2025-11-11T11:10:55-06:00 2024-12-31 331498605 PLANTE & MORAN PLLC 10 S RIVERSIDE PLAZA 9TH FLOOR CHICAGO IL 60606 990 2024-01-01 710561140 DELTA DENTAL PLAN OF ARKANSAS INC DELT 5018353400 1513 COUNTRY CLUB ROAD SHERWOOD AR 72120 DEBORAH LOWTHARP VP FINANCE AND CFO 5018353400 2025-11-10 1 1 DAVID LOWENTHAL P00378651 3122071040 2025-11-10 2024 2025-03-06 01:10:19Z DEBORAH LOWTHARP 1513 COUNTRY CLUB ROAD SHERWOOD AR 72120 244153679 0 X WWW.DELTADENTALAR.COM X 1982 AR SEE SCHEDULE O 13 11 231 0 15209212 1631712 0 0 237813728 229296174 2746805 4151461 541362 628698 241101895 234076333 3748366 2893329 163055678 160819935 23996211 24576230 0 0 0 50044136 53114418 240844391 241403912 257504 -7327579 189052654 184741295 29938664 27898393 159113990 156842902 PROMOTE ORAL HEALTH AND VISION HEALTH IN THE STATE OF ARKANSAS AND TO IMPROVE THE AWARENESS AND EDUCATION OF THE PUBLIC ON ORAL AND VISION HEALTH MATTERS. 0 0 200914501 2893329 214086962 PROMOTE THE ORAL HEALTH CARE OF THE COMMUNITY THROUGH GROUP AND INDIVIDUAL DENTAL INSURANCE CONTRACTS AND THIRD PARTY DENTAL CLAIMS ADMINISTRATION. 200914501 0 0 0 0 0 0 0 0 0 1 1 0 0 1 0 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 74599 0 1 231 1 1 1 0 0 0 0 0 0 0 X 13 11 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X DEBORAH LOWTHARP 5019921634 1513 COUNTRY CLUB ROAD SHERWOOD AR 72120 DR TROY DRYDEN BARTELS DIRECTOR - PART YEAR 8.00 0.00 X 315277 0 113652 NED ALLEY DIRECTOR 8.00 0.00 X 199336 0 32388 R MARK BAILEY DIRECTOR 8.00 0.00 X 106131 0 30808 SARAH CLARK CHAIRMAN 8.00 5.00 X X 85510 24996 0 JOE THOMPSON DIRECTOR 8.00 0.00 X 58076 0 0 TAMIKA EDWARDS DIRECTOR 8.00 0.00 X 54365 0 0 PAUL BEAHM DIRECTOR 8.00 0.00 X 49079 0 0 MARK LANGSTON DIRECTOR 8.00 0.00 X 47840 0 0 WAYNE CALLAHAN DIRECTOR 8.00 2.00 X 45367 0 0 DESIREE DARE DIRECTOR 8.00 0.00 X 40813 0 0 ARNOUD KRIJT TREASURER 8.00 0.00 X X 37923 0 63012 PHILLIP COX VICE CHAIR 8.00 5.00 X X 28480 24996 55390 CINDY BOYLE SECRETARY 8.00 0.00 X 28472 0 43209 KEITH JONES DIRECTOR 8.00 0.00 X 13413 0 0 KRISTIN MERLO PRESIDENT & CEO 60.00 0.00 X 1288730 0 264667 BRADLEY CLOTHIER EVP & COO 60.00 0.00 X 661560 0 144126 DEBORAH LOWTHARP VP, FINANCE/CFO 60.00 0.00 X 386713 0 117672 JIMMY ANTHONY VP, STRATEGIC CUSTOMER SOLUTIONS 60.00 0.00 X 362587 0 109484 THOMAS REDD VP, PROFESSIONAL RELATIONS 60.00 0.00 X 346543 0 67544 DAVE HAWSEY VP, MARKETING 60.00 0.00 X 292792 0 64386 KATIE MEHDIZADEGAN VP & GENERAL COUNSEL 60.00 0.00 X 259185 0 59034 JENNIFER MORALES VP, HUMAN RESOURCES 60.00 0.00 X 252309 0 57883 ELIZABETH JONES DIRECTOR, MEDICAID OPERATIONS 60.00 0.00 X 130120 0 40167 NIKI CARTER DENTAL DIR & MANAGER, PROF. RELATION 40.00 0.00 X 271373 0 52215 KATHLEEN SMITH DENTAL CONSULTANT 40.00 0.00 X 191062 0 42258 STEPHEN COMPTON ACCOUNT EXECUTIVE 40.00 0.00 X 173799 0 21940 MATTHEW BRASHEAR MANAGER, UNDERWRITING 40.00 0.00 X 167792 0 45334 ROBERT JONES DENTAL CONSULTANT 40.00 0.00 X 161759 0 29267 6056406 49992 1454436 42 0 1 0 ROCK DENTAL ARKANSAS PLLC PO BOX 3450 LITTLE ROCK AR 72203 DENTAL SERVICES 18812383 DELTA DENTAL OF WASHINGTON 400 FAIRVIEW AVENUE NORTH SUITE 80 SEATTLE WA 98901 DENTAL PROCESSING SERVICES 9749852 DELTA DENTAL PLAN OF MICHIGAN PO BOX 30381 LANSING MI 48909 DENTAL PROCESSING SERVICES 9441522 FIRST AMERICAN ADMINISTRATORS 4000 LUXOTTICA PL MASON OH 45040 VISION SERVICES 8645034 ARMITAGE ADVISORS LLC 18122 BEAR TRACK DR DAVIDSON NC 28036 CONSULTING 3426571 659 DENTAL BENEFIT 524298 196723860 196723860 DENTAL ASC & ADMIN INCOME 524298 17363102 17363102 VISION BENEFIT 524298 15209212 15209212 229296174 3073014 3073014 11155793 9967612 109734 1188181 -109734 1078447 1078447 628698 628698 628698 234076333 214086962 15209212 4780159 2893329 2893329 160819935 160819935 4675736 4675736 12660988 7596593 5064395 2764746 2764746 3225260 1935156 1290104 1249500 1249500 161428 96857 64571 2149500 2149500 275228 275228 149000 149000 228089 228089 14460243 13014219 1446024 925447 925447 3557495 2134496 1422999 11700474 10530427 1170047 640599 640599 307510 184506 123004 158604 142744 15860 640144 640144 1464750 1464750 270639 270639 FEDERAL INCOME TAX 470244 470244 PROGRAM HEART 11199650 11199650 TAXES, LICENSES AND FEE 3494436 3494436 BOD EXPENSES 745310 745310 115628 101489 14139 241403912 200914501 40489411 0 11344571 16874623 25969808 12857599 8253479 9526322 2305494 0 1895094 1134028 27915970 6742043 22579840 21173927 83983393 82008300 27702940 35452605 5018035 5713891 189052654 184741295 22217420 21694498 2922122 2336848 4799122 3867047 29938664 27898393 X 159113990 156842902 159113990 156842902 189052654 184741295 X -7327579 6461930 -1405439 X 0 1 X 1 0 2154359 2154359 22130277 4422818 17707459 655432 349649 305783 2975902 1969576 1006326 21173927 35196736 F INVESTMENT IN CAPROCQ CORE REAL ESTATE FUND, LP 255869 F 35452605 PREFUND DEPOSITS AND REFUND CHECKS 2793422 PAYABLE TO AFFILIATES 1073625 3867047 0 AMERICAN RED CROSS PO BOX 37839 BOONE IA 50037 530196605 501(C)(3) 30000 0 GENERAL SUPPORT ARKANSAS SPORTS HALL OF FAME 3 SIMMONS BANK ARENA DR NORTH LITTLE ROCK AR 72114 237173855 501(C)(3) 12500 0 GENERAL SUPPORT ARKANSAS STATE DENTAL ASSOCIATION 7480 HIGHWAY 107 SHERWOOD AR 72120 710253143 501(C)(3) 18720 0 GENERAL SUPPORT ARKANSAS VENTURE CENTER 417 MAIN STREET LITTLE ROCK AR 72201 464108871 501(C)(3) 25000 0 GENERAL SUPPORT BAPTIST HEALTH FOUNDATION 9601 BAPTIST HEALTH DRIVE LITTLE ROCK AR 72205 237169407 501(C)(3) 10750 0 GENERAL SUPPORT CHILDREN'S MUSEUM OF NORTHWEST ARKANSAS 1009 MUSEUM WAY BENTONVILLE AR 72712 204718511 501(C)(3) 5447 0 GENERAL SUPPORT DELTA DENTAL OF ARKANSAS FOUNDATION INC 1513 COUNTRY CLUB RD SHERWOOD AR 72120 261569324 501(C)(3) 2597063 0 GENERAL SUPPORT MID-AMERICA SCIENCE MUSEUM 500 MID AMERICA BOULEVARD HOT SPRINGS AR 71913 202129318 501(C)(3) 10350 0 GENERAL SUPPORT NATIONAL ASSOCIATION OF CORPORATE DIRECTORS 1100 WILSON BOULEVARD ARLINGTON VA 22209 522314113 501(C)(3) 15319 0 GENERAL SUPPORT RECTOR AND VISITORS OF THE UNIVERSITY OF VIRGINIA 1001 N EMMET ST CHARLOTTESVILLE VA 22903 546001796 501(C)(3) 108180 0 GENERAL SUPPORT THEA FOUNDATION 401 MAIN STREET NORTH LITTLE ROCK AR 72114 522356755 501(C)(3) 20000 0 GENERAL SUPPORT UNITED WAY OF NORTH CAROLINA 1130 KILDAIRE FARM RD CARY NC 27511 560564547 501(C)(3) 25000 0 GENERAL SUPPORT US HARDCOURT PICKLEBALL CHAMPIONSHIP PO BOX 3525 LITTLE ROCK AR 72203 994465854 501(C)(3) 15000 0 GENERAL SUPPORT 13 0 X 1 1 X X X X 0 1 0 0 0 0 0 1 0 KRISTIN MERLO PRESIDENT & CEO 625110 0 255877 0 407743 0 227243 0 37424 0 1553397 0 394903 0 BRADLEY CLOTHIER EVP & COO 475764 0 185796 0 0 0 121749 0 22377 0 805686 0 0 0 DEBORAH LOWTHARP VP, FINANCE/CFO 286963 0 99750 0 0 0 83082 0 34590 0 504385 0 0 0 JIMMY ANTHONY VP, STRATEGIC CUSTOMER SOLUTIONS 256354 0 106233 0 0 0 78270 0 31214 0 472071 0 0 0 DR TROY DRYDEN BARTELS DIRECTOR - PART YEAR 16766 0 0 0 298511 0 113652 0 0 0 428929 0 0 0 THOMAS REDD VP, PROFESSIONAL RELATIONS 262917 0 83626 0 0 0 38912 0 28632 0 414087 0 0 0 DAVE HAWSEY VP, MARKETING 222523 0 70269 0 0 0 32932 0 31454 0 357178 0 0 0 NIKI CARTER DENTAL DIR & MANAGER, PROF. RELATION 231795 0 39578 0 0 0 34447 0 17768 0 323588 0 0 0 KATIE MEHDIZADEGAN VP & GENERAL COUNSEL 193762 0 65423 0 0 0 29291 0 29743 0 318219 0 0 0 JENNIFER MORALES VP, HUMAN RESOURCES 180474 0 71835 0 0 0 27311 0 30572 0 310192 0 0 0 KATHLEEN SMITH DENTAL CONSULTANT 180137 0 10925 0 0 0 26452 0 15806 0 233320 0 0 0 NED ALLEY DIRECTOR 31736 0 0 0 167600 0 32388 0 0 0 231724 0 0 0 MATTHEW BRASHEAR MANAGER, UNDERWRITING 138629 0 29163 0 0 0 20007 0 25327 0 213126 0 0 0 STEPHEN COMPTON ACCOUNT EXECUTIVE 73211 0 100588 0 0 0 4666 0 17274 0 195739 0 0 0 ROBERT JONES DENTAL CONSULTANT 153127 0 8632 0 0 0 22187 0 7080 0 191026 0 0 0 ELIZABETH JONES DIRECTOR, MEDICAID OPERATIONS 102779 0 27341 0 0 0 14507 0 25660 0 170287 0 0 0 PART I, LINE 1A TRAVEL MAY BE AVAILABLE TO SPOUSES ON OCCASSION AND WOULD BE TREATED AS TAXABLE INCOME TO THE BOARD MEMBER OR EMPLOYEE AS APPROPRIATE. PART I, LINE 4B A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN UNDER SEC. 457(F) IS MAINTAINED BY THE ORGANIZATION FOR CERTAIN EXECUTIVE EMPLOYEES. UPON SEVERANCE FROM SERVICE PRIOR TO ATTAINMENT OF NORMAL RETIREMENT AGE, THE PARTICIPANT SHALL FORFEIT INELIGIBLE AMOUNTS IN THE PLAN UNLESS SUCH SEVERANCE IS DUE TO DEATH, DISABILITY, INVOLUNTARY TERMINATION WITHOUT CAUSE, OR A SEVERANCE FROM EMPLOYMENT FOR GOOD REASON. IN 2024, KRISTIN MERLO, DEBORAH LOWTHARP, BRAD CLOTHIER AND JIMMY ANTHONY ACCRUED BENEFITS AS A PARTICIPANT IN THE PLAN. IN 2024, KRISTIN MERLO RECEIVED A DISTRIBUTION FROM THE PLAN. PART I, LINE 7 DELTA DENTAL ACCRUES AND PAYS AN ANNUAL BONUS TO OFFICERS BASED ON A VARIETY OF PERFORMANCE FACTORS INCLUDING THE PROFITABILITY OF THE ORGANIZATION. TROY BARTELS BOARD OF DIRECTOR 298511 INDEPENDENT CONTRACTOR AGREEMENT FOR DENTAL SERVICES 0 NADER ALLEY BOARD OF DIRECTOR 167600 INDEPENDENT CONTRACTOR AGREEMENT FOR DENTAL SERVICES 0 MARK BAILEY BOARD OF DIRECTOR 84603 INDEPENDENT CONTRACTOR AGREEMENT FOR DENTAL SERVICES 0 FORM 990, PART I, LINE 1 AT DELTA DENTAL OF ARKANSAS, WE ARE THE CHAMPIONS OF SMILES. WE'RE A LOCAL, NOT-FOR-PROFIT SERVICE CORPORATION HEADQUARTERED IN SHERWOOD, AR, SINCE 1982, WHOSE MISSION IS TO IMPROVE THE ORAL HEALTH OF ALL ARKANSANS. WE STRIVE TO PROVIDE COMPREHENSIVE DENTAL AND VISION INSURANCE PLANS THAT ARE AFFORDABLE PLUS DELIVER INDUSTRY-LEADING TECHNOLOGY AND WORLD-CLASS CUSTOMER SERVICE TO OUR MEMBERS, BUSINESS CLIENTS, AND DENTAL SERVICE PROVIDERS. DELTA DENTAL OF ARKANSAS IS THE STATE'S LARGEST DENTAL BENEFITS ADMINSTRATOR AND OUR UNMATCHED EXPERTISE IN PROVIDING AND MANAGING DENTAL BENEFITS IS WHY OVER 4,000 ARKANSAS COMPANIES HAVE CHOSEN US TO BE THEIR DENTAL BENEFITS PROVIDER. AT THE END OF 2024, WE WERE HELPING MORE THAN 543,000 ARKANSANS AND A TOTAL OF 1.9 MILLION LIVES NATIONWIDE KEEP THEIR SMILES HEALTHY THROUGH OUR COMMERCIAL, INDIVIDUAL, AND MEDICARE ADVANTAGE PLANS. WE OFFER INDIVIDUALS, FAMILIES AND BUSINESSES ACCESS TO THE STATE'S (AND COUNTRY'S) MOST EXTENSIVE NETWORK OF DENTISTS - INCLUDING 96% OF ALL LICENSED AND PRACTICING DENTISTS IN ARKANSAS. OUR HIGHLY SKILLED CUSTOMER SERVICE TEAM IS AVAILABLE TO ASSIST MEMBERS FROM 7 A.M. - 7 P.M., WITH 99% OF INQUIRIES RESOLVED ON THE FIRST CALL. DELTA DENTAL OF ARKANSAS CONTINUES TO MAKE A DIFFERENCE BEYOND THE WALLS OF OUR BUSINESS. OUR PHILANTHROPIC CORPORATE AND FOUNDATION WORK BENEFITS AND REACHES ALL ARKANSANS - EVEN THOSE WHO AREN'T MEMBERS. SINCE 2003, DELTA DENTAL OF ARKANSAS HAS CONTRIBUTED OVER $27 MILLION IN SUPPORT OF ORAL HEALTH EDUCATION, PREVENTION, AND TREATMENT PROGRAMS ACROSS ARKANSAS. FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS ONE CORPORATE MEMBER - RENAISSANCE HEALTH SERVICE CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE ELECTED AT THE ANNUAL MEETING OF THE MEMBERS, CONSISTENT WITH THE TERMS AND CONDITIONS OF ANY AND ALL VOTING AGREEMENTS, PROXIES AND/OR AFFILIATION AGREEMENTS ENTERED INTO BY THE CORPORATION AND ANY OTHER PARTY OR PARTIES, THEN IN EFFECT WITH AN AFFILIATION CORORATION. FORM 990, PART VI, SECTION B, LINE 11B THE INFORMATION PRESENTED ON THE FORM 990 IS GATHERED BY THE SENIOR FINANCIAL AND REGULATORY ACCOUNTANT FOR THE ORGANIZATION. THE VP OF FINANCE/CFO REVIEWS THE INFORMATION. ONCE COMPLETE, AN ELECTRONIC COPY OF THE FORM 990 IS POSTED TO OUR BOARD'S FINANCE AND INVESTMENT COMMITTEE FOR REVIEW PRIOR TO BEING FILED WITH THE IRS. FORM 990, PART VI, SECTION B, LINE 12C EACH INTERESTED PERSON SHALL SIGN AN ANNUAL CERTIFICATION AFFIRMING (1) RECEIPT OF THE CONFLICT OF INTEREST (2) THE POLICY AND CODE OF CONDUCT HAS BEEN READ AND UNDERSTOOD (3) AGREEMENT TO COMPLY WITH POLICY AND CODE OF CONDUCT. IN ADDITION, INTERESTED PARTIES SHALL BE REQUIRED TO ANNUALLY COMPLETE AND FILE AN ANNUAL DISCLOSURE STATEMENT WITHIN ONE MONTH OF THE DATE OF REQUEST. ANNUAL DISCLOSURE STATEMENTS AND ANY SUBSEQUENT AMENDEMENTS ARE REVIEWED BY THE GOVERNANCE COMMITTEE IN CONJUNCTION WITH LEGAL COUNSEL, AND A REPORT OF DISCLOSED CONFLICTS ARE MADE TO DELTA DENTA'S BOARD OF DIRECTORS. PERIODIC REVIEWS ARE ALSO PERFORMED TO ENSURE DELTA DENTAL OPERATES IN ACCORDANCE WITH THE CONFLICT OF INTEREST POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE ORGANIZATION'S CEO IS REVIEWED ANNUALLY BY THE COMPENSATION COMMITTEE. THE COMPENSATION COMMITTEE CONSISTS OF BOARD MEMBERS, NONE OF WHO HAVE A CONFLICT WITH RESPECT TO THE COMPENSATION OF OFFICERS. ON A BIENNIAL BASIS, THE COMPENSATION COMMITTEE REVIEWS MARKET PRICING AND BENCHMARKING DATA OF THE COMPENSATION OF THE LEADERSHIP TEAM AND STAFF. THE ANALYSIS, FROM A VARIETY OF NATIONAL, REGIONAL AND LOCAL COMPENSATION SURVEYS INCLUDE THE USE OF DATA AS TO COMPARE COMPENSATION FOR SIMILARLY SITUATED ORGANIZATIONS AND REVIEWS ANNUAL BASE SALARY COMPENSATION, INCENTIVE/BONUS COMPENSATION, DEFERRED COMPENSATION AND BENEFITS. THE DATA MEETS THE COMPENSATION PHILOSOPHY AND STRATEGIC PLAN AS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS. THE DOCUMENTS RESULTS AND RECOMMENDATION OF THE ANALYSIS ARE PRESENTED TO THE COMPENSATION COMMITTEE AND BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS, CONFLICTS OF INTEREST POLICIES, AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART XI, LINE 9: LOSS IN EQUITY SUBSIDY -1,405,439. 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