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DELTA DENTAL OF THE DIST OF CO: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF THE DIST OF CO (EIN 52-1479587)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-10
IRS object ID
201133149349300203
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)
EIN521479587EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of the District of ColumbiaBusinessNameLine1
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 Receipts2927926GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitewww.deltadentalins.comWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1985YearFormation
State Legal DomicileDCStateLegalDomicile
Activity Or Mission DescriptionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.ActivityOrMissionDescription
Nbr Voting Members Governing Body8NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year2698410ProgramServiceRevenuePriorYear
Program Service Revenue CY2927921ProgramServiceRevenueCY
Investment Income Prior Year988InvestmentIncomePriorYear
Investment Income Current Year5InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year2699398TotalRevenuePriorYear
Total Revenue Current Year2927926TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year2400SalariesEtcPriorYear
Salaries Etc Current Year2400SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year2686010OtherExpensePriorYear
Other Expenses Current Year2915521OtherExpensesCurrentYear
Total Expenses Prior Year2698410TotalExpensesPriorYear
Total Expenses Current Year2927921TotalExpensesCurrentYear
Revenues Less Expenses Prior Year988RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5RevenuesLessExpensesCY
Total Assets BOY4123410TotalAssetsBOY
Total Assets EOY3715162TotalAssetsEOY
Total Liabilities BOY4019351TotalLiabilitiesBOY
Total Liabilities EOY3611098TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY104059NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY104064NetAssetsOrFundBalancesEOY
Mission DescriptionTO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense2729098Expense
Revenue2927921Revenue
DescriptionThe organization is the general agent for dental insurance contracts providing coverage for 370,344 beneficiaries in 2010 primarily through contracts with independent dentists serving 101 purchasing groups.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 Expense2739098TotalProgramServiceExpense
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 ActivitiesfalseForeignActivities
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 RltnshpfalseOfficerEntityWithBsnssRltnshp
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 With109618571NumberFormsTransmittedWith1096
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 Members8NbrVotingGoverningBodyMembers
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 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 (21 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationOfficerOfficerReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensation
Alecia Brown
Secretary1.0X400
Donald Clark
Treasurer1.0X400
Adolph W Johnson DDS
Director1.0X400
Balfour D Mattox DDS
Director1.0X400
Ottho Milbourne CEBS
Director1.0X400
John H Palmer DDS
Director1.0X400
Alan Singer DDS
Chairman1.0X400
Christina Kreutziger
Director1.0X400
Gary D Radine
President1.0X25516991224420
Anthony S Barth
Chief Operating Officer1.0X1135404826283
Roy M Hilliard
VP, Sales1.0X35986940819
Renee A Fisher
VP, Quality Assurance & Train1.0X27311441184
Philip N Engle
V.P., Information Technology1.0X26194841190
Michael J Castro
Chief Financial Officer1.0X803300533238
Jeanne M Foster
Vice President, Finance1.0X28322640113
Cheryl A Lerner DMD
V.P., Professional Relations1.0X19807333545
Richard C Graybill
V.P., Underwriting & Actuarial1.0X24048130739
Charles Lamont Esq
Chief Legal Officer1.0X6539561513529
Karen L Robinson
Assistant Secretary1.0X11137725899
Whitney H Sherbocker
Assistant Secretary1.0X16050432108
Alicia F Weber
Sr. VP, Controller1.0X48095761373
FieldValueIRS element (for citing)
Total Reportable Comp From Org3200TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7513908TotalReportableCompFrmRltdOrgs
Total Other Compensation4444440TotalOtherCompensation
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 (2 entries)

DescriptionDescriptionTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
COMMISSIONS EARNED18216371821637
ADMINISTRATIVE FEE INCOME11062841106284
FieldValueIRS element (for citing)
Total Program Service Revenue2927921TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column5TotalRevenueColumn
Related Or Exempt Function Income5RelatedOrExemptFunctionIncome

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 Column2927926TotalRevenueColumn
Related Or Exempt Function Income2927926RelatedOrExemptFunctionIncome

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)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2400Total
Management And General2400ManagementAndGeneral

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)
Total0Total

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total0Total

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

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)
Total0Total

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 (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BANK SERVICE CHARGES24557227841773
COMMISSIONS333479333479
ADMINISTRATIVE FEES24228832247951174932
LICENSES, PERMITS, FEES46543431833360
OTHER EXPENSES88059817016358

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total2927921Total
Program Services2739098ProgramServices
Management And General188823ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY434608BOY
EOY596918EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2769363BOY
EOY2163404EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY919439BOY
EOY954840EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY4123410BOY
EOY3715162EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY920722BOY
EOY1193876EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY130986BOY
EOY63818EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2967643BOY
EOY2353404EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY4019351BOY
EOY3611098EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY104059BOY
EOY104064EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY104059BOY
EOY104064EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY4123410BOY
EOY3715162EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses5ReconcilationRevenueExpenses
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 (2 entries)

DescriptionDescriptionAmountAmount
FUNDS HELD FOR THE ACCOUNT OF$2,163,404
PREFUNDED DEPOSITS$190,000
FieldValueIRS element (for citing)
Total Of Amounts2353404TotalOfAmounts
Total Revenue2927926TotalRevenue
Total Expenses2927921TotalExpenses
Excess Or Deficit For Year5ExcessOrDeficitForYear
Excess Or Deficit Per FS5ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt2927926TotRevenueEtcAuditedFinclStmt
Revenue Subtotal2927926RevenueSubtotal
Total Revenue Per Form9902927926TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt2927921TotExpensesEtcAuditedFinclStmt
Expenses Subtotal2927921ExpensesSubtotal
Total Expenses Per Form9902927921TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48 FootnoteIdentifier
Return ReferencePart X, Line 2ReturnReference
ExplanationThe 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.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1Howard University & Hospital SystemBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1600 W Street NWAddressLine1
CityWashingtonCity
StateDCState
ZIP Code20059ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient530204707EINOfRecipient
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)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgs
Gary D Radine
12000009600003916991207332170883776119
Anthony S Barth
75019235000035212802636236471961687
Roy M Hilliard
217398862505622140819400688
Renee A Fisher
21078355000733141184314298
Philip N Engle
21495041500549841190303138
Michael J Castro
50009625000053204509591236471336538
Jeanne M Foster
22927546900705140113323339
Cheryl A Lerner DMD
17351618030652733545231618
Richard C Graybill
19485638000762530739271220
Charles Lamont Esq
389404220000445521496441170882167485
Whitney H Sherbocker
14860915265-337032108192612
Alicia F Weber
357903100000230544078120592542330

Form990 Schedule J Part III Form990ScheduleJPartIII (4 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 PaidPart I, Line 7The President of the organization, with Board of Directors approval, may grant an annual bonus to all management employees. These amounts are included in taxable compensation.
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).
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 O IRS990ScheduleO

General Explanation GeneralExplanation (20 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, who is an employee of Dentegra Group, Inc. ("DGI"), is reviewed and approved by the DGI directors. Executive vice presidents' compensation is either approved by the President or in accordance with the procedure of Delta Dental of California (by whom they are employed). All compensation for the ensuing year is only approved after reviewing comparability data presented by an outside compensation consultant, an assessment of each officer's performance over the preceding year and the organization's program accomplishments for the year. This process was followed for 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. 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 District of Columbia Department of Insurance, Securities and Banking, 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: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:VP, Sales HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Renee A. Fisher TITLE:VP, Quality Assurance & Train HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Philip N. Engle TITLE:V.P., Information Technology HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Michael J. Castro TITLE:Chief Financial Officer HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Jeanne M. Foster TITLE:Vice President, Finance HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Cheryl A. Lerner, DMD TITLE:V.P., Professional Relations HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Richard C. Graybill TITLE:V.P., Underwriting & Actuarial HOURS:49
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:Karen L. Robinson TITLE:Assistant Secretary HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Whitney H. Sherbocker TITLE:Assistant Secretary HOURS:49
HOURS DEVOTED FOR RELATED ORGANIZATIONFORM 990 PART VIINAME:Alicia F. Weber TITLE:Sr. 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 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 Inc
One Delta DriveMechanicsburgPA17055510228088Dental InsDE501(c)(4)Dentegra Gro
Delta Dental of West Virginia Inc
One Delta DriveMechanicsburgPA17055550523124Dental InsWV501(c)(4)Dentegra Gro
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. MgmtPrimaryActivity
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 EntityTypeOfEntityBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Address Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryPostal CodeAddressForeign/PostalCode
Dentegra Group Inc
100 First StreetSan FranciscoCA94105943386049Holding CompaDEN/AC Corp
Dentegra Insurance Company
100 First StreetSan FranciscoCA94105751233841Insurance ComDEC CorpDelta Dental of
Dentegra Insurance Comp 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 Seguro Dentales SA de CV
Insurance ComC CorpDentegra InsuraInsurgentes Sur 826 Piso 15FCDF03Col del ValleMXMX
Delta Reinsurance Corporation
980096711ReinsuranceC CorpDelta Dental ofCGI Tower 2nd FloorWarrensSt. MichaelBBBB
Delta Dental of Puerto Rico
660436769Insurance ComC CorpDelta Dental of14 Calle 2 Suite 200GuaynaboRQRQ00968
Servicios Dentales Dentegra SA de CV
Ins. Mgmt.C CorpDentegra InsuraInsurgentes Sur 826 Piso 15Col del ValleMXMX
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 OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (6 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Delta Dental of California
o1887425
Delta Dental Insurance Company
l492876
Delta Dental Insurance Company
r27510
PACA Management LLC
l1698252
Delta Reinsurance Corporation
r7431749
Delta Reinsurance Corporation
q6382559