2015-05-12T08:31:17-05:00 2014-12-31 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2014-01-01 753059336 RHODE ISLAND QUALITY INSTITUTE RHOD 4012769141 50 HOLDEN STREET SUITE 300 PROVIDENCE RI 02908 LAURA L ADAMS PRESIDENT AND CEO 4012744564 2015-05-08 1 DEBORAH A HOPKINS P00167843 4012742001 2014 2016-03-07 17:11:31Z LAURA L ADAMS 50 HOLDEN STREET SUITE 300 PROVIDENCE RI 02908 8453080 0 X WWW.RIQI.ORG X 2001 RI TO SIGNIFICANTLY IMPROVE THE SAFETY AND QUALITY OF HEALTH CARE IN RHODE ISLAND. 20 20 52 0 0 0 4602849 3236173 6711797 5214081 3690 2826 0 0 11318336 8453080 0 0 0 0 5697017 4574494 0 0 0 6466297 5184903 12163314 9759397 -844978 -1306317 4266155 2919556 768296 728014 3497859 2191542 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 IN RHODE ISLAND. 0 0 7249978 5214081 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. 7249978 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 35 0 52 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 YUL D EJNES MD CHAIR 4.00 X X 0 0 0 RICHARD H LECLERC VICE-CHAIR 4.00 X X 0 0 0 STEPHEN FARRELL TREASURER 4.00 X X 0 0 0 DENNIS KEEFE SECRETARY 4.00 X X 0 0 0 ERNEST ALMONTE DIRECTOR (1/14-3/14) 2.00 X 0 0 0 PETER ANDRUSZKIEWICZ DIRECTOR 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 RICHARD BESDINE MD DIRECTOR (1/14-4/14) 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 JAMES HOOLEY DIRECTOR (1/14-9/14) 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 (AS OF 11/14) 2.00 X 0 0 0 G ALAN KUROSE DIRECTOR 2.00 X 0 0 0 JEANNE LIEB DIRECTOR 2.00 X 0 0 0 PETER M MARINO DIRECTOR (AS OF 9/14) 2.00 X 0 0 0 ALBERT PUERINI JR MD DIRECTOR (AS OF 10/14) 2.00 X 0 0 0 JAMES ROOSEVELT JR DIRECTOR 2.00 X 0 0 0 LAURIE WHITE DIRECTOR 2.00 X 0 0 0 LAURA L ADAMS PRESIDENT AND CEO 50.00 X 322132 0 30244 GARY CHRISTENSEN CIO/COO (1/14-2/14) 50.00 X 86453 0 4756 ALOK GUPTA CIO/COO (AS OF 5/14) 50.00 X 140324 0 11283 JONATHON LEVISS CMO (1/14-4/14) 50.00 X 112777 0 8157 CHARLES DANSEREAU DIRECTOR OF IT 40.00 X 138520 0 19693 CHARLIE HEWITT DIRECTOR, HIE 40.00 X 131420 0 19602 ELAINE FONTAINE DIRECTOR OF DQA 40.00 X 124298 0 16357 DAWN DUNN DIRECTOR OF FINANCE 40.00 X 107078 0 23809 DARLENE MORRIS DIRECTOR, REGIONAL EXTENSION CENTER 40.00 X 103283 0 4748 1266285 0 138649 12 0 1 0 INTERSYSTEMS CORPORATION PO BOX 84-5809 BOSTON MA 02284 SOFTWARE, PROJECT IMPLEMENTATION 755537 J2 INTERACTIVE LLC 2 THIRTEENTH STREET CHARLESTOWN MA 02129 SOFTWARE, PROJECT IMPLEMENTATION 681345 SAGAMORE GROUP INC PO BOX 807 BRISTOL RI 02809 OUTREACH 363947 RESEARCH TRIANGLE INSTITUTE PO BOX 900002 RALEIGH NC 27675 CONSULTING 322302 NIXON PEABODY LLP ONE CITIZENS PLAZA PROVIDENCE RI 02903 LEGAL SERVICES 157826 7 3236173 3236173 CONTRACT REVENUE 900099 4189294 4189294 US DHHS INCOME 900099 1024787 1024787 5214081 2026 2026 800 0 800 800 800 8453080 5214081 0 2826 716126 716126 2986225 2273202 713023 550151 386798 163353 321992 206430 115562 155465 119764 35701 39000 39000 451793 451793 8374 8374 137142 111270 25872 2318796 2200470 118326 270888 270888 56029 36864 19165 30229 23125 7104 495211 387624 107587 35893 28061 7832 CONSULTING 565056 509836 55220 SUBSIDIES 313083 313083 HR AND STAFFING COSTS 183146 123961 59185 COMMUNICATIONS 67329 54272 13057 57469 15051 42418 9759397 7249978 2509419 0 2557200 1722143 111990 129273 22836 15720 368378 318573 154525 177832 2138907 1582892 1051226 556015 4266155 2919556 768296 728014 768296 728014 X 915928 865814 2581931 1325728 3497859 2191542 4266155 2919556 -1306317 0 X 0 1 X 1 1 1 X 1614001 1348899 4392480 4602849 3236173 15194402 3818719 11377359 12699043 6711797 5214081 39820999 5432720 12726258 17091523 11314646 8450254 55015401 0 0 0 55015401 578 251 40 3690 2026 6585 578 251 40 3690 2026 6585 5433298 12726509 17091563 11318336 8452280 55021986 0.99990 0.99970 0.00010 0.00030 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 9759397 9759397 637970 159493 0 0 760321 873319 758166 637970 3029776 4544664 5834 0 0 0 5834 190080 218330 189542 159493 757445 1136168 166884 80661 86223 1972023 1502231 469792 556015 X 8453080 0 8453080 0 8453080 9759397 0 9759397 0 9759397 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. THE INSTITUTE'S TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES AND THE TAX RETURNS FOR 2011, 2012 AND 2013 ARE SUBJECT TO EXAMINATION BY THE TAXING AUTHORITIES, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THEY WERE FILED. X X X X X 0 0 0 0 0 0 0 1 0 LAURA L ADAMS PRESIDENT AND CEO 276205 0 45927 0 0 0 10400 0 19844 0 352376 0 0 0 ALOK GUPTA CIO/COO (AS OF 5/14) 140324 0 0 0 0 0 0 0 11283 0 151607 0 0 0 CHARLES DANSEREAU DIRECTOR OF IT 138520 0 0 0 0 0 0 0 19693 0 158213 0 0 0 CHARLIE HEWITT DIRECTOR, HIE 131420 0 0 0 0 0 0 0 19602 0 151022 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 JOHN KEIMIG (HEALTHCENTRIC ADVISORS PRESIDENT & CEO) - RICHARD BESDINE, MD, DIRECTOR, DIVISION OF GERIATRICS, ALPERT SCHOOL OF MEDICINE, BROWN UNIVERSITY, CONTRACTED PART-TIME AS MEDICAL DIRECTOR OF HEALTHCENTRIC ADVISORS MARIE GHAZAL (RHODE ISLAND FREE CLINIC CEO) - COLLABORATES WITH THE FOLLOWING BOARD MEMBERS FOR RIFC SERVICES: PETER ANDRUSZKIEWICZ, CEO OF BCBSRI; JAMES ROOSEVELT, CEO OF TUFTS HEALTH PLAN; TIMOTHY BABINEAU, MD, CEO OF LIFESPAN; AND DENNIS KEEFE, CEO OF CARE NEW ENGLAND G ALAN KUROSE,MD (COASTAL MEDICAL CEO) - DR YUL EJNES (RIQI CHAIR) IS A SHAREHOLDER PHYSICIAN OF COASTAL MEDICAL AND A MEMBER OF CCMM. COASTAL ALSO HAS PROVIDER CONTRACTS WITH THE FOLLOWING HEALTH PROVIDERS WHOSE CEOS ARE RIQI BOARD MEMBERS: PETER ANDRUSZKIEWICZ, BCBSRI; STEPHEN FARRELL, UNITED HEALTHCARE; AND JAMES ROOSEVELT, TUFTS HEALTH PLAN RICHARD LECLERC (GATEWAY HEALTHCARE PRESIDENT & CEO) - GATEWAY HEALTHCARE HAS SERVICE PROVIDER RELATIONSHIPS WITH NHPRI,UNITED BEHAVIORAL HEALTH, A SUBSIDIARY OF UNITED HEALTHCARE OF NEW ENGLAND,BLUE CROSS BLUE SHIELD OF RI, LIFESPAN, AND TUFTS HEALTH PLAN - THE CEO'S OF THESE ORGANIZATIONS ARE ALSO DIRECTORS OF RIQI TIMOTHY BABINEAU, MD (LIFESPAN PRESIDENT AND CEO) - PETER ANDRUSZKIEWICZ, PRESIDENT AND CEO OF BCBSRI - ASO SERVICE FOR HEALTH BENEFITS; PETER ANDRUSZKIEWICZ, BCBSRI; STEPHAN FARRELL, UNITED HEALTHCARE; JAMES HOOLEY, CEO OF NHPRI - LIFESPAN'S HOSPITAL ARE PARTICIPATING PROVIDERS IN THEIR NETWORK 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 FORM 990, PART VI, SECTION B, LINE 11 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.