FURP.ORG / PUBLIC DATA EXPLORER

DELTA DENTAL OF RHODE ISLAND: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF RHODE ISLAND (EIN 05-0296998)
Tax period
2013-01-01 to 2013-12-31
Filed
2014-11-17
IRS object ID
201413219349305561
Schema version
2013v3.1
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)
Return2014-11-17T11:53:59-06:00ReturnTs
Tax Period End2013-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 FINANCIAL PLAZAAddressLine1
CityHARTFORDCity
StateCTState
ZIP Code06103ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN050296998EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF RHODE ISLANDBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of% GEORGE BEDARDInCareOfNm
Business Name ControlDELTBusinessNameControlTxt
Phone4017526000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1
Address Line2SuiteAddressLine2
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonGEORGE J BEDARDPersonNm
Person TitlecontrollerPersonTitleTxt
Phone4017526000PhoneNum
Signature2014-11-14SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonMary-Evelyn AntonettiPreparerPersonNm
PTINP00431862PTIN
Phone4017526000PhoneNum
Preparation2014-11-12PreparationDt
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerRICHARD A FRITZPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$217,938,022GrossReceiptsAmt
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 Independent12VotingMembersIndependentCnt
Total Employee48TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$43,864NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$193,356,672PYProgramServiceRevenueAmt
CY Program Service Revenue$198,099,389CYProgramServiceRevenueAmt
PY Investment Income$2,008,084PYInvestmentIncomeAmt
CY Investment Income$2,675,393CYInvestmentIncomeAmt
PY Other Revenue$112,543PYOtherRevenueAmt
CY Other Revenue$154,244CYOtherRevenueAmt
PY Total Revenue$195,477,299PYTotalRevenueAmt
CY Total Revenue$200,929,026CYTotalRevenueAmt
PY Grants And Similar Paid$456,706PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$2,007,539CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$169,000,103PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$171,927,760CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$10,907,977PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$10,822,423CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$8,404,015PYOtherExpensesAmt
CY Other Expenses$7,814,026CYOtherExpensesAmt
PY Total Expenses$188,768,801PYTotalExpensesAmt
CY Total Expenses$192,571,748CYTotalExpensesAmt
PY Revenues Less Expenses$6,708,498PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$8,357,278CYRevenuesLessExpensesAmt
Total Assets BOY$100,912,427TotalAssetsBOYAmt
Total Assets EOY$112,273,893TotalAssetsEOYAmt
Total Liabilities BOY$15,586,421TotalLiabilitiesBOYAmt
Total Liabilities EOY$17,798,010TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$85,326,006NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$94,475,883NetAssetsOrFundBalancesEOYAmt
MissionTO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$172,435,299ExpenseAmt
Revenue$198,048,330RevenueAmt
DescDENTAL BENEFITS FOR 581,154 MEMBERS UNDER 270,982 CONTRACTSDesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$10,875,488ExpenseAmt
Revenue$205,303RevenueAmt
DescOPERATIONS EXPENSE INCURRED TO ADMINISTER THE PAYMENT OF DENTAL BENEFITS.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$183,310,787TotalProgramServiceExpensesAmt
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 Document15IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee48EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Excess Business HoldingsfalseExcessBusinessHoldingsInd
Taxable DistributionsfalseTaxableDistributionsInd
Distribution To DonorfalseDistributionToDonorInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members15GoverningBodyVotingMembersCnt
Independent Voting Member12IndependentVotingMemberCnt
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 STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
FRED BUTLER
VICE CHAIR1.01.0Yes (X)$9,100$0$0
A THOMAS CORREIA
DIRECTOR1.01.0Yes (X)$9,000$0$0
DAVID A DUFFY
DIRECTOR (rotated off 4/25/13)1.01.0Yes (X)$4,100$0$0
FRANCIS FLYNN
DIRECTOR1.01.0Yes (X)$7,500$0$0
ALMON C HALL
DIRECTOR1.01.0Yes (X)$8,000$0$0
EDWARD HANDY
DIRECTOR1.01.0Yes (X)$8,500$0$0
STEVEN ISSA
DIRECTOR1.01.0Yes (X)$7,600$0$0
JOSEPH MARCAURELE
DIRECTOR1.01.0Yes (X)$8,500$0$0
LINDA MCGOLDRICK
DIRECTOR1.01.0Yes (X)$6,000$0$0
JAMES MCMANUS
DIRECTOR1.01.0Yes (X)$8,000$0$0
WILLIAM A MEKRUT
CHAIR1.01.0Yes (X)$13,600$0$0
CYNTHIA REED
DIRECTOR1.01.0Yes (X)$9,500$0$0
EDWIN J SANTOS
DIRECTOR1.01.0Yes (X)$9,500$0$0
ALEC TAYLOR
DIRECTOR (ROTATED OFF 4/25/13)1.01.0Yes (X)$4,500$0$0
VANESSA TOLEDO-VICKERS
DIRECTOR1.01.0Yes (X)$8,200$0$0
JULIE G DUFFY
DIRECTOR1.01.0Yes (X)$2,500$0$0
JOHN T RUGGIERI
DIRECTOR1.01.0Yes (X)$3,000$0$0
JOSEPH A NAGLE
PRESIDENT & CEO40.01.0$715,074$0$147,701Yes (X)
RICHARD A FRITZ
VP FINANCE & CFO40.01.0$267,577$0$53,330Yes (X)
KATHRYN SHANLEY
VP EXTERNAL AFFAIRS40.01.0$238,996$0$49,459Yes (X)
GEORGE J BEDARD
CONTROLLER40.01.0$138,851$0$34,336Yes (X)
MELISSA A GENNARI
DIRECTOR COMPLIANCE32.01.0$102,182$0$12,933Yes (X)
THOMAS D CHASE
VP TECHNOLOGY & CIO40.01.0$260,318$50,826Yes (X)
STEPHEN J SPERANDIO
VP OPERATIONS until 7/1/201340.01.0$0$338,487$24,239Yes (X)
ANGELO PEZZULLO
VP SALES-DELTA DENTAL40.01.0$245,543$0$50,411Yes (X)
CARLOS SANCHEZ-FUENTES
VP Actuarial to 5/1/201340.0$189,070$0$18,286Yes (X)
JOSEPH R PERRONI
VP SALES - ALTUS DENTAL40.01.0$0$236,618$43,161Yes (X)
STEPHEN C TOMBS
DIRECTOR ACTUARIAL40.01.0$155,713$0$35,409Yes (X)
ELLEN M HENDRIX
AVP UNDERWRITING40.01.0$149,943$0$36,901Yes (X)
DUANE EASTER
DIRECTOR OF CORP. REPORTING40.01.0$126,961$0$33,324Yes (X)
PATRICIA M NORTH-MARTINO
DIRECTOR INTERNAL AUDIT40.01.0$118,131$0$32,190Yes (X)
MATTHEW P COLLINS
Sr. Actuarial Analyst40.01.0$111,170$0$28,212Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$2,686,311TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$835,423TotReportableCompRltdOrgAmt
Total Other Compensation$650,718TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K12IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedfalseFormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
DUFFY SHANLEY
10 CHARLES STREETPROVIDENCERI02904MARKETING SERVICES$794,328
NETCENERGY
231 ELM STREETWARWICKRI02888IT CONSULTING$647,609
CATHEDRAL CORP
GRIFFIN TECHNOLOGY PARKROMENY13441PRINTING AND MAIL$338,937
KPMG LLP
6TH FL SUITE A 100 WESTMINSTER STPROVIDENCERI02903AUDIT & TAX SERVICES$261,175
ROCKY MOUNTAIN DATA CONTROL INC
2040 EAST MURRAY HOLLADAY ROAD 103SALT LAKE CITYUT84117DATA ENTRY SERVICES$196,179
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K5CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescPREMIUMSDesc
Total Revenue Column$198,099,389TotalRevenueColumnAmt
Related Or Exempt Func Income$198,099,389RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$198,099,389TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,549,395TotalRevenueColumnAmt
Exclusion$1,549,395ExclusionAmt

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$18,134,994SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$17,008,996SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$1,125,998SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,125,998TotalRevenueColumnAmt
Exclusion$1,125,998ExclusionAmt

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
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescOTHER INCOMEDesc
Business900099BusinessCd
Total Revenue Column$154,244TotalRevenueColumnAmt
Related Or Exempt Func Income$154,244RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Other Revenue Total$154,244OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$200,929,026TotalRevenueColumnAmt
Related Or Exempt Func Income$198,253,633RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,675,393ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$2,007,539TotalAmt
Program Services$2,007,539ProgramServicesAmt

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$171,927,760TotalAmt
Program Services$171,927,760ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,390,850TotalAmt
Management And General$2,390,850ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$7,174,785TotalAmt
Program Services$5,004,497ProgramServicesAmt
Management And General$2,170,288ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$257,553TotalAmt
Program Services$179,646ProgramServicesAmt
Management And General$77,907ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$359,762TotalAmt
Program Services$250,939ProgramServicesAmt
Management And General$108,823ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$639,473TotalAmt
Program Services$330,371ProgramServicesAmt
Management And General$309,102ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$221,457TotalAmt
Management And General$221,457ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,431,132TotalAmt
Program Services$1,133,139ProgramServicesAmt
Management And General$297,993ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$57,025TotalAmt
Program Services$57,025ProgramServicesAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$498,978TotalAmt
Management And General$498,978ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$594,653TotalAmt
Management And General$594,653ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$843,142TotalAmt
Program Services$419,614ProgramServicesAmt
Management And General$423,528ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$70,553TotalAmt
Program Services$6,694ProgramServicesAmt
Management And General$63,859ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$23,095TotalAmt
Management And General$23,095ManagementAndGeneralAmt

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$1,175,228TotalAmt
Management And General$1,175,228ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$139,780TotalAmt
Management And General$139,780ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
EQUIPMENT RENTAL & MAINTENANCE$935,970$935,970
POSTAGE$694,552$615,595$78,957
BOARD AND ASSOCIATION FEES$393,628$7,921$385,707
TELEPHONE$189,502$189,502

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$545,331TotalAmt
Program Services$434,077ProgramServicesAmt
Management And General$111,254ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$192,571,748TotalAmt
Program Services$183,310,787ProgramServicesAmt
Management And General$9,260,961ManagementAndGeneralAmt
Fundraising$0FundraisingAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XYes (X)InfoInScheduleOPartXInd

Cash Non Interest Bearing CashNonInterestBearingGrp

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

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$26,662,963BOYAmt
EOY$6,604,533EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$13,170,561BOYAmt
EOY$13,478,846EOYAmt

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$461,657BOYAmt
EOY$482,119EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$9,988,482LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$7,678,785LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,826,043BOYAmt
EOY$2,309,697EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$49,356,662BOYAmt
EOY$79,228,974EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$7,965,026BOYAmt
EOY$9,541,595EOYAmt

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$469,265BOYAmt
EOY$627,879EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$100,912,427BOYAmt
EOY$112,273,893EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$11,118,274BOYAmt
EOY$11,329,879EOYAmt

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$4,468,147BOYAmt
EOY$6,468,131EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,586,421BOYAmt
EOY$17,798,010EOYAmt
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$85,326,006BOYAmt
EOY$94,475,883EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$85,326,006BOYAmt
EOY$94,475,883EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$100,912,427BOYAmt
EOY$112,273,893EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$8,357,278ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$792,599NetUnrlzdGainsLossesInvstAmt
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$2,653,043OtherCostOrOtherBasisAmt
Depreciation$1,694,783DepreciationAmt
Book Value$958,260BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,651,306OtherCostOrOtherBasisAmt
Depreciation$3,623,822DepreciationAmt
Book Value$1,027,484BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,684,133OtherCostOrOtherBasisAmt
Depreciation$2,360,180DepreciationAmt
Book Value$323,953BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,309,697TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp
Closely Held Equity InterestsCloselyHeldEquityInterestsGrp

Other Securities OtherSecuritiesGrp (2 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
SUBSIDIARIES$7,965,026C
INVESTMENT-OTHER$1,576,569F
FieldValueIRS element (for citing)
Total Book Value Securities$9,541,595TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
CLAIMS INCURRED BUT NOT PAID$4,947,000
ACCRUED CLAIMS ADJUDICATION EXPENSE$237,644
ADVANCE SUBSCRIBERS PREMIUM$1,283,487
FieldValueIRS element (for citing)
Total Liability$6,468,131TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART XFormAndLineReferenceDesc
ExplanationDelta 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. Park Row Associates was incorporated in the state of Rhode Island as a not for profit corporation. For federal and state income tax reporting purposes, Park Row Associates was considered to be a for profit corporation. Altus Realty Company is a nonprofit real estate holding company pursuant to Section 501(c)(2) of the Internal Revenue Code. The Altus Group, Inc. is incorporated in the State of Rhode Island as a for profit corporation, and files consolidated federal and state tax returns with its subsidiary corporations. These subsidiaries are Altus Dental, Inc., Altus Systems, Inc. and Altus Dental Insurance Company, Inc.ExplanationTxt

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedfalseGrantRecordsMaintainedInd

Recipient Table RecipientTable (31 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
SAN MIGUEL SCHOOL
525 BRANCH AVENUEPROVIDENCERI02904223232973501(C)(3)$20,000PROGRAM SUPPORT
RI COMMUNITY FOOD BANK
200 NIANTIC AVEPROVIDENCERI02907050395601501(C)(3)$15,080PROGRAM SUPPORT
MCAULEY MINISTRIES
622 ELMWOOD AVEPROVIDENCERI02907050440470501(C)(3)$13,718PROGRAM SUPPORT
CVS CHARITY CLASSIC INC
ONE CVS DRIVEWOONSOCKETRI02895050508742501(C)(3)$28,700PROGRAM SUPPORT
PROVIDENCE COLLEGE
1 CUNNING SQUAREPROVIDENCERI02908050258932501(C)(3)$15,450PROGRAM SUPPORT
SALVE REGINA UNIVERSITY
100 OCHRE POINT AVENEWPORTRI02840050259080501(C)(3)$16,750PROGRAM SUPPORT
LITTLE SISTERS OF THE POOR
964 MAIN STREETPAWTUCKETRI02860050283791501(C)(3)$10,500PROGRAM SUPPORT
CHARTERCARE HEALTH PARTNERS
200 HIGH SERVICE AVE NPROVIDENCERI02908260236669501(C)(3)$7,500PROGRAM SUPPORT
HASBRO CHILDREN'S HOSPITAL (TEAMSTERS FR)
593 EDDY STREETPROVIDENCERI02903050258954501(C)(3)$10,000PROGRAM SUPPORT
AMOS HOUSE
413 FRIENDSHIP STREETPROVIDENCERI02907050387218501(C)(3)$12,700PROGRAM SUPPORT
ST Patrick ACADEMY
244 SMITH STPROVIDENCERI02908530196617501(C)(3)$17,200PROGRAM SUPPORT
JUNIOR ACHIEVEMENT
120 WATERMAN STREETPROVIDENCERI02906841267604501(C)(3)$7,800PROGRAM SUPPORT
UNITED WAY OF RI
50 VALLEY STREETPROVIDENCERI02909050276059501(C)(3)$6,671PROGRAM SUPPORT
MIRIAM HOSPITAL FOUNDATION
PO BOX HPROVIDENCERI02901050377502501(C)(3)$8,500PROGRAM SUPPORT
OCEAN STATE JOB LOT CHARITABLE
375 COMMERCE PARK RD NKINGSTOWNRI02852200959438501(C)(3)$6,000PROGRAM SUPPORT
RI HOSPITAL FOUNDATION
PO BOX HPROVIDENCERI02901050468736501(C)(3)$7,500PROGRAM SUPPORT
SPECIAL OLYMPICS RHODE ISLAND
370 GEORGE WA HIGHWAYSMITHFIELDRI02917050377867501(C)(3)$15,550PROGRAM SUPPORT
AMERICAN HEART ASSOCIATION
1 STATE STREETPROVIDENCERI02908135613797501(C)(3)$10,380PROGRAM SUPPORT
VENTURE FOR AMERICA
450 PARK AVE SOUTHNEW YORKNY10016272987904501(C)(3)$26,000PROGRAM SUPPORT
FAMILY SERVICE OF RI
55 HOPE STREETPROVIDENCERI029046688050258858501(C)(3)$12,600PROGRAM SUPPORT
LEARNING COMMUNITY
21 LINCOLN AVECENTRAL FALLRI02863470942849501(C)(3)$12,500PROGRAM SUPPORT
MCAULEY HOUSE
622 ELMWOOD AVEPROVIDENCERI02907050440470501(C)(3)$10,100PROGRAM SUPPORT
CROSSROADS RHODE ISLAND
160 BROAD STREETPROVIDENCERI02903050259094501(c)(3)$10,000PROGRAM SUPPORT
SOPHIA ACADEMY
582 ELMWOOD AVEPROVIDENCERI02907311736069501(C)(3)$10,000PROGRAM SUPPORT
BRYANT UNIVERSITY
1150 DOUGLAS TURNPIKESMITHFIELDRI02908050258810501(c)(3)$9,500PROGRAM SUPPORT
rocky hill school
530 IVES ROAD EASTGREENWICHRI02818050277258501(C)(3)$8,300PROGRAM SUPPORT
JEFFREY OSBORNE CELEBRITY CLASSIC
PO BOXPROVIDENCERI02907050510492501(c)(3)$7,500PROGRAM SUPPORT
RI FOUNDATION - LINDSAY T REED FUND
ONE UNION STATIONPROVIDENCERI02914222604963501(C)(3)$6,000PROGRAM SUPPORT
JOHN E FOGARTY CENTER
ONE TURKS HEAD PLACEPROVIDENCERI02903056016875501(C)(3)$6,000PROGRAM SUPPORT
FRIARS FOREVER FUND
1 CUNNING SQUAREPROVIDENCERI02908050258932501(C)(3)$5,800PROGRAM SUPPORT
RHODE ISLAND FOUNDATION - DDRI ENDOWMENT
ONE UNION STATIONPROVIDENCERI02914222604963501(C)(3)$1,500,000PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total501c3 Org30Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceGRANT MAKING POLICIES:FormAndLineReferenceDesc
ExplanationSCHEDULE I, LINE 2 THE COMPANY DOES NOT ISSUE SPECIFIC GRANTS, HOWEVER, AS PART OF OUR CORPORATE RESPONSIBILITY PROGRAM, WE SUPPORT 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
Written Employment ContractYes (X)WrittenEmploymentContractInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
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 (13 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 A NAGLE
PRESIDENT & CEO$525,788$0$125,631$0$63,655$0$129,454$0$18,247$0$862,775$0$0$0
RICHARD A FRITZ
VP FINANCE & CFO$231,300$0$34,066$0$2,211$0$33,334$0$19,996$0$320,907$0$0$0
THOMAS D CHASE
VP TECHNOLOGY & CIO$228,168$30,999$1,151$33,330$17,496$311,144
STEPHEN J SPERANDIO
VP OPERATIONS until 7/1/2013$0$118,808$0$26,543$0$193,136$0$14,172$0$10,067$0$362,726$0$0
ANGELO PEZZULLO
VP SALES-DELTA DENTAL$208,057$0$29,516$0$7,970$0$30,415$0$19,996$0$295,954$0$0$0
CARLOS SANCHEZ-FUENTES
VP Actuarial to 5/1/2013$74,695$0$13,369$0$101,006$0$11,893$0$6,393$0$207,356$0$0$0
KATHRYN SHANLEY
VP EXTERNAL AFFAIRS$211,332$0$24,608$0$3,056$0$30,763$0$18,696$0$288,455$0$0$0
JOSEPH R PERRONI
VP SALES - ALTUS DENTAL$0$193,541$0$36,452$0$6,625$0$25,665$0$17,496$0$279,779$0$0
STEPHEN C TOMBS
DIRECTOR ACTUARIAL$137,906$0$17,526$0$281$0$17,912$0$17,497$0$191,122$0$0$0
ELLEN M HENDRIX
AVP UNDERWRITING$132,452$0$17,081$0$410$0$17,325$0$19,576$0$186,844$0$0$0
GEORGE J BEDARD
CONTROLLER$125,540$0$12,220$0$1,091$0$16,059$0$18,277$0$173,187$0$0$0
DUANE EASTER
DIRECTOR OF CORP. REPORTING$112,101$0$14,524$0$336$0$13,827$0$19,497$0$160,285$0$0$0
PATRICIA M NORTH-MARTINO
DIRECTOR INTERNAL AUDIT$105,233$0$12,587$0$311$0$12,693$0$19,497$0$150,321$0$0$0

Supplemental Information Detail SupplementalInformationDetail (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE J, PART 1, QUESTION 1ATHE 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.
SCHEDULE J, PART 1, QUESTION 1ATHE 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.
SCHEDULE J, PART I, LINE 4BA 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.
SCHEDULE J, PART 1, QUESTION 5BTHE 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 2013, 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.
SCHEDULE J, PART I, QUESTION 6ATHE 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.
SEVERANCECARLOS SANCHES-FUENTES RECEIVED $83,868 AS SEVERANCE AND A CONTRACTUAL NON-COMPETE AGREEMENT. STEPHEN SPERANDIO RECEIVED $170,515 AS SEVERANCE AND A CONTRACTUAL NON-COMPETE AGREEMENT. BOTH OF THESE AMOUNTS ARE INCLUDED IN EACH INDIVIDUAL'S COMPENSATION ON SCHEDULE J, COLUMN B(III).

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
A THOMAS CORREIA DDS INC
CORREIA - BOARD MEMBER$544,933PAYMENT OF DENTAL PRACTICE.false
MCMANUS PRATT
MCMANUS - BOARD MEMBER$856,262PAYMENT OF DENTAL PRACTICE.false
CITIZENS BANK
HANDY - BOARD MEMBER$200,897BANK FEESfalse

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART IV, TRANSACTION 3 - CITIZENS BANKFormAndLineReferenceDesc
ExplanationE. HANDY WAS EMPLOYED BY CITIZENS BANK UNTIL THE FALL OF 2013. THE BANK FEES REPORTED ON PART IV REPRESENT THE PRORATED AMOUNT OF BANK FEES PAID BY DDRI TO CITIZENS BANK DURING THE PERIOD THAT THE INDIVIDUAL WAS EMPLOYED BY CITIZENS BANK.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (7 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
MEMBERS OF THE ORGANIZATIONFORM 990, PART VI, SECTION A, QUESTION 6 THE ORGANIZATION HAS 78 CORPORATE MEMBERS.
MEMBERS THAT MAY ELECT THE GOVERNING BODYFORM 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 MEMBERSFORM 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 PROCESSFORM 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 POLICYFORM 990, PART VI, SECTION B, QUESTION 12C ALL W2 EMPLOYEES, INTERNS, TEMPS, DENTAL CONSULTANTS, AND BOARD MEMBERS COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE REVIEW PROCESS FOR COMPLETED 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 RESULTS OF REVIEW. ALL CONFLICTS ARE DISCUSSED AND ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICIES. SHOULD AN UNDISCLOSED CONFLICT COME TO LIGHT, THEN IMMEDIATE AND APPROPRIATE ACTION IS ALSO TAKEN IN ACCORDANCE WITH THE COMPANY'S POLICIES.
COMPENSATION POLICYFORM 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 DISCLOSUREFORM 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.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp

Disregarded Entity Name DisregardedEntityName

FieldValueIRS element (for citing)
Business Name Line1ALTUS REALTY COMPANYBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02903ZIPCode
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 Line1DDRIBusinessNameLine1
FieldValueIRS element (for citing)
Controlled OrganizationYes (true)ControlledOrganizationInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1THE ALTUS GROUP INCBusinessNameLine1

US Address USAddress

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code029032208ZIPCode
FieldValueIRS element (for citing)
EIN050502610EIN
Primary ActivitiesINSURANCEPrimaryActivitiesTxt
Legal Domicile StateRILegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DDRIBusinessNameLine1
FieldValueIRS element (for citing)
Entity TypeC CORPEntityTypeTxt
Share Of Total Income$2,331,585ShareOfTotalIncomeAmt
Share Of EOY Assets$19,879,895ShareOfEOYAssetsAmt
Ownership1.00000OwnershipPct
Controlled OrganizationYes (true)ControlledOrganizationInd
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
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 OrgfalseRentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgfalsePerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrgInd
Transfer To Other OrgfalseTransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ALTUS DENTAL INSURANCE CO INC
A(IV)$240,728FMV
ALTUS DENTAL INC
A(I)$72,426FMV
ALTUS REALTY COMPANY
A(I)$32,545FMV
THE ALTUS GROUP INC
L$5,136,826FMV
ALTUS DENTAL INSURANCE CO INC
M$1,364,126FMV