2014-10-30T17:36:02-05:00 2013-12-31 ERNST & YOUNG US LLP 1900 SCRIPPS CTR312 WALNUT STREET CINCINNATI OH 45202 990 2013-01-01 050477052 Neighborhood Health Plan of Rhode Island % James Hooley CEO NEIG 4014596000 299 Promenade Street Suite Providence RI 02908 DOUGLAS THOMPSON CFO 2014-10-30 JULIE L SPARKS P01268401 2013 2015-11-30 17:44:51Z James Hooley CEO 299 Promenade Street Providence RI 02908 446414767 false X www.nhpri.org X 2000 RI NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND, SECURES ACCESS TO HIGH QUALITY, COST-EFFECTIVE HEALTH CARE FOR RHODE ISLAND'S AT-RISK POPULATIONS. 17 7 353 16 0 0 0 423568151 430128444 2773938 544158 2545 19535 426344634 430692137 902017 900200 381293213 380395425 21366809 24450384 0 0 0 23458869 28741267 427020908 434487276 -676274 -3795139 149497178 134475983 108424860 99729173 41072318 34746810 X 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. true false 397853961 900200 430128444 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, 2013, THE ORGANIZATION IS RESPONSIBLE FOR PROVIDING HEALTH CARE SERVICES TO OVER 99,100 MEMBERS. 397853961 true false false true false false false false false false true false false false true false true false false false false false false false false false false true false true false false false false false false false true false false false false false false false false false true 1458 0 true 353 true false false false false false false false false false false X 17 7 true false false false true false false true true false false true false false false true true false X James Hooley CEO 4014596000 299 Promenade Street Providence RI 02908 Merrill Thomas Board Chair 1.0 0.0 X 0 0 0 Jane Hayward Vice Chair 1.0 0.0 X 0 0 0 Peter Walsh Treasurer 1.0 0.0 X 0 0 0 Brenda Dowlatshahi Secretary 1.0 0.0 X 0 0 0 Raymond Lavoie Trustee 1.0 0.0 X 0 0 0 Darrrell Lee Trustee (Term ended 12/31/13) 1.0 0.0 X 0 0 0 Pablo Rodriguez MD Trustee 1.0 0.0 X 0 0 0 Patricia Martinez Trustee 1.0 0.0 X 0 0 0 Peter Bancroft Trustee 1.0 0.0 X 0 0 0 Doris Delos Santos Trustee 1.0 0.0 X 0 0 0 William Hochstrasser-Walsh Trustee 1.0 0.0 X 0 0 0 Chuck Jones Trustee 1.0 0.0 X 0 0 0 Christopher Little Trustee 1.0 0.0 X 0 0 0 Dennis Roy Trustee 1.0 0.0 X 0 0 0 Michael Lichenstein Trustee 1.0 0.0 X 0 0 0 Richard Besdine MD Trustee (Started 9/13) 1.0 0.0 X 0 0 0 James Hooley Interim CEO 40.0 0.0 X X 234794 0 6839 Thomas Clark Phillip Chief Financial Officer 40.0 0.0 X 222950 0 28322 Shanta Diaz Chief Operating Officer 40.0 0.0 X 229706 0 29727 Leon McTyeire Johnston CMO (1/1/13-12/13/13) 40.0 0.0 X 223406 0 32037 Francisco Trilla CMO (Started 8/1/13) 40.0 0.0 X 83679 0 675 Nancy Hermiz Vice President Medicaid 40.0 0.0 X 159535 0 17197 Jeffrey Meyer Chief Information Officer 40.0 0.0 X 152777 0 9994 Michelle Lupoli VP Medical Management 40.0 0.0 X 151124 0 36925 Brenda Seagrave-Whittle Chief marketing Officer 40.0 0.0 X 149446 0 28057 Beth Ann Marootian Dir of Business Development 40.0 0.0 X 142456 0 37331 1749873 0 227104 33 false true false Rhode Island Hospital PO Box 373 PROVIDENCE RI 029010373 Healthcare Services 69939155 Argus Health Systems Inc 1300 Washington KANSAS CITY MO 64105 Healthcare Services 57821367 Beacon Health Strategies LLC 500 Unicorn Park WOBURN MA 01801 Healthcare Services 53716563 Women Infants Hospital of Rhode I 101 Dudley Street PROVIDENCE RI 02905 Healthcare Services 31181079 The Miriam Hospital PO Box 1202 PROVIDENCE RI 02901 Healthcare Services 12238944 269 0 PREMIUMS EARNED 524114 426293512 426293512 MISCELLANEOUS REVENUE 524114 1751471 1751471 REINSURANCE RECOVERIES 524114 1015520 1015520 PHARMACY DIVIDENDS 524114 1067941 1067941 430128444 518891 518891 0 0 0 0 0 15747897 15722630 25267 25267 25267 0 0 0 Miscellaneous Revenue 900099 19535 19535 19535 430692137 430128444 563693 900000 900000 200 200 0 380395425 380395425 2904043 2904043 0 0 16541317 10389951 6151366 541458 259197 282261 2883225 1340728 1542497 1580341 768320 812021 0 169619 169619 335530 335530 84000 84000 0 355184 355184 7766241 1568302 6197939 980416 35659 944757 1042544 66663 975881 2706805 2706805 0 1750138 961601 788537 30319 8503 21816 0 0 29702 29702 0 359149 100857 258292 221871 221871 STATE PREMIUM TAX 8594921 8594921 TEMPORARY HELP 3177662 982342 2195320 TRAINING 371670 371670 ALL OTHER EXPENSES 765496 76213 689283 434487276 397853961 36633315 0 0 0 16423246 31786987 0 6845 5815086 9407908 0 0 0 0 0 0 0 0 0 0 1625346 1304348 300543 320998 125350627 92895625 0 0 0 0 0 0 1607676 57620 149497178 134475983 15154280 12356835 1066146 0 0 0 0 0 0 0 0 0 1000000 1000000 0 0 91204434 86372338 108424860 99729173 X 41072318 34746810 0 0 0 0 41072318 34746810 149497178 134475983 X -3795139 52751 -2583120 X X false true X true false X 24087 51662 0 0 0 75749 351528454 388620353 415427897 423570696 430147979 2009295379 0 0 0 351552541 388672015 415427897 423570696 430147979 2009371128 0 0 0 2009371128 1394666 984765 1160371 756428 518891 4815121 0 1394666 984765 1160371 756428 518891 4815121 0 14988 14988 352947207 389671768 416588268 424327124 430666870 2014201237 0.99760 0.99618 0.00239 0.00381 X SCHEDULE A, PART III, SECTION B, LINE 12, COLUMN (B) 2010 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. false false false false false false true 84000 false false 84000 false SCHEDULE C, PART II-B, LINE 1G NEIGHBORHOOD HEALTH PLAN OF RHODE ISLAND DOES NOT DIRECTLY ENGAGE IN ANY LOBBYING ACTIVITIES BUT RETAINS A GOVERNMENT RELATIONS COMPANY, CAPITOL CITY GROUP. FOR THE YEAR ENDED 12/31/13, THE ORGANIZATION PAID CAPITOL CITY GROUP $84,000. 1625346 1304348 320998 320998 0 IBNR Liabilities 35868416 Unearned Premiums 41885960 Risk Share Gain/Liability 8617962 86372338 428358757 -3702437 -3702437 432061194 -1369057 -1369057 430692137 432153896 1369057 1369057 430784839 3702437 3702437 434487276 SCHEDULE D, PART X, LINE 2 THERE WAS NO FIN 48 (ASC 740) FOOTNOTE IN THE AUDITED FINANCIAL STATEMENTS. RECONCILIATION OF REVENUE ON AFS TO TAX RETURN SCHEDULE D, PART XI, LINE 2D AND LINE 4B LINE 2D RECLASS OF REINSURANCE PREMIUMS ($3,347,253) RECLASS OF INVESTMENT FEES & INTEREST ($355,184) ---------- TOTAL ($3,702,437) LINE 4B RECLASS OF PHARMACY DIVIDENDS $1,067,941 RECLASS OF REINSURANCE RECOVERIES $1,568,256 RECLASS OF RISK SHARE SETTLEMENTS ($4,005,254) ---------- TOTAL ($1,369,057) SCHEDULE D, PART XII, LINE 2D AND LINE 4B LINE 2D RECLASS OF PHARMACY DIVIDENDS ($1,067,941) RECLASS OF REINSURANCE RECOVERIES ($1,568,256) RECLASS OF RISK SHARE SETTLEMENTS $4,005,254 ---------- TOTAL $1,369,057 LINE 4B RECLASS OF REINSURANCE PREMIUMS $3,347,253 RECLASS OF INVESTMENT FEES & INTEREST $355,184 ---------- TOTAL $3,702,437 true STATE OF RI EXEC OFC OF HLTH & HUMAN SVCS 57 HOWARD AVENUE CRANSTON RI 02920 056018801 HLTH & HUM SVCS 900000 EXPANSION OF ADULT DENTAL SVCS 1 FORM 990, SCHEDULE I 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 RECOMMENDATIONS WHEN REQUIRED. X X X X false false false false false false false true false James Hooley Interim CEO 234794 0 0 0 0 0 5816 0 1023 0 241633 0 0 0 Thomas Clark Phillip Chief Financial Officer 201916 0 19004 0 2030 0 6014 0 22308 0 251272 0 0 0 Shanta Diaz Chief Operating Officer 214408 0 14533 0 765 0 7684 0 22043 0 259433 0 0 0 Leon McTyeire Johnston CMO (1/1/13-12/13/13) 201987 0 19216 0 2202 0 9058 0 22979 0 255443 0 0 0 Nancy Hermiz Vice President Medicaid 148809 0 9825 0 901 0 6429 0 10768 0 176732 0 0 0 Jeffrey Meyer Chief Information Officer 143379 0 8940 0 458 0 6170 0 3824 0 162771 0 0 0 Michelle Lupoli VP Medical Management 140742 0 10078 0 304 0 6293 0 30632 0 188049 0 0 0 Brenda Seagrave-Whittle Chief marketing Officer 138800 0 9800 0 846 0 6153 0 21904 0 177503 0 0 0 Beth Ann Marootian Dir of Business Development 133768 0 8251 0 437 0 5965 0 31366 0 179787 0 0 0 SCHEDULE J, PART I, LINE 7 PURPOSE: 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 2013 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 0 Blackstone Valley Community HealthC See Part V 3560421 Cap & Fee for Svce Med Paymt false Thundermist Health Center See Part V 4230181 Cap & Fee for Svce Med Paymt false Providence Community Health Center See Part V 9467449 Cap & Fee for Svce Med Paymt false Tri-Town Community Action Agency See Part V 822533 Cap & Fee for Svce Med Paymt false Rhode Island Health Center Associat See Part V 222250 Consulting Fees false East Bay Community Action Program See Part V 823212 Cap & Fee for Svce Med Paymt false WellOne Primary Medical Dental Ca See Part V 717059 Cap & Fee for Svce Med Paymt false Comprehensive Community Action See Part V 1204862 Cap & Fee for Svce Med Paymt false Wood River Health Systems See Part V 533986 Cap & Fee for Svce Med Paymt false SCHEDULE L, PART IV 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 EX. DIR. 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 ASSOC EX DIR 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 EX DIR OF THE RI 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. FORM 990, PART III, LINE 2 AS A RESULT OF THE AFFORDABLE CARE ACT (ACA) THE ORGANIZATION HAS EXPANDED SERVICES IN TWO AREAS. THE ORGANIZATION ENTERED THE COMMERCIAL MARKET BY OFFERING PRODUCTS ON THE STATE'S HEALTH BENEFIT EXCHANGE. THE ORGANIZATION NOW OFFERS PRODUCTS ON THE INDIVIDUAL AND SHOP (PLANS FOR SMALL BUSINESS) EXCHANGES. THE ORGANIZATION ALSO EXPANDED ITS MEDICAID PROGRAMS. THE ORGANIZATION SERVES AS A MANAGED CARE ORGANIZATION FOR THE ADULT MEDICAID POPULATION WHO RECEIVE EITHER LONG TERM CARE AND/OR HOME AND COMMUNITY BASED SERVICES. THE PROGRAM IS BEING DEVELOPED IN TWO PHASES. THE FIRST IS TO MANAGE THE CARE AND COORDINATION OF THEIR MEDICAID SERVICES AND COVERAGE. THE SECOND PHASE IS A THREE-WAY CONTRACT WITH THE STATE, THE CENTERS FOR MEDICARE & MEDICAID SERVICES (CMS) AND THE MCO'S TO INCLUDE MEDICAID AS WELL AS MEDICARE'S MEDICAL AND PHARMACY BENEFITS. THE GOAL IS TO MANAGE THE INCREASINGLY COMPLEX MEDICAL AND FUNCTIONAL NEEDS OF THIS ADULT POPULATION AND BETTER COORDINATE THEIR SERVICES WHICH ARE CURRENTLY FRAGMENTED BY MULTIPLE PROVIDERS. DESCRIPTION OF RELATIONSHIPS FORM 990, PART VI, LINE 2 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 HEALTH CARE, 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 SYSTEM AND WELLONE USES THE EMR PORTION OF THE SYSTEM. THE CHCS SHARE THE COST OF RUNNING THE SYSTEM. DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS 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 OF THE ORGANIZATION. DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 FORM 990, PART VI, LINE 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 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 FORM 990, PART VI, LINES 12A, 12B, 13 & 14 PURSUANT TO THE INSTRUCTIONS FOR FORM 990, THE ORGANIZATION MUST ANSWER NO TO THE 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 FORM 990, PART VI, LINE 12C 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 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 A CONFLICT. OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN FORM 990, PART VI, LINES 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. AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, LINE 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, LINE 9 YEAR-END CHANGES IN ENDING BALANCES OF NONADMITTED ASSETS: -$2,583,120. ACCOUNTING METHOD FORM 990, PART XII, LINE 1 THE ORGANIZATION USES THE STATUTORY METHOD OF ACCOUNTING.