DENTAL SERVICE OF MASSACHUSETTS INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
DENTAL SERVICE OF MASSACHUSETTS INC (EIN 04-6143185)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-14
IRS object ID
201333189349300513
Schema version
2012v2.1
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)
Timestamp2013-11-14T07:44:25-06:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line175 BEATTIE PLACE SUITE 800AddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN046143185EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DENTAL SERVICE OF MASSACHUSETTS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JAMES COLLINSInCareOfName
Name ControlDENTNameControl
Phone6178861000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
Address Line2SuiteAddressLine2
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJames CollinsName
TitleTreasurerTitle
Date Signed2013-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF MASSACHUSETTSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonFAY DONOHUENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode
FieldValueIRS element (for citing)
Gross Receipts471060045GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DELTADENTALMA.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE THE ORAL HEALTH OF ALL.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year331934063ProgramServiceRevenuePriorYear
Program Service Revenue CY322057732ProgramServiceRevenueCY
Investment Income Prior Year16415959InvestmentIncomePriorYear
Investment Income Current Year23942329InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year348350022TotalRevenuePriorYear
Total Revenue Current Year346000061TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year26812000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY17170068GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year216765437BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY208851144BenefitsPaidToMembersCY
Salaries Etc Prior Year475750SalariesEtcPriorYear
Salaries Etc Current Year425000SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year80355379OtherExpensePriorYear
Other Expenses Current Year81734108OtherExpensesCurrentYear
Total Expenses Prior Year324408566TotalExpensesPriorYear
Total Expenses Current Year308180320TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23941456RevenuesLessExpensesPriorYear
Revenues Less Expenses CY37819741RevenuesLessExpensesCY
Total Assets BOY425069402TotalAssetsBOY
Total Assets EOY472951943TotalAssetsEOY
Total Liabilities BOY112996387TotalLiabilitiesBOY
Total Liabilities EOY112186353TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY312073015NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY360765590NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO IMPROVE THE ORAL HEALTH OF ALL.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense264335170Expense
Grants17170068Grants
Revenue322057732Revenue
DescriptionDENTAL SERVICE OF MASSACHUSETTS, INC. (DSM) D/B/A DELTA DENTAL OF MASSACHUSETTS IS A NOT-FOR-PROFIT DENTAL SERVICE ORGANIZATION PROVIDING DENTAL INSURANCE TO MASSACHUSETTS GROUPS AND INDIVIDUALS. INCORPORATED MORE THAN 40 YEARS AGO, DSM HAS A MISSION TO IMPROVE ORAL HEALTH OF ALL. DELTA DENTAL OF MASSACHUSETTS IS A MEMBER OF THE DELTA DENTAL PLANS ASSOCIATION. DELTA DENTAL IS AMERICA'S LARGEST AND MOST TRUSTED DENTAL BENEFITS CARRIER, COVERING MORE AMERICANS THAN ANY OTHER DENTAL BENEFITS PROVIDER AND STRIVES DAILY TO MAKE DENTAL COVERAGE MORE ACCESSIBLE AND AFFORDABLE TO A WIDE VARIETY OF EMPLOYERS, GROUPS AND INDIVIDUALS.Description
Total Program Service Expense264335170TotalProgramServiceExpense
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 InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
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 IndividualsfalseGrantsToIndividuals
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 MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
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 With109655579NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
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 ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicyfalseDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMES COLLINSNamePerson
Telephone Number6178861000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (29 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
TERRY CONNER
DIRECTOR4.01.0X235006000
THOMAS GALLIGAN
DIRECTOR3.02.0X3500012000
RAUL GARCIA
DIRECTOR5.00.0X35250817
MARION KANE
DIRECTOR5.00.0X17000
KAREN KAPLAN
DIRECTOR4.01.0X305006000817
DONALD KENNEY
DIRECTOR5.00.0X382500817
DONALD LECLAIR
DIRECTOR3.02.0X330008000817
ANNE PAGE PALMER
DIRECTOR5.00.0X34250817
PAMELA DA REEVE
DIRECTOR4.01.0X215004000
JAY SARLES
CHAIRMAN (1/12-4/12)/DIRECTOR5.00.0X12000X
LESLIE ZIDE
DIRECTOR5.00.0X4500
EDWARD A HJERPE III
CHAIRMAN (5/12-12/12)/DIRECTOR9.01.0X667501000X
JOHN GUSHA
DIRECTOR5.00.0X20500817
LINDA NIESSEN
DIRECTOR5.00.0X30000
WALTER OWENS
DIRECTOR5.00.0X23000
FAY DONOHUE
PRESIDENT0.040.0X18451082202558X
JAMES COLLINS
TREASURER0.040.0577856478091X
MYRA GREEN
CLERK0.040.050476441497X
GREG WINN
ASSISTANT TREASURER - DSM0.040.09857217382X
DENNIS LEONARD
SENIOR VP - DENTAQUEST0.040.0711253778303X
STEVE POLLOCK
COO - DENTAQUEST0.040.0693751920480X
SHERYL TRAYLOR
SR. VP OF HR - DENTAQUEST0.040.0353533345982X
KEN ERDELT
SR. VP OPERATIONS- DENTAQUEST0.040.0390767321436X
ROBERT LYNN
SENIOR VP - DENTAQUEST0.040.0479057339464X
ANGELA KISH
VP OF OPERATIONS - DQ0.040.0301097271581X
WENDY KARLE
VP SALES DENTAQUEST0.040.0328857215078X
ROBERT COMPTON
EXEC DIRECTOR DQ ORAL HEALTH0.040.0286122263752X
MICHAEL MONOPOLI
FRMR DIR DENTAL PUBLIC HEALTH0.040.027646734777X
MEG WING
FORMER CLERK0.040.0186767153896X
FieldValueIRS element (for citing)
Total Reportable Comp From Org425000TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7070971TotalReportableCompFrmRltdOrgs
Total Other Compensation6389179TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLACKROCK
MELLON INVESTOR SERVICES PO BOX 3SOUTH HACKENSACKNJ07606INVESTMENT MGMT128449
PRIME BUCHHOLZ
PEASE INTERNATIONAL TRADEPORTPORTSMOUTHNH03801INVESTMENT ADVISOR320139
ERNST YOUNG US LLP
200 CLARENDON STREETBOSTONMA02116ATTESTATION209701
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REVENUE FROM DENTAL SERVICE PLAN900099268733687268733687
ASO ADMINISTRATIVE SERVICE9000995332404553324045
FieldValueIRS element (for citing)
Total Program Service Revenue322057732TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6001509TotalRevenueColumn
Exclusion$6,001,509ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities143000804Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities125059984Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities17940820Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column17940820TotalRevenueColumn
Exclusion$17,940,820ExclusionAmount

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
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column346000061TotalRevenueColumn
Related Or Exempt Function Income322057732RelatedOrExemptFunctionIncome
Exclusion$23,942,329ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total17170068Total
Program Services17170068ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total208851144Total
Program Services208851144ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total425000Total
Program Services425000ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total51203152Total
Program Services18433135ProgramServices
Management And General32770017ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total170004Total
Management And General170004ManagementAndGeneral

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)
Total1258072Total
Management And General1258072ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total358750Total
Program Services143500ProgramServices
Management And General215250ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4399Total
Program Services1760ProgramServices
Management And General2639ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2267Total
Program Services907ProgramServices
Management And General1360ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total24478Total
Program Services9791ProgramServices
Management And General14687ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total197383Total
Program Services78953ProgramServices
Management And General118430ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total53826Total
Program Services21530ProgramServices
Management And General32296ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total7341670Total
Program Services2936668ProgramServices
Management And General4405002ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Commissions1089533910895339
Subscriptions and Dues717201286880430321
Purchased Services709704941162882980761
Other24105189642071446311

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total308180320Total
Program Services264335170ProgramServices
Management And General43845150ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-15824339BOY
EOY17430192EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY14299462BOY
EOY16741978EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY8750000BOY
EOY8750000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY-12536047BOY
EOY917995EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis58843319LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec17323052LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY47122781BOY
EOY41520267EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY262748580BOY
EOY266196560EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY120508965BOY
EOY121394951EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY425069402BOY
EOY472951943EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8165021BOY
EOY9792152EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY104831366BOY
EOY102394201EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY112996387BOY
EOY112186353EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY312073015BOY
EOY360765590EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY312073015BOY
EOY360765590EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY425069402BOY
EOY472951943EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses37819741ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-7527977ReconciliationUnrealizedInvest
Reconcilation Other Changes18400811ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
Current Year Minus4 YearsCurrentYearMinus4Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9054OtherCostOrOtherBasis
Depreciation5713Depreciation
Book Value3341BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis58834265OtherCostOrOtherBasis
Depreciation17317339Depreciation
Book Value41516926BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings41520267TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN SUBSIDIARY49103451
COST REIMBURSEMENT72291500
FieldValueIRS element (for citing)
Total Book Value Other Assets121394951TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (6 entries)

DescriptionDescriptionAmountAmount
UNPAID CLAIMS$43,630,836
GROUP EXPERIENCE REFUNDS$7,399,000
UNEARNED PREMIUM$5,310,661
ADVANCE DEPOSITS$43,518,780
PAYABLE FOR OPEN TRADE$312,699
DUE FROM CATALYST INSTITUTE$2,222,225
FieldValueIRS element (for citing)
Total Of Amounts102394201TotalOfAmounts

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48/ASC 740Identifier
ExplanationTHERE IS NO FIN48/ASC 740 FOOTNOTE. HOWEVER, THE FOLLOWING DISCLOSURE WAS MADE: THE COMPANY DETERMINES WHETHER A TAX POSITION OF THE COMPANY IS MORE LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OF LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. FOR TAX POSITIONS MEETING THE MORE LIKELY THAN NOT THRESHOLD, THE TAX AMOUNT RECOGNIZED IN THE FINANCIAL STATEMENTS IS REDUCED BY THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON THE ULTIMATE SETTLEMENT WITH THE RELEVANT TAXING AUTHORITY.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
DENTAQUEST FOUNDATION
465 MEDFORD STREETBOSTONMA02129043265080501(C)(3)13500000UNRESTRICTED ORAL HEALTH IMPROVEMENT
DENTAQUEST INSTITUTE INC
2400 COMPUTER DRIVEWESTBOROUGHMA01581205312990501(C)(3)3670068UNRESTRICTED ORAL HEALTH IMPROVEMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationDSM PROVIDES GRANTS ONLY TO RELATED ORGANIZATIONS WHO ARE EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgstrueCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

TitleTitleComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FAY DONOHUE
PRESIDENT5632203529009289882190393121654047666362700
JAMES COLLINS
TREASURER317664112900147292460459176321055947120018
MYRA GREEN
CLERK31578918472542502942512072546261194525
DENNIS LEONARD
SENIOR VP - DENTAQUEST302470115000293783760670176331489556124800
STEVE POLLOCK
COO - DENTAQUEST345402141160207189902743177371614231150960
SHERYL TRAYLOR
SR. VP OF HR - DENTAQUEST2453388600022195339171681169951595800
KEN ERDELT
SR. VP OPERATIONS- DENTAQUEST23933484800666333039181751871220394600
ROBERT LYNN
SENIOR VP - DENTAQUEST2995871140006547032183217632818521123800
ANGELA KISH
VP OF OPERATIONS - DQ20694554000401522541571742457267863800
ROBERT COMPTON
EXEC DIRECTOR DQ ORAL HEALTH229860543641898256972678054987464164
WENDY KARLE
VP SALES DENTAQUEST20627150259723272137081370543935
MICHAEL MONOPOLI
FRMR DIR DENTAL PUBLIC HEALTH2318324463527992678531124454435
MEG WING
FORMER CLERK11345226777465381365901730634066332216

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierSupplemental Compensation InformationIdentifier
ExplanationTHE ELIGIBLE LISTED EMPLOYEES OVER $250,000 AS OF 12/31/2012 PARTICIPATE IN A 457(B) SUPPLEMENTAL RETIREMENT PLAN. OF THOSE ELIGIBLE EMPLOYEES, NO ONE RECEIVED ANY PAYMENTS IN 2012. THE FOLLOWING DSM AND DENTAQUEST EMPLOYEES PARTICIPATE IN THE DENTAQUEST LONG TERM INCENTIVE COMPENSATION PLAN AND RECEIVED THE PAYMENTS LISTED BELOW DURING 2012. FAY DONOHUE: $ 928,988 JAMES COLLINS: $ 147,292 MYRA GREEN: $ 4,250 DENNIS LEONARD: $ 293,783 STEVE POLLOCK: $ 207,189 SHERYL TRAYLOR: $ 22,195 KEN ERDELT: $ 66,633 ROBERT LYNN: $ 65,470 ANGELA KISH: $ 40,152 ROBERT COMPTON: $ 1,898 WENDY KARLE: $ 72,327 COMPENSATION CONTINGENT ON REVENUE SCHEDULE J, PART I, QUESTION 5 DSM SPONSORS A TARGET INCENTIVE PLAN THAT ALLOWS PARTICIPANTS ANNUALLY TO EARN A THRESHOLD, TARGET OR SUPERIOR INCENTIVE (AS A PERCENT OF THEIR BASE SALARY). THE ACTUAL INCENTIVE TO BE AWARDED IS BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR BY THE COMPENSATION COMMITTEE AS PART OF THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY AND PAY-FOR-PERFORMANCE PHILOSOPHY. AMONG THE PERFORMANCE GOALS ARE A REVENUE GOAL, A NET INCOME GOAL AND A MEMBERSHIP GOAL. EACH PARTICIPANT IN THE TARGET INCENTIVE PLAN HAS A MAXIMUM INCENTIVE THAT CAN BE EARNED REGARDLESS OF THE ATTAINMENT OF THE REVENUE, NET INCOME AND/OR MEMBERSHIP GOALS. THE MAXIMUM INCENTIVE OPPORTUNITY FOR EACH PARTICIPANT IS SET SO THAT THE PARTICIPANT'S TOTAL POSSIBLE COMPENSATION IS REASONABLE FOR PURPOSES OF INTERMEDIATE SANCTIONS, SECTION 4958 OF THE INTERNAL REVENUE CODE. COMPENSATION CONTINGENT ON NET EARNINGS SCHEDULE J, PART I, QUESTION 6 & 7 NON-FIXED PAYMENTS THE COMPANY PROVIDES ANNUAL INCENTIVE BONUSES TO MANAGEMENT EMPLOYEES THAT ARE CALCULATED BASED ON THE PERFORMANCE OF THE COMPANY AND THE INDIVIDUAL EMPLOYEE. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE OVERALL ANNUAL INCENTIVE BONUS POOL AND REVIEWS AND APPROVES COMPENSATION RELEVANT TO EXECUTIVE OFFICERS REPORTING TO THE COMPANY'S CEO. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS ON COMPENSATION MATTERS FOR THE COMPANY'S CEO. THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE COMPANY'S CEO. BONUS PAYMENTS SCHEDULE J, PART II, COLUMN B COLUMN B ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2011, BUT PAID IN 2012. OTHER REPORTABLE COMPENSATION SCHEDULE J, PART II, COLUMN B(III) COLUMN B(III)OTHER REPORTABLE COMPENSATION REPRESENTS STOCK OPTIONS PAID DURING 2012. DEFERRED COMPENSATION SCHEDULE J, PART II, COLUMN C COLUMN C ON SCHEDULE J PART II INCLUDES BONUSES AND PENSION AMOUNTS EARNED DURING 2012 BUT PAID IN 2013.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOHN GUSHA
DIRECTOR476183DENTIST CLAIMSfalse
DONALD LECLAIR
DIRECTOR205614DENTIST CLAIMSfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierEXECUTIVE COMMITTEEIdentifier
Return ReferencePART VI, QUESTION 1AReturnReference
ExplanationTHE BOARD OF DIRECTORS FOR DENTAL SERVICE OF MASSACHUSETTS HAS AN EXECUTIVE COMMITTEE THAT IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD ON ANY MATTERS REQUIRING PROMPT ACTION DURING ANY PERIOD WHEN IT IS IMPRACTICABLE TO CALL A MEETING OF THE BOARD OR A QUORUM OF THE BOARD IS NOT AVAILABLE. BUSINESS RELATIONSHIPS PART VI, QUESTION 2 FAY DONOHUE, JIM COLLINS, MYRA GREEN AND MEG WING HAVE A BUSINESS RELATIONSHIP SINCE THEY JOINTLY SERVE AS OFFICERS OF THE ORGANIZATION AND ITS TAXABLE SUBSIDIARY, DENTAQUEST. DELEGATE CONTROL OVER MANAGEMENT DUTIES PART VI, QUESTION 3 THE COMPANY HIRES DENTAQUEST, LLC (A RELATED PARTY) TO PROVIDE MANAGEMENT SERVICES. MEMBERS OR STOCKHOLDERS PART VI QUESTION 6 THE ORGANIZATION HAS MEMBERS, THE MAJORITY OF WHICH ARE PERSONS WHO ARE NOT PROVIDERS OF HEALTH SERVICES LICENSED UNDER THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS. MEMBERSHIP RIGHTS PART VI, LINE 7A THE MEMBERS OF THE ORGANIZATION ELECT THE DIRECTORS AT THE ANNUAL MEETING OF THE ORGANIZATION. GOVERNANCE PART VI, LINE 7B A QUORUM OF THE ORGANIZATION'S MEMBERS MAY VOTE TO AMEND OR REPEAL THE BYLAWS. REVIEW PROCESS PART VI, QUESTION 11B THE AUDIT COMMITTEE, A COMMITTEE OF THE GENERAL BOARD OF DIRECTORS, REVIEWS A FINAL FORM OF THE FORM 990 PRIOR TO ACTUAL FILING. MEMBERS OF THE EXTERNAL TAX FIRM (CURRENTLY ERNST & YOUNG U.S., LLP) INITIALLY DISCUSS, PREPARE AND REVIEW THE RETURN WITH MANAGEMENT. MANAGEMENT AND DENTAQUEST STAFF REVIEW THE 990 FOR ACCURACY AND COMPLETENESS AND PROVIDE COMMENTS TO THE PREPARER. ONCE THE RETURN IS FULLY ANALYZED AND PREPARED, A PAPER COPY IS DISTRIBUTED TO THE AUDIT COMMITTEE MEMBERS IN ADVANCE OF A SPECIFIC MEETING. AUDIT COMMITTEE MEMBERS REVIEW THE DRAFT FORM 990 AND THEN SEND TO THE FULL BOARD FOR REVIEW. THE FULL BOARD AND OFFICERS REVIEW THE 990 BEFORE IT IS FILED. CONFLICT OF INTEREST PART VI, QUESTION 12C MONITORING THE ORGANIZATION'S CONFLICT OF INTEREST POLICY PROVIDES THAT ANNUALLY, EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS SHALL SIGN A STATEMENT AFFIRMING THAT SUCH PERSON RECEIVED A COPY OF THE CONFLICT OF INTEREST POLICY, READ AND UNDERSTANDS THE POLICY AND AGREES TO COMPLY WITH THE POLICY. ADDITIONALLY, THE SIGNED STATEMENT AFFIRMS THAT THE PERSON UNDERSTANDS DENTAL SERVICE OF MASSACHUSETTS IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, DENTAL SERVICE OF MASSACHUSETTS MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. ENFORCEMENT IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. WHO IS COVERED? THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBERS OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS. LEVEL OF DETERMINATION AND REVIEW OF CONFLICTS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER PRESENTATION OF A POTENTIAL TRANSACTION OR ARRANGEMENT IS MADE BY AN INTERESTED PERSON, THE REMAINING DISINTERESTED BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION OR ARRANGEMENT IN QUESTION. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE IF DENTAL SERVICE OF MASSACHUSETTS CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE GOVERNING BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. RESTRICTIONS PLACED ON CONFLICTED PERSONS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. COMPENSATION POLICY PART VI, QUESTION 15 THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT IS MODELED AFTER THE REQUIREMENTS IN THE INTERNAL REVENUE CODE SECTION 4958 TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLE COMPENSATION. COMPENSATION IS REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE ("THE COMMITTEE") OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS, ON AN ANNUAL BASIS. THE COMMITTEE ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT, WHICH PRESENTED TO THE COMMITTEE COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND FORM 990S OF COMPARABLE ORGANIZATIONS TO ASSIST IN EVALUATING THE COMPENSATION FOR EACH INDIVIDUAL. THE COMMITTEE CONDUCTED A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTED ITS DELIBERATIONS AND DISCUSSIONS IN MINUTES THAT ARE RETAINED WITH OTHER GOVERNANCE RECORDS OF THE ORGANIZATION. THE COMMITTEE FOLLOWED THE PROCESS TO ESTABLISH THE PRESUMPTION THAT COMPENSATION PAID TO THE ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT WAS REASONABLE FOR PURPOSES OF SECTION 4958 BY RELYING ON PROFESSIONAL ADVICE IN A WRITTEN OPINION OF REASONABLENESS FROM INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE INFORMS THE BOARD OF ITS DECISIONS AT THE NEXT BOARD MEETING. PUBLIC DISCLOSURE PART VI, QUESTION 19 WE DO NOT PUBLISH ANY GOVERNING POLICIES OR DOCUMENTS FOR PUBLIC CONSUMPTION. WE DO FILE A MASSACHUSETTS FORM PC WITH AN ATTACHED FORM 990. THE FORM PC IS FILED WITH THE ATTORNEY GENERAL'S OFFICE AND IS AVAILABLE FOR INSPECTION BY ANY OF THE INTERESTED PUBLIC. OTHER CHANGES IN NET ASSETS PART XI, LINE 9 EQUITY INCOME IN SUBSIDIARIES $ 18,973,179 CHANGE IN INTEREST RATE SWAP $ (569,725) ROUNDING/OTHER $ (2,643) TOTAL CHANGES IN NET ASSETS $ 18,400,811Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
DENTAQUEST FOUNDATION
465 MEDFORD STREETBOSTONMA02129043265080ORAL HTH IMPRMA501(c)(3)N/ADSMtrue
DENTAQUEST INSTITUTE INC
2400 COMPUTER DRIVEWESTBOROUGHMA01581205312990ORAL HTH IMPRMA501(c)(3)11aDSMtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrg
DENTAQUEST GROUP INC
465 MEDFORD STREETBOSTONMA02129204056199DENTAL SERVICEDEDSMC CORP171570883447860001.00000true
DSM INVESTMENT INC
465 MEDFORD STREETBOSTONMA02129043428012DENTAL SERVICEMADSMC CORP4016014837541.00000true
DENTAQUEST LLC
465 MEDFORD STREETBOSTONMA02129200390099DENTAL SERVICEDEDQ MA BUS TRUSTLLC246750103149949781.00000true
DENTAQUEST MID-ATLANTIC INC
465 MEDFORD STREETBOSTONMA02129522006071INSURANCEMDDQ MANAGEMENTC CORP160339597727631.00000true
DENTAQUEST VIRGINIA INC
465 MEDFORD STREETBOSTONMA02129522016912INSURANCEVADQ MANAGEMENTC CORP11482829485941.00000true
DENTAQUEST MANAGEMENT INC
465 MEDFORD STREETBOSTONMA02129521908785DENTAL SERVICEMDDQ GROUPC CORP18076593464444751.00000true
DSM INSURANCE SERVICES INC
465 MEDFORD STREETBOSTONMA02129043172335INSURANCEMADSM INVESTMENTSC CORP52265885631.00000true
DENTAQUEST ORAL HEALTH CENTER INC
465 MEDFORD STREETBOSTONMA02129043434787ORAL HEALTH IMADSM INVESTMENTSC CORP-1210513951911.00000true
DQ MASSACHUSETTS BUSINESS TRUST
465 MEDFORD STREETBOSTONMA02129204056067DENTAL SERVICEMADQ MANAGEMENTTRUST16358370304324681.00000true
DENTAQUEST OF KENTUCKY LLC
465 MEDFORD STREETBOSTONMA02129141885490DENTAL SERVICEWIDENTAQUEST LLCLLC044400111.00000true
DENTAQUEST OF ILLINOIS LLC
465 MEDFORD STREETBOSTONMA02129421529687DENTAL SERVICEWIDENTAQUEST LLCLLC83893572867981.00000true
DENTAQUEST OF MARYLAND LLC
465 MEDFORD STREETBOSTONMA02129810567214DENTAL SERVICEWIDENTAQUEST LLCLLC1263513719401.00000true
DENTAQUEST ADMINISTRATIVE SERVICES LLC
465 MEDFORD STREETBOSTONMA02129392041298DENTAL SERVICECADENTAQUEST LLCLLC916884955061.00000true
DENTAQUEST OF GEORGIA LLC
465 MEDFORD STREETBOSTONMA02129141885493DENTAL SERVICEWIDENTAQUEST LLCLLC-35608418709741.00000true
DENTAQUEST OF ARIZONA LLC
465 MEDFORD STREETBOSTONMA02129113692025DENTAL SERVICEWIDENTAQUEST LLCLLC8472315245211.00000true
DENTAQUEST OF TENNESSEE LLC
465 MEDFORD STREETBOSTONMA02129352177954DENTAL SERVICEWIDENTAQUEST LLCLLC9107383718881.00000true
DENTAQUEST SOLUTIONS LLC
465 MEDFORD STREETBOSTONMA02129392040881DENTAL SERVICEWIDENTAQUEST LLCLLC001.00000true
DENTAQUEST IPA OF NEW YORK LLC
465 MEDFORD STREETBOSTONMA02129810616910DENTAL SERVICEWIDENTAQUEST LLCLLC-404678720277561.00000true
DENTAQUEST USA INSURANCE COMPANY INC
465 MEDFORD STREETBOSTONMA02129202970185INSURANCETXDENTAQUEST LLCC CORP242699111507443811.00000true
DENTAQUEST OF NEW JERSEY LLC
465 MEDFORD STREETBOSTONMA02129562356433DENTAL SERVICEWIDENTAQUEST LLCLLC-1107613141661.00000true
DENTAQUEST OF NEW YORK LLC
465 MEDFORD STREETBOSTONMA02129141885500DENTAL SERVICEWIDENTAQUEST LLCLLC3459237552061.00000true
DENTAQUEST OF MINNESOTA LLC
465 MEDFORD STREETBOSTONMA02129562356445DENTAL SERVICEWIDENTAQUEST LLCLLC26549336831031.00000true
DENTAQUEST OF NEW MEXICO LLC
465 MEDFORD STREETBOSTONMA02129141885481DENTAL SERVICEWIDENTAQUEST LLCLLC212921000381.00000true
DENTAQUEST OF FLORIDA INC
465 MEDFORD STREETBOSTONMA02129650743731INSURANCEFLDENTAQUEST LLCC CORP3428911187755671.00000true
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 OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
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 OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DENTAQUEST INSTITUTE INC
B3670068FMV
DENTAQUEST FOUNDATION INC
B13500000FMV
DENTAQUEST GROUP INC & SUBSIDIARIES
H11535116FMV
DENTAQUEST INSTITUTE INC
Q228370FMV
DENTAQUEST FOUNDATION INC
O187202FMV
DENTAQUEST INSTITUTE INC
O201750FMV
DENTAQUEST GROUP INC & SUBSIDIARIES
P58300201FMV

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