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Nonprofiteer
← DELTA DENTAL OF W VIRGINIA INC

Form 990 for tax year 2022

Filed by DELTA DENTAL OF W VIRGINIA INC.

Totals

Total revenue
$30,926,600
Total expenses
$29,580,292
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$30,578,275
Investment income
$365,213
Other revenue
-$16,888
Total assets, end of year
$20,209,728
Total liabilities, end of year
$7,528,316
Net assets or fund balances, end of year
$12,681,412
Program services expenses (Part IX)
$28,995,787
Management and general expenses
$584,505
Fundraising expenses
$0
Program service expenses (Part III)
$28,995,787

Program services were 98.0% 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 $29,863,162 · related or exempt $29,863,162

  • 2b · Program service revenue: ADMINISTRATIVE INCOME

    total $715,113 · related or exempt $715,113

  • 3 · Investment income

    total $360,968 · related or exempt $360,968

  • 7a · Gross sales of assets other than inventory

    securities $1,634,157

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

    securities $1,629,912

  • 7c · Gain or loss

    securities $4,245

  • 7d · Net gain or loss

    total $4,245 · related or exempt $4,245

  • 11a · Other revenue: MISC EXPENSE

    total $944 · related or exempt $944

  • 11b · Other revenue: BAD DEBT EXPENSE

    total -$17,832 · related or exempt -$17,832

  • 11e · Other revenue, total

    -$16,888

Functional expenses

Part IX, the statement of functional expenses.

  • 4 · Benefits paid to or for members

    total $20,369,105 · program services $20,369,105

  • 5 · Compensation of officers, directors and key employees

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

  • 11b · Fees: legal

    total $56,766 · management and general $56,766

  • 11c · Fees: accounting

    total $50,471 · management and general $50,471

  • 11f · Fees: investment management

    total $10,829 · management and general $10,829

  • 13 · Office expenses

    total $45,371 · program services $41,063 · management and general $4,308

  • 14 · Information technology

    total $3,208 · program services $2,903 · management and general $305

  • 15 · Royalties

    total $173,062 · program services $173,062

  • 19 · Conferences, conventions and meetings

    total $4,000 · program services $3,620 · management and general $380

  • 20 · Interest

    total $328 · program services $328

  • 24a · Other expenses: ADMINISTRATIVE FEES

    total $4,594,185 · program services $4,157,976 · management and general $436,209

  • 24b · Other expenses: BROKER FEES

    total $4,007,169 · program services $4,007,169

  • 24c · Other expenses: OUTSIDE SERVICES

    total $77,338 · program services $69,995 · management and general $7,343

  • 24e · All other expenses

    total $185,260 · program services $170,566 · management and general $14,694

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $7,120,289 · end of year $1,461,527

  • 2 · Savings and temporary cash investments

    beginning of year $134,243 · end of year $1,495,900

  • 4 · Accounts receivable

    beginning of year $1,092,100 · end of year $1,240,716

  • 11 · Investments: publicly traded securities

    beginning of year $8,433,789 · end of year $14,743,158

  • 12 · Investments: other securities

    beginning of year $1,569,862 · end of year $1,268,427

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,156,960 · end of year $1,263,038

  • 19 · Deferred revenue

    beginning of year $233,160 · end of year $230,662

  • 25 · Other liabilities

    beginning of year $5,301,217 · end of year $6,034,616

  • 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 $11,658,946 · end of year $12,681,412

Mission and programs · 2022

Mission

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

  • THE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 153,386 BENEFICIARIES IN 2022 PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS SERVING 86 PURCHASE GROUPS. THE ORGANIZATION PAID MORE THAN $20.3 MILLION FOR DENTAL CARE DURING 2022.

    Expenses $28,995,787 · Revenue $30,926,600

As filed on the 2022 return.

Listed in Part VII

  • Castro Michael J

    CHEIF EXECUTIVE OFFICER

    Total calculated
    $5,231,722
    From this org
    $0
    From related orgs
    $5,009,544
    Other
    $222,178
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,198,364 related
    Bonus
    $0 + $3,612,501 related
    Other
    $0 + $198,679 related
    Deferred
    $0 + $191,624 related
    Nontaxable benefits
    $0 + $30,554 related
    Filer's total
    $0 + $5,231,722 related

  • Gilbert Leroy R Jr

    EVP/CHIEF OPERATIONS OFFICER

    Total calculated
    $3,131,768
    From this org
    $0
    From related orgs
    $3,118,124
    Other
    $13,644
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $106,043 related
    Bonus
    $0 + $1,194,486 related
    Other
    $0 + $1,817,595 related
    Deferred
    $0 + $9,150 related
    Nontaxable benefits
    $0 + $4,494 related
    Filer's total
    $0 + $3,131,768 related

  • Weber Alicia F

    EVP CHIEF FINANCIAL OFFICER

    Total calculated
    $3,057,570
    From this org
    $0
    From related orgs
    $3,009,258
    Other
    $48,312
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $774,996 related
    Bonus
    $0 + $2,112,618 related
    Other
    $0 + $121,644 related
    Deferred
    $0 + $29,618 related
    Nontaxable benefits
    $0 + $18,694 related
    Filer's total
    $0 + $3,057,570 related

  • Chavarria Sarah

    PRESIDENT

    Total calculated
    $2,868,264
    From this org
    $0
    From related orgs
    $2,805,685
    Other
    $62,579
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $772,692 related
    Bonus
    $0 + $1,963,784 related
    Other
    $0 + $69,209 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $30,554 related
    Filer's total
    $0 + $2,868,264 related

  • Hankinson Michael G

    EVP CHIEF LEGAL OFFICER

    Total calculated
    $2,561,741
    From this org
    $0
    From related orgs
    $2,509,654
    Other
    $52,087
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $624,038 related
    Bonus
    $0 + $1,782,943 related
    Other
    $0 + $102,673 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $20,062 related
    Filer's total
    $0 + $2,561,741 related

  • Jackson Kevin L

    EVP/CHIEF GROWTH OFFICER

    Total calculated
    $2,357,260
    From this org
    $0
    From related orgs
    $2,317,629
    Other
    $39,631
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $638,460 related
    Bonus
    $0 + $1,493,182 related
    Other
    $0 + $185,987 related
    Deferred
    $0 + $9,077 related
    Nontaxable benefits
    $0 + $30,554 related
    Filer's total
    $0 + $2,357,260 related

  • Titcombe Dominic

    EVP/CHIEF INFORMATION OFFICER

    Total calculated
    $2,166,391
    From this org
    $0
    From related orgs
    $2,103,812
    Other
    $62,579
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $549,045 related
    Bonus
    $0 + $1,487,229 related
    Other
    $0 + $67,538 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $30,554 related
    Filer's total
    $0 + $2,166,391 related

  • Fegley Andrea M

    SENIOR VICE PRESIDENT DEPUTY GENERAL COUNSEL

    Total calculated
    $828,629
    From this org
    $0
    From related orgs
    $777,866
    Other
    $50,763
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $357,654 related
    Bonus
    $0 + $371,326 related
    Other
    $0 + $48,886 related
    Deferred
    $0 + $33,923 related
    Nontaxable benefits
    $0 + $16,840 related
    Filer's total
    $0 + $828,629 related

  • Cembrola Michael

    VP SALES

    Total calculated
    $694,291
    From this org
    $0
    From related orgs
    $638,317
    Other
    $55,974
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $268,763 related
    Bonus
    $0 + $356,954 related
    Other
    $0 + $12,600 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $23,949 related
    Filer's total
    $0 + $694,291 related

  • Graybill Richard C

    VP UNDERWRITING AND ACTUARIAL

    Total calculated
    $623,458
    From this org
    $0
    From related orgs
    $581,034
    Other
    $42,424
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $257,469 related
    Bonus
    $0 + $293,235 related
    Other
    $0 + $30,330 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $10,399 related
    Filer's total
    $0 + $623,458 related

  • Foster Jeanne M

    VP FINANCE

    Total calculated
    $604,255
    From this org
    $0
    From related orgs
    $566,685
    Other
    $37,570
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $138,650 related
    Bonus
    $0 + $366,021 related
    Other
    $0 + $62,014 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $5,545 related
    Filer's total
    $0 + $604,255 related

  • Rodzinka Barbara A

    VP ENT OPER SHARED SERVICES

    Total calculated
    $578,997
    From this org
    $0
    From related orgs
    $532,732
    Other
    $46,265
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $167,774 related
    Bonus
    $0 + $326,465 related
    Other
    $0 + $38,493 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $14,240 related
    Filer's total
    $0 + $578,997 related

  • Clarke Jamie

    VICE PRESIDENT NETWORK DEVELOPMENT

    Total calculated
    $479,003
    From this org
    $0
    From related orgs
    $420,333
    Other
    $58,670
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $317,376 related
    Bonus
    $0 + $95,459 related
    Other
    $0 + $7,498 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $26,645 related
    Filer's total
    $0 + $479,003 related

  • Davis Christopher T

    VICE PRESIDENT SALES

    Total calculated
    $435,175
    From this org
    $0
    From related orgs
    $376,574
    Other
    $58,601
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $241,437 related
    Bonus
    $0 + $124,723 related
    Other
    $0 + $10,414 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $26,576 related
    Filer's total
    $0 + $435,175 related

  • Macgilvray Jennifer

    VICE PRESIDENT CLAIMS PROCESSING

    Total calculated
    $424,350
    From this org
    $0
    From related orgs
    $363,961
    Other
    $60,389
    Hours/week
    1 + 49 related

    Schedule J breakdown matched by us

    Base
    $0 + $309,810 related
    Bonus
    $0 + $43,413 related
    Other
    $0 + $10,738 related
    Deferred
    $0 + $32,025 related
    Nontaxable benefits
    $0 + $28,364 related
    Filer's total
    $0 + $424,350 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

  • Bowen Gary D DDS

    DIRECTOR

    Total calculated
    $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 2022 COMPENSATION.
PART I, LINE 4A
DURING 2022, ONE EXECUTIVE, LEROY R. GILBERT, JR. 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

  • SERVICIOS DENTALES DENTEGRA SA DE CV

    C · INACTIVE · MX

    Directly controlled by DENTEGRA INSURANCE COMPANY

  • 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

  • CONVECTION HUB INC

    C · INACTIVE · DE

    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
2022
Filed
1 November 2023
IRS schema version
2022v5.0
Source object
202303069349302175

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