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DELTA DENTAL OF RHODE ISLAND: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF RHODE ISLAND (EIN 05-0296998)
Tax period
2022-01-01 to 2022-12-31
Filed
2023-11-13
IRS object ID
202343179349305894
Schema version
2022v5.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2023-11-13T12:42:48-06:00ReturnTs
Tax Period End2022-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line175 STATE ST 13TH FLOORAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2022-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050296998EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF RHODE ISLANDBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlDELTBusinessNameControlTxt
Phone4017526000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02904ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD A FRITZPersonNm
Person TitleSR VP FINANCE & CFOPersonTitleTxt
Phone4017526000PhoneNum
Signature2023-11-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstRICHARDPersonFirstNm
Person LastFRITZPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6177327900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer2TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2022TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSEPH R PERRONIPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02904ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$66,415,108GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website AddressWWW.DELTADENTALRI.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or MissionTO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee47TotalEmployeeCnt
Total Volunteers15TotalVolunteersCnt
Total Gross UBI$20,246TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$13,284NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$61,406,400PYProgramServiceRevenueAmt
CY Program Service Revenue$60,116,299CYProgramServiceRevenueAmt
PY Investment Income$2,779,972PYInvestmentIncomeAmt
CY Investment Income$6,013,606CYInvestmentIncomeAmt
PY Other Revenue$266,911PYOtherRevenueAmt
CY Other Revenue$65,102CYOtherRevenueAmt
PY Total Revenue$64,453,283PYTotalRevenueAmt
CY Total Revenue$66,195,007CYTotalRevenueAmt
PY Grants And Similar Paid$7,816,883PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$417,572CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$45,628,469PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$40,904,954CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,934,540PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,204,103CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$6,806,425PYOtherExpensesAmt
CY Other Expenses$7,474,952CYOtherExpensesAmt
PY Total Expenses$71,186,317PYTotalExpensesAmt
CY Total Expenses$60,001,581CYTotalExpensesAmt
PY Revenues Less Expenses-$6,733,034PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$6,193,426CYRevenuesLessExpensesAmt
Total Assets BOY$133,512,428TotalAssetsBOYAmt
Total Assets EOY$125,388,328TotalAssetsEOYAmt
Total Liabilities BOY$16,208,863TotalLiabilitiesBOYAmt
Total Liabilities EOY$15,352,882TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$117,303,565NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$110,035,446NetAssetsOrFundBalancesEOYAmt
MissionOUR MISSION IS TO DELIVER IMPECCABLE SERVICE, QUALITY AND INNOVATION THAT EXCEEDS EXPECTATIONS. AS EXPERTS IN ORAL HEALTH CARE, WE ARE COMMITTED TO ACCESSIBLE, AFFORDABLE CARE THAT DRIVES IMPROVED HEALTH OUTCOMES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$41,322,526ExpenseAmt
Grant$0GrantAmt
Revenue$60,116,299RevenueAmt
DescDENTAL BENEFITS FOR 403,887 MEMBERS UNDER 201,088 CONTRACTS. THE COMPANY OFFERS A BROAD RANGE OF PREPAID DENTAL CARE COVERAGE OPTIONS AND ADMINISTRATIVE SERVICES TO ORGANIZATIONS PROVIDING SUCH BENEFITS TO THEIR EMPLOYEES ON A CONTRIBUTORY OR A NONCONTRIBUTORY BASIS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$8,468,968ExpenseAmt
Grant$417,572GrantAmt
Revenue$0RevenueAmt
DescAT DELTA DENTAL, WE HAVE A LONG-STANDING TRADITION OF HELPING OUR STATE'S MOST VULNERABLE CITIZENS. IN 2005, WE ESTABLISHED THE DELTA DENTAL OF RHODE ISLAND FUND, FORMALIZING OUR COMMITMENT TO DENTAL HEALTH INITIATIVES IN OUR COMMUNITY. AS A VESTED COMMUNITY PARTNER, WE LEVERAGE THE DELTA DENTAL OF RHODE ISLAND FUND, AS WELL AS OUR ROBUST EMPLOYEE VOLUNTEER PROGRAM, AND MATCHING GIFT PROGRAM TO SUPPORT CRITICAL ORAL HEALTH NEEDS ACROSS THE STATE. GRANTS ARE AWARDED TO QUALIFYING CHARITABLE ORGANIZATIONS FOR PROGRAMS OR CAPITAL EXPENDITURES THAT INCREASE ACCESS TO DENTAL CARE FOR AT-RISK, VULNERABLE RHODE ISLANDERS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$49,791,494TotalProgramServiceExpensesAmt
Described In Section501c30DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (1)BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document148IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee47EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJOHN BALDWINPersonNm
Phone4017526295PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP02904ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JOHN T RUGGIERI
CHAIR1.001.00Yes (X)Yes (X)$20,250$0$0
JAMES V ROSATI
VICE CHAIR1.001.00Yes (X)Yes (X)$15,000$0$0
JULIE G DUFFY
DIRECTOR (THRU 04/22)1.001.00Yes (X)$8,100$0$0
DR THOMAS ENRIGHT
DIRECTOR1.001.00Yes (X)$9,000$0$0
FRANCIS J FLYNN
DIRECTOR1.001.00Yes (X)$9,000$0$0
JONATHAN W HALL
DIRECTOR1.001.00Yes (X)$12,600$0$0
PETE HAYES
DIRECTOR1.001.00Yes (X)$10,500$0$0
JUNIOR JABBIE
DIRECTOR1.001.00Yes (X)$10,800$0$0
COLIN P KANE
DIRECTOR1.001.00Yes (X)$12,000$0$0
MARC A PAULHUS
DIRECTOR1.001.00Yes (X)$13,800$0$0
HEATHER A PROVINO
DIRECTOR1.001.00Yes (X)$11,400$0$0
EDWIN J SANTOS
DIRECTOR1.001.00Yes (X)$12,600$0$0
MARK SHAW
DIRECTOR1.001.00Yes (X)$9,600$0$0
STEVEN ISSA
DIRECTOR1.001.00Yes (X)$11,400$0$0
ELIZABETH CATUCCI
DIRECTOR1.001.00Yes (X)$9,000$0$0
CHRISTINE GADBOIS
DIRECTOR (AS OF 04/22)1.001.00Yes (X)$4,200$0$0
JOSEPH R PERRONI
PRESIDENT & CEO40.001.00Yes (X)$750,209$0$94,200
MELISSA GENNARI
AVP & DIRECTOR COMPLIANCE40.001.00Yes (X)$170,418$0$17,877
WILLIAM LANDRY
SECRETARY1.001.00Yes (X)$0$0$0
RICHARD A FRITZ
SR VP FINANCE & CFO40.001.00Yes (X)$481,670$0$78,046
GEORGE J BEDARD
CONTROLLER40.001.00Yes (X)$168,998$0$41,207
THOMAS D CHASE
COO40.000.00$490,749$0$76,053Yes (X)
WENDY DUNCAN
VP MARKETING & EXTERNAL AFFAIRS40.001.00$388,791$0$45,790Yes (X)
JAMES T KINNEY
VP OF SALES40.000.00$328,444$0$64,982Yes (X)
KELLY GERAGOTELIS
SR. DIRECTOR ACCUARIAL40.001.00$157,501$0$43,211Yes (X)
ANGELO PEZZULLO
DIRECTOR MAJOR ACCOUNTS40.000.00$201,672$0$51,314Yes (X)
ELLEN M HENDRIX
AVP UNDERWRITING40.000.00$263,707$0$56,659Yes (X)
DUANE S EASTER
DIR CORP REPORTING & FIN ANALYSIS40.001.00$167,305$0$43,228Yes (X)
JOSEPH NAGLE
FORMER PRESIDENT & CEO (THRU 6/2019)40.000.00$152,145$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,900,859TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$612,567TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
EDGEWATER FULLSCOPE INC
PO BOX 845183BOSTONMA02284IT-PRODUCT DEVELOPMENT$1,141,706
SKYGEN USA
W140 N8981 LILLY ROADMENOMONEE FALLSWI53051IT-PRODUCT DEVELOPMENT$500,000
CLARITY
2801 LAKESIDE DRIVEBANNOCKBURNIL60015PRINT AND MAIL$375,415
GRANT THORNTON LLP
124 HEBORN AVE STE 200GLASTONBURYCT06033AUDIT/TAX SERVICES$348,772
NETCENERGY LLC
231 ELM STREETWARWICKRI02888IT-CONSULTING SERVICES$298,671
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescRISK PREMIUMSDesc
Business524114BusinessCd
Total Revenue Column$60,116,299TotalRevenueColumnAmt
Related Or Exempt Func Income$60,116,299RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$60,116,299TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$6,231,884TotalRevenueColumnAmt
Exclusion$6,231,884ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,823SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$220,101SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$218,278SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$218,278TotalRevenueColumnAmt
Exclusion-$218,278ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INCOME FROM SUBSIDIARIES900099$56,211$20,246$35,965
OTHER INCOME900099$8,891$8,891
FieldValueIRS element (for citing)
Other Revenue Total$65,102OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$66,195,007TotalRevenueColumnAmt
Related Or Exempt Func Income$60,116,299RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$20,246UnrelatedBusinessRevenueAmt
Exclusion$6,058,462ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$417,572TotalAmt
Program Services$417,572ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$40,904,954TotalAmt
Program Services$40,904,954ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,104,459TotalAmt
Program Services$811,226ProgramServicesAmt
Management And General$2,293,233ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,570,438TotalAmt
Program Services$4,609,502ProgramServicesAmt
Management And General$1,960,936ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$537,780TotalAmt
Program Services$247,080ProgramServicesAmt
Management And General$290,700ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$320,879TotalAmt
Program Services$43,907ProgramServicesAmt
Management And General$276,972ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$670,547TotalAmt
Program Services$314,445ProgramServicesAmt
Management And General$356,102ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$101,098TotalAmt
Management And General$101,098ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$447,509TotalAmt
Management And General$447,509ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$66,150TotalAmt
Program Services$66,150ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$437,314TotalAmt
Management And General$437,314ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$866,196TotalAmt
Program Services-$321,810ProgramServicesAmt
Management And General$1,188,006ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$545,947TotalAmt
Management And General$545,947ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$575,117TotalAmt
Program Services$418,878ProgramServicesAmt
Management And General$156,239ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$975,555TotalAmt
Program Services$598,783ProgramServicesAmt
Management And General$376,772ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$107,671TotalAmt
Program Services$6,195ProgramServicesAmt
Management And General$101,476ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$1,375TotalAmt
Management And General$1,375ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$444,751TotalAmt
Management And General$444,751ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$403,861TotalAmt
Management And General$403,861ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL & MAIN$1,658,506$1,658,506
BOARD & ASSOCIATION FEE$476,709$4,670$472,039
LICENSE & FEES$40,475$970$39,505

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$326,718TotalAmt
Program Services$10,466ProgramServicesAmt
Management And General$316,252ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$60,001,581TotalAmt
Program Services$49,791,494ProgramServicesAmt
Management And General$10,210,087ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$249BOYAmt
EOY$249EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,958,224BOYAmt
EOY$2,862,532EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY-$420,769BOYAmt
EOY$4,656,217EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$5,862,429BOYAmt
EOY$5,281,921EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$15,228,318LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,574,516LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$783,595BOYAmt
EOY$1,653,802EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$82,746,544BOYAmt
EOY$83,578,465EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$35,137,723BOYAmt
EOY$26,952,259EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$444,433BOYAmt
EOY$402,883EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$133,512,428BOYAmt
EOY$125,388,328EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,733,694BOYAmt
EOY$11,582,763EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,475,169BOYAmt
EOY$3,770,119EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,208,863BOYAmt
EOY$15,352,882EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow FASB117Yes (X)OrgDoesNotFollowFASB117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$117,303,565BOYAmt
EOY$110,035,446EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$117,303,565BOYAmt
EOY$110,035,446EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$133,512,428BOYAmt
EOY$125,388,328EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$6,193,426ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$15,204,835NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,743,290OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,193,642OtherCostOrOtherBasisAmt
Depreciation$2,981,330DepreciationAmt
Book Value$212,312BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,556,481OtherCostOrOtherBasisAmt
Depreciation$7,244,163DepreciationAmt
Book Value$312,318BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,478,195OtherCostOrOtherBasisAmt
Depreciation$3,349,023DepreciationAmt
Book Value$1,129,172BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,653,802TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUBSIDIARIES$19,465,026C
INVESTMENT - OTHER$7,487,233F
FieldValueIRS element (for citing)
Total Book Value Securities$26,952,259TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
ACCRUED FOR DENTAL CLAIMS EXPENSE$1,533,250
UNEARNED SUBSCRIPTIONS$1,517,066
ADVANCED DEPOSITS$451,846
ACCRUED FOR CLAIMS HANDLING EXP$267,957
FieldValueIRS element (for citing)
Total Liability$3,770,119TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationASC 740 DELTA DENTAL OF RHODE ISLAND IS A NOT-FOR-PROFIT CORPORATION PURSUANT TO SECTION 501(C)(4) OF THE INTERNAL REVENUE CODE (IRC) AND IS GENERALLY EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME UNDER SECTION 501(A) OF THE IRC. ACCORDINGLY, NO PROVISION FOR INCOME TAXES RELATIVE TO DELTA DENTAL OF RHODE ISLAND HAS BEEN MADE IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE COMPANY EVALUATES ITS UNCERTAIN TAX POSITIONS WITH A TWO-STEP PROCESS IN ACCORDANCE WITH GAAP. FIRST, THE COMPANY DETERMINES WHETHER IT IS MORE LIKELY THAN NOT THAT AN UNCERTAIN TAX POSITION WILL BE SUSTAINED UPON EXAMINATION BASED ON THE TECHNICAL MERITS OF THE POSITION. SECOND, AN UNCERTAIN TAX POSITION THAT MEETS THE MORE LIKELY THAN NOT THRESHOLD IS MEASURED TO DETERMINE THE AMOUNT OF BENEFIT TO RECOGNIZE IN THE FINANCIAL STATEMENTS. THE POSITION IS MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT IS GREATER THAN 50% LIKELY OF BEING REALIZED UPON ULTIMATE SETTLEMENT. UNCERTAIN TAX POSITIONS THAT PREVIOUSLY FAILED TO MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE RECOGNIZED IN THE FIRST SUBSEQUENT REPORTING PERIOD IN WHICH THE THRESHOLD IS MET. PREVIOUSLY RECOGNIZED UNCERTAIN TAX POSITIONS THAT NO LONGER MEET THE MORE LIKELY THAN NOT RECOGNITION THRESHOLD ARE DERECOGNIZED IN THE FIRST SUBSEQUENT REPORTING PERIOD IN WHICH THE THRESHOLD IS NO LONGER MET. SHOULD INTEREST OR PENALTIES BE ASSESSED, SUCH EXPENSES WOULD BE REFLECTED IN SELLING, GENERAL AND ADMINISTRATIVE EXPENSES. AS OF DECEMBER 31, 2022 AND 2021, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (21 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
AMOS HOUSE
415 FRIENDSHIP STREETPROVIDENCERI02907050387218501 (C ) (3)$65,900$0PROGRAM SUPPORT
BRYANT UNIVERSITY
1150 DOUGLAS PIKEL BOX 40SMITHFIELDRI02917050258810501 (C ) (3)$49,089$0PROGRAM SUPPORT
COMMUNITY PREPARATORY SCHOOL
135 PRAIRIE AVENUEPROVIDENCERI02905050259094501 (C ) (3)$27,100$0PROGRAM SUPPORT
CROSSROAD RHODE ISLAND
160 BROAD STREETPROVIDENCERI02903050259094501 (C ) (3)$16,050$0PROGRAM SUPPORT
FAMILY SERVICE OF RI
55 HOPE STREETPROVIDENCERI02903050258858501 (C ) (3)$13,000$0PROGRAM SUPPORT
FIRSTWORKS
235 PROMENADE STREET SUITE 130PROVIDENCERI02908222597014501 (C ) (3)$12,500$0PROGRAM SUPPORT
GREATER PROVIDENCE CHAMBER OF COMMERCE
30 EXCHANGE TERPROVIDENCERI02903050203250501 (C ) (6)$12,103$0PROGRAM SUPPORT
JUNIOR ACHIEVEMENT
57 GREENE STREETWARWICKRI02886050263443501 (C ) (3)$11,728$0PROGRAM SUPPORT
MAKE A WISH FOUNDATION OF MA & RI
133 FEDERAL STREET 2ND FLOORBOSTONRI02110222867371501 (C ) (3)$11,500$0PROGRAM SUPPORT
MIRIAM HOSPITAL FOUNDATION
DEVELOPMENT OFFICE PO BOX HPROVIDENCERI02901050377502501 (C ) (3)$11,000$0PROGRAM SUPPORT
OCEAN STATE JOB LOT CHARITABLE
375 COMMERCE PARK RD NKINGSTOWNRI02852200959438501 (C ) (3)$10,000$0PROGRAM SUPPORT
PROVIDENCE COLLEGE
1 CUNNINGHAM SQPROVIDENCERI02918050258932501 (C ) (3)$10,000$0PROGRAM SUPPORT
PROVIDENCE TOURISM FUND
PO BOX 6565PROVIDENCERI02940263240427501 (C ) (3)$9,250$0PROGRAM SUPPORT
RHODE ISLAND BUSINESS GROUP HEALTH
951 NORTH MAIN STPROVIDENCERI02904204545288501 (C ) (3)$9,250$0PROGRAM SUPPORT
RHODE ISLAND FOUNDATION
ONE UNION STATIONPROVIDENCERI02914222604963501 (C ) (3)$8,000$0PROGRAM SUPPORT
RI COMMUNITY FOOD BANK
200 NIANTIC AVEPROVIDENCERI02907050395601501 (C ) (3)$7,500$0PROGRAM SUPPORT
RI HOSPITAL FOUNDATION
167 POINT STREETPROVIDENCERI02903050468736501 (C ) (3)$7,500$0PROGRAM SUPPORT
SAN MIGUEL SCHOOL
525 BRANCH AVENUEPROVIDENCERI02904223232973501 (C ) (3)$7,050$0PROGRAM SUPPORT
SPECIAL OLYMPICS RHODE ISLAND
370 GEORGE WASHINGTON HIGHWAYSMITHFIELDRI02917050377867501 (C ) (3)$6,000$0PROGRAM SUPPORT
TOMORROW FUND
593 EDDY STREETPROVIDENCERI02903050450569501 (C ) (3)$5,600$0PROGRAM SUPPORT
UNITED WAY OF RI
50 VALLEY STREETPROVIDENCERI02909050276059501 (C ) (3)$5,500$0PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org20Total501c3OrgCnt
Total Other Org1TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2:FormAndLineReferenceDesc
ExplanationTHE COMPANY DOES NOT ISSUE SPECIFIC GRANTS, HOWEVER, AS PART OF THE CORPORATE RESPONSIBILITY PROGRAM, DELTA DENTAL OF RHODE ISLAND SUPPORTS LOCAL CHARITABLE ORGANIZATIONS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
JOSEPH R PERRONI
PRESIDENT & CEO$531,868$0$200,910$0$17,431$0$72,376$0$21,824$0$844,409$0$0$0
THOMAS D CHASE
COO$391,471$0$93,358$0$5,920$0$54,252$0$21,801$0$566,802$0$0$0
RICHARD A FRITZ
SR VP FINANCE & CFO$380,166$0$90,317$0$11,187$0$56,064$0$21,982$0$559,716$0$0$0
WENDY DUNCAN
VP MARKETING & EXTERNAL AFFAIRS$312,841$0$72,974$0$2,976$0$44,962$0$828$0$434,581$0$0$0
JAMES T KINNEY
VP OF SALES$254,287$0$67,818$0$6,339$0$37,210$0$27,772$0$393,426$0$0$0
ELLEN M HENDRIX
AVP UNDERWRITING$220,154$0$41,429$0$2,124$0$29,004$0$27,655$0$320,366$0$0$0
ANGELO PEZZULLO
DIRECTOR MAJOR ACCOUNTS$173,699$0$17,128$0$10,845$0$23,796$0$27,518$0$252,986$0$0$0
DUANE S EASTER
DIR CORP REPORTING & FIN ANALYSIS$147,015$0$18,912$0$1,378$0$19,071$0$24,157$0$210,533$0$0$0
GEORGE J BEDARD
CONTROLLER$150,131$0$14,780$0$4,087$0$18,817$0$22,390$0$210,205$0$0$0
KELLY GERAGOTELIS
SR. DIRECTOR ACCUARIAL$136,892$0$18,484$0$2,125$0$17,179$0$26,032$0$200,712$0$0$0
MELISSA GENNARI
AVP & DIRECTOR COMPLIANCE$151,154$0$17,955$0$1,309$0$17,877$0$0$0$188,295$0$0$0
JOSEPH NAGLE
FORMER PRESIDENT & CEO (THRU 6/2019)$0$0$0$0$152,145$0$0$0$0$0$152,145$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 1AGROSS-UP PAYMENTS THE PRESIDENT'S EMPLOYMENT AGREEMENT CONTAINS PROVISIONS FOR HIM TO RECEIVE PAYMENTS SO THAT HE CAN PERSONALLY PROCURE CERTAIN FRINGE BENEFITS SUCH AS LIFE INSURANCE AND LONG TERM DISABILITY POLICIES THAT ARE OTHERWISE AVAILABLE TO ALL OTHER EMPLOYEES. THIS ADDITIONAL INCOME IS GROSSED UP TO ACCOUNT FOR THE TAX IMPACT OF THESE PAYMENTS AND THE GROSS-UP IS INCLUDED IN REPORTABLE COMPENSATION ON SCHEDULE J PART II COLUMN (B)(III). HEALTH OR SOCIAL CLUB DUES THE PRESIDENT IS A MEMBER OF A LOCAL BUSINESS CLUB. REIMBURSEMENT FOR USE OF THIS IS EXCLUSIVELY FOR OFFSITE EMPLOYEE MEETINGS AS WELL AS BUSINESS RELATED MEETINGS WITH INDIVIDUALS OUTSIDE THE COMPANY. THE COMPANY MAINTAINS STRICT POLICIES REGARDING SUBSTANTIATION AND DOCUMENTATION FOR ALL BUSINESS RELATED EXPENSES INCURRED. THIS BENEFIT IS NOT REPORTED AS TAXABLE COMPENSATION.
PART I, LINE 4BDURING THE 2022 CALENDAR YEAR, DELTA DENTAL OF RHODE ISLAND MAINTAINED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR JOSEPH R. PERRONI, THOMAS D. CHASE, RICHARD A. FRITZ, WENDY DUNCAN, AND JOSEPH NAGLE. DURING 2022 JOSEPH NAGLE RECEIVED A $152,145 DISTRIBUTION FROM THE PLAN.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BLISH & CAVANAGH
LANDRY - SECRETARY$115,892LEGAL SERVICES0
EAST BAY DENTAL ASSO INC
ENRIGHT - BOARD MEMBER$561,265DENTAL SERVICES0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSCHEDULE L PART IVFormAndLineReferenceDesc
ExplanationBUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONSTHE ORGANIZATION ENGAGES IN TRANSACTIONS WITH DENTAL PRACTICES WITH WHOM THE BOARD MEMBER IDENTIFIED ON SCHEDULE L, PART IV, LINE (2) HAS A CONTROLLING INTEREST. THE TRANSACTION IS ENTERED INTO IN THE ORDINARY COURSE OF BUSINESS AND AT FAIR MARKET VALUE. THE TRANSACTION WITH THIS ENTITY IS SUBJECT TO THE SAME PROCEDURES AND REVIEW AS ALL DENTAL PRACTICES.THE ORGANIZATION RECEIVED LEGAL SERVICES FROM THE LAW FIRM, BLISH & CAVANAGH, WITH WHOM THE SECRETARY, IDENTIFIED ON SCHEDULE L, PART IV, LINE (1), HAS A CONTROLLING INTEREST. THIS TRANSACTION IS ENTERED INTO IN THE ORDINARY COURSE OF BUSINESS AND AT FAIR MARKET VALUE.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6MEMBERS OF THE ORGANIZATION THE ORGANIZATION HAS 76 CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7AMEMBERS THAT MAY ELECT THE GOVERNING BODY THE CORPORATE MEMBERS MEET ANNUALLY TO APPROVE ANY BY-LAW CHANGES AND TO ELECT INDIVIDUALS TO THE 15 MEMBER BOARD OF DIRECTORS WHICH IS THE ORGANIZATION'S GOVERNING BODY. ALL 15 MEMBERS OF THE BOARD OF DIRECTORS ALSO SERVE AS REPRESENTATIVES OF THE CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7BDECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS THE MEMBERS OF THE CORPORATION, AT THE ANNUAL MEETING, SHALL ELECT DIRECTORS OF THE CORPORATION THAT HAVE BEEN PROPOSED BY THE BOARD OF DIRECTORS AND SHALL APPROVE AMENDMENTS OR ALTERATIONS OF THE BY-LAWS PROPOSED BY THE BOARD OF DIRECTORS
FORM 990, PART VI, SECTION B, LINE 11BFORM 990 REVIEW PROCESS THE ANNUAL FORM 990 IS PREPARED BY GRANT THORNTON LLP, THE COMPANY'S TAX ADVISOR AND INDEPENDENT AUDITOR, USING INFORMATION PROVIDED BY DELTA DENTAL OF RHODE ISLAND. AFTER PREPARATION AND REVIEW OF THE RETURN BY GRANT THORNTON, THE DRAFT IS REVIEWED BY DELTA DENTAL'S FINANCE DEPARTMENT AND MANAGEMENT, INCLUDING THE CONTROLLER, THE DIRECTOR OF FINANCE, SR VP-CFO, AND CEO AS NECESSARY. THE COMPLETE FORM 990 IS THEN PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS PRIOR TO FILING WITH THE INTERNAL REVENUE SERVICE.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY ALL W-2 EMPLOYEES, INTERNS, TEMPS, DENTAL CONSULTANTS, AND BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE REVIEW PROCESS FOR COMPLETE QUESTIONNAIRES CONTAINING DISCLOSURES IS AS FOLLOWS: FOR W-2 EMPLOYEES, INTERNS, AND TEMPS, DISCLOSURES ARE REVIEWED BY THE AVP & DIRECTOR OF COMPLIANCE AND SR VP-CFO. DISCLOSED POTENTIAL CONFLICTS ARE DISCUSSED AND MAY BE ELEVATED IN THE REVIEW PROCESS TO THE CEO AND EXTERNAL LEGAL COUNSEL FOR ADVICE. ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICIES. FOR THE CEO AND SR VP-CFO, DISCLOSURES ARE REVIEWED BY EXTERNAL LEGAL COUNSEL. LEGAL COUNSEL ADVISES OF ANY REQUIRED ACTIONS WHICH ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED STANDARDS OF CONDUCT AND BUSINESS ETHICS AND CONFLICT OF INTEREST POLICIES. FOR DENTAL CONSULTANTS, DISCLOSURES ARE REVIEWED BY THE AVP & DIRECTOR OF COMPLIANCE, THE SR VP-CFO, AND THE SR VP-COO. ALL CONFLICTS ARE DISCUSSED AND MAY BE ELEVATED TO EXTERNAL LEGAL COUNSEL FOR ADVICE. ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICIES. FOR BOARD MEMBERS, DISCLOSURES ARE REVIEWED BY EXTERNAL LEGAL COUNSEL. LEGAL COUNSEL PREPARES A WRITTEN MEMORANDUM FOR PRESENTATION TO BOARD MEMBERS WITH THE RESULTS OF THE REVIEW. ALL CONFLICTS ARE DISCUSSED AND ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICIES. IN THE CASE OF A CONFLICT, IMMEDIATE AND APPROPRIATE ACTION IS TAKEN IN ACCORDANCE WITH THE COMPANY'S POLICIES. PERSONS WITH A CONFLICT ARE RECUSED FROM DISCUSSIONS AND DO NOT VOTE ON RESOLUTIONS THAT PERTAIN DIRECTLY TO THEIR CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15COMPENSATION POLICY THE BOARD OF DIRECTORS ELECTS INDEPENDENT MEMBERS TO SERVE ON ITS COMPENSATION COMMITTEE WHICH IS RESPONSIBLE FOR SETTING THE CEO'S COMPENSATION AND APPROVING PAY RANGES FOR THE VARIOUS JOB TRACKS WITHIN THE COMPANY AS WELL AS APPROVING ANY FRINGE BENEFITS. THE COMPANY AND THE COMMITTEE ANNUALLY CONTRACT WITH INDEPENDENT COMPENSATION CONSULTANTS TO HELP DETERMINE APPROPRIATE PAY RANGES AND FRINGE BENEFITS SUCH AS HEALTH AND OTHER INSURANCES AND RETIREMENT AND OTHER BENEFITS. COMPARABLE DATA IS USED TO DETERMINE WHETHER COMPENSATION IS CONSISTENT WITH SIMILAR ORGANIZATIONS. RECOMMENDATIONS FOR THE CEO'S COMPENSATION ARE MADE BY THE COMPENSATION COMMITTEE TO THE BOARD OF DIRECTORS FOR REVIEW AND APPROVAL. THE REVIEW AND APPROVAL PROCESS IS CONTEMPORANEOUSLY DOCUMENTED IN THE MINUTES OF BOTH THE COMPENSATION COMMITTEE AND THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION C, LINE 19PUBLIC DISCLOSURE THE COMPANY'S GOVERNING DOCUMENTS, SUCH AS BYLAWS AND CORPORATE CHARTER, ARE AVAILABLE UPON REQUEST FROM THE COMPANY AND CAN ALSO BE OBTAINED FROM THE SECRETARY OF STATE'S OFFICE WITHIN THE STATE OF RHODE ISLAND. THE COMPANY'S CONFLICT OF INTEREST POLICY, AS WELL AS THE COMPANY'S AUDITED FINANCIAL STATEMENTS, ARE ALSO AVAILABLE UPON REQUEST AT THE COMPANY'S HEADQUARTERS. ADDITIONALLY, ALL STATUTORY FILINGS COMPLETED BY THE COMPANY ARE AVAILABLE THROUGH THE INSURANCE DIVISION WITHIN THE RHODE ISLAND DEPARTMENT OF BUSINESS REGULATION. THE COMPANY'S FORM 990 IS ALSO POSTED ON WWW.GUIDESTAR.ORG.
FORM 990, PART XI, LINE 9:STRATEGIC INVESTMENT FUND 1,743,290.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ALTUS REALTY INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1Txt
CityPROVIDENCECityNm
State AbbreviationRIStateAbbreviationCd
ZIP029042208ZIPCd
FieldValueIRS element (for citing)
EIN030396397EIN
Primary ActivitiesHOLDING CO.PrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd
Exempt Code Section501(C)(2)ExemptCodeSectionTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DDRIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (1)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
THE ALTUS GROUP INC
10 CHARLES STREETPROVIDENCERI02903050502610HOLDING COMPANYRIDDRIC1.00000Yes (1)
ALTUS DENTAL INC
10 CHARLES STREETPROVIDENCERI029042208050502612DENTAL NETWORKMAALTUS GROUP INCC1.00000Yes (1)
ALTUS VENTURES INC
10 CHARLES STREETPROVIDENCERI029042208465627174INVESTMENT MGMTRIALTUS GROUP INCC1.00000Yes (1)
ALTUS DENTAL INSURANCE CO INC
10 CHARLES STREETPROVIDENCERI029042208050513223INSURANCERIALTUS GROUP INCC1.00000Yes (1)
ALTUS SYSTEMS INC
10 CHARLES STREETPROVIDENCERI029042208050502611CLAIMS PROCESSINGRIALTUS GROUP INCC1.00000Yes (1)
FIRST CIRCLE INC
10 CHARLES STREETPROVIDENCERI029042208814567207SOFTWARE PLATFORMRIALTUS GROUP INCC1.00000Yes (1)
FIRST CIRCLE REALTY INC
10 CHARLES STREETPROVIDENCERI029042208832724654MGMT. PROP.RIALTUS GROUP INCC1.00000Yes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ALTUS DENTAL INC
A$57,497FMV
FIRST CIRCLE INC
A$17,158FMV
FIRST CIRCLE REALTY INC
A$3,088FMV
ALTUS REALTY INC
A$21,532FMV
ALTUS REALTY INC
K$975,555FMV
ALTUS SYSTEMS INC
L$5,140,230FMV
ALTUS DENTAL INSURANCE COMPANY INC
M$2,432,021FMV
ALTUS DENTAL INSURANCE COMPANY INC
N$476,867FMV
ALTUS DENTAL INSURANCE COMPANY INC
O$1,859,781FMV