Form 990 for tax year 2022

Revenue

Part VIII, the statement of revenue.

• 2a · Program service revenue: Admin Service Contract Fees

  total $52,619,148 · related or exempt $52,619,148

• 2b · Program service revenue: Premium Revenue

  total $44,921,284 · related or exempt $44,921,284

• 2c · Program service revenue: Management fee - CSLLC

  total $100,000 · unrelated business $100,000

• 3 · Investment income

  total $576,530 · excluded $576,530

• 7a · Gross sales of assets other than inventory

  securities $9,423,489

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

  securities $9,146,783

• 7c · Gain or loss

  securities $276,706

• 7d · Net gain or loss

  total $276,706 · excluded $276,706

Functional expenses

Part IX, the statement of functional expenses.

• 1 · Grants to domestic organizations and governments

  total $279,500 · program services $279,500

• 4 · Benefits paid to or for members

  total $84,073,026 · program services $84,073,026

• 5 · Compensation of officers, directors and key employees

  total $149,684 · management and general $149,684

• 7 · Other salaries and wages

  total $423,052 · management and general $423,052

• 8 · Pension plan contributions

  total $28,738 · management and general $28,738

• 9 · Other employee benefits

  total $99,173 · management and general $99,173

• 10 · Payroll taxes

  total $30,813 · management and general $30,813

• 11b · Fees: legal

  total $58,477 · management and general $58,477

• 11c · Fees: accounting

  total $42,000 · management and general $42,000

• 11f · Fees: investment management

  total $100,684 · management and general $100,684

• 11g · Fees: other

  total $42,000 · management and general $42,000

• 12 · Advertising and promotion

  total $270,121 · management and general $270,121

• 13 · Office expenses

  total $39,615 · management and general $39,615

• 16 · Occupancy

  total $52,868 · management and general $52,868

• 17 · Travel

  total $9,143 · management and general $9,143

• 19 · Conferences, conventions and meetings

  total $50,348 · management and general $50,348

• 22 · Depreciation, depletion and amortization

  total $1,673 · management and general $1,673

• 23 · Insurance

  total $22,583 · management and general $22,583

• 24a · Other expenses: Administration - DDPNH

  total $7,447,231 · program services $3,567,224 · management and general $3,880,007

• 24b · Other expenses: Brokers' commissions

  total $1,499,572 · management and general $1,499,572

• 24c · Other expenses: Administration - DDPNH

  total $262,525 · program services $262,525

• 24d · Other expenses: Marketing related

  total $80,117 · management and general $80,117

• 24e · All other expenses

  total $1,566,610 · program services $1,335,636 · management and general $230,974

Balance sheet

Part X, book values.

• 1 · Cash, non-interest-bearing

  beginning of year $5,623,424 · end of year $4,750,517

• 2 · Savings and temporary cash investments

  beginning of year $2,533,869 · end of year $4,073,846

• 4 · Accounts receivable

  beginning of year $1,942,308 · end of year $2,550,501

• 9 · Prepaid expenses and deferred charges

  beginning of year $6,650 · end of year $19,738

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

  $68,458

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

  $67,543

• 10c · Land, buildings and equipment, net

  beginning of year $2,588 · end of year $915

• 11 · Investments: publicly traded securities

  beginning of year $26,092,316 · end of year $23,424,486

• 12 · Investments: other securities

  beginning of year $43,133 · end of year $9,760

• 13 · Investments: program-related

  beginning of year $3,018,525 · end of year $3,063,348

• 15 · Other assets

  beginning of year $146,475 · end of year $196,433

• 17 · Accounts payable and accrued expenses

  beginning of year $2,024,210 · end of year $2,570,841

• 18 · Grants payable

  beginning of year $371,800 · end of year $207,100

• 25 · Other liabilities

  beginning of year $1,694,151 · end of year $1,858,928

• 27 · Net assets without donor restrictions

  beginning of year $35,319,127 · end of year $33,452,675

The filer's explanations (Part III)

Schedule J, Part II:

Thomas Raffio, CEO, and William Lambrukos, Senior Vice President, received all of their compensation from Delta Dental Plan of New Hampshire, which is an unrelated organization per IRS definitions; while definitionally unrelated, Delta Dental Plan of New Hampshire does coordinate and work closely with the Delta Dental Plan of Vermont to fulfill their respective exempt missions. In accordance with the IRS Instructions for the Form 990, compensation or payments from an unrelated organization to an individual for services rendered to the filing organization in that person's capacity as an officer, director, trustee, or employee of the filing organization, then the filing organization must report such amounts as compensation from the filing organization. Therefore, the compensation paid to these individuals has been reported on this Form 990, Schedule J, Part II, Payments Made by the Filing Organization, though Delta Dental Plan of Vermont did not, in fact, directly pay or compensate these individuals; these individuals were paid by Delta Dental Plan of New Hampshire in part for services rendered for the benefit and on behalf of Delta Dental Vermont. Additionally, due to the close working relationship between the two organizations, neither the filing organization nor Delta Dental Plan of New Hampshire is able to make a determination of how much of each named individuals' compensation relates to time and resources expended on either the filing organization or Delta Dental Plan of New Hampshire. For this reason and to promote transparency and compliance with this tax return, the filing organization has elected to report 100% of the named individuals' applicable calendar year compensation as received by the Delta Dental Plan of New Hampshire on this Form 990, Part VII, and Schedule J, in accordance with the definitions and calculations as detailed in the IRS Form 990 Instructions.