2023-11-15T10:18:54+00:00 2022-12-31 346565596 ERNST & YOUNG US LLP 221 EAST 4TH STREET CINCINNATI OH 45202 990 2022-01-01 050477052 Neighborhood Health Plan of Rhode Island NEIG 4014596000 910 DOUGLAS PIKE SMITHFIELD RI 02917 PETER MARINO CEO 2023-11-15 true MICHELLE SEARS 999009999 Julie Sparks P01268401 5136121400 2022-11-14 2022 2023-04-26 12:10:37Z PETER MARINO 910 DOUGLAS PIKE SMITHFIELD RI 02917 1689464307 false X WWW.NHPRI.ORG X 1993 RI Neighborhood Health Plan of Rhode Island, an innovative health plan in partnership with the Community Health Centers, secures access to high quality, cost-effective health care for Rhode Island's at-risk populations. 17 16 771 16 1665934 0 0 0 1520834669 1636540955 1442405 2000661 0 0 1522277074 1638541616 26500 249 1379156045 1501971074 34376897 44062506 0 0 107682607 90896305 1521242049 1636930134 1035025 1611482 473561715 501584361 347423275 372412942 126138440 129171419 Neighborhood Health Plan of Rhode Island, an innovative health plan in partnership with the Community Health Centers, secures access to high quality, cost-effective health care for Rhode Island's at-risk populations. false false 1554920672 249 1636540955 NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND IS A NON-PROFIT HEALTH MAINTENANCE ORGANIZATION HMO THAT PROVIDES HIGH-QUALITY, LOW-COST HEALTH CARE SERVICES ON A PREPAID BASIS PRINCIPALLY TO MEDICAID RECIPIENTS AND CERTAIN OTHER ELIGIBLE PERSONS UNDER STATE OF RHODE ISLAND MANAGED CARE PROGRAM, RITECARE. THE ORGANIZATION ALSO EXTENDS ITS SERVICE, BENEFITS AND VALUE TO INDIVIDUALS AND BUSINESSES THROUGH HEALTHSOURCE RI, THE STATE'S HEALTH INSURANCE EXCHANGE. AS OF DECEMBER 31, 2022, THE ORGANIZATION IS RESPONSIBLE FOR PROVIDING HEALTH CARE SERVICES TO OVER 225,626 MEMBERS. 1554920672 true false false true false false false false false true false false true true false true false false false false false false false false false false false false true false false false false false false false false false false false false false false false false false true 2652 0 true 771 true true true false false false false false false false false false false false X 17 16 false false false false true true true true true false false true true true true true true true true false RI X PETER M MARINO CEO 4014596000 910 DOUGLAS PIKE SMITHFIELD RI 02917 ALISON CROKE VICE CHAIRPERSON 1.0 0.0 X X 0 0 0 BRENDA DOWLATSHAHI CHAIRPERSON 1.0 0.0 X X 0 0 0 KEITH OLIVEIRA SECRETARY 1.0 0.0 X X 0 0 0 MERRILL THOMAS TREASURER 1.0 0.0 X X 0 0 0 PETER MARINO PRESIDENT & CEO 38.0 0.0 X X 634340 0 42637 DANIEL DA PONTE TRUSTEE 1.0 0.0 X 0 0 0 DENNIS ROY TRUSTEE 1.0 0.0 X 0 0 0 DIOSCARIS GARCIA PHD TRUSTEE 1.0 0.0 X 0 0 0 ELENA NICOLELLA TRUSTEE 1.0 0.0 X 0 0 0 GARY FURTADO TRUSTEE 1.0 0.0 X 0 0 0 JEANNE LACHANCE TRUSTEE 1.0 0.0 X 0 0 0 LISA RANGLIN TRUSTEE 1.0 0.0 X 0 0 0 PABLO RODRIQUEZ MD TRUSTEE 1.0 0.0 X 0 0 0 PATRICIA MARTINEZ TRUSTEE 1.0 0.0 X 0 0 0 PETER BANCROFT CPA TRUSTEE 1.0 0.0 X 0 0 0 RAYMOND JOSEPH LAVOIE JR TRUSTEE 1.0 0.0 X 0 0 0 RICHARD BESDINE MD TRUSTEE 1.0 0.0 X 0 0 0 WILLIAM HOCHSTRASSER-WALSH TRUSTEE 1.0 0.0 X 0 0 0 YAHAIRA PLACENCIA TRUSTEE 1.0 0.0 X 0 0 0 CHRISTOPHER OTTIANO MEDICAL DIRECTOR (AS OF 7/22) 38.0 0.0 X 333384 0 41786 KAREN CARLSON CHIEF OPERATING OFFICER 38.0 0.0 X 354528 0 34387 MARYLOU BUYSE CHIEF MEDICAL OFFICER-SVP (TERM 5/22) 38.0 0.0 X 529306 0 10209 MICHELLE SEARS CHIEF FINANCIAL OFFICER-SVP 38.0 0.0 X 375207 0 21585 BRENDA SEAGRAVE-WHITTLE CHIEF MARKETING OFFICER 38.0 0.0 X 303232 0 29097 DAVID BURNETT CHIEF GROWTH OFFICER 38.0 0.0 X 410023 0 39787 DOUGLAS BYRD CHIEF ADMIN. OFFICER-SVP & GC (TERM 10/22) 38.0 0.0 X 446473 0 29089 MARK COOPER VP MEDICARE/MEDICAID INTEGRATION 38.0 0.0 X 310309 0 29444 TALIA A MARK CHIEF DIVERSITY OFFICER 38.0 0.0 X 315154 0 25743 4011956 0 303764 177 true true false CVS Pharmacy Inc 9501 E Shea Blvd MC 019 Scottsdale AZ 86260 Healthcare services 387984209 United Behavioral Health dba Optum PO Box 39000 San Francisco CA 94139 Healthcare services 244045734 The Providence Community Health Centers 375 Allens Avenue Providence RI 02905 Healthcare services 35014987 Paycom Payroll LLC 7501 W MEMORIAL ROAD OKLAHOMA CITY OK 02888 Healthcare services 32118311 Thundermist Health Center 25 John A Cummings Way Woonsocket RI 02906 Healthcare services 20046529 145 0 0 0 0 0 0 0 0 PREMIUM EARNED 524114 1632840364 1632840364 0 0 EOHHS INCENTIVES 524114 2034657 2034657 0 0 PPC ADMIN 524114 1665934 0 1665934 0 0 0 0 1636540955 2610232 2610232 0 0 50313120 0 50922440 251 -609320 -251 -609571 -609571 0 0 0 0 0 1638541616 1634875021 1665934 2000661 0 0 249 249 0 0 1501971074 1501971074 1508748 0 1508748 0 0 0 0 0 29639694 15042145 14597549 0 1914387 971551 942836 0 8596266 4362605 4233661 0 2403411 1219731 1183680 0 0 0 0 0 266849 135426 131423 0 1501996 762263 739733 0 86400 0 86400 0 0 0 0 0 0 0 33035524 16676108 16359416 0 1674993 850059 824934 0 2463696 1250326 1213370 0 10819246 5490767 5328479 0 0 0 0 0 2845837 1444262 1401575 0 151740 77008 74732 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2091306 1061338 1029968 0 1051943 533861 518082 0 PREMIUM TAX 28853773 0 28853773 0 TEMPORARY HELP 802185 407109 395076 0 OTHER EXPENSE - TRAINING 346624 175912 170712 0 STATE & LOCAL TAXES PAID 4904193 2488878 2415315 0 0 0 0 0 1636930134 1554920672 82009462 0 0 0 0 0 199990562 185287007 0 0 0 0 81637091 87872559 0 0 0 0 0 0 0 0 0 0 6267162 5252403 3763570 1014759 118716518 147245772 0 0 0 0 69453974 80164264 473561715 501584361 47704674 66397143 0 0 0 0 0 0 0 0 0 0 0 0 0 0 299718601 306015799 347423275 372412942 126138440 129171419 0 0 0 0 0 0 0 0 126138440 129171419 473561715 501584361 X 1611482 2210445 -788948 X false true X true false X 0 1377747020 1348356670 1394307685 1520834669 1636540955 7277786999 0 0 0 1377747020 1348356670 1394307685 1520834669 1636540955 7277786999 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 7277786999 3765561 2841743 1540580 974533 2610232 11732649 0 3765561 2841743 1540580 974533 2610232 11732649 0 0 0 7189 0 0 7189 1381512581 1351198413 1395855454 1521809202 1639151187 7289526837 0.9984 0.9984 0 0.0 X Schedule A, Part III, Line 12 Other Income DESCRIPTION - INSURANCE DIVIDENDS, COLUMN A - , COLUMN B - , COLUMN C - 7189.0, COLUMN D - , COLUMN E - , COLUMN F - 7189.0; false false false false false false true 86400 false false 86400 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND DOES NOT DIRECTLY ENGAGE IN ANY LOBBYING ACTIVITES BUT RETAINS A GOVERNMENT RELATIONS COMPANY, CAPITOL CITY GROUP, TO ADVOCATE THAT FUNDING FOR THE MEDICAID PROGRAM NOT BE REDUCED. FOR THE YEAR ENDED DECEMBER 31, 2022, THE ORGANIZATION PAID CAPITOL CITY GROUP $86,400 6267162 5252403 1014759 1014759 RETROSPECTIVE PREMIUM 4965711 REINSURANCE 12180211 ACCOUNTS RECEIVABLE UNINSURED PLANS 34159014 HEALTHCARE AND OTHER ACCTS RECEIVABLES 27303875 OTHER RECEIVABLES 1555453 80164264 CLAIMS UNPAID 151536322 ACCRUED MEDICAL INCENTIVES 37199999 UNCLAIMED PROPERTY PAYABLE 67976 STATE PAYABLE CLAIMS PAYABLE PREMIUMS RECEIVED IN ADVANCE 117211502 306015799 1634875021 0 0 1634875021 3666595 3666595 1638541616 1635264451 -1665683 -1665683 1636930134 0 0 1636930134 Schedule D, Part XI, Line 4(b) Other revenues in form 990 not in audited financial statements PPC Income - 1665934 Net investment income - 2610231 Net Capital Loss - -609319 Loss on disposal of asset - -251 Schedule D, Part XII, Line 2(d) Other expenses in audited financial statements not in form 990 PPC Income included in revenue - -1665934 Net loss on disposal of asset included in revenue - 251 X X X X true false false false false false false true false PETER MARINO PRESIDENT & CEO 495597 0 136328 0 2415 0 12200 0 30437 0 676977 0 0 0 MARYLOU BUYSE CHIEF MEDICAL OFFICER-SVP (TERM 5/22) 202779 0 91058 0 235469 0 9003 0 1206 0 539515 0 0 0 MICHELLE SEARS CHIEF FINANCIAL OFFICER-SVP 304954 0 69000 0 1253 0 12200 0 9385 0 396792 0 0 0 KAREN CARLSON CHIEF OPERATING OFFICER 291640 0 60000 0 2888 0 6923 0 27464 0 388915 0 0 0 CHRISTOPHER OTTIANO MEDICAL DIRECTOR (AS OF 7/22) 278756 0 52729 0 1899 0 12200 0 29586 0 375170 0 0 0 DOUGLAS BYRD CHIEF ADMIN. OFFICER-SVP & GC (TERM 10/22) 318100 0 81070 0 47303 0 12200 0 16889 0 475562 0 0 0 DAVID BURNETT CHIEF GROWTH OFFICER 303970 0 104886 0 1167 0 12200 0 27587 0 449810 0 0 0 BRENDA SEAGRAVE-WHITTLE CHIEF MARKETING OFFICER 244058 0 51660 0 7514 0 10638 0 18459 0 332329 0 0 0 MARK COOPER VP MEDICARE/MEDICAID INTEGRATION 239706 0 69284 0 1319 0 9485 0 19959 0 339753 0 0 0 TALIA A MARK CHIEF DIVERSITY OFFICER 204734 0 60000 0 50420 0 2969 0 22774 0 340897 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment MaryLou Buyse received $227,418 in severance during the tax year 2022, with the remainder to be paid during the tax year 2023, for a total sum of $407,783 as separation compensation paid. (a) Payment to Dr. Buyse of fifty-two (52) weeks of base salary (the "Severance Weeks") for the total sum of four hundred and seven thousand, seven hundred and eighty three ($407,783) dollars, as separation compensation, subject to all appropriate taxes and payroll deductions. Said amount shall be made as bi-weekly payments, less appropriate deductions, until said payments are exhausted with payments commencing upon receipt of the Agreement fully executed and signed by Dr. Buyse. (b) Neighborhood shall offer to Dr. Buyse health insurance benefits (health, dental and vision coverage) pursuant to the Consolidated Omnibus Budget Reconciliation Act (COBRA), at Neighborhood's group rate plus two (2%) percent for up to eighteen (18) months. Neighborhood agrees to continue to pay its portion of the monthly health insurance premium commencing on May 28, 2022 through the end of the Severance Weeks. Dr. Buyse agrees to pay her employee portion as a deduction from her bi-weekly severance check. Beginning May 28, 2022, Dr. Buyse shall be eligible to continue the COBRA benefit by making all premium payments on a monthly basis in accordance with Neighborhood policy and COBRA regulations. Information concerning the election process under COBRA will be provided to Dr. Buyse under separate cover; (c) Payment to Dr. Buyse the total sum, subject to all appropriate payroll deductions, of 100% of her balance of accrued, but unused earned time; and (d) Following the date of the Agreement, Dr. Buyse will have no rights to any salary, severance, benefits, bonuses, commissions, incentives, or any other form of compensation from Neighborhood other than as explicitly set forth in the Agreement. Doug Byrd received $42,844 in severance during tax year 2022, with the remainder to be paid during tax year 2023, for a total sum of $318,720 as separation compensation paid. Mr. Byrd will be paid for all accrued earned time in accordance with Neighborhood policy. The total earned time accrued hours are 305.60. In addition, Mr. Byrd will be paid the amount of $12,241.16 bi-weekly for a period of one year after the Termination Date. The first payment will commence on or about November 14, 2022 and payments will be made continuously until a total of $318,270.16, less applicable withholding taxes and deductions has been paid. Neighborhood further agrees to maintain the existing medical and dental coverage provided to Mr. Byrd and his spouse until Mr. Byrd reaches age sixty-five (65). Schedule J, Part I, Line 7 Non-fixed payments PURPOSE: NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND'S (NHPRI) PERFORMANCE INCENTIVE PLAN (THE PLAN) HAS BEEN IMPLEMENTED TO OFFER A PERFORMANCE-BASED INCENTIVE AWARD OPPORTUNITY TO ELIGIBLE NHPRI EMPLOYEES BASED ON ACHIEVEMENT OF THE ORGANIZATION'S ANNUAL BUSINESS OBJECTIVES AS WELL AS THEIR OWN JOB PERFORMANCE. THE PLAN ALLOWS A PORTION OF NHPRI'S ANNUAL COMPENSATION COSTS TO BE VARIABLE IN RELATION TO THE ORGANIZATION'S PERFORMANCE. AMOUNTS PAID IN 2022 UNDER THE PLAN ARE INCLUDED IN PART II COLUMN (B) (II). OTHER OBJECTIVES THE PLAN IS EXPECTED TO PROMOTE INCLUDE THE FOLLOWING: A) FOCUS THE ATTENTION, EFFORT, AND TEAMWORK OF PLAN PARTICIPANTS ON THE ACCOMPLISHMENT OF NHPRI'S KEY BUSINESS OBJECTIVES; B) ENABLE NHPRI TO OFFER A COMPENSATION PROGRAM WITH METHODS AND LEVELS OF PAY THAT ARE COMPETITIVE WITH OTHER ORGANIZATIONS SEEKING COMPARABLE EMPLOYEE RESOURCES; C) REINFORCE NHPRI'S COMMITMENT TO A PERFORMANCE-BASED CULTURE FOR ITS EMPLOYEES AT ALL LEVELS OF THE ORGANIZATION; D) ASSIST NHPRI'S EFFORTS TO RETAIN ITS VALUED EMPLOYEES. Form 990, Part VI, Line 6 Classes of members or stockholders THE ORGANIZATION IS A 501(C)(3) CORPORATION AND HAS MEMBERS BUT DOES NOT HAVE ANY STOCKHOLDERS. THE ORGANIZATION HAS A BOARD OF DIRECTORS WHO ARE MEMBERS OF THE ORGANIZATION THAT MEET ON A REGULAR BASIS AND FUNCTION AS THE GOVERNING BODY OF THE ORGANIZATION. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE MEMBERS OF THE ORGANIZATION ARE RHODE ISLAND COMMUNITY HEALTH CENTERS THAT HAVE THE AUTHORITY TO APPOINT A PORTION OF THE BOARD OF DIRECTORS. THE BOARD OF DIRECTORS ALSO APPROVES THE HIRING OF THE CHIEF EXECUTIVE OFFICER WHO IS A VOTING MEMBER OF THE BOARD. Form 990, Part VI, Line 11b Review of form 990 by governing body THE ORGANIZATION'S FISCAL OPERATIONS DEPARTMENT ACCUMULATES THE INFORMATION AND DATA NECESSARY TO COMPLETE THE FEDERAL FORM 990. AUDITED FINANCIAL STATEMENTS AND APPROVED POLICIES AND PROCEDURES ARE USED AS INPUT TO COMPLETE THE 990. A DRAFT RETURN IS PREPARED AND REVIEWED BY THE ORGANIZATION'S INDEPENDENT CERTIFIED PUBLIC ACCOUNTANTS. AFTER THE REVIEW PROCESS IS COMPLETED BY THE INDEPENDENT ACCOUNTANTS, THE FINANCE STAFF REVIEW THE RETURN PRIOR TO FILING WITH THE IRS. THE FINANCE AND AUDIT COMMITTEE AND BOARD OF DIRECTORS ARE PROVIDED A DRAFT COPY OF THE RETURN FOR APPROVAL PRIOR TO FILING WITH THE IRS. Form 990, Part VI, Line 12c Conflict of interest policy AS PROMULGATED BY THE ORGANIZATION'S COMPLIANCE PLAN, THE ORGANIZATION'S DIRECTOR OF COMPLIANCE IS ALSO THE ORGANIZATION'S CHIEF PRIVACY OFFICIAL. ALL BOARD MEMBERS, COMMITTEE MEMBERS AND EMPLOYEES MUST DISCLOSE ALL CONFLICTS ON A SIGNED DISCLOSURE FORM ON A YEARLY BASIS. IF A POTENTIAL CONFLICT OF INTEREST IS REPORTED, THE PRIVACY OFFICIAL REVIEWS THE CIRCUMSTANCES TO DETERMINE IF A POSSIBLE CONFLICT EXISTS. IF IT IS DETERMINED THAT A CONFLICT EXISTS, THE PRIVACY OFFICIAL WILL MONITOR THE CONFLICT OF INTEREST AS NECESSARY AND/OR REFER THE APPROPRIATE ITEMS TO THE CHIEF EXECUTIVE OFFICER FOR A RESOLUTION/DECISION. BOARD AND COMMITTEE MEMBERS REFRAIN FROM VOTING ON ISSUES WHERE THERE IS AN APPEARANCE OF A CONFLICT. Form 990, Part VI, Line 19 Required documents available to the public THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST AT THE ORGANIZATION'S LOCATION AT 910 DOUGLAS PIKE, SMITHFIELD, RI 02917. Form 990, Part XI, Line 9 Other changes in net assets or fund balances CHANGE IN NET ASSETS - -788948; Form 990, Part XII, Line 1 ACCOUNTING METHOD USED TO PREPARE THE FORM 990 NEIGHBORHOOD'S STATUTORY FINANCIAL STATEMENTS ARE PRESENTED ON THE BASIS OF ACCOUNTING PRACTICES PRESCRIBED OR PERMITTED BY THE DEPARTMENT OF BUSINESS REGULATION (DBR). THE DBR HAS ADOPTED THE NATIONAL ASSOCIATION OF INSURANCE COMMISSIONERS' STATUTORY ACCOUNTING PRATICES (NAIC SAP) AS THE BASIS OF ITS STATUTORY ACCOUNTING PRATICES (SAP). FORM 990, PART VI, LINE 15A & 15B PROCESS TO ESTABLISH COMPENSATION OF TOP MGMT OFFICIALS AND OTHERS THE EXECUTIVE COMMITTEE OF THE BOARD OF DIRECTORS REVIEWS AND APPROVES THE CONTRACT OF THE CEO AND ANY CHANGES TO THE CONTRACT. THE VICE PRESIDENT OF HUMAN RESOURCES REVIEWS THE COMPENSATION OF THE CHIEF FINANCIAL OFFICER, CHIEF MEDICAL OFFICER AND THE CHIEF OPERATING OFFICER BASED ON COMPENSATION SURVEYS. NEIGHBORHOOD SUBSCRIBES TO THREE OR FOUR SALARY SURVEYS THAT LIST SALARY AND SALARY INCREASES BY POSITION, GEOGRAPHY, PLAN SIZE AND PROFIT VS. NON-PROFIT ORGANIZATIONS. THESE SURVEYS ARE USED TO SET COMPENSATION ANNUALLY.