Skip to content
Nonprofiteer
← DELTA DENTAL OF W VIRGINIA INC

Form 990 for tax year 2023

Filed by DELTA DENTAL OF W VIRGINIA INC.

Totals

Total revenue
$22,782,134
Total expenses
$18,999,373
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$21,977,225
Investment income
$612,120
Other revenue
$192,789
Total assets, end of year
$20,709,467
Total liabilities, end of year
$3,983,737
Net assets or fund balances, end of year
$16,725,730
Program services expenses (Part IX)
$18,551,473
Management and general expenses
$447,900
Fundraising expenses
$0
Program service expenses (Part III)
$18,551,473

Program services were 97.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: DIRECT PREMIUMS

    total $21,286,391 · related or exempt $21,286,391

  • 2b · Program service revenue: ADMINISTRATIVE INCOME

    total $690,834 · related or exempt $690,834

  • 3 · Investment income

    total $612,120 · related or exempt $612,120

  • 7a · Gross sales of assets other than inventory

    securities $802,103

  • 7b · Less cost or other basis and sales expenses

    securities $802,103

  • 7c · Gain or loss

    securities $0

  • 11a · Other revenue: BAD DEBT EXPENSE

    total $193,010 · related or exempt $193,010

  • 11b · Other revenue: MISC EXPENSE

    total -$221 · related or exempt -$221

  • 11e · Other revenue, total

    $192,789

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $12,939,572 · program services $12,939,572

  • 5 · Compensation of officers, directors and key employees

    total $3,200 · management and general $3,200

  • 11b · Fees: legal

    total $28,462 · management and general $28,462

  • 11c · Fees: accounting

    total $51,935 · management and general $51,935

  • 11f · Fees: investment management

    total $10,047 · management and general $10,047

  • 13 · Office expenses

    total $31,024 · program services $27,934 · management and general $3,090

  • 14 · Information technology

    total $3,406 · program services $3,067 · management and general $339

  • 15 · Royalties

    total $174,365 · program services $174,365

  • 20 · Interest

    total $672 · program services $672

  • 24a · Other expenses: ADMINISTRATIVE FEES

    total $3,419,121 · program services $3,078,601 · management and general $340,520

  • 24b · Other expenses: BROKER FEES

    total $2,234,076 · program services $2,234,076

  • 24c · Other expenses: OUTSIDE SERVICES

    total $74,120 · program services $66,738 · management and general $7,382

  • 24e · All other expenses

    total $29,373 · program services $26,448 · management and general $2,925

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,461,527 · end of year $1,441,727

  • 2 · Savings and temporary cash investments

    beginning of year $1,495,900 · end of year $1,679,330

  • 4 · Accounts receivable

    beginning of year $1,240,716 · end of year $777,088

  • 11 · Investments: publicly traded securities

    beginning of year $14,743,158 · end of year $15,233,694

  • 12 · Investments: other securities

    beginning of year $1,268,427 · end of year $1,577,628

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,263,038 · end of year $512,564

  • 19 · Deferred revenue

    beginning of year $230,662 · end of year $267,784

  • 25 · Other liabilities

    beginning of year $6,034,616 · end of year $3,203,389

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $12,681,412 · end of year $16,725,730

Mission and programs · 2023

Mission

TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY, AND PROFESSIONAL SUPPORT.

  • THE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 60,174 BENEFICIARIES IN 2023 PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS SERVING 81 PURCHASE GROUPS. THE ORGANIZATION PAID MORE THAN $12.9 MILLION FOR DENTAL CARE DURING 2023.

    Expenses $18,551,473 · Revenue $22,782,134

As filed on the 2023 return.

Listed in Part VII

  • Castro Michael J

    CHIEF EXECUTIVE OFFICER

    Total calculated
    $7,171,497
    From this org
    $0
    From related orgs
    $6,909,365
    Other
    $262,132
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,423,077 related
    Bonus
    $0 + $5,037,406 related
    Other
    $0 + $448,882 related
    Deferred
    $0 + $230,073 related
    Nontaxable benefits
    $0 + $32,059 related
    Filer's total
    $0 + $7,171,497 related
  • Jackson Kevin L

    EVP/CHIEF GROWTH OFFICER

    Total calculated
    $4,176,815
    From this org
    $0
    From related orgs
    $4,160,020
    Other
    $16,795
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $2,161,459 related
    Other
    $0 + $1,998,561 related
    Deferred
    $0 + $16,795 related
    Nontaxable benefits
    $0
    Filer's total
    $0 + $4,176,815 related
  • Chavarria Sarah M

    PRESIDENT

    Total calculated
    $3,151,261
    From this org
    $0
    From related orgs
    $3,084,552
    Other
    $66,709
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $875,000 related
    Bonus
    $0 + $2,191,210 related
    Other
    $0 + $18,342 related
    Deferred
    $0 + $34,650 related
    Nontaxable benefits
    $0 + $32,059 related
    Filer's total
    $0 + $3,151,261 related
  • Weber Alicia F

    EVP CHIEF FINANCIAL OFFICER

    Total calculated
    $2,811,392
    From this org
    $0
    From related orgs
    $2,737,332
    Other
    $74,060
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $848,558 related
    Bonus
    $0 + $1,821,731 related
    Other
    $0 + $67,043 related
    Deferred
    $0 + $57,050 related
    Nontaxable benefits
    $0 + $17,010 related
    Filer's total
    $0 + $2,811,392 related
  • Hankinson Michael G

    EVP CHIEF LEGAL OFFICER

    Total calculated
    $2,292,835
    From this org
    $0
    From related orgs
    $2,237,025
    Other
    $55,810
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $674,039 related
    Bonus
    $0 + $1,494,755 related
    Other
    $0 + $68,231 related
    Deferred
    $0 + $34,650 related
    Nontaxable benefits
    $0 + $21,160 related
    Filer's total
    $0 + $2,292,835 related
  • Titcombe Dominic

    EVP/CHIEF INFORMATION OFFICER

    Total calculated
    $1,985,103
    From this org
    $0
    From related orgs
    $1,918,394
    Other
    $66,709
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $589,231 related
    Bonus
    $0 + $1,296,017 related
    Other
    $0 + $33,146 related
    Deferred
    $0 + $34,650 related
    Nontaxable benefits
    $0 + $32,059 related
    Filer's total
    $0 + $1,985,103 related
  • Fegley Andrea M

    SENIOR VICE PRESIDENT DEPUTY GENERAL

    Total calculated
    $962,221
    From this org
    $0
    From related orgs
    $907,639
    Other
    $54,582
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $409,615 related
    Bonus
    $0 + $490,135 related
    Other
    $0 + $7,889 related
    Deferred
    $0 + $36,759 related
    Nontaxable benefits
    $0 + $17,823 related
    Filer's total
    $0 + $962,221 related
  • Macgilvray Jennifer

    SENIOR VICE PRESIDENT QUALITY CARE AND CLAIMS

    Total calculated
    $756,929
    From this org
    $0
    From related orgs
    $692,106
    Other
    $64,823
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $369,615 related
    Bonus
    $0 + $308,742 related
    Other
    $0 + $13,749 related
    Deferred
    $0 + $34,650 related
    Nontaxable benefits
    $0 + $30,173 related
    Filer's total
    $0 + $756,929 related
  • Clarke Jamie

    VICE PRESIDENT NETWORK DEVELOPMENT

    Total calculated
    $649,752
    From this org
    $0
    From related orgs
    $591,677
    Other
    $58,075
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $337,643 related
    Bonus
    $0 + $249,813 related
    Other
    $0 + $4,221 related
    Deferred
    $0 + $34,650 related
    Nontaxable benefits
    $0 + $23,425 related
    Filer's total
    $0 + $649,752 related
  • Graybill Richard C

    VP UNDERWRITING AND ACTUARIAL

    Total calculated
    $607,836
    From this org
    $0
    From related orgs
    $562,132
    Other
    $45,704
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $272,775 related
    Bonus
    $0 + $278,483 related
    Other
    $0 + $10,874 related
    Deferred
    $0 + $34,650 related
    Nontaxable benefits
    $0 + $11,054 related
    Filer's total
    $0 + $607,836 related
  • Davis Christopher T

    VICE PRESIDENT SALES

    Total calculated
    $451,431
    From this org
    $0
    From related orgs
    $389,200
    Other
    $62,231
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $254,480 related
    Bonus
    $0 + $128,988 related
    Other
    $0 + $5,732 related
    Deferred
    $0 + $33,939 related
    Nontaxable benefits
    $0 + $28,292 related
    Filer's total
    $0 + $451,431 related
  • Cembrola Michael

    VP SALES

    Total calculated
    $437,213
    From this org
    $0
    From related orgs
    $422,548
    Other
    $14,665
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $70,391 related
    Bonus
    $0 + $313,571 related
    Other
    $0 + $38,586 related
    Deferred
    $0 + $8,296 related
    Nontaxable benefits
    $0 + $6,369 related
    Filer's total
    $0 + $437,213 related
  • Foster Jeanne M

    VP FINANCE

    Total calculated
    $192,219
    From this org
    $0
    From related orgs
    $192,219
    Other
    $0
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $0 + $192,219 related
    Other
    $0
    Deferred
    $0
    Nontaxable benefits
    $0
    Filer's total
    $0 + $192,219 related
  • Gandy Ann E CPA

    DIRECTOR

    Total calculated
    $800
    From this org
    $800
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Keatley Nancy L

    DIRECTOR

    Total calculated
    $800
    From this org
    $800
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Smith Michael D Rhu Rebc

    DIRECTOR

    Total calculated
    $800
    From this org
    $800
    From related orgs
    $0
    Other
    $0
    Hours/week
    1
  • Walters Ronald N

    DIRECTOR

    Total calculated
    $800
    From this org
    $800
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment

Answered no

  • 4b · Supplemental nonqualified retirement plan
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 3
COMPENSATION PAID TO THE CEO AND EXECUTIVE VICE PRESIDENTS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE RELATED ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION FOR THE ENSUING YEAR AFTER REVIEWING COMPARABILITY DATA PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT, AN ASSESSMENT OF EACH OFFICER'S PERFORMANCE OVER THE PRECEDING YEAR, AND THE RELATED ORGANIZATION'S PROGRAM ACCOMPLISHMENTS FOR THE PRIOR YEAR. COMPENSATION PAID TO DIRECTORS IS ALSO APPROVED BY THE COMPENSATION COMMITTEE AFTER REVIEWING COMPARABILITY DATA IN A BENCHMARKING STUDY PREPARED AND PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS. THESE PROCESSES WERE FOLLOWED FOR 2023 COMPENSATION.
PART I, LINE 4A
DURING 2023, ONE EXECUTIVE, KEVIN L. JACKSON, RECEIVED A SEVERANCE PAYMENT UPON SEPARATION FROM THE ORGANIZATION. THIS PAYMENT IS INCLUDED ON SCHEDULE J AND REPORTED IN PART II, COLUMN (B)(III).
PART II, ROW (II):
SOME OF THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON ROW (II).

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • DENTEGRA GROUP INC

    C · HOLDING COMPANY · DE

  • DENTEGRA INSURANCE COMPANY

    C · INSURANCE COMPANY · DE

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • DENTEGRA INSURANCE CO OF NEW ENGLAND

    C · INSURANCE COMPANY · MA

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • DELTA DENTAL INSURANCE COMPANY

    C · INSURANCE COMPANY · DE

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • ALPHA DENTAL OF NEVADA INC

    C · INSURANCE COMPANY · NV

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • ALPHA DENTAL OF UTAH INC

    C · INSURANCE COMPANY · UT

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • ALPHA DENTAL PROGRAMS INC

    C · INSURANCE COMPANY · TX

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • ALPHA DENTAL OF ALABAMA INC

    C · INSURANCE COMPANY · AL

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • ALPHA DENTAL OF NEW MEXICO INC

    C · INSURANCE COMPANY · NM

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • ALPHA DENTAL OF ARIZONA INC

    C · INSURANCE COMPANY · AZ

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • DENTEGRA SEGUROS DENTALES SA

    C · INSURANCE COMPANY · MX

    Directly controlled by DENTEGRA INSURANCE COMPANY

  • DELTA DENTAL OF PUERTO RICO

    C · INSURANCE COMPANY · RQ

    Directly controlled by DELTA DENTAL OF CALIFORNIA

  • DDC INSURANCE HOLDINGS INC

    C · HOLDING COMPANY · DE

    Directly controlled by DELTA DENTAL OF CALIFORNIA

  • ALLIED ADMINISTRATORS INC

    C · THIRD PARTY ADMIN SERVICES · CA

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • DELTA DENTAL IPA OF NEW YORK

    C · INDEPENDENT PRACTICE ASSOCIATION · NY

    Directly controlled by DDC INSURANCE HOLDINGS INC

  • ORAL HEALTH INNOVATION CENTER INC

    C · INACTIVE · DE

    Directly controlled by DDC INSURANCE HOLDINGS INC

Provenance

Return type
form_990
Tax year
2023
Filed
6 November 2024
IRS schema version
2023v5.1
Source object
202403129349300110

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.