DELTA DENTAL PLAN OF COLORADO FOUNDATION INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL PLAN OF COLORADO FOUNDATION INC (EIN 84-1389431)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-10-27
IRS object ID
201403009349300320
Schema version
2013v3.0
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)
Return2014-10-27T10:42:17-05:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Kundinger Corder & Engle PCBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1475 Lincoln St Suite 200AddressLine1
CityDenverCity
StateCOState
ZIP Code80203ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841389431EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental Plan of Colorado Foundation IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone3037419300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14582 S Ulster Street No 800AddressLine1
CityDenverCity
StateCOState
ZIP Code80237ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonBarbara SpringerPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone3037419300PhoneNum
Signature2014-10-27SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSuzanne K EnglePreparerPersonNm
PTINP01375409PTIN
Phone3035345953PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of Colorado FoundationBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerBarbara SpringerPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line14582 S Ulster Street No 800AddressLine1
CityDenverCity
StateCOState
ZIP Code80237ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$4,246,306GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.deltadentalco.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionImproving Colorado's oral health by eradicating childhood tooth decay.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee6TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$6,538,707PYContributionsGrantsAmt
CY Contributions Grants$3,643,694CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$652,481PYInvestmentIncomeAmt
CY Investment Income$602,612CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$7,191,188PYTotalRevenueAmt
CY Total Revenue$4,246,306CYTotalRevenueAmt
PY Grants And Similar Paid$15,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$315,500CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$155,754PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$270,443CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$624,070PYOtherExpensesAmt
CY Other Expenses$1,591,266CYOtherExpensesAmt
PY Total Expenses$794,824PYTotalExpensesAmt
CY Total Expenses$2,177,209CYTotalExpensesAmt
PY Revenues Less Expenses$6,396,364PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,069,097CYRevenuesLessExpensesAmt
Total Assets BOY$21,731,390TotalAssetsBOYAmt
Total Assets EOY$25,414,934TotalAssetsEOYAmt
Total Liabilities BOY$917,253TotalLiabilitiesBOYAmt
Total Liabilities EOY$572,698TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$20,814,137NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$24,842,236NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionImproving Colorado's oral health by eradicating childhood tooth decay.MissionDesc
Significant New Program SrvcYes (1)SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$1,358,750ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescPublic Will Building for Children's Oral Health - a communication approach to build public support for behavior change and lead to deeper public understanding and prioritization of oral health as a healthcare issue.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$315,500ExpenseAmt
Grant$315,500GrantAmt
Revenue$0RevenueAmt
DescGrants to programs that prevent oral disease, increase education, increase access to preventative care, and system collaboration.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$46,656ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescHigh Performing Health Centers - a collaboration to develop a dashboard of key measures needed to support a high quality dental program, and then identify technical assistance support to help community health centers reach certain benchmarks.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$163,845ExpenseAmt
Grant$0GrantAmt
Revenue$0RevenueAmt
DescPrograms that prevent oral disease, increase education and oral health awareness, increase access to preventative care, systems collaboration and other related expenses incurred to execute and monitor grants.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$163,845TotalOtherProgSrvcExpenseAmt
Total Program Service Expenses$1,884,751TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent EndowmentsYes (1)TempOrPermanentEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document31IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee6EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Excess Business Holdings0ExcessBusinessHoldingsInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Barbara SpringerBusinessNameLine1
FieldValueIRS element (for citing)
Phone3037419300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line14582 S Ulster StreetAddressLine1
CityDenverCity
StateCOState
ZIP Code80237ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (10 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
Terry R Koele
Board Chair3.000.00Yes (X)Yes (X)$10,050$0$0
Brian P HendricksonDMD
Treasurer3.000.00Yes (X)Yes (X)$6,900$0$0
Marilyn E Taylor
Secretary3.004.00Yes (X)Yes (X)$0$23,524$1,911
Gail S SchoettlerPhD
Board Member2.004.00Yes (X)$0$26,250$359
Bruce N Calonge MDMPH
Board Member2.000.00Yes (X)$6,500$0$0
Donald S Safer DDS MS
Board Member2.004.00Yes (X)$0$19,712$462
Kathryn A Paul
Board Member2.0043.00Yes (X)$0$511,767$38,983
Cathy Garcia
Board Member2.000.00Yes (X)$6,500$0$0
Mary Noonan
Board Member2.004.00Yes (X)$0$27,853$671
Barbara Springer
Executive Director22.5022.50Yes (X)$104,304$153,637$45,483
FieldValueIRS element (for citing)
Total Reportable Comp From Org$134,254TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$762,743TotReportableCompRltdOrgAmt
Total Other Compensation$87,869TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K1IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Amelie Company
2601 Blake Street Ste 150DenverCO80205Strategic Communications$858,400
Metropolitan Group
519 SW Third Avenue Ste 700PortlandOR97204Strategic Communications$187,766
Sabine Kortals
1630 Clarkson StreetDenverCO80218Strategic Communications$157,500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K3CntrctRcvdGreaterThan100KCnt
Related Organizations$3,643,694RelatedOrganizationsAmt
Total Contributions$3,643,694TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$238,245TotalRevenueColumnAmt
Exclusion$238,245ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$364,367SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$364,367SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$364,367TotalRevenueColumnAmt
Exclusion$364,367ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$4,246,306TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$602,612ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$315,500TotalAmt
Program Services$315,500ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$134,254TotalAmt
Program Services$52,152ProgramServicesAmt
Management And General$82,102ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$136,189TotalAmt
Program Services$89,795ProgramServicesAmt
Management And General$46,394ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$63,686TotalAmt
Management And General$63,686ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$778,634TotalAmt
Program Services$757,074ProgramServicesAmt
Management And General$21,560ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$59,968TotalAmt
Program Services$19,407ProgramServicesAmt
Management And General$40,561ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,572TotalAmt
Program Services$9,572ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$28,790TotalAmt
Management And General$28,790ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,226TotalAmt
Management And General$1,226ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Public Will Building$641,251$641,251
Fees, licenses & dues$8,139$8,139

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$2,177,209TotalAmt
Program Services$1,884,751ProgramServicesAmt
Management And General$292,458ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,787,369BOYAmt
EOY$366,712EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$6,515,000BOYAmt
EOY$3,628,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$98,105BOYAmt
EOY$101,938EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$12,330,916BOYAmt
EOY$21,318,284EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$21,731,390BOYAmt
EOY$25,414,934EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$81,608BOYAmt
EOY$40,593EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$741,667BOYAmt
EOY$450,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$93,978BOYAmt
EOY$82,105EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$917,253BOYAmt
EOY$572,698EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$10,894,325BOYAmt
EOY$17,312,405EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$7,919,812BOYAmt
EOY$5,529,831EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,000,000BOYAmt
EOY$2,000,000EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$20,814,137BOYAmt
EOY$24,842,236EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$21,731,390BOYAmt
EOY$25,414,934EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,069,097ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,959,002NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
CertificationYes (X)CertificationInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Colorado Dental Service IncBusinessNameLine1
FieldValueIRS element (for citing)
EIN840568337EIN
Organization Type9OrganizationTypeDesc
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,128,145BeginningYearBalanceAmt
Investment Earnings Or Losses$600,019InvestmentEarningsOrLossesAmt
End Year Balance$3,728,164EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,845,857BeginningYearBalanceAmt
Investment Earnings Or Losses$282,288InvestmentEarningsOrLossesAmt
End Year Balance$3,128,145EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,832,341BeginningYearBalanceAmt
Investment Earnings Or Losses$13,516InvestmentEarningsOrLossesAmt
End Year Balance$2,845,857EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,528,124BeginningYearBalanceAmt
Investment Earnings Or Losses$304,217InvestmentEarningsOrLossesAmt
End Year Balance$2,832,341EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,131,720BeginningYearBalanceAmt
Investment Earnings Or Losses$396,404InvestmentEarningsOrLossesAmt
End Year Balance$2,528,124EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.00000BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.53650PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.46350TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to Colorado Dental Service, Inc.Desc
Amt$82,105Amt
FieldValueIRS element (for citing)
Total Liability$82,105TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$6,163,373TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$1,959,002NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$21,751DonatedServicesAndUseFcltsAmt
Revenue Not Reported$1,980,753RevenueNotReportedAmt
Revenue Subtotal$4,182,620RevenueSubtotalAmt
Investment Expenses Not Incld$63,686InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$63,686RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$4,246,306TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$2,135,274TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$21,751DonatedServicesUseFcltsAmt
Expenses Not Reported$21,751ExpensesNotReportedAmt
Expenses Subtotal$2,113,523ExpensesSubtotalAmt
Investment Expenses Not Incld2$63,686InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$63,686ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$2,177,209TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part V, Line 4:The endowment funds are for general support of the Organization's operations.
Part X, Line 2:The Foundation follows the Accounting for Uncertainty in Income Taxes accounting standard which requires the Foundation to determine whether a tax position (and the related tax benefit) is more likely than not to be sustained upon examination by the applicable taxing authority, based solely on the technical merits of the position. The Foundation believes that it has appropriate support for any tax positions taken, and as such, does not have any uncertain tax positions that are significant to the financial statements. The Foundation's federal Return of Organization Exempt From Income Tax (Form 990) for the previous three years, 2010 through 2012, are subject to examination by the IRS, generally for three years after they were filed.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Oral Health Colorado
1985 Union StreetLakewoodCO80215900137772501(c)(3)$12,500Oral Health Collaboration
Colorado Foundation for Public Health and the Environment
400 S Colorado Boulevard Ste 800DenverCO80246841267213501(c)(3)$40,000Health Education
The Children's Museum of Denver Inc
2121 Childrens Museum DriveDenverCO80211840658142501(c)(3)$260,000$60,000 for Healthy Smiles Initiative program; $200,000 for exhibit
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org2TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization requires periodic reports to ascertain that the grants are used for their proper intended purpose.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (2 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
Kathryn A Paul
Board Member$0$392,572$0$119,195$0$0$0$33,500$0$5,483$0$550,750$0$0
Barbara Springer
Executive Director$104,304$116,565$0$37,072$0$0$0$25,715$0$19,768$104,304$199,120$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 3FormAndLineReferenceDesc
ExplanationBarbara Springer, the Foundation's Executive Director, is an employee of Colorado Dental Service, Inc. d/b/a Delta Dental of Colorado #84-0568337. Barbara Springer receives compensation for her role as Vice President of Delta Dental of Colorado and a portion of her salary is paid by the Foundation for her role as part-time executive director. As such, Delta Dental of Colorado's compensation committee/board establishes and approves her compensation based upon recommendations of an independent compensation consultant and compensation survey or study. The Foundation's Board approves the amount of time spent for the Foundation and related compensation that will be reimbursed to Delta Dental of Colorado for her role with the Foundation.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, line 2Sealant Programs - a year-long study and analysis of school-based sealant programs across the state of Colorado.
Form 990, Part VI, Section A, line 2Kathryn Ann Paul, Board Member, and Barbara Springer, Executive Director, are employees of Colorado Dental Service, Inc. d/b/a Delta Dental of Colorado #84-0568337. Four board members, Marilyn Taylor, Donald S. Safer, DDS, Mary Noonan, and Gail Schoettler, PhD, are also board members of Delta Dental of Colorado, which employs Ms. Paul and Ms. Springer. Kathryn Ann Paul receives compensation exclusively for her role as President and CEO of Colorado Dental Service, Inc. and is not compensated for her role as a director of Delta Dental Plan of Colorado Foundation, Inc. Barbara Springer receives compensation for her role as Vice President of Colorado Dental Service, Inc. and a portion of her salary is paid by the Foundation for her part-time role as the Executive Director.
Form 990, Part VI, Section B, line 11The Organization has a Finance and Investment Committee of the Board of Directors that is responsible for reviewing the Form 990. A draft is also presented to the Board for review prior to being filed. Once the Board approves the Form 990, it is then subsequently filed.
Form 990, Part VI, Section B, line 12cThe completed annual conflict of interest statements are maintained by the Executive Director who ensures that board members excuse themselves from voting on any matters for which there is a conflict of interest.
Form 990, Part VI, Section B, line 15The Foundation's Executive Director, is an employee of Colorado Dental Delta Dental of Colorado. A portion of her salary is paid by the Foundation for her role as part-time executive director based upon time spent working for the Foundation, using compensation that is determined by Delta Dental of Colorado. The Foundation's Board approves the amount of time spent for the Foundation and related compensation that will be reimbursed to Delta Dental of Colorado for her role with the Foundation. All accounting services provided to the Foundation were provided by Delta Dental of Colorado at no cost to the Foundation. As such, the process for determining the compensation of these individuals is done by Delta Dental of Colorado.
Form 990, Part VI, Section C, line 19The Organization maintains copies of the governing documents, conflict of interest policy, and financial statements that are available for public inspection. The Organization has a statement on its website that informs the public that these documents are available for public inspection at its corporate headquarters.
Form 990, Part IX, line 11gMisc Consultants: Program service expenses 68,554. Management and general expenses 21,560. Fundraising expenses 0. Total expenses 90,114. Public Will Building Consultants: Program service expenses 688,520. Management and general expenses 0. Fundraising expenses 0. Total expenses 688,520.
Part XII, Line 2cProcess has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Colorado Dental Service Inc dba Delta Dental of ColoradoBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line14582 S Ulster StreetAddressLine1
CityDenverCity
StateCOState
ZIP Code80237ZIPCode
FieldValueIRS element (for citing)
EIN840568337EIN
Primary ActivitiesProviding dental service to the public through dental benefit programs.PrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(c)4ExemptCodeSectionTxt
Direct Controlling NAN/ADirectControllingNACd
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Colorado Dental Service Inc dba Delta Dental of Colorado
C$3,643,694cash
Colorado Dental Service Inc dba Delta Dental of Colorado
P$326,735cash

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