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DENTAL SERVICE OF MASSACHUSETTS INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DENTAL SERVICE OF MASSACHUSETTS INC (EIN 04-6143185)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-15
IRS object ID
202243199349303534
Schema version
2021v4.2
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)
Return2022-11-15T14:30:13+00:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN346565596PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1200 CLARENDON STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP021165072ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN046143185EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Dental Service of Massachusetts IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDENTBusinessNameControlTxt
Phone6178861000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02129ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDENNIS J LEONARDPersonNm
Person TitlePresident & CEOPersonTitleTxt
Phone6178861000PhoneNum
Signature2022-11-15SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstGREGORY PPersonFirstNm
Person LastWINNPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMike A CincottaPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1DENNIS J LEONARDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02129ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$299,318,172GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALMA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE ORAL HEALTH OF ALL.ActivityOrMissionDesc
Voting Members Governing Body9VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$262,356,849PYProgramServiceRevenueAmt
CY Program Service Revenue$297,448,031CYProgramServiceRevenueAmt
PY Investment Income$1,959,156PYInvestmentIncomeAmt
CY Investment Income$1,577,950CYInvestmentIncomeAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$264,316,005PYTotalRevenueAmt
CY Total Revenue$299,025,981CYTotalRevenueAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$142,258,480PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$168,776,074CYBenefitsPaidToMembersAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$95,574,194PYOtherExpensesAmt
CY Other Expenses$97,535,486CYOtherExpensesAmt
PY Total Expenses$237,832,674PYTotalExpensesAmt
CY Total Expenses$266,311,560CYTotalExpensesAmt
PY Revenues Less Expenses$26,483,331PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$32,714,421CYRevenuesLessExpensesAmt
Total Assets BOY$128,947,720TotalAssetsBOYAmt
Total Assets EOY$126,144,035TotalAssetsEOYAmt
Total Liabilities BOY$80,422,438TotalLiabilitiesBOYAmt
Total Liabilities EOY$76,930,956TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$48,525,282NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$49,213,079NetAssetsOrFundBalancesEOYAmt
MissionTO IMPROVE THE ORAL HEALTH OF ALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$231,800,185ExpenseAmt
Revenue$297,448,031RevenueAmt
DescDENTAL SERVICE OF MASSACHUSETTS, INC. (DSM) D/B/A DELTA DENTAL OF MASSACHUSETTS IS A MASSACHUSETTS NOT-FOR-PROFIT DENTAL SERVICE ORGANIZATION WITH A MISSION TO IMPROVE THE ORAL HEALTH OF ALL AND A VISION TO ACHIEVE PERSON-CENTERED HEALTH BY TRANSFORMING THE SYSTEMS OF POLICY, FINANCE, CARE, AND COMMUNITY. DSM AND ITS SUBSIDIARIES' ACTIVITIES INCLUDE, BUT ARE NOT LIMITED TO, SECURING DENTAL SERVICES FOR EMPLOYEE GROUPS, INDIVIDUALS AND THEIR FAMILIES; INCLUDING THE SAFETY NET POPULATIONS THROUGH MEDICARD, MEDICARE ADVANTAGE AND CHIP PROGRAMS; PROVIDING INNOVATIVE PRODUCTS AND SERVICES; FINANCE AND DEVELP PROFESSIONAL AND SCIENTIFIC STUDY AND RESEARCH; AND EDUCATE THE PUBLIC CONCERNING THE IMPORTANCE OF ORAL HEALTH. 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.Desc
Total Program Service Expenses$231,800,185TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsfalseDonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsfalseGrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntfalseBusinessRlnWith35CtrlEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntfalseRelatedOrganizationCtrlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document59654IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members9GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOfalseCompensationProcessCEOInd
Compensation Process OtherfalseCompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldMAStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENISE MARKSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone6178861000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02129ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (20 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Andrew C Agwunobi MD
Director1.81.8Yes (X)$0$105,000$0
Evelyn H Miller
Director1.81.8Yes (X)$0$215,818$0
Jessica A Zeaske
Director1.81.8Yes (X)$0$108,318$0
Kathleen V Betts
Director1.81.8Yes (X)$0$200,588$0
Pamela DA Reeve
Chair/Director2.52.5Yes (X)$0$150,000$0
Robert J Weyant DMD
Director1.81.8Yes (X)$0$105,584$0
Roderick K King MD
Director1.81.8Yes (X)$0$105,822$0
Todd W Marshall DDS
Director1.81.8Yes (X)$0$100,580$0
William C Mills III
Director1.81.8Yes (X)$0$108,080$0
Denise Marks
Treasurer [3/10/21 - 12/31/21]4.536.5$0$443,061$10,627Yes (X)
Dennis J Leonard
President & CEO35.05.0$0$1,109,702$27,916Yes (X)
Gregory P Winn
Asst. Treasurer [3/10/21 - 12/31/21] / Treasurer [1/1/21 - 3/10/21]4.536.5$0$450,498$37,977Yes (X)
James P Hawkins
Clerk [1/1/21-3/10/21]4.535.5$0$666,018$899,908Yes (X)
Patricia Ma
Clerk [3/10/21 - 12/31/21]4.536.5$0$296,715$9,995Yes (X)
Courtney Ransom
SVP- Chief Ethics & Compliance Officer-Dentaquest4.535.5$0$511,372$269,946Yes (X)
David Abelman
EVP- Chief Legal Officer - DentaQuest4.535.5$0$1,148,335$1,308,573Yes (X)
Myechia Minter-Jordan MD MBA
President-Carequest4.536.5$0$1,134,155$33,986Yes (X)
Sheryl L Traylor
EVP -HR -Dentaquest - (Retired)4.535.5$0$898,538$3,194Yes (X)
Steven J Pollock
President-Dentaquest3.536.5$0$4,038,183$7,819,645Yes (X)
Jeffrey C Brown
Former Treasurer0.00.0$0$521,876$1,321Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$12,418,243TotReportableCompRltdOrgAmt
Total Other Compensation$10,423,088TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
42 North Dental Care LLC
200 5TH AVE 3RD FLWALTHAMMA024518779Dental Services$16,409,995
Great Hill Dental Partners LLC
1610 TREMONT STREETBOSTONMA02120Dental Services$4,324,144
Chestnut Dental Associates PC
38 POND ST SUITE 204FRANKLINMA02038Dental Services$4,057,167
Mass General Physician Organization
165 CAMBRIDGE ST NO 40BOSTONMA02114Dental Services$2,763,957
BEACON DENTAL HEALTH PC
198 TREMONT ST STE 436BOSTONMA02116Dental Services$2,330,340
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1496CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PPO REVENUE900099$175,767,231$175,767,231
PREMIER REVENUE900099$65,045,931$65,045,931
ASO ADMINISTRATIVE SERVICE900099$56,634,869$56,634,869

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$297,448,031TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,071,025TotalRevenueColumnAmt
Exclusion$1,071,025ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$799,116SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$290,974SecuritiesAmt
Other$1,217OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$508,142SecuritiesAmt
Other-$1,217OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$506,925TotalRevenueColumnAmt
Exclusion$506,925ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$299,025,981TotalRevenueColumnAmt
Related Or Exempt Func Income$297,448,031RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,577,950ExclusionAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$168,776,074TotalAmt
Program Services$168,776,074ProgramServicesAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$462,783TotalAmt
Program Services$347,087ProgramServicesAmt
Management And General$115,696ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$2,126,774TotalAmt
Management And General$2,126,774ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$170,355TotalAmt
Management And General$170,355ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$210TotalAmt
Program Services$126ProgramServicesAmt
Management And General$84ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,620TotalAmt
Program Services$972ProgramServicesAmt
Management And General$648ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$925TotalAmt
Program Services$555ProgramServicesAmt
Management And General$370ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$64,781TotalAmt
Program Services$38,869ProgramServicesAmt
Management And General$25,912ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$79,287,033TotalAmt
Program Services$47,572,220ProgramServicesAmt
Management And General$31,714,813ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$143,955TotalAmt
Program Services$86,373ProgramServicesAmt
Management And General$57,582ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COMMISSIONS$11,431,720$11,431,720
SUBSCRIPTIONS AND DUES$747,852$448,711$299,141
ACA FEE & OTHER$3,097,478$3,097,478

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$266,311,560TotalAmt
Program Services$231,800,185ProgramServicesAmt
Management And General$34,511,375ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,529,122BOYAmt
EOY$5,844,714EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$375,641BOYAmt
EOY$3,447,220EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$4,611EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,922,244LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,790,285LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$275,915BOYAmt
EOY$131,959EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$58,076,783BOYAmt
EOY$55,646,152EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$55,690,259BOYAmt
EOY$61,069,379EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$128,947,720BOYAmt
EOY$126,144,035EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,100,736BOYAmt
EOY$2,124,654EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$78,321,702BOYAmt
EOY$74,806,302EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$80,422,438BOYAmt
EOY$76,930,956EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$48,525,282BOYAmt
EOY$49,213,079EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$48,525,282BOYAmt
EOY$49,213,079EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$128,947,720BOYAmt
EOY$126,144,035EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$32,714,421ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$2,322,790NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$29,703,834OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,054OtherCostOrOtherBasisAmt
Depreciation$9,054DepreciationAmt
Book Value$0BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$6,458,405OtherCostOrOtherBasisAmt
Depreciation$6,458,405DepreciationAmt
Book Value$0BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$8,454,785OtherCostOrOtherBasisAmt
Depreciation$8,322,826DepreciationAmt
Book Value$131,959BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$131,959TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
INVESTMENT IN SUBSIDIARY$11,236,162
COST REIMBURSEMENT$49,833,217
FieldValueIRS element (for citing)
Total Book Value Other Assets$61,069,379TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
UNPAID CLAIMS$8,511,577
GROUP EXPERIENCE REFUNDS$4,406,000
UNEARNED PREMIUM$6,238,384
ADVANCE DEPOSITS$50,290,673
PAYABLE FOR OPEN TRADE$928,952
OTHER LONG TERM LIABILITIES$500,000
INTERCOMPANY BALANCE$3,930,716
FieldValueIRS element (for citing)
Total Liability$74,806,302TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteFormAndLineReferenceDesc
ExplanationTHE FASB ISSUE ASU 2019-12, INCOME TAXES (TOPIC 740) - SIMPLIFYING THE ACCOUNTING FOR INCOME TAXES, WHICH WILL ELIMINATE SEVERAL ACCOUNTING EXCEPTIONS RELATED TO INCOME TAXES, AS WELL AS INTRODUCE ADDITIONAL REQUIREMENTS WITHIN TOPIC 740. ASU 2019-12 IS EFFECTIVE FOR NONPUBLIC BUSINESS ENTITIES FOR FISCAL YEARS BEGINNING AFTER DECEMBER 15, 2021, WITH EARLY ADOPTION PERMITTED. THE ELIMINATED EXCEPTIONS AND ADDITIONAL REQUIREMENTS DO NOT CURRENTLY RELATE TO ACTIVITIES UNDERTAKEN BY THE COMPANY, SO THE COMPANY HAS DETERMINED THAT ADOPTING THIS NEW STANDARD IS NOT EXPECTED TO HAVE A FINANCIAL IMPACT. THE COMPANY DETERMINES WHETHER A TAX POSITION OF THE COMPANY IS MORE LIKLEY 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 LIKLEY 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanfalseSupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Evelyn H Miller
Director$0$215,818$0$0$0$0$0$0$0$0$0$215,818$0$0
Kathleen V Betts
Director$0$200,588$0$0$0$0$0$0$0$0$0$200,588$0$0
Jeffrey C Brown
Former Treasurer$0$10,736$0$15,052$0$496,088$0$739$0$582$0$523,197$0$496,088
James P Hawkins
Clerk [1/1/21-3/10/21]$0$279,662$0$259,156$0$127,200$0$898,837$0$1,071$0$1,565,926$0$127,200
Dennis J Leonard
President & CEO$0$445,054$0$314,648$0$350,000$0$26,876$0$1,040$0$1,137,618$0$350,000
Gregory P Winn
Asst. Treasurer [3/10/21 - 12/31/21] / Treasurer [1/1/21 - 3/10/21]$0$243,894$0$98,604$0$108,000$0$36,696$0$1,281$0$488,475$0$108,000
Denise Marks
Treasurer [3/10/21 - 12/31/21]$0$392,508$0$50,553$0$0$0$9,216$0$1,411$0$453,688$0$0
Patricia Ma
Clerk [3/10/21 - 12/31/21]$0$296,548$0$167$0$0$0$9,500$0$495$0$306,710$0$0
Steven J Pollock
President-Dentaquest$0$895,805$0$1,402,378$0$1,740,000$0$7,818,234$0$1,411$0$11,857,828$0$1,740,000
David Abelman
EVP- Chief Legal Officer - DentaQuest$0$408,398$0$289,937$0$450,000$0$1,307,400$0$1,173$0$2,456,908$0$450,000
Myechia Minter-Jordan MD MBA
President-Carequest$0$563,527$0$570,628$0$0$0$33,397$0$589$0$1,168,141$0$0
Sheryl L Traylor
EVP -HR -Dentaquest - (Retired)$0$0$0$0$0$898,538$0$3,058$0$136$0$901,732$0$898,538
Courtney Ransom
SVP- Chief Ethics & Compliance Officer-Dentaquest$0$299,770$0$151,602$0$60,000$0$268,603$0$1,343$0$781,318$0$60,000

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensationTHE OFFICER'S COMPENSATION IS ESTABLISHED BY A RELATED ORGANIZATION, CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. (FORMERLY CATALYST INSTITUTE, INC.) THROUGH THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORMS 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE.
Schedule J, Part I, Line 4a Severance or change-of-control paymentSHERYL L. TRAYLOR RECEIVED SEVERANCE IN THE AMOUNT OF $298,538 AND JEFFREY C. BROWN RECEIVED SEVERANCE IN THE AMOUNT OF $322,088. THIS AMOUNT IS INCLUDED IN BOTH INDIVIDUALS' COMPENSATION ON SCHEDULE J, PART II.
Schedule J, Part IICOMPENSATION PAID BY RELATED ORGANIZATION: SCHEDULE J, PART II INCLUDES INDIVIDUALS THAT ARE PAID BY DENTAQUEST, LLC, A RELATED ORGANIZATION, BUTPERFORM SERVICES FOR BOTH DENTAQUEST, LLC AND DENTAL SERVICE OF MASSACHUSETTS, INC., THE FILING ORGANIZATION. AS REPORTED IN PART VII, SECTION A, COLUMN (B), NONE OF THESE INDIVIDUALS DEVOTES MORE THAN 4.5 HOURS PER WEEK TO DENTAL SERVICE OF MASSACHUSETTS. ADDITIONALLY, ALL OF THE BONUS AND INCENTIVE COMPENSATION REPORTED IN PART II IS SOLELY RELATED TO WORK PERFORMED FOR, AND PAID BY, DENTAQUEST, LLC
Schedule J, Part II, Column (B)(ii) BONUS PAYMENTSCOLUMN B (II) ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2020 BUT PAID IN 2021.
Schedule J, Part II, Column (B)(iii) OTHER REPORTABLE COMPENSATIONOTHER REPORTABLE COMPENSATION REPRESENTS LONG-TERM INCENTIVE COMPENSATION EXPENSE EARNED PRIOR TO 2021 BUT PAID DURING 2021
Schedule J, Part II, Column (C) DEFERRED COMPENSATIONCOLUMN C ON SCHEDULE J PART II INCLUDES LONG-TERM INCENTIVE COMPENSATION AND PENSION AMOUNTS EARNED DURING 2021 BUT PAID IN FUTURE YEARS.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 15 COMPENSATION POLICYCAREQUEST INSTITUTE FOR ORAL HEALTH, INC. (FORMERLY CATALYST INSTITUTE, INC.), THE SOLE MEMBER OF DENTAL SERVICE OF MASSACHUSETTS, INC., HANDLES THE RESPONSIBILITY OF DETERMINING COMPENSATION FOR DENTAL SERVICE OF MASSACHUSETTS' OFFICERS.
Form 990, Part VI, Line 2 Family/business relationships amongst interested personsDR. MYECHIA MINTER-JORDAN - Business relationship, DENISE MARKS - Business relationship, GREGORY P. WINN - Business relationship, PATRICIA MA - Business relationship, JAMES P. HAWKINS - Business relationship, PAMELA D.A. REEVE - Business relationship, EVELYN H. MILLER - Business relationship, JESSICA A. ZEASKE - Business relationship, WILLIAM C. MILLS III - Business relationship, RODERICK K. KING - Business relationship, KATHLEEN V. BETTS - Business relationship, ROBERT J. WEYANT - Business relationship, DR. ANDREW C. AGWUNOBI - Business relationship, TODD W. MARSHALL - Business relationship
Form 990, Part VI, Line 3 Delegation of management dutiesTHE COMPANY HIRES DENTAQUEST, LLC (A RELATED PARTY) TO PROVIDE MANAGEMENT SERVICES.
Form 990, Part VI, Line 6 Classes of members or stockholdersCAREQUEST INSTITUTE FOR ORAL HEALTH, INC. (FORMERLY CATALYST INSTITUTE, INC.) IS THE SOLE MEMBER OF DENTAL SERVICES OF MASSACHUSETTS, INC.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing bodyTHE MEMBERS OF THE ORGANIZATION ELECT THE DIRECTORS AT THE ANNUAL MEETING OF THE ORGANIZATION.
Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholdersA QUORUM OF THE ORGANIZATION'S MEMBERS MAY VOTE TO AMEND OR REPEAL THE BY-LAWS.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyTHE AUDIT COMMITTEE, A COMMITTEE OF THE DSM 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 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. A COPY OF THE FINAL FORM 990 IS SENT TO THE FULL BOARD AND OFFICERS BEFORE IT IS FILED.
Form 990, Part VI, Line 12c Conflict of interest policyMONITORING 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 QUESTIONNAIRE 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 QUESTIONNAIRE AFFIRMS THAT THE PERSON UNDERSTANDS DENTAL SERVICE OF MASSACHUSETTS, INC. 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 BOARD OR COMMITTEE MEMBER ("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, INC. 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.
Form 990, Part VI, Line 19 Required documents available to the publicWE 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. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BYLAWS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesEQUITY IN SUBSIDIARIES - 296166; DISTRIBUTIONS TO CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. - -30000000;

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
DQCGM OF OREGON LLC
442 SW UMATILLA AVE STE 200REDMONDOR97756270364023CARE DELIVERYOR$0$0DQ GROUP
ADVANTAGE CONSULTING SERVICES LLC
442 SW UMATILLA AVE STE 200REDMONDOR97756263981408CARE DELIVERYOR$0$0DQ GROUP
ADVANTAGE SUPPORT SERVICES LLC
442 SW UMATILLA AVE STE 200REDMONDOR97756263981367CARE DELIVERYOR$0$0DQ GROUP
ADVANTAGE DENTAL SVCS LLC
442 SW UMATILLA AVE STE 200REDMONDOR97756931195386CARE DELIVERYOR$0$0DQ GROUP
ADVANTAGE COMMUNITY HOLDING COMPANY LLC
442 SW UMATILLA AVE STE 200REDMONDOR97756208939962CARE DELIVERYOR$0$0DQ GROUP
DENTAQUEST OF ARIZONA LLC
465 MEDFORD STREETBOSTONMA02129113692025DENTAL SVCSWI$0$8,976,956DQ GROUP
DENTAQUEST ADMINISTRATIVE SERVICES LLC
465 MEDFORD STREETBOSTONMA02129392041298DENTAL SVCSWI$0$271,167DQ GROUP
DENTAQUEST OF GEORGIA LLC
465 MEDFORD STREETBOSTONMA02129141885493DENTAL SVCSWI$0-$222,992DQ GROUP
DENTAQUEST OF ILLINOIS INC
465 MEDFORD STREETBOSTONMA02129421529687DENTAL SVCSWI$0$14,858,952DQ GROUP
DENTAQUEST OF KENTUCKY LLC
465 MEDFORD STREETBOSTONMA02129141885490DENTAL SVCSWI$0$3,330,017DQ GROUP
DENTAQUEST OF MARYLAND INC
465 MEDFORD STREETBOSTONMA02129810567214DENTAL SVCSWI$0$51,144DQ GROUP
DENTAQUEST OF MINNESOTA LLC
465 MEDFORD STREETBOSTONMA02129562356445DENTAL SVCSWI$0$4,396,173DQ GROUP
DENTAQUEST OF NEW JERSEY LLC
465 MEDFORD STREETBOSTONMA02129562356433DENTAL SVCSWI$0$1,221,016DQ GROUP
DENTAQUEST OF NEW MEXICO LLC
465 MEDFORD STREETBOSTONMA02129141885481DENTAL SVCSWI$0$1,967,974DQ GROUP
DENTAQUEST IPA OF NEW YORK LLC
465 MEDFORD STREETBOSTONMA02129810616910DENTAL SVCSWI$0$44,667,484DQ GROUP
DENTAQUEST OF NEW YORK LLC
465 MEDFORD STREETBOSTONMA02129141885500DENTAL SVCSWI$0-$6,120,692DQ GROUP
DENTAQUEST OF TENNESSEE LLC
465 MEDFORD STREETBOSTONMA02129352177954DENTAL SVCSWI$0$11,226,254DQ GROUP
DENTAQUEST CARE GROUP MANAGEMENT LLC
465 MEDFORD STREETBOSTONMA02129320487994CARE DELIVERYDE$0$154,200,484DQ GROUP
DENTAQUEST LLC
465 MEDFORD STREETBOSTONMA02129200390099DENTAL SVCSDE$22,113,471$297,507,586DQ GROUP
DQCGM OF WASHINGTON LLC
465 MEDFORD STREETBOSTONMA02129843407897CARE DELIVERYDE$0$0DQ GROUP
DQCGM OF MASSACHUSETTS LLC
465 MEDFORD STREETBOSTONMA02129841851756CARE DELIVERYDE$0$0DQ GROUP
DENTAQUEST OF IOWA LLC
465 MEDFORD STREETBOSTONMA02129611871504DENTAL SVCSWI$0$134,447DQ GROUP
DQCHM OF ALABAMA LLC
465 Medford StreetBostonMA02129872778161CARE DELIVERYAL$0$0DQ GROUP
DQCGM OF FLORIDA LLC
465 Medford StreetBostonMA02129873142270CARE DELIVERYFL$0$0DQ GROUP

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
CAREQUEST FOUNDATION INC
465 MEDFORD STREETBOSTONMA02129043265080ORAL HTH IMPRMA501(c)(3)PFCAREQUESTfalse
DENTAQUEST CARE GROUP INC
465 MEDFORD STREETBOSTONMA02129463674034ORAL HTH IMPRMA501(c)(3)Type ICAREQUESTfalse
DENTAL HEALTH PROGRAMS INC DBA COMMU
465 MEDFORD STREETBOSTONMA02129751823660ORAL HTH IMPRTX501(c)(3)7DQ CAREGROUPfalse
COMMUNITY CARE OF KENTUCKY INC
101 S FIFTH STREET 3500 NATIONLOUISVILLEKY40202465159094ORAL HTH IMPRKY501(c)(3)7DQ CAREGROUPfalse
CAREQUEST INST FOR ORAL HLTH INC
465 MEDFORD STREETBOSTONMA02129384016550ORAL HTH IMPRMA501(c)(4)NAfalse
COMMUNITY CARE OF NEW MEXICO INC
465 MEDFORD STREETBOSTONMA02129471711799ORAL HTH IMPRNM501(c)(3)7DQ CAREGROUPfalse
THE OHIO RETIREE DENTAL BENEFITS ASSOCIA
100 CROWNE POINT PLACECINCINNATIOH45241271693969ORAL HTH IMPROH501(c)(3)7DCP HOLD CORfalse
DENTAQUEST INSTITUTE INC
465 MEDFORD STREETBostonMA02129205312990ORAL HTH IMPRMA501(c)(3)Type ICAREQUESTfalse
Sarrell Regional Dental Center for Public Health Inc
230 E 10th Street No 106AnnistonAL36207200232609ORAL HTH IMPRAL501(c)(3)10DQ Care Groupfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmtOwnershipOwnershipPct
ADVANTAGE HARBOR QALICB OWNERS- QALICB-1
442 SW UMATILLA AVE STE 200RedmondOR97756CARE DELIVERYORDQ GROUPExcluded$0$0false$00
ADVANTAGE HARBOR QALICB OWNERS - Advantage Harbor
442 SW UMATILLA AVE STE 200RedmondOR97756CARE DELIVERYORDQ GROUPExcluded$0$0false$00
ADVANTAGE HARBOR QALICB OWNERS - Advantage LaPine
442 SW UMATILLA AVE STE 200RedmondOR97756CARE DELIVERYORDQ GROUPExcluded$0$0false$00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (22 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
DENTAQUEST GROUP INC
465 MEDFORD STREETBOSTONMA02129204056199DENTAL SVCSDECAREQUESTC Corporation$0$01.00false
DSM MASSACHUSETTS INSURANCE COMPANY INC
465 MEDFORD STREETBOSTONMA02129465661073INSURANCEMADSM INVESTMENTSC Corporation$196,501$313,0001Yes (true)
DENTAQUEST USA INSURANCE COMPANY INC
465 MEDFORD STREETBOSTONMA02129202970185INSURANCETXDQ GROUPC Corporation$76,156,662$134,214,7091.00false
DSM INVESTMENTS INC
465 MEDFORD STREETBOSTONMA02129043428012DENTAL SVCSMADSMC Corporation$296,161$161,9191.00Yes (true)
DENTAQUEST OF FLORIDA INC
465 MEDFORD STREETBOSTONMA02129650743731INSURANCEFLDQ GROUPC Corporation$11,767,210$11,323,6181.00false
DSM USA INSURANCE COMPANY INC
465 MEDFORD STREETBOSTONMA02129590397210INSURANCETXDQ GROUPC Corporation$33,843,336$69,273,8481.00false
CALIFORNIA DENTAL NETWORK INC
465 MEDFORD STREETBOSTONMA02129930954061INSURANCECADQ GROUPC Corporation$125,648$3,391,9131.00false
PACIFIC DENTAL NETWORK INC
465 MEDFORD STREETBOSTONMA02129330672992DENTAL SVCSCAGQ GROUPC Corporation$116,338-$1,0121.00false
DSM INSURANCE SERVICES INC
465 MEDFORD STREETBOSTONMA02129043172335INSURANCEMADSM INVESTMENTSC Corporation$95,174$1,813,9321.00false
DentaQuest Oral Health Center of Massachusetts PC
465 MEDFORD STREETBOSTONMA02129841891345ORAL HTH CTRMADQ GROUPC Corporation$0$01.00false
GARY W ALLEN DMD PC
465 Medford StreetBostonMA02129202758287ORAL HEALTH CENTERMADQ GROUPC Corporation$0$01.00false
ADVANTAGE DENTAL ORAL HEALTH & VISION CENTER OF ALABAMA PC
465 Medford StreetBostonMA02129200232609ORAL HEALTH CENTERALDQ GROUPC Corporation$0$01.00false
ADVANTAGE DENTAL ORAL HEALTH CENTER OF FLORIDA PA
465 Medford StreetBostonMA02129873780957ORAL HEALTH CENTERFLDQ GROUPC Corporation$0$01.00false
ADVANTAGE DENTAL GROUP PC
465 Medford StreetBostonMA02129800437099ORAL HEALTH CENTERORDQ GROUPC Corporation$0$01.00false
ADVANTAGE LEVERAGED LENDERS INC
442 SW UMATILLA AVE STE 200REDMONDOR97756571140840CARE DELIVERYORDQ GROUPC Corporation$0$01.00false
CAREQUEST INNOVATION PARTNERS INC
465 MEDFORD STREETBOSTONMA02129832714016ORAL HTH CTRDECAREQUESTC Corporation$0$01.00false
ADVANTAGE DENTAL PLAN INC
442 SW UMATILLA AVE STE 200REDMONDOR97756931156986CARE DELIVERYORDQ GROUPC Corporation$0$01.00false
OREGON COMMUNITY DENTAL CARE
442 SW UMATILLA AVE STE 200REDMONDOR97756454129709CARE DELIVERYORDQ GROUPC Corporation$0$01.00false
DCP HOLDING COMPANY INC
100 CROWNE POINT PLACECINCINNATIOH45241201291244INSURANCEOHDQ GROUPC Corporation$7,096,440$7,661,2251.00false
DENTAL CARE PLUS INC
100 CROWNE POINT PLACECINCINNATIOH45241311185262INSURANCEOHDCP HOLDINGS COC Corporation$6,250,400$18,198,4051.00false
INSURANCE ASSOCIATES PLUS INC
100 CROWNE POINT PLACECINCINNATIOH45241201455615INSURANCEOHDCP HOLDINGS COC Corporation$99,914$206,1321.00false
ADENTA INC
100 CROWNE POINT PLACECINCINNATIOH45241611301274INSURANCEKYDCP HOLDINGS COC Corporation$137,011$275,5451.00false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DENTAQUEST GROUP INC & SUBSIDIARIESBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypePTransactionTypeTxt
Involved$13,049,245InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt