2012-11-15T14:56:53-06:00 2011-12-31 BKD LLP 312 WALNUT STREET SUITE 3000 CINCINNATI OH 45202 990 2011-01-01 430908349 DELTA DENTAL OF MISSOURI % BARBARA BENTRUP DELT 3146563000 12399 GRAVOIS ROAD ST LOUIS MO 631271702 BARBARA BENTRUP 2012-11-15 true Aaron Hershberger 5136218300 2011 2016-02-24 21:20:13Z BARBARA BENTRUP 12399 GRAVOIS ROAD ST LOUIS MO 631271702 445793235 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 10 199 -14461 -14461 0 0 403887520 441642197 1768546 2234351 -3936606 1480906 401719460 445357454 464979 691007 373423093 405880043 13021005 15071148 0 0 0 15895988 15988273 402805065 437630471 -1085605 7726983 104155000 115132995 40878817 44393926 63276183 70739069 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 431130987 441642197 DELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2011, DELTA DENTAL PROCESSED 2,389,978 CLAIMS FROM CLIENT COMPANIES. 507786 SEE SCHEDULE O 263000 SEE SCHEDULE O 138000 432039773 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 48189 0 true 199 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 18600 0 0 DEE JOYNER 4.0 X 14800 0 0 EDWARD C ROBISON DDS 4.0 X 13950 0 0 GUY P BATES JR DDS 4.0 X 14800 0 0 H R REDOHL 4.0 X 17950 0 0 MELVIN M BLOOM CPA 4.0 X 18423 0 0 OLLIE FISHER DMD 4.0 X 16899 0 0 RICHARD HAFFNER 7.0 X 35864 0 0 RICHARD W BRAUN 4.0 X 18200 0 0 ROBERT TAIT DDS 4.0 X 16117 0 0 SHANON KIRCHHOFF 4.0 X 12250 0 0 WILLIAM TUNNEY JR 4.0 X 15650 0 0 DAVID HAYNES 60.0 X X 678853 0 145478 BARBARA BENTRUP 60.0 X 273838 0 71608 EB ROB GOREN 60.0 X 264534 0 85229 RICHARD KLASSEN 60.0 X 348891 0 91421 PAMELA MARTIN 60.0 X 257249 0 91982 ALCIDES MARTINEZ 60.0 X 205833 0 46554 KARL MUDRA 60.0 X 307211 0 84231 NANCY SPENCER 60.0 X 371088 0 47066 LYNN PYLE 60.0 X 210496 0 49629 JEANNE AUBUCHON 60.0 X 205749 0 56014 ROBERT WOZNIAK 60.0 X 166321 0 49676 PAMELA SUMMERS 60.0 X 159758 0 32874 3663324 0 851762 30 false true false HEARTLAND FAMILY DENTAL CARE OF MIS 1100 SPUR DR STE 30 MARSHFIELD MO 65706 DENTAL SERVICES 2611224 WM GERALD ALBRECHT LTD 3555 SUNSET OFFICE DR STE 21 ST LOUIS MO 63127 DENTAL SERVICES 1618649 JAY F HAUSER DDS PC PO BOX 503094 ST LOUIS MO 63150 DENTAL SERVICES 1177598 DAVID A DURHAM ASSOC DDS PC 10000 WATSON RD STE A ST LOUIS MO 63126 DENTAL SERVICES 891794 SUNSET HILLS DENTAL LLC PO BOX 8570 ST LOUIS MO 63126 DENTAL SERVICES 875854 584 0 DENTAL PREMIUMS 524114 441642197 441642197 441642197 2139435 2139435 0 0 413669 435781 -22112 -22120 -14461 -7659 94916 94916 94916 94916 0 0 0 MISCELLANEOUS INCOME 900099 13396 13396 INVESTMENT IN SUBSIDIARY 900003 1489630 1489630 1503026 445357454 441642197 -14461 3729718 328369 328369 362638 362638 0 405880043 405880043 4515087 3702371 812716 0 6681447 5478787 1202660 2271455 1862593 408862 1058983 868366 190617 544176 446224 97952 0 260264 213416 46848 315608 258799 56809 0 0 280761 230224 50537 1310184 1074351 235833 1352971 1109436 243535 2369177 1942725 426452 0 0 358487 293959 64528 831525 681851 149674 0 160870 131913 28957 176463 144700 31763 0 495581 406376 89205 276798 226974 49824 BOARD AND BUREAU DUES 321112 263312 57800 SERVICE BUREAU FEES 5593128 4586365 1006763 PUBLIC RELATIONS 927588 760622 166966 SERVICE AGREEMENTS 209825 172056 37769 747931 613303 134628 437630471 432039773 5590698 0 625 200 9697265 13948429 0 0 22572207 24571438 0 0 0 0 0 0 0 0 183868 335908 12574451 6730073 6123745 5844378 44906628 46861056 0 0 12927632 20200126 0 0 7743030 3371460 104155000 115132995 9207683 10090609 0 0 0 0 0 0 0 0 0 0 3921027 3734739 0 0 27750107 30568578 40878817 44393926 X 0 0 0 0 63276183 70739069 63276183 70739069 104155000 115132995 X 7726983 -264097 X false true true X false 1350000 1350000 5549143 1955346 3593797 1685889 913361 772528 1457407 1443782 13625 2532012 2417584 114428 5844378 INVEST. IN ADVANTICA HLDG CO 20200126 C 20200126 0 INCURRED BUT UNREPORTED CLAIMS 25353477 ESTIMATE UNPAID CLAIM PROCESS 596561 UNEARNED PREMIUMS 2892793 EXPERIENCE RATED CREDIT LIAB 161073 ADVANCE DEPOSITS 155976 DUE TO/FROM AFFILIATES 1408698 30568578 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. THE ORGANIZATION AND ITS SUBSIDIARIES ARE CURRENTLY OPEN TO EXAMINATION UNDER THE STATUE OF LIMITATIONS BY THE INTERNAL REVENUE SERVICE AND STATES IN WHICH IT FILES FOR THE YEARS ENDED DECEMBER 31, 2008 THROUGH 2010. true RONALD MCDONALD HOUSE 949 E PRIMROSE ST SPRINGFIELD MO 65807 431371143 501(C)(3) 10000 DONATION ST LOUIS UNIVERSITY 3437 CAROLINE MALL ST LOUIS MO 63104 430654872 501(C)(3) 10000 DONATION CYSTIC FIBROSIS FOUNDATION 10801 PEAR TREE LANE ST ANN MO 63074 131930701 501(C)(3) 11000 DONATION CENTRAL CATHOLIC SCHOOL 1106 N JEFFERSON AVE ST LOUIS MO 63106 431530670 501(C)(3) 20000 DONATION SUNNYHILL INC 11140 S TOWNE SQUARE ST LOUIS MO 63123 431150250 501(C)(3) 25000 DONATION MAKE A WISH FOUNDATION 8251 MARYLAND AVENUE ST LOUIS MO 63105 431550697 501(C)(3) 6000 DONATION MISSOURI DENTAL ASSOCIATION 3340 AMERICAN AVE JEFFERSON CITY MO 65109 440535233 501(C)(3) 50000 DONATION AMERICA'S DENTIST CARE 9110 E 35TH ST N WICHITA KS 67226 262275291 501(C)(3) 36000 DONATION USC EDUCATION 1600 HAMPTON ST COLUMBIA SC 29208 576017985 501(C)(3) 107500 DONATION BETTER BUSINESS BUREAU 211 N BROADWAY ST LOUIS MO 63102 430181430 501(C)(3) 6000 DONATION 10 DENTAL SCHOLARSHIPS 4 362638 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 X true true X X X X false true false false false false false false false DAVID HAYNES 440342 0 165200 0 73311 0 119629 0 25849 0 824331 0 BARBARA BENTRUP 210025 0 56000 0 7813 0 61022 0 10586 0 345446 0 EB ROB GOREN 181351 0 68088 0 15095 0 60440 0 24789 0 349763 0 RICHARD KLASSEN 239671 0 80509 0 28711 0 72766 0 18655 0 440312 0 PAMELA MARTIN 182380 0 62030 0 12839 0 74287 0 17695 0 349231 0 ALCIDES MARTINEZ 142622 0 48945 0 14266 0 29363 0 17191 0 252387 0 KARL MUDRA 208009 0 73394 0 25808 0 58694 0 25537 0 391442 0 NANCY SPENCER 171039 0 194619 0 5430 0 36750 0 10316 0 418154 0 LYNN PYLE 71634 0 137520 0 1342 0 31570 0 18059 0 260125 0 JEANNE AUBUCHON 81713 0 114016 0 10020 0 30171 0 25843 0 261763 0 ROBERT WOZNIAK 70318 0 93968 0 2035 0 24961 0 24715 0 215997 0 PAMELA SUMMERS 122489 0 35809 0 1460 0 23813 0 9061 0 192632 0 INFORMATION REGARDING BENEFTIS PROVIDED PART I, QUESTION 1A DELTA DENTAL OF MISSOURI REIMBURSES OFFICERS AND BOARD MEMBERS FOR TRAVEL EXPENSES INCURRED BY THEIR SPOUSES. TRAVEL FOR COMPANIONS WAS PROVIDED TO THE FOLLOWING LISTED BOARD MEMBERS: BLOOM, FISHER, HAFFNER AND TAIT. 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 2011 FOR THE FOLLOWING INDIVIDUALS WERE: - DAVID HAYNES $57,025 - RICHARD KLASSEN $12,700 - KARL MUDRA $ 4,963 -------- TOTAL $74,688 THE ORGANIZATION HAS AN UNFUNDED NONQUALIFIED, DEFINED BENEFIT DEFERRED COMPENSATION PLAN FOR ITS CORPORATE OFFICERS, WITH VESTING OVER 15 YEARS OF SERVICE AS AN OFFICER 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 TOTAL YEARS OF SERVICE. INDIVIDUALS WHO PARTICIPATE IN THIS PLAN DURING 2011 WERE THE FOLLOWING: DAVID HAYNES, BARBARA BENTRUP, E.B. ROB GOREN, RICHARD KLASSEN, JANICE LEES, PAMELA MARTIN, ALCIDES MARTINEZ AND KARL MUDRA. 0 FINNANE-ROBISON DENTAL BOARD MEMBER AS OWNER 213868 DENTAL SERVICES PROVIDED false FISHER DENTAL CENTER BOARD MEMBER AS OWNER 110132 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 10,000 VISITORS, PRIMARILY FROM SCHOOL FIELD TRIPS, VISIT THE THEATRE EACH YEAR. 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 AND A NEW PUPPET VIDEO A VISIT TO "HEALTHY HOLLOW" INTRODUCING A CAST OF FANTASY CHARACTERS WHO EACH TEACH SOMETHING ABOUT GOOD ORAL HEALTH AND A HEALTHY LIFESTYLE. 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-FOUR YEARS. DELTA DENTAL HAS BEEN A PRIMARY, PERMANENT SPONSOR FOR TEN 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 THE 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 2011, 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 CRAYONS. 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.LANDOFSMILEVIDEO.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: TEN 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 2011, GKAS IN ST. LOUIS PROVIDED 3,901 CHILDREN WITH MORE THAN $1 MILLION WORTH OF FREE DENTAL CARE AND ORAL HEALTH EDUCATION AT ITS TWO CLINICS AND OTHER COMMUNITY PROGRAMS. AT THE TWO-DAY CLINICS, SEVERAL HUNDRED LOCAL DENTISTS, HYGIENISTS AND ASSISTANTS, SUPPORTED BY LAY VOLUNTEERS AND SPONSORS, SUCH AS DELTA DENTAL, PROVIDE CHILDREN WITH FREE, COMPREHENSIVE DENTAL CARE, INCLUDING EXAMS, SEALANTS, X-RAYS, PROFESSIONAL CLEANINGS, FLUORIDE TREATMENTS,RESTORATIONS AND MORE. ON-SITE ENTERTAINMENT SUCH AS FACE PAINTING,STORYTELLING, BALLOONISTS, DELTA DENTAL'S TOOTH WIZARD AND P.A.N.D.A. 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 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: TEN 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. FINANCIAL STATEMENTS AND REPORTING PART XI, LINE 6 UNREALIZED GAIN ON INVESTMENTS $453,043 CUMULATIVE EFFECT OF W/O OF GOODWILL IN ACCORDANCE WITH ASU 2010-28: $(717,140) ADVANTICA HOLDING COMPANY 12399 GRAVOIS ROAD ST LOUIS MO 63127 261323283 HOLDING COMPANY MO NA C-corp 92345119 29441100 1.00000 false true false false false false false false false false true true false false false false false false ADVANTICA HOLDING COMPANY B 6500000 FMV ADVANTICA HOLDING COMPANY K 507833 ALLOCATIONS ADVANTICA HOLDING COMPANY L 3048646 EXPENSE BASED