TY 2024 Form 990

- TIN:

Form990

Department of the TreasuryInternal Revenue Service

Return of Organization Exempt From Income Tax

Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)

Do not enter social security numbers on this form as it may be made public.

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

OMB No. 1545-0047

2024

Open to Public Inspection

A For the 2024 calendar year, or tax year beginning 01-01-2024 , and ending 12-31-2024

BCheck if applicable: Address change Name change Initial return Final return/terminated Amended return Application pending

CName of organization
DELTA DENTAL PLAN OF MICHIGAN INC

Doing business as

Number and street (or P.O. box if mail is not delivered to street address)
4100 OKEMOS ROAD

Room/suite

City or town, state or province, country, and ZIP or foreign postal code
OKEMOS, MI48864

D Employer identification number

38-1791480

E Telephone number

G Gross receipts $ 1,354,640,869

F Name and address of principal officer:
GORAN JURKOVIC
4100 OKEMOS ROAD
OKEMOS,MI48864

Tax-exempt status: 501(c)(3) 501(c) ( 4 ) (insert no.) 4947(a)(1) or 527

Website:

WWW.DELTADENTALMI.COM

H(a)

Is this a group return for
subordinates? Yes No

H(b)

Are all subordinates
included?

Yes No

If "No," attach a list. See instructions.

H(c)

Group exemption number

K Form of organization: Corporation Trust Association Other

L Year of formation: 1957

M State of legal domicile: MI

Part I

Summary

1	Briefly describe the organization’s mission or most significant activities: DELTA DENTAL OF MICHIGAN'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH DENTAL SERVICES PROVIDED UNDER CONTRACTS WITH INDEPENDENT PROFESSIONAL SERVICE PROVIDERS, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	15
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	9
5	Total number of individuals employed in calendar year 2024 (Part V, line 2a) ......	5	1,271
6	Total number of volunteers (estimate if necessary) .............	6	0
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	44,845,181
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	5,515,360

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	0	0
9	Program service revenue (Part VIII, line 2g) .........	1,177,589,951	1,226,928,199
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	10,830,892	20,904,882
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	402,047	396,710
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,188,822,890	1,248,229,791
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	3,895,292	3,964,285
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	178,033,400	177,802,035
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)....	1,005,821,892	1,060,012,191
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	1,187,750,584	1,241,778,511
19	Revenue less expenses. Subtract line 18 from line 12.......	1,072,306	6,451,280
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	918,626,400	986,517,729
21	Total liabilities (Part X, line 26).............	208,198,626	221,815,504
22	Net assets or fund balances. Subtract line 21 from line 20.....	710,427,774	764,702,225

Part II

Signature Block

Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.

Sign Here

	Signature of officer	Date

	Type or print name and title

Paid Preparer Use Only

Print/Type preparer's name

Preparer's signature

Date

Check if
self-employed

PTIN

Firm's name

Firm's EIN

Firm's address

Phone no.

May the IRS discuss this return with the preparer shown above? See Instructions. ..........YesNo

For Paperwork Reduction Act Notice, see the separate instructions.

Cat. No. 11282Y Form 990 (2024)

Form 990 (2024)

Page 2

Part III

Statement of Program Service Accomplishments

Check if Schedule O contains a response or note to any line in this Part III..............

Briefly describe the organization’s mission: DELTA DENTAL OF MICHIGAN'S MISSION IS TO ADVANCE AND PROMOTE THE IMPROVEMENT OF ORAL HEALTH THROUGH DENTAL SERVICES PROVIDED UNDER CONTRACTS WITH INDEPENDENT PROFESSIONAL SERVICE PROVIDERS, SUPPORT FOR RESEARCH AND EDUCATION, AND COMMUNITY OUTREACH DIRECTED TOWARD SECURING ACCESS TO QUALITY DENTAL CARE FOR ALL. DELTA DENTAL OF MICHIGAN IS GOVERNED BY A BOARD OF DIRECTORS CONTROLLED BY INDEPENDENT MEMBERS OF THE COMMUNITY AND IT OFFERS ENROLLMENT IN ORAL HEALTH PLANS TO A BROAD BASE OF THE COMMUNITY THROUGH A VARIETY OF PAYMENT MODELS.

Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ..................... Yes No

If "Yes," describe these new services on Schedule O.

Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ........................... Yes No

If "Yes," describe these changes on Schedule O.

Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.


4a	(Code: ) (Expenses $ 1,103,459,895 including grants of $ 3,964,285 ) (Revenue $ 1,182,083,018 )
	Promoting Dental Care Delta Dental Plan of Michigan, Inc. is a leading prepaid dental benefits provider in the Midwest. The purpose of the organization is to advance and promote the improvement of oral health. This is done by offering innovative, cost-effective products that meet the needs of customers. This was demonstrated in 2024 by paying out over $887 million for dental care, by providing dental benefits for the public and advancing the science of dentistry. In addition, over 11.5 million claims were processed for over 6 million members. Cost Saving Strategies Delta Dental benefit plans are committed to saving groups and members money. The Delta Difference is an integration of activities; such as cost management policies, fee reduction agreements with dentists, and an anti-fraud hotline, put to work ensuring quality, cost effective dental benefit delivery. Commitment to the Community Delta Dental Plan of Michigan, Inc. believes advances in dental research and enhanced educational opportunities for dentists go a long way toward improving oral health. The company is a key player in groundbreaking research on trends in oral health in the insured population. The Delta Dental Fund, the company's philanthropic affiliate, encourages advances in dentistry and supports dental education and research. The Delta Dental Fund's total grants have now exceeded $68 million since its inception. This funding has improved oral and overall health and health equity, helped students achieve their goals, and improved the well-being of millions of children and adults in Michigan, Ohio, Indiana and North Carolina. Empowered people and communities are critical to making creative solutions to systemic challenges possible-and that means supporting work by and for the communities being served. The Delta Dental Fund is committed to continuing and establishing strong two-way relationships with the people and organizations aligned with its aims. In 2024, the DDF committed nearly $6.1 million in grants, scholarships, and educational resources, impacting more than 4.3 million lives in Michigan, Ohio, Indiana North Carolina and beyond. More than 354,000 educational brochures, flyers and posters, along with 351 miles of floss and 282,554 toothbrushes were donated to nonprofit organizations to disseminate in their communities. Delta Dental Plan of Michigan is also committed to building healthy, smart, vibrant communities. Delta Dental has always been keenly aware of its civic and social responsibility. Delta Dental Plans are proud to share, through direct financial contributions, with hundreds of community agencies and groups. In addition, employees log countless hours of their own time as volunteers. Community support generally falls under the broad categories that provide support to agencies and institutions serving children, seniors, low-income individuals, minorities, and the disabled and at-risk individuals, to organizations that promote education, arts and recreation and community development, and to charitable projects or programs recommended by employees, customers, participating dentists and other key groups. We continued our role as strong advocates for sound oral health policy at the state and federal levels. Through a public-private partnership with the Michigan Department of Community Health, Delta Dental participates in the Healthy Kids Dental (HKD) program. Healthy Kids Dental is a dental benefits program for Medicaid beneficiaries under age 21. It is available in all of Michigan's 83 counties and covers basic dental health benefits such as X-rays, cleanings, cavity fillings, root canals, tooth extractions and dentures. Nearly 1,000,000 Michigan children are served by this program. Unequaled Access to Dentists For five decades, Delta Dental has helped promote oral health by designing and administering innovative, cost-effective dental benefit programs. Experts at plan design, Delta Dental has created dental benefit programs that meet customer cost-objectives while helping to improve and maintain oral health. Our long standing relationships with providers in the communities we serve allows us to maintain large networks, allowing broad access for members and cost-effective care. Delta Dental's group members are afforded added protection because they guarantee that participating dentists will accept their payment for covered services and no charge, other than co-payments and deductibles are billed back to the member. This lowers claim costs for customers and reduces out-of-pocket costs for subscribers. With two networks of full-time participating dentists in one integrated claims system, Delta Dental can deliver to customers and group members broad access to care.

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












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












4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses1,103,459,895

Form 990 (2024)

Page 3

Part IV

Checklist of Required Schedules

Yes

Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................

Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...

Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I Click to see attachment

List of Attached Documents:

// Content

.............

Yes

Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........

Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III Click to see attachment

List of Attached Documents:

// Content

Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................

Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....

Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III..............

Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............

Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......

If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.

Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. Click to see attachment

List of Attached Documents:

// Content

...................

11a

Yes

Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII Click to see attachment

List of Attached Documents:

// Content

.......

11b

Yes

Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......

11c

Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX Click to see attachment

List of Attached Documents:

// Content

............

11d

Yes

Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X Click to see attachment

List of Attached Documents:

// Content

11e

Yes

Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X

11f

12a

Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................

12a

Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment

List of Attached Documents:

// Content

12b

Yes

Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E

14a

Did the organization maintain an office, employees, or agents outside of the United States? .....

14a

Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........

14b

Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....

Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...

Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....

Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............

Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................

20a

Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....

20a

If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?

20b

Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II..... Click to see attachment

List of Attached Documents:

// Content

Yes

Form 990 (2024)

Page 4

Part IV

Checklist of Required Schedules (continued)

Yes

Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........

Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment

List of Attached Documents:

// Content

Yes

24a

Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............

24a

Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...

24b

Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............

24c

Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...

24d

25a

Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....

25a

Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................

25b

Did the organization report any amount on Part X, line 5 or 22 for receivables from or 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? If "Yes," complete Schedule L, Part II...........

Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?

If "Yes," complete

Schedule L, Part III.........................

Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):

A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................

28a

A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV..... Click to see attachment

List of Attached Documents:

// Content

28b

Yes

A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................

28c

Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..

Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................

Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I

Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................

Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............ Click to see attachment

List of Attached Documents:

// Content

Yes

Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1......................... Click to see attachment

List of Attached Documents:

// Content

Yes

35a

Did the organization have a controlled entity within the meaning of section 512(b)(13)?

35a

Yes

If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ... Click to see attachment

List of Attached Documents:

// Content

35b

Yes

Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............

Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI

Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............

Yes

Part V

Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........

Yes

Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..

62,231

Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .

Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................

Yes

Form 990 (2024)

Page 5

Part V

Statements Regarding Other IRS Filings and Tax Compliance (continued)

Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................

1,271

If at least one is reported on line 2a, did the organization file all required federal employment tax returns?

Yes

Did the organization have unrelated business gross income of $1,000 or more during the year?...

Yes

If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...

Yes

At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..

If "Yes," enter the name of the foreign country:
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).

Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..

Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?

If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............

Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...

If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................

Organizations that may receive deductible contributions under section 170(c).

Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................

If "Yes," did the organization notify the donor of the value of the goods or services provided? .....

Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................

If "Yes," indicate the number of Forms 8282 filed during the year ....

Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?

Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..

If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................

If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................

Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........

Sponsoring organizations maintaining donor advised funds.

Did the sponsoring organization make any taxable distributions under section 4966?........

Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...

Section 501(c)(7) organizations. Enter:

Initiation fees and capital contributions included on Part VIII, line 12 ...

10a

Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities

10b

Section 501(c)(12) organizations. Enter:

Gross income from members or shareholders .........

11a

Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........

11b

12a

Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?

12a

If "Yes," enter the amount of tax-exempt interest received or accrued during the year.

12b

Section 501(c)(29) qualified nonprofit health insurance issuers.

Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.

13a

Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....

13b

Enter the amount of reserves on hand ............

13c

14a

Did the organization receive any payments for indoor tanning services during the tax year?.....

14a

If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..

14b

Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.

Yes

Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.

Section 501(c)(21) organizations. Did the trust, or any disqualified or other person engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.

Form 990 (2024)

Page 6

Part VI

Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.

Check if Schedule O contains a response or note to any line in this Part VI..............

Section A. Governing Body and Management

Yes

Enter the number of voting members of the governing body at the end of the tax year

If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.

Enter the number of voting members included in line 1a, above, who are independent

Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................

Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .

Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .

Did the organization become aware during the year of a significant diversion of the organization’s assets? .

Did the organization have members or stockholders? ................

Yes

Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................

Yes

Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................

Yes

Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:

The governing body? .......................

Yes

Each committee with authority to act on behalf of the governing body? ............

Yes

Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......

Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)

Yes

10a

Did the organization have local chapters, branches, or affiliates? ............

10a

If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?

10b

11a

Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................

11a

Yes

Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....

12a

Did the organization have a written conflict of interest policy? If "No," go to line 13.......

12a

Yes

Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................

12b

Yes

Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................

12c

Yes

Did the organization have a written whistleblower policy? ...............

Yes

Did the organization have a written document retention and destruction policy? .........

Yes

Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?

The organization’s CEO, Executive Director, or top management official ...........

15a

Yes

Other officers or key employees of the organization ................

15b

Yes

If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.

16a

Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................

16a

Yes

If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............

16b

Yes

Section C. Disclosure

List the states with which a copy of this Form 990 is required to be filed

Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.

Own website Another's website Upon request Other (explain in Schedule O)

Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.

State the name, address, and telephone number of the person who possesses the organization's books and records:
AMY BASEL CFO4100 OKEMOS ROAD OKEMOS,MI48864 (517) 349-6000

Form 990 (2024)

Page 7

Part VII

Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors

Check if Schedule O contains a response or note to any line in this Part VII..............

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees

1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet

List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."

List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, box 6 of Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the organization and any related organizations.

List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.

Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.

(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)		(D) Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(1) MELISSA STOLICKER...................................................................... VICE CHAIR	5.0 ................. 5.0	X	X	73,500	67,512	0
(2) SARA DOLAN...................................................................... CHAIR	5.0 ................. 5.0	X	X	72,000	70,008	0
(3) ANDREW KOTARBA...................................................................... DIRECTOR	5.0 ................. 5.0	X		67,500	39,589	0
(4) ANTHONY O WILLIAMS JD...................................................................... DIRECTOR	5.0 ................. 1.0	X		60,000	1,500	0
(5) BLAKE LIVINGSTON DDS...................................................................... DIRECTOR	5.0 ................. 0.0	X		60,000	0	0
(6) CHRISTOPHER T FISHER...................................................................... DIRECTOR	5.0 ................. 10.0	X		60,000	107,004	0
(7) JUAN RODRIGUEZ DDS...................................................................... DIRECTOR	5.0 ................. 0.0	X		35,000	0	0
(8) KELLY JUBB SCHEIDERER...................................................................... DIRECTOR - PART YEAR	5.0 ................. 6.0	X		12,000	29,581	0
(9) LARRY DEGROAT...................................................................... DIRECTOR	5.0 ................. 1.0	X		60,000	1,500	0
(10) LAURA DICKERSON...................................................................... DIRECTOR	5.0 ................. 0.0	X		0	0	0
(11) PATRICK K GILLESPIE...................................................................... DIRECTOR	5.0 ................. 0.0	X		60,000	0	0
(12) RAYMOND F GIST DDS...................................................................... DIRECTOR	5.0 ................. 1.0	X		60,000	2,000	0
(13) STEPHEN A EKLUND DDS MHSA DR...................................................................... DIRECTOR - PART YEAR	5.0 ................. 6.0	X		35,000	16,581	0
(14) STEVEN M DATER DDS...................................................................... DIRECTOR	5.0 ................. 0.0	X		60,000	0	0
(15) STEVEN M TACK...................................................................... DIRECTOR	5.0 ................. 0.0	X		67,500	0	0
(16) SUNCICA TRAVAN DDS MS...................................................................... DIRECTOR	5.0 ................. 1.0	X		60,000	2,000	0
(17) TIMOTHY E DAMAN...................................................................... DIRECTOR	5.0 ................. 0.0	X		35,000	0	0

Form 990 (2024)

Page 8

Part VII

Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)

(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/1099-NEC)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(A) Name and title
(18) AMY L BASEL CPA........................................................................ EVP/CFO & CRO/TREASURER	35.0 .......................15.0	X				2,481,908	0	688,090
(19) ANTHONY D ROBINSON........................................................................ EVP, CMO & CRO	43.0 .......................7.0	X				2,839,357	0	788,064
(20) GORAN M JURKOVIC CPA........................................................................ CEO, PRESIDENT	35.0 .......................15.0	X				9,457,582	0	2,715,780
(21) JEFFERY W JOHNSTON DDS MS........................................................................ SVP & CHIEF SCIENCE OFFICER	43.0 .......................7.0	X				517,662	0	119,099
(22) MARK BAUGHMAN........................................................................ SVP & CIO	50.0 .......................0.0	X				910,866	0	122,650
(23) POE A TIMMONS........................................................................ DIRECTOR (ROOSEVELT INNOVATIONS ONLY)	5.0 .......................10.0	X				7,500	81,589	0
(24) SUE ELLEN JENKINS........................................................................ EVP, CHIEF LEGAL OFFICER, CAO & SECRETARY	38.0 .......................12.0	X				2,838,668	0	452,377
(25) KUSHTRIM SHAQIRI........................................................................ VP GOVERMENT PROGRAMS	50.0 .......................0.0		X			734,767	0	44,964
(26) TOBY HALL........................................................................ PRESIDENT & CEO OF ROOSEVELT	50.0 .......................0.0		X			1,461,472	0	438,181
(27) DANIEL LOVEJOY........................................................................ VP, SALES AND ACCT MGT	50.0 .......................0.0			X		673,220	0	74,986
(28) EARL MAJOR........................................................................ VP HUMAN RESOURCES	50.0 .......................0.0			X		550,807	0	36,457
(29) MATT GLOVER........................................................................ SR DIRECTOR, GOVT PROGRAMS, SALES & ACCT MGT	50.0 .......................0.0			X		477,156	0	53,433
(30) MIKE BOBAK........................................................................ VP SALES & ACCT MGT	50.0 .......................0.0			X		702,758	0	92,381
(31) MITCH NOTARO........................................................................ VP, INFORMATION TECHNOLOGY	50.0 .......................0.0			X		449,198	0	61,114
(32) JEFF BOTKIN........................................................................ FORMER SVP, BUSINESS SERVICES	0.0 .......................0.0				X	597,773	0	0

1b	Sub-Total..............
c	Total from continuation sheets to Part VII, Section A..
d	Total (add lines 1b and 1c).........	25,578,194	418,864	5,687,576

Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization 363

Yes

Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............

Yes

For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................

Yes

Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........

Section B. Independent Contractors

Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.

(A) Name and business address	(B) Description of services	(C) Compensation
DEWPOINT 300 WASHINGTON SQUARE SUITE 200 LANSING,MI48933	CONSULTING	12,681,986
GUIDEPOINT SECURITY LLC 1900 RESTON METRO PLAZA SUITE 701 RESTON,VA20190	CONSULTING	4,686,413
FAEGRE DRINKER BIDDLE & REATH LLP 2200 WELLS FARGO CENTER 90 S 7TH MINNEAPOLIS,MN55402	LEGAL AND CONSULTING	3,394,764
TEK SYSTEMS 300 WASHINGTON SQUARE SUITE 430 LANSING,MI48933	CONSULTING	3,073,912
FAST SWITCH - GREAT LAKES LLC 4900 BLAZER PKWY DUBLIN,OH43017	CONSULTING	2,979,853
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 112

Form 990 (2024)

Page 9

Part VIII

Statement of Revenue

Check if Schedule O contains a response or note to any line in this Part VIII.............

(A)
Total revenue

(B)
Related or
exempt
function
revenue

(D)
Revenue
excluded from
tax under sections
512 - 514

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	DENTAL CARE REVENUE	624100	1,073,424,704	1,073,424,704
b	ADMIN REIMBURSEMENT	900099	108,658,314	108,658,314
c	EXTERNAL SERVICES	524292	44,845,181		44,845,181
d
e
f	All other program service revenue.		0	0	0	0
g	Total. Add lines 2a–2f .....		1,226,928,199

3 Investment income (including dividends, interest, and othersimilar amounts) ......			12,270,818			12,270,818
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
			(i) Real	(ii) Personal
6a	Gross rents	6a
b	Less: rental expenses	6b
c	Rental income or (loss)	6c	0	0
d	Net rental income or (loss).......
			(i) Securities	(ii) Other
7a	Gross amount from sales of assets other than inventory	7a	115,026,736	18,406
b	Less: cost or other basis and sales expenses	7b	106,411,078	0
c	Gain or (loss)	7c	8,615,658	18,406
d	Net gain or (loss).........			8,634,064			8,634,064
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
11a	MISCELLANEOUS INCOME		900099	396,710			396,710
b
c
d	All other revenue ....			0	0	0	0
e	Total. Add lines 11a–11d ......			396,710
12	Total revenue. See instructions.....			1,248,229,791	1,182,083,018	44,845,181	21,301,592

Form 990 (2024)

Page 10

Part IX

Statement of Functional Expenses

Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............

Do not include amounts reported on lines 6b, 7b, 8b, 9b, and 10b of Part VIII.		(A) Total expenses	(B) Program service expenses	(C) Management and general expenses	(D) Fundraising expenses

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	3,964,285	3,964,285
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 .......	0	0
5	Compensation of current officers, directors, trustees, and key employees ...........	19,839,657	12,888,325	6,951,332
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	113,588,821	71,674,974	41,913,847
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	14,067,455	8,737,401	5,330,054
9	Other employee benefits .......	21,737,385	11,142,219	10,595,166
10	Payroll taxes ...........	8,568,717	5,689,274	2,879,443
11	Fees for services (non-employees):
a	Management ......	7,450,728	4,564,520	2,886,208
b	Legal .........	91,250		91,250
c	Accounting ...........	349,219		349,219
d	Lobbying ...........	120,000		120,000
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	2,582,957		2,582,957
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	928,870,027	914,894,291	13,975,736	0
12	Advertising and promotion ....	5,220,887	3,446,845	1,774,042
13	Office expenses .......	20,728,180	12,933,928	7,794,252
14	Information technology ......	31,393,415	15,700,752	15,692,663
15	Royalties ..
16	Occupancy ...........	3,501,924	50,109	3,451,815
17	Travel ............	4,772,207	4,136,221	635,986
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	922,402	314,738	607,664
20	Interest ...........
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	16,588,958	5,044,169	11,544,789
23	Insurance ...	1,921,903		1,921,903
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	COMMISSIONS	22,884,764	22,884,764
b	PROCESSING FEES	4,097,629	4,097,629
c	EXCISE TAX	3,180,934		3,180,934
d	FEDERAL INCOME TAX	1,228,192		1,228,192
e	All other expenses	4,106,615	1,295,451	2,811,164	0
25	Total functional expenses. Add lines 1 through 24e	1,241,778,511	1,103,459,895	138,318,616	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).

Form 990 (2024)

Page 11

Part X

Balance Sheet

Check if Schedule O contains a response or note to any line in this Part IX..............

				(A) Beginning of year		(B) End of year

1	Cash–non-interest-bearing ........				1
2	Savings and temporary cash investments .........			75,041,440	2	79,128,223
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			125,860,389	4	129,921,154
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 ...........				7
8	Inventories for sale or use ............				8
9	Prepaid expenses and deferred charges ......			23,238,789	9	22,144,045
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	261,170,459
b	Less: accumulated depreciation	10b	160,202,111	108,319,796	10c	100,968,348
11	Investments—publicly traded securities .			252,641,292	11	293,783,312
12	Investments—other securities. See Part IV, line 11 .....			212,216,542	12	198,591,154
13	Investments—program-related. See Part IV, line 11 ..			0	13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			121,308,152	15	161,981,493
16	Total assets. Add lines 1 through 15 (must equal line 33)...			918,626,400	16	986,517,729

17	Accounts payable and accrued expenses .....	104,433,318	17	107,490,516
18	Grants payable ...		18
19	Deferred revenue .........		19
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	103,765,308	25	114,324,988
26	Total liabilities. Add lines 17 through 25..	208,198,626	26	221,815,504

	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 .....	15,744,473	29	15,744,473
30	Paid-in or capital surplus, or land, building or equipment fund ...	5,122,500	30	5,122,500
31	Retained earnings, endowment, accumulated income, or other funds	689,560,801	31	743,835,252
32	Total net assets or fund balances ...........	710,427,774	32	764,702,225
33	Total liabilities and net assets/fund balances ........	918,626,400	33	986,517,729

Form 990 (2024)

Page 12

Part XI

Reconcilliation of Net Assets

Check if Schedule O contains a response or note to any line in this Part XI..............

Total revenue (must equal Part VIII, column (A), line 12) ............

1,248,229,791

Total expenses (must equal Part IX, column (A), line 25) ............

1,241,778,511

Revenue less expenses. Subtract line 2 from line 1 ..............

6,451,280

Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..

710,427,774

Net unrealized gains (losses) on investments ...............

17,252,828

Donated services and use of facilities .................

Investment expenses .....................

Prior period adjustments .....................

Other changes in net assets or fund balances (explain in Schedule O) ........

30,570,343

Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))

764,702,225

Part XII

Financial Statements and Reporting

Check if Schedule O contains a response or note to any line in this Part XII.............

Yes

Accounting method used to prepare the Form 990: Cash Accrual Other
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.

Were the organization’s financial statements compiled or reviewed by an independent accountant?

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

Were the organization’s financial statements audited by an independent accountant?

Yes

If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:

Separate basis Consolidated basis Both consolidated and separate basis

If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?

Yes

If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.

As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Uniform Guidance, 2 C.F.R. Part 200, Subpart F?

If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.

Form 990 (2024)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

Form 990, Special Condition Description:

Special Condition Description

- TIN:

SCHEDULE C
(Form 990)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

right arrow

Complete if the organization is described below. right arrow

Attach to Form 990 or Form 990-EZ.
right arrow

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

OMB No. 1545-0047

2024

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
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Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
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Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
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Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
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Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
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Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
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Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

DELTA DENTAL PLAN OF MICHIGAN INC

Employer identification number

38-1791480

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV. See instructions for definition of “political campaign activities."

Political campaign activity expenditures. See instructions .................................................................... right arrow

Volunteer hours for political campaign activities. See instructions ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ right arrow

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... right arrow

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... right arrow

$ 37,000

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ right arrow

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... right arrow

$ 37,000

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
(1) SCHOR LANSING FUND	300 N FAIRVIEW AVE LANSING,MI48912	46-1990008	1,000	0
(2) BUSINESS LEADERS FOR MICHIGAN PAC II	600 RENAISSANCE CENTER DETROIT,MI48243	27-3999229	15,000	0
(3) TAKE IT BACK SUPERPAC	106 W ALLEGAN ST LANSING,MI48933	93-3825357	1,000	0
(4) 21ST CENTURY FUND	606 TOWNSEND ST LANSING,MI48933	38-1323848	20,000	0
5
6

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

Cat. No. 50084S

Schedule C (Form 990) 2024

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check right arrow

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check right arrow

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ......................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ........................
c	Total lobbying expenditures (add lines 1a and 1b) ............................................................
d	Other exempt purpose expenditures ...............................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ..................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) .................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ...................................................................................................................	Yes No

4-Year Averaging Period Under Section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2021	(b) 2022	(c) 2023	(d) 2024	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990) 2024

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Total. Add lines 1c through 1i ....................................................................................................

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures. See Instructions .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation

Schedule C (Form 990) 2024

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

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.
right arrow

Attach to Form 990.
right arrow

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

DELTA DENTAL PLAN OF MICHIGAN INC

Employer identification number

38-1791480

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 July 25, 2006, 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 right arrow

Number of states where property subject to conservation easement is located right arrow

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
right arrow

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

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 ......................... right arrow

(ii)

Assets included in Form 990, Part X ............................... right arrow

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 .......................... right arrow

Assets included in Form 990, Part X ............................... right arrow

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

Cat. No. 52283D

Schedule D (Form 990) (Rev. 1-2025)

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 right arrow

Permanent endowment right arrow

Term endowment right arrow

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 .....	12,803,920		12,803,920
b	Buildings ....	102,684,479	47,892,276	54,792,203
c	Leasehold improvements
d	Equipment ....	47,400,122	37,339,964	10,060,158
e	Other .....	98,281,938	74,969,871	23,312,067
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				100,968,348

Schedule D (Form 990) (Rev. 1-2025)

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........
(3) Other (A) Closely-held equity interests
(B) Financial derivatives
(C) DDIC STOCK	200,217	C
(D) INVESTMENT IN RHC	101,308,797	F
(E) INVESTMENT IN THE 4100 GROUP	97,082,140	F
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	198,591,154

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

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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
(1)Accrued Interest Receivable				1,067,406
(2)Due From Affiliates				11,092,273
(3)Other Assets				56,706,109
(4)Deferred Tax Asset				3,402,586
(5)Pension & Post Retire Obligations				89,713,119
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				161,981,493

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
Federal Income Taxes
IBNR - CLAIM ADJUSTMENT RESERVES	32,398,613
UNEARNED PREMIUMS	23,726,597
PENSION & POST RETIRE OBLIGATIONS	1,688,848
DUE TO AFFILIATES	692,799
RISK-SHARING PAYABLES	46,247,148
LEASE LIABILITY	9,570,983


Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	114,324,988
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) (Rev. 1-2025)

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	0
e	Add lines 2a through 2d .....................			2e	0
3	Subtract line 2e from line 1..................			3	0
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	0
c	Add lines 4a and 4b....................			4c	0
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......			5	0

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	0
e	Add lines 2a through 2d....................			2e	0
3	Subtract line 2e from line 1...................			3	0
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	0
c	Add lines 4a and 4b.....................			4c	0
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......			5	0

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 (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

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

Schedule I
(Form 990)
(Rev. January 2025)

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 instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization
DELTA DENTAL PLAN OF MICHIGAN INC

Employer identification number
38-1791480

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) 500 Festival Inc 21 VIRGINIA AVE INDIANAPOLIS,IN46204	35-1004320	501(C)(3)	50,000	CHARITABLE DONATION
(2) A KID AGAIN 2014 N SAGINAW RD MIDLAND,MI48640	31-1440073	501(C)(3)	73,952	CHARITABLE DONATION
(3) ALZHEIMER'S ASSOCATION 3810 PACKARD SUITE 240 ANN ARBOR,MI48108	13-3039601	501(C)(3)	15,231	CHARITABLE DONATION
(4) AMERICAN CANCER SOCIETY 20450 CIVIC CENTER DR SOUTHFIELD,MI48076	13-1788491	501(C)(3)	43,992	CHARITABLE DONATION
(5) AMERICAN DENTAL ASSOCIATION 211 E CHICAGO AVE CHICAGO,IL60611	36-0724690	501(C)(4)	11,248	CHARITABLE DONATION
(6) AMERICAN HEART ASSOCIATION 271 WOODLAND PASS STE 110 EAST LANSING,MI48823	13-5613797	501(C)(3)	15,000	CHARITABLE DONATION
(7) AMERICAN RED CROSS 7800 W OUTER DR DETROIT,MI48235	53-0196605	501(C)(3)	25,000	CHARITABLE DONATION
(8) ASPCA (AMERICAN SOCIETY FOR THE PREVENTION OF CRUELTY TO ANIMALS) 424 E 92ND ST NEW YORK,NY10128	13-1623829	501(C)(3)	7,048	CHARITABLE DONATION
(9) AUTISM ALLIANCE OF MICHIGAN 30100 TELGRAPH RD BINGHAM FARMS,MI48025	27-0472137	501(C)(3)	25,000	CHARITABLE DONATION
(10) BREAKTHROUGH T1D 24359 NORTHWESTERN HWY SOUTHFIELD,MI48075	23-1907729	501(C)(3)	35,000	CHARITABLE DONATION
(11) CHILDRENS HOSPITAL OF MICHIGAN FOUNDATION 3011 W GRAND BLVD DETROIT,MI48202	32-0087353	501(C)(3)	25,000	CHARITABLE DONATION
(12) COLLEGE NOW GREATER CLEVELAND POST OFFICE PLAZA CLEVELAND,OH44113	34-6580096	501(C)(3)	25,000	CHARITABLE DONATION
(13) COMMUNITIES IN SCHOOLS OF MICHIGAN 721 N CAPITOL STE 1 LANSING,MI48906	45-3736821	501(C)(3)	25,000	CHARITABLE DONATION
(14) COREWELL HEALTH FOUNDATION OF WEST MICHIGAN 100 MICHGAN AVE GRAND RAPIDS,MI49503	38-3752328	501(C)(3)	10,000	CHARITABLE DONATION
(15) CRISTO REY COMMUNITY CENTER 1717 N HIGH ST LANSING,MI48906	38-1779460	501(C)(3)	80,000	CHARITABLE DONATION
(16) DIVERSITY IN DENTISTRY MENTORSHIPS INC 4729 E SUNRISE DR TUSCON,AZ85718	85-2395210	501(C)(3)	8,999	CHARITABLE DONATION
(17) DELTA DENTAL FOUNDATION 4100 Okemos Rd OKEMOS,MI48864	38-2337000	501(C)(3)	1,500,000	CHARITABLE DONATION
(18) DETROIT RIVERFRONT CONSERVANCY 600 RENAISSANCE CENTER DETROIT,MI48243	30-0125283	501(C)(3)	15,000	CHARITABLE DONATION
(19) ELE'S PLACE 1145 WEST OAKLAND LANSING,MI48915	38-2976751	501(C)(3)	50,000	CHARITABLE DONATION
(20) EVERSIGHT 3985 RESEARCH PARK DR ANN ARBOR,MI48108	38-2117115	501(C)(3)	7,500	CHARITABLE DONATION
(21) FEEDING AMERICA 35 E WACKER DR STE 200 CHICAGO,IL60601	36-3673599	501(C)(3)	10,370	CHARITABLE DONATION
(22) FLEECE & THANK YOU 24715 CRESTVIEW FARMINGTON HILLS,MI48335	47-5263037	501(C)(3)	8,000	CHARITABLE DONATION
(23) GREATER LANSING FOODBANK 5303 S CEDAR ST LANSING,MI48911	38-2424756	501(C)(3)	50,000	CHARITABLE DONATION
(24) HABITAT FOR HUMANITY OF LANSING 1941 BENJAMIN DR LANSING,MI48906	38-2716658	501(C)(3)	15,000	CHARITABLE DONATION
(25) HAGAN RODRIGUEZ PARIODONTICS AND IMPLANT 335 W LAKE LANSING RD EAST LANSING,MI48823	26-3237576		14,000	CHARITABLE DONATION
(26) HOUSE MAJORITY FORWARD 1029 Vermont Ave NW Suite 300 Washington,DC20005	83-4185105	501(C)(4)	7,500	CHARITABLE DONATION
(27) IMPRESSION 5 200 MUSEUM DR LANSING,MI48933	23-7200548	501(C)(3)	75,000	CHARITABLE DONATION
(28) ITS A BREAST THING INC 2771 SOUTHWOOD DR EAST LANSING,MI48823	30-0591532	501(C)(3)	5,500	CHARITABLE DONATION
(29) JUNIOR ACHIEVEMENT 2368 VICTORY PARKWAY STE 301 CINCINNATI,OH45206	32-0014307	501(C)(3)	50,000	CHARITABLE DONATION
(30) JUNIOR ACHIEVEMENT OF MICHIGAN GREAT LAKES 600 W ST JOSEPH ST LANSING,MI48933	38-1557861	501(C)(3)	32,500	CHARITABLE DONATION
(31) JUNIOR ACHIEVEMENT OF GREATER CLEVELAND 1422 EUCLID AVE STE 952 CLEVELAND,OH44115	34-0733164	501(C)(3)	35,000	CHARITABLE DONATION
(32) JUNIOR ACHIEVEMENT OF SOUTHEASTERN MI 577 E LARNED ST DETROIT,MI48226	38-1348535	501(C)(3)	25,000	CHARITABLE DONATION
(33) KALAMAZOO COMMUNITY FOUNDATION 402 E MICHIGAN AVE KALAMAZOO,MI49007	38-3333202	501(C)(3)	10,000	CHARITABLE DONATION
(34) LANSING PROMISE 330 Marshall St LANSING,MI48912	45-3363322	501(C)(3)	50,000	CHARITABLE DONATION
(35) LAUNCH MICHIGAN 119 PERE MARQUETTE STE 1C LANSING,MI48912	92-0358917	501(C)(3)	25,000	CHARITABLE DONATION
(36) LIFE REMODELED PO BOX 28508 DETROIT,MI48228	27-5020487	501(C)(3)	500,000	CHARITABLE DONATION
(37) LIFECARE ALLIANCE 1699 W MOUND ST COLUMBUS,OH43223	31-4379494	501(C)(3)	13,575	CHARITABLE DONATION
(38) MCLAREN GREATER LANSING HEALTHCARE FOUNDATION 2900 COLLINS RD LANSING,MI48910	38-2463637	501(C)(3)	11,000	CHARITABLE DONATION
(39) METRO FOOD RESCUE 6928 E KNOLLWOOD CIRCLE WEST BLOOMFIELD,MI48322	85-1902179	501(C)(3)	25,000	CHARITABLE DONATION
(40) MICHIGAN ECONOMIC DEVELOPMENT FOUNDATION PO BOX 13063 LANSING,MI48901	38-2527475	501(C)(3)	50,000	CHARITABLE DONATION
(41) MICHIGAN HUMANE SOCIETY 30300 TELEGRAPH RD BINGHAM FARMS,MI48025	38-1358206	501(C)(3)	200,000	CHARITABLE DONATION
(42) MICHIGAN SCIENCE CENTER 5020 JOHN R ST DETROIT,MI48202	45-5190355	501(C)(3)	10,000	SCIENCE SMILES WEEK
(43) MICHIGAN STATE UNIVERSITY 220 TROWBRIDGE RD EAST LANSING,MI48824	38-6005984	GOVT	85,000	CHARITABLE DONATION
(44) MICHIGAN THANKSGIVING PARADE FOUNDATION 9500 MT ELLIOTT DETROIT,MI48211	38-2460378	501(C)(3)	10,000	CHARITABLE DONATION
(45) NAF 218 WEST 40TH ST 5TH FL NEW YORK,NY10018	13-3480246	501(C)(3)	13,498	CHARITABLE DONATION
(46) NATIONAL DENTAL ASSOCIATION 3060 MITCHELLVILLE RD BOWIE,MD20716	54-0315311	501(C)(4)	5,624	CHARITABLE DONATION
(47) NO SENIOR WITHOUT CHRISTMAS PO BOX 26182 LANSING,MI48909	76-0840671	501(C)(3)	10,000	CHARITABLE DONATION
(48) PLANET SMILEZ INC 493 FORD HILL RD HUNTER,NY12442	47-1378352	501(C)(3)	11,248	CHARITABLE DONATION
(49) ROAD TO MICHIGANS FUTURE PO BOX 12248 LANSING,MI48901	84-4298056	501(C)(4)	100,000	CHARITABLE DONATION
(50) RONALD MCDONALD CHARITIES OF OHIO 711 E LIVINGSTON AVE COLUMBUS,OH43205	31-0890152	501(C)(3)	55,000	CHARITABLE DONATION
(51) SAMARITAS 8131 E JEFFERSON AVE DETROIT,MI48214	38-1360553	501(C)(3)	40,000	CHARITABLE DONATION
(52) SLEEP IN HEAVENLY PEACE INC PO BOX 85304 WESTLAND,MI48135	46-4346568	501(C)(3)	13,250	CHARITABLE DONATION
(53) SOCIETY OF AMERICAN INDIAN DENTISTS 230 FAIRVIEW DR CARSON CITY,NV89701	20-5966903	501(C)(3)	11,248	CHARITABLE DONATION
(54) SPARROW FOUNDATION PO BOX 30480 LANSING,MI48909	38-6100687	501(C)(3)	65,772	CHARITABLE DONATION
(55) ST JUDE CHILDRENS RESEARCH HOSPITAL 1335 DUBLIN RD STE 110 COLUMBUS,OH43215	35-1044585	501(C)(3)	10,000	CHARITABLE DONATION
(56) THE EDISON INSTITUTE 20900 OAKWOOD BLVD DEARBORN,MI48124	38-1359513	501(C)(3)	25,000	CHARITABLE DONATION
(57) THE ROOSTERS FOUNDATION 17602 17TH ST TUSTIN,CA92780	33-0764177	501(C)(3)	6,000	CHARITABLE DONATION
(58) UNITED WAY OF NORTH CAROLINA 1130 KILDAIRE FARM RD STE 100 CARY,NC27511	56-0564547	501(C)(3)	25,000	CHARITABLE DONATION
(59) UNITED WAY OF NORTHWEST MICHIGAN 4075 COPPER RIDGE RD TRAVERSE CITY,MI49664	38-1679060	501(C)(3)	200,000	CHARITABLE DONATION
(60) VET2TRACK 203 PLEASANT VIEW AVE LANSING,MI48910	47-3301408	501(C)(3)	7,230	CHARITABLE DONATION

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

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

Cat. No. 50055P

Schedule I (Form 990) Rev. 1-2025

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	CONTRIBUTIONS ARE MADE AT MANAGEMENT DISCRETION TO ORGANIZATIONS THAT SUPPORT DELTA DENTAL PLAN OF MICHIGAN'S MISSION. CONTRIBUTIONS MADE TO THE DELTA DENTAL FUND ARE APPROVED BY THE BOARD OF DIRECTORS. IN ORDER FOR FUNDS TO BE DISBURSED, VOUCHER RECORDS MUST PASS THROUGH THE APPROVAL PROCESS, SIMILAR TO ANY OTHER EXPENDITURE MADE BY DELTA DENTAL PLAN OF MICHIGAN. CRISTO REY COMMUNITY CENTER - DELTA DENTAL PROVIDED AN $80,000 DONATION TO SUPPORT THE PURCHASE OF THE COMPUTER SYSTEM NEEDED TO RUN THEIR NEW MEDICAL AND DENTAL CLINIC IN LANSING. IMPRESSION 5 - DELTA DENTAL PROVIDED $75,000 FOR THE CREATION AND DISTRIBUTION OF 2 STEM KITS PER YEAR THAT GO HOME WITH EVERY HEADSTART STUDENT IN INGHAM, EATON, AND CLINTON COUNTIES. ADDITIONALLY, THE PROGRAM PROVIDES 2 KITS PER YEAR TO ALL OF THE HEADSTART TEACHERS FOR USE WITH THE STUDENTS IN THE CLASSROOM. THESE KITS ARE INTENDED TO SUPPORT EARLY CHILDHOOD DEVELOPMENT. LANSING PROMISE - DELTA DENTAL PROVIDED $50,000 IN FUNDING TO THE LANSING PROMISE IN 2024. LANSING PROMISE IS A SCHOLARSHIP PROGRAM OFFERING TUITION ASSISTANCE FOR POST-SECONDARY (COLLEGE OR SKILLED TRADE) EDUCATION TO ALL ELIGIBLE HIGH SCHOOL GRADUATES WITHIN THE LANSING SCHOOL DISTRICT BOUNDARIES. THE PROMISE PROVIDES TUITION ASSISTANCE FOR UP TO 65 CREDITS AT LANSING COMMUNITY COLLEGE OR THE EQUIVALENT DOLLAR AMOUNT TOWARD TUITION AND FEES AT MICHIGAN STATE UNIVERSITY OR OLIVET COLLEGE. LIFE REMODELED - DELTA DENTAL PROVIDED A $500,000 DONATION FOR THE RENOVATION OF SPACE INSIDE A NEW COMMUNITY CENTER ON THE EAST SIDE OF DETROIT. THE SPACE IS BEING RENOVATED TO ACCOMODATE A NEW MEDICAL AND DENTAL CLINIC TO SERVE MEDICAID, UNDER INSURED, AND UNINSURED PEOPLE. MICHIGAN HUMANE SOCIETY - DELTA DENTAL HAS PROVIDED $200,000 AS PART OF A $1 MIILLION COMMITTMENT FOR THE HEALTHY COMMUNITIES PROGRAM WHICH ADDRESSES THE HEALTH OF PEOPLE IN THE COMMUNITY BY REACHING THEM THROUGH THEIR PETS. INTERACTIONS AT PET FOOD PANTRIES AND VACCINATIONS CLINICS ALLOW OTHER HEALTH ENTITIES IN THE COMMUNITY TO OFFER SERVICES LIKE DENTAL CLEANINGS, BLOOD PRESSURE SCREENING ETC TO THE HUMANS WHO ARE WAITING FOR THEIR PETS TO BE TREATED. UNITED WAY OF NORTHWEST MICHIGAN - DELTA DENTAL HAS PROVIDED A $200,000 DONATION TO HELP THE DENTAL CLINIC THEY RUN ADD A STAFF MEMBER TO ASSIST UNINSURED PATIENTS WITH THE PROCESS OF SIGNING UP FOR MEDICAID OR AN INSURANCE PLAN UNDER THE AFFORDABLE CARE ACT SO THAT THE CLINIC WOULD BE ABLE TO BILL FOR THOSE PATIENT SERVICES IN THE FUTURE AND EVENTUALLY BECOME FINANCIALLY INDEPENDENT.

Return Reference

Explanation

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

CONTRIBUTIONS ARE MADE AT MANAGEMENT DISCRETION TO ORGANIZATIONS THAT SUPPORT DELTA DENTAL PLAN OF MICHIGAN'S MISSION. CONTRIBUTIONS MADE TO THE DELTA DENTAL FUND ARE APPROVED BY THE BOARD OF DIRECTORS. IN ORDER FOR FUNDS TO BE DISBURSED, VOUCHER RECORDS MUST PASS THROUGH THE APPROVAL PROCESS, SIMILAR TO ANY OTHER EXPENDITURE MADE BY DELTA DENTAL PLAN OF MICHIGAN. CRISTO REY COMMUNITY CENTER - DELTA DENTAL PROVIDED AN $80,000 DONATION TO SUPPORT THE PURCHASE OF THE COMPUTER SYSTEM NEEDED TO RUN THEIR NEW MEDICAL AND DENTAL CLINIC IN LANSING. IMPRESSION 5 - DELTA DENTAL PROVIDED $75,000 FOR THE CREATION AND DISTRIBUTION OF 2 STEM KITS PER YEAR THAT GO HOME WITH EVERY HEADSTART STUDENT IN INGHAM, EATON, AND CLINTON COUNTIES. ADDITIONALLY, THE PROGRAM PROVIDES 2 KITS PER YEAR TO ALL OF THE HEADSTART TEACHERS FOR USE WITH THE STUDENTS IN THE CLASSROOM. THESE KITS ARE INTENDED TO SUPPORT EARLY CHILDHOOD DEVELOPMENT. LANSING PROMISE - DELTA DENTAL PROVIDED $50,000 IN FUNDING TO THE LANSING PROMISE IN 2024. LANSING PROMISE IS A SCHOLARSHIP PROGRAM OFFERING TUITION ASSISTANCE FOR POST-SECONDARY (COLLEGE OR SKILLED TRADE) EDUCATION TO ALL ELIGIBLE HIGH SCHOOL GRADUATES WITHIN THE LANSING SCHOOL DISTRICT BOUNDARIES. THE PROMISE PROVIDES TUITION ASSISTANCE FOR UP TO 65 CREDITS AT LANSING COMMUNITY COLLEGE OR THE EQUIVALENT DOLLAR AMOUNT TOWARD TUITION AND FEES AT MICHIGAN STATE UNIVERSITY OR OLIVET COLLEGE. LIFE REMODELED - DELTA DENTAL PROVIDED A $500,000 DONATION FOR THE RENOVATION OF SPACE INSIDE A NEW COMMUNITY CENTER ON THE EAST SIDE OF DETROIT. THE SPACE IS BEING RENOVATED TO ACCOMODATE A NEW MEDICAL AND DENTAL CLINIC TO SERVE MEDICAID, UNDER INSURED, AND UNINSURED PEOPLE. MICHIGAN HUMANE SOCIETY - DELTA DENTAL HAS PROVIDED $200,000 AS PART OF A $1 MIILLION COMMITTMENT FOR THE HEALTHY COMMUNITIES PROGRAM WHICH ADDRESSES THE HEALTH OF PEOPLE IN THE COMMUNITY BY REACHING THEM THROUGH THEIR PETS. INTERACTIONS AT PET FOOD PANTRIES AND VACCINATIONS CLINICS ALLOW OTHER HEALTH ENTITIES IN THE COMMUNITY TO OFFER SERVICES LIKE DENTAL CLEANINGS, BLOOD PRESSURE SCREENING ETC TO THE HUMANS WHO ARE WAITING FOR THEIR PETS TO BE TREATED. UNITED WAY OF NORTHWEST MICHIGAN - DELTA DENTAL HAS PROVIDED A $200,000 DONATION TO HELP THE DENTAL CLINIC THEY RUN ADD A STAFF MEMBER TO ASSIST UNINSURED PATIENTS WITH THE PROCESS OF SIGNING UP FOR MEDICAID OR AN INSURANCE PLAN UNDER THE AFFORDABLE CARE ACT SO THAT THE CLINIC WOULD BE ABLE TO BILL FOR THOSE PATIENT SERVICES IN THE FUTURE AND EVENTUALLY BECOME FINANCIALLY INDEPENDENT.

Schedule I (Form 990) Rev. 1-2025

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule J
(Form 990)
(Rev. January 2025)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
medium right arrow graphic

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
medium right arrow graphic

Attach to Form 990.
medium right arrow graphic

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

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

DELTA DENTAL PLAN OF MICHIGAN INC

Employer identification number

38-1791480

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 .....

Yes

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? ....

Yes

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? .............

Yes

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? ....................

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 ............

Yes

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) (Rev. 1-2025)

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, 1099-MISC compensation, and/or 1099-NEC			(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)
1CHRISTOPHER T FISHER DIRECTOR	(i) (ii)	60,000 ------------- 107,004	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	60,000 ------------- 107,004	0 ------------- 0
2JEFF BOTKIN FORMER SVP, BUSINESS SERVICES	(i) (ii)	31,064 ------------- 0	506,668 ------------- 0	60,041 ------------- 0	0 ------------- 0	0 ------------- 0	597,773 ------------- 0	0 ------------- 0
3GORAN M JURKOVIC CPA CEO, PRESIDENT	(i) (ii)	1,511,908 ------------- 0	3,756,580 ------------- 0	4,189,094 ------------- 0	2,688,539 ------------- 0	27,241 ------------- 0	12,173,362 ------------- 0	4,141,804 ------------- 0
4ANTHONY D ROBINSON EVP, CMO & CRO	(i) (ii)	652,874 ------------- 0	1,038,809 ------------- 0	1,147,674 ------------- 0	760,823 ------------- 0	27,241 ------------- 0	3,627,421 ------------- 0	1,130,171 ------------- 0
5AMY L BASEL CPA EVP/CFO & CRO/TREASURER	(i) (ii)	552,581 ------------- 0	968,814 ------------- 0	960,513 ------------- 0	660,849 ------------- 0	27,241 ------------- 0	3,169,998 ------------- 0	921,829 ------------- 0
6SUE ELLEN JENKINS EVP, CHIEF LEGAL OFFICER, CAO & SECRETARY	(i) (ii)	567,525 ------------- 0	1,037,144 ------------- 0	1,233,999 ------------- 0	447,227 ------------- 0	5,150 ------------- 0	3,291,045 ------------- 0	1,206,808 ------------- 0
7MARK BAUGHMAN SVP & CIO	(i) (ii)	385,464 ------------- 0	496,763 ------------- 0	28,639 ------------- 0	103,573 ------------- 0	19,077 ------------- 0	1,033,516 ------------- 0	0 ------------- 0
8JEFFERY W JOHNSTON DDS MS SVP & CHIEF SCIENCE OFFICER	(i) (ii)	350,158 ------------- 0	160,568 ------------- 0	6,936 ------------- 0	100,022 ------------- 0	19,077 ------------- 0	636,761 ------------- 0	0 ------------- 0
9TOBY HALL PRESIDENT & CEO OF ROOSEVELT	(i) (ii)	480,532 ------------- 0	482,533 ------------- 0	498,407 ------------- 0	420,918 ------------- 0	17,263 ------------- 0	1,899,653 ------------- 0	474,664 ------------- 0
10KUSHTRIM SHAQIRI VP GOVERMENT PROGRAMS	(i) (ii)	408,485 ------------- 0	313,117 ------------- 0	13,165 ------------- 0	17,723 ------------- 0	27,241 ------------- 0	779,731 ------------- 0	0 ------------- 0
11MIKE BOBAK VP SALES & ACCT MGT	(i) (ii)	266,268 ------------- 0	420,047 ------------- 0	16,443 ------------- 0	65,140 ------------- 0	27,241 ------------- 0	795,139 ------------- 0	0 ------------- 0
12DANIEL LOVEJOY VP, SALES AND ACCT MGT	(i) (ii)	293,456 ------------- 0	370,543 ------------- 0	9,221 ------------- 0	47,745 ------------- 0	27,241 ------------- 0	748,206 ------------- 0	0 ------------- 0
13EARL MAJOR VP HUMAN RESOURCES	(i) (ii)	148,545 ------------- 0	401,101 ------------- 0	1,161 ------------- 0	28,251 ------------- 0	8,206 ------------- 0	587,264 ------------- 0	0 ------------- 0
14MATT GLOVER SR DIRECTOR, GOVT PROGRAMS, SALES & ACCT MGT	(i) (ii)	169,169 ------------- 0	307,446 ------------- 0	541 ------------- 0	26,192 ------------- 0	27,241 ------------- 0	530,589 ------------- 0	0 ------------- 0
15MITCH NOTARO VP, INFORMATION TECHNOLOGY	(i) (ii)	212,315 ------------- 0	94,485 ------------- 0	142,398 ------------- 0	35,855 ------------- 0	25,259 ------------- 0	510,312 ------------- 0	0 ------------- 0

Schedule J (Form 990) (Rev. 1-2025)

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 I, Line 1a First-class or charter travel	FIRST CLASS TRAVEL FOR BUSINESS PURPOSES IS AVAILABLE TO SENIOR EXECUTIVES AND KEY EMPLOYEES. THIS AMOUNT WAS TREATED AS NONTAXABLE TO THESE INDIVIDUALS.
Schedule J, Part I, Line 1a Travel for companions	TRAVEL MAY BE AVAILABLE TO SPOUSES ON OCCASION AND WOULD BE TREATED AS TAXABLE INCOME TO THE BOARD MEMBER OR EMPLOYEE AS APPROPRIATE.
Schedule J, Part I, Line 1a Health or social club dues or initiation fees	VARIOUS INDIVIDUALS ON SCHEDULE J ARE ELIGIBLE FOR REIMBURSEMENT OF SUBSTANTIATED HEALTH OR SOCIAL CLUB DUES OR INITIATION FEES THAT HAVE A BUSINESS PURPOSE. THE PERSONAL PORTION OF THIS BENEFIT IS REPORTED ANNUALLY AND IS INCLUDED AS TAXABLE INCOME ON THE EMPLOYEE'S W-2.
Schedule J, Part I, Line 4a Severance or change-of-control payment	MITCH NOTARO RECEIVED SEVERANCE IN AMOUNT OF $141,369 IN 2024.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	DELTA DENTAL PLAN OF MICHIGAN, HAS A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP). IN ORDER TO BE ELIGIBLE FOR THE SERP, AN EMPLOYEE MUST BE A SENIOR EXECUTIVE AND ADDED TO THE PLAN BY THE BOARD OF DIRECTORS. THE SERP BENEFITS ARE REVIEWED AS PART OF THE TOTAL COMPENSATION BY AN INDEPENDENT CONSULTANT; TOWERS WATSON. IN 2024, GORAN JURKOVIC, AMY BASEL, TOBY HALL, SUE JENKINS, AND ANTHONY ROBINSON ACCRUED BENEFITS AS PARTICIPANTS IN THE SERP PLAN. GORAN JURKOVIC, AMY BASEL, SUE JENKINS, TOBY HALL, AND ANTHONY ROBINSON BECAME VESTED IN A PORTION OF THEIR ACCRUED BENEFITS AND, AS REQUIRED BY THE IRS, THE VESTED PORTION WAS TREATED AS TAXABLE WAGES DURING 2024. THESE WAGES WERE ALSO REPORTED ON SCHEDULE J AS COMPENSATION THAT HAS BEEN REPORTED AS DEFFERED ON PRIOR FORM 990S.
Schedule J, Part I, Line 7 Non-fixed payments	AS INDICATED IN SCHEDULE J, PART II, TOP MANAGEMENT OFFICIALS RECEIVED A BONUS BASED UPON PERFORMANCE AND THE FINANCIAL RESULTS OF THE ORGANIZATION. THE BONUS WAS APPROVED BY THE EXECUTIVE COMMITTEE OF THE BOARD.
Schedule J, Part I, Line 3	THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS PERFORMANCE AND SETS TOTAL COMPENSATION FOR THE CEO WITHOUT THE PRESENCE OF INFLUENCE OF THE CEO. EVERY TWO YEARS, A STUDY IS PERFORMED BY TOWERS WATSON AND THE DATA IS USED IN COMPENSATION DECISIONS. THE INDEPENDENT CONSULTANT PROVIDES AN OPINION AS TO THE REASONABLENESS AND APPROPRIATENESS OF THE TOTAL COMPENSATION, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS.

Schedule J (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

Schedule L
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990 or Form 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

DELTA DENTAL PLAN OF MICHIGAN INC

Employer identification number

38-1791480

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. ........................... $

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

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) (Rev. 1-2025)

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) JASON DAMAN	Jason Daman is a DDMI employee and his parent is a board member of DDMI	117,007	EMPLOYEE OF DELTA DENTAL PLAN OF MICHIGAN, INC.		No
(2) STEVEN M DATER DDS	BOARD MEMBER AND OWNER OF STEVEN M DATER DDS & ASSOCIATES II, PLC	474,557	PAYMENTS FOR DENTAL SERVICES		No
(3) RAYMOND GIST DDS	BOARD MEMBER AND OWNER OF RAYMOND GIST DDS, PC	180,699	PAYMENTS FOR DENTAL SERVICES		No
(4) LARRY DEGROAT DDS	BOARD MEMBER AND OWNER OF LARRY DEGROAT DDS, PC	162,360	PAYMENTS FOR DENTAL SERVICES		No
(5) BLAKE LIVINGSTON DDS	BOARD MEMBER AND OWNER OF RONALD A. LIVINGSTON DDS PC	224,749	PAYMENTS FOR DENTAL SERVICES		No
(6) JUAN RODRIGUEZ DDS	BOARD MEMBER AND OWNER OF HAGAN RODRIGUEZ PERIODONTICS AND IMPLANTS	1,632,633	PAYMENTS FOR DENTAL SERVICES		No

Part V

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

Return Reference	Explanation

Schedule L (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE O
(Form 990)
(Rev. January 2025)
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.
Attach to Form 990 or 990-EZ.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public
Inspection

Name of the organization

DELTA DENTAL PLAN OF MICHIGAN INC

Employer identification number

38-1791480

Return Reference	Explanation
Form 990, Part IV, Line 12a	DELTA DENTAL PLAN OF MICHIGAN RECEIVES AN AUDITED FINANCIAL STATEMENT FROM AN INDEPENDENT ACCOUNTANT BUT THESE STATEMENTS ARE PREPARED ON A STATUTORY BASIS AND NOT IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP).
Form 990, Part VI, Line 6 Classes of members or stockholders	DELTA DENTAL PLAN OF MICHIGAN HAS A SOLE MEMBER, RENAISSANCE HEALTH SERVICE CORPORATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE SOLE MEMBER HAS VOTING RIGHTS AND ELECTS DIRECTORS.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders	THE SOLE MEMBER HAS THE RIGHTS THAT ARE PRESCRIBED BY LAW, FOR MEMBERS OF NON-PROFIT CORPORATIONS, INCLUDING THE APPROVAL OF SIGNIFICANT EXPENDITURES AND CEO APPOINTMENT.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE INFORMATION PRESENTED ON THE FORM 990 IS GATHERED BY THE SENIOR TAX ADMINISTRATOR FOR THE ORGANIZATION. THE CFO REVIEWS THE INFORMATION. ONCE APPROVED, THE INFORMATION IS GIVEN TO OUTSIDE TAX PREPARERS WHO PREPARE AND REVIEW THE FORM 990. ONCE COMPLETE, AN ELECTRONIC COPY OF THE FORM 990 IS PLACED IN A SECURE PORTAL FOR THE BOARD TO REVIEW. THIS IS DONE BEFORE THE RETURN IS FILED WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	THE COMPANY'S EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO IS CHARGED WITH REVIEWING AND MONITORING ANY POTENTIAL CONFLICT OF INTEREST TRANSACTIONS. ALL MEMBERS OF THE BOARD OF DIRECTORS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO REVIEW AND EXECUTE A CONFLICT OF INTEREST POLICY. THIS POLICY REQUIRES THAT ANY CONFLICTS OF INTEREST BE DISCLOSED ON AN ANNUAL BASIS, OR AT ANY OTHER TIME THAT THE PERSON EXECUTING THE POLICY BECOMES AWARE OF A SITUATION OR TRANSACTION THAT ACTUALLY OR POTENTIALLY CREATES A CONFLICT OF INTEREST. ALL CONFLICT OF INTEREST DISCLOSURE FORMS ARE INITIALLY REVIEWED BY THE EXECUTIVE VICE PRESIDENT, CHIEF LEGAL OFFICER, AND CAO. IF A PROHIBITED TRANSACTION IS IDENTIFIED, THE MATTER IS ESCALATED TO THE CEO AND TO THE AUDIT, FINANCE, AND RISK MANAGEMENT COMMITTEE OF THE BOARD OF DIRECTORS FOR FURTHER REVIEW AND APPROPRIATE ACTION. IN THE EVENT OF A CONFLICT OF INTEREST INVOLVING A MEMBER OF THE BOARD OF DIRECTORS, SUCH AS A VOTE IN WHICH A MEMBER HAD AN INTEREST, THE MEMBER IS REQUIRED TO DISCLOSE THE POTENTIAL CONFLICT AND ABSTAIN FROM ANY VOTE ON THE MATTER. WHETHER FURTHER PRECAUTIONS ARE REQUIRED (E.G., PROHIBITING THE INTERESTED PARTY FROM ENGAGING IN DISCUSSIONS) WOULD DEPEND UPON THE SPECIFIC NATURE AND BACKGROUND OF THE CONFLICT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	COMPENSATION OF THE CEO IS DETERMINED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. OUTSIDE COMPENSATION CONSULTANTS ARE USED TO DETERMINE MARKET DATA WHICH IS USED TO SET TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES INCLUDING THE CEO, CFO, AND OTHERS AS APPROPRIATE. DELTA DENTAL PLAN OF MICHIGAN, INC. CONTRACTS WITH TOWERS WATSON TO DO A COMPENSATION AND REASONABLENESS ANALYSIS EVERY TWO YEARS. TOWERS WATSON ALSO PROVIDES AN OPINION AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGES, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. THE COMPENSATION WAS LAST REVIEWED UNDER THIS PROCESS DURING 2024. COMPENSATION DECISIONS ARE MADE UTILIZING THE DATA PROVIDED BY TOWERS WATSON.
Form 990, Part VI, Line 15b Process to establish compensation of other employees	COMPENSATION OF THE OTHER EXECTUTIVES IS DETERMINED BY THE CEO IN CONSULTATION WITH THE Executive Vice President, Chief Legal Officer and CAO. OUTSIDE COMPENSATION CONSULTANTS ARE USED TO DETERMINE MARKET DATA WHICH IS USED TO SET TOTAL COMPENSATION FOR OFFICERS AND KEY EMPLOYEES INCLUDING THE CEO, CFO, AND OTHERS AS APPROPRIATE. DELTA DENTAL PLAN OF MICHIGAN, INC. CONTRACTS WITH TOWERS WATSON TO DO A COMPENSATION AND REASONABLENESS ANALYSIS EVERY TWO YEARS. TOWERS WATSON ALSO PROVIDES AN OPINION AS TO THE REASONABLENESS OF THE TOTAL COMPENSATION PACKAGES, INCLUDING BASE PAY, INCENTIVE, BENEFITS AND RETIREMENT BENEFITS. THE COMPENSATION WAS LAST REVIEWED UNDER THIS PROCESS DURING 2024. COMPENSATION DECISIONS ARE MADE UTILIZING THE DATA PROVIDED BY TOWERS WATSON.
Form 990, Part VI, Line 19 Required documents available to the public	NO DOCUMENTS AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A	CERTAIN EMPLOYEES ARE OFFICERS OF MULTIPLE COMPANIES WITHIN THE LARGER ORGANIZATION. THE AVERAGE HOURS WORKED REFLECTS APPROXIMATE TIME SPENT IN EACH OF THOSE INDIVIDUAL COMPANIES. WHILE THE HOURS ARE ALLOCATED TO INDIVIDUAL COMPANIES, MUCH OF THE OFFICERS' TIME IS SPENT WORKING ON ISSUES THAT IMPACT THE ENTIRE ORGANIZATION, NOT JUST ONE COMPANY. COMPENSATION IS REPORTED IN FULL TO AGREE TO THE EMPLOYEE'S W-2 AS REQUIRED BY IRS INSTRUCTIONS. ANY ALLOCATION OF COMPENSATION IS INCLUDED ON SCHEDULE R.
Form 990, Part IX, Line 11g Other Fees	CONTRACT LABOR - Total Expense: 30582515, Program Service Expense: 20379452, Management and General Expenses: 10203063, Fundraising Expenses: ; CONTRACTED SERVICES - Total Expense: 7749007, Program Service Expense: 4419836, Management and General Expenses: 3329171, Fundraising Expenses: ; DENTAL CONSULTANT - Total Expense: 2949940, Program Service Expense: 2949940, Management and General Expenses: 0, Fundraising Expenses: ; AFFILIATE CONTRACT LABOR - Total Expense: 448502, Program Service Expense: 5000, Management and General Expenses: 443502, Fundraising Expenses: ; PURCHASED DENTAL SERVICES - Total Expense: XXX-XX-XXXX, Program Service Expense: XXX-XX-XXXX, Management and General Expenses: 0, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	GAIN ON EQUITY IN SUBSIDIARY - -10585434; PENSION RELATED CHANGES - 41155777; Total - 30570343;

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

Cat. No. 51056K

Schedule O (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1

- TIN:

SCHEDULE R
(Form 990)
(Rev. January 2025)

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.
Attach to Form 990.
Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

Open to Public Inspection

Name of the organization

DELTA DENTAL PLAN OF MICHIGAN INC

Employer identification number

38-1791480

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
(1) ROOSEVELT INNOVATIONS LLC 4100 OKEMOS ROAD OKEMOS,MI48864 87-2770512	CLAIMS PROCESSING	MI	-11,916,806	2,324,491	DELTA DENTAL PLAN OF MICHIGAN INC
(2) ROOSEVELT SOLUTIONS LLC 4100 OKEMOS ROAD OKEMOS,MI48864 37-1962356	CLAIMS PROCESSING	MI	0	0	DELTA DENTAL PLAN OF MICHIGAN INC
(3) T4G HEALTH HOLDINGS LLC 4100 OKEMOS ROAD OKEMOS,MI48864 92-1012982	FINANCIAL PLANNING	MI	0	0	T4G MANAGEMENT LLC
(4) T4G FUND MANAGEMENT LLC 4100 OKEMOS ROAD OKEMOS,MI48864 93-2747487	FINANCIAL PLANNING	MI	0	0	THE 4100 GROUP
(5) DEWPOINT LLC 4100 OKEMOS ROAD OKEMOS,MI48864 38-3300595	IT CONSULTING	MI	0	0	T4G MANAGEMENT LLC
(6) GRIES FINANCIAL LLC 4100 OKEMOS ROAD OKEMOS,MI48864 34-1891243	FINANCIAL PLANNING	MI	0	0	T4G FINANCIAL SERVICES LLC
(7) LOGIX INVESTMENTS LLC 4100 OKEMOS ROAD OKEMOS,MI48864 81-5265121	FINANCIAL PLANNING	MI	0	0	GRIES FINANCIAL LLC
(8) T4G MFO HOLDINGS LLC 4100 OKEMOS ROAD OKEMOS,MI48864 33-1949478	FINANCIAL PLANNING	MI	0	0	T4G FINANCIAL SERVICES LLC
(9) T4G REAL ESTATE HOLDINGS LLC 4100 OKEMOS ROAD OKEMOS,MI48864 33-1884322	REAL ESTATE	MI	0	0	T4G MANAGEMENT LLC

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)RENAISSANCE HEALTH SERVICE CORPORATION PO BOX 30416 LANSING,MI489097916 38-1675667	PROMOTING DENTAL CARE	MI	501(c)(4)		NA		No
(2)DELTA DENTAL PLAN OF OHIO INC PO BOX 30416 LANSING,MI489097916 31-0685339	PROVIDE DENTAL SERVICE PLANS	OH	501(c)(4)		DELTA DENTAL PLAN OF MICHIGAN INC	Yes
(3)DELTA DENTAL PLAN OF INDIANA INC PO BOX 30416 LANSING,MI489097916 35-1545647	PROVIDE DENTAL SERVICE PLANS	IN	501(c)(4)		DELTA DENTAL PLAN OF MICHIGAN INC	Yes
(4)DELTA DENTAL OF TENNESSEE 1600 WEST END AVENUE SUITE 1700 NASHVILLE,TN37203 62-0812197	PROVIDE DENTAL SERVICE PLANS	TN	501(c)(4)		RENAISSANCE HEALTH SERVICE CORPORATION		No
(5)DELTA DENTAL FUND PO BOX 3041 LANSING,MI489097916 38-2337000	SUPPORT DENTAL EDUCATION AND RESEARCH PROGRAMS	MI	501(c)(3)	Type I	DELTA DENTAL PLAN OF MICHIGAN INC	Yes
(6)DELTA DENTAL PLAN OF NEW MEXICO INC 100 SUN AVE NE SUITE 400 ALBUQUERQUE,NM87109 85-0224562	PROVIDE DENTAL SERVICE PLANS	NM	501(c)(4)		RENAISSANCE HEALTH SERVICE CORPORATION		No
(7)DELTA DENTAL OF KENTUCKY INC 10100 LINN STATION ROAD NO 700 LOUISVILLE,KY40223 61-0659432	PROVIDE DENTAL SERVICE PLANS	KY	501(c)(4)		RENAISSANCE HEALTH SERVICE CORPORATION		No
(8)DELTA DENTAL OF NORTH CAROLINA 3737 GLENWOOD AVENUE SUITE 320 RALEIGH,NC27612 56-1018068	PROVIDE DENTAL SERVICE PLANS	NC	501(c)(4)		RENAISSANCE HEALTH SERVICE CORPORATION		No
(9)DELTA DENTAL PLAN OF ARKANSAS INC 1513 COUNTRY CLUB RD SHERWOOD,AR72120 71-0561140	PROVIDE DENTAL SERVICE PLANS	AR	501(c)(4)		RENAISSANCE HEALTH SERVICE CORPORATION		No
(10)DELTA DENTAL OF ARKANSAS FOUNDATION INC 1513 COUNTRY CLUB RD SHERWOOD,AR72120 26-1569324	EMPHASIZE DENTAL HEALTH IN COMMUNITIES	AR	501(c)(3)	PF	DELTA DENTAL OF ARKANSAS		No
(11)RENAISSANCE FAMILY FOUNDATION INC 225 S EAST ST INDIANAPOLIS,IN46202 46-1376165	EMPHASIZE DENTAL HEALTH IN COMMUNITIES	IN	501(c)(3)	PF	RENAISSANCE HOLDING COMPANY		No
(12)SMILE 180 FOUNDATION 1600 WEST END AVENUE SUITE 1700 NASHVILLE,TN37203 47-1654054	EMPHASIZE DENTAL HEALTH IN COMMUNITIES	TN	501(c)(3)	Type I	DELTA DENTAL OF TENNESSEE INC		No
(13)DELTA DENTAL OF KENTUCKY FOUNDATION INC 10100 LINN STATION ROAD SUITE 700 LOUISVILLE,KY40223 87-4045357	EMPHASIZE DENTAL HEALTH IN COMMUNITIES	KY	501(c)(3)	PF	DELTA DENTAL OF KENTUCKY		No
(14)DELTA DENTAL FOUNDATION OF NORTH CAROLINA 3737 GLENWOOD AVENUE SUITE 320 RALEIGH,NC27612 33-1403825	EMPHASIZE DENTAL HEALTH IN COMMUNITIES	NC	501(c)(3)	Type I	DELTA DENTAL OF NORTH CAROLINA		No

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

Cat. No. 50135Y

Schedule R (Form 990) (Rev. 1-2025)

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) RED CEDAR INVESTMENT MANAGEMENT LLC 333 BRIDGE STREET NW SUITE 601 GRAND RAPIDS,MI49546 46-2667997	CAPITAL MANAGEMENT	MI	T4G MANAGEMENT LLC	Related	578,798	2,926,104		No			No
(2) T4G MANAGEMENT LLC 300 WASHINGTON SQUARE SUITE 225 LANSING,MI48933 88-4271021	FINANCIAL PLANNING	MI	THE 4100 GROUP	Related	-6,477,088	99,459,969		No			No
(3) T4G FINANCIAL SERVICES LLC 300 WASHINGTON SQUARE SUITE 225 LANSING,MI48933 92-1020583	FINANCIAL PLANNING	MI	T4G MANAGEMENT LLC	Related	-1,197,805	18,483,395		No			No
(4) ARCIS FUND I LLC 300 WASHINGTON SQUARE SUITE 225 LANSING,MI48933 93-2945609	INVESTMENTS	MI	RENAISSANCE HOLDING COMPANY	Related	-123,740	8,181,986		No			No
(5) SYLVASON LLC DBA DENT-WELL LLC 10726 TUPPER LAKE DR HOUSTON,TX77042 99-4952135	DENTAL CARE	TX	T4G HEALTH HOLDINGS LLC	Related	70,758	1,899,990		No			No

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) RENAISSANCE HOLDING COMPANY PO BOX 30381 LANSING,MI48909 41-2177193	HOLDING COMPANY	MI	DELTA DENTAL OF MICHIGAN	C Corporation	-181,391	52,775,726		Yes
(2) RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF AMERICA PO BOX 30381 LANSING,MI48909 47-0397286	INSURANCE	IN	RENAISSANCE HOLDING COMPANY	C Corporation	-1,993,100	75,221,173		Yes
(3) RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF NEW YORK PO BOX 30381 LANSING,MI48909 13-4098096	INSURANCE	NY	RENAISSANCE HOLDING COMPANY	C Corporation	412,248	9,562,263		Yes
(4) FORE HOLDING CORPORATION 1600 WEST END AVENUE SUITE 1700 NASHVILLE,TN37203 20-4116122	HOLDING COMPANY	TN	NA	C Corporation					No
(5) DENTAL CHOICE INC 10100 LINN STATION ROAD SUITE 700 LOUISVILLE,KY40223 61-1105118	PROVIDE DENTAL SERVICE PLANS	KY	NA	C Corporation					No
(6) DENTAL CHOICE AGENCY INC 10100 LINN STATION RD SUITE 700 LOUISVILLE,KY40223 61-1336003	PRIMARY GENERAL AGENCY FOR DDKY & DENTAL CHOICE	KY	NA	C Corporation					No
(7) OMEGA ADMINISTRATORS INC 1513 COUNTRY CLUB ROAD SHERWOOD,AR72120 04-3740469	PROVIDING THIRD-PARTY ADMINISTRATIVE SERVICES	AR	NA	C Corporation					No
(8) THE 4100 GROUP 4100 OKEMOS ROAD OKEMOS,MI48864 47-2557772	INVESTMENT IN SUBSIDIARIES	MI	DELTA DENTAL OF MICHIGAN	C Corporation	-9,021,968	99,062,488		Yes
(9) DENTAL CHOICE ANCILLARY INC 10100 LINN STATION RD SUITE 700 LOUISVILLE,KY40223 88-1391091	PROVIDE DENTAL SERVICE PLAN	KY	NA	C Corporation					No
(10) ANCILLARY CHOICE LIFE INC 10100 LINN STATION RD SUITE 700 LOUISVILLE,KY40223 88-0574945	INSURANCE	KY	NA	C Corporation					No
(11) DYNTL INC 2800 WHITE OAK DR NASHVILLE,TN37215 93-4527543	DENTAL SERVICE	TN	T4G HEALTH HOLDINGS LLC	C Corporation	413,570	0		Yes
(12) JOYN HEALTH INC 300 S WASHINGTON SQUARE SUITE 225 LANSING,MI48933 99-0915381	DENTAL SERVICE	MI	T4G HEALTH HOLDINGS LLC	C Corporation	-1,134,298	2,631,935		Yes

Schedule R (Form 990) (Rev. 1-2025)

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) .....................

Yes

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

Yes

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

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

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

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

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

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

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 PLAN OF OHIO INC	L	49,428,392	ACTUAL COST
(2) DELTA DENTAL PLAN OF INDIANA INC	L	19,462,069	ACTUAL COST
(3) DELTA DENTAL OF NORTH CAROLINA	L	9,831,445	ACTUAL COST
(4) DELTA DENTAL OF TENNESSEE	L	6,810,530	ACTUAL COST
(5) DELTA DENTAL PLAN OF ARKANSAS INC	L	6,283,701	ACTUAL COST
(6) RENAISSANCE LIFE AND HEALTH INSURANCE COMPANY OF AMERICA	L	5,829,829	ACTUAL COST
(7) DELTA DENTAL OF KENTUCKY INC	L	3,460,696	ACTUAL COST
(8) DELTA DENTAL PLAN OF NEW MEXICO INC	L	3,081,315	ACTUAL COST
(9) DELTA DENTAL FUND	L	1,278,670	ACTUAL COST
(10) THE 4100 GROUP	L	219,020	ACTUAL COST
(11) RENAISSANCE HEALTH SERVICE CORPORATION	L	133,938	ACTUAL COST
(12) RENAISSANCE LIFE & HEALTH INSURANCE COMPANY OF NEW YORK	L	116,522	ACTUAL COST
(13) RENAISSANCE HOLDING COMPANY	L	85,892	ACTUAL COST
(14) DELTA DENTAL FUND	B	1,500,000	ACTUAL COST
(15) RED CEDAR INVESTMENT MANAGEMENT LLC	M	2,505,678	ACTUAL COST

Schedule R (Form 990) (Rev. 1-2025)

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) (Rev. 1-2025)

Page 5

Part VII

Supplemental Information

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

Return Reference	Explanation

Schedule R (Form 990) (Rev. 1-2025)

Additional Data

Software ID:	24020961
Software Version:	2024v5.1