DELTA DENTAL PLAN OF WYOMING: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: DELTA DENTAL PLAN OF WYOMING (EIN 83-0209667)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-10
IRS object ID: 202143149349305279
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule D
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-10T15:07:21-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	830331229	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	MCGEE HEARNE & PAIZ LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	PO BOX 1088	AddressLine1Txt
City	CHEYENNE	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	82003	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	830209667	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DELTA DENTAL PLAN OF WYOMING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	DELT	BusinessNameControlTxt
Phone	3076323313	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6705 FAITH DRIVE	AddressLine1Txt
City	CHEYENNE	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	82009	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KERRY HALL	PersonNm
Person Title	PRESIDENT/CEO	PersonTitleTxt
Phone	3076323313	PhoneNum
Signature	2021-10-19	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	KERRY	PersonFirstNm
Person Last	HALL	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMBER NUSE	PreparerPersonNm
PTIN	P01208432	PTIN
Phone	3076342151	PhoneNum
Preparation	2021-10-19	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	DELTA DENTAL OF WYOMING	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	KERRY HALL	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6705 FAITH DRIVE	AddressLine1Txt
City	CHEYENNE	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	82009	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$47,465,611	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c	Yes (X)	Organization501cInd
Website Address	WWW.DELTADENTALWY.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1968	FormationYr
Legal Domicile State	WY	LegalDomicileStateCd
Activity Or Mission	DELTA DENTAL IS DEDICATED TO IMPROVING ORAL HEALTH THROUGH OUR DENTAL BENEFIT PROGRAMS, ADVOCACY AND COMMUNITY SUPPORT.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	5	VotingMembersIndependentCnt
Total Employee	24	TotalEmployeeCnt
Total Volunteers	7	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$41,480,957	PYProgramServiceRevenueAmt
CY Program Service Revenue	$41,259,932	CYProgramServiceRevenueAmt
PY Investment Income	$703,787	PYInvestmentIncomeAmt
CY Investment Income	$801,378	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$42,184,744	PYTotalRevenueAmt
CY Total Revenue	$42,061,310	CYTotalRevenueAmt
PY Grants And Similar Paid	$600,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$500,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$1,356,678	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$1,659,936	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$38,884,297	PYOtherExpensesAmt
CY Other Expenses	$38,820,137	CYOtherExpensesAmt
PY Total Expenses	$40,840,975	PYTotalExpensesAmt
CY Total Expenses	$40,980,073	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,343,769	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$1,081,237	CYRevenuesLessExpensesAmt
Total Assets BOY	$20,334,671	TotalAssetsBOYAmt
Total Assets EOY	$23,797,776	TotalAssetsEOYAmt
Total Liabilities BOY	$4,610,448	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$5,816,385	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$15,724,223	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$17,981,391	NetAssetsOrFundBalancesEOYAmt
Mission	DELTA DENTAL IS DEDICATED TO IMPROVING ORAL HEALTH THROUGH OUR DENTAL BENEFIT PROGRAMS, ADVOCACY AND COMMUNITY SUPPORT.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$39,120,350	ExpenseAmt
Grant	$500,000	GrantAmt
Revenue	$41,259,932	RevenueAmt
Desc	PROVIDE PROCESSING OF DENTAL PLANS, PAYMENTS AND CLAIMS FOR PURCHASERS, SUBSCRIBERS AND PARTICIPATING DENTISTS WITH THE GOAL OF MAKING AFFORDABLE DENTAL CARE AVAILABLE TO ALL WYOMING CITIZENS.	Desc
Total Program Service Expenses	$39,120,350	TotalProgramServiceExpensesAmt
Described In Section501c3	0	DescribedInSection501c3Ind
Schedule B Required	0	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	0	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (1)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	0	RelatedOrganizationCtrlEntInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1518	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	24	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	5	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	0	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KERRY HALL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3076323313	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6705 FAITH DRIVE	AddressLine1Txt
City	CHEYENNE	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	82009	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd
DR SCOTT HOUFEK
CHAIRMAN	1.00	Yes (X)	Yes (X)	$5,188	$0	$0
DR BRAD KINCHELOE
VICE CHAIRMAN	1.00	Yes (X)	Yes (X)	$4,269	$0	$0
JIM LINTON
TREASURER	1.00	Yes (X)	Yes (X)	$1,600	$0	$0
DR AARON TAFF
SECRETARY	1.00	Yes (X)	Yes (X)	$1,600	$0	$0
MARY BURMAN
DIRECTOR	1.00	Yes (X)		$1,600	$0	$0
JACKIE FREEZE
DIRECTOR	1.00	Yes (X)		$1,600	$0	$0
DR JAMES HOAG
DIRECTOR	1.00	Yes (X)		$1,600	$0	$0
DR BRUCE HOLWELL
DIRECTOR	1.00	Yes (X)		$1,600	$0	$0
RITA MEYER
DIRECTOR	1.00	Yes (X)		$1,600	$0	$0
DR DAN MORRISON
DIRECTOR	1.00	Yes (X)		$1,600	$0	$0
TYLER NEERIEMER
DIRECTOR	1.00	Yes (X)		$1,600	$0	$0
DR MARK O'FARRELL
DIRECTOR	1.00	Yes (X)		$1,600	$0	$0
DR DERRICK WALTON
DIRECTOR	1.00	Yes (X)		$850	$0	$0
DR RYNE PAULSON
DIRECTOR	1.00	Yes (X)		$750	$0	$0
KERRY HALL
PRESIDENT/CEO	50.00		Yes (X)	$263,336	$0	$135,591
PATRICIA GUZMAN
VICE PRESIDENT	50.00		Yes (X)	$161,475	$0	$272,124
JENNIFER HANRAHAN
DIRECTOR OF ACCOUNTING	40.00			$128,871	$0	$19,830	Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$580,739	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$427,545	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	3	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DELTA DENTAL OF SOUTH DAKOTA
720 N EUCLID AVE	PIERRE	SD	57501	CLAIMS PROCESSING & SUPPLIES	$263,578
ADVANCED HEALTH SERVICES
555 E PARKCENTER BLVD	BOISE	ID	83706	CLAIMS PROCESSING & SUPPLIES	$245,449

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	2	CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	DENTAL PREMIUMS & ADMIN	Desc
Business	524114	BusinessCd
Total Revenue Column	$41,259,932	TotalRevenueColumnAmt
Related Or Exempt Func Income	$41,259,932	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$41,259,932	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$415,534	TotalRevenueColumnAmt
Exclusion	$415,534	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,790,145	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$5,404,301	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$385,844	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$385,844	TotalRevenueColumnAmt
Exclusion	$385,844	ExclusionAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$42,061,310	TotalRevenueColumnAmt
Related Or Exempt Func Income	$41,259,932	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$801,378	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$500,000	TotalAmt
Program Services	$500,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$530,364	TotalAmt
Program Services	$283,745	ProgramServicesAmt
Management And General	$246,619	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$542,536	TotalAmt
Program Services	$295,682	ProgramServicesAmt
Management And General	$246,854	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$387,265	TotalAmt
Program Services	$211,059	ProgramServicesAmt
Management And General	$176,206	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$134,233	TotalAmt
Program Services	$73,157	ProgramServicesAmt
Management And General	$61,076	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$65,538	TotalAmt
Program Services	$35,718	ProgramServicesAmt
Management And General	$29,820	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$34,311	TotalAmt
Program Services	$8,578	ProgramServicesAmt
Management And General	$25,733	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$55,116	TotalAmt
Program Services	$13,779	ProgramServicesAmt
Management And General	$41,337	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$56,289	TotalAmt
Management And General	$56,289	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$108,616	TotalAmt
Program Services	$10,862	ProgramServicesAmt
Management And General	$97,754	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$174,888	TotalAmt
Program Services	$95,314	ProgramServicesAmt
Management And General	$79,574	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$42,344	TotalAmt
Program Services	$15,625	ProgramServicesAmt
Management And General	$26,719	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$17,177	TotalAmt
Program Services	$4,724	ProgramServicesAmt
Management And General	$12,453	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$22,022	TotalAmt
Program Services	$22,022	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$99,673	TotalAmt
Program Services	$36,879	ProgramServicesAmt
Management And General	$62,794	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$74,873	TotalAmt
Program Services	$27,628	ProgramServicesAmt
Management And General	$47,245	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
DENTAL CLAIMS PAID	$36,154,555	$36,154,555	$0
COMMISSIONS	$557,131	$557,131
COMPUTER - CLAIMS	$427,424	$384,682	$42,742
OTHER	$359,019	$89,755	$269,264

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$636,699	TotalAmt
Program Services	$299,455	ProgramServicesAmt
Management And General	$337,244	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$40,980,073	TotalAmt
Program Services	$39,120,350	ProgramServicesAmt
Management And General	$1,859,723	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$1,181,962	BOYAmt
EOY	$1,740,085	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$460,674	BOYAmt
EOY	$289,594	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,931,681	BOYAmt
EOY	$3,759,501	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,624	BOYAmt
EOY	$43,511	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$2,773,126	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$268,543	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,342,143	BOYAmt
EOY	$2,504,583	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$11,242,766	BOYAmt
EOY	$13,210,855	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$2,121,366	BOYAmt
EOY	$2,229,344	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$35,455	BOYAmt
EOY	$20,303	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,334,671	BOYAmt
EOY	$23,797,776	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$2,355,005	BOYAmt
EOY	$3,177,033	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$539,989	BOYAmt
EOY	$666,456	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,715,454	BOYAmt
EOY	$1,972,896	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$4,610,448	BOYAmt
EOY	$5,816,385	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,724,223	BOYAmt
EOY	$17,981,391	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$15,724,223	BOYAmt
EOY	$17,981,391	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$20,334,671	BOYAmt
EOY	$23,797,776	EOYAmt

Field	Value	IRS element (for citing)
Reconcilation Revenue Expnss	$1,081,237	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,175,931	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$0	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consol And Sep Basis Fincl Stmt	Yes (X)	ConsolAndSepBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$290,026	OtherCostOrOtherBasisAmt
Book Value	$290,026	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,066,534	OtherCostOrOtherBasisAmt
Depreciation	$75,635	DepreciationAmt
Book Value	$1,990,899	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$102,458	OtherCostOrOtherBasisAmt
Depreciation	$68,881	DepreciationAmt
Book Value	$33,577	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$314,108	OtherCostOrOtherBasisAmt
Depreciation	$124,027	DepreciationAmt
Book Value	$190,081	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,504,583	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN LIFE INSURANCE CONTRACT	$2,126,618	F
CERTIFICATE OF DEPOSIT	$102,726	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$2,229,344	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
DEFERRED COMPENSATION PAYABLE	$1,195,781
MEMBER REPURCHASE PLAN PAYABLE	$777,115

Field	Value	IRS element (for citing)
Total Liability	$1,972,896	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd
Total Rev Etc Audited Fincl Stmt	$41,259,932	TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$41,259,932	RevenueSubtotalAmt
Other Revenues Not Included	$801,378	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$801,378	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$42,061,310	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$40,891,054	TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported	$0	ExpensesNotReportedAmt
Expenses Subtotal	$40,891,054	ExpensesSubtotalAmt
Other Expenses Not Included	$89,019	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$89,019	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$40,980,073	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART X, LINE 2:	MANAGEMENT EVALUATED THE COMPANY'S TAX POSITIONS AND CONCLUDED THAT THE COMPANY HAD TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE FINANCIAL STATEMENTS. WITH FEW EXCEPTIONS, THE COMPANY IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY THE U.S. FEDERAL TAX AUTHORITIES EXCEPT FOR THE LAST THREE YEARS FILED.
PART XI, LINE 4B - OTHER ADJUSTMENTS:	INVESTMENT INCOME 415,534. GAIN ON SALE OF INVESTMENTS 385,844. LOSS ON SALE OF EQUIPMENT
PART XII, LINE 4B - OTHER ADJUSTMENTS:	NET AMORTIZATION OF PREMIUMS AND DISCOUNTS 32,730. INVESTMENT MANAGEMENT FEES 56,289.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	0	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	WYOMING DELTA DENTAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6705 FAITH DR	AddressLine1Txt
City	CHEYENNE	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	82009	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	300799719	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$500,000	CashGrantAmt
Valuation Method Used	CASH	ValuationMethodUsedDesc
Purpose Of Grant	GENERAL	PurposeOfGrantTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PATRICIA GUZMAN
VICE PRESIDENT	$144,000	$0	$17,475	$0	$0	$0	$235,722	$0	$36,402	$0	$433,599	$0	$0	$0
KERRY HALL
PRESIDENT/CEO	$240,348	$0	$19,500	$0	$3,488	$0	$105,227	$0	$30,364	$0	$398,927	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

DELTA DENTAL OF WYOMING HAS ADOPTED A COMPENSATION POLICY PURSUANT TO WHICH IT FOLLOWS THE PROCESS OUTLINED IN TREASURY REGULATION SECTION 53.4958-6 TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS TO THE COMPENSATION OF ITS CEO. THIS PROCESS INCLUDES REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY A COMPENSATION COMMITTEE COMPOSED ENTIRELY OF PERSONS WITH NO CONFLICT OF INTEREST (AS DEFINED IN REGULATIONS SECTION 53-4958-6(C)(1)(III)), RELIANCE ON COMPARABILITY DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. THIS PROCESS IS UNDERTAKEN ANNUALLY WITH RESPECT TO THE CEO AND ALL OTHER DISQUALIFIED PERSONS. IT WAS CONDUCTED ON MAY 11,2019. DELTA DENTAL PAID COUNTRY CLUB DUES FOR KERRY HALL. THIS IS INCLUDED AS PART OF EMPLOYMENT CONTRACT AND WAS INCLUDED IN W-2 WAGES.

PART I, LINE 4B

KERRY HALL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ACCRUING $83,376 IN 2020. PATTIE GUZMAN PARTICIPANTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ACCRUING $220,406 IN 2020 (FIRST YEAR CATCH UP).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
DR BRAD KINCHELOE
BOARD MEMBER	$582,906	DENTIST WHO PARTICIPATES IN THE ORGANIZATION'S PROVIDER NETWORK AND RECEIVES REIMBURSEMENT FOR PATIENT CLAIMS FROM THE ORGANIZATION.	0
DR DANIEL MORRISON
BOARD MEMBER	$206,993	DENTIST WHO PARTICIPATES IN THE ORGANIZATION'S PROVIDER NETWORK AND RECEIVES REIMBURSEMENT FOR PATIENT CLAIMS FROM THE ORGANIZATION.	0
DR AARON TAFF
BOARD MEMBER	$153,759	DENTIST WHO PARTICIPATES IN THE ORGANIZATION'S PROVIDER NETWORK AND RECEIVES REIMBURSEMENT FOR PATIENT CLAIMS FROM THE ORGANIZATION	0
DR RYNE PAULSON
BOARD MEMBER	$191,987	DENTIST WHO PARTICIPATES IN THE ORGANIZATION'S PROVIDER NETWORK AND RECEIVES REIMBURSEMENT FOR PATIENT CLAIMS FROM THE ORGANIZATION	0
DR DERRICK WALTON
BOARD MEMBER	$114,145	DENTIST WHO PARTICIPATES IN THE ORGANIZATION'S PROVIDER NETWORK AND RECEIVES REIMBURSEMENT FOR PATIENT CLAIMS FROM THE ORGANIZATION	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS ARE COMPROMISED OF DENTISTS WHO HAVE CONTRACTS WITH DELTA DENTAL OF WYOMING.
FORM 990, PART VI, SECTION A, LINE 7A	STATE IS DIVIDED INTO SIX REGIONS WHERE DENTISTS ELECT PARTICIPATING MEMBERS TO THE GOVERNING BODY. SEVEN AT LARGE DIRECTORS (TWO RETIRED MEMBERS AND FIVE AT LARGE INDIVIDUALS) ARE ALSO ELECTED BY THE MEMBERSHIP.
FORM 990, PART VI, SECTION A, LINE 7B	AMENDMENTS TO THE ORGANIZATION'S ARTICLES OF INCORPORATION AND BYLAWS MAY BE INITIATED BY THE BOARD OF DIRECTORS BUT REQUIRE APPROVAL OF THE MEMBERS TO BE EFFECTIVE.
FORM 990, PART VI, SECTION B, LINE 11B	THE ORGANIZATION FOLLOWS A POLICY THAT IS DESIGNED TO ENSURE APPROPRIATE OVERSIGHT AND REVIEW OF THE FORM 990. AN INTERNAL WORKING GROUP INCLUDING THE ORGANIZATION'S PRESIDENT, VICE PRESIDENCT, TREASURER, OUTSIDE TAX PREPARER, LEGAL COUNSEL AND OTHERS HELP COMPILE AN INITIAL DRAFT OF FORM 990. ONCE A COMPLETE DRAFT IS DEVELOPED AND REVIEWED BY THE WORKING GROUP, THE DRAFT (WITH ALL ATTACHMENTS) IS SUBMITTED TO THE ORGANIZATION'S BOARD OF DIRECTORS FOR REVIEW AND QUESTIONS. THE BOARD COMPLETED ITS REVIEW AT THE OCTOBER 2021 BOARD MEETING, PRIOR TO THE FILING OF FORM 990.
FORM 990, PART VI, SECTION B, LINE 12C	THE ORGANIZATION'S WRITTEN CONFLICT OF INTEREST POLICY COVERS ANY DIRECTOR OR OFFICER. IT REQUIRES DISCLOSURE OF ALL MATERIAL FACTS REGARDING ANY ACTUAL OR POTENTIAL CONFLICTS OF INTEREST ON AN ONGOING BASIS. THE BOARD DETERMINES, BY A MAJORITY OF ITS DISINTERESTED BOARD MEMBERS, WHETHER A CONFLICT OF INTEREST EXISTS. THE BOARD DETERMINES, BY A MAJORITY OF ITS DISINTERESTED PARTIES, WHETHER THE ORGANIZATION CAN OBTAIN A MORE ADVANTAGEOUS TRANSACTION UNDER THE CIRCUMSTANCES THAT WOULD NOT GIVE RISE TO A CONFLICT AND, IF NOT, WHETHER IT IS IN THE ORGANIZATION'S BEST INTERESTS TO GO FORWARD WITH THE TRANSACTION. EACH PERSON SUBJECT TO THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS REQUIRED TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM AND HAS A CONTINUING DUTY TO UPDATE SUCH STATEMENT. CONFLICT OF INTEREST DISCLOSURE FORMS ARE REVIEWED ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15A	DELTA DENTAL OF WYOMING HAS ADOPTED A COMPENSATION POLICY PURSUANT TO WHICH IT FOLLOWS THE PROCESS OUTLINED IN TREASURY REGULATION SECTION 53.4958-6 TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS TO THE COMPENSATION OF ITS CEO. THIS PROCESS INCLUDES REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY A COMPENSATION COMMITTEE COMPOSED ENTIRELY OF PERSONS WITH NO CONFLICT OF INTEREST (AS DEFINED IN REGULATIONS SECTION 53-4958-6(C)(1)(III)), RELIANCE ON COMPARABILITY DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. THIS PROCESS IS UNDERTAKEN ANNUALLY WITH RESPECT TO THE CEO AND ALL OTHER DISQUALIFIED PERSONS. IT WAS CONDUCTED ON MAY 11, 2019.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION MAKES GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL STATEMENTS ARE PROVIDED ANNUALLY TO ALL PARTICIPATING MEMBERS.
PART XII, LINE 2C:	DELTA DENTAL HAS A COMMITTEE THAT OVERSEES THE AUDIT

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	WYOMING DELTA DENTAL FOUNDATION	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	6705 FAITH DRIVE	AddressLine1Txt
City	CHEYENNE	CityNm
State Abbreviation	WY	StateAbbreviationCd
ZIP	82009	ZIPCd

Field	Value	IRS element (for citing)
EIN	300799719	EIN
Primary Activities	PUBLIC CHARITY	PrimaryActivitiesTxt
Legal Domicile State	WY	LegalDomicileStateCd
Exempt Code Section	501(C)(3)	ExemptCodeSectionTxt
Public Charity Status	LINE 7	PublicCharityStatusTxt
Controlled Organization	0	ControlledOrganizationInd

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	WYOMING DELTA DENTAL FOUNDATION	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	B	TransactionTypeTxt
Involved	$500,000	InvolvedAmt
Method Of Amount Determination	CASH	MethodOfAmountDeterminationTxt