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DENTAL SERVICE OF MASSACHUSETTS INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
DENTAL SERVICE OF MASSACHUSETTS INC (EIN 04-6143185)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-12
IRS object ID
202143169349311974
Schema version
2020v4.1
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)
Return2021-11-12T20:45:49-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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 Begin2020-01-01TaxPeriodBeginDt

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)
In Care Of% DENISE MARKSInCareOfNm
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)
PersonGREGORY P WINNPersonNm
Person TitleASSISTANT TREASURERPersonTitleTxt
Phone6178861000PhoneNum
Signature2021-11-12SignatureDt
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

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerDENNIS J LEONARDPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02129ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$264,339,281GrossReceiptsAmt
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
Contract TerminationYes (X)ContractTerminationInd
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$294,533,102PYProgramServiceRevenueAmt
CY Program Service Revenue$262,356,849CYProgramServiceRevenueAmt
PY Investment Income$3,297,995PYInvestmentIncomeAmt
CY Investment Income$1,959,156CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$297,831,097PYTotalRevenueAmt
CY Total Revenue$264,316,005CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$177,479,050PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$142,258,480CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$86,354,602PYOtherExpensesAmt
CY Other Expenses$95,574,194CYOtherExpensesAmt
PY Total Expenses$263,833,652PYTotalExpensesAmt
CY Total Expenses$237,832,674CYTotalExpensesAmt
PY Revenues Less Expenses$33,997,445PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$26,483,331CYRevenuesLessExpensesAmt
Total Assets BOY$179,977,314TotalAssetsBOYAmt
Total Assets EOY$128,947,720TotalAssetsEOYAmt
Total Liabilities BOY$98,177,808TotalLiabilitiesBOYAmt
Total Liabilities EOY$80,422,438TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$81,799,506NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$48,525,282NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE ORAL HEALTH OF ALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$205,936,968ExpenseAmt
Revenue$262,356,849RevenueAmt
DescDENTAL SERVICE OF MASSACHUSETTS, INC. (DSM) D/B/A DELTA DENTAL OF MASSACHUSETTS IS A 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 SCHEDULE ODesc
Total Program Service Expenses$205,936,968TotalProgramServiceExpensesAmt
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 FootnotefalseIncludeFIN48FootnoteInd
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 LiquidationYes (true)PartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document53595IRPDocumentCnt
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

FieldValueIRS element (for citing)
PersonDENISE MARKSPersonNm
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 OrgAverageHoursPerWeekRltdOrgRtHighest Compensated EmployeeHighestCompensatedEmployeeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
Steven J Pollock
FORMER PRESIDENT3.536.5Yes (X)$0$3,675,977$1,497,449
Sheryl L Traylor
EVP - HR DentaQueST4.535.5Yes (X)$0$3,121,772$335,463
David Abelman
EVP- CHIEF LEGAL OFFICER DQ4.535.5Yes (X)$0$1,273,244$443,307
Alan L Madison
EVP-Chief Operating Officer DQ4.535.5Yes (X)$0$1,278,486$153,267
Dennis J Leonard
President & CEO35.54.5$0$1,064,807$240,977Yes (X)
James E Collins
Former Treasuer0.00.0Yes (X)$0$728,186$166,667
Jeffrey C Brown
FORMER Treasurer0.00.0$0$611,941$158,199Yes (X)
James P Hawkins
Clerk4.535.5$0$576,821$149,759Yes (X)
Gregory P Winn
ASSISTANT Treasurer4.535.5$0$532,641$134,372Yes (X)
Pamela DA Reeve
Chair / Director2.52.5$0$300,000$0Yes (X)
Evelyn H Miller
Director1.751.75$0$215,387$0Yes (X)
Kathleen V Betts
Director1.751.75$0$200,588$0Yes (X)
Colleen D Baldwin
Director [1/1/20 - 1/2/20]1.751.75$0$112,891$0Yes (X)
Jessica A Zeaske
Director1.751.75$0$110,818$0Yes (X)
William C Mills III
Director1.751.75$0$110,580$0Yes (X)
Roderick K King
Director1.753.25$0$109,422$0Yes (X)
Robert J Weyant
Director1.752.75$0$109,184$0Yes (X)
Dr Andrew C Agwunobi
Director1.751.75$0$104,582$0Yes (X)
Todd W Marshall
Director1.751.75$0$102,980$0Yes (X)
Linda J Hall
Director [1/1/20 - 1/2/20]1.751.75$0$87,229$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,427,536TotReportableCompRltdOrgAmt
Total Other Compensation$3,279,460TotalOtherCompensationAmt
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$11,738,092
GREAT HILL DENTAL PARTNERS LLC
1610 TREMONT STREETBOSTONMA02120DENTAL SERVICES$3,113,598
CHESTNUT DENTAL ASSOCIATES PC
87 CHESTNUT STNEEDHAMMA02492DENTAL SERVICES$3,080,764
WINCHESTER AND READING PEDIATRIC DE
955 MAIN ST STE 101WINCHESTERMA01890DENTAL SERVICES$1,836,074
MASS GENERAL PHYSICIAN ORGANIZATION
165 CAMBRIDGE ST NO 40BOSTONMA02114Dental Services$1,834,870
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K1261CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
PPO REVENUE900099$146,656,953$146,656,953$0$0
PREMIER REVENUE900099$65,001,693$65,001,693$0$0
ASO ADMINISTRATIVE SERVICE900099$50,698,203$50,698,203$0$0
FieldValueIRS element (for citing)
Total Program Service Revenue$262,356,849TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,209,635TotalRevenueColumnAmt
Exclusion$1,209,635ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$772,797SecuritiesAmt
Other$0OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$23,276SecuritiesAmt
Other$0OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$749,521SecuritiesAmt
Other$0OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$749,521TotalRevenueColumnAmt
Exclusion$749,521ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$0FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$264,316,005TotalRevenueColumnAmt
Related Or Exempt Func Income$262,356,849RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$1,959,156ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$142,258,480TotalAmt
Program Services$142,258,480ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

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

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

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

Pension Plan Contributions PensionPlanContributionsGrp

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

Other Employee Benefits OtherEmployeeBenefitsGrp

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

Payroll Taxes PayrollTaxesGrp

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

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$426,128TotalAmt
Program Services$319,596ProgramServicesAmt
Management And General$106,532ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,685,158TotalAmt
Program Services$0ProgramServicesAmt
Management And General$1,685,158ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$203,185TotalAmt
Program Services$0ProgramServicesAmt
Management And General$203,185ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,222,600TotalAmt
Program Services$1,933,560ProgramServicesAmt
Management And General$1,289,040ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$8TotalAmt
Program Services$5ProgramServicesAmt
Management And General$3ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

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

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

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

Travel TravelGrp

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

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

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

Interest InterestGrp

FieldValueIRS element (for citing)
Total$107,269TotalAmt
Program Services$64,361ProgramServicesAmt
Management And General$42,908ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$69,821,283TotalAmt
Program Services$41,892,770ProgramServicesAmt
Management And General$27,928,513ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$723,035TotalAmt
Program Services$433,821ProgramServicesAmt
Management And General$289,214ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

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

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Commissions$11,425,398$11,425,398$0$0
Subscriptions and Dues$877,883$526,730$351,153$0
ACA Fee & Other$7,082,247$7,082,247$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$237,832,674TotalAmt
Program Services$205,936,968ProgramServicesAmt
Management And General$31,895,706ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Joint Costs TotalJointCostsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$14,497,994BOYAmt
EOY$14,529,122EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$7,134,108BOYAmt
EOY$375,641EOYAmt

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$4,200,000BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$14,795BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$14,922,244LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$14,646,329LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$10,772,825BOYAmt
EOY$275,915EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$53,390,790BOYAmt
EOY$58,076,783EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$89,966,802BOYAmt
EOY$55,690,259EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$179,977,314BOYAmt
EOY$128,947,720EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,142,946BOYAmt
EOY$2,100,736EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$96,034,862BOYAmt
EOY$78,321,702EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$98,177,808BOYAmt
EOY$80,422,438EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$81,799,506BOYAmt
EOY$48,525,282EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$81,799,506BOYAmt
EOY$48,525,282EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$179,977,314BOYAmt
EOY$128,947,720EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$26,483,331ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,685,921NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$61,443,476OtherChangesInNetAssetsAmt
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

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
BuildingsBuildingsGrp

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$8,178,870DepreciationAmt
Book Value$275,915BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$275,915TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Investment In Subsidiary$8,401,202
Cost Reimbursement$47,289,057
FieldValueIRS element (for citing)
Total Book Value Other Assets$55,690,259TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
Unpaid Claims$8,637,325
Group Experience Refunds$4,779,709
Unearned Premium$4,878,330
Advance Deposits$50,150,591
Payable for Open Trade$469,530
Other Long Term Liabilities$503,000
Intercompany Balance$8,903,217
FieldValueIRS element (for citing)
Total Liability$78,321,702TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART XIII, SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationASC 740 DISCLOSUE (FIN 48) THERE IS NO FIN 48/ASC 740 FOOTNOTE. HOWEVER, THE FOLLOWING DISCLOSURE WAS MADE within the Audited Financial Statement: 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 (12 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
Pamela DA Reeve
Chair / Director$0$300,000$0$0$0$0$0$0$0$0$0$300,000$0$0
Kathleen V Betts
Director$0$200,588$0$0$0$0$0$0$0$0$0$200,588$0$0
Evelyn H Miller
Director$0$215,387$0$0$0$0$0$0$0$0$0$215,387$0$0
Dennis J Leonard
President & CEO$0$433,649$0$249,314$0$381,844$0$239,804$0$1,173$0$1,305,784$0$381,844
Steven J Pollock
FORMER PRESIDENT$0$896,147$0$1,088,908$0$1,690,922$0$1,496,038$0$1,411$0$5,173,426$0$1,690,922
Gregory P Winn
ASSISTANT Treasurer$0$246,393$0$80,981$0$205,267$0$133,091$0$1,281$0$667,013$0$205,267
Jeffrey C Brown
FORMER Treasurer$0$252,630$0$146,989$0$212,322$0$156,906$0$1,293$0$770,140$0$212,322
James E Collins
Former Treasuer$0$0$0$0$0$728,186$0$166,667$0$0$0$894,853$0$728,186
James P Hawkins
Clerk$0$270,019$0$89,147$0$217,655$0$149,070$0$689$0$726,580$0$217,655
David Abelman
EVP- CHIEF LEGAL OFFICER DQ$0$408,494$0$235,417$0$629,333$0$442,134$0$1,173$0$1,716,551$0$629,333
Alan L Madison
EVP-Chief Operating Officer DQ$0$339,887$0$390,455$0$548,144$0$153,267$0$0$0$1,431,753$0$548,144
Sheryl L Traylor
EVP - HR DentaQueST$0$331,500$0$100,014$0$2,690,258$0$335,463$0$0$0$3,457,235$0$2,690,258

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SUPPLEMENTAL COMPENSATION INFORMATIONSCHEDULE J, PART I, QUESTION 3 THE 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. SEVERANCE PAYMENT SCHEDULE J, PART I, QUESTION 4A SHERYL L. TRAYLOR RECEIVED SEVERANCE IN THE AMOUNT OF $150,000 AND ALAN L. MADISON RECEIVED SEVERANCE IN THE AMOUNT OF $120,144. 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, BUT PERFORM 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
BONUS PAYMENTSSCHEDULE J, PART II, COLUMN B(II) COLUMN B (II) ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2019 BUT PAID IN 2020.
OTHER REPORTABLE COMPENSATIONSCHEDULE J, PART II, COLUMN B(III) COLUMN B(III) OTHER REPORTABLE COMPENSATION REPRESENTS LONG-TERM INCENTIVE COMPENSATION EXPENSE EARNED PRIOR TO 2020 BUT PAID DURING 2020.
DEFERRED COMPENSATIONSCHEDULE J, PART II, COLUMN C COLUMN C ON SCHEDULE J PART II INCLUDES LONG-TERM INCENTIVE COMPENSATION AND PENSION AMOUNTS EARNED DURING 2020 BUT PAID IN FUTURE YEARS.

Schedule N IRS990ScheduleN

FieldValueIRS element (for citing)
Liquidation Of Assets TableLiquidationOfAssetsTableGrp

Disposition Of Assets Detail DispositionOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss Paidcontribution of investment assetsAssetsDistriOrExpnssPaidDesc
Fair Market Value Of Asset$56,547,588FairMarketValueOfAssetAmt
Method Of FMV DeterminationbookvalueMethodOfFMVDeterminationTxt
EIN384016550EIN
PersonCareQuest Institute for Oral HealthPersonNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 Medford streetAddressLine1Txt
CitybostonCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02129ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(4)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of Successor2falseDirectorOfSuccessor2Ind
Employee Of Successor2falseEmployeeOfSuccessor2Ind
Owner Of Successor2falseOwnerOfSuccessor2Ind
Receive Compensation2falseReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule N, Part II, Line 2aFormAndLineReferenceDesc
ExplanationTHE ORGANIZATION TRANSFERRED ASSETS TO ITS SOLE MEMBER, CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. (FORMERLY CATALYST INSTITUTE, INC.) THE ORGANIZATION AND ITS SOLE MEMBER HAVE THE SAME BOARD OF DIRECTORS.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III - PROGRAM SERVICE, LINE 4AAND 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.
BUSINESS RELATIONSHIPSFORM 990, PART VI, LINE 2 DENNIS J. LEONARD, GREGORY P. WINN, JAMES P. HAWKINS, PAMELA D.A. REEVE, EVELYN H. MILLER, JESSICA A. ZEASKE, WILLIAM C. MILLS III, RODERICK K, KING, KATHLEEN V. BETTS, ROBERT J. WEYANT, DR. ANDREW C. AGWUNOBI, TODD W. MARSHALL, COLLEEN D. BALDWIN, AND LINDA J. HALL HAVE A BUSINESS RELATIONSHIP SINCE THEY JOINTLY SERVE AS OFFICERS OR DIRECTORS OF THE ORGANIZATION, IT'S PARENT AND ONE OR MORE IT'S SUBSIDIARIES.
DELEGATE CONTROL OVER MANAGEMENT DUTIESFORM 990, PART VI, LINE 3 THE COMPANY HIRES DENTAQUEST, LLC (A RELATED PARTY) TO PROVIDE MANAGEMENT SERVICES.
MEMBERS OR STOCKHOLDERSFORM 990, PART VI, LINE 6 CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. (FORMERLY CATALYST INSTITUTE, INC.) IS THE SOLE MEMBER OF DENTAL SERVICES OF MASSACHUSETTS, INC.
MEMBERSHIP RIGHTSFORM 990, PART VI, LINE 7A THE MEMBERS OF THE ORGANIZATION ELECT THE DIRECTORS AT THE ANNUAL MEETING OF THE ORGANIZATION.
GOVERNANCEFORM 990, PART VI, QUESTION 7B A QUORUM OF THE ORGANIZATION'S MEMBERS MAY VOTE TO AMEND OR REPEAL THE BY-LAWS.
REVIEW PROCESSFORM 990, PART VI, QUESTION 11B THE 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.
CONFLICTS OF INTERESTPUBLIC DISCLOSURE FORM 990, 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 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 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 POLICYFORM 990, PART VI, QUESTION 15A & 15B CAREQUEST 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.
PUBLIC DISCLOSUREFORM 990, PART VI, QUESTION 19 WE 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.
OTHER CHANGES IN NET ASSETSPART XI, LINE 9 EQUITY IN SUBSIDIARIES 3,281,519 CHANGE IN VALUE DUE TO CareQuest Institute for Oral Health, Inc. (8,177,437) DISTRIBUTIONS TO CareQuest Institute for Oral Health, Inc. (56,547,558) TOTAL OTHER CHANGES IN NET ASSETS (61,443,476)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (26 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEnd Of Year AssetsEndOfYearAssetsAmtTotal IncomeTotalIncomeAmt
DQCGM of Oregon LLC
442 SW Umatilla Ave Ste 200RedmondOR97756270364023Care DeliveryORDQ GROUP
Advantage Consulting Services LLC
442 SW Umatilla Ave Ste 200RedmondOR97756263981408Care DeliveryORDQ GROUP
Advantage Support Services LLC
442 SW Umatilla Ave Ste 200RedmondOR97756263981367Care DeliveryORDQ GROUP
Advantage Dental Service LLC
442 SW Umatilla Ave Ste 200RedmondOR97756931195386Care DeliveryORDQ GROUP
Advantage Community Holding Company LLC
442 SW Umatilla Ave Ste 200RedmondOR97756208939962Care DeliveryORDQ GROUP
DentaQuest of Arizona LLC
465 Medford StreetBOSTONMA02129113692025Dental ServicWIDQ GROUP-$2,145,864
DentaQuest Administrative Services LLC
465 Medford StreetBOSTONMA02129392041298Dental ServicWIDQ GROUP$274,471
DentaQuest of Georgia LLC
465 Medford StreetBOSTONMA02129141885493Dental ServicWIDQ GROUP$177,750
DentaQuest of Illinois LLC
465 Medford StreetBOSTONMA02129421529687Dental ServicWIDQ GROUP$13,747,265
DentaQuest of Kentucky LLC
465 Medford StreetBOSTONMA02129141885490Dental ServicWIDQ GROUP$3,414,182
DentaQuest of Maryland LLC
465 Medford StreetBOSTONMA02129810567214Dental ServicWIDQ GROUP-$2,532,926
DentaQuest of Minnesota LLC
465 Medford StreetBOSTONMA02129562356445Dental ServicWIDQ GROUP$4,423,640
DentaQuest of New Jersey LLC
465 Medford StreetBOSTONMA02129562356433Dental ServicWIDQ GROUP$619,546
DentaQuest of New Mexico LLC
465 Medford StreetBOSTONMA02129141885481Dental ServicWIDQ GROUP$2,809,908
DentaQuest IPA of New York LLC
465 Medford StreetBOSTONMA02129810616910Dental ServicWIDQ GROUP$37,803,247
DentaQuest of New York LLC
465 Medford StreetBOSTONMA02129141885500Dental ServicWIDQ GROUP-$5,557,209
DentaQuest of Tennessee LLC
465 Medford StreetBOSTONMA02129352177954Dental ServicWIDQ GROUP$10,011,606
DentaQuest Care Group Management LLC
465 Medford StreetBOSTONMA02129320487994Care DeliveryDEDQ GROUP$151,452,973
DentaQuest LLC
465 Medford StreetBOSTONMA02129200390099Dental ServicDEDQ GROUP$221,485,347-$33,514,099
DQ PTP FOR ORAL HEALTH ADVANCEMENT LLC
465 Medford StreetBOSTONMA02129823649978Dental ServicMAcarequest
ENHANCED CAPITAL OR NMTC INVSTMT FUND VI
442 SW Umatilla Ave Ste 200RedmondOR97756463473054Care DeliveryORDQ GROUP
DentaQuest Foundation LLC
465 Medford StreetBOSTONMA02129823645884Dental ServicMAcarequest
DQCGM of Washington LLC
465 Medford StreetBOSTONMA02129843407897Care DeliveryDEDQ GROUP
DQCGM of Massachusetts LLC
465 Medford StreetBOSTONMA02129841851756Care DeliveryDEDQ GROUP
DentaQuest Holdings Company LLC
465 Medford StreetBOSTONMA02129823782157Dental ServicOHDQ GROUP
DentaQuest of Iowa LLC
465 Medford StreetBOSTONMA02129611871504Dental ServicWIDQ 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)n/aCareQuestfalse
DentaQuest Institute Inc
465 Medford StreetBOSTONMA02129205312990ORAL HTH IMPRMA501(c)(3)12ACarequestfalse
DentaQuest Care Group Inc
465 Medford StreetBOSTONMA02129463674034ORAL HTH IMPRMA501(c)(3)12ACareQuestfalse
DNTL HTH PROGS INC DBA COMM DNTL CARE
465 Medford StreetBOSTONMA02129751823660ORAL HTH IMPRTX501(C)(3)7DQ Care Groufalse
SARRELL REGNL DNTL CTR FOR PUB HTH INC
230 E 10th Street No 106ANNISTONAL36207200232609ORAL HTH IMPRAL501(C)(3)10DQ CareGroupfalse
Community Care of Kentucky Inc
101 S Fifth Street 3500 NationLOUISVILLEKY40202465159094ORAL HTH IMPRKY501(C)(3)7DQ CareGroupfalse
CareQuest Institute for Oral Health Inc
465 Medford StreetBOSTONMA02129384016550ORAL HTH IMPRMA501(c)(4)n/aNAfalse
COMMUNITY CARE OF NEW MEXICO INC
465 MEDFORD STREETBOSTONMA02129471711799ORAL HTH IMPRNM501(c)(3)7DQ CAREGROUPfalse
THE OHIO RETIREE DENTAL BENEFITS ASSOC
100 CROWNE POINT PLACECINCINNATIOH45241271693969ORAL HTH IMPROH501(c)(3)7DCP HOLDCOfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDisproportionate AllocationsDisproportionateAllocationsIndUBI Code VUBICodeVAmt
ACH Company LLC
442 SW Umatilla AvRedmondOR97756208939962CARE DELIVERYORDQ Groupfalse$0
AHQ Owners - QALICB-1
442 SW Umatilla AvRedmondOR97756274218188CARE DELIVERYORDQ Groupfalse$0
AHQ Owners - Advt Harbor
442 SW Umatilla AvRedmondOR97756463260263CARE DELIVERYORDQ Groupfalse$0
AHQ Owners - Advt LaPine
442 SW Umatilla AvRedmondOR97756CARE DELIVERYORDQ Groupfalse$0

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (19 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 SVCSDENAC CORP$0$00.00000false
DSM Massachusetts Insurance Company Inc
465 MEDFORD STREETBOSTONMA02129465661073InsuranceMADSM InvestmentsC CORP$3,331,019$759,9351.00000Yes (true)
DentaQuest USA Insurance Company Inc
465 MEDFORD STREETBOSTONMA02129202970185InsuranceTXNAC CORP$0$00.00000false
DSM Investments Inc
465 MEDFORD STREETBOSTONMA02129043428012DENTAL SVCSMADSMC CORP$3,281,518$162,6391.00000Yes (true)
DentaQuest of Florida Inc
465 MEDFORD STREETBOSTONMA02129650743731InsuranceFLNAc corp$0$00.00000false
DSM USA Insurance Company Inc
465 MEDFORD STREETBOSTONMA02129590397210InsuranceTXNAc corp$0$00.00000false
California Dental Network Inc
465 MEDFORD STREETBOSTONMA02129930954061InsuranceCANAc corp$0$00.00000false
Pacific Dental Network Inc
465 MEDFORD STREETBOSTONMA02129330672992DENTAL SVCSCANAc corp$0$00.00000false
DSM Insurance Services Inc
465 MEDFORD STREETBOSTONMA02129043172335InsuranceMADSM InvestmentsC CORP-$214,774-$762,5761.00000Yes (true)
DentaQuest Oral Health Center Inc
465 MEDFORD STREETBOSTONMA02129043434787ORAL HTH CTRMADSM InvestmentsC CORP$2,644$2,6441.00000Yes (true)
Advantage Dental Plan Inc
442 SW Umatilla AveRedmondOR97756931156986Care DeliveryORNAC Corp$0$00.00000false
CareQuest Innovation Partners Inc
465 MEDFORD STREETBOSTONMA02129832714016ORAL HTH CTRDENAC CORP$0$00.00000false
advantage leveraged lenders inc
442 SW UMATILLA AVEredmondOR97756571140840care deliveryORNAC CORP$0$00.00000false
Dental Care Plus Inc
100 Crowne PointCincinnatiOH45241311185262InsuranceOHNAC CORP$0$00.00000false
Insurance Associates Plus Inc
100 Crowne PointCincinnatiOH45241201455615InsuranceOHNAC CORP$0$00.00000false
Adenta Inc
100 Crowne PointCincinnatiOH45241611301274InsuranceKYNAC CORP$0$00.00000false
DCP Holding Company Inc
100 crowne pointcincinnatiOH45241201291244insuranceOHNAc Corp$0$00.00000false
DQ Oral Hlth Ctr of Massachusetts PC
465 Medford StreetBostonMA02129841891315Oral Health CTRMANAC CORP$0$00.00000false
Oregon Community Dental Care
442 SW Umatilla Ave Ste 200REDMONDOR97756454129709Care DeliveryORNAC CORP$0$00.00000false
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
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$11,430,351InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt