2023-11-15T13:24:27-06:00 2022-12-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2022-01-01 411852523 STRATACOR STRA 6122243293 500 WASHINGTON AVE S 2060 MINNEAPOLIS MN 55415 TAMERA ROBINSON EVP & CFO 6122243293 2023-11-13 1 TAMERA ROBINSON XXX-XX-XXXX 0 LAWRENCE H MOHR CPA P00447603 6128764500 2023-11-13 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RODNEY A YOUNG 500 WASHINGTON AVE S 2060 MINNEAPOLIS MN 55415 1129670012 0 X HTTPS://WWW.DELTADENTALMN.ORG/ X 1996 MN STRATACOR PROVIDES VARIOUS DENTAL SERVICE BENEFITS, RELATED HEALTH SERVICE BENEFITS AND ACCESS TO THE SAME TO PROMOTE THE ORAL HEALTH, HEALTH AND SOCIAL WELFARE OF THE COMMUNITIES SERVICED THROUGH ITS SUBSIDIARIES. 16 12 134 0 1318570 108994 0 0 1143011003 1142233645 6793756 2841612 10923263 -39119702 1160728022 1105955555 591459 589472 0 0 14984546 16997583 0 0 0 1121609095 1131099983 1137185100 1148687038 23542922 -42731483 481518933 431485315 67484247 81099651 414034686 350385664 X STRATACOR'S MISSION IS TO PROVIDE VARIOUS DENTAL SERVICE BENEFITS, RELATED HEALTH SERVICE BENEFITS AND ACCESS AND TO PROMOTE ORAL HEALTH, HEALTH AND ACCESS TO THE SAME IN THE COMMUNITIES WE SERVE THROUGH OUR SUBSIDIARIES SUCH AS DELTA DENTAL OF MINNESOTA, DELTA DENTAL OF MINNESOTA FOUNDATION, DELTA DENTAL OF NEBRASKA, AND OTHERS. 0 0 1132257082 589472 1140917209 STRATACOR IS THE PARENT OF DELTA DENTAL OF MINNESOTA, DELTA DENTAL OF MINNESOTA FOUNDATION, DELTA DENTAL OF NEBRASKA AND HEALTH VENTURES NETWORK, EACH OF WHICH ARE NOT FOR PROFIT SUBSIDIARIES ORGANIZED TO PROMOTE ORAL HEALTH, HEALTH AND/OR ACCESS TO THE SAME IN THE COMMUNITIES WE SERVE. 1132257082 0 0 0 0 0 0 0 0 0 1 1 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 1 1 1 1 0 1 67140 0 1 134 1 1 1 0 0 0 0 0 1 0 X 16 12 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X TAMERA ROBINSON 6122243276 500 WASHINGTON AVE S 2060 MINNEAPOLIS MN 55415 RODNEY A YOUNG CHAIR/CEO 22.00 28.00 X X 2155976 0 49641 BRUCE TEMPLETON DMD DIRECTOR 1.30 32.60 X 364000 0 2882 MICHAEL W HOWE CO-LEAD DIRECTOR 3.70 2.40 X X 116750 0 842 KIMBERLY F PRICE VICE CHAIR 1.90 2.50 X X 84000 0 842 ANGELA M RILEY CO-LEAD DIRECTOR 2.50 0.80 X X 81000 0 842 DEB S KNUTSON VICE CHAIR 3.30 0.80 X X 81000 0 842 JOHN D SOMROCK TREASURER 2.30 1.80 X X 73000 0 842 SIMA L GRIFFITH DIRECTOR 1.80 1.40 X 66000 0 0 MICHAEL ZAKULA DDS SECRETARY 1.50 2.10 X X 48000 0 842 LAURA J GILLUND DIRECTOR 1.90 0.60 X 43000 0 1363 JOHN W BLUFORD DIRECTOR 1.90 1.10 X 41000 0 842 JAMES R SWANSTROM DDS DIRECTOR 1.30 1.80 X 40000 0 842 LYNDSAY BATES DDS DIRECTOR 1.00 2.00 X 39000 0 1363 SUSAN C ANDERSON DIRECTOR 0.80 1.30 X 36000 0 842 PAUL CARLSON DIRECTOR 0.80 1.30 X 36000 0 0 KATE MORTENSON DIRECTOR 1.30 1.10 X 36000 0 0 TAMERA K ROBINSON EVP & CFO, ASSIST. TREASURER 21.90 28.10 X 1059289 0 24154 STEPHANIE A ALBERT EVP & CLO, ASSIST. SECRETARY 23.20 26.80 X 717051 0 49586 CAROL M HOUGHTBY WATSON VP & CHIEF ACCOUNTING OFFICER 20.00 30.00 X 434418 0 36525 NADIA MARTYN VP, GEN. COUNSEL (INS. DIV.) 19.70 30.30 X 314124 0 58222 TIMOTHY R QUINN CHIEF MARKETING OFFICER 17.70 32.30 X 0 641522 29701 THOMAS J BELLAMY CHIEF SALES OFFICER 16.00 24.00 X 0 429057 35968 KATHLEEN J EILAND-MADISON VP OF HR, DEI 24.20 25.80 X 425706 0 28195 JOSEPH P LALLY EXEC DIR VP GOVERN. RELAT. (TO 9/2022) 33.60 16.40 X 638775 0 31349 KEVIN R DAVIDSON CHIEF CORP. DEV. OFFICER (TO 10/2022) 1.90 38.10 X 0 455704 35460 NIRMALA J PRABHU CHIEF DENTAL OFFICER 16.00 24.00 X 0 406801 57230 FORREST M FLINT VP STRAT & INNO (THROUGH 12/2022) 14.10 20.90 X 414823 0 40860 PETER I VLADIMIROV VP, IT & DATA ENGINEERING 16.00 24.00 X 0 408167 33608 MICHAEL J MCGUIRE FORMER COO (TO 11/2021) 0.00 0.00 X 508915 0 0 7853827 2341251 523685 58 1 1 0 DELTA DENTAL PLAN OF MICHIGAN INC 13082 COLLECTION CENTER DRIVE CHICAGO IL 60693 DENTAL ADMINISTRATIVE SERVICES 43452502 PDG PA 2200 COUNTY RD C WEST STE 2210 ROSEVILLE MN 55113 DENTAL CLAIMS 40781614 NORTHLAND DENTAL PARTNERS PLLC PO BOX 505054 ST LOUIS MO 63150 DENTAL CLAIMS 16037619 DENTAL SPECIALISTS OF MINNESOTA PLLC 2200 COUNTY ROAD C W STE 2210 ROSEVILLE MN 55113 DENTAL CLAIMS 7547292 MODERN DENTAL PROFESSIONALS MINNESOTA PC PO BOX 90 MONDOVI WI 54755 DENTAL CLAIMS 5158233 1397 SUBSCRIPTION REVENUE 541900 1137159883 1137159883 ADMINISTRATIVE SERVICE 561000 5073762 3757326 1316436 1142233645 2225166 2225166 37696 35562 2134 2134 2134 24294041 1300 23678895 0 615146 1300 616446 616446 MISCELLANEOUS INCOME 900099 -255 -255 EQUITY EARNINGS (LOSS) 900099 -39121581 -39121581 -39121836 1105955555 1140917209 1318570 -36280224 589472 589472 3240990 3014120 226870 9668534 8991736 676798 302265 281107 21158 3362348 3126985 235363 423446 393805 29641 458262 458262 262606 262606 59955 59955 124994 124994 26216178 26216178 261572 188331 73241 2336756 1682460 654296 1388050 999393 388657 773573 773573 34882 34882 10042 10042 1621911 1167773 454138 639021 639021 CLAIMS EXPENSE 1078668588 1078668588 UNREL. BUS. INC. TAX 33570 33570 DDMN GOV PROG EXP 10650885 10650885 COMMISSIONS EXPENSE 4679349 4679349 2879789 1474170 1405619 1148687038 1132257082 16429956 0 54960605 58964425 41888305 37857604 1141832 1433159 18600125 12033958 9990292 6566167 348809157 304453486 24728742 22210474 481518933 431485315 67220315 73485596 83447 83447 180485 7530608 67484247 81099651 X 0 0 0 0 414034686 350385664 414034686 350385664 481518933 431485315 X -42731483 -11529858 -9387681 X X 0 1 X 1 0 400218 400218 4090434 1136897 2953537 7391366 6310058 1081308 6718107 4587003 2131104 6566167 TRADING SECURITIES 58660174 F INVESTMENT IN SUBSIDIARIES 237225573 F ALTERNATIVE INVESTMENTS 8567739 F 304453486 DUE FROM DELTA DENTAL OF MN 19160471 DUE FROM HEALTH VENTURES NETWORK 219389 DUE FROM DDMN FOUNDATION 50265 DUE FROM ABOVA 587567 DUE FROM TRASKA 165822 DUE FROM AFFILIATE 310919 DUE FROM DELTA DENTAL OF MN -4945954 RIGHT OF USE ASSET 6661995 22210474 201908 LEASE LIABILITY PAYABLE 7328700 7530608 X 1087894208 -11529858 -6406495 -17936353 1105830561 124994 124994 1105955555 1143882695 0 1143882695 124994 4679349 4804343 1148687038 PART X, LINE 2: STRATACOR, DDMN, DDNE AND DDMN ASO, LLC ARE EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4), AND THE FOUNDATION IS EXEMPT UNDER IRC SECTION 501(C)(3), THOUGH THEY ARE SUBJECT TO TAX ON INCOME UNRELATED TO THEIR EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE IRC. THE COMPANY HAS PROCESSES IN PLACE TO ENSURE THE MAINTENANCE OF THE TAX-EXEMPT STATUS FOR THESE ORGANIZATIONS, TO IDENTIFY AND REPORT UNRELATED INCOME, TO DETERMINE ITS FILING AND TAX OBLIGATIONS IN JURISDICTIONS FOR WHICH IT HAS NEXUS, AND TO IDENTIFY AND EVALUATE OTHER MATTERS THAT MAY BE CONSIDERED TAX POSITIONS. COMPANY FILES TAX RETURNS IN THE U.S. FEDERAL AND APPLICABLE STATE JURISDICTION. THE TAX YEARS ENDING DECEMBER 31, 2018 AND THEREAFTER ARE STILL OPEN TO AUDIT FOR FEDERAL OR STATE PURPOSES. THE COMPANY HAS REVIEWED ITS TAX POSITIONS FOR ALL OPEN TAX YEARS AND HAS CONCLUDED THAT IT DOES NOT MEET THE THRESHOLD FOR FINANCIAL STATEMENT RECOGNITION OF AN UNCERTAIN INCOME TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. PART XI, LINE 2D - OTHER ADJUSTMENTS: COMMISSIONS EXPENSE -4,679,349. EQUITY EARNINGS IN ASO -1,727,146. PART XII, LINE 4B - OTHER ADJUSTMENTS: COMMISSIONS EXPENSE 4,679,349. 1 ACCESSPOINT DENTAL LLC 1590 S ROBERT STREET SUITE 120 WEST ST PAUL MN 55118 465282727 NON TAX EXEMPT 21512 0 INCREASING ORAL HEALTH ACCESS PARTNERSHIP AMERICAN RED CROSS MINNESOTA & DAKOTAS REGION 1201 WEST RIVER PARKWAY MINNEAPOLIS MN 55454 530196605 501(C)(3) 5091 0 DISASTER RELIEF AND HUMANITARIAN AID BOYS & GIRLS CLUB OF ROCHESTER 1026 E CENTER ST ROCHESTER MN 55904 411945875 501(C)(3) 12500 0 YOUTH DEVELOPMENT POSITIVE ACTION PROGRAM BOYS AND GIRLS CLUB OF THE BEMIDJI AREA 1600 MINNESOTA AVENUE NW PO BOX 191 BEMIDJI MN 56619 810599601 501(C)(3) 12500 0 PROJECT RESTART: SUPPORT, STRENGTHEN & SURROUND YOUTH AND FAMILIES COMMUNITY DENTAL CARE 1670 BEAM AVE STE 204 MAPLEWOOD MN 55109 043692982 501(C)(3) 25000 0 PROGRAM TO IMPROVE COMMUNITY ORAL HEALTH OUTREACH GREATER BEMIDJI 102 1ST ST W SUITE 101 BEMIDJI MN 56601 363367707 501(C)(3) 17500 0 GREATER BEMIDJI INVESTMENT PARTNER CONTRIBUTION 2022 GREATER MINNEAPOLIS CRISIS NURSERY INC 4544 FOURTH AVE S MINNEAPOLIS MN 55419 411379021 501(C)(3) 15000 0 PEDIATRIC ASSESSMENT AND MEDICAL MANAGEMENT PROGRAM HENNEPIN HEALTHCARE FOUNDATION HENNEPIN HEALTHCARE MAIL CENTER HENNEPIN HEALTHCARE FOUNDATION - S6 MINNEAPOLIS MN 55415 410845733 501(C)(3) 7500 0 PATHWAYS TO SUCCESS ORAL HEALTH INTERNSHIPS AND BLACK WOMEN WITH STETHOSCOPES INTERCULTURAL MUTUAL ASSISTANCE ASSOCIATION INC 2500 VALLEYHIGH DR NW ROCHESTER MN 55901 411497753 501(C)(3) 10000 0 ORAL HEALTH PREVENTION OUTREACH AND EDUCATION 2022 KEYSTONE COMMUNITY SERVICES 2000 ST ANTHONY AVE SAINT PAUL MN 55104 410693924 501(C)(3) 7500 0 KEYSTONE TOOTH TUTOR MANKATO YOUTH PLACE INC 709 S BROAD STREET MANKATO MN 56001 842745924 501(C)(3) 10000 0 HEALTHY LIFESTYLES PROGRAM MENTAL HEALTH RESOURCES INC 762 TRANSFER ROAD SUITE 21 SAINT PAUL MN 55114 411273885 501(C)(3) 25000 0 COMPREHENSIVE DENTAL HEALTH INITIATIVE MIGIZI COMMUNICATIONS INC 1845 EAST LAKE STREET MINNEAPOLIS MN 55407 411379114 501(C)(3) 12500 0 CULTURAL LEADERSHIP ACADEMIC WELL-BEING (CLAW) MILL CITY FARMERS MARKET CHARITABLE FUND 704 SOUTH 2ND STREET MINNEAPOLIS MN 55401 814420781 501(C)(3) 7500 0 GREENS FOR GOOD PROGRAM 2022 MINNESOTA DENTAL FOUNDATION INC 1335 INDUSTRIAL BLVD 200 MINNEAPOLIS MN 55413 411927049 501(C)(3) 15000 0 FUND-A-SMILE MINNESOTA SPORTS AND EVENTS 2131 LINDAU LANE S STE 420 BLOOMINGTON MN 55425 851580569 501(C)(3) 100000 0 BIG TEN CONFERENCE TOURNAMENT IN MINNESOTA SPONSORSHIP OASIS FOR YOUTH 2200 W OLD SHAKOPEE RD BLOOMINGTON MN 55431 453683785 501(C)(3) 12500 0 MOBILE OASIS PROGRAM SAHAN JOURNAL 370 WABASHA ST N SUITE 500 ST PAUL MN 55102 832745995 501(C)(3) 7500 0 INCLUSIVE HEALTH REPORTING AT SAHAN JOURNAL SECOND HARVEST HEARTLAND 7101 WINNETKA AVENUE NORTH BROOKLYN PARK MN 55428 237417654 501(C)(3) 12500 0 24-HOUR HARVEST GIVING DAY 2022 ST CATHERINE UNIVERSITY 2004 RANDOLPH AVE SAINT PAUL MN 55105 410695509 501(C)(3) 25000 0 FAMILY-CENTERED ORAL HEALTH EDUCATION ST MARY'S HEALTH CLINICS 1884 RANDOLPH AVE ST PAUL MN 55105 411760632 501(C)(3) 12500 0 ORAL HEALTH SERVICES PROGRAM THE BRIDGE FOR YOUTH 1111 WEST 22ND STREET MINNEAPOLIS MN 55405 400983062 501(C)(3) 7500 0 FOSTERING HEALTHY CONNECTIONS FOR YOUTH UNCF MINNEAPOLIS 1201 MARQUETTE AVE SUITE 300 MINNEAPOLIS MN 55403 131624241 501(C)(3) 7500 0 ANNUAL MLK HOLIDAY BREAKFAST IN MINNEAPOLIS 2022 UNIVERSITY OF MINNESOTA FOUNDATION 200 SE OAK ST SUITE 500 MINNEAPOLIS MN 554552010 416042488 501(C)(3) 12500 0 DONATION TO TUCKER CENTER TUCKER CENTER FOR RESEARCH ON GIRLS & WOMEN IN SPORT WELCH CENTER INC DBA VALLEY YOUTH CENTER 720 N CENTRAL AVE DULUTH MN 55807 410850223 501(C)(3) 12500 0 ROUTINES FOR ACHIEVING HEALTHIER LIVES YOUNG WOMEN'S CHRISTIAN ASSOCIATION OF ST PAUL 375 SELBY AVE ST PAUL MN 55102 410693892 501(C)(3) 12500 0 ADVANCING HEALTH EQUITY INITIATIVE FOR TRANSITIONAL HOUSING PROGRAM YOUTH YWCA MINNEAPOLIS 1130 NICOLLET MALL MINNEAPOLIS MN 55403 410693891 501(C)(3) 12500 0 STRONG FAST FIT PROGRAM 26 1 PART I, LINE 2: THE ORGANIZATION'S TEAM MEMBERS WORK WITH EACH OF THE GRANTEES TO DETERMINE HOW THE FUNDS HAVE BEEN USED, VERIFY THAT THE USE OF THE FUNDS MATCHES THE PURPOSE OF THE GRANT AND TO OBTAIN REPORTS REGARDING THE IMPACT SUCH AS NUMBER OF INDIVIDUALS THAT RECEIVED CARE, IMPACT OF THE CARE RECEIVED TO THE INDIVIDUAL'S HEALTH, ETC. THIS INFORMATION IS REPORTED TO THE BOARD OF DIRECTORS THROUGH THE SOCIAL RESPONSIBILITY COMMITTEE. X 1 1 X X X X X X 1 0 0 1 1 1 1 0 0 RODNEY A YOUNG CHAIR/CEO 1034794 0 1100682 0 20500 0 18300 0 31341 0 2205617 0 0 0 TAMERA K ROBINSON EVP & CFO, ASSIST. TREASURER 653101 0 385688 0 20500 0 18300 0 5854 0 1083443 0 0 0 STEPHANIE A ALBERT EVP & CLO, ASSIST. SECRETARY 443991 0 251975 0 21085 0 18300 0 31286 0 766637 0 0 0 TIMOTHY R QUINN CHIEF MARKETING OFFICER 0 412469 0 202053 0 27000 0 18300 0 11401 0 671223 0 0 JOSEPH P LALLY EXEC DIR VP GOVERN. RELAT. (TO 9/2022) 167153 0 176714 0 294908 0 18300 0 13049 0 670124 0 0 0 MICHAEL J MCGUIRE FORMER COO (TO 11/2021) 0 0 0 0 508915 0 0 0 0 0 508915 0 0 0 KEVIN R DAVIDSON CHIEF CORP. DEV. OFFICER (TO 10/2022) 0 274572 0 154204 0 26928 0 18300 0 17160 0 491164 0 0 CAROL M HOUGHTBY WATSON VP & CHIEF ACCOUNTING OFFICER 292142 0 108276 0 34000 0 18300 0 18225 0 470943 0 0 0 THOMAS J BELLAMY CHIEF SALES OFFICER 0 322970 0 79487 0 26600 0 18300 0 17668 0 465025 0 0 NIRMALA J PRABHU CHIEF DENTAL OFFICER 0 269233 0 110568 0 27000 0 18300 0 38930 0 464031 0 0 FORREST M FLINT VP STRAT & INNO (THROUGH 12/2022) 239649 0 127674 0 47500 0 18300 0 22560 0 455683 0 0 0 KATHLEEN J EILAND-MADISON VP OF HR, DEI 279484 0 124779 0 21443 0 13194 0 15001 0 453901 0 0 0 PETER I VLADIMIROV VP, IT & DATA ENGINEERING 0 301269 0 86398 0 20500 0 18300 0 15308 0 441775 0 0 NADIA MARTYN VP, GEN. COUNSEL (INS. DIV.) 209658 0 68899 0 35567 0 18300 0 39922 0 372346 0 0 0 BRUCE TEMPLETON DMD DIRECTOR 364000 0 0 0 0 0 0 0 2882 0 366882 0 0 0 PART I, LINE 1A THE ORGANIZATION PAID FOR TRAVEL TO REQUIRED MEETINGS VIA FIRST CLASS COMMERCIAL FLIGHTS FOR CERTAIN EXECUTIVES. PART I, LINE 4A SOME EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING THE CALENDER YEAR. THE TERMS AND CONDITIONS OF THE CONFIDENTIAL SEVERANCE AGREEMENT ARE AVAILABLE TO THE INTERNAL REVENUE SERVICE UPON REQUEST. PART I, LINE 5 ALL ELIGIBLE EMPLOYEES MAY PARTICIPATE IN THE EMPLOYEE INCENTIVE PLAN WHICH IS APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE BOARD. THE 2022 PLAN ALLOWS FOR AN INCENTIVE PLAN PAYOUT BASED ON THREE COMPONENTS: THE COMPANY'S FINANCIAL PERFORMANCE, CUSTOMER AND EMPLOYEE EXPERIENCE, AND INDIVIDUAL GOALS. WITHIN THE CALCULATION OF THE COMPANY'S FINANCIAL PERFORMANCE, THERE IS A COMPONENT BASED ON REVENUE AND A COMPONENT BASED ON OPERATING EARNINGS. THE INCENTIVE AMOUNT IS BASED ON THE MATHEMATICAL CALCULATION OF THE RESULTS FOR EACH COMPONENT. FOR 2022, EACH EMPLOYEE'S AMOUNT WAS CALCULATED WITH 75% WEIGHT BASED ON THE COMPANY PERFORMANCE AND 25% WEIGHT BASED ON THEIR INDIVIDUAL PERFORMANCE. PART I, LINE 6 ALL ELIGIBLE EMPLOYEES MAY PARTICIPATE IN THE EMPLOYEE INCENTIVE PLAN WHICH IS APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE BOARD. THE 2022 PLAN ALLOWS FOR AN INCENTIVE PLAN PAYOUT BASED ON THREE COMPONENTS: THE COMPANY'S FINANCIAL PERFORMANCE, CUSTOMER AND EMPLOYEE EXPERIENCE, AND INDIVIDUAL GOALS. WITHIN THE CALCULATION OF THE COMPANY'S FINANCIAL PERFORMANCE, THERE IS A COMPONENT BASED ON REVENUE AND A COMPONENT BASED ON OPERATING EARNINGS. THE INCENTIVE AMOUNT IS BASED ON THE MATHEMATICAL CALCULATION OF THE RESULTS FOR EACH COMPONENT. FOR 2022, EACH EMPLOYEE'S AMOUNT WAS CALCULATED WITH 75% WEIGHT BASED ON THE COMPANY PERFORMANCE AND 25% WEIGHT BASED ON THEIR INDIVIDUAL PERFORMANCE. DR BRUCE R TEMPLETON DDS DIRECTOR OF THE ORGANIZATION 300000 DR. TEMPLETON RECEIVED PAYMENTS FOR CONSULTING SERVICES RENDERED TO RELATED ORGANIZATIONS. 0 CARLSON DENTAL OFFICE PA CARLSON DENTAL OFFICE PA IS 100% OWNED BY DR. PAUL CARLSON DDS, A DIRECTOR. 175637 CARLSON DENTAL OFFICE PA RECEIVED PAYMENTS FROM THE ORGANIZATION FOR DENTAL SERVICES. THE TOTAL AMOUNT WAS SHARED BETWEEN STRATACOR ($119,295), DELTA DENTAL OF MINNESOTA ($53,585) AND DELTA DENTAL OF NEBRASKA ($2,757). 0 AFTON ROAD DENTAL AFTON ROAD DENTAL IS OWNED BY DR. SUSAN C. ANDERSON, A DIRECTOR. 174956 AFTON ROAD DENTAL RECEIVED PAYMENTS FROM THE ORGANIZATION FOR DENTAL SERVICES. THE TOTAL AMOUNT WAS SHARED BETWEEN STRATAOCOR ($134,456) AND DELTA DENTAL OF MINNESOTA ($40,500). 0 FORM 990, PART VI, SECTION A, LINE 1A THE STRATACOR EXECUTIVE COMMITTEE IS MADE UP OF 9 MEMBERS OF THE STRATACOR BOARD OF DIRECTORS ("BOARD"). THE STRATACOR EXECUTIVE COMMITTEE EXERCISES DECISION MAKING AND AUTHORITY OF THE BOARD DURING THE INTERVENING TIME PERIODS BETWEEN BOARD MEETINGS ON EMERGENCY MATTERS OR ON OTHER RECURRING MATTERS THAT MUST BE DISPOSED OF PROMPTLY BEFORE THE NEXT REGULARLY SCHEDULED MEETING OF THE BOARD. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO CLASSES OF MEMBERS. THE INDIVIDUALS AND COMPANIES INCLUDED IN THESE TWO CLASSES OF MEMBERSHIP ARE PROVIDED CERTAIN RIGHTS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION HAS TWO CLASSES OF MEMBERS. THE INDIVIDUALS AND COMPANIES INCLUDED IN THESE TWO CLASSES OF MEMBERSHIP ARE PROVIDED CERTAIN RIGHTS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS, TO PARTICIPATE IN THE PROCESS OF ELECTING INDIVIDUALS TO THE BOARD OF DIRECTORS AT THE ANNUAL MEETING. FORM 990, PART VI, SECTION B, LINE 11B TAX FORM 990 WAS PREPARED, REVIEWED AND FILED BY BAKER TILLY US, LLP THE EXTERNAL AUDITORS OF STRATACOR. THE COMPANY PROVIDED ALL INFORMATION TO BAKER TILLY US, LLP INCLUDING OFFICER AND DIRECTOR COMPENSATION DISCLOSURES. COMPANY MANAGEMENT ALSO REVIEWED THE RETURN. A FULL COPY OF THE RETURN WITH COMPENSATION PAGES WAS MADE AVAILABLE TO THE BOARD PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS ALL DIRECTORS AND OFFICERS MUST COMPLETE AND SIGN A CONFLICT OF INTEREST POLICY AND DISCLOSURE. THESE DISCLOSURES ARE SUBMITTED TO LEGAL COUNSEL FOR REVIEW. LEGAL COUNSEL REPORTS THE RESULTS OF THEIR REVIEW TO THE AUDIT COMMITTEE AT A MEETING OF THE FULL AUDIT COMMITTEE. FORM 990, PART VI, SECTION B, LINE 15 THE STRATACOR BOARD OF DIRECTORS OVERSIGHT COMMITTEE AUTHORIZED THE HUMAN RESOURCES AND COMPENSATION SUBCOMMITTEE OF THE OVERSIGHT COMMITTEE TO ESTABLISH THE EXECUTIVE TOTAL COMPENSATION POLICY FOR THE CEO AND KEY SENIOR EXECUTIVES. THESE ACTIVITIES INCLUDE APPROVING THE DESIGN FOR THE COMPONENTS OF A TOTAL COMPENSATION PACKAGE THAT INCLUDES BASE SALARY, INCENTIVE, AND BENEFITS; AFTER REVIEWING THOROUGHLY RESEARCHED AND DOCUMENTED STUDIES CONDUCTED BY AN EXTERNAL CONSULTANT. AN INDEPENDENT COMPENSATION CONSULTING FIRM IS THE EXTERNAL CONSULTANT THAT IS USED FOR THE EXECUTIVE COMPENSATION STUDY. THE EXTERNAL CONSULTANT PRESENTS THEIR FINDINGS TO THE HUMAN RESOURCES AND COMPENSATION SUBCOMMITTEE. THE NATIONAL COMPENSATION SURVEYS USE DATA FROM OTHER DELTA DENTAL PLANS, NOT-FOR-PROFIT ORGANIZATIONS, AND SIMILAR BUSINESSES. THE COMPENSATION STRATEGY IS COMPLETED AFTER APPROVAL BY THE SUBCOMMITTEE. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURES AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: CURRENT YEAR UNREALIZED GAIN (LOSS) - AOCI -9,387,681. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSEEING THE AUDIT AND SELECTING THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE PRIOR YEAR. DDMN ASO LLC 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 411905554 ADMIN OF DENTAL SERVICE PLANS MN 1130161145 92266526 STRATACOR DELTA DENTAL OF MINNESOTA 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 410952670 DENTAL SERVICE PLANS MN 501 (C)(4) N/A STRATACOR 1 DELTA DENTAL OF MINNESOTA FOUNDATION 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 264482509 FOUNDATION MN 501 (C)(3) LINE 12B, II STRATACOR 1 DELTA DENTAL OF NEBRASKA 1299 FARNAM ST SUITE 300 OMAHA NE 68102 470685003 DENTAL SERVICE PLANS NE 501(C)(4) N/A STRATACOR 1 HEALTH VENTURES NETWORK 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 411539439 VISION COVERAGE MN STRATACOR C 448957 998509 1.00000 1 ABOVA INC 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 814457588 SALE OF DENTAL PRODUCTS AND CONSULTING DE STRATACOR C 22301849 15161394 1.00000 1 TRASKA INC 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 831531907 BEMIDJI BUILDING HOLDING CO DE STRATACOR C 1060441 10399080 1.00000 1 1 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 ABOVA INC A 37696 ACTUAL ABOVA INC L 132697 ACTUAL DELTA DENTAL OF MINNESOTA L 2519315 ACTUAL DELTA DENTAL OF NEBRASKA L 154344 ACTUAL ABOVA INC M 1451365 ACTUAL ABOVA INC M 17992433 ACTUAL DELTA DENTAL OF MINNESOTA N 703420 ALLOCATION ABOVA INC O 880475 ALLOCATION DELTA DENTAL OF MINNESOTA O 24878566 ALLOCATION DELTA DENTAL OF MINNESOTA FOUNDATION O 447049 ALLOCATION DELTA DENTAL OF NEBRASKA O 176088 ALLOCATION ABOVA INC Q 302860 ALLOCATION DELTA DENTAL OF MINNESOTA Q 9927718 ALLOCATION DELTA DENTAL OF NEBRASKA Q 181152 ALLOCATION DELTA DENTAL OF MINNESOTA P 10650885 ACTUAL