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 private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
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 province, country, and ZIP or foreign postal code
SAN FRANCISCO, CA94105
D Employer identification number

94-1461312
E Telephone number

G Gross receipts $ 5,404,068,791
F Name and address of principal officer:
MICHAEL J CASTRO
100 FIRST STREET
SAN FRANCISCO,CA94105
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.DELTADENTALINS.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
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 12
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 2,088
6 Total number of volunteers (estimate if necessary) ............. 6 0
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 -247,844
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 0 0
9 Program service revenue (Part VIII, line 2g) ......... 4,717,648,513 5,300,932,834
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 17,081,248 20,709,088
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) -34,231,817 -3,546,019
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 4,700,497,944 5,318,095,903
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 1,382,745 1,514,693
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 4,139,632,023 4,710,789,029
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 269,596,488 284,306,565
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–24e).... 197,482,596 225,645,472
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 4,608,093,852 5,222,255,759
19 Revenue less expenses. Subtract line 18 from line 12....... 92,404,092 95,840,144
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 1,575,285,367 1,614,974,955
21 Total liabilities (Part X, line 26)............. 884,498,179 809,480,389
22 Net assets or fund balances. Subtract line 21 from line 20..... 690,787,188 805,494,566
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 Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line 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 organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations 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 $ 5,149,337,243 including grants of $   ) (Revenue $ 5,318,095,903 )
THE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 22,084,000 BENEFICIARIES IN 2014, PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS. INCLUDED WERE 11,402,000 ENROLLEES IN MEDI-CAL AND OTHER PUBLICLY-SPONSORED DENTAL BENEFIT PROGRAMS ADMINISTERED BY THE ORGANIZATION, AS WELL AS 1,429,000 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 $4,710,789,000 FOR DENTAL CARE DURING 2014.
4b (Code:   ) (Expenses $ 1,514,693 including grants of $ 1,514,693 ) (Revenue $   )
THE ORGANIZATION MADE GRANTS DURING 2014 TO FOSTER IMPROVED ACCESSTO DENTAL HEALTH CARE TREATMENT, TO SUPPORT PROFESSIONAL DENTALEDUCATION AND TO PROVIDE ORAL HEALTH INSTRUCTION FOR PATIENTS.
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet5,150,851,936
Form 990 (2014)
Form 990 (2014)
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 (see instructions)? ...
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, or have a section 501(h) election in effect during the tax year? 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 for which 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 IClick 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 for escrow or custodial account liability; 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 IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, 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, line 10?
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 VIIClick to see attachment.......
11b
Yes
 
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 VIIIClick 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 IXClick 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 XClick 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 XClick 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 and XII 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 and XII 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, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
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 (see instructions) ....
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
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government 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 or other assistance to or for domestic individuals 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, line 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 lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................
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), 501(c)(4), and 501(c)(29) 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
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? 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 employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? 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 direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
 
No
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, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, 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
35b
 
No
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 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
109,101
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
2,088
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” to line 3b, 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, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
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 as charitable contributions?...
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.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring 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. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the 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 amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
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 or note to any line 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
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
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
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
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
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
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 15a or 15b, 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," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take 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 made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletMICHAEL J CASTRO CFO

100 FIRST STREET
SAN FRANCISCO,CA94105 (415) 972-8300
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line 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. 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 organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) ANDREW J REID........................................................................
CHAIRMAN OF THE BOARD / DIRECTOR
 2.00
.......................   		X           168,079 0 0
(2) STEPHEN R PICKERING DDS........................................................................
FIRST VICE CHAIRMAN / DIRECTOR
 1.00
.......................   		X           142,000 0 0
(3) LYNN L FRANZOI........................................................................
SECOND VICE CHAIR / DIRECTOR
 1.00
.......................   		X           110,579 0 0
(4) DEVANG M GANDHI DDS........................................................................
SECRETARY/DIRECTOR
 1.00
.......................   		X           144,420 0 0
(5) TERRY A O'TOOLE........................................................................
TREASURER/DIRECTOR
 2.00
.......................   		X           186,000 0 0
(6) GLEN F BERGERT CPA........................................................................
DIRECTOR
 2.00
.......................1.00 		X           186,878 27,972 0
(7) BARBARA J BURGEL........................................................................
DIRECTOR
 1.00
.......................   		X           75,500 0 0
(8) D DOUGLAS CASSAT DDS........................................................................
DIRECTOR
 1.00
.......................   		X           78,500 0 0
(9) R KENT FARNSWORTH DDS........................................................................
DIRECTOR
 1.00
.......................   		X           128,579 0 0
(10) ROY GONELLA........................................................................
DIRECTOR
 1.00
.......................   		X           74,579 0 0
(11) GREGORY D KAPLAN DDS........................................................................
DIRECTOR
 1.00
.......................   		X           75,642 0 0
(12) BEVERLY A KODAMA DDS........................................................................
DIRECTOR
 1.00
.......................   		X           83,579 0 0
(13) STEVEN F MCCANN........................................................................
DIRECTOR
 2.00
.......................   		X           188,079 0 0
(14) JO BONITA RAINS........................................................................
DIRECTOR
 1.00
.......................   		X           81,500 0 0
(15) CORAGENE I SAVIO DDS........................................................................
DIRECTOR
 1.00
.......................   		X           68,500 0 0
(16) THOMAS A ZIMMERMAN........................................................................
DIRECTOR
 2.00
.......................   		X           106,010 0 0
(17) GARY D RADINE........................................................................
PRESIDENT/CEO
 48.00
.......................12.00 		    X       4,332,864 0 435,375
Form 990 (2014)
Form 990 (2014)
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 (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(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; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) ANTHONY S BARTH........................................................................
EVP/COO
 40.00
.......................10.00 		    X       1,963,022 0 3,883,325
(19) MICHAEL J CASTRO........................................................................
EVP/CFO
 40.00
.......................10.00 		    X       1,340,198 0 2,190,161
(20) MICHAEL HANKINSON........................................................................
EVP/CLO
 40.00
.......................10.00 		    X       843,255 0 58,166
(21) PATRICK S STEELE........................................................................
EVP/CIO
 40.00
.......................10.00 		    X       11,166,136 0 2,441,976
(22) RICK R DOERING........................................................................
SR. VICE PRES.
 40.00
.......................10.00 		    X       797,033 0 59,326
(23) PATRICK HENRY........................................................................
SR. VICE PRES.
 50.00
.......................0.00 		    X       536,708 0 60,317
(24) BELINDA MARTINEZ........................................................................
SR. VICE PRES.
 40.00
.......................10.00 		    X       980,396 0 2,489,983
(25) NILESH C PATEL........................................................................
SR. VICE PRES.
 40.00
.......................10.00 		    X       898,791 0 46,267
(26) ALICIA WEBER........................................................................
SR. VICE PRES.
 40.00
.......................10.00 		    X       800,642 0 62,779
(27) KEVIN JACKSON........................................................................
GRP. VICE PRES.
 40.00
.......................10.00 		    X       557,614 0 67,934
(28) STEPHEN ADAMSON........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       24,441 0 6,043
(29) JEFFREY M ALBUM........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       411,277 0 70,601
(30) TERRI ANDERSON........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       383,821 0 65,482
(31) RUSSELL BRADLEY........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       179,365 0 15,617
(32) DANIEL CROLEY........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       405,521 0 68,089
(33) EVA HOFFMAN........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       371,058 0 67,300
(34) GARRETT LEAF........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       258,007 0 13,792
(35) THOMAS LEIBOWITZ........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       379,075 0 48,478
(36) HARI MAKKALA........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       559,985 0 46,790
(37) BOB MENHART........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       247,326 0 35,878
(38) JAMAL NASR........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       382,241 0 66,127
(39) MOHAMMADREZA NAVID........................................................................
VICE PRES.
 50.00
.......................0.00 		    X       486,706 0 44,282
(40) DUANE PROFEIT........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       360,865 0 72,210
(41) JOSEPH RUIZ........................................................................
VICE PRES.
 50.00
.......................0.00 		    X       357,188 0 61,499
(42) MARTY A SHEETZ........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       162,222 165,109 72,716
(43) TOM WONG........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       449,890 0 65,046
(44) JOHN YAMAMOTO........................................................................
VICE PRES.
 40.00
.......................10.00 		    X       347,456 0 65,164
(45) ELISE POMERANTZ-WATZKA........................................................................
DIRECTOR COMPENSATION & BE
 40.00
.......................0.00 		        X   284,230 0 57,969
(46) MELISSA GEE........................................................................
DIRECTOR & CORPORATE COUNS
 40.00
.......................0.00 		        X   292,601 0 44,446
(47) STEPHEN LOWRY........................................................................
DIRECTOR SALES
 50.00
.......................0.00 		        X   299,224 0 40,943
(48) J DOUGLAS KONOVALOFF........................................................................
DIRECTOR FEDERAL SVC OPERATIONS
 50.00
.......................0.00 		        X   270,784 0 219,940
(49) KEVIN O'TOOLE........................................................................
DIRECTOR SALES
 50.00
.......................0.00 		        X   275,655 0 64,438
(50) CHARLES LAMONT........................................................................
FORMER EVP/CLO
 0.00
.......................0.00 		          X 585,615 0 6,503
(51) CHARLES LAMONT........................................................................
CONSULTANT/FORMER OFFICER
 10.00
.......................0.00 		          X 210,000 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 34,099,636 193,081 13,114,962
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet586
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. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
RAUXA DIRECT

275 A MCCORMICK AVE
COSTA MESA,CA92626 		ADVERTISING SERVICES 8,984,185
HP ENTERPRISE SERVICES LLC

PO BOX 848433
DALLAS,TX75284 		CONSULTING SERVICES 7,839,685
CATALYST360 LLC

4 WALNUT GROVE DR
HORSHAM,PA19044 		CONSULTING SERVICES 7,142,297
KP CORPORATION

DEPT LA 23670
PASADENA,CA91185 		CONSULTING SERVICES 5,934,593
WASHINGTON DENTAL SERVICE

PO BOX 75688
SEATTLE,WA98125 		DENTAL CLAIMS PROCESSING SERVICES 5,240,393
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet71
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service RevenueAmt Business Code
2a PROFESSIONAL SERVICES 524114 3,926,485,067 3,926,485,067    
b FEES & CONTRACTS FROM GOVERNMENT 524114 1,374,447,767 1,374,447,767    
c
d
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 5,300,932,834
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 20,708,183 20,708,183    
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(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 85,973,793  
b Less: cost or other basis and sales expenses 85,972,888  
c Gain or (loss) 905  
d Net gain or (loss)..........MediumBullet 905 905    
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      
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        
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        
Miscellaneous Revenue Business Code
11a INCOME/LOSS FROM SUBSIDIARIES 524298 15,603,783 15,603,783    
b MANAGEMENT FEE INCOME 524298 3,692,255 3,692,255    
c MISC INCOME 524298 364,443 364,443    
d All other revenue .... -23,206,500 -23,206,500    
e Total. Add lines 11a–11d ...... MediumBullet -3,546,019
12 Total revenue. See Instructions......MediumBullet 5,318,095,903 5,318,095,903 0 0
Form 990 (2014)
Form 990 (2014)
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).Check if Schedule O contains a response or note to any line in this Part IX ...............
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 domestic organizations and domestic governments. See Part IV, line 21 .... 1,092,193 1,092,193
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 422,500 422,500
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............    
4 Benefits paid to or for members .... 4,710,789,029 4,710,789,029
5 Compensation of current officers, directors, trustees, and key employees .... 46,981,199   46,981,199  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....        
7 Other salaries and wages .... 176,870,771 161,570,084 15,300,687  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 12,840,741 11,790,468 1,050,273  
9 Other employee benefits ....... 36,607,036 34,007,719 2,599,317  
10 Payroll taxes ........... 11,006,818 10,167,466 839,352  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 3,423,752 3,253,111 170,641  
c Accounting ........... 1,594,784 616,550 978,234  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 405,864 405,864    
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ....        
12 Advertising and promotion .... 2,601,153 2,496,940 104,213  
13 Office expenses ....... 27,109,271 26,843,521 265,750  
14 Information technology ...... 32,904,518 32,725,956 178,562  
15 Royalties .. 10,411,224 9,978,090 433,134  
16 Occupancy ........... 21,193,088 19,362,971 1,830,117  
17 Travel ............ 4,883,711 4,070,965 812,746  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ......        
19 Conferences, conventions, and meetings .... 653,928 530,490 123,438  
20 Interest ........... 142,744 142,744    
21 Payments to affiliates ....... 2,271,161 2,227,468 43,693  
22 Depreciation, depletion, and amortization ..... 27,565,056 27,177,796 387,260  
23 Insurance .............. 967,474 967,474    
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a BROKER FEES 43,055,205 43,055,205    
b CONSULTANT FEES 32,474,200 30,210,966 2,263,234  
c ACA TAX 16,516,204 16,516,204    
d OUTSIDE SERVICES 12,166,641 11,967,739 198,902  
e All other expenses -14,694,506 -11,537,577 -3,156,929  
25 Total functional expenses. Add lines 1 through 24e 5,222,255,759 5,150,851,936 71,403,823 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 183,621,640 1 76,565,901
2 Savings and temporary cash investments ......... 64,161,919 2 30,824,946
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 291,061,448 4 375,773,512
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net ............. 65,750,000 7 75,750,000
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 18,216,631 9 17,867,793
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 534,583,903
b Less: accumulated depreciation ..... 10b 303,698,424 236,224,671 10c 230,885,479
11 Investments—publicly traded securities .......... 592,782,937 11 647,976,402
12 Investments—other securities. See Part IV, line 11 ..... 79,683,953 12 101,380,686
13 Investments—program-related. See Part IV, line 11 .....   13 15,000,000
14 Intangible assets ............... 6,295,206 14 6,295,206
15 Other assets. See Part IV, line 11 ........... 37,486,962 15 36,655,030
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 1,575,285,367 16 1,614,974,955
Liabilities 17 Accounts payable and accrued expenses ......... 544,769,259 17 468,777,891
18 Grants payable .................   18  
19 Deferred revenue ................ 66,180,204 19 70,078,417
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other 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 ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 273,548,716 25 270,624,081
26 Total liabilities. Add lines 17 through 25......... 884,498,179 26 809,480,389
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), 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 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........ 0 30 0
31 Paid-in or capital surplus, or land, building or equipment fund ..... 0 31 0
32 Retained earnings, endowment, accumulated income, or other funds 690,787,188 32 805,494,566
33 Total net assets or fund balances ........... 690,787,188 33 805,494,566
34 Total liabilities and net assets/fund balances ........ 1,575,285,367 34 1,614,974,955
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
5,318,095,903
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
5,222,255,759
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
95,840,144
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
690,787,188
5
Net unrealized gains (losses) on investments ...............
5
9,473,085
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
9,394,149
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
805,494,566
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line 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
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 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?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
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 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
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, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 value of contributions to (during year)    
3 Aggregate value of 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 can 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 through 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, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax 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 section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, 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 (ASC 958), 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 XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), 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)
Revenue 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 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, 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 XIII.
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 XIII 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, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and 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 current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
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 XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (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 ............   32,759,060 25,422,755 7,336,305
d Equipment ................   49,815,898 40,186,678 9,629,220
e Other .................   452,008,945 238,088,991 213,919,954
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 230,885,479
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. 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    
(3)Other
(A) INVESTMENT IN SUBSIDIARIES 		101,380,686 C








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 101,380,686
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
ACCRUED RETIREMENT BENEFITS 61,669,511
DEFERRED COMPENSATION PLANS 36,467,618
GROUP PREFUNDING DEPOSITS 11,142,312
REFUNDABLE GROUP BALANCES 161,344,640





Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 270,624,081
2. Liability for uncertain tax positions. In Part XIII, 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 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1 3,295,959,903
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e 0
3 Subtract line 2e from line 1..................... 3 3,295,959,903
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 XIII.) ........... 4b 2,022,136,000
c Add lines 4a and 4b....................... 4c 2,022,136,000
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 5,318,095,903
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1 3,200,119,759
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 XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e 0
3 Subtract line 2e from line 1..................... 3 3,200,119,759
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 XIII.) ............ 4b 2,022,136,000
c Add lines 4a and 4b....................... 4c 2,022,136,000
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 5,222,255,759
Part XIII
Supplemental Information
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, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
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 HOW UNCERTAINTIES IN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. POSITIONS INCLUDE THOSE WITH RESPECT TO THE COMPANY'S TAX EXEMPT STATUS AND WITH RESPECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. THE COMPANY HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN UNCERTAINTIES REQUIRING RECOGNITION.
PART XI, LINE 4B - OTHER ADJUSTMENTS: ADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE
PART XII, LINE 4B - OTHER ADJUSTMENTS: CLAIMS INCURRED FOR ADMINISTRATIVE SERVICE CONTRACTS
Schedule D (Form 990) 2014

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.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC 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) CADP
ONE CAPITOL MALL SUITE 320
SACRAMENTO,CA95814 		33-0385553 501(C)(6) 7,000       SPONSORSHIP ANNUAL CONFERENCE, 6/5-8/14
(2) CALAVERAS CHILDREN'S DENTAL PROJECT
C/O CALAVERAS COUNTY OFFICE OF
EDUCATION PO BOX 2762
MURPHYS,CA95247 		94-1638758   20,000       HEALTH, RESEARCH & EDUCATION GRANT
(3) CALIFORNIA ACADEMY OF GENERAL DENTISTRY
2063 MAIN STREET 418
OAKLEY,CA945613302 		94-2557207 501(C)(3) 20,000       SPONSORSHIP FOR CE COURSE 11-15-14
(4) CAMBRA COALITION
804 RIVAGE CIRCLE
FOLSOM,CA95630 		46-0633229 501(C)(3) 5,000       SPONSORSHIP FOR CONFERENCE ON 11/07/14
(5) CHALLENGED ATHLETES FOUNDATION
9591 WAPLES ST
SAN DIEGO,CA92121 		33-0739596 501(C)(3) 6,000       CONTRIBUTION
(6) CHILDREN'S ORAL HEALTH INSTITUTE
9199 REISTERTOWN RD 203A
OWINGS MILLS,MD21117 		52-2048036   10,000       SPONSORSHIP: "LESSONS IN A LUNCHBOX"
(7) COMMUNITY CLINIC ASSOCIATION OF LA COUNTY
700 S FLOWER STE 3150
LOS ANGELES,CA90017 		95-4576023 501(C)(3) 8,000       THE LOS ANGELES DENTAL FORUM
(8) DELTA DENTAL COMMUNITY CARE FOUNDATION
100 FIRST ST
SAN FRANCISCO,CA94105 		37-1570764 501(C)(3) 431,000       CONTRIBUTION TO THE FOUNDATION FROM DDC
(9) FINE ARTS MUSEUM
GOLDEN GATE PARK 50 HAGIWARA TEA
GARDEN DR
SAN FRANCISCO,CA94118 		94-3045948 501(C)(3) 5,000       CORPORATE COMMUNITY CONTRIBUTION
(10) HENRY M JACKSON FOUNDATION
ADVANCEMENT OF MILITARY MEDICINE
INC 6720 A ROCKLEDGE DR STE 100
BETHESDA,MD20817 		52-1317896 501(C)(3) 10,000       2014 CONTRIBUTION
(11) INTERAGENCY INSTITUTE FOR FEDERAL HEALTH CARE EXECUTIVES
THE GEORGE WASHINGTON UNIVERSITY
MEDICAL CENTER 5325 MACARTHUR BLVD
WASHINGTON,DC20016 		07-7421512   16,500       CONTRIBUTION FOR CONTINUING EDUCATION
(12) LA CLINICA DE LA RAZA
PO BOX 22210
OAKLAND,CA946232210 		94-1744108 501(C)(3) 5,000       GRANT FOR "ALL THAT JAZZ" EVENT
(13) NATIONAL ASSOCIATION OF DENTAL PLANS
12700 PARK CENTRAL DR SUITE 400
DALLAS,TX75251 		75-2801959 501(C)(6) 5,000       CONVERGE 2014 SPONSORSHIP
(14) NATIONAL CHILDREN'S ORAL
HEALTH FOUNDATION 4108 PARK RD STE
300
CHARLOTTE,NC28209 		20-3921574 501(C)(3) 50,000       ORAL HEALTH ZONE IN ORANGE COUNTY, CA
(15) NATIONAL GUARD YOUTH FOUNDATION
1001 N FAIRFAX ST STE 205
ALEXANDRIA,VA22314 		54-1940978 501(C)(3) 8,000       CONTRIBUTION
(16) NATIONAL MILITARY FAMILY ASSOCIATION
3601 EISENHOWER AVE STE 425
ALEXANDRIA,VA22304 		52-0899384 501(C)(3) 10,000       CONTRIBUTION
(17) NATIONAL NETWORK FOR ORAL HEALTH ACCESS
181 E 56TH AVE STE 501
DENVER,CO80216 		84-1186592 501(C)(3) 5,000       NAT'L ORAL HEALTH LEARNING INSTITUTE
(18) PARTNERS IN CARE FOUNDATION
732 MOTT STREET SUITE 150
SAN FERNANDO,CA91340 		95-3954057 501(C)(3) 5,000       PCF GOLF CLASSIC ON 9-22-14
(19) PENNSYLVANIA COALITION FOR ORAL HEALTH
C/O TFEL 200 N 3RD ST 8TH FL
HARRISBURG,PA17101 		01-0564355 501(C)(3) 10,000       HEALTH, EDUCATION & RESEARCH GRANT
(20) SACRAMENTO DISTRICT DENTAL FOUNDATION
2035 HURLEY WAY STE 200
SACRAMENTO,CA95825 		23-7067087 501(C)(3) 5,000       SPONSORSHIP: SMILES FOR SACRAMENTO, 10-18-14
(21) SAN FRANCISCO BALLET
455 FRANKLIN STREET
SAN FRANCISCO,CA94102 		94-1415298 501(C)(3) 5,000       CORPORATE COMMUNITY CONTRIBUTION
(22) SAN FRANCISCO GENERAL
HOSPITAL FOUNDATION 1001 POTRERO
AVE RM 1N1
SAN FRANCISCO,CA94110 		94-3189424 501(C)(3) 30,000       GRANT FOR SERGERY SVC DENTAL LAB
(23) SMILE KEEPERS DENTAL PROJECT
C/O TUOLUMNE COUNTY OFFICE OF
EDUCATION 175 S FAIRVIEW LANE
SONORA,CA95370 		94-6050189 501(C)(3) 20,000       HEALTH, RESEARCH & EDUCATION GRANT
(24) TEMPLE UNIVERSITY
3223 NORTH BROAD ST 301
PHILADELPHIA,PA19140 		23-1365971 501(C)(3) 8,000       SPONSORSHIP FOR DR. WYNN CE COURSE 11-14-14
(25) THE CENTERS FOR ORAL HEALTH
309 EAST 2ND ST
POMONA,CA91766 		94-3000350 501(C)(3) 15,000       GRANT FOR: ORAL HEALTH 2020 SYMPOSIUM
(26) THE ROA STARS FOUNDATION
ONE CONSTITUTION AVE NE CAITLIN
DONNELLY RESEARCH MANGER DEVELOPMEN
WASHINGTON,DC200025618 		46-1374538 501(C)(3) 5,000       ROA STARS FOUNDATION 2014 GALA SPONSORSHIP
(27) UC REGENTS
745 PARNASSUS AVE
SAN FRANCISCO,CA94143 		95-2226406   5,000       118TH ANNUAL SCIENTIFIC SESSION, 5/30-31/14
(28) UC REGENTS
513 PARNASSUS AVE MED S619A
SAN FRANCISCO,CA94143 		95-2226406   6,000       GRANT FOR SUMMER FELLOWSHIP
(29) UC REGENTS
513 PARNASSUS AVE ROOM S-630
SAN FRANCISCO,CA94143 		95-2226406   8,000       SPONSORSHIP FOR CONTINUING EDUCATION
(30) UC REGENTS
513 PARNASSUS AVE ROOM S619A
SAN FRANCISCO,CA94143 		95-2226406   10,000       SPONSOR: UCSF RESEARCH & EXCELLANCE DAY
(31) UCLA SCHOOL OF DENTISTRY
650 CHARLES YOUNG DR SOUTH
LOS ANGELES,CA90095 		94-3191637   8,000       SPONSORSHIP FOR CE COURSE 11-08-14
(32) UNITED WAY CALIFORNIA CAPITAL REGION
10389 OLD PLACERVILLE RD ATTN
ACCOUNTS RECEIVABLE
SACRAMENTO,CA958272506 		23-7079003   43,384       SACRAMENTO UNITED WAY MATCHING CHECK
(33) UNITED WAY OF GREATER LOS ANGELES
1150 S OLIVE STREET SUITE T500
LOS ANGELES,CA90015 		95-2274801 501(C)(3) 6,001       CERRITOS UNITED WAY MATCHING CHECK
(34) UNITED WAY OF THE BAY AREA
550 KEARNY STREET 1000
SAN FRANCISCO,CA94108 		94-1312348 501(C)(3) 152,158       SAN FRANCISCO UNITED WAY MATCHING CHECK
(35) UNIVERSITY OF ALABAMA
1720 2ND AVE SOUTH SDB 207
BIRMINGHAM,AL35294 		63-6001138   9,000       GRANT FOR CE COURSE ON 5-16-14
(36) UNIVERSITY OF FLORIDA
PO BOX 113200
GAINESVILLE,FL32611 		59-0974739 501(C)(3) 10,000       CE COURSE SPONSORSHIP OCT14
(37) UNIVERSITY OF THE PACIFIC
155 5TH STREET
SAN FRANCISCO,CA94103 		94-1156266 501(C)(3) 5,000       KIDS IN THE KLINIC GOLF CLASSIC
(38) UNIVERSITY OF THE PACIFIC (UOP)
ARTHUR DUGONI SCHOOL OF DENTISTRY
3601 PACIFIC AVE
STOCKTON,CA95211 		94-1156266 501(C)(3) 39,950       GRANT FOR SCOPE PROGRAM
(39) UNIVERSITY OF TX
SCHOOL OF DENTISTRY HOUSTON 7500
CAMBRIDGE ST STE 6130
HOUSTON,TX77054 		74-1761309   8,000       SPONSORSHIP FOR CONTINUING EDUCATION
(40) MISCELLANEOUS ITEMS LESS THAN 5000

 
  		  57,200       CONTRIBUTION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
 
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated 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 65 212,500      
(2) HISPANIC SCHOLARSHIP 23 210,000      










Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
PART I, LINE 2: THE ORGANIZATION AWARDS GRANTS FOR PROGRAMS THAT FOSTER DENTAL HEALTH AND EDUCATION. THROUGH THESE GRANTS THE ORGANIZATION HELPS FINANCE HEALTH, EDUCATION, 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 THAT: (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 IN 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 STATES, 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 UNAVAILABLE OR INSUFFICIENT. 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) 2014


Additional Data


Software ID:  
Software Version:  


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, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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 or provision of all of 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
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
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), 501(c)(4), and 501(c)(29) organizations 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 Regulations 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 Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is 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) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (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 in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1ANDREW J REIDCHAIRMAN OF THE BOARD / DIRECTOR (i)
(ii)		 168,079
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		168,079
...............................
0 		0
...............................
0
2TERRY A O'TOOLETREASURER/DIRECTOR (i)
(ii)		 186,000
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		186,000
...............................
0 		0
...............................
0
3GLEN F BERGERT CPADIRECTOR (i)
(ii)		 186,878
...............................
27,972 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		186,878
...............................
27,972 		0
...............................
0
4STEVEN F MCCANNDIRECTOR (i)
(ii)		 188,079
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		188,079
...............................
0 		0
...............................
0
5GARY D RADINEPRESIDENT/CEO (i)
(ii)		 1,250,004
...............................
0 		2,889,385
...............................
0 		193,475
...............................
0 		418,284
...............................
0 		17,091
...............................
0 		4,768,239
...............................
0 		0
...............................
0
6ANTHONY S BARTHEVP/COO (i)
(ii)		 824,004
...............................
0 		1,026,663
...............................
0 		112,355
...............................
0 		3,855,876
...............................
0 		27,449
...............................
0 		5,846,347
...............................
0 		0
...............................
0
7MICHAEL J CASTROEVP/CFO (i)
(ii)		 566,496
...............................
0 		706,644
...............................
0 		67,058
...............................
0 		2,164,603
...............................
0 		25,558
...............................
0 		3,530,359
...............................
0 		0
...............................
0
8MICHAEL HANKINSONEVP/CLO (i)
(ii)		 399,615
...............................
0 		299,682
...............................
0 		143,958
...............................
0 		34,500
...............................
0 		23,666
...............................
0 		901,421
...............................
0 		0
...............................
0
9PATRICK S STEELEEVP/CIO (i)
(ii)		 544,916
...............................
0 		771,706
...............................
0 		9,849,514
...............................
0 		2,422,183
...............................
0 		19,793
...............................
0 		13,608,112
...............................
0 		9,780,574
...............................
0
10RICK R DOERINGSR. VICE PRES. (i)
(ii)		 378,489
...............................
0 		391,693
...............................
0 		26,851
...............................
0 		38,557
...............................
0 		20,769
...............................
0 		856,359
...............................
0 		0
...............................
0
11PATRICK HENRYSR. VICE PRES. (i)
(ii)		 267,656
...............................
0 		243,169
...............................
0 		25,883
...............................
0 		43,526
...............................
0 		16,791
...............................
0 		597,025
...............................
0 		0
...............................
0
12BELINDA MARTINEZSR. VICE PRES. (i)
(ii)		 463,396
...............................
0 		481,662
...............................
0 		35,338
...............................
0 		2,470,490
...............................
0 		19,493
...............................
0 		3,470,379
...............................
0 		0
...............................
0
13NILESH C PATELSR. VICE PRES. (i)
(ii)		 419,846
...............................
0 		454,450
...............................
0 		24,495
...............................
0 		37,687
...............................
0 		8,580
...............................
0 		945,058
...............................
0 		0
...............................
0
14ALICIA WEBERSR. VICE PRES. (i)
(ii)		 383,123
...............................
0 		391,883
...............................
0 		25,636
...............................
0 		38,491
...............................
0 		24,288
...............................
0 		863,421
...............................
0 		0
...............................
0
15KEVIN JACKSONGRP. VICE PRES. (i)
(ii)		 302,295
...............................
0 		222,675
...............................
0 		32,644
...............................
0 		40,935
...............................
0 		26,999
...............................
0 		625,548
...............................
0 		0
...............................
0
16JEFFREY M ALBUMVICE PRES. (i)
(ii)		 254,584
...............................
0 		133,751
...............................
0 		22,942
...............................
0 		43,602
...............................
0 		26,999
...............................
0 		481,878
...............................
0 		0
...............................
0
17TERRI ANDERSONVICE PRES. (i)
(ii)		 261,624
...............................
0 		107,150
...............................
0 		15,047
...............................
0 		46,694
...............................
0 		18,788
...............................
0 		449,303
...............................
0 		0
...............................
0
18RUSSELL BRADLEYVICE PRES. (i)
(ii)		 127,211
...............................
0 		0
...............................
0 		52,154
...............................
0 		9,847
...............................
0 		5,770
...............................
0 		194,982
...............................
0 		0
...............................
0
19DANIEL CROLEYVICE PRES. (i)
(ii)		 268,816
...............................
0 		104,211
...............................
0 		32,494
...............................
0 		41,090
...............................
0 		26,999
...............................
0 		473,610
...............................
0 		0
...............................
0
20EVA HOFFMANVICE PRES. (i)
(ii)		 236,996
...............................
0 		111,643
...............................
0 		22,419
...............................
0 		40,301
...............................
0 		26,999
...............................
0 		438,358
...............................
0 		0
...............................
0
21GARRETT LEAFVICE PRES. (i)
(ii)		 21,827
...............................
0 		71,049
...............................
0 		165,131
...............................
0 		11,689
...............................
0 		2,103
...............................
0 		271,799
...............................
0 		0
...............................
0
22THOMAS LEIBOWITZVICE PRES. (i)
(ii)		 259,923
...............................
0 		106,075
...............................
0 		13,077
...............................
0 		36,093
...............................
0 		12,385
...............................
0 		427,553
...............................
0 		0
...............................
0
23HARI MAKKALAVICE PRES. (i)
(ii)		 319,846
...............................
0 		187,037
...............................
0 		53,102
...............................
0 		38,360
...............................
0 		8,430
...............................
0 		606,775
...............................
0 		0
...............................
0
24BOB MENHARTVICE PRES. (i)
(ii)		 153,619
...............................
0 		0
...............................
0 		93,707
...............................
0 		20,453
...............................
0 		15,425
...............................
0 		283,204
...............................
0 		0
...............................
0
25JAMAL NASRVICE PRES. (i)
(ii)		 251,328
...............................
0 		109,787
...............................
0 		21,126
...............................
0 		42,911
...............................
0 		23,216
...............................
0 		448,368
...............................
0 		0
...............................
0
26MOHAMMADREZA NAVIDVICE PRES. (i)
(ii)		 279,247
...............................
0 		188,220
...............................
0 		19,239
...............................
0 		34,500
...............................
0 		9,782
...............................
0 		530,988
...............................
0 		0
...............................
0
27DUANE PROFEITVICE PRES. (i)
(ii)		 246,935
...............................
0 		99,603
...............................
0 		14,327
...............................
0 		54,907
...............................
0 		17,303
...............................
0 		433,075
...............................
0 		0
...............................
0
28JOSEPH RUIZVICE PRES. (i)
(ii)		 288,335
...............................
0 		50,000
...............................
0 		18,853
...............................
0 		34,500
...............................
0 		26,999
...............................
0 		418,687
...............................
0 		0
...............................
0
29MARTY A SHEETZVICE PRES. (i)
(ii)		 115,000
...............................
106,341 		0
...............................
30,000 		47,222
...............................
28,768 		26,500
...............................
25,321 		13,500
...............................
7,395 		202,222
...............................
197,825 		0
...............................
0
30TOM WONGVICE PRES. (i)
(ii)		 290,004
...............................
0 		150,480
...............................
0 		9,406
...............................
0 		39,938
...............................
0 		25,108
...............................
0 		514,936
...............................
0 		0
...............................
0
31JOHN YAMAMOTOVICE PRES. (i)
(ii)		 240,966
...............................
0 		95,199
...............................
0 		11,291
...............................
0 		38,165
...............................
0 		26,999
...............................
0 		412,620
...............................
0 		0
...............................
0
32ELISE POMERANTZ-WATZKADIRECTOR COMPENSATION & BE (i)
(ii)		 208,853
...............................
0 		59,458
...............................
0 		15,919
...............................
0 		38,716
...............................
0 		19,253
...............................
0 		342,199
...............................
0 		0
...............................
0
33MELISSA GEEDIRECTOR & CORPORATE COUNS (i)
(ii)		 226,549
...............................
0 		64,458
...............................
0 		1,594
...............................
0 		36,970
...............................
0 		7,476
...............................
0 		337,047
...............................
0 		0
...............................
0
34STEPHEN LOWRYDIRECTOR SALES (i)
(ii)		 166,271
...............................
0 		118,226
...............................
0 		14,727
...............................
0 		37,996
...............................
0 		2,947
...............................
0 		340,167
...............................
0 		0
...............................
0
35J DOUGLAS KONOVALOFFDIRECTOR FEDERAL SVC OPERATIONS (i)
(ii)		 196,464
...............................
0 		63,059
...............................
0 		11,261
...............................
0 		196,590
...............................
0 		23,350
...............................
0 		490,724
...............................
0 		0
...............................
0
36KEVIN O'TOOLEDIRECTOR SALES (i)
(ii)		 173,472
...............................
0 		91,341
...............................
0 		10,842
...............................
0 		38,727
...............................
0 		25,711
...............................
0 		340,093
...............................
0 		0
...............................
0
37CHARLES LAMONTFORMER EVP/CLO (i)
(ii)		 0
...............................
0 		584,708
...............................
0 		907
...............................
0 		6,503
...............................
0 		0
...............................
0 		592,118
...............................
0 		0
...............................
0
38CHARLES LAMONTCONSULTANT/FORMER OFFICER (i)
(ii)		 210,000
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		210,000
...............................
0 		0
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
PART I, LINE 1A FIRST CLASS BUSINESS TRAVEL IS REIMBURSED TO THE EXECUTIVE VICE PRESIDENTS, SENIOR VICE PRESIDENTS, AND GROUP VICE PRESIDENTS. FIRST CLASS BUSINESS TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION. TRAVEL FOR COMPANIONS WAS PROVIDED TO SIX BOARD MEMBERS WITH RESPECT TO THEIR REQUIRED ATTENDANCE AT THE ANNUAL BOARD MEETING. THE COST OF THIS BENEFIT WAS INCLUDED IN TAXABLE COMPENSATION. A HOUSING ALLOWANCE IS PROVIDED TO ONE SENIOR EXECUTIVE AS A RESULT OF A 2013 RELOCATION TO CALIFORNIA. THE HOUSING ALLOWANCE HAS CONTINUED WHILE THE PREVIOUS HOME IS BEING MARKETED FOR SALE. THE COST OF THIS BENEFIT IS INCLUDED IN TAXABLE COMPENSATION. REIMBURSEMENT FOR COMPANY APPROVED REALLOCATION COSTS ARE "GROSSED UP" TO COVER ANY PERSONAL TAX LIABILITY THAT WOULD BE INCURRED BY THE EMPLOYEE FOR THE EXPENSE. ONE HIGHLY COMPENSATED EMPLOYEE RECEIVED THIS BENEFIT IN 2014. THE TOTAL AMOUNT REIMBURSED IS INCLUDED IN TAXABLE COMPENSATION. 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 2014. THE COST OF THIS BENEFIT IS INCLUDED IN TAXABLE COMPENSATION. FINANCIAL AND TAX PLANNING EXPENSES ARE REIMBURSED TO EMPLOYEES AT THE DIRECTOR OR ABOVE LEVELS OF MANAGEMENT. A COMPANY POLICY OUTLINES THE MAXIMUM REIMBURSEMENT ALLOWED FOR EACH MANAGEMENT LEVEL. THESE REIMBURSEMENTS ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE REIMBURSED EMPLOYEES.
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 THE 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 2014, FIVE EXECUTIVES PARTICIPATED IN THE PLAN - ANTHONY BARTH, MICHAEL CASTRO, DOUGLAS KONOVALOFF, BELINDA MARTINEZ, AND PATRICK STEELE.
PART I, LINE 7 THE PRESIDENT OF THE ORGANIZATION, WITH BOARD OF DIRECTORS APPROVAL, MAY GRANT AN ANNUAL BONUS TO ALL MANAGEMENT EMPLOYEES. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION.
Schedule J (Form 990) 2014

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, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
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), section 501(c)(4), and 501(c)(29) 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) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by 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-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefiting 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 assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2014
Schedule L (Form 990 or 990-EZ) 2014
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) GREGORY D KAPLAN DDS PARTICIPATING PROVIDER 1,072,358 DENTAL CLAIM PAYMENTS   No
(2) CORAGENE I SAVIO DDS PARTICIPATING PROVIDER 208,556 DENTAL CLAIM PAYMENTS   No
(3) STEPHEN R PICKERING DDS PARTICIPATING PROVIDER 159,310 DENTAL CLAIM PAYMENTS   No
(4) DEVANG GANDHI DDS PARTICIPATING PROVIDER 104,093 DENTAL CLAIM PAYMENTS   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2014

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 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
DELTA DENTAL OF CALIFORNIA
 
Employer identification number

94-1461312
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S BYLAWS NAME TWO CLASSES OF "MEMBERS," "CORPORATE MEMBERS" AND "DENTIST MEMBERS." ALL CORPORATE MEMBERS ARE ALSO DIRECTORS OF THE ORGANIZATION AND SO ARE NOT "MEMBERS" AS DEFINED IN THE INSTRUCTIONS TO FORM 990, PART VI, QUESTION 6. HOWEVER, THE ORGANIZATION'S DIRECTORS ARE ELECTED BY ITS PARENT HOLDING COMPANY BOARD OF DIRECTORS, TWO OF WHOM ARE NOT ALSO DIRECTORS OF THE ORGANIZATION AND THUS MAY BE CONSIDERED "MEMBERS" PURSUANT TO THE INSTRUCTION. THE DENTIST MEMBERS HAVE A RIGHT TO VOTE UPON PROPOSED CHANGES TO THE PROPORTION OF THE DENTISTS SERVING AS DIRECTORS AND CORPORATE MEMBERS, AND SO MAY BE CONSIDERED "MEMBERS" UNDER THE INSTRUCTION.
FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S DIRECTORS ARE ELECTED BY THE PARENT HOLDING COMPANY BOARD OF DIRECTORS, WHICH INCLUDES TWO PERSONS WHO ARE NOT ALSO DIRECTORS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7B 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.
FORM 990, PART VI, SECTION B, LINE 11 THE ORGANIZATION'S CFO AND LEGAL COUNSEL OVERSEE THE COMPLETION OF THE FORM 990, AND, PRIOR TO FILING, REVIEW IT WITH THE PRESIDENT/CEO AND WITH THE ORGANIZATION'S BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, 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.
FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PAID TO THE CEO AND EXECUTIVE 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. COMPENSATION PAID TO DIRECTORS IS APPROVED BY THE EXECUTIVE COMMITTEE OF THE ORGANIZATION'S BOARD OF DIRECTORS AFTER REVIEWING COMPARABILITY DATA IN A BENCHMARKING STUDY PREPARED AND PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS. THESE PROCESSES WERE FOLLOWED FOR 2014 COMPENSATION.
FORM 990, PART VI, SECTION C, 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. STATUTORY FINANCIAL STATEMENTS ARE INCLUDED IN QUARTERLY AND ANNUAL RETURNS TO STATE DEPARTMENTS OF INSURANCE REGULATING THE ORGANIZATION WHICH RETURNS ARE AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PT. VII, SEC. A, COL. (D); SCH. J, PT. II, LINE 1, COL. (B)(III) A ONE-TIME LUMP SUM PENSION BENEFIT PAYMENT WAS RECEIVED BY THE ORGANIZATION'S EXECUTIVE VICE PRESIDENT/CIO IN 2014, PURSUANT TO THE TERMS OF THE ORGANIZATION'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. THIS PLAN IS DESIGNED FOR THE LONG-TERM RETENTION OF SENIOR EXECUTIVES (E.G., THE EXECUTIVE VICE PRESIDENT/CIO HAD BEEN WITH THE ORGANIZATION FOR MORE THAN 10 YEARS) AND IS BASED ON A PERCENTAGE OF HIS AVERAGE ANNUAL COMPENSATION RECEIVED FOR THE THREE YEARS PRIOR TO AGE 65 OR RETIREMENT, WHICHEVER COMES FIRST, AND ON HIS LIFE EXPECTANCY AS DETERMINED PURSUANT TO THE INTERNAL REVENUE CODE. THE EXECUTIVE VICE PRESIDENT/CIO'S ANNUAL COMPENSATION, UPON WHICH THE PENSION BENEFIT PAYMENT IS BASED, HAS BEEN ESTABLISHED IN ACCORDANCE WITH THE PROCESS OUTLINED IN TREASURY REGULATION SECTION 53.4958-6 FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS. THIS PROCESS INVOLVES REVIEW AND APPROVAL OF COMPENSATION BY THE ORGANIZATION'S BOARD OF DIRECTORS, RELIANCE ON COMPARABILITY DATA PROVIDED BY AN INDEPENDENT COMPENSATION CONSULTANT, AND CONTEMPORANEOUS DOCUMENTATION OF DELIBERATIONS AND DECISIONS REGARDING COMPENSATION. FEDERAL TAX LAW APPLICABLE TO THE ORGANIZATION'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DOES NOT PERMIT A PARTICIPANT TO RECEIVE AND PAY TAX ON ANNUAL PAYMENTS RECEIVED FROM THE PLAN OVER THE COURSE OF A PARTICIPANT'S RETIREMENT. INSTEAD, THE ENTIRE VALUE OF THE BENEFIT BECOMES TAXABLE WHEN THE PARTICIPANT RETIRES OR REACHES AGE 65, WHICHEVER COMES FIRST. THE LUMP SUM PAYMENT SHOWN IN SCHEDULE J, PART II, LINE 1, COLUMN (B)(III) (AND CARRIED TO FORM 990, PART VII, SECTION A, COLUMN (D)) WAS THEREFORE TRIGGERED IN 2014 WHEN THE ORGANIZATION'S EXECUTIVE VICE PRESIDENT/CIO TURNED 65 AND THE ENTIRE VALUE OF THE RETIREMENT BENEFIT WAS TAXABLE IN THAT YEAR. SEE RELATED NOTE IN SCHEDULE J, PART III, WHICH DESCRIBES THE ORGANIZATION'S SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN.
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 31.2 MILLION ENROLLEES AND HANDLING 42.5 MILLION CLAIMS. TOTAL REVENUE FOR THE ENTERPRISE EXCEEDED $7.9 BILLION IN 2014. THE ORGANIZATION AND ITS SUBSIDIARIES REPRESENT APPROXIMATELY 67% OF TOTAL ENTERPRISE REVENUES.
FORM 990, PART VII AND SCHEDULE J: EFFECTIVE JANUARY 1,2012 DELTA DENTAL OF CALIFORNIA ESTABLISHED THE LONG-TERM INCENTIVE PLAN(LTIP) FOR ELIGIBLE EMPLOYEES OF THE COMPANY. THE PURPOSE OF THE LTIP IS TO PROVIDE INCENTIVE FOR ELIGIBLE EMPLOYEES' CONTRIBUTION TO THE COMPANY'S LONG-TERM SUCCESS. THE LTIP IS UNFUNDED AND ALL PAYMENTS FROM THE LTIP ARE DERIVED FROM THE EQUITY GAINS OF THE COMPANY. AS SUCH THERE IS NO GUARANTEE OF INCENTIVE PAYMENTS UNDER THE LTIP. UPON DELEGATION BY CERTAIN OFFICERS OF THE BOARD, THE CEO AND MANAGEMENT COMMITTEE HAS THE SOLE AND ABSOLUTE DISCRETION TO DETERMINE THE PERFORMANCE OBJECTIVES, BOTH FINANCIAL AND NONFINANCIAL, UPON WHICH PAYMENT OF AWARDS ARE BASED AND THE TIME PERIOD DURING WHICH PERFORMANCE SHALL BE MEASURED (LTIP CYCLE). THE CURRENT LTIP CYCLE IS JANUARY 1, 2013 THROUGH DECEMBER 31, 2015.
FORM 990, PART XI, LINE 9: PENSION LIABILITY AND POST-RETIREMENT ADJUSTMENTS 9,394,149.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


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SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
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 (if applicable) 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 SERVICES FL     DELTA DENTAL OF CALIFORNIA
 
(2) DENTEGRA INSURANCE HOLDINGS LLC
100 FIRST STREET
SAN FRANCISCO,CA94105
94-3386049 		HOLDING COMPANY DE     DENTEGRA INSURANCE COMPANY
 








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 entity?
Yes No
(1) DELTA DENTAL COMMUNITY CARE FOUNDATION
100 FIRST STREET

SAN FRANCISCO,CA94105
37-1570764 		CHARITABLE ORGANIZATION CA 501(C)(3) PF DENTEGRA GROUP INC
 
 
No
(2) DELTA DENTAL OF PENNSYLVANIA
ONE DELTA DRIVE

MECHANICSBURG,PA17055
23-1667011 		DENTAL INSURANCE PA 501(C)(4)   DENTEGRA GROUP INC
 
 
No
(3) DELTA DENTAL OF DELAWARE
ONE DELTA DRIVE

MECHANICSBURG,PA17055
51-0228088 		DENTAL INSURANCE DE 501(C)(4)   DENTEGRA GROUP INC
 
 
No
(4) DELTA DENTAL OF WEST VIRGINIA
ONE DELTA DRIVE

MECHANICSBURG,PA17055
55-0523124 		DENTAL INSURANCE WV 501(C)(4)   DENTEGRA GROUP INC
 
 
No
(5) DELTA DENTAL OF THE DISTRICT OF COLUMBIA
ONE DELTA DRIVE

MECHANICSBURG,PA17055
52-1479587 		DENTAL INSURANCE DC 501(C)(4)   DENTEGRA GROUP INC
 
 
No
(6) DELTA DENTAL OF NEW YORK
ONE DELTA DRIVE

MECHANICSBURG,PA17055
11-1980218 		DENTAL INSURANCE NY 501(C)(4)   DENTEGRA GROUP INC
 
 
No


For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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 		INSURANCE MANAGEMENT DE DELTA DENTAL OF CALIFORNIA
  		RELATED       No   Yes   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
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) DENTEGRA GROUP INC

100 FIRST STREET
SAN FRANCISCO,CA94105
94-3386049 		HOLDING COMPANY DE N/A
 C         No
(2) DENTEGRA INSURANCE COMPANY

100 FIRST STREET
SAN FRANCISCO,CA94105
75-1233841 		INSURANCE COMPANY DE DDC INSURANCE HOLDINGS INC
  		C         No
(3) DENTEGRA INSURANCE COMPANY OF NEW ENGLAND

100 FIRST STREET
SAN FRANCISCO,CA94105
04-2890218 		INSURANCE COMPANY MA DDC INSURANCE HOLDINGS INC
  		C         No
(4) DELTA DENTAL INSURANCE COMPANY

100 FIRST STREET
SAN FRANCISCO,CA94105
94-2761537 		INSURANCE COMPANY DE DDC INSURANCE HOLDINGS INC
  		C         No
(5) ALPHA DENTAL OF NEVADA INC

100 FIRST STREET
SAN FRANCISCO,CA94105
88-0244893 		INSURANCE COMPANY NV DDC INSURANCE HOLDINGS INC
  		C         No
(6) ALPHA DENTAL OF UTAH INC

100 FIRST STREET
SAN FRANCISCO,CA94105
86-0672505 		INSURANCE COMPANY UT DDC INSURANCE HOLDINGS INC
  		C         No
(7) ALPHA DENTAL PROGRAMS INC

100 FIRST STREET
SAN FRANCISCO,CA94105
74-2447512 		INSURANCE COMPANY TX DDC INSURANCE HOLDINGS INC
  		C         No
(8) ALPHA DENTAL OF ALABAMA INC

100 FIRST STREET
SAN FRANCISCO,CA94105
63-0796079 		INSURANCE COMPANY AL DDC INSURANCE HOLDINGS INC
  		C         No
(9) ALPHA DENTAL OF NEW MEXICO INC

100 FIRST STREET
SAN FRANCISCO,CA94105
33-0279230 		INSURANCE COMPANY NM DDC INSURANCE HOLDINGS INC
  		C         No
(10) ALPHA DENTAL OF ARIZONA INC

100 FIRST STREET
SAN FRANCISCO,CA94105
93-0939835 		INSURANCE COMPANY AZ DDC INSURANCE HOLDINGS INC
  		C         No
(11) DENTEGRA SEGUROS DENTALES SA

INSURGENTES SUR 826 PISO 15
COL DEL VALLE,FC DF 01300  
MX
INSURANCE COMPANY MX DENTEGRA INSURANCE COMPANY
  		C         No
(12) DELTA DENTAL OF PUERTO RICO INC

14 CALLE 2 SUITE 200
GUAYNABO   00968
RQ
66-0436769 		INSURANCE COMPANY RQ DELTA DENTAL OF CALIFORNIA
  		C     64.000 %   No
(13) DELTA REINSURANCE CORPORATION

CGI TOWER 2ND FLOOR
WARRENS,ST. MICHAEL  
BB
98-0096711 		INSURANCE COMPANY BB DELTA DENTAL OF PENNSYLVANIA
  		C     0.400 %   No
(14) SERVICIOS DENTALES DENTEGRA SA DE CV

INSURGENTES SUR 826 PISO 15
COL DEL VALLE,FC DF 01300  
MX
INSURANCE ADMINISTRATION MX DENTEGRA INSURANCE COMPANY
  		C         No
(15) DDC INSURANCE HOLDINGS INC

100 FIRST STREET
SAN FRANCISCO,CA94105
27-4251930 		HOLDING COMPANY DE DELTA DENTAL OF CALIFORNIA
  		C     100.000 %   No
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
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, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
Yes
 
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
 
No
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
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 related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) DENTEGRA INSURANCE COMPANY

 A 683,014  
(2) DELTA DENTAL INSURANCE COMPANY

 A 2,400,000  
(3) DELTA DENTAL COMMUNITY CARE FOUNDATION

 B 431,000  
(4) DENTEGRA INSURANCE COMPANY

 B 10,000,000  
(5) ALPHA DENTAL OF ALABAMA INC

 L 12,256  
(6) ALPHA DENTAL OF ARIZONA INC

 L 180,019  
(7) ALPHA DENTAL OF NEVADA INC

 L 371,648  
(8) ALPHA DENTAL OF NEW MEXICO INC

 L 34,429  
(9) ALPHA DENTAL OF UTAH INC

 L 63,274  
(10) ALPHA DENTAL PROGRAMS INC

 L 3,030,629  
(11) DELTA DENTAL INSURANCE COMPANY

 L 20,474,453  
(12) DELTA DENTAL OF DELAWARE INC

 L 17,604  
(13) DELTA DENTAL OF NEW YORK

 L 1,004,751  
(14) DELTA DENTAL OF PENNSYLVANIA

 L 11,528,095  
(15) DELTA DENTAL OF THE DISTRICT OF COLUMBIA

 L 2,652  
(16) DELTA DENTAL OF WEST VIRGINIA INC

 L 10,691  
(17) DENTEGRA INSURANCE COMPANY

 L 33,942,033  
(18) DENTEGRA INSURANCE COMPANY - NE

 L 733,340  
(19) DELTA DENTAL INSURANCE COMPANY

 M 2,332,526  
(20) DELTA DENTAL OF PENNSYLVANIA

 M 12,244,466  
(21) DELTA DENTAL OF PUERTO RICO

 M 349,419  
(22) DELTA DENTAL INSURANCE COMPANY

 P 19,356,574  
(23) DELTA DENTAL OF PENNSYLVANIA

 P 180,467  
(24) DELTA DENTAL OF NEW YORK

 P 25,391  
(25) ALPHA DENTAL OF NEVADA INC

 Q 6,353  
(26) ALPHA DENTAL OF UTAH INC

 Q 158  
(27) ALPHA DENTAL PROGRAMS INC

 Q 18,572  
(28) DELTA DENTAL INSURANCE COMPANY

 Q 47,567,783  
(29) DELTA DENTAL OF PUERTO RICO

 Q 408,524  
(30) DELTA DENTAL OF NEW YORK

 Q 1,664,568  
(31) DELTA DENTAL OF THE DISTRICT OF COLUMBIA

 Q 22,719  
(32) DELTA DENTAL OF DELAWARE INC

 Q 276,187  
(33) DELTA DENTAL OF WEST VIRGINIA INC

 Q 14,794  
(34) DENTAL DENTAL OF PENNSYLVANIA

 Q 7,301,975  
(35) DENTEGRA INSURANCE COMPANY

 Q 4,474,395  
(36) DENTEGRA INSURANCE COMPANY-NE

 Q 5,381  
(37) CELEBRATION DENTAL SERVICES

 Q 47,793  
(38) DELTA DENTAL OF PUERTO RICO

 R 6,076,152  
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
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)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(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 Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


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