RHODE ISLAND QUALITY INSTITUTE: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- RHODE ISLAND QUALITY INSTITUTE (EIN 75-3059336)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-05-07
- IRS object ID
- 201231289349300613
- Schema version
- 2011v1.2
- 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 | 2012-05-07T08:31:01-05:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | 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 | 2011-01-01 | 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 | 235 PROMENADE STREET NO 600 | 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 | 2012-05-02 | 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 | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | LAURA L ADAMS | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 235 PROMENADE STREET NO 600 | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 12732413 | 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 | 19 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 18 | NbrIndependentVotingMembers |
| Total Nbr Employees | 60 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 4709915 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1348899 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 722805 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11377359 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -20223 | InvestmentIncomePriorYear |
| Investment Income Current Year | -5081 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 0 | OtherRevenuePriorYear |
| Other Revenue Current Year | 0 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 5412497 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12721177 | 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 | 1982828 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 3881405 | 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 | 4186591 | OtherExpensePriorYear |
| Other Expenses Current Year | 8325016 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 6169419 | TotalExpensesPriorYear |
| Total Expenses Current Year | 12206421 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -756922 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 514756 | RevenuesLessExpensesCY |
| Total Assets BOY | 2638535 | TotalAssetsBOY |
| Total Assets EOY | 2636615 | TotalAssetsEOY |
| Total Liabilities BOY | 1425975 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 909299 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 1212560 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 1727316 | 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 | 10019906 | Expense |
| Revenue | 11377359 | 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 | 10019906 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| 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 |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 30 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 60 | 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 | 19 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 18 | 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 | 235 PROMENADE ST STE 600 | AddressLine1 |
| City | PROVIDENCE | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (30 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 | |
| PETER ANDRUSZKIEWICZ | |||||||
| DIRECTOR | 4.00 | 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 | 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 MD | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JEANNE LIEB | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| MARIA MONTANARO | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JAMES ROOSEVELT JR | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| GEORGE VECCHIONE | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| LAURIE WHITE | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JAMES PURCELL | |||||||
| DIRECTOR | 2.00 | X | 0 | 0 | 0 | ||
| JOHN HYNES | |||||||
| DIRECTOR (1/11 - 8/11) | 2.00 | X | 0 | 0 | 0 | ||
| CHARLES KINNEY | |||||||
| DIRECTOR (1/11 - 6/11) | 2.00 | X | 0 | 0 | 0 | ||
| EDWARD QUINLAN | |||||||
| DIRECTOR (1/11 - 2/11) | 2.00 | X | 0 | 0 | 0 | ||
| LAURA L ADAMS | |||||||
| PRESIDENT | 60.00 | X | 310360 | 0 | 24371 | ||
| GARY CHRISTENSEN | |||||||
| CIO | 50.00 | X | 227908 | 0 | 21748 | ||
| DARBY BUROKER | |||||||
| DIRECTOR, BEACON | 40.00 | 126761 | 0 | 17022 | X | ||
| CHARLIE HEWITT | |||||||
| DIRECTOR, HIE | 40.00 | 121553 | 0 | 16694 | X | ||
| CHARLES DANSEREAU | |||||||
| DIRECTOR OF IT | 40.00 | 129245 | 0 | 17324 | X | ||
| JOSEPHINE SANKY-SANTILLI | |||||||
| DIR. OF OPER. & CORP. COMP | 40.00 | 127276 | 0 | 21200 | X | ||
| JENNIE GORDON | |||||||
| DIRECTOR, REC | 40.00 | 108817 | 0 | 9974 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1151920 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 128333 | 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 | 1887519 |
| ARCADIA SOLUTIONS | |||||
| 3500 AMERICAN BLVD W | BLOOMINGTON | MN | 55431 | CONSULTING | 1244535 |
| HEALTHCENTRIC ADVISORS (QUALITY PARTNERS | |||||
| 235 PROMENADE ST STE 500 | PROVIDENCE | RI | 02908 | CONSULTING | 930921 |
| IMPACT MAKERS | |||||
| 2318 STUART AVE | RICHMOND | VA | 23220 | CONSULTING | 272193 |
| JEFFREY HILL | |||||
| 102 HIGHGROVE DR | CHAPEL HILL | NC | 27516 | CONSULTING | 270125 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 9 | NumberOfContractorsGT100K |
| All Other Contributions | 1348899 | AllOtherContributions |
| Total Contributions | 1348899 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| US DHHS INCOME | 900099 | 10424288 | 10424288 |
| DOH INCOME | 900099 | 612513 | 612513 |
| OTHER INCOME | 900099 | 314108 | 314108 |
| PROGRAM REVENUE | 900099 | 26450 | 26450 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11377359 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 251 | TotalRevenueColumn |
| Exclusion | $251 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 5904 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 11236 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -5332 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -5332 | TotalRevenueColumn |
| Exclusion | -$5,332 | ExclusionAmount |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12721177 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11377359 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | -$5,081 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 584387 | Total |
| Management And General | 584387 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2611814 | Total |
| Program Services | 2104317 | ProgramServices |
| Management And General | 507497 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14224 | Total |
| Program Services | 14224 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 424092 | Total |
| Program Services | 319436 | ProgramServices |
| Management And General | 104656 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 246888 | Total |
| Program Services | 170588 | ProgramServices |
| Management And General | 76300 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 239209 | Total |
| Program Services | 164349 | ProgramServices |
| Management And General | 74860 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34499 | Total |
| Management And General | 34499 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5834 | Total |
| Management And General | 5834 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3486904 | Total |
| Program Services | 3163108 | ProgramServices |
| Management And General | 323796 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15685 | Total |
| Program Services | 15435 | ProgramServices |
| Management And General | 250 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81032 | Total |
| Program Services | 14298 | ProgramServices |
| Management And General | 66734 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2458252 | Total |
| Program Services | 2320158 | ProgramServices |
| Management And General | 138094 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 165092 | Total |
| Management And General | 165092 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 112604 | Total |
| Program Services | 86324 | ProgramServices |
| Management And General | 26280 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 158046 | Total |
| Program Services | 119469 | ProgramServices |
| Management And General | 38577 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13558 | Total |
| Management And General | 13558 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| SUBSIDIES | 1165040 | 1165040 | |
| TEMPORARY STAFFING | 244059 | 226932 | 17127 |
| STAKEHOLDER MANAGEMENT | 137502 | 133971 | 3531 |
| MISCELLANEOUS | 7700 | 2257 | 5443 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12206421 | Total |
| Program Services | 10019906 | ProgramServices |
| Management And General | 2186515 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 337808 | BOY |
| EOY | 484863 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 201989 | BOY |
| EOY | 52240 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1593104 | BOY |
| EOY | 1473228 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 118027 | BOY |
| EOY | 72174 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 798769 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 244659 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 387607 | BOY |
| EOY | 554110 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2638535 | BOY |
| EOY | 2636615 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1425975 | BOY |
| EOY | 909299 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1425975 | BOY |
| EOY | 909299 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 733732 | BOY |
| EOY | 760094 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 478828 | BOY |
| EOY | 967222 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1212560 | BOY |
| EOY | 1727316 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2638535 | BOY |
| EOY | 2636615 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Reconcilation Revenue Expenses | 514756 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 0 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 1968285 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1302461 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2928783 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1614001 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1348899 | CurrentTaxYear |
| Total | 9162429 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus2 Years | 1140720 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 3818719 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11377359 | CurrentTaxYear |
| Total | 16336798 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1968285 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1302461 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4069503 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5432720 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12726258 | CurrentTaxYear |
| Total | 25499227 | 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 | 25499227 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 305 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 361 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8739 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 578 | CurrentTaxYearMinus1Year |
| Current Tax Year | 251 | CurrentTaxYear |
| Total | 10234 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 305 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 361 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 8739 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 578 | CurrentTaxYearMinus1Year |
| Current Tax Year | 251 | CurrentTaxYear |
| Total | 10234 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus3 Years | 693 | CurrentTaxYearMinus3Years |
| Total | 693 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1968590 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1303515 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 4078242 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 5433298 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12726509 | CurrentTaxYear |
| Total | 25510154 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99960 | PublicSupportPercentage509 |
| Investment Income Percentage | 0.00040 | InvestmentIncomePercentage |
| 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
Total Direct Lobbying TotalDirectLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 5834 | FilingOrganizationsTotals |
Total Lobbying Expenditures TotalLobbyingExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 5834 | FilingOrganizationsTotals |
Other Exempt Purpose Expenditures OtherExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 12200587 | FilingOrganizationsTotals |
Total Exempt Purpose Expenditures TotalExemptPurposeExpenditures
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 12206421 | FilingOrganizationsTotals |
Lobbying Nontaxable LobbyingNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 760321 | FilingOrganizationsTotals |
Grassroots Nontaxable GrassrootsNontaxableAmount
| Field | Value | IRS element (for citing) |
|---|---|---|
| Filing Organizations Totals | 190080 | 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 Minus1 | 458471 | CurrentYearMinus1 |
| Current Year | 760321 | CurrentYear |
| Total | 1218792 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Lobbying Ceiling | $1,828,188 | LobbyingCeilingAmount |
Total Lobbying Expenditures2 TotalLobbyingExpenditures2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 10000 | CurrentYearMinus1 |
| Current Year | 5834 | CurrentYear |
| Total | 15834 | Total |
Grassroots Nontaxable Amount2 GrassrootsNontaxableAmount2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Year Minus1 | 114618 | CurrentYearMinus1 |
| Current Year | 190080 | CurrentYear |
| Total | 304698 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grassroots Ceiling | $457,047 | GrassrootsCeilingAmount |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PART IV, SUPPLEMENTAL INFORMATION: | Identifier |
| Explanation | THE INSTITUTE OBTAINED THE SERVICES OF ADVOCACY SOLUTIONS (A FULL SERVICE LOBBYING FIRM), WHO MET WITH STATE LEGISLATORS ON BEHALF OF RIQI, WITH THE INTENT TO INFLUENCE LEGISLATORS TO INCLUDE FUNDING FOR CURRENT CARE INTO THE STATE'S BUDGET. | Explanation |
Schedule D IRS990ScheduleD
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 798769 | OtherCostOrOtherBasis |
| Depreciation | 244659 | Depreciation |
| Book Value | 554110 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 554110 | TotalOfBookValueLandBuildings |
| Total Revenue | 12721177 | TotalRevenue |
| Total Expenses | 12206421 | TotalExpenses |
| Excess Or Deficit For Year | 514756 | ExcessOrDeficitForYear |
| Excess Or Deficit Per FS | 514756 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 12726509 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | 5332 | OtherRevenues |
| Revenue Not Rptd F990 | 5332 | RevenueNotRptdF990 |
| Revenue Subtotal | 12721177 | RevenueSubtotal |
| Revenue Not Rptd On Fin Stmt | 0 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 12721177 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 12211753 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 5332 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 5332 | ExpensesNotRptdF990 |
| Expenses Subtotal | 12206421 | ExpensesSubtotal |
| Expenses Not Rptd On Fin Stmt | 0 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 12206421 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | PART X: | 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. THE FEDERAL INCOME TAX RETURNS FOR 2008, 2009 AND 2010 ARE SUBJECT TO EXAMINATION BY THE IRS, GENERALLY FOR THREE YEARS AFTER THEY WERE FILED. THE INSTITUTE CURRENTLY HAS NO TAX EXAMINATIONS IN PROGRESS. |
| PART XII, LINE 2D - OTHER ADJUSTMENTS: | LOSS FROM DISPOSAL OF ASSET TREATED AS EXPENSE 5,332. | |
| PART XIII, LINE 2D - OTHER ADJUSTMENTS: | LOSS FROM DISPOSAL OF ASSET TREATED AS EXPENSE 5,332. |
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 | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (2 entries)
| 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 | |||||||||||||
| 310360 | 0 | 0 | 0 | 0 | 0 | 7350 | 0 | 17021 | 0 | 334731 | 0 | 0 | 0 |
| GARY CHRISTENSEN | |||||||||||||
| 227908 | 0 | 0 | 0 | 0 | 0 | 6216 | 0 | 15532 | 0 | 249656 | 0 | 0 | 0 |
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 | 930921 | AmountOfTransaction |
| Description Of Transaction | HEALTHCENTRIC ADVISORS (FORMERLY QUALITY PARTNERS OF RHODE ISLAND) 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 (FORMERLY QUALITY PARTNERS OF RI) 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: GEORGE VECCHIONE, CEO OF LIFESPAN; PETER ANDRUSZKIEWICZ, CEO OF BCBSRI; G ALAN KUROSE,MD, PRESIDENT AND CEO OF COASTAL MEDICINE; AND JAMES ROOSEVELT, CEO OF TUFTS HEALTH PLAN CHARLES KINNEY (WESTERLY HOSPITAL CEO) - THE HOSPITAL IS A CONTRACTED PROVIDER TO: JAMES PURCELL/PETER ANDRUSZKIEWICZ, CEO OF BCBSRI; STEPHEN FARRELL, CEO OF UNITED HEALTHCARE; JAMES ROOSEVELT, CEO TUFTS HEALTH PLAN; MARK REYNOLDS, CEO OF NEIGHBORHOOD HEALTH PLAN; DENNIS KEEFE, CEO OF CARE NEW ENGLAND; GEORGE VECCHIONE, CEO OF LIFESPAN; RICHARD LECLERC, CEO OF GATEWAY HEALTHCARE; AND JOHN KEIMIG, CEO OF HEALTHCENTRIC ADVISORS (FORMERLY QUALITY PARTNERS OF RI) 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; JAMES ROOSEVELT, TUFTS HEALTH PLAN; AND MARK REYNOLDS, NEIGHBORHOOD HEALTH PLAN RICHARD LECLERC (GATEWAY HEALTHCARE CEO) - GATEWAY HEALTHCARE HAS A CONTRACTING RELATIONSHIP WITH BCBSRI, NHPRI,UNITED BEHAVIORAL HEALTH, A SUBSIDIARY OF UNITED HEALTHCARE OF NEW ENGLAND, WESTERLY HOSPITAL, TUFTS HEALTH PLAN, AND LIFESPAN - THE CEO'S OF THESE ORGANIZATIONS ARE ALSO DIRECTORS OF RIQI MARK REYNOLDS (NEIGHBORHOOD HEALTH PLAN OF RI CEO) - GEORGE VECCHIONE, CEO OF LIFESPAN - NHPRI CONTRACTS WITH LIFESPAN; JAMES PURCELL, CEO OF BCBSRI - NHPRI CONTRACTS WITH BCBSRI; DENNIS KEEFE, CEO OF CARE NEW ENGLAND - NHPRI CONTRACTS WITH CARE NEW ENGLAND; NITIN DAMLE, MD, SOUTH COUNTY INTERNAL MEDICINE - NHPRI CONTRACTS WITH SOUTH COUNTY INTERNAL MEDICINE; RICHARD BESDINE, CEO AND CHIEF OF GERIATRICS AT LIFESPAN - NHPRI CONTRACTS WITH LIFESPAN; TROYEN BRENNAN, EVP/CMO OF CVS - NHPRI CONTRACTS WITH CVS; AL KUROSE, CEO OF COASTAL MEDICAL - NHPRI CONTRACTS WITH COASTAL MEDICAL; RICHARD LECLERC, CEO OF GATEWAY HEALTHCARE - NHPRI CONTRACTS WITH GATEWAY HEALTHCARE GEORGE VECCHIONE (LIFESPAN CEO) - JIM PURCELL/PETER ANDRUSZKIEWICZ, FORMER AND CURRENT PRESIDENT AND CEO OF BCBSRI - ASO SERVICE FOR HEALTH BENEFITS; TROYEN BRENNAN, EVP/CMO OF CVS - LIFESPAN EMPLOYEE PHARMACEUTICAL BENEFITS; PETER ANDRUSZKIEWICZ, BCBSRI; STEPHEN FARRELL, CARE NEW ENGLAND; MARK REYNOLDS, CEO OF NHPRI - LIFESPAN'S HOSPITALS 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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