DELTA DENTAL OF RHODE ISLAND: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF RHODE ISLAND (EIN 05-0296998)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-14
IRS object ID
201633199349301503
Schema version
2015v2.1
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-14T07:54:37-06:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line175 STATE STREETAddressLine1Txt
CityBOSTONCityNm
State AbbreviationMAStateAbbreviationCd
ZIP02109ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050296998EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Delta Dental of Rhode IslandBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% GEORGE BEDARDInCareOfNm
Business Name ControlDELTBusinessNameControlTxt
Phone4017526000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Charles StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02904ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonRICHARD A FRITZPersonNm
Person TitleVP Finance & CFOPersonTitleTxt
Phone4017526000PhoneNum
Signature2016-11-09SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRobert J Butler JrPreparerPersonNm
PTINP00037953PTIN
Phone6177237900PhoneNum
Preparation2016-11-09PreparationDt
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJOSEPH NAGLEPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Charles StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP02904ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$233,078,487GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501cYes (X)Organization501cInd
Website Addresswww.deltadentalri.comWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1959FormationYr
Legal Domicile StateRILegalDomicileStateCd
Activity Or Missionto provide cost effective group dental insurance to the rhode island business communities.ActivityOrMissionDesc
Voting Members Governing Body15VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee58TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$192,230,670PYProgramServiceRevenueAmt
CY Program Service Revenue$196,524,961CYProgramServiceRevenueAmt
PY Investment Income$2,324,689PYInvestmentIncomeAmt
CY Investment Income$3,147,829CYInvestmentIncomeAmt
PY Other Revenue$167,584PYOtherRevenueAmt
CY Other Revenue$169,621CYOtherRevenueAmt
PY Total Revenue$194,722,943PYTotalRevenueAmt
CY Total Revenue$199,842,411CYTotalRevenueAmt
PY Grants And Similar Paid$1,547,361PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$545,271CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$168,200,203PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$177,440,293CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,407,455PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$11,724,651CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$10,159,375PYOtherExpensesAmt
CY Other Expenses$9,070,969CYOtherExpensesAmt
PY Total Expenses$190,314,394PYTotalExpensesAmt
CY Total Expenses$198,781,184CYTotalExpensesAmt
PY Revenues Less Expenses$4,408,549PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$1,061,227CYRevenuesLessExpensesAmt
Total Assets BOY$110,755,768TotalAssetsBOYAmt
Total Assets EOY$107,812,958TotalAssetsEOYAmt
Total Liabilities BOY$18,706,502TotalLiabilitiesBOYAmt
Total Liabilities EOY$18,698,122TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$92,049,266NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$89,114,836NetAssetsOrFundBalancesEOYAmt
MissionOur mission is to deliver impeccable service, quality and innovation that exceeds expectations. As experts in oral health care, we are committed to accessible, affordable care that drives improved health outcomes.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$177,985,564ExpenseAmt
Revenue$196,374,807RevenueAmt
DescDental Benefits for 579,866 members under 276,483 contracts. The Company offers a broad range of prepaid dental care coverage options and administrative services to organizations providing such benefits to their employees on a contributory or a noncontributory basis.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$9,128,318ExpenseAmt
Revenue$161,224RevenueAmt
DescOperations Expense Incurred To Administer The Payment of Dental Benefits.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$187,113,882TotalProgramServiceExpensesAmt
Described In Section501c3falseDescribedInSection501c3Ind
Schedule B RequiredfalseScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalfalseOperateHospitalInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With Officer EntYes (true)BusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document16IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee58EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitfalseUnrelatedBusIncmOverLimitInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonGEORGE BEDARDPersonNm
Phone4017526240PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
William A Mekrut
CHAIR1.01.0Yes (X)Yes (X)$14,700$0$0
Fred K Butler
Vice Chair1.01.0Yes (X)Yes (X)$8,500$0$0
A Thomas Correia DDS
Dir. (THRU 2/15) & dental dir.1.01.0Yes (X)$54,363$0$0
Julie G Duffy
Director1.01.0Yes (X)$6,000$0$0
Francis J Flynn
Director1.01.0Yes (X)$6,500$0$0
William G Foulkes
Director1.01.0Yes (X)$1,000$0$0
Almon C Hall
Director1.01.0Yes (X)$7,500$0$0
Edward O Handy III
Director1.01.0Yes (X)$7,500$0$0
Steven J Issa
Director1.01.0Yes (X)$9,200$0$0
Joseph J Marcaurele
Director1.01.0Yes (X)$7,000$0$0
Linda R McGoldrick
Director1.01.0Yes (X)$7,500$0$0
James F McManus DDS
Director1.01.0Yes (X)$7,500$0$0
Cynthia S Reed
Director1.01.0Yes (X)$8,500$0$0
John T Ruggieri
Director1.01.0Yes (X)$8,000$0$0
Edwin J Santos
Director1.01.0Yes (X)$10,400$0$0
Vanessa Toledo-Vickers
Director40.01.0Yes (X)$6,500$0$0
Joseph Nagle
President & CEO40.01.0Yes (X)$792,565$0$136,351
Richard A Fritz
VP Finance, CFO & TREASURER40.01.0Yes (X)$309,201$0$57,786
Kerrie L Bennett
VP Marketing & Secretary40.01.0Yes (X)$210,838$0$28,554
George J Bedard
Controller & Asst. Treasurer40.01.0Yes (X)$142,507$0$34,700
Melissa A Gennari
Director Compliance & Asst Sec40.01.0Yes (X)$129,110$0$13,690
Thomas D Chase
VP Technology & CIO40.01.0$0$341,563$57,847Yes (X)
Joseph R Perroni
VP Sales-Dental & Altus Dental40.01.0$297,726$0$49,398Yes (X)
Blaine R Carroll
VP Strategic Initiatives40.01.0$251,086$0$47,762Yes (X)
Angelo Pezzullo
VP Sales40.01.0$177,049$0$39,913Yes (X)
Ellen M Hendrix
AVP Underwriting40.01.0$156,600$0$38,325Yes (X)
Timothy Fitzgibbons
Sr. Director Actuarial40.01.0$158,361$0$32,239Yes (X)
Keith Whitt
Director of Sales40.01.0$148,969$0$35,133Yes (X)
Duane S Easter
Director of Corp Reporting40.01.0$132,601$0$34,999Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,077,276TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$341,563TotReportableCompRltdOrgAmt
Total Other Compensation$606,697TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K18IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
NETCENERGY LLC
231 ELM STREETWARWICKRI02888IT CONSULTING$905,120
DUFFY SHANLEY Inc
10 CHARLES STREETPROVIDENCERI02904MARKETING SERVICES$754,816
Cathedral Corporation
Griffin Technology ParkROMENY13441PROCESSING SERVICES$466,423
EDGEWATER TECHNOLOGY INC
PO BOX 845183BOSTONMA022845183Product Development$453,720
GRANT THORNTON LLP
90 State House Square 10th FloorHARTFORDCT06103AUDIT/TAX SERVICES$267,386
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K25CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREMIUMSDesc
Business524114BusinessCd
Total Revenue Column$196,524,961TotalRevenueColumnAmt
Related Or Exempt Func Income$196,524,961RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$196,524,961TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,879,542TotalRevenueColumnAmt
Exclusion$1,879,542ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$34,504,363SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$33,236,076SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,268,287SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,268,287TotalRevenueColumnAmt
Exclusion$1,268,287ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
INCOME FROM SUBSIDIARY900099$158,551$158,551
OTHER INCOME900099$11,070$11,070
FieldValueIRS element (for citing)
Other Revenue Total$169,621OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$199,842,411TotalRevenueColumnAmt
Related Or Exempt Func Income$196,536,031RelatedOrExemptFuncIncomeAmt
Exclusion$3,306,380ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$545,271TotalAmt
Program Services$545,271ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$177,440,293TotalAmt
Program Services$177,440,293ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,671,937TotalAmt
Management And General$2,671,937ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,639,927TotalAmt
Program Services$5,304,582ProgramServicesAmt
Management And General$2,335,345ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$376,897TotalAmt
Program Services$310,710ProgramServicesAmt
Management And General$66,187ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$341,685TotalAmt
Program Services$217,704ProgramServicesAmt
Management And General$123,981ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$694,205TotalAmt
Program Services$335,628ProgramServicesAmt
Management And General$358,577ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$223,176TotalAmt
Management And General$223,176ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$284,634TotalAmt
Management And General$284,634ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$60,000TotalAmt
Program Services$60,000ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$831,462TotalAmt
Management And General$831,462ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,292,914TotalAmt
Program Services$605,662ProgramServicesAmt
Management And General$1,687,252ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$443,528TotalAmt
Management And General$443,528ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$955,069TotalAmt
Program Services$721,915ProgramServicesAmt
Management And General$233,154ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$793,473TotalAmt
Program Services$414,587ProgramServicesAmt
Management And General$378,886ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$105,170TotalAmt
Program Services$5,556ProgramServicesAmt
Management And General$99,614ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,893TotalAmt
Management And General$13,893ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,023,470TotalAmt
Management And General$1,023,470ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$142,193TotalAmt
Management And General$142,193ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL & MAINT$1,141,325$1,141,325
ASSOCIATION FEES$412,188$9,174$403,014
TELEPHONE$293,486$293,486
LICENSES & FEES$22,931$22,931

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$32,057TotalAmt
Program Services$1,475ProgramServicesAmt
Management And General$30,582ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$198,781,184TotalAmt
Program Services$187,113,882ProgramServicesAmt
Management And General$11,667,302ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$6,872,444BOYAmt
EOY-$1,358,237EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$10,623,329BOYAmt
EOY$11,805,775EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

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

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$587,705BOYAmt
EOY$2,714,640EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$11,290,466LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$9,723,954LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$1,865,069BOYAmt
EOY$1,566,512EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$80,294,046BOYAmt
EOY$80,960,681EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,871,073BOYAmt
EOY$10,344,305EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$641,852BOYAmt
EOY$1,779,032EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$110,755,768BOYAmt
EOY$107,812,958EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$12,389,841BOYAmt
EOY$11,594,232EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

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

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$6,316,661BOYAmt
EOY$7,103,890EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$18,706,502BOYAmt
EOY$18,698,122EOYAmt
FieldValueIRS element (for citing)
Org Does Not Follow SFAS117Yes (X)OrgDoesNotFollowSFAS117Ind

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

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

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

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

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

FieldValueIRS element (for citing)
BOY$92,049,266BOYAmt
EOY$89,114,836EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$92,049,266BOYAmt
EOY$89,114,836EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$110,755,768BOYAmt
EOY$107,812,958EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$1,061,227ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$1,325,866NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$2,669,791OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp
LandLandGrp
BuildingsBuildingsGrp

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,689,561OtherCostOrOtherBasisAmt
Depreciation$2,328,789DepreciationAmt
Book Value$360,773BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$5,691,304OtherCostOrOtherBasisAmt
Depreciation$4,660,762DepreciationAmt
Book Value$1,030,541BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,909,601OtherCostOrOtherBasisAmt
Depreciation$2,734,403DepreciationAmt
Book Value$175,198BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$1,566,512TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUBSIDIARIES$7,965,026C
INVESTMENT-OTHER$2,379,279F
FieldValueIRS element (for citing)
Total Book Value Securities$10,344,305TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
CLAIMS INCURRED BUT UNPAID$4,872,000
ADVANCED SUBSCRIBER PREMIUMS$1,392,506
ACCRUED CLAIMS ADJUSTMENT EXPENSE$430,738
ADVANCED DEPOSITS$408,646
FieldValueIRS element (for citing)
Total Liability$7,103,890TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceASC 470FormAndLineReferenceDesc
ExplanationSCHEDULE 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 and, 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, 2015 and 2014, the Company had no uncertain tax positions.ExplanationTxt

Schedule I IRS990ScheduleI

Recipient Table RecipientTable (27 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNITED WAY OF RHODE ISLAND
50 VALLEY STREETPROVIDENCERI02909050276059501(C)(3)$28,728PROGRAM SUPPORT
CVS CHARITY CLASSIC INC
ONE CVS DRIVEWOONSOCKETRI02895050508742501(C)(3)$26,500PROGRAM SUPPORT
AMOS HOUSE
413 FRIENDSHIP STREETPROVIDENCERI02907050387218501(C)(3)$25,250PROGRAM SUPPORT
MAKE A WISH MASSACHUSETTS
ONE BULFINCH PLACE SUITE 201BOSTONMA02114222867371501(C)(3)$25,000PROGRAM SUPPORT
SAN MIGUEL SCHOOL
525 BRANCH AVENUEPROVIDENCERI02904223232973501(C)(3)$21,500PROGRAM SUPPORT
PROVIDENCE COLLEGE
1 CUNNING SQUAREPROVIDENCERI02908050258932501(C)(3)$25,750PROGRAM SUPPORT
SALVE REGINA UNIVERSITY
100 OCHRE POINT AVENUENEWPORTRI02840050259080501(C)(3)$16,750PROGRAM SUPPORT
CROSSROADS RHODE ISLAND
160 BROAD STREETPROVIDENCERI02903050259094501(C)(3)$15,500PROGRAM SUPPORT
MCAULEY MINISTRIES
622 ELMWOOD AVENUEPROVIDENCERI02907050440470501(C)(3)$12,250PROGRAM SUPPORT
RHODE ISLAND FOUNDATION - CIVIC LEADERSHIP FUND
ONE UNION STATIONPROVIDENCERI02914222604963501(C)(3)$11,000PROGRAM SUPPORT
AMY GALLAGHER FOUNDATION
180 EAST SHORE ROADJAMESTOWNRI02835475609593501(C)(3)$10,000PROGRAM SUPPORT
CITY YEAR INC
77 EDDY ST 2ND FLOORPROVIDENCERI02903222882549501(C)(3)$10,000PROGRAM SUPPORT
FIRST WORKS
270 WESTMINSTER STREETPROVIDENCERI02903222597014501(C)(3)$10,000PROGRAM SUPPORT
LEARNING COMMUNITY
21 LINCOLN AVENUECENTRAL FALLRI02863470942849501(C)(3)$10,000PROGRAM SUPPORT
RHODE ISLAND COMMUNITY FOOD BANK
200 NIANTIC AVENUEPROVIDENCERI02907050395601501(C)(3)$10,000PROGRAM SUPPORT
STATION FIRE MEMORIAL FOUNDATION
20 HALL STREETEAST GREENWICHRI02818562382562501(C)(3)$10,000PROGRAM SUPPORT
FAMILY SERVICE OF RHODE ISLAND
55 HOPE STREETPROVIDENCERI029046688050258858501(C)(3)$9,000PROGRAM SUPPORT
JOHNSON & WALES UNIVERSITY
8 ABBOT PARK PLACEPROVIDENCERI02903050306206501(C)(3)$8,500PROGRAM SUPPORT
JEFFREY OSBORNE CELEBRITY CLASSIC
PO BOX 27815PROVIDENCERI02907050510492501(C)(3)$7,500PROGRAM SUPPORT
JUNIOR ACHIEVEMENT
120 WATERMAN STREETPROVIDENCERI02906050263443501(C)(3)$7,500PROGRAM SUPPORT
RHODE ISLAND HOSPITAL FOUNDATION
PO BOX HPROVIDENCERI02901050468736501(C)(3)$7,500PROGRAM SUPPORT
SPECIAL OLYMPICS RHODE ISLAND
370 G WASHINGTON HWYSMITHFIELDRI02917050377867501(C)(3)$7,000PROGRAM SUPPORT
ROCKY HILL SCHOOL
530 IVES ROADEAST GREENWICHRI02818050277258501(C)(3)$6,065PROGRAM SUPPORT
BRYANT UNIVERSITY
1150 DOUGLAS TURNPIKESIMTHFIELDRI02908050258810501(C)(3)$6,000PROGRAM SUPPORT
OCEAN STATE JOB LOT CHARITABLE
375 COMMERCE PARK ROADKINGSTOWNRI02852200959438501(C)(3)$6,000PROGRAM SUPPORT
LITTLE SISTERS OF THE POOR
964 MAIN STREETPAWTUCKETRI02860050283791501(C)(3)$5,350PROGRAM SUPPORT
TOMORROW FUND
593 EDDY STREETPROVIDENCERI02903050450569501(C)(3)$5,100PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org27Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2FormAndLineReferenceDesc
ExplanationThe Company does not issue specific grants, however, as part of THE corporate responsibility program, DELTA DENTAL OF RHODE ISLAND supports local charitable organizations.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentfalseSeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsYes (true)CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (true)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Joseph Nagle
President & CEO$578,186$0$140,285$0$74,094$0$115,986$0$20,365$0$928,916$0$0$0
Richard A Fritz
VP Finance, CFO & TREASURER$284,307$0$22,136$0$2,758$0$38,413$0$19,373$0$366,987$0$0$0
Kerrie L Bennett
VP Marketing & Secretary$201,764$0$8,640$0$434$0$19,613$0$8,941$0$239,392$0$0$0
George J Bedard
Controller & Asst. Treasurer$129,635$0$11,738$0$1,134$0$16,364$0$18,336$0$177,207$0$0$0
Thomas D Chase
VP Technology & CIO$0$311,071$0$28,877$0$1,615$0$40,034$0$17,813$0$399,410$0$0
Joseph R Perroni
VP Sales-Dental & Altus Dental$254,902$0$35,976$0$6,848$0$31,585$0$17,813$0$347,124$0$0$0
Blaine R Carroll
VP Strategic Initiatives$219,463$0$30,513$0$1,110$0$27,264$0$20,498$0$298,848$0$0$0
Angelo Pezzullo
VP Sales$145,491$0$24,242$0$7,316$0$22,516$0$17,397$0$216,962$0$0$0
Ellen M Hendrix
AVP Underwriting$140,989$0$14,935$0$676$0$18,429$0$19,896$0$194,925$0$0$0
Timothy Fitzgibbons
Sr. Director Actuarial$152,290$0$5,597$0$474$0$14,423$0$17,816$0$190,600$0$0$0
Keith Whitt
Director of Sales$135,917$0$6,225$0$6,827$0$14,097$0$21,036$0$184,102$0$0$0
Duane S Easter
Director of Corp Reporting$118,299$0$13,940$0$362$0$14,633$0$20,366$0$167,600$0$0$0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Gross-Up PaymentsSchedule J, Part I, Line 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 and the gross-up is included in reportable compensation on Schedule J Part II Column (B)(iii).
Health or Social Club DuesSchedule J, Part I, Line 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. This benefit is NOT reported as taxable compensation.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4b The CEO participates in a 457(F) deferred compensation plan but has not met the vesting criteria and therefore no payments have been made to the CEO to date. Contributions of $62,886 made to the plan during 2015 have been reported on Schedule J Part II Column (C).
Compensation contingent on revenues of related organizationsSchedule J, Part I, Line 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 2015, one of these goals is based on the revenues of a wholly-owned subsidiary of the company. This particular goal has a weighting of 10% of the total incentive bonus opportunity. The percentage of the bonus reported on Schedule J, Part II, Column (B)(ii) contingent on the revenues of the wholly-owned subsidiary is equal to 1.5% of the CEO's base pay.
Compensation contingent on net earnings of the organizationSchedule J, Part I, Line 6a The company maintains an annual incentive program that is allocated to all applicable employees, including all individuals listed on Form 990, if the company meets certain board approved corporate financial goals, including meeting enrollment levels, control of operating expenses, and overall profitability.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
A Thomas Correia DDS Inc
Correia - Board Member$542,817Payment to Dental Practicefalse
MCMANUS PRATT
McManus - Board Member$903,027Payment to Dental Practicefalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceBusiness Transactions Involving Interested PersonsFormAndLineReferenceDesc
ExplanationPart IV The organization engages in transactions with dental practices of whom the board members identified in Schedule L Part IV have a controlling interest. The transactions are entered into in the ordinary course of business and at fair market value. Transactions with these entities are subject to the same procedures and review as all dental practices.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MEMBERS OF THE ORGANIZATIONFORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS 73 CORPORATE MEMBERS.
MEMBERS THAT MAY ELECT THE GOVERNING BODYForm 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 MEMBERSForm 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 PROCESSForm 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, 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 POLICYForm 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 director of compliance and 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 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 director of compliance, the VP-CFO, the director of program integrity and network management, and the VP-CIO. 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 POLICYForm 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 DISCLOSUREForm 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. Director COMPENSATION Form 990, Part VII, Section A A. Thomas Correia, DDS, served on the Board of Directors for Delta Dental of Rhode Island until February 13, 2015 when he was hired as an employee. Reportable compensation reported on 990 Part VII column D properly reflects reasonable compensation for services rendered as a Director of $4,000 and compensation as an employee of $50,363.
OTHER CHANGES IN NET ASSETSFORM 990, PART XI, LINE 9 ALTUS VENTURES, INC. WAS SETUP and capitalized IN JUNE OF 2014. The company transferred an additional $3,000,000 of capital to Altus Ventures, Inc. in 2015. Also included in line 9 is an adjustment of ($330,209) for overaccrued expenses related to a joint venture with other delta dental plans. TOTAL OTHER CHANGES IN NET ASSETS EQUAL ($2,669,791).

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1Altus Realty CompanyBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 Charles StreetAddressLine1Txt
CityProvidenceCityNm
State AbbreviationRIStateAbbreviationCd
ZIP029042208ZIPCd
FieldValueIRS element (for citing)
EIN030396397EIN
Primary ActivitiesHolding Co.PrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd
Exempt Code Section501(C)(2)ExemptCodeSectionTxt
Public Charity StatusN/APublicCharityStatusTxt

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DDRIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
The Altus Group Inc
10 Charles StreetProvidenceRI02904050502610InsuranceRIDDRIC Corp$0$01.00000Yes (true)
ALTUS DENTAL INC
10 CHARLES STREETPROVIDENCERI02904050502612INSURANCERIALTUS GROUP INCC CORP$0$01.00000Yes (true)
ALTUS VENTURES INC
10 CHARLES STREETPROVIDENCERI02904465627174VENTURE CAPITALRIALTUS GROUP INCC CORP$0$01.00000Yes (true)
ALTUS DENTAL INSURANCE CO INC
10 CHARLES STREETPROVIDENCERI02904050513223INSURANCERIALTUS GROUP INCC CORP$0$01.00000Yes (true)
ALTUS SYSTEMS INC
10 CHARLES STREETPROVIDENCERI02904050502611INSURANCERIALTUS GROUP INCC CORP$0$01.00000Yes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (true)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgfalseRentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Altus Dental Insurance Co Inc
A(IV)$308,550FMV
Altus Dental Inc
A(I)$89,041FMV
Altus Realty Inc
A(I)$67,373FMV
Altus Ventures Inc
B$3,000,000FMV
Altus Realty Inc
D$3,060,978FMV
Altus Realty Inc
K$793,474FMV
Altus Systems Inc
L$5,397,619FMV
Altus Dental Insurance Co Inc
M$925,651FMV
Altus Dental Insurance Co Inc
o$969,730fmv

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