DELTA DENTAL OF RHODE ISLAND: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
DELTA DENTAL OF RHODE ISLAND (EIN 05-0296998)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201113189349303071
Schema version
2010v3.4
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-11-14T11:45:52-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1KPMG LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line160 South StreetAddressLine1
CityBostonCity
StateMAState
ZIP Code02111ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN050296998EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELTA DENTAL OF RHODE ISLANDBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDELTNameControl
Phone4017526000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameGEORGE J BEDARDName
TitleASST. TREASURERTitle
Phone4017526240Phone
Date Signed2011-11-14DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
Phone6179881000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonRICHARD A FRITZNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code02904ZIPCode
FieldValueIRS element (for citing)
Gross Receipts210299006GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web SiteWWW.DELTADENTALRI.COMWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1959YearFormation
State Legal DomicileRIStateLegalDomicile
Activity Or Mission DescriptionTO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body15NbrVotingMembersGoverningBody
Nbr Independent Voting Members11NbrIndependentVotingMembers
Total Nbr Employees53TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income38140NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year189309313ProgramServiceRevenuePriorYear
Program Service Revenue CY192446250ProgramServiceRevenueCY
Investment Income Prior Year1560870InvestmentIncomePriorYear
Investment Income Current Year1912698InvestmentIncomeCurrentYear
Other Revenue Prior Year339219OtherRevenuePriorYear
Other Revenue Current Year239242OtherRevenueCurrentYear
Total Revenue Prior Year191209402TotalRevenuePriorYear
Total Revenue Current Year194598190TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY281341GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year170297565BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY170668671BenefitsPaidToMembersCY
Salaries Etc Prior Year10249864SalariesEtcPriorYear
Salaries Etc Current Year10551382SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year7752298OtherExpensePriorYear
Other Expenses Current Year7928793OtherExpensesCurrentYear
Total Expenses Prior Year188299727TotalExpensesPriorYear
Total Expenses Current Year189430187TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2909675RevenuesLessExpensesPriorYear
Revenues Less Expenses CY5168003RevenuesLessExpensesCY
Total Assets BOY82625360TotalAssetsBOY
Total Assets EOY87825448TotalAssetsEOY
Total Liabilities BOY18201689TotalLiabilitiesBOY
Total Liabilities EOY17629186TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY64423671NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY70196262NetAssetsOrFundBalancesEOY
Mission DescriptionTO PROVIDE COST EFFECTIVE GROUP DENTAL INSURANCE TO THE RHODE ISLAND BUSINESS COMMUNITIES.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense170668671Expense
Revenue192446250Revenue
DescriptionDENTAL BENEFITS FOR 613,327 MEMBERS UNDER 285,850 CONTRACTSDescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense8458497Expense
Revenue239242Revenue
DescriptionOPERATIONS EXPENSE INCURRED TO ADMINISTER THE PAYMENT OF DENTAL BENEFITS.Description
FieldValueIRS element (for citing)
Total Program Service Expense179127168TotalProgramServiceExpense
Described In501 C3falseDescribedIn501C3
Schedule B RequiredfalseScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109611NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees53NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Excess Business HoldingsfalseExcessBusinessHoldings
Taxable DistributionsfalseTaxableDistributions
Distribution To DonorfalseDistributionToDonor
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members15NbrVotingGoverningBodyMembers
Number Independent Voting Members11NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonRICHARD A FRITZNamePerson
Telephone Number4017526000TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (32 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
EDWARD ALMON
DIRECTOR1.0X650000
FRED BUTLER
VICE CHAIR1.0X800000
A THOMAS CORREIA
DIRECTOR1.0X750000
DAVID A DUFFY
DIRECTOR1.0X620000
ALMON C HALL
DIRECTOR1.0X700000
EDWARD HANDY
DIRECTOR1.0X250000
DONALD S IANNAZZI
DIRECTOR1.0X800000
STEVEN ISSA
DIRECTOR1.0X850000
JOSEPH MARCAURELE
DIRECTOR1.0X300000
JAMES MCMANUS
DIRECTOR1.0X750000
WILLIAM A MEKRUT
CHAIR1.0X1410000
SANDRA PARRILLO
DIRECTOR1.0X620000
CYNTHIA REED
DIRECTOR1.0X650000
EDWIN J SANTOS
DIRECTOR1.0X920000
PATRICIA A SULLIVAN
DIRECTOR1.0X500000
ALEC TAYLOR
DIRECTOR1.0X650000
VANESSA TOLEDO-VICKERS
DIRECTOR1.0X700000
STEPHEN J SPERANDIO
VP OPERATIONS40.0023880247743X
RICHARD A FRITZ
VP FINANCE & CFO40.0233947049410X
ANGELO PEZZULLO
VP SALES40.0226165046169X
KATHRYN SHANLEY
VP EXTERNAL AFFAIRS40.0219597044703X
JOSEPH R PERRONI
VP SALES - ALTUS DENTAL40.0020757338538X
GEORGE J BEDARD
CONTROLLER40.0134527032065X
MELISSA A GENNARI
DIRECTOR COMPLIANCE32.089412013180X
JOSEPH A NAGLE
PRESIDENT & CEO40.06153940123046X
THOMAS D CHASE
VP TECHNOLOGY & CIO40.0158605012945X
CRAIG W LEWIS
VP ACTUARIAL & UNDERWRITING40.0172555015374X
DUANE EASTER
DIRECTOR OF CORP. REPORTING40.0114759029616X
STEPHEN C TOMBS
DIRECTOR ACTUARIAL40.0139999031983X
STEFANI G GALLAGHER
ACCOUNT MANAGER40.0115097012872X
ELLEN M HENDRIX
AVP UNDERWRITING40.0137025033540X
GEORGE D CALAT
ACTUARIAL & UNDERWRITING40.0121574010844X
FieldValueIRS element (for citing)
Total Reportable Comp From Org2597856TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs446375TotalReportableCompFrmRltdOrgs
Total Other Compensation542028TotalOtherCompensation
Number Individuals GT100 K12NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CATHEDRAL CORP
GRIFFIN TECHNOLOGY PARKROMENY13441PRINTING AND MAIL325089
NETCENERGY
231 ELM STREETWARWICKRI02888IT CONSULTING218899
DUFFY SHANLEY
10 CHARLES STREETPROVIDENCERI02904MARKETING SERVICES421677
ROBERT E NOLAN CO
92 HOPMEADOW STREETWEATOGUECT06089IT CONSULTING235460
ROCKY MOUNTAIN DATA CONTROL INC
2040 EAST MURRAY HOLLADAY ROAD 103SALT LAKE CITYUT84117DATA ENTRY SERVICES208835
FieldValueIRS element (for citing)
Number Of Contractors GT100 K7NumberOfContractorsGT100K
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionPREMIUMSDescription
Total Revenue Column192446250TotalRevenueColumn
Related Or Exempt Function Income192446250RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue192446250TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column1781050TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,781,050ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities15832464Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities15700816Securities

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities131648Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column131648TotalRevenueColumn
Exclusion$131,648ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events0GrossIncomeFundraisingEvents

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Income Gaming0GrossIncomeGaming

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
GAIN ON PURCHASE OF RI TAX CREDITS900099171380171380
OTHER INCOME9000996786267862
FieldValueIRS element (for citing)
Total Other Revenue239242TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column194598190TotalRevenueColumn
Related Or Exempt Function Income192685492RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$1,912,698ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total279341Total
Program Services279341ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total2000Total
Program Services2000ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total170668671Total
Program Services170668671ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1969402Total
Management And General1969402ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total7382279Total
Program Services4906660ProgramServices
Management And General2475619ManagementAndGeneral
Fundraising0Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total410653Total
Management And General410653ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total472814Total
Management And General472814ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total316234Total
Program Services7829ProgramServices
Management And General308405ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total0Total

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total136702Total
Management And General136702ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total1585500Total
Program Services951746ProgramServices
Management And General633754ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total586210Total
Program Services544687ProgramServices
Management And General41523ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1858723Total
Program Services1303259ProgramServices
Management And General555464ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total698441Total
Management And General698441ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total947839Total
Program Services422469ProgramServices
Management And General525370ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total131881Total
Program Services27700ProgramServices
Management And General104181ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total10601Total
Management And General10601ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total853392Total
Management And General853392ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total110081Total
Management And General110081ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BOARDS & ASSOCIATION FEES4904886360484128
OTHER2649786446258532
TAKEDOWN OF FAS 106229597229597
LICENSES AND FEES2658426584
INCOME TAXES-2224-2224

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total189430187Total
Program Services179127168ProgramServices
Management And General10303019ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY250BOY
EOY250EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY14226882BOY
EOY10339273EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY9739984BOY
EOY11846830EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY392202BOY
EOY1810826EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis6870980LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec4932972LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY2162158BOY
EOY1938008EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY47551679BOY
EOY53369245EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY7965026BOY
EOY7965026EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY587179BOY
EOY555990EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY82625360BOY
EOY87825448EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY10970922BOY
EOY11913539EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7230767BOY
EOY5715647EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY18201689BOY
EOY17629186EOY
FieldValueIRS element (for citing)
Do Not Follow SFAS117XDoNotFollowSFAS117

Retained Earnings Endowment Etc RetainedEarningsEndowmentEtc

FieldValueIRS element (for citing)
BOY64423671BOY
EOY70196262EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY64423671BOY
EOY70196262EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY82625360BOY
EOY87825448EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses5168003ReconcilationRevenueExpenses
Reconcilation Other Changes604588ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts
LandLand
BuildingsBuildings

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis1191090OtherCostOrOtherBasis
Depreciation890054Depreciation
Book Value301036BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis3576666OtherCostOrOtherBasis
Depreciation2809711Depreciation
Book Value766955BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis2103225OtherCostOrOtherBasis
Depreciation1233208Depreciation
Book Value870017BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings1938008TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities

FieldValueIRS element (for citing)
DescriptionSUBSIDIARIESDescription
Book Value7965026BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Securities7965026TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
CLAIMS INCURRED BUT NOT PAID$4,167,000
ACCRUED CLAIMS ADJUDICATION EXPENSE$180,043
ADVANCED SUBSCRIBER PREMIUMS$1,368,604
FieldValueIRS element (for citing)
Total Of Amounts5715647TotalOfAmounts

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedfalseRecordsMaintained

Recipient Table RecipientTable (12 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
SALVE REGINA UNIVERSITY
100 OCHRE POINT AVENEWPORTRI02840050259080501(C)(3)34500PROGRAM SUPPORT
CVS CHARITY CLASSIC INC
ONE CVS DRIVEWOONSOCKETRI02895050508742501(C)(3)25700PROGRAM SUPPORT
AMERICAN HEART ASSOCIATION
275 WESTMINSTER STREETPROVIDENCERI02908135613797501(C)(3)12160PROGRAM SUPPORT
JUNIOR ACHIEVEMENT
120 WATERMAN STREETPROVIDENCERI02908841267604501(C)(3)8550PROGRAM SUPPORT
ST JOSEPH'S HEALTH SERVICES OF RI
200 HIGH SERVICE AVENUEPROVIDENCERI02904050259026501(C)(3)7250PROGRAM SUPPORT
LA SALLE ACADEMY
612 ACADEMY AVEPROVIDENCERI02908501(C)(3)6850PROGRAM SUPPORT
FAMILY SERVICE OF RI
55 HOPE STREETPROVIDENCERI02904050258858501(C)(3)6500PROGRAM SUPPORT
RI COMMUNITY FOOD BANK
200 NIANITC AVENUEPROVIDENCERI02907050395601501(C)(3)5380PROGRAM SUPPORT
EMERIL LAGASSE ENDOWED SCHOLARSHIP FUND
8 ABBOTT PARK PLACEPROVIDENCERI02903050306206501(C)(3)5350PROGRAM SUPPORT
TOMORROW FUND
593 EDDY STREETPROVIDENCERI02903050450569501(C)(3)5250PROGRAM SUPPORT
LITTLE SISTERS OF THE POOR
964 MAIN STREETPAWTUCKETRI02860050283791501(C)(3)5150PROGRAM SUPPORT
NATIONAL MS SOCIETY
205 HALLENE ROADWARWICKRI02886050271809501(C)(3)5015PROGRAM SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants12TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgstrueCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgtrueCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
STEPHEN J SPERANDIO
021623801963402930032065015678028654500
RICHARD A FRITZ
213336019540010710318820175280283357000
ANGELO PEZZULLO
192611026595069590282410179280272334000
KATHRYN SHANLEY
198714018070028130290250156780264300000
JOSEPH R PERRONI
017920702198906377023610014928024611100
GEORGE J BEDARD
1249140904205710163570157080166592000
JOSEPH A NAGLE
455949011241804702701076180154280738440000
THOMAS D CHASE
1386250001998003184097610171550000
CRAIG W LEWIS
168129000442609865055090187929000
STEPHEN C TOMBS
1304900924902600170550149280171982000
ELLEN M HENDRIX
12392301272603760162720172680170565000

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
FRINGE BENEFITSSCHEDULE J, PART 1, QUESTION 1ATHE CEO'S EMPLOYMENT AGREEMENT CONTAINS PROVISIONS FOR HIM TO RECEIVE PAYMENTS SO THAT HE CAN PERSONALLY PROCURE CERTAIN FRINGE BENEFITS SUCH AS LIFE INSURANCE AND LONG TERM DISABILITY POLICIES THAT ARE OTHERWISE AVAILABLE TO ALL OTHER EMPLOYEES. THIS ADDITIONAL INCOME IS GROSSED UP TO ACCOUNT FOR THE TAX IMPACT OF THESE PAYMENTS.
BUSINESS EXPENSESSCHEDULE J, PART 1, QUESTION 1ATHE CEO IS A MEMBER OF A LOCAL BUSINESS CLUB. REIMBURSEMENT FOR USE OF THIS IS EXCLUSIVELY FOR OFFSITE EMPLOYEE MEETINGS AS WELL AS BUSINESS RELATED MEETINGS WITH INDIVIDUALS OUTSIDE THE COMPANY. THE COMPANY MAINTAINS STRICT POLICIES REGARDING SUBSTANTIATION AND DOCUMENTATION FOR ALL BUSINESS RELATED EXPENSES INCURRED.
SEVERANCE PAYMENTSCHEDULE J, PART I, LINE 4AGEORGE CALAT RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $75,250. THE TERMS OF THIS AGREEMENT ARE SUCH THAT GEORGE CALAT, SHALL NOT WITHOUT ADVANCE WRITTEN CONSENT OF THE CORPORATION, HAVE ANY ACTIVE INTEREST IN ANY BUSINESS WHICH THE CORPORATION'S SERVICE AREA IS ENGAGED IN WHOLE OR IN PART MAINTAINING, PROVIDING, OR ADMINISTERING DENTAL PLANS OR COVERAGE.
SUPPLEMENTAL NONQUALIFIED RETIREMENT PLANSCHEDULE J, PART I, LINE 4BA MEMBER OF MANAGEMENT PARTICIPATES IN A 457(F) DEFERRED COMPENSATION PLAN BUT HAS NOT MET THE VESTING CRITERIA AND THEREFORE NO PAYMENTS HAVE BEEN MADE TO DATE.
EXECUTIVE INCENTIVE BONUSSCHEDULE J, PART 1, QUESTION 5BTHE CEO HAS AN INCENTIVE BONUS OPPORTUNITY FOR UP TO 15% OF HIS BASE PAY SHOULD CERTAIN GOALS BE ATTAINED. GOALS ARE ESTABLISHED ANNUALLY AND FOR THE TAX YEAR 2010, ONE OF THESE GOALS IS BASED ON THE REVENUES OF A WHOLLY-OWNED SUBSIDIARY OF THE COMPANY. THIS GOAL HAS A WEIGHTING OF 10% THEREFORE THIS GOAL IS EQUAL TO 1.5% OF BASE PAY.
COMPANY INCENTIVE BONUSSCHEDULE J, PART I, QUESTION 6ATHE COMPANY MAINTAINS AN ANNUAL INCENTIVE PROGRAM THAT IS ALLOCATED TO ALL APPLICABLE EMPLOYEES IF THE COMPANY MEETS CERTAIN BOARD APPROVED CORPORATE FINANCIAL GOALS, INCLUDING MEETING ENROLLMENT LEVELS, CONTROL OF OPERATING EXPENSES, AND OVERALL PROFITABILITY.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
A THOMAS CORREIA DDS INC
CORREIA - BOARD MEMBER595235PAYMENT OF DENTAL PRACTICE.false
MCMANUS PRATT
MCMANUS - BOARD MEMBER865893PAYMENT OF DENTAL PRACTICE.false
CITIZENS BANK
HANDY - BOARD MEMBER317084BANK FEESfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
MEMBERS OF THE ORGANIZATIONFORM 990, PART VI, SECTION A, QUESTION 6THE ORGANIZATION HAS 78 CORPORATE MEMBERS.
MEMBERS THAT MAY ELECT THE GOVERNING BODYFORM 990, PART VI, SECTION A, QUESTION 7ATHE CORPORATE MEMBERS MEET ANNUALLY TO APPROVE ANY BY-LAW CHANGES AND TO ELECT INDIVIDUALS TO THE 15 MEMBER BOARD OF DIRECTORS WHICH IS THE ORGANIZATION'S GOVERNING BODY.
DECISIONS OF THE GOVERNING BODY SUBJECT TO APPROVAL BY MEMBERSFORM 990, PART VI, SECTION A, QUESTION 7BTHE MEMBERS OF THE CORPORATION, AT THE ANNUAL MEETING, SHALL ELECT DIRECTORS OF THE CORPORATION THAT HAVE BEEN PROPOSED BY THE BOARD OF DIRECTORS AND SHALL APPROVE AMENDMENTS OR ALTERATIONS OF THE BYLAWS PROPOSED BY THE BOARD OF DIRECTORS.
FORM 990 REVIEW PROCESSFORM 990, PART VI, SECTION B, QUESTION 11BTHE ANNUAL FORM 990 IS PREPARED BY THE COMPANY'S FINANCE DEPARTMENT WITH INPUT FROM SENIOR MANAGEMENT. UPON COMPLETION OF THE PREPARATION OF THIS DRAFT, IT IS THEN SUPPLIED TO KPMG, OUR TAX CONSULTANTS AND EXTERNAL AUDITORS. KPMG WILL COMPLETE THEIR REVIEW WITH ANY NECESSARY MODIFICATIONS AND THIS REVISED DRAFT IS AGAIN REVIEWED BY THE CONTROLLER, CFO AND CEO AS NECESSARY. FORM 990 IS THEN SUPPLIED TO THE BOARD OF DIRECTORS BEFORE A COPY IS FILED WITH THE IRS.
CONFLICT OF INTEREST POLICYFORM 990, PART VI, SECTION B, QUESTION 12CALL EMPLOYEES, AS WELL AS ALL OFFICERS AND DIRECTORS, COMPLETE AN ANNUAL CONFLICT OF INTEREST QUESTIONNAIRE. THE COMPLETED FORMS FOR EMPLOYEES ARE REVIEWED BY THE HUMAN RESOURCE DEPARTMENT, THE CFO, AS WELL AS THE DIRECTOR OF COMPLIANCE. ANY AND ALL POTENTIAL CONFLICT ISSUES ARE ELEVATED IN THE REVIEW PROCESS TO THE CEO, EXTERNAL LEGAL COUNSEL AND THE BOARD OF DIRECTORS AS NECESSARY. THE BOARD MEMBERS COMPLETED FORMS ARE REVIEWED BY THE CEO AND EXTERNAL LEGAL COUNSEL. THE CEO'S COMPLETED FORM IS REVIEWED BY EXTERNAL LEGAL COUNSEL AND THE CHAIRMAN OF THE BOARD. ALL CONFLICTS ARE DISCUSSED AND ANY REQUIRED ACTIONS ARE IMMEDIATELY IMPLEMENTED IN ACCORDANCE WITH THE COMPANY'S DOCUMENTED CONFLICT OF INTEREST POLICY. SHOULD AN UNDISCLOSED CONFLICT COME TO LIGHT, THEN IMMEDIATE AND APPROPRIATE ACTION IS ALSO TAKEN IN ACCORDANCE WITH THE COMPANY'S POLICIES.
COMPENSATION POLICYFORM 990, PART VI, SECTION B, QUESTION 15THE BOARD OF DIRECTORS ELECTS MEMBERS TO SERVE ON ITS COMPENSATION COMMITTEE WHICH IS RESPONSIBLE FOR SETTING THE CEO'S COMPENSATION AND APPROVING PAY RANGES FOR THE VARIOUS JOB TRACKS WITHIN THE COMPANY AS WELL AS APPROVING ANY FRINGE BENEFITS. THE COMPANY AND THE COMMITTEE ANNUALLY CONTRACT WITH INDEPENDENT COMPENSATION CONSULTANTS TO HELP DETERMINE APPROPRIATE PAY RANGES AND FRINGE BENEFITS SUCH AS HEALTH AND OTHER INSURANCES AND RETIREMENT AND OTHER BENEFITS.
PUBLIC DISCLOSUREFORM 990, PART VI, SECTION C, QUESTION 19THE COMPANY'S GOVERNING DOCUMENTS, SUCH AS BYLAWS AND CORPORATE CHARTER ARE AVAILABLE UPON REQUEST FROM THE COMPANY, AND CAN ALSO BE OBTAINED FROM THE SECRETARY OF STATE'S OFFICE WITHIN THE STATE OF RHODE ISLAND. THE COMPANY'S CONFLICT OF INTEREST POLICY, AS WELL AS THE COMPANY'S AUDITED FINANCIAL STATEMENTS ARE ALSO AVAILABLE UPON REQUEST AT THE COMPANY'S HEADQUARTERS. ADDITIONALLY, ALL STATUTORY FILINGS COMPLETED BY THE COMPANY ARE AVAILABLE THROUGH THE INSURANCE DIVISION WITHIN THE RHODE ISLAND DEPARTMENT OF BUSINESS REGULATION. THE COMPANY'S FORM 990 IS ALSO POSTED ON WWW.GUIDESTAR.ORG.
OTHER CHANGES IN NET ASSETSPART XI, LINE 5UNREALIZED GAINS FROM INVESTMENTS $604,588

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ALTUS REALTY COMPANYBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line110 CHARLES STREETAddressLine1
CityPROVIDENCECity
StateRIState
ZIP Code029042208ZIPCode
FieldValueIRS element (for citing)
EIN030396397EIN
Primary ActivitiesHOLDING CO.PrimaryActivities
Legal Domicile StateRILegalDomicileState
Exempt Code Section501(C)(2)ExemptCodeSection
Public Charity StatusN/APublicCharityStatus

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1DDRIBusinessNameLine1

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnership
PARK ROW ASSOCIATES INC
10 charles StreetPROVIDENCERI029042208050476063INSURANCERIDDRIC CORP1680433662801.00000
THE ALTUS GROUP INC
10 CHARLES STREETPROVIDENCERI029042208050502610INSURANCERIDDRIC CORP93929594864341.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgfalseGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgfalseOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
ALTUS DENTAL INSURANCE CO INC
A(IV)149302
ALTUS DENTAL INC
A(I)82061
ALTUS REALTY COMPANY
A(I)53956
THE ALTUS GROUP INC
L5360556
ALTUS DENTAL INSURANCE CO INC
M917143

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