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DELTA DENTAL OF DELAWARE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF DELAWARE INC (EIN 51-0228088)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201123149349300202
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-10T07:16:55-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 SE Suite 800AddressLine1
CityAtlantaCity
StateGAState
ZIP Code30339ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN510228088EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of Delaware IncBusinessNameLine1
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
TitleVice President, FinanceTitle
Date Signed2011-11-04DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone7708584500Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Gross Receipts16662504GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.deltadentalins.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1987YearFormation
State Legal DomicileDEStateLegalDomicile
Activity Or Mission DescriptionTO ADVANCE DENTAL HEALTH AND ACEESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.ActivityOrMissionDescription
Nbr Voting Members Governing Body5NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year14273755ProgramServiceRevenuePriorYear
Program Service Revenue CY16636049ProgramServiceRevenueCY
Investment Income Prior Year7024InvestmentIncomePriorYear
Investment Income Current Year26455InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year14280779TotalRevenuePriorYear
Total Revenue Current Year16662504TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year15000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year12604918BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY14206772BenefitsPaidToMembersCY
Salaries Etc Prior Year0SalariesEtcPriorYear
Salaries Etc Current Year0SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1590427OtherExpensePriorYear
Other Expenses Current Year2435060OtherExpensesCurrentYear
Total Expenses Prior Year14210345TotalExpensesPriorYear
Total Expenses Current Year16651832TotalExpensesCurrentYear
Revenues Less Expenses Prior Year70434RevenuesLessExpensesPriorYear
Revenues Less Expenses CY10672RevenuesLessExpensesCY
Total Assets BOY5213748TotalAssetsBOY
Total Assets EOY7669346TotalAssetsEOY
Total Liabilities BOY4852142TotalLiabilitiesBOY
Total Liabilities EOY7297068TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY361606NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY372278NetAssetsOrFundBalancesEOY
Mission DescriptionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense16477803Expense
Revenue16636049Revenue
DescriptionThe organization provided dental benefit coverage for 98,595 beneficiaries in 2010 primarily through contracts with independent dentists serving 85 purchasing groups. The organization paid more than $14 million for dental care during 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense10000Expense
Grants10000Grants
DescriptionThe 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
FieldValueIRS element (for citing)
Total Program Service Expense16487803TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquipfalseReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmttrueIndependentAuditFinancialStmt
Consolidated Audit Financial StmtfalseConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10967187NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members5NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodyfalseForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEANNE FOSTER VP FINANCENamePerson
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 (12 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficer
Philip N Engle
Chairman2.0X026194841190
Cheryl A Lerner DMD
Director2.0X19807333545
Whitney H Sherbocker
Secretary2.0X16050432108
Michael J Castro
Treasurer1.0X803300533238
Patrick S Steele
Director1.0X8182091582585
Gary D Radine
President1.025516991224420X
Anthony S Barth
Chief Operating Officer1.01135404826283X
Roy M Hilliard
V.P., Sales2.035986940819X
Renee A Fisher
V.P., Quality Assur. & Train.2.027311441184X
Jeanne M Foster
V.P., Finance2.028322640113X
Charles Lamont Esq
Chief Legal Officer1.06539561513529X
Alicia F Weber
Senior VP/Controller1.048095761373X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7980259TotalReportableCompFrmRltdOrgs
Total Other Compensation5970387TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources
Number Of Contractors GT100 K0NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionDIRECT PREMIUMSDescription
Total Revenue Column16636049TotalRevenueColumn
Related Or Exempt Function Income16636049RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue16636049TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column26455TotalRevenueColumn
Related Or Exempt Function Income26455RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column16662504TotalRevenueColumn
Related Or Exempt Function Income16662504RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10000Total
Program Services10000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total14206772Total
Program Services14206772ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total0Total

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total135Total
Management And General135ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1630Total
Program Services1512ProgramServices
Management And General118ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1796Total
Program Services1666ProgramServices
Management And General130ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1224Total
Program Services1136ProgramServices
Management And General88ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total0Total

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total0Total

Interest Interest

FieldValueIRS element (for citing)
Total2330Total
Program Services2330ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total0Total

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
ADMINISTRATIVE FEES22054292046197159232
COMMISSIONS162601162601
LICENSES, PERMITS, FEES33703127243
OTHER EXPENSES56545524624083

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total16651832Total
Program Services16487803ProgramServices
Management And General164029ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY2434034BOY
EOY1630471EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
EOY1388660EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY2751198BOY
EOY4578104EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY28516BOY
EOY72111EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY5213748BOY
EOY7669346EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY2613192BOY
EOY4758952EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY238950BOY
EOY38116EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY1000000BOY
EOY1000000EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY1000000BOY
EOY1500000EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4852142BOY
EOY7297068EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY361606BOY
EOY372278EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY361606BOY
EOY372278EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY5213748BOY
EOY7669346EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses10672ReconcilationRevenueExpenses
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement SeparateXFinancialStatementSeparate
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings
Leasehold ImprovementsLeaseholdImprovements
EquipmentEquipment
Other Land BuildingsOtherLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionREINSURANCE DEPOSITSDescription
Amount$1,500,000Amount
FieldValueIRS element (for citing)
Total Of Amounts1500000TotalOfAmounts
Total Revenue16662504TotalRevenue
Total Expenses16651832TotalExpenses
Excess Or Deficit For Year10672ExcessOrDeficitForYear
Excess Or Deficit Per FS10672ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt4091932TotRevenueEtcAuditedFinclStmt
Revenue Subtotal4091932RevenueSubtotal
Other Revenues Not Included12570572OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt12570572RevenueNotRptdOnFinStmt
Total Revenue Per Form99016662504TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt4081260TotExpensesEtcAuditedFinclStmt
Expenses Subtotal4081260ExpensesSubtotal
Other Expenses Not Included12570572OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt12570572ExpensesNotRptdOnFinStmt
Total Expenses Per Form99016651832TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Other RevenuePart XII, Line 4bAdministrative service contracts claim reimbursement revenue.
Other ExpensesPart XIII, Line 4bClaims incurred for adminstrative service contracts.
FIN 48 FootnotePart X, Line 2The 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
Type Of Activities ConductedProgram ServicesTypeOfActivitiesConducted
Specific Services ProvidedReinsuranceSpecificServicesProvided
Total Expenditures12705025TotalExpenditures
FieldValueIRS element (for citing)
Subtotal Amount Spent12705025SubtotalAmountSpent
Total Amount Spent12705025TotalAmountSpent
Transfer To Foreign CorpfalseTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorpfalseOwnForeignCorp
Passive Foreign Invest CofalsePassiveForeignInvestCo
Foreign PartnershipfalseForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierSchedule FIdentifier
Return ReferenceSchedule F, Part IReturnReference
ExplanationThe 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 $12,705,025. The organization's reinsurance receipts were $14,725,800; net reinsurance income $2,020,775.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1The Ministry of CaringBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1903 North Madison StreetAddressLine1
CityWilmingtonCity
StateDEState
ZIP Code19801ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient510209843EINOfRecipient
Amount Of Cash Grant10000AmountOfCashGrant
Purpose Of GrantTo provide dental education and improved access to dental health care treatment.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGrant ApprovalIdentifier
Return ReferencePart I, Line 2ReturnReference
ExplanationThe 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

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Club Dues Or FeesXClubDuesOrFees
Personal ServicesXPersonalServices
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgs
Philip N Engle
0214950415005498411900303138
Cheryl A Lerner DMD
17351618030652733545231618
Whitney H Sherbocker
14860915265-337032108192612
Gary D Radine
12000009600003916991708837761191207332
Anthony S Barth
75019235000035212236471961687802636
Roy M Hilliard
217398862505622140819400688
Renee A Fisher
21078355000733141184314298
Michael J Castro
50009625000053204236471336538509591
Jeanne M Foster
22927546900705140113323339
Charles Lamont Esq
389404220000445521708821674851496441
Alicia F Weber
357903100000230542059254233040781
Patrick S Steele
500096275000431131708824007941565497

Form990 Schedule J Part III Form990ScheduleJPartIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Supplemental Non-Qualified Retirement PlanPart I, Line 4BExecutives paid by related organizations participate in a supplemental nonqualified retirement program provided by those organizations. Deferred compensation attributable to such programs is included in Part II, Column (C).
Non-Fixed Compensation PaymentsPart I, Line 7The President of the organization, with the Board of Directors approval, may grant an annual bonus to all management employees. The amounts are included in taxable compensation.
Expense ReimbursementPart I, Line 1AFirst-Class travel--First class business travel is reimbursed to the Executive Vice Presidents. First class business travel for Senior Vice Presidents and Group Vice Presidents is reimbursed only when approval is received from their Executive Vice President. First class business travel is not treated as taxable compensation. Health or social club dues--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 2010. The cost of this benefit is included in taxable compensation. Personal Services--Financial and tax planning expenses are reimbursed to employees who are at the Director or above level of management. There is a company policy outlining the maximum reimbursement allowed for each management level. These reimbursements are included in taxable compensation of the reimbursed employees.
Compensation Paid by Related OrganizationPart II, Line (ii)The organization's officers are paid by a related organization. Accordingly, their compensation is reported in Line (ii).

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Philip N Engle
Officer of related org.303138Compensation Receivedfalse
Michael J Castro
Officer of related org.1336538Compensation Receivedfalse
Cheryl A Lerner DMD
Officer of related org.231618Compensation Receivedfalse
Whitney H Sherbocker
Officer of related org.192612Compensation Receivedfalse
Patrick S Steele
Officer of related org.2400794Compensation Receivedfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (19 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Members and StockholdersPart VI, Sec A, Lines 6-7The organization has one class of members, designated Corporate Members, who are directors of Dentegra Group, Inc., the organization's parent holding company. The organization's directors vote on persons nominated as directors for endorsement to the Corporate Members, who elect the directors. The Corporate Members also must approve any changes to specified Bylaws provisions.
Process used to review Form 990Part VI, Sec B, Line 11The organization's CFO and legal counsel oversee the completion of the Form 990, and review it prior to filing with the President/CEO and with the Delta Dental of Pennsylvania Audit Committee to which such duties have been delegated.
Compliance with conflict of interest policyPart VI, Sec 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.
Written documentation and destruction policyPart VI, Sec B, Line 14A 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 compensationPart VI, Sec B, Lines 15a and bCompensation paid to the CEO, which is paid through a contractual agreement with Dentegra Group, Inc. ("DGI"), is reviewed and approved by the DGI directors. Exectutive 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 publicPart VI, Sec 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.
Delta Dental EnterpriseForm 990, Part VII; Schedule J; Schedule RThe organization, regulated by the Delaware Department of Insurance, 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 24.2 million enrollees and handling 36 million claims. Total revenue for the enterprise exceeded $6.3 billion in 2010. The organization represents less than 1% of total enterprise revenues.
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Philip N. Engle TITLE:Chairman HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Cheryl A. Lerner, DMD TITLE:Director HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Whitney H. Sherbocker TITLE:Secretary HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Michael J. Castro TITLE:Treasurer HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Patrick S. Steele TITLE:Director HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Gary D. Radine TITLE:President HOURS:59
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Anthony S. Barth TITLE:Chief Operating Officer HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Roy M. Hilliard TITLE:V.P., Sales HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Renee A. Fisher TITLE:V.P., Quality Assur. & Train. HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Jeanne M. Foster TITLE:V.P., Finance HOURS:48
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Charles Lamont, Esq. TITLE:Chief Legal Officer HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Alicia F. Weber TITLE:Senior VP/Controller HOURS:49

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/BusinessNameLine1Public Charity StatusPublicCharityStatus
Delta Dental of Pennsylvania
One Delta DriveMechanicsburgPA17055231667011Dental InsPA501(c)(4)Dentegra Gro
Delta Dental of West Virginia Inc
One Delta DriveMechanicsburgPA17055550523124Dental InsWV501(c)(4)Dentegra Gro
Delta Dental of the District of Columbia
One Delta DriveMechanicsburgPA17055521479587Dental InsDC501(c)(4)Dentegra Gro
F Gene Dixon Foundation
100 First StreetSan FranciscoCA94105371570764CharitableCA501(c)(3)Dentegra GroPF
Delta Dental of California
100 First StreetSan FranciscoCA94105941461312Dental InsCA501(c)(4)Dentegra Gro

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 ActivityIns. Mgmt.PrimaryActivity
Legal Domicile StateDELegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental ofBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Postal CodeAddressForeign/PostalCode
Dentegra Group Inc
100 First StreetSan FranciscoCA94105943386049Holding CompDEN/AC Corp
Delta Reinsurance Corporation
980096711ReinsuranceC CorpCGI Tower 2nd FloorWarrensSt. MichaelBBBBDelta Dental of
Dentegra Insurance Company
100 First StreetSan FranciscoCA94105751233841Insurance ComDEC CorpDelta Dental of
Dentegra Insurance Co of New England
100 First StreetSan FranciscoCA94105042890218Insurance ComMAC CorpDelta Dental of
Delta Dental Insurance Company
100 First StreetSan FranciscoCA94105942761537Insurance ComDEC CorpDelta Dental of
Alpha Dental of Nevada Inc
100 First StreetSan FranciscoCA94105880244893Insurance ComNVC CorpDelta Dental of
Alpha Dental of Utah Inc
100 First StreetSan FranciscoCA94105860672505Insurance ComUTC CorpDelta Dental of
Alpha Dental Programs Inc
100 First StreetSan FranciscoCA94105742447512Insurance ComTXC CorpDelta Dental of
Alpha Dental of Alabama Inc
100 First StreetSan FranciscoCA94105630796079Insurance ComALC CorpDelta Dental of
Alpha Dental of New Mexico Inc
100 First StreetSan FranciscoCA94105330279230Insurance ComNMC CorpDelta Dental of
Alpha Dental of Arizona Inc
100 First StreetSan FranciscoCA94105930939835Insurance ComAZC CorpDelta Dental of
Dentegra Seguros Dentales Sa de CV
Insurance ComC CORPInsurgentes Sur 826 Piso 15FCDF03Col del ValleMXMXDentegra Ins
Delta Dental of Puerto Rico
660436769Insurance ComC Corp14 Calle 2 Suite 200GuaynaboRQRQDelta Dental of00968
SERVICIOS DENTALES DENTEGRA SA DE CV
INS MGMTC CORPINSURGENTES SUR 826 PISO 15COL DEL VALLEMXMXDENTEGRA INS
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Delta Dental of Pennsylvania
l1736064
Delta Reinsurance Corporation
r14725800
Delta Reinsurance Corporation
q12705025