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DENTAL SERVICE OF MASSACHUSETTS INC: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DENTAL SERVICE OF MASSACHUSETTS INC (EIN 04-6143185)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-14
IRS object ID
201433189349309113
Schema version
2013v3.1
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)
Return2014-11-14T16:59:48-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11900 SCRIPPS CTR 312 WALNUT STREETAddressLine1
CityCINCINNATICity
StateOHState
ZIP Code45202ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN046143185EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DENTAL SERVICE OF MASSACHUSETTS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% JAMES E COLLINSInCareOfNm
Business Name ControlDENTBusinessNameControlTxt
Phone6178861000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
Address Line2SuiteAddressLine2
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES E COLLINSPersonNm
Person TitleTREASURERPersonTitleTxt
Signature2014-11-14SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonJULIE SPARKSPreparerPersonNm
PTINP01268401PTIN
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF MASSACHUSETTSBusinessNameLine1
FieldValueIRS element (for citing)
Principal OfficerFAY DONOHUEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$497,232,398GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALMA.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1966FormationYr
Legal Domicile StateMALegalDomicileStateCd
Activity Or MissionTO IMPROVE THE ORAL HEALTH OF ALL.ActivityOrMissionDesc
Voting Members Governing Body11VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$322,057,732PYProgramServiceRevenueAmt
CY Program Service Revenue$293,998,057CYProgramServiceRevenueAmt
PY Investment Income$23,942,329PYInvestmentIncomeAmt
CY Investment Income$585,184CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$346,000,061PYTotalRevenueAmt
CY Total Revenue$294,583,241CYTotalRevenueAmt
PY Grants And Similar Paid$17,170,068PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$3,700,000CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$208,851,144PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$179,087,254CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$425,000PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$396,500CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$81,734,108PYOtherExpensesAmt
CY Other Expenses$78,125,805CYOtherExpensesAmt
PY Total Expenses$308,180,320PYTotalExpensesAmt
CY Total Expenses$261,309,559CYTotalExpensesAmt
PY Revenues Less Expenses$37,819,741PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$33,273,682CYRevenuesLessExpensesAmt
Total Assets BOY$472,951,943TotalAssetsBOYAmt
Total Assets EOY$563,233,177TotalAssetsEOYAmt
Total Liabilities BOY$112,186,353TotalLiabilitiesBOYAmt
Total Liabilities EOY$108,196,256TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$360,765,590NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$455,036,921NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO IMPROVE THE ORAL HEALTH OF ALL.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$220,123,083ExpenseAmt
Grant$3,700,000GrantAmt
Revenue$293,998,057RevenueAmt
DescDENTAL SERVICE OF MASSACHUSETTS, INC. (DSM) D/B/A DELTA DENTAL OF MASSACHUSETTS IS A NOT-FOR-PROFIT DENTAL SERVICE ORGANIZATION PROVIDING DENTAL INSURANCE TO MASSACHUSETTS GROUPS AND INDIVIDUALS. INCORPORATED MORE THAN 40 YEARS AGO, DSM HAS A MISSION TO IMPROVE ORAL HEALTH OF ALL. DELTA DENTAL OF MASSACHUSETTS IS A MEMBER OF THE DELTA DENTAL PLANS ASSOCIATION. DELTA DENTAL IS AMERICA'S LARGEST AND MOST TRUSTED DENTAL BENEFITS CARRIER, COVERING MORE AMERICANS THAN ANY OTHER DENTAL BENEFITS PROVIDER AND STRIVES DAILY TO MAKE DENTAL COVERAGE MORE ACCESSIBLE AND AFFORDABLE TO A WIDE VARIETY OF EMPLOYERS, GROUPS AND INDIVIDUALS.Desc
Total Program Service Expenses$220,123,083TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
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 OrganizationsYes (true)GrantsToOrganizationsInd
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 MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
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 Document57949IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members11GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (true)DelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyfalseDocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
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)
PersonJAMES E COLLINSPersonNm
Phone6178861000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Edward A Hjerpe III
Chairman / Director5.00.0Yes (X)$66,000
Anne Page Palmer
VICE CHAIR/DIRECTOR3.50.5Yes (X)$46,000$3,000$817
TERRY L CONNER
DIRECTOR (1/13-3/13)3.50.5Yes (X)$4,000$2,000
Thomas J Galligan III
Director3.51.0Yes (X)$35,000$9,000
Raul I Garcia
Director3.50.0Yes (X)$34,000$817
JOHN P GUSHA
DIRECTOR (1/13-3/13)0.00.0Yes (X)
Karen Kaplan
Director3.50.5Yes (X)$25,500$2,000$817
Donald J Kenney
Director3.50.5Yes (X)$42,000$0$817
Roderick K King
Director (3/13-12/13)3.50.5Yes (X)$29,250$4,000$817
Donald R LeClair
Director3.50.5Yes (X)$41,500$6,000$817
Linda C Niessen
Director3.50.0Yes (X)$29,250$0
WALTER R OWENS
DIRECTOR (1/13-9/13)3.50.0Yes (X)$7,750$285
Pamela DA Reeve
Director3.50.5Yes (X)$36,000$6,000
FAY DONOHUE
PRESIDENT0.040.0Yes (X)$2,433,900$2,142,003Yes (X)
DAVID ABELMAN
CLERK (11/2/2013-12/31/13)0.040.0$88,797$60,017Yes (X)
JAMES E COLLINS
TREASURER0.040.0$716,634$543,218Yes (X)
Myra J Green
CLERK (1/1/13-3/7/13)0.040.0$363,973$23,110Yes (X)
James Hawkins-VPDEPUTY
GEN. COUNSEL, CLERK 3/8-11/10.040.0$320,226$123,068Yes (X)
GREGORY WINN
ASSISTANT TREASURER - DSM0.040.0$203,359$54,855Yes (X)
DENNIS LEONARD
SENIOR VP - DENTAQUEST0.040.0$867,426$698,941Yes (X)
STEVEN J POLLOCK
COO - DENTAQUEST0.040.0$905,638$879,542Yes (X)
KENNETH P ERDELT
SR. VP OPERATIONS - DENTAQUEST0.040.0$503,439$305,149Yes (X)
WENDY KARLE
VP SALES - DENTAQUEST0.040.0$364,476$208,215Yes (X)
ANGELA S KISH
VP OPERATIONS DENTAQUEST0.040.0$314,548$259,711Yes (X)
ROBERT E LYNN
SENIOR VP - DENTAQUEST0.040.0$542,500$363,564Yes (X)
SHERYL TRAYLOR
SR. VP OF HR - DENTAQUEST0.040.0$451,430$347,135Yes (X)
Robert D Compton- FMR COMP
OFF, CURR EX DIR DQ ORAL HLTH0.040.0$237,593$236,526Yes (X)
MARGARET A WING- FORMER CLERK
CURRENT DIR. OF GOVERNANCE0.040.0$238,767$147,692Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$396,250TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,584,706TotReportableCompRltdOrgAmt
Total Other Compensation$6,397,933TotalOtherCompensationAmt
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 (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
PRIME BUCHHOLZ
PEASE INTERNATIONAL TRADEPORTPORTSMOUTHNH03801INVESTMENT ADVISOR$234,939
ERNST YOUNG US LP
200 CLARENDON STREETBOSTONMA02116ATTESTATION$170,000
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
REVENUE FROM DENTAL SERVICE PLAN900099$240,770,378$240,770,378
ASO ADMINISTRATIVE SERVICE900099$53,227,679$53,227,679
FieldValueIRS element (for citing)
Total Program Service Revenue$293,998,057TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,725,220TotalRevenueColumnAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$5,725,220ExclusionAmt

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$197,509,121SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$200,835,295SecuritiesAmt
Other$1,813,862OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$3,326,174SecuritiesAmt
Other-$1,813,862OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$5,140,036TotalRevenueColumnAmt
Exclusion-$5,140,036ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

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$294,583,241TotalRevenueColumnAmt
Related Or Exempt Func Income$293,998,057RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$585,184ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$3,700,000TotalAmt
Program Services$3,700,000ProgramServicesAmt

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$179,087,254TotalAmt
Program Services$179,087,254ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$396,500TotalAmt
Program Services$396,500ProgramServicesAmt

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$48,302,500TotalAmt
Program Services$17,388,900ProgramServicesAmt
Management And General$30,913,600ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$281,582TotalAmt
Management And General$281,582ManagementAndGeneralAmt

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$572,108TotalAmt
Management And General$572,108ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$328,077TotalAmt
Program Services$131,231ProgramServicesAmt
Management And General$196,846ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$3,925TotalAmt
Program Services$1,570ProgramServicesAmt
Management And General$2,355ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$170TotalAmt
Program Services$68ProgramServicesAmt
Management And General$102ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$20,337TotalAmt
Program Services$8,135ProgramServicesAmt
Management And General$12,202ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$201,694TotalAmt
Program Services$80,678ProgramServicesAmt
Management And General$121,016ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$83,107TotalAmt
Program Services$33,243ProgramServicesAmt
Management And General$49,864ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$7,777,594TotalAmt
Program Services$3,111,038ProgramServicesAmt
Management And General$4,666,556ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Commissions$11,105,298$11,105,298
Subscriptions and Dues$465,486$186,194$279,292
Purchased Services$7,218,911$4,186,968$3,031,943
Other$1,765,016$706,006$1,059,010

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$261,309,559TotalAmt
Program Services$220,123,083ProgramServicesAmt
Management And General$41,186,476ManagementAndGeneralAmt
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$17,430,192BOYAmt
EOY$47,100,253EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$16,741,978BOYAmt
EOY$13,793,113EOYAmt

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$8,750,000BOYAmt
EOY$8,750,000EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$917,995BOYAmt
EOY$142,016EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$60,980,102LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$25,100,647LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$41,520,267BOYAmt
EOY$35,879,455EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$266,196,560BOYAmt
EOY$277,443,109EOYAmt

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$121,394,951BOYAmt
EOY$180,125,231EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$472,951,943BOYAmt
EOY$563,233,177EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$9,792,152BOYAmt
EOY$4,886,075EOYAmt

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$102,394,201BOYAmt
EOY$103,310,181EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$112,186,353BOYAmt
EOY$108,196,256EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$360,765,590BOYAmt
EOY$455,036,921EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

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

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$360,765,590BOYAmt
EOY$455,036,921EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$472,951,943BOYAmt
EOY$563,233,177EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$33,273,682ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$9,287,214NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$19,448PriorPeriodAdjustmentsAmt
Other Changes In Net Assets$51,690,987OtherChangesInNetAssetsAmt
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$7,006DepreciationAmt
Book Value$2,048BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$60,971,048OtherCostOrOtherBasisAmt
Depreciation$25,093,641DepreciationAmt
Book Value$35,877,407BookValueAmt
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildingsGrp
Total Book Value Land Buildings$35,879,455TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDescBook ValueBookValueAmt
Investment In Subsidiary$110,803,220
Cost Reimbursement$69,322,011
FieldValueIRS element (for citing)
Total Book Value Other Assets$180,125,231TotalBookValueOtherAssetsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDescAmtAmt
Unpaid Claims$40,049,277
Group Experience Refunds$7,619,640
Unearned Premium$3,627,460
Advance Deposits$45,319,069
Payable for Open Trade$6,694,735
FieldValueIRS element (for citing)
Total Liability$103,310,181TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE D, PART X, LINE 2FormAndLineReferenceDesc
ExplanationTHERE 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 I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1DENTAQUEST INSTITUTE INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode
FieldValueIRS element (for citing)
Recipient EIN043265080RecipientEIN
IRC Section501 ( C ) (3)IRCSectionDesc
Cash Grant$3,700,000CashGrantAmt
Purpose Of GrantUNRESTRICTED ORAL HEALTH IMPROVEMENTPurposeOfGrantTxt
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsFormAndLineReferenceDesc
ExplanationDSM PROVIDES GRANTS ONLY TO RELATED ORGANIZATIONS WHO ARE EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgYes (true)CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (true)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsYes (true)CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (14 entries)

TitleTitleTxtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
FAY DONOHUE
PRESIDENT$669,528$537,800$1,226,572$2,128,949$13,054$4,575,903$547,800
JAMES E COLLINS
TREASURER$341,080$166,300$209,254$524,937$18,281$1,259,852$176,300
Myra J Green
CLERK (1/1/13-3/7/13)$133,823$230,150$20,000$3,110$387,083$240,150
James Hawkins-VPDEPUTY
GEN. COUNSEL, CLERK 3/8-11/1$258,616$61,610$105,066$18,002$443,294$68,616
DENNIS LEONARD
SENIOR VP - DENTAQUEST$313,074$139,830$414,522$686,452$12,489$1,566,367$149,830
KENNETH P ERDELT
SR. VP OPERATIONS - DENTAQUEST$252,095$112,015$139,329$287,062$18,087$808,588$122,015
WENDY KARLE
VP SALES - DENTAQUEST$210,080$50,041$104,355$206,803$1,412$572,691$60,041
ANGELA S KISH
VP OPERATIONS DENTAQUEST$192,507$56,240$65,801$241,744$17,967$574,259$66,240
STEVEN J POLLOCK
COO - DENTAQUEST$396,585$221,675$287,378$861,157$18,385$1,785,180$231,675
Robert D Compton- FMR COMP
OFF, CURR EX DIR DQ ORAL HLTH$169,361$66,144$2,088$228,987$7,539$474,119$76,144
MARGARET A WING- FORMER CLERK
CURRENT DIR. OF GOVERNANCE$137,479$35,112$66,176$129,829$17,863$386,459$40,952
GREGORY WINN
ASSISTANT TREASURER - DSM$177,601$25,758$36,918$17,937$258,214$25,758
ROBERT E LYNN
SENIOR VP - DENTAQUEST$311,032$137,875$93,593$345,356$18,208$906,064$147,875
SHERYL TRAYLOR
SR. VP OF HR - DENTAQUEST$273,106$120,180$58,144$340,046$7,089$798,565$130,180

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE J, PART I, QUESTION 1AFormAndLineReferenceDesc
ExplanationTHE CHIEF EXECUTIVE OFFICER/PRESIDENT MAY TRAVEL FIRST CLASS FOR ALL BUSINESS FLIGHTS. ALL OTHER DQ 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. 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. SUPPLEMENTAL COMPENSATION INFORMATION SCHEDULE J, PART I, QUESTION 4B THE ELIGIBLE LISTED EMPLOYEES OVER $250,000 AS OF 12/31/2013 PARTICIPATE IN A 457(B) SUPPLEMENTAL RETIREMENT PLAN. OF THOSE ELIGIBLE EMPLOYEES, NO ONE RECEIVED ANY PAYMENTS IN 2013. THE FOLLOWING DSM AND DENTAQUEST EMPLOYEES PARTICIPATE IN THE DENTAQUEST LONG TERM INCENTIVE COMPENSATION PLAN AND RECEIVED THE PAYMENTS LISTED BELOW DURING 2013: FAY DONOHUE $1,226,572 JAMES E. COLLINS $209,254 STEVEN J. POLLOCK $287,378 DENNIS LEONARD $414,522 ROBERT E. LYNN $93,593 KENNETH P. ERDELT $139,329 SHERYL TRAYLOR $58,144 WENDY KARLE $104,355 ANGELA S. KISH $65,801 ROBERT D. COMPTON $2,088 MARGARET A. WING $66,175 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: THE COMPANY PROVIDES ANNUAL INCENTIVE BONUSES TO MANAGEMENT EMPLOYEES THAT ARE CALCULATED BASED ON THE PERFORMANCE OF THE COMPANY AND THE INDIVIDUAL EMPLOYEE. 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. BONUS PAYMENTS SCHEDULE J, PART II, COLUMN B COLUMN B ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2012, BUT PAID IN 2013. OTHER REPORTABLE COMPENSATION SCHEDULE J, PART II, COLUMN B(III) COLUMN B(III)OTHER REPORTABLE COMPENSATION REPRESENTS STOCK OPTIONS PAID DURING 2013. DEFERRED COMPENSATION SCHEDULE J, PART II, COLUMN C COLUMN C ON SCHEDULE J PART II INCLUDES BONUSES AND PENSION AMOUNTS EARNED DURING 2013 BUT PAID IN 2014.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
DONALD R LECLAIR
DIRECTOR$189,212DENTIST CLAIMSfalse
JOHN P GUSHA
DIRECTOR$366,175DENTIST CLAIMSfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART VI, QUESTION 1AFormAndLineReferenceDesc
ExplanationTHE BOARD OF DIRECTORS FOR DENTAL SERVICE OF MASSACHUSETTS HAS AN EXECUTIVE COMMITTEE THAT IS AUTHORIZED TO ACT ON BEHALF OF THE BOARD ON ANY MATTERS REQUIRING PROMPT ACTION DURING ANY PERIOD WHEN IT IS IMPRACTICABLE TO CALL A MEETING OF THE BOARD OR A QUORUM OF THE BOARD IS NOT AVAILABLE. BUSINESS RELATIONSHIPS PART VI, QUESTION 2 FAY DONOHUE, JAMES E. COLLINS, DAVID ABELMAN, STEVEN J. POLLOCK, DENNIS LEONARD AND MARGARET A. WING HAVE A BUSINESS RELATIONSHIP SINCE THEY JOINTLY SERVE AS OFFICERS OF THE ORGANIZATION AND ITS TAXABLE SUBSIDIARY, DENTAQUEST. DELEGATE CONTROL OVER MANAGEMENT DUTIES PART VI, QUESTION 3 THE COMPANY HIRES DENTAQUEST, LLC (A RELATED PARTY) TO PROVIDE MANAGEMENT SERVICES. MEMBERS OR STOCKHOLDERS PART VI QUESTION 6 THE ORGANIZATION HAS MEMBERS, THE MAJORITY OF WHICH ARE PERSONS WHO ARE NOT PROVIDERS OF HEALTH SERVICES LICENSED UNDER THE LAWS OF THE COMMONWEALTH OF MASSACHUSETTS. MEMBERSHIP RIGHTS PART VI, LINE 7A THE MEMBERS OF THE ORGANIZATION ELECT THE DIRECTORS AT THE ANNUAL MEETING OF THE ORGANIZATION. GOVERNANCE PART VI, LINE 7B A QUORUM OF THE ORGANIZATION'S MEMBERS MAY VOTE TO AMEND OR REPEAL THE BYLAWS. REVIEW PROCESS 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 DENTAQUEST 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. THE FULL BOARD AND OFFICERS VIEW THE 990 BEFORE IT IS FILED. CONFLICT OF INTEREST 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 STATEMENT 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 STATEMENT AFFIRMS THAT THE PERSON UNDERSTANDS DENTAL SERVICE OF MASSACHUSETTS 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 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. DOCUMENT RETENTION POLICY PART VI, QUESTION 14 THE WRITTEN DOCUMENT RETENTION POLICY WAS IN USE BUT NOT BOARD APPROVED DURING 2013. THE BOARD APPROVED THIS POLICY JUNE 2014. COMPENSATION POLICY PART VI, QUESTION 15 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 FORM 990S 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. PUBLIC DISCLOSURE 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 INCOME IN SUBSIDIARIES $ 44,145,267 CHANGE IN INTEREST RATE SWAP $ 370,063 RETAINED EARNINGS ADJUSTMENT $ 7,175,657 TOTAL CHANGES IN NET ASSETS $ 51,690,987ExplanationTxt

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationInd
DENTAQUEST FOUNDATION INC
465 MEDFORD STREETBOSTONMA02129043265080ORAL HTH IMPRMA501(c)(3)N/ADSMYes (true)
DENTAQUEST INSTITUTE INC
2400 COMPUTER DRIVEWESTBOROUGHMA01581205312990ORAL HTH IMPRMA501(c)(3)11ADSMYes (true)
DENTAQUEST CARE GROUP INC
465 MEDFORD STREETBOSTONMA02129463674034ORAL HTH IMPRMA501(c)(3)11ADSMYes (true)
DNTL HTH PROGS INC DBA COMM DNTL CARE
465 MEDFORD STREETBOSTONMA02129751823660ORAL HTH IMPRTX501(C)(3)7DQ CAREGROUPYes (true)
SARRELL REGNL DNTL CTR FOR PUB HTHINC
230 E 10TH STREET NO 106ANNISTONAL36207200232609ORAL HTH IMPRAL501(C)(3)9DQ CAREGROUPYes (true)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (24 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
DENTAQUEST GROUP INC
465 MEDFORD STREETBOSTONMA02129204056199DENTAL SERVICEDEDSMC CORP$43,263,166$360,716,0001.00000Yes (true)
DSM INVESTMENTS INC
465 MEDFORD STREETBOSTONMA02129043428012DENTAL SERVICEMADSMC CORP-$99,614$1,407,9341.00000Yes (true)
DENTAQUEST LLC
465 MEDFORD STREETBOSTONMA02129200390099DENTAL SERVICEDEDQ MA BUS TRUSTLLC$42,161,055$341,301,0001.00000Yes (true)
DENTAQUEST MID-ATLANTIC INC
465 MEDFORD STREETBOSTONMA02129522006071INSURANCEMDDQ MANAGEMENTC CORP$2,093,425$11,306,6671.00000Yes (true)
DENTAQUEST VIRGINIA INC
465 MEDFORD STREETBOSTONMA02129522016912INSURANCEVADQ MANAGEMENTC CORP$162,500$2,903,9661.00000Yes (true)
DENTAQUEST MANAGEMENT INC
465 MEDFORD STREETBOSTONMA02129521908785DENTAL SERVICEMDDQ GROUPC CORP$43,258,585$98,858,8081.00000Yes (true)
DSM INSURANCE SERVICES INC
465 MEDFORD STREETBOSTONMA02129043172335INSURANCEMADSM INVESTMENTSC CORP-$107,868-$26,8861.00000Yes (true)
DENTAQUEST ORAL HEALTH CENTER INC
465 MEDFORD STREETBOSTONMA02129043434787ORAL HEALTH CTRMADSM INVESTMENTSC CORP$8,254$1,434,8211.00000Yes (true)
DQ MASSACHUSETTS BUSINESS TRUST
465 MEDFORD STREETBOSTONMA02129204056067DENTAL SERVICEMADQ MANAGEMENTTRUST$42,156,474$82,497,2171.00000Yes (true)
DENTAQUEST OF KENTUCKY LLC
465 MEDFORD STREETBOSTONMA02129141885490DENTAL SERVICEWIDENTAQUEST LLCLLC$0$4,427,2401.00000Yes (true)
DENTAQUEST OF ILLINOIS LLC
465 MEDFORD STREETBOSTONMA02129421529687DENTAL SERVICEWIDENTAQUEST LLCLLC$176,112$7,358,7661.00000Yes (true)
DENTAQUEST OF MARYLAND LLC
465 MEDFORD STREETBOSTONMA02129810567214DENTAL SERVICEWIDENTAQUEST LLCLLC-$624,562$642,4411.00000Yes (true)
DENTAQUEST ADMINISTRATIVE SERVICES LLC
465 MEDFORD STREETBOSTONMA02129392041298DENTAL SERVICECADENTAQUEST LLCLLC-$10,217$449,2891.00000Yes (true)
DENTAQUEST OF GEORGIA LLC
465 MEDFORD STREETBOSTONMA02129141885493DENTAL SERVICEWIDENTAQUEST LLCLLC-$7,915$1,783,2611.00000Yes (true)
DENTAQUEST OF ARIZONA LLC
465 MEDFORD STREETBOSTONMA02129113692025DENTAL SERVICEWIDENTAQUEST LLCLLC-$718,567$924,8951.00000Yes (true)
DENTAQUEST OF TENNESSEE LLC
465 MEDFORD STREETBOSTONMA02129352177954DENTAL SERVICEWIDENTAQUEST LLCLLC$14,430$8,310,4681.00000Yes (true)
DENTAQUEST IPA OF NEW YORK LLC
465 MEDFORD STREETBOSTONMA02129810616910DENTAL SERVICEWIDENTAQUEST LLCLLC$6,522,145$14,166,2851.00000Yes (true)
DENTAQUEST USA INSURANCE COMPANY INC
465 MEDFORD STREETBOSTONMA02129202970185INSURANCETXDENTAQUEST LLCC CORP$40,308,260$146,922,8871.00000Yes (true)
DENTAQUEST OF NEW JERSEY LLC
465 MEDFORD STREETBOSTONMA02129562356433DENTAL SERVICEWIDENTAQUEST LLCLLC-$103,340$1,207,3071.00000Yes (true)
DENTAQUEST OF NEW YORK LLC
465 MEDFORD STREETBOSTONMA02129141885500DENTAL SERVICEWIDENTAQUEST LLCLLC-$622,118$11,672,3701.00000Yes (true)
DENTAQUEST OF MINNESOTA LLC
465 MEDFORD STREETBOSTONMA02129562356445DENTAL SERVICEWIDENTAQUEST LLCLLC$239,173$3,907,2611.00000Yes (true)
DENTAQUEST OF NEW MEXICO LLC
465 MEDFORD STREETBOSTONMA02129141885481DENTAL SERVICEWIDENTAQUEST LLCLLC-$588,593$1,512,7331.00000Yes (true)
DENTAQUEST OF FLORIDA INC
465 MEDFORD STREETBOSTONMA02129650743731INSURANCEFLDENTAQUEST LLCC CORP$6,617,823$25,742,5981.00000Yes (true)
DSM USA INSURANCE COMPANY INC
465 MEDFORD STREETBOSTONMA02129590397210INSURANCEPADENTAQUEST LLCC CORP-$23,230$7,661,1291.00000Yes (true)
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
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
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 OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
DENTAQUEST INSTITUTE INC
B$3,700,000FMV
DENTAQUEST CARE GROUP INC
R$808,000FMV
DENTAQUEST GROUP INC & SUBSIDIARIES
H$7,237,367FMV
DENTAQUEST FOUNDATION INC
O$429,320FMV
DENTAQUEST INSTITUTE INC
O$408,409FMV
DENTAQUEST GROUP INC & SUBSIDIARIES
P$55,521,411FMV
DENTAQUEST INSTITUTE INC
Q$190,356FMV