DELTA DENTAL OF COLORADO: Form 990, tax year 2024
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF COLORADO (EIN 83-4416613)
- Tax period
- 2024-01-01 to 2024-12-31
- Filed
- 2025-09-26
- IRS object ID
- 202542699349301304
- Schema version
- 2024v5.1
- 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 | 2025-09-26T09:47:44+00:00 | ReturnTs |
| Tax Period End | 2024-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 331498605 | 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 | 2024-01-01 | 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 900 | AddressLine1Txt |
| City | CENTENNIAL | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80111 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | HELEN W DREXLER | PersonNm |
| Person Title | PRESIDENT & CEO | PersonTitleTxt |
| Signature | 2025-09-26 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | DORI J EGGETT | PreparerPersonNm |
| PTIN | P00645252 | PTIN |
| Phone | 3037409400 | PhoneNum |
| Preparation | 2025-09-16 | PreparationDt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2024 | TaxYr |
| Build TS | 2025-03-06 01:10:19Z | BuildTS |
Form 990 IRS990
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | HELEN W DREXLER | BusinessNameLine1Txt |
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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $680,981,087 | GrossReceiptsAmt |
| Group Return For Affiliates | false | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 277 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $132,825 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $24,528 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $551,765,964 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $678,515,247 | CYProgramServiceRevenueAmt |
| PY Investment Income | -$626,054 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,357,207 | CYInvestmentIncomeAmt |
| PY Other Revenue | $32,290 | PYOtherRevenueAmt |
| CY Other Revenue | $26,136 | CYOtherRevenueAmt |
| PY Total Revenue | $551,172,200 | PYTotalRevenueAmt |
| CY Total Revenue | $680,898,590 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $928,218 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $2,853,633 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $483,723,637 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $602,296,817 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $28,398,841 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $30,245,898 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $41,864,713 | PYOtherExpensesAmt |
| CY Other Expenses | $43,098,224 | CYOtherExpensesAmt |
| PY Total Expenses | $554,915,409 | PYTotalExpensesAmt |
| CY Total Expenses | $678,494,572 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$3,743,209 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $2,404,018 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $100,016,619 | TotalAssetsBOYAmt |
| Total Assets EOY | $106,632,580 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $40,279,633 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $42,846,810 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $59,736,986 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $63,785,770 | NetAssetsOrFundBalancesEOYAmt |
| 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. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $670,609,793 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $678,382,422 | RevenueAmt |
| Desc | 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, DENTAL OF COLORADO WORKS HARD TO MAKE DENTAL INSURANCE AS AFFORDABLE AND ACCESSIBLE AS POSSIBLE, AND TO THAT END, INSURES OVER 1,150,000 PEOPLE IN COLORADO AND 600,000 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 | $2,853,633 | ExpenseAmt |
| Grant | $2,853,633 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | COMMUNITY BENEFIT PROGRAMS AS 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 19 YEARS, DELTA DENTAL OF COLORADO HAS DEVOTED A SUBSTANTIAL AMOUNT OF ITS ADJUSTED NET GAIN TO ITS COMMUNITY IMPACT INITIATIVES. THESE ACTIVITIES INCLUDE DONATIONS, IN-KIND ORAL HEALTH SUPPLY PROGRAMS, AND CORPORATE SPONSORSHIPS WITH MANY ORGANIZATIONS INCLUDING HABITAT FOR HUMANITY, METRO CARING, VOLUNTEERS FOR OUTDOOR COLORADO, COLORADO GIVES FOUNDATION, COLORADO MISSION OF MERCY, AND MILE HIGH UNITED WAY. THE COMPANY ALSO SPONSORS LOCAL NONPROFIT ORGANIZATIONS AND COMMUNITY EVENTS AND DONATED OVER 75,000 ORAL HEALTH ITEMS REACHING MORE THAN 60,000 PEOPLE THROUGHOUT COLORADO. THE COMPANY SUPPORTS ENGAGEMENT IN THE COMMUNITY THROUGH ITS VOLUNTEER PROGRAM WITH 205 OF ITS 235 EMPLOYEES CONTRIBUTING THEIR TIME IN 2024. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $673,463,426 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 46269 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 277 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Policies Reference Chapters | false | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Written Policy Or Procedure | false | WrittenPolicyOrProcedureInd |
| 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 | MICHAEL R THORNLEY | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3038898634 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 6465 GREENWOOD PLAZA BLVD SUITE 900 | AddressLine1Txt |
| City | CENTENNIAL | CityNm |
| State Abbreviation | CO | StateAbbreviationCd |
| ZIP | 80111 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (24 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 | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Helen W Drexler | ||||||||||
| President and Chief Executive Officer | 28.0 | 17.0 | Yes (X) | Yes (X) | $732,900 | $394,639 | $110,398 | |||
| James L Cousin II | ||||||||||
| Chair | 4.0 | 2.0 | Yes (X) | Yes (X) | $68,951 | $0 | $0 | |||
| Leo Tokar | ||||||||||
| Vice-Chair | 4.0 | 2.0 | Yes (X) | Yes (X) | $38,907 | $13,500 | $0 | |||
| Ned Calonge MD MPH | ||||||||||
| Secretary | 4.0 | 0.0 | Yes (X) | Yes (X) | $42,776 | $0 | $0 | |||
| Andrea Young | ||||||||||
| Trustee | 2.0 | 4.0 | Yes (X) | $37,901 | $10,000 | $0 | ||||
| Ann Block | ||||||||||
| Trustee | 4.0 | 2.0 | Yes (X) | $51,839 | $8,500 | $0 | ||||
| Ann Somers DDS | ||||||||||
| Trustee | 2.0 | 0.0 | Yes (X) | $44,601 | $0 | $0 | ||||
| Don Ortega | ||||||||||
| Trustee | 4.0 | 0.0 | Yes (X) | $42,000 | $3,000 | $0 | ||||
| Joseph Garcia | ||||||||||
| Trustee | 4.0 | 0.0 | Yes (X) | $46,000 | $0 | $0 | ||||
| Kim Kretsch DDS MBA | ||||||||||
| Trustee | 2.0 | 3.0 | Yes (X) | $47,250 | $0 | $0 | ||||
| Mark Goodman | ||||||||||
| Trustee | 4.0 | 0.0 | Yes (X) | $49,565 | $3,000 | $0 | ||||
| Richard Call DMD | ||||||||||
| Trustee | 4.0 | 2.0 | Yes (X) | $44,367 | $0 | $0 | ||||
| Tamanna Tiwari MPH MDS BDS | ||||||||||
| Trustee | 4.0 | 3.0 | Yes (X) | $61,300 | $0 | $0 | ||||
| Gregory Vochis | ||||||||||
| Chief Financial Officer and Treasurer | 37.0 | 8.0 | Yes (X) | $349,165 | $79,748 | $45,610 | ||||
| Brad T Guyton DDS MBA MPH | ||||||||||
| Chief Dental Officer | 21.0 | 2.0 | $323,793 | $24,372 | $43,947 | Yes (X) | ||||
| Kelli C Ogunsanya | ||||||||||
| Chief Operating Officer | 42.0 | 3.0 | $498,981 | $37,558 | $60,483 | Yes (X) | ||||
| Robert M Thompson | ||||||||||
| Chief Growth Officer | 31.0 | 14.0 | $336,857 | $144,367 | $59,458 | Yes (X) | ||||
| Stacy L Abel | ||||||||||
| Chief People Officer | 41.0 | 4.0 | $382,441 | $42,493 | $69,379 | Yes (X) | ||||
| Allison Melun | ||||||||||
| Sr. Director - Marketing & Communications | 31.0 | 14.0 | $178,338 | $76,430 | $46,987 | Yes (X) | ||||
| Devin W Farrell | ||||||||||
| Sr. Director - Growth Strategy | 38.0 | 7.0 | $270,818 | $47,791 | $57,543 | Yes (X) | ||||
| Michael R Thornley | ||||||||||
| Sr. Director - Corporate Controller | 30.0 | 15.0 | $189,227 | $101,891 | $36,263 | Yes (X) | ||||
| Patrick A Cordova | ||||||||||
| Director - IT Infrastructure & Data Systems | 38.0 | 7.0 | $191,723 | $33,834 | $45,451 | Yes (X) | ||||
| Stephanie Rauzi | ||||||||||
| Senior Sales Executive | 45.0 | 0.0 | $243,283 | $0 | $45,304 | Yes (X) | ||||
| Adeeb A Khan | ||||||||||
| Former Chief Impact Officer | 0.0 | 0.0 | $82,418 | $123,627 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,355,401 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $1,144,750 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $620,823 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 73 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| NORTHWINDS TECHNOLOGY SOLUTIONS LLC | |||||
| 111 SHUMAN BLVD | NAPERVILLE | IL | 60563 | IT SUPPORT & CLAIMS PROCESSING | $8,672,551 |
| WYSSTA SERVICES INC | |||||
| PO BOX 86 | STEVENS POINT | WI | 54481 | 3RD PARTY INSURANCE PROCESSING | $4,787,342 |
| FISERV | |||||
| 600 VEL R PHILLIPS AVE | MILWAUKEE | WI | 53203 | FINANCIAL CONSULTANT | $1,720,000 |
| NPN360 INC | |||||
| 2801 LAKESIDE DRIVE | BANNOCKBURN | IL | 60015 | PRINTING AND MAILING SERVICES | $1,430,526 |
| ENCARA INC | |||||
| 4818 STARKEY ROAD | ROANOKE | VA | 24018 | SALES AND MARKETING SERVICES | $1,424,293 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 37 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| SELF FUNDED PLAN PREMIUMS | 524114 | $419,084,027 | $419,084,027 | |
| RISK PLAN PREMIUMS | 524114 | $235,752,134 | $235,752,134 | |
| ADMIN - SELF FUND PLAN | 524298 | $23,546,261 | $23,546,261 | |
| ADMIN - VISION REVENUE | 524298 | $132,825 | $132,825 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $678,515,247 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,439,704 | TotalRevenueColumnAmt |
| Exclusion | $2,439,704 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $71,112 | SecuritiesAmt |
| Other | $11,385 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$71,112 | SecuritiesAmt |
| Other | -$11,385 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$82,497 | TotalRevenueColumnAmt |
| Exclusion | -$82,497 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | MISCELLANEOUS REVENUE | Desc |
| Business | 900099 | BusinessCd |
| Total Revenue Column | $26,136 | TotalRevenueColumnAmt |
| Exclusion | $26,136 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $26,136 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $680,898,590 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $678,382,422 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $132,825 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,383,343 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,853,633 | TotalAmt |
| Program Services | $2,853,633 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $602,296,817 | TotalAmt |
| Program Services | $602,296,817 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,120,952 | TotalAmt |
| Program Services | $4,038,533 | ProgramServicesAmt |
| Management And General | $82,419 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,077,209 | TotalAmt |
| Program Services | $18,695,665 | ProgramServicesAmt |
| Management And General | $381,544 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,576,577 | TotalAmt |
| Program Services | $1,545,045 | ProgramServicesAmt |
| Management And General | $31,532 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,958,428 | TotalAmt |
| Program Services | $3,879,259 | ProgramServicesAmt |
| Management And General | $79,169 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,512,732 | TotalAmt |
| Program Services | $1,482,477 | ProgramServicesAmt |
| Management And General | $30,255 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $775,353 | TotalAmt |
| Program Services | $620,282 | ProgramServicesAmt |
| Management And General | $155,071 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,449,716 | TotalAmt |
| Program Services | $1,159,773 | ProgramServicesAmt |
| Management And General | $289,943 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $148,428 | TotalAmt |
| Program Services | $118,742 | ProgramServicesAmt |
| Management And General | $29,686 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $143,202 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $143,202 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $303,863 | TotalAmt |
| Program Services | $212,704 | ProgramServicesAmt |
| Management And General | $91,159 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,151,664 | TotalAmt |
| Program Services | $2,151,664 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $228,673 | TotalAmt |
| Program Services | $160,071 | ProgramServicesAmt |
| Management And General | $68,602 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $948,054 | TotalAmt |
| Program Services | $758,443 | ProgramServicesAmt |
| Management And General | $189,611 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,766,799 | TotalAmt |
| Program Services | $1,413,439 | ProgramServicesAmt |
| Management And General | $353,360 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $290,384 | TotalAmt |
| Program Services | $58,077 | ProgramServicesAmt |
| Management And General | $232,307 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,076,808 | TotalAmt |
| Program Services | $1,142,244 | ProgramServicesAmt |
| Management And General | $934,564 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $378,828 | TotalAmt |
| Program Services | $303,062 | ProgramServicesAmt |
| Management And General | $75,766 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| DATA PROCESSING | $12,620,884 | $12,620,884 | $0 | $0 |
| COMMISSIONS | $10,500,495 | $10,500,495 | $0 | $0 |
| OUTSOURCING/CONSULTING | $5,306,048 | $4,244,838 | $1,061,210 | $0 |
| INCOME TAX EXPENSE | $294 | $294 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,008,731 | TotalAmt |
| Program Services | $3,206,985 | ProgramServicesAmt |
| Management And General | $801,746 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $678,494,572 | TotalAmt |
| Program Services | $673,463,426 | ProgramServicesAmt |
| Management And General | $5,031,146 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,571,903 | BOYAmt |
| EOY | $21,618 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,446,549 | BOYAmt |
| EOY | $668,552 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,152,066 | BOYAmt |
| EOY | $27,202,003 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,725,783 | BOYAmt |
| EOY | $1,812,577 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $16,505,067 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $7,826,965 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,634,781 | BOYAmt |
| EOY | $8,678,102 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,333,591 | BOYAmt |
| EOY | $12,158,002 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $39,018,180 | BOYAmt |
| EOY | $44,662,752 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,133,766 | BOYAmt |
| EOY | $11,428,974 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,016,619 | BOYAmt |
| EOY | $106,632,580 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,424,540 | BOYAmt |
| EOY | $3,491,309 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,238,673 | BOYAmt |
| EOY | $3,345,841 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $32,616,420 | BOYAmt |
| EOY | $36,009,660 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,279,633 | BOYAmt |
| EOY | $42,846,810 | 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) |
|---|---|---|
| BOY | $59,736,986 | BOYAmt |
| EOY | $63,785,770 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $59,736,986 | BOYAmt |
| EOY | $63,785,770 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $100,016,619 | BOYAmt |
| EOY | $106,632,580 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $2,404,018 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,644,358 | NetUnrlzdGainsLossesInvstAmt |
| Prior Period Adjustments | $408 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $0 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,253,098 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,073,985 | DepreciationAmt |
| Book Value | $3,179,113 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $9,854,008 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,047,221 | DepreciationAmt |
| Book Value | $4,806,787 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,397,961 | OtherCostOrOtherBasisAmt |
| Depreciation | $705,759 | DepreciationAmt |
| Book Value | $692,202 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,678,102 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (3 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| Closely-held equity interests | ||
| Financial derivatives | ||
| BONDS | $44,662,752 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $44,662,752 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| ACCRUED INTEREST | $291,666 |
| RIGHT-OF-USE ASSETS | $9,816,004 |
| INTERCOMPANY RECEIVABLE | $256,680 |
| FUNDS HELD OR DEPOSITED WITH REINSURED COMPANIES | $1,064,624 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $11,428,974 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)
| DescDesc | AmtAmt |
|---|---|
| Federal Income Taxes | |
| PROVISION FOR UNPAID CLAIMS | $9,567,351 |
| ACCRUED EMPLOYEE BENEFITS | $6,448,805 |
| DEPOSITS | $1,751,368 |
| UNCLAIMED PROPERTY | $1,043,195 |
| RIGHT-OF-USE LEASE LIABILITIES | $13,131,314 |
| REINSURANCE PAYABLE | $4,067,627 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $36,009,660 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
| Other Revenue | $0 | OtherRevenueAmt |
| Revenue Not Reported | $0 | RevenueNotReportedAmt |
| Revenue Subtotal | $0 | RevenueSubtotalAmt |
| Other Revenues Not Included | $0 | OtherRevenuesNotIncludedAmt |
| Revenue Not Reported Fincl Stmt | $0 | RevenueNotReportedFinclStmtAmt |
| Total Revenue Per Form990 | $0 | TotalRevenuePerForm990Amt |
| Other Expenses Included | $0 | OtherExpensesIncludedAmt |
| Expenses Not Reported | $0 | ExpensesNotReportedAmt |
| Expenses Subtotal | $0 | ExpensesSubtotalAmt |
| Other Expenses Not Included | $0 | OtherExpensesNotIncludedAmt |
| Expenses Not Rpt Fincl Stmt | $0 | ExpensesNotRptFinclStmtAmt |
| Total Expenses Per Form990 | $0 | TotalExpensesPerForm990Amt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE COMPANY AND RECOGNIZE A TAX LIABILITY IF THE COMPANY HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE IRS OR OTHER APPLICABLE TAXING AUTHORITIES. MANAGEMENT HAS ANALYZED THE TAX POSITIONS TAKEN BY THE COMPANY AND HAS CONCLUDED THAT, AS OF DECEMBER 31, 2024, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE COMPANY IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER, THERE ARE CURRENTLY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| AMERICAN LUNG ASSOCIATION | |||||||
| 55 W WACKER DRIVE SUITE 1150 | CHICAGO | IL | 75078 | 131632524 | 501(C)(3) | $5,200 | Funding to Support Local Charitable Organization |
| AMERICAN ONLINE GIVING FOUNDATION INC | |||||||
| 40 E MAIN ST STE 887 | NEWARK | DE | 19711 | 810739440 | 501(C)(3) | $17,137 | Funding to Support Local Charitable Organization |
| AMERICAN RED CROSS | |||||||
| 444 SHERMAN ST | DENVER | CO | 80204 | 530196605 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| BCIVIC | |||||||
| 789 SHERMAN STREET SUITE 260 | DENVER | CO | 80204 | 465262657 | 501(C)(3) | $15,000 | Funding to Support Local Charitable Organization |
| BOYS AND GIRLS CLUBS OF METRO DENVER INC | |||||||
| 2017 W 9TH AVE | DENVER | CO | 80204 | 840510404 | 501(C)(3) | $6,000 | Funding to Support Local Charitable Organization |
| CHILDRENS MUSEUM OF DENVER INC | |||||||
| 2121 CHILDRENS MUSEUM DRIVE | DENVER | CO | 80217 | 840658142 | 501(C)(3) | $25,000 | Funding to Support Local Charitable Organization |
| CIRCLE | |||||||
| 3455 RINGSBY CT STE 130 | DENVER | CO | 80216 | 472199655 | 501(C)(3) | $10,000 | Funding to Support Local Charitable Organization |
| CIVIC CENTER CONSERVANCY | |||||||
| 1410 GRANT ST STE C205 | DENVER | CO | 80203 | 202214279 | 501(C)(3) | $25,000 | Funding to Support Local Charitable Organization |
| CLEO PARKER ROBINSON DANCE | |||||||
| 119 PARK AVE WEST | DENVER | CO | 80205 | 840632111 | 501(C)(3) | $6,000 | Funding to Support Local Charitable Organization |
| COLORADO COMPRESSIONS | |||||||
| 7118 S LAFAYETTE WAY | CENTENNIAL | CO | 80122 | 824634041 | 501(C)(3) | $13,005 | Funding to Support Local Charitable Organization |
| COLORADO GIVES FOUNDATION | |||||||
| 5855 WADSWORTH BYPASS UNIT A | ARVADA | CO | 80003 | 510157964 | 501(C)(3) | $50,000 | Funding to Support Local Charitable Organization |
| COLORADO MISSION OF MERCY | |||||||
| 1910 56TH AVE | GREELEY | CO | 80634 | 271586585 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| COLORADO WOMEN'S CHAMBER OF COMMERCE | |||||||
| 865 ALBION ST STE 250 | DENVER | CO | 80220 | 841145793 | 501(C)(3) | $15,000 | Funding to Support Local Charitable Organization |
| CRAIG HOSPITAL FOUNDATION | |||||||
| 3425 S CLARKSON STREET | ENGLEWOOD | CO | 80202 | 237352287 | 501(C)(3) | $6,000 | Funding to Support Local Charitable Organization |
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | |||||||
| 6465 GREENWOOD PLAZA BLVD | CENTENNIAL | CO | 80111 | 841389431 | 501(C)(3) | $2,000,000 | FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION |
| DELTA DENTAL PLANS ASSOCIATION | |||||||
| 222 W MERCHANDISE MART PLAZA STE | CHICAGO | IL | 60654 | 362551984 | 501(C)(3) | $20,496 | Funding to Support Local Charitable Organization |
| DENTAL LIFELINE NETWORK | |||||||
| 1800 15TH STREET SUITE 100 | DENVER | CO | 80202 | 840900619 | 501(C)(3) | $10,000 | Funding to Support Local Charitable Organization |
| DENVER BOTANIC GARDENS INC | |||||||
| 909 YORK ST | DENVER | CO | 80206 | 840440359 | 501(C)(3) | $40,000 | Funding to Support Local Charitable Organization |
| DENVER DUMB FRIENDS LEAGUE | |||||||
| 2080 S QUEBEC ST | DENVER | CO | 80239 | 840405254 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| DENVER PUBLIC SCHOOLS FOUNDATN | |||||||
| 1860 LINCOLN ST 10TH FLOOR | DENVER | CO | 80204 | 841224325 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| DENVER URBAN GARDENS | |||||||
| 1031 33RD ST STE 100 | DENVER | CO | 80205 | 742374848 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| DENVER ZOOLOGICAL FOUNDATION | |||||||
| 2300 STEELE ST | DENVER | CO | 80205 | 840502539 | 501(C)(3) | $80,000 | Funding to Support Local Charitable Organization |
| ENVIRONMENTAL LEARNING FOR KIDS | |||||||
| PO BOX 21679 | DENVER | CO | 80231 | 841436605 | 501(C)(3) | $11,000 | Funding to Support Local Charitable Organization |
| EXECUTIVES PARTNERING TO INVEST IN CHILDREN | |||||||
| 711 PARK AVE WEST | DENVER | CO | 80209 | 473951585 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| FOCUS POINTS FAMILY RESOURCE CENTER | |||||||
| 2501 E 48TH AVE | DENVER | CO | 80216 | 841353944 | 501(C)(3) | $30,090 | Funding to Support Local Charitable Organization |
| GIRL SCOUTS OF COLORADO | |||||||
| 1485 S COLORADO BLVD STE 210 | DENVER | CO | 80222 | 840410630 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| GIRLS INCORPORATED OF METRO DENVER | |||||||
| 1499 JULIAN ST | DENVER | CO | 80204 | 742277668 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| HABITAT FOR HUMANITYOF METRO DENVER INC | |||||||
| 430 S NAVAJO ST | DENVER | CO | 80223 | 742050021 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| HEALING DENVER | |||||||
| 300 CENTER DR STE G 362 | SUPERIOR | CO | 80027 | 992971532 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| KIDS IN NEED OF DENTISTRY | |||||||
| 2465 S DOWNING SUITE 210 | DENVER | CO | 80210 | 846038681 | 501(C)(3) | $6,000 | Funding to Support Local Charitable Organization |
| LIFESPAN LOCAL INC | |||||||
| 4407 MORRISON RD | DENVER | CO | 80219 | 873136973 | 501(C)(3) | $10,000 | Funding to Support Local Charitable Organization |
| MILE HIGH UNITED WAY | |||||||
| PO BOX 5547 | DENVER | CO | 80217 | 840404235 | 501(C)(3) | $19,250 | Funding to Support Local Charitable Organization |
| NABIP COLORADO | |||||||
| 4687 W 18TH ST | GREELEY | CO | 80634 | 841191319 | 501(C)(3) | $5,310 | Funding to Support Local Charitable Organization |
| NATIONAL KIDNEY FOUNDATION INC | |||||||
| 1391 SPEER BLVD SUITE 250 | DENVER | CO | 80204 | 131673104 | 501(C)(3) | $7,500 | Funding to Support Local Charitable Organization |
| SPECIAL OLYMPICS COLORADO | |||||||
| 12450 E ARAPAHOE RD SUITE C | CENTENNIAL | CO | 80112 | 840713739 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| THE CENTER ON COLFAX | |||||||
| 1301 E COLFAX AVE | DENVER | CO | 80218 | 840738879 | 501(C)(3) | $10,000 | Funding to Support Local Charitable Organization |
| VOLUNTEERS FOR OUTDOOR COLORADO | |||||||
| PO Box 100577 | DENVER | CO | 80250 | 742357211 | 501(C)(3) | $21,250 | Funding to Support Local Charitable Organization |
| VOLUNTEERS OF AMERICA OF COLORADO | |||||||
| 2660 LARIMER ST | DENVER | CO | 80205 | 841590666 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| WARREN VILLAGE INC | |||||||
| 1323 GILPIN ST | DENVER | CO | 80218 | 840644270 | 501(C)(3) | $10,000 | Funding to Support Local Charitable Organization |
| WEECYCLE | |||||||
| 5590 JOLIET ST | DENVER | CO | 80239 | 823096264 | 501(C)(3) | $20,000 | Funding to Support Local Charitable Organization |
| YMCA OF METROPOLITAN DENVER | |||||||
| 2625 S COLORADO BLVD | DENVER | CO | 80222 | 840402696 | 501(C)(3) | $25,000 | Funding to Support Local Charitable Organization |
| YOURCAUSE HOLDINGS LLC | |||||||
| 6111 WEST PLANO PKWY SUITE 1000YC | PLANO | TX | 75093 | 260638742 | $10,261 | Funding to Support Local Charitable Organization | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 41 | Total501c3OrgCnt |
| Total Other Org | 1 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds | FormAndLineReferenceDesc |
| Explanation | THE COMPANY HAS PROCEDURES TO ASCERTAIN THAT ALL GRANTS ARE MADE TO 501(C)(3) OR OTHER CHARITABLE 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 | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | Yes (true) | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | Yes (true) | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | 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 Officer | $460,200 | $247,800 | $258,823 | $139,366 | $13,877 | $7,472 | $61,578 | $33,157 | $10,181 | $5,482 | $804,659 | $433,277 | $0 | $0 |
| Gregory Vochis | ||||||||||||||
| Chief Financial Officer and Treasurer | $190,551 | $43,521 | $151,401 | $34,579 | $7,213 | $1,647 | $27,346 | $6,246 | $9,784 | $2,235 | $386,295 | $88,228 | $0 | $0 |
| Adeeb A Khan | ||||||||||||||
| Former Chief Impact Officer | $54,590 | $81,885 | $27,828 | $41,742 | $0 | $0 | $0 | $0 | $0 | $0 | $82,418 | $123,627 | $0 | $0 |
| Brad T Guyton DDS MBA MPH | ||||||||||||||
| Chief Dental Officer | $200,994 | $15,129 | $114,042 | $8,584 | $8,757 | $659 | $26,943 | $2,028 | $13,928 | $1,048 | $364,664 | $27,448 | $0 | $0 |
| Robert M Thompson | ||||||||||||||
| Chief Growth Officer | $221,812 | $95,062 | $100,015 | $42,864 | $15,030 | $6,442 | $29,202 | $12,515 | $12,419 | $5,322 | $378,478 | $162,205 | $0 | $0 |
| Kelli C Ogunsanya | ||||||||||||||
| Chief Operating Officer | $345,079 | $25,974 | $137,149 | $10,323 | $16,753 | $1,261 | $40,830 | $3,073 | $15,419 | $1,161 | $555,230 | $41,792 | $0 | $0 |
| Stacy L Abel | ||||||||||||||
| Chief People Officer | $276,920 | $30,769 | $84,147 | $9,350 | $21,374 | $2,375 | $35,637 | $3,960 | $26,804 | $2,978 | $444,882 | $49,432 | $0 | $0 |
| Devin W Farrell | ||||||||||||||
| Sr. Director - Growth Strategy | $177,386 | $31,303 | $90,518 | $15,974 | $2,914 | $514 | $26,216 | $4,626 | $22,695 | $4,005 | $319,729 | $56,422 | $0 | $0 |
| Michael R Thornley | ||||||||||||||
| Sr. Director - Corporate Controller | $161,533 | $86,979 | $23,869 | $12,853 | $3,825 | $2,060 | $17,239 | $9,283 | $6,331 | $3,409 | $212,797 | $114,584 | $0 | $0 |
| Allison Melun | ||||||||||||||
| Sr. Director - Marketing & Communications | $159,210 | $54,952 | $15,602 | $19,967 | $3,526 | $1,511 | $14,820 | $6,352 | $18,070 | $7,744 | $211,228 | $90,526 | $0 | $0 |
| Stephanie Rauzi | ||||||||||||||
| Senior Sales Executive | $109,172 | $0 | $131,239 | $0 | $2,872 | $0 | $21,923 | $0 | $23,381 | $0 | $288,587 | $0 | $0 | $0 |
| Patrick A Cordova | ||||||||||||||
| Director - IT Infrastructure & Data Systems | $165,874 | $29,272 | $23,215 | $4,097 | $2,634 | $465 | $15,974 | $2,819 | $22,659 | $3,999 | $230,356 | $40,652 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 4a Severance or change-of-control payment | ADEEB KHAN, FORMER CHIEF IMPACT OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $82,418. THE 2024 PAYMENTS COMPLETED THE OBLIGATION TO THE FORMER EMPLOYEE. |
| Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization | THE COMPANY HAS AN INCENTIVE COMPENSATION PLAN AND A SALES INCENTIVE PLAN WHICH PROVIDES AN ANNUAL BONUS FOR ELIGIBLE EMPLOYEES IF THE COMPANY REACHES CERTAIN GOALS, INCLUDING A MINIMUM NET GAIN GOAL. CERTAIN ACTIVE FULL-TIME EMPLOYEES ARE ELIGIBLE FOR ONE OF THE INCENTIVE PLANS. THE COMPANY ALSO HAS A LONG-TERM INCENTIVE PROGRAM FOR EXECUTIVES, WHICH IS BASED ON MEMBERSHIP GROWTH, RETURN ON REVENUE, STAKEHOLDER EXPERIENCE, GROUP RETENTION, AND OTHER FACTORS. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2024 THE PLAN YEAR ENDING DECEMBER 31, 2023 WAS PAID. |
| Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization | 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 | Poulos & Somers PC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | Ann Somers, Trustee | RelationshipDescriptionTxt |
| Transaction | $240,213 | TransactionAmt |
| Transaction | Claims Paid | TransactionDesc |
| Sharing Of Revenues | false | SharingOfRevenuesInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule L, Part IV, Column (d) Poulos & Somers, PC | Description of Transaction: Claims paid for dental services provided. |
| Schedule L, Part IV, Column (a) Poulos & Somers, PC | Claims paid to Poulos & Somers, PC are made under a standard provider agreement |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE ORGANIZATION HAS ONE VOTING MEMBER, WHICH IS ENSEMBLE INNOVATION VENTURES, A COLORADO NONPROFIT CORPORATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | ENSEMBLE INNOVATION VENTURES HAS THE AUTHORITY TO ELECT THE BOARD OF DIRECTORS. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | 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 AUDIT, INVESTMENT, AND FINANCE COMMITTEE AND THE BOARD OF DIRECTORS BOTH REVIEW AND APPROVE FORM 990 PRIOR TO FILING WITH THE IRS. |
| Form 990, Part VI, Line 12c Conflict of interest policy | 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. THE 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, Line 15a Process to establish compensation of top management official | THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO ON AN ANNUAL BASIS. 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 OTHER MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM. 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, Line 15b Process to establish compensation of other employees | THE ORGANIZATION HAS A COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS THAT IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT AND CEO ON AN ANNUAL BASIS. THE COMMITTEE ENGAGES THE SERVICES OF A THIRD PARTY TO PROVIDE RANGES OF COMPENSATION THAT ARE APPROPRIATE FOR THE DUITIES REQUIRED BY THE POSITION OF THE PRESIDENT, AS WELL AS THE OTHER MEMBERS OF THE EXECUTIVE LEADERSHIP TEAM. 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, Line 19 Required documents available to the public | 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). |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | 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 | SUITE 900 | CENTENNIAL | CO | 80111 | 841389431 | DENTAL HEALTH AND EDUCATION | CO | 501(c)(3) | Type I | DELTA DENTAL OF COLORADO | Yes (true) |
| ENSEMBLE INNOVATION VENTURES | |||||||||||
| 6465 GREENWOOD PLAZA BLVD | SUITE 900 | CENTENNIAL | CO | 80111 | 834432148 | INVESTMENTS IN COMPANIES THAT IMPROVE COMMUNITY HEALTH | CO | 501(c)(4) | NA | false | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | Address Line2USAddress/AddressLine2Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| BETA HEALTH ASSOCIATION | ||||||||||
| 6465 GREENWOOD PLAZA BLVD | SUITE 900 | CENTENNIAL | CO | 80111 | 841146388 | PROVIDES NON-INSURED DENTAL BENEFITS TO SUPPORT DENTAL | CO | NA | C Corporation | false |
| EMBER ASSURANCE | ||||||||||
| 6465 GREENWOOD PLAZA BLVD | SUITE 900 | CENTENNIAL | CO | 80111 | 874622205 | MARKET AND ADMINISTER VISION INSURANCE PRODUCTS | CO | NA | C Corporation | false |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | ||
| J | $72,000 | FMV |
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | ||
| O | $408,860 | FMV |
| DELTA DENTAL PLAN OF COLORADO FOUNDATION | ||
| B | $2,000,000 | FMV |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule R, Part IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST: | FormAndLineReferenceDesc |
| Explanation | NAME OF RELATED ORGANIZATION: BETA HEALTH ASSOCIATION PRIMARY ACTIVITY: PROVIDES NON-INSURED DENTAL BENEFITS TO SUPPORT DENTAL INSURANCE CARRIERS | ExplanationTxt |