2015-09-30T09:12:31-05:00 2014-12-31 420714325 MCGLADREY LLP 801 NICOLLET MALL SUITE 1100 MINNEAPOLIS MN 55402 990 2014-01-01 840568337 COLORADO DENTAL SERVICE INC COLO 8002330860 4582 SO ULSTER STREET NO 800 DENVER CO 80237 DAVID BEAL CFO AND TREASURER 8002330860 2015-09-23 1 TODD A JACKSON P00092672 6123324300 2014 2016-03-07 17:11:31Z DELTA DENTAL OF COLORADO KATHRYN ANN PAUL 4582 SO ULSTER STREET NO 800 DENVER CO 80237 365063931 0 X WWW.DELTADENTALCO.COM X 1958 CO TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. 15 11 132 0 5230 0 0 0 299276094 329571076 3866637 8283584 5768 5230 303148499 337859890 4455023 4735694 263588413 287088635 12449461 13554802 0 0 0 20567290 24225184 301060187 329604315 2088312 8255575 103850234 113011707 26055401 31872226 77794833 81139481 X DELTA DENTAL OF COLORADO (DDCO) WAS FORMED AS A 501(C)(4) ORGANIZATION IN ORDER TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES IT SERVES. BECAUSE PEOPLE WITH DENTAL INSURANCE OVER TIME HAVE BETTER ORAL HEALTH OUTCOMES, DELTA DENTAL OF COLORADO DEVOTES ITSELF TO PROVIDING HIGH QUALITY, AFFORDABLE DENTAL INSURANCE TO AS MANY COLORADOANS 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. 0 0 319765146 329571076 PROVISION OF RISK AND SELF-FUNDED PLANS TO SUBSCRIBERS. DELTA 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 1,100,000 PEOPLE IN COLORADO. THE REVENUE GENERATED IS USED TO FUND THE COMMUNITY BENEFIT EFFORTS DESCRIBED IN LINE 4B. 5502000 4735694 COMMUNITY BENEFIT PROGRAMSBECAUSE DENTAL INSURANCE IS NOT POSSIBLE FOR EVERYONE, DELTA DENTAL OF COLORADO DEVOTES SIGNIFICANT RESOURCES AND MONEY TO PROVIDING DENTAL SERVICES AND DENTAL HYGIENE INFORMATION TO AS A MANY PEOPLE AS POSSIBLE; PARTICULARLY THOSE UNDERSERVED POPULATIONS, WHERE ORAL DISEASE IS MORE PREVALENT. TO THAT END, DELTA DENTAL OF COLORADO, OVER THE PAST TWELVE YEARS, HAS DEVOTED 55% OF ITS NET GAIN TO ITS COMMUNITY BENEFIT PROGRAM AND THE DELTA DENTAL OF COLORADO FOUNDATION. IN 2014, DELTA DENTAL OF COLORADO DONATED $3,400,000 TO THE DELTA DENTAL OF COLORADO FOUNDATION. IT ALSO SPENT $1,335,694 ON A NUMBER OF INITIATIVES THROUGH ITS COMMUNITY BENEFIT PROGRAM. THESE PROGRAMS INCLUDED NUMEROUS COMMUNITY EVENTS WHERE COMPANY EMPLOYEES PROVIDED OVER 50,000 BAGS OF FREE ORAL HYGIENE SUPPLIES AND ORAL HEALTH INSTRUCTION. IT ALSO INCLUDED APPROXIMATELY $140,000 TO OPERATE AN EDUCATIONAL ORAL HEALTH THEATER TROUPE. THIS THEATER TROUPE, CALLED "THE LAND OF SMILES" PUT ON FREE PERFORMANCES AT COLORADO GRAMMAR SCHOOLS AND TAUGHT CHILDREN THE IMPORTANCE OF GOOD ORAL HEALTH AND HOW TO TAKE CARE OF THEIR TEETH. FIFTY EIGHT SCHOOLS AND OVER 15,000 CHILDREN WERE REACHED THROUGH THE FREE "LAND OF SMILES" PROGRAM. FREE ORAL HYGIENE SUPPLIES WERE ALSO PROVIDED TO ALL OF THE STUDENTS.IN ALIGNMENT WITH OUR COMMITMENT TO COLORADO'S COMMUNITIES, DELTA DENTAL OF COLORADO ENCOURAGES ITS EMPLOYEES TO VOLUNTEER THEIR SERVICES TO OTHER CHARITABLE ORGANIZATIONS DOING WORK IN COLORADO. TO THAT END, DELTA DENTAL OF COLORADO DONATES $5,000 TO ANY CHARITABLE ORGANIZATION DOING WORK IN COLORADO ON WHICH ANY OF ITS LEADERSHIP TEAM SERVES ON THE BOARD OF DIRECTORS. DELTA DENTAL OF COLORADO ALSO HAS A DEEP COMMITMENT TO THE UNITED WAY MILE-HIGH CHAPTER, AND IN 2014 HAD A HIGH-LEVEL OF PARTICIPATION FROM ITS EMPLOYEES AND BOARD. 325267146 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 22127 0 1 132 1 1 1 0 0 0 0 0 X 15 11 0 0 0 0 1 1 1 1 1 0 1 1 1 1 1 1 1 1 1 1 0 X X GREG VOCHIS 7204894715 4582 SO ULSTER STREET NO 800 DENVER CO 80237 KATHRYN ANN PAUL CEO/PRESIDENT 43.00 2.00 X X 687977 0 37605 DOUGLAS BERKEY - DMD MPH MS CHAIR 5.00 2.00 X X 28500 0 956 MARILYN E TAYLOR VICE CHAIR 5.00 3.00 X X 29050 0 312 JONATHAN M ANDERSON - DDS TRUSTEE 4.00 X 21750 0 1974 KELLY J BROUGH TRUSTEE 4.00 X 16000 0 2447 JOHN PAUL HOPKINS TRUSTEE 4.00 X 18750 0 0 DENISE KAY KASSEBAUM - DDS MS TRUSTEE 4.00 X 13000 0 0 VICTOR LAZZARO JR TRUSTEE 4.00 X 20250 0 669 MARY NOONAN TRUSTEE 4.00 X 22550 0 608 HASSAN SALEM TRUSTEE 4.00 X 16250 0 0 DONALD S SAFER - DDS MS TRUSTEE 4.00 2.00 X 14500 0 1497 GAIL SCHOETTLER - PHD TRUSTEE 4.00 2.00 X 15750 0 534 THOMAS B SWAIN - DDS TRUSTEE 4.00 X 20000 0 0 WALT VOGL - DDS TRUSTEE 4.00 X 13500 0 0 MARK WEHRLE - CPA TRUSTEE 4.00 X 14500 0 2995 DAVID ANDREW BEAL CFO/TREASURER 45.00 X 407632 0 48877 LINDA MARIE ARNESON COO/SECRETARY 45.00 X 373743 0 41850 JESSICA JEAN LAWHEAD VICE PRESIDENT 45.00 X 353739 0 44631 BARBARA BLACKBURN SPRINGER - JD VICE PRESIDENT 22.50 22.50 X 199494 118116 50590 TRICIA HEMSKY DIRECTOR OF CLIENT SERVICE 45.00 X 187915 0 38509 LORRIE KOHLE SENIOR SALES EXECUTIVE 45.00 X 334176 0 30501 MICHAEL OKUJI - DDS DENTAL DIRECTOR 45.00 X 211756 0 34225 KATHY JACOBY DIRECTOR OF MARKETING 45.00 X 169719 0 30635 ROBERT MARK THOMPSON DIRECTOR OF SALES 45.00 X 281254 0 54448 3471755 118116 423863 28 0 1 0 DELTA DENTAL OF VIRGINIA 4818 STARKEY ROAD SW ROANOKE VA 24018 CLAIMS PROCESSING 1652675 ENCARA INC 4818 STARKEY ROAD SW ROANOKE VA 24018 ADVERTISING, MANAGEMENT, MARKETING, CONS 1360849 GREENRUBINO 1938 FAIRVIEW AVE E STE 200 SEATTLE WA 98102 ADVERTISING & MEDIA 937525 BMS DIRECT INC 37 MILLRACE DRIVE LYNCHBURG VA 24502 PRINTING, REPRODUCTION AND POSTAGE 816962 DELOITTE CONSULTING LLP PO BOX 844717 DALLAS TX 75284 STRATEGIC PLANNING 675862 30 SELF FUNDED PLAN PREMIUMS 524114 159643057 159643057 RISK PLAN PREMIUMS 524114 158458574 158458574 ADMINISTRATION - SELF FUNDED PLAN 524298 11085256 11085256 PATIENT DIRECT REVENUE 524114 384189 384189 329571076 2467481 2467481 33018674 1470 27202284 1757 5816390 -287 5816103 5816103 VISION PREMIUMS 524298 5230 5230 5230 337859890 329571076 5230 8283584 4735694 4735694 287088635 287088635 2799489 2743499 55990 7728783 7574207 154576 544994 534094 10900 1882618 1844966 37652 598918 419243 179675 2625200 2100160 525040 129494 103595 25899 121164 121164 233656 233656 1640681 1148477 492204 2056525 2056525 425783 298048 127735 1750492 1400394 350098 591223 472978 118245 221250 44250 177000 82250 16450 65800 1588829 873856 714973 COMMISSIONS 5550691 5550691 DATA PROCESSING 2954325 2363460 590865 RISK SHARING PROGRAM 1836730 1836730 POSTAGE & MAILING 1778484 1422787 355697 638407 638407 329604315 325267146 4337169 0 2337761 5712416 180276 10983181 15514467 18056010 589662 934510 11097743 6408243 5195271 4689500 79718433 72391676 20010 20010 294354 224404 103850234 113011707 9515961 10398897 3628000 3400000 1914147 3816071 10997293 14257258 26055401 31872226 X 77794833 81139481 77794833 81139481 103850234 113011707 X 8255575 -4877668 -33259 X 0 1 X 1 0 1460993 555044 905949 7552365 5208182 2344183 2084385 645017 1439368 4689500 PROVISION FOR UNPAID CLAIMS 14257258 14257258 X PART X, LINE 2: THE COMPANY IS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE. GENERALLY, THE COMPANY IS NO LONGER SUBJECT TO FEDERAL INCOME TAX RETURN EXAMINATIONS FOR THE YEARS PRIOR TO 2011. 1 DELTA DENTAL OF COLORADO FOUNDATION 4582 S ULSTER ST SUITE 800 DENVER CO 80237 841389431 501(C)(3) 3400000 SUPPORTED ORGANIZATION OF THE COMPANY MILE HIGH UNITED WAY 2505 18TH ST DENVER CO 802113939 840404235 501(C)(3) 30500 SUPPORT LOCAL ORGANIZATION SAFEHOUSE DENVER INC 1649 DOWNING ST DENVER CO 80218 840745911 501(C)(3) 5000 SUPPORT LOCAL ORGANIZATION VOLUNTEERS OF AMERICA 2660 LARIMER ST DENVER CO 80205 840430995 501(C)(3) 6500 SUPPORT LOCAL ORGANIZATION COLORADO BUSINESS COMMITTEE OF THE ARTS 130 WEST 12TH AVE DENVER CO 80204 742368958 501(C)(3) 6200 CULTURE AND HUMANITIES BOYS & GIRLS CLUBS OF METRO DENVER 2017 W 9TH AVE DENVER CO 80204 840510404 501(C)(3) 10000 SUPPORT LOCAL ORGANIZATION GOODWILL INDUSTRIES OF DENVER 6850 N FEDERAL BLVD DENVER CO 80221 840405513 501(C)(3) 5000 SUPPORT LOCAL ORGANIZATION JUVENILE DIABETES RESEARCH FND-ROCKY MTN CHAPTER 5613 DTC PRKWY SUITE 810 GREENWOOD VILLAGE CO 80111 231907729 501(C)(3) 10000 SUPPORT LOCAL CHAPTER OF NATIONAL ORGANIZATION COLORADO MISSION OF MERCY 430 COLORADO AVE PUEBLO CO 81004 271586585 501(C)(3) 45000 SUPPORT LOCAL HEALTH ORGANIZATION UNIVERSITY OF COLORADO FOUNDATION CAMPUS BOX 165 P O BOX 173364 DENVER CO 80217 846044833 501(C)(3) 1002500 SUPPORT LOCAL HEALTH ORGANIZATION COLORADO SYMPHONY ASSOCIATION 1000 14TH STREET UNIT 15 DENVER CO 80202 840511458 501(C)(3) 17500 CULTURE AND HUMANITIES AMERICAN HEART ASSOCIATION 1280 S PARKER ROAD DENVER CO 80231 135613797 501(C)(3) 10250 SUPPORT LOCAL ORGANIZATION CONCERTS FOR KIDS 1616 17TH ST STE 462 DENVER CO 80202 201706475 501(C)(3) 10000 CULTURE AND HUMANITIES DENVER METRO CHAMBER OF COMMERCE 1445 MARKET ST DENVER CO 80202 840186760 501(C)(3) 10000 SUPPORT LOCAL ORGANIZATION ART STUDENTS LEAGUE OF DENVER 200 GRANT STREET DENVER CO 80203 841042289 501(C)(3) 10000 CULTURE AND HUMANITIES COLORADO HEALTH NETWORK DBA HOWARD DENTAL CENTER 1420 OGDEN STREET DENVER CO 80218 840961159 501(C)(3) 10000 SUPPORT LOCAL HEALTH ORGANIZATION ROCKY MOUNTAIN PBS 1089 BANNOCK STREET DENVER CO 80204 840510785 501(C)(3) 9000 CULTURE AND HUMANITIES COLORADO WOMENS CHAMBER OF COMMERCE 1350 17TH STREET 100 DENVER CO 80202 841145793 501(C)(3) 8075 SUPPORT LOCAL ORGANIZATION GIRL SCOUTS OF COLORADO 400 S BROADWAY DENVER CO 80209 840410630 501(C)(3) 7500 SUPPORT LOCAL ORGANIZATION DENVER AREA COUNCIL BOY SCOUTS OF AMERICA 10455 WEST 6TH AVE STE 100 DENVER CO 80215 840404225 501(C)(3) 7000 SUPPORT LOCAL ORGANIZATION NO ON INITIATIVE 125 INC 1410 GRANT STREET STE B105 DENVER CO 80203 471148856 501(C)(3) 6719 SUPPORT LOCAL ORGANIZATION DENVER DUMB FRIENDS LEAGUE 2080 S QUEBEC STREET DENVER CO 80231 840405254 501(C)(3) 5000 SUPPORT LOCAL ORGANIZATION HISPANIC CHAMBER OF COMMERCE 924 W COLFAX AVENUE SUITE 201 DENVER CO 80204 840845219 501(C)(3) 5000 SUPPORT LOCAL ORGANIZATION CLINICA TEPEYAC 4725 HIGH STREET DENVER CO 80216 841285505 501(C)(3) 5000 SUPPORT LOCAL HEALTH ORGANIZATION NEWSED COMMUNITY DEVELOPMENT CORPORATION 901 WEST 10TH AVENUE 2A DENVER CO 80204 742275534 501(C)(3) 5000 CULTURE AND HUMANITIES COLORADO LEGACY FOUNDATION 1660 LINCOLN STREET STE 2000 DENVER CO 80264 261597530 501(C)(3) 5000 SUPPORT LOCAL ORGANIZATION UNC FOUNDATION CAMPUS BOX 20 GREELEY CO 80639 846044833 501(C)(3) 5000 SUPPORT LOCAL ORGANIZATION UNIVERSITY OF COLORADO HOSPITAL FOUNDATION 12401 E 17TH AVE MAIL STOP F485 AURORA CO 80045 208575263 501(C)(3) 5000 SUPPORT LOCAL HEALTH ORGANIZATION COLFAX MARATHON PARTNERSHIP INC PO BOX 6117 DENVER CO 80206 870737183 501(C)(3) 5000 SUPPORT LOCAL ORGANIZATION AMERICANS FOR THE ARTSCORPORATE AND FOUNDATION RELATIONS COORDINATOR 1000 VERMONT AVE NW 6TH FLOOR WASHINGTON DC 20005 521996467 501(C)(3) 5000 CULTURE AND HUMANITIES FOOTHILLS ART CENTER 809 15TH STREET GOLDEN CO 80401 840612999 501(C)(3) 5000 CULTURE AND HUMANITIES DENVER HEALTH FOUNDATION 655 BROADWAY STE 750 DENVER CO 80203 841085196 501(C)(3) 5000 SUPPORT LOCAL HEALTH ORGANIZATION FLORENCE CRITTENTON SERVICES OF COLORADO 55 SOUTH ZUNI STREET DENVER CO 80223 840429686 501(C)(3) 5000 SUPPORT LOCAL ORGANIZATION 33 PART I, LINE 2: THE COMPANY HAS PROCEDURES TO ASCERTAIN THAT ALL GRANTS ARE MADE TO 501C3 ORGANIZATIONS AND ARE PROPERLY APPROVED BY MANAGEMENT. ADDITIONALLY, THE ORGANIZATION REQUIRES PERIODIC REPORTS TO ASCERTAIN THAT SUBSTANTIAL GRANTS ARE USED FOR THEIR PROPER INTENDED PURPOSE. X X X X 0 0 0 1 0 1 0 0 0 KATHRYN ANN PAUL CEO/PRESIDENT 408363 0 277290 0 2324 0 34500 0 4334 0 726811 0 0 0 DAVID ANDREW BEAL CFO/TREASURER 304583 0 100993 0 2056 0 34620 0 15566 0 457818 0 0 0 LINDA MARIE ARNESON COO/SECRETARY 249002 0 122511 0 2230 0 34223 0 8929 0 416895 0 0 0 JESSICA JEAN LAWHEAD VICE PRESIDENT 234318 0 117144 0 2277 0 32198 0 13695 0 399632 0 0 0 BARBARA BLACKBURN SPRINGER - JD VICE PRESIDENT 108956 118116 89111 0 1427 0 31774 0 20077 0 251345 118116 0 0 TRICIA HEMSKY DIRECTOR OF CLIENT SERVICE 136195 0 51558 0 162 0 18522 0 21006 0 227443 0 0 0 LORRIE KOHLE SENIOR SALES EXECUTIVE 109833 0 223802 0 541 0 29542 0 1800 0 365518 0 0 0 MICHAEL OKUJI - DDS DENTAL DIRECTOR 180581 0 29422 0 1753 0 20734 0 14453 0 246943 0 0 0 KATHY JACOBY DIRECTOR OF MARKETING 147133 0 21993 0 593 0 16008 0 15690 0 201417 0 0 0 ROBERT MARK THOMPSON DIRECTOR OF SALES 170539 0 110139 0 576 0 33147 0 22496 0 336897 0 0 0 PART I, LINE 5 THE COMPANY HAS AN INCENTIVE COMPENSATION PLAN AND A SALES INCENTIVE PLAN WHICH PROVIDES AN ANNUAL BONUS FOR ALL ELIGIBLE EMPLOYEES IF THE COMPANY REACHES CERTAIN GOALS INCLUDING A MINIMUN 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 2014 THE PLAN ENDING DECEMBER 31, 2013 WAS PAID. PART I, LINE 6 SEE NARRATIVE FOR LINE 5A ABOVE. 4TH AVENUE FAMILY DENTISTRY LLC THOMAS B SWAIN, DELTA DIRECTOR & OWNER OF 4TH AVENUE FAMILY DENTISTRY LLC 130229 4TH AVENUE FAMILY DENTISTRY PARTICIPATES WITH DELTA DENTAL USING A STANDARD DENTAL PROVIDER CONTRACT AND IS PAID FOR DENTAL SERVICES PROVIDED TO PATIENTS. 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS MEMBERS WHO ARE DEFINED AS PARTICIPATING DENTISTS WHO ARE ENGAGED IN THE PRACTICE OF DENTISTRY IN THE STATE OF COLORADO. THE PARTICIPATING DENTISTS ARE THOSE THAT HAVE SIGNED A PARTICIPATING DENTIST AGREEMENT WITH THE ORGANIZATION AS PRESCRIBED BY THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE ORGANIZATION HAVE THE AUTHORITY TO ELECT THE BOARD OF TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B CERTAIN MATTERS OF THE ORGANIZATION ARE SUBJECT TO A VOTE OF THE MEMBERS. A QUORUM OF 33% OF THE MEMBERSHIP IS REQUIRED. FORM 990, PART VI, SECTION B, LINE 11 WE ENGAGE AN INDEPENDENT CPA TAX PROFESSIONAL TO PREPARE OUR 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. FORM 990, PART VI, SECTION B, LINE 12C DDCO CONDUCTS AN ANNUAL COMPLIANCE TRAINING, WHICH IS MANDATORY FOR ALL EMPLOYEES TO ATTEND. THE CONFLICTS 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 & COMPLETED FORMS ARE TRACKED IN AN EXCEL FILE; ORIGINAL FORMS ARE KEPT IN THE PERSONNEL FILE IN THE HUMAN RESOURCES OFFICE. ANY REPORTED POTENTIAL OR PERCEIVED CONFLICTS 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 TRUSTEES 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 APPRORPRIATE FOR THE DUTIES REQUIRED BY THE POSITION OF THE PRESIDENT, AS WELL AS THE POSITIONS OF THE VICE PRESIDENTS. THE CEO AND PRESIDENT OF THE CORPORATION IS RESPONSIBLE FOR THE COMPENSATION PROCESS OF THE REMAINING OFFICERS 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 UPON REQUEST FOR THE SAME PERIOD OF DISCLOSURE AS SET FORTH IN SECTION 6104(D). FORM 990, PART XI, LINE 9: UNRECOGNIZED ACTUARIAL GAINS ON OPEB -33,259. DELTA DENTAL PLAN OF COLORADO FOUNDATION 4582 S ULSTER ST 800 DENVER CO 80237 841389431 DENTAL HEALTH AND EDUCATION CO 501(C)(3) LINE 11A, I DELTA DENTAL OF COLORADO 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 DELTA DENTAL PLAN OF COLORADO FOUNDATION INC B 3400000 ACTUAL COST DELTA DENTAL PLAN OF COLORADO FOUNDATION INC O 464914 ACTUAL COST