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DENTAL SERVICE OF MASSACHUSETTS INC: Form 990, tax year 2019

View the entire original 990 at ProPublica ↗

Organization
DENTAL SERVICE OF MASSACHUSETTS INC (EIN 04-6143185)
Tax period
2019-01-01 to 2019-12-31
Filed
2020-11-12
IRS object ID
202013179349303956
Schema version
2019v5.1
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)
Return2020-11-12T11:08:57-06:00ReturnTs
Tax Period End2019-12-31TaxPeriodEndDt

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 Begin2019-01-01TaxPeriodBeginDt

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% FRANK A SCALISEInCareOfNm
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 TitleTREASURERPersonTitleTxt
Phone6178861000PhoneNum
Signature2020-11-11SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMIKE A CINCOTTAPreparerPersonNm
PTINP01595811PTIN
Phone6172662000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address73.238.192.148IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id06196520203175000002FederalOriginalSubmissionId
Federal Original Submission Id2020-11-12FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device Id047C777BBD395ADD529156C75D94AFF56594489CAtSubmissionCreationDeviceId
At Submission Filing Device IdC40139DC567F95AF496A1FCC416C9B2B4C3268BFAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2019TaxYr
Build TS2022-01-07 14:23:13ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF MASSACHUSETTSBusinessNameLine1Txt
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$343,557,986GrossReceiptsAmt
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 Body12VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$57,576TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$56,576NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$297,473,146PYProgramServiceRevenueAmt
CY Program Service Revenue$294,533,102CYProgramServiceRevenueAmt
PY Investment Income$9,126,102PYInvestmentIncomeAmt
CY Investment Income$3,297,995CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$306,599,248PYTotalRevenueAmt
CY Total Revenue$297,831,097CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$184,221,110PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$177,479,050CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$105,832PYSalariesCompEmpBnftPaidAmt
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$90,197,161PYOtherExpensesAmt
CY Other Expenses$86,354,602CYOtherExpensesAmt
PY Total Expenses$274,524,103PYTotalExpensesAmt
CY Total Expenses$263,833,652CYTotalExpensesAmt
PY Revenues Less Expenses$32,075,145PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,997,445CYRevenuesLessExpensesAmt
Total Assets BOY$450,590,248TotalAssetsBOYAmt
Total Assets EOY$179,977,314TotalAssetsEOYAmt
Total Liabilities BOY$89,483,761TotalLiabilitiesBOYAmt
Total Liabilities EOY$98,177,808TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$361,106,487NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$81,799,506NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE ORAL HEALTH OF ALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$234,609,582ExpenseAmt
Grant$0GrantAmt
Revenue$294,533,102RevenueAmt
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 DEVELOP PROFESSIONAL AND SCIENTIFIC STUDY SEE SCHedule ODesc
Total Program Service Expenses$234,609,582TotalProgramServiceExpensesAmt
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 Document59060IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
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 Members12GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
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)
PersonFRANK A SCALISEPersonNm
Phone6178861000PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (27 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Steven J Pollock
Pres & Director (1/19 - 2/19)4.535.5Yes (X)Yes (X)$0$2,621,053$1,651,834
Robert E Lynn
EVP-Chief Sales & Retention DQ4.535.5$0$1,228,562$553,514Yes (X)
David Abelman
Clerk (1/19 - 2/19)4.535.5Yes (X)$0$1,243,378$510,443
Donna J Kasian
SVP, Comm & Vision Plans DQ4.535.5$0$1,562,525$28,674Yes (X)
Alan L Madison
EVP-Chief Operating Officer DQ4.535.5$0$1,047,846$503,522Yes (X)
Todd R Cruse
EVP-Public Affairs & Care DQ4.535.5$0$870,014$384,790Yes (X)
James E Collins
Former Treasuer4.535.5$0$1,205,682$20,594Yes (X)
Dennis J Leonard
President & CEO (2/19 - PRES)35.54.5Yes (X)Yes (X)$0$946,904$271,607
Brett A Bostrack
SVP, Client & Provider Engag4.535.5$0$792,927$357,072Yes (X)
Jeffrey C Brown
Treasurer (1/19 - 2/19)4.535.5Yes (X)$0$652,564$21,881
James P Hawkins
Clerk (2/19 - Present)4.535.5Yes (X)$0$550,452$39,982
Gregory P Winn
Treasurer (2-19 - Present)4.535.5Yes (X)$0$515,945$35,334
Pamela DA Reeve
Chair / Director2.52.5Yes (X)$0$150,000$0
Roderick K King
Director1.753.25Yes (X)$0$115,818$0
Kathleen V Betts
Director1.751.75Yes (X)$0$115,580$0
Evelyn H Miller
Director1.751.75Yes (X)$0$105,822$0
Robert J Weyant
Director1.752.75Yes (X)$0$105,584$0
Colleen D Baldwin
Director1.751.75Yes (X)$0$105,391$0
Linda J Hall
Director1.751.75Yes (X)$0$100,580$0
Todd W Marshall
Director1.751.75Yes (X)$0$100,580$0
Dr Andrew C Agwunobi
Director1.751.75Yes (X)$0$99,996$0
Jessica A Zeaske
Director (6/5/19 - 12/31/19)1.751.75Yes (X)$0$53,333$0
Caswell A Evans Jr
Director (01/01/19-06/18/19)1.751.75Yes (X)$0$52,500$0
Donald J Kenney
Director (01/01/19-06/18/19)1.751.75Yes (X)$0$50,820$0
Thomas J Galligan III
Director (01/01/19-06/18/19)1.752.75Yes (X)$0$50,582$0
Mary V Kaplan
Director (01/01/19-06/18/19)1.751.75Yes (X)$0$50,389$0
William C Mills III
Director (9/1/19 - 12/31/19)1.751.75Yes (X)$0$33,332$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$14,444,438TotReportableCompRltdOrgAmt
Total Other Compensation$4,379,247TotalOtherCompensationAmt
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
North Dental Care LLC
200 5TH AVENUEWALTHAMMA024518779DENTAL SERVICES$14,427,166
GREAT HILL DENTAL PARTNERS LLC
1610 TREMONT STREETBOSTONMA02120dental services$4,787,195
CHESTNUT DENTAL ASSOCIATES PC
87 CHESTNUT STNEEDHAMMA02492dental services$4,453,895
PRESIDENT AND FELLOWS OF HARVARD CO
188 LONGWOOD AVENUEBOSTONMA02115dental services$4,249,306
Commonweath of Massachusetts
PO Box 003341BOSTONMA02114dental services$3,487,200
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K29CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PPO REVENUE900099$172,409,115$172,409,115
PREMIER REVENUE900099$67,394,628$67,394,628
ASO ADMINISTRATIVE SERVICES900099$54,729,359$54,729,359
FieldValueIRS element (for citing)
Total Program Service Revenue$294,533,102TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,283,487TotalRevenueColumnAmt
Unrelated Business Revenue$57,576UnrelatedBusinessRevenueAmt
Exclusion$3,225,911ExclusionAmt

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$45,741,397SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$45,726,889SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$14,508SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$14,508TotalRevenueColumnAmt
Exclusion$14,508ExclusionAmt
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$297,831,097TotalRevenueColumnAmt
Related Or Exempt Func Income$294,533,102RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$57,576UnrelatedBusinessRevenueAmt
Exclusion$3,240,419ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$177,479,050TotalAmt
Program Services$177,479,050ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$284,739TotalAmt
Program Services$213,554ProgramServicesAmt
Management And General$71,185ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$193,454TotalAmt
Management And General$193,454ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$547,963TotalAmt
Management And General$547,963ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,275TotalAmt
Program Services$9,165ProgramServicesAmt
Management And General$6,110ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$9,884TotalAmt
Program Services$5,930ProgramServicesAmt
Management And General$3,954ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$1,560TotalAmt
Program Services$936ProgramServicesAmt
Management And General$624ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,336TotalAmt
Program Services$802ProgramServicesAmt
Management And General$534ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$51,274TotalAmt
Program Services$30,764ProgramServicesAmt
Management And General$20,510ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$62,039,248TotalAmt
Program Services$37,223,549ProgramServicesAmt
Management And General$24,815,699ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,933,462TotalAmt
Program Services$4,760,077ProgramServicesAmt
Management And General$3,173,385ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
COMMISSIONS$10,999,710$10,999,710
SUBSCRIPTIONS AND DUES$976,629$585,977$390,652
ACA FEE & OTHER$3,300,068$3,300,068

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$263,833,652TotalAmt
Program Services$234,609,582ProgramServicesAmt
Management And General$29,224,070ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$23,774,427BOYAmt
EOY$14,497,994EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$1,196,065BOYAmt
EOY$7,134,108EOYAmt

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$4,200,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$14,795EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$100,070,706LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$89,297,881LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$18,531,894BOYAmt
EOY$10,772,825EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$317,495,610BOYAmt
EOY$53,390,790EOYAmt

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$85,392,252BOYAmt
EOY$89,966,802EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$450,590,248BOYAmt
EOY$179,977,314EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$2,030,349BOYAmt
EOY$2,142,946EOYAmt

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$87,453,412BOYAmt
EOY$96,034,862EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$89,483,761BOYAmt
EOY$98,177,808EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$361,106,487BOYAmt
EOY$81,799,506EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$361,106,487BOYAmt
EOY$81,799,506EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$450,590,248BOYAmt
EOY$179,977,314EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$33,997,445ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$20,194,524NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$293,109,902OtherChangesInNetAssetsAmt
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
LandLandGrp
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$6,251,680DepreciationAmt
Book Value$206,725BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$93,603,247OtherCostOrOtherBasisAmt
Depreciation$83,037,147DepreciationAmt
Book Value$10,566,100BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$10,772,825TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
COST REIMBURSEMENT$79,954,920
INVESTMENT IN SUBSIDIARIES$10,011,882
FieldValueIRS element (for citing)
Total Book Value Other Assets$89,966,802TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
ADVANCE DEPOSITS$49,229,155
UNPAID CLAIMS$37,964,551
UNEARNED PREMIUM$5,892,438
GROUP EXPERIENCE REFUNDS$1,733,475
PAYABLE FOR OPEN TRADE$1,215,243
FieldValueIRS element (for citing)
Total Liability$96,034,862TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART XIII, SUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationASC 740 DISCLOSURE (FIN 48) THERE IS NO FIN 48/ASC 740 FOOTNOTE. HOWEVER, THE FOLLOWING DISCLOSURE WAS MADE: 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
Dennis J Leonard
President & CEO (2/19 - PRES)$0$430,158$0$144,100$0$372,646$0$266,613$0$4,994$0$1,218,511$0$372,646
Steven J Pollock
Pres & Director (1/19 - 2/19)$0$892,142$0$763,100$0$965,811$0$1,646,602$0$5,232$0$4,272,887$0$965,811
Gregory P Winn
Treasurer (2-19 - Present)$0$241,349$0$68,000$0$206,596$0$30,372$0$4,962$0$551,279$0$206,596
Jeffrey C Brown
Treasurer (1/19 - 2/19)$0$347,269$0$102,602$0$202,693$0$16,911$0$4,970$0$674,445$0$202,693
James E Collins
Former Treasuer$0$0$480,010$0$725,672$0$19,772$0$822$0$1,226,276$0$725,672
James P Hawkins
Clerk (2/19 - Present)$0$266,957$0$76,545$0$206,950$0$35,204$0$4,778$0$590,434$0$206,950
David Abelman
Clerk (1/19 - 2/19)$0$418,262$0$218,229$0$606,887$0$505,449$0$4,994$0$1,753,821$0$606,887
Donna J Kasian
SVP, Comm & Vision Plans DQ$0$372,612$0$556,003$0$633,910$0$24,236$0$4,438$0$1,591,199$0$633,910
Robert E Lynn
EVP-Chief Sales & Retention DQ$0$396,584$0$174,700$0$657,278$0$548,282$0$5,232$0$1,782,076$0$657,278
Alan L Madison
EVP-Chief Operating Officer DQ$0$443,446$0$495,400$0$109,000$0$498,528$0$4,994$0$1,551,368$0$109,000
Todd R Cruse
EVP-Public Affairs & Care DQ$0$379,568$0$165,300$0$325,146$0$379,558$0$5,232$0$1,254,804$0$325,146
Brett A Bostrack
SVP, Client & Provider Engag$0$303,709$0$106,733$0$382,485$0$351,968$0$5,104$0$1,149,999$0$382,485

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, 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 James E. Collins received severance in the amount of $480,010 and Donna Kasian received severance in the amount of $79,231. 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.
BONUS PAYMENTSSCHEDULE J, PART II, COLUMN B(II) COLUMN B (II) ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2018, BUT PAID IN 2019.
OTHER REPORTABLE COMPENSATIONSCHEDULE J, PART II, COLUMN B(III) Column B (III) Other REPORTABLE COMPENSATION REPRESENTS LONG-TERM INCENTIVE COMPENSATION EXPENSE EARNED PRIOR TO 2019, BUT PAID DURING 2019.
DEFERRED COMPENSATIONSCHEDULE J, PART II, COLUMN C COLUMN C ON SCHEDULE J PART II INCLUDES LONG-TERM INCENTIVE COMPENSATION AND PENSION AMOUNTS EARNED DURING 2019 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$291,253,972FairMarketValueOfAssetAmt
Method Of FMV DeterminationbookvalueMethodOfFMVDeterminationTxt
EIN384016550EIN
Personcatalyst institute incPersonNm

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, 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, STEVEN J. POLLOCK, GREGORY P. WINN, JEFFREY C. BROWN, JAMES P. HAWKINS, DAVID ABELMAN, PAMELA D.A. REEVE, DR. ANDREW C. AGWUNOBI, COLLEEN D. BALDWIN, KATHLEEN V. BETTS, CASWELL A. EVANS JR., THOMAS J. GALLIGAN III, LINDA J. HALL, MARY V. KAPLAN, DONALD J. KENNEY, RODERICK K. KING, TODD W. MARSHALL, EVELYN H. MILLER, WILLIAM C. MILLS III, ROBERT J. WEYANT AND JESSICA A. ZEASKE HAVE A BUSINESS RELATIONSHIP SINCE THEY JOINTLY SERVE AS OFFICERS OR DIRECTORS OF THE ORGANIZATION, ITS PARENT AND ONE OR MORE ITS 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 Catalyst Institute, Inc. is the sole member of Dental Services of Massachusetts, Inc.
MEMBERSHIP RIGHTSFORM 990, PART VI, LINE 7A THE MEMBER OF THE ORGANIZATION ELECTS THE DIRECTORS AT THE ANNUAL MEETING OF THE ORGANIZATION.
GOVERNANCEFORM 990, PART VI, QUESTION 7B Catalyst Institute, Inc., the member, MAY VOTE TO AMEND OR REPEAL THE BYLAWS.
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 & B 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 (693,679) CHANGE IN VALUE DUE TO CATALYST INSTITUTE, INC. (1,162,251) DISTRIBUTIONS TO CATALYST INSTITUTE, INC. (291,253,972) TOTAL OTHER CHANGES IN NET ASSETS (293,109,902)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEnd Of Year AssetsEndOfYearAssetsAmtTotal IncomeTotalIncomeAmt
Advantage Dental Clinics LLC
442 SW Umatilla AveRedmondOR97756270364023Care DeliveryORDQ Group
Advantage Consulting Services LLC
442 SW Umatilla AveRedmondOR97756263981408Care DeliveryORDQ Group
Advantage Support Services LLC
442 SW Umatilla AveRedmondOR97756263981367Care DeliveryORDQ Group
Advantage Clinic Properties LLC
442 SW Umatilla AveRedmondOR97756270357326Care DeliveryORDQ Group
Advantage Equipment Leasing LLC
442 SW Umatilla AveRedmondOR97556800426323Care DeliveryORDQ Group
Advantage Dental Service LLC
442 SW Umatilla AveRedmondOR97756931195386Care DeliveryORDQ Group
Advantage Professional Management LLC
442 SW Umatilla AveRedmondOR97756260207886Care DeliveryORDQ Group
DentaQuest of Arizona LLC
465 MEDFORD STREETBOSTONMA02129113692025Dental ServicWIDQ GROUP-$13,271,015
DentaQuest of Georgia LLC
465 MEDFORD STREETBOSTONMA02129141885493Dental ServicWIDQ GROUP$357,512
DentaQuest of Illinois Inc
465 MEDFORD STREETBOSTONMA02129421529687Dental ServicWIDQ GROUP-$8,162,885
DentaQuest of Kentucky LLC
465 MEDFORD STREETBOSTONMA02129141885490Dental ServicWIDQ GROUP$3,549,388
DentaQuest of Maryland Inc
465 MEDFORD STREETBOSTONMA02129810567214Dental ServicWIDQ GROUP-$3,740,085
DentaQuest of Minnesota LLC
465 MEDFORD STREETBOSTONMA02129562356445Dental ServicWIDQ GROUP$4,423,493
DentaQuest of New Jersey LLC
465 MEDFORD STREETBOSTONMA02129562356433Dental ServicWIDQ GROUP$474,732
DentaQuest of New Mexico LLC
465 MEDFORD STREETBOSTONMA02129141885481Dental ServicWIDQ GROUP$2,430,065
DentaQuest IPA of New York LLC
465 MEDFORD STREETBOSTONMA02129810616910Dental ServicWIDQ GROUP$29,780,815
DentaQuest of New York LLC
465 MEDFORD STREETBOSTONMA02129141885500Dental ServicWIDQ GROUP-$4,655,251
DentaQuest of Tennessee LLC
465 MEDFORD STREETBOSTONMA02129352177954Dental ServicWIDQ GROUP$8,825,964
DentaQuest Care Group Management LLC
465 MEDFORD STREETBOSTONMA02129320487994Care DeliveryDEDQ GROUP$157,486,344
DentaQuest LLC
465 MEDFORD STREETBOSTONMA02129200390099Dental ServicDEDQ GROUP$202,643,164-$17,522,790
Dental Services LLC
14201 NE 20TH AVE 2204VANCOUVERWA98686050572255Care DeliveryWADQ Group
DQ PTR for Oral Healt Advancement LLC
465 MEDFORD STREETBOSTONMA02129823649978Dental ServicMACatalyst
DentaQuest Foundation LLC
465 MEDFORD STREETBOSTONMA02129823645884Dental ServicMACatalyst
DQ CGM of Washington LLC
465 MEDFORD STREETBOSTONMA02129843407897Care DeliveryDEDQ GROUP
DQCGM of Massachusetts LLC
465 MEDFORD STREETBOSTONMA02129841851756Care DeliveryDEDQ GROUP
DENTAQUEST HOLDING CO LLC
465 MEDFORD STREETBostonDE02129823782157Dental SVcSDEDSM
DENTAQUEST OF IOWA LLC
465 MEDFORD STREETBostonMA02129611871504DENTAL SVCSWIDQ 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
DQ Ptship for Oral Health Advt INC
465 Medford StreetBOSTONMA02129043265080ORAL HTH IMPRMA501(c)(3)n/aCatalyst Insfalse
DentaQuest Institute Inc
465 Medford StreetBOSTONMA02129205312990ORAL HTH IMPRMA501(c)(3)12ACatalyst Insfalse
DentaQuest Care Group Inc
465 Medford StreetBOSTONMA02129463674034ORAL HTH IMPRMA501(c)(3)12ACatalyst Insfalse
Dental Hth Progr Inc dba Community DC
465 Medford StreetBOSTONMA02129751823660ORAL HTH IMPRTX501(C)(3)7DQ Care Groufalse
Sarrell Regional Dental Center for Publi
230 E 10th Street No 106ANNISTONAL36207200232609ORAL HTH IMPRAL501(C)(3)10DQ Care Groufalse
Community Care of Kentucky Inc
101 S Fifth Street 3500 NationLOUISVILLEKY40202465159094ORAL HTH IMPRKY501(C)(3)7DQ Care Groufalse
Catalyst Institute 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 (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
DentaQuest Group Inc
465 MEDFORD STREETBOSTONMA02129204056199Dental ServiceDENAC CORP$0$00.00000false
DSM Massachusetts Insurance Company Inc
465 MEDFORD STREETBOSTONMA02129465661073InsuranceMADSM InvestmentsC CORP-$384,994$10,167,4781.00000Yes (true)
DentaQuest USA Insurance Company Inc
465 MEDFORD STREETBOSTONMA02129202970185InsuranceTXNAC CORP$0$00.00000false
DSM Investments Inc
465 MEDFORD STREETBOSTONMA02129043428012Dental ServiceMADSMC CORP$0$101.00000Yes (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 ServiceCANAc corp$0$00.00000false
DSM Insurance Services Inc
465 MEDFORD STREETBOSTONMA02129043172335InsuranceMADSM InvestmentsC CORP-$98,878-$547,8011.00000Yes (true)
DentaQuest Oral Health Center Inc
465 MEDFORD STREETBOSTONMA02129043434787Oral Health CenteMADSM InvestmentsC CORP-$209,706$392,1991.00000Yes (true)
MYSTIC RIVER INSURANCE COMPANY
insuranceNAC Corp$0$00.00000false171 elgin avegeorge towngrand caymanCJky1-1002CJ
Advantage Dental Plan Inc
442 SW Umatilla AveRedmondOR97756931156986Care DeliveryORNAC Corp$0$00.00000false
DentaQuest Impact Inc
465 MEDFORD STREETBOSTONMA02129832714016Oral Health ImproDENAC CORP$0$00.00000false
advantage leveraged lenders inc
442 SW UMATILLA AVEredmondOR97756462124368care 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$0false
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 OrgYes (true)AssetSaleToOtherOrgInd
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 SharingYes (true)PaidEmployeesSharingInd
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$11,527,208InvolvedAmt
Method Of Amount DeterminationFMVMethodOfAmountDeterminationTxt