2013-11-15T10:37:55-06:00 2012-12-31 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2012-01-01 430908349 DELTA DENTAL OF MISSOURI % BARBARA BENTRUP DELT 3146563000 12399 GRAVOIS ROAD Suite ST LOUIS MO 631271702 BARBARA BENTRUP 3146563000 2013-11-15 true 5136218300 2012 2016-03-07 17:11:31Z BARBARA BENTRUP 12399 GRAVOIS ROAD ST LOUIS MO 631271702 504369053 false X WWW.DELTADENTALMO.COM X 1958 MO THE 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. 13 10 172 -19193 -19193 0 0 441642197 468807175 2234351 3890723 1480906 -4423140 445357454 468274758 691007 761009 405880043 426044340 15071148 15640211 0 0 0 15988273 18449242 437630471 460894802 7726983 7379956 115132995 123683805 44393926 44463760 70739069 79220045 X THE 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. false false 454005713 468807175 DELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2012, DELTA DENTAL PROCESSED 2,451,692 CLAIMS FROM CLIENT COMPANIES. 306824 SEE SCHEDULE O 346790 SEE SCHEDULE O 99374 454758701 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 true true false false false false false false false true false false false false false true true true false true 47969 0 true 172 true true true true TK false false false false false false false false X 13 10 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 BRIAN BERGLUND 4.0 X 24150 0 0 DEE JOYNER 4.0 X 19550 0 0 EDWARD C ROBISON DDS 4.0 X 16500 0 0 GUY P BATES JR DDS 4.0 X 19550 0 0 H R REDOHL 4.0 X 23600 0 0 OLLIE FISHER DMD 4.0 X 19550 0 0 RICHARD HAFFNER 4.0 X 43100 0 0 RICHARD W BRAUN 8.0 X 25600 0 0 ROBERT TAIT DDS 4.0 X 17550 0 0 SHANON KIRCHHOFF 4.0 X 17450 0 0 WILLIAM TUNNEY JR 4.0 X 19550 0 0 DAVID HAYNES 60.0 X X 718454 0 168725 JAMES SANDFORT 4.0 X 19650 0 0 BARBARA BENTRUP 60.0 X 344912 0 116108 EB ROB GOREN 60.0 X 280274 0 90975 RICHARD KLASSEN 60.0 X 1065193 0 125916 PAMELA MARTIN 60.0 X 973103 0 93076 KARL MUDRA 60.0 X 311395 0 88579 JEANNE AUBUCHON 60.0 X 215591 0 58719 ROBERT WOZNIAK 60.0 X 159615 0 43954 PAMELA SUMMERS 60.0 X 169773 0 34544 JANE STANHAUS 60.0 X 161148 0 48884 JAN LEES 60.0 X 396537 0 72031 5061795 0 941511 32 false true false HEARTLAND FAMILY DENTAL CARE OF MIS 1100 SPUR DR STE 30 MARSHFIELD MO 65706 DENTAL SERVICES 3562080 WM GERALD ALBRECHT LTD 3555 SUNSET OFFICE DR STE 21 ST LOUIS MO 63127 DENTAL SERVICES 1843019 JAY F HAUSER DDS PC PO BOX 503094 ST LOUIS MO 63150 DENTAL SERVICES 1489495 SUNSET HILLS DENTAL LLC PO BOX 8570 ST LOUIS MO 63126 DENTAL SERVICES 995954 DAVID A DURHAM ASSOC DDS PC 10000 WATSON RD STE A ST LOUIS MO 63126 DENTAL SERVICES 971623 558 0 DENTAL PREMIUMS 524114 468807175 468807175 468807175 2185740 2185740 0 0 422037 451603 -29566 0 -29567 -19193 -10374 37347675 35642692 1704983 1704983 1704983 0 0 0 MISCELLANEOUS INCOME 900099 65653 65653 INVESTMENT IN SUBSIDIARY 900003 -4459226 -4459226 -4393573 468274758 468807175 -19193 -513224 431735 431735 329274 329274 0 426044340 426044340 5074395 4161004 913391 0 6646278 5449948 1196330 2011768 1649650 362118 1148488 941760 206728 759282 622611 136671 0 208256 170770 37486 296588 243202 53386 0 0 265885 218026 47859 1222746 1002652 220094 1513001 1240661 272340 2500444 2050364 450080 0 0 539895 442714 97181 642771 527072 115699 0 117861 96646 21215 168687 138323 30364 0 574406 471013 103393 295224 242084 53140 BOARD AND BUREAU DUES 565248 463503 101745 SERVICE BUREAU FEES 7632860 6258945 1373915 PUBLIC RELATIONS 777022 637158 139864 SERVICE AGREEMENTS 143540 117703 25837 984808 807543 177265 460894802 454758701 6136101 0 200 0 13948429 19982848 0 0 24571438 25979592 0 0 0 0 0 0 0 0 335908 590338 12827688 7090296 5844378 5737392 46861056 51037135 0 0 20200126 17490900 0 0 3371460 2865600 115132995 123683805 10090609 10896034 0 0 0 0 0 0 0 0 0 0 3734739 3540675 0 0 30568578 30027051 44393926 44463760 X 0 0 0 0 70739069 79220045 70739069 79220045 115132995 123683805 7379956 1101020 X false true X true false 1350000 1350000 5549143 2113897 3435246 1755945 1049774 706171 1542931 1473418 69513 2629669 2453207 176462 5737392 INVEST. IN ADVANTICA HLDG CO 17490900 C 17490900 0 INCURRED BUT UNREPORTED CLAIMS 24810162 ESTIMATE UNPAID CLAIM PROCESS 743049 UNEARNED PREMIUMS 4143801 EXPERIENCE RATED CREDIT LIAB 95805 ADVANCE DEPOSITS 109300 DUE TO/FROM AFFILIATES 124934 30027051 FIN 48 FOOTNOTE SCHEDULE D, PART X, TEXT OF 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 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. true RONALD MCDONALD HOUSE 949 E PRIMROSE ST SPRINGFIELD MO 65807 430494640 501(C)(3) 10000 DONATION CENTRAL CATHOLIC SCHOOL 1106 N JEFFERSON AVE ST LOUIS MO 63106 431530670 501(C)(3) 10000 DONATION SUNNYHILL INC 11140 S TOWNE SQUARE ST LOUIS MO 63123 431150250 501(C)(3) 30000 DONATION MAKE A WISH FOUNDATION 8251 MARYLAND AVENUE ST LOUIS MO 63105 431550697 501(C)(3) 6000 DONATION USC EDUCATION 1600 HAMPTON ST SUITE 73 COLUMBIA SC 29208 576017985 501(C)(3) 100000 DONATION FAMILY RESOURCE CENTER 3309 S KINGSHIGHWAY BLVD ST LOUIS MO 63139 431071300 501(C)(3) 6500 DONATION MDAKDA HEART OF AMERICA 3340 AMERICAN AVE JEFFERSON CITY MO 65109 440535233 501(C)(3) 100000 SOUTH CAROLINA DENTAL ASSOCIATION 120 STONEMARK LANE COLUMBIA SC 29210 570399460 501(C)(3) 67500 DENTAL LIFELINE NETWORK - MISSOURI PO BOX 8598 KANSAS CITY MO 64114 900293508 501(C)(3) 25000 SOUTH CAROLINA GOOD C/O SOUTH CAROLINA CHAMBER OF COMME COLUMBIA SC 29211 570799139 501(C)(3) 10500 AMERICAN COLLEGE OF DENTIST 839J QUINCE ORCHARD BLVD GAITHERSBURG MD 20878 521415952 501(C)(3) 10000 PALMETTO HEALTH FOUNDATION 1600 MARION ST COLUMBIA SC 29201 570725699 501(C)(3) 10000 HERITAGE CLASSIC 71 LIGHTHOUSE RD SUITE 4200 HILTON HEAD ISLAND SC 29928 570835114 501(C)(3) 6000 UPSTATE SOUTH CAROLINA PO BOX 60750 CHARLOTTE NC 28260 571095229 501(C)(3) 6000 GIVE KIDS A SMILE 340 MID RIVERS MALL DR - STE A ST PETERS MO 63376 201287939 501(C)(3) 5300 15 DENTAL SCHOLARSHIPS 4 329274 PROCEDURES FOR MONITORING THE USE OF GRANT FUNDS IN THE U.S. PART I, LINE 2. 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'S PARTICIPATION. X true true X X X X false true false false false false false false false DAVID HAYNES 479326 0 176000 0 63128 0 0 0 0 0 718454 0 0 0 BARBARA BENTRUP 254472 0 73500 0 16940 0 0 0 0 0 344912 0 0 0 EB ROB GOREN 199161 0 64980 0 16133 0 0 0 0 0 280274 0 0 0 RICHARD KLASSEN 246052 0 82924 0 736217 0 0 0 0 0 1065193 0 620211 0 PAMELA MARTIN 190986 0 63891 0 718226 0 74675 0 0 0 1047778 0 621439 0 KARL MUDRA 213951 0 72682 0 24762 0 0 0 0 0 311395 0 0 0 JEANNE AUBUCHON 84221 0 123224 0 8146 0 0 0 0 0 215591 0 0 0 ROBERT WOZNIAK 69625 0 82575 0 7415 0 0 0 0 0 159615 0 0 0 PAMELA SUMMERS 128943 0 36883 0 3947 0 0 0 0 0 169773 0 0 0 JANE STANHAUS 122114 0 38681 0 353 0 0 0 0 0 161148 0 0 0 JAN LEES 102565 0 36287 0 257685 0 0 0 0 0 396537 0 0 0 INFORMATION REGARDING BENEFTIS PROVIDED PART I, QUESTION 1A HEALTH CLUB DUES WERE PAID FOR THE FOLLOWING EMPLOYEES: HAYNES, GOREN, KLASSEN, MUDRA. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS PART 1, QUESTION 4 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 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. FINNANE-ROBISON DENTAL BOARD MEMBER AS OWNER 150120 DENTAL SERVICES PROVIDED false FISHER DENTAL CENTER BOARD MEMBER AS OWNER 106955 DENTAL SERVICES PROVIDED false BUSINESS TRANSACTIONS PART IV, LINE 1 BOARD 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 TRANSACTIONS PART IV, LINE 2 BOARD 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. DESCRIPTION OF OTHER PROGRAM SERVICES PART III, LINE 4B 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 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 SERVICES PART III, LINE 4C LAND 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 SERVICES PART III, LINE 4D GIVE 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 STOCKHOLDERS PART VI, LINE 6 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 STOCKHOLDERS WHO CAN ELECT MEMBERS OF THE GOVERNING BODY PART VI, LINE 7A 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. MEMBERS OR STOCKHOLDERS PART VI, LINE 7B RECOMMENDED CHANGES TO THE CORPORATE BYLAWS BY THE BOARD ARE SUBJECT TO APPROVAL BY THE MEMBERS. PROCESS TO REVIEW THE FORM 990 PART VI, QUESTION 11B A 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 POLICY PART VI, LINE 12C 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. POLICIES PART VI, QUESTION 15A & 15B 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. DISCLOSURE PART VI, LINE 19 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 91138043 26553568 1.00000 false true false false false false false false false false false true true false false false false false false ADVANTICA HOLDING COMPANY B 1750000 FMV ADVANTICA HOLDING COMPANY L 554000 ALLOCATIONS ADVANTICA HOLDING COMPANY M 6076111 EXPENSE BASED