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Nonprofiteer
← DELTA DENTAL OF MISSOURI

Form 990 for tax year 2023

Filed by DELTA DENTAL OF MISSOURI.

Totals

Total revenue
$724,074,649
Total expenses
$720,706,455
Contributions and grants received
$0
Grants paid
$1,289,928
Program service revenue
$718,655,430
Investment income
$4,126,810
Other revenue
$1,292,409
Total assets, end of year
$216,935,116
Total liabilities, end of year
$42,869,395
Net assets or fund balances, end of year
$174,065,721
Program services expenses (Part IX)
$706,329,778
Management and general expenses
$14,376,677
Fundraising expenses
$0
Program service expenses (Part III)
$706,329,778

Program services were 98.0% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 2a · Program service revenue: DENTAL PREMIUMS

    total $718,655,430 · related or exempt $718,655,430 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $4,634,424 · related or exempt $0 · unrelated business $0 · excluded $4,634,424

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 6d · Net rental income or loss

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 7b · Less cost or other basis and sales expenses

    securities $507,614

  • 7c · Gain or loss

    securities -$507,614 · other assets $0

  • 7d · Net gain or loss

    total -$507,614 · related or exempt $0 · unrelated business $0 · excluded -$507,614

  • 11a · Other revenue: MISCELLANEOUS INCOME

    total $528,231 · related or exempt $0 · unrelated business $0 · excluded $528,231

  • 11b · Other revenue: INVESTMENT IN SUBSIDIARY

    total $764,178 · related or exempt $0 · unrelated business $0 · excluded $764,178

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $1,292,409

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $1,289,928 · program services $1,289,928

  • 2 · Grants to domestic individuals

    total $0 · program services $0

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $653,748,728 · program services $653,748,728

  • 5 · Compensation of officers, directors and key employees

    total $8,126,859 · program services $0 · management and general $8,126,859 · fundraising $0

  • 6 · Compensation of disqualified persons

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 7 · Other salaries and wages

    total $20,380,173 · program services $18,867,408 · management and general $1,512,765 · fundraising $0

  • 8 · Pension plan contributions

    total $5,047,617 · program services $4,513,598 · management and general $534,019 · fundraising $0

  • 9 · Other employee benefits

    total $4,665,306 · program services $4,319,013 · management and general $346,293 · fundraising $0

  • 10 · Payroll taxes

    total $1,799,396 · program services $1,665,831 · management and general $133,565 · fundraising $0

  • 11a · Fees: management

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11b · Fees: legal

    total $265,076 · program services $209,340 · management and general $55,736 · fundraising $0

  • 11c · Fees: accounting

    total $195,389 · program services $154,306 · management and general $41,083 · fundraising $0

  • 11d · Fees: lobbying

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 11e · Fees: professional fundraising services

    total $0 · fundraising $0

  • 11f · Fees: investment management

    total $297,425 · program services $0 · management and general $297,425 · fundraising $0

  • 11g · Fees: other

    total $5,502,774 · program services $4,345,729 · management and general $1,157,045 · fundraising $0

  • 12 · Advertising and promotion

    total $1,757,652 · program services $1,627,186 · management and general $130,466 · fundraising $0

  • 13 · Office expenses

    total $3,238,180 · program services $2,997,819 · management and general $240,361 · fundraising $0

  • 14 · Information technology

    total $151,841 · program services $140,570 · management and general $11,271 · fundraising $0

  • 15 · Royalties

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 16 · Occupancy

    total $718,551 · program services $665,214 · management and general $53,337 · fundraising $0

  • 17 · Travel

    total $797,712 · program services $738,501 · management and general $59,211 · fundraising $0

  • 18 · Travel or entertainment for public officials

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $312,161 · program services $288,994 · management and general $23,167 · fundraising $0

  • 20 · Interest

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 21 · Payments to affiliates

    total $0 · program services $0 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $1,392,193 · program services $1,288,854 · management and general $103,339 · fundraising $0

  • 23 · Insurance

    total $791,549 · program services $0 · management and general $791,549 · fundraising $0

  • 24a · Other expenses: BOARD AND BUREAU DUES

    total $1,010,811 · program services $935,781 · management and general $75,030 · fundraising $0

  • 24b · Other expenses: SERVICE BUREAU FEES

    total $2,657,144 · program services $2,459,911 · management and general $197,233 · fundraising $0

  • 24c · Other expenses: PUBLIC RELATIONS

    total $557,410 · program services $516,036 · management and general $41,374 · fundraising $0

  • 24d · Other expenses: SERVICE AGREEMENTS

    total $4,924,088 · program services $4,558,587 · management and general $365,501 · fundraising $0

  • 24e · All other expenses

    total $1,078,492 · program services $998,444 · management and general $80,048 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $0 · end of year $0

  • 2 · Savings and temporary cash investments

    beginning of year $37,405,011 · end of year $35,164,815

  • 3 · Pledges and grants receivable

    beginning of year $0 · end of year $0

  • 4 · Accounts receivable

    beginning of year $14,098,097 · end of year $14,177,993

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 7 · Other notes and loans receivable

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $1,006,829 · end of year $1,216,826

  • 10a · Land, buildings and equipment: cost or other basis

    $33,274,261

  • 10b · Land, buildings and equipment: accumulated depreciation

    $21,142,537

  • 10c · Land, buildings and equipment, net

    beginning of year $10,792,857 · end of year $12,131,724

  • 11 · Investments: publicly traded securities

    beginning of year $118,726,364 · end of year $132,652,574

  • 12 · Investments: other securities

    beginning of year $46,906 · end of year $22,000

  • 13 · Investments: program-related

    beginning of year $15,987,649 · end of year $16,751,827

  • 14 · Intangible assets

    beginning of year $0 · end of year $0

  • 15 · Other assets

    beginning of year $2,836,486 · end of year $4,817,357

  • 17 · Accounts payable and accrued expenses

    beginning of year $19,215,170 · end of year $17,791,845

  • 18 · Grants payable

    beginning of year $0 · end of year $0

  • 19 · Deferred revenue

    beginning of year $0 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $0 · end of year $0

  • 21 · Escrow or custodial account liability

    beginning of year $0 · end of year $0

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 23 · Secured mortgages and notes payable

    beginning of year $0 · end of year $0

  • 24 · Unsecured notes and loans payable

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $21,359,247 · end of year $25,077,550

  • 27 · Net assets without donor restrictions

    beginning of year $0 · end of year $0

  • 28 · Net assets with donor restrictions

    beginning of year $0 · end of year $0

  • 29 · Capital stock, trust principal or current funds

    beginning of year $0 · end of year $0

  • 30 · Paid-in or capital surplus, or land, building or equipment fund

    beginning of year $0 · end of year $0

  • 31 · Retained earnings, endowment or other funds

    beginning of year $160,325,782 · end of year $174,065,721

Mission and programs · 2023

Mission

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.

Activities or mission (Part I)

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.

  • DELTA DENTAL OF MISSOURI IS A PREPAID DENTAL INSURANCE COMPANY. IN 2023, DELTA DENTAL PROCESSED 3,406,675 CLAIMS FOR DENTAL SERVICES.

    Expenses $704,593,996 · Revenue $718,655,430

  • 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 2023, DELTA DENTAL OF MISSOURI AWARDED NEARLY $1.2 MILLION IN GRANTS TO 27 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.

    Expenses $1,168,352 · Grants $1,168,352

  • 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 2023, DELTA DENTAL OF MISSOURI INVESTED MORE THAN $367,000 TO EDUCATE NEARLY 110,000 MISSOURI AND SOUTH CAROLINA KINDERGARTEN-THROUGH-3RD-GRADE STUDENTS IN 489 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 23% 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.

    Expenses $367,000

  • 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 $121,000 IN COMMUNITY DONATIONS WERE AWARDED IN 2023. 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 2023, DELTA DENTAL OF MISSOURI DONATED MORE THAN 317,000 DENTAL SUPPLY ITEMS TO 49 ORGANIZATIONS AS PART OF THE LAND OF SMILES PROGRAM. futureFOCUS2023 CONFERENCE PROGRAM PROGRAM DESCRIPTION: DELTA DENTAL OF MISSOURI'S futureFOCUS2023 CONFERENCE BRINGS TOGETHER NEARLY 300 THOUGHT LEADERS WHO DELIVER INSIGHTS AND DISCUSS THE CHANGING LANDSCAPE OF DENTAL AND VISION BENEFITS AS WELL AS STRATEGIES TO IMPROVE ORAL AND OVERALL HEALTH FOR ALL INDIVIDUALS IN MISSOURI. FOR 2023 $79,000 WAS SPENT TO PUT TOGETHER THIS EVENT.

    Expenses $200,430 · Grants $121,576

As filed on the 2023 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • Deborah Patterson

    Secretary/Director

    Total calculated
    $38,850
    From this org
    $38,850
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • James W Rhea

    Chair of the Board/Director - Term Ended

    Total calculated
    $64,050
    From this org
    $64,050
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Mark Zust

    Chair of the Board/Director

    Total calculated
    $54,900
    From this org
    $54,900
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Nathan Suter

    Second Vice Chair/Director

    Total calculated
    $37,300
    From this org
    $37,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Oladipupo Adefala

    First Vice Chair/Director

    Total calculated
    $46,200
    From this org
    $46,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Rosemary Bishop

    Secretary/Director - Term Ended

    Total calculated
    $42,700
    From this org
    $42,700
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Steven Harris

    Treasurer/Director

    Total calculated
    $33,300
    From this org
    $33,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Anthony Garavaglia

    Director

    Total calculated
    $0
    Hours/week
    2

  • Christine Pierson

    Director

    Total calculated
    $0
    Hours/week
    2

  • Cynthia Petrie

    Director

    Total calculated
    $0
    Hours/week
    2

  • Gary Williams

    Director

    Total calculated
    $45,100
    From this org
    $45,100
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • John Custardo

    Director

    Total calculated
    $31,200
    From this org
    $31,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Kathleen Tucker

    Director

    Total calculated
    $33,300
    From this org
    $33,300
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Latasha Vick

    Director

    Total calculated
    $0
    Hours/week
    2

  • Mark Mancin

    Director - Term Ended

    Total calculated
    $30,150
    From this org
    $30,150
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Megan Krohn

    Director

    Total calculated
    $0
    Hours/week
    2

  • Noble Cooper JR

    Director

    Total calculated
    $34,250
    From this org
    $34,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Timothy Taylor

    Director - Term Ended

    Total calculated
    $34,350
    From this org
    $34,350
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • William Gray

    Director

    Total calculated
    $32,250
    From this org
    $32,250
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • William J Bender

    Treasurer/Director - Term Ended

    Total calculated
    $36,200
    From this org
    $36,200
    From related orgs
    $0
    Other
    $0
    Hours/week
    2

  • Barbara C Bentrup

    CFO/General Counsel/Officer

    Total calculated
    $1,012,705
    From this org
    $909,106
    From related orgs
    $0
    Other
    $103,599
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $316,098
    Bonus
    $417,645
    Other
    $175,363
    Deferred
    $87,549
    Nontaxable benefits
    $16,050
    Filer's total
    $1,012,705

  • Cipriano Mascote

    Chief Actuarial Officer

    Total calculated
    $362,919
    From this org
    $279,157
    From related orgs
    $0
    Other
    $83,762
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $224,037
    Bonus
    $57,336
    Other
    -$2,216
    Deferred
    $42,013
    Nontaxable benefits
    $41,749
    Filer's total
    $362,919

  • E B Rob Goren

    President & CEO

    Total calculated
    $1,705,540
    From this org
    $1,603,972
    From related orgs
    $0
    Other
    $101,568
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $771,281
    Bonus
    $758,618
    Other
    $74,073
    Deferred
    $62,971
    Nontaxable benefits
    $38,597
    Filer's total
    $1,705,540

  • James J Barone

    Chief Sales & Marketing Officer

    Total calculated
    $868,981
    From this org
    $800,403
    From related orgs
    $0
    Other
    $68,578
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $449,280
    Bonus
    $302,475
    Other
    $48,648
    Deferred
    $49,500
    Nontaxable benefits
    $19,078
    Filer's total
    $868,981

  • Jane Stanhaus

    Chief Human Resource Officer

    Total calculated
    $438,292
    From this org
    $357,902
    From related orgs
    $0
    Other
    $80,390
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $232,200
    Bonus
    $127,352
    Other
    -$1,650
    Deferred
    $43,678
    Nontaxable benefits
    $36,712
    Filer's total
    $438,292

  • Jonathan R Jennings

    Chief Operating Officer

    Total calculated
    $737,387
    From this org
    $649,047
    From related orgs
    $0
    Other
    $88,340
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $379,827
    Bonus
    $252,772
    Other
    $16,448
    Deferred
    $48,381
    Nontaxable benefits
    $39,959
    Filer's total
    $737,387

  • Kiran Achen

    Chief Information Officer

    Total calculated
    $261,390
    From this org
    $245,151
    From related orgs
    $0
    Other
    $16,239
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $246,154
    Bonus
    $0
    Other
    -$1,003
    Deferred
    $6,000
    Nontaxable benefits
    $10,239
    Filer's total
    $261,390

  • Rhonda Graack

    General Counsel

    Total calculated
    $16,154
    From this org
    $16,154
    From related orgs
    $0
    Other
    $0
    Hours/week
    60

  • Ronald E Inge

    COO/Officer

    Total calculated
    $553,687
    From this org
    $501,426
    From related orgs
    $0
    Other
    $52,261
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $141,441
    Bonus
    $311,095
    Other
    $48,890
    Deferred
    $43,111
    Nontaxable benefits
    $9,150
    Filer's total
    $553,687

  • Allison M Izsak

    Director of Marketing

    Total calculated
    $316,284
    From this org
    $238,715
    From related orgs
    $0
    Other
    $77,569
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $190,425
    Bonus
    $56,416
    Other
    -$8,126
    Deferred
    $37,026
    Nontaxable benefits
    $40,543
    Filer's total
    $316,284

  • Ellen R Samuels

    Compliance Director

    Total calculated
    $344,487
    From this org
    $272,613
    From related orgs
    $0
    Other
    $71,874
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $211,041
    Bonus
    $60,283
    Other
    $1,289
    Deferred
    $41,561
    Nontaxable benefits
    $30,313
    Filer's total
    $344,487

  • Eric W Mann

    Director of Operations

    Total calculated
    $283,750
    From this org
    $231,626
    From related orgs
    $0
    Other
    $52,124
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $166,794
    Bonus
    $67,128
    Other
    -$2,296
    Deferred
    $34,568
    Nontaxable benefits
    $17,556
    Filer's total
    $283,750

  • Ezekiel Meyer

    Director of Project Management

    Total calculated
    $291,163
    From this org
    $230,101
    From related orgs
    $0
    Other
    $61,062
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $182,040
    Bonus
    $50,855
    Other
    -$2,794
    Deferred
    $33,657
    Nontaxable benefits
    $27,405
    Filer's total
    $291,163

  • Robert Wozniak

    Account Executive

    Total calculated
    $412,893
    From this org
    $336,707
    From related orgs
    $0
    Other
    $76,186
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $104,453
    Bonus
    $237,321
    Other
    -$5,067
    Deferred
    $45,652
    Nontaxable benefits
    $30,534
    Filer's total
    $412,893

  • Karl A Mudra

    Former CIO/Officer

    Total calculated
    $1,360,652
    From this org
    $1,346,691
    From related orgs
    $0
    Other
    $13,961
    Hours/week
    60

    Schedule J breakdown matched by us

    Base
    $0
    Bonus
    $207,447
    Other
    $1,139,244
    Deferred
    $13,961
    Nontaxable benefits
    $0
    Filer's total
    $1,360,652

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 3 · Compensation committee
  • 3 · Independent compensation consultant
  • 3 · Form 990 of other organizations
  • 3 · Compensation survey or study
  • 3 · Approval by the board or compensation committee
  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4a Severance or change-of-control payment
Karl A. Mudra, Former Chief Information Officer, was paid severance of $1,096,006.
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 2023 FOR THE FOLLOWING INDIVIDUALS WERE: JAMES J BARONE - $32,219 BARBARA BENTRUP - $54,760 E.B. ROB GOREN - $81,634 RONALD INGE - $32,950 JONATHAN R JENNINGS - $26,062 KARL MUDRA - $7,525 THE ORGANIZATION HAS AN UNFUNDED NONQUALIFIED, DEFINED BENEFIT DEFERRED COMPENSATI N 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 WAS AMENDED TO CURTAIL BENEFITS ACCRUED AS OF DECEMBER 31, 2020 SUBJECT TO THE CONTINUING VESTING PROVISIONS IN THE DBDCP. THE ACTUARIALLY DETERMINED LIABILITY IS BASED UPON ASSUMPTIONS FOR REMAINING YEARS OF SERVICE UNTIL RETIREMENT, PROJECTED SALARIES FOR THE FINAL THREE YEARS OF SERVICE BUT IN NO CASE CONSIDERING ANY SALARY AFTER DECEMBER 31, 2020, AND A PREDETERMIN D BENEFIT PERCENTAGE BASED UPON THE PARTICIPANT'S POSITION. INDIVIDUALS WHO PARTICIPATED IN THIS PLAN DURING 2023 WERE THE FOLLOWING: BARBARA BENTRUP, E. B. ROB GOREN, JONATHAN JENNINGS, AND RONALD INGE. THE INCREASE OR DECREASE IN 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 COMPENSATI N 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 INCREASES OR DECREASES IN THE COMPANY'S ACCRUAL. THE AMOUNTS PER PARTICIPANT ARE: BARBARA BENTRUP - $40,581 E.B. ROB GOREN - $13,471 JONATHAN R JENNINGS - ($1,119) RONALD INGE - $(278)

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

The 10 largest by cash amount. The API serves every itemized grant.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • ADVANTICA ADMINISTRATIVE SERVICES INC

    C Corporation · THIRD PARTY ADMIN · MO · 100% owned · share of income $5,375,269 · share of assets $17,414,822 · controlled entity

    Directly controlled by NA

Provenance

Return type
form_990
Tax year
2023
Filed
15 November 2024
IRS schema version
2023v5.1
Source object
202413209349315701

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