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DELTA DENTAL OF CALIFORNIA: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF CALIFORNIA (EIN 94-1461312)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201123149349300602
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)
Timestamp2011-11-10T07:16:56-05:00Timestamp
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)
EIN941461312EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF CALIFORNIABusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDELTNameControl
Phone4159728300Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1100 FIRST STREETAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameMichael J CastroName
TitleChief Financial OfficerTitle
Date Signed2011-11-03DateSigned

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 Receipts4575522870GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DELTADENTALINS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1954YearFormation
State Legal DomicileCAStateLegalDomicile
Activity Or Mission DescriptionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees2507TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income-65146NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year4577590809ProgramServiceRevenuePriorYear
Program Service Revenue CY4481901775ProgramServiceRevenueCY
Investment Income Prior Year15603803InvestmentIncomePriorYear
Investment Income Current Year13859327InvestmentIncomeCurrentYear
Other Revenue Prior Year2554375OtherRevenuePriorYear
Other Revenue Current Year6575319OtherRevenueCurrentYear
Total Revenue Prior Year4595748987TotalRevenuePriorYear
Total Revenue Current Year4502336421TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1062012GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY1179341GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year4121994263BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY4004753026BenefitsPaidToMembersCY
Salaries Etc Prior Year278726101SalariesEtcPriorYear
Salaries Etc Current Year265943167SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year180229056OtherExpensePriorYear
Other Expenses Current Year195198644OtherExpensesCurrentYear
Total Expenses Prior Year4582011432TotalExpensesPriorYear
Total Expenses Current Year4467074178TotalExpensesCurrentYear
Revenues Less Expenses Prior Year13737555RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35262243RevenuesLessExpensesCY
Total Assets BOY1115561915TotalAssetsBOY
Total Assets EOY1223119899TotalAssetsEOY
Total Liabilities BOY738722802TotalLiabilitiesBOY
Total Liabilities EOY804629785TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY376839113NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY418490114NetAssetsOrFundBalancesEOY
Mission DescriptionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense4397357300Expense
Revenue4481901775Revenue
DescriptionThe organization provided dental benefit coverage for 17,583,000 beneficiaries in 2010, primarily through contracts with independent dentists. Included were 8,029,000 enrollees in Medicaid, SCHIP and other publicly-sponsored dental benefit programs administered by the organization, as well as 1,258,000 persons voluntary enrolled in the TRDP program for retired military service personnel and their families that the organization underwrites pursuant to a contract with the Department of Defense. The organization paid more than $4,004,753,000 for dental care during 2010.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense1179341Expense
Grants1179341Grants
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 patientDescription
FieldValueIRS element (for citing)
Total Program Service Expense4398536641TotalProgramServiceExpense
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 EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
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 OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntitytrueDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109689822NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees2507NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
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 Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
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 PersonMICHAEL J CASTRO CFONamePerson
Telephone Number4159728300TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1100 FIRST STREETAddressLine1
CitySAN FRANCISCOCity
StateCAState
ZIP Code94105ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (52 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOfficerOfficerOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
TERRY A O'TOOLE
CHAIRMAN OF THE BOARD1.0X1046670
GEORGE J STRATIGOPOULOS DDS
Chairman of the Board1.0X113277
DAVID WALKER
TREASURER1.0X121667
R KENT FARNSWORTH DDS
First Vice President1.0X107167
GLEN F BERGERT
DIRECTOR1.0X97333
WAYNE DOUGLAS DEL CARLO DDS
DIRECTOR1.0X31833
PATRICIA A FUKAMI
DIRECTOR1.0X15333
GREGORY D KAPLAN DDS
DIRECTOR1.0X54333
BECKY A PATEL
Secretary1.0X109333
JO BONITA RAINS
DIRECTOR1.0X55833
CORAGENE I SAVIO DDS
DIRECTOR1.0X67333
STEVEN W VOSS
DIRECTOR1.0X63443
JOHN DOUGLASS WILLIAMS
DIRECTOR1.0X28833
STEVEN F MCCANN
DIRECTOR1.0X61833
Andrew J Reid
Director1.0X48110
Douglas D Cassat DDS
Director1.0X27000
Devang M Gandhi DDS
Director1.0X29610
Thomas A Zimmerman
Director1.0X29000
GARY D RADINE
PRESIDENT/CEO51.02551699X1224420
ANTHONY S BARTH
EVP/COO42.01135404X826283
MICHAEL J CASTRO
EVP/CFO42.0803300X533238
PATRICK S STEELE
EVP/CIO44.0818209X1582585
CHARLES LAMONT
EVP/CLO42.0653956X1513529
BELINDA MARTINEZ
SENIOR VICE PRESIDENT50.0533563X25587
KEVIN JACKSON
GROUP VICE PRESIDENT50.0362464X32907
NILESH PATEL
Senior Vice President50.0467020X21794
ALICIA WEBER
SVP/Controller43.0480957X61373
TERRI ANDERSON
VICE PRESIDENT50.0314255X59625
KENNETH F BERNARDI
VICE PRESIDENT50.0689461X15234
DANIEL CROLEY
VICE PRESIDENT50.0266283X26931
RICK R DOERING
VICE PRESIDENT50.0409458X62825
PATRICK HENRY
Senior Vice President50.0301393X34392
EVA HOFFMAN
VICE PRESIDENT50.0273510X33499
KATHY JONZZON
VICE PRESIDENT50.0267542X51414
J DOUGLAS KONOVALOFF
VICE PRESIDENT50.0246414X30836
GARRET LEAF
VICE PRESIDENT50.0344429X34907
JAMAL NASR
VICE PRESIDENT50.0316785X39608
MOHAMMADREZA NAVID
VICE PRESIDENT50.0353594X21633
DUANE PROFEIT
VICE PRESIDENT50.0288968X70885
KATHERINE WATTS
VICE PRESIDENT50.0272923X36821
TOM WONG
VICE PRESIDENT50.0339382X37041
JEFFREY M ALBUM
VICE PRESIDENT50.0282875X40331
HARI MAKKALA
VICE PRESIDENT50.0339189X18111
Jeffrey Seybold
Vice President50.0223901X59348
John Yamamoto
Vice President50.0230085X39135
Stephen Adamson
Vice President50.0255030X20387
KEVIN O'TOOLE
DIRECTOR SALES40.029295337432X
CARLA ANGULO
SALES ACCOUNT EXECUTIVE40.027020339769X
VALERIE LAYNE
DIRECTOR NAT'L & SPC'L ACCTS40.025176963076X
ESTHER MARCIAL
SALES ACCOUNT EXECUTIVE40.031148243998X
Sciona Williamson
Sales Account Executive40.036931135850X
THOMAS W BURDEN
VICE PRESIDENT50.017589431699X
FieldValueIRS element (for citing)
Total Reportable Comp From Org16404569TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs255030TotalReportableCompFrmRltdOrgs
Total Other Compensation6806503TotalOtherCompensation
Number Individuals GT100 K456NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HP Enterprise Services LLC
PO Box 848433DALLASTX752848433CONSULTING SERVICES33946470
Catalyst360 LLC
4 Walnut Grove DriveHORSHAMPA19044CONSULTING SERVICES3746287
Expedien
12750 Briar Forest Dr Ste 1401HOUSTONTX77077Consulting Services6003657
IBM
PO Box 676623DALLASTX752676673Software Maint Svcs3705736
Oracle Corporation
PO Box 1450MINNEAPOLISMN554858178Software Maint Svcs3027937
FieldValueIRS element (for citing)
Number Of Contractors GT100 K85NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
PROFESSIONAL SERVICES33674040303367404030
FEES & CONTRACTS FROM GOVERNMENT AGENCY11144977451114497745
FieldValueIRS element (for citing)
Total Program Service Revenue4481901775TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column15900901TotalRevenueColumn
Related Or Exempt Function Income15900901RelatedOrExemptFunctionIncome

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities71144875Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities73186449Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-2041574Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-2041574TotalRevenueColumn
Related Or Exempt Function Income-2041574RelatedOrExemptFunctionIncome

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

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Total Revenue Column6575319TotalRevenueColumn
Related Or Exempt Function Income6575319RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Other Revenue6575319TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column4502336421TotalRevenueColumn
Related Or Exempt Function Income4502336421RelatedOrExemptFunctionIncome

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total776591Total
Program Services776591ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total402750Total
Program Services402750ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total4004753026Total
Program Services4004753026ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total23466093Total
Management And General23466093ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total182989752Total
Program Services151940768ProgramServices
Management And General31048984ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total10406992Total
Program Services10406992ProgramServices

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total36712423Total
Program Services35186862ProgramServices
Management And General1525561ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12367907Total
Program Services11418128ProgramServices
Management And General949779ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5540406Total
Management And General5540406ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1498386Total
Program Services514114ProgramServices
Management And General984272ManagementAndGeneral

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)
Total329067Total
Program Services329067ProgramServices

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total3554831Total
Program Services3526845ProgramServices
Management And General27986ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total25914852Total
Program Services25687081ProgramServices
Management And General227771ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total38401997Total
Program Services38400105ProgramServices
Management And General1892ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total7012438Total
Program Services6968409ProgramServices
Management And General44029ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total25555290Total
Program Services23823622ProgramServices
Management And General1731668ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total4741230Total
Program Services3641317ProgramServices
Management And General1099913ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total425452Total
Program Services313744ProgramServices
Management And General111708ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total3551325Total
Program Services3551325ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total14223643Total
Program Services14179946ProgramServices
Management And General43697ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total19266904Total
Program Services19017146ProgramServices
Management And General249758ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total1072299Total
Program Services1895ProgramServices
Management And General1070404ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BROKER FEES3159699531596995
CONSULTANT FEES52613249512274691385780
OUTSIDE SERVICES85100718294490215581
CAPITALIZE SYSTEM PROJECT COST-62347242-61879859-467383
OTHER EXPENSES1373745114457813-720362

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total4467074178Total
Program Services4398536641ProgramServices
Management And General68537537ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY61943031BOY
EOY140331176EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY20902617BOY
EOY67289125EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY263823700BOY
EOY254433372EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY38750000BOY
EOY35750000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY22195070BOY
EOY16265129EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis570805518LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec248553137LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY270061942BOY
EOY322252381EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY337665883BOY
EOY288081339EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY49983166BOY
EOY50906757EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY6295206BOY
EOY6295206EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY43941300BOY
EOY41515414EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY1115561915BOY
EOY1223119899EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY434892535BOY
EOY488264915EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY19040990BOY
EOY36536308EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY100000000BOY
EOY53333333EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY184789277BOY
EOY226495229EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY738722802BOY
EOY804629785EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY376839113BOY
EOY418490114EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY376839113BOY
EOY418490114EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1115561915BOY
EOY1223119899EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35262243ReconcilationRevenueExpenses
Reconcilation Other Changes6388758ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis27539904OtherCostOrOtherBasis
Depreciation22160036Depreciation
Book Value5379868BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis507236536OtherCostOrOtherBasis
Depreciation196308086Depreciation
Book Value310928450BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis36029078OtherCostOrOtherBasis
Depreciation30085015Depreciation
Book Value5944063BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings322252381TotalOfBookValueLandBuildings
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
ACCRUED RETIREMENT BENEFITS$88,796,178
DEFERRED COMPENSATION PLANS$37,414,388
GROUP PREFUNDING DEPOSITS$7,578,490
REFUNDABLE GROUP BALANCES$92,706,173
FieldValueIRS element (for citing)
Total Of Amounts226495229TotalOfAmounts
Total Revenue4502336421TotalRevenue
Total Expenses4467074178TotalExpenses
Excess Or Deficit For Year35262243ExcessOrDeficitForYear
Net Unrealized GL On Investments10351437NetUnrealizedGLOnInvestments
Other-$3,962,679OtherAmount
Total Adjustments6388758TotalAdjustments
Excess Or Deficit Per FS41651001ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2728715421TotRevenueEtcAuditedFinclStmt
Revenue Subtotal2728715421RevenueSubtotal
Other Revenues Not Included1773621000OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt1773621000RevenueNotRptdOnFinStmt
Total Revenue Per Form9904502336421TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2693453178TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2693453178ExpensesSubtotal
Other Expenses Not Included1773621000OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt1773621000ExpensesNotRptdOnFinStmt
Total Expenses Per Form9904467074178TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Other RevenuePART XII, LINE 4BADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE.
Other ExpensePART XIII, LINE 4bCLAIMS INCURRED FOR ADMINISTRATIVE 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 accounting for uncertainties in tax positions recognized in an entity's financial statements. The guidance prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. These tax positions include those where the Company is exempt from income taxes or not subject to income taxes or unrelated business income. The Company evaluated the impact of implementing the new accounting pronouncement and determined that it had no impact on the Company's financial statements.
Other Changes in Net AssetsPart XI, Line 8Pension liability and post-retirement adjustments.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (32 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
MARCH OF DIMES
1275 Mamaroneck AveWhite PlainsNY1060513184636610667MARCH FOR BABIES CORPORATE DONATION
NATIONAL GUARD YOUTH FOUNDATION
1001 N Fairfax St Ste 205AlexandriaVA2231454194097810000CHALLENGE PROGRAM DONATION
NMFA - NATIONAL MILITARY FAMILY ASSOC
2500 N Van Dorn St Ste 102AlexandriaVA22302520899384250002010 CONGRESSIONAL RECEPTION SPONSORSHIP
SANTA BARBARA NEIGHBORHOOD CLINICS
1900 State Street Ste GSanta BarbaraCA9310177049638225000ADULT DENTAL CARE PROJECT
UC REGENTS
1 Shields AveDavisCA9561695222640625000CONTINUING EDUCATION GRANTTax Accounting
UNITED WAY CALIFORNIA CAPITAL REGION
10389 Old Placerville RdSacramentoCA9582623707900343254MATCHING DONATIONS
UNITED WAY OF GREATER LOS ANGELES
523 WEST 6TH STREETLOS ANGELESCA900149522748016123MATCHING DONATIONS
UNITED WAY OF THE BAY AREA
221 MAIN STREETSAN FRANCISCOCA9410594131234831953MATCHING DONATIONSSUITE 300
UNIVERSITY OF PENNSYLVANIA
3451 WALNUT STREETPHILADELPHIAPA1910423135268525000CONTINUING EDUCATION SPONSORSHIP
CALIFORNIA ACADEMY OF GENERAL DENTISTRY
73 Castlewood DrivePleasantonCA9456694255720725000CONTINUING EDUCATION GRANT
NOVA SOUTHEASTERN UNIVERSITY
3301 College AveDavieFL3331459108350225000CONTINUING EDUCATION SPONSORSHIP
ORAL HEALTH AMERICA
410 N MICHIGAN AVECHICAGOIL6061136238233410000HEALTH & EDUCATION GRANTSTE 352
SAN DIEGO COUNTY OFFICE OF EDUCATION
6401 Linda Vista RdSan DiegoCA9211195600093517000SAN DIEGO SMILES PROGRAM
UCSF - SCHOOL OF DENTISTRY
PO BOX 0884SAN FRANCISCOCA9414394603649325000CONTINUING EDUCATION GRANT
AMERICAN RED CROSS
PO Box 37243WashingtonDC20013724353019660530000HAITIAN RELIEF FUND
CARECEN
1460 Columbia Rd NWWashingtonDC2000994303650810000HEALTH & EDUCATION GRANTSuite C-1
CDA FOUNDATION
222 South Riverside PlazaChicagoIL60606680411536250002010 CAMBRA SYMPOSIUMSuite 2100
COLUMBIA UNIVERSITY
622 West 113th StreetNew YorkNY1002513559809327500CONTINUING EDUCATION GRANTMail Code 4524
INTERAGENCY INSTITUTE FOR FEDERAL HEALTH CARE EXEC
07742151214600ALUMNI DINNER SPONSORSHIP
LA CLINICA DE LA RAZA
PO Box 22210OaklandCA9462394174410812500COMMUNITY HEALTH EDUCATION PROGRAM
NAT'L FOUND OF DENTISTRY FOR THE HANDICAPPED
1800 15th Street Suite 100DenverCO8020284612906450000ANNUAL GRANT
SAN FRANCISCO CHAMBER OF COMMERCE
235 Montgomery StreetSan FranciscoCA941049408349508200CITYBEAT SUPPORTER SPONSORSHIP
SAN MATEO MEDICAL CENTER
222 W 39th AveSan MateoCA9440394600053210000ELECTRONIC DENTAL RECORD PROJECT
SANTA CLARA FAMILY HEALTH FOUNDATION
210 E Hacienda AveCampbellCA9500827258063010300MEASURE A DONATION
SOCIETY OF AMERICAN INDIAN DENTISTS
PO Box 9230SurprizeAZ8537420596690330000GRANT FOR EXPANSION PROJECT
UCLA SCHOOL OF DENTISTRY
10833 Le Conte AveLos AngelesCA9009594319163739146REDUCING MICROBIAL LEVELS IN HIGH RISK ADULTS
UNIVERSITY OF ALABAMA
PO Box 870142TuscaloosaAL3548763600113825000CONTINUING EDUCATION SPONSORSHIP
UNIV OF TX HEALTH SCIENCE CTR OF SAN ANTONIO
7703 Floyd Curl DrSan AntonioTX7828474158603125000CONTINUING EDUCATION SPONSORSHIP
UNIV OF TX DENTAL BRANCH Alumni Assoc
PO Box 56667HoustonTX7725674176130910000PEDIATRIC DENTISTRY CLINIC SPONSORSHIP
UNLV SCHOOL OF DENTAL MEDICINE
Mail Stop 122RenoNV8955788600002425000CONTINUING EDUCATION SPONSORSHIP
WATTS HEALTHCARE CORP
10300 Compton AveLos AngelesCA90002362875304648020000HEALTH & RESEARCH GRANT
MISCELLANEOUS ITEMS LESS THAN 5000
100348
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants83TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantAmount Of Cash GrantAmountOfCashGrant
STUDENT LEADERSHIP AWARDS202750
HISPANIC SCHOLARSHIP200000

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 (34 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgBonus Filing OrgBonusFilingOrgOther Compensation Filing OrgOtherCompensationFilingOrgDeferred Comp Filing OrgDeferredCompFilingOrgNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgTotal Compensation Filing OrgTotalCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
GARY D RADINE
12000009600003916991207332170883776119
ANTHONY S BARTH
75019235000035212802636236471961687
MICHAEL J CASTRO
50009625000053204509591236471336538
PATRICK S STEELE
500096275000431131565497170882400794
CHARLES LAMONT
389404220000445521496441170882167485
BELINDA MARTINEZ
37506910000058494879916788559150
KEVIN JACKSON
2700396750024925971023197395371
NILESH PATEL
3602189000016802133178477488814
ALICIA WEBER
357903100000230544078120592542330
TERRI ANDERSON
24603154000142244185417771373880
KENNETH F BERNARDI
2253345000041412768014554704695
DANIEL CROLEY
222516350008767373423197293214
RICK R DOERING
31727679965122173962823197472283
PATRICK HENRY
23264450000187491762716765335785
EVA HOFFMAN
221206450007304984823651307009
KATHY JONZZON
2335192586581582821723197318956
J DOUGLAS KONOVALOFF
1884472500032967718523651277250
GARRET LEAF
2656587000087711084524062379336
JAMAL NASR
24292759700141581641123197356393
MOHAMMADREZA NAVID
22899210310021502132028431375227
DUANE PROFEIT
22850045600148685042020465359853
KATHERINE WATTS
2145755062777212018316638309744
TOM WONG
2700466000093361384423197376423
KEVIN O'TOOLE
16996911428387011432523107330385
THOMAS W BURDEN
15464910000112451561816081207593
JEFFREY M ALBUM
2200645322395881713423197323206
HARI MAKKALA
27903551000915496808431357300
CARLA ANGULO
862801746649259312548515309972
VALERIE LAYNE
20638423301220843996923107314845
ESTHER MARCIAL
7785222507285582040223596355480
Jeffrey Seybold
18500022500164013570423644283249
John Yamamoto
2001152500049701594523190269220
Stephen Adamson
17538579645110099378275417
Sciona Williamson
8287527343513001292106640405161

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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.
Non-Fixed Compensation PaymentsPART I, LINE 7The President of the organization, with Board of Directors approval, may grant an annual bonus to all management employees. Any bonus amounts granted are included in the taxable compensation reported herein.
Supplemental Non-Qualified Retirement PlanPART I, LINE 4bThe 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 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 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 2010, eight executives participated in the plan - Anthony Barth, Michael Castro, Kathy Jonzzon, Douglas Konovaloff, Charles Lamont, Belinda Martinez, Gary Radine, and Patrick Steele.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (5 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Allied Administrators
David Walker3809939Broker Administrationfalse
R Kent Farnsworth DDS
Participating Provider439208Dental Claim Paymentsfalse
Gregory D Kaplan DDS
Participating Provider283977Dental Claim Paymentsfalse
Coragene I Savio DDS
Participating Provider226416Dental Claim Paymentsfalse
Douglas D Cassat DDS
Participating Provider228332Dental Claim Paymentsfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Governing Body and ManagementPart VI, SECTION ALines 6-7: The organization has two classes of members, Corporate Members and Dentist Members. The Corporate Members vote on persons nominated as directors and Corporate Members for endorsement to the organization's parent holding company, Dentegra Group, Inc., which elects the directors and Corporate Members. The Corporate Members also must approve any proposed merger or dissolution of the organization and any changes to specified Bylaws provisions. The Dentist Members have a right to vote only upon proposed changes to the Bylaws provisions that specify the proportion of dentists and lay persons serving as directors and Corporate Members.
PoliciesPart VI, SECTION BLine 11: The organization's CFO and legal counsel oversee the completion of the Form 990, and review it with the President/CEO and with the Board of Directors' Audit and Finance Committees prior to filing. 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. 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. Lines 15a and b: Compensation paid to the CEO, executive vice presidents and senior vice presidents is approved by the Executive Committee of the organization's Board of Directors. The committee approves compensation for the ensuing year after reviewing comparability data presented by an independent 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. 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. The organization does not make its governing documents or conflict of interest policy available to the public.
Transactions with Interested PersonsSchedule L, Part IVDuring the report year, organization director David Walker was President of Allied Administrators.
Delta Dental EnterpriseForm 990, Part VII; Schedule J; Schedule RThe organization, regulated by the California Department of Managed Health Care, 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 approximately 75% of total enterprise revenues.
Other Changes in Net AssetsPart XI, Line 5Pension liability and post-retirement adjustments $( 3,962,679) Net unrealized gains (losses) on investments 10,351,437 ------------ Total other changes in Net Assets $ 6,388,758
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:GARY D. RADINE TITLE:PRESIDENT/CEO HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ANTHONY S. BARTH TITLE:EVP/COO HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:MICHAEL J. CASTRO TITLE:EVP/CFO HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:PATRICK S. STEELE TITLE:EVP/CIO HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:CHARLES LAMONT TITLE:EVP/CLO HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:ALICIA WEBER TITLE:SVP/Controller HOURS:7

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
CELEBRATION DENTAL SERVICES LLC
100 First StreetSan FranciscoCA94105593410497DENTAL SVCSFLDelta Dental
DENTEGRA INSURANCE HOLDINGS LLC
100 First StreetSan FranciscoCA94105943386049HLDNG CMPNYDEDENTEGRA INS

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
F Gene Dixon Foundation
100 First StreetSan FranciscoCA94105371570764CharitableCA501(c)(3)PFDentegra Gro
Delta Dental of Pennsylvania
One Delta DriveMechanicsburgPA17055231667011Dental InsPA501(c)(4)Dentegra Gro
Delta Dental of Delaware
One Delta DriveMechanicsburgPA17055510228088Dental InsDE501(c)(4)Dentegra Gro
Delta Dental of West Virginia
One Delta DriveMechanicsburgPA17055550523124Dental InsWV501(c)(4)Dentegra Gro
Delta Dental of the District of Columbia
One Delta DriveMechanicsburgPA17055521479587Dental InsDC501(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 Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Disproportionate AllocationsfalseDisproportionateAllocations
Percentage Ownership0.50000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (14 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountryProvince Or StateAddressForeign/ProvinceOrState
DENTEGRA GROUP INC
100 First StreetSan FranciscoCA94105943386049HLDG COMPDENAC CORP
DENTEGRA INSURANCE COMPANY
100 First StreetSan FranciscoCA94105751233841INSURANCE COMDEDelta Dental ofC CORP0.80000
DENTEGRA INS CO-NE
100 First StreetSan FranciscoCA94105042890218INSURANCE COMMADelta Dental ofC CORP1.00000
DELTA DENTAL INSURANCE CO
100 First StreetSan FranciscoCA94105942761537INSURANCE COMDEDelta Dental ofC CORP0.88140
ALPHA DENTAL OF NEVADA INC
12898 Towne Center DriveCerritosCA90703880244893INSURANCE COMNVDelta Dental ofC CORP1.00000
ALPHA DENTAL OF UTAH INC
12898 Towne Center DriveCerritosCA90703860672505INSURANCE COMUTDelta Dental ofC CORP1.00000
ALPHA DENTAL PROGRAMS INC
12898 Towne Center DriveCerritosCA90703742447512INSURANCE COMTXDelta Dental ofC CORP1.00000
ALPHA DENTAL OF ALABAMA INC
12898 Towne Center DriveCerritosCA90703630796079INSURANCE COMALDelta Dental ofC CORP1.00000
ALPHA DENTAL OF NEW MEXICO INC
12898 Towne Center DriveCerritosCA90703330279230INSURANCE COMNMDelta Dental ofC CORP1.00000
ALPHA DENTAL OF ARIZONA INC
12898 Towne Center DriveCerritosCA90703930939835INSURANCE COMAZDelta Dental ofC CORP1.00000
DENTEGRA SEGUROS DENTALES SA
INSURANCE COMDENTEGRA INSURAC CORPInsurgentes Sur 826 Piso 15Col Del ValleMXFCDF03MX
Delta Dental of Puerto Rico Inc
660436769Insurance ComDelta Dental ofC Corp0.5459614 Calle 2 Suite 200GuaynaboRQ00968RQ
Delta Reinsurance Corporation
980096711Insurance ComDELTA DENTAL OFC Corp0.00421CGI Tower 2nd FloorWarrensBBBBSt. Michael
SERVICIOS DENTALES DENTEGRA SA DE CV
INS ADMINDENTEGRA INSURAC CORPINSURGENTES SUR 826 PISC 15FCMXMXCOL DEL VALLE
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (20 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Dentegra Insurance Company
o1173
Dentegra Insurance Company
p22624909
Dentegra Insurance Company of New England
p793610
Delta Dental Insurance Company
a2100000
Delta Dental Insurance Company
k25399538
Delta Dental Insurance Company
l17159767
Delta Dental Insurance Company
o758729
Delta Dental Insurance Company
p21674442
Alpha Dental of Nevada Inc
p181485
Alpha Dental of Utah Inc
p25362
Alpha Dental Programs Inc
p1469460
Alpha Dental of Alabama Inc
p70459
Alpha Dental of New Mexico Inc
p6299
Alpha Dental of Arizona Inc
p62811
Delta Dental of Pennsylvania
a142500
Delta Dental of Pennsylvania
k8698398
Delta Dental of Pennsylvania
l13837367
Delta Dental of Pennsylvania
o43785
Delta Dental of Pennsylvania
p6109923
Delta Dental of the District of Columbia
p1887425