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DENTAL SERVICE OF MASSACHUSETTS INC: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DENTAL SERVICE OF MASSACHUSETTS INC (EIN 04-6143185)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-15
IRS object ID
201103199349302375
Schema version
2010v3.4
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)
Timestamp2011-11-15T09:09:36-05:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line160 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN046143185EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DENTAL SERVICE OF MASSACHUSETTS INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDENTNameControl
Phone6178861000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJIM COLLINSName
TitleTREASURERTitle
Date Signed2011-11-15DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6179881000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 PersonJAMES COLLINSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line1465 MEDFORD STREETAddressLine1
CityBOSTONCity
StateMAState
ZIP Code02129ZIPCode
FieldValueIRS element (for citing)
Gross Receipts337067509GrossReceipts
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 Body17NbrVotingMembersGoverningBody
Nbr Independent Voting Members14NbrIndependentVotingMembers
Total Nbr Employees3TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year345722143ProgramServiceRevenuePriorYear
Program Service Revenue CY325069121ProgramServiceRevenueCY
Investment Income Prior Year3528858InvestmentIncomePriorYear
Investment Income Current Year11998388InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year349251001TotalRevenuePriorYear
Total Revenue Current Year337067509TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year10363000GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY10685000GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year236483111BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY215403482BenefitsPaidToMembersCY
Salaries Etc Prior Year2059133SalariesEtcPriorYear
Salaries Etc Current Year2176889SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year74415375OtherExpensePriorYear
Other Expenses Current Year75565240OtherExpensesCurrentYear
Total Expenses Prior Year323320619TotalExpensesPriorYear
Total Expenses Current Year303830611TotalExpensesCurrentYear
Revenues Less Expenses Prior Year25930382RevenuesLessExpensesPriorYear
Revenues Less Expenses CY33236898RevenuesLessExpensesCY
Total Assets BOY349982649TotalAssetsBOY
Total Assets EOY401242532TotalAssetsEOY
Total Liabilities BOY102060954TotalLiabilitiesBOY
Total Liabilities EOY109710392TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY247921695NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY291532140NetAssetsOrFundBalancesEOY
Mission DescriptionTO IMPROVE ORAL HEALTH THROUGH DENTAL BENEFITS, CREATION AND TRANSFER OF KNOWLEDGE AND PHILANTHROPY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense258491468Expense
Revenue325069121Revenue
DescriptionPROGRAM BENEFITS FOR DENTAL INSURANCE SUPPLIED TO OUR MEMBER COVERED INDIVIDUALS.Description
Total Program Service Expense258491468TotalProgramServiceExpense
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 With109640120NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees3NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncomefalseUnrelatedBusinessIncome
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Form8899 FiledfalseForm8899Filed
Form1098 C FiledfalseForm1098CFiled
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members17NbrVotingGoverningBodyMembers
Number Independent Voting Members14NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiestrueDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
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 (30 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
BRUCE M BULLEN
DIRECTOR1.0X1750000
TERRY CONNER
DIRECTOR2.0X2400070000
CAROL FULP
DIRECTOR1.0X450000
THOMAS GALLIGAN
DIRECTOR2.0X26000135000
RAUL GARCIA
DIRECTOR2.0X287500817
DOUG HARDING
DIRECTOR1.0X700020000
MARION KANE
DIRECTOR2.0X340000285
KAREN KAPLAN
DIRECTOR3.0X475000817
DONALD KENNEY
DIRECTOR3.0X500000817
DONALD LECLAIR
DIRECTOR2.0X200009000817
ANNE PAGE PALMER
DIRECTOR3.0X420000817
PAMELA DA REEVE
DIRECTOR1.0X1450000
JAY SARLES
DIRECTOR3.0X720000817
LESLIE ZIDE
DIRECTOR1.0X295000285
EDWARD A HJERPE III
DIRECTOR2.0X3050090000
JOHN GUSHA
DIRECTOR2.0X290000817
LINDA NIESSEN
DIRECTOR2.0X3650000
WALTER OWENS
DIRECTOR2.0X290000285
FAY DONOHUE
PRESIDENT38.0X6716380411671X
JIM COLLINS
TREASURER38.0200558099696X
MYRA GREEN
CLERK38.01659830128784X
MEG WING
CLERK38.074193026618X
DENNIS LEONARD
SENIOR VP - DENTAQUEST38.03287000165748X
STEVE POLLOCK
SENIOR VP - DENTAQUEST38.00298266120617X
SHERYL TRAYLOR
SR. VP OF HR - DENTAQUEST38.00252315139077X
KEN ERDELT
SR. VP OPERATIONS- DENTAQUEST38.00254571137917X
ROBERT LYNN
VICE PRESIDENT - DENTAQUEST38.00297469100141X
STEVE LAURENT
VP IT - DENTAQUEST38.00249833134455X
ROBERT COMPTON
FORMER COMPLIANCE OFFICER38.00261949106929X
PATRICIA MA
FORMER SECRETARY38.019356703989X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2176889TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1654903TotalReportableCompFrmRltdOrgs
Total Other Compensation1582216TotalOtherCompensation
Number Individuals GT100 K5NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Description Of ServicesDescriptionOfServicesCompensationCompensation
BLACKROCK
INVESTMENT MGT.273547
ROPES GRAY
LEGAL SERVICES258549
PRICEWATERHOUSE COOPERS
ATTESTATION699998
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionREVENUE FROM DENTAL SERVICE PLANDescription
Business Code900099BusinessCode
Total Revenue Column325069121TotalRevenueColumn
Related Or Exempt Function Income325069121RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue325069121TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6964378TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$6,964,378ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5034010Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5034010Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5034010TotalRevenueColumn
Exclusion$5,034,010ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming

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 Column337067509TotalRevenueColumn
Related Or Exempt Function Income325069121RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$11,998,388ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total10685000Total
Program Services10685000ProgramServices

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)
Total215403482Total
Program Services215403482ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1983322Total
Program Services1983322ProgramServices

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total193567Total
Program Services193567ProgramServices

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)
Total49883978Total
Program Services19953591ProgramServices
Management And General29930387ManagementAndGeneral
Fundraising0Fundraising

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total219624Total
Program Services87850ProgramServices
Management And General131774ManagementAndGeneral

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)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total7767124Total
Program Services3106850ProgramServices
Management And General4660274ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2113Total
Program Services845ProgramServices
Management And General1268ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total0Total

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total183744Total
Program Services73498ProgramServices
Management And General110246ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total22183Total
Program Services8873ProgramServices
Management And General13310ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total51222Total
Program Services20489ProgramServices
Management And General30733ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total2326476Total
Program Services930590ProgramServices
Management And General1395886ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8760Total
Program Services3504ProgramServices
Management And General5256ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
COMMISSIONS1193870447754827163222
SUBSCRIPTIONS AND DUES475787190315285472
OTHER268552510742101611315

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total303830611Total
Program Services258491468ProgramServices
Management And General45339143ManagementAndGeneral
Fundraising0Fundraising

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY-8310002BOY
EOY34684274EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY13910339BOY
EOY13965721EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY8750000EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1676772BOY
EOY1441827EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis39743315LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec6596205LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY25165893BOY
EOY33147110EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY229950140BOY
EOY222019738EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY87589507BOY
EOY87233862EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY349982649BOY
EOY401242532EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY6079858BOY
EOY8895469EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY95981096BOY
EOY100814923EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY102060954BOY
EOY109710392EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY247921695BOY
EOY291532140EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY247921695BOY
EOY291532140EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY349982649BOY
EOY401242532EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses33236898ReconcilationRevenueExpenses
Reconcilation Other Changes10373547ReconcilationOtherChanges
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
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis9054OtherCostOrOtherBasis
Depreciation3126Depreciation
Book Value5928BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis39734261OtherCostOrOtherBasis
Depreciation6593079Depreciation
Book Value33141182BookValue
FieldValueIRS element (for citing)
Other Land BuildingsOtherLandBuildings
Total Of Book Value Land Buildings33147110TotalOfBookValueLandBuildings

Other Assets OtherAssets

FieldValueIRS element (for citing)
DescriptionCOST REIMBURSEMENTSDescription
Book Value87233862BookValue
FieldValueIRS element (for citing)
Total Book Value Other Assets87233862TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
CLAIMS PAYABLE: MEMBER PLANS$40,888,116
PROV. OF EXPER. RATINGS REFUND$7,171,350
UNEARNED PREMIUM$6,787,410
GROUP DEPOSITS$42,518,882
PAYABLE FOR OPEN TRADE$3,449,165
FieldValueIRS element (for citing)
Total Of Amounts100814923TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

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)7983000UNRESTRICTED ORAL HEALTH IMPROVEMENT
DENTAQUEST INSTITUTE INC
2400 COMPUTER DRIVEWESTBOROUGHMA01581205312990501(C)(3)2702000UNRESTRICTED ORAL HEALTH IMPROVEMENT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants2TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

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 PaymenttrueSeverancePayment
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 (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
FAY DONOHUE
5424800129158000405400062710108330901389580
JIM COLLINS
20055800000882690114270300254000
MYRA GREEN
1534900124930001230020578202947670230300
DENNIS LEONARD
26070006800000015040001534804944480680000
STEVE POLLOCK
02540910441750001052000154170418883044175
SHERYL TRAYLOR
0215240037075000133100059770391392046875
KEN ERDELT
02172260373450001226770152400392488042422
ROBERT LYNN
0264204033265000847180154230397610033265
STEVE LAURENT
02104380393950001192000152550384288049195
ROBERT COMPTON
0226893035056000100960059690368878044856
PATRICIA MA
193567000000039890197556000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SEVERANCE PAYMENTSCHEDULE J PART 1 QUESTION 4APATRICIA MA RECEIVED A SEVERANCE PAYMENT OF $193,567 WHICH IS INCLUDED IN SCHEDULE J, PART II. NON-QUALIFIED SUPPLEMENTAL RETIREMENT PLAN SCHEDULE J PART 1 QUESTION 4B THE ELIGIBLE LISTED EMPLOYEES OVER $250,000 AS OF 12/31/2010 PARTICIPATE IN A 457(B) SUPPLEMENTAL RETIREMENT PLAN. OF THOSE ELIGIBLE EMPLOYEES, NO ONE RECEIVED ANY PAYMENTS IN 2010.
COMPENSATION CONTINGENT ON REVENUESCHEDULE J PART I QUESTION 5DSM 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 EARNINGSSCHEDULE J PART I QUESTION 6 & 7NON-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 PAYMENTSSCHEDULE J PART II COLUMN BCOLUMN B ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2009, BUT PAID IN 2010.
OTHER REPORTABLE COMPENSATIONSCHEDULE J PART II COLUMN B(III)COLUMN B(III) OTHER REPORTABLE COMPENSATION REPRESENTS THE COMPANY'S SHARE OF THE COST OF GROUP LIFE INSURANCE OVER $50,000.
DEFERRED COMPENSATIONSCHEDULE J PART II COLUMN CCOLUMN C ON SCHEDULE J PART II INCLUDES BONUSES EARNED DURING 2010, BUT PAID IN 2011.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOHN GUSHA
DIRECTOR426463DENTIST CLAIMSfalse
DONALD LECLAIR
DIRECTOR174701DENTIST CLAIMSfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
DELEGATE CONTROL OVER MANAGEMENT DUTIESPART VI QUESTION 3THE COMPANY HIRES DENTAQUEST, LLC (A RELATED PARTY) TO PROVIDE MANAGEMENT SERVICES. MEMBERS OR STOCKHOLDERS PART VI QUESTION 6 & 7A THE MEMBERS OF THE ORGANIZATION ELECT THE DIRECTORS AT THE ANNUAL MEETING OF THE ORGANIZATION.
REVIEW PROCESSPART VI QUESTION 11BTHE 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 KPMG LLP) INITIALLY DISCUSS, PREPARE AND REVIEW THE RETURN WITH MANAGEMENT. 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 WHO WILL APPROVE THE TAX RETURN IN ADVANCE OF IT BEING FILED WITH THE IRS.
CONFLICT OF INTEREST POLICYPART VI QUESTION 12CTHE ORGANIZATION'S CONFLICT OF INTEREST POLICY AND PROCEDURE (THE "POLICY"), AS REVIEWED AND REVISED PERIODICALLY, REQUIRES OFFICERS, DIRECTORS AND KEY EMPLOYEES TO DISCLOSE INTERESTS THAT COULD GIVE RISE TO CONFLICTS. HISTORICALLY, THE POLICY HAS ALWAYS APPLIED TO OFFICERS AND DIRECTORS OF THE ORGANIZATION. THE POLICY HAS BEEN UPDATED TO INCLUDE KEY EMPLOYEES AS A RESULT OF THE REVISED DEFINITION OF "KEY EMPLOYEE" UNDER THE NEW FORM 990.
COMPENSATION POLICYPART VI QUESTION 15THE 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 PRESUMPTION OF REASONABLE COMPENSATION. COMPENSATION WAS REVIEWED AND APPROVED BY A COMPENSATION COMMITTEE ("THE COMMITTEE") OF THE BOARD, WHICH IS COMPRISED OF INDEPENDENT PERSONS. 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 DISCLOSUREPART VI QUESTION 19WE 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.
OTHER CHANGES IN NET ASSETSPART XI, LINE 5UNREALIZED INVESTMENT GAIN(LOSS) IN SUBSIDIARIES $10,373,547

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/BusinessNameLine1
DENTAQUEST FOUNDATION
465 MEDFORD STREETBOSTONMA02129043265080ORAL HTH IMPRMA501(C)(3)N/ANA
DENTAQUEST INSTITUTE INC
2400 COMPUTER DRIVEWESTBOROUGHMA01581205312990ORAL HTH IMPRMA501(C)(3)11ANA

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 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 AND SUBSIDIARIES
465 MEDFORD STREETBOSTONMA02129204056199DENTAL SERVICEMANAC CORP39560872041590001.00000
DSM INVESTMENT INC AND SUBSIDIARIES
465 MEDFORD STREETBOSTONMA02129043428012DENTAL SERVICEMANAC CORP-70425413380001.00000
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 FacilitiestrueSharingOfFacilities
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 (8 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
DENTAQUEST INSTITUTE
B2702000
DENTAQUEST FOUNDATION
B7983000
DENTAQUEST GROUP INC & SUBSIDIARIES
G10323751
DENTAQUEST FOUNDATION
M47190
DENTAQUEST FOUNDATION
N222499
DENTAQUEST INSTITUTE
N210043
DENTAQUEST GROUP INC & SUBSIDIARIES
O59287535
DENTAQUEST INSTITUTE
P59811