DELTA DENTAL OF NEW YORK INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: DELTA DENTAL OF NEW YORK INC (EIN 11-1980218)
Tax period: 2010-01-01 to 2010-12-31
Filed: 2011-11-10
IRS object ID: 201113149349300601
Schema version: 2010v3.4
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
Form 990
Schedule D
Schedule F
Schedule I
Schedule J
Schedule L
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-11-10T07:16:55-05:00	Timestamp
Tax Period End Date	2010-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	CBIZ MHM LLC	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	3625 Cumberland Blvd SE Suite 800	AddressLine1
City	Atlanta	City
State	GA	State
ZIP Code	30339	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2010-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	111980218	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Delta Dental of New York Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	DELT	NameControl
Phone	7177668500	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	One Delta Drive	AddressLine1
City	Mechanicsburg	City
State	PA	State
ZIP Code	17055	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	Jeanne Foster	Name
Title	Vice President, Finance	Title
Date Signed	2011-11-04	DateSigned

Preparer Preparer

Field	Value	IRS element (for citing)
Phone	7708584500	Phone

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Gross Receipts	264502180	GrossReceipts
Group Return For Affiliates	false	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	www.deltadentalins.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1960	YearFormation
State Legal Domicile	NY	StateLegalDomicile
Activity Or Mission Description	TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	16	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	12	NbrIndependentVotingMembers
Total Nbr Employees	19	TotalNbrEmployees
Total Gross UBI	0	TotalGrossUBI
Contributions Grants Prior Year	0	ContributionsGrantsPriorYear
Contributions Grants Current Year	0	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	289668818	ProgramServiceRevenuePriorYear
Program Service Revenue CY	264004675	ProgramServiceRevenueCY
Investment Income Prior Year	486778	InvestmentIncomePriorYear
Investment Income Current Year	497505	InvestmentIncomeCurrentYear
Other Revenue Prior Year	0	OtherRevenuePriorYear
Other Revenue Current Year	0	OtherRevenueCurrentYear
Total Revenue Prior Year	290155596	TotalRevenuePriorYear
Total Revenue Current Year	264502180	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	45000	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	60000	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	263252636	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	233494611	BenefitsPaidToMembersCY
Salaries Etc Prior Year	2528832	SalariesEtcPriorYear
Salaries Etc Current Year	2284545	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	23771277	OtherExpensePriorYear
Other Expenses Current Year	27790408	OtherExpensesCurrentYear
Total Expenses Prior Year	289597745	TotalExpensesPriorYear
Total Expenses Current Year	263629564	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	557851	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	872616	RevenuesLessExpensesCY
Total Assets BOY	54425428	TotalAssetsBOY
Total Assets EOY	62103230	TotalAssetsEOY
Total Liabilities BOY	49618278	TotalLiabilitiesBOY
Total Liabilities EOY	56385495	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	4807150	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	5717735	NetAssetsOrFundBalancesEOY
Mission Description	TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.	MissionDescription
Significant New Program Services	false	SignificantNewProgramServices
Significant Change	false	SignificantChange
Expense	260524313	Expense
Revenue	264004675	Revenue
Description	The organization provided dental benefit coverage for 1,126,767 beneficiaries in 2010 primarily through contracts with independent dentists serving 2,275 purchasing groups. The organization paid more than $233 million for dental care during 2010.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	60000	Expense
Grants	60000	Grants
Description	The organization made grants during 2010 to foster improved access to dental health care treatment, to support professional dental education, and to provide oral health instruction for patients.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	260584313	TotalProgramServiceExpense
Described In501 C3	false	DescribedIn501C3
Schedule B Required	false	ScheduleBRequired
Political Activities	false	PoliticalActivities
Subject To Proxy Tax	false	SubjectToProxyTax
Donor Advised Funds	false	DonorAdvisedFunds
Conservation Easements	false	ConservationEasements
Collections Of Art	false	CollectionsOfArt
Credit Counseling	false	CreditCounseling
Term Or Permanent Endowments	false	TermOrPermanentEndowments
Report Land Bldg Equip	false	ReportLandBldgEquip
Report Invest Oth Securities	false	ReportInvestOthSecurities
Report Prog Rel Invest	false	ReportProgRelInvest
Report Other Assets	false	ReportOtherAssets
Report Other Liabilities	true	ReportOtherLiabilities
Report Fin48 Footnote	true	ReportFin48Footnote
Independent Audit Financial Stmt	true	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	false	ConsolidatedAuditFinancialStmt
School	false	School
Foreign Office	false	ForeignOffice
Foreign Activities	true	ForeignActivities
More Than5000 K To Organizations	false	MoreThan5000KToOrganizations
More Than5000 K To Individuals	false	MoreThan5000KToIndividuals
Professional Fundraising	false	ProfessionalFundraising
Fundraising Activities	false	FundraisingActivities
Gaming	false	Gaming
Hospital	false	Hospital
Grants To Organizations	true	GrantsToOrganizations
Grants To Individuals	false	GrantsToIndividuals
Schedule J Required	true	ScheduleJRequired
Tax Exempt Bonds	false	TaxExemptBonds
Excess Benefit Transaction	false	ExcessBenefitTransaction
Prior Excess Benefit Transaction	false	PriorExcessBenefitTransaction
Loan To Officer Or DQP	false	LoanToOfficerOrDQP
Grant To Related Person	false	GrantToRelatedPerson
Bsnss Rltnshp With Organization	true	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	false	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	true	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	false	DeductibleNonCashContributions
Deductible Contributions Of Art	false	DeductibleContributionsOfArt
Terminated	false	Terminated
Partial Liquidation	false	PartialLiquidation
Disregarded Entity	false	DisregardedEntity
Related Entity	false	RelatedEntity
Related Org Controlled Entity	false	RelatedOrgControlledEntity
Transaction Related Entity	false	TransactionRelatedEntity
Activities Conducted Partnership	false	ActivitiesConductedPartnership
Schedule O Required	true	ScheduleORequired
Number Forms Transmitted With1096	68225	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	true	ComplianceWithBackupWitholding
Number Of Employees	19	NumberOfEmployees
Employment Tax Returns Filed	true	EmploymentTaxReturnsFiled
Unrelated Business Income	false	UnrelatedBusinessIncome
Foreign Financial Account	false	ForeignFinancialAccount
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTrans
Taxable Party Notification	false	TaxablePartyNotification
Non Deductible Contributions	false	NonDeductibleContributions
Indoor Tanning Services	false	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	16	NbrVotingGoverningBodyMembers
Number Independent Voting Members	12	NumberIndependentVotingMembers
Family Or Business Relationship	false	FamilyOrBusinessRelationship
Delegation Of Management Duties	false	DelegationOfManagementDuties
Changes To Organizing Docs	false	ChangesToOrganizingDocs
Material Diversion Or Misuse	false	MaterialDiversionOrMisuse
Members Or Stockholders	true	MembersOrStockholders
Election Of Board Members	true	ElectionOfBoardMembers
Decisions Subject To Approval	true	DecisionsSubjectToApproval
Minutes Of Governing Body	true	MinutesOfGoverningBody
Minutes Of Committees	true	MinutesOfCommittees
Officer Mailing Address	false	OfficerMailingAddress
Local Chapters	false	LocalChapters
Form990 Provided To Governing Body	false	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	true	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	true	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	true	RegularMonitoringEnforcement
Whistleblower Policy	true	WhistleblowerPolicy
Document Retention Policy	false	DocumentRetentionPolicy
Compensation Process CEO	true	CompensationProcessCEO
Compensation Process Other	true	CompensationProcessOther
Investment In Joint Venture	false	InvestmentInJointVenture
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Field	Value	IRS element (for citing)
Name Person	JEANNE FOSTER VP FINANCE	NamePerson
Telephone Number	7177668500	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	ONE DELTA DRIVE	AddressLine1
City	Mechanicsburg	City
State	PA	State
ZIP Code	17055	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (34 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	OfficerOfficer	Highest Compensated EmployeeHighestCompensatedEmployee	Other CompensationOtherCompensation
Antony L DiMango DDS
Director	1.0	X	2300	0
Susan Fegan
Director	1.0	X	1200
Thomas M Halton DMD
Director	1.0	X	5035
George Karalekas
Director	1.0	X	1600
Barbara Katersky
Director	1.0	X	1600
Andrew S Levine DDS
Director	1.0	X	3535
Roger Maglio
Director	1.0	X	2635
Thomas J McCartin
Director	1.0	X	4535
Gerard E McGuirk DDS
Chairman	1.0	X	17032
Alan M Patrignani DDS
Vice Chairman	1.0	X	1200
John D Semler
Director	1.0	X	3435
William Thomas
Director	1.0	X	1200
Jozef C Verbraeken
Secretary/Treasurer	1.0	X	3035
Thomas Wysmuller
Director	1.0	X	3120
James Spencer
Director	1.0	X	1600
Michael Alfano
Director	1.0	X	1200
Gary D Radine
President	1.0		150397		X
Anthony S Barth
Chief Operating Officer	1.0				X
Philip N Engle
V.P., Information Technology	1.0				X
Michael J Castro
Chief Financial Officer	1.0				X
Jeanne M Foster
Vice President, Finance	1.0				X
Richard C Graybill
V.P., Underwriting & Actuarial	1.0				X
Charles Lamont Esq
Chief Legal Officer	1.0				X
Karen L Robinson
Assistant Secretary	1.0				X
Whitney H Sherbocker
Assistant Secretary	1.0				X
Roy M Hilliard
Vice President, Sales	1.0				X
Renee A Fisher
VP, Quality Assurance and Trai	1.0				X
Alicia F Weber
Senior VP/Controller	1.0				X
Patrick S Steele
Chief Information Officer	1.0				X
Steven S Grossman
Sales Account Executive Senior	40.0		530684			X	40524
Robert E Milhisler
Director, Sales	40.0		161724			X	31719
Dennis M Battle
Sales Account Executive	40.0		140469			X	14058
Robert C Seward
Sales Account Executive	40.0		140760			X	29636
Steven Cuffey
Sales Account Executive	40.0		96040			X	24618

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	1274336	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	140555	TotalOtherCompensation
Number Individuals GT100 K	5	NumberIndividualsGT100K
Formers Listed	false	FormersListed
Total Comp GT150 K	true	TotalCompGT150K
Compensation From Other Sources	true	CompensationFromOtherSources
Number Of Contractors GT100 K	0	NumberOfContractorsGT100K
Total Contributions	0	TotalContributions

Program Service Revenue ProgramServiceRevenue

Field	Value	IRS element (for citing)
Description	DIRECT PREMIUMS	Description
Total Revenue Column	264004675	TotalRevenueColumn
Related Or Exempt Function Income	264004675	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	264004675	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	497505	TotalRevenueColumn
Related Or Exempt Function Income	497505	RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	0	TotalRevenueColumn

Field	Value	IRS element (for citing)
Total Other Revenue	0	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	264502180	TotalRevenueColumn
Related Or Exempt Function Income	264502180	RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	60000	Total
Program Services	60000	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	0	Total

Foreign Grants ForeignGrants

Field	Value	IRS element (for citing)
Total	0	Total

Benefits To Members BenefitsToMembers

Field	Value	IRS element (for citing)
Total	233494611	Total
Program Services	233494611	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1019853	Total
Management And General	1019853	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	0	Total

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	822971	Total
Program Services	763552	ProgramServices
Management And General	59419	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	154619	Total
Program Services	143456	ProgramServices
Management And General	11163	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	148155	Total
Program Services	137458	ProgramServices
Management And General	10697	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	138947	Total
Program Services	128915	ProgramServices
Management And General	10032	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	18065	Total
Management And General	18065	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	211524	Total
Management And General	211524	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	0	Total

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	32570	Total
Management And General	32570	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	21901	Total
Program Services	20320	ProgramServices
Management And General	1581	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	133173	Total
Program Services	123558	ProgramServices
Management And General	9615	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	228624	Total
Program Services	212117	ProgramServices
Management And General	16507	ManagementAndGeneral

Royalties Royalties

Field	Value	IRS element (for citing)
Total	0	Total

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	0	Total

Travel Travel

Field	Value	IRS element (for citing)
Total	207403	Total
Program Services	192429	ProgramServices
Management And General	14974	ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

Field	Value	IRS element (for citing)
Total	0	Total

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	906	Total
Program Services	841	ProgramServices
Management And General	65	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	5420	Total
Program Services	5420	ProgramServices

Payments To Affiliates PaymentsToAffiliates

Field	Value	IRS element (for citing)
Total	0	Total

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	0	Total

Insurance Insurance

Field	Value	IRS element (for citing)
Total	0	Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
COMMISSIONS	4365911	4365911
LICENSES PERMITS FEES	1556239	1443879	112360
ADMINISTRATION FEES	19866638	18432267	1434371
ALL OTHER EXPENSES	1142034	1059579	82455

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	263629564	Total
Program Services	260584313	ProgramServices
Management And General	3045251	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1069571	BOY
EOY	327650	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	17831644	BOY
EOY	23062260	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	34999087	BOY
EOY	38004936	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	76031	BOY
EOY	133616	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	245956	BOY
EOY	288770	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	203139	BOY
EOY	285998	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	54425428	BOY
EOY	62103230	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	44473456	BOY
EOY	50687379	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	1647722	BOY
EOY	2047016	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	1360000	BOY
EOY	1360000	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	2137100	BOY
EOY	2291100	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	49618278	BOY
EOY	56385495	EOY

Field	Value	IRS element (for citing)
Do Not Follow SFAS117	X	DoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

Field	Value	IRS element (for citing)
BOY	4807150	BOY
EOY	5717735	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	4807150	BOY
EOY	5717735	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	54425428	BOY
EOY	62103230	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	872616	ReconcilationRevenueExpenses
Reconcilation Other Changes	37969	ReconcilationOtherChanges
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	false	AccountantCompileOrReview
FS Audited	true	FSAudited
Audit Committee	true	AuditCommittee
Financial Statement Separate	X	FinancialStatementSeparate
Federal Grant Audit Required	false	FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amts		ArtPublicExhibitionAmts
Held Works Of Art Amts		HeldWorksOfArtAmts
Land		Land
Buildings		Buildings
Leasehold Improvements		LeaseholdImprovements
Equipment		Equipment
Other Land Buildings		OtherLandBuildings
Federal Income Tax Liability	0	FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
PREFUNDED DEPOSITS	$291,100
REINSURANCE DEPOSITS	$2,000,000

Field	Value	IRS element (for citing)
Total Of Amounts	2291100	TotalOfAmounts
Total Revenue	264502180	TotalRevenue
Total Expenses	263629564	TotalExpenses
Excess Or Deficit For Year	872616	ExcessOrDeficitForYear
Net Unrealized GL On Investments	37969	NetUnrealizedGLOnInvestments
Total Adjustments	37969	TotalAdjustments
Excess Or Deficit Per FS	910585	ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt	59529189	TotRevenueEtcAuditedFinclStmt
Revenue Subtotal	59529189	RevenueSubtotal
Other Revenues Not Included	204972991	OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt	204972991	RevenueNotRptdOnFinStmt
Total Revenue Per Form990	264502180	TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt	58656573	TotExpensesEtcAuditedFinclStmt
Expenses Subtotal	58656573	ExpensesSubtotal
Other Expenses Not Included	204972991	OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt	204972991	ExpensesNotRptdOnFinStmt
Total Expenses Per Form990	263629564	TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Other Revenue	Part XII, Line 4b	Administrative Service Contracts claim reimbursement revenue.
Other Expenses	Part XIII, Line 4b	Claims accrrued for Administrative Service Contracts.
FIN 48 Footnote	Part X, Line 2	The Company is a tax-exempt organization organized under Section 501(c)(4) of the Internal Revenue Code and, as such, no provision for income taxes has been made in the financial statements. Current accounting guidance clarifies how uncertainties in tax positions are recognized in an entity's financial statements. The guidance prescribes a financial statement recognition threshold and measurement process for tax positions taken or expected to be taken in a tax return. Positions include those with respect to the Company's tax exempt status and with respect to income taxes on unrelated business income. The Company evaluated the impact of the accounting pronouncement and determined that it had no impact on the Company's financial statements.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	Region
Type Of Activities Conducted	Program Services	TypeOfActivitiesConducted
Specific Services Provided	Reinsurance	SpecificServicesProvided
Total Expenditures	83771689	TotalExpenditures

Field	Value	IRS element (for citing)
Subtotal Amount Spent	83771689	SubtotalAmountSpent
Total Amount Spent	83771689	TotalAmountSpent
Transfer To Foreign Corp	false	TransferToForeignCorp
Interest In Foreign Trust	false	InterestInForeignTrust
Own Foreign Corp	false	OwnForeignCorp
Passive Foreign Invest Co	false	PassiveForeignInvestCo
Foreign Partnership	false	ForeignPartnership
Boycott Countries	false	BoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

Field	Value	IRS element (for citing)
Identifier	Schedule F	Identifier
Return Reference	Part I	ReturnReference
Explanation	The organization reinsures dental service contracts with Delta Reinsurance Corporation, a Barbados insurance company, as a program service within its exempt purpose. As indicated in Part I, the organization's reinsurance expenses were $83,771,689. The organization's reinsurance receipts were $78,879,464; net reinsurance loss, $4,892,225.	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	true	RecordsMaintained

Recipient Table RecipientTable (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Address Line2AddressUS/AddressLine2
Open Door Family Medical Center
165 Main Street	Ossining	NY	10562	132813103	10000	To provide dental education and improved access to dental health care treatment.
Schehectady Family Health Service
1044 State Street	Schenectady	NY	12307	141636222	10000	To provide dental education and improved access to dental health care treatment.
Northwest Buffalo Community Health Care Center
155 Lawn Avenue	Buffalo	NY	14207	161294447	10000	To provide dental education and improved access to dental health care treatment.
Stony Brook University School of Dental
184 Sullivan Hall	Stony Brook	NY	11794	205344227	10000	To provide dental education and improved access to dental health care treatment.
Lutheran Medical Center
5800 3rd Avenue	Brooklyn	NY	11220	111839567	10000	To provide dental education and improved access to dental health care treatment.
NYU College of Dentistry
345 E 24th Street	New York	NY	10010	135562308	10000	To provide dental education and improved access to dental health care treatment.	Ste 1039W

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	Grant Approval	Identifier
Return Reference	Part I, Line 2	ReturnReference
Explanation	The organization awards grants for programs that foster dental health and education. Through these grants we help finance health, educational 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 who: (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 with 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, 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 not available or sufficient. 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

Field	Value	IRS element (for citing)
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	false	SeverancePayment
Supplemental Nonqual Retire Plan	false	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	false	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	false	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	false	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	false	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	false	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	true	AnyNonFixedPayments
Initial Contract Exception	false	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Total Compensation Filing OrgTotalCompensationFilingOrg	Bonus Filing OrgBonusFilingOrg	Other Compensation Filing OrgOtherCompensationFilingOrg	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg
Gary D Radine
150397	150397
Steven S Grossman
90140	571208	430189	10355	40524
Robert E Milhisler
109229	193443	43855	8640	31719
Dennis M Battle
70122	154527	56788	13559	14058
Robert C Seward
61590	170396	69838	9332	29636

Form990 Schedule J Part III Form990ScheduleJPartIII

Field	Value	IRS element (for citing)
Identifier	Non-Fixed Compensation Payments	Identifier
Return Reference	Part I, Line 7	ReturnReference
Explanation	The President of the organization, with Board of Directors approval, may grant an annual bonus to all management employees. This bonus, or incentive, is included in taxable compensation.	Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
Andrew S Levine DDS
Participating Provider	393967	Dental Claim Payment	false
Bertelsmann Inc
Susan Fegan	227710	Dental Benefit Premiums	false

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (9 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Members and Stockholders	Part VI, Sec A, Lines 6-7	The organization's directors act as the organization's one class of members, designated Members, and elect new members who automatically become directors. The Members also must approve any changes to specified Bylaws provisions.
Process used to review Form 990	Part VI, Sec B, Line 11	The organization's CFO and legal counsel oversee the completion of the Form 990, and review it prior to filing with the President/CEO and the Delta Dental of Pennsylvania Audit Committee to which such duties have been delegated.
Compliance with conflict of interest policy	Part VI, Sec B, Line 12c	Each 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.
Written documentation and destruction policy	Part VI, Sec B, Line 14	A draft document retention and destruction policy is under consideration pending the testing of associated software being installed for management of electronic records.
Process for determining compensation	Part VI, Sec B, Lines 15a and b	Compensation paid to the CEO, which is paid through a contractual agreement with Dentegra Group, Inc. ("DGI"), is reviewed and approved by the DGI directors. 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 2010 compensation.
Process for making documents available to the public	Part VI, Sec C, Line 19	The 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.
Compensation Paid by Unrelated Organization	Part VII, Section A, Line 5	The unrelated organization referred to in Form 990, Part VII, Section A, Line 5 is Delta Dental of California.
Transactions with Interested Persons	Schedule L, Part IV	During the reporting year, organization director Susan Fegan was an officer of Bertelsmann, Inc.
Other Changes in Net Assets	Part XI, Line 5	Net unrealized gains (losses) on investments.