COLORADO DENTAL SERVICE INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- COLORADO DENTAL SERVICE INC (EIN 84-0568337)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-10-03
- IRS object ID
- 201412769349300801
- Schema version
- 2013v3.0
- 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 | 2014-10-03T10:42:10-05:00 | ReturnTs |
| Tax Period End | 2013-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 NICOLLET MALL SUITE 1100 | AddressLine1 |
| City | MINNEAPOLIS | City |
| State | MN | State |
| ZIP Code | 55402 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 840568337 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | COLORADO DENTAL SERVICE INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | COLO | BusinessNameControlTxt |
| Phone | 8002330860 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4582 SO ULSTER STREET NO 800 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80237 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | DAVID BEAL | PersonNm |
| Person Title | CFO AND TREASURER | PersonTitleTxt |
| Phone | 8002330860 | PhoneNum |
| Signature | 2014-09-23 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TODD A JACKSON | PreparerPersonNm |
| PTIN | P00092672 | PTIN |
| Phone | 6123324300 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As Name DoingBusinessAsName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF COLORADO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | KATHRYN ANN PAUL | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4582 SO ULSTER STREET NO 800 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $309,290,962 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.DELTADENTALCO.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 123 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $5,768 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $284,720,024 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $299,276,094 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,142,982 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,866,637 | CYInvestmentIncomeAmt |
| PY Other Revenue | $189,419 | PYOtherRevenueAmt |
| CY Other Revenue | $5,768 | CYOtherRevenueAmt |
| PY Total Revenue | $288,052,425 | PYTotalRevenueAmt |
| CY Total Revenue | $303,148,499 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $6,894,176 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $4,455,023 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $249,715,351 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $263,588,413 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,673,045 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,449,461 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $16,013,422 | PYOtherExpensesAmt |
| CY Other Expenses | $20,567,290 | CYOtherExpensesAmt |
| PY Total Expenses | $284,295,994 | PYTotalExpensesAmt |
| CY Total Expenses | $301,060,187 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $3,756,431 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,088,312 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $99,423,940 | TotalAssetsBOYAmt |
| Total Assets EOY | $103,850,234 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $25,930,494 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $26,055,401 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $73,493,446 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $77,794,833 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | DELTA DENTAL OF COLORADO (DDCO) WAS FORMED AS A 501(C)(4) ORGANIZATION IN ORDER TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES IT SERVES. BECAUSE PEOPLE WITH DENTAL INSURANCE OVER TIME HAVE BETTER ORAL HEALTH OUTCOMES, DELTA DENTAL OF COLORADO DEVOTES ITSELF TO PROVIDING HIGH QUALITY, AFFORDABLE DENTAL INSURANCE TO AS MANY COLORADOANS AS POSSIBLE. UNFORTUNATELY, THERE ARE MANY PEOPLE FOR WHOM DENTAL INSURANCE IS NOT POSSIBLE. FOR THESE PEOPLE, DELTA DENTAL HAS A NUMBER OF DIFFERENT PROGRAMS ESTABLISHED TO PROVIDE THEM WITH ORAL HEALTH EDUCATION, DIRECT PATIENT DENTAL SERVICES, AND FREE DENTAL INSURANCE SO THAT GOOD ORAL HEALTH WILL ALSO BE ACHIEVABLE FOR THEM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $290,365,349 | ExpenseAmt |
| Revenue | $299,276,094 | RevenueAmt |
| Desc | PROVISION OF RISK AND SELF-FUNDED PLANS TO SUBSCRIBERS. DELTA DENTAL OF COLORADO DEVOTES ITSELF TO ITS MISSION OF IMPROVING THE ORAL HEALTH OF COLORADO'S PEOPLE. BECAUSE PEOPLE WITH DENTAL INSURANCE ARE OVER TWICE AS LIKELY TO VISIT A DENTIST REGULARLY, DELTA DENTAL OF COLORADO WORKS HARD TO MAKE DENTAL INSURANCE AS AFFORDABLE AND ACCESSIBLE AS POSSIBLE, AND TO THAT END, INSURES OVER ONE MILLION PEOPLE IN COLORADO. THE REVENUE GENERATED IS USED TO FUND THE COMMUNITY BENEFIT EFFORTS DESCRIBED IN LINE 4B. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,583,000 | ExpenseAmt |
| Grant | $4,455,023 | GrantAmt |
| Desc | COMMUNITY BENEFIT PROGRAMSBECAUSE DENTAL INSURANCE IS NOT POSSIBLE FOR EVERYONE, DELTA DENTAL OF COLORADO DEVOTES SIGNIFICANT RESOURCES AND MONEY TO PROVIDING DENTAL SERVICES AND DENTAL HYGIENE INFORMATION TO AS A MANY PEOPLE AS POSSIBLE; PARTICULARLY THOSE UNDERSERVED POPULATIONS, WHERE ORAL DISEASE IS MORE PREVALENT. TO THAT END, DELTA DENTAL OF COLORADO, OVER THE PAST ELEVEN YEARS, HAS DEVOTED 55% OF ITS NET GAIN TO ITS COMMUNITY BENEFIT PROGRAM AND THE DELTA DENTAL OF COLORADO FOUNDATION. IN 2013, DELTA DENTAL OF COLORADO DONATED $3,628,000 TO THE DELTA DENTAL OF COLORADO FOUNDATION. IT ALSO SPENT $830,023 ON A NUMBER OF INITIATIVES THROUGH ITS COMMUNITY BENEFIT PROGRAM. THESE PROGRAMS INCLUDED NUMEROUS COMMUNITY EVENTS WHERE COMPANY EMPLOYEES PROVIDED FREE ORAL HYGIENE SUPPLIES AND ORAL HEALTH INSTRUCTION TO OVER 20,000 PEOPLE. IT ALSO INCLUDED $250,000 TO DEVELOP AN EDUCATIONAL ORAL HEALTH THEATER TROUPE. THIS THEATER TROUPE, CALLED "THE LAND OF SMILES" PUT ON FREE PERFORMANCES AT COLORADO GRAMMAR SCHOOLS AND TAUGHT CHILDREN THE IMPORTANCE OF GOOD ORAL HEALTH AND HOW TO TAKE CARE OF THEIR TEETH. FIFTY-FIVE SCHOOLS AND OVER 15,000 CHILDREN WERE REACHED THROUGH THE FREE "LAND OF SMILES" PROGRAM. FREE ORAL HYGIENE SUPPLIES WERE ALSO PROVIDED TO ALL OF THE STUDENTS.IN ALIGNMENT WITH OUR COMMITMENT TO COLORADO'S COMMUNITIES, DELTA DENTAL OF COLORADO ENCOURAGES ITS EMPLOYEES TO VOLUNTEER THEIR SERVICES TO OTHER CHARITABLE ORGANIZATIONS DOING WORK IN COLORADO. TO THAT END, DELTA DENTAL OF COLORADO DONATES $5,000 TO ANY CHARITABLE ORGANIZATION DOING WORK IN COLORADO ON WHICH ANY OF ITS LEADERSHIP TEAM SERVES ON THE BOARD OF DIRECTORS. DELTA DENTAL OF COLORADO ALSO HAS A DEEP COMMITMENT TO THE UNITED WAY MILE-HIGH CHAPTER, AND IN 2013 HAD 100% CAMPAIGN PARTICIPATION FROM ITS EMPLOYEES AND BOARD. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $296,948,349 | 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 | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | 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 | 0 | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 20599 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 123 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | 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 | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREG VOCHIS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7204894715 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4582 SO ULSTER STREET NO 800 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80237 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| KATHRYN ANN PAUL | |||||||||
| CEO/PRESIDENT | 43.00 | 2.00 | Yes (X) | Yes (X) | $511,767 | $0 | $39,159 | ||
| DOUGLAS BERKEY - DMD MPH MS | |||||||||
| CHAIR | 5.00 | 2.00 | Yes (X) | Yes (X) | $40,274 | $0 | $1,274 | ||
| MARILYN E TAYLOR | |||||||||
| VICE CHAIR | 5.00 | 3.00 | Yes (X) | Yes (X) | $23,524 | $0 | $1,911 | ||
| JONATHAN M ANDERSON - DDS | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $21,847 | $0 | $1,720 | ||||
| CYNTHIA ANNE EVANS | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $25,269 | $0 | $2,019 | ||||
| JOHN PAUL HOPKINS | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $28,750 | $0 | $0 | ||||
| DENISE KAY KASSEBAUM - DDS MS | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $17,750 | $0 | $0 | ||||
| VICTOR LAZZARO JR | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $27,602 | $0 | $852 | ||||
| MARY NOONAN | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $27,853 | $0 | $671 | ||||
| LARAE ORULLIAN | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $23,264 | $0 | $2,055 | ||||
| DONALD S SAFER - DDS MS | |||||||||
| TRUSTEE | 4.00 | 2.00 | Yes (X) | $19,712 | $0 | $462 | |||
| GAIL SCHOETTLER - PHD | |||||||||
| TRUSTEE | 4.00 | 2.00 | Yes (X) | $26,250 | $0 | $359 | |||
| THOMAS B SWAIN - DDS | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $26,750 | $0 | $0 | ||||
| WALT VOGL - DDS | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $18,250 | $0 | $0 | ||||
| MARK WEHRLE - CPA | |||||||||
| TRUSTEE | 4.00 | Yes (X) | $26,020 | $0 | $1,770 | ||||
| DAVID ANDREW BEAL | |||||||||
| CFO/TREASURER | 45.00 | Yes (X) | $256,207 | $0 | $44,710 | ||||
| LINDA MARIE ARNESON | |||||||||
| COO/SECRETARY | 45.00 | Yes (X) | $282,240 | $0 | $39,221 | ||||
| JESSICA JEAN LAWHEAD | |||||||||
| VICE PRESIDENT | 45.00 | $285,417 | $0 | $43,336 | Yes (X) | ||||
| BARBARA BLACKBURN SPRINGER - JD | |||||||||
| VICE PRESIDENT | 22.50 | 22.50 | $153,637 | $104,304 | $46,196 | Yes (X) | |||
| TRICIA HEMSKY | |||||||||
| DIRECTOR OF CLIENT SERVICE | 45.00 | $168,039 | $0 | $35,929 | Yes (X) | ||||
| LORRIE KOHLE | |||||||||
| MANAGER OF STRATEGIC ALLIA | 45.00 | $157,883 | $0 | $17,646 | Yes (X) | ||||
| MICHAEL OKUJI - DDS | |||||||||
| DENTAL DIRECTOR | 45.00 | $193,088 | $0 | $26,680 | Yes (X) | ||||
| STEPHANIE RAUZI | |||||||||
| SENIOR ACCOUNT EXECUTIVE | 45.00 | $181,884 | $0 | $38,733 | Yes (X) | ||||
| ROBERT MARK THOMPSON | |||||||||
| DIRECTOR OF SALES | 45.00 | $199,955 | $0 | $44,233 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $2,743,232 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $104,304 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $388,936 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 23 | 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/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DELTA DENTAL OF VIRGINIA | |||||
| 4818 STARKEY ROAD SW | ROANOKE | VA | 24018 | CLAIMS PROCESSING | $1,764,000 |
| GREENRUBINO | |||||
| 1938 FAIRVIEW AVE E STE 200 | SEATTLE | WA | 98102 | ADVERTISING & MEDIA | $1,762,084 |
| DELOITTE CONSULTING LLP | |||||
| PO BOX 7247 6447 | PHILADELPHIA | PA | 19170 | STRATEGIC PLANNING | $906,904 |
| OFFICESCAPES | |||||
| 9900 E 51ST AVE | DENVER | CO | 80238 | OFFICE RENOVATION EQUIPMENT | $895,227 |
| LEGACY PARTNERS II STANFORD PLACE | |||||
| 4000 E THIRD AVE SUITE 600 | FOSTER CITY | CA | 94404 | OFFICE RENT & RENOVATION | $851,786 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 29 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| RISK PLAN PREMIUMS | 524114 | $146,011,230 | $146,011,230 |
| SELF FUNDED PLAN PREMIUMS | 524114 | $142,712,972 | $142,712,972 |
| ADMINISTRATION - SELF FUNDED PLAN | 524298 | $10,134,825 | $10,134,825 |
| PATIENT DIRECT REVENUE | 524114 | $417,067 | $417,067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $299,276,094 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,464,779 | TotalRevenueColumnAmt |
| Exclusion | $2,464,779 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $7,544,091 | SecuritiesAmt |
| Other | $230 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,142,463 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $1,401,628 | SecuritiesAmt |
| Other | $230 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,401,858 | TotalRevenueColumnAmt |
| Exclusion | $1,401,858 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | VISION PREMIUMS | Desc |
| Business | 524298 | BusinessCd |
| Total Revenue Column | $5,768 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $5,768 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $5,768 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $303,148,499 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $299,276,094 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $5,768 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,866,637 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,455,023 | TotalAmt |
| Program Services | $4,455,023 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $263,588,413 | TotalAmt |
| Program Services | $263,588,413 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,049,991 | TotalAmt |
| Program Services | $2,000,165 | ProgramServicesAmt |
| Management And General | $49,826 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,594,652 | TotalAmt |
| Program Services | $7,410,062 | ProgramServicesAmt |
| Management And General | $184,590 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $441,607 | TotalAmt |
| Program Services | $430,874 | ProgramServicesAmt |
| Management And General | $10,733 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,775,157 | TotalAmt |
| Program Services | $1,732,011 | ProgramServicesAmt |
| Management And General | $43,146 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $588,054 | TotalAmt |
| Program Services | $411,638 | ProgramServicesAmt |
| Management And General | $176,416 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,955 | TotalAmt |
| Program Services | $117,564 | ProgramServicesAmt |
| Management And General | $29,391 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $82,166 | TotalAmt |
| Program Services | $65,733 | ProgramServicesAmt |
| Management And General | $16,433 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,708 | TotalAmt |
| Management And General | $115,708 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $264,080 | TotalAmt |
| Management And General | $264,080 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,017,410 | TotalAmt |
| Program Services | $2,112,186 | ProgramServicesAmt |
| Management And General | $905,224 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,572,272 | TotalAmt |
| Program Services | $2,572,272 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $113,394 | TotalAmt |
| Program Services | $79,376 | ProgramServicesAmt |
| Management And General | $34,018 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,436,512 | TotalAmt |
| Program Services | $1,149,210 | ProgramServicesAmt |
| Management And General | $287,302 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $594,555 | TotalAmt |
| Program Services | $475,644 | ProgramServicesAmt |
| Management And General | $118,911 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $205,902 | TotalAmt |
| Program Services | $41,180 | ProgramServicesAmt |
| Management And General | $164,722 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,235 | TotalAmt |
| Management And General | $66,235 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,391,658 | TotalAmt |
| Program Services | $768,537 | ProgramServicesAmt |
| Management And General | $623,121 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| COMMISSIONS | $5,587,929 | $5,587,929 | |
| DATA PROCESSING | $2,614,049 | $2,091,239 | $522,810 |
| POSTAGE & MAILING | $1,753,361 | $1,402,689 | $350,672 |
| COMMUNITY BENEFIT PROGR | $456,604 | $456,604 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,500 | TotalAmt |
| Management And General | $148,500 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $301,060,187 | TotalAmt |
| Program Services | $296,948,349 | ProgramServicesAmt |
| Management And General | $4,111,838 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,548,762 | BOYAmt |
| EOY | $2,337,761 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,536,282 | BOYAmt |
| EOY | $180,276 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,674,463 | BOYAmt |
| EOY | $15,514,467 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $577,820 | BOYAmt |
| EOY | $589,662 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $10,255,839 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $5,060,568 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,362,770 | BOYAmt |
| EOY | $5,195,271 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,380,223 | BOYAmt |
| EOY | $79,718,433 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,010 | BOYAmt |
| EOY | $20,010 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $323,610 | BOYAmt |
| EOY | $294,354 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,423,940 | BOYAmt |
| EOY | $103,850,234 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,368,585 | BOYAmt |
| EOY | $9,515,961 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,515,000 | BOYAmt |
| EOY | $3,628,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,485,242 | BOYAmt |
| EOY | $1,914,147 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,561,667 | BOYAmt |
| EOY | $10,997,293 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $25,930,494 | BOYAmt |
| EOY | $26,055,401 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,493,446 | BOYAmt |
| EOY | $77,794,833 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,493,446 | BOYAmt |
| EOY | $77,794,833 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $99,423,940 | BOYAmt |
| EOY | $103,850,234 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $2,088,312 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $2,156,060 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $57,015 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| 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
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,698,545 | OtherCostOrOtherBasisAmt |
| Depreciation | $615,929 | DepreciationAmt |
| Book Value | $1,082,616 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $6,567,259 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,099,218 | DepreciationAmt |
| Book Value | $2,468,041 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,990,035 | OtherCostOrOtherBasisAmt |
| Depreciation | $345,421 | DepreciationAmt |
| Book Value | $1,644,614 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $5,195,271 | TotalBookValueLandBuildingsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PROVISION FOR UNPAID CLAIMS | Desc |
| Amt | $10,997,293 | Amt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $10,997,293 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (16 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| DELTA DENTAL OF COLORADO FOUNDATION | |||||||
| 4582 S ULSTER ST SUITE 800 | DENVER | CO | 80237 | 841389431 | 501(C)(3) | $3,628,000 | SUPPORTED ORGANIZATION OF THE COMPANY |
| LIVE WELL COLORADO | |||||||
| 1490 LAFAYETTE ST STE 404 | DENVER | CO | 80218 | 262464764 | 501(C)(3) | $10,000 | SUPPORT LOCAL ORGANIZATION |
| CHILDRENS MUSEUM OF DENVER INC | |||||||
| 2121 CHILDRENS MUSEUM DRIVE | DENVER | CO | 802113939 | 840658142 | 501(C)(3) | $201,660 | SUPPORT OF CULTURE AND HUMANITIES |
| MAKE A WISH FOUNDATION | |||||||
| 7951 E MAPLEWOOD AVE STE 126 | GREENWOOD VILLAGE | CO | 80111 | 742273004 | 501(C)(3) | $8,030 | SUPPORT LOCAL ORGANIZATION |
| MILE HIGH UNITED WAY | |||||||
| 2505 18TH ST | DENVER | CO | 802113939 | 840404235 | 501(C)(3) | $15,000 | SUPPORT LOCAL ORGANIZATION |
| NATIONAL NETWORK FOR ORAL HEALTH | |||||||
| 181 EAST 56TH AVE STE 501 | DENVER | CO | 80216 | 841186592 | 501(C)(3) | $20,000 | SUPPORT LOCAL CHAPTER OF NATIONAL ORGANIZATION |
| ORAL HEALTH COLORADO | |||||||
| 1985 UNION ST | LAKEWOOD | CO | 80215 | 900137772 | 501(C)(3) | $199,851 | SUPPORT LOCAL ORGANIZATION |
| SAFEHOUSE DENVER INC | |||||||
| 1649 DOWNING ST | DENVER | CO | 80218 | 840745911 | 501(C)(3) | $8,500 | SUPPORT LOCAL ORGANIZATION |
| VOLUNTEERS OF AMERICA | |||||||
| 2660 LARIMER ST | DENVER | CO | 80205 | 840430995 | 501(C)(3) | $6,000 | SUPPORT LOCAL ORGANIZATION |
| COLORADO BUSINESS COMMITTEE FOR THE ARTS | |||||||
| 130 WEST 12TH AVE | DENVER | CO | 80204 | 742368958 | 501(C)(3) | $6,200 | SUPPORT LOCAL ORGANIZATION |
| BOYS & GIRLS CLUBS OF METRO DENVER | |||||||
| 2017 W 9TH AVE | DENVER | CO | 80204 | 840510404 | 501(C)(3) | $10,000 | SUPPORT LOCAL ORGANIZATION |
| GOODWILL INDUSTRIES OF DENVER | |||||||
| 6850 N FEDERAL BLVD | DENVER | CO | 80221 | 840405513 | 501(C)(3) | $7,000 | SUPPORT LOCAL ORGANIZATION |
| JUVENILE DIABETES RESEARCH FND-ROCKY MTN CHAPTER | |||||||
| 5613 DTC PRKWY SUITE 810 | GREENWOOD VILLAGE | CO | 80111 | 231907729 | 501(C)(3) | $10,000 | SUPPORT LOCAL CHAPTER OF NATIONAL ORGANIZATION |
| COLORADO MISSION OF MERCY | |||||||
| 430 COLORADO AVE | PUEBLO | CO | 81004 | 271586585 | 501(C)(3) | $35,000 | SUPPORT LOCAL ORGANIZATION |
| DENVER ART MUSEUM | |||||||
| 100 W 14TH AVE PKWY | DENVER | CO | 80204 | 846038240 | 501(C)(3) | $112,000 | SUPPORT LOCAL ORGANIZATION |
| AMERICAN RED CROSS - MILE HIGH CHAPTER | |||||||
| 444 SHERMAN ST | DENVER | CO | 80203 | 530196605 | 501(C)(3) | $30,000 | SUPPORT LOCAL ORGANIZATION |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 29 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE COMPANY HAS PROCEDURES TO ASCERTAIN THAT ALL GRANTS ARE MADE TO 501C3 ORGANIZATIONS AND ARE PROPERLY APPROVED BY MANAGEMENT. ADDITIONALLY, THE ORGANIZATION REQUIRES PERIODIC REPORTS TO ASCERTAIN THAT SUBSTANTIAL GRANTS ARE USED FOR THEIR PROPER INTENDED PURPOSE. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | 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 (10 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| KATHRYN ANN PAUL | ||||||||||||||
| CEO/PRESIDENT | $390,248 | $0 | $119,195 | $0 | $2,324 | $0 | $33,500 | $0 | $5,659 | $0 | $550,926 | $0 | $0 | $0 |
| DAVID ANDREW BEAL | ||||||||||||||
| CFO/TREASURER | $245,601 | $0 | $9,537 | $0 | $1,069 | $0 | $30,724 | $0 | $13,986 | $0 | $300,917 | $0 | $0 | $0 |
| LINDA MARIE ARNESON | ||||||||||||||
| COO/SECRETARY | $238,943 | $0 | $41,066 | $0 | $2,231 | $0 | $31,240 | $0 | $7,981 | $0 | $321,461 | $0 | $0 | $0 |
| JESSICA JEAN LAWHEAD | ||||||||||||||
| VICE PRESIDENT | $225,218 | $0 | $57,968 | $0 | $2,231 | $0 | $29,983 | $0 | $13,353 | $0 | $328,753 | $0 | $0 | $0 |
| BARBARA BLACKBURN SPRINGER - JD | ||||||||||||||
| VICE PRESIDENT | $115,138 | $104,304 | $37,072 | $0 | $1,427 | $0 | $27,855 | $0 | $18,341 | $0 | $199,833 | $104,304 | $0 | $0 |
| TRICIA HEMSKY | ||||||||||||||
| DIRECTOR OF CLIENT SERVICE | $135,314 | $0 | $32,430 | $0 | $295 | $0 | $17,400 | $0 | $18,529 | $0 | $203,968 | $0 | $0 | $0 |
| LORRIE KOHLE | ||||||||||||||
| MANAGER OF STRATEGIC ALLIA | $100,574 | $0 | $56,762 | $0 | $547 | $0 | $15,846 | $0 | $1,800 | $0 | $175,529 | $0 | $0 | $0 |
| MICHAEL OKUJI - DDS | ||||||||||||||
| DENTAL DIRECTOR | $190,729 | $0 | $1,011 | $0 | $1,348 | $0 | $11,944 | $0 | $14,736 | $0 | $219,768 | $0 | $0 | $0 |
| STEPHANIE RAUZI | ||||||||||||||
| SENIOR ACCOUNT EXECUTIVE | $99,512 | $0 | $82,157 | $0 | $215 | $0 | $17,947 | $0 | $20,786 | $0 | $220,617 | $0 | $0 | $0 |
| ROBERT MARK THOMPSON | ||||||||||||||
| DIRECTOR OF SALES | $165,893 | $0 | $33,750 | $0 | $312 | $0 | $22,414 | $0 | $21,819 | $0 | $244,188 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 5 | THE COMPANY HAS AN INCENTIVE COMPENSATION PLAN AND A SALES INCENTIVE PLAN WHICH PROVIDES AN ANNUAL BONUS FOR ALL ELIGIBLE EMPLOYEES IF THE COMPANY REACHES CERTAIN GOALS INCLUDING A MINIMUN NET GAIN GOAL. ALL ACTIVE FULL TIME EMPLOYEES ARE ELIGIBLE FOR ONE OF THE INCENTIVE PLANS. THE COMPANY ALSO HAS A LONG-TERM INCENTIVE PROGRAM FOR EXECUTIVES, WHICH IS BASED ON BOTH A MEMBERSHIP GROWTH AND RETURN ON REVENUE FACTOR. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2013 THE PLAN ENDING DECEMBER 31, 2012 WAS PAID. |
| PART I, LINE 6 | SEE NARRATIVE FOR LINE 5A ABOVE. |
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 | 4TH AVENUE FAMILY DENTISTRY LLC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | THOMAS B SWAIN, DELTA DIRECTOR & 1 OF 3 OWNERS OF 4TH AVE FAMILY DENTISTRY | RelationshipDescriptionTxt |
| Transaction | $107,094 | TransactionAmt |
| Transaction | 4TH AVENUE FAMILY DENTISTRY PARTICIPATES WITH DELTA DENTAL USING A STANDARD DENTAL PROVIDER CONTRACT, AND IS PAID FOR DENTAL SERVICES PROVIDED TO PATIENTS. | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE ORGANIZATION HAS MEMBERS WHO ARE DEFINED AS PARTICIPATING DENTISTS WHO ARE ENGAGED IN THE PRACTICE OF DENTISTRY IN THE STATE OF COLORADO. THE PARTICIPATING DENTISTS ARE THOSE THAT HAVE SIGNED A PARTICIPATING DENTIST AGREEMENT WITH THE ORGANIZATION AS PRESCRIBED BY THE BOARD OF TRUSTEES. |
| FORM 990, PART VI, SECTION A, LINE 7A | THE MEMBERS OF THE ORGANIZATION HAVE THE AUTHORITY TO ELECT THE BOARD OF TRUSTEES AT THE ANNUAL MEETING OF THE MEMBERS. |
| FORM 990, PART VI, SECTION A, LINE 7B | CERTAIN MATTERS OF THE ORGANIZATION ARE SUBJECT TO A VOTE OF THE MEMBERS. A QUORUM OF 2% OF THE MEMBERSHIP IS REQUIRED. |
| FORM 990, PART VI, SECTION B, LINE 11 | WE ENGAGE AN INDEPENDENT CPA TAX PROFESSIONAL TO PREPARE OUR 990, AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE AUDIT, INVESTMENT AND FINANCE COMMITTEE'S ROLE THEN IS TO EVALUATE THE FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. WE HAVE TAKEN THOSE STEPS WITH OUR AUDIT, INVESTMENT AND FINANCE COMMITTEE. |
| FORM 990, PART VI, SECTION B, LINE 12C | DDCO CONDUCTS ANNUAL COMPLIANCE TRAINING, WHICH IS MANDATORY FOR ALL EMPLOYEES TO ATTEND. THE CONFLICTS OF INTEREST POLICY IS DISCUSSED AT THIS TRAINING. ON AN ANNUAL BASIS, ALL EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND SUBMIT ANY POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. RECEIPT OF ALL SIGNED & COMPLETED FORMS ARE TRACKED IN AN EXCEL FILE; ORIGINAL FORMS ARE KEPT IN THE PERSONNEL FILE IN THE HUMAN RESOURCES OFFICE. ANY REPORTED POTENTIAL OR PERCEIVED CONFLICTS ARE REVIEWED AND, IF NECESSARY, EMPLOYEES AND THEIR MANAGER ARE ADVISED TO REMOVE THEMSELVES FROM ANY SITUATION INVOLVING THE POTENTIAL CONFLICT. ADDITIONALLY, ALL NEW EMPLOYEES RECEIVE COMPLIANCE TRAINING AND ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. EMPLOYEES ARE INSTRUCTED TO COMPLETE A NEW CONFLICT OF INTEREST STATEMENT DURING THE COURSE OF THE YEAR, SHOULD THEIR SITUATION CHANGE. THE CONFLICT OF INTEREST POLICY AND STATEMENT FORMS ARE POSTED ON THE COMPANY INTRANET. |
| FORM 990, PART VI, SECTION B, LINE 15 | THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES THAT IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO. THE COMMITTEE ENGAGES THE SERVICES OF A THIRD PARTY TO PROVIDE RANGES OF COMPENSATION THAT ARE APPRORPRIATE FOR THE DUTIES REQUIRED BY THE POSITION OF THE PRESIDENT, AS WELL AS THE POSITIONS OF THE VICE PRESIDENTS. THE CEO AND PRESIDENT OF THE CORPORATION IS RESPONSIBLE FOR THE COMPENSATION PROCESS OF THE REMAINING OFFICERS OF THE ORGANIZATION. THE ORGANIZATION ENGAGES A THIRD PARTY TO PROVIDE RANGES OF ACCEPTABLE INCREASES AND COMPENSATION LEVELS OF AVERAGE SALARIES BY SALARY GRADE. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION MAINTAINS COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THAT ARE AVAILABLE FOR PUBLIC INSPECTION FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). THE ORGANIZATION HAS A STATEMENT ON ITS WEBSITE, WWW.DELTADENTALCO.COM, THAT INFORMS THE PUBLIC THAT THESE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT ITS CORPORATE HEADQUARTERS. THE ORGANIZATION'S ANNUAL REPORT IS ALSO POSTED ON ITS WEBSITE, WHICH STATES THAT "COMPLETE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION AT OUR CORPORATE OFFICES UPON REQUEST". |
| FORM 990, PART XI, LINE 9: | UNRECOGNIZED ACTUARIAL GAINS ON OPEB 57,015. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL PLAN OF COLORADO FOUNDATION | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 4582 S ULSTER ST 800 | AddressLine1 |
| City | DENVER | City |
| State | CO | State |
| ZIP Code | 80237 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 841389431 | EIN |
| Primary Activities | DENTAL HEALTH AND EDUCATION | PrimaryActivitiesTxt |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Exempt Code Section | 501(C)(3) | ExemptCodeSectionTxt |
| Public Charity Status | LINE 11A, I | PublicCharityStatusTxt |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Controlled Organization | Yes (1) | ControlledOrganizationInd |
| 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 | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DELTA DENTAL PLAN OF COLORADO FOUNDATION INC | ||
| B | $3,628,000 | ACTUAL COST |
| DELTA DENTAL PLAN OF COLORADO FOUNDATION INC | ||
| O | $240,492 | ACTUAL COST |