2013-11-15T15:40:51-06:00 2012-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE SUITE 2600 INDIANAPOLIS IN 46204 990 2012-01-01 550585592 The Health Plan of the Upper Ohio Valley Inc % Jeffrey Knight HEAL 7406953585 52160 National Road East Suite St Clairsville OH 43950 JEFF KNIGHT 2013-11-15 3176817000 2013-11-15 2012 2016-03-07 17:11:31Z Jeffrey M Knight 52160 National Rd East St Clairsville OH 43950 783445095 false X www.healthplan.org X 1979 WV The Health Pan of the Upper Ohio Valley, Inc. provides HMO services to members. 14 13 438 0 3167019 399565 0 0 386827828 380022844 9665124 10426040 5571104 6900 402064056 390455784 187820 218128 348015397 353407846 17090680 14568012 0 0 0 14326047 13489803 379619944 381683789 22444112 8771995 235646427 243107634 55924258 53104045 179722169 190003589 The Health Plan of the Upper Ohio Valley Inc. provides HMO services to members. false false 180482130 218128 169764222 The primary exempt purpose of The Health Plan of the Upper Ohio Valley Inc. is to operate a state certified, federally qualified health maintenance organization (HMO) which provides comprehensive health care services on a prepaid basis. Health coverage includeS inpatient, emergency room, outpatient, doctor ordered, physician, pharmacy, mental health, and vision services. The number of HMO members at December 31, 2012 was 40,425. 48510668 52737752 The Health Plan continueS to offer the Medicaid program servicing 27,050 members at December 31, 2012. Health Coverage included inpatient, outpatient, emergency room, doctor ordered, physician, AND vision SERVICES. 150696168 154360751 The Health Plan of the Upper Ohio Valley Inc. continues to offer a Medicare Advantage program known as Secure Care. This product enables the medicare age population to select supplemental medicare coverage at a much lower price because they agree to utilize the Health Plan network. The enrollment at December 31, 2012 was 13,308. Health coverage includes inpatient, outpatient, doctor ordered, emergency room, and physician COVERAGE. Pharmaceutical and vision services were offered as options in addition to the services listed above. 379688966 false false false false false false false false false true false false false true false false false false false false false false false false false false false true true false true false false false false false false false false false false false true true false true 3179 0 true 438 true true true false false false false false X 14 13 false false false false false false false true true false false true true true true false true true true false X Jeffrey Knight 7406957585 52160 National Road East St Clairsville OH 43950 Robert Dunlevy 1.0 X 6000 0 0 JERRY FISHER 1.0 X 5400 0 0 Roland Hobbs 1.0 X 5400 0 0 John Holloway 1.0 X 4950 0 0 Frank Joanou 1.0 X 5400 0 0 Kiki Mehallis 1.0 X 5400 0 0 Charles Monfradi 1.0 X 6000 0 0 Charles Newmeyer 1.0 X 4500 0 0 James Newton 1.0 X 4950 0 0 E Phillip Polack MD 1.0 X 4950 0 0 John Schellhase 1.0 X 6000 0 0 John Wright IV 1.0 X 5400 0 0 Nick Zervos 1.0 X 6600 0 0 Philip D Wright 40.0 X X 380937 0 25000 Jeffrey M Knight 40.0 X 179071 0 18040 Patricia M Fast 40.0 X 232385 0 22628 E David Mathieu 40.0 X 227966 0 22628 Robert C Kota 40.0 X 219837 0 21202 Robert Roset 40.0 X 226147 0 22587 Kenneth Allen 40.0 X 235193 0 23444 Mark Kenamond 40.0 X 223530 0 22414 Steven Halverson 40.0 X 122620 0 11761 Thomas Samol 40.0 X 116348 0 11325 Denise Knight 40.0 X 114077 0 11706 Jennifer Ault 40.0 X 108514 0 10813 Stephen Neal 40.0 X 128342 0 12805 2585917 0 236353 13 false true false 0 0 0 0 HMO Program 524114 169757322 169757322 0 0 Medicaid Program 524114 52737752 52737752 0 0 Medicare Program 524114 154360751 154360751 0 0 Claims Processing 524292 3167019 0 3167019 0 All other program service revenue 0 0 0 0 380022844 5934103 5934103 0 0 2000 2000 0 2000 2000 397481248 392989311 4491937 4491937 4491937 0 0 0 0 Miscellaneous Revenue 4900 4900 0 0 4900 390455784 376862725 3167019 10426040 0 0 218128 218128 0 0 353407846 353407846 2173959 2173959 0 0 0 0 0 0 6990967 4726498 2264469 0 1473128 1473128 0 0 2712089 2712089 0 0 1217869 1217869 0 0 0 0 0 0 30522 18297 12225 0 752593 752593 0 0 0 0 0 0 0 0 823790 823790 0 0 1932412 1777636 154776 0 1299718 1299718 0 0 2676361 2675304 1057 0 1796668 1768976 27692 0 0 0 0 0 530198 530198 0 0 169819 169819 0 0 0 0 0 0 128836 124683 4153 0 0 0 0 0 0 0 0 0 694224 691909 2315 0 292790 292790 0 0 Broker Expense 1605058 1605058 0 0 Premium Tax Expense 684079 684079 0 0 Loss Adjustment Expense -48914 -48914 0 0 Unrelated Business Tax 121649 0 121649 0 381683789 379095453 2588336 0 0 0 0 11935577 12557896 0 0 5975181 7655302 0 0 0 0 0 0 0 0 0 0 9928594 4147815 6374560 5780779 209782606 215816609 0 0 0 0 0 0 1578503 1297048 235646427 243107634 52004927 49632021 0 0 3108358 2576292 0 0 0 0 0 0 0 0 0 0 810973 895732 55924258 53104045 X 179172169 189453589 0 0 550000 550000 179722169 190003589 235646427 243107634 X 8771995 1509425 X false true X true false 800000 800000 7580554 2958903 4621651 1548040 1188912 359128 5780779 0 Federal income taxes 121649 Post Retirement Benefit Obligation 774083 895732 true Medical Student Scholarships 11 218128 FMV tuition paid Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants The HPUOV medical student (doctors/nurses) scholarship program began in the fall of 2009. Medical students submit scholarship applications to a sub-committee of the board. These applications are reviewed by the sub-committee based on the student's financial needs. The preferred applicants are recommended to the full board, which then approves any scholarship awards. The tuition payments are made directly to the school and book expense reimbursements are made directly to the student. The grant term is open until the student graduates. X true true X X X false false false false false false false false false Philip D Wright 343573 0 33475 0 3889 0 25000 0 0 0 405937 0 0 0 Jeffrey M Knight 162728 0 15965 0 378 0 18040 0 0 0 197111 0 0 0 Patricia M Fast 204547 0 20025 0 7813 0 22628 0 0 0 255013 0 0 0 E David Mathieu 204547 0 20025 0 3394 0 22628 0 0 0 250594 0 0 0 Robert C Kota 191905 0 18893 0 9039 0 21202 0 0 0 241039 0 0 0 Robert Roset 204174 0 19989 0 1984 0 22587 0 0 0 248734 0 0 0 Kenneth Allen 212203 0 21012 0 1978 0 23444 0 0 0 258637 0 0 0 Mark Kenamond 203960 0 19570 0 0 0 22414 0 0 0 245944 0 0 0 Form 990, Part VI, Line 11b Process used to review the Form 990 The CFO and Controller review the 990 for reasonableness compared to the internal financial statements. The CFO provides copies to the Board of Directors prior to filing the return. Form 990, Part VI, Line 12c Monitoring and enforcement of compliance with conflict of interest policy Conflict of interest statements are signed on an annual basis and maintained by the Human Resource Department. Form 990, Part VI, Line 15 Process for determining compensation Compensation is reviewed annually by the president. He utilizes the Warren Survey information by position for executive and senior management and makes recommendations to the Board of Directors Personnel Committee. The Personnel Committee then presents the preferred compansation changes to the Board of Directors for approval. Form 990, Part VI, Line 19 Process for making documents available to the public These documents are available upon request to the CFO. Other changes in net assets or fund balances Form 990, Part XI, line 9 Change in non-admitted assets: (2,918,911) and change in net unrealized gain on investment of $4,428,336. Hometown Health Plan 100 Lillian Gish Blvd Massillon OH 44647 341523541 Insurance OH 501(c)(4) N/A HPUOV true THP INSURANCE COMPANY 1137 VanVoorhis Rd Chelsea Square S Morgantown WV 26505 550765726 Insurance WV NA C CORP -7366683 28214659 1.00000 HP AGENCY INC 52160 National Road East St Clairsville OH 43950 341764520 SVC TO SELF-INS OH NA C CORP -99277 192045 1.00000 HOMETOWN HHP SERVICES CORP 100 Lillian Gish Blvd Massillon OH 44647 341588625 SVC TO SELF-INS OH NA C CORP -47428 917115 1.00000 false true false false false false false false false false false true true true false false false false THP Insurance Company m 4680321 Admin. Allocati HP Agency m 3382904 Admin. Allocati Hometown HHP Services Inc m 194633 Admin. Allocati THP Insurance Company b 5000000 Capital Conrtib