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GENESEE VALLEY GROUP HEALTH ASSOCIATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
GENESEE VALLEY GROUP HEALTH ASSOCIATION (EIN 16-1005419)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-09-26
IRS object ID
201812719349300411
Schema version
2017v2.0
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-09-26T17:41:37-07:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN161005419EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GENESEE VALLEY GROUP HEALTH ASSOCIATIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGENEBusinessNameControlTxt
Phone5852384579PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 Court StreetAddressLine1Txt
CityRochesterCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14647ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJames HaefnerPersonNm
Person TitleSr Vice President & Asst TreasurerPersonTitleTxt
Phone5853276505PhoneNum
Signature2018-09-28SignatureDt
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1Lifetime Health Medical GroupBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerPaul EisenstatPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 Court StreetAddressLine1Txt
CityRochesterCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14647ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$55,614,386GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.lifetimehealth.orgWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1972FormationYr
Legal Domicile StateNYLegalDomicileStateCd
Activity Or MissionGenesee Valley Group Health Association, Inc. provides primary health care for patients in Buffalo and Rochester. A variety of services are offered at each health center and most sites to include pharmacy, laboratory, radiology, internal medicine, pediatrics, family practice and specialty care.ActivityOrMissionDesc
Contract TerminationYes (X)ContractTerminationInd
Voting Members Governing Body3VotingMembersGoverningBodyCnt
Voting Members Independent0VotingMembersIndependentCnt
Total Employee533TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$32,726,981PYProgramServiceRevenueAmt
CY Program Service Revenue$30,508,935CYProgramServiceRevenueAmt
PY Investment Income$1,091,039PYInvestmentIncomeAmt
CY Investment Income$4,916,450CYInvestmentIncomeAmt
PY Other Revenue$2,727,182PYOtherRevenueAmt
CY Other Revenue$2,771,235CYOtherRevenueAmt
PY Total Revenue$36,545,202PYTotalRevenueAmt
CY Total Revenue$38,196,620CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$37,219,939PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$41,343,128CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,904,042PYOtherExpensesAmt
CY Other Expenses$12,812,368CYOtherExpensesAmt
PY Total Expenses$50,123,981PYTotalExpensesAmt
CY Total Expenses$54,155,496CYTotalExpensesAmt
PY Revenues Less Expenses-$13,578,779PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$15,958,876CYRevenuesLessExpensesAmt
Total Assets BOY$13,307,046TotalAssetsBOYAmt
Total Assets EOY$12,270,189TotalAssetsEOYAmt
Total Liabilities BOY$34,446,302TotalLiabilitiesBOYAmt
Total Liabilities EOY$49,436,327TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$21,139,256NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$37,166,138NetAssetsOrFundBalancesEOYAmt
MissionLifetime Health Medical Group exists to support our patients' pursuit of healthier lives by providing exceptional, high quality and affordable services in a caring environment. We will be the provider of choice in our community by delivering patient-focused, innovation and valued health care.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$40,135,627ExpenseAmt
Revenue$30,508,935RevenueAmt
DescHealth Care Delivery: Health Services (212,810 visits)Desc
Total Other Prog Srvc Expense$0TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$0TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$40,135,627TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (1)ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtYes (1)IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer EntYes (1)BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial LiquidationYes (1)PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document56IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee533EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members3GoverningBodyVotingMembersCnt
Independent Voting Member0IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldNYStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd
OtherYes (X)OtherInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJames C HaefnerPersonNm
Phone5853276505PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 Court StreetAddressLine1Txt
CityRochesterCityNm
State AbbreviationNYStateAbbreviationCd
ZIP14647ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtOfficerOfficerIndKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Christopher C Booth
Director0.440Yes (X)$0$2,349,453$536,214
Dorothy Coleman
CFO and Treasurer0.440Yes (X)$0$1,181,196$140,735Yes (X)
Stephen Sloan
Secretary0.440Yes (X)$0$922,299$216,509Yes (X)
Paul Eisenstat
CEO240$0$631,510$61,811Yes (X)
Stephen LaSalle
COO400$0$376,515$62,770Yes (X)
Margaret Cassady
Assistant Secretary1.840$0$290,384$44,293Yes (X)
James Haefner
Assistant Treasurer0.440$0$312,483$77,207Yes (X)
Stephen Cohen
President2020$0$433,884$75,779Yes (X)
Mark Perry
Chief Medical Officer400$0$442,154$27,483Yes (X)
Robert Cole
Medical Director400$377,175$0$37,332Yes (X)
Douglas Golding
Medical Director400$0$327,944$47,420Yes (X)
Deborah Carlascio
VP Patient Clinicial Services400$0$247,340$58,051Yes (X)
Karen Feigel
Marketing & Communications Director400$142,121$0$30,438Yes (X)
Darren Houpt
Medical Director400$243,467$0$34,232Yes (X)
Michael Jordan
Physician400$450,122$0$37,807Yes (X)
Valerie Newman
Physician400$445,171$0$32,574Yes (X)
Stephanie Fretz
Physician00$343,113$0$35,124Yes (X)
Josephine Ellis
Physician400$332,695$0$21,994Yes (X)
Zhong Guo
Physician400$335,016$0$33,515Yes (X)
David H Klein
Former CEO00$0$1,617,659$12,339Yes (X)
Theo Turque
Former Medical Director00$191,624$0$30,755Yes (X)
Eugene Ver
Former Physician00$254,763$0$18,227Yes (X)
Richard Vienne
Former VP & CMO00$10,180$311,224$62,354Yes (X)
Matthew Bartels
Former Physician00$0$170,064$27,594Yes (X)
Maritza Baez
Former Physician00$285,149$0$16,423Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,410,596TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$9,614,109TotReportableCompRltdOrgAmt
Total Other Compensation$1,778,980TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K67IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
LeChase Construction Services
205 Indigo Creek DriveRochesterNY14626Construction Mgmt Services$812,467
Ciminelli Real Estate Corp
50 Fountain PlazaBuffaloNY14202Property Mgmt Services$494,164
Quality Systems Inc
PO Box 809390ChicagoIL60680Software Maintenance$419,519
Windsong Radiology Group
55 Spindrift DriveWilliamsvilleNY14221Radiology Services$311,670
Iron Mountain Inc
Dept 785Los AngelesCA90060Records Mgmt Services$171,232PO Box 60709
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K6CntrctRcvdGreaterThan100KCnt
Total Contributions$0TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
Fee For Service Revenue621110$29,142,181$29,142,181$0$0
Capitation Revenue621110$1,366,754$1,366,754$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$30,508,935TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,218,730TotalRevenueColumnAmt
Related Or Exempt Func Income$1,218,730RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$57,068RealAmt
Personal$0PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$57,068RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$57,068TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$57,068ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$7,537,797OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$3,840,077OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$3,697,720OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$3,697,720TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$3,697,720ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$16,291,856GrossSalesOfInventoryAmt
Cost Of Goods Sold$13,577,689CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$2,714,167TotalRevenueColumnAmt
Related Or Exempt Func Income$0RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$2,714,167ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$0OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$38,196,620TotalRevenueColumnAmt
Related Or Exempt Func Income$31,727,665RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$6,468,955ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,747,124TotalAmt
Program Services$0ProgramServicesAmt
Management And General$2,747,124ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$31,741,915TotalAmt
Program Services$25,356,620ProgramServicesAmt
Management And General$6,385,295ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$759,159TotalAmt
Program Services$606,444ProgramServicesAmt
Management And General$152,715ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$4,206,679TotalAmt
Program Services$2,767,039ProgramServicesAmt
Management And General$1,439,640ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,888,251TotalAmt
Program Services$1,619,936ProgramServicesAmt
Management And General$268,315ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$276,721TotalAmt
Program Services$0ProgramServicesAmt
Management And General$276,721ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$138,105TotalAmt
Program Services$0ProgramServicesAmt
Management And General$138,105ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt
Fundraising$0FundraisingAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$2,895,443TotalAmt
Program Services$2,765,676ProgramServicesAmt
Management And General$129,767ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$131,077TotalAmt
Program Services$57,921ProgramServicesAmt
Management And General$73,156ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,405,818TotalAmt
Program Services$911,058ProgramServicesAmt
Management And General$494,760ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$816,718TotalAmt
Program Services$172,581ProgramServicesAmt
Management And General$644,137ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,951,768TotalAmt
Program Services$2,943,938ProgramServicesAmt
Management And General$7,830ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$86,474TotalAmt
Program Services$29,168ProgramServicesAmt
Management And General$57,306ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$19,130TotalAmt
Program Services$11,616ProgramServicesAmt
Management And General$7,514ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$80,005TotalAmt
Program Services$0ProgramServicesAmt
Management And General$80,005ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$1,014,309TotalAmt
Program Services$510,935ProgramServicesAmt
Management And General$503,374ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$618,325TotalAmt
Program Services$4,220ProgramServicesAmt
Management And General$614,105ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Expenses OtherExpensesGrp (2 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmtFundraisingFundraisingAmt
Other Exp - Medical Supplies$2,353,226$2,353,226$0$0
Other Exp - Miscellaneous$25,249$25,249$0$0

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$54,155,496TotalAmt
Program Services$40,135,627ProgramServicesAmt
Management And General$14,019,869ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$11,186BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,929,929BOYAmt
EOY$7,204,349EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$1,936,391BOYAmt
EOY$40,041EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$530,639BOYAmt
EOY$31,154EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$2,207,176LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$1,780,568LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$3,910,445BOYAmt
EOY$426,608EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$3,988,456BOYAmt
EOY$4,568,037EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$13,307,046BOYAmt
EOY$12,270,189EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$3,511,525BOYAmt
EOY$6,579,553EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$30,934,777BOYAmt
EOY$42,856,774EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$34,446,302BOYAmt
EOY$49,436,327EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$21,139,256BOYAmt
EOY-$37,166,138EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$21,139,256BOYAmt
EOY-$37,166,138EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$13,307,046BOYAmt
EOY$12,270,189EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$15,958,876ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$0NetUnrlzdGainsLossesInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Investment Expense$0InvestmentExpenseAmt
Prior Period Adjustments$0PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$68,006OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consol And Sep Basis Fincl StmtYes (X)ConsolAndSepBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule A, Part I, Line 3FormAndLineReferenceDesc
ExplanationGenesee Valley Group Health Association is exempt as a hospital under Internal Revenue Code Section 170(b)(1)(A)(iii); however it is not a hospital as defined by the Form 990, Section H instructions: "a hospital is a facility that is, or is required to be licensed, registered, or similarly recognized by a state as a hospital." Genesee Valley Group Health Association does not meet any of these requirements. Genesee Valley Group Health Association is licensed under Article 28 of the New York State Public Health Law to operate diagnostic and treatment centers.ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$289,674OtherCostOrOtherBasisAmt
Book Value$289,674BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$1,604,901OtherCostOrOtherBasisAmt
Depreciation$1,548,079DepreciationAmt
Book Value$56,822BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$164,840OtherCostOrOtherBasisAmt
Depreciation$122,483DepreciationAmt
Book Value$42,357BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$147,761OtherCostOrOtherBasisAmt
Depreciation$110,006DepreciationAmt
Book Value$37,755BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$0InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$0OtherCostOrOtherBasisAmt
Depreciation$0DepreciationAmt
Book Value$0BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$426,608TotalBookValueLandBuildingsAmt

Financial Derivatives FinancialDerivativesGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$0BookValueAmt

Other Securities OtherSecuritiesGrp

FieldValueIRS element (for citing)
DescInvestment in Limited Liability CompanyDesc
Book Value$4,568,037BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$4,568,037TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Due to Affiliates$39,751,892
Post Retirement Benefit Obligation$2,040,474
Long Term Debt and Capital Leases$1,064,408
FieldValueIRS element (for citing)
Total Liability$42,856,774TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd
Total Rev Etc Audited Fincl Stmt$48,076,589TotalRevEtcAuditedFinclStmtAmt
Net Unrealized Gains Invst$0NetUnrealizedGainsInvstAmt
Donated Services And Use Fclts$0DonatedServicesAndUseFcltsAmt
Recoveries Prior Year Grants$0RecoveriesPriorYearGrantsAmt
Other Revenue$13,577,689OtherRevenueAmt
Revenue Not Reported$13,577,689RevenueNotReportedAmt
Revenue Subtotal$34,498,900RevenueSubtotalAmt
Investment Expenses Not Incld$0InvestmentExpensesNotIncldAmt
Other Revenues Not Included$3,697,720OtherRevenuesNotIncludedAmt
Revenue Not Reported Fincl Stmt$3,697,720RevenueNotReportedFinclStmtAmt
Total Revenue Per Form990$38,196,620TotalRevenuePerForm990Amt
Tot Expns Etc Audited Fincl Stmt$67,733,185TotExpnsEtcAuditedFinclStmtAmt
Donated Services Use Fclts$0DonatedServicesUseFcltsAmt
Prior Year Adjustments$0PriorYearAdjustmentsAmt
Losses Reported$0LossesReportedAmt
Other Expenses Included$13,577,689OtherExpensesIncludedAmt
Expenses Not Reported$13,577,689ExpensesNotReportedAmt
Expenses Subtotal$54,155,496ExpensesSubtotalAmt
Investment Expenses Not Incld2$0InvestmentExpensesNotIncld2Amt
Other Expenses Not Included$0OtherExpensesNotIncludedAmt
Expenses Not Rpt Fincl Stmt$0ExpensesNotRptFinclStmtAmt
Total Expenses Per Form990$54,155,496TotalExpensesPerForm990Amt

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part X, Line 2Financial Accounting Standards Board (FASB) Accounting Standards Codification (ASC) Topic 740, Income Taxes, provides that a tax benefit from an uncertain tax position may be recognized when it is more likely than not that the position will be sustained upon examination, including resolutions of any related appeals or litigation processes, based on the technical merits. Income tax positions must meet a more likely than not recognition threshold to be recognized. This Topic also provides guidance on measurement, derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The Company recognizes any interest and penalties related to unrecognized tax benefits within the other expenses line in the accompanying statements of activities and changes in accumulated deficit. Accrued interest and penalties are included within accounts payable and accrued expenses in the accompanying statements of financial position. There were no interest and penalties recognized for 2017 or 2016. The Company does not anticipate any uncertain tax positions within the next twelve months. As of December 31, 2017, the Company's tax years for 2014 through 2017 are subject to examination by tax authorities.
Schedule D, Part XI, Line 2dPharmacy Cost of Goods Sold Removed from Pharmacy Revenue: $<13,577,689>
Schedule D, Part XI, Line 4bGain on Disposal of Property, Equipment and Other Assets (Net): $3,697,720
Schedule D, Part XII, Line 2dPharmacy Cost of Goods Sold: $<13,577,689>

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (25 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Christopher C Booth
Director$0$983,230$0$1,356,757$0$9,466$0$508,731$0$27,483$0$2,885,667$0$0
Dorothy Coleman
CFO and Treasurer$0$579,621$0$589,746$0$11,829$0$110,038$0$30,697$0$1,321,931$0$0
Stephen Sloan
Secretary$0$491,958$0$420,997$0$9,344$0$196,102$0$20,408$0$1,138,809$0$0
Paul Eisenstat
CEO$0$386,973$0$241,995$0$2,543$0$38,119$0$23,692$0$693,322$0$0
Stephen LaSalle
COO$0$224,505$0$95,861$0$56,150$0$40,295$0$22,475$0$439,286$0$0
Margaret Cassady
Assistant Secretary$0$242,672$0$44,909$0$2,803$0$34,175$0$10,118$0$334,677$0$0
James Haefner
Assistant Treasurer$0$224,696$0$83,945$0$3,842$0$49,742$0$27,465$0$389,690$0$0
Stephen Cohen
President$0$306,446$0$122,302$0$5,136$0$53,231$0$22,548$0$509,663$0$0
Mark Perry
Chief Medical Officer$0$277,138$0$63,071$0$101,944$0$11,379$0$16,104$0$469,636$0$0
Robert Cole
Medical Director$303,794$0$72,552$0$830$0$8,100$0$29,232$0$414,508$0$0$0
Douglas Golding
Medical Director$0$246,557$0$40,746$0$40,640$0$20,139$0$27,281$0$375,363$0$0
Theo Turque
Former Medical Director$190,533$0$0$0$1,091$0$5,460$0$25,295$0$222,379$0$0$0
Deborah Carlascio
VP Patient Clinicial Services$0$188,855$0$55,811$0$2,674$0$40,487$0$17,563$0$305,390$0$0
Michael Jordan
Physician$137,891$0$310,840$0$1,391$0$8,100$0$29,707$0$487,929$0$0$0
Valerie Newman
Physician$236,891$0$205,854$0$2,426$0$5,965$0$26,609$0$477,745$0$0$0
Stephanie Fretz
Physician$120,317$0$220,601$0$2,195$0$5,700$0$29,424$0$378,237$0$0$0
Eugene Ver
Former Physician$251,120$0$0$0$3,643$0$6,767$0$11,460$0$272,990$0$0$0
Richard Vienne
Former VP & CMO$10,180$260,422$0$48,269$0$2,533$190$34,088$12$28,065$10,382$373,377$0$0
David H Klein
Former CEO$0$0$0$0$0$1,617,659$0$0$0$12,339$0$1,629,998$0$1,610,815
Matthew Bartels
Former Physician$0$124,119$0$45,332$0$612$0$14,917$0$12,678$0$197,658$0$0
Maritza Baez
Former Physician$160,340$0$123,758$0$1,052$0$6,806$0$9,617$0$301,573$0$0$0
Karen Feigel
Marketing & Communications Director$122,767$0$17,538$0$1,816$0$4,491$0$25,946$0$172,558$0$0$0
Darren Houpt
Medical Director$242,816$0$0$0$652$0$7,014$0$27,218$0$277,700$0$0$0
Zhong Guo
Physician$171,616$0$162,053$0$1,347$0$8,100$0$25,415$0$368,531$0$0$0
Josephine Ellis
Physician$163,481$0$168,081$0$1,134$0$0$0$21,994$0$354,690$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 3Schedule J, Part I, Line 3- The CEO of the filing organization is compensated by a related organization. His compensation is 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 are 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 4Schedule J, Part I, Line 4 - Line 4b - The following persons from Part VII, Section A, Line 1a participated in a supplemental nonqualified retirement plan of a related organization: D. Klein, 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.
Schedule J, Part IISchedule J, Part II - Schedule J Part II, Column (B)(iii) - The amount of Other Reportable Compensation for David Klein of $1,617,659 consists primarily of payments of $1,610,815 from a Supplemental Excess Retirement Plan (SERP) maintained by a related party. The SERP payment was reported on a prior 990 and therefore is recorded in column (F.)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Excellus Health Plan
Parent$12,870,274Revenue from Parent0
Excellus Health Plan
Parent$6,334,122Mgmt Fees & Purchased Services0
Excellus Health Plan
Parent$1,577,410Rental of Space0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule L, Part IVFormAndLineReferenceDesc
ExplanationThe filing organization has various business transactions with Excellus Health Plan Inc whose CEO, CFO/Treasurer, Secretary, Assistant Secretary and Assistant Treasurer are also officers of the filing organization.ExplanationTxt

Schedule N IRS990ScheduleN

Disposition Of Assets Detail DispositionOfAssetsDetail (5 entries)

Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDescDistributionDistributionDtFair Market Value Of AssetFairMarketValueOfAssetAmtMethod Of FMV DeterminationMethodOfFMVDeterminationTxtEINEINAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdIRC SectionIRCSectionTxt
Rite Aid of New York
Pharmacy Business and Inventory2017-10-05$2,313,941Third Party Appraisal231940649PO Box 3165HarrisburgPA17105Corporation
Rochester General Hospital
Medical Practices, Equipment and Pharmacy Inventory2017-12-31$2,111,540Third Party Appraisal160743134100 Kings Highway SouthRochesterNY14617501(c)(3)
GRHS Foundation
Medical Building and Land2017-12-31$1,912,315Third Party Appraisal223378111100 Kings Highway SouthRochesterNY14617501(c)(3)
University of Rochester
Medical Practices, Equipment and Pharmacy Inventory2017-12-31$1,200,000Third Party Appraisal160743209601 Elmwood AvenueRochesterNY14622501(c)(3)
Hinman Straub PC
Legal Expenses Related to Dissolution2017-12-31$18,686Hourly Rate21 State StreetAlbanyNY12207PC
FieldValueIRS element (for citing)
Director Of Successor20DirectorOfSuccessor2Ind
Employee Of Successor2Yes (1)EmployeeOfSuccessor2Ind
Owner Of Successor20OwnerOfSuccessor2Ind
Receive Compensation2Yes (1)ReceiveCompensation2Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule N, Part II, Line 2FormAndLineReferenceDesc
ExplanationDuring 2017 the process of liquidating and dissolving the reporting entity began with an expected completion date of 9/30/18. Assets, including medical buildings, equipment, pharmacy inventories and medical practices were sold in 2017 to other 501(c)(3) tax exempt organizations. Other pharmacy scripts and inventories were sold to Rite Aid of New York. Third party appraisals were obtained for assets sold. The agreed upon sales prices were presented to and approved by the New York State Attorney General. Certain employees of the reporting entity were offered positions with the purchaser. Of these, Robert Cole MD a key employee of the reporting entity accepted a position with the purchaser in 2018. The following employees were offered severances and or retention packages expected to be paid subsequent to the reporting period ended 12/31/17: Officer: 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); Key Employees: Michael Jordan (Physician), Stephanie Fretz (Physician) and Zhong Guo (Physician).ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, Line 2GVGHA officers Stephen Cohen and Stephen LaSalle and GVGHA key employees Mark Perry, Douglas Golding and Deb Carlascio are employees of Excellus Health Plan, Inc (a related organization). Such employees have a business relationship with GVGHA officers Christopher Booth, Dorothy Coleman, Stephen Sloan, James Haefner and Margaret Cassady who are also officers of Excellus Health Plan, Inc.
Form 990, Part VI, Section A, Line 6The organization's sole member is Excellus Health Plan, Inc.
Form 990, Part VI, Section A, Line 7aPursuant to a resolution of the Board of Directors of Excellus Health Plan, Inc. (the sole member of the organization) the Chief Executive Officer of Excellus Health Plan, Inc. is empowered to act on behalf of Excellus Health Plan, Inc. to elect or reelect the organization's directors. This occurs at a joint annual meeting of the sole member and Board of Directors of the organization, which is held during the first six months of the year pursuant to the Bylaws of the organization.
Form 990, Part VI, Section A, Line 7bBylaw amendments must be approved by the sole member. Certain governance actions (such as the sale of all or substantially all of the assets of the organization) require approval of the member under the New York Not-for-Profit Corporation Law.
Form 990, Part VI, Section B, Line 11bThe 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 12cThe organization's Conflict of Interest Policy is regularly and consistently enforced via a robust annual process. Annually, all employees who hold a position at the director level or above complete the Conflict of Interest Questionnaire. New or newly promoted employees at the director level or above complete the questionnaire at the time of employment or promotion. The Corporate Director of Ethical Compliance is 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 reviews all Conflicts of Interest or potential Conflicts of Interest and makes recommendations.
Form 990, Part VI, Section B, Line 15The CEO, other officers and key employee compensation is 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 18The organization's Form 990 is available online via GuideStar.org.
Form 990, Part VI, Section C, Line 19Governing documents, conflict of interest policy and financial statements are available to the public upon request.
Form 990, Part VII, Section A, Line 1aColumn B - Some of the trustees and officers that devote time to the filing organization do so on an allocated basis as supported by a management fee arrangement with a related organization. Such trustees and officers receive their compensation from a related organization. In some cases, these trustees and officers devote all of their time to the filing organization and in others, the related organization is where the majority of their time is devoted.
Form 990, Part XI, Line 9Pension-Related Changes Other Than Net Periodic Pension Cost

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Genesee Region Home Care Assoc Inc
165 Court StreetRochesterNY14647160844109Home Health ServicesNY501(c)(3)509(a)(2)Excellus Health PlanYes (1)
Genesee Region Home Care of Ontario County Inc
165 Court StreetRochesterNY14647223257719Home Health ServicesNY501(c)(3)509(a)(2)Excellus Health PlanYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtOwnershipOwnershipPctBusiness Name Line2RelatedOrganizationName/BusinessNameLine2TxtLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
Lifetime Healthcare Inc
165 Court StreetRochesterNY14647161514675Holding CoNYN/AC0
Excellus Health Plan Inc
165 Court StreetRochesterNY14647150329043Health InsurerNYN/AC
Beacon Network Services Inc
165 Court StreetRochesterNY14647141830065InactiveNYN/AC
Excellus Acquisition Inc
165 Court StreetRochesterNY14647141830065Holding CoNYN/AC
MedAmerica Inc
165 Court StreetRochesterNY14647161581817Holding CoNYN/AC
Excellus Ventures Inc
165 Court StreetRochesterNY14647161550984Holding CoNYN/AC
MedAmerica Insurance Company of NY
165 Court StreetRochesterNY14647161310986Long Term Care InsNYN/AC
MedAmerica Insurance Company
165 Court StreetRochesterNY14647340977231Long Term Care InsPAN/AC
MedAmerica Insurance Company of FL
165 Court StreetRochesterNY14647141993330Long Term Care InsFLN/AC
Lifetime Benefit Solutions Inc
165 Court StreetRochesterNY14647161171765Third Party AdministratorNYN/AC
MedAmerica Reinsurance Company
165 Court StreetRochesterNY14647980210843Long Term Care InsuranceN/ACf/k/a MIG Assurance LtdCJ
Lifetime Healthcare Companies Workers'
165 Court StreetRochesterNY14647161483185Grantor TrustNYN/ATCompensation Trust
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (1)SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (3 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Excellus Health Plan Inc
l$12,870,274Fair Market Value
Excellus Health Plan Inc
m$6,334,122Fair Market Value
Excellus Health Plan Inc
k$1,577,410Fair Market Value