2025-11-16T09:25:07-06:00 2024-12-31 471019942 CREATIVE PLANNING TAX LLC 100 E PARK AVE STE 300 WATERLOO IA 50703 990 2024-01-01 420959302 DELTA DENTAL OF IOWA DELT 5152615500 9000 NORTHPARK DRIVE JOHNSTON IA 50131 SHERRY PERKINS SENIOR VICE PRESIDENT FINANCE 5152615500 2025-11-14 1 0 BRIAN ARONSON P01425251 3192346885 2025-11-14 2024 2025-03-06 01:10:19Z APRIL SCHMALTZ 9000 NORTHPARK DRIVE JOHNSTON IA 50131 270781378 0 X WWW.DELTADENTALIA.COM X 1970 IA DELTA DENTAL OF IOWA IS COMMITED TO IMPROVING THE HEALTH AND SMILES OF THE PEOPLE WE SERVE. THIS IS ACCOMPLISHED WITH PROGRAMS, EDUCATION AND CONTRIBUTIONS TO VARIOUS HEALTH FOCUSED ENTITIES AND INITIATIVES. DELTA DENTAL OF IOWA INVESTS IN DENTAL PROGRAMS, VISION PROGRAMS, MENTAL HEALTH PROGRAMS AND OTHER HEALTH RELATED INITIATIVES TO SUPPORT THE OVERALL HEALTH OF THE PEOPLE WE SERVE. 9 3 230 0 850827 0 0 0 242181867 256054836 2882402 4849391 1393283 1091019 246457552 261995246 6524653 5495293 180308165 197805241 24199655 25672616 0 0 0 23002775 24040180 234035248 253013330 12422304 8981916 184096212 180246097 59501899 44185611 124594313 136060486 X DELTA DENTAL OF IOWA'S MISSION IS TO IMPROVE THE HEALTH AND SMILES OF THE PEOPLE WE SERVE. THE PRIMARY WAY THIS IS ACCOMPLISHED IS THROUGH THE PROVISION OF DENTAL BENEFTIS AND PUBLIC HEALTH CONTRIBUTIONS THAT FOCUS ON ACCESS TO ORAL HEALTH SERVICES AND EDUCATION RELATED TO GOOD ORAL HEALTH BEHAVIORS. DELTA DENTAL OF IOWA ALSO INVESTS IN OTHER HEALTH RELATED INITIATIVES SUCH AS VISION AND MENTAL HEALTH PROGRAMS. 0 0 239792252 5495293 256295028 SINCE 1970, DELTA DENTAL OF IOWA HAS EXPANDED ACCESS TO DENTAL CARE BY PROVIDING AFFORDABLE, NETWORK BASED DENTAL BENEFITS PLANS TO IOWA EMPLOYERS AND INDIVIDUALS THAT RESULT IN LONG-TERM COST SAVINGS AND SUPPORT GOOD ORAL HEALTH. DELTA DENTAL OF IOWA'S DENTAL BENEFIT PLANS STRIVE TO INCORPORATE THE CURRENT BEST PRACTICES IN DENTAL SCIENCE. DELTA DENTAL IS COMMITTED TO ITS MISSION OF IMPROVING THE HEALTH AND SMILES OF THE PEOPLE AND COMMUNITIES IT SERVES. DELTA DENTAL FULFILLS ITS NOT-FOR-PROFIT OJECTIVES BY ACTIVELY PARTICIPATING IN THE COMMUNITIES IT SERVES AS A CHAMPION AND MAJOR FUNDER OF ORAL HEALTH INITIATIVES IN THE STATE OF IOWA. DELTA DENTAL INVESTS IN ORAL HEALTH PROJECTS THAT MEET THE NEEDS OF UNDERSERVED POPULATIONS AND THAT FOCUS ON ACCESS TO CARE, PREVENTION, EDUCATION AND RESEARCH. 239792252 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 1 0 1 0 0 0 0 0 1 1 1 0 1 22561 0 1 230 1 1 1 0 0 0 0 0 0 0 X 9 3 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 X SHERRY PERKINS 5155615554 9000 NORTHPARK DRIVE JOHNSTON IA 50131 APRIL SCHMALTZ PRESIDENT AND CEO 40.00 0.39 X X 798793 0 29518 ROWENA CROSBIE DIRECTOR, BOARD CHAIR 1.60 X X 33600 0 23000 DONNA GRANT DDS DIRECTOR, VICE CHAIR 1.60 0.50 X X 45400 900 0 TOM MAHONEY DIRECTOR 1.60 X 53588 0 0 GREGORY DUNN DIRECTOR 1.60 X 39892 0 0 MARIA FULLER DIRECTOR 1.60 X 26100 0 12500 JEFF CHUNGATH DIRECTOR 1.60 X 38505 0 0 LIBBY JACOBS DIRECTOR 1.60 X 40700 0 0 NATHAN HEHR DDS DIRECTOR 1.60 0.50 X 37500 900 0 TODD HERREN CHIEF OPERATIONS OFFICER 40.00 X 616339 0 50708 JEFF CHAFFIN DDS CHIEF DENTAL OFFICER 40.00 1.17 X 503159 0 28774 SHERRY PERKINS SENIOR VICE PRESIDENT, FINANCE 40.00 0.67 X 414157 0 29518 SUZANNE HECKENLAIBLE VP, PUBLIC AFFAIRS 30.00 10.00 X 381611 0 62019 GRETCHEN HAGEMAN VP, GOVERNMENT PROGRAMS 40.00 X 436046 0 29518 MICHAEL ELAM VP, UNDERWRITING & ACTUARIAL 40.00 X 391104 0 50314 JAKE ANONSON SENIOR VP STRATEGIC PARTNERSHIPS 40.00 X 60022 0 4608 ERICA BOLIVER VP HUMAN RESOURCES 40.00 X 175870 0 18350 TAMMIE BAUGE DIRECTOR, TECHNOLOGY 40.00 X 220669 0 19924 TOM WALTON DIRECTOR, LEGAL & GENERAL COUNSEL 40.00 X 214593 0 42879 CORY BAUER DIRECTOR, SALES & CUSTOMER RELATIONS 40.00 X 249889 0 21464 RANAE CALVERT DIRECTOR, STRATEGIC BUSINESS 40.00 X 205061 0 51854 JILL GOEHRING-FEILMEIR DIRECTOR, COMMUNICATIONS 40.00 X 206991 0 41513 5189589 1800 516461 72 0 1 0 UNIVERSITY OF IOWA 322 DENTAL SCIENCE BLDG S IOWA CITY IA 52242 DENTAL SERVICES 18194158 APPLEWHITE DENTAL IOWA PC 900 JACKSON ST SUITE 108 DUBUQUE IA 52001 DENTAL SERVICES 6395541 KIMBALL & BEECHER FAMILY DENTISTRY 4015 HURST DRIVE WATERLOO IA 50701 DENTAL SERVICES 4680941 DENTISTRY FOR CHILDREN OF IOWA PLC 2970 BRANDYWINE RD SUITE 200 ATLANTA GA 30341 DENTAL SERVICES 4507175 ORAL SURGEONS PC 7400 FLEUR DRIVE SUITE 200 DES MOINES IA 50321 DENTAL SERVICES 3908183 690 PREMIUMS EARNED 524114 236009121 236009121 ADMINISTRATIVE SERVICE 524292 20045715 20045715 256054836 4553362 4553362 9082161 8786132 296029 296029 296029 MANAGEMENT FEES 541610 850827 850827 OTHER INCOME 900099 240192 240192 1091019 261995246 256295028 850827 4849391 5495293 5495293 197805241 197805241 4431216 2170594 2260622 16165746 12156697 4009049 2493076 1454703 1038373 1160976 1503353 -342377 1421602 1037338 384264 401874 60543 341331 245705 70500 175205 28306 28306 234114 234114 3697064 3266594 430470 1618658 1514045 104613 4664511 3894922 769589 912473 912473 333678 218576 115102 225162 133455 91707 1143706 589711 553995 533618 533618 BROKER COMMISSIONS 6990227 6990227 PREMIUM TAXES 1114568 1114568 DDPA DUES 578664 578664 CIVIC AND CHARITABLE CO 479262 103651 375611 838590 212241 626349 253013330 239792252 13221078 0 64876557 36369344 2089766 5397903 9649057 12236085 1131259 1215590 37539927 24067016 13871512 13472911 78953523 97394735 10847172 12053239 2677366 2106290 184096212 180246097 18335692 17341775 2484879 3127303 38681328 23716533 59501899 44185611 X 124594313 136060486 124594313 136060486 184096212 180246097 8981916 2484257 0 X 0 1 X 1 0 2665500 2665500 12000761 3756893 8243868 21538082 19237893 2300189 1335584 1072230 263354 13472911 7638953 C INVESTMENT IN NEXT LEVEL VENTURES FUND II 672162 C INVESTMENT IN SPRINGROCK VENTURES II 2721972 C INVESTMENT IN MANCHESTERSTORY DISCOVERY FUND II 1020152 C 12053239 CLAIMS UNPAID AND RESERVE 8805711 OTHER POLICY RESERVES 10341580 INTERCOMPANY PAYABLE 918745 OTHER LONG-TERM LIABILITIES 3650497 23716533 X PART X, LINE 2: DELTA DENTAL OF IOWA IS EXEMPT FROM FEDERAL INCOME TAXES UNDER THE PROVISIONS OF SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE. ACCORDINGLY, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANY ACCOUNTS FOR INCOME TAXES OF TAXABLE CONSOLIDATED ENTITIES, WHERE DEFERRED TAXES ARE PROVIDED ON TEMPORARY DIFFERENCES ARISING FROM ASSETS AND LIABILITIES WHOSE BASES ARE DIFFERENT FOR FINANCIAL REPORTING AND INCOME TAX PURPOSES. DEFERRED TAXES WERE NOT SIGNIFICANT TO THE CONSOLIDATED FINANCIAL STATEMENTS. AS OF DECEMBER 31, 2024 AND 2023, THE COMPANY'S UNRECOGNIZED TAX BENEFITS WERE NOT SIGNIFICANT. THERE WERE NO SIGNIFICANT PENALTIES OR INTEREST RECOGNIZED OR ACCRUED DURING 2024 AND 2023. 1 UNITED WAY OF CENTRAL IOWA 1111 NINTH STREET SUITE 100 DES MOINES IA 50314 420680425 501(C)(3) 61981 0 COMPANY MATCH OF EMPLOYEE DONATIONS YOUTH AND SHELTER SERVICES INC 612 LOCUST ST DES MOINES IA 50309 421051609 501(C)(3) 50000 0 YSS EMBER RECOVERY CAMPUS CAMPAIGN PUPPY JAKE FOUNDATION 3101 104TH STREET 2 URBANDALE IA 50322 461187854 501(C)(3) 12000 0 TRAINING FOR 1 DOG FOR 1 YEAR IOWA DENTAL FOUNDATION 666 GRAND AVENUE STE 901 DES MOINES IA 50131 421405188 501(C)(3) 25000 0 IMOM DELTA DENTAL OF IOWA FOUNDATION 9000 NORTHPARK DRIVE JOHNSTON IA 50131 260762771 501(C)(3) 5000000 0 CONTRIBUTION TO DELTA DENTAL OF IOWA FOUNDATION TO SUPPORT & IMPROVE THE ORAL HEALTH OF IOWANS. COMMUNITY FOUNDATION OF GREATER DES MOINES 1915 GRAND AVE DES MOINES IA 50309 426139033 501(C)(3) 200000 0 CONTRIBUTION TO CFGDM FOR THE DDIA DONOR ADVISED FUND. THE DONOR ADVISED FUND IS USED FOR THE REPAYMENT OF DENTAL EDUCATION DEBT FOR A DENTIST WHO AGREES TO ESTABLISH AN OFFICE IN A RURAL, UNDERSERVED AREA AND LEGACY WOODS PROJECT. AMERICAN HOME FINDING ASSOCIATION 217 E 5TH STREET OTTUMWA IA 52501 420713654 501(C)(3) 15719 0 ISMILE FEEDING AMERICA 161 N CLARK STREET STE 700 CHICAGO IL 60601 363673599 501(C)(3) 25000 0 HY-VEE 100 MILLION MEALS DONATION SCOTT COUNTY HEALTH DEPARTMENT 3 JOHN BENNETT DRIVE FORT MADISON IA 52627 426004465 GOVERNMENT 13894 0 ISMILE JOHNSON COUNTY PUBLIC HEALTH 855 S DUBUQUE ST STE 217 IOWA CITY IA 52401 426004806 GOVERNMENT 10164 0 ISMILE LEE COUNTY HEALTH DEPARTMENT 3 JOHN BENNETT DRIVE MADISON IA 52627 426004689 GOVERNMENT 14296 0 ISMILE BLACK HAWK COUNTY HEALTH DEPARTMENT 1407 INDEPENDENCE AVE WATERLOO IA 50703 426005328 GOVERNMENT 11210 0 ISMILE CITY OF WEST DES MOINES 4200 MILLS CIVIC PARKWAY PO BOX 65320 WEST DES MOINES IA 50265 426005359 GOVERNMENT 25000 0 ATHENE PEDESTRIAN BRIDGE PROJECT COMMUNITY FOUNDATION OF GREATER DES MOINES 1915 GRAND AVE DES MOINES IA 50309 426139033 501(C)(3) 10000 0 LEGACY WOODS PROJECT 14 0 PART I, LINE 2: DELTA DENTAL OF IOWA MAINTAINS A DONOR ADVISED FUND AT THE COMMUNITY FOUNDATION OF GREATER DES MOINES FOR THE PURPOSE OF AWARDING LOAN REPAYMENT AWARDS TO DENTISTS WHO AGREE TO PRACTICE IN AN UNDERSERVED AREA IN THE STATE OF IOWA AND TO DEDICATE A PORTION OF THEIR PRACTICE TO LOW INCOME PATIENTS. DELTA DENTAL OF IOWA ADVISES THE COMMUNITY FOUNDATION OF GREATER DES MOINES ON HOW TO AWARD THIS MONEY AND THE COMMUNITY FOUNDATION OF GREATER DES MOINES ONLY GRANTS THIS MONEY TO DENTISTS IN THE STATE OF IOWA. THE COMMUNITY FOUNDATION OF GREATER DES MOINES AND DELTA DENTAL OF IOWA MAINTAIN RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS, THE GRANTEEES' ELIGIBILITY AND THE SELECTION CRITERIA. DELTA DENTAL OF IOWA ALSO MAKES GRANTS TO THE DELTA DENTAL OF IOWA FOUNDATION. THE DELTA DENTAL OF IOWA FOUNDATION MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF GRANTS, THE GRANTEES' ELIGIBILITY AND THE SELECTION CRITERIA. ORGANIZATIONS RECEIVING GRANTS ARE REQUIRED TO SUBMIT FINANCIAL INFORMATION. X X X 1 1 X X X X X 0 1 0 1 0 1 0 0 0 APRIL SCHMALTZ PRESIDENT AND CEO 541962 0 234784 0 22047 0 27000 0 2518 0 828311 0 12144 0 TODD HERREN CHIEF OPERATIONS OFFICER 355367 0 236336 0 24636 0 27000 0 23708 0 667047 0 21529 0 JEFF CHAFFIN DDS CHIEF DENTAL OFFICER 301343 0 166836 0 34980 0 27000 0 1774 0 531933 0 31936 0 GRETCHEN HAGEMAN VP, GOVERNMENT PROGRAMS 265335 0 133429 0 37282 0 27000 0 2518 0 465564 0 35483 0 SHERRY PERKINS SENIOR VICE PRESIDENT, FINANCE 264677 0 137303 0 12177 0 27000 0 2518 0 443675 0 8761 0 SUZANNE HECKENLAIBLE VP, PUBLIC AFFAIRS 239823 0 131823 0 9965 0 27000 0 35019 0 443630 0 7248 0 MICHAEL ELAM VP, UNDERWRITING & ACTUARIAL 215022 0 122133 0 53949 0 26606 0 23708 0 441418 0 50589 0 CORY BAUER DIRECTOR, SALES & CUSTOMER RELATIONS 150606 0 97793 0 1490 0 18958 0 2506 0 271353 0 0 0 TOM WALTON DIRECTOR, LEGAL & GENERAL COUNSEL 163378 0 49775 0 1440 0 8730 0 34149 0 257472 0 0 0 RANAE CALVERT DIRECTOR, STRATEGIC BUSINESS 149547 0 53074 0 2440 0 16835 0 35019 0 256915 0 0 0 JILL GOEHRING-FEILMEIR DIRECTOR, COMMUNICATIONS 161109 0 43442 0 2440 0 17805 0 23708 0 248504 0 0 0 TAMMIE BAUGE DIRECTOR, TECHNOLOGY 174585 0 43794 0 2290 0 17406 0 2518 0 240593 0 0 0 ERICA BOLIVER VP HUMAN RESOURCES 172987 0 0 0 2883 0 6092 0 12258 0 194220 0 0 0 PART I, LINE 1A TRAVEL FOR THE SPOUSE OF THE PRESIDENT AND CEO IS PAID BY THE COMPANY. THE TOTAL AMOUNT OF THE TRAVEL IS INCLUDED IN TAXABLE WAGES FOR THE PRESIDENT AND CEO. DISCRETIONARY SPENDING ACCOUNT FOR THE PRESIDENT AND CEO USED TO PAY ADDITIONAL INSURANCE, MEMBERSHIPS, ETC. THESE AMOUNTS ARE INCLUDED IN THE PRESIDENT AND CEO'S SALARY. SOCIAL CLUB DUES FOR THE PRESIDENT AND CEO ARE PAID BY THE COMPANY. THE AMOUNT OF PERSONAL USAGE OF THE CLUB IS INCLUDED IN TAXABLE WAGES FOR THE PRESIDENT AND CEO. PART I, LINE 4B EFFECTIVE JANUARY 1, 2016, THE OFFICERS OF DELTA DENTAL OF IOWA PARTICIPATE IN A SEC. 457(F) PLAN. DELTA DENTAL OF IOWA MAKES A CONTRIBUTION TO THE PLAN ANNUALLY ON BEHALF OF THE OFFICERS. THIS CONTRIBUTION IS A PERCENTAGE OF SALARY AND IS SET AND APPROVED BY THE EXECUTIVE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS OF DELTA DENTAL OF IOWA. THE PORTION OF A PARTICIPANT'S ACCOUNT BALANCE ALLOCATED TO A PARTICULAR PLAN YEAR'S AWARD BECOMES VESTED ON JANUARY 1ST OF THE FOURTH YEAR FOLLOWING THE PLAN YEAR FOR WHICH THE AWARD IS GRANTED. THAT AMOUNT IS THEN PAID TO THE OFFICER. OTHER THAN THE VESTING CRITERIA, THE OFFICERS CANNOT ACCESS THE FUNDS UNTIL RETIREMENT, LEAVING THE COMPANY, OR DEATH. OFFICERS WHO RECEIVED DEPOSITS IN 2024 FROM DELTA DENTAL OF IOWA AND THE AMOUNTS ARE: SHERRY PERKINS - $47,396 SUZANNE HECKENLAIBLE - $52,055 JEFF CHAFFIN - $40,053 APRIL SCHMALTZ - $134,969 TODD HERREN - $72,441 ELIZABETH MYERS - $32,995 MICHAEL ELAM - $51,413 OFFICERS THAT RECEIVED PAYMENTS OF VESTED AMOUNTS IN 2024 INCLUDE: SHERRY PERKINS - $8,761 SUZANNE HECKENLAIBLE - $7,248 JEFF CHAFFIN - $31,936 APRIL SCHMALTZ - $12,144 TODD HERREN - $21,529 MICHAEL ELAM - $50,589 GRETCHEN HAGEMAN - $35,483 THE OFFICERS OF DELTA DENTAL OF IOWA ALSO PARTICIPATE IN A LONG-TERM INCENTIVE PLAN. THE PLAN IS INTENDED AND AT ALL TIMES SHALL BE AN UNFUNDED AND UNSECURED PLAN THAT IS LIMITED TO KEY MANAGEMENT EMPLOYEES OF THE ORGANIZATION DESIGNED TO ENHANCE THE BOARD'S EFFORT AT RETENTION OF ITS EXECUTIVE STAFF. OFFICERS THAT RECEIVED PAYMENTS IN LONG-TERM INCENTIVE PLAN: NONE WERE RECEIVED IN 2024 PART I, LINE 5 ONE EMPLOYEE OF THE COMPANY HAS COMPENSATION CONTINGENT ON REVENUES. THE INDIVIDUAL WORKS IN THE SALES DEPARTMENT AND RECEIVES COMMISSIONS BASED ON SALES OF GROUP BUSINESS. THE INDIVIDUAL IS RESPONSIBLE FOR SELLING NEW BUSINESS. PART I, LINE 6 CONSISTENT WITH THE COMPANY'S TOTAL COMPENSATION POLICY, THE OFFICERS AND KEY EMPLOYEES, ALONG WITH ALL EMPLOYEES OF THE COMPANY, PARTICIPATE IN A COMPANY INCENTIVE COMPENSATION PLAN. THIS PLAN CONTAINS NINE METRICS WHICH REPRESENT KEY GOALS FOR THE PLAN YEAR. AN OVERALL WEIGHTED SCORE IS CALCULATED. A BONUS WILL BE PAID IF THE COMPANY MEETS A RANGE OF GOAL ACCOMPLISHMENTS FOR THE YEAR. THE AMOUNT OF THE BONUS IS BASED ON THE TOTAL SCORE. ONE OF THESE METRICS IS PROFITABILITY, WHICH IS DEFINED AS "TOTAL NET GAIN IN DOLLARS PRIOR TO PUBLIC BENEFIT CONTRIBUTIONS FOR THE FISCAL YEAR PER AUDITED FINANCIAL RESULTS". DONNA GRANT DIRECTOR 277974 INDEPENDENT CONTRACTOR PAYMENTS MADE FOR DENTAL SERVICES FROM DDIA THROUGH NORWALK FAMILY DENTISTRY. TRANSACTIONS WERE DONE AT FAIR MARKET VALUE. 0 NATHAN HEHR DIRECTOR 167804 INDEPENDENT CONTRACTOR PAYMENTS MADE FOR DENTAL SERVICES FROM DDIA THROUGH ADVANCED FAMILY DENTISTRY. TRANSACTIONS WERE DONE AT FAIR MARKET VALUE. 0 MARIA FULLER DIRECTOR 115847 INDEPENDENT CONTRACTOR PAYMENTS MADE FOR DENTAL SERVICES FROM DDIA THROUGH FULLER FAMILY DENTISTRY. TRANSACTIONS WERE DONE AT FAIR MARKET VALUE. 0 FORM 990, PART VI, SECTION A, LINE 6 THE MEMBERS OF THE CORPORATION CONSIST OF THE PROVIDERS (PARTICIPATING DENTISTS), AND SUBSCRIBERS WHO ARE ELECTED TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 7A THE DIRECTORS SHALL BE ELECTED BY THE MEMBERS. SUBSCRIBER MEMBERS MAY NOMINATE CANDIDATES FOR SUBSCRIBER DIRECTOR POSITIONS AND PROVIDER MEMBERS MAY NOMINATE CANDIDATES FOR THE PROVIDER DIRECTOR POSITIONS. FORM 990, PART VI, SECTION B, LINE 11B PRIOR TO FILING WITH THE IRS, THE FORM 990 AND RELATED SCHEDULES ARE REVIEWED BY THE BOARD OF DIRECTORS AND MEMBERS OF THE COMPANY'S MANAGEMENT TEAM, INCLUDING THE CEO, COMPLIANCE MANAGER, AND SENIOR VICE PRESIDENT FINANCE. THE MANAGEMENT TEAM REVIEWS THE FORM 990 PRIOR TO THE PRESENTATION TO THE BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE COMPLIANCE DIRECTOR, ON BEHALF OF THE GOVERNANCE COMMITTEE CONDUCTS AN ANNUAL CONFLICT OF INTEREST REVIEW FOR COMPLIANCE WITH FEDERAL AND STATE LAW AND THE GOVERNANCE POLICY. THE REVIEW INCLUDES ALL OFFICERS, DIRECTORS, AND KEY EMPLOYEES. COMPLETED CONFLICT OF INTEREST QUESTIONNAIRES AND DISCLOSURES ARE COMPARED TO THE GROUP FOR POTENTIALLY CONFLICTING TRANSACTIONS, BUSINESS AND FAMILY RELATIONSHIPS AND AFFILIATIONS. ANNUAL COMPENSATION, REIMBURSEMENTS, BENEFIT PAYMENTS AND OTHER TRANSACTIONS ARE ALSO REVIEWED FOR APPROPRIATENESS. A WRITTEN REPORT OF THE FINDINGS IS PRESENTED TO THE GOVERNANCE COMMITTEE, BOARD OF DIRECTORS AND SENIOR MANAGEMENT. SOLUTIONS TO POTENTIAL CONFLICTS ARE DISCUSSED AND DOCUMENTED IN THE BOARD OF DIRECTOR'S MEETING MINUTES. FORM 990, PART VI, SECTION B, LINE 15 ON A BI-ANNUAL BASIS DELTA DENTAL OF IOWA DOES A MARKET PRICE AND BENCHMARKING COMPARISON OF THE COMPENSATION OF THE LEADERSHIP TEAM AND THE STAFF. THIS ANALYSIS IS PERFORMED BY AN INDEPENDENT THIRD PARTY. THIS ANALYSIS INCLUDES THE USE OF DATA AS TO COMPARABLE COMPENSATION FOR SIMILARLY QUALIFIED PERSONS IN FUNCTIONALLY COMPARABLE POSITIONS AT SIMILARLY SITUATED ORGANIZATIONS. THE DOCUMENTED RESULTS AND RECOMMENDATIONS OF THIS ANALYSIS ARE PRESENTED TO THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS REVIEWS THE DOCUMENTATION AND APPROVES THE COMPENSATION. THESE DECISIONS ARE DOCUMENTED IN THE MINUTES OF THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 DELTA DENTAL OF IOWA'S GOVERNING DOCUMENTS BECOME A MATTER OF PUBLIC RECORD WHEN THEY ARE FILED WITH THE IOWA SECRETARY OF STATE. THE FINANCIAL STATEMENTS BECOME A MATTER OF PUBLIC RECORD WHEN THEY ARE FILED WITH THE IOWA INSURANCE DIVISION. BOTH AGENCIES HAVE ONLINE PUBLIC VIEWING ACCESS. THE CONFLICT OF INTEREST POLICY IS NOTFILED WITH THE STATE AGENCIES; HOWEVER, IT WOULD BEMADE AVAILABLE UPON REQUEST. SCHEDULE R, PART I, COLUMN B: VERATRUS INVESTMENTS, LLC IS A FOR-PROFIT CORPORATION OWNED BY VERATRUS HEALTH, INC. VERATRUS INVESTMENTS, LLC INVESTS IN ORGANIZATIONS THAT FURTHER THE MISSION OF VERATRUS HEALTH, INC. SCHEDULE R, PART II, COLUMN B: DELTA DENTAL OF IOWA'S MISSION IS TO IMPROVE THE HEALTH AND SMILES OF THOSE WE SERVE. AN AMOUNT IS SET ASIDE EACH YEAR TO FUND THIS MISSION. THE AMOUNT IS DETERMINED BY THE PERFORMANCE AND FINANCIAL STRENGTH OF THE COMPANY. AFTER THE AUDITED FINANCIALS ARE COMPLETE, AN AMOUNT IS PAID TO THE DELTA DENTAL OF IOWA FOUNDATION. THE DELTA DENTAL OF IOWA FOUNDATION IS A SEC. 501(C)(3) ORGANIZATION AND IS A TYPE 1 SUPPORTING ORGANIZATION UNDER SEC. 509(A)(3). IT IS THE RESPONSIBILITY OF THE FOUNDATION TO DISTRIBUTE THE MONIES CONSISTENT WITH ITS MISSION AND FOUNDING DOCUMENTS. THE MISSION OF THE DELTA DENTAL OF IOWA FOUNDATION IS TO SUPPORT AND IMPROVE THE ORAL HEALTH OF IOWANS. THE FOUNDATION WILL PROVIDE FUNDS TO OTHER SEC. 501(C)(3) ORGANIZATIONS, GOVERNMENTS, OR ACADEMIC INSTITUTIONS THAT ARE UNDERTAKING PROJECTS THAT SUPPORT AND IMPROVE THE ORAL HEALTH OF IOWANS. THE FOUNDATION WILL PROVIDE FUNDS TO OTHER TAX-EXEMPT ORGANIZATIONS THROUGH THEIR GRANTS PROGRAM THAT ALIGN WITH THE PROJECTS OF ACCESS TO CARE, RESEARCH, EDUCATION AND PREVENTION. THE AMOUNT CONTRIBUTED TO THE FOUNDATION IN 2024 WAS $5,000,000 ADDITIONALLY, DELTA DENTAL OF IOWA PROVIDES MANAGEMENT SERVICES FOR THE FOUNDATION. THIS INCLUDES DUTIES PERFORMED BY THE CHIEF EXECUTIVE OFFICER AND THE SENIOR VICE PRESIDENT, FINANCE. THE EXECUTIVE DIRECTOR OF THE FOUNDATION IS THE DIRECTOR OF GOVERNMENT AND COMMUNITY RELATIONS FOR DELTA DENTAL OF IOWA. ALSO, DELTA DENTAL OF IOWA PROVIDES SOME ACCOUNTING FUNCTIONS. THE FOUNDATION REIMBURSES DELTA DENTAL OF IOWA FOR ALL STAFF CHARGES RELATED TO THE FOUNDATION. THE AMOUNT REIMBURSED TO DELTA DENTAL OF IOWA IN 2024 WAS $560,235 FOR MANAGEMENT FEES AND $35,138 FOR OTHER EXPENSES. SCHEDULE R, PART IV, COLUMN B: VERATRUS BENEFIT SOLUTIONS, INC. IS A FOR-PROFIT CORPORATION AND A WHOLLY-OWNED SUBSIDIARY OF VERATRUS HEALTH. PRIOR TO 2017, IT WAS A WHOLLY OWNED SUBSIDIARY OF DELTA DENTAL OF IOWA. VERATRUS WAS ORGANIZED TO DISTRIBUTE THE DELTA VISION PRODUCT. DELTA DENTAL OF IOWA MADE NO ADDITIONAL INVESTMENTS IN PAID IN CAPITAL IN VERATRUS IN 2024. DELTA DENTAL OF IOWA COLLECTS PREMIUMS FROM GROUPS FOR VISION COVERAGE AND TRANSFERS THIS PREMIUM TO VERATRUS. IN 2024, DELTA DENTAL OF IOWA TRANSFERRED $12,165,251 TO VERATRUS FOR PREMIUMS COLLECTED ON THEIR BEHALF. IN ADDITION, DELTA DENTAL OF IOWA PROVIDES MANAGEMENT SERVICES TO VERATRUS. VERATRUS REIMBURSES DELTA DENTAL OF IOWA FOR ALL STAFF CHARGES RELATED TO VERATRUS. THE AMOUNT REIMBURSED TO DELTA DENTAL OF IOWA IN 2024 WAS $850,827 FOR MANAGEMENT FEES AND $1,671,843 FOR OTHER EXPENSES. DELTA DENTAL OF IOWA ALSO PURCHASES VISION BENEFITS FROM VERATRUS FOR DDIA EMPLOYEES. THE AMOUNT PAID TO VERATRUS IN 2024 FOR VISION BENEFITS FOR DDIA EMPLOYEES WAS $43,485. SCHEDULE R, PART IV, COLUMN B: VERATRUS HEALTH, INC. IS A FOR PROFIT CORPORATION FORMED IN 2017 AND IS WHOLLY-OWNED BY DELTA DENTAL OF IOWA. IN 2017, DELTA DENTAL OF IOWA TRANSFERRED 100% OF THE OWNERSHIP OF VERATRUS BENEFIT SOLUTIONS TO VERATRUS HEALTH, INC. VALUED AT $624,541. VERATRUS INVESTMENTS LLC 9000 NORTHPARK DRIVE JOHNSTON IA 50131 384028167 INVESTING IN ORGANIZATIONS THAT FURTHER THE MISSION OF VERATRUS HEALTH, INC. IA 0 0 VERATRUS HEALTH INC DELTA DENTAL OF IOWA FOUNDATION 9000 NORTHPARK DRIVE JOHNSTON IA 50131 260762771 NP ORGANIZED TO STRENGTHEN AND TRANSFORM THE HEALTH AND SMILES OF ALL IOWANS IA 501(C)(3) LINE 12A, I DELTA DENTAL OF IOWA 1 VERATRUS HEALTH INC 9000 NORTHPARK DRIVE JOHNSTON IA 50131 815414506 HOLDING COMPANY IA DENTAL DENTAL OF IOWA C 69767 11441391 1.00000 1 VERATRUS BENEFIT SOLUTIONS INC 9000 NORTHPARK DRIVE JOHNSTON IA 50131 271584394 CORP ORGANIZED TO DISTRIBUTE DELTA VISION PRODUCT IA VERATRUS HEALTH INC C 11980430 3247328 1.00000 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 1 1 0 DELTA DENTAL OF IOWA FOUNDATION B 5000000 SEE PART VII - SUPPLEMENTAL INFO DELTA DENTAL OF IOWA FOUNDATION O 560235 SEE PART VII - SUPPLEMENTAL INFO DELTA DENTAL OF IOWA FOUNDATION Q 35138 SEE PART VII - SUPPLEMENTAL INFO VERATRUS BENEFIT SOLUTIONS INC O 850827 SEE PART VII - SUPPLEMENTAL INFO VERATRUS BENEFIT SOLUTIONS INC R 12165251 SEE PART VII - SUPPLEMENTAL INFO VERATRUS BENEFIT SOLUTIONS INC Q 1671843 SEE PART VII - SUPPLEMENTAL INFO VERATRUS HEALTH INC B 43485 CASH PAID FORM 990, SCHEDULE R, PART V, LINE 2(1), COLUMN D: PERCENTAGE OF REVENUE BASED ON BOARD APPROVED POLICY FORM 990, SCHEDULE R, PART V, LINE 2(2), COLUMN D: MANAGEMENT FEES CHARGED TO DELTA DENTAL OF IOWA FOUNDATION BASED ON HOURS WORKED FORM 990, SCHEDULE R, PART V, LINE 2(4), COLUMN D: MANAGEMENT FEES CHARGED TO VERATRUS BENEFIT SOLUTIONS, INC. BASED ON HOURS WORKED FORM 990, SCHEDULE R, PART V, LINE 2(5), COLUMN D: VISION PREMIUMS BILLED AND COLLECTED BY DDIA ON BEHALF OF VERATRUS BENEFIT SOLUTIONS, INC. CASH WAS TRANSFERRED FROM DDIA TO VERATRUS FOR THESE PREMIUMS. FORM 990, SCHEDULE R, PART V, LINE 2(6), COLUMN D: ACTUAL COST OF INVOICES PAID BY DDIA ON BEHALF OF VERATRUS BENEFIT SOLUTIONS, INC.