NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND: Form 990, tax year 2023

View the entire original 990 at ProPublica ↗

Organization: NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND (EIN 05-0477052)
Tax period: 2023-01-01 to 2023-12-31
Filed: 2024-11-15
IRS object ID: 202413209349305951
Schema version: 2023v5.1
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
Form 990
Schedule A
Schedule C
Schedule D
Schedule J
Schedule O

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2024-11-15T09:14:32+00:00	ReturnTs
Tax Period End	2023-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	346565596	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	ERNST & YOUNG US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	221 EAST 4TH STREET	AddressLine1Txt
City	CINCINNATI	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	45202	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2023-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	050477052	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Neighborhood Health Plan of Rhode Island	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	NEIG	BusinessNameControlTxt
Phone	4014596000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	910 DOUGLAS PIKE	AddressLine1Txt
City	SMITHFIELD	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02917	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PETER MARINO	PersonNm
Person Title	CEO	PersonTitleTxt
Signature	2024-11-15	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Julie L Sparks	PreparerPersonNm
PTIN	P01268401	PTIN
Phone	5136121400	PhoneNum
Preparation	2024-11-13	PreparationDt

Field	Value	IRS element (for citing)
Tax	2023	TaxYr
Build TS	2024-10-15 13:58:12Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PETER MARINO	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	910 DOUGLAS PIKE	AddressLine1Txt
City	SMITHFIELD	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02917	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$2,195,379,103	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.NHPRI.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1993	FormationYr
Legal Domicile State	RI	LegalDomicileStateCd
Activity Or Mission	Neighborhood Health Plan of Rhode Island, an innovative health plan in partnership with the Community Health Centers, secures access to high quality, cost-effective health care for Rhode Island's at-risk populations.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	15	VotingMembersIndependentCnt
Total Employee	780	TotalEmployeeCnt
Total Volunteers	15	TotalVolunteersCnt
Total Gross UBI	$2,069,481	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$0	PYContributionsGrantsAmt
CY Contributions Grants	$0	CYContributionsGrantsAmt
PY Program Service Revenue	$1,636,540,955	PYProgramServiceRevenueAmt
CY Program Service Revenue	$1,875,967,422	CYProgramServiceRevenueAmt
PY Investment Income	$2,000,661	PYInvestmentIncomeAmt
CY Investment Income	$7,612,611	CYInvestmentIncomeAmt
PY Other Revenue	$0	PYOtherRevenueAmt
CY Other Revenue	$0	CYOtherRevenueAmt
PY Total Revenue	$1,638,541,616	PYTotalRevenueAmt
CY Total Revenue	$1,883,580,033	CYTotalRevenueAmt
PY Grants And Similar Paid	$249	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$1,501,971,074	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$1,730,787,510	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$44,062,506	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$49,152,581	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$90,896,305	PYOtherExpensesAmt
CY Other Expenses	$100,463,451	CYOtherExpensesAmt
PY Total Expenses	$1,636,930,134	PYTotalExpensesAmt
CY Total Expenses	$1,880,403,542	CYTotalExpensesAmt
PY Revenues Less Expenses	$1,611,482	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$3,176,491	CYRevenuesLessExpensesAmt
Total Assets BOY	$501,584,361	TotalAssetsBOYAmt
Total Assets EOY	$578,758,475	TotalAssetsEOYAmt
Total Liabilities BOY	$372,412,942	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$446,745,371	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$129,171,419	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$132,013,104	NetAssetsOrFundBalancesEOYAmt
Mission	Neighborhood Health Plan of Rhode Island, an innovative health plan in partnership with the Community Health Centers, secures access to high quality, cost-effective health care for Rhode Island's at-risk populations.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$1,781,953,895	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$1,875,967,422	RevenueAmt
Desc	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND IS A NON-PROFIT HEALTH MAINTENANCE ORGANIZATION ("HMO") THAT PROVIDES HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES ON A PREPAID BASIS PRINCIPALLY TO MEDICAID RECIPIENTS AND CERTAIN OTHER ELIGIBLE PERSONS UNDER STATE OF RHODE ISLAND MANAGED CARE PROGRAM, RITECARE. THE ORGANIZATION ALSO EXTENDS ITS SERVICE, BENEFITS AND VALUE TO INDIVIDUALS AND BUSINESSES THROUGH HEALTHSOURCE RI, THE STATE'S HEALTH INSURANCE EXCHANGE. AS OF DECEMBER 31, 2023, THE ORGANIZATION IS RESPONSIBLE FOR PROVIDING HEALTH CARE SERVICES TO OVER 225,944 MEMBERS.	Desc
Total Program Service Expenses	$1,781,953,895	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	false	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	false	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	Yes (true)	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	false	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	false	OperateHospitalInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	false	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	false	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	2608	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	780	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	15	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (true)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	false	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	RI	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	PETER M MARINO CEO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4014596000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	910 DOUGLAS PIKE	AddressLine1Txt
City	SMITHFIELD	CityNm
State Abbreviation	RI	StateAbbreviationCd
ZIP	02917	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
ALISON CROKE
VICE CHAIRPERSON	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
BRENDA DOWLATSHAHI
CHAIRPERSON	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
KEITH OLIVEIRA
SECRETARY	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
MERRILL THOMAS
TREASURER	1.0	0.0	Yes (X)	Yes (X)	$0	$0	$0
PETER MARINO
PRESIDENT & CEO	38.0	0.0	Yes (X)	Yes (X)	$663,153	$0	$46,107
DANIEL DA PONTE
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
DIOSCARIS GARCIA PHD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
ELENA NICOLELLA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
GARY FURTADO
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
JEANNE LACHANCE
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
LISA RANGLIN
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PABLO RODRIQUEZ MD
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
PETER BANCROFT CPA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
RAYMOND JOSEPH LAVOIE JR
TRUSTEE (TERM ENDED 10/23)	1.0	0.0	Yes (X)		$0	$0	$0
RILWAN FEYISTAN
TRUSTEE (AS OF 1/17/23)	1.0	0.0	Yes (X)		$0	$0	$0
WILLIAM HOCHSTRASSER-WALSH
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
YAHAIRA PLACENCIA
TRUSTEE	1.0	0.0	Yes (X)		$0	$0	$0
CHRISTOPHER OTTIANO
MEDICAL DIRECTOR (AS OF 7/22)	38.0	0.0		Yes (X)	$367,639	$0	$45,607
KAREN CARLSON
CHIEF OPERATING OFFICER	38.0	0.0		Yes (X)	$393,276	$0	$44,307
KRISTEN RUSSELL
CHIEF MEDICAL OFFICER (AS OF 5/15/23)	38.0	0.0		Yes (X)	$337,335	$0	$17,254
MICHELLE SEARS
CHIEF FINANCIAL OFFICER-SVP	38.0	0.0		Yes (X)	$406,396	$0	$23,361
BRENDA SEAGRAVE-WHITTLE
CHIEF MARKETING OFFICER	38.0	0.0			$326,124	$0	$31,994	Yes (X)
DAVID BURNETT
CHIEF GROWTH OFFICER	38.0	0.0			$406,196	$0	$43,107	Yes (X)
ELIZABETH MCCLAINE
VICE PRESIDENT OF COMMERCIAL AND MEDICAID PRODUCTS	38.0	0.0			$316,569	$0	$34,800	Yes (X)
MELISSA HUSBAND
CHIEF OF STAFF	38.0	0.0			$382,324	$0	$43,107	Yes (X)
TALIA A MARK
CHIEF DIVERSITY OFFICER	38.0	0.0			$365,609	$0	$44,868	Yes (X)
DOUGLAS BYRD
CHIEF ADMIN. OFFICER-SVP & GC (TERM 10/22)	38.0	0.0			$287,667	$0	$0		Yes (X)
MARYLOU BUYSE
CHIEF MEDICAL OFFICER-SVP (TERM 5/22)	38.0	0.0			$180,366	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$4,432,654	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$374,512	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	223	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	Address Line2ContractorAddress/USAddress/AddressLine2Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CVS Pharmacy Inc
9501 E Shea Blvd	MC 019	Scottsdale	AZ	86260	Healthcare services	$412,684,926
United Behavioral Health dba Optum
Dept 175897	PO Box 39000	San Francisco	CA	94139	Healthcare services	$267,448,465
Rhode Island Hospital
167 Point St	Suite 3A	Providence	RI	02903	Healthcare services	$204,727,852
Paycom Payroll LLC
7501 W Memorial Rd		Oklahoma City	OK	73142	Payroll Services and Funding	$64,460,358
Women & Infants Hospital
101 Dudley Street		Providence	RI	02905	Healthcare Services	$59,724,613

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	248	CntrctRcvdGreaterThan100KCnt
Federated Campaigns	$0	FederatedCampaignsAmt
Membership Dues	$0	MembershipDuesAmt
Fundraising	$0	FundraisingAmt
Related Organizations	$0	RelatedOrganizationsAmt
Government Grants	$0	GovernmentGrantsAmt
All Other Contributions	$0	AllOtherContributionsAmt
Noncash Contributions	$0	NoncashContributionsAmt
Total Contributions	$0	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
PREMIUM EARNED	524114	$1,872,075,396	$1,872,075,396	$0	$0
EOHHS INCENTIVES	524114	$1,822,545	$1,822,545	$0	$0
PPC ADMINISTRATION	524114	$2,069,481	$0	$2,069,481

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$1,875,967,422	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,792,172	TotalRevenueColumnAmt
Exclusion	$7,792,172	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$311,619,509	SecuritiesAmt
Other	$0	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$311,799,070	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$179,561	SecuritiesAmt
Other	$0	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$179,561	TotalRevenueColumnAmt
Exclusion	-$179,561	ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$0	TotalRevenueColumnAmt
Related Or Exempt Func Income	$0	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$0	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,883,580,033	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,873,897,941	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$2,069,481	UnrelatedBusinessRevenueAmt
Exclusion	$7,612,611	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

Field	Value	IRS element (for citing)
Total	$1,730,787,510	TotalAmt
Program Services	$1,730,787,510	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,199,642	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$1,199,642	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$33,095,212	TotalAmt
Program Services	$14,735,786	ProgramServicesAmt
Management And General	$18,359,426	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,015,155	TotalAmt
Program Services	$897,257	ProgramServicesAmt
Management And General	$1,117,898	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$9,926,766	TotalAmt
Program Services	$4,419,935	ProgramServicesAmt
Management And General	$5,506,831	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,915,806	TotalAmt
Program Services	$1,298,275	ProgramServicesAmt
Management And General	$1,617,531	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$404,708	TotalAmt
Program Services	$180,198	ProgramServicesAmt
Management And General	$224,510	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,255,783	TotalAmt
Program Services	$559,143	ProgramServicesAmt
Management And General	$696,640	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$86,400	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$86,400	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Fundraising	$0	FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$35,501,310	TotalAmt
Program Services	$15,807,111	ProgramServicesAmt
Management And General	$19,694,199	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$2,505,724	TotalAmt
Program Services	$1,115,684	ProgramServicesAmt
Management And General	$1,390,040	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,579,977	TotalAmt
Program Services	$1,148,746	ProgramServicesAmt
Management And General	$1,431,231	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,156,498	TotalAmt
Program Services	$4,522,225	ProgramServicesAmt
Management And General	$5,634,273	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Royalties RoyaltiesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,959,584	TotalAmt
Program Services	$1,317,767	ProgramServicesAmt
Management And General	$1,641,817	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$205,516	TotalAmt
Program Services	$91,507	ProgramServicesAmt
Management And General	$114,009	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$3,665,210	TotalAmt
Program Services	$1,631,950	ProgramServicesAmt
Management And General	$2,033,260	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,128,180	TotalAmt
Program Services	$502,327	ProgramServicesAmt
Management And General	$625,853	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt	FundraisingFundraisingAmt
PREMIUM TAX	$33,415,019	$0	$33,415,019	$0
STATE & LOCAL TAXES PAID	$5,266,588	$2,344,971	$2,921,617	$0
TEMPORARY HELP	$1,001,619	$445,975	$555,644	$0
OTHER EXPENSE - TRAINING	$331,335	$147,528	$183,807	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,880,403,542	TotalAmt
Program Services	$1,781,953,895	ProgramServicesAmt
Management And General	$98,449,647	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Joint Costs TotalJointCostsGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt
Program Services	$0	ProgramServicesAmt
Management And General	$0	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$185,287,007	BOYAmt
EOY	$183,674,493	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$87,872,559	BOYAmt
EOY	$60,547,974	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,574,674	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$3,763,413	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$1,014,759	BOYAmt
EOY	$811,261	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$147,245,772	BOYAmt
EOY	$161,086,191	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$80,164,264	BOYAmt
EOY	$172,638,556	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$501,584,361	BOYAmt
EOY	$578,758,475	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$66,397,143	BOYAmt
EOY	$145,574,523	EOYAmt

Grants Payable GrantsPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$306,015,799	BOYAmt
EOY	$301,170,848	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$372,412,942	BOYAmt
EOY	$446,745,371	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$129,171,419	BOYAmt
EOY	$132,013,104	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Cap Stk Tr Prin Current Funds CapStkTrPrinCurrentFundsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Pd In Cap Srpls Land Bldg Eqp Fund PdInCapSrplsLandBldgEqpFundGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rtn Earn Endowment Incm Oth Fnds RtnEarnEndowmentIncmOthFndsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$129,171,419	BOYAmt
EOY	$132,013,104	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$501,584,361	BOYAmt
EOY	$578,758,475	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$3,176,491	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$176,937	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$511,743	OtherChangesInNetAssetsAmt
Method Of Accounting Other	Yes (X)	MethodOfAccountingOtherInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Separate Basis Fincl Stmt	Yes (X)	SeparateBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,348,356,670	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,394,307,685	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,520,834,669	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,636,540,955	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,875,967,422	CurrentTaxYearAmt
Total	$7,776,007,401	TotalAmt

Gross Receipts Non Unrlt Bus GrossReceiptsNonUnrltBusGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Tax Rev Levied Orgnztnl Bnft509 TaxRevLeviedOrgnztnlBnft509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Govt Furn Srvc Fclts Vl509 GovtFurnSrvcFcltsVl509Grp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,348,356,670	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,394,307,685	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,520,834,669	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,636,540,955	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,875,967,422	CurrentTaxYearAmt
Total	$7,776,007,401	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$0	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$7,776,007,401	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,841,743	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,540,580	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$974,533	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,610,232	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,792,172	CurrentTaxYearAmt
Total	$15,759,260	TotalAmt

Post1975 UBTI Post1975UBTIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$2,841,743	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,540,580	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$974,533	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$2,610,232	CurrentTaxYearMinus1YearAmt
Current Tax Year	$7,792,172	CurrentTaxYearAmt
Total	$15,759,260	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Other Income509 OtherIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$0	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$7,189	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$0	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$0	CurrentTaxYearMinus1YearAmt
Current Tax Year	$0	CurrentTaxYearAmt
Total	$7,189	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$1,351,198,413	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$1,395,855,454	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$1,521,809,202	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$1,639,151,187	CurrentTaxYearMinus1YearAmt
Current Tax Year	$1,883,759,594	CurrentTaxYearAmt
Total	$7,791,773,850	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.9980	PublicSupportCY509Pct
Public Support PY509	0.9984	PublicSupportPY509Pct
Investment Income CY	0	InvestmentIncomeCYPct
Investment Income PY	0.0	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule A, Part III, Line 12 Other Income	FormAndLineReferenceDesc
Explanation	DESCRIPTION - INSURANCE DIVIDENDS, COLUMN A - , COLUMN B - 7189.0, COLUMN C - , COLUMN D - , COLUMN E - , COLUMN F - 7189.0;	ExplanationTxt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	false	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	false	MailingsMembersInd
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$86,400	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	false	OtherActivitiesInd
Total Lobbying Expenditures	$86,400	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND DOES NOT DIRECTLY ENGAGE IN ANY LOBBYING ACTIVITES BUT RETAINS A GOVERNMENT RELATIONS COMPANY, CAPITOL CITY GROUP, TO ADVOCATE THAT FUNDING FOR THE MEDICAID PROGRAM NOT BE REDUCED. FOR THE YEAR ENDED DECEMBER 31, 2023, THE ORGANIZATION PAID CAPITOL CITY GROUP $86,400	ExplanationTxt

Schedule D IRS990ScheduleD

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,574,674	OtherCostOrOtherBasisAmt
Depreciation	$3,763,413	DepreciationAmt
Book Value	$811,261	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$811,261	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (8 entries)

DescDesc	Book ValueBookValueAmt
RETROSPECTIVE PREMIUM	$4,624,474
REINSURANCE	$14,198,475
ACCOUNTS RECEIVABLE UNINSURED PLANS	$31,623,318
HEALTHCARE AND OTHER ACCTS RECEIVABLES	$29,780,076
Other Receivables - Miscellaneous	$2,110,453
Other Receivables - APM LTSS Pass-Thru Program	$95,847
Other Receivable - AE Incentive Pass-Thru Program	$177,377
Other Receivable - Hospitals Directed Premiums	$90,028,536

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$172,638,556	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
CLAIMS UNPAID	$146,977,253
ACCRUED MEDICAL INCENTIVES	$41,173,071
UNCLAIMED PROPERTY PAYABLE	$34,907
PREMIUMS RECEIVED IN ADVANCE	$112,245,200
LIABILITY FOR AMOUNTS HELD UNDER UNINSURED PLANS	$740,417

Field	Value	IRS element (for citing)
Total Liability	$301,170,848	TotalLiabilityAmt
Total Rev Etc Audited Fincl Stmt	$1,873,897,941	TotalRevEtcAuditedFinclStmtAmt
Other Revenue	$0	OtherRevenueAmt
Revenue Not Reported	$0	RevenueNotReportedAmt
Revenue Subtotal	$1,873,897,941	RevenueSubtotalAmt
Other Revenues Not Included	$9,682,092	OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt	$9,682,092	RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990	$1,883,580,033	TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt	$1,878,334,061	TotExpnsEtcAuditedFinclStmtAmt
Other Expenses Included	-$2,069,481	OtherExpensesIncludedAmt
Expenses Not Reported	-$2,069,481	ExpensesNotReportedAmt
Expenses Subtotal	$1,880,403,542	ExpensesSubtotalAmt
Other Expenses Not Included	$0	OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt	$0	ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990	$1,880,403,542	TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements	PPC Income - 2069481 Net Investment Income - 7792172 Net Capital Loss - -179561
Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990	PPC Income Included in Revenue - -2069481

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	false	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (true)	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
PETER MARINO
PRESIDENT & CEO	$514,034	$0	$144,996	$0	$4,123	$0	$13,200	$0	$32,907	$0	$709,260	$0	$0	$0
MARYLOU BUYSE
CHIEF MEDICAL OFFICER-SVP (TERM 5/22)	$0	$0	$0	$0	$180,366	$0	$0	$0	$0	$0	$180,366	$0	$0	$0
KAREN CARLSON
CHIEF OPERATING OFFICER	$318,344	$0	$71,250	$0	$3,682	$0	$13,200	$0	$31,107	$0	$437,583	$0	$0	$0
MICHELLE SEARS
CHIEF FINANCIAL OFFICER-SVP	$330,745	$0	$73,388	$0	$2,263	$0	$13,200	$0	$10,161	$0	$429,757	$0	$0	$0
CHRISTOPHER OTTIANO
MEDICAL DIRECTOR (AS OF 7/22)	$291,089	$0	$74,694	$0	$1,856	$0	$13,200	$0	$32,407	$0	$413,246	$0	$0	$0
KRISTEN RUSSELL
CHIEF MEDICAL OFFICER (AS OF 5/15/23)	$264,119	$0	$30,000	$0	$43,216	$0	$0	$0	$17,254	$0	$354,589	$0	$0	$0
DOUGLAS BYRD
CHIEF ADMIN. OFFICER-SVP & GC (TERM 10/22)	$0	$0	$0	$0	$287,667	$0	$0	$0	$0	$0	$287,667	$0	$0	$0
DAVID BURNETT
CHIEF GROWTH OFFICER	$330,229	$0	$74,329	$0	$1,638	$0	$13,200	$0	$29,907	$0	$449,303	$0	$0	$0
TALIA A MARK
CHIEF DIVERSITY OFFICER	$306,367	$0	$58,152	$0	$1,090	$0	$10,077	$0	$34,791	$0	$410,477	$0	$0	$0
BRENDA SEAGRAVE-WHITTLE
CHIEF MARKETING OFFICER	$267,778	$0	$50,350	$0	$7,996	$0	$11,989	$0	$20,005	$0	$358,118	$0	$0	$0
ELIZABETH MCCLAINE
VICE PRESIDENT OF COMMERCIAL AND MEDICAID PRODUCTS	$265,202	$0	$50,350	$0	$1,017	$0	$11,745	$0	$23,055	$0	$351,369	$0	$0	$0
MELISSA HUSBAND
CHIEF OF STAFF	$310,697	$0	$70,063	$0	$1,564	$0	$13,200	$0	$29,907	$0	$425,431	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule J, Part I, Line 4a Severance or change-of-control payment

MaryLou Buyse received $180,366 in severance during the tax year 2023. This was the remaining portion of separation compensation to be paid, for a total sum of $407,783 as separation compensation paid. (a) Payment to Dr. Buyse of fifty-two (52) weeks of base salary (the "Severance Weeks") for the total sum of four hundred and seven thousand, seven hundred and eighty three ($407,783) dollars, as separation compensation, subject to all appropriate taxes and payroll deductions. Said amount shall be made as bi-weekly payments, less appropriate deductions, until said payments are exhausted with payments commencing upon receipt of the Agreement fully executed and signed by Dr. Buyse. (b) Neighborhood shall offer to Dr. Buyse health insurance benefits (health, dental and vision coverage) pursuant to the Consolidated Omnibus Budget Reconciliation Act (COBRA), at Neighborhood's group rate plus two (2%) percent for up to eighteen (18) months. Neighborhood agrees to continue to pay its portion of the monthly health insurance premium commencing on May 28, 2022 through the end of the Severance Weeks. Dr. Buyse agrees to pay her employee portion as a deduction from her bi-weekly severance check. Beginning May 28, 2022, Dr. Buyse shall be eligible to continue the COBRA benefit by making all premium payments on a monthly basis in accordance with Neighborhood policy and COBRA regulations. Information concerning the election process under COBRA will be provided to Dr. Buyse under separate cover; (c) Payment to Dr. Buyse the total sum, subject to all appropriate payroll deductions, of 100% of her balance of accrued, but unused earned time; and (d) Following the date of the Agreement, Dr. Buyse will have no rights to any salary, severance, benefits, bonuses, commissions, incentives, or any other form of compensation from Neighborhood other than as explicitly set forth in the Agreement. Doug Byrd received $287,667 in severance during tax year 2023. This was the remaining portion of separation compensation to be paid, for a total sum of $318,270 as separation compensation paid. Mr. Byrd will be paid for all accrued earned time in accordance with Neighborhood policy. The total earned time accrued hours are 305.60. In addition, Mr. Byrd will be paid the amount of $12,241.16 bi-weekly for a period of one year after the Termination Date. The first payment will commence on or about November 14, 2022 and payments will be made continuously until a total of $318,270.16, less applicable withholding taxes and deductions has been paid. Neighborhood further agrees to maintain the existing medical and dental coverage provided to Mr. Byrd and his spouse until Mr. Byrd reaches age sixty-five (65).

Schedule J, Part I, Line 7 Non-fixed payments

PURPOSE: NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND'S (NHPRI) PERFORMANCE INCENTIVE PLAN (THE PLAN) HAS BEEN IMPLEMENTED TO OFFER A PERFORMANCE-BASED INCENTIVE AWARD OPPORTUNITY TO ELIGIBLE NHPRI EMPLOYEES BASED ON ACHIEVEMENT OF THE ORGANIZATION'S ANNUAL BUSINESS OBJECTIVES AS WELL AS THEIR OWN JOB PERFORMANCE. THE PLAN ALLOWS A PORTION OF NHPRI'S ANNUAL COMPENSATION COSTS TO BE VARIABLE IN RELATION TO THE ORGANIZATION'S PERFORMANCE. AMOUNTS PAID IN 2023 UNDER THE PLAN ARE INCLUDED IN PART II COLUMN (B) (II). OTHER OBJECTIVES THE PLAN IS EXPECTED TO PROMOTE INCLUDE THE FOLLOWING: A) FOCUS THE ATTENTION, EFFORT, AND TEAMWORK OF PLAN PARTICIPANTS ON THE ACCOMPLISHMENT OF NHPRI'S KEY BUSINESS OBJECTIVES; B) ENABLE NHPRI TO OFFER A COMPENSATION PROGRAM WITH METHODS AND LEVELS OF PAY THAT ARE COMPETITIVE WITH OTHER ORGANIZATIONS SEEKING COMPARABLE EMPLOYEE RESOURCES; C) REINFORCE NHPRI'S COMMITMENT TO A PERFORMANCE-BASED CULTURE FOR ITS EMPLOYEES AT ALL LEVELS OF THE ORGANIZATION; D) ASSIST NHPRI'S EFFORTS TO RETAIN ITS VALUED EMPLOYEES.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 6 Classes of members or stockholders	THE ORGANIZATION IS A 501(C)(3) CORPORATION AND HAS MEMBERS BUT DOES NOT HAVE ANY STOCKHOLDERS. THE ORGANIZATION HAS A BOARD OF DIRECTORS WHO ARE MEMBERS OF THE ORGANIZATION THAT MEET ON A REGULAR BASIS AND FUNCTION AS THE GOVERNING BODY OF THE ORGANIZATION.
Form 990, Part VI, Line 7a Members or stockholders electing members of governing body	THE MEMBERS OF THE ORGANIZATION ARE RHODE ISLAND COMMUNITY HEALTH CENTERS THAT HAVE THE AUTHORITY TO APPOINT A PORTION OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ALSO APPROVES THE HIRING OF THE CHIEF EXECUTIVE OFFICER WHO IS A VOTING MEMBER OF THE BOARD.
Form 990, Part VI, Line 11b Review of form 990 by governing body	THE ORGANIZATION'S FISCAL OPERATIONS DEPARTMENT ACCUMULATES THE INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL STATEMENTS AND APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE 990. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS. AFTER THE REVIEW PROCESS IS COMPLETED BY THE INDEPENDENT ACCOUNTANTS, THE FINANCE STAFF REVIEW THE RETURN PRIOR TO FILING WITH THE IRS. THE FINANCE AND AUDIT COMMITTEE AND BOARD OF DIRECTORS ARE PROVIDED A DRAFT COPY OF THE RETURN FOR APPROVAL PRIOR TO FILING WITH THE IRS.
Form 990, Part VI, Line 12c Conflict of interest policy	Consistent with the organization's compliance plan, THE ORGANIZATION'S DIRECTOR OF COMPLIANCE IS ALSO THE ORGANIZATION'S CHIEF PRIVACY OFFICIAL. ALL BOARD MEMBERS, COMMITTEE MEMBERS AND EMPLOYEES MUST DISCLOSE ALL CONFLICTS ON A SIGNED DISCLOSURE FORM ON A YEARLY BASIS. IF A POTENTIAL CONFLICT OF INTEREST IS REPORTED, THE PRIVACY OFFICIAL REVIEWS THE CIRCUMSTANCES TO DETERMINE IF A POSSIBLE CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE PRIVACY OFFICIAL WILL MONITOR THE CONFLICT OF INTEREST AS NECESSARY AND/OR REFER THE APPROPRIATE ITEMS TO THE CHIEF EXECUTIVE OFFICER FOR A RESOLUTION/DECISION. BOARD AND COMMITTEE MEMBERS REFRAIN FROM VOTING ON ISSUES WHERE THERE IS AN APPEARANCE OF A CONFLICT INVOLVING THESE MEMBERS.
Form 990, Part VI, Line 19 Required documents available to the public	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S LOCATION AT 910 DOUGLAS PIKE, SMITHFIELD, RI 02917.
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN NET ASSETS - -511743;
Form 990, Part XII, Line 1 ACCOUNTING METHOD USED TO PREPARE THE FORM 990	NEIGHBORHOOD'S STATUTORY FINANCIAL STATEMENTS ARE PRESENTED ON THE BASIS OF ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE DEPARTMENT OF BUSINESS REGULATION (DBR). THE DBR HAS ADOPTED THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS' STATUTORY ACCOUNTING PRATICES (NAIC SAP) AS THE BASIS OF ITS STATUTORY ACCOUNTING PRATICES (SAP).
FORM 990, PART VI, LINE 15A & 15B PROCESS TO ESTABLISH COMPENSATION OF TOP MGMT OFFICIALS AND OTHERS	THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE CONTRACT OF THE CEO AND ANY CHANGES TO THE CONTRACT. THE VICE PRESIDENT OF HUMAN RESOURCES REVIEWS THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER AND THE CHIEF OPERATING OFFICER BASED ON COMPENSATION SURVEYS. NEIGHBORHOOD SUBSCRIBES TO THREE OR FOUR SALARY SURVEYS THAT LIST SALARY AND SALARY INCREASES BY POSITION, GEOGRAPHY, PLAN SIZE AND PROFIT VS. NON-PROFIT ORGANIZATIONS. THESE SURVEYS ARE USED TO SET COMPENSATION ANNUALLY.