NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND (EIN 05-0477052)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-08-13
- IRS object ID
- 201342259349300649
- Schema version
- 2012v2.1
- 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 ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-13T14:00:48-05:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 55 IVAN ALLEN JR BLVD SUITE 1000 | AddressLine1 |
| City | ATLANTA | City |
| State | GA | State |
| ZIP Code | 30308 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 050477052 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Neighborhood Health Plan of Rhode Island | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % T CLARK PHILLIP CFO | InCareOfName |
| Name Control | NEIG | NameControl |
| Phone | 4014596000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 299 Promenade Street | AddressLine1 |
| Address Line2 | Suite | AddressLine2 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Thomas Clark Phillip | Name |
| Title | Chief Financial Officer | Title |
| Date Signed | 2013-08-13 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 4048748300 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | T Clark Phillip CFO | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 299 Promenade Street | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 481295039 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.nhpri.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 2000 | YearFormation |
| State Legal Domicile | RI | StateLegalDomicile |
| Activity Or Mission Description | Neighborhood Health Plan of Rhode Island, an innovative health plan in partnership with community health centers, is a catalyst for improved access and better health in Rhode Island. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 15 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 265 | TotalNbrEmployees |
| Total Nbr Volunteers | 15 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Contributions Grants Prior Year | 0 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 0 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 415423037 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 423568151 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1342194 | InvestmentIncomePriorYear |
| Investment Income Current Year | 2773938 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 4860 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2545 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 416770091 | TotalRevenuePriorYear |
| Total Revenue Current Year | 426344634 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2002694 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 902017 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 362327339 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 381293213 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18803589 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 21366809 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 22482813 | OtherExpensePriorYear |
| Other Expenses Current Year | 23458869 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 405616435 | TotalExpensesPriorYear |
| Total Expenses Current Year | 427020908 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 11153656 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -676274 | RevenuesLessExpensesCY |
| Total Assets BOY | 155028299 | TotalAssetsBOY |
| Total Assets EOY | 149497178 | TotalAssetsEOY |
| Total Liabilities BOY | 112661009 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 108424860 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 42367290 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 41072318 | NetAssetsOrFundBalancesEOY |
| Mission Description | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND, AN INNOVATIVE HEALTH PLAN IN IN PARTNERSHIP WITH COMMUNITY HEALTH CENTERS, IS A CATALYST FOR IMPROVED ACCESS AND BETTER HEALTH IN RHODE ISLAND, ESPECIALLY FOR VULNERABLE POPULATIONS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 395301326 | Expense |
| Grants | 902017 | Grants |
| Revenue | 423568151 | Revenue |
| Description | NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND IS A HEALTH MAINTENANCE Organization (HMO) that provides comprehensive health care services on a prepaid basis principally to Medicaid recipients and certain other eligible persons under the State of Rhode Island and Providence Plantations managed care program, RIteCare. As of December 31, 2012 the organization is responsible for providing health care services to over 91,200 members. | Description |
| Total Program Service Expense | 395301326 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | false | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | ReportFin48Footnote |
| Independent Audit Financial Stmt | true | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | false | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | false | Hospital |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | false | TaxExemptBonds |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | false | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 1419 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 265 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | false | UnrelatedBusinessIncome |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 15 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | true | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | false | ElectionOfBoardMembers |
| Decisions Subject To Approval | false | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | false | ConflictOfInterestPolicy |
| Whistleblower Policy | false | WhistleblowerPolicy |
| Document Retention Policy | false | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | T CLARK PHILLIP CFO | NamePerson |
| Telephone Number | 4014596000 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 299 Promenade Street | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionA (26 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|---|
| Merrill Thomas | |||||||||
| Board Chair | 1.0 | 0.0 | X | ||||||
| Jane Hayward | |||||||||
| Vice Chair | 1.0 | 0.0 | X | ||||||
| Peter Walsh | |||||||||
| Treasurer | 1.0 | 0.0 | X | ||||||
| Brenda Dowlatshahi | |||||||||
| Secretary | 1.0 | 0.0 | X | ||||||
| Darrell Lee | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Pablo Rodriguez MD | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Patricia Martinez | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Peter Bancroft | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Doris DeLos Santos | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Raymond Lavoie | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| William Hochstrasser-Walsh | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Chuck Jones | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Christopher Little | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Dennis Roy | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| Michael Lichtenstein | |||||||||
| Trustee | 1.0 | 0.0 | X | ||||||
| James Hooley | |||||||||
| Interim CEO 11/6/12 - 12/31/12 | 40.0 | 0.0 | X | X | 46915 | ||||
| Jerald Fingerut MD | |||||||||
| Trustee (1/1/12 - 12/11/2012) | 1.0 | 0.0 | X | 0 | 0 | 0 | |||
| Mark Reynolds | |||||||||
| Former CEO 1/1/12 - 11/16/12 | 40.0 | 0.0 | 396394 | 39435 | X | ||||
| Thomas Clark Phillip | |||||||||
| Chief Financial Officer | 40.0 | 0.0 | 216784 | 31039 | X | ||||
| Leon McTyeire Johnston | |||||||||
| Chief Medical Officer | 40.0 | 0.0 | 235000 | 32477 | X | ||||
| Shantha Diaz | |||||||||
| Chief Operating Officer | 40.0 | 0.0 | 191356 | 18665 | X | ||||
| Brenda Seagrave-Whittle | |||||||||
| Dir. Market & External Affairs | 40.0 | 0.0 | 141397 | 37960 | X | ||||
| Nancy Hermiz | |||||||||
| Dir. of Network Perform & Reg | 40.0 | 0.0 | 146117 | 20697 | X | ||||
| Michelle Lupoli | |||||||||
| Director of Medical Management | 40.0 | 0.0 | 146001 | 36707 | X | ||||
| Jeffrey Meyer | |||||||||
| Director of Information System | 40.0 | 0.0 | 153049 | 10935 | X | ||||
| Tracy Cohen | |||||||||
| Associate Medical Director | 40.0 | 0.0 | 141144 | 36011 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1814157 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 263926 | TotalOtherCompensation |
| Number Individuals GT100 K | 32 | NumberIndividualsGT100K |
| Formers Listed | false | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| Rhode Island Hospital | |||||
| PO Box 373 | PROVIDENCE | RI | 029010373 | Healthcare Services | 64596108 |
| Argus Health Systems Inc | |||||
| 1300 Washington | KANSAS CITY | MO | 64105 | Healthcare Services | 58570320 |
| Beacon Health Strategies LLC | |||||
| 500 Unicorn Park | WOBURN | MA | 01801 | Healthcare Services | 51830824 |
| Women Infants Hospital of Rhode I | |||||
| 101 Dudley St | PROVIDENCE | RI | 029052401 | Healthcare Services | 32906020 |
| The Miriam Hospital | |||||
| PO Box 1202 | PROVIDENCE | RI | 029011202 | Healthcare Services | 11461482 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 243 | NumberOfContractorsGT100K |
| Total Contributions | 0 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (4 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PREMIUMS EARNED | 524114 | 420574069 | 420574069 |
| MISCELLANEOUS REVENUE | 524114 | 1535395 | 1535395 |
| REINSURANCE RECOVERIES | 524114 | 320836 | 320836 |
| PHARMACY DIVIDENDS | 524114 | 1137851 | 1137851 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 423568151 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 756428 | TotalRevenueColumn |
| Exclusion | $756,428 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 56967915 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 54950405 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2017510 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2017510 | TotalRevenueColumn |
| Exclusion | $2,017,510 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | Miscellaneous Revenue | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 2545 | TotalRevenueColumn |
| Exclusion | $2,545 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2545 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 426344634 | TotalRevenueColumn |
| Related Or Exempt Function Income | 423568151 | RelatedOrExemptFunctionIncome |
| Exclusion | $2,776,483 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 900000 | Total |
| Program Services | 900000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2017 | Total |
| Program Services | 2017 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 381293213 | Total |
| Program Services | 381293213 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1417763 | Total |
| Program Services | 433262 | ProgramServices |
| Management And General | 984501 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 15564586 | Total |
| Program Services | 7982035 | ProgramServices |
| Management And General | 7582551 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 505472 | Total |
| Program Services | 245932 | ProgramServices |
| Management And General | 259540 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2526435 | Total |
| Program Services | 884678 | ProgramServices |
| Management And General | 1641757 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1352553 | Total |
| Program Services | 662679 | ProgramServices |
| Management And General | 689874 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 148135 | Total |
| Management And General | 148135 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 306115 | Total |
| Management And General | 306115 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 94750 | Total |
| Management And General | 94750 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 308410 | Total |
| Management And General | 308410 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5581656 | Total |
| Program Services | 1245556 | ProgramServices |
| Management And General | 4336100 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 776394 | Total |
| Program Services | 20190 | ProgramServices |
| Management And General | 756204 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 836187 | Total |
| Program Services | 75816 | ProgramServices |
| Management And General | 760371 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2489170 | Total |
| Management And General | 2489170 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1525455 | Total |
| Program Services | 771785 | ProgramServices |
| Management And General | 753670 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13890 | Total |
| Program Services | 3897 | ProgramServices |
| Management And General | 9993 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 81459 | Total |
| Management And General | 81459 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267407 | Total |
| Program Services | 61305 | ProgramServices |
| Management And General | 206102 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 203661 | Total |
| Management And General | 203661 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| STATE PREMIUM TAX | 8583210 | 8583210 | |
| TEMPORARY HELP | 1288153 | 621434 | 666719 |
| TRAINING | 328206 | 328206 | |
| ALL OTHER EXPENSES | 626611 | 574369 | 52242 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 427020908 | Total |
| Program Services | 395301326 | ProgramServices |
| Management And General | 31719582 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16430375 | BOY |
| EOY | 16423246 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7608304 | BOY |
| EOY | 5815086 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 1421122 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 1120579 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 269746 | BOY |
| EOY | 300543 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130566622 | BOY |
| EOY | 125350627 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 153252 | BOY |
| EOY | 1607676 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155028299 | BOY |
| EOY | 149497178 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16599615 | BOY |
| EOY | 15154280 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2000000 | BOY |
| EOY | 1066146 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1000000 | BOY |
| EOY | 1000000 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 93061394 | BOY |
| EOY | 91204434 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 112661009 | BOY |
| EOY | 108424860 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42367290 | BOY |
| EOY | 41072318 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 42367290 | BOY |
| EOY | 41072318 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 155028299 | BOY |
| EOY | 149497178 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -676274 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 97646 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -716344 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Other | X | MethodOfAccountingOther |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Separate | X | FinancialStatementSeparate |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 430425 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 24087 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 51662 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 0 | CurrentTaxYear |
| Total | 506174 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 290088053 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 351528454 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 388620353 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 415427897 | CurrentTaxYearMinus1Year |
| Current Tax Year | 423570696 | CurrentTaxYear |
| Total | 1869235453 | Total |
Gross Receipts From Non UBI GrossReceiptsFromNonUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 290518478 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 351552541 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 388672015 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 415427897 | CurrentTaxYearMinus1Year |
| Current Tax Year | 423570696 | CurrentTaxYear |
| Total | 1869741627 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1869741627 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2858373 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1394666 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 984765 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1160371 | CurrentTaxYearMinus1Year |
| Current Tax Year | 756428 | CurrentTaxYear |
| Total | 7154603 | Total |
Post1975 UBTI Post1975UBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2858373 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1394666 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 984765 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1160371 | CurrentTaxYearMinus1Year |
| Current Tax Year | 756428 | CurrentTaxYear |
| Total | 7154603 | Total |
Net Income From Other UBI NetIncomeFromOtherUBI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 0 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14988 | CurrentTaxYearMinus2Years |
| Total | 14988 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 293376851 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 352947207 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 389671768 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 416588268 | CurrentTaxYearMinus1Year |
| Current Tax Year | 424327124 | CurrentTaxYear |
| Total | 1876911218 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99618 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99426 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00381 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00569 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | For the year ended December 31, 2010, miscellaneous income of $14,988 resulted from the receipt of legal claim settlements, unclaimed property from the state of rhode island, and a small amount of close out prescription claims. | GeneralExplanation |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | true | DirectContactLegislators |
| Direct Contact Legislators | $94,750 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 94750 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Lobbying Activities | Identifier |
| Return Reference | Schedule C Part II-B Line 1g | ReturnReference |
| Explanation | Neighborhood Health Plan of Rhode Island does not directly engage in any lobbying activities but retains two lobbying companies, Capitol City Group and Advocacy Solutions, to conduct federal and state lobbying activities to ensure that Medicaid funding is not decreased. For the year ended 12/31/12, the organization paid Capitol City Group $76,000 and Advocacy Solutions $18,750. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Current Year Minus3 Years | CurrentYearMinus3Years | |
| Current Year Minus4 Years | CurrentYearMinus4Years | |
| Land | Land | |
| Buildings | Buildings | |
| Leasehold Improvements | LeaseholdImprovements |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1421122 | OtherCostOrOtherBasis |
| Depreciation | 1120579 | Depreciation |
| Book Value | 300543 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Land Buildings | OtherLandBuildings | |
| Total Of Book Value Land Buildings | 300543 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| IBNR Liabilities | $31,705,364 |
| Unearned Premiums | $30,956,452 |
| Risk Share Gain/Liability | $24,242,618 |
| Premium Deficiency Reserve | $4,300,000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 91204434 | TotalOfAmounts |
| Tot Revenue Etc Audited Fincl Stmt | 430041661 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -3545896 | OtherRevenues |
| Revenue Not Rptd F990 | -3545896 | RevenueNotRptdF990 |
| Revenue Subtotal | 433587557 | RevenueSubtotal |
| Other Revenues Not Included | -7242923 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | -7242923 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 426344634 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 430717935 | TotExpensesEtcAuditedFinclStmt |
| Other Expenses Included | 7242923 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 7242923 | ExpensesNotRptdF990 |
| Expenses Subtotal | 423475012 | ExpensesSubtotal |
| Other Expenses Not Included | 3545896 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 3545896 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 427020908 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Reconciliation of Revenue on AFS to Tax Return | Schedule D Part XII Line 2D and Line 4B | Line 2D Reclass of Reinsurance Premiums ($3,179,828) Reclass of Investment fees & Interest ($366,068) ---------- Total ($3,545,896) Line 4B Reclass of Pharmacy Dividends $1,137,851 Reclass of Reinsurance Recoveries 320,836 Relass of Risk Share Settlements ($8,701,610) ---------- Total ($7,242,923) |
| Reconciliation of Expenses on AFS to Tax Return | Schedule D Part XIII Line 2D and Line 4B | Line 2D Reclass of Pharmacy Dividends ($1,137,851) Reclass of Reinsurance Recoveries (320,836) Reclass of Risk Share Settlements $8,701,610 ---------- Total $7,242,923 Line 4B Reclass of Reinsurance Premiums $3,179,828 Reclass of Investment fees & Interest $366,068 ---------- Total $3,545,896 |
| Schedule D Part XIV | There was no Fin 48 / ASC 740 foonote in the audited financial statements. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | State of RI Exec Ofc of Hlth & Human Svcs | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 57 Howard Avenue | AddressLine1 |
| City | Cranston | City |
| State | RI | State |
| ZIP Code | 02920 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 056018801 | EINOfRecipient |
| IRC Section | HLTH & HUM SERV | IRCSection |
| Amount Of Cash Grant | 900000 | AmountOfCashGrant |
| Purpose Of Grant | SUPPORT THE STATE'S ADULT DENTAL BENEFITS. | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | Grant recipients submit applications/proposals for capacity development or expansion of medical services based upon their internal statistics and external reviews and surveys. The applications/proposals include bench mark deliverables and payments based upon the satisfactory attainment of the goals/benchmarks. Neighborhood monitors the progress of the recipients and offers information and recomendations when required. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Housing Allowance Or Residence | X | HousingAllowanceOrResidence |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | false | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | true | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|
| Mark Reynolds | |||||||
| Former CEO 1/1/12 - 11/16/12 | 335158 | 54187 | 7049 | 9800 | 29635 | 435829 | 9800 |
| Thomas Clark Phillip | |||||||
| Chief Financial Officer | 195583 | 19241 | 1960 | 8771 | 22268 | 247823 | 8244 |
| Brenda Seagrave-Whittle | |||||||
| Dir. Market & External Affairs | 130618 | 9978 | 801 | 5921 | 32039 | 179357 | 5636 |
| Nancy Hermiz | |||||||
| Dir. of Network Perform & Reg | 135439 | 9874 | 804 | 5930 | 14767 | 166814 | 5678 |
| Michelle Lupoli | |||||||
| Director of Medical Management | 135444 | 10267 | 290 | 6089 | 30618 | 182708 | 5800 |
| Jeffrey Meyer | |||||||
| Director of Information System | 136846 | 15751 | 452 | 6217 | 4718 | 163984 | 0 |
| Tracy Cohen | |||||||
| Associate Medical Director | 132143 | 8719 | 282 | 5166 | 30845 | 177155 | 0 |
| Leon McTyeire Johnston | |||||||
| Chief Medical Officer | 213140 | 19682 | 2178 | 9522 | 22955 | 267477 | 9089 |
| Shantha Diaz | |||||||
| Chief Operating Officer | 166729 | 6808 | 17819 | 1985 | 16680 | 210021 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Supplemental Compensation Information | Identifier |
| Return Reference | Schedule J, Part I, line 1 | ReturnReference |
| Explanation | The organization paid for temporary housing on behalf of the Chief Operating Officer while she was relocating from her previous permanent residence to Rhode Island. The amount paid on her behalf was included in her W-2 for 2012. NON-FIXED PAYMENTS SCHEDULE J, PART I, QUESTION 7 Purpose: The Neighborhood Health Plan of Rhode Island (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 2012 under the Plan are included in Part II column (b)(ii). Other objectives the Plan is expected to provide include the following: a) focus the attention, effort and teamwork of plan participants on 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 | Explanation |
Schedule L IRS990ScheduleL
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 0 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (9 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| Blackstone Valley Community Health | |||
| See Part V | 4263245 | Cap & Fee for Svce Med Paymt | false |
| Thundermist Health Center | |||
| See Part V | 4772778 | Cap & Fee for Svce Med Paymt | false |
| Providence Community Health Center | |||
| See Part V | 11063332 | Cap & Fee for Svce Med Paymt | false |
| Tri-Town Community Action Agency | |||
| See Part V | 797515 | Cap & Fee for Svce Med Paymt | false |
| Rhode Island Health Center Associat | |||
| See Part V | 205000 | Consulting Fees | false |
| East Bay Community Action Program | |||
| See Part V | 717749 | Cap & Fee for Svce Med Paymt | false |
| WellOne Primary Medical Dental Ca | |||
| See Part V | 653440 | Cap & Fee for Svce Med Paymt | false |
| Comprehensive Community Action | |||
| See Part V | 1204711 | Cap & Fee for Svce Med Paymt | false |
| Wood River Health Systems | |||
| See Part V | 557465 | Cap & Fee for Svce Med Paymt | false |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Transactions with Interested Parties | Identifier |
| Return Reference | Schedule L, Part IV | ReturnReference |
| Explanation | All of the interested parties listed in Part IV are 501(c)(3) exempt organizations and are therefore not considered interested parties by the Form 990 Schedule L instructions. However, the organization has voluntarily chosen to disclose these transactions. (1)Raymond Lavoie - Member of the Organization's Board of Directors and is Executive Director Of a CHC, Blackstone Valley Community Health Care, Inc. The Organization makes capitation and fee for service medical payments to Blackstone Valley Community Health Care, Inc. (2)Chuck Jones - Member of the Organization's Board of Directors and is CEO of a CHC, Thundermist Health Center. The Organization makes capitation and fee for service medical payments to Thundermist Health Center. (3)Merrill Thomas - Chair of the Organization's Board of Directors and is CEO of a CHC, Providence Community Health Center. The Organization makes capitation and fee for service medical payments to Providence Community Health Center. (4)Brenda Dowlatshahi - Secretary of the Organization's Board of Directors and is Associate Executive Director of a CHC, Tri-Town Economic Opportunity Committee. The Organization makes capitation and fee for service medical payments to Tri-Town Economic Opportunity Committee. (5)Jane Hayward - Vice Chair of the Organization's Board of Directors and is Executive Director of the Rhode Island Health Center Association. The Organization makes contributions toward the Association's various health center professional development programs and public awareness functions. (6)Dennis Roy - Member of the Organization's Board of Directors and CEO of a CHC, East Bay Community Action Program. The Organization makes capitation and fee for service medical payments to East Bay Community Action Program. (7)Peter Bancroft - Member of the Organization's Board of Directors and Director of a CHC, WellOne Primary Medical & Dental Care. The Organization makes capitation and fee for service medical payments to WellOne Primary Medical & Dental Care. (8)William Hochstrasser-Walsh - Member of the Organization's Board of Directors and CEO of a CHC, Comprehensive Community Action Program. The Organization makes capitation and fee for service medical payments to Comprehensive Community Action Program. (9)Michael Lichtenstein - Member of the Organization's Board of Directors and CEO of a CHC, Wood River Health Services. The Organization makes capitation and fee for service medical payments to Wood River Health Services. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of Relationships | Identifier |
| Return Reference | Form 990, Part VI, Question 2 | ReturnReference |
| Explanation | A member of the Organization's Board of Directors is an Executive Director of a Community Health Center (CHC), Blackstone Valley Community Health Care, Inc. Blackstone Valley Community Health Care, Inc., through a grant, invested in equipment and software for an Electronic Medical Record (EMR) system. Three other CHC's, East Bay, Tri-Town and Comprehensive Community Action Program, have use of the EMR and billing ssystem and WellOne uses the EMR portion of the system. The CHCs share the cost of running the system. Change in Governing Documents Form 990, Part VI, Question 4 The organization amended its bylaws in 2012 to accurately reflect the number of health centers in the state and to give each health center representation on the Board of Directors. The amended bylaws also added an additional community seat to the Board of Directors. Description of Classes of Members or Stockholders Form 990, Part VI, Question 6 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. Describe the Process used by Management and/or Governing Body to Review 990 Form 990, Part VI, Question 11b The Organization's Fiscal Operations department accumulates the information and data necesssary 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 reviews the return prior to filing with the IRS. The Board is also provided an electronic copy of the return prior to filing with the IRS. Policies Part VI, Lines 12A, 13 & 14 Pursuant to the instructions for Form 990, the Organization must answer no the these questions because the Board of Directors does not approve or adopt these policies on an annual basis. However, the organization has issued these policies at the direction of management and these policies and procedures are strictly enforced by the Organization's management team. Conflict of Interest Policy Part VI Line 12C A promulgated by the Organization's compliance plan, the Organization's Director of Human Resources and Organizational Development is also the Organization's Chief Privacy Officer. 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 Chief Privacy Officer meets with the employee or member to discuss the issue in order to determine if a posssible conflict exists. IF it is determined that a conflict exists, the Chief Privacy Officer refers the appropriate items through the Chief Financial Officer to the Chief Executive Officer for a resolution/decision. Board and committee members refrain from voting on issues where there is an appearance of conflict. Executive Compensation Form 990, Part VI, Question 15a & 15b The Executive Committee of the Board of Directors reviews and approves the contract of the CEO and any changes to the contract. The Organizational Development and Human Resources Committee of the Board of Directors reviews the compensation of the Chief Financial Officer, Chief Medical Officer and the Chief Operating Officer based on compensation surveys. The Committee 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. Availability of Governing Documents, Conflict of Interest Policy, and Financial Statements to General Public Form 990, Part VI, Question 19 The governing documents, conflict of interest policy and financial statements are available to the public upon request at the Organization's location at 299 Promenade Street, Providence, RI 02908. Other Changes in Net Assets Form 990, Part XI, Question 9 Year end changes in ending balances of nonadmitted assets - ($716,344) Accounting Method Form 990, Part XII, Question 1 The organization uses the Statutory method of accounting. | Explanation |