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DELTA DENTAL PLAN OF ARKANSAS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL PLAN OF ARKANSAS INC (EIN 71-0561140)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-12
IRS object ID
201443179349303114
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)
Return2014-11-12T14:26:34-07:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN710561140EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL PLAN OF ARKANSAS INCBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone5018353400PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11513 Country Club RoadAddressLine1
CitySherwoodCity
StateARState
ZIP Code72120ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPhyllis RogersPersonNm
Person TitleSenior VP & CFOPersonTitleTxt
Phone5019921616PhoneNum
Signature2014-11-12SignatureDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerPhyllis L RogersPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11513 Country Club RoadAddressLine1
CitySherwoodCity
StateARState
ZIP Code72120ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$434,011,470GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.deltadentalar.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1982FormationYr
Legal Domicile StateARLegalDomicileStateCd
Activity Or MissionSee Schedule O.ActivityOrMissionDesc
Voting Members Governing Body13VotingMembersGoverningBodyCnt
Voting Members Independent12VotingMembersIndependentCnt
Total Employee177TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$2,985,786TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$201,940NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$395,893,020PYProgramServiceRevenueAmt
CY Program Service Revenue$401,116,324CYProgramServiceRevenueAmt
PY Investment Income$2,437,017PYInvestmentIncomeAmt
CY Investment Income$3,544,854CYInvestmentIncomeAmt
PY Other Revenue$2,430,493PYOtherRevenueAmt
CY Other Revenue$2,991,242CYOtherRevenueAmt
PY Total Revenue$400,760,530PYTotalRevenueAmt
CY Total Revenue$407,652,420CYTotalRevenueAmt
PY Grants And Similar Paid$2,193,806PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,844,631CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$361,849,003PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$366,049,182CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$269,825PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,761,000CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$29,580,028PYOtherExpensesAmt
CY Other Expenses$18,242,532CYOtherExpensesAmt
PY Total Expenses$393,892,662PYTotalExpensesAmt
CY Total Expenses$400,897,345CYTotalExpensesAmt
PY Revenues Less Expenses$6,867,868PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,755,075CYRevenuesLessExpensesAmt
Total Assets BOY$107,900,124TotalAssetsBOYAmt
Total Assets EOY$116,141,973TotalAssetsEOYAmt
Total Liabilities BOY$33,472,802TotalLiabilitiesBOYAmt
Total Liabilities EOY$34,959,576TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$74,427,322NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$81,182,397NetAssetsOrFundBalancesEOYAmt
MissionPromote oral health and vision health in the state of Arkansas and to improve the awareness and education of the public on oral and vision health matters.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$390,575,540ExpenseAmt
Grant$127,615GrantAmt
Revenue$401,304,571RevenueAmt
DescPromote the oral health care of the community through group and individual dental insurance contracts and third party dental claims administrationDesc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$390,575,540TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document52740IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee177EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members13GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonPhyllis L RogersPersonNm
Phone5019921616PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11513 Country Club RoadAddressLine1
CitySherwoodCity
StateARState
ZIP Code72120ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
Weldon Johnson Jr
Chairman80Yes (X)$12,900$0$17,500
Dr James T Johnston DDS
Director50Yes (X)$15,700$0$0
Susie Smith
Vice Chairman/Treasurer50Yes (X)$2,700$0$17,500
Dr Mel Collazo
Secretary50Yes (X)$16,900$0$0
Ronald Ownbey
Director5Yes (X)$600$0$14,500
Harold Perrin
Director50Yes (X)$13,000$0$0
Robert Gladden
Director50Yes (X)$17,300$0$0
Terri Miller
Director50Yes (X)$15,900$0$0
Dr Troy John Dryden Bartels
Director50Yes (X)$600$0$15,500
Robert Mason
Director50Yes (X)$17,500$0$0
Sarah Clark
Director50Yes (X)$15,000$0$0
R Mark Bailey
Director50Yes (X)$13,640$0$3,260
Wayne Callahan
Director50Yes (X)$15,600$0$0
Ed Choate
President & CEO600$534,945$0$50,722Yes (X)
Phyllis Rogers
Senior VP & CFO600$280,880$0$48,938Yes (X)
Lynn Harbert
Senior VP & COO600$277,943$0$31,139Yes (X)
Dr Herman Hurd
VP Professional Relations600$236,126$0$26,400Yes (X)
Allen Moore
VP Information Technology600$217,621$0$22,284Yes (X)
Melissa Masingill
VP, Public Affairs600$159,728$0$17,205Yes (X)
James Couch
VP and General Counsel600$112,236$0$4,125Yes (X)
Jay Reavis
VP, Sales and Account Management300$0$57,372$2,095Yes (X)
James Johnson
VP Marketing600$150,794$0$25,653Yes (X)Yes (X)
David Brockman
Dental Consultant600$152,364$0$18,553Yes (X)Yes (X)
Louis Crow
Dental Consultant600$134,025$0$16,384Yes (X)
Christa Pittman
Director of Sales600$127,835$0$12,754Yes (X)
Aron Harris
Director of IT600$113,356$0$13,730Yes (X)
Maxine Fricioni
Director, Projects & Business Processes600$111,891$0$13,474Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,767,084TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$57,372TotReportableCompRltdOrgAmt
Total Other Compensation$371,716TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K16IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Avesis
PO Box 7777PhoenixAZ850117777Vision TPA$4,118,987
Emdeon Business Services
PO Box 572490MurrayUT841572490Printing & Postage$1,928,277
United Healthcare Insurance Company
Dept CH 10151PalatineIL600550151Health insurance carrier for employees$1,529,136
The Hatcher Agency
PO Box 3505Little RockAR72203Brokers$1,241,771
Delta Dental Plan of Michigan Inc
4100 Okemos RoadOkemosMI48864Administrative Service agreement with affiiate$667,455
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Dental Benefits524298$102,745,077$102,745,077$0$0
Dental ASC & Admin Income524298$282,701,397$282,701,397$0$0
Dental Reinsurance524298$15,669,850$15,669,850$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$401,116,324TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$844,275TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$844,275ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

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

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

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

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$16,997,616SecuritiesAmt
Other$12,062,013OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$14,459,627SecuritiesAmt
Other$11,899,423OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$2,537,989SecuritiesAmt
Other$162,590OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,700,579TotalRevenueColumnAmt
Related Or Exempt Func Income$162,590RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,537,989ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Contri Rpt Fundraising Event$0ContriRptFundraisingEventAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Vision Benefits524298$2,985,786$0$2,985,786$0
Other income900099$5,456$0$0$5,456

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,991,242OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$407,652,420TotalRevenueColumnAmt
Related Or Exempt Func Income$401,278,914RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,985,786UnrelatedBusinessRevenueAmt
Exclusion$3,387,720ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,844,631TotalAmt
Program Services$3,844,631ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$366,049,182TotalAmt
Program Services$366,049,182ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$228,401TotalAmt
Program Services$0ProgramServicesAmt
Management And General$228,401ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$9,317,875TotalAmt
Program Services$5,590,725ProgramServicesAmt
Management And General$3,727,150ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$833,594TotalAmt
Program Services$0ProgramServicesAmt
Management And General$833,594ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,694,188TotalAmt
Program Services$1,016,513ProgramServicesAmt
Management And General$677,675ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$686,942TotalAmt
Program Services$0ProgramServicesAmt
Management And General$686,942ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$163,188TotalAmt
Program Services$97,913ProgramServicesAmt
Management And General$65,275ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$29,541TotalAmt
Program Services$0ProgramServicesAmt
Management And General$29,541ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$193,402TotalAmt
Program Services$0ProgramServicesAmt
Management And General$193,402ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$124,991TotalAmt
Program Services$0ProgramServicesAmt
Management And General$124,991ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$8,085,652TotalAmt
Program Services$7,526,998ProgramServicesAmt
Management And General$558,654ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$563,764TotalAmt
Program Services$0ProgramServicesAmt
Management And General$563,764ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,983,066TotalAmt
Program Services$1,784,759ProgramServicesAmt
Management And General$198,307ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$250,638TotalAmt
Program Services$250,638ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$537,832TotalAmt
Program Services$0ProgramServicesAmt
Management And General$537,832ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$377,648TotalAmt
Program Services$226,589ProgramServicesAmt
Management And General$151,059ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$116,080TotalAmt
Program Services$69,648ProgramServicesAmt
Management And General$46,432ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

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

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$278,272TotalAmt
Program Services$0ProgramServicesAmt
Management And General$278,272ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$983,181TotalAmt
Program Services$983,181ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$45,375TotalAmt
Program Services$0ProgramServicesAmt
Management And General$45,375ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Claims processing$1,690,909$1,690,909$0$0
Equip Repairs & Maintenance$1,263,575$758,145$505,430$0
Premium taxes$521,316$521,316$0$0
Bank Charges$180,208$108,125$72,083$0

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$853,894TotalAmt
Program Services$56,268ProgramServicesAmt
Management And General$797,626ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$400,897,345TotalAmt
Program Services$390,575,540ProgramServicesAmt
Management And General$10,321,805ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,795,791BOYAmt
EOY$12,899,678EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$195,000BOYAmt
EOY$245,000EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,862,206BOYAmt
EOY$27,772,697EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,073,481BOYAmt
EOY$1,156,588EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$23,930,114LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,953,252LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,748,463BOYAmt
EOY$9,976,862EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$35,909,300BOYAmt
EOY$39,405,770EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$16,120,436BOYAmt
EOY$23,282,026EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,195,447BOYAmt
EOY$1,403,352EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$107,900,124BOYAmt
EOY$116,141,973EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$23,973,946BOYAmt
EOY$25,907,161EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,899,670BOYAmt
EOY$2,064,146EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$7,599,186BOYAmt
EOY$6,988,269EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$33,472,802BOYAmt
EOY$34,959,576EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$74,427,322BOYAmt
EOY$81,182,397EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$74,427,322BOYAmt
EOY$81,182,397EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$107,900,124BOYAmt
EOY$116,141,973EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$6,755,075ReconcilationRevenueExpnssAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$2,315,515OtherCostOrOtherBasisAmt
Book Value$2,315,515BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$8,299,067OtherCostOrOtherBasisAmt
Depreciation$1,685,166DepreciationAmt
Book Value$6,613,901BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

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

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$11,690,428OtherCostOrOtherBasisAmt
Depreciation$10,743,877DepreciationAmt
Book Value$946,551BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,625,104OtherCostOrOtherBasisAmt
Depreciation$1,524,209DepreciationAmt
Book Value$100,895BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$9,976,862TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$18,447,214BookValueAmt
Method ValuationFMethodValuationCd

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescCaprocq Core Real Estate FundDesc
Book Value$4,834,812BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$23,282,026TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Reinsurance liabilities$4,521,103
Prefund deposits and refund checks$1,873,122
Payable to affiliates$594,044
FieldValueIRS element (for citing)
Total Liability$6,988,269TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records Maintained0GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDescPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2
Delta Dental Foundation of Arkansas
1513 Country Club RoadSherwoodAR72120261569324501$3,433,301Not applicableNot applicableCharitable mission
UAMS Foundation
1401 W Capitol AvenueLittle RockAR72201716056774501$200,000Not applicableNot applicableSponsorshipSuite 300 Victory Bldg
CARTI Foundation
PO Box 55011Little RockAR72215710589907501$20,500Not applicableNot applicableSponsorship4 St Vincent Circle
Easter Seals Arkansas
3920 Woodland Heights RdLittle RockAR72212710123680501$15,200Not applicableNot applicableSponsorship
Riverfest
500 President Clinton AveLittle RockAR72201710530405$15,000Not applicableNot applicableSponsorshipSuite 217
AR Livestock Show Association
2600 Howard StreetLittle RockAR72206710236776501$13,000Not applicableNot applicableSponsorship
AR Kids Read
PO Box 164407Little RockAR72216461477513501$12,600Not applicableNot applicableSponsorship
American Heart Association
909 W 2nd StreetLittle RockAR72201135613797501$11,500Not applicableNot applicableSponsorship
Baptist Health Foundation
9601 I 630Little RockAR72205237169407501$9,000Not applicableNot applicableSponsorshipExit 7
Arkansas Repertory Theatre
PO Box 110Little RockAR722039499710480336501$7,500Not applicableNot applicableSponsorship
Ronald McDonald House
1009 Wolfe StreetLittle RockAR72202710525252501$6,000Not applicableNot applicableSponsorship
Rotary Club of Little Rock
1501 N University AvenueLittle RockAR72207710589695501$5,050Not applicableNot applicableSponsorshipSuite 240
FieldValueIRS element (for citing)
Total501c3 Org11Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

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

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Ed Choate
President & CEO$422,202$0$101,797$0$10,947$0$50,722$0$0$0$585,668$0$19,740$556,053
Phyllis Rogers
Senior VP & CFO$213,834$0$66,433$0$613$0$48,938$0$0$0$329,818$0$19,978$299,929
Lynn Harbert
Senior VP & COO$210,562$0$66,735$0$646$0$31,139$0$0$0$309,082$0$0$292,003
Dr Herman Hurd
VP Professional Relations$179,747$0$55,763$0$613$0$26,400$0$0$0$262,523$0$0$253,198
Allen Moore
VP Information Technology$166,613$0$51,007$0$0$0$22,284$0$0$0$239,904$0$0$229,891
Melissa Masingill
VP, Public Affairs$131,268$0$27,609$0$852$0$17,205$0$0$0$176,934$0$0$150,838
James Johnson
VP Marketing$96,979$0$53,814$0$0$0$25,653$0$0$0$176,446$0$0$289,360
James Couch
VP and General Counsel$96,979$0$53,814$0$0$0$25,653$0$0$0$176,446$0$0$0
David Brockman
Dental Consultant$146,890$0$5,449$0$26$0$18,553$0$0$0$170,918$0$0$135,751
Louis Crow
Dental Consultant$129,421$0$4,604$0$0$0$16,384$0$0$0$150,409$0$0$0
Christa Pittman
Director of Sales$87,884$0$39,925$0$26$0$12,754$0$0$0$140,589$0$0$163,260
Aron Harris
Director of IT$97,426$0$15,904$0$26$0$13,730$0$0$0$127,086$0$0$0
Maxine Fricioni
Director, Projects & Business Processes$95,909$0$15,967$0$15$0$13,474$0$0$0$125,365$0$0$127,438
Jay Reavis
VP, Sales and Account Management$0$75,329$0$0$0$0$0$2,095$0$0$0$77,424$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

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

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Metropolitan National Bank
Entity in which Susie Smith is officer$131,731Bank fees0
Mark Bailey DDS
Participating provider$108,968provider fees0
Troy Bartells DDS
Participating provider$156,642provider fees0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part I, Line 1Delta Dental of Arkansas' (Delta Dental) mission is to promote oral and vision health in the state of Arkansas and to improve the awareness and education of the public on oral and vision health matters. It is Delta Dental's mission to be the leading force in the delivery, administration and marketing of quality dental and vision programs, and related services, responsive to the needs of purchaser, the patients, and member providers for the purpose of promoting dental and eyesight health for Arkansas. In fulfilling this mission, Delta Dental will maintain financial soundness and seek to grow through new product development and consideration of marketing opportunities consistent with our areas of expertise. Delta Dental is the state's largest dental benefits administrator serving Arkansas employers of all sizes as well as individuals. Delta Dental has the largest network of participating dentists. Nine out of ten Arkansas dentists are members of Delta Dental's network. In 2013, Delta Dental processed more than $2.4 million claims with an average turnaround time for paying claims of less than one calendar day. During the same period, our customer service center answered more than 623,000 phone calls with an average response rate of 29 seconds. On average, 99.96% of customer calls are resolved on the first contact which results in an extremely high degree of customer satisfaction (97%). Delta Dental's growth and efficiency in managing its organization allows the company to invest significant dollars in worthy causes. Over the last 5 years, we have donated more than $10.7 million to charitable programs throughout the state. Delta Dental annually donates more than $500,000 to fund charity dental clinics throughout the state, purchase water fluoridation equipment for community water systems, endow scholarships for dentists, hygienists and dental assistants and provide oral health education to thousands of elementary school children along with other projects as described below. The Arkansas Mission of Mercy (ARMOM), sponsored by the Arkansas state dental association, is a two-day, free dental clinic that treats uninsured Arkansans each year. From the beginning, Delta Dental has been the major corporate sponsor donating $100,000 each year to ARMOM. To date our combined efforts have resulted in the donation of $6.4 million services to over 11,500 Arkansans. In 2008, Delta Dental, The Ronald McDonald House charities of Arkansas and Arkansas Children's Hospital began discussing the possibility of a mobile dental unit to provide services for children across Arkansas who did not have access to dental care. Those discussions resulted in a partnership between the three organizations launching Arkansas' first Ronald McDonald Care Mobile (RMCM). Its mission is to bring school-based dental care and oral health educational services to underserved children in central Arkansas. In February 2010, Arkansas received its second RMCM to help ensure underserved children in Northwest Arkansas receive the care they need. Between mobile clinics, over 4,200 children have been treated through over 10,000 appointments and have provided approximately $3 million of dental care - all at no cost to the patient or their family.
Form 990, Part VI, Section A, Line 3Investments are managed by Stephens Capital Management and Intrust Wealth Management within the defined parameters of Delta Dental's written investment policy, which is approved by the board of directors.
Form 990, Part VI, Section A, Line 6Yes the organization has one corporate member.
Form 990, Part VI, Section A, Line 7aThe directors shall be elected at the annual meeting of the member, consistent with the terms and conditions of any and all voting agreements, proxies and/or affiliation agreements entered into by the corporation and any other party or parties, then in effect with an affiliating corporation(s).
Form 990, Part VI, Section B, Line 11bThe information presented on the form 990 is gathered by the Director of Finance for the organization. The Chief Financial Officer reviews the information. Once complete an electronic copy of the form 990 is posted for our board's review, prior to the form 990 being filed with the IRS.
Form 990, Part VI, Section B, Line 12cEach interested person shall sign an annual certification affirming (1) receipt of the conflict of interest, (2) the policy and code of conduct has been read and understood and (3) agreement to comply with the policy and code of conduct. In addition, interested parties shall be required to annually complete and file an annual disclosure statement within one month of the date of request. Annual disclosure statements and any subsequent amendments are reviewed by the governance committee in conjunction with legal counsel and a report of disclosed conflicts are made to Delta Dental's board of directors. Periodic reviews are also performed to ensure Delta Dental operates in accordance with the conflict of interest policy.
Form 990, Part VI, Section B, Line 15The compensation of the organization's CEO is reviewed annually by the compensation committee. The compensation committee consists of board members, none of whom have a conflict with respect to the compensation of the officers. On a bi-annual basis, the compensation committee reviews market pricing and benchmarking data for the compensation of the leadership team and the staff. This analysis, from a variety of national, regional and local compensation surveys include the use of data as to comparable compensation for similarly situated organizations and reviews annual base salary compensation, incentive/bonus compensation, deferred compensation and benefits. The data meets the compensation philosophy and strategic plan as determined and approved by the board of directors. The documented results and recommendations of this analysis are presented to the compensation committee and board of directors for approval. These decisions are documented in the minutes of the compensation committee and board of directors.
Form 990, Part VI, Section C, Line 19Governing documents, conflict of interest policy, and financial statements are available to the public upon request.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line2DisregardedEntityName/BusinessNameLine2
Delta Dental of Arkansas Foundation
1513 Country Club RoadSherwoodAR72120261569324Public ActAR501(c)(3)PFN/AYes (1)
Delta Dental of Arkansas Political Action
1513 Country Club RoadSherwoodAR72120273207545Pol ActionAR527Not applicableN/AYes (1)Committee

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Omega Administrators Inc
1513 Country Club RoadSherwoodAR72120043740469Claims AdmARN/AC$1,707,204$1,619,1841Yes (1)
Renaissance Holding Company
PO Box 30381LansingMI48909412177193Holding companyMIN/AC$0$16,820,3630.1320
Delta Dental Plan of Michigan
PO Box 30381LansingMI48909381791480Dental insuranceMIC$0$00Yes (1)Renaissance Health Service Corporation
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Omega Administrators Inc
l$919,639Contractual payments
Delta Dental of Arkansas Foundation
b$3,433,301Distribution paid
Renaissance Holding Company
r$7,000,000Distribution paid
Delta Dental Plan of Michigan
m$1,261,499Distribution paid

Reasonable Cause Explanation ReasonableCauseExplanation

FieldValueIRS element (for citing)
ExplanationNot applicableExplanationTxt