DELTA DENTAL OF SOUTH DAKOTA: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF SOUTH DAKOTA (EIN 46-0309258)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-11-02
- IRS object ID
- 201123069349300547
- Schema version
- 2010v3.2
- Note
- A later return for the same period supersedes this one.
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-11-02T11:04:41-07:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Stulken Petersen Lingle Walti & Jones LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO Box 578 | AddressLine1 |
| City | Pierre | City |
| State | SD | State |
| ZIP Code | 575010578 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 460309258 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL PLAN OF SOUTH DAKOTA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DELT | NameControl |
| Phone | 6052247345 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | PO BOX 1157 | AddressLine1 |
| City | PIERRE | City |
| State | SD | State |
| ZIP Code | 57501 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | SCOTT JONES | Name |
| Title | President & CEO | Title |
| Date Signed | 2011-11-02 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DAVID J LINGLE | Name |
| Phone | 6052245828 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amended Return | X | AmendedReturn |
| Gross Receipts | 98431813 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| All Affiliates Included | false | AllAffiliatesIncluded |
| Organization501c | X | Organization501c |
| Web Site | www.deltadentalsd.com | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1963 | YearFormation |
| State Legal Domicile | SD | StateLegalDomicile |
| Activity Or Mission Description | DELTA DENTAL OF SOUTH DAKOTA IS DEDICATED TO ADVANCING AND PROMOTING THE IMPROVEMENT OF ORAL HEALTH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 59 | TotalNbrEmployees |
| Total Gross UBI | 939914 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -25500 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 51000 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 25500 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 78755005 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 85067583 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 176485 | InvestmentIncomePriorYear |
| Investment Income Current Year | 453073 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 903114 | OtherRevenuePriorYear |
| Other Revenue Current Year | 926529 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 79885604 | TotalRevenuePriorYear |
| Total Revenue Current Year | 86472685 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3380298 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3837461 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 75086531 | OtherExpensePriorYear |
| Other Expenses Current Year | 81619318 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 78466829 | TotalExpensesPriorYear |
| Total Expenses Current Year | 85456779 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 1418775 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 1015906 | RevenuesLessExpensesCY |
| Total Assets BOY | 34503693 | TotalAssetsBOY |
| Total Assets EOY | 37651027 | TotalAssetsEOY |
| Total Liabilities BOY | 7119087 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 7452629 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 27384606 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 30198398 | NetAssetsOrFundBalancesEOY |
| Mission Description | DELTA DENTAL OF SOUTH DAKOTA IS DEDICATED TO ADVANCING AND PROMOTING THE IMPROVEMENT OF ORAL HEALTH. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 75886131 | Expense |
| Grants | 1769303 | Grants |
| Revenue | 85067583 | Revenue |
| Description | DELTA DENTAL PAID THROUGH ITS CONTRACTS WITH INDEPENDENT DENTISTS 454,606 CLAIMS FOR DENTAL BENEFIT SERVICES FOR APPROXIMATELY 206,600 INDIVIDUALS WITH GROUP PLANS 26,000 INDIVIDUALS WITH DENTAL ACCIDENT PLANS AND 95,000 NATIVE AMERICANS UNDER ABERDEEN AREA HEALTH SERVICES. DELTA DENTAL ALSO GRANTED THE DELTA DENTAL PHILANTHRIPIC FUND, A 501(C)(3) CHARITABLE ORGANIZATION, $1,769,303 TO PROMOTE THE IMPROVEMENT OF ORAL HEALTH. | Description |
| Total Program Service Expense | 75886131 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | false | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | false | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 2861 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 59 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Form8886 T Filed | false | Form8886TFiled |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Non Deductible Disclosure | false | NonDeductibleDisclosure |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Filed Lieu1041 | false | FiledLieu1041 |
| Licensed More Than One State | false | LicensedMoreThanOneState |
| Indoor Tanning Services | false | IndoorTanningServices |
| Form720 Filed | false | Form720Filed |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Policies Reference Chapters | false | PoliciesReferenceChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedure |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | KIRBY SCOTT | NamePerson |
| Telephone Number | 6052247345 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 720 NORTH EUCLID PIERRE SD | AddressLine1 |
| City | PIERRE | City |
| State | SD | State |
| ZIP Code | 57501 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Individual Trustee Or DirectorIndividualTrusteeOrDirector |
|---|---|---|---|---|---|---|
| JEFF MILLER | ||||||
| VP-UNDERWRITING | 40.00 | X | 124487 | 0 | 0 | |
| MIKE HOUK | ||||||
| Director | 1.00 | 3750 | 0 | 0 | X | |
| JOHN CLAUSEN | ||||||
| Treasurer | 1.00 | 9050 | 0 | 0 | X | |
| JIM RUSSELL | ||||||
| Director | 1.00 | 6800 | 0 | 0 | X | |
| PAUL REZICH | ||||||
| Director | 1.00 | 4500 | 0 | 0 | X | |
| ANN LEE ROLA | ||||||
| Director | 1.00 | 750 | 0 | 0 | X | |
| RYAN VAN LACKEN | ||||||
| Director | 1.00 | 3500 | 0 | 0 | X | |
| MARY HITZEMANN | ||||||
| Director | 1.00 | 6000 | 0 | 0 | X | |
| PAT HERMANSON | ||||||
| Director | 1.00 | 4500 | 0 | 0 | X | |
| GREG HANSON | ||||||
| Director | 1.00 | 5250 | 0 | 0 | X | |
| G VERNE GOODSELL | ||||||
| Director | 1.00 | 6250 | 0 | 0 | X | |
| DALE GIBSON | ||||||
| Chairman | 1.00 | 9750 | 0 | 0 | X | |
| GREG GERTSEN | ||||||
| Secretary | 1.00 | 3700 | 0 | 0 | X | |
| STEVE CULHANE | ||||||
| Director | 1.00 | 4500 | 0 | 0 | X | |
| ELLEN LEE | ||||||
| Director | 1.00 | 3500 | 0 | 0 | X | |
| CONNIE HALVERSON | ||||||
| V.P.-PUBLIC REL | 40.00 | X | 105974 | 0 | 0 | |
| MONTY BECHTOLD | ||||||
| VICE CHAIRMAN | 1.00 | 3750 | 0 | 0 | X | |
| MICK HECKENLAIBLE | ||||||
| VP-OPERATIONS | 40.00 | X | 132635 | 0 | 0 | |
| GENE TETZLAFF | ||||||
| V.P.-INFO TECHN | 40.00 | X | 127390 | 0 | 0 | |
| NANCE ORSBON | ||||||
| V.P.-PROF. RTNS | 40.00 | X | 112526 | 0 | 0 | |
| KIRBY SCOTT | ||||||
| V PRES-FINANCE | 40.00 | X | 143048 | 0 | 0 | |
| SCOTT JONES | ||||||
| President & CEO | 40.00 | X | 472429 | 0 | 150598 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1294039 | TotalReportableCompFromOrg |
| Total Other Compensation | 150598 | TotalOtherCompensation |
| Number Individuals GT100 K | 7 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
| Number Of Contractors GT100 K | 0 | NumberOfContractorsGT100K |
| Government Grants | 25500 | GovernmentGrants |
| Total Contributions | 25500 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DELTA BENEFITS COVERAGE | Description |
| Total Revenue Column | 85067583 | TotalRevenueColumn |
| Related Or Exempt Function Income | 85067583 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 85067583 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 640809 | TotalRevenueColumn |
| Exclusion | $640,809 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 30725 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 44110 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -13385 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -13385 | TotalRevenueColumn |
| Exclusion | -$13,385 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11727282 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 11915018 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -187736 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -187736 | TotalRevenueColumn |
| Exclusion | -$187,736 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | MANAGEMENT SERVICE FEES | Description |
| Total Revenue Column | 939914 | TotalRevenueColumn |
| Unrelated Business Revenue | 939914 | UnrelatedBusinessRevenue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 939914 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 86472685 | TotalRevenueColumn |
| Related Or Exempt Function Income | 85067583 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 939914 | UnrelatedBusinessRevenue |
| Exclusion | $439,688 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1444637 | Total |
| Management And General | 1444637 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1492993 | Total |
| Management And General | 1492993 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 271762 | Total |
| Management And General | 271762 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457403 | Total |
| Management And General | 457403 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170666 | Total |
| Management And General | 170666 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5932 | Total |
| Management And General | 5932 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59331 | Total |
| Management And General | 59331 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49118 | Total |
| Management And General | 49118 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10380 | Total |
| Management And General | 10380 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 96682 | Total |
| Management And General | 96682 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 66685 | Total |
| Management And General | 66685 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26181 | Total |
| Management And General | 26181 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 341628 | Total |
| Management And General | 341628 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 49682 | Total |
| Management And General | 49682 | ManagementAndGeneral |
Other Expenses OtherExpenses (5 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| DUES TAXES AND LICENCES | 652552 | 652552 | |
| BROKERAGE AND COMMISSIONS | 852288 | 852288 | |
| MANAGEMENT SERVICE EXPENSE | 965414 | 965414 | |
| CONTRIBUTIONS | 1856497 | 1856497 | |
| CLAIMS PAID/INCURRED | 75886131 | 75886131 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 700817 | Total |
| Management And General | 700817 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 85456779 | Total |
| Program Services | 75886131 | ProgramServices |
| Management And General | 9570648 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 842608 | BOY |
| EOY | 900735 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6424159 | BOY |
| EOY | 7450829 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23886 | BOY |
| EOY | 18828 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 7592167 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 2597071 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5180545 | BOY |
| EOY | 4995096 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20187634 | BOY |
| EOY | 18271895 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1589253 | BOY |
| EOY | 5749033 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 255608 | BOY |
| EOY | 264611 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34503693 | BOY |
| EOY | 37651027 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2503047 | BOY |
| EOY | 2622035 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4616040 | BOY |
| EOY | 4830594 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7119087 | BOY |
| EOY | 7452629 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27384606 | BOY |
| EOY | 30198398 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27384606 | BOY |
| EOY | 30198398 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 34503693 | BOY |
| EOY | 37651027 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 1015906 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 1797886 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
| Federal Grant Audit Performed | false | FederalGrantAuditPerformed |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 48657 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 348714 | OtherCostOrOtherBasis |
| Book Value | 397371 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | 565771 | InvestmentCostOrOtherBasis |
| Other Cost Or Other Basis | 4081777 | OtherCostOrOtherBasis |
| Depreciation | 720025 | Depreciation |
| Book Value | 3927523 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1720075 | OtherCostOrOtherBasis |
| Depreciation | 1460164 | Depreciation |
| Book Value | 259911 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 827173 | OtherCostOrOtherBasis |
| Depreciation | 416882 | Depreciation |
| Book Value | 410291 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 4995096 | TotalOfBookValueLandBuildings |
| Total Of Book Value Securities | 5749033 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (5 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DEFERRED PREMIUMS | $833,238 |
| COST PLUS GROUP DEPOSITS | $76,600 |
| CLAIMS PAYABLE, DENTAL ACCIDENT | $36,808 |
| UNPAID CLAIMS PROCESSING COSTS | $300,000 |
| REPORTED CLAIMS INCURRED, NOT REPORTED | $3,583,948 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4830594 | TotalOfAmounts |
| Total Revenue | 86472685 | TotalRevenue |
| Total Expenses | 85456779 | TotalExpenses |
| Excess Or Deficit For Year | 1015906 | ExcessOrDeficitForYear |
| Net Unrealized GL On Investments | 1797886 | NetUnrealizedGLOnInvestments |
| Total Adjustments | 1797886 | TotalAdjustments |
| Excess Or Deficit Per FS | 2813792 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 86467677 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 44110 | OtherRevenues |
| Revenue Not Rptd F990 | 44110 | RevenueNotRptdF990 |
| Revenue Subtotal | 86423567 | RevenueSubtotal |
| Investment Expenses Not Included | 49118 | InvestmentExpensesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 49118 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 86472685 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 85456779 | TotExpensesEtcAuditedFinclStmt |
| Expenses Subtotal | 85456779 | ExpensesSubtotal |
| Total Expenses Per Form990 | 85456779 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Part XII, Line 2d | Identifier |
| Return Reference | Part XII, Line 2d: Other revenue amounts included in F/S but not included on form 990 | ReturnReference |
| Explanation | RENTAL REAL ESTATE DEPRECIATION EXPENSE $31949 INSURANCE $3292 REAL ESTATE TAXES $8869 | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Form990 Of Other Organizations | X | Form990OfOtherOrganizations |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
| Rebuttable Presumption Procedure | false | RebuttablePresumptionProcedure |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SCOTT JONES | NamePerson |
| Base Compensation Filing Org | 320000 | BaseCompensationFilingOrg |
| Bonus Filing Org | 140000 | BonusFilingOrg |
| Other Compensation Filing Org | 12429 | OtherCompensationFilingOrg |
| Deferred Comp Filing Org | 150598 | DeferredCompFilingOrg |
| Total Compensation Filing Org | 623027 | TotalCompensationFilingOrg |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Sch J, Part I, Line 1a | Identifier |
| Return Reference | Part I, Line 1a: Relevant information in regards to selections on 1a. | ReturnReference |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| Amended Explanation | SUPERSEDED/AMENDED RETURN WAS PREPARED TO TIMELY ATTACH DOCUMENT CORRECTION REQUIRED BY REVENUE NOTICE 2010-6.SEE ATTACHED NOTICE | |
| Form 990, Part VI, Line 19 | ALL DOCUMENTS AND POLICIES ARE AVAILABLE UPON REQUEST. | Form 990, Part VI, Line 19: Other Organization Documents Publicly Available |
| Form 990, Part VI, Line 15b | Delta Dental of South DakotaCompensation Committee CharterPurposeThe purpose of the Compensation Committee is to review and report to the Board on compensation and personnel policies, programs and plans and to approve employee compensation and benefit plans.MembershipThe Compensation Committee shall be comprised of the DDSD Chair and vice-chair and at least two other board members.TermCommittee members are appointed to annual terms and may be reappointed to unlimited consecutive terms.Responsibilities1.Develop and recommend DDSD's compensation philosophy.2.Develop and recommend DDSD's compensation and benefits policies and programs including incentive plans, pension plan, and any perquisites.3.Periodically review DDSD's compensation and benefits policies/programs to determine whether they are properly coordinated and appropriate/competitive for like organizations.4.Annually review the CEO's performance and determine salary adjustments and incentive payments for CEO, ensuring compliance with the IRS "Rebuttable Presumption" safety zone for executive comp matters.5.Reviews CEO's recommendations as to salary adjustments and incentive payments for executive staff, ensuring compensation within the ranges of the executive compensation philosophy.MeetingsThe Compensation Committee shall meet at least annually and more often as determined necessary to fulfill its responsibilities.Reporting & AuthorityThe Compensation Committee may exercise all of the powers of the Board as authorized in concert with this charter. All actions taken by the Compensation Committee will be reported to the Board at its next regularly scheduled meeting. | Form 990, Part VI, Line 15b: Compensation Review and Approval Process for Officers and Key Employees |
| Form 990, Part VI, Line 12c | AT THE REGULARLY SCHEDULED BOARD MEETING TO ELECT BOD OFFICERS CONDUCTED IN MAY OF EACH YEAR, THE BOD AND OFFICERS OF DELTA DENTAL OF SOUTH DAKOTA ARE EACH GIVEN A CONFLICT OF INTEREST FORM TO FILL OUT. AT THE NEXT BOD MEETING EACH ONE IS READ AND ANY ACTION THAT NEEDS TO BE TAKEN IS DONE AT THAT TIME. | Form 990, Part VI, Line 12c: Explanation of Monitoring and Enforcement of Conflicts |
| Form 990, Part VI, Line 11 | AT THE REGULARLY SCHEDULED BOARD MEETING IN MAY OF EACH YEAR , THE FORM 990 IS GIVEN TO EACH BOARD MEMBER AND A REVIEW IS CONDUCTED BY THE CHAIRMAN OF THE AUDIT AND FINANCE COMMITTEE. | Form 990, Part VI, Line 11: Form 990 Review Process |
| Form 990, Part VI, Line 7a | ALL MEMBER DENTISTS ARE INVITED TO THE ANNUAL MEETING AND IF PRESENT, HAVE ONE VOTE. | Form 990, Part VI, Line 7a: How Members or Shareholders Elect Governing Body |
| Form 990, Part VI, Line 6 | DENTISTS LICENSED IN SOUTH DAKOTA THAT PAY A ONE-TIME MEMEBERSHIP DUES. | Form 990, Part VI, Line 6: Explanation of Classes of Members or Shareholder |
| Client Note 2 - 409A DOCUMENT CORRECTION UNDER IV AND V OF NOTICE 2010-61. The name and taxpayer identification number of each service provider affected by the document failure: Scott Jones SSN: 504-68-50302. Identification of Nonqualified Deferred Compensation Plan: Amended Supplemental Employment Agreement with Scott Jones.3. The document failures are eligible for correction under the terms of Notice 2010-6. The document failures were corrected under IV and V of Notice of 2010-6. Delta Dental Plan of South Dakota has taken all actions required and otherwise met all requirements for such correction as of the last day of its taxable year in which the correction was made, and also as of the last day of any subsequent taxable year of Scott Jones during which an amount, if any, is required to be included in income under 409A by Scott Jones as part of the correction. The date of correction was December 30, 2010 and there was no event causing the inclusion of an amount in income under 409A.4. Scott Jones has not included any income under 409A as part of this correction. The amount involved in each document failure was $534,898.00.DELTA DENTAL PLAN OFSOUTH DAKOTAEIN: 46-0309258 | ||
| Client Note 1 - PAGE 10PART IX STATEMENT OF FUNCTIONAL EXPENSESLINE 22 DEPRECIATION (A)TOTAL (C)MANAGEMENT AND GENERALBUILDINGS STRAIGHT-LINE 28 YEARS $103,736 $103,736 MACHINERY & EQUIPMENT STRAIGHT-LINE 5-10 YEARS 180,788 180,788FURNITURE & FIXTURES STRAIGHT-LINE 5-10 YEARS 57,104 57,104TOTAL DEPRECIATION $341,628 $341,628PAGE 9PART VIII STATEMENT OF REVENUELINE 6B RENTAL EXPENSES DEPRECIATION BUILDINGS AND IMPROVEMENTS $31,949 |
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