FURP.ORG / PUBLIC DATA EXPLORER

DELTA DENTAL PLAN OF VIRGINIA: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL PLAN OF VIRGINIA (EIN 54-0844477)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-12
IRS object ID
201913169349301921
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-12T09:34:37-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN540504608PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BROWN EDWARDS & COMPANY LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1319 MCCLANAHAN STREET SWAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24014ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN540844477EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF VIRGINIABusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone5409898000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14818 STARKEY ROADAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP240188542ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonR JAMES BARKERPersonNm
Person TitleSECRETARY/TREASURERPersonTitleTxt
Phone5409898000PhoneNum
Signature2019-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonM C WINGFIELDPreparerPersonNm
PTINP00005971PTIN
Phone5403450936PhoneNum
Preparation2019-11-08PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address206.248.228.130IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-08IPDt
IP Tm15:26:29IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id1626BA036CF3DDA5592C13B1B33E888B46C24478AtSubmissionCreationDeviceId
At Submission Filing Device IdD0156BD46B4B1FE921C9503B1D7FFBF99E37DBABAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-03-31 21:24:44ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerR JAMES BARKERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14818 STARKEY ROADAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP240188542ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$745,525,594GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALVA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1964FormationYr
Legal Domicile StateVALegalDomicileStateCd
Activity Or MissionIMPROVE THE PUBLIC'S ORAL HEALTH.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee66TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$697,888,912PYProgramServiceRevenueAmt
CY Program Service Revenue$728,773,733CYProgramServiceRevenueAmt
PY Investment Income$2,258,068PYInvestmentIncomeAmt
CY Investment Income$2,033,224CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$700,146,980PYTotalRevenueAmt
CY Total Revenue$730,806,957CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,249,089PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$9,721,751CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$670,088,270PYOtherExpensesAmt
CY Other Expenses$701,907,099CYOtherExpensesAmt
PY Total Expenses$679,337,359PYTotalExpensesAmt
CY Total Expenses$711,628,850CYTotalExpensesAmt
PY Revenues Less Expenses$20,809,621PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,178,107CYRevenuesLessExpensesAmt
Total Assets BOY$168,014,567TotalAssetsBOYAmt
Total Assets EOY$174,836,256TotalAssetsEOYAmt
Total Liabilities BOY$65,793,844TotalLiabilitiesBOYAmt
Total Liabilities EOY$60,675,421TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$102,220,723NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$114,160,835NetAssetsOrFundBalancesEOYAmt
MissionADVANCE THE PUBLIC'S ORAL HEALTH BY PROVIDING QUALITY DENTAL BENEFITS AT AFFORDABLE COST.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$642,267,718ExpenseAmt
Revenue$728,802,678RevenueAmt
DescGROUP AND INDIVIDUAL PREPAID DENTAL CARE WAS PROVIDED FOR SUBSCRIBERS AND FAMILIES IF ENROLLED.Desc
Total Program Service Expenses$642,267,718TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign ActyYes (1)PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document62320IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee66EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1R JAMES BARKERBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5409898000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14818 STARKEY ROADAddressLine1Txt
CityROANOKECityNm
State AbbreviationVAStateAbbreviationCd
ZIP24018ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
MS LAURA W THOMAS
CHAIRMAN OF THE BOARD4.002.00Yes (X)Yes (X)$30,000$12,250$0
DR HAROLD J BARRETT JR
DIRECTOR1.001.00Yes (X)$24,915$0$0
MR LYNDELL B BROOKS
DIRECTOR2.001.00Yes (X)$32,092$0$0
MR THOMAS R BYRD
DIRECTOR2.004.00Yes (X)$0$42,250$0
MR DANIEL E DRAPER
DIRECTOR3.000.00Yes (X)$29,197$0$0
MR BARRY E DUVAL
DIRECTOR1.003.00Yes (X)$0$29,050$0
MR GORDON L GENTRY JR
DIRECTOR1.001.00Yes (X)$27,256$0$0
MR DANIEL C HASTINGS JR
DIRECTOR1.000.00Yes (X)$23,616$0$0
MR DOUGLAS JUANARENA
DIRECTOR3.003.00Yes (X)$0$27,450$0
DR LEZLEY P MCILVEEN
DIRECTOR3.000.00Yes (X)$29,522$0$0
DR BARRY WOLFE
DIRECTOR3.001.00Yes (X)$36,256$0$0
MR FRANK L LUCIA
PRESIDENT & CEO1.0041.00Yes (X)Yes (X)$0$956,368$31,106
MR R JAMES BARKER
SECRETARY/TREASURER0.0040.00Yes (X)$0$457,854$70,693
MS KRISTIN N MERLO
SVP & COO - HIRED OCT 201840.000.00$174,702$0$4,564Yes (X)
MR PETER V DAVIES II
SVP & COO, RETIRED DEC 201840.000.00$1,647,418$0$55,852Yes (X)
DR JOSEPH M DILL DDS
VICE PRESIDENT40.000.00$171,820$0$9,837Yes (X)
MR BRADLEY KNOPF
VICE PRESIDENT40.000.00$350,186$0$57,065Yes (X)
MR CHRISTOPHER PYLE
VICE PRESIDENT40.000.00$271,768$0$58,568Yes (X)
MR DAVID WERNER
VICE PRESIDENT40.000.00$448,237$0$56,397Yes (X)
MS MELISSA KIRSH
STAFF40.000.00$402,030$0$57,065Yes (X)
MR MATTHEW MACDONALD
STAFF40.000.00$290,543$0$58,065Yes (X)
MR JASON REYNOLDS
STAFF40.000.00$235,070$0$31,986Yes (X)
MR BRIAN SHIELDS
STAFF40.000.00$277,678$0$23,622Yes (X)
MR JOHN WILSON
STAFF40.000.00$263,890$0$39,489Yes (X)
DR GEORGE A LEVICKI
FORMER PRESIDENT0.0040.00$0$763,409$60,038Yes (X)
MR MICHAEL L HOULISTON
FORMER DIRECTOR0.000.00$0$22,500$0Yes (X)
DR MAYER G LEVY
FORMER DIRECTOR0.000.00$0$22,500$0Yes (X)
DR EMANUEL W MICHAELS
FORMER DIRECTOR0.000.00$0$22,500$0Yes (X)
DR FRENCH H MOOREJR
FORMER DIRECTOR0.000.00$22,710$0$0Yes (X)
MR THOMAS S NARDO
FORMER DIRECTOR0.000.00$22,795$0$0Yes (X)
DR ALBERT L PAYNE
FORMER DIRECTOR0.000.00$0$22,500$0Yes (X)
DR GRANT M SPRINKLE III
FORMER DIRECTOR0.000.00$22,823$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,834,524TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$2,378,631TotReportableCompRltdOrgAmt
Total Other Compensation$614,347TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K29IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
WYSSTA SERVICES INC
PO BOX 86STEVENS POINTWI54481TPA SERVICES$5,451,628
BLUE 449 INC
13940 COLLECTIONS CENTER DRIVECHICAGOIL60693ADVERTISING SERVICES$266,903
BLACKROCK INVESTMENT MANAGEMENT LLC
PO BOX 978604DALLASTX753978604INVESTMENT MANAGEMENT$211,760
REEDER & ASSOCIATES LTD
1905 WOODSTOCK RD STE 7200ROSWELLGA30075RECRUITING SERVICES$186,060
ABM INDUSTRY GROUPS LLC
PO BOX 74008829CHICAGOIL606748829JANITORIAL SERVICES$118,598
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ASC CONTRACTS524114$425,579,283$425,579,283
RISK PREMIUMS524114$270,582,354$270,582,354
ASC FEES EARNED524114$25,365,186$25,365,186
DELTA CARE CONTRACT524114$7,209,857$7,209,857
OTHER INCOME524298$37,053$37,053
FieldValueIRS element (for citing)
Total Program Service Revenue$728,773,733TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,826,518TotalRevenueColumnAmt
Exclusion$1,826,518ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$14,880,713SecuritiesAmt
Other$44,630OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$14,702,952SecuritiesAmt
Other$15,685OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$177,761SecuritiesAmt
Other$28,945OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$206,706TotalRevenueColumnAmt
Related Or Exempt Func Income$28,945RelatedOrExemptFuncIncomeAmt
Exclusion$177,761ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$730,806,957TotalRevenueColumnAmt
Related Or Exempt Func Income$728,802,678RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,004,279ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,539,268TotalAmt
Management And General$3,539,268ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$4,298,983TotalAmt
Management And General$4,298,983ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$874,715TotalAmt
Management And General$874,715ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$534,520TotalAmt
Management And General$534,520ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$474,265TotalAmt
Management And General$474,265ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$11,059,021TotalAmt
Management And General$11,059,021ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$28,400TotalAmt
Management And General$28,400ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$237,825TotalAmt
Management And General$237,825ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$27,263,264TotalAmt
Management And General$27,263,264ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$799,610TotalAmt
Management And General$799,610ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$705,626TotalAmt
Management And General$705,626ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$308,977TotalAmt
Management And General$308,977ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$410,508TotalAmt
Management And General$410,508ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$253,615TotalAmt
Management And General$253,615ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$144,027TotalAmt
Management And General$144,027ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
DENTAL CLAIMS$642,267,718$642,267,718
BROKERAGE COMMISSIONS A$7,826,625$7,826,625
STATE PREMIUM TAXES AND$6,085,753$6,085,753
ACA FEE$2,193,420$2,193,420

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,322,710TotalAmt
Management And General$2,322,710ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$711,628,850TotalAmt
Program Services$642,267,718ProgramServicesAmt
Management And General$69,361,132ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$200BOYAmt
EOY$449EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$24,289,509BOYAmt
EOY$11,632,583EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$53,115,366BOYAmt
EOY$43,923,419EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$314,055BOYAmt
EOY$500,402EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$24,415,396LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$6,847,745LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,258,905BOYAmt
EOY$17,567,651EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$46,298,654BOYAmt
EOY$59,704,552EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,100BOYAmt
EOY$2,100EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$25,735,778BOYAmt
EOY$41,505,100EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$168,014,567BOYAmt
EOY$174,836,256EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$22,488,943BOYAmt
EOY$15,937,548EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$43,304,901BOYAmt
EOY$44,737,873EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$65,793,844BOYAmt
EOY$60,675,421EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$102,220,723BOYAmt
EOY$114,160,835EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$102,220,723BOYAmt
EOY$114,160,835EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$168,014,567BOYAmt
EOY$174,836,256EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,178,107ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,237,995NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$5,000,000OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Internal Funds Contributed$41,250InternalFundsContributedAmt
Total Exempt Function Expend$41,250TotalExemptFunctionExpendAmt
Form1120 POL FiledYes (1)Form1120POLFiledInd

Section527 Political Org Section527PoliticalOrgGrp (70 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPaid Internal FundsPaidInternalFundsAmt
BYRON FOR DELEGATE
PO BOX 900FORESTVA24551$500
KILGORE FOR DELEGATE
PO BOX 669GATE CITYVA24251$1,000
FRIENDS OF TOMMY NORMENT
PO BOX 6205WILLIAMSBURGVA23188$500
BLACK FOR SENATE
PO BOX 3026LEESBURGVA20177$250
CHAFIN FOR SENATE
PO BOX 1210LEBANONVA24266$250
HUGO FOR DELEGATE
PO BOX 893CENTREVILLEVA20122$500
COSGROVE FOR SENATE
PO BOX 15483CHESAPEAKEVA23328$250
STUART FOR SENATE
PO BOX 1146MONTROSSVA22520$500
EDWARDS FOR SENATE
PO BOX 1179ROANOKEVA240061179$500
O'QUINN FOR DELEGATE
PO BOX 16325BRISTOLVA24201$500
GILBERT FOR DELEGATE
PO BOX 309WOODSTOCKVA22664$250
WARD FOR DELEGATE
PO BOX 7310HAMPTONVA23666$250
KEAM FOR DELEGATE
PO BOX 1134VIENNAVA221831134$250
LEWIS FOR SENATE
PO BOX 760ACCOMACVA23301$250
MARSHALL FOR DELEGATE
PO BOX 439DANVILLEVA24543$250
NEWMAN FOR SENATE
PO BOX 480FORESTVA24551$500
MCDOUGLE FOR SENATE
PO BOX 187MECHANICSVILLEVA23111$500
SPRUILL FOR DELEGATE
PO BOX 5403CHESAPEAKEVA23324$250
TOSCANO FOR DELEGATE
211 EAST HIGH STREETCHARLOTTESVILLEVA22902$500
GARRETT FOR DELEGATE
2255 LANGHORNE ROAD STE 4LYNCHBURGVA24501$250
JAMES FOR DELEGATE
PO BOX 7487PORTSMOUTHVA23707$250
RANSONE FOR DELEGATE
PO BOX 358KINSALEVA22488$500
ORROCK FOR DELEGATE
PO BOX 458THORNBURGVA22565$250
STOLLE FOR DELEGATE
PO BOX 5429VIRGINIA BEACHVA23471$500
BARKER FOR SENATE
PO BOX 10527ALEXANDRIAVA22310$250
DUNNAVANT FOR SENATE
PO BOX 70849HENRICOVA23255$250
MARSDEN FOR SENATE
PO BOX 10889BURKEVA22009$250
PETERSEN FOR SENATE
PO BOX 1066FAIRFAXVA22038$250
STANLEY FOR SENATE
13508 BOOKER T WASHINGTON HWYMONETAVA24121$250
SUROVELL FOR SENATE
PO BOX 289MOUNT VERNONVA22121$250
SUETTERLEIN FOR SENATE
PO BOX 20237ROANOKEVA24018$500
LUCAS FOR SENATE
PO BOX 700PORTSMOUTHVA237050700$250
STURTEVANT FOR SENATE
PO BOX 2535MIDLOTHIANVA23113$250
WARE FOR DELEGATE
PO BOX 689POWHATANVA23139$250
AIRD FOR DELEGATE
PO BOX 3943PETERSBURGVA23805$250
HANGER FOR SENATE
PO BOX 2MOUNT SOLONVA228430002$250
HOPE FOR DELEGATE
PO BOX 3148ARLINGTONVA22203$250
OBENSHEIN FOR SENATE
PO BOX 555HARRISONBURGVA22803$500
PRICE FOR DELEGATE
PO BOX 196NEWPORT NEWSVA23607$250
ROBERT BELL FOR DELEGATE
2309 FINCH COURTCHARLOTTESVILLEVA22911$250
SICKLES FOR DELEGATE
PO BOX 10628FRANCONIAVA22310$250
BAGBY FOR DELEGATE
PO BOX 406RICHMONDVA23218$250
BOURNE FOR DELEGATE
PO BOX 406RICHMONDVA23218$250
COMMONWEALTH VICTORY FUND
1021 E CARY STREET SUITE 1275RICHMONDVA23219$1,000
DANCE FOR SENATE
PO BOX 2584PETERSBURGVA23804$250
DELEGATE ROXANN ROBINSON
PO BOX 4627MIDLOTHIANVA23112$250
EILEEN FILLER-CORN FOR DELEGATE
PO BOX 523082SPRINGFIELDVA22152$250
ELECT CHRIS HEAD
PO BOX 19130ROANOKEVA24019$500
HERETICK FOR DELEGATE
715 LOUDON AVENUEPORTSMOUTHVA23707$250
HERRING FOR DELEGATE
PO BOX 11779ALEXANDRIAVA22312$250
HURST FOR DELEGATE
PO BOX 11389BLACKSBURGVA24062$250
KORY FOR DELEGATE
6505 WATERWAY DRIVEFALLS CHURCHVA22044$250
LANDES FOR DELEGATE
PO BOX 12VERONAVA24482$250
LINDSEY FOR DELEGATE
500 E PLUME STREET STE 105NORFOLKVA23510$250
MAJORITY LEADER PAC (FOR REP KIRK COX)
PO BOX 1205COLONIAL HEIGHTSVA23834$7,500
MCGUIRE FOR DELEGATE
11375 NUCKOLS RD 156GLEN ALLENVA23059$500
MCNAMARA FOR DELEGATE
PO BOX 21094ROANOKEVA24018$250
MULLIN FOR DELEGATE
566 DENBIGH BOULEVARD SUITE CNEWPORT NEWSVA23608$250
RASOUL FOR DELEGATE
1417 PETERS CREEK ROAD NWROANOKEVA24017$250
RUSH FOR DELEGATE
PO BOX 1591CHRISTIANSBURGVA24068$500
SASLAW FOR SENATE
PO BOX 1856SPRINGFIELDVA221510856$500
SULLIVAN FOR DELEGATE
PO BOX 50753ARLINGTONVA22205$250
VIRGINIA SENATE REPUBLICAN CAUCUS
PO BOX 1697WILLIAMSBURGVA23187$1,000
WEBERT FOR DELEGATE
PO BOX 631MARSHALLVA20116$250
YANCEY FOR DELEGATE
PO BOX 1163NEWPORT NEWSVA23601$250
ACTBLUE VIRGINIA
PO BOX 441146SOMERVILLEMA021440031$1,500
COLONIAL LEADERSHIP TRUST PAC
PO BOX 1205COLONIAL HEIGHTSVA23834$1,500
HOUSE REPUBLICAN CAMPAIGN COMMITTEE
PO BOX 71596RICHMONDVA23255$7,500
WAGNER FOR SENATE
PO BOX 68008VIRGINIA BEACHVA23471$500
WILT FOR DELEGATE
PO BOX 1425HARRISONBURGVA22803$250

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$2,434,732InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,963,736OtherCostOrOtherBasisAmt
Book Value$4,398,468BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$12,298,980InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$806,697OtherCostOrOtherBasisAmt
Depreciation$341,295DepreciationAmt
Book Value$12,764,382BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$52,048InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,494,083OtherCostOrOtherBasisAmt
Depreciation$1,231,945DepreciationAmt
Book Value$314,186BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,269,208OtherCostOrOtherBasisAmt
Depreciation$2,178,593DepreciationAmt
Book Value$90,615BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,095,912OtherCostOrOtherBasisAmt
Depreciation$3,095,912DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$17,567,651TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
SOFTWARE UPGRADE$36,497,518
OTHER ASSETS$5,007,582
FieldValueIRS element (for citing)
Total Book Value Other Assets$41,505,100TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
DEPOSITS$5,217,838
ADV. PREMIUMS AND DEPOSITS$24,222,151
RATE STABILIZATION RESERVE$656,750
DENTAL SERVICE CLAIMS RESERVES$13,297,329
OPTION LIABILITY$1,343,805
FieldValueIRS element (for citing)
Total Liability$44,737,873TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$730,371,173TotalRevEtcAuditedFinclStmtAmt
Revenue Not Reported$0RevenueNotReportedAmt
Revenue Subtotal$730,371,173RevenueSubtotalAmt
Investment Expenses Not Incld$237,825InvestmentExpensesNotIncldAmt
Other Revenues Not Included$197,959OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$435,784RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$730,806,957TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$711,193,067TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$711,193,067ExpensesSubtotalAmt
Investment Expenses Not Incld2$237,825InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$197,958OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$435,783ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$711,628,850TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART X, LINE 2:INCOME TAXES FOOTNOTE: DELTA IS EXEMPT FROM FEDERAL INCOME TAX UNDER THE PROVISIONS OF PUBLIC LAW 99-514, TAX REFORM ACT OF 1986, ACT SECTION 1012(C)(4)(C)(IV) AND HAS RECEIVED A FAVORABLE DETERMINATION LETTER FROM THE IRS UNDER CODE SECTION 501(C)(4). THE FOUNDATION IS EXEMPT FROM FEDERAL INCOME TAXES UNDER CODE SECTION 501(C)(3).
PART XI, LINE 4B - OTHER ADJUSTMENTS:REAL ESTATE HOLDING COSTS 197,958. ROUNDING 1.
PART XII, LINE 4B - OTHER ADJUSTMENTS:REAL ESTATE HOLDING COSTS 197,958.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (1)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MR FRANK L LUCIA
PRESIDENT & CEO$0$612,471$0$282,510$0$61,387$0$5,500$0$25,606$0$987,474$0$0
MR R JAMES BARKER
SECRETARY/TREASURER$0$305,709$0$151,278$0$867$0$55,000$0$15,693$0$528,547$0$0
MS KRISTIN N MERLO
SVP & COO - HIRED OCT 2018$81,342$0$50,000$0$43,360$0$723$0$3,841$0$179,266$0$0$0
MR PETER V DAVIES II
SVP & COO, RETIRED DEC 2018$462,918$0$227,908$0$956,592$0$55,000$0$852$0$1,703,270$0$0$0
DR JOSEPH M DILL DDS
VICE PRESIDENT$90,818$0$80,444$0$558$0$3,453$0$6,384$0$181,657$0$0$0
MR BRADLEY KNOPF
VICE PRESIDENT$233,791$0$115,103$0$1,292$0$34,017$0$23,048$0$407,251$0$0$0
MR CHRISTOPHER PYLE
VICE PRESIDENT$204,829$0$66,579$0$360$0$33,787$0$24,781$0$330,336$0$0$0
MR DAVID WERNER
VICE PRESIDENT$69,750$0$376,045$0$2,442$0$34,018$0$22,379$0$504,634$0$0$0
MS MELISSA KIRSH
STAFF$40,200$0$361,595$0$235$0$34,017$0$23,048$0$459,095$0$0$0
MR MATTHEW MACDONALD
STAFF$39,000$0$251,427$0$116$0$34,018$0$24,047$0$348,608$0$0$0
MR JASON REYNOLDS
STAFF$36,193$0$198,765$0$112$0$21,619$0$10,367$0$267,056$0$0$0
MR BRIAN SHIELDS
STAFF$38,107$0$57,115$0$182,456$0$1,449$0$22,173$0$301,300$0$0$0
MR JOHN WILSON
STAFF$34,200$0$229,528$0$162$0$32,630$0$6,859$0$303,379$0$0$0
DR GEORGE A LEVICKI
FORMER PRESIDENT$0$201,693$0$446,095$0$115,621$0$55,000$0$5,038$0$823,447$0$0
MR MICHAEL L HOULISTON
FORMER DIRECTOR$0$22,500$0$0$0$0$0$0$0$0$0$22,500$0$0
DR MAYER G LEVY
FORMER DIRECTOR$0$22,500$0$0$0$0$0$0$0$0$0$22,500$0$0
DR EMANUEL W MICHAELS
FORMER DIRECTOR$0$22,500$0$0$0$0$0$0$0$0$0$22,500$0$0
DR FRENCH H MOOREJR
FORMER DIRECTOR$22,710$0$0$0$0$0$0$0$0$0$22,710$0$0$0
MR THOMAS S NARDO
FORMER DIRECTOR$22,795$0$0$0$0$0$0$0$0$0$22,795$0$0$0
DR ALBERT L PAYNE
FORMER DIRECTOR$0$22,500$0$0$0$0$0$0$0$0$0$22,500$0$0
DR GRANT M SPRINKLE III
FORMER DIRECTOR$22,823$0$0$0$0$0$0$0$0$0$22,823$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AFIRST-CLASS OR CHARTER TRAVEL-WE FOLLOW ADOPTED POLICY FOR BOTH FIRST-CLASS OR CHARTER TRAVEL. IN SUMMARY, FIRST-CLASS TRAVEL IS NOT ALLOWED EXCEPT BY SPECIFIC GUIDANCE IN THE T & E POLICY (I.E. EXCEPTIONALLY LONG FLIGHT, ETC.) TRAVEL FOR COMPANIONS-WE FOLLOW ADOPTED CORPORATE TRAVEL AND ENTERTAINMENT (T&E) POLICY FOR COMPANIONS. IN SUMMARY, SPOUSAL TRAVEL IS NOT COVERED UNLESS SPECIFIC CRITERIA IS MET.
PART I, LINES 4A-BPART I, LINE 4A: MR. BRIAN SHIELDS, STAFF, WAS PAID SEVERANCE IN 2018 PRUSUANT TO HIS TERMINATION AGREEMENT IN CONSIDERATION OF HIS YEARS OF SERVICE AND LEVEL OF RESPONSIBILITY. THIS SEVERENCE PAYMENT IS REFLECTED IN FORM 990 PART VII COLUMN D AND SCHEDULE J PART II COLUMN B III. PART I, LINE 4B: THE FOLLOWING LUMP SUM PAYMENTS BY THIS ORGANIZATION AND A RELATED ORGANIZATION HAVE BEEN INCLUDED IN COLUMN B-III OF SCHEDULE J, PART II. THE LUMP SUM PAYMENTS IN 2018 WERE EARNED OVER A PRECEDING MULTI-YEAR PERIOD. THESE PLANS WERE ESTABLISHED VIA THIS ORGANIZATION'S AND THE RELATED ORGANIZATION'S MANAGEMENT DEVELOPMENT & COMPENSATION COMMITTEE'S COMPENSATION AND BENEFIT REVIEW WHICH IS IN ACCORDANCE WITH THE PROCESS OUTLINED BY THE IRS FOR SETTING REASONABLE COMPENSATION. THESE PLANS ARE IN ACCORDANCE WITH SUPPLEMENTAL NONQUALIFIED DEFERRED COMPENSATION PLANS AS PER IRS SECTIONS 409(A) & 457(F). THE FOLLOWING AMOUNTS WERE PAID FROM THIS ORGANIZATION AND A RELATED ORGANIZATION IN 2018: EMPLOYEE AMOUNT MR. PETER V. DAVIES II $950,000 DR. GEORGE A. LEVICKI $111,915 RELATED ORG.
PART I, LINE 5PART I, LINE 5A: THE FOLLOWING EMPLOYEES RECEIVED SALES COMMISSIONS IN 2018 IN THEIR ROLES AS SALES MANAGEMENT AND STAFF BASED UPON REVENUE GENERATED DIRECTLY BY EACH RESPECTIVE INDIVIDUAL: DAVID WERNER $376,045 MELISSA KIRSH $361,595 MATTHEW MACDONALD $251,427 JOHN WILSON $229,528 BRIAN SHIELDS $57,115 JASON REYNOLDS $198,765 THESE AMOUNTS WERE SUBJECT TO REVIEW BY THE HUMAN RESOURCES DEPARTMENT FOR FAIRNESS AND REASONABILITY.
PART I, LINE 7A PORTION OF EACH PERSON'S COMPENSATION IS AT RISK PROVIDING KEY METRICS AND GOALS ARE ACHIEVED. THE RESPECTIVE PROGRAMS FOR DISQUALIFIED PERSONS ARE SUBJECT TO THE MANAGEMENT DEVELOPMENT & COMPENSATION COMMITTEE'S COMPENSATION AND BENEFIT REVIEW PROCESS WHICH IS IN ACCORDANCE WITH THE PROCESS OUTLINED BY THE IRS FOR SETTING REASONABLE COMPENSATION.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

FieldValueIRS element (for citing)
PersonG SPRINKLE III FAMILY DENTISTRY PCPersonNm
FieldValueIRS element (for citing)
Relationship DescriptionPARTICIPATING DENTISTRelationshipDescriptionTxt
Transaction$326,107TransactionAmt
TransactionDENTAL CLAIMSTransactionDesc
Sharing Of Revenues0SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6DELTA DENTAL OF VIRGINIA IS A NON-STOCK CORPORATION ORGANIZED UNDER TITLE 13.1 OF THE CODE OF VIRGINIA. CORVESTA, INC. IS THE SOLE MEMBER OF DDVA AS DEFINED IN SECTION 13.1-803 OF THE CODE OF VIRGINIA.
FORM 990, PART VI, SECTION A, LINE 7ATHE MEMBER ELECTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BTHE MEMBER VOTES ON QUESTIONS OF MERGER, CONSOLIDATION OR DISSOLUTION OF THE CORPORATION; AND AMENDING THE ARTICLES OF INCORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BDIRECTORS ON THE BOARD OF DIRECTORS WILL REVIEW THE DOCUMENT WITH SENIOR MANAGEMENT MEMBERS. THE REVIEW WILL BE DOCUMENTED AT THE SUBSEQUENT BOARD MEETING.
FORM 990, PART VI, SECTION B, LINE 12CDELTA DENTAL OF VIRGINIA REQUIRES CORPORATE OFFICERS AND EACH DIRECTOR ON THE BOARD OF DIRECTORS TO COMPLETE AN ANNUAL CONFLICT OF INTEREST DISCLOSURE STATEMENT THAT IS BASED ON IRS GUIDANCE. IN ADDITION, THE CONFLICT OF INTEREST POLICY REQUIRES DISCLOSURE OF ALL CONFLICTS, POTENTIAL CONFLICTS, OR ANY MATTER THAT MAY GIVE RISE TO THE APPEARANCE OF A CONFLICT. THE FORMS ARE REVIEWED BY THE COMPLIANCE OFFICER AND REPORTED TO THE CEO AND THE APPROPRIATE COMMITTEE(S) OF THE BOARD. THE FORMS ARE FURTHER AVAILABLE TO, AND REVIEWED BY, OUR AUDITORS AND THE BOI.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION ARRANGEMENTS FOR THE CEO AND OTHER DISQUALIFIED PERSONS ARE REVIEWED AND APPROVED BY THE MANAGEMENT DEVELOPMENT AND COMPENSATION COMMITTEE OF OUR BOARD OF DIRECTORS. THIS COMMITTEE CONSISTS ENTIRELY OF INDIVIDUALS WHO DO NOT HAVE ANY CONFLICTS OF INTEREST AS TO THE ARRANGEMENTS BEING REVIEWED. THE COMMITTEE FOLLOWS THE PROCESSES OUTLINED BY THE IRS FOR SETTING REASONABLE COMPENSATION. THE COMMITTEE REVIEWS AND RELIES UPON COMPARABILITY DATA AND THE EXPERT RECOMMENDATIONS PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT. DELIBERATIONS AND DECISIONS OF THE COMMITTEE ARE CONTEMPORANEOUSLY DOCUMENTED. THIS PROCESS IS UNDERTAKEN AT LEAST ANNUALLY WITH RESPECT TO THE CEO AND ALL OTHER DISQUALIFIED PERSONS.
FORM 990, PART VI, SECTION C, LINE 19THE APPLICABLE FORMS ARE AVAILABLE FOR PUBLIC INSPECTION VIA REQUEST AND REGULATORY FILINGS.
FORM 990, PART XI, LINE 9:SURPLUS TRANSFER TO HOLDING COMPANY -5,000,000.
FORM 990, PART XII, LINE 2CTHERE HAVE BEEN NO CHANGES TO DELTA DENTAL OF VIRGINIA'S OVERSIGHT PROCESS OF THE AUDIT OR ITS SELECTION OF AN INDEPENDENT AUDITOR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
CORVESTA INC
4818 STARKEY ROADROANOKEVA240188542205945158HOLDING COMPANYVA501(C)(4)N/A0
DELTA DENTAL OF VIRGINIA FOUNDATION
4818 STARKEY ROADROANOKEVA240188542453230862PROMOTION AND ADVANCEMENT OF ORAL HEALTH FOR THE PEOPLE OF VAVA501(C)(3)Yes (1)LINE 12A, IDELTA DENTAL OF VIRGINIA

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
REVOLV INC
4818 STARKEY ROADROANOKEVA240188542271018474PROVIDES TPA SERVICES TO DENTAL INSURANCE COMPANIESVAN/AC0
CORVESTA LIFE INSURANCE COMPANY INC
4818 STARKEY ROADROANOKEVA240188542860201136PROVIDES LIFE INSURANCE COVERAGEAZN/AC0
STRYDEN INC
4818 STARKEY ROADROANOKEVA240188542352637734PROVIDES VISION CARE INSURANCEVAN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF VIRGINIA FOUNDATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeBTransactionTypeTxt
Involved$562,052InvolvedAmt
Method Of Amount DeterminationFAIR MARKET VALUEMethodOfAmountDeterminationTxt