2025-11-14T16:16:54+00:00 2024-12-31 440160260 Forvis Mazars LLP 312 Walnut Street Suite 3000 Cincinnati OH 45202 990 2024-01-01 430908349 Delta Dental of Missouri DELT 3146563000 12399 Gravois Road St Louis MO 631271702 E B ROB GOREN PRESIDENT & CEO 3146563000 2025-11-14 true true Aaron Hershberger P00961884 5136218300 2025-11-11 2024 2025-03-06 01:10:19Z E B ROB GOREN 12399 Gravois Road St Louis MO 631271702 805510567 false X WWW.DELTADENTALMO.COM X 1958 MO OUR PURPOSE IS TO IMPROVE THE DENTAL HEALTH OF THE PUBLIC BY PROMOTING PREVENTIVE DENTISTRY AND PROVIDING COMPREHENSIVE DENTAL CARE AND MAINTENANCE ON A PREPAID BASIS. 15 11 307 0 0 0 0 718655430 795817625 4126810 8445482 1292409 1247460 724074649 805510567 1289928 1253514 653748728 716446888 40019351 40670162 0 0 0 25648448 37076145 720706455 795446709 3368194 10063858 216935116 229093320 42869395 41335445 174065721 187757875 X THE ORGANIZATION'S PRIMARY PURPOSE IS TO IMPROVE THE DENTAL HEALTH OF THE PUBLIC BY PROMOTING PREVENTIVE DENTISTRY AND PROVIDING COMPREHENSIVE DENTAL CARE AND MAINTENANCE ON A PREPAID BASIS. false false 780744557 0 795817625 DELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2024, DELTA DENTAL PROCESSED 3,632,677 CLAIMS FOR DENTAL SERVICES. 1028514 1028514 0 ORAL HEALTH GRANT PROGRAM PROGRAM DESCRIPTION: DELTA DENTAL OF MISSOURI'S ORAL HEALTH GRANT PROGRAM HELPS REDUCE DENTAL DISEASE THROUGH EDUCATION, PREVENTION AND TREATMENT; ENSURE ACCESS TO AFFORDABLE, TIMELY AND HIGH-QUALITY DENTAL CARE; AND ENHANCE AWARENESS OF GOOD ORAL HEALTH WITH A FOCUS ON CHILDREN AND UNDERSERVED INDIVIDUALS. IN 2024, DELTA DENTAL OF MISSOURI AWARDED NEARLY $1.2 MILLION IN GRANTS TO 32 MISSOURI AND SOUTH CAROLINA ORGANIZATIONS, WHICH ALIGN WITH ITS NON-PROFIT MISSION TO IMPROVE ORAL HEALTH. FUNDING INCLUDED DIRECT CARE GRANTS; EQUIPMENT/CAPITAL GRANTS; WORKFORCE DEVELOPMENT; EDUCATIONAL GRANTS; AND LOAN REPAYMENT GRANTS FOR DENTISTS WHO COMMIT TO SERVING IN A DENTAL HEALTH PROFESSIONAL SHORTAGE AREA. THE COMPANY ACCEPTS GRANT APPLICATIONS ANNUALLY. TO BE ELIGIBLE FOR AN ORAL HEALTH GRANT, APPLICANTS IN BOTH STATES MUST FIRST COMPLETE A LETTER OF INTENT THROUGH THE ONLINE GRANT APPLICATION SYSTEM. APPLICANTS MUST BE CONSIDERED TAX-EXEMPT UNDER 501(C)(3) OF THE INTERNAL REVENUE CODE, OR BE A PUBLIC OR GOVERNMENTAL ENTITY, SUCH AS A PUBLIC SCHOOL OR HEALTH DEPARTMENT, AND SERVE THE PEOPLE OF MISSOURI OR SOUTH CAROLINA. THE MINIMUM GRANT AMOUNT IS $5,000. ORAL HEALTH GRANTS GREATER THAN $5,000 ARE INCLUDED IN SCHEDULE I. DELTA DENTAL OF MISSOURI BEGAN ADMINISTERING THIS ORAL HEALTH GRANT PROGRAM ONLINE IN 2017. 368000 0 0 LAND OF SMILES PROGRAM PROGRAM DESCRIPTION: DELTA DENTAL OF MISSOURI'S LAND OF SMILES IS AN EDUCATIONAL PROGRAM THAT FEATURES CAPTIVATING CHARACTERS, WHO TEACH GRADE SCHOOLERS GOOD DENTAL HEALTH HABITS. THE PROGRAM IS AVAILABLE IN A LIVE, IN-PERSON AND VIRTUAL FORMAT. IN 2024, DELTA DENTAL OF MISSOURI INVESTED MORE THAN $368,000 TO EDUCATE NEARLY 84,000 MISSOURI AND SOUTH CAROLINA KINDERGARTEN-THROUGH-3RD-GRADE STUDENTS IN 449 SCHOOLS. STUDENTS LEARN THE IMPORTANCE OF BRUSHING TEETH TWICE A DAY, FLOSSING, EATING HEALTHY FOODS AND VISITING THE DENTIST REGULARLY. DELTA DENTAL OF MISSOURI OFFERS FREE "SMILE BAGS" TO SCHOOLS FOR STUDENTS WHO PARTICIPATE IN THE PROGRAM. EACH BAG INCLUDES A TOOTHBRUSH, TOOTHPASTE AND DENTAL FLOSS TO HELP STUDENTS PRACTICE THE GOOD ORAL HEALTH HABITS THAT THEY LEARN. EACH SCHOOL IS RESPONSIBLE FOR DISTRIBUTING THE BAGS TO PARTICIPATING STUDENTS WHO ATTEND SCHOOL IN PERSON OR VIRTUALLY. A SURVEY OF SCHOOL NURSES SHOWED THAT 99% WOULD LIKE TO HAVE THE PROGRAM RETURN TO THEIR SCHOOL. PRE- AND POST-TEST DATA ALSO SHOWED A 30% INCREASE IN CHILDREN'S ORAL HEALTH KNOWLEDGE AFTER VIEWING THE PROGRAM. LONGEVITY: THIS PROGRAM HAS BEEN IN PLACE IN MISSOURI SINCE 2002, AND IN SOUTH CAROLINA SINCE 2014. 225000 225000 0 COMMUNITY GIVING PROGRAM PROGRAM DESCRIPTION: THROUGH DELTA DENTAL OF MISSOURI'S COMMUNITY GIVING PROGRAM, THE COMPANY SUPPORTS CHARITABLE ORGANIZATIONS AND PROGRAMS THAT ARE WORKING TO MAKE A DIFFERENCE IN MISSOURI AND SOUTH CAROLINA COMMUNITIES. DELTA DENTAL OF MISSOURI CONSIDERS COMMUNITY GIVING REQUESTS EACH QUARTER FROM REGISTERED 501(C)(3) CHARITABLE ORGANIZATIONS, WHICH SERVE INDIVIDUALS IN MISSOURI OR SOUTH CAROLINA, AND SUPPORT THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY WITH A FOCUS ON AT-RISK POPULATIONS. MORE THAN $90,000 IN COMMUNITY DONATIONS WERE AWARDED IN 2024. ORGANIZATIONS MAY APPLY FOR FUNDING ONCE PER YEAR. DELTA DENTAL OF MISSOURI'S COMMUNITY GIVING INCLUDES ORAL HEALTH SUPPLY DONATIONS OF TOOTHBRUSHES AND DENTAL FLOSS TO ORGANIZATIONS TO HELP INDIVIDUALS MAINTAIN GOOD ORAL HYGIENE FOR BETTER DENTAL HEALTH. IN 2024, DELTA DENTAL OF MISSOURI DONATED MORE THAN 225,000 DENTAL SUPPLY ITEMS TO 39 ORGANIZATIONS AS PART OF THE LAND OF SMILES PROGRAM. 225000 225000 782366071 false false false false false false false false false false true false true false true true false true false false false false false false false false false true false true false false false false false false false false false true false false false false false true true true false false true 60700 0 true 307 true false false false false false false false false false false true false X 15 11 false false false false true true true true true false true true true true true true true true true true false false SC X ANDREW ROUSE 3146563000 12399 GRAVOIS ROAD ST LOUIS MO 631271702 Anthony Garavaglia Director 2.0 0.0 X 39200 0 0 Christine Pierson Director 2.0 0.0 X 41300 0 0 Cynthia Petrie Director 2.0 0.0 X 39300 0 0 Deborah Patterson Secretary/Director 2.0 0.0 X 44750 0 0 Gary Williams Director- Term ended 11/2024 2.0 0.0 X 54350 0 0 John Custardo Director -Term ended 11/2024 2.0 0.0 X 37200 0 0 Kathleen Tucker Director 2.0 0.0 X 48050 0 0 Latasha Vick Director 2.0 0.0 X 38250 0 0 Mark Zust Chair of the Board/Director 2.0 0.0 X 80250 0 0 Megan Krohn Director 2.0 0.0 X 38250 0 0 Nathan Suter Second Vice Chair/Director 2.0 0.0 X 46550 0 0 Noble Cooper JR Director 2.0 0.0 X 44450 0 0 Oladipupo Adefala First Vice Chair/Director 2.0 0.0 X 52750 0 0 Patricia Britton Director 2.0 0.0 X 0 0 0 Steven Harris Treasurer/Director 2.0 0.0 X 41250 0 0 Tamera Sheffield Director 2.0 0.0 X 0 0 0 William Gray Director 2.0 0.0 X 39600 0 0 Andrew Rouse Chief Financial Officer 60.0 0.0 X 512082 0 32558 Cipriano Mascote Chief Actuarial Officer 60.0 0.0 X 313547 0 85933 E B Rob Goren President & CEO 60.0 0.0 X 1504801 0 168712 James J Barone Chief Sales & Marketing Officer 60.0 0.0 X 747576 0 88126 Jane Stanhaus Chief Human Resource Officer 60.0 0.0 X 363644 0 79904 Jonathan R Jennings Chief Operating Officer 60.0 0.0 X 670486 0 113447 Kiran Achen Chief Information Officer 60.0 0.0 X 679381 0 94493 Rhonda Graack General Counsel 60.0 0.0 X 349509 0 92276 Christine Waltman Account Executive 40.0 0.0 X 305158 0 78014 Ellen R Samuels Compliance Director 40.0 0.0 X 242504 0 91638 Kathleen Baker Account Executive 40.0 0.0 X 261927 0 74924 Robert Wozniak Account Executive 40.0 0.0 X 348752 0 56375 Zachary Kain Reginal Vice President, Individual and Small Group 40.0 0.0 X 267675 0 70647 Ronald Inge Chief Dental Officer, & COO 0.0 0.0 X 131889 0 0 7384431 0 1127047 73 true true false MISSOURI DENTAL PROFESSIONALS 1100 SPUR DR STE 30 MARSHFIELD MO 65706 DENTAL SERVICES 8870176 MICHAEL K PARSONS DDS PC 6 MCBRIDE AND SON CENTER DR STE 203 CHESTERFIELD MO 63005 DENTAL SERVICES 4479084 ST LOUIS PEDIATRIC DENTISTRY LLC 4645 STATE HYW K OFALLON MO 63368 DENTAL SERVICES 3236230 LIFETIME DENTAL CARE OF MISSOURI PO BOX 503904 ST LOUIS MO 63150 DENTAL SERVICES 3225213 ANDREW DILL DMD AMY VARBLE DMD AND MICHAEL WONG DMD PC 425 N NEW BALLAS RD STE 104 CREVE COEUR MO 63141 DENTAL SERVICES 2883905 1090 0 0 0 0 0 0 0 0 DENTAL PREMIUMS 524114 795817625 795817625 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 795817625 5601411 0 0 5601411 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2844071 0 0 0 2844071 0 2844071 0 0 2844071 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 MISCELLANEOUS INCOME 900099 586224 0 0 586224 INVESTMENT IN SUBSIDIARY 900003 661236 0 0 661236 0 0 0 0 0 0 0 0 1247460 805510567 795817625 0 9692942 1253514 1253514 0 0 0 0 716446888 716446888 6713864 0 6713864 0 0 0 0 0 24255035 22454649 1800386 0 3584218 3205021 379197 0 4340334 4018163 322171 0 1776711 1644830 131881 0 0 0 0 0 310930 245553 65377 0 304192 240231 63961 0 0 0 0 0 0 0 329282 0 329282 0 3975262 3139401 835861 0 2186779 2024459 162320 0 3912315 3621915 290400 0 68440 63360 5080 0 0 0 0 0 718608 665267 53341 0 768922 711848 57074 0 0 0 0 0 345784 320121 25663 0 0 0 0 0 0 0 0 0 1594872 1476489 118383 0 699142 0 699142 0 BOARD AND BUREAU DUES 1002887 928445 74442 0 SERVICE BUREAU FEES 2819589 2610298 209291 0 BROKER COMMISSIONS 8022140 8022140 0 0 SERVICE AGREEMENTS 7426836 6875563 551273 0 2590165 2397916 192249 0 795446709 782366071 13080638 0 0 0 35164815 22697050 0 0 14177993 21155171 0 0 0 0 0 0 0 0 1216826 1410945 38497362 22530499 12131724 15966863 132652574 144392518 22000 6000 16751827 17413063 0 0 4817357 6051710 216935116 229093320 17791845 17091174 0 0 0 0 0 0 0 0 0 0 0 0 0 0 25077550 24244271 42869395 41335445 0 0 0 0 X 0 0 0 0 174065721 187757875 174065721 187757875 216935116 229093320 10063858 3628296 0 0 0 0 X false true true false 0 1350000 1350000 0 8657641 6225087 2432554 0 1145351 1032979 112372 0 7092344 6628729 463615 0 20252026 8643704 11608322 15966863 INVESTMENT IN ADVANTICA HLDG CO 17413063 C 17413063 Federal Income Taxes CLAIMS PAYABLE 11533703 UNPAID CLAIM PROCESSING COST 1417498 ADVANCE PREMIUM 9531315 ADVANCE DEPOSITS 1761755 24244271 X 0 0 0 0 0 0 0 0 0 0 0 0 Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The Organization is exempt from income taxes under Section 501 of the Internal Revenue Code and a similar provision of state law. Advantica Administrative Services, Inc. and its wholly-owned subsidiary 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 Organization 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 basis of assets and liabilities, and enacted changes in tax rates and laws are recognized in the period in which they occur. Deferred income tax expense results from changes in deferred tax assets and liabilities between periods. Deferred tax assets are reduced by a valuation allowance if, based on the weight of evidence available, it is more likely than not that some portion or all of a deferred tax asset will not be realized. Uncertain tax positions are recognized if it is more likely than not, based on the technical merits, that the tax position will be realized or sustained upon examination. The term more likely than not means a likelihood of more than 50 percent; the terms examined and upon examination also include resolution of the related appeals or litigation processes, if any. A tax position that meets the more-likely than-not recognition threshold is initially and subsequently measured as the largest amount of tax benefit that has a greater than 50 percent likelihood of being realized upon settlement with a taxing authority that has full knowledge of all relevant information. The determination of whether or not a tax position has met the more-likely-than-not recognition threshold considers the facts, circumstances and information available at the reporting date and is subject to the management's judgment. The Organization recognizes interest and penalties on income taxes as a component of income tax expense. On a consolidated basis, Advantica Administrative Services, Inc. and its subsidiary had an operating gain totaling $661,238 and $764,177 as of December 31, 2024 and 2023, respectively. At December 31, 2024 and 2023, Advantica Administrative had net operating loss carryforwards of approximately $18,914,000 and $18,125,000, respectively. Advantica Administrative and its subsidiary had deferred tax assets of approximately $4,011,000 and $1,296,000 at December 31, 2024 and 2023, 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, 2024 and 2023. 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, 2021 through 2024. true Ozarks Community Health Center 205822485 501(C)(3) 70000 General Support Prisma Health Midlands Foundation 570725699 501(C)(3) 55000 General Support Care Beyond the Boulevard 831122028 501(C)(3) 50000 General Support Kansas City University 440545280 501(C)(3) 50000 General Support Medical University of South Carolina 576000722 501(C)(3) 50000 General Support Regional Healthcare Clinic Inc 431879853 501(C)(3) 50000 General Support Rural Parish Clinic of the Archdiocese of St Louis 843396327 501(C)(3) 50000 General Support Swope Health Services 430957840 501(C)(3) 45000 General Support Edward Via College of Osteopathic Medicine 542052107 501(C)(3) 42099 General Support Healthy Smiles of Spartanburg 030529473 501(C)(3) 40000 General Support HNC Living Foundation 464214254 501(C)(3) 40000 General Support Delta Dental Plans Association 362551984 501(C)(3) 32295 General Support Give Kids a Smile 201287939 501(C)(3) 30000 General Support Missouri Coalition for Oral Health 205032836 501(C)(3) 30000 General Support St Louis Children's Hospital Foundation 431626863 501(C)(3) 26500 General Support Bluffton Jasper County Volunteers 320298086 501(C)(3) 25000 General Support Catholic Charities of South Carolina Inc 510314369 501(C)(3) 25000 General Support City of Monett Missouri 446000225 Gov't 25000 General Support Dental Share Network 830857403 501(C)(3) 25000 General Support Healthy Learners 571127197 501(C)(3) 25000 General Support Mercy Medical Free Clinic 311693093 501(C)(3) 25000 General Support North Charleston Dental Outreach 271629125 501(C)(3) 25000 General Support Oral Health Program 851514886 501(C)(3) 25000 General Support Seton Center Inc 430926003 501(C)(3) 25000 General Support United Way of Midlands 570314396 501(C)(3) 25000 General Support We Care Mobile Dental Foundation 882243851 501(C)(3) 25000 General Support City of Lebanon 446000207 Gov't 24452 General Support Mission Dental South Carolina Inc 842189149 501(C)(3) 24450 General Support City of St Robert 430786098 Gov't 24266 General Support Cass Community Health Foundation 431349495 501(C)(3) 23355 General Support Greenville Free Medical Clinic 570855205 501(C)(3) 15000 General Support Hope House Inc 431265685 501(C)(3) 15000 General Support Ronald McDonald House Charities of the Ozarks Inc 431371143 501(C)(3) 15000 General Support City of Vandalia 436003879 Gov't 14741 General Support American Diabetes Association 131623888 501(C)(3) 10000 General Support American Heart Association 135613797 501(C)(3) 10000 General Support LevelUP Kids Inc 203664224 501(C)(3) 10000 General Support South Carolina Dental Association 570399460 501(C)(3) 10000 General Support YWCA Metro St Louis 430653618 501(C)(3) 7668 General Support College of Dentistry and Dental Clinics 426004813 501(C)(3) 6500 General Support City of Cabool 446000149 Gov't 6279 General Support Chillicothe Municipal Utilities 446000163 Gov't 5262 General Support 42 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds DELTA DENTAL MAINTAINS RECORDS TO SUBSTANTIATE THE AMOUNT OF ASSISTANCE THAT IT PROVIDES TO THE COMMUNITY ORGANIZATIONS. DELTA DENTAL WORKS WITH THE INDIVIDUAL ORGANIZATIONS TO UNDERSTAND THEIR MISSIONS AND TO DETERMINE THE BENEFITS OF DELTA DENTAL'S PARTICIPATION. X X X X X false true false false false false false false false Ronald Inge Chief Dental Officer, & COO 0 0 131889 0 0 0 0 0 0 0 131889 0 0 0 E B Rob Goren President & CEO 796262 0 613876 0 94663 0 124956 0 43756 0 1673513 0 0 0 Andrew Rouse Chief Financial Officer 290315 0 200000 0 21767 0 7125 0 25433 0 544640 0 0 0 Cipriano Mascote Chief Actuarial Officer 275120 0 31993 0 6434 0 47625 0 38308 0 399480 0 0 0 James J Barone Chief Sales & Marketing Officer 464230 0 243690 0 39656 0 73776 0 14350 0 835702 0 0 0 Jane Stanhaus Chief Human Resource Officer 233263 0 117291 0 13090 0 40394 0 39510 0 443548 0 0 0 Jonathan R Jennings Chief Operating Officer 419954 0 220136 0 30396 0 69691 0 43756 0 783933 0 0 0 Kiran Achen Chief Information Officer 406381 0 271000 0 2000 0 72898 0 21595 0 773874 0 0 0 Rhonda Graack General Counsel 348657 0 0 0 852 0 53319 0 38957 0 441785 0 0 0 Robert Wozniak Account Executive 20279 0 322934 0 5539 0 51046 0 5329 0 405127 0 0 0 Zachary Kain Reginal Vice President, Individual and Small Group 120637 0 141798 0 5240 0 36638 0 34009 0 338322 0 0 0 Christine Waltman Account Executive 95223 0 208329 0 1606 0 46559 0 31455 0 383172 0 0 0 Ellen R Samuels Compliance Director 209718 0 28643 0 4143 0 59027 0 32611 0 334142 0 0 0 Kathleen Baker Account Executive 72354 0 186568 0 3005 0 40485 0 34439 0 336851 0 0 0 Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan NAMES, AMOUNTS, AND DETAILS OF ARRANGEMENTS THE ORGANIZATION HAS A NONQUALIFIED SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN FOR THE BENEFIT OF CERTAIN EMPLOYEES TO RECEIVE CONTRIBUTIONS IN EXCESS OF THE LIMITATIONS IMPOSED BY THE INTERNAL REVENUE CODE ON STANDARD EMPLOYEE PENSION PLANS. AMOUNTS PAID DURING 2024 FOR THE FOLLOWING INDIVIDUALS WERE: JAMES J BARONE - $33,968 E.B. ROB GOREN - $92,562 JONATHAN R JENNINGS - $20,683 THE ORGANIZATION HAS AN UNFUNDED NONQUALIFIED, DEFINED BENEFIT DEFERRED COMPENSATION PLAN (DBDCP) FOR ITS SENIOR LEVEL EXECUTIVES, WITH VESTING AT AGE 60 AND 10 YEARS OF SERVICE FOR EARLY RETIREMENT OR AGE 65 AND FIVE YEARS OF SERVICE FOR NORMAL RETIREMENT. THE PLAN HAD FOURTH AMENDMENT TO CLARIFY THE PROJECTED BENEFTIS TO BE PAID TO THE TWO REMAINING PARTICIPANTS IN THE PLAN, E.B. ROB GOREN AND JONATHAN JENNINGS AS OF DECEMBER 30, 2023. THE PROJECTED BENEFIT ACCRUALS FOR THIS DBDCP ARE REPORTED ANNUALLY IN THE FORM 990 FOR EACH PARTICIPANT. IT IS IMPORTANT TO NOTE THAT SEVERAL PARTICIPANTS IN THIS PROGRAM ARE NOT YET VESTED, YET THE INCREASE IN THE VALUE OF THE ACCRUAL HAS TO BE REPORTED ANNUALLY AS COMPENSATION ON THE FORM 990 WHEN THERE WAS NO BENEFIT VALUE TO THEM PERSONALLY. IF PARTICIPANTS LEAVE THE ORGANIZATION PRIOR TO MEETING THE AGE AND SERVICE REQUIREMENTS, THERE IS NO BENEFIT PAYABLE. SCHEDULE J, PART II, COLUMN C INCLUDES THESE AMOUNTS FOR THE COMPANY'S ACCRUAL. THE VESTED AMOUNT PER PARTICIPANT ARE: E.B. ROB GOREN - $574,000 JONATHAN R JENNINGS - $0. MARK R ZUST DDS LTD BOARD MEMBER AS OWNER 376403 DENTAL SERVICES PROVIDED false WILLIAM R GRAY DMD LLC BOARD MEMBER AS OWNER 316658 DENTAL SERVICES PROVIDED false NATHAN W SUTER DDS LLC BOARD MEMBER AS OWNER 142810 DENTAL SERVICES PROVIDED false NOBLE P COOPER DDS PA BOARD MEMBER AS OWNER 86830 DENTAL SERVICES PROVIDED false Schedule L, Part IV BUSINESS TRANSACTIONS BOARD MEMBER MARK ZUST AND DANIELLE RIORDAN, DAUGHTER OF BOARD MEMBER MARK ZUST, HAVE A REPORTABLE INTEREST IN MARK R ZUST DDS LTD WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. BOARD MEMBER WILLIAM GRAY HAS A REPORTABLE INTEREST IN WILLIAM A GRAY DMD LLC WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. BOARD MEMBER NATHAN SUTER HAS A REPORTABLE INTEREST IN NATHAN W SUTER DDS LLC WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. BOARD MEMBER NOBLE COOPER HAS A REPORTABLE INTEREST IN NOBLE P COOPER DDS PA WHICH PROVIDES DENTAL SERVICES TO SUBSCRIBERS AND DEPENDENTS OF BENEFIT PLANS INSURED OR ADMINISTERED BY THE ORGANIZATION. Form 990, Part III, Line 4a-4c Description of program services (Expenses $ 225,000 including grants of $ 225,000)(Revenue $ 0) COMMUNITY GIVING PROGRAM PROGRAM DESCRIPTION: THROUGH DELTA DENTAL OF MISSOURI'S COMMUNITY GIVING PROGRAM, THE COMPANY SUPPORTS CHARITABLE ORGANIZATIONS AND PROGRAMS THAT ARE WORKING TO MAKE A DIFFERENCE IN MISSOURI AND SOUTH CAROLINA COMMUNITIES. DELTA DENTAL OF MISSOURI CONSIDERS COMMUNITY GIVING REQUESTS EACH QUARTER FROM REGISTERED 501(C)(3) CHARITABLE ORGANIZATIONS, WHICH SERVE INDIVIDUALS IN MISSOURI OR SOUTH CAROLINA, AND SUPPORT THE OVERALL HEALTH AND WELL-BEING OF THE COMMUNITY WITH A FOCUS ON AT-RISK POPULATIONS. MORE THAN $90,000 IN COMMUNITY DONATIONS WERE AWARDED IN 2024. ORGANIZATIONS MAY APPLY FOR FUNDING ONCE PER YEAR. DELTA DENTAL OF MISSOURI'S COMMUNITY GIVING INCLUDES ORAL HEALTH SUPPLY DONATIONS OF TOOTHBRUSHES AND DENTAL FLOSS TO ORGANIZATIONS TO HELP INDIVIDUALS MAINTAIN GOOD ORAL HYGIENE FOR BETTER DENTAL HEALTH. IN 2024, DELTA DENTAL OF MISSOURI DONATED MORE THAN 225,000 DENTAL SUPPLY ITEMS TO 39 ORGANIZATIONS AS PART OF THE LAND OF SMILES PROGRAM. Form 990, Part VI, Line 6 Classes of members or stockholders THE MEMBERS OF THE ORGANIZATION ARE COMPRISED OF LICENSED DENTISTS IN THE STATES OF MISSOURI AND SOUTH CAROLINA WHO HAVE AN EFFECTIVE SIGNED AND ACCEPTED PARTICIPATING DENTIST AGREEMENT WITH THE ORGANIZATION. THE MEMBERS MEET ANNUALLY. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE ORGANIZATION HAS MEMBERS WHO ELECT THE INDIVIDUALS TO SERVE ON THE ORGANIZATION'S BOARD OF DIRECTORS. THE MEMBERS OF THE ORGANIZATION ARE COMPRISED OF LICENSED DENTISTS IN THE STATES OF MISSOURI AND SOUTH CAROLINA WHO HAVE AN EFFECTIVE SIGNED AND ACCEPTED PARTICIPATING DENTIST AGREEMENT WITH THE ORGANIZATION. THE MEMBERS MEET ANNUALLY. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders CHANGES TO THE CORPORATE BYLAWS BY THE BOARD ARE SUBJECT TO APPROVAL BY THE MEMBERS. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 IS PREPARED AND REVIEWED BY AN INDEPENDENT PUBLIC ACCOUNTING FIRM. THE FORM 990 IS THEN REVIEWED IN DETAIL BY THE ORGANIZATION'S CONTROLLER & CFO AND PROVIDED TO THE BOARD OF DIRECTORS PRIOR TO THE ELECTRONIC FILING OF THE FORM 990 WITH THE INTERNAL REVENUE SERVICE. Form 990, Part VI, Line 12c Conflict of interest policy DELTA DENTAL OF MISSOURI REGULARLY REQUIRES ITS OFFICERS, DIRECTORS, AND KEY EMPLOYEES TO COMPLETE A CONFLICT OF INTEREST STATEMENT. THE REVIEW OF THE STATEMENTS IS PART OF THE FINANCE AND AUDIT COMMITTEE'S RESPONSIBILITIES. Form 990, Part VI, Line 15a Process to establish compensation of top management official 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 COMPENSATION COMMITTEE. REVIEWS ARE CONDUCTED AND APPROVED BY THE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THE ANNUAL COMPENSATION FOR 2023 WAS REVIEWED BY A THIRD PARTY COMPENSATION CONSULTANT, WILLIS TOWERS WATSON, AND THEN REVIEWED BY THE COMPENSATION COMMITTEE (SUBSECTION OF THE COMPANY'S BOARD OF DIRECTORS). Form 990, Part VI, Line 15b Process to establish compensation of other employees 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 COMPENSATION COMMITTEE. REVIEWS ARE CONDUCTED AND APPROVED BY THE COMPENSATION COMMITTEE ON AN ANNUAL BASIS. THE ANNUAL COMPENSATION FOR 2023 WAS REVIEWED BY A THIRD PARTY COMPENSATION CONSULTANT, WILLIS TOWERS WATSON, AND THEN REVIEWED BY THE COMPENSATION COMMITTEE (SUBSECTION OF THE COMPANY'S BOARD OF DIRECTORS). Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S CONFLICT OF INTEREST POLICY, GOVERNING DOCUMENTS, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. FORM 990, PART VIII STATEMENT OF REVENUE During the year, the organization reclassified certain commission expenses previously netted against revenue. This change increased both total revenue and total expenses but did not affect the change in net assets. FORM 990, PART IX STATEMENT OF FUNCTIONAL EXPENSES During the year, the organization reclassified certain commission expenses previously netted against revenue. This change increased both total revenue and total expenses but did not affect the change in net assets. ADVANTICA ADMINISTRATIVE SERVICES INC 12399 GRAVOIS ROAD ST LOUIS MO 63127 431826684 THIRD PARTY ADMIN MO NA C Corporation 6339140 18168482 1 true false false false false false false false false false false false false true false false false false false false ADVANTICA ADMINISTRATIVE SERVICES INC M 198540 ALLOCATIONS