Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2010
Open to Public Inspection
A For the calendar year, or tax year beginning 01-01-2010 and ending 12-31-2010
BCheck if applicable:
CName of organization
DELTA DENTAL OF CALIFORNIA
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
100 FIRST STREET
 
Room/suite
City or town, state or country, and ZIP + 4
SAN FRANCISCO, CA94105
D Employer identification number

94-1461312
E Telephone number

G Gross receipts $ 4,575,522,870
F Name and address of principal officer:
 
 
 
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.DELTADENTALINS.COM
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1954
M State of legal domicile: CA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) .... 3 15
4 Number of independent voting members of the governing body (Part VI, line 1b) .... 4 8
5 Total number of individuals employed in calendar year 2010 (Part V, line 2a) ... 5 2,507
6 Total number of volunteers (estimate if necessary) .... 6  
7a Total unrelated business revenue from Part VIII, column (C), line 12 .. 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 .. 7b -65,146
Revenues; Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 4,577,590,809 4,481,901,775
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 15,603,803 13,859,327
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 2,554,375 6,575,319
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 4,595,748,987 4,502,336,421
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,062,012 1,179,341
14 Benefits paid to or for members (Part IX, column (A), line 4) .... 4,121,994,263 4,004,753,026
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 278,726,101 265,943,167
16a Professional fundraising fees (Part IX, column (A), line 11e).... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24f).... 180,229,056 195,198,644
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,582,011,432 4,467,074,178
19 Revenue less expenses. Subtract line 18 from line 12...... 13,737,555 35,262,243
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............ 1,115,561,915 1,223,119,899
21 Total liabilities (Part X, line 26)............ 738,722,802 804,629,785
22 Net assets or fund balances. Subtract line 21 from line 20 ..... 376,839,113 418,490,114
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title.
Paid Preparer's Use Only Preparer's
signature
Big Right Arrow
Date
right pointing bullet image Preparer’s taxpayer identification number
(see instructions)
Firm’s name (or yours
if self-employed),
address, and ZIP + 4
Big Right Arrow




EIN right pointing bullet image
Phone no. right pointing bullet image
May the IRS discuss this return with the preparer shown above? (see instructions) .........
For Privacy Act and Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2010)
Form 990 (2010)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III . . . . . . . . . .
1
Briefly describe the organization’s mission: TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ....................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ..........................
If “Yes,” describe these changes on Schedule O.
4
Describe the exempt purpose achievements for each of the organization’s three largest program services by expenses.
Section 501(c)(3) and 501(c)(4) organizations and section 4947(a)(1) trusts are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 4,397,357,300 including grants of $   ) (Revenue $ 4,481,901,775 )
The organization provided dental benefit coverage for 17,583,000 beneficiaries in 2010, primarily through contracts with independent dentists. Included were 8,029,000 enrollees in Medicaid, SCHIP and other publicly-sponsored dental benefit programs administered by the organization, as well as 1,258,000 persons voluntary enrolled in the TRDP program for retired military service personnel and their families that the organization underwrites pursuant to a contract with the Department of Defense. The organization paid more than $4,004,753,000 for dental care during 2010.
4b (Code:   ) (Expenses $ 1,179,341 including grants of $ 1,179,341 ) (Revenue $   )
The organization made grants during 2010 to foster improved access to dental health care treatment, to support professional dental education and to provide oral health instruction for patient
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services. (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet$ 4,398,536,641
Form 990 (2010)
Form 990 (2010)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors? ........
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities? If “Yes,” complete Schedule C,
Part II
.........................
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C, Part III........................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts where donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete
Schedule D, Part I
Click to see attachment
.......................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas or historic structures? If “Yes,” complete Schedule D, Part IIClick to see attachment
...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,”
complete Schedule D, Part IV
Click to see attachment
...................
9
 
No
10
Did the organization, directly or through a related organization, hold assets in term, permanent,or quasi-endowments? If “Yes,” complete Schedule D, Part VClick to see attachment
10
 
No
11
If the organization’s answer to any of the following questions is ‘Yes,’ then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable:
a
Did the organization report an amount for land, buildings, and equipment in Part X, line10? If “Yes,” complete Schedule D, Part VI.Click to see attachment
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VII.Click to see attachment
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.Click to see attachment
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IX.Click to see attachment
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part X.Click to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.Click to see attachment
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If “Yes,” complete Schedule D, Parts XI, XII, and XIII Click to see attachment
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered ‘No’ to line 12a, then completing Schedule D, Parts XI, XII, and XIII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, and program service activities outside the United States? If “Yes,” complete Schedule F, Part I.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the U.S.? If “Yes,” complete Schedule F, Part II..
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the U.S.? If “Yes,” complete Schedule F, Part III..
16
 
No
17
Did the organization report a total of more than $15,000, of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II..........
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
Form 990 (2010)
Form 990 (2010)
Page 4
Part IV
Checklist of Required Schedules (continued)
20a
Did the organization operate one or more hospitals? If “Yes,” complete Schedule H.....
20a
 
No
b
Did the organization attach its audited financial statement to this return? Note: All Form 990 filers that operate one or more hospitals must attach audited financial statements. .....
20b
 
 
21
Did the organization report more than $5,000 of grants and other assistance to governments and organizations in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III..... Click to see attachment
22
Yes
 
23
Did the organization answer “Yes” to Part VII, Section A, questions 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J................ Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer questions 24b–24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?
......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I...... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I................ Click to see attachment
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highly compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II
........................... Click to see attachment
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor, or a grant selection committee member, or to a person related to such an individual? If “Yes,” complete Schedule L, Part III............... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties? (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV ......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV
................... Click to see attachment
28b
 
No
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or owner? If “Yes,” complete Schedule L, Part IV.. Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I
...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II.......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Parts II, III, IV, and V, line 1..................... Click to see attachment
34
Yes
 
35
Is any related organization a controlled entity within the meaning of section 512(b)(13)? .....
35
Yes
 
a
Did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2...........
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11 and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2010)
Form 990 (2010)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V . . . . . . . . . .
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable. .......
1a
89,822
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable.
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and Tax Statements filed for the calendar year ending with or within the year covered by this return .....................
2a
2,507
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?.............................
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account or securities account)?.......................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes” to line 5a or 5b, did the organization file Form 8886-T? ........
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible?..........
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?..........................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?...................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?...............
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?................
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?.........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note.
All 501(c)(29) organizations must list in Schedule O each state in which they are licensed to issue qualified health plans, the amount of reserves required by each state, and the amount of reserves the organization allocated to each state.
13a
 
 
b
Enter the aggregate amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans.
13b
 
c
Enter the aggregate amount of reserves on hand.
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
 
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2010)
Form 990 (2010)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI . . . . . . . . . .
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year ..............
1a
15
b
Enter the number of voting members included in line 1a, above, who are independent .................
1b
8
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? ..
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed?
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Does the organization have members or stockholders? ................
6
Yes
 
7a
Does the organization have members, stockholders, or other persons who may elect one or more members of the governing body? .........................
7a
Yes
 
b
Are any decisions of the governing body subject to approval by members, stockholders, or other persons? ..
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O .....
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal
Revenue Code.)
Yes
No
10a
Does the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” does the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with those of the organization? ....
10b
 
 
11a
Has the organization provided a copy of this Form 990 to all members of its governing body before filing the form?
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review the Form 990. .....
12a
Does the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Are officers, directors or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ...........................
12b
Yes
 
c
Does the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this is done ....................
12c
Yes
 
13
Does the organization have a written whistleblower policy? ...............
13
Yes
 
14
Does the organization have a written document retention and destruction policy? .........
14
 
No
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line a or b, describe the process in Schedule O. (See instructions.)
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” has the organization adopted a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and taken steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you make these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization makes its governing documents, conflict of interest policy, and financial statements available to the public.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization: MediumBullet
MICHAEL J CASTRO CFO
100 FIRST STREET
SAN FRANCISCO,CA94105
(415) 972-8300
Form 990 (2010)
Form 990 (2010)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII . . . . . . . . . .
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation, and current key employees. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organizations compensated any current or former officer, director, or trustee.
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) TERRY A O'TOOLE
CHAIRMAN OF THE BOARD
1.0 X           104,667 0  
(2) GEORGE J STRATIGOPOULOS DDS
Chairman of the Board
1.0 X           113,277    
(3) DAVID WALKER
TREASURER
1.0 X           121,667    
(4) R KENT FARNSWORTH DDS
First Vice President
1.0 X           107,167    
(5) GLEN F BERGERT
DIRECTOR
1.0 X           97,333    
(6) WAYNE DOUGLAS DEL CARLO DDS
DIRECTOR
1.0 X           31,833    
(7) PATRICIA A FUKAMI
DIRECTOR
1.0 X           15,333    
(8) GREGORY D KAPLAN DDS
DIRECTOR
1.0 X           54,333    
(9) BECKY A PATEL
Secretary
1.0 X           109,333    
(10) JO BONITA RAINS
DIRECTOR
1.0 X           55,833    
(11) CORAGENE I SAVIO DDS
DIRECTOR
1.0 X           67,333    
(12) STEVEN W VOSS
DIRECTOR
1.0 X           63,443    
(13) JOHN DOUGLASS WILLIAMS
DIRECTOR
1.0 X           28,833    
(14) STEVEN F MCCANN
DIRECTOR
1.0 X           61,833    
(15) Andrew J Reid
Director
1.0 X           48,110    
(16) Douglas D Cassat DDS
Director
1.0 X           27,000    
(17) Devang M Gandhi DDS
Director
1.0 X           29,610    
Form 990 (2010)
Form 990 (2010)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title
(B)
Average hours per week (describe hours for related organizations in Schedule O)
(C)
Position (check all that apply)
(D)
Reportable compensation from the organization (W- 2/1099-MISC)
(E)
Reportable compensation from related organizations (W- 2/1099-MISC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Thomas A Zimmerman
Director
1.0 X           29,000    
(19) GARY D RADINE
PRESIDENT/CEO
51.0     X       2,551,699   1,224,420
(20) ANTHONY S BARTH
EVP/COO
42.0     X       1,135,404   826,283
(21) MICHAEL J CASTRO
EVP/CFO
42.0     X       803,300   533,238
(22) PATRICK S STEELE
EVP/CIO
44.0     X       818,209   1,582,585
(23) CHARLES LAMONT
EVP/CLO
42.0     X       653,956   1,513,529
(24) BELINDA MARTINEZ
SENIOR VICE PRESIDENT
50.0     X       533,563   25,587
(25) KEVIN JACKSON
GROUP VICE PRESIDENT
50.0     X       362,464   32,907
(26) NILESH PATEL
Senior Vice President
50.0     X       467,020   21,794
(27) ALICIA WEBER
SVP/Controller
43.0     X       480,957   61,373
(28) TERRI ANDERSON
VICE PRESIDENT
50.0     X       314,255   59,625
(29) KENNETH F BERNARDI
VICE PRESIDENT
50.0     X       689,461   15,234
(30) DANIEL CROLEY
VICE PRESIDENT
50.0     X       266,283   26,931
(31) RICK R DOERING
VICE PRESIDENT
50.0     X       409,458   62,825
(32) PATRICK HENRY
Senior Vice President
50.0     X       301,393   34,392
(33) EVA HOFFMAN
VICE PRESIDENT
50.0     X       273,510   33,499
(34) KATHY JONZZON
VICE PRESIDENT
50.0     X       267,542   51,414
(35) J DOUGLAS KONOVALOFF
VICE PRESIDENT
50.0     X       246,414   30,836
(36) GARRET LEAF
VICE PRESIDENT
50.0     X       344,429   34,907
(37) JAMAL NASR
VICE PRESIDENT
50.0     X       316,785   39,608
(38) MOHAMMADREZA NAVID
VICE PRESIDENT
50.0     X       353,594   21,633
(39) DUANE PROFEIT
VICE PRESIDENT
50.0     X       288,968   70,885
(40) KATHERINE WATTS
VICE PRESIDENT
50.0     X       272,923   36,821
(41) TOM WONG
VICE PRESIDENT
50.0     X       339,382   37,041
(42) JEFFREY M ALBUM
VICE PRESIDENT
50.0     X       282,875   40,331
(43) HARI MAKKALA
VICE PRESIDENT
50.0     X       339,189   18,111
(44) Jeffrey Seybold
Vice President
50.0     X       223,901   59,348
(45) John Yamamoto
Vice President
50.0     X       230,085   39,135
(46) Stephen Adamson
Vice President
50.0     X         255,030 20,387
(47) KEVIN O'TOOLE
DIRECTOR SALES
40.0         X   292,953   37,432
(48) CARLA ANGULO
SALES ACCOUNT EXECUTIVE
40.0         X   270,203   39,769
(49) VALERIE LAYNE
DIRECTOR NAT'L & SPC'L ACCTS
40.0         X   251,769   63,076
(50) ESTHER MARCIAL
SALES ACCOUNT EXECUTIVE
40.0         X   311,482   43,998
(51) Sciona Williamson
Sales Account Executive
40.0         X   369,311   35,850
(52) THOMAS W BURDEN
VICE PRESIDENT
50.0           X 175,894   31,699
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 16,404,569 255,030 6,806,503
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 in reportable compensation from the organizationMediumBullet456
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual .............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person .....
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
HP Enterprise Services LLC
PO Box 848433
DALLAS,TX752848433
CONSULTING SERVICES 33,946,470
Catalyst360 LLC
4 Walnut Grove Drive
HORSHAM,PA19044
CONSULTING SERVICES 3,746,287
Expedien
12750 Briar Forest Dr Ste 1401
HOUSTON,TX77077
Consulting Services 6,003,657
IBM
PO Box 676623
DALLAS,TX752676673
Software Maint Svcs 3,705,736
Oracle Corporation
PO Box 1450
MINNEAPOLIS,MN554858178
Software Maint Svcs 3,027,937
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 in compensation from the organization MediumBullet85
Form 990 (2010)
Form 990 (2010)
Page 9
Part VIII
Statement of Revenue
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, gifts, grants and other similar amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above
1f
 
g Noncash contributions included in lines 1a-1f:$  
h Total. Add lines 1a-1f.......MediumBullet 0
 Program Service Revenue Business Code
2a PROFESSIONAL SERVICES   3,367,404,030 3,367,404,030    
b FEES & CONTRACTS FROM GOVERNMENT AGENCY   1,114,497,745 1,114,497,745    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 4,481,901,775
 Other Revenue 3 Investment income (including dividends, interest
and other similar amounts).....MediumBullet 15,900,901 15,900,901    
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties............MediumBullet 0      
(i) Real (ii) Personal
6a Gross Rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 71,144,875  
b Less: cost or other basis and sales expenses 73,186,449  
c Gain or (loss) -2,041,574  
d Net gain or (loss)..........MediumBullet -2,041,574 -2,041,574    
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet 0    
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a MISCELLANEOUS REVENUE   6,575,319 6,575,319    
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ......MediumBullet 6,575,319
12 Total revenue. See Instructions....MediumBullet 4,502,336,421 4,502,336,421    
Form 990 (2010)
Form 990 (2010)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A) but are not required to complete columns (B), (C), and (D).
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the U.S. See Part IV, line 21 776,591 776,591
2 Grants and other assistance to individuals in the U.S. See Part IV, line 22 402,750 402,750
3 Grants and other assistance to governments, organizations, and individuals outside the U.S. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 4,004,753,026 4,004,753,026
5 Compensation of current officers, directors, trustees, and key employees .... 23,466,093   23,466,093  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 182,989,752 151,940,768 31,048,984  
8 Pension plan contributions (include section 401(k) and section 403(b) employer contributions) .... 10,406,992 10,406,992    
9 Other employee benefits ....... 36,712,423 35,186,862 1,525,561  
10 Payroll taxes ........... 12,367,907 11,418,128 949,779  
11 Fees for services (non-employees):        
a Management ...... 0      
b Legal ......... 5,540,406   5,540,406  
c Accounting ........... 1,498,386 514,114 984,272  
d Lobbying ........... 0      
e Professional fundraising. See Part IV, line 17.. 0  
f Investment management fees ...... 329,067 329,067    
g Other .......... 0      
12 Advertising and promotion .... 3,554,831 3,526,845 27,986  
13 Office expenses ....... 25,914,852 25,687,081 227,771  
14 Information technology ...... 38,401,997 38,400,105 1,892  
15 Royalties .. 7,012,438 6,968,409 44,029  
16 Occupancy ........... 25,555,290 23,823,622 1,731,668  
17 Travel ............ 4,741,230 3,641,317 1,099,913  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 425,452 313,744 111,708  
20 Interest ........... 3,551,325 3,551,325    
21 Payments to affiliates ....... 14,223,643 14,179,946 43,697  
22 Depreciation, depletion, and amortization ..... 19,266,904 19,017,146 249,758  
23 Insurance .............. 1,072,299 1,895 1,070,404  
24 Other expenses. Itemize expenses not covered above. (Expenses grouped together and labeled miscellaneous may not exceed 5% of total expenses shown on line 25 below.)
a BROKER FEES 31,596,995 31,596,995    
b CONSULTANT FEES 52,613,249 51,227,469 1,385,780  
c OUTSIDE SERVICES 8,510,071 8,294,490 215,581  
d CAPITALIZE SYSTEM PROJECT COST -62,347,242 -61,879,859 -467,383  
e OTHER EXPENSES 13,737,451 14,457,813 -720,362  
f All other expenses        
25 Total functional expenses. Add lines 1 through 24f 4,467,074,178 4,398,536,641 68,537,537 0
26 Joint costs. Check here MediumBullet if following
SOP 98-2 (ASC 958-720). Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation
       
Form 990 (2010)
Form 990 (2010)
Page 11
Part X Balance Sheet
(A)
Beginning of year
(B)
End of year
Assets 1 Cash—non-interest-bearing .......... 61,943,031 1 140,331,176
2 Savings and temporary cash investments ....... 20,902,617 2 67,289,125
3 Pledges and grants receivable, net .........   3  
4 Accounts receivable, net ......... 263,823,700 4 254,433,372
5 Receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..........   5  
6 Receivables from other disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B). Complete Part II of
Schedule L ..........   6  
7 Notes and loans receivable, net ............. 38,750,000 7 35,750,000
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges ............ 22,195,070 9 16,265,129
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 570,805,518
b Less: accumulated depreciation. ..... 10b 248,553,137 270,061,942 10c 322,252,381
11 Investments—publicly traded securities .......... 337,665,883 11 288,081,339
12 Investments—other securities. See Part IV, line 11 ...... 49,983,166 12 50,906,757
13 Investments—program-related. See Part IV, line 11 ..   13  
14 Intangible assets ......... 6,295,206 14 6,295,206
15 Other assets. See Part IV, line 11 ........... 43,941,300 15 41,515,414
16 Total assets. Add lines 1 through 15 (must equal line 34)... 1,115,561,915 16 1,223,119,899
Liabilities 17 Accounts payable and accrued expenses . 434,892,535 17 488,264,915
18 Grants payable ..........   18  
19 Deferred revenue .......... 19,040,990 19 36,536,308
20 Tax-exempt bond liabilities ..........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Payables to current and former officers, directors, trustees, key
employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties .. 100,000,000 23 53,333,333
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities. Complete Part X of Schedule D..... 184,789,277 25 226,495,229
26 Total liabilities. Add lines 17 through 25..... 738,722,802 26 804,629,785
Net Assets or Fund Balance Organizations that follow SFAS 117, check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .....   27  
28 Temporarily restricted net assets .....   28  
29 Permanently restricted net assets .....   29  
Organizations that do not follow SFAS 117, check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds .....   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds 376,839,113 32 418,490,114
33 Total net assets or fund balances ..... 376,839,113 33 418,490,114
34 Total liabilities and net assets/fund balances ..... 1,115,561,915 34 1,223,119,899
Form 990 (2010)
Form 990 (2010)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI . . . . . . . . . .
1
Total revenue (must equal Part VIII, column (A), line 12) . . .
1
4,502,336,421
2
Total expenses (must equal Part IX, column (A), line 25) . . . . .
2
4,467,074,178
3
Revenue less expenses. Subtract line 2 from line 1 . . . .
3
35,262,243
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) . .
4
376,839,113
5
Other changes in net assets or fund balances (explain in Schedule O) . . . .
5
6,388,758
6
Net assets or fund balances at end of year. Combine lines 3, 4, and 5 (must equal Part X, line 33, column (B)) . . . . . .
6
418,490,114
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII . . . . . . . . . .
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?..
2a
 
No
b
Were the organization’s financial statements audited by an independent accountant?........
2b
Yes
 
c
If “Yes,” to 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
...........................
2c
Yes
 
d
If “Yes” to line 2a or 2b, check a box below to indicate whether the financial statements for the year were issued on a separate basis, consolidated basis, or both:
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? ................
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits. ..
3b
 
 
Form 990 (2010)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11, or 12.
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
DELTA DENTAL OF CALIFORNIA
 
Employer identification number

94-1461312
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .......    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) ...    
4 Aggregate value at end of year .......    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds may be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit. ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a–2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06 ........ 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the taxable year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting and enforcing conservation easements during the year SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section
170(h)(4)(B)(i) and 170(h)(4)(B)(ii)? ....................................
9
In Part XIV, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116, not to report in its revenue statement and balance sheet works of
art, historical treasures, or other similar assets held for public exhibition, education or research in furtherance of public service,
provide, in Part XIV, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116, to report in its revenue statement and balance sheet works of art,
historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service,
provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 52283D
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s accession and other records, check any of the following that are a significant use of its collection
items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIV.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIV and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIV.
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current Year (b)Prior Year (c)Two Years Back (d)Three Years Back (e)Four Years Back
1a Beginning of year balance ....      
b Contributions ........      
c Investment earnings or losses ...      
d Grants or scholarships .....      
e Other expenditures for facilities
and programs ........
     
f Administrative expenses ....      
g End of year balance ......      
2
Provide the estimated percentage of the year end balance held as:
a
Board designated or quasi-endowment: SchDMd Bullet  
b
Permanent endowment: SchDMd Bullet  
c
Term endowment: SchDMd Bullet  
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIV the intended uses of the organization's endowment funds.
Part VI
Investments—Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of investment (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............   27,539,904 22,160,036 5,379,868
d Equipment ................   507,236,536 196,308,086 310,928,450
e Other .................   36,029,078 30,085,015 5,944,063
Total. Add lines 1a-1e. (Column (d) should equal Form 990, Part X, column (B), line 10(c).)........SchDMdBullet 322,252,381
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
Other








Total. (Column (b) should equal Form 990, Part X, col.(B) line 12.)Small Bullet  
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) should equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of Liability (b) Amount
Federal Income Taxes 0
ACCRUED RETIREMENT BENEFITS 88,796,178
DEFERRED COMPENSATION PLANS 37,414,388
GROUP PREFUNDING DEPOSITS 7,578,490
REFUNDABLE GROUP BALANCES 92,706,173





Total. (Column (b) should equal Form 990, Part X, col.(B) line 25.)Small Bullet 226,495,229
2. Fin 48 (ASC 740) Footnote. In Part XIV, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC740).
Schedule D (Form 990) 2010

Schedule D (Form 990) 2010
Page 4
Part XI Reconciliation of Change in Net Assets from Form 990 to Financial Statements
1 Total revenue (Form 990, Part VIII, column (A), line 12) .................... 1 4,502,336,421
2 Total expenses (Form 990, Part IX, column (A), line 25) ..................... 2 4,467,074,178
3 Excess or (deficit) for the year. Subtract line 2 from line 1 ............. 3 35,262,243
4 Net unrealized gains (losses) on investments .......................... 4 10,351,437
5 Donated services and use of facilities ............................. 5  
6 Investment expenses ................................... 6  
7 Prior period adjustments .................................. 7  
8 Other (Describe in Part XIV) ................................. 8 -3,962,679
9 Total adjustments (net). Add lines 4 - 8 ............................. 9 6,388,758
10 Excess or (deficit) for the year per financial statements. Combine lines 3 and 9 ......... 10 41,651,001
Part XII Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 2,728,715,421
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3 2,728,715,421
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIV): ........... 4b 1,773,621,000
c Add lines 4a and 4b....................... 4c 1,773,621,000
5 Total Revenue. Add lines 3 and 4c. (This should equal Form 990, Part I, line 12.) ...... 5 4,502,336,421
Part XIII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ............. 1 2,693,453,178
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIV): ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3 2,693,453,178
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIV): ............ 4b 1,773,621,000
c Add lines 4a and 4b....................... 4c 1,773,621,000
5 Total expenses. Add lines 3 and 4c. (This should equal Form 990, Part I, line 18.) ...... 5 4,467,074,178
Part XIV
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X; Part XI, line 8; Part XII, lines 2d and 4b; and Part XIII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
Other Revenue PART XII, LINE 4B ADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE.
Other Expense PART XIII, LINE 4b CLAIMS INCURRED FOR ADMINISTRATIVE SERVICE CONTRACTS.
FIN 48 Footnote Part X, Line 2 The Company is a tax-exempt organization organized under Section 501(c)(4) of the Internal Revenue Code and, as such, no provision for income taxes has been made in the financial statements. Current accounting guidance clarifies accounting for uncertainties in tax positions recognized in an entity's financial statements. The guidance prescribes a recognition threshold and measurement attribute for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. These tax positions include those where the Company is exempt from income taxes or not subject to income taxes or unrelated business income. The Company evaluated the impact of implementing the new accounting pronouncement and determined that it had no impact on the Company's financial statements.
Other Changes in Net Assets Part XI, Line 8 Pension liability and post-retirement adjustments.
Schedule D (Form 990) 2010

Additional Data


Software ID:  
Software Version:  




Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
DELTA DENTAL OF CALIFORNIA
 
Employer identification number
94-1461312
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Governments and Organizations in the United States. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21 for any recipient that received more than $5,000. Check this box if no one recipient received more than $5,000. Use
Part IV and Schedule I-1 (Form 990) if additional space is needed
......................... lBullet
(a) Name and address of organization
or government
(b) EIN (c) IRC Code section
if applicable
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
non-cash assistance
(h) Purpose of grant
or assistance
(1) MARCH OF DIMES1275 Mamaroneck Ave
White Plains,NY10605
13-1846366   10,667       MARCH FOR BABIES CORPORATE DONATION
(2) NATIONAL GUARD YOUTH FOUNDATION1001 N Fairfax St Ste 205
Alexandria,VA22314
54-1940978   10,000       CHALLENGE PROGRAM DONATION
(3) NMFA - NATIONAL MILITARY FAMILY ASSOC2500 N Van Dorn St Ste 102
Alexandria,VA22302
52-0899384   25,000       2010 CONGRESSIONAL RECEPTION SPONSORSHIP
(4) SANTA BARBARA NEIGHBORHOOD CLINICS1900 State Street Ste G
Santa Barbara,CA93101
77-0496382   25,000       ADULT DENTAL CARE PROJECT
(5) UC REGENTS1 Shields Ave
Tax Accounting
Davis,CA95616
95-2226406   25,000       CONTINUING EDUCATION GRANT
(6) UNITED WAY CALIFORNIA CAPITAL REGION10389 Old Placerville Rd
Sacramento,CA95826
23-7079003   43,254       MATCHING DONATIONS
(7) UNITED WAY OF GREATER LOS ANGELES523 WEST 6TH STREET
LOS ANGELES,CA90014
95-2274801   6,123       MATCHING DONATIONS
(8) UNITED WAY OF THE BAY AREA221 MAIN STREET
SUITE 300
SAN FRANCISCO,CA94105
94-1312348   31,953       MATCHING DONATIONS
(9) UNIVERSITY OF PENNSYLVANIA3451 WALNUT STREET
PHILADELPHIA,PA19104
23-1352685   25,000       CONTINUING EDUCATION SPONSORSHIP
(10) CALIFORNIA ACADEMY OF GENERAL DENTISTRY73 Castlewood Drive
Pleasanton,CA94566
94-2557207   25,000       CONTINUING EDUCATION GRANT
(11) NOVA SOUTHEASTERN UNIVERSITY3301 College Ave
Davie,FL33314
59-1083502   25,000       CONTINUING EDUCATION SPONSORSHIP
(12) ORAL HEALTH AMERICA410 N MICHIGAN AVE
STE 352
CHICAGO,IL60611
36-2382334   10,000       HEALTH & EDUCATION GRANT
(13) SAN DIEGO COUNTY OFFICE OF EDUCATION6401 Linda Vista Rd
San Diego,CA92111
95-6000935   17,000       SAN DIEGO SMILES PROGRAM
(14) UCSF - SCHOOL OF DENTISTRYPO BOX 0884
SAN FRANCISCO,CA94143
94-6036493   25,000       CONTINUING EDUCATION GRANT
(15) AMERICAN RED CROSSPO Box 37243
Washington,DC200137243
53-0196605   30,000       HAITIAN RELIEF FUND
(16) CARECEN1460 Columbia Rd NW
Suite C-1
Washington,DC20009
94-3036508   10,000       HEALTH & EDUCATION GRANT
(17) CDA FOUNDATION222 South Riverside Plaza
Suite 2100
Chicago,IL60606
68-0411536   25,000       2010 CAMBRA SYMPOSIUM
(18) COLUMBIA UNIVERSITY622 West 113th Street
Mail Code 4524
New York,NY10025
13-5598093   27,500       CONTINUING EDUCATION GRANT
(19) INTERAGENCY INSTITUTE FOR FEDERAL HEALTH CARE EXEC
 
 
07-7421512   14,600       ALUMNI DINNER SPONSORSHIP
(20) LA CLINICA DE LA RAZAPO Box 22210
Oakland,CA94623
94-1744108   12,500       COMMUNITY HEALTH EDUCATION PROGRAM
(21) NAT'L FOUND OF DENTISTRY FOR THE HANDICAPPED1800 15th Street Suite 100
Denver,CO80202
84-6129064   50,000       ANNUAL GRANT
(22) SAN FRANCISCO CHAMBER OF COMMERCE235 Montgomery Street
San Francisco,CA94104
94-0834950   8,200       CITYBEAT SUPPORTER SPONSORSHIP
(23) SAN MATEO MEDICAL CENTER222 W 39th Ave
San Mateo,CA94403
94-6000532   10,000       ELECTRONIC DENTAL RECORD PROJECT
(24) SANTA CLARA FAMILY HEALTH FOUNDATION210 E Hacienda Ave
Campbell,CA95008
27-2580630   10,300       MEASURE A DONATION
(25) SOCIETY OF AMERICAN INDIAN DENTISTSPO Box 9230
Surprize,AZ85374
20-5966903   30,000       GRANT FOR EXPANSION PROJECT
(26) UCLA SCHOOL OF DENTISTRY10833 Le Conte Ave
Los Angeles,CA90095
94-3191637   39,146       REDUCING MICROBIAL LEVELS IN HIGH RISK ADULTS
(27) UNIVERSITY OF ALABAMAPO Box 870142
Tuscaloosa,AL35487
63-6001138   25,000       CONTINUING EDUCATION SPONSORSHIP
(28) UNIV OF TX HEALTH SCIENCE CTR OF SAN ANTONIO7703 Floyd Curl Dr
San Antonio,TX78284
74-1586031   25,000       CONTINUING EDUCATION SPONSORSHIP
(29) UNIV OF TX DENTAL BRANCH Alumni AssocPO Box 56667
Houston,TX77256
74-1761309   10,000       PEDIATRIC DENTISTRY CLINIC SPONSORSHIP
(30) UNLV SCHOOL OF DENTAL MEDICINEMail Stop 122
Reno,NV89557
88-6000024   25,000       CONTINUING EDUCATION SPONSORSHIP
(31) WATTS HEALTHCARE CORP10300 Compton Ave
Los Angeles,CA900023628
75-3046480   20,000       HEALTH & RESEARCH GRANT
(32) MISCELLANEOUS ITEMS LESS THAN 5000
 
 
  100,348        
2
Enter total number of section 501(c)(3) and government organizations ......................... Bullet Image
83
3
Enter total number of other organizations ................................ . Bullet Image
 
For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2010

Schedule I (Form 990) 2010
Page 2
Part III
Grants and Other Assistance to Individuals in the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Use Schedule I-1 (Form 990) if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients
(c)Amount of
cash grant
(d)Amount of
non-cash assistance
(e)Method of valuation (book,
FMV, appraisal, other)
(f)Description of non-cash assistance
(1) STUDENT LEADERSHIP AWARDS   202,750      
(2) HISPANIC SCHOLARSHIP   200,000      











Part IV
Supplemental Information. Complete this part to provide the information required in Part I, line 2, and any other additional information.
Identifier Return Reference Explanation
Grant Approval PART I, Line 2 The organization awards grants for programs that foster dental health and education. Through these grants we help finance health, educational and research projects in dentistry, health and human services and civic and community affairs. The two grants are: (1)the Dental Health and Education Contribution, which supports dental health and awareness programs; and (2) the Standard Dental Research Grant, which supports professional research related to dental health. Grants are awarded to groups who: (1) provide dentistry for indigents; (2) provide dentistry for groups that are dentally underserved; (3) provide education to advance the awareness or the science of dentistry; (4) promote public dental health; and (5) are involved with community activities related to dental care. Grant Guidelines: Priority will go to projects that focus on issues related to the delivery of oral health care, including those with significant potential for improving oral health and reducing treatment costs. Priority consideration will go to researchers from the dental schools in the enterprise, but will not be limited to these institutions. Priority will go to two types of studies: (1) Pilot or feasibility studies likely to enhance the investigator's chance for long-term funding from other sources; and (2) complete projects considered to be of interest to the health, education and research fund, for which other sources of funds are traditionally not available or sufficient. Priority will go to studies that evaluate the outcome of preventative and treatment procedures. Retrospective studies or those involving analysis of existing data should be considered, rather than long-term follow-up studies, in order to reduce the years required to obtain data. Overhead charges within each eligible grant will be limited to eight percent. The fund will normally make one to two standard research grants per year. Individual grants will generally not exceed $40,000. Grants will be limited to one-year projects, subject to renewal. Except in special cases, an organization/entity will not be eligible for more than one grant during any year. A screening committee reviews all applications, with final grant decisions made by the fund's administrative committee.
Schedule I (Form 990) 2010


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Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
DELTA DENTAL OF CALIFORNIA
 
Employer identification number

94-1461312
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement orprovision of all the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
officers, directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the organization uses to establish the compensation of the
organization's CEO/Executive Director. Check all that apply.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ...............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? ........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? ........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regs. section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Privacy Act and Paperwork Reduction Act Notice, see the Intructions for Form 990
Cat. No. 50053T
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use Schedule J-1 if additional space needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.

Note. The sum of columns (B)(i)-(iii) must equal the applicable column (D) or column (E) amounts on Form 990, Part VII, line 1a.
(A) Name (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation
reported in prior
Form 990 or
Form 990-EZ
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1) GARY D RADINE (i)
(ii)
1,200,000
 
960,000
 
391,699
 
1,207,332
 
17,088
 
3,776,119
 
 
 
(2) ANTHONY S BARTH (i)
(ii)
750,192
 
350,000
 
35,212
 
802,636
 
23,647
 
1,961,687
 
 
 
(3) MICHAEL J CASTRO (i)
(ii)
500,096
 
250,000
 
53,204
 
509,591
 
23,647
 
1,336,538
 
 
 
(4) PATRICK S STEELE (i)
(ii)
500,096
 
275,000
 
43,113
 
1,565,497
 
17,088
 
2,400,794
 
 
 
(5) CHARLES LAMONT (i)
(ii)
389,404
 
220,000
 
44,552
 
1,496,441
 
17,088
 
2,167,485
 
 
 
(6) BELINDA MARTINEZ (i)
(ii)
375,069
 
100,000
 
58,494
 
8,799
 
16,788
 
559,150
 
 
 
(7) KEVIN JACKSON (i)
(ii)
270,039
 
67,500
 
24,925
 
9,710
 
23,197
 
395,371
 
 
 
(8) NILESH PATEL (i)
(ii)
360,218
 
90,000
 
16,802
 
13,317
 
8,477
 
488,814
 
 
 
(9) ALICIA WEBER (i)
(ii)
357,903
 
100,000
 
23,054
 
40,781
 
20,592
 
542,330
 
 
 
(10) TERRI ANDERSON (i)
(ii)
246,031
 
54,000
 
14,224
 
41,854
 
17,771
 
373,880
 
 
 
(11) KENNETH F BERNARDI (i)
(ii)
225,334
 
50,000
 
414,127
 
680
 
14,554
 
704,695
 
 
 
(12) DANIEL CROLEY (i)
(ii)
222,516
 
35,000
 
8,767
 
3,734
 
23,197
 
293,214
 
 
 
(13) RICK R DOERING (i)
(ii)
317,276
 
79,965
 
12,217
 
39,628
 
23,197
 
472,283
 
 
 
(14) PATRICK HENRY (i)
(ii)
232,644
 
50,000
 
18,749
 
17,627
 
16,765
 
335,785
 
 
 
(15) EVA HOFFMAN (i)
(ii)
221,206
 
45,000
 
7,304
 
9,848
 
23,651
 
307,009
 
 
 
(16) KATHY JONZZON (i)
(ii)
233,519
 
25,865
 
8,158
 
28,217
 
23,197
 
318,956
 
 
 
(17) J DOUGLAS KONOVALOFF (i)
(ii)
188,447
 
25,000
 
32,967
 
7,185
 
23,651
 
277,250
 
 
 
(18) GARRET LEAF (i)
(ii)
265,658
 
70,000
 
8,771
 
10,845
 
24,062
 
379,336
 
 
 
(19) JAMAL NASR (i)
(ii)
242,927
 
59,700
 
14,158
 
16,411
 
23,197
 
356,393
 
 
 
(20) MOHAMMADREZA NAVID (i)
(ii)
228,992
 
103,100
 
21,502
 
13,202
 
8,431
 
375,227
 
 
 
(21) DUANE PROFEIT (i)
(ii)
228,500
 
45,600
 
14,868
 
50,420
 
20,465
 
359,853
 
 
 
(22) KATHERINE WATTS (i)
(ii)
214,575
 
50,627
 
7,721
 
20,183
 
16,638
 
309,744
 
 
 
(23) TOM WONG (i)
(ii)
270,046
 
60,000
 
9,336
 
13,844
 
23,197
 
376,423
 
 
 
(24) KEVIN O'TOOLE (i)
(ii)
169,969
 
114,283
 
8,701
 
14,325
 
23,107
 
330,385
 
 
 
(25) THOMAS W BURDEN (i)
(ii)
154,649
 
10,000
 
11,245
 
15,618
 
16,081
 
207,593
 
 
 
(26) JEFFREY M ALBUM (i)
(ii)
220,064
 
53,223
 
9,588
 
17,134
 
23,197
 
323,206
 
 
 
(27) HARI MAKKALA (i)
(ii)
279,035
 
51,000
 
9,154
 
9,680
 
8,431
 
357,300
 
 
 
(28) CARLA ANGULO (i)
(ii)
86,280
 
174,664
 
9,259
 
31,254
 
8,515
 
309,972
 
 
 
(29) VALERIE LAYNE (i)
(ii)
206,384
 
23,301
 
22,084
 
39,969
 
23,107
 
314,845
 
 
 
(30) ESTHER MARCIAL (i)
(ii)
77,852
 
225,072
 
8,558
 
20,402
 
23,596
 
355,480
 
 
 
(31) Jeffrey Seybold (i)
(ii)
185,000
 
22,500
 
16,401
 
35,704
 
23,644
 
283,249
 
 
 
(32) John Yamamoto (i)
(ii)
200,115
 
25,000
 
4,970
 
15,945
 
23,190
 
269,220
 
 
 
(33) Stephen Adamson (i)
(ii)
 
175,385
 
 
 
79,645
 
11,009
 
9,378
 
275,417
 
 
(34) Sciona Williamson (i)
(ii)
82,875
 
273,435
 
13,001
 
29,210
 
6,640
 
405,161
 
 
 
Schedule J (Form 990) 2010

Schedule J (Form 990) 2010
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 4c, 5a, 5b, 6a, 6b, 7, and 8. Also complete this part for any additional information.
Identifier Return Reference Explanation
Expense Reimbursement PART I, LINE 1a First-Class travel--First class business travel is reimbursed to the Executive Vice Presidents. First class business travel for Senior Vice Presidents and Group Vice Presidents is reimbursed only when approval is received from their Executive Vice President. First class business travel is not treated as taxable compensation. Health or social club dues--The President and Executive Vice Presidents may be reimbursed for one health or social club upon approval by the President. Two senior executives received this benefit in 2010. The cost of this benefit is included in taxable compensation. Personal Services--Financial and tax planning expenses are reimbursed to employees who are at the Director or above level of management. There is a company policy outlining the maximum reimbursement allowed for each management level. These reimbursements are included in taxable compensation of the reimbursed employees.
Non-Fixed Compensation Payments PART I, LINE 7 The President of the organization, with Board of Directors approval, may grant an annual bonus to all management employees. Any bonus amounts granted are included in the taxable compensation reported herein.
Supplemental Non-Qualified Retirement Plan PART I, LINE 4b The organization provides a supplemental non-qualified retirement plan to certain of its senior executives as selected by the Board of Directors. The supplemental retirement benefit is based on each executive's compensation and years of service to the enterprise. The benefit is subject to risk of forfeiture if required years of service are not met. Annual deferred compensation related to this plan is reported in Schedule J, Part II, Column C for each participant and reflects the current year increase or decrease in the organization's pension benefit obligation (PBO), calculated pursuant to generally accepted accounting principles. The PBO increase or decrease includes changes in actuarial assumptions (e.g., applicable discount rate), as well as changes in compensation and years of service. In 2010, eight executives participated in the plan - Anthony Barth, Michael Castro, Kathy Jonzzon, Douglas Konovaloff, Charles Lamont, Belinda Martinez, Gary Radine, and Patrick Steele.
Schedule J (Form 990) 2010

Additional Data


Software ID:  
Software Version:  
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V lines 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBulletSee separate instructions.
OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
DELTA DENTAL OF CALIFORNIA
 
Employer identification number

94-1461312
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501 (c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Description of transaction (c) Corrected?
Yes No





2
Enter the amount of tax imposed on the organization managers or disqualified persons during the year under section 4958. ......................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 26, or Form 990-EZ, Part V, line 38a.
(a) Name of interested person and purpose (b) Loan to or from the organization? (c)Original principal amount (d)Balance due (e) In default? (f) Approved by board or committee? (g)Written agreement?
To From Yes No Yes No Yes No
Total ...............Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b)Relationship between interested person and the organization (c)Amount of grant or type of assistance
For Privacy Act and Paperwork Reduction Act Notice, see the
Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2010
Schedule L (Form 990 or 990-EZ) 2010
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Allied Administrators David Walker 3,809,939 Broker Administration   No
(2) R Kent Farnsworth DDS Participating Provider 439,208 Dental Claim Payments   No
(3) Gregory D Kaplan DDS Participating Provider 283,977 Dental Claim Payments   No
(4) Coragene I Savio DDS Participating Provider 226,416 Dental Claim Payments   No
(5) Douglas D Cassat DDS Participating Provider 228,332 Dental Claim Payments   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2010
Open to Public
Inspection
Name of the organization
DELTA DENTAL OF CALIFORNIA
 
Employer identification number

94-1461312
Identifier Return Reference Explanation
Governing Body and Management Part VI, SECTION A Lines 6-7: The organization has two classes of members, Corporate Members and Dentist Members. The Corporate Members vote on persons nominated as directors and Corporate Members for endorsement to the organization's parent holding company, Dentegra Group, Inc., which elects the directors and Corporate Members. The Corporate Members also must approve any proposed merger or dissolution of the organization and any changes to specified Bylaws provisions. The Dentist Members have a right to vote only upon proposed changes to the Bylaws provisions that specify the proportion of dentists and lay persons serving as directors and Corporate Members.
Policies Part VI, SECTION B Line 11: The organization's CFO and legal counsel oversee the completion of the Form 990, and review it with the President/CEO and with the Board of Directors' Audit and Finance Committees prior to filing. Line 12c: Each director is required to complete a Conflict of Interest Disclosure Statement annually, and between annual statements is required to disclose any new position or relationship formed that potentially raises a conflict of interest. Legal counsel reviews these disclosures and reports the information to the full board of directors. Line 14: A draft document retention and destruction policy is under consideration pending the testing of associated software being installed for management of electronic records. Lines 15a and b: Compensation paid to the CEO, executive vice presidents and senior vice presidents is approved by the Executive Committee of the organization's Board of Directors. The committee approves compensation for the ensuing year after reviewing comparability data presented by an independent outside compensation consultant, an assessment of each officer's performance over the preceding year and the organization's program accomplishments for the year. This process was followed for 2010 compensation. Line 19: The organization annually includes major portions of its financial statement in a published annual report that is made available to persons or entities known to have an interest in the organization, and is available to the larger public upon request. The organization does not make its governing documents or conflict of interest policy available to the public.
Transactions with Interested Persons Schedule L, Part IV During the report year, organization director David Walker was President of Allied Administrators.
Delta Dental Enterprise Form 990, Part VII; Schedule J; Schedule R The organization, regulated by the California Department of Managed Health Care, is a member of the Delta Dental of California enterprise companies, which include Delta Dental of California, Delta Dental of Pennsylvania and affiliated companies operating in 15 states, the District of Columbia, Puerto Rico and the U.S. Virgin Islands. The enterprise companies comprise one of the nation's largest dental benefits delivery systems covering 24.2 million enrollees and handling 36 million claims. Total revenue for the enterprise exceeded $6.3 billion in 2010. The organization represents approximately 75% of total enterprise revenues.
Other Changes in Net Assets Part XI, Line 5 Pension liability and post-retirement adjustments $( 3,962,679) Net unrealized gains (losses) on investments 10,351,437 ------------ Total other changes in Net Assets $ 6,388,758
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:GARY D. RADINE TITLE:PRESIDENT/CEO HOURS:9
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ANTHONY S. BARTH TITLE:EVP/COO HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:MICHAEL J. CASTRO TITLE:EVP/CFO HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:PATRICK S. STEELE TITLE:EVP/CIO HOURS:6
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:CHARLES LAMONT TITLE:EVP/CLO HOURS:8
HOURS DEVOTED FOR RELATED ORGANIZATION FORM 990 PART VII NAME:ALICIA WEBER TITLE:SVP/Controller HOURS:7
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2010

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2010
Open to Public Inspection
Name of the organization
DELTA DENTAL OF CALIFORNIA
 
Employer identification number

94-1461312
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" on Form 990, Part IV, line 33.)
(a)
Name, address, and EIN of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income



(e)
End-of-year assets


(f)
Direct controlling
entity









(1) CELEBRATION DENTAL SERVICES LLC
100 First Street
San Francisco,CA94105
59-3410497
DENTAL SVCS FL     Delta Dental
 
(2) DENTEGRA INSURANCE HOLDINGS LLC
100 First Street
San Francisco,CA94105
94-3386049
HLDNG CMPNY DE     DENTEGRA INS
 








Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section



(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled organization
Yes No
(1) F Gene Dixon Foundation

100 First Street

San Francisco,CA94105
37-1570764
Charitable CA 501(c)(3) PF Dentegra Gro
 
 
 
(2) Delta Dental of Pennsylvania

One Delta Drive

Mechanicsburg,PA17055
23-1667011
Dental Ins PA 501(c)(4)   Dentegra Gro
 
 
 
(3) Delta Dental of Delaware

One Delta Drive

Mechanicsburg,PA17055
51-0228088
Dental Ins DE 501(c)(4)   Dentegra Gro
 
 
 
(4) Delta Dental of West Virginia

One Delta Drive

Mechanicsburg,PA17055
55-0523124
Dental Ins WV 501(c)(4)   Dentegra Gro
 
 
 
(5) Delta Dental of the District of Columbia

One Delta Drive

Mechanicsburg,PA17055
52-1479587
Dental Ins DC 501(c)(4)   Dentegra Gro
 
 
 




For Privacy Act and Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) PACA Management LLC

One Delta Drive
Mechanicsburg,PA17055
94-3277375
Ins. Mgmt. DE NA
 
        No       50.000 %












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of related organization



(b)
Primary activity



(c)
Legal domicile
(state or
foreign
country)
(d)
Direct controlling
entity


(e)
Type of entity
(C corp, S corp,
or trust)

(f)
Share of total income



(g)
Share of
end-of-year
assets

(h)
Percentage
ownership


(1) DENTEGRA GROUP INC
100 First Street
San Francisco,CA94105
94-3386049
HLDG COMP DE NA
 
C CORP      
(2) DENTEGRA INSURANCE COMPANY
100 First Street
San Francisco,CA94105
75-1233841
INSURANCE COM DE Delta Dental of
 
C CORP     80.000 %
(3) DENTEGRA INS CO-NE
100 First Street
San Francisco,CA94105
04-2890218
INSURANCE COM MA Delta Dental of
 
C CORP     100.000 %
(4) DELTA DENTAL INSURANCE CO
100 First Street
San Francisco,CA94105
94-2761537
INSURANCE COM DE Delta Dental of
 
C CORP     88.140 %
(5) ALPHA DENTAL OF NEVADA INC
12898 Towne Center Drive
Cerritos,CA90703
88-0244893
INSURANCE COM NV Delta Dental of
 
C CORP     100.000 %
(6) ALPHA DENTAL OF UTAH INC
12898 Towne Center Drive
Cerritos,CA90703
86-0672505
INSURANCE COM UT Delta Dental of
 
C CORP     100.000 %
(7) ALPHA DENTAL PROGRAMS INC
12898 Towne Center Drive
Cerritos,CA90703
74-2447512
INSURANCE COM TX Delta Dental of
 
C CORP     100.000 %
(8) ALPHA DENTAL OF ALABAMA INC
12898 Towne Center Drive
Cerritos,CA90703
63-0796079
INSURANCE COM AL Delta Dental of
 
C CORP     100.000 %
(9) ALPHA DENTAL OF NEW MEXICO INC
12898 Towne Center Drive
Cerritos,CA90703
33-0279230
INSURANCE COM NM Delta Dental of
 
C CORP     100.000 %
(10) ALPHA DENTAL OF ARIZONA INC
12898 Towne Center Drive
Cerritos,CA90703
93-0939835
INSURANCE COM AZ Delta Dental of
 
C CORP     100.000 %
(11) DENTEGRA SEGUROS DENTALES SA
Insurgentes Sur 826 Piso 15
Col Del Valle   FCDF03
MX
INSURANCE COM MX DENTEGRA INSURA
 
C CORP      
(12) Delta Dental of Puerto Rico Inc
14 Calle 2 Suite 200
Guaynabo   00968
RQ
66-0436769
Insurance Com RQ Delta Dental of
 
C Corp     54.596 %
(13) Delta Reinsurance Corporation
CGI Tower 2nd Floor
Warrens,St. Michael  
BB
98-0096711
Insurance Com BB DELTA DENTAL OF
 
C Corp     0.421 %
(14) SERVICIOS DENTALES DENTEGRA SA DE CV
INSURGENTES SUR 826 PISC 15
FC,COL DEL VALLE  
MX
INS ADMIN MX DENTEGRA INSURA
 
C CORP      
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35, 35A, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III or IV.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Sale of assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Purchase of assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Exchange of assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Lease of facilities, equipment, or other assets to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Performance of services or membership or fundraising solicitations for other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations by other organization(s) . . . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Sharing of facilities, equipment, mailing lists, or other assets . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1m
 
No
n Sharing of paid employees . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Reimbursement paid to other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
Yes
 
p Reimbursement paid by other organization for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Other transfer of cash or property to other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property from other organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization
(b)
Transaction
type(a-r)
(c)
Amount involved
(d)
Method of determining amount involved
(1) Dentegra Insurance Company

o 1,173  
(2) Dentegra Insurance Company

p 22,624,909  
(3) Dentegra Insurance Company of New England

p 793,610  
(4) Delta Dental Insurance Company

a 2,100,000  
(5) Delta Dental Insurance Company

k 25,399,538  
(6) Delta Dental Insurance Company

l 17,159,767  
(7) Delta Dental Insurance Company

o 758,729  
(8) Delta Dental Insurance Company

p 21,674,442  
(9) Alpha Dental of Nevada Inc

p 181,485  
(10) Alpha Dental of Utah Inc

p 25,362  
(11) Alpha Dental Programs Inc

p 1,469,460  
(12) Alpha Dental of Alabama Inc

p 70,459  
(13) Alpha Dental of New Mexico Inc

p 6,299  
(14) Alpha Dental of Arizona Inc

p 62,811  
(15) Delta Dental of Pennsylvania

a 142,500  
(16) Delta Dental of Pennsylvania

k 8,698,398  
(17) Delta Dental of Pennsylvania

l 13,837,367  
(18) Delta Dental of Pennsylvania

o 43,785  
(19) Delta Dental of Pennsylvania

p 6,109,923  
(20) Delta Dental of the District of Columbia

p 1,887,425  
Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" on Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Are all
partners
section
501(c)(3)
organizations?
(e)
Share of
end-of-year
assets
(f)
Disproprtionate allocations?
(g)
Code V—UBI
amount in box
20 of Schedule K-1
(Form 1065)
(h)
General or
managing
partner?
Yes No Yes No Yes No






























Schedule R (Form 990) 2010
Schedule R (Form 990) 2010
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation
Additional Data


Software ID:  
Software Version: