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Nonprofiteer
← DELTA DENTAL PLAN OF NEW HAMPSHIRE

Form 990 for tax year 2022

Filed by DELTA DENTAL PLAN OF NEW HAMPSHIRE.

Totals

Total revenue
$423,230,924
Total expenses
$420,858,128
Contributions and grants received
$0
Grants paid
$407,400
Program service revenue
$423,023,747
Investment income
$245,204
Other revenue
-$38,027
Total assets, end of year
$86,151,858
Total liabilities, end of year
$15,482,487
Net assets or fund balances, end of year
$70,669,371
Program services expenses (Part IX)
$387,823,863
Management and general expenses
$33,034,265
Fundraising expenses
$0
Program service expenses (Part III)
$387,823,863

Program services were 92.2% 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: Admin service contract fees

    total $342,231,845 · related or exempt $342,231,845

  • 2b · Program service revenue: Premium revenue

    total $80,691,902 · related or exempt $80,691,902

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

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

  • 3 · Investment income

    total $1,469,624 · excluded $1,469,624

  • 6a · Gross rents

    real property $204,451

  • 6b · Less rental expenses

    real property $242,478

  • 6c · Rental income or loss

    real property -$38,027

  • 6d · Net rental income or loss

    total -$38,027 · excluded -$38,027

  • 7a · Gross sales of assets other than inventory

    securities $22,884,696 · other assets $500

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

    securities $24,109,616 · other assets $0

  • 7c · Gain or loss

    securities -$1,224,920 · other assets $500

  • 7d · Net gain or loss

    total -$1,224,420 · excluded -$1,224,420

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $407,400 · program services $407,400

  • 4 · Benefits paid to or for members

    total $374,724,170 · program services $374,724,170

  • 5 · Compensation of officers, directors and key employees

    total $1,750,977 · program services $630,352 · management and general $1,120,625

  • 7 · Other salaries and wages

    total $15,535,568 · program services $6,835,650 · management and general $8,699,918

  • 8 · Pension plan contributions

    total $418,773 · management and general $418,773

  • 9 · Other employee benefits

    total $3,353,230 · management and general $3,353,230

  • 10 · Payroll taxes

    total $1,188,591 · management and general $1,188,591

  • 11b · Fees: legal

    total $73,413 · management and general $73,413

  • 11c · Fees: accounting

    total $160,032 · program services $44,006 · management and general $116,026

  • 11f · Fees: investment management

    total $159,906 · management and general $159,906

  • 12 · Advertising and promotion

    total $2,232,753 · program services $44,655 · management and general $2,188,098

  • 13 · Office expenses

    total $1,846,511 · program services $1,052,511 · management and general $794,000

  • 14 · Information technology

    total $2,634,918 · program services $1,080,316 · management and general $1,554,602

  • 16 · Occupancy

    total $718,379 · program services $308,903 · management and general $409,476

  • 17 · Travel

    total $48,455 · program services $6,299 · management and general $42,156

  • 19 · Conferences, conventions and meetings

    total $189,189 · program services $15,134 · management and general $174,055

  • 22 · Depreciation, depletion and amortization

    total $2,127,301 · program services $914,740 · management and general $1,212,561

  • 23 · Insurance

    total $299,106 · program services $122,633 · management and general $176,473

  • 24a · Other expenses: Strategic initiatives

    total $7,117,798 · program services $1,637,094 · management and general $5,480,704

  • 24b · Other expenses: Brokers' commissions

    total $4,395,151 · management and general $4,395,151

  • 24c · Other expenses: Premium taxes

    total $1,476,507 · management and general $1,476,507

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $11,543,500 · end of year $10,764,875

  • 2 · Savings and temporary cash investments

    beginning of year $4,505,445 · end of year $428,820

  • 4 · Accounts receivable

    beginning of year $4,939,690 · end of year $6,605,736

  • 9 · Prepaid expenses and deferred charges

    beginning of year $316,253 · end of year $271,108

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

    $36,899,124

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

    $25,973,472

  • 10c · Land, buildings and equipment, net

    beginning of year $9,386,748 · end of year $10,925,652

  • 11 · Investments: publicly traded securities

    beginning of year $55,119,800 · end of year $53,879,059

  • 12 · Investments: other securities

    beginning of year $86,272 · end of year $19,522

  • 13 · Investments: program-related

    beginning of year $3,098,525 · end of year $3,063,348

  • 15 · Other assets

    beginning of year $161,497 · end of year $193,738

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,855,615 · end of year $9,693,252

  • 23 · Secured mortgages and notes payable

    beginning of year $630,000 · end of year $0

  • 25 · Other liabilities

    beginning of year $6,214,199 · end of year $5,789,235

  • 27 · Net assets without donor restrictions

    beginning of year $73,457,916 · end of year $70,669,371

Mission and programs · 2022

Mission

It is our mission to advance the oral health and overall wellness of our customers and the general public by providing innovative benefits and professional partnerships through diversified strategic business and philanthropic initiatives.

Activities or mission (Part I)

Provide programs of dental care

  • Delta Dental Plan of New Hampshire advances and promotes the improvement of oral health by offering innovative, cost effective dental benefits plans that meet the needs of our customers by integrating activities such as cost management policies, fee reduction agreements with dentists, ensuring quality and cost effective dental benefit delivery, and accurate and timely claims payment. We are recognized for our expertise in the dental benefits industry, the vibrancy of our participating dentist network, and our strong brand. Program services include the processing and payment of claims for dental benefits for various large and small groups, as well as individuals and families. Delta Dental Plan of New Hampshire processed approximately 804,400 claims in 2022. There are approximately 377,500 members in New Hampshire included in the various plans. Customers' expectations for quality standards are extremely rigorous and we provide a guarantee of service called GOSE, or Guarantee of Service Excellence, which guarantees seven key service claims: (1) smooth implementation to Northeast Delta Dental; (2)exceptional customer service; (3) quick processing of claims; (4) no inappropriate billing by participating dentists; (5) accurate and quick turnaround of identification cards; (6) timely employee booklets; and (7) marketing service contracts. In the event one or more of these service guarantees are not met, a cash reimbursement is provided.

    Expenses $387,416,463 · Revenue $422,923,747

  • Delta Dental Plan of New Hampshire is one of three members of the Northeast Delta Dental Foundation. The company contributes .075% of annual budgeted revenue, as well as 10% of annual revenue in excess of expenses, to the Northeast Delta Dental Foundation. The Northeast Delta Dental Foundation's purpose is to improve the access to, and the quality of, oral health care and education for the public and dental communities in Maine, New Hampshire, and Vermont. The Northeast Delta Dental Foundation awards numerous grants to community organizations and programs.

    Expenses $407,400 · Grants $407,400

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • David Staples DDS

    Chair & Director

    Total calculated
    $35,140
    From this org
    $35,140
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • James St Jean

    Director

    Total calculated
    $11,975
    From this org
    $11,975
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Karen Carew CPA CFE

    Director

    Total calculated
    $8,645
    From this org
    $8,645
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Jason Golden

    Director

    Total calculated
    $10,810
    From this org
    $10,810
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Tracy Claybaugh

    Director

    Total calculated
    $8,815
    From this org
    $8,815
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Cydney Shapleigh

    Director

    Total calculated
    $8,815
    From this org
    $8,815
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Richard Bolduc DMD

    Vice Chair & Director (part-year)

    Total calculated
    $2,660
    From this org
    $2,660
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Matthew Cookson

    Vice Chair & Director

    Total calculated
    $9,315
    From this org
    $9,315
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Christiane Rothwangl DDS

    Director

    Total calculated
    $8,815
    From this org
    $8,815
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Keith Levesque DMD

    Director

    Total calculated
    $8,815
    From this org
    $8,815
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Nader Moavenian DDS

    Director

    Total calculated
    $7,985
    From this org
    $7,985
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Rachel Forbes DMD

    Director

    Total calculated
    $8,150
    From this org
    $8,150
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • James Larrick

    Director (part-year)

    Total calculated
    $1,995
    From this org
    $1,995
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Joseph Carelli

    Director

    Total calculated
    $7,485
    From this org
    $7,485
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Praveen Mandera DMD

    Director

    Total calculated
    $8,150
    From this org
    $8,150
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Caroline Clerisme DDS

    Director

    Total calculated
    $4,825
    From this org
    $4,825
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Leesa Smith

    Director

    Total calculated
    $3,495
    From this org
    $3,495
    From related orgs
    $0
    Other
    $0
    Hours/week
    3

  • Thomas Raffio

    President & CEO

    Total calculated
    $1,073,929
    From this org
    $1,018,080
    From related orgs
    $0
    Other
    $55,849
    Hours/week
    80

    Schedule J breakdown matched by us

    Base
    $575,726
    Bonus
    $404,049
    Other
    $38,305
    Deferred
    $32,471
    Nontaxable benefits
    $23,378
    Filer's total
    $1,073,929

  • Francis Boucher

    Treasurer & Sr VP Finance

    Total calculated
    $347,688
    From this org
    $290,816
    From related orgs
    $0
    Other
    $56,872
    Hours/week
    48

    Schedule J breakdown matched by us

    Base
    $229,118
    Bonus
    $61,698
    Other
    $0
    Deferred
    $31,165
    Nontaxable benefits
    $25,707
    Filer's total
    $347,688

  • Sara M Brehm

    Secretary

    Total calculated
    $166,820
    From this org
    $139,742
    From related orgs
    $0
    Other
    $27,078
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $115,076
    Bonus
    $23,666
    Other
    $1,000
    Deferred
    $12,177
    Nontaxable benefits
    $14,901
    Filer's total
    $166,820

  • Joseph Errante

    VP, Professional Relations

    Total calculated
    $437,412
    From this org
    $379,067
    From related orgs
    $0
    Other
    $58,345
    Hours/week
    47

    Schedule J breakdown matched by us

    Base
    $286,653
    Bonus
    $77,731
    Other
    $14,683
    Deferred
    $32,471
    Nontaxable benefits
    $25,874
    Filer's total
    $437,412

  • William H Lambrukos

    Sr. VP Operations

    Total calculated
    $377,145
    From this org
    $318,990
    From related orgs
    $0
    Other
    $58,155
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $244,290
    Bonus
    $66,243
    Other
    $8,457
    Deferred
    $32,471
    Nontaxable benefits
    $25,684
    Filer's total
    $377,145

  • Brian D Duffy

    VP & General Counsel

    Total calculated
    $293,370
    From this org
    $262,705
    From related orgs
    $0
    Other
    $30,665
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $206,757
    Bonus
    $27,607
    Other
    $28,341
    Deferred
    $26,358
    Nontaxable benefits
    $4,307
    Filer's total
    $293,370

  • Jodie L Hittle

    VP, Marketing

    Total calculated
    $345,024
    From this org
    $293,625
    From related orgs
    $0
    Other
    $51,399
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $218,999
    Bonus
    $59,386
    Other
    $15,240
    Deferred
    $30,830
    Nontaxable benefits
    $20,569
    Filer's total
    $345,024

  • Michael Bourbeau

    VP, Information Systems

    Total calculated
    $324,095
    From this org
    $291,083
    From related orgs
    $0
    Other
    $33,012
    Hours/week
    50

    Schedule J breakdown matched by us

    Base
    $210,791
    Bonus
    $57,160
    Other
    $23,132
    Deferred
    $29,780
    Nontaxable benefits
    $3,232
    Filer's total
    $324,095

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 · Travel for companions
  • 1b · Written policy on the line-1a expenses
  • 2 · Substantiation required before reimbursing expenses
  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 7 · Other non-fixed payments

Answered no

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 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
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Part I, Line 1a
Delta Dental Plan of New Hampshire provides for the spouses of Senior VPs to attend one business trip per year. The Plan also provides for the CEO and his spouse to travel and attend business trips together as required or appropriate.
Part I, Line 7
The Organization has a team bonus program for all employees. Each individual's bonus is based on a combination of the individual's performance, the Organization's performance compared to the predetermined goals, and the individual's job level within the Organization.

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

Provenance

Return type
form_990
Tax year
2022
Filed
7 November 2023
IRS schema version
2022v5.0
Source object
202303119349304335

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