2025-11-04T15:03:46-06:00 2024-12-31 341851358 CBIZ ADVISORS LLC 530 HOWELL ROAD SUITE 209 GREENVILLE SC 29615 990 2024-01-01 941461312 DELTA DENTAL OF CALIFORNIA DELT 4159728300 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 ALICIA F WEBER CFO 4159748577 2025-10-30 1 1 KELLIE A LANFORD P00538614 8642412001 2024 2025-03-06 01:10:19Z ALICIA F WEBER 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 6543555091 0 X WWW.DELTADENTALINS.COM X 1954 CA TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT. 13 11 2164 0 1176069 245356 0 0 6003378013 6142516058 86222865 95626911 48179348 18838194 6137780226 6256981163 22617650 18229672 5055597656 5249271436 414572661 413917381 0 0 0 341047358 352112366 5833835325 6033530855 303944901 223450308 4003642847 4346571874 1154499904 1190448138 2849142943 3156123736 TO ADVANCE DENTAL HEALTH AND ACCESS THROUGH EXCEPTIONAL DENTAL BENEFITS, SERVICE, TECHNOLOGY AND PROFESSIONAL SUPPORT. 0 0 5921468074 6255805094 THE ORGANIZATION PROVIDED DENTAL BENEFIT COVERAGE FOR 13,959,000 BENEFICIARIES IN 2024, PRIMARILY THROUGH CONTRACTS WITH INDEPENDENT DENTISTS. INCLUDED WERE PUBLICLY SPONSORED DENTAL BENEFIT PROGRAMS ADMINISTERED BY THE ORGANIZATION, AS WELL AS 1,399,000 ENROLLEES FOR VARIOUS FEDERAL EMPLOYEE PROGRAMS. THE ORGANIZATION PAID MORE THAN $5.2 BILLION FOR DENTAL CARE DURING 2024. 18229672 18229672 THE ORGANIZATION MADE GRANTS DURING 2024 TO FOSTER IMPROVED ACCESS TO DENTAL HEALTH CARE TREATMENT, TO SUPPORT PROFESSIONAL DENTAL EDUCATION, AND TO PROVIDE ORAL HEALTH INSTRUCTION FOR PATIENTS. 5939697746 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 1 0 1 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 1 0 1 110234 0 1 2164 1 1 1 0 0 0 0 0 1 0 X 13 11 0 0 1 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ALICIA F WEBER CFO 4159748577 560 MISSION STREET STE 1300 SAN FRANCISCO CA 94105 X CASTRO MICHAEL J FORMER CEO & CHAIR 5.00 0.00 X X 6133398 0 26198 ALLFORD ROBERT A DIRECTOR 5.00 0.00 X 134333 0 0 BERGERT GLEN F DIRECTOR 5.00 2.00 X 181167 36333 0 FRANZOI LYNN L DIRECTOR 5.00 0.00 X 132312 0 0 GONELLA ROY A DIRECTOR 5.00 0.00 X 145608 0 0 KAPLAN GREGORY D DDS DIRECTOR 5.00 0.00 X 396034 0 0 LAMB JAY C DMD DIRECTOR 5.00 0.00 X 133608 0 0 LAW IAN DIRECTOR 5.00 0.00 X 119333 0 0 MCCANN STEVEN F DIRECTOR 5.00 0.00 X 163441 0 0 O'TOOLE TERRY A DIRECTOR 5.00 0.00 X 183441 0 0 PICKERING STEPHEN R DDS DIRECTOR 5.00 0.00 X 124608 0 0 REID ANDREW J DIRECTOR 5.00 0.00 X 145608 0 0 YODOWITZ HEIDI VICE CHAIR 5.00 0.00 X X 195441 0 0 CHAVARRIA SARAH M CEO & PRESIDENT 40.00 10.00 X 4054523 0 71468 WEBER ALICIA F EVP CHIEF FINANCIAL OFFICER 40.00 10.00 X 3786474 0 58791 HANKINSON MICHAEL G EVP CHIEF LEGAL COMPLIANCE OFFICER 40.00 10.00 X 2976704 0 60109 TITCOMBE DOMINIC S EVP CHIEF INFORMATION OFFICER 40.00 10.00 X 2126255 0 71468 NAVID MOHAMMADREZA EVP CHIEF RELATION AND BUS DEV OFFICER 40.00 10.00 X 1544530 0 70257 SHERMAN BRIAN D EVP CHIEF PEOPLE OFFICER 40.00 10.00 X 1309510 0 66646 SCHROEDER KURT G EVP CHIEF MARKETING AND COMMS OFFICER 40.00 10.00 X 1128187 0 66922 MACGILVRAY JENNIFER A EVP CHIEF QUALITY OFFICER 40.00 10.00 X 0 955287 69992 PARKER EARL L JR EVP CHIEF OPERATIONS OFFICER 10.00 40.00 X 0 961647 61866 MANOWSKI MICHAEL SVP CHIEF TECHNOLOGY OFFICER 40.00 10.00 X 1195839 0 57219 LEIBOWITZ THOMAS J SVP CHIEF ACTUARY 40.00 10.00 X 1088706 0 59207 FEGLEY ANDREA M SVP LEGAL AFFAIRS 40.00 10.00 X 1044319 0 56992 BALTIS THOMAS VP CHIEF INFORMATION SECURITY OFFICER 40.00 10.00 X 896453 0 48342 SHEETZ MARTY A VP BUSINESS IMPLEMENTATION & CLAIMS 40.00 10.00 X 871410 0 54613 PARTHASARATHY SRIPADH VP IT DEVELOPMENT 40.00 10.00 X 854235 0 65174 CROLEY DANIEL W VP CHIEF DENTAL OFFICER 40.00 10.00 X 0 794993 69411 GOLDMAN EDWARD L JR VP INFRASTRUCTURE ENGINEERING 40.00 10.00 X 772136 0 58780 MANER MICHAEL VP SALES 10.00 40.00 X 0 740442 65620 TODI HEMANT VP DATA ANALYTICS AND INSIGHTS 40.00 10.00 X 734028 0 66260 SBRAGIA RICHARD J VP FINANCE - FINANCIAL OPERATIONS 40.00 10.00 X 721361 0 54554 SWAMINATHAN SHANMUGA VP ENTERPRISE ARCHITECTURE 40.00 10.00 X 702215 0 64720 NAGATA DUANE VP PRODUCT 40.00 10.00 X 699005 0 65149 ALBUM JEFFREY M VP PUBLIC & GOVERNMENT AFFAIRS 40.00 10.00 X 694878 0 38650 SANCHEZ WALTER VP INTERNAL AUDIT 40.00 10.00 X 660942 0 69882 CHELES JENNIFER VP STRATEGY INTEGRATION 40.00 10.00 X 0 669706 55900 USHER MARCY VP TALENT 40.00 10.00 X 578850 0 19221 KOKOSKIN BRENT VP ENTERPRISE MARKETING 40.00 10.00 X 640483 0 70019 FERGUSON KENZIE VP FOUNDATION & CORP SOCIAL RESP 40.00 10.00 X 593655 0 46872 HARZE CHRISTOPHER VP FINANCE 40.00 10.00 X 568587 0 65904 NAKAHARA EARL EXECUTIVE RISK CONSULTANT 40.00 10.00 X 783165 0 66145 O'TOOLE KEVIN M DIRECTOR SALES 40.00 10.00 X 699518 0 70088 STEELE CHRISTINA SENIOR DIR. LEGAL SERVICES, SR ASSOCIATE GENER 40.00 10.00 X 650696 0 69859 STIAK MATTHEW DIR. CYBER RISK OPERATIONS & EVENT MANAGEMENT 40.00 10.00 X 548628 0 37291 LOMAX CHAD DIR. CYBER RISK SOLUTIONS 40.00 10.00 X 523259 0 58401 LAYNE VALERIE FORMER VP NATIONAL & SPECIAL ACCOUNTS 0.00 0.00 X 237977 0 12037 NASR JAMAL FORMER VP BUSINESS PROCESS MANAGEMENT 0.00 0.00 X 216945 0 0 THOLIA ASHISH FORMER SR. DIR. STRATEGY BUSINESS DEVELOPME 0.00 0.00 X 201098 0 0 42292903 4158408 2090027 1135 1 1 0 ELEVATED RESOURCES INC 3990 WESTERLY PL SUITE 270 NEWPORT BEACH CA 92660 CONSULTING SERVICES 36189777 SKYLINE CONSTRUCTION INC 505 SANSOME STREET 7TH FL SAN FRANCISCO CA 94111 CONSULTING SERVICES 17900190 BROADRIDGE OUTPUT SOLUTIONS INC 5516 COLLECTION CTR DR CHICAGO IL 60693 CONSULTING SERVICES 14986079 DELTA DENTAL OF MICHIGAN 4100 OKEMOS ROAD OKEMOS MI 48864 CLAIMS PROCESSING 13163272 ESCAPE VELOCITY HOLDINGS INC 7505 IRVINE CENTER DR IRVINE CA 926183078 CONSULTING SERVICES 10171985 160 PROFESSIONAL SERVICES 524114 5341969630 5341969630 FEES & CONTRACTS FROM GOVERNMENT 524114 800546428 800546428 6142516058 99499068 99252712 246356 282701771 286573928 -3872157 -3872157 -3872157 INCOME/(LOSS) FROM SUBSIDIARIES 524298 20824365 19894652 929713 OTHER REVENUE 524298 109604 109604 MISC EXPENSES 524298 -7642934 -7642934 5547159 5547159 18838194 6256981163 6255805094 1176069 0 18229672 18229672 5249271436 5249271436 39087637 39087637 284392601 255551435 28841166 28625410 26014348 2611062 45813593 40887837 4925756 15998140 14243837 1754303 6038887 6025991 12896 1799485 739156 1060329 2855980 2855980 12394947 12394947 24759528 24499449 260079 66737435 64820589 1916846 17188785 17188785 17617435 14882125 2735310 4924330 3246309 1678021 1392827 911849 480978 6602066 6602066 42532046 41431806 1100240 3651595 3500095 151500 BROKER FEES 52803548 52803548 OUTSIDE SERVICES 34387312 33275522 1111790 CONSULTANT FEES 20031821 17207475 2824346 CELEBRATION DENTAL EXPE 1012008 1012008 35382331 33113489 2268842 6033530855 5939697746 93833109 0 33177119 33834008 299932692 309316122 432521584 470187133 168390011 149806858 61073372 72536431 404145185 211694653 164192194 192450532 1786698145 1920415783 996177106 1133390533 61480624 64634474 4003642847 4346571874 641749163 737322300 46506429 47258080 466244312 405867758 1154499904 1190448138 X 0 0 0 0 2849142943 3156123736 2849142943 3156123736 4003642847 4346571874 X 223450308 75923795 7606691 X 0 1 X 1 0 76817154 38067533 38749621 50497137 35495721 15001416 276830894 138131399 138699495 192450532 INVESTMENT - OTHER SECURITIES 1133390533 F 1133390533 ACCRUED RETIREMENT BENEFITS 31696188 DEFERRED COMPENSATION PLANS 5532220 GROUP PREFUNDING DEPOSITS 20299636 REFUNDABLE BALANCES 248218976 DUE TO AFFILIATES 33122098 LONG-TERM LEASE LIABILITY 66998640 405867758 X 3306667763 75923795 75923795 3230743968 3026237195 3026237195 6256981163 3007457722 0 3007457722 3026073134 3026073134 6033530856 PART X, LINE 2: THE COMPANY IS A TAX-EXEMPT ORGANIZATION ORGANIZED UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND, AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE FINANCIAL STATEMENTS. CURRENT ACCOUNTING GUIDANCE CLARIFIES HOW UNCERTAINTIES IN TAX POSITIONS ARE RECOGNIZED IN AN ENTITY'S FINANCIAL STATEMENTS. THE GUIDANCE PRESCRIBES A RECOGNITION THRESHOLD AND MEASUREMENT PROCESS FOR TAX POSITIONS TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. POSITIONS INCLUDE THOSE WITH RESPECT TO THE COMPANY'S TAX EXEMPT STATUS AND WITH RESPECT TO INCOME TAXES ON UNRELATED BUSINESS INCOME. THE COMPANY HAS DETERMINED THAT SUCH TAX POSITIONS DO NOT RESULT IN UNCERTAINTIES REQUIRING RECOGNITION. PART XI, LINE 4B - OTHER ADJUSTMENTS: ADMINISTRATIVE SERVICE CONTRACTS CLAIM REIMBURSEMENT REVENUE $3,015,792,404 INVESTMENT EXPENSES $9,268,722 UNRELATED BUSINESS INCOME $1,176,069 PART XII, LINE 4B - OTHER ADJUSTMENTS: CLAIMS INCURRED FOR ADMINISTRATIVE SERVICE CONTRACTS $3,015,792,404 INVESTMENT EXPENSES $9,268,722 UNRELATED BUSINESS EXPENSE $1,012,008 1 ALAMEDA COUNTY COMMUNITY FOOD BANK PO BOX 2599 OAKLAND CA 94614 942960297 501 (C) (3) 25000 0 SAVOR THE SEASON SPONSORSHIP AMERICAN NATIONAL RED CROSS 1663 MARKET ST SAN FRANCISCO CA 94103 530196605 501 (C) (3) 100000 0 2025 RED CROSS GALA AMERICAN ONLINE GIVING FOUNDATION INC PO BOX 1010 SAFETY HARBOR FL 34695 810739440 501 (C) (3) 275316 0 MONETARY GIVING, MATCHING GIFTS/REWARD SEEDING ASIAN ART MUSEUM FOUNDATION 200 LARKIN ST SAN FRANCISCO CA 94102 941704765 501 (C) (3) 6000 0 CORPORATE MEMBERSHIP BAY AREA COUNCIL 353 SACRAMENTO ST 10TH FL SAN FRANCISCO CA 94111 237325853 501 (C) (4) 10000 0 SPONSORSHIP OF ECONOMIC INSTITUTE RESEARCH PROJECT BLUE STAR FAMILIES INC 441 SAXONY THE HIVE/BARN 2 ENCINITAS CA 92024 800369895 501 (C) (3) 45000 0 CONTRIBUTION IN SUPPORT BLUE STAR FAMILIES CELEBRATION & CAREER PROGRAM CORPORATION OF THE FINE ARTS MUSEUMS 50 HAGIWARA TEA GARDEN DR SAN FRANCISCO CA 94118 943045948 501 (C) (3) 10000 0 BOUQUETS TO ART SPONSORSHIP AND CORPORATE MEMBERSHIP CURE TAY-SACHS FOUNDATION INC 2409 E LUKE AVE PHOENIX AZ 85016 260256621 501 (C) (3) 10000 0 TAKE-A-HIKE TAY SACHS 2025 CURRY SENIOR CENTER 315 TURK ST SAN FRANCISCO CA 94102 237362588 501 (C) (3) 10000 0 BLACK & WHITE GALA DELTA DENTAL COMMUNITY CARE FOUNDATION 100 FIRST ST SAN FRANCISCO CA 94105 371570764 501 (C) (3) 17238530 0 ENTERPRISE CONTRIBUTION TO DDCCF DISABLED AMERICAN VETERANS 9301 DIANA EL PASO TX 79924 310263158 501 (C) (4) 75000 0 CHAMPION PARTNER CONTRIBUTION, WSC DAV SPONSORSHIP E4E RELIEF LLC 401 N TRYON ST SUITE 250 CHARLOTTE NC 28202 873137387 501 (C) (3) 25000 0 DELTA DENTAL EMPLOYEE SUPPORT FUND JACOBS & CUSHMAN SAN DIEGO FOOD BANK 9850 DISTRIBUTION AVE SAN DIEGO CA 92121 204374795 501 (C) (3) 50000 0 HOLIDAY FOOD DRIVE 2024 KEATON'S CHILD CANCER ALLIANCE 2260 DOUGLAS BLVD 140 ROSEVILLE CA 95661 680406980 501 (C) (3) 10000 0 2025 GLOW FOR GOLD GALA MOTION PICTURE AND TELEVISION FUND 23388 MULHOLLAND DR MAIL STOP 218 WOODLAND HILLS CA 91364 951652916 501 (C) (3) 25000 0 MOTION PICTURE & TELEVISION FUND HEARTBEAT OF HOLLYWOOD GOLF CLASSIC AND SPONSOR NATIONAL MILITARY FAMILY ASSOCIATION 2800 EISENHOWER AVE STE 250 ALEXANDRIA VA 22314 520899384 501 (C) (3) 25000 0 OPERATION PURPLE CAMPS OPERATING ENGINEERS SCHOLARSHIP FOUNDATION 3000 CLAYTON ROAD CONCORD CA 94519 943365632 501 (C) (3) 5500 0 SPONSORSHIP RICHMONDERMET AID FOUNDATION 942 DIVISADERO ST STE 201 SAN FRANCISCO CA 94115 943232222 501 (C) (3) 25000 0 2024 CORPORATE SPONSORSHIP SACRAMENTO FOOD BANK & FAMILY SERVICES 1951 BELL AVE SACRAMENTO CA 95838 943315566 501 (C) (3) 17500 0 RUN TO FEED THE HUNGRY SPONSORSHIP 2024 SPECIAL OLYMPICS NORTHERN CALIFORNIA INC 3480 BUSKIRK AVE 340 PLEASANTHILL CA 94523 680363121 501 (C) (3) 15000 0 REGIONAL PARTNER SPONSORSHIP ST VINCENT SENIOR CITIZEN NUTRITION PROGRAM INC 2303 MIRMAR ST LOS ANGELES CA 90057 953696693 501 (C) (3) 15000 0 2024 HOLLYWOOD UNDER THE STARS SPONSORSHIP ST ANTHONY FOUNDATION 150 GOLDEN GATE AVE SAN FRANCISCO CA 94102 941513140 501 (C) (3) 10000 0 ST. ANTHONY'S ANNUAL EVENT SPONSORSHIP STUDENT HEALTH SERVICES SUPPORT FUND 333 S BEAUDRY AVE LOS ANGELES CA 90017 954262448 501 (C) (3) 10500 0 SALUTE TO STUDENT HEALTH SPONSORSHIP, BRUSH IT UP THE MOAA FOUNDATION 201 N WASHINGTON ST ALEXANDRIA VA 223142539 464219250 501 (C) (3) 10300 0 GOLF TOURNAMENT AND COCKTAIL HOUR SPONSORSHIP TRIUMPH CANCER FOUNDATION 947 ENTERPRISE DR LOFT B SACRAMENTO CA 95825 453968833 501 (C) (3) 15000 0 TRIUMPH UNCORKED ANNUAL FUNDRAISER UCLA SCHOOL OF DENTISTRY 10833 LE CONTE AVE 53-038 CHS LOS ANGELES CA 90095 956006143 501 (C) (3) 10000 0 60TH ANNIVERSARY SPONSORSHIP WARRIOR EXPEDITIONS 6621 FAIRWAY VIEW TR ROANOKE VA 24018 465201997 501 (C) (3) 20000 0 CONTRIBUTION 25 2 PART I, LINE 2: THE ORGANIZATION AWARDS GRANTS AND PROVIDES OTHER ASSISTANCE THROUGH CONTRIBUTIONS AND/OR SPONSORSHIPS FOR PROGRAMS THAT FOSTER DENTAL HEALTH AND EDUCATION, AS WELL AS COMMUNITY SUPPORT. THROUGH THESE GRANTS, CONTRIBUTIONS AND SPONSORSHIPS, THE ORGANIZATION HELPS FINANCE HEALTH, EDUCATION, AND RESEARCH PROJECTS IN DENTISTRY, HEALTH AND HUMAN SERVICES, AND CIVIC AND/OR COMMUNITY ACTIVITIES. INDIVIDUAL GRANTS, CONTRIBUTIONS AND/OR SPONSORSHIPS WILL GENERALLY NOT EXCEED $100,000 WITH EXCEPTION OF THE CONTRIBUTION MADE TO THE DELTA DENTAL COMMUNITY CARE FOUNDATION. GRANTS WILL BE LIMITED TO ONE-YEAR PROJECTS, SUBJECT TO RENEWAL. EXCEPT IN SPECIAL CASES, AN ORGANIZATION/ENTITY WILL NOT BE ELIGIBLE FOR MORE THAN ONE GRANT DURING ANY YEAR. X X X 1 1 X X X X 1 0 0 0 0 0 0 1 0 CASTRO MICHAEL J FORMER CEO & CHAIR 251167 0 5461535 0 420696 0 26198 0 0 0 6159596 0 0 0 CHAVARRIA SARAH M CEO & PRESIDENT 1291827 0 2431185 0 331511 0 36225 0 35243 0 4125991 0 0 0 WEBER ALICIA F EVP CHIEF FINANCIAL OFFICER 900019 0 2598783 0 287672 0 36225 0 22566 0 3845265 0 0 0 HANKINSON MICHAEL G EVP CHIEF LEGAL COMPLIANCE OFFICER 701481 0 2080736 0 194487 0 36225 0 23884 0 3036813 0 0 0 TITCOMBE DOMINIC S EVP CHIEF INFORMATION OFFICER 624719 0 1382188 0 119348 0 36225 0 35243 0 2197723 0 0 0 NAVID MOHAMMADREZA EVP CHIEF RELATION AND BUS DEV OFFIC 539615 0 844100 0 160815 0 36225 0 34032 0 1614787 0 0 0 SHERMAN BRIAN D EVP CHIEF PEOPLE OFFICER 539663 0 672354 0 97493 0 36225 0 30421 0 1376156 0 0 0 MANOWSKI MICHAEL SVP CHIEF TECHNOLOGY OFFICER 487173 0 606647 0 102019 0 36225 0 20994 0 1253058 0 0 0 SCHROEDER KURT G EVP CHIEF MARKETING AND COMMS OFFICE 474135 0 565840 0 88212 0 36225 0 30697 0 1195109 0 0 0 LEIBOWITZ THOMAS J SVP CHIEF ACTUARY 433316 0 547958 0 107432 0 36225 0 22982 0 1147913 0 0 0 FEGLEY ANDREA M SVP LEGAL AFFAIRS 432558 0 536088 0 75673 0 36225 0 20767 0 1101311 0 0 0 MACGILVRAY JENNIFER A EVP CHIEF QUALITY OFFICER 0 409231 0 446195 0 99861 0 36225 0 33767 0 1025279 0 0 PARKER EARL L JR EVP CHIEF OPERATIONS OFFICER 0 379625 0 496484 0 85538 0 36225 0 25641 0 1023513 0 0 BALTIS THOMAS VP CHIEF INFORMATION SECURITY OFFICE 369930 0 460524 0 65999 0 36225 0 12117 0 944795 0 0 0 SHEETZ MARTY A VP BUSINESS IMPLEMENTATION & CLAIMS 340214 0 455109 0 76087 0 36225 0 18388 0 926023 0 0 0 PARTHASARATHY SRIPADH VP IT DEVELOPMENT 339540 0 433330 0 81365 0 36225 0 28949 0 919409 0 0 0 CROLEY DANIEL W VP CHIEF DENTAL OFFICER 0 364072 0 345831 0 85090 0 36225 0 33186 0 864404 0 0 NAKAHARA EARL EXECUTIVE RISK CONSULTANT 346372 0 402885 0 33908 0 36225 0 29920 0 849310 0 0 0 GOLDMAN EDWARD L JR VP INFRASTRUCTURE ENGINEERING 361695 0 359636 0 50805 0 36225 0 22555 0 830916 0 0 0 MANER MICHAEL VP SALES 0 346183 0 327031 0 67228 0 36225 0 29395 0 806062 0 0 TODI HEMANT VP DATA ANALYTICS AND INSIGHTS 354830 0 340875 0 38323 0 36225 0 30035 0 800288 0 0 0 SBRAGIA RICHARD J VP FINANCE - FINANCIAL OPERATIONS 339588 0 314947 0 66826 0 36225 0 18329 0 775915 0 0 0 O'TOOLE KEVIN M DIRECTOR SALES 203951 0 438042 0 57525 0 36225 0 33863 0 769606 0 0 0 SWAMINATHAN SHANMUGA VP ENTERPRISE ARCHITECTURE 327172 0 308299 0 66744 0 36225 0 28495 0 766935 0 0 0 NAGATA DUANE VP PRODUCT 336473 0 286962 0 75570 0 36225 0 28924 0 764154 0 0 0 ALBUM JEFFREY M VP PUBLIC & GOVERNMENT AFFAIRS 336024 0 315258 0 43596 0 18435 0 20215 0 733528 0 0 0 SANCHEZ WALTER VP INTERNAL AUDIT 309054 0 288358 0 63530 0 36225 0 33657 0 730824 0 0 0 CHELES JENNIFER VP STRATEGY INTEGRATION 0 304692 0 301910 0 63104 0 36225 0 19675 0 725606 0 0 STEELE CHRISTINA SENIOR DIR. LEGAL SERVICES, SR ASSOC 338831 0 247230 0 64635 0 36225 0 33634 0 720555 0 0 0 KOKOSKIN BRENT VP ENTERPRISE MARKETING 326692 0 290834 0 22957 0 36225 0 33794 0 710502 0 0 0 FERGUSON KENZIE VP FOUNDATION & CORP SOCIAL RESP 284789 0 267516 0 41350 0 36225 0 10647 0 640527 0 0 0 HARZE CHRISTOPHER VP FINANCE 320525 0 218960 0 29102 0 36225 0 29679 0 634491 0 0 0 USHER MARCY VP TALENT 233077 0 290450 0 55323 0 10350 0 8871 0 598071 0 0 0 STIAK MATTHEW DIR. CYBER RISK OPERATIONS & EVENT M 302062 0 190365 0 56201 0 36225 0 1066 0 585919 0 0 0 LOMAX CHAD DIR. CYBER RISK SOLUTIONS 301496 0 187010 0 34753 0 36225 0 22176 0 581660 0 0 0 KAPLAN GREGORY D DDS DIRECTOR 396034 0 0 0 0 0 0 0 0 0 396034 0 0 0 LAYNE VALERIE FORMER VP NATIONAL & SPECIAL ACCOUNT 0 0 237977 0 0 0 12037 0 0 0 250014 0 0 0 BERGERT GLEN F DIRECTOR 181167 36333 0 0 0 0 0 0 0 0 181167 36333 0 0 NASR JAMAL FORMER VP BUSINESS PROCESS MANAGEMEN 0 0 215028 0 1917 0 0 0 0 0 216945 0 0 0 THOLIA ASHISH FORMER SR. DIR. STRATEGY BUSINESS DE 0 0 0 0 201098 0 0 0 0 0 201098 0 0 0 YODOWITZ HEIDI VICE CHAIR 195441 0 0 0 0 0 0 0 0 0 195441 0 0 0 O'TOOLE TERRY A DIRECTOR 183441 0 0 0 0 0 0 0 0 0 183441 0 0 0 MCCANN STEVEN F DIRECTOR 163441 0 0 0 0 0 0 0 0 0 163441 0 0 0 PART I, LINE 1A FIRST CLASS BUSINESS TRAVEL IS REIMBURSED TO THE CEO, EXECUTIVE VICE PRESIDENTS, AND SENIOR VICE PRESIDENTS. FIRST CLASS BUSINESS TRAVEL IS NOT TREATED AS TAXABLE COMPENSATION. TRAVEL FOR COMPANIONS WAS PROVIDED TO SEVEN OFFICERS AND ONE KEY EMPLOYEE. THE COST OF THIS BENEFIT WAS INCLUDED IN TAXABLE COMPENSATION. FINANCIAL AND TAX PLANNING EXPENSES ARE REIMBURSED TO EMPLOYEES AT THE DIRECTOR OR ABOVE LEVELS OF MANAGEMENT. A COMPANY POLICY OUTLINES THE MAXIMUM REIMBURSEMENT ALLOWED FOR EACH MANAGEMENT LEVEL. SEVEN OFFICERS, SIX KEY EMPLOYEES, AND ONE HIGHEST COMPENSATED EMPLOYEE RECEIVED REIMBURSEMENT IN 2024. THESE REIMBURSEMENTS ARE INCLUDED IN THE TAXABLE COMPENSATION OF THE REIMBURSED EMPLOYEES. PART I, LINE 4A DURING 2024, ONE EXECUTIVE, ASHISH THOLIA, RECEIVED A SEVERANCE PAYMENT UPON SEPARATION FROM THE ORGANIZATION. THIS PAYMENT IS INCLUDED ON SCHEDULE J AND REPORTED IN PART II, COLUMN (B)(III). PART I, LINE 7: THE CEO OF THE ORGANIZATION, WITH BOARD OF DIRECTORS APPROVAL, MAY GRANT AN ANNUAL BONUS TO ALL MANAGEMENT EMPLOYEES. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. DELTA DENTAL OF CALIFORNIA MAINTAINS A LONG-TERM INCENTIVE PLAN (LTIP) FOR ELIGIBLE EMPLOYEES OF THE ORGANIZATION, LINKING COMPENSATION TO THE COMPANY'S PERFORMANCE. USING SUCCESS METRICS SUCH AS REVENUES, NET GAIN AS A PERCENTAGE OF REVENUES, AND OTHERS, ALLOWS THE COMPANY TO ACCURATELY MEASURE ITS GROWTH, INFORM ON PROGRESS OF ITS BUSINESS TRANSFORMATION, AND EMPOWER CONTINUED SUCCESS. THE LTIP IS UNFUNDED AND ALL PAYMENTS FROM THE LTIP ARE DERIVED FROM THE GAINS OF THE COMPANY. AS SUCH, THERE IS NO GUARANTEE OF INCENTIVE PAYMENTS UNDER THE LTIP. THE CEO MAKES RECOMMENDATIONS TO THE COMPENSATION COMMITTEE FOR ITS REVIEW AND APPROVAL REGARDING THE PERFORMANCE OBJECTIVES, BOTH FINANCIAL AND NON-FINANCIAL, UPON WHICH PAYMENT OF AWARDS ARE BASED AND THE TIME PERIOD DURING WHICH PERFORMANCE SHALL BE MEASURED. EACH LTIP PLAN SPANS THREE YEARS, OVERLAPPING WITH CURRENT PLANS. THESE AMOUNTS ARE INCLUDED IN TAXABLE COMPENSATION. PART II, ROW (II): SOME OF THE ORGANIZATION'S OFFICERS ARE PAID BY A RELATED ORGANIZATION. ACCORDINGLY, THEIR COMPENSATION IS REPORTED ON ROW (II). PART II, COLUMN B : GREGORY D. KAPLAN'S COMPENSATION IS COMPRISED OF THE FOLLOWING: $119,334 IN DELTA DENTAL OF CALIFORNIA BOARD OF DIRECTOR FEES, $192,700 IN DELTA DENTAL OF CALIFORNIA CONSULTING FEES, AND $84,000 IN CELEBRATION DENTAL CONSULTING FEES. BRENT KAPLAN FAMILY MEMBER OF A CURRENT DIRECTOR 510072 ADMINISTRATIVE MANAGEMENT & ADVISORY SERVICES 0 FORM 990, PART VI, SECTION A, LINE 4 THE ORGANIZATION AMENDED ITS BYLAWS TO INCREASE THE MAXIMUM NUMBER OF DIRECTORS FROM FOURTEEN TO SIXTEEN. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION'S BYLAWS NAME TWO CLASSES OF "MEMBERS," "CORPORATE MEMBERS AND "DENTIST MEMBERS." ALL CORPORATE MEMBERS ARE ALSO DIRECTORS OF THE ORGANIZATION AND SO ARE NOT "MEMBERS" AS DEFINED IN THE INSTRUCTIONS TO FORM 990, PART VI, QUESTION 6. HOWEVER, THE ORGANIZATION'S DIRECTORS ARE ELECTED BY ITS PARENT HOLDING COMPANY BOARD OF DIRECTORS, TWO OF WHOM ARE NOT ALSO DIRECTORS OF THE ORGANIZATION AND THUS MAY BE CONSIDERED "MEMBERS" PURSUANT TO THE INSTRUCTIONS. THE DENTIST MEMBERS HAVE A RIGHT TO VOTE UPON PROPOSED CHANGES TO THE PROPORTION OF THE DENTISTS SERVING AS DIRECTORS AND CORPORATE MEMBERS, AND SO MAY BE CONSIDERED "MEMBERS" UNDER THE INSTRUCTIONS. FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION'S DIRECTORS ARE ELECTED BY THE PARENT HOLDING COMPANY BOARD OF DIRECTORS, WHICH INCLUDES TWO PERSONS WHO ARE NOT ALSO DIRECTORS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7B THE DENTIST MEMBERS HAVE A RIGHT TO VOTE ONLY UPON PROPOSED CHANGES TO THE BYLAWS PROVISIONS THAT SPECIFY THE PROPORTION OF DENTISTS AND LAY PERSONS SERVING AS DIRECTORS AND CORPORATE MEMBERS. FORM 990, PART VI, SECTION B, LINE 11B THE ORGANIZATION'S CFO AND LEGAL COUNSEL OVERSEE THE COMPLETION OF THE FORM 990, AND, PRIOR TO FILING, REVIEW IT WITH THE PRESIDENT/CEO AND WITH THE ORGANIZATION'S BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 12C EACH DIRECTOR IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY, AND BETWEEN ANNUAL STATEMENTS IS REQUIRED TO DISCLOSE ANY NEW POSITION OR RELATIONSHIP FORMED THAT POTENTIALLY RAISES A CONFLICT OF INTEREST. LEGAL COUNSEL REVIEWS THESE DISCLOSURES AND REPORTS THE INFORMATION TO THE FULL BOARD OF DIRECTORS. FORM 990, PART VI, SECTION B, LINE 15 COMPENSATION PAID TO THE CEO AND EXECUTIVE VICE PRESIDENTS IS APPROVED BY THE COMPENSATION COMMITTEE OF THE ORGANIZATION. THE COMPENSATION COMMITTEE APPROVES COMPENSATION FOR THE ENSUING YEAR AFTER REVIEWING COMPARABILITY DATA PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT, AN ASSESSMENT OF EACH OFFICER'S PERFORMANCE OVER THE PRECEDING YEAR, AND THE ORGANIZATION'S PROGRAM ACCOMPLISHMENTS FOR THE PRIOR YEAR. COMPENSATION PAID TO DIRECTORS IS ALSO APPROVED BY THE COMPENSATION COMMITTEE AFTER REVIEWING COMPARABILITY DATA IN A BENCHMARKING STUDY PREPARED AND PRESENTED BY AN INDEPENDENT OUTSIDE COMPENSATION CONSULTANT RETAINED BY THE BOARD OF DIRECTORS. THESE PROCESSES WERE FOLLOWED FOR 2024 COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENT AVAILABLE TO PERSONS OR ENTITIES KNOWN TO HAVE AN INTEREST IN THE ORGANIZATION. STATUTORY FINANCIAL STATEMENTS FOR SUBSIDIARY COMPANIES ARE INCLUDED IN QUARTERLY AND ANNUAL RETURNS TO STATE DEPARTMENTS OF INSURANCE REGULATING THE ORGANIZATION WHICH RETURNS ARE AVAILABLE TO THE PUBLIC. THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART VII; SCHEDULE J; SCHEDULE R THE ORGANIZATION, REGULATED BY THE CALIFORNIA DEPARTMENT OF MANAGED HEALTH CARE, IS A MEMBER OF THE DELTA DENTAL OF CALIFORNIA ENTERPRISE COMPANIES, WHICH INCLUDE DELTA DENTAL OF CALIFORNIA, DELTA DENTAL OF PENNSYLVANIA, AND AFFILIATED COMPANIES. THE ENTERPRISE OFFERS DENTAL COVERAGE IN ALL 50 STATES, THE DISTRICT OF COLUMBIA, PUERTO RICO, AND THE U.S. VIRGIN ISLANDS, WITH A LOCAL PRESENCE IN COMMUNITIES ACROSS THE COUNTRY, PROVIDING GROUPS AND INDIVIDUALS WITH QUALITY, COST-EFFECTIVE DENTAL INSURANCE, AND SUPERIOR CUSTOMER SERVICE. THE ENTERPRISE COMPANIES COMPRISE THE NATION'S LARGEST DENTAL BENEFITS DELIVERY SYSTEMS COVERING 27.1 MILLION ENROLLEES AND HANDLING 54 MILLION CLAIMS. TOTAL REVENUE FOR THE ENTERPRISE EXCEEDED $10.8 BILLION IN 2024. THE ORGANIZATION REPRESENTS APPROXIMATELY 58% OF TOTAL ENTERPRISE REVENUES. FORM 990, PART XI, LINE 9: PENSION LIABILITY AND POST-RETIREMENT ADJUSTMENTS 6,214,752. INCOME FROM DISREGARDED ENTITY -164,061. NET UNREALIZED GAIN ON MARKETABLE SECURITIES 1,556,000. 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