DELTA DENTAL OF ILLINOIS: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF ILLINOIS (EIN 36-2612058)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-13
IRS object ID
201823179349302927
Schema version
2017v2.3
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)
Return2018-11-13T11:02:13-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1171 N CLARK ST SUITE 200AddressLine1Txt
CityCHICAGOCityNm
State AbbreviationILStateAbbreviationCd
ZIP60601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362612058EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF ILLINOISBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% TERRI BONInCareOfNm
Business Name ControlDELTBusinessNameControlTxt
Phone6307184700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 SHUMAN BOULEVARDAddressLine1Txt
CityNAPERVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP60563ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonTERRI BONPersonNm
Person TitleVP FINANCE & CFOPersonTitleTxt
Phone6307184700PhoneNum
Signature2018-11-13SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBridget T RochePreparerPersonNm
PTINP00666837PTIN
Phone3128560200PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address209.220.64.52IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id36941220183175000003FederalOriginalSubmissionId
Federal Original Submission Id2018-11-13FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdD1B5C914F8CB2B6646DC794151640C027123AE08AtSubmissionCreationDeviceId
At Submission Filing Device Id8570B2D8046878F456576E706BB8FB99030C32C0AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerBERNARD GLOSSYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 SHUMAN BOULEVARDAddressLine1Txt
CityNAPERVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP60563ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$885,084,898GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALIL.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1967FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionIMPROVE THE ORAL HEALTH OF ILLINOIS RESIDENTS BY PROVIDING DENTAL BENEFITS & OTHER SERVICES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee232TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$610,938,291PYProgramServiceRevenueAmt
CY Program Service Revenue$864,849,947CYProgramServiceRevenueAmt
PY Investment Income$705,405PYInvestmentIncomeAmt
CY Investment Income$1,548,935CYInvestmentIncomeAmt
PY Other Revenue$37,178PYOtherRevenueAmt
CY Other Revenue$564,251CYOtherRevenueAmt
PY Total Revenue$611,680,874PYTotalRevenueAmt
CY Total Revenue$866,963,133CYTotalRevenueAmt
PY Grants And Similar Paid$2,958,120PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,480,367CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$544,487,658PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$794,160,635CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,183,552PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$23,050,510CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$31,267,890PYOtherExpensesAmt
CY Other Expenses$34,364,016CYOtherExpensesAmt
PY Total Expenses$600,897,220PYTotalExpensesAmt
CY Total Expenses$856,055,528CYTotalExpensesAmt
PY Revenues Less Expenses$10,783,654PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$10,907,605CYRevenuesLessExpensesAmt
Total Assets BOY$145,045,252TotalAssetsBOYAmt
Total Assets EOY$221,979,821TotalAssetsEOYAmt
Total Liabilities BOY$44,802,487TotalLiabilitiesBOYAmt
Total Liabilities EOY$108,706,865TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$100,242,765NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$113,272,956NetAssetsOrFundBalancesEOYAmt
MissionIMPROVE THE ORAL HEALTH OF ILLINOIS RESIDENTS BY PROVIDING DENTAL BENEFITS & OTHER SERVICES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$835,807,542ExpenseAmt
Grant$4,480,367GrantAmt
Revenue$864,849,947RevenueAmt
DescDELTA DENTAL OF ILLINOIS (DDIL) IS A NOT-FOR-PROFIT CORPORATION WHICH MAINTAINS AND OPERATES A DENTAL CARE PLAN TO APPROXIMATELY 2,000,000 INDIVIDUALS. DDIL IS COMMITTED TO ITS MISSION TO DELIVER EXCEPTIONAL SERVICES TO OUR STAKEHOLDERS AND IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. IN 2017, DDIL GRANTED $4,480,367 TO DELTA DENTAL OF ILLINOIS FOUNDATION, A 501(C)(3) CHARITABLE ORGANIZATION TO PROMOTE THE IMPROVEMENT OF DENTAL EDUCATION AND ACCESS TO DENTAL CARE IN ILLINOIS.Desc
Total Program Service Expenses$835,807,542TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxYes (true)SubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document70341IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee232EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonTERRI BONPersonNm
Phone6307184700PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 SHUMAN BOULEVARDAddressLine1Txt
CityNAPERVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP60563ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
JOHN MAPLES
CHAIRMAN5.00.0Yes (X)Yes (X)$62,619$0$0
DR FRANK MAGGIO
VICE CHAIR3.00.0Yes (X)Yes (X)$51,000$0$0
MICHAEL BUSSE
COMMITTEE CHAIR3.00.0Yes (X)$19,210$0$18,000
CRAIG C GRANNON
DIRECTOR2.00.0Yes (X)$14,365$0$18,000
JANE HAYS
COMMITTEE CHAIR3.00.0Yes (X)$42,229$0$0
DR DAVID MILLER
COMMITTEE CHAIR3.00.0Yes (X)$37,000$0$0
OMAR DUQUE
DIRECTOR2.00.0Yes (X)$33,682$0$0
BRIAN SAMMARCO
COMMITTEE CHAIR3.00.0Yes (X)$40,500$0$0
DR RICHARD PERRY
IMMEDIATE PAST CHAIR2.00.0Yes (X)$31,500$0$0
DR RICHARD HESS
DIRECTOR2.00.0Yes (X)$28,803$0$0
JOSEPH LEO
COMMITTEE CHAIR3.00.0Yes (X)$37,602$0$0
DR DARRYLL BEARD
DIRECTOR2.00.0Yes (X)$28,548$0$0
DR NANCY COZZI
DIRECTOR2.00.0Yes (X)$12,364$0$18,000
LORI GOLD PATTERSON
DIRECTOR2.00.0Yes (X)$28,315$0$0
DR GENARO ROMO
DIRECTOR2.00.0Yes (X)$28,000$0$0
BERNARD GLOSSY
PRESIDENT & CEO40.05.0Yes (X)$1,367,827$0$40,900
STACEY BONN
COO40.05.0Yes (X)$616,382$0$41,745
TERRI BON
VP FINANCE & CFO40.05.0Yes (X)$464,114$0$43,838
CHARLES KOLKER
VP OF IT - THRU 12/201740.00.0$415,168$0$40,542Yes (X)
KARYN GLOGOWSKI
VP/DIRECTOR OF SALES40.00.0$383,033$0$34,800Yes (X)
MICHAEL WHITE
VP UNDERWRITING40.00.0$300,078$0$37,689Yes (X)
KENT HUFFMAN
SR. VP TRUASSURE SALES40.00.0$295,510$0$44,490Yes (X)
ALEXANDRA KOTELON
CORPORATE COUNSEL40.00.0$222,547$0$29,807Yes (X)
TERRY MADDOX
VP SERVICE OPERATIONS40.00.0$206,196$0$38,460Yes (X)
ANN MARIE WALKER
DIRECTOR CORP. COMMUNICATION40.00.0$195,740$0$19,160Yes (X)
DANIEL BATTISTA
SR. SALES EXECUTIVE40.00.0$193,096$0$31,449Yes (X)
STACY BEITZEL
MANAGER CLIENT RELATIONS40.00.0$189,830$0$36,622Yes (X)
STEVE SOYKE
SMALL BUSINESS SALES EXECUTIVE40.00.0$188,600$0$33,885Yes (X)
ROBERT MAXWELL
SR. SALES EXECUTIVE40.00.0$184,447$0$38,547Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,718,305TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$565,934TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K40IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Change Healthcare payment managemen
3055 Lebanon Pike suite 100NASHVILLETN37214invoice Printing$3,453,854
Advantech Inc
2801 Hoover RoadSTEVENS POINTWI54481Admin Systems$3,109,271
Interactive Business Systems inc
2625 Butterfield Rd 114OAK BROOKIL60523IT Consulting$2,457,943
West Monroe Partners
222 W Adams St 11th FloorCHICAGOIL60606Mgmt Consulting$1,912,347
Ameridial Inc
4535 Strausser Street NWNORTH CANTONOH44720Call Center Services$887,708
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K35CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREMIUMSDesc
Business524114BusinessCd
Total Revenue Column$864,849,947TotalRevenueColumnAmt
Related Or Exempt Func Income$864,849,947RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$864,849,947TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$303,064TotalRevenueColumnAmt
Exclusion$303,064ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$526,293RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$526,293RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$526,293TotalRevenueColumnAmt
Exclusion$526,293ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$19,367,636SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$18,121,765SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,245,871SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,245,871TotalRevenueColumnAmt
Exclusion$1,245,871ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$37,958TotalRevenueColumnAmt
Exclusion$37,958ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$37,958OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$866,963,133TotalRevenueColumnAmt
Related Or Exempt Func Income$864,849,947RelatedOrExemptFuncIncomeAmt
Exclusion$2,113,186ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,480,367TotalAmt
Program Services$4,480,367ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$794,160,635TotalAmt
Program Services$794,160,635ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,172,863TotalAmt
Management And General$5,172,863ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$12,894,669TotalAmt
Program Services$8,698,723ProgramServicesAmt
Management And General$4,195,946ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,241,385TotalAmt
Program Services$654,197ProgramServicesAmt
Management And General$587,188ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$1,143,442TotalAmt
Program Services$647,735ProgramServicesAmt
Management And General$495,707ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,598,151TotalAmt
Program Services$1,618,223ProgramServicesAmt
Management And General$979,928ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$330,556TotalAmt
Management And General$330,556ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$222,083TotalAmt
Program Services$112,720ProgramServicesAmt
Management And General$109,363ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$193,649TotalAmt
Management And General$193,649ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$4,796,775TotalAmt
Program Services$1,801,854ProgramServicesAmt
Management And General$2,994,921ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,590,981TotalAmt
Program Services$175,219ProgramServicesAmt
Management And General$1,415,762ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,743,760TotalAmt
Program Services$1,102,022ProgramServicesAmt
Management And General$641,738ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,748,893TotalAmt
Program Services$5,840,369ProgramServicesAmt
Management And General-$91,476ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$537,733TotalAmt
Management And General$537,733ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$182,179TotalAmt
Program Services$47,314ProgramServicesAmt
Management And General$134,865ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$76,629TotalAmt
Program Services$20,208ProgramServicesAmt
Management And General$56,421ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,116,857TotalAmt
Program Services$443,650ProgramServicesAmt
Management And General$673,207ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$365,173TotalAmt
Management And General$365,173ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
BROKERAGE COMMISSIONS$11,395,717$11,395,717
PRINTING & PUBLICATIONS$3,683,534$3,406,687$276,847
INSURANCE DEPT. FEES$1,028,217$964,742$63,475
DDPA MEMBERSHIP DUES$640,755$640,755

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$710,525TotalAmt
Program Services$237,160ProgramServicesAmt
Management And General$473,365ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$856,055,528TotalAmt
Program Services$835,807,542ProgramServicesAmt
Management And General$20,247,986ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$15,538,653BOYAmt
EOY$13,452,414EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

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

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$31,293,572BOYAmt
EOY$100,368,424EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,280,332BOYAmt
EOY$1,357,124EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$31,070,275LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$8,330,804LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$20,229,466BOYAmt
EOY$22,739,471EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$61,600,225BOYAmt
EOY$67,162,431EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$14,757,141BOYAmt
EOY$16,532,823EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$345,863BOYAmt
EOY$367,134EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$145,045,252BOYAmt
EOY$221,979,821EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$15,014,386BOYAmt
EOY$16,287,046EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$4,231,215BOYAmt
EOY$5,415,045EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,556,886BOYAmt
EOY$87,004,774EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$44,802,487BOYAmt
EOY$108,706,865EOYAmt
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$100,242,765BOYAmt
EOY$113,272,956EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$100,242,765BOYAmt
EOY$113,272,956EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$145,045,252BOYAmt
EOY$221,979,821EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$10,907,605ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$2,122,586NetUnrlzdGainsLossesInvstAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
Substantially All Dues NondedfalseSubstantiallyAllDuesNondedInd
Only In House LobbyingYes (true)OnlyInHouseLobbyingInd
Agree Carryover Prior YearfalseAgreeCarryoverPriorYearInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,625,539OtherCostOrOtherBasisAmt
Book Value$3,625,539BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$16,066,877OtherCostOrOtherBasisAmt
Depreciation$4,898,493DepreciationAmt
Book Value$11,168,384BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,707,917OtherCostOrOtherBasisAmt
Depreciation$1,340,406DepreciationAmt
Book Value$367,511BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,669,942OtherCostOrOtherBasisAmt
Depreciation$2,091,905DepreciationAmt
Book Value$7,578,037BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$22,739,471TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
CLOSELY-HELD EQUITY INTERESTS$13,302,762F
LIMITED PARTNERSHIP$3,230,061F
FieldValueIRS element (for citing)
Total Book Value Securities$16,532,823TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SELF-INSURED UNPAID CLAIMS$70,910,238
UNPAID CLAIMS AND CLAIMS ADJUSTMENT EXPENSE$11,800,000
INTERCOMPANY PAYABLE$4,294,536
FieldValueIRS element (for citing)
Total Liability$87,004,774TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$869,085,719TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$2,122,586NetUnrealizedGainsInvstAmt
Revenue Not Reported$2,122,586RevenueNotReportedAmt
Revenue Subtotal$866,963,133RevenueSubtotalAmt
Total Revenue Per Form990$866,963,133TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$856,055,528TotExpnsEtcAuditedFinclStmtAmt
Expenses Subtotal$856,055,528ExpensesSubtotalAmt
Total Expenses Per Form990$856,055,528TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceASC 740 FOOTNOTEFormAndLineReferenceDesc
ExplanationSCHEDULE D, PART X, LINE 2 DELTA DENTAL OF ILLINOIS HAS RECEIVED A FAVORABLE DETERMINATION LETER FROM THE IRS STATING THAT IT IS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(4), EXCEPT FOR INCOME TAXES PERTAINING TO UNRELATED BUSINESS INCOME. THE COMPANY USES THE ASSET AND LIABILITY METHOD IN ACCOUNTING FOR DEFERRED INCOME TAXES. DEFERRED TAX ASSETS AND LIABILITIES ARE RECORDED FOR TEMPORARY DIFFERENCES BETWEEN THE TAX BASIS OF ASSETS AND LIABILITIES AND THEIR AMOUNTS REPORTED IN THE CONSOLIDATED FINANCIAL STATEMENTS USING STATUTORY TAX RATES IN EFFECT FOR THE YEAR IN WHICH THE DIFFERENCES ARE EXPECTED TO REVERSE. THE EFFECT ON DEFERRED TAX ASSETS AND LIABILITIES OF A CHANGE IN TAX RATES IS RECOGNIZED IN CHANGE IN NET ASSETS IN THE PERIOD THAT INCLUDES THE ENACTMENT DATE. A VALUATION ALLOWANCE IS RECORDED TO REDUCE THE CARRYING AMOUNTS OF DEFERRED TAX ASSETS UNLESS IT IS MORE LIKELY THAN NOT THAT SUCH ASSETS WILL BE REALIZED. THE COMPANY RECOGNIZES THE FINANCIAL STATEMENT BENEFIT OF A TAX POSITION ONLY AFTER DETERMINING THAT THE RELEVANT TAX AUTHORITY WOULD MORE LIKELY THAN NOT SUSTAIN THE POSITION FOLLOWING AN AUDIT. FOR TAX POSITIONS MEETING THE MORE-LIKELY-THAN-NOT THRESHOLD, THE AMOUNT RECOGNIZED IN THE FINANCIAL STATEMENTS IS THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH THE RELEVANT TAX AUTHORITY. THE COMPANY HAS APPLIED THE UNCERTAIN TAX POSITION GUIDANCE TO ALL TAX POSITIONS FOR WHICH THE STATUTE OF LIMITATIONS REMAINS OPEN. TO DATE, THE COMPANY HAS NOT RECOGNIZED ANY ADDITIONAL LIABILITIES FOR UNRECOGNIZED TAX BENEFITS IN ANY OF THE PERIODS PRESENTED. THE COMPANY RECOGNIZES, IF NECESSARY, INTEREST ACCRUED RELATED TO UNRECOGNIZED TAX BENEFITS IN INTEREST EXPENSE AND RECOGNIZES PENALTIES IN OPERATING EXPENSES. THERE WERE NO INTEREST OR PENALTIES RELATED TO INCOME TAXES THAT HAVE BEEN ACCRUED OR RECOGNIZED AS OF AND FOR THE YEARS ENDED DECEMBER 31, 2017 AND 2016. ON DECEMBER 22, 2017, THE UNITED STATES ENACTED TAX REFORM LEGISLATION COMMONLY KNOWN AS THE TAX CUTS AND JOBS ACT (THE ACT), RESULTING IN SIGNIFICANT MODIFICATIONS TO EXISTING LAW. THE COMPANY HAS COMPLETED THE ACCOUNTING FOR THE EFFECTS OF THE ACT DURING 2017. THE FINANCIAL STATEMENTS FOR THE YEAR ENDED DECEMBER 31, 2017, REFLECT CERTAIN EFFECTS OF THE ACT, WHICH PRIMARILY IS A REDUCTION IN THE CORPORATE TAX RATE FROM 35% TO 21%. TAX EXPENSE DURING THE YEAR ENDED DECEMBER 31, 2017, DID NOT CHANGE AS A RESULT OF THE CHANGES TO TAX LAWS AND TAX RATES UNDER THE ACT.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF ILLINOIS FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 SHUMAN BOULEVARDAddressLine1Txt
CityNAPERVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP60563ZIPCd
FieldValueIRS element (for citing)
Recipient EIN262700504RecipientEIN
IRC Section501(C)(3)IRCSectionDesc
Cash Grant$4,480,367CashGrantAmt
Non Cash Assistance$0NonCashAssistanceAmt
Purpose Of GrantPROMOTE ORAL HEALTH OF IL RESIDENTSPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGRANTS AND OTHER ASSISTANCEFormAndLineReferenceDesc
ExplanationSCHEDULE I, PART I, LINE 2 DELTA DENTAL OF ILLINOIS DIRECTORS AND OFFICERS HAVE THE MAJORITY OF SEATS ON THE DELTA DENTAL OF ILLINOIS FOUNDATION BOARD, AND THEREFORE MONITOR AND APPROVE HOW GRANT MONEY IS USED AND TRACKED.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Travel For CompanionsYes (X)TravelForCompanionsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 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
BERNARD GLOSSY
PRESIDENT & CEO$709,132$0$527,850$0$130,845$0$24,300$0$16,600$0$1,408,727$0$0$0
STACEY BONN
COO$395,150$0$185,334$0$35,898$0$24,300$0$17,445$0$658,127$0$0$0
TERRI BON
VP FINANCE & CFO$313,796$0$140,760$0$9,558$0$24,300$0$19,538$0$507,952$0$0$0
CHARLES KOLKER
VP OF IT - THRU 12/2017$166,074$0$117,300$0$131,794$0$22,949$0$17,593$0$455,710$0$0$0
KARYN GLOGOWSKI
VP/DIRECTOR OF SALES$226,731$0$150,435$0$5,867$0$24,300$0$10,500$0$417,833$0$0$0
MICHAEL WHITE
VP UNDERWRITING$196,722$0$91,494$0$11,862$0$21,530$0$16,159$0$337,767$0$0$0
KENT HUFFMAN
SR. VP TRUASSURE SALES$169,648$0$120,000$0$5,862$0$24,300$0$20,190$0$340,000$0$0$0
ALEXANDRA KOTELON
CORPORATE COUNSEL$183,316$0$38,709$0$522$0$20,099$0$9,708$0$252,354$0$0$0
TERRY MADDOX
VP SERVICE OPERATIONS$149,044$0$47,586$0$9,566$0$18,403$0$20,057$0$244,656$0$0$0
ANN MARIE WALKER
DIRECTOR CORP. COMMUNICATION$159,520$0$35,659$0$561$0$15,994$0$3,166$0$214,900$0$0$0
DANIEL BATTISTA
SR. SALES EXECUTIVE$60,720$0$127,268$0$5,108$0$17,415$0$14,034$0$224,545$0$0$0
STACY BEITZEL
MANAGER CLIENT RELATIONS$108,751$0$75,539$0$5,540$0$17,199$0$19,423$0$226,452$0$0$0
STEVE SOYKE
SMALL BUSINESS SALES EXECUTIVE$63,303$0$120,812$0$4,485$0$17,205$0$16,680$0$222,485$0$0$0
ROBERT MAXWELL
SR. SALES EXECUTIVE$88,158$0$90,785$0$5,504$0$17,171$0$21,376$0$222,994$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FIRST CLASS OR CHARTER TRAVELSCHEDULE J, PART I, LINE 1A OFFICERS ARE ALLOWED TO TRAVEL FIRST CLASS WHEN TRAVELING TO ORGANIZATIONAL EVENTS WHERE FLIGHTS ARE OVER 2 HOURS. THE BENEFIT IS CONSIDERED A TAXABLE BENEFIT.
TRAVEL FOR COMPANIONSSCHEDULE J, PART I, LINE 1A IN ADDITION, OFFICERS COMPANION TRAVEL EXPENSES TO CERTAIN ORGANIZATIONAL EVENTS ARE REIMBURSED AS A TAXABLE BENEFIT.
HEALTH AND SOCIAL DUESSCHEDULE J, PART I, LINE 1A THE OFFICERS OF THE ORGANIZATION ARE REIMBURSED FOR HEALTH CLUB MEMBERSHIP DUES UP TO $100 PER MONTH PER COMPANY POLICY.
SEVERANCE PAYMENTSCHEDULE J, PART I, LINE 4A AN INDIVIDUAL LEFT THE ORGANIZATION IN 2017. THE INDIVIDUAL RECEIVED SEVERANCE IN 2017, WHICH IS INCLUDED ON SCHEDULE J, PART II, COLUMN B(III). DUE TO A CONFIDENTIALITY AGREEMENT, NEITHER THE NAME NOR THE AMOUNT WILL BE LISTED.
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7 AS INDICATED IN SCHEDULE J, PART II, PERSONS LISTED ON FORM 990, PART VII, SECTION A RECEIVED A BONUS BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THIS BONUS WAS APPROVED BY THE BOARD.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DR ALAN JURGENS
FORMER DIRECTOR$325,475COMPENSATIONfalse
DR DARRYLL L BEARD
DIRECTOR$131,641COMPENSATIONfalse
DR Richard HESS
DIRECTOR$112,673COMPENSATIONfalse
DR GENARO ROMO
DIRECTOR$179,481COMPENSATIONfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceTRANSACTIONS WITH INTERESTED PERSONSFormAndLineReferenceDesc
ExplanationSCHEDULE L, PART IV (A) NAME OF INTERESTED PERSON: DR. ALAN JURGENS THROUGH JURGENS AND KNEEZEL, LTD (D) DESCRIPTION OF TRANSACTION: PAYMENTS TO DENTAL PRACTICE FOR DENTAL SERVICES PROVIDED UNDER DENTAL INSURANCE POLICY. COMPENSATION WAS DETERMINED AT AN ARM'S LENGTH. (A) NAME OF PERSON: DR. DARRYLL L. BEARD DMD LTD (D) DESCRIPTION OF TRANSACTION: PAYMENTS TO DENTAL PRACTICE FOR DENTAL SERVICES PROVIDED UNDER DENTAL INSURANCE POLICY. COMPENSATION WAS DETERMINED AT AN ARM'S LENGTH. (A) NAME OF PERSON: DR. Richard Hess through J Michael Krisko DDS LTD (D) DESCRIPTION OF TRANSACTION: PAYMENTS TO DENTAL PRACTICE FOR DENTAL SERVICES PROVIDED UNDER DENTAL INSURANCE POLICY. COMPENSATION WAS DETERMINED AT AN ARM'S LENGTH. (A) NAME OF PERSON: DR. Genaro Romo through ROMO DENTAL PC (D) DESCRIPTION OF TRANSACTION: PAYMENTS TO DENTAL PRACTICE FOR DENTAL SERVICES PROVIDED UNDER DENTAL INSURANCE POLICY. COMPENSATION WAS DETERMINED AT AN ARM'S LENGTH.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MEMBERS OR STOCKHOLDERSFORM 990, PART VI, SECTION A, LINE 6 UNDER THE ENABLING STATUTE THAT GOVERNS THE ORGANIZATION - THE ILLINOIS DENTAL SERVICE PLAN ACT - THE MEMBERS OF DELTA DENTAL OF ILLINOIS ARE THE PARTICIPATING DENTISTS (DEFINED AS ANY DENTIST LICENSED IN ILLINOIS TO PRACTICE DENTISTRY WHO IS REPUTABLE AND IN GOOD STANDING AND HAS SIGNED AN AGREEMENT TO BECOME A PARTICIPATING DENTIST OF THE ORGANIZATION) AND THE GROUP SUBSCRIBERS WHO PURCHASE A DENTAL BENEFIT PROGRAM FROM THE ORGANIZATION.
MEMBERS OR STOCKHOLDERS WHO MAY ELECTFORM 990, PART VI, SECTION A, LINES 7A AND 7B AT THE ANNUAL MEMBERSHIP MEETING OF THE ORGANIZATION, THE MEMBERS REFERENCED IN PART VI, LINE 6 ELECT THE MEMBERS OF THE GOVERNING BODY, I.E. DIRECTORS, WHOSE TERM OF DIRECTORSHIP HAS EXPIRED.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, LINE 11B THE BOARD OF THE ORGANIZATION RETAINS THE SERVICES OF AN INDEPENDENT CPA FIRM TO ASSIST IN THE PREPARATION OF THE ORGANIZATION'S FORM 990. THE CPA FIRM ASSISTS MANAGEMENT IN PREPARING AND FINALIZING FORM 990. THE DRAFT OF FORM 990, INCLUDING ALL SCHEDULES, IS REVIEWED BY THE AUDIT AND FINANCE COMMITTEE, AND THEN DISTRIBUTED TO ALL VOTING MEMBERS OF THE GOVERNING BODY, I.E. THE DIRECTORS. THE ORGANIZATION'S MANAGEMENT, AND IF NEEDED ITS CPA FIRM, ADDRESS ANY QUESTIONS OR COMMENTS SUBMITTED BY THE ORGANIZATION'S GOVERNING BODY BEFORE FILING ITS FORM 990. AFTER THE AUDIT AND FINANCE COMMITTEE'S REVIEW AND MANAGEMENT ADDRESSES QUESTIONS OR COMMENTS FROM THE DIRECTORS, THE DRAFT FORM 990 IS FINALIZED AND FILED WITH THE IRS.
CONFLICT OF INTEREST POLICY MONITORING & ENFORCEMENTFORM 990, PART VI, SECTION B, LINE 12C LEGAL COUNSEL FOR THE ORGANIZATION REVIEWS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY ANNUALLY WITH THE OFFICERS, DIRECTORS (TRUSTEES) AND KEY EMPLOYEES. AFTER THIS REVIEW, THE INDIVIDUALS OCCUPYING THESE POSITIONS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. POTENTIAL CONFLICTS ARE LOGGED WITH THE SECRETARY OF THE ORGANIZATION AND ANY CHANGES TO THE DISCLOSURE FORM ARE TO BE REPORTED TO THE CHIEF LEGAL OFFICER OF THE ORGANIZATION.
PROCESS OF DETERMINING COMPENSATIONFORM 990, PART VI, SECTION B, LINES 15A AND 15B CEO COMPENSATION IS REVIEWED BY THE BOARD OF DIRECTORS. THE BOARD PERIODICALLY ENGAGES AN INDEPENDENT CONSULTING FIRM TO ADVISE OF COMPENSATION LEVELS OF SIMILARLY SITUATED CEOS BASED UPON SURVEYS AND DATA PROVIDED BY OTHER ORGANIZATIONS AS LISTED ON THEIR FORM 990. THIS DATA, OR THE DATA REPRESENTED TO THE COMPENSATION COMMITTEE AT SCHEDULED MEETINGS AND MINUTES OF THESE MEETINGS ARE CONTEMPORANEOUSLY PREPARED. THE COMMITTEE MAKES A RECOMMENDATION TO THE BOARD FOR APPROVAL. THE LAST EXECUTIVE COMPENSATION REVIEW OCCURRED IN 2017.
HOW DOCUMENTS ARE MADE AVAILABLE TO THE PUBLICFORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND FINANCIAL STATEMENTS ARE AVAILABLE THROUGH APPLICABLE GOVERNMENTAL AGENCIES; THE CONFLICT OF INTEREST POLICY IS AVAILABLE UPON WRITTEN REQUEST TO THE ORGANIZATION.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF ILLINOIS FOUNDATIONBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1111 SHUMAN BLVDAddressLine1Txt
CityNAPERVILLECityNm
State AbbreviationILStateAbbreviationCd
ZIP60563ZIPCd
FieldValueIRS element (for citing)
EIN262700504EIN
Primary ActivitiesORAL HEALTHPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd
Exempt Code Section501(C)(3)ExemptCodeSectionTxt
Public Charity Status07PublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DDILBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
TRUASSURE INSURANCE COMPANY
111 SHUMAN BLVDNAPERVILLEIL60563363757528DENTAL INS.ILDDILC Corp-$1,869,431$9,415,4561.00000Yes (true)
PROTEC INSURANCE COMPANY
111 SHUMAN BLVDNAPERVILLEIL60563320416457HEALTH INS.ILDDILC Corp$509,124$4,730,0931.00000Yes (true)
TRUASSURE INSURANCE COMPANY OF COLORADO
111 SHUMAN BLVDNAPERVILLEIL60563812595283DENTAL INS.CODDILC Corp$7,506$2,009,0871.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DELTA DENTAL OF ILLINOIS FOUNDATION
b$4,252,561FMV
TRUASSURE INSURANCE COMPANY
b$3,000,000FMV
PROTEC INSURANCE COMPANY
m$202,152FMV
DELTA DENTAL OF ILLINOIS FOUNDATION
o$227,806FMV
TRUASSURE INSURANCE COMPANY
p$1,079,627FMV
PROTEC INSURANCE COMPANY
p$97,184FMV
PROTEC INSURANCE COMPANY
r$3,780,500FMV
TRUASSURE INSURANCE COMPANY
r$3,064FMV
PROTEC INSURANCE COMPANY
s$305,310FMV

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