2017-05-04T15:19:12-05:00 2016-12-31 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2016-01-01 753059336 RHODE ISLAND QUALITY INSTITUTE RHOD 4012769141 50 HOLDEN STREET SUITE 300 PROVIDENCE RI 02908 LAURA L ADAMS PRESIDENT AND CEO 4012744564 2017-05-04 1 DEBORAH A HOPKINS P00167843 4012742001 71.117.160.66 2017-05-04 12:49:52 ED P 6C9B1A35775087DBDB8A6D25ECA509C7F6C27838 0277D10D6DD4D793D20DEBD90F2C9CEB4AB96ADE 2016 2021-01-29 14:40:06Z LAURA L ADAMS 50 HOLDEN STREET SUITE 300 PROVIDENCE RI 02908 11419974 0 X WWW.RIQI.ORG X 2001 RI TO SIGNIFICANTLY IMPROVE HEALTH AND ADVANCE THE QUALITY AND VALUE OF CARE. 20 20 75 0 0 0 3231748 3066192 6357618 8351589 32 8 -3111 2185 9586287 11419974 0 0 0 0 4962709 6546481 0 0 0 4448819 5011706 9411528 11558187 174759 -138213 3433685 3392010 1067384 1163922 2366301 2228088 X TO REPRESENT EVERY CONSTITUENCY OF HEALTHCARE LEADERSHIP, AS WELL AS HEALTH INSURANCE, CONSUMER AND PUBLIC INTEREST. TO WORK COLLABORATIVELY, COME UP WITH INNOVATIVE SOLUTIONS, CHAMPION CHANGES THROUGHOUT OUR ORGANIZATIONS, AND DEDICATE TIME, MONEY AND EXPERTISE TO IMPROVE THE QUALITY OF HEALTHCARE. 0 0 8517590 8351589 WORKING TO LEVERAGE RI'S UNIQUE CHARACTERISTICS TO DEMONSTRATE HOW THE HEALTHCARE SYSTEM CAN BE IMPROVED THROUGH COLLABORATIVE INNOVATION; TO FOSTER CONNECTIVITY BETWEEN AND AMONG THE HEALTHCARE TEAM AND THE PATIENT; TO INCREASE ACCURACY, RESPONSIVENESS AND EFFECTIVENESS IN HEALTHCARE BY USING TECHNOLOGY TO STANDARDIZE, STREAMLINE, AND SPEED UP THE RETRIEVAL AND DELIVERY OF PATIENT DATA STATEWIDE; TO HELP THE HEALTHCARE TEAM CONSISTENTLY DELIVER CARE THAT IS BASED ON BEST-KNOWN PRACTICES; TO CREATE A SYSTEM THAT INSPIRES AND REWARDS IMPROVED PROFESSIONAL PERFORMANCE. 8517590 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 33 0 1 75 1 0 0 0 0 0 0 0 0 0 0 X 20 20 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 RI X THE ORGANIZATION 4012769141 50 HOLDEN STREET SUITE 300 PROVIDENCE RI 02908 RICHARD H LECLERC CHAIR 4.00 X X 0 0 0 DENNIS KEEFE VICE-CHAIR 4.00 X X 0 0 0 STEPHEN FARRELL TREASURER/SECRETARY 4.00 X X 0 0 0 PETER ANDRUSZKIEWICZ DIRECTOR (6/11-4/16) 2.00 X 0 0 0 TIMOTHY BABINEAU MD DIRECTOR 2.00 X 0 0 0 RAYMOND BANDUSKY DIRECTOR 2.00 X 0 0 0 JAMES BERSON DIRECTOR 2.00 X 0 0 0 JACK ELIAS MD DIRECTOR 2.00 X 0 0 0 DIANA FRANCHITTO DIRECTOR 2.00 X 0 0 0 MARIE GHAZAL RN DIRECTOR 2.00 X 0 0 0 KATHLEEN C HITTNER MD DIRECTOR, NON-VOTING 2.00 X 0 0 0 CHARLES T JONES DIRECTOR 2.00 X 0 0 0 H JOHN KEIMIG DIRECTOR 2.00 X 0 0 0 DALE K KLATZKER DIRECTOR 2.00 X 0 0 0 PETER M MARINO DIRECTOR 2.00 X 0 0 0 ALBERT PUERINI JR MD DIRECTOR 2.00 X 0 0 0 ELIZABETH H ROBERTS DIRECTOR, NON-VOTING 2.00 X 0 0 0 JAMES ROOSEVELT JR DIRECTOR (8/09-6/16) 2.00 X 0 0 0 LESTER SCHINDEL DIRECTOR 2.00 X 0 0 0 TINA SPEARS DIRECTOR 2.00 X 0 0 0 LAURIE WHITE DIRECTOR 2.00 X 0 0 0 THOMAS CROSWELL DIRECTOR (AS OF 1/16) 2.00 X 0 0 0 JOHN J HOLIVER ACHE DIRECTOR (AS OF 11/16) 2.00 X 0 0 0 KIM KECK DIRECTOR (AS OF 9/16) 2.00 X 0 0 0 LAURA L ADAMS PRESIDENT AND CEO 50.00 X 351043 0 30025 ALOK GUPTA CIO/COO 50.00 X 334436 0 29733 CHARLES DANSEREAU DIRECTOR OF IT 40.00 X 146278 0 18966 ELAINE FONTAINE DIRECTOR OF DQA 40.00 X 134692 0 24299 DAWN DUNN DIRECTOR OF FINANCE 40.00 X 117228 0 23494 MICHELLE DEXTER DIRECTOR OF HUMAN RESOURCES 40.00 X 122002 0 19361 DARLENE MORRIS DIRECTOR, CENTER FOR IMPROVEMENT SCIENCE 40.00 X 119728 0 6256 1325407 0 152134 8 0 1 0 J2 INTERACTIVE LLC 2 THIRTEENTH STREET CHARLESTOWN MA 02129 SOFTWARE, PROJECT IMPLEMENTATION 1258868 INTERSYSTEMS CORPORATION PO BOX 84-5809 BOSTON MA 02284 SOFTWARE, PROJECT IMPLEMENTATION 660059 ROBINSON & COLE LLP 280 TRUMBALL STREET HARTFORD CT 06103 LEGAL SERVICES 160303 NETCENERGY LLC 1125 PONTIACE AVE CRANSTON RI 02920 CONSULTING 106546 INPRIVA INC 2625 REDWING RD STE 330 FORT COLLINS CO 80526 CONSULTING 103000 5 3066192 3066192 CONTRACT REVENUE 900099 5481332 5481332 US DHHS INCOME 900099 2870257 2870257 8351589 8 8 CHANGE IN VALUE OF DEFERRED COMP 900099 2185 2185 2185 11419974 8351589 0 2193 745237 745237 4507675 3622923 884752 858357 641824 216533 435212 310802 124410 139182 105322 33860 40750 40750 36223 36223 407842 407842 24426 24426 216163 136159 80004 3054691 2866463 188228 290635 290635 53883 30213 23670 52908 33817 19091 245172 149132 96040 37404 28612 8792 HR AND STAFFING COSTS 254941 92046 162895 MISCELLANEOUS 121896 42374 79522 COMMUNICATIONS 35590 25635 9955 11558187 8517590 3040597 0 328001 1554891 141749 108358 2295804 1104207 176986 251429 2532728 2159603 491145 373125 3433685 3392010 1067384 1163922 1067384 1163922 X 2200635 2214242 165666 13846 2366301 2228088 3433685 3392010 -138213 0 X 0 1 X 1 1 1 X 4392480 4602849 3236173 3231748 3066192 18529442 12699043 6711797 5214081 6357618 8351589 39334128 17091523 11314646 8450254 9589366 11417781 57863570 0 0 0 57863570 40 3690 2026 32 8 5796 40 3690 2026 32 8 5796 -3111 2185 -926 17091563 11318336 8452280 9586287 11419974 57868440 0.99990 1.00000 0.00010 0.00010 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 36604 36604 11521583 11558187 727909 181977 0 0 758166 637970 620576 727909 2744621 4116932 3308 36604 39912 189542 159493 155144 181977 686156 1029234 172815 151270 21545 2359913 2008333 351580 373125 X 11517104 97130 97130 11419974 0 11419974 11655317 97130 97130 11558187 0 11558187 PART X, LINE 2: THE INSTITUTE IS A PUBLIC CHARITY EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE INSTITUTE OPERATES IN A MANNER CONSISTENT WITH THEIR TAX-EXEMPT STATUS AT BOTH THE FEDERAL AND STATE LEVEL. THE INSTITUTE ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE INFORMATIONAL TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES, GENERALLY FOR THREE YEARS AFTER THEY ARE FILED. THE INSTITUTE CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. X X X X X 0 0 0 0 0 0 0 1 0 LAURA L ADAMS PRESIDENT AND CEO 287390 0 63653 0 0 0 10600 0 19425 0 381068 0 0 0 ALOK GUPTA CIO/COO 247023 0 87413 0 0 0 10600 0 19133 0 364169 0 0 0 CHARLES DANSEREAU DIRECTOR OF IT 146278 0 0 0 0 0 0 0 18966 0 165244 0 0 0 ELAINE FONTAINE DIRECTOR OF DQA 134692 0 0 0 0 0 5387 0 18912 0 158991 0 0 0 PART I, LINE 7 AS PART OF THE ANNUAL COMPENSATION REVIEW FOR THE TOP EXECUTIVE OF THE ORGANIZATION, THE BOARD HAS CHOSEN TO PAY AN INCENTIVE COMPENSATION PAYMENT. THIS AMOUNT INCREASES THE COMPENSATION TO AN AMOUNT THE BOARD BELIEVES IS JUSTIFIED BY THE CURRENT SIZE, COMPLEXITY AND PERFORMANCE OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 2 MARIE GHAZAL (RHODE ISLAND FREE CLINIC CEO) - COLLABORATES WITH THE FOLLOWING BOARD MEMBERS FOR RIFC SERVICES: TIMOTHY BABINEAU, MD, CEO OF LIFESPAN; AND DENNIS KEEFE, CEO OF CARE NEW ENGLAND; COORDINATES GRANTS AND OTHER SUPPORT FROM: STEPHEN FARRELL, CEO OF UNITED HEALTHCARE; PETER ANDRUSZKIEWICZ/KIM KECK, PAST AND CURRENT CEO OF BCBSRI; LESTER SCHINDEL, NE REGIONAL CHIEF STRATEGY & DEVELOPMENT OFFICER OF PROSPECT MEDICAL HOLDINGS; JAMES ROOSEVELT, ADVISOR FOR TUFTS HEALTH PLAN; AND PETER MARINO, PRESIDENT AND CEO OF NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND JOHN KEIMIG (HEALTHCENTRIC ADVISORS PRESIDENT AND CEO) - DIANA FRANCHITTO, PRESIDENT AND CEO OF HOPE HEALTH, IS A BOARD MEMBER OF HEALTHCENTRIC ADVISORS TIMOTHY BABINEAU, MD (LIFESPAN PRESIDENT AND CEO) - STEPHEN FARRELL, CEO OF UNITED HEALTHCARE, AND PETER MARINO, PRESIDENT AND CEO OF NHPRI - LIFESPAN HOSPITALS ARE PARTICIPATING PROVIDERS IN THEIR NETWORKS LAURIE WHITE (PRESIDENT, GPCC) - VARIOUS MEMBERS OF THE BOARD AND THEIR ENTITIES HAVE A ROUTINE VOLUNTEER-BASED MEMBERSHIP RELATIONSHIP WITH THE GREATER PROVIDENCE CHAMBER OF COMMERCE; RHODE ISLAND QUALITY INSTITUTE IS A DUES PAYING MEMBER OF GPCC FORM 990, PART VI, SECTION B, LINE 11B THE PROCESS FOR 990 FORM APPROVAL INVOLVES EXTERNAL AUDIT PREPARATION AND SUBSEQUENT REVIEW BY MANAGEMENT. THE FORM 990 IS SENT TO THE AUDIT AND COMPLIANCE COMMITTEE FOR REVIEW AND APPROVAL. ANY CHANGES TO THE FORM 990 ARE MADE AS NECESSARY. THE COMMITTEE RECOMMENDS THE FORM 990 TO THE BOARD (THEY RECEIVE A COPY PRIOR TO THE BOARD MEETING) FOR FINAL APPROVAL. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR THE ORGANIZATION'S CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL OFFICERS, DIRECTORS AND KEY EMPLOYEES. THESE PEOPLE ARE ASKED TO REVIEW THE POLICY AND SIGN A STATEMENT INDICATING THAT THEY UNDERSTAND THE POLICY AND HAVE REPORTED ALL POTENTIAL CONFLICTS DURING THE PAST YEAR IN ACCORDANCE WITH THE POLICY AND WILL REPORT ALL POTENTIAL CONFLICTS DURING THE COMING YEAR. ALL POTENTIAL CONFLICTS ARE EVALUATED BY THE BOARD TO DETERMINE IF A CONFLICT ACTUALLY EXISTS. IN THOSE INSTANCES WHERE THE POTENTIAL TRANSACTION IS A CONFLICT, THE BOARD EXAMINES THE TRANSACTION AND A VOTE IS TAKEN (WITH THOSE INVOLVED RECUSING THEMSELVES) AS TO WHETHER THE ORGANIZATION WILL ENTER INTO THE TRANSACTION. FORM 990, PART VI, SECTION B, LINE 15 ANNUALLY THE BOARD CONDUCTS A PERFORMANCE REVIEW AND EVALUATION OF THE CHIEF EXECUTIVE OFFICER. THE REVIEW ALSO ESTABLISHES THE INDIVIDUAL'S COMPENSATION FOR THE FOLLOWING YEAR. THIS PROCESS INVOLVES THE EVALUATION OF THE INDIVIDUAL AND A REVIEW OF COMPENSATION OF COMPARABLE POSITIONS OBTAINED FROM AN INDEPENDENT COMPENSATION CONSULTANT. THE CHIEF EXECUTIVE OFFICER ESTABLISHES THE COMPENSATION OF THE SENIOR MANAGEMENT TEAM AND REVIEWS THE PERFORMANCE EVALUATIONS AND RECOMMENDED COMPENSATION WITH THE BOARD CHAIR. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS (ARTICLES OF INCORPORATION AND BY-LAWS), ITS CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS AVAILABLE UPON REQUEST. THE ORGANIZATION WILL MAIL COPIES UPON REQUEST OR PROVIDE COPIES TO THOSE WHO COME TO THE ADMINISTRATIVE OFFICE DURING NORMAL BUSINESS HOURS. THE ORGANIZATION CHARGES FOR THE COPIES IN ACCORDANCE WITH IRS REGULATIONS.