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COLORADO DENTAL SERVICE INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
COLORADO DENTAL SERVICE INC (EIN 84-0568337)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-10-27
IRS object ID
201133009349301058
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)
Timestamp2011-10-27T15:52:11-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1RSM MCGLADREY INCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1801 NICOLLET MALL SUITE 1100AddressLine1
CityMINNEAPOLISCity
StateMNState
ZIP Code55402ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN840568337EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1COLORADO DENTAL SERVICE INCBusinessNameLine1
Business Name Line2DBA DELTA DENTAL OF COLORADOBusinessNameLine2
FieldValueIRS element (for citing)
Name ControlCOLONameControl
Phone8002330860Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line14582 SO ULSTER STREET NO 800AddressLine1
CityDENVERCity
StateCOState
ZIP Code80237ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameDAVID BEALName
TitleCFO AND TREASURERTitle
Phone8002330860Phone
Date Signed2011-10-27DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameCOLLIN F BUZZELLName
Phone6125738750Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF COLORADOBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonKATHRYN ANN PAULNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line14582 SO ULSTER STREET NO 800AddressLine1
CityDENVERCity
StateCOState
ZIP Code80237ZIPCode
FieldValueIRS element (for citing)
Gross Receipts249600471GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DELTADENTALCO.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileCOStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees112TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI7698TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year232889220ProgramServiceRevenuePriorYear
Program Service Revenue CY247068203ProgramServiceRevenueCY
Investment Income Prior Year329055InvestmentIncomePriorYear
Investment Income Current Year2326752InvestmentIncomeCurrentYear
Other Revenue Prior Year169740OtherRevenuePriorYear
Other Revenue Current Year205516OtherRevenueCurrentYear
Total Revenue Prior Year233388015TotalRevenuePriorYear
Total Revenue Current Year249600471TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year3123922GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY3934906GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year202423901BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY218333495BenefitsPaidToMembersCY
Salaries Etc Prior Year10970630SalariesEtcPriorYear
Salaries Etc Current Year11872318SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year14058714OtherExpensePriorYear
Other Expenses Current Year12041841OtherExpensesCurrentYear
Total Expenses Prior Year230577167TotalExpensesPriorYear
Total Expenses Current Year246182560TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2810848RevenuesLessExpensesPriorYear
Revenues Less Expenses CY3417911RevenuesLessExpensesCY
Total Assets BOY76007094TotalAssetsBOY
Total Assets EOY83466505TotalAssetsEOY
Total Liabilities BOY20647689TotalLiabilitiesBOY
Total Liabilities EOY21466488TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY55359405NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY62000017NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionDELTA DENTAL OF COLORADO (DDCO) WAS FORMED AS A 501(C)(4) ORGANIZATION IN ORDER TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES IT SERVES. BECAUSE PEOPLE WITH DENTAL INSURANCE OVER TIME HAVE BETTER ORAL HEALTH OUTCOMES, DELTA DENTAL OF COLORADO DEVOTES ITSELF TO PROVIDING HIGH QUALITY, AFFORDABLE DENTAL INSURANCE TO AS MANY COLORADOANS AS POSSIBLE. UNFORTUNATELY, THERE ARE MANY PEOPLE FOR WHOM DENTAL INSURANCE IS NOT POSSIBLE. FOR THESE PEOPLE, DELTA DENTAL HAS A NUMBER OF DIFFERENT PROGRAMS ESTABLISHED TO PROVIDE THEM WITH ORAL HEALTH EDUCATION, DIRECT PATIENT DENTAL SERVICES, AND FREE DENTAL INSURANCE SO THAT GOOD ORAL HEALTH WILL ALSO BE ACHIEVABLE FOR THEM.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense238006149Expense
Revenue247068203Revenue
DescriptionPROVISION OF RISK AND SELF-FUNDED PLANS TO SUBSCRIBERS.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense4177000Expense
Grants3934906Grants
DescriptionCOMMUNITY BENEFIT PROGRAMS INCLUDING A PLEDGE OF $3,766,828 TO THE DELTA DENTAL OF COLORADO FOUNDATION.Description
FieldValueIRS element (for citing)
Total Program Service Expense242183149TotalProgramServiceExpense
Described In501 C30DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With109615533NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees112NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1GREG VOCHISBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7204894715TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14582 SO ULSTER STREET NO 800AddressLine1
CityDENVERCity
StateCOState
ZIP Code80237ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
KATHRYN ANN PAUL
CEO/PRESIDENT45.00XX604216037438
CYNTHIA ANNE EVANS
CHAIR5.00XX3975003103
CHARLES DAVID KIKUMOTO
VICE CHAIR5.00XX227500471
DENISE KAY KASSEBAUM - DDS MS
TRUSTEE4.00X1850000
MARILYN E TAYLOR
TRUSTEE4.00X2175001819
CHERYL ANN WENZINGER CPA
TRUSTEE4.00X1700001392
DONALD S SAFER DDS MS
TRUSTEE5.00X247500244
OLIVIA THOMPSON
TRUSTEE5.00X2225000
GAIL SCHOETTLER PHD
TRUSTEE4.00X255000236
DOUGLAS BERKEY DMD MPH MS
TRUSTEE4.00X195000109
RICHARD L CALL DMD MS
TRUSTEE4.00X195000228
VICTOR LAZZARO JR
TRUSTEE4.00X2025001893
JONATHAN M ANDERSON - DDS
TRUSTEE4.00X1875000
THOMAS B SWAIN - DDS
TRUSTEE4.00X1875000
LARAE ORULLIAN
TRUSTEE4.00X235000236
RUSSELL JOSEPH SCHREIER
CFO/TREASURER45.00X276703017520
DAVID ANDREW BEAL
CFO/TREASURER45.00X8851402194
LINDA MARIE ARNESON
COO/SECRETARY45.00X310753036207
JESSICA JEAN LAWHEAD
VP OF SALES & MARKETING45.00328657038879X
BARBARA B SPRINGER JD
VP OF ADMINISTRATION45.00284725042655X
LORRI KOHLE
SALES STRATEGY MANAGER45.00136971015111X
STEPHANIE RAZUI
SENIOR ACCOUNT EXECUTIVE45.00159049031721X
MARY PEARCE
CORPORATE CONTROLLER45.00151313017430X
WILLIAM BAIER
OPERATIONS MANAGER45.00000X
DANEEN STANG
MARKETING45.00166751025037X
ROBERT MARK THOMPSON
MARKETING45.00209717041838X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3029869TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation315761TotalOtherCompensation
Number Individuals GT100 K18NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
DELTA DENTAL OF VIRGINIA
4818 STARKEY ROAD SWROANOKEVA24018CLAIMS PROCESSING1577443
BMS DIRECT
37 MILLRACE DRIVELUNCHBURGVA24502MAILING SERVICES702086
BETA HEALTH SERVICES
9725 E HAMPDEN AVE 400DENVERCO80231BROKERAGE SERVICES402419
LOCKTON COMPANIES
8110 E UNION AVE 700DENVERCO80237BROKERAGE SERVICES356895
EMDEON
3055 LEBANON PIKE SUITE 1000NASHVILLETN37214CLAIMS CLEARING HOUSE244611
FieldValueIRS element (for citing)
Number Of Contractors GT100 K29NumberOfContractorsGT100K

Program Service Revenue ProgramServiceRevenue (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
RISK PLAN PREMIUMS524114120981789120981789
SELF FUNDED PLAN PREMI524114116810824116810824
ADMINISTRATION - SELF52429892755909275590
FieldValueIRS element (for citing)
Total Program Service Revenue247068203TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2125309TotalRevenueColumn
Exclusion$2,125,309ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities201443Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities201443Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column201443TotalRevenueColumn
Exclusion$201,443ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionMISCELLANEOUS REVENUEDescription
Business Code524298BusinessCode
Total Revenue Column205516TotalRevenueColumn
Related Or Exempt Function Income197818RelatedOrExemptFunctionIncome
Unrelated Business Revenue7698UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue205516TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column249600471TotalRevenueColumn
Related Or Exempt Function Income247266021RelatedOrExemptFunctionIncome
Unrelated Business Revenue7698UnrelatedBusinessRevenue
Exclusion$2,326,752ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total3934906Total
Program Services3934906ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total218333495Total
Program Services218333495ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2345927Total
Program Services1876742ProgramServices
Management And General469185ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7423582Total
Program Services5938866ProgramServices
Management And General1484716ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total364265Total
Program Services291412ProgramServices
Management And General72853ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1118469Total
Program Services894775ProgramServices
Management And General223694ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total620075Total
Program Services496060ProgramServices
Management And General124015ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total90157Total
Management And General90157ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total101990Total
Management And General101990ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1519253Total
Program Services1222550ProgramServices
Management And General296703ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total15737Total
Program Services15737ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total110846Total
Program Services88677ProgramServices
Management And General22169ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total532183Total
Program Services425746ProgramServices
Management And General106437ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total733531Total
Program Services586825ProgramServices
Management And General146706ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total271577Total
Program Services217262ProgramServices
Management And General54315ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1142174Total
Program Services913739ProgramServices
Management And General228435ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
COMMISSIONS46342204634220
DATA PROCESSING1109988887990221998
POSTAGE717059573647143412
PROMOTIONS613241490593122648
FEES, LICENSES & DUES44988535990789978

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total246182560Total
Program Services242183149ProgramServices
Management And General3999411ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY6636041BOY
EOY4975220EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY490436BOY
EOY182016EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY12700997BOY
EOY12884388EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY215154BOY
EOY239811EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12590722LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec8983614LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4050628BOY
EOY3607108EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY51476230BOY
EOY61112902EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY20010BOY
EOY20010EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY417598BOY
EOY445050EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY76007094BOY
EOY83466505EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5078368BOY
EOY4669375EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY2772000BOY
EOY3766828EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY1545321BOY
EOY1781168EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY11252000BOY
EOY11249117EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY20647689BOY
EOY21466488EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY55359405BOY
EOY62000017EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY55359405BOY
EOY62000017EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY76007094BOY
EOY83466505EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses3417911ReconcilationRevenueExpenses
Reconcilation Other Changes3222701ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1065709OtherCostOrOtherBasis
Depreciation923421Depreciation
Book Value142288BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis2194624OtherCostOrOtherBasis
Depreciation1758544Depreciation
Book Value436080BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis9330389OtherCostOrOtherBasis
Depreciation6301649Depreciation
Book Value3028740BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings3607108TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionPROVISION FOR UNPAID CLAIMSDescription
Amount$11,249,117Amount
FieldValueIRS element (for citing)
Total Of Amounts11249117TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationTHE COMPANY ADOPTED CERTAIN PROVISIONS OF ASC 740, INCOME TAXES, AS OF JANUARY 1, 2009. THE PROVISIONS CLARIFY THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES RECOGNIZED IN AN ORGANIZATION'S FINANCIAL STATEMENTS AND PRESCRIBE A RECOGNITION THRESHOLD AND MEASUREMENT STANDARD FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF AN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. THE COMPANY HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT THE ADOPTION OF THE PROVISIONS DID NOT HAVE AN IMPACT ON THEIR CONSOLIDATED FINANCIAL STATEMENT PRESENTATION.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
DELTA DENTAL OF COLORADO FOUNDATION
4582 S ULSTER ST SUITE 800DENVERCO80237841389431501(C)(3)3767000SUPPORTED ORGANIZATION OF THE COMPANY
AMERICAN HEART ASSOCIATION
7272 GREENVILLE AVENUEDALLASTX75231135613797501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
BOYS & GIRLS CLUBS OF METRO DENVER
2017 WEST 9TH AVENUEDENVERCO80204840510404501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
BUSINESS COMMITTEE FOR THE ARTS INC (BCA)
29-27 QUEENS PLAZA NORTHLONG ISLAND CITYNY11101132596741501(C)(3)5000CULTURE AND HUMANITIES
COLORADO MISSION OF MERCY
3690 S YOSEMITE ST STE 100DENVERCO80237271586585501(C)(3)10000SUPPORT LOCAL 501(C)(3) ORGANIZATION
COLORADO SYMPHONY ORCHESTRA
1000 14TH ST UNIT 15DENVERCO80202840511458501(C)(3)5000CULTURE AND HUMANITIES
DENTAL AID
877 SOUTH BOULDER ROADLOUISVILLECO80027840717588501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
DENTAL ELITE
2009 N PIEDRA STREETMESAAZ85207320031941501(C)(3)6906SUPPORT LOCAL 501(C)(3) ORGANIZATION
DENVER ART MUSEUM
100 WEST 14TH AVE PARKWAYDENVERCO80204846038240501(C)(3)25000CULTURE AND HUMANITIES
DENVER CENTER FOR PERFORMING ARTS
1101 13ST STREETDENVERCO80204840407760501(C)(3)5000CULTURE AND HUMANITIES
DENVER HEALTH FOUNDATION
655 BROADWAY STE 750 MSC 0111DENVERCO802033420841085196501(C)(3)10000SUPPORT LOCAL 501(C)(3) ORGANIZATION
DMNS-DENVER MUSEUM OF NATURE & SCIENCE
2001 COLORADO BLVDDENVERCO80205841035262501(C)(3)5000CULTURE AND HUMANITIES
EXCELSIOR YOUTH CENTER
3754 W INDIAN TRAIL RDSPOKANEWA99208911189908501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
GOODWILL INDUSTRIES OF DENVER
6850 N FEDERAL BLVDDENVERCO80221840405513501(C)(3)6000SUPPORT LOCAL 501(C)(3) ORGANIZATION
HOWARD DENTAL CENTER
1420 OGDEN STDENVERCO80218841312498501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
JUVENILE DIABETES RESEARCH
120 WALL ST 19TH FLOORNEW YORKNY10005231907729501(C)(3)10000SUPPORT LOCAL 501(C)(3) ORGANIZATION
KIND - KIDS IN NEED OF DENTISTRY
2465 S DOWNING SUITE 207DENVERCO80210846038681501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
LONGMONT SYMPHONY SOCIETY
PO BOX 74LONGMONTCO80502840611954501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
MILE HIGH UNITED WAY
2505 18TH STDENVERCO80211840404235501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
NAT FOUNDATION FOR DENTISTRY
1800 15TH ST STE 100DENVERCO80202846129064501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
SAMARITAN INSTITUTE
2696 S COLORADO BLVDDENVERCO80222310951606501(C)(3)5000SUPPORT LOCAL 501(C)(3) ORGANIZATION
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants22TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: THE COMPANY HAS PROCEDURES TO ASCERTAIN THAT ALL GRANTS ARE MADE TO 501C3 ORGANIZATIONS AND ARE PROPERLY APPROVED BY MANAGEMENT. ADDITIONALLY, THE ORGANIZATION REQUIRES PERIODIC REPORTS TO ASCERTAIN THAT SUBSTANTIAL GRANTS ARE USED FOR THEIR PROPER INTEDED PURPOSE.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
KATHRYN ANN PAUL
349481024682707908032500049380641654000
RUSSELL JOSEPH SCHREIER
1081920684420100069013607039130294223000
LINDA MARIE ARNESON
21636508708007308028139080680346960000
JESSICA JEAN LAWHEAD
2083050113044073080274440114350367536000
BARBARA B SPRINGER JD
197290079527079080284360142190327380000
LORRI KOHLE
974640389070600013108020030152082000
STEPHANIE RAZUI
79310079739000167330149880190770000
MARY PEARCE
1383630123500600014387030430168743000
DANEEN STANG
769460892050600095180155190191788000
ROBERT MARK THOMPSON
14137106814602000249530168850251555000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINES 4A-BPART I, LINES 4A-B: IN 2010 RUSSELL JOSEPH SCHREIER RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $96,114.50 THE FOLLOWING PARTICIAPATED IN A NON-QUALIFIED RETIREMENT PLAN; HOWEVER NO DISBURSEMENTS WERE PAID IN 2010: KATHRYN ANN PAUL LINDA MARIE ARNESON ROBERT MARK THOMPSON
PART I, LINE 6THE COMPANY HAS AN INCENTIVE COMPENSATION PLAN AND A SALES INCENTIVE PLAN WHICH PROVIDES AN ANNUAL BONUS FOR ALL ELLGIBLE EMPLOYEES IF THE COMPANY REACHES CERTAIN GOALS INCLUDING A MINIMUM NET GAIN GOAL. ALL ACTIVE FULL TIME EMPLOYEES ARE ELIGIBLE FOR ONE OF THE INCENTIVE PLANS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS WHO ARE DEFINED AS PARTICIPATING DENTISTS WHO ARE ENGAGED IN THE PRACTICE OF DENTISTRY IN THE STATE OF COLORADO. THE PARTICIPATING DENTISTS ARE THOSE THAT HAVE SIGNED A PARTICIPATING DENTIST AGREEMENT WITH THE ORGANIZATION AS PRESCRIBED BY THE BOARD OF TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBERS OF THE ORGANIZATION HAVE THE AUTHORITY TO ELECT THE BOARD OF TRUSTEES AT THE ANNUAL MEETING OF THE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BCERTAIN MATTERS OF THE ORGANIZATION ARE SUBJECT TO A VOTE OF THE MEMBERS. A QUORUM OF 2% OF THE MEMBERSHIP IS REQUIRED.
FORM 990, PART VI, SECTION B, LINE 11THE ORGANIZATION HAS AN AUDIT, INVESTMENT AND FINANCE COMMITTEE OF THE BOARD OF TRUSTEES THAT IS RESPONSIBLE FOR REVIEWING AND APPROVING THE FORM 990. THE ORGANIZATION ALSO HAS A COMPENSATION COMMITTEE THAT IS RESPONSIBLE FOR REVIEWING AND APPROVING THE COMPENSATION SCHEDULES WITHIN THE FORM 990. A DRAFT OF THE 990 IS ALSO PRESENTED TO THE GOVERNING BOARD OF TRUSTEES FOR REVIEW PRIOR TO BEING FILED. ONCE THE 990 HAS BEEN REVIEWED BY THE AUDIT, INVESTMENT AND FINANCE COMMITTEE AND THE GOVERNING BOARD OF TRUSTEES, THE AUDIT, INVESTMENT AND FINANCE COMMITTEE APPROVES THE 990 FOR FILING WITH THE INTERNAL REVENUE SERVICE. WE ENGAGE AN INDEPENDENT CPA TAX PROFESSIONAL TO PREPARE OUR 990, AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE AUDIT, INVESTMENT AND FINANCE COMMITTEE'S ROLE THEN IS TO EVALUATE THE FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. WE HAVE TAKEN THOSE STEPS WITH OUR AUDIT, INVESTMENT AND FINANCE COMMITTEE.
DDCO CONDUCTS ANNUAL COMPLIANCE TRAINING, WHICH IS MANDATORY FOR ALL EMPLOYEES TO ATTEND. THE CONFLICTS OF INTEREST POLICY IS DISCUSSED AT THIS TRAINING. ON AN ANNUAL BASIS, ALL EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND SUBMIT ANY POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. RECEIPT OF ALL SIGNED & COMPLETED FORMS ARE TRACKED IN AN EXCEL FILE; ORIGINAL FORMS ARE KEPT IN THE PERSONNEL FILE IN THE HUMAN RESOURCES OFFICE. ANY REPORTED POTENTIAL OR PERCEIVED CONFLICTS ARE REVIEWED AND, IF NECESSARY, EMPLOYEES AND THEIR MANAGER ARE ADVISED TO REMOVE THEMSELVES FROM ANY SITUATION INVOLVING THE POTENTIAL CONFLICT. ADDITIONALLY, ALL NEW EMPLOYEES RECEIVE COMPLIANCE TRAINING AND ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. EMPLOYEES ARE INSTRUCTED TO COMPLETE A NEW CONFLICT OF INTEREST STATEMENT DURING THE COURSE OF THE YEAR, SHOULD THEIR SITUATION CHANGE. THE CONFLICT OF INTEREST POLICY AND STATEMENT FORMS ARE POSTED ON THE COMPANY INTRANET.FORM 990, PART VI, SECTION B, LINE 12C
THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF TRUSTEES THAT IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO. THE COMMITTEE ENGAGES THE SERVICES OF A THIRD PARTY TO PROVIDE RANGES OF COMPENSATION THAT ARE APPRORPRIATE FOR THE DUTIES REQUIRED BY THE POSITION OF THE PRESIDENT, AS WELL AS THE POSITIONS OF THE VICE PRESIDENTS. THE CEO AND PRESIDENT OF THE CORPORATION IS RESPONSIBLE FOR THE COMPENSATION PROCESS OF THE REMAINING OFFICERS OF THE ORGANIZATION. THE ORGANIZATION ENGAGES A THIRD PARTY TO PROVIDE RANGES OF ACCEPTABLE INCREASES AND COMPENSATION LEVELS OF AVERAGE SALARIES BY SALARY GRADE.FORM 990, PART VI, SECTION B, LINE 15
THE ORGANIZATION MAINTAINS COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THAT ARE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION HAS A STATEMENT ON ITS WEBSITE THAT INFORMS THE PUBLIC THAT THESE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT ITS CORPORATE HEADQUARTERS.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 3,164,000. NET CHANGE IN UNRECOGNIZED NET PERIODIC BENEFIT COST 58,000. ROUNDING ADJUSTMENT 701. TOTAL TO FORM 990, PART XI, LINE 5: 3,222,701.FORM 990, PART XI, LINE 5:

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL PLAN OF COLORADO FOUNDATIONBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line14582 S ULSTER ST 800AddressLine1
CityDENVERCity
StateCOState
ZIP Code80237ZIPCode
FieldValueIRS element (for citing)
EIN841389431EIN
Primary ActivitiesDENTAL HEALTH AND EDUCATIONPrimaryActivities
Legal Domicile StateCOLegalDomicileState
Exempt Code Section501(C)(3)ExemptCodeSection
Public Charity StatusLINE 11A, IPublicCharityStatus
Direct Controlling Entity NAN/ADirectControllingEntityNA
Controlled Org1ControlledOrg
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs0RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs0PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs0PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DELTA DENTAL PLAN OF COLORADO FOUNDATION INC
B3766828ACTUAL COST
DELTA DENTAL PLAN OF COLORADO FOUNDATION INC
I123748ACTUAL COST