2012-10-11T14:12:53-05:00 2011-12-31 420714325 MCGLADREY LLP 1185 AVENUE OF THE AMERICAS NEW YORK NY 100362602 990 2011-01-01 133350704 HUDSON HEALTH PLAN INC HUDS 9146311611 303 SOUTH BROADWAY NO 321 TARRYTOWN NY 10591 HOWARD BIRNBAUM 9146311611 2012-10-10 1 MARTIN GREIF P00029738 2123721000 2011 2016-02-24 21:20:13Z GEORGANNE CHAPIN 303 SOUTH BROADWAY NO 321 TARRYTOWN NY 10591 401206520 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 10 374 0 0 0 464244 812553 342049465 400368061 -6067 25906 0 0 342507642 401206520 0 0 0 0 23644092 23139737 0 0 0 325913673 375359835 349557765 398499572 -7050123 2706948 59969554 65843683 44334936 47502117 15634618 18341566 TO PROMOTE AND PROVIDE ACCESS TO EXCELLENT HEALTH SERVICES FOR QUALIFYING RESIDENTS OF WESTCHESTER, ROCKLAND, SULLIVAN, ORANGE, DUTCHESS AND ULSTER COUNTIES. 0 0 299479332 308487245 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 2011, WAS 78,546. 45397852 50876929 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 2011, WAS 22,126. 38438224 41003887 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 2011, WAS 11,283 383315408 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 2010 0 1 374 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 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 401281 0 22993 HOWARD BIRNBAUM 35.00 X 271928 0 30151 KEVIN NELSON 35.00 X 192040 0 13871 JANET SULLIVAN 35.00 X 319038 0 13043 CATHERINE BUHLER CLANCY 35.00 X 252063 0 36643 MARK SANTIAGO 35.00 X 227700 0 32685 MARGARET LEONARD 35.00 X 224048 0 22941 JULIE LEVIN 35.00 X 176606 0 28963 THEODORE HERMAN 35.00 X 172279 0 32383 CHERYL BORDES 35.00 X 154229 0 27792 IRENE DILLON 35.00 X 187441 0 18695 ANDREW GEORGOPULOS 35.00 X 141136 0 35447 CAROLYN LEIHBACHER 28.00 X 149261 0 15182 SHERRI EHRLICH 35.00 X 140610 0 15432 PAUL FIORE 35.00 X 150787 0 15215 3160447 0 361436 23 0 1 0 WESTCHESTER COUNTY HEALTH CARE CORPORATI PO BOX 5044 NEW BRITAIN CT 06050 HEALTHCARE PROFESSIONALS 35150600 MAXORPLUS LTD 320 S POLK STREET SUITE 200 AMARILLO TX 79101 PHARMACY BENEFITS MGMT 26624382 HEALTHPLEX IPA INC 333 EARLE OVINGTON BLVD UNIONDALE NY 11553 DENTAL BENEFITS MANAGEMENT 21893369 CRYSTAL RUN HEALTHCARE LLP 155 CRYSTAL RUN ROAD MIDDLETOWN NY 10941 HEALTHCARE PROFESSIONALS 11162266 ORANGE REGIONAL MEDICAL CENTER 707 E MAIN STREET MIDDLETOWN NY 10940 HEALTHCARE PROFESSIONALS 10044847 283 756659 55894 812553 MEDICAID 900099 306342923 306342923 CHILD HEALTH PLUS 900099 48711517 48711517 FAMILY HEALTH PLUS 900099 40695885 40695885 MEDICAL HOME 900099 2570815 2570815 CHP CO-PAYMENTS 900099 1975462 1975462 71459 71459 400368061 25906 25906 401206520 400368061 0 25906 3521883 982609 2539274 14832168 8950929 5881239 644112 388709 255403 2224074 1342186 881888 1917500 1157175 760325 169252 169252 97745 97745 2134942 1604001 530941 667028 667028 2289644 1381756 907888 3302805 1993180 1309625 2092833 1262985 829848 206817 124810 82007 99535 60067 39468 1682063 1015093 666970 123339 123339 MEDICAL EXPENSES 362219061 362219061 ASSOCIATION DUES & SUBS 203788 122982 80806 OTHER 70983 42837 28146 398499572 383315408 15184164 0 0 36424828 44303028 15864963 15543592 749400 591353 18363814 14329085 5156498 4034729 1773865 1370981 59969554 65843683 42650423 45688661 1684513 1813456 44334936 47502117 X 15634618 18341566 15634618 18341566 59969554 65843683 2706948 0 X 0 1 1 X 1 1 X 198037 258594 464244 812553 1733428 182990288 234616909 270275086 342049465 400368061 1430299809 182990288 234814946 270533680 342513709 401180614 1432033237 0 0 0 1432033237 1557767 656609 94526 20396 25906 2355204 1557767 656609 94526 20396 25906 2355204 121600 121600 184669655 235471555 270628206 342534105 401206520 1434510041 0.99830 0.99700 0.00160 0.00290 X SCHEDULE A, PART II, LINE 12, EXPLANATION OF OTHER INCOME: OTHER INCOME RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 7175918 5031571 2144347 11187896 9297514 1890382 4034729 DUE TO PROVIDERS 1025309 DUE TO NEW YORK STATE 788147 1813456 401206520 398499572 2706948 2706948 401206520 0 401206520 0 401206520 398499572 0 398499572 0 398499572 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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 2008. X X 0 0 0 0 0 0 0 1 0 GEORGANNE CHAPIN 311717 0 0 0 89564 0 12250 0 10743 0 424274 0 0 0 HOWARD BIRNBAUM 205445 0 0 0 66483 0 12250 0 17901 0 302079 0 0 0 KEVIN NELSON 133102 0 0 0 58938 0 5360 0 8511 0 205911 0 0 0 JANET SULLIVAN 251046 0 0 0 67992 0 12250 0 793 0 332081 0 0 0 CATHERINE BUHLER CLANCY 203782 0 0 0 48281 0 12250 0 24393 0 288706 0 0 0 MARK SANTIAGO 171030 0 0 0 56670 0 11338 0 21347 0 260385 0 0 0 MARGARET LEONARD 175609 0 0 0 48439 0 11117 0 11824 0 246989 0 0 0 JULIE LEVIN 140152 0 0 0 36454 0 9203 0 19760 0 205569 0 0 0 THEODORE HERMAN 136377 0 0 0 35902 0 9110 0 23273 0 204662 0 0 0 CHERYL BORDES 122870 0 0 0 31359 0 8043 0 19750 0 182022 0 0 0 IRENE DILLON 150989 0 0 0 36452 0 9511 0 9184 0 206136 0 0 0 ANDREW GEORGOPULOS 135344 0 0 0 5792 0 7620 0 27827 0 176583 0 0 0 CAROLYN LEIHBACHER 139985 0 0 0 9276 0 7553 0 7629 0 164443 0 0 0 SHERRI EHRLICH 135430 0 0 0 5180 0 7142 0 8290 0 156042 0 0 0 PAUL FIORE 120969 0 0 0 29818 0 7634 0 7581 0 166002 0 0 0 PART I, LINE 7 THE PRESIDENT/CEO DETERMINES AND APPROVES THE AMOUNTS OF THE LONGEVITY BONUS TO BE PAID OUT TO ALL OFFICERS, KEY EMPLOYEES AND TOP MANAGEMENT. ANY LONGEVITY BONUS RECEIVED BY THE PRESIDENT/CEO IS DETERMINED AND APPROVED BY THE BOARD OF DIRECTORS. SEE SCHEDULE J, PART II, COLUMN B(III) FOR THE LONGEVITY BONUS AND OTHER REPORTABLE COMPENSATION 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 COMPANYS 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 CONTRACTED WITH AN INDEPENDENT ORGANIZATION, THE ASSOCIATION FOR COMMUNITY AFFILIATED PLANS, 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. PART VII HUDSON HEALTH PLAN, 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 1.00000 SOUTHERN WESTCHESTER LEASING CORP 303 S BROADWAY SUITE 321 TARRYTOWN NY 10591 134193905 REAL ESTATE LESSEE NY HUDSON HEALTH PLAN C 1.00000 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 WPHSP LEASING CORPORATION J 2082147 SUBLEASE - COST SOUTHERN WESTCHESTER LEASING CORP J 20442 SUBLEASE - COST