2023-09-29T07:22:47-05:00 2022-12-31 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2022-01-01 834432148 ENSEMBLE INNOVATION VENTURES ENSE 8002330860 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 GREGORY VOCHIS TREASURER 8002330860 2023-09-11 1 GREGORY VOCHIS 999009999 1 DORI J EGGETT P00645252 3037409400 2023-09-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HELEN W DREXLER 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 590921 0 X WWW.ENSEMBLEINNOVATIONVENTURES.COM X 2019 CO ENSEMBLE INNOVATION VENTURES ALLOCATES CAPITAL RESOURCES TO IMPROVE COMMUNITY HEALTH & WELLNESS. 8 7 0 0 0 0 0 0 110439 217580 791873 -1798827 0 203 902312 -1581044 0 0 0 0 1349512 1873654 0 0 0 546113 560404 1895625 2434058 -993313 -4015102 35241106 30363690 411968 619928 34829138 29743762 X ENSEMBLE INNOVATION VENTURES ALLOCATES CAPITAL RESOURCES IN DISRUPTIVE AND INNOVATIVE BUSINESS MODELS AND SOLUTIONS, BOTH NASCENT AND MATURING, THAT IMPROVE COMMUNITY HEALTH AND WELLNESS BY REMOVING BARRIERS TO CARE, ADDRESSING UNMET HEALTH AND WELLNESS NEEDS, AND UNLOCKING THE FUTURE OF HEALTHCARE. 0 0 1474391 217580 FOR THE YEAR ENDING DECEMBER 31, 2022, THE COMPANY GENERATED INCOME FROM INVESTMENTS AND INCURRED PERSONNEL (SHARED COSTS FROM OUR SUBSIDIARY, DELTA DENTAL OF COLORADO), HR, IT, LEGAL AND OTHER COSTS RELATED TO THE INVESTIGATION OF POTENTIAL INVESTMENTS. 1474391 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 17 0 1 0 0 0 0 0 0 0 0 0 0 0 X 8 7 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X GREGORY VOCHIS CPA 7204894715 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 ANN BLOCK CHAIR 2.00 4.00 X X 14379 40500 0 LAURA ENGLISH DIRECTOR 4.00 X 29385 0 0 ADAM HAYNES DIRECTOR 4.00 X 40886 0 0 RUSSELL HEDMAN JD DIRECTOR 4.00 X 36133 0 0 RICHARD CALL DMD SECRETARY 2.00 4.00 X X 2250 47754 0 LEO TOKAR VICE-CHAIR 4.00 2.00 X X 11163 19725 0 HELEN W DREXLER PRESIDENT & CEO 7.00 38.00 X X 167138 907323 59349 ANDREA YOUNG DIRECTOR 2.00 4.00 X 6250 47002 0 GREGORY C VOCHIS CPA TREASURER 5.00 40.00 X 66510 532082 60330 DAVID W GERBUS VICE-PRESIDENT 5.00 43.00 X 46662 373293 18166 BRENT TROXELL DIRECTOR OF STRATEGIC GROW 23.00 22.00 X 108102 103402 20970 528858 2071081 158815 2 0 1 0 0 DENTAL SAVINGS PLAN 524298 217580 217580 217580 373138 373138 2070517 101448 -2070517 -101448 -2171965 -2171965 MISCELLANEOUS REVENUE 900099 203 203 203 -1581044 217580 0 -1798624 557530 546379 11151 1225761 426873 798888 36700 13247 23453 16288 4917 11371 37375 16688 20687 66939 65618 1321 71000 57740 13260 30678 30678 48619 45891 2728 529 310 219 23514 20611 2903 84443 46068 38375 123462 123462 33694 16275 17419 1041 1007 34 22091 22091 3910 3910 FEES, LICENSES, AND DUE 23036 5987 17049 TRAINING, SEMINARS, AND 11884 11124 760 BANK AND CREDIT CARD FE 8163 8163 COMMISSIONS 6396 6396 1005 956 49 2434058 1474391 959667 0 354191 3245250 261487 94364 34 340000 35098 63621 78680 40462 150169 38218 29252867 18233427 4887760 8137257 286000 13500 211553 35241106 30363690 181227 260753 230741 359175 411968 619928 X 34829138 29743762 34829138 29743762 35241106 30363690 X -4015102 -524070 -546204 X 0 1 X 1 0 39996 20986 19010 38684 19476 19208 38218 2460939 C SPRINGROCK VENTURES II 1932912 C KL OWEN BRACE 684638 C FRESH HEALTH 508750 C BASIL SYSTEM 300000 C VIDEA HEALTH 999999 C YES HEARING 499999 C NEXBEN 750020 C 8137257 DUE TO DELTA DENTAL OF COLORADO 152505 RIGHT OF USE LEASE LIABILITIES 206670 359175 X PART X, LINE 2: ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY IF THE COMPANY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANY AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2022, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. X X X X 0 0 0 0 1 0 1 0 0 HELEN W DREXLER PRESIDENT & CEO 86508 469615 77542 420943 3088 16765 7057 38310 2175 11807 176370 957440 0 0 GREGORY C VOCHIS CPA TREASURER 36434 291470 24936 199489 5140 41123 4146 33165 2558 20461 73214 585708 0 0 DAVID W GERBUS VICE-PRESIDENT 14318 114543 23350 186799 8994 71951 1324 10593 694 5555 48680 389441 0 0 BRENT TROXELL DIRECTOR OF STRATEGIC GROW 76994 73646 6316 6042 24792 23714 6018 5756 4700 4496 118820 113654 0 0 PART I, LINE 5: THE COMPANY HAS AN INCENTIVE COMPENSATION PLAN AND A SALES INCENTIVE PLAN WHICH PROVIDES AN ANNUAL BONUS FOR ALL ELIGIBLE EMPLOYEES IF THE COMPANY REACHES CERTAIN GOALS, INCLUDING A MINIMUM NET GAIN GOAL. ALL ACTIVE FULL-TIME EMPLOYEES ARE ELIGIBLE FOR ONE OF THE INCENTIVE PLANS. THE COMPANY ALSO HAS A LONG-TERM INCENTIVE PROGRAM FOR EXECUTIVES, WHICH IS BASED ON MEMBERSHIP GROWTH, RETURN ON REVENUE, AND STAKEHOLDER EXPERIENCE FACTORS. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2022 THE PLAN YEAR ENDING DECEMBER 31, 2021 WAS PAID. PART I, LINE 6: SEE NARRATIVE FOR LINE 5B ABOVE. FORM 990, PART VI, SECTION B, LINE 11B WE ENGAGE AN INDEPENDENT CPA TAX PROFESSIONAL TO PREPARE OUR FORM 990, AND BOARD MEMBERS GENERALLY FEEL THIS IS THE APPROPRIATE FIDUCIARY PROCESS. THE BOARD'S ROLE THEN IS TO EVALUATE THE FIRM HIRED TO PREPARE THE RETURN AND TO DETERMINE IT IS APPROPRIATELY FILED. WE HAVE TAKEN THOSE STEPS WITH OUR BOARD. THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE FORM 990 PRIOR TO FILING WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ON AN ANNUAL BASIS, BOARD DIRECTORS ARE REQUIRED TO COMPLETE AN ELECTRONIC CONFLICT OF INTEREST SURVEY AND AN INDEPENDENT/DEPENDENT DIRECTOR SURVEY. COMPLETED SURVEYS ARE REVIEWED BY BOARD COUNSEL. ANY POTENTIAL OR PERCEIVED CONFLICT OR DEPENDENCY ISSUES ARE REPORTED TO AND ADDRESSED BY THE BOARD. IF NECESSARY, THE IMPACTED DIRECTOR IS REMOVED FROM ANY SITUATION INVOLVING THE POTENTIAL CONFLICT. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAINTAINS COPIES OF THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS THAT ARE AVAILABLE FOR PUBLIC INSPECTION. THE ORGANIZATION HAS A STATEMENT ON ITS WEBSITE THAT INFORMS THE PUBLIC THAT THESE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT ITS CORPORATE HEADQUARTERS. FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS OF DIRECT DENTAL ALLIANCE TO BETA HEALTH -546,204. ENSEMBLE COMMUNITY IMPACT FUND 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 320642564 INVESTMENTS IN COMPANIES THAT IMPROVE COMMUNITY HEALTH AND WELLNESS CO 6090813 ENSEMBLE INNOVATION VENTURES DIRECT DENTAL ALLIANCE 6465 GREENWOOD PLAZA BLVD SUIT 900 CENTENNIAL CO 80111 872105156 MARKET AND ADMINISTER A NON-INSURED DENTAL PRODUCT CO 217580 ENSEMBLE INNOVATION VENTURES DELTA DENTAL OF COLORADO 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 834416613 DENTAL INSURANCE CO 501(C)(4) ENSEMBLE INNOVATION VENTURES 1 DELTA DENTAL OF COLORADO FOUNDATION 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 841389431 ADVANCE ORAL HEALTH EQUITY CO 501(C)(3) LINE 12A, I DELTA DENTAL OF COLORADO 1 BETA HEALTH ASSOCIATION 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 841146388 PROVIDES NON-INSURED DENTAL BENEFITS TO SUPPORT DENTAL INSURANCE CARRIERS CO ENSEMBLE INNOVATION VENTURES C 1.00000 0 EMBER ASSURANCE INC 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 874622205 MARKET AND ADMINISTER VISION INSURANCE PRODUCTS CO ENSEMBLE INNOVATION VENTURES C 1.00000 0 0 0 0 0 0 0 0 1 0 0 1 0 0 0 1 1 0 0 0 DELTA DENTAL OF COLORADO O 394139 COST BETA HEALTH ASSOCIATION B 5200000 COST EMBER ASSURANCE B 1728569 COST BETA HEALTH ASSOCIATION F 4000000 COST