DENTAQUEST CARE GROUP INC: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- DENTAQUEST CARE GROUP INC (EIN 46-3674034)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201733189349307753
- Schema version
- 2016v3.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T14:38:34-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 200 CLARENDON STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 021165072 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 463674034 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DentaQuest Care Group Inc | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % JAMES E COLLINS | InCareOfNm |
| Business Name Control | DENT | BusinessNameControlTxt |
| Phone | 6178861000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 MEDFORD STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02129 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES E COLLINS | PersonNm |
| Person Title | Treasurer | PersonTitleTxt |
| Phone | 6178861000 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | MIKE CINCOTTA | PreparerPersonNm |
| PTIN | P01595811 | PTIN |
| Phone | 6172662000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 170.249.3.25 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 06196520173185000001 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2017-11-14 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | 58E4EF637F6ED594D3BCB9F35B0E6FE454F65236 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 0048556387E8E320C66A14C77DAD355D0CB5C0D3 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Todd Cruse | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 MEDFORD STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02129 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $0 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | N/A | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2013 | FormationYr |
| Legal Domicile State | MA | LegalDomicileStateCd |
| Activity Or Mission | DENTAQUEST CARE GROUP, INC. DEVELOPS MANAGES, AND IMPROVES COST-EFFECTIVE QUALITY DENTAL HEALTHCARE AND ACCESS TO UNDERSERVED COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 7 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 5 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $0 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $0 | PYOtherRevenueAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $0 | PYTotalRevenueAmt |
| CY Total Revenue | $0 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $622,811 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $2,316,255 | PYOtherExpensesAmt |
| CY Other Expenses | $5,212,734 | CYOtherExpensesAmt |
| PY Total Expenses | $2,939,066 | PYTotalExpensesAmt |
| CY Total Expenses | $5,212,734 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$2,939,066 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,212,734 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $7,275,760 | TotalAssetsBOYAmt |
| Total Assets EOY | $5,944,966 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $2,257,291 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $5,018,469 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,944,966 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | SEE SCHEDULE O | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $4,691,464 | ExpenseAmt |
| Desc | DURING THE REPORTING YEAR, DENTAQUEST CARE GROUP, INC. DEVELOPED, MANAGED AND IMPROVED COST-EFFECTIVE QUALITY DENTAL HEALTHCARE AND ACCESS THERETO THROUGH ITS THREE TAX-EXEMPT SUBSIDIARIES, WHICH PROVIDED SERVICES DIRECTLY TO THE POOR. SEE SCHEDULE O. | Desc |
| Total Program Service Expenses | $4,691,464 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | false | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | Yes (true) | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 7 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 5 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (true) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicyInd |
| Whistleblower Policy | false | WhistleblowerPolicyInd |
| Document Retention Policy | false | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | MA | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JAMES E COLLINS | PersonNm |
| Phone | 6178861000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 465 MEDFORD STREET | AddressLine1Txt |
| City | BOSTON | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02129 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (17 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| THOMAS J GALLIGAN III | |||||||||
| CHAIR/DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $70,591 | $0 | |||
| MAYUR GUPTA | |||||||||
| DIRECTOR (3/16-12/16) | 0.5 | 3.5 | Yes (X) | $0 | $55,010 | $0 | |||
| EDWARD A HJERPE III | |||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $18,503 | $0 | |||
| RODERICK K KING | |||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $70,829 | $0 | |||
| DONALD R LECLAIR | |||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $77,930 | $0 | |||
| STEVEN J POLLOCK | |||||||||
| DIRECTOR | 0.5 | 39.5 | Yes (X) | $0 | $1,867,030 | $949,199 | |||
| ROBERT J WEYANT | |||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $66,595 | $0 | |||
| TODD CRUSE | |||||||||
| PRESIDENT | 5.0 | 35.0 | $0 | $543,314 | $225,767 | Yes (X) | |||
| JAMES E COLLINS | |||||||||
| TREASURER | 0.5 | 39.5 | $0 | $1,282,193 | $746,634 | Yes (X) | |||
| DAVID ABELMAN | |||||||||
| CLERK | 0.5 | 39.5 | $0 | $801,176 | $436,854 | Yes (X) | |||
| DENNIS LEONARD | |||||||||
| PRESIDENT - DELTA DENTAL | 0.5 | 39.5 | $0 | $1,024,780 | $542,207 | Yes (X) | |||
| ROBERT E LYNN | |||||||||
| SVP - DENTAQUEST | 0.5 | 39.5 | $0 | $867,533 | $579,241 | Yes (X) | |||
| ANGELA S KISH | |||||||||
| VP - SALESFORCE INTEGRATION-DQ | 0.5 | 39.5 | $0 | $610,679 | $346,320 | Yes (X) | |||
| SHERYL TRAYLOR | |||||||||
| SVP - HUMAN RESOURCES - DQ | 0.5 | 39.5 | $0 | $428,553 | $505,074 | Yes (X) | |||
| RALPH FUCCILLO | |||||||||
| SENIOR ADVISOR - DENTAQUEST | 0.5 | 39.5 | $0 | $722,500 | $183,572 | Yes (X) | |||
| JEFFREY A PARKER | |||||||||
| FORMER PRESIDENT | 0.0 | 0.0 | $0 | $788,036 | $28,722 | Yes (X) | |||
| JAMES HAWKINS FMR CLERK | |||||||||
| VP & DEPUTY GENERAL COUNSEL | 0.5 | 39.5 | $0 | $376,513 | $189,206 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $9,671,765 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $4,732,796 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | NONE | PersonNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contractor Address | ContractorAddress |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $816,758 | TotalAmt |
| Program Services | $735,082 | ProgramServicesAmt |
| Management And General | $81,676 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,395,941 | TotalAmt |
| Program Services | $3,956,347 | ProgramServicesAmt |
| Management And General | $439,594 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Excise Tax | Desc |
| Total | $35 | TotalAmt |
| Program Services | $35 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,212,734 | TotalAmt |
| Program Services | $4,691,464 | ProgramServicesAmt |
| Management And General | $521,270 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $165,234 | BOYAmt |
| EOY | $162,525 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,110,526 | BOYAmt |
| EOY | $5,394,455 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $387,986 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,275,760 | BOYAmt |
| EOY | $5,944,966 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,257,291 | BOYAmt |
| EOY | $0 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,257,291 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,018,469 | BOYAmt |
| EOY | $5,944,966 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,018,469 | BOYAmt |
| EOY | $5,944,966 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,275,760 | BOYAmt |
| EOY | $5,944,966 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,212,734 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $0 | NetUnrlzdGainsLossesInvstAmt |
| Donated Services And Use Fclts | $0 | DonatedServicesAndUseFcltsAmt |
| Investment Expense | $0 | InvestmentExpenseAmt |
| Prior Period Adjustments | $0 | PriorPeriodAdjustmentsAmt |
| Other Changes In Net Assets | $6,139,231 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | false | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supporting Organization509a3 | Yes (X) | SupportingOrganization509a3Ind |
| Supporting Org Type1 | Yes (X) | SupportingOrgType1Ind |
| IRS Written Determination | Yes (X) | IRSWrittenDeterminationInd |
| Supported Organizations | 1 | SupportedOrganizationsCnt |
Supported Org Information SupportedOrgInformationGrp
Supported Organization Name SupportedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DENTAL SERVICE OF MASSACHUSETTS INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 046143185 | EIN |
| Organization Type | 10 | OrganizationTypeCd |
| Governing Document Listed | false | GoverningDocumentListedInd |
| Support | $0 | SupportAmt |
| Other Support | $0 | OtherSupportAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Supported Organizations Total | 1 | SupportedOrganizationsTotalCnt |
Form990 Sch A Supporting Org Form990SchASupportingOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Listed By Name Governing Doc | Yes (true) | ListedByNameGoverningDocInd |
| Suprt Org No IRS Determination | Yes (true) | SuprtOrgNoIRSDeterminationInd |
| Supported Org Section C456 | Yes (true) | SupportedOrgSectionC456Ind |
| Supported Org Qualified | Yes (true) | SupportedOrgQualifiedInd |
| Suprt Exclusively Sec170c2 B | Yes (true) | SuprtExclusivelySec170c2BInd |
| Supported Org Not Organized US | false | SupportedOrgNotOrganizedUSInd |
| Organization Change Suprt Org | false | OrganizationChangeSuprtOrgInd |
| Support Non Supported Org | false | SupportNonSupportedOrgInd |
| Payment Substantial Contribtr | false | PaymentSubstantialContribtrInd |
| Loan Disqualified Person | false | LoanDisqualifiedPersonInd |
| Controlled Disqualified Prsn | false | ControlledDisqualifiedPrsnInd |
| Disqualified Prsn Controll Int | false | DisqualifiedPrsnControllIntInd |
| Disqualified Prsn Ownr Int | false | DisqualifiedPrsnOwnrIntInd |
| Excess Business Holdings Rules | false | ExcessBusinessHoldingsRulesInd |
| Contribution Controller | false | ContributionControllerInd |
| Contribution Family | false | ContributionFamilyInd |
| Contribution35 Controlled | false | Contribution35ControlledInd |
Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Power Appoint Majority Dir Trst | Yes (true) | PowerAppointMajorityDirTrstInd |
| Operate Benefit Non Suprt Org | false | OperateBenefitNonSuprtOrgInd |
Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SUPPORTED ORGANIZATIONS | TYPES OF NON-MONETARY SUPPORT PROVIDED TO SUPPORT ORG. SCHEDULE A, PART I, LINE 12G, COLUMNS (V) AND (VI) DENTAQUEST CARE GROUP, INC. PROVIDES SUPPORT IN THE FORM OF OVERSEEING DENTAL CARE DELIVERY SERVICES TO DENTAL SERVICE OF MASSACHUSETTS, INC., WHICH HELPS DENTAL SERVICE OF MASSACHUSETTS, INC. ACCOMPLISH ITS MISSION OF IMPROVING THE ORAL HEALTH OF ALL. MONETARY SUPPORT IS NOT REQUIRED TO QUALIFY AS A SUPPORTING ORGANIZATION. |
| SUPPORTED ORGANIZATIONS | SCHEDULE A, PART IV, LINE 2 & 3B DENTAQUEST CARE GROUPS SUPPORTED ORGANIZATION, DENTAL SERVICE OF MASSACHUSETTS, INC. (DSM), HAS BEEN RECOGNIZED BY THE IRS AS TAX-EXEMPT UNDER SEC 501(C)(4), AND AS A RESULT, DOES NOT HAVE AN IRS DETERMINATION LETTER INDICATING IT MEETS THE PUBLIC SUPPORT TEST OF SEC 509(A)(2). SUBSEQUENT TO THE YEAR ENDED DECEMBER 31, 2016, DSM INTERNALLY CALCULATED ITS 5 YEAR PUBLIC SUPPORT PERCENTAGE UNDER THE REGULATIONS FOR SEC 509(A)(2) AND DETERMINED THAT DSM EXCEEDS THE 33 1/3% PUBLIC SUPPORT PERCENTAGE AND QUALIFIES AS PUBLICLY SUPPORTED UNDER SEC 509(A)(2). |
| TYPES OF EXEMPT PURPOSE SUPPORT TO SUPPORTED ORG. | SCHEDULE A, PART IV, SECTION A, LINE 3C DENTAQUEST CARE GROUP, INC. DELIVERED ALL SERVICES DIRECTLY TO DENTAL SERVICE OF MASSACHUSETTS, INC. AND TRANSFERRED NO MONETARY SUPPORT, SO DENTAQUEST CARE GROUP, INC. CONTROLLED ALL ASPECTS OF THE SERVICE DELIVERY AND ENSURED THAT THE SUPPORT WAS USED FOR CHARITABLE PURPOSES. |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp | |
| Leasehold Improvements | LeaseholdImprovementsGrp | |
| Equipment | EquipmentGrp | |
| Other Land Buildings | OtherLandBuildingsGrp | |
| Total Book Value Program Rltd | $5,394,455 | TotalBookValueProgramRltdAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTERCOMPANY BALANCE W DQ, LLC | Desc |
| Book Value | $387,986 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $387,986 | TotalBookValueOtherAssetsAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | ASC 740 DISCLOSURE (FIN 48) | FormAndLineReferenceDesc |
| Explanation | 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 LIKELY THAN NOT TO BE SUSTAINED UPON EXAMINATION, INCLUDING RESOLUTION OF ANY RELATED APPEALS OF LITIGATION PROCESSES, BASED ON THE TECHNICAL MERITS OF THE POSITION. FOR TAX POSITIONS MEETING THE MORE LIKELY THAN NOT THRESHOLD, THE TAX AMOUNT RECOGNIZED IN THE FINANCIAL STATEMENTS IS REDUCED BY THE LARGEST BENEFIT THAT HAS A GREATER THAN FIFTY PERCENT LIKELIHOOD OF BEING REALIZED UPON THE ULTIMATE SETTLEMENT WITH THE RELEVANT TAXING AUTHORITY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| First Class Or Charter Travel | Yes (X) | FirstClassOrCharterTravelInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | false | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | Yes (true) | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | Yes (true) | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|
| STEVEN J POLLOCK | |||||||
| DIRECTOR | $683,556 | $360,000 | $823,474 | $930,402 | $18,797 | $2,816,229 | $823,474 |
| TODD CRUSE | |||||||
| PRESIDENT | $323,852 | $165,700 | $53,762 | $207,074 | $18,693 | $769,081 | $53,762 |
| JAMES E COLLINS | |||||||
| TREASURER | $473,916 | $188,800 | $619,477 | $727,837 | $18,797 | $2,028,827 | $619,477 |
| DAVID ABELMAN | |||||||
| CLERK | $403,251 | $243,800 | $154,125 | $418,057 | $18,797 | $1,238,030 | $154,125 |
| DENNIS LEONARD | |||||||
| PRESIDENT - DELTA DENTAL | $331,575 | $109,000 | $584,205 | $529,627 | $12,580 | $1,566,987 | $584,205 |
| ROBERT E LYNN | |||||||
| SVP - DENTAQUEST | $384,255 | $138,400 | $344,878 | $560,444 | $18,797 | $1,446,774 | $344,878 |
| ANGELA S KISH | |||||||
| VP - SALESFORCE INTEGRATION-DQ | $215,367 | $86,563 | $308,749 | $327,844 | $18,476 | $956,999 | $308,749 |
| SHERYL TRAYLOR | |||||||
| SVP - HUMAN RESOURCES - DQ | $302,742 | $109,200 | $16,611 | $497,862 | $7,212 | $933,627 | $16,611 |
| RALPH FUCCILLO | |||||||
| SENIOR ADVISOR - DENTAQUEST | $252,048 | $72,500 | $397,952 | $171,138 | $12,434 | $906,072 | $397,952 |
| JEFFREY A PARKER | |||||||
| FORMER PRESIDENT | $182,135 | $605,901 | $16,830 | $11,892 | $816,758 | $255,000 | |
| JAMES HAWKINS FMR CLERK | |||||||
| VP & DEPUTY GENERAL COUNSEL | $251,377 | $71,660 | $53,476 | $176,753 | $12,453 | $565,719 | $53,476 |
Supplemental Information Detail SupplementalInformationDetail (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 SENIOR 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 BUSINESS IN NATURE. BECAUSE THESE DUES ARE BUSINESS RELATED, ANY DUES ARE NOT TREATED AS TAXABLE INCOME TO THE INDIVIDUAL. THE ABOVE ITEMS WERE PAID THROUGH DENTAQUEST, LLC, A RELATED ORGANIZATION. |
| SCHEDULE J, PART I, QUESTION 3 | THE OFFICER'S COMPENSATION IS ESTABLISHED BY A RELATED ORGANIZATION, DENTAL SERVICE OF MASSACHUSETTS, INC. THROUGH THE USE OF A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, FORMS 990 OF OTHER ORGANIZATIONS, COMPENSATION SURVEYS OR STUDIES AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE. SCHEDULE J, PART I, QUESTION 4A FOR THE YEAR ENDED DECEMBER 31, 2016, JEFFREY A. PARKER RECEIVED A JOINTLY NEGOTIATED SEVERANCE PAYMENT IN THE AMOUNT OF $350,901. |
| 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, QUESTION 6 & 7 NON-FIXED PAYMENTS: DENTAQUEST CARE GROUP, INC. AND ITS RELATED ORGANIZATIONS PROVIDE ANNUAL INCENTIVE BONUSES TO MANAGEMENT EMPLOYEES THAT ARE CALCULATED BASED ON THE PERFORMANCE OF THE INDIVIDUAL EMPLOYEE. 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. THE COMPENSATION COMMITTEE OF THE DENTAL SERVICE OF MASSACHUSETTS, INC. BOARD OF DIRECTORS APPROVES THE OVERALL ANNUAL INCENTIVE BONUS POOL AND REVIEWS AND APPROVES COMPENSATION RELEVANT TO EXECUTIVE OFFICERS REPORTING TO DENTAQUEST CARE GROUP, INC.'S CEO. THE COMPENSATION COMMITTEE OF THE DENTAL SERVICE OF MASSACHUSETTS, INC. BOARD OF DIRECTORS REVIEWS AND MAKES RECOMMENDATIONS TO THE DENTAL SERVICE OF MASSACHUSETTS, INC.'S BOARD OF DIRECTORS ON COMPENSATION MATTERS FOR DENTAQUEST CARE GROUP, INC.'S CEO. THE DENTAL SERVICE OF MASSACHUSETTS, INC.'S BOARD OF DIRECTORS APPROVES THE COMPENSATION OF THE COMPANY'S CEO. LONG-TERM INCENTIVE COMPENSATION: THE FOLLOWING DENTAQUEST CARE GROUP, INC. AND DENTAQUEST, LLC EMPLOYEES PARTICIPATE IN THE DENTAQUEST, LLC LONG-TERM INCENTIVE COMPENSATION PLAN AND RECEIVED THE PAYMENTS LISTED BELOW DURING 2016: STEVEN J. POLLOCK $823,474 TODD CRUSE $53,762 JAMES E. COLLINS $619,477 DAVID ABELMAN $154,125 DENNIS LEONARD $584,205 ROBERT E. LYNN $344,878 ANGELA S. KISH $308,749 SHERYL TRAYLOR $16,611 RALPH FUCCILLO $397,952 JEFFREY A. PARKER $255,000 JAMES HAWKINS $53,476 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 12/31/2016 PARTICIPATE IN A 457(B) SUPPLEMENTAL RETIREMENT PLAN SPONSORED BY DENTAL SERVICE OF MASSACHUSETTS, INC. OF THOSE ELIGIBLE EMPLOYEES, NO ONE RECEIVED ANY PAYMENTS IN 2016. 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 DENTAQUEST CARE GROUP, INC., THE FILING ORGANIZATION. THE COMPENSATION RECEIVED BY THE BOARD MEMBERS LISTED IN PART VII OF THE ORGANIZATION'S FORM 990 IS FOR SERVICES RENDERED TO DENTAL SERVICE OF MASSACHUSETTS, INC. NO BOARD MEMBER RECEIVES COMPENSATION FOR SERVING AS A BOARD MEMBER OF DENTAQUEST CARE GROUP, INC. |
| BONUS PAYMENTS | SCHEDULE J, PART II, COLUMN B(II) COLUMN B(II) ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2015, BUT PAID IN 2016. |
| 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 2016, BUT PAID DURING 2016. |
| 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 2016 BUT PAID IN FUTURE YEARS. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| ORGANIZATION'S MISSION | FORM 990, PART III, LINE 1 DENTAQUEST CARE GROUP, INC. AIMS TO DEVELOP, MANAGE AND IMPROVE SYSTEMS FOR COST-EFFECTIVE AND QUALITY-FOCUSED DENTAL HEALTH CARE. DENTAQUEST CARE GROUP, INC. OPERATES TO INCREASE ACCESS OF CARE AND IMPROVE THE OVERALL HEALTH OF ALL PERSONS, REGARDLESS OF INCOME, GEOGRAPHY OR OTHER ADVANTAGE. |
| PROGRAM SERVICE ACCOMPLISHMENT | FORM 990, PART III, LINE 4A DENTAQUEST CARE GROUP, INC. IS ORGANIZED EXCLUSIVELY TO SUPPORT DENTAL SERVICE OF MASSACHUSETTS, INC. DENTAQUEST CARE GROUP, INC. AIMS TO DEVELOP, MANAGE AND IMPROVE SYSTEMS FOR COST-EFFECTIVE AND QUALITY-FOCUSED DENTAL HEALTH CARE. DENTAQUEST CARE GROUP, INC. OPERATES TO INCREASE ACCESS OF CARE AND IMPROVE THE OVERALL HEALTH OF ALL PERSONS, REGARDLESS OF INCOME, STATUS, GEOGRAPHY OR OTHER ADVANTAGE. |
| BUSINESS RELATIONSHIPS | FORM 990, PART VI, LINE 2 STEVEN J. POLLOCK, TODD CRUSE, JAMES E. COLLINS, DAVID ABELMAN, THOMAS J. GALLIGAN III, MAYUR GUPTA, RODERICK K. KING, DONALD R LECLAIR, ROBERT WEYANT AND EDWARD A. HJERPE ALL HAVE A BUSINESS RELATIONSHIP SINCE THEY JOINTLY SERVE AS OFFICERS/DIRECTORS OF THE ORGANIZATION AND AT DENTAL SERVICE OF MASSACHUSETTS, INC. AND ITS TAXABLE SUBSIDIARY, DENTAQUEST, LLC. |
| MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, LINE 6 DENTAL SERVICE OF MASSACHUSETTS, INC. IS THE SOLE MEMBER OF DENTAQUEST CARE GROUP, INC. |
| MEMBERSHIP RIGHTS | FORM 990, PART VI, LINE 7A THE MEMBER OF THE ORGANIZATION ELECTS THE DIRECTORS AND MAY REMOVE DIRECTORS OF THE ORGANIZATION. |
| GOVERNANCE | FORM 990, PART VI, LINE 7B DENTAL SERVICE OF MASSACHUSETTS, INC., THE MEMBER, MAY VOTE TO AMEND THE BYLAWS. |
| REVIEW PROCESS | FORM 990, PART VI, LINE 11B MEMBERS OF THE EXTERNAL TAX FIRM (CURRENTLY ERNST & YOUNG U.S., LLP) INITIALLY DISCUSS, PREPARE AND REVIEW THE FORM 990 RETURN WITH MANAGEMENT. MANAGEMENT REVIEWS THE FORM 990 FOR ACCURACY AND COMPLETENESS AND PROVIDES COMMENTS TO THE PREPARER. ONCE THE RETURN IS FULLY ANALYZED AND PREPARED, A COPY IS DISTRIBUTED TO THE BOARD OF DIRECTORS IN ADVANCE OF A SPECIFIC MEETING. A COPY OF THE FINAL FORM 990 IS SENT TO THE FULL BOARD AND OFFICERS BEFORE IT IS FILED. |
| CONFLICT OF INTEREST | FORM 990, PART VI, LINE 12C THE BOARD OF DENTAQUEST CARE GROUP, INC. HAS NOT FORMALLY ADOPTED A CONFLICT OF INTEREST POLICY. HOWEVER, DENTAQUEST CARE GROUP, INC. FOLLOWS THE CONFLICT OF INTEREST POLICY OF DENTAL SERVICE OF MASSACHUSETTS, INC., DENTAQUEST CARE GROUP, INC.'S PARENT ORGANIZATION. THE CONFLICT OF INTEREST POLICY WAS APPROVED BY THE DENTAL SERVICE OF MASSACHUSETTS, INC. BOARD OF DIRECTORS PRIOR TO THE CURRENT YEAR. THEREFORE, EVEN THOUGH DENTAQUEST CARE GROUP FOLLOWS A CONFLICT OF INTEREST POLICY; IT MUST ANSWER NO TO PART VI, LINE 12 BECAUSE IT HAS NOT BEEN FORMALLY ADOPTED BY DENTAQUEST CARE GROUP, INC'S BOARD OF DIRECTORS. A DESCRIPTION OF THE POLICY AND ITS ENFORCEMENT IS BELOW. 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 DENTAQUEST CARE GROUP, INC. IS A CHARITABLE ORGANIZATION AND THAT IN ORDER TO MAINTAIN ITS TAX-EXEMPT STATUS, DENTAQUEST CARE GROUP, INC. MUST ENGAGE IN ACTIVITIES WHICH ACCOMPLISH ONE OR MORE OF ITS TAX-EXEMPT PURPOSES. ENFORCEMENT IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. WHO IS COVERED? THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBERS OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS. LEVEL OF DETERMINATION AND REVIEW OF CONFLICTS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER PRESENTATION OF A POTENTIAL TRANSACTION OR ARRANGEMENT IS MADE BY AN INTERESTED PERSON, THE REMAINING DISINTERESTED BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION OR ARRANGEMENT IN QUESTION. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE IF DENTAQUEST CARE GROUP, INC. CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE GOVERNING BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. RESTRICTIONS PLACED ON CONFLICTED PERSONS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. |
| WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES | FORM 990, PART VI, LINES 13 & 14 THE BOARD OF DENTAQUEST CARE GROUP, INC. HAS NOT FORMALLY ADOPTED A WHISTLEBLOWER OR DOCUMENT RETENTION POLICIES. HOWEVER, DENTAQUEST CARE GROUP, INC. FOLLOWS WHISTLEBLOWER AND DOCUMENT RETENTION POLICIES OF DENTAL SERVICE OF MASSACHUSETTS, INC., ITS PARENT ORGANIZATION. IN DECEMBER 2015, THE BOARD OF DENTAL SERVICE OF MASSACHUSETTS, INC. FORMALLY DELEGATED BOARD AUTHORITY TO APPROVE POLICIES TO ITS COMPLIANCE COMMITTEE, WHICH FORMALLY APPROVED THE WHISTLEBLOWER AND DOCUMENT RETENTION POLICY IN JUNE 2016. PROCESS FOR DETERMINING COMPENSATION PART VI, LINES 15A AND 15B DENTAL SERVICE OF MASSACHUSETTS, INC., THE SOLE MEMBER OF DENTAQUEST CARE GROUP, INC., HANDLES THE RESPONSIBILITY OF DETERMINING COMPENSATION FOR DENTAQUEST CARE GROUP'S OFFICERS. |
| PUBLIC DISCLOSURE | FORM 990, PART VI, LINE 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 | FORM 990, PART XI, LINE 9 TRANSFER FROM DENTAL SERVICE OF MASSACHUSETTS $ 10,047,529 TRANSFER TO SUBSIDIARIES ($ 3,908,298) TOTAL OTHER CHANGES IN NET ASSETS $ 6,139,231 |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (26 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| Advantage Dental Assc Crook Co LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 274218067 | Care Delivery | OR | $0 | $0 | DQ LLC |
| ADVANTAGE DENTAL CLINICS LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 270364023 | Care Delivery | OR | $0 | $0 | DQ LLC |
| Advantage Dental Support Group LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 260859755 | Care Delivery | OR | $0 | $0 | DQ LLC |
| Advantage Member Benefits Co LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 274776115 | Care Delivery | OR | $0 | $0 | DQ LLC |
| Advantage Consulting Services LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 263981408 | Care Delivery | OR | $0 | $0 | DQ LLC |
| ADVANTAGE DENTAL SUPPORT GROUP LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97556 | 263981367 | Care Delivery | OR | $0 | $0 | DQ LLC |
| Advantage Clinic Properties LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 270357326 | Care Delivery | OR | $0 | $0 | DQ LLC |
| ADVANTAGE PROPERTY MANAGEMENT LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 571140840 | Care Delivery | OR | $0 | $0 | DQ LLC |
| Advantage Dental Specialists LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 811185760 | Care Delivery | OR | $0 | $0 | DQ LLC |
| Western Oregon Advance Health LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 464926946 | Care Delivery | OR | $0 | $0 | DQ LLC |
| ADVANTAGE EQUIPMENT LEASING LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 800426323 | Care Delivery | OR | $0 | $0 | DQ LLC |
| ADVANTAGE DENTAL SERVICES LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 931195386 | Care Delivery | OR | $0 | $0 | DQ LLC |
| ADVANTAGE PROFESSIONAL MANAGEMENT LLC | |||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 260207886 | Care Delivery | OR | $0 | $0 | DQ LLC |
| DENTAQUEST OF ARIZONA LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 113692025 | DENTAL SVCS | WI | $0 | -$12,170,231 | DQ LLC |
| DENTAQUEST OF GEORGIA LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 141885493 | DENTAL SVCS | WI | $0 | $1,563,663 | DQ LLC |
| DENTAQUEST OF ILLINOIS LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 421529687 | DENTAL SRVCS | WI | $0 | $3,488,993 | DQ LLC |
| DENTAQUEST OF KENTUCKY LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 141885490 | DENTAL SVCS | WI | $0 | $3,862,376 | DQ LLC |
| DENTAQUEST OF MARYLAND LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 810567214 | DENTAL SVCS | WI | $0 | -$4,812,005 | DQ LLC |
| DENTAQUEST OF MINNESOTA LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 562356445 | DENTAL SVCS | WI | $0 | $4,370,415 | DQ LLC |
| DENTAQUEST OF NEW JERSEY LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 562356433 | DENTAL SVCS | WI | $0 | $717,396 | DQ LLC |
| DENTAQUEST OF NEW MEXICO LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 141885481 | DENTAL SVCS | WI | $0 | $2,130,518 | DQ LLC |
| DENTAQUEST IPA OF NEW YORK LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 810616910 | DENTAL SVCS | WI | $0 | -$2,434,197 | DQ LLC |
| DENTAQUEST OF NEW YORK LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 141885500 | DENTAL SVCS | WI | $0 | $5,627,070 | DQ LLC |
| DENTAQUEST OF TENNESSEE LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 352177954 | DENTAL SVCS | WI | $0 | $8,364,663 | DQ LLC |
| DENTAQUEST ADMINISTRATIVE SERVICES LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 392041298 | DENTAL SVCS | WI | $0 | $273,720 | DQ LLC |
| DENTAQUEST CARE GROUP MANAGEMENT LLC | |||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 320487994 | CARE DELIVERY | DE | $0 | $0 | DQ LLC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| DENTAQUEST FOUNDATION INC | ||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 043265080 | ORAL HTH IMPR | MA | 501(C)(3) | N/A | DSM | false |
| DENTAQUEST INSTITUTE INC | ||||||||||
| 2400 COMPUTER DRIVE | WESTBOROUGH | MA | 01581 | 205312990 | ORAL HTH IMPR | MA | 501(C)(3) | 11A | DSM | false |
| DNTL HTH PROGS INC DBA COMM DNTL CARE | ||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 751823660 | ORAL HTH IMPR | TX | 501(C)(3) | 7 | DQ CAREGROUP | Yes (true) |
| SARRELL REGNL DNTL CTR FOR PUB HTH INC | ||||||||||
| 230 E 10TH STREET NO 106 | ANNISTON | AL | 36207 | 200232609 | ORAL HTH IMPR | AL | 501(C)(3) | 9 | DQ CAREGROUP | Yes (true) |
| DENTAL SERVICE OF MASSACHUSETTS INC | ||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 046143185 | ORAL HTH IMPR | MA | 501(C)(4) | N/A | NA | false |
| COMMUNITY CARE OF KENTUCKY INC | ||||||||||
| 101 S FIFTH STREET 3500 NATIONAL CI | LOUISVILLE | KY | 40202 | 465159049 | ORAL HTH IMPR | KY | 501(C)(3) | 7 | DQ CAREGROUP | Yes (true) |
| Catalyst Institute Inc | ||||||||||
| 465 medford street | boston | MA | 02129 | 384016550 | oral hth impr | MA | 501(c)(4) | N/A | NA | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | UBI Code VUBICodeVAmt | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ADVANTAGE COMMUNITY HOLDINGS COMPANY LLC | |||||||||||||
| 442 SW Umatilla Ave Ste 200 | REDMOND | OR | 97756 | 208939962 | CARE DELIVERY | OR | DQ LLC | EXCLUDED | $0 | $0 | false | $0 | false |
| ADVANTAGE AND PETERSEN DENTAL BDLG LLC | |||||||||||||
| 442 SW UMATILLA AVE STE 200 | REDMOND | OR | 97756 | 274218188 | CARE DELIVERY | OR | ADV CONTR LLC | EXCLUDED | $0 | $0 | false | $0 | false |
| ADVANTAGE HARBOR QALICB OWNERS LLC | |||||||||||||
| 442 SW UMATILLA AVE STE 200 | REDMOND | OR | 97756 | 463260263 | CARE DELIVERY | OR | ADV CONTR LLC | EXCLUDED | $0 | $0 | false | $0 | false |
| ADVANTAGE HARBOR QALICB OWNERS LLC | |||||||||||||
| 442 SW UMATILLA AVE STE 200 | REDMOND | OR | 97756 | 463287102 | CARE DELIVERY | OR | ADV CONTR LLC | EXCLUDED | $0 | $0 | false | $0 | false |
| ADVANTAGE QALICB-1 LLC | |||||||||||||
| 442 SW UMATILLA AVE | REDMOND | OR | 97756 | 462098412 | CARE DELIVERY | OR | ADV CONTR LLC | EXCLUDED | $0 | $0 | false | $0 | false |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (18 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | OwnershipOwnershipPct | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DENTAQUEST GROUP INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 204056199 | DENTAL SERVICE | DE | NA | C CORP | ||||
| DSM MASSACHUSETTS INSURANCE COMPANYINC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 465661073 | INSURANCE | MA | NA | C CORP | 0.00000 | |||
| DENTAQUEST USA INSURANCE COMPANY INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 202970185 | INSURANCE | TX | NA | C CORP | ||||
| DSM INVESTMENTS INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 043428012 | DENTAL SERVICE | MA | NA | C CORP | ||||
| DENTAQUEST OF FLORIDA INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 650743731 | INSURANCE | FL | NA | LLC | ||||
| DSM USA INSURANCE COMPANY INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 590397210 | INSURANCE | TX | NA | LLC | ||||
| CALIFORNIA DENTAL NETWORK INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 930954061 | INSURANCE | CA | NA | LLC | ||||
| PACIFIC DENTAL NETWORK INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 330672992 | DENTAL SERVICE | CA | NA | LLC | ||||
| DENTAQUEST LLC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 200390099 | DENTAL SERVICE | DE | NA | LLC | ||||
| DENTAQUEST MANAGEMENT INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 521908785 | DENTAL SERVICE | MD | NA | C CORP | ||||
| DSM INSURANCE SERVICES INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 043172335 | INSURANCE | MA | NA | C CORP | ||||
| DENTAQUEST ORAL HEALTH CENTER INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 043434787 | ORAL HTH CTR | MA | NA | C CORP | ||||
| DQ MASSACHUSETTS BUSINESS TRUST | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 204056067 | DENTAL SERVICE | MA | NA | TRUST | ||||
| COMMUNITY CARE OF NEW MEXICO INC | ||||||||||||
| 465 MEDFORD STREET | BOSTON | MA | 02129 | 471711799 | ORAL HTH IMPR | NM | NA | LLC | 1.00000 | $0 | $0 | Yes (true) |
| American Financial Services Inc | ||||||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 931319631 | Care Delivery | OR | NA | C Corp | ||||
| Advantage Leveraged Lenders Inc | ||||||||||||
| 442 SW Umatilla Ave | Redmond | OR | 97756 | 462124368 | Care Delivery | OR | NA | C Corp | ||||
| ADVANTAGE DENTAL GROUP PC | ||||||||||||
| 442 SW UMATILLA AVE | REDMOND | OR | 97756 | 800437099 | CARE DELIVERY | OR | NA | C CORP | ||||
| ADVANTAGE DENTAL PLAN INC | ||||||||||||
| 442 SW UMATILLA AVE | REDMOND | OR | 97756 | 931156986 | CARE DELIVERY | OR | NA | C CORP | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| DENTAL HEALTH PROGRAMS INC DBA COMMUNITY | ||
| B | $904,245 | FMV |
| COMMUNITY CARE OF KENTUCKY INC | ||
| B | $508,382 | FMV |
| SARRELL REGIONAL DENTAL CTR FOR PUB HTH INC | ||
| B | $858,138 | FMV |
| DENTAL SERVICE OF MASSACHUSETTS INC | ||
| C | $10,047,529 | FMV |
| DENTAQUEST GROUP INC & SUBSIDIARIES | ||
| P | $5,212,699 | FMV |