Investment Income$2,501,150CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$730,806,957PYTotalRevenueAmt
CY Total Revenue$748,846,582CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,721,751PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,810,543CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$701,907,099PYOtherExpensesAmt
CY Other Expenses$722,407,959CYOtherExpensesAmt
PY Total Expenses$711,628,850PYTotalExpensesAmt
CY Total Expenses$732,218,502CYTotalExpensesAmt
PY Revenues Less Expenses$19,178,107PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,628,080CYRevenuesLessExpensesAmt
Total Assets BOY$174,836,256TotalAssetsBOYAmt
Total Assets EOY$192,074,182TotalAssetsEOYAmt
Total Liabilities BOY$60,675,421TotalLiabilitiesBOYAmt
Total Liabilities EOY$56,738,147TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$114,160,835NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$135,336,035NetAssetsOrFundBalancesEOYAmt
MissionADVANCE THE PUBLIC'S ORAL HEALTH BY PROVIDING QUALITY DENTAL BENEFITS AT AFFORDABLE COST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$661,502,862ExpenseAmt
Revenue$746,363,548RevenueAmt
DescGROUP AND INDIVIDUAL PREPAID DENTAL CARE WAS PROVIDED FOR SUBSCRIBERS AND FAMILIES IF ENROLLED.Desc
Total Program Service Expenses$661,502,862TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign ActyYes (1)PoliticalCampaignActyInd
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 Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
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 Organizations0GrantsToOrganizationsInd
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 Mem0BusinessRlnWithOrgMemInd
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 EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document62950IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee68EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
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 Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
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 BodyYes (1)Form990ProvidedToGvrnBodyInd
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 Line1R JAMES BARKERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5409898000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14818 STARKEY ROADAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24018ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MS LAURA W THOMAS
CHAIRMAN OF THE BOARD4.002.00Yes (X)$32,000$14,550$0
DR HAROLD J BARRETT JR
DIRECTOR2.001.00Yes (X)$24,407$0$0
MR THOMAS R BYRD
DIRECTOR2.004.00Yes (X)$0$40,500$0
MR DANIEL E DRAPER
DIRECTOR3.000.00Yes (X)$27,386$0$0
MR BARRY E DUVAL
DIRECTOR1.002.00Yes (X)$0$23,600$0
MR DOUGLAS JUANARENA
DIRECTOR1.003.00Yes (X)$0$26,400$0
DR LEZLEY P MCILVEEN
DIRECTOR3.001.00Yes (X)$28,138$0$0
DR A CAROLE PRATT
DIRECTOR3.001.00Yes (X)$26,050$0$0
DR MCKINLEY L PRICE
DIRECTOR3.000.00Yes (X)$24,300$0$0
MS PAMELA S SCHUTZ
DIRECTOR1.004.00Yes (X)$0$30,800$0
MR FRANK L LUCIA
PRESIDENT & CEO1.0041.00Yes (X)$0$1,072,199$25,206Yes (X)
MR R JAMES BARKER
SECRETARY/TREASURER0.0040.00$0$452,614$70,304Yes (X)
MS KRISTIN N MERLO
SENIOR VP & COO40.000.00$731,068$0$30,855Yes (X)
MR BRADLEY KNOPF
VICE PRESIDENT40.000.00$342,925$0$50,241Yes (X)
MR CHRISTOPHER PYLE
VICE PRESIDENT40.000.00$275,012$0$58,571Yes (X)
MR DAVID WERNER
VICE PRESIDENT40.000.00$385,385$0$50,470Yes (X)
MR ROBIN K KING
STAFF40.000.00$206,614$0$51,553Yes (X)
MS MELISSA KIRSH
STAFF40.000.00$393,691$0$58,412Yes (X)
MR BRIAN KRAINER
STAFF40.000.00$244,463$0$39,775Yes (X)
MR MATTHEW MACDONALD
STAFF40.000.00$257,269$0$56,837Yes (X)
MR JOHN WILSON
STAFF40.000.00$239,653$0$37,905Yes (X)
DR GEORGE A LEVICKI
FORMER PRESIDENT0.000.00$0$141,199$0Yes (X)
MR PETER V DAVIES II
FORMER SENIOR VP & COO0.000.00$225,057$0$55,852Yes (X)
MR DANIEL C HASTINGS
FORMER DIRECTOR0.000.00$12,563$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,475,981TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,801,862TotReportableCompRltdOrgAmt
Total Other Compensation$585,981TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
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
WYSSTA SERVICES INC
PO BOX 86STEVENS POINTWI54481TPA SERVICES$4,919,820
BLUE 449 INC
13940 COLLECTIONS CENTER DRIVECHICAGOIL60693ADVERTISING SERVICES$178,889
WITTKIEFFER INC
2015 SPRING ROAD SUITE 510OAK BROOKIL605233903RECRUITING SERVICES$168,702
BLACKROCK INVESTMENT MANAGEMENT LLC
PO BOX 978604DALLASTX753978604INVESTMENT MANAGEMENT$155,946
ABM INDUSTRY GROUPS LLC
PO BOX 74008829CHICAGOIL606748829JANITORIAL SERVICES$120,426
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ASC CONTRACTS524114$442,115,454$442,115,454
RISK PREMIUMS524114$278,495,722$278,495,722
ASC FEES EARNED524114$24,991,320$24,991,320
DELTA CARE CONTRACT524114$722,350$722,350
OTHER INCOME524298$20,586$20,586
FieldValueIRS element (for citing)
Total Program Service Revenue$746,345,432TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,006,962TotalRevenueColumnAmt
Exclusion$2,006,962ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$21,139,714SecuritiesAmt
Other$42,570OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$20,663,642SecuritiesAmt
Other$24,454OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$476,072SecuritiesAmt
Other$18,116OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$494,188TotalRevenueColumnAmt
Related Or Exempt Func Income$18,116RelatedOrExemptFuncIncomeAmt
Exclusion$476,072ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$748,846,582TotalRevenueColumnAmt
Related Or Exempt Func Income$746,363,548RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,483,034ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,380,280TotalAmt
Management And General$2,380,280ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$5,521,133TotalAmt
Management And General$5,521,133ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$564,935TotalAmt
Management And General$564,935ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$894,519TotalAmt
Management And General$894,519ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$449,676TotalAmt
Management And General$449,676ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$11,696,134TotalAmt
Management And General$11,696,134ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$47,339TotalAmt
Management And General$47,339ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$232,380TotalAmt
Management And General$232,380ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,169,161TotalAmt
Management And General$29,169,161ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$952,863TotalAmt
Management And General$952,863ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$732,219TotalAmt
Management And General$732,219ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$317,897TotalAmt
Management And General$317,897ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$422,201TotalAmt
Management And General$422,201ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$167,750TotalAmt
Management And General$167,750ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$125,806TotalAmt
Management And General$125,806ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DENTAL CLAIMS$661,502,862$661,502,862
BROKERAGE COMMISSIONS A$8,398,489$8,398,489
STATE PREMIUM TAXES AND$6,272,068$6,272,068
BUSINESS DUES AND ASSOC$812,041$812,041

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,558,749TotalAmt
Management And General$1,558,749ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$732,218,502TotalAmt
Program Services$661,502,862ProgramServicesAmt
Management And General$70,715,640ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$449BOYAmt
EOY$449EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$11,632,583BOYAmt
EOY$11,014,206EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$43,923,419BOYAmt
EOY$35,142,681EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$500,402BOYAmt
EOY$304,302EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,846,527LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,943,006LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$17,567,651BOYAmt
EOY$16,903,521EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$59,704,552BOYAmt
EOY$66,396,788EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,100BOYAmt
EOY$2,100EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$41,505,100BOYAmt
EOY$62,310,135EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$174,836,256BOYAmt
EOY$192,074,182EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,937,548BOYAmt
EOY$12,053,221EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,737,873BOYAmt
EOY$44,684,926EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$60,675,421BOYAmt
EOY$56,738,147EOYAmt
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$114,160,835BOYAmt
EOY$135,336,035EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$114,160,835BOYAmt
EOY$135,336,035EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$174,836,256BOYAmt
EOY$192,074,182EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$16,628,080ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$4,547,120NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Internal Funds Contributed$31,290InternalFundsContributedAmt
Total Exempt Function Expend$31,290TotalExemptFunctionExpendAmt
Form1120 POL FiledYes (1)Form1120POLFiledInd

Section527 Political Org Section527PoliticalOrgGrp (70 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPaid Internal FundsPaidInternalFundsAmt
AIRD FOR DELEGATE
PO BOX 3943PETERSBURGVA23805$250
AYALA FOR DELEGATE
PO BOX 7434WOODBRIDGEVA22195$250
BAGBY FOR DELEGATE
PO BOX 406RICHMONDVA23218$750
BARKER FOR SENATE
PO BOX 10527ALEXANDRIAVA22310$250
BELL FOR DELEGATE
2309 FINCH COURTCHARLOTTESVILLEVA22911$250
BOURNE FOR DELEGATE
PO BOX 406RICHMONDVA23218$250
DEEDS FOR STATE SENATE
PO BOX 5462CHARLOTTESVILLEVA22905$250
DUNNAVANT FOR SENATE
PO BOX 70849HENRICOVA23255$250
EBBIN FOR VIRGINIA
PO BOX 26415ALEXANDRIAVA22313$250
EDWARDS FOR SENATE
PO BOX 1179ROANOKEVA240061179$500
EILEEN FILLER-CORN FOR DELEGATE
PO BOX 523082SPRINGFIELDVA22152$250
EILEEN FILLER-CORN FOR DELEGATE
PO BOX 523082SPRINGFIELDVA22152$2,250
ELECT CHRIS HEAD
PO BOX 19130ROANOKEVA24019$500
FRIENDS OF DAVID BULOVA
PO BOX 106FAIRFAX STATTIONVA22039$250
FRIENDS OF DAVID YANCEY
PO BOX 1163NEWPORT NEWSVA23601$250
FRIENDS OF JANET HOWELL
PO BOX 2608RESTONVA20195$250
FRIENDS OF JAY JONES
PO BOX 2892NORFOLKVA23501$250
FRIENDS OF MARK OBENSHAIN
2717 MALLARDS COURTRICHMONDVA23233$250
FRIENDS OF DR TODD PILLION
851 FRENCH MOORE JR BLVD STE 178ABINGDONVA24210$250
FRIENDS OF JENNIFER MCCLELLAN
PO BOX 47RICHMONDVA23187$250
FRIENDS OF MARCUS SIMON
PO BOX 958FALLS CHURCHVA22040$250
FRIENDS OF MONTY MASON
PO BOX 232WILLIAMSBURGVA23187$250
FRIENDS OF TOMMY NORMENT
PO BOX 6205WILLIAMSBURGVA23188$500
GILBERT FOR DELEGATE
PO BOX 309WOODSTOCKVA22664$500
HANGER FOR SENATE
PO BOX 2MOUNT SOLONVA228430002$250
HAYES FOR DELEGATE
PO BOX 5142CHESAPEAKEVA23324$250
HERETICK FOR DELEGATE
715 LOUDON AVENUEPORTSMOUTHVA23707$250
HERRING FOR DELEGATE
PO BOX 11779ALEXANDRIAVA22312$500
HOPE FOR DELEGATE
PO BOX 3148ARLINGTONVA22203$250
HURST FOR DELEGATE
PO BOX 11389BLACKSBURGVA24062$250
JENNIFER CARROLL FOY FOR DELEGATE
PO BOX 5113WOODBRIDGEVA22194$250
KARRIE DELANEY FOR DELEGATE
PO BOX 230542CENTREVILLEVA20120$250
KEAM FOR DELEGATE
PO BOX 1134VIENNAVA22183$250
MAJORITY LEADER PAC
PO BOX 309WOODSTOCKVA22664$250
KIRK COX PAYABLE TO COLONIAL LEADERSHIP TRUST
PO BOX 71596HENRICOVA23255$5,000
MAJORITY LEADER PAC (FOR REP KIRK COX)
PO BOX 1205COLONIAL HEIGHTSVA23834$1,500
KRIZEK FOR DELEGATE
2201 WHITEOAKS DRIVEALEXANDRIAVA22306$250
LEE WARE FOR DELEGATE
9912 HOLLAND MEADOWS COURTFREDERICKSBURGVA22408$250
LEFTWICH FOR DELEGATE
308 CEDAR LAKES DRIVE 3RD FLCHESAPEAKEVA23322$500
LEWIS FOR SENATE (LYNWOOD)
PO BOX 760ACCOMACVA23301$250
LINDSEY FOR DELEGATE
500 EAST PLUME STREET STE 105NORFOLKVA23510$250
LOCKE FOR SENATE
PO BOX 9048KAMPTONVA23670$500
LOPEZ FOR DELEGATE
PO BOX 40366ARLINGTONVA22204$250
LUCAS FOR SENATE
PO BOX 700PORTSMOUTHVA237050700$250
MARSDEN FOR SENATE
PO BOX 10889BURKEVA22009$250
MCGUIRE FOR DELEGATE
11375 NUCKOLS RD 156GLEN ALLENVA23059$250
MCNAMARA FOR DELEGATE
PO BOX 21094ROANOKEVA24018$250
MCPIKE FOR SENATE
PO BOX 2819WOODBRIDGEVA22195$250
MCQUINN FOR DELEGATE
PO BOX 406RICHMONDVA23218$250
MULLIN FOR DELEGATE
566 DENBIGH BLVD STE CNEWPORT NEWSVA23608$250
NEWMAN FOR SENATE
PO BOX 480FORESTVA24551$250
PETERSEN FOR SENATE
PO BOX 1066FAIRFAXVA22038$250
PRICE FOR DELEGATE
PO BOX 196NEWPORT NEWSVA23607$250
RANSONE FOR DELEGATE
PO BOX 358KINSALEVA22488$250
RASOUL FOR DELEGATE
PO BOX 13842ROANOKEVA24037$250
REID FOR DELEGATE
PO BOX 4132ASHBURNVA20148$250
ROSLYN TYLER FOR HOUSE OF DELEGATES
25359 BLUE STAR HWYJARRATTVA23867$250
RUSH FOR DELEGATE
PO BOX 1591CHRISTIANSBURGVA24068$250
RYAN MCDOUGLE FOR SENATE
PO BOX 187MECHANICSVILLEVA23111$250
SASLAW FOR SENATE
PO BOX 1856SPRINGFIELDVA221510856$1,000
SICKLES FOR DELEGATE
PO BOX 10628FRANCONIAVA22310$500
SPRUILL FOR DELEGATE
PO BOX 5403CHESAPEAKEVA23324$250
STUART FOR SENATE
PO BOX 1146MONTROSSVA22520$1,000
SUETTERLEIN FOR SENATE
PO BOX 20237ROANOKEVA24018$250
SULLIVAN FOR DELEGATE
PO BOX 50753ARLINGTONVA22205$250
SUROVELL FOR SENATE
PO BOX 289MOUNT VERNONVA22121$500
TERRY KILGORE FOR DELEGATE
PO BOX 669GATE CITYVA24251$790
TORIAN FOR DELEGATE
4222 FORTUNA PLAZA STE 659DUMFRIESVA22025$500
VANVALKENBURG SCHUYLER
PO BOX 28782RICHMONDVA23228$250
WARD FOR DELEGATE
PO BOX 7310HAMPTONVA23666$1,000

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,434,732InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,963,736OtherCostOrOtherBasisAmt
Book Value$4,398,468BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$11,748,124InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$806,697OtherCostOrOtherBasisAmt
Depreciation$361,979DepreciationAmt
Book Value$12,192,842BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$58,470InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,494,083OtherCostOrOtherBasisAmt
Depreciation$1,296,330DepreciationAmt
Book Value$256,223BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,244,773OtherCostOrOtherBasisAmt
Depreciation$2,188,785DepreciationAmt
Book Value$55,988BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,095,912OtherCostOrOtherBasisAmt
Depreciation$3,095,912DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$16,903,521TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
SOFTWARE UPGRADE$56,377,338
OTHER ASSETS$5,932,797
FieldValueIRS element (for citing)
Total Book Value Other Assets$62,310,135TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
DEPOSITS$5,673,100
ADV. PREMIUMS AND DEPOSITS$25,040,682
RATE STABILIZATION RESERVE$839,456
DENTAL SERVICE CLAIMS RESERVES$11,772,658
OPTION LIABILITY$24,554
DEFERRED COMPENSATION$1,334,476
FieldValueIRS element (for citing)
Total Liability$44,684,926TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$752,833,213TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$4,547,120NetUnrealizedGainsInvstAmt
Revenue Not Reported$4,547,120RevenueNotReportedAmt
Revenue Subtotal$748,286,093RevenueSubtotalAmt
Investment Expenses Not Incld$232,380InvestmentExpensesNotIncldAmt
Other Revenues Not Included$328,109OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$560,489RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$748,846,582TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$731,658,012TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$731,658,012ExpensesSubtotalAmt
Investment Expenses Not Incld2$232,380InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$328,110OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$560,490ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$732,218,502TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:INCOME TAXES FOOTNOTE: DELTA IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF PUBLIC LAW 99-514, TAX REFORM ACT OF 1986, ACT SECTION 1012(C)(4)(C)(IV) AND HAS RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE IRS UNDER CODE SECTION 501(C)(4). THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER CODE SECTION 501(C)(3).
PART XI, LINE 4B - OTHER ADJUSTMENTS:REAL ESTATE HOLDING COSTS 328,109.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REAL ESTATE HOLDING COSTS 328,109. ROUNDING 1.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
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 (14 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
MR FRANK L LUCIA
PRESIDENT & CEO$0$638,542$0$416,478$0$17,179$0$0$0$25,206$0$1,097,405$0$0
MR R JAMES BARKER
SECRETARY/TREASURER$0$327,796$0$123,600$0$1,218$0$55,000$0$15,304$0$522,918$0$0
MS KRISTIN N MERLO
SENIOR VP & COO$469,668$0$200,000$0$61,400$0$5,600$0$25,255$0$761,923$0$0$0
MR BRADLEY KNOPF
VICE PRESIDENT$247,136$0$94,043$0$1,746$0$33,472$0$16,769$0$393,166$0$0$0
MR CHRISTOPHER PYLE
VICE PRESIDENT$211,026$0$63,564$0$422$0$33,862$0$24,709$0$333,583$0$0$0
MR DAVID WERNER
VICE PRESIDENT$310,215$0$71,054$0$4,116$0$34,129$0$16,341$0$435,855$0$0$0
MR ROBIN K KING
STAFF$190,954$0$13,983$0$1,677$0$26,297$0$25,256$0$258,167$0$0$0
MS MELISSA KIRSH
STAFF$362,123$0$29,734$0$1,834$0$35,364$0$23,048$0$452,103$0$0$0
MR BRIAN KRAINER
STAFF$243,490$0$0$0$973$0$18,160$0$21,615$0$284,238$0$0$0
MR MATTHEW MACDONALD
STAFF$230,358$0$25,798$0$1,113$0$32,692$0$24,145$0$314,106$0$0$0
MR JOHN WILSON
STAFF$217,661$0$19,970$0$2,022$0$30,114$0$7,791$0$277,558$0$0$0
DR GEORGE A LEVICKI
FORMER PRESIDENT$0$0$0$0$0$141,199$0$0$0$0$0$141,199$0$0
MR PETER V DAVIES II
FORMER SENIOR VP & COO$38,495$0$186,210$0$352$0$55,000$0$852$0$280,909$0$0$0
MR DANIEL C HASTINGS
FORMER DIRECTOR$12,563$0$0$0$0$0$0$0$0$0$12,563$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AFIRST-CLASS OR CHARTER TRAVEL-WE FOLLOW ADOPTED POLICY FOR BOTH FIRST-CLASS OR CHARTER TRAVEL. IN SUMMARY, FIRST-CLASS TRAVEL IS NOT ALLOWED EXCEPT BY SPECIFIC GUIDANCE IN THE T & E POLICY (I.E. EXCEPTIONALLY LONG FLIGHT, ETC.) TRAVEL FOR COMPANIONS-WE FOLLOW ADOPTED CORPORATE TRAVEL AND ENTERTAINMENT (T&E) POLICY FOR COMPANIONS. IN SUMMARY, SPOUSAL TRAVEL IS NOT COVERED UNLESS SPECIFIC CRITERIA IS MET.
PART I, LINE 4BPART I, LINE 4B: THE FOLLOWING LUMP SUM PAYMENTS BY THIS ORGANIZATION AND A RELATED ORGANIZATION HAVE BEEN INCLUDED IN COLUMN B-III OF SCHEDULE J, PART II. THE LUMP SUM PAYMENTS IN 2019 WERE EARNED OVER A PRECEDING MULTI-YEAR PERIOD. THESE PLANS WERE ESTABLISHED VIA THIS ORGANIZATION'S AND THE RELATED ORGANIZATION'S MANAGEMENT DEVELOPMENT & COMPENSATION COMMITTEE'S COMPENSATION AND BENEFIT REVIEW WHICH IS IN ACCORDANCE WITH THE PROCESS OUTLINED BY THE IRS FOR SETTING REASONABLE COMPENSATION. THESE PLANS ARE IN ACCORDANCE WITH SUPPLEMENTAL EXECUTIVE RETIREMENT PLANS AS PER IRS SECTIONS 409(A). THE FOLLOWING AMOUNTS WERE PAID FROM THIS ORGANIZATION AND A RELATED ORGANIZATION IN 2019: EMPLOYEE AMOUNT DR. GEORGE A. LEVICKI $141,199 RELATED ORG.
PART I, LINE 5PART I, LINE 5A: THE FOLLOWING EMPLOYEES RECEIVED SALES COMMISSIONS IN 2019 IN THEIR ROLES AS SALES MANAGEMENT AND STAFF BASED UPON REVENUE GENERATED DIRECTLY BY EACH RESPECTIVE INDIVIDUAL: ROBIN KING $13,983 MELISSA KIRSH $29,734 MATTHEW MACDONALD $25,798 JOHN WILSON $19,970 THESE AMOUNTS WERE SUBJECT TO REVIEW BY THE HUMAN RESOURCES DEPARTMENT FOR FAIRNESS AND REASONABILITY.
PART I, LINE 7A PORTION OF EACH PERSON'S COMPENSATION IS AT RISK PROVIDING KEY METRICS AND GOALS ARE ACHIEVED. THE RESPECTIVE PROGRAMS FOR DISQUALIFIED PERSONS ARE SUBJECT TO THE MANAGEMENT DEVELOPMENT & COMPENSATION COMMITTEE'S COMPENSATION AND BENEFIT REVIEW PROCESS WHICH IS IN ACCORDANCE WITH THE PROCESS OUTLINED BY THE IRS FOR SETTING REASONABLE COMPENSATION.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6DELTA DENTAL OF VIRGINIA IS A NON-STOCK CORPORATION ORGANIZED UNDER TITLE 13.1 OF THE CODE OF VIRGINIA. CORVESTA, INC. IS THE SOLE MEMBER OF DDVA AS DEFINED IN SECTION 13.1-803 OF THE CODE OF VIRGINIA.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER ELECTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER VOTES ON QUESTIONS OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; AND AMENDING THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BDIRECTORS ON THE BOARD OF DIRECTORS WILL REVIEW THE DOCUMENT WITH SENIOR MANAGEMENT MEMBERS. THE REVIEW WILL BE DOCUMENTED AT THE SUBSEQUENT BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CDELTA DENTAL OF VIRGINIA REQUIRES CORPORATE OFFICERS AND EACH DIRECTOR ON THE BOARD OF DIRECTORS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT THAT IS BASED ON IRS GUIDANCE. IN ADDITION, THE CONFLICT OF INTEREST POLICY REQUIRES DISCLOSURE OF ALL CONFLICTS, POTENTIAL CONFLICTS, OR ANY MATTER THAT MAY GIVE RISE TO THE APPEARANCE OF A CONFLICT. THE FORMS ARE REVIEWED BY THE COMPLIANCE OFFICER AND REPORTED TO THE CEO AND THE APPROPRIATE COMMITTEE(S) OF THE BOARD. THE FORMS ARE FURTHER AVAILABLE TO, AND REVIEWED BY, OUR AUDITORS AND THE BOI.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION ARRANGEMENTS FOR THE CEO AND OTHER DISQUALIFIED PERSONS ARE REVIEWED AND APPROVED BY THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE OF OUR BOARD OF DIRECTORS. THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE ANY CONFLICTS OF INTEREST AS TO THE ARRANGEMENTS BEING REVIEWED. THE COMMITTEE FOLLOWS THE PROCESSES OUTLINED BY THE IRS FOR SETTING REASONABLE COMPENSATION. THE COMMITTEE REVIEWS AND RELIES UPON COMPARABILITY DATA AND THE EXPERT RECOMMENDATIONS PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. DELIBERATIONS AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IS UNDERTAKEN AT LEAST ANNUALLY WITH RESPECT TO THE CEO AND ALL OTHER DISQUALIFIED PERSONS.
FORM 990, PART VI, SECTION C, LINE 19THE APPLICABLE FORMS ARE AVAILABLE FOR PUBLIC INSPECTION VIA REQUEST AND REGULATORY FILINGS.
FORM 990, PART XII, LINE 2CTHERE HAVE BEEN NO CHANGES TO DELTA DENTAL OF VIRGINIA'S OVERSIGHT PROCESS OF THE AUDIT OR ITS SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CORVESTA INC
4818 STARKEY ROADROANOKEVA240188542205945158HOLDING COMPANYVA501(C)(4)N/A0
DELTA DENTAL OF VIRGINIA FOUNDATION
4818 STARKEY ROADROANOKEVA240188542453230862PROMOTION AND ADVANCEMENT OF ORAL HEALTH FOR THE PEOPLE OF VAVA501(C)(3)Yes (1)LINE 12A, IDELTA DENTAL OF VIRGINIA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
REVOLV INC
4818 STARKEY ROADROANOKEVA240188542271018474PROVIDES TPA SERVICES TO DENTAL INSURANCE COMPANIESVAN/AC0
STRYDEN INC
4818 STARKEY ROADROANOKEVA240188542352637734PROVIDES VISION CARE INSURANCEVAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
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 OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF VIRGINIA FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$420,586InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt