2015-11-16T10:38:52-06:00 2014-12-31 GRANT THORNTON LLP 75 STATE STREET BOSTON MA 02109 990 2014-01-01 050296998 Delta Dental of Rhode Island % GEORGE BEDARD DELT 4017526000 10 Charles Street Providence RI 02904 RICHARD A FRITZ VP Finance & CFO 4017526000 2015-11-13 Robert J Butler Jr P00037953 6177237900 2015-11-13 2014 2016-04-25 22:37:26Z Joseph A Nagle 10 Charles Street Providence RI 02904 211948632 false X www.deltadentalri.com X 1959 RI To provide cost effective group dental insurance to the Rhode Island business communities. 15 13 54 0 0 -19348 0 0 198099389 192230670 2675394 2324689 154243 167584 200929026 194722943 2007539 1547361 171927760 168200203 10822423 10407455 0 0 0 7814026 10159375 192571748 190314394 8357278 4408549 112273893 110755768 17798010 18706502 94475883 92049266 To improve people's dental health by providing well-managed, high quality and affordable dental care products which are both financially viable and responsive to marketplace needs. false false 168747564 192195714 Dental Benefits for 575,313 members under 270,620 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. 9333343 202541 Operations Expense Incurred To Administer The Payment of Dental Benefits. 178080907 false false false false false false false false false true true false false true true false true false false false false false false false false false true false true false false false false false false false true false false false false false true true true false true 15 0 true 54 true true true false false false false false X 15 13 false false false false true true true true true false false true true true true true true true true false X GEORGE BEDARD 4017526240 10 CHARLES STREET Providence RI 02904 Fred K Butler Vice Chair 1.0 1.0 X X 8500 0 0 A Thomas Correia Director 1.0 1.0 X 8000 0 0 Julie G Duffy Director 1.0 1.0 X 5500 0 0 Francis J Flynn Director 1.0 1.0 X 6500 0 0 Almon C Hall Director 1.0 1.0 X 7000 0 0 Edward O Handy III Director 1.0 1.0 X 7000 0 0 Steven J Issa Director 1.0 1.0 X 8100 0 0 Joseph J Marcaurele Director 1.0 1.0 X 7000 0 0 Linda R McGoldrick Director 1.0 1.0 X 7000 0 0 James F McManus Director 1.0 1.0 X 7000 0 0 William A Mekrut CHAIR 1.0 1.0 X X 14700 0 0 Cynthia S Reed Director 1.0 1.0 X 8500 0 0 John T Ruggieri Director 1.0 1.0 X 7500 0 0 Edwin J Santos Director 1.0 1.0 X 9900 0 0 Vanessa Toledo-Vickers Director 1.0 1.0 X 7100 0 0 Joseph A Nagle President & CEO 40.0 1.0 X 754044 0 130557 Richard A Fritz VP Finance, CFO & Treasurer 40.0 1.0 X 264502 0 53298 Kathryn Shanley VP Ext Affrs & Sec (thru 8/14) 40.0 1.0 X 171560 0 26239 George J Bedard Controller & Asst Treasurer 40.0 1.0 X 136938 0 35053 Melissa A Gennari Director Compliance & Asst Sec 32.0 1.0 X 103593 0 14199 KERRI BENNETT VP MKTG AND SEC (AS OF 8/14) 40.0 1.0 X 87887 0 5220 Thomas D Chase VP Technology & CIO 40.0 1.0 X 0 286966 53516 Angelo Pezzullo VP Sales (thru 10/14) 40.0 1.0 X 226762 0 49199 Joseph R Perroni VP Sales-DENTAL & Altus Dental 40.0 1.0 X 0 256442 44260 BLAINE CARROLL VP STRATEGIC INTIATIVES 40.0 1.0 X 192632 0 30196 Ellen M Hendrix AVP Underwriting 40.0 1.0 X 153097 0 36947 Duane Easter Director of Corp Reporting 40.0 1.0 X 125566 0 34299 P M North-Martino Director Internal Audit 40.0 1.0 X 119676 0 32743 Matthew P Collins Senior Actuarial Analyst 40.0 1.0 X 106014 0 34245 Mark J Deblois Mgr. Financial Accounting 40.0 1.0 X 106569 0 30264 2668140 543408 610235 13 false true false Duffy Shanley 10 Charles Street PROVIDENCE RI 02904 MKTG and Media Buys 749400 NetCenergy 231 Elm Street WARWICK RI 02888 IT Consulting 355471 Cathedral Corp Griffin Technology Park ROME NY 13441 Printing and Mail 257117 UNIFY INC PO BOX 99076 CHICAGO IL 606939076 Product Development 232642 BLISH CAVANAGH COMMERCE CENTER 30 EXCHANGE TERR PROVIDENCE RI 02903 legal 203133 5 0 PREMIUMS 524114 192230670 192230670 192230670 1776598 1776598 0 0 0 0 0 17773780 17225689 548091 548091 548091 0 0 0 OTHER INCOME 900099 167584 167584 167584 194722943 192398254 2324689 X 1547361 1547361 0 0 0 0 168200203 168200203 2401180 0 2401180 0 0 6331687 4858455 1473232 0 552386 423859 128527 0 470419 360964 109455 0 651783 315680 336103 0 0 0 0 0 240917 0 240917 0 1689590 1689590 0 57000 0 57000 0 536722 0 536722 0 0 0 0 0 0 692499 0 692499 0 0 0 0 0 0 0 0 0 814421 416693 397728 0 71382 3630 67752 0 0 0 0 0 17364 0 17364 0 0 0 1021698 0 1021698 0 144389 0 144389 0 LOSS ON STRATEGIC INVESTMENTS 1918899 0 1918899 EQUIPMENT RENTAL & MAINTENANCE 919390 919390 0 POSTAGE 711443 666267 45176 BOARD & ASSOCIATION FEES 350018 8302 341716 973643 360103 613540 190314394 178080907 12233487 0 X 250 250 6604533 6872444 0 0 13478846 10623329 0 0 0 0 0 0 0 0 482119 587705 10565553 8700484 2309697 1865069 79228974 80294046 9541595 9871073 0 0 0 0 627879 641852 112273893 110755768 11329879 12389841 0 0 0 0 0 0 0 0 0 0 0 0 0 0 6468131 6316661 17798010 18706502 X 0 0 0 0 94475883 92049266 94475883 92049266 112273893 110755768 X 4408549 164834 -7000000 X false true X true false 2666806 2016319 650487 5041484 4117731 923753 2857263 2566434 290829 1865069 SUBSIDIARIES 7965026 C INVESTMENT-OTHER 1906047 F 9871073 0 CLAIMS INCURRED BUT NOT PAID 4475200 ACCRUED CLAIMS ADJUDICATION EXPENSES 409920 ADVANCED SUBSCRIBER PREMIUMS 1053885 SUBSCRIBER DEPOSITS 377656 6316661 X ASC 470 SCHEDULE D, PART X Delta Dental of Rhode Island is a not-for-profit corporation pursuant to Section 501(c)(4) of the Internal Revenue Code (IRC) and is generally exempt from federal income taxes on related income under Section 501(a) of the IRC 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, 2014 and 2013, the Company had no uncertain tax positions. AMERICAN HEART ASSOCIATION 1 STATE ST SUITE 200 PROVIDENCE RI 02908 135613797 501(C)(3) 5040 PROGRAM SUPPORT AMOS HOUSE 413 FRIENDSHIP STREET PROVIDENCE RI 02907 050387218 501(C)(3) 19500 PROGRAM SUPPORT BOYS & GIRIS CLUB OF PAWTUCKET ONE MOELLER PLACE PAWTUCKET RI 02860 050258924 501(C)(3) 25250 PROGRAM SUPPORT CHARTERCARE HEALTH PARTNERS 200 HIGH SERV AVE N PROVIDENCE RI 02908 260236669 501(C)(3) 7500 PROGRAM SUPPORT CITY YEAR INC 77 EDDY ST 2ND FL PROVIDENCE RI 02903 222882549 501(C)(3) 10000 PROGRAM SUPPORT CROSSROADS RHODE ISLAND 160 BROAD STREET PROVIDENCE RI 02903 050259094 501(C)(3) 20500 PROGRAM SUPPORT CVS CHARITY CLASSIC INC ONE CVS DRIVE WOONSOCKET RI 02895 050508742 501(C)(3) 26500 PROGRAM SUPPORT FAMILY SERVICE OF Rhode Island 55 HOPE STREET PROVIDENCE RI 029046688 050258858 501(C)(3) 13000 PROGRAM SUPPORT FRIARS FOREVER FUND 1 CUNNING SQUARE PROVIDENCE RI 02908 050258932 501(C)(3) 8100 PROGRAM SUPPORT JEFFREY OSBORNE CELEBRITY CLASSIC P O BOX 27815 PROVIDENCE RI 02907 050510492 501(C)(3) 7500 PROGRAM SUPPORT JOHNSON & WALES UNIVERSITY 8 ABBOT PARK PLACE PROVIDENCE RI 02903 050306206 501(C)(3) 8500 PROGRAM SUPPORT JUNIOR ACHIEVEMENT 120 WATERMAN STREET PROVIDENCE RI 02906 050263443 501(C)(3) 7500 PROGRAM SUPPORT LATINO PUBLIC RADIO 1246 CRANSTON STREET CRANSTON RI 02920 205823948 501(C)(3) 6550 PROGRAM SUPPORT LEARNING COMMUNITY 21 LINCOLN AVE CENTRAL FALL RI 02863 470942849 501(C)(3) 10000 PROGRAM SUPPORT LITTLE SISTERS OF THE POOR 964 MAIN STREET PAWTUCKET RI 02860 050283791 501(C)(3) 10000 PROGRAM SUPPORT MCAULEY MINISTRIES 622 ELMWOOD AVE PROVIDENCE RI 02907 050440470 501(C)(3) 15150 PROGRAM SUPPORT MEETING STREET SCHOOL 1000 EDDY STREET PROVIDENCE RI 02905 050269232 501(C)(3) 5500 PROGRAM SUPPORT NATIONAL MS SOCIETY 205 HALLENE RD SUITE 209 WARWICK RI 02886 050271809 501(C)(3) 8725 PROGRAM SUPPORT OCEAN STATE JOB LOT CHARITABLE 375 COMMERCE PARK RD N KINGSTOWN RI 02852 200959438 501(C)(3) 6000 PROGRAM SUPPORT PROVIDENCE CHILDREN'S MUSEUM 100 SOUTH STREET PROVIDENCE RI 02903 050370944 501(C)(3) 6000 PROGRAM SUPPORT PROVIDENCE COLLEGE 1 CUNNING SQUARE PROVIDENCE RI 02908 050258932 501(C)(3) 18850 PROGRAM SUPPORT Rhode Island COMMUNITY FOOD BANK 200 NIANTIC AVE PROVIDENCE RI 02907 050395601 501(C)(3) 25000 PROGRAM SUPPORT Rhode Island FOUNDATION ONE UNION STATION PROVIDENCE RI 02914 222604953 501(C)(3) 1016500 PROGRAM SUPPORT ROCKY HILL SCHOOL 530 IVES ROAD EAST GREENWICH RI 02818 050277258 501(C)(3) 6300 PROGRAM SUPPORT SALVE REGINA UNIVERSITY 100 OCHRE POINT AVE NEWPORT RI 02840 050259080 501(C)(3) 16750 PROGRAM SUPPORT SAN MIGUEL SCHOOL 525 BRANCH AVENUE PROVIDENCE RI 02904 223232973 501(C)(3) 25000 PROGRAM SUPPORT SPECIAL OLYMPICS RHODE ISLAND 370 George W HIGHWAY SMTHFIELD RI 02917 050377867 501(C)(3) 10000 PROGRAM SUPPORT ST PATRICK ACADEMY 244 SMITH ST PROVIDENCE RI 02908 530196617 501(C)(3) 6900 PROGRAM SUPPORT TOMORROW FUND 593 EDDY STREET PROVIDENCE RI 02903 050450569 501(C)(3) 5170 PROGRAM SUPPORT UNITED WAY OF Rhode Island 50 VALLEY STREET PROVIDENCE RI 02909 050276059 501(C)(3) 10920 PROGRAM SUPPORT VENTURE FOR AMERICA 450 PARK AVE S 8TH FL NEW YORK NY 10016 272987904 501(C)(3) 25000 PROGRAM SUPPORT 31 Schedule I, Part I, Line 2 The Company does not issue specific grants, however, as part of THE corporate responsibility program, DELTA DENTAL OF RHODE ISLAND supports local charitable organizations. X X X true true X X X X X X true true false false true true false false false Joseph A Nagle President & CEO 551680 0 133605 0 68759 0 111492 0 19065 0 884601 0 0 0 Richard A Fritz VP Finance, CFO & Treasurer 238218 0 24013 0 2271 0 34183 0 19115 0 317800 0 0 0 Kathryn Shanley VP Ext Affrs & Sec (thru 8/14) 143014 0 26245 0 2301 0 14591 0 11648 0 197799 0 0 0 George J Bedard Controller & Asst Treasurer 126644 0 9185 0 1109 0 15937 0 19116 0 171991 0 0 0 Thomas D Chase VP Technology & CIO 0 255189 0 30477 0 1300 0 35701 0 17815 0 340482 0 0 Angelo Pezzullo VP Sales (thru 10/14) 197008 0 21911 0 7843 0 30119 0 19080 0 275961 0 0 0 Joseph R Perroni VP Sales-DENTAL & Altus Dental 0 213733 0 36010 0 6699 0 26445 0 17815 0 300702 0 0 Ellen M Hendrix AVP Underwriting 137099 0 15346 0 652 0 17571 0 19376 0 190044 0 0 0 Duane Easter Director of Corp Reporting 114508 0 10710 0 348 0 13983 0 20316 0 159865 0 0 0 P M North-Martino Director Internal Audit 108145 0 11208 0 323 0 12927 0 19816 0 152419 0 0 0 BLAINE CARROLL VP STRATEGIC INTIATIVES 191676 0 0 0 956 0 12063 0 18133 0 222828 0 0 0 Travel For Companions Schedule J, Part I, Line 1a The CEO received taxable compensation reported on Schedule J Part II Column Biii for reimbursement for spousal travel. Gross-Up Payments Schedule 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 Dues Schedule 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 plan Schedule 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 $59,892 made to the plan during 2014 have been reported on Schedule J Part II Column (C). Compensation contingent on revenues of related organizations Schedule 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 2014, 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 organization Schedule 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. A Thomas Correia DDS Inc Correia - Board Member 515592 Payment of Dental Practice false MCMANUS PRATT McManus - Board Member 793994 Payment of Dental Practice false Business Transactions Involving Interested Persons Part 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. MEMBERS OF THE ORGANIZATION FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS 72 CORPORATE MEMBERS. MEMBERS THAT MAY ELECT THE GOVERNING BODY Form 990, Part VI, section a, LINE 7a The corporate members meet annually to approve any by-law changes and to elect individuals to the 15 member board of directors which is the organization's governing body. DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERS Form 990, Part VI, section a, LINE 7b The members of the corporation, at the annual meeting, shall elect directors of the corporation that have been proposed by the board of directors and shall approve amendments or alterations of the by-laws proposed by the board of directors. FORM 990 REVIEW PROCESS Form 990, Part VI, Section B, Line 11 THE ANNUAL FORM 990 IS PREPARED BY delta dental of rhode island's ("THE COMPANY") FINANCE DEPARTMENT WITH INPUT FROM SENIOR MANAGEMENT. UPON COMPLETION OF THE PREPARATION OF THE DRAFT, IT IS PROVIDED TO GRANT THORNTON LLP, THE COMPANY'S TAX ADVISOR AND INDEPENDENT AUDITOR. UPON GRANT THORNTON'S REVIEW, THE DRAFT IS AGAIN REVIEWED BY FINANCE 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 POLICY Form 990, Part VI, section b, LINE 12c All W2 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 W2 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 POLICY Form 990, Part VI, SECTION B, LINE 15 The board of directors elects independent members to serve on its compensation committee which is responsible for setting the CEO's compensation and approving pay ranges for the various job tracks within the company as well as approving any fringe benefits. The company and the committee annually contract with independent compensation consultants to help determine appropriate pay ranges and fringe benefits such as health and other insurances and retirement and other benefits. Recommendations for the CEO's compensation are made by the compensation committee to the board of directors for review and approval. The review and approval process is contemporaneously documented in the minutes of both the compensation committee and the board of directors. PUBLIC DISCLOSURE Form 990, Part VI, SECTION C, LINE 19 The company's governing documents, such as bylaws and corporate charter are available upon request from the company, and can also be obtained from the secretary of state's office within the state of Rhode Island. The company's conflict of interest policy, as well as the company's audited financial statements are also available upon request at the company's headquarters. Additionally, all statutory filings completed by the company are available through the insurance division within the Rhode Island department of business regulation. The company's Form 990 is also posted on www.guidestar.org. OTHER CHANGES IN NET ASSETS FORM 990, PART XI, LINE 9 ALTUS VENTURES, INC. WAS SETUP IN JUNE 2014. THE COMPANY TRANSFERRED $7,000,000 FROM A STRATEGIC INVESTMENT FUND TO CAPITALIZE ALTUS VENTURES, INC. Altus Realty Company 10 Charles Street Providence RI 029042208 030396397 Holding Co. RI 501(C)(2) N/A DDRI true The Altus Group Inc 10 Charles Street Providence RI 02904 050502610 Insurance RI DDRI C Corp 4739093 32337616 1.00000 true ALTUS DENTAL INC 10 CHARLES STREET PROVIDENCE RI 02904 050502612 INSURANCE RI ALTUS GROUP INC C CORP 0 0 1.00000 true ALTUS VENTURES INC 10 CHARLES STREET PROVIDENCE RI 02904 465627174 VENTURE CAPITAL RI ALTUS GROUP INC C CORP 0 0 1.00000 true ALTUS DENTAL INSURANCE CO INC 10 CHARLES STREET PROVIDENCE RI 02904 050513223 INSURANCE RI ALTUS GROUP INC C CORP 0 0 1.00000 true ALTUS SYSTEMS INC 10 CHARLES STREET PROVIDENCE RI 02904 050502611 INSURANCE RI ALTUS GROUP INC C CORP 0 0 1.00000 true true true false true false false false false false false true true true true true false false false false Altus Dental Insurance Co Inc A(IV) 264004 FMV Altus Dental Inc A(I) 86582 FMV Altus Realty Inc A(I) 37337 FMV Altus Ventures Inc B 7000000 FMV Altus Realty Inc D 2112760 FMV Altus Realty Inc K 814421 FMV The Altus Group Inc L 5044491 FMV Altus Dental Insurance Co Inc M 1766798 FMV