2025-08-01T14:08:04-05:00 2024-12-31 390859910 BAKER TILLY ADVISORY GROUP LP 790 N WATER ST SUITE 2000 MILWAUKEE WI 53202 990 2024-01-01 820299431 DELTA DENTAL OF IDAHO DELT 2084893534 555 E PARKCENTER BLVD BOISE ID 83706 GREG DONACA PRESIDENT AND CEO 2084893534 2025-07-31 1 1 SHELBY NETZ CPA P01405265 4147775500 2025-07-31 2024 2025-03-06 01:10:19Z GREG DONACA 555 E PARKCENTER BLVD BOISE ID 83706 92203507 0 X WWW.DELTADENTALID.COM X 1971 ID DELTA DENTAL PLAN OF IDAHO, INC. WAS INCORPORATED IN 1971 AS A NON-PROFIT SERVICE (SEE SCHEDULE O) ORGANIZATION. DELTA DENTAL PLAN OF IDAHO, INC. PROVIDES PREPAYMENT DENTAL SERVICE PROGRAMS TO SUBSCRIBERS, THEIR ELIGIBLE DEPENDENTS, AND OTHER BENEFICIARES AS WELL AS PUBLIC BENEFIT PROGRAMS TO PROMOTE ORAL HEALTH. 13 9 115 0 649648 0 0 0 83432063 86632729 1403997 2358783 0 0 84836060 88991512 783884 3145174 0 0 9973689 11036288 0 0 0 72281683 78050637 83039256 92232099 1796804 -3240587 85966501 91768410 25091052 29832983 60875449 61935427 X DELTA DENTAL PLAN OF IDAHO, INC'S MISSION STATEMENT IS "WE BELIEVE IN THE POWER OF ORAL HEALTH TO ENRICH LIVES. WE PROVIDE INNOVATIVE PLANS, PROGRAMS, AND EDUCATIONAL RESOURCES THAT IMPROVE THE HEALTH OF OUR COMMUNITIES. ORAL HEALTH INSPIRES EVERYTHING WE DO." 0 0 63484844 85983081 DENTAL HEALTH SERVICES: DENTAL HEALTH COVERAGE AND ADMINISTRATIVE SERVICES INCLUDING EXTERNAL COMMISSIONS PAID, PROVIDED FOR 444,497 MEMBERS. 1173547 222275 DENTAL SEALANT CLINICS: IN 2024, WE PROVIDED FREE SCHOOL BASED PREVENTATIVE CLINICS TO 9,357 CHILDREN AND AN ADDITIONAL 1,291 AT COORDINATED EVENTS WITH COMMUNITY PARTNERS. WE ALSO EDUCATED 14,283 CHILDREN ON THE IMPORTANCE OF GOOD ORAL HYGIENE THROUGH IN PERSON CLINICS AND 10,357 VIRTUALLY THROUGH THE LAND OF SMILES PROGRAM, AND 72 THROUGH THE GIRL SCOUTS PATCH PROGRAM. 3299355 2922899 COMMUNITY GRANTS: THE COMPANY PROVIDED A TOTAL OF $2,473,601 IN ONE TIME DONATIONS TO IDAHO HIGHER EDUCATION INSTITUTIONS IN SUPPORT OF THEIR ORAL HEALTH EDUCATION PROGRAMS. WE PARTIALLY FUNDED A FULL TIME COMMUNITY DENTAL HEALTH COORDINATOR AT TERRY REILLY DENTAL HEALTH CENTER WHO PROVIDED PREVENTION/EDUCATION SERVICE TO 141 PATIENTS AND DENTAL TREATMENT TO AN ADDITIONAL 847 PATIENTS. 581185 DENTAL SENIOR PLANS: DONATED 120,191 ORAL HEALTH ITEMS TO COMMUNITY MEMBERS THROUGHOUT IDAHO AND PROVIDED SPONSORSHIPS/SCHOLARSHIPS FOR 27 STUDENTS AND PROFESSIONALS IN THE ORAL HEALTH FIELD. WE ALSO PROVIDED 271 INCOME QUALIFYING SENIORS, 47 INCOME QUALIFYING AUDULTS AGE 26-34, AND 127 QUALIFYING CHILDREN WITH $43,418 IN FREE RESOTRATIVE, PORSTHODONTIC AND PREVENTIVE DENTAL CARE. 581185 68538931 0 0 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 1 15998 0 1 115 1 1 1 0 0 0 0 0 0 0 X 13 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X GREG DONACA 2084893580 555 E PARKCENTER BLVD BOISE ID 83706 GREG DONACA PRESIDENT AND CEO 40.00 X 571491 0 80834 DONALD MURRAY SVP SALES ACCT MANAGEMENT AND GOVN'T RELATIONS 40.00 X 312045 0 24235 BILL SHRUM SVP, FINANCE AND ACCOUNTING 40.00 X 223743 0 46195 CHRIS FERGUSON DIRECTOR, ENTERPRISE APPLICATIONS 40.00 X 194901 0 34421 JOANNA RAMER VP, SALES AND ACCOUNT MANAGEMENT 40.00 X 169440 0 41884 ADONIS JONES SENIOR DIRECTOR, IT 40.00 X 172925 0 25836 JODY DIPALMA SALES ACCOUNT EXECUTIVE 40.00 X 166817 0 17970 JAMES PAULL MANAGER, SOFTWARE DEVELOPMENT 40.00 X 152865 0 21453 PAUL O'KANE VP, DENTAL SERVICES 40.00 X 149794 0 20273 MIKE MOONEY CHAIR 4.00 X X 41550 0 0 ANNETTE HERMAN IMMEDIATE PAST CHAIR 5.00 X X 28523 0 0 JONATHAN L JUREVIC MD BOARD MEMBER 4.00 X 28307 0 0 MARK ALEXANDER DMD BOARD MEMBER 4.00 X 27481 0 0 MICHAEL FERY SECRETARY 4.00 X X 27450 0 0 JIM PIERCE DDS BOARD MEMBER 4.00 X 27222 0 0 JOHANNA HALE BOARD MEMBER 4.00 X 26800 0 0 JACK LINCKS DDS BOARD MEMBER 4.00 X 25999 0 0 CHRISTINE NEUHOFF CHAIR-ELECT 4.00 X X 26500 0 0 NANCY BRIGGS BOARD MEMBER 4.00 X 25700 0 0 JOHN ECK MD BOARD MEMBER 4.00 X 25500 0 0 KYLE SIEMEN DMD BOARD MEMBER 4.00 X 25308 0 0 KURT PETELLIN DDS BOARD MEMBER 4.00 X 25221 0 0 PARK PRICE BOARD MEMBER (THROUGH 03/2024) 4.00 X 2328 0 0 2477910 0 313101 34 0 1 0 SUMMIT DENTAL GROUP 782 SOUTH AMERICANA BLVD BOISE ID 83702 CLAIMS 1157404 RIVERSTONE DENTAL CARE PLLC 2344 N MERRITT CREEK LOOP COEUR D ALENE ID 83814 CLAIMS 946171 EASTERN IDAHO ENDODONTICS PLLC 3335 S HOLMES AVE IDAHO FALLS ID 83404 CLAIMS 885238 S W GRANT PC 2275 SOUTH EAGLE RD STE 140 MERIDIAN ID 83642 CLAIMS 864771 WHITEWATER ORAL SURGERY GROUP PLLC W MAIN ST STE 130 BOISE ID 83702 CLAIMS 811447 404 DENTAL PREMIUMS 524114 80672636 80672636 ADMINISTRATION FEES 524114 5310445 5310445 IT SERVICE REVENUE 541519 649648 649648 86632729 1509903 1509903 4060875 3211995 848880 848880 848880 88991512 85983081 649648 2358783 2922899 2922899 222275 222275 2003822 2003822 6735871 6735871 691064 691064 1001001 1001001 604530 604530 496490 496490 169430 169430 62501 62501 291851 291851 1546419 1546419 586993 586993 120743 120743 554989 554989 316297 316297 319209 319209 127628 127628 313087 313087 473001 473001 268732 268732 CLAIMS 63484844 63484844 EXTERNAL COMMISSIONS 4100450 4100450 COMMUNITY PROGRAMS 1908913 1908913 SOFTWARE WRITE-OFF 1354363 1354363 1554697 1554697 92232099 68538931 23693168 0 127884 123819 0 95619 3282717 3227123 406195 328888 13966314 5246387 9924967 8719927 62187404 68651068 10037334 10621966 85966501 91768410 3674387 8707109 3915959 3798590 0 98344 17500706 17228940 25091052 29832983 X 60825449 61885427 50000 50000 60875449 61935427 85966501 91768410 -3240587 4300565 0 X X 0 1 X 1 0 1177645 1177645 8441241 1592680 6848561 4347428 3653707 693721 8719927 DEFERRED COMPENSATION 10621966 10621966 DEFERRED COMPENSATION 10621966 ACCRUED DENTAL CLAIMS 3367000 UNEARNED PREMIUMS 2069386 ADVANCE DEPOSITS 538100 RETENTION ACCOUNT 404488 PROVISION FOR CLAIMS PROCESSINGS 228000 17228940 X 93000226 4300565 4300565 88699661 291851 291851 88991512 91940248 0 91940248 291851 291851 92232099 PART X, LINE 2: DELTA DENTAL PLAN OF IDAHO, INC. BELIEVES THAT IT HAS APPROPRIATE SUPPORT FOR ANY TAX POSITIONS TAKEN AFFECTING ITS ANNUAL FILING REQUIREMENTS, AND AS SUCH, DOES NOT HAVE ANY UNCERTAIN TAX POSITIONS THAT ARE MATERIAL TO THE FINANCIAL STATEMENTS. DELTA DENTAL PLAN OF IDAHO, INC. WOULD RECOGNIZE FUTURE ACCRUED INTEREST AND PENALTIES RELATED TO UNRECOGNIZED TAX BENEFITS AND LIABILITIES IN INCOME TAX EXPENSE IF SUCH INTEREST AND PENALTIES ARE INCURRED. 1 ADAMS COUNTY HEALTH CENTER PO BOX 428 COUNCIL ID 83612 208341138 501(C)(3) 50000 0 FALL GRANT - EQUIPMENT AMERICAN DENTAL HYGIENISTS' ASSOCIATION 444 N MICHIGAN AVE STE 400 CHICAGO IL 60611 362372371 501(C)(6) 15000 0 HYGIENIST INSPIRED PILOT PROGRAM CENTRAL DISTRICT HEALTH 707 N ARMSTRONG PL BOISE ID 83704 820335015 GOVERNMENT ENTITY 39120 0 FALL GRANT - YOUTH ORAL HEALTH PROGRAM CHILDREN'S MUSEUM HEALTH 790 S PROGRESS AVE MERIDIAN ID 83642 371899670 501(C)(3) 6000 0 HEALTH FAIR/GALA COLLEGE OF EASTERN IDAHO 1600 S 25TH E IDAHO FALLS ID 83404 943160729 501(C)(3) 7560 0 2 RDA SCHOLARSHIPS COLLEGE OF SOUTHERN IDAHO FOUNDATION INC PO BOX 1238 TWIN FALLS ID 83303 820388193 501(C)(3) 58610 0 FALL GRANT - DENTAL WORKFORCE & EQUIPMENT, 2 RDA SCHOLARSHIPS COLLEGE OF WESTERN IDAHO FOUNDATION 6056 BIRCH LANE NAMPA ID 83687 271159705 501(C)(3) 1511250 0 2 RDA, 1 BILINGUAL RDA SCHOLARSHIPS, THE CONSTRUCTION OF THE HEALTH AND SCIENCE BUILDING AND IN SUPPORT OF THE DENTAL HYGIENE PROGRAM. COMMUNITY HEALTH CLINICS INC DBA TERRY REILLY HEALTH SERVICES PO BOX 9 NAMPA ID 83653 820300537 501(C)(3) 63980 0 PARTIALLY FUND FULL TIME COMMUNITY DENTAL HEALTH COORDINATOR, SPRING GRANT - CAPITAL EQUIPMENT GENESIS COMMUNITY HEALTH 215 W 35TH ST BOISE ID 83714 820505073 501(C)(3) 20000 0 FUNDS TO EMPLOYEE DENTAL HYGIENIST(S) & DENTIST IDAHO ORAL HEALTH ALLIANCE PO BOX 2309 BOISE ID 83701 200454949 501(C)(3) 28250 0 SPRING GRANT - 100 MILLION MOUTHS CAMPAIGN, 2ND OF 3 YEAR SPONSORSHIP FOR INFRASTRUCTURE IDAHO STATE UNIVERSITY FOUNDATION 921 S 8TH AVE STOP 8050 POCATELLO ID 83209 826013543 501(C)(3) 981831 0 PURCHASE OF DENTAL EQUIPMENT, 2 DENTAL HYGIENE SCHOLARSHIP NNOHA 181 E 56TH AVE STE 410 DENVER CO 80216 841186592 501(C)(3) 6392 0 PAID FOR 8 PEOPLE'S REGISTRATION TO CONFERENCE NORTH IDAHO COLLEGE FOUNDATION 1000 W GARDEN AVENUE COUER D ALENE ID 83814 820337334 501(C)(3) 8260 0 2 RDH SCHOLARSHIPS POCATELLO FREE CLINIC 1001 N 7TH AVE STE 155 POCATELLO ID 83201 820351133 501(C)(3) 24356 0 SPRING GRANT - CAPITAL EQUIPMENT PUBLIC HEALTH - IDAHO NORTH CENTRAL DISTRICT 215 10TH ST LEWISTON ID 83501 820335058 GOVERNMENT ENTITY 10000 0 SPRING GRANT - ORAL HEALTH EQUIPMENT SNAKE RIVER COMMUNITY CLINIC 215 10TH ST LEWISTON ID 83501 311726460 501(C)(3) 45100 0 FALL GRANT - EQUIPMENT/CAPACITY BUILDING UNIVERSITY OF IDAHO FOUNDATION 875 PERMETER DR MS 3143 MOSCOW ID 83844 237098404 501(C)(3) 31580 0 PROJECT ECHO - ORAL HEALTH IN PRIMARY CARE WELLNESS TREE 173 MARTIN ST TWIN FALLS ID 83301 261249939 501(C)(3) 15600 0 SPRING GRANT - THE GIFT OF A SMILE 17 1 SCHOLARSHIPS 19 63106 GRANTS TO INDIVIDUALS FOR CONFERENCES 8 6392 COMMUNITY OUTREACH - DENTAL KITS 120191 0 152777 FMV DENTAL KITS PART I, LINE 2: THE ORGANIZATION ENDEAVORS TO MONITOR ITS GRANTS AND DONATIONS TO ENSURE THAT THE FUNDS ARE USED FOR THEIR PROPER PURPOSES AND NOT OTHERWISE DIVERTED FROM THEIR INTENDED USE. THIS IS ACCOMPLISHED BY REQUESTING RECIPIENT ENTITIES TO AFFIRM THAT FUNDS MUST BE USED SOLELY IN ACCORDANCE WITH THE GRANT REQUEST AND BUDGET ON WHICH THE GRANT WAS BASED AND THAT FUNDS NOT EXPENDED FOR THE STATED PURPOSE ARE TO BE RETURNED TO THE ORGANIZATION. REPORT ARE REQUESTED FROM TIME TO TIME AS IS DEEMED APPROPRIATE. THE SCHOLARSHIP RECIPIENTS ARE DETERMINED BY THE SCHOOL IN LINE WITH CRITERIA THAT ARE SET IN OUR SCHOLARSHIP AGREEMENT. THE SCHOOL'S FOUNDATION RECEIVES THE FUNDS FROM THE ORGANIZATION AND WORKS WITH THE SCHOOL'S FINANCIAL AID OFFICE TO APPLY THE FUNDS TO RECIPIENTS' TUITION. SCHOOLS PROVIDE ANNUAL REPORTS AND/OR THANK YOU LETTERS STATING OUR FUNDS HAVE BEEN USED. X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 GREG DONACA PRESIDENT AND CEO 384216 0 117772 0 69503 0 69682 0 11152 0 652325 0 46553 0 DONALD MURRAY SVP SALES ACCT MANAGEMENT AND GOVN'T RELATIONS 165738 0 35822 0 110485 0 13213 0 11022 0 336280 0 87759 0 BILL SHRUM SVP, FINANCE AND ACCOUNTING 175237 0 38306 0 10200 0 36763 0 9432 0 269938 0 0 0 CHRIS FERGUSON DIRECTOR, ENTERPRISE APPLICATIONS 158476 0 36425 0 0 0 12180 0 22241 0 229322 0 0 0 JOANNA RAMER VP, SALES AND ACCOUNT MANAGEMENT 150647 0 18793 0 0 0 30911 0 10973 0 211324 0 0 0 ADONIS JONES SENIOR DIRECTOR, IT 170711 0 2214 0 0 0 10843 0 14993 0 198761 0 0 0 JODY DIPALMA SALES ACCOUNT EXECUTIVE 136251 0 30566 0 0 0 7797 0 10173 0 184787 0 0 0 JAMES PAULL MANAGER, SOFTWARE DEVELOPMENT 145694 0 7171 0 0 0 9349 0 12104 0 174318 0 0 0 PAUL O'KANE VP, DENTAL SERVICES 149794 0 0 0 0 0 8446 0 11827 0 170067 0 0 0 PART I, LINE 4B DELTA DENTAL OF IDAHO HAS A 457(F) PLAN IN PLACE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE PLAN DURING THE TAX YEAR: GREG DONACA, DONALD MURRAY, AND BILL SHRUM. IN 2024 THE FOLLOWING INDIVIDUALS VESTED IN AND RECEIVED A PAYMENT FROM THE PLAN: - GREG DONACA $46,553 - DONALD MURRAY $87,759 PART I, LINE 5A: THE CEO BONUS COMPENSATION IS A MIXTURE OF PERFORMANCE AND TARGETED GROWTH, MEMBERSHIP AND CONTROLLING OPERATING EXPENSE FOR THE YEAR. BONUS TARGETS ARE ESTABLISHED ANNUALLY BY THE BOARD TO ENSURE THE ONGOING FINANCIAL SUCCESS OF DELTA DENTAL OF IDAHO AND STRIVE TO MEET THE MISSION. AT THE BEGINNING OF THE YEAR, THE TARGETS ARE ESTABLISHED AND APPROVED BY THE BOARD WITH ACTUAL RESULTS ALSO APPROVED BY THE BOARD AT THE END OF THE YEAR. CALCULATIONS ARE COMPLETED BY THE SVP OF FINANCE AND ACCOUNTING AND REVIEWED BY THE VP OF HUMAN RESOURCES BEFORE THEY ARE PRESENTED TO THE BOARD FOR APPROVAL. PERIODONTAL HEALTH SPECIALISTS OF IDAHO SEE PART V. 527058 DENTAL CLAIM PAYMENTS WERE MADE TO PERIODONTAL HEALTH SPECIALISTS OF IDAHO, WHICH IS MORE THAN 35% OWNED BY JACK LINCKS, A CURRENT BOARD MEMBER OF DELTA DENTAL OF IDAHO. 0 KURT PETELLIN DDS SEE PART V. 112479 DENTAL CLAIM PAYMENTS WERE MADE TO KURT PETELLIN, DDS., WHICH IS MORE THAN 35% OWNED BY KURT PETELLIN, A CURRENT BOARD MEMBER OF DELTA DENTAL OF IDAHO. 0 FORM 990, PART VI, SECTION A, LINE 1A THE CHAIR, IMMEDIATE PAST-CHAIR, SECRETARY AND CEO CAN COMPRISE A STANDING EXECUTIVE COMMITTEE. ALTERNATIVELY, THE BOARD OF DIRECTORS ("BOD") MAY REPLACE THE STANDING EXECUTIVE COMMITTEE BY DESIGNATING TWO OR MORE DIRECTORS TO CONSTITUTE THE EXECUTIVE COMMITTEE. THE EXECUTIVE COMMITTEE CAN HAVE THE POWER AND AUTHORITY OF THE BOD IN THE DAY-TO-DAY MANAGEMENT OF THE BUSINESS OF THE COMPANY, SUBJECT TO THE LIMITATIONS IMPOSED BY THE IDAHO NONPROFIT CORPORATION ACT, OR THE BOD. FORM 990, PART VI, SECTION A, LINE 6 TO BE ELIGIBLE TO BECOME AND REMAIN A MEMBER OF DELTA DENTAL OF IDAHO, A PERSON MUST BE 1) HOLD A CURRENT LICENSE BY THE STATE OF IDAHO TO PRACTICE DENTISTRY; 2) CARRY AND MAINTAIN ADEQUATE PROFESSIONAL LIABILITY INSURANCE AND COMMERCIAL GENERAL LIABILITY POLICIES; 3) MEET THE CREDENTIALING CRITERIA; AND 4) EXECUTE A SERVICE AGREEMENT WITH DELTA DENTAL OF IDAHO. ALL MEMBERS SHALL ABIDE BY THE APPLICABLE RULES, REGULATIONS AND POLICIES THAT MAY BE ADOPTED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS INCLUDES TWO CLASSES OF DIRECTORS: MEMBER DIRECTORS AND INDEPENDENT DIRECTORS. A MAJORITY OF THE DIRECTORS ARE INDEPENDENT DIRECTORS APPOINTED BY THE BOARD OF DIRECTORS. THE MEMBER DIRECTORS ARE MEMBERS IN GOOD STANDING AND ARE ELECTED BY A MAJORITY OF THE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7B DELTA DENTAL OF IDAHO IS A MEMBER COMPANY OF THE DELTA DENTAL PLANS ASSOCIATION (DDPA) WHICH HAS GOVERNING RULES AND CRITERIA THAT ALL MEMBER COMPANIES MUST FOLLOW. THEREFORE CERTAIN BOARD DECISIONS ARE SUBJECT TO THESE GOVERNING RULES AND REQUIRE APPROVAL BY DDPA. IN ADDITION THE COMPANY IS SUBJECT TO RULES AND REGULATIONS ESTABLISHED BY THE IDAHO DEPARTMENT OF INSURANCE. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 (FORM) IS REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM BASED ON AUDITED FINANCIAL STATEMENTS OF DELTA DENTAL PLAN OF IDAHO, INC. AND WITH THE ASSISTANCE OF THE ORGANIZATION'S FINANCE AND ACCOUNTING STAFF. A COMPLETE COPY OF THE FORM 990 IS MADE AVAILABLE TO THE BOARD OF DIRECTORS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY IS REVIEWED AND SIGNED BY EACH BOARD MEMBER AND OFFICER OR KEY EMPLOYEE OF THE COMPANY ON AN ANNUAL BASIS. A DETAIL REVIEW OF THE SIGNED CONFLICT FORMS IS COMPLETED BY THE CEO AND THE GOVERNANCE COMMITTEE CHAIR. AFTER REVIEW, THE GOVERNANCE COMMITTEE CHAIR REPORTS TO THE FULL BOARD. IF A CONFLICT EXISTS, THE CHAIR IS RESPONSIBLE FOR ELIMINATION OF THE CONFLICT WITHIN A REASONABLE PERIOD OF TIME. THE EXTERNAL AUDITORS ARE CONSULTED AS NEEDED. FORM 990, PART VI, SECTION B, LINE 15 AT LEAST ANNUALLY, THE CEO COMPENSATION PACKAGES ARE REVIEWED BY THE COMPENSATION COMMITTEE USING COMPARABLE SALARY DATA AND OUTSIDE CONSULTANT DATA. THE COMPENSATION COMMITTEE CONSISTS OF 7 BOARD MEMBERS. IN ADDITION, A MARKET STUDY IS COMPLETED BY THE VP OF HR FOR ALL KEY EMPLOYEES AND IS REVIEWED BY THE CEO. OFFICER AND KEY EMPLOYEE COMPENSATION PROCESS CONSISTS OF SETTING GOALS AT THE BEGINNING OF THE YEAR FOR THE CALENDAR YEAR'S SALARY INCREASES AND BONUSES. THE GOALS ARE REVIEWED DURING THE YEAR WITH A FORMAL REVIEW AT THE END OF THE YEAR. DEPENDING ON THE PERFORMANCE OF THE COMPANY, INDIVIDUAL AND OVERALL ECONOMY, RAISES AND BONUSES ARE DETERMINED. DURING THE PROCESS, THE INDIVIDUALS AND COMPANY'S ACTUAL RESULTS ARE COMPARED AGAINST GOALS AND TARGETS. FORM 990, PART VI, SECTION C, LINE 19 FINANCIAL STATEMENTS ARE FILED WITH THE DEPARTMENT OF INSURANCE. INDIVIDUALS CAN MAKE REQUESTS FOR THE FINANCIAL STATEMENTS FOLLOWING THE DOI'S REGULAR PROCESS. IN ADDITION, FINANCIAL STATEMENTS ARE SHARED UPON REQUEST TO THE CEO AND CAN BE OBTAINED ONLINE THROUGH GUIDESTAR. FORM 990, PART XII, LINE 2C: NO CHANGE FROM PRIOR YEAR. HEALTH SERVICES GROUP 555 E PARKCENTER BLVD BOISE ID 83706 460920203 SUPPORT SERVICES ID 37989 5492 DELTA DENTAL OF IDAHO ADVANCED HEALTH SERVICES 555 E PARKCENTER BLVD BOISE ID 83706 352651482 IT SERVICES ID 611658 166921 DELTA DENTAL OF IDAHO