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HUDSON HEALTH PLAN INC: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
HUDSON HEALTH PLAN INC (EIN 13-3350704)
Tax period
2021-01-01 to 2021-12-13
Filed
2022-11-10
IRS object ID
202233149349304813
Schema version
2021v4.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2022-11-10T13:03:59-06:00ReturnTs
Tax Period End2021-12-13TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN366055558PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1GRANT THORNTON LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1757 THIRD AVENUE 3RD FLOORAddressLine1Txt
CityNEW YORKCityNm
State AbbreviationNYStateAbbreviationCd
ZIP100172013ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2021-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN133350704EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1HUDSON HEALTH PLAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlHUDSBusinessNameControlTxt
Phone5183882357PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 STATE STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12305ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonKARLA AUSTENPersonNm
Person TitleTREASURERPersonTitleTxt
Phone5184274600PhoneNum
Signature2022-11-10SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstKARLAPersonFirstNm
Person LastAUSTENPersonLastNm
FieldValueIRS element (for citing)
SSNXXX-XX-XXXXSSN

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonSCOTT THOMPSETTPreparerPersonNm
PTINP00741490PTIN
Phone2125990100PhoneNum

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

FieldValueIRS element (for citing)
Trusted Customer3TrustedCustomerCd
Authentication Assurance LevelAAL1AuthenticationAssuranceLevelCd
Identity Assurance LevelIAL1IdentityAssuranceLevelCd
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Final ReturnYes (X)FinalReturnInd
Principal OfficerCHRISTOPHER DEL VECCHIOPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 STATE STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12305ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$489,953GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.MVPHEALTHCARE.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1985FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionHUDSON HEALTH PLAN'S MISSION WAS TO PROMOTE AND PROVIDE ACCESS TO EXCELLENT HEALTH SERVICES FOR ALL.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$37,940PYProgramServiceRevenueAmt
CY Program Service Revenue$472,773CYProgramServiceRevenueAmt
PY Investment Income$260,458PYInvestmentIncomeAmt
CY Investment Income$17,180CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$298,398PYTotalRevenueAmt
CY Total Revenue$489,953CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$0PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$0CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$33,869PYOtherExpensesAmt
CY Other Expenses$468,228CYOtherExpensesAmt
PY Total Expenses$33,869PYTotalExpensesAmt
CY Total Expenses$468,228CYTotalExpensesAmt
PY Revenues Less Expenses$264,529PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$21,725CYRevenuesLessExpensesAmt
Total Assets BOY$40,105,199TotalAssetsBOYAmt
Total Assets EOY$0TotalAssetsEOYAmt
Total Liabilities BOY$306,884TotalLiabilitiesBOYAmt
Total Liabilities EOY$0TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$39,798,315NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$0NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROMOTE AND PROVIDE ACCESS TO EXCELLENT HEALTH SERVICES IN WESTCHESTER, ROCKLAND, SULLIVAN, ORANGE, DUTCHESS, AND ULSTER COUNTIES.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant ChangeYes (1)SignificantChangeInd
Expense$454,298ExpenseAmt
Grant$0GrantAmt
Revenue$472,773RevenueAmt
DescHUDSON HEALTH PLAN'S LARGEST PROGRAM IS TO PROVIDE PREVENTIVE CARE AND MEDICAL TREATMENT FOR PEOPLE WITH LIMITED INCOME UNDER THE CHP AND MEDICAID MANAGED CARE PROGRAM.Desc
Total Program Service Expenses$454,298TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment0ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other Liabilities0ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J Required0ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate OperationsYes (1)TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKARLA AUSTENPersonNm
Phone5183882357PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 STATE STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12305ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd
No Listed Persons CompensatedYes (X)NoListedPersonsCompensatedInd

Form990 Part VII Section A Form990PartVIISectionAGrp (5 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmt
CHRISTOPHER DEL VECCHIO
PRESIDENT & CEO0.0037.50Yes (X)Yes (X)$0$0$0
KARLA AUSTEN
TREASURER0.0037.50Yes (X)Yes (X)$0$0$0
MONICE BARBERO
SECRETARY0.0037.50Yes (X)Yes (X)$0$0$0
ALAN GOLDBERG
CHAIR1.007.00Yes (X)Yes (X)$0$0$0
DAVID S PRATT MD
VICE CHAIR1.006.00Yes (X)Yes (X)$0$0$0
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$0TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K0TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt

Program Service Revenue ProgramServiceRevenueGrp

FieldValueIRS element (for citing)
DescMEDICAID PREMIUMDesc
Business524114BusinessCd
Total Revenue Column$472,773TotalRevenueColumnAmt
Related Or Exempt Func Income$472,773RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$472,773TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,180TotalRevenueColumnAmt
Exclusion$17,180ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$489,953TotalRevenueColumnAmt
Related Or Exempt Func Income$472,773RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$17,180ExclusionAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$13,930TotalAmt
Management And General$13,930ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp

FieldValueIRS element (for citing)
DescMEDICAL EXPENSESDesc
Total$454,298TotalAmt
Program Services$454,298ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$468,228TotalAmt
Program Services$454,298ProgramServicesAmt
Management And General$13,930ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$79,651BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$38,843,891BOYAmt
EOY$0EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$769,199BOYAmt
EOY$0EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$0LandBldgEquipCostOrOtherBssAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
EOY$0EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$412,458BOYAmt
EOY$0EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$40,105,199BOYAmt
EOY$0EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$284,805BOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$22,079BOYAmt
EOY$0EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$306,884BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$39,798,315BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$39,798,315BOYAmt
EOY$0EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$40,105,199BOYAmt
EOY$0EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$21,725ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$5,635NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$39,814,405OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Supporting Organization509a3Yes (X)SupportingOrganization509a3Ind
Supporting Org Type1Yes (X)SupportingOrgType1Ind
Supported Organizations1SupportedOrganizationsCnt

Supported Org Information SupportedOrgInformationGrp

Supported Organization Name SupportedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MVP HEALTH PLAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
EIN141640868EIN
Organization Type10OrganizationTypeCd
Governing Document ListedYes (1)GoverningDocumentListedInd
Support$0SupportAmt
Other Support$468,288OtherSupportAmt
FieldValueIRS element (for citing)
Supported Organizations Total1SupportedOrganizationsTotalCnt
Support Sum$0SupportSumAmt
Other Support Sum$468,288OtherSupportSumAmt

Form990 Sch A Supporting Org Form990SchASupportingOrgGrp

FieldValueIRS element (for citing)
Listed By Name Governing DocYes (1)ListedByNameGoverningDocInd
Suprt Org No IRS DeterminationYes (1)SuprtOrgNoIRSDeterminationInd
Supported Org Section C456Yes (1)SupportedOrgSectionC456Ind
Supported Org QualifiedYes (1)SupportedOrgQualifiedInd
Suprt Exclusively Sec170c2 BYes (1)SuprtExclusivelySec170c2BInd
Supported Org Not Organized US0SupportedOrgNotOrganizedUSInd
Organization Change Suprt Org0OrganizationChangeSuprtOrgInd
Support Non Supported Org0SupportNonSupportedOrgInd
Payment Substantial Contribtr0PaymentSubstantialContribtrInd
Loan Disqualified Person0LoanDisqualifiedPersonInd
Controlled Disqualified Prsn0ControlledDisqualifiedPrsnInd
Disqualified Prsn Controll Int0DisqualifiedPrsnControllIntInd
Disqualified Prsn Ownr Int0DisqualifiedPrsnOwnrIntInd
Excess Business Holdings Rules0ExcessBusinessHoldingsRulesInd
Contribution Controller0ContributionControllerInd
Contribution Family0ContributionFamilyInd
Contribution35 Controlled0Contribution35ControlledInd

Form990 Sch A Type1 Suprt Org Form990SchAType1SuprtOrgGrp

FieldValueIRS element (for citing)
Power Appoint Majority Dir TrstYes (1)PowerAppointMajorityDirTrstInd
Operate Benefit Non Suprt Org0OperateBenefitNonSuprtOrgInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE A:HUDSON HEALTH PLAN, INC.'S PRIMARY EXEMPT PURPOSE WAS TO PROMOTE AND PROVIDE ACCESS TO EXCELLENT HEALTH SERVICES FOR ALL. THE PLAN HAS BEEN WINDING DOWN ITS OPERATIONS FOR THE PAST SEVERAL YEARS AND FINALLY RECEIVED NEW YORK STATE APPROVAL TO DISSOLVE IN 2021. THE BOARD APPROVED DISSOLUTION ON 12/31/2001 AND ALL ASSETS OF HUDSON HEALTH PLAN, INC. WERE TRANSFERRED OVER TO MVP HEALTH PLAN, INC. AS REQUIRED BY THE PLAN'S ORGANIZING DOCUMENTS.
PART IV, SECTION A, LINE 2:HUDSON HEALTH PLAN, INC. SUPPORTED THE TAX-EXEMPT MISSION OF A SECTION 501(C)(4) TAX-EXEMPT ORGANIZATION, MVP HEALTH PLAN, INC. MVP HEALTH PLAN, INC. IS A HEALTH MAINTENANCE ORGANIZATION THAT PROVIDES ACCESS TO HEALTHCARE; ITS PRIMARY SOURCE OF REVENUE IS FROM GOVERNMENTAL REVENUES THAT WOULD CONSTITUTE PUBLIC SUPPORT UNDER SECTION 509(A)(2).
PART IV, SECTION A, LINE 3B:MVP HEALTH PLAN, INC. RECEIVES 99% OF ITS REVENUE FROM GOVERNMENTAL SOURCES; ACCORDINGLY, THERE IS NO QUESTION THAT IT WOULD QUALIFY FOR SECTION 509(A)(2) STATUS WERE IT EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. NO FURTHER MONITORING OF MVP HEALTH PLAN'S ABILITY TO MEET THE PUBLIC SUPPORT TEST IS REQUIRED BECAUSE ITS GOVERNMENT FUNDING IS CONSISTENT FROM YEAR-TO-YEAR.
PART IV, SECTION A, LINE 3C:HUDSON HEALTH PLAN, INC.'S PRIMARY EXEMPT PURPOSE WAS TO SUPPORT THE HEALTHCARE MISSION OF MVP HEALTH PLAN, INC. IN WHATEVER CAPACITY WAS REQUIRED. IN CALENDAR 2021, HUDSON HEALTH PLAN DISSOLVED AND DISTRIBUTED ITS REMAINING ASSETS TO MVP HEALTH PLAN, INC.

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Total Book Value Land Buildings$0TotalBookValueLandBuildingsAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTO ACCOUNT FOR UNCERTAINTY IN INCOME TAXES, A TAX POSITION CAN BE RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS ONLY WHEN IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION BY THE RELEVANT TAXING AUTHORITY BASED ON THE TECHNICAL MERITS OF THE POSITION. A POSITION THAT MEETS THIS STANDARD IS MEASURED AT THE LARGEST AMOUNT OF BENEFIT THAT WILL MORE LIKELY THAN NOT BE REALIZED UPON SETTLEMENT. A LIABILITY IS ESTABLISHED FOR DIFFERENCES BETWEEN POSITIONS TAKEN IN A TAX RETURN AND AMOUNTS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS.ExplanationTxt

Schedule N IRS990ScheduleN

Liquidation Of Assets Table LiquidationOfAssetsTableGrp

Liquidation Of Assets Detail LiquidationOfAssetsDetail

FieldValueIRS element (for citing)
Assets Distri Or Expnss PaidNET ASSETS DISTRIBUTED TO MVPHP UPON DISSOLUTIONAssetsDistriOrExpnssPaidDesc
Distribution2021-09-30DistributionDt
Fair Market Value Of Asset$39,814,405FairMarketValueOfAssetAmt
Method Of FMV DeterminationBOOK VALUEMethodOfFMVDeterminationTxt
EIN141640868EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MVP HEALTH PLAN INCBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1625 STATE STREETAddressLine1Txt
CitySCHENECTADYCityNm
State AbbreviationNYStateAbbreviationCd
ZIP12305ZIPCd
FieldValueIRS element (for citing)
IRC Section501(C)(4)IRCSectionTxt
FieldValueIRS element (for citing)
Director Of SuccessorYes (1)DirectorOfSuccessorInd
Employee Of SuccessorYes (1)EmployeeOfSuccessorInd
Owner Of Successor0OwnerOfSuccessorInd
Receive Compensation0ReceiveCompensationInd
Assets DistributedYes (1)AssetsDistributedInd
Required To Notify AGYes (1)RequiredToNotifyAGInd
Attorney General NotifiedYes (1)AttorneyGeneralNotifiedInd
Liabilities PaidYes (1)LiabilitiesPaidInd
Bonds Outstanding0BondsOutstandingInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINE 2E:FormAndLineReferenceDesc
ExplanationPERSON(S) INVOLVED: SCHEDULE N, PART I, LINE 2A & 2B:ALL OF THE INDIVIDUALS LISTED ON PART VII SECTION A OF THIS FORM 990 WERE OFFICERS OR TRUSTEES OF MVP HEALTH PLAN, INC. PRIOR TO THE DISSOLUTION OF HUDSON HEALTH PLAN, INC. AND WILL RETAIN THOSE POSITIONS SUBSEQUENT TO DISSOLUTION.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GENERAL STATEMENT REGARDING THE DISSOLUTION OF THE ORGANIZATION:THE ORGANIZATION CEASED OPERATIONS ON SEPTEMBER 30, 2021. THE BOARD OF DIRECTORS APPROVED THE DISSOLUTION OF THIS ENTITY ON DECEMBER 13, 2021. A COPY OF THE RESOLUTION OF THE GOVERNING BODY APPROVING THE DISSOLUTION AND CERTIFICATE OF DISSOLUTION IS ATTACHED TO THIS FORM 990.
FORM 990, PART III, LINE 3ORGANIZATION CEASED CONDUCTING ANY PROGRAM SERVICES THE ORGANIZATION CEASED OPERATIONS ON SEPTEMBER 30, 2021. THE BOARD OF DIRECTORS APPROVED THE DISSOLUTION OF THIS ENTITY ON DECEMBER 13, 2021. REMAINING NET ASSETS WERE DISTRIBUTED TO A RELATED TAX-EXEMPT ENTITY, MVP HEALTH PLAN, INC.
FORM 990, PART VI, SECTION A, LINE 6THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) CORPORATION UNDER NEW YORK STATE LAW. THE ORGANIZATION'S SOLE CORPORATE MEMBER IS MVP HEALTH PLAN, INC., A RELATED NOT FOR PROFIT ENTITY.
FORM 990, PART VI, SECTION A, LINE 7ATHE ORGANIZATION'S SOLE CORPORATE MEMBER ELECTS THE MEMBERS OF THE GOVERNING BODY ANNUALLY.
FORM 990, PART VI, SECTION A, LINE 7BTHE ORGANIZATION'S BYLAWS RESERVE THE FOLLOWING POWERS TO THE SOLE CORPORATE MEMBER: (A) NOMINATE AND ELECT ALL MEMBERS OF, AND SHALL FILL ALL VACANCIES EXISTING FROM TIME TO TIME ON, THE BOARD OF DIRECTORS OF THE CORPORATION (THE "BOARD OF DIRECTORS OR THE "BOARD"); (B) REMOVE ANY DIRECTOR IT HAD THE POWER TO APPOINT OR ELECT; (C) APPOINT AND REMOVE THE CHAIRPERSON AND VICE-CHAIRPERSON OF THE BOARD OF DIRECTORS; (D) DESIGNATE THE COMMITTEES OF THE MEMBER'S BOARD OF DIRECTORS FOR OVERSIGHT OF THE OPERATIONS OF THE CORPORATION AS WELL AS THE OPERATIONS OF THE MEMBER, IN ACCORDANCE WITH THE RESPECTIVE COMMITTEE CHARTERS APPROVED BY THE MEMBER'S BOARD OF DIRECTORS. (E) APPROVE ANY AMENDMENT TO, OR MODIFICATION, REPEAL OR RESTATEMENT OF, THE CORPORATION'S CERTIFICATE OF INCORPORATION OR THESE AMENDED AND RESTATED BY-LAWS OF THE CORPORATION (THE "BY-LAWS"); AND (F) DESIGNATE OR ADMIT ANY ADDITIONAL MEMBERS OR CLASS OF MEMBERS TO THE CORPORATION.
FORM 990, PART VI, SECTION B, LINE 11BTHE FORM 990 IS REVIEWED BY THE ORGANIZATION'S MANAGEMENT (I.E. A TEAM COMPRISED OF REPRESENTATIVES OF THE FINANCE, HUMAN RESOURCES, AND LEGAL AFFAIRS DEPARTMENTS) IN CONSULTATION WITH THE ORGANIZATION'S TAX ACCOUNTANTS AT GRANT THORNTON LLP. THE FINANCIAL REVIEW IS BASED ON THE ORGANIZATION'S AUDITED FINANCIAL STATEMENTS FOR THE RELEVANT TIME PERIOD. BEFORE THE FORM 990 IS FILED WITH THE IRS, THE AUDIT COMMITTEE OF MVP HEALTH PLAN, INC.'S BOARD OF DIRECTORS REVIEWS THE FORM 990 AND PROVIDES A COPY OF THE SAME TO THE ORGANIZATION'S FULL BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION B, LINE 12CAS A TERM AND CONDITION OF EMPLOYMENT/APPOINTMENT, UPON EMPLOYMENT/APPOINTMENT AND ANNUALLY THEREAFTER, EACH EMPLOYEE AND OFFICER OF THE ORGANIZATION IS REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM, PROVIDING MANAGEMENT WITH SUFFICIENT INFORMATION ABOUT THEIR PERSONAL INTERESTS AND RELATIONSHIPS THAT MANAGEMENT CAN: 1) MAKE A DETERMINATION AS TO WHETHER AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS 2) MONITOR WORK ASSIGNMENTS/RESPONSIBILITIES TO AVOID PLACING THE INDIVIDUAL IN A POSITION WHERE THERE MAY BE A QUESTION AS TO OBJECTIVITY AND TO AVOID ANY APPEARANCE OF IMPROPRIETY. EMPLOYEES AND OFFICERS ARE ALSO OBLIGATED TO PROMPTLY NOTIFY THEIR MANAGERS OF ANY CHANGES TO THEIR DISCLOSURES THROUGHOUT THE YEAR. DIRECTORS OF THE ORGANIZATION ARE ALSO REQUIRED TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE FORM UPON APPOINTMENT/ELECTION AND ANNUALLY THEREAFTER. DIRECTORS' CONFLICT OF INTEREST DISCLOSURE FORMS ARE SUBMITTED TO THE LEGAL AFFAIRS DEPARTMENT. THE LEGAL AFFAIRS DEPARTMENT TRACKS THESE FORMS TO ENSURE THAT EACH AND EVERY DIRECTOR COMPLETES ONE. THE LEGAL AFFAIRS DEPARTMENT THEN REVIEWS THE DIRECTORS' DISCLOSURES, PREPARES A CHART LISTING EACH ONE, AND PROVIDES A COPY OF THE CHART TO EACH DIRECTOR SO THAT ALL DIRECTORS ARE MADE AWARE OF ALL DIRECTORS' POTENTIAL CONFLICTS OF INTEREST. WHEN AN ISSUE WHICH PRESENTS A POTENTIAL CONFLICT OF INTEREST COMES BEFORE THE BOARD OF DIRECTORS, THE AFFECTED DIRECTOR MUST RECUSE HIMSELF/HERSELF FROM ALL RELATED VOTES OR APPROVALS.
FORM 990, PART VI, SECTION B, LINE 15AN INDEPENDENT CONSULTANT WAS HIRED TO EVALUATE THE COMPENSATION ARRANGEMENTS FOR THE CEO AND THE CEO'S DIRECT REPORTS AND COMPARE THEM TO INDUSTRY STANDARDS TO DETERMINE/CONFIRM THAT THE COMPENSATION STRUCTURE IS REASONABLE. SUCH COMPENSATION ARRANGEMENTS ARE SUBJECT TO THE FINAL APPROVAL OF THE COMPENSATION COMMITTEE. THIS PROCESS MEETS THE REQUIREMENTS OF THE REBUTTABLE PRESUMPTION STANDARD.
FORM 990, PART VI, SECTION C, LINE 19THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC (UPON REQUEST) IN ACCORDANCE WITH APPLICABLE LAW AND REGULATION.
FORM 990, PART VII:SINCE HUDSON HEALTH PLAN, INC. DID NOT COMPLETE A FULL CALENDAR YEAR, NO COMPENSATION IS REQUIRED TO BE DISCLOSED ON THE FINAL FORM 990.
FORM 990, PART XI, LINE 9:SATISFACTION OF INTERCOMPANY LIABILITY WITH MVP HEALTH PLAN, INC. UPON DISSOLUTION OF HUDSON HEALTH PLAN, INC. -39,814,405.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
MVP HEALTH PLAN INC
625 STATE STREETSCHENECTADYNY12305141640868HMO/MCARE/MCDNY501(C)(4)MVPHP HOLD0
MVP HEALTH CARE INC
625 STATE STREETSCHENECTADYNY12305161318351HOLDING COMPANYNY501(C)(4)0N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
MVP SERVICE CORP
625 STATE STREETSCHENECTADYNY12305141730494MANAGEMENTNYMVPUT HOLDINGC0
MVP HEALTH SERVICES CORP
625 STATE STREETSCHENECTADYNY12305223197320INSURANCENYMVPRT HOLDINGC0
MVP HEALTH INSURANCE COMPANY
625 STATE STREETSCHENECTADYNY12305141827918INSURANCENYMVPRT HOLDINGC0
MVPHIC HOLDING CORP
625 STATE STREETSCHENECTADYNY12305141828436HOLDING CORPORATIONNYMVP HEALTH CAREC0
MVP SELECT CARE INC
625 STATE STREETSCHENECTADYNY12305141704347ASO/TPANYMVPUT HOLDINGC0
MVP BENEFIT GROUP INC
625 STATE STREETSCHENECTADYNY12305562364047AGENT BROKERNYMVPUT HOLDINGC0
MVPUT HOLDINGS INC
625 STATE STREETSCHENECTADYNY12305760808234HOLDING CORPORATIONNYMVPHIC HOLDINGC0
MVPRT HOLDINGS INC
625 STATE STREETSCHENECTADYNY12305760808233HOLDING CORPORATIONNYMVPHIC HOLDINGC0
MVPHP HOLDING COMPANY INC
625 STATE STREETSCHENECTADYNY12305134320971HOLDING CORPORATIONNYMVP HEALTH CAREC0
MVP HEALTH SOLUTIONS IPA INC
625 STATE STREETSCHENECTADYNY12305834462095BH NTWRK CONTRACTNYMVPUT HOLDINGC0
BHNY SERVICES LLC
625 STATE STREETSCHENECTADYNY12305872841504DSNP SUPPORT SERVICESNYBELONG HEALTH NY LLCC0
BHNY IPA LLC
625 STATE STREETSCHENECTADYNY12305880562468DSNP PROVIDER NETWORKNYBELONG HEALTH NY LLCC0
GEMINI HEALTH HOLDINGS INC
625 STATE STREETSCHENECTADYNY12305861243569HOLDING CORPORATIONDEMVPUT HOLDINGC0
GENOMIC CARE AND CONTROL INC
625 STATE STREETSCHENECTADYNY12305821681921PRECISION MEDICINEDEMVPUT HOLDINGC0
BELONG HEALTH NY LLC
625 STATE STREETSCHENECTADYNY12305872829532HOLDING CORPORATIONNYMVPUT HOLDINGC0
MVP HEALTH SOLUTIONS INC
625 STATE STREETSCHENECTADYNY12305833390311BH NTWRK CONTRACTNYMVPUT HOLDINGC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other Org0PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

FieldValueIRS element (for citing)
Business Name Line1MVP HEALTH PLAN INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Transaction TypeRTransactionTypeTxt
Involved$39,814,405InvolvedAmt
Method Of Amount DeterminationBOOK VALUEMethodOfAmountDeterminationTxt

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