NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND (EIN 05-0477052)
- Tax period
- 2010-01-01 to 2010-12-31
- Filed
- 2011-08-12
- IRS object ID
- 201142249349301859
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule I
- Schedule J
- Schedule L
- Schedule O
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2011-08-12T15:15:16-05:00 | Timestamp |
| Tax Period End Date | 2010-12-31 | 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 | 200 CLARENDON STREET | AddressLine1 |
| City | BOSTON | City |
| State | MA | State |
| ZIP Code | 021165076 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-01-01 | 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) |
|---|---|---|
| Name Control | NEIG | NameControl |
| Phone | 4014596000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 299 Promenade Street | AddressLine1 |
| City | Providence | City |
| State | RI | State |
| ZIP Code | 02908 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | T Clark Phillip | Name |
| Title | Chief Financial Officer | Title |
| Date Signed | 2011-08-12 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 6172662000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | 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 | 521444821 | 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 | 14 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 4 | NbrIndependentVotingMembers |
| Total Nbr Employees | 236 | TotalNbrEmployees |
| Total Nbr Volunteers | 13 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 24087 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 51662 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 350428606 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 388620353 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1510846 | InvestmentIncomePriorYear |
| Investment Income Current Year | 1085822 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 1099848 | OtherRevenuePriorYear |
| Other Revenue Current Year | 14988 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 353063387 | TotalRevenuePriorYear |
| Total Revenue Current Year | 389772825 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1350 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1501978 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 336657211 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 335433395 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 18179747 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 18296334 | 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 | 18499350 | OtherExpensePriorYear |
| Other Expenses Current Year | 21165215 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 373337658 | TotalExpensesPriorYear |
| Total Expenses Current Year | 376396922 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -20274271 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 13375903 | RevenuesLessExpensesCY |
| Total Assets BOY | 110011506 | TotalAssetsBOY |
| Total Assets EOY | 114622138 | TotalAssetsEOY |
| Total Liabilities BOY | 90120963 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 82249490 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 19890543 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 32372648 | NetAssetsOrFundBalancesEOY |
| 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, ESPECIALLY FOR VULNERABLE POPULATIONS. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 347952188 | Expense |
| Grants | 1500000 | Grants |
| Revenue | 388620353 | 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, 2010 the organization is responsible for providing health care services to over 90,372 members. | Description |
| Total Program Service Expense | 347952188 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| 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 | true | 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 |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 1443 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 236 | 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 | 14 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 4 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | 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 (22 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | OfficerOfficer | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| Maria Montanaro | |||||||
| Chair | 1.0 | X | 0 | 0 | 0 | ||
| Jane Hayward | |||||||
| Vice Chair | 1.0 | X | 0 | 0 | 0 | ||
| Merrill Thomas | |||||||
| Treasurer | 1.0 | X | 0 | 0 | 0 | ||
| Brenda Dowlatshahi | |||||||
| Secretary | 1.0 | X | 0 | 0 | 0 | ||
| James Hooley | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Darrell Lee | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Stephanie McCaffrey | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Pablo Rodrigues MD | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Peter Bancroft | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Doris DeLos Santos | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Raymond Lavoie | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Peter Walsh | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Jerald Fingerut MD | |||||||
| Trustee | 1.0 | X | 0 | 0 | 0 | ||
| Mark Reynolds | |||||||
| Chief Executive Officer | 40.0 | X | 288568 | 0 | 39749 | X | |
| Nancy Coburn | |||||||
| Chief Operating Officer | 40.0 | 186529 | 0 | 23205 | X | ||
| Leon McTyeire Johnson | |||||||
| Chief Medical Officer | 40.0 | 199391 | 0 | 34181 | X | ||
| T Clark Phillip | |||||||
| Chief Financial Officer | 40.0 | 185759 | 0 | 25709 | X | ||
| Michelle Lupoli | |||||||
| Dir. of Medical Management | 40.0 | 128514 | 0 | 30020 | X | ||
| Brenda Seagrave-Whittle | |||||||
| Dir. Market & External Affairs | 40.0 | 121983 | 0 | 32029 | X | ||
| Nancy Hermiz | |||||||
| Dir. of Network Perform & Reg | 40.0 | 125233 | 0 | 21441 | X | ||
| Beth Ann Marootian | |||||||
| Dir. of Business Development | 40.0 | 120839 | 0 | 30510 | X | ||
| Peter Vargas | |||||||
| Dir. of Pharmacy Programs | 40.0 | 118167 | 0 | 28484 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 1474983 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 265328 | TotalOtherCompensation |
| Number Individuals GT100 K | 23 | 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 | |||||
| 593 Eddy Street | PROVIDENCE | RI | 02903 | Healthcare Services | 59836249 |
| Argus Health Systems Inc | |||||
| 1300 Washington Street | KANSAS CITY | MO | 64105 | Healthcare Services | 54671972 |
| Beacon Health Strategies LLC | |||||
| 200 State Street | BOSTON | MA | 02109 | Healthcare Services | 53220454 |
| Women Infants Hospital of Rhode I | |||||
| 101 Dudley Street | PROVIDENCE | RI | 02905 | Healthcare Services | 33555968 |
| Memorial Hospital of Rhode Island | |||||
| P O Box 1908 | PAWTUCKET | RI | 02860 | Healthcare Services | 10889757 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 214 | NumberOfContractorsGT100K |
| Government Grants | 50000 | GovernmentGrants |
| All Other Contributions | 1662 | AllOtherContributions |
| Total Contributions | 51662 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| Premiums Earned | 524114 | 384148522 | 384148522 |
| Administrative Fees | 524114 | 14741 | 14741 |
| REINSURANCE RECOVERIES | 524114 | 2422696 | 2422696 |
| PHARMACY DIVIDENDS | 524114 | 893849 | 893849 |
| DHS SITE VISIT PROGRAM | 524114 | 1140545 | 1140545 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 388620353 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 984765 | TotalRevenueColumn |
| Exclusion | $984,765 | 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 |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 131773053 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 131671996 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 101057 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 101057 | TotalRevenueColumn |
| Exclusion | $101,057 | 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 | MISELLANEOUS REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 14988 | TotalRevenueColumn |
| Exclusion | $14,988 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 14988 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 389772825 | TotalRevenueColumn |
| Related Or Exempt Function Income | 388620353 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $1,100,810 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1500000 | Total |
| Program Services | 1500000 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1978 | Total |
| Program Services | 1978 | ProgramServices |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 335433395 | Total |
| Program Services | 335433395 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2741944 | Total |
| Management And General | 2741944 | 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 | 11898893 | Total |
| Program Services | 6748604 | ProgramServices |
| Management And General | 5150289 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 469957 | Total |
| Program Services | 194345 | ProgramServices |
| Management And General | 275612 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2010502 | Total |
| Program Services | 952935 | ProgramServices |
| Management And General | 1057567 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1175038 | Total |
| Program Services | 479468 | ProgramServices |
| Management And General | 695570 | 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 | 193614 | Total |
| Management And General | 193614 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 492820 | Total |
| Management And General | 492820 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 247995 | Total |
| Management And General | 247995 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5561868 | Total |
| Program Services | 1164700 | ProgramServices |
| Management And General | 4397168 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 430742 | Total |
| Program Services | 15122 | ProgramServices |
| Management And General | 415620 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 685783 | Total |
| Program Services | 5762 | ProgramServices |
| Management And General | 680021 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1309541 | Total |
| Program Services | 16515 | ProgramServices |
| Management And General | 1293026 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1511597 | Total |
| Program Services | 770914 | ProgramServices |
| Management And General | 740683 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11980 | Total |
| Program Services | 2228 | ProgramServices |
| Management And General | 9752 | 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 | 144310 | Total |
| Management And General | 144310 | ManagementAndGeneral |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 540408 | Total |
| Program Services | 92564 | ProgramServices |
| Management And General | 447844 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 173620 | Total |
| Management And General | 173620 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| State Premium Tax | 7741735 | 7741735 | |
| Temporary Help | 1262893 | 742822 | 520071 |
| Training | 278399 | 278399 | |
| All other expenses | 577910 | 524323 | 53587 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 376396922 | Total |
| Program Services | 347952188 | ProgramServices |
| Management And General | 28444734 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38564509 | BOY |
| EOY | 17128604 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 50000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10537817 | BOY |
| EOY | 5195613 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 21600 | BOY |
| EOY | 6160 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 3960925 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3111968 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1320263 | BOY |
| EOY | 848957 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 59452411 | BOY |
| EOY | 91266119 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 114906 | BOY |
| EOY | 126685 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110011506 | BOY |
| EOY | 114622138 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18330463 | BOY |
| EOY | 13939341 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1500000 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1500000 | BOY |
| EOY | 1500000 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 70290500 | BOY |
| EOY | 65310149 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 90120963 | BOY |
| EOY | 82249490 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19890543 | BOY |
| EOY | 32372648 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 19890543 | BOY |
| EOY | 32372648 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 110011506 | BOY |
| EOY | 114622138 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 13375903 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -893798 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Separate | X | FinancialStatementSeparate |
| 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 | 124651 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 0 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 430425 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 24087 | CurrentTaxYearMinus1Year |
| Current Tax Year | 51662 | CurrentTaxYear |
| Total | 630825 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 245593457 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 250384451 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 290088053 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 351528454 | CurrentTaxYearMinus1Year |
| Current Tax Year | 388620353 | CurrentTaxYear |
| Total | 1526214768 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 245718108 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 250384451 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 290518478 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 351552541 | CurrentTaxYearMinus1Year |
| Current Tax Year | 388672015 | CurrentTaxYear |
| Total | 1526845593 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 1526845593 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2297844 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3309728 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2858373 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1394666 | CurrentTaxYearMinus1Year |
| Current Tax Year | 984765 | CurrentTaxYear |
| Total | 10845376 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 2297844 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 3309728 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 2858373 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 1394666 | CurrentTaxYearMinus1Year |
| Current Tax Year | 984765 | CurrentTaxYear |
| Total | 10845376 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1645 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 67322 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 0 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 0 | CurrentTaxYearMinus1Year |
| Current Tax Year | 14988 | CurrentTaxYear |
| Total | 83955 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 248017597 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 253761501 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 293376851 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 352947207 | CurrentTaxYearMinus1Year |
| Current Tax Year | 389671768 | CurrentTaxYear |
| Total | 1537774924 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.99289 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.99003 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.00705 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.00827 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
| General Explanation | Miscellaneous Income of $14,988 results from the receipt of legal claim settlements, unclaimed property from the State of Rhode Island, and a small of amount of close out prescription claims. | GeneralExplanation |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| 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 | $112,592 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | false | OtherActivities |
| Total Lobbying Expenditures IIB | 112592 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Schedule C Part II-B Line g | Identifier |
| Explanation | Neighborhood Health Plan of Rhode Island does not directly engage in any lobbying activities but does engage two lobbying companies, one for Federal lobbying activities and one for State lobbying activities. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts | |
| Land | Land | |
| Buildings | Buildings |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 662600 | OtherCostOrOtherBasis |
| Depreciation | 353389 | Depreciation |
| Book Value | 309211 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2668506 | OtherCostOrOtherBasis |
| Depreciation | 2371252 | Depreciation |
| Book Value | 297254 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 629820 | OtherCostOrOtherBasis |
| Depreciation | 387328 | Depreciation |
| Book Value | 242492 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 848957 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| IBNR LIABILITIES | $24,745,572 |
| UNEARNED PREMIUMS | $32,285,054 |
| RISK SHARE GAIN/LIABILITY | $8,279,523 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 65310149 | TotalOfAmounts |
| Total Revenue | 389772825 | TotalRevenue |
| Total Expenses | 376396922 | TotalExpenses |
| Excess Or Deficit For Year | 13375903 | ExcessOrDeficitForYear |
| Other | -$893,798 | OtherAmount |
| Total Adjustments | -893798 | TotalAdjustments |
| Excess Or Deficit Per FS | 12482105 | ExcessOrDeficitPerFS |
| Tot Revenue Etc Audited Fincl Stmt | 386927837 | TotRevenueEtcAuditedFinclStmt |
| Other Revenues | -2782128 | OtherRevenues |
| Revenue Not Rptd F990 | -2782128 | RevenueNotRptdF990 |
| Revenue Subtotal | 389709965 | RevenueSubtotal |
| Other Revenues Not Included | 62860 | OtherRevenuesNotIncluded |
| Revenue Not Rptd On Fin Stmt | 62860 | RevenueNotRptdOnFinStmt |
| Total Revenue Per Form990 | 389772825 | TotalRevenuePerForm990 |
| Tot Expenses Etc Audited Fincl Stmt | 373809931 | TotExpensesEtcAuditedFinclStmt |
| Prior Year Adjustments | 257997 | PriorYearAdjustments |
| Other Expenses Included | -62860 | OtherExpensesIncluded |
| Expenses Not Rptd F990 | 195137 | ExpensesNotRptdF990 |
| Expenses Subtotal | 373614794 | ExpensesSubtotal |
| Investment Expenses Not Included2 | 335454 | InvestmentExpensesNotIncluded2 |
| Other Expenses Not Included | 2446674 | OtherExpensesNotIncluded |
| Expenses Not Rptd On Fin Stmt | 2782128 | ExpensesNotRptdOnFinStmt |
| Total Expenses Per Form990 | 376396922 | TotalExpensesPerForm990 |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Reconciliation of Change in Net Assets from Form 990 to Audited Fin Stmts | Schedule D Part XI | Claim Adjustment Expense change thru 12/31/10 - $906,649 and Unrealized (Gain)/Loss on Investments ($12,851.) |
| Reconciliation of Revenue per Audited Financial Statements to Tax Return | Schedule D Part XII - 2d - Other | Reclass of Reinsurance Premiums - $2,446,674. Reclass of Investment fees & Interest - $335,454. |
| Reconciliation of Expenses per Audited Financial Statement to Tax Return | Schedule D Part XII - 4b - Other | Reclass of Pharmacy Dividends - $893,846. Reclass of Reinsurance Recoveries - $2,422,696. Reclass of Risk Share Settlements - ($3,268,670.) Reclass of Miscellaneous Income - $14,988. |
| Reconciliation of Expenses per Audited Financial Statements to Tax Return | Schedule D Part XIII 2d-Other | Reclass of Pharmacy Dividends - $893,846.; Reclass of Reinsurance Recoveries - $2,422,696.; Reclass of Risk Share Settlements - $3,268,670.; Reclass of Miscellaneous Income - $14,988 |
| Reconciliation of Expenses per Audited Financial Statements to Tax Return | Schedule D Part XIII 4B Other | Reclass of Reinsurance Premiums - $2,446,674. |
| Schedule D Part XIV | There was no FIN 48 footnote in the audited financial statements. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Blackstone Valley Community Health Center | |||||||
| 428 Park Place | Pawtucket | RI | 02860 | 510183476 | 501(c)(3) | 217483 | Reduce Medical Expenses, expand services, upgrade EMR system |
| Chad Brown Health Center | |||||||
| 285A Chad Brown Street | Providence | RI | 02908 | 050391357 | 501(c)(3) | 33947 | Reduce Medical Expenses, expand services, upgrade EMR system |
| East Bay Community Action Program | |||||||
| 19 Broadway | Newport | RI | 02840 | 050310024 | 501(c)(3) | 69244 | Reduce Medical Expenses, expand services, upgrade EMR system |
| WellOne Pascog | |||||||
| 36 Bridge Way | Pascoag | RI | 02859 | 050258811 | 501(c)(3) | 41496 | Reduce Medical Expenses, expand services, upgrade EMR system |
| Providence Community Health Center | |||||||
| 375 Aliens Avenue | Providence | RI | 02905 | 050368134 | 501(c)(3) | 643894 | Reduce Medical Expenses, expand services, upgrade EMR system |
| Thundermist Health Center of Woonsocket | |||||||
| 191 Social Street | Woonsocket | RI | 02895 | 050355097 | 501(c)(3) | 292173 | Reduce Medical Expenses, expand services, upgrade EMR system |
| Tri Town Economic Opportunity Committee | |||||||
| 1126 Hartford Avenue | Johnston | RI | 02919 | 050309695 | 501(c)(3) | 39345 | Reduce Medical Expenses, expand services, upgrade EMR system |
| Wood River Health Services Inc | |||||||
| 823 Main Street | Hope Valley | RI | 02832 | 050378071 | 501(c)(3) | 47596 | Reduce Medical Expenses, expand services, upgrade EMR system |
| Comprehensive Community Action | |||||||
| 311 Doric Avenue | Cranston | RI | 02910 | 056018801 | 501(c)(3) | 95840 | Reduce Medical Expenses, expand services, upgrade EMR system |
| WellOne North Kingstown | |||||||
| 308 Callahan Road | North Kingstown | RI | 02852 | 050258811 | 501(c)(3) | 18500 | Reduce Medical Expenses, expand services, upgrade EMR system |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 10 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
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 | The recipients submitted paid invoices in their requests with respect to the EMR and system capacity portion of the grants. As per the organizations by-laws, all Community Health Centers must be 501(c)(3) entities and members of the Rhode Island Health Center Association, which also is a 501(c)(3) entity. Neighborhood monitors and works with the CHC's on a monthly basis providing them with statistical information and recommendations regarding controlling costs and member satisfaction. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | X | CompensationCommittee |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| 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 | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (7 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Other Compensation Filing OrgOtherCompensationFilingOrg | Deferred Comp Filing OrgDeferredCompFilingOrg | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg |
|---|---|---|---|---|---|---|---|---|
| Mark Reynolds | ||||||||
| 281926 | 0 | 0 | 6642 | 9800 | 29949 | 328317 | 0 | 0 |
| Nancy Coburn | ||||||||
| 185418 | 0 | 0 | 1111 | 7589 | 15616 | 209734 | 0 | 0 |
| Leon McTyeire Johnson | ||||||||
| 198124 | 0 | 0 | 1267 | 8130 | 26051 | 233572 | 0 | 0 |
| T Clark Phillip | ||||||||
| 184075 | 0 | 0 | 1684 | 7489 | 18220 | 211468 | 0 | 0 |
| Michelle Lupoli | ||||||||
| 128346 | 0 | 0 | 168 | 5314 | 24706 | 158534 | 0 | 0 |
| Brenda Seagrave-Whittle | ||||||||
| 121617 | 0 | 0 | 366 | 5125 | 26904 | 154012 | 0 | 0 |
| Beth Ann Marootian | ||||||||
| 120607 | 0 | 0 | 232 | 5030 | 25480 | 151349 | 0 | 0 |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | RI Community Fndn | NamePerson |
| Purpose Of Loan | Surplus Note Payable | PurposeOfLoan |
| Loan To Organization | X | LoanToOrganization |
| Original Principal | $2,000,000 | OriginalPrincipalAmount |
| Balance Due | 1500000 | BalanceDue |
| Default | false | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 1500000 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV (7 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction |
|---|---|---|
| Blackstone Valley Community Health | ||
| See Part V | 2843677 | Cap & Fee for Svce Med Paymt |
| Thundermist Health Center | ||
| See Part V | 3668519 | Cap & Fee for Svce Med Paymt |
| Providence Community Health Center | ||
| See Part V | 7549728 | Cap & Fee for Svce Med Paymt |
| Tri-Town Community Action Agency | ||
| See Part V | 353384 | Cap & Fee for Svce Med Paymt |
| Rhode Island Health Center Associat | ||
| See Part V | 150000 | Cap & Fee for Svce Med Paymt |
| East Bay Community Action Program | ||
| See Part V | 522675 | Cap & Fee for Svce Med Paymt |
| WellOne Primary Medical Dental Ca | ||
| See Part V | 519992 | Cap & Fee for Svce Med Paymt |
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 | Raymond Lavoie - Member of the Organization's Board of Directors and is Ex. Dir of a CHC, Blackstone Valley Community Health Center, Inc. The Organization makes capitation and fee for service medical payments to Blackstone Valley Community Health Care, Inc. Maria Montanaro - Officer of the Organization's Board of Directors and is Pres. of a CHC, Thundermist Health Center. The Organization makes capitation and fee for service medical payments to Thundermist Health Center. Merrill Thomas - Officer 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. Brenda Dowlatshahi - Officer of the Organization's Board of Directors and is Assoc. Ex. Dir. of a CHC, Tri-Town Community Action Agency. The Organization makes capitation and fee for service medical payments to Tri-Town Community Action Agency. Jane Hayward - Officer of the Organization's Board of Directors and is Ex. Dir. of the RI Health Center Association. The Organization makes contributions towards the Association's various health center professional development programs and public awareness functions. Stephanie McCaffrey - Member of the Organization's Board of Directors and is the Administrator of a CHC, East Bay Community Action Program. The Organization makes capitation and fee for service medical payments to East Bay Community Action Program. Peter Bancroft - Member of the Organization's Board of Directors and is Pres. of a CHC, WellOne Primary Medical & Dental Care. The Organization makes capitation and fee for service medical payments to WellOne Primary Medical & Dental Care. Jerald Fingerut - Member of the Organization's Board of Directors and Medical Director of Blackstone Valley Community Health Care, Inc. The Organization makes capitation and fee for service medical payments to Blackstone Valley Community Health Care, Inc. Pablo Rodrigues, MD - Member of the Organization's Board of Directors and CEO of Women's Care, Inc. The Organizaton makes fee for service medical payments to Women's Care, Inc. | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990 VI, Question 2 | Identifier |
| Explanation | A member of the Organization's Board of Directors is an Executive Director of a Community Health Center (CHC), Blackstone Valley Community Health Center, Inc. Blackstone Valley Community Health Center, through a grant, invested in equipment and software for an Electronic Medical Records (EMR) system. Three other CHC's, East Bay, Tri-Town and Comprehensive Community Action Plan, have use of the EMR and billing systems and WellOne uses the EMR portion of the system. The CHC's share the cost of the system. FORM 990, PART VI, LINE 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 for the organization. FORM 990, PART VI, LINE 7A, 7B The Board of Directors has a number of committees, one of which is a nominating committee. When a seat on the Board becomes open, the nominating committee is charged with filling the vacancy. The Board invites people to submit resumes and letters of interest and then develops a list of candidates to interview. After the interview process, the nominating committee submits its recommendation to the full Board for consideration. The Board can either vote to approve the candidate or request other candidates for consideration. The organization's Board of Directors elects other members of the governing body and provides overall direction for the organization. The Board approves budgets, financial statements and major projects. Form 990, Part VI, Question 11b 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 reviews the form 990 prior to filing with the IRS. The Board is also provided an electronic copy of the return prior to filing with the IRS. Part VI Governance, Questions 12a, 13 and 14 Pursuant to the instructions for Form 990, the Organization must answer no to these questions because neither the Board of Directors nor a Board delegated committee approved or adopted these policies during 2010 by the end of the tax year. 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. Form 990, Part VI, Question 12c As 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. If a potential conflict of interest is reported, the Chief Privacy Officer meets with the employee to discuss the issue in order to determine if a possible conflict exists. If it is determined that a conflict exists, the Chief Privacy Officer refers the appropriate items through the CFO to the CEO for a resolution/decision. FORM 990, PART VI, LINE 15A & 15B The Planning 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 Chief Operating Officer based on a compensation survey. 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. These surveys are used to set compensation annually with the last one being completed in 2010. 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. Part XI - Reconciliation of Net Assets - Line 5 Claim Adjustment Expense change thru 12/31/10 - $906,649 and Unrealized (Gain)/Loss on Investments ($12,851.) | Explanation |