2015-11-12T14:53:21-06:00 2014-12-31 PricewaterhouseCoopers LLP 185 Asylum Street Suite 2400 Hartford CT 061033404 990 2014-01-01 133350704 Hudson Health Plan Inc % KARLA AUSTEN HUDS 5183882357 303 South Broadway Tarrytown NY 10591 Karla Austen CFO 5183882411 2015-10-07 true JEFFREY C HAMILTON P00593765 8602417000 2014 2016-03-07 17:11:31Z DENISE GONICK 625 STATE STREET SCHENECTADY NY 12305 934018680 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 9 367 0 0 0 571273955 750378561 -70970 244922 1136546 616645 572339531 751240128 0 0 0 0 26589755 24564910 0 0 0 520013243 669635564 546602998 694200474 25736533 57039654 149784287 203494145 76593550 73430443 73190737 130063702 TO PROMOTE AND PROVIDE ACCESS TO EXCELLENT HEALTH SERVICES IN WESTCHESTER, ROCKLAND, SULLIVAN, ORANGE, DUTCHESS AND ULSTER COUNTIES. false false 606423983 677366863 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 2014, was 143,451. 31136699 35084067 Under the Family Health Plus Program, Hudson Health Plan provides preventive care and medical treatment for adults who do not have health insurance but whose income is too high to qualify for Medicaid. The total Family Health Plus membership count, at the end of 2014, was 498. 34358736 37927632 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 2014, was 13,592. 671919418 true false false false false false false false false false true false false false 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 2574 0 367 true 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 X Karen Johnson Chair 1.0 7.0 X 0 61500 0 Alan Goldberg Vice-Chair 1.0 6.0 X 0 45500 0 Wallace Altes Director 1.0 4.0 X 0 41500 0 Josephine Brill Director 1.0 0.0 X 0 0 Charles Chehebar Director 1.0 0.0 X 0 0 Burt Danovitz Director 1.0 5.0 X 0 44000 0 Cheryl L Hunter-Grant Director 1.0 0.0 X 0 0 Herschel Lessin MD Director 1.0 2.0 X 0 34000 0 Alan Steiner Director 1.0 0.0 X 0 0 Georganne Chapin CEO 16.0 21.5 X 390386 538876 72572 Howard Birnbaum Chief Financial Officer 35.0 0.0 X 287451 30332 Dawn Jablonski Secretary 1.0 36.5 X 0 296965 74401 Catherine Buhler-Clancy Sr. VP & Chief Strategy Office 27.5 10.0 X 310179 116236 51645 Theodore Herman VP Communications 35.0 0.0 X 215606 29278 Margaret Leonard Sr. VP Clinical Services 35.0 0.0 X 251067 22052 Julie Levin VP Human Resources 35.0 0.0 X 227937 28330 Janet Sullivan Chief Medical Officer 35.0 0.0 X 187475 4312 Ian Flor VP Data Operations and Project 35.0 0.0 X 166330 33558 David Simons Associate Medical Director, UM 35.0 0.0 X 161574 34646 John Ment Sr. Director Network Infra 35.0 0.0 X 199038 25870 Susan Montgomery VP Compliance & Regulatory Aff 35.0 0.0 X 172992 10270 Millicent Sutton Associate Medical Director, U 35.0 0.0 X 187106 17813 Carolyn Leihbacher Medical Director 35.0 0.0 X 170266 17138 2927407 1178577 452217 49 false true false Emdeon Business Services PO Box 572490 MURRAY UT 84157 claims management 535405 Brown and Brown of Garden City 595 Stewart Avenue Garden City NY 11530 Insurance Intermedia 414172 MedSolutions Inc PO Box 102323 ATLANTA GA 30368 radiology oversight 309918 Cisco System Capital Corp PO Box 742927 LOS ANGELES CA 90074 Info. Tech. 477245 Media Logic 59 Wolf Road ALBANY NY 12205 Media Relations/PR 364362 7 0 Medicaid 524114 673051572 673051572 Family Health Plus 524114 34825477 34825477 Child Health Plus 524114 37361161 37361161 Medical Home Premiums 524114 5140351 5140351 All Other Program Services 750378561 212213 212213 0 0 0 0 0 182811261 182778552 32709 32709 32709 0 0 0 Other Revenue 900099 616645 616645 616645 751240128 750995206 244922 0 0 0 0 2927407 900827 2026580 0 16652261 10413257 6239004 928464 580602 347862 2439331 1525401 913930 1617447 1011448 605999 3061884 3061884 120069 120069 196701 196701 0 0 0 6196226 1472307 4723919 250500 250500 830734 519488 311246 3577357 2237050 1340307 0 2170523 1357306 813217 278620 174231 104389 0 135750 84889 50861 21740 21740 0 1460749 913459 547290 56188 56188 Other Expenses 2354467 1587596 766871 Medical Expenses 648924056 648924056 694200474 671952417 22248057 0 0 0 116330356 115071203 0 0 27514624 48386544 0 0 0 0 809826 580335 0 0 859169 469220 15276632 13054253 3632853 2222379 0 34168298 0 0 0 0 0 0 637459 2596166 149784287 203494145 62133612 65691739 0 0 0 444651 0 0 0 0 0 0 657686 224282 0 0 13802252 7069771 76593550 73430443 X 73190737 130063702 0 0 0 0 73190737 130063702 149784287 203494145 X 57039654 -117498 -49191 X false true X true true true X 464244 812553 818333 0 0 2095130 342049465 400368061 542893678 572110500 750995206 2608416910 0 0 0 342513709 401180614 543712011 572110500 750995206 2610512040 0 0 0 2610512040 20396 25906 115436 -70970 127425 218193 0 20396 25906 115436 -70970 127425 218193 0 25 300000 300025 342534105 401206520 543827472 572339530 751122631 2611030258 0.99980 0.99977 0.00008 0.00009 X Schedule A, Part III, Line 12 2012 - Other Income = $25 0 0 7896707 6801686 1095021 7379925 6252567 1127358 2222379 0 DUE TO NYS 3538710 DUE TO PROVIDERS 3531061 7069771 PART X, LINE 2 HUDSON WAS INCORPORATED AS A NOT-FOR-PROFIT CORPORATION UNDER THE LAWS OF THE STATE OF NEW YORK AND IS EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND FROM STATE INCOME TAXES. HUDSON'S WHOLLY OWNED FOR-PROFIT SUBSIDIARY IS TAXABLE AS A CORPORATION. HOWEVER, THERE IS NO PROVISION FOR INCOME TAXES. IN ADDITION, THE PLAN IS NOT CLASSIFIED AS A PRIVATE FOUNDATION. MANAGEMENT HAS ASSESSED WHETHER THERE WERE ANY UNCERTAIN TAX POSITIONS WHICH MAY GIVE RISE TO INCOME TAX LIABILITIES AND DETERMINED THAT THERE WERE NO SUCH MATTERS REQUIRING RECOGNITION IN THE ACCOMPANYING CONSOLIDATED FINANCIAL STATEMENTS. THE PLAN FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION. WITH FEW EXCEPTIONS, THE PLAN IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS BY U.S. FEDERAL, STATE OR LOCAL TAX AUTHORITIES FOR YEARS BEFORE 2009. X X X X X X false false false false false false false false false Georganne Chapin CEO 180156 305186 205000 205000 5230 28690 0 63474 6868 2230 397254 604580 0 0 Howard Birnbaum Chief Financial Officer 254297 0 20000 0 13154 0 13000 0 17332 0 317783 0 0 0 Catherine Buhler-Clancy Sr. VP & Chief Strategy Office 276797 115939 33000 0 382 296 8226 17769 20436 5214 338841 139219 0 0 Theodore Herman VP Communications 194534 0 20000 0 1072 0 11122 0 18156 0 244884 0 0 0 Margaret Leonard Sr. VP Clinical Services 222273 0 20000 0 8794 0 12384 0 9667 0 273118 0 0 0 Julie Levin VP Human Resources 204772 0 20000 0 3165 0 11619 0 16711 0 256267 0 0 0 Janet Sullivan Chief Medical Officer 183658 0 0 0 3817 0 4208 0 104 0 191787 0 0 0 David Simons Associate Medical Director, UM 159032 0 2500 0 42 0 9767 0 24880 0 196221 0 0 0 Ian Flor VP Data Operations and Project 146323 0 20000 0 7 0 8680 0 24878 0 199888 0 0 0 John Ment Sr. Director Network Infra 191508 0 7500 0 30 0 7714 0 18156 0 224908 0 0 0 Susan Montgomery VP Compliance & Regulatory Aff 152743 0 20000 0 249 0 8650 0 1620 0 183262 0 0 0 Millicent Sutton Associate Medical Director, U 184879 0 2200 0 27 0 2494 0 15319 0 204919 0 0 0 Carolyn Leihbacher Medical Director 157730 0 12000 0 536 0 8595 0 8542 0 187403 0 0 0 Dawn Jablonski Secretary 0 240693 0 32328 0 23944 0 70256 0 4146 0 371367 0 68075 FORM 990, PART VI, SECTION A, LINES 6, 7A & 7B THE 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 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 PRICEWATERHOUSECOOPERS. 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. 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 OTHER: $(49,191) MVP Health CARE INC 625 State Street Schenectady NY 12305 161318351 Health Care I NY 501(c)(4) NA false MVP Health Plan Inc 625 State Street Schenectady NY 12305 141640868 HMO NY 501(c)(4) n/a MVPHP Hldg false NA WPHSP Leasing Corp 303 South Broadway Tarrytown NY 10591 133675430 Real Estate Opera NY Hudson Health P C corp 2182353 186487 1.00000 true MVP Service Corp 625 State Street Schenectady NY 12305 141730494 Management NY MVPUT Holdings C Corp false MVP Health Services Corp 625 State Street Schenectady NY 12305 223197320 Insurance NY MVPRT Holdings C Corp false MVP Health Insurance Company 625 State Street Schenectady NY 12305 141827918 Insurance NY MVPRT Holdings C Corp false MVPHIC Holding Corp 625 State Street Schenectady NY 12305 141828436 Holding Company NY MVP Healthcare C Corp false MVP Health Ins Company of New Hampshire 625 State Street Schenectady NY 12305 421662459 Insurance NY MVP Hlth Pln NH C Corp false MVP Health Plan of New Hampshire Inc 625 State Street Schenectady NY 12305 421662457 Insurance NY MVPRT Holding C Corp false MVP Select Care Inc 625 State Street Schenectady NY 12305 141704347 TPA NY MVPUT Holding C Corp false MVP Benefit Group Inc 625 State Street Schenectady NY 12305 562364047 Agent Broker NY MVPUT Holding C Corp false Preferred Administrative Services Inc 625 State Street Schenectady NY 12305 161371853 TPA NY MVPUT Holding C Corp false Genesee Reg Preferred Health Network IPA 625 State Street Schenectady NY 12305 161507474 Medical Services NY MVPUT Holding C Corp false MVPUT Holdings Inc 625 State Street Schenectady NY 12305 760808234 Holding Co NY MVPHIC Holding C Corp false MVPRT Holdings Inc 625 State Street Schenectady NY 12305 760808233 Holding Co NY MVPHIC Holding C Corp false MVPHP Holding Company 625 State Street Schenectady NY 12305 134320971 Holding Company NY MVP Healthcare C Corp false Preferred Assurance Company Inc 625 State Street Schenectady NY 12305 161418483 Insurance NY MVPRT Holding C Corp false false false false false false false false false false false true false false false false true false false false WPHSP Leasing Corp K 3061884 Invoice MVP Health plan P 846668 InterCo Agreeme MVP SERVICE CORP P 1335684 InterCo Agreeme