2024-11-05T12:33:28-06:00 2023-12-31 WithumSmithBrown PC 200 Jefferson Park Suite 400 Whippany NJ 079811070 990 2023-01-01 222764745 DELTA DENTAL OF NEW JERSEY FOUNDATION INC % MICHAEL T RODRIGUES DELT 9732854205 1639 ROUTE 10 PO BOX 222 PARSIPPANY NJ 070540222 MICHAEL T RODRIGUES SVP/CFO 9732854205 2024-11-04 true true Scott J Mariani P00642486 9738989494 2023 2024-10-15 13:58:12Z DENNIS G WILSON 1639 ROUTE 10 PARSIPPANY NJ 070540222 401743 false X WWW.DELTADENTALNJ.COM X 1986 NJ TO PROMOTE AND ASSIST PUBLIC SERVICE EDUCATIONAL PROJECTS DEVOTED TO THE ENHANCEMENT OF DENTAL HEALTH AND RESEARCH PROGRAMS AND VARIOUS ORAL HEALTH EDUCATIONAL ACTIVITIES. 11 6 0 0 0 0 4245104 235157 0 0 4875 166586 0 0 4249979 401743 957109 1194955 0 0 23000 23000 0 0 0 250608 240607 1230717 1458562 3019262 -1056819 5276766 4219947 0 0 5276766 4219947 X To promote oral health to the greatest number of people by providing accessible dental benefit programs of the highest quality, service and value. The organization also offers affordable dental coverage for those individuals in New Jersey without access to a group dental plan. The organization's plans provide access to a broad array of dental services through its vast network of participating dentists. The organization's plans offer quality coverage options at competitive rates. For more than 50 years, Delta Dental of New Jersey has reached out to serve the people of New Jersey and, more recently, in Connecticut. In 1986, we formed the Delta Dental of New Jersey Foundation, Inc. to aid in creating access to care for the under-insured and un-insured, and support dental education programs for children, as well as dental assisting and dental hygiene scholarships for students pursuing a career in the dental field. Each year, our Foundation awards at least $1 million to support worthwhile n false false 1435562 1194955 0 EXPENSES INCURRED IN SUPPORTING THE CHARITABLE PURPOSES, PROGRAMS AND SERVICES, INCLUDING EDUCATIONAL PROGRAMS, CHARITABLE FUNDING AND HEADSTART, OF DELTA DENTAL OF NEW JERSEY; A RELATED TAX-EXEMPT ORGANIZATION. 1435562 true true false false false false false false false false false false false false false true false true false false false false false false false false false true false true false false false false false false false false false false false false false true true true false false true 5 0 true 0 false false false false false false false false false false false false false X 11 6 false false false false true true false true true false false true true true true true true true true false NJ X MICHAEL T RODRIGUES 9732854205 1639 ROUTE 10 PARSIPPANY NJ 070540222 X DENNIS G WILSON TRUSTEE - VP 0.7 50.0 X X 0 1566219 104028 PAUL J DIMAIO ESQ VP/GENERAL COUNSEL-ASST SEC 0.4 50.0 X 0 898709 107121 MICHAEL T RODRIGUES VP/ASST TREASURER - TRUSTEE 0.4 50.0 X X 0 728406 105341 RANDY M STODARD TRUSTEE - VP 0.4 50.0 X X 0 492627 104869 RONALD I DEBLINGER DMD CHAIRMAN - TRUSTEE - VP 1.0 25.0 X X 0 257321 7799 JAY H OYER Secretary - Trustee 1.0 3.0 X X 0 77975 1321 LISA N GALLUCCI DMD TRUSTEE 1.0 3.0 X 0 77975 772 DEBRA G SALMAN DDS TRUSTEE 1.0 3.0 X 0 72475 1321 GEORGE C MCLAUGHLIN DMD TREAS-TRUSTEE (TERM 12/31/23) 1.0 4.8 X X 0 66475 772 CARYL L RUSSO-SINGER PHD PRESIDENT - TRUSTEE 1.0 0.0 X X 20000 0 0 Nicole M McGrath Barnes DDS TRUSTEE 1.0 3.0 X 0 11079 129 ELLEN SCHWORN TRUSTEE 1.0 0.0 X 1500 0 0 CAROLYN BREEN EDD TRUSTEE 1.0 0.0 X 1500 0 0 23000 4249261 433473 0 false true false 0 235157 235157 0 166586 0 166586 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 401743 0 166586 1194955 1194955 0 0 0 23000 23000 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 74 74 0 0 0 0 0 0 ALLOC. OF PERSONNEL COSTS 235157 235157 0 0 OTHER EXPENSES 5376 5376 0 0 1458562 1435562 23000 0 5274689 4212297 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2077 7650 0 0 0 0 0 0 0 0 0 0 0 0 5276766 4219947 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 5000 5000 5271766 4214947 5276766 4219947 5276766 4219947 -1056819 X X false true X true false X X 1 DELTA DENTAL OF NEW JERSEY INC 221896118 10 true 0 0 1 0 0 true false true true true false false false false false false false false false false false false true false Schedule A; Part I; Line 12g The organization is recognized by the Internal Revenue Service as tax-exempt pursuant to Internal Revenue Code Section 501(c)(3) and as a non-private foundation pursuant to Internal Revenue Code Section 509(a)(3). The organization supports the charitable purposes of Delta Dental of New Jersey, Inc.; a related internal revenue code section 501(c)(4) tax-exempt organization. In order to meet the electronic filing requirements, its supported organization, Delta Dental of New Jersey, Inc. is being reflected in Schedule A; Part I; Line 12g, as an Internal revenue Code Section 501(c)(3) organization and as a non-private foundation pursuant to internal revenue code section 509(a)(2). SCHEDULE A, PART IV, SECTION A; QUESTION 3B THE ORGANIZATION REQUESTED DELTA DENTAL OF NEW JERSEY, INC., ITS SUPPORTED ORGANIZATION, TO FURNISH A COPY OF ITS INTERNAL REVENUE SERVICE DETERMINATION LETTER. IN ADDITION, A PRO FORMA SCHEDULE A, PART III PUBLIC SUPPORT TEST IS COMPLETED ANNUALLY FOR THE SUPPORTED ORGANIZATION. BOTH OF THESE DOCUMENTS ARE RETAINED BY THIS ORGANIZATION. SCHEDULE A, PART IV, SECTION A; QUESTION 3C THIS ORGANIZATION PERFORMS AN ANNUAL INTERNAL AUDIT TO ENSURE THAT THE SUPPORT PROVIDED TO DELTA DENTAL OF NEW JERSEY, INC. IS USED SOLELY FOR CHARITABLE PURPOSES. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 X SCHEDULE D, PART X The organization is an affiliate of delta dental of new jersey, inc. an independent cpa firm audited the consolidated financial statements of delta dental of new jersey, inc. and its subsidiaries and affiliate, which includes this organization for the years ended december 31, 2023 and december 31, 2022; respectively, and issued a consolidated financial statement with consolidating schedules by entity. the fin 48 (ASC 740) footnote below is from the delta dental of new jersey, inc. and its subsidiaries and affiliate 2023 audited consolidated financial statements: THE PLAN FOLLOWS THE RECOGNITION AND DISCLOSURE PROVISIONS OF THE ACCOUNTING STANDARD RELATED TO ACCOUNTING FOR UNCERTAINTY IN INCOME TAXES. UNDER THIS STANDARD, TAX POSITIONS ARE EVALUATED FOR RECOGNITION USING A MORE-LIKELY-THAN-NOT THRESHOLD, AND THOSE TAX POSITIONS REQUIRING RECOGNITION ARE MEASURED AT THE LARGEST AMOUNT OF TAX BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT WITH A TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE PLAN HAS EVALUATED THE LIKELIHOOD OF THEIR TAX POSITIONS BEING CHALLENGED AS REMOTE AND, ACCORDINGLY HAS NOT INCLUDED ANY INCOME TAX PROVISIONS, INCLUDING INTEREST AND PENALTIES, IN THE FINANCIAL STATEMENTS RELATED TO POTENTIAL VIOLATIONS. true Bergen Community College 400 Paramus Road Paramus NJ 07652 222351891 501(C)(3) 10000 PROGRAM SUPPORT BIG BROTHERS BIG SISTERS COASTAL & NORTHERN NJ 305 BOND ST 1st fl ASBURY PARK NJ 07712 222115416 501(C)(3) 10000 Program Support Bloomfield Health Careers Foundation 504 Watchung Avenue Bloomfield NJ 07003 223134467 501(C)(3) 16250 PROGRAM SUPPORT Captain Supertooth 1639 Route 10 Parsippany NJ 07054 060897105 501(C)(3) 15046 PROGRAM SUPPORT Central High School 246 18th avenue Newark NJ 07108 226002140 501(C)(3) 31500 PROGRAM SUPPORT Connecticut Oral Health Initiative 53 Oak Street Hartford CT 06106 522380576 501(C)(3) 7500 Program Support Goodwin University 1 Riverside Drive East Hartford CT 06118 061627882 501(C)(3) 10000 PROGRAM SUPPORT KinderSmile Foundation 10 Broad Street Bloomfield NJ 07003 562635166 501(C)(3) 145000 PROGRAM SUPPORT Maria Seymour Brooker Memorial 157 Litchfield Street Torrington CT 06790 060646712 501(C)(3) 10000 PROGRAM SUPPORT Middlesex County Recreation Council 35 Roosevelt Drive Edison NJ 08837 221529520 501(C)(3) 6000 PROGRAM SUPPORT Middlesex County College Foundation 2600 Woodbridge Avenue Edison NJ 08818 226079662 501(C)(3) 10000 PROGRAM SUPPORT Norwalk Hospital 34 Maple Street Norwalk CT 08656 066068853 501(C)(3) 9260 PROGRAM SUPPORT Rowan at Burlington County 601 Pemberton Brown Mills Rd Pemberton NJ 08068 227292149 501(c)(3) 14000 program support SilverSource 2009 Summer Street Stamford CT 06905 060646916 501(c)(3) 10000 PROGRAM SUPPORT Special Olympics CT 2666 State Street Suite 1 Hamden CT 06517 237099756 501(C)(3) 10000 PROGRAM SUPPORT Brookdale Community College 765 Newman Springs Road Lincroft NJ 07738 237245431 501(C)(3) 25000 PROGRAM SUPPORT CT Foundation for Dental Outreach 835 West Queen Street Southington CT 06489 261437861 501(C)(3) 50000 PROGRAM SUPPORT Dental Lifeline Network PO Box 2117 Edison NJ 08818 222469940 501(C)(3) 40000 PROGRAM SUPPORT Foundation for Morristown Medical Center 475 South Street Morristown NJ 07960 223392808 501(C)(3) 120000 program support Hope Christian Services 700 Mountain Avenue Wyckoff NJ 07481 221921333 501(C)(3) 31808 program support Jersey Shore University Medical Center Fdn 1340 CAMPUS PKWY Neptune NJ 07753 222342452 501(C)(3) 35000 PROGRAM SUPPORT JFK Medical Center Foundation 80 James Street Edison NJ 08820 222315044 501(C)(3) 35000 PROGRAM SUPPORT Matheny Medical and Educational Center 65 Highland Avenue Peapack NJ 07977 221482276 501(C)(3) 50000 PROGRAM SUPPORT Office of Dental Services 512 Market Street Paterson NJ 07501 226002199 501(C)(3) 25000 PROGRAM SUPPORT Overlook Foundation 46-48 Beavoir Avenue Summit NJ 07901 510194054 501(C)(3) 66510 Program Support Rutgers University Foundation 110 Bergen Street B-811 Newark NJ 07101 237318742 501(C)(3) 45000 PROGRAM SUPPORT UCONN Foundation 2390 ALUMNI DR U-3206 STORRS CT 06269 066070722 501(C)(3) 86581 PROGRAM SUPPORT Virtua Health 303 Lippincott Dr 4th Fl Marlton NJ 08054 043722352 501(C)(3) 25000 PROGRAM SUPPORT Yale New Haven Hospital 20 York Street New Haven CT 06510 060646652 501(C)(3) 100000 PROGRAM SUPPORT Zufall Health Center 18 WEST BLACKWELL STREET Dover NJ 07801 223125397 501(C)(3) 125000 PROGRAM SUPPORT VETERAN'S SMILE DAY FOUNDATION 203 HOLLY LANE LINWOOD NJ 08221 812898660 501(c)(3) 10000 PROGRAM SUPPORT 31 SCHEDULE I, PART I, QUESTION 2 FROM TIME TO TIME, THE ORGANIZATION PARTICIPATES INDIRECTLY IN THE GRANTING OF SCHOLARSHIPS FOR PROGRAMS TO EDUCATE DENTISTS AND DEVELOP DENTAL ASSISTANTS. WHEN THIS IS DONE, IT TAKES THE FORM OF A GRANT TO THE DIRECT ADMINISTERING ORGANIZATION WHICH WILL DETERMINE RECIPIENTS BASED UPON DEMONSTRATED FINANCIAL NEED. X X X X X false false false false false false false true false DENNIS G WILSON TRUSTEE - VP 0 849442 0 644284 0 72493 0 47235 0 56793 0 1670247 0 0 PAUL J DIMAIO ESQ VP/GENERAL COUNSEL-ASST SEC 0 541745 0 319229 0 37735 0 47235 0 59886 0 1005830 0 0 MICHAEL T RODRIGUES VP/ASST TREASURER - TRUSTEE 0 451540 0 246403 0 30463 0 49665 0 55676 0 833747 0 0 RANDY M STODARD TRUSTEE - VP 0 331682 0 138366 0 22579 0 45549 0 59320 0 597496 0 0 RONALD I DEBLINGER DMD CHAIRMAN - TRUSTEE - VP 0 0 0 0 0 257321 0 0 0 7799 0 265120 0 0 SCHEDULE J, PART I; QUESTION 7 AND CORE FORM, PART VII INCLUDED IN COLUMN B(II) FOR CERTAIN INDIVIDUALS IS A PAYMENT RELATED TO A PROGRESS INCENTIVE PROGRAM. UNDER THIS PROGRAM, A PAYMENT IS MADE TO THESE INDIVIDUALS WHICH IS BASED ON ESTABLISHED TARGETS, BENCHMARKS AND GOALS. IF MET, THE INDIVIDUALS RECEIVE, AS A PROGRESS INCENTIVE PAYMENT, ADDITIONAL COMPENSATION BASED ON A PERCENTAGE OF THEIR BASE COMPENSATION. THE ABOVE NOTED PAYMENT WAS INCLUDED IN EACH INDIVIDUAL'S 2023 FORM W-2, BOX 5, AS TAXABLE MEDICARE WAGES. PLEASE REFER TO THIS SECTION OF THE FORM 990, SCHEDULE J FOR THIS INFORMATION BY PERSON BY AMOUNT. CORE FORM, PART V, QUESTION 15 DENNIS G. WILSON IS A MEMBER OF THE ORGANIZATION'S BOARD OF TRUSTEES; AN UNCOMPENSATED POSITION. MR. WILSON IS EMPLOYED BY A RELATED ORGANIZATION. ACCORDINGLY HIS COMMON LAW EMPLOYER/EMPLOYEE RELATIONSHIP IS WITH DELTA DENTAL OF NEW JERSEY, INC. (EIN: 22-1896118). DELTA DENTAL OF NEW JERSEY, INC. FILED A 2023 FORM 4720 WHICH INCLUDED A REMITTANCE OF EXCISE TAX RELATED TO MR. WILSON'S COMPENSATION IN EXCESS OF $1M. CORE FORM, PART VI, SECTION A; QUESTIONS 6 & 7 DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. IS AN AFFILIATE OF DELTA DENTAL OF NEW JERSEY, INC. DELTA DENTAL OF NEW JERSEY, INC. HAS THE RIGHT TO ELECT THE MEMBERS OF THIS ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VI, SECTION B; QUESTION 11B THE ORGANIZATION'S FEDERAL FORM 990 WAS PROVIDED TO EACH VOTING MEMBER OF ITS GOVERNING BODY (ITS BOARD OF TRUSTEES) PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE("IRS"). AS PART OF THE TAX RETURN PREPARATION PROCESS THE ORGANIZATION HIRED A PROFESSIONAL CPA FIRM WITH EXPERIENCE AND EXPERTISE IN BOTH HEALTHCARE AND NOT-FOR-PROFIT TAX RETURN PREPARATION, TO PREPARE THE FEDERAL FORM 990. THE CPA FIRM'S TAX PROFESSIONALS WORKED CLOSELY WITH THE ORGANIZATION'S SENIOR MANAGEMENT AND INTERNAL WORKING GROUP TO OBTAIN THE INFORMATION NEEDED IN ORDER TO PREPARE A COMPLETE AND ACCURATE TAX RETURN. THE CPA FIRM PREPARED A DRAFT FEDERAL FORM 990 AND FURNISHED IT TO THE ORGANIZATION'S SENIOR MANAGEMENT, FINANCE PERSONNEL AND INTERNAL WORKING GROUP FOR REVIEW. THESE INDIVIDUALS REVIEWED THE DRAFT FEDERAL FORM 990 AND DISCUSSED QUESTIONS AND COMMENTS WITH THE CPA FIRM. REVISIONS WERE MADE TO THE DRAFT FEDERAL FORM 990 WHERE NECESSARY AND A FINAL DRAFT WAS FURNISHED BY THE CPA FIRM TO THE ORGANIZATION'S SENIOR MANAGEMENT AND INTERNAL WORKING GROUP FOR FINAL REVIEW AND APPROVAL PRIOR TO PROVIDING IT TO EACH VOTING MEMBER OF ITS GOVERNING BODY AND FILING WITH THE IRS. CORE FORM, PART VI, SECTION B; QUESTION 12 DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. IS AN AFFILIATE OF DELTA DENTAL OF NEW JERSEY, INC. THE ORGANIZATION REGULARLY MONITORS AND ENFORCES COMPLIANCE WITH ITS CONFLICT OF INTEREST POLICY. ANNUALLY ALL MEMBERS OF THE BOARD OF TRUSTEES, OFFICERS, SENIOR MANAGEMENT AND OTHER KEY PERSONNEL ARE REQUIRED TO REVIEW THE EXISTING CONFLICT OF INTEREST POLICY AND COMPLETE A QUESTIONNAIRE. THE COMPLETED QUESTIONNAIRES ARE RETURNED TO MEMBERS OF DELTA DENTAL OF NEW JERSEY, INC.'S SENIOR MANAGEMENT TEAM. DELTA DENTAL OF NEW JERSEY, INC.'S SENIOR MANAGEMENT PROVIDES THE COMPLETED QUESTIONNAIRES TO DELTA DENTAL OF NEW JERSEY, INC.'S AUDIT COMMITTEE FOR ITS REVIEW AND DISCUSSION WITH RESPECT TO CONFLICTS AND ANY ASSOCIATED MITIGATING BEHAVIOR. THE AUDIT COMMITTEE THEN REPORTS TO THE ORGANIZATION'S BOARD OF TRUSTEES. CORE FORM, PART VI, SECTION B; QUESTION 15 DELTA DENTAL OF NEW JERSEY FOUNDATION, INC. HAS NO PAID EMPLOYEES. ALL MEMBERS OF THE ORGANIZATION'S SENIOR MANAGEMENT TEAM ARE EMPLOYEES OF DELTA DENTAL OF NEW JERSEY, INC.; A RELATED INTERNAL REVENUE CODE SECTION 501(C)(4) TAX-EXEMPT ORGANIZATION. PLEASE REFER TO THE DELTA DENTAL OF NEW JERSEY, INC. FORM 990 FOR FURTHER EXPLANATION (FEID: 22-1896118). CORE FORM, PART VI, SECTION C; QUESTION 19 THE ORGANIZATION'S FILED CERTIFICATE OF INCORPORATION AND ANY AMENDMENTS CAN BE OBTAINED AND REVIEWED THROUGH THE STATE OF NEW JERSEY. CORE FORM, PART XII; QUESTION 2 THE ORGANIZATION IS AN AFFILIATE OF DELTA DENTAL OF NEW JERSEY, INC. AN INDEPENDENT CPA FIRM AUDITED THE CONSOLIDATED FINANCIAL STATEMENTS OF DELTA DENTAL OF NEW JERSEY, INC. AND ITS SUBSIDIARIES AND AFFILIATE, WHICH INCLUDES THIS ORGANIZATION FOR THE YEARS ENDED DECEMBER 31, 2023 AND DECEMBER 31, 2022; RESPECTIVELY, AND ISSUED A CONSOLIDATED FINANCIAL STATEMENT WITH CONSOLIDATING SCHEDULES BY ENTITY. AN UNMODIFIED OPINION WAS ISSUED BY THE INDEPENDENT CPA FIRM EACH YEAR. DELTA DENTAL OF NEW JERSEY INC.'S AUDIT COMMITTEE ASSUMES RESPONSIBILITY FOR OVERSIGHT OF THE AUDIT OF ITS CONSOLIDATED FINANCIAL STATEMENTS AND THE SELECTION OF AN INDEPENDENT AUDITOR. DELTA DENTAL OF NEW JERSEY INC 1639 ROUTE 10 PARSIPPANY NJ 07054 221896118 DENTAL SVCS. NJ 501(C)(4) N/A NA false DDPNJ CORPORATION 1639 ROUTE 10 PARSIPPANY NJ 07054 223085009 HOLDING COMPANY NJ DDNJ C CORP. false FLAGSHIP HEALTH SYSTEMS INC 1639 ROUTE 10 PARSIPPANY NJ 07054 222671069 DENTAL PLAN ORG. NJ DDPNJ C CORP. false DELTA DENTAL OF CONNECTICUT INC 148 EASTERN BLVD STE 301 GLASTONBURY CT 06033 812414649 DENTAL PLAN ORG. CT DDPNJ c corp. false false false true false false false false false false false false false false false true false false false false DELTA DENTAL OF NEW JERSEY INC C 235157 COST