Form 990 for tax year 2023
Filed by DELTA DENTAL PLAN OF NEW HAMPSHIRE.
Totals
- Total revenue
- $457,472,075
- Total expenses
- $453,555,283
- Contributions and grants received
- $0
- Grants paid
- $583,600
- Program service revenue
- $455,006,263
- Investment income
- $2,599,479
- Other revenue
- -$133,667
- Total assets, end of year
- $91,954,190
- Total liabilities, end of year
- $16,688,286
- Net assets or fund balances, end of year
- $75,265,904
- Program services expenses (Part IX)
- $418,513,376
- Management and general expenses
- $35,041,907
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $418,513,376
Program services were 92.3% 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 $369,364,823 · related or exempt $369,364,823
-
2b · Program service revenue: Premium revenue
total $84,471,325 · related or exempt $84,471,325
-
2c · Program service revenue: NH Medicaid
total $1,070,115 · related or exempt $1,070,115
-
2d · Program service revenue: Management fee - CSLLC
total $100,000 · unrelated business $100,000
-
3 · Investment income
total $1,918,862 · excluded $1,918,862
-
6a · Gross rents
real property $127,086
-
6b · Less rental expenses
real property $260,753
-
6c · Rental income or loss
real property -$133,667
-
6d · Net rental income or loss
total -$133,667 · excluded -$133,667
-
7a · Gross sales of assets other than inventory
securities $10,755,716 · other assets $5,000
-
7b · Less cost or other basis and sales expenses
securities $10,080,099 · other assets $0
-
7c · Gain or loss
securities $675,617 · other assets $5,000
-
7d · Net gain or loss
total $680,617 · excluded $680,617
Functional expenses
Part IX, the statement of functional expenses.
-
1 · Grants to domestic organizations and governments
total $583,600 · program services $583,600
-
4 · Benefits paid to or for members
total $404,850,783 · program services $404,850,783
-
5 · Compensation of officers, directors and key employees
total $1,976,284 · program services $707,034 · management and general $1,269,250
-
7 · Other salaries and wages
total $15,969,959 · program services $7,030,657 · management and general $8,939,302
-
8 · Pension plan contributions
total $467,799 · management and general $467,799
-
9 · Other employee benefits
total $3,831,218 · management and general $3,831,218
-
10 · Payroll taxes
total $1,212,909 · management and general $1,212,909
-
11b · Fees: legal
total $102,509 · management and general $102,509
-
11c · Fees: accounting
total $123,517 · program services $33,967 · management and general $89,550
-
11f · Fees: investment management
total $162,868 · management and general $162,868
-
12 · Advertising and promotion
total $2,481,571 · program services $49,631 · management and general $2,431,940
-
13 · Office expenses
total $1,974,418 · program services $1,125,418 · management and general $849,000
-
14 · Information technology
total $3,296,998 · program services $1,351,769 · management and general $1,945,229
-
16 · Occupancy
total $816,829 · program services $351,236 · management and general $465,593
-
17 · Travel
total $60,575 · program services $3,233 · management and general $57,342
-
19 · Conferences, conventions and meetings
total $246,074 · program services $5,684 · management and general $240,390
-
22 · Depreciation, depletion and amortization
total $2,152,377 · program services $824,095 · management and general $1,328,282
-
23 · Insurance
total $391,147 · program services $160,369 · management and general $230,778
-
24a · Other expenses: Strategic initiatives
total $6,243,046 · program services $1,435,900 · management and general $4,807,146
-
24b · Other expenses: Brokers' commissions
total $4,472,665 · management and general $4,472,665
-
24c · Other expenses: Premium taxes
total $1,978,358 · management and general $1,978,358
-
24d · Other expenses: NH Medicaid Expense
total $159,779 · management and general $159,779
Balance sheet
Part X, book values.
-
1 · Cash, non-interest-bearing
beginning of year $10,764,875 · end of year $12,733,693
-
2 · Savings and temporary cash investments
beginning of year $428,820 · end of year $241,394
-
4 · Accounts receivable
beginning of year $6,605,736 · end of year $7,904,656
-
9 · Prepaid expenses and deferred charges
beginning of year $271,108 · end of year $541,303
-
10a · Land, buildings and equipment: cost or other basis
$36,055,073
-
10b · Land, buildings and equipment: accumulated depreciation
$28,164,645
-
10c · Land, buildings and equipment, net
beginning of year $10,925,652 · end of year $7,890,428
-
11 · Investments: publicly traded securities
beginning of year $53,879,059 · end of year $58,978,215
-
12 · Investments: other securities
beginning of year $19,522 · end of year $51,007
-
13 · Investments: program-related
beginning of year $3,063,348 · end of year $3,407,431
-
15 · Other assets
beginning of year $193,738 · end of year $206,063
-
17 · Accounts payable and accrued expenses
beginning of year $9,693,252 · end of year $11,127,840
-
25 · Other liabilities
beginning of year $5,789,235 · end of year $5,560,446
-
27 · Net assets without donor restrictions
beginning of year $70,669,371 · end of year $75,265,904
Mission and programs · 2023
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 830,400 claims in 2023. There are approximately 388,900 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 $417,929,776 · Revenue $454,906,263
-
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 $583,600 · Grants $583,600
As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.
Listed in Part VII
-
Colin Boswell DDS
Director
- Total calculated
- $3,076
- From this org
- $3,076
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
David Staples DDS
Chair & Director
- Total calculated
- $36,486
- From this org
- $36,486
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
James St Jean
Director
- Total calculated
- $11,688
- From this org
- $11,688
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Karen Carew CPA CFE
Director
- Total calculated
- $9,804
- From this org
- $9,804
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Jason Golden
Director (Part year)
- Total calculated
- $2,236
- From this org
- $2,236
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Tracy Claybaugh
Director
- Total calculated
- $8,420
- From this org
- $8,420
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Cydney Shapleigh
Director
- Total calculated
- $7,536
- From this org
- $7,536
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Matthew Cookson
Vice Chair & Director
- Total calculated
- $19,492
- From this org
- $19,492
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Christiane Rothwangl DDS
Director (Part year)
- Total calculated
- $3,460
- From this org
- $3,460
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Keith Levesque DMD
Director
- Total calculated
- $9,804
- From this org
- $9,804
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Nader Moavenian DDS
Director
- Total calculated
- $8,920
- From this org
- $8,920
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Rachel Forbes DMD
Director
- Total calculated
- $7,920
- From this org
- $7,920
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Jennifer E Gilkie
Director
- Total calculated
- $4,960
- From this org
- $4,960
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Joseph J Carelli Jr
Director
- Total calculated
- $11,188
- From this org
- $11,188
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Praveen Mandera DMD
Director
- Total calculated
- $8,420
- From this org
- $8,420
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Caroline Clerisme DMD
Director
- Total calculated
- $10,496
- From this org
- $10,496
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Leesa Smith
Director
- Total calculated
- $9,112
- From this org
- $9,112
- From related orgs
- $0
- Other
- $0
- Hours/week
- 3
-
Thomas Raffio
President & CEO
- Total calculated
- $1,177,504
- From this org
- $1,106,070
- From related orgs
- $0
- Other
- $71,434
- Hours/week
- 80
Schedule J breakdown matched by us
- Base
- $598,643
- Bonus
- $470,334
- Other
- $37,093
- Deferred
- $32,471
- Nontaxable benefits
- $38,963
- Filer's total
- $1,177,504
-
Francis Boucher
Treasurer & VP Finance (Part year)
- Total calculated
- $224,136
- From this org
- $184,279
- From related orgs
- $0
- Other
- $39,857
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $81,240
- Bonus
- $75,526
- Other
- $27,513
- Deferred
- $31,165
- Nontaxable benefits
- $8,692
- Filer's total
- $224,136
-
Sara M Brehm
Secretary
- Total calculated
- $181,008
- From this org
- $152,132
- From related orgs
- $0
- Other
- $28,876
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $118,155
- Bonus
- $28,115
- Other
- $5,862
- Deferred
- $12,177
- Nontaxable benefits
- $16,699
- Filer's total
- $181,008
-
Laurie Bienefeld
Treasurer & VP Finance
- Total calculated
- $220,778
- From this org
- $215,209
- From related orgs
- $0
- Other
- $5,569
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $184,560
- Bonus
- $18,404
- Other
- $12,245
- Deferred
- $3,330
- Nontaxable benefits
- $2,239
- Filer's total
- $220,778
-
Joseph Errante
VP, Professional Relations
- Total calculated
- $471,282
- From this org
- $409,210
- From related orgs
- $0
- Other
- $62,072
- Hours/week
- 47
Schedule J breakdown matched by us
- Base
- $300,236
- Bonus
- $94,248
- Other
- $14,726
- Deferred
- $32,471
- Nontaxable benefits
- $29,601
- Filer's total
- $471,282
-
William H Lambrukos
Sr. VP Operations
- Total calculated
- $410,207
- From this org
- $351,446
- From related orgs
- $0
- Other
- $58,761
- Hours/week
- 40
Schedule J breakdown matched by us
- Base
- $255,865
- Bonus
- $80,319
- Other
- $15,262
- Deferred
- $32,471
- Nontaxable benefits
- $26,290
- Filer's total
- $410,207
-
Brian D Duffy
VP & General Counsel
- Total calculated
- $330,955
- From this org
- $300,263
- From related orgs
- $0
- Other
- $30,692
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $230,045
- Bonus
- $61,240
- Other
- $8,978
- Deferred
- $26,357
- Nontaxable benefits
- $4,335
- Filer's total
- $330,955
-
Jodie L Hittle
VP, Marketing
- Total calculated
- $358,384
- From this org
- $304,353
- From related orgs
- $0
- Other
- $54,031
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $229,377
- Bonus
- $72,004
- Other
- $2,972
- Deferred
- $30,829
- Nontaxable benefits
- $23,202
- Filer's total
- $358,384
-
Michael Bourbeau
VP, Information Systems
- Total calculated
- $344,688
- From this org
- $311,403
- From related orgs
- $0
- Other
- $33,285
- Hours/week
- 50
Schedule J breakdown matched by us
- Base
- $231,472
- Bonus
- $69,305
- Other
- $10,626
- Deferred
- $29,780
- Nontaxable benefits
- $3,505
- Filer's total
- $344,688
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
-
Northeast Delta Dental Foundation
$583,600
General support to promote oral health
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 28 October 2024
- IRS schema version
- 2023v5.1
- Source object
- 202413069349301306
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