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DELTA DENTAL PLAN OF COLORADO FOUNDATION INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL PLAN OF COLORADO FOUNDATION INC (EIN 84-1389431)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-05-25
IRS object ID
202241459349300729
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-25T16:03:25-05:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1Kundinger Corder & Montoya PCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1475 Lincoln St Suite 200AddressLine1Txt
CityDenverCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80203ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN841389431EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental Plan of Colorado FoundationBusinessNameLine1Txt
Business Name Line2IncBusinessNameLine2Txt
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone3037419300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16465 Greenwood Plaza Blvd 900AddressLine1Txt
CityCentennialCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonAdeeb KhanPersonNm
Person TitleExecutive DirectorPersonTitleTxt
Phone3037419300PhoneNum
Signature2022-05-25SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstAdeebPersonFirstNm
Person LastKhanPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSarah FlischelPreparerPersonNm
PTINP01791735PTIN
Phone3035345953PhoneNum
Preparation2022-05-25PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of Colorado FoundationBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerAdeeb KhanPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line16465 Greenwood Plaza Blvd 900AddressLine1Txt
CityCentennialCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,354,088GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.deltadentalcofoundation.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateCOLegalDomicileStateCd
Activity Or MissionTo elevate the well-being of all Coloradan's by advancing oral health equity.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent8VotingMembersIndependentCnt
Total Employee12TotalEmployeeCnt
Total Volunteers5TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$205,608NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$9,300,000PYContributionsGrantsAmt
CY Contributions Grants$6,000,000CYContributionsGrantsAmt
PY Program Service Revenue$0PYProgramServiceRevenueAmt
CY Program Service Revenue$0CYProgramServiceRevenueAmt
PY Investment Income$1,311,551PYInvestmentIncomeAmt
CY Investment Income$1,354,088CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$10,611,551PYTotalRevenueAmt
CY Total Revenue$7,354,088CYTotalRevenueAmt
PY Grants And Similar Paid$4,721,262PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,632,431CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$890,282PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$792,178CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$354,925PYOtherExpensesAmt
CY Other Expenses$906,378CYOtherExpensesAmt
PY Total Expenses$5,966,469PYTotalExpensesAmt
CY Total Expenses$5,330,987CYTotalExpensesAmt
PY Revenues Less Expenses$4,645,082PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$2,023,101CYRevenuesLessExpensesAmt
Total Assets BOY$44,175,316TotalAssetsBOYAmt
Total Assets EOY$49,407,538TotalAssetsEOYAmt
Total Liabilities BOY$119,178TotalLiabilitiesBOYAmt
Total Liabilities EOY$278,910TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$44,056,138NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,128,628NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTo elevate the well-being of all Coloradans by advancing oral health equity. Our strategic focus areas are access to care, prevention, and connections to overall health.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$2,092,194ExpenseAmt
Grant$2,092,194GrantAmt
DescOur responsive grant-making opportunity included a call for applications to support oral health prevention and access to care efforts. The prevention grants were available statewide, while the access to care grants were focused on the San Luis Valley and part of the metro Denver region. We also provided grant payments to existing grantees in the areas of access to care, prevention and the connection of oral health to overall health.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$2,711,663ExpenseAmt
Grant$1,481,311GrantAmt
Revenue$1,401RevenueAmt
DescInvited grants were awarded to organizations working within policy and advocacy or systems change efforts, or collaborative fund opportunities. We also provide mission related investments (MRIs) to fund oral health-related capital needs of community-based dental providers, services, and clinics. In 2021 we provided $1,250,000 in MRI loans to three borrowers, all of whom are non-profit dental health clinics that utilized loans for capital costs related to building and expanding dental clinics that serve historically marginalized populations. Each of the loan borrowers demonstrated that the proceeds of the loans will expand physical capacity and will result in more patients receiving oral healthcare. These loans are included as program related investments on the balance sheet.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$58,926ExpenseAmt
Grant$58,926GrantAmt
DescThe Colorado Medical-Dental Integration Project integrates preventive oral health services into primary care medical settings. Hygienists placed in medical clinics provide oral health care and make referrals to local dentists when further treatment is necessary. The goal is to reach families who have limited access to dental care due to location, insurance status and transportation issues. To date, we have invested $6.3 million and funded 26 medical clinics reaching 27 communities in up to 39 locations throughout Colorado.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
DescFor more than 20 years, the foundation has partnered with community-based organizations to fund programming that advances oral health equity. As a health equity funder, we increase education and oral health awareness, inspire health care collaborations and address other related expenses incurred to administer grants through systems-level and community-based efforts. Two examples include an initiative that aims to support community health centers to provide high quality oral health care and increasing awareness of community water fluoridation as a public health intervention.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$4,862,783TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (1)DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign ActivitiesYes (1)ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document10IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee12EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member8IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org DocumentsYes (1)ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or Stockholders0MembersOrStockholdersInd
Election Of Board Members0ElectionOfBoardMembersInd
Decisions Subject To Approva0DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Own WebsiteYes (X)OwnWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Michael ThornleyBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3037419300PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line16465 Greenwood Plaza Blvd Ste 900AddressLine1Txt
CityCentennialCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeInd
Kelly Brough
Board Chair5.002.00Yes (X)Yes (X)$0$0$0
Julie Keegan
Treasurer3.00Yes (X)Yes (X)$8,300$0$0
Luella Chavez D'Angelo
Secretary2.00Yes (X)Yes (X)$9,293$0$0
Scott Hamilton DDS
Board Member2.00Yes (X)$9,533$0$0
Kim Kretsch DDS
Board Member3.002.00Yes (X)$0$39,300$0
Tamanna Tiwari
Board Member3.002.00Yes (X)$0$40,500$0
Helen Drexler
Board Member2.0043.00Yes (X)$0$1,025,264$53,540
Lydia Prado
Board Member2.002.00Yes (X)$5,572$0$0
Andrea Young
Board Member2.002.00Yes (X)$0$39,685$0
Adeeb Khan
Executive Director25.0020.00Yes (X)$157,590$161,600$42,536
Megan Wilson
Deputy Director40.00$180,740$0$12,590Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$371,028TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,306,349TotReportableCompRltdOrgAmt
Total Other Compensation$108,666TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K2IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp

Contractor Name ContractorName

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of ColoradoBusinessNameLine1Txt

Contractor Address ContractorAddress

US Address USAddress

FieldValueIRS element (for citing)
Address Line16465 Greenwood Plaza Blvd Ste 90AddressLine1Txt
CityCentennialCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
ServicesMarketing servicesServicesDesc
Compensation$189,000CompensationAmt
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1CntrctRcvdGreaterThan100KCnt
Related Organizations$6,000,000RelatedOrganizationsAmt
Total Contributions$6,000,000TotalContributionsAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$529,084TotalRevenueColumnAmt
Related Or Exempt Func Income$1,401RelatedOrExemptFuncIncomeAmt
Exclusion$527,683ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$825,004SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$825,004SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$825,004TotalRevenueColumnAmt
Exclusion$825,004ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,354,088TotalRevenueColumnAmt
Related Or Exempt Func Income$1,401RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,352,687ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,632,431TotalAmt
Program Services$3,632,431ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$211,556TotalAmt
Program Services$89,429ProgramServicesAmt
Management And General$122,127ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$580,622TotalAmt
Program Services$538,547ProgramServicesAmt
Management And General$42,075ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$71,236TotalAmt
Management And General$71,236ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$2,425TotalAmt
Management And General$2,425ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$37,188TotalAmt
Management And General$37,188ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$74,340TotalAmt
Management And General$74,340ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$380,896TotalAmt
Program Services$350,896ProgramServicesAmt
Management And General$30,000ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$189,000TotalAmt
Program Services$189,000ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,076TotalAmt
Program Services$7,558ProgramServicesAmt
Management And General$1,518ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$15,000TotalAmt
Program Services$12,491ProgramServicesAmt
Management And General$2,509ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$50,952TotalAmt
Program Services$42,431ProgramServicesAmt
Management And General$8,521ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$9,746TotalAmt
Management And General$9,746ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$15,924TotalAmt
Management And General$15,924ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmt
Miscellaneous$30,720$30,720
Fees, licenses & dues$19,875$19,875

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,330,987TotalAmt
Program Services$4,862,783ProgramServicesAmt
Management And General$468,204ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$3,921,739BOYAmt
EOY$2,847,063EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,000,000BOYAmt
EOY$6,000,000EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$831BOYAmt
EOY$17,364EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$27,345,881BOYAmt
EOY$35,915,390EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,156,865BOYAmt
EOY$2,966,091EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$750,000BOYAmt
EOY$1,661,630EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$44,175,316BOYAmt
EOY$49,407,538EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$7,591BOYAmt
EOY$90,305EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$1,000BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$110,587BOYAmt
EOY$188,605EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$119,178BOYAmt
EOY$278,910EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,091,378BOYAmt
EOY$34,719,007EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$13,964,760BOYAmt
EOY$14,409,621EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,056,138BOYAmt
EOY$49,128,628EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$44,175,316BOYAmt
EOY$49,407,538EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$2,023,101ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$3,049,389NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Separate Basis Fincl StmtYes (X)SeparateBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of ColoradoBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN844416613EIN
Organization Type10OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$0OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$0OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS Determination0SuprtOrgNoIRSDeterminationInd
Supported Org Section C456Yes (1)SupportedOrgSectionC456Ind
Supported Org QualifiedYes (1)SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 B0SuprtExclusivelySec170c2BInd
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported OrgYes (1)SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule A, Page 4, Section A, Line 3bPer Delta Dental of Colorado's 2021 Form 990, the supported orgnanizations' activities satisfied the section 509(a)(2) public support test in 2021.
Schedule A, Page 4, Section A, Line 6The Foundation awarded grants to 71 different organizations in 2021 as detailed in Schedule I. The grants and the organizations who received the grants are helping the Foundation and its' supported organization fulfill their collective missions.

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,539,760BeginningYearBalanceAmt
Investment Earnings Or Losses$694,861InvestmentEarningsOrLossesAmt
End Year Balance$6,234,621EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$5,016,661BeginningYearBalanceAmt
Investment Earnings Or Losses$523,099InvestmentEarningsOrLossesAmt
End Year Balance$5,539,760EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,253,977BeginningYearBalanceAmt
Investment Earnings Or Losses$762,684InvestmentEarningsOrLossesAmt
End Year Balance$5,016,661EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,594,238BeginningYearBalanceAmt
Investment Earnings Or Losses-$340,261InvestmentEarningsOrLossesAmt
End Year Balance$4,253,977EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,985,367BeginningYearBalanceAmt
Investment Earnings Or Losses$608,871InvestmentEarningsOrLossesAmt
End Year Balance$4,594,238EndYearBalanceAmt
FieldValueIRS element (for citing)
Prmnnt Endowment Balance EOY0.32000PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.68000TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org0EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org0EndowmentsHeldRelatedOrgInd
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescPrivate equity investmentsDesc
Book Value$2,966,091BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$2,966,091TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

FieldValueIRS element (for citing)
DescDue to Delta Dental of ColoradoDesc
Amt$188,605Amt
FieldValueIRS element (for citing)
Total Liability$188,605TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt$10,329,137TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$3,049,389NetUnrealizedGainsInvstAmt
Revenue Not Reported$3,049,389RevenueNotReportedAmt
Revenue Subtotal$7,279,748RevenueSubtotalAmt
Investment Expenses Not Incld$74,340InvestmentExpensesNotIncldAmt
Revenue Not Reported Fincl Stmt$74,340RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$7,354,088TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$5,256,647TotExpnsEtcAuditedFinclStmtAmt
Expenses Not Reported$0ExpensesNotReportedAmt
Expenses Subtotal$5,256,647ExpensesSubtotalAmt
Investment Expenses Not Incld2$74,340InvestmentExpensesNotIncld2Amt
Expenses Not Rpt Fincl Stmt$74,340ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$5,330,987TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart V, Line 4:FormAndLineReferenceDesc
ExplanationThe endowment funds are for general support of the Organization's operations.ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

FieldValueIRS element (for citing)
RegionCentral America and the Caribbean - Antigua & Barbuda, Aruba, Bahamas,RegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestments (divested in 2021)TypeOfActivitiesConductedTxt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign Corp0TransferToForeignCorpInd
Interest In Foreign Trust0InterestInForeignTrustInd
Foreign Corp Ownership0ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (1)PassiveForeignInvestmestCoInd
Foreign Partnership0ForeignPartnershipInd
Boycott Countries0BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart III Accounting Method:FormAndLineReferenceDesc

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (64 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxtAddress Line2USAddress/AddressLine2Txt
MOUNTAIN FAMILY HEALTH CENTERS
2700 GILSTRAP COURT SUITE 100GLENWOOD SPRINGSCO81601840742145501c3$45,000$0CO MDI, Wave II
CHILDRENS HOSPITAL COLORADO HEALTH SYSTEM
13123 E 16TH AVENUE B045AURORACO80045454182666501c3$100,000$0Children's Hospital Colorado Oral Health Program for Underserved Populations (w/ Aurora PS)
GRAND BEGINNINGS
PO BOX 42 480 E AGATE AVEGRANBYCO80446113659478501c3$23,137$0Meeting Milestones Initiative: Oral Health Preventive Education and Screening Early Childhood System
SUMMIT COMMUNITY CARE CLINIC INC
P O BOX 4337FRISCOCO80443201139635501c3$58,300$0CO MDI, Wave II & SCCC Rural Dental Access Program
EUREKA MCCONNELL SCIENCE MUSEUM
1400 N 7TH STGRAND JUNCTIONCO81501201641549501c3$8,000$0Oral Health and Science Community Outreach
DENVER SCHOLARSHIP FOUNDATION
789 SHERMAN STREET SUITE 610DENVERCO80203205143175501c3$10,000$0Workforce Connectivity
EARLY LEARNING VENTURES INC
18 INVERNESS PLACE EASTENGLEWOODCO80112264053609501c3$33,150$0Oral Health Initiative for Early Head Start-Child Care Partnership Sites
OLATHE COMMUNITY CLINIC INC
PO BOX 529OLATHECO814250529273757444501c3$30,000$0CO MDI, Wave II (River Valley Family Health Center) & Transition Grant
ALL AMERICAN FAMILIES
115 GRAND AVENUE SUITE 2DELTACO81416371494672501c3$15,000$0Access to Care & Prevention for Youth
PROJECT WORTHMORE DBA WORTHMORE CLINIC
1609 HAVANA STREETAURORACO80010450933835501c3$135,000$0General Operating Support & Worthmore Dental Clinic
A KIDZ CLINIC
360 E 8TH STREETDELTACO81416471408195501c3$27,625$0A Kidz Clinic - Dental
LAURUS COLLEGIATE
1400 YOSEMITE STAURORACO80010472103502501c3$50,000$0Expanding Oral Health Education & Access for Kids & Families in the East Colfax Corridor
COMMUNITY FIRST FOUNDATION
5855 WADSWORTH BYPASS UNIT AARVADACO80003510157964501c3$100,000$0Colorado Gives-Employee Match
TENNYSON CENTER FOR CHILDREN
2950 TENNYSON STREETDENVERCO80212611458290501c3$75,000$0Child First
CTR FOR IMMIGRANTS AND IMMIGRATION SVCS
2055 S ONEIDA ST SUITE 290DENVERCO80224680575731501c3$50,000$0Preventative and Accessible Dental Program for Needy African Refugees and Immigrants (PADPNARI-III)
PHILANTHROPY COLORADO
5855 WADSWORTH BYPASS UNIT AARVADACO80003710947313501c3$10,000$0Donation
LA PUENTE HOME INC
911 STATE AVENUEALAMOSACO81101742224631501c3$25,000$0Crisis Prevention Resources
COLORADO CHILDREN'S CAMPAIGN
1580 LINCOLN ST STE 420DENVERCO80203742374672501c3$85,000$02021-2022 Long-term Strategy in Childhood Oral Health
INNER CITY HEALTH CENTER
3800 YORK STDENVERCO80205742426085501c3$100,000$0Capital Campaign 2021
SOUL 2 SOUL SISTERS
PO BOX 7632DENVERCO80207811006094501c3$25,000$0Promoting Oral Health for Black Women
VIVE
PO BOX 11004DENVERCO80211814059452501c3$75,000$0Cuidando tus dientes
CARING FOR COLORADO CENTENNIAL FUND
1635 W 13TH AVE SUITE 303DENVERCO80204832742375501c3$75,000$0COVID Vaccine Equity Fund
DENVER METRO CHAMBER OF COMMERCE
1445 MARKET ST 4TH FLOORDENVERCO80202840186760501c6$25,000$0"Prosper Colorado Investment" sponsorship/donation
SOUTHWEST COLORADO MENTAL HEALTH CENTER DBA AXIS HEALTH SYSTEM
185 SUTTLE STREETDURANGOCO813038276840506701501c3$30,000$0CO MDI, Wave II (Axis Health System) & Transition Grant
HEALTH SERVICES DISTRICT OF NORTHERN LARIMER COUNTY
120 BRISTLECONE DRFORT COLLINSCO80524840515919501c3$28,292$0Increasing Access to Specialty Dental Care
HUERFANO LAS ANIMAS AREA COUNCIL OF GOVERNMENTS
300 SOUTH BONAVENTURE AVETRINIDADCO81082840561399501c3$10,000$0General Operating Support
COLORADO LATINO LEADERSHIP ADVOCACY & RESEARCH ORGANIZATION
PO BOX 17932DENVERCO802170932840562952501c3$35,000$0Latino Oral Health Promotion
NW CO VISITING NURSE ASSOCIATION INC
940 CENTRAL PARK DR STE 101STEAMBOAT SPRINGSCO80487840564998501c3$86,877$0Rural Oral Health Services for Women and Children
DOMINICAN HOME HEALTH AGENCY INC
2501 GAYLORD STDENVERCO80205840567786501c3$25,000$0Transition Grant
SOUTHEAST COLORADO HOSPITAL DISTRICT
373 EAST 10THSPRINGFIELDCO81073840592527501c3$40,000$0Recruiting, staffing, and funding a Dentist two days a week in their clinic
COMMUNITY HEALTH SERVICES INC
0405 CASTLE CREEK RD SUITE 201ASPENCO81611840609057501c3$83,497$0TeleORALhealth
SUNRISE COMMUNITY HEALTH
2930 11TH AVEEVANSCO80620840613289501c3$50,000$0Integrated Oral Health Services for Sunrise Monfort Family Clinic
LA RAZA SERVICES
3131 W 14TH AVEDENVERCO80204840625478501c3$174,902$0Addressing Barriers to Access & Utilization of Oral Care for Spanish-speakers in East Denver Metro, & Community - dental clinic coalition
AURORA HEALTH ALLIANCE
1290 CHAMBERS ROADAURORACO80011840683346501c3$10,000$0Elevating Aurora Smiles
HEALTHY CHILDCARE COLORADO
1525 RALEIGH ST 5TH FLOORDENVERCO80204840685056501c3$116,011$0Healthy Smiles
SPECIAL OLYMPICS COLORADO
12450 E ARAPAHOE RD SUITE CCENTENNIALCO80112840713739501c3$16,000$0Young Athletes Oral Health Education and Screenings for Children with Intellectual Disabilities
CLINICA FAMILY HEALTH SERVICES
1735 SOUTH PUBLIC ROADLAFAYETTECO80026840743432501c3$75,000$0General operating support
KIDS FIRST HEALTH CARE
4675 E 69TH AVECOMMERCE CITYCO80022840799374501c3$44,313$0Strengthening Dental Integration
DENTAL LIFELINE NETWORK
1800 15TH STREET SUITE 100DENVERCO80202840900619501c3$25,000$0Lab Reimbursement Budget
COLORADO COMMUNITY HEALTH NETWORK
600 GRANT ST STE 800DENVERCO80203840910590501c3$117,793$0Pathways to Equity: Strengthening the Dental Workforce in Colorado Community Health Centers
ROSE COMMUNITY FOUNDATION
4500 E CHERRY CREEK SOUTH DR STEDENVERCO802461546840920862501c3$50,000$0Colorado Afghan Evacuee Support Fund900
RURAL COMMUNITIES RESOURCE CENTER
PO BOX 284YUMACO80759840959903501c3$30,000$0General operating support
COMMUNITY PARTNERSHIP FOR CHILD DEVELOPMENT
2330 ROBINSON STCOLORADO SPRINGSCO80904841071825501c3$10,000$0Oral Health Program for Disadvantaged Young Children
DENVER HEALTH FOUNDATION
601 BROADWAY MC 0111DENVERCO80203841085196501c3$112,631$0CO MDI, Wave II (Westside Women's Care), Evaluation of Colorado Medical-Dental Integration Project, & Teledentistry Service Support in School-Based Dental Programs in Northeast Denver
COLORADO CONSUMER HEALTH INITIATIVE
303 EAST 17TH AVENUE SUITE 400DENVERCO80203841145452501c3$15,000$0Sponsorship/Donation
DOCTORS CARE
609 W LITTLETON BLVD STE 100LITTLETONCO80120841150815501c3$35,000$0Doctors Care Healthy Pregnancy and Children Initiative
MOUNTAIN RESOURCE CENTER
PO BOX 425CONIFERCO80433841178699501c3$17,350$0Oral Health Literacy and Resources for Low-Income, Rural Families
LA CLINICA TEPEYAC
4725 HIGH STREETDENVERCO80216841285505501c3$55,000$0Expansion and Improvement of Oral Health Care to Underserved Communities in Metro Denver
REGIONAL HOME VISITATION PROGRAM
201 SOUTH MAIN STREETYUMACO80759841311396501c3$50,320$0Enhancing oral health and preventing tooth decay in children 0 to 5 years old and pregnant women.
THE FAMILY CENTER LA FAMILIA
309 HICKORY STREET 5FORT COLLINSCO80524841318219501c3$50,000$0Utilizing a cultural approach to addressing social determinants of health
ROCKY MOUNTAIN YOUTH MEDICAL AND NURSING CONSULTANTS INC
9197 GRANT STREET STE 100THORNTONCO80229841321485501c3$70,600$0Expanding Integrated Health Care services in Denver and Lakewood clinics
VAIL VALLEY CHARITABLE FUND
PO BOX 2307EDWARDSCO81632841359124501c3$17,500$0Eagle County Smiles
COLO ASSOC FOR SCHOOL-BASED HEALTH CARE
455 SHERMAN STREET SUITE 468DENVERCO80203841376318501c3$65,000$0Gateway Health: SBHC exploration and expansion through oral health initiatives
BRIGHT BEGINNINGS
PO BOX 7038DENVERCO80207841382420501c3$60,000$0Brighter Smiles by Text
VUELA FOR HEALTH
3532 FRANKLIN ST V-2DENVERCO80205841444277501c3$72,567$0Sonrisa Sana (Healthy Smile)
CARING FOR COLORADO FOUNDATION
1635 W 13th Ave Suite 303DENVERCO80204841477197501c3$32,000$0Improving Access to Oral Health Care and Food Security
THE CENTER FOR AFRICAN AMERICAN HEALTH
3350 HUDSON STREETDENVERCO80207841477546501c3$25,000$0General operating support
COLORADO NONPROFIT DEVELOPMENT CENTER
789 SHERMAN ST SUITE 250DENVERCO80203841493585501c3$54,500$0Improving Access to Oral Health Care and Food Security
THRIVING FAMILIES
1330 FOX STDENVERCO80204841993572501c3$74,751$0On-Site Preventative Dental Care Clinics for Pregnant Women, Mothers, and Young Children
REGENTS OF THE UNIVERSITY OF COLORADO
PO BOX 910238DENVERCO802910238846000555501c3$15,762$0CO MDI, Wave II (SBHC- Sheridan) & Evaluation of the Colorado Medical-Dental Integration Project
KIDS IN NEED OF DENTISTRY
2465 SOUTH DOWNING SUITE 210DENVERCO80210846038681501c3$140,000$0General Operating Support
UNIVERSITY OF COLORADO FOUNDATION
13001 E 17TH PLACE MAIL STOP A065AURORACO80045846049811501c3$280,000$0Diversifying Colorado's Dental WorkforceSTOP A065 WG112
COLORADO DENTAL HYGENISTS ASSOC
560 CEDAR AVEGRAND JUNCTIONCO81501846121385501c3$50,000$0Workforce Innovation and the Role of the Dental Hygienist
REACH OUT AND READ COLORADO
3705 Martin Luther King BlvdDENVERCO80205861172160501c3$30,000$0"Read Aloud, Brush Proud": a program advancing health equity for low-income children in rural Colorado
FieldValueIRS element (for citing)
Total501c3 Org63Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Organization requires periodic reports to ascertain that the grants are used for their proper intended purpose.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (1)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (1)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (3 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Helen Drexler
Board Member$0$506,117$0$499,514$0$19,633$0$36,000$0$17,540$0$1,078,804$0$0
Adeeb Khan
Executive Director$98,617$102,626$50,174$50,174$8,799$8,800$11,265$11,265$10,003$10,003$178,858$182,868$0$0
Megan Wilson
Deputy Director$143,740$0$34,296$0$2,704$0$12,590$0$0$0$193,330$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 5Delta Dental of Colorado has an 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. The Company also has a long-term incentive program for executives, which is based on both a membership growth and return on revenue factor. The long-term incentive program has three-year targets and is paid out annually in March of the subsequent year.
Part I, Line 6See narrative for line 5a above.
Part I, Line 7Per the board by-laws, board members who have volunteered additional time to the Foundation may be compensated for their time. Reasonable compensation is approved by the Board of Directors

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part V, Line 2aDelta Dental of Colorado acts as a common paymaster and issues W-2s for employees who work for the Foundation. The number of W-2s reported on Form 990 Part V Line 2a only include the number of employees who worked on Foundation activities during the year.
Form 990, Part VI, Section A, line 2Helen Drexler, Board Member, Adeeb Khan, Executive Director, and Megan Wilson, Deputy Director, are employees of Delta Dental of Colorado, EIN 83-4416613.
Form 990, Part VI, Section A, line 4Significant changes to the bylaws were made to form two official standing committees and require the board to approve loans.
Form 990, Part VI, Section B, line 11bThe Organization has a Finance Committee of the Board of Directors that is responsible for reviewing the Form 990. A draft is also presented to the Board for review prior to being filed. Once the Board approves the Form 990, it is then subsequently filed.
Form 990, Part VI, Section B, line 12cThe completed annual conflict of interest statements are maintained by the Executive Director who ensures that board members excuse themselves from voting on any matters for which there is a conflict of interest.
Form 990, Part VI, Section B, line 15Adeeb Khan, Executive Director, is an employee of Delta Dental of Colorado #83-4416613. Because the foundation reimburses Delta Dental of Colorado for the time he spends working on Foundation activities, that portion of his compensation is reported in column D as compensation from the foundation. Megan Wilson, Deputy Director, is an employee of Delta Dental of Colorado #83-4416613. Because the foundation reimburses Delta Dental of Colorado for her personnel cost, her compensation is reported in column D as compensation from the foundation.
Form 990, Part VI, Section C, line 19The Foundation 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 that informs the public that these documents are available for public inspection at its' corporate headquarters.
Part XII, Line 2cProcess has not changed from the prior year.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of ColoradoBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line16465 Greenwood Plaza Blvd Ste 900AddressLine1Txt
CityCentennialCityNm
State AbbreviationCOStateAbbreviationCd
ZIP80111ZIPCd
FieldValueIRS element (for citing)
EIN844416613EIN
Primary ActivitiesProviding dental service to the public through dental benefit programs.PrimaryActivitiesTxt
Legal Domicile StateCOLegalDomicileStateCd
Exempt Code Section501(c)4ExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1YesBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled Organization0ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Delta Dental of Colorado
C$6,000,000cash
Delta Dental of Colorado
P$431,549cash
Delta Dental of Colorado
O$764,082cash