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Nonprofiteer
← DELTA DENTAL OF TENNESSEE

Form 990 for tax year 2022

Filed by DELTA DENTAL OF TENNESSEE.

Totals

Total revenue
$223,582,648
Total expenses
$219,400,219
Contributions and grants received
$0
Grants paid
$5,890,701
Program service revenue
$221,641,789
Investment income
$1,940,859
Other revenue
$0
Total assets, end of year
$101,403,448
Total liabilities, end of year
$25,108,539
Net assets or fund balances, end of year
$76,294,909
Program services expenses (Part IX)
$207,984,695
Management and general expenses
$11,415,524
Fundraising expenses
$0
Program service expenses (Part III)
$207,984,695

Program services were 94.8% 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: DENTAL CARE REVENUE

    total $218,521,941 · related or exempt $218,521,941

  • 2b · Program service revenue: VISION INSURANCE REVENUE

    total $3,119,848 · unrelated business $3,119,848

  • 3 · Investment income

    total $1,840,295 · excluded $1,840,295

  • 7a · Gross sales of assets other than inventory

    securities $3,041,656

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

    securities $2,941,092

  • 7c · Gain or loss

    securities $100,564

  • 7d · Net gain or loss

    total $100,564 · excluded $100,564

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $5,890,701 · program services $5,890,701

  • 4 · Benefits paid to or for members

    total $172,778,026 · program services $172,778,026

  • 5 · Compensation of officers, directors and key employees

    total $5,119,200 · program services $2,430,115 · management and general $2,689,085

  • 7 · Other salaries and wages

    total $4,928,490 · program services $2,237,639 · management and general $2,690,851

  • 9 · Other employee benefits

    total $1,588,029 · program services $891,316 · management and general $696,713

  • 10 · Payroll taxes

    total $529,034 · program services $296,060 · management and general $232,974

  • 11b · Fees: legal

    total $338,453 · management and general $338,453

  • 11c · Fees: accounting

    total $87,343 · program services $52,406 · management and general $34,937

  • 11f · Fees: investment management

    total $82,702 · management and general $82,702

  • 11g · Fees: other

    total $982,308 · program services $601,198 · management and general $381,110

  • 12 · Advertising and promotion

    total $2,528,840 · program services $1,274,465 · management and general $1,254,375

  • 13 · Office expenses

    total $2,184,907 · program services $1,351,164 · management and general $833,743

  • 16 · Occupancy

    total $649,775 · program services $349,421 · management and general $300,354

  • 17 · Travel

    total $527,666 · program services $125,438 · management and general $402,228

  • 19 · Conferences, conventions and meetings

    total $489,420 · management and general $489,420

  • 22 · Depreciation, depletion and amortization

    total $386,835 · program services $218,932 · management and general $167,903

  • 23 · Insurance

    total $141,082 · program services $7,073 · management and general $134,009

  • 24a · Other expenses: COMMISSIONS

    total $9,205,229 · program services $9,089,749 · management and general $115,480

  • 24b · Other expenses: CLAIMS PROCESSING

    total $6,187,393 · program services $6,178,408 · management and general $8,985

  • 24c · Other expenses: STATE PREMIUM TAX

    total $3,672,327 · program services $3,672,327 · management and general $0

  • 24d · Other expenses: DUES AND SUBSCRIPTIONS

    total $801,455 · program services $357,594 · management and general $443,861

  • 24e · All other expenses

    total $301,004 · program services $182,663 · management and general $118,341

Balance sheet

Part X, book values.

  • 2 · Savings and temporary cash investments

    beginning of year $3,078,409 · end of year $9,784,497

  • 4 · Accounts receivable

    beginning of year $8,374,543 · end of year $5,322,815

  • 9 · Prepaid expenses and deferred charges

    beginning of year $665,812 · end of year $645,835

  • 10a · Land, buildings and equipment: cost or other basis

    $9,753,353

  • 10b · Land, buildings and equipment: accumulated depreciation

    $6,988,509

  • 10c · Land, buildings and equipment, net

    beginning of year $2,524,567 · end of year $2,764,844

  • 11 · Investments: publicly traded securities

    beginning of year $77,140,481 · end of year $65,070,737

  • 12 · Investments: other securities

    beginning of year $17,123,541 · end of year $16,537,493

  • 15 · Other assets

    beginning of year $2,113,206 · end of year $1,277,227

  • 17 · Accounts payable and accrued expenses

    beginning of year $18,692,694 · end of year $23,095,663

  • 25 · Other liabilities

    beginning of year $1,834,760 · end of year $2,012,876

  • 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 $90,493,105 · end of year $76,294,909

Mission and programs · 2022

Mission

OUR MISSION IS ENSURING HEALTHY SMILES. DELTA DENTAL OF TENNESSEE BELIEVES EVERYONE DESERVES GOOD HEALTH. OUR AIM IS TO IMPROVE THE OVERALL WELLNESS OF OUR COMMUNITIES THROUGH OUR PRODUCTS, ADVOCACY, EDUCATION, AND PHILANTHROPY.

  • THE PRIMARY PURPOSE OF DELTA DENTAL OF TENNESSEE IS TO PROVIDE PROFESSIONAL DENTAL SERVICES UNDER WRITTEN CONTRACTS WHICH ENTITLE THE SUBSCRIBERS TO REIMBURSEMENT FOR COVERED SERVICES PROVIDED BY LICENSED DENTISTS, AND VISION CARE PROVIDERS, PRIMARILY IN THE STATE OF TENNESSEE. BOTH LOCAL AND NATIONAL CONTRACTS ARE ADMINISTERED, WHICH HAVE THE KEY FEATURE OF GIVING SUBSCRIBERS ACCESS TO THE LOCAL PROVIDER NETWORKS MAINTAINED BY DELTA DENTAL OF TENNESSEE AND OUR VISION PARTNER, AS WELL AS THE NATIONAL PROVIDER NETWORKS OF THE DELTA DENTAL SYSTEM UNDER THE DELTA USA PROGRAM.SEE SCHEDULE O FOR CONTINUATIONTHE COMPANY MAKES UNCONDITIONAL PROMISES TO GIVE, TO BOTH ITS FOUNDATION AND VARIOUS OTHER ORGANIZATIONS, WHICH SUPPORT EDUCATIONAL AND RESEARCH PROGRAMS FOR THE ADVANCEMENT OF DENTAL SCIENCE AND TO PROMOTE THE ORAL HEALTH OF THE PUBLIC THROUGH EDUCATIONAL AND SERVICE ACTIVITIES.DELTA DENTAL OF TENNESSEE ASSISTED CLINICS THAT PRIMARILY SERVE THE WORKING POOR AND FUNDED AMBULATORY SURGERY CENTERS TO ALLOW INPATIENT ORAL HEALTH CARE. AT THE EDUCATION LEVEL, THE COMPANY ASSISTED DENTAL SCHOOLS IN ORDER TO KEEP THEIR FACILITIES AND TEACHING EQUIPMENT UP TO DATE AND FUNDED DENTAL SCHOLARSHIPS TO 3RD AND 4TH YEAR DENTAL STUDENTS.

    Expenses $207,984,695 · Grants $5,890,701 · Revenue $218,521,941

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Dr Philip A Wenk

    CEO

    Total calculated
    $1,644,746
    From this org
    $1,587,915
    From related orgs
    $0
    Other
    $56,831
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $830,077
    Bonus
    $737,069
    Other
    $20,769
    Deferred
    $39,650
    Nontaxable benefits
    $17,181
    Filer's total
    $1,644,746

  • Jeffrey Ballard

    PRESIDENT & CFO

    Total calculated
    $1,073,987
    From this org
    $909,520
    From related orgs
    $0
    Other
    $164,467
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $411,081
    Bonus
    $496,993
    Other
    $1,446
    Deferred
    $139,650
    Nontaxable benefits
    $24,817
    Filer's total
    $1,073,987

  • Melissa Huschke

    CHIEF OPERATING OFFICER

    Total calculated
    $598,142
    From this org
    $481,311
    From related orgs
    $0
    Other
    $116,831
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $270,287
    Bonus
    $200,080
    Other
    $10,944
    Deferred
    $99,650
    Nontaxable benefits
    $17,181
    Filer's total
    $598,142

  • Shanda Tucker

    CHIEF COMPLIANCE AND DIVERSITY OFF.

    Total calculated
    $424,415
    From this org
    $355,185
    From related orgs
    $0
    Other
    $69,230
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $225,321
    Bonus
    $117,225
    Other
    $12,639
    Deferred
    $44,413
    Nontaxable benefits
    $24,817
    Filer's total
    $424,415

  • Michelle Acosta

    VP BRAND STRATEGY

    Total calculated
    $342,895
    From this org
    $261,524
    From related orgs
    $0
    Other
    $81,371
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $177,022
    Bonus
    $73,419
    Other
    $11,083
    Deferred
    $53,155
    Nontaxable benefits
    $28,216
    Filer's total
    $342,895

  • Jeffrey A Newton

    VP AUDIT & FINANCE

    Total calculated
    $333,845
    From this org
    $254,595
    From related orgs
    $0
    Other
    $79,250
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $179,637
    Bonus
    $74,103
    Other
    $855
    Deferred
    $54,433
    Nontaxable benefits
    $24,817
    Filer's total
    $333,845

  • Tracy Bailey

    ACCOUNT EXECUTIVE

    Total calculated
    $328,373
    From this org
    $279,751
    From related orgs
    $0
    Other
    $48,622
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $34,111
    Bonus
    $242,495
    Other
    $3,145
    Deferred
    $20,406
    Nontaxable benefits
    $28,216
    Filer's total
    $328,373

  • Larry Hogg

    VP INFORMATION SERVICES

    Total calculated
    $299,339
    From this org
    $240,266
    From related orgs
    $0
    Other
    $59,073
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $171,438
    Bonus
    $68,425
    Other
    $403
    Deferred
    $49,756
    Nontaxable benefits
    $9,317
    Filer's total
    $299,339

  • William Hamilton III

    ACCOUNT EXECUTIVE

    Total calculated
    $294,480
    From this org
    $250,259
    From related orgs
    $0
    Other
    $44,221
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $47,804
    Bonus
    $190,880
    Other
    $11,575
    Deferred
    $19,404
    Nontaxable benefits
    $24,817
    Filer's total
    $294,480

  • David Pemberton

    MANAGER, SALES AND ACCOUNT MGMT

    Total calculated
    $275,312
    From this org
    $224,870
    From related orgs
    $0
    Other
    $50,442
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $162,614
    Bonus
    $55,689
    Other
    $6,567
    Deferred
    $25,625
    Nontaxable benefits
    $24,817
    Filer's total
    $275,312

  • Emily Pearson

    ACCOUNT EXECUTIVE

    Total calculated
    $167,418
    From this org
    $129,191
    From related orgs
    $0
    Other
    $38,227
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $40,532
    Bonus
    $84,175
    Other
    $4,484
    Deferred
    $10,011
    Nontaxable benefits
    $28,216
    Filer's total
    $167,418

  • Darlene Lemond

    MANAGER, OPERATIONS

    Total calculated
    $162,890
    From this org
    $126,472
    From related orgs
    $0
    Other
    $36,418
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $89,361
    Bonus
    $35,748
    Other
    $1,363
    Deferred
    $16,886
    Nontaxable benefits
    $19,532
    Filer's total
    $162,890

  • Amanda Conyer

    VP QUALITY, MONITORING AND IMPROV.

    Total calculated
    $161,211
    From this org
    $132,172
    From related orgs
    $0
    Other
    $29,039
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $94,749
    Bonus
    $36,967
    Other
    $456
    Deferred
    $14,063
    Nontaxable benefits
    $14,976
    Filer's total
    $161,211

  • Dr Paul Bacon

    CHAIRMAN

    Total calculated
    $28,134
    From this org
    $28,134
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jean Evette White

    VICE CHAIR

    Total calculated
    $26,104
    From this org
    $26,104
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Drew Robinson

    IMMEDIATE PAST CHAIR

    Total calculated
    $25,002
    From this org
    $25,002
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Bradley Lampley

    SECOND VICE CHAIR

    Total calculated
    $23,211
    From this org
    $23,211
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Janet Miller

    DIRECTOR

    Total calculated
    $22,862
    From this org
    $22,862
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jeremy Park

    DIRECTOR

    Total calculated
    $22,701
    From this org
    $21,201
    From related orgs
    $1,500
    Other
    $0
    Hours/week
    1 + 1 related

  • Christopher Holmes

    DIRECTOR

    Total calculated
    $21,937
    From this org
    $21,937
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Jay Sheats II

    DIRECTOR

    Total calculated
    $21,575
    From this org
    $21,575
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jerome Melson

    DIRECTOR

    Total calculated
    $21,000
    From this org
    $21,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Fredrick Guthrie Jr

    DIRECTOR

    Total calculated
    $20,991
    From this org
    $20,991
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Victor Beck

    IMMEDIATE PAST CHAIR - THRU 6/2022

    Total calculated
    $19,018
    From this org
    $8,603
    From related orgs
    $10,415
    Other
    $0
    Hours/week
    1 + 5 related

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

  • 1a · First-class or charter travel
  • 1a · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
FIRST CLASS TRAVEL IS AVAILABLE TO ALL BOARD MEMBERS AND SENIOR MANAGEMENT TO ATTEND THE ANNUAL BOARD RETREAT. THE AMOUNT IS FOR A BUSINESS PURPOSE AND NOT TAXABLE TO THE INDIVIDUAL. TRAVEL EXPENSES WERE PAID FOR THE SPOUSE OF ANY BOARD MEMBER WHO CHOSE TO ATTEND ANY BOARD MEETING. THE AMOUNT PAID FOR EACH SPOUSE WAS REPORTED AS TAXABLE COMPENSATION ON A 1099 AND PROVIDED TO EACH RESPECTIVE BOARD MEMBER.
PART I, LINE 4B
A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN UNDER SEC. 457(F) IS MAINTAINED BY THE ORGANIZATION FOR CERTAIN EXECUTIVE EMPLOYEES. UPON SEVERANCE FROM SERVICE PRIOR TO ATTAINMENT OF NORMAL RETIREMENT AGE, THE PARTICIPANT SHALL FORFEIT INELIGIBLE AMOUNTS IN THE PLAN UNLESS SUCH SEVERANCE IS DUE TO DEATH, DISABILITY OR INVOLUNTARY TERMINATION WITHOUT CAUSE. THE CURRENT PLAN PAYS OUT AT THE END OF A 5 YEAR PERIOD THAT WAS FUNDED IN 2020. IN 2022, MICHELLE ACOSTA, SHANDA TUCKER, JEFFREY NEWTON, LARRY HOGG, MELISSA HUSCHKE, AND JEFFREY BALLARD ACCRUED BENEFITS AS PARTICIPANTS IN THE PLAN, AMOUNTS PREVIOUSLY ACCRUED IN THE PLAN WERE DISTRIBUTED DURING 2022 AND TOTALED A NOMINAL AMOUNT.
PART I, LINE 7
AS INDICATED IN SCHEDULE J, PART II, OFFICERS OF THE ORGANZIATION RECEIVED A BONUS BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANZIATION. THIS BONUS WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD.

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

The 10 largest by cash amount. The API serves every itemized grant.

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.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

  • LIQUID CORN LLC

    OWNS SUITE 244 · TN · income $0 · assets $0

    Directly controlled by FORE HOLDING CORPORATION

  • PREMIER INSURANCE SERVICES LLC

    INSURANCE BROKER · TN · income $107 · assets $51,053

    Directly controlled by FORE HOLDING CORPORATION

  • SUITE 244 PARTNERS LLC

    HOLDS THE LEASE TO SUITE 244 AT LP FIELD (TITANS STADIUM) · TN · income $0 · assets $0

    Directly controlled by FORE HOLDING CORPORATION

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

  • RED CEDAR INVESTMENT MANAGEMENT LLC

    CAPITAL MANAGEMENT · MI

Related corporations and trusts

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

  • FORE HOLDING CORPORATION

    C · HOLDING COMPANY · TN · 100% owned · share of income -$39,481 · share of assets $16,548,043 · controlled entity

    Directly controlled by DELTA DENTAL OF TENNESSEE

  • RENAISSANCE HOLDING COMPANY

    C · HOLDING COMPANY · MI

  • RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA

    C · INSURANCE · IN

  • RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF NEW YORK

    C · INSURANCE · NY

  • DENTAL CHOICE INC

    C · PROVIDE DENTAL SERVICE PLANS · KY

  • DENTAL CHOICE AGENCY INC

    C · PRIMARY GENERAL AGENCY FOR DDKY & DENTAL CHOICE · KY

  • OMEGA ADMINISTRATORS INC

    C · PROVIDING THIRD-PARTY ADMINISTRATIVE SERVICES · AR

  • THE 4100 GROUP

    C · INVESTMENT IN SUBSIDIARIES · MI

  • DEWPOINT INC

    C · IT CONSULTING · MI

  • DENTAL CHOICE ANCILLARY INC

    C · PROVIDE DENTAL SERVICE PLANS · KY

  • ANCILLARY CHOICE LIFE INC

    C · INSURANCE · KY

Provenance

Return type
form_990
Tax year
2022
Filed
10 November 2023
IRS schema version
2022v5.0
Source object
202313189349303236

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