DELTA DENTAL OF MISSOURI: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF MISSOURI (EIN 43-0908349)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-16
- IRS object ID
- 202033219349309528
- Schema version
- 2019v5.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-16T11:49:45-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BKD LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 312 WALNUT STREET SUITE 3000 | AddressLine1Txt |
| City | CINCINNATI | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 45202 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 430908349 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF MISSOURI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % BARBARA C BENTRUP | InCareOfNm |
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 3146563000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12399 GRAVOIS ROAD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631271702 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARBARA C BENTRUP | PersonNm |
| Person Title | CFO & CORP. COUNSEL | PersonTitleTxt |
| Phone | 3146563000 | PhoneNum |
| Signature | 2020-11-15 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Aaron Hershberger | PreparerPersonNm |
| PTIN | P00961884 | PTIN |
| Phone | 5136218300 | PhoneNum |
| Preparation | 2020-11-15 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 167.68.126.162 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 31025420203215000030 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-16 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 5ECFD7F4488FEC6F6ABE53B187DEB4499E915412 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | FDEAFD0406FF7141BFF80F52237CA5777F98C136 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2022-01-07 14:23:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | E B ROB GOREN | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12399 GRAVOIS ROAD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631271702 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $610,905,568 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | WWW.DELTADENTALMO.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1958 | FormationYr |
| Legal Domicile State | MO | LegalDomicileStateCd |
| Activity Or Mission | OUR PURPOSE IS TO IMPROVE THE DENTAL HEALTH OF THE PUBLIC BY PROMOTING PREVENTIVE DENTISTRY AND PROVIDING COMPREHENSIVE DENTAL CARE AND MAINTENANCE ON A PREPAID BASIS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 11 | VotingMembersIndependentCnt |
| Total Employee | 275 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $624,799,099 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $600,126,132 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,660,072 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,708,235 | CYInvestmentIncomeAmt |
| PY Other Revenue | -$3,701,104 | PYOtherRevenueAmt |
| CY Other Revenue | $7,056,291 | CYOtherRevenueAmt |
| PY Total Revenue | $623,758,067 | PYTotalRevenueAmt |
| CY Total Revenue | $610,890,658 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $1,641,734 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,067,017 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $567,017,828 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $544,165,207 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $32,626,927 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $33,370,470 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $20,638,121 | PYOtherExpensesAmt |
| CY Other Expenses | $20,834,248 | CYOtherExpensesAmt |
| PY Total Expenses | $621,924,610 | PYTotalExpensesAmt |
| CY Total Expenses | $599,436,942 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $1,833,457 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $11,453,716 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $182,550,863 | TotalAssetsBOYAmt |
| Total Assets EOY | $178,340,938 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $58,018,399 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $32,877,231 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $124,532,464 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $145,463,707 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | THE ORGANIZATION'S PRIMARY PURPOSE IS TO IMPROVE THE DENTAL HEALTH OF THE PUBLIC BY PROMOTING PREVENTIVE DENTISTRY AND PROVIDING COMPREHENSIVE DENTAL CARE AND MAINTENANCE ON A PREPAID BASIS. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $587,764,150 | ExpenseAmt |
| Revenue | $600,126,132 | RevenueAmt |
| Desc | DELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2019, DELTA DENTAL PROCESSED 3,216,524 CLAIMS FOR DENTAL SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,067,017 | ExpenseAmt |
| Grant | $1,067,017 | GrantAmt |
| Desc | ORAL HEALTH GRANT PROGRAM - SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $326,143 | ExpenseAmt |
| Desc | LAND OF SMILES PROGRAM - SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $434,209 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $0 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $589,591,519 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 57684 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 275 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 11 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BARBARA C BENTRUP | PersonNm |
| Phone | 3146563000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12399 GRAVOIS ROAD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 631271702 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|
| BARBARA C BENTRUP | ||||||||
| CFO & Corporate Counsel | 60.0 | 0.0 | Yes (X) | $994,908 | $0 | $158,670 | ||
| E B ROB GOREN | ||||||||
| President & CEO | 60.0 | 0.0 | Yes (X) | $991,887 | $0 | $72,027 | ||
| RONALD E INGE | ||||||||
| Chief Dental Officer | 60.0 | 0.0 | Yes (X) | $532,658 | $0 | $184,799 | ||
| EDWARD A PATTAROZZI | ||||||||
| Chief Sales & Marketing Office | 60.0 | 0.0 | Yes (X) | $477,013 | $0 | $140,933 | ||
| HENRY S LAFFITTE | ||||||||
| VP, Sales & Account Management | 40.0 | 0.0 | $450,146 | $0 | $72,342 | Yes (X) | ||
| KARL A MUDRA | ||||||||
| CIO | 60.0 | 0.0 | Yes (X) | $341,870 | $0 | $87,733 | ||
| JONATHAN R JENNINGS | ||||||||
| Chief Actuary/VP Underwriting | 60.0 | 0.0 | Yes (X) | $340,902 | $0 | $81,238 | ||
| ERIC W MANN | ||||||||
| Director of Operations | 40.0 | 0.0 | $251,758 | $0 | $45,252 | Yes (X) | ||
| ELLEN R SAMUELS | ||||||||
| Director, Corp. Communications | 40.0 | 0.0 | $206,929 | $0 | $79,038 | Yes (X) | ||
| JANE STANHAUS | ||||||||
| Director of Human Resources | 40.0 | 0.0 | $214,616 | $0 | $69,532 | Yes (X) | ||
| ROBERT WOZNIAK | ||||||||
| Account Executive | 40.0 | 0.0 | $213,490 | $0 | $53,798 | Yes (X) | ||
| ROBERT E BUTLER | ||||||||
| Board Chair/Dir. - Left 11/19 | 2.0 | 0.0 | Yes (X) | $55,700 | $0 | $0 | Yes (X) | |
| ROSEMARY BISHOP | ||||||||
| Secretary/Director | 2.0 | 0.0 | Yes (X) | $52,550 | $0 | $0 | Yes (X) | |
| MARK ZUST | ||||||||
| FIRST VICE CHAIR | 2.0 | 0.0 | Yes (X) | $44,600 | $0 | $0 | Yes (X) | |
| GARY WILLIAMS | ||||||||
| Director | 2.0 | 0.0 | $43,000 | $0 | $0 | Yes (X) | ||
| DEBORAH PATTERSON | ||||||||
| Director | 2.0 | 0.0 | $42,300 | $0 | $0 | Yes (X) | ||
| WILLIAM J BENDER | ||||||||
| Treasurer/Director | 2.0 | 0.0 | Yes (X) | $40,700 | $0 | $0 | Yes (X) | |
| BRIAN BERGLUND | ||||||||
| Director - Left 11/19 | 2.0 | 0.0 | $40,550 | $0 | $0 | Yes (X) | ||
| WILLIAM EDWARDS | ||||||||
| 2nd Vice Chairman/Director | 2.0 | 0.0 | Yes (X) | $37,850 | $0 | $0 | Yes (X) | |
| OLADIPUPO ADEFALA | ||||||||
| Director | 2.0 | 0.0 | $35,650 | $0 | $0 | Yes (X) | ||
| JAMES W RHEA | ||||||||
| Board Chairman/Director | 2.0 | 0.0 | Yes (X) | $35,050 | $0 | $0 | Yes (X) | |
| TIMOTHY TAYLOR | ||||||||
| Director | 2.0 | 0.0 | $34,900 | $0 | $0 | Yes (X) | ||
| JOHNNY CUSTARDO | ||||||||
| Director | 2.0 | 0.0 | $33,650 | $0 | $0 | Yes (X) | ||
| MARK MANCIN | ||||||||
| Director | 2.0 | 0.0 | $33,650 | $0 | $0 | Yes (X) | ||
| RICHARD BRAUN | ||||||||
| Director - Left 11/19 | 2.0 | 0.0 | $29,750 | $0 | $0 | Yes (X) | ||
| WILLIAM GRAY | ||||||||
| Director | 2.0 | 0.0 | $26,300 | $0 | $0 | Yes (X) | ||
| STEVEN HARRIS | ||||||||
| Director | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| JOHN R LANDGRAF JR | ||||||||
| Director | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| KATHLEEN TUCKER | ||||||||
| Director | 2.0 | 0.0 | $0 | $0 | $0 | Yes (X) | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,576,077 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,045,362 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 61 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| MISSOURI DENTAL PROFESSIONALS | |||||
| 1100 SPUR DR STE 30 | MARSHFIELD | MO | 65706 | DENTAL SERVICES | $6,790,808 |
| M FERNANDEZ DDS E BROWN DDS J OSDIE | |||||
| 3555 SUNSET OFFICE DR STE 210 | SAINT LOUIS | MO | 63127 | DENTAL SERVICES | $3,119,250 |
| JAY F HAUSER DDS PC | |||||
| PO BOX 503094 | SAINT LOUIS | MO | 63150 | DENTAL SERVICES | $3,706,279 |
| RED CARD | |||||
| 744 OFFICE PARKWAY | SAINT LOUIS | MO | 63141 | PRINT & MAIL SERVICE | $1,966,586 |
| IKHLAQ ROSINSKI DENTAL PARTNERS DDS | |||||
| 677 N NEW BALLAS RD STE 207 | SAINT LOUIS | MO | 63141 | DENTAL SERVICES | $2,058,084 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 936 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DENTAL PREMIUMS | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $600,126,132 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $600,126,132 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $600,126,132 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $3,548,656 | TotalRevenueColumnAmt |
| Exclusion | $3,548,656 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $23,240 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $14,910 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $8,330 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,330 | TotalRevenueColumnAmt |
| Exclusion | $8,330 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $159,579 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $159,579 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $159,579 | TotalRevenueColumnAmt |
| Exclusion | $159,579 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt |
|---|---|---|---|
| MISCELLANEOUS INCOME | 900099 | $3,438,729 | $3,438,729 |
| INVESTMENT IN SUBSIDIARY | 900003 | $3,609,232 | $3,609,232 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $7,047,961 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $610,890,658 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $600,126,132 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $10,764,526 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,067,017 | TotalAmt |
| Program Services | $1,067,017 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $544,165,207 | TotalAmt |
| Program Services | $544,165,207 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,990,835 | TotalAmt |
| Management And General | $4,990,835 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,216,944 | TotalAmt |
| Program Services | $18,716,295 | ProgramServicesAmt |
| Management And General | $1,500,649 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,857,403 | TotalAmt |
| Program Services | $2,555,101 | ProgramServicesAmt |
| Management And General | $302,302 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,777,605 | TotalAmt |
| Program Services | $3,497,203 | ProgramServicesAmt |
| Management And General | $280,402 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,527,683 | TotalAmt |
| Program Services | $1,414,287 | ProgramServicesAmt |
| Management And General | $113,396 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,585 | TotalAmt |
| Program Services | $286,346 | ProgramServicesAmt |
| Management And General | $76,239 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $362,339 | TotalAmt |
| Program Services | $286,152 | ProgramServicesAmt |
| Management And General | $76,187 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $246,343 | TotalAmt |
| Management And General | $246,343 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,375,030 | TotalAmt |
| Program Services | $2,665,377 | ProgramServicesAmt |
| Management And General | $709,653 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,702,880 | TotalAmt |
| Program Services | $1,576,480 | ProgramServicesAmt |
| Management And General | $126,400 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,167,592 | TotalAmt |
| Program Services | $2,932,470 | ProgramServicesAmt |
| Management And General | $235,122 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $133,786 | TotalAmt |
| Program Services | $123,855 | ProgramServicesAmt |
| Management And General | $9,931 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,298,181 | TotalAmt |
| Program Services | $1,201,821 | ProgramServicesAmt |
| Management And General | $96,360 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $717,733 | TotalAmt |
| Program Services | $664,458 | ProgramServicesAmt |
| Management And General | $53,275 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $211,135 | TotalAmt |
| Program Services | $195,463 | ProgramServicesAmt |
| Management And General | $15,672 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,976,259 | TotalAmt |
| Program Services | $1,829,567 | ProgramServicesAmt |
| Management And General | $146,692 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $351,667 | TotalAmt |
| Management And General | $351,667 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BOARD AND BUREAU DUES | $904,635 | $837,486 | $67,149 |
| SERVICE BUREAU FEES | $2,869,064 | $2,656,101 | $212,963 |
| PUBLIC RELATIONS | $449,352 | $416,000 | $33,352 |
| SERVICE AGREEMENTS | $1,931,195 | $1,787,848 | $143,347 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $774,472 | TotalAmt |
| Program Services | $716,985 | ProgramServicesAmt |
| Management And General | $57,487 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $599,436,942 | TotalAmt |
| Program Services | $589,591,519 | ProgramServicesAmt |
| Management And General | $9,845,423 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $36,654,529 | BOYAmt |
| EOY | $30,720,070 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,354,044 | BOYAmt |
| EOY | $11,611,049 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,004,141 | BOYAmt |
| EOY | $799,227 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $23,810,447 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $14,883,195 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,909,201 | BOYAmt |
| EOY | $8,927,252 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,707,584 | BOYAmt |
| EOY | $109,051,228 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,427,922 | BOYAmt |
| EOY | $15,037,153 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,493,442 | BOYAmt |
| EOY | $2,194,959 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,550,863 | BOYAmt |
| EOY | $178,340,938 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,400,911 | BOYAmt |
| EOY | $15,561,397 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $43,617,488 | BOYAmt |
| EOY | $17,315,834 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,018,399 | BOYAmt |
| EOY | $32,877,231 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,532,464 | BOYAmt |
| EOY | $145,463,707 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $124,532,464 | BOYAmt |
| EOY | $145,463,707 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,550,863 | BOYAmt |
| EOY | $178,340,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $11,453,716 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $9,477,527 | NetUnrlzdGainsLossesInvstAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,350,000 | OtherCostOrOtherBasisAmt |
| Book Value | $1,350,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,899,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $4,013,943 | DepreciationAmt |
| Book Value | $3,885,305 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,145,351 | OtherCostOrOtherBasisAmt |
| Depreciation | $967,350 | DepreciationAmt |
| Book Value | $178,001 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,644,324 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,957,397 | DepreciationAmt |
| Book Value | $1,686,927 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,771,524 | OtherCostOrOtherBasisAmt |
| Depreciation | $5,944,505 | DepreciationAmt |
| Book Value | $1,827,019 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $8,927,252 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVEST. IN ADVANTICA ADMIN | Desc |
| Book Value | $15,037,153 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $15,037,153 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| INCURRED BUT UNREPORTED CLAIMS | $7,209,690 |
| ESTIMATE UNPAID CLAIM PROCESS | $1,171,318 |
| UNEARNED PREMIUMS | $7,458,931 |
| EXPERIENCE RATED CREDIT LIAB | $81,385 |
| ADVANCE DEPOSITS | $1,394,510 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $17,315,834 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE D, PART X, LINE 2 | FormAndLineReferenceDesc |
| Explanation | FIN 48 FOOTNOTE The Organization is exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. Advantica Administrative Services, Inc. and its wholly-owned subsidiaries are subject to both federal and state income taxes and account for income taxes in accordance with income tax accounting guidance (ASC 740 Income Taxes). The income tax accounting guidance results in two components of income tax expense: current and deferred. Current income tax expense reflects taxes to be paid or refunded for the current period by applying the provisions of the enacted tax law to the taxable income or excess of deductions over revenues. The Company determines deferred income taxes using the liability (or balance sheet) method. Under this method, the net deferred tax asset or liability is based on the tax effects of the differences between the book and tax bases of assets and liabilities, and enacted changes in tax rates and laws are recognized in the period in which they occur. Deferred income tax expense results from changes in deferred tax assets and liabilities between periods. Deferred tax assets are reduced by a valuation allowance if, based on the weight of evidence available, it is more likely than not that some portion or all of a deferred tax asset will not be realized. Uncertain tax positions are recognized if it is more likely than not, based on the technical merits, that the tax position will be realized or sustained upon examination. The term more likely than not means a likelihood of more than 50 percent; the terms examined and upon examination also include resolution of the related appeals or litigation processes, if any. A tax position that meets the more-likely-than-not recognition threshold is initially and subsequently measured as the largest amount of tax benefit that has a greater than 50 percent likelihood of being realized upon settlement with a taxing authority that has full knowledge of all relevant information. The determination of whether or not a tax position has met the more-likely-than-not recognition threshold considers the facts, circumstances and information available at the reporting date and is subject to the management's judgment. The Organization recognizes interest and penalties on income taxes as a component of income tax expense. On a consolidated basis, Advantica Administrative Services, Inc. and its subsidiaries had an operating gain totaling $3,713,384 and an operating loss totaling $4,281,002 as of December 31, 2019 and 2018, respectively. At December 31, 2019 and 2018, Advantica Administrative had net operating loss carryforwards of approximately $20,495,000 and $19,829,000, respectively. Advantica Administrative and its subsidiaries had deferred tax assets of approximately $4,523,000 and $5,408,000 at December 31, 2019 and 2018, respectively, nearly all of which arise from these net operating loss carryforwards. Due to the remaining uncertainty regarding whether these will be realized, a full valuation allowance has been recorded against these deferred tax assets at December 31, 2019 and 2018. The Organization and its subsidiaries are currently open to examination under the statute of limitations by the Internal Revenue Service and states in which it files for the years ended December 31, 2016 through 2019. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (28 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|---|---|
| HEALTHWORKS KIDS MUSEUM ST LOUIS | ||||||||
| 1100 MACKLIND AVE | ST LOUIS | MO | 63110 | 753018876 | 501(c)(3) | $250,000 | GENERAL SUPPORT | |
| GIVE KIDS A SMILE | ||||||||
| 10 WORTHINGTON DR | MD HEIGHTS | MO | 63043 | 201287939 | 501(c)(3) | $75,000 | GENERAL SUPPORT | |
| MEDICAL UNIVERSITY OF SOUTH CAROLINA | ||||||||
| 19 HAGOOD AVE | CHARLESTON | SC | 29425 | 576000722 | 501(c)(3) | $50,000 | GENERAL SUPPORT | |
| OUR LADY OF MERCY COMMUNITY OUTREACH SVCS | ||||||||
| PO BOX 607 | JOHNS ISLAND | SC | 29457 | 570905488 | 501(c)(3) | $50,000 | GENERAL SUPPORT | SUITE 505 |
| MISSION DENTAL INC | ||||||||
| 1700 6TH AVE N | BESSEMER | AL | 35020 | 271406376 | 501(c)(3) | $50,000 | GENERAL SUPPORT | |
| ST LOUIS CHILDREN'S HOSPITAL FOUNDATION | ||||||||
| ONE CHILDRENS PLACE | ST LOUIS | MO | 63110 | 431626863 | 501(c)(3) | $50,000 | GENERAL SUPPORT | |
| SOUTH CAROLINA DENTAL ASSOCIATION | ||||||||
| 120 STONEMARK LN | COLUMBIA | SC | 29210 | 570399460 | 501(c)(3) | $50,000 | GENERAL SUPPORT | |
| EAST COOPER COMMUNITY OUTREACH | ||||||||
| 1145 SIX MILE RD | MOUNT PLEASANT | SC | 29466 | 570939280 | 501(c)(3) | $50,000 | GENERAL SUPPORT | |
| ST LOUIS COMMUNITY COLLEGE FOUNDATION | ||||||||
| 3221 MCKELVEY RD | BRIDGETON | MO | 63044 | 431374500 | 501(c)(3) | $39,281 | GENERAL SUPPORT | |
| HEALTHY SMILES OF SPARTANBURG INC | ||||||||
| PO BOX 1441 | SPARTANBURG | SC | 29304 | 030529473 | 501(c)(3) | $35,000 | GENERAL SUPPORT | STE 295 |
| PREFERRED FAMILY HEALTHCARE INC | ||||||||
| 900 E LAHARPE ST | KIRKSVILLE | MO | 63501 | 431236557 | 501(c)(3) | $25,000 | GENERAL SUPPORT | |
| MISSOURI DEPT OF HEALTH & SENIOR SERVICE | ||||||||
| PO BOX 570 | JEFFERSON CITY | MO | 65102 | 446000987 | GOV'T | $25,000 | GENERAL SUPPORT | |
| HERBERT HOOVER BOYSGIRLS CLUB OF ST LOUIS | ||||||||
| 2901 NORTH GRAND AVE | ST LOUIS | MO | 63107 | 436061693 | 501(c)(3) | $25,000 | GENERAL SUPPORT | |
| ST LOUIS BOARD OF EDUCATION | ||||||||
| 801 N 11TH ST | ST LOUIS | MO | 63101 | 436003220 | 501(c)(3) | $25,000 | GENERAL SUPPORT | |
| ST LOUIS REGIONAL PUBLIC MEDIA INC | ||||||||
| 3655 OLIVE ST | ST LOUIS | MO | 63108 | 430685345 | 501(c)(3) | $20,000 | GENERAL SUPPORT | |
| CASS COMMUNITY HEALTH FOUNDATION | ||||||||
| 2316 E MEYER BLVD | KANSAS CITY | MO | 64132 | 431349495 | 501(c)(3) | $20,000 | GENERAL SUPPORT | |
| PUBLIC HEALTH FUND INC | ||||||||
| 5 HEALTH DEPARTMENT DR | TROY | MO | 63379 | 431930096 | 501(c)(3) | $19,798 | GENERAL SUPPORT | |
| RONALD MCDONALD HOUSE CHARITIES | ||||||||
| 949 E PRIMROSE ST | SPRINGFIELD | MO | 65807 | 431371143 | 501(c)(3) | $15,000 | GENERAL SUPPORT | |
| GREENVILLE FREE MEDICAL CLINIC INC | ||||||||
| PO BOX 8993 | GREENVILLE | SC | 29604 | 570855205 | 501(c)(3) | $15,000 | GENERAL SUPPORT | |
| COMMUNITY CLINIC OF SOUTHWEST MISSOURI | ||||||||
| 701 SOUTH JOPLIN AVE | JOPLIN | MO | 64801 | 431643962 | 501(c)(3) | $15,000 | GENERAL SUPPORT | |
| HEARTLAND OUTREACH PROVIDERS | ||||||||
| 1215 NW STATE RT 7 | BLUE SPRINGS | MO | 64014 | 274387842 | 501(c)(3) | $14,812 | GENERAL SUPPORT | |
| GIRL SCOUTS OF EASTERN MISSOURI INC | ||||||||
| 2300 BALL DR | ST LOUIS | MO | 63146 | 430662471 | 501(c)(3) | $13,500 | GENERAL SUPPORT | |
| EDVENTURE INC | ||||||||
| 211 GERVALS ST | COLUMBIA SC | SC | 29201 | 571013857 | 501(c)(3) | $10,500 | GENERAL SUPPORT | |
| ST LOUIS COUNTY LIBRARY FOUNDATION | ||||||||
| 1640 S LINDBERGH BLVD | ST LOUIS | MO | 63131 | 431863977 | 501(c)(3) | $12,000 | GENERAL SUPPORT | |
| YWCA METRO ST LOUIS | ||||||||
| 3820 WEST PINE BLVD | ST LOUIS | MO | 63108 | 430653618 | 501(c)(3) | $10,000 | GENERAL SUPPORT | |
| AMERICAN LUNG ASSOCIATION | ||||||||
| 55 W WACKER DR | CHICAGO | IL | 60601 | 131632524 | 501(c)(3) | $6,910 | GENERAL SUPPORT | |
| MERCY MEDICINE FREE CLINIC | ||||||||
| 500 S COLT ST | FLORENCE | SC | 29501 | 311693093 | 501(c)(3) | $5,357 | GENERAL SUPPORT | |
| HELPING HANDS OF GEORGETOWN INC | ||||||||
| 1813 HIGHMARKET ST | GEORGETOWN | SC | 29440 | 570883461 | 501(C)(3) | $70,000 | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 28 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. DELTA DENTAL MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF ASSISTANCE THAT IT PROVIDES TO THE COMMUNITY ORGANIZATIONS. DELTA DENTAL WORKS WITH THE INDIVIDUAL ORGANIZATIONS TO UNDERSTAND THEIR MISSIONS AND TO DETERMINE THE BENEFITS OF DELTA DENTAL'S PARTICIPATION. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARBARA C BENTRUP | |||||||||||||
| CFO & Corporate Counsel | $457,539 | $0 | $109,557 | $0 | $427,812 | $0 | $136,775 | $0 | $21,895 | $0 | $1,153,578 | $0 | $424,123 |
| E B ROB GOREN | |||||||||||||
| President & CEO | $545,730 | $0 | $148,290 | $0 | $297,867 | $0 | $41,685 | $0 | $30,342 | $0 | $1,063,914 | $0 | $296,453 |
| EDWARD A PATTAROZZI | |||||||||||||
| Chief Sales & Marketing Office | $352,312 | $0 | $80,005 | $0 | $44,696 | $0 | $117,868 | $0 | $23,065 | $0 | $617,946 | $0 | $25,361 |
| JONATHAN R JENNINGS | |||||||||||||
| Chief Actuary/VP Underwriting | $269,952 | $0 | $57,247 | $0 | $13,703 | $0 | $53,749 | $0 | $27,489 | $0 | $422,140 | $0 | $5,447 |
| KARL A MUDRA | |||||||||||||
| CIO | $255,471 | $0 | $58,081 | $0 | $28,318 | $0 | $57,531 | $0 | $30,202 | $0 | $429,603 | $0 | $8,960 |
| RONALD E INGE | |||||||||||||
| Chief Dental Officer | $396,389 | $0 | $85,112 | $0 | $51,157 | $0 | $164,204 | $0 | $20,595 | $0 | $717,457 | $0 | $26,083 |
| ELLEN R SAMUELS | |||||||||||||
| Director, Corp. Communications | $171,583 | $0 | $33,133 | $0 | $2,213 | $0 | $50,097 | $0 | $28,941 | $0 | $285,967 | $0 | |
| HENRY S LAFFITTE | |||||||||||||
| VP, Sales & Account Management | $219,276 | $0 | $225,665 | $0 | $5,205 | $0 | $42,000 | $0 | $30,342 | $0 | $522,488 | $0 | |
| ROBERT WOZNIAK | |||||||||||||
| Account Executive | $83,931 | $0 | $119,798 | $0 | $9,761 | $0 | $31,233 | $0 | $22,565 | $0 | $267,288 | $0 | |
| ERIC W MANN | |||||||||||||
| Director of Operations | $198,028 | $0 | $14,245 | $0 | $39,485 | $0 | $26,402 | $0 | $18,850 | $0 | $297,010 | $0 | |
| JANE STANHAUS | |||||||||||||
| Director of Human Resources | $174,248 | $0 | $35,654 | $0 | $4,714 | $0 | $39,930 | $0 | $29,602 | $0 | $284,148 | $0 | |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE J, PART I, LINE 4B | FormAndLineReferenceDesc |
| Explanation | NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS THE ORGANIZATION HAS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR THE BENEFIT OF CERTAIN EMPLOYEES TO RECEIVE CONTRIBUTIONS IN EXCESS OF THE LIMITATIONS IMPOSED BY THE INTERNAL REVENUE CODE ON STANDARD EMPLOYEE PENSION PLANS. AMOUNTS PAID DURING 2019 FOR THE FOLLOWING INDIVIDUALS WERE: BARBARA BENTRUP - $39,123 E.B. ROB GOREN - $56,453 KARL MUDRA - $8,960 EDWARD PATTAROZZI - $25,361 RONALD INGE - $26,083 JONATHAN JENNINGS - $5,447 THE ORGANIZATION HAS AN UNFUNDED NONQUALIFIED, DEFINED BENEFIT DEFERRED COMPENSATION PLAN (DBDCP) FOR ITS SENIOR LEVEL EXECUTIVES, WITH VESTING AT AGE 60 AND 10 YEARS OF SERVICE FOR EARLY RETIREMENT OR AGE 65 AND FIVE YEARS OF SERVICE FOR NORMAL RETIREMENT. THE PLAN WAS AMENDED TO CURTAIL BENEFITS ACCRUED AS OF DECEMBER 31, 2020 SUBJECT TO THE CONTINUING VESTING PROVISIONS IN THE DBDCP. THE ACTUARIALLY DETERMINED LIABILITY IS BASED UPON ASSUMPTIONS FOR REMAINING YEARS OF SERVICE UNTIL RETIREMENT, PROJECTED SALARIES FOR THE FINAL THREE YEARS OF SERVICE BUT IN NO CASE CONSIDERING ANY SALARY AFTER DECEMBER 31, 2020, AND A PREDETERMINED BENEFIT PERCENTAGE BASED UPON THE PARTICIPANT'S POSITION. INDIVIDUALS WHO PARTICIPATED IN THIS PLAN DURING 2019 WERE THE FOLLOWING: BARBARA BENTRUP, E. B. ROB GOREN, EDWARD PATTAROZZI, JONATHAN JENNINGS, RONALD INGE AND KARL MUDRA. ALL INCREASES IN THE PROJECTED BENEFIT ACCRUALS FOR THIS DBDCP ARE REPORTED ANNUALLY IN THE FORM 990 FOR EACH PARTICIPANT. IT IS IMPORTANT TO NOTE THAT SEVERAL PARTICIPANTS IN THIS PROGRAM ARE NOT YET VESTED, YET THE INCREASE IN THE VALUE OF THE COMPANY'S ACCRUAL HAS TO BE REPORTED ANNUALLY AS COMPENSATION ON THE FORM 990 FOR EACH OF THE PARTICIPANTS WHEN THERE WAS NO BENEFIT VALUE TO THEM PERSONALLY - IF PARTICIPANTS LEAVE THE COMPANY PRIOR TO MEETING THE AGE AND SERVICE REQUIREMENTS, THERE IS NO BENEFIT PAYABLE. SCHEDULE J, PART II, COLUMN C INCLUDES THESE AMOUNTS FOR THE INCREASES IN THE COMPANY'S ACCRUAL. THE AMOUNTS PER PARTICIPANT ARE: BARBARA BENTRUP - $94,775 E.B. ROB GOREN - $(315) KARL MUDRA - $15,531 EDWARD PATTAROZZI - $75,868 JONATHAN JENNINGS - $11,749 RONALD INGE - $122,204 | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| MARK R ZUST DDS LTD | |||
| BOARD MEMBER AS OWNER | $243,080 | DENTAL SERVICES PROVIDED | false |
| JAMES W RHEA DDS PC | |||
| BOARD MEMBER AS OWNER | $219,221 | DENTAL SERVICES PROVIDED | false |
| FINNANE-ROBISON DENTAL LLC | |||
| FORMER BOARD MBR AS OWNER | $116,470 | DENTAL SERVICES PROVIDED | false |
| WILLIAM A GRAY DMD LLC | |||
| BOARD MEMBER AS OWNER | $233,942 | DENTAL SERVICES PROVIDED | false |
| FLORISSANT DENTAL ASSOCIATES LLC | |||
| FAMILY OF BOARD MEMBER | $525,060 | DENTAL SERVICES PROVIDED | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART IV, LINE 1 | FormAndLineReferenceDesc |
| Explanation | BUSINESS TRANSACTIONS BOARD MEMBER MARK ZUST AND DANIELLE RIORDAN, DAUGHTER OF BOARD MEMBER MARK ZUST, HAVE A REPORTABLE INTEREST IN MARK R ZUST DDS LTD WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. BOARD MEMBER JAMES RHEA HAS A REPORTABLE INTEREST IN JAMES W RHEA DDS PC WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. FORMER BOARD MEMBER EDWARD ROBISON AND ELIZABETH FINNANE, DAUGHTER OF FORMER BOARD MEMBER EDWARD ROBISON, HAVE A REPORTABLE INTEREST IN FINNANE ROBISON DENTAL LLC WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. BOARD MEMBER WILLIAM GRAY HAS A REPORTABLE INTEREST IN WILLIAM A GRAY DMD LLC WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. SEAN LANDGRAF, SON OF BOARD MEMBER JOHN R LANDGRAF JR, HAS A REPORTABLE INTEREST IN FLORISSANT DENTAL ASSOCIATES LLC WHICH PROVIDES DENTAL SERVICES TO THE SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4B | PROGRAM SERVICE ACCOMPLISHMENTS ORAL HEALTH GRANT PROGRAM PROGRAM DESCRIPTION: DELTA DENTAL OF MISSOURIS ORAL HEALTH GRANT PROGRAM HELPS REDUCE DENTAL DISEASE THROUGH EDUCATION, PREVENTION AND TREATMENT; ENSURE ACCESS TO AFFORDABLE, TIMELY AND HIGH-QUALITY DENTAL CARE; AND ENHANCE AWARENESS OF GOOD ORAL HEALTH WITH A FOCUS ON CHILDREN AND UNDERSERVED INIDIVDUALS. IN 2019, DELTA DENTAL OF MISSOURI AWARDED MORE THAN $1 MILLION IN GRANTS TO 26 MISSOURI AND SOUTH CAROLINA ORGANIZATIONS, WHICH ALIGN WITH ITS NON-PROFIT MISSION TO IMPROVE ORAL HEALTH. FUNDING INCLUDED DIRECT CARE GRANTS; EQUIPMENT/CAPITAL GRANTS; EDUCATIONAL GRANTS; AND LOAN REPAYMENT GRANTS FOR DENTISTS WHO COMMIT TO SERVING IN A DENTAL HEALTH PROFESSIONAL SHORTAGE AREA. THE COMPANY ACCEPTS GRANT APPLICATIONS IN ANNUAL TWO GRANT CYCLES. TO BE ELIGIBLE FOR AN ORAL HEALTH GRANT, APPLICANTS IN BOTH STATES MUST FIRST COMPLETE A LETTER OF INTENT THROUGH THE ONLINE GRANT APPLICATION SYSTEM. APPLICANTS MUST BE CONSIDERED TAX-EXEMPT UNDER 501(C)(3) OF THE INTERNAL REVENUE SERVICE CODE, OR BE A PUBLIC OR GOVERNMENTAL ENTITY, SUCH AS A PUBLIC SCHOOL OR HEALTH DEPARTMENT, AND SERVE THE PEOPLE OF MISSOURI OR SOUTH CAROLINA. THE MINIMUM GRANT AMOUNT IS $5,000. ORAL HEALTH GRANTS GREATER THAN $5,000 ARE INCLUDED IN SCHEDULE I. DELTA DENTAL OF MISSOURI BEGAN ADMINISTERING THIS ORAL HEALTH GRANT PROGRAM ONLINE IN 2017. FORM 990, PART III, LINE 4C PROGRAM SERVICE ACCOMPLISHMENTS LAND OF SMILES PROGRAM PROGRAM DESCRIPTION: DELTA DENTAL OF MISSOURIS LAND OF SMILES IS A TOURING EDUCATIONAL PROGRAM THAT FEATURES TOOTH WIZARD, LITTLE SISTER TOOTH FAIRY AND THEIR ARCH ENEMY, PLAQUEMAN, WHO TEACH GRADESCHOOLERS GOOD DENTAL HEALTH HABITS. THIS YEAR, THE PROGRAM REACHED MORE THAN 82,000 MISSOURI AND SOUTH CAROLINA KINDERGARTEN-THROUGH-3rd-GRADE STUDENTS WITH 420 SCHOOL-BASED PERFORMANCES THAT FEATURE FUN, KID-FOCUSED ENTERTAINMENT. THE CHARACTERS EXPLAIN PROPER BRUSHING TECHNIQUES, FLOSSING, GOOD AND BAD FOODS FOR TEETH AND WHY IT IS IMPORTANT TO VISIT THE DENTIST REGULARLY. EACH CHILD RECEIVES A TAKE-HOME SMILE BAG FILLED WITH A TOOTHBRUSH, TOOTHPASTE, FLOSS, COLORING SHEET AND REMINDER MIRROR DECAL. TO REINFORCE PROGRAM MESSAGES AFTER PERFORMANCES, A CURRICULUM KIT IS GIVEN TO EACH SCHOOL. THE KIT INCLUDES AN EDUCATIONAL DVD AND CORRESPONDING CURRICULUM BOOKLET. TEACHERS AND SCHOOL NURSES CONSISTENTLY RATE THE PROGRAM AS EXCELLENT. THE LAND OF SMILES PROGRAM IS ALSO PERFORMED AT MORE THAN 20 AREA HEALTH FAIRS, WITH NEARLY 50,000 KIDS AND FAMILIES ATTENDING THROUGHOUT THE YEAR. LONGEVITY: THIS PROGRAM HAS BEEN IN PLACE IN MISSOURI SINCE 2002, AND IN SOUTH CAROLINA SINCE 2014. FORM 990, PART III, LINE 4D PROGRAM SERVICE ACCOMPLISHMENTS COMMUNITY GIVING PROGRAM PROGRAM DESCRIPTION: THROUGH DELTA DENTAL OF MISSOURIS COMMMUNITY GIVING PROGRAM, THE COMPANY SUPPORTS CHARITABLE ORGANIZATIONS AND PROGRAMS THAT ARE WORKING TO MAKE A DIFFERENCE IN MISSOURI AND SOUTH CAROLINA COMMUNITIES. DELTA DENTAL OF MISSOURI CONSIDERS COMMUNITY GIVING REQUESTS EACH QUARTER FROM REGISTERED 501(C)(3) CHARITABLE ORGANIZATIONS, WHICH SERVE INDIVIDUALS IN MISSOURI OR SOUTH CAROLINA, AND SUPPORT THE OVERALL HEALTH AND WELL-BEING OF AT-NEED OR AT-RISK POPULATIONS. ORGANIZATIONS MAY APPLY FOR FUNDING ONCE PER YEAR. DELTA DENTAL OF MISSOURIS COMMUNITY GIVING INCLUDES ORAL HEALTH SUPPLY DONATIONS OF TOOTHBRUSHES AND DENTAL FLOSS TO ORGANIZATIONS TO HELP INDIVIDUALS MAINTAIN GOOD ORAL HYGIENE FOR BETTER DENTAL HEALTH. COMMUNITY GIVING GREATER THAN $5,000 IS INCLUDED IN SCHEDULE I. |
| FORM 990, PART VI, SECTION A, LINE 6 | CLASSES OF MEMBERS OR STOCKHOLDERS THE MEMBERS OF THE ORGANIZATION ARE COMPRISED OF LICENSED DENTISTS IN THE STATES OF MISSOURI AND SOUTH CAROLINA WHO HAVE AN EFFECTIVE SIGNED AND ACCEPTED PARTICIPATING DENTIST AGREEMENT WITH THE ORGANIZATION. THE MEMBERS MEET ANNUALLY. |
| FORM 990, PART VI, SECTION A, LINE 7A | MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY THE ORGANIZATION HAS MEMBERS WHO ELECT THE INDIVIDUALS TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS. THE MEMBERS OF THE ORGANIZATION ARE COMPRISED OF LICENSED DENTISTS IN THE STATES OF MISSOURI AND SOUTH CAROLINA WHO HAVE AN EFFECTIVE SIGNED AND ACCEPTED PARTICIPATING DENTIST AGREEMENT WITH THE ORGANIZATION. THE MEMBERS MEET ANNUALLY. |
| FORM 990, PART VI, SECTION A, LINE 7B | GOVERNANCE DECISIONS CHANGES TO THE CORPORATE BYLAWS BY THE BOARD ARE SUBJECT TO APPROVAL BY THE MEMBERS. |
| FORM 990, PART VI, SECTION B, LINE 11B | PROCESS TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED IN DETAIL BY THE ORGANIZATION'S CFO AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE ELECTRONIC FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. |
| FORM 990, PART VI, SECTION B, LINE 12C | PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICY DELTA DENTAL OF MISSOURI REGULARLY REQUIRES ITS OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT. THE REVIEW OF THE STATEMENTS IS PART OF THE FINANCE AND AUDIT COMMITTEE'S RESPONSIBILITIES. |
| FORM 990, PART VI, SECTION B, LINE 15A & 15B | COMPENSATION APPROVAL PROCESS DELTA DENTAL OF MISSOURI HAS ESTABLISHED A COMPENSATION COMMITTEE (A SUBSET OF THE BOARD OF DIRECTORS) COMPOSED ENTIRELY OF PERSONS WITH NO CONFLICT OF INTEREST THAT REVIEWS AND SETS OFFICER COMPENSATION IN ACCORDANCE WITH THE PROCESS OUTLINED IN TREASURY REGULATION SECTION 53.4958-6 FOR ESTABLISHING THE REBUTTABLE PRESUMPTION OF REASONABLENESS OF THE COMPENSATION OF THE CEO AND ALL OTHER OFFICERS. THIS PROCESS INCLUDES EMPLOYING INDEPENDENT COMPENSATION CONSULTANTS, UTILIZING RELEVANT COMPENSATION SURVEYS AND STUDIES, CONTEMPORANEOUSLY DOCUMENTING AND RECORDING THE DELIBERATIONS AND DECISIONS REGARDING THE COMPENSATION ARRANGEMENT, AND SEEKING APPROVAL ON FINALIZED COMPENSATION PROPOSALS BY THE COMPENSATION COMMITTEE. REVIEWS ARE CONDUCTED AND APPROVED BY THE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THE ANNUAL COMPENSATION FOR 2019 WAS REVIEWED BY A THIRD PARTY COMPENSATION CONSULTANT AND THEN REVIEWED BY THE COMPENSATION COMMITTEE IN MARCH, 2019. |
| FORM 990, PART VI, SECTION C, LINE 19 | DOCUMENTS THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. |
Schedule R IRS990ScheduleR
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ADVANTICA ADMINISTRATIVE SERVICES INC | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 12399 GRAVOIS ROAD | AddressLine1Txt |
| City | ST LOUIS | CityNm |
| State Abbreviation | MO | StateAbbreviationCd |
| ZIP | 63127 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 431826684 | EIN |
| Primary Activities | THIRD PARTY ADMIN | PrimaryActivitiesTxt |
| Legal Domicile State | MO | LegalDomicileStateCd |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Entity Type | C-CORP | EntityTypeTxt |
| Share Of Total Income | $31,010,285 | ShareOfTotalIncomeAmt |
| Share Of EOY Assets | $17,772,154 | ShareOfEOYAssetsAmt |
| Ownership | 1.00000 | OwnershipPct |
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (2 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ADVANTICA ADMINISTRATIVE SERVICES INC | ||
| M | $686,909 | ALLOCATIONS |
| ADVANTICA ADMINISTRATIVE SERVICES INC | ||
| N | $878,980 | EXPENSE BASED |
Comments