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DELTA DENTAL OF RHODE ISLAND: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF RHODE ISLAND (EIN 05-0296998)
Tax period
2020-01-01 to 2020-12-31
Filed
2021-11-15
IRS object ID
202123199349300232
Schema version
2020v4.1
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)
Return2021-11-15T09:01:53-06:00ReturnTs
Tax Period End2020-12-31TaxPeriodEndDt

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 Begin2020-01-01TaxPeriodBeginDt

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
Signature2021-11-15SignatureDt
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)
Tax2020TaxYr
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$105,709,504GrossReceiptsAmt
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 Employee50TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$11,284TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$4,880NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$117,348,071PYProgramServiceRevenueAmt
CY Program Service Revenue$82,506,129CYProgramServiceRevenueAmt
PY Investment Income$2,164,559PYInvestmentIncomeAmt
CY Investment Income$1,974,423CYInvestmentIncomeAmt
PY Other Revenue$140,720PYOtherRevenueAmt
CY Other Revenue$831,992CYOtherRevenueAmt
PY Total Revenue$119,653,350PYTotalRevenueAmt
CY Total Revenue$85,312,544CYTotalRevenueAmt
PY Grants And Similar Paid$3,626,179PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$6,999,802CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$92,152,879PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$55,132,187CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$12,707,005PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$12,730,313CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$7,133,448PYOtherExpensesAmt
CY Other Expenses$7,216,767CYOtherExpensesAmt
PY Total Expenses$115,619,511PYTotalExpensesAmt
CY Total Expenses$82,079,069CYTotalExpensesAmt
PY Revenues Less Expenses$4,033,839PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$3,233,475CYRevenuesLessExpensesAmt
Total Assets BOY$129,957,737TotalAssetsBOYAmt
Total Assets EOY$125,837,078TotalAssetsEOYAmt
Total Liabilities BOY$25,939,145TotalLiabilitiesBOYAmt
Total Liabilities EOY$16,122,980TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$104,018,592NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$109,714,098NetAssetsOrFundBalancesEOYAmt
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$62,431,989ExpenseAmt
Revenue$82,506,129RevenueAmt
DescDENTAL BENEFITS FOR 424,726 MEMBERS UNDER 210,946 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$8,725,831ExpenseAmt
Grant$6,999,802GrantAmt
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$71,157,820TotalProgramServiceExpensesAmt
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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee50EmployeeCnt
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 PymtYes (1)SubjToTaxRmnrtnExPrchtPymtInd
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 (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndIndividual Trustee Or DirectorIndividualTrusteeOrDirectorInd
JOSEPH NAGLE THRU 062019
FORMER PRESIDENT & CEO40.001.00Yes (X)$1,467,903$0$5,579
JOSEPH R PERRONI
PRESIDENT & CEO40.001.00$633,994$0$80,686Yes (X)
THOMAS D CHASE
COO40.000.00$0$472,076$69,329Yes (X)
RICHARD A FRITZ
VP FINANCE & CFO40.001.00$453,969$0$67,488Yes (X)
WENDY DUNCAN
VP MARKETING & EXTERNAL AFFAIRS40.000.00$340,966$0$45,186Yes (X)
JAMES T KINNEY
DIRECTOR OF SALES40.000.00$283,837$0$53,643Yes (X)
ANGELO PEZZULLO
DIRECTOR MAJOR ACCOUNTS40.000.00$226,051$0$45,955Yes (X)
ELLEN M HENDRIX
AVP UNDERWRITING40.000.00$188,019$0$43,895Yes (X)
GEORGE J BEDARD
CONTROLLER40.001.00$164,374$0$36,448Yes (X)
DUANE S EASTER
DIR CORP REPORTING & FIN ANALYSIS40.001.00$158,004$0$41,300Yes (X)
SHAUNA FONTAINE
DIRECTOR- DELTA DENTAL SALES40.000.00$159,230$0$34,990Yes (X)
KELLY GERAGOTELIS
SR. DIRECTOR ACCUARIAL40.000.00$147,269$0$37,740Yes (X)
MELISSA GENNARI
AVP & DIRECTOR COMPLIANCE40.001.00$161,944$0$20,042Yes (X)
JOHN T RUGGIERI
CHAIR1.001.00$18,450$0$0Yes (X)Yes (X)
JAMES V ROSATI
VICE CHAIR1.001.00$14,400$0$0Yes (X)Yes (X)
EDWARD O HANDY III
DIRECTOR1.001.00$13,200$0$0Yes (X)
EDWIN J SANTOS
DIRECTOR1.001.00$12,000$0$0Yes (X)
JULIE G DUFFY
DIRECTOR1.001.00$11,400$0$0Yes (X)
JONATHAN W HALL
DIRECTOR1.001.00$11,400$0$0Yes (X)
JUNIOR JABBIE
DIRECTOR1.001.00$11,400$0$0Yes (X)
COLIN P KANE
DIRECTOR1.001.00$11,400$0$0Yes (X)
MARK A PAULHUS
DIRECTOR1.001.00$10,800$0$0Yes (X)
HEATHER A PROVINO
DIRECTOR1.001.00$10,800$0$0Yes (X)
PETE HAYES
DIRECTOR1.001.00$9,900$0$0Yes (X)
LINDA R MCGOLDRICK
DIRECTOR1.001.00$9,000$0$0Yes (X)
MARK SHAW
DIRECTOR1.001.00$9,000$0$0Yes (X)
FRANCIS J FLYNN
DIRECTOR1.001.00$8,550$0$0Yes (X)
DR THOMAS ENRIGHT
DIRECTOR1.001.00$8,400$0$0Yes (X)
WILLIAM LANDRY
SECRETARY1.001.00$0$0$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$4,555,660TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$472,076TotReportableCompRltdOrgAmt
Total Other Compensation$582,281TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K32IndivRcvdGreaterThan100KCnt
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$774,779
GRANT THORNTON LLP
124 HEBORN AVE STE 200GLASTONBURYCT06033AUDIT/TAX SERVICES$372,438
NETCENERGY LLC
231 ELM STREETWARWICKRI02888IT - CONSULTING SERVICE$310,907
CATHEDRAL CORPORATION
GRIFFIN TECHNOLOGY PARKROMENY13441PRINTING & MAIL SERVICES$225,699
EUSTACE CONSULTING
600 PLEASANT STWATERTOWNMA02472IT PRODUCT DEV.$217,000
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$82,506,129TotalRevenueColumnAmt
Related Or Exempt Func Income$82,506,129RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$82,506,129TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,989,362TotalRevenueColumnAmt
Exclusion$1,989,362ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$20,382,021SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$20,396,960SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities-$14,939SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$14,939TotalRevenueColumnAmt
Exclusion-$14,939ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
INCOME FROM SUBSIDIARIES900099$732,792$11,284$721,508
OTHER INCOME900099$99,200$99,200
FieldValueIRS element (for citing)
Other Revenue Total$831,992OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$85,312,544TotalRevenueColumnAmt
Related Or Exempt Func Income$82,506,129RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$11,284UnrelatedBusinessRevenueAmt
Exclusion$2,795,131ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$6,999,802TotalAmt
Program Services$6,999,802ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$55,132,187TotalAmt
Program Services$55,132,187ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,512,676TotalAmt
Program Services$714,680ProgramServicesAmt
Management And General$1,797,996ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,473,482TotalAmt
Management And General$1,473,482ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$6,099,126TotalAmt
Program Services$5,022,593ProgramServicesAmt
Management And General$1,076,533ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,574,111TotalAmt
Program Services$288,032ProgramServicesAmt
Management And General$1,286,079ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$363,094TotalAmt
Program Services$48,312ProgramServicesAmt
Management And General$314,782ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$707,824TotalAmt
Program Services$338,913ProgramServicesAmt
Management And General$368,911ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$143,441TotalAmt
Management And General$143,441ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$352,649TotalAmt
Management And General$352,649ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$63,000TotalAmt
Program Services$63,000ProgramServicesAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$454,205TotalAmt
Management And General$454,205ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$756,353TotalAmt
Program Services$53,887ProgramServicesAmt
Management And General$702,466ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$339,891TotalAmt
Management And General$339,891ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$466,876TotalAmt
Program Services$379,360ProgramServicesAmt
Management And General$87,516ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,014,272TotalAmt
Program Services$567,414ProgramServicesAmt
Management And General$446,858ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$131,131TotalAmt
Program Services$4,581ProgramServicesAmt
Management And General$126,550ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$340TotalAmt
Management And General$340ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$534,641TotalAmt
Management And General$534,641ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$210,656TotalAmt
Management And General$210,656ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL & MAIN$1,542,877$1,542,877
BOARD & ASSOCIATION FEE$432,661$432,661
FACILITIES EXPENSE$79,808$79,808
LICENSE & FEES$34,205$1,055$33,150

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$659,761TotalAmt
Program Services$1,127ProgramServicesAmt
Management And General$658,634ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$82,079,069TotalAmt
Program Services$71,157,820ProgramServicesAmt
Management And General$10,921,249ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$8,312,406BOYAmt
EOY$1,414,173EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$9,291,445BOYAmt
EOY$5,807,505EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,748,303BOYAmt
EOY$7,356,755EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$13,771,458LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$12,560,388LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,231,101BOYAmt
EOY$1,211,070EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$81,543,267BOYAmt
EOY$83,364,400EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$25,240,512BOYAmt
EOY$26,157,662EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$590,453BOYAmt
EOY$525,263EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$129,957,737BOYAmt
EOY$125,837,078EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$19,610,196BOYAmt
EOY$11,575,507EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,328,949BOYAmt
EOY$4,547,473EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$25,939,145BOYAmt
EOY$16,122,980EOYAmt
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$104,018,592BOYAmt
EOY$109,714,098EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$104,018,592BOYAmt
EOY$109,714,098EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$129,957,737BOYAmt
EOY$125,837,078EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$3,233,475ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$1,775,447NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$686,584OtherChangesInNetAssetsAmt
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$3,166,458OtherCostOrOtherBasisAmt
Depreciation$2,785,833DepreciationAmt
Book Value$380,625BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,271,198OtherCostOrOtherBasisAmt
Depreciation$6,584,724DepreciationAmt
Book Value$686,474BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,333,802OtherCostOrOtherBasisAmt
Depreciation$3,189,831DepreciationAmt
Book Value$143,971BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,211,070TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUBSIDIARIES$19,465,026C
INVESTMENT - OTHER$6,692,636F
FieldValueIRS element (for citing)
Total Book Value Securities$26,157,662TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CLAIMS INCURRED BUT UNPAID$2,130,000
ADVANCED SUBSCRIBER PREMIUMS$1,459,235
SUBSCRIBER DEPOSITS$613,866
ACCRUED CLAIMS ADJUSTMENT EXPENSE$344,372
FieldValueIRS element (for citing)
Total Liability$4,547,473TotalLiabilityAmt
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, 2020 AND 2019, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS.ExplanationTxt

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (18 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
RHODE ISLAND FOUNDATION
ONE UNION STATIONPROVIDENCERI02914222604963501 (C) (3)$6,033,300PROGRAM SUPPORT
TUFTS UNIVERSITY
BALLOU HALMEDFORDMA02155042103634501 (C) (3)$500,000PROGRAM SUPPORT
COMMUNITY PREPARATORY SCHOOL
135 PRAIRIE AVEPROVIDENCERI02905222485332501 (C) (3)$100,000PROGRAM SUPPORT
UNITED WAY OF RI
50 VALLEY STREETPROVIDENCERI02909050276059501 (C) (3)$73,424PROGRAM SUPPORT
CROSSROADS RHODE ISLAND
160 BROAD STREETPROVIDENCERI02903050259094501 (C) (3)$27,100PROGRAM SUPPORT
RI COMMUNITY FOOD BANK
200 NIANTIC AVEPROVIDENCERI02907050395601501 (C) (3)$21,015PROGRAM SUPPORT
FAMILY SERVICE OF RI
55 HOPE STREETPROVIDENCERI02904050258858501 (C) (3)$20,334PROGRAM SUPPORT
SAN MIGUEL SCHOOL
525 BRANCH AVENUEPROVIDENCERI02904223232973501 (C) (3)$17,750PROGRAM SUPPORT
SALVE REGINA UNIVERSITY
100 OCHRE POINT AVENEWPORTRI02840050259080501 (C) (3)$16,050PROGRAM SUPPORT
RI HOSPITAL FOUNDATION
167 POINT STREETPROVIDENCERI02903050468736501 (C) (3)$14,000PROGRAM SUPPORT
MAKE A WISH FOUNDATION OF MA AND RI
133 FEDERAL STREET 2ND FLOORBOSTONMA02110222867371501 (C) (3)$13,925PROGRAM SUPPORT
PROVIDENCE COLLEGE
1 CUNNING SQUAREPROVIDENCERI02908050258932501 (C) (3)$11,500PROGRAM SUPPORT
SPECIAL OLYMPICS RHODE ISLAND
370 GEORGE WASHINGTON HIGHWAYSMTHFIELDRI02917050377867501 (C) (3)$10,500PROGRAM SUPPORT
AMERICAN HEART ASSOCIATION
ONE STATE STREET SUITE 200PROVIDENCERI02908474719982501 (C) (3)$10,325PROGRAM SUPPORT
AMOS HOUSE
415 FRIENDSHIP STREETPROVIDENCERI02907050387218501 (C) (3)$10,000PROGRAM SUPPORT
JUNIOR ACHIEVEMENT
57 GREENE STREETWARWICKRI02886050263443501 (C) (3)$9,000PROGRAM SUPPORT
JEFFREY OSBORNE CELEBRITY CLASSIC
P O BOX 27815PROVIDENCERI02907050510492501 (C) (3)$7,500PROGRAM SUPPORT
THE GREATER PROVIDENCE CHAMBER
30 EXCHANGE TERRACEPROVIDENCERI02903050203250501 (C) (3)$6,700PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org18Total501c3OrgCnt

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 Plan0SupplementalNonqualRtrPlanInd
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 NAGLE THRU 062019
FORMER PRESIDENT & CEO$35,207$0$250,735$0$1,181,961$0$4,301$0$1,278$0$1,473,482$0$0$0
JOSEPH R PERRONI
PRESIDENT & CEO$500,329$0$117,016$0$16,649$0$56,770$0$23,916$0$714,680$0$0$0
THOMAS D CHASE
COO$0$387,165$0$81,064$0$3,847$0$51,740$0$17,589$0$541,405$0$0
RICHARD A FRITZ
VP FINANCE & CFO$373,870$0$74,435$0$5,664$0$49,269$0$18,219$0$521,457$0$0$0
WENDY DUNCAN
VP MARKETING & EXTERNAL AFFAIRS$309,807$0$29,581$0$1,578$0$42,827$0$2,359$0$386,152$0$0$0
JAMES T KINNEY
DIRECTOR OF SALES$250,698$0$26,463$0$6,676$0$24,383$0$29,260$0$337,480$0$0$0
ANGELO PEZZULLO
DIRECTOR MAJOR ACCOUNTS$173,038$0$44,542$0$8,471$0$22,574$0$23,381$0$272,006$0$0$0
ELLEN M HENDRIX
AVP UNDERWRITING$169,374$0$17,069$0$1,576$0$21,928$0$21,967$0$231,914$0$0$0
GEORGE J BEDARD
CONTROLLER$149,400$0$12,900$0$2,074$0$17,752$0$18,696$0$200,822$0$0$0
DUANE S EASTER
DIR CORP REPORTING & FIN ANALYSIS$142,650$0$14,653$0$701$0$17,664$0$23,636$0$199,304$0$0$0
SHAUNA FONTAINE
DIRECTOR- DELTA DENTAL SALES$128,828$0$24,354$0$6,048$0$15,252$0$19,738$0$194,220$0$0$0
KELLY GERAGOTELIS
SR. DIRECTOR ACCUARIAL$133,653$0$12,975$0$641$0$16,011$0$21,729$0$185,009$0$0$0
MELISSA GENNARI
AVP & DIRECTOR COMPLIANCE$148,520$0$12,744$0$680$0$17,021$0$3,021$0$181,986$0$0$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 1AFormAndLineReferenceDesc
ExplanationGROSS-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.ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
BLISH & CAVANAGH
LANDRY - SECRETARY$150,199LEGAL SERV0
EAST BAY DENTAL ASSO INC
ENRIGHT - BOARD MEMBER$591,922DENTAL 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. 686,584.
COVID-19 PANDEMICTHE COVID-19 PANDEMIC HAS DEVELOPED RAPIDLY IN 2020, WITH A SIGNIFICANT NUMBER OF CASES. MEASURES TAKEN BY VARIOUS GOVERNMENTS TO CONTAIN THE VIRUS HAVE AFFECTED ECONOMIC ACTIVITY. ON MARCH 29, 2020, THE GOVERNOR OF THE STATE OF RHODE ISLAND ISSUED A "STAY AT HOME ORDER, REQUIRING THAT ALL EMPLOYEES WHO COULD WORK FROM HOME DO SO, AS WELL AS THE TEMPORARY CLOSURE OF ALL NON-ESSENTIAL BUSINESSES AND OPERATIONS. ALMOST ALL BUSINESSES HAVE NOW RE-OPENED, ALBEIT UNDER TIGHT RESTRICTIONS THAT IN MANY CASES HAMPER A COMPANY'S ABILITY TO OPERATE AT PRE-COVID LEVELS. THE COMPANY HAS TAKEN 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. AT THIS STAGE, THE IMPACT ON THE COMPANY'S BUSINESS AND RESULTS HAS NOT BEEN SIGNIFICANT. THE EXTENT OF THE ONGOING IMPACT OF THE COVID-19 OUTBRAK ON THE COMPANY'S OPERATIONAL AND FINANCIAL PERFORMANCE WILL CONTINUE TO BE DEPENDENT ON CERTAIN DEVELOPMENTS, INCLUDING THE DURATION AND SPREAD OF THE OUTBREAK, HOW QUICKLY VACCINES CAN BE DISTRIBUTED, THE IMPACT ON THE COMPANY'S CUSTOMERS, EMPLOYEES AND VENDORS, AND THE PERFORMANCE OF ITS INVESTMENT PORTFOLIO, ALL OF WHICH REMAIN UNPREDICTABLE AT THIS TIME. THE COMPANY'S INVESTMENT PORTFOLIO, WHICH IS COMPRISED OF BOND AND EQUITY SECURITIES, IS SUBJECT TO CREDIT RISKS RELATED TO THE UNDERLYING ISSUERS OF SUCH SECURITIES, AS WELL AS BROADER MARKET PERFORMANCE. THE COMPANY WILL CONTINUE TO FOLLOW THE VARIOUS GOVERNMENT POLICIES AND ADVICE AND, IN PARALLEL, WILL DO ITS UTMOST TO CONTINUE ITS OPERATIONS IN THE BEST AND SAFEST WAY POSSIBLE WITHOUT JEOPARDIZING THE HEALTH OF ITS PEOPLE.

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$82,994,450$125,351,8771.00000Yes (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 INSURANCE COMPANY INC
N$362,839FMV
ALTUS DENTAL INC
A$88,800FMV
ALTUS REALTY INC
A$8,362FMV
ALTUS REALTY INC
K$1,014,272FMV
FIRST CIRCLE REALTY INC
A$6,661FMV
ALTUS SYSTEMS INC
L$5,577,266FMV
ALTUS DENTAL INSURANCE COMPANY INC
M$1,523,922FMV
ALTUS DENTAL INSURANCE COMPANY INC
O$1,741,625FMV
FIRST CIRCLE INC
A$4,623FMV