2018-11-06T14:38:57-06:00 2018-03-31 161375790 DEJOY KNAUF & BLOOD LLP 280 EAST BROAD STREET SUITE 300 ROCHESTER NY 14604 990 2017-04-01 472335735 FINGER LAKES PERFORMING PROVIDER SYSTEM INC FING 5582399300 2100 BRIGHTON HENRIETTA TL NO 100 ROCHESTER NY 14623 CAROL TEGAS EXECUTIVE DIRECTOR 5582399300 2018-10-31 1 TIMOTHY P THANEY CPA P01231250 5855461840 2018-10-31 104.153.30.98 2018-10-31 11:21:26 ED P 6B57CD055CDFF924370DD73517B8FC6149E71AEB 4CB431E8F6625E13B204499A327EAE90C83C52D7 2017 2019-02-21 02:37:17Z CAROL TEGAS 2100 BRIGHTON HENRIETTA TL NO 100 ROCHESTER NY 14623 64700348 0 X WWW.FLPPS.ORG X 2014 NY FLPPS IS RESPONSIBLE FOR IMPLEMENTATION OF THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT ("DSRIP") PROGRAM WITHIN THE 13 COUNTY FINGER LAKES REGION OF NEW YORK STATE. 19 19 50 125 0 0 38710114 63713271 0 0 72769 951595 99507 35482 38882390 64700348 27186900 51119226 0 0 4330003 4816867 0 0 0 7275718 7841743 38792621 63777836 89769 922512 68271130 110608999 68209439 110703998 61691 -94999 X FINGER LAKES PEFORMING PROVIDER SYSTEM, INC. ("FLPPS") IS RESPONSIBLE FOR IMPLEMENTATION OF THE DELIVERY SYSTEM REFORM INCENTIVE PAYMENT ("DSRIP") PROGRAM WITHIN THE 13 COUNTY FINGER LAKES REGION. THE DSRIP PROGRAM IS GOVERNED BY AN AGREEMENT BETWEEN NEW YORK STATE AND CMS UNDER THE PARTNERSHIP 1115 WAIVER. THE OVERARCHING OBJECTIVE OF DSRIP IS TO TRANSFORM THE HEALTHCARE DELIVERY SYSTEM, IMPROVE CLINICAL OUTCOMES AND REDUCE PREVENTABLE HOSPITAL USE BY 25% OVER A FIVE-YEAR PERIOD. 0 0 61926669 51119226 PAYMENTS TO PARTNERS FOR ACHIEVEMENT OF PERFORMANCE, ENGAGEMENT AND REPORTING REQUIREMENTS. 61926669 1 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 80 0 1 50 1 0 0 0 0 0 0 0 0 X 19 19 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 0 0 NY X COURTNEY SPITZ 5852399300 2100 BRIGHTON HENRIETTA TL NO 100 ROCHESTER NY 14623 KATHY PARRINELLO CHAIR 1.00 X X 0 0 0 BRIDGETTE WIEFLING MD VICE CHAIR 1.00 X X 0 0 0 TOM CRILLY TREASURER 1.00 X X 0 0 0 MARTY TELLER VICE TREASURER 1.00 X X 0 0 0 MARY ZELAZNY SECRETARY 1.00 X X 0 0 0 MARY BEER DIRECTOR 1.00 X 0 0 0 MARC BERLIANT MD DIRECTOR 1.00 X 0 0 0 TOM CAMPBELL MD DIRECTOR 1.00 X 0 0 0 JIM CUMMINGS DIRECTOR 1.00 X 0 0 0 STEVE GOLDSTEIN DIRECTOR 1.00 X 0 0 0 ANDREA HARADON DIRECTOR 1.00 X 0 0 0 JANICE HARBIN DIRECTOR 1.00 X 0 0 0 BRIAN HART DIRECTOR 1.00 X 0 0 0 ROBERT LAMBERT MD DIRECTOR 1.00 X 0 0 0 KAREN MERRELL DIRECTOR 1.00 X 0 0 0 MICHAEL NAZAR MD DIRECTOR 1.00 X 0 0 0 BOB NESSELBUSH DIRECTOR 1.00 X 0 0 0 ADAM ANOLIK DIRECTOR 1.00 X 0 0 0 HUGH THOMAS DIRECTOR 1.00 X 0 0 0 CAROL TEGAS EXECUTIVE DIRECTOR 40.00 X 221450 0 28139 SAHAR ELEZABI EXEC MEDICAL DIR 40.00 X 330000 0 30858 PETER BAUMAN OPERATIONS DIR 40.00 X 133462 0 23397 COURTNEY SPITZ CONTROLLER 40.00 X 132877 0 16776 COLLENE BURNS HR MANAGER 40.00 X 130644 0 13199 JOSE ROSARIO IT DIRECTOR 40.00 X 155067 0 21383 1103500 0 133752 10 0 1 0 COPE HEALTH SOLUTIONS 314 W 9TH STREET LOS ANGELES CA 90015 CONSULTING 3123617 SPECTRA MD USA 50 MILLSTONE ROAD EAST WINDSOR NJ 08512 CONSULTING 1483750 CCSI 1099 JAY STREET ROCHESTER NY 14611 CONSULTING 464256 GREATER ROCHESTER REGIONAL HEALTH INFO O 200 CANAL VIEW BLVD ROCHESTER NY 14623 CONSULTING 316820 HEALTHVANTICS LLC PO BOX 23593 ROCHESTER NY 14692 190000 5 63713271 63713271 856606 856606 94989 0 94989 94989 94989 MISCELLANEOUS 900099 35482 35482 35482 64700348 35482 0 951595 51119226 51119226 1182584 828257 354327 2757660 2220514 537146 159615 159615 445707 247443 198264 271301 271301 26008 26008 91350 91350 26800 26800 4988054 4444386 543668 84503 65996 18507 1740000 1707441 32559 246937 192858 54079 174756 127626 47130 127590 99648 27942 104008 81230 22778 PARTNER COMMUNICATIONS 164306 164306 0 TELECOMMUNICATIONS 56693 44277 12416 MEMBERSHIPS, CERTIFICAT 5942 4641 1301 LOSS ON DISPOSAL OF PRO 4796 3746 1050 63777836 61926669 1851167 0 1529307 11234858 8553031 5572881 37476575 90085 428600 609491 518731 268996 278653 249735 19992468 92844911 11599 6141 897 897 68271130 110608999 2171508 1876665 112788 1864134 65925143 106963199 68209439 110703998 X 61691 -94999 61691 -94999 68271130 110608999 922512 -1079202 0 X 0 1 X 1 0 X 19106110 38684515 63625990 121416615 19106110 38684515 63625990 121416615 121416615 121416615 1.00000 1.00000 X 41658 7364 34294 341850 215710 126140 135223 45922 89301 249735 X 63621146 -1079202 -1079202 64700348 0 64700348 63777836 0 63777836 0 63777836 PART X, LINE 2: FLPPS IS AN EXEMPT ORGANIZATION UNDER INTERNAL REVENUE CODE SECTION 501(C)(3). FLPPS HAS ALSO BEEN CLASSIFIED AS AN ENTITY THAT IS NOT A PRIVATE FOUNDATION. MANAGEMENT HAS DETERMINED THAT FLPPS HAS NO UNCERTAIN TAX POSITIONS, INCLUDING THE TAX EXEMPT STATUS OF THE ORGANIZATION AS OF MARCH 31, 2018. 0 RU SYSTEM INC 100 KINGS HIGHWAY S ROCHESTER NY 14617 471234999 501(C)(3) 16929079 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS U OF R MEDICAL CENTER PO BOX 978894 ROCHESTER NY 14627 160743209 501(C)(3) 13001986 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS ANTHONY L JORDAN HEALTH CORP 82 HOLLAND STREET ROCHESTER NY 14605 160977295 501(C)(3) 2954853 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS ARNOT HEALTH INC 600 ROE AVENUE ELMIRA NY 14905 453049405 501(C)(3) 1952971 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS SOUTHERN TIER PEDIATRICS PC 3344 CHAMBERS ROAD HORSEHEADS NY 14845 161355553 501(C)(3) 942287 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS FINGER LAKES MIGRANT HEALTH PROJECT PO BOX 423 - 14 MAIDEN LANE PENN YAN NY 14527 161581104 501(C)(3) 927397 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS OAK ORCHARD COMMUNITY HEALTH 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166002567 501(C)(3) 393574 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS CCDOR DBA CATHOLIC FAMILY CENTER 87 NORTH CLINTON AVENUE ROCHESTER NY 14604 160743945 501(C)(3) 386686 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS DEPAUL 1931 BUFFALO ROAD ROCHESTER NY 14624 160820064 501(C)(3) 302367 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS ST JAMES MERCY HEALTH SYSTEM 411 CANISTEO STREET HORNELL NY 14843 160743310 501(C)(3) 286111 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS FLACRA INC 28 EAST MAIN STREET CLIFTON SPRINGS NY 14432 161013292 501(C)(3) 258360 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS NYSARC WAYNE COUNTY CHAPTER 150 VAN BUREN ST NEWARK NY 14513 237540582 501(C)(3) 257729 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS TRILLIUM HEALTH INC 259 MONROE AVE - STE 100 ROCHESTER NY 14607 161356734 501(C)(3) 223172 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS LAKEVIEW HEALTH SERVICES INC 600 W WASHINGTON STREET GENEVA NY 14456 222215112 501(C)(3) 212498 FINANCIAL 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INCENTIVE TO IMPLEMENT DSRIP PROJECTS WYOMING COUNTY COMMUNITY ACTION 6470 ROUTE 20A SUITE 1 PERRY NY 14530 161488538 501(C)(3) 10000 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS GENESEE COUNTY NURSING HOME 278 BANK ST BATAVIA NY 14020 166002560 501(C)(3) 9934 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS COMPEER INC 1600 SOUTH AVENUE SUITE 230 ROCHESTER NY 14620 113798675 501(C)(3) 9797 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS CORNING COUNCIL FOR ASSISTANCE & INFO 271 EAST FIRST STREET CORNING NY 14830 161137097 501(C)(3) 9691 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS EPILEPSY PRALID INC 2 TOWNLINE CIRCLE ROCHESTER NY 14623 161422825 501(C)(3) 9509 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS FAMILY COUNSELING SERVICE 671 S EXCHANGE ST GENEVA NY 14456 160864789 501(C)(3) 9401 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS INNOVATIVE SERVICES INC 7506 STATE ROUTE 5 CLINTON NY 13323 161223844 501(C)(3) 9295 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS JOSEPH KILIMNICK MD 39 N GOODMAN ST ROCHESTER NY 14607 262930481 501(C)(3) 8733 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS PERSON CENTERED HOUSING INC 31 WEST STREET FAIRPORT NY 14450 474815203 501(C)(3) 8700 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS HEALTH REACH PLUS LLC 396 CHESTNUT RIDGE RD ROCHESTER NY 14624 471710757 501(C)(3) 8494 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS GENESEE REGION HOME CARE ASSOCIATION 3111 S WINTON RD ROCHESTER NY 14623 160844109 501(C)(3) 8304 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS CHARLES SETTLEMENT HOUSE INC 71 PARKWAY ROCHESTER NY 14608 160868128 501(C)(3) 8296 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS AARON MANOR REHAB & CONTINUING CARE 100 ST CAMILLUS WAY FAIRPORT NY 14450 113651598 501(C)(3) 8000 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS LAKESIDE BEIKIRCH CARE CENTER INC 170 WEST AVE BROCKPORT NY 14420 222998029 501(C)(3) 8000 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS WESTGATE NURSING HOME 525 BEHAN ROAD ROCHESTER NY 14624 161492618 501(C)(3) 8000 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS ALL METRO HOME CARE SERVICES OF NY 50 BROADWAY LYNBROOK NY 11563 841623899 501(C)(3) 7670 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS CAPABILITIES INC 1149 SULLIVAN ST ELMIRA NY 14901 160807981 501(C)(3) 7335 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS SPIRITUS CHRISTI PRISON OUTREACH 934 CULVER ROAD ROCHESTER NY 14609 161582433 501(C)(3) 7162 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS YWCA OF ROCHESTER AND MONROE COUNTY 175 NORTH CLINTON AVE ROCHESTER NY 14604 160743248 501(C)(3) 7113 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS JONES MEMORIAL HOSPITAL 191 N MAIN STREET WELLSVILLE NY 14895 222807681 501(C)(3) 7000 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS RECOVERY HOUSES OF ROCHESTER INC 1320 BUFFALO RD - STE 203 ROCHESTER NY 14624 261370990 501(C)(3) 6830 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS VOLUNTEERS OF AMERICA WESTERN NY 214 LAKE AVENUE ROCHESTER NY 14608 166011713 501(C)(3) 6652 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS VISITING NURSE ASSOCIATION BATAVIA 2100 WEHRLE DR WILLIAMSVILLE NY 14221 160743214 501(C)(3) 6278 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS ROCHESTER MONROE RECOVERY NETWORK 115 E JEFFERSON ST - STE 300 SYRACUSE NY 13202 161395992 501(C)(3) 5564 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS LINDA DAVIS 1365 CULVER RD ROCHESTER NY 14609 107503364 501(C)(3) 4207 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS EXERCISE EXPRESS LLC 126 PENHURST STREET ROCHESTER NY 14619 611701481 501(C)(3) 3400 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS THE HEALING CONNECTION INC 1387 FAIRPORT RD STE 1000D FAIRPORT NY 14450 320418291 501(C)(3) 3272 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS CANADAIGUA MEDICAL GROUP 335 PERRISH STREET CANANDAIGUA NY 14424 160986417 501(C)(3) 3138 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS MEDICAL MOTOR SERVICE OF ROCHESTER 608 SOUTH CLINTON AVE ROCHESTER NY 14620 160743080 501(C)(3) 2985 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS VENTURE FORTHE INC 3900 PACKARD ROAD NIAGARA FALLS NY 14303 161538504 501(C)(3) 1847 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS ACTION FOR A BETTER COMMUNITY INC 550 E MAIN ST ROCHESTER NY 14604 160902835 501(C)(3) 323 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS ST JOSEPH'S NEIGHBOHOOD CENTER 417 SOUTH AVE ROCHESTER NY 14620 461176792 501(C)(3) 270 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS ALLEGHANY COUNTY DEPT OF SOCIAL SE 7 COURT STREET - RM 127 BELMONT NY 14813 166002554 501(C)(3) 36 FINANCIAL INCENTIVE TO IMPLEMENT DSRIP PROJECTS 160 8 X X 0 0 0 0 0 0 0 0 0 CAROL TEGAS EXECUTIVE DIRECTOR 221450 0 0 0 0 0 11072 0 17067 0 249589 0 0 0 SAHAR ELEZABI EXEC MEDICAL DIR 330000 0 0 0 0 0 13500 0 17358 0 360858 0 0 0 PETER BAUMAN OPERATIONS DIR 133462 0 0 0 0 0 10273 0 13124 0 156859 0 0 0 JOSE ROSARIO IT DIRECTOR 155067 0 0 0 0 0 7753 0 13630 0 176450 0 0 0 FORM 990, PART VI, SECTION A, LINE 6 THE ORGANIZATION HAS TWO CORPORATE MEMBERS WHO EACH HAVE A 50% INTEREST. THE MEMBERS ARE ROCHESTER REGIONAL HEALTH AND THE UNIVERSITY OF ROCHESTER. FORM 990, PART VI, SECTION A, LINE 7A THE CORPORATION SHALL HAVE TWO CORPORATE MEMBERS. THESE MEMBERS SHALL BE RU SYSTEM, INC. AND THE UNIVERSITY OF ROCHESTER (EACH INDIVIDUALLY BEING A "MEMBER AND COLLECTIVELY REFERRED HEREIN TO AS THE "MEMBERS"). EACH MEMBER SHALL DESIGNATE ONE OR MORE REPRESENTATIVES TO ATTEND MEETINGS AND OTHERWISE ACT ON ITS BEHALF. REGARDLESS OF THE NUMBER OF REPRESENTATIVES IT DESIGNATES, EACH MEMBER SHALL HAVE ONE (1) VOTE ON ALL MATTERS REQUIRING MEMBERSHIP ACTION. BOTH MEMBERS ARE 501(C)3 ORGANIZATIONS. THE MEMBERS SHALL HAVE AND EXERCISE ANY AND ALL RIGHTS AND POWERS OF CORPORATE MEMBERSHIP CREATED BY THE LAWS OF THE STATE OF NEW YORK OR THE CERTIFICATE OF INCORPORATION OR BYLAWS OF THE CORPORATION. ADDITIONALLY, THE MEMBERS POSSESS CERTAIN GOVERNANCE AND MANAGEMENT POWERS. AS OUTLINED IN THE ARTICLES OF INCORPORATION AND BYLAWS. THE BOARD OF DIRECTORS IS APPOINTED BY THE MEMBERS AT THE ANNUAL MEETING. THE BYLAWS OUTLINE CERTAIN REQUIREMENTS REGARDING THE NUMBER AND TYPE OF DIRECTORS THAT MUST BE APPOINTED TO THE BOARD. FORM 990, PART VI, SECTION A, LINE 7B ACTIONS TAKEN BY THE ORGANIZATION REQUIRE A UNANIMOUS VOTE OF THE MEMBERS AT A DULY CONVENED MEETING. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS MADE AVAILABLE TO THE BOARD MEMBERS PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C WRITTEN CONFLICT OF INTEREST POLICIES ARE REVIEWED BY THE BOARD OF DIRECTORS. CONFLICT OF INTEREST DISCLOSURE STATEMENTS ARE REQUIRED TO BE COMPLETED BY THE BOARD OF DIRECTORS ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15A COMPENSATION OF OFFICERS IS APPROVED BY THE BOARD FORM 990, PART VI, SECTION C, LINE 18 ORGANIZATIONAL DOCUMENTS ARE AVAILABLE UPON REQUEST TO THE EXECUTIVE DIRECTOR FORM 990, PART VI, SECTION C, LINE 19 INFORMATION RELATED TO THE ORGANIZATION IS AVAILABLE THROUGH THE DIRECTOR OF FINANCE AND THE WEBSITE OF THE ENTITY, FLPPS.ORG