2023-11-15T13:23:13-06:00 2022-12-31 390859910 BAKER TILLY US LLP 225 S 6TH ST 2300 MINNEAPOLIS MN 55402 990 2022-01-01 410952670 DELTA DENTAL OF MINNESOTA DELT 6122243293 500 WASHINGTON AVE S 2060 MINNEAPOLIS MN 55415 CAROL M HOUGHTBY WATSON CFO 6122243293 2023-10-26 1 CAROL HOUGHTBY WATSON XXX-XX-XXXX 0 LAWRENCE H MOHR CPA P00447603 6128764500 2023-10-25 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z RODNEY A YOUNG 500 WASHINGTON AVE S 2060 MINNEAPOLIS MN 55415 476093561 0 X WWW.DELTADENTALMN.ORG X 1969 MN DELTA DENTAL OF MINNESOTA PROVIDES DENTAL INSURANCE SERVICE PLANS TO MAKE DENTAL CARE AVAILABLE IN THE COMMUNITIES IT SERVES AS A NOT FOR PROFIT ORGANIZATION. 16 12 0 0 0 0 0 0 345783075 402576157 8424542 3502303 1172759 332215 355380376 406410675 632842 478028 0 0 23701878 25589290 0 0 0 331256131 379450599 355590851 405517917 -210475 892758 129264360 127242974 40842081 52389473 88422279 74853501 DELTA DENTAL OF MINNESOTA OPERATES A NONPROFIT HEALTH SERVICE PLAN TO MAKE DENTAL CARE AVAILABLE THAT ADVANCES ORAL HEALTH IN THE COMMUNITIES WE SERVE. 0 0 385852117 478028 402576157 DELTA DENTAL OF MINNESOTA'S PRINCIPAL PURPOSE IS TO IMPROVE ORAL HEALTH BY PROVIDING WIDESPREAD AND TIMELY AVAILABILITY OF ECONOMICAL DENTAL SERVICES FOR THE COMMUNITIES IN WHICH IT SERVES. THE COMPANY PROVIDES ADMINISTRATIVE SERVICES FOR PUBLIC PROGRAMS IN MINNESOTA THROUGH ARRANGEMENTS WITH MULTIPLE HEALTH PLANS AS PART OF ITS SOCIAL WELFARE MISSION. 385852117 0 0 0 0 0 0 0 0 0 0 1 0 1 1 1 1 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 X 7901 0 1 0 0 0 0 0 0 0 0 0 X 16 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X CAROL M HOUGHTBY WATSON 6122243173 500 WASHINGTON AVE S 2060 MINNEAPOLIS MN 55415 RODNEY A YOUNG CEO & DIRECTOR 22.00 28.00 X X 0 2155976 49641 TAMERA K ROBINSON PRESIDENT & DIRECTOR 20.50 29.50 X X 0 1059289 24154 BRUCE TEMPLETON DMD DIRECTOR 1.20 32.70 X 0 364000 2882 MICHAEL W HOWE VICE CHAIR 1.00 5.10 X X 0 116750 842 KIMBERLY F PRICE TREASURER 0.50 3.90 X X 0 84000 842 ANGELA M RILEY CO-CHAIR 0.70 2.60 X X 0 81000 842 DEB S KNUTSON CO-CHAIR 0.70 3.40 X X 0 81000 842 JOHN D SOMROCK DIRECTOR 0.50 3.60 X 0 73000 842 SIMA L GRIFFITH DIRECTOR 0.50 2.70 X 0 66000 0 MICHAEL ZAKULA DDS SECRETARY 1.40 2.20 X X 0 48000 842 LAURA J GILLUND DIRECTOR 0.50 2.00 X 0 43000 1363 JOHN W BLUFORD DIRECTOR 0.50 2.50 X 0 41000 842 JAMES R SWANSTROM DDS DIRECTOR 1.20 1.90 X 0 40000 842 LYNDSAY BATES DDS DIRECTOR 1.20 1.80 X 0 39000 1363 PAUL CARLSON DIRECTOR 1.20 0.90 X 0 36000 0 KATE MORTENSON DIRECTOR 0.50 1.90 X 0 36000 0 SUSAN C ANDERSON DIRECTOR 1.20 0.90 X 0 36000 842 STEPHANIE A ALBERT EVP & CHIEF LEGAL OFFICER 15.70 34.30 X 0 717051 49586 CAROL M HOUGHTBY WATSON CFO, ASSIST. TREASURER 27.90 22.10 X 0 434418 36525 NADIA MARTYN VP, ASST. SECRETARY (INS. DIV.) 28.20 21.80 X 0 314124 58222 TIMOTHY R QUINN CHIEF MARKETING OFFICER 24.90 25.10 X 0 641522 29701 THOMAS J BELLAMY CHIEF SALES OFFICER 24.00 16.00 X 0 429057 35968 KATHLEEN J EILAND-MADISON VP OF HR, DEI 25.00 25.00 X 0 425706 28195 JOSEPH P LALLY EXEC DIR VP GOVERN. RELAT. (TO 9/2022) 0.00 50.00 X 0 638775 31349 KEVIN R DAVIDSON CHIEF CORP. DEV. OFFICER (TO 10/2022) 1.00 39.00 X 0 455704 35460 NIRMALA J PRABHU CHIEF DENTAL OFFICER 24.00 16.00 X 0 406801 57230 FORREST M FLINT VP STRAT & INNO (TO 12/2022) 20.50 14.50 X 0 414823 40860 PETER I VLADIMIROV VP, IT & DATA ENGINEERING 24.00 16.00 X 0 408167 33608 MICHAEL J MCGUIRE FORMER COO (TO 11/2021) 0.00 0.00 X 0 508915 0 0 10195078 523685 0 1 1 0 COMMUNITY DENTAL CARE 1670 BEAM AVE STE 204 MAPLEWOOD MN 55109 DENTAL CLAIMS 13842878 APPLE TREE DENTAL 2442 MOUNDS VIEW BLVD MOUNDS VIEW MN 55112 DENTAL CLAIMS 11722052 PDG PA 2200 COUNTY RD C WEST SUITE 2210 ROSEVILLE MN 55113 DENTAL CLAIMS 8039313 MINNESOTA ORTHODONTICS AND DENTOFACIAL 2019 JEFFERSON RD STE C NORTHFIELD MN 55057 DENTAL CLAIMS 7350464 FAMILY AND COSMETIC GENTLE DENTISTRY 4100 SHORELINE DR STE 4 SPRING PARK MN 55384 DENTAL CLAIMS 7138663 524 SUBSCRIPTION REVENUE: 624100 215868675 215868675 SUBSCRIPTION REVENUE: 624100 186707482 186707482 402576157 2891227 2891227 70281745 12217 69682886 0 598859 12217 611076 611076 OTHER REVENUE 900999 332215 332215 332215 406410675 402576157 0 3834518 478028 478028 3297664 3066827 230837 16021907 14900373 1121534 454845 423005 31840 5179081 4816547 362534 635793 591287 44506 17514155 2977406 14536749 454210 454210 161825 161825 418393 418393 2550164 433520 2116644 384391 311357 73034 2724843 544868 2179975 2087054 417334 1669720 1586105 1586105 81376 3255 78121 15822 15822 2433435 2433435 950582 950582 CLAIMS EXPENSE 342510365 342510365 COMMISSIONS EXPENSE 11845270 11845270 BUSINESS TAXES 2017014 201701 1815313 BANK CHARGES 1012324 30370 981954 -9296729 698677 -9995406 405517917 385852117 19665800 0 11836034 14870633 8194800 9922777 2620695 2577045 106320925 86325796 291906 13546723 129264360 127242974 18002074 21844043 3309902 2813762 19530105 27731668 40842081 52389473 X 0 0 0 0 88422279 74853501 88422279 74853501 129264360 127242974 X 892758 -6018327 -8443209 X X 0 1 X 1 0 0 AVAILABLE-FOR-SALE SECURITIES 67146898 F TRADING SECURITIES 19178898 F 86325796 INVESTMENT RECEIVABLE 491422 RIGHT OF USE ASSET 13055301 13546723 DUE TO STRATACOR 14273724 LEASE LIABILITY PAYABLE 13457944 27731668 X 388128685 -6018327 -6018327 394147012 418393 11845270 12263663 406410675 393254254 0 393254254 418393 11845270 12263663 405517917 PART X, LINE 2: DELTA DENTAL OF MINNESOTA (DDMN) IS EXEMPT FROM FEDERAL INCOME TAX UNDER IRC SECTION 501(C)(4), THOUGH IT IS SUBJECT TO TAX ON INCOME UNRELATED TO ITS EXEMPT PURPOSE, UNLESS THAT INCOME IS OTHERWISE EXCLUDED BY THE IRC. DDMN HAS PROCESSES IN PLACE TO ENSURE THE MAINTENANCE OF THE TAX-EXEMPT STATUS FOR THE ORGANIZATION, 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. DDMN 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. DDMN 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 4B - OTHER ADJUSTMENTS: COMMISSIONS EXPENSE REPORTED AS PART OF REVENUE ON AUDIT 11,845,270. PART XII, LINE 4B - OTHER ADJUSTMENTS: COMMISSIONS EXPENSE REPORTED AS PART OF REVENUE ON AUDIT 11,845,270. 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 INC 102 1ST 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) 25000 0 BIG TEN CONFERENCE TOURNAMENT IN MINNESOTA SPONSORSHIP MINNESOTA SPORTS AND EVENTS 2131 LINDAU LANE S STE 420 BLOOMINGTON MN 55425 851580569 501(C)(3) 12500 0 CHAMPIONS COUNCIL MEMBERSHIP MINNESOTA SPORTS AND EVENTS 2131 LINDAU LANE S STE 420 BLOOMINGTON MN 55425 851580569 501(C)(3) 62500 0 NCAA WOMEN'S FINAL FOUR AND 50TH ANNIVERSARY OF TITLE IX 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 28 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 GET 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. 1 0 0 0 1 0 1 0 0 RODNEY A YOUNG CEO & DIRECTOR 0 1034794 0 1100682 0 20500 0 18300 0 31341 0 2205617 0 0 TAMERA K ROBINSON PRESIDENT & DIRECTOR 0 653101 0 385688 0 20500 0 18300 0 5854 0 1083443 0 0 STEPHANIE A ALBERT EVP & CHIEF LEGAL OFFICER 0 443991 0 251975 0 21085 0 18300 0 31286 0 766637 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) 0 167153 0 176714 0 294908 0 18300 0 13049 0 670124 0 0 MICHAEL J MCGUIRE FORMER COO (TO 11/2021) 0 0 0 0 0 508915 0 0 0 0 0 508915 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 CFO, ASSIST. TREASURER 0 292142 0 108276 0 34000 0 18300 0 18225 0 470943 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 (TO 12/2022) 0 239649 0 127674 0 47500 0 18300 0 22560 0 455683 0 0 KATHLEEN J EILAND-MADISON VP OF HR, DEI 0 279484 0 124779 0 21443 0 13194 0 15001 0 453901 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, ASST. SECRETARY (INS. DIV.) 0 209658 0 68899 0 35567 0 18300 0 39922 0 372346 0 0 BRUCE TEMPLETON DMD DIRECTOR 0 364000 0 0 0 0 0 0 0 2882 0 366882 0 0 PART I, LINE 3 ALL COMPENSATION TO THE CEO IS PAID BY STRATACOR, A RELATED ORGANIZATION. STRATACOR USES THE FOLLOWING TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY BOARD OR COMPENSATION COMMITTEE 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 RELATED COMPANY'S FINANCIAL PERFORMANCE, CUSTOMER AND EMPLOYEE EXPERIENCE, AND INDIVIDUAL GOALS. WITHIN THE CALCULATION OF THE RELATED 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 RELATED 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 RELATED COMPANY'S FINANCIAL PERFORMANCE, CUSTOMER AND EMPLOYEE EXPERIENCE, AND INDIVIDUAL GOALS. WITHIN THE CALCULATION OF THE RELATED 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 RELATED COMPANY PERFORMANCE AND 25% WEIGHT BASED ON THEIR INDIVIDUAL PERFORMANCE FORM 990, PART V, LINES 2A AND 2B: ALL EMPLOYEES ARE LEGAL EMPLOYEES OF STRATACOR (FEIN: 41-1852523) OR ABOVA TALENT (FEIN: 85-3884782), BOTH FILE ALL REQUIRED FEDERAL EMPLOYMENT FORMS EACH YEAR. FORM 990, PART VI, SECTION A, LINE 6 STRATACOR IS THE SOLE MEMBER OF DELTA DENTAL OF MINNESOTA. FORM 990, PART VI, SECTION A, LINE 7A STRATACOR IS THE SOLE MEMBER OF DELTA DENTAL OF MINNESOTA AND HAS THE AUTHORITY TO APPOINT MEMBERS OF THE GOVERNING BODY. FORM 990, PART VI, SECTION A, LINE 7B STRATACOR, AS THE SOLE MEMBER OF DELTA DENTAL OF MINNESOTA, HAS RIGHTS TO APPROVE CERTAIN ACTIONS OF THE BOARD OF DIRECTORS, AS OUTLINED IN THE ORGANIZATION'S BYLAWS. 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 OFFICERS OF THE FILING ORGANIZATION ARE NOT COMPENSATED BY THE FILING ORGANIZATION. INDIVIDUALS SERVING AS OFFICERS OF THE FILING ORGANIZATION SERVE IN THE SAME OR SIMILAR CAPACITY FOR A RELATED 501 (C)(4) ORGANIZATION, STRATACOR. ALL COMPENSATION RECEIVED BY OFFICERS OF THE FILING ORGANIZATION (IN THEIR CAPACITIES AS EMPLOYEES OF STRATACOR) IS PAID BY STRATACOR, AND STRATACOR IS RESPONSIBLE FOR COMPENSATION SETTING POLICY AND PROCEDURE. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST. STATUTORY FINANCIAL STATEMENTS ARE FILED WITH THE MINNESOTA DEPARTMENT OF COMMERCE AND THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS AS A MATTER OF PUBLIC RECORD. GAAP BASIS FINANCIALS ARE AVAILABLE UPON REQUEST. FINANCIAL STATEMENTS, CONFLICT OF INTEREST POLICY AND GOVERNING DOCUMENTS ARE AVAILABLE UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: CHANGE IN GAIN ON AVAILABLE -FOR-SALE BONDS -8,443,209. FORM 990, PART XII, LINE 2C: THE PROCESS FOR OVERSEEING THE AUDIT AND SELECTING THE INDEPENDENT ACCOUNTANT HAS NOT CHANGED SINCE PRIOR YEAR. DELTA DENTAL OF MINNESOTA FOUNDATION 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 264482509 FOUNDATION MN 501 (C)(3) LINE 12B, II STRATACOR 0 STRATACOR 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 411852523 HOLDING COMPANY MN 501 (C)(4) N/A N/A 0 DELTA DENTAL OF NEBRASKA 1299 FARNAM STREET SUITE 300 OMAHA NE 68105 470685003 DENTAL SERVICE PLANS NE 501 (C)(4) N/A STRATACOR 0 HEALTH VENTURES NETWORK 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 411539439 VISION COVERAGE MN N/A C 0 ABOVA INC 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 814457588 SALE OF DENTAL PRODUCTS AND CONSULTING DE N/A C 0 TRASKA INC 500 WASHINGTON AVENUE S SUITE 2060 MINNEAPOLIS MN 55415 831531907 BEMIDJI BUILDING HOLDING CO DE N/A C 0 0 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 1 0 0