2023-09-29T07:21:51-05:00 2022-12-31 381357951 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2022-01-01 834416613 DELTA DENTAL OF COLORADO DELT 8002330860 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 GREGORY VOCHIS CPA CFO AND TREASURER 8002330860 2023-09-11 1 GREGORY VOCHIS CPA 999009999 1 DORI J EGGETT P00645252 3037409400 2023-09-11 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z HELEN WEISS DREXLER 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 519246527 0 X WWW.DELTADENTALCO.COM X 2019 CO TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. 13 11 320 0 342033 0 0 0 479817682 515021062 2308098 3876245 7293 349220 482133073 519246527 6854162 556362 411440299 445882110 23930837 25851032 0 0 0 37756230 42503236 479981528 514792740 2151545 4453787 119552355 109743580 56563880 51066442 62988475 58677138 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 508464358 515021062 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. 556362 556362 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 17 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, COMMUNITY FIRST FOUNDATION, COLORADO MISSION OF MERCY, AND MILE HIGH UNITED WAY. THE COMPANY ALSO SPONSORS LOCAL NONPROFIT ORGANIZATIONS AND COMMUNITY EVENTS AND DONATED OVER 170,000 ORAL HEALTH ITEMS REACHING MORE THAN 100,000 PEOPLE THROUGHOUT COLORADO. THE COMPANY SUPPORTS ENGAGEMENT IN THE COMMUNITY THROUGH ITS VOLUNTEER PROGRAM WITH 152 OF ITS 250 EMPLOYEES CONTRIBUTING THEIR TIME IN 2022. 509020720 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 38786 0 1 320 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 GREGORY VOCHIS CPA 7204894718 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 HELEN W DREXLER PRESIDENT AND CHIEF EXECUT 33.00 12.00 X X 787939 286522 59348 ANN BLOCK DIRECTOR 4.00 2.00 X 40500 14379 0 KELLY J BROUGH DIRECTOR 2.00 5.00 X 44952 9750 0 RICHARD CALL DMD DIRECTOR 4.00 2.00 X 47754 2250 0 NED CALONGE MD CHAIR 2.00 X X 68250 0 0 JAMES COUSIN II DIRECTOR 4.00 2.00 X 46300 1500 0 MARK GOODMAN DIRECTOR 2.00 X 44071 0 0 HASSAN SALEM DIRECTOR 2.00 X 36750 0 0 ANN SOMERS DDS DIRECTOR 2.00 X 45000 0 0 TAMANNA TIWARI MPH MDS BDS SECRETARY 2.00 3.00 X X 46659 10500 0 LEO TOKAR VICE-CHAIR 4.00 2.00 X X 19725 11163 0 ANDREA JEAN YOUNG DIRECTOR 2.00 4.00 X 43252 8500 0 KIM KRETSCH DDS DIRECTOR 2.00 3.00 X 42129 9750 0 GREGORY C VOCHIS CPA CHIEF FINANCIAL OFFICER AN 38.00 7.00 X 505478 93115 60329 DAVID W GERBUS CHIEF ADMINISTRATIVE OFFICER & GENERAL COUNSEL 38.00 7.00 X 354629 65326 18167 BRAD T GUYTON DDS MBA MPH CHIEF DENTAL OFFICER 23.00 0.00 X 320083 0 31770 ROBERT M THOMPSON CHIEF GROWTH OFFICER 40.00 5.00 X 517924 64741 55146 KATHLEEN S JACOBY VICE PRESIDENT MARKETING AND MEMBER EXPERIENCE 45.00 0.00 X 286062 0 13056 ADEEB A KHAN CHIEF IMPACT OFFICER 22.00 23.00 X 189256 197858 48890 KELLI C OGUNSANYA CHIEF OPERATING OFFICER 45.00 X 238643 0 20263 DEVIN W FARRELL SR. DIRECTOR - SALES & CLIENT SERVICES 45.00 X 263436 0 48144 BROOKE S BODART RDH MPA SR. DIRECTOR - CLAIMS & PROVIDER RELATIONS 45.00 X 205685 0 29891 MICHAEL R THORNLEY CPA SR. DIRECTOR - CORPORATE CONTROLLER 36.00 9.00 X 172335 43084 26721 PATRICK A CORDOVA DIRECTOR OF IT INFRASTRUCTURE & DATA SYSTEMS 38.00 7.00 X 183205 33748 40423 ALLISON MELUN SR. DIRECTOR - MARKETING & COMMUNICATIONS 34.00 11.00 X 161408 52221 40803 4711425 904407 492951 61 0 1 0 NORTHWINDS TECHNOLOGY SOLUTIONS LLC 111 SHUMAN BLVD NAPERVILLE IL 60563 IT SUPPORT & CLAIMS PROCESSING 5907265 WYSSTA SERVICES INC PO BOX 86 STEVENS POINT WI 54481 3RD PARTY INSURANCE PROCESSING 3612791 ENCARA INC 4818 STARKEY ROAD ROANOKE VA 24018 SALES AND MARKETING SERVICES 1693778 NPN360 INC 2801 LAKESIDE DRIVE BANNOCKBURN IL 60015 PRINTING AND MAILING SERVICES 1283274 REVGEN PARTNERS INC 6300 S SYRACUSE WAY STE 760 CENTENNIAL CO 80111 BUSINESS MANAGEMENT CONSULTANT 1172404 38 SELF FUNDED PLAN PREMI 524114 284157152 284157152 RISK PLAN PREMIUMS 524114 210744717 210744717 ADMIN - SELF FUND PLAN 524298 18141853 18141853 RISK SHARING 524298 1977340 1977340 515021062 1286345 1286345 2585902 3998 0 0 2585902 3998 2589900 2589900 VISION PREMIUMS 524298 342033 342033 MISCELLANEOUS REVENUE 900099 7187 7187 349220 519246527 515021062 342033 3883432 556362 556362 445882110 445882110 4135172 4052469 82703 15900843 15582826 318017 1179517 1155927 23590 3298621 3232649 65972 1336879 1310141 26738 2972539 2378031 594508 699925 559940 139985 217194 173755 43439 223143 223143 1586830 1110781 476049 2984907 2984907 292953 205067 87886 3782024 3025619 756405 1690076 1352061 338015 144531 28906 115625 2045571 1125064 920507 356817 285454 71363 COMMISSIONS 9897918 9897918 DATA PROCESSING 7578664 7578664 OUTSOURCING/CONSULTING 4086774 3269419 817355 OTHER EXPENSES 1246166 996933 249233 2697204 2275717 421487 514792740 509020720 5772020 0 7491912 12170178 3811336 416930 29219302 15301188 1939139 1482416 17876750 5343666 14060848 12533084 10819962 16314594 51080080 38648953 1129776 12876237 119552355 109743580 19461346 11870360 6000000 1826194 1473198 29276340 37722884 56563880 51066442 X 62988475 58677138 62988475 58677138 119552355 109743580 X 4453787 -9065027 70275 229628 X 0 1 X 1 0 5253098 10280 5242818 11225691 4101740 7123951 1397961 1231646 166315 12533084 BONDS 38648953 F 38648953 ACCRUED INTEREST 224694 RIGHT-OF-USE ASSETS 12651543 12876237 PROVISION FOR UNPAID CLAIMS 10890976 ACCRUED EMPLOYEE BENEFITS 5842883 OTHER ACCRUED LIABILITIES 1883730 DEPOSITS 1563741 UNCLAIMED PROPERTY 758862 RIGHT-OF-USE LEASE LIABILITIES 16782692 37722884 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, 2022, 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 JEFFCO ACTION CENTER INC 8755 W 14TH AVE LAKEWOOD CO 80220 237019679 501C3 20000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER PUBLIC SCHOOLS FOUNDATION 1860 LINCOLN ST 10TH FLOOR DENVER CO 80204 841224325 501C3 25000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER DUMB FRIENDS LEAGUE 2080 S QUEBEC ST DENVER CO 80239 840405254 501C3 25000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION ACLYMATE 2432 S DOWNING ST STE 200 DENVER CO 80210 872105476 501C3 6663 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION MILE HIGH UNITED WAY PO BOX 5547 DENVER CO 80217 840404235 501C3 30000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION ACLYMATE 2432 S DOWNING ST STE 200 DENVER CO 80210 872105476 501C3 11849 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION METRO CARING 1100 E 18TH AVE DENVER CO 80226 846116951 501C3 30000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO MISSION OF MERCY 1910 56TH AVE GREELEY CO 80634 271586585 501C3 44000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION AMERICAN HEART ASSOCIATION 1777 S HARRISON ST STE 500 DENVER CO 80216 135613797 501C3 30200 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION HABITAT FOR HUMANITY OF METRO DENVER 7535 E HAMPDEN AVE STE 600 DENVER CO 80231 742050021 501C3 25000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION VOLUNTEERS FOR OUTDOOR COLORADO PO BOX 100577 DENVER CO 80250 742357211 501C3 25000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION SPECIAL OLYMPICS COLORADO 12450 E ARAPAHOE RD STE C CENTENNIAL CO 80112 840713739 501C3 25000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION CHILDRENS MUSEUM OF DENVER 2121 CHILDRENS MUSEUM DR DENVER CO 80217 840658142 501C3 25000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION VOLUNTEERS OF AMERICA OF COLORADO 2660 LARIMER ST DENVER CO 80205 840430995 501C3 30000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION AMERICAN RED CROSS MILE HIGH CHAPTER 444 SHERMAN ST DENVER CO 80204 530196605 501C3 25000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADANS FOR AFFORDABLE HOUSING 656 ROCK RIDGE DRIVE LAFAYETTE CO 80026 882183220 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION A PRECIOUS CHILD 7151 W 118TH AVENUE BROOMFIELD CO 80045 263349334 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COMMUNITY FIRST FOUNDATION 5855 WADSWORTH BYPASS UNIT A ARVADA CO 80003 510157964 501C3 100000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER URBAN GARDENS 1031 33RD STREET SUITE 100 DENVER CO 80205 742374848 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION GIRL SCOUTS OF COLORADO 3801 E FLORIDA AVENUE SUITE 720 DENVER CO 80216 840410630 501C3 10000 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION FOCUS POINTS FAMILY RESOURCE CENTER 2501 EAST 48TH AVENUE DENVER CO 80216 841353944 501C3 6500 0 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION 21 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 0 0 0 1 0 1 0 0 0 HELEN W DREXLER PRESIDENT AND CHIEF EXECUT 407823 148299 365556 132929 14560 5294 33269 12098 10253 3728 831461 302348 0 0 GREGORY C VOCHIS CPA CHIEF FINANCIAL OFFICER AN 276897 51007 189514 34911 39067 7197 31506 5804 19438 3581 556422 102500 0 0 ROBERT M THOMPSON CHIEF GROWTH OFFICER 245325 30666 160390 20049 112209 14026 28212 3526 20807 2601 566943 70868 0 0 DAVID W GERBUS CHIEF ADMINISTRATIVE OFFICER & GENER 108816 20045 177459 32690 68354 12591 10064 1854 5277 972 369970 68152 0 0 ADEEB A KHAN CHIEF IMPACT OFFICER 110259 115271 62185 65011 16812 17576 12883 13468 11019 11520 213158 222846 0 0 BRAD T GUYTON DDS MBA MPH CHIEF DENTAL OFFICER 196607 0 114438 0 9038 0 20250 0 11520 0 351853 0 0 0 DEVIN W FARRELL SR. DIRECTOR - SALES & CLIENT SERVIC 186911 0 72024 0 4501 0 25060 0 23084 0 311580 0 0 0 KATHLEEN S JACOBY VICE PRESIDENT MARKETING AND MEMBER 96233 0 183365 0 6464 0 9902 0 3154 0 299118 0 0 0 KELLI C OGUNSANYA CHIEF OPERATING OFFICER 206895 0 20000 0 11748 0 8300 0 11963 0 258906 0 0 0 PATRICK A CORDOVA DIRECTOR OF IT INFRASTRUCTURE & DATA 154145 28395 26564 4893 2496 460 15139 2789 18996 3499 217340 40036 0 0 ALLISON MELUN SR. DIRECTOR - MARKETING & COMMUNICA 135468 43828 21456 6942 4484 1451 13062 4226 17767 5748 192237 62195 0 0 MICHAEL R THORNLEY CPA SR. DIRECTOR - CORPORATE CONTROLLER 143412 35853 24643 6161 4280 1070 13960 3490 7417 1854 193712 48428 0 0 BROOKE S BODART RDH MPA SR. DIRECTOR - CLAIMS & PROVIDER REL 172793 0 29248 0 3644 0 15125 0 14766 0 235576 0 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, STAKEHOLDER EXPERIENCE, AND GROUP RETENTION FACTORS. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2022 THE PLAN YEAR ENDING DECEMBER 31, 2021 WAS PAID. PART I, LINE 6: SEE NARRATIVE FOR LINE 5A ABOVE. POULOS & SOMERS PC ANN SOMERS, TRUSTEE 218236 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 GAINS 229,628. ENSEMBLE COMMUNITY IMPACT FUND 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 834416613 INVESTS IN HEALTH AND WELLNESS COMPANIES FOCUSING EARLY-STAGE VENTURES CO 0 0 ENSEMBLE INNOVATION VENTURES DIRECT DENTAL ALLIANCE 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 872105156 MARKET AND ADMINISTER A NON-INSURED DENTAL PRODUCT CO 0 0 ENSEMBLE INNOVATION VENTURES 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 149733 FMV DELTA DENTAL PLAN OF COLORADO FOUNDATION Q 223954 FMV