2016-11-15T09:10:36-06:00 2015-12-31 KPMG LLP 515 Broadway 4th Floor Albany NY 122072974 990 2015-01-01 133350704 Hudson Health Plan Inc % Karla Austen HUDS 5183882357 303 SOUTH BROADWAY Suite 321 TARRYTOWN NY 10591 DENISE GONICK PRESIDENT AND CEO 5183882357 2016-11-15 true TODD P TERESCO P00247720 5184274600 2015 2017-02-10 21:41:12Z Denise Gonick 625 State Street Schenectady NY 12305 1041180582 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. 9 9 1812 0 0 0 750378561 874445971 244922 873182 616645 860851 751240128 876180004 0 0 0 0 24564910 1796844 0 0 0 669635564 813250958 694200474 815047802 57039654 61132202 203494145 285830037 73430443 97808145 130063702 188021892 X To promote and provide access to excellent health services in Westchester, Rockland, Sullivan, Orange, Dutchess, and Ulster counties. false true 699972506 816271287 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. The total medicaid membership count at the end of 2015 was 151,854. 34961575 38616695 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. The total child health plus membership count at the end of 2015 was 13,602. 16728337 19557989 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. 751662418 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 false false true true true false false true 2968 0 true 1812 true false false false false false false false false false false X 9 9 false false false 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 Wallace Altes Director 1.0 4.0 X 0 40500 0 Joseph Brill Director 1.0 0.0 X 0 0 0 Charles Chehebar Director 1.0 0.0 X 0 0 0 Burt Danovitz Director 1.0 5.0 X 0 42000 0 Alan Goldberg Vice Chair 1.0 6.0 X 0 46000 0 Cheryl Hunter-Grant Director 1.0 0.0 X 0 0 0 Karen Johnson Chair 1.0 7.0 X 0 60500 0 Herschel Lessin MD Director 1.0 2.0 X 0 30125 0 Alan Steiner Director 1.0 0.0 X 0 0 0 Denise Gonick President and CEO 11.2 26.3 X 338346 794572 163977 Karla Austen EVP, Chief Financial Officer 4.98 32.52 X 64382 420514 97434 Dawn Jablonski VP of Legal/General Counsel 7.6 29.9 X 61810 243180 77714 Dominick Bizzarro EVP, Business Development 10.5 27.0 X 56927 146374 31328 Catherine Buhler Clancy EVP, Medicaid & MVP Operations 5.21 32.29 X 53924 334101 93933 Georganne Chapin EVP, Corporate Affairs 22.99 14.51 X 307176 193866 98505 David Crosby EVP 11.2 26.3 X 156850 368344 82882 Christopher Delvecchio EVP, Strategy & Innovation 11.2 26.3 X 128442 301635 74773 Patrick Glavey EVP, Medicare Progams 0.0 37.5 X 0 415650 76956 Alan Hinkle EVP, Chief Medical Officer 11.2 26.3 X 182555 428713 67404 Lynn Manning VP, Human Resources 20.19 17.31 X 63210 192342 79207 Laurie Metheny Chief Risk OFC &VP of Mbr Svcs 17.24 20.26 X 75761 177918 58327 James Poole III VP and CIO 9.28 28.22 X 97104 295476 90313 Carl Cameron VP Medical Affairs 11.2 26.3 X 110504 259508 92268 Daniel Drislane VP, Finance/State Contracts 4.98 32.52 X 46208 301811 76483 Augusta Martin VP, Client Engagement 11.2 26.3 X 106654 250467 81445 Daniel Sauer VP, Sales & Acct Mgmt 0.0 37.5 X 0 450066 70914 Joseph Wild Director, Sales West 0.0 37.5 X 0 344911 56982 Howard Birnbaum CFO Medicaid 37.5 0.0 X 344175 0 43955 2194028 6138573 1514800 205 true true false Emdeon Business Services PO Box 572490 Murray UT 84157 CLAIMS MANAGEMENT 414138 Health Management System Inc PO Box 27151 New York NY 10087 subro 191064 Verizon Wireless PO Box 4833 Trenton NJ 08650 TELEPHONE 122293 Cisco System Capital Corp PO Box 742924 Los Angeles CA 90074 software & equip 119311 4 0 Medicaid Premium 524114 816271287 816271287 Child Health Plus Premium 524114 38616695 38616695 Medical Home and VBP QIP 524114 19557989 19557989 874445971 883448 883448 0 0 0 0 0 164990312 165000578 -10266 -10266 -10266 0 0 0 Miscellaneous revenue 900099 860851 860851 860851 876180004 875306822 873182 0 0 0 0 1696352 1696352 0 0 0 28514 28514 71978 71978 0 490 490 -11714 -11714 0 0 205514 205514 3384566 2821562 563004 94638 94638 35472 35472 866663 866663 0 2125053 2125053 54078 54078 0 1720 1720 3020 3020 55300713 55300713 1167921 1167921 31023 31023 Medical Expenses 538306903 538306903 Pharmacy 146587625 146587625 Capitated Medical 63944250 63944250 All Other 1153023 2078 1150945 815047802 751662418 63385384 0 0 147415608 115071203 6575576 0 0 48386544 22979901 0 0 0 0 580335 0 0 0 469220 194577 15276632 14222175 2222379 1054457 34168298 42568417 0 0 0 0 0 0 2596166 65041501 203494145 285830037 65691739 1544162 0 0 444651 0 0 0 0 0 0 0 224282 0 0 0 7069771 96263983 73430443 97808145 X 130063702 188021892 0 0 0 0 130063702 188021892 203494145 285830037 X 61132202 -200514 -2973498 X false true X true true true X 812553 818333 0 0 0 1630886 400368061 542893678 572110500 750995206 875306822 3141674267 0 0 0 401180614 543712011 572110500 750995206 875306822 3143305153 0 0 0 3143305153 25906 115436 -70970 127425 883448 1081245 0 25906 115436 -70970 127425 883448 1081245 0 25 300000 300025 401206520 543827472 572339530 751122631 876190270 3144686423 0.99956 0.99980 0.00034 0.00010 X Schedule A, Part III, Line 12 2012 - Other Income = $25 2013 - Write off of Allowance = $300,000 7896707 7458699 438008 7379925 6763476 616449 1054457 STATUTORY DEPOSITS 37071521 PHARMACY REBATES RECEIVABLE 7648151 REINSURANCE RECOVERIES RECEIV 18349156 OTHER ASSETS 1972673 65041501 0 MEDICAL EXPENSE PAYABLE 80963303 PHARMACY PAYABLE 7249191 DUE TO AFFILIATES 7996193 OTHER LIABILITIES 55296 96263983 PART X, LINE 2 MANAGEMENT HAS ASSESSED WHETHER THERE WERE ANY UNCERTAIN TAX POSITIONS WHICH MAY GIVE RISE TO INCOME TAX LIABILITIES AND DETERMINED THERE WERE NO SUCH MATTERS REQUIRING RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. 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, 2015 AND 2014. X X X false true X X X X X X true true false false true false true false false Howard Birnbaum CFO Medicaid 224294 0 0 0 119881 0 41392 0 2563 0 388130 0 0 0 Denise Gonick President and CEO 215502 506084 101260 237799 21584 50689 47317 111120 1655 3885 387318 909577 13179 30948 Karla Austen EVP, Chief Financial Officer 49738 324864 10669 69685 3975 25965 12242 79958 695 4539 77319 505011 3682 24050 Dominick Bizzarro EVP, Business Development 51902 133453 4900 12600 125 321 7580 19488 1193 3067 65700 168929 0 0 Catherine Buhler Clancy EVP, Medicaid & MVP Operations 48595 301080 5110 31663 219 1358 12298 76195 756 4684 66978 414980 4338 10186 Georganne Chapin EVP, Corporate Affairs 242966 153342 34194 21580 30016 18944 58347 36824 2044 1290 367567 231980 0 19468 David Crosby EVP 41701 97929 23113 54278 92036 216137 16513 38778 8240 19351 181603 426473 17963 42184 Christopher Delvecchio EVP, Strategy & Innovation 123813 290763 4324 10155 305 717 20676 48557 1655 3885 150773 354077 0 0 Patrick Glavey EVP, Medicare Progams 0 314671 0 76058 0 24921 0 74473 0 2483 0 492606 0 0 Alan Hinkle EVP, Chief Medical Officer 133294 313028 38364 90094 10897 25591 19033 44694 1098 2579 202686 475986 0 0 Carl Cameron VP Medical Affairs 86122 202248 12965 30447 11417 26813 25533 59964 2022 4749 138059 324221 0 0 Daniel Drislane VP, Finance/State Contracts 26715 174490 4301 28095 15192 99226 9078 59295 1077 7033 56363 368139 9018 58902 Dawn Jablonski VP of Legal/General Counsel 51011 200693 7320 28800 3479 13687 14910 58660 840 3304 77560 305144 3364 13233 Lynn Manning VP, Human Resources 55091 167636 7271 22125 848 2581 17974 54693 1618 4922 82802 251957 0 0 Augusta Martin VP, Client Engagement 85824 201551 12222 28701 8608 20215 23515 55222 809 1899 130978 307588 4338 10186 Laurie Metheny Chief Risk OFC &VP of Mbr Svcs 63291 148633 8635 20279 3835 9006 16248 38157 1171 2751 93180 218826 3698 8684 James Poole III VP and CIO 77720 236493 10917 33218 8467 25765 20698 62981 1641 4993 119443 363450 0 0 Daniel Sauer VP, Sales & Acct Mgmt 0 246870 0 182145 0 21051 0 69812 0 1102 0 520980 0 0 Joseph Wild Director, Sales West 0 203409 0 120156 0 21346 0 53096 0 3886 0 401893 0 19468 SCHEDULE J, PART I, LINE 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 2015: DAVID CROSBY - $180,000 HOWARD BIRNBAUM - $101,307 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: DENISE GONICK $ 85,126 KARLA AUSTEN $ 43,000 DAWN JABLONSKI $ 28,482 DAVID CROSBY $ 110,462 LAURIE METHANY $ 19,271 HOWARD BIRNBAUM $ 19,544 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 RENUMERATION 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 Incentive for Executives, Management Incentive for management level and above and Performance Incentive for the balance of the organization. FORM 990, PART III, LINE 3 Hudson Health Plan no longer offers Family Health Plus, a program that the state discontinued. 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 SO THAT MANAGEMENT CAN: 1) MAKE A DETERMINATION AS TO WHETHER AN ACTUAL OR PERCEIVED CONFLICT OF INTEREST EXISTS, AND 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 BAD DEBT EXPENSE: $(2,973,498) 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 CORP 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 -1884 206073 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 Genesee Reg Preferred Health Network IPA 625 State Street Schenectady NY 12305 161507474 Medical Svcs 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 false false WPHSP Leasing Corp n 1959892 Interco Agree