Neighborhood Health Plan of Rhode Island
Overview
Mission
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.
What it reported doing in 2024
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, 2024, the organization is responsible for providing health care services to over 218,540 members.
Operating model
- Revenue model
- Earned-program. 99% of the money available for current operations came from fees and other program revenue.
- Distribution model
- Member-benefit provider. The nonprofit used 98% of its reported program spending for member benefits.
Nonprofit profile at a glance
- EIN
- 050477052
- IRS 990 coverage
- 2010–2024
- Website reviewed
- Jun 2026
- Forms available
- Form 990 2024, Form 990-T 2024
- Headquarters
- Smithfield, RI, USA
- Rating
- 81
- Verdict
- STRONG
- Rating confidence
- Moderate
- Sector
- Health
The verdict
STRONG - A large share of available resources goes toward mission work and the filed numbers largely add up. Expenses are high relative to revenue and the website gives limited detail about important organizational relationships.
Rating breakdown
- Financial Efficiency: 94
- Transparency & Controls: 65
- Accountability: 86
- Sustainability: 29
- Growth: 100
Detailed rating inputs
Financial Efficiency
- Mission deployment rate: 93.7%; rating input score 94
- Program expense ratio: 94.3%; rating input score 94
- Fundraising efficiency: Limited
Transparency & Controls
- Consistency checks: 100%; rating input score 100; 71st percentile among comparable filings
- Pay-setting controls: 4 of 6 controls in place; rating input score 67
- Foreign activity oversight: Limited
- Grant itemization coverage: Limited
- Major donor itemization: Limited
- Related-party transparency: Limited
- Public monitoring controls: 0 of 8 controls in place; rating input score 0
- Public policy transparency: 0 of 7 controls in place; rating input score 0
- Public financial transparency: 0 of 5 controls in place; rating input score 0
- Impact reporting controls: 0 of 7 controls in place; rating input score 0
- Public relationship transparency: No; rating input score 0
Accountability
- Independent voting board: 93.8%; rating input score 94; 43rd percentile among comparable filings
- Governance controls: 9 of 9 controls in place; rating input score 100
- Public governance controls: 0 of 4 controls in place; rating input score 0
- Zakat policy transparency: Limited
Sustainability
- Operating margin: 0.1%; rating input score 31; 31st percentile among comparable filings
- Operating reserve ratio: 0.24; rating input score 7; 7th percentile among comparable filings
- Liabilities to assets ratio: 0.73; rating input score 20; 20th percentile among comparable filings
- Officer compensation ratio: 0.2%; rating input score 89; 89th percentile among comparable filings
Growth
- Program expense growth: 9% per year; rating input score 100; 70th percentile among comparable filings
- Revenue growth: 10.6% per year; rating input score 100; 78th percentile among comparable filings
- Asset growth: 9.3% per year; rating input score 100; 66th percentile among comparable filings
Details
- What they do: 3 programs and campaigns described on the official site
- Where the money goes: 93.7% of revenue deployed · 94.3% of spending went to programs
- Governance: 15 of 16 board members independent · 9 of 9 filing controls reported
- Programs: 1 filed program accomplishment · $1.8B in reported program spending
- Leadership: top reported pay $760K · 27 people listed · 4 of 6 pay-setting controls reported
- Consistency: 44 of 44 current checks pass
- Schedules: 5 filed schedules · includes executive pay
- Filing history: 14 annual filings from 2010 to 2024
- Money network: 10 filed money-flow records