DELTA DENTAL OF RHODE ISLAND: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- DELTA DENTAL OF RHODE ISLAND (EIN 05-0296998)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-15
- IRS object ID
- 201323199349308757
- Schema version
- 2012v2.1
- 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) |
|---|---|---|
| Timestamp | 2013-11-15T15:18:10-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KPMG LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 60 South Street | AddressLine1 |
| City | Boston | City |
| State | MA | State |
| ZIP Code | 02111 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050296998 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELTA DENTAL OF RHODE ISLAND | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % GEORGE BEDARD | InCareOfName |
| Name Control | DELT | NameControl |
| Phone | 4017526000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHARLES STREET | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | GEORGE J BEDARD | Name |
| Title | ASST. TREASURER | Title |
| Phone | 6179881000 | Phone |
| Date Signed | 2013-11-15 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6179881000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-03-07 17:11:31Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | RICHARD A FRITZ | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHARLES STREET | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 209010027 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c | X | Organization501c |
| Web Site | WWW.DELTADENTALRI.COM | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1959 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | TO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 12 | NbrIndependentVotingMembers |
| Total Nbr Employees | 49 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 8361 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 193934583 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 193356672 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1807408 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2008084 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 171120 | OtherRevenuePriorYear |
| Other Revenue Current Year | 112543 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 195913111 | TotalRevenuePriorYear |
| Total Revenue Current Year | 195477299 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 755959 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 456706 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 171834807 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 169000103 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 10660798 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10907977 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 7948274 | OtherExpensePriorYear |
| Other Expenses Current Year | 8404015 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 191199838 | TotalExpensesPriorYear |
| Total Expenses Current Year | 188768801 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 4713273 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6708498 | RevenuesLessExpensesCY |
| Total Assets BOY | 92301789 | TotalAssetsBOY |
| Total Assets EOY | 100912427 | TotalAssetsEOY |
| Total Liabilities BOY | 17713552 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 15586421 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 74588237 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 85326006 | NetAssetsOrFundBalancesEOY |
| Mission Description | TO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 169456809 | Expense |
| Grants | 0 | Grants |
| Revenue | 193306050 | Revenue |
| Description | DENTAL BENEFITS FOR 597,804 MEMBERS UNDER 276,843 CONTRACTS | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 9478405 | Expense |
| Grants | 0 | Grants |
| Revenue | 163165 | Revenue |
| Description | OPERATIONS EXPENSE INCURRED TO ADMINISTER THE PAYMENT OF DENTAL BENEFITS. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expense | 178935214 | TotalProgramServiceExpense |
| Described In501 C3 | false | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | true | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 15 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 49 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Excess Business Holdings | false | ExcessBusinessHoldings |
| Taxable Distributions | false | TaxableDistributions |
| Distribution To Donor | false | DistributionToDonor |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 12 | NumberIndependentVotingMembers |
| Family Or Business Relationship | false | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | GEORGE BEDARD | NamePerson |
| Telephone Number | 4017526240 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHARLES STREET | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| EDWARD ALMON | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 4500 | 0 | 0 | |||
| FRED BUTLER | |||||||||
| VICE CHAIR | 1.0 | 1.0 | X | 9000 | 0 | 0 | |||
| A THOMAS CORREIA | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 8000 | 0 | 0 | |||
| DAVID A DUFFY | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 7700 | 0 | 0 | |||
| FRANCIS FLYNN | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 3000 | 0 | 0 | |||
| ALMON C HALL | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 8500 | 0 | 0 | |||
| EDWARD HANDY | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 7500 | 0 | 0 | |||
| DONALD S IANNAZZI | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 5500 | 0 | 0 | |||
| STEVEN ISSA | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 10000 | 0 | 0 | |||
| JOSEPH MARCAURELE | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 9000 | 0 | 0 | |||
| LINDA MCGOLDRICK | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 2500 | 0 | 0 | |||
| JAMES MCMANUS | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 6500 | 0 | 0 | |||
| WILLIAM A MEKRUT | |||||||||
| CHAIR | 1.0 | 1.0 | X | 17000 | 0 | 0 | |||
| CYNTHIA REED | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 9500 | 0 | 0 | |||
| EDWIN J SANTOS | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 10900 | 0 | 0 | |||
| ALEC TAYLOR | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 7000 | 0 | 0 | |||
| VANESSA TOLEDO-VICKERS | |||||||||
| DIRECTOR | 1.0 | 1.0 | X | 7500 | 0 | 0 | |||
| JOSEPH A NAGLE | |||||||||
| PRESIDENT & CEO | 40.0 | 1.0 | 686073 | 0 | 139156 | X | |||
| RICHARD A FRITZ | |||||||||
| VP FINANCE & CFO | 40.0 | 1.0 | 257555 | 0 | 52835 | X | |||
| KATHRYN SHANLEY | |||||||||
| VP EXTERNAL AFFAIRS | 40.0 | 1.0 | 234045 | 0 | 48673 | X | |||
| GEORGE J BEDARD | |||||||||
| CONTROLLER | 40.0 | 1.0 | 137760 | 0 | 34023 | X | |||
| MELISSA A GENNARI | |||||||||
| DIRECTOR COMPLIANCE | 32.0 | 1.0 | 96918 | 0 | 13159 | X | |||
| THOMAS D CHASE | |||||||||
| VP TECHNOLOGY & CIO | 40.0 | 1.0 | 253723 | 0 | 47984 | X | |||
| STEPHEN J SPERANDIO | |||||||||
| VP OPERATIONS | 1.0 | 40.0 | 0 | 252600 | 51556 | X | |||
| ANGELO PEZZULLO | |||||||||
| VP SALES-DELTA DENTAL | 40.0 | 1.0 | 243486 | 0 | 49418 | X | |||
| Carlos Sanchez-Fuentes | |||||||||
| VP Actuarial & Underwriting | 40.0 | 219532 | 0 | 38674 | X | ||||
| JOSEPH R PERRONI | |||||||||
| VP SALES - ALTUS DENTAL | 40.0 | 1.0 | 0 | 225639 | 42056 | X | |||
| STEPHEN C TOMBS | |||||||||
| DIRECTOR ACTUARIAL | 40.0 | 1.0 | 148214 | 0 | 34760 | X | |||
| ELLEN M HENDRIX | |||||||||
| AVP UNDERWRITING | 40.0 | 1.0 | 145153 | 0 | 36185 | X | |||
| DUANE EASTER | |||||||||
| DIRECTOR OF CORP. REPORTING | 40.0 | 1.0 | 123851 | 0 | 30619 | X | |||
| PATRICIA M NORTH-MARTINO | |||||||||
| DIRECTOR INTERNAL AUDIT | 40.0 | 1.0 | 116474 | 0 | 29626 | X | |||
| STEFANI G GALLAGHER | |||||||||
| ACCOUNT MANAGER | 40.0 | 1.0 | 118624 | 0 | 11743 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 2915008 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 478239 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 660467 | TotalOtherCompensation |
| Number Individuals GT100 K | 12 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| DUFFY SHANLEY | |||||
| 10 CHARLES STREET | PROVIDENCE | RI | 02904 | MARKETING SERVICES | 470488 |
| KPMG LLP | |||||
| 6TH FL SUITE A 100 WESTMINSTER ST | PROVIDENCE | RI | 02903 | AUDIT & TAX SERVICES | 403900 |
| CATHEDRAL CORP | |||||
| GRIFFIN TECHNOLOGY PARK | ROME | NY | 13441 | PRINTING AND MAIL | 326577 |
| NETCENERGY | |||||
| 231 ELM STREET | WARWICK | RI | 02888 | IT CONSULTING | 311677 |
| ROCKY MOUNTAIN DATA CONTROL INC | |||||
| 2040 EAST MURRAY HOLLADAY ROAD 103 | SALT LAKE CITY | UT | 84117 | DATA ENTRY SERVICES | 201627 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 5 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | PREMIUMS | Description |
| Total Revenue Column | 193356672 | TotalRevenueColumn |
| Related Or Exempt Function Income | 193356672 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 193356672 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1630482 | TotalRevenueColumn |
| Exclusion | $1,630,482 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13910330 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 13532728 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 377602 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 377602 | TotalRevenueColumn |
| Exclusion | $377,602 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER INCOME | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 112543 | TotalRevenueColumn |
| Related Or Exempt Function Income | 112543 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 112543 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 195477299 | TotalRevenueColumn |
| Related Or Exempt Function Income | 193469215 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,008,084 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 456706 | Total |
| Program Services | 456706 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 169000103 | Total |
| Program Services | 169000103 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2008964 | Total |
| Management And General | 2008964 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7217448 | Total |
| Program Services | 5207218 | ProgramServices |
| Management And General | 2010230 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 550500 | Total |
| Management And General | 550500 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 463482 | Total |
| Management And General | 463482 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 667583 | Total |
| Program Services | 343898 | ProgramServices |
| Management And General | 323685 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 205294 | Total |
| Management And General | 205294 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1889633 | Total |
| Program Services | 1557676 | ProgramServices |
| Management And General | 331957 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 719449 | Total |
| Management And General | 719449 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 929696 | Total |
| Program Services | 471145 | ProgramServices |
| Management And General | 458551 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 87507 | Total |
| Program Services | 7896 | ProgramServices |
| Management And General | 79611 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23414 | Total |
| Management And General | 23414 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1057808 | Total |
| Management And General | 1057808 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114997 | Total |
| Management And General | 114997 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| POSTAGE | 624124 | 592972 | 31152 |
| BOARDS & ASSOCIATION FEES | 453466 | 13149 | 440317 |
| TELEPHONE | 201011 | 0 | 201011 |
| TAX ON UNRELATED BUSINESS ACTI | 32688 | 0 | 32688 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2064928 | Total |
| Program Services | 1284451 | ProgramServices |
| Management And General | 780477 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 188768801 | Total |
| Program Services | 178935214 | ProgramServices |
| Management And General | 9833587 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part X | X | InfoInScheduleOPartX |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 250 | BOY |
| EOY | 250 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13577060 | BOY |
| EOY | 26662963 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 13249047 | BOY |
| EOY | 13170561 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1757870 | BOY |
| EOY | 461657 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 9329600 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 6503557 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2934805 | BOY |
| EOY | 2826043 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52279022 | BOY |
| EOY | 49356662 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7965026 | BOY |
| EOY | 7965026 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 538709 | BOY |
| EOY | 469265 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92301789 | BOY |
| EOY | 100912427 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12548139 | BOY |
| EOY | 11118274 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5165413 | BOY |
| EOY | 4468147 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 17713552 | BOY |
| EOY | 15586421 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Do Not Follow SFAS117 | X | DoNotFollowSFAS117 |
Cap Stck Trst Prin Current Funds CapStckTrstPrinCurrentFunds
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Paid In Cap Srpls Land Bldg Eqp Fund PaidInCapSrplsLandBldgEqpFund
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74588237 | BOY |
| EOY | 85326006 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 74588237 | BOY |
| EOY | 85326006 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 92301789 | BOY |
| EOY | 100912427 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6708498 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 585105 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 3444166 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2633731 | OtherCostOrOtherBasis |
| Depreciation | 1364777 | Depreciation |
| Book Value | 1268954 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4161425 | OtherCostOrOtherBasis |
| Depreciation | 3161775 | Depreciation |
| Book Value | 999650 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2534444 | OtherCostOrOtherBasis |
| Depreciation | 1977005 | Depreciation |
| Book Value | 557439 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 2826043 | TotalOfBookValueLandBuildings |
| Financial Derivatives | FinancialDerivatives | |
| Closely Held Equity Interests | CloselyHeldEquityInterests |
Other Securities OtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | SUBSIDIARIES | Description |
| Book Value | 7965026 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 7965026 | TotalOfBookValueSecurities |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUAL FOR DENTAL CLAIMS EXPENSES | $3,143,500 |
| ACCRUAL FOR CLAIMS HANDLING EXPENSE | $147,225 |
| ADVANCE SUBSCRIBERS PREMIUM | $1,177,422 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 4468147 | TotalOfAmounts |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | false | RecordsMaintained |
Recipient Table RecipientTable (24 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| SAN MIGUEL SCHOOL | |||||||
| 525 BRANCH AVENUE | PROVIDENCE | RI | 02904 | 223232973 | 501(C)(3) | 43000 | PROGRAM SUPPORT |
| RI COMMUNITY FOOD BANK | |||||||
| 200 NIANTIC AVE | PROVIDENCE | RI | 02907 | 050395601 | 501(C)(3) | 40865 | PROGRAM SUPPORT |
| MCAULEY MINISTRIES | |||||||
| 622 ELMWOOD AVE | PROVIDENCE | RI | 02907 | 050440470 | 501(C)(3) | 28140 | PROGRAM SUPPORT |
| CVS CHARITY CLASSIC INC | |||||||
| ONE CVS DRIVE | WOONSOCKET | RI | 02895 | 050508742 | 501(C)(3) | 25700 | PROGRAM SUPPORT |
| PROVIDENCE COLLEGE | |||||||
| 1 CUNNING SQUARE | PROVIDENCE | RI | 02908 | 050258932 | 501(C)(3) | 18500 | PROGRAM SUPPORT |
| SALVE REGINA UNIVERSITY | |||||||
| 100 OCHRE POINT AVE | NEWPORT | RI | 02840 | 050259080 | 501(C)(3) | 16750 | PROGRAM SUPPORT |
| LITTLE SISTERS OF THE POOR | |||||||
| 964 MAIN STREET | PAWTUCKET | RI | 02860 | 050283791 | 501(C)(3) | 15000 | PROGRAM SUPPORT |
| CHARTERCARE HEALTH PARTNERS | |||||||
| 200 HIGH SERVICE AVE N | PROVIDENCE | RI | 02908 | 260236669 | 501(C)(3) | 12500 | PROGRAM SUPPORT |
| TEAMSTERS LOCAL 251 | |||||||
| 121 BRIGHTRIDGE AVENUE EAST | PROVIDENCE | RI | 02914 | 454386329 | 501(C)(3) | 11000 | PROGRAM SUPPORT |
| SERVE RHODE ISLAND | |||||||
| 655 BROAD STREET SUITE 202 | PROVIDENCE | RI | 02907 | 050479705 | 501(C)(3) | 10250 | PROGRAM SUPPORT |
| AMOS HOUSE | |||||||
| 413 FRIENDSHIP STREET | PROVIDENCE | RI | 02907 | 050387218 | 501(C)(3) | 10000 | PROGRAM SUPPORT |
| BUTLER HOSPITAL | |||||||
| 34S BLACKSTONE BLVD | PROVIDENCE | RI | 02906 | 050258812 | 501(C)(3) | 10000 | PROGRAM SUPPORT |
| STEPS | |||||||
| 126 SOMERSET STREET | PROVIDENCE | RI | 02907 | 222485532 | 501(C)(3) | 10000 | PROGRAM SUPPORT |
| ST PATEICK ACADEMY | |||||||
| 244 SMITH ST | PROVIDENCE | RI | 02908 | 530196617 | 501(C)(3) | 8000 | PROGRAM SUPPORT |
| JUNIOR ACHIEVEMENT | |||||||
| 120 WATERMAN STREET | PROVIDENCE | RI | 02906 | 841267604 | 501(C)(3) | 7500 | PROGRAM SUPPORT |
| UNITED WAY OF RI | |||||||
| 50 VALLEY STREET | PROVIDENCE | RI | 02909 | 050276059 | 501(C)(3) | 6903 | PROGRAM SUPPORT |
| MIRIAM HOSPITAL FOUNDATION | |||||||
| PO BOX H | PROVIDENCE | RI | 02901 | 050377502 | 501(C)(3) | 6000 | PROGRAM SUPPORT |
| OCEAN STATE JOB LOT CHARITABLE | |||||||
| 375 COMMERCE PARK RD N | KINGSTOWN | RI | 02852 | 200959438 | 501(C)(3) | 6000 | PROGRAM SUPPORT |
| RI HOSPITAL FOUNDATION | |||||||
| PO BOX H | PROVIDENCE | RI | 02901 | 050468736 | 501(C)(3) | 5665 | PROGRAM SUPPORT |
| NATIONAL MS SOCIETY | |||||||
| 205 HALLENE RD SUITE 209 | WARWICK | RI | 02886 | 050271809 | 501(C)(3) | 5640 | PROGRAM SUPPORT |
| LA SALLE ACADEMY | |||||||
| 612 ACADEMY AVE | PROVIDENCE | RI | 02908 | 050258897 | 501(C)(3) | 5525 | PROGRAM SUPPORT |
| EAST SIDE MT HOPE YMCA | |||||||
| 438 HOPE STREET | PROVIDENCE | RI | 02906 | 050258878 | 501(C)(3) | 5200 | PROGRAM SUPPORT |
| SPECIAL OLYMPICS RHODE ISLAND | |||||||
| 370 GEORGE WASHINGTON HIGHWAY | SMITHFIELD | RI | 02917 | 050377867 | 501(C)(3) | 5155 | PROGRAM SUPPORT |
| AMERICAN HEART ASSOCIATION | |||||||
| 1 STATE STREET SUITE 200 | PROVIDENCE | RI | 02908 | 135613797 | 501(C)(3) | 5100 | PROGRAM SUPPORT |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 24 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | GRANT MAKING POLICIES: | Identifier |
| Return Reference | SCHEDULE I, LINE 2 | ReturnReference |
| Explanation | THE COMPANY DOES NOT ISSUE SPECIFIC GRANTS, HOWEVER, AS PART OF OUR CORPORATE RESPONSIBILITY PROGRAM, WE SUPPORT LOCAL CHARITABLE ORGANIZATIONS. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Idemnification Gross Up Payments | X | IdemnificationGrossUpPayments |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | true | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | true | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JOSEPH A NAGLE | ||||||||||||||
| PRESIDENT & CEO | 510080 | 0 | 119621 | 0 | 56372 | 0 | 121347 | 0 | 17809 | 0 | 825229 | 0 | 0 | 0 |
| RICHARD A FRITZ | ||||||||||||||
| VP FINANCE & CFO | 228876 | 0 | 26499 | 0 | 2180 | 0 | 33126 | 0 | 19709 | 0 | 310390 | 0 | 0 | 0 |
| THOMAS D CHASE | ||||||||||||||
| VP TECHNOLOGY & CIO | 226633 | 0 | 25951 | 0 | 1139 | 0 | 30775 | 0 | 17209 | 0 | 301707 | 0 | 0 | 0 |
| STEPHEN J SPERANDIO | ||||||||||||||
| VP OPERATIONS | 0 | 227924 | 0 | 21689 | 0 | 2987 | 0 | 32797 | 0 | 18759 | 0 | 304156 | 0 | 0 |
| ANGELO PEZZULLO | ||||||||||||||
| VP SALES-DELTA DENTAL | 207548 | 0 | 27941 | 0 | 7997 | 0 | 29609 | 0 | 19809 | 0 | 292904 | 0 | 0 | 0 |
| Carlos Sanchez-Fuentes | ||||||||||||||
| VP Actuarial & Underwriting | 211549 | 0 | 7295 | 0 | 688 | 0 | 21465 | 0 | 17209 | 0 | 258206 | 0 | 0 | 0 |
| KATHRYN SHANLEY | ||||||||||||||
| VP EXTERNAL AFFAIRS | 210953 | 0 | 20049 | 0 | 3043 | 0 | 30064 | 0 | 18609 | 0 | 282718 | 0 | 0 | 0 |
| JOSEPH R PERRONI | ||||||||||||||
| VP SALES - ALTUS DENTAL | 0 | 192672 | 0 | 26347 | 0 | 6620 | 0 | 24847 | 0 | 17209 | 0 | 267695 | 0 | 0 |
| STEPHEN C TOMBS | ||||||||||||||
| DIRECTOR ACTUARIAL | 137716 | 0 | 10219 | 0 | 279 | 0 | 17552 | 0 | 17208 | 0 | 182974 | 0 | 0 | 0 |
| ELLEN M HENDRIX | ||||||||||||||
| AVP UNDERWRITING | 132005 | 0 | 12741 | 0 | 407 | 0 | 16897 | 0 | 19288 | 0 | 181338 | 0 | 0 | 0 |
| GEORGE J BEDARD | ||||||||||||||
| CONTROLLER | 127012 | 0 | 9648 | 0 | 1100 | 0 | 16034 | 0 | 17989 | 0 | 171783 | 0 | 0 | 0 |
| DUANE EASTER | ||||||||||||||
| DIRECTOR OF CORP. REPORTING | 110351 | 0 | 13168 | 0 | 332 | 0 | 13411 | 0 | 17208 | 0 | 154470 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| FRINGE BENEFITS | SCHEDULE J, PART 1, QUESTION 1A | THE CEO'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. |
| BUSINESS EXPENSES | SCHEDULE J, PART 1, QUESTION 1A | THE CEO 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. |
| SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN | SCHEDULE J, PART I, LINE 4B | A MEMBER OF MANAGEMENT PARTICIPATES IN A 457(F) DEFERRED COMPENSATION PLAN BUT HAS NOT MET THE VESTING CRITERIA AND THEREFORE NO PAYMENTS HAVE BEEN MADE TO DATE. |
| EXECUTIVE INCENTIVE BONUS | SCHEDULE J, PART 1, QUESTION 5B | THE CEO HAS AN INCENTIVE BONUS OPPORTUNITY FOR UP TO 15% OF HIS BASE PAY SHOULD CERTAIN GOALS BE ATTAINED. GOALS ARE ESTABLISHED ANNUALLY AND FOR THE TAX YEAR 2012, ONE OF THESE GOALS IS BASED ON THE REVENUES OF A WHOLLY-OWNED SUBSIDIARY OF THE COMPANY. THIS GOAL HAS A WEIGHTING OF 10% THEREFORE THIS GOAL IS EQUAL TO 1.5% OF BASE PAY. |
| COMPANY INCENTIVE BONUS | SCHEDULE J, PART I, QUESTION 6A | THE COMPANY MAINTAINS AN ANNUAL INCENTIVE PROGRAM THAT IS ALLOCATED TO ALL APPLICABLE EMPLOYEES IF THE COMPANY MEETS CERTAIN BOARD APPROVED CORPORATE FINANCIAL GOALS, INCLUDING MEETING ENROLLMENT LEVELS, CONTROL OF OPERATING EXPENSES, AND OVERALL PROFITABILITY. |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| A THOMAS CORREIA DDS INC | |||
| CORREIA - BOARD MEMBER | 521797 | PAYMENT OF DENTAL PRACTICE. | false |
| MCMANUS PRATT | |||
| MCMANUS - BOARD MEMBER | 881803 | PAYMENT OF DENTAL PRACTICE. | false |
| CITIZENS BANK | |||
| HANDY - BOARD MEMBER | 204512 | BANK FEES | false |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| MEMBERS OF THE ORGANIZATION | FORM 990, PART VI, SECTION A, QUESTION 6 | THE ORGANIZATION HAS 78 CORPORATE MEMBERS. |
| MEMBERS THAT MAY ELECT THE GOVERNING BODY | FORM 990, PART VI, SECTION A, QUESTION 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. |
| DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS | FORM 990, PART VI, SECTION A, QUESTION 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 BYLAWS PROPOSED BY THE BOARD OF DIRECTORS. |
| FORM 990 REVIEW PROCESS | FORM 990, PART VI, SECTION B, QUESTION 11B | THE ANNUAL FORM 990 IS PREPARED BY THE COMPANY'S FINANCE DEPARTMENT WITH INPUT FROM SENIOR MANAGEMENT. UPON COMPLETION OF THE PREPARATION OF THIS DRAFT, IT IS THEN SUPPLIED TO KPMG, OUR TAX CONSULTANTS AND EXTERNAL AUDITORS. KPMG WILL COMPLETE THEIR REVIEW WITH ANY NECESSARY MODIFICATIONS AND THIS REVISED DRAFT IS AGAIN REVIEWED BY THE CONTROLLER, CFO AND CEO AS NECESSARY. FORM 990 IS THEN SUPPLIED TO THE BOARD OF DIRECTORS BEFORE A COPY IS FILED WITH THE IRS. |
| CONFLICT OF INTEREST POLICY | FORM 990, PART VI, SECTION B, QUESTION 12C | ALL EMPLOYEES, AS WELL AS ALL OFFICERS AND DIRECTORS, COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE COMPLETED FORMS FOR EMPLOYEES ARE REVIEWED BY THE HUMAN RESOURCE DEPARTMENT, THE CFO, AS WELL AS THE DIRECTOR OF COMPLIANCE. ANY AND ALL POTENTIAL CONFLICT ISSUES ARE ELEVATED IN THE REVIEW PROCESS TO THE CEO, EXTERNAL LEGAL COUNSEL AND THE BOARD OF DIRECTORS AS NECESSARY. THE BOARD MEMBERS COMPLETED FORMS ARE REVIEWED BY THE CEO AND EXTERNAL LEGAL COUNSEL. THE CEO'S COMPLETED FORM IS REVIEWED BY EXTERNAL LEGAL COUNSEL AND THE CHAIRMAN OF THE BOARD. ALL CONFLICTS ARE DISCUSSED AND ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICY. SHOULD AN UNDISCLOSED CONFLICT COME TO LIGHT, THEN IMMEDIATE AND APPROPRIATE ACTION IS ALSO TAKEN IN ACCORDANCE WITH THE COMPANY'S POLICIES. |
| COMPENSATION POLICY | FORM 990, PART VI, SECTION B, QUESTION 15 | THE BOARD OF DIRECTORS ELECTS 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. |
| PUBLIC DISCLOSURE | FORM 990, PART VI, SECTION C, QUESTION 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 | PART XI, LINE 5 | UNREALIZED GAINS FROM INVESTMENTS $ 585,105 |
| FORM 990, PART XI, LINE #9 | PARK ROW, A WHOLLY-OWNED SUBSIDIARY OF THE PARENT (DDRI) WAS SOLD IN LATE 2012. THE NET PROCEEDS FROM LIQUIDATING THIS SUBSIDIARY WERE ADDED TO THE SURPLUS OF THE COMPANY WHICH RESULT IN $3,444,166 OF ADDITIONAL CAPITIAL BEING REPORTED IN THE NET CHANGE IN CAPITAL AND SURPLUS SECTION OF THE STATEMENT OF REVENUES AND EXPENSES. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ALTUS REALTY COMPANY | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 10 CHARLES STREET | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 029032208 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 030396397 | EIN |
| Primary Activities | HOLDING CO. | PrimaryActivities |
| Legal Domicile State | RI | LegalDomicileState |
| Exempt Code Section | 501(c)(2) | ExemptCodeSection |
| Public Charity Status | N/A | PublicCharityStatus |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DDRI | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Controlled Org | true | ControlledOrg |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| PARK ROW ASSOCIATES INC | ||||||||||||
| 10 CHARLES STREET | PROVIDENCE | RI | 029032208 | 050476063 | INSURANCE | RI | DDRI | C CORP | 2729944 | 0 | 1.00000 | true |
| THE ALTUS GROUP INC | ||||||||||||
| 10 CHARLES STREET | PROVIDENCE | RI | 029032208 | 050502610 | INSURANCE | RI | DDRI | C CORP | 2725735 | 15957027 | 1.00000 | true |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | true | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | false | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | false | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | false | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | false | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| ALTUS DENTAL INSURANCE CO INC | ||
| A(IV) | 249724 | FMV |
| ALTUS DENTAL INC | ||
| A(I) | 63926 | FMV |
| ALTUS REALTY COMPANY | ||
| A(I) | 32241 | FMV |
| THE ALTUS GROUP INC | ||
| L | 5339948 | FMV |
| ALTUS DENTAL INSURANCE CO INC | ||
| M | 1219241 | FMV |