2026-09-23T11:47:43+00:00 2025-12-31 331498605 PLANTE & MORAN PLLC 8181 E TUFTS AVE SUITE 600 DENVER CO 80237 990 2025-01-01 834416613 DELTA DENTAL OF COLORADO DELT 8002330860 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 KEITH W PHILLIPS CHIEF FINANCIAL OFFICER 7209254409 2026-09-23 true DORI J EGGETT P00645252 3037409400 2026-09-21 2025 KEITH W PHILLIPS 6465 GREENWOOD PLAZA BLVD 900 CENTENNIAL CO 80111 767963532 false X WWW.DELTADENTALCO.COM X 2019 CO TO IMPROVE THE ORAL HEALTH OF THE COMMUNITIES WE SERVE. 13 9 250 0 0 0 0 0 678515247 709727080 2357207 3508788 26136 486732 680898590 713722600 2853633 1699787 602296817 623316743 30245898 29805870 0 0 0 43098224 46482261 678494572 701304661 2404018 12417939 106632580 121242829 42846810 43092015 63785770 78150814 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. false false 693961004 0 710213812 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. 1699787 1699787 0 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 20+ 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 COMMUNITY FIRST FOUNDATION, DENVER ZOOLOGICAL FOUNDATION, COLORADO GIVES FOUNDATION, JUNIOR ACHIEVEMENT, THRIVING FAMILIES, AMERICAN RED CROSS, COLORADO MISSION OF MERCY, AND MILE HIGH UNITED WAY. THE COMPANY ALSO SPONSORS LOCAL NONPROFIT ORGANIZATIONS AND COMMUNITY EVENTS AND DONATED OVER 85,000 ORAL HEALTH ITEMS TO PEOPLE THROUGHOUT COLORADO. THE COMPANY SUPPORTS ENGAGEMENT IN THE COMMUNITY THROUGH ITS VOLUNTEER PROGRAM WITH 162 OF ITS 200 EMPLOYEES CONTRIBUTING THEIR TIME IN 2025. 695660791 false false false false false false false false false false true true false true true true false true false false false false false false false false false true false true false false false false false false false false false true false false false false false true true true false false true 45813 0 true 250 true false false false false false false false false true false X 13 9 false false false false true true false true true false false false true true true true true true true true false false X X MICHAEL R THORNLEY 3038898634 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 ANDREA YOUNG VICE-CHAIR 4.0 4.0 X X 42969 15750 0 HELEN W DREXLER PRESIDENT AND CHIEF EXECUTIVE OFFICER 27.0 18.0 X X 906041 525303 89279 JAMES L COUSIN II CHAIR 4.0 0 X X 74250 0 0 JOSEPH GARCIA SECRETARY 4.0 2.0 X X 45750 0 0 ANN BLOCK TRUSTEE 4.0 4.0 X 52304 7750 0 ANN SOMERS DDS TRUSTEE 4.0 0 X 43500 0 0 DONALD ORTEGA TRUSTEE 4.0 2.0 X 48496 0 0 DOUG WHETTEN TRUSTEE 4.0 0 X 41250 0 0 IAN MCLEAN TRUSTEE 4.0 0 X 40500 0 0 LISA RAMIREZ TRUSTEE 4.0 0 X 42000 0 0 MARK GOODMAN TRUSTEE 4.0 0 X 61964 0 0 TAMANNA TIWARI MPH MDS BDS TRUSTEE 4.0 2.0 X 57000 0 0 TODD EVENSON TRUSTEE 4.0 0 X 46500 0 0 KEITH W PHILLIPS CHIEF FINANCIAL OFFICER 37.0 8.0 X 152246 31184 8072 BRAD T GUYTON DDS MBA MPH CHIEF DENTAL OFFICER 21.0 2.0 X 353110 26579 39559 KELLI C OGUNSANYA CHIEF OPERATING OFFICER 41.0 4.0 X 557130 61904 65620 ROBERT M THOMPSON CHIEF GROWTH OFFICER 38.0 7.0 X 475271 83871 62891 STACY L ABEL CHIEF PEOPLE OFFICER 43.0 2.0 X 491143 20464 67010 ALLISON MELUN DIRECTOR-MARKETING & CORPORATE COMMUNICATIONS 31.0 14.0 X 200093 85754 52433 DEVIN W FARRELL DIRECTOR-SALES & ACCT MGMNT 38.0 7.0 X 272711 48126 58475 MICHAEL R THORNLEY CORPORATE CONTROLLER 30.0 15.0 X 224946 121127 42688 PATRICK A CORDOVA DIRECTOR-IT INFRASTRUCTURE & DATA SYSTEMS 31.0 14.0 X 172800 74058 49846 RYAN M WALLACE DIRECTOR-CLIENT STRATEGY & UNDERWRITING 42.0 3.0 X 229676 19971 41108 4631650 1121841 576981 74 false true false NORTHWINDS TECHNOLOGY SOLUTIONS LLC 111 SHUMAN BLVD NAPERVILLE IL 60563 IT SUPPORT & CLAIMS PROCESSING 8111490 WYSSTA SERVICES INC PO BOX 86 STEVENS POINT WI 84481 3RD PARTY INSURANCE PROCESSING 4186544 NPN 360 INC 2801 LAKESIDE DRIVE BANNOCKBURN IL 60015 PRINTING AND MAILING SERVICES 2822701 FIRSTSOURCE GROUP USA INC 205 BRYANT WOODS SOUTH AMHERST NY 14228 BUSINESS PROCESS OUTSOURCING 1799620 ENCARA INC 4818 STARKEY ROAD ROANOKE VA 24018 SALES AND MARKETING SERVICES 1298353 45 0 SELF FUNDED PLAN PREMIUMS 524114 443768552 443768552 RISK PLAN PREMIUMS 524114 240202198 240202198 ADMIN - SELF FUND PLAN 524298 25756330 25756330 0 0 0 0 709727080 2985976 2985976 0 0 54763744 54240932 522812 0 522812 522812 0 DENTAL SAVINGS/DISCOUNT PLAN 524298 486732 486732 0 0 0 0 486732 713722600 710213812 0 3508788 1699787 1699787 623316743 623316743 5836126 5719403 116723 16963486 16624216 339270 688837 675060 13777 4729982 4635382 94600 1587439 1555690 31749 1520656 1216525 304131 861730 689384 172346 166677 133342 33335 154966 154966 40395 28276 12119 0 2198446 2198446 216654 151658 64996 697783 558226 139557 1813643 1450914 362729 298108 59622 238486 2071049 1139077 931972 376287 301030 75257 DATA PROCESSING 12567451 12567451 COMMISSIONS 10631204 10631204 OUTSOURCING 5648718 4518974 1129744 INCOME TAX EXPENSE 77925 77925 7140569 5712456 1428113 0 701304661 695660791 5643870 0 21618 26187107 668552 748035 27202003 16335761 0 0 0 0 1812577 1655642 18500259 11745506 8678102 6754753 12158002 12319152 44662752 47124649 0 11428974 10117730 106632580 121242829 3491309 6012999 3345841 2131066 0 36009660 34947950 42846810 43092015 X 63785770 78150814 63785770 78150814 106632580 121242829 X 12417939 1934510 12595 X false true true false 5253098 2574701 2678397 11849200 8292082 3557118 1397961 878723 519238 6754753 CLOSELY-HELD EQUITY INTERESTS FINANCIAL DERIVATIVES BONDS 47124649 F 47124649 ACCRUED INTEREST 407861 RIGHT-OF-USE ASSETS 8353215 INTERCOMPANY RECEIVABLE 127327 FUNDS HELD OR DEPOSITED WITH REINSURED COMPANIES 1229327 10117730 FEDERAL INCOME TAXES PROVISION FOR UNPAID CLAIMS 8881439 ACCRUED EMPLOYEE BENEFITS 7654189 DEPOSITS 1319344 UNCLAIMED PROPERTY 1215231 RIGHT-OF-USE LEASE LIABILITIES 11219096 REINSURANCE PAYABLE 4658651 34947950 X 0 0 0 0 0 0 0 0 0 0 0 0 SCHEDULE D, PART X, LINE 2 FIN 48 (ASC 740) FOOTNOTE 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, 2025, 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. true DELTA DENTAL PLAN OF COLORADO FOUNDATION 6465 GREENWOOD PLAZA BLVD CENTENNIAL CO 80111 841389431 501C3 1000000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COMMUNITY FIRST FOUNDATION 5855 WADSWORTH BYPASS ARVADA CO 80003 510157964 501C3 46238 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER ZOOLOGICAL FOUNDATION 2300 STEELE ST DENVER CO 80205 840502539 501C3 10363 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO GIVES FOUNDATION 5855 WADSWORTH BYPASS UNIT A ARVADA CO 80003 510157964 501C3 50000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER PUBLIC SCHOOLS FOUNDATN 1860 LINCOLN ST 10TH FLOOR DENVER CO 80204 841224325 501C3 38000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO ROCKIES BASEBALL CLUB 2001 BLAKE STREET DENVER CO 80208 841162452 501C3 30000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION JUNIOR ACHIEVEMENT ROCKY MOUNTAIN INC 6500 GREENWOOD PLAZA BLVD GREENWOOD VILLAGE CO 80111 840430495 501C3 30000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION CHILDRENS MUSEUM OF DENVER INC 2121 CHILDRENS MUSEUM DRIVE DENVER CO 80217 840658142 501C3 25000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER BOTANIC GARDENS INC 909 YORK ST DENVER CO 80206 840440359 501C3 25000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION GIRL SCOUTS OF COLORADO 1485 S COLORADO BLVD STE 210 DENVER CO 80222 840410630 501C3 25000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION THRIVING FAMILIES 191 YUMA ST DENVER CO 80223 841993572 501C3 25000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION PLAYFLY LLC 22 CASSATT AVE BERWYN PA 19312 851210887 501C3 20600 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION FOCUS POINTS FAMILY RESOURCE CENTER 2501 E 48TH AVE DENVER CO 80216 841353944 501C3 20090 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION AMERICAN RED CROSS MILE HIGH CHAPTER 444 SHERMAN ST DENVER CO 80204 530196605 501C3 20000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION CLEO PARKER ROBINSON DANCE 119 PARK AVE WEST DENVER CO 80205 840632111 501C3 20000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO MISSION OF MERCY 1910 56TH AVE GREELEY CO 80634 271586585 501C3 20000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION GIRLS INCORPORATED OF METRO DENVER 1499 JULIAN ST DENVER CO 80204 742277668 501C3 20000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION WEECYCLE 5590 JOLIET ST DENVER CO 80239 823096264 501C3 20000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION AMERICAN ONLINE GIVING FOUNDATION INC 40 E MAIN ST STE 887 NEWARK DE 19711 810739440 501C3 19021 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION MILE HIGH UNITED WAY PO BOX 5547 DENVER CO 80217 840404235 501C3 17800 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION ALZHEIMER'S ASSOCIATION 12894 S PONY EXPRESS RD DRAPER UT 95670 840908354 501C3 16700 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION NATIONAL KIDNEY FOUNDATION INC 1391 SPEER BLVD DENVER CO 80204 131673104 501C3 15500 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION CIVIC CENTER CONSERVANCY 1410 GRANT ST STE C205 DENVER CO 80203 202214279 501C3 15000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION ENVIRONMENTAL LEARNING FOR KIDS 12680 ALBROOK DR DENVER CO 80239 841436605 501C3 15000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION VOLUNTEERS OF AMERICA OF COLORADO 2660 LARIMER ST DENVER CO 80205 841590666 501C3 13750 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION COLORADO WOMEN'S CHAMBER OF COMMERCE 865 ALBION ST STE 250 DENVER CO 80220 841145793 501C3 13000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION HABITAT FOR HUMANITYOF METRO DENVER INC 430 S NAVAJO ST DENVER CO 80223 742050021 501C3 12000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION VOLUNTEERS FOR OUTDOOR COLORADO PO BOX 100577 DENVER CO 80250 742357211 501C3 11250 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION FEEDING COLORADO 10700 E 45TH AVE DENVER CO 80239 841568564 501C3 10500 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION BCIVIC 789 SHERMAN STREET DENVER CO 80204 465262657 501C3 10000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION CIRCLE 3455 RINGSBY CT STE 130 DENVER CO 80216 472199655 501C3 10000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENTAL LIFELINE NETWORK 1800 15TH STREET DENVER CO 80202 840900619 501C3 10000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER MUSEUM OF NATURE & SCIENCE 2001 COLORADO BLVD DENVER CO 80205 840518447 501C3 10000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION DENVER URBAN GARDENS 1031 33RD ST STE 100 DENVER CO 80205 742374848 501C3 10000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION LATIN AMERICAN EDUCATIONAL FOUNDATION 2900 WELTON ST STE 200 DENVER CO 80205 846010415 501C3 10000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION METRO CARING 1100 E 18TH AVE DENVER CO 80226 846116951 501C3 10000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION SPECIAL OLYMPICS COLORADO 12450 E ARAPAHOE RD CENTENNIAL CO 80112 840713739 501C3 10000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION THE CENTER ON COLFAX 1301 E COLFAX AVE DENVER CO 80218 840738879 501C3 7500 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION AMERICAN CANCER SOCIETY 10065 E HARVARD AVE DENVER CO 80238 131788491 501C3 6000 FUNDING TO SUPPORT LOCAL CHARITABLE ORGANIZATION 39 0 SCHEDULE I, PART I, LINE 2 PROCEDURES FOR MONITORING USE OF GRANT FUNDS 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. X false true X X X X false false false true false true false false false HELEN W DREXLER PRESIDENT AND CHIEF EXECUTIVE OFFICER 497217 288275 394987 229005 13837 8023 46571 27001 9943 5764 962555 558068 0 0 KEITH W PHILLIPS CHIEF FINANCIAL OFFICER 114433 23440 0 0 37813 7744 3863 791 2837 581 158946 32556 0 0 KELLI C OGUNSANYA CHIEF OPERATING OFFICER 317430 35270 223828 24870 15872 1764 41850 4650 17208 1912 616188 68466 0 0 ROBERT M THOMPSON CHIEF GROWTH OFFICER 278374 49125 178971 31583 17926 3163 37596 6635 15861 2799 528728 93305 0 0 STACY L ABEL CHIEF PEOPLE OFFICER 303405 12642 170357 7098 17381 724 39849 1660 24481 1020 555473 23144 0 0 BRAD T GUYTON DDS MBA MPH CHIEF DENTAL OFFICER 211684 20496 132583 5703 8843 380 24186 1820 12603 950 389899 29349 0 0 MICHAEL R THORNLEY CORPORATE CONTROLLER 176476 95030 43525 23436 4945 2661 21001 11306 6748 3633 252695 136066 0 0 DEVIN W FARRELL DIRECTOR-SALES & ACCT MGMNT 174777 30844 94925 16751 3009 531 26465 4670 23239 4101 322415 56897 0 0 ALLISON MELUN DIRECTOR-MARKETING & CORPORATE COMMUNICATIONS 154716 66306 40021 17152 5356 2296 18345 7862 18358 7868 236796 101484 0 0 PATRICK A CORDOVA DIRECTOR-IT INFRASTRUCTURE & DATA SYSTEMS 140710 60304 27613 11834 4477 1920 15785 6764 19107 8190 207692 89012 0 0 RYAN M WALLACE DIRECTOR-CLIENT STRATEGY & UNDERWRITING 190897 16597 33373 2903 5406 471 20637 1794 17182 1495 267495 23260 0 0 SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE OR RESIDENCE FOR PERSONAL USE WE PROVIDED OUR CHIEF FINANCIAL OFFICER WITH MOVING AND RELOCATION ASSISTANCE THAT INCLUDED A TEMPORARY EXECUTIVE HOUSING ALLOWANCE. THIS BENEFIT WAS TREATED AS TAXABLE COMPENSATION. SCHEDULE J, PART I, LINE 1B WRITTEN POLICY REGARDING PAYMENT OR REIMBURSEMENT OF EXPENSES DDCO DOES NOT HAVE A FORMAL WRITTEN HOUSING ALLOWANCE POLICY AS THE HOUSING ALLOWANCE PROVIDED WAS A ONE-TIME EXCEPTION IN CONJUNCTION WITH THE EMPLOYMENT AGREEMENT. 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 2025 THE PLAN YEAR ENDING DECEMBER 31, 2024 WAS PAID. SCHEDULE J, PART I, LINE 6A COMPENSATION CONTINGENT ON NET EARNINGS OF THE ORGANIZATION SEE NARRATIVE FOR LINE 5A ABOVE. POLOUS & SOMERS PC ANN SOMERS, TRUSTEE, OWNS MORE THAN 35% OF POLOUS & SOMERS, PC 231469 CLAIMS PAID FOR DENTAL SERVICES PROVIDED. false DENTISTS OF BRIGHTON IAN MCLEAN, TRUSTEE 367068 CLAIMS PAID FOR DENTAL SERVICES PROVIDED. false STRASBURG FAMILY DENTAL PLLC DOUG WHETTEN, TRUSTEE, OWNS MORE THAN 35% OF STRASBURG FAMILY DENTAL, PLLC 131791 CLAIMS PAID FOR DENTAL SERVICES PROVIDED. false 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). FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES SUBSIDIARY CONTRIBUTIONS - 12595; TOTAL - 12595; 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 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 BETA HEALTH ASSOCIATION 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 841146388 PROVIDES NON-INSURED DENTAL BENEFITS TO SUPPORT DENTAL INSURANCE CARRIERS CO ENSEMBLE INNOVATION VENTURES C CORPORATION false EMBER ASSURANCE 6465 GREENWOOD PLAZA BLVD SUITE 900 CENTENNIAL CO 80111 874622250 MARKET AND ADMINISTER VISION INSURANCE PRODUCTS CO ENSEMBLE INNOVATION VENTURES C CORPORATION false false true false false false false false true false true false false false false true false true false false DELTA DENTAL PLAN OF COLORADO FOUNDATION J 67000 FMV DELTA DENTAL PLAN OF COLORADO FOUNDATION O 290462 FMV DELTA DENTAL PLAN OF COLORADO FOUNDATION B 1000000 FMV