2013-11-06T10:50:58-06:00 2012-12-31 420714325 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2012-01-01 133350704 HUDSON HEALTH PLAN INC HUDS 9146311611 303 SOUTH BROADWAY NO 321 TARRYTOWN NY 10591 HOWARD BIRNBAUM 9146311611 2013-11-06 1 MARTIN GREIF P00029738 2123721000 2012 2016-02-24 21:20:13Z GEORGANNE CHAPIN 303 SOUTH BROADWAY NO 321 TARRYTOWN NY 10591 543827472 0 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. HUDSON HEALTH PLAN PROVIDES COMPREHENSIVE HEALTHCARE FOR QUALIFYING RESIDENTS OF WESTCHESTER, ROCKLAND, SULLIVAN, ORANGE, DUTCHESS AND ULSTER COUNTIES. 10 10 346 10 0 0 812553 818333 400368061 542893678 25906 115436 0 25 401206520 543827472 0 0 0 0 23139737 23143881 0 0 0 375359835 495088134 398499572 518232015 2706948 25595457 65843683 105385744 47502117 61448721 18341566 43937023 TO PROMOTE AND PROVIDE ACCESS TO EXCELLENT HEALTH SERVICES FOR QUALIFYING RESIDENTS OF WESTCHESTER, ROCKLAND, SULLIVAN, ORANGE, DUTCHESS AND ULSTER COUNTIES. 0 0 414711560 442396539 HUDSON HEALTH PLAN'S LARGEST PROGRAM IS TO PROVIDE MEDICAL AND HEALTH-RELATED INSURANCE FOR PEOPLE WITH LIMITED INCOME UNDER THE MEDICAID MANAGED CARE PROGRAM. THE TOTAL MEDICAID MEMBERSHIP COUNT, AT THE END OF 2012, WAS 90,797. 39131314 46817235 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 2012, WAS 16,976. 47762751 53679904 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 2012, WAS 11,449. 501605625 1 1 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 2087 0 1 346 1 0 0 0 0 0 0 0 0 0 0 X 10 10 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X HOWARD BIRNBAUM CFO 9146311611 303 SOUTH BROADWAY TARRYTOWN NY 10591 X NORMAN NICHOLS 1.00 X X 0 0 0 ALAN STEINER 1.00 X X 0 0 0 LINDSAY FARRELL 1.00 X X 0 0 0 ANNE K NOLON 1.00 X 0 0 0 WALTER EDGE 1.00 X 0 0 0 JO BRILL 1.00 X 0 0 0 CHARLES CHEHEBAR 1.00 X 0 0 0 SANDRA CUELLAR-OXFORD 1.00 X 0 0 0 FRANCES CASOLA 1.00 X 0 0 0 ANDREW RICHTER 1.00 X 0 0 0 GEORGANNE CHAPIN 35.00 X 396044 0 27477 HOWARD BIRNBAUM 35.00 X 261564 0 31220 JANET SULLIVAN 35.00 X 321881 0 13260 CATHERINE BUHLER CLANCY 35.00 X 267223 0 36995 MARK SANTIAGO 35.00 X 248884 0 34320 MARGARET LEONARD 35.00 X 218629 0 23211 JULIE LEVIN 35.00 X 202120 0 31078 THEODORE HERMAN 35.00 X 192469 0 30497 IRENE DILLON 35.00 X 206380 0 20391 MICHAEL GROSSO - THRU 112912 35.00 X 184923 0 34455 CAROLYN LEIHBACHER 28.00 X 150348 0 15327 CHERYL BORDES 35.00 X 141556 0 33582 SHERRI EHRLICH 35.00 X 146277 0 16649 2938298 0 348462 22 0 1 0 MAXORPLUS LTD 320 S POLK STREET SUITE 200 AMARILLO TX 79101 PHARMACY BENEFITS MGMT 103998719 WESTCHESTER COUNTY HEALTH CARE CORPORATI PO BOX 5044 NEW BRITAIN CT 06050 HEALTHCARE PROFESSIONALS 42137412 HEALTHPLEX IPA INC 333 EARLE OVINGTON BLVD UNIONDALE NY 11553 DENTAL BENEFITS MANAGEMENT 24566634 CRYSTAL RUN HEALTHCARE LLP 155 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 HEALTHCARE PROFESSIONALS 15097439 ORANGE REGIONAL MEDICAL CENTER 707 E MAIN STREET MIDDLETOWN NY 10940 HEALTHCARE PROFESSIONALS 10630028 308 818333 818333 MEDICAID 900099 439283117 439283117 FAMILY HEALTH PLUS 900099 53272647 53272647 CHILD HEALTH PLUS 900099 43855027 43855027 MEDICAL HOME 900099 3657167 3657167 CHP CO-PAYMENTS 900099 2190618 2190618 635102 635102 542893678 115436 115436 MISCELLANEOUS REVENUE 900099 25 25 25 543827472 542893678 0 115461 3068139 822427 2245712 15460724 9627044 5833680 882676 549622 333054 2328799 1450091 878708 1403543 873955 529588 373291 373291 108427 108427 3129401 859728 2269673 560369 560369 1392562 867117 525445 4813921 2997520 1816401 2052986 1278348 774638 237852 148105 89747 89132 55500 33632 29162 29162 1582421 985338 597083 95160 95160 MEDICAL EXPENSES 480377005 480377005 ASSOCIATION DUES & SUBS 192255 119713 72542 OTHER 54190 33743 20447 518232015 501605625 16626390 0 44303028 60391496 15543592 38918684 591353 685036 20375644 15911506 4034729 4464138 1370981 926390 65843683 105385744 45688661 57839871 1813456 3608850 47502117 61448721 X 18341566 43937023 18341566 43937023 65843683 105385744 25595457 0 X 0 1 X 1 1 1 X 198037 258594 464244 812553 818333 2551761 234616909 270275086 342049465 400368061 542893678 1790203199 234814946 270533680 342513709 401180614 543712011 1792754960 0 0 0 1792754960 656609 94526 20396 25906 115436 912873 656609 94526 20396 25906 115436 912873 25 25 235471555 270628206 342534105 401206520 543827472 1793667858 0.99950 0.99830 0.00050 0.00160 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME - 2012 AMOUNT: $ 25. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7553996 5540719 2013277 11390859 9117154 2273705 1430789 1253633 177156 4464138 DUE TO PROVIDERS 885564 DUE TO NEW YORK STATE 1651651 CAPITAL LEASE PAYABLE 1071635 3608850 X 543827472 0 543827472 0 543827472 518232015 0 518232015 0 518232015 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 1 0 0 0 0 0 0 1 0 GEORGANNE CHAPIN 383299 0 0 0 12745 0 12500 0 14977 0 423521 0 0 0 HOWARD BIRNBAUM 233529 0 15000 0 13035 0 12500 0 18720 0 292784 0 0 0 JANET SULLIVAN 294426 0 15000 0 12455 0 12500 0 760 0 335141 0 0 0 CATHERINE BUHLER CLANCY 251671 0 15000 0 552 0 12500 0 24495 0 304218 0 0 0 MARK SANTIAGO 226606 0 15000 0 7278 0 12403 0 21917 0 283204 0 0 0 MARGARET LEONARD 196446 0 15000 0 7183 0 10853 0 12358 0 241840 0 0 0 JULIE LEVIN 185536 0 15000 0 1584 0 10493 0 20585 0 233198 0 0 0 THEODORE HERMAN 176437 0 15000 0 1032 0 10050 0 20447 0 222966 0 0 0 IRENE DILLON 190828 0 15000 0 552 0 10476 0 9915 0 226771 0 0 0 MICHAEL GROSSO - THRU 112912 135915 0 0 0 49008 0 5600 0 28855 0 219378 0 0 0 CAROLYN LEIHBACHER 138072 0 12000 0 276 0 7597 0 7730 0 165675 0 0 0 CHERYL BORDES 126196 0 15000 0 360 0 7562 0 26020 0 175138 0 0 0 SHERRI EHRLICH 140097 0 6000 0 180 0 7454 0 9195 0 162926 0 0 0 PART I, LINE 4A MICHAEL GROSSO RECEIVED SEVERANCE PAYMENT OF $48,763 IN 2012. PART I, LINE 7 THE PRESIDENT/CEO DETERMINES AND APPROVES THE AMOUNTS OF THE BONUS TO BE PAID OUT TO ALL OFFICERS, KEY EMPLOYEES AND TOP MANAGEMENT. ANY BONUS RECEIVED BY THE PRESIDENT/CEO IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS. SEE SCHEDULE J, PART II, COLUMN B(II) FOR THE BONUS AMOUNTS. FORM 990, PART VI, SECTION B, LINE 11 THE 990 IS REVIEWED BY THE BOARD OF DIRECTORS AND MANAGEMENT PRIOR TO SUBMISSION. FORM 990, PART VI, SECTION B, LINE 12C HUDSON HEALTH PLAN MONITORS ADHERENCE TO THE CONFLICT OF INTEREST POLICY BY HAVING THE OFFICERS, DIRECTORS, BOARD MEMBERS, AND KEY EMPLOYEES ANNUALLY SIGN A CONFLICT OF INTEREST STATEMENT. THROUGH THIS STATEMENT THE MEMBERS ARE ASSURING THAT THEY HAVE NO CURRENT CONFLICT AND WILL REPORT ANY FUTURE CONFLICT AS IT ARISES. ALL EMPLOYEES ARE REQUIRED TO SIGN AN EMPLOYMENT AGREEMENT WHICH CLEARLY STATES THE COMPANY'S CONFLICT OF INTEREST POLICY. IF A PERCEIVED CONFLICT OF INTEREST IS REPORTED, THE HR DEPARTMENT, THE DIRECTOR OF CORPORATE COMPLIANCE OR THE LEGAL COUNSEL WOULD ADDRESS THE VALIDITY AND IMPACT ON THE COMPANY. FORM 990, PART VI, SECTION B, LINE 15 HUDSON HEALTH PLAN PURCHASES A SUBSCRIPTION TO THE WARREN COMPENSATION SURVEY. HUDSON HEALTH PLAN USES COMPARABLE DATA TO PERFORM A MARKET BASED WAGE AND SALARY REVIEW FOR MANAGEMENT, SENIOR MANAGEMENT AND EXECUTIVE LEVEL POSITIONS WITHIN THE ORGANIZATION. THE SALARY FOR THE CEO/PRESIDENT IS APPROVED BY THE BOARD OF DIRECTORS. THE SALARIES FOR THE OTHER OFFICERS AND KEY EMPLOYEES ARE APPROVED BY THE CEO/PRESIDENT. FORM 990, PART VI, SECTION C, LINE 19 GOVERNING DOCUMENTS AND POLICIES AND ORGANIZATION'S FINANCIAL STATEMENTS ARE MADE PUBLIC UPON REQUEST, SUPERVISED BY MANAGEMENT. FORM 990 , PART VII, SECTION A: THE ORGANIZATION, IN A FULL TRANSPARENCY POSTURE TO REPORTING, IS REPORTING ALL BENEFITS IN FULL IN PART VII, COLUMN F AND NOT APPLYING THE $10,000 PER ITEM EXCEPTION FOR CERTAIN BENEFITS. FORM 990, PART VII, SECTION A, COLUMN B HOURS LISTED IN THIS COLUMN ARE BASED ON PAYROLL HOURS, ACTUAL HOURS ARE GREATER. WPHSP LEASING CORP 303 S BROADWAY SUITE 321 TARRYTOWN NY 10591 133675430 REAL ESTATE LESSEE NY HUDSON HEALTH PLAN C 2031134 100 1.00000 1 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 WPHSP LEASING CORPORATION K 2031134 SUBLEASE - COST