2022-11-15T17:30:48+00:00 2021-12-31 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET SUITE 2900 CINCINNATI OH 45202 990 2021-01-01 050477052 Neighborhood Health Plan of Rhode Island NEIG 4014596000 910 DOUGLAS PIKE SMITHFIELD RI 02917 PETER MARINO CEO 2022-11-15 true MICHELLE SEARS 999009999 Julie Sparks P01268401 5136121400 2022-11-14 2021 2022-09-23 18:48:47Z PETER MARINO 910 DOUGLAS PIKE SMITHFIELD RI 02917 1576648638 false X WWW.NHPRI.ORG X 1993 RI 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. 17 16 718 16 2469366 0 0 0 1394307685 1520834669 3549454 1442405 7189 0 1397864328 1522277074 3501500 26500 1244640000 1379156045 43463496 34376897 0 0 81782297 107682607 1373387293 1521242049 24477035 1035025 404452916 473561715 281804782 347423275 122648134 126138440 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. false false 1440089878 26500 1520834669 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, 2021, THE ORGANIZATION IS RESPONSIBLE FOR PROVIDING HEALTH CARE SERVICES TO OVER 216,580 MEMBERS. 1440089878 true false false true false false false false false true false false true true false true false false false false false false false false false false false true true false false false false false false false false false false false false false false false false false true 2520 0 true 718 true true true false false false false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true true true false RI X PETER M MARINO CEO 4014596000 910 DOUGLAS PIKE SMITHFIELD RI 02917 ALISON CROKE VICE CHAIRPERSON 1.0 0.0 X X 0 0 0 BRENDA DOWLATSHAHI CHAIRPERSON 1.0 0.0 X X 0 0 0 KEITH OLIVEIRA SECRETARY 1.0 0.0 X X 0 0 0 MERRILL THOMAS TREASURER 1.0 0.0 X X 0 0 0 PETER MARINO PRESIDENT & CEO 38.0 0.0 X X 620907 0 40363 DANIEL DA PONTE TRUSTEE 1.0 0.0 X 0 0 0 DENNIS ROY TRUSTEE 1.0 0.0 X 0 0 0 GARY FURTADO TRUSTEE 1.0 0.0 X 0 0 0 JANE HAYWARD TRUSTEE 1.0 0.0 X 0 0 0 JEANNE LACHANCE TRUSTEE 1.0 0.0 X 0 0 0 LISA RANGLIN TRUSTEE 1.0 0.0 X 0 0 0 PABLO RODRIQUEZ MD TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA MARTINEZ TRUSTEE 1.0 0.0 X 0 0 0 PETER BANCROFT CPA TRUSTEE 1.0 0.0 X 0 0 0 RAYMOND JOSEPH LAVOIE JR TRUSTEE 1.0 0.0 X 0 0 0 RICHARD BESDINE MD TRUSTEE 1.0 0.0 X 0 0 0 WILLIAM HOCHSTRASSER-WALSH TRUSTEE 1.0 0.0 X 0 0 0 FRANK MEANEY CHIEF FINANCIAL OFFICER-SVP (TERM 4/21) 38.0 0.0 X 445148 0 2922 KAREN CARLSON CHIEF OPERATING OFFICER (AS OF 12/21) 38.0 0.0 X 11597 0 0 LESLIE TAITO CHIEF OPERATING OFFICER (AS OF 8/21, TERM 10/21) 38.0 0.0 X 274895 0 10933 MARYLOU BUYSE CHIEF MEDICAL OFFICER-SVP 38.0 0.0 X 514271 0 14150 MICHELLE SEARS CHIEF FINANCIAL OFFICER-SVP (AS OF 8/21) 38.0 0.0 X 313838 0 26103 PETER LYMM CHIEF OPERATING OFFICER (TERM 7/21) 38.0 0.0 X 259993 0 16594 BRENDA SEAGRAVE-WHITTLE CHIEF MARKETING OFFICER 38.0 0.0 X 283788 0 27412 CHRISTOPHER OTTIANO MEDICAL DIRECTOR 38.0 0.0 X 284390 0 39439 DAVID BURNETT CHIEF GROWTH OFFICER 38.0 0.0 X 364945 0 39613 DOUGLAS BYRD CHIEF ADMIN. OFFICER-SVP & GC 38.0 0.0 X 387703 0 30522 MARK COOPER VP MEDICARE/MEDICAID INTEGRATION 38.0 0.0 X 288646 0 30506 4050121 0 278557 124 false true false CVS Pharmacy Inc 9501 E Shea Blvd MC 019 Scottsdale AZ 86260 Healthcare services 341058775 United Behavioral Health dba Optum PO Box 39000 San Francisco CA 94139 Healthcare services 215368398 Integra DMension LLC 100 Wall Street Suite 2502 New York NY 10005 Healthcare services 12192334 DST Healthcare Holdings Inc 333 West 11th Street Kansas City MO 64105 Healthcare services 5983423 Specialist Resources Global Inc 318 Seaboard Lane Suite 110 Franklin TN 37067 Healthcare IT services 5869625 128 0 PREMIUM EARNED 524114 1473813748 1473813748 REINSURANCE RECOVERIES 524114 4941941 4941941 PPC ADMIN 524114 2469366 2469366 PHARMACY DIVIDENDS 524114 37696038 37696038 EOHHS INCENTIVES 524114 1913576 1913576 0 0 0 0 1520834669 974533 974533 0 0 54839436 54371564 467872 0 467872 467872 0 0 0 0 0 1522277074 1518365303 2469366 1442405 0 0 26500 26500 1379156045 1379156045 1610848 0 1610848 0 0 0 0 0 25915227 14953086 10962141 0 899123 518794 380329 0 3888645 2243748 1644897 0 2063054 1190382 872672 0 0 0 0 0 331216 0 331216 0 1012811 0 1012811 0 86400 0 86400 0 0 0 0 0 0 0 47474689 27392896 20081793 0 2485439 1434098 1051341 0 3161127 1823970 1337157 0 9704730 5599629 4105101 0 0 0 0 0 2293879 1323568 970311 0 38416 22166 16250 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 4347260 2508369 1838891 0 994844 0 994844 0 PREMIUM TAX 26839684 0 26839684 0 TEMPORARY HELP 3063486 1767631 1295855 0 OTHER EXPENSE - TRAINING 223563 128996 94567 0 STATE & LOCAL TAXES PAID 5625063 0 5625063 0 0 0 0 0 1521242049 1440089878 81152171 0 110349849 199990562 0 0 0 0 24804330 81637091 0 0 0 0 0 0 0 0 0 0 8832519 5068949 3583620 3763570 96407482 118716518 0 0 0 0 169307635 69453974 404452916 473561715 27882027 47704674 0 0 0 0 0 0 0 0 0 0 0 0 0 253922755 299718601 281804782 347423275 X 122648134 126138440 0 0 0 0 0 0 0 0 122648134 126138440 404452916 473561715 X 1035025 1266064 1189217 X false true X true false X 2500 2500 1365884063 1377747020 1348356670 1394307685 1520834669 7007130107 0 0 0 1365886563 1377747020 1348356670 1394307685 1520834669 7007132607 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7007132607 2138981 3765561 2841743 1540580 974533 11261398 0 2138981 3765561 2841743 1540580 974533 11261398 0 0 0 0 7189 0 7189 1368025544 1381512581 1351198413 1395855454 1521809202 7018401194 0.9984 0.9982 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - INSURANCE DIVIDENDS, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - 7189.0, COLUMN E - , COLUMN F - 7189.0; false false false false false false true 86400 false false 86400 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY 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, 2021, THE ORGANIZATION PAID CAPITOL CITY GROUP $86,400 0 0 0 0 0 0 0 0 0 0 0 0 8832519 5068949 3763570 0 0 0 0 3763570 UNCOLLECTED PREMIUM RETROSPECTIVE PREMIUM 9054984 REINSURANCE 1099908 ACCT REC UNINSURED PLANS 38585817 HEALTHCARE AND OTHER ACCTS RECEIVABLES 18947549 OTHER RECEIVABLES 1765716 69453974 CLAIMS UNPAID 158329392 ACCRUED MEDICAL INCENTIVES 28202654 UNCLAIMED PROPERTY PAYABLE 100325 PREMIUM RECEIVED IN ADVANCE SECURITY DEPOSIT - A.T. CROSS STATE AE PASS THROUGH STATE PAYABLE 1148110 CLAIMS PAYABLE 7403547 PREMIUM RECEIVED IN ADVANCE 104534573 299718601 1517897431 -467872 0 -467872 1518365303 1442405 2469366 3911771 1522277074 1521242049 0 0 1521242049 0 0 1521242049 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements PPC - 2469366 true EMPLOYEE DISASTER RELIEF PROGRAM 11 26500 Schedule I, Part III NEIGHBORHOOD HAS IN PLACE AN EMPLOYEE DISASTER RELIEF PROGRAM IN ORDER TO PROVIDE SHORT TERM, IMMEDIATE FINANCIAL RELIEF TO EMPLOYEES WHEN A "QUALIFIED DISASTER" HAS BEEN DECLARED BY THE PRESIDENT OF THE UNITED STATES, OR THE GOVERNOR OF RHODE ISLAND HAS DECLARED A STATE EMERGENCY/DISASTER. WHETHER A NATIONAL OR STATE EMERGENCY, THE PRESIDENT AND CEO RESERVES THE RIGHT TO INITIATE OR TERMINATE THE PROGRAM. THE EMPLOYEE DISASTER RELIEF PROGRAM IS FUNDED SOLELY THROUGH NEIGHBORHOOD. THE NEIGHBORHOOD EMPLOYEE DISASTER RELIEF PROGRAM COMMITTEE (THE "COMMITTEE") WILL EVALUATE THE APPLICATION FOR EACH ELIGIBLE EMPLOYEE OF NEIGHBORHOOD WHO APPLIES FOR FINANCIAL ASSISTANCE FOR QUALIFIED RELIEF. $26,500 WAS DISBURSED DURING 2021. X X X X true false false false false false false true false PETER MARINO PRESIDENT & CEO 481894 0 136673 0 2340 0 11600 0 28763 0 661270 0 0 0 FRANK MEANEY CHIEF FINANCIAL OFFICER-SVP (TERM 4/21) 150777 0 74812 0 219559 0 2922 0 0 0 448070 0 0 0 MARYLOU BUYSE CHIEF MEDICAL OFFICER-SVP 390233 0 106734 0 17304 0 11400 0 2750 0 528421 0 0 0 PETER LYMM CHIEF OPERATING OFFICER (TERM 7/21) 186710 0 71461 0 1822 0 0 0 16594 0 276587 0 0 0 MICHELLE SEARS CHIEF FINANCIAL OFFICER-SVP (AS OF 8/21) 254048 0 59467 0 323 0 11330 0 14773 0 339941 0 0 0 LESLIE TAITO CHIEF OPERATING OFFICER (AS OF 8/21, TERM 10/21) 226431 0 46313 0 2151 0 10933 0 0 0 285828 0 0 0 BRENDA SEAGRAVE-WHITTLE CHIEF MARKETING OFFICER 232316 0 47750 0 3722 0 9690 0 17722 0 311200 0 0 0 CHRISTOPHER OTTIANO MEDICAL DIRECTOR 234255 0 48605 0 1530 0 11426 0 28013 0 323829 0 0 0 DAVID BURNETT CHIEF GROWTH OFFICER 293832 0 70062 0 1051 0 11600 0 28013 0 404558 0 0 0 DOUGLAS BYRD CHIEF ADMIN. OFFICER-SVP & GC 301603 0 81250 0 4850 0 11600 0 18922 0 418225 0 0 0 MARK COOPER VP MEDICARE/MEDICAID INTEGRATION 232546 0 54893 0 1207 0 10334 0 20172 0 319152 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment Frank Meaney received $218,379 in severance during tax year 2021, with the remainder to be paid during tax year 2022, for a total sum of $243,331 as separation compensation paid. (a) Payment to Mr. MEANEY of Thirty nine (39) weeks of base salary (the "Severance Weeks") for the total sum of two hundred forty three thousand, three hundred thirty one dollars and seventy seven cents ($243,331.77), 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 Mr. MEANEY; (b) Neighborhood shall offer to Mr. MEANEY 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 April 15, 2021 through the end of the Severance Weeks. Mr. MEANEY agrees to pay his employee portion as a deduction from his bi-weekly severance check. Beginning January 15, 2022, Mr. MEANEY 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 Mr. MEANEY under separate cover; (c) Payment to Mr. MEANEY of the total sum, subject to all appropriate payroll deductions, of 100% of his balance of accrued, but unused earned time; and (d) Following the date of the severance Agreement, Mr. MEANEY 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. 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 2021 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. Form 990, Part VI, Line 7a and Line 7b 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 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 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 AS PROMULGATED BY 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. 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 VIII, Line 2f Other Program Service Revenue - Total Revenue: , Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NET ASSETS - 1189217; 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 PRATICES PRESCRIBED OR PERMITTED BY THE 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.