Form990
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except black lung benefit trust or private foundation)

MediumBullet The organization may have to use a copy of this return to satisfy state reporting requirements.
OMB No. 1545-0047
2012
Open to Public Inspection
A For the 2012 calendar year, or tax year beginning 01-01-2012 , 2012, and ending 12-31-2012
BCheck if applicable:
CName of organization
NEIGHBORHOOD HEALTH PLAN INC
 
Doing Business As
 
 
Number and street (or P.O. box if mail is not delivered to street address)
253 SUMMER STREET
 
Room/suite
City or town, state or country, and ZIP + 4
BOSTON, MA022101120
D Employer identification number

04-2932021
E Telephone number

G Gross receipts $ 1,929,046,946
F Name and address of principal officer:
DEBORAH ENOS
253 SUMMER STREET
BOSTON,MA022101120
I
Tax-exempt status: ( 4 ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.nhp.org
H(a)
Is this a group return for
affiliates?
H(b)
Are all affiliates included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1986
M State of legal domicile: MA
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: NEIGHBORHOOD HEALTH PLANS MISSION IS TO PROMOTE THE HEALTH AND WELLNESS OF OUR MEMBERS, AND TO HELP ENSURE EQUITABLE, AFFORDABLE HEALTH CARE FOR THE DIVERSE COMMUNITIES WE SERVE.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 13
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 12
5 Total number of individuals employed in calendar year 2011 (Part V, line 2a) ...... 5 523
6 Total number of volunteers (estimate if necessary) ............. 6  
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b  
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) .........   0
9 Program service revenue (Part VIII, line 2g) ......... 1,228,780,236 1,284,495,481
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 4,201,329 5,883,594
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)   0
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 1,232,981,565 1,290,379,075
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...   0
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 1,143,891,625 1,178,167,771
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 44,234,414 45,744,523
16a Professional fundraising fees (Part IX, column (A), line 11e).....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 41,102,449 49,503,324
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 1,229,228,488 1,273,415,618
19 Revenue less expenses. Subtract line 18 from line 12....... 3,753,077 16,963,457
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 293,185,878 330,801,339
21 Total liabilities (Part X, line 26)............. 156,257,518 165,042,364
22 Net assets or fund balances. Subtract line 21 from line 20..... 136,928,360 165,758,975
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
 
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ............
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y
Form 990 (2012)
Form 990 (2012)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response to any question in this Part III ...............
1
Briefly describe the organization’s mission: NEIGHBORHOOD HEALTH PLAN, A NOT-FOR-PROFIT CORPORATION, IN PARTNERSHIP WITH COMMUNITY HEALTH CENTERS AND OTHER COMMUNITY-RESPONSIVE PROVIDERS, DEVELOPS AND OPERATES COOPERATIVE MANAGED CARE SYSTEMS WHICH ARE MEMBER FOCUSED, QUALITY DRIVEN, COMMUNITY BASED, CULTURALLY RESPONSIVE, AND FINANCIALLY VIABLE IN CONTEMPORARY AND FUTURE HEALTH CARE ENVIRONMENTS.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If “Yes,” describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If “Yes,” describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 1,240,780,527 including grants of $   ) (Revenue $ 1,284,495,481 )
HEALTH CARE DELIVERY NEIGHBORHOOD HEALTH PLAN, INC. PROMOTES THE GENERAL WELFARE OF THE PEOPLE IN THE COMMUNITY BY FACILITATING THE DELIVERY OF COMPREHENSIVE HEALTH SERVICES ON A PREPAID BASIS TO MEMBERS AT OVER 300 PRIMARY CARE LOCATIONS. FULLY INSURED MEMBERS INCLUDE APPROXIMATELY 252 THOUSAND INDIVIDUALS COVERED BY MEDICAID, SMALL AND LARGE EMPLOYER GROUPS AND LOW INCOME, HIGH RISK INDIVIDUALS. DURING 2012 MEMBERS INCURRED APPROXIMATELY 3.2 MILLION AMBULATORY ENCOUNTERS AND INCURRED APPROXIMATELY 114 THOUSAND HOSPITAL PATIENT DAYS. NHP OFFERS MEMBERS ACCESS TO APPROXIMATELY THREE THOUSAND PRIMARY CARE PHYSICIANS AND ELEVEN THOUSAND SPECIALIST. SINCE 2008 NEIGHBORHOOD HEALTH PLAN HAS BEEN ACCREDITED BY THE NATIONAL COMMITTEE FOR QUALITY ASSURANCE NCQA. NCQA ACCREDITATION SURVEY PROCESS INCLUDES ON AND OFF SITE EVALUATIONS OF OVER 60 STANDARDS AND PERFORMANCE MEASURES CONDUCTED BY A TEAM OF PHYSICIANS AND MANAGED CARE EXPERTS. EVERY PART OF NEIGHBORHOOD HEALTH PLANS to 4b
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet1,240,780,527
Form 990 (2012)
Form 990 (2012)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If “Yes,” complete Schedule A........................
1
 
No
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
 
No
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If “Yes,” complete Schedule C, Part I..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If “Yes,” complete Schedule C, Part II........
4
 
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If “Yes,” complete Schedule C,
Part III............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If “Yes,” complete Schedule D, Part I........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If “Yes,” complete Schedule D, Part II...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If “Yes,” complete Schedule D, Part III ....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If “Yes,” complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If “Yes,” complete Schedule D, Part V......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If “Yes,” complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If “Yes,” complete Schedule D, Part IXClick to see attachment............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If “Yes,” complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If “Yes,” complete Schedule D, Part X.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If “Yes,” complete Schedule D, Parts XI and XII .................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If “Yes,” and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If “Yes,” complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If “Yes,” complete Schedule F, Parts I and IV.........
14b
 
No
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or assistance to any organization or entity located outside the United States? If “Yes,” complete Schedule F, Parts II and IV
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or assistance to individuals located outside the United States? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If “Yes,” complete Schedule G, Part I (see instructions)....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If “Yes,” complete Schedule G, Part II............
18
 
No
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If “Yes,” complete Schedule G, Part III...................
19
 
No
20a
Did the organization operate one or more hospital facilities? If “Yes,” complete Schedule H....
20a
 
No
b
If “Yes” to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
 
 
Form 990 (2012)
Form 990 (2012)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants and other assistance to any government or organization in the United States on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II...
21
 
No
22
Did the organization report more than $5,000 of grants and other assistance to individuals in the United States on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
 
No
23
Did the organization answer “Yes” to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If “Yes,” complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25................
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
 
d
Did the organization act as an “on behalf of” issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3) and 501(c)(4) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If “Yes,” complete Schedule L, Part I........
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If “Yes,” complete Schedule L, Part I...................
25b
 
No
26
Was a loan to or by a current or former officer, director, trustee, key employee, highest compensated employee, or disqualified person outstanding as of the end of the organization’s tax year? If “Yes,” complete Schedule L,
Part II..........................
26
 
No
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If “Yes,” complete Schedule L, Part III.........
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If “Yes,” complete Schedule L, Part IV .......................... Click to see attachment
28a
Yes
 
b
A family member of a current or former officer, director, trustee, or key employee? If “Yes,”
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If “Yes,” complete Schedule L, Part IV... Click to see attachment
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If “Yes,” complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If “Yes,” complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If “Yes,” complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If “Yes,” complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If “Yes,” complete Schedule R, Part I........ Click to see attachment
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If “Yes,” complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If “Yes,” complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If “Yes,” complete Schedule R, Part V, line 2.............
36
 
 
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If “Yes,” complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2012)
Form 990 (2012)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response to any question in this Part V ...............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
4,245
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
523
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
 
No
b
If “Yes,” has it filed a Form 990-T for this year? If “No,” provide an explanation in Schedule O.....
3b
 
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for Form TD F 90-22.1, Report of Foreign Bank and Financial Accounts.
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If “Yes,” to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If “Yes,” did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
 
b
If “Yes,” did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
 
d
If “Yes,” indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
 
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
 
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds and section 509(a)(3) supporting organizations. Did the supporting organization, or a donor advised fund maintained by a sponsoring organization, have excess business holdings at any time during the year?............
8
 
 
9
Sponsoring organizations maintaining donor advised funds.
a
Did the organization make any taxable distributions under section 4966?..........
9a
 
 
b
Did the organization make a distribution to a donor, donor advisor, or related person?.......
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If “Yes,” enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If “No,” provide an explanation in Schedule O..
14b
 
 
Form 990 (2012)
Form 990 (2012)
Page 6
Part VI
Governance, Management, and Disclosure For each “Yes” response to lines 2 through 7b below, and for a “No” response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response to any question in this Part VI ...............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
13
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
12
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
 
No
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If “Yes,” provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If “Yes,” did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
 
No
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If “No,” go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If “Yes,” describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
 
No
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
 
No
b
If “Yes,” did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
 
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
MA
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how), the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, physical address, and telephone number of the person who possesses the books and records of the organization:
MediumBulletJ GARRETT PARKER CFO253 SUMMER STREETBOSTONMA022101120 (617) 772-5500
Form 990 (2012)
Form 990 (2012)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response to any question in this Part VII ...............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(1) Deborah C Enos........................................................................
President and CEO
 50.00
.......................2.00 		X           601,888 0 38,671
(2) James W Hunt Jr........................................................................
Director
 2.00
.......................   		X           0 0 0
(3) Jay Breines 010112 - 093012........................................................................
Director
 2.00
.......................   		X           0 0 0
(4) Peter C Georgepoulos 010112 - 09301........................................................................
Director
 2.00
.......................   		X           0 0 0
(5) Lori Berry 010112 - 093012........................................................................
Director
 2.00
.......................   		X           0 0 0
(6) Paulette Shaw Querner........................................................................
Director
 2.00
.......................   		X           0 0 0
(7) Robert J Ingala........................................................................
Director, Chairman
 2.00
.......................   		X           0 0 0
(8) Tobias Yarmolinsky 010112 - 093012........................................................................
Director
 2.00
.......................   		X           0 0 0
(9) Tom Manning 010112 - 093012........................................................................
Director
 2.00
.......................   		X           0 0 0
(10) Manuel Lopes........................................................................
Director
 2.00
.......................   		X           0 0 0
(11) Frances Anthes 010112 - 093012........................................................................
Director
 2.00
.......................   		X           0 0 0
(12) Ralph Fuccillo 010112 - 093012........................................................................
Director
 2.00
.......................   		X           0 0 0
(13) Joseph Betancourt MD 100112 - 12311........................................................................
Director
 2.00
.......................   		X   X       0 260,321 55,201
(14) G Neal Ryland 100112 - 123112........................................................................
Director
 2.00
.......................   		X           0 0 0
(15) Steven J Tringale 100112 - 123112........................................................................
Director
 2.00
.......................   		X           0 0 0
(16) Allen Smith MD 100112 - 123112........................................................................
Director
 2.00
.......................50.00 		X           0 576,878 50,536
(17) Matthew Fishman Chairman 100112 - 1........................................................................
Director
 3.00
.......................50.00 		X           0 433,715 70,012
Form 990 (2012)
Form 990 (2012)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; Officer; Key Employee; Highest compensated employee; Former;
(18) Sharon Smith 100112 - 123112........................................................................
Director
 2.00
.......................   		X           0 0 0
(19) Richard Holbrook 100112 - 123112........................................................................
Director
 2.00
.......................   		X       X   0 0 0
(20) Valerie Stone MD 100112 - 123112........................................................................
Director
 2.00
.......................   		X           0 301,880 44,715
(21) Charles Goheen 010112 to 081112........................................................................
Chief Financial Officer
 45.00
.......................   		    X       273,407 0 20,552
(22) Peter K Markell 100112 - 123112........................................................................
Treasurer
 5.00
.......................50.00 		    X       0 3,526,635 360,679
(23) Carla Bettano........................................................................
V.P. Business Development
 45.00
.......................   		      X     240,069 0 38,281
(24) Joanne Landry........................................................................
V.P. Operations
 45.00
.......................   		      X     154,277 0 25,774
(25) Marilyn Daly........................................................................
Chief Information Officer
 45.00
.......................   		      X     251,412 0 37,961
(26) Pamela Siren........................................................................
V.P. Quality Compliance
 45.00
.......................   		      X     236,589 0 27,562
(27) Paul Mendis........................................................................
Chief Medical Officer
 45.00
.......................   		      X     375,048 0 28,787
(28) David Segal........................................................................
Chief Operating Officer
 45.00
.......................   		      X     373,245 0 41,843
(29) Joanne Derr........................................................................
V.P.Human Resources
 45.00
.......................   		      X     240,347 0 35,817
(30) Debora L Bonin........................................................................
V.P. Clinical Operations
 45.00
.......................   		      X     175,259 0 22,163
(31) Jennifer K Weiner........................................................................
V.P. Provider Network Management
 45.00
.......................   		      X     241,132 0 36,945
(32) Robert Jordan........................................................................
Chief Actuary
 45.00
.......................   		        X   181,963 0 32,514
(33) Jill D'Arbeloff........................................................................
Director Projects Processes
 45.00
.......................   		        X   188,280 0 32,931
(34) Charles E Helstrom........................................................................
Controller
 40.00
.......................   		        X   177,568 0 34,061
(35) Carmine Iannace........................................................................
Deputy Chief Information Officer
 40.00
.......................   		        X   185,077 0 21,635
(36) Julie DeSorgher........................................................................
Director Medical Economics
 45.00
.......................   		        X   173,200 0 21,585
(37) Ragavan Ramalingam........................................................................
V.P. Provider Network Management
 45.00
.......................   		          X 168,756 0 31,461
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 4,237,517 5,099,429 1,109,686
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet94
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If “Yes,” complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If “Yes,” complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If “Yes,” complete Schedule J for such person ........
5
Yes
 
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
Health Management Systems Inc401 Park Avenue SouthNew YorkNY10016 IT Outsourcing, Claim Recoveries 1,383,514
Trizetto GroupPO Box 122140DallasTX75312 IT Outsourcing 2,532,928
Connolly IncWilton Corporate Park 50 Danbury RoWiltonCT06897 IT Outsourcing, Claim Recoveries 2,689,729
Healthcare Financials Inc200 High StreetBostonMA02110 IT Outsourcing, Policy Rating Services 1,309,250
Accordant Health Services4900 Koger Boulevard Suite 100GreensboroNC27407 Rare DM Care Management 1,262,175
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet26
Form 990 (2012)
Form 990 (2012)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response to any question in this Part VIII ..............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512, 513, or 514
Contributions, Gifts, Grants and Other Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d  
e Government grants (contributions)1e  
f All other contributions, gifts, grants, and
similar amounts not included above1f 		 
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet  
Program Service Revenue Business Code
2a MEDICAID CAPITATION REVENUE 524114 813,893,744 813,893,744    
b COMMONWEALTH CARE PREMIUM REVENUE 524114 196,036,340 196,036,340    
c COMMERCIAL PREMIUM REVENUE 524114 272,429,394 272,429,394    
d OTHER REVENUE 624100 2,136,003 2,136,003    
e
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 1,284,495,481
Other Revenue 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 4,840,910 4,840,910    
4 Income from investment of tax-exempt bond proceeds..MediumBullet        
5 Royalties...........MediumBullet        
(i) Real (ii) Personal
6a Gross rents    
b Less: rental expenses    
c Rental income or (loss)    
d Net rental income or (loss).......MediumBullet        
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 639,710,555  
b Less: cost or other basis and sales expenses 638,667,871  
c Gain or (loss) 1,042,684  
d Net gain or (loss)..........MediumBullet 1,042,684 1,042,684    
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a  
b Less: direct expenses ...b  
c Net income or (loss) from fundraising events..MediumBullet      
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet        
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet        
Miscellaneous Revenue Business Code
11a            
b            
c            
d All other revenue ....        
e Total. Add lines 11a–11d ...... MediumBullet  
12 Total revenue. See Instructions......MediumBullet 1,290,379,075 1,290,379,075    
Form 990 (2012)
Form 990 (2012)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response to any question in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to governments and organizations in the United States. See Part IV, line 21 0  
2 Grants and other assistance to individuals in the United States. See Part IV, line 22 0  
3 Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16 0  
4 Benefits paid to or for members 1,178,167,771 1,178,167,771
5 Compensation of current officers, directors, trustees, and key employees .... 3,163,292 1,581,646 1,581,646  
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 0      
7 Other salaries and wages 32,327,043 24,245,282 8,081,761  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 1,633,102 1,188,436 444,666  
9 Other employee benefits ....... 5,892,353 4,287,967 1,604,386  
10 Payroll taxes ........... 2,728,733 1,985,746 742,987  
11 Fees for services (non-employees):        
a Management ...... 2,720,121   2,720,121  
b Legal ......... 447,920   447,920  
c Accounting ........... 253,000   253,000  
d Lobbying ........... 77,772   77,772  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 276,095   276,095  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) ........ 0      
12 Advertising and promotion .... 1,680,892 279,030 1,401,862  
13 Office expenses ....... 3,978,143 2,983,607 994,536  
14 Information technology ...... 16,170,481 12,127,861 4,042,620  
15 Royalties .. 0      
16 Occupancy ........... 4,316,821 3,237,616 1,079,205  
17 Travel ............ 405,213 303,910 101,303  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 274,278 205,708 68,570  
20 Interest ........... 152,783   152,783  
21 Payments to affiliates ....... 3,481,963 3,481,963    
22 Depreciation, depletion, and amortization ..... 2,122,034 1,591,525 530,509  
23 Insurance .............. 0      
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a General Consulting Services 3,394,226 2,545,669 848,557  
b Broker Commissions 6,685,538   6,685,538  
c Temp Agencies 1,293,414 970,061 323,353  
d Member ID Cards, Kits and Services 1,052,526 1,052,526    
e All other expenses 720,104 544,203 175,901  
25 Total functional expenses. Add lines 1 through 24e 1,273,415,618 1,240,780,527 32,635,091 0
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2012)
Form 990 (2012)
Page 11
Part X Balance Sheet Check if Schedule O contains a response to any question in this Part X ...............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash—non-interest-bearing ............. 10,568,944 1 45,745,685
2 Savings and temporary cash investments ......... 1,686,953 2 1,183,648
3 Pledges and grants receivable, net ...........   3  
4 Accounts receivable, net ............. 13,824,131 4 23,208,947
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
  5  
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
  6  
7 Notes and loans receivable, net .............   7  
8 Inventories for sale or use ..............   8  
9 Prepaid expenses and deferred charges .......... 1,423,803 9 1,427,192
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 4,421,006
b Less: accumulated depreciation ..... 10b 440,883 5,244,544 10c 3,980,123
11 Investments—publicly traded securities .......... 221,121,497 11 149,744,481
12 Investments—other securities. See Part IV, line 11 .....   12 83,117,382
13 Investments—program-related. See Part IV, line 11 .....   13  
14 Intangible assets ...............   14  
15 Other assets. See Part IV, line 11 ........... 39,316,006 15 22,393,881
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 293,185,878 16 330,801,339
Liabilities 17 Accounts payable and accrued expenses ......... 130,083,939 17 148,016,726
18 Grants payable .................   18  
19 Deferred revenue ................ 1,344,580 19 2,191,605
20 Tax-exempt bond liabilities .............   20  
21 Escrow or custodial account liability. Complete Part IV of Schedule D..   21  
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L..........   22  
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ....   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 24,828,999 25 14,834,033
26 Total liabilities. Add lines 17 through 25......... 156,257,518 26 165,042,364
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 136,928,360 27 165,758,975
28 Temporarily restricted net assets ...........   28  
29 Permanently restricted net assets ...........   29  
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 136,928,360 33 165,758,975
34 Total liabilities and net assets/fund balances ........ 293,185,878 34 330,801,339
Form 990 (2012)
Form 990 (2012)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response to any question in this Part XI ...............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
1,290,379,075
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
1,273,415,618
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
16,963,457
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
136,928,360
5
Net unrealized gains (losses) on investments ...............
5
352,563
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
11,514,595
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
165,758,975
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response to any question in this Part XII ..............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If “Yes,” to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
 
No
b
If “Yes,” did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits
3b
 
 
Form 990 (2012)
Form 990, Special Condition Description:
Special Condition Description
Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b
SchDMd Bullet Attach to Form 990. SchDMd Bullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
NEIGHBORHOOD HEALTH PLAN INC
 
Employer identification number

04-2932021
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate contributions to (during year) ...    
3 Aggregate grants from (during year) .....    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenues included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenues included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21? .....................
b
If “Yes,” explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land .................      
b Buildings ................        
c Leasehold improvements ............   2,854,947 -3,696,827 2,605,600
d Equipment ................   1,566,059 -10,003,452 1,374,523
e Other .................        
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 3,980,123
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 3
Part VII
Investments—Other Securities. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests    
(3)Other
(A) Financial derivatives and other financial products 		   

(B) Closely-held equity interests 		   

(C) MUTUAL FUNDS - NOT PUBLICLY TRADED 		83,117,382 F






Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 83,117,382
Part VIII
Investments—Program Related. See Form 990, Part X, line 13.
(a) Description of investment type (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1) SETTLEMENTS RECEIVABLE  
(2) ACCRUED INTEREST RECEIVABLE 45,189
(3) REINSURANCE RECEIVABLE 10,837,941
(4) PHARMACY REBATE RECEIVABLE 2,903,666
(5) OTHER RECEIVABLE 8,607,085




Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet 22,393,881
Part X
Other Liabilities. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes  
Federal income taxes  
SURPLUS NOTE  
DEFERRED LEASE LIABILITY  
MEDICAL LOSS RATIO PAYABLE 9,028,224
HEALTH POLICY RESERVES 5,805,809




Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 14,834,033
2. Fin 48 (ASC 740) Footnote. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII .....................................................
Schedule D (Form 990) 2012

Schedule D (Form 990) 2012
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return
1 Total revenue, gains, and other support per audited financial statements ....... 1 1,290,102,997
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains on investments .......... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d 15
e Add lines 2a through 2d ..................... 2e 15
3 Subtract line 2e from line 1..................... 3 1,290,102,982
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a 276,093
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c 276,093
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5 1,290,379,075
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return
1 Total expenses and losses per audited financial statements ........... 1 1,273,139,540
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d 15
e Add lines 2a through 2d...................... 2e 15
3 Subtract line 2e from line 1..................... 3 1,273,139,525
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a 276,093
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c 276,093
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5 1,273,415,618
Part XIII
Supplemental Information
Complete this part to provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Identifier Return Reference Explanation
XI 2d The GAAP Audit report is based on consolidated results including Community Heath Alliance CMA, a subsidiary organization. CMA revenue is not included on this 990.
XII 2d The GAAP Audit report is based on consolidated results including Community Heath Alliance CMA, a subsidiary organization. CMA expenses are not included on this 990.
Schedule D (Form 990) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1




Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990,
Part IV, question 23.
SchJMediumBullet Attach to Form 990. SchJMediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
NEIGHBORHOOD HEALTH PLAN INC
 
Employer identification number

04-2932021
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
 
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all officers,
directors, trustees, and the CEO/Executive Director, regarding the items checked in line 1a? .......
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3) and 501(c)(4) organizations only must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
 
No
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation
reported as deferred
in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
(1)Carla BettanoV.P. Business Development (i)
(ii)		 208,533
  		31,536
  		 
  		17,254
  		21,027
  		278,350
  		 
 
(2)Deborah C EnosPresident and CEO (i)
(ii)		 481,390
  		120,498
  		620
  		17,500
  		20,551
  		640,559
  		 
 
(3)Joanne LandryV.P. Operations (i)
(ii)		 132,734
  		 
  		21,544
  		9,682
  		16,091
  		180,051
  		 
 
(4)Marilyn DalyChief Information Officer (i)
(ii)		 218,717
  		32,695
  		 
  		17,410
  		20,551
  		289,373
  		 
 
(5)Pamela SirenV.P. Quality Compliance (i)
(ii)		 204,750
  		31,839
  		 
  		14,514
  		13,048
  		264,151
  		 
 
(6)Paul MendisChief Medical Officer (i)
(ii)		 324,576
  		50,472
  		 
  		17,500
  		11,287
  		403,835
  		 
 
(7)Ragavan RamalingamV.P. Provider Network Management (i)
(ii)		 158,756
  		10,000
  		 
  		10,080
  		21,381
  		200,217
  		 
 
(8)David SegalChief Operating Officer (i)
(ii)		 331,843
  		41,402
  		 
  		16,583
  		25,260
  		415,088
  		 
 
(9)Joanne DerrV.P.Human Resources (i)
(ii)		 208,768
  		31,579
  		 
  		11,668
  		24,149
  		276,164
  		 
 
(10)Debora L BoninV.P. Clinical Operations (i)
(ii)		 175,259
  		 
  		 
  		12,524
  		9,639
  		197,422
  		 
 
(11)Robert JordanChief Actuary (i)
(ii)		 181,963
  		 
  		 
  		10,864
  		21,650
  		214,477
  		 
 
(12)Jill D'ArbeloffDirector Projects Processes (i)
(ii)		 180,447
  		7,500
  		333
  		11,286
  		21,645
  		221,211
  		 
 
(13)Charles Goheen 010112 to 081112Chief Financial Officer (i)
(ii)		 206,250
  		50,538
  		16,619
  		3,721
  		16,831
  		293,959
  		 
 
(14)Jennifer K WeinerV.P. Provider Network Management (i)
(ii)		 209,251
  		31,881
  		 
  		11,989
  		24,956
  		278,077
  		 
 
(15)Charles E HelstromController (i)
(ii)		 175,568
  		 
  		2,000
  		12,442
  		21,619
  		211,629
  		 
 
(16)Carmine IannaceDeputy Chief Information Officer (i)
(ii)		 173,077
  		12,000
  		 
  		 
  		21,635
  		206,712
  		 
 
(17)Joseph Betancourt MD 100112 - 12311Director (i)
(ii)		  
213,704 		 
41,077 		 
5,540 		 
34,503 		 
20,698 		 
315,522 		 
 
(18)Allen Smith MD 100112 - 123112Director (i)
(ii)		  
487,550 		 
51,000 		 
38,328 		 
34,495 		 
16,041 		 
627,414 		 
 
(19)Matthew Fishman Chairman 100112 - 1Director (i)
(ii)		  
338,896 		 
38,000 		 
56,819 		 
38,280 		 
31,732 		 
503,727 		 
 
(20)Valerie Stone MD 100112 - 123112Director (i)
(ii)		  
230,244 		 
38,091 		 
33,545 		 
34,502 		 
10,213 		 
346,595 		 
 
(21)Julie DeSorgherDirector Medical Economics (i)
(ii)		 173,100
  		100
  		 
  		 
  		21,585
  		194,785
  		 
 
(22)Peter K Markell 100112 - 123112Treasurer (i)
(ii)		  
1,185,072 		 
120,000 		 
2,221,563 		 
334,497 		 
26,182 		 
3,887,314 		 
1,500,000
Schedule J (Form 990) 2012

Schedule J (Form 990) 2012
Page 3
Part III
Supplemental Information
Complete this part to provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Identifier Return Reference Explanation
I 4b PARTICIPATION IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN PART I, LINE 4B THE AMOUNTS LISTED BELOW ARE INCLUDED IN THE COMPENSATION TOTALS REPORTED PETER K. MARKELL - 354,027
Schedule J (Form 990) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ. MediumBullet See separate instructions.
OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
NEIGHBORHOOD HEALTH PLAN INC
 
Employer identification number

04-2932021
Part I
Excess Benefit Transactions (section 501(c)(3) and section 501(c)(4) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
Total ......Small Bullet $  
Part III
Grants or Assistance Benefitting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2012
Schedule L (Form 990 or 990-EZ) 2012
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Frederic J Marx NHP Corporate Clerk Officer of contracted law firm 552,319 Legal expense Hemenway Barnes   No
Part V
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule L (see instructions).
Identifier Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
OMB No. 1545-0047
2012
Open to Public
Inspection
Name of the organization
NEIGHBORHOOD HEALTH PLAN INC
 
Employer identification number

04-2932021
Identifier Return Reference Explanation
    Form 990 Part VI Section B Line 11 FORM 990 IS COMPLETED AND REVIEWED UNDER THE DIRECTION OF THE CHIEF FINANCIAL OFFICER. A SURVEY IS COMPLETED BY EACH BOARD MEMBER AND ALL KEY EMPLOYEES COVERING CONFLICTS OF INTEREST AND DISCLOSURES OF CERTAIN RELATIONSHIPS, ARRANGEMENTS AND TRANSACTIONS THAT COULD HAVE A BEARING ON THEIR INDEPENDENCE. A COPY OF THE FORM 990 IS PROVIDED TO PARTNERS FOR THEIR REVIEW PRIOR TO FILING THE FORM 990.
    Form 990 Part VI Section B Line 12c TO PROMOTE COMPLIANCE WITH THE CONFLICT OF INTEREST POLICY AND OTHER CORPORATE POLICIES EMPLOYEES ARE REQUIRED TO TAKE ANNUAL TRAINING. BOARD MEMBERS COMPLETE AN ANNUAL SURVEY THAT COVERS COMPLIANCE QUESTIONS THAT ARE ADDRESSED ON THE FORM 990.
    Form 990 Part VI Section B Line 15a A SPECIAL COMMITTEE OF THE BOARD REVIEWS AND RECOMMENDS THE COMPENSATION TERMS FOR THE PRESIDENT AND CHIEF EXECUTIVE OFFICER BASED ON A STUDY OF COMPARABLE COMPENSATION STATISTICS FOR SIMILAR PLANS IN THE REGION AND NATIONALLY. THE BOARD VOTES TO APPROVE THE RECOMMENDATION.
    Form 990 Part VI Section C Line 19 THE FORM 990 IS MADE AVAILABLE TO THE PUBLIC BY REQUEST AND IS ALSO AVAILBLE ON THE MASSACHUSETTS ATTORNEY GENERAL, DIVISION OF PUBLIC CHARITIES, PUBLIC WEBSITE AS REQUIRED BY MASSACHUSETTS REGULATION. THE FORM 990 IS A REQUIRED ATTACHMENT TO THE STATE FORM PC THAT IS FILED ANNUALLY BY ALL NON-PROFIT CHARITABLE ORGANIZATIONS CONDUCTING BUSINESS IN MASSACHUSETTS. ON A QUARTERLY BASIS THE COMPANY FILES FINANCIAL STATEMENTS WITH THE MASSACHUSETTS DIVISION OF INSURANCE AND THESE STATEMENTS ARE PUBLIC DOCUMENTS AVAILABLE ON REQUEST.
    Form 990 Part XI Section 1 Line 2d THE AUDIT REPORT INCLUDES AN AFFILIATED ENTITY CMA, INC.. THE AFFILIATES INCOME HAS BEEN SUBTRACTED TO RECONCILE TO NHPS INCOME.
    Form 990 Part XII Section 1 Line 2d THE AUDIT REPORT INCLUDES AN AFFILIATED ENTITY CMA, INC.. THE AFFILIATES EXPENSE HAS BEEN SUBTRACTED TO RECONCILE TO NHPS EXPENSE TOTAL.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2012

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" to Form 990, Part IV, line 33, 34, 35, 36, or 37.
MediumBulletAttach to Form 990. MediumBullet See separate instructions.

OMB No. 1545-0047
2012
Open to Public Inspection
Name of the organization
NEIGHBORHOOD HEALTH PLAN INC
 
Employer identification number

04-2932021
Part I
Identification of Disregarded Entities (Complete if the organization answered "Yes" to Form 990, Part IV, line 33.)
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity
(1) MEDVIA LLC (INACTIVE)
253 SUMMER STREET
BOSTON,MA022101120
20-3831204 		PATIENT COMMUNICATIONS MA     NEIGHBORHOOD HEALTH PLAN
 
(2) MHSPY LLC (INACTIVE)
253 SUMMER STREET
BOSTON,MA022101120
20-3831274 		HEALTHCARE MA     NEIGHBORHOOD HEALTH PLAN
 
(3) PARTNERS HEALTHCARE INTERNATIONAL LLC 20-5281203
800 BOYLSTON STREET
BOSTON,MA02199
20-5281203 		MED TRAINING MA 12,234,443 10,610,334 PHS
 
(4) PD PRODUCTIONS LLC
101 MERRIMAC STREET 3RD FLOOR
BOSTON,MA02114
56-2383458 		MED TRAINING MA     PHS
 
(5) PARTNERS PRIVATE CARE LLC
1101 WORCESTER ROAD
FRAMINGHAM,MA01701
26-3871702 		HOME HEALTH MA     PHC
 
(6) GENEINSIGHT LLC
101 HUNTINGTON AVENUE
BOSTON,MA02199
46-1081053 		R D MA     PHS
 
Part II
Identification of Related Tax-Exempt Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.)
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) COMMUNITY MEDICAL ALLIANCE INC

253 SUMMER STREET

BOSTON,MA021101120
04-3454185 		HEALTH CARE MA 501C3 11a SUPPORTING ORGAN NEIGHBORHOOD HEALTH PLAN
 
Yes
 
(2) THE MASSACHUSETTS GENERAL HOSPITAL (MGH)

55 FRUIT STREET

BOSTON,MA02114
04-1564655 		HEALTHCARE MA 501C3 7 PHS
 
Yes
 
(3) THE GENERAL HOSPITAL COPORATION

55 FRUIT STREET

BOSTON,MA02114
04-2697983 		HEALTHCARE MA 501C3 3 MGH
 
Yes
 
(4) MASSACHUSETTS GENERAL PHYSICIANS ORG

55 FRUIT STREET

BOSTON,MA02114
04-2807148 		HEALTHCARE MA 501C3 9 MGH
 
Yes
 
(5) THE MGH HEALTH SERVICES CORPORATION

55 FRUIT STREET

BOSTON,MA02114
22-2717383 		HEALTHCARE MA 501C3 11A MGH
 
Yes
 
(6) THE MGH INSTITUTE OF HEALTH PROFESSIONS

36 FIRST AVENUE

BOSTON,MA02129
04-2868893 		MED EDUCATION MA 501C3 2 MGH
 
Yes
 
(7) MCLEAN HEALTHCARE INC (MHC)

115 MILL STREET

BOSTON,MA02478
20-4572876 		ADMIN SUPPORT MA 501C3 11A MGH
 
Yes
 
(8) THE MCLEAN HOSPITAL CORPORATION

115 MILL STREET

BOSTON,MA02478
04-2697981 		HEALTHCARE MA 501C3 3 MGH
 
Yes
 
(9) MARTHA'S VINEYARD HOSPITAL INC (MVH)

LINTON LANE PO BOX 1477

OAK BLUFFS,MA02557
04-2104691 		HEALTHCARE MA 501C3 3 MGH
 
Yes
 
(10) WNR INC

1 LINTON LANE

OAK BLUFFS,MA02557
04-3419920 		NURSING SVCS. MA 501C3 9 MVH
 
Yes
 
(11) NANTUCKET COTTAGE HOSPITAL (NCH)

57 PROSPECT STREET

NANTUCKET,MA02554
04-2103823 		HEALTHCARE MA 501C3 3 MGH
 
Yes
 
(12) NANTUCKET COTTAGE HOSPITAL FOUNDATION

57 PROSPECT STREET

NANTUCKET,MA02554
04-3829745 		ADMIN SUPPORT MA 501C3 11A NCH
 
Yes
 
(13) BRIGHAM AND WOMEN'S HEALTH CARE (BWHC)

75 FRANCIS STREET

BOSTON,MA02115
04-2921338 		ADMIN SUPPORT MA 501C3 7 PHS
 
Yes
 
(14) THE BRIGHAM AND WOMEN'S HOSPITAL (BWH)

75 FRANCIS STREET

BOSTON,MA02115
04-2312909 		HEALTHCARE MA 501C3 3 BWHC
 
Yes
 
(15) BIOSCIENCES RESEARCH FOUNDATION INC

75 FRANCIS STREET

BOSTON,MA02115
22-2483849 		PROMOTE RES. MA 501C3 11A BWHC
 
Yes
 
(16) BWH RESEARCH INC

75 FRANCIS STREET

BOSTON,MA02115
04-3011445 		MED RESEARCH MA 501C3 11A BWHC
 
Yes
 
(17) BRIGHAM COMMUNITY PRACTICES INC

75 FRANCIS STREET

BOSTON,MA02115
22-2588069 		HEALTHCARE MA 501C3 9 BWHC
 
Yes
 
(18) BRIGHAM AND WOMEN'S PHYS ORG (BWPO)

75 FRANCIS STREET

BOSTON,MA02115
04-3466314 		HEALTHCARE MA 501C3 9 BWHC
 
Yes
 
(19) BWH ANESTHESIA RES & EDUC FOUNDATION

75 FRANCIS STREET

BOSTON,MA02115
04-3492603 		MED RES EDU MA 501C3 7 BWPO
 
Yes
 
(20) BRIGHAM MEDICAL RES & EDU FOUNDATION

75 FRANCIS STREET

BOSTON,MA02115
04-3539249 		MED RES EDU MA 501C3 11A BWPO
 
Yes
 
(21) BRIGHAM & WOMEN'S OB-GYN RES & EDU

75 FRANCIS STREET

BOSTON,MA02115
04-3494863 		MED RES EDU MA 501C3 7 BWPO
 
Yes
 
(22) BRIGHAM PATHOLOGY RES & EDU FOUNDATION

75 FRANCIS STREET

BOSTON,MA02115
04-3541111 		MED RES EDU MA 501C3 11A BWPO
 
Yes
 
(23) BRIGHAM RADIOLOGY RES & EDU FOUNDATION

75 FRANCIS STREET

BOSTON,MA02115
04-3425905 		MED RES EDU MA 501C3 11A BWPO
 
Yes
 
(24) BWH RADIATION ONCOLOGY RES & EDU FOUND

75 FRANCIS STREET

BOSTON,MA02115
03-0411731 		MED RES EDU MA 501C3 7 BWPO
 
Yes
 
(25) BRIGHAM AND WOMEN'S FAULKNER HOSP(BWFH)

1153 CENTRE STREET

BOSTON,MA02130
04-2768256 		HEALTHCARE MA 501C3 3 BWHC
 
Yes
 
(26) WEST ROXBURY MEDICAL GROUP INC

1828 CENTRE STREET

BOSTON,MA02132
04-3148310 		HEALTHCARE MA 501C3 11A BWFH
 
Yes
 
(27) FAULKNER BREAST CENTRE INC

1153 CENTRE STREET

BOSTON,MA02130
04-3195325 		HEALTHCARE MA 501C3 11A BWFH
 
Yes
 
(28) FAULKNER COMMUNITY MEDICAL CORPORATION

1153 CENTRE STREET

BOSTON,MA02130
04-3235613 		HEALTHCARE MA 501C3 11A BWFH
 
Yes
 
(29) VILLAGE MANOR NURSING HOME INC

1153 CENTRE STREET

BOSTON,MA02130
04-2775265 		NURSING HOME MA 501C3 3 BWFH
 
Yes
 
(30) PARTNERS CONTINUING CARE INC (PCC)

PRUDENTIAL TOWER 800 BOYLSTON

BOSTON,MA02199
26-0003495 		ADMIN SUPPORT MA 501C3 11A PHS
 
Yes
 
(31) SPAULDING REHABILITATION HOSPITAL CORP

300 FIRST AVENUE

CHARLESTOWN,MA02129
04-2551124 		HEALTHCARE MA 501C3 3 PCC
 
Yes
 
(32) REHAB HOSPITAL OF THE CAPE & ISLANDS

311 SERVICE ROAD

EAST SANDWICH,MA02537
04-3071419 		HEALTHCARE MA 501C3 3 PCC
 
Yes
 
(33) SHAUGHNESSY-KAPLAN REHABILITATION HOSP

DOVE AVENUE

SALEM,MA01970
04-3067082 		HEALTHCARE MA 501C3 3 PCC
 
Yes
 
(34) PARTNERS HOME CARE INC (PHC)

281 WINTER STREET

WALTHAM,MA02451
04-2918280 		HOME HEALTH MA 501C3 9 PCC
 
Yes
 
(35) PARTNERS HOSPICE INC

48 WOERD AVENUE 102

WALTHAM,MA02453
04-2730504 		HOME HEALTH MA 501C3 7 PHC
 
Yes
 
(36) FRC INC

101 MERRIMAC STREET

BOSTON,MA02114
22-2632121 		HEALTHCARE MA 501C3 3 PCC
 
Yes
 
(37) NSMC HEALTHCARE INC (NSHC)

81 HIGHLAND AVENUE

SALEM,MA01970
04-3294420 		ADMIN SUPPORT MA 501C3 11A PHS
 
Yes
 
(38) NORTH SHORE MEDICAL CENTER INC

81 HIGHLAND AVENUE

SALEM,MA01970
04-3399616 		HEALTHCARE MA 501C3 3 NSHC
 
Yes
 
(39) NORTH SHORE PHYSICIANS GROUP INC

81 HIGHLAND AVENUE

SALEM,MA01970
04-3080484 		HEALTHCARE MA 501C3 11A NSHC
 
Yes
 
(40) NEWTON-WELLESLEY HEALTHCARE SYSTEM(NWHC)

2014 WASHINGTON STREET

NEWTON,MA02462
20-4295282 		ADMIN SUPPORT MA 501C3 11A PHS
 
Yes
 
(41) NEWTON-WELLESLEY HOSPITAL

2014 WASHINGTON STREET

NEWTON,MA02462
04-2103611 		HEALTHCARE MA 501C3 3 NWHC
 
Yes
 
(42) NEWTON-WELLESLEY AMBULATORY SERVICES

2014 WASHINGTON STREET

NEWTON,MA02462
22-2560501 		HEALTHCARE MA 501C3 11A NWHC
 
Yes
 
(43) NEWTON-WELLESLEY HOSP CHARITABLE FOUND

2014 WASHINGTON STREET

NEWTON,MA02462
04-3455952 		FUNDRAISING MA 501C3 7 NWHC
 
Yes
 
(44) NEWTON-WELLESLEY CHILDREN'S CORNER INC

2014 WASHINGTON STREET

NEWTON,MA02462
04-2650246 		CHILD CARE MA 501C3 9 NWHC
 
Yes
 
(45) PARTNERS MEDICAL INTERNATIONAL INC

100 CAMBRIDGE STREET

BOSTON,MA02114
04-3197711 		MED. TRAINING MA 501C3 11A PHS
 
Yes
 
(46) THE FRIENDS OF THE BRIGHAM & WOMEN'S HOS

75 FRANCIS STREET

BOSTON,MA02115
04-2239449 		FUNDRAISING MA 501C3 11A BWHC
 
Yes
 
(47) SPAULDING HOSPITAL - CAMBRIDGE INC

1575 CAMBRIDGE STREET

CAMBRIDGE,MA02138
27-0273715 		HOSPITAL MA 501C3 3 PCC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.)
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V—UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No












Part IV
Identification of Related Organizations Taxable as a Corporation or Trust (Complete if the organization answered "Yes" to Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.)
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) BSC INC

75 FRANCIS STREET
BOSTON,MA02115
04-2987478 		COMMUNICATION MA BWHC
  		C Corp       Yes  
(2) PARTNERS COMMUNITY HEALTHCARE INC

800 BOYLSTON STREET
BOSTON,MA02199
04-3236175 		HEALTHCARE MA PHS
  		C Corp 222,864,438 116,833,098 100.000 % Yes  
(3) NEWTON-WELLESLEY PHYSICIAN HOSPITAL ORG

2014 WASHINGTON STREET
NEWTON,MA02462
04-3209749 		HEALTHCARE MA NWHC
  		C Corp 4,567,394 11,430,238 100.000 % Yes  








Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 3
Part V
Transactions With Related Organizations (Complete if the organization answered "Yes" to Form 990, Part IV, line 34, 35b, or 36.)
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest (ii) annuities (iii) royalties or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
 
No
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
Yes
 
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
 
No
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
 
No
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of other organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Community Medical Alliance Inc

 n 113,856 Fair Rental Value
(2) Community Medical Alliance Inc

 p 3,481,963 Fair Services Value
(3) Partners Healthcare Systems Inc

 c 11,514,595 Actual Cost
(4) Partners Healthcare Systems Inc

 l 25,882 Actual Cost, Premiums
(5) Brigham and Women's Faulkner Hospitals Inc

 l 310,087 Actual Cost, Premiums
(6) The Massachusetts General Hospital

 l 9,989 Actual Cost, Premiums
(7) The Brigham and Womens's Hospital Inc

 l 150,964 Actual Cost, Premiums
(8) The Brigham and Womens's Hospital Inc

 m 6,164,290 Actual Cost, Medical Services
(9) The Massachusetts General Hospital

 m 45,768,668 Actual Cost, Medical Services
(10) The Brigham and Womens's Hospital Inc

 m 51,796,849 Actual Cost, Medical Services
(11) Brigham and Women's Physicans Organization Inc

 m 1,619,681 Actual Cost, Medical Services
(12) Massachusetts General Physicians Organization Inc

 m 3,762,501 Actual Cost, Medical Services
(13) Martha'a Vineyard Hospital Inc

 m 1,130,579 Actual Cost, Medical Services
(14) Nantucket Cottage Hospital

 m 763,021 Actual Cost, Medical Services
(15) North Shore Medical Center Inc

 m 17,976,364 Actual Cost, Medical Services
(16) Newton-Wellesley Hospital

 m 6,383,895 Actual Cost, Medical Services
(17) The Spaulding Rehabilitation Hospital Corporation

 m 2,509,219 Actual Cost, Medical Services
(18) Rehabilitation Hospital of the Cape and Islands Corporation

 m 119,730 Actual Cost, Medical Services
(19) Shaughnessy-Kaplan Rehabilitation Hospital Inc

 m 615,058 Actual Cost, Medical Services
(20) Partners Home Care Inc

 m 402,694 Actual Cost, Medical Services
(21) FRC Inc

 m 150,749 Actual Cost, Medical Services
(22) Spaulding Hospital-Cambridge Inc

 m 515,974 Actual Cost, Medical Services
(23) Dana Farber Partners Cancer Care

 m 7,700,475 Actual Cost, Medical Services
(24) Partners Community Healthcare Inc

 m 4,524 Actual Cost, Medical Services
Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership (Complete if the organization answered "Yes" to Form 990, Part IV, line 37.)
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under section 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V—UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2012
Schedule R (Form 990) 2012
Page 5
Part VII
Supplemental Information
Complete this part to provide additional information for responses to questions on Schedule R (see instructions).
Identifier Return Reference Explanation

Additional Data


Software ID: 12000057
Software Version: 12.19.1011.1