2025-11-13T16:48:27+00:00 2024-12-31 331498605 Plante & Moran PLLC 1111 MICHIGAN AVE SUITE 100 EAST LANSING MI 48823 990 2024-01-01 382337000 Delta Dental Fund DELT 5173496000 PO BOX 30416 LANSING MI 489097916 AMY BASEL CHIEF FINANCIAL OFFICER 5173496000 2025-11-13 true true DAVID LOWENTHAL CPA P00378651 5173326200 2025-11-07 2024 2025-03-06 01:10:19Z DELTA DENTAL FOUNDATION KELLY SCHEIDERER PO BOX 30416 LANSING MI 489097916 43962485 false X WWW.DELTADENTALMI.COM/DDF X 1980 MI DELTA DENTAL FUND'S MISSION IS TO IMPROVE THE ORAL HEALTH OF THE PUBLIC AND TO ADVANCE DENTAL SCIENCE AND THE DENTAL PROFESSION THROUGH RESEARCH AND EDUCATION. 11 7 0 0 0 2508547 2675000 0 0 2651962 8027008 0 0 5160509 10702008 7266413 5410895 0 16500 17500 0 0 0 2040498 2313004 9323411 7741399 -4162902 2960609 126821824 139209890 3939245 2780726 122882579 136429164 DELTA DENTAL FUND'S MISSION IS TO IMPROVE THE ORAL HEALTH OF THE PUBLIC AND TO ADVANCE DENTAL SCIENCE AND THE DENTAL PROFESSION THROUGH RESEARCH AND EDUCATION. false false 7027503 5410895 0 The Delta Dental Fund's (DDF) mission is to develop and enhance partnerships and programs to improve oral and overall health. The DDF has been committed to this purpose for over four decades. Over that time, millions of people have benefited from grants, programming, scholarships and continuing education programs provided by the DDF. Since it was established in 1980, the DDF has continually increased its efforts to achieve these goals in Michigan, Ohio, Indiana and North Carolina. In 2024, the DDF committed nearly $6.1 million in grants, scholarships, and educational resources, impacting more than 4.3 million lives in Michigan, Ohio, Indiana North Carolina and beyond. More than 354,000 educational brochures, flyers and posters, along with 351 miles of floss and 282,554 toothbrushes were donated to nonprofit organizations to disseminate in their communities. The DDF also began implementing a new strategic plan, which focuses on five strategic pillars-access to care, advocacy, education, emerging initiatives, and workforce development. Throughout the year, 72% of the programs funded most closely aligned with access to care, 15% with education, 11% with workforce development and 2% with advocacy and emerging initiatives. At the end of the day, access to care initiatives make up the majority of the requests. Tens of thousands of people need help getting dental care, and many safety-net clinics need training and equipment to offer those services. With one in twenty Americans living with an intellectual or developmental disability, oral health equity cannot be achieved until their needs are met. Through the DDF's Centers for Inclusive Dentistry program, 78 individuals at 12 safety-net dental clinics have been provided with the training and resources necessary to deliver high-quality dental treatment to people with disabilities. The DDF has partnered with NYU and Nisonger Center at Ohio State University to offer the training free of charge. Free virtual continuing education credits are also available to providers through Penn Dental as a result of DDF funding. In 2024, 50 nonprofit organizations received Community Mini-Grants, totaling $300,000. The DDF's Community Mini-grant Program provides grants of $10,000 or less to nonprofits that promote or provide oral health care and initiatives that align with the foundation's five strategic pillars. The DDF continued its support of the Victors for Veterans program with the University of Michigan School of Dentistry. The program provides free, comprehensive dental care to qualifying veterans, performed by third- and fourth-year dental interns, who gain valuable learning opportunities in community health settings. They also provide oral hygiene education to their patients. Through a partnership with TeamSmile, hundreds of children in Fort Wayne, Indianapolis, Cleveland and Detroit were provided with free dental care and oral health education. The events were held at professional sports stadiums and staffed by volunteer dental professionals. At the end of the day, when the events were done and the volunteers had gone home, the TeamSmile staff continued to find dental homes for the children who needed it. The dental workforce is experiencing an unprecedented staffing shortage, particularly with hygienists. In 2024, the DDF partnered with the American Dental Hygienists Association (ADHA) to create Hygienists Inspired, a chairside recruitment program. The program is designed to diversify and strengthen the hygiene profession by providing resources for practicing hygienists to recruit through meaningful chairside interactions with patients. The DDF and ADHA have identified at least three individuals in Michigan, Ohio and Indiana to serve as ambassadors to promote the profession. In conjunction with the Michigan Primary Care Association, the DDF convened oral health advocates from around the state of Michigan to hold its Third Annual Workforce Development Summit. Professional facilitators guided the discussion about strengthening the oral health safety net in Michigan. This initiative also convened throughout the year in sub-committees to continue focused development related to recruitment, career pathways, and workforce retention and environment. With grant funding from the DDF, the Institute for Exceptional Care formed an advisory committee composed of intellectual and developmental disabilities (IDD) advocates, clinical educational experts and oral health professionals to determine how best to improve dental care delivery for patients with IDD. Collectively, the group will develop a dental-office toolkit to support pre-appointment preparation for patients with IDD. The DDF continued its longstanding partnership with the Michigan Department of Health and Human Services by providing funding for the SEAL Michigan school-based sealant and Community Water Fluoridation programs. Support was also renewed for the Ohio Department of Health's Fluoridation Assistance program. The DDF's total grants have now exceeded $68 million since its inception. This funding has improved oral and overall health and health equity, helped students achieve their goals, and improved the well-being of millions of children and adults in Michigan, Ohio, Indiana and North Carolina. Empowered people and communities are critical to making creative solutions to systemic challenges possible-and that means supporting work by and for the communities being served. The DDF is committed to continuing and establishing strong two-way relationships with the people and organizations aligned with its aims. 7027503 true true false false false false false false false false false false false false true false true true false false false false false false false false false true true true false false false false false false false false false false false false false false false true true true false false true 36 0 true 0 false false false false false false false false false false false false X 11 7 false false false false false true false true true false false false true true true true true true false false false false MI X AMY BASEL CHIEF FINANCIAL OFFICER 5173496000 4100 OKEMOS ROAD OKEMOS MI 48864 FAIYAZ N SYED MD MPH VICE CHAIR 1.0 0.0 X X 2000 0 0 GORAN M JURKOVIC CPA PRESIDENT & BOARD TRUSTEE 1.0 49.0 X X 0 9457582 2715780 KELLY JUBB SCHEIDERER RHIA MHA CHAIR 1.0 10.0 X X 2500 39081 0 ANTHONY O WILLIAMS JD TRUSTEE 1.0 5.0 X 1500 60000 0 CAROLE SIMONETTI WATKINS TRUSTEE 1.0 10.0 X 1000 70992 0 ELAINE LOYACK TRUSTEE 1.0 40.0 X 0 213881 41439 JOHN A BREZA DDS TRUSTEE 1.0 0.0 X 500 0 0 JOSEPH C HARRIS DDS TRUSTEE 1.0 5.0 X 500 108727 0 LARRY DEGROAT DDS TRUSTEE 1.0 5.0 X 1500 60000 0 RAYMOND FRED GIST DDS TRUSTEE 1.0 5.0 X 2000 60000 0 STEPHEN A EKLUND DDS MHSA DRPH TRUSTEE 1.0 10.0 X 2000 49581 0 SUNCICA TRAVAN DDS MS TRUSTEE 1.0 5.0 X 2000 60000 0 VINOD MIRYALA BDS MPH CAGS DDS TRUSTEE 1.0 0.0 X 2000 0 0 AMY L BASEL CPA CHIEF FINANCIAL OFFICER 1.0 49.0 X 0 2481908 688090 DR HOLLI SEABURY EXECUTIVE DIRECTOR 10.0 40.0 X 0 366545 92365 ERIN DULING CPA TREASURER 1.0 49.0 X 0 274354 63646 JORDAN G LEAMING SECRETARY 1.0 49.0 X 0 236314 37685 17500 13538965 3639005 0 false true false 0 2675000 2675000 0 0 0 0 0 3927343 3927343 0 0 37360142 33260477 4099665 0 4099665 4099665 0 0 0 0 0 10702008 0 0 8027008 4888302 4888302 522593 522593 17500 11375 6125 1402977 1343769 59208 29515 29515 498913 498913 0 0 0 0 139803 139803 12978 1705 11273 50250 50250 26519 26519 32093 32093 DENTAL EDUCATION SEMINARS 119956 119956 0 0 0 0 7741399 7027503 713896 0 563885 491350 5902391 2066398 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 120139980 136301252 0 215568 350890 0 0 0 0 126821824 139209890 3315176 2180025 0 0 0 0 0 0 0 0 0 0 0 0 0 0 624069 600701 3939245 2780726 X 119791293 133596060 3091286 2833104 0 0 0 122882579 136429164 126821824 139209890 2960609 10585976 0 X false true true false X X 1 delta dental plan of michigan inc 381791480 9 true 0 0 1 0 0 true false true true true false false false false false false false false false false false false true false Schedule A, Part IV, Section A, Line 3b Qualified Under 501C(4)(5) Or (6) SUPPORTED ORGANIZATIONS ARE PART OF OUR ENTERPRISE STRUCTURE, AND THE TAX DEPARTMENT KEEPS RECORDS OF THE TAX STATUS OF ALL ENTITIES. THE ENTIITES CONFIRM ANNUALLY THEY WOULD MEET THE SECTION 509(A)(2) PUBLIC SUPPORT TEST. Schedule A, Part IV, Section A, Line 3c Support To Org. Used Exclusively Sec. 170(c)(2)(B) Purposes AN ANNUAL REPORTING FORM IS DUE TO DELTA DENTAL FUND WITHIN 12 MONTHS OF WHEN THE ORGANIZATION RECEIVES THE GRANT OR PRIOR TO THE ORGANIZATION REQUESTING ADDITIONAL FUNDS. THIS ANNUAL REPORTING FORM DETAILS HOW THE ORGANIZATION PLANS TO SPEND THE GRANT MONEY. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED Federal Income Taxes DEFERRED COMPENSATION FOR DIRECTORS 16577 RELATED PARTY PAYABLE 268577 NON-CURRENT CONTRIBUTIONS AND GRANTS PAYABLE 315547 600701 10203714 0 0 10203714 498294 0 498294 10702008 7243105 0 0 7243105 498294 0 498294 7741399 true 500 Festival Inc 21 VIRGINIA AVE INDIANAPOLIS IN 46204 351004320 501(C)(3) 10000 GENERAL GRANT ADVANCE COMMUNITY HEALTH INC 1001 ROCK QUARRY RD RALEIGH NC 27610 561004791 501(c)(3) 5820 GENERAL GRANT AMERICAN DENTAL HYGENTISTS ASSOCIATION 444 N MICHIGAN AVE 3400 CHICAGO IL 60611 363468143 501(c)(3) 444500 GENERAL GRANT BASHOR CHILDRENS HOME 62226 CR15 GOSHEN IN 46526 350933555 501(c)(3) 14585 GENERAL GRANT CATHERINE'S HEALTH CENTER 1211 LAFAYETTE AVE NE GRAND RAPIDS MI 49505 202572418 501(C)(3) 9517 GENERAL GRANT CENTERS FOR FAMILIES AND CHILDREN 4500 EUCLID AVE CLEVELAND OH 44103 237084455 501(C)(3) 22710 GENERAL GRANT CHRIST CHURCH CRANBROOK 470 CHURCH ROAD BLOOMFIELD HILLS MI 48304 381359506 501(C)(3) 10000 GENERAL GRANT CITY OF IRONWOOD 213 S MARQUETTE ST IRONWOOD MI 49938 386004566 GOVT 47700 GENERAL GRANT COLUMBUS COMMUNITY HOST GROUP 3851 LEGACY RD POWELL OH 43065 920860436 501(c)(3) 10000 GENERAL GRANT COMMUNITY ACTION AGENCY OF COLUM 7880 LINCOLE PL LISBON OH 44432 346565185 501(c)(3) 10000 GENERAL GRANT COMMUNITY CARE CLINIC OF DARE 425 W HEALTH CENTER DRIVE NAGS HEAD NC 27959 202230717 501(c)(3) 10000 GENERAL GRANT COMMUNITY CARE CLINIC OF ROWAN COUNTY 101 E WILLOW ST LANSING MI 48906 561964773 501(C)(3) 7500 GENERAL GRANT COUNTY OF CARTERET 302 COURTHOUSE SQUARE BEAUFORT NC 28516 566001522 GOVT 10000 GENERAL GRANT COVENANT COMMUNITY CARE INC 559 W GRAND BLVD DETROIT MI 48216 383533998 501(C)(3) 9995 GENERAL GRANT CUYAHOGA COMMUNITY COLLEGE FOUNDATION 700 CARNEGIE AVE CLEVELAND OH 44115 237320719 501(c)(3) 54358 GENERAL GRANT DENTAL CLINICS NORTH 3434 M119 HARBOR SPRINGS MI 49740 824269744 501(c)(3) 10000 GENERAL GRANT DENTAL LIFELINE NETWORK - INDIANA 1319 E STOP 10 RD INDIANPOLIS IN 46227 931025274 501(c)(3) 25000 GENERAL GRANT DENTAL LIFELINE NETWORK - NORTH CAROLINA 1800 15TH ST DENVER CO 80202 271755412 501(c)(3) 7500 CENTER FOR INCLUSIVE DENTISTRY DETROIT GOODFELLOWS PO BOX 44444 DETROIT MI 48244 386061491 501(c)(3) 10000 CENTER FOR INCLUSIVE DENTISTRY DISTRICT HEALTH DEPARTMENT NO 2 630 PROGRESS ST WEST BRANCH MI 48661 381911267 501(c)(3) 54400 GENERAL GRANT EAST CAROLINA UNIVERSITY PO BOX 602790 CHARLOTTE NC 28260 566000403 501(c)(3) 12500 GENERAL GRANT EXALTA HEALTH 2060 DIVISION AVE S GRAND RAPIDS MI 49507 383273825 501(c)(3) 9310 GENERAL GRANT FAMILY HEALTH CARE OF NORTHWEST OHIO INC 1191 WESTWOOD DR VAN WERT OH 45891 341977316 501(c)(3) 7620 GENERAL GRANT FIVE RIVERS HEALTH CENTERS 2261 PHILADELPHIA DR STE 200 DAYTON OH 45406 450914398 501(c)(3) 7000 GENERAL GRANT GOOD NEIGHBOR HOUSE 627 E FIRST ST DAYTON OH 45402 311374154 501(c)(3) 7000 GENERAL GRANT GREENE COUNTY 69 GREENE ST XENIA OH 45385 316000271 501(c)(3) 43131 GENERAL GRANT HEALTH DEPARTMENT OF NORTHWEST MICHIGAN 220 W GARFIELD CHARLEVOIX MI 49720 300168590 GOVT 57959 GENERAL GRANT HEALTH EMERGENCY LIFELINE PROGRAMS 1726 HOWARD ST DETROIT MI 48216 382719621 501(c)(3) 10000 GENERAL GRANT HEART OF OHIO FAMILY HEALTH CENTERS 5000 E MAIN ST COLUMBUS OH 43213 383765547 501(c)(3) 6000 GENERAL GRANT HIGH COUNTRY COMMUNITY HEALTH 108 DOCTORS DR BOONE NC 28607 273033445 501(c)(3) 10000 GENERAL GRANT HIGH POINT UNIVERSITY 833 MONTLIEU AVE HIGH POINT NC 27268 560529999 501(c)(3) 180000 GENERAL GRANT HNC LIVING FOUNDATION 8100 NEWTON ST SUITE 100 OVERLAND PARK KS 66204 464214254 501(c)(3) 150000 GENERAL GRANT HOPE MEDICAL CLINIC INC 518 HARRIET ST YPSILANTI MI 48198 382469007 501(c)(3) 141783 GENERAL GRANT HOPE NETWORK FOUNDATION 3375 SOUTH DIVISION 200 GRAND RAPIDS MI 49448 382731395 501(c)(3) 10000 GENERAL GRANT HYGIENE ON WHEELS 28408 BRENTWOOD ST SOUTHFIELD MI 48076 800733157 501(c)(3) 10000 GENERAL GRANT INDIANA UNIVERSITY SCHOOL OF DENTISTRY 2232 W MICHIGAN ST INDIANAPOLIS IN 46202 356001673 501(c)(3) 67643 SPECIAL NEEDS CLINIC INTERCARE COMM HEALTH NETWORK 50 INDUSTRIAL PARK RD BANGOR MI 49013 382009364 501(c)(3) 10000 GENERAL GRANT IRONTON LAWRENCE CO AREA COMMUNITY 305 NORTH 5TH ST IRONTON OH 45638 310714190 501(c)(3) 10000 GENERAL GRANT KNOX COUNTY HEALTH DISTRICT 11660 UPPER GILCHRIST RD MOUNT VERNON OH 43050 316400072 501(c)(3) 8000 GENERAL GRANT MATTHEW 25 413 E JEFFERSON BLVD FORT WAYNE IN 46802 351484951 501(c)(3) 23344 GENERAL GRANT MCMILLEN CENTER FOR HEALTH EDUCATION 600 JIM KELLEY BLVD FORT WAYNE IN 46816 351186994 501(c)(3) 353624 GENERAL GRANT MEDWORKS 1950 RICHMOND RD LYNDHURST OH 44124 263858369 501(c)(3) 65000 GENERAL GRANT MUSKINGUM VALLEY HEALTH CENTERS 716 ADAIR AVE ZANESVILLE OH 43701 208814374 501(c)(3) 8000 GENERAL GRANT MY COMMUNITY DENTAL CENTERS INC 3890 CHARLEVOIX AVE SUITE 300 PETOSKEY MI 49770 300393232 501(c)(3) 40220 GENERAL GRANT NATIONAL NETWORK FOR ORAL HEALTH ACCESS 181 E 56TH AVE DENVER CO 80216 841186592 501(c)(3) 10000 GENERAL GRANT NATIONWIDE CHILDRENS HOSPITAL FOUNDATION 700 CHILDRENS HOSPITAL COLUMBUS OH 43205 311036370 501(c)(3) 93259 GENERAL GRANT NEIGHBORHOOD HEALTH PO BOX 11949 FORT WAYNE IN 46862 351922483 501(c)(3) 9920 GENERAL GRANT NEW SMILES NEW BEGINNINGS INC 320 1/2 ORANGE ST JACKSON MI 49202 921955059 501(c)(3) 10000 GENERAL GRANT NORTHERN MICHIGAN UNIVERSITY 1401 PRESQUE ISLE AVE MARQUETTE MI 49855 386029206 501(c)(3) 71500 GENERAL GRANT OTTAWA COUNTY HEALTH DEPARTMENT 12251 JAMES ST STE 400 HOLLAND MI 49424 386004883 GOVT 10000 GENERAL GRANT PARTNERSHIP FOR GOOD HEALTH 2341 SCRANTON RD UNIT 3 CLEVELAND OH 44113 883376894 501(c)(3) 7300 GENERAL GRANT PORTER-STARKE SERVICES INCMARRAM HEALTH CENTER 601 WALL STREET VALPARAISO IN 46383 351330771 501(c)(3) 20000 GENERAL GRANT RALEIGH-WAKE COUNTY DENTAL SOCIETY 4901 LEIGH DR RALEIGH NC 27616 562258278 501(c)(3) 10000 GENERAL GRANT REFUGEE COMMUNITY PARTNERSHIP INC PO BOX 461 CARRBORO NC 27510 263608741 501(c)(3) 10000 GENERAL GRANT REGENTS OF UNIVERSITY OF MICHIGAN 1011 N UNIVERSITY ANN ARBOR MI 48109 386006309 501(c)(3) 177760 CENTER FOR INCLUSIVE DENTISTRY ROCKING HORSE COMMUNITY HEALTH CENTER 651 S LIMESTONE ST SPRINGFIELD OH 45505 311593544 501(c)(3) 10000 GENERAL GRANT SHAWNEE STATE UNIVERSITY 940 SECOND ST PORTSMOUTH OH 45662 311115810 501(c)(3) 100000 GENERAL GRANT SHELTER ASSOCIATION OF WASHTENAW COUNTY 312 W HURON ST ANN ARBOR MI 48103 382533030 501(c)(3) 10000 GENERAL GRANT SIGNATURE HEALTH INC 7232 JUSTIN WAY MENTOR OH 44060 341751703 501(c)(3) 7200 GENERAL GRANT ST MARTIN'S HEALTHCARE INC 1359 S RANDOLPH ST GARRETT IN 46738 208609620 501(c)(3) 6000 GENERAL GRANT ST VINCENT CATHOLIC CHARITIES 2800 WILLOW ST LANSING MI 48917 381360530 501(c)(3) 187865 GENERAL GRANT STATE OF MICHIGAN 320S WALNUT LANSING MI 48933 386000134 GOVT 325000 ORAL HEALTH PROGRAM STATE OF OHIO OHIO HEALTH DEPARTMENT 150 E GRAY ST COLUMBUS OH 43215 311334820 GOVT 75000 GENERAL GRANT TEAM SMILE INC 2000 SWIFT ST N KANSAS CITY MO 64116 753250075 501(c)(3) 108000 GENERAL GRANT THE BOUNDLESS FOUNDATION INC 445 E DUBLIN-GRANVILLE RD BLDG G WORTHINGTON OH 43085 311033368 501(c)(3) 64000 GENERAL GRANT THE DAVIES PROJECT FOR MID MI CHILDREN 230 BINGHAM ST 100 LANSING MI 48912 461209200 501(c)(3) 20000 GENERAL GRANT THE GOOD SAMARITAN HOSPITAL FOUNDATION 625 EDEN PARK DR CINCINNATI OH 45202 311206047 501(c)(3) 40000 GENERAL GRANT THE GREATER DAYTON SCHOOL 171 DEEDS PARK DR DAYTON OH 45404 863303205 501(c)(3) 211093 GENERAL GRANT THE HEALTHPATH FOUNDATION OF OHIO 200 WEST 4TH ST CINCINNATI OH 45202 311645836 501(c)(3) 8415 GENERAL GRANT THE OHIO STATE UNIVERSITY 1581 DODD DR RM 345 COLUMBUS OH 43210 316025986 501(c)(3) 184733 GENERAL GRANT THIRD STREET FAMILY HEALTH SERVICES 1404 PARK AVENUE WEST SUITE 2 MANSFIELD OH 44906 341753919 501(c)(3) 9500 GENERAL GRANT TRIANGLE RESIDENTIAL OPTIONS FOR SUBSTANCE ABUSERS INC 1820 JAMES ST DURHAM NC 27707 561861158 501(c)(3) 7500 GENERAL GRANT TRUSTEES UNIVERSITY OF PENNSYLVANIA 240 S 40TH ST PHILADELPHIA PA 19104 231352685 501(c)(3) 150000 GENERAL GRANT UNITED WAY OF NORTHWEST MICHIGANUNITED WE SMILE 4075 COPPER RIDGE DR TRAVERSE CITY MI 49684 922157664 501(c)(3) 200000 GENERAL GRANT UNIVERSITY OF CINCINNATI FOUNDATION 51 GOODMAN DR STE 100 PO BOX 19970 CINCINNATI OH 45219 310896555 501(c)(3) 10000 GENERAL GRANT UNIVERSITY OF INDIANAPOLIS- CENTER FOR AGING AND COMMUNITY 901 S SHELBY ST INDIANAPOLIS IN 46203 350868107 501(c)(3) 54308 GENERAL GRANT UPCAP SERVICES INC 2501 14TH AVE SOUTH ESCANABA MI 49829 381957176 501(c)(3) 10000 GENERAL GRANT VALLEY AREA AGENCY ON AGING 225 E FIFTH ST FLINT MI 48502 382121108 501(c)(3) 10000 GENERAL GRANT VISTA MARIA 20651 W WARREN AVE DEARBORN HEIGHTS MI 48127 381359262 501(c)(3) 7263 GENERAL GRANT WARREN ARTS & EDUCATION FOUNDATION 975 N POST RD INDIANAPOLIS IN 46219 351572560 501(c)(3) 20000 GENERAL GRANT WAYNE COUNTY HEALTHY COMMUNITIES 9021 JOSEPH CAMPAU ST HAMTRAMCK MI 48212 300672911 501(c)(3) 200000 GENERAL GRANT WELLSPRING 301 W HARRISON ST MARTINSVILLE IN 46151 311255091 501(c)(3) 6000 GENERAL GRANT YOUNGSTOWN STATE UNIVERSITY ONE UNIVERSITY PLAZA YOUNGSTOWN OH 44555 341011998 501(c)(3) 53988 GENERAL GRANT 83 0 SCHOLARSHIPS 7 71500 0 CASH SUPPORT FOR DENTAL, DENTAL HYGIENE AND DENTAL ASSISTANT STUDENTS COMMUNITY COMMITMENT AWARD 9 112500 0 CASH AWARD TO GRADUATING SENIOR WHO IS PRACTICING IN AN AREA OF HIGH NEED ORAL HEALTH MATERIALS/SUPPLIES 0 0 338593 FMV ORAL HEALTH RELATED GIVEAWAYS Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds THE DELTA DENTAL FUND (DDF) IS DEDICATED TO DEVELOPING AND ENHANCING PARTNERSHIPS AND PROGRAMS TO IMPROVE ORAL AND OVERALL HEALTH AND HEALTH EQUITY, AND FOCUSES ITS SUPPORT IN THESE CATEGORIES: -INCREASING DENTAL ACCESS TO UNDERSERVED AND HIGH-RISK POPULATIONS -PROVIDING EDUCATIONAL PROGRAMMING ON THE IMPORTANCE OF ORAL HEALTH AND HOW IT RELATES TO OVERALL HEALTH -IDENTIFYING AND REDUCING HEALTH DISPARITIES RELATED TO ORAL AND OVERALL HEALTH -PROVIDING SCHOLARSHIPS AND AWARDS TO DENTAL STUDENTS -CONTINUING EDUCATION PROGRAMS FOR THE DENTAL PROFESSION THE DDF AWARDS GRANTS TO NONPROFIT ORGANIZATIONS AND INSTITUTIONS WHO CONDUCT DENTAL RESEARCH, AND EDUCATE AND/OR PROVIDE DENTAL SERVICES TO UNDERSERVED AND AT-RISK POPULATIONS. THE GRANT PERIOD IS 12 MONTHS, UNLESS OTHERWISE INDICATED IN THE GRANT AGREEMENT. UPON COMPLETION OF THE GRANT PERIOD, ALL GRANTEES ARE REQUIRED TO SUBMIT A COMPLETED GRANT REPORTING FORM TO THE DDF OUTLINING HOW GRANT FUNDS WERE USED, METRICS AND OUTCOMES OF THE PROJECT, AND ROADBLOCKS THAT WERE ENCOUNTERED. THE DDF ALSO SUPPORTS CONTINUING EDUCATION PROGRAMS FOR DENTAL PROFESSIONALS, AS WELL AS SCHOLARSHIPS AND AWARDS TO DENTAL AND DENTAL HYGIENE STUDENTS WHO OBTAIN THEIR DEGREES FROM ACCREDITED SCHOOLS IN MICHIGAN, OHIO AND INDIANA. STUDENTS MUST MEET THE CRITERIA OUTLINED IN THE AGREEMENT BETWEEN THE SCHOOL AND THE DDF. X true true false true false false false false false false false GORAN M JURKOVIC CPA PRESIDENT & BOARD TRUSTEE 0 1511908 0 3756580 0 4189094 0 2688539 0 27241 0 12173362 0 4141804 ELAINE LOYACK TRUSTEE 0 182938 0 28800 0 2143 0 8837 0 32602 0 255320 0 0 AMY L BASEL CPA CHIEF FINANCIAL OFFICER 0 552581 0 968814 0 960513 0 660849 0 27241 0 3169998 0 921829 DR HOLLI SEABURY EXECUTIVE DIRECTOR 0 355986 0 0 0 10559 0 65124 0 27241 0 458910 0 0 JORDAN G LEAMING SECRETARY 0 153653 0 72993 0 9668 0 14253 0 23432 0 273999 0 0 ERIN DULING CPA TREASURER 0 202132 0 71794 0 428 0 36405 0 27241 0 338000 0 0 Schedule J, Part I, Line 1a First-class or charter travel First class travel for business purposes is available to the Executive Director. This amount is treated as nontaxable to this individual. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan THE RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ORDER TO BE ELIGIBLE FOR THE SERP, AN EMPLOYEE MUST BE A SENIOR EXECUTIVE AND ADDED TO THE PLAN BY THE BOARD OF DIRECTORS. THE SERP BENEFITS ARE REVIEWED AS PART OF THE TOTAL COMPENSATION BY AN INDEPENDENT CONSULTANT; TOWERS WATSON. IN 2024, GORAN JURKOVIC AND AMY BASEL ACCRUED BENEFITS AS PARTICIPANTS IN THE SERP PLAN. GORAN JURKOVIC AND AMY BASEL BECAME VESTED IN A PORTION OF THEIR ACCRUED BENEFITS AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2024. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFFERED ON PRIOR FORM 990S. Schedule J, Part I, Line 3 THE CEO AND EXECUTIVE DIRECTOR ARE W-2 EMPLOYEES OF A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC. COMPENSATION OF THE CEO IS DETERMINED BY THAT ENTITY. THE DELTA DENTAL PLAN OF MICHIGAN, INC. COMPENSATION COMMITTEE REVIEWS PERFORMANCE AND SETS TOTAL COMPENSATION. EVERY TWO YEARS, A STUDY IS PERFORMED BY TOWERS WATSON AND THE DATA IS USED IN COMPENSATION DECISIONS. THE INDEPENDENT CONSULTANT PROVIDES AN OPINION AS TO THE REASONABLENESS AND APPROPRIATENESS OF THE TOTAL COMPENSATION, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. Form 990, Part VI, Line 15 COMPENSATION OF THE CEO AND OTHER EXECUTIVES IS DETERMINED BY A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, INC. OUTSIDE COMPENSATION CONSULTANTS ARE USED TO DETERMINE MARKET DATA WHICH IS USED TO SET TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES INCLUDING CEO AND CFO. THE RELATED ORGANIZATION CONTRACTS WITH TOWERS WATSON TO DO A COMPENSATION AND REASONABLENESS ANALYSIS EVERY TWO YEARS. COMPENSATION IS SET BASED ON THE DATA PROVIDED, BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. TOWERS WATSON ALSO PROVIDES AN OPINION AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGES, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. THE COMPENSATION WAS LAST REVIEWED UNDER THIS PROCESS DURING 2024. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBERS OF THE ORGANIZATION ARE DULY APPOINTED BY THE BOARD OF DIRECTORS OF THE DELTA DENTAL PLAN OF MICHIGAN, INC. Form 990, Part VI, Line 11b Review of form 990 by governing body THE INFORMATION PRESENTED ON THE FORM 990 IS GATHERED BY THE SENIOR TAX ADMINISTRATOR FOR THE ORGANIZATION. THE CFO REVIEWS THE INFORMATION. ONCE APPROVED THE INFORMATION IS GIVEN TO OUTSIDE TAX PREPARERS WHO PREPARE AND REVIEW THE FORM 990. ONCE COMPLETE, AN ELECTRONIC COPY OF THE FORM 990 IS PLACED IN A SECURE PORTAL FOR THE BOARD TO REVIEW, PRIOR TO THE FORM 990 BEING FILED WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy THE COMPANY'S EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO IS CHARGED WITH REVIEWING AND MONITORING ANY POTENTIAL CONFLICT OF INTEREST TRANSACTIONS. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW AND EXECUTE A CONFLICT OF INTEREST POLICY. THIS POLICY REQUIRES THAT ANY CONFLICTS OF INTEREST BE DISCLOSED ON AN ANNUAL BASIS, OR AT ANY OTHER TIME THAT THE PERSON EXECUTING THE POLICY BECOMES AWARE OF A SITUATION OR TRANSACTION THAT ACTUALLY OR POTENTIALLY CREATES A CONFLICT OF INTEREST. ALL CONFLICT OF INTEREST DISCLOSURE FORMS ARE INITIALLY REVIEWED BY THE SENIOR VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO. IF A PROHIBITED TRANSACTION IS IDENTIFIED, THE MATTER IS ESCALATED TO THE ADMINSTRATIVE COMMITTEE OF THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND APPROPRIATE ACTION. IN THE EVENT OF A CONFLICT OF INTEREST INVOLVING A MEMBER OF THE BOARD OF DIRECTORS, SUCH AS A VOTE, IN WHICH A MEMBER HAS AN INTEREST, THE MEMBER IS REQUIRED TO DISCLOSE THE POTENTIAL CONFLICT AND ABSTAIN FROM ANY VOTE ON THE MATTER. WHETHER FURTHER PRECAUTIONS ARE REQUIRED (E.G., PROHIBITING THE INTERESTED PARTY FROM ENGAGING IN DISCUSSIONS) WOULD DEPEND UPON THE SPECIFIC NATURE AND BACKGROUND OF THE CONFLICT. Form 990, Part VI, Line 19 Required documents available to the public NO DOCUMENTS AVAILABLE TO THE PUBLIC. Form 990, Part VII, Section A CERTAIN EMPLOYEES ARE OFFICERS OF MULTIPLE COMPANIES WITHIN THE LARGER ORGANIZATION. THE AVERAGE HOURS WORKED REFLECTS APPROXIMATE TIME SPENT IN EACH OF THOSE INDIVIDUAL COMPANIES. WHILE THE HOURS ARE ALLOCATED TO INDIVIDUAL COMPANIES, MUCH OF THE OFFICERS' TIME IS SPENT WORKING ON ISSUES THAT IMPACT THE ENTIRE ORGANIZATION, NOT JUST ONE COMPANY. COMPENSATION IS REPORTED IN FULL TO AGREE TO THE EMPLOYEE'S W-2 AS REQUIRED BY IRS INSTRUCTIONS. ANY ALLOCATION OF COMPENSATION IS INCLUDED ON SCHEDULE R. 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