2014-11-14T16:59:48-06:00 2013-12-31 ERNST & YOUNG US LLP 1900 SCRIPPS CTR 312 WALNUT STREET CINCINNATI OH 45202 990 2013-01-01 046143185 DENTAL SERVICE OF MASSACHUSETTS INC % JAMES E COLLINS DENT 6178861000 465 MEDFORD STREET Suite BOSTON MA 02129 JAMES E COLLINS TREASURER 2014-11-14 JULIE SPARKS P01268401 2013 2015-11-30 17:44:51Z DELTA DENTAL OF MASSACHUSETTS FAY DONOHUE 465 MEDFORD STREET BOSTON MA 02129 497232398 false X WWW.DELTADENTALMA.COM X 1966 MA TO IMPROVE THE ORAL HEALTH OF ALL. 11 9 0 0 0 0 0 322057732 293998057 23942329 585184 0 0 346000061 294583241 17170068 3700000 208851144 179087254 425000 396500 0 0 0 81734108 78125805 308180320 261309559 37819741 33273682 472951943 563233177 112186353 108196256 360765590 455036921 X TO IMPROVE THE ORAL HEALTH OF ALL. false false 220123083 3700000 293998057 DENTAL 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. 220123083 false false false false false false false false false true false false true true false false true false false false false false false false false false true false true false false false false false true false false false false false false false true true true false true 57949 0 true 0 false false false false false false X 11 9 true true false false true true true true true false false true true true true true false true true false MA X JAMES E COLLINS 6178861000 465 MEDFORD STREET BOSTON MA 02129 Edward A Hjerpe III Chairman / Director 5.0 0.0 X 66000 Anne Page Palmer VICE CHAIR/DIRECTOR 3.5 0.5 X 46000 3000 817 TERRY L CONNER DIRECTOR (1/13-3/13) 3.5 0.5 X 4000 2000 Thomas J Galligan III Director 3.5 1.0 X 35000 9000 Raul I Garcia Director 3.5 0.0 X 34000 817 JOHN P GUSHA DIRECTOR (1/13-3/13) 0.0 0.0 X Karen Kaplan Director 3.5 0.5 X 25500 2000 817 Donald J Kenney Director 3.5 0.5 X 42000 0 817 Roderick K King Director (3/13-12/13) 3.5 0.5 X 29250 4000 817 Donald R LeClair Director 3.5 0.5 X 41500 6000 817 Linda C Niessen Director 3.5 0.0 X 29250 0 WALTER R OWENS DIRECTOR (1/13-9/13) 3.5 0.0 X 7750 285 Pamela DA Reeve Director 3.5 0.5 X 36000 6000 FAY DONOHUE PRESIDENT 0.0 40.0 X X 2433900 2142003 DAVID ABELMAN CLERK (11/2/2013-12/31/13) 0.0 40.0 X 88797 60017 JAMES E COLLINS TREASURER 0.0 40.0 X 716634 543218 Myra J Green CLERK (1/1/13-3/7/13) 0.0 40.0 X 363973 23110 James Hawkins-VPDEPUTY GEN. COUNSEL, CLERK 3/8-11/1 0.0 40.0 X 320226 123068 GREGORY WINN ASSISTANT TREASURER - DSM 0.0 40.0 X 203359 54855 DENNIS LEONARD SENIOR VP - DENTAQUEST 0.0 40.0 X 867426 698941 STEVEN J POLLOCK COO - DENTAQUEST 0.0 40.0 X 905638 879542 KENNETH P ERDELT SR. VP OPERATIONS - DENTAQUEST 0.0 40.0 X 503439 305149 WENDY KARLE VP SALES - DENTAQUEST 0.0 40.0 X 364476 208215 ANGELA S KISH VP OPERATIONS DENTAQUEST 0.0 40.0 X 314548 259711 ROBERT E LYNN SENIOR VP - DENTAQUEST 0.0 40.0 X 542500 363564 SHERYL TRAYLOR SR. VP OF HR - DENTAQUEST 0.0 40.0 X 451430 347135 Robert D Compton- FMR COMP OFF, CURR EX DIR DQ ORAL HLTH 0.0 40.0 X 237593 236526 MARGARET A WING- FORMER CLERK CURRENT DIR. OF GOVERNANCE 0.0 40.0 X 238767 147692 396250 8584706 6397933 0 true true false PRIME BUCHHOLZ PEASE INTERNATIONAL TRADEPORT PORTSMOUTH NH 03801 INVESTMENT ADVISOR 234939 ERNST YOUNG US LP 200 CLARENDON STREET BOSTON MA 02116 ATTESTATION 170000 2 0 REVENUE FROM DENTAL SERVICE PLAN 900099 240770378 240770378 ASO ADMINISTRATIVE SERVICE 900099 53227679 53227679 293998057 5725220 0 5725220 0 0 0 0 0 197509121 200835295 1813862 -3326174 -1813862 -5140036 -5140036 0 0 0 0 294583241 293998057 0 585184 3700000 3700000 0 0 179087254 179087254 396500 396500 0 0 0 0 0 48302500 17388900 30913600 0 281582 281582 0 0 572108 572108 328077 131231 196846 3925 1570 2355 170 68 102 0 0 0 20337 8135 12202 0 201694 80678 121016 83107 33243 49864 0 7777594 3111038 4666556 0 Commissions 11105298 11105298 Subscriptions and Dues 465486 186194 279292 Purchased Services 7218911 4186968 3031943 Other 1765016 706006 1059010 261309559 220123083 41186476 0 0 0 17430192 47100253 0 0 16741978 13793113 0 0 0 0 8750000 8750000 0 0 917995 142016 60980102 25100647 41520267 35879455 266196560 277443109 0 0 0 0 0 0 121394951 180125231 472951943 563233177 9792152 4886075 0 0 0 0 0 0 0 0 0 0 0 0 0 0 102394201 103310181 112186353 108196256 X 360765590 455036921 0 0 0 0 360765590 455036921 472951943 563233177 X 33273682 9287214 19448 51690987 X false true X true false 9054 7006 2048 60971048 25093641 35877407 35879455 Investment In Subsidiary 110803220 Cost Reimbursement 69322011 180125231 0 Unpaid Claims 40049277 Group Experience Refunds 7619640 Unearned Premium 3627460 Advance Deposits 45319069 Payable for Open Trade 6694735 103310181 SCHEDULE D, PART X, LINE 2 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. true DENTAQUEST INSTITUTE INC 465 MEDFORD STREET BOSTON MA 02129 043265080 501 ( C ) (3) 3700000 UNRESTRICTED ORAL HEALTH IMPROVEMENT 1 Description of Organization's Procedures for Monitoring the Use of Grants DSM PROVIDES GRANTS ONLY TO RELATED ORGANIZATIONS WHO ARE EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). X X true true X X X X X false true false true true true true true false FAY DONOHUE PRESIDENT 669528 537800 1226572 2128949 13054 4575903 547800 JAMES E COLLINS TREASURER 341080 166300 209254 524937 18281 1259852 176300 Myra J Green CLERK (1/1/13-3/7/13) 133823 230150 20000 3110 387083 240150 James Hawkins-VPDEPUTY GEN. COUNSEL, CLERK 3/8-11/1 258616 61610 105066 18002 443294 68616 DENNIS LEONARD SENIOR VP - DENTAQUEST 313074 139830 414522 686452 12489 1566367 149830 KENNETH P ERDELT SR. VP OPERATIONS - DENTAQUEST 252095 112015 139329 287062 18087 808588 122015 WENDY KARLE VP SALES - DENTAQUEST 210080 50041 104355 206803 1412 572691 60041 ANGELA S KISH VP OPERATIONS DENTAQUEST 192507 56240 65801 241744 17967 574259 66240 STEVEN J POLLOCK COO - DENTAQUEST 396585 221675 287378 861157 18385 1785180 231675 Robert D Compton- FMR COMP OFF, CURR EX DIR DQ ORAL HLTH 169361 66144 2088 228987 7539 474119 76144 MARGARET A WING- FORMER CLERK CURRENT DIR. OF GOVERNANCE 137479 35112 66176 129829 17863 386459 40952 GREGORY WINN ASSISTANT TREASURER - DSM 177601 25758 36918 17937 258214 25758 ROBERT E LYNN SENIOR VP - DENTAQUEST 311032 137875 93593 345356 18208 906064 147875 SHERYL TRAYLOR SR. VP OF HR - DENTAQUEST 273106 120180 58144 340046 7089 798565 130180 SCHEDULE J, PART I, QUESTION 1A THE 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. DONALD R LECLAIR DIRECTOR 189212 DENTIST CLAIMS false JOHN P GUSHA DIRECTOR 366175 DENTIST CLAIMS false PART VI, QUESTION 1A THE 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 $ 51,690,987 DENTAQUEST FOUNDATION INC 465 MEDFORD STREET BOSTON MA 02129 043265080 ORAL HTH IMPR MA 501(c)(3) N/A DSM true DENTAQUEST INSTITUTE INC 2400 COMPUTER DRIVE WESTBOROUGH MA 01581 205312990 ORAL HTH IMPR MA 501(c)(3) 11A DSM true DENTAQUEST CARE GROUP INC 465 MEDFORD STREET BOSTON MA 02129 463674034 ORAL HTH IMPR MA 501(c)(3) 11A DSM true 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 true SARRELL REGNL DNTL CTR FOR PUB HTHINC 230 E 10TH STREET NO 106 ANNISTON AL 36207 200232609 ORAL HTH IMPR AL 501(C)(3) 9 DQ CAREGROUP true DENTAQUEST GROUP INC 465 MEDFORD STREET BOSTON MA 02129 204056199 DENTAL SERVICE DE DSM C CORP 43263166 360716000 1.00000 true DSM INVESTMENTS INC 465 MEDFORD STREET BOSTON MA 02129 043428012 DENTAL SERVICE MA DSM C CORP -99614 1407934 1.00000 true DENTAQUEST LLC 465 MEDFORD STREET BOSTON MA 02129 200390099 DENTAL SERVICE DE DQ MA BUS TRUST LLC 42161055 341301000 1.00000 true DENTAQUEST MID-ATLANTIC INC 465 MEDFORD STREET BOSTON MA 02129 522006071 INSURANCE MD DQ MANAGEMENT C CORP 2093425 11306667 1.00000 true DENTAQUEST VIRGINIA INC 465 MEDFORD STREET BOSTON MA 02129 522016912 INSURANCE VA DQ MANAGEMENT C CORP 162500 2903966 1.00000 true DENTAQUEST MANAGEMENT INC 465 MEDFORD STREET BOSTON MA 02129 521908785 DENTAL SERVICE MD DQ GROUP C CORP 43258585 98858808 1.00000 true DSM INSURANCE SERVICES INC 465 MEDFORD STREET BOSTON MA 02129 043172335 INSURANCE MA DSM INVESTMENTS C CORP -107868 -26886 1.00000 true DENTAQUEST ORAL HEALTH CENTER INC 465 MEDFORD STREET BOSTON MA 02129 043434787 ORAL HEALTH CTR MA DSM INVESTMENTS C CORP 8254 1434821 1.00000 true DQ MASSACHUSETTS BUSINESS TRUST 465 MEDFORD STREET BOSTON MA 02129 204056067 DENTAL SERVICE MA DQ MANAGEMENT TRUST 42156474 82497217 1.00000 true DENTAQUEST OF KENTUCKY LLC 465 MEDFORD STREET BOSTON MA 02129 141885490 DENTAL SERVICE WI DENTAQUEST LLC LLC 0 4427240 1.00000 true DENTAQUEST OF ILLINOIS LLC 465 MEDFORD STREET BOSTON MA 02129 421529687 DENTAL SERVICE WI DENTAQUEST LLC LLC 176112 7358766 1.00000 true DENTAQUEST OF MARYLAND LLC 465 MEDFORD STREET BOSTON MA 02129 810567214 DENTAL SERVICE WI DENTAQUEST LLC LLC -624562 642441 1.00000 true DENTAQUEST ADMINISTRATIVE SERVICES LLC 465 MEDFORD STREET BOSTON MA 02129 392041298 DENTAL SERVICE CA DENTAQUEST LLC LLC -10217 449289 1.00000 true DENTAQUEST OF GEORGIA LLC 465 MEDFORD STREET BOSTON MA 02129 141885493 DENTAL SERVICE WI DENTAQUEST LLC LLC -7915 1783261 1.00000 true DENTAQUEST OF ARIZONA LLC 465 MEDFORD STREET BOSTON MA 02129 113692025 DENTAL SERVICE WI DENTAQUEST LLC LLC -718567 924895 1.00000 true DENTAQUEST OF TENNESSEE LLC 465 MEDFORD STREET BOSTON MA 02129 352177954 DENTAL SERVICE WI DENTAQUEST LLC LLC 14430 8310468 1.00000 true DENTAQUEST IPA OF NEW YORK LLC 465 MEDFORD STREET BOSTON MA 02129 810616910 DENTAL SERVICE WI DENTAQUEST LLC LLC 6522145 14166285 1.00000 true DENTAQUEST USA INSURANCE COMPANY INC 465 MEDFORD STREET BOSTON MA 02129 202970185 INSURANCE TX DENTAQUEST LLC C CORP 40308260 146922887 1.00000 true DENTAQUEST OF NEW JERSEY LLC 465 MEDFORD STREET BOSTON MA 02129 562356433 DENTAL SERVICE WI DENTAQUEST LLC LLC -103340 1207307 1.00000 true DENTAQUEST OF NEW YORK LLC 465 MEDFORD STREET BOSTON MA 02129 141885500 DENTAL SERVICE WI DENTAQUEST LLC LLC -622118 11672370 1.00000 true DENTAQUEST OF MINNESOTA LLC 465 MEDFORD STREET BOSTON MA 02129 562356445 DENTAL SERVICE WI DENTAQUEST LLC LLC 239173 3907261 1.00000 true DENTAQUEST OF NEW MEXICO LLC 465 MEDFORD STREET BOSTON MA 02129 141885481 DENTAL SERVICE WI DENTAQUEST LLC LLC -588593 1512733 1.00000 true DENTAQUEST OF FLORIDA INC 465 MEDFORD STREET BOSTON MA 02129 650743731 INSURANCE FL DENTAQUEST LLC C CORP 6617823 25742598 1.00000 true DSM USA INSURANCE COMPANY INC 465 MEDFORD STREET BOSTON MA 02129 590397210 INSURANCE PA DENTAQUEST LLC C CORP -23230 7661129 1.00000 true false true false false false false true false false false false false false true true true false false DENTAQUEST INSTITUTE INC B 3700000 FMV DENTAQUEST CARE GROUP INC R 808000 FMV DENTAQUEST GROUP INC & SUBSIDIARIES H 7237367 FMV DENTAQUEST FOUNDATION INC O 429320 FMV DENTAQUEST INSTITUTE INC O 408409 FMV DENTAQUEST GROUP INC & SUBSIDIARIES P 55521411 FMV DENTAQUEST INSTITUTE INC Q 190356 FMV