2024-10-01T14:12:21-05:00 2023-12-31 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2023-01-01 834416613 DELTA DENTAL OF COLORADO DELT 8002330860 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 HELEN W DREXLER PRESIDENT AND 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 553602319 0 X WWW.DELTADENTALCO.COM X 2019 CO TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. 13 11 294 0 845868 0 0 0 515021062 551765964 3876245 -626054 349220 32290 519246527 551172200 556362 928218 445882110 483723637 25851032 28398841 0 0 0 42503236 41864713 514792740 554915409 4453787 -3743209 109743580 100016619 51066442 40279633 58677138 59736986 X DELTA DENTAL OF COLORADO (DDCO) WAS FORMED AS A 501(C)(4) ORGANIZATION IN ORDER TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES IT SERVES. BECAUSE PEOPLE WITH DENTAL INSURANCE OVER TIME HAVE BETTER ORAL HEALTH OUTCOMES, DELTA DENTAL OF COLORADO DEVOTES ITSELF TO PROVIDING HIGH QUALITY AFFORDABLE DENTAL INSURANCE TO AS MANY COLORADANS AS POSSIBLE. 0 0 548306039 550920096 PROVISION OF RISK AND SELF-FUNDED PLANS TO SUBSCRIBERSDELTA DENTAL OF COLORADO DEVOTES ITSELF TO ITS MISSION OF IMPROVING THE ORAL HEALTH OF COLORADO'S PEOPLE. BECAUSE PEOPLE WITH DENTAL INSURANCE ARE OVER TWICE AS LIKELY TO VISIT A DENTIST REGULARLY, DELTA DENTAL OF COLORADO WORKS HARD TO MAKE DENTAL INSURANCE AS AFFORDABLE AND ACCESSIBLE AS POSSIBLE, AND TO THAT END, INSURES OVER 1,000,000 PEOPLE IN COLORADO AND 300,000 IN OTHER VARIOUS STATES. THE REVENUE GENERATED IS USED TO FUND THE COMMUNITY BENEFIT EFFORTS DESCRIBED IN LINE 4B. 928218 928218 COMMUNITY BENEFIT PROGRAMSAS A NONPROFIT, DELTA DENTAL OF COLORADO DEVOTES SIGNIFICANT RESOURCES TO FULFILLING OUR MISSION OF IMPROVING THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. DELTA DENTAL OF COLORADO PROVIDES DENTAL BENEFITS AND ORAL HEALTH INFORMATION AND SERVICES TO AS MANY PEOPLE AS POSSIBLE. OVER THE PAST 18 YEARS, DELTA DENTAL OF COLORADO HAS DEVOTED A SUBSTANTIAL AMOUNT OF ITS ADJUSTED NET GAIN TO ITS COMMUNITY IMPACT INITIATIVES. THESE ACTIVITIES INCLUDE DONATIONS, IN-KIND ORAL HEALTH SUPPLY PROGRAMS, AND CORPORATE SPONSORSHIPS WITH MANY ORGANIZATIONS INCLUDING HABITAT FOR HUMANITY, METRO CARING, VOLUNTEERS FOR OUTDOOR COLORADO, COLORADO GIVES FOUNDATION, COLORADO MISSION OF MERCY, AND MILE HIGH UNITED WAY. THE COMPANY ALSO SPONSORS LOCAL NONPROFIT ORGANIZATIONS AND COMMUNITY EVENTS AND DONATED OVER 120,000 ORAL HEALTH ITEMS REACHING MORE THAN 100,000 PEOPLE THROUGHOUT COLORADO. THE COMPANY SUPPORTS ENGAGEMENT IN THE COMMUNITY THROUGH ITS VOLUNTEER PROGRAM WITH 172 OF ITS 235 EMPLOYEES CONTRIBUTING THEIR TIME IN 2023. 549234257 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 0 0 1 0 0 0 0 0 1 1 1 0 1 41362 0 1 294 1 1 1 0 0 0 0 0 0 0 1 0 X 13 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X X MICHAEL THORNLEY CPA 3038898634 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 HELEN W DREXLER PRESIDENT & CEO 28.00 17.00 X X 697868 375775 49492 ANN BLOCK TRUSTEE 4.00 2.00 X 43028 7750 0 RICHARD CALL DMD MS TRUSTEE 4.00 2.00 X 47328 0 0 NED CALONGE MD MPH CHAIR 2.00 0.00 X X 74250 0 0 JAMES L COUSIN II TRUSTEE 4.00 2.00 X 50800 3750 0 JOSEPH GARCIA TRUSTEE 4.00 0.00 X 42000 0 0 MARK GOODMAN TRUSTEE 2.00 0.00 X 24422 0 22500 KIM KRETSCH DDS MBA TRUSTEE 2.00 3.00 X 51750 0 0 DON ORTEGA TRUSTEE 4.00 0.00 X 42750 0 0 ANN SOMERS DDS TRUSTEE 2.00 0.00 X 49500 0 0 TAMANNA TIWARI MPH MDS BDS SECRETARY 2.00 3.00 X X 66000 0 0 LEO TOKAR VICE-CHAIR 4.00 2.00 X X 21001 12750 12750 ANDREA YOUNG TRUSTEE 4.00 2.00 X 52708 11500 0 GREGORY C VOCHIS CPA TREASURER & CFO 37.00 8.00 X 480594 109765 63384 BRAD T GUYTON DDS MBA MPH CHIEF DENTAL OFFICER 21.00 2.00 X 300658 22630 32706 ROBERT M THOMPSON CHIEF GROWTH OFFICER 31.00 14.00 X 336431 144185 55069 ADEEB A KHAN CHIEF IMPACT OFFICER - THRU 6/23/23 17.00 28.00 X 177714 266572 28712 KELLI C OGUNSANYA CHIEF OPERATING OFFICER 42.00 3.00 X 405209 30500 48531 STACY L ABEL CHIEF PEOPLE OFFICER 40.00 5.00 X 258691 35276 29693 DEVIN W FARRELL SR. DIRECTOR - GROWTH STRATEGY 40.00 5.00 X 236397 29218 44386 MICHAEL R THORNLEY CPA CORPORATE CONTROLLER 30.00 15.00 X 152127 81914 28136 PATRICK A CORDOVA DIRECTOR-IT INFRASTRUC. & DATA SYS. 38.00 7.00 X 178152 31439 40666 BROOKE S BODART RDH MPA SR. DIR.-CLAIMS, CLINICAL & PROV. MGMT. 45.00 0.00 X 235184 0 33558 ALLISON MELUN SR. DIRECTOR-MARKETING & COR. COMM. 31.00 14.00 X 159168 68215 41657 DAVID W GERBUS FORMER COO 0.00 0.00 X 106681 13185 0 4290411 1244424 531240 67 1 1 0 NORTHWINDS TECHNOLOGY SOLUTIONS LLC 111 SHUMAN BLVD NAPERVILLE IL 60563 IT SUPPORT & CLAIMS PROCESSING 6776833 WYSSTA SERVICES INC PO BOX 86 STEVENS POINT WI 54481 3RD PARTY INSURANCE PROCESSING 4099655 ENCARA INC 4818 STARKEY ROAD ROANOKE VA 24018 SALES AND MARKETING SERVICES 1627429 NPN360 INC 2801 LAKESIDE DRIVE BANNOCKBURN IL 60015 PRINTING AND MAILING SERVICES 1310313 FISERV 600 VEL R PHILLIPS AVE MILWAUKEE WI 53203 FINANCIAL CONSULTANT 1275000 49 SELF FUNDED PLAN PREMI 524114 307332082 307332082 RISK PLAN PREMIUMS 524114 224351759 224351759 ADMIN - SELF FUND PLAN 524298 19236255 19236255 VISION PREMIUMS 524298 845868 845868 551765964 1804065 1804065 2430119 -2430119 -2430119 -2430119 MISCELLANEOUS REVENUE 900099 32290 32290 32290 551172200 550920096 845868 -593764 928218 928218 483723637 483723637 4843623 4746751 96872 17163315 16820049 343266 1479336 1449749 29587 3503944 3433865 70079 1408623 1380451 28172 2582359 2065887 516472 517683 414146 103537 199061 159249 39812 177623 177623 1066409 746486 319923 2666177 2666177 247970 173579 74391 3903186 3122549 780637 1767656 1414125 353531 181544 36309 145235 2073302 1140316 932986 339371 271497 67874 INCOME TAX EXPENSE 23665 23665 COMMISSIONS 10297199 10297199 DATA PROCESSING 7815728 7815728 OUTSOURCING/CONSULTING 4536266 3629013 907253 3469514 2775612 693902 554915409 549234257 5681152 0 12170178 2571903 416930 4446549 15301188 19152066 1482416 1725783 16732152 6097371 12533084 10634781 16314594 10333591 38648953 39018180 12876237 12133766 109743580 100016619 11870360 4424540 1473198 3238673 37722884 32616420 51066442 40279633 X 58677138 59736986 58677138 59736986 109743580 100016619 X -3743209 4804513 49854 -51310 X 0 1 X 1 0 5253098 1573269 3679829 10081093 3991307 6089786 1397961 532795 865166 10634781 BONDS 39018180 F 39018180 ACCRUED INTEREST 245392 RIGHT-OF-USE ASSETS 11248471 INTERCOMPANY RECEIVABLE 639903 12133766 PROVISION FOR UNPAID CLAIMS 9305977 ACCRUED EMPLOYEE BENEFITS 5956107 DEPOSITS 1555404 UNCLAIMED PROPERTY 813394 RIGHT-OF-USE LEASE LIABILITIES 14985538 32616420 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. 1 A PRECIOUS CHILD INC 7051 W 118TH AVE BROOMFIELD CO 80045 263349334 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION ACTION MILE HIGH FOUNDATOIN 1620 LITTLE RAVEN ST UNIT 505 DENVER CO 80202 824823081 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION ALZHEIMER'S ASSOCIATION 12894 S PONY EXPRESS RD SUITE 300 DRAPER UT 95670 840908354 501C3 12760 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION AMERICAN HEART ASSOCIATION 1777 S HARRISON STREET SUITE 500 DENVER CO 80216 135613797 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION AMERICAN LUNG ASSOCIATION 55 W WACKER DRIVE SUITE 1150 CHICAGO IL 75078 131632524 501C3 6400 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION BCIVIC 789 SHERMAN STREET SUITE 260 DENVER CO 80204 465262657 501C3 15000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION CIRCLE 3455 RINGSBY CT STE 130 DENVER CO 80216 472199655 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO COMPRESSIONS 7118 S LAFAYETTE WAY CENTENNIAL CO 80122 824634041 501C3 9185 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO GIVES FOUNDATION 5855 WADSWORTH BYPASS UNIT A ARVADA CO 80003 510157964 501C3 100000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO MISSION OF MERCY 1910 56TH AVE GREELEY CO 80634 271586585 501C3 30000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO WOMEN'S CHAMBER OF COMMERCE 865 ALBION ST STE 250 DENVER CO 80220 841145793 501C3 14350 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENTAL LIFELINE NETWORK 1800 15TH STREET SUITE 100 DENVER CO 80202 840900619 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER CENTER FOR PERFORMING ARTS 1101 13TH STREET DENVER CO 80205 840407760 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER DUMB FRIENDS LEAGUE 2080 S QUEBEC ST DENVER CO 80231 840405254 501C3 20400 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER METRO CHAMBER LEADERSHIP FOUNDATION 1445 MARKET ST 4TH FLOOR DENVER CO 80202 742489854 501C3 14300 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER PUBLIC SCHOOLS FOUNDATION 1860 LINCOLN ST 10TH FLOOR DENVER CO 80204 841224325 501C3 20000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER URBAN GARDENS 1031 33RD ST STE 100 DENVER CO 80205 742374848 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION ENVIRONMENTAL LEARNING FOR KIDS PO BOX 21679 DENVER CO 80231 841436605 501C3 15000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION EXECUTIVES PARTNERING TO INVEST IN CHILDREN 711 PARK AVE WEST DENVER CO 80209 473951585 501C3 20000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION FLORENCE CRITTENTON SERVICES OF COLORADO 96 SOUTH ZUNI STREET DENVER CO 80223 840429686 501C3 8000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION FOCUS POINTS FAMILY RESOURCE CENTER 2501 E 48TH AVE DENVER CO 80216 841353944 501C3 29750 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION GIRL SCOUTS OF COLORADO 3801 E FLORIDA AVE SUITE 250 DENVER CO 80216 840410630 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION HABITAT FOR HUMANITY OF METRO DENVER INC PO BOX 5667 DENVER CO 80217 742050021 501C3 25000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION HISPANIC DENTAL ASSOCIATION 421 HUGUENOT ST STE 54 NEW ROCHELLE NY 10801 363719494 501C3 5280 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION JUNIOR ACHIEVEMENT ROCKY MOUNTAIN INC 5105 DTC PARKWAY STE 200 GREENWOOD VILLAGE CO 80111 840430495 501C3 60000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION MILE HIGH UNITED WAY PO BOX 5547 DENVER CO 80217 840404235 501C3 256750 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION NATIONAL KIDNEY FOUNDATION INC 1391 SPEER BLVD DENVER CO 80204 131673104 501C3 10500 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION PBS12 COLORADO PUBLIC TV PO BOX 1740 DENVER CO 80201 840723918 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION PROJECT WORTHMORE DBA WORTHMORE CLINIC 1609 HAVANA STREET AURORA CO 80010 450933835 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION SISTER-TO-SISTER INTERNATIONAL INC 1001 BANNOCK ST STE 489 DENVER CO 80204 851053563 501C3 5500 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION SPECIAL OLYMPICS COLORADO 12450 E ARAPAHOE RD SUITE C CENTENNIAL CO 80112 840713739 501C3 38000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION THE GREENWAY FOUNDATION 1820 PLATTE ST DENVER CO 80202 510193575 501C3 6500 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION VOLUNTEERS FOR OUTDOOR COLORADO PO BOX 100577 DENVER CO 80250 742357211 501C3 26250 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION WOMENS FOUNDATION OF COLORADO THE CHAMBERS CENTER 1901 EAST ASBURY AVE DENVER CO 80215 841039305 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION YOURCAUSE HOLDINGS LLC 6111 WEST PLANO PKWY SUITE 1000YC PLANO TX 75093 260638742 13593 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION 34 1 PART I, LINE 2: THE COMPANY HAS PROCEDURES TO ASCERTAIN THAT ALL GRANTS ARE MADE TO 501(C)(3) ORGANIZATIONS AND ARE PROPERLY APPROVED BY MANAGEMENT. ADDITIONALLY, THE ORGANIZATION REQUIRES PERIODIC REPORTS TO ASCERTAIN THAT SUBSTANTIAL GRANTS ARE USED FOR THEIR PROPER INTENDED PURPOSE. X X X X 1 0 0 1 0 1 0 0 0 HELEN W DREXLER PRESIDENT & CEO 398798 214737 287801 154970 11269 6068 23079 12427 9091 4895 730038 393097 0 0 GREGORY C VOCHIS CPA TREASURER & CFO 299236 68344 167141 38174 14217 3247 33536 7659 18063 4126 532193 121550 0 0 ROBERT M THOMPSON CHIEF GROWTH OFFICER 205485 88065 118386 50737 12560 5383 24012 10291 14536 6230 374979 160706 0 0 KELLI C OGUNSANYA CHIEF OPERATING OFFICER 314606 23680 72989 5494 17614 1326 30159 2270 14975 1127 450343 33897 0 0 ADEEB A KHAN CHIEF IMPACT OFFICER - THRU 6/23/23 117345 176018 56907 85361 3462 5193 6915 10372 4570 6855 189199 283799 0 0 BRAD T GUYTON DDS MBA MPH CHIEF DENTAL OFFICER 181803 13684 110805 8340 8050 606 19735 1486 10681 804 331074 24920 0 0 STACY L ABEL CHIEF PEOPLE OFFICER 235877 32165 8800 1200 14014 1911 9423 1285 16707 2278 284821 38839 0 0 DEVIN W FARRELL SR. DIRECTOR - GROWTH STRATEGY 178730 22090 55097 6810 2570 318 18633 2302 20871 2580 275901 34100 0 0 ALLISON MELUN SR. DIRECTOR-MARKETING & COR. COMM. 141428 60612 14917 6393 2823 1210 13375 5732 15786 6764 188329 80711 0 0 BROOKE S BODART RDH MPA SR. DIR.-CLAIMS, CLINICAL & PROV. MG 196963 0 32241 0 5980 0 18711 0 14847 0 268742 0 0 0 MICHAEL R THORNLEY CPA CORPORATE CONTROLLER 133553 71913 14940 8045 3634 1956 12862 6926 5426 2922 170415 91762 0 0 PATRICK A CORDOVA DIRECTOR-IT INFRASTRUC. & DATA SYS. 156265 27576 18783 3315 3104 548 14633 2582 19933 3518 212718 37539 0 0 DAVID W GERBUS FORMER COO 0 0 106681 13185 0 0 0 0 0 0 106681 13185 0 0 PART I, LINE 4A ADEEB KHAN, CHIEF IMPACT OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $136,475. 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, STAKEHOLDER EXPERIENCE, AND GROUP RETENTION FACTORS. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2023 THE PLAN YEAR ENDING DECEMBER 31, 2022 WAS PAID. PART I, LINE 6: SEE NARRATIVE FOR LINE 5A ABOVE. POULOS & SOMERS PC ANN SOMERS, TRUSTEE 270839 CLAIMS PAID FOR DENTAL SERVICES PROVIDED 0 FORM 990 SCHEDULE L PART IV CLAIMS PAID TO POULOS & SOMERS, P.C. ARE MADE UNDER A STANDARD PROVIDER AGREEMENT. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE VOTING MEMBER, WHICH IS ENSEMBLE INNOVATION VENTURES, A COLORADO NONPROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A ENSEMBLE INNOVATION VENTURES HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS. 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 AUDIT, INVESTMENT AND FINANCE COMMITTEE'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 AUDIT, INVESTMENT, AND FINANCE COMMITTEE. THE BOARD OF DIRECTORS REVIEWS AND APPROVES 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 GOVERNANCE COMMITTEE. IF NECESSARY, THE IMPACTED DIRECTOR IS REMOVED FROM ANY SITUATION INVOLVING THE POTENTIAL CONFLICT. COMPLIANCE PRESENTS EACH QUARTER TO THE BOARD GOVERNANCE COMMITTEE, AND EACH SUCH PRESENTATION INCLUDES TRAINING MATERIALS ON THE BOARD'S RESPONSIBILITIES FOR COMPLIANCE OVERSIGHT AND MONITORING OF THE HEALTHCARE AND CORPORATE COMPLIANCE LANDSCAPE. GOVERNANCE CHAIR IS RESPONSIBLE FOR SHARING PERTINENT CONTENTS WITH THE ENTIRE BOARD AT EACH BOARD MEETING. DDCO CONDUCTS AN ANNUAL COMPLIANCE TRAINING, WHICH IS MANDATORY FOR ALL EMPLOYEES TO ATTEND. THE CONFLICT OF INTEREST POLICY IS DISCUSSED AT THIS TRAINING. ON AN ANNUAL BASIS, ALL EMPLOYEES ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT AND SUBMIT ANY POTENTIAL OR PERCEIVED CONFLICT OF INTEREST. RECEIPT OF ALL SIGNED AND COMPLETED FORMS ARE TRACKED; ORIGINAL FORMS ARE KEPT IN THE PERSONNEL FILE IN THE HUMAN RESOURCES OFFICE. ANY REPORTED POTENTIAL OR PERCEIVED CONFLICTS OF INTEREST ARE REVIEWED AND, IF NECESSARY, EMPLOYEES AND THEIR MANAGER ARE ADVISED TO REMOVE THEMSELVES FROM ANY SITUATION INVOLVING THE POTENTIAL CONFLICT. ADDITIONALLY, ALL NEW EMPLOYEES RECEIVE COMPLIANCE TRAINING AND ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST STATEMENT. EMPLOYEES ARE INSTRUCTED TO COMPLETE A NEW CONFLICT OF INTEREST STATEMENT DURING THE COURSE OF THE YEAR, SHOULD THEIR SITUATION CHANGE. THE CONFLICT OF INTEREST POLICY AND STATEMENT FORMS ARE POSTED ON THE COMPANY INTRANET. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO. THE COMMITTEE ENGAGES THE SERVICES OF A THIRD PARTY TO PROVIDE RANGES OF COMPENSATION THAT ARE APPROPRIATEFOR 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 IS 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, WWW.DELTADENTALCO.COM, THAT INFORMS THE PUBLIC THAT THESE DOCUMENTS ARE AVAILABLE FOR PUBLIC INSPECTION AT ITS CORPORATE HEADQUARTERS. THE ORGANIZATION'S ANNUAL REPORT IS ALSO POSTED ON ITS WEBSITE, WHICH STATES THAT "COMPLETE AUDITED FINANCIAL STATEMENTS ARE AVAILABLE FOR INSPECTION AT OUR CORPORATE OFFICES UPON REQUEST". DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: POST-RETIREMENT ACTUARIAL LOSSES -51,310. DELTA DENTAL PLAN OF COLORADO FOUNDATION 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 841389431 DENTAL HEALTH AND EDUCATION CO 501(C)(3) LINE 12A, I DELTA DENTAL OF COLORADO 1 ENSEMBLE INNOVATION VENTURES 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 834432148 INVESTMENTS IN COMPANIES THAT IMPROVE COMMUNITY HEALTH CO 501(C)(4) 0 BETA HEALTH ASSOCIATION 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 841146388 PROVIDES NON-INSURED DENTAL BENEFITS TO SUPPORT DENTAL INSURANCE CARRIERS CO N/A C 0 EMBER ASSURANCE 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 874622205 MARKET AND ADMINISTER VISION INSURANCE PRODUCTS CO N/A C 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 1 0 0 DELTA DENTAL PLAN OF COLORADO FOUNDATION J 60000 FMV DELTA DENTAL PLAN OF COLORADO FOUNDATION O 216216 FMV DELTA DENTAL PLAN OF COLORADO FOUNDATION Q 224614 FMV