DELTA DENTAL OF RHODE ISLAND: Form 990, tax year 2019
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF RHODE ISLAND (EIN 05-0296998)
- Tax period
- 2019-01-01 to 2019-12-31
- Filed
- 2020-11-13
- IRS object ID
- 202003189349305940
- Schema version
- 2019v5.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2020-11-13T11:59:28-06:00 | ReturnTs |
| Tax Period End | 2019-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GRANT THORNTON LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 75 State Street | AddressLine1Txt |
| City | Boston | CityNm |
| State Abbreviation | MA | StateAbbreviationCd |
| ZIP | 02109 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2019-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050296998 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Delta Dental of Rhode Island | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % GEORGE BEDARD | InCareOfNm |
| Business Name Control | DELT | BusinessNameControlTxt |
| Phone | 4017526000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Charles Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | RICHARD A FRITZ | PersonNm |
| Person Title | CFO & SR VP Finance | PersonTitleTxt |
| Phone | 4017526000 | PhoneNum |
| Signature | 2020-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Erin COUTURE | PreparerPersonNm |
| PTIN | P01390592 | PTIN |
| Phone | 6177237900 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 71.232.176.125 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Federal Original Submission Id | 04586620203185000022 | FederalOriginalSubmissionId |
| Federal Original Submission Id | 2020-11-13 | FederalOriginalSubmissionIdDt |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | F8E25777DF00157D73DA55E6CE52E42E1968B2B6 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | D630D68E957553469DE07FA9F3B9F7290754183B | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2019 | TaxYr |
| Build TS | 2021-04-22 16:20:28Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | Joseph R Perroni | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Charles Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $136,235,976 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c | Yes (X) | Organization501cInd |
| Website Address | www.deltadentalri.com | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1959 | FormationYr |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Activity Or Mission | TO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 59 | TotalEmployeeCnt |
| Total Volunteers | 0 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $0 | PYContributionsGrantsAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $205,401,185 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $117,348,071 | CYProgramServiceRevenueAmt |
| PY Investment Income | $2,191,006 | PYInvestmentIncomeAmt |
| CY Investment Income | $2,164,559 | CYInvestmentIncomeAmt |
| PY Other Revenue | $168,957 | PYOtherRevenueAmt |
| CY Other Revenue | $140,720 | CYOtherRevenueAmt |
| PY Total Revenue | $207,761,148 | PYTotalRevenueAmt |
| CY Total Revenue | $119,653,350 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $561,225 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $3,626,179 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $183,141,875 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $92,152,879 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $11,941,359 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $12,707,005 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $7,156,251 | PYOtherExpensesAmt |
| CY Other Expenses | $7,133,448 | CYOtherExpensesAmt |
| PY Total Expenses | $202,800,710 | PYTotalExpensesAmt |
| CY Total Expenses | $115,619,511 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $4,960,438 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,033,839 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $118,476,917 | TotalAssetsBOYAmt |
| Total Assets EOY | $129,957,737 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $22,860,154 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $25,939,145 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $95,616,763 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $104,018,592 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR 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 Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $95,779,059 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $117,348,071 | RevenueAmt |
| Desc | DENTAL BENEFITS FOR 581,693 MEMBERS UNDER 285,096 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $9,185,026 | ExpenseAmt |
| Grant | $3,626,179 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | AT 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $104,964,085 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | false | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 16 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 59 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | GEORGE BEDARD | PersonNm |
| Phone | 4017526240 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHARLES STREET | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 02904 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd |
|---|---|---|---|---|---|---|---|---|---|
| Joseph Nagle THRU 06 | |||||||||
| FORMER CEO & President | 40.0 | 1.0 | Yes (X) | $1,086,822 | $0 | $79,475 | |||
| Joseph Perroni | |||||||||
| CEO & PRESIDENT (AS OF 7/2019) | 40.0 | 1.0 | Yes (X) | $473,830 | $0 | $63,296 | |||
| Thomas Chase | |||||||||
| SR VP & COO | 40.0 | 0.0 | $0 | $438,289 | $62,281 | Yes (X) | |||
| Richard Fritz | |||||||||
| CFO & SR VP Finance | 40.0 | 1.0 | Yes (X) | $403,352 | $0 | $61,267 | |||
| Wendy Duncan | |||||||||
| VP - Chief Marketing officer | 40.0 | 0.0 | $338,624 | $0 | $37,705 | Yes (X) | |||
| Angelo Pezzulo | |||||||||
| Director Major Accounts | 40.0 | 0.0 | $201,087 | $0 | $47,117 | Yes (X) | |||
| Ellen Hendrix | |||||||||
| AVP Underwriting | 40.0 | 0.0 | $174,912 | $0 | $47,154 | Yes (X) | |||
| Timothy Fitzgibbons | |||||||||
| Sr. Director Actuarial | 40.0 | 0.0 | $186,534 | $0 | $34,474 | Yes (X) | |||
| George Bedard | |||||||||
| Controller | 40.0 | 1.0 | Yes (X) | $153,915 | $0 | $41,352 | |||
| Duane Easter | |||||||||
| Director of Corp Reporting | 40.0 | 0.0 | $149,070 | $0 | $42,490 | Yes (X) | |||
| Shauna Fontaine | |||||||||
| DIRECTOR - Delta Dental Sales | 40.0 | 0.0 | $147,598 | $0 | $38,442 | Yes (X) | |||
| Melissa Gennari | |||||||||
| AVP & director Compliance | 40.0 | 1.0 | Yes (X) | $147,647 | $0 | $19,293 | |||
| JOHN T RUGGIERI | |||||||||
| Chair | 1.0 | 1.0 | Yes (X) | $21,450 | $0 | $0 | Yes (X) | ||
| Edward O Handy III | |||||||||
| Director | 1.0 | 1.0 | $15,600 | $0 | $0 | Yes (X) | |||
| Edwin J Santos | |||||||||
| Director | 1.0 | 1.0 | $15,000 | $0 | $0 | Yes (X) | |||
| James V Rosati | |||||||||
| Director | 1.0 | 1.0 | $13,200 | $0 | $0 | Yes (X) | |||
| Joseph J MarcAurele | |||||||||
| Vice Chair (THRU 04/2019) | 1.0 | 1.0 | Yes (X) | $12,750 | $0 | $0 | Yes (X) | ||
| Colin P Kane | |||||||||
| Director | 1.0 | 1.0 | $12,600 | $0 | $0 | Yes (X) | |||
| Jonathan W Hall | |||||||||
| Director | 1.0 | 1.0 | $12,000 | $0 | $0 | Yes (X) | |||
| Mark A Paulhus | |||||||||
| Director | 1.0 | 1.0 | $11,400 | $0 | $0 | Yes (X) | |||
| Heather A Provino | |||||||||
| Director | 1.0 | 1.0 | $11,400 | $0 | $0 | Yes (X) | |||
| Pete Hayes | |||||||||
| Director | 1.0 | 1.0 | $10,800 | $0 | $0 | Yes (X) | |||
| Julie G Duffy | |||||||||
| Director | 1.0 | 1.0 | $10,200 | $0 | $0 | Yes (X) | |||
| Mark Shaw | |||||||||
| Director | 1.0 | 1.0 | $10,200 | $0 | $0 | Yes (X) | |||
| Dr Thomas Enright | |||||||||
| Director | 1.0 | 1.0 | $9,600 | $0 | $0 | Yes (X) | |||
| Francis J Flynn | |||||||||
| Director | 1.0 | 1.0 | $9,600 | $0 | $0 | Yes (X) | |||
| Linda R McGoldrick | |||||||||
| Director | 1.0 | 1.0 | $9,600 | $0 | $0 | Yes (X) | |||
| JUNIOR JABBIE | |||||||||
| Director | 1.0 | 1.0 | $4,200 | $0 | $0 | Yes (X) | |||
| William Landry | |||||||||
| Secretary | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $3,629,591 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $438,289 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $574,346 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 33 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | false | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| DUFFY SHANLEYINC | |||||
| 10 CHARLES STREET | PROVIDENCE | RI | 02904 | MARKETING SERVICES | $387,368 |
| GRANT THORNTON LLP | |||||
| 124 HEBORN AVE STE 200 | GLASTONBURY | CT | 06033 | AUDIT/TAX SERVICES | $315,569 |
| EDGEWATER FULLSCOPE INC | |||||
| PO BOX 845183 | BOSTON | MA | 022845183 | IT-PRODUCT DEVELOP | $299,296 |
| CATHEDRAL CORPORATION | |||||
| GRIFFIN TECHNOLOGY PARK | ROME | NY | 13441 | PRINTING & MAIL SERV | $286,958 |
| NETCENERGY LLC | |||||
| 231 ELM STREET | WARWICK | RI | 02888 | IT-CONSULTING SERV | $248,788 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 26 | CntrctRcvdGreaterThan100KCnt |
| Info In Schedule O Part VIII | Yes (X) | InfoInScheduleOPartVIIIInd |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | PREMIUMS (SEE SCHEDULE O) | Desc |
| Business | 524114 | BusinessCd |
| Total Revenue Column | $117,348,071 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,348,071 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $117,348,071 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,121,608 | TotalRevenueColumnAmt |
| Exclusion | $2,121,608 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,625,577 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $16,582,626 | SecuritiesAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,951 | SecuritiesAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $42,951 | TotalRevenueColumnAmt |
| Exclusion | $42,951 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fundraising Gross Income | $0 | FundraisingGrossIncomeAmt |
| Fundraising Direct Expenses | $0 | FundraisingDirectExpensesAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gaming Gross Income | $0 | GamingGrossIncomeAmt |
| Gaming Direct Expenses | $0 | GamingDirectExpensesAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $0 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $0 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Other Revenue Misc OtherRevenueMiscGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| INCOME FROM SUBSIDIARIES | 900099 | $135,193 | $0 | $0 | $135,193 |
| OTHER INCOME | 900099 | $5,527 | $0 | $0 | $5,527 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $140,720 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $119,653,350 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $117,348,071 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $2,305,279 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,626,179 | TotalAmt |
| Program Services | $3,626,179 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,152,879 | TotalAmt |
| Program Services | $92,152,879 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,096,179 | TotalAmt |
| Program Services | $537,126 | ProgramServicesAmt |
| Management And General | $2,559,053 | ManagementAndGeneralAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,978,082 | TotalAmt |
| Program Services | $5,327,180 | ProgramServicesAmt |
| Management And General | $2,650,902 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $414,535 | TotalAmt |
| Program Services | $270,581 | ProgramServicesAmt |
| Management And General | $143,954 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $472,353 | TotalAmt |
| Program Services | $65,496 | ProgramServicesAmt |
| Management And General | $406,857 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $745,856 | TotalAmt |
| Program Services | $353,644 | ProgramServicesAmt |
| Management And General | $392,212 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $146,033 | TotalAmt |
| Management And General | $146,033 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $486,041 | TotalAmt |
| Management And General | $486,041 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $63,000 | TotalAmt |
| Program Services | $63,000 | ProgramServicesAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $451,900 | TotalAmt |
| Management And General | $451,900 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $841,009 | TotalAmt |
| Program Services | $104,245 | ProgramServicesAmt |
| Management And General | $736,764 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,841 | TotalAmt |
| Management And General | $425,841 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $782,782 | TotalAmt |
| Program Services | $514,261 | ProgramServicesAmt |
| Management And General | $268,521 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $999,901 | TotalAmt |
| Program Services | $542,093 | ProgramServicesAmt |
| Management And General | $457,808 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,182 | TotalAmt |
| Program Services | $6,187 | ProgramServicesAmt |
| Management And General | $137,995 | ManagementAndGeneralAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,220 | TotalAmt |
| Management And General | $11,220 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $353,214 | TotalAmt |
| Management And General | $353,214 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $167,269 | TotalAmt |
| Management And General | $167,269 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| EQUIPMENT RENTAL & MAINT | $1,383,693 | $1,383,693 | $0 | $0 |
| BOARD & ASSOCIATION FEES | $527,476 | $12,933 | $514,543 | $0 |
| FACILITIES EXPENSE | $128,362 | $128,362 | $0 | |
| LICENSE & FEES | $29,111 | $29,111 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $192,414 | TotalAmt |
| Program Services | $4,588 | ProgramServicesAmt |
| Management And General | $187,826 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $115,619,511 | TotalAmt |
| Program Services | $104,964,085 | ProgramServicesAmt |
| Management And General | $10,655,426 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $250 | BOYAmt |
| EOY | $250 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,431,992 | BOYAmt |
| EOY | $8,312,406 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,553,561 | BOYAmt |
| EOY | $9,291,445 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,570,368 | BOYAmt |
| EOY | $3,748,303 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $13,256,847 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $12,025,746 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $640,937 | BOYAmt |
| EOY | $1,231,101 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $73,943,007 | BOYAmt |
| EOY | $81,543,267 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,761,759 | BOYAmt |
| EOY | $25,240,512 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $575,043 | BOYAmt |
| EOY | $590,453 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,476,917 | BOYAmt |
| EOY | $129,957,737 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,032,984 | BOYAmt |
| EOY | $19,610,196 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,827,170 | BOYAmt |
| EOY | $6,328,949 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $22,860,154 | BOYAmt |
| EOY | $25,939,145 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Org Does Not Follow FASB117 | Yes (X) | OrgDoesNotFollowFASB117Ind |
Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,616,763 | BOYAmt |
| EOY | $104,018,592 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,616,763 | BOYAmt |
| EOY | $104,018,592 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $118,476,917 | BOYAmt |
| EOY | $129,957,737 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,033,839 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $4,242,365 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $125,625 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Land | LandGrp | |
| Buildings | BuildingsGrp |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,842,468 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,737,660 | DepreciationAmt |
| Book Value | $104,808 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,094,238 | OtherCostOrOtherBasisAmt |
| Depreciation | $6,204,655 | DepreciationAmt |
| Book Value | $889,583 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,320,141 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,083,431 | DepreciationAmt |
| Book Value | $236,710 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $1,231,101 | TotalBookValueLandBuildingsAmt |
| Financial Derivatives | FinancialDerivativesGrp | |
| Closely Held Equity Interests | CloselyHeldEquityInterestsGrp |
Other Securities OtherSecuritiesGrp (2 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| SUBSIDIARIES | $19,465,026 | C |
| INVESTMENT-OTHER | $5,775,486 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $25,240,512 | TotalBookValueSecuritiesAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| CLAIMS INCURRED BUT UNPAID | $3,420,000 |
| ADVANCED SUBSCRIBER PREMIUMS | $1,935,928 |
| SUBSCRIBER DEPOSITS | $610,667 |
| ACCRUED CLAIMS ADJUSTMENT EXPENSE | $362,354 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $6,328,949 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | ASC 470 | FormAndLineReferenceDesc |
| Explanation | SCHEDULE D, PART X 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, 2019 AND 2018, THE COMPANY HAD NO UNCERTAIN TAX POSITIONS. | ExplanationTxt |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (25 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| THE RHODE ISLAND FOUNDATION | ||||||||
| 1 UNION STATION | PROVIDENCE | RI | 02903 | 222604963 | 501(C)(3) | $3,025,000 | $0 | PROGRAM SUPPORT |
| COMMUNITY PREPARATORY SCHOOL | ||||||||
| 135 PRAIRIE AVE | PROVIDENCE | RI | 02905 | 222485332 | 501(C)(3) | $103,330 | $0 | PROGRAM SUPPORT |
| SAN MIGUEL SCHOOL | ||||||||
| 525 BRANCH AVENUE | PROVIDENCE | RI | 02904 | 223232973 | 501(C)(3) | $68,500 | $0 | PROGRAM SUPPORT |
| UNITED WAY OF RI | ||||||||
| 50 VALLEY STREET | PROVIDENCE | RI | 02909 | 050276059 | 501(C)(3) | $52,123 | $0 | PROGRAM SUPPORT |
| CVS CHARITY CLASSIC INC | ||||||||
| 1 CVS DR WOONSOCKET | PROVIDENCE | RI | 02895 | 050508742 | 501(C)(3) | $26,500 | $0 | PROGRAM SUPPORT |
| CROSSROADS RHODE ISLAND | ||||||||
| 160 BROAD STREET | PROVIDENCE | RI | 02903 | 050259094 | 501(C)(3) | $25,500 | $0 | PROGRAM SUPPORT |
| RI COMMUNITY FOOD BANK | ||||||||
| 200 NIANTIC AVE | PROVIDENCE | RI | 02907 | 050395601 | 501(C)(3) | $22,910 | $0 | PROGRAM SUPPORT |
| FIRST WORKS | ||||||||
| 270 WESTMINSTER STREET | PROVIDENCE | RI | 02903 | 222597014 | 501(C)(3) | $21,000 | $0 | PROGRAM SUPPORT |
| MAKE A WISH MASS AND RI | ||||||||
| 133 FEDERAL ST | BOSTON | MA | 02110 | 222867371 | 501(C)(3) | $18,100 | $0 | PROGRAM SUPPORT |
| RI HOSPITAL FOUNDATION | ||||||||
| 167 POINT STREET | PROVIDENCE | RI | 02903 | 050468736 | 501(C)(3) | $16,500 | $0 | PROGRAM SUPPORT |
| SALVE REGINA UNIVERSITY | ||||||||
| 100 OCHRE POINT AVE | NEWPORT | RI | 02840 | 050259080 | 501(C)(3) | $16,000 | $0 | PROGRAM SUPPORT |
| RHODE ISLAND FREE CLINIC | ||||||||
| 655 BROAD ST | PROVIDENCE | RI | 02907 | 050501276 | 501(C)(3) | $11,600 | $0 | PROGRAM SUPPORT |
| AMOS HOUSE | ||||||||
| 415 FRIENDSHIP STREET | PROVIDENCE | RI | 02907 | 050387218 | 501(C)(3) | $11,000 | $0 | PROGRAM SUPPORT |
| SPECIAL OLYMPICS RHODE ISLAND | ||||||||
| 370 GW HIGHWAY | SMTHFIELD | RI | 02917 | 050377867 | 501(C)(3) | $10,452 | $0 | PROGRAM SUPPORT |
| YMCA OF GREATER PROVIDENCE | ||||||||
| 21 PEACE ST 6FL | PROVIDENCE | RI | 02907 | 050258878 | 501(C)(3) | $10,175 | $0 | PROGRAM SUPPORT |
| JUNIOR ACHIEVEMENT | ||||||||
| 57 GREENE STREET | WARWICK | RI | 02886 | 050263443 | 501(C)(3) | $9,250 | $0 | PROGRAM SUPPORT |
| LA SALLE ACADEMY | ||||||||
| 612 ACADEMY AVE | PROVIDENCE | RI | 02908 | 050258897 | 501(C)(3) | $9,000 | $0 | PROGRAM SUPPORT |
| HASBRO CHILDRENMIRIAM HOSPITAL FDN | ||||||||
| 167 INSTEAD OF 139 | PROVIDENCE | RI | 02903 | 050377502 | 501(C)(3) | $8,400 | $0 | PROGRAM SUPPORT |
| MCAULEY MINISTRIES | ||||||||
| 622 ELMWOOD AVE | PROVIDENCE | RI | 02907 | 050440470 | 501(C)(3) | $7,750 | $0 | PROGRAM SUPPORT |
| JEFFREY OSBORNE CELEBRITY CLASSIC | ||||||||
| PO BOX 27815 | PROVIDENCE | RI | 02907 | 050510492 | 501(C)(3) | $7,500 | $0 | PROGRAM SUPPORT |
| FAMILY SERVICE OF RI | ||||||||
| PO BOX 6688 | PROVIDENCE | RI | 02840 | 050258858 | 501(C)(3) | $7,133 | $0 | PROGRAM SUPPORT |
| BRYANT UNIVERSITY | ||||||||
| 1150 DOUGLAS TURNPIKE | PROVIDENCE | RI | 02908 | 050258810 | 501(C)(3) | $6,750 | $0 | PROGRAM SUPPORT |
| OCEAN STATE JOB LOT CHARITABLE | ||||||||
| 375 COMMERCE PARK RD | N KINGSTOWN | RI | 02852 | 200959438 | 501(C)(3) | $6,000 | $0 | PROGRAM SUPPORT |
| WOMAN & INFANTS DEVELOPMENT | ||||||||
| 101 DUDLEY STREET | PROVIDENCE | RI | 02905 | 050258937 | 501(C)(3) | $5,250 | $0 | PROGRAM SUPPORT |
| TOMORROW FUND | ||||||||
| 593 EDDY STREET | PROVIDENCE | RI | 02903 | 050450569 | 501(C)(3) | $5,250 | $0 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 25 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SCHEDULE I, PART I, LINE 2 | FormAndLineReferenceDesc |
| Explanation | THE 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Pmts | Yes (X) | IdemnificationGrossUpPmtsInd |
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (true) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (true) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Joseph Nagle THRU 062019 | ||||||||||||||
| FORMER CEO & President | $704,173 | $0 | $239,228 | $0 | $143,421 | $0 | $56,100 | $0 | $23,375 | $0 | $1,166,297 | $0 | $0 | $0 |
| Thomas Chase | ||||||||||||||
| SR VP & COO | $0 | $356,527 | $0 | $78,241 | $0 | $3,521 | $0 | $37,407 | $0 | $24,874 | $0 | $500,570 | $0 | $0 |
| Richard Fritz | ||||||||||||||
| CFO & SR VP Finance | $326,771 | $0 | $71,664 | $0 | $4,917 | $0 | $37,393 | $0 | $23,874 | $0 | $464,619 | $0 | $0 | $0 |
| Joseph Perroni | ||||||||||||||
| CEO & PRESIDENT (AS OF 7/2019) | $385,563 | $0 | $77,667 | $0 | $10,600 | $0 | $40,421 | $0 | $22,875 | $0 | $537,126 | $0 | $0 | $0 |
| Angelo Pezzulo | ||||||||||||||
| Director Major Accounts | $161,419 | $0 | $31,368 | $0 | $8,300 | $0 | $21,743 | $0 | $25,374 | $0 | $248,204 | $0 | $0 | $0 |
| Ellen Hendrix | ||||||||||||||
| AVP Underwriting | $157,076 | $0 | $16,383 | $0 | $1,453 | $0 | $20,864 | $0 | $26,290 | $0 | $222,066 | $0 | $0 | $0 |
| Timothy Fitzgibbons | ||||||||||||||
| Sr. Director Actuarial | $131,767 | $0 | $11,853 | $0 | $42,914 | $0 | $13,170 | $0 | $21,304 | $0 | $221,008 | $0 | $0 | $0 |
| George Bedard | ||||||||||||||
| Controller | $140,231 | $0 | $11,745 | $0 | $1,939 | $0 | $17,698 | $0 | $23,654 | $0 | $195,267 | $0 | $0 | $0 |
| Duane Easter | ||||||||||||||
| Director of Corp Reporting | $132,951 | $0 | $15,472 | $0 | $647 | $0 | $16,916 | $0 | $25,574 | $0 | $191,560 | $0 | $0 | $0 |
| Melissa Gennari | ||||||||||||||
| AVP & director Compliance | $134,772 | $0 | $12,255 | $0 | $620 | $0 | $16,063 | $0 | $3,230 | $0 | $166,940 | $0 | $0 | $0 |
| Wendy Duncan | ||||||||||||||
| VP - Chief Marketing officer | $291,974 | $0 | $45,162 | $0 | $1,488 | $0 | $34,198 | $0 | $3,507 | $0 | $376,329 | $0 | $0 | $0 |
| Shauna Fontaine | ||||||||||||||
| DIRECTOR - Delta Dental Sales | $119,923 | $0 | $22,425 | $0 | $5,250 | $0 | $14,397 | $0 | $24,045 | $0 | $186,040 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Gross-Up Payments | Schedule J, Part I, Line 1a THE FORMER CEO AND 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 | SCHEDULE J, PART I, LINE 1A THE CURRENT AND FORMER CEO AND PRESIDENT ARE/WERE MEMBERS 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. |
| SEVERANCE PAYMENT | SCHEDULE J, PART I, LINE 4A SR. DIRECTOR ACTUARIAL RECEIVED A SEVARANCE PAYMENT OF $42,283 IN CALENDAR YEAR 2019. THIS PAYMENT HAS BEEN REPORTED ON SCHEDULE J, PART II COLUMN B(III). |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B THE FORMER CEO AND PRESIDENT PARTICIPATES IN A 457(F) DEFERRED COMPENSATION PLAN. In 2019, the former CEO and President received a plan payment of $36,399 which has been reported on Schedule J, Part II column B(iii). NO CONTRIBUTIONS ARE INCLUDED IN SCHEDULE J, PART II COLUMN C. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Blish Cavanagh | |||
| LANDRY - SECRETARY | $141,946 | Payment for Legal Services | false |
| East Bay Dental Asso Inc | |||
| Enright - Board Member | $609,610 | Payment for Dental Services | false |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS | FormAndLineReferenceDesc |
| Explanation | SCHEDULE L PART IV THE ORGANIZATION ENGAGES IN TRANSACTIONS WITH DENTAL PRACTICES WITH WHOM THE BOARD MEMBER IDENTIFIED ON SCHEDULE L, PART IV, LINE (2) HAS A CONTROLLING INTEREST. THE TRANSACTION IS ENTERED INTO IN THE ORDINARY COURSE OF BUSINESS AND AT FAIR MARKET VALUE. THE TRANSACTION WITH THIS ENTITY IS SUBJECT TO THE SAME PROCEDURES AND REVIEW AS ALL DENTAL PRACTICES. THE ORGANIZATION RECEIVED LEGAL SERVICES FROM THE LAW FIRM, BLISH & CAVANAGH, WITH WHOM THE SECRETARY, IDENTIFIED ON SCHEDULE L, PART IV, LINE (1), HAS A CONTROLLING INTEREST. THIS TRANSACTION IS ENTERED INTO IN THE ORDINARY COURSE OF BUSINESS AND AT FAIR MARKET VALUE. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (8 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Administrative Service Contract Fees | Part I, line 8 & 15, Part III, line 4a, Part VIII, line 2a, and Part IX, line 4 Due to the adoption of FASB ASU 606, DDRI is no longer reporting Administrative Service Contract Fees on a gross basis for subscriber premiums and claims incurred expenses for self-insured groups on its audited financial statements for the year ended December 31, 2019. The Form 990 follows the financial statement presentation by presenting the net balance on Part VIII, line 2a. As a result, revenues and expenses decreased compared to the prior year return, however there is no effect to net income. MEMBERS OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS 76 CORPORATE MEMBERS. |
| MEMBERS THAT MAY ELECT THE GOVERNING BODY | FORM 990, PART VI, SECTION A, LINE 7A 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. |
| DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS | FORM 990, PART VI, SECTION A, LINE 7B 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 REVIEW PROCESS | FORM 990, PART VI, SECTION B, LINE 11 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. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, LINE 12C 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. |
| COMPENSATION POLICY | FORM 990, PART VI, SECTION B, LINE 15 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. |
| PUBLIC DISCLOSURE | FORM 990, PART VI, SECTION C, LINE 19 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. |
| OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS REPRESENTS AN ADJUSTMENT OF 125,625 FOR INCOME AND OVERACCRUED EXPENSES RELATED TO JOINT VENTURES WITH OTHER DELTA PLANS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp
Disregarded Entity Name DisregardedEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Altus Realty Inc | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 Charles Street | AddressLine1Txt |
| City | Providence | CityNm |
| State Abbreviation | RI | StateAbbreviationCd |
| ZIP | 029042208 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030396397 | EIN |
| Primary Activities | Holding Co. | PrimaryActivitiesTxt |
| Legal Domicile State | RI | LegalDomicileStateCd |
| Exempt Code Section | 501(c)(2) | ExemptCodeSectionTxt |
| Public Charity Status | N/A | PublicCharityStatusTxt |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DDRI | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Organization | Yes (true) | ControlledOrganizationInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| The Altus Group Inc | ||||||||||||
| 10 Charles Street | Providence | RI | 02903 | 050502610 | Holding Company | RI | DDRI | C Corp | $6,364,135 | $111,923,984 | 1.00000 | Yes (true) |
| Altus Dental Inc | ||||||||||||
| 10 Charles Street | Providence | RI | 029042208 | 050502612 | Dental Network | MA | Altus Group Inc | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| Altus Ventures Inc | ||||||||||||
| 10 Charles Street | Providence | RI | 029042208 | 465627174 | Investment Mgmt | RI | Altus Group Inc | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| Altus Dental Insurance Co Inc | ||||||||||||
| 10 Charles Street | Providence | RI | 029042208 | 050513223 | Insurance | RI | Altus Group Inc | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| Altus Systems Inc | ||||||||||||
| 10 Charles Street | Providence | RI | 029042208 | 050502611 | Claims Processing | RI | Altus Group Inc | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| First Circle Inc | ||||||||||||
| 10 Charles Street | Providence | RI | 029042208 | 814567207 | Software Platform | RI | Altus Group Inc | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| First Circle Realty Inc | ||||||||||||
| 10 Charles Street | Providence | RI | 029042208 | 832724654 | Mgmt. Prop. | RI | Altus Group Inc | C Corp | $0 | $0 | 1.00000 | Yes (true) |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (true) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (8 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| ALTUS DENTAL INSURANCE COMPANY INC | ||
| N | $290,940 | FMV |
| ALTUS DENTAL INC | ||
| A(I) | $98,733 | FMV |
| ALTUS REALTY INC | ||
| D | $703,007 | FMV |
| ALTUS REALTY INC | ||
| K | $999,901 | FMV |
| ALTUS SYSTEMS INC | ||
| L | $5,696,232 | FMV |
| ALTUS DENTAL INSURANCE COMPANY INC | ||
| M | $1,134,666 | FMV |
| ALTUS DENTAL INSURANCE COMPANY INC | ||
| O | $1,483,795 | FMV |
| FIRST CIRCLE INC | ||
| B | $5,000,000 | FMV |