DELTA DENTAL PLAN OF KANSAS INC: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL PLAN OF KANSAS INC (EIN 48-0793267)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-02
IRS object ID
201623079349301432
Schema version
2015v2.1
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)
Return2016-11-02T15:19:18-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11551 N WATERFRONT PKWY STE 300AddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP672066601ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN480793267EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF KANSAS INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% MICHAEL ELLISInCareOfNm
Business Name ControlDELTBusinessNameControlTxt
Phone3162641099PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11619 N WATERFRONT PARKWAYAddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67206ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMICHAEL ELLISPersonNm
Person TitleCFOPersonTitleTxt
Phone3162641099PhoneNum
Signature2016-08-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSTEVEN L WEBBPreparerPersonNm
PTINP00235405PTIN
Phone3162652811PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMICHAEL ELLISPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line11619 N WATERFRONT PARKWAYAddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67206ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$297,858,148GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALKS.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateKSLegalDomicileStateCd
Activity Or MissionTO MAKE POSSIBLE AND FACILITATE A WIDER AND MORE TIMELY AVAILABILITY OF DENTAL CARE, THEREBY ADVANCING PUBLIC HEALTH AND DENTISTRY IN KANSAS, BY OPERATING A (SEE SCHEDULE O)ActivityOrMissionDesc
Voting Members Governing Body10VotingMembersGoverningBodyCnt
Voting Members Independent6VotingMembersIndependentCnt
Total Employee139TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$282,481,582PYProgramServiceRevenueAmt
CY Program Service Revenue$286,645,532CYProgramServiceRevenueAmt
PY Investment Income$2,270,714PYInvestmentIncomeAmt
CY Investment Income$1,044,619CYInvestmentIncomeAmt
PY Other Revenue$14,370PYOtherRevenueAmt
CY Other Revenue$8,197CYOtherRevenueAmt
PY Total Revenue$284,766,666PYTotalRevenueAmt
CY Total Revenue$287,698,348CYTotalRevenueAmt
PY Grants And Similar Paid$175,871PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,391,096CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$9,832,596PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,212,201CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$269,435,599PYOtherExpensesAmt
CY Other Expenses$272,944,734CYOtherExpensesAmt
PY Total Expenses$279,444,066PYTotalExpensesAmt
CY Total Expenses$284,548,031CYTotalExpensesAmt
PY Revenues Less Expenses$5,322,600PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,150,317CYRevenuesLessExpensesAmt
Total Assets BOY$66,777,769TotalAssetsBOYAmt
Total Assets EOY$67,657,881TotalAssetsEOYAmt
Total Liabilities BOY$13,133,101TotalLiabilitiesBOYAmt
Total Liabilities EOY$11,634,989TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$53,644,668NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$56,022,892NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionSEE SCHEDULE OMissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$259,842,570ExpenseAmt
Grant$0GrantAmt
Revenue$275,179,711RevenueAmt
DescDENTAL BENEFITS (COVERED CHARGES) PROVIDED TO SUBSCRIBERS. DELTA DENTAL SERVED APPROXIMATELY 925,563 PEOPLE THIS YEAR.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,676,817ExpenseAmt
Grant$0GrantAmt
Revenue$11,465,821RevenueAmt
DescTHE PROCESSING OF DENTAL BENEFIT CLAIMS.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$1,391,096ExpenseAmt
Grant$1,391,096GrantAmt
Revenue$0RevenueAmt
DescGRANTS PAID OUT TO 501(C)(3) ORGANIZATIONS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$269,910,483TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
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 FootnotefalseIncludeFIN48FootnoteInd
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 MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
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 Document29230IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee139EmployeeCnt
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 Members10GoverningBodyVotingMembersCnt
Independent Voting Member6IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
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)
PersonMICHAEL ELLISPersonNm
Phone3162641099PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11619 N WATERFRONT PARKWAYAddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67206ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (19 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
DR LUCYNDA JANE RABEN
DIRECTOR0.970.1Yes (X)$18,624$0$468
NANCY GWEN ZOGLEMAN
DIRECTOR/CHAIRPERSON1.040.2Yes (X)$17,670$0$468
DR ALAN D MARCOTTE
DIRECTOR/VICE CHAIRPERSON1.010.1Yes (X)$14,831$0$1,359
DR PATRICK MORIARTY
DIRECTOR0.77Yes (X)$11,777$0$906
DR BRICK RANDALL SCHEER
DIRECTOR0.48Yes (X)$13,631$0$203
BRUCE WITT
DIRECTOR0.88Yes (X)$13,313$0$1,359
GARY YAGER
DIRECTOR0.7Yes (X)$12,340$0$1,359
ANGIE MCCLURE
DIRECTOR0.83Yes (X)$13,284$0$1,359
MARK PHILIPS
DIRECTOR0.83Yes (X)$12,514$0$1,359
RUTH TEICHMAN
DIRECTOR0.720.1Yes (X)$11,577$0$1,359
MICHAEL HERBERT
PRESIDENT & CEO33.86.2$385,196$0$63,765Yes (X)
MICHAEL ELLIS
EXECUTIVE VP/CFO/TREASURER37.72.3$235,928$0$38,235Yes (X)
NANCY UMHOLTZ
SECRETARY39.10.9$104,908$0$20,107Yes (X)
DEAN NEWTON
MANAGING DIRECTOR & EXEC VP36.53.5$292,303$0$61,743Yes (X)
ROBERT EBENKAMP
VP INFORMATION TECHNOLOGY39.20.8$206,923$0$33,018Yes (X)
JUNETTA EVERETT
VP PROFESSIONAL RELATIONS37.32.7$202,313$0$41,916Yes (X)
DR JON TILTON
VP PROF REVIEW/DENTAL DIRECTOR40.0$221,714$0$43,353Yes (X)
JEANNE HUGHES
VP CLIENT SERVICE31.38.7$185,012$0$40,769Yes (X)
KEITH ASPLUND
VP PRODUCT MANAGEMENT33.26.8$191,703$0$30,192Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,165,561TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$383,297TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K23IndivRcvdGreaterThan100KCnt
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
GAGE CENTER DENTAL GROUP PA
1271 SW WOODHULL STTOPEKAKS66604DENTAL SERVICES$1,750,008
JENKINS LEBLANC PA
8226 MISSION RDPRAIRIE VILLAGEKS66208DENTAL SERVICES$1,605,852
WICHITA FAMILY DENTAL PARTNERSHIP
9339 E 21ST ST NWICHITAKS67206DENTAL SERVICES$1,135,941
MARTIN AND FRANKENBERY DDS PA
3101 N CYPRESS STWICHITAKS67226DENTAL SERVICES$1,330,416
PALMER DENTAL GROUP
1425 GRAND AVE STE 101HAYSVILLEKS67060DENTAL SERVICES$1,032,945
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K514CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescDENTAL SERVICESDesc
Business524298BusinessCd
Total Revenue Column$286,645,532TotalRevenueColumnAmt
Related Or Exempt Func Income$286,645,532RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$286,645,532TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$633,016TotalRevenueColumnAmt
Exclusion$633,016ExclusionAmt

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

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$10,571,403SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$10,159,800SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$411,603SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$411,603TotalRevenueColumnAmt
Exclusion$411,603ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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$8,197TotalRevenueColumnAmt
Exclusion$8,197ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$8,197OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$287,698,348TotalRevenueColumnAmt
Related Or Exempt Func Income$286,645,532RelatedOrExemptFuncIncomeAmt
Exclusion$1,052,816ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,391,096TotalAmt
Program Services$1,391,096ProgramServicesAmt

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$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$1,351,945TotalAmt
Program Services$274,163ProgramServicesAmt
Management And General$1,077,782ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,693,640TotalAmt
Program Services$2,629,790ProgramServicesAmt
Management And General$4,063,850ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$795,132TotalAmt
Program Services$346,041ProgramServicesAmt
Management And General$449,091ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$835,434TotalAmt
Program Services$381,956ProgramServicesAmt
Management And General$453,478ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$536,050TotalAmt
Program Services$224,111ProgramServicesAmt
Management And General$311,939ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Management And General$0ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$75,031TotalAmt
Management And General$75,031ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$135,000TotalAmt
Management And General$135,000ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$56,983TotalAmt
Management And General$56,983ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$233,630TotalAmt
Management And General$233,630ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$5,229,139TotalAmt
Program Services$621,617ProgramServicesAmt
Management And General$4,607,522ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$1,060,156TotalAmt
Management And General$1,060,156ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,620,817TotalAmt
Program Services$1,537,582ProgramServicesAmt
Management And General$83,235ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$59,914TotalAmt
Program Services$43,756ProgramServicesAmt
Management And General$16,158ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$242,084TotalAmt
Management And General$242,084ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$403,913TotalAmt
Program Services$12,966ProgramServicesAmt
Management And General$390,947ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$74,743TotalAmt
Program Services$6,488ProgramServicesAmt
Management And General$68,255ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$304,562TotalAmt
Program Services$153,499ProgramServicesAmt
Management And General$151,063ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$476,146TotalAmt
Program Services$240,038ProgramServicesAmt
Management And General$236,108ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$108,742TotalAmt
Management And General$108,742ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
CLAIMS$259,842,570$259,842,570
STATE PREMIUM TAXES$935,991$935,991
EQUIPMENT RENTAL & MAINT.$265,260$223,241$42,019
CLEARING HOUSE EXPENSE$373,454$357,802$15,652

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$1,446,599TotalAmt
Program Services$687,776ProgramServicesAmt
Management And General$758,823ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$284,548,031TotalAmt
Program Services$269,910,483ProgramServicesAmt
Management And General$14,637,548ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$782,636BOYAmt
EOY$257,756EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$4,703,508BOYAmt
EOY$5,020,061EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,486,909BOYAmt
EOY$6,180,038EOYAmt

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$351,807BOYAmt
EOY$475,342EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$12,104,765LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$4,166,519LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$7,819,854BOYAmt
EOY$7,938,246EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$39,800,246BOYAmt
EOY$39,910,707EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,418,987BOYAmt
EOY$7,363,135EOYAmt

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$413,822BOYAmt
EOY$512,596EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$66,777,769BOYAmt
EOY$67,657,881EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,686,380BOYAmt
EOY$6,749,046EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

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$5,446,721BOYAmt
EOY$4,885,943EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,133,101BOYAmt
EOY$11,634,989EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$53,644,668BOYAmt
EOY$56,022,892EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$53,644,668BOYAmt
EOY$56,022,892EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$66,777,769BOYAmt
EOY$67,657,881EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,150,317ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$377,249NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$394,844OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewYes (true)AccountantCompileOrReviewInd

Acct Compile Or Review Basis AcctCompileOrReviewBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
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 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$1,401,415OtherCostOrOtherBasisAmt
Book Value$1,401,415BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,332,320OtherCostOrOtherBasisAmt
Depreciation$1,730,924DepreciationAmt
Book Value$5,601,396BookValueAmt
FieldValueIRS element (for citing)
Leasehold ImprovementsLeaseholdImprovementsGrp

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,371,030OtherCostOrOtherBasisAmt
Depreciation$2,435,595DepreciationAmt
Book Value$935,435BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$7,938,246TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescINV IN SURENCY LIFE & HEALTHDesc
Book Value$7,363,135BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$7,363,135TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CITY OF WICHITA - IRB(TAXABLE)$4,398,051
UNEARNED PREMIUMS$412,919
UNEARNED RENT$73,492
SUSPENSE ACCOUNT$1,481
FieldValueIRS element (for citing)
Total Liability$4,885,943TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationMANAGEMENT HAS EVALUATED THEIR INCOME TAX POSITIONS UNDER THE GUIDANCE INCLUDED IN ASC 740. BASED ON THEIR REVIEW, MANAGEMENT HAS NOT IDENTIFIED ANY MATERIAL UNCERTAIN TAX POSITIONS TO BE RECORDED OR DISCLOSED IN THE FINANCIAL STATEMENTS.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (33 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescNon Cash AssistanceNonCashAssistanceDesc
BIG BROTHERS BIG SISTERS OF KANSAS CITY
1709 WALNUT STKANSAS CITYMO64108436068464501(C)(3)$12,000GENERAL SUPPORT
BOYS AND GIRLS CLUB OF GREATER KANSAS CITY
LEGACY CENTER 4001 BLUE PARKWAY STEKANSAS CITYMO64130436072065501(C)(3)$25,000GENERAL SUPPORT
CENTRAL PLAINS HEALTH CARE PARTNERSHIP
1102 S HILLSIDEWICHITAKS67211481200868501(C)(3)$6,000GENERAL SUPPORT
COMMUNITY HEALTH CENTER OF SOUTHEAST KANSAS
3011 N MICHIGANPITTSBURGKS66549753002264501(C)(3)GENERAL SUPPORT$9,521FMVTOOTHBRUSH KIT
COMMUNITY HEALTH MINISTRY
407 ASH STWAMEGOKS66547752974854501(C)(3)$15,258GENERAL SUPPORT$8,700FMVTOOTHBRUSH KIT
DENTAL LIFELINE NETWORK
PO BOX 4266TOPEKAKS66604481188581501(C)(3)$7,900GENERAL SUPPORT
DOUGLAS COUNTY DENTAL CLINIC
2210 YALE ROADLAWRENCEKS66049481216770501(C)(3)$17,106GENERAL SUPPORT
FIRST UNITED METHODIST CHURCH
330 N BROADWAYWICHITAKS67202481159633501(C)(3)GENERAL SUPPORT$14,200FMVTOOTHBRUSH KIT
FLINT HILLS TECHNICAL COLLEGE FOUNDATION
3301 W 18TH AVEEMPORIAKS66801481156696501(C)(3)$150,500GENERAL SUPPORT
HEALTH PARTNERSHIP CLINIC OF JOHNSON COUNTY
407 S CLAIRBORNE ROADOLATHEKS66062481115529501(C)(3)$150,500GENERAL SUPPORT$5,992FMVTOOTHBRUSH KIT
CATHOLIC CHARITIES OF NE KANSAS
1708 STEEL ROADKANSAS CITYKS66106481181305501(C)(3)GENERAL SUPPORT$17,237FMVTOOTHBRUSH KIT
HUNTER HEALTH CLINIC
2318 E CENTRALWICHITAKS67214480908355501(C)(3)GENERAL SUPPORT$7,387FMVTOOTHBRUSH KIT
JOHNSON COUNTY CHRISTMAS BUREAU
15560 W 110TH STREETLENEXAKS66219480884400501(C)(3)GENERAL SUPPORT$7,962FMVTOOTHBRUSH KIT
JUNIOR ACHIEVEMENT OF WICHITA
PO BOX 780683WICHITAKS67278480731855501(C)(3)$10,000GENERAL SUPPORT
KANSAS DEPARTMENT OF HEALTH AND ENVIRONMENT
1000 SW JACKSON STE 200TOPEKAKS66612486029925GOVT$35,000GENERAL SUPPORT
KANSAS HEAD START
600 N KANSASTOPEKAKS66608481195593501(C)(3)GENERAL SUPPORT$17,155FMVTOOTHBRUSH KIT
MAKE A WISH
125 S WASHINGTON ST STE 100WICHITAKS67202480984820501(C)(3)$10,000GENERAL SUPPORT
MANHATTAN AREA TECHNICAL COLLEGE FOUNDATION
3136 DICKENS AVEMANHATTANKS66502342064656501(C)(3)$150,000GENERAL SUPPORT
MARIAN CLINIC
1001 SW GARFIELD AVETOPEKAKS66604481046905501(C)(3)$14,308GENERAL SUPPORT
ROSE BROOKS CENTER
PO BOX 320599KANSAS CITYMO64132510231573501(C)(3)$10,000GENERAL SUPPORT
SALINA HEALTH EDUCATION FOUNDATION
651 E PRESCOTTSALINAKS67401480858197501(C)(3)$13,106GENERAL SUPPORT
SEDGWICK COUNTY ZOO
5555 ZOO BOULEVARDWICHITAKS67212486120530501(C)(3)$32,500GENERAL SUPPORT
SEDGWICK COUNTY KS
1900 E 9TH STREET NWICHITAKS67214486000798GOVTGENERAL SUPPORT$18,878FMVTOOTHBRUSH KIT
SHELTERED LIVING
3401 SW HARRISONTOPEKAKS66611480779679501(C)(3)$7,158GENERAL SUPPORT
SOUTHWEST BOULEVARD FAMILY HEALTH CARE
300 SOUTHWEST BOULEVARDKANSAS CITYKS66103481067752501(C)(3)$8,527GENERAL SUPPORT
TURNER HOUSE CHILDREN'S CLINIC
21 N 12TH ST STE 300KANSAS CITYKS66102481151382501(C)(3)$15,835GENERAL SUPPORT
UNITED METHODIST MEXICAN-AMERICAN MINISTRIES
310 E WALNSUT ST STE LL5GARDEN CITYKS67846481049519501(C)(3)GENERAL SUPPORT$16,006FMVTOOTHBRUSH KIT
UNITED METHODIST OPEN DOOR
PO BOX 2756WICHITAKS67201480731995501(C)(3)$50,000GENERAL SUPPORT
UNITED WAY OF KANSAS CITY
801 W 47TH ST STE 500KANSAS CITYMO64112440545812501(C)(3)$28,500GENERAL SUPPORT
UNITED WAY OF THE PLAINS
245 N WATER STWICHITAKS67202480547688501(C)(3)$8,765GENERAL SUPPORT
UNIVERSITY OF KANSAS
1651 NAISMITH DRLAWRENCEKS66045481124839GOVT$25,000GENERAL SUPPORT
WICHITA CHILDREN'S HOME
7271 E 37TH ST NWICHITAKS67226480547706501(C)(3)$15,000GENERAL SUPPORT
WICHITA CHILDREN'S THEATRE
201 LULUWICHITAKS67211480979857501(C)(3)$10,000GENERAL SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org33Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE I, PART I, LINE 2FormAndLineReferenceDesc
ExplanationDELTA DENTAL OF KANSAS PROVIDED GRANTS TO PUBLIC CHARITIES AND GOVERNMENTAL ORGANIZATIONS TO FURTHER THE PURPOSE OF THE ORGANIZATION.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
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
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
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 PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (8 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountOther Compensation Filing OrgOtherCompensationFilingOrgAmtDeferred 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
MICHAEL HERBERT
PRESIDENT & CEO$251,179$0$116,778$17,239$47,166$0$16,599$0$448,961$0$0$0
MICHAEL ELLIS
EXECUTIVE VP/CFO/TREASURER$197,965$0$37,286$677$26,640$0$11,595$0$274,163$0$0$0
DEAN NEWTON
MANAGING DIRECTOR & EXEC VP$203,896$0$78,587$9,820$47,654$0$14,089$0$354,046$0$0$0
ROBERT EBENKAMP
VP INFORMATION TECHNOLOGY$167,054$0$38,446$1,423$26,351$0$6,667$0$239,941$0$0$0
JUNETTA EVERETT
VP PROFESSIONAL RELATIONS$161,440$0$38,700$2,173$26,679$0$15,237$0$244,229$0$0$0
DR JON TILTON
VP PROF REVIEW/DENTAL DIRECTOR$175,973$0$41,285$4,456$29,506$0$13,847$0$265,067$0$0$0
JEANNE HUGHES
VP CLIENT SERVICE$172,751$0$8,872$3,389$30,232$0$10,537$0$225,781$0$0$0
KEITH ASPLUND
VP PRODUCT MANAGEMENT$161,824$0$29,364$515$25,345$0$4,847$0$221,895$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART I, LINE 1ADELTA DENTAL OF KANSAS DID PAY FOR THE COMPANION TRAVEL FOR BOARD OF DIRECTORS AND LEADERSHIP TEAM MEMBERS WHEN THEY ATTENDED OUT OF TOWN BUSINESS MEETINGS. THE COMPANION TRAVEL AMOUNT WAS TREATED AS TAXABLE COMPENSATION AND IS INCLUDED IN THE BOARD OF DIRECTORS' 1099-MISC AND THE LEADERSHIP TEAM MEMBERS' W-2.
SCHEDULE J, PART I, LINE 1ATHE CHIEF EXECUTIVE OFFICER IS PAID A MONTHLY ALLOWANCE FOR MEMBERSHIP TO A COUNTRY CLUB. THE MONTHLY ALLOWANCE FOR MEMBERSHIP TO THE COUNTRY CLUB IS TREATED AS TAXABLE COMPENSATION AND IS INCLUDED IN THE CHIEF EXECUTIVE OFFICER'S FORM W-2.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DR LUCYNDA JANE RABEN
DIRECTOR$141,835PAYMENT OF DENTAL SERVICESfalse
DR ALAN D MARCOTTE
DIRECTOR$130,905PAYMENT OF DENTAL SERVICESfalse
DR PATRICK MORIARTY
DIRECTOR$181,429PAYMENT OF DENTAL SERVICESfalse
DR BRICK RANDALL SCHEER
DIRECTOR$134,504PAYMENT OF DENTAL SERVICESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L, PART IVFormAndLineReferenceDesc
ExplanationTHE DIRECTORS LISTED IN PART IV ARE ALSO PARTICIPATING DENTISTS WITH DELTA DENTAL OF KANSAS. AS A PARTICIPATING DENTIST, DELTA DENTAL OF KANSAS PAYS THE DIRECTORS LISTED IN PART IV FOR THE DENTAL SERVICES THEY PROVIDE TO OUR SUBSCRIBERS IN THE NORMAL COURSE OF THEIR BUSINESS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART I, LINE 1NON-PROFIT PREPAYMENT DENTAL SERVICE PLAN.
FORM 990, PART III, LINE 1TO MAKE POSSIBLE AND FACILITATE A WIDER AND MORE TIMELY AVAILABILITY OF DENTAL CARE, THEREBY ADVANCING THE PUBLIC HEALTH AND THE SCIENCE AND ART OF DENTISTRY IN THE STATE OF KANSAS, BY ESTABLISHING, MAINTAINING, AND OPERATING A NON-PROFIT PREPAYMENT DENTAL SERVICE PLAN OR PLANS IN THE STATE OF KANSAS.
FORM 990, PART VI, SECTION A, LINE 1BBRICK SCHEER, LUCYNDA RABEN, PATRICK MORIARTY, AND ALAN MARCOTTE WERE ALL VOTING MEMBERS OF THE BOARD AS OF THE END OF THE ORGANIZATION'S TAX YEAR. THESE INDIVIDUALS WERE ALL INVOLVED IN TRANSACTIONS WITH THE ORGANIZATION THAT ARE REQUIRED TO BE REPORTED ON SCHEDULE L. CONSEQUENTLY, THESE MEMBERS HAVE NOT BEEN REPORTED AS INDEPENDENT.
FORM 990, PART VI, SECTION A, LINE 2MICHAEL HERBERT, MICHAEL ELLIS, DEAN NEWTON, DR. LUCYNDA RABEN, AND NANCY ZOGLEMAN HAVE A BUSINESS RELATIONSHIP WITH EACH OTHER. MICHAEL HERBERT, MICHAEL ELLIS, DEAN NEWTON, DR. LUCYNDA RABEN, AND NANCY ZOGLEMAN SERVE AS EITHER OFFICERS OR DIRECTORS OF SURENCY LIFE & HEALTH INSURANCE COMPANY, WHICH IS A RELATED FOR-PROFIT COMPANY. THE OFFICERS AND DIRECTORS DO NOT HAVE STOCK OWNERSHIP INTEREST IN THE RELATED FOR-PROFIT COMPANY.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION HAS MEMBERS. THE MEMBERSHIP OF DELTA DENTAL OF KANSAS IS COMPRISED OF THE DENTISTS WHO HAVE CURRENT PARTICIPATING AGREEMENTS WITH DELTA DENTAL OF KANSAS. EACH MEMBER IS ENTITLED, AT EVERY MEETING OF THE MEMBERS, TO ONE VOTE PER PERSON, BUT NO MEMBER SHALL BE ENTITLED TO VOTE BY PROXY.
FORM 990, PART VI, SECTION A, LINE 7ATHE BOARD OF DIRECTORS ARE COMPRISED OF TEN (10) MEMBERS, FOUR (4) OF WHOM ARE ELECTED BY THE MEMBERSHIP AND ARE AMONG THE CORPORATION'S PARTICIPATING DENTISTS, TWO (2) ARE APPOINTED BY THE GOVERNOR OF THE STATE OF KANSAS, AND FOUR (4) ARE APPOINTED BY THE COMMISSIONER OF INSURANCE OF THE STATE OF KANSAS.
FORM 990, PART VI, SECTION A, LINE 7BANY PROPOSED CHANGES TO THE BY-LAWS ARE SUBJECT TO MEMBER APPROVAL. THE BOARD OF DIRECTORS ARE COMPRISED OF TEN (10) MEMBERS, FOUR (4) OF WHOM ARE ELECTED BY THE MEMBERSHIP AND ARE AMONG THE CORPORATION'S PARTICIPATING DENTISTS, TWO (2) ARE APPOINTED BY THE GOVERNOR OF THE STATE OF KANSAS, AND FOUR (4) ARE APPOINTED BY THE COMMISSIONER OF INSURANCE OF THE STATE OF KANSAS.
FORM 990, PART VI, SECTION B, LINE 11BAN INDEPENDENT ACCOUNTING FIRM PREPARES THE FORM 990. THE 990 IS THEN REVIEWED BY THE ORGANIZATION'S ACCOUNTING PERSONNEL. ANY QUESTIONS OR COMMENTS ARE ADDRESSED AND ANY NECESSARY CHANGES ARE MADE. THE FORM 990 WITH ALL RELATED SCHEDULES IS THEN PROVIDED TO THE ENTIRE GOVERNING BODY FOR REVIEW PRIOR TO FILING.
FORM 990 PART VI, SECTION B, LINE 12CTHE CHAIRPERSON OF THE BOARD AND THE GOVERNANCE COMMITTEE MONITOR AND ENFORCE OUR CONFLICT OF INTEREST POLICY. EACH DIRECTOR, OFFICER, AND KEY EMPLOYEE OF DELTA DENTAL OF KANSAS ANNUALLY FILES A STATEMENT REGARDING CONFLICTS OF INTEREST WHICH EXIST, OR WHICH MIGHT BE EXPECTED TO EXIST, WITHIN THE UPCOMING YEAR. THE STATEMENT DISCLOSES AS FULLY AS POSSIBLE THE NATURE OF POTENTIAL CONFLICTS AND THE NATURE OF THE DIRECTOR'S, OFFICER'S, OR KEY EMPLOYEE'S INTEREST IN THE POTENTIAL TRANSACTION. ALL STATEMENTS ARE REVIEWED BY THE PRESIDENT AND CHAIRPERSON AND MAY BE CIRCULATED TO MEMBERS OF THE BOARD OF DIRECTORS. EACH DIRECTOR, OFFICER, AND KEY EMPLOYEE AGREE TO ANSWER ANY QUESTIONS ABOUT POTENTIAL CONFLICTS THEY MAY HAVE. IF A CONFLICT IS IDENTIFIED, VOTING MAY BE RESTRICTED.
FORM 990, PART VI, SECTION B, LINES 15A & 15BTHE DELTA DENTAL OF KANSAS PROCESS FOR DETERMINING COMPENSATION FOR THE CEO, OFFICERS, AND KEY EMPLOYEES DOES INCLUDE A REVIEW BY INDEPENDENT PERSONS, COMPARABILITY DATA, AND CONTEMPORANEOUS SUBSTANTIATION OF THE DELIBERATION AND DECISION. DELTA DENTAL OF KANSAS HAS CONTRACTED WITH A CONSULTING GROUP TO PROVIDE COMPENSATION STUDIES FOR OUR POSITIONS. THE CONSULTANT USES PUBLISHED MARKET DATA SOURCES TO IDENTIFY THE RELEVANT MARKET FOR POSITIONS, WHICH ARE MATCHED BASED UPON THE DESCRIPTION OF DUTIES AND RESPONSIBILITIES PROVIDED. MARKET DATA IS USED AS APPROPRIATE FOR EACH POSITION, FROM LOCAL, REGIONAL, AND NATIONAL MARKETS. THEY PROVIDE A COMPLETE REPORT THAT DOCUMENTS THE FINDINGS OF THE MARKET REVIEW PROCESS FOR OUR POSITIONS AND THEIR RECOMMENDATION REGARDING THE GRADE LEVEL OF PLACEMENT OF THE POSITION. DELTA DENTAL OF KANSAS ALSO HAS A COMPENSATION COMMITTEE, COMPRISED OF SELECTED BOARD MEMBERS. ONE OF THE PURPOSES OF THE COMMITTEE IS TO REVIEW, REPORT, AND MAKE RECOMMENDATIONS TO THE BOARD REGARDING COMPENSATION OF ALL OFFICERS AND EXECUTIVE TEAM EMPLOYEES. THE COMMITTEE IS RESPONSIBLE TO MEET WITH THE PRESIDENT/CHIEF EXECUTIVE OFFICER ANNUALLY TO REVIEW HIS/HER PERFORMANCE AND EMPLOYMENT CONTRACT, MAKE RECOMMENDATIONS TO THE BOARD REGARDING THE PRESIDENT/CHIEF EXECUTIVE OFFICER'S ANNUAL COMPENSATION AND BENEFITS PACKAGE AND TO REVIEW THE PRESIDENT/CHIEF EXECUTIVE OFFICER'S RECOMMENDATIONS AS TO SALARY ADJUSTMENTS AND INCENTIVE PAYMENTS FOR OFFICERS, EXECUTIVES, AND SENIOR MANAGEMENT.
FORM 990, PART VI, SECTION C, LINE 19DELTA DENTAL OF KANSAS ANNUAL REPORT IS AVAILABLE TO THE PUBLIC THROUGH OUR WEBSITE, WWW.DELTADENTALKS.COM; OUR GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION AALL OF THE ORGANIZATION'S BOARD MEMBERS RECEIVE COMPENSATION FROM THE ORGANIZATION FOR THEIR SERVICES AS DIRECTORS.
FORM 990, PART XI, LINE 9206,827.00 MARK-TO-MARKET ADJUSTMENT NOT INCLUDED ON RETURN (601,671.00) EARNINGS FROM SUBSIDIARY NOT ON RETURN - SURENCY -------------- (394,844.00)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1KSDD PROPERTIES LLCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11619 N WATERFRONT PARKWAYAddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67206ZIPCd
FieldValueIRS element (for citing)
EIN480793267EIN
Primary ActivitiesREAL ESTATEPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd
Total Income$622,246TotalIncomeAmt
End Of Year Assets$7,260,267EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTALBusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1SURENCY LIFE & HEALTH COMPANYBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11619 N WATERFRONT PARKWAYAddressLine1Txt
CityWICHITACityNm
State AbbreviationKSStateAbbreviationCd
ZIP67206ZIPCd
FieldValueIRS element (for citing)
EIN261969006EIN
Primary ActivitiesINSURANCEPrimaryActivitiesTxt
Legal Domicile StateKSLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DDKSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Entity TypeC CORPORATIONEntityTypeTxt
Share Of Total Income-$601,671ShareOfTotalIncomeAmt
Share Of EOY Assets$9,110,671ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
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 OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (4 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
SURENCY LIFE & HEALTH INSURANCE COMPANY
B$545,820COST
SURENCY LIFE & HEALTH INSURANCE COMPANY
N$165,347COST
SURENCY LIFE & HEALTH INSURANCE COMPANY
O$920,233COST
SURENCY LIFE & HEALTH INSURANCE COMPANY
Q$56,039COST

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