2017-11-14T15:49:04-06:00 2016-12-31 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2016-01-01 430908349 DELTA DENTAL OF MISSOURI % BARBARA C BENTRUP DELT 3146563000 12399 GRAVOIS ROAD ST LOUIS MO 631271702 BARBARA C BENTRUP CFO & CORP. COUNSEL 3146563000 2017-10-30 true Aaron Hershberger P00961884 5136218300 2017-10-30 167.68.126.162 31025420173185000024 2017-11-14 P F85720E79B4496D59D84219F9206D7A4D25B73B6 B985028A542B2775CCE13DD3ACBBCA85F654F7D0 2016 2017-02-10 21:41:12Z EB ROB GOREN 12399 GRAVIOS ROAD ST LOUIS MO 631271702 579026298 false X WWW.DELTADENTALMO.COM X 1958 MO 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. 15 11 241 0 0 0 0 536864679 575301572 2571063 2118861 1314753 1519903 540750495 578940336 1196413 570850 485977171 518709004 20963881 23737180 0 0 0 23951695 24930660 532089160 567947694 8661335 10992642 148371610 162941822 46963331 48841806 101408279 114100016 X 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. false false 558085533 607550 575301572 DELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2016, DELTA DENTAL PROCESSED 3,072,213 CLAIMS FOR DENTAL SERVICES. 380802 DENTAL HEALTH THEATER - SEE SCHEDULE O 484338 LAND OF SMILES - SEE SCHEDULE O 243417 559194090 false false false false false false false false false true false true false true true false true false false false false false false false false false true false true false false false false false false false true false false false false false true true true false true 56015 0 true 241 true false true TK false false false false false false false false X 15 11 false false true false true true true true true false true true true true true true true true true true false X BARBARA C BENTRUP 3146563000 12399 GRAVOIS ROAD ST LOUIS MO 631271702 William J Bender DIRECTOR / TREASURER 2.0 0.0 X X 26650 0 0 Brian Berglund DIRECTOR 2.0 0.0 X 27700 0 0 Richard W Braun DIRECTOR 2.0 0.0 X 26900 0 0 Rosemary A Bishop DIRECTOR / SECRETARY 2.0 0.0 X X 31100 0 0 Robert E Butler DIRECTOR / BOARD CHAIRMAN 2.0 0.0 X X 51000 0 0 Johnny Custardo DIRECTOR 2.0 0.0 X 20600 0 0 Mark S Mancin DIRECTOR 2.0 0.0 X 18900 0 0 Deborah J Patterson DIRECTOR - EFFECTIVE 11/4/16 2.0 0.0 X 0 0 0 HR Redohl DIRECTOR 2.0 0.0 X 31100 0 0 James W Rhea DIRECTOR / 1ST VICE CHAIRMAN 2.0 0.0 X X 27950 0 0 Edward C Robison DIRECTOR / 2ND VICE CHAIRMAN 2.0 0.0 X X 17450 0 0 Timothy S Taylor DIRECTOR 2.0 0.0 X 24800 0 0 Gary R Williams DIRECTOR - EFFECTIVE 11/4/16 2.0 0.0 X 3150 0 0 Joshua Whitford DIRECTOR - TERM ENDED 11/4/16 2.0 0.0 X 23500 0 0 Mark R Zust DIRECTOR - EFFECTIVE 11/4/16 2.0 0.0 X 0 0 0 William M Edwards DIRECTOR - EFFECTIVE 11/4/16 2.0 0.0 X 3150 0 0 E B ROB GOREN PRESIDENT & CEO 55.0 0.0 X 552685 0 127112 BARBARA C BENTRUP CFO & CORPORATE COUNSEL 55.0 0.0 X 489073 0 174040 RONALD E INGE CHIEF DENTAL OFFICER 55.0 0.0 X 236164 0 19603 JONATHAN R JENNINGS CHIEF ACTUARY/VP UNDERWRITING 55.0 0.0 X 203837 0 28689 PAMELA A MARTIN VP & COO 55.0 0.0 X 314186 0 101746 KARL A MUDRA CHIEF INFORMATION OFFICER 55.0 0.0 X 347221 0 93956 EDWARD A PATTAROZZI CHIEF SALES/MARKETING OFFICER 55.0 0.0 X 475950 0 148908 JANICE M LEES VP BOARD RELATIONS 50.0 0.0 X 196123 0 72981 HENRY S LAFFITTE VP, SALES & ACCOUNT MANAGEMENT 50.0 0.0 X 396087 0 54506 VICKI L KATZFEY NATIONAL ACCOUNT EXECUTIVE 50.0 0.0 X 209939 0 57073 ROBERT WOZNIAK ACCOUNT EXECUTIVE 50.0 0.0 X 207144 0 52277 ELLEN R SAMUELS MANAGER, CORPORATE COMPLIANCE 50.0 0.0 X 213425 0 58655 DAVID W HAYNES PRESIDENT & CEO (FORMER) 0.0 0.0 X 339846 0 39750 4515630 0 1029296 44 true true false MISSOURI DENTAL PROFESSIONALS 1100 SPUR DR STE 30 MARSHFIELD MO 65706 DENTAL SERVICES 7261094 E BROWN DDS C HOLLANDER DDS M FER 3555 SUNSET OFFICE DR STE 210 SAINT LOUIS MO 63127 DENTAL SERVICES 2629398 JAY F HAUSER DDS PC PO BOX 503094 SAINT LOUIS MO 63150 DENTAL SERVICES 2464132 MICHAEL K PARSONS DDS PC 17300 OUTER FORTY RD N STE 103 CHESTERFIELD MO 63005 DENTAL SERVICES 1462316 MCKINSEY COMPANY PO BOX 7247-7255 PHILADELPHIA PA 19170 CONSULTING SERVICES 1329666 809 0 DENTAL PREMIUMS 524114 575301572 575301572 575301572 2020903 2020903 0 0 164639 85962 78677 0 78677 78677 97958 97958 97958 97958 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900099 155976 155976 INVESTMENT IN SUBSIDIARY 900003 1285250 1285250 1441226 578940336 575301572 3638764 570850 570850 0 0 518709004 518709004 3848276 3155586 692690 0 13424098 11007758 2416340 2665948 2186077 479871 2732222 2240422 491800 1066636 874642 191994 0 249458 204556 44902 344084 282149 61935 0 0 203017 166474 36543 3188722 2614752 573970 1738431 1425513 312918 3490968 2862594 628374 0 0 629919 516534 113385 746334 611994 134340 0 179368 147082 32286 0 0 365962 300089 65873 338120 277258 60862 BOARD AND BUREAU DUES 567911 465687 102224 SERVICE BUREAU FEES 11074356 9080972 1993384 PUBLIC RELATIONS 580583 476078 104505 SERVICE AGREEMENTS 519704 426157 93547 713723 591862 121861 567947694 559194090 8753604 0 0 0 14123784 22240520 0 0 32640505 33618520 0 0 0 0 0 0 0 0 251105 399074 14748096 8540724 5777095 6207372 68885123 72383598 0 0 24259016 25544265 0 0 2434982 2548473 148371610 162941822 13113155 13188370 0 0 0 0 0 0 0 0 0 0 0 0 0 0 33850176 35653436 46963331 48841806 X 0 0 0 0 101408279 114100016 101408279 114100016 148371610 162941822 10992642 1699095 X false true X true false 1350000 1350000 7035736 2902998 4132738 1755945 1433465 322480 1661594 1575675 85919 2944821 2628586 316235 6207372 INVEST. IN ADVANTICA HLDG CO 25544265 C 25544265 0 INCURRED BUT UNREPORTED CLAIMS 29493873 ESTIMATE UNPAID CLAIM PROCESS 984130 UNEARNED PREMIUMS 4731306 EXPERIENCE RATED CREDIT LIAB 121050 ADVANCE DEPOSITS 323077 35653436 X SCHEDULE D, PART X, TEXT OF FIN 48 FOOTNOTE 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 HOLDING COMPANY 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 LIABILITES 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 EXAMINIATION. 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 HOLDING COMPANY AND ITS SUBSIDIARIES HAD OPERATING GAINS TOTALING $1,340,008 AND $1,014,292 AS OF DECEMBER 31, 2016 AND 2015, RESPECTIVELY. AT DECEMBER 31, 2016 AND 2015, ADVANTICA HOLDING COMPANY HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $27,691,000 AND $27,044,000, RESPECTIVELY, WHICH EXPIRE IN YEARS THROUGH 2035. ADVANTICA HOLDING AND ITS SUBSIDIARIES HAD DEFERRED TAX ASSETS OF APPROXIMATELY $8,362,000 AND $8,837,000 AT DECEMBER 31, 2016 AND 2015, 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, 2016 AND 2015. THE ORGANIZATION AND ITS SUBSIDIARIES ARE CURRENTLY OPEN TO EXAMINIATION UNDER THE STATUE OF LIMITATIONS BY THE INTERNAL REVENUE SERVICE AND STATES IN WHICH IT FILES FOR THE YEARS ENDED DECEMBER 31, 2013 THROUGH 2016. true MISSOURI DEPT OF HEALTH & SENIOR SERVICE PO BOX 570 JEFFERSON CITY MO 65102 446000987 STATE OF MO 250000 GENERAL SUPPORT DENTAL LIFELINE NETWORK PO BOX 105919 JEFFERSON CITY MO 65110 900293508 501(C)(3) 62000 GENERAL SUPPORT GIVE KIDS A SMILE 10 WORTHINGTON DR MD HEIGHTS MO 63043 201287939 501(C)(3) 50000 37439 BOOK SUPPLIES / SERVICES GENERAL SUPPORT SOUTH CAROLINA DENTAL CARE FOUNDATION 120 STONEMARK LANE COLUMBIA SC 29210 562032690 501(C)(3) 50000 GENERAL SUPPORT MYRTLE HILLIARD DAVIS - COMP HEALTH CENTER 5471 DR MLK DR ST LOUIS MO 63112 430917230 501(C)(3) 36075 GENERAL SUPPORT TRUMAN MEDICAL CNTR CHARITABLE FOUNDATION 2310 HOLMES KANSAS CITY MO 64108 431194064 501(C)(3) 20000 GENERAL SUPPORT RONALD MCDONALD HOUSE CHARITIES 949 E PRIMROSE ST SPRINGFIELD MO 65807 431371143 501(C)(3) 15000 GENERAL SUPPORT PALMETTO HEALTH FOUNDATION 1600 MARION ST PO BOX SC 29202 570725699 501(C)(3) 15000 GENERAL SUPPORT YWCA METRO ST LOUIS 3820 WEST PINE BLVD ST LOUIS MO 63108 430653618 501(C)(3) 10750 GENERAL SUPPORT CAREFIRST CAROLINA FOUNDATION 201 S 5TH ST HARTSVILLE SC 29550 550839537 501(C)(3) 7000 GENERAL SUPPORT AMERICAN LUNG ASSOCATION 55 W WACKER DR CHICAGO IL 60601 131632524 501(C)(3) 6850 GENERAL SUPPORT AMERICAN PARKINSON DISEASE ASSOCIATION 135 PARKINSON AVE STATEN ISLAND NY 10305 131962771 501(C)(3) 5500 GENERAL SUPPORT 12 SCHEDULE I, PART I, LINE 2 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. X X true true X X X X false true false false false false false false false DAVID W HAYNES PRESIDENT & CEO (FORMER) 57300 0 221007 0 61539 0 39750 0 0 0 379596 0 E B ROB GOREN PRESIDENT & CEO 401124 0 125713 0 25848 0 98118 0 28994 0 679797 0 BARBARA C BENTRUP CFO & CORPORATE COUNSEL 338894 0 117695 0 32484 0 153731 0 20309 0 663113 0 RONALD E INGE CHIEF DENTAL OFFICER 206072 0 0 0 30092 0 6397 0 13206 0 255767 0 JONATHAN R JENNINGS CHIEF ACTUARY/VP UNDERWRITING 165231 0 0 0 38606 0 5038 0 23651 0 232526 0 PAMELA A MARTIN VP & COO 218647 0 76430 0 19109 0 82028 0 19718 0 415932 0 KARL A MUDRA CHIEF INFORMATION OFFICER 238375 0 86947 0 21899 0 67320 0 26636 0 441177 0 EDWARD A PATTAROZZI CHIEF SALES/MARKETING OFFICER 320777 0 114948 0 40225 0 127729 0 21179 0 624858 0 JANICE M LEES VP BOARD RELATIONS 68820 0 101193 0 26110 0 53203 0 19778 0 269104 0 HENRY S LAFFITTE VP, SALES & ACCOUNT MANAGEMENT 210563 0 181351 0 4173 0 39750 0 14756 0 450593 0 VICKI L KATZFEY NATIONAL ACCOUNT EXECUTIVE 87673 0 114588 0 7678 0 30854 0 26219 0 267012 0 ROBERT WOZNIAK ACCOUNT EXECUTIVE 79036 0 121139 0 6969 0 30589 0 21688 0 259421 0 ELLEN R SAMUELS MANAGER, CORPORATE COMPLIANCE 165133 0 47271 0 1021 0 30726 0 27929 0 272080 0 SCHEDULE J, PART I, LINE 1A INFORMATION REGARDING BENEFITS PROVIDED A HOUSING ALLOWANCE WAS PROVIDED TO THE FOLLOWING EMPLOYEES: JONATHAN JENNINGS AND RONALD INGE. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. HEALTH CLUB DUES WERE PAID FOR THE FOLLOWING EMPLOYEES: DAVID HAYNES AND EDWARD PATTAROZZI. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. 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 2016 FOR THE FOLLOWING INDIVIDUALS WERE: - BARBARA BENTRUP $ 19,067 - E. B. ROB GOREN $ 15,781 - KARL MUDRA $ 6,317 - PAMELA MARTIN $ 1,233 - EDWARD PATTAROZZI $ 12,720 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 PARTICIPANTS POSITION. INDIVIDUALS WHO PARTICIPATED IN THIS PLAN DURING 2016 WERE THE FOLLOWING: DAVID HAYNES, BARBARA BENTRUP, E. B. ROB GOREN, JANICE LEES, PAMELA MARTIN, EDWARD PATTAROZZI, 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 COMPANYS 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 THESES AMOUNTS FOR THE INCREASES IN THE COMPANYS ACCRUAL. THE AMOUNTS PER PARTICIPANT ARE: - BARBARA BENTRUP $ 113,961 - E. B. ROB GOREN $ 58,368 - PAMELA MARTIN $ 42,278 - KARL MUDRA $ 27,570 - JANICE LEES $ 37,331 - EDWARD PATTAROZZI $ 87,979 AMOUNTS PAID UNDER THE PLAN IN 2016 PER PARTICIPANT WERE: - DAVID HAYNES $ 57,751 - JANICE LEES $ 18,601 JAMES W RHEA DDS PC BOARD MEMBER AS OWNER 220418 DENTAL SERVICES PROVIDED false FINNANE-ROBISON DENTAL LLC BOARD MEMBER AS OWNER 184941 DENTAL SERVICES PROVIDED false CURRY TAYLOR DDS LLC BOARD MEMBER AS OWNER 187508 DENTAL SERVICES PROVIDED false MARK R ZUST DDS LTD BOARD MEMBER AS OWNER 200180 DENTAL SERVICES PROVIDED false PART IV, LINE 1 BUSINESS TRANSACTIONS 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. 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. 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. 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 400 SCHOOLS (K-3RD GRADE CLASSROOMS) THROUGHOUT THE STATES OF MISSOURI AND SOUTH CAROLINA IN 2016, 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 THREE 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 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 A DVD, A LARGE MODEL OF A MOUTH, A LARGE TOOTHBRUSH, AND AUDIO VISUAL EDUCATIONAL TOOLS FOR USE IN THE CLASSROOM, AS WELL AS BOOKS FOR THE LIBRARY. A KIDS' WEBSITE, WWW.LANDOFSMILESVIDEO.COM, PROVIDES ANOTHER SOURCE TO VIEW THE DVD 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 THE GIVE KIDS A SMILE CLINICS IN ST. LOUIS AND 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 2016, 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, P.A.N.D.A. 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. FOR EACH CLINIC, DELTA DENTAL OF MISSOURI PROVIDES BUS TRANSPORTATION FOR GROUPS OF CHILDREN AND FUNDS ALL PUBLIC RELATIONS AND MARKETING ACTIVITIES, FACILITY LIABILITY COVERAGE, VOLUNTEER T-SHIRTS, EVENT SIGNAGE, DECORATIONS, GIVEAWAYS, AND ENTERTAINERS. 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 4 CHANGES TO BY-LAWS ART. II, SEC. 1.B. CLARIFIES THAT TERMINATION OF A MEMBERS PARTICIPATING DENTIST AGREEMENT WILL RESULT IN TERMINATION OF MEMBERSHIP IN THE CORPORATION; REMOVES FAILURE TO FILE AN UPDATED FEE LISTING FROM THE POTENTIAL GROUNDS FOR TERMINATION; PROVIDES TWO ADDITIONAL GROUNDS FOR TERMINATION OF MEMBERSHIP IN THE CORPORATION: RETIREMENT FROM THE PRACTICE OF DENTISTRY AND NO LONGER BEING DULY LICENSED OR PRACTICING DENTISTRY WITHIN THE STATES OF MISSOURI OR SOUTH CAROLINA, WHICHEVER WAS APPLICABLE TO THE MEMBER. ART. III, SEC. 1 INCREASES THE NUMBER OF VOTING DIRECTORS BY TWO ONE DENTIST AND ONE REPRESENTATIVE OF THE PUBLIC WHO EITHER RESIDE IN OR HAVE THEIR PRIMARY PLACE OF EMPLOYMENT IN THE STATE OF SOUTH CAROLINA; PROVIDES FOR THE ADDITION OF ONE ADDITIONAL REPRESENTATIVE OF THE PUBLIC FROM THE STATE OF MISSOURI. ART. VI, SEC. 2 ALLOWS THE BOARD OR THE SPECIAL COMMITTEE TO DELEGATE CERTAIN POWERS OR FUNCTIONS OF A SPECIAL COMMITTEE TO OTHER DESIGNEES. ART. VI, SEC. 2.A. CHANGES THE DELIVERY METHOD OF SUSPENSION OR TERMINATION NOTICES FROM REGISTERED TO FIRST CLASS MAIL; SPECIFIES THAT SUSPENSION OR TERMINATION NOTICES WILL BE SENT TO THE LAST ADDRESS OF THE MEMBER SHOWN ON THE CORPORATIONS RECORDS. 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. FORM 990, PART VI, LINE 19 DISCLOSURE THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. ADVANTICA HOLDING COMPANY 12399 GRAVOIS ROAD ST LOUIS MO 63127 261323283 HOLDING COMPANY MO NA C-CORP 61029847 30728979 1.00000 true false false false false false false false false false false false true true true false false false false false ADVANTICA HOLDING COMPANY L 736958 ALLOCATIONS ADVANTICA HOLDING COMPANY M 8573923 EXPENSE BASED