DELTA DENTAL OF MISSOURI: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF MISSOURI (EIN 43-0908349)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-15
IRS object ID
201333199349304253
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-11-15T10:37:55-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1BKD LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1312 WALNUT STREET SUITE 3000AddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430908349EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF MISSOURIBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% BARBARA BENTRUPInCareOfName
Name ControlDELTNameControl
Phone3146563000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line112399 GRAVOIS ROADAddressLine1
Address Line2SuiteAddressLine2
CityST LOUISCity
StateMOState
ZIP Code631271702ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameBARBARA BENTRUPName
TitleCFOTitle
Phone3146563000Phone
Date Signed2013-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone5136218300Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonBARBARA BENTRUPNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line112399 GRAVOIS ROADAddressLine1
CityST LOUISCity
StateMOState
ZIP Code631271702ZIPCode
FieldValueIRS element (for citing)
Gross Receipts504369053GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DELTADENTALMO.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTHE ORGANIZATIONS PRIMARY PURPOSE IS TO IMPROVE THE DENTAL HEALTH OF THE PUBLIC BY PROMOTING PREVENTIVE DENTISTRY AND PROVIDING COMPREHENSIVE DENTAL CARE & MAINTENANCE ON A PREPAID BASIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees172TotalNbrEmployees
Total Gross UBI-19193TotalGrossUBI
Net Unrelated Business Txbl Income-19193NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year441642197ProgramServiceRevenuePriorYear
Program Service Revenue CY468807175ProgramServiceRevenueCY
Investment Income Prior Year2234351InvestmentIncomePriorYear
Investment Income Current Year3890723InvestmentIncomeCurrentYear
Other Revenue Prior Year1480906OtherRevenuePriorYear
Other Revenue Current Year-4423140OtherRevenueCurrentYear
Total Revenue Prior Year445357454TotalRevenuePriorYear
Total Revenue Current Year468274758TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year691007GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY761009GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year405880043BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY426044340BenefitsPaidToMembersCY
Salaries Etc Prior Year15071148SalariesEtcPriorYear
Salaries Etc Current Year15640211SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year15988273OtherExpensePriorYear
Other Expenses Current Year18449242OtherExpensesCurrentYear
Total Expenses Prior Year437630471TotalExpensesPriorYear
Total Expenses Current Year460894802TotalExpensesCurrentYear
Revenues Less Expenses Prior Year7726983RevenuesLessExpensesPriorYear
Revenues Less Expenses CY7379956RevenuesLessExpensesCY
Total Assets BOY115132995TotalAssetsBOY
Total Assets EOY123683805TotalAssetsEOY
Total Liabilities BOY44393926TotalLiabilitiesBOY
Total Liabilities EOY44463760TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY70739069NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY79220045NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE ORGANIZATIONS PRIMARY PURPOSE IS TO IMPROVE THE DENTAL HEALTH OF THE PUBLIC BY PROMOTING PREVENTIVE DENTISTRY AND PROVIDING COMPREHENSIVE DENTAL CARE & MAINTENANCE ON A PREPAID BASIS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense454005713Expense
Revenue468807175Revenue
DescriptionDELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2012, DELTA DENTAL PROCESSED 2,451,692 CLAIMS FROM CLIENT COMPANIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense306824Expense
DescriptionSEE SCHEDULE ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense346790Expense
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp99374TotalOfOtherProgramServiceExp
Total Program Service Expense454758701TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvesttrueReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109647969NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees172NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryTKNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members13NbrVotingGoverningBodyMembers
Number Independent Voting Members10NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChapterstrueLocalChapters
Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonBARBARA BENTRUPNamePerson
Telephone Number3146563000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112399 GRAVOIS ROADAddressLine1
CityST LOUISCity
StateMOState
ZIP Code631271702ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BRIAN BERGLUND
DIRECTOR4.0X2415000
DEE JOYNER
DIRECTOR4.0X1955000
EDWARD C ROBISON DDS
DIRECTOR4.0X1650000
GUY P BATES JR DDS
DIRECTOR4.0X1955000
H R REDOHL
DIRECTOR4.0X2360000
OLLIE FISHER DMD
DIRECTOR4.0X1955000
RICHARD HAFFNER
DIRECTOR4.0X4310000
RICHARD W BRAUN
DIRECTOR8.0X2560000
ROBERT TAIT DDS
DIRECTOR4.0X1755000
SHANON KIRCHHOFF
DIRECTOR4.0X1745000
WILLIAM TUNNEY JR
DIRECTOR4.0X1955000
DAVID HAYNES
PRESIDENT & CEO60.0X7184540168725X
JAMES SANDFORT
DIRECTOR4.0X1965000
BARBARA BENTRUP
CFO AND CORPORATE COUNSEL60.03449120116108X
EB ROB GOREN
CHIEF ACTUARY AND VP SC MARKET60.0280274090975X
RICHARD KLASSEN
CHIEF SALES/MARKETING OFFICER60.010651930125916X
PAMELA MARTIN
CHIEF OPERATING OFFICER60.0973103093076X
KARL MUDRA
CHIEF INFORMATION OFFICER60.0311395088579X
JEANNE AUBUCHON
VP SALES60.0215591058719X
ROBERT WOZNIAK
ACCOUNT EXECUTIVE60.0159615043954X
PAMELA SUMMERS
MGR CUSTOMER/PROVIDER RELATION60.0169773034544X
JANE STANHAUS
CORPORATE MANAGER, HR60.0161148048884X
JAN LEES
VP BOARD RELATIONS60.0396537072031X
FieldValueIRS element (for citing)
Total Reportable Comp From Org5061795TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation941511TotalOtherCompensation
Number Individuals GT100 K32NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEARTLAND FAMILY DENTAL CARE OF MIS
1100 SPUR DR STE 30MARSHFIELDMO65706DENTAL SERVICES3562080
WM GERALD ALBRECHT LTD
3555 SUNSET OFFICE DR STE 21ST LOUISMO63127DENTAL SERVICES1843019
JAY F HAUSER DDS PC
PO BOX 503094ST LOUISMO63150DENTAL SERVICES1489495
SUNSET HILLS DENTAL LLC
PO BOX 8570ST LOUISMO63126DENTAL SERVICES995954
DAVID A DURHAM ASSOC DDS PC
10000 WATSON RD STE AST LOUISMO63126DENTAL SERVICES971623
FieldValueIRS element (for citing)
Number Of Contractors GT100 K558NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionDENTAL PREMIUMSDescription
Business Code524114BusinessCode
Total Revenue Column468807175TotalRevenueColumn
Related Or Exempt Function Income468807175RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue468807175TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column2185740TotalRevenueColumn
Exclusion$2,185,740ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real422037Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real451603Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-29566Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-29567TotalRevenueColumn
Unrelated Business Revenue-19193UnrelatedBusinessRevenue
Exclusion-$10,374ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities37347675Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities35642692Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1704983Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1704983TotalRevenueColumn
Exclusion$1,704,983ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
MISCELLANEOUS INCOME90009965653$65,653
INVESTMENT IN SUBSIDIARY900003-4459226-$4,459,226
FieldValueIRS element (for citing)
Total Other Revenue-4393573TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column468274758TotalRevenueColumn
Related Or Exempt Function Income468807175RelatedOrExemptFunctionIncome
Unrelated Business Revenue-19193UnrelatedBusinessRevenue
Exclusion-$513,224ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total431735Total
Program Services431735ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total329274Total
Program Services329274ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total426044340Total
Program Services426044340ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total5074395Total
Program Services4161004ProgramServices
Management And General913391ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total6646278Total
Program Services5449948ProgramServices
Management And General1196330ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2011768Total
Program Services1649650ProgramServices
Management And General362118ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1148488Total
Program Services941760ProgramServices
Management And General206728ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total759282Total
Program Services622611ProgramServices
Management And General136671ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total208256Total
Program Services170770ProgramServices
Management And General37486ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total296588Total
Program Services243202ProgramServices
Management And General53386ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total265885Total
Program Services218026ProgramServices
Management And General47859ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total1222746Total
Program Services1002652ProgramServices
Management And General220094ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1513001Total
Program Services1240661ProgramServices
Management And General272340ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2500444Total
Program Services2050364ProgramServices
Management And General450080ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total539895Total
Program Services442714ProgramServices
Management And General97181ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total642771Total
Program Services527072ProgramServices
Management And General115699ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total117861Total
Program Services96646ProgramServices
Management And General21215ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total168687Total
Program Services138323ProgramServices
Management And General30364ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total574406Total
Program Services471013ProgramServices
Management And General103393ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total295224Total
Program Services242084ProgramServices
Management And General53140ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BOARD AND BUREAU DUES565248463503101745
SERVICE BUREAU FEES763286062589451373915
PUBLIC RELATIONS777022637158139864
SERVICE AGREEMENTS14354011770325837

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total984808Total
Program Services807543ProgramServices
Management And General177265ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total460894802Total
Program Services454758701ProgramServices
Management And General6136101ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY200BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13948429BOY
EOY19982848EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY24571438BOY
EOY25979592EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY335908BOY
EOY590338EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12827688LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec7090296LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY5844378BOY
EOY5737392EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY46861056BOY
EOY51037135EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY20200126BOY
EOY17490900EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY3371460BOY
EOY2865600EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY115132995BOY
EOY123683805EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10090609BOY
EOY10896034EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY3734739BOY
EOY3540675EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY30568578BOY
EOY30027051EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY44393926BOY
EOY44463760EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY70739069BOY
EOY79220045EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY70739069BOY
EOY79220045EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY115132995BOY
EOY123683805EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses7379956ReconcilationRevenueExpenses
Reconciliation Unrealized Invest1101020ReconciliationUnrealizedInvest
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis1350000OtherCostOrOtherBasis
Book Value1350000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5549143OtherCostOrOtherBasis
Depreciation2113897Depreciation
Book Value3435246BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1755945OtherCostOrOtherBasis
Depreciation1049774Depreciation
Book Value706171BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1542931OtherCostOrOtherBasis
Depreciation1473418Depreciation
Book Value69513BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2629669OtherCostOrOtherBasis
Depreciation2453207Depreciation
Book Value176462BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings5737392TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVEST. IN ADVANTICA HLDG CODescription
Book Value17490900BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related17490900TotalOfBookValueProgramRelated
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
INCURRED BUT UNREPORTED CLAIMS$24,810,162
ESTIMATE UNPAID CLAIM PROCESS$743,049
UNEARNED PREMIUMS$4,143,801
EXPERIENCE RATED CREDIT LIAB$95,805
ADVANCE DEPOSITS$109,300
DUE TO/FROM AFFILIATES$124,934
FieldValueIRS element (for citing)
Total Of Amounts30027051TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 FOOTNOTEIdentifier
Return ReferenceSCHEDULE D, PART X, TEXT OF FIN 48 FOOTNOTEReturnReference
ExplanationTHE 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 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 managements 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 $(4,459,226) and $1,489,630 as of December 31, 2012 and 2011, respectively. In 2011, the current income tax provision was offset by net operating loss carryforwards, and accordingly no income tax expense is reflected in the financial statements. At December 31, 2012 and 2011, Advantica Holding Company had net operating loss carryforwards of approximately $15,953,000 and $12,432,000, respectively, which expire in years through 2031. Advantica Holding and its subsidiaries had deferred tax assets of approximately $5,233,600 and $3,862,000 at December 31, 2012 and 2011, 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, 2012 and 2011. 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, 2009 through 2011.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (15 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
RONALD MCDONALD HOUSE
949 E PRIMROSE STSPRINGFIELDMO65807430494640501(C)(3)10000DONATION
CENTRAL CATHOLIC SCHOOL
1106 N JEFFERSON AVEST LOUISMO63106431530670501(C)(3)10000DONATION
SUNNYHILL INC
11140 S TOWNE SQUAREST LOUISMO63123431150250501(C)(3)30000DONATION
MAKE A WISH FOUNDATION
8251 MARYLAND AVENUEST LOUISMO63105431550697501(C)(3)6000DONATION
USC EDUCATION
1600 HAMPTON STCOLUMBIASC29208576017985501(C)(3)100000DONATIONSUITE 73
FAMILY RESOURCE CENTER
3309 S KINGSHIGHWAY BLVDST LOUISMO63139431071300501(C)(3)6500DONATION
MDAKDA HEART OF AMERICA
3340 AMERICAN AVEJEFFERSON CITYMO65109440535233501(C)(3)100000
SOUTH CAROLINA DENTAL ASSOCIATION
120 STONEMARK LANECOLUMBIASC29210570399460501(C)(3)67500
DENTAL LIFELINE NETWORK - MISSOURI
PO BOX 8598KANSAS CITYMO64114900293508501(C)(3)25000
SOUTH CAROLINA GOOD
C/O SOUTH CAROLINA CHAMBER OF COMMECOLUMBIASC29211570799139501(C)(3)10500
AMERICAN COLLEGE OF DENTIST
839J QUINCE ORCHARD BLVDGAITHERSBURGMD20878521415952501(C)(3)10000
PALMETTO HEALTH FOUNDATION
1600 MARION STCOLUMBIASC29201570725699501(C)(3)10000
HERITAGE CLASSIC
71 LIGHTHOUSE RDHILTON HEAD ISLANDSC29928570835114501(C)(3)6000SUITE 4200
UPSTATE SOUTH CAROLINA
PO BOX 60750CHARLOTTENC28260571095229501(C)(3)6000
GIVE KIDS A SMILE
340 MID RIVERS MALL DR - STE AST PETERSMO63376201287939501(C)(3)5300
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants15TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantDENTAL SCHOLARSHIPSTypeOfGrant
Number Of Recipients4NumberOfRecipients
Amount Of Cash Grant329274AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S.Identifier
Return ReferencePART I, LINE 2.ReturnReference
ExplanationDELTA 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'S PARTICIPATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DAVID HAYNES
PRESIDENT & CEO479326017600006312800000718454000
BARBARA BENTRUP
CFO AND CORPORATE COUNSEL25447207350001694000000344912000
EB ROB GOREN
CHIEF ACTUARY AND VP SC MARKET19916106498001613300000280274000
RICHARD KLASSEN
CHIEF SALES/MARKETING OFFICER246052082924073621700000106519306202110
PAMELA MARTIN
CHIEF OPERATING OFFICER1909860638910718226074675000104777806214390
KARL MUDRA
CHIEF INFORMATION OFFICER21395107268202476200000311395000
JEANNE AUBUCHON
VP SALES8422101232240814600000215591000
ROBERT WOZNIAK
ACCOUNT EXECUTIVE696250825750741500000159615000
PAMELA SUMMERS
MGR CUSTOMER/PROVIDER RELATION1289430368830394700000169773000
JANE STANHAUS
CORPORATE MANAGER, HR122114038681035300000161148000
JAN LEES
VP BOARD RELATIONS102565036287025768500000396537000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
INFORMATION REGARDING BENEFTIS PROVIDEDPART I, QUESTION 1AHEALTH CLUB DUES WERE PAID FOR THE FOLLOWING EMPLOYEES: HAYNES, GOREN, KLASSEN, MUDRA. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION.
NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTSPART 1, QUESTION 4THE 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 2012 FOR THE FOLLOWING INDIVIDUALS WERE: - DAVID HAYNES $ 43,224 - BARBARA BENTRUP $ 2,520 - E.B. ROB GOREN $ 1,049 - RICHARD KLASSEN $ 8,692 - KARL MUDRA $ 4,806 ---------- TOTAL $ 60,291 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 2012 were the following: David Haynes, Barbara Bentrup, E.B. Rob Goren, Richard Klassen, Janice Lees, Pamela Martin, and Karl Mudra. During 2012 Richard Klassen, Pamela Martin and Janice Lees all met the age and service requirements as defined by the DBDCP and as participants in the DBDCP, all became vested in the plan benefit. In a not-for-profit company, a vesting event in a non-qualified plan creates a taxable occurrence for any participant; any benefit that could be payable should the person retire, must be currently taxed to the participant. This vesting created the following taxable event for these three participants in 2012: 2012 Taxable DCP Benefit Richard Klassen $ 711,291 Pamela Martin $ 698,522 Janice Lees $ 237,920 All increases in the projected benefit accruals for this DBDCP are reported annually in the Form 990 for each officer. Consequently, the increased value of the benefit accrual for the DBDCP has been reported annually in the Form 990s within the compensation amounts reported for Richard Klassen and Pamela Martin. It is important to note that the participants were not previously vested in this benefit (prior to meeting the age and service requirements in 2012), yet the increase in value of the company's accrual had to be reported annually as compensation in the Form 990 for each of the officer participants when there was no benefit value to them personally - if participants leave prior to meeting the age and service requirements, there is no benefit payable. Schedule J, Part II, Column F reflects the value of the DBDCP benefit accrual previously reported as compensation due to this required benefit accrual disclosure.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FINNANE-ROBISON DENTAL
BOARD MEMBER AS OWNER150120DENTAL SERVICES PROVIDEDfalse
FISHER DENTAL CENTER
BOARD MEMBER AS OWNER106955DENTAL SERVICES PROVIDEDfalse

Form990 Schedule L Part V Form990ScheduleLPartV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
BUSINESS TRANSACTIONSPART IV, LINE 1BOARD MEMBER EDWARD ROBISON DDS HAS A REPORTABLE INTEREST IN FINNANCE-ROBISON DENTAL WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION.
BUSINESS TRANSACTIONSPART IV, LINE 2BOARD MEMBER OLLIE FISHER DMD HAS A REPORTABLE INTEREST IN FISHER DENTAL CENTER WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DESCRIPTION OF OTHER PROGRAM SERVICESPART III, LINE 4BDELTA 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 2012. IN 2002 DELTA DENTAL OF MISSOURI BECAME THE PRIMARY, PERMANENT 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: THEATRE HAS BEEN OPERATING FOR THIRTY-Five YEARS. DELTA DENTAL HAS BEEN A PRIMARY, PERMANENT SPONSOR FOR eleven YEARS, SINCE 2002.
DESCRIPTION OF OTHER PROGRAM SERVICESPART III, LINE 4CLAND OF SMILES TOURING THEATRICAL EDUCATION. PROGRAM DESCRIPTION: LAND OF SMILES IS A TOURING, THEATRICAL PROGRAM THAT FEATURES TOOTH WIZARD, HIS FUN-LOVING SIDEKICK P.A.N.D.A. AND THEIR ARCH ENEMY PLAQUEMAN. THE SHOW TRAVELED TO 300 SCHOOLS (K-3RD GRADE CLASSROOMS) THROUGHOUT THE STATE OF MISSOURI IN 2012, 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 70,000 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: eleven YEARS.
DESCRIPTION OF OTHER PROGRAM SERVICESPART III, LINE 4DGIVE KIDS A SMILE IN ST. LOUIS. CO-SPONSORS/COALITIONS INVOLVED: GREATER ST. LOUIS DENTAL SOCIETY (GSLDS). 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 2012, GKAS IN ST. LOUIS PROVIDED 3,669 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 CHILDRENS 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, GIVE KIDS A SMILE WAS ADOPTED BY THE AMERICAN DENTAL ASSOCIATION AS A NATIONAL CAMPAIGN. IN 2006, GIVE KIDS A SMILE WAS RECOGNIZED BY CONGRESS AS AN EXEMPLARY GRASSROOTS EFFORT. LONGEVITY: eleven YEARS.
CLASSES OF MEMBERS OR STOCKHOLDERSPART VI, LINE 6THE 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.
MEMBERS OR STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODYPART VI, LINE 7ATHE 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.
MEMBERS OR STOCKHOLDERSPART VI, LINE 7BRECOMMENDED CHANGES TO THE CORPORATE BYLAWS BY THE BOARD ARE SUBJECT TO APPROVAL BY THE MEMBERS.
PROCESS TO REVIEW THE FORM 990PART VI, QUESTION 11BA COPY OF THE FORM 990 WAS REVIEWED IN DETAIL BY THE ORGANIZATION'S CFO AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE ELECTRONIC FILING OF THE FORM 990.
PROCESS FOR MONITORING COMPLIANCE WITH CONFLICT OF INTEREST POLICYPART VI, LINE 12CDELTA 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.
POLICIESPART VI, QUESTION 15A & 15BDELTA 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.
DISCLOSUREPART VI, LINE 19THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.

Schedule R IRS990ScheduleR

Form990 Schedule R Part IV Form990ScheduleRPartIV

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ADVANTICA HOLDING COMPANYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line112399 GRAVOIS ROADAddressLine1
CityST LOUISCity
StateMOState
ZIP Code63127ZIPCode
FieldValueIRS element (for citing)
EIN261323283EIN
Primary ActivityHOLDING COMPANYPrimaryActivity
Legal Domicile StateMOLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1NABusinessNameLine1
FieldValueIRS element (for citing)
Type Of EntityC-corpTypeOfEntity
Share Of Total Income91138043ShareOfTotalIncome
Share Of EOY Assets26553568ShareOfEOYAssets
Percentage Ownership1.00000PercentageOwnership
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (3 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
ADVANTICA HOLDING COMPANY
B1750000FMV
ADVANTICA HOLDING COMPANY
L554000ALLOCATIONS
ADVANTICA HOLDING COMPANY
M6076111EXPENSE BASED

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