2019-06-27T13:40:33-07:00 2018-12-31 990 2018-01-01 161005419 GENESEE VALLEY GROUP HEALTH ASSOCIATION GENE 5852384579 165 Court Street Rochester NY 14647 Mary OReilly Vice President & Asst Treasurer 5855305680 2019-06-27 206.197.236.42 2018 2019-02-21 02:37:17Z X Lifetime Health Medical Group Paul Einsenstat 165 Court Street Rochester NY 14647 2512144 0 X X 1972 NY Genesee Valley Group Health Association, Inc. previously provided primary health care for patients in Buffalo & Rochester. A variety of services were offered at each health center and most sites to include pharmacy, laboratory, radiology, internal medicine, pediatrics, family practice & specialty care. X 0 0 385 0 0 0 0 0 30508935 0 4916450 1873221 2771235 214328 38196620 2087549 0 0 0 0 41343128 2206821 0 0 0 12812368 3974153 54155496 6180974 -15958876 -4093425 12270189 0 49436327 0 -37166138 0 X Prior to its dissolution, Lifetime Health Medical Group existed to support its patients' pursuit of healthier lives by providing exceptional, high quality and affordable services in a caring environment. 0 1 0 0 0 Health Care Delivery: Health Services (0 visits) 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 1 0 0 1 1 1 0 0 1 15 0 1 385 1 0 0 0 0 0 0 0 0 0 0 0 0 X 0 0 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X Mary O'Reilly 5855305680 165 Court Street Rochester NY 14647 Christopher C Booth Director 0.4 40 X 0 2890585 262374 Dorothy Coleman CFO and Treasurer 0.4 40 X X 0 1386373 102901 Stephen Sloan Secretary 0.4 40 X X 0 1078679 128552 Paul Eisenstat CEO 2.0 40 X 0 705837 74124 Stephen LaSalle COO 40 0 X X 0 391221 65778 Margaret Cassady Assistant Secretary 8.8 40 X 0 302409 43297 James Haefner Assistant Treasurer 0.8 40 X 0 340173 97963 Mary O'Reilly Assistant Treasurer 0.4 40 X 0 174177 36012 Stephen Cohen President 20 20 X X 0 440610 87971 Mark Perry Chief Medical Officer 40 0 X 0 241917 5776 Robert Cole Medical Director 40 0 X 202291 0 3074 Douglas Golding Medical Director 40 0 X 0 205853 11290 Deborah Carlascio VP Patient Clinicial Services 40 0 X 0 291019 26926 Karen Feigel Communications Director 3.0 40.00 X 36997 131640 37715 Mary Kolbert Highly Compensated Employee 40 0 X 113084 0 0 Shannon O'Brien Highly Compensated Employee 40 0 X 107363 0 2090 Marc Reinhardt Highly Compensated Employee 40 0 X 105874 0 13829 Maritza Baez Former Highly Compensated Employee 0 0 X 121666 0 0 Richard Vienne Former Highly Compensated Employee 0 40.00 X 0 339157 60057 687275 8919650 1059729 4 1 1 0 Ciminelli Real Estate Corp 50 Fountain Plaza Buffalo NY 14202 Property Mgmt Services 477669 Quality Systems Inc PO Box 809390 Chicago IL 60680 Software Maintenance 356671 Windsong Radiology Group 55 Spindrift Drive Williamsville NY 14221 Radiology Services 286775 3 0 0 0 0 0 0 0 0 0 2297816 0 424595 0 1873221 1873221 0 0 1873221 214328 214328 0 0 214328 2087549 214328 0 1873221 X 0 0 0 0 0 0 0 0 1142493 0 1142493 0 0 0 0 0 378069 0 378069 0 98305 0 98305 0 375796 0 375796 0 212158 0 212158 0 0 0 0 0 110583 0 110583 0 10465 0 10465 0 0 0 0 0 0 0 0 0 0 0 638271 0 638271 0 0 0 0 0 1027659 0 1027659 0 376272 0 376272 0 0 0 0 0 1389632 0 1389632 0 4834 0 4834 0 0 0 0 0 1032 0 1032 0 12486 0 12486 0 0 0 0 0 671 0 671 0 362051 0 362051 0 Other Exp - Miscellaneous 40197 0 40197 0 6180974 0 6180974 0 0 7204349 40041 31154 426608 4568037 12270189 0 6579553 42856774 49436327 0 X -37166138 0 0 0 0 0 -37166138 0 12270189 0 X -4093425 0 0 0 0 41259563 X 0 0 0 X 1 1 0 0 0 0 0 0 0 Christopher C Booth Director 0 1069395 0 1811782 0 9408 0 234746 0 27628 0 3152959 0 0 Deborah Carlascio VP Patient Clinicial Services 0 52755 0 55836 0 182428 0 12259 0 14667 0 317945 0 0 Margaret Cassady Assistant Secretary 0 247613 0 51933 0 2863 0 29810 0 13487 0 345706 0 0 Stephen Cohen President 0 316097 0 119226 0 5287 0 65578 0 22393 0 528581 0 0 Robert Cole Medical Director 0 0 167564 0 34727 0 0 0 3074 0 205365 0 0 0 Dorothy Coleman CFO and Treasurer 0 602573 0 776357 0 7443 0 78230 0 24671 0 1489274 0 0 Paul Eisenstat CEO 0 398715 0 305034 0 2088 0 50413 0 23711 0 779961 0 0 Karen Feigel Communications Director 5852 87084 20752 0 10393 44556 186 10908 999 25622 38182 168170 0 0 Douglas Golding Medical Director 0 4286 0 74294 0 127273 0 0 0 11290 0 217143 0 0 James Haefner Assistant Treasurer 0 232349 0 103867 0 3957 0 75711 0 22252 0 438136 0 0 Stephen LaSalle COO 0 231308 0 84692 0 75221 0 44243 0 21535 0 456999 0 0 Mary O'Reilly Assistant Treasurer 0 163396 0 10000 0 781 0 12159 0 23853 0 210189 0 0 Mark Perry Chief Medical Officer 0 9748 0 74082 0 158087 0 0 0 5776 0 247693 0 0 Stephen Sloan Secretary 0 515076 0 553376 0 10227 0 108105 0 20447 0 1207231 0 0 Richard Vienne Former Highly Compensated Employee 0 276245 0 59731 0 3181 0 41560 0 18497 0 399214 0 0 Maritza Baez Former Highly Compensated Employee 0 0 38234 0 83432 0 0 0 0 0 121666 0 0 0 Schedule J, Part I, Line 3 The CEO of the filing organization was compensated by a related organization. His compensation was determined in accordance with the Board of Directors' approved Executive Compensation Philosophy. The executive process includes an evaluation of market comparable organizations. The Secretary, CFO, and Treasurer of the filing organization were also the Secretary, CFO and Treasurer of the related organization. The process to determine their compensation includes the use of an external consultant and approval of the Board of Directors of the related organization. Schedule J, Part I, Line 4 Line 4a: The following received severance pay from the organization and related organization during 2018: M. Perry $141,125; R. Cole $34,727; D. Golding $122,051; D. Carlascio $97,471; M. Kolbert $19,021; S. Obrien $4,849; M. Reinhardt $61,459; M. Baez $21,771. Line 4b: The following persons participated in a supplemental nonqualified retirement plan of a related organization: D. Coleman, C. Booth, S. Sloan, P. Eisenstat, J. Haefner, M. Cassady, M. Perry, D. Golding, S. LaSalle, S. Cohen, M. Bartels and R. Vienne. Excellus Health Plan Inc Member 41259563 Forgiveness of Debt 0 Excellus Health Plan Inc Member 2491874 Mgmt Fees & Purchased Services 0 Excellus Health Plan Inc Member 2100000 Property Transfer 0 Excellus Health Plan Inc Member 1147057 Rental of Space 0 Schedule L, Part IV The filing organization had various business transactions with Excellus Health Plan Inc whose CEO, CFO/Treasurer, Secretary, Assistant Secretary and Assistant Treasurers were also officers of the filing organization. LLC Ownership Interest 2018-04-20 4568037 Stock Market Value 150329043 Excellus Health Plan Inc 165 Court Street Rochester NY 14647 Corporation Medical Building and Equipment 2018-07-31 2100000 Third Party Appraisal & Book Value 150329043 Excellus Health Plan Inc 165 Court Street Rochester NY 14647 Corporation Medical Equipment, Office Equipment, Office Furniture & Fixtures 2018-03-14 234469 Book Value & Auction Value Various Legal Fees Related to Dissolution 2018-12-05 45294 Hourly Rate Hinman Straub PC 121 State Street Albany NY 122071693 PC Legal Fees Related to Dissolution 2018-12-05 16749 Hourly Rate Bond Schoeneck & King PLLC One Lincoln Center Syracuse NY 132021355 PLLC 0 1 0 1 1 1 1 1 0 Schedule N, Part I, Line 2 Effective 12/31/17 the filing organization ceased operations. The majority of the assets associated with the health centers were sold or shut down in 2017. No program services were performed in 2018 and the organization was dissolved as of December 5, 2018. Assets distributed during the year satisfied a portion of the liability owed to the sole member Excellus Health Plan Inc (EHP). The investment which represents ownership interest in a limited liability company was transferred to EHP in April 2018 as partial payment of the amount due to EHP. The organization also transferred land and a building to EHP in July 2018 for the fair market value of $2,100,000 as an additional payment of the liability owed to EHP. Certain employees of the filing organization were offered positions with the purchaser. Of these, Robert Cole MD a key employee of the filing entity accepted a position with the purchaser in 2018. The following employees received severances and or retention packages during 2018: Officer/Key Employee: Stephen LaSalle (COO); Key Employees: Mark Perry (CMO); Robert Cole (Medical Director); Douglas Golding (Medical Director); Deborah Carlascio (VP Patient Clinical Services); Karen Feigel (Communications Director). Form 990, Part III, Line 3 Effective December 31, 2017, Genesee Valley Group Health Association (GVGHA) ceased operations. No healthcare delivery services were performed at any time during 2018. The corporation was dissolved as of December 5, 2018. Form 990, Part VI, Section A, Line 2 During the year, GVGHA officers: Stephen Cohen and Stephen LaSalle and GVGHA key employees: Mark Perry, Douglas Golding, Deb Carlascio and Karen Feigel were employees of Excellus Health Plan, Inc (a related organization). Such employees had a business relationship with GVGHA officers Christopher Booth, Dorothy Coleman, Stephen Sloan, James Haefner, Mary O'Reilly and Margaret Cassady who are also officers of Excellus Health Plan, Inc. Form 990, Part VI, Section A, Line 6 Prior to the dissolution of the organization the organization's sole member was Excellus Health Plan, Inc. Form 990, Part VI, Section A, Line 7a Prior to the dissolution of the organization and pursuant to a resolution of the Board of Directors of Excellus Health Plan, Inc. (the previous sole member of the organization), the Chief Executive Officer of Excellus Health Plan, Inc. was empowered to act on behalf of Excellus Health Plan, Inc. to elect or reelect the organization's directors. Form 990, Part VI, Section A, Line 7b Prior to the dissolution of the organization bylaw amendments were required to be approved by the sole member. Certain governance actions (such as the sale of all or substantially all of the assets of the organization) also required approval of the member under the New York Not-for-Profit Corporation Law. Form 990, Part VI, Section B, Line 11b The completed IRS Form 990 was provided to the organization's Board of Directors prior to filing allowing the opportunity for review. Responses were provided to questions raised by the governing body and any comments were analyzed and incorporated as applicable. Form 990, Part VI, Section B, Line 12c Prior to dissolution, the organization's Conflict of Interest Policy was regularly and consistently enforced via a robust annual process. Annually, all employees who held a position at the director level or above completed the Conflict of Interest Questionnaire. New or newly promoted employees at the director level or above completed the questionnaire at the time of employment or promotion. The Corporate Director of Ethical Compliance was responsible for the annual distribution, tracking, review and reporting of the Conflict of Interest or potential Conflict of Interest Questionnaires for employees of the corporation. Corporate legal counsel reviewed all Conflicts of Interest or potential Conflicts of Interest and made recommendations. Form 990, Part VI, Section B, Line 15 Prior to dissolution, the CEO and other officer's compensation was established in conjunction with the Board of Directors by having Human Resources engage independent compensation consultants that provide compensation surveys and information of comparable organizations, as well as market standards and best practices, to make informed compensation decisions on a prospective basis. Form 990, Part VI, Section C, Line 18 The organization's Form 990 is available online via GuideStar.org. Form 990, Part VI, Section C, Line 19 Prior to dissolution, governing documents, conflict of interest policy and financial statements were available to the public upon request. Form 990, Part IX, Line 11g Fees for Services - Other Form 990, Part XI, Line 9 Forgiveness of Debt Genesee Region Home Care Assoc Inc 165 Court Street Rochester NY 14647 160844109 Home Health Services NY 501(c)(3) 509(a)(2) Excellus Health Plan Inc 1 Genesee Region Home Care of Ontario County Inc 165 Court Street Rochester NY 14647 223257719 Home Health Services NY 501(c)(3) 509(a)(2) Excellus Health Plan Inc 1 Lifetime Healthcare Inc 165 Court Street Rochester NY 14647 161514675 Holding Co NY N/A C 0 Excellus Health Plan Inc 165 Court Street Rochester NY 14647 150329043 Health Insurer NY N/A C Beacon Network Services Inc 165 Court Street Rochester NY 14647 141830065 Inactive NY N/A C Excellus Acquisition Inc 165 Court Street Rochester NY 14647 141830065 Holding Co NY N/A C MedAmerica Inc 165 Court Street Rochester NY 14647 161581817 Holding Co NY N/A C Excellus Ventures Inc 165 Court Street Rochester NY 14647 161550984 Holding Co NY N/A C MedAmerica Insurance Company of NY 165 Court Street Rochester NY 14647 161310986 Long Term Care Ins NY N/A C MedAmerica Insurance Company 165 Court Street Rochester NY 14647 340977231 Long Term Care Ins PA N/A C MedAmerica Insurance Company of FL 165 Court Street Rochester NY 14647 141993330 Long Term Care Ins FL N/A C Lifetime Benefit Solutions Inc 165 Court Street Rochester NY 14647 161171765 Third Party Administrator NY N/A C MedAmerica Reinsurance Company f/k/a MIG Assurance Ltd 165 Court Street Rochester NY 14647 980210843 Long Term Care Insurance CJ N/A C Lifetime Healthcare Companies Workers' Compensation Trust 165 Court Street Rochester NY 14647 161483185 Grantor Trust NY N/A T 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 1 1 1 0 Excellus Health Plan Inc k 1147057 Fair Market Value Excellus Health Plan Inc m 2491874 Fair Market Value Excellus Health Plan Inc r 2100000 Fair Market Value