DELTA DENTAL PLAN OF VIRGINIA: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL PLAN OF VIRGINIA (EIN 54-0844477)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-15
- IRS object ID
- 201823199349312807
- Schema version
- 2017v2.3
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-11-15T14:47:07-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 540504608 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROWN EDWARDS & COMPANY LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 319 MCCLANAHAN STREET SW | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24014 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2017-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 540844477 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF VIRGINIA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 5409898000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4818 STARKEY ROAD | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 240188542 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | R JAMES BARKER | PersonNm |
| Person Title | VICE PRESIDENT OF FINANCE | PersonTitleTxt |
| Phone | 5409898000 | PhoneNum |
| Signature | 2018-11-05 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | M C WINGFIELD | PreparerPersonNm |
| PTIN | P00005971 | PTIN |
| Phone | 5403450936 | PhoneNum |
| Preparation | 2018-11-05 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 206.248.228.130 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-11-05 | IPDt |
| IP Tm | 15:54:00 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | D0156BD46B4B1FE921C9503B1D7FFBF99E37DBAB | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CE530EA759AC3AF6BB0EECEF8950573E07121913 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | R JAMES BARKER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4818 STARKEY ROAD | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 240188542 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $716,799,585 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.DELTADENTALVA.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1964 | FormationYr |
| Legal Domicile State | VA | LegalDomicileStateCd |
| Activity Or Mission | IMPROVE THE PUBLIC'S ORAL HEALTH. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 66 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $672,966,134 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $697,888,912 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,685,156 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,258,068 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $674,651,290 | PYTotalRevenueAmt |
| CY Total Revenue | $700,146,980 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $9,172,034 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $9,249,089 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $646,716,652 | PYOtherExpensesAmt |
| CY Other Expenses | $670,088,270 | CYOtherExpensesAmt |
| PY Total Expenses | $655,888,686 | PYTotalExpensesAmt |
| CY Total Expenses | $679,337,359 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $18,762,604 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $20,809,621 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $147,037,134 | TotalAssetsBOYAmt |
| Total Assets EOY | $168,014,567 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $61,380,170 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $65,793,844 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $85,656,964 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $102,220,723 | NetAssetsOrFundBalancesEOYAmt |
| Mission | ADVANCE THE PUBLIC'S ORAL HEALTH BY PROVIDING QUALITY DENTAL BENEFITS AT AFFORDABLE COST. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $614,961,799 | ExpenseAmt |
| Revenue | $697,888,912 | RevenueAmt |
| Desc | GROUP AND INDIVIDUAL PREPAID DENTAL CARE WAS PROVIDED FOR SUBSCRIBERS AND FAMILIES IF ENROLLED. | Desc |
| Total Program Service Expenses | $614,961,799 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | Yes (1) | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | Yes (1) | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 61100 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 66 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | R JAMES BARKER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5409898000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4818 STARKEY ROAD | AddressLine1Txt |
| City | ROANOKE | CityNm |
| State Abbreviation | VA | StateAbbreviationCd |
| ZIP | 24018 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| MR LYNDELL B BROOKS | ||||||||||
| CHAIRMAN OF THE BOARD | 7.00 | 8.00 | Yes (X) | Yes (X) | $25,471 | $12,600 | $0 | |||
| DR HAROLD J BARRETT JR | ||||||||||
| DIRECTOR | 2.00 | 1.00 | Yes (X) | $21,860 | $0 | $0 | ||||
| MR THOMAS R BYRD | ||||||||||
| DIRECTOR | 4.00 | 8.00 | Yes (X) | $0 | $41,500 | $0 | ||||
| MR BARRY E DUVAL | ||||||||||
| DIRECTOR | 3.00 | 3.00 | Yes (X) | $0 | $23,800 | $0 | ||||
| MR GORDON L GENTRY JR | ||||||||||
| DIRECTOR | 5.00 | 1.00 | Yes (X) | $34,944 | $0 | $0 | ||||
| MR DANIEL C HASTINGS JR | ||||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $21,541 | $0 | $0 | ||||
| MR DOUGLAS JUANARENA | ||||||||||
| DIRECTOR | 3.00 | 3.00 | Yes (X) | $1,797 | $25,250 | $0 | ||||
| DR LEZLEY P MCILVEEN | ||||||||||
| DIRECTOR | 4.00 | 0.00 | Yes (X) | $24,550 | $0 | $0 | ||||
| MR JESS NEWBERN III | ||||||||||
| DIRECTOR | 3.00 | 0.00 | Yes (X) | $24,418 | $200 | $0 | ||||
| DR BARRY WOLFE | ||||||||||
| DIRECTOR | 4.00 | 1.00 | Yes (X) | $28,715 | $0 | $0 | ||||
| DR GEORGE A LEVICKI | ||||||||||
| PRESIDENT, RETIRED NOV 2017 | 1.00 | 41.00 | Yes (X) | Yes (X) | $0 | $1,197,351 | $71,596 | |||
| MR FRANK L LUCIA | ||||||||||
| PRESIDENT & CEO - HIRED 11/2017 | 1.00 | 41.00 | Yes (X) | Yes (X) | $0 | $61,009 | $1,678 | |||
| MR R JAMES BARKER | ||||||||||
| VICE PRESIDENT OF FINANCE | 0.00 | 40.00 | Yes (X) | $0 | $435,340 | $71,662 | ||||
| MR PETER V DAVIES II | ||||||||||
| SVP & COO | 40.00 | 0.00 | $713,637 | $0 | $69,638 | Yes (X) | ||||
| DR JOSEPH M DILL DDS | ||||||||||
| VICE PRESIDENT | 40.00 | 0.00 | $316,923 | $0 | $51,586 | Yes (X) | ||||
| MR BRADLEY KNOPF | ||||||||||
| VICE PRESIDENT | 40.00 | 0.00 | $344,661 | $0 | $54,039 | Yes (X) | ||||
| MR CHRISTOPHER PYLE | ||||||||||
| VICE PRESIDENT | 40.00 | 0.00 | $258,936 | $0 | $55,590 | Yes (X) | ||||
| MR DAVID WERNER | ||||||||||
| VICE PRESIDENT | 40.00 | 0.00 | $451,961 | $0 | $51,435 | Yes (X) | ||||
| MS MELISSA KIRSH | ||||||||||
| STAFF | 40.00 | 0.00 | $376,125 | $0 | $54,039 | Yes (X) | ||||
| MR MATTHEW MACDONALD | ||||||||||
| STAFF | 40.00 | 0.00 | $262,999 | $0 | $56,021 | Yes (X) | ||||
| MR JASON REYNOLDS | ||||||||||
| STAFF | 40.00 | 0.00 | $229,735 | $0 | $30,524 | Yes (X) | ||||
| MR BRIAN SHIELDS | ||||||||||
| STAFF | 40.00 | 0.00 | $266,756 | $0 | $53,380 | Yes (X) | ||||
| MR JOHN WILSON | ||||||||||
| STAFF | 40.00 | 0.00 | $254,224 | $0 | $37,989 | Yes (X) | ||||
| DR FRENCH H MOOREJR | ||||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $22,694 | $0 | $0 | Yes (X) | ||||
| MR THOMAS S NARDO | ||||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $22,672 | $0 | $0 | Yes (X) | ||||
| DR GRANT M SPRINKLE III | ||||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $22,755 | $0 | $0 | Yes (X) | ||||
| MR MICHAEL L HOULISTON | ||||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $699 | $22,500 | $0 | Yes (X) | ||||
| DR MAYER G LEVY | ||||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $0 | $22,500 | $0 | Yes (X) | ||||
| DR EMANUEL W MICHAELS | ||||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $0 | $22,500 | $0 | Yes (X) | ||||
| DR ALBERT L PAYNE | ||||||||||
| FORMER DIRECTOR | 0.00 | 0.00 | $255 | $22,500 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,728,328 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,887,050 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $659,177 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 26 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| WYSSTA SERVICES INC | |||||
| PO BOX 86 | STEVENS POINT | WI | 54481 | TPA SERVICES | $1,167,209 |
| BLUE 449 INC | |||||
| 13940 COLLECTIONS CENTER DRIVE | CHICAGO | IL | 60693 | ADVERTISING SERVICES | $347,229 |
| BLACKROCK INVESTMENT MANAGEMENT LLC | |||||
| PO BOX 978604 | DALLAS | TX | 753978604 | INVESTMENT MANAGEMENT | $160,032 |
| PREVISER CORPORATION | |||||
| PO BOX 2002 | CONCORD | NH | 033022002 | DATA CONNECTION & MAINTENANCE | $144,000 |
| CII SERVICE | |||||
| 6767 FOREST HILL AVE STE 100 | RICHMOND | VA | 23225 | FACILITY REPAIRS | $127,884 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 6 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| ASC CONTRACTS | 524114 | $406,725,987 | $406,725,987 |
| RISK PREMIUMS | 524114 | $260,398,389 | $260,398,389 |
| ASC FEES EARNED | 524114 | $23,858,747 | $23,858,747 |
| DELTA CARE CONTRACT | 524114 | $6,845,921 | $6,845,921 |
| OTHER INCOME | 524298 | $59,868 | $59,868 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $697,888,912 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,476,306 | TotalRevenueColumnAmt |
| Exclusion | $1,476,306 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $17,434,367 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,652,605 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $781,762 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $781,762 | TotalRevenueColumnAmt |
| Exclusion | $781,762 | ExclusionAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $700,146,980 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $697,888,912 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,258,068 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,551,703 | TotalAmt |
| Management And General | $2,551,703 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,567,405 | TotalAmt |
| Management And General | $4,567,405 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $904,065 | TotalAmt |
| Management And General | $904,065 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $808,663 | TotalAmt |
| Management And General | $808,663 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $417,253 | TotalAmt |
| Management And General | $417,253 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,133,945 | TotalAmt |
| Management And General | $13,133,945 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,765 | TotalAmt |
| Management And General | $30,765 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,040 | TotalAmt |
| Management And General | $188,040 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,004,154 | TotalAmt |
| Management And General | $25,004,154 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,097,927 | TotalAmt |
| Management And General | $1,097,927 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $496,159 | TotalAmt |
| Management And General | $496,159 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $298,339 | TotalAmt |
| Management And General | $298,339 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $402,143 | TotalAmt |
| Management And General | $402,143 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $188,666 | TotalAmt |
| Management And General | $188,666 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $161,904 | TotalAmt |
| Management And General | $161,904 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $801 | TotalAmt |
| Management And General | $801 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| DENTAL CLAIMS | $614,961,799 | $614,961,799 | |
| BROKERAGE COMMISSIONS A | $7,076,059 | $7,076,059 | |
| STATE PREMIUM TAXES AND | $5,339,826 | $5,339,826 | |
| BUSINESS DUES AND ASSOC | $782,349 | $782,349 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $925,394 | TotalAmt |
| Management And General | $925,394 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $679,337,359 | TotalAmt |
| Program Services | $614,961,799 | ProgramServicesAmt |
| Management And General | $64,375,560 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $200 | BOYAmt |
| EOY | $200 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,748,621 | BOYAmt |
| EOY | $24,289,509 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,572,158 | BOYAmt |
| EOY | $53,115,366 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $318,092 | BOYAmt |
| EOY | $314,055 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $25,028,060 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,769,155 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,919,847 | BOYAmt |
| EOY | $18,258,905 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,537,019 | BOYAmt |
| EOY | $46,298,654 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,100 | BOYAmt |
| EOY | $2,100 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,939,097 | BOYAmt |
| EOY | $25,735,778 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,037,134 | BOYAmt |
| EOY | $168,014,567 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,212,116 | BOYAmt |
| EOY | $22,488,943 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,168,054 | BOYAmt |
| EOY | $43,304,901 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,380,170 | BOYAmt |
| EOY | $65,793,844 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,656,964 | BOYAmt |
| EOY | $102,220,723 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,656,964 | BOYAmt |
| EOY | $102,220,723 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $147,037,134 | BOYAmt |
| EOY | $168,014,567 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $20,809,621 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $754,138 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$5,000,000 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consol And Sep Basis Fincl Stmt | Yes (X) | ConsolAndSepBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Internal Funds Contributed | $27,750 | InternalFundsContributedAmt |
| Total Exempt Function Expend | $27,750 | TotalExemptFunctionExpendAmt |
| Form1120 POL Filed | Yes (1) | Form1120POLFiledInd |
Section527 Political Org Section527PoliticalOrgGrp (60 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Paid Internal FundsPaidInternalFundsAmt |
|---|---|---|---|---|
| BYRON FOR DELEGATE | ||||
| PO BOX 900 | FOREST | VA | 24551 | $500 |
| KILGORE FOR DELEGATE | ||||
| PO BOX 669 | GATE CITY | VA | 24251 | $1,500 |
| FRIENDS OF TOMMY NORMENT | ||||
| PO BOX 6205 | WILLIAMSBURG | VA | 23188 | $1,000 |
| BLACK FOR SENATE | ||||
| PO BOX 3026 | LEESBURG | VA | 20177 | $500 |
| CHAFIN FOR SENATE | ||||
| PO BOX 1210 | LEBANON | VA | 24266 | $500 |
| HUGO FOR DELEGATE | ||||
| PO BOX 893 | CENTREVILLE | VA | 20122 | $1,000 |
| BELL FOR DELEGATE | ||||
| PO BOX 239 | STAUNTON | VA | 24402 | $250 |
| COSGROVE FOR SENATE | ||||
| PO BOX 15483 | CHESAPEAKE | VA | 23328 | $500 |
| WAGNER FOR SENATE | ||||
| PO BOX 68008 | VIRGINIA BEACH | VA | 23471 | $1,000 |
| VILLANUEVA FOR DELEGATE | ||||
| PO BOX 61005 | VIRGINIA BEACH | VA | 23466 | $250 |
| HABEEB FOR DELEGATE | ||||
| PO BOX 882 | SALEM | VA | 24153 | $1,250 |
| MILLER FOR DELEGATE | ||||
| PO BOX 8 | MANASSAS | VA | 20108 | $1,000 |
| STUART FOR SENATE | ||||
| PO BOX 1146 | MONTROSS | VA | 22520 | $1,000 |
| EDWARDS FOR SENATE | ||||
| PO BOX 1179 | ROANOKE | VA | 240061179 | $250 |
| TYLER FOR DELEGATE | ||||
| 25359 BLUE STAR HWY | JARRATT | VA | 23867 | $250 |
| HEAD FOR DELEGATE | ||||
| PO BOX 19130 | ROANOKE | VA | 24019 | $250 |
| FILLER-CORN FOR DELEGATE | ||||
| PO BOX 523082 | SPRINGFIELD | VA | 22152 | $250 |
| O'QUINN FOR DELEGATE | ||||
| PO BOX 16325 | BRISTOL | VA | 24201 | $500 |
| GILBERT FOR DELEGATE | ||||
| PO BOX 309 | WOODSTOCK | VA | 22664 | $750 |
| WARD FOR DELEGATE | ||||
| PO BOX 7310 | HAMPTON | VA | 23666 | $250 |
| KEAM FOR DELEGATE | ||||
| PO BOX 1134 | VIENNA | VA | 221831134 | $250 |
| LEWIS FOR SENATE | ||||
| PO BOX 760 | ACCOMAC | VA | 23301 | $250 |
| LOUPASSI FOR DELEGATE | ||||
| 6002A WEST BROAD STREET STE 200 | RICHMOND | VA | 23230 | $750 |
| MARSHALL FOR DELEGATE | ||||
| PO BOX 439 | DANVILLE | VA | 24543 | $500 |
| NEWMAN FOR SENATE | ||||
| PO BOX 480 | FOREST | VA | 24551 | $750 |
| O'BANNON FOR DELEGATE | ||||
| PO BOX 70365 | RICHMOND | VA | 23255 | $500 |
| MCDOUGLE FOR SENATE | ||||
| PO BOX 187 | MECHANICSVILLE | VA | 23111 | $750 |
| SPRUILL FOR DELEGATE | ||||
| PO BOX 5403 | CHESAPEAKE | VA | 23324 | $500 |
| TOSCANO FOR DELEGATE | ||||
| 211 EAST HIGH STREET | CHARLOTTESVILLE | VA | 22902 | $750 |
| GARRETT FOR DELEGATE | ||||
| 2255 LANGHORNE ROAD STE 4 | LYNCHBURG | VA | 24501 | $250 |
| JAMES FOR DELEGATE | ||||
| PO BOX 7487 | PORTSMOUTH | VA | 23707 | $250 |
| RANSONE FOR DELEGATE | ||||
| PO BOX 358 | KINSALE | VA | 22488 | $250 |
| ORROCK FOR DELEGATE | ||||
| PO BOX 458 | THORNBURG | VA | 22565 | $500 |
| PEACE FOR DELEGATE | ||||
| PO BOX 819 | MECHANICSVILLE | VA | 23111 | $250 |
| STOLLE FOR DELEGATE | ||||
| PO BOX 5429 | VIRGINIA BEACH | VA | 23471 | $250 |
| BARKER FOR SENATE | ||||
| PO BOX 10527 | ALEXANDRIA | VA | 23220 | $250 |
| DUNNAVANT FOR SENATE | ||||
| PO BOX 70849 | HENRICO | VA | 23255 | $500 |
| MARSDEN FOR SENATE | ||||
| PO BOX 10889 | BURKE | VA | 22009 | $250 |
| PETERSEN FOR SENATE | ||||
| PO BOX 1066 | FAIRFAX | VA | 22038 | $750 |
| STANLEY FOR SENATE | ||||
| 13508 BOOKER T WASHINGTON HWY | MONETA | VA | 24121 | $500 |
| SUROVELL FOR SENATE | ||||
| PO BOX 289 | MOUNT VERNON | VA | 22121 | $250 |
| SUETTERLEIN FOR SENATE | ||||
| PO BOX 20237 | ROANOKE | VA | 24018 | $250 |
| CHASE FOR SENATE | ||||
| PO BOX 5811 | MIDLOTHIAN | VA | 23112 | $250 |
| LUCAS FOR SENATE | ||||
| PO BOX 700 | PORTSMOUTH | VA | 237050700 | $500 |
| STURTEVANT FOR SENATE | ||||
| PO BOX 2535 | MIDLOTHIAN | VA | 23113 | $250 |
| WARE FOR DELEGATE | ||||
| PO BOX 689 | POWHATAN | VA | 23139 | $250 |
| AIRD FOR DELEGATE | ||||
| PO BOX 3943 | PETERSBURG | VA | 23805 | $250 |
| HANGER FOR SENATE | ||||
| PO BOX 2 | MOUNT SOLON | VA | 228430002 | $500 |
| HAYES FOR DELEGATE | ||||
| PO BOX 5142 | CHESAPEAKE | VA | 23324 | $250 |
| HELSEL FOR DELEGATE | ||||
| PO BOX 2571 | POQUOSON | VA | 23662 | $250 |
| HODGES FOR DELEGATE | ||||
| PO BOX 928 | URBANA | VA | 23175 | $250 |
| HOPE FOR DELGATE | ||||
| PO BOX 3148 | ARLINGTON | VA | 22203 | $250 |
| OBENSHEIN FOR SENATE | ||||
| PO BOX 555 | HARRISONBURG | VA | 22803 | $500 |
| PEAKE FOR SENATE | ||||
| 4925 BOONSBORO ROAD BOX 172 | LYNCHBURG | VA | 24503 | $250 |
| POGGE FOR DELEGATE | ||||
| PO BOX 196 | NORGE | VA | 23127 | $250 |
| PRICE FOR DELEGATE | ||||
| PO BOX 196 | NEWPORT NEWS | VA | 23607 | $250 |
| ROBERT BELL FOR DELEGATE | ||||
| 2309 FINCH COURT | CHARLOTTESVILLE | VA | 22902 | $500 |
| ROBINSON FOR DELEGATE | ||||
| PO BOX 4627 | MIDLOTHIAN | VA | 23112 | $250 |
| SICKLES FOR DELEGATE | ||||
| PO BOX 10628 | FRANCONIA | VA | 22310 | $250 |
| YOST FOR DELEGATE | ||||
| 519 WENONAH AVENUE | PEARISBURG | VA | 24134 | $250 |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $2,434,732 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,963,736 | OtherCostOrOtherBasisAmt |
| Book Value | $4,398,468 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $12,849,836 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $806,697 | OtherCostOrOtherBasisAmt |
| Depreciation | $320,610 | DepreciationAmt |
| Book Value | $13,335,923 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $60,833 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $1,494,083 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,155,488 | DepreciationAmt |
| Book Value | $399,428 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,322,231 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,197,145 | DepreciationAmt |
| Book Value | $125,086 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,095,912 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,095,912 | DepreciationAmt |
| Book Value | $0 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $18,258,905 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| SOFTWARE UPGRADE | $20,159,587 |
| OTHER ASSETS | $5,576,191 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $25,735,778 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| DEPOSITS | $4,780,524 |
| ADV. PREMIUMS AND DEPOSITS | $24,768,671 |
| RATE STABILIZATION RESERVE | $809,710 |
| DENTAL SERVICE CLAIMS RESERVES | $11,369,608 |
| OPTION LIABILITY | $1,576,388 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $43,304,901 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Total Rev Etc Audited Fincl Stmt | $700,051,227 | TotalRevEtcAuditedFinclStmtAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $700,051,227 | RevenueSubtotalAmt |
| Investment Expenses Not Incld | $188,040 | InvestmentExpensesNotIncldAmt |
| Other Revenues Not Included | -$92,287 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $95,753 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $700,146,980 | TotalRevenuePerForm990Amt |
| Tot Expns Etc Audited Fincl Stmt | $679,241,606 | TotExpnsEtcAuditedFinclStmtAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $679,241,606 | ExpensesSubtotalAmt |
| Investment Expenses Not Incld2 | $188,040 | InvestmentExpensesNotIncld2Amt |
| Other Expenses Not Included | -$92,287 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $95,753 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $679,337,359 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 -92,287. |
| PART XII, LINE 4B - OTHER ADJUSTMENTS: | REAL ESTATE HOLDING COSTS -92,287. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Travel For Companions | Yes (X) | TravelForCompanionsInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (1) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DR GEORGE A LEVICKI | ||||||||||||||
| PRESIDENT, RETIRED NOV 2017 | $0 | $587,010 | $0 | $455,347 | $0 | $154,994 | $0 | $54,000 | $0 | $17,596 | $0 | $1,268,947 | $0 | $0 |
| MR R JAMES BARKER | ||||||||||||||
| VICE PRESIDENT OF FINANCE | $0 | $291,577 | $0 | $143,143 | $0 | $620 | $0 | $54,000 | $0 | $17,662 | $0 | $507,002 | $0 | $0 |
| MR PETER V DAVIES II | ||||||||||||||
| SVP & COO | $447,618 | $0 | $231,464 | $0 | $34,555 | $0 | $54,000 | $0 | $15,638 | $0 | $783,275 | $0 | $0 | $0 |
| DR JOSEPH M DILL DDS | ||||||||||||||
| VICE PRESIDENT | $237,640 | $0 | $77,439 | $0 | $1,844 | $0 | $34,047 | $0 | $17,539 | $0 | $368,509 | $0 | $0 | $0 |
| MR BRADLEY KNOPF | ||||||||||||||
| VICE PRESIDENT | $226,469 | $0 | $116,900 | $0 | $1,292 | $0 | $34,047 | $0 | $19,992 | $0 | $398,700 | $0 | $0 | $0 |
| MR CHRISTOPHER PYLE | ||||||||||||||
| VICE PRESIDENT | $196,479 | $0 | $61,995 | $0 | $462 | $0 | $32,940 | $0 | $22,650 | $0 | $314,526 | $0 | $0 | $0 |
| MR DAVID WERNER | ||||||||||||||
| VICE PRESIDENT | $72,450 | $0 | $376,567 | $0 | $2,944 | $0 | $34,047 | $0 | $17,388 | $0 | $503,396 | $0 | $0 | $0 |
| MS MELISSA KIRSH | ||||||||||||||
| STAFF | $40,200 | $0 | $335,346 | $0 | $579 | $0 | $34,047 | $0 | $19,992 | $0 | $430,164 | $0 | $0 | $0 |
| MR MATTHEW MACDONALD | ||||||||||||||
| STAFF | $37,450 | $0 | $225,430 | $0 | $119 | $0 | $33,479 | $0 | $22,542 | $0 | $319,020 | $0 | $0 | $0 |
| MR JASON REYNOLDS | ||||||||||||||
| STAFF | $36,850 | $0 | $192,469 | $0 | $416 | $0 | $21,712 | $0 | $8,812 | $0 | $260,259 | $0 | $0 | $0 |
| MR BRIAN SHIELDS | ||||||||||||||
| STAFF | $49,916 | $0 | $216,692 | $0 | $148 | $0 | $33,305 | $0 | $20,075 | $0 | $320,136 | $0 | $0 | $0 |
| MR JOHN WILSON | ||||||||||||||
| STAFF | $34,200 | $0 | $218,982 | $0 | $1,042 | $0 | $32,027 | $0 | $5,962 | $0 | $292,213 | $0 | $0 | $0 |
| DR FRENCH H MOOREJR | ||||||||||||||
| FORMER DIRECTOR | $22,694 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,694 | $0 | $0 | $0 |
| MR THOMAS S NARDO | ||||||||||||||
| FORMER DIRECTOR | $22,672 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,672 | $0 | $0 | $0 |
| DR GRANT M SPRINKLE III | ||||||||||||||
| FORMER DIRECTOR | $22,755 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,755 | $0 | $0 | $0 |
| MR MICHAEL L HOULISTON | ||||||||||||||
| FORMER DIRECTOR | $699 | $22,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $699 | $22,500 | $0 | $0 |
| DR MAYER G LEVY | ||||||||||||||
| FORMER DIRECTOR | $0 | $22,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,500 | $0 | $0 |
| DR EMANUEL W MICHAELS | ||||||||||||||
| FORMER DIRECTOR | $0 | $22,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $22,500 | $0 | $0 |
| DR ALBERT L PAYNE | ||||||||||||||
| FORMER DIRECTOR | $255 | $22,500 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $255 | $22,500 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | FIRST-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. HEALTH OR SOCIAL CLUB DUES,IF ANY, ARE DETERMINED VIA THE COMPENSATION & BENEFITS REVIEW BY THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE OF THE BOARD. AS NOTED, THE EXECUTIVE COMPENSATION AND BENEFITS REVIEW IS IN ACCORDANCE WITH THE PROCESS OUTLINED BY THE IRS FOR SETTING REASONABLE COMPENSATION. |
| PART 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 2017 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 NONQUALIFIED DEFERRED COMPENSATION PLANS AS PER IRS SECTION 457(F). THE FOLLOWING AMOUNTS WERE PAID FROM THIS ORGANIZATION AND A RELATED ORGANIZATION IN 2017: EMPLOYEE AMOUNT DR. GEORGE A. LEVICKI, RELATED ORG PAYMENT $142,092 MR. PETER V. DAVIES II $30,324 |
| PART I, LINE 5 | PART I, LINE 5A: THE FOLLOWING EMPLOYEES RECEIVED SALES COMMISSIONS IN 2017 IN THEIR ROLES AS SALES MANAGEMENT AND STAFF BASED UPON REVENUE GENERATED DIRECTLY BY EACH RESPECTIVE INDIVIDUAL: DAVID WERNER $376,567 MELISSA KIRSH $335,346 MATTHEW MACDONALD $225,430 JOHN WILSON $218,982 BRIAN SHIELDS $216,692 JASON REYNOLDS $192,469 THESE AMOUNTS WERE SUBJECT TO REVIEW BY THE HUMAN RESOURCES DEPARTMENT FOR FAIRNESS AND REASONABILITY. |
| PART I, LINE 7 | A PORTION OF THE PERSON'S COMPENSATION IS AT RISK PROVIDING KEY METRICS AND GOALS ARE ACHIEVED. THE RESPECTIVE PROGRAMS 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 L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| G SPRINKLE III FAMILY DENTISTRY PC | |||
| PARTICIPATING DENTIST | $270,550 | DENTAL CLAIMS | 0 |
| DRS MCILVEEN & FREEDMAN PC | |||
| PARTICIPATING DENTIST | $203,854 | DENTAL CLAIMS | 0 |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | DELTA 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 7A | THE MEMBER ELECTS THE BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B | THE 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 11B | DIRECTORS 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 12C | THE BOARD OF DIRECTORS AND OFFICERS COMPLETE CONFLICT OF INTEREST FORMS ANNUALLY. THE BOARD CHAIRMAN REVIEWS THE DIRECTORS' FORMS, THE NOMINATING COMMITTEE CHAIRMAN REVIEWS THE BOARD CHAIRMAN'S FORM AND THE PRESIDENT REVIEWS THE OFFICERS' FORMS. ALL ARE FILED IN THE CORPORATE MINUTE BOOK WHICH IS REVIEWED BY OUR AUDITORS AND THE BOI. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE MANAGEMENT DEVELOPMENT & COMPENSATION COMMITTEE OF THE BOARD HAS BEEN DELEGATED RESPONSIBILITY FOR SETTING SENIOR EXECUTIVE COMPENSATION AND BENEFITS. THE COMMITTEE'S MEMBERS ARE DDVA OUTSIDE DIRECTORS. THEY MUST BE INDEPENDENT OF MANAGEMENT AND FREE OF ANY RELATIONSHIPS THAT, IN THE OPINION OF THE BOARD OF DIRECTORS, WOULD INTERFERE WITH THE EXERCISE OF THEIR INDEPENDENT JUDGEMENT AS COMMITTEE MEMBERS WITH RESPECT TO THE TRANSACTIONS AND OTHER MATTERS THAT THEY ARE CALLED UPON TO EVALUATE. THE COMMITTEE HAS ENGAGED AND USES AN OUTSIDE, INDEPENDENT SENIOR EXECUTIVE COMPENSATION EXPERT TO ASSIST IN ESTABLISHING SENIOR EXECUTIVE COMPENSATION AND BENEFITS. THE OUTSIDE CONSULTANT PROVIDES, AMONG OTHER INFORMATION AND ADVICE, COMPARABLE DATA (FORM 990 AND OTHER COMPENSATION STUDIES) OF PEER ORGANIZATIONS. THIS COMMITTEE MEETS BETWEEN 3 AND 4 TIMES PER YEAR. MINUTES OF ALL MEETINGS ARE KEPT IN ACCORDANCE WITH IRS GUIDELINES. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE APPLICABLE FORMS ARE AVAILABLE FOR PUBLIC INSPECTION VIA REQUEST AND REGULATORY FILINGS. |
| FORM 990, PART XI, LINE 9: | SURPLUS TRANSFER TO HOLDING COMPANY -5,000,000. |
| FORM 990, PART XII, LINE 2C | THERE 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/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CORVESTA INC | |||||||||||
| 4818 STARKEY ROAD | ROANOKE | VA | 240188542 | 205945158 | HOLDING COMPANY | VA | 501(C)(4) | N/A | 0 | ||
| DELTA DENTAL OF VIRGINIA FOUNDATION | |||||||||||
| 4818 STARKEY ROAD | ROANOKE | VA | 240188542 | 453230862 | PROMOTION AND ADVANCEMENT OF ORAL HEALTH FOR THE PEOPLE OF VA | VA | 501(C)(3) | Yes (1) | LINE 12A, I | DELTA DENTAL OF VIRGINIA | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | EINEIN | Legal Domicile StateLegalDomicileStateCd |
|---|---|---|---|---|---|---|---|---|---|---|
| CORVESTA SOFTWARE SOLUTIONS PVT LTD | ||||||||||
| 4818 STARKEY ROAD | ROANOKE | VA | 240188542 | PROVIDES SOFTWARE DEVELOPMENT & PROGRAMMING | IN | N/A | C | 0 | ||
| REVOLV INC | ||||||||||
| 4818 STARKEY ROAD | ROANOKE | VA | 240188542 | PROVIDES TPA SERVICES TO DENTAL INSURANCE COMPANIES | N/A | C | 0 | 271018474 | VA | |
| CORVESTA LIFE INSURANCE COMPANY INC | ||||||||||
| 4818 STARKEY ROAD | ROANOKE | VA | 240188542 | PROVIDES LIFE INSURANCE COVERAGE | N/A | C | 0 | 860201136 | AZ | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (1) | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF VIRGINIA FOUNDATION | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | B | TransactionTypeTxt |
| Involved | $459,868 | InvolvedAmt |
| Method Of Amount Determination | FAIR MARKET VALUE | MethodOfAmountDeterminationTxt |