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DENTAL SERVICE OF MASSACHUSETTS INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
DENTAL SERVICE OF MASSACHUSETTS INC (EIN 04-6143185)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-14
IRS object ID
201243199349306589
Schema version
2011v1.3
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)
Timestamp2012-11-14T17:22:16-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line175 BEATTIE PLACE SUITE 800AddressLine1
CityGREENVILLECity
StateSCState
ZIP Code29601ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN046143185EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DENTAL SERVICE OF MASSACHUSETTS INCBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JAMES COLLINSInCareOfName
Name ControlDENTNameControl
Phone6178861000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJAMES E COLLINSName
TitleTREASURERTitle
Date Signed2012-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone8642425740Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF MASSACHUSETTSBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonFAY DONOHUENameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode
FieldValueIRS element (for citing)
Gross Receipts537485402GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DELTAMASS.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1966YearFormation
State Legal DomicileMAStateLegalDomicile
Activity Or Mission DescriptionTO IMPROVE ORAL HEALTH THROUGH DENTAL BENEFITS, CREATION AND TRANSFER OF KNOWLEDGE AND PHILANTHROPY.ActivityOrMissionDescription
Nbr Voting Members Governing Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year325069121ProgramServiceRevenuePriorYear
Program Service Revenue CY331934063ProgramServiceRevenueCY
Investment Income Prior Year11998388InvestmentIncomePriorYear
Investment Income Current Year16415959InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year337067509TotalRevenuePriorYear
Total Revenue Current Year348350022TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10685000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY26812000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year215403482BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY216765437BenefitsPaidToMembersCY
Salaries Etc Prior Year2176889SalariesEtcPriorYear
Salaries Etc Current Year475750SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year75565240OtherExpensePriorYear
Other Expenses Current Year80355379OtherExpensesCurrentYear
Total Expenses Prior Year303830611TotalExpensesPriorYear
Total Expenses Current Year324408566TotalExpensesCurrentYear
Revenues Less Expenses Prior Year33236898RevenuesLessExpensesPriorYear
Revenues Less Expenses CY23941456RevenuesLessExpensesCY
Total Assets BOY401242532TotalAssetsBOY
Total Assets EOY425069402TotalAssetsEOY
Total Liabilities BOY109710392TotalLiabilitiesBOY
Total Liabilities EOY112996387TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY291532140NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY312073015NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE ORAL HEALTH THROUGH DENTAL BENEFITS, CREATION AND TRANSFER OF KNOWLEDGE AND PHILANTHROPY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense282702576Expense
Grants26812000Grants
Revenue331934063Revenue
DescriptionDENTAL SERVICE OF MASSACHUSETTS, INC. (DSM) IS A NOT-FOR-PROFIT DENTAL SERVICE ORGANIZATION INCORPORATED TO PROVIDE DENTAL INSURANCE TO MASSACHUSETTS GROUPS AND INDIVIDUALS. WE BELIEVE THAT EVERYBODY DESERVES A HEALTHY SMILE. DENTAL IS ALL WE DO, AND WE'RE COMMITTED TO DOING IT BETTER THAN ANYBODY ELSE. FROM ADMINISTERING INNOVATIVE DENTAL BENEFIT PLANS THROUGH THE NATION'S LARGEST NETWORK OF DENTISTS, TO DRIVING RESEARCH THAT IMPROVES ORAL HEALTH FOR EVERYONE IN THE COMMUNITIES WE SERVE, DSM IS COMMITTED TO SPREADING SMILES. FOR MORE THAN 40 YEARS, DSM HAS DEDICATED ITSELF TO IMPROVING ORAL HEALTH. AFTER ALL, TAKING CARE OF TEETH IS ALL WE DO. TEETH ARE OUR LIFE. THEY'RE OUR PASSION, WHICH MAY BE WHY MORE COMPANIES OFFERING DENTAL BENEFITS TO EMPLOYEES TODAY CHOOSE DSM THAN ANY OTHER DENTAL PLAN. NEARLY EVERY DENTIST IN THE STATE OF MASSACHUSETTS PARTICIPATES IN ONE OR MORE OF OUR PLANS. PLUS, WHEN SOMEONE SIGNS UP WITH DSM, THEY ARE PARTNERING WITH A COMPANY THAT'S ON THE FOREFRONT OF PROMOTING ADVANCED DENTAL TREATMENTS AND PREVENTIVE PROGRAMS. FROM SPEARHEADING TREATMENTS THAT KEEP ORAL BACTERIA IN CHECK TO STOP THE DECAY OF TEETH, TO COMMUNITY FLUORIDATION PROGRAMS THAT BENEFIT ALL RESIDENTS, WE LEAD THE WAY IN IMPROVING THE ORAL HEALTH OF INDIVIDUALS THROUGH INNOVATIVE, QUALITY DENTAL PROGRAMS. programs.Description
Total Program Service Expense282702576TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotefalseReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationtrueBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109665414NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees0NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledMAStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJAMES COLLINSNamePerson
Telephone Number6178861000TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
TERRY CONNER
DIRECTOR4.5X140007000
THOMAS GALLIGAN
DIRECTOR4.5X190009000
RAUL GARCIA
DIRECTOR4.5X310000817
MARION KANE
DIRECTOR4.5X370000285
KAREN KAPLAN
DIRECTOR4.5X260000817
DONALD KENNEY
DIRECTOR4.5X470000817
DONALD LECLAIR
DIRECTOR4.5X270009000817
ANNE PAGE PALMER
DIRECTOR4.5X22500817
PAMELA DA REEVE
DIRECTOR4.5X290007000
JAY SARLES
CHAIRMAN/DIRECTOR10.0X72000817X
LESLIE ZIDE
DIRECTOR4.5X260000285
EDWARD A HJERPE III
DIRECTOR4.5X2850080000
JOHN GUSHA
DIRECTOR4.5X29000817
LINDA NIESSEN
DIRECTOR4.5X3875000
WALTER OWENS
DIRECTOR4.5X29000817
FAY DONOHUE
PRESIDENT38.0X1124479382478X
JAMES COLLINS
TREASURER38.0425387154414X
MYRA GREEN
CLERK38.0501387226095X
DENNIS LEONARD
SENIOR VP - DENTAQUEST38.0498114161912X
STEVE POLLOCK
COO - DENTAQUEST38.0793786188143X
SHERYL TRAYLOR
SR. VP OF HR - DENTAQUEST38.0353806121122X
KEN ERDELT
SR. VP OPERATIONS- DENTAQUEST38.0350288131601X
ROBERT LYNN
SENIOR VP - DENTAQUEST38.0438492161330X
ANGELA KISH
SR VP OF OPERATIONS - DQ38.0273413100893X
KEVIN KLEIN
SENIOR VP - DENTAQUEST38.0305999119751X
MEG WING
FORMER CLERK38.014240643890X
ROBERT COMPTON
FORMER COMPLIANCE OFFICER38.029537786038X
MICHAEL MONOPOLI
FRMR DIR DENTAL PUBLIC HEALTH38.026581170904X
FieldValueIRS element (for citing)
Total Reportable Comp From Org475750TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5808745TotalReportableCompFrmRltdOrgs
Total Other Compensation1955677TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
BLACKROCK
MELLON INVESTOR SERVICES PO BOX 3SOUTH HACKENSACKNJ07606INVESTMENT MGMT135552
ERNST YOUNG US LLP
200 CLARENDON STREETBOSTONMA02116ATTESTATION219624
PRIME BUCHHOLZ
PEASE INTERNATIONAL TRADEPORTPORTSMOUTHNH03801INVESTMENT ADVISOR201090
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
REVENUE FROM DENTAL SERVICE PLAN900099283405145283405145
ASO ADMINISTRATIVE SERVICE9000994852891848528918
FieldValueIRS element (for citing)
Total Program Service Revenue331934063TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7256154TotalRevenueColumn
Exclusion$7,256,154ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities198295185Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities189135380Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities9159805Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column9159805TotalRevenueColumn
Exclusion$9,159,805ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column348350022TotalRevenueColumn
Related Or Exempt Function Income331934063RelatedOrExemptFunctionIncome
Exclusion$16,415,959ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total26812000Total
Program Services26812000ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total216765437Total
Program Services216765437ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total475750Total
Program Services475750ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total0Total

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total0Total

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total0Total

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total0Total

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total49509063Total
Program Services17700895ProgramServices
Management And General31808168ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total219624Total
Management And General219624ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total756000Total
Management And General756000ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total487000Total
Program Services194800ProgramServices
Management And General292200ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total4480Total
Program Services1792ProgramServices
Management And General2688ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total3054Total
Program Services1222ProgramServices
Management And General1832ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total0Total

Travel Travel

FieldValueIRS element (for citing)
Total35511Total
Program Services14204ProgramServices
Management And General21307ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total104566Total
Program Services41826ProgramServices
Management And General62740ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total3358091Total
Program Services1343236ProgramServices
Management And General2014855ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total0Total

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Commissions1197156111971561
Subscriptions and Dues452971181188271783
PURCHASED SERVICES1007832558316524246673
OTHER337513313670132008120

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total324408566Total
Program Services282702576ProgramServices
Management And General41705990ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY34684274BOY
EOY-15824339EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13965721BOY
EOY14299462EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY8750000BOY
EOY8750000EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1441827BOY
EOY-12536047EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis57093135LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec9970354LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY33147110BOY
EOY47122781EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY222019738BOY
EOY262748580EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY87233862BOY
EOY120508965EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY401242532BOY
EOY425069402EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY8895469BOY
EOY8165021EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY100814923BOY
EOY104831366EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY109710392BOY
EOY112996387EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY291532140BOY
EOY312073015EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY291532140BOY
EOY312073015EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY401242532BOY
EOY425069402EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses23941456ReconcilationRevenueExpenses
Reconcilation Other Changes-3400581ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
Current Year Minus3 YearsCurrentYearMinus3Years
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9054OtherCostOrOtherBasis
Depreciation4419Depreciation
Book Value4635BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis57084081OtherCostOrOtherBasis
Depreciation9965935Depreciation
Book Value47118146BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings47122781TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
INVESTMENT IN SUBSIDIARY30702638
COST REIMBURSEMENT89806327
FieldValueIRS element (for citing)
Total Book Value Other Assets120508965TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
UNPAID CLAIMS$46,402,245
GROUP EXPERIENCE REFUNDS$6,293,897
UNEARNED PREMIUM$5,740,578
ADVANCE DEPOSITS$42,697,073
PAYABLE FOR OPEN TRADE$3,697,573
FieldValueIRS element (for citing)
Total Of Amounts104831366TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierFIN 48/ASC 740Identifier
ExplanationTHERE IS NO FIN48/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.Explanation

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
DENTAQUEST FOUNDATION
465 MEDFORD STREETBOSTONMA02129043265080501(C)(3)24000000UNRESTRICTED ORAL HEALTH IMPROVEMENT
DENTAQUEST INSTITUTE INC
2400 COMPUTER DRIVEWESTBOROUGHMA01581205312990501(C)(3)2812000UNRESTRICTED ORAL HEALTH IMPROVEMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierForm 990, Schedule IIdentifier
Return ReferenceDescription of Organization's Procedures for Monitoring the Use of GrantsReturnReference
ExplanationDSM PROVIDES GRANTS ONLY TO RELATED ORGANIZATIONS WHO ARE EXEMPT FROM TAX UNDER INTERNAL REVENUE CODE SECTION 501(C)(3).Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Form990 Of Other OrganizationsXForm990OfOtherOrganizations
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgtrueCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgstrueCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgstrueCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)

Comp Based On Related OrgsCompBasedOnRelatedOrgsBonus Related OrgsBonusRelatedOrgsOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FAY DONOHUE
52824539373420250037560168771506957403534
JAMES COLLINS
2698701075004801713693617478579801114618
MYRA GREEN
28748721390021412511970727482223700
MEG WING
101545295931126842757113318629635032
DENNIS LEONARD
2900721308007724214440017512660026140600
STEVE POLLOCK
258117856004500691705601758398192995400
SHERYL TRAYLOR
227260103700228461144506672474928113500
KEN ERDELT
229126983162284611421017391481889108116
ROBERT LYNN
2940601176012683114380017530599822127401
ANGELA KISH
2007667037322748354017353374306
ROBERT COMPTON
22230171560151678845719338141581360
KEVIN KLEIN
21311771400214821023901736142575081200
MICHAEL MONOPOLI
22528740524642356669336715

Form990 Schedule J Part III Form990ScheduleJPartIII

FieldValueIRS element (for citing)
IdentifierNON-QUALIFIED SUPPLEMENTAL RETIREMENT PLANIdentifier
Return ReferenceSCHEDULE J, PART I, QUESTION 4BReturnReference
ExplanationTHE ELIGIBLE LISTED EMPLOYEES OVER $250,000 AS OF 12/31/2011 PARTICIPATE IN A 457(B) SUPPLEMENTAL RETIREMENT PLAN. OF THOSE ELIGIBLE EMPLOYEES, NO ONE RECEIVED ANY PAYMENTS IN 2011. THE FOLLOWING DSM AND DENTAQUEST EMPLOYEES PARTICIPATE IN THE DENTAQUEST LONG TERM INCENTIVE COMPENSATION PLAN AND RECEIVED THE PAYMENTS LISTED BELOW DURING 2011. FAY DONOHUE: $ 202,500 JAMES COLLINS: $ 48,017 MEG WING: $ 11,268 DENNIS LEONARD: $ 77,242 STEVE POLLOCK: $ 77,242 SHERYL TRAYLOR: $ 22,846 KEN ERDELT: $ 22,846 ROBERT LYNN: $ 26,831 STEVE LAURENT: $ 27,651 KEVIN KLEIN: $ 21,482 ROBERT COMPTON: $ 1,516 COMPENSATION CONTINGENT ON REVENUE SCHEDULE J, PART I, QUESTION 5 DSM 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 2010, BUT PAID IN 2011. OTHER REPORTABLE COMPENSATION SCHEDULE J, PART II, COLUMN B(III) COLUMN B(III) OTHER REPORTABLE COMPENSATION REPRESENTS STOCK OPTIONS PAID DURING 2011 AND AS MOVING EXPENSES PAID DURING 2011 FOR STEVE POLLOCK. DEFERRED COMPENSATION SCHEDULE J, PART II, COLUMN C COLUMN C ON SCHEDULE J PART II INCLUDES BONUSES AND PENSION AMOUNTS EARNED DURING 2011 BUT PAID IN 2012.Explanation

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOHN GUSHA
DIRECTOR517689DENTIST CLAIMSfalse
DONALD LECLAIR
DIRECTOR201971DENTIST CLAIMSfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation

FieldValueIRS element (for citing)
IdentifierBUSINESS RELATIONSHIPSIdentifier
Return ReferencePART VI, QUESTION 2ReturnReference
ExplanationFAY DONOHUE, JIM COLLINS, MYRA GREEN AND MEG 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 GENERAL 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 FOR REVIEW. THE FULL BOARD AND OFFICERS REVIEW 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 PROPOSED TRANSACTION OR ARRANGEMENT. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE IF DENTAL SERVICE OF MASSACHUSETTS CAN OBTAIN, WITH REASONABLE EFFORTS, A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT FROM A PERSON OR ENTITY THAT WOULD NOT GIVE RISE TO A CONFLICT OF INTEREST. IF A MORE ADVANTAGEOUS TRANSACTION OR ARRANGEMENT IS NOT REASONABLY POSSIBLE UNDER CIRCUMSTANCES NOT PRODUCING A CONFLICT OF INTEREST, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE BY A MAJORITY VOTE OF THE DISINTERESTED DIRECTORS WHETHER THE TRANSACTION OR ARRANGEMENT IS IN THE ORGANIZATION'S BEST INTEREST, FOR ITS OWN BENEFIT AND WHETHER IT IS FAIR AND REASONABLE. IN CONFORMITY WITH THE ABOVE DETERMINATION, THE GOVERNING BOARD OR COMMITTEE SHALL MAKE ITS DECISION AS TO WHETHER TO ENTER INTO THE TRANSACTION OR ARRANGEMENT. RESTRICTIONS PLACED ON CONFLICTED PERSONS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS, AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. COMPENSATION POLICY 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 DO NOT PUBLISH ANY GOVERNING POLICIES OR DOCUMENTS FOR PUBLIC CONSUMPTION. WE DO 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. PART VII, SECTION A, COLUMN (B) HOURS DEVOTED TO RELATED ORGANIZATIONS DENTAQUEST FOUNDATION, INC. -MICHAEL MONOPOLI 40.00 HR/WK -FAY DONOHUE 5.00 HR/WK -DONALD KENNEY 1.00 HR/WK -LINDA NIESSEN, DMD 1.00 HR/WK -MARION KANE 1.00 HR/WK -MYRA GREEN 1.00 HR/WK DENTAQUEST INSTITUTE, INC. -FAY DONOHUE 5.00 HR/WK -MARION KANE 1.00 HR/WK -ANNE PAGE PALMER 1.00 HR/WK -MYRA GREEN 5.00 HR/WK OTHER CHANGES IN NET ASSETS PART XI, LINE 5 EQUITY INCOME IN SUBSIDIARIES $ 901,300 UNREALIZED LOSS ON INVESTMENTS ($ 5,348,908) CHANGE IN INTEREST RATE SWAP $ 1,046,757 ROUNDING/OTHER $ 270 TOTAL CHANGES IN NET ASSETS ($ 3,400,581)Explanation

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
DENTAQUEST FOUNDATION
465 MEDFORD STREETBOSTONMA02129043265080ORAL HTH IMPRMA501(C)(3)N/ADSMtrue
DENTAQUEST INSTITUTE INC
2400 COMPUTER DRIVEWESTBOROUGHMA01581205312990ORAL HTH IMPRMA501(C)(3)N/ADSMtrue

Form990 Schedule R Part IV Form990ScheduleRPartIV (24 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
DENTAQUEST GROUP INC
465 MEDFORD STREETBOSTONMA02129204056199DENTAL SERVICEDEDSMC CORP12270822320990001.00000
DSM INVESTMENT INC
465 MEDFORD STREETBOSTONMA02129043428012DENTAL SERVICEMADSMC CORP-32578218327821.00000
DENTAQUEST LLC
465 MEDFORD STREETBOSTONMA02129200390099DENTAL SERVICEDEDQ MA BUS TRUSTLLC29581811837734321.00000
DENTAQUEST MID-ATLANTIC INC
465 MEDFORD STREETBOSTONMA02129522006071INSURANCEMDDQ MANAGEMENTC CORP121704888030551.00000
DENTAQUEST VIRGINIA INC
465 MEDFORD STREETBOSTONMA02129522016912INSURANCEVADQ MANAGEMENTC CORP-10823229569331.00000
DENTAQUEST MANAGEMENT INC
465 MEDFORD STREETBOSTONMA02129521908785DENTAL SERVICEMDDQ GROUPC CORP2062028299957711.00000
DSM INSURANCE SERVICES INC
465 MEDFORD STREETBOSTONMA02129043172335INSURANCEMADSM INVESTMENTSC CORP-409371550021.00000
DENTAQUEST ORAL HEALTH CENTER INC
465 MEDFORD STREETBOSTONMA02129043434787ORAL HEALTH IMPRVMADSM INVESTMENTSC CORP-28484516777801.00000
DQ MASSACHUSETTS BUSINESS TRUST
465 MEDFORD STREETBOSTONMA02129204056067DENTAL SERVICEMADQ MANAGEMENTTRUST953212146438231.00000
DENTAQUEST OF KENTUCKY LLC
465 MEDFORD STREETBOSTONMA02129141885490DENTAL SERVICEWIDENTAQUEST LLCLLC14244490711.00000
DENTAQUEST OF ILLINOIS LLC
465 MEDFORD STREETBOSTONMA02129421529687DENTAL SERVICEWIDENTAQUEST LLCLLC11387663624971.00000
DENTAQUEST OF MARYLAND LLC
465 MEDFORD STREETBOSTONMA02129810567214DENTAL SERVICEWIDENTAQUEST LLCLLC-89832813464621.00000
DENTAQUEST ADMINISTRATIVE SERVICES LLC
465 MEDFORD STREETBOSTONMA02129392041298DENTAL SERVICECADENTAQUEST LLCLLC559713678181.00000
DENTAQUEST OF GEORGIA LLC
465 MEDFORD STREETBOSTONMA02129141885493DENTAL SERVICEWIDENTAQUEST LLCLLC-38846322006731.00000
DENTAQUEST OF ARIZONA LLC
465 MEDFORD STREETBOSTONMA02129113692025DENTAL SERVICEWIDENTAQUEST LLCLLC-260681414111.00000
DENTAQUEST OF TENNESSEE LLC
465 MEDFORD STREETBOSTONMA02129352177954DENTAL SERVICEWIDENTAQUEST LLCLLC-6770082094911.00000
DENTAQUEST SOLUTIONS LLC
465 MEDFORD STREETBOSTONMA02129392040881DENTAL SERVICEWIDENTAQUEST LLCLLC-69514969151.00000
DENTAQUEST IPA OF NEW YORK LLC
465 MEDFORD STREETBOSTONMA02129810616910DENTAL SERVICEWIDENTAQUEST LLCLLC14557448459361.00000
DENTAQUEST USA INSURANCE COMPANY INC
465 MEDFORD STREETBOSTONMA02129202970185INSURANCETXDENTAQUEST LLCC CORP251420198582991.00000
DENTAQUEST OF NEW JERSEY LLC
465 MEDFORD STREETBOSTONMA02129562356433DENTAL SERVICEWIDENTAQUEST LLCLLC5044913408941.00000
DENTAQUEST OF NEW YORK LLC
465 MEDFORD STREETBOSTONMA02129141885500DENTAL SERVICEWIDENTAQUEST LLCLLC1847699240943891.00000
DENTAQUEST OF MINNESOTA LLC
465 MEDFORD STREETBOSTONMA02129562356445DENTAL SERVICEWIDENTAQUEST LLCLLC31166634455051.00000
DENTAQUEST OF NEW MEXICO LLC
465 MEDFORD STREETBOSTONMA02129141885481DENTAL SERVICEWIDENTAQUEST LLCLLC-11943721116631.00000
DENTAQUEST OF FLORIDA INC
465 MEDFORD STREETBOSTONMA02129650743731INSURANCEFLDENTAQUEST LLCC CORP37816096397951.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgtruePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (7 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
DENTAQUEST INSTITUTE INC
B2812000FMV
DENTAQUEST FOUNDATION INC
B24000000FMV
DENTAQUEST GROUP INC & SUBSIDIARIES
G17349820FMV
DENTAQUEST INSTITUTE INC
P170549FMV
DENTAQUEST FOUNDATION INC
N244876FMV
DENTAQUEST INSTITUTE INC
N228680FMV
DENTAQUEST GROUP INC & SUBSIDIARIES
O60091403FMV