2014-11-14T09:18:49-06:00 2013-12-31 PricewaterhouseCoopers LLP 185 Asylum Street Suite 2400 Hartford CT 061033404 990 2013-01-01 133350704 Hudson Health Plan Inc % HOWARD BIRNBAUM HUDS 9146311611 303 South Broadway Suite 321 Tarrytown NY 10591 Howard Birnbaum controller 9146311611 2013-11-12 true Jeffrey C Hamilton P00593765 9146311611 2013 2015-11-30 17:44:51Z Georganne Chapin 303 South Broadway Suite 321 Tarrytown NY 10591 572339531 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 8 371 0 0 818333 0 542893678 571273955 115436 -70970 25 1136546 543827472 572339531 0 0 0 0 23143881 26589755 0 0 0 495088134 520013243 518232015 546602998 25595457 25736533 105385744 149784287 61448721 76593550 43937023 73190737 TO PROMOTE AND PROVIDE ACCESS TO EXCELLENT HEALTH SERVICES FOR QUALIFYING RESIDENTS OF WESTCHESTER, ROCKLAND, SULLIVAN, ORANGE, DUTCHESS AND ULSTER COUNTIES. false false 444305351 479341922 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 2013, was 98,038. 46892747 53203935 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 2013, was 11,717. 31925031 38728098 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 2013, was 14,912. 523123129 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 2361 0 371 true false false false false false false X 9 8 false false true false false true false true true false false true true true true true true true true false NY X HOWARD BIRNBAUM 9146311611 303 SOUTH BROADWAY Tarrytown NY 10591 X Norman Nichols Chairperson Thru 8/30/13 1.0 0.0 X 0 0 0 Lindsay Farrell Treasurer thru 8/30/13 1.0 3.0 X 0 8500 0 Anne Kauffman Nolon Director thru 8/30/13 1.0 3.0 X 0 8000 0 Walter Edge Director thru 8/30/13 1.0 0.0 X 0 0 0 Sandra Cuellar-Oxford Director thru 8/30/13 1.0 0.0 X 0 0 0 Frances Casola Director thru 8/30/13 1.0 0.0 X 0 0 0 Andrew Richter Director thru 8/30/13 1.0 0.0 X 0 0 0 Karen Johnson Chairperson Eff. 8/31/13 1.0 8.0 X 0 66500 0 Alan Goldberg Vice Chairperson Eff. 8/31/13 1.0 7.0 X 0 51000 0 Wallace Altes Director Eff. 8/31/13 1.0 5.0 X 0 46000 0 Jo Brill Director 1.0 0.0 X 0 0 0 Charles Chehebar Director 1.0 0.0 X 0 0 0 Burt Danovitz Director Eff. 8/31/13 1.0 6.0 X 0 47000 0 Cheryl Hunter Grant Director Eff. 8/31/13 1.0 0.0 X 0 0 0 Herschel Lessin Director Eff. 8/31/13 1.0 3.0 X 0 35000 0 Alan Steiner Director 1.0 0.0 X 0 0 0 Georganne Chapin President & CEO 35.0 0.0 X 1096430 0 23431 Howard Birnbaum Chief Financial Officer 35.0 0.0 X 373655 0 32049 Catherine Buhler-Clancy Sr. VP & Chief Strategy Office 35.0 0.0 X 394161 0 38700 Theodore Herman VP Public Relations & Comm 35.0 0.0 X 252142 0 34211 Margaret Leonard Sr. VP Clinical Services 35.0 0.0 X 283676 0 25175 Julie Levin VP Human Resources 35.0 0.0 X 265619 0 32766 Mark Santiago Sr. VP Operations 35.0 0.0 X 322849 0 36200 Janet Sullivan Chief Medical Officer 35.0 0.0 X 413359 0 12750 Cheryl Bordes VP, Facilities Management 35.0 0.0 X 188482 0 28739 Irene Dillon VP Legal Affairs 35.0 0.0 X 299773 0 22285 Paul Fiore Controller 35.0 0.0 X 179258 0 16946 John Ment Sr. Director Network Infra 35.0 0.0 X 204781 0 16388 Susan Montgomery VP Compliance & Regulatory Aff 35.0 0.0 X 191412 0 10889 4465597 262000 330529 42 false true false MaxorPlus 320 S Polk St Amarillo TX 79101 RX Benefits Mgmt 103820780 Healthplex Inc 333 Earle Ovington Blvd Uniondale NY 11553 Dental Benefits Mgmt 27340873 Mintz Levin Cohn Ferris Glovsky PO Box 4539 BOSTON MA 02212 legal fees 610850 MedSolutions Inc PO Box 102323 ATLANTA GA 30368 radiology oversight 521368 Emdeon Business Services PO Box 572490 MURRAY UT 84157 claims management 448532 7 0 Medicaid 524114 476215237 476215237 Family Health Plus 524114 52824722 52824722 Child Health Plus 524114 38126774 38126774 MEDICAL HOME PREMIUMS 524114 4107222 4107222 571273955 -70970 -70970 0 0 0 0 0 0 0 0 0 Third Party Recoveries 900099 540544 540544 Other Revenue 900099 596002 596002 1136546 572339531 572410501 -70970 0 0 0 0 4447064 948958 3498106 0 17071139 9879533 7191606 946852 547969 398883 2531739 1465186 1066553 1592961 921890 671071 0 655414 655414 219903 219903 0 0 0 8346735 3083413 5263322 738901 738901 1014167 586926 427241 4610732 2668356 1942376 0 2107840 1219864 887976 284500 164648 119852 0 147584 85411 62173 42739 42739 0 1719893 995349 724544 130655 130655 MISCELLANEOUS 421236 243781 177455 Medical Expenses 499572944 499572944 546602998 523123129 23479869 0 0 0 60391496 116330356 0 0 38918684 27514624 0 0 0 0 0 809826 0 0 685036 859169 15226356 11593503 4464138 3632853 0 0 0 0 0 0 0 0 926390 637459 105385744 149784287 57839871 62133612 0 0 0 0 0 0 0 0 0 0 1071635 657686 0 0 2537215 13802252 61448721 76593550 X 43937023 73190737 0 0 0 0 43937023 73190737 105385744 149784287 X 25736533 3517181 X false true X true true true X 258594 464244 812553 818333 0 2353724 270275086 342049465 400368061 542893678 572110500 2127696790 0 0 0 270533680 342513709 401180614 543712011 572110500 2130050514 0 0 0 2130050514 94526 20396 25906 115436 -70970 185294 0 94526 20396 25906 115436 -70970 185294 0 25 300000 300025 270628206 342534105 401206520 543827472 572339530 2130535833 0.99977 0.99950 0.00009 0.00050 X Schedule A, Part III, Line 12 2012 - Other Income = $25 2013 - Write off of Allowance = $300,000 7871627 6148255 1723372 5754508 4104110 1650398 1600221 1341138 259083 3632853 0 Due to NYS 11620739 Due to Providers 2181513 13802252 X 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 SUBSIDIARIES ARE TAXABLE AS CORPORATIONS. 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 false false false false false false false false false Georganne Chapin President & CEO 397079 0 649462 0 49889 0 12750 0 10681 0 1119861 0 0 0 Howard Birnbaum Chief Financial Officer 240817 0 119802 0 13036 0 12750 0 19299 0 405704 0 0 0 Catherine Buhler-Clancy Sr. VP & Chief Strategy Office 260453 0 133156 0 552 0 12750 0 25950 0 432861 0 0 0 Theodore Herman VP Public Relations & Comm 182839 0 68271 0 1032 0 12750 0 21461 0 286353 0 0 0 Margaret Leonard Sr. VP Clinical Services 202783 0 72246 0 8647 0 12750 0 12425 0 308851 0 0 0 Julie Levin VP Human Resources 193392 0 70643 0 1584 0 12750 0 20016 0 298385 0 0 0 Mark Santiago Sr. VP Operations 234947 0 80587 0 7315 0 12750 0 23450 0 359049 0 0 0 Janet Sullivan Chief Medical Officer 304658 0 96259 0 12442 0 12750 0 0 0 426109 0 0 0 Cheryl Bordes VP, Facilities Management 132782 0 55148 0 552 0 9778 0 18961 0 217221 0 0 0 Irene Dillon VP Legal Affairs 198471 0 100802 0 500 0 12750 0 9535 0 322058 0 0 0 Paul Fiore Controller 134078 0 45000 0 180 0 9057 0 7889 0 196204 0 0 0 John Ment Sr. Director Network Infra 171687 0 32500 0 594 0 0 0 16388 0 221169 0 0 0 Susan Montgomery VP Compliance & Regulatory Aff 136182 0 55000 0 230 0 9572 0 1317 0 202301 0 0 0 Part VI, Line 19 GOVERNING DOCUMENTS AND POLICIES AND ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE PUBLIC UPON REQUEST, SUPERVISED BY MANAGEMENT. Part VI, Line 4 Hudson Health Plan, Inc. amended its Certificate of Incorporation on July 18, 2013 to become a membership not-for-profit corporation. Additionally, Hudson Health Plan, Inc. amended and restated its By-Laws to reflect the change that MVP HealthPlan, Inc. became its sole member ON August 30, 2013. Part VI, Line 11b The form 990 is reviewed by the organization's management team (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 the organization's sole member's Board of Directors reviews the Form 990 and provides a copy of the same to the organization's full Board of Directors. Part VI, Line 12c Hudson Health Plan monitors adherence to the conflict of interest policy by having the officers, directors, and key employees annually sign a conflict of interest statement. Through this statement the members disclose any current conflict and will report any future conflict as it arises. Part VI, Line 15a & 15b Hudson hired an independent consultant, Proxus, to evaluate and determine compensation for the company's CEO, Officers, and directors. The data was based on comparative data provided by The Warrern Survey, The Hay Group, and The Economic Research Institute. Hudson Board of Directors oversees the compensation and evaluation determination. Part XII, Line 2c The Audit Committe of the Board of Directors of MVP Health Plan Inc., Hudson Health Plan's ultimate parent company, is responsible for the oversight function. Part XI, Line 9 MVP Funding of Hudson's Reserves $1,585,605 MVP Funding of Hudson's Employee Benefits costs $1,931,576 Total Other Changes in Net Assets $3,517,181 MVP Health Care Inc 625 State Street Schenectady NY 12305 161318351 Insurance 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 Hlding false WPHSP Leasing Corp 303 South Broadway Suite 321 Tarrytown NY 10591 133675430 Real Estate Oper NY Hudson Health P C Corp 2125375 194646 1.00000 false MVP Service Corp 625 State Street Schenectady NY 12305 141730494 Management NY MVPUT Holding C Corp false MVP Health Services Corp 625 State Street Schenectady NY 12305 223197320 Insurance NY MVPRT Holding C Corp false MVP Health Insurance Company 625 State Street Schenectady NY 12305 141827918 Insurance NY MVPRT Holding 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 MVP HIC HOlding C Corp false MVPRT Holdings Inc 625 State Street Schenectady NY 12305 760808233 Holding Co NY MVP HIC 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 true false false false false false false false true false false false false true true false false WPHSP Leasing Corp K 2125375 Invoice MVP Health Plan Inc C 1585605 Funded reserves MVP Health Plan Inc P 40448 Admin costs MVP Health Plan Inc Q 1931805 Reimbursement