DELTA DENTAL OF MISSOURI: Form 990, tax year 2017
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF MISSOURI (EIN 43-0908349)
- Tax period
- 2017-01-01 to 2017-12-31
- Filed
- 2018-11-14
- IRS object ID
- 201833189349304408
- Schema version
- 2017v2.3
- 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 | 2018-11-14T09:28:17-06:00 | ReturnTs |
| Tax Period End | 2017-12-31 | 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 | 2017-01-01 | 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 | 2018-11-15 | 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 |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 174.231.160.233 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 31025420183185000000 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2018-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B985028A542B2775CCE13DD3ACBBCA85F654F7D0 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 95F02E44193A7EB980C89D6EE4057E2120311306 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2017 | TaxYr |
| Build TS | 2019-02-21 02:37:17Z | 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 | $617,735,744 | 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 | 259 | TotalEmployeeCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $575,301,572 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $613,828,257 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,118,861 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,435,965 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,519,903 | PYOtherRevenueAmt |
| CY Other Revenue | $1,416,565 | CYOtherRevenueAmt |
| PY Total Revenue | $578,940,336 | PYTotalRevenueAmt |
| CY Total Revenue | $617,680,787 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $570,850 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,581,570 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $518,709,004 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $557,605,516 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $23,737,180 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $25,594,022 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $24,930,660 | PYOtherExpensesAmt |
| CY Other Expenses | $24,483,053 | CYOtherExpensesAmt |
| PY Total Expenses | $567,947,694 | PYTotalExpensesAmt |
| CY Total Expenses | $609,264,161 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $10,992,642 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $8,416,626 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $162,941,822 | TotalAssetsBOYAmt |
| Total Assets EOY | $177,600,088 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $48,841,806 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $51,238,964 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $114,100,016 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $126,361,124 | 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 | $599,000,669 | ExpenseAmt |
| Grant | $1,300,537 | GrantAmt |
| Revenue | $613,828,257 | RevenueAmt |
| Desc | DELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2017, DELTA DENTAL PROCESSED 3,248,406 CLAIMS FOR DENTAL SERVICES. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $350,000 | ExpenseAmt |
| Desc | DENTAL HEALTH THEATER - SEE SCHEDULE O | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $465,371 | ExpenseAmt |
| Desc | LAND OF SMILES - SEE SCHEDULE O | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $281,219 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $60,000 | TotalOtherProgSrvcGrantAmt |
| Total Program Service Expenses | $600,097,259 | 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 |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| 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 With Officer Ent | Yes (true) | BusinessRlnWithOfficerEntInd |
| 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 | 58203 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 259 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | TK | ForeignCountryCd |
| 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 |
| 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 | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| WILLIAM J BENDER | |||||||||
| DIRECTOR/TREASURER | 2.0 | 0.0 | Yes (X) | Yes (X) | $22,650 | $0 | $0 | ||
| BRIAN BERGLUND | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $24,350 | $0 | $0 | |||
| ROSEMARY BISHOP | |||||||||
| SECRETARY/DIRECTOR | 2.0 | 0.0 | Yes (X) | Yes (X) | $26,900 | $0 | $0 | ||
| RICHARD W BRAUN | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $20,600 | $0 | $0 | |||
| ROBERT E BUTLER | |||||||||
| DIRECTOR/BOARD CHAIRMAN | 2.0 | 0.0 | Yes (X) | Yes (X) | $43,050 | $0 | $0 | ||
| JOHNNY CUSTARDO | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $19,550 | $0 | $0 | |||
| WILLIAM EDWARDS | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $19,550 | $0 | $0 | |||
| MARK S MANCIN | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $17,450 | $0 | $0 | |||
| DEBORAH PATTERSON | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $20,600 | $0 | $0 | |||
| MICK REDOHL | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $22,700 | $0 | $0 | |||
| JAMES W RHEA | |||||||||
| FIRST VICE CHAIRMAN/DIRECTOR | 2.0 | 0.0 | Yes (X) | Yes (X) | $21,200 | $0 | $0 | ||
| EDWARD C ROBISON | |||||||||
| 2ND VICE CHAIRMAN/DIRECTOR | 2.0 | 0.0 | Yes (X) | Yes (X) | $12,200 | $0 | $0 | ||
| TIMOTHY S TAYLOR | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $20,600 | $0 | $0 | |||
| GARY R WILLIAMS | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $22,700 | $0 | $0 | |||
| MARK R ZUST | |||||||||
| DIRECTOR | 2.0 | 0.0 | Yes (X) | $17,450 | $0 | $0 | |||
| BARBARA BENTRUP | |||||||||
| CFO & CORPORATE COUNSEL | 60.0 | 0.0 | Yes (X) | $564,674 | $0 | $186,253 | |||
| E B ROB GOREN | |||||||||
| PRESIDENT & CEO | 60.0 | 0.0 | Yes (X) | $720,090 | $0 | $157,792 | |||
| RONALD INGE | |||||||||
| CHIEF DENTAL OFFICER | 60.0 | 0.0 | Yes (X) | $428,004 | $0 | $185,565 | |||
| JONATHAN JENNINGS | |||||||||
| CHIEF ACTUARY/VP UNDERWRITING | 60.0 | 0.0 | Yes (X) | $276,000 | $0 | $92,507 | |||
| KARL MUDRA | |||||||||
| CIO | 60.0 | 0.0 | Yes (X) | $365,469 | $0 | $98,488 | |||
| EDWARD PATTAROZZI | |||||||||
| CHIEF SALES/MARKETING OFFICER | 60.0 | 0.0 | Yes (X) | $498,397 | $0 | $159,266 | |||
| VICKI KATZFEY | |||||||||
| NATIONAL ACCOUNT EXECUTIVE | 40.0 | 0.0 | $196,238 | $0 | $55,855 | Yes (X) | |||
| HENRY S LAFFITTE | |||||||||
| VP SALES & ACCOUNT MANAGEMENT | 40.0 | 0.0 | $392,049 | $0 | $53,728 | Yes (X) | |||
| ELLEN R SAMUELS | |||||||||
| MANAGER, CORPORATE COMPLIANCE | 40.0 | 0.0 | $208,985 | $0 | $60,321 | Yes (X) | |||
| JANE STANHAUS | |||||||||
| DIRECTOR OF HUMAN RESOURCES | 60.0 | 0.0 | $211,842 | $0 | $63,503 | Yes (X) | |||
| ROBERT WOZNIAK | |||||||||
| ACCOUNT EXECUTIVE | 40.0 | 0.0 | $209,327 | $0 | $53,156 | Yes (X) | |||
| DAVID W HAYNES | |||||||||
| FORMER PRESIDENT & CEO | 1.0 | 0.0 | $103,437 | $0 | $0 | Yes (X) | |||
| PAMELA MARTIN | |||||||||
| FORMER SENIOR VP & COO | 60.0 | 0.0 | $220,365 | $0 | -$55,015 | Yes (X) | |||
| WILLIAM PETERS | |||||||||
| FORMER COO | 60.0 | 0.0 | $270,601 | $0 | $36,751 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,997,028 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,148,170 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 47 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | 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 | $7,456,497 |
| M FERNANDEZ DDS D AUTRY DMD E BROWN | |||||
| 3555 SUNSET OFFICE DR STE 103 | SAINT LOUIS | MO | 63127 | DENTAL SERVICES | $3,081,930 |
| JAY F HAUSER DDS PC | |||||
| PO BOX 503094 | SAINT LOUIS | MO | 63150 | DENTAL SERVICES | $2,766,234 |
| MICHAEL K PARSONS DDS PC | |||||
| 17300 OUTER FORTY RD N STE 103 | CHESTERFIELD | MO | 63005 | DENTAL SERVICES | $1,678,679 |
| BROADRIDGE MAIL LLC | |||||
| 5516 COLLECTION CENTER DR | CHICAGO | IL | 60693 | MAIL SERVICES | $1,667,755 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 886 | 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 | $613,828,257 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $613,828,257 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $613,828,257 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,374,588 | TotalRevenueColumnAmt |
| Exclusion | $2,374,588 | 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 | $29,900 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $16,811 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $13,089 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $13,089 | TotalRevenueColumnAmt |
| Exclusion | $13,089 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $99,523 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $38,146 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $99,523 | SecuritiesAmt |
| Other | -$38,146 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $61,377 | TotalRevenueColumnAmt |
| Exclusion | $61,377 | 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 | $191,271 | $191,271 |
| INVESTMENT IN SUBSIDIARY | 900003 | $1,212,205 | $1,212,205 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,403,476 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $617,680,787 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $613,828,257 | RelatedOrExemptFuncIncomeAmt |
| Exclusion | $3,852,530 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,581,570 | TotalAmt |
| Program Services | $1,581,570 | 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 | $557,605,516 | TotalAmt |
| Program Services | $557,605,516 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,064,055 | TotalAmt |
| Management And General | $4,064,055 | 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 | $14,001,713 | TotalAmt |
| Program Services | $12,936,684 | ProgramServicesAmt |
| Management And General | $1,065,029 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,183,833 | TotalAmt |
| Program Services | $2,200,985 | ProgramServicesAmt |
| Management And General | $982,848 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,223,773 | TotalAmt |
| Program Services | $2,978,559 | ProgramServicesAmt |
| Management And General | $245,214 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,120,648 | TotalAmt |
| Program Services | $1,035,407 | ProgramServicesAmt |
| Management And General | $85,241 | 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 | $204,637 | TotalAmt |
| Program Services | $168,190 | ProgramServicesAmt |
| Management And General | $36,447 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $336,082 | TotalAmt |
| Program Services | $276,223 | ProgramServicesAmt |
| Management And General | $59,859 | 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 | $207,555 | TotalAmt |
| Management And General | $207,555 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,942,173 | TotalAmt |
| Program Services | $2,418,145 | ProgramServicesAmt |
| Management And General | $524,028 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,152,255 | TotalAmt |
| Program Services | $1,988,545 | ProgramServicesAmt |
| Management And General | $163,710 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,022,355 | TotalAmt |
| Program Services | $2,792,462 | ProgramServicesAmt |
| Management And General | $229,893 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,878,966 | TotalAmt |
| Program Services | $8,203,595 | ProgramServicesAmt |
| Management And General | $675,371 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $762,799 | TotalAmt |
| Program Services | $704,777 | ProgramServicesAmt |
| Management And General | $58,022 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $849,312 | TotalAmt |
| Program Services | $784,710 | ProgramServicesAmt |
| Management And General | $64,602 | 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 | $230,822 | TotalAmt |
| Program Services | $213,265 | ProgramServicesAmt |
| Management And General | $17,557 | 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 | $507,402 | TotalAmt |
| Program Services | $468,807 | ProgramServicesAmt |
| Management And General | $38,595 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $340,990 | TotalAmt |
| Management And General | $340,990 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| BOARD AND BUREAU DUES | $776,202 | $717,161 | $59,041 |
| SERVICE BUREAU FEES | $2,513,264 | $2,322,095 | $191,169 |
| PUBLIC RELATIONS | $591,253 | $546,280 | $44,973 |
| SERVICE AGREEMENTS | $565,108 | $522,123 | $42,985 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$398,122 | TotalAmt |
| Program Services | -$367,840 | ProgramServicesAmt |
| Management And General | -$30,282 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $609,264,161 | TotalAmt |
| Program Services | $600,097,259 | ProgramServicesAmt |
| Management And General | $9,166,902 | 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 | $22,240,520 | BOYAmt |
| EOY | $24,161,674 | 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 | $33,618,520 | BOYAmt |
| EOY | $38,687,202 | 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 | $399,074 | BOYAmt |
| EOY | $571,925 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $11,534,602 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $4,973,100 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,207,372 | BOYAmt |
| EOY | $6,561,502 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,383,598 | BOYAmt |
| EOY | $78,329,174 | 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 | $25,544,265 | BOYAmt |
| EOY | $26,756,470 | 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 | $2,548,473 | BOYAmt |
| EOY | $2,532,141 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,941,822 | BOYAmt |
| EOY | $177,600,088 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $13,188,370 | BOYAmt |
| EOY | $13,206,886 | 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 | $35,653,436 | BOYAmt |
| EOY | $38,032,078 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $48,841,806 | BOYAmt |
| EOY | $51,238,964 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow SFAS117 | Yes (X) | OrgDoesNotFollowSFAS117Ind |
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 | $114,100,016 | BOYAmt |
| EOY | $126,361,124 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $114,100,016 | BOYAmt |
| EOY | $126,361,124 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,941,822 | BOYAmt |
| EOY | $177,600,088 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expnss | $8,416,626 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $3,844,482 | 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 | $7,818,911 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,233,106 | DepreciationAmt |
| Book Value | $4,585,805 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,036,079 | OtherCostOrOtherBasisAmt |
| Depreciation | $770,182 | DepreciationAmt |
| Book Value | $265,897 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $227,070 | OtherCostOrOtherBasisAmt |
| Depreciation | $128,427 | DepreciationAmt |
| Book Value | $98,643 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,102,542 | OtherCostOrOtherBasisAmt |
| Depreciation | $841,385 | DepreciationAmt |
| Book Value | $261,157 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $6,561,502 | TotalBookValueLandBuildingsAmt |
Invst Program Related Org InvstProgramRelatedOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INVEST. IN ADVANTICA ADMIN. | Desc |
| Book Value | $26,756,470 | BookValueAmt |
| Method Valuation | C | MethodValuationCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Program Rltd | $26,756,470 | TotalBookValueProgramRltdAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)
| DescDesc | AmtAmt |
|---|---|
| INCURRED BUT UNREPORTED CLAIMS | $30,492,524 |
| ESTIMATE UNPAID CLAIM PROCESS | $1,010,555 |
| UNEARNED PREMIUMS | $5,659,307 |
| EXPERIENCE RATED CREDIT LIAB | $186,107 |
| ADVANCE DEPOSITS | $683,585 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $38,032,078 | 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 BASIS 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 MANAGEMENTS 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 $1,246,804 AND $1,340,008 DURING 2017 AND 2016, RESPECTIVELY. AT DECEMBER 31, 2017 AND 2016, ADVANTICA ADMINISTRATIVE HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $27,421,000 AND $27,691,000, RESPECTIVELY. ADVANTICA ADMINISTRATIVE AND ITS SUBSIDIARIES HAD DEFERRED TAX ASSETS OF APPROXIMATELY $4,883,000 AND $8,362,000 AT DECEMBER 31, 2017 AND 2016, 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, 2017 AND 2016. 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, 2014 THROUGH 2017. ON DECEMBER 22, 2017, THE UNITED STATES ENACTED TAX REFORM LEGISLATION THROUGH THE TAX CUTS AND JOBS ACT, WHICH SIGNIFICANTLY CHANGES THE EXISTING U.S. TAX LAWS, INCLUDING A REDUCTION IN THE CORPORATE TAX RATE FROM 35% TO 21%, AS WELL AS OTHER CHANGES. AS A RESULT OF ENACTMENT OF THE LEGISLATION, THE ORGANIZATION DID NOT INCUR ANY TAX EXPENSE IN 2017. THE TAX CUTS AND JOBS ACT OF 2017 PROVIDES FOR A CHANGE IN THE METHODOLOGY EMPLOYED TO CALCULATE RESERVES FOR TAX PURPOSES. BEGINNING JANUARY 1, 2018, A HIGHER INTEREST RATE ASSUMPTION AND LONGER PAYOUT PATTERNS WILL BE USED TO DISCOUNT THESE RESERVES. IN ADDITION, COMPANIES WILL NO LONGER BE ABLE TO ELECT TO USE THEIR OWN EXPERIENCE TO DISCOUNT RESERVES, BUT WILL INSTEAD BE REQUIRED TO USE THE INDUSTRY-BASED TABLES PUBLISHED BY THE IRS ANNUALLY; HOWEVER, THE 2018 TABLES HAVE YET TO BE RELEASED. CONSEQUENTLY, THE ORGANIZATION CANNOT REASONABLY ESTIMATE THE IMPACT THIS WOULD HAVE ON DEFERRED TAXES AT DECEMBER 31, 2017. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (22 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt | Address Line2USAddress/AddressLine2Txt | Non Cash AssistanceNonCashAssistanceAmt | Valuation Method UsedValuationMethodUsedDesc | Non Cash AssistanceNonCashAssistanceDesc |
|---|---|---|---|---|---|---|---|---|---|---|---|
| MISSOURI DEPT OF HEALTH & SENIOR SERVICE | |||||||||||
| PO BOX 570 | JEFFERSON CITY | MO | 65102 | 446000987 | STATE OF MO | $258,465 | GENERAL SUPPORT | ||||
| DENTAL LIFELINE NETWORK | |||||||||||
| 1800 15th St | Denver | CO | 80202 | 846129064 | 501(C)(3) | $47,000 | GENERAL SUPPORT | STE 100 | |||
| GIVE KIDS A SMILE | |||||||||||
| 10 WORTHINGTON DR | MD HEIGHTS | MO | 63043 | 201287939 | 501(C)(3) | $73,000 | GENERAL SUPPORT | $72,030 | BOOK | SUPPLIES / SERVICES | |
| GATEWAY TO ORAL HEALTH FOUNDATION | |||||||||||
| 2211 Olive St | St Louis | MO | 63103 | 113664960 | 501(C)(3) | $132,617 | GENERAL SUPPORT | SUITE 300 | |||
| MYRTLE HILLIARD DAVIS COMP HEALTH CENTER | |||||||||||
| 5471 DR MLK DR | St Louis | MO | 63112 | 430917230 | 501(C)(3) | $54,820 | GENERAL SUPPORT | ||||
| TRUMAN MEDICAL CNTR CHARITABLE FOUNDATION | |||||||||||
| 2310 HOLMES | KANSAS CITY | MO | 64108 | 431194064 | 501(C)(3) | $70,000 | GENERAL SUPPORT | ||||
| RONALD MCDONALD HOUSE CHARITIES | |||||||||||
| 949 E PRIMROSE ST | SPRINGFIELD | MO | 65807 | 431371143 | 501(C)(3) | $15,000 | GENERAL SUPPORT | ||||
| PALMETTO HEALTH FOUNDATION | |||||||||||
| 1600 MARION ST | Columbia | SC | 29202 | 570725699 | 501(C)(3) | $15,600 | GENERAL SUPPORT | PO BOX 247 | |||
| YWCA METRO St Louis | |||||||||||
| 3820 WEST PINE BLVD | St Louis | MO | 63108 | 430653618 | 501(C)(3) | $7,200 | GENERAL SUPPORT | ||||
| MEDICAL UNIVERSITY OF SC FOUNDATION | |||||||||||
| 18 Bee St | CHARLESTON | SC | 29425 | 576028985 | 501(C)(3) | $100,000 | GENERAL SUPPORT | ||||
| AMERICAN LUNG ASSOCATION | |||||||||||
| 55 W WACKER DR | CHICAGO | IL | 60601 | 131632524 | 501(C)(3) | $10,040 | GENERAL SUPPORT | ||||
| ST LOUIS CHILDREN'S HOSPITAL FDN | |||||||||||
| 1001 Highlands PLz Dr W | St Louis | MO | 63110 | 431626863 | 501(C)(3) | $100,000 | GENERAL SUPPORT | 160 | |||
| MISSOURI DENTAL ASSOCIATION FOUNDATION | |||||||||||
| 3340 AMERICAN AVE | JEFFERSON CITY | MO | 65109 | 431133855 | 501(C)(3) | $100,000 | GENERAL SUPPORT | ||||
| COMMUNITY TREATMENT INC | |||||||||||
| 227 Main St | Festus | MO | 63028 | 362800788 | 501(C)(3) | $99,724 | GENERAL SUPPORT | ||||
| St Louis UNIVERSITY | |||||||||||
| 221 NORTH GRAND BLVD | St Louis | MO | 63103 | 430654872 | 501(C)(3) | $90,596 | GENERAL SUPPORT | ||||
| HEALTHY SMILES OF SPARTANBURG INC | |||||||||||
| PO BOX 1441 | SPARTANBURG | SC | 29304 | 030529473 | 501(C)(3) | $32,500 | GENERAL SUPPORT | ||||
| ADA FOUNDATION | |||||||||||
| 211 EAST CHICAGO AVE | CHICAGO | IL | 60611 | 366132046 | 501(C)(3) | $25,000 | GENERAL SUPPORT | ||||
| ROPER ST FRANCIS FOUNDATION | |||||||||||
| 125 DOUGHTY ST | CHARLESTON | SC | 29403 | 571068509 | 501(C)(3) | $20,000 | GENERAL SUPPORT | SUITE 790 | |||
| St Louis COUNTY LIBRARY FOUNDATION | |||||||||||
| 1640 S LINDBERGH BLVD | St Louis | MO | 63131 | 431863977 | 501(C)(3) | $12,750 | GENERAL SUPPORT | ||||
| MILES OF SMILES INC | |||||||||||
| 5416 NE ANTIOCH RD | KANSAS CITY | MO | 64119 | 203664224 | 501(C)(3) | $10,000 | GENERAL SUPPORT | ||||
| CYSTIC FIBROSIS FOUNDATION | |||||||||||
| 4550 MONTGOMERY AVE | BETHESDA | MD | 20814 | 131930701 | 501(C)(3) | $8,000 | GENERAL SUPPORT | STE 1100N | |||
| UNITED WAY OF MIDLANDS | |||||||||||
| 1818 BLANDING ST | COLUMBIA | SC | 29201 | 570314396 | 501(C)(3) | $6,800 | GENERAL SUPPORT | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 22 | Total501c3OrgCnt |
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) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | 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 (14 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| BARBARA BENTRUP | ||||||||||||
| CFO & CORPORATE COUNSEL | $412,651 | $0 | $124,086 | $0 | $27,937 | $0 | $165,317 | $0 | $20,936 | $0 | $750,927 | $0 |
| E B ROB GOREN | ||||||||||||
| PRESIDENT & CEO | $499,193 | $174,555 | $46,342 | $127,756 | $30,036 | $877,882 | ||||||
| DAVID W HAYNES | ||||||||||||
| FORMER PRESIDENT & CEO | $103,437 | $103,437 | ||||||||||
| RONALD INGE | ||||||||||||
| CHIEF DENTAL OFFICER | $322,688 | $0 | $78,871 | $0 | $26,445 | $0 | $165,194 | $0 | $20,371 | $0 | $613,569 | $0 |
| JONATHAN JENNINGS | ||||||||||||
| CHIEF ACTUARY/VP UNDERWRITING | $204,154 | $0 | $63,199 | $0 | $8,647 | $0 | $65,781 | $0 | $26,726 | $0 | $368,507 | $0 |
| VICKI KATZFEY | ||||||||||||
| NATIONAL ACCOUNT EXECUTIVE | $90,297 | $96,840 | $0 | $9,101 | $0 | $28,601 | $0 | $27,254 | $0 | $252,093 | $0 | |
| HENRY S LAFFITTE | ||||||||||||
| VP SALES & ACCOUNT MANAGEMENT | $222,781 | $164,268 | $5,000 | $40,500 | $13,228 | $445,777 | ||||||
| PAMELA MARTIN | ||||||||||||
| FORMER SENIOR VP & COO | $68,169 | $0 | $78,299 | $0 | $73,897 | $0 | -$58,396 | $0 | $3,381 | $0 | $165,350 | $0 |
| KARL MUDRA | ||||||||||||
| CIO | $248,394 | $0 | $89,074 | $0 | $28,001 | $0 | $71,089 | $0 | $27,399 | $0 | $463,957 | $0 |
| EDWARD PATTAROZZI | ||||||||||||
| CHIEF SALES/MARKETING OFFICER | $339,580 | $0 | $117,760 | $0 | $41,057 | $0 | $137,170 | $0 | $22,096 | $0 | $657,663 | $0 |
| WILLIAM PETERS | ||||||||||||
| FORMER COO | $228,224 | $0 | $36,483 | $0 | $5,894 | $0 | $23,099 | $0 | $13,652 | $0 | $307,352 | $0 |
| ELLEN R SAMUELS | ||||||||||||
| MANAGER, CORPORATE COMPLIANCE | $159,705 | $48,217 | $1,063 | $31,577 | $28,744 | $269,306 | ||||||
| JANE STANHAUS | ||||||||||||
| DIRECTOR OF HUMAN RESOURCES | $160,236 | $0 | $44,256 | $0 | $7,350 | $0 | $32,674 | $0 | $30,829 | $0 | $275,345 | $0 |
| ROBERT WOZNIAK | ||||||||||||
| ACCOUNT EXECUTIVE | $80,938 | $118,998 | $9,391 | $30,837 | $22,319 | $262,483 | ||||||
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE J, PART I, LINE 1A | INFORMATION REGARDING BENEFITS PROVIDED HEALTH CLUB DUES WERE PAID FOR E B ROB GOREN AND WERE TREATED AS TAXABLE COMPENSATION. |
| SCHEDULE J, PART I, LINE 4A | SEVERANCE PAYMENT DURING THE TAX YEAR ENDED DECEMBER 31, 2017, WILLIAM PETERS RECEIVED $73,750 IN SEVERANCE PAYMENTS. |
| SCHEDULE J, PART I, LINE 4B | 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 2017 FOR THE FOLLOWING INDIVIDUALS WERE: - BARBARA BENTRUP $ 22,567 - E. B. ROB GOREN $ 31,886 - KARL MUDRA $ 8,078 - PAMELA MARTIN $ 68,001 - EDWARD PATTAROZZI $ 20,921 - DAVID HAYNES $103,437 THE ORGANIZATION HAS AN UNFUNDED NONQUALIFIED, DEFINED BENEFIT DEFERRED COMPENSATION PLAN (DBDCP) FOR ITS SENIOR LEVEL EXECUTIVES, WITH VESTING OVER 10 TO 15 YEARS OF SERVICE TO THE ORGANIZATION. THE ACTUARIALLY DETERMINED LIABILITY IS BASED UPON ASSUMPTIONS FOR REMAINING YEARS OF SERVICE UNTIL RETIREMENT, PROJECTED SALARIES FOR THE FINAL THREE YEARS OF SERVICE, AND A PREDETERMINED BENEFIT PERCENTAGE BASED UPON THE PARTICIPANT'S POSITION. INDIVIDUALS WHO PARTICIPATED IN THIS PLAN DURING 2017 WERE THE FOLLOWING: BARBARA BENTRUP, E. B. ROB GOREN, PAMELA MARTIN, 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 IN 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 $ 124,817 - E. B. ROB GOREN $ 87,256 - PAMELA MARTIN $ (78,015) - KARL MUDRA $ 30,589 - EDWARD PATTAROZZI $ 96,670 - JOHNATHAN JENNINGS $ 25,281 - RONALD INGE $ 124,694 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| JOSHUA WHITFORD DDS PC | |||
| BOARD MEMBER AS OWNER | $152,344 | DENTAL SERVICES PROVIDED | false |
| MARK R ZUST DDS LTD | |||
| BOARD MEMBER AS OWNER | $213,589 | DENTAL SERVICES PROVIDED | false |
| JAMES W RHEA DDS PC | |||
| BOARD MEMBER AS OWNER | $208,376 | DENTAL SERVICES PROVIDED | false |
| FINNANE-ROBISON DENTAL LLC | |||
| BOARD MEMBER AS OWNER | $211,634 | DENTAL SERVICES PROVIDED | false |
| CURRRY TAYLOR DDS LTD | |||
| BOARD MEMBER AS OWNER | $249,097 | 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 FORMER BOARD MEMBER JOSHUA WHITFORD HAS A REPORTABLE INTEREST IN JOSHUA WHITFORD DDS PC WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. 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. BOARD MEMBER EDWARD ROBISON AND ELIZABETH FINNANE, DAUGHTER OF 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 TIMOTHY TAYLOR HAS A REPORTABLE INTEREST IN CURRY TAYLOR DDS LLC WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART III, LINE 4B | DESCRIPTION OF OTHER PROGRAM SERVICES DENTAL HEALTH THEATRE HEALTHWORKS! KIDS MUSEUM ST. LOUIS CO-SPONSORS/COALITIONS INVOLVED: ST. LOUIS OFFICE FOR DEVELOPMENTAL DISABILITY RESOURCES AND VARIOUS CHARITABLE DONORS (E.G., JEFFERSON FOUNDATION, THE SMILE GENERATION, LITTLE MEDICAL SCHOOL, TRIO FOUNDATION, MID-AMERICA TRANSPLANT AND OTHERS). PROGRAM DESCRIPTION: IN SPRING 2016, AFTER MORE THAN 38 YEARS OF PROVIDING ORAL HEALTH AND OVERALL HEALTH EDUCATION TO HUNDREDS OF THOUSANDS OF CHILDREN IN THE ST. LOUIS METRO, THE DENTAL HEALTH THEATRE RELOCATED AND EXPANDED TO BECOME PART OF THE HEALTHWORKS! KIDS MUSEUM ST. LOUIS. THE MUSEUMS MISSION IS TO EDUCATE AND INSPIRE CHILDREN AND THE COMMUNITY TO MAKE POSITIVE ORAL HEALTH AND OVERALL HEALTH CHOICES TO ACHIEVE OPTIMUM HEALTH. IT IS THE ONLY FREESTANDING CHILDRENS MUSEUM IN ST. LOUIS DEDICATED SOLELY TO HEALTH EDUCATION, WHICH IS COMBINED WITH PLAY TO HELP KIDS LEARN HEALTHY HABITS FOR HEALTHIER LIVES. AT ITS LEASED FACILITY OWNED BY THE ST. LOUIS SCIENCE CENTER FOUNDATION, THE MUSEUM HOSTS ONSITE HEALTH EDUCATION PROGRAMS AND HANDS-ON EXHIBITS ACCESSIBLE TO INDIVIDUALS OF ALL AGES. WITHIN THE MUSEUM, THE DELTA DENTAL HEALTH THEATRE SERVES AS AN INTERACTIVE LEARNING CENTER WITH HIGH-ENERGY, EDUCATOR-LED PROGRAMMING THAT ENCOURAGES POSITIVE HEALTH PRACTICES AND INCREASES INDIVIDUAL KNOWLEDGE ABOUT THE MOUTH-BODY CONNECTION TO OVERALL HEALTH AND THE IMPACT OF PERSONAL CHOICES ON HEALTH. THE MUSEUM ALSO CONDUCTS COMMUNITY OUTREACH PROGRAMS AND SERVES AS A HEALTH RESOURCE FOR TEACHERS, CAREGIVERS AND FAMILIES. APPROXIMATELY 37,000 CHILDREN, TEACHERS AND PARENTS VISITED THE MUSEUM AFTER ITS OPENING IN SPRING 2016. IT HAS THE CAPACITY TO SERVE 90,000 VISITORS ANNUALLY. LONGEVITY: DELTA DENTAL HEALTH THEATRE OPERATED FROM 1977 TO SPRING 2016, WHEN IT BECAME PART OF HEALTHWORKS! KIDS MUSEUM ST. LOUIS. DELTA DENTAL OF MISSOURI SPONSORED DELTA DENTAL HEALTH THEATRE FROM 2002 THROUGH 2015, AND HAS SPONSORED HEALTHWORKS! KIDS MUSEUM ST. LOUIS SINCE 2016. BECAUSE OF THE SUPPORT OF DELTA DENTAL OF MISSOURI, MORE THAN 135,000 CHILDREN AND CAREGIVERS HAVE RECEIVED HEALTH EDUCATION IN THE ST. LOUIS COMMUNITY. |
| FORM 990, PART III, LINE 4C | DESCRIPTION OF OTHER PROGRAM SERVICES LAND OF SMILES TOURING THEATRICAL EDUCATION PROGRAM DESCRIPTION: LAND OF SMILES IS A TOURING, THEATRICAL PROGRAM THAT FEATURES TOOTH WIZARD, LITTLE SISTER TOOTH FAIRY AND THEIR ARCH ENEMY PLAQUEMAN. THE SHOW TRAVELED TO 458 SCHOOLS (K-3RD GRADE CLASSROOMS) THROUGHOUT THE STATES OF MISSOURI AND SOUTH CAROLINA IN 2017, TEACHING CHILDREN THE IMPORTANCE OF ORAL HEALTH. AN ASSEMBLY-STYLE LIVE PERFORMANCE WITH AUDIENCE PARTICIPATION, THE PROGRAM CAPTURES EACH STUDENT'S ATTENTION THROUGH FUN, KID-FOCUSED ENTERTAINMENT. THE CHARACTERS EXPLAIN PROPER BRUSHING TECHNIQUES, HOW TO FLOSS, GOOD AND BAD FOODS FOR THE TEETH AND WHY IT IS IMPORTANT TO VISIT THE DENTIST TWICE A YEAR. EACH CHILD IS GIVEN A TAKE-HOME "SMILE BAG" FILLED WITH A TOOTHBRUSH, TOOTHPASTE, FLOSS, A COLORING SHEET, AND A REMINDER MIRROR DECAL. STUDENTS WHO COMPLETE THE PROGRAM ALSO EARN HEALTHY SMILE "CERTOOTHICATES." TO REINFORCE THE MESSAGES OF THE PROGRAM AFTER THE PERFORMANCE, DDMO DISTRIBUTES A CURRICULUM KIT THAT INCLUDES AN EDUCATIONAL DVD AND CORRESPONDING CURRICULUM BOOKLET. THE PROGRAM WEBSITE, WWW.LANDOFSMILESVIDEO.COM, PROVIDES ANOTHER SOURCE TO VIEW THE EDUCATIONAL VIDEO ONLINE. THIS PROGRAM REACHES OVER 90,000 CHILDREN EACH YEAR. TEACHERS AND SCHOOL NURSES CONSISTENTLY RATE THE PROGRAM AS EXCELLENT, AND TYPICALLY FOLLOW UP EACH SHOW WITH A REQUEST TO BE ADDED TO THE LIST IN THE TWO-YEAR CYCLE. IN ADDITION TO THE SCHOOL TOUR, THE LAND OF SMILES PROGRAM IS PERFORMED AT MORE THAN 20 AREA HEALTH FAIRS, WITH NEARLY 50,000 KIDS AND FAMILIES ATTENDING THROUGH THE YEAR. LONGEVITY: THIS PROGRAM HAS BEEN IN PLACE SINCE 2002. |
| FORM 990, PART III, LINE 4D | DESCRIPTION OF OTHER PROGRAM SERVICES GIVE KIDS A SMILE ("GKAS") IN ST. LOUIS CO-SPONSORS/COALITIONS INVOLVED: GREATER ST. LOUIS DENTAL SOCIETY (GSLDS)AND GREATER KANSAS CITY DENTAL SOCIETY. PROGRAM DESCRIPTION: ONE OF OUR MOST SUCCESSFUL OUTREACH INITIATIVES, GKAS WAS LAUNCHED IN ST. LOUIS, MISSOURI, IN FEBRUARY OF 2002 IN PARTNERSHIP WITH GSLDS. IN 2017, GKAS IN ST. LOUIS PROVIDED 4,000 CHILDREN WITH MORE THAN $1 MILLION WORTH OF FREE DENTAL CARE AND ORAL HEALTH EDUCATION AT ITS TWO CLINICS AND OTHER COMMUNITY PROGRAMS. AT THE TWO-DAY CLINICS, SEVERAL HUNDRED LOCAL DENTISTS, HYGIENISTS AND ASSISTANTS, SUPPORTED BY LAY VOLUNTEERS AND SPONSORS, SUCH AS DELTA DENTAL, PROVIDE CHILDREN WITH FREE, COMPREHENSIVE DENTAL CARE, INCLUDING EXAMS, SEALANTS, X-RAYS, PROFESSIONAL CLEANINGS, FLUORIDE TREATMENTS, RESTORATIONS AND MORE. ON-SITE ENTERTAINMENT SUCH AS FACE PAINTING, STORYTELLING, BALLOONISTS, DELTA DENTAL'S TOOTH WIZARD AND TOOTH FAIRY CHARACTERS, EDUCATIONAL VIDEOS, DENTAL CARE KITS, FREE TOYS AND BOOKS AND SACK LUNCHES ENSURE THAT THE CHILDREN'S VISIT TO THE DENTIST IS ASSOCIATED WITH A FUN AND EDUCATIONAL EXPERIENCE. IN 2003, GKAS WAS ADOPTED BY THE AMERICAN DENTAL ASSOCIATION AS A NATIONAL CAMPAIGN. IN 2006, GKAS WAS RECOGNIZED BY CONGRESS AS AN EXEMPLARY GRASSROOTS EFFORT. THE GKAS PROGRAM WAS EXPANDED TO THE GREATER KANSAS CITY AREA IN 2013. LONGEVITY: THIS PROGRAM HAS BEEN IN PLACE SINCE 2002. |
| 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 SIGNED A 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 SIGNED A 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 FROM 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 COMMITTEE AND BOARD OF DIRECTORS. REVIEWS ARE CONDUCTED AND APPROVED BY THE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THE ANNUAL COMPENSATION FOR 2017 WAS REVIEWED BY A THIRD PARTY COMPENSATION CONSULTANT IN FEBRUARY 2018. PROPOSED EXECUTIVE MERIT INCREASES BY THE CONSULTANT WERE REVIEWED BY THE COMPENSATION COMMITTEE IN MARCH, 2018. COMMITTEE APPROVED MERIT INCREASES WENT INTO EFFECT APRIL, 2018. |
| FORM 990, PART VI, LINE 19 | DISCLOSURE 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 (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTICA ADMINISTRATIVE SERVICES INC | ||||||||||||
| 12399 GRAVOIS ROAD | ST LOUIS | MO | 63127 | 431826684 | THIRD PARTY ADMIN | MO | NA | C-CORP | $63,926,064 | $32,984,645 | 1.00000 | Yes (true) |
| ADVANTICA HOLDING COMPANY | ||||||||||||
| 12399 GRAVOIS ROAD | ST LOUIS | MO | 63127 | 261323283 | HOLDING COMPANY | MO | NA | C-CORP | $0 | $0 | 0.00000 | Yes (true) |
| 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 | Yes (true) | 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 | ||
| L | $821,842 | ALLOCATIONS |
| ADVANTICA ADMINISTRATIVE SERVICES INC | ||
| M | $8,690,604 | EXPENSE BASED |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE R, PART IV | FormAndLineReferenceDesc |
| Explanation | RELATED ORGANIZATIONS TAXABLE AS CORPORATIONS PRIOR TO THE MERGER DESCRIBED BELOW, DELTA DENTAL OF MISSOURI HAD A WHOLLY-OWNED SUBSIDIARY, ADVANTICA HOLDING COMPANY. EFFECTIVE OCTOBER 1, 2017, ADVANTICA ADMINISTRATIVE MERGED WITH ADVANTICA HOLDING COMPANY WITH ADVANTICA ADMINISTRATIVE REMAINING AS THE SURVIVING ENTITY. | ExplanationTxt |
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