2026-05-21T16:13:41-05:00 2025-12-31 450250958 Eide Bailly LLP 345 N Reid Pl Ste 400 Sioux Falls SD 571037034 990 2025-01-01 460309258 Delta Dental of South Dakota DELT 6052247345 PO Box 1157 Pierre SD 57501 Jeffrey Miller President/CEO 6052247345 2026-05-19 1 Laurie Hanson CPA P00851848 6053391999 2026-05-19 2025 2025-03-06 01:10:19Z Jeffrey Miller PO Box 1157 Pierre SD 57501 122970993 0 X www.deltadentalsd.com X 1963 SD Dedicated to advancing and promoting the improvement of oral health. 15 9 89 0 2201627 0 0 0 106983519 114011375 1958776 2363430 1783882 1632041 110726177 118006846 2183547 2048641 0 0 9641505 9053151 0 0 0 100543651 104512742 112368703 115614534 -1642526 2392312 45098602 51808973 10466631 11936801 34631971 39872172 X Delta Dental of South Dakota is dedicated to advancing and promoting the improvement of oral health. 1 0 103461877 2048641 114011375 Delta Dental paid through its contracts with independent dentists 768,492 claims for dental benefit services for approximately 335,851 individuals with group plans, 1,349 individuals with dental accident plans, 136,509 South Dakota Medicaid recipients, 18,515 Medicare Advantage enrollees, and 130,000 Native Americans under Great Plains Area Indian Health Services. Delta Dental also granted the Delta Dental of South Dakota Foundation a 501(c)(3) charitable organization, $1,448,154 to promote the improvement of oral health. 103461877 0 0 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 1 4654 0 1 89 1 1 1 0 0 0 0 0 0 0 X 15 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X Laurie Mikkonen 6052247345 720 N Euclid Ave Pierre SD 57501 Monty Bechtold DDS Chairman of the Board 2.00 2.00 X X 21913 0 0 Thomas Huber MD Vice Chairman of Board 1.00 0.00 X X 11450 0 0 John Clausen CPA Treasurer 2.00 1.00 X X 15750 0 0 Chris Maxwell Secretary 1.00 0.00 X X 10250 0 0 Jason Aanenson DDS Director 1.00 0.00 X 9750 0 0 Travis Bjordahl DDS Director 1.00 1.00 X 9750 0 0 Thane Crump DDS Director 1.00 1.00 X 9750 0 0 G Verne Goodsell Director 1.00 0.00 X 11250 0 0 Greg Hanson DDS Director 1.00 0.00 X 9750 15000 0 Stephanie Judson Director 1.00 0.00 X 8950 0 0 Paul Rezich DDS Director 1.00 1.00 X 11450 0 0 Anlee Rola DDS Director 1.00 1.00 X 9850 0 0 Stephanie Schmitz DDS Director 1.00 1.00 X 9750 0 0 Tom Simmons Director 1.00 0.00 X 9850 0 0 Rob Wylie Director 1.00 0.00 X 9750 0 0 Jeff Miller President/CEO 39.00 2.00 X 592764 0 90824 Laurie Mikkonen CFO 38.00 2.00 X 270438 0 48121 Eugene Tetzlaff VP of IT until Feb 40.00 0.00 X 281327 0 41460 Jamey Herr VP of IT 40.00 0.00 X 195644 0 48359 Mick Heckenliable VP of Operations 40.00 0.00 X 240708 0 46792 Connie Halverson VP of Public Benefit 10.00 30.00 X 201142 0 61274 Dayna Hepper VP of Growth & Customer Experience 38.00 2.00 X 193564 0 51968 Ann Schwartz VP of Provider Services & Govt Programs 40.00 0.00 X 188064 0 64475 Lori Hall Director of Claims Processing 40.00 0.00 X 135065 0 20558 Mary Western Programmer/Analyst 40.00 0.00 X 148014 0 21387 Scott Jones Foundation President 30.00 10.00 X 296952 0 45868 Chauncey Schwartz III Programmer/Analyst 40.00 0.00 X 132018 0 41945 Eugene Campbell IT Director 40.00 0.00 X 179070 0 48768 Kirby Scott Former key employee 40.00 0.00 X 431817 0 27353 3655800 15000 659152 22 1 1 0 Midwest Benefits PO Box 10481 Des Moines IA 50306 Commissions 200000 Eide Bailly PO Box 5125 Sioux Falls SD 57117 Accounting Services 157861 Marsh & McLennan Agency PO Box 5113 Sioux Falls SD 57117 Commissions 149333 Vyne Dental 6510 Telecom Drive Indianapolis IN 64278 Claims Clearinghouse 145349 Acrisure Midwest 2491 W Chicago St Rapid City SD 57702 Commissions 131746 7 Premium Earned 812900 114011375 114011375 114011375 1794176 1794176 38700 59403 -20703 -20703 -20703 5473998 4904744 569254 569254 569254 Management Fee Income 541610 2201627 2201627 Subsidiary Revenue 524114 -548883 -548883 1652744 118006846 114011375 2201627 1793844 2048641 2048641 2795650 2795650 459170 459170 2813933 2813933 1373268 1373268 1154353 1154353 456777 456777 279002 279002 65764 65764 706621 706621 357426 357426 810061 810061 362450 362450 88217 88217 69568 69568 240734 240734 318032 318032 281643 281643 Claims Incurred 95318120 95318120 Management Service Expe 2201627 2201627 Commissions 1816005 1816005 Allocated Claims Adjust 0 4279111 -4279111 1597472 1597472 115614534 103461877 12152657 0 10960 1925073 1158635 86253 8997690 10844658 484715 469427 9254084 6157126 3345506 3096958 25761904 28469672 3969889 5115214 1369303 1801718 45098602 51808973 5138064 6737997 247134 0 5081433 5198804 10466631 11936801 X 34631971 39872172 34631971 39872172 45098602 51808973 2392312 2847889 0 X 0 1 X 1 0 397371 397371 5166299 2778677 2387622 3690414 3378449 311965 3096958 Investment in SpringRock Ventures II and III LP 4166231 F Investment in Wellness 605, Inc. 948983 F 5115214 Administrative Reimbursement Payable 305664 Cost plus group deposits 74100 Deferred Premiums 1509731 Unpaid Claims Adjustment Expenses 266800 Unpaid claims and claims incurred but not reported 2668000 Aggregate Health Policy Reserve 128000 Operating ROU Lease Liability 246509 5198804 X 118646747 2847889 -2201627 646262 118000485 65764 -59403 6361 118006846 113406546 59403 59403 113347143 65764 2201627 2267391 115614534 Part X, Line 2: Accounting standards prescribe a recognition threshold of more likely than not, and a measurement attribute for all tax positions taken or expected to be taken on a tax return, in order for those tax positions to be recognized in the financial statements. At December 31, 2025 and 2024, the Company believes that there are no uncertain tax positions or liabilities, or interest and penalties associated with uncertain tax positions. If the Company had interest and penalties related to uncertain tax positions, it would be accounted for as a component of income tax expense. Part XI, Line 2d - Other Adjustments: Administration service expenses reclassified for 990 -2,201,627. Part XI, Line 4b - Other Adjustments: Rental expenses reclassified to revenue for 990 -59,403. Part XII, Line 2d - Other Adjustments: Rental expenses reclassified to revenue for 990 59,403. Part XII, Line 4b - Other Adjustments: Administration service expenses reclassified for 990 2,201,627. 1 Delta Dental of South Dakota Foundation 804 North Euclid Suite 1 Pierre SD 57501 911776857 501(c)(3) 1448154 0 Promote dental health in South Dakota Capital Area United Way 221 South Central Ave Pierre SD 57501 460403398 501(c)(3) 92212 0 Distribute charitable donations SD Community Foundation PO Box 296 Pierre SD 57501 460398115 501(c)(3) 250000 0 Community improvement support Avera Foundation 3900 W Avera Drive Pierre SD 57108 460230199 501(c)(3) 50500 0 Program support Oahe Hockey Foundation PO Box 87 Pierre SD 57501 460438508 501(c)(3) 100000 0 Program support Oahe Habitat PO Box 998 Pierre SD 57501 460430669 501(c)(3) 10000 0 Program support SD Discovery Center 805 W Sioux Avenue Pierre SD 57501 363599183 501(c)(3) 10000 0 General support City of Pierre 2301 Patron Pkwy Pierre SD 57501 466000356 City of Pierre 50000 0 General support SD Dental Foundation PO Box 7018 Pierre SD 57501 460367045 501(c)(3) 5200 0 General support 9 0 Part I, Line 2: Grants made to organizations are approved by the Board of Directors. Grants made to 501(c)(3) organizations, governmental entities, and other organizations with an interest in furthering dental research, education, and services to disadvantaged populations are approved by the Board. X 1 1 X X X X X 1 1 0 0 0 0 0 0 0 Jeff Miller President/CEO 400210 0 168000 0 24554 0 58500 0 33707 0 684971 0 0 0 Kirby Scott Former key employee 202108 0 47925 0 181784 0 27353 0 0 0 459170 0 83284 0 Scott Jones Foundation President 97900 0 0 0 199052 0 23500 0 23687 0 344139 0 198786 0 Eugene Tetzlaff VP of IT until Feb 234677 0 46650 0 0 0 29114 0 12672 0 323113 0 0 0 Laurie Mikkonen CFO 193524 0 52500 0 24414 0 33001 0 16419 0 319858 0 0 0 Mick Heckenliable VP of Operations 192300 0 47250 0 1158 0 29465 0 18692 0 288865 0 0 0 Connie Halverson VP of Public Benefit 159050 0 41025 0 1067 0 25511 0 37120 0 263773 0 0 0 Ann Schwartz VP of Provider Services & Govt Programs 139850 0 37500 0 10714 0 23970 0 41809 0 253843 0 0 0 Dayna Hepper VP of Growth & Customer Experience 155050 0 37500 0 1014 0 23205 0 30087 0 246856 0 0 0 Jamey Herr VP of IT 162500 0 32130 0 1014 0 24046 0 25469 0 245159 0 0 0 Eugene Campbell IT Director 146556 0 31500 0 1014 0 17855 0 31873 0 228798 0 0 0 Chauncey Schwartz III Programmer/Analyst 107798 0 23509 0 711 0 13927 0 28988 0 174933 0 0 0 Mary Western Programmer/Analyst 124986 0 23028 0 0 0 14863 0 7236 0 170113 0 0 0 Lori Hall Director of Claims Processing 111606 0 22766 0 693 0 13224 0 8401 0 156690 0 0 0 Part I, Line 1a All employees are eligible for the organization to pay 50% of local gym membership. Part I, Lines 4a-b Kirby Scott, Former VP Finance, received a severance payment of $75,000. The organization contributes to a 457f plan on behalf of certain employees. The contribution amount is 2% of salary and bonus for designated employees age 62 or less during the calendar year. The contribution amount for employees age 63 or older during the calendar year is $23,500. The contribution for Jeff Miller and Scott Jones will vest January 5, 2027. The contributions for the other individuals vest on January 5, 2029. The individuals involved & the contribution amounts on their behalf follows: Jeff Miller $23,500 Mick Heckenlaible $4,905 Laurie Mikkonen $5,490 Scott Jones $23,500 Connie Halverson $4,247 Dayna Hepper $4,050 Ann Schwartz $3,990 Jamey Herr $4,003 Schedule J, Part II, Column B(iii) and (F): Kirby Scott, Former VP Finance, received a taxable 457f payout due to separation of service in the amount of $83,284. Scott Jones, President of Foundation, received a taxable 457f payout in the amount of $198,786. Jason Aanenson DDS Board member 264120 Insurance reimbursement 0 Travis Bjordahl DDS Board member 222204 Insurance Reimbursement 0 Thane Crump DDS Board member 220455 Insurance reimbursement 0 Jaclyn Schuler DDS Daughter of board member Anlee Rola 524909 Insurance reimbursement 0 Stephanie Schmitz DDS Board member 463855 Insurance Reimbursement 0 Form 990, Part III, line 2 Wellness 605, Inc. is a domestic business corporation formed in 2024 and is a wholly-owned subsidiary of Delta Dental of South Dakota. DDSD has an initial capital investment of $205,000 in Wellness 605, Inc. in 2024 and additional investments in 2025. Wellness 605, Inc. started selling vision benefits in spring 2025. Form 990, Part VI, Section A, line 1a The Executive Committee shall be composed of the Chairman, Vice-Chairman, Secretary, Treasurer, and such other members as the Board designates and shall be vested with such powers as the Board of Directors shall by resolution determine. It shall make a written report of its proceedings and actions at the next succeeding meeting of the Board of Directors. The Chairman shall be the Chairman of the Executive Committee. Form 990, Part VI, Section A, line 6 The Membership consists of dentists licensed in South Dakota that pay one-time membership dues. Form 990, Part VI, Section A, line 7a All member dentists in attendance at the annual meeting have one vote. Form 990, Part VI, Section A, line 7b All member dentists in attendance at the annual meeting are allowed one vote on all agenda items. Form 990, Part VI, Section B, line 11b The Form 990 is provided to the Board of Directors at the May board meeting prior to filing with the IRS. A review of the Form 990 is conducted by the Audit and Finance Committee. Form 990, Part VI, Section B, line 12c The Board of Directors complete a conflict of interest form annually, in May, at the regularly scheduled board meeting. Each form is read at the following meeting, with action taken as needed. Action may include abstention from discussion and voting and possible termination as a board member. Form 990, Part VI, Section B, line 15 Delta Dental of South Dakota has a Compensation Committee Charter, which states the purpose of the compensation committee is to review and report to the board on compensation and personnel policies, programs and plans and to approve employee compensation and benefit plans. The committee consists of the board Chair, Vice-chair, and at least two other board members. Committee members are appointed to annual terms and may be reappointed to unlimited consecutive terms. The committee annually reviews the CEO's performance and determines salary adjustments and incentive payments for the CEO, ensuring compliance with the IRS "rebuttable presumption" safety zone for executive compensation matters. The committee also reviews the CEO's recommendations as to salary adjustments and incentive payments for executive staff, ensuring compensation within the ranges of the executive compensation philosophy. Form 990, Part VI, Section C, line 19 All documents and policies are available upon request. Delta Dental of South Dakota Foundation PO Box 1157 Pierre SD 57501 911776857 access to dental care SD 501(c)(3) Line 12a, I Delta Dental of South Dakota 1 Wellness 605 Inc 720 N Euclid Ave Pierre SD 57501 332478058 Vision Benefits SD Delta Dental of South Dakota C -548883 1281933 1.00000 1 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 0 Delta Dental of South Dakota Foundation B 1448154 Cash Delta Dental of South Dakota Foundation J 2201627 Cash Wellness 605 Inc B 1297866 Cash Wellness 605 Inc O 253143 Cash