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Nonprofiteer
← DELTA DENTAL OF NEBRASKA

Form 990 for tax year 2022

Filed by DELTA DENTAL OF NEBRASKA.

Totals

Total revenue
$27,336,304
Total expenses
$27,045,476
Contributions and grants received
$0
Grants paid
$0
Program service revenue
$27,134,471
Investment income
$201,833
Other revenue
$0
Total assets, end of year
$13,035,895
Total liabilities, end of year
$1,998,435
Net assets or fund balances, end of year
$11,037,460
Program services expenses (Part IX)
$25,856,697
Management and general expenses
$1,188,779
Fundraising expenses
$0
Program service expenses (Part III)
$25,856,697

Program services were 95.6% 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 COVERAGE: ADMIN

    total $17,547,107 · related or exempt $17,547,107

  • 2b · Program service revenue: DENTAL COVERAGE: RISK

    total $9,587,364 · related or exempt $9,587,364

  • 3 · Investment income

    total $210,567 · excluded $210,567

  • 7a · Gross sales of assets other than inventory

    securities $1,499,734

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

    securities $1,508,468

  • 7c · Gain or loss

    securities -$8,734

  • 7d · Net gain or loss

    total -$8,734 · excluded -$8,734

Functional expenses

Part IX, the statement of functional expenses.

  • 5 · Compensation of officers, directors and key employees

    total $100,341 · program services $75,256 · management and general $25,085

  • 7 · Other salaries and wages

    total $443,448 · program services $332,586 · management and general $110,862

  • 8 · Pension plan contributions

    total $9,493 · program services $7,120 · management and general $2,373

  • 9 · Other employee benefits

    total $34,459 · program services $25,844 · management and general $8,615

  • 10 · Payroll taxes

    total $30,331 · program services $22,748 · management and general $7,583

  • 11a · Fees: management

    total $918,134 · program services $780,414 · management and general $137,720

  • 11b · Fees: legal

    total $51,052 · management and general $51,052

  • 11c · Fees: accounting

    total $43,823 · management and general $43,823

  • 11f · Fees: investment management

    total $31,648 · management and general $31,648

  • 11g · Fees: other

    total $32,317 · program services $32,317

  • 12 · Advertising and promotion

    total $1,853 · management and general $1,853

  • 13 · Office expenses

    total $286,985 · management and general $286,985

  • 14 · Information technology

    total $66,376 · management and general $66,376

  • 16 · Occupancy

    total $60,686 · management and general $60,686

  • 17 · Travel

    total $24,348 · management and general $24,348

  • 22 · Depreciation, depletion and amortization

    total $62,454 · management and general $62,454

  • 23 · Insurance

    total $24,170 · management and general $24,170

  • 24a · Other expenses: CLAIMS EXPENSE

    total $23,830,081 · program services $23,830,081

  • 24b · Other expenses: COMMISSIONS EXPENSE

    total $683,738 · program services $683,738

  • 24c · Other expenses: BANK CHARGES

    total $132,871 · management and general $132,871

  • 24d · Other expenses: MEMBERSHIP FEES

    total $103,774 · management and general $103,774

  • 24e · All other expenses

    total $73,094 · program services $66,593 · management and general $6,501

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $101,156 · end of year $1,676

  • 2 · Savings and temporary cash investments

    beginning of year $3,024,605 · end of year $2,878,107

  • 4 · Accounts receivable

    beginning of year $715,512 · end of year $848,646

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

    $33,046

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

    $31,393

  • 10c · Land, buildings and equipment, net

    beginning of year $8,260 · end of year $1,653

  • 11 · Investments: publicly traded securities

    beginning of year $9,698,058 · end of year $9,300,509

  • 15 · Other assets

    beginning of year $0 · end of year $5,304

  • 17 · Accounts payable and accrued expenses

    beginning of year $1,628,319 · end of year $1,771,936

  • 19 · Deferred revenue

    beginning of year $158,598 · end of year $140,807

  • 25 · Other liabilities

    beginning of year $113,119 · end of year $85,692

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $11,647,555 · end of year $11,037,460

Mission and programs · 2022

Mission

DELTA DENTAL OF NEBRASKA ADMINISTERS PREPAID DENTAL SERVICE PLANS UNDER AGREEMENTS WITH VARIOUS GROUP AND INDIVIDUAL SUBSCRIBERS. THESE AGREEMENTS ARE OFFERED TO ITS SUBSCRIBERS AS PREPAID DENTAL PLANS ON EITHER A RISK BASIS OR AN ADMINISTRATIVE SERVICE PLAN BASIS.

Activities or mission (Part I)

DELTA DENTAL OF NEBRASKA PROVIDES NON-PROFIT DENTAL INSURANCE PLANS ON BOTH A RISK BASIS AND ADMINISTRATIVE SERVICES ONLY BASIS TO IMPROVE ORAL HEALTH, ACCESS AND AVAILABILITY AND PROVIDES ECONOMICAL DENTAL SERVICES FOR THE COMMUNITIES IT SERVES.

  • DELTA DENTAL OF NEBRASKA ADMINISTERS PREPAID DENTAL SERVICE PLANS UNDER AGREEMENTS WITH VARIOUS GROUP AND INDIVIDUAL SUBSCRIBERS. THESE AGREEMENTS ARE OFFERED TO ITS SUBSCRIBERS AS PREPAID DENTAL PLANS ON EITHER A RISK BASIS OR AN ADMINISTRATIVE SERVICE PLAN BASIS.

    Expenses $25,856,697 · Revenue $27,134,471

As filed on the 2022 return.

Listed in Part VII

  • Rodney A Young

    CHAIR & CEO

    Total calculated
    $2,205,617
    From this org
    $0
    From related orgs
    $2,155,976
    Other
    $49,641
    Hours/week
    0.4 + 49.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,034,794 related
    Bonus
    $0 + $1,100,682 related
    Other
    $0 + $20,500 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $31,341 related
    Filer's total
    $0 + $2,205,617 related

  • Tamera K Robinson

    PRESIDENT

    Total calculated
    $1,083,443
    From this org
    $0
    From related orgs
    $1,059,289
    Other
    $24,154
    Hours/week
    2.4 + 47.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $653,101 related
    Bonus
    $0 + $385,688 related
    Other
    $0 + $20,500 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $5,854 related
    Filer's total
    $0 + $1,083,443 related

  • Dr Richard D Fitzgerald DDS

    VICE CHAIR

    Total calculated
    $4,000
    From this org
    $4,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.8

  • Patrick J Boler

    TREASURER

    Total calculated
    $2,750
    From this org
    $2,750
    From related orgs
    $0
    Other
    $0
    Hours/week
    1

  • Dee A Tekrony

    SECRETARY

    Total calculated
    $2,750
    From this org
    $2,750
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • James O'Meara

    DIRECTOR (MAY-JUNE 2022)

    Total calculated
    $2,000
    From this org
    $2,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.3 + 0.1 related

  • Dr James D Palmer DDS

    DIRECTOR

    Total calculated
    $2,000
    From this org
    $2,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.7

  • Patrick D Garvey

    DIRECTOR

    Total calculated
    $2,000
    From this org
    $2,000
    From related orgs
    $0
    Other
    $0
    Hours/week
    0.5

  • Stephanie A Albert

    EVP & CHIEF LEGAL OFFICER

    Total calculated
    $766,637
    From this org
    $0
    From related orgs
    $717,051
    Other
    $49,586
    Hours/week
    0.7 + 49.3 related

    Schedule J breakdown matched by us

    Base
    $0 + $443,991 related
    Bonus
    $0 + $251,975 related
    Other
    $0 + $21,085 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $31,286 related
    Filer's total
    $0 + $766,637 related

  • Carol M Houghtby Watson

    ASSISTANT TREASURER

    Total calculated
    $470,943
    From this org
    $0
    From related orgs
    $434,418
    Other
    $36,525
    Hours/week
    0.4 + 49.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $292,142 related
    Bonus
    $0 + $108,276 related
    Other
    $0 + $34,000 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $18,225 related
    Filer's total
    $0 + $470,943 related

  • Nadia Martyn

    ASSISTANT SECRETARY

    Total calculated
    $372,346
    From this org
    $0
    From related orgs
    $314,124
    Other
    $58,222
    Hours/week
    0.4 + 49.6 related

    Schedule J breakdown matched by us

    Base
    $0 + $209,658 related
    Bonus
    $0 + $68,899 related
    Other
    $0 + $35,567 related
    Deferred
    $0 + $18,300 related
    Nontaxable benefits
    $0 + $39,922 related
    Filer's total
    $0 + $372,346 related

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

  • 5b · Pay contingent on a related organization's revenues
  • 6b · Pay contingent on a related organization's net earnings

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
  • 6a · Pay contingent on this 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 3
ALL COMPENSATION TO THE CEO IS PAID BY STRATACOR, A RELATED ORGANIZATION. STRATACOR USES THE FOLLOWING TO ESTABLISH COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION SURVEY OR STUDY - APPROVAL BY BOARD OR COMPENSATION COMMITTEE
PART I, LINE 5
ALL ELIGIBLE EMPLOYEES MAY PARTICIPATE IN THE EMPLOYEE INCENTIVE PLAN WHICH IS APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE BOARD. THE 2022 PLAN ALLOWS FOR AN INCENTIVE PLAN PAYOUT BASED ON THREE COMPONENTS: THE RELATED COMPANY'S FINANCIAL PERFORMANCE, CUSTOMER AND EMPLOYEE EXPERIENCE, AND INDIVIDUAL GOALS. WITHIN THE CALCULATION OF THE RELATED COMPANY'S FINANCIAL PERFORMANCE, THERE IS A COMPONENT BASED ON REVENUE AND A COMPONENT BASED ON OPERATING EARNINGS. THE INCENTIVE AMOUNT IS BASED ON THE MATHEMATICAL CALCULATION OF THE RESULTS FOR EACH COMPONENT. FOR 2022, EACH EMPLOYEE'S AMOUNT WAS CALCULATED WITH 75% WEIGHT BASED ON THE RELATED COMPANY PERFORMANCE AND 25% WEIGHT BASED ON THEIR INDIVIDUAL PERFORMANCE.
PART I, LINE 6
ALL ELIGIBLE EMPLOYEES MAY PARTICIPATE IN THE EMPLOYEE INCENTIVE PLAN WHICH IS APPROVED BY THE HUMAN RESOURCES AND COMPENSATION COMMITTEE OF THE BOARD. THE 2022 PLAN ALLOWS FOR AN INCENTIVE PLAN PAYOUT BASED ON THREE COMPONENTS: THE RELATED COMPANY'S FINANCIAL PERFORMANCE, CUSTOMER AND EMPLOYEE EXPERIENCE, AND INDIVIDUAL GOALS. WITHIN THE CALCULATION OF THE RELATED COMPANY'S FINANCIAL PERFORMANCE, THERE IS A COMPONENT BASED ON REVENUE AND A COMPONENT BASED ON OPERATING EARNINGS. THE INCENTIVE AMOUNT IS BASED ON THE MATHEMATICAL CALCULATION OF THE RESULTS FOR EACH COMPONENT. FOR 2022, EACH EMPLOYEE'S AMOUNT WAS CALCULATED WITH 75% WEIGHT BASED ON THE RELATED COMPANY PERFORMANCE AND 25% WEIGHT BASED ON THEIR INDIVIDUAL PERFORMANCE

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

No itemized grants to organizations 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.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

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

  • HEALTH VENTURES NETWORK

    C · VISION COVERAGE · MN

  • ABOVA INC

    C · SALE OF DENTAL PRODUCTS AND CONSULTING · DE

  • TRASKA INC

    C · BEMIDJI BUILDING HOLDING CO · DE

Provenance

Return type
form_990
Tax year
2022
Filed
26 October 2023
IRS schema version
2022v5.0
Source object
202313199349311286

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