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DELTA DENTAL OF RHODE ISLAND: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF RHODE ISLAND (EIN 05-0296998)
Tax period
2021-01-01 to 2021-12-31
Filed
2022-11-14
IRS object ID
202223189349307947
Schema version
2021v4.2
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)
Return2022-11-14T12:05:12-06:00ReturnTs
Tax Period End2021-12-31TaxPeriodEndDt

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 Begin2021-01-01TaxPeriodBeginDt

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 TitleCFO & SR VP FINANCEPersonTitleTxt
Phone4017526000PhoneNum
Signature2022-11-14SignatureDt
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

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonERIN COUTUREPreparerPersonNm
PTINP01390592PTIN
Phone6177237900PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

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$64,500,421GrossReceiptsAmt
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 Employee39TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$19,196TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$11,147NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$82,506,129PYProgramServiceRevenueAmt
CY Program Service Revenue$61,406,400CYProgramServiceRevenueAmt
PY Investment Income$1,974,423PYInvestmentIncomeAmt
CY Investment Income$2,779,972CYInvestmentIncomeAmt
PY Other Revenue$831,992PYOtherRevenueAmt
CY Other Revenue$266,911CYOtherRevenueAmt
PY Total Revenue$85,312,544PYTotalRevenueAmt
CY Total Revenue$64,453,283CYTotalRevenueAmt
PY Grants And Similar Paid$6,999,802PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$7,816,883CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$55,132,187PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$45,628,469CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,730,313PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,934,540CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,216,767PYOtherExpensesAmt
CY Other Expenses$6,806,425CYOtherExpensesAmt
PY Total Expenses$82,079,069PYTotalExpensesAmt
CY Total Expenses$71,186,317CYTotalExpensesAmt
PY Revenues Less Expenses$3,233,475PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$6,733,034CYRevenuesLessExpensesAmt
Total Assets BOY$125,837,078TotalAssetsBOYAmt
Total Assets EOY$133,512,428TotalAssetsEOYAmt
Total Liabilities BOY$16,122,980TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,208,863TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$109,714,098NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$117,303,565NetAssetsOrFundBalancesEOYAmt
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$53,445,352ExpenseAmt
Revenue$61,406,400RevenueAmt
DescDENTAL BENEFITS FOR 399,506 MEMBERS UNDER 195,960 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$8,524,990ExpenseAmt
Grant$7,816,883GrantAmt
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$61,970,342TotalProgramServiceExpensesAmt
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 Document24IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee39EmployeeCnt
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)
PersonGEORGE BEDARDPersonNm
Phone4017526240PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (31 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)$18,450$0$0
JAMES V ROSATI
VICE CHAIR1.001.00Yes (X)Yes (X)$14,400$0$0
JULIE G DUFFY
DIRECTOR1.001.00Yes (X)$10,200$0$0
DR THOMAS ENRIGHT
DIRECTOR1.001.00Yes (X)$8,400$0$0
FRANCIS J FLYNN
DIRECTOR1.001.00Yes (X)$7,800$0$0
JONATHAN W HALL
DIRECTOR1.001.00Yes (X)$12,000$0$0
EDWARD O HANDY III
DIRECTOR (THRU 04/2021)1.001.00Yes (X)$9,000$0$0
PETE HAYES
DIRECTOR1.001.00Yes (X)$9,900$0$0
JUNIOR JABBIE
DIRECTOR1.001.00Yes (X)$10,800$0$0
COLIN P KANE
DIRECTOR1.001.00Yes (X)$11,400$0$0
LINDA R MCGOLDRICK
DIRECTOR (THRU 04/2021)1.001.00Yes (X)$6,300$0$0
MARC A PAULHUS
DIRECTOR1.001.00Yes (X)$11,700$0$0
HEATHER A PROVINO
DIRECTOR1.001.00Yes (X)$10,800$0$0
EDWIN J SANTOS
DIRECTOR1.001.00Yes (X)$12,000$0$0
MARK SHAW
DIRECTOR1.001.00Yes (X)$9,000$0$0
STEVEN ISSA
DIRECTOR (AS OF 04/2021)1.001.00Yes (X)$4,200$0$0
ELIZABETH CATUCCI
DIRECTOR (AS OF 04/2021)1.001.00Yes (X)$3,600$0$0
PETER BRUNNER
DIRECTOR1.001.00Yes (X)$147,815$0$28,274
JOSEPH R PERRONI
PRESIDENT & CEO40.001.00Yes (X)$696,645$0$96,835
MELISSA GENNARI
AVP & DIRECTOR COMPLIANCE40.001.00Yes (X)$155,602$0$18,805
WILLIAM LANDRY
SECRETARY1.001.00Yes (X)$0$0$0
RICHARD A FRITZ
VP FINANCE & CFO40.001.00Yes (X)$548,759$0$74,201
GEORGE J BEDARD
CONTROLLER40.001.00Yes (X)$164,751$0$40,619
THOMAS D CHASE
COO40.000.00$560,813$0$76,527Yes (X)
WENDY DUNCAN
VP MARKETING & EXTERNAL AFFAIRS40.001.00$469,249$0$43,759Yes (X)
JAMES T KINNEY
VP OF SALES40.000.00$310,890$0$63,427Yes (X)
KELLY GERAGOTELIS
SR. DIRECTOR ACCUARIAL1.001.00$147,724$0$42,221Yes (X)
ANGELO PEZZULLO
DIRECTOR MAJOR ACCOUNTS40.000.00$193,036$0$50,855Yes (X)
ELLEN M HENDRIX
AVP UNDERWRITING40.000.00$193,573$0$48,273Yes (X)
DUANE S EASTER
DIR CORP REPORTING & FIN ANALYSIS40.001.00$154,743$0$40,403Yes (X)
JOSEPH NAGLE
FORMER PRESIDENT & CEO (THRU 06/2019)40.001.00$139,105$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,052,655TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$624,199TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K20IndivRcvdGreaterThan100KCnt
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$469,161
GRANT THORNTON LLP
124 HEBORN AVE STE 200GLASTONBURYCT06033AUDIT/TAX SERVICES$371,341
NETCENERGY LLC
231 ELM STREETWARWICKRI02888IT-CONSULTING SERVICES$354,735
DUFFY SHANLEY
10 CHARLES ST 100PROVIDENCERI02904MARKETING, PUBLIC REALATIONS$279,884
CATHEDRAL INVOICE CORPORATION
GRIFFIN TECHNOLOGY PARKROMENY13441PRINTING AND MAIL SERVICES$221,017
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K12CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREMIUMS (SEE SCHEDULE O)Desc
Business524114BusinessCd
Total Revenue Column$61,406,400TotalRevenueColumnAmt
Related Or Exempt Func Income$61,406,400RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$61,406,400TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,680,277TotalRevenueColumnAmt
Exclusion$1,680,277ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$1,146,833SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$47,138SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,099,695SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,099,695TotalRevenueColumnAmt
Exclusion$1,099,695ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INCOME FROM SUBSIDIARIES900099$166,776$19,196$147,580
OTHER INCOME900099$100,135$100,135
FieldValueIRS element (for citing)
Other Revenue Total$266,911OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$64,453,283TotalRevenueColumnAmt
Related Or Exempt Func Income$61,406,400RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$19,196UnrelatedBusinessRevenueAmt
Exclusion$3,027,687ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$7,816,883TotalAmt
Program Services$7,816,883ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$45,628,469TotalAmt
Program Services$45,628,469ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$3,292,602TotalAmt
Program Services$793,479ProgramServicesAmt
Management And General$2,499,123ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$139,105TotalAmt
Management And General$139,105ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,105,787TotalAmt
Program Services$4,689,250ProgramServicesAmt
Management And General$1,416,537ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$485,881TotalAmt
Program Services$269,942ProgramServicesAmt
Management And General$215,939ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$262,620TotalAmt
Program Services$3,240ProgramServicesAmt
Management And General$259,380ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$648,545TotalAmt
Program Services$316,638ProgramServicesAmt
Management And General$331,907ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$267,658TotalAmt
Management And General$267,658ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$321,973TotalAmt
Management And General$321,973ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$59,850TotalAmt
Program Services$59,850ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$458,887TotalAmt
Management And General$458,887ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$325,309TotalAmt
Program Services$52,415ProgramServicesAmt
Management And General$272,894ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$504,035TotalAmt
Management And General$504,035ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$530,077TotalAmt
Program Services$388,387ProgramServicesAmt
Management And General$141,690ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$999,445TotalAmt
Program Services$586,022ProgramServicesAmt
Management And General$413,423ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$91,796TotalAmt
Program Services$1,993ProgramServicesAmt
Management And General$89,803ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$500TotalAmt
Management And General$500ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$569,377TotalAmt
Management And General$569,377ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$285,959TotalAmt
Management And General$285,959ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL & MAIN$1,360,938$1,360,938
BOARD & ASSOCIATION FEE$629,085$1,377$627,708
LICENSE & FEES$33,480$33,480
INCOME TAX$10,779$10,779

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$357,277TotalAmt
Program Services$1,459ProgramServicesAmt
Management And General$355,818ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$71,186,317TotalAmt
Program Services$61,970,342ProgramServicesAmt
Management And General$9,215,975ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$250BOYAmt
EOY$249EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$1,414,173BOYAmt
EOY$8,958,224EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$5,807,505BOYAmt
EOY-$420,769EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,356,755BOYAmt
EOY$5,862,429EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,913,359LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$13,129,764LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,211,070BOYAmt
EOY$783,595EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$83,364,400BOYAmt
EOY$82,746,544EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$26,157,662BOYAmt
EOY$35,137,723EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$525,263BOYAmt
EOY$444,433EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$125,837,078BOYAmt
EOY$133,512,428EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,575,507BOYAmt
EOY$11,733,694EOYAmt

Deferred Revenue DeferredRevenueGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$4,547,473BOYAmt
EOY$4,475,169EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,122,980BOYAmt
EOY$16,208,863EOYAmt
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$109,714,098BOYAmt
EOY$117,303,565EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$109,714,098BOYAmt
EOY$117,303,565EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$125,837,078BOYAmt
EOY$133,512,428EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$6,733,034ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$12,794,995NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$1,527,506OtherChangesInNetAssetsAmt
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$3,183,242OtherCostOrOtherBasisAmt
Depreciation$2,881,574DepreciationAmt
Book Value$301,668BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,366,315OtherCostOrOtherBasisAmt
Depreciation$6,957,190DepreciationAmt
Book Value$409,125BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,363,802OtherCostOrOtherBasisAmt
Depreciation$3,291,000DepreciationAmt
Book Value$72,802BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$783,595TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUBSIDIARIES$19,465,026C
INVESTMENT - OTHER$15,672,697F
FieldValueIRS element (for citing)
Total Book Value Securities$35,137,723TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
UNEARNED SUBSCRIPTIONS$1,888,123
ACCRUED FOR DENTIAL CLAIMS EXPENSE$1,832,000
ADVANCED DEPOSITS$482,246
ACCRUED FOR CLAIMS HANDLING EXP$272,800
FieldValueIRS element (for citing)
Total Liability$4,475,169TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationASC 470 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, 2021 AND 2020, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (24 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
RHODE ISLAND FOUNDATION
ONE UNION STATIONPROVIDENCERI02914222604963501 (C ) (3)$7,520,000$0PROGRAM SUPPORT
UNITED WAY OF RI
50 VALLEY STREETPROVIDENCERI02909050276059501 (C ) (3)$50,520$0PROGRAM SUPPORT
CROSSROAD RHODE ISLAND
160 BROAD STREETPROVIDENCERI02903050259094501 (C ) (3)$28,050$0PROGRAM SUPPORT
MAKE A WISH FOUNDATION OF MA & RI
133 FEDERAL STREET 2ND FLOORBOSTONMA02110222867371501 (C ) (3)$22,025$0PROGRAM SUPPORT
SAN MIGUEL SCHOOL
525 BRANCH AVENUEPROVIDENCERI02904223232973501 (C ) (3)$14,553$0PROGRAM SUPPORT
RI COMMUNITY FOOD BANK
200 NIANTIC AVEPROVIDENCERI02907050395601501 (C ) (3)$13,985$0PROGRAM SUPPORT
AMOS HOUSE
415 FRIENDSHIP STREETPROVIDENCERI02907050387218501 (C ) (3)$12,000$0PROGRAM SUPPORT
RI HOSPITAL FOUNDATION
167 POINT STREETPROVIDENCERI02903050468736501 (C ) (3)$12,000$0PROGRAM SUPPORT
SPECIAL OLYMPICS RHODE ISLAND
370 GEORGE WASHINGTON HIGHWAYSMTHFIELDRI02917050377867501 (C ) (3)$11,650$0PROGRAM SUPPORT
SALVE REGINE UNIVERSITY
100 OCHRE POINT AVENEWPORTRI02840050259080501 (C ) (3)$10,000$0PROGRAM SUPPORT
MCAULEY MINISTRIES
622 ELMWOOD AVEPROVIDENCERI02907050440470501 (C ) (3)$9,600$0PROGRAM SUPPORT
BRYANT UNIVERSITY
1150 DOUGLAS PIKEL BOX 40SMITHFIELDRI02917050258810501 (C ) (3)$9,500$0PROGRAM SUPPORT
UNITED WAY OF RI
50 VALLEY STREETWARWICKRI02909050276059501 (C ) (3)$8,712$0PROGRAM SUPPORT
JUNIOR ACHIEVEMENT
57 GREENE STREETWARWICKRI02886050263443501 (C ) (3)$7,500$0PROGRAM SUPPORT
MIRIAM HOSPITAL FOUNDATION
DEVELOPMENT OFFICE PO BOX HPROVIDENCERI02901050377502501 (C ) (3)$7,500$0PROGRAM SUPPORT
RHODE ISLAND FREE CLINIC
655 BROAD STREETPROVIDENCERI02907050501276501 (C ) (3)$6,774$0PROGRAM SUPPORT
ALS ASSOCIATION
2374 POST RD STE 103WARWICKRI02886050460482501 (C ) (3)$6,530$0PROGRAM SUPPORT
FAMILY SERVICE OF RI
55 HOPE STREETPROVIDENCERI029046688050258858501 (C ) (3)$6,528$0PROGRAM SUPPORT
OCEAN STATE JOB LOT CHARITABLE
375 COMMERCE PARK RD NKINGSTOWNRI02852200959438501 (C ) (3)$6,000$0PROGRAM SUPPORT
CHILDREN'S FRIEND & SERVICE
153 SUMMER STREETPROVIDENCERI02903050258819501 (C ) (3)$5,733$0PROGRAM SUPPORT
DENTAL LIFELINE NETWORK
1800 15TH STREET SUITE 100DENVERCO80202846129064501 (C ) (3)$5,500$0PROGRAM SUPPORT
GIRL SCOUTS OF SOUTHEASTERN NE
500 GREENWICH AVENUEWARWICKRI02886050300724501 (C ) (3)$5,050$0PROGRAM SUPPORT
TOMORROW FUND
593 EDDY STREETPROVIDENCERI02903050450569501 (C ) (3)$5,050$0PROGRAM SUPPORT
YMCA OF GREATER PROVIDENCE
371 PINE STREETPROVIDENCERI02903050258878501 (C ) (3)$5,050$0PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org24Total501c3OrgCnt

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 (13 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$506,979$0$161,284$0$28,382$0$72,569$0$24,266$0$793,480$0$0$0
THOMAS D CHASE
COO$379,735$0$177,288$0$3,790$0$56,766$0$19,761$0$637,340$0$0$0
RICHARD A FRITZ
VP FINANCE & CFO$368,812$0$174,334$0$5,613$0$53,918$0$20,283$0$622,960$0$0$0
WENDY DUNCAN
VP MARKETING & EXTERNAL AFFAIRS$305,825$0$160,520$0$2,904$0$42,931$0$828$0$513,008$0$0$0
JAMES T KINNEY
VP OF SALES$249,286$0$55,147$0$6,457$0$36,803$0$26,624$0$374,317$0$0$0
ANGELO PEZZULLO
DIRECTOR MAJOR ACCOUNTS$169,935$0$14,652$0$8,449$0$23,043$0$27,812$0$243,891$0$0$0
ELLEN M HENDRIX
AVP UNDERWRITING$172,602$0$19,349$0$1,622$0$22,646$0$25,627$0$241,846$0$0$0
GEORGE J BEDARD
CONTROLLER$146,859$0$13,927$0$3,965$0$18,158$0$22,461$0$205,370$0$0$0
DUANE S EASTER
DIR CORP REPORTING & FIN ANALYSIS$140,494$0$13,552$0$697$0$18,102$0$22,301$0$195,146$0$0$0
KELLY GERAGOTELIS
SR. DIRECTOR ACCUARIAL$133,069$0$14,015$0$640$0$16,321$0$25,900$0$189,945$0$0$0
PETER BRUNNER
DIRECTOR$134,891$0$12,646$0$278$0$16,338$0$11,936$0$176,089$0$0$0
MELISSA GENNARI
AVP & DIRECTOR COMPLIANCE$141,306$0$13,036$0$1,260$0$16,745$0$2,060$0$174,407$0$0$0
JOSEPH NAGLE
FORMER PRESIDENT & CEO (THRU 06/2019$0$0$0$0$139,105$0$0$0$0$0$139,105$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 2021 CALENDAR YEAR, DELTA DENTAL OF RHODE ISLAND MAINTIANED A SUPPLEMENTAL NON-QUALIFIED DEFERRED COMPENSATION PLAN FOR JOSEPH NAGLE. DURING 2021 JOSEPH NAGLE RECEIVED A $139,105 DISTRIBUTION FROM THE PLAN.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BLISH & CAVANAGH
LANDRY - SECRETARY$161,564LEGAL SERV0
EAST BAY DENTAL ASSO INC
ENRIGHT - BOARD MEM$625,890DENTAL SERV0

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 (9 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, 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:OTHER CHANGES IN NET ASSETS OR FUND BALANCES REPRESENTS AN ADJUSTMENT FOR INCOME AND OVERACCRUED EXPENSES RELATED TO JOINT VENTURES WITH OTHER DELTA PLANS. 1,527,506.
COVID-19 PANDEMICTHE COVID-19 PANDEMIC HAS HAD AN IMPACT ON THE COMPANY DURING 2020 AND 2021. IN 2020, THE DELTA VARIANT BEING A PROBLEMATIC NEW ISSUE WHICH WAS FOLLOWED BY THE OMICRON VARIANT IN 2021. THE COMPANY TOOK A NUMBER OF MEASURES TO MONITOR AND MITIGATE THE EFFECTS OF COVID-19, SUCH AS SAFETY AND HEALTH MEASURES FOR ITS PEOPLE INCLUDING SOCIAL DISTANCING AND WORKING FROM HOME. THE IMPACT TO DATE ON THE COMPANY'S BUSINESS AND RESULTS OF OPERATIONS HAS NOT BEEN MATERIALLY NEGATIVE, HOWEVER, FUTURE IMPACTS CONTINUE TO REMAIN UNCERTAIN.

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
Public Charity StatusN/APublicCharityStatusTxt

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 TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
THE ALTUS GROUP INC
10 CHARLES STREETPROVIDENCERI02903050502610HOLDING COMPANYRIDDRIC$92,189,292$123,959,0031.00000Yes (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$88,370FMV
FIRST CIRCLE INC
A$11,632FMV
FIRST CIRCLE REALTY INC
A$7,174FMV
ALTUS REALTY INC
A$7,014FMV
ALTUS REALTY INC
K$999,445FMV
ALTUS SYSTEMS INC
L$5,187,147FMV
ALTUS DENTAL INSURANCE COMPANY INC
M$2,107,405FMV
ALTUS DENTAL INSURANCE COMPANY INC
N$397,624FMV
ALTUS DENTAL INSURANCE COMPANY INC
O$1,471,207FMV