2012-11-14T17:22:16-06:00 2011-12-31 ERNST & YOUNG US LLP 75 BEATTIE PLACE SUITE 800 GREENVILLE SC 29601 990 2011-01-01 046143185 DENTAL SERVICE OF MASSACHUSETTS INC % JAMES COLLINS DENT 6178861000 465 MEDFORD STREET BOSTON MA 02129 JAMES E COLLINS 2012-11-14 8642425740 2011 2016-02-24 21:20:13Z DELTA DENTAL OF MASSACHUSETTS FAY DONOHUE 465 MEDFORD STREET BOSTON MA 02129 537485402 false X WWW.DELTAMASS.COM X 1966 MA TO IMPROVE ORAL HEALTH THROUGH DENTAL BENEFITS, CREATION AND TRANSFER OF KNOWLEDGE AND PHILANTHROPY. 16 15 0 0 0 0 0 0 325069121 331934063 11998388 16415959 0 0 337067509 348350022 10685000 26812000 215403482 216765437 2176889 475750 0 0 0 75565240 80355379 303830611 324408566 33236898 23941456 401242532 425069402 109710392 112996387 291532140 312073015 TO IMPROVE ORAL HEALTH THROUGH DENTAL BENEFITS, CREATION AND TRANSFER OF KNOWLEDGE AND PHILANTHROPY. false false 282702576 26812000 331934063 DENTAL SERVICE OF MASSACHUSETTS, INC. (DSM) IS A NOT-FOR-PROFIT DENTAL SERVICE ORGANIZATION INCORPORATED TO PROVIDE DENTAL INSURANCE TO MASSACHUSETTS GROUPS AND INDIVIDUALS. WE BELIEVE THAT EVERYBODY DESERVES A HEALTHY SMILE. DENTAL IS ALL WE DO, AND WE'RE COMMITTED TO DOING IT BETTER THAN ANYBODY ELSE. FROM ADMINISTERING INNOVATIVE DENTAL BENEFIT PLANS THROUGH THE NATION'S LARGEST NETWORK OF DENTISTS, TO DRIVING RESEARCH THAT IMPROVES ORAL HEALTH FOR EVERYONE IN THE COMMUNITIES WE SERVE, DSM IS COMMITTED TO SPREADING SMILES. FOR MORE THAN 40 YEARS, DSM HAS DEDICATED ITSELF TO IMPROVING ORAL HEALTH. AFTER ALL, TAKING CARE OF TEETH IS ALL WE DO. TEETH ARE OUR LIFE. THEY'RE OUR PASSION, WHICH MAY BE WHY MORE COMPANIES OFFERING DENTAL BENEFITS TO EMPLOYEES TODAY CHOOSE DSM THAN ANY OTHER DENTAL PLAN. NEARLY EVERY DENTIST IN THE STATE OF MASSACHUSETTS PARTICIPATES IN ONE OR MORE OF OUR PLANS. PLUS, WHEN SOMEONE SIGNS UP WITH DSM, THEY ARE PARTNERING WITH A COMPANY THAT'S ON THE FOREFRONT OF PROMOTING ADVANCED DENTAL TREATMENTS AND PREVENTIVE PROGRAMS. FROM SPEARHEADING TREATMENTS THAT KEEP ORAL BACTERIA IN CHECK TO STOP THE DECAY OF TEETH, TO COMMUNITY FLUORIDATION PROGRAMS THAT BENEFIT ALL RESIDENTS, WE LEAD THE WAY IN IMPROVING THE ORAL HEALTH OF INDIVIDUALS THROUGH INNOVATIVE, QUALITY DENTAL PROGRAMS. programs. 282702576 false false false false false false false false false true false false true true false false true false false false false false false false false false true false true false false false false false true false false false false false false false true true true false true 65414 0 true 0 true false false false false false false X 16 15 true true false false true true true true true false false true true true true true true true true false MA X JAMES COLLINS 6178861000 465 MEDFORD STREET BOSTON MA 02129 X TERRY CONNER 4.5 X 14000 7000 THOMAS GALLIGAN 4.5 X 19000 9000 RAUL GARCIA 4.5 X 31000 0 817 MARION KANE 4.5 X 37000 0 285 KAREN KAPLAN 4.5 X 26000 0 817 DONALD KENNEY 4.5 X 47000 0 817 DONALD LECLAIR 4.5 X 27000 9000 817 ANNE PAGE PALMER 4.5 X 22500 817 PAMELA DA REEVE 4.5 X 29000 7000 JAY SARLES 10.0 X X 72000 817 LESLIE ZIDE 4.5 X 26000 0 285 EDWARD A HJERPE III 4.5 X 28500 8000 0 JOHN GUSHA 4.5 X 29000 817 LINDA NIESSEN 4.5 X 38750 0 0 WALTER OWENS 4.5 X 29000 817 FAY DONOHUE 38.0 X X 1124479 382478 JAMES COLLINS 38.0 X 425387 154414 MYRA GREEN 38.0 X 501387 226095 DENNIS LEONARD 38.0 X 498114 161912 STEVE POLLOCK 38.0 X 793786 188143 SHERYL TRAYLOR 38.0 X 353806 121122 KEN ERDELT 38.0 X 350288 131601 ROBERT LYNN 38.0 X 438492 161330 ANGELA KISH 38.0 X 273413 100893 KEVIN KLEIN 38.0 X 305999 119751 MEG WING 38.0 X 142406 43890 ROBERT COMPTON 38.0 X 295377 86038 MICHAEL MONOPOLI 38.0 X 265811 70904 475750 5808745 1955677 0 true true false BLACKROCK MELLON INVESTOR SERVICES PO BOX 3 SOUTH HACKENSACK NJ 07606 INVESTMENT MGMT 135552 ERNST YOUNG US LLP 200 CLARENDON STREET BOSTON MA 02116 ATTESTATION 219624 PRIME BUCHHOLZ PEASE INTERNATIONAL TRADEPORT PORTSMOUTH NH 03801 INVESTMENT ADVISOR 201090 3 0 REVENUE FROM DENTAL SERVICE PLAN 900099 283405145 283405145 ASO ADMINISTRATIVE SERVICE 900099 48528918 48528918 331934063 7256154 7256154 0 0 198295185 189135380 9159805 9159805 9159805 0 0 0 0 348350022 331934063 16415959 26812000 26812000 0 0 216765437 216765437 475750 475750 0 0 0 0 0 49509063 17700895 31808168 0 219624 219624 0 0 756000 756000 487000 194800 292200 4480 1792 2688 3054 1222 1832 0 0 0 35511 14204 21307 0 104566 41826 62740 0 0 3358091 1343236 2014855 0 Commissions 11971561 11971561 Subscriptions and Dues 452971 181188 271783 PURCHASED SERVICES 10078325 5831652 4246673 OTHER 3375133 1367013 2008120 324408566 282702576 41705990 0 0 0 34684274 -15824339 0 0 13965721 14299462 0 0 0 0 8750000 8750000 0 0 1441827 -12536047 57093135 9970354 33147110 47122781 222019738 262748580 0 0 0 0 0 0 87233862 120508965 401242532 425069402 8895469 8165021 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100814923 104831366 109710392 112996387 X 291532140 312073015 0 0 0 0 291532140 312073015 401242532 425069402 X 23941456 -3400581 X false true true X false 9054 4419 4635 57084081 9965935 47118146 47122781 INVESTMENT IN SUBSIDIARY 30702638 COST REIMBURSEMENT 89806327 120508965 0 UNPAID CLAIMS 46402245 GROUP EXPERIENCE REFUNDS 6293897 UNEARNED PREMIUM 5740578 ADVANCE DEPOSITS 42697073 PAYABLE FOR OPEN TRADE 3697573 104831366 FIN 48/ASC 740 THERE 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. true DENTAQUEST FOUNDATION 465 MEDFORD STREET BOSTON MA 02129 043265080 501(C)(3) 24000000 UNRESTRICTED ORAL HEALTH IMPROVEMENT DENTAQUEST INSTITUTE INC 2400 COMPUTER DRIVE WESTBOROUGH MA 01581 205312990 501(C)(3) 2812000 UNRESTRICTED ORAL HEALTH IMPROVEMENT 2 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants DSM PROVIDES GRANTS ONLY TO RELATED ORGANIZATIONS WHO ARE EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). X true true X X X X X false true false true true true true true false FAY DONOHUE 528245 393734 202500 375601 6877 1506957 403534 JAMES COLLINS 269870 107500 48017 136936 17478 579801 114618 MYRA GREEN 287487 213900 214125 11970 727482 223700 MEG WING 101545 29593 11268 42757 1133 186296 35032 DENNIS LEONARD 290072 130800 77242 144400 17512 660026 140600 STEVE POLLOCK 258117 85600 450069 170560 17583 981929 95400 SHERYL TRAYLOR 227260 103700 22846 114450 6672 474928 113500 KEN ERDELT 229126 98316 22846 114210 17391 481889 108116 ROBERT LYNN 294060 117601 26831 143800 17530 599822 127401 ANGELA KISH 200766 70373 2274 83540 17353 374306 ROBERT COMPTON 222301 71560 1516 78845 7193 381415 81360 KEVIN KLEIN 213117 71400 21482 102390 17361 425750 81200 MICHAEL MONOPOLI 225287 40524 64235 6669 336715 NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN SCHEDULE J, PART I, QUESTION 4B THE ELIGIBLE LISTED EMPLOYEES OVER $250,000 AS OF 12/31/2011 PARTICIPATE IN A 457(B) SUPPLEMENTAL RETIREMENT PLAN. OF THOSE ELIGIBLE EMPLOYEES, NO ONE RECEIVED ANY PAYMENTS IN 2011. THE FOLLOWING DSM AND DENTAQUEST EMPLOYEES PARTICIPATE IN THE DENTAQUEST LONG TERM INCENTIVE COMPENSATION PLAN AND RECEIVED THE PAYMENTS LISTED BELOW DURING 2011. FAY DONOHUE: $ 202,500 JAMES COLLINS: $ 48,017 MEG WING: $ 11,268 DENNIS LEONARD: $ 77,242 STEVE POLLOCK: $ 77,242 SHERYL TRAYLOR: $ 22,846 KEN ERDELT: $ 22,846 ROBERT LYNN: $ 26,831 STEVE LAURENT: $ 27,651 KEVIN KLEIN: $ 21,482 ROBERT COMPTON: $ 1,516 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 2010, BUT PAID IN 2011. OTHER REPORTABLE COMPENSATION SCHEDULE J, PART II, COLUMN B(III) COLUMN B(III) OTHER REPORTABLE COMPENSATION REPRESENTS STOCK OPTIONS PAID DURING 2011 AND AS MOVING EXPENSES PAID DURING 2011 FOR STEVE POLLOCK. DEFERRED COMPENSATION SCHEDULE J, PART II, COLUMN C COLUMN C ON SCHEDULE J PART II INCLUDES BONUSES AND PENSION AMOUNTS EARNED DURING 2011 BUT PAID IN 2012. JOHN GUSHA DIRECTOR 517689 DENTIST CLAIMS false DONALD LECLAIR DIRECTOR 201971 DENTIST CLAIMS false 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 PROPOSED TRANSACTION OR ARRANGEMENT. 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. PART VII, SECTION A, COLUMN (B) HOURS DEVOTED TO RELATED ORGANIZATIONS DENTAQUEST FOUNDATION, INC. -MICHAEL MONOPOLI 40.00 HR/WK -FAY DONOHUE 5.00 HR/WK -DONALD KENNEY 1.00 HR/WK -LINDA NIESSEN, DMD 1.00 HR/WK -MARION KANE 1.00 HR/WK -MYRA GREEN 1.00 HR/WK DENTAQUEST INSTITUTE, INC. -FAY DONOHUE 5.00 HR/WK -MARION KANE 1.00 HR/WK -ANNE PAGE PALMER 1.00 HR/WK -MYRA GREEN 5.00 HR/WK OTHER CHANGES IN NET ASSETS PART XI, LINE 5 EQUITY INCOME IN SUBSIDIARIES $ 901,300 UNREALIZED LOSS ON INVESTMENTS ($ 5,348,908) CHANGE IN INTEREST RATE SWAP $ 1,046,757 ROUNDING/OTHER $ 270 TOTAL CHANGES IN NET ASSETS ($ 3,400,581) DENTAQUEST FOUNDATION 465 MEDFORD STREET BOSTON MA 02129 043265080 ORAL HTH IMPR MA 501(C)(3) N/A DSM true DENTAQUEST INSTITUTE INC 2400 COMPUTER DRIVE WESTBOROUGH MA 01581 205312990 ORAL HTH IMPR MA 501(C)(3) N/A DSM true DENTAQUEST GROUP INC 465 MEDFORD STREET BOSTON MA 02129 204056199 DENTAL SERVICE DE DSM C CORP 1227082 232099000 1.00000 DSM INVESTMENT INC 465 MEDFORD STREET BOSTON MA 02129 043428012 DENTAL SERVICE MA DSM C CORP -325782 1832782 1.00000 DENTAQUEST LLC 465 MEDFORD STREET BOSTON MA 02129 200390099 DENTAL SERVICE DE DQ MA BUS TRUST LLC 2958181 183773432 1.00000 DENTAQUEST MID-ATLANTIC INC 465 MEDFORD STREET BOSTON MA 02129 522006071 INSURANCE MD DQ MANAGEMENT C CORP 1217048 8803055 1.00000 DENTAQUEST VIRGINIA INC 465 MEDFORD STREET BOSTON MA 02129 522016912 INSURANCE VA DQ MANAGEMENT C CORP -108232 2956933 1.00000 DENTAQUEST MANAGEMENT INC 465 MEDFORD STREET BOSTON MA 02129 521908785 DENTAL SERVICE MD DQ GROUP C CORP 2062028 29995771 1.00000 DSM INSURANCE SERVICES INC 465 MEDFORD STREET BOSTON MA 02129 043172335 INSURANCE MA DSM INVESTMENTS C CORP -40937 155002 1.00000 DENTAQUEST ORAL HEALTH CENTER INC 465 MEDFORD STREET BOSTON MA 02129 043434787 ORAL HEALTH IMPRV MA DSM INVESTMENTS C CORP -284845 1677780 1.00000 DQ MASSACHUSETTS BUSINESS TRUST 465 MEDFORD STREET BOSTON MA 02129 204056067 DENTAL SERVICE MA DQ MANAGEMENT TRUST 953212 14643823 1.00000 DENTAQUEST OF KENTUCKY LLC 465 MEDFORD STREET BOSTON MA 02129 141885490 DENTAL SERVICE WI DENTAQUEST LLC LLC 142 4449071 1.00000 DENTAQUEST OF ILLINOIS LLC 465 MEDFORD STREET BOSTON MA 02129 421529687 DENTAL SERVICE WI DENTAQUEST LLC LLC 113876 6362497 1.00000 DENTAQUEST OF MARYLAND LLC 465 MEDFORD STREET BOSTON MA 02129 810567214 DENTAL SERVICE WI DENTAQUEST LLC LLC -898328 1346462 1.00000 DENTAQUEST ADMINISTRATIVE SERVICES LLC 465 MEDFORD STREET BOSTON MA 02129 392041298 DENTAL SERVICE CA DENTAQUEST LLC LLC 55971 367818 1.00000 DENTAQUEST OF GEORGIA LLC 465 MEDFORD STREET BOSTON MA 02129 141885493 DENTAL SERVICE WI DENTAQUEST LLC LLC -388463 2200673 1.00000 DENTAQUEST OF ARIZONA LLC 465 MEDFORD STREET BOSTON MA 02129 113692025 DENTAL SERVICE WI DENTAQUEST LLC LLC -26068 141411 1.00000 DENTAQUEST OF TENNESSEE LLC 465 MEDFORD STREET BOSTON MA 02129 352177954 DENTAL SERVICE WI DENTAQUEST LLC LLC -67700 8209491 1.00000 DENTAQUEST SOLUTIONS LLC 465 MEDFORD STREET BOSTON MA 02129 392040881 DENTAL SERVICE WI DENTAQUEST LLC LLC -6951 496915 1.00000 DENTAQUEST IPA OF NEW YORK LLC 465 MEDFORD STREET BOSTON MA 02129 810616910 DENTAL SERVICE WI DENTAQUEST LLC LLC 1455744 845936 1.00000 DENTAQUEST USA INSURANCE COMPANY INC 465 MEDFORD STREET BOSTON MA 02129 202970185 INSURANCE TX DENTAQUEST LLC C CORP 251420 19858299 1.00000 DENTAQUEST OF NEW JERSEY LLC 465 MEDFORD STREET BOSTON MA 02129 562356433 DENTAL SERVICE WI DENTAQUEST LLC LLC 50449 1340894 1.00000 DENTAQUEST OF NEW YORK LLC 465 MEDFORD STREET BOSTON MA 02129 141885500 DENTAL SERVICE WI DENTAQUEST LLC LLC 1847699 24094389 1.00000 DENTAQUEST OF MINNESOTA LLC 465 MEDFORD STREET BOSTON MA 02129 562356445 DENTAL SERVICE WI DENTAQUEST LLC LLC 311666 3445505 1.00000 DENTAQUEST OF NEW MEXICO LLC 465 MEDFORD STREET BOSTON MA 02129 141885481 DENTAL SERVICE WI DENTAQUEST LLC LLC -119437 2111663 1.00000 DENTAQUEST OF FLORIDA INC 465 MEDFORD STREET BOSTON MA 02129 650743731 INSURANCE FL DENTAQUEST LLC C CORP 378160 9639795 1.00000 false true false false false false true false false false false false false true true true false false DENTAQUEST INSTITUTE INC B 2812000 FMV DENTAQUEST FOUNDATION INC B 24000000 FMV DENTAQUEST GROUP INC & SUBSIDIARIES G 17349820 FMV DENTAQUEST INSTITUTE INC P 170549 FMV DENTAQUEST FOUNDATION INC N 244876 FMV DENTAQUEST INSTITUTE INC N 228680 FMV DENTAQUEST GROUP INC & SUBSIDIARIES O 60091403 FMV