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Nonprofiteer
← DELTA DENTAL PLAN OF WYOMING

Form 990 for tax year 2022

Filed by DELTA DENTAL PLAN OF WYOMING.

Totals

Total revenue
$46,693,482
Total expenses
$46,022,803
Contributions and grants received
$0
Grants paid
$400,000
Program service revenue
$46,268,058
Investment income
$445,083
Other revenue
-$19,659
Total assets, end of year
$23,336,686
Total liabilities, end of year
$5,391,788
Net assets or fund balances, end of year
$17,944,898
Program services expenses (Part IX)
$43,868,513
Management and general expenses
$2,154,290
Fundraising expenses
$0
Program service expenses (Part III)
$43,868,513

Program services were 95.3% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: DENTAL PREMIUMS & ADMIN

    total $46,268,058 · related or exempt $46,268,058

  • 3 · Investment income

    total $488,277 · excluded $488,277

  • 7a · Gross sales of assets other than inventory

    securities $3,889,426

  • 7b · Less cost or other basis and sales expenses

    securities $3,932,620

  • 7c · Gain or loss

    securities -$43,194

  • 7d · Net gain or loss

    total -$43,194 · excluded -$43,194

  • 11a · Other revenue: OTHER INCOME (LOSS)

    total -$19,659 · excluded -$19,659

  • 11e · Other revenue, total

    -$19,659

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $400,000 · program services $400,000

  • 5 · Compensation of officers, directors and key employees

    total $493,119 · program services $221,904 · management and general $271,215

  • 7 · Other salaries and wages

    total $685,284 · program services $383,759 · management and general $301,525

  • 8 · Pension plan contributions

    total $203,416 · program services $91,537 · management and general $111,879

  • 9 · Other employee benefits

    total $145,089 · program services $81,250 · management and general $63,839

  • 10 · Payroll taxes

    total $70,532 · program services $38,793 · management and general $31,739

  • 11b · Fees: legal

    total $259,909 · program services $38,986 · management and general $220,923

  • 11c · Fees: accounting

    total $53,141 · program services $7,971 · management and general $45,170

  • 11f · Fees: investment management

    total $62,395 · management and general $62,395

  • 11g · Fees: other

    total $23,195 · program services $3,478 · management and general $19,717

  • 12 · Advertising and promotion

    total $187,494 · program services $28,124 · management and general $159,370

  • 13 · Office expenses

    total $140,501 · program services $84,301 · management and general $56,200

  • 16 · Occupancy

    total $49,905 · program services $17,467 · management and general $32,438

  • 17 · Travel

    total $53,728 · program services $13,432 · management and general $40,296

  • 19 · Conferences, conventions and meetings

    total $39,343 · program services $39,343

  • 22 · Depreciation, depletion and amortization

    total $165,700 · program services $57,995 · management and general $107,705

  • 23 · Insurance

    total $115,849 · program services $40,547 · management and general $75,302

  • 24a · Other expenses: DENTAL CLAIMS PAID

    total $40,924,479 · program services $40,924,479

  • 24b · Other expenses: COMPUTER - CLAIMS

    total $606,727 · program services $546,054 · management and general $60,673

  • 24c · Other expenses: COMMISSIONS

    total $587,642 · program services $587,642

  • 24d · Other expenses: DUES

    total $392,295 · program services $98,074 · management and general $294,221

  • 24e · All other expenses

    total $363,060 · program services $163,377 · management and general $199,683

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $1,909,690 · end of year $1,586,401

  • 2 · Savings and temporary cash investments

    beginning of year $402,101 · end of year $295,978

  • 4 · Accounts receivable

    beginning of year $3,436,047 · end of year $3,961,226

  • 9 · Prepaid expenses and deferred charges

    beginning of year $70,161 · end of year $33,348

  • 10a · Land, buildings and equipment: cost or other basis

    $2,904,400

  • 10b · Land, buildings and equipment: accumulated depreciation

    $533,930

  • 10c · Land, buildings and equipment, net

    beginning of year $2,466,170 · end of year $2,370,470

  • 11 · Investments: publicly traded securities

    beginning of year $14,596,553 · end of year $12,585,911

  • 12 · Investments: other securities

    beginning of year $2,339,639 · end of year $2,481,311

  • 15 · Other assets

    beginning of year $20,792 · end of year $22,041

  • 17 · Accounts payable and accrued expenses

    beginning of year $3,044,263 · end of year $2,752,844

  • 19 · Deferred revenue

    beginning of year $731,829 · end of year $633,791

  • 25 · Other liabilities

    beginning of year $2,280,315 · end of year $2,005,153

  • 27 · Net assets without donor restrictions

    beginning of year $19,184,746 · end of year $17,944,898

Mission and programs · 2022

Mission

DELTA DENTAL IS DEDICATED TO IMPROVING ORAL HEALTH OF ALL WYOMINGITES THROUGH OUR DENTAL BENEFIT PROGRAMS, ADVOCACY AND COMMUNITY SUPPORT.

Activities or mission (Part I)

DELTA DENTAL IS DEDICATED TO IMPROVING ORAL HEALTH FOR ALL WYOMINGITES THROUGH OUR DENTAL BENEFIT PROGRAMS, ADVOCACY AND COMMUNITY SUPPORT.

  • PROVIDE PROCESSING OF DENTAL PLANS, PAYMENTS AND CLAIMS FOR PURCHASERS, SUBSCRIBERS AND PARTICIPATING DENTISTS WITH THE GOAL OF MAKING AFFORDABLE DENTAL CARE AVAILABLE TO ALL WYOMING CITIZENS.

    Expenses $43,868,513 · Grants $400,000 · Revenue $46,268,058

As filed on the 2022 return.

Listed in Part VII

  • Dr Aaron Taff

    CHAIRMAN

    Total calculated
    $2,320
    From this org
    $2,320
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Dan Morrison

    VICE CHAIRMAN

    Total calculated
    $2,405
    From this org
    $2,405
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jim Linton

    TREASURER

    Total calculated
    $2,425
    From this org
    $2,425
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Rita Meyer

    SECRETARY

    Total calculated
    $2,445
    From this org
    $2,445
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Jackie Freeze

    DIRECTOR

    Total calculated
    $2,620
    From this org
    $2,620
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Bill Gern

    DIRECTOR

    Total calculated
    $2,320
    From this org
    $2,320
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr James Hoag

    DIRECTOR

    Total calculated
    $2,690
    From this org
    $2,690
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Bruce Holwell

    DIRECTOR

    Total calculated
    $1,150
    From this org
    $1,150
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Brad Kincheloe

    DIRECTOR

    Total calculated
    $8,523
    From this org
    $8,523
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Tyler Neeriemer

    DIRECTOR

    Total calculated
    $2,515
    From this org
    $2,515
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Mark O'Farrell

    DIRECTOR

    Total calculated
    $2,160
    From this org
    $2,160
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Ryne Paulson

    DIRECTOR

    Total calculated
    $2,540
    From this org
    $2,540
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dr Derrik Walton

    DIRECTOR

    Total calculated
    $2,310
    From this org
    $2,310
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Kerry Hall

    PRESIDENT/CEO

    Total calculated
    $340,098
    From this org
    $281,979
    From related orgs
    $0
    Other
    $58,119
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $253,319
    Bonus
    $25,000
    Other
    $3,660
    Deferred
    $24,202
    Nontaxable benefits
    $33,917
    Filer's total
    $340,098

  • Patricia Guzman

    VICE PRESIDENT

    Total calculated
    $294,857
    From this org
    $174,718
    From related orgs
    $0
    Other
    $120,139
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $155,000
    Bonus
    $19,718
    Other
    $0
    Deferred
    $79,255
    Nontaxable benefits
    $40,884
    Filer's total
    $294,857

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 1a · Health or social club dues or initiation fees
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

PART I, LINE 1A
DELTA DENTAL OF WYOMING HAS ADOPTED A COMPENSATION POLICY PURSUANT TO WHICH IT FOLLOWS THE PROCESS OUTLINED IN TREASURY REGULATION SECTION 53.4958-6 TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLENESS AS TO THE COMPENSATION OF ITS CEO. THIS PROCESS INCLUDES REVIEW AND APPROVAL OF THE COMPENSATION ARRANGEMENT BY AN EXECUTIVE COMPENSATION COMMITTEE COMPOSED ENTIRELY OF PERSONS WITH NO CONFLICT OF INTEREST (AS DEFINED IN REGULATIONS SECTION 53-4958-6(C)(1)(III)), RELIANCE ON COMPARABILITY DATA COMPILED BY AN INDEPENDENT COMPENSATION CONSULTANT AND CONTEMPORANEOUS DOCUMENTATION AND RECORDKEEPING WITH RESPECT TO DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT. THIS PROCESS IS UNDERTAKEN ANNUALLY WITH RESPECT TO THE CEO AND ALL OTHER DISQUALIFIED PERSONS. DELTA DENTAL PAID COUNTRY CLUB DUES FOR KERRY HALL. THIS IS INCLUDED AS PART OF EMPLOYMENT CONTRACT AND WAS INCLUDED IN W-2 WAGES.
PART I, LINE 4B
KERRY HALL PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ACCRUING $0 IN 2022. PATTI GUZMAN PARTICIPANTED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN ACCRUING $63,333 IN 2022.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Provenance

Return type
form_990
Tax year
2022
Filed
29 September 2023
IRS schema version
2022v5.0
Source object
202332969349301168

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