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DELTA DENTAL OF PENNSYLVANIA: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF PENNSYLVANIA (EIN 23-1667011)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-12
IRS object ID
201423169349300407
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

FieldValueIRS element (for citing)
Return2014-11-12T07:34:51-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN341851358PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line13625 CUMBERLAND BLVD STE 800AddressLine1
CityATLANTACity
StateGAState
ZIP Code30082ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN231667011EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF PENNSYLVANIABusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone7177668500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE DELTA DRIVEAddressLine1
CityMECHANICSBURGCity
StatePAState
ZIP Code17055ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJEANNE FOSTERPersonNm
Person TitleVP, FINANCEPersonTitleTxt
Phone7177668500PhoneNum
Signature2014-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonCRAIG T WILLIAMSPreparerPersonNm
PTINP00621386PTIN
Phone7708584500PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJEANNE FOSTERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE DELTA DRIVEAddressLine1
CityMECHANICSBURGCity
StatePAState
ZIP Code17055ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$630,882,602GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALINS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StatePALegalDomicileStateCd
Activity Or MissionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee823TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$599,848,010PYProgramServiceRevenueAmt
CY Program Service Revenue$609,161,909CYProgramServiceRevenueAmt
PY Investment Income$10,764,400PYInvestmentIncomeAmt
CY Investment Income$2,363,360CYInvestmentIncomeAmt
PY Other Revenue-$367,752PYOtherRevenueAmt
CY Other Revenue$5,558,605CYOtherRevenueAmt
PY Total Revenue$610,244,658PYTotalRevenueAmt
CY Total Revenue$617,083,874CYTotalRevenueAmt
PY Grants And Similar Paid$401,628PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$530,642CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$541,122,008PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$546,647,472CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$25,692,214PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$24,909,845CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$30,521,118PYOtherExpensesAmt
CY Other Expenses$28,659,290CYOtherExpensesAmt
PY Total Expenses$597,736,968PYTotalExpensesAmt
CY Total Expenses$600,747,249CYTotalExpensesAmt
PY Revenues Less Expenses$12,507,690PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$16,336,625CYRevenuesLessExpensesAmt
Total Assets BOY$144,155,812TotalAssetsBOYAmt
Total Assets EOY$155,538,388TotalAssetsEOYAmt
Total Liabilities BOY$68,046,000TotalLiabilitiesBOYAmt
Total Liabilities EOY$61,732,154TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$76,109,812NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$93,806,234NetAssetsOrFundBalancesEOYAmt
MissionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$596,032,256ExpenseAmt
Revenue$617,083,874RevenueAmt
DescTHE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 2,088,231 BENEFICIARIES IN 2013 PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS SERVING 2,539 PURCHASING GROUPS. THE ORGANIZATION PAID MORE THAN $547 MILLION FOR DENTAL CARE DURING 2013.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$530,642ExpenseAmt
Grant$530,642GrantAmt
DescTHE ORGANIZATION MADE GRANTS DURING 2013 TO FOSTER IMPROVED ACCESSTO DENTAL HEALTH CARE TREATMENT, TO SUPPORT PROFESSIONAL DENTALEDUCATION, AND TO PROVIDE ORAL HEALTH INSTRUCTION FOR PATIENTS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$596,562,898TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document85668IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee823EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryBBForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1JEANNE FOSTER VP FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Phone7177668500PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE DELTA DRIVEAddressLine1
CityMECHANICSBURGCity
StatePAState
ZIP Code17055ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
BRUCE TERRY DMD
DIRECTOR1.00Yes (X)$13,200$0$0
DEBRA MAHER
DIRECTOR1.00Yes (X)$8,200$0$0
ERIC HODGES DMD
DIRECTOR1.00Yes (X)$13,634$0$0
EUGENE CARTER
DIRECTOR1.00Yes (X)$10,403$0$0
GLEN BERGERT
CHAIRMAN1.00Yes (X)$30,206$103,907$01.00
HARRY MEYERS DDS
SECRETARY1.00Yes (X)$0$0$0
JAMES SMELTZER
DIRECTOR1.00Yes (X)$15,600$0$0
JANICE BLACK
VICE CHAIRMAN1.00Yes (X)$12,000$0$0
JOHN CHARLETTA
DIRECTOR1.00Yes (X)$13,200$0$0
JOSEPH BECK JR
TREASURER1.00Yes (X)$15,000$0$0
KENNETH MILLER DDS
DIRECTOR1.00Yes (X)$13,200$0$0
LOUIS GREGORIO
DIRECTOR1.00Yes (X)$13,200$0$0
PATRICIA MCVICKER
DIRECTOR1.00Yes (X)$13,200$0$0
PHILIP WENGER
DIRECTOR1.00Yes (X)$13,200$0$0
RICHARD BLOOMINGDALE
DIRECTOR1.00Yes (X)$13,200$0$0
RICHARD CLARK III DDS
DIRECTOR1.00Yes (X)$13,200$0$0
RONALD HELMINSKI DMD
DIRECTOR1.00Yes (X)$14,203$0$0
SCOTT LITTLE DDS
DIRECTOR1.00Yes (X)$14,203$0$0
WILLIAM DELVECCHIO DMD
DIRECTOR1.00Yes (X)$13,200$0$0
GARY D RADINE
PRESIDENT/CEO5.00$0$6,058,064$92,37855.00Yes (X)
ANTHONY S BARTH
EXECUTIVE VICE PRESIDENT, COO4.00$0$1,771,842$607,19146.00Yes (X)
MICHAEL J CASTRO
EXECUTIVE VICE PRESIDENT/CFO4.00$0$1,264,357$543,00546.00Yes (X)
PATRICK S STEELE
EXECUTIVE VICE PRESIDENT/CIO4.00$0$1,178,273$1,204,35446.00Yes (X)
CHARLES LAMONT ESQ
EXECUTIVE VICE PRESDIENT/CLO4.00$0$1,255,769$64,80346.00Yes (X)
ALICIA WEBER
SR. VICE PRES./CONTROLLER4.00$0$726,496$115,51346.00Yes (X)
MICHAEL G HANKINSON
SR. VICE PRESIDENT LEGAL OFFICER29.00$175,125$359,320$63,95921.00Yes (X)
PHILIP N ENGLE
VICE PRESIDENT, INFORMATION TECHNOLOGY29.00$316,864$0$101,99821.00Yes (X)
RENEE A FISHER
VICE PRESIDENT, QUALITY ASSURANCE AND TRAINING29.00$323,794$0$121,41321.00Yes (X)
JEANNE M FOSTER
VICE PRESIDENT, FINANCE29.00$337,678$0$79,86221.00Yes (X)
RICHARD C GRAYBILL
VICE PRESIDENT, UNDERWRITING & ACTURIAL29.00$282,866$0$75,42121.00Yes (X)
KAREN L ROBINSON
DIRECTOR, OFFICE OF CORPORATE SECRETARY29.00$141,772$0$37,24121.00Yes (X)
WHITNEY H SHERBOCKER
DIRECTOR REGULATORY, ASST SECRETARY29.00$201,689$0$68,67921.00Yes (X)
MARTY A SHEETZ
VICE PRESIDENT IMPLEMENTATION AND EXCHANGES29.00$232,822$0$64,51821.00Yes (X)
JAMES T KETELSLEGER
DIRECTOR, FINANCE29.00$183,632$0$54,57721.00Yes (X)
PAULA H WISHON
DIRECTOR CLAIMS PROCESSING29.00$201,848$0$20,60321.00Yes (X)
ROBERT D COOVER
DIRECTOR SALES40.00$303,751$0$75,693Yes (X)
TIMOTHY MCKEE
SALES ACCOUNT EXECUTIVE40.00$207,145$0$29,849Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,161,235TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,718,028TotReportableCompRltdOrgAmt
Total Other Compensation$3,421,057TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K64IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
ARMANINO MCKENNA LLP
12667 ALCOSTA BLVD SUITE 500SAN RAMONCA94583AUDITING$412,400
NAUMAN SMITH SHISSLER & HALL LLP
200 NORTH THIRD STREET 18TH FLOORHARRISBURGPA17108LEGAL$317,416
AEROTECK PROFESSIONAL SERVICES
3689 COLLECTION CENTER DRIVECHICAGOIL60693TEMP EMPLOYEES$317,184
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDIRECT PREMIUMSDesc
Total Revenue Column$609,161,909TotalRevenueColumnAmt
Related Or Exempt Func Income$609,161,909RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$609,161,909TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,616,088TotalRevenueColumnAmt
Related Or Exempt Func Income$1,616,088RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$14,546,000OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$13,798,728OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$747,272OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$747,272TotalRevenueColumnAmt
Related Or Exempt Func Income$747,272RelatedOrExemptFuncIncomeAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
EQUITY GAIN IN DRC$8,711,680$8,711,680
MISC INCOME$99,072$99,072
LOSS ON DISPOSALS-$846-$846

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column-$3,251,301TotalRevenueColumnAmt
Related Or Exempt Func Income-$3,251,301RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$5,558,605OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$617,083,874TotalRevenueColumnAmt
Related Or Exempt Func Income$617,083,874RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$530,642TotalAmt
Program Services$530,642ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$546,647,472TotalAmt
Program Services$546,647,472ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,393,486TotalAmt
Program Services$2,190,997ProgramServicesAmt
Management And General$202,489ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$16,550,895TotalAmt
Program Services$15,150,689ProgramServicesAmt
Management And General$1,400,206ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,713,347TotalAmt
Program Services$1,568,398ProgramServicesAmt
Management And General$144,949ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,099,041TotalAmt
Program Services$2,836,862ProgramServicesAmt
Management And General$262,179ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,153,076TotalAmt
Program Services$1,055,526ProgramServicesAmt
Management And General$97,550ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$143,712TotalAmt
Management And General$143,712ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$250,300TotalAmt
Management And General$250,300ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$118,824TotalAmt
Management And General$118,824ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$143,225TotalAmt
Program Services$131,108ProgramServicesAmt
Management And General$12,117ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$2,668,414TotalAmt
Program Services$2,442,666ProgramServicesAmt
Management And General$225,748ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,638,737TotalAmt
Program Services$6,992,500ProgramServicesAmt
Management And General$646,237ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,183,483TotalAmt
Program Services$1,083,360ProgramServicesAmt
Management And General$100,123ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$517,697TotalAmt
Program Services$473,900ProgramServicesAmt
Management And General$43,797ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$43,778TotalAmt
Program Services$40,074ProgramServicesAmt
Management And General$3,704ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$3,032TotalAmt
Program Services$3,032ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$681,270TotalAmt
Program Services$623,635ProgramServicesAmt
Management And General$57,635ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$364,865TotalAmt
Program Services$333,997ProgramServicesAmt
Management And General$30,868ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COMMISSIONS$9,654,749$9,654,749
ADMINISTRATIVE FEES$3,811,734$3,489,261$322,473
LICENSES, PERMITS, AND$755,459$691,547$63,912
BANK CHARGES$467,249$427,720$39,529

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$212,762TotalAmt
Program Services$194,763ProgramServicesAmt
Management And General$17,999ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$600,747,249TotalAmt
Program Services$596,562,898ProgramServicesAmt
Management And General$4,184,351ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$840,817BOYAmt
EOY$5,070,782EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$51,257,437BOYAmt
EOY$41,888,306EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$3,360,000BOYAmt
EOY$1,360,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,121,375BOYAmt
EOY$1,319,848EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$30,141,066LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$19,633,347LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$13,567,242BOYAmt
EOY$10,507,719EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$46,814,328BOYAmt
EOY$59,706,693EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$26,708,935BOYAmt
EOY$35,120,616EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$485,678BOYAmt
EOY$564,424EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$144,155,812BOYAmt
EOY$155,538,388EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$62,250,628BOYAmt
EOY$56,273,770EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$3,624,712BOYAmt
EOY$2,886,073EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$2,170,660BOYAmt
EOY$2,572,311EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,046,000BOYAmt
EOY$61,732,154EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$76,109,812BOYAmt
EOY$93,806,234EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$76,109,812BOYAmt
EOY$93,806,234EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$144,155,812BOYAmt
EOY$155,538,388EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$16,336,625ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,359,797NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,620,279OtherCostOrOtherBasisAmt
Book Value$1,620,279BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,485,519OtherCostOrOtherBasisAmt
Depreciation$3,703,349DepreciationAmt
Book Value$5,782,170BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,861,657OtherCostOrOtherBasisAmt
Depreciation$1,769,460DepreciationAmt
Book Value$92,197BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,025,666OtherCostOrOtherBasisAmt
Depreciation$5,040,620DepreciationAmt
Book Value$985,046BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$11,147,945OtherCostOrOtherBasisAmt
Depreciation$9,119,918DepreciationAmt
Book Value$2,028,027BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,507,719TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (3 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
DELTA DENTAL INSURANCE COMPANY$4,885C
DELTA REINSURANCE CORPORATION$32,365,478F
DENTEGRA INSURANCE COMPANY$2,750,253F
FieldValueIRS element (for citing)
Total Book Value Securities$35,120,616TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDUE TO SUBSIDIARIES AND AFFILIATESDesc
Amt$2,572,311Amt
FieldValueIRS element (for citing)
Total Liability$2,572,311TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$235,671,563TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$235,671,563RevenueSubtotalAmt
Other Revenues Not Included$381,412,311OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$381,412,311RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$617,083,874TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$219,334,938TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$219,334,938ExpensesSubtotalAmt
Other Expenses Not Included$381,412,311OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$381,412,311ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$600,747,249TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:THE COMPANY IS A TAX-EXEMPT ORGANIZATION ORGANIZED UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND, AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. CURRENT ACCOUNTING GUIDANCE CLARIFIES HOW UNCERTAINTIES IN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A FINANCIAL STATEMENT RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. POSITIONS INCLUDE THOSE WITH RESPECT TO THE COMPANY'S TAX EXEMPT STATUS AND WITH RESPECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. THE COMPANY EVALUATED THE IMPACT OF THE ACCOUNTING PRONOUNCEMENT AND DETERMINED THAT IT HAD NO IMPACT ON THE COMPANY'S FINANCIAL STATEMENTS.
PART XI, LINE 4B - OTHER ADJUSTMENTS:ADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE
PART XII, LINE 4B - OTHER ADJUSTMENTS:CLAIMS ACCRUED FOR ADMINISTRATIVE SERVICE CONTRACTS

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEAN - ANTIGUA & BARBUDA, ARUBA, BAHAMAS,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedINVESTMENT IN DELTA REINSURANCE CORPORATIONTypeOfActivitiesConductedTxt
Region Total Expenditures$32,365,478RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continutation Total Office0ContinutationTotalOfficeCnt
Continutation Total Employee0ContinutationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$32,365,478SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$32,365,478TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp OwnershipYes (1)ForeignCorpOwnershipInd
Passive Foreign Investmest Co0PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNITED WAY OF THE CAPITAL REGION
2235 MILLINIUM WAYENOLAPA17025231352095501(C)(3)$44,309TO PROVIDE DENTAL EDUCATION
DELTA DENTAL COMMUNITY CARE FOUNDATION
100 FIRST STREETSAN FRANCISCOCA94105371570764501(C)(3)$452,000TO PROVIDE DENTAL EDUCATION
MISC SMALL DONATIONS LESS THAN 5000
$14,333TO PROVIDE DENTAL EDUCATION
TRES BONNE ANNEE
6426 ONE NORTH SECOND STREETHARRISBURGPA17101251888180501(C)(3)$10,000TO PROVIDE DENTAL EDUCATION
DOWNTOWN DAILY BREAD
234 SOUTH STREETHARRISBURGPA17101231433867501(C)(3)$10,000TO PROVIDE DENTAL EDUCATION
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION AWARDS GRANTS FOR PROGRAMS THAT FOSTER DENTAL HEALTH AND EDUCATION. THROUGH THESE GRANTS THE ORGANIZATION HELPS FINANCE HEALTH, EDUCATION, AND RESEARCH PROJECTS IN DENTISTRY, HEALTH AND HUMAN SERVICES, AND CIVIC AND COMMUNITY AFFAIRS. THE TWO GRANTS ARE: (1) THE DENTAL HEALTH AND EDUCATION CONTRIBUTION, WHICH SUPPORTS DENTAL HEALTH AND AWARENESS PROGRAMS AND (2) THE STANDARD DENTAL RESEARCH GRANT, WHICH SUPPORTS PROFESSIONAL RESEARCH RELATED TO DENTAL HEALTH. GRANTS ARE AWARDED TO GROUPS THAT: (1) PROVIDE DENTISTRY FOR INDIGENTS; (2) PROVIDE DENTISTRY FOR GROUPS THAT ARE DENTALLY UNDERSERVED; (3) PROVIDE EDUCATION TO ADVANCE THE AWARENESS OR THE SCIENCE OF DENTISTRY; (4) PROMOTE PUBLIC DENTAL HEALTH; AND (5) ARE INVOLVED IN COMMUNITY ACTIVITIES RELATED TO DENTAL CARE. GRANT GUIDELINES: PRIORITY WILL GO TO PROJECTS THAT FOCUS ON ISSUES RELATED TO THE DELIVERY OF ORAL HEALTH CARE, INCLUDING THOSE WITH SIGNIFICANT POTENTIAL FOR IMPROVING ORAL HEALTH AND REDUCING TREATMENT COSTS. PRIORITY CONSIDERATION WILL GO TO RESEARCHERS FROM THE DENTAL SCHOOLS IN THE ENTERPRISE STATES, BUT WILL NOT BE LIMITED TO THESE INSTITUTIONS. PRIORITY WILL GO TO TWO TYPES OF STUDIES: (1) PILOT OR FEASIBILITY STUDIES LIKELY TO ENHANCE THE INVESTIGATOR'S CHANCE FOR LONG-TERM FUNDING FROM OTHER SOURCES; AND (2) COMPLETE PROJECTS CONSIDERED TO BE OF INTEREST TO THE HEALTH, EDUCATION, AND RESEARCH FUND, FOR WHICH OTHER SOURCES OF FUNDS ARE TRADITIONALLY UNAVAILABLE OR INSUFFICIENT. PRIORITY WILL GO TO STUDIES THAT EVALUATE THE OUTCOME OF PREVENTATIVE AND TREATMENT PROCEDURES. RETROSPECTIVE STUDIES OR THOSE INVOLVING ANALYSIS OF EXISTING DATA SHOULD BE CONSIDERED, RATHER THAN LONG-TERM FOLLOW-UP STUDIES, IN ORDER TO REDUCE THE YEARS REQUIRED TO OBTAIN DATA. OVERHEAD CHARGES WITHIN EACH ELIGIBLE GRANT WILL BE LIMITED TO EIGHT PERCENT. THE FUND WILL NORMALLY MAKE ONE TO TWO STANDARD RESEARCH GRANTS PER YEAR. INDIVIDUAL GRANTS WILL GENERALLY NOT EXCEED $40,000. GRANTS WILL BE LIMITED TO ONE-YEAR PROJECTS, SUBJECT TO RENEWAL. EXCEPT IN SPECIAL CASES, AN ORGANIZATION/ENTITY WILL NOT BE ELIGIBLE FOR MORE THAN ONE GRANT DURING ANY YEAR. A SCREENING COMMITTEE REVIEWS ALL APPLICATIONS, WITH FINAL GRANT DECISIONS MADE BY THE FUND'S ADMINISTRATIVE COMMITTEE.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
GARY D RADINE
PRESIDENT/CEO$0$1,250,004$0$2,500,000$0$2,308,060$0$75,867$0$16,511$0$6,150,442$0$0
ANTHONY S BARTH
EXECUTIVE VICE PRESIDENT, COO$0$824,004$0$906,000$0$41,838$0$582,670$0$24,521$0$2,379,033$0$0
MICHAEL J CASTRO
EXECUTIVE VICE PRESIDENT/CFO$0$566,496$0$624,000$0$73,861$0$520,154$0$22,851$0$1,807,362$0$0
PATRICK S STEELE
EXECUTIVE VICE PRESIDENT/CIO$0$540,756$0$595,000$0$42,517$0$1,186,651$0$17,703$0$2,382,627$0$0
CHARLES LAMONT ESQ
EXECUTIVE VICE PRESDIENT/CLO$0$467,065$0$650,000$0$138,704$0$47,100$0$17,703$0$1,320,572$0$0
ALICIA WEBER
SR. VICE PRES./CONTROLLER$0$373,200$0$329,000$0$24,296$0$91,383$0$24,130$0$842,009$0$0
MICHAEL G HANKINSON
SR. VICE PRESIDENT LEGAL OFFICER$74,442$262,500$98,000$0$2,683$96,820$24,997$16,463$3,416$19,083$203,538$394,866$0$0
PHILIP N ENGLE
VICE PRESIDENT, INFORMATION TECHNOLO$231,121$0$74,100$0$11,643$0$86,107$0$15,891$0$418,862$0$0$0
RENEE A FISHER
VICE PRESIDENT, QUALITY ASSURANCE AN$208,059$0$107,531$0$8,204$0$108,768$0$12,645$0$445,207$0$0$0
JEANNE M FOSTER
VICE PRESIDENT, FINANCE$238,752$0$84,000$0$14,926$0$72,212$0$7,650$0$417,540$0$0$0
RICHARD C GRAYBILL
VICE PRESIDENT, UNDERWRITING & ACTUR$204,996$0$67,650$0$10,220$0$69,188$0$6,233$0$358,287$0$0$0
KAREN L ROBINSON
DIRECTOR, OFFICE OF CORPORATE SECRET$113,782$0$29,021$0-$1,031$0$31,954$0$5,287$0$179,013$0$0$0
WHITNEY H SHERBOCKER
DIRECTOR REGULATORY, ASST SECRETARY$159,031$0$33,968$0$8,690$0$53,957$0$14,722$0$270,368$0$0$0
MARTY A SHEETZ
VICE PRESIDENT IMPLEMENTATION AND EX$157,270$0$46,620$0$28,932$0$52,437$0$12,081$0$297,340$0$0$0
JAMES T KETELSLEGER
DIRECTOR, FINANCE$145,569$0$33,000$0$5,063$0$40,609$0$13,968$0$238,209$0$0$0
PAULA H WISHON
DIRECTOR CLAIMS PROCESSING$110,931$0$0$0$90,917$0$10,403$0$10,200$0$222,451$0$0$0
ROBERT D COOVER
DIRECTOR SALES$122,675$0$158,863$0$22,213$0$62,099$0$13,594$0$379,444$0$0$0
TIMOTHY MCKEE
SALES ACCOUNT EXECUTIVE$61,172$0$138,901$0$7,072$0$16,267$0$13,582$0$236,994$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AFIRST CLASS BUSINESS TRAVEL IS REIMBURSED TO THE EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND GROUP VICE PRESIDENTS. FIRST CLASS BUSINESS TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION. THE PRESIDENT AND EXECUTIVE VICE PRESIDENTS MAY BE REIMBURSED FOR ONE HEALTH OR SOCIAL CLUB UPON APPROVAL BY THE PRESIDENT. TWO SENIOR EXECUTIVES RECEIVED THIS BENEFIT IN 2013. THE COST OF THIS BENEFIT IS INCLUDED IN TAXABLE COMPENSATION. FINANCIAL AND TAX PLANNING EXPENSES ARE REIMBURSED TO EMPLOYEES AT THE DIRECTOR OR ABOVE LEVELS OF MANAGEMENT. A COMPANY POLICY OUTLINES THE MAXIMUM REIMBURSEMENT ALLOWED FOR EACH MANAGEMENT LEVEL. THESE REIMBURSEMENTS ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE REIMBURSED EMPLOYEES.
PART I, LINE 4BCERTAIN EXECUTIVES PAID BY A RELATED ORGANIZATION PARTICIPATE IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PROGRAM. THE RELATED ORGANIZATION PROVIDES A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN TO CERTAIN OF ITS SENIOR EXECUTIVES AS SELECTED BY THE BOARD OF DIRECTORS. THE SUPPLEMENTAL RETIREMENT BENEFIT IS BASED ON EACH EXECUTIVE'S COMPENSATION AND YEARS OF SERVICE TO THE ENTERPRISE. THE BENEFIT IS SUBJECT TO THE RISK OF FORFEITURE IF REQUIRED YEARS OF SERVICE ARE NOT MET. ANNUAL DEFERRED COMPENSATION RELATED TO THIS PLAN IS REPORTED IN SCHEDULE J, PART II, COLUMN (C) FOR EACH PARTICIPANT AND REFLECTS THE CURRENT YEAR INCREASE OR DECREASE IN THE RELATED ORGANIZATION'S PENSION BENEFIT OBLIGATION ("PBO"), CALCULATED PURSUANT TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. THE PBO INCREASE OR DECREASE INCLUDES CHANGES IN ACTUARIAL ASSUMPTIONS (E.G., APPLICABLE DISCOUNT RATE), AS WELL AS CHANGES IN COMPENSATION AND YEARS OF SERVICE. IN 2013, ANTHONY BARTH, MICHAEL CASTRO, GARY RADINE,AND PATRICK STEELE PARTICIPATED IN THE PLAN.
PART I, LINE 7THE PRESIDENT OF THE ORGANIZATION, WITH BOARD OF DIRECTORS APPROVAL, MAY GRANT AN ANNUAL BONUS TO ALL MANAGEMENT EMPLOYEES. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION.
PART II, LINE (II)SEVEN OF THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS REPORTED IN LINE (II).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
ERIC N HODGES DMD
PARTICIPATING PROVIDER$177,219DENTAL CLAIM PAYMENTS0
BRUCE R TERRY DMD ENDODONTIC SPE
PARTICIPATING PROVIDER$241,474DENTAL CLAIM PAYMENTS0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS ONE CLASS OF MEMBERS, DESIGNATED CORPORATE MEMBERS, WHO ARE DIRECTORS OF DENTEGRA GROUP, INC., THE ORGANIZATION'S PARENT HOLDING COMPANY.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S DIRECTORS VOTE ON PERSONS NOMINATED AS DIRECTORS FOR ENDORSEMENT TO THE CORPORATE MEMBERS, WHO ELECT THE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE CORPORATE MEMBERS MUST APPROVE ANY CHANGES TO SPECIFIED BYLAWS PROVISIONS.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION'S CFO AND LEGAL COUNSEL OVERSEE THE COMPLETION OF THE FORM 990 AND, PRIOR TO FILING, REVIEW IT WITH THE PRESIDENT/CEO AND WITH THE AUDIT COMMITTEE OF THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CEACH DIRECTOR IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND BETWEEN ANNUAL STATEMENTS IS REQUIRED TO DISCLOSE ANY NEW POSITION OR RELATIONSHIP FORMED THAT POTENTIALLY RAISES A CONFLICT OF INTEREST. LEGAL COUNSEL REVIEWS THESE DISCLOSURES AND REPORTS THE INFORMATION TO THE FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION PAID TO THE CEO, WHO IS AN EMPLOYEE OF DENTEGRA GROUP, INC. ("DGI"), IS REVIEWED AND APPROVED BY THE DGI DIRECTORS. EXECUTIVE VICE PRESIDENTS' COMPENSATION IS EITHER APPROVED BY THE PRESIDENT OR IN ACCORDANCE WITH THE PROCEDURE OF DELTA DENTAL OF CALIFORNIA (BY WHOM THEY ARE EMPLOYED). ALL COMPENSATION FOR THE ENSUING YEAR IS ONLY APPROVED AFTER REVIEWING COMPARABILITY DATA PRESENTED BY AN OUTSIDE COMPENSATION CONSULTANT, AN ASSESSMENT OF EACH OFFICER'S PERFORMANCE OVER THE PRECEDING YEAR, AND THE ORGANIZATION'S PROGRAM ACCOMPLISHMENTS FOR THE YEAR. THIS PROCESS WAS FOLLOWED FOR 2013 COMPENSATION.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION ANNUALLY INCLUDES MAJOR PORTIONS OF ITS FINANCIAL STATEMENT IN A PUBLISHED ANNUAL REPORT THAT IS MADE AVAILABLE TO PERSONS OR ENTITIES KNOWN TO HAVE AN INTEREST IN THE ORGANIZATION, AND IS AVAILABLE TO THE LARGER PUBLIC UPON REQUEST. STATUTORY FINANCIAL STATEMENTS ARE INCLUDED IN QUARTERLY AND ANNUAL RETURNS TO STATE DEPARTMENTS OF INSURANCE REGULATING THE ORGANIZATION WHICH RETURNS ARE AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART VII; SCHEDULE J; SCHEDULE RTHE ORGANIZATION, REGULATED BY THE PENNSYLVANIA INSURANCE DEPARTMENT, IS A MEMBER OF THE DELTA DENTAL OF CALIFORNIA ENTERPRISE COMPANIES, WHICH INCLUDE DELTA DENTAL OF CALIFORNIA, DELTA DENTAL OF PENNSYLVANIA AND AFFILIATED COMPANIES OPERATING IN 15 STATES, THE DISTRICT OF COLUMBIA, PUERTO RICO AND THE U.S. VIRGIN ISLANDS. THE ENTERPRISE COMPANIES COMPRISE ONE OF THE NATION'S LARGEST DENTAL BENEFITS DELIVERY SYSTEMS COVERING 26 MILLION ENROLLEES AND HANDLING 39 MILLION CLAIMS. TOTAL REVENUE FOR THE ENTERPRISE EXCEEDED $7.1 BILLION IN 2013. THE ORGANIZATION AND ITS SUBSIDIARIES REPRESENT APPROXIMATELY 9% OF TOTAL ENTERPRISE REVENUES.
FORM 990, PT. VII, SEC. A, COL. (E); SCH. J, PT. II, LINE (II), COL. B(III)AS A RESULT OF REACHING AGE 65 IN 2011, MR. RADINE WAS NO LONGER ELIGIBLE TO PARTICIPATE IN THE COMPANY'S EXECUTIVE SUPPLEMENTAL PENSION PLAN (ESPP). MR. RADINE'S EMPLOYMENT AGREEMENT PROVIDED MR. RADINE BE PAID A CASH INCENTIVE IN LIEU OF CONTINUED ESPP PARTICIPATION UNTIL A LONG-TERM INCENTIVE PLAN WENT INTO EFFECT IN 2013. THE CASH INCENTIVE WAS AN ACTUARIAL CALCULATION AS IF MR. RADINE HAD REMAINED IN THE ESPP DURING CALENDAR YEAR 2012.
FORM 990, PART VII AND SCHEDULE J:EFFECTIVE JANUARY 1, 2012 DELTA DENTAL OF PENNSYLVANIA ESTABLISHED THE LONG-TERM INCENTIVE PLAN (LTIP) FOR ELIGIBLE EMPLOYEES OF THE COMPANY. THE PURPOSE OF THE LTIP IS TO PROVIDE INCENTIVE FOR ELIGIBLE EMPLOYEES' CONTRIBUTION TO THE COMPANY'S LONG-TERM SUCCESS. THE LTIP IS UNFUNDED AND ALL PAYMENTS FROM THE LTIP ARE DERIVED FROM THE EQUITY GAINS OF THE COMPANY. AS SUCH THERE IS NO GUARANTEE OF INCENTIVE PAYMENTS UNDER THE LTIP. UPON DELEGATION BY CERTAIN OFFICERS OF THE BOARD, THE CEO AND MANAGEMENT COMMITTEE HAS THE SOLE AND ABSOLUTE DISCRETION TO DETERMINE THE PERFORMANCE OBJECTIVES, BOTH FINANCIAL AND NONFINANCIAL, UPON WHICH PAYMENT OF AWARDS ARE BASED AND THE TIME PERIOD DURING WHICH PERFORMANCE SHALL BE MEASURED (LTIP CYCLE). THE CURRENT LTIP CYCLE IS JANUARY 1, 2013 THROUGH DECEMBER 31, 2015.
FORM 990, PART IX, LINE 24E: PROGRAM SERVICE EXPENSES 194,763. MANAGEMENT AND GENERAL EXPENSES 17,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 212,762.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxt
DELTA DENTAL OF DELAWARE INC
ONE DELTA DRIVEMECHANICSBURGPA17055510228088DENTAL INSURANCEDE501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF WEST VIRGINIA INC
ONE DELTA DRIVEMECHANICSBURGPA17055550523124DENTAL INSURANCEWV501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF THE DISTRICT OF COLUMBIA
ONE DELTA DRIVEMECHANICSBURGPA17055521479587DENTAL INSURANCEDC501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL COMMUNITY CARE FOUNDATION
100 FIRST STREETSAN FRANCISCOCA94105371570764CHARITABLE ORGANIZATIONCA501(C)(3)DENTEGRA GROUP INC0PF
DELTA DENTAL OF CALIFORNIA
100 FIRST STREETSAN FRANCISCOCA94105941461312DENTAL INSURANCECA501(C)(4)DENTEGRA GROUP INC0
DELTA DENTAL OF NEW YORK
ONE DELTA DRIVEMECHANICSBURGPA17055111980218DENTAL INSURANCENY501(C)(4)DENTEGRA GROUP INC0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1PACA MANAGEMENT LLCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1ONE DELTA DRIVEAddressLine1
CityMECHANICSBURGCity
StatePAState
ZIP Code17055ZIPCode
FieldValueIRS element (for citing)
EIN943277375EIN
Primary ActivitiesINSURANCE MANAGEMENTPrimaryActivitiesTxt
Legal Domicile StateDELegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF CALIFORNIABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeTypeTxt
Disproportionate Allocations0DisproportionateAllocationsInd
General Or Managing Partner0GeneralOrManagingPartnerInd
Ownership0.50000OwnershipPct

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (15 entries)

Address Line1ForeignAddress/AddressLine1CityForeignAddress/CityProvince Or StateForeignAddress/ProvinceOrStateCountryForeignAddress/CountryEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPostal CodeForeignAddress/PostalCode
DELTA REINSURANCE CORPORATION
CGI TOWER 2ND FLOORWARRENSST. MICHAELBB980096711REINSURANCEBBDELTA DENTAL OF PENNSYLVANIAC0.870900
DENTEGRA GROUP INC
943386049HOLDING COMPANYC0100 FIRST STREETSAN FRANCISCOCA94105DEN/A
DENTEGRA INSURANCE COMPANY
751233841INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0.200000100 FIRST STREETSAN FRANCISCOCA94105DE
DENTEGRA INSURANCE CO OF NEW ENGLAND
042890218INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0100 FIRST STREETSAN FRANCISCOCA94105MA
ALPHA DENTAL OF NEVADA INC
880244893INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0100 FIRST STREETSAN FRANCISCOCA94105NV
ALPHA DENTAL OF UTAH INC
860672505INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0100 FIRST STREETSAN FRANCISCOCA94105UT
ALPHA DENTAL PROGRAMS INC
742447512INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0100 FIRST STREETSAN FRANCISCOCA94105TX
ALPHA DENTAL OF ALABAMA INC
630796079INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0100 FIRST STREETSAN FRANCISCOCA94105AL
ALPHA DENTAL OF NEW MEXICO INC
330279230INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0100 FIRST STREETSAN FRANCISCOCA94105NM
ALPHA DENTAL OF ARIZONA INC
930939835INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0100 FIRST STREETSAN FRANCISCOCA94105AZ
DENTEGRA SEGUROS DENTALES SA
INSURGENTES SUR 826 PISO 15COL DEL VALLEFC DF 01300MXINSURANCE COMPANYMXDENTEGRA INSURANCE COMPANYC0
DELTA DENTAL OF PUERTO RICO
14 CALLE 2 SUITE 200GUAYNABORQ660436769INSURANCE COMPANYRQDELTA DENTAL OF CALIFORNIAC000968
SERVICIOS DENTALES DENTEGRA SA DE CV
INSURGENTES SUR 826 PISO 15COL DEL VALLEFC DF 01300MXINSURANCE ADMINISTRATIONMXDENTEGRA INSURANCE COMPANYC0
DELTA DENTAL INSURANCE COMPANY
942761537INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0100 FIRST STREETSAN FRANCISCOCA94105DE
DDC INSURANCE HOLDINGS INC
274251930HOLDING COMPANYDELTA DENTAL OF CALIFORNIAC0100 FIRST STREETSAN FRANCISCOCA94105DE
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (10 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
DELTA DENTAL OF DELAWARE INC
L$1,814,245
PACA MANAGEMENT LLC
Q$36,640,141
DELTA DENTAL OF WEST VIRGINIA INC
L$1,547,789
PACA MANAGEMENT LLC
M$7,302,864
DELTA DENTAL INSURANCE COMPANY
M$242,717
DELTA DENTAL OF CALIFORNIA
M$12,727,283
DELTA DENTAL OF NEW YORK
Q$642,657
DELTA DENTAL OF CALIFORNIA
L$13,522,431
DELTA DENTAL OF CALIFORNIA
P$7,246,959
DELTA DENTAL OF CALIFORNIA
Q$237,465