2017-11-14T08:46:09-06:00 2016-12-31 KPMG LLP 515 Broadway 4th Floor Albany NY 122072974 990 2016-01-01 133350704 Hudson Health Plan Inc % Karla Austen HUDS 5183882357 625 State Street Schenectady NY 12305 KARLA AUSTEN CFO 5183882357 2017-11-13 true MARILYN E FARLEY P01231880 5184274600 2017-11-13 167.68.102.5 14012520173185000000 2017-11-14 P 0CA5CB447FE18380BCC1C1015EE4A18F99FD79FD 9495D134D490A6B84E3CD7F5ECF2B12979C5F68F 2016 2017-02-10 21:41:12Z X Denise Gonick 625 State Street Schenectady NY 12305 174633100 false X www.hudsonhealthplan.org X 1985 NY Hudson Health Plan's mission is to promote and provide access to excellent health services for all people. X 5 5 1816 0 0 0 0 874445971 -312379 873182 41190 860851 118532 876180004 -152657 0 0 0 0 1796844 23769 0 0 0 813250958 -500218 815047802 -476449 61132202 323792 285830037 59239231 97808145 8270801 188021892 50968430 X To promote and provide access to excellent health services in Westchester, Rockland, Sullivan, Orange, Dutchess, and Ulster counties. false true -357237 467730 Hudson Health Plan's largest program is to provide preventive care and medical treatment for people with limited income under the medicaid managed care program. -669925 -7473 Under the child health plus program, Hudson Health Plan provides preventive care and medical treatment for children under the age of 19 who are not covered by private health insurance and are not eligible for medicaid. 4130 -772636 Health homes provide comprehensive care to Medicaid members with multiple chronic conditions. Each enrolled member is assigned a single care manager who is responsible for the overall management and coordination of the patient's care. VBPQIP is to transition financially distressed facilities to a value-based payment model, improve their quality of care, and, as a result of improved quality and VBP contracting, achieve financial sustainability over the duration of the program. 52341 Other 52341 -970691 true false false false false false false false false false true false false true true true false true false false false false false false false false false false false true false false false false false false false false false false false true false true true true false false true 1645 0 true 1816 true false false false false false false false false false false X 5 5 false false true false true true false true true false false true true true true true true true true false NY X Karla Austen 5183882357 625 State Street Schenectady NY 12305 Denise Gonick Director, President & CEO 0.0 37.5 X X 0 2005266 52253 Karen Johnson Chair 1.0 7.0 X 0 71690 0 Alan Goldberg Vice Chair 1.0 6.0 X 0 62708 0 Burt Danovitz Director 1.0 5.0 X 0 54252 0 Susan Montgomery Director & VP 1.63 35.87 X 12498 275357 37211 Karla Austen EVP, Chief Financial Officer 0.0 37.5 X 0 762584 45209 Dawn Jablonski EVP of Legal/General Counsel 0.0 37.5 X 0 443874 48005 Christopher Delvecchio COO & CHIEF ADVISOR TO THE CEO 0.0 37.5 X 0 922541 51734 Catherine Buhler Clancy EVP, Medicaid & MVP Operations 0.0 37.5 X 0 687408 48133 Patrick Glavey EVP, Medicare Progams 0.0 37.5 X 0 635089 42445 Dominick Bizzaro EVP, Business Development 0.0 37.5 X 0 481329 41371 Laurie Metheny CRO, VP Member Services 0.0 37.5 X 0 361724 35450 Lynn Manning VP Human Resources 0.0 37.5 X 0 364956 47809 Allen Hinkle EVP, CMO (THRU 6/30/2016) 0.0 37.5 X 0 1016468 45090 James Poole III VP & CIO 0.0 37.5 X 0 511370 49115 Augusta Martin VP, Client Engagement 0.0 37.5 X 0 547310 42722 Daniel Sauer VP, Sales 0.0 37.5 X 0 570455 41424 Carl Cameron VP Medical Affairs 0.0 37.5 X 0 495769 51346 Carole Montepare VP, SALES & Client Engagement 0.0 37.5 X 0 408168 36706 James Hopsicker VP Pharmacy 0.0 37.5 X 0 399630 41707 Howard Birnbaum Former CFO Medicaid 0.0 0.0 X 0 30392 0 Georganne Chapin Former EVP, Corporate Affairs 0.0 0.0 X 0 50026 1970 12498 11158366 759700 0 true true false 0 0 Medicaid Premium 524114 467730 467730 Child Health Plus Premium 524114 -7473 -7473 Medical Home and VBP QIP 524114 -772636 -772636 -312379 182183 182183 0 0 0 0 0 174644764 174785757 -140993 -140993 -140993 0 0 0 0 0 0 0 0 0 Miscellaneous revenue 900099 118532 118532 118532 -152657 -312379 159722 0 0 0 0 0 0 0 0 2379 2379 21390 21390 0 0 14860 14860 0 0 16515 16515 28017 -3208 31225 0 2717 2717 98827 98827 0 280267 280267 -852 -852 0 0 1095 1095 0 821273 821273 31016 31016 Medical Expenses -676833 -676833 Pharmacy -277020 -277020 Capitated Medical -15130 -15130 Regulatory Expense 1500 1500 -826470 -826470 -476449 -970691 494242 0 147415608 38524413 6575576 0 0 0 22979901 3628442 0 0 0 0 0 0 0 0 194577 82727 15276632 15043448 1054457 233184 42568417 0 0 0 0 0 0 0 65041501 16770465 285830037 59239231 1544162 593049 0 0 0 0 0 0 0 0 0 0 0 0 0 0 96263983 7677752 97808145 8270801 X 188021892 50968430 0 0 0 0 188021892 50968430 285830037 59239231 X 323792 318012 -137695266 X false true X true false X 818333 0 0 0 0 818333 542893678 572110500 750995206 875306822 0 2741306206 0 0 0 543712011 572110500 750995206 875306822 0 2742124539 0 0 0 2742124539 115436 -70970 127425 883448 182183 1237522 0 115436 -70970 127425 883448 182183 1237522 0 25 300000 118532 418557 543827472 572339530 751122631 876190270 300715 2743780618 0.99940 0.99956 0.00045 0.00034 X 0 7896707 7896707 0 7379925 7146741 233184 233184 PHARMACY REBATES RECEIVABLE 179499 REINSURANCE RECOVERIES RECEIV 16354961 OTHER ASSETS 236005 16770465 0 MEDICAL EXPENSE PAYABLE 3601433 DUE TO AFFILIATES 4076319 7677752 X PART X, LINE 2 TO ACCOUNT FOR UNCERTAINTY IN INCOME TAXES, A POSITION CAN BE RECOGNIZED IN THE 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 FINANCIAL STATEMENTS. THE UNRECOGNIZED TAX BENEFITS OF HUDSON ARE NOT EXPECTED TO SIGNIFICANTLY CHANGE OVER THE NEXT TWELVE MONTHS. HUDSON'S POLICY IS TO RECOGNIZE INTEREST AND PENALTIES RELATED TO INCOME TAX MATTERS AS A COMPONENT OF PRETAX INCOME. SUCH AMOUNTS WERE NOT MATERIAL AT DECEMBER 31, 2016 AND 2015. X X false true X X X X X X true true false false true false true false false Denise Gonick Director, President & CEO 0 745822 0 1012617 0 246827 0 45613 0 6640 0 2057519 0 87441 Susan Montgomery Director & VP 8282 182471 3718 81912 498 10974 1452 31989 164 3606 14114 310952 0 0 Howard Birnbaum Former CFO Medicaid 0 0 0 0 0 30392 0 0 0 0 0 30392 0 0 Karla Austen EVP, Chief Financial Officer 0 410166 0 290206 0 62212 0 39725 0 5484 0 807793 0 38145 Dawn Jablonski EVP of Legal/General Counsel 0 288262 0 119293 0 36319 0 43921 0 4084 0 491879 0 31447 Georganne Chapin Former EVP, Corporate Affairs 0 29770 0 0 20256 0 1921 0 49 0 51996 0 0 Christopher Delvecchio COO & CHIEF ADVISOR TO THE CEO 0 542783 0 338660 0 41098 0 46094 0 5640 0 974275 0 3722 Catherine Buhler Clancy EVP, Medicaid & MVP Operations 0 365168 0 286179 0 36061 0 39344 0 8789 0 735541 0 2918 Patrick Glavey EVP, Medicare Progams 0 322530 0 253815 0 58744 0 39975 0 2470 0 677534 0 0 Dominick Bizzaro EVP, Business Development 0 346509 0 101646 0 33174 0 33912 0 7459 0 522700 0 0 Laurie Metheny CRO, VP Member Services 0 233827 0 98481 0 29416 0 31363 0 4087 0 397174 0 23237 Lynn Manning VP Human Resources 0 228231 0 108337 0 28388 0 41040 0 6769 0 412765 0 0 Allen Hinkle EVP, CMO (THRU 6/30/2016) 0 246005 0 355458 0 415005 0 42956 0 2134 0 1061558 0 122558 Augusta Martin VP, Client Engagement 0 294813 0 149264 0 103233 0 38595 0 4127 0 590032 0 70878 Daniel Sauer VP, Sales 0 229219 0 256892 0 84344 0 35185 0 6239 0 611879 0 66955 Carl Cameron VP Medical Affairs 0 291387 0 143292 0 61090 0 44640 0 6706 0 547115 0 57035 Carole Montepare VP, SALES & Client Engagement 0 295054 0 85784 0 27330 0 31759 0 4947 0 444874 0 0 James Hopsicker VP Pharmacy 0 239920 0 121985 0 37725 0 36247 0 5460 0 441337 0 33849 James Poole III VP & CIO 0 332780 0 150697 0 27893 0 42548 0 6567 0 560485 0 0 SCHEDULE J, PART I, LINE 1A & 1B THE PAYMENT OF THESE EXPENSES ARE PAID AS PART OF THE TOTAL REWARDS PACKAGE TO EXECUTIVES AS REVIEWED WITHIN OUR OVERALL COMPENSATION PHILOSOPHY. SCHEDULE J, PART I, LINE 4A THE FOLLOWING EMPLOYEES LISTED ON SCHEDULE J RECEIVED SEPARATION PAYMENTS DURING 2016: HINKLE, DR. ALLEN $225,000 SCHEDULE J, PART I, LINE 4B DURING THE YEAR, SEVERAL OF THE PERSONS LISTED ON SCHEDULE J PARTICIPATED IN A SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN. EMPLOYER AND EMPLOYEE CONTRIBUTIONS DURING THE YEAR TO THIS PLAN HAVE BEEN REPORTED, AS REQUIRED, ON SCHEDULE J, PART II, COLUMNS (B)(III) AND (C). THE FOLLOWING OFFICERS AND KEY EMPLOYEES RECEIVED PAYMENTS UNDER THIS SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN DURING THE YEAR: GONICK, DENISE $ 87,441 DELVECCHIO, CHRISTOPHER $ 3,722 AUSTEN, KARLA $ 38,145 JABLONSKI, DAWN $ 31,447 BUHLER CLANCY, CATHERINE $ 2,918 METHENY, LAURIE $ 23,237 HINKLE, ALLEN $122,558 MARTIN, AUGUSTA $ 70,878 SAUER, DANIEL $ 66,955 CAMERON, CARL $ 57,036 HOPSICKER, JAMES $ 32,926 SCHEDULE J, PART I, LINE 5B & 6B RELATIVE TO BONUSES, MVP'S BOARD HAS A COMPENSATION COMMITTEE MADE UP OF FIVE BOARD MEMBERS WHO PROVIDE GOVERNANCE OVERSIGHT PROCEDURES TO ENSURE ADEQUATE BOARD OVERSIGHT OF ITS EXECUTIVE COMPENSATION PROGRAMS. THE COMPENSATION COMMITTEE MEETS AT LEAST TWO TIMES PER YEAR AND MAINTAINS FORMAL MINUTES EVIDENCING THIS OVERSIGHT. ADDITIONALLY, MVP ENGAGES AN INDEPENDENT CONSULTANT TO EVALUATE THE COMPETITIVENESS OF EXISTING REMUNERATION LEVELS FOR PURPOSES OF ATTRACTING AND RETAINING TALENTED STAFF AT ALL LEVELS. MVP PROVIDES BONUS PROGRAMS TO EMPLOYEES THAT TIE VARIABLE PAY AND INDIVIDUAL PERFORMANCE TO THE CORPORATE GOALS OF THE ORGANIZATION. THE PLANS INCLUDE LONG-TERM INCENTIVES FOR EXECUTIVES, MANAGEMENT INCENTIVES FOR MANAGEMENT-LEVEL AND ABOVE PERFORMANCE INCENTIVE FOR THE BALANCE OF THE ORGANIZATION. CASH 2016-01-11 90000000 CASH 141640868 MVP Health Plan Inc 625 State Street Schenectady NY 12305 501(C)(4) CASH 2016-03-30 50000000 CASH 141640868 MVP HEALTH PLAN INC 625 STATE STREET SCHENECTADY NY 12305 501(C)(4) true false false false SCHEDULE N, PART II, LINE 2A SINCE THE CLOSING OF THE 2013 TRANSACTION THROUGH WHICH THE TRANSFEREE ORGANIZATION BECAME THE SOLE CORPORATE MEMBER OF THE ORGANIZATION, CERTAIN DIRECTORS OF THE ORGANIZATION HAVE BEEN SERVING AS DIRECTORS OF THE TRANSFEREE ORGANIZATION. NOTWITHSTANDING THE FOREGOING, NO DIRECTOR, OFFICER, KEY EMPLOYEE OR TRUSTEE OF THE ORGANIZATION BECAME A DIRECTOR OR TRUSTEE OF THE TRANSFEREE ORGANIZATION AS A RESULT OF, OR IN CONNECTION WITH, ANY 2016 TRANSFER FROM THE ORGANIZATION TO THE TRANSFEREE ORGANIZATION. THE FOLLOWING DIRECTORS OF THE ORGANIZATION ARE BOARD MEMBERS OF THE TRANSFEREE ORGANIZATION: LINDSAY FARRELL. FORM 990, PART III, LINE 3 HUDSON HEALTH PLAN, INC. (HHP) IS A NY NOT-FOR-PROFIT CORPORATION LICENSED AS A PREPAID HEALTH SERVICES PLAN UNDER ARTICLE 44 OF THE PUBLIC HEALTH LAW. HHP SERVED MEDICAID MANAGED CARE (MMC), FAMILY HEALTH PLUS, AND CHILD HEALTH PLUS (CHP) BUSINESS IN THE MID-HUDSON REGION OF NYS. IN 2013, MVP HEALTH PLAN, INC. BECAME THE SOLE CORPORATE MEMBER OF HHP. CONSISTENT WITH STANDARD PRACTICE, NYS DEPARTMENT OF HEALTH (DOH) REQUIRED THAT MVP CONSOLIDATE ITS MMC AND CHP BUSINESS IN ONE ENTITY. THEREFORE, ALL APPROPRIATE REGULATORY APPROVALS WERE OBTAINED (I.E. DOH, NYS DEPARTMENT OF FINANCIAL SERVICES, NYS ATTORNEY GENERAL), AND AS OF JANUARY 1, 2016, THE HHP MEMBERSHIP MIGRATED TO MVP HEALTH PLAN, INC. THOUGH HHP DID NOT HAVE ANY MEMBERS, HHP CONTINUED TO CONDUCT CLAIMS RUN OUT THROUGHOUT 2016. FORM 990, PART VI, SECTION A, LINE 4 HUDSON HEALTH PLAN, INC.S BYLAWS WERE UPDATED EFFECTIVE DECEMBER 10, 2015. THE FOLLOWING REVISIONS WERE MADE: 1. ARTICLE III, BOARD OF DIRECTORS, SECTION 3.2, NUMBER AND ELECTION (A) NUMBER. THE NUMBER OF DIRECTORS CONSTITUTING THE ENTIRE BOARD WAS REDUCED FROM NINE (9) TO FIVE (5). 2. ARTICLE III, BOARD OF DIRECTORS, SECTION 3.4, ANNUAL AND REGULAR MEETINGS. THE NUMBER OF MEETINGS WAS CHANGED FROM ONE MEETING EACH QUARTER TO TWO (2) MEETINGS PER CALENDAR YEAR. THE NUMBER OF REGULAR MEETINGS PER YEAR WAS REDUCED FROM 3 TO 1. FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B THE ORGANIZATION IS A MEMBERSHIP (NOT A STOCK) NOT-FOR-PROFIT 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 7A THE ORGANIZATION'S SOLE CORPORATE MEMBER ELECTS THE MEMBERS OF THE GOVERNING BODY ANNUALLY. FORM 990, PART VI, SECTION B, LINE 11 THE 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 KPMG 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 12C AS 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 15 AN 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 19 THE 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. PART XI, LINE 9 CASH TRANSFER TO MVPHP $(140,000,000) BAD DEBT EXPENSE: $ 2,304,734 TOTAL: $(137,695,266) FORM 990 PART IX LINE 11G DESCRIPTION:Network Access Fees TOTAL FEES:-3208 FORM 990 PART IX LINE 11G DESCRIPTION:Consulting TOTAL FEES:31225 MVP Health Plan Inc 625 State Street Schenectady NY 12305 141640868 HMO/MCARE/MCD NY 501(c)(4) MVPHP Hold false MVP Health Care Inc 625 State Street Schenectady NY 12305 161318351 Holding Comp NY 501(c)(4) n/a NA Parent false NA WPHSP Leasing Corp 625 State Street Schenectady NY 12305 133675430 Real Estate Ops NY Hudson Health C Corp 546823 -1755 1.00000 true MVP Service Corp 625 State Street Schenectady NY 12305 141730494 Management NY MVPUT Hold C Corp false MVP Health Services Corp 625 State Street Schenectady NY 12305 223197320 Insurance NY MVPRT Hold C Corp false MVP Health Insurance Company 625 State Street Schenectady NY 12305 141827918 Insurance NY MVPRT Hold C Corp false MVPHIC Holding Corp 625 State Street Schenectady NY 12305 141828436 Holding Corp NY MVP Health Care C Corp false MVP Health Insurance Company of NH 625 State Street Schenectady NY 12305 421662459 Insurance NH MVPRT Hold C Corp false MVP Select Care Inc 625 State Street Schenectady NY 12305 141704347 ASO/TPA NY MVPUT Hold C Corp false MVP Benefit Group Inc 625 State Street Schenectady NY 12305 562364047 Agent Broker NY MVPUT Hold C Corp false MVPUT Holdings Inc 625 State Street Schenectady NY 12305 760808234 Holding Corp NY MVPHIC Hold C Corp false MVPRT Holdings Inc 625 State Street Schenectady NY 12305 760808233 Holding Corp NY MVPHIC Hold C Corp false MVPHP Holding Company Inc 625 State Street Schenectady NY 12305 134320971 Holding Corp NY MVP Health Care C Corp false false false false false false false false false false false true false false true true true false true false WPHSP Leasing Corp n 546823 Interco Agree