STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

DELTA DENTAL OF PENNSYLVANIA: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF PENNSYLVANIA (EIN 23-1667011)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201223209349301237
Schema version
2011v1.2
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)
Timestamp2012-11-15T08:17:49-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN341851358EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CBIZ MHM LLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line13625 CUMBERLAND BLVD STE 800AddressLine1
CityATLANTACity
StateGAState
ZIP Code30082ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN231667011EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF PENNSYLVANIABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDELTNameControl
Phone7177668500Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJEANNE FOSTERName
TitleVP, FINANCETitle
Phone7177668500Phone
Date Signed2012-11-08DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
PTINP01064143PTIN
Phone7708584500Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonJEANNE FOSTERNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1ONE DELTA DRIVEAddressLine1
CityMECHANICSBURGCity
StatePAState
ZIP Code17055ZIPCode
FieldValueIRS element (for citing)
Gross Receipts568680154GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DELTADENTALINS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1964YearFormation
State Legal DomicilePAStateLegalDomicile
Activity Or Mission DescriptionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees936TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year521387557ProgramServiceRevenuePriorYear
Program Service Revenue CY560741254ProgramServiceRevenueCY
Investment Income Prior Year1717096InvestmentIncomePriorYear
Investment Income Current Year7047850InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year-44329OtherRevenueCurrentYear
Total Revenue Prior Year523104653TotalRevenuePriorYear
Total Revenue Current Year567744775TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year300996GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY289933GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year469378602BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY503874051BenefitsPaidToMembersCY
Salaries Etc Prior Year20760000SalariesEtcPriorYear
Salaries Etc Current Year24279707SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year26033862OtherExpensePriorYear
Other Expenses Current Year28974528OtherExpensesCurrentYear
Total Expenses Prior Year516473460TotalExpensesPriorYear
Total Expenses Current Year557418219TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6631193RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10326556RevenuesLessExpensesCY
Total Assets BOY120682036TotalAssetsBOY
Total Assets EOY134319855TotalAssetsEOY
Total Liabilities BOY65522069TotalLiabilitiesBOY
Total Liabilities EOY69571544TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY55159967NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY64748311NetAssetsOrFundBalancesEOY
Mission DescriptionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense552949827Expense
Revenue560741254Revenue
DescriptionTHE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 2,097,713 BENEFICIARIES IN 2011 PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS SERVING 3,889 PURCHASING GROUPS. THE ORGANIZATION PAID MORE THAN $504 MILLION FOR DENTAL CARE DURING 2011.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense289933Expense
Grants289933Grants
DescriptionTHE ORGANIZATION MADE GRANTS DURING 2011 TO FOSTER IMPROVED ACCESSTO DENTAL HEALTH CARE TREATMENT, TO SUPPORT PROFESSIONAL DENTALEDUCATION, AND TO PROVIDE ORAL HEALTH INSTRUCTION FOR PATIENTS.Description
FieldValueIRS element (for citing)
Total Program Service Expense553239760TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities1ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization1BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096132297NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees936NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryBBNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body0Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1JEANNE FOSTER VP FINANCEBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7177668500TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (37 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
JOSEPH P BECK JR
DIRECTOR1.00X1040000
RICHARD W BLOOMINGDALE
DIRECTOR1.00X1230000
EUGENE F CARTER JR
TREASURER1.00X1660300
DONALD R GORDON DDS
CHAIRMAN2.00X2720300
KENNETH G MILLER DDS
DIRECTOR1.00X1320000
GREGORY W PYLE DMD
DIRECTOR1.00X1320000
JOHN H RHODES
DIRECTOR1.00X1320000
S KATHLEEN SHIVERY
DIRECTOR1.00X1420300
JOHN J CHARLETTA DMD
DIRECTOR1.00X1380000
WILLIAM A DELVECCHIO DMD
DIRECTOR1.00X1320000
RONALD HELMINSKI DMD
DIRECTOR1.00X1480300
ERIC N HODGES DMD
DIRECTOR1.00X1380000
HARRY MEYERS DDS
DIRECTOR1.00X000
RICHARD J CLARK DDS
DIRECTOR1.00X980000
GLENN F BERGERT CPA
VICE CHAIRMAN1.00X1714500
JANICE R BLACK
SECRETARY1.00X1200000
LOUIS GREGORIO
DIRECTOR1.00X1320000
MICHAEL B LOUGHRAN
DIRECTOR1.00X1260000
PATRICIA A MCVICKER
DIRECTOR1.00X1260000
GARY D RADINE
PRESIDENT5.0001816137041534X
ANTHONY S BARTH
CHIEF OPERATING OFFICER4.00013542472681145X
MICHAEL J CASTRO
CHIEF FINANCIAL OFFICER4.0009273201183511X
PATRICK S STEELE
CHIEF INFORMATION OFFICER4.0009409111929395X
CHARLES LAMONT
CHIEF LEGAL OFFICER4.0008151971427517X
ALICIA WEBER
SENIOR VICE PRES./CONTROLLER4.00056578655447X
ROY M HILLIARD
VICE PRESIDENT, SALES46.00330392025715X
RENEE A FISHER
VP, QUALITY ASSURANCE & TRAINING46.00278352032186X
PHILIP N ENGLE
VP, INFORMATION TECHNOLOGY46.00272215035172X
JEANNE M FOSTER
VICE PRESIDENT, FINANCE46.00290814037131X
RICHARD C GRAYBILL
VP, UNDERWRITING & ACTUARIAL48.00240698026125X
KAREN L ROBINSON
ASSISTANT SECRETARY46.00117373026065X
WHITNEY H SHERBOCKER
ASSISTANT SECRETARY46.00166950030850X
RICHARD SCHON
DIRECTOR, SALES40.00286617038486X
ROBERT D COOVER
DIRECTOR, SALES40.00284250036833X
CHRISTOPHER DAVIS
SALES ACCOUNT EXECUTIVE40.00276567040754X
ALBERT J MACDONALD
SALES ACCOUNT EXECUTIVE, SENIOR40.00239403030867X
MICHAEL P ROHRBAUGH
SALES ACCOUNT EXECUTIVE40.00230246036403X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3267134TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs22764831TotalReportableCompFrmRltdOrgs
Total Other Compensation7715136TotalOtherCompensation
Number Individuals GT100 K44NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
AEROTECK PROFESSIONAL SERIVCES
3689 COLLECTION CENTER DRIVECHICAGOIL60693TEMP EMPLOYEES829555
APPLE ONE EMPLOYMENT SERVICES INC
PO BOX 29048GLENDALECA91209TEMP EMPLOYEES666498
NAUMAN SMITH SHISSLER & HALL LLP
200 NORTH THIRD STREET 18TH FLOORHARRISBURGPA17108LEGAL615483
ARMANINO MCKENNA LLP
12667 ALCOSTA BLVD SUITE 500SAN RAMONCA94583AUDITING595186
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionDIRECT PREMIUMSDescription
Total Revenue Column560741254TotalRevenueColumn
Related Or Exempt Function Income560741254RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue560741254TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7038714TotalRevenueColumn
Related Or Exempt Function Income7038714RelatedOrExemptFunctionIncome

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities944515Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities935379Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities9136Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9136TotalRevenueColumn
Related Or Exempt Function Income9136RelatedOrExemptFunctionIncome

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column-44329TotalRevenueColumn
Related Or Exempt Function Income-44329RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue-44329TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column567744775TotalRevenueColumn
Related Or Exempt Function Income567744775RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total289933Total
Program Services289933ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total503874051Total
Program Services503874051ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total3572291Total
Program Services3329732ProgramServices
Management And General242559ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total14791444Total
Program Services13787105ProgramServices
Management And General1004339ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1555126Total
Program Services1449533ProgramServices
Management And General105593ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total3163282Total
Program Services2948495ProgramServices
Management And General214787ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1197564Total
Program Services1116249ProgramServices
Management And General81315ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total298597Total
Management And General298597ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total556935Total
Management And General556935ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total253062Total
Management And General253062ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total309912Total
Program Services288869ProgramServices
Management And General21043ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2765128Total
Program Services2577376ProgramServices
Management And General187752ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total7741400Total
Program Services7215759ProgramServices
Management And General525641ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total548505Total
Program Services511262ProgramServices
Management And General37243ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1083190Total
Program Services1009642ProgramServices
Management And General73548ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total27389Total
Program Services25529ProgramServices
Management And General1860ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2208Total
Program Services2208ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total488494Total
Program Services455325ProgramServices
Management And General33169ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total227383Total
Program Services211944ProgramServices
Management And General15439ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
COMMISSIONS69318726931872
ADMINISTRATIVE FEES48840264552401331625
LICENSES, PERMITS, AND72257967351649063
BANK CHARGES43176340244629317

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1702085Total
Program Services1586513ProgramServices
Management And General115572ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total557418219Total
Program Services553239760ProgramServices
Management And General4178459ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY74775BOY
EOY3821814EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY45300982BOY
EOY50404093EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY3360000BOY
EOY3360000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1163470BOY
EOY1219145EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis33970668LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec19937336LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY14438528BOY
EOY14033332EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY42190136BOY
EOY41525018EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY13690391BOY
EOY19506107EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY463754BOY
EOY450346EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY120682036BOY
EOY134319855EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY57386563BOY
EOY63374728EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY6435139BOY
EOY3985222EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1700367BOY
EOY2211594EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY65522069BOY
EOY69571544EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY55159967BOY
EOY64748311EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY55159967BOY
EOY64748311EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY120682036BOY
EOY134319855EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses10326556ReconcilationRevenueExpenses
Reconcilation Other Changes-738212ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1620279OtherCostOrOtherBasis
Book Value1620279BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12505533OtherCostOrOtherBasis
Depreciation5009638Depreciation
Book Value7495895BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1753439OtherCostOrOtherBasis
Depreciation1717977Depreciation
Book Value35462BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis5381589OtherCostOrOtherBasis
Depreciation4518327Depreciation
Book Value863262BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis12709828OtherCostOrOtherBasis
Depreciation8691394Depreciation
Book Value4018434BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings14033332TotalOfBookValueLandBuildings

Other Securities OtherSecurities (4 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
DELTA DENTAL INSURANCE COMPANY4885C
DELTA REINSURANCE CORPORATION15850869F
DDPA, INC.100C
DENTEGRA INSURANCE COMPANY3650253F
FieldValueIRS element (for citing)
Total Of Book Value Securities19506107TotalOfBookValueSecurities

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO SUBSIDIARIES AND AFFILIATESDescription
Amount$2,211,594Amount
FieldValueIRS element (for citing)
Total Of Amounts2211594TotalOfAmounts
Total Revenue567744775TotalRevenue
Total Expenses557418219TotalExpenses
Excess Or Deficit For Year10326556ExcessOrDeficitForYear
Net Unrealized GL On Investments-738212NetUnrealizedGLOnInvestments
Total Adjustments-738212TotalAdjustments
Excess Or Deficit Per FS9588344ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt223950130TotRevenueEtcAuditedFinclStmt
Revenue Not Rptd F9900RevenueNotRptdF990
Revenue Subtotal223950130RevenueSubtotal
Other Revenues Not Included343794645OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt343794645RevenueNotRptdOnFinStmt
Total Revenue Per Form990567744775TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt213623574TotExpensesEtcAuditedFinclStmt
Expenses Not Rptd F9900ExpensesNotRptdF990
Expenses Subtotal213623574ExpensesSubtotal
Other Expenses Not Included343794645OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt343794645ExpensesNotRptdOnFinStmt
Total Expenses Per Form990557418219TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierExplanationExplanation
PART XII, LINE 4B - OTHER ADJUSTMENTS:ADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE
PART XIII, LINE 4B - OTHER ADJUSTMENTS:CLAIMS ACCRUED FOR ADMINISTRATIVE SERVICE CONTRACTS
PART X, LINE 2 - FIN 48 (ASC 740) FOOTNOTE: 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.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

FieldValueIRS element (for citing)
RegionCENTRAL AMERICA AND THE CARIBBEANRegion
Number Of Offices0NumberOfOffices
Number Of Employees0NumberOfEmployees
Type Of Activities ConductedINVESTMENT IN DELTA REINSURANCE CORPORATIONTypeOfActivitiesConducted
Total Expenditures15850869TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Number Of Offices0SubtotalNumberOfOffices
Subtotal Number Of Employees0SubtotalNumberOfEmployees
Cont Number Of Offices0ContNumberOfOffices
Cont Number Of Employees0ContNumberOfEmployees
Total Number Of Offices0TotalNumberOfOffices
Total Number Of Employees0TotalNumberOfEmployees
Subtotal Amount Spent15850869SubtotalAmountSpent
Cont Amount Spent0ContAmountSpent
Total Amount Spent15850869TotalAmountSpent
Transfer To Foreign Corp0TransferToForeignCorp
Interest In Foreign Trust0InterestInForeignTrust
Own Foreign Corp1OwnForeignCorp
Passive Foreign Invest Co0PassiveForeignInvestCo
Foreign Partnership0ForeignPartnership
Boycott Countries0BoycottCountries

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (27 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
KIDS SMILES INC
2821 ISLAND AVENUE SUITE 210PHILADELPHIAPA191533002497174000TO PROVIDE DENTAL EDUCATION
CCBC FOUNDATION
7200 SOLLERS POINT RDDUNDALKMD212222032466765000TO PROVIDE DENTAL EDUCATION
HEALTHLINK MEDICAL CENTER
1775 SREET RDSOUTHAMPTONPA189662329987085000TO PROVIDE DENTAL EDUCATION
BRADFORD COUNTY DENTAL HEALTH SERVICES
1 PROGRESS PLAZA SUITE 6TOWANDAPA188482328893005000TO PROVIDE DENTAL EDUCATION
CENTRE VOLUNTEERS IN MEDICINE
2520 GREEN TECH DRSTATE COLLEGEPA168032518979695000TO PROVIDE DENTAL EDUCATION
CRESCENT PARK DENTAL CLINIC WARREN GEN HOSPITAL
2 W CRESCENT PARKWARRENPA163652509655985000TO PROVIDE DENTAL EDUCATION
ST JOSEPH MEDICAL CENTER
PO BOX 316READINGPA196032328654605000TO PROVIDE DENTAL EDUCATION
SUSQUEHANNA HEALTH SYSTEM DENTAL CLINIC
469 HEPBURN STWILLIAMSPORTPA177012327434705000TO PROVIDE DENTAL EDUCATION
ST LUKE'S HOSPITAL & HEALTH NETWORK
801 OSTRUM STBETHLEHEMPA180152313522133750TO PROVIDE DENTAL EDUCATION
GEISINGER CLINIC
100 N ACADEMY AVEDANVILLEPA1782223296723510000TO PROVIDE DENTAL EDUCATION
HAMILTON HEALTH CENTER
1821 FULTON STHARRISBURGPA171022318583635000TO PROVIDE DENTAL EDUCATION
COMMUNITY HEALTH CLINIC OF BUTLER COUNTY
103 BONNIE DRBUTLERPA160012048521355000TO PROVIDE DENTAL EDUCATION
PHOENIXVILLE HEALTHCARE ACCESS FUND
32 GAY STPHOENIXVILLEPA194602025561215000TO PROVIDE DENTAL EDUCATION
UNITED WAY OF THE CAPITAL REGION
2235 MILLINIUM WAYENOLAPA1702523135209534478TO PROVIDE DENTAL EDUCATION
CHESTER COUNTY COMMUNITY DENTAL CLINIC
744 E LINCOLN HWYCOATESVILLEPA193200616548165000TO PROVIDE DENTAL EDUCATION
COMMUNITY HEALTH AND DENTAL CARE
11 ROBINSON ST STE 100POTTSTOWNPA194642027644023500TO PROVIDE DENTAL EDUCATION
KEYSTONE DENTAL CARE
767 5TH AVENUE STE B-3ACHAMBERSBURGPA172012515468105000TO PROVIDE DENTAL EDUCATION
PRIMARY CARE COALITION OF MONTGOMERY COUNTY
8757 GEORGIA AVE 10TH FLOORSILVER SPRINGMD209105218479765000TO PROVIDE DENTAL EDUCATION
WATER STREET DENTAL CLINIC
210 S PRINCE STREETLANCASTERPA176032327983185000TO PROVIDE DENTAL EDUCATION
YORK HOSPITAL DENTAL CLINIC
912 S GEORGE STYORKPA174032330501925000TO PROVIDE DENTAL EDUCATION
COMMUNITY HEALTH CLINIC INC
943 4TH AVENEW KENSINGTONPA150682513092565000TO PROVIDE DENTAL EDUCATION
ALBERT EINSTEIN MEDICAL CENTER
5501 OLD YORK RDPHILADELPHIAPA191412322903235000TO PROVIDE DENTAL EDUCATION
ALTOONA AREA REGIONAL PARTNERSHIP
620 HOWARD AVEALTOONAPA166012518423085000TO PROVIDE DENTAL EDUCATION
ST PAUL'S NEIGHBORHOOD DENTAL CLINIC
1608 WALNUT STERIEPA165022517114282500TO PROVIDE DENTAL EDUCATION
THE DENTAL HEALTH CLINIC
107 S MARKET STBERWICKPA1860323308308010000TO PROVIDE DENTAL EDUCATION
DELTA DENTAL COMMUNITY CARE FOUNDATION
100 FIRST STREETSAN FRANCISCOCA94105371570764113050TO PROVIDE DENTAL EDUCATION
MISC SMALL DONATIONS LESS THAN 5000
18655TO PROVIDE DENTAL EDUCATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants37TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments1AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (17 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
GARY D RADINE
012500040125000001566136602419401734001820290404453200
ANTHONY S BARTH
080000404500000104243026571450240000403539200
MICHAEL J CASTRO
05499960350000027324011595110240000211083100
PATRICK S STEELE
05250000375000040911019120550173400287030600
CHARLES LAMONT
04500000325000040197014101770173400224271400
ALICIA WEBER
03703280172000023458033843021604062123300
ROY M HILLIARD
2195930929750178240105210151940356107000
RENEE A FISHER
2133280550000100240155690166170310538000
PHILIP N ENGLE
217869045000093460186320165400307387000
JEANNE M FOSTER
2336740460000111400205100166210327945000
RICHARD C GRAYBILL
19800903500007689019636064890266823000
WHITNEY H SHERBOCKER
149895014400026550142830165670197800000
RICHARD SCHON
10995901662060104520218770166090325103000
ROBERT D COOVER
11446901572250125560218770149560321083000
CHRISTOPHER DAVIS
609380211503041260237840169700317321000
ALBERT J MACDONALD
7059301542870145230152960155710270270000
MICHAEL P ROHRBAUGH
6035001557780141180211170152860266649000

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 2011. 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 2011, ANTHONY BARTH, MICHAEL CASTRO, GARY RADINE, AND CHARLES LAMONT PARTICIPATED IN THE PLAN. SEE ADDITIONAL NOTE IN SCHEDULE O REGARDING PAYMENTS RECEIVED BY PLAN PARTICIPANTS IN 2011.
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 IIIPART II, LINE (II): SIX OF THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS REPORTED IN LINE (II).SUPPLEMENTAL INFORMATION

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
EDWARD L WOEHLING DDS BRYN MAWR
PARTICIPATING PROVIDER109988DENTAL CLAIM PAYMENTS0
ERIC N HODGES DMD
PARTICIPATING PROVIDER154739DENTAL CLAIM PAYMENTS0
GREGORY W PYLE DMD ORAL SURGERY
PARTICIPATING PROVIDER138419DENTAL CLAIM PAYMENTS0
KENNETH G MILLER DDS PINNACLE OR
PARTICIPATING PROVIDER100970DENTAL CLAIM PAYMENTS0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
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 2011 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 R:THE 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 37 MILLION CLAIMS. TOTAL REVENUE FOR THE ENTERPRISE EXCEEDED $6.7 BILLION IN 2011. THE ORGANIZATION REPRESENTS APPROXIMATELY 9% OF TOTAL ENTERPRISE REVENUES.
FORM 990, PART VII, SECTION A, COLUMN (B):HOURS DEVOTED NAME AND TITLE TO RELATED ORGANIZATION GARY D. RADINE 55.00 PRESIDENT ANTHONY S. BARTH 46.00 CHIEF OPERATING OFFICER MICHAEL J. CASTRO 46.00 CHIEF FINANCIAL OFFICER PATRICK S. STEELE 46.00 CHIEF INFORMATION OFFICER CHARLES LAMONT 46.00 CHIEF LEGAL OFFICER ALICIA WEBER 46.00 SENIOR VICE PRES./CONTROLLER ROY M. HILLIARD 4.00 VICE PRESIDENT, SALES RENEE A. FISHER 4.00 VP, QUALITY ASSURANCE & TRAINING PHILIP N. ENGLE 4.00 VP, INFORMATION TECHNOLOGY JEANNE M. FOSTER 4.00 VICE PRESIDENT, FINANCE RICHARD C. GRAYBILL 2.00 VP, UNDERWRITING & ACTUARIAL KAREN L. ROBINSON 4.00 ASSISTANT SECRETARY WHITNEY H. SHERBOCKER 4.00 ASSISTANT SECRETARY
FORM 990, PT. VII, SEC. A, COL. (D); SCH. J, PT. II, LINE 1, COL. (B)(III):A ONE-TIME, LUMP SUM PENSION BENEFIT PAYMENT WAS RECEIVED BY THE ORGANIZATION'S PRESIDENT/CEO IN 2011, PURSUANT TO THE TERMS OF THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PROVIDED BY A RELATED ORGANIZATION. THIS PLAN IS DESIGNED FOR THE LONG-TERM RETENTION OF SENIOR EXECUTIVES (E.G., THE PRESIDENT/CEO HAS BEEN WITH THE ORGANIZATION FOR MORE THAN 34 YEARS) AND IS BASED ON A PERCENTAGE OF HIS AVERAGE ANNUAL COMPENSATION RECEIVED FOR THE THREE YEARS PRIOR TO AGE 65 OR RETIREMENT, WHICHEVER COMES FIRST, AND ON HIS LIFE EXPECTANCY AS DETERMINED PURSUANT TO THE INTERNAL REVENUE CODE. THE PRESIDENT/CEO'S ANNUAL COMPENSATION, UPON WHICH THE PENSION BENEFIT PAYMENT IS BASED, HAS BEEN ESTABLISHED IN ACCORDANCE WITH THE PROCESS OUTLINED IN TREASURY REGULATION SECTION 53.4958-6 FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THIS PROCESS INVOLVES REVIEW AND APPROVAL OF COMPENSATION BY THE ORGANIZATION'S BOARD OF DIRECTORS, RELIANCE ON COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, AND CONTEMPORANEOUS DOCUMENTATION OF DELIBERATIONS AND DECISIONS REGARDING COMPENSATION. FEDERAL TAX LAW APPLICABLE TO THE ORGANIZATION'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DOES NOT PERMIT A PARTICIPANT TO RECEIVE AND PAY TAX ON ANNUAL PAYMENTS RECEIVED FROM THE PLAN OVER THE COURSE OF A PARTICIPANT'S RETIREMENT. INSTEAD, THE ENTIRE VALUE OF THE BENEFIT BECOMES TAXABLE WHEN THE PARTICIPANT RETIRES OR REACHES AGE 65, WHICHEVER COMES FIRST. THE LUMP SUM PAYMENT SHOWN IN SCHEDULE J, PART II, LINE 1, COLUMN (B)(III) (AND CARRIED TO FORM 990, PART VII, SECTION A, COLUMN (D)) WAS THEREFORE TRIGGERED IN 2011 WHEN THE ORGANIZATION'S PRESIDENT/CEO TURNED 65, AND THE ENTIRE VALUE OF THE RETIREMENT BENEFIT WAS TAXABLE IN THAT YEAR. SEE RELATED NOTE IN SCHEDULE J, PART III, WHICH DESCRIBES THE SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN PROVIDED BY THE RELATED ORGANIZATION.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -738,212.CHANGES IN NET ASSETS OR FUND BALANCES:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgPublic Charity StatusPublicCharityStatus
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

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1PACA MANAGEMENT LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1ONE DELTA DRIVEAddressLine1
CityMECHANICSBURGCity
StatePAState
ZIP Code17055ZIPCode
FieldValueIRS element (for citing)
EIN943277375EIN
Primary ActivityINSURANCE MANAGEMENTPrimaryActivity
Legal Domicile StateDELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF CALIFORNIABusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (15 entries)

Address Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryEINEINPrimary ActivityPrimaryActivityLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAPostal CodeAddressForeign/PostalCode
DELTA REINSURANCE CORPORATION
CGI TOWER 2ND FLOORWARRENSST. MICHAELBB980096711REINSURANCEBBDELTA DENTAL OF PENNSYLVANIAC0.87090
DENTEGRA GROUP INC
943386049HOLDING COMPANYC100 FIRST STREETSAN FRANCISCOCA94105DEN/A
DENTEGRA INSURANCE COMPANY
751233841INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC0.20000100 FIRST STREETSAN FRANCISCOCA94105DE
DENTEGRA INSURANCE CO OF NEW ENGLAND
042890218INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC100 FIRST STREETSAN FRANCISCOCA94105MA
ALPHA DENTAL OF NEVADA INC
880244893INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC100 FIRST STREETSAN FRANCISCOCA94105NV
ALPHA DENTAL OF UTAH INC
860672505INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC100 FIRST STREETSAN FRANCISCOCA94105UT
ALPHA DENTAL PROGRAMS INC
742447512INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC100 FIRST STREETSAN FRANCISCOCA94105TX
ALPHA DENTAL OF ALABAMA INC
630796079INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC100 FIRST STREETSAN FRANCISCOCA94105AL
ALPHA DENTAL OF NEW MEXICO INC
330279230INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC100 FIRST STREETSAN FRANCISCOCA94105NM
ALPHA DENTAL OF ARIZONA INC
930939835INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC100 FIRST STREETSAN FRANCISCOCA94105AZ
DENTEGRA SEGUROS DENTALES SA
INSURGENTES SUR 826 PISO 15COL DEL VALLEFC DF 01300MXINSURANCE COMPANYMXDENTEGRA INSURANCE COMPANYC
DELTA DENTAL OF PUERTO RICO
14 CALLE 2 SUITE 200GUAYNABORQ660436769INSURANCE COMPANYRQDELTA DENTAL OF CALIFORNIAC00968
SERVICIOS DENTALES DENTEGRA SA DE CV
INSURGENTES SUR 826 PISO 15COL DEL VALLEFC DF 01300MXINSURANCE ADMINISTRATIONMXDENTEGRA INSURANCE COMPANYC
DELTA DENTAL INSURANCE COMPANY
942761537INSURANCE COMPANYDDC INSURANCE HOLDINGS INCC100 FIRST STREETSAN FRANCISCOCA94105CA
DDC INSURANCE HOLDINGS INC
274251930HOLDING COMPANYDENTEGRA GROUP INCC100 FIRST STREETSAN FRANCISCOCA94105DE
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
DELTA DENTAL OF DELAWARE INC
K1658329
PACA MANAGEMENT LLC
P33534345
DELTA DENTAL OF WEST VIRGINIA INC
K1376966
PACA MANAGEMENT LLC
L5917453
DELTA DENTAL INSURANCE COMPANY
K235175
DELTA DENTAL OF CALIFORNIA
K15088713
DELTA DENTAL OF CALIFORNIA
L9539672
DELTA DENTAL OF CALIFORNIA
O5900561
DELTA DENTAL OF CALIFORNIA
P156225