2013-05-07T10:26:28-05:00 2012-12-31 050409384 KAHN LITWIN RENZA & CO LTD 951 NORTH MAIN STREET PROVIDENCE RI 02904 990 2012-01-01 753059336 RHODE ISLAND QUALITY INSTITUTE RHOD 4012769141 50 HOLDEN STREET PROVIDENCE RI 02908 LAURA L ADAMS 4012744564 2013-05-01 1 DEBORAH A HOPKINS P00167843 4012742001 2012 2016-02-25 16:41:14Z X LAURA L ADAMS 50 HOLDEN STREET PROVIDENCE RI 02908 17091563 0 X WWW.RIQI.ORG X 2001 RI TO SIGNIFICANTLY IMPROVE THE SAFETY AND QUALITY OF HEALTH CARE IN RHODE ISLAND. 17 16 67 0 0 0 1348899 4392480 11377359 12699043 -5081 -10159 0 0 12721177 17081364 0 0 0 0 3881405 5611077 0 0 0 8325016 8855296 12206421 14466373 514756 2614991 2636615 5282709 909299 939872 1727316 4342837 X TO REPRESENT EVERY CONSTITUENCY OF HEALTHCARE LEADERSHIP, AS WELL AS HEALTH INSURANCE, CONSUMER AND PUBLIC INTEREST. TO WORK COLLABORATIVELY, COME UP WITH INNOVATIVE SOLUTIONS, CHAMPION CHANGES THROUGHOUT OUR ORGANIZATIONS, AND DEDICATE TIME, MONEY AND EXPERTISE TO IMPROVE THE QUALITY OF HEALTHCARE IN RHODE ISLAND. 0 0 11794872 12699043 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. 11794872 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 46 0 67 1 0 0 0 0 0 0 0 0 0 0 X 17 16 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 RI X THE ORGANIZATION 4012769141 50 HOLDEN STREET PROVIDENCE RI 02908 YUL D EJNES MD 4.00 X X 0 0 0 MARK REYNOLDS 4.00 X X 0 0 0 RICHARD H LECLERC 4.00 X X 0 0 0 ERNEST ALMONTE 2.00 X 0 0 0 PETER ANDRUSZKIEWICZ 2.00 X 0 0 0 RAYMOND BANDUSKY 2.00 X 0 0 0 RICHARD BESDINE MD 2.00 X 0 0 0 TROYEN A BRENNAN MD 2.00 X 0 0 0 NITIN DAMLE MD 2.00 X 0 0 0 STEPHEN FARRELL 2.00 X 0 0 0 MARIE GHAZAL RN 2.00 X 0 0 0 BERNADETTE R HAWES 2.00 X 0 0 0 DENNIS KEEFE 2.00 X 0 0 0 H JOHN KEIMIG 2.00 X 0 0 0 G ALAN KUROSE 2.00 X 0 0 0 JEANNE LIEB 2.00 X 0 0 0 MARIA MONTANARO 2.00 X 0 0 0 JAMES ROOSEVELT JR 2.00 X 0 0 0 GEORGE VECCHIONE 2.00 X 0 0 0 LAURIE WHITE 2.00 X 0 0 0 JOHN HYNES 2.00 X 0 0 0 LAURA L ADAMS 50.00 X 339071 0 25836 GARY CHRISTENSEN 50.00 X 243186 0 25400 JONATHON LEVISS 50.00 X 110781 0 5777 DARBY BUROKER 40.00 X 134158 0 22940 CHARLES DANSEREAU 40.00 X 133055 0 18055 CHARLIE HEWITT 40.00 X 125553 0 17744 MARK KERIN 40.00 X 106262 0 18345 JENNIE GORDON 40.00 X 100516 0 18516 1292582 0 152613 8 0 1 0 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 12 4392480 500 4392480 US DHHS INCOME 900099 10922422 10922422 CONTRACT REVENUE 900099 1732915 1732915 PROGRAM REVENUE 900099 24942 24942 OTHER REVENUE 900099 18764 18764 12699043 40 40 10199 -10199 -10199 -10199 17081364 12699043 0 -10159 750050 78093 671957 3831063 3004875 826188 652831 474687 178144 377133 260564 116569 270570 163733 106837 38529 38529 61615 61615 297004 226314 70690 2327538 2185403 142135 230598 230598 114513 80195 34318 122721 111958 10763 358679 278543 80136 20017 12791 7226 CONSULTING 2891020 2849761 41259 SUBSIDIES 1839962 1839962 HR AND STAFFING COSTS 248183 156769 91414 MISCELLANEOUS 34347 9609 24738 14466373 11794872 2671501 0 484863 648108 52240 79845 30378 1473228 3068285 72174 94174 1963218 601299 554110 1361919 2636615 5282709 909299 939872 909299 939872 X 760094 1006348 967222 3336489 1727316 4342837 2636615 5282709 2614991 530 0 X 0 1 X 1 1 1 X 1302461 2928783 1614001 1348899 4392480 11586624 1140720 3818719 11377359 12699043 29035841 1302461 4069503 5432720 12726258 17091523 40622465 0 0 0 40622465 361 8739 578 251 40 9969 361 8739 578 251 40 9969 693 693 1303515 4078242 5433298 12726509 17091563 40633127 0.99970 0.99960 0.00020 0.00040 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 14466373 14466373 873319 218330 0 0 458471 760321 873319 2092111 3138167 10000 5834 15834 114618 190080 218330 523028 784542 0 0 0 166884 13907 152977 1796334 587392 1208942 1361919 X 17081894 530 530 17081364 0 17081364 14466373 0 14466373 0 14466373 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: THE INSTITUTE IS A PUBLIC CHARITY EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. MANAGEMENT BELIEVES THAT THE INSTITUTE OPERATES IN A MANNER CONSISTENT WITH THEIR TAX-EXEMPT STATUS AT BOTH THE FEDERAL AND STATE LEVEL. THE INSTITUTE ANNUALLY FILES IRS FORM 990 - RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX, REPORTING VARIOUS INFORMATION THAT THE IRS USES TO MONITOR THE ACTIVITIES OF TAX-EXEMPT ENTITIES. 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. X X X X X 0 0 0 0 0 0 0 1 0 LAURA L ADAMS 264151 0 74920 0 0 0 8055 0 17781 0 364907 0 0 0 GARY CHRISTENSEN 199956 0 43230 0 0 0 9116 0 16284 0 268586 0 0 0 DARBY BUROKER 134158 0 0 0 0 0 5070 0 17870 0 157098 0 0 0 CHARLES DANSEREAU 133055 0 0 0 0 0 0 0 18055 0 151110 0 0 0 PART I, LINE 7 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. JOHN KEIMIG PRESIDENT CEO OF HEA JOHN KEIMIG IS A BOARD MEMBER OF RHODE ISLAND QUALITY INSTITUTE 401419 HEALTHCENTRIC ADVISORS PROVIDED CONSULTING SERVICES TO RIQI FOR THE INTENSIVE CARE UNIT COLLABORATIVE. 0 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.