Form 990 for tax year 2022
Filed by DELTA DENTAL OF THE DIST OF CO.
Totals
- Total revenue
- $2,543,786
- Total expenses
- $2,543,786
- Contributions and grants received
- $0
- Grants paid
- $0
- Program services expenses (Part IX)
- $2,239,714
- Management and general expenses
- $304,072
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $2,239,714
Program services were 88.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
CASTRO MICHAEL J
CHIEF 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
-
BROWN ALECIA
DIRECTOR
- Total calculated
- $800
- From this org
- $800
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
KREUTZIGER CHRISTINA
DIRECTOR
- Total calculated
- $800
- From this org
- $800
- From related orgs
- $0
- Other
- $0
- Hours/week
- 1
-
SINGER ALAN H DDS
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 — 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.
-
DELTA DENTAL COMMUNITY CARE FOUNDATION
501(C)(3) · CHARITABLE ORGANIZATION · CA
Directly controlled by DENTEGRA GROUP INC
-
501(C)(4) · DENTAL INSURANCE · PA
Directly controlled by DENTEGRA GROUP INC
-
501(C)(4) · DENTAL INSURANCE · DE
Directly controlled by DENTEGRA GROUP INC
-
DELTA DENTAL OF WEST VIRGINIA INC
501(C)(4) · DENTAL INSURANCE · WV
Directly controlled by DENTEGRA GROUP INC
-
501(C)(4) · DENTAL INSURANCE · CA
Directly controlled by DENTEGRA GROUP INC
-
501(C)(4) · DENTAL INSURANCE · NY
Directly controlled by DENTEGRA GROUP INC
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 1 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202313069349301976
Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.
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