Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: DENTAL SAVINGS PLAN

  total $217,580 · related or exempt $217,580

• 3 · Investment income

  total $373,138 · excluded $373,138

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

  securities $2,070,517 · other assets $101,448

• 7c · Gain or loss

  securities -$2,070,517 · other assets -$101,448

• 7d · Net gain or loss

  total -$2,171,965 · excluded -$2,171,965

• 11a · Other revenue: MISCELLANEOUS REVENUE

  total $203 · excluded $203

• 11e · Other revenue, total

  $203

Functional expenses

Part IX, the statement of functional expenses.

• 5 · Compensation of officers, directors and key employees

  total $557,530 · program services $546,379 · management and general $11,151

• 7 · Other salaries and wages

  total $1,225,761 · program services $426,873 · management and general $798,888

• 8 · Pension plan contributions

  total $36,700 · program services $13,247 · management and general $23,453

• 9 · Other employee benefits

  total $16,288 · program services $4,917 · management and general $11,371

• 10 · Payroll taxes

  total $37,375 · program services $16,688 · management and general $20,687

• 11b · Fees: legal

  total $66,939 · program services $65,618 · management and general $1,321

• 11c · Fees: accounting

  total $71,000 · program services $57,740 · management and general $13,260

• 11f · Fees: investment management

  total $30,678 · program services $30,678

• 11g · Fees: other

  total $48,619 · program services $45,891 · management and general $2,728

• 12 · Advertising and promotion

  total $529 · program services $310 · management and general $219

• 13 · Office expenses

  total $23,514 · program services $20,611 · management and general $2,903

• 14 · Information technology

  total $84,443 · program services $46,068 · management and general $38,375

• 16 · Occupancy

  total $123,462 · program services $123,462

• 17 · Travel

  total $33,694 · program services $16,275 · management and general $17,419

• 19 · Conferences, conventions and meetings

  total $1,041 · program services $1,007 · management and general $34

• 22 · Depreciation, depletion and amortization

  total $22,091 · program services $22,091

• 23 · Insurance

  total $3,910 · program services $3,910

• 24a · Other expenses: FEES, LICENSES, AND DUE

  total $23,036 · program services $5,987 · management and general $17,049

• 24b · Other expenses: TRAINING, SEMINARS, AND

  total $11,884 · program services $11,124 · management and general $760

• 24c · Other expenses: BANK AND CREDIT CARD FE

  total $8,163 · program services $8,163

• 24d · Other expenses: COMMISSIONS

  total $6,396 · program services $6,396

• 24e · All other expenses

  total $1,005 · program services $956 · management and general $49

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $354,191 · end of year $3,245,250

• 2 · Savings and temporary cash investments

  beginning of year $261,487 · end of year $94,364

• 4 · Accounts receivable

  beginning of year $34

• 7 · Other notes and loans receivable

  end of year $340,000

• 9 · Prepaid expenses and deferred charges

  beginning of year $35,098 · end of year $63,621

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

  $78,680

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

  $40,462

• 10c · Land, buildings and equipment, net

  beginning of year $150,169 · end of year $38,218

• 11 · Investments: publicly traded securities

  beginning of year $29,252,867 · end of year $18,233,427

• 12 · Investments: other securities

  beginning of year $4,887,760 · end of year $8,137,257

• 14 · Intangible assets

  beginning of year $286,000

• 15 · Other assets

  beginning of year $13,500 · end of year $211,553

• 17 · Accounts payable and accrued expenses

  beginning of year $181,227 · end of year $260,753

• 25 · Other liabilities

  beginning of year $230,741 · end of year $359,175

• 27 · Net assets without donor restrictions

  beginning of year $34,829,138 · end of year $29,743,762

The filer's explanations (Part III)

PART I, LINE 5:

THE COMPANY HAS AN INCENTIVE COMPENSATION PLAN AND A SALES INCENTIVE PLAN WHICH PROVIDES AN ANNUAL BONUS FOR ALL ELIGIBLE EMPLOYEES IF THE COMPANY REACHES CERTAIN GOALS, INCLUDING A MINIMUM NET GAIN GOAL. ALL 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, AND STAKEHOLDER EXPERIENCE FACTORS. THE LONG-TERM INCENTIVE PROGRAM HAS THREE-YEAR TARGETS AND PAYOUTS, AND IN MARCH OF 2022 THE PLAN YEAR ENDING DECEMBER 31, 2021 WAS PAID.

PART I, LINE 6:

SEE NARRATIVE FOR LINE 5B ABOVE.

Disregarded entities

Part I: entities that legally are the filer and file no return of their own.

• ENSEMBLE COMMUNITY IMPACT FUND

  INVESTMENTS IN COMPANIES THAT IMPROVE COMMUNITY HEALTH AND WELLNESS · CO · assets $6,090,813

  Directly controlled by ENSEMBLE INNOVATION VENTURES

• DIRECT DENTAL ALLIANCE

  MARKET AND ADMINISTER A NON-INSURED DENTAL PRODUCT · CO · income $217,580

  Directly controlled by ENSEMBLE INNOVATION VENTURES

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

• BETA HEALTH ASSOCIATION

  C · PROVIDES NON-INSURED DENTAL BENEFITS TO SUPPORT DENTAL INSURANCE CARRIERS · CO · 100% owned

  Directly controlled by ENSEMBLE INNOVATION VENTURES

• EMBER ASSURANCE INC

  C · MARKET AND ADMINISTER VISION INSURANCE PRODUCTS · CO · 100% owned

  Directly controlled by ENSEMBLE INNOVATION VENTURES