RHODE ISLAND QUALITY INSTITUTE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- RHODE ISLAND QUALITY INSTITUTE (EIN 75-3059336)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-05-07
- IRS object ID
- 201321279349300857
- Schema version
- 2012v2.1
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-07T10:26:28-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050409384 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KAHN LITWIN RENZA & CO LTD | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 951 NORTH MAIN STREET | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02904 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 753059336 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RHODE ISLAND QUALITY INSTITUTE | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | RHOD | NameControl |
| Phone | 4012769141 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 HOLDEN STREET | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | LAURA L ADAMS | Name |
| Title | PRESIDENT & CEO | Title |
| Phone | 4012744564 | Phone |
| Date Signed | 2013-05-01 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DEBORAH A HOPKINS | Name |
| PTIN | P00167843 | PTIN |
| Phone | 4012742001 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Change | X | AddressChange |
| Name Of Principal Officer Person | LAURA L ADAMS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 HOLDEN STREET | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 17091563 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.RIQI.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2001 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | TO SIGNIFICANTLY IMPROVE THE SAFETY AND QUALITY OF HEALTH CARE IN RHODE ISLAND. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 17 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 16 | NbrIndependentVotingMembers |
| Total Nbr Employees | 67 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1348899 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4392480 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 11377359 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 12699043 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -5081 | InvestmentIncomePriorYear |
| Investment Income Current Year | -10159 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 12721177 | TotalRevenuePriorYear |
| Total Revenue Current Year | 17081364 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 3881405 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 5611077 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 8325016 | OtherExpensePriorYear |
| Other Expenses Current Year | 8855296 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 12206421 | TotalExpensesPriorYear |
| Total Expenses Current Year | 14466373 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 514756 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 2614991 | RevenuesLessExpensesCY |
| Total Assets BOY | 2636615 | TotalAssetsBOY |
| Total Assets EOY | 5282709 | TotalAssetsEOY |
| Total Liabilities BOY | 909299 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 939872 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1727316 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 4342837 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | 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. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 11794872 | Expense |
| Revenue | 12699043 | Revenue |
| Description | 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. | Description |
| Total Program Service Expense | 11794872 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 0 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 1 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 0 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 0 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 46 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 67 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 17 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 16 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 0 | MembersOrStockholders |
| Election Of Board Members | 0 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 0 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | RI | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | THE ORGANIZATION | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 4012769141 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 50 HOLDEN STREET | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (29 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| YUL D EJNES MD | |||||||
| CHAIR | 4.00 | X | X | 0 | 0 | 0 | |
| MARK REYNOLDS | |||||||
| TREASURER | 4.00 | X | X | 0 | 0 | 0 | |
| RICHARD H LECLERC | |||||||
| SECRETARY | 4.00 | X | X | 0 | 0 | 0 | |
| ERNEST ALMONTE | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| PETER ANDRUSZKIEWICZ | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| RAYMOND BANDUSKY | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| RICHARD BESDINE MD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| TROYEN A BRENNAN MD | |||||||
| DIRECTOR (1/12 - 7/12) | 2.00 | X | 0 | 0 | 0 | ||
| NITIN DAMLE MD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| STEPHEN FARRELL | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| MARIE GHAZAL RN | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| BERNADETTE R HAWES | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| DENNIS KEEFE | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| H JOHN KEIMIG | |||||||
| DIRECTOR | 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 | ||
| MARIA MONTANARO | |||||||
| DIRECTOR (1/12 - 9/12) | 2.00 | X | 0 | 0 | 0 | ||
| JAMES ROOSEVELT JR | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| GEORGE VECCHIONE | |||||||
| DIRECTOR (1/12 - 9/12) | 2.00 | X | 0 | 0 | 0 | ||
| LAURIE WHITE | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JOHN HYNES | |||||||
| DIRECTOR (1/12 - 7/12) | 2.00 | X | 0 | 0 | 0 | ||
| LAURA L ADAMS | |||||||
| PRESIDENT | 50.00 | X | 339071 | 0 | 25836 | ||
| GARY CHRISTENSEN | |||||||
| CIO/COO | 50.00 | X | 243186 | 0 | 25400 | ||
| JONATHON LEVISS | |||||||
| CMO | 50.00 | X | 110781 | 0 | 5777 | ||
| DARBY BUROKER | |||||||
| DIRECTOR, BEACON | 40.00 | 134158 | 0 | 22940 | X | ||
| CHARLES DANSEREAU | |||||||
| DIRECTOR OF IT | 40.00 | 133055 | 0 | 18055 | X | ||
| CHARLIE HEWITT | |||||||
| DIRECTOR, HIE | 40.00 | 125553 | 0 | 17744 | X | ||
| MARK KERIN | |||||||
| SENIOR ASSOCIATE, PM | 40.00 | 106262 | 0 | 18345 | X | ||
| JENNIE GORDON | |||||||
| DIRECTOR, REC | 40.00 | 100516 | 0 | 18516 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1292582 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 152613 | TotalOtherCompensation |
| Number Individuals GT100 K | 8 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| INTERSYSTEMS CORPORATION | |||||
| PO BOX 84-5809 | BOSTON | MA | 02284 | SOFTWARE, PROJECT IMPLEMENTATION | 2733500 |
| SAGAMORE GROUP INC | |||||
| PO BOX 807 | BRISTOL | RI | 02809 | CONSULTING | 523129 |
| TRANSFORMED LLC | |||||
| 11400 TOMAHAWK CREEK PKWY | LEAWOOD | KS | 66211 | CONSULTING | 401767 |
| HEALTHCENTRIC ADVISORS | |||||
| 235 PROMENADE ST STE 500 | PROVIDENCE | RI | 02908 | CONSULTING | 401419 |
| ARCADIA SOLUTIONS | |||||
| 3500 AMERICAN BLVD STE 350 | BLOOMINGTON | MN | 55431 | CONSULTING | 389060 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 12 | NumberOfContractorsGT100K |
| All Other Contributions | 4392480 | AllOtherContributions |
| Noncash Contributions | 500 | NoncashContributions |
| Total Contributions | 4392480 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| US DHHS INCOME | 900099 | 10922422 | 10922422 |
| CONTRACT REVENUE | 900099 | 1732915 | 1732915 |
| PROGRAM REVENUE | 900099 | 24942 | 24942 |
| OTHER REVENUE | 900099 | 18764 | 18764 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 12699043 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 40 | TotalRevenueColumn |
| Exclusion | $40 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 10199 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -10199 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -10199 | TotalRevenueColumn |
| Exclusion | -$10,199 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 17081364 | TotalRevenueColumn |
| Related Or Exempt Function Income | 12699043 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$10,159 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 750050 | Total |
| Program Services | 78093 | ProgramServices |
| Management And General | 671957 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3831063 | Total |
| Program Services | 3004875 | ProgramServices |
| Management And General | 826188 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 652831 | Total |
| Program Services | 474687 | ProgramServices |
| Management And General | 178144 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 377133 | Total |
| Program Services | 260564 | ProgramServices |
| Management And General | 116569 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 270570 | Total |
| Program Services | 163733 | ProgramServices |
| Management And General | 106837 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 38529 | Total |
| Management And General | 38529 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 61615 | Total |
| Program Services | 61615 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 297004 | Total |
| Program Services | 226314 | ProgramServices |
| Management And General | 70690 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2327538 | Total |
| Program Services | 2185403 | ProgramServices |
| Management And General | 142135 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 230598 | Total |
| Management And General | 230598 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114513 | Total |
| Program Services | 80195 | ProgramServices |
| Management And General | 34318 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 122721 | Total |
| Program Services | 111958 | ProgramServices |
| Management And General | 10763 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 358679 | Total |
| Program Services | 278543 | ProgramServices |
| Management And General | 80136 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 20017 | Total |
| Program Services | 12791 | ProgramServices |
| Management And General | 7226 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| CONSULTING | 2891020 | 2849761 | 41259 |
| SUBSIDIES | 1839962 | 1839962 | |
| HR AND STAFFING COSTS | 248183 | 156769 | 91414 |
| MISCELLANEOUS | 34347 | 9609 | 24738 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14466373 | Total |
| Program Services | 11794872 | ProgramServices |
| Management And General | 2671501 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 484863 | BOY |
| EOY | 648108 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 52240 | BOY |
| EOY | 79845 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 30378 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1473228 | BOY |
| EOY | 3068285 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 72174 | BOY |
| EOY | 94174 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1963218 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 601299 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 554110 | BOY |
| EOY | 1361919 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2636615 | BOY |
| EOY | 5282709 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 909299 | BOY |
| EOY | 939872 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 909299 | BOY |
| EOY | 939872 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 760094 | BOY |
| EOY | 1006348 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 967222 | BOY |
| EOY | 3336489 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1727316 | BOY |
| EOY | 4342837 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2636615 | BOY |
| EOY | 5282709 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 2614991 | ReconcilationRevenueExpenses |
| Reconcilation Donated Services | 530 | ReconcilationDonatedServices |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 1 | FederalGrantAuditRequired |
| Federal Grant Audit Performed | 1 | FederalGrantAuditPerformed |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1302461 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 2928783 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1614001 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1348899 | CurrentTaxYearMinus1Year |
| Current Tax Year | 4392480 | CurrentTaxYear |
| Total | 11586624 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 1140720 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 3818719 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 11377359 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12699043 | CurrentTaxYear |
| Total | 29035841 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1302461 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4069503 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5432720 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12726258 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17091523 | CurrentTaxYear |
| Total | 40622465 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 40622465 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 361 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8739 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 578 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 251 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40 | CurrentTaxYear |
| Total | 9969 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 361 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 8739 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 578 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 251 | CurrentTaxYearMinus1Year |
| Current Tax Year | 40 | CurrentTaxYear |
| Total | 9969 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 693 | CurrentTaxYearMinus4Years |
| Total | 693 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1303515 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 4078242 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 5433298 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12726509 | CurrentTaxYearMinus1Year |
| Current Tax Year | 17091563 | CurrentTaxYear |
| Total | 40633127 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99970 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99960 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00020 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00040 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 14466373 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 14466373 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 873319 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 218330 | FilingOrganizationsTotals |
Tot Lobbying Grassroot Minus Non Tx TotLobbyingGrassrootMinusNonTx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Tot Lobby Expend Mns Lobbying Nontx TotLobbyExpendMnsLobbyingNontx
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 0 | FilingOrganizationsTotals |
Lobbying Nontaxable Amount2 LobbyingNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | 458471 | CurrentYearMinus2 |
| Current Year Minus1 | 760321 | CurrentYearMinus1 |
| Current Year | 873319 | CurrentYear |
| Total | 2092111 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $3,138,167 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | 10000 | CurrentYearMinus2 |
| Current Year Minus1 | 5834 | CurrentYearMinus1 |
| Total | 15834 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | 114618 | CurrentYearMinus2 |
| Current Year Minus1 | 190080 | CurrentYearMinus1 |
| Current Year | 218330 | CurrentYear |
| Total | 523028 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $784,542 | GrassrootsCeilingAmount |
Grassroots Lobbying Expenditures GrassrootsLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus2 | 0 | CurrentYearMinus2 |
| Current Year Minus1 | 0 | CurrentYearMinus1 |
| Current Year | 0 | CurrentYear |
Schedule D IRS990ScheduleD
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 166884 | OtherCostOrOtherBasis |
| Depreciation | 13907 | Depreciation |
| Book Value | 152977 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1796334 | OtherCostOrOtherBasis |
| Depreciation | 587392 | Depreciation |
| Book Value | 1208942 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1361919 | TotalOfBookValueLandBuildings |
| Footnote In Part XIII | X | FootnoteInPartXIII |
| Tot Revenue Etc Audited Fincl Stmt | 17081894 | TotRevenueEtcAuditedFinclStmt |
| Donated Srvc And Use Of Facilities | 530 | DonatedSrvcAndUseOfFacilities |
| Revenue Not Rptd F990 | 530 | RevenueNotRptdF990 |
| Revenue Subtotal | 17081364 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 17081364 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 14466373 | TotExpensesEtcAuditedFinclStmt |
| Expenses Not Rptd F990 | 0 | ExpensesNotRptdF990 |
| Expenses Subtotal | 14466373 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 14466373 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| Explanation | THE INSTITUTE IS A PUBLIC CHARITY EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE INSTITUTE OPERATES IN A MANNER CONSISTENT WITH THEIR TAX-EXEMPT STATUS AT BOTH THE FEDERAL AND STATE LEVEL. THE INSTITUTE ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. THESE TAX RETURNS ARE SUBJECT TO REVIEW BY THE TAXING AUTHORITIES AND THE TAX RETURNS FOR 2009, 2010 AND 2011 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR A PERIOD OF THREE YEARS AFTER THEY WERE FILED. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 0 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 1 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (4 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| LAURA L ADAMS | ||||||||||||||
| PRESIDENT | 264151 | 0 | 74920 | 0 | 0 | 0 | 8055 | 0 | 17781 | 0 | 364907 | 0 | 0 | 0 |
| GARY CHRISTENSEN | ||||||||||||||
| CIO/COO | 199956 | 0 | 43230 | 0 | 0 | 0 | 9116 | 0 | 16284 | 0 | 268586 | 0 | 0 | 0 |
| DARBY BUROKER | ||||||||||||||
| DIRECTOR, BEACON | 134158 | 0 | 0 | 0 | 0 | 0 | 5070 | 0 | 17870 | 0 | 157098 | 0 | 0 | 0 |
| CHARLES DANSEREAU | ||||||||||||||
| DIRECTOR OF IT | 133055 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 18055 | 0 | 151110 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | PART I, LINE 7 | ReturnReference |
| Explanation | AS PART OF THE ANNUAL COMPENSATION REVIEW FOR THE TOP EXECUTIVES OF THE ORGANIZATION, THE BOARD HAS CHOSEN TO PAY THE EXECUTIVE DIRECTOR AND CHIEF OPERATING OFFICER 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. | Explanation |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | JOHN KEIMIG PRESIDENT CEO OF HEA | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | JOHN KEIMIG IS A BOARD MEMBER OF RHODE ISLAND QUALITY INSTITUTE | Relationship |
| Amount Of Transaction | 401419 | AmountOfTransaction |
| Description Of Transaction | HEALTHCENTRIC ADVISORS PROVIDED CONSULTING SERVICES TO RIQI FOR THE INTENSIVE CARE UNIT COLLABORATIVE. | DescriptionOfTransaction |
| Sharing Of Revenues | 0 | SharingOfRevenues |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (5 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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; G ALAN KUROSE,MD, PRESIDENT AND CEO OF COASTAL MEDICINE; JAMES ROOSEVELT, CEO OF TUFTS HEALTH PLAN; 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 MARK REYNOLDS (NEIGHBORHOOD HEALTH PLAN OF RI CEO) - NHPRI HAS CONTRACTS WITH BCBSRI, CARE NEW ENGLAND, COASTAL MEDICAL, AND GATEWAY HEALTHCARE - THE CEO'S OF THESE ORGANIZATIONS ARE ALSO DIRECTORS OF RIQI GEORGE VECCHIONE (LIFESPAN FORMER CEO) - PETER ANDRUSZKIEWICZ, PRESIDENT AND CEO OF BCBSRI - ASO SERVICE FOR HEALTH BENEFITS; TROYEN BRENNAN, EVP/CMO OF CVS - LIFESPAN EMPLOYEE PHARMACEUTICAL BENEFITS; PETER ANDRUSZKIEWICZ, BCBSRI; STEPHAN FARRELL, CARE NEW ENGLAND; MARK REYNOLDS, 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 FORM 990 IS PREPARED BY THE EXTERNAL AUDITORS AND REVIEWED BY MANAGEMENT. REVISIONS, CORRECTIONS, ETC. ARE MADE AS NECESSARY. ONCE ALL ARE SATISFIED WITH THE FORM, IT IS FINALIZED AND A COPY IS SENT TO ALL BOARD MEMBERS. NO REVIEW WAS OR WILL BE CONDUCTED BY THE BOARD. |
| 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 BOARD'S DELIBERATION AND DECISION IS NOTED IN THE MINUTES OF THE MEETING. THE CHIEF EXECUTIVE OFFICER ESTABLISHES THE COMPENSATION OF THE SENIOR MANAGEMENT TEAM AND REVIEWS THE PERFORMANCE EVALUATIONS AND RECOMMENDED COMPENSATION WITH THE BOARD. THE EVALUATIONS AND COMPENSATION ARE DISCUSSED BY THE BOARD ALTHOUGH NO VOTE OF APPROVAL OF THE CHIEF EXECUTIVE OFFICER'S DECISION IS REQUIRED. |
| 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. |
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