2019-11-14T12:32:29-06:00 2018-12-31 ERNST & YOUNG US LLP 200 CLAREDON STREET BOSTON MA 021165072 990 2018-01-01 046143185 Dental Service of Massachusetts Inc % JEFFREY C BROWN DENT 6178861000 465 MEDFORD STREET BOSTON MA 02129 GREGORY P WINN TREASURER 6178861000 2019-11-08 true MIKE A CINCOTTA P01595811 6172662000 164.57.159.253 06196520193185000002 2019-11-14 P A8687945FF0B3C816C7592C178DA9D64F1BBFDB2 E13B80E68CA2E05D62D16F945686A64CFE9CA3EE 2018 2020-03-31 21:24:44Z DELTA DENTAL OF MASSACHUSETTS STEVEN J POLLOCK 465 MEDFORD STREET BOSTON MA 02129 463967332 false X WWW.DELTADENTALMA.COM X 1966 MA TO IMPROVE THE ORAL HEALTH OF ALL. X 14 13 0 0 64195 63195 0 0 305219444 297473146 6906304 9126102 0 0 312125748 306599248 6765175 0 191623418 184221110 1086835 105832 0 0 0 90755993 90197161 290231421 274524103 21894327 32075145 781709720 450590248 102792120 89483761 678917600 361106487 X TO IMPROVE THE ORAL HEALTH OF ALL. false false 251135523 0 297473146 DENTAL 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 MEDICAID, MEDICARE ADVANTAGE AND CHIP PROGRAMS; PROVIDING INNOVATIVE PRODUCTS AND SERVICES; FINANCE AND DEVELOP PROFESSIONAL AND SCIENTIFIC STUDY SEE SCHEDULE O 251135523 false false false false false false false false false true false false true true false false true false false true false false false false false false false false true false false false false false false false true false false false true true true true true false true 58349 0 true 0 true true false false false false false false false X 14 13 true true true false true true true true true false false true true true true true true true true false MA X JEFFREY C BROWN 6178861000 465 MEDFORD STREET BOSTON MA 02129 PAMELA DA REEVE CHAIR/DIRECTOR 2.5 2.5 X 12500 137500 0 DR ANDREW AGWUNOBI DIRECTOR (6/18-12/18) 1.75 1.75 X 0 48442 0 COLLEEN D BALDWIN DIRECTOR 1.75 1.75 X 8750 96641 0 KATHLEEN V BETTS DIRECTOR 1.75 1.75 X 9583 106267 0 CASWELL A EVANS JR DIRECTOR 1.75 1.75 X 8750 96250 0 THOMAS J GALLIGAN III DIRECTOR 1.75 2.75 X 7500 91414 0 MAYUR GUPTA DIRECTOR (1/18-4/18) 1.75 1.75 X 0 0 0 LINDA J HALL DIRECTOR 1.75 1.75 X 8333 92247 0 SCOTT HARSHBARGER DIRECTOR (1/18-4/18) 1.75 1.75 X 0 584 0 MARY V KAPLAN DIRECTOR 1.75 1.75 X 8333 92054 0 DONALD J KENNEY DIRECTOR 1.75 2.25 X 8333 92485 0 RODERICK K KING DIRECTOR 1.75 3.25 X 7917 104569 0 DONALD R LECLAIR DIRECTOR (1/18-4/18) 1.75 2.25 X 0 584 0 TODD W MARSHALL DIRECTOR 1.75 1.75 X 8333 92485 0 EVELYN H MILLER DIRECTOR 1.75 1.75 X 8750 97072 0 ROBERT J WEYANT DIRECTOR 1.75 2.75 X 8750 96834 0 STEVEN J POLLOCK PRESIDENT & DIRECTOR 4.5 35.5 X X 0 2442610 1419088 JAMES E COLLINS TREASURER (1/18-4/18) 4.5 35.5 X 0 1452634 711496 JEFFREY C BROWN TREASURER (4/18-12/18) 4.5 35.5 X 0 577352 17593 DAVID ABELMAN CLERK 4.5 35.5 X 0 1107857 651325 GREGORY P WINN ASSISTANT TREASURER - DSM 4.5 35.5 X 0 456467 37236 DENNIS J LEONARD PRESIDENT - DELTA DENTAL 4.5 35.5 X 0 839618 410702 ROBERT E LYNN EVP-CHIEF SALES & RETENTION DQ 4.5 35.5 X 0 1095208 705614 ALAN L MADISON EVP-CHIEF OPERATING OFFICER DQ 4.5 35.5 X 0 896802 275669 TODD R CRUSE EVP - PUBLIC AFFAIRS & CARE 4.5 35.5 X 0 731655 370916 SHERYL LTAYLOR EVP - HUMAN RESOURCES DQ 4.5 35.5 X 0 690834 32273 BRETT A BOSTRACK SVP - CLIENT & PROVIDER ENG-DQ 4.5 35.5 X 0 656716 40954 JAMES P HAWKINS CURR. VP & DEP. GEN. COUNSEL 9.0 31.0 X 0 495578 34493 105832 12688759 4707359 0 true true false GENTLE DENTAL ASSOCIATION LLC 200 5TH AVENUE 3RD FLOOR WALTHAM MA 02451 DENTAL SERVICES 13479844 GREAT HILL DENTAL PARTNERS LLC 1610 TREMONT STREET BOSTON MA 02120 dental services 4994902 CHESTNUT DENTAL ASSOCIATES PC 87 CHESTNUT ST NEEDHAM MA 02492 dental services 4613632 PRESIDENT AND FELLOWS OF HARVARD CO 188 LONGWOOD AVENUE BOSTON MA 02115 dental services 4135457 MASS GENERAL PHYSICIAN ORGANIZATION MGH DENTAL GROUP 165 CAMBRIDGE ST N BOSTON MA 02114 dental services 3155468 1617 0 0 0 PPO REVENUE 900099 176868364 176868364 0 0 PREMIER REVENUE 900099 68157452 68157452 0 0 ASO ADMINISTRATIVE SERVICES 900099 52447330 52447330 0 0 297473146 6857770 64195 6793575 0 0 0 0 0 159636416 157368084 2268332 2268332 2268332 0 0 0 0 0 0 0 0 0 0 306599248 297473146 64195 9061907 0 0 0 0 0 0 184221110 184221110 105832 105832 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44054343 33040757 11013586 0 0 0 0 0 208943 0 208943 0 0 0 0 0 0 0 982194 0 982194 0 0 0 0 0 0 0 0 0 9184 5510 3674 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 76161 45697 30464 0 15183644 9110186 6073458 0 12523228 7513937 5009291 0 0 0 0 0 COMMISSIONS 11644797 11644797 SUBSCRIPTIONS AND DUES 167424 100454 66970 ACA FEE & OTHER 5347243 5347243 274524103 251135523 23388580 0 0 0 0 7989003 23774427 0 0 3722307 1196065 0 0 0 0 4200000 4200000 0 0 0 0 99896313 81364419 29015535 18531894 315726671 317495610 62395199 0 0 0 0 0 358661005 85392252 781709720 450590248 2780230 2030349 0 0 0 0 0 0 0 0 0 0 0 0 0 0 100011890 87453412 102792120 89483761 X 678917600 361106487 0 0 0 0 678917600 361106487 781709720 450590248 X 32075145 -16031150 0 0 0 -333855108 X false true X true false 0 0 9054 9054 6458404 5424781 1033623 93428855 75930584 17498271 18531894 INVESTMENT IN SUBSIDIARIES 10705561 COST REIMBURSEMENT 74686691 85392252 0 UNPAID CLAIMS 35664768 GROUP EXPERIENCE REFUNDS 1313807 UNEARNED PREMIUM 6783954 Advanced Deposits 41850167 Payable for Open Trade 1840716 87453412 SCHEDULE D, PART XIII, SUPPLEMENTAL INFORMATION ASC 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. Central America and the Caribbean Investments 9896166 9896166 9896166 false false false false false false X X true true X X X X X X true false false true true true true true false STEVEN J POLLOCK PRESIDENT & DIRECTOR 0 824264 0 631918 0 986428 0 1416746 0 2342 0 3861698 0 986428 JAMES E COLLINS TREASURER (1/18-4/18) 0 282158 0 442972 0 727504 0 711496 0 0 0 2164130 0 727504 JEFFREY C BROWN TREASURER (4/18-12/18) 0 354215 0 49082 0 174055 0 15533 0 2060 0 594945 0 174055 DAVID ABELMAN CLERK 0 406197 0 203832 0 497828 0 648983 0 2342 0 1759182 0 497828 GREGORY P WINN ASSISTANT TREASURER - DSM 0 231978 0 50545 0 173944 0 35179 0 2057 0 493703 0 173944 DENNIS J LEONARD PRESIDENT - DELTA DENTAL 0 314239 0 125950 0 399429 0 408682 0 2020 0 1250320 0 399429 ROBERT E LYNN EVP-CHIEF SALES & RETENTION DQ 0 380943 0 178582 0 535683 0 703231 0 2383 0 1800822 0 535683 ALAN L MADISON EVP-CHIEF OPERATING OFFICER DQ 0 423669 0 65133 0 408000 0 273524 0 2145 0 1172471 0 408000 TODD R CRUSE EVP - PUBLIC AFFAIRS & CARE 0 361990 0 147238 0 222427 0 368563 0 2353 0 1102571 0 222427 SHERYL LTAYLOR EVP - HUMAN RESOURCES DQ 0 301499 0 138804 0 250531 0 30609 0 1664 0 723107 0 250531 BRETT A BOSTRACK SVP - CLIENT & PROVIDER ENG-DQ 0 290904 0 97301 0 268511 0 38724 0 2230 0 697670 0 268511 JAMES P HAWKINS CURR. VP & DEP. GEN. COUNSEL 0 262881 0 58260 0 174437 0 32575 0 1918 0 530071 0 174437 SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 1A THE CHIEF EXECUTIVE OFFICER/PRESIDENT MAY TRAVEL FIRST CLASS FOR ALL BUSINESS FLIGHTS. ALL OTHER OFFICERS OF A SR. VICE PRESIDENT LEVEL OR GREATER MAY TRAVEL FIRST CLASS ON DOMESTIC FLIGHTS OF FOUR HOURS OR GREATER OF CONTINUOUS DURATION. ALL BUSINESS RELATED TRAVEL IS NOT TAXED TO THE EMPLOYEE. SOCIAL CLUB DUES, IF ANY, ARE PAID ONLY WHEN THEY ARE BUSINESS IN NATURE. BECAUSE THESE DUES ARE RELATED, ANY DUES ARE NOT TREATED AS TAXABLE INCOME TO THE INDIVIDUAL. THE ABOVE ITEMS WERE PAID THROUGH DENTAQUEST, LLC, A RELATED ORGANIZATION. Severance Payment Schedule J, Part I, Question 4a James E. Collins received severance in the amount of $230,264. This amount is included in James E. Collins' compensation on Schedule J, Part II. COMPENSATION CONTINGENT ON REVENUE SCHEDULE J, PART I, QUESTION 5 DENTAQUEST, LLC SPONSORS A TARGET INCENTIVE PLAN THAT ALLOWS PARTICIPANTS ANNUALLY TO EARN A THRESHOLD, TARGET OR SUPERIOR INCENTIVE (AS A PERCENT OF THEIR BASE SALARY). THE ACTUAL INCENTIVE TO BE AWARDED IS BASED ON THE ACHIEVEMENT OF PERFORMANCE GOALS THAT ARE SET AT THE BEGINNING OF THE YEAR BY THE COMPENSATION COMMITTEE AS PART OF THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY AND PAY-FOR-PERFORMANCE PHILOSOPHY. AMONG THE PERFORMANCE GOALS ARE A REVENUE GOAL, A NET INCOME GOAL AND A MEMBERSHIP GOAL. EACH PARTICIPANT IN THE TARGET INCENTIVE PLAN HAS A MAXIMUM INCENTIVE THAT CAN BE EARNED REGARDLESS OF THE ATTAINMENT OF THE REVENUE, NET INCOME AND/OR MEMBERSHIP GOALS. THE MAXIMUM INCENTIVE OPPORTUNITY FOR EACH PARTICIPANT IS SET SO THAT THE PARTICIPANT'S TOTAL POSSIBLE COMPENSATION IS REASONABLE FOR PURPOSES OF INTERMEDIATE SANCTIONS, SECTION 4958 OF THE INTERNAL REVENUE CODE. COMPENSATION CONTINGENT ON NET EARNINGS SCHEDULE J, PART I, QUESTIONS 6 & 7 NON-FIXED PAYMENTS: THE COMPANY PROVIDES ANNUAL INCENTIVE BONUSES TO MANAGEMENT EMPLOYEES THAT ARE CALCULATED BASED ON THE PERFORMANCE OF THE COMPANY AND THE INDIVIDUAL EMPLOYEE. THE PROCESS TO ESTABLISH THE PRESUMPTION THAT COMPENSATION PAID TO THE ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT WAS REASONABLE AS DESCRIBED IN SECTION 4958. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS APPROVES THE OVERALL ANNUAL INCENTIVE BONUS POOL AND REVIEWS AND APPROVES COMPENSATION RELEVANT TO EXECUTIVE OFFICERS REPORTING TO THE COMPANY'S CEO. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND MAKES RECOMMENDATIONS TO THE BOARD OF DIRECTORS ON COMPENSATION MATTERS FOR THE COMPANY'S CEO. THE BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE COMPANY'S CEO. LONG-TERM INCENTIVE COMPENSATION: THE FOLLOWING DSM AND DENTAQUEST, LLC EMPLOYEES PARTICIPATE IN THE DENTAQUEST, LLC LONG-TERM INCENTIVE COMPENSATION PLAN AND RECEIVED THE PAYMENTS LISTED BELOW DURING 2018: STEVEN J. POLLOCK $986,428 JAMES E. COLLINS $727,504 JEFFREY C. BROWN $174,055 DAVID ABELMAN $497,828 GREGORY P. WINN $173,944 DENNIS LEONARD $399,429 ROBERT E. LYNN $535,683 SHERYL TRAYLOR $250,531 ALAN L. MADISON $408,000 BRETT A. BOSTRACK $268,511 TODD CRUISE $222,427 LONG-TERM INCENTIVE COMPENSATION PLAN PAYMENTS ARE BASED ON THE VALUATION OF THE COMPANY, DENTAQUEST, LLC, AND ARE PAID OUT OVER A FIVE YEAR PERIOD. PAYMENTS ARE MADE ANNUALLY AND PARTICIPANTS RECEIVE PAYOUTS FOR ALL VESTED BALANCES. THE ELIGIBLE LISTED EMPLOYEES OVER $250,000 AS OF 12/31/2018 PARTICIPATE IN A 457(B) SUPPLEMENTAL RETIREMENT PLAN. OF THOSE ELIGIBLE EMPLOYEES, NO ONE RECEIVED ANY PAYMENTS IN 2018. SCHEDULE J, PART II COMPENSATION 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 PAYMENTS SCHEDULE J, PART II, COLUMN B(II) COLUMN B(II) ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2017, BUT PAID IN 2018. OTHER REPORTABLE COMPENSATION SCHEDULE J, PART II, COLUMN B(III) COLUMN B(III) OTHER REPORTABLE COMPENSATION REPRESENTS LONG-TERM INCENTIVE COMPENSATION EXPENSE EARNED PRIOR TO 2018, BUT PAID DURING 2018. DEFERRED COMPENSATION SCHEDULE J, PART II, COLUMN C COLUMN C ON SCHEDULE J PART II INCLUDES LONG-TERM INCENTIVE COMPENSATION AND PENSION AMOUNTS EARNED DURING 2018 BUT PAID IN FUTURE YEARS. SEE PART V SCHEUDLE L, PART IV: BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS (A) NAME OF INTERESTED PERSON: LECLAIR DENTAL, LLC (B) RELATIONSHIP: DONALD LECLAIR, A dsm BOARD MEMBER REPORTED ON PART VII, IS THE SOLE OWNER OF LECLAIR DENTAL LLC. (C) AMOUNT OF TRANSACTION: $267,591 (D) DESCRIPTION OF TRANSACTION: DENTAL CLAIMS (E) SHARING OF ORGANIZATION'S REVENUE: THERE IS NO SHARING OF REVENUE'S BETWEEN dsm AND LECLAIR DENTAL, LLC. investment in subsidaries 334497840 bookvalue 384016550 catalyst institute inc 465 Medford street boston MA 02129 501(C)(4) false false false false Schedule N, Part II, Line 2a The organization transferred assets to its sole member, catalyst Institute, Inc. The organization and its sole member have the same board of directors. FORM 990, PART III - PROGRAM SERVICE, LINE 4A AND RESEARCH; AND EDUCATE THE PUBLIC CONCERNING THE IMPORTANCE OF ORAL HEALTH. DELTA DENTAL OF MASSACHUSETTS, INC. 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 RELATIONSHIPS FORM 990, PART VI, LINE 2 STEVEN J. POLLOCK, JEFFREY C. BROWN, DAVID ABELMAN, GREGORY P. WINN, PAMELA D.A. REEVE, DR. ANDREW AGWUNOBI, COLLEEN D. BALDWIN, KATHLEEN V. BETTS, CASWELL A. EVANS JR., THOMAS J. GALLIGAN III, LINDA J. HALL, DONALD J. KENNEY, RODERICK K. KING, TODD W. MARSHALL, EVELYN H. MILLER, MARY V. KAPLAN AND ROBERT J. WEYANT, HAVE A BUSINESS RELATIONSHIP SINCE THEY JOINTLY SERVE AS OFFICERS OR DIRECTORS OF THE ORGANIZATION, IT'S PARENT AND ONE OR MORE of ITS SUBSIDIARIES. DELEGATE CONTROL OVER MANAGEMENT DUTIES FORM 990, PART VI, LINE 3 THE COMPANY HIRES DENTAQUEST, LLC (A RELATED PARTY) TO PROVIDE MANAGEMENT SERVICES. Significant Changes to Governing Documents Form 990, Part VI, Line 4 The organization amended its governing documents to allow a new parent entity to be its sole member. The organization's exempt activities have otherwise not changed. MEMBERS OR STOCKHOLDERS FORM 990, PART VI, LINE 6 Catalyst Institute, Inc. is the sole member of Dental Services of Massachusetts, Inc. MEMBERSHIP RIGHTS FORM 990, PART VI, LINE 7A THE MEMBER OF THE ORGANIZATION ELECTs THE DIRECTORS AT THE ANNUAL MEETING OF THE ORGANIZATION. GOVERNANCE FORM 990, PART VI, QUESTION 7B A QUORUM OF THE ORGANIZATION'S MEMBERS MAY VOTE TO AMEND OR REPEAL THE BY-LAWS. REVIEW PROCESS FORM 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 INTEREST PUBLIC 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 POLICY FORM 990, PART VI, QUESTION 15A & B THE PROCESS FOR DETERMINING COMPENSATION FOR THE ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT IS MODELED AFTER THE REQUIREMENTS IN THE INTERNAL REVENUE CODE SECTION 4958 TO ESTABLISH THE REBUTTABLE PRESUMPTION OF REASONABLE COMPENSATION. COMPENSATION IS REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE ("THE COMMITTEE") OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS, ON AN ANNUAL BASIS. THE COMMITTEE ENGAGED AN INDEPENDENT COMPENSATION CONSULTANT, WHICH PRESENTED TO THE COMMITTEE COMPARABLE MARKET DATA FROM PUBLISHED SURVEYS AND FORMS 990 OF COMPARABLE ORGANIZATIONS TO ASSIST IN EVALUATING THE COMPENSATION FOR EACH INDIVIDUAL. THE COMMITTEE CONDUCTED A REVIEW OF THIS COMPARABILITY DATA AND DOCUMENTED ITS DELIBERATIONS AND DISCUSSIONS IN MINUTES THAT ARE RETAINED WITH OTHER GOVERNANCE RECORDS OF THE ORGANIZATION. THE COMMITTEE FOLLOWED THE PROCESS TO ESTABLISH THE PRESUMPTION THAT COMPENSATION PAID TO THE ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT WAS REASONABLE FOR PURPOSES OF SECTION 4958 BY RELYING ON PROFESSIONAL ADVICE IN A WRITTEN OPINION OF REASONABLENESS FROM INDEPENDENT COMPENSATION CONSULTANT. THE COMMITTEE INFORMS THE BOARD OF ITS DECISIONS AT THE NEXT BOARD MEETING. tHIS PROCESS WAS LAST COMPLETED IN FEBRUARY 2019. PUBLIC DISCLOSURE FORM 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 ASSETS PART XI, LINE 9 EQUITY IN SUBSIDIARIES 1,844,376 CHANGE IN INTEREST SWAP (1,201,644) CHANGE IN VALUE DUE TO CATALYST INSTITUTE, INC. (327,497,840) DISTRIBUTIONS TO CATALYST INSTITUTE, INC. (7,000,000) TOTAL OTHER CHANGES IN NET ASSETS (333,855,108) ADVANTAGE DENTAL CLINICS LLC 442 SW Umatilla Ave Redmond OR 97756 270364023 Care Delivery OR 0 ACHC LLC Advantage Dental Support Group LLC 442 SW Umatilla Ave Redmond OR 97756 260859755 Care Delivery OR 0 ACHC LLC Advantage Member Benefits Co LLC 442 SW Umatilla Ave Redmond OR 97756 274776115 Care Delivery OR 0 ACHC LLC Advantage Consulting Services LLC 442 SW Umatilla Ave Redmond OR 97756 263981408 Care Delivery OR 0 ACHC LLC ADVANTAGE SUPPORT SERVICES LLC 442 SW Umatilla Ave Redmond OR 97556 263981367 Care Delivery OR 0 ACHC LLC Advantage Clinic Properties LLC 442 SW Umatilla Ave Redmond OR 97756 270357326 Care Delivery OR 0 ACHC LLC ADVANTAGE PROPERTY MANAGEMENT LLC 442 SW Umatilla Ave Redmond OR 97756 571140840 Care Delivery OR 0 ACHC LLC Advantage Dental Specialists LLC 442 SW Umatilla Ave Redmond OR 97756 811185760 Care Delivery OR 0 ADG PC Western Oregon Advance Health LLC 442 SW Umatilla Ave Redmond OR 97756 464926946 Care Delivery OR 0 ACHC LLC ADVANTAGE EQUIPMENT LEASING LLC 442 SW Umatilla Ave Redmond OR 97756 800426323 Care Delivery OR 0 ACHC LLC ADVANTAGE DENTAL SERVICES LLC 442 SW Umatilla Ave Redmond OR 97756 931195386 Care Delivery OR 0 ACHC LLC ADVANTAGE PROFESSIONAL MANAGEMENT LLC 442 SW Umatilla Ave Redmond OR 97756 260207886 Care Delivery OR 0 ACHC LLC DENTAQUEST OF ARIZONA LLC 465 MEDFORD STREET BOSTON MA 02129 113692025 DENTAL SVCS WI -13236964 DQ GROUP DENTAQUEST OF GEORGIA LLC 465 MEDFORD STREET BOSTON MA 02129 141885493 DENTAL SVCS WI 481094 DQ GROUP DENTAQUEST OF ILLINOIS LLC 465 MEDFORD STREET BOSTON MA 02129 421529687 DENTAL SVCS WI -9951986 DQ GROUP DENTAQUEST OF KENTUCKY LLC 465 MEDFORD STREET BOSTON MA 02129 141885490 DENTAL SVCS WI 3796050 DQ GROUP DENTAQUEST OF MARYLAND LLC 465 MEDFORD STREET BOSTON MA 02129 810567214 DENTAL SVCS WI -4307269 DQ GROUP DENTAQUEST OF MINNESOTA LLC 465 MEDFORD STREET BOSTON MA 02129 562356445 DENTAL SVCS WI 4423441 DQ GROUP DENTAQUEST OF NEW 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