DELTA DENTAL OF MISSOURI: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF MISSOURI (EIN 43-0908349)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201143199349306524
Schema version
2010v3.4
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)
Timestamp2011-11-15T13:41:10-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

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 Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN430908349EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF MISSOURIBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDELTNameControl
Phone3146563000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameBARBARA BENTRUPName
TitleCFOTitle
Phone3146563000Phone
Date Signed2011-11-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameKelly PostlewaiteName
Phone5136218300Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
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 Code63127ZIPCode
FieldValueIRS element (for citing)
Gross Receipts402281148GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DELTADENTALMO.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileMOStateLegalDomicile
Activity Or Mission DescriptionTHE PRIMARY PURPOSE OF DELTA DENTAL OF MISSOURI IS TO IMPROVE THE DENTAL HEALTH OF THE PUBLIC BY PROMOTING PREVENTIVE DENTISTRY, PROVIDE COMPREHENSIVE DENTAL CARE AND MAINTENANCE ON A PREPAID BASIS.ActivityOrMissionDescription
Nbr Voting Members Governing Body13NbrVotingMembersGoverningBody
Nbr Independent Voting Members10NbrIndependentVotingMembers
Total Nbr Employees181TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI-118569TotalGrossUBI
Net Unrelated Business Txbl Income-118569NetUnrelatedBusinessTxblIncome
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year395415999ProgramServiceRevenuePriorYear
Program Service Revenue CY403887520ProgramServiceRevenueCY
Investment Income Prior Year2713369InvestmentIncomePriorYear
Investment Income Current Year1768546InvestmentIncomeCurrentYear
Other Revenue Prior Year-4546291OtherRevenuePriorYear
Other Revenue Current Year-3936606OtherRevenueCurrentYear
Total Revenue Prior Year393583077TotalRevenuePriorYear
Total Revenue Current Year401719460TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year259335GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY464979GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year361916066BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY373423093BenefitsPaidToMembersCY
Salaries Etc Prior Year16020045SalariesEtcPriorYear
Salaries Etc Current Year13021005SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year12960007OtherExpensePriorYear
Other Expenses Current Year15895988OtherExpensesCurrentYear
Total Expenses Prior Year391155453TotalExpensesPriorYear
Total Expenses Current Year402805065TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2427624RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-1085605RevenuesLessExpensesCY
Total Assets BOY102738181TotalAssetsBOY
Total Assets EOY104155000TotalAssetsEOY
Total Liabilities BOY40183120TotalLiabilitiesBOY
Total Liabilities EOY40878817TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY62555061NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY63276183NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTHE PRIMARY PURPOSE OF DELTA DENTAL OF MISSOURI IS TO IMPROVE THE DENTAL HEALTH OF THE PUBLIC BY PROMOTING PREVENTATIVE DENTISTRY, PROVIDE COMPREHENSIVE DENTAL CARE & MAINTENANCE ON A PREPAID BASIS.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense396602006Expense
Revenue403887520Revenue
DescriptionDELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2010, DELTA DENTAL PROCESSED 2,218,255 CLAIMS FROM CLIENT COMPANIES.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense578000Expense
DescriptionSEE SCHEDULE ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense290000Expense
DescriptionSEE SCHEDULE ODescription
FieldValueIRS element (for citing)
Total Of Other Program Service Exp130000TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt232332TotalOfOtherProgramServiceGrnt
Total Program Service Expense397600006TotalProgramServiceExpense
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 AssetstrueReportOtherAssets
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 OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
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 With109646500NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees181NumberOfEmployees
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 (26 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployee
BRIAN BERGLUND
DIRECTOR1.0X2191700
OLLIE FISHER DMD
DIRECTOR1.0X1898200
RICHARD HAFFNER
DIRECTOR1.0X3697500
HR REDOHL
DIRECTOR1.0X2000600
EDWARD ROBISON DDS
DIRECTOR1.0X1709000
ROBERT TAIT DDS
DIRECTOR1.0X1756900
WILLIAM TUNNEY JR
DIRECTOR1.0X1735000
KEN WORLEY
DIRECTOR1.0X800000
DEE JOYNER
DIRECTOR1.0X1905000
GUY P BATES JR DDS
DIRECTOR1.0X2037400
MELVIN BLOOM CPA
DIRECTOR1.0X2155000
SHANNON KIRCHHOFF
DIRECTOR1.0X1532600
RICHARD W BRAUN
DIRECTOR1.0X673300
STEVE P GAAL III
PRESIDENT & CEO40.0579859043192X
PAMELA A MARTIN
CHIEF OPERATING OFFICER40.02507020121154X
DAVID HAYNES
PRESIDENT & CEO40.05728100125807X
ALCIDES MARTINEZ
VP GOVT AFFAIRS40.0202407048703X
RICHARD KLASSEN
CHIEF SALES/MARKETING OFFICER40.03325630123950X
KARL MUDRA
CIO40.0290260099009X
E B ROB GOREN
VP ACT. & UNDERWRITING40.0251574084445X
BARBARA BENTRUP
CHIEF FINANCIAL OFFICER40.010217006137X
NANCY SPENCER
REG. VP SALES40.0401824048144X
JEANNE AUBUCHON
VP SALES40.0241480059535X
PAMELA SUMMERS
MGR PROV. & CS REL.40.0155186045822X
JANICE LEES
VP BOARD RELATIONS40.0149281081444X
JANE STANHAUS
CORP, MANAGER, HR40.0148360047518X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3919398TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation934860TotalOtherCompensation
Number Individuals GT100 K36NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (4 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
STL CONCIERGE WEDDINGS BY RENEE
CONSULTING424461
BIG THINK CREATIVE ALLIANCE LLC
CONSULTING289919
LA DE DA
CONSULTING266968
LEWIS RICE FINGERSH
LEGAL243715
FieldValueIRS element (for citing)
Number Of Contractors GT100 K4NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionDENTAL PREMIUMSDescription
Business Code524114BusinessCode
Total Revenue Column403887520TotalRevenueColumn
Related Or Exempt Function Income403887520RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue403887520TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1646489TotalRevenueColumn
Exclusion$1,646,489ExclusionAmount

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)
Real379037Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real561688Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-182651Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-182651TotalRevenueColumn
Unrelated Business Revenue-118569UnrelatedBusinessRevenue
Exclusion-$64,082ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities97314Securities
Other24743Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities97314Securities
Other24743Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column122057TotalRevenueColumn
Exclusion$122,057ExclusionAmount

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 INCOME90009935909$35,909
INVESTMENT IN SUBSIDIARY900003-3789864-$3,789,864
FieldValueIRS element (for citing)
Total Other Revenue-3753955TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column401719460TotalRevenueColumn
Related Or Exempt Function Income403887520RelatedOrExemptFunctionIncome
Unrelated Business Revenue-118569UnrelatedBusinessRevenue
Exclusion-$2,049,491ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total232647Total
Program Services232647ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total232332Total
Program Services232332ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total373423093Total
Program Services373423093ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total4854258Total
Program Services3980492ProgramServices
Management And General873766ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total5206455Total
Program Services4269293ProgramServices
Management And General937162ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1319554Total
Program Services1082034ProgramServices
Management And General237520ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total989872Total
Program Services811695ProgramServices
Management And General178177ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total650866Total
Program Services533710ProgramServices
Management And General117156ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total395734Total
Program Services324502ProgramServices
Management And General71232ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total264615Total
Program Services216984ProgramServices
Management And General47631ManagementAndGeneral

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)
Total295055Total
Program Services241945ProgramServices
Management And General53110ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total981545Total
Program Services804867ProgramServices
Management And General176678ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total1649988Total
Program Services1352990ProgramServices
Management And General296998ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2085168Total
Program Services1709838ProgramServices
Management And General375330ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total214749Total
Program Services176094ProgramServices
Management And General38655ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total669749Total
Program Services549194ProgramServices
Management And General120555ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total183456Total
Program Services150434ProgramServices
Management And General33022ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total271674Total
Program Services222773ProgramServices
Management And General48901ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total551974Total
Program Services452619ProgramServices
Management And General99355ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total250245Total
Program Services205201ProgramServices
Management And General45044ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BOARD AND BUREAU DUES12700410414322861
SERVICE BUREAU FEES560685445976201009234
PUBLIC RELATIONS1192328977709214619
SERVICE AGREEMENTS14050611521525291
OUTSOURCE44703436656880466

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total568310Total
Program Services466014ProgramServices
Management And General102296ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total402805065Total
Program Services397600006ProgramServices
Management And General5205059ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY625BOY
EOY625EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY27314973BOY
EOY9697265EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY25470145BOY
EOY22572207EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY285906BOY
EOY183868EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis12523101LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6399356LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6524495BOY
EOY6123745EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY31707205BOY
EOY44906628EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY3617498BOY
EOY12927632EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7817334BOY
EOY7743030EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY102738181BOY
EOY104155000EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10531462BOY
EOY9207683EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY4023204BOY
EOY3921027EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY25628454BOY
EOY27750107EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY40183120BOY
EOY40878817EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY62555061BOY
EOY63276183EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY62555061BOY
EOY63276183EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY102738181BOY
EOY104155000EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-1085605ReconcilationRevenueExpenses
Reconcilation Other Changes1806727ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Land Land

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

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis5549143OtherCostOrOtherBasis
Depreciation1796796Depreciation
Book Value3752347BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1685889OtherCostOrOtherBasis
Depreciation798274Depreciation
Book Value887615BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis1457407OtherCostOrOtherBasis
Depreciation1432749Depreciation
Book Value24658BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2480662OtherCostOrOtherBasis
Depreciation2371537Depreciation
Book Value109125BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings6123745TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionINVEST. IN ADVANTICA HLDG CODescription
Book Value12927632BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related12927632TotalOfBookValueProgramRelated

Other Assets OtherAssets (6 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM AFFILIATE4946186
TRICARE PAYABLE1693833
SERP FUNDS702986
INVESTMENT INCOME RECEIVABLE345690
ADVANCE DEPOSITS35000
MISCELLANEOUS19335
FieldValueIRS element (for citing)
Total Book Value Other Assets7743030TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
INCURRED BUT UNREPORTED CLAIMS$24,221,207
ESTIMATE UNPAID CLAIM PROCESS$575,359
UNEARNED PREMIUMS$2,612,995
EXPERIENCE RATED CREDIT LIAB$66,370
ADVANCE DEPOSITS$274,176
FieldValueIRS element (for citing)
Total Of Amounts27750107TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

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. 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, 2007 THROUGH 2009.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
MAKE A WISH FOUNDATION
8251 MARYLAND AVENUE STE 10 ST LST LOUISMO63105431550697501(C)(3)6000GENERAL PURPOSES
MISSOURI DENTAL ASSOCIATION
3340 AMERICAN AVENUE JEFFERSON CITJEFFERSON CITYMO65109440535233501(C)(3)5293GENERAL PURPOSES
GREATER ST LOUIS DENTAL SOCIETY
11457 OLDE CABIN RD STE 300 ST LST LOUISMO63141430494640501(C)(3)8325GENERAL PURPOSES
SUNNYHILL
11140 S TOWNE SQ STE 101 ST LOUIST LOUISMO63123431150250501(C)(3)26500GENERAL PURPOSES
CYSTIC FIBROSIS
10801 PEAR TREE LANE STE 110 ST LST LOUISMO63074131930701501(C)(3)10000GENERAL PURPOSES
RONALD MCDONALD
949 E PRIMROSE STREET SPRINGFIELDSPRINGFIELDMO65807431371143501(C)(3)13000GENERAL PURPOSES
GIVE KIDS A SMILE
340 MID RIVERS MALL DR STE A ST PST PETERSMO63376201287939501(C)(3)6690GENERAL PURPOSES
ST LOUIS UNIVERSITY
3437 CAROLINE MALL ROOM 311 ST LST LOUISMO63104430654872501(C)(3)10000GENERAL PURPOSES
CENTRAL CATHOLIC
1106 NORTH JEFFERSON AVENUE ST LOST LOUISMO63106431530670501(C)(3)12500GENERAL PURPOSES
USC EDUCATION
1600 HAMPTON STREET STE 736N COLUCOLUMBIASC29208576017985501(C)(3)104187GENERAL PURPOSES
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants10TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantDENTAL SCHOLARSHIPSTypeOfGrant
Number Of Recipients4NumberOfRecipients
Amount Of Cash Grant232332AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierGENERAL INFORMATION ON GRANTS AND ASSISTANCEIdentifier
Return ReferencePART I, LINE 2ReturnReference
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)
Travel For CompanionsXTravelForCompanions
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 (12 entries)

Base 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
STEVE P GAAL III
19532019000003703270323500108420623051000
PAMELA A MARTIN
17481606050001538601001930209610371856000
DAVID HAYNES
403933010963705924001019380238690698617000
ALCIDES MARTINEZ
1374320480000169750282340204690251110000
RICHARD KLASSEN
22689407800002766901020050219450456513000
KARL MUDRA
1962140685000255460753680236410389269000
NANCY SPENCER
16256402370930216703491713227449968000
JEANNE AUBUCHON
7922201526680959003558823947301015000
PAMELA SUMMERS
1186430350000154303430011522201008000
E B ROB GOREN
17598606125001433806203322412336019000
JANICE LEES
9521803450001956305812723317230725000
JANE STANHAUS
113513034500034702649721021195878000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
QUESTIONS REGARDING COMPENSATIONPART I, LINE 1DELTA DENTAL OF MISSOURI REIMBURSES OFFICERS AND BOARD MEMBERS FOR TRAVEL EXPENSES INCURRED BY THEIR SPOUSES. TRAVEL FOR COMPANIONS WAS PROVIDED TO THE FOLLOWING LISTED INDIVIDUALS: BERGLUND, FISHER, HAFFNER, REDOHL, ROBISON, TAIT, BATES, KIRCHHOFF, GAAL, MARTIN, HAYNES, MARTINEZ, KLASSEN, MUDRA. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION. ADDITIONALLY, DELTA DENTAL REIMBURSES OFFICERS FOR CLUB DUES. CLUB DUES WERE PROVIDED TO THE FOLLOWING LISTED INDIVIDUALS: GAAL, KLASSEN, HAYNES, MUDRA, and MARTINEZ. THESE AMOUNTS ARE TREATED AS TAXABLE COMPENSATION.
TERMS & CONDITIONS OF DDM SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANPART I, LINE 4BTHE 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 2010 FOR THE FOLLOWING INDIVIDUALS WERE: - STEVE GAAL III $ 94,874 - DAVID HAYNES $ 43,423 - RICHARD KLASSEN $ 15,783 - PAMELA MARTIN $ 416 - KARL MUDRA $ 11,084 - JANE AUBUCHON $ 3,048 ------------ TOTAL $ 168,628 THE ORGANIZATION HAS AN UNFUNDED, NONQUALIFIED, DEFINED BENEFIT DEFERRED COMPENASATION PLAN FOR ITS CORPORATE OFFICERS, WITH VESTING OVER 15 YEARS OF SERVICE AS AN OFFICER OF 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 PARTICIPATED IN THIS PLAN DURING 2010 WERE THE FOLLOWING: STEVE GAAL, PAMELA MARTIN, DAVID HAYNES, RICHARD KLASSEN, E.B. ROB GOREN, JANICE LEES, ALCIDES MARTINEZ, AND KARL MUDRA.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
FINNANE-ROBISON DENTAL
BOARD MEMBER AS OWNER165577DENTAL SERVICES PROVIDEDfalse
CHRISTOPHER HAFFNER
BOARD MEMBER'S NEPHEW81647DENTAL SERVICES PROVIDEDfalse
ELIZABETH FINNANE
BOARD MEMBER'S DAUGHTER45150DENTAL SERVICES PROVIDEDfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSPART 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 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 A HEALTHY LIFESTYLE. A MAJOR RECONSTRUCTION IS PLANNED FOR EARLY 2011 TO ENHANCE THE LEARNING EXPERIENCE. WE WILL CONTINUE TO EXPAND THE PROGRAMING 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 CIVIC EVENTS AND HEALTH FAIRS, SUCH AS TASTE OF ST. LOUIS, WINTER ZOO AT THE ST. LOUIS ZOO AND BABY KIDS EXPO, WHERE THE THEATRE PROVIDES EDUCATIONAL PROGRAMS, PAMPHLETS, AND DENTAL CARE SUPPLIES. LONGEVITY: THEATRE HAS BEEN OPERATING FOR THIRTY-THREE YEARS. DELTA DENTAL HAS BEEN A PRIMARY, PERMANENT SPONSOR FOR NINE YEARS, SINCE 2002.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSPART III, LINE 4CLAND 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 320 K-3RD GRADE CLASSROOMS THROUGHOUT THE STATE OF MISSOURI IN 2010, 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: NINE YEARS.
STATEMENT OF PROGRAM SERVICE ACCOMPLISHMENTSPART III, LINE 4DGIVE KIDS A SMILE IN ST. LOUIS. CO-SPONSORS/COALITIONS INVOLVED: GREATER ST. LOUIS DENTAL SOCIETY (GSLDS). ONE OF OUR MOST SUCCESSFUL OUTREACH INITIATIVES, GKAS WAS LAUNCHED IN ST. LOUIS, MISSOURI, IN FEBRUARY OF 2002 IN PARTNERSHIP WITH GSLDS. IN 2010, GKAS IN ST. LOUIS PROVIDED 6,311 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, CLOWNS, DELTA DENTAL'S TOOTH WIZARD AND P.A.N.D.A. CHARACTERS, EDUCATIONAL VIDEOS, DENTAL CARE KITS, FREE TOYS AND BOOKS AND SACK LUNCHES ENTERTAIN THE CHILDREN SO THAT THE VISIT TO THE DENTIST IS ASSOCIATED WITH A FUN AND EDUCATIONAL EXPERIENCE. FOR EACH CLINIC, DELTA DENTAL OF MISSOURI FUNDS ALL PR 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: NINE YEARS.
GOVERNING BODY & MANAGEMENTPART VI, SECTION A, LINE 6THE MEMBERS REPRESENT PARTICIPATING DENTISTS IN THE STATE OF MISSOURI. THE MEMBERS MEET ANNUALLY.
GOVERNING BODY & MANAGEMENTPART VI, SECTION A, LINE 7ATHE MEMBERS OF THE BOARD OF DIRECTORS ARE NOMINATED BY THE "MEMBERS". THE MEMBERS REPRESENT PARTICIPATING DENTISTS IN THE STATE OF MISSOURI. THE MEMBERS MEET ANNUALLY.
GOVERNING BODY & MANAGEMENTPART VI, SECTION A, LINE 7BTHE "MEMBERS" CAN ESTABLISH AND APPROVE BOARD COMMITTEES.
POLICIESPART VI, SECTION B, LINE 11BA COPY OF THE FORM 990 WAS REVIEWED BY THE ORGANIZATION'S CFO AND PRESENTED TO THE FINANCE AND AUDIT COMMITTEE AND EXECUTIVE COMMITTEE.
POLICIESPART VI, SECTION B, 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, SECTION B, LINES 15A & 15BDELTA DENTAL OF MISSOURI HAS ESTABLISHED A COMPENSATION COMMITTEE (A SUBSET OF THE BOARD OF DIRECTORS) THAT REVIEWS AND SETS OFFICER COMPENSATION. IT EMPLOYS INDEPENDENT COMPENSATION CONSULTANTS, UTILIZES RELEVANT COMPENSATION SURVEYS AND STUDIES, AND SEEKS APPROVAL ON FINALIZED COMPENSATION PROPOSALS BY THE COMMITTEE AND BOARD OF DIRECTORS.
DISCLOSUREPART VI, SECTION C, LINE 19THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST.
FINANCIAL STATEMENTS AND REPORTINGPART XI, LINE 5UNREALIZED GAIN/LOSS (1,806,724)

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 Income85153708ShareOfTotalIncome
Share Of EOY Assets25868840ShareOfEOYAssets
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 OrgtrueLoansOrGuaranteesFromOtherOrg
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ADVANTICA HOLDING COMPANY
B13100000
ADVANTICA HOLDING COMPANY
E1700000
ADVANTICA HOLDING COMPANY
L4591223
ADVANTICA HOLDING COMPANY
P554000

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