DELTA DENTAL OF TENNESSEE: Form 990, tax year 2015
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF TENNESSEE (EIN 62-0812197)
- Tax period
- 2015-01-01 to 2015-12-31
- Filed
- 2016-11-11
- IRS object ID
- 201623169349303092
- Schema version
- 2015v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-11-11T16:57:45-06:00 | ReturnTs |
| Tax Period End | 2015-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1111 Michigan Ave Ste 100 | AddressLine1Txt |
| City | East Lansing | CityNm |
| State Abbreviation | MI | StateAbbreviationCd |
| ZIP | 48823 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2015-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 620812197 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF TENNESSEE INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 6152553175 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 VENTURE CIRCLE | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 372281699 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JEFFREY A NEWTON | PersonNm |
| Person Title | CONTROLLER | PersonTitleTxt |
| Phone | 6152553175 | PhoneNum |
| Signature | 2016-11-11 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DAVID LOWENTHAL CPA | PreparerPersonNm |
| PTIN | P00378651 | PTIN |
| Phone | 5173326200 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2015 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | JEFFREY A NEWTON | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 VENTURE CIRCLE | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 372281699 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $371,916,003 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.deltadentaltn.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1965 | FormationYr |
| Legal Domicile State | TN | LegalDomicileStateCd |
| Activity Or Mission | Our mission is to be the leader in our markets, to deliver unmatched quality and value in our programs and services, and to vigorously promote the importance of oral health as an essential part of overall health. | ActivityOrMissionDesc |
| Voting Members Governing Body | 9 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 7 | VotingMembersIndependentCnt |
| Total Employee | 81 | 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 | $304,789,169 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $351,216,935 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,578,759 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,745,033 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,886 | PYOtherRevenueAmt |
| CY Other Revenue | $15,712 | CYOtherRevenueAmt |
| PY Total Revenue | $306,381,814 | PYTotalRevenueAmt |
| CY Total Revenue | $352,977,680 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $17,146,929 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,546,126 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $270,377,072 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $313,637,357 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $7,684,304 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $8,786,193 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $19,219,197 | PYOtherExpensesAmt |
| CY Other Expenses | $21,394,566 | CYOtherExpensesAmt |
| PY Total Expenses | $314,427,502 | PYTotalExpensesAmt |
| CY Total Expenses | $348,364,242 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$8,045,688 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,613,438 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $78,536,916 | TotalAssetsBOYAmt |
| Total Assets EOY | $76,730,987 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $28,412,156 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $22,903,225 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $50,124,760 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $53,827,762 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our mission is to be the leader in our markets, to deliver unmatched quality and value in our programs and services, and to vigorously promote the importance of oral health as an essential part of overall health. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $340,613,122 | ExpenseAmt |
| Grant | $4,546,126 | GrantAmt |
| Revenue | $351,232,647 | RevenueAmt |
| Desc | THE PRIMARY PURPOSE OF DELTA DENTAL OF TENNESSEE AND SUBSIDIARIES IS TO PROVIDE PROFESSIONAL DENTAL SERVICES UNDER WRITTEN CONTRACTS WHICH ENTITLE THE SUBSCRIBERS TO REIMBURSEMENT FOR COVERED SERVICES PROVIDED BY LICENSED DENTISTS, PRIMARILY IN THE STATE OF TENNESSEE. BOTH LOCAL AND NATIONAL CONTRACTS ARE ADMINISTERED, WHICH HAVE THE KEY FEATURE OF GIVING SUBSCRIBERS ACCESS TO THE LOCAL PROVIDER NETWORKS MAINTAINED BY DELTA DENTAL OF TENNESSEE, AS WELL AS THE NATIONAL PROVIDER NETWORKS OF THE DELTA DENTAL SYSTEM.SEE SCHEDULE O FOR CONTINUATIONTHE COMPANY MAKES UNCONDITIONAL PROMISES TO GIVE, TO BOTH ITS FOUNDATION AND VARIOUS OTHER ORGANIZATIONS, WHICH SUPPORT EDUCATIONAL AND RESEARCH PROGRAMS FOR THE ADVANCEMENT OF DENTAL SCIENCE AND TO PROMOTE THE ORAL HEALTH OF THE PUBLIC THROUGH EDUCATIONAL AND SERVICE ACTIVITIES.DELTA DENTAL OF TENNESSEE ASSISTED CLINICS THAT PRIMARILY SERVE THE WORKING POOR AND FUNDED AMBULATORY SURGERY CENTERS TO ALLOW INPATIENT ORAL HEALTH CARE. AT THE EDUCATION LEVEL, THE COMPANY ASSISTED DENTAL SCHOOLS IN ORDER TO KEEP THEIR FACILITIES AND TEACHING EQUIPMENT UP TO DATE AND FUNDED DENTAL SCHOLARSHIPS TO 3RD AND 4TH YEAR DENTAL STUDENTS. | Desc |
| Total Program Service Expenses | $340,613,122 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | 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 | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | 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 | Yes (1) | 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 | 0 | 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 | 42414 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 81 | 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 |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 9 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 7 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (1) | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JEFFREY A NEWTON CONTROLLER | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6157426917 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 240 VENTURE CIRCLE | AddressLine1Txt |
| City | NASHVILLE | CityNm |
| State Abbreviation | TN | StateAbbreviationCd |
| ZIP | 372281604 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 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 | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|
| MR DREW ROBINSON | ||||||||
| SECOND VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $11,700 | $0 | $0 | |
| DR CAMPBELL SOWELL JR | ||||||||
| IMMEDIATE PAST CHAIR- DIRECTOR | 1.00 | 5.00 | Yes (X) | Yes (X) | $10,700 | $21,400 | $0 | |
| DR VICTOR BECK | ||||||||
| VICE CHAIR | 1.00 | 0.00 | Yes (X) | Yes (X) | $12,200 | $0 | $0 | |
| DR CARMEN REAGAN | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $8,000 | $500 | $0 | ||
| MR JOHN COLLIER | ||||||||
| DIRECTOR | 1.00 | 6.00 | Yes (X) | $8,000 | $24,952 | $0 | ||
| MS JERRE HARRIS | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $7,000 | $0 | $0 | ||
| PAUL BACON | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $7,500 | $0 | $0 | ||
| ED ANDREW BEASELY JR | ||||||||
| DIRECTOR | 1.00 | 0.00 | Yes (X) | $9,000 | $0 | $0 | ||
| TERENCE R COMAR | ||||||||
| DIRECTOR | 1.00 | 11.00 | Yes (X) | $8,500 | $36,800 | $0 | ||
| DR PHILIP A WENK | ||||||||
| PRESIDENT & CEO | 40.00 | 5.00 | Yes (X) | $721,568 | $0 | $137,209 | ||
| J THOMAS PERRY | ||||||||
| SEN. VP OF FIN & CFO THRU 11/15 | 40.00 | 0.00 | Yes (X) | $490,722 | $0 | $40,260 | ||
| DONNA KAYE MARTIN | ||||||||
| SENIOR VP OPERATIONS | 40.00 | 0.00 | Yes (X) | $353,188 | $0 | $35,314 | ||
| PAMELA DISHMAN | ||||||||
| SENIOR VP EMPLOYEE RELATIONS | 40.00 | 0.00 | Yes (X) | $362,368 | $0 | $26,585 | ||
| MR LESLIE SELLERS | ||||||||
| CHAIRMAN | 1.00 | 0.00 | Yes (X) | $19,250 | $0 | $0 | ||
| DONALD L BEATY | ||||||||
| VP INFORMATION SERVICES | 40.00 | 0.00 | Yes (X) | $218,013 | $0 | $41,033 | ||
| JERRY R REAVIS JR | ||||||||
| VP Sales and Underwriting | 40.00 | 0.00 | Yes (X) | $159,320 | $0 | $26,853 | ||
| MICHELLE ACOSTA | ||||||||
| VP MARKETING | 40.00 | 0.00 | Yes (X) | $162,235 | $0 | $37,131 | ||
| LOUIS F TURBEVILLE | ||||||||
| CONTROLLER | 40.00 | 0.00 | Yes (X) | $141,217 | $0 | $19,880 | ||
| MELISSA HUSCHKE | ||||||||
| VP OPERATIONS | 40.00 | 0.00 | Yes (X) | $146,269 | $0 | $32,846 | ||
| SHANDA BROWN | ||||||||
| VP QUALITY MONITORING/IMPROVEMENT | 40.00 | 0.00 | Yes (X) | $114,457 | $0 | $20,643 | ||
| KATHY FUSSELL | ||||||||
| REGULATORY COMPLIANCE CONTROLLER | 40.00 | 0.00 | Yes (X) | $100,407 | $0 | $17,067 | ||
| MR JEFF BALLARD | ||||||||
| SEN. VP OF FIN & CFO AS OF 11/15 | 40.00 | 0.00 | Yes (X) | $33,105 | $0 | $3,939 | ||
| WILLIAM HAMILTON | ||||||||
| ACCOUNT EXECUTIVE | 40.00 | 0.00 | $273,651 | $0 | $36,557 | Yes (X) | ||
| CHRISTOPHER PARISH | ||||||||
| ACCOUNT EXECUTIVE | 40.00 | 0.00 | $134,678 | $0 | $9,031 | Yes (X) | ||
| TRACY BAILEY | ||||||||
| ACCOUNT EXECUTIVE | 40.00 | 0.00 | $286,149 | $0 | $33,837 | Yes (X) | ||
| JONATHAN OAKS | ||||||||
| ACCOUNT EXECUTIVE | 40.00 | 0.00 | $251,929 | $0 | $37,404 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,051,126 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $83,652 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $555,589 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 15 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | 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 |
|---|---|---|---|---|---|
| GISH SHERWOOD & FRIENDS INC | |||||
| 209 10TH AVENUE SOUTH | NASHVILLE | TN | 37203 | MARKETING | $971,825 |
| WILLIS OF TENNESSEE INC | |||||
| 26 CENTURY BLVD | NASHVILLE | TN | 37214 | COMMISSIONS | $951,253 |
| COWAN BENEFIT SERVICES INC | |||||
| 5110 MARYLAND WAY SUITE 250 | BRENTWOOD | TN | 370275250 | COMMISSIONS | $315,903 |
| TRINITY BENEFIT ADVISORS | |||||
| 4823 OLD KINGSTON PIKE | KNOXVILLE | TN | 37919 | COMMISSIONS | $196,637 |
| THE JAMES GROUP | |||||
| 6750 POPLAR AVENUE | GERMANTOWN | TN | 38138 | COMMISSIONS | $183,990 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DENTAL CARE REVENUE | Desc |
| Business | 624100 | BusinessCd |
| Total Revenue Column | $351,216,935 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $351,216,935 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $351,216,935 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,501,020 | TotalRevenueColumnAmt |
| Exclusion | $1,501,020 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $19,149,536 | SecuritiesAmt |
| Other | $32,800 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $18,897,596 | SecuritiesAmt |
| Other | $40,727 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $251,940 | SecuritiesAmt |
| Other | -$7,927 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $244,013 | TotalRevenueColumnAmt |
| Exclusion | $244,013 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | REIMBURSED EXPENSES | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $15,712 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $15,712 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $15,712 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $352,977,680 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $351,232,647 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,745,033 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,546,126 | TotalAmt |
| Program Services | $4,546,126 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $313,637,357 | TotalAmt |
| Program Services | $313,637,357 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,895,436 | TotalAmt |
| Program Services | $1,983,758 | ProgramServicesAmt |
| Management And General | $1,911,678 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,652,946 | TotalAmt |
| Program Services | $1,826,270 | ProgramServicesAmt |
| Management And General | $1,826,676 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $250,618 | TotalAmt |
| Program Services | $132,946 | ProgramServicesAmt |
| Management And General | $117,672 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $618,019 | TotalAmt |
| Program Services | $341,785 | ProgramServicesAmt |
| Management And General | $276,234 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $369,174 | TotalAmt |
| Program Services | $207,080 | ProgramServicesAmt |
| Management And General | $162,094 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,180 | TotalAmt |
| Management And General | $28,180 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,618 | TotalAmt |
| Program Services | $39,971 | ProgramServicesAmt |
| Management And General | $26,647 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $52,626 | TotalAmt |
| Management And General | $52,626 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $933,465 | TotalAmt |
| Program Services | $474,788 | ProgramServicesAmt |
| Management And General | $458,677 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,738,404 | TotalAmt |
| Program Services | $884,677 | ProgramServicesAmt |
| Management And General | $853,727 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,704,233 | TotalAmt |
| Program Services | $1,045,409 | ProgramServicesAmt |
| Management And General | $658,824 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $423,569 | TotalAmt |
| Program Services | $282,464 | ProgramServicesAmt |
| Management And General | $141,105 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $305,021 | TotalAmt |
| Program Services | $90,702 | ProgramServicesAmt |
| Management And General | $214,319 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $219,613 | TotalAmt |
| Management And General | $219,613 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $822,419 | TotalAmt |
| Program Services | $481,905 | ProgramServicesAmt |
| Management And General | $340,514 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $55,761 | TotalAmt |
| Program Services | $17,633 | ProgramServicesAmt |
| Management And General | $38,128 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Commissions | $6,191,844 | $6,173,594 | $18,250 |
| Claims Processing | $3,884,474 | $3,880,267 | $4,207 |
| State Premium Taxes | $2,983,046 | $2,983,046 | |
| FEDERAL HEALTHCARE TAX | $1,014,491 | $1,014,491 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $970,802 | TotalAmt |
| Program Services | $568,853 | ProgramServicesAmt |
| Management And General | $401,949 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $348,364,242 | TotalAmt |
| Program Services | $340,613,122 | ProgramServicesAmt |
| Management And General | $7,751,120 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,787,842 | BOYAmt |
| EOY | $7,620,590 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,819,335 | BOYAmt |
| EOY | $8,992,859 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $482,971 | BOYAmt |
| EOY | $522,844 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $8,143,973 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,424,090 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,257,378 | BOYAmt |
| EOY | $3,719,883 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $51,158,423 | BOYAmt |
| EOY | $44,809,396 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,132,016 | BOYAmt |
| EOY | $10,121,345 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $898,951 | BOYAmt |
| EOY | $944,070 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,536,916 | BOYAmt |
| EOY | $76,730,987 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,012,460 | BOYAmt |
| EOY | $21,062,599 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,399,696 | BOYAmt |
| EOY | $1,840,626 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $28,412,156 | BOYAmt |
| EOY | $22,903,225 | 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 | $50,124,760 | BOYAmt |
| EOY | $53,827,762 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $50,124,760 | BOYAmt |
| EOY | $53,827,762 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $78,536,916 | BOYAmt |
| EOY | $76,730,987 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,613,438 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$1,130,746 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $220,310 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| 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) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $231,288 | OtherCostOrOtherBasisAmt |
| Book Value | $231,288 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,225,826 | OtherCostOrOtherBasisAmt |
| Depreciation | $789,474 | DepreciationAmt |
| Book Value | $1,436,352 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $55,254 | OtherCostOrOtherBasisAmt |
| Depreciation | $45,274 | DepreciationAmt |
| Book Value | $9,980 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,200,907 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,458,318 | DepreciationAmt |
| Book Value | $1,742,589 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $430,698 | OtherCostOrOtherBasisAmt |
| Depreciation | $131,024 | DepreciationAmt |
| Book Value | $299,674 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $3,719,883 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVESTMENT IN SUBSIDIARY | Desc |
| Book Value | $10,121,345 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $10,121,345 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| PREFUNDS | $340,626 |
| CONTRIBUTION PAYABLE | $1,500,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $1,840,626 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE COMPANY ACCOUNTS FOR INCOME TAXES OF TAXABLE CONSOLIDATED ENTITIES WHEREBY DEFERRED TAXES ARE PROVIDED ON TEMPORARY DIFFERENCES ARISING FROM ASSETS AND LIABILITIES WHOSE BASES ARE DIFFERENT FOR FINANCIAL REPORTING AND INCOME TAX PURPOSES. DEFERRED TAXES WERE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2015 AND 2014, THE COMPANY'S UNRECOGNIZED TAX BENEFITS WERE NOT SIGNIFICANT. THERE WERE NO SIGNIFICANT PENALTIES OR INTEREST RECOGNIZED DURING THE YEAR OR ACCRUED AT YEAR END. THE COMPANY FILES INCOME TAX RETURNS IN U.S. FEDERAL AND STATE OF TENNESSEE JURISDICTIONS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (36 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Valuation Method UsedValuationMethodUsedDesc | Purpose Of GrantPurposeOfGrantTxt | Non Cash AssistanceNonCashAssistanceAmt | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|
| INTERFAITH DENTAL CLINIC | ||||||||||
| 1721 PATTERSON STREET | NASHVILLE | TN | 37203 | 621567615 | 501(c)(3) | $27,500 | CASH | TITLE SPONSOR - 2015 GALA | ||
| University of Tennessee College of Dentistry | ||||||||||
| 875 Union Avenue | MEMPHIS | TN | 38163 | 621844686 | 501(c)(3) | $8,118 | CASH | CONTRIBUTION FOR DENTAL BUILDING | ||
| DENTAL ELITE | ||||||||||
| 3820 N Colorado Street | CHANDLER | AZ | 85225 | 320031941 | $25,836 | CASH | TOOTHBRUSHES AND ORAL HEALTH SUPPLIES FOR BACKPACK PROGRAMS | |||
| MIDSOUTH DENTAL CONGRESS | ||||||||||
| 62 SOUTH DUNLAP SUITE 500 | MEMPHIS | TN | 38163 | 621844686 | 501(c)(3) | $28,000 | CASH | DONATION TO GENERAL FUND; WILLIAM F. SLAGLE DENTAL MEETING DONATION | ||
| ST JUDE RESEARCH HOSPITAL | ||||||||||
| 262 Danny Thomas Place | Memphis | TN | 38105 | 620646012 | 501(c)(3) | $50,000 | CASH | DENTAL ASSISTANCE AND RESEARCH | ||
| DODSON AVENUE HEALTH CENTER | ||||||||||
| 1200 DODSON AVE | CHATTANOOGA | TN | 37406 | 581664027 | $6,000 | CASH | DONATION TO GENERAL FUND | |||
| CHURCH HEALTH CENTER | ||||||||||
| 1210 PEABODY | MEMPHIS | TN | 38104 | 581716113 | 501(c)(3) | $5,000 | CASH | DENTAL CLINIC DONATION | ||
| AMERICAN RED CROSS | ||||||||||
| 3777 Nolensville Road | NASHVILLE | TN | 37211 | 621411210 | 501(c)(3) | $51,000 | CASH | LIFESAVER BREAKFAST SPONSORSHIP, BATTLE OF BADGES, DONATION TO THE GENERAL FUND | ||
| EAST TENNESSEE CHILDREN'S HOSPITAL | ||||||||||
| 2018 CLINCH AVE | KNOXVILLE | TN | 37916 | 626002604 | 501(c)(3) | $30,850 | CASH | FANTASY OF THE TREES EVENT SPONSOR | ||
| Monroe Harding Academy | ||||||||||
| 1120 Glendale Lane | Nashville | TN | 37204 | 620476670 | 501(c)(3) | $33,000 | CASH | EVENT SPONSORSHIP | ||
| UNITED WAY OF METRO NASHVILLE | ||||||||||
| 250 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 620533104 | 501(c)(3) | $9,650 | CASH | DENTAL CLINIC DONATION | ||
| Nashville Zoo | ||||||||||
| 3777 Nolensville Road | Nashville | TN | 37211 | 621411210 | 501(c)(3) | $7,500 | CASH | BOO AT THE ZOO EVENT SPONSOR | ||
| TENNESSEE PERFORMING ARTS CENTER | ||||||||||
| 505 DEADRICK ST 3RD FLOOR | NASHVILLE | TN | 37243 | 581320590 | 501(c)(3) | $55,081 | CASH | GALA & EDUCATION SPONSORSHIP | ||
| LE BONHEUR FOUNDATION | ||||||||||
| 50 N DUNLAP | MEMPHIS | TN | 38103 | 581404854 | 501(c)(3) | $25,000 | CASH | DONATION TO THE GENERAL FUND | ||
| TENNESSEE DENTAL ASSOCIATION | ||||||||||
| 660 BAKERS BRIDGE AVE | FRANKLIN | TN | 37067 | 621582289 | 501(c)(3) | $16,700 | CASH | EVENT SPONSORSHIP | ||
| OPERATION STAND DOWN NASHVILLE | ||||||||||
| 1125 12TH AVENUE SOUTH | NASHVILLE | TN | 37203 | 621638832 | 501(c)(3) | $25,721 | CASH | EVENT SPONSORSHIP | ||
| RALLY FOR KIDS WITH CANCER FOUNDATION - VANDERBILT CHILDRENS HOSPITAL | ||||||||||
| 2301 VANDERBILT PLACE | NASHVILLE | TN | 37235 | 620476822 | 501(c)(3) | $25,000 | CASH | DONATION TO THE GENERAL FUND | ||
| THE COMMUNITY FOUNDATION OF MIDDLE TN | ||||||||||
| 3833 CLEGHORN AVE | NASHVILLE | TN | 37215 | 621471789 | 501(c)(3) | $5,000 | CASH | DONATION TO THE GENERAL FUND | ||
| THE SALVATION ARMY | ||||||||||
| 1424 NE EXPRESS WAY | ATLANTA | GA | 30329 | 580660607 | 501(c)(3) | $5,000 | CASH | EVENT SPONSORSHIP | ||
| AMERICAN CANCER SOCIETY | ||||||||||
| 555 11st st nw ste 300 | WASHINGTON | DC | 20004 | 522340031 | 501(c)(3) | $10,600 | CASH | EVENT SPONSORSHIP | ||
| AMERICAN DIABETES ASSOCIATION | ||||||||||
| 1701 N BEAUREGARD ST | ALEXANDRIA | VA | 22311 | 131623888 | 501(c)(3) | $5,000 | CASH | EVENT SPONSORSHIP | ||
| AMERICAN HEART ASSOCIATION INC | ||||||||||
| 7272 GREENVILLE AVENUE | DALLAS | TX | 75231 | 135613797 | 501(c)(3) | $9,000 | CASH | EVENT SPONSORSHIP | ||
| MENTAL HEALTH AMERICA OF MIDDLE TN | ||||||||||
| 446 METROPLEX DR SUITE A-224 | NASHVILLE | TN | 37211 | 620637710 | 501(c)(3) | $10,000 | CASH | JACK C. MASSEY AWARD DINNER | ||
| MUSIC CITY BOWL INC | ||||||||||
| 414 UNION ST STE 1910 | NASHVILLE | TN | 37219 | 621720086 | 501(c)(3) | $5,480 | CASH | DONATION TO THE GENERAL FUND | ||
| NASHVILLEE NHL ALL-STAR GAME INC | ||||||||||
| 414 UNION ST STE 1910 | nasHVILLE | TN | 37219 | 472426251 | 501(c)(3) | $15,000 | CASH | EVENT SPONSORSHIP | ||
| SECOND HARVEST FOOD BANK OF MID TN | ||||||||||
| 331 GREAT CIRCLE ROAD | NASHVILLE | TN | 37228 | 621049447 | 501(c)(3) | $12,600 | CASH | DONATION TO THE GENERAL FUND; EVENT SPONSORSHIP | ||
| THE CHILDREN'S MUSEUM OF MEMPHIS | ||||||||||
| 2525 CENTRAL AVE | MEMPHIS | TN | 38104 | 621326890 | 501(c)(3) | $10,000 | CASH | DONATION TO THE GENERAL FUND | ||
| THE GOLF CLUB OF TENNESSEE | ||||||||||
| 1000 GOLF CLUB DR | KINGSTON SPGS | TN | 37082 | 581831848 | 501(c)(7) | $300,000 | CASH | 10 YEAR CHARITY INSTITUTE MEMBERSHIP | ||
| TN BUSINESS PARTNERSHIP | ||||||||||
| PO BOX 120965 | NASHVILLE | TN | 37212 | 464445206 | 501(c)(3) | $10,000 | CASH | EVENT SPONSORSHIP | ||
| TRI-FOXCO USA INC | ||||||||||
| 4645 WITMER INDUSTRIAL ESTATES | NIAGRA FALLS | NY | 14305 | 161498099 | $22,572 | CASH | EVENT SPONSORSHIP | |||
| YOUTH EDUCATIONAL FOUNDATION | ||||||||||
| 816 S GARDEN ST | COLUMBIA | TN | 38401 | 462645696 | 501(c)(3) | $5,000 | CASH | ANNUAL LUNCHEON | ||
| YPI INC | ||||||||||
| 140 HUYSHOPE AVENUE | HARTFORD | CT | 06106 | 061298954 | 501(c)(3) | $18,000 | CASH | EVENT SPONSORSHIP | ||
| DENTAL LIFELINE NETWORK | ||||||||||
| 1800 15TH STREET | DENVER | CO | 80202 | 320206456 | 501(c)(3) | $19,100 | CASH | DONATION TO DENTAL SERVICES PROGRAM | ||
| MONROE CARELL JR CHILDREN'S HOSPITAL | ||||||||||
| 2200 CHILDRENS WAY | NASHVILLE | TN | 37232 | 352528741 | 501(c)(3) | $45,000 | CASH | DONATION TO THE GENERAL FUND | ||
| University of Tennessee Health Science Center | ||||||||||
| 62 South Dunlap Suite 500 | Memphis | TN | 38163 | 621844686 | 501(c)(3) | PURCHASE PRICE | provide vehicles for UT dental students traveling between clinic locations | $44,183 | NISSAN VEHICLES | |
| SMILE 180 FOUNDATION | ||||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 471654054 | 501(c)(3) | $3,500,000 | CASH | DONATION TO THE GENERAL FUND | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 31 | Total501c3OrgCnt |
| Total Other Org | 5 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Assistance | N/A | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | Donations are based upon decisions from the Senior Staff, decisions from the Board and from the Corporate Citizenship committee of the BOD. Contributions are monitored monthly by Senior Staff and at the Board meetings. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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 |
| 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 | 0 | 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 | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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 PHILIP A WENK | ||||||||||||||
| PRESIDENT & CEO | $535,008 | $0 | $145,724 | $0 | $40,836 | $0 | $120,847 | $0 | $16,362 | $0 | $858,777 | $0 | $0 | $0 |
| J THOMAS PERRY | ||||||||||||||
| SEN. VP OF FIN & CFO THRU 11/15 | $241,027 | $0 | $189,566 | $0 | $60,129 | $0 | $23,898 | $0 | $16,362 | $0 | $530,982 | $0 | $0 | $0 |
| DONNA KAYE MARTIN | ||||||||||||||
| SENIOR VP OPERATIONS | $189,517 | $0 | $157,106 | $0 | $6,565 | $0 | $18,952 | $0 | $16,362 | $0 | $388,502 | $0 | $0 | $0 |
| PAMELA DISHMAN | ||||||||||||||
| SENIOR VP EMPLOYEE RELATIONS | $187,783 | $0 | $151,360 | $0 | $23,225 | $0 | $18,778 | $0 | $7,807 | $0 | $388,953 | $0 | $0 | $0 |
| DONALD L BEATY | ||||||||||||||
| VP INFORMATION SERVICES | $174,301 | $0 | $34,415 | $0 | $9,297 | $0 | $17,400 | $0 | $23,633 | $0 | $259,046 | $0 | $0 | $0 |
| JERRY R REAVIS JR | ||||||||||||||
| VP Sales and Underwriting | $79,634 | $0 | $77,589 | $0 | $2,097 | $0 | $3,220 | $0 | $23,633 | $0 | $186,173 | $0 | $0 | $0 |
| MICHELLE ACOSTA | ||||||||||||||
| VP MARKETING | $134,831 | $0 | $26,103 | $0 | $1,301 | $0 | $13,498 | $0 | $23,633 | $0 | $199,366 | $0 | $0 | $0 |
| LOUIS F TURBEVILLE | ||||||||||||||
| CONTROLLER | $120,731 | $0 | $20,450 | $0 | $36 | $0 | $12,073 | $0 | $7,807 | $0 | $161,097 | $0 | $0 | $0 |
| MELISSA HUSCHKE | ||||||||||||||
| VP OPERATIONS | $124,305 | $0 | $24,213 | $0 | -$2,249 | $0 | $9,213 | $0 | $23,633 | $0 | $179,115 | $0 | $0 | $0 |
| WILLIAM HAMILTON | ||||||||||||||
| ACCOUNT EXECUTIVE | $47,003 | $0 | $226,713 | $0 | -$65 | $0 | $12,924 | $0 | $23,633 | $0 | $310,208 | $0 | $0 | $0 |
| TRACY BAILEY | ||||||||||||||
| ACCOUNT EXECUTIVE | $32,765 | $0 | $248,420 | $0 | $4,964 | $0 | $10,204 | $0 | $23,633 | $0 | $319,986 | $0 | $0 | $0 |
| JONATHAN OAKS | ||||||||||||||
| ACCOUNT EXECUTIVE | $93,371 | $0 | $158,238 | $0 | $320 | $0 | $13,771 | $0 | $23,633 | $0 | $289,333 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | TRAVEL EXPENSES WERE PAID FOR THE SPOUSE OF ANY BOARD MEMBER WHO CHOSE TO ATTEND THE SUMMER BOARD MEETING. THE AMOUNT PAID FOR EACH SPOUSE WAS REPORTED AS TAXABLE COMPENSATION ON A 1099 AND PROVIDED TO EACH RESPECTIVE BOARD MEMBER. |
| Part I, Line 4b | A supplemental nonqualified retirement plan under Sec. 457(f) is maintained by the organization for certain executive employees. Upon severance from service prior to attainment of normal retirement age, the participant shall forfeit ineligible amounts in the plan unless such severance is due to death, disability or involuntary termination without cause. No payments were made in 2015 to individuals listed on Form 990 Part VII. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VICTOR C BECK JR DDS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | VICTOR BECK, DIRECTOR OF DDTN, IS AN OWNER IN VICTOR C. BECK JR DDS | RelationshipDescriptionTxt |
| Transaction | $112,281 | TransactionAmt |
| Transaction | HEALTH CARE PAYMENTS | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | THE ORGANIZATON HAS ONE MEMBER, RENAISSANCE HEALTH SERVICE CORPORATION. |
| Form 990, Part VI, Section A, line 7a | THE ORGANIZATIONS SOLE MEMBER, RENAISSANCE HEALTH SERVICE CORPORATION, HAS VOTING RIGHTS. THESE VOTING RIGHTS ALLOW THE SOLE MEMBER TO ELECT DIRECTORS. |
| Form 990, Part VI, Section A, line 7b | IF ANY TRANSFER OF ASSETS, INVESTMENT, LOAN GUARANTY OR EXPENDITURE WHICH, INDIVIDUALLY OR IN THE AGGREGATE DURING ANY CALENDAR YEAR, EXCEEDS TEN PERCENT (10%) OF DDTN'S NET ASSETS AT THE TIME OF SUCH ACTION, THE TRANSACTION MUST BE APPROVED BY RENAISSANCE HEALTH SERVICE CORPORATION PRIOR TO THE CONSUMMATION OF SUCH TRANSACTION. |
| Form 990, Part VI, Section B, line 11 | THE INFORMATION IS GIVEN TO OUTSIDE TAX PREPARERS WHO PREPARE AND REVIEW THE FORM 990. PRIOR TO FILING FORM 990 WITH THE IRS, AN ELECTRONIC COPY IS PLACED ON THE WEBSITE FOR THE BOARD TO REVIEW AND ASK QUESTIONS. |
| Form 990, Part VI, Section B, line 12c | THE COMPANY'S VICE PRESIDENT AND GENERAL COUNSEL IS CHARGED WITH REVIEWING AND MONITORING ANY POTENTIAL CONFLICT OF INTEREST TRANSACTIONS. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW AND EXECUTE A CONFLICT OF INTEREST POLICY. THIS POLICY REQUIRES THAT ANY CONFLICTS OF INTEREST BE DISCLOSED ON AN ANNUAL BASIS, OR AT ANY OTHER TIME THAT THE PERSON EXECUTING THE POLICY BECOMES AWARE OF A SITUATION OR TRANSACTION THAT ACTUALLY OR POTENTIALLY CREATES A CONFLICT OF INTEREST. IF A PROHIBITED TRANSACTION WERE IDENTIFIED, THE MATTER WOULD BE BROUGHT TO THE CHAIRPERSON OF THE BOARD FOR FURTHER REVIEW AND APPROPRIATE ACTION. IN THE EVENT OF A CONFLICT OF INTEREST INVOLVING A MEMBER OF THE BOARD OF DIRECTORS, SUCH AS A CONFLICT IN WHICH A MEMBER HAD AN INTEREST, THE MEMBER IS REQUIRED TO DISCLOSE THE POTENTIAL CONFLICT AND ABSTAIN FROM ANY VOTE ON THE MATTER. WHETHER FURTHER PRECAUTIONS ARE REQUIRED (E.G., PROHIBITING THE INTERESTED PARTY FROM ENGAGING IN DISCUSSIONS) WOULD DEPEND UPON THE SPECIFIC NATURE AND BACKGROUND OF THE CONFLICT. |
| Form 990, Part VI, Section B, line 15 | OUTSIDE COMPENSATION CONSULTANTS ARE USED TO DETERMINE MARKET DATA FOR THE EXECUTIVE POSITIONS AND FOR OTHER OFFICERS AND KEY EMPLOYEES. AT LEAST THE FOLLOWING POSITIONS ARE COVERED: THE CEO, CFO, AND THE SENIOR VICE PRESIDENTS. THE ORGANIZATION CONTRACTS WITH AN INDEPENDENT THIRD PARTY TO DO A COMPENSATION AND REASONABLENESS ANALYSIS EVERY TWO YEARS. THE FINAL DETERMINATION OF COMPENSATION IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS, WHICH IS MADE UP OF INDEPENDENT PERSONS, AND IS BASED ON THE COMPARABILITY DATA PROVIDED BY THE COMPENSATION CONSULTANTS. THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARE CONTEMPORANEOUSLY DOCUMENTED IN THE COMMITTEE MINUTES AND APPROVED BY THE BOARD. THE COMPENSATION WAS LAST REVIEWED UNDER THIS PROCESS DURING 2014. THE REPORT BASED ON THIS REVIEW WAS THEN ISSUED BY THE CONSULTANTS IN JUNE OF 2015. |
| Form 990, Part VI, Section C, line 19 | THE ORGANIZATION MAKES THEIR CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. |
| FORM 990 PART VII: | CERTAIN EMPLOYEES ARE OFFICERS OF MULTIPLE COMPANIES WITHIN THE LARGER ORGANIZATION. THE AVERAGE HOURS WORKED REFLECTS APPROXIMATE TIME SPENT IN EACH OF THOSE INDIVIDUAL COMPANIES. WHILE THE HOURS ARE ALLOCATED TO INDIVIDUAL COMPANIES, MUCH OF THE OFFICERS' TIME IS SPENT WORKING ON ISSUES THAT IMPACT THE ENTIRE ORGANIZATION, NOT JUST ONE COMPANY. COMPENSATION IS REPORTED IN FULL TO AGREE TO THE EMPLOYEE'S W-2 AS REQUIRED BY IRS INSTRUCTIONS. ANY ALLOCATION OF COMPENSATION IS INCLUDED ON SCHEDULE R. |
| Form 990, Part XI, line 9: | CHANGE IN INVESTMENT IN SUBSIDIARY 220,310. |
| FORM 990, PART XII, LINES 2C: | DELTA DENTAL OF TENNESSEE IS AUDITED BY AN INDEPENDENT ACCOUNTANT AS PART OF A CONSOLIDATED FINANCIAL STATEMENT ISSUED IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE ORGANIZATION HAS A COMMITTEE THAT ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT AND SELECTION OF AN INDEPENDENT ACCOUNTANT. THIS PROCESS HAS NOT CHANGED FROM PRIOR YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| LIQUID CORN LLC | |||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 203349680 | OWNS SUITE 244 | TN | $0 | $157 | FORE HOLDING CORPORATION |
| PREMIER INSURANCE SERVICES LLC | |||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 113662057 | INSURANCE BROKER | TN | -$547 | $54,889 | FORE HOLDING CORPORATION |
| SUITE 244 PARTNERS LLC | |||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 203643584 | HOLDS THE LEASE TO SUITE 244 AT LP FIELD (TITANS STADIUM) | TN | $0 | $0 | FORE HOLDING CORPORATION |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| DELTA DENTAL PLAN OF OHIO inc | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 310685339 | PROVIDE DENTAL SERVICE PLANS | OH | 501(c)(4) | N/A | delta dental plan of michigan inc | Yes (1) | |
| DELTA DENTAL PLAN OF INDIANA INC | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 351545647 | PROVIDE DENTAL SERVICE PLANS | IN | 501(c)(4) | N/A | delta dental plan of michigan inc | Yes (1) | |
| DELTA DENTAL PLAN OF MICHIGAN INC | |||||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 381791480 | PROVIDE DENTAL SERVICE PLANS | MI | 501(c)(4) | N/A | RENAISSANCE HEALTH SERVICE CORPORATION | Yes (1) | |
| DELTA DENTAL FUND | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 382337000 | SUPPORT DENTAL EDUCATION AND RESEARCH PROGRAMS | MI | 501(C)(3) | Line 11a, I | delta dental plan of michigan inc | Yes (1) | |
| RENAISSANCE HEALTH SERVICE CORPORATION | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 381675667 | PROMOTING DENTAL CARE | MI | 501(C)(4) | N/A | 0 | N/A | |
| DELTA DENTAL PLAN OF NEW MEXICO INC | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 850224562 | PROVIDE DENTAL SERVICE PLANS | NM | 501(C)(4) | N/A | RENAISSANCE HEALTH SERVICE CORPORATION | Yes (1) | |
| DELTA DENTAL OF KENTUCKY INC | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 610659432 | PROVIDE DENTAL SERVICE PLANS | KY | 501(C)(4) | N/A | RENAISSANCE HEALTH SERVICE CORPORATION | Yes (1) | |
| DELTA DENTAL OF NORTH CAROLINA | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 561018068 | PROVIDE DENTAL SERVICE PLANS | NC | 501(C)(4) | N/A | RENAISSANCE HEALTH SERVICE CORPORATION | Yes (1) | |
| DELTA DENTAL OF ARKANSAS | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 710561140 | PROVIDE DENTAL SERVICE PLANS | AR | 501(C)(4) | N/A | RENAISSANCE HEALTH SERVICE CORPORATION | Yes (1) | |
| DELTA DENTAL OF ARKANSAS FOUNDATION | |||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 261569324 | PROVIDE DENTAL SERVICE PLANS | AR | 501(C)(3) | PF | RENAISSANCE HEALTH SERVICE CORPORATION | Yes (1) | |
| RENAISSANCE FAMILY FOUNDATION INC | |||||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 461376165 | Emphasize DENTAL HEALTH IN COMMUNITIES | MI | 501(c)(3) | PF | RENAISSANCE HOLDING COMPANY | Yes (1) | |
| SMILE 180 FOUNDATION | |||||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 471654054 | Emphasize DENTAL HEALTH IN COMMUNITIES | TN | 501(c)(3) | Line 11a, I | DELTA DENTAL OF TENNESSEE INC | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| FORE HOLDING CORPORATION | |||||||||||||
| 240 VENTURE CIRCLE | NASHVILLE | TN | 37228 | 204116122 | HOLDING COMPANY | TN | N/A | C | $220,310 | $10,133,418 | 1.00000 | Yes (1) | |
| RENAISSANCE HOLDING COMPANY | |||||||||||||
| PO BOX 30416 | LANSING | MI | 489097916 | 412177193 | HOLDING COMPANY | MI | C | Yes (1) | RENAISSANCE HEALTH SERVICE CORPORATION | ||||
| Renaissance Life & Health Insurance Company of America | |||||||||||||
| PO BOX 30416 | LANSING | MI | 48909 | 470397286 | INSURANCE | IN | C | Yes (1) | RENAISSANCE HOLDING COMPANY | ||||
| Renaissance Health Insurance Company of New York | |||||||||||||
| PO BOX 30416 | LANSING | MI | 48909 | 134098096 | INSURANCE | NY | C | Yes (1) | RENAISSANCE HOLDING COMPANY | ||||
| dental choice inc | |||||||||||||
| 10100 linn station rd suite 700 | louisville | KY | 40223 | 611105118 | PROVIDE DENTAL SERVICE PLANS | KY | C | Yes (1) | DELTA DENTAL OF KENTUCKY | ||||
| dental choice agency inc | |||||||||||||
| 10100 linn station rd suite 700 | louisville | KY | 40223 | 611336003 | PRIMARY GENERAL AGENCY FOR DDKY & DENTAL CHOICE | KY | C | Yes (1) | DELTA DENTAL OF KENTUCKY | ||||
| OMEGA ADMINISTRATORS INC | |||||||||||||
| 1513 COUNTRY CLUB ROAD | SHERWOOD | AR | 72120 | 043740469 | PROVIDING THIRD-PARTY ADMINISTRATIVE SERVICES | AR | C | Yes (1) | DELTA DENTAL OF ARKANSAS | ||||
| GLM HOLDING COMPANY | |||||||||||||
| 4100 OKEMOS ROAD | OKEMOS | MI | 48864 | 472557772 | INVESTMENT IN SUBSIDIARIES | MI | C | Yes (1) | DELTA DENTAL OF MICHIGAN | ||||
| DEWPOINT INC | |||||||||||||
| 300 S WASHINGTON SQUARE | LANSING | MI | 48933 | 383300595 | IT CONSULTING | MI | C | Yes (1) | GLM HOLDING COMPANY | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | Yes (1) | 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 | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DELTA DENTAL PLAN OF MICHIGAN inc | ||
| M | $4,458,777 | ACTUAL COST |
| DELTA DENTAL OF NORTH CAROLINA | ||
| D | $580,000 | ACTUAL LOAN AMOUNT |
| SMILE 180 FOUNDATION | ||
| B | $3,500,000 | ACTUAL COST |
| SMILE 180 FOUNDATION | ||
| Q | $179,714 | ACTUAL COST |
| SMILE 180 FOUNDATION | ||
| O | $158,805 | ACTUAL COST |