Form990


Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2021
Open to Public Inspection
A For the 2021 calendar year, or tax year beginning 01-01-2022 , and ending 12-31-2022
BCheck if applicable:
CName of organization
CareQuest Institute for Oral Health Inc
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
465 MEDFORD STREET 500
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
BOSTON, MA021291454
D Employer identification number

38-4016550
E Telephone number

G Gross receipts $ 1,207,322,337
F Name and address of principal officer:
DR MYECHIA MINTER-JORDAN
465 MEDFORD STREET 500
BOSTON,MA021291454
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
WWW.CAREQUEST.ORG
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. See instructions.
H(c)
Group exemption number MediumBullet  
K Form of organization:  
L Year of formation: 2016
M State of legal domicile: MA
Part I
Summary
Activities  & Governance 1 Briefly describe the organization’s mission or most significant activities: TO IMPROVE THE ORAL HEALTH OF ALL.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 9
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 9
5 Total number of individuals employed in calendar year 2021 (Part V, line 2a) ...... 5 141
6 Total number of volunteers (estimate if necessary) ............. 6 0
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, Part I, line 11 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) .........   0
9 Program service revenue (Part VIII, line 2g) ......... 0 2,139,346
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 52,496,525 1,198,570,816
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)   0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 52,496,525 1,200,710,162
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 13,789,388 13,956,419
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 12,002,780 16,015,273
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 13,168,049 14,774,719
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 38,960,217 44,746,411
19 Revenue less expenses. Subtract line 18 from line 12....... 13,536,308 1,155,963,751
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 933,932,322 2,093,713,542
21 Total liabilities (Part X, line 26)............. 7,142,024 6,319,808
22 Net assets or fund balances. Subtract line 21 from line 20..... 926,790,298 2,087,393,734
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2021)
Form 990 (2021)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: TO IMPROVE THE ORAL HEALTH OF ALL.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 30,682,949 including grants of $ 13,956,419 ) (Revenue $ 2,139,346 )
CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. [FORMERLY CATALYST INSTITUTE,INC.] IS A MASSACHUSETTS NOT-FOR-PROFIT WITH A MISSION TO IMPROVE THE ORAL HEALTH OF ALL AND A VISION TO ACHIEVE PERSON-CENTERED HEALTH BY TRANSFORMING THE SYSTEMS OF POLICY, FINANCE, CARE, AND COMMUNITY. CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. [FORMERLY CATALYST INSTITUTE,INC.] AND ITS SUBSIDIARIES' ACTIVITES INCLUDE, BUT ARE NOT LIMITED TO, SECURING DENTAL SERVICES FOR EMPLOYEE GROUPS, INDIVIDUALS AND THEIR FAMILIES; INCLUDING THE SAFETY NET POPULATIONS THROUGH MEDICARE, MEDICARE ADVANTAGE AND CHIP PROGRAMS; PROVIDING INNOVATIVE PRODUCTS AND SERVICES; FINANCE AND DEVELOP PROFESSIONAL AND SCIENTIFIC STUDY AND RESEARCH; AN EDUCATE THE PUBLIC CONCERNING THE IMPORTANCE OF ORAL HEALTH.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet30,682,949
Form 990 (2021)
Form 990 (2021)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors? See instructions. ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Rev. Proc. 98-19? If "Yes," complete Schedule C, Part III..
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D,
Part III..............
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X, as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D,
Part VI. ...................
11a
 
No
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment
List of Attached Documents:
// Content
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII
......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
List of Attached Documents:
// Content
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........Click to see attachment
List of Attached Documents:
// Content
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I. See instructions. ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
 
No
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....Click to see attachment
List of Attached Documents:
// Content
21
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5, about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
List of Attached Documents:
// Content
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see the Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
 
No
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
 
No
c
A 35% controlled entity of one or more individuals and/or organizations described in line 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............Click to see attachment
List of Attached Documents:
// Content
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................Click to see attachment
List of Attached Documents:
// Content
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...Click to see attachment
List of Attached Documents:
// Content
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations on Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in box 3 of Form 1096. Enter -0- if not applicable ..
1a
87
b
Enter the number of Forms W-2G included on line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2021)
Form 990 (2021)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
141
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file. See instructions.
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
 
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
 
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources. (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see the instructions and file Form 4720, Schedule N.
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
17
Section 501(c)(21) organizations. Did the trust, any disqualified person, or mine operator engage in any activities that would result in the imposition of an excise tax under section 4951, 4952, or 4953? ..
If "Yes," complete Form 6069.
17
 
 
Form 990 (2021)
Form 990 (2021)
Page 6
Part VI
Governance, Management, and Disclosure. For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
9
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
9
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
 
No
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
 
No
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
 
No
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe on Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe on Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process on Schedule O. See instructions.
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (1024 or 1024-A, if applicable), 990, and 990-T (section 501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletDENISE MARKS465 MEDFORD STREET   BOSTON,MA02129 (617) 886-1000
Form 990 (2021)
Form 990 (2021)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See the instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (box 5 of Form W-2, Form 1099-MISC, and/or box 1 of Form 1099-NEC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See the instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Andrew C Agwunobi MD
 
Director
1.8
.................
1.8
X           105,000 0 0
(2) Evelyn H Miller
 
Director
1.8
.................
1.8
X           105,822 41,665 0
(3) Jessica A Zeaske
 
DIRECTOR
1.8
.................
1.8
X           100,818 0 0
(4) Kathleen V Betts
 
DIRECTOR
1.8
.................
1.8
X           105,584 39,585 0
(5) Pamela DA Reeve
 
CHAIR /DIRECTOR
2.5
.................
2.5
X           150,000 62,500 0
(6) Robert J Weyant DMD
 
Director
1.8
.................
1.8
X           103,082 0 0
(7) Roderick K King MD
 
Director
1.8
.................
1.8
X           105,822 0 0
(8) Todd W Marshall DDS
 
Director
1.8
.................
1.8
X           101,658 0 0
(9) William C Mills III
 
Director
1.8
.................
1.8
X           100,580 0 0
(10) Denise Marks
 
Treasurer
35.0
.................
6.0
    X       586,199 0 58,934
(11) Gregory P Winn
 
Asst. Treasurer
35.0
.................
6.0
    X       459,689 0 57,555
(12) Myechia Minter-Jordan MD MBA
 
President
35.0
.................
6.0
    X       1,178,962 0 59,256
(13) Patricia Ma
 
Clerk
35.0
.................
6.0
    X       479,423 0 15,535
(14) Courtney Ransom
 
SVP- Chief Ethics & Compliance Officer-Dentaquest
4.5
.................
35.5
        X   0 1,852,708 20,405
(15) Dennis J Leonard
 
President & CEO- Delta Dental of MA
4.5
.................
35.5
        X   1,141,947 0 43,148
(16) ERIK MONTLACK
 
VP - Delta Dental of Massachusetts
4.5
.................
35.5
        X   0 845,450 54,738
(17) LINDA VIDONE
 
VP - Delta Dental of Massachusetts - Clinical Management
4.5
.................
35.5
        X   444,303 0 23,820
Form 990 (2021)
Form 990 (2021)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title
(B)
Average hours per week (list any hours for related organizations below dotted line)
(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee)
(D)
Reportable compensation from the organization (W-2/1099-MISC/1099-NEC)
(E)
Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)
(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) MICHAEL MONOPOLI
 
CareQuest - VP - Grants and Policy
35.0
.......................5.0
        X   447,330 0 28,213
(19) David Abelman
 
EVP- Chief Legal Officer - DentaQuest
0.0
.......................40.0
          X 0 7,726,583 19,038
(20) James P Hawkins
 
Former Clerk
0.0
.......................40.0
          X 0 650,138 29,100
(21) Jeffrey C Brown
 
Former Treasurer
0.0
.......................0.0
          X 0 310,285 0
(22) Steven J Pollock
 
President-Dentaquest
0.0
.......................40.0
          X 0 35,058,582 38,118
















1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 5,716,219 46,587,496 447,860
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet40
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual
...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address
(B)
Description of services
(C)
Compensation
ANALYTIC8 LLC

150 N MICHIGAN AVE
STE 1580
CHICAGO,IL60601
CONSULTING 795,100
RSM US LLP

80 CITY SQUARE
BOSTON,MA02129
CONSULTING 572,264
CAPM LLC

477 MADISON AVE
STE 210
NEW YORK,NY10022
CONSULTING 302,994
ERNST & YOUNG US LLP

PO BOX 640
PITTSBURG,PA15264
CONSULTING 124,084
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet13
Form 990 (2021)
Form 990 (2021)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, Grants, and OtherAmt Similar Amounts 1a Federated campaigns..1a 0
b Membership dues..1b 0
c Fundraising events..1c 0
d Related organizations1d 0
e Government grants (contributions)1e 0
f All other contributions, gifts, grants, and similar amounts not included above1f 0
g Noncash contributions included in lines 1a - 1f:$ 1g  
h Total. Add lines 1a-1f.......MediumBullet 0
 Program Service RevenueAmt Business Code
2a ASO ADMINISTRATIVE SERVICE 900099 2,139,346 2,139,346    
b
c
d
e
f All other program service revenue. 0 0 0 0
g Total. Add lines 2a–2f .....MediumBullet 2,139,346
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 21,495,785     21,495,785
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents     6a
b Less: rental expenses     6b
c Rental income or (loss) 0 0 6c
d Net rental income or (loss).......MediumBullet        
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   1,183,687,206 7a
b Less: cost or other basis and sales expenses   6,612,175 7b
c Gain or (loss) 0 1,177,075,031 7c
d Net gain or (loss).........MediumBullet 1,177,075,031     1,177,075,031
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
8a  
b Less: direct expenses ... 8b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a  
b Less: direct expenses ... 9b  
c Net income or (loss) from gaming activities..MediumBullet        
10a Gross sales of inventory, less
returns and allowances ..
10a  
b Less: cost of goods sold .. 10b  
c Net income or (loss) from sales of inventory..MediumBullet        
Business Code Miscellaneous Revenue
11a            
b            
c            
d All other revenue .... 0 0 0 0
e Total. Add lines 11a–11d ...... MediumBullet 0
12 Total revenue. See instructions.....MediumBullet 1,200,710,162 2,139,346 0 1,198,570,816
Form 990 (2021)
Form 990 (2021)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII.
(A)
Total expenses
(B)
Program service expenses
(C)
Management and general expenses
(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 13,956,419 13,956,419
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ...........    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 978,365 587,019 391,346  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........        
7 Other salaries and wages........ 12,685,695 7,611,417 5,074,278  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....        
9 Other employee benefits ....... 183,893 110,336 73,557  
10 Payroll taxes ........... 2,167,320 1,300,392 866,928  
11 Fees for services (non-employees):        
a Management ......        
b Legal ......... 35,525   35,525  
c Accounting ........... 961,082   961,082  
d Lobbying ...........        
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 1,915,832   1,915,832  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 5,667,997 3,400,798 2,267,199 0
12 Advertising and promotion .... 1,766,164 1,059,698 706,466  
13 Office expenses ....... 75,132 45,079 30,053  
14 Information technology ...... 817,100 490,260 326,840  
15 Royalties ..        
16 Occupancy ........... 67,626 40,576 27,050  
17 Travel ............ 556,199 333,719 222,480  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 103,992 62,395 41,597  
20 Interest ...........        
21 Payments to affiliates ....... 1,345,904 807,542 538,362  
22 Depreciation, depletion, and amortization ..        
23 Insurance ... 392,841 235,705 157,136  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a CHARITABLE DONATIONS 239,172 143,503 95,669  
b FEES AND OTHER 4,407 2,644 1,763  
c SUBSCRIPTIONS AND DUES 543,474 326,084 217,390  
d BOD EXPENSE 282,272 169,363 112,909  
e All other expenses 0 0 0 0
25 Total functional expenses. Add lines 1 through 24e 44,746,411 30,682,949 14,063,462 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2021)
Form 990 (2021)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1  
2 Savings and temporary cash investments ......... 71,107,784 2 74,280,055
3 Pledges and grants receivable, net ......   3  
4 Accounts receivable, net ............. 1,364,118 4 1,421,875
5 Loans and other receivables from any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
0 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ...........   7  
8 Inventories for sale or use ............   8  
9 Prepaid expenses and deferred charges ...... 615,106 9 707,848
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 0
b Less: accumulated depreciation 10b 0 21,012 10c 0
11 Investments—publicly traded securities . 631,161,555 11 1,931,695,055
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 0 13  
14 Intangible assets ...............   14 763,551
15 Other assets. See Part IV, line 11 ........... 229,662,747 15 84,845,158
16 Total assets. Add lines 1 through 15 (must equal line 33)... 933,932,322 16 2,093,713,542
Liabilities 17 Accounts payable and accrued expenses ..... 3,615,103 17 5,693,801
18 Grants payable ...   18  
19 Deferred revenue .........   19  
20 Tax-exempt bond liabilities .........   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 3,526,921 25 626,007
26 Total liabilities. Add lines 17 through 25.. 7,142,024 26 6,319,808
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 926,790,298 27 2,087,393,734
28 Net assets with donor restrictions ...........   28  
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 926,790,298 32 2,087,393,734
33 Total liabilities and net assets/fund balances ........ 933,932,322 33 2,093,713,542
Form 990 (2021)
Form 990 (2021)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,200,710,162
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
44,746,411
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
1,155,963,751
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
926,790,298
5
Net unrealized gains (losses) on investments ...............
5
-46,994,935
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
51,634,620
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
2,087,393,734
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain on
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
 
 
Form 990 (2021)
Form 990 (2021)
Additional Data


Software ID: 22016089
Software Version: 2022v5.0
Form 990, Special Condition Description:
Special Condition Description
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
SchDMd Bullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CareQuest Institute for Oral Health Inc
 
Employer identification number

38-4016550
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised funds are the organization’s property, subject to the organization’s exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ...................... 2a  
b Total acreage restricted by conservation easements .................... 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 7/25/06, and not on a historic structure listed in the National Register ... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............
6
Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under FASB ASC 958, not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under FASB ASC 958, to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included on Form 990, Part VIII, line 1 .........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under FASB ASC 958 relating to these items:
a
Revenue included on Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b If "Yes," explain the arrangement in Part XIII and complete the following table: Amount
c Beginning balance ............................. 1c  
d Additions during the year ............................ 1d  
e Distributions during the year .......................... 1e  
f Ending balance ................................ 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ....
Part V
Endowment Funds.
Complete if the organization answered "Yes" on Form 990, Part IV, line 10.
(a) Current year (b) Prior year (c) Two years back (d) Three years back (e) Four years back
1a Beginning of year balance ....          
b Contributions ...          
c Net investment earnings, gains, and losses          
d Grants or scholarships ...          
e Other expenditures for facilities
and programs ...
         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Term endowment SchDMd Bullet  
The percentages on lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) Unrelated organizations .................
3a(i)
 
 
(ii) Related organizations .................
3a(ii)
 
 
b
If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis
(investment)
(b) Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .....      
b Buildings ....        
c Leasehold improvements        
d Equipment ....        
e Other .....        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet  
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 3
Part VII
Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)
(b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1) Financial derivatives.........    
(2) Closely-held equity interests........    
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet  
Part VIII
Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 626,007
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2021

Schedule D (Form 990) 2021
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1.................. 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b.................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities ......... 2a  
b Prior year adjustments ............ 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d.................... 2e  
3 Subtract line 2e from line 1................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b..................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b; Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The FASB issue ASU 2019-12, Income Taxes (Topic 740) - Simplifying the accounting for income taxes, which will eliminate several accounting exceptions related to income taxes, as well as introduce additional requirements within topic 740. ASU 2019-12 is effective for nonpublic business entities for fiscal years beginning after December 15, 2021, with early adoption permitted. The eliminated exceptions and additional requirements do not currently relate to activities undertaken by the Company, so the Company has determined that adopting this new standard is not expected to have a financial impact. THE COMPANY DETERMINES WHETHER A TAX POSITION OF THE COMPANY IS MORE LIKLEY 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 LIKLEY 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.
Schedule D (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990, Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CareQuest Institute for Oral Health Inc
 
Employer identification number

38-4016550
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants and
other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used
to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in the region (d) Activities conducted in region (by type) (such as, fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in the region
(f) Total expenditures
for and investments
in the region
Central America and the Caribbean 0 0 Investments   35,395,203
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
           
3a Sub-total .... 0 0 35,395,203
b Total from continuation sheets to Part I ... 0 0 0
c Totals (add lines 3a and 3b) 0 0 35,395,203
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)
(c) Region (d) Purpose of
grant
(e) Amount of
cash grant
(f) Manner of
cash
disbursement
(g) Amount
of noncash
assistance
(h) Description
of noncash
assistance
(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......MediumBullet
 
3 Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" on Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant
(e) Manner of cash
disbursement
(f) Amount of
noncash
assistance
(g) Description
of noncash
assistance
(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; don't file with Form 990). . . . . . . . . . . . . . . . . . . . . . . .
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2022
Schedule F (Form 990) 2022
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information. See instructions.
ReturnReference Explanation
Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements CENTRAL AMERICA AND THE CARIBBEAN-Accrual
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2022
Additional Data


Software ID: 22016089
Software Version: 2022v5.0




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Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2022
Open to Public
Inspection
Name of the organization
CareQuest Institute for Oral Health Inc
 
Employer identification number
38-4016550
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient
that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government
(b) EIN (c) IRC section
(if applicable)
(d) Amount of cash grant (e) Amount of non-cash
assistance
(f) Method of valuation
(book, FMV, appraisal,
other)
(g) Description of
noncash assistance
(h) Purpose of grant
or assistance
(1) ACHIEVA
711 Bingham St
Pittsburgh,PA152031007
25-1505216 501(c)3 144,442       The purpose of this grant is to expand access to oral health care for individuals with intellectual and developmental disabilities (IDD) through the designation of this population as a Medically Underserved Population.
(2) ADVOCATES BUILDING LASTING EQUALITY IN NH
2 1/2 Beacon St
Concord,NH03301
30-0508754 501(c)3 102,919       The purpose of this grant is to mobilize disability self-advocates in the implementation of the new Medicaid adult dental benefit, increase the size of the dental provider network in New Hampshire, and build the competency of providers serving people with disabilities.
(3) ALTAMED HEALTH SERVICES CORPORATION
2040 Camfield Avenue
Los Angeles,CA90040
95-2810095 501(c)3 150,000       The purpose of this grant is to support AltaMed's advocacy training initiatives for residents of Southeast Los Angeles and the development and dissemination of an equity-based, systems-change toolkit to federally qualified health centers in and beyond Southern California.
(4) AMERICAN ACADEMY OF CARIOLOGY
711 Potter Ave
Half Moon Bay,CA94019
81-2835541 501(c)3 30,000       The purpose of this grant is to support three events - a fall webinar, a spring webinar, and the AAC's 7th annual Spring Conference, themed Biomaterials Therapeutics in the World of Dental Caries.
(5) AMERICAN ACADEMY OF DEVELOPMENTAL MEDICINE
3 Forester Ave
Warwick,IL10990
01-0751843 501(c)3 13,475       The purpose of this grant is to provide sponsorship support for the American Academy of Developmental Medicine's annual conference, including support of the student chapter representatives.
(6) American Academy of Pediatrics
PO Box 776437
Chicago,IL606776437
36-2275597 501(c)3 143,795       This proposal will support the American Academy of Pediatrics to deepen understanding, elevate opportunities, and build consensus around new clinically integrated opportunities for pediatricians applying silver-diamine fluoride to advance the integration of oral health into primary care
(7) American Children's Campaign Inc dba The Children's Campaign
111 South Magnolia Drive
Tallahassee,FL32301
31-1811747 501(c)3 150,000       The purpose of this grant is to support American Children's Campaign (ACC) to execute its strategic advocacy work, which focuses primarily on a scientific polling effort and ensuing communications campaign in support of dental therapy authorization in Florida.
(8) AMERICAN NETWORK OF ORAL HEALTH COALITIONS
PO box 4567
Topeka,KS66604
81-1055533 501(c)3 12,375       This grant supports programming from the American Network of Oral Health Coalitions, including the Peer Support Mentoring Program, the new Emerging Coalitions Learning Collaborative, and the annual meeting.
(9) APPLE TREE DENTAL
2442 Mounds View Blvd
Mounds View,MN55112
36-3411437 501(c)3 25,000       The purpose of this grant is to build awareness and foster new opportunities for impactful research among oral health advocates through Apple Tree Dental's expanded Research Collaboration capacity.
(10) ARCORA FOUNDATION
55 Madison Street
Denver,CO80206
81-0803719 501(c)3 167,545       The purpose of this grant is to strengthen the integration of oral health within the community health worker workforce at a national level, to build a new national partnership focused on interprofessional education, and to advance the recommendations from the HRSA Advisory Committee on Training in Primary Care Medicine and Dentistry.
(11) ARKANSAS MEDICAL DENTAL PHARMACEUTICAL ASSOCIATION
601 Rock St
Little Rock,AR72202
58-2016034 501(c)3 95,200       The purpose of this grant is to support Arkansas Medical Dental Pharmaceutical Association (AMDPA) to facilitate change in the areas of education, dental workforce, and community data collection.
(12) ASIAN RESOURCES INC
5100 El Paraiso Avenue
Sacramento,CA95824
94-2658135 501(c)3 150,000       The purpose of this grant is to support efforts to advance equity through language access policy, improved statewide data collection and reporting systems, and the elevation of Asian American, Native Hawaiian, and Pacific Islander (AANHPI) community voices in oral health in California.
(13) ASSOCIATION OF STATE & TERRITORIAL DENTAL DIRECTORS
3858 Cashill Blvd
Reno,NV89509
74-2095782 501(c)6 25,000       The purpose of this grant is to update ASTDD's 2011 Prevention and Control of Early Childhood Tooth Decay Best Practice Approach Report to reflect current best practices for preventing Early Childhood Caries, with specific focus on reaching underserved populations and addressing social determinant of health factors.
(14) BOSTON UNIVERSITY
881 Commonwealth Avenue
Boston,MA02215
04-2103547 501(c)3 186,400       The purpose of this grant is to implement and assess a Continuing Education program for Massachusetts oral health providers that will increase providers serving as dental homes for children under 3, as well as piloting a complimenting value-based payment model.
(15) BROOKVIEW HOUSE INC
2 Brookview St
Dorchester Center,MA02124
22-3032466 501(c)3 75,000       This proposal is to support Brookview House Inc., as a member of the Racial Justice in Health co-funding initiative, to strengthen their organizational infrastructure, develop advocacy capacity as a new area of activation, and to prioritize and advocate for health or oral health policies in partnership with the community they serve
(16) CALIFORNIA PAN-ETHNIC HEALTH NETWORK
1221 Preservation Park Way
Oakland,CA946121277
94-3306223 501(c)3 200,000       The purpose of this grant is to support advocacy efforts to protect and expand Medicaid coverage of oral health care as well as strengthen the linguistic and cultural quality of care through community advocacy training and grassroots capacity building.
(17) Center for Health Care Strategies Inc
200 American Metro Blvd
Hamilton,NJ086192320
22-3375015 501(c)3 109,900       The purpose of this grant is to support the Center for Health Care Strategies to conduct research and data collection that expands understanding and awareness of Minimally Invasive Care, engage various oral health stakeholders at the national, state, and local levels for interviews, and develop three to four case studies for distribution.
(18) CENTER FOR MEDICARE ADVOCACY INC
PO Box 350
Willimantic,CT06226
06-1172509 501(c)3 100,000       The purpose of this grant is to support the implementation of the recently approved Physician Fee Schedule Fiscal Year 2023 proposed rule, which will expand medically necessary dental services covered through Medicare.
(19) CENTER FOR MEDICARE ADVOCACY INC
PO Box 350
Willimantic,CT06226
06-1172509 501(c)3 100,000       The purpose of this grant is to support the Center for Medicare Advocacy's efforts to expand Medicare coverage to include a comprehensive oral health benefit.
(20) CHILDREN NOW
1404 Franklin Street
Oakland,CA946123232
94-3059243 501(c)3 150,000       This proposal is to support Children Now in protecting and advancing California health policies and regulations related to accountable care coordination, funding for coverage, and school-based oral health programming.
(21) CHILDREN'S ACTION ALLIANCE
3030 N 3rd Street
PHOENIX,AZ85012
86-0594785 501(c)3 175,000       The purpose of this grant is to support Children's Action Alliance and Arizona Oral Health Coalition's (CAA/AZOHC) efforts to advocate for comprehensive Medicaid adult dental coverage, access to care for underserved and under-resourced populations, and enhanced emphasis on provider cultural competency.
(22) CHILDREN'S ALLIANCE
113 Cherry St
Seattle,WA981042205
91-0982879 501(c)3 124,963       The purpose of this grant is to support the continued momentum and engagement of the Washington Dental Access Coalition, the main goal for which is to expand authorization of dental therapists in Washington.
(23) COALITION OF TEXANS WITH DISABILITIES
1716 San Antonio St
Austin,TX78701
74-2071160 501(c)3 73,858       The purpose of this grant is to support advocacy for the timely implementation of two 2021 Texas Medicaid omnibus bills that include provisions for an annual preventative visit for 400,000 STAR+PLUS beneficiaries (low-income adults with disabilities).
(24) Colorado Consumer Health Initiative
303 E 17th Ave
Denver,CO80203
84-1145452 501(c)3 175,000       The purpose of this grant is to support the development of a community-driven Colorado oral health agenda and ensuring community voices in the development of the Colorado Oral Health Coalition infrastructure.
(25) COMMUNITY CATALYSTINC
One Federal Street
Boston,MA02110
04-3355127 501(c)3 250,000       This proposal supports Community Catalyst to serve as a critical and strategic partner to CareQuest Institute through advancing federal oral health policy, strengthening the capacity of CareQuest Institute grantees to engage in community-driven policy advocacy, and supporting and expanding consumer-driven demand for new, integrated, minimally invasive, person-centered models of care.
(26) COMMUNITY CATALYSTINC
One Federal Street
Boston,MA02110
04-3355127 501(c)3 250,000       This proposal supports Community Catalyst to serve as a critical and strategic partner to CareQuest Institute through advancing federal oral health policy, strengthening the capacity of CareQuest Institute grantees to engage in community-driven policy advocacy, and supporting and expanding consumer-driven demand for new, integrated, minimally invasive, person-centered models of care.
(27) Community Health Center Inc
635 Main St
Middletown,CT06457
74-2071160 501(c)3 150,000       This grant is to support Community Health Center, Inc., to advance an equity-grounded, patient-centered approach to improving dental care access, utilization, and outcomes among people living with HIV and AIDS.
(28) Cross Street Training & Academic Center
440 West Street
Middletown,CT06457
20-3073111 501(c)3 117,472       The purpose of this project is to support Ministerial Health Fellowship to provide education to and build advocacy capacity among BIPOC community members, oral health advocates, and faith-based organizational partners in Connecticut around systemic oral health issues through its recently created Community Health Worker role.
(29) FAMILIES USA FOUNDATION INC
1201 New York Avenue NW
Washington,DC20005
52-1632583 501(c)3 262,500       The purpose of this grant is to build upon the existing momentum of Families USA's Oral Health for All Campaign, a long-term, multi-faceted campaign to expand access to oral healthcare through Medicaid and Medicare policy.
(30) FAMILIES USA FOUNDATION INC
1201 New York Avenue NW
Washington,DC20005
52-1632583 501(c)3 262,500       The purpose of this grant is to build upon the existing momentum of Families USA's Oral Health for All Campaign, a long-term, multi-faceted campaign to expand access to oral healthcare through Medicaid and Medicare policy.
(31) FLORIDA VOICES FOR HEALTH
12978 SouthWest 44th Street
Miramar,FL33027
54-2080380 501(c)3 179,300       The purpose of this grant is to support Florida Voices for Health's capacity to integrate and sustain important coalition-building and advocacy development activities, initiated by Florida Institute for Innovation, into its ongoing efforts to establish a Medicaid Adult Dental Benefit in Florida
(32) FLORIDA VOICES FOR HEALTH
12978 SouthWest 44th Street
Miramar,FL33027
54-2080380 501(c)3 50,000       The purpose of this grant is to support Florida Voices for Health to collect and disseminate patient stories, convene community and state organizations to develop a state oral health plan, and improve their legislative and community advocacy capacity in preparation for future policy opportunities to create a Medicaid Adult Dental Benefit.
(33) FORSYTH DENTAL INFIRMARY FOR CHILDR
254 First Street
Cambridge,MA02142
04-2104230 501(c)3 35,000       The purpose of this grant is to support the ForsythCares elder adult dental care pilot through necessary equipment purchases.
(34) Harvard School of Dental Medicine
1635 Tremont Street
Boston,MA021201616
04-2103580 501(c)3 200,000       This grant will support the Center for the Integration of Primary Care and Oral Health (CIPCOH), as a part of Harvard School of Dental Medicine, implement the third phase of the 100 Million Mouths Campaign, expanding the number of states with designated Champions by eight.
(35) Harvard School of Dental Medicine
1635 Tremont Street
Boston,MA021201616
04-2103580 501(c)3 29,958       The purpose of this grant is to support Harvard School of Dental Medicine and its summit and learning collaborative on "Integrating Care to Meet Universal Health Coverage Goals."
(36) HAWAII CHILDREN'S ACTION NETWORK (HCAN)
PO Box 23198
Honolulu,HI96823
94-3257650 501(c)3 99,979       The purpose of this grant is to support the Hawaii Oral Health Coalition's (HOHC) Prevention and Access Committee to develop policy recommendations and advocacy toward sustainable school-based sealant programs and bolster community engagement within the HOHC Neighbor Islands.
(37) HAWAII PUBLIC HEALTH INSTITUTE
850 RIchards Street
Honolulu,HI96813
68-0637054 501(c)3 132,574       The purpose of this grant is to capitalize on the momentum created from passing a comprehensive Medicaid adult dental benefit by assessing and advancing network adequacy, engaging communities to identify opportunities to employ new models of care and strengthening data equity across the state.
(38) HEALTH CARE FOR ALL
1 Federal Street
Boston,MA02110
04-3071597 501(c)3 185,991       The purpose of this grant is to support Health Care For All's oral health policy and advocacy work promoting integration within the Medicaid 1115 waiver, to maintain a comprehensive adult dental benefit, to establish a statewide oral health equity commission, and to explore teledentistry and innovative workforce models.
(39) HEALTH DISPARITIES COLLABORATIVE OF OHIO INC
332 Hamilton Ave
Columbus,OH43203
45-3844673 501(c)3 142,765       The purpose of this grant is to support Ohio Federation for Health Equity and Social Justice to sustain its engagement of kinship caregivers and the youth in their care through story collection, policy advocacy, and the development and distribution of an oral health advocates toolkit designed to mobilize communities.
(40) HENRY SCHEIN CARES FOUNDATION INC
135 Duryea Road
Melville,NY117473834
26-4137268 501(c)3 27,823       The purpose of this grant is to support the SHE: Successful Healthcare Entrepreneurship event, bringing together key practitioner stakeholders from the Medical and Dental professions to energize collaboration around employing an integrated, holistic approach to healthcare.
(41) HISPANIC DENTAL ASSOCIATION
2 Talon Ct
Sewell,DC08080
36-3719494 501(c)3 7,000       This proposal is to support the Hispanic Dental Association to build a robust set of data, evidence, and capacity to elevate the oral health disparities for Hispanic providers and consumers in order drive equitable state and national policy change.
(42) HISPANIC DENTAL ASSOCIATION
2 Talon Ct
Sewell,DC08080
36-3719494 501(c)3 306,965       The purpose of this grant is to support four CareQuest Institute for Oral Health promotional pieces in the quarterly Journal of the Hispanic Dental Association.
(43) HOOSIER ACTION RESOURCE CENTER INC
1461 W Bloomfield Rd
Bloomington,IN47403
83-4091031 501(c)3 108,382       This proposal is to support Hoosier Action Resource Center to deepen the base of directly impacted leaders, train and mobilize community-based advocates across the state of Indiana and introduce an oral health component to the statewide Medicaid advocacy coalition.
(44) IDAHO PRIMARY CARE ASSOCIATION INC
1087 W RIVER ST
BOISE,ID837027024
82-0376764 501(c)3 152,988       The purpose of this grant is to support the Idaho Primary Care Association in implementing the CareQuest Institute Three Domains Framework through piloting teledentistry to increase access to care in a frontier community, testing the use of minimally invasive care procedures within community health centers and advancing the integration of dental data into the state Health Information Exchange.
(45) ILLINOIS PRIMARY HEALTH CARE ASSOCIATION
500 S 9th Street
Springfield,IL62701
36-3369241 501(c)3 125,000       This proposal is to support the Illinois Primary Health Care Association equitably expand the oral health workforce to sustainably address pervasive shortages and advance new models of integrated, prenatal oral health care in the dental safety net.
(46) Intend Health Strategies
PO Box 156
Prides Crossing,MA01965
27-2952793 501(c)3 10,000       The purpose of this grant is to support an oral health component of Intend Health Strategies' Student Action Network and Leadership Summit.
(47) JUSTICE IN AGING
1444 Eye St NW
Washington,DC20005
95-3132674 501(c)3 120,000       The purpose of this grant is to maintain momentum for a dental benefit in Medicare Part B and promote medically necessary coverage through the Centers for Medicaid and Medicare Services, to increase access to dental services for vulnerable populations through Home-Based and Community Services Waivers, and to build and strengthen oral health partnerships with aging and disability advocates.
(48) KANSAS CITY CARE CLINIC
3515 Broadway
Kansas City,MO64111
43-0967292 501(c)3 5,390       The purpose of this grant is to support KC Care Health Center's Cancer Prevention Initiative to implement oral cancer screening and outreach.
(49) KENTUCKY YOUTH ADVOCATES INC
10200 Linn Station Road
Louisville,KY40223
61-0929390 501(c)3 125,000       The purpose of this grant is to support Kentucky Youth Advocates the Kentucky Oral Health Coalition's capacity to conduct a statewide oral health landscape assessment and play a leading, supervisory, and guiding role to the state as it begins implementing an expanded Medicaid adult dental benefit.
(50) KENTUCKY YOUTH ADVOCATES INC
10200 Linn Station Road
Louisville,KY40223
61-0929390 501(c)3 75,000       The purpose of this grant is to support the Kentucky Oral Health Coalition (KOHC) to advocate for Medicaid investments in oral health and support for the Kentucky Children's Health Insurance Program (KCHIP) by the state of Kentucky.
(51) LEVELUP KIDS INC
5416 NE Antioch Road
Kansas City,MO64119
20-3664224 501(c)3 13,600       The purpose of this grant is to support replacement equipment costs for LevelUp Kids in order to continue to serve children in the Kansas City, Missouri region.
(52) MAINE EQUAL JUSTICE PARTNERS
126 Sewall Street
Augusta,ME04330
04-3346273 501(c)3 115,579       The purpose of this grant is to ensure that the implementation of the Medicaid dental benefit is informed by the needs of community members, to promote the benefit to newly eligible Medicaid beneficiaries, and to secure Medicaid benefits for Maine immigrants regardless of immigration status.
(53) MAINE PRIMARY CARE ASSOCIATION INC
73 Winthrop Street
Augusta,ME04330
22-2630127 501(c)3 103,712       This proposal is to support the Maine Primary Care Association in developing workforce and infrastructure in new and equitable ways to respond to implementation of Maine's new Medicaid adult dental benefit and positioning the safety net dental practices to re-engage in efforts to pilot value-based care.
(54) MARYLAND DENTAL ACTION COALITION INC
10015 Old Columbia Road
Columbia,MD21046
52-1810697 501(c)3 150,975       The purpose of this grant is to secure a Medicaid adult dental benefit in Maryland and to improve access to oral health care for pregnant people by expanding the scope of practice of certain key members of oral health care teams.
(55) MARYMOUNT UNIVERSITY
1000 North Glebe Road
Arlington,VA22201
54-0573801 501(c)3 30,493       The purpose of this grant is to support a research project examining how proximity to Emergency Department and other dental care locations impacts the utilization of the Emergency Department for non-traumatic dental conditions across the state of Maryland.
(56) MICHIGAN ORAL HEALTH COALITION
7215 Westshire Drive
Lansing,MI489179764
20-5121672 501(c)3 150,000       The purpose of this grant is to support Michigan Oral Health Coalition's advocacy to increase funding for adult Medicaid dental services and to host community conversations in key areas of the state exploring barriers to care.
(57) MICHIGAN PRIMARY CARE ASSOCIATION
7215 Westshire Dr
Lansing,MI489179764
38-2294018 501(c)3 156,777       This grant will support the Michigan Primary Care Association to partner with the CareQuest Institute Health Transformation Team to implement the Community Oral Health Transformation (COrHT) Initiative through implementing an intentionally designed capacity-building initiative for Michigan community health centers to position the safety net for implementing new models of oral health value-based care and payment (VBC/P)
(58) Mississippi Black Women's Roundtable
PO Box 21499
Jackson,MS39289
83-1193631 501(c)3 50,000       The purpose of this grant is to support the Mississippi Black Women's Roundtable in its community outreach and rapid response work for women of color.
(59) MISSOURI COALITION FOR ORAL HEALTH INC
PO Box 1432
Jefferson City,MO651021432
20-5032836 501(c)3 165,919       The purpose of this grant is to support the Missouri Oral Health Coalition in piloting a value-based, dental alternative payment model specifically to serve people with disabilities through teledentistry.
(60) National Academy of Sciences
500 5th Street NW
Washington,DC20001
53-0196932 501(c)3 50,000       The purpose of this grant is to support the National Academies of Sciences, Engineering, and Medicine's virtual workshop on exchanging experiences and ideas on community-engaged approaches to oral health and the oral health workforce.
(61) NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS
7501 Wisconsin Ave
Bethesda,MD208144811
52-0939952 501(c)3 125,000       This grant will support the National Association of Community Health Centers to advance oral health integration within the broader community health center field, design new roles within the oral health workforce, and advocate for federal and state policies that advance oral health equity
(62) NATIONAL ASSOCIATION OF COMMUNITY HEALTH CENTERS
7501 Wisconsin Ave
Bethesda,MD208144811
52-0939952 501(c)3 125,000       This grant will support the National Association of Community Health Centers to advance oral health integration within the broader community health center field, design new roles within the oral health workforce, and advocate for federal and state policies that advance oral health equity
(63) NATIONAL CONFERENCE OF STATE LEGISLATURES
7700 East First Place
Denver,CO80230
84-0772595 501(c)3 52,000       The purpose of this grant is to support learning opportunities around emerging oral health policy issues for the National Conference for State Legislators' members, state legislators, and legislative staff.
(64) NATIONAL DENTAL ASSOCIATION
3060 Mitchellville Rd
Bowie,MD20716
54-0315311 501(c)3 125,000       This proposal will support the NDA in partnering with a variety of partners across Louisiana to advocate for Medicaid policy changes that will increase access to care, while at the same time, strengthen the capacity of the NDA to be a leading voice for health and racial equity within the field of oral health
(65) NATIONAL NETWORK FOR ORAL HEALTH ACCESS
181 E 56th Avenue
Denver,CO80216
84-1186592 501(c)3 146,215       This grant will support the National Network of Oral Health Access in organizing and implementing a network approach to strengthening the capacity of the primary care associations across the country to advance policy and regulatory change that drive oral health transformation
(66) NATIONAL NETWORK OF PUBLIC HEALTH INSTITUTES
1300 Connecticut Ave NW
Washington,DC20036
72-1505359 501(c)3 500,000       This proposal is for the National Network of Public Health Institutes to support the Oral Health Progress and Equity Network (OPEN) in finalizing the necessary steps towards organizational independence, implementing a newly established fund development strategy, and advancing local, state, and federal oral health policy through engagement of the national OPEN network.
(67) NATIONAL NETWORK OF PUBLIC HEALTH INSTITUTES
1300 Connecticut Ave NW
Washington,DC20036
72-1505359 501(c)3 500,000       This proposal is for the National Network of Public Health Institutes to support the Oral Health Progress and Equity Network (OPEN) in finalizing the necessary steps towards organizational independence, implementing a newly established fund development strategy, and advancing local, state, and federal oral health policy through engagement of the national OPEN network.
(68) NATIONAL NETWORK OF PUBLIC HEALTH INSTITUTES
1300 Connecticut Ave NW
Washington,DC20036
72-1505359 501(c)3 500,000       This proposal is for the National Network of Public Health Institutes to support the Oral Health Progress and Equity Network (OPEN) in finalizing the necessary steps towards organizational independence, implementing a newly established fund development strategy, and advancing local, state, and federal oral health policy through engagement of the national OPEN network.
(69) NATIONAL NETWORK OF PUBLIC HEALTH INSTITUTES
1300 Connecticut Ave NW
Washington,DC20036
72-1505359 501(c)3 500,000       This proposal is for the National Network of Public Health Institutes to support the Oral Health Progress and Equity Network (OPEN) in finalizing the necessary steps towards organizational independence, implementing a newly established fund development strategy, and advancing local, state, and federal oral health policy through engagement of the national OPEN network.
(70) NATIONAL RURAL HEALTH ASSOCIATION
406 West 34th St
Kansas City,MO46111
01-0363873 501(c)3 125,000       The purpose of this grant is to advance momentum for oral health integration to improve rural oral health equity through implementation of the National Rural Oral Health Initiative and its key pillars of advocacy, communications, education, and research.
(71) NATIONAL RURAL HEALTH ASSOCIATION
406 West 34th St
Kansas City,MO46111
01-0363873 501(c)3 125,000       The purpose of this grant is to advance momentum for oral health integration to improve rural oral health equity through implementation of the National Rural Oral Health Initiative and its key pillars of advocacy, communications, education, and research.
(72) NC CHILD
3101 Poplarwood Court
Raleigh,NC27604
58-1534066 501(c)3 140,000       This grant is to support NC Child to distill feedback from historically marginalized communities across North Carolina into a policy advocacy agenda and galvanize local and statewide support for advancing oral health policy targeted at oral health system transformation.
(73) Nebraska Appleseed Center for Law in the Public Interest
POBox83613
Lincoln,NE685013613
47-0798343 501(c)3 120,000       The purpose of this grant is to support Nebraska Appleseed to build a health policy agenda that includes oral health using their historically successful community organizing strategies to engage and collaborate with communities and consumers across Nebraska.
(74) Neighborhood Services Organization Inc
431 SW 11th St
Oklahoma City,OK73109
73-0785944 501(c)3 6,641       The purpose of this grant is to support Neighborhood Services Organization in purchasing necessary replacement equipment pieces for the dental clinic.
(75) NEW HAMPSHIRE PUBLIC HEALTH ASSOC
4 PARK ST
CONCORD,NH033016313
02-0453814 501(c)3 115,487       The purpose of this grant is to support the successful implementation of the New Hampshire Medicaid Adult Dental Benefit by growing enrollment and competencies within the Medicaid provider network through training and partnership development, and advocate for the reauthorization of Medicaid Expansion in 2023.
(76) NEW YORK UNIVERSITY COLLEGE OF DENTISTRY
2121 SW Broadway
Portland,OR97201
93-0718154 501(c)3 204,522       The purpose of this grant is to support the Northwest Portland Area Indian Health Board's efforts to implement the Community Health Aide Program (CHAP) at the federal level, as well as design and implement indigenized Health Aide programs to improve oral health access in the Pacific Northwest.
(77) Northwest Portland Area Indian Health Board
433 First Ave
New York,NY10010
13-5562308 501(c)3 200,000       The proposal is to support the Oral Health Nursing Education Program (OHNEP) at New York University (NYU) in deepening oral health within the nursing standards of care, expanding nursing curricula to be inclusive of serving the oral health needs of patients with special health care needs, and further institutionalizing oral health within care for Veterans.
(78) ORAL HEALTH KANSASINC
PO Box 4567
Topeka,KS66604
20-0337278 501(c)3 156,147       The purpose of the grant is to ensure consumer and community voice are elevated as Kansas implements the new Medicaid adult dental benefit and assesses its preliminary implementation.
(79) OSAP FOUNDATION INC
One Glenlake Parkway NE
ATLANTA,GA30328
52-1963109 501(c)3 65,736       The purpose of this grant is to support the Organization for Safety, Asepsis and Prevention (OSAP) in modernizing and disseminating new infection control resources nationally to strengthen the capacity of oral health providers to reduce risk, enhance safety, and better serve their patient
(80) PENNSYLVANIA COALITION FOR ORAL HEALTH
PO Box 242
Delmont,PA15626
81-3594885 501(c)3 48,300       The purpose of this grant is to support Pennsylvania Coalition for Oral Health's collaborative efforts to restore comprehensive dental benefits in Medicaid and to raise awareness of upcoming changes to the state's Managed Care Organizations (MCOs) for patients from and providers serving Medicaid-eligible populations.
(81) Public Health Foundation Enterprises Inc
PO Box 956
Tok,AK99780
95-2557063 501(c)3 160,707       The purpose of this grant is to support the American Dental Therapy Association to strengthen its internal organizational and financial infrastructure while launching a strategy to strengthen the alignment and capacity of the practice of dental therapy.
(82) SENIOR CHARITY CARE FOUNDATION
721 N Main Street
Layton,UT84041
45-2102291 501(c)3 15,339       The purpose of this grant is to support Senior Charity Care Foundation's urgent equipment needs.
(83) SOCIETY OF AMERICAN INDIAN DENTIST
230 Fairview Drive
Carson City,NV89701
20-5966903 501(c)3 20,000       This proposal is to support the Society of American Indian Dentists to strengthen internal organizational infrastructure, develop and implement a diverse fund development plan, and step into a position of national leadership to influence oral health policy at the local, state, and national level
(84) SOCIETY OF AMERICAN INDIAN DENTIST
230 Fairview Drive
Carson City,NV89701
20-5966903 501(c)3 124,600       The purpose of this grant is to support the Society of American Indian Dentists' annual conference through the student representative and primary care provider workshop components.
(85) SOLID GROUND
1501 North 45th Street
Seattle,WA98103
23-7421892 501(c)3 125,001       The purpose of this grant is to support Poverty Action, a leading organization within the Washington Dental Access Campaign, to engage new community and legislative stakeholders with an expanded set of oral health policy goals, advocacy training opportunities, and data collection activities that promote equity and racial justice in and beyond the state of Washington.
(86) SOLID GROUND
1501 North 45th Street
Seattle,WA98103
23-7421892 501(c)3 125,000       This proposal is for Poverty Action to implement a statewide, community-driven, legislative policy campaign to authorize dental therapy in tribal and non-tribal communities to address the growing gaps in access and oral health workforce disparities.
(87) Somali Development Center Inc
10 Malcolm X Blvd
Roxbury,MA02119
04-3318202 501(c)3 75,000       This proposal is to support Somali Development Center, as a member of the Racial Justice in Health co-funding initiative, to strengthen their organizational infrastructure, develop advocacy capacity as a new area of activation, and to prioritize and advocate for health or oral health policies in partnership with the community they serve
(88) South Carolina Appleseed Legal Justice Center
PO Box 7187
Columbia,SC29202
57-1035023 501(c)3 135,520       The purpose of this grant is to support South Carolina Appleseed Legal Justice Center to carry out a statewide oral health landscape analysis, engage communities and organizational partners for the Healthcare Stories Project, and to advocate for Medicaid expansion that includes dental benefits in South Carolina.
(89) SOUTHERN PLAINS TRIBAL HEALTH BOARD EDUCATION FOUNDATION
9705 North Broadway Extension
Oklahoma City,OK73114
73-1606600 501(c)3 80,625       The purpose of this grant is to examine the state and national American Indian/Alaska Native (AI/AN) data collection systems, as well as the scope and impact of racial misclassification within data sets and will design a series of priority strategies for advancing data equity.
(90) STRATEGIC CONCEPTS IN ORGANIZING AND POLICY EDUCATION
1715 W Florence Ave
Los Angeles,CA900472220
95-4635737 501(c)3 100,000       The purpose of this grant is to capitalize on historic base-building efforts in South Los Angeles to transition communities and partners into a statewide campaign for expanding the oral health workforce and economic opportunities for low-income Californians.
(91) Suwannee River Area Education Center
14646 NW 151st Blvd
Alachua,FL32615
59-3112649 501(c)3 110,100       The purpose of this grant is to support Floridians for Dental Access' efforts to authorize Direct Access for dental hygienists to practice at the top of their licensure and pass legislation to authorize dental therapy to increase access to oral health care for millions of residents throughout Florida.
(92) TEXAS HEALTH INSTITUTE
9111 Jollyville Road
Austin,TX78759
74-2237787 501(c)3 163,067       The purpose of this grant is to support Texas Health Institute in implementing a multi-pronged strategy to partner with both local organizations and decision-makers across the state to build an oral health policy agenda while implementing efforts to specifically strengthen the Texas safety net.
(93) THE AMERICAN INSTITUTE OF DENTAL PUBLIC HEALTH
10650 Culebra Rd
San Antonio,TX78251
84-2850098 501(c)3 75,000       The purpose of this grant is to support the planning and coordination of AIDPH's Federal Service Internship and Veteran Oral Health Hill Day.
(94) THE CT ORAL HEALTH INITIATIVE
53 Oak St
Hartford,CT06106
52-2380576 501(c)3 140,000       This grant is intended to support the Connecticut Oral Health Initiative to advance a new oral health policy agenda that was developed through a 2022 Medicaid Gap Analysis that focused on expanding benefit caps, revising the dental therapy licensure, and building public and provider support for alternative payment models in oral health.
(95) The Denver Health and Hospitals Foundation
777 Bannock St
Denver,CO80204
84-1085196 501(c)3 152,359       The purpose of this grant is to support the Denver Health Foundation, in partnership with Denver Health, to demonstrate the impact of a new integrated approach to delivering HPV vaccines in dental settings to expand access to new, whole-person care models.
(96) THE FUND FOR A HEALTHIER COLORADO
303 East 17th Ave
Denver,CO80203
47-4101801 501(c)3 103,600       The purpose of this grant is to support the Fund for a Healthier Colorado to co-lead the development of a statewide oral health coalition, partner with the state's Dental Association to create a medical loss ratio for dental insurance, and to oversee the implementation of recently passed dental therapy legislation, in partnership with local, community-driven organizations.
(97) THE UNIVERSITY OF TEXAS HEALTH SCIENCE CENTER AT HOUSTON
7500 Cambridge Street
Houston,TX77054
74-1761309 501(c)3 10,000       The purpose of this grant is to support the "OpenWide: Learning from Data in Dentistry" symposium, put on by UTHealth Houston, and provide a community engagement and equity lens to the event.
(98) TRUSTEES OF THE UNIVERSITY OF PENNSYLVANIA
240 South 40th Street
Philadelphia,PA19104
23-1352685 501(c)3 83,518       The purpose of this grant is to refine, expand, and measure the impact of the implementation of the Teledentistry Assessment Portal (TAP) for Individuals with Disabilities model as part of care protocol within the Care Center for Persons with Disabilities.
(99) UNIVERSITY OF MARYLAND BALTIMORE FOUNDATION INC
650 W Baltimore St
Baltimore,MD21201
31-1678679 170(c)(1) 175,293       The purpose of this grant is to support year two of the statewide Prenatal and Post-partum Advisory Board (PPAB) in assessing barriers to care for this population and developing solutions for these systemic issues.
(100) University of New Haven Incorporated
300 Boston Post Rd
West Haven,CT06516
06-0761704 501(c)3 133,864       The purpose of this grant is to pilot an integrated model of oral health care with sexually transmitted infection/disease (STI/STD) identification, care, and referral, and to advance policy and payment in order to expand adoption and spread of the model.
(101) UNIVERSITY OF WASHINGTON
1959 Pacific Ave NE
Seattle,WA98195
91-6001537 501(c)3 190,000       This proposal is to support the University of Washington in developing an innovative data simulation tool that will build support for states across the country in building a measurable and financial justification for protecting Medicaid adult dental benefits.
(102) Utah Health Policy Project
2369 West Orton Circle
West Valley City,UT84119
87-0684606 501(c)3 135,000       The purpose of this grant is to strengthen the oral health capacity of Utah Health Policy Project's Health Access Assisters, strengthen a coalition of community-driven oral health advocates, and elevate consumer stories around oral health policy opportunities in Utah.
(103) Voices for Vermont's Children
PO Box 261
Montpelier,VT05601
22-2611535 501(c)3 125,000       The purpose of this grant is to support Voices for Vermont's Children's community-based quantitative and qualitative data collection project which will inform oral health policy recommendations and advocacy for Medicaid-eligible populations in Vermont.
(104) WEST VIRGINIA UNIVERSITY RESEARCH CORP
PO Box 6845
Morgantown,WV265066845
55-0665758 501(c)3 130,938       The purpose of this grant is to support a robust, multi-year impact analysis of the newly implemented Medicaid Adult Dental Benefit in West Virginia including its effects on cost of care, benefit utilization rates, Emergency Department (ED) utilization, chronic conditions, and utilization of social safety net programs.
(105) West Virginians for Affordable Health Care
600 Leon Sullivan Way
Charleston,WV25301
20-3919052 501(c)3 150,075       The purpose of this grant is to build a grassroots advocacy base for West Virginians for Affordable Health Care's Medicaid Buy-In Proposal which will protect Medicaid beneficiaries from losing coverage due to modest income increases by providing additional affordable coverage options.
(106) ZUFALL HEALTH
18 West Blackwell Street
Dover,NJ07801
22-3125397 501(c)3 20,000       The purpose of this grant is to support Zufall Health's Annual Rural Oral Health Symposium focusing on diversity and inclusion within the rural oral health setting.
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
104
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
2
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2022

Schedule I (Form 990) 2022
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Number of
recipients
(c) Amount of
cash grant
(d) Amount of
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
Part IV
Supplemental Information. Provide the information required in Part I, line 2; Part III, column (b); and any other additional information.
Return Reference Explanation
Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. USES A SPECIFIC ONLINE APPLICATION PROCESS CONSISTING OF EASY TO-FOLLOW STEPS FOR GRANT SEEKERS INCLUDING ONLINE DATA ENTRY, THE PREPARATION OF STANDARDIZED FORMS, ADDING REQUIRED ATTACHMENTS AND SAVING AN UNFINISHED APPLICATION TO RETURN TO IT LATER FOR COMPLETION AND SUBMISSION.
Schedule I (Form 990) 2022



Additional Data


Software ID: 22016089
Software Version: 2022v5.0


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
CareQuest Institute for Oral Health Inc
 
Employer identification number

38-4016550
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes on Line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked on Line 1a? ....
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed on Form 990, Part VII, Section A, line 1a, with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? .............
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
Yes
 
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ....................
5a
 
No
b
Any related organization? .......................
5b
 
No
If "Yes," on line 5a or 5b, describe in Part III.
6
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ..................
6a
 
No
b
Any related organization? ......................
6b
 
No
If "Yes," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III ..........................
8
 
No
9
If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2, 1099-MISC compensation, and/or 1099-NEC (C) Retirement and other deferred compensation (D) Nontaxable
benefits
(E) Total of columns
(B)(i)-(D)
(F) Compensation in column (B) reported as deferred on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1Pamela DA Reeve
 
CHAIR /DIRECTOR
(i)

(ii)
150,000
-------------
62,500
0
-------------
0
0
-------------
0
0
-------------
0
0
-------------
0
150,000
-------------
62,500
0
-------------
0
2Steven J Pollock
 
President-Dentaquest
(i)

(ii)
0
-------------
413,533
0
-------------
930,324
0
-------------
33,714,725
0
-------------
37,215
0
-------------
903
0
-------------
35,096,700
0
-------------
6,905,642
3David Abelman
 
EVP- Chief Legal Officer - DentaQuest
(i)

(ii)
0
-------------
191,516
0
-------------
201,469
0
-------------
7,333,598
0
-------------
18,262
0
-------------
776
0
-------------
7,745,621
0
-------------
1,562,713
4James P Hawkins
 
Former Clerk
(i)

(ii)
0
-------------
129,964
0
-------------
392,974
0
-------------
127,200
0
-------------
28,530
0
-------------
570
0
-------------
679,238
0
-------------
127,200
5Jeffrey C Brown
 
Former Treasurer
(i)

(ii)
0
-------------
0
0
-------------
0
0
-------------
310,285
0
-------------
0
0
-------------
0
0
-------------
310,285
0
-------------
310,285
6Myechia Minter-Jordan MD MBA
 
President
(i)

(ii)
587,107
-------------
0
591,855
-------------
0
0
-------------
0
54,202
-------------
0
5,054
-------------
0
1,238,218
-------------
0
0
-------------
0
7Denise Marks
 
Treasurer
(i)

(ii)
418,640
-------------
0
167,559
-------------
0
0
-------------
0
54,202
-------------
0
4,732
-------------
0
645,133
-------------
0
0
-------------
0
8Patricia Ma
 
Clerk
(i)

(ii)
350,684
-------------
0
128,739
-------------
0
0
-------------
0
12,200
-------------
0
3,335
-------------
0
494,958
-------------
0
0
-------------
0
9Gregory P Winn
 
Asst. Treasurer
(i)

(ii)
253,030
-------------
0
93,382
-------------
0
113,277
-------------
0
54,202
-------------
0
3,353
-------------
0
517,244
-------------
0
108,000
-------------
0
10Courtney Ransom
 
SVP- Chief Ethics & Compliance Officer-Dentaquest
(i)

(ii)
0
-------------
142,169
0
-------------
117,648
0
-------------
1,592,891
0
-------------
19,707
0
-------------
698
0
-------------
1,873,113
0
-------------
358,754
11ERIK MONTLACK
 
VP - Delta Dental of Massachusetts
(i)

(ii)
0
-------------
301,721
0
-------------
445,329
0
-------------
98,400
0
-------------
52,352
0
-------------
2,386
0
-------------
900,188
0
-------------
98,400
12Dennis J Leonard
 
President & CEO- Delta Dental of MA
(i)

(ii)
461,698
-------------
0
287,708
-------------
0
392,541
-------------
0
41,964
-------------
0
1,184
-------------
0
1,185,095
-------------
0
210,000
-------------
0
13MICHAEL MONOPOLI
 
CareQuest - VP - Grants and Policy
(i)

(ii)
313,770
-------------
0
99,987
-------------
0
33,573
-------------
0
24,963
-------------
0
3,250
-------------
0
475,543
-------------
0
0
-------------
0
14LINDA VIDONE
 
VP - Delta Dental of Massachusetts - Clinical Management
(i)

(ii)
340,622
-------------
0
103,681
-------------
0
0
-------------
0
20,742
-------------
0
3,078
-------------
0
468,123
-------------
0
0
-------------
0
Schedule J (Form 990) 2022

Schedule J (Form 990) 2022
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.
Return Reference Explanation
Schedule J, Part I, Line 1a Health or social club dues or initiation fees SOCIAL CLUB DUES, IF ANY, ARE BUSINESS IN NATURE. BECAUSE THESE DUES ARE BUSINESS RELATED, ANY DUES ARE NOT TREATED AS TAXABLE INCOME TO THE INDIVIDUAL.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The eligible listed employees over $250,000 as of 12/31/2022 participated in a Dentaquest, LLC 457(B) supplemental retirement plan. Of those eligible employees, the following Carequest and Dentaquest LLC employees received these payments in 2022: CareQuest Dennis Leonard -$182,541 Greg Winn - $5,277 Michael Monopoli - $33,573 DentaQuest, LLC Erik Montlack - $24,967
Schedule J, Part I, Line 4c Equity-based compensation arrangement ON MAY 31, 2022, CAREQUEST SOLD ITS INTEREST IN DENTAQUEST, LLC. THIS SALE RESULTED IN THE VESTING OF STOCK AND INCENTIVE COMPENSATION FOR CERTAIN MEMBERS OF DENTAQUEST'S SENIOR EXECUTIVE TEAM WHO PROVIDED LIMITED SERVICES TO CAREQUEST AS PART OF A MANAGED SERVICES AGREEMENT ESTABLISHED BETWEEN THE ORGANIZATIONS CONSISTENT WITH I.R.C. SECTION 482 AND REGULATIONS THEREUNDER. ALL OF THE COMPENSATION PAID TO THESE INDIVIDUALS BY DENTAQUEST, LLC WAS SOLELY RELATED TO WORK PERFORMED FOR, AND PAID BY, DENTAQUEST, LLC. AS REPORTED IN PART VII, SECTION A, COLUMN (B), NONE OF THESE INDIVIDUALS DEVOTES ANY HOURS PER WEEK TO CAREQUEST. THE INDIVIDUALS LISTED BELOW RECEIVED THESE PAYMENTS IN 2022: STEVEN POLLOCK - $31,974,725 DAVID ABELMAN - $6,883,598 COURTNEY RANSOM - $1,472,891 JEFFREY BROWN - $160,285
Schedule J, Part I, Line 5 TARGET INCENTIVE PLAN CAREQUEST 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 THEYEAR BY THE COMPENSATION COMMITTEE AS PART OF THE ORGANIZATION'S EXECUTIVE COMPENSATION PHILOSOPHY AND PAY-FOR-PERFORMANCE PHILOSOPHY. 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.
Schedule J, Part I, Line 6a LONG-TERM INCENTIVE COMPENSATION LONG-TERM INCENTIVE COMPENSATION: THE FOLLOWING CAREQUEST AND DENTAQUEST, LLC EMPLOYEES PARTICIPATED IN THE DENTAQUEST, LLC LONG-TERM INCENTIVE COMPENSATION PLAN: STEVEN J. POLLOCK JAMES P. HAWKINS DAVID ABELMAN COURTNEY RANSOM JEFFREY C. BROWN GREGORY P. WINN ERIK MONTLACK DENNIS LEONARD
Schedule J, Part I, Line 7 Non Fixed Payments NON-FIXED PAYMENTS: CAREQUEST PROVIDES ANNUAL INCENTIVE BONUSES TO MANAGEMENT EMPLOYEES THAT ARE CALCULATED BASED ON THE PERFORMANCE OF THE COMPANY AND THE INDIVIDUAL EMPLOYEE. THE PROCESS TO ESTABLISH THE PRESUMPTION THAT COMPENSATION PAID TO THE ORGANIZATION'S CEO AND OTHER TOP MANAGEMENT WAS REASONABLE AS DESCRIBED IN SECTION 4958. 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 CAREQUEST'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 CAREQUEST'S CEO.
Schedule J, Part II COMPENSATION PAID BY RELATED ORGANIZATION: SCHEDULE J, PART II INCLUDES INDIVIDUALS THAT ARE PAID BY DENTAQUEST, LLC, A RELATED ORGANIZATION, BUT PERFORMED SERVICES FOR BOTH DENTAQUEST, LLC AND CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. [FORMERLY CATALYST INSTITUTE, INC.], THE FILING ORGANIZATION. AS REPORTED IN PART VII, SECTION A, COLUMN (B), NONE OF THESE INDIVIDUALS DEVOTES MORE THAN 4.5 HOURS PER WEEK TO CAREQUEST. ADDITIONALLY, ALL OF THE BONUS AND INCENTIVE COMPENSATION REPORTED IN PART II IS SOLELY RELATED TO WORK PERFORMED FOR, AND PAID BY, DENTAQUEST, LLC.
Schedule J, Part II, Column (B)(ii) BONUS PAYMENTS COLUMN B (II) ON SCHEDULE J PART II INCLUDES BONUSES EARNED AND ACCRUED DURING 2021 BUT PAID IN 2022.
Schedule J, Part II, Column (B)(iii) OTHER REPORTABLE COMPENSATION OTHER REPORTABLE COMPENSATION REPRESENTS LONG-TERM INCENTIVE COMPENSATION EXPENSE EARNED PRIOR TO 2022 BUT PAID DURING 2022, AS WELL AS PAYMENTS MADE PURSUANT TO THE EQUITY PAYMENT ARRANGEMENTS NOTED ABOVE.
Schedule J, Part II, Column (C) DEFERRED COMPENSATION COLUMN C ON SCHEDULE J PART II INCLUDES LONG-TERM INCENTIVE COMPENSATION AND PENSION AMOUNTS EARNED DURING 2022 BUT PAID IN FUTURE YEARS.
Schedule J (Form 990) 2022

Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE O
(Form 990)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2021
Open to Public
Inspection
Name of the organization
CareQuest Institute for Oral Health Inc
 
Employer identification number

38-4016550
Return Reference Explanation
Form 990, Part VI, Line 2 Family/business relationships amongst interested persons DR. MYECHIA MINTER-JORDAN - Business relationship, DENISE MARKS - Business relationship, GREGORY P. WINN - Business relationship, PATRICIA MA - Business relationship, PAMELA D.A. REEVE - Business relationship, EVELYN H. MILLER - Business relationship, JESSICA A. ZEASKE - Business relationship, WILLIAM C. MILLS III - Business relationship, RODERICK K. KING - Business relationship, KATHLEEN V. BETTS - Business relationship, ROBERT J. WEYANT - Business relationship, DR. ANDREW C. AGWUNOBI - Business relationship, TODD W. MARSHALL - Business relationship
Form 990, Part VI, Line 11b Review of form 990 by governing body THE AUDIT COMMITTEE, A COMMITTEE OF THE CAREQUEST 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 STAFF REVIEW THE 990 FOR ACCURACY AND COMPLETENESS AND PROVIDE COMMENTS TO THE PREPARER. ONCE THE RETURN IS FULLY ANALYZED AND PREPARED, A 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. A COPY OF THE FINAL FORM 990 IS SENT TO THE FULL BOARD AND OFFICERS BEFORE IT IS FILED.
Form 990, Part VI, Line 12c Conflict of interest policy 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 QUESTIONNAIRE 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 QUESTIONNAIRE AFFIRMS THAT THE PERSON UNDERSTANDS DENTAL SERVICE OF MASSACHUSETTS, INC. 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 BOARD OR COMMITTEE MEMBER ("MEMBER") HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTUAL OR POSSIBLE CONFLICT OF INTEREST, IT SHALL TAKE APPROPRIATE DISCIPLINARY AND CORRECTIVE ACTION. WHO IS COVERED? THE ORGANIZATION'S CONFLICT OF INTEREST POLICY COVERS EACH DIRECTOR, PRINCIPAL OFFICER AND MEMBERS OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWERS. LEVEL OF DETERMINATION AND REVIEW OF CONFLICTS IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER PRESENTATION OF A POTENTIAL TRANSACTION OR ARRANGEMENT IS MADE BY AN INTERESTED PERSON, THE REMAINING DISINTERESTED BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE CHAIRPERSON OF THE GOVERNING BOARD OR COMMITTEE SHALL, IF APPROPRIATE, APPOINT A DISINTERESTED PERSON OR COMMITTEE TO INVESTIGATE ALTERNATIVES TO THE TRANSACTION OR ARRANGEMENT IN QUESTION. AFTER EXERCISING DUE DILIGENCE, THE GOVERNING BOARD OR COMMITTEE SHALL DETERMINE IF CAREQUEST INSTITUTE FOR ORAL HEALTH, INC. [FORMERLY CATALYST INSTITUTE, INC.] 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.
Form 990, Part VI, Line 15a Process to establish compensation of top management official 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 FORMS 990 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.
Form 990, Part VI, Line 15b Process to establish compensation of other employees 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 FORMS 990 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.
Form 990, Part VI, Line 19 Required documents available to the public WE FILE A MASSACHUSETTS FORM PC WITH AN ATTACHED FORM 990. THE FORM PC IS FILED WITH THE ATTORNEY GENERAL'S OFFICE AND IS AVAILABLE FOR INSPECTION BY ANY OF THE INTERESTED PUBLIC. THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, ARTICLES OF INCORPORATION AND BYLAWS ARE MADE AVAILABLE UPON REQUEST.
Form 990, Part IX, Line 11g Other Fees RECRUITING - Total Expense: 361399, Program Service Expense: 216839, Management and General Expenses: 144560, Fundraising Expenses: ; CONSULTANTS - DENTAL - Total Expense: 162012, Program Service Expense: 97207, Management and General Expenses: 64805, Fundraising Expenses: ; CONSULTANTS - GENERAL - Total Expense: 6604023, Program Service Expense: 3962414, Management and General Expenses: 2641609, Fundraising Expenses: ; CONSULTANTS - TRAVEL - Total Expense: 370, Program Service Expense: 222, Management and General Expenses: 148, Fundraising Expenses: ; INTERCOMPANY SERVICES - Total Expense: -1459929, Program Service Expense: -875957, Management and General Expenses: -583972, Fundraising Expenses: ; PROF FEES - LEGAL - OTHER - Total Expense: 122, Program Service Expense: 73, Management and General Expenses: 49, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances EQUITY INCOME IN SUBSIDIARIES - 45600415; CHANGE IN VALUE (RETAINED EARNINGS ADJUSTMENT) - 534205; CHANGE IN APIC - 500000; DISTRIBUTION FROM RELATED ORGANIZATIONS - 5000000;
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990) 2021


Additional Data


Software ID: 22016089
Software Version: 2022v5.0
SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
CareQuest Institute for Oral Health Inc
 
Employer identification number

38-4016550
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity

(1) DQCGM of Oregon LLC
442 SW UMATILLA AVE STE 200
REDMOND,OR97756
27-0364023
CARE DELIVERY OR 0 0 DQ GROUP
 
(2) Advantage Consulting Services LLC
442 SW UMATILLA AVE STE 200
REDMOND,OR97756
26-3981408
CARE DELIVERY OR 0 0 DQ GROUP
 
(3) Advantage Support Services LLC
442 SW UMATILLA AVE STE 200
REDMOND,OR97756
26-3981367
CARE DELIVERY OR 0 0 DQ GROUP
 
(4) Advantage Dental Service LLC
442 SW UMATILLA AVE STE 200
REDMOND,OR97756
93-1195386
CARE DELIVERY OR 0 0 DQ GROUP
 
(5) Advantage Community Holding Company LLC
442 SW UMATILLA AVE STE 200
REDMOND,OR97756
20-8939962
CARE DELIVERY OR 0 0 DQ GROUP
 
(6) DentaQuest of Arizona LLC
465 MEDFORD STREET
BOSTON,MA02129
11-3692025
DENTAL SVCS WI 0 0 DQ GROUP
 
(7) DentaQuest Administrative Services LLC
465 MEDFORD STREET
BOSTON,MA02129
39-2041298
DENTAL SVCS WI 0 0 DQ GROUP
 
(8) DentaQuest of Georgia LLC
465 MEDFORD STREET
BOSTON,MA02129
14-1885493
DENTAL SVCS WI 0 0 DQ GROUP
 
(9) DentaQuest of Illinois Inc
465 MEDFORD STREET
BOSTON,MA02129
42-1529687
DENTAL SVCS WI 0 0 DQ GROUP
 
(10) DentaQuest of Iowa LLC
465 MEDFORD STREET
BOSTON,MA02129
14-1885490
DENTAL SVCS WI 0 0 DQ GROUP
 
(11) DentaQuest of Kentucky LLC
465 MEDFORD STREET
BOSTON,MA02129
81-0567214
DENTAL SVCS WI 0 0 DQ GROUP
 
(12) DentaQuest of Maryland Inc
465 MEDFORD STREET
BOSTON,MA02129
56-2356445
DENTAL SVCS WI 0 0 DQ GROUP
 
(13) DentaQuest of Minnesota LLC
465 MEDFORD STREET
BOSTON,MA02129
56-2356433
DENTAL SVCS WI 0 0 DQ GROUP
 
(14) DentaQuest of New Jersey LLC
465 MEDFORD STREET
BOSTON,MA02129
14-1885481
DENTAL SVCS WI 0 0 DQ GROUP
 
(15) DentaQuest of New Mexico LLC
465 MEDFORD STREET
BOSTON,MA02129
81-0616910
DENTAL SVCS WI 0 0 DQ GROUP
 
(16) DentaQuest IPA of New York LLC
465 MEDFORD STREET
BOSTON,MA02129
14-1885500
DENTAL SVCS WI 0 0 DQ GROUP
 
(17) DentaQuest of New York LLC
465 MEDFORD STREET
BOSTON,MA02129
35-2177954
DENTAL SVCS WI 0 0 DQ GROUP
 
(18) DentaQuest of Tennessee LLC
465 MEDFORD STREET
BOSTON,MA02129
32-0487994
CARE DELIVERY DE 0 0 DQ GROUP
 
(19) DentaQuest Care Group Management LLC
465 MEDFORD STREET
BOSTON,MA02129
20-0390099
DENTAL SVCS DE 0 0 DQ GROUP
 
(20) DentaQuest LLC
465 MEDFORD STREET
BOSTON,MA02129
84-3407897
CARE DELIVERY DE 0 0 DQ GROUP
 
(21) DQCGM of Washington LLC
465 MEDFORD STREET
BOSTON,MA02129
84-1851756
CARE DELIVERY DE 0 0 DQ GROUP
 
(22) DQCGM of Massachusetts LLC
465 MEDFORD STREET
BOSTON,MA02129
61-1871504
DENTAL SVCS WI 0 0 DQ GROUP
 
(23) DQCGM of Alabama LLC
466 MEDFORD STREET
BOSTON,MA02129
87-2778161
CARE DELIVERY AL 0 0 DQ GROUP
 
(24) DQCGM of Florida LLC
465 MEDFORD STREET
BOSTON,MA02129
87-3142270
Care Delivery FL 0 0 DQ GROUP
 
Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)DENTAQUEST CARE GROUP INC
465 MEDFORD STREET

BOSTON,MA02129
46-3674034
ORAL HTH IMPR MA 501(c)(3) Type I CAREQUEST IN
 
Yes
 
(2)DENTAL HEALTH PROGRAMS INC DBA COMMU
465 MEDFORD STREET

BOSTON,MA02129
75-1823660
ORAL HTH IMPR TX 501(c)(3) 7 DQ CAREGROUP
 
Yes
 
(3)COMMUNITY CARE OF KENTUCKY INC
101 S FIFTH STREET 3500 NATION

LOUISVILLE,KY40202
46-5159094
ORAL HTH IMPR KY 501(c)(3) 7 DQ CAREGROUP
 
Yes
 
(4)DENTAL SERVICE OF MASSACHUSETTS INC
465 MEDFORD STREET

BOSTON,MA02129
04-6143185
ORAL HTH IMPR MA 501(c)(4)   CAREQUEST IN
 
Yes
 
(5)CAREQUEST FOUNDATION INC
465 MEDFORD STREET

BOSTON,MA02129
04-3265080
ORAL HTH IMPR MA 501(c)(3) PF CAREQUEST IN
 
Yes
 
(6)COMMUNITY CARE OF NEW MEXICO INC
465 MEDFORD STREET

BOSTON,MA02129
47-1711799
ORAL HTH IMPR NM 501(c)(3) 7 DQ CAREGROUP
 
Yes
 
(7)The Ohio Retiree Dental Benefits Association
100 CROWNE POINT PLACE

CINCINNATI,OH45241
27-1693969
ORAL HTH IMPR OH 501(c)(3) 7 DCP Hold Corp
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) ADVANTAGE HARBOR QALICB OWNERS- QALICB-1

442 SW UMATILLA AVE STE 200
Redmond,OR97756
CARE DELIVERY OR DQ GROUP
 
Excluded 0 0   No        
(2) ADVANTAGE HARBOR QALICB OWNERS - Advantage Harbor

442 SW UMATILLA AVE STE 200
Redmond,OR97756
CARE DELIVERY OR DQ GROUP
 
Excluded 0 0   No        
(3) ADVANTAGE HARBOR QALICB OWNERS - Advantage LaPine

442 SW UMATILLA AVE STE 200
Redmond,OR97756
CARE DELIVERY OR DQ GROUP
 
Excluded 0 0   No        








Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) DSM Investments Inc

465 MEDFORD STREET
BOSTON,MA02129
04-3428012
Dental Service MA DSM
 
C Corporation 24,693 186,616 100 % Yes  
(2) DSM Insurance Services Inc

465 MEDFORD STREET
BOSTON,MA02129
04-3172335
Insurance MA DSM Investments Inc
 
C Corporation 360,263 2,471,653 100 % Yes  
(3) DSM Massachusetts Insurance Company Inc

465 MEDFORD STREET
BOSTON,MA02129
46-5661073
Insurance MA DSM Investments Inc
 
C Corporation 4,591,239 15,533,439 100 % Yes  
(4) CareQuest Innovation Partners Inc

465 MEDFORD STREET
BOSTON,MA02129
83-2714016
Oral Health Improvement DE CareQuest
 
C Corporation -4,589,616 9,233,804 100 % Yes  
(5) DentaQuest Group Inc

466 MEDFORD STREET
BOSTON,MA02129
20-4056199
Dental Service DE CareQuest
 
C Corporation 0 0 100 % Yes  
(6) DentaQuest USA Insurance Company Inc

467 MEDFORD STREET
BOSTON,MA02129
20-2970185
Insurance TX DQ Group
 
C Corporation 0 0 100 % Yes  
(7) DentaQuest of Florida Inc

468 MEDFORD STREET
BOSTON,MA02129
65-0743731
Insurance FL DQ Group
 
C Corporation 0 0 100 % Yes  
(8) DQ National Insurance Company Inc

469 MEDFORD STREET
BOSTON,MA02129
59-0397210
Insurance TX DQ Group
 
C Corporation 0 0 100 % Yes  
(9) California Dental Network Inc

470 MEDFORD STREET
BOSTON,MA02129
93-0954061
Insurance CA DQ Group
 
C Corporation 0 0 100 % Yes  
(10) Pacific Dental Network Inc

471 MEDFORD STREET
BOSTON,MA02129
33-0672992
Dental Service CA DQ Group
 
C Corporation 0 0 100 % Yes  
(11) DentaQuest Oral Health Center of Massachusetts PC

472 MEDFORD STREET
BOSTON,MA02129
84-1891314
Oral Health Center MA DQ Group
 
C Corporation 0 0 100 % Yes  
(12) Gary W Allen DMC PC

473 MEDFORD STREET
BOSTON,MA02129
20-2758287
Oral Health Center OR DQ Group
 
C Corporation 0 0 100 % Yes  
(13) Advantage Dental Oral Health & Vision Center of Alabama PC

474 MEDFORD STREET
BOSTON,MA02129
20-0232609
Oral Health Center AL DQ Group
 
C Corporation 0 0 100 % Yes  
(14) Advantage Dental Oral Health Center of Florida PA

475 MEDFORD STREET
BOSTON,MA02129
87-3780957
Oral Health Center FL DQ Group
 
C Corporation 0 0 100 % Yes  
(15) Advantage Dental Group PC

442 SW UMATILLA AVE ST200
REDMOND,OR45241
80-0437099
Oral Health Center OR DQ Group
 
C Corporation 0 0 100 % Yes  
(16) Advantage Leveraged Lenders Inc

442 SW UMATILLA AVE ST200
REDMOND,OR45241
46-2124368
Care Delivery OR DQ Group
 
C Corporation 0 0 100 % Yes  
(17) Advantage Dental Plan Inc

442 SW UMATILLA AVE ST200
REDMOND,OR45241
93-1156986
Care Delivery OR DQ Group
 
C Corporation 0 0 100 % Yes  
(18) Oregon Community Dental Care

442 SW UMATILLA AVE ST200
REDMOND,OR45241
45-4129709
Care Delivery OR DQ Group
 
C Corporation 0 0 100 % Yes  
(19) DCP Holding Company Inc

100 Crowne Point Place
Cincinnati,OH45241
20-1291244
Insurance OH DQ Group
 
C Corporation 0 0 100 % Yes  
(20) Dental Care Plus Inc

100 Crowne Point Place
Cincinnati,OH45241
31-1185262
Insurance OH DCP Holding Co
 
C Corporation 0 0 100 % Yes  
(21) Insurance Associates Plus Inc

100 Crowne Point Place
Cincinnati,OH45241
20-1455615
Insurance OH DCP Holding Co
 
C Corporation 0 0 100 % Yes  
(22) Adenta Inc

100 Crowne Point Place
Cincinnati,OH45241
61-1301274
Insurance KY DCP Holding Co
 
C Corporation 0 0 100 % Yes  
Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
(1) DENTAL SERVICE OF MASSACHUSETTS INC

S 5,000,000 FMV





Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2021
Schedule R (Form 990) 2021
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2021

Additional Data


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