TY 2020 Form 990

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(1) Doug Ballweg President & CEO	45.0 ................. 1.0	X	X		3,850,412	254,651
(2) Anne Smith Director	2.0 ................. 0	X			95,872	0
(3) Brad McClain Director	2.0 ................. 0	X			75,372	19,500
(4) Cristy Garcia-Thomas Director	2.0 ................. 0	X			71,372	19,500
(5) David Bretting Director	2.0 ................. 0	X			96,872	0
(6) Eugene Randolph Chairman & Director	2.0 ................. 1.0	X			151,956	0
(7) Jeff Martin Director	2.0 ................. 0	X			99,872	0
(8) Monica Hebl DDS Director	2.0 ................. 0	X			76,872	19,500
(9) Tim Kinzel DDS Director	2.0 ................. 0	X			83,872	19,500
(10) Anne Treankler Secretary & Chief Risk Officer	45.0 ................. 0		X		404,735	443,868
(11) Craig D Aittama Treasurer & VP, Finance	45.0 ................. 1.0		X		336,507	99,944
(12) David Peterson Chief Growth & Strategy Officer	45.0 ................. 1.0			X	584,145	607,836
(13) Fred Eichmiller VP & Science Officer	45.0 ................. 1.0			X	3,682,485	315,399
(14) Kelly McGinty VP, Individual Admin Services	45.0 ................. 0			X	335,678	327,578
(15) Maureen Lewandowski VP, Claim Operations	45.0 ................. 0			X	254,445	132,746
(16) Noreen Parrett VP, General Counsel	45.0 ................. 0			X	291,118	86,418
(17) Pamela Gartmann VP, Administration	45.0 ................. 0			X	562,935	43,792

(A) Name and business address	(B) Description of services	(C) Compensation
DENTAL ASSOCIATES LTD - CCD 3333 N MAYFAIR RD STE 311 WAUWATOSA,WI53222	DENTAL SERVICES	14,558,033
MIDWEST DENTAL CARE - SHEBOYGAN PO BOX 90 MONDOVI,WI54755	DENTAL SERVICES	14,486,289
DENTAL HEALTH ASSOCIATES OF MADISON 2971 CHAPEL VALLEY ROAD MADISON,WI53711	DENTAL SERVICES	12,592,283
WISCONSIN DENTAL GROUP SC PO BOX 860309 MINNEAPOLIS,MN55486	DENTAL SERVICES	8,418,939
FIRST CHOICE DENTAL GROUP 440 SCIENCE DR STE 100 MADISON,WI53711	DENTAL SERVICES	8,345,057
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 1,015

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SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
SchDMd Bullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Delta Dental of Wisconsin Inc

Employer identification number

39-6094742

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

		(a) Donor advised funds	(b) Funds and other accounts
1	Total number at end of year .........
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ........

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2020

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....

Part V

Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a) Current year	(b) Prior year	(c) Two years back	(d) Three years back	(e) Four years back

1a	Beginning of year balance ....
b	Contributions ...
c	Net investment earnings, gains, and losses
d	Grants or scholarships ...
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....
g	End of year balance ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .......................

3a(i)

(ii) Related organizations .......................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b) Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land .....	2,118,254		2,118,254
b	Buildings ....	15,384,896	4,782,226	10,602,670
c	Leasehold improvements	556,952	322,769	234,183
d	Equipment ....	2,151,034	1,371,442	779,592
e	Other .....	744,107	304,145	439,962
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				14,174,661

Schedule D (Form 990) 2020

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........	32,688,300	C
(3)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	32,688,300

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	37,249,366
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2020

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference	Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote	DELTA WI IS ORGANIZED AS A NONPROFIT DENTAL CARE PLAN FOR FEDERAL INCOME TAX PURPOSES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE, AND IS, THEREFORE, EXEMPT FROM FEDERAL INCOME TAXES. THE SUBSIDIARY IS SUBJECT TO FEDERAL INCOME TAXES. FOR WISCONSIN INCOME TAX PURPOSES, DELTA WI IS TAXED AS AN INSURANCE COMPANY AND FILES A COMBINED RETURN WITH ITS SUBSIDIARY. The subsidiary's federal income tax returns for 2017 - 2020, and state tax returns for 2016 - 2020, are subject to examination by tax authorities generally 3 years after they were filed for federal, and 4 years for state. AS OF DECEMBER 31, 2020, THE COMPANY HAD NOT IDENTIFIED ANY MATERIAL LOSS CONTINGENCIES ARISING FROM UNCERTAIN TAX POSITIONS

Return Reference

Explanation

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

DELTA WI IS ORGANIZED AS A NONPROFIT DENTAL CARE PLAN FOR FEDERAL INCOME TAX PURPOSES UNDER SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE, AND IS, THEREFORE, EXEMPT FROM FEDERAL INCOME TAXES. THE SUBSIDIARY IS SUBJECT TO FEDERAL INCOME TAXES. FOR WISCONSIN INCOME TAX PURPOSES, DELTA WI IS TAXED AS AN INSURANCE COMPANY AND FILES A COMBINED RETURN WITH ITS SUBSIDIARY. The subsidiary's federal income tax returns for 2017 - 2020, and state tax returns for 2016 - 2020, are subject to examination by tax authorities generally 3 years after they were filed for federal, and 4 years for state. AS OF DECEMBER 31, 2020, THE COMPANY HAD NOT IDENTIFIED ANY MATERIAL LOSS CONTINGENCIES ARISING FROM UNCERTAIN TAX POSITIONS

Schedule D (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

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Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization
Delta Dental of Wisconsin Inc

Employer identification number
39-6094742

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section (if applicable)	(d) Amount of cash grant	(h) Purpose of grant or assistance
(1) BOYS & GIRLS CLUB OF PORTAGE COUNTY INC PO BOX 171 STEVENS POINT,WI54481	73-1630506	501(C)(3)	30,000	Funding for Boys & Girls Clubs in Portage County, helping low income youth with health, wellness and education
(2) SAINT MICHAELS FOUNDATION OF STEVENS POINT 900 ILLINOIS AVENUE STEVENS POINT,WI54481	39-1657410	501(C)(3)	10,500	Annual support for programs within the hospital to improve health and wellness and uninsured
(3) STEVENS POINT AREA YMCA 1000 DIVISION ST STEVENS POINT,WI54481	39-1102612	501(C)(3)	15,600	Funding for low income families to utilizie the YMCA and improve wellness; support for diabetes oral health program
(4) UNITED WAY OF PORTAGE COUNTY INC 1100 CENTERPOINT DRIVE SUITE 302 STEVENS POINT,WI54481	39-0831152	501(C)(3)	290,204	Match of our employee donations to United Way and their agencies
(5) CAP SERVICES INC 2900 HOOVER RD STE A STEVENS POINT,WI54481	39-1080897	501(C)(3)	5,250	Donation to Community Action Program that assists low-income individuals and families
(6) Boys & Girls Club of Dane County 1818 W Beltline Hwy Madison,WI53713	39-1925617	501(C)(3)	28,000	Funding in support each Boys & Girls Club in Wisconsin as part of our state-wide support of low income youth
(7) American National Red Cross - Wisconsin Region 431 18th St NW Washington,DC20006	53-0196605	501(C)(3)	7,500	Provides disaster and health services to local community
(8) Marshfield Clinic Health System Foundation 1000 N Oak Ave Marshfield,WI54449	81-2822823	501(C)(3)	20,100	Funding for Child Life Specialists within Children's Hospital
(9) Community Foundation of Central Wisconsin 1501 CLARK STREET STEVENS POINT,WI54481	39-0827885	501(C)(3)	25,200	Support and training for area nonprofits during COVID
(10) American Heart Association 7272 Greenville Ave Dallas,TX75231	13-5613797	501(C)(3)	5,475	General support
(11) UWSP Foundation 2100 MAIN ST STE 212 STEVENS POINT,WI54481	39-6098038	501(C)(3)	203,100	Support for local university capital campaign to ensure strong workforce and community
(12) Create Portage County PO Box 565 STEVENS POINT,WI54481	20-1960836	501(C)(3)	10,000	Annual donation to charity that supports strong and diverse communities
(13) ADVANCED DENTAL PROFESSIONALS 617 JACKSON ST WAUSAU,WI54403	82-1795608		6,722	COVID-19 Practice Recovery Supplement Program grant
(14) COWGILL DENTAL ONALASKA 2831 NATIONAL DR ONALASKA,WI54650	84-2225754		8,324	COVID-19 Practice Recovery Supplement Program grant
(15) DENTAL VISIONS 3715 WESTON AVE WESTON,WI54476	82-1854446		9,810	COVID-19 Practice Recovery Supplement Program grant
(16) GARY J KOHL DDS 1 CORPORATE DR STE 104 WAUSAU,WI54401	83-0765457		6,411	COVID-19 Practice Recovery Supplement Program grant
(17) MARATHON FAMILY DENTISTRY 981 BLUESTONE LN MARATHON,WI54448	82-1786029		7,835	COVID-19 Practice Recovery Supplement Program grant
(18) POINT PLACE DENTAL 3216 BUSINESS PARK DR STEVENS POINT,WI54482	82-1826640		13,203	COVID-19 Practice Recovery Supplement Program grant
(19) QUIRT FAMILY DENTISTRY SC 3417 SCHOFIELD AVE SCHOFIELD,WI54476	20-4885930		7,600	COVID-19 Practice Recovery Supplement Program grant
(20) QUIRT FAMILY DENTISTRY SC 2812 E MAIN ST MERRILL,WI54452	20-4885930		6,425	COVID-19 Practice Recovery Supplement Program grant
(21) QUIRT FAMILY DENTISTRY SC 200 E BRIDGE ST STE 100 WAUSAU,WI54403	20-4885930		7,363	COVID-19 Practice Recovery Supplement Program grant
(22) RLJ DENTAL - MENASHA 1155 WITTMANN DR MENASHA,WI54952	20-4885930		6,250	COVID-19 Practice Recovery Supplement Program grant
(23) CHILDRENS DENTAL CENTER MADISO 5544 E CHERYL PARKWAY FITCHBURG,WI53711	39-1808507		26,352	COVID-19 Practice Recovery Supplement Program grant
(24) CHILDRENS DENTAL CENTER MADISO 7001 OLD SAUK RD MADISON,WI53717	39-1808507		26,243	COVID-19 Practice Recovery Supplement Program grant
(25) CHILDRENS DENTAL CENTER MADISO 5116 AMERICAN FAMILY DR MADISON,WI53718	39-1808507		16,365	COVID-19 Practice Recovery Supplement Program grant
(26) FIRST IMPRESSIONS SC 413 N 17TH AVE WAUSAU,WI54401	39-1825887		29,609	COVID-19 Practice Recovery Supplement Program grant
(27) FIRST IMPRESSIONS SC 2040 COUNTY HWY HH PLOVER,WI54467	39-1825887		8,838	COVID-19 Practice Recovery Supplement Program grant
(28) DENTAL DESIGN STUDIO 1795 W POINTE DR OSHKOSH,WI54902	84-2141354		6,491	COVID-19 Practice Recovery Supplement Program grant
(29) MAUTHE & ASSOCIATES DDS SC 101 CAMELOT DR SUITE 3 FOND DU LAC,WI54935	20-1247149		10,123	COVID-19 Practice Recovery Supplement Program grant
(30) PARADISE DENTAL PROFESSIONALS 1625 W PARADISE DR WEST BEND,WI53095	37-1846085		6,746	COVID-19 Practice Recovery Supplement Program grant
(31) WILLOW BAY DENTAL 2040 CENTRAL COURT GREEN BAY,WI54311	81-1602599		6,681	COVID-19 Practice Recovery Supplement Program grant
(32) RACINE DENTAL GROUP SC 1101 S AIRLINE ROAD RACINE,WI53406	39-1191606		50,450	COVID-19 Practice Recovery Supplement Program grant
(33) MADISON FAMILY DENTAL ASSOC 5709 ODANA RD MADISON,WI53719	39-1136168		41,785	COVID-19 Practice Recovery Supplement Program grant
(34) MADISON FAMILY DENTAL ASSOC 502 NELSON CT DE FOREST,WI53532	39-1136168		8,307	COVID-19 Practice Recovery Supplement Program grant
(35) ASSOCIATED DENTISTS 749 UNIVERSITY ROW MADISON,WI53705	39-1606037		22,627	COVID-19 Practice Recovery Supplement Program grant
(36) ASSOCIATED DENTISTS 1010 NORTH EDGE TRAIL VERONA,WI53593	39-1606037		15,920	COVID-19 Practice Recovery Supplement Program grant
(37) DEFOREST DENTAL 210 N MAIN ST 103 DE FOREST,WI53532	83-2580273		5,930	COVID-19 Practice Recovery Supplement Program grant
(38) MIDDLETON FAMILY DENTAL 6660 UNIVERSITY AVE MIDDLETON,WI53562	81-0808543		12,867	COVID-19 Practice Recovery Supplement Program grant
(39) STOUGHTON FAMILY DENTAL 101 W MAIN ST STOUGHTON,WI53589	83-3927693		6,749	COVID-19 Practice Recovery Supplement Program grant
(40) MADISON PEDIATRIC DENTAL SC 100 RIVER PLACE STE 110 MADISON,WI53716	48-1288156		30,462	COVID-19 Practice Recovery Supplement Program grant
(41) COMPLETE FAMILY DENTISTRY 4925 MONONA DR MONONA,WI53716	46-2282833		6,294	COVID-19 Practice Recovery Supplement Program grant
(42) EXCELLENCE IN DENTISTRY 1001 N SHERMAN AVE MADISON,WI53704	46-2282833		5,827	COVID-19 Practice Recovery Supplement Program grant
(43) DENTAL CLINIC OF MARSHFIELD 306 W MC MILLAN RD MARSHFIELD,WI54449	39-1093621		27,861	COVID-19 Practice Recovery Supplement Program grant
(44) NEIGHBORHOOD SMILES OF ONALASK 1831 E MAIN ST ONALASKA,WI54650	45-2594561		5,225	COVID-19 Practice Recovery Supplement Program grant
(45) WAUSAU SMILES LLC 301 NORTH 17TH AVE STE 200 WAUSAU,WI54401	46-5190798		10,526	COVID-19 Practice Recovery Supplement Program grant
(46) AFFILIATED DENTISTS 100 RIVER PLACE 220 MADISON,WI53716	39-1151877		12,958	COVID-19 Practice Recovery Supplement Program grant
(47) AFFILIATED DENTISTS 5601 ODANA RD MADISON,WI53719	39-1151877		12,312	COVID-19 Practice Recovery Supplement Program grant
(48) VILLAGE FAMILY DENTAL ASSOC 1250 PRAIRIE ST PRAIRIE DU SAC,WI53578	39-1132477		23,905	COVID-19 Practice Recovery Supplement Program grant
(49) LEAMAN SETNICAR & PIACSEK 820 E SUMMIT AVE OCONOMOWOC,WI53066	82-1724429		7,367	COVID-19 Practice Recovery Supplement Program grant
(50) SZMANDA DENTAL CENTER 227071 HUMMINGBIRD RD WAUSAU,WI54401	39-1736146		15,986	COVID-19 Practice Recovery Supplement Program grant
(51) ARTISAN DENTAL LLC 10 N LIVINGSTON ST STE 301 MADISON,WI53703	46-3221567		23,977	COVID-19 Practice Recovery Supplement Program grant
(52) GUNDERSEN CLINIC LTD 1836 SOUTH AVE LA CROSSE,WI54601	39-1028657		9,010	COVID-19 Practice Recovery Supplement Program grant
(53) GUNDERSEN CLINIC LTD 201 3RD ST N LA CROSSE,WI54601	39-1028657		7,940	COVID-19 Practice Recovery Supplement Program grant
(54) SMALL WORLD CHILDRENS DENT SC 14430 W GREENFIELD AVE BROOKFIELD,WI53005	39-2018356		17,318	COVID-19 Practice Recovery Supplement Program grant
(55) DENTAL ASSOC BARABOO SC 880 14TH ST BARABOO,WI53913	39-1245610		18,425	COVID-19 Practice Recovery Supplement Program grant
(56) PARKVIEW DENTAL ASSOC 601 N THOMPSON RD SUN PRAIRIE,WI53590	39-1415243		17,847	COVID-19 Practice Recovery Supplement Program grant
(57) VALLEY DENTAL INC 1637 MAIN ST ONALASKA,WI54650	39-1837949		16,069	COVID-19 Practice Recovery Supplement Program grant
(58) COLUMBUS FAMILY DENTAL INC 1501 PARK AVE COLUMBUS,WI53925	20-4884633		8,647	COVID-19 Practice Recovery Supplement Program grant
(59) NORTHSTAR DENTAL GROUP 1414 N TAYLOR DR 230 SHEBOYGAN,WI53081	27-4326758		10,700	COVID-19 Practice Recovery Supplement Program grant
(60) AREA DENTAL ASSOCIATES LLC 1149 BOUGHTON ST BLDG B WATERTOWN,WI53094	81-0947233		10,261	COVID-19 Practice Recovery Supplement Program grant
(61) GREAT SMILES DENTAL SC 1336 CRESTON PARK DR JANESVILLE,WI53545	39-1916182		10,807	COVID-19 Practice Recovery Supplement Program grant
(62) MADISON NO FEAR DENTISTRY 344 S YELLOWSTONE DR MADISON,WI53705	39-2002020		14,168	COVID-19 Practice Recovery Supplement Program grant
(63) BYCE & WORMAN FAMILY DENTISTRY 8002 WATTS RD MADISON,WI53719	27-1811730		14,163	COVID-19 Practice Recovery Supplement Program grant
(64) DELAFIELD DENTAL LLC 920 INDIAN SPRING DR DELAFIELD,WI53018	46-3191338		6,497	COVID-19 Practice Recovery Supplement Program grant
(65) MADISON ORAL & MAX SURGEON SC 2921 LANDMARK PL STE 100 MADISON,WI53713	39-1249088		13,960	COVID-19 Practice Recovery Supplement Program grant
(66) EAST TOWNE DENTAL BELGIUM FAM 171 MAIN ST 200 BELGIUM,WI53004	39-1765402		7,959	COVID-19 Practice Recovery Supplement Program grant
(67) EAST TOWNE DENTAL BELGIUM FAM 11501 N PORT WASHINGTON RD MEQUON,WI53092	39-1765402		5,897	COVID-19 Practice Recovery Supplement Program grant
(68) ELMBROOK FAMILY DENTAL PARTNER 125 N EXECUTIVE DR STE 105 BROOKFIELD,WI53005	27-0556470		13,697	COVID-19 Practice Recovery Supplement Program grant
(69) SMILES IN MOTION SC 583 LAKELAND DR CHIPPEWA FALLS,WI54729	26-2633347		13,379	COVID-19 Practice Recovery Supplement Program grant
(70) DENTAL PROFESSIONALS SC N112W16760 MEQUON RD GERMANTOWN,WI53022	39-1809079		13,528	COVID-19 Practice Recovery Supplement Program grant
(71) WEST PRAIRIE DENTAL 2630 IRONWOOD DR SUN PRAIRIE,WI53590	45-3955210		13,224	COVID-19 Practice Recovery Supplement Program grant
(72) STACEY DENTAL SC 858 JUPITER DR MADISON,WI53718	39-1216068		13,095	COVID-19 Practice Recovery Supplement Program grant
(73) DOOR CREEK DENTAL SC 6420 COTTAGE GROVE RD MADISON,WI53718	39-1182408		12,972	COVID-19 Practice Recovery Supplement Program grant
(74) GLACIER DENTAL LLC 1720 CONGRESS AVE OSHKOSH,WI54901	46-0512852		7,425	COVID-19 Practice Recovery Supplement Program grant
(75) KIDS DENTAL EXPERTS 125 SIEGLER ST GREEN BAY,WI54303	39-1271026		9,582	COVID-19 Practice Recovery Supplement Program grant
(76) WINDSOR FAMILY DENTAL SC 6729 LAKE RD WINDSOR,WI53598	39-1287222		12,567	COVID-19 Practice Recovery Supplement Program grant
(77) TODAY'S DENTISTRY LLC W68N101 EVERGREEN BLVD CEDARBURG,WI53012			10,507	COVID-19 Practice Recovery Supplement Program grant
(78) TOTAL CARE DENTAL SC 6317 ODANA RD MADISON,WI53719	39-1776392		11,888	COVID-19 Practice Recovery Supplement Program grant
(79) MAC DENTAL CENTER SC 704 S WEBSTER AVE STE 402 GREEN BAY,WI54301	39-1269454		6,899	COVID-19 Practice Recovery Supplement Program grant
(80) HAYE DENTAL GROUP 107 N CROSBY AVE JANESVILLE,WI53548	39-1209088		6,801	COVID-19 Practice Recovery Supplement Program grant
(81) PARAMOUNT PEDIATRIC DENTISTRY 5810 S 108TH ST HALES CORNERS,WI53130	27-3003552		10,021	COVID-19 Practice Recovery Supplement Program grant
(82) DREIER FAMILY DENTAL 2630 LIBERTY LN JANESVILLE,WI53545	82-1610868		11,516	COVID-19 Practice Recovery Supplement Program grant
(83) FALLS DENTAL ASSOCIATES SC N85 W16093 APPLETON AVE MENOMONEE FALLS,WI53051	39-1829938		11,489	COVID-19 Practice Recovery Supplement Program grant
(84) GREAT DAY DENTAL EAST MADISON 2010 EASTWOOD DR STE 203 MADISON,WI53704	82-2948379		5,559	COVID-19 Practice Recovery Supplement Program grant
(85) GREAT DAY DENTAL MONONA 1532 W BROADWAY STE 101 MADISON,WI53713	82-2948379		5,667	COVID-19 Practice Recovery Supplement Program grant
(86) WEST BEND DENTAL CENTER SC 1500 S MAIN ST WEST BEND,WI53095	39-1704578		11,169	COVID-19 Practice Recovery Supplement Program grant
(87) FALLS DENTAL GROUP N88 W17001 MAIN ST MENOMONEE FALLS,WI53051	39-1979724		11,166	COVID-19 Practice Recovery Supplement Program grant
(88) CENTER FOR ORAL MAX SURG 7007 OLD SAUK RD MADISON,WI53717	39-1131485		5,161	COVID-19 Practice Recovery Supplement Program grant
(89) CENTER FOR ORAL MAX SURG 5302 BUTTONWOOD DR MADISON,WI53718	39-1131485		5,270	COVID-19 Practice Recovery Supplement Program grant
(90) CAPITAL ENDODONTICS LLC 2418 CROSSROADS DR STE 2900 MADISON,WI53718	71-0881093		10,894	COVID-19 Practice Recovery Supplement Program grant
(91) TRIMARK DENTAL CLINIC LLP 2130 KENNEDY RD JANESVILLE,WI53545	39-1949251		10,600	COVID-19 Practice Recovery Supplement Program grant
(92) CUDAHY DENTAL ASSOCIATES 6217 S PACKARD AVE CUDAHY,WI53110	39-1133997		10,579	COVID-19 Practice Recovery Supplement Program grant
(93) BEAVER DAM DENTAL 302 N SPRING ST BEAVER DAM,WI53916	39-1601273		10,508	COVID-19 Practice Recovery Supplement Program grant
(94) THE DENTISTS SOUTH SHORE 704 E LAYTON AVE MILWAUKEE,WI53207	39-1623563		8,704	COVID-19 Practice Recovery Supplement Program grant
(95) EAST GROVE DENTAL 826 ATLAS AVE MADISON,WI53714	39-1745387		10,244	COVID-19 Practice Recovery Supplement Program grant
(96) LAKE SHORE FAMILY DENTISTRY 7155 N PORT WASHINGTON RD GLENDALE,WI53217	26-4080525		7,906	COVID-19 Practice Recovery Supplement Program grant
(97) DENTAL ARTS ASSOCIATES LTD 1711 SHAWANO AVE GREEN BAY,WI54303	39-1194031		10,172	COVID-19 Practice Recovery Supplement Program grant
(98) WARREN FAMILY DENTAL 4226 MILWAUKEE ST MADISON,WI53714	20-2027676		9,971	COVID-19 Practice Recovery Supplement Program grant
(99) CLEARWATER DENTAL SC 4237 SOUTHTOWNE DR EAU CLAIRE,WI54701	45-2813531		9,966	COVID-19 Practice Recovery Supplement Program grant
(100) RIVER TOWN DENTAL LLC 3143 STATE RD STE 100 LA CROSSE,WI54601	82-3650678		5,225	COVID-19 Practice Recovery Supplement Program grant
(101) ORTHODONTIC SPEC OF MADISON SC 202 SOUTH GAMMON RD MADISON,WI53717	20-3241414		9,848	COVID-19 Practice Recovery Supplement Program grant
(102) FOREST VIEW DENTAL SC 1111 W VALLEY RD APPLETON,WI54915	39-1813112		9,799	COVID-19 Practice Recovery Supplement Program grant
(103) CHAD T MUELLER 152 ALPINE PARKWAY OREGON,WI53575	39-1876387		9,748	COVID-19 Practice Recovery Supplement Program grant
(104) MENDOTA SPRINGS DENTISTRY 6317 MCKEE RD STE 500 FITCHBURG,WI53719	81-1078067		9,689	COVID-19 Practice Recovery Supplement Program grant
(105) BUBON & ASSOCIATES ORTHOD SC 21680 W BLUEMOUND RD WAUKESHA,WI53186	26-1631881		9,611	COVID-19 Practice Recovery Supplement Program grant
(106) EAGLEVIEW DENTAL OFFICE LLC 464 WATER ST PRAIRIE DU SAC,WI53578	39-1981080		9,499	COVID-19 Practice Recovery Supplement Program grant
(107) ORAL & MAX SURG FOX CITIES 5395 W MICHAELS DR APPLETON,WI54913	39-1193991		9,467	COVID-19 Practice Recovery Supplement Program grant
(108) RIDGEVIEW DENTAL GROUP SC W178N9201 WATER TOWER PL 100 MENOMONEE FALLS,WI53051	39-1736910		9,350	COVID-19 Practice Recovery Supplement Program grant
(109) DENTAL PARK SC 1503 RANDOLPH COURT MANITOWOC,WI54220	39-1145919		9,338	COVID-19 Practice Recovery Supplement Program grant
(110) LAKE GENEVA DENTAL CARE LLC 580 BROAD ST LAKE GENEVA,WI53147	20-1126681		5,939	COVID-19 Practice Recovery Supplement Program grant
(111) EBBEN & PYNENBERG DDS SC 607 WILSON ST LITTLE CHUTE,WI54140	39-1839428		9,199	COVID-19 Practice Recovery Supplement Program grant
(112) WAUSHARA DENTAL ASSOCIATES SC N2888 STATE RD 22 WAUTOMA,WI54982	39-1328299		7,263	COVID-19 Practice Recovery Supplement Program grant
(113) CHARLES C ANDERSON DDS SC 7215 W RAWSON AVE FRANKLIN,WI53132	39-1249732		9,151	COVID-19 Practice Recovery Supplement Program grant
(114) MUKWONAGO FAMILY DENTISTRY 1210 MARSH VIEW DR MUKWONAGO,WI53149	39-1338350		9,116	COVID-19 Practice Recovery Supplement Program grant
(115) GRAND AVENUE DENTAL CARE 1163 GRAND AVE HARTFORD,WI53027	39-1207602		9,056	COVID-19 Practice Recovery Supplement Program grant
(116) BROWN FAMILY DENTISTRY SC 996 S GREEN BAY RD NEENAH,WI54956	46-0469164		8,939	COVID-19 Practice Recovery Supplement Program grant
(117) COMPLETE FAMILY DENTISTRY LLC 419 E BROADWAY WAUKESHA,WI53186	20-3915734		8,926	COVID-19 Practice Recovery Supplement Program grant
(118) GENERATIONS FAMILY DENTAL SC 2505 N MAYFAIR RD STE 103 WAUWATOSA,WI53226	39-1755427		8,830	COVID-19 Practice Recovery Supplement Program grant
(119) JANESVILLE PED DENTAL CARE SC 2726 WOODLANE DR JANESVILLE,WI53545	39-1318753		8,829	COVID-19 Practice Recovery Supplement Program grant
(120) BRETT C SKARR DDS SC 713 W MORELAND BLVD WAUKESHA,WI53188	39-1752493		8,828	COVID-19 Practice Recovery Supplement Program grant
(121) SEYMOUR DENTAL 601 COMMERCIAL ST SEYMOUR,WI54165	20-3985165		8,818	COVID-19 Practice Recovery Supplement Program grant
(122) SILVER CREEK DENTISTRY 1209 W FOND DU LAC STREET RIPON,WI54971	81-0993216		8,805	COVID-19 Practice Recovery Supplement Program grant
(123) CHRISTOPHER SHUMWAY DDS 2020 AMERICAN EAGLE DR SLINGER,WI53086	20-8484066		5,864	COVID-19 Practice Recovery Supplement Program grant
(124) FAMILY DENTAL PRACTICE 1518 DOCTORS CT WATERTOWN,WI53094	81-1689724		8,657	COVID-19 Practice Recovery Supplement Program grant
(125) SMILES BY DESIGN SC 230 TOWNE DR HORTONVILLE,WI54944	39-1995747		8,510	COVID-19 Practice Recovery Supplement Program grant
(126) STACEY EBY DDS SC 1100 MADISON AVE FORT ATKINSON,WI53538	39-1192229		8,501	COVID-19 Practice Recovery Supplement Program grant
(127) RIVERHILL DENTAL ASSOC DDS SC N2846 SHADOW RD WAUPACA,WI54981	20-4277586		8,470	COVID-19 Practice Recovery Supplement Program grant
(128) JOHN W MOORE DDS 1630 LOSEY BLVD SOUTH LA CROSSE,WI54601	20-2389007		8,470	COVID-19 Practice Recovery Supplement Program grant
(129) ISTHMUS DENTAL LTD 122 E JOHNSON ST MADISON,WI53703	39-1271594		8,337	COVID-19 Practice Recovery Supplement Program grant
(130) LAC DU FLAMBEAU BAND PO BOX 128 LAC DU FLAMBEAU,WI54538	39-0817274		8,324	COVID-19 Practice Recovery Supplement Program grant
(131) HART & OLSON FAMILY DENTISTRY 225 GUNDERSON DR PORTAGE,WI53901	20-5898371		8,317	COVID-19 Practice Recovery Supplement Program grant
(132) HILLSIDE DENTAL ASSOC 644 W OSHKOSH ST RIPON,WI54971	39-1326929		8,233	COVID-19 Practice Recovery Supplement Program grant
(133) CURLESS DENTAL LLC 2101 E CALUMET ST APPLETON,WI54915	26-1794339		8,095	COVID-19 Practice Recovery Supplement Program grant
(134) MCFARLAND FAMILY DENTAL 4831 LARSON BEACH RD MC FARLAND,WI53558	20-1911110		7,976	COVID-19 Practice Recovery Supplement Program grant
(135) CEDAR CREEK DENTAL WI SC 1851 COUNTY ROAD XX KRONENWETTER,WI54455	39-1399190		7,970	COVID-19 Practice Recovery Supplement Program grant
(136) HEBERT DENTAL 4710 COMMERCE VALLEY RD EAU CLAIRE,WI54701	39-1540425		7,944	COVID-19 Practice Recovery Supplement Program grant
(137) TWOHIG FAMILY DENTAL 211 S NATIONAL AVE FOND DU LAC,WI54935	39-2016991		7,926	COVID-19 Practice Recovery Supplement Program grant
(138) DENTISTRY FOR MADISON LLC 413 W WASHINGTON AVE MADISON,WI53703	39-1907532		7,900	COVID-19 Practice Recovery Supplement Program grant
(139) DRS BENDER KIND & STAFFORD SC 201 SHERMAN AVE WEST FORT ATKINSON,WI53538	39-1358713		7,868	COVID-19 Practice Recovery Supplement Program grant
(140) KARLS FAMILY DENTISTRY 400 W 2ND ST WAUNAKEE,WI53597	46-4872719		7,829	COVID-19 Practice Recovery Supplement Program grant
(141) DODGEVILLE DENTAL 1208 JOSEPH ST DODGEVILLE,WI53533	38-3972828		7,699	COVID-19 Practice Recovery Supplement Program grant
(142) LODI VALLEY DENTAL LLC 105 DALE DR LODI,WI53555	84-3511221		7,610	COVID-19 Practice Recovery Supplement Program grant
(143) SEUBERT FAMILY DENTISTRY LLC 260 W COOK ST PORTAGE,WI53901	46-5762192		7,549	COVID-19 Practice Recovery Supplement Program grant
(144) THE KIDS DENTIST LLC 10618 N PORT WASHINGTON RD MEQUON,WI53092	47-1107177		7,546	COVID-19 Practice Recovery Supplement Program grant
(145) SWANSON AND ASSOC FAMILY DENTI 410 E WASHINGTON ST SLINGER,WI53086	81-2002233		7,534	COVID-19 Practice Recovery Supplement Program grant
(146) ONEIDA NATION 525 AIRPORT DR ONEIDA,WI54155	39-6081138		7,515	COVID-19 Practice Recovery Supplement Program grant
(147) OAK PARK DENTAL MINERAL PT RD 7617 MINERAL POINT RD STE 120 MADISON,WI53717	14-1921143		7,508	COVID-19 Practice Recovery Supplement Program grant
(148) RIVERHILL DENTAL ASSOCIATES SC 406 DALY AVE WISCONSIN RAPID,WI54494	39-1169063		7,455	COVID-19 Practice Recovery Supplement Program grant
(149) Verona Family Dental SC 271 S MAIN ST VERONA,WI53593	84-4722822		7,306	COVID-19 Practice Recovery Supplement Program grant
(150) WEBSTER DENTAL ASSOCIATES S C 2121 S WEBSTER AVE GREEN BAY,WI54301	39-1575243		7,263	COVID-19 Practice Recovery Supplement Program grant
(151) ORAL HEALTH ASSOCIATES 315 S MONROE AVE GREEN BAY,WI54301	39-1391943		7,195	COVID-19 Practice Recovery Supplement Program grant
(152) ORAL & MAX SURG ASSC EAUCLAIRE PO BOX 1224 EAU CLAIRE,WI54702	39-1148730		5,439	COVID-19 Practice Recovery Supplement Program grant
(153) PLATTEVILLE DENTAL LLC 960 N WASHINGTON ST PLATTEVILLE,WI53818	26-4174662		7,050	COVID-19 Practice Recovery Supplement Program grant
(154) BAUS FAMILY DENTAL 15 E MAIN ST CHILTON,WI53014	39-1394632		7,044	COVID-19 Practice Recovery Supplement Program grant
(155) BLUE DIAMOND FAMILY DENTAL SC 1502 MAIN ST BLOOMER,WI54724	39-1355611		7,010	COVID-19 Practice Recovery Supplement Program grant
(156) OLSON DENTAL LLC 1524 MICHIGAN ST STURGEON BAY,WI54235	26-1772201		7,003	COVID-19 Practice Recovery Supplement Program grant
(157) COULEE FAMILY DENTAL LLC 201 S 7TH ST LA CROSSE,WI54601	47-1410159		6,982	COVID-19 Practice Recovery Supplement Program grant
(158) MONONA RIVERPLACE DENTAL LLC 604 RIVER PLACE MONONA,WI53716	20-2130465		6,978	COVID-19 Practice Recovery Supplement Program grant
(159) GOVANI DENTAL LLC 1819 EVANS ST OSHKOSH,WI54901	27-2588118		6,926	COVID-19 Practice Recovery Supplement Program grant
(160) JOHNSON CREEK DENTAL GROUP LLC 300 WRIGHT RD JOHNSON CREEK,WI53038	20-4502418		6,735	COVID-19 Practice Recovery Supplement Program grant
(161) FAMILY DENTISTRY OF WEST SALEM 210 LEONARD ST N WEST SALEM,WI54669	47-2301507		6,594	COVID-19 Practice Recovery Supplement Program grant
(162) HARTJES DENTAL ASSOCIATES LLC 1001 N GAMMON RD STE 2 MIDDLETON,WI53562	39-1949246		6,548	COVID-19 Practice Recovery Supplement Program grant
(163) PROGRESSIVE PEDIATRIC DENTISTS 8375 S HOWELL AVE STE 201 OAK CREEK,WI53154	73-1658364		6,528	COVID-19 Practice Recovery Supplement Program grant
(164) TIMOTHY T RYAN DDS 2200 OMRO RD OSHKOSH,WI54904	39-1789246		6,496	COVID-19 Practice Recovery Supplement Program grant
(165) MENOMONIE STREET DENTAL SC 1020 MENOMONIE ST EAU CLAIRE,WI54703	39-1593706		6,471	COVID-19 Practice Recovery Supplement Program grant
(166) DENTAL ASSOC OF LAKE MILLS 311 E TYRANENA PARK RD LAKE MILLS,WI53551	39-2026436		6,461	COVID-19 Practice Recovery Supplement Program grant
(167) ARTISTIC SMILES DENTISTRY SC 3825 E CALUMET ST STE 600 APPLETON,WI54915	26-3907575		6,440	COVID-19 Practice Recovery Supplement Program grant
(168) CHILDRENS DENTAL HEALTH CENTER W3132 VAN ROY RD APPLETON,WI54915	39-1221409		6,434	COVID-19 Practice Recovery Supplement Program grant
(169) WESTON FAMILY DENTAL SC 8055 MEADOW ROCK DR WESTON,WI54476	26-2074123		6,407	COVID-19 Practice Recovery Supplement Program grant
(170) ROMENESKO FAMILY DENTISTRY BRI 544 FAIRWAY DR BRILLION,WI54110	27-2628342		6,396	COVID-19 Practice Recovery Supplement Program grant
(171) MARK R CREGO DDS 8726 W NORTH AVE WAUWATOSA,WI53226	39-1834980		6,274	COVID-19 Practice Recovery Supplement Program grant
(172) GRAND VIEW FAMILY & COSMETIC 381 S KOOLS ST APPLETON,WI54914	47-1801962		6,274	COVID-19 Practice Recovery Supplement Program grant
(173) THE HARTFORD DENTAL GROUP SC 1009 E SUMNER ST HARTFORD,WI53027	39-1977542		6,216	COVID-19 Practice Recovery Supplement Program grant
(174) BROOKFIELD DENTAL CARE 17600 W CAPITOL DR BROOKFIELD,WI53045	47-1988035		6,157	COVID-19 Practice Recovery Supplement Program grant
(175) EAU CLAIRE FAMILY DENTAL 1018 REGIS CT EAU CLAIRE,WI54701	39-1521779		6,155	COVID-19 Practice Recovery Supplement Program grant
(176) PALMER WERNER CONTEMPORARY DEN 1111 SUFFOLK DR JANESVILLE,WI53546	45-5018809		6,146	COVID-19 Practice Recovery Supplement Program grant
(177) COMPREHENSIVE DENTAL SERVICE 10521 N PORT WASHINGTON MEQUON,WI53092	39-1154725		6,118	COVID-19 Practice Recovery Supplement Program grant
(178) WILLIAMSON FAMILY DENTISTRY 970 S SILVER LAKE ST STE 101 OCONOMOWOC,WI53066	39-1836419		6,014	COVID-19 Practice Recovery Supplement Program grant
(179) DELLS DENTAL LLC 245 W MUNROE AVE WISCONSIN DELLS,WI53965	20-2424225		6,000	COVID-19 Practice Recovery Supplement Program grant
(180) PEDIATRIC DENTISTRY OF ONALASK 801 CRITTER CT ONALASKA,WI54650			5,964	COVID-19 Practice Recovery Supplement Program grant
(181) MENOMINEE TRIBAL DENTAL CLINIC W3275 WOLF RIVER RD KESHENA,WI54135	39-1205576		5,951	COVID-19 Practice Recovery Supplement Program grant
(182) KIMBERLY DENTAL ASSOCIATES 203 W KIMBERLY AVE KIMBERLY,WI54136	39-1854460		5,949	COVID-19 Practice Recovery Supplement Program grant
(183) COMMUNITY DENTAL LLC 716 W ADAMS ST BLACK RVR FALLS,WI54615	26-3844283		5,929	COVID-19 Practice Recovery Supplement Program grant
(184) OSHKOSH SMILES LLC 1218 WITZEL AVE OSHKOSH,WI54902	46-2370612		5,782	COVID-19 Practice Recovery Supplement Program grant
(185) KITSON AND SORENSON FAMILY DEN 764 CRESTVIEW DR REEDSBURG,WI53959	39-1797634		5,771	COVID-19 Practice Recovery Supplement Program grant
(186) DAVIES PEDIATRIC DENTISTRY LLP 2117 CORPORATE DR STE 100 WAUKESHA,WI53189	13-4226933		5,761	COVID-19 Practice Recovery Supplement Program grant
(187) CROW FAMILY DENTAL 15 PARK RIDGE DR STEVENS POINT,WI54481	20-8255425		5,713	COVID-19 Practice Recovery Supplement Program grant
(188) MERIDIAN ENDODONTICS 20350 WATER TOWER BLVD STE 10 BROOKFIELD,WI53045	45-4437829		5,640	COVID-19 Practice Recovery Supplement Program grant
(189) APPLETON FAMILY DENTISTRY 2830 N MASON ST APPLETON,WI54914	39-1200300		5,616	COVID-19 Practice Recovery Supplement Program grant
(190) OAK FOREST DENTAL INC 702 SANDLAKE RD ONALASKA,WI54650	37-1658352		5,578	COVID-19 Practice Recovery Supplement Program grant
(191) MERRY FAMILY DENTISTRY SC 309 N 7TH AVE WEST BEND,WI53095	46-5689711		5,574	COVID-19 Practice Recovery Supplement Program grant
(192) DAVIES GENERAL DENTISTRY SC 2117 CORPORATE DR STE 200 WAUKESHA,WI53189	27-3453011		5,544	COVID-19 Practice Recovery Supplement Program grant
(193) BRIAN P SCHAEFER DDS SC 2855 CAROLINA CHERRY DR GREEN BAY,WI54313	39-1822324		5,544	COVID-19 Practice Recovery Supplement Program grant
(194) BERKERS FAMILY DENTISTRY SC 1401 ARBOR WAY KAUKAUNA,WI54130	39-1362833		5,540	COVID-19 Practice Recovery Supplement Program grant
(195) WILLIAM G AIELLO DDS SC 3415 30TH AVE KENOSHA,WI53144	20-1644098		5,513	COVID-19 Practice Recovery Supplement Program grant
(196) DR THANE B ANDERSON DDS LLC 1520 VERNON ST STOUGHTON,WI53589	72-1585279		5,492	COVID-19 Practice Recovery Supplement Program grant
(197) BROOKFIELD DENTISTRY SC 13965 W BURLEIGH RD STE 200 BROOKFIELD,WI53005	20-2548900		5,474	COVID-19 Practice Recovery Supplement Program grant
(198) THE GENTLE DENTAL EMPORIUM 533 S MAIN ST WEST BEND,WI53095	39-1361561		5,470	COVID-19 Practice Recovery Supplement Program grant
(199) DENTAL HAVEN S C 2612 E CALUMET ST APPLETON,WI54915	39-1910484		5,455	COVID-19 Practice Recovery Supplement Program grant
(200) MARQUETTE DENTAL FACULTY PRACT 1801 W WISCONSIN AVE MILWAUKEE,WI53233	39-0806251		5,447	COVID-19 Practice Recovery Supplement Program grant
(201) R J CARPENTER DDS SC 1465 W MAIN ST SUN PRAIRIE,WI53590	39-1837211		5,446	COVID-19 Practice Recovery Supplement Program grant
(202) WILLIAMS & PEARCE FAMILY DNTL 100 N CHURCH ST RICHLAND CENTER,WI53581	39-1767493		5,438	COVID-19 Practice Recovery Supplement Program grant
(203) EASTPARK DENTAL LLC 5100 EASTPARK BLVD STE 110 MADISON,WI53718	39-2000630		5,404	COVID-19 Practice Recovery Supplement Program grant
(204) DONALD F CREGO JR DDS SC 340 E WASHINGTON SLINGER,WI53086	39-1558716		5,361	COVID-19 Practice Recovery Supplement Program grant
(205) FAMILY DENTAL ARTS SC 211 E COMMERCE CT ELKHORN,WI53121	20-0232781		5,343	COVID-19 Practice Recovery Supplement Program grant
(206) DENNISON & MAGNIN DDS SC 1420 UNIVERSITY DR MARINETTE,WI54143	39-1413366		5,340	COVID-19 Practice Recovery Supplement Program grant
(207) TOBOGGAN RUN DENTAL 1507 W KNAPP ST RICE LAKE,WI54868	39-1933397		5,339	COVID-19 Practice Recovery Supplement Program grant
(208) DR THOMAS SCHROEPFER SC 3212 CLEVELAND AVE MARINETTE,WI54143	39-1486072		5,266	COVID-19 Practice Recovery Supplement Program grant
(209) CRAIG M CARTER DDS SC 912 16TH AVE MONROE,WI53566	39-1808513		5,263	COVID-19 Practice Recovery Supplement Program grant
(210) CUBA CITY FAMILY DENTAL LLC 206 S JACKSON CUBA CITY,WI53807	27-1421137		5,237	COVID-19 Practice Recovery Supplement Program grant
(211) SMILE CARE DENTAL CENTER 2030 S 7TH ST LA CROSSE,WI54601	39-1604173		5,237	COVID-19 Practice Recovery Supplement Program grant
(212) SUSAN MEINERZ 15255 WATERTOWN PLANK RD 100 ELM GROVE,WI53122	39-1990975		5,234	COVID-19 Practice Recovery Supplement Program grant
(213) AVENUE DENTAL GROUP N84W15959 APPLETON AVE MENOMONEE FALLS,WI53051	39-1251105		5,232	COVID-19 Practice Recovery Supplement Program grant
(214) LAKEVIEW DENTAL LTD 35 E EAU CLAIRE ST RICE LAKE,WI54868	39-1233008		5,219	COVID-19 Practice Recovery Supplement Program grant
(215) COOPER DENTAL SC 1085 WILSHIRE BLVD STEVENS POINT,WI54481	39-1225972		5,169	COVID-19 Practice Recovery Supplement Program grant
(216) MEDFORD DENTAL CLINIC SC 309 E BROADWAY MEDFORD,WI54451	39-1226425		5,167	COVID-19 Practice Recovery Supplement Program grant
(217) DE PERE SMILES SC 277 N 9TH ST DE PERE,WI54115	82-1803493		5,153	COVID-19 Practice Recovery Supplement Program grant
(218) KURT R KWIATKOWSKI 1200 17TH AVE GRAFTON,WI53024	39-1947063		5,112	COVID-19 Practice Recovery Supplement Program grant
(219) NAKOMA DENTAL LLC 4333 NAKOMA RD MADISON,WI53711	39-1655195		5,103	COVID-19 Practice Recovery Supplement Program grant
(220) STOECKL DENTISTRY LLC W359 N5002 BROWN ST 210 OCONOMOWOC,WI53066			5,067	COVID-19 Practice Recovery Supplement Program grant
(221) CHITWOOD NICOL & MATTHEWS LLC 214 LARKIN ST TOMAH,WI54660	20-8766103		5,054	COVID-19 Practice Recovery Supplement Program grant
(222) BAYE DENTISTRY SC 2500 N BLUEMOUND DR APPLETON,WI54914	27-0702166		5,045	COVID-19 Practice Recovery Supplement Program grant
(223) TIMOTHY J TIKALSKY DDS 11407 W BLUEMOUND RD WAUWATOSA,WI53226	37-1616063		5,043	COVID-19 Practice Recovery Supplement Program grant
(224) SANDVICK & ASSOCIATES DDS 6070 N PORT WASHINGTON RD MILWAUKEE,WI53217	39-1538650		5,038	COVID-19 Practice Recovery Supplement Program grant
(225) MADISON DENTISTRY 8309 GREENWAY BLVD STE 110 MIDDLETON,WI53562	82-2391196		5,022	COVID-19 Practice Recovery Supplement Program grant
(226) DENTAL HEALTH CENTER SC 5541 HWY 10 E STEVENS POINT,WI54482	39-1742306		5,008	COVID-19 Practice Recovery Supplement Program grant
(227) American Dental Partners Inc N114 W18770 Clinton Dr Germantown,WI53022	04-3477129		130,000	COVID-19 Practice Recovery Supplement Program grant
(228) Midwest Dental Management 3500 American West Blvd Ste 130 Bloomington,MN55431			270,000	COVID-19 Practice Recovery Supplement Program grant
(229) Dental Associates 205 E Wisconsin Ave Milwaukee,WI53202			145,000	COVID-19 Practice Recovery Supplement Program grant
(230) Dental Health Associates of Madison 2971 Chapel Valley Rd Madison,WI53711			195,000	COVID-19 Practice Recovery Supplement Program grant
(231) Summit Dental 4607 Royal Dr Eau Claire,WI54701			100,000	COVID-19 Practice Recovery Supplement Program grant
(232) First Choice Dental Group 440 Science Dr Ste 100 Madison,WI53711			100,000	COVID-19 Practice Recovery Supplement Program grant
(233) Mount Horeb Dental 115 N Brookwood Dr Mt Horeb,WI53572			16,033	COVID-19 Practice Recovery Supplement Program grant
(234) Ronald McDonald House Charities of Madison Inc 2716 Marshall Ct Madison,WI53705	39-1655790	501(c)(3)	7,500	Support for house for families with child in hospital for extended treatment
(235) Delta Dental of Wisconsin Foundation Inc 2801 Hoover Road Stevens Point,WI54481	82-4043752	501(c)(3)	14,500,000	Contribution to support and improve oral health of Wisconsin residents

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

222

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2020

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of noncash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.

Return Reference	Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	While it provides the majority of grants through its foundation, Delta Dental of Wisconsin (DDW) provides a limited number of corporate donations directly to organizations requesting funding. Requests exceeding $200,000 are reviewed and approved by Delta Dental of Wisconsin's Board of Directors. Smaller requests are reviewed and approved by representatives from DDW's leadership team. Delta Dental may require follow-up reporting, depending on the organization and project. Delta Dental of Wisconsin was committed to helping dental practices resume providing services after practices halted most care in early 2020 due to the COVID 19 pandemic. The $5 million recovery supplement program was meant to help network dental providers offset some of the costs of preparing and operating their practices (such as costs for additional PPE) during the pandemic to provide care to members and patients.

Return Reference

Explanation

Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.

While it provides the majority of grants through its foundation, Delta Dental of Wisconsin (DDW) provides a limited number of corporate donations directly to organizations requesting funding. Requests exceeding $200,000 are reviewed and approved by Delta Dental of Wisconsin's Board of Directors. Smaller requests are reviewed and approved by representatives from DDW's leadership team. Delta Dental may require follow-up reporting, depending on the organization and project. Delta Dental of Wisconsin was committed to helping dental practices resume providing services after practices halted most care in early 2020 due to the COVID 19 pandemic. The $5 million recovery supplement program was meant to help network dental providers offset some of the costs of preparing and operating their practices (such as costs for additional PPE) during the pandemic to provide care to members and patients.

Schedule I (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
Graphic Arrow

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
Graphic Arrow

Attach to Form 990.
Graphic Arrow

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Delta Dental of Wisconsin Inc

Employer identification number

39-6094742

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? .............

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ....................

Yes

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2020

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1Doug Ballweg President & CEO	(i) (ii)	755,037 ------------- 0	251,000 ------------- 0	2,844,375 ------------- 0	221,343 ------------- 0	33,308 ------------- 0	4,105,063 ------------- 0	2,976,448 ------------- 0
2Eugene Randolph Chairman & Director	(i) (ii)	151,956 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	151,956 ------------- 0	0 ------------- 0
3Craig D Aittama Treasurer & VP, Finance	(i) (ii)	214,868 ------------- 0	98,898 ------------- 0	22,740 ------------- 0	92,975 ------------- 0	6,969 ------------- 0	436,451 ------------- 0	0 ------------- 0
4Anne Treankler Secretary & Chief Risk Officer	(i) (ii)	282,692 ------------- 0	122,043 ------------- 0	0 ------------- 0	407,609 ------------- 0	36,259 ------------- 0	848,602 ------------- 0	0 ------------- 0
5Dennis Peterson President, Foundation	(i) (ii)	87,901 ------------- 0	306,577 ------------- 0	34,121 ------------- 0	22,775 ------------- 0	19,024 ------------- 0	470,398 ------------- 0	0 ------------- 0
6Noreen Parrett VP, General Counsel	(i) (ii)	285,753 ------------- 0	0 ------------- 0	5,365 ------------- 0	73,455 ------------- 0	12,964 ------------- 0	377,537 ------------- 0	0 ------------- 0
7Fred Eichmiller VP & Science Officer	(i) (ii)	286,162 ------------- 0	163,588 ------------- 0	3,232,736 ------------- 0	289,321 ------------- 0	26,078 ------------- 0	3,997,884 ------------- 0	2,946,689 ------------- 0
8Pamela Gartmann VP, Administration	(i) (ii)	361,689 ------------- 0	170,559 ------------- 0	30,688 ------------- 0	22,775 ------------- 0	21,017 ------------- 0	606,727 ------------- 0	0 ------------- 0
9Maureen Lewandowski VP, Claim Operations	(i) (ii)	217,537 ------------- 0	36,908 ------------- 0	0 ------------- 0	88,774 ------------- 0	43,972 ------------- 0	387,191 ------------- 0	0 ------------- 0
10Kelly McGinty VP, Individual Admin Services	(i) (ii)	230,573 ------------- 0	101,865 ------------- 0	3,240 ------------- 0	308,748 ------------- 0	18,830 ------------- 0	663,256 ------------- 0	0 ------------- 0
11David Peterson Chief Growth & Strategy Officer	(i) (ii)	374,381 ------------- 0	173,258 ------------- 0	36,506 ------------- 0	560,604 ------------- 0	47,232 ------------- 0	1,191,981 ------------- 0	0 ------------- 0
12Susan Shulfer VP, Human Resources	(i) (ii)	202,552 ------------- 0	37,452 ------------- 0	23,481 ------------- 0	90,893 ------------- 0	36,206 ------------- 0	390,585 ------------- 0	0 ------------- 0
13Kim Christophersen Director, Sales	(i) (ii)	189,986 ------------- 0	14,491 ------------- 0	9,564 ------------- 0	18,135 ------------- 0	41,554 ------------- 0	273,729 ------------- 0	0 ------------- 0
14Sandra Hito Senior Account Executive	(i) (ii)	273,516 ------------- 0	12,183 ------------- 0	7,867 ------------- 0	22,775 ------------- 0	43,599 ------------- 0	359,939 ------------- 0	0 ------------- 0
15Steve LeRoy Senior Sales Executive	(i) (ii)	207,056 ------------- 0	12,060 ------------- 0	5,327 ------------- 0	18,384 ------------- 0	4,110 ------------- 0	246,937 ------------- 0	0 ------------- 0
16Gregory Theis DDS Dental Director	(i) (ii)	205,633 ------------- 0	13,905 ------------- 0	2,924 ------------- 0	18,979 ------------- 0	40,207 ------------- 0	281,647 ------------- 0	0 ------------- 0
17Elizabeth Vinopal Director, Account Management	(i) (ii)	190,520 ------------- 0	14,649 ------------- 0	5,986 ------------- 0	18,092 ------------- 0	43,419 ------------- 0	272,666 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2020

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference	Explanation
Schedule J, Part II DEFERRED COMPENSATION	IN PRIOR YEARS, DELTA CONDUCTED AN ANALYSIS OF COMPENSATION PAID AND PROJECTED RETIREMENT BENEFITS TO ITS SENIOR EXECUTIVES. IT WAS DETERMINED THAT THESE SENIOR EXECUTIVES HAD ACCEPTED COMPENSATION AND RETIREMENT BENEFITS BELOW MARKET-RATES FOR SEVERAL YEARS AS THE ORGANIZATION WAS NOT THEN IN A POSITION TO PAY MARKET RATES. THE BOARD AGREED AT THAT TIME TO ESTABLISH A SUPPLEMENTAL RETIREMENT PLAN AND RECEIVED A REASONABLENESS OPINION FROM AN INDEPENDENT COMPENSATION ORGANIZATION. THE COMPENSATION FROM THIS SUPPLEMENTAL RETIREMENT PLAN IS NOTED ON SCHEDULE J, PART II (B), (III). THE AMOUNTS ACCRUED FOR THE CURRENT YEAR ARE REPORTED IN SCHEDULE J, PART II, (C) AND THE AMOUNTS ACCRUED AND REPORTED ON PREVIOUS FORMS 990 ARE REPORTED ON SCHEDULE J, PART II, (F).
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The organization established non-qualified deferred compensation plans as allowed under IRC Section 457(f) for the benefit of the CEO and senior management team. Changes in the present value of the liabilities under this plan are expensed annually. The following officers and employees participated in the section 457(f) plan in 2020: Douglas Ballweg: $198,568 accrued, $2,804,719 paid; Fred Eichmiller: $266,546 accrued; $3,213,236 paid; David Peterson: $537,829 accrued; Anne Treankler: $384,834 accrued; Kelly McGinty: $290,223 accrued; Craig Aittama: $70,200 accrued; Susan Shulfer: $69,000 accrued; Maureen Lewandowski: $67,500 accrued; Noreen Parrett: $58,781 accrued.
Schedule J, Part I, Line 5a Compensation contingent on revenues of the organization	Sales employees are eligible to receive incentive compensation based upon revenues earned. The amount of compensation for a particular time period is calculated by applying factors for new and renewal business against the corresponding revenue that each sales employee sold during that period.

Schedule J (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Delta Dental of Wisconsin Inc

Employer identification number

39-6094742

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2020

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) BURLEIGH DENTAL SC	ENTITY MORE THAN 35% OWNED BY MONICA HEBL, CURRENT DIRECTOR	161,973	DENTAL CLAIMS		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Go to www.irs.gov/Form990 for the latest information.

OMB No. 1545-0047

2020

Open to Public
Inspection

Name of the organization

Delta Dental of Wisconsin Inc

Employer identification number

39-6094742

Return Reference	Explanation
Form 990, Part IV, Line 4 Lobbying Activities	This question is not applicable for 501(c)(4) organizations and was intentionally not answered per Form 990 instructions. Delta Dental of Wisconsin does record lobbying expense. However, the organization does not receive membership dues and thus not subject to the notice and reporting requirement or the proxy tax.
Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body	THE ORGANIZATION DID NOT HAVE ANY COMMITTEES WITH AUTHORITY TO ACT ON BEHALF OF THE GOVERNING BODY.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Management reviews the Form 990 with the paid tax preparer and a final copy of the return is provided to the full Board of Directors prior to filing with the IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	Potential conflicts of interest are identified through the annual disclosure process. Annual conflict of interest disclosure statements are required from officers, directors, key employees, and the top five highest compensated employees. If potential conflicts arise during the year, these are brought to the Board's and management's attention at the time they are identified. Persons who have a potential conflict abstain from voting on issues related to or possibly related to the conflict. If a transaction were to occur where there was a conflict, the Board of Directors would be notified and it would decide on an appropriate course of action.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	Delta Dental of Wisconsin (Delta) engaged Longnecker & Associates, an independent compensation consultant, to assist in determining the compensation of Delta's top management officials. In setting the top management officials' compensation, the organization's Compensation Committee of the Board of Directors relies upon recent compensation studies and surveys that provide compensation data for similarly qualified persons in comparable organizations to support its decision-making process. The top management officials' compensation arrangement is subject to the review and approval of Delta's independent Board of Directors (Board). The Board adequately documents its compensation determinations and deliberations regarding compensation in the Board minutes on a timely basis. The process for determining the compensation of the organization's top management official, Douglas Ballweg, President and CEO, was last undertaken in 2020.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	Delta Dental of Wisconsin (Delta) engaged Longnecker & Associates, an independent compensation consultant, to assist in determining the compensation of Delta's officers and vice presidents. In setting the compensation of the officer and vice president group, the organization's Compensation Committee relies upon recent compensation studies and surveys that provide compensation data for similarly qualified persons in comparable organizations to support its decision-making process. The compensation arrangements of the officers and vice presidents is subject to the review and approval of Delta's independent Board of Directors (Board). The Board adequately documents its compensation determinations and deliberations regarding compensation in the Board minutes on a timely basis. The process for determining the compensation for the President and CEO and vice presidents was last undertaken in 2020. For all other employees, the President and the Vice President, Human Resources, of Delta Dental of Wisconsin rely upon external market data compensation studies and surveys in determining competitive compensation levels. This data is collected and reviewed on an ongoing basis. Changes in salary levels are subject to the review and approval of Delta's management group.
Form 990, Part VI, Line 19 Required documents available to the public	Form 990 and IRS Determination Letter granting exempt status are made available to the public upon request. Delta Dental's annual report, which includes selected financial information is available on the organization's website. Delta Dental's statutory annual statement is available on the website of the National Association of Insurance Commissioners. The statutory annual statement is also available for review at the Wisconsin Office of the Commissioner of Insurance. All other governing documents are available in hard copy form to the public upon request.
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Income (loss) on investment in Link DDS - Total Revenue: -1331686, Related or Exempt Function Revenue: -1331686, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Income (loss) on investment in NorthWinds - Total Revenue: -3754490, Related or Exempt Function Revenue: -3754490, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Income (loss) on investment in SpringRock Ventures - Total Revenue: -11659, Related or Exempt Function Revenue: -11659, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous income - Total Revenue: 231851, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 231851; Net unrealized holding gain on stocks - Total Revenue: 2427172, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 2427172;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN DEFERRED TAX LIABILITY - -472278; Income (loss) from subsidiary - 6538870; Income on Armata (fka C3) - 4789242; Income (loss) on investment in Previser - -233846; Income (loss) on investment in Link DDS - -1331686; Income (loss) on investment in NorthWinds - -3754490; Income (loss) on investment in SpringRock Ventures - -11659;

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2020

Open to Public Inspection

Name of the organization

Delta Dental of Wisconsin Inc

Employer identification number

39-6094742

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)Delta Dental of Wisconsin Foundation Inc 2801 Hoover Road Stevens Point,WI54481 82-4043752	SEE PART VIII	WI	501(c)(3)	Type I	Delta Dental of Wisconsin Inc	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2020

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership
(1) NORTHWINDS TECHNOLOGY SOLUTIONS LLC 111 Shuman Boulevard Naperville,IL60563 84-1939908	TECHNOLOGY SERVICES	DE	NA	Related	-1,330,943	7,214,487		No	0	Yes		50 %

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) WYSSTA INC 2801 HOOVER ROAD STEVENS POINT,WI54481 39-6094742	HOLDING COMPANY	WI	DELTA DENTAL WI	C Corporation	42,175,977	43,945,792	100 %	Yes

Schedule R (Form 990) 2020

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

Yes

o Sharing of paid employees with related organization(s) ............................

Yes

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) Delta Dental of Wisconsin Foundation Inc	B	14,500,000	Cash value
(2) WYSSTA INC	O	10,345,049	ALLOCATION BASED ON EMPLOYEES' TIME
(3) WYSSTA INC	R	19,130,582	ACTUAL PREMIUM RECEIVED
(4) WYSSTA INC	S	1,156,539	ACTUAL COMMISSIONS PAID

Schedule R (Form 990) 2020

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No	(k) Percentage ownership

Schedule R (Form 990) 2020

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. See instructions.

Return Reference	Explanation
Schedule R, Part II, Column (b) PRIMARY ACTIVITY	INITIATING, COLLABORATING WITH, AND SUPPORTING PROGRAMS THAT EXTEND ACCESS TO DENTAL CARE, ENSURE A STRONG DENTAL WORKFORCE, AND IMPROVING THE ORAL HEALTH OF UNDERSERVED AND VULNERABLE POPULATIONS.

Schedule R (Form 990) 2020

Additional Data

Software ID:	20011424
Software Version:	2020v4.0

1	Briefly describe the organization’s mission or most significant activities: Engage and empower our customers, partners, and communities to improve oral and overall health by developing and delivering innovative products and services built on a culture of legendary service.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	9
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	7
5	Total number of individuals employed in calendar year 2020 (Part V, line 2a) ......	5	314
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........		0
9	Program service revenue (Part VIII, line 2g) .........	762,107,161	701,851,887
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	14,970,601	8,265,330
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	2,617,544	8,655,454
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	779,695,306	718,772,671
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,854,117	20,504,200
14	Benefits paid to or for members (Part IX, column (A), line 4).....		0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	32,782,707	25,336,818
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....		0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	729,364,437	652,338,915
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	766,001,261	698,179,933
19	Revenue less expenses. Subtract line 18 from line 12.......	13,694,045	20,592,738
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	281,414,662	304,580,183
21	Total liabilities (Part X, line 26).............	60,420,918	58,415,885
22	Net assets or fund balances. Subtract line 21 from line 20.....	220,993,744	246,164,298

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 664,049,714 including grants of $ 0 ) (Revenue $ 701,851,887 )
	Dental Plans: Delta Dental of Wisconsin (Delta) is a not-for-profit dental service corporation that administers and underwrites easy-to-use, cost-effective dental plans for employers and individuals throughout Wisconsin. More than 90 percent of Wisconsin's dentists participate in our Premier network. This relationship allows us to offer quality dental practices, superior cost management programs, accurate payment and guaranteed benefits. For 2020, Delta Dental provided coverage to more than 2.3 million individuals. Delta Dental's commitment to improving the public's oral health is evidenced by the strong dental plans and networks it offers.

4b	(Code: ) (Expenses $ 20,504,200 including grants of $ 20,504,200 ) (Revenue $ 0 )
	Support for oral and overall health: Delta is also committed to helping improve the oral health of vulnerable populations through its significant support of the Delta Dental of Wisconsin Foundation (Foundation). Grants are provided through the Foundation to non-profit organizations in Wisconsin that work to improve the oral and overall health of individuals without access to dental care and other vulnerable populations. Seal-A-Smile, the largest grantee of the Foundation is a partnership with the State Oral Health Program to provide school-based dental screenings and sealants to low-income children. Ensuring access to dental care for individuals with Medicaid coverage also remains a priority and the Foundation provides large grants to nearly twenty safety-net dental clinics and medical/dental integration programs. In addition, the Foundation runs statewide programs that are targeted to improve oral and overall health. Foundation grants are targeted to help prevent dental disease, improve access to care for low-income residents, and help ensure Wisconsin has a strong dental workforce, especially in rural areas of the state. The Foundation uses a needs assessment to identify gaps in the state's oral health status and to help determine where their grants could have the greatest impact. The Delta Board reviews the Foundation's Strategic Plan and is informed of its grants throughout the year.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses684,553,914

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)				(D) Reportable compensation from the organization (W-2/1099-MISC)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) Susan Shulfer VP, Human Resources	45.0 .......................0	X			263,485	0	127,100
(19) Elizabeth Vinopal Director, Account Management	45.0 .......................0		X		211,155	0	61,511
(20) Gregory Theis DDS Dental Director	45.0 .......................0		X		222,462	0	59,185
(21) Kim Christophersen Director, Sales	45.0 .......................0		X		214,041	0	59,689
(22) Sandra Hito Senior Account Executive	45.0 .......................0		X		293,565	0	66,374
(23) Steve LeRoy Senior Sales Executive	45.0 .......................0		X		224,443	0	22,494
(24) Dennis Peterson President, Foundation	0.0 .......................1.0			X	428,599	0	41,799

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	12,912,270	0	2,828,383

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		0

		Business Code
2a	Premiums earned	524114	701,851,887	701,851,887
b
c
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		701,851,887

3 Investment income (including dividends, interest, and othersimilar amounts) ......			4,661,376			4,661,376
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents			6a
b	Less: rental expenses			6b
c	Rental income or (loss)	0	0	6c
d	Net rental income or (loss).......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	60,620	68,202,669	7a
b	Less: cost or other basis and sales expenses	67,854	64,591,481	7b
c	Gain or (loss)	-7,234	3,611,188	7c
d	Net gain or (loss).........			3,603,954			3,603,954
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	Income (loss) from subsidiary		900099	6,538,870	6,538,870
b	Income on Armata (fka C3)		900099	4,789,242	4,789,242
c	Income (loss) on investment in Previser		900099	-233,846	-233,846
d	All other revenue ....			-2,438,812	-5,097,835	0	2,659,023
e	Total. Add lines 11a–11d ......			8,655,454
12	Total revenue. See instructions.....			718,772,671	707,848,318	0	10,924,353

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	20,504,200	20,504,200
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	13,884,306	7,861,900	6,022,406
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	161,973	161,973
7	Other salaries and wages........	5,416,710	4,875,038	541,672
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	1,143,364	762,743	380,621
9	Other employee benefits .......	3,594,603	2,361,459	1,233,144
10	Payroll taxes ...........	1,135,862	738,310	397,552
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	30,862	12,345	18,517
c	Accounting ...........	228,129	91,252	136,877
d	Lobbying ...........	39,600	15,840	23,760
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	455,735		455,735
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	6,234,416	5,610,974	623,442	0
12	Advertising and promotion ....	2,442,553	2,198,298	244,255
13	Office expenses .......	5,450,316	4,905,284	545,032
14	Information technology ......	11,536,437	10,382,793	1,153,644
15	Royalties ..
16	Occupancy ...........	334,184	300,766	33,418
17	Travel ............	561,629	505,466	56,163
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	512,355	512,355
23	Insurance ...	122,487	122,487
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	Claims incurred	604,712,516	604,712,516
b	Commissions	13,772,455	13,772,455
c	State Income Tax	2,239,948	1,119,974	1,119,974
d	Non-grant charitable contributions	132,721	132,721
e	All other expenses	3,532,572	2,892,765	639,807	0
25	Total functional expenses. Add lines 1 through 24e	698,179,933	684,553,914	13,626,019	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			11,158,546	1	11,689,281
2	Savings and temporary cash investments .........			5,765,529	2	10,708,529
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			5,080,697	4	2,168,611
5	Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
				0	5	0
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
				0	6	0
7	Notes and loans receivable, net ...........			200,000	7	200,000
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......				9
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	20,955,243
b	Less: accumulated depreciation	10b	6,780,582	6,653,434	10c	14,174,661
11	Investments—publicly traded securities .			220,779,704	11	221,887,458
12	Investments—other securities. See Part IV, line 11 .....			25,128,093	12	32,688,300
13	Investments—program-related. See Part IV, line 11 ..			4,247,667	13	8,246,393
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			2,400,992	15	2,816,950
16	Total assets. Add lines 1 through 15 (must equal line 33)...			281,414,662	16	304,580,183

17	Accounts payable and accrued expenses .....	9,254,613	17	11,492,473
18	Grants payable ...		18
19	Deferred revenue .........	8,466,622	19	9,674,046
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
		0	22	0
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D	42,699,683	25	37,249,366
26	Total liabilities. Add lines 17 through 25..	60,420,918	26	58,415,885

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........		27
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds	220,993,744	31	246,164,298
32	Total net assets or fund balances ...........	220,993,744	32	246,164,298
33	Total liabilities and net assets/fund balances ........	281,414,662	33	304,580,183