2015-11-16T15:35:35-06:00 2014-12-31 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2014-01-01 430908349 DELTA DENTAL OF MISSOURI % BARBARA BENTRUP DELT 3146563000 12399 GRAVOIS ROAD ST LOUIS MO 631271702 BARBARA BENTRUP CFO 3146563000 2015-11-13 true Aaron Hershberger P00961884 5136218300 2014 2016-03-07 17:11:31Z EB ROB GOREN 12399 GRAVIOS ROAD ST LOUIS MO 631271702 507753960 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. 13 11 204 76655 0 0 498146437 508408359 2877323 3058307 -7962870 -4033200 493060890 507433466 451638 493318 447704696 459511547 17102158 19784069 0 0 0 19740129 22143180 484998621 501932114 8062269 5501352 136514290 146779168 47568306 51924536 88945984 94854632 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 493409038 493318 508408359 DELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2014, DELTA DENTAL PROCESSED 2,687,644 CLAIMS FROM CLIENT COMPANIES. 406272 DELTA DENTAL HEALTH THEATRE - SEE SCHEDULE O 466761 LAND OF SMILES - SEE SCHEDULE O 103137 494385208 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 52205 0 true 204 true true true true TK false false false false false false false false X 13 11 false false false false true true true true true false true true true true true true true true true true false X BARBARA BENTRUP 3146563000 12399 GRAVOIS ROAD ST LOUIS MO 631271702 DAVID W HAYNES PRESIDENT & CEO 55.0 0.0 X X 786979 0 189315 BRIAN BERGLUND DIRECTOR 2.0 0.0 X 22050 0 0 DEE JOYNER DIRECTOR 2.0 0.0 X 20600 0 0 EDWARD C ROBISON DDS DIRECTOR 2.0 0.0 X 13250 0 0 GUY P BATES JR DDS DIRECTOR 5.0 0.0 X 34700 0 0 H R REDOHL DIRECTOR 2.0 0.0 X 20350 0 0 OLLIE FISHER DMD DIRECTOR 2.0 0.0 X 21650 0 0 ROBERT BUTLER DDS DIRECTOR 2.0 0.0 X 14300 0 0 RICHARD BRAUN DIRECTOR 2.0 0.0 X 23500 0 0 ROBERT TAIT DDS DIRECTOR 2.0 0.0 X 14300 0 0 JOSHUA WHITFORD DDS DIRECTOR 2.0 0.0 X 14300 0 0 JAMES SANDFORT DIRECTOR 2.0 0.0 X 17450 0 0 JAMES HOFFMEISTER DIRECTOR 2.0 0.0 X 17450 0 0 BARBARA C BENTRUP CFO & CORPORATE COUNSEL 55.0 0.0 X 443976 0 153649 E B ROB GOREN SVP DEVELOPMENT/CHIEF ACTUARY 55.0 0.0 X 329011 0 98375 PAMELA A MARTIN SENIOR VP & COO 55.0 0.0 X 312251 0 98920 KARL A MUDRA CIO 55.0 0.0 X 330280 0 91555 EDWARD A PATTAROZZI CHIEF SALES/MARKETING OFFICER 55.0 0.0 X 165505 0 8977 HENRY LAFFITTE VP, SALES & ACCOUNT MANAGEMENT 50.0 0.0 X 343221 0 51212 VICKI KATZFEY NATIONAL ACCOUNT EXECUTIVE 50.0 0.0 X 251835 0 56499 JEANNE AUBUCHON VICE PRESIDENT OF SALES 50.0 0.0 X 238908 0 65009 ELLEN SAMUELS MANAGER, CORPORATE COMPLIANCE 50.0 0.0 X 200304 0 57306 ROBERT WOZNIAK ACCOUNT EXECUTIVE 50.0 0.0 X 175569 0 48119 RICHARD W KLASSEN FORMER-SALES/MARKETING OFFICER 55.0 0.0 X 294710 0 23144 4106449 0 942080 39 true true false MISSOURI DENTAL PROFESSIONALS 1100 SPUR DR STE 30 MARSHFIELD MO 65706 DENTAL 5045937 WM GERALD ALBRECHT LTD 3555 SUSET OFFICE DR STE 210 SAINT LOUIS MO 63127 DENTAL 2111813 JAY F HAUSER DDS PC PO BOX 503094 ST LOUIS MO 63150 DENTAL 1421217 MICHAEL K PARSONS DDS PC 17300 OUTER FORTY RD N STE 103 CHESTERFIELD MO 63005 DENTAL 1073206 DAVID A DURHAM ASSOC DDS PC 10000 WATSON RD STE A ST LOUIS MO 63126 DENTAL 1063089 652 0 DENTAL PREMIUMS 524114 508408359 508408359 508408359 2146821 2146821 0 0 442155 320494 121661 0 121661 76655 45006 911486 911486 911486 911486 0 0 0 MISCELLANEOUS INCOME 900099 121611 121611 INVESTMENT IN SUBSIDIARY 900003 -4276472 -4276472 -4154861 507433466 508408359 76655 -1051548 488641 488641 4677 4677 0 459511547 459511547 3242692 2659008 583684 0 10882227 8923426 1958801 2338978 1917962 421016 2460524 2017630 442894 859648 704911 154737 0 487459 399716 87743 226109 185409 40700 0 0 252521 207067 45454 2485998 2038518 447480 1778829 1458640 320189 2579764 2115406 464358 0 0 523795 429512 94283 794469 651465 143004 0 126209 103491 22718 149459 122556 26903 0 580833 476283 104550 320961 263188 57773 BOARD AND BUREAU DUES 521315 427478 93837 0 SERVICE BUREAU FEES 9865920 8090054 1775866 0 PUBLIC RELATIONS 902979 740443 162536 0 SERVICE AGREEMENTS 350609 287499 63110 0 195952 160681 35270 501932114 494385208 7546906 0 0 0 21675992 24305435 0 0 29076279 32643748 0 0 0 0 0 0 0 0 261351 253936 13054646 7814734 5503546 5239912 55528262 58216135 0 0 20013198 23244726 0 0 4455662 2875276 136514290 146779168 11910188 12459356 0 0 0 0 0 0 0 0 0 0 3336981 3123690 0 0 32321137 36341490 47568306 51924536 X 0 0 0 0 88945984 94854632 88945984 94854632 136514290 146779168 5501352 407296 X false true X true false 1350000 1350000 5632899 2444947 3187952 1755945 1305402 450543 1573937 1539419 34518 2741865 2524966 216899 5239912 INVEST. IN ADVANTICA HLDG CO 23244726 C 23244726 0 INCURRED BUT UNREPORTED CLAIMS 28933753 ESTIMATE UNPAID CLAIM PROCESS 813435 UNEARNED PREMIUMS 5843920 EXPERIENCE RATED CREDIT LIAB 247205 ADVANCE DEPOSITS 331477 DUE TO AFFILIATE 171700 36341490 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 RECONIZED IN THE PERIOD IN WHICH THEY OCCUR. DEFERRED INCOME TAX EXPENSE RESULTS FROM CHANGES IN DEFERRED TAX ASSETS AND LIABILITIES BETWEEN PERIODS. DEFERRED TAX ASSETS ARE REDUCED BY A VALUATION ALLOWANCE IF, BASED ON THE WEIGHT OF EVIDENCE AVAILABLE, IT IS MORE LIKELY THAN NOT THAT SOME PORTION OR ALL OF A DEFERRED TAX ASSET WILL NOT BE REALIZED. UNCERTAIN TAX POSITIONS ARE RECOGNIZED IF IT IS MORE LIKELY THAN NOT, BASED ON THE TECHNICAL MERITS, THAT THE TAX POSITION WILL BE REALIZED OR SUSTAINED UPON EXAMINATION. THE TERM MORE LIKELY THAN NOT MEANS A LIKELIHOOD OF MORE THAN 50 PERCENT; THE TERMS EXAMINED AND UPON EXAMINATION ALSO INCLUDE RESOLUTION OF THE RELATED APPEALS OR LITIGATION PROCESSES, IF ANY. A TAX POSITION THAT MEETS THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD IS INITIALLY AND SUBSEQUENTLY MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT HAS A GREATER THAN 50 PERCENT LIKELIHOOD OF BEING REALIZED UPON SETTLEMENT WITH A TAXING AUTHORITY THAT HAS FULL KNOWLEDGE OF ALL RELEVANT INFORMATION. THE DETERMINATION OF WHETHER OR NOT A TAX POSITION HAS MET THE MORE-LIKELY-THAN-NOT RECOGNITION THRESHOLD CONSIDERS THE FACTS, CIRCUMSTANCES AND INFORMATION AVAILABLE AT THE REPORTING DATE AND IS SUBJECT TO THE MANAGEMENT'S JUDGMENT. THE COMPANY 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 (LOSSES) TOTALING $(4,276,474) AND $(8,077,704) AS OF DECEMBER 31, 2014 AND 2013, RESPECTIVELY. AT DECEMBER 31, 2014 AND 2013, ADVANTICA HOLDING COMPANY HAD NET OPERATING LOSS CARRYFORWARDS OF APPROXIMATELY $25,527,000 AND $22,844,000, RESPECTIVELY, WHICH EXPIRE IN YEARS THROUGH 2034. ADVANTICA HOLDING AND ITS SUBSIDIARIES HAD DEFERRED TAX ASSETS OF APPROXIMATELY $9,091,615 AND $7,985,731 AT DECEMBER 31, 2014 AND 2013, 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, 2014 AND 2013. 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, 2011 THROUGH 2014. true MISSOURI DENTAL ASSOCIATION FOUNDATION 3340 AMERICAN AVE JEFFERSON CITY MO 65109 440535233 501(C)(3) 200000 GENERAL SUPPORT STATE OF MISSOURI PO BOX 8598 KANSAS CITY MO 65109 237222977 50000 GENERAL SUPPORT SOUTH CAROLINA DENTAL ASSOCIATION 120 STONEMARK LANE COLUMBIA SC 29210 570399460 501(C)(3) 50000 GENERAL SUPPORT USC EDUCATIONAL FOUNDATION 1600 HAMPTON ST COLUMBIA SC 29208 576017985 501(C)(3) 37500 GENERAL SUPPORT SUNNYHILL INC 11140 SO TOWNE SQUARE ST LOUIS MO 63123 431150250 501(C)(3) 25000 GENERAL SUPPORT DENTAL LIFELINE NETWORK - MISSOURI PO BOX 8598 KANSAS CITY MO 64114 900293508 501(C)(3) 25000 GENERAL SUPPORT TRUMAN MEDICAL CENTER CHARITABLE FOUNDATION 2310 HOLMES KANSAS CITY MO 64108 431194064 501(C)(3) 20000 GENERAL SUPPORT RONALD MCDONALD HOUSE 949 E PRIMROSE ST SPRINGFIELD MO 65807 430494640 501(C)(3) 15000 GENERAL SUPPORT ST LOUIS COMMUNITY COLLEGE FOUNDATION 300 S BROADWAY ST LOUIS MO 63102 431374500 501(C)(3) 10000 GENERAL SUPPORT PALMETTO HEALTH FOUNDATION 1600 MARION STREET COLUMBIA SC 29202 570725699 501(C)(3) 10000 GENERAL SUPPORT AMERICAN PARKINSON DISEASE ASSOCIATION 135 PARKINSON AVE STATEN ISLAND NY 10305 131962771 501(C)(3) 7500 GENERAL SUPPORT MAKE-A-WISH FOUNDATION OF MISSOURI 13523 BARRETT DR BALLWIN MO 63021 431550697 501(C)(3) 6000 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 true true X X X X true true false false false false false false false DAVID W HAYNES PRESIDENT & CEO 504014 0 197760 0 85205 0 158968 0 30347 0 976294 0 0 0 BARBARA C BENTRUP CFO & CORPORATE COUNSEL 307355 0 104125 0 32496 0 141491 0 12158 0 597625 0 0 0 E B ROB GOREN SVP DEVELOPMENT/CHIEF ACTUARY 233766 0 74338 0 20907 0 69760 0 28615 0 427386 0 0 0 PAMELA A MARTIN SENIOR VP & COO 198035 0 67782 0 46434 0 78558 0 20362 0 411171 0 0 0 KARL A MUDRA CIO 224783 0 77109 0 28388 0 63978 0 27577 0 421835 0 0 0 EDWARD A PATTAROZZI CHIEF SALES/MARKETING OFFICER 121231 0 39153 0 5121 0 0 0 8977 0 174482 0 0 0 RICHARD W KLASSEN FORMER-SALES/MARKETING OFFICER 2869 0 87974 0 203867 0 23144 0 0 0 317854 0 0 0 HENRY LAFFITTE VP, SALES & ACCOUNT MANAGEMENT 197795 0 138624 0 6802 0 39000 0 12212 0 394433 0 0 0 VICKI KATZFEY NATIONAL ACCOUNT EXECUTIVE 141024 0 102584 0 8227 0 36540 0 19959 0 308334 0 0 0 JEANNE AUBUCHON VICE PRESIDENT OF SALES 90399 0 139138 0 9371 0 35151 0 29858 0 303917 0 0 0 ELLEN SAMUELS MANAGER, CORPORATE COMPLIANCE 156081 0 43260 0 963 0 28768 0 28538 0 257610 0 0 0 ROBERT WOZNIAK ACCOUNT EXECUTIVE 74475 0 94416 0 6678 0 25868 0 22251 0 223688 0 0 0 SCHEDULE J, PART I, LINE 1A INFORMATION REGARDING BENEFITS PROVIDED HEALTH CLUB DUES WERE PAID FOR THE FOLLOWING EMPLOYEES: DAVID HAYNES, RICHARD KLASSEN, AND KARL MUDRA. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. SCHEDULE J, PART 1, LINE 4A SEVERANCE PAYMENTS DURING 2014, RICHARD KLASSEN RECEIVED $160,000 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 2014 FOR THE FOLLOWING INDIVIDUALS WERE: - DAVID HAYNES $ 52,909 - BARBARA BENTRUP $ 16,287 - E.B. ROB GOREN $ 3,995 - RICHARD KLASSEN $ 9,812 - KARL MUDRA $ 5,838 - PAMELA MARTIN $ 536 ---------- TOTAL $ 89,377 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 2014 WERE THE FOLLOWING: DAVID HAYNES, BARBARA BENTRUP, E.B. ROB GOREN, RICHARD KLASSEN, JANICE LEES, PAMELA MARTIN, 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: - DAVID HAYNES $ 119,968 - BARBARA BENTRUP $ 102,491 - E.B. ROB GOREN $ 30,760 - PAMELA MARTIN $ 39,558 - KARL MUDRA $ 24,978 - JAN LEES $ 34,619 FINNANE-ROBISON DENTAL LLC BOARD MEMBER AS OWNER 147520 DENTAL SERVICES PROVIDED false PART IV, LINE 1 BUSINESS TRANSACTIONS BOARD MEMBER EDWARD ROBISON DDS HAS 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. PART III, LINE 4B DESCRIPTION OF OTHER PROGRAM SERVICES DELTA DENTAL HEALTH THEATRE CO-SPONSORS/COALITIONS INVOLVED: ST. LOUIS DENTAL SOCIETY AND VARIOUS CHARITABLE CORPORATE DONORS (E.G., CARDINALS CARE, MISSOURI FOUNDATION FOR HEALTH, AND OTHERS). PROGRAM DESCRIPTION: THE DELTA DENTAL HEALTH THEATRE (PREVIOUSLY NAMED DENTAL HEALTH THEATRE) HAS BEEN PROVIDING ORAL HEALTH EDUCATION AND ENTERTAINMENT TO YOUNG CHILDREN IN THE ST. LOUIS METROPOLITAN AREA FOR MORE THAN 30 YEARS, SINCE ITS INCEPTION IN 1977. APPROXIMATELY 20,000 VISITORS, PRIMARILY FROM SCHOOL FIELD TRIPS, VISITED THE THEATRE IN 2014. IN 2002 DELTA DENTAL OF MISSOURI BECAME THE PRIMARY SPONSOR OF THE DELTA DENTAL HEALTH THEATRE, AND WE BEGAN WORKING WITH THE THEATRE'S BOARD OF DIRECTORS TO MAKE PROGRAM AND FACILITY IMPROVEMENTS. A FEATURE PRESENTATION NOW INCLUDES A VIDEO OF DDMO'S AWARD-WINNING LAND OF SMILES PROGRAM, A PUPPET VIDEO OF A VISIT TO "HEALTHY HOLLOW" INTRODUCING A CAST OF FANTASY CHARACTERS WHO EACH TEACH SOMETHING ABOUT GOOD ORAL HEALTH AND A HEALTHY LIFESTYLE, AND AN ANIMATRONIC TOUCAN THAT LEADS DISCUSSIONS OF CONFIDENCE THROUGH A "YOU CAN" THEME. A MAJOR RECONSTRUCTION IN 2011 ENHANCED THE LEARNING EXPERIENCE BY OPENING UP SPACE, CREATING ATTRACTIVE MURALS AND ADDING INTERACTIVE EXHIBITS. WE WILL CONTINUE TO EXPAND THE PROGRAMMING TO INTEGRATE EDUCATION ON OVERALL HEALTH AND WELLNESS, FITNESS AND NUTRITION ALONG WITH ORAL HEALTH INFORMATION TO RAISE AWARENESS FOR THE IMPORTANCE OF ORAL HEALTH AND OF THE LINK BETWEEN ORAL HEALTH AND OVERALL HEALTH. THE THEATRE IS ALSO EXPANDING OUTREACH BY PARTICIPATING IN CIVIC EVENTS AND HEALTH FAIRS, SUCH AS WINTER ZOO AND BOO AT THE ZOO AT THE ST. LOUIS ZOO; BABY KIDS EXPO, WHERE THE THEATRE PROVIDES EDUCATIONAL PROGRAMS, PAMPHLETS, AND DENTAL CARE SUPPLIES; AND THE DDHT CANDY EXCHANGE WHERE THE THEATRE ACCEPTS EXCESS HALLOWEEN CANDY IN EXCHANGE FOR A CARNIVAL FOR THE KIDS. LONGEVITY: THE THEATRE HAS BEEN OPERATING FOR SINCE 1977. DELTA DENTAL HAS BEEN A PRIMARY SPONSOR SINCE 2002. 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 2014, 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. 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 2014, 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. PART VI, 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. PART VI, 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. PART VI, LINE 7B GOVERNANCE DECISIONS RECOMMENDED CHANGES TO THE CORPORATE BYLAWS BY THE BOARD ARE SUBJECT TO APPROVAL BY THE MEMBERS. PART VI, QUESTION 11B PROCESS TO REVIEW THE FORM 990 THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED IN DETAIL BY THE ORGANIZATION'S CFO AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE ELECTRONIC FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. PART VI, 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. PART VI, QUESTION 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. 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 83072144 28311292 1.00000 true false true false false false false false false false false false true true false false false false false false ADVANTICA HOLDING COMPANY B 7508000 FMV ADVANTICA HOLDING COMPANY L 1220172 ALLOCATIONS ADVANTICA HOLDING COMPANY M 7499084 EXPENSE BASED