2011-11-10T07:16:55-05:00 2010-12-31 CBIZ MHM LLC 3625 Cumberland Blvd SE Suite 800 Atlanta GA 30339 990 2010-01-01 231667011 Delta Dental of Pennsylvania DELT 7177668500 One Delta Drive Mechanicsburg PA 17055 Jeanne Foster 2011-11-04 7708584500 2010 2016-03-07 17:11:31Z 527431197 false X www.deltadentalins.com X 1964 PA TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT. 20 13 879 0 0 0 474451482 521387557 1137040 1717096 0 0 475588522 523104653 253927 300996 427494593 469378602 24901142 20760000 0 0 0 15610387 26033862 468260049 516473460 7328473 6631193 96587140 120682036 51123695 65522069 45463445 55159967 TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT. false false 509537877 521387557 The organization provided dental benefit coverage for 1,848,598 beneficiaries in 2010 primarily through contracts with independent dentists serving 3,741 purchasing groups. The organization paid more than $469 million for dental care during 2010. 300996 300996 The organization made grants during 2010 to foster improved access to dental health care treatment, to support professional dental education, and to provide oral health instruction for patients. 509838873 false false false false false false false false false true true false false true true false true false false false false false false false false false true false true false false false false false true false true false false false false false true true false false true 74844 0 true 879 true false true BB false false false false X 20 13 false false false false true true true true true false false false true true true true false true true false X JEANNE FOSTER VP FINANCE 7177668500 ONE DELTA DRIVE Mechanicsburg PA 17055 X Richard W Bloomingdale 1.0 X 8000 Eugene F Carter Jr 1.0 X 11603 Donald R Gordon DDS 1.0 X 19114 Kenneth G Miller DDS 1.0 X 8200 Gregory W Pyle DMD 1.0 X 7000 Dallas J Rearic 1.0 X 8200 John H Rhodes 1.0 X 20419 S Kathleen Shivery 1.0 X 8603 James A Smeltzer CPA 1.0 X 11603 Edward L Woehling DDS 1.0 X 8200 Michael B Loughran 1.0 X 8200 Eric N Hodges DMD 1.0 X 7600 Patricia A McVicker 1.0 X 7600 Louis J Gregorio 1.0 X 7600 William A DelVecchio DMD 1.0 X 7600 Glen F Bergert CPA 1.0 X 10752 Janice Black 1.0 X 7000 John Charletta 1.0 X 7600 Ronald Helminski 1.0 X 7600 Harry Meyers DDS 1.0 X 3000 Gary D Radine 5.0 X 2551699 1224420 Anthony S Barth Sr 4.0 X 1135404 826283 Roy M Hilliard Sr 46.0 X 359869 40819 Renee A Fisher 46.0 X 273114 41184 Philip N Engle 46.0 X 261948 41190 Michael J Castro 4.0 X 803300 533238 Jeanne M Foster 46.0 X 283226 40113 Richard C Graybill 46.0 X 240481 30739 Charles Lamont Esq 4.0 X 653956 1513529 Karen L Robinson 46.0 X 111377 25899 Whitney H Sherbocker 46.0 X 160504 32108 Alicia F Weber 4.0 X 480957 61373 Patrick S Steele 4.0 X 818209 1582585 Robert D Coover 50.0 X 263923 40669 Alvin E Sheets 50.0 X 247975 32104 Richard Schon 50.0 X 250596 40858 Albert MacDonald 50.0 X 354470 39945 Michael Rohrbaugh 50.0 X 226750 38011 3219727 6443525 6185067 36 false true false Apple One Employment Services PO Box 29048 GLENDALE CA 91209 Temporary employees 516503 Nauman Smith Hall 200 North Third Street HARRISBURG PA 17108 Legal 380511 Armanino McKenna LLP 12667 Alcosta Blvd Suite 580 SAN RAMON CA 94583 Auditing 337525 Aeroteck Professional Serivces 3689 Collection Center Drive CHICAGO IL 60693 Temp Employees 1179082 JFC Temps Inc 1520 Market Street CAMP HILL PA 170010869 Temp Employees 388647 5 0 DIRECT PREMIUMS 521387557 521387557 521387557 1370358 1370358 0 0 4673282 4326544 346738 346738 346738 0 0 0 0 523104653 523104653 300996 300996 0 0 469378602 469378602 2908271 2908271 0 12566796 11659473 907323 1231490 1142576 88914 2888263 2679730 208533 1165180 1081054 84126 0 792521 792521 237987 237987 0 0 0 146573 146573 202311 187704 14607 2700918 2505912 195006 7874761 7306203 568558 0 573619 532204 41415 853752 792111 61641 0 23714 22002 1712 120560 120560 0 498036 462078 35958 195244 181147 14097 COMMISSIONS 7280002 7280002 LICENSES, PERMITS, FEES 719945 667965 51980 ADMINISTRATIVE FEES 1802868 1672701 130167 BANK CHARGES 563651 522955 40696 CLAIMS ADJUSTMENT EXPENSE 670858 622422 48436 776542 720476 56066 516473460 509838873 6634587 0 -1725574 74775 35807043 45300982 3360000 3360000 1149117 1163470 33709512 19270984 14371592 14438528 31238762 42190136 12032270 13690391 353930 463754 96587140 120682036 40345419 57386563 3311991 6435139 3000000 0 4466285 1700367 51123695 65522069 X 45463445 55159967 45463445 55159967 96587140 120682036 X 6631193 3065329 X false true true X false 1620279 1620279 12051454 4699895 7351559 1752290 1693019 59271 5469549 4428510 1041039 12815940 8449560 4366380 14438528 DELTA DENTAL INSURANCE COMPANY 4885 C DELTA REINSURANCE CORPORATION 10032172 F DDPA, INC. 100 C DENTEGRA INSURANCE COMPANY 3653234 F 13690391 0 DUE TO SUBSIDIARIES AND AFFILIATES 1700367 1700367 523104653 516473460 6631193 892038 892038 7523231 209931705 209931705 313172948 313172948 523104653 203300512 203300512 313172948 313172948 516473460 Other Revenue Part XII, Line 4b Administrative Service Contracts claim reimbursement revenue. Other Expenses Part XIII, Line 4b Claims accrued for Administrative Service Contracts. FIN 48 Footnote Part X, Line 2 The Company is a tax-exempt organization organized under Section 501(c)(4) of the Internal Revenue Code and, as such, no provision for income taxes has been made in the financial statements. Current accounting guidance clarifies how uncertainties in tax positions are recognized in an entity's financial statements. The guidance prescribes a financial statement recognition threshold and measurement process for tax positions taken or expected to be taken in a tax return. Positions include those with respect to the Company's tax exempt status and with respect to income taxes on unrelated business income. The Company evaluated the impact of the accounting pronouncement and determined that it had no impact on the Company's financial statements. true Kids Smiles Inc 2821 Island Avenue Suite 210 Philadelphia PA 19153 300249717 8000 To provide dental education and improved access to dental health care treatment. Mission of Mercy 22 S Market Street Frederick MD 21701 860704883 10000 To provide dental education and improved access to dental health care treatment. CCBC Foundation 7200 Soller Point Rd Baltimore MD 212224649 203246676 10000 To provide dental education and improved access to dental health care treatment. Healthlink Medical Center 1775 Sreet Road Southampton PA 18966 232998708 10000 To provide dental education and improved access to dental health care treatment. Bradford County Dental Health Services 1 Progress Plaza Suite 6 Towanda PA 18848 232889300 10000 To provide dental education and improved access to dental health care treatment. Centre Volunteers in Medicine 2520 Gr Tech Dr State College PA 16801 251897969 10000 To provide dental education and improved access to dental health care treatment. Crescent Park Dental Clinic Warren Gen Hospital 2 Crescent Park PO Box 68 Warren PA 163650068 250965598 10000 To provide dental education and improved access to dental health care treatment. St Joseph Medical Center PO Box 316 Reading PA 196030316 232865460 10000 To provide dental education and improved access to dental health care treatment. Susquehanna Health System Dental Clinic 469 Hepburn St Williamsport PA 17701 232743470 10000 To provide dental education and improved access to dental health care treatment. St Luke's Hospital & Health Network 801 Ostrum Street Bethlehem PA 18015 231352213 7500 To provide dental education and improved access to dental health care treatment. The Community Check-up Center 38-C Hall Manor Harrisburg PA 17104 251724315 10000 To provide dental education and improved access to dental health care treatment. Hamilton Health Center 1821 Fulton St Harrisburg PA 171021522 231858363 10000 To provide dental education and improved access to dental health care treatment. Community Health Clinic of Butler County 103 Bonnie Dr Butler PA 16002 204852135 10000 To provide dental education and improved access to dental health care treatment. Phoenixville Healthcare Access Fund 32 Gay St Phoenixville PA 19460 202556121 10000 To provide dental education and improved access to dental health care treatment. United Way of the Capital Region 2235 Millinium Way Enola PA 17025 231352095 36663 To provide dental education and improved access to dental health care treatment. Chester County Community Dental Center 744 Lincoln Hwy Coatesville PA 19320 061654816 10000 To provide dental education and improved access to dental health care treatment. Community Health and Dental Care 11 Robinson Street Ste 100 Pottstown PA 19464 251309256 7000 To provide dental education and improved access to dental health care treatment. Keystone Dental Care 767 5th Avenue Ste B-3A Chambersburg PA 17201 251546810 10000 To provide dental education and improved access to dental health care treatment. Montgomery County Care for Kids 8757 Georgia Avenye 10th Floor Silver Spring MD 20910 521847976 10000 To provide dental education and improved access to dental health care treatment. Water Street Dental Clinic 210 South Prince Street Lancaster PA 17604 232798318 10000 To provide dental education and improved access to dental health care treatment. York Hospital Dental Clinic 912 South George Street York PA 17403 233050192 10000 To provide dental education and improved access to dental health care treatment. Community Health Clinic 943 4th Ave New Kensington PA 15068 251309256 10000 To provide dental education and improved access to dental health care treatment. Albert Einstein Medical Center 5501 Old York Road Philadelphia PA 19141 232290323 10000 To provide dental education and improved access to dental health care treatment. Altoona Area Regional Partnership 620 Howard Ave Altoona PA 16601 251842308 10000 To provide dental education and improved access to dental health care treatment. Family Practice and Counseling 4700 Wissahickon Ave Philadelphia PA 19144 231727133 10000 To provide dental education and improved access to dental health care treatment. Misc Small Donations 31833 To provide dental education and improved access to dental health care treatment. 32 Grant Approval Part I, Line 2 The organization awards grants for programs that foster dental health and education. Through these grants we help finance health, educational and research projects in dentistry, health and human services and civic and community affairs. The two grants are: (1)the Dental Health and Education Contribution, which supports dental health and awareness programs; and (2) the Standard Dental Research Grant, which supports professional research related to dental health. Grants are awarded to groups who: (1) provide dentistry for indigents; (2) provide dentistry for groups that are dentally underserved; (3) provide education to advance the awareness or the science of dentistry; (4) promote public dental health; and (5) are involved with community activities related to dental care. Grant Guidelines: Priority will go to projects that focus on issues related to the delivery of oral health care, including those with significant potential for improving oral health and reducing treatment costs. Priority consideration will go to researchers from the dental schools in the enterprise, but will not be limited to these institutions. Priority will go to two types of studies: (1) Pilot or feasibility studies likely to enhance the investigator's chance for long-term funding from other sources; and (2) complete projects considered to be of interest to the health, education and research fund, for which other sources of funds are traditionally not available or sufficient. Priority will go to studies that evaluate the outcome of preventative and treatment procedures. Retrospective studies or those involving analysis of existing data should be considered, rather than long-term follow-up studies, in order to reduce the years required to obtain data. Overhead charges within each eligible grant will be limited to eight percent. The fund will normally make one to two standard research grants per year. Individual grants will generally not exceed $40,000. Grants will be limited to one-year projects, subject to renewal. Except in special cases, an organization/entity will not be eligible for more than one grant during any year. A screening committee reviews all applications, with final grant decisions made by the fund's administrative committee. X X X true true X X X X X false true false false false false false true false Gary D Radine 1200000 960000 391699 1207332 17088 3776119 Anthony S Barth Sr 750192 350000 35212 802636 23647 1961687 Roy M Hilliard Sr 217398 86250 56221 40819 400688 Renee A Fisher 210783 55000 7331 41184 314298 Philip N Engle 214950 41500 5498 41190 303138 Michael J Castro 500096 250000 53204 509591 23647 1336538 Jeanne M Foster 229275 46900 7051 40113 323339 Richard C Graybill 194856 38000 7625 30739 271220 Charles Lamont Esq 389404 220000 44552 1496441 17088 2167485 Whitney H Sherbocker 148609 15265 -3370 32108 192612 Robert D Coover 112717 141338 9868 40669 304592 Alvin E Sheets 72023 163722 12230 32104 280079 Alicia F Weber 357903 100000 23054 40781 20592 542330 Richard Schon 107894 135074 7628 40858 291454 Patrick S Steele 500096 275000 43113 1565497 17088 2400794 Albert MacDonald 69630 276256 8584 39945 394415 Michael Rohrbaugh 59735 155491 11524 38011 264761 Non-Fixed Compensation Payments Part I, Line 7 The 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 Plan Part I, Line 4B Executives paid by a related organization participate in a supplemental nonqualified retirement program provided by the related organization. Deferred compensation attributable to such programs is included in Part II, Column (C). Expense Reimbursement Part I, Line 1A First-Class travel--First class business travel is reimbursed to the Executive Vice Presidents. First class business travel for Senior Vice Presidents and Group Vice Presidents is reimbursed only when approval is received from their Executive Vice President. First class business travel is not treated as taxable compensation. Health or social club dues--The President and Executive Vice Presidents may be reimbursed for one health or social club upon approval by the President. Two senior executives received this benefit in 2010. The cost of this benefit is included in taxable compensation. Personal Services--Financial and tax planning expenses are reimbursed to employees who are at the Director or above level of management. There is a company policy outlining the maximum reimbursement allowed for each management level. These reimbursements are included in taxable compensation of the reimbursed employees. Compensation Paid by Related Organization Part II, Line (ii) Six of the organization's officers are paid by a related organization. Accordingly, their compensation is reported in Line (ii). SovereignSantander Bank Joseph P. Beck, Jr. 3523083 Premium Receipts false James D Isett DMD Participating Provider 1005899 Dental Claim Payments false Eric N Hodges DMD Participating Provider 145132 Dental Claim Payments false Gregory W Pyle DMD Participating Provider 121337 Dental Claim Payments false Matthew E Simmons DDS Participating Provider 208867 Dental Claim Payments false Edward L Woehling DDS Participating Provider 130741 Dental Claim Payments false Members and Stockholders Part VI, Sec A, Lines 6-7 The 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 990 Part VI, Sec B, Line 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 Director's Audit Committee prior to filing. Compliance with conflict of interest policy Part VI, Sec B, Line 12c Each director is required to complete a Conflict of Interest Disclosure Statement annually, and between annual statements is required to disclose any new position or relationship formed that potentially raises a conflict of interest. Legal counsel reviews these disclosures and reports the information to the full board of directors. Written document retention and destruction policy Part VI, Sec B, Line 14 A draft document retention and destruction policy is under consideration pending the testing of associated software being installed for management of electronic records. Process for determining compensation Part VI, Sec B, Lines 15a and b Compensation paid to the CEO, which is paid through a contractual agreement with Dentegra Group, Inc. ("DGI"), is reviewed and approved by the DGI directors. Vice presidents' compensation is either approved by the President or in accordance with the procedure of Delta Dental of California by whom they are employed. All compensation for the ensuing year is only approved after reviewing comparability data presented by an outside compensation consultant, an assessment of each officer's performance over the preceding year and the organization's program accomplishments for the year. This process was followed for 2010 compensation. Process for making documents available to the public Part VI, Sec C, Line 19 The organization annually includes major portions of its financial statement in a published annual report that is made available to persons or entities known to have an interest in the organization, and is available to the larger public upon request. Statutory financial statements are included in quarterly and annual returns to state Departments of Insurance regulating the organization which returns are available to the public. The organization does not make its governing documents or conflict of interest policy available to the public. Transactions with Interested Persons Schedule L, Part IV During the report year, organization director Joseph P. Beck was an officer of Sovereign/Santander Bank. Delta Dental Enterprise Form 990, Part VII; Schedule J; Schedule R The organization, regulated by the Pennsylvania Insurance Department, 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 9% of total enterprise revenues. Other Changes in Net Assets Part XI, Line 5 Net unrealized gains (losses) on investments $ 892,038 Forgiveness by affiliate of intercompany payable 2,173,291 ---------- Total other changes in net assets $3,065,329 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Gary D. Radine TITLE:President HOURS:55 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Anthony S. Barth, Sr. TITLE:Chief Operating Officer HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Roy M. Hilliard, Sr. TITLE:Vice President, Sales HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Renee A. Fisher TITLE:VP, Quality Assurance & Traini HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Philip N. Engle TITLE:VP, Information Technology HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Michael J. Castro TITLE:Chief Financial Officer HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Jeanne M. Foster TITLE:Vice President, Finance HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Richard C. Graybill TITLE:VP, Underwriting and Actuarial HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Charles Lamont, Esq. TITLE:Chief Legal Officer HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Karen L. Robinson TITLE:Assistant Secretary HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Whitney H. Sherbocker TITLE:Assistant Secretary HOURS:4 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Alicia F. Weber TITLE:Senior VP/Controller HOURS:46 HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:Patrick S. Steele TITLE:Chief Information Officer HOURS:46 Delta Dental of Delaware Inc One Delta Drive Mechanicsburg PA 17055 510228088 Dental Ins DE 501(c)(4) Dentegra Gro Delta Dental of West Virginia Inc One Delta Drive Mechanicsburg PA 17055 550523124 Dental Ins WV 501(c)(4) Dentegra Gro Delta Dental of the District of Columbia One Delta Drive Mechanicsburg PA 17055 521479587 Dental Ins DC 501(c)(4) Dentegra Gro F Gene Dixon Foundation 100 First Street San Francisco CA 94105 371570764 Charitable CA 501(c)(3) PF Dentegra Gro Delta Dental of California 100 First Street San Francisco CA 94105 941461312 Dental Ins CA 501(c)(4) Dentegra Gro PACA Management LLC One Delta Drive Mechanicsburg PA 17055 943277375 Ins. Mgmt. DE NA false 0.50000 Delta Reinsurance Corporation CGI Tower 2nd Floor Warrens St. Michael BB BB22026 980096711 Reinsurance BB Delta Dental of C corp 0.87089 Dentegra Group Inc 100 First Street San Francisco CA 94105 943386049 Holding Compa DE N/A C Corp Dentegra Insurance Company 100 First Street San Francisco CA 94105 751233841 Insurance Com DE Delta Dental of C Corp 0.20000 Dentegra Insurance Co of New England 100 First Street San Francisco CA 94105 042890218 Insurance Com MA Delta Dental of C Corp Alpha Dental of Nevada Inc 100 First Street San Francisco CA 94105 880244893 Insurance Com NV Delta Dental of C Corp Alpha Dental of Utah Inc 100 First Street San Francisco CA 94105 860672505 Insurance Com UT Delta Dental of C Corp Alpha Dental Programs Inc 100 First Street San Francisco CA 94105 742447512 Insurance Com TX Delta Dental of C Corp Alpha Dental of Alabama Inc 100 First Street San Francisco CA 94105 630796079 Insurance Com AL Delta Dental of C Corp Alpha Dental of New Mexico Inc 100 First Street San Francisco CA 94105 330279230 Insurance Com NM Delta Dental of C Corp Alpha Dental of Arizona Inc 100 First Street San Francisco CA 94105 930939835 Insurance Com AZ Delta Dental of C Corp Dentegra Seguros Dentales SA Insurgentes Sur 826 Piso 15 Col del Valle MX Insurance Com MX Dentegra Ins C Corp Delta Dental of Puerto Rico 14 Calle 2 Suite 200 Guaynabo RQ 00968 660436769 Insurance Com RQ Delta Dental of C Corp Servicios Dentales Dentegra SA de CV Insurgentes Sur 826 Piso 15 Col del Valle MX Ins. Admin MX Dentegra Ins C Corp Delta Dental Insurance Company 100 First Street San Francisco CA 94105 942761537 Insurance Com CA Delta Dental of C Corp false false false false false false false false false false true true false false true true false false Delta Delta Dental of Delaware Inc k 1736064 Delta Dental of California k 13837367 Delta Dental of California l 8698398 Delta Dental of California o 6109923 Delta Dental of California p 43785 PACA Management LLC p 33647173 Delta Dental of West Virginia Inc k 1242925 PACA Management LLC l 6263466 Delta Dental Insurance Company k 235175