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OF EXPER. RATINGS REFUND 7171350 UNEARNED PREMIUM 6787410 GROUP DEPOSITS 42518882 PAYABLE FOR OPEN TRADE 3449165 100814923 false DENTAQUEST FOUNDATION 465 MEDFORD STREET BOSTON MA 02129 043265080 501(C)(3) 7983000 UNRESTRICTED ORAL HEALTH IMPROVEMENT DENTAQUEST INSTITUTE INC 2400 COMPUTER DRIVE WESTBOROUGH MA 01581 205312990 501(C)(3) 2702000 UNRESTRICTED ORAL HEALTH IMPROVEMENT 2 0 X true true X X X X X true true false true true true true true false FAY DONOHUE 542480 0 129158 0 0 0 405400 0 6271 0 1083309 0 138958 0 JIM COLLINS 200558 0 0 0 0 0 88269 0 11427 0 300254 0 0 0 MYRA GREEN 153490 0 12493 0 0 0 123002 0 5782 0 294767 0 23030 0 DENNIS LEONARD 260700 0 68000 0 0 0 150400 0 15348 0 494448 0 68000 0 STEVE POLLOCK 0 254091 0 44175 0 0 0 105200 0 15417 0 418883 0 44175 SHERYL TRAYLOR 0 215240 0 37075 0 0 0 133100 0 5977 0 391392 0 46875 KEN ERDELT 0 217226 0 37345 0 0 0 122677 0 15240 0 392488 0 42422 ROBERT LYNN 0 264204 0 33265 0 0 0 84718 0 15423 0 397610 0 33265 STEVE LAURENT 0 210438 0 39395 0 0 0 119200 0 15255 0 384288 0 49195 ROBERT COMPTON 0 226893 0 35056 0 0 0 100960 0 5969 0 368878 0 44856 PATRICIA MA 193567 0 0 0 0 0 0 0 3989 0 197556 0 0 0 SEVERANCE PAYMENT SCHEDULE J PART 1 QUESTION 4A PATRICIA 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 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 2009, BUT PAID IN 2010. OTHER REPORTABLE COMPENSATION SCHEDULE 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 COMPENSATION SCHEDULE J PART II COLUMN C COLUMN C ON SCHEDULE J PART II INCLUDES BONUSES EARNED DURING 2010, BUT PAID IN 2011. JOHN GUSHA DIRECTOR 426463 DENTIST CLAIMS false DONALD LECLAIR DIRECTOR 174701 DENTIST CLAIMS false 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 & 7A THE MEMBERS OF THE ORGANIZATION ELECT THE DIRECTORS AT THE ANNUAL MEETING OF THE ORGANIZATION. 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 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 POLICY PART VI QUESTION 12C THE 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 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 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 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. OTHER CHANGES IN NET ASSETS PART XI, LINE 5 UNREALIZED INVESTMENT GAIN(LOSS) IN SUBSIDIARIES $10,373,547 DENTAQUEST FOUNDATION 465 MEDFORD STREET BOSTON MA 02129 043265080 ORAL HTH IMPR MA 501(C)(3) N/A NA DENTAQUEST INSTITUTE INC 2400 COMPUTER DRIVE WESTBOROUGH MA 01581 205312990 ORAL HTH IMPR MA 501(C)(3) 11A NA DENTAQUEST GROUP INC AND SUBSIDIARIES 465 MEDFORD STREET BOSTON MA 02129 204056199 DENTAL SERVICE MA NA C CORP 3956087 204159000 1.00000 DSM INVESTMENT INC AND SUBSIDIARIES 465 MEDFORD STREET BOSTON MA 02129 043428012 DENTAL SERVICE MA NA C CORP -704254 1338000 1.00000 false true false false false false true false false false false false true true true true false false DENTAQUEST INSTITUTE B 2702000 DENTAQUEST FOUNDATION B 7983000 DENTAQUEST GROUP INC & SUBSIDIARIES G 10323751 DENTAQUEST FOUNDATION M 47190 DENTAQUEST FOUNDATION N 222499 DENTAQUEST INSTITUTE N 210043 DENTAQUEST GROUP INC & SUBSIDIARIES O 59287535 DENTAQUEST INSTITUTE P 59811