Totals
- Total revenue
- $45,506
- Total expenses
- $0
- Contributions and grants received
- $0
- Grants paid
- $0
- Program service revenue
- $0
- Investment income
- $0
- Other revenue
- $45,506
- Total assets, end of year
- $1,773,375
- Total liabilities, end of year
- $23,983
- Net assets or fund balances, end of year
- $1,749,392
- Program services expenses (Part IX)
- $0
- Management and general expenses
- $0
- Fundraising expenses
- $0
- Program service expenses (Part III)
- $0
Listed in Part VII
-
Denise Marks
Treasurer
- Total calculated
- $653,093
- From this org
- $0
- From related orgs
- $591,059
- Other
- $62,034
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $430,607 related
- Bonus
- $0 + $160,452 related
- Other
- $0
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $48,834 related
- Filer's total
- $0 + $653,093 related
-
Myechia Minter-Jordan MD MBA
President/Director
- Total calculated
- $1,279,007
- From this org
- $0
- From related orgs
- $1,216,924
- Other
- $62,083
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $653,724 related
- Bonus
- $0 + $563,200 related
- Other
- $0
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $48,883 related
- Filer's total
- $0 + $1,279,007 related
-
Grandy Cody
Director
- Total calculated
- $291,149
- From this org
- $0
- From related orgs
- $254,288
- Other
- $36,861
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $195,426 related
- Bonus
- $0 + $58,862 related
- Other
- $0
- Deferred
- $0 + $8,635 related
- Nontaxable benefits
- $0 + $28,226 related
- Filer's total
- $0 + $291,149 related
-
Gregory P Winn
Asst. Treasurer
- Total calculated
- $422,926
- From this org
- $0
- From related orgs
- $362,395
- Other
- $60,531
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $270,714 related
- Bonus
- $0 + $91,681 related
- Other
- $0
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $47,331 related
- Filer's total
- $0 + $422,926 related
-
Patricia Ma
Clerk
- Total calculated
- $505,310
- From this org
- $0
- From related orgs
- $488,717
- Other
- $16,593
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $358,095 related
- Bonus
- $0 + $130,622 related
- Other
- $0
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $3,393 related
- Filer's total
- $0 + $505,310 related
-
ERIK MONTLACK
President - Delta Dental of Massachusetts [3/7/2023-12/31/2023]
- Total calculated
- $795,701
- From this org
- $0
- From related orgs
- $732,115
- Other
- $63,586
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $618,262 related
- Bonus
- $0 + $113,853 related
- Other
- $0
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $50,386 related
- Filer's total
- $0 + $795,701 related
-
Kasra Rafia
Chief Dental Officer, EVP - CareQuest
- Total calculated
- $432,089
- From this org
- $0
- From related orgs
- $383,747
- Other
- $48,342
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $334,566 related
- Bonus
- $0 + $49,181 related
- Other
- $0
- Deferred
- $0 + $13,200 related
- Nontaxable benefits
- $0 + $35,142 related
- Filer's total
- $0 + $432,089 related
-
LINDA VIDONE
VP - Delta Dental of Massachusetts - Clinical Management
- Total calculated
- $408,979
- From this org
- $0
- From related orgs
- $378,275
- Other
- $30,704
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $282,033 related
- Bonus
- $0 + $96,242 related
- Other
- $0
- Deferred
- $0 + $11,630 related
- Nontaxable benefits
- $0 + $19,074 related
- Filer's total
- $0 + $408,979 related
-
Mariya Filipova
Chief Innovation Officer, EVP - CQ Innovation Partners
- Total calculated
- $538,608
- From this org
- $0
- From related orgs
- $515,131
- Other
- $23,477
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $371,069 related
- Bonus
- $0 + $144,062 related
- Other
- $0
- Deferred
- $0 + $9,684 related
- Nontaxable benefits
- $0 + $13,793 related
- Filer's total
- $0 + $538,608 related
-
Michelle Jones-Johnson
Chief Human Resource Officer, EVP
- Total calculated
- $528,718
- From this org
- $0
- From related orgs
- $493,509
- Other
- $35,209
- Hours/week
- 0.5 + 39.5 related
Schedule J breakdown matched by us
- Base
- $0 + $403,202 related
- Bonus
- $0 + $90,307 related
- Other
- $0
- Deferred
- $0 + $13,135 related
- Nontaxable benefits
- $0 + $22,074 related
- Filer's total
- $0 + $528,718 related
Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.
Schedule J
Answered yes
None.
Answered no
- 4a · Severance or change-of-control payment
- 4b · Supplemental nonqualified retirement plan
- 4c · Equity-based compensation arrangement
- 5a · Pay contingent on this organization's revenues
- 5b · Pay contingent on a related organization's revenues
- 6a · Pay contingent on this organization's net earnings
- 6b · Pay contingent on a related organization's net earnings
- 7 · Other non-fixed payments
- 8 · Paid under the initial-contract exception
The filer's explanations (Part III)
- Schedule J, Part II SCHEDULE J, PART II
- COMPENSATION PAID BY RELATED ORGANIZATION: SCHEDULE J, PART II INCLUDES INDIVIDUALS THAT ARE PAID BY CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. AND DENTAL SERVICE OF MASSACHUSETTS, INC., BOTH RELATED ORGANIZATIONS, BUT PERFORMED SERVICES FOR DENTAQUEST CARE GROUP, INC. AS REPORTED IN PART VI, SECTION A, COLUMN (B), NONE OF THESE INDIVIDUALS DEVOTES MORE THAN 0.5 HOURS PER WEEK TO DENTAQUEST CARE GROUP, INC. ADDITIONALLY, ALL THE BONUS COMPENSATION REPORTED IN PART II IS PAID BY EACH OF THE RESPECTIVE ORGANIZATIONS MENTIONED IN THE ABOVE.
- Schedule J, Part II, Column (B)(ii) BONUS PAYMENTS
- COLUMN B(II) ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2022, BUT PAID IN 2023.
- Schedule J, Part II, Column (C) DEFERRED COMPENSATION
- COLUMN C ON SCHEDULE J PART II INCLUDES 401K MATCH DOLLAR AMOUNTS AS PAID BY CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. AND DENTAL SERVICE OF MASSACHUSETTS, INC. (DSM) D/B/A DELTA DENTAL OF MASSACHUSETTS, BOTH RELATED ORGANIZATIONS
Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.
Grants on this return
No itemized grants to organizations on this return.
Related organizations on this return
Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.
-
CAREQUEST INST FOR ORAL HLTH INC
501(c)(4) · ORAL HTH IMPR · MA
Directly controlled by NA
-
DENTAL HEALTH PROGRAMS INC DBA COMMU
501(c)(3) · ORAL HTH IMPR · TX · controlled entity
Directly controlled by DQ CAREGROUP
-
COMMUNITY CARE OF KENTUCKY INC
501(c)(3) · ORAL HTH IMPR · KY · controlled entity
Directly controlled by DQ CAREGROUP
-
DENTAL SERVICE OF MASSACHUSETTS INC
501(c)(4) · ORAL HTH IMPR · MA
Directly controlled by CAREQUEST
-
501(c)(3) · ORAL HTH IMPR · MA
Directly controlled by CAREQUEST
Taxable family on this return
Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.
Related corporations and trusts
Part IV: related organizations taxable as a corporation or trust.
-
C Corporation · Dental Service · MA · 100% owned · share of assets $186,616
Directly controlled by DSM
-
C Corporation · Insurance · MA · 100% owned · share of income -$153,045 · share of assets $2,353,321
Directly controlled by DSM Investments Inc
-
DSM Massachusetts Insurance Company Inc
C Corporation · Insurance · MA · 100% owned · share of income $2,282,179 · share of assets $17,702,088
Directly controlled by DSM Investments Inc
-
CareQuest Innovation Partners Inc
C Corporation · Oral Health Improvement · DE · 100% owned · share of income -$4,792,267 · share of assets $8,656,866
Directly controlled by CareQuest
Provenance
- Return type
- form_990
- Tax year
- 2023
- Filed
- 15 November 2024
- IRS schema version
- 2023v5.1
- Source object
- 202423209349320287
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