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DELTA DENTAL PLAN OF ARKANSAS INC: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL PLAN OF ARKANSAS INC (EIN 71-0561140)
Tax period
2016-01-01 to 2016-12-31
Filed
2017-11-14
IRS object ID
201733199349304558
Schema version
2016v3.0
Note
A later return for the same period supersedes this one.
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)
Return2017-11-14T17:32:37-07:00ReturnTs
Tax Period End2016-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2016-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710561140EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL PLAN OF ARKANSAS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone5018353400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11513 Country Club RoadAddressLine1Txt
CitySherwoodCityNm
State AbbreviationARStateAbbreviationCd
ZIP72120ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPhyllis RogersPersonNm
Person TitleSenior VP & CFOPersonTitleTxt
Phone5019921616PhoneNum
Signature2017-11-14SignatureDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address70.215.131.214IPv4AddressTxt
FieldValueIRS element (for citing)
Tax2016TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPhyllis RogersPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11513 Country Club RoadAddressLine1Txt
CitySherwoodCityNm
State AbbreviationARStateAbbreviationCd
ZIP72120ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$522,922,808GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.deltadentalar.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionSee Schedule O.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent10VotingMembersIndependentCnt
Total Employee225TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$3,773,028TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$130,406NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$437,595,765PYProgramServiceRevenueAmt
CY Program Service Revenue$493,428,204CYProgramServiceRevenueAmt
PY Investment Income$808,565PYInvestmentIncomeAmt
CY Investment Income$3,760,895CYInvestmentIncomeAmt
PY Other Revenue$4,048,039PYOtherRevenueAmt
CY Other Revenue$4,211,063CYOtherRevenueAmt
PY Total Revenue$442,452,369PYTotalRevenueAmt
CY Total Revenue$501,400,162CYTotalRevenueAmt
PY Grants And Similar Paid$2,826,238PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,393,744CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$395,920,129PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$445,621,057CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$13,851,675PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$14,228,756CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$28,601,605PYOtherExpensesAmt
CY Other Expenses$29,065,258CYOtherExpensesAmt
PY Total Expenses$441,199,647PYTotalExpensesAmt
CY Total Expenses$492,308,815CYTotalExpensesAmt
PY Revenues Less Expenses$1,252,722PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$9,091,347CYRevenuesLessExpensesAmt
Total Assets BOY$146,773,969TotalAssetsBOYAmt
Total Assets EOY$146,618,561TotalAssetsEOYAmt
Total Liabilities BOY$59,391,341TotalLiabilitiesBOYAmt
Total Liabilities EOY$50,144,586TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$87,382,628NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$96,473,975NetAssetsOrFundBalancesEOYAmt
MissionPromote oral health and vision health in the state of Arkansas and to improve the awareness and education of the public on oral and vision health matters.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$476,426,843ExpenseAmt
Revenue$495,117,972RevenueAmt
DescPromote the oral health care of the community through group and individual dental insurance contracts and third party dental claims administrationDesc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$476,426,843TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
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 Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document73287IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee225EmployeeCnt
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
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member10IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
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 VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPhyllis L RogersPersonNm
Phone5019921616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11513 Country Club RoadAddressLine1Txt
CitySherwoodCityNm
State AbbreviationARStateAbbreviationCd
ZIP72120ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Susie Smith
Chairman85Yes (X)$22,050$22,100$18,000
Dr Mel Collazo
Vice Chairman/Secretary85Yes (X)$26,688$20,700$0
Dr James T Johnston DDS
Director8Yes (X)$24,582$0$0
Ronald Ownbey
Director50Yes (X)$0$0$14,533Yes (X)
Robert Gladden
Director5Yes (X)$10,825$0$0Yes (X)
Terri Miller
Director55Yes (X)$30,160$14,400$0
Dr Troy John Dryden Bartels
Director5Yes (X)$7,075$0$18,000
Sarah Clark
Director5Yes (X)$24,675$0$0
R Mark Bailey
Director5Yes (X)$20,884$0$5,075
Wayne Callahan
Director5Yes (X)$27,043$0$0
Phillip Cox
Director5Yes (X)$2,044$0$25,450
Joe Thompson
Director5Yes (X)$16,075$0$0
Ed Choate
President & CEO60$742,795$0$53,000Yes (X)
Phyllis Rogers
Senior VP & CFO60$372,059$0$53,000Yes (X)
Dr Herman Hurd
VP Dental Director60$126,700$0$24,113Yes (X)Yes (X)
Allen Moore
VP Information Technology60$252,742$0$27,593Yes (X)
James Couch
VP and General Counsel60$251,374$0$27,366Yes (X)
Ashley Riddle
VP, Sales and Account Managment60$169,531$0$15,202Yes (X)
Kelly Carney
VP, Human Resources60$165,257$0$17,007Yes (X)
Robert Mason
VP, Professional Relations60$213,296$0$7,170Yes (X)
Ebb Johnson
VP and Executive Director of Foundation60$140,694$0$4,848Yes (X)
Dave Hawsey
VP, Marketing60$136,642$0$5,331Yes (X)
Lynn Harbert
Senior VP & COO60$321,350$0$34,942Yes (X)
Louis Crow
Dental Consultant40$143,835$0$20,413Yes (X)
Maxine Fricioni
Director, Projects & Business Processes60$127,863$0$14,842Yes (X)
Aron Harris
Director of IT60$103,307$0$14,227Yes (X)Yes (X)
Sharon Worden
Director, Group Administration60$116,888$0$13,222Yes (X)
Jeb Steen
Senior Account Executive60$134,837$0$7,285Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,731,271TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$57,200TotReportableCompRltdOrgAmt
Total Other Compensation$420,619TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other SrcsYes (1)CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Avesis
PO Box 7777PhoenixAZ850117777Vision claims and fees$5,063,205
The Hatcher Agency
PO Box 3505Little RockAR72203Brokers$3,674,475
Billy Randall Machen DDS
4220 N Rodney Parham RdLittle RockAR72212Dental Services$2,086,980
United Healthcare Insurance Company
Dept CH 10151PalatineIL600550151Health insurance carrier for employees$1,558,648
Arkansas Dental Professionals
2909 S 74th StFort SmithAR72903Provider Fees$1,454,908
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K538CntrctRcvdGreaterThan100KCnt
Federated Campaigns$0FederatedCampaignsAmt
Membership Dues$0MembershipDuesAmt
Fundraising$0FundraisingAmt
Related Organizations$0RelatedOrganizationsAmt
Government Grants$0GovernmentGrantsAmt
All Other Contributions$0AllOtherContributionsAmt
Noncash Contributions$0NoncashContributionsAmt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Dental Benefits524298$119,328,186$119,328,186$0$0
Dental Reinsurance524298$38,553,949$38,553,949$0$0
Dental ASC & Admin Income524298$335,546,069$335,546,069$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$493,428,204TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$625,971TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$625,971ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$24,475,761SecuritiesAmt
Other$181,809OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$21,522,646SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,953,115SecuritiesAmt
Other$181,809OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,134,924TotalRevenueColumnAmt
Related Or Exempt Func Income$181,809RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,953,115ExclusionAmt
FieldValueIRS element (for citing)
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Vision Benefits524298$3,773,028$0$3,773,028$0
Other Income900099$438,035$0$0$438,035

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$4,211,063OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$501,400,162TotalRevenueColumnAmt
Related Or Exempt Func Income$493,610,013RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$3,773,028UnrelatedBusinessRevenueAmt
Exclusion$4,017,121ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,393,744TotalAmt
Program Services$3,393,744ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$445,621,057TotalAmt
Program Services$445,621,057ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,743,247TotalAmt
Program Services$0ProgramServicesAmt
Management And General$3,743,247ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,930,048TotalAmt
Program Services$4,158,029ProgramServicesAmt
Management And General$2,772,019ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$929,846TotalAmt
Program Services$0ProgramServicesAmt
Management And General$929,846ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,966,126TotalAmt
Program Services$1,179,676ProgramServicesAmt
Management And General$786,450ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$659,489TotalAmt
Program Services$0ProgramServicesAmt
Management And General$659,489ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$506,821TotalAmt
Program Services$304,093ProgramServicesAmt
Management And General$202,728ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$323,898TotalAmt
Program Services$0ProgramServicesAmt
Management And General$323,898ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$164,838TotalAmt
Program Services$0ProgramServicesAmt
Management And General$164,838ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$197,808TotalAmt
Program Services$0ProgramServicesAmt
Management And General$197,808ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$974,524TotalAmt
Program Services$0ProgramServicesAmt
Management And General$974,524ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,327,028TotalAmt
Program Services$2,094,325ProgramServicesAmt
Management And General$232,703ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$441,673TotalAmt
Program Services$0ProgramServicesAmt
Management And General$441,673ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$460,703TotalAmt
Program Services$276,422ProgramServicesAmt
Management And General$184,281ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$183,815TotalAmt
Program Services$110,289ProgramServicesAmt
Management And General$73,526ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$298,886TotalAmt
Program Services$0ProgramServicesAmt
Management And General$298,886ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$632,259TotalAmt
Program Services$632,259ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$118,627TotalAmt
Program Services$0ProgramServicesAmt
Management And General$118,627ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Claims Processing$5,511,081$5,511,081$0
Equipment Repairs & Maintenance$797,022$478,213$318,809
Premium Taxes$634,456$634,456$0$0
Bank Fees$231,215$138,729$92,486$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$15,260,604TotalAmt
Program Services$11,894,470ProgramServicesAmt
Management And General$3,366,134ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$492,308,815TotalAmt
Program Services$476,426,843ProgramServicesAmt
Management And General$15,881,972ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$26,666,034BOYAmt
EOY$15,732,410EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$245,000BOYAmt
EOY$245,000EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$41,982,188BOYAmt
EOY$37,970,014EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$494,354BOYAmt
EOY$451,095EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,236,180LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,489,341LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$9,428,622BOYAmt
EOY$9,746,839EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$44,862,769BOYAmt
EOY$58,681,668EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$21,518,452BOYAmt
EOY$21,882,639EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,576,550BOYAmt
EOY$1,908,896EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$146,773,969BOYAmt
EOY$146,618,561EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$39,767,271BOYAmt
EOY$34,309,091EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,521,567BOYAmt
EOY$2,368,013EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$17,102,503BOYAmt
EOY$13,467,482EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$59,391,341BOYAmt
EOY$50,144,586EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$87,382,628BOYAmt
EOY$96,473,975EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$87,382,628BOYAmt
EOY$96,473,975EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$146,773,969BOYAmt
EOY$146,618,561EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$9,091,347ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
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

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,278,709OtherCostOrOtherBasisAmt
Book Value$2,278,709BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$8,623,172OtherCostOrOtherBasisAmt
Depreciation$2,331,191DepreciationAmt
Book Value$6,291,981BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$11,554,398OtherCostOrOtherBasisAmt
Depreciation$10,572,618DepreciationAmt
Book Value$981,780BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,779,901OtherCostOrOtherBasisAmt
Depreciation$1,585,532DepreciationAmt
Book Value$194,369BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,746,839TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$17,563,888BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCaprocq Core Real Estate FundDesc
Book Value$4,318,751BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$21,882,639TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Payable to Affiliates$1,881,831
Prefund Deposits and Refund Checks$1,924,013
Claims to be Paid$9,661,638
FieldValueIRS element (for citing)
Total Liability$13,467,482TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2FormAndLineReferenceDesc
ExplanationNot ApplicableExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
UAMS Foundation
4301 W Markham St 716Little RockAR72205716056774501(c)3$75,000Sponsorship
Octagon Inc
800 Connecticut Ave 2ENorwalkCT06854521287224$25,000Sponsorship
Riverfest
500 President Clinton AveLittle RockAR72201710530405501c3$20,000SponsorshipSte 217
Ronald McDonald House
1009 Wolfe StLittle RockAR72202710525252501c3$18,500Sponsorship
AR Livestock Show Association
2600 Howard StreetLittle RockAR72206710236776$13,000Sponsorship
CARTI Foundation
4 St Vincent CircleLittle RockAR72215710589907501c3$11,000Sponsorship
Centers for Youth and Families
PO BOX 251970Little RockAR72225710826334501c3$6,000Sponsorship
Make-A-Wish Mid South
320 Executive CourtLittle RockAR72205621253153501c3$6,000SponsorshipSte 101
FieldValueIRS element (for citing)
Total501c3 Org6Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationNoneExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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
Ed Choate
President & CEO$467,237$0$264,497$0$11,061$0$53,000$0$0$0$795,795$0$0$0
Phyllis Rogers
Senior VP & CFO$270,320$0$101,706$0$32$0$53,000$0$0$0$425,058$0$0$0
Lynn Harbert
Senior VP & COO$232,588$0$88,730$0$32$0$34,942$0$0$0$356,292$0$0$0
Allen Moore
VP Information Technology$183,353$0$69,338$0$51$0$27,593$0$0$0$280,335$0$0$0
James Couch
VP and General Counsel$184,616$0$66,706$0$51$0$27,366$0$0$0$278,739$0$0$0
Robert Mason
VP, Professional Relations$179,240$0$34,039$0$16$0$7,170$0$0$0$220,465$0$0$0
Ashley Riddle
VP, Sales and Account Managment$143,392$0$26,106$0$32$0$15,202$0$0$0$184,732$0$0$0
Kelly Carney
VP, Human Resources$134,200$0$31,006$0$51$0$17,007$0$0$0$182,264$0$0$0
Louis Crow
Dental Consultant$137,200$0$6,603$0$32$0$20,413$0$0$0$164,248$0$0$0
Dr Herman Hurd
VP Dental Director$55,174$0$71,527$0$0$0$24,113$0$0$0$150,814$0$0$0
Ebb Johnson
VP and Executive Director of Foundation$121,202$0$19,476$0$16$0$4,848$0$0$0$145,542$0$0$0
Maxine Fricioni
Director, Projects & Business Processes$102,115$0$25,716$0$32$0$14,842$0$0$0$142,705$0$0$0
Jeb Steen
Senior Account Executive$58,934$0$75,852$0$51$0$7,285$0$0$0$142,122$0$0$0
Dave Hawsey
VP, Marketing$136,442$0$200$0$0$0$5,331$0$0$0$141,973$0$0$0
Sharon Worden
Director, Group Administration$92,315$0$24,541$0$32$0$13,222$0$0$0$130,110$0$0$0
Aron Harris
Director of IT$74,637$0$28,671$0$0$0$14,227$0$0$0$117,535$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 1aAny spousal travel is charged to the applicable employee's W-2 or 1099 for taxable purposes.
Schedule J, Part I, Line 4CEO participates in a SERP
Schedule J, Part I, Line 6Delta Dental accrues and pays an annual bonus to officers based partially on net earnings of the organization along with other factors

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Simmons First National Bank
Susie Smith was Key Employee$114,174Bank Fees0
Ownbey Agency
Producer of DDAR$35,040Producer Fees0
Collazo Orthodontics
Participating Provider$48,686Provider Fees0
Mark Bailey DDS
Participating Provider$116,103Provider Fees0
Troy Bartels DDS
Participating Provider$207,429Provider Fees0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1Delta Dental of Arkansas is a local, not-for-profit service corporation whose mission is to improve the health of the people we serve and to be the leading force in the delivery of quality dental insurance services. We strive to provide comprehensive dental and vision insurance plans that are affordable and deliver industry-leading technology and world-class service to our members. Due in part to the financial savings we offer in our dual networks, Delta Dental of Arkansas is the state's largest dental benefits administrator, serving more than 3,000 Arkansas employers and over 500,000 Arkansas. Nine out of 10 Arkansas dentists are members of Delta Dental's network. Delta Dental's growth and efficiency in managing our organization allows the company to invest significantly towards achieving our goal to improve the oral health of Arkansas. Since 2003, Delta Dental of Arkansas has contributed over $13.2 million to oral health initiatives in dental education, prevention and treatment for Arkansans. Delta Dental of Arkansas' contributions provide critical funding for the Arkansas Mission of Mercy, and dental clinics at UAMS, Arkansas Children's Hospital and CARTI. Through our Foundation, nearly $7 Million has been invested to fund startup costs to fluoridate Arkansas water systems. The number of Arkansans receiving fluoridated water has increased from 61% to more than 87%, which positively affects the oral health of over 650,000 Arkansans. Delta Dental of Arkansas also provides financial support to dental community clinics across the state that provide free and reduced cost care to those most in need.
Form 990, Part VI, Section A, Line 3Investments are managed by Stephens Capital Management, Intrust Wealth Management, Luther King and FCI within the defined parameters of Delta Dental's written investment policy, which is approved by the board of directors.
Form 990, Part VI, Section A, Line 6Yes, the organization has one corporate member - Renaissance Health Service Corporation
Form 990, Part VI, Section A, Line 7aThe directors shall be elected at the annual meeting of the members, consistent with the terms and conditions of any and all voting agreements, proxies, and/or affiliation agreements entered into by the corporation and any other party or parties, then in effect with an affiliating corporations(s).
Form 990, Part VI, Section B, Line 11bThe information presented on the form 990 is gathered by the Director of Finance for the organization. The Chief Financial Officer reviews the information. Once complete, an electronic copy of the form 990 is posted for our board's review prior to the form 990 being filed with the IRS.
Form 990, Part VI, Section B, Line 12cEach interested person shall sign an annual certification affirming (1) receipt of the conflict of interest (2) the policy and code of conduct has been read and understood and (3) agreement to comply with the policy and code of conduct. In addition, interested parties shall be required to annually complete and file an annual disclosure statement within one month of the date of request. Annual disclosure statements and any subsequent amendments are reviewed by the governance committee in conjunction with legal counsel and a report of disclosed conflicts are made to Delta Dental's board of directors. Periodic reviews are also performed to ensure Delta Dental operates in accordance with the conflict of interest policy.
Form 990, Part VI, Section B, Line 15The compensation of the organization's CEO is reviewed annually by the compensation committee. The compensation committee consists of board members, none of whom have a conflict with respect to the compensation of officers. On a bi-annual basis, the compensation committee reviews market pricing and benchmarking data for the compensation of the leadership team and staff. This analysis, from a variety of national, regional and local compensation surveys include the use of data as to comparable compensation for similarly situated organizations and reviews annual base salary compensation, incentive/bonus compensation, deferred compensation and benefits. The data meets the compensation philosophy and strategic plan as determined and approved by the board of directors. The documented results and recommendations of this analysis are presented to the compensation committee and board of directors.
Form 990, Part VI, Section C, Line 19Governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2TxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Delta Dental of Arkansas Foundation
1513 Country Club RoadSherwoodAR72120261569324Public ActAR501(c)(3)PFN/AYes (1)
Delta Dental of Arkansas Political Action
1513 Country Club RoadSherwoodAR72120273207545Pol ActionAR527Not applicableN/AYes (1)Committee
Renaisssance Health Service Corporation
PO Box 30416LansingMI489097916381675667Dental Health CoverageMIN/A
Delta Dental Plan of Michigan
PO Box 30381LansingMI48909381791480Dental InsuranceMIRenaissance Health Service Corporation

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
Omega Administrators Inc
1513 Country Club RoadSherwoodAR72120043740469Claims AdmARN/AC$0$109,1691Yes (1)
Renaissance Holding Company
PO Box 30381LansingMI48909412177193Holding companyMIN/AC$0$16,471,8390.1320
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
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 (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Delta Dental of Arkansas Foundation
b$3,000,000
Delta Dental Plan of Michigan
m$7,508,386