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DELTA DENTAL OF CALIFORNIA: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF CALIFORNIA (EIN 94-1461312)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-11
IRS object ID
202043169349301404
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)
Return2020-11-11T08:16:46-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341851358PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM 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 Begin2019-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN941461312EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF CALIFORNIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone4159728300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1560 MISSION STREET STE 1300AddressLine1Txt
CitySAN FRANCISCOCityNm
State AbbreviationCAStateAbbreviationCd
ZIP94105ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonALICIA F WEBERPersonNm
Person TitleCFOPersonTitleTxt
Phone4159748577PhoneNum
Signature2020-11-02SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKELLIE A LANFORDPreparerPersonNm
PTINP00538614PTIN
Phone8642412001PhoneNum
Preparation2020-11-02PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address162.231.92.163IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-11-11IPDt
IP Tm08:07:10IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id457EDB2BE6E124B7C9E7654176383C617BDC297EAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2021-04-22 16:20:28ZBuildTS

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$5,216,016,875GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALINS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1954FormationYr
Legal Domicile StateCALegalDomicileStateCd
Activity Or MissionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT.ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee2250TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$400,000TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$400,112NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$5,419,394,176PYProgramServiceRevenueAmt
CY Program Service Revenue$5,134,632,601CYProgramServiceRevenueAmt
PY Investment Income$49,734,609PYInvestmentIncomeAmt
CY Investment Income$27,708,887CYInvestmentIncomeAmt
PY Other Revenue-$4,218,479PYOtherRevenueAmt
CY Other Revenue$25,487,299CYOtherRevenueAmt
PY Total Revenue$5,464,910,306PYTotalRevenueAmt
CY Total Revenue$5,187,828,787CYTotalRevenueAmt
PY Grants And Similar Paid$12,929,477PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$14,555,566CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$4,674,049,803PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$4,402,945,492CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$293,527,117PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$330,754,164CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$312,646,261PYOtherExpensesAmt
CY Other Expenses$260,483,327CYOtherExpensesAmt
PY Total Expenses$5,293,152,658PYTotalExpensesAmt
CY Total Expenses$5,008,738,549CYTotalExpensesAmt
PY Revenues Less Expenses$171,757,648PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$179,090,238CYRevenuesLessExpensesAmt
Total Assets BOY$2,710,139,914TotalAssetsBOYAmt
Total Assets EOY$2,483,531,581TotalAssetsEOYAmt
Total Liabilities BOY$1,240,231,072TotalLiabilitiesBOYAmt
Total Liabilities EOY$771,561,142TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$1,469,908,842NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$1,711,970,439NetAssetsOrFundBalancesEOYAmt
MissionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$4,895,725,915ExpenseAmt
Revenue$5,187,428,787RevenueAmt
DescTHE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 23,692,000 BENEFICIARIES IN 2019, PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS. INCLUDED WERE PUBLICLY SPONSORED DENTAL BENEFIT PROGRAMS ADMINISTERED BY THE ORGANIZATION, AS WELL AS 1,055,000 ENROLLED IN THE FEDERAL EMPLOYEES DENTAL AND VISION INSURANCE PROGRAM (FEDVIP).THE ORGANIZATION PAID MORE THAN $4.4 BILLION FOR DENTAL CARE DURING 2019.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$14,555,566ExpenseAmt
Grant$14,555,566GrantAmt
DescTHE ORGANIZATION MADE GRANTS DURING 2019 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$4,910,281,481TotalProgramServiceExpensesAmt
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 Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
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 MemYes (1)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded EntityYes (1)DisregardedEntityInd
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 Document114987IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee2250EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members10GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
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 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 (65 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
BARTH ANTHONY S
FORMER PRESIDENT/CEO0.00Yes (X)$15,472,045$0$33,055
MARTINEZ BELINDA
EXE. VICE PRES/CAO40.00$4,469,890$0-$1,535,83110.00Yes (X)
HANKINSON MICHAEL G
EXE. VICE PRES./CLO40.00$1,753,369$0$49,17810.00Yes (X)
WEBER ALICIA F
EXE. VICE PRES/CFO40.00$1,602,696$0$57,03510.00Yes (X)
JACKSON KEVIN L
EXE. VICE PRES/CGO40.00$1,507,688$0$65,26110.00Yes (X)
GAREN KIRSTEN E
EXE. VICE PRES/CIO40.00$1,372,522$0$61,23910.00Yes (X)
BUDD ROBERT P
GRP. VICE PRES.40.00$1,330,287$0$65,08610.00Yes (X)
CHAVARRIA SARAH
EXE. VICE PRES/CPO40.00$1,332,963$0$56,80710.00Yes (X)
RUIZ JOSEPH F
GRP .VICE PRES.40.00$865,796$0$48,72810.00Yes (X)
NAVID MOHAMMADREZA
GRP .VICE PRES.40.00$841,799$0$45,49510.00Yes (X)
LEIBOWITZ THOMAS J
GRP .VICE PRES.40.00$804,871$0$46,99110.00Yes (X)
GILBERT LEROY R JR
EXE. VICE PRES/COO40.00$728,736$0$44,80210.00Yes (X)
VERNA TONY
VICE PRES.40.00$757,951$0$15,48410.00Yes (X)
HOFFMAN EVA C
VICE PRES.40.00$653,070$0$56,01010.00Yes (X)
FULLERTON MELISSA
VICE PRES.10.00$0$644,553$57,20540.00Yes (X)
ROBINSON KAREN L
VICE PRES.40.00$680,737$0$8,15910.00Yes (X)
NASR JAMAL L
VICE PRES.40.00$633,219$0$54,66010.00Yes (X)
CROLEY DANIEL W
VICE PRES.40.00$619,410$0$59,72010.00Yes (X)
TITCOMBE DOMINIC
VICE PRES.40.00$620,608$0$58,15110.00Yes (X)
FEGLEY ANDREA M
VICE PRES.40.00$633,063$0$44,17110.00Yes (X)
FOSTER JEANNE M
VICE PRES.10.00$0$615,993$52,27940.00Yes (X)
ALBUM JEFFREY M
VICE PRES.40.00$594,399$0$62,12410.00Yes (X)
SHEETZ MARTY A
VICE PRES.40.00$602,408$0$51,07610.00Yes (X)
HOLM BRIAN
VICE PRES.40.00$584,162$0$54,84110.00Yes (X)
YAMAMOTO JOHN M DDS
VICE PRES.40.00$568,615$0$61,11310.00Yes (X)
NAKAHARA EARL
VICE PRES.40.00$569,362$0$55,65610.00Yes (X)
BALTIS THOMAS
VICE PRES.40.00$581,694$0$39,15310.00Yes (X)
HARLIN CASEY J
VICE PRES.40.00$549,730$0$55,47410.00Yes (X)
SANCHEZ WALTER
VICE PRES.40.00$536,827$0$60,09110.00Yes (X)
MANOWSKI MIKE
VICE PRES.40.00$551,153$0$44,92610.00Yes (X)
SWAMINATHAN SHANMUGA S
VICE PRES.40.00$539,292$0$55,34410.00Yes (X)
RODZINKA BARBARA A
VICE PRES.10.00$0$528,687$50,27440.00Yes (X)
YOUNG ANDY
VICE PRES.40.00$507,393$0$60,82610.00Yes (X)
GRABOS MEGAN
VICE PRES.40.00$557,728$0$9,84710.00Yes (X)
SHERMAN BRIAN
VICE PRES.40.00$494,701$0$54,05510.00Yes (X)
GRAYBILL RICHARD C
VICE PRES.10.00$0$507,471$38,98440.00Yes (X)
PARKER EARL JR
VICE PRES.10.00$0$461,416$48,25040.00Yes (X)
LAYNE VALERIE
DIRECTOR40.00$393,434$0$77,27010.00Yes (X)
MANER MICHAEL
VICE PRES.10.00$0$417,781$50,96540.00Yes (X)
MAHFOUZ MIRIAM
DIRECTOR40.00$404,316$0$58,52110.00Yes (X)
GEE MELISSA
DIRECTOR & CORPORATE COUNSEL - MANAGING40.00$416,371$0$37,59510.00Yes (X)
MCCARTY KRISTINA
VICE PRES.40.00$448,669$0$3,48510.00Yes (X)
THOLIA ASHISH
DIRECTOR40.00$419,267$0$32,67010.00Yes (X)
CEMBROLA MIKE
VICE PRES.10.00$0$396,324$49,54440.00Yes (X)
LOMAX CHAD
DIRECTOR40.00$390,068$0$48,63810.00Yes (X)
GHALY KHALED
VICE PRES.10.00$0$364,506$24,85040.00Yes (X)
SBRAGIA RICHARD
VICE PRES.40.00$280,791$0$48,82010.00Yes (X)
FRANZOI LYNN L
CHAIR5.00$328,788$0$0Yes (X)
DOERING RICK R
FORMER SR. VICE PRES.0.00Yes (X)$299,998$0$0
POLYAKOVA YANA
VICE PRES.40.00$253,901$0$44,50410.00Yes (X)
RADINE GARY D
FORMER PRESIDENT/CEO0.00Yes (X)$207,930$0$89,790
BERGERT GLEN F
SECOND VICE CHAIR5.00$268,000$29,185$02.00Yes (X)
MCCANN STEVEN F
DIRECTOR5.00$289,655$0$0Yes (X)
TURNER CHAD
VICE PRES.40.00$235,632$0$53,63610.00Yes (X)
O'TOOLE TERRY A
TREASURER5.00$268,000$0$0Yes (X)
FERGUSON KENZIE KERRAN
VICE PRES.40.00$189,690$0$32,50210.00Yes (X)
GONELLA ROY A
FIRST VICE CHAIR5.00$218,788$0$0Yes (X)
KAPLAN GREGORY D DDS
DIRECTOR5.00$206,607$0$0Yes (X)
FARNSWORTH R KENT DDS
SECRETARY5.00$194,788$0$0Yes (X)
REID ANDREW J
IMMEDIATE PAST CHAIR5.00$192,788$0$0Yes (X)
SCHROEDER KURT
VICE PRES.40.00$150,402$0$30,18510.00Yes (X)
YODOWITZ HEIDI
DIRECTOR5.00$165,200$0$0Yes (X)
PICKERING STEPHEN R DDS
DIRECTOR5.00$101,788$0$0Yes (X)
DORSEY EDITH
VICE PRES.10.00$0$85,595$12,30640.00Yes (X)
CASTRO MICHAEL J
PRESIDENT/CEO40.00$3,176,790$0-$3,615,32810.00Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$53,419,845TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$4,051,511TotReportableCompRltdOrgAmt
Total Other Compensation-$2,674,328TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K913IndivRcvdGreaterThan100KCnt
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 INC
3990 WESTERLY PL STE 270NEWPORT BEACHCA92660CONSULTING SERVICES$23,252,139
CATALYST360 LLC
11000 OPTUM CIRCLEEDEN PRAIRIEMN55344CONSULTING SERVICES$7,341,439
DELOITTE CONSULTING LLP
555 MISSION STREETSAN FRANCISCOCA94105CONSULTING SERVICES$3,975,045
DEWPOINT INC
300 SOUTH WASHINGTON SQ STE 200LANSINGMI48933CONSULTING SERVICES$3,737,411
CBIZ CMF LLC
325 CHESTNUT STREET STE 410PHILADELPHIAPA19106CONSULTING SERVICES$2,052,661
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K86CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PROFESSIONAL SERVICES524114$4,645,431,093$4,645,431,093
FEES & CONTRACTS FROM GOVERNMENT524114$489,201,508$489,201,508
FieldValueIRS element (for citing)
Total Program Service Revenue$5,134,632,601TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$27,447,385TotalRevenueColumnAmt
Related Or Exempt Func Income$27,447,385RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$28,449,590SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$28,188,088SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$261,502SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$261,502TotalRevenueColumnAmt
Related Or Exempt Func Income$261,502RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
INCOME/LOSS FROM SUBSIDIARIES524298$46,493,867$46,093,867$400,000
OTHER REVENUE524298$1,755,907$1,755,907
MISC EXPENSES524298-$762,475-$762,475

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$22,000,000TotalRevenueColumnAmt
Related Or Exempt Func Income-$22,000,000RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$25,487,299OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,187,828,787TotalRevenueColumnAmt
Related Or Exempt Func Income$5,187,428,787RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$400,000UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$14,555,566TotalAmt
Program Services$14,555,566ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$4,402,945,492TotalAmt
Program Services$4,402,945,492ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$37,947,800TotalAmt
Management And General$37,947,800ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$244,760,659TotalAmt
Program Services$212,086,553ProgramServicesAmt
Management And General$32,674,106ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total-$3,927,452TotalAmt
Program Services-$5,369,732ProgramServicesAmt
Management And General$1,442,280ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$39,160,115TotalAmt
Program Services$35,908,438ProgramServicesAmt
Management And General$3,251,677ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,813,042TotalAmt
Program Services$11,621,363ProgramServicesAmt
Management And General$1,191,679ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$4,115,617TotalAmt
Program Services$4,115,617ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,541,992TotalAmt
Program Services$583,864ProgramServicesAmt
Management And General$958,128ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$723,786TotalAmt
Program Services$723,786ProgramServicesAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$7,726,432TotalAmt
Program Services$7,726,432ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$23,606,815TotalAmt
Program Services$23,294,807ProgramServicesAmt
Management And General$312,008ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$37,682,355TotalAmt
Program Services$37,018,310ProgramServicesAmt
Management And General$664,045ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$15,497,246TotalAmt
Program Services$15,492,822ProgramServicesAmt
Management And General$4,424ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$19,387,306TotalAmt
Program Services$17,451,860ProgramServicesAmt
Management And General$1,935,446ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$6,751,515TotalAmt
Program Services$4,995,095ProgramServicesAmt
Management And General$1,756,420ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,925,023TotalAmt
Program Services$1,239,847ProgramServicesAmt
Management And General$685,176ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,422,793TotalAmt
Program Services$1,422,793ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,926,925TotalAmt
Program Services$22,176,452ProgramServicesAmt
Management And General$750,473ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,850,405TotalAmt
Program Services$1,683,071ProgramServicesAmt
Management And General$167,334ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BROKER FEES$53,134,444$53,134,444
CONSULTANT FEES$30,522,163$23,269,470$7,252,693
OUTSIDE SERVICES$24,154,922$23,384,233$770,689
ALL OTHER EXPENSES$7,513,588$820,898$6,692,690

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,008,738,549TotalAmt
Program Services$4,910,281,481ProgramServicesAmt
Management And General$98,457,068ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$435,577,187BOYAmt
EOY-$52,460,877EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$254,019,678BOYAmt
EOY$411,527,071EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$316,904,338BOYAmt
EOY$299,284,593EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$175,750,000BOYAmt
EOY$105,750,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$35,517,402BOYAmt
EOY$42,513,239EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$300,518,997LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$164,069,710LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$145,135,507BOYAmt
EOY$136,449,287EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$926,961,611BOYAmt
EOY$865,494,167EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$388,975,102BOYAmt
EOY$645,430,166EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$31,299,089BOYAmt
EOY$29,543,935EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$2,710,139,914BOYAmt
EOY$2,483,531,581EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$483,975,895BOYAmt
EOY$514,453,719EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$42,066,317BOYAmt
EOY$44,785,297EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$714,188,860BOYAmt
EOY$212,322,126EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,240,231,072BOYAmt
EOY$771,561,142EOYAmt
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$1,469,908,842BOYAmt
EOY$1,711,970,439EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$1,469,908,842BOYAmt
EOY$1,711,970,439EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$2,710,139,914BOYAmt
EOY$2,483,531,581EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$179,090,238ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$49,640,309NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$13,331,050OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$52,592,778OtherCostOrOtherBasisAmt
Depreciation$10,981,632DepreciationAmt
Book Value$41,611,146BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,554,664OtherCostOrOtherBasisAmt
Depreciation$30,818,491DepreciationAmt
Book Value$19,736,173BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$197,371,555OtherCostOrOtherBasisAmt
Depreciation$122,269,587DepreciationAmt
Book Value$75,101,968BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$136,449,287TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINVESTMENT - OTHER SECURITIESDesc
Book Value$645,430,166BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$645,430,166TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED RETIREMENT BENEFITS$41,662,527
DEFERRED COMPENSATION PLANS$29,417,285
GROUP PREFUNDING DEPOSITS$12,937,679
REFUNDABLE GROUP BALANCES$128,304,635
FieldValueIRS element (for citing)
Total Liability$212,322,126TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$2,725,043,598TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$49,640,308NetUnrealizedGainsInvstAmt
Revenue Not Reported$49,640,308RevenueNotReportedAmt
Revenue Subtotal$2,675,403,290RevenueSubtotalAmt
Other Revenues Not Included$2,512,425,497OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$2,512,425,497RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$5,187,828,787TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,495,912,940TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$2,495,912,940ExpensesSubtotalAmt
Other Expenses Not Included$2,512,825,609OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$2,512,825,609ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,008,738,549TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 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 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 INVESTMENT EXPENSES UNRELATED BUSINESS INCOME
PART XII, LINE 4B - OTHER ADJUSTMENTS:CLAIMS INCURRED FOR ADMINISTRATIVE SERVICE CONTRACTS INVESTMENT EXPENSES UNRELATED BUSINESS EXPENSE

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENT IN DELTA REINSURANCE CORPORATIONTypeOfActivitiesConductedTxt
Specific Services ProvidedREINSURANCESpecificServicesProvidedTxt
Region Total Expenditures$126,650RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$126,650SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$126,650TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART III ACCOUNTING METHOD:
PART 1, LINE 3(E):THE ORGANIZATION'S INVESTMENT IN DELTA REINSURANCE CORPORATION IS $126,650.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (38 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtIRC SectionIRCSectionDesc
AARP FOUNDATION
601 E STREET NWWASHINGTONDC20049942312368$7,5002019 CELEBRATION OF SVC MEAL PACK PIONEER SPONSORSHIP
ALAMEDA COUNTY COMMUNITY FOOD BANK
7900 EDGWATER DROAKLANDCA94621942960297$15,000SAVOR THE SEASON EVENT SPONSORSHIP501(C)(3)
AMERICAN ONLINE GIVING FOUNDATION INC
2454 N MCMULLER BOOTH RD SUITE 431CLEARWATERFL33759810739440$83,929DDC MATCHING GIFTS501(C)(3)
AMERICAN RED CROSS INC
1663 MARKET STSAN FRANCISCOCA94103530196605$15,0002020 RED CROSS GALA501(C)(3)
BAY AREA COUNCIL
353 SACRAMENTO ST 10TH FLRSAN FRANCISCOCA94111237325853$10,000ANNUAL DINNER GOLD LEVEL SPONSOR501(C)(4)
BLUE STAR FAMILIES INC
515 VERBENA CTENCINITASCA92024800369895$12,0002019 CONTRIBUTION501(C)(3)
CALIFORNIA ACADEMY OF GENERAL DENTISTRY
PO BOX 22417SACRAMENTOCA95822942557207$20,0002019 CAGD FALL MEETING DDC SPONSORSHIP501(C)(3)
CALIFORNIA ASSOCIATION OF DENTAL PLANS
12700 PARK CENTRAL DR STE 400DALLASTX75251330385553$10,7002019 CONFERENCE & HILL DAY SPONSORSHIP501(C)(6)
CALIFORNIA STATE UNIV DOMINGUEZ HILLS PHILANTHROPIC FOUNDATION
1000 E VICTORIA ST STE 425CARSONCA907470001473097839$5,000INAUGURATION GALA & BENEFIT HONORING DR THOMAS A PARHAM501(C)(3)
CHOC FOUNDATION
1201 WEST LA VELA AVEORANGECA92868956097416$10,000CHOC GLASS SLIPPER GUILD GALA501(C)(3)
CORPORATION OF THE FINE ARTS MUSEUMS
50 HAGIWARA TEA GARDEN DRSAN FRANCISCOCA94118943045948$5,000BUSINESS COUNCIL MEMBERSHIP RENEWAL OCT19501(C)(3)
CSAC - EIA
75 IRON POINT CR STE 200FOLSOMCA95630263287958$5,0002019 CSAC EIA HEALTHCARE SYMPOSIUM SPONSORSHIP
DISABLED AMERICAN VETERANS
3725 ALEXANDRIA PIKECOLD SPRINGKY41076310263158$7,5002019 NATIONAL DISABLED VETERANS WINTER CLINIC501(C)(4)
DELTA DENTAL COMMUNITY CARE FOUNDATION
560 MISSION STREET SUITE 1300SAN FRANCISCOCA94105371570764$14,000,000ENTERPRISE CONTRIBUTION TO DDCCF501(C)(3)
DESERT AIDS PROJECT
1695 N SUNRISE WAYPALM SPRINGSCA92262330068583$5,00025TH ANNUAL STEVE CHASE AWARD- BENEFACTOR SPONSORSHIP501(C)(3)
ENTERPRISE FOUNDATION
1887 MONTEREY RD STE 2105SAN JOSECA95112261670171$15,000GLAM19501(C)(3)
HENRY M JACKSON FOUNDATION FOR THE ADVANCEMENT OF MILITARY MEDICINE
6720 A ROCKLEDGE DR STE 100BETHESDAMD20817521317896$5,0002019 CONTRIBUTION501(C)(3)
JAMES R HOFFA MEMORIAL SCHOLARSHIP FUND INC
4600 EAST WEST HIGHWAY SUITE 300BETHESDAMD20814522206826$10,00020TH ANNIVERSARY - PATRON SPONSORSHIP501(C)(3)
LA CLINICA DE LA RAZA INC
450 FRUITVALE AVEOAKLANDCA946232210941744108$10,450DONATION TO LA CLINICA DE LA RAZA501(C)(3)
LAPS FOR LEXI INC
12926 OLIVINE WAYSILVER SPRINGMD20904462160960$5,000CONTRIBUTION501(C)(3)
LOVEALL FOUNDATION FOR CHILDREN
4120 DOUGLAS BLVD 306GRANITE BAYCA95746680435070$6,000CHARITY GOLF TOURNAMENT501(C)(3)
MOAA MILITARY FAMILY INITIATIVE
201 N WASHINGTON STALEXANDRIAVA22301464219250$5,000CONTRIBUTION501(C)(3)
NATIONAL ASSOCIATION OF DENTAL PLANS
12700 PARK CENTRAL DR SUITE 400DALLASTX75251752801959$10,000CONVERGE 2019 SPONSORSHIP501(C)(6)
NATIONAL DENTAL ASSOCIATION
6411 IVY LANE STE 703GREENBELTMD20770540315311$25,000106TH ANNUAL CONVENTION501(C)(3)
NATIONAL MILITARY FAMILY ASSOCIATION
3601 EISENHOWER AVE STE 425ALEXANDRIAVA22304520899384$10,000PLEDGE TO OPERATION PURPLE CAMPS & SPONSORSHIP FOR 50TH ANNIVERSARY GALA501(C)(3)
RICHMONDERMET FOUNDATION
942 DIVISADERO 201SAN FRANCISCOCA94115943232222$25,000YEAR-LONG CORPORATE SPONSORSHIP501(C)(3)
SACRAMENTO DISTRICT DENTAL FOUNDATION
2035 HURLEY WAY STE 200SACRAMENTOCA95825237067087$5,000DISTRICT DENTAL SOCIETY & FOUNDATION GALA SPONSORSHIP501(C)(3)
SACRAMENTO FOOD BANK & FAMILY SERVICES DBA RUN TO FEED THE HUNGRY
3333 3RD AVESACRAMENTOCA95817943315566$9,5002019 RUN FOR THE HUNGRY501(C)(3)
SAN FRANCISCO MUSEUM OF MODERN ART
151 THIRD STREETSAN FRANCISCOCA941033159941156300$5,000CORPORATE SPONSORSHIP501(C)(3)
SF MARIN FOOD BANK
900 PENNSYLVANIA AVESAN FRANCISCOCA94107943041517$15,000ONE BIG TABLE EVENT SPONSORSHIP501(C)(3)
ST JOHNS WELL CHILD AND FAMILY CENTER INC
808 WEST 58TH STLOS ANGELESCA900373632954067758$5,000ST. JOHN'S WELL CHILD & FAMILY CENTER 2019 GALA501(C)(3)
TRAGEDY ASSISTANCE PROGRAM FOR SURVIVORS
PO BOX CCMCLEANVA22101920152268$5,000CONTRIBUTION501(C)(3)
TRIUMPH CANCER FOUNDATION
947 ENTERPRISE DR LOFT BSACRAMENTOCA931032331453968833$21,250TRIUMPH UNCORKED FUNDRAISER501(C)(3)
UNIVERSITY OF FLORIDA - CONTINUING DENTAL EDUCATION
PO BOX 100417GAINESVILLEFL326100417590974739$10,000CONTINUING EDUCATION SPONSORSHIP501(C)(3)
UNIVERSITY OF THE PACIFIC
155 5TH STREETSAN FRANCISCOCA94103941156266$10,000CONTINUING EDUCATION SPONSORSHIP501(C)(3)
USC SCHOOL OF DENTISTRY
925 WEST 34TH STREET ROOM 212LOS ANGELESCA900890641951642394$15,000DELTA DENTAL LECTURE SPONSORSHIP501(C)(3)
Z DENTAL DENTAL ELITE
3280 N COLORADO STCHANDLERAZ85225320031941$7,147DENTAL KITS
MISCELLANEOUS ITEMS LESS THAN 5000
$109,590MISCELLANEOUS CONTRIBUTIONS
FieldValueIRS element (for citing)
Total501c3 Org30Total501c3OrgCnt
Total Other Org7TotalOtherOrgCnt

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)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
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 OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (63 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
BARTH ANTHONY S
FORMER PRESIDENT/CEO$0$0$0$0$15,472,045$0$33,055$0$0$0$15,505,100$0$0$0
MARTINEZ BELINDA
EXE. VICE PRES/CAO$174,903$0$1,995,954$0$2,299,033$0-$1,542,951$0$7,120$0$2,934,059$0$370,768$0
HANKINSON MICHAEL G
EXE. VICE PRES./CLO$499,077$0$1,196,450$0$57,842$0$29,400$0$19,778$0$1,802,547$0$0$0
WEBER ALICIA F
EXE. VICE PRES/CFO$540,515$0$1,002,420$0$59,761$0$31,930$0$25,105$0$1,659,731$0$0$0
JACKSON KEVIN L
EXE. VICE PRES/CGO$499,554$0$982,622$0$25,512$0$33,422$0$31,839$0$1,572,949$0$0$0
GAREN KIRSTEN E
EXE. VICE PRES/CIO$489,754$0$858,480$0$24,288$0$29,400$0$31,839$0$1,433,761$0$0$0
BUDD ROBERT P
GRP. VICE PRES.$73,477$0$650,652$0$606,158$0$57,784$0$7,302$0$1,395,373$0$0$0
CHAVARRIA SARAH
EXE. VICE PRES/CPO$519,538$0$799,042$0$14,383$0$29,400$0$27,407$0$1,389,770$0$0$0
RUIZ JOSEPH F
GRP .VICE PRES.$356,272$0$490,681$0$18,843$0$29,400$0$19,328$0$914,524$0$0$0
NAVID MOHAMMADREZA
GRP .VICE PRES.$365,400$0$465,944$0$10,455$0$26,700$0$18,795$0$887,294$0$0$0
LEIBOWITZ THOMAS J
GRP .VICE PRES.$334,525$0$454,143$0$16,203$0$29,321$0$17,670$0$851,862$0$0$0
GILBERT LEROY R JR
EXE. VICE PRES/COO$367,308$0$350,000$0$11,428$0$29,400$0$15,402$0$773,538$0$0$0
VERNA TONY
VICE PRES.$199,168$0$241,123$0$317,660$0$8,400$0$7,084$0$773,435$0$0$0
HOFFMAN EVA C
VICE PRES.$307,458$0$337,633$0$7,979$0$29,754$0$26,256$0$709,080$0$0$0
FULLERTON MELISSA
VICE PRES.$0$265,080$0$374,025$0$5,448$0$28,669$0$28,536$0$701,758$0$0
ROBINSON KAREN L
VICE PRES.$28,270$0$291,001$0$361,466$0$7,178$0$981$0$688,896$0$0$0
NASR JAMAL L
VICE PRES.$288,032$0$318,212$0$26,975$0$35,332$0$19,328$0$687,879$0$0$0
CROLEY DANIEL W
VICE PRES.$295,926$0$313,950$0$9,534$0$30,509$0$29,211$0$679,130$0$0$0
TITCOMBE DOMINIC
VICE PRES.$340,260$0$270,500$0$9,848$0$29,400$0$28,751$0$678,759$0$0$0
FEGLEY ANDREA M
VICE PRES.$300,628$0$330,433$0$2,002$0$28,645$0$15,526$0$677,234$0$0$0
FOSTER JEANNE M
VICE PRES.$0$274,437$0$308,214$0$33,342$0$29,400$0$22,879$0$668,272$0$0
ALBUM JEFFREY M
VICE PRES.$285,731$0$298,903$0$9,765$0$35,868$0$26,256$0$656,523$0$0$0
SHEETZ MARTY A
VICE PRES.$281,668$0$313,391$0$7,349$0$29,400$0$21,676$0$653,484$0$0$0
HOLM BRIAN
VICE PRES.$277,073$0$252,812$0$54,277$0$31,684$0$23,157$0$639,003$0$0$0
YAMAMOTO JOHN M DDS
VICE PRES.$272,325$0$285,359$0$10,931$0$29,687$0$31,426$0$629,728$0$0$0
NAKAHARA EARL
VICE PRES.$289,675$0$266,436$0$13,251$0$29,400$0$26,256$0$625,018$0$0$0
BALTIS THOMAS
VICE PRES.$299,865$0$281,211$0$618$0$29,400$0$9,753$0$620,847$0$0$0
HARLIN CASEY J
VICE PRES.$267,624$0$275,897$0$6,209$0$29,218$0$26,256$0$605,204$0$0$0
SANCHEZ WALTER
VICE PRES.$260,150$0$263,861$0$12,816$0$28,665$0$31,426$0$596,918$0$0$0
MANOWSKI MIKE
VICE PRES.$309,759$0$235,000$0$6,394$0$29,400$0$15,526$0$596,079$0$0$0
SWAMINATHAN SHANMUGA S
VICE PRES.$274,779$0$259,329$0$5,184$0$29,088$0$26,256$0$594,636$0$0$0
RODZINKA BARBARA A
VICE PRES.$0$248,043$0$267,713$0$12,931$0$29,400$0$20,874$0$578,961$0$0
YOUNG ANDY
VICE PRES.$288,206$0$207,667$0$11,520$0$29,400$0$31,426$0$568,219$0$0$0
GRABOS MEGAN
VICE PRES.$93,912$0$176,914$0$286,902$0$6,903$0$2,944$0$567,575$0$0$0
SHERMAN BRIAN
VICE PRES.$290,499$0$193,348$0$10,854$0$29,400$0$24,655$0$548,756$0$0$0
GRAYBILL RICHARD C
VICE PRES.$0$234,551$0$258,883$0$14,037$0$29,400$0$9,584$0$546,455$0$0
PARKER EARL JR
VICE PRES.$0$241,476$0$215,381$0$4,559$0$29,400$0$18,850$0$509,666$0$0
LAYNE VALERIE
DIRECTOR$224,692$0$149,083$0$19,659$0$51,104$0$26,166$0$470,704$0$0$0
MANER MICHAEL
VICE PRES.$0$227,202$0$183,235$0$7,344$0$29,964$0$21,001$0$468,746$0$0
MAHFOUZ MIRIAM
DIRECTOR$263,362$0$141,978$0-$1,024$0$29,400$0$29,121$0$462,837$0$0$0
GEE MELISSA
DIRECTOR & CORPORATE COUNSEL - MANAG$248,500$0$167,541$0$330$0$29,957$0$7,638$0$453,966$0$0$0
MCCARTY KRISTINA
VICE PRES.$26,575$0$160,434$0$261,660$0$2,266$0$1,219$0$452,154$0$0$0
THOLIA ASHISH
DIRECTOR$289,406$0$129,103$0$758$0$29,400$0$3,270$0$451,937$0$0$0
CEMBROLA MIKE
VICE PRES.$0$241,189$0$144,714$0$10,421$0$29,400$0$20,144$0$445,868$0$0
LOMAX CHAD
DIRECTOR$231,263$0$148,616$0$10,189$0$29,400$0$19,238$0$438,706$0$0$0
GHALY KHALED
VICE PRES.$0$152,969$0$194,876$0$16,661$0$8,400$0$16,450$0$389,356$0$0
SBRAGIA RICHARD
VICE PRES.$274,039$0$0$0$6,752$0$28,199$0$20,621$0$329,611$0$0$0
FRANZOI LYNN L
CHAIR$328,788$0$0$0$0$0$0$0$0$0$328,788$0$0$0
DOERING RICK R
FORMER SR. VICE PRES.$0$0$299,998$0$0$0$0$0$0$0$299,998$0$0$0
POLYAKOVA YANA
VICE PRES.$216,711$0$35,000$0$2,190$0$20,934$0$23,570$0$298,405$0$0$0
RADINE GARY D
FORMER PRESIDENT/CEO$196,154$0$0$0$11,776$0$89,790$0$0$0$297,720$0$0$0
BERGERT GLEN F
SECOND VICE CHAIR$268,000$29,185$0$0$0$0$0$0$0$0$268,000$29,185$0$0
MCCANN STEVEN F
DIRECTOR$289,655$0$0$0$0$0$0$0$0$0$289,655$0$0$0
TURNER CHAD
VICE PRES.$191,499$0$33,867$0$10,266$0$22,279$0$31,357$0$289,268$0$0$0
O'TOOLE TERRY A
TREASURER$268,000$0$0$0$0$0$0$0$0$0$268,000$0$0$0
FERGUSON KENZIE KERRAN
VICE PRES.$186,154$0$0$0$3,536$0$18,406$0$14,096$0$222,192$0$0$0
GONELLA ROY A
FIRST VICE CHAIR$218,788$0$0$0$0$0$0$0$0$0$218,788$0$0$0
KAPLAN GREGORY D DDS
DIRECTOR$206,607$0$0$0$0$0$0$0$0$0$206,607$0$0$0
FARNSWORTH R KENT DDS
SECRETARY$194,788$0$0$0$0$0$0$0$0$0$194,788$0$0$0
REID ANDREW J
IMMEDIATE PAST CHAIR$192,788$0$0$0$0$0$0$0$0$0$192,788$0$0$0
SCHROEDER KURT
VICE PRES.$145,000$0$0$0$5,402$0$14,472$0$15,713$0$180,587$0$0$0
YODOWITZ HEIDI
DIRECTOR$165,200$0$0$0$0$0$0$0$0$0$165,200$0$0$0
CASTRO MICHAEL J
PRESIDENT/CEO$1,004,492$0$2,126,814$0$45,484$0-$3,647,204$0$31,876$0-$438,538$0$0$0

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AFIRST CLASS BUSINESS TRAVEL IS REIMBURSED TO THE CEO, EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND GROUP VICE PRESIDENTS. FIRST CLASS BUSINESS TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION. REIMBURSEMENT FOR COMPANY APPROVED RELOCATION COSTS ARE "GROSSED UP" TO COVER ANY PERSONAL TAX LIABILITY THAT WOULD BE INCURRED BY THE EMPLOYEE FOR THE EXPENSE. FOUR OFFICERS AND ONE HIGHEST COMPENSATED EMPLOYEE RECEIVED THIS BENEFIT IN 2019. THE TOTAL AMOUNT REIMBURSED IS INCLUDED IN TAXABLE COMPENSATION. ALL EMPLOYEES WHO WORK AT LEAST 30 HOURS PER WEEK AND HAVE COMPLETED AT LEAST 30 DAYS OF SERVICE ARE OFFERED A FITNESS REIMBURSEMENT PLAN THAT ENCOURAGES OUR EMPLOYEES TO BE HEALTHY AND ACTIVE BY PROVIDING THE ACCESS THEY NEED TO HELP THEM ACHIEVE THEIR FITNESS GOALS. THE PLAN INCLUDES A REIMBURSEMENT, UP TO $540 PER CALENDAR YEAR, FOR INDIVIDUAL MEMBERSHIP FEES AT A FITNESS CENTER/STUDIO, HEALTH CLUB, OR SWIM AND TENNIS CLUB. IN ADDITION, THE PRESIDENT AND EXECUTIVE VICE PRESIDENTS MAY BE REIMBURSED FOR ONE SOCIAL CLUB UPON THE APPROVAL BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS. ONE FORMER SENIOR EXECUTIVE RECEIVED THE SOCIAL CLUB BENEFIT FOR TWO MONTHS AND FIFTEEN EXECUTIVES RECEIVED THE FITNESS REIMBURSEMENT BENEFIT IN 2019. BOTH THE HEALTH AND SOCIAL CLUB REIMBURSEMENTS ARE INCLUDED IN TAXABLE COMPENSATION. FINANCIAL 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. FIFTEEN EXECUTIVES RECEIVED REIMBURSEMENTS IN 2019. THESE REIMBURSEMENTS ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE REIMBURSED EMPLOYEES.
PART I, LINE 4A:DURING 2019, THE FORMER PRESIDENT/CEO, ANTHONY S. BARTH, RECEIVED A PAYMENT IN SETTLEMENT OF POTENTIAL LITIGATION AS A RESULT OF HIS TERMINATION FROM THE ORGANIZATION. ADDITIONALLY, SIX EXECUTIVES, BELINDA MARTINEZ, ROBERT P. BUDD, TONY VERNA, KAREN L. ROBINSON, MEGAN GRABOS, AND KRISTINA MCCARTY RECEIVED A SEVERANCE PAYMENT UPON SEPARATION FROM THE ORGANIZATION. THESE PAYMENTS ARE INCLUDED ON SCHEDULE J AND REPORTED IN PART II, COLUMN(B)(III).
PART I, LINE 4B:THE ORGANIZATION PROVIDES A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO CERTAIN OF ITS SENIOR EXECUTIVES AS SELECTED BY THE BOARD OF DIRECTORS. THE SUPPLEMENTAL RETIREMENT BENEFIT IS BASED ON EACH EXECUTIVE'S COMPENSATION AND YEARS OF SERVICE TO THE ENTERPRISE. THE BENEFIT IS SUBJECT TO THE RISK OF FORFEITURE IF REQUIRED YEARS OF SERVICE ARE NOT MET. ANNUAL DEFERRED COMPENSATION RELATED TO THIS PLAN IS REPORTED IN SCHEDULE J, PART II, COLUMN (C) FOR EACH PARTICIPANT AND REFLECTS THE CURRENT YEAR INCREASE OR DECREASE IN THE RELATED ORGANIZATION'S PENSION BENEFIT OBLIGATION ("PBO"), CALCULATED PURSUANT TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE PBO INCREASE OR DECREASE INCLUDES CHANGES IN ACTUARIAL ASSUMPTIONS (E.G., APPLICABLE DISCOUNT RATE), AS WELL AS CHANGES IN COMPENSATION AND YEARS OF SERVICE. IN 2019, MICHAEL J. CASTRO AND BELINDA MARTINEZ PARTICIPATED IN THE PLAN. IT SHOULD BE NOTED THAT DURING 2018, ANTHONY S. BARTH WAS TERMINATED AS PRESIDENT AND CEO. AS A RESULT OF THE TERMINATION, THE PBO WAS REDUCED FOR THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN THAT RELATED TO MR. BARTH AND WAS REFLECTED ON THE 2018 RETURN SCHEDULE J, PART II, COLUMN (C) IN THE AMOUNT OF $30,985,150; HOWEVER, AN ACCRUAL WAS REFLECTED IN THE 2018 FINANCIAL STATEMENTS FOR POTENTIAL SETTLEMENT EXPENSE IN CONTEMPLATION OF POTENTIAL LITIGATION WITH MR. BARTH. A FINAL SETTLEMENT PAYMENT WAS MADE TO MR. BARTH IN MARCH 2019 WHICH WAS APPLIED AGAINST THE 2018 ACCRUAL. THIS PAYMENT IS REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). FURTHERMORE, ON MAY 1, 2019, BENEFIT ACCRUALS UNDER THE PLAN CEASED AND THE PLAN WAS FROZEN. SUBSEQUENTLY ON FEBRUARY 6, 2020, THE PLAN WAS IRREVOCABLY TERMINATED AND ALL REMAINING PLAN BENEFITS WILL BE PAID IN A LUMP SUM ON OR AFTER FEBRUARY 7, 2021.
PART I, LINES 5A AND 6A:DELTA DENTAL OF CALIFORNIA 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.
PART I, LINE 7:THE PRESIDENT OF THE ORGANIZATION, WITH BOARD OF DIRECTORS APPROVAL, MAY GRANT AN ANNUAL BONUS TO ALL MANAGEMENT EMPLOYEES. 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).
PART II, ROW (I), COLUMN C:THE AMOUNTS FOR TWO EXECUTIVES, MICHAEL J. CASTRO AND BELINDA MARTINEZ, REFLECT NEGATIVE VALUES DUE TO A DECREASE IN THE ACTUARIAL VALUE OF THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN AS OF DECEMBER 31, 2019. THE DECREASE IN ACTUARIAL VALUE OF THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN WAS A RESULT OF THE PLAN FREEZE WHICH OCCURRED ON MAY 1, 2019.
PART II, ROW (I), COLUMN F:MONTHLY INSTALLMENTS WERE RECEIVED BY ONE OF THE ORGANIZATION'S EXECUTIVE VICE PRESIDENTS, BELINDA MARTINEZ, IN 2019, PURSUANT TO THE TERMS OF THE ORGANIZATION'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THIS PLAN WAS DESIGNED FOR THE LONG-TERM RETENTION OF SENIOR EXECUTIVES (E.G., THE EXECUTIVE VICE PRESIDENT HAD BEEN WITH THE ORGANIZATION FOR MORE THAN 30 YEARS) AND IS BASED ON A PERCENTAGE OF HER AVERAGE ANNUAL COMPENSATION RECEIVED FOR THE THREE YEARS PRIOR TO AGE 65 OR RETIREMENT, WHICHEVER COMES FIRST, AND ON HER LIFE EXPECTANCY AS DETERMINED PURSUANT TO THE INTERNAL REVENUE CODE. THE EXECUTIVE VICE PRESIDENT'S ANNUAL COMPENSATION, UPON WHICH THE PENSION BENEFIT PAYMENT IS BASED, HAS BEEN ESTABLISHED IN ACCORDANCE WITH THE PROCESS OUTLINED IN TREASURY REGULATION SECTION 53.4958-6 FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THIS PROCESS INVOLVES REVIEW AND APPROVAL OF COMPENSATION BY THE ORGANIZATION'S BOARD OF DIRECTORS, RELIANCE ON COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, AND CONTEMPORANEOUS DOCUMENTATION OF DELIBERATIONS AND DECISIONS REGARDING COMPENSATION. THE PAYMENTS SHOWN IN SCHEDULE J, PART II, ROW I, COLUMN (B)(III) (AND CARRIED TO FORM 990, PART VII, SECTION A, COLUMN (E)) WERE THEREFORE TRIGGERED IN 2019 WHEN THE EXECUTIVE VICE PRESIDENT SEPARATED FROM THE ORGANIZATION. SEE RELATED NOTE ABOVE FOR SCHEDULE J, PART I, LINE 4B, WHICH DESCRIBES THE ORGANIZATION'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
STEPHEN R PICKERING DDS
PARTICIPATING PROVIDER$177,026DENTAL CLAIM PAYMENTS0
BRENT KAPLAN
FAMILY MEMBER OF A CURRENT DIRECTOR$267,920CONSULTING FEES0
GREGORY D KAPLAN DDS
PARTICIPATING PROVIDER$676,618DENTAL CLAIMS PAYMENTS0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 4THE BYLAWS OF THE ORGANIZATION WERE AMENDED IN 2019 TO ELIMINATE THE DIRECTOR TERM LIMIT OF TWO CONSECUTIVE THREE-YEAR TERMS, AS WELL AS CORRESPONDING PROVISIONS MAKING OFFICER TERMS ACCRETIVE TO DIRECTOR TERMS, AND TO IMPLEMENT ANNUAL DIRECTOR TERMS. ADDITIONAL AMENDMENTS ESTABLISHED A MANDATORY RETIREMENT AGE OF 75 YEARS FOR DIRECTORS; ELIMINATED THE LIMIT OF THREE CONSECUTIVE TERMS OF OFFICE FOR ALL OFFICERS; ESTABLISHED A MINIMUM THREE-YEAR TERM FOR THE CHAIR OF THE BOARD; AND ELIMINATED THE REQUIREMENT FOR THE SECRETARY AND TREASURER TO BE BOARD MEMBERS, THEREBY ALLOWING FOR THE APPOINTMENT OF THE CHIEF LEGAL OFFICER AND CHIEF FINANCIAL OFFICER, RESPECTIVELY, TO FILL THOSE POSITIONS.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION'S BYLAWS NAME TWO CLASSES OF "MEMBERS," "CORPORATE MEMBERS AND "DENTIST MEMBERS." ALL CORPORATE MEMBERS ARE ALSO DIRECTORS OF THE ORGANIZATION AND SO ARE NOT "MEMBERS" AS DEFINED IN THE INSTRUCTIONS TO FORM 990, PART VI, QUESTION 6. HOWEVER, THE ORGANIZATION'S DIRECTORS ARE ELECTED BY ITS PARENT HOLDING COMPANY BOARD OF DIRECTORS, TWO OF WHOM ARE NOT ALSO DIRECTORS OF THE ORGANIZATION AND THUS MAY BE CONSIDERED "MEMBERS" PURSUANT TO THE INSTRUCTIONS. THE DENTIST MEMBERS HAVE A RIGHT TO VOTE UPON PROPOSED CHANGES TO THE PROPORTION OF THE DENTISTS SERVING AS DIRECTORS AND CORPORATE MEMBERS, AND SO MAY BE CONSIDERED "MEMBERS" UNDER THE INSTRUCTION.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S DIRECTORS ARE ELECTED BY THE PARENT HOLDING COMPANY BOARD OF DIRECTORS, WHICH INCLUDES TWO PERSONS WHO ARE NOT ALSO DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7BTHE DENTIST MEMBERS HAVE A RIGHT TO VOTE ONLY UPON PROPOSED CHANGES TO THE BYLAWS PROVISIONS THAT SPECIFY THE PROPORTION OF DENTISTS AND LAY PERSONS SERVING AS DIRECTORS AND CORPORATE MEMBERS.
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 ORGANIZATION'S 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 PARENT HOLDING COMPANY OF THE ORGANIZATION, WHICH ALSO SERVES AS THE COMPENSATION COMMITTEE FOR 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 2019 COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION ANNUALLY INCLUDES MAJOR PORTIONS OF ITS FINANCIAL STATEMENT IN A PUBLISHED ANNUAL REPORT THAT IS MADE AVAILABLE TO PERSONS OR ENTITIES KNOWN TO HAVE AN INTEREST IN THE ORGANIZATION, AND IS AVAILABLE TO THE LARGER PUBLIC UPON REQUEST. STATUTORY FINANCIAL STATEMENTS FOR SUBSIDIARY COMPANIES 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 RTHE ORGANIZATION, REGULATED BY THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE, 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 36.1 MILLION ENROLLEES AND PROCESSING 40.8 MILLION CLAIMS. TOTAL REVENUE FOR THE ENTERPRISE IS APPROXIMATELY $8.9 BILLION IN 2019. THE ORGANIZATION REPRESENTS APPROXIMATELY 58% OF TOTAL ENTERPRISE REVENUES.
FORM 990, PART XI, LINE 9:PENSION LIABILITY AND POST-RETIREMENT ADJUSTMENTS 12,930,938. NET LOSS FROM SUBSIDIARIES 400,112.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CELEBRATION DENTAL SERVICES LLC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105593410497DENTAL SERVICESFLDELTA DENTAL OF CALIFORNIA
DENTEGRA INSURANCE HOLDINGS LLC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105943386049HOLDING COMPANYDEDENTEGRA INSURANCE COMPANY

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
DELTA DENTAL COMMUNITY CARE FOUNDATION
560 MISSION STREET STE 1300SAN FRANCISCOCA94105371570764CHARITABLE ORGANIZATIONCA501(C)(3)PFDENTEGRA GROUP INC0
DELTA DENTAL OF PENNSYLVANIA
ONE DELTA DRIVEMECHANICSBURGPA17055231667011DENTAL INSURANCEPA501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF DELAWARE
ONE DELTA DRIVEMECHANICSBURGPA17055510228088DENTAL INSURANCEDE501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF WEST VIRGINIA
ONE DELTA DRIVEMECHANICSBURGPA17055550523124DENTAL INSURANCEWV501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF THE DISTRICT OF COLUMBIA
ONE DELTA DRIVEMECHANICSBURGPA17055521479587DENTAL INSURANCEDC501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF NEW YORK
ONE DELTA DRIVEMECHANICSBURGPA17055111980218DENTAL INSURANCENY501(C)(4)DENTEGRA GROUP INC0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdForeign PostalForeignAddress/ForeignPostalCdOwnershipOwnershipPct
DENTEGRA GROUP INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105943386049HOLDING COMPANYDEN/AC0
DENTEGRA INSURANCE COMPANY
560 MISSION STREET STE 1300SAN FRANCISCOCA94105751233841INSURANCE COMPANYDECYes (1)DDC INSURANCE HOLDINGS INC
DENTEGRA INSURANCE COMPANY OF NEW ENGLAND
560 MISSION STREET STE 1300SAN FRANCISCOCA94105300318743INSURANCE COMPANYMACYes (1)DDC INSURANCE HOLDINGS INC
DELTA DENTAL INSURANCE COMPANY
560 MISSION STREET STE 1300SAN FRANCISCOCA94105942761537INSURANCE COMPANYDECYes (1)DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF NEVADA INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105880244893INSURANCE COMPANYNVCYes (1)DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF UTAH INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105860672505INSURANCE COMPANYUTCYes (1)DDC INSURANCE HOLDINGS INC
ALPHA DENTAL PROGRAMS INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105742447512INSURANCE COMPANYTXCYes (1)DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF ALABAMA INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105630796079INSURANCE COMPANYALCYes (1)DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF NEW MEXICO INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105330279230INSURANCE COMPANYNMCYes (1)DDC INSURANCE HOLDINGS INC
ALPHA DENTAL OF ARIZONA INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105930939835INSURANCE COMPANYAZCYes (1)DDC INSURANCE HOLDINGS INC
DENTEGRA SEGUROS DENTALES SA
INSURANCE COMPANYCYes (1)DENTEGRA INSURANCE COMPANYINSURGENTES SUR 826 PISO 15COL DEL VALLEFC DF 01300MXMX
DELTA DENTAL OF PUERTO RICO INC
660436769INSURANCE COMPANYCYes (1)DELTA DENTAL OF CALIFORNIA14 CALLE 2 SUITE 200GUAYNABORQRQ009680.63990
DELTA REINSURANCE CORPORATION
980096711INSURANCE COMPANYC0DELTA DENTAL OF PENNSYLVANIACGI TOWER 2ND FLOORWARRENSST. MICHAELBBBB0.00400
SERVICIOS DENTALES DENTEGRA SA DE CV
INSURANCE ADMINISTRATIONCYes (1)DENTEGRA INSURANCE COMPANYINSURGENTES SUR 826 PISO 15COL DEL VALLEFC DF 01300MXMX
DDC INSURANCE HOLDINGS INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105274251930HOLDING COMPANYDECYes (1)DELTA DENTAL OF CALIFORNIA1.00000
ALLIED ADMINISTRATORS INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105941713371THIRD PARTY ADMIN SERVICESCACYes (1)DDC INSURANCE HOLDINGS INC
DELTA DENTAL IPA OF NEW YORK INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105384063658INDEPENDENT PRACTICE ASSOCIATIONNYCYes (1)DDC INSURANCE HOLDINGS INC
CONVECTION HUB INC
560 MISSION STREET STE 1300SAN FRANCISCOCA94105825288274HEALTH AND WELLNESSDECYes (1)DDC INSURANCE HOLDINGS INC
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 OrganizationYes (1)DivRelatedOrganizationInd
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 (43 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
ALLIED ADMINISTRATORS INC
M$3,966,712
ALLIED ADMINISTRATORS INC
Q$339,718
ALPHA DENTAL OF ALABAMA INC
L$15,972
ALPHA DENTAL OF ARIZONA INC
L$419,297
ALPHA DENTAL OF ARIZONA INC
Q$522
ALPHA DENTAL OF NEVADA INC
L$234,584
ALPHA DENTAL OF NEVADA INC
Q$1,269
ALPHA DENTAL OF NEW MEXICO INC
L$9,592
ALPHA DENTAL OF NEW MEXICO INC
Q$698
ALPHA DENTAL OF UTAH INC
L$63,341
ALPHA DENTAL OF UTAH INC
Q$1,738
ALPHA DENTAL PROGRAMS INC
L$5,434,284
ALPHA DENTAL PROGRAMS INC
Q$41,467
CELEBRATION DENTAL SERVICES
Q$33,160
DELTA DENTAL COMMUNITY CARE FOUNDATION
B$14,000,000
DELTA DENTAL INSURANCE COMPANY
A$1,800,000
DELTA DENTAL INSURANCE COMPANY
L$31,462,758
DELTA DENTAL INSURANCE COMPANY
M$40,119,621
DELTA DENTAL INSURANCE COMPANY
P$507,618
DELTA DENTAL INSURANCE COMPANY
Q$45,767,249
DELTA DENTAL OF DELAWARE
Q$76,795
DELTA DENTAL OF DISTRICT OF COLUMBIA
Q$64,698
DELTA DENTAL OF NEW YORK
L$772,495
DELTA DENTAL OF NEW YORK
P$1,257
DELTA DENTAL OF NEW YORK
Q$1,025,209
DELTA DENTAL OF PENNSYLVANIA
L$22,398,439
DELTA DENTAL OF PENNSYLVANIA
M$11,758,805
DELTA DENTAL OF PENNSYLVANIA
P$25,429
DELTA DENTAL OF PENNSYLVANIA
Q$17,842,821
DELTA DENTAL OF PUERTO RICO
L$664,297
DELTA DENTAL OF PUERTO RICO
M$391,161
DELTA DENTAL OF PUERTO RICO
P$101,422
DELTA DENTAL OF PUERTO RICO
Q$152,993
DELTA DENTAL OF WEST VIRGINIA
Q$56,443
DELTA REINSURANCE CORPORATION
F$40,000
DENTEGRA INSURANCE COMPANY
A$1,200,000
DENTEGRA INSURANCE COMPANY
L$2,474,733
DENTEGRA INSURANCE COMPANY
M$10,992,344
DENTEGRA INSURANCE COMPANY
P$632,843
DENTEGRA INSURANCE COMPANY
Q$213,590
DENTEGRA INSURANCE COMPANY - NE
M$217,723
DENTEGRA INSURANCE COMPANY - NE
Q$4,197
DENTEGRA SEGUROS DENTALES SA
L$334,880