DELTA DENTAL OF COLORADO: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF COLORADO (EIN 83-4416613)
- Tax period
- 2020-01-01 to 2020-12-31
- Filed
- 2021-10-04
- IRS object ID
- 202112779349300721
- Schema version
- 2020v4.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2021-10-04T11:33:09-05:00 | ReturnTs |
| Tax Period End | 2020-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8181 E TUFTS AVE SUITE 600 | AddressLine1Txt |
| City | DENVER | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80237 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 834416613 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF COLORADO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 8002330860 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6465 GREENWOOD PLAZA BLVD NO 900 | AddressLine1Txt |
| City | CENTENNIAL | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80111 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GREGORY VOCHIS CPA | PersonNm |
| Person Title | CFO AND TREASURER | PersonTitleTxt |
| Phone | 8002330860 | PhoneNum |
| Signature | 2021-09-29 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | GREGORY | PersonFirstNm |
| Person Last | VOCHIS CPA | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DORI J EGGETT | PreparerPersonNm |
| PTIN | P00645252 | PTIN |
| Phone | 3037409400 | PhoneNum |
| Preparation | 2021-09-29 | PreparationDt |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 0 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | Yes (X) | InitialReturnInd |
| Principal Officer | HELEN WEISS DREXLER | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6465 GREENWOOD PLAZA BLVD NO 900 | AddressLine1Txt |
| City | CENTENNIAL | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80111 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $191,819,027 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.DELTADENTALCO.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2019 | FormationYr |
| Legal Domicile State | CO | LegalDomicileStateCd |
| Activity Or Mission | TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 250 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $283 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| CY Program Service Revenue | $185,033,882 | CYProgramServiceRevenueAmt |
| CY Investment Income | $6,073,654 | CYInvestmentIncomeAmt |
| CY Other Revenue | $283 | CYOtherRevenueAmt |
| CY Total Revenue | $191,107,819 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $5,806,312 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $165,786,705 | CYBenefitsPaidToMembersAmt |
| CY Salaries Comp Emp Bnft Paid | $10,059,225 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| CY Other Expenses | $16,499,098 | CYOtherExpensesAmt |
| CY Total Expenses | $198,151,340 | CYTotalExpensesAmt |
| CY Revenues Less Expenses | -$7,043,521 | CYRevenuesLessExpensesAmt |
| Total Assets EOY | $109,235,627 | TotalAssetsEOYAmt |
| Total Liabilities EOY | $47,550,813 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances EOY | $61,684,814 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | 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. UNFORTUNATELY, THERE ARE MANY PEOPLE FOR WHOM DENTAL INSURANCE IS NOT POSSIBLE. FOR THESE PEOPLE, DELTA DENTAL HAS A NUMBER OF DIFFERENT PROGRAMS ESTABLISHED TO PROVIDE THEM WITH ORAL HEALTH EDUCATION, DIRECT PATIENT DENTAL SERVICES, AND FREE DENTAL INSURANCE SO THAT GOOD ORAL HEALTH WILL ALSO BE ACHIEVABLE FOR THEM. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $189,572,543 | ExpenseAmt |
| Revenue | $185,033,882 | RevenueAmt |
| Desc | 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. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $6,106,479 | ExpenseAmt |
| Grant | $5,806,312 | GrantAmt |
| Desc | 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 FIFTEEN YEARS, DELTA DENTAL OF COLORADO HAS DEVOTED A SUBSTANTIAL AMOUNT OF ITS ADJUSTED NET GAIN TO ITS COMMUNITY ENGAGEMENT PROGRAM. THESE ACTIVITIES INCLUDE TABLES, DONATIONS, CORPORATE SPONSORSHIPS WITH MANY ORGANIZATIONS INCLUDING THE AMERICAN HEART ASSOCIATION AND MILE HIGH UNITED WAY. THE COMPANY ALSO SPONSORS LOCAL NONPROFIT ORGANIZATIONS AND COMMUNITY EVENTS AND DONATED OVER 206,000 ORAL HEALTH ITEMS REACHING MORE THAN 129,000 PEOPLE THROUGHOUT COLORADO. A PORTION OF THE FUNDING SUPPORT GOES TO DELTA DENTAL OF COLORADO FOUNDATION, WHICH RECEIVED $5.5 MILLION IN 2020 TO ADVANCE ORAL HEALTH EQUITY THROUGH GRANT MAKING. THE COMPANY SUPPORTS ENGAGEMENT IN THE COMMUNITY THROUGH ITS VOLUNTEER PROGRAM WITH 116 OF ITS 200 EMPLOYEES CONTRIBUTING THEIR TIME IN 2020. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $195,679,022 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | 0 | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | 0 | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | 0 | OperateHospitalInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (1) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| IRP Document | 19392 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 250 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | 0 | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Own Website | Yes (X) | OwnWebsiteInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GREGORY VOCHIS CPA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7204894718 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6465 GREENWOOD PLAZA BLVD 900 | AddressLine1Txt |
| City | CENTENNIAL | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80111 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (26 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| HELEN W DREXLER | |||||||||
| PRESIDENT AND CHIEF EXECUTIVE OFFICER | 45.00 | 2.00 | Yes (X) | Yes (X) | $750,751 | $0 | $50,627 | ||
| ANN BLOCK | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $19,917 | $47,984 | $0 | ||||
| KELLY J BROUGH | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $21,517 | $33,000 | $0 | ||||
| RICHARD CALL DMD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $19,309 | $45,243 | $0 | ||||
| NED CALONGE MD | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $20,250 | $34,500 | $0 | ||||
| JAMES COUSIN II | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $22,450 | $30,750 | $0 | ||||
| KIM KRETSCH DDS | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $23,250 | $39,000 | $0 | ||||
| MARY MARGARET NOONAN | |||||||||
| CHAIR | 3.00 | Yes (X) | Yes (X) | $35,750 | $58,559 | $0 | |||
| HASSAN SALEM | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $18,750 | $30,000 | $0 | ||||
| ANN SOMERS DDS | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $18,750 | $30,000 | $0 | ||||
| TAMANNA TIWARI MPH MDS BDS | |||||||||
| SECRETARY | 2.00 | Yes (X) | Yes (X) | $19,500 | $30,750 | $0 | |||
| LEO TOKAR | |||||||||
| VICE CHAIR | 2.00 | Yes (X) | Yes (X) | $28,023 | $37,259 | $0 | |||
| WALT VOGL DDS | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $12,750 | $33,750 | $0 | ||||
| MARK WEHRLE CPA RETIRED | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $18,407 | $45,724 | $0 | ||||
| ANDREA JEAN YOUNG | |||||||||
| DIRECTOR | 2.00 | Yes (X) | $21,750 | $33,750 | $0 | ||||
| GREGORY C VOCHIS CPA | |||||||||
| CHIEF FINANCIAL OFFICER AND TREASURER | 45.00 | Yes (X) | $455,328 | $0 | $56,199 | ||||
| DAVID W GERBUS | |||||||||
| CHIEF ADMIN OFFICER, GENERAL COUNSEL, & ASST. SECR | 45.00 | Yes (X) | $443,745 | $0 | $45,319 | ||||
| BRAD T GUYTON DDS MBA MPH | |||||||||
| CHIEF DENTAL OFFICER | 22.00 | Yes (X) | $231,548 | $0 | $20,278 | ||||
| ROBERT M THOMPSON | |||||||||
| VICE PRESIDENT SALES AND CLIENT/BROKER EXPERIENCE | 45.00 | $368,931 | $0 | $47,269 | Yes (X) | ||||
| KATHLEEN S JACOBY | |||||||||
| VICE PRESIDENT MARKETING AND MEMBER EXPERIENCE | 45.00 | $358,829 | $0 | $40,222 | Yes (X) | ||||
| ADEEB A KHAN | |||||||||
| EXECUTIVE DIRECTOR OF FOUNDATION AND VP OF CSR | 22.00 | 23.00 | $227,213 | $0 | $25,441 | Yes (X) | |||
| DEVIN W FARRELL | |||||||||
| DIRECTOR, SALES STRATEGY AND PROVIDER RELATIONS | 45.00 | $250,321 | $0 | $45,210 | Yes (X) | ||||
| BRIAN L STEELE | |||||||||
| DIRECTOR OF CLIENT SERVICES | 45.00 | $238,388 | $0 | $43,452 | Yes (X) | ||||
| BROOKE S BODART RDH MPA | |||||||||
| DIRECTOR OF BUSINESS PROGRAMS | 45.00 | $195,409 | $0 | $26,694 | Yes (X) | ||||
| TIMOTHY J CATRON | |||||||||
| DIRECTOR OF GROUP ADMINISTRATION, EDI & CLAIMS | 45.00 | $195,307 | $0 | $17,072 | Yes (X) | ||||
| SUNDAY A SOTOMAYOR | |||||||||
| DIRECTOR OF HUMAN RESOURCES | 45.00 | $189,937 | $0 | $28,328 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,206,080 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $530,269 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $446,111 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 39 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| RAND CONSTRUCTION CORPORATION | |||||
| 1029 N ROYAL STREET | ALEXANDRIA | VA | 22134 | OFFICE SPACE CONSTRUCTION | $3,678,761 |
| DDP OF VIRGINIA | |||||
| 4818 STARKEY RD SOUTHWEST | ROANOKE | VA | 24014 | IT SUPPORT & CLAIMS PROCESSING | $2,889,860 |
| WYSSTA SERVICES INC | |||||
| PO BOX 86 | STEVENS POINT | WI | 54481 | 3RD PARTY INSURANCE PROCESSING | $1,379,992 |
| REVGEN PARTNERS INC | |||||
| 6300 S SYRACUSE WAY STE 760 | CENTENNIAL | CO | 80111 | BUSINESS DATA VALIDATION AND TECHNOLOGY | $1,003,999 |
| POINTB INC | |||||
| P O BOX 45527 | SAN FRANCISCO | CA | 94145 | STRATEGIC CONSULTING SERVICES | $795,940 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| SELF FUNDED PLAN PREMI | 524114 | $109,650,149 | $109,650,149 |
| RISK PLAN PREMIUMS | 524114 | $67,589,243 | $67,589,243 |
| ADMIN - SELF FUND PLAN | 524298 | $7,073,285 | $7,073,285 |
| RISK SHARING | 524298 | $721,178 | $721,178 |
| DISCOUNT PLAN FEES | 524114 | $27 | $27 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $185,033,882 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $476,061 | TotalRevenueColumnAmt |
| Exclusion | $476,061 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,308,801 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $711,208 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $6,308,801 | SecuritiesAmt |
| Other | -$711,208 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,597,593 | TotalRevenueColumnAmt |
| Exclusion | $5,597,593 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | VISION PREMIUMS | Desc |
| Business | 524298 | BusinessCd |
| Total Revenue Column | $283 | TotalRevenueColumnAmt |
| Unrelated Business Revenue | $283 | UnrelatedBusinessRevenueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $283 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $191,107,819 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $185,033,882 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $283 | UnrelatedBusinessRevenueAmt |
| Exclusion | $6,073,654 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,803,827 | TotalAmt |
| Program Services | $5,803,827 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,485 | TotalAmt |
| Program Services | $2,485 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,786,705 | TotalAmt |
| Program Services | $165,786,705 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,500,411 | TotalAmt |
| Program Services | $2,450,403 | ProgramServicesAmt |
| Management And General | $50,008 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,614,889 | TotalAmt |
| Program Services | $5,502,591 | ProgramServicesAmt |
| Management And General | $112,298 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $395,474 | TotalAmt |
| Program Services | $387,565 | ProgramServicesAmt |
| Management And General | $7,909 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,136,203 | TotalAmt |
| Program Services | $1,113,479 | ProgramServicesAmt |
| Management And General | $22,724 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $412,248 | TotalAmt |
| Program Services | $404,003 | ProgramServicesAmt |
| Management And General | $8,245 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,508,280 | TotalAmt |
| Program Services | $1,206,624 | ProgramServicesAmt |
| Management And General | $301,656 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $276,679 | TotalAmt |
| Program Services | $221,343 | ProgramServicesAmt |
| Management And General | $55,336 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $95,510 | TotalAmt |
| Program Services | $76,408 | ProgramServicesAmt |
| Management And General | $19,102 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $107,742 | TotalAmt |
| Management And General | $107,742 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,180 | TotalAmt |
| Program Services | $99,526 | ProgramServicesAmt |
| Management And General | $42,654 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,028,167 | TotalAmt |
| Program Services | $1,028,167 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,290 | TotalAmt |
| Program Services | $253,603 | ProgramServicesAmt |
| Management And General | $108,687 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,125,895 | TotalAmt |
| Program Services | $1,700,716 | ProgramServicesAmt |
| Management And General | $425,179 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $627,491 | TotalAmt |
| Program Services | $501,993 | ProgramServicesAmt |
| Management And General | $125,498 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,412 | TotalAmt |
| Program Services | $1,082 | ProgramServicesAmt |
| Management And General | $4,330 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,256 | TotalAmt |
| Program Services | $225,091 | ProgramServicesAmt |
| Management And General | $184,165 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $108,345 | TotalAmt |
| Program Services | $86,676 | ProgramServicesAmt |
| Management And General | $21,669 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| COMMISSIONS | $4,184,416 | $4,184,416 | |
| DATA PROCESSING (CLAIMS | $1,903,480 | $1,522,784 | $380,696 |
| OUTSOURCING/CONSULTING | $1,698,184 | $1,358,547 | $339,637 |
| FEES, LICENSES, & DUES | $736,961 | $736,961 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,810 | TotalAmt |
| Program Services | $1,024,027 | ProgramServicesAmt |
| Management And General | $154,783 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $198,151,340 | TotalAmt |
| Program Services | $195,679,022 | ProgramServicesAmt |
| Management And General | $2,472,318 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $2,298,090 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $293,448 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $27,291,083 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $19,386,074 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $6,600,372 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $12,785,702 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $9,423,989 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $54,628,356 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $2,514,959 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $109,235,627 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $7,316,592 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $5,000,000 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $6,233,230 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $29,000,991 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $47,550,813 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $61,684,814 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $61,684,814 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $109,235,627 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$7,043,521 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$6,414,031 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $75,142,366 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Separate Basis Fincl Stmt | Yes (X) | SeparateBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $96,713 | OtherCostOrOtherBasisAmt |
| Depreciation | $32,238 | DepreciationAmt |
| Book Value | $64,475 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,431,462 | OtherCostOrOtherBasisAmt |
| Depreciation | $317,278 | DepreciationAmt |
| Book Value | $1,114,184 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $17,857,899 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,250,856 | DepreciationAmt |
| Book Value | $11,607,043 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $12,785,702 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| BONDS | $52,541,244 | F |
| OTHER INVESTED ASSETS | $2,087,112 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $54,628,356 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| PROVISION FOR UNPAID CLAIMS | $13,537,017 |
| ACCRUED EMPLOYEE BENEFITS | $6,743,450 |
| ACCRUED RISK RESERVES | $462,041 |
| OTHER ACCRUED LIABILITIES | $7,929,126 |
| DEFERRED RENT | $329,357 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $29,000,991 | TotalLiabilityAmt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (11 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| DELTA DENTAL OF COLORADO FOUNDATION | ||||||||
| 6465 GREENWOOD PLAZA BLVD SUITE 900 | 900 | CENTENNIAL | CO | 80111 | 841389431 | 501C3 | $5,500,000 | FUNDING TO SUPPORT DELTA DENTAL FOUNDATION AND FURTHER ITS MISSION |
| AMERICAN DIABETES ASSOCIATION | ||||||||
| 2451 CRYSTAL DRIVE SUITE 900 | ARLINGTON | VA | 22202 | 131623888 | 501C3 | $10,000 | SUPPORT LOCAL HEALTH ORGANIZATION | |
| DENVER SCHOLARSHIP FOUNDATION | ||||||||
| 789 SHERMAN ST | DENVER | CO | 80203 | 205143175 | 501C3 | $5,250 | FUNDING FOR LOCAL ORGANIZATION | |
| FLORENCE CRITTENTON SERVICES OF COLORADO | ||||||||
| 55 SOUTH ZUNI STREET | DENVER | CO | 80223 | 840429686 | 501C3 | $5,102 | SUPPORT LOCAL ORGANIZATION | |
| MILE HIGH UNITED WAY | ||||||||
| PO BOX 5547 | DENVER | CO | 80217 | 840404235 | 501C3 | $19,001 | FUNDING TO SUPPORT NATIONAL ORGANIZATION | |
| UNIVERSITY OF CO FOUNDATION | ||||||||
| PO BOX 173364 | DENVER | CO | 80217 | 846049811 | 501C3 | $10,000 | FUNDING TO SUPPORT HEALTH ORGANIZATION | |
| AMERICAN RED CROSS | ||||||||
| 444 SHERMAN ST | DENVER | CO | 80203 | 530196605 | 501C3 | $10,000 | FUNDING TO SUPPORT HEALTH ORGANIZATION | |
| COMMUNITY FIRST FOUNDATION | ||||||||
| 5855 WADSWORTH BYPASS UNIT A | ARVADA | CO | 80003 | 510157964 | 501C3 | $25,026 | FUNDING TO SUPPORT HEALTH ORGANIZATION | |
| ROSE COMMUNITY FOUNDATION | ||||||||
| 4500 CHERRY CRK DR SOUTH STE 900 | DENVER | CO | 80246 | 840920862 | 501C3 | $10,000 | FUNDING TO SUPPORT HEALTH ORGANIZATION | |
| THE FUND FOR A HEALTHIER COLORADO | ||||||||
| 1536 WYNKOOP ST 109 | DENVER | CO | 80202 | 474101801 | 501C3 | $60,000 | FUNDING TO SUPPORT HEALTH ORGANIZATION | |
| URBAN PEAK DENVER | ||||||||
| 2100 STOUT ST | DENVER | CO | 80205 | 841212246 | 501C3 | $12,100 | FUNDING TO SUPPORT HEALTH ORGANIZATION | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 11 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | 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. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (1) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (1) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| HELEN W DREXLER | ||||||||||||||
| PRESIDENT AND CHIEF EXECUTIVE OFFICE | $468,056 | $0 | $263,088 | $0 | $19,607 | $0 | $37,500 | $0 | $13,127 | $0 | $801,378 | $0 | $0 | $0 |
| GREGORY C VOCHIS CPA | ||||||||||||||
| CHIEF FINANCIAL OFFICER AND TREASURE | $316,084 | $0 | $121,473 | $0 | $17,771 | $0 | $35,455 | $0 | $20,744 | $0 | $511,527 | $0 | $0 | $0 |
| DAVID W GERBUS | ||||||||||||||
| CHIEF ADMIN OFFICER, GENERAL COUNSEL | $300,733 | $0 | $122,586 | $0 | $20,426 | $0 | $33,528 | $0 | $11,791 | $0 | $489,064 | $0 | $0 | $0 |
| ROBERT M THOMPSON | ||||||||||||||
| VICE PRESIDENT SALES AND CLIENT/BROK | $255,554 | $0 | $94,427 | $0 | $18,950 | $0 | $29,073 | $0 | $18,196 | $0 | $416,200 | $0 | $0 | $0 |
| KATHLEEN S JACOBY | ||||||||||||||
| VICE PRESIDENT MARKETING AND MEMBER | $246,034 | $0 | $92,940 | $0 | $19,855 | $0 | $26,240 | $0 | $13,982 | $0 | $399,051 | $0 | $0 | $0 |
| DEVIN W FARRELL | ||||||||||||||
| DIRECTOR, SALES STRATEGY AND PROVIDE | $159,374 | $0 | $88,409 | $0 | $2,538 | $0 | $24,693 | $0 | $20,517 | $0 | $295,531 | $0 | $0 | $0 |
| BRIAN L STEELE | ||||||||||||||
| DIRECTOR OF CLIENT SERVICES | $171,602 | $0 | $63,797 | $0 | $2,989 | $0 | $22,985 | $0 | $20,467 | $0 | $281,840 | $0 | $0 | $0 |
| ADEEB A KHAN | ||||||||||||||
| EXECUTIVE DIRECTOR OF FOUNDATION AND | $192,273 | $0 | $18,833 | $0 | $16,107 | $0 | $7,385 | $0 | $18,056 | $0 | $252,654 | $0 | $0 | $0 |
| BRAD T GUYTON DDS MBA MPH | ||||||||||||||
| CHIEF DENTAL OFFICER | $183,663 | $0 | $38,630 | $0 | $9,255 | $0 | $9,860 | $0 | $10,418 | $0 | $251,826 | $0 | $0 | $0 |
| BROOKE S BODART RDH MPA | ||||||||||||||
| DIRECTOR OF BUSINESS PROGRAMS | $158,174 | $0 | $34,491 | $0 | $2,744 | $0 | $13,033 | $0 | $13,661 | $0 | $222,103 | $0 | $0 | $0 |
| SUNDAY A SOTOMAYOR | ||||||||||||||
| DIRECTOR OF HUMAN RESOURCES | $155,407 | $0 | $30,156 | $0 | $4,374 | $0 | $14,599 | $0 | $13,729 | $0 | $218,265 | $0 | $0 | $0 |
| TIMOTHY J CATRON | ||||||||||||||
| DIRECTOR OF GROUP ADMINISTRATION, ED | $160,363 | $0 | $29,023 | $0 | $5,921 | $0 | $14,596 | $0 | $2,476 | $0 | $212,379 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 BOTH A MEMBERSHIP GROWTH AND RETURN ON REVENUE FACTOR. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2021 THE PLAN YEAR ENDING DECEMBER 31, 2020 WAS PAID. |
| PART I, LINE 6: | SEE NARRATIVE FOR LINE 5A ABOVE. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ROCKY VIEW DENTAL CARE | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | WALT VOGL, DIRECTOR OF DELTA DENTAL OF COLORADO | RelationshipDescriptionTxt |
| Transaction | $70,381 | TransactionAmt |
| Transaction | CLAIMS PAID FOR DENTAL SERVICES PROVIDED | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990 SCHEDULE L PART IV | FormAndLineReferenceDesc |
| Explanation | CLAIMS PAID TO ROCKY VIEW DENTAL CARE ARE MADE UNDER A STANDARD PROVIDER AGREEMENT. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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: | TRANSFER FROM COLORADO DENTAL SERVICES, INC. 113,243,865. DIVIDEND TO ENSEMBLE INNOVATION VENTURES -38,000,000. UNRECOGNIZED ACTUARIAL LOSS -101,499. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (3 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | ||||||||||
| 6465 GREENWOOD PLAZA BLVD SUIT 900 | CENTENNIAL | CO | 80111 | 841389431 | DENTAL HEALTH AND EDUCATION | CO | 501(C)(3) | LINE 12A, I | DELTA DENTAL OF COLORADO | Yes (1) |
| ENSEMBLE INNOVATION VENTURES | ||||||||||
| 6465 GREENWOOD PLAZA BLVD SUIT 900 | CENTENNIAL | CO | 80111 | 834432148 | INVESTMENTS IN COMPANIES THAT IMPROVE COMMUNITY HEALTH | CO | 501(C)(4) | 0 | ||
| COLORADO DENTAL SERVICE INC | ||||||||||
| 6465 GREENWOOD PLAZA BLVD SUIT 900 | CENTENNIAL | CO | 80111 | 840568337 | DENTAL INSURANCE - PREDECESSOR COMPANY | CO | 501(C)(4) | Yes (1) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | 0 | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | ||
| B | $5,500,000 | FMV |
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | ||
| J | $19,270 | FMV |
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | ||
| O | $366,860 | FMV |
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | ||
| Q | $44,760 | FMV |
| ENSEMBLE INNOVATION VENTURES | ||
| R | $38,000,000 | FMV |
| COLORADO DENTAL SERVICE INC | ||
| S | $113,243,865 | FMV |