Form 990 for tax year 2022
Filed by DELTA DENTAL PLAN OF NEW MEXICO INC.
Totals
- Total revenue
- $69,208,618
- Total expenses
- $69,023,868
- Contributions and grants received
- $0
- Grants paid
- $483,134
- Program services expenses (Part IX)
- $66,359,196
- Management and general expenses
- $2,664,672
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $66,359,196
Program services were 96.1% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.
Listed in Part VII
-
AMY BASEL
CFO & TREASURER
- Total calculated
- $1,948,645
- From this org
- $0
- From related orgs
- $1,462,790
- Other
- $485,855
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $507,383 related
- Bonus
- $0 + $561,274 related
- Other
- $0 + $394,133 related
- Deferred
- $0 + $462,136 related
- Nontaxable benefits
- $0 + $23,719 related
- Filer's total
- $0 + $1,948,645 related
-
SUE ELLEN JENKINS
CHIEF LEGAL OFFICER & SECRETARY
- Total calculated
- $1,437,848
- From this org
- $0
- From related orgs
- $1,118,484
- Other
- $319,364
- Hours/week
- 1 + 49 related
Schedule J breakdown matched by us
- Base
- $0 + $522,489 related
- Bonus
- $0 + $575,320 related
- Other
- $0 + $20,675 related
- Deferred
- $0 + $311,438 related
- Nontaxable benefits
- $0 + $7,926 related
- Filer's total
- $0 + $1,437,848 related
-
LOUIS VOLK III
PRESIDENT & CEO
- Total calculated
- $607,481
- From this org
- $560,818
- From related orgs
- $0
- Other
- $46,663
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $418,435
- Bonus
- $128,235
- Other
- $14,148
- Deferred
- $30,500
- Nontaxable benefits
- $16,163
- Filer's total
- $607,481
-
NATHALIE CASADO
DIRECTOR, CORPORATE ADMINISTRATION
- Total calculated
- $254,308
- From this org
- $214,227
- From related orgs
- $0
- Other
- $40,081
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $174,334
- Bonus
- $39,375
- Other
- $518
- Deferred
- $22,051
- Nontaxable benefits
- $18,030
- Filer's total
- $254,308
-
JOLOU TRUJILLO-OTTINO
VP SALES AND MARKETING
- Total calculated
- $189,886
- From this org
- $170,026
- From related orgs
- $0
- Other
- $19,860
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $109,109
- Bonus
- $47,250
- Other
- $13,667
- Deferred
- $17,196
- Nontaxable benefits
- $2,664
- Filer's total
- $189,886
-
DIANNE LEDESMA
DIRECTOR OF OPERATIONS
- Total calculated
- $196,388
- From this org
- $166,334
- From related orgs
- $0
- Other
- $30,054
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $139,515
- Bonus
- $25,272
- Other
- $1,547
- Deferred
- $16,032
- Nontaxable benefits
- $14,022
- Filer's total
- $196,388
-
DOUGLAS DUNTON
MANAGER, QUALITY & ANALYTICS
- Total calculated
- $139,639
- From this org
- $128,840
- From related orgs
- $0
- Other
- $10,799
- Hours/week
- 50
-
JAMES TRUJILLO
CHAIR
- Total calculated
- $44,996
- From this org
- $20,000
- From related orgs
- $24,996
- Other
- $0
- Hours/week
- 5 + 5 related
-
CHRISTINE N NATHE RDH MS
VICE CHAIR
- Total calculated
- $17,000
- From this org
- $17,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
DAVID JAMES MARTINEZ DDS
DIRECTOR
- Total calculated
- $17,000
- From this org
- $17,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
ROBERT L SIMMONS
DIRECTOR - PART YEAR
- Total calculated
- $17,000
- From this org
- $17,000
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
LAWRENCE T PETERSON
DIRECTOR
- Total calculated
- $13,500
- From this org
- $13,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
ANDREW DOLAN
DIRECTOR
- Total calculated
- $13,500
- From this org
- $13,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
ROBIN DOZIER OTTEN
DIRECTOR
- Total calculated
- $13,500
- From this org
- $13,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
FRED CISNEROS
DIRECTOR
- Total calculated
- $13,500
- From this org
- $13,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
-
RALPH MCELMURRY DDS
DIRECTOR
- Total calculated
- $13,500
- From this org
- $13,500
- From related orgs
- $0
- Other
- $0
- Hours/week
- 5
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 — 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
- 3 · Independent compensation consultant
- 3 · Approval by the board or compensation committee
- 4b · Supplemental nonqualified retirement plan
- 7 · Other non-fixed payments
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
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- PART I, LINE 4B
- A RELATED ORGANIZATION, DELTA DENTAL PLAN OF MICHIGAN, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ORDER TO BE ELIGIBLE FOR THE SERP, AN EMPLOYEE MUST BE A SENIOR VICE PRESIDENT OR HIGHER AND ADDED TO THE PLAN BY THE BOARD OF DIRECTORS. THE SERP BENEFITS ARE REVIEWED AS PART OF THE TOTAL COMPENSATION BY AN INDEPENDENT CONSULTANT; TOWERS WATSON. IN 2022, AMY BASEL AND SUE ELLEN JENKINS ACCRUED BENEFITS AS PARTICIPANTS IN THE SERP PLAN. AMY BASEL BECAME VESTED IN A PORTION OF HER ACCRUED BENEFITS, AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2022. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFFERED ON PRIOR FORM 990S.
- PART I, LINE 7
- AS INDICATED IN SCHEDULE J, PART II, TOP MANAGEMENT OFFICIALS RECEIVED A BONUS BASED ON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THIS BONUS WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD.
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
-
$140,000
CHARITABLE CONTRIBUTION
-
CHARITABLE CONTRIBUTION TO DENTAL HYGIENE PROGRAM
-
CHARITABLE CONTRIBUTION
-
CHARITABLE CONTRIBUTION TO DENTAL HYGIENE PROGRAM
-
$20,000
CHARITABLE CONTRIBUTION
-
CHARITABLE CONTRIBUTION
-
$18,134
CHARITABLE CONTRIBUTION
-
$15,000
CHARITABLE CONTRIBUTION
-
SPECIAL OLYMPICS NEW MEXICO INC
$10,000
CHARITABLE CONTRIBUTION
-
ALBUQUERQUE MEALS ON WHEELS INC
$10,000
CHARITABLE CONTRIBUTION
The 10 largest by cash amount. The API serves every itemized grant.
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.
-
RENAISSANCE HEALTH SERVICE CORPORATION
501(C)(4) · PROMOTING DENTAL CARE · MI
-
DELTA DENTAL PLAN OF MICHIGAN INC
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · MI
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
DELTA DENTAL PLAN OF INDIANA INC
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · IN
Directly controlled by DELTA DENTAL PLAN OF MICHIGAN INC
-
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · OH
Directly controlled by DELTA DENTAL PLAN OF MICHIGAN INC
-
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · TN
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · KY
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
501(C)(3) · SUPPORT DENTAL EDUCATION AND RESEARCH PROGRAMS · MI
Directly controlled by DELTA DENTAL PLAN OF MICHIGAN INC
-
DELTA DENTAL OF NORTH CAROLINA
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · NC
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
DELTA DENTAL PLAN OF ARKANSAS INC
501(C)(4) · PROVIDE DENTAL SERVICE PLANS · AR
Directly controlled by RENAISSANCE HEALTH SERVICE CORPORATION
-
DELTA DENTAL OF ARKANSAS FOUNDATION INC
501(C)(3) · EMPHASIZE DENTAL HEALTH IN COMMUNITIES · AR
Directly controlled by DELTA DENTAL OF ARKANSAS
-
RENAISSANCE FAMILY FOUNDATION INC
501(C)(3) · EMPHASIZE DENTAL HEALTH IN COMMUNITIES · IN
Directly controlled by RENAISSANCE HOLDING COMPANY
-
501(C)(3) · EMPHASIZE DENTAL HEALTH IN COMMUNITIES · TN
Directly controlled by DELTA DENTAL OF TENNESSEE INC
-
DELTA DENTAL OF KENTUCKY FOUNDATION INC
501(C)(3) · EMPHASIZE DENTAL HEALTH IN COMMUNITIES · KY
Directly controlled by DELTA DENTAL OF KENTUCKY
Provenance
- Return type
- form_990
- Tax year
- 2022
- Filed
- 8 November 2023
- IRS schema version
- 2022v5.0
- Source object
- 202343189349306814
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