2024-10-01T14:13:36-05:00 2023-12-31 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2023-01-01 834432148 ENSEMBLE INNOVATION VENTURES ENSE 8002330860 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 HELEN W DREXLER PRESIDENT & CEO 8002330860 2024-09-25 1 1 DORI J EGGETT P00645252 3037409400 2024-09-25 2023 2024-10-15 13:58:12Z HELEN W DREXLER 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 22233139 0 X WWW.ENSEMBLEINNOVATIONVENTURES.COM X 2019 CO ENSEMBLE INNOVATION VENTURES ALLOCATES CAPITAL RESOURCES TO IMPROVE COMMUNITY HEALTH & WELLNESS. 7 6 0 0 0 0 0 0 217580 0 -1798827 -1644932 203 0 -1581044 -1644932 0 0 0 0 1873654 1419520 0 0 0 560404 706658 2434058 2126178 -4015102 -3771110 30363690 29975252 619928 864543 29743762 29110709 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 1098588 FOR THE YEAR ENDING DECEMBER 31, 2023, 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. 1098588 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 14 0 1 0 0 0 0 0 0 0 0 0 0 0 X 7 6 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 0 0 0 0 0 X MICHAEL THORNLEY CPA 3038898634 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 HELEN W DREXLER PRESIDENT & CEO 7.00 38.00 X X 161046 912597 49492 ANDREA YOUNG TRUSTEE 2.00 4.00 X 11500 52708 0 ANN BLOCK TRUSTEE 2.00 4.00 X 7750 43028 0 LEO TOKAR CHAIR 2.00 4.00 X X 12750 21001 12750 ADAM HAYNES TRUSTEE 4.00 0.00 X 41500 0 0 RUSSELL HEDMAN JD TRUSTEE 4.00 0.00 X 34500 0 0 LAURA ENGLISH SECRETARY 4.00 0.00 X X 0 0 0 RICHARD CALL DMD SECRETARY - PART YEAR 2.00 4.00 X X 0 47328 0 GREGORY C VOCHIS CPA TREASURER & CFO 5.00 40.00 X 53399 536960 63384 BRENT TROXELL DIRECTOR OF STRATEGIC GROWTH 9.00 36.00 X 36766 147063 22721 DAVID W GERBUS FORMER COO 0.00 0.00 X 11987 107879 0 371198 1868564 148347 1 1 1 0 0 457969 457969 21775170 23878071 -2102901 -2102901 -2102901 -1644932 0 0 -1644932 355089 347987 7102 959998 169414 790584 40827 40827 38729 1315 37414 24877 4494 20383 38767 37667 1100 100215 85155 15060 20210 20210 84872 81444 3428 710 710 17045 7190 9855 97435 37927 59508 129153 129153 41519 14494 27025 119495 119295 200 3876 3876 12539 12539 19815 19815 FEES, LICENSES, & DUES 16500 1403 15097 TRAINING, SEMINARS & ED 4500 4500 7 7 2126178 1098588 1027590 0 3245250 679888 94364 344232 340000 511000 63621 106426 78680 53000 38218 25680 18233427 15500471 8137257 12451614 211553 355941 30363690 29975252 260753 376046 359175 488497 619928 864543 X 29743762 29110709 29743762 29110709 30363690 29975252 X -3771110 2638057 500000 X 0 1 X 1 0 39996 27998 11998 38684 25002 13682 25680 4961541 C SPRINGROCK VENTURES II 2490418 C KL OWEN BRACE 684637 C FRESH HEALTH 508750 C BASIL SYSTEM 550000 C VIDEA HEALTH 999999 C YES HEARING 499999 C NEXBEN 750020 C CREDO HEALTH SYSTEMS 506250 C TRULITE HEALTH INC 500000 C 12451614 DUE TO DELTA DENTAL OF COLORADO 356755 RIGHT OF USE LEASE LIABILITIES 131742 488497 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, 2023, 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 92133 522093 66416 376355 2497 14149 5326 30181 2098 11887 168470 954665 0 0 GREGORY C VOCHIS CPA TREASURER & CFO 33311 334961 18571 186743 1517 15256 3726 37469 2007 20182 59132 594611 0 0 BRENT TROXELL DIRECTOR OF STRATEGIC GROWTH 32808 131230 3552 14210 406 1623 2827 11308 1717 6869 41310 165240 0 0 DAVID W GERBUS FORMER COO 0 0 11987 107879 0 0 0 0 0 0 11987 107879 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 2024 THE PLAN YEAR ENDING DECEMBER 31, 2023 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. MANAGEMENT OF THE COMPANY REVIEWS THE FORM 990, THEN SUBMITS IT TO THE BOARD OF DIRECTORS FOR THEIR FINAL REVIEW AND APPROVAL BEFORE FILING THE FORM 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 B, LINE 15 DELTA DENTAL OF COLORADO, A RELATED ENTITY, HAS A COMPENSATION COMMITTEE OF THEIR BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO (A PORTION OF THE COSTS FOR THESE EXECUTIVES IS ALLOCATED TO THE COMPANY, BASED UPON TIME SPENT CONDUCTING COMPANY BUSINESS). THE COMMITTEE ENGAGES THE SERVICES OF A THIRD PARTY TO PROVIDE RANGES OF COMPENSATION THAT ARE APPROPRIATE FOR THE DUITIES REQUIRED BY THE POSITION OF THE PRESIDENT, AS WELL AS THE POSITION OF THE VICE PRESIDENTS. THE CEO AND PRESIDENT OF THE CORPORATION ARE RESPONSIBLE FOR THE COMPENSATION PROCESS OF THE REMAINING EXECUTIVES OF THE ORGANIZATION. THE ORGANIZATION ENGAGES A THIRD PARTY TO PROVIDE RANGES OF ACCEPTABLE INCREASES AND COMPENSATION LEVELS OF AVERAGE SALARIES BY SALARY GRADE. 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 500,000. ENSEMBLE COMMUNITY IMPACT FUND 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 320642564 INVESTMENTS IN COMPANIES THAT IMPROVE COMMUNITY HEALTH AND WELLNESS CO 0 8054420 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 0 0 0 0 0 0 0 1 1 0 0 0 DELTA DENTAL OF COLORADO O 554130 FMV, CASH PAID