2025-10-16T15:55:59-05:00 2024-12-31 420714325 RSM US LLP 227 WEST FIRST STREET SUITE 700 DULUTH MN 55802 990 2024-01-01 237322578 DELTA DENTAL PLAN OF OKLAHOMA DELT 4056072100 PO BOX 54709 OKLAHOMA CITY OK 731541709 ASHLEY ALBRIGHT CFO 4056072100 2025-10-09 1 0 JULIE BOYER P01278549 2187275025 2025-10-09 2024 2025-03-06 01:10:19Z ASHLEY ALBRIGHT PO BOX 54709 OKLAHOMA CITY OK 731541709 307631994 0 X DELTADENTALOK.ORG X 1973 OK PROVIDE DENTAL BENEFITS 17 9 132 0 0 0 0 0 278435976 292362959 2802476 3326106 141602 453907 281380054 296142972 8300000 6950000 0 0 15195943 16718731 0 0 0 254257482 271387564 277753425 295056295 3626629 1086677 113210248 116702884 24935179 26445547 88275069 90257337 X OUR MISSION IS TO BE OKLAHOMA'S FOREMOST DEVELOPER, MARKETER, AND ADMINISTRATOR OF QUALITY DENTAL BENEFIT PROGRAMS WHICH ASSURE HIGHEST STANDARDS OF SERVICE, STABILITY, EFFICIENCY, FAIRNESS AND PROFESSIONALISM, SUPPORTING AND ENCOURAGING QUALITY DENTAL CARE FOR THE CITIZENS WE SERVE. TO INCREASE ACCESS TO DENTAL CARE, FUND ORAL HEALTH EDUCATION AND SUPPORT ORAL HEALTH ORGANIZATIONS THAT SERVE VITAL NEEDS IN OUR COMMUNITIES. IN FULFILLING THIS MISSION, WE WILL MAINTAIN FINANCIAL STABILITY THAT ALLOWS FOR GROWTH, COMPETITIVENESS, AND THE FLEXIBILITY TO RESPOND TO CHANGING CONDITIONS. FINALLY, TO BE MINDFUL OF THE NEEDS OF CONSTITUENCIES WE SERVE-PATIENTS, PURCHASERS AND DENTISTS. 0 0 270823448 292362959 DENTAL BENEFIT PLAN ADMINISTRATION, PROVIDER NETWORK MAINTENANCE, AND CLAIMS PROCESSING FOR EMPLOYER GROUPS AND INDIVIDUAL MEMBERS 6950000 6950000 82000 CONTRIBUTIONS TO THE DELTA DENTAL OF OKLAHOMA FOUNDATION WHICH PROVIDES GRANTS AND SERVICES TO NUMEROUS FREE AND LOW-COST INNER-CITY AND RURAL DENTAL CLINICS TO HELP PROVIDE VITAL CARE TO THOSE LESS FORTUNATE AS WELL AS SUPPORTING ORAL HEALTH EDUCATION IN OKLAHOMA 277773448 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 0 0 0 0 0 0 1 1 1 0 1 757 0 1 132 1 0 0 0 0 0 0 1 0 X 17 9 1 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 OK X ASHLEY ALBRIGHT 4056072100 16 NW 63RD ST OKLAHOMA CITY OK 73116 X DR STEVE BERKLACY BOARD MEMBER 1.00 1.00 X 144930 0 0 DR ANDREW MINNIGH BOARD MEMBER 1.00 1.00 X 137317 0 0 DR MICHAEL HOWL BOARD MEMBER 1.00 1.00 X 101040 0 0 DR JEREMY JOHNSON BOARD MEMBER 1.00 1.00 X 84498 0 0 DR ROSS ALLEN BOARD MEMBER 1.00 1.00 X 79358 0 0 DR MICHAEL MCLEOD SECRETARY 1.00 1.00 X X 25568 0 0 DR DEBORAH CORWIN BOARD MEMBER 1.00 1.00 X 7980 0 0 DANNY RAMSEY BOARD MEMBER 1.00 1.00 X 6755 0 0 WILLIAM CARLISLE MABREY IV BOARD MEMBER 1.00 1.00 X 6333 0 0 JOY SWANSON LABAR TREASURER 1.00 1.00 X X 7020 0 0 KATHY SNYDER BOARD MEMBER 1.00 1.00 X 7177 0 0 DR TOMMY MAYHUE BOARD MEMBER (THRU 5/2024) 1.00 1.00 X 2744 0 0 BRAD HOGAN BOARD MEMBER 1.00 1.00 X 5700 0 0 MICHAEL MCCULLOUGH VICE CHAIRMAN 1.00 1.00 X X 6333 0 0 MIKE MEANS BOARD MEMBER 1.00 1.00 X 4856 0 0 GEAN ATKINSON BOARD MEMBER 1.00 1.00 X 5278 0 0 DAVID GREENWELL BOARD MEMBER 1.00 1.00 X 7599 0 0 DR LYMAN COLIN FOSTER BOARD MEMBER (THRU 5/2024) 1.00 1.00 X 2111 0 0 JOHN GLADDEN PRESIDENT AND CEO AND BOARD CHAIR 40.00 1.00 X X 1184518 0 66984 TANIA GRAHAM CHIEF OPERATING & PRIVACY OFFICER 40.00 1.00 X 1096455 0 66003 DAVID JONES CHIEF INFORMATION & SECURITY OFFICER 40.00 1.00 X 1050955 0 77199 LAN MILLER CHIEF SALES OFFICER 40.00 1.00 X 277460 0 101030 ASHLEY ALBRIGHT CHIEF FINANCIAL OFFICER 40.00 1.00 X 359790 0 118384 JOE RODANO VP OF FINANCE 40.00 0.00 X 193620 0 55336 SAMUEL DECH VICE PRESIDENT OF IT 40.00 0.00 X 184067 0 72200 MARTHA TUMELSON DIRECTOR OF HUMAN RESOURCES 40.00 0.00 X 184471 0 37386 PAUL BRAY DIRECTOR, CLAIMS SYSTEM ARCHITECTURE & DEVELOPMENT 40.00 0.00 X 163269 0 54943 JAMES WILLIAMS DIRECTOR OF APPLICATIONS DEVELOPMENT 40.00 0.00 X 157902 0 45114 CRYS VAN DUSEN MANAGER, SOFTWARE ENGINEERING 40.00 0.00 X 140732 0 32868 AMANDA BRAY DIRECTOR OF CORPORATE COMMUNICATIONS 40.00 0.00 X 136820 0 54127 CASSANDRA DAVIS DIRECTOR OF FINANCE 40.00 0.00 X 135157 0 28937 5907813 0 810511 27 0 1 0 PEAK MEDIA LLC 6016 NW 154TH ST EDMOND OK 73013 ADVERTISING SERVICES 1060314 RED CARD SYSTEMS LLC PO BOX 874488 KANSAS CITY MO 64187 PRINTING AND MAILING SERVICES 776580 UNITED MECHANICAL SERVICE 117 NE 38TH TER OKLAHOMA CITY OK 73105 HVAC SERVICES 451013 USA TODAY PO BOX 120687 DALLAS TX 75312 PRINTING AND MAILING SERVICES 429262 TTEC DIGITAL 100 CONGRESS AVE STE 1425 AUSTIN TX 78701 SOFTWARE MAINTENANCE SERVICES 277450 12 DENTAL BENEFIT COVERAGE 900099 292284116 292284116 PATIENT DIRECT MEMBER FEES 900099 78843 78843 292362959 3274866 3274866 892998 521091 371907 371907 371907 11019171 10967931 51240 51240 51240 OTHER INCOME 900099 63492 63492 DELTA U 900099 11424 11424 DELTA USA 900099 7084 7084 82000 296142972 292444959 0 3698013 6950000 6950000 5774156 379240 5394916 6619492 4538579 2080913 1519654 362819 1156835 1987712 1057767 929945 817717 348089 469628 567304 567304 233947 233947 31975 31975 167434 167434 10194603 9958467 236136 1905701 3134 1902567 1545242 952364 592878 1979126 637637 1341489 201738 201738 175905 70816 105089 197715 80031 117684 780427 780427 233704 233704 NET SUBSCRIBER CLAIMS 252396375 252396375 MEMBERSHIP DUES 407930 407930 OFFICE FACILITY 264440 14350 250090 MISCELLANEOUS EXPENSES 103998 23780 80218 295056295 277773448 17282847 0 10376609 12947102 12247032 12499234 1682010 1227217 17419461 8271148 9506821 9148313 77647925 79357991 1600000 1440000 149851 83027 113210248 116702884 12319906 13170078 5382750 6923511 4030718 4112264 3201805 2239694 24935179 26445547 X 88275069 90257337 88275069 90257337 113210248 116702884 1086677 895591 0 X X 0 1 X 1 0 1733869 1733869 5815411 5088177 4605128 6298460 4782004 3666020 1115984 9148313 RESERVE & DEPOSITS 523383 SUPPLEMENTAL RETIREMENT PLAN 1658284 RIGHT OF USE LIABILITY 58027 2239694 X PART X, LINE 2: WITH THE EXCEPTION OF DELTA DENTAL PRACTICE SUPPORT (DPS), DELTA DENTAL PLAN OF OKLAHOMA (THE PLAN) IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE AND SECTION 501(C)(3) FOR THE RELATED FOUNDATION, AND ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN PROVIDED IN THE ACCOMPANYING FINANCIAL STATEMENTS. NET INCOME GENERATED BY DPS WILL BE TAXABLE WHEN IT OCCURS. SINCE INCEPTION, DPS'S OPERATIONS HAVE BEEN MINIMAL AND NO TAX IS REFLECTED IN THE ACCOMPANYING FINANCIAL STATEMENTS. MANAGEMENT HAS EVALUATED THE PLAN'S TAX POSITIONS AND CONCLUDED THAT THE PLAN HAS TAKEN NO UNCERTAIN TAX POSITIONS THAT REQUIRE ADJUSTMENT TO THE CONSOLIDATED FINANCIAL STATEMENTS TO COMPLY WITH THE PROVISIONS OF THIS GUIDANCE. 1 DELTA DENTAL OF OKLAHOMA FOUNDATION PO BOX 54709 OKLAHOMA CITY OK 73154 274417052 501(C)(3) 6950000 0 GENERAL SUPPORT 1 0 PART I, LINE 2: THE ORGANIZATION MONITORS TO ENSURE THAT THE CHARITABLE PURPOSES ARE SATISFIED AND REQUIRES SUPPORTING DOCUMENTATION FROM THE RECIPIENT ORGANIZATION TO CONFIRM USE. X X 0 1 0 0 0 0 0 0 0 JOHN GLADDEN PRESIDENT AND CEO AND BOARD CHAIR 766846 0 111619 0 306053 0 43950 0 24029 0 1252497 0 0 0 TANIA GRAHAM CHIEF OPERATING & PRIVACY OFFICER 298096 0 43914 0 754445 0 43713 0 23168 0 1163336 0 726275 0 DAVID JONES CHIEF INFORMATION & SECURITY OFFICER 269953 0 41157 0 739845 0 46457 0 31620 0 1129032 0 730110 0 ASHLEY ALBRIGHT CHIEF FINANCIAL OFFICER 308266 0 44773 0 6751 0 85718 0 33544 0 479052 0 0 0 LAN MILLER CHIEF SALES OFFICER 227372 0 33362 0 16726 0 69448 0 32332 0 379240 0 0 0 SAMUEL DECH VICE PRESIDENT OF IT 162084 0 19247 0 2736 0 42194 0 30547 0 256808 0 0 0 JOE RODANO VP OF FINANCE 170698 0 19399 0 3523 0 42784 0 12942 0 249346 0 0 0 MARTHA TUMELSON DIRECTOR OF HUMAN RESOURCES 162060 0 15715 0 6696 0 23413 0 14363 0 222247 0 0 0 PAUL BRAY DIRECTOR, CLAIMS SYSTEM ARCHITECTURE 144772 0 14728 0 3769 0 21727 0 33711 0 218707 0 0 0 JAMES WILLIAMS DIRECTOR OF APPLICATIONS DEVELOPMENT 140396 0 13908 0 3598 0 20768 0 24736 0 203406 0 0 0 AMANDA BRAY DIRECTOR OF CORPORATE COMMUNICATIONS 121156 0 12412 0 3252 0 18074 0 36443 0 191337 0 0 0 CRYS VAN DUSEN MANAGER, SOFTWARE ENGINEERING 125444 0 12246 0 3042 0 17788 0 15160 0 173680 0 0 0 CASSANDRA DAVIS DIRECTOR OF FINANCE 120032 0 11462 0 3663 0 16833 0 12494 0 164484 0 0 0 PART I, LINE 4B THE ORGABIZATION HAS ESTABLISHED AN UNFUNDED AND UNSECURED SUPPLEMENTAL RETIREMENT PLAN DESIGNED SPECIFICALLY TO OFFER DEFERRED COMPENSATION TO A SELECT GROUP OF MANAGEMENT PERSONNEL. UNDER THIS PLAN, EACH PARTICIPANT'S SUPPLEMENTAL RETIREMENT ACCOUNT IS CREDITED ANNUALLY BASED ON A PERCENTAGE OF THEIR TOTAL COMPENSATION FROM THE PREVIOUS CALENDAR YEAR. THE FOLLOWING INDIVIDUALS PARTICIPATE IN THE PLAN AND RECEIVED CURRENT YEAR CONTRIBUTIONS AS FOLLOWS: JOHN GLADDEN $190,488 (VESTED) TANIA GRAHAM $43,714 (VESTED) DAVID JONES $38,631 (VESTED) LAN MILLER $32,557 ASHLEY ALBRIGHT $41,727 SAMUEL DECH $18,139 JOE RODANO $18,343 CURRENT YEAR DISTRIBUTIONS INCLUDED IN W2 BOX 5 WAGES: TANIA $726,275 DAVE $730,110 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING INDIVIDUALS HAVE A BUSINESS RELATIONSHIP BY VIRTUE OF THEIR POSITIONS AS OFFICERS OF DELTA DENTAL OF OKLAHOMA DENTAL PRACTICE SUPPORT: JOHN GLADDEN, TANIA GRAHAM, AND ASHLEY ALBRIGHT. FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION SHALL BE EVERY PARTICIPATING DENTIST AND ANY OTHER PROVIDER OF HEALTH SERVICES THAT HAS BEEN ELECTED TO MEMBERSHIP, IF ANY, WHO ARE UNDER CONTRACT WITH THE CORPORATION. A DIRECTOR SERVING AS A PUBLIC DIRECTOR SHALL BE CONSIDERED A MEMBER OF THE CORPORATION AND, THEREFORE, PERMITTED TO VOTE. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS ARE ELECTED BY THE MEMBERSHIP (OUR PARTICIPATING DENTISTS). EVERY YEAR, ONE-THIRD IS VOTED UPON BY THE MEMBERSHIP EITHER IN PERSON, BY MAIL BALLOT OR BY PROXY AND EACH ARE ELECTED TO A THREE YEAR TERM. FORM 990, PART VI, SECTION B, LINE 11B THE BOARD WILL BE EMAILED A COPY OF THE FORM 990 PRIOR TO FILING THE RETURN FOR DISCUSSION AND COMMENT. FORM 990, PART VI, SECTION B, LINE 12C DELTA DENTAL PLAN OF OKLAHOMA MONITORS AND ENFORCES COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY BY HAVING MEMBERS ANNUALLY SIGN AN AGREEMENT AND DISCLOSING ANY BUSINESS RELATIONSHIPS WHICH CONFLICT THEIR DUTIES OF DELTA DENTAL PLAN OF OKLAHOMA. SHOULD A CONFLICT ARISE WHEREBY THE MEMBERS FIDUCIARY RESPONSIBILITY TO DELTA DENTAL MAY OR COULD BE, IN ANY MANNER, AFFECTED, THE MEMBER WILL NOTIFY THE REMAINDER OF THE BOARD OF DIRECTORS, STATING THE CONFLICT AND RECUSING THEMSELVES FROM VOTING THEREON. ENFORCEMENT OF STANDARDS SHALL BE TIMELY, CONSISTENT AND EFFECTIVE. POTENTIAL OR SUSPECTED COMPLIANCE ISSUES ARE RESOLVED THROUGH INVESTIGATION, POLICY AND PROCEDURE REVIEW, ATTORNEY CONSULTATION, AND/OR DISCIPLINARY ACTIONS, UP TO AND INCLUDING TERMINATION. FORM 990, PART VI, SECTION B, LINE 15 DELTA DENTAL PLAN OF OKLAHOMA (DDOK) HIRED AND RETAINS KORN FERRY AS A CONSULTANT. THEY EVALUATE THE JOB DESCRIPTION AND COMPARE IT TO MARKET ANALYSIS DATA TO DETERMINE COMPENSATION LEVELS. THIS ANALYSIS IS PRESENTED TO THE FINANCE AND AUDIT COMMITTEE FOR REVIEW AND APPROVAL. THIS PROCESS LAST OCCURRED IN JUNE 2023. FORM 990, PART VI, SECTION C, LINE 19 DELTA DENTAL PLAN OF OKLAHOMA LISTS THE GOVERNING DOCUMENTS THROUGH THE DEPARTMENT OF INSURANCE. THE DOCUMENTS ARE ALSO AVAILABLE UPON REQUEST. FORM 990, PART VII, SECTION A REPORTABLE COMPENSATION PAID TO DELTA DENTAL PLAN OF OKLAHOMA'S (THE ORGANIZATION) DIRECTORS REFLECTED ON PART VII, SECTION A INCLUDES COMPENSATION FOR DENTAL SERVICES IN ADDITION TO COMPENSATION FOR SERVICES IN THE CAPACITY AS A DIRECTOR OF THE ORGANIZATION. DELTA DENTAL OF OKLAHOMA FOUNDATION PO BOX 54709 OKLAHOMA CITY OK 73154 274417052 DENTAL HEALTH AND EDUCATION OK 501(C)(3) LINE 12A, I DELTA DENTAL PLAN OF OKLAHOMA 1 DELTA DENTAL PLAN OF OKLAHOMA POLITICAL ACTION COMMITTEE PO BOX 54709 OKLAHOMA CITY OK 73154 815050812 POLITICAL SUPPORT OK 527 DELTA DENTAL PLAN OF OKLAHOMA 1 DELTA DENTAL OF OK DENTAL PRACTICE SUPPORT INC PO BOX 54709 OKLAHOMA CITY OK 73154 461958347 SUPPORT SERVICES OK DELTA DENTAL PLAN OF OKLAHOMA C 1.00000 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 DELTA DENTAL OF OKLAHOMA FOUNDATION B 6950000 FMV