2015-11-04T11:57:17-07:00 2014-12-31 990 2014-01-01 223257719 GENESEE REGION HOME CARE OF ONTARIO COUNTY GENE 5852384579 165 Court Street Rochester NY 14647 Terrence Tehan COO 5852141033 2015-11-02 2014 2016-02-25 16:41:14Z Home Care Plus Patricia Heffernan 3111 S Winton Road Rochester NY 14647 13581561 0 X www.lifetimecare.org X 1994 NY To deliver compassionate, personalized care to adults and children who are ill or injured. 12 4 601 0 0 0 0 0 13291466 13581561 0 0 0 0 13291466 13581561 0 0 0 0 12933001 13083521 0 0 0 1390981 1523659 14323982 14607180 -1032516 -1025619 939292 939292 10639386 11665005 -9700094 -10725713 To deliver compassionate, personalized care to adults and children who are ill or injured. 0 0 689027 0 862971 Home Health Care: Licensed Services - Provides services in the home for persons who require nursing care. (13,666 Hours) 12453347 0 12705077 Home Health Care: Home Health Aides - Provides services in the homes to persons who require trained medical services. (472,976 Hours) 0 0 0 13142374 1 0 0 0 0 0 0 0 0 0 0 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 0 0 0 1 0 0 1 601 1 0 0 0 0 0 0 0 0 0 0 X 12 4 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X Terrence Tehan 5852141033 165 Court Street Rochester NY 14647 Dorothy Coleman CFO, Treasurer and CEO 0.03 40 X X 0 846043 87562 Paul Eisenstat CEO 0.03 40 X X 0 601216 45857 Joseph Kurnath MD Director-Chair 0 0 X X 0 61850 0 Marilyn Dollinger Director-Vice Chair 0 0 X X 0 0 0 Jordon Brown Director 0 0 X 0 3100 0 Mordecai Kolko Director 0 0 X 0 0 0 Manuel Matos MD Director 0 0 X 0 0 0 Alfred Matt Director 0 0 X 0 67550 0 Jagat Mehta MD Director 0 0 X 0 0 0 Deborah Minor Director 0 0 X 0 0 0 David Reh Director 0 0 X 0 0 0 Hilda Rosario-Escher Director 0 0 X 0 0 0 Elane Daly Director 0 0 X 0 0 0 Stephen Sloan Secretary 0.03 40 X 0 774560 105219 James Haefner Assistant Treasurer 0.03 40 X 0 392583 77470 Patricia Heffernan President 0 40 X 0 384780 102875 Terrence Tehan COO 0 40 X 0 325748 83929 Margaret Cassady Assistant Secretary 0.03 40 X 0 299582 36608 David Klein Former CEO 0 0 X 0 6389763 159593 0 10146775 699113 1 1 1 0 0 0 Home Health Care Services 621610 13581561 13581561 0 0 0 0 0 0 13581561 0 0 0 0 0 13581561 13581561 0 0 10814013 10038991 775022 1466483 1361382 105101 803025 745473 57552 8259 4800 3459 10859 10859 223648 54565 169083 22966 22966 213298 141511 71787 41184 41184 246826 139175 107651 581612 569633 11979 7819 4686 3133 0 4408 4408 Other Expense 117013 41244 75769 0 Bad Debt Expense 40914 40914 0 0 Employee Referrals 4853 0 4853 0 14607180 13142374 1464806 0 939292 939292 939292 939292 10639386 11665005 10639386 11665005 X -9700094 -10725713 0 0 0 0 -9700094 -10725713 939292 939292 -1025619 0 0 0 0 0 X 0 1 X 1 0 X 10768329 10550096 10455778 13291466 13581561 58647230 10768329 10550096 10455778 13291466 13581561 58647230 58647230 10768329 10550096 10455778 13291466 13581561 58647230 1 1 0 0 X Due to Genesee Region Home Care Association 11665005 11665005 X Schedule D, Part X, Line 2 FASB ASC Topic 740, Income Taxes provides that a tax benefit from an uncertain tax position may be recognized when it is more than 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 at the effective date 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 income tax expense line in the accompanying statements of activities and changes in net assets. Accrued interest and penalties are included within the related tax liability line in the consolidated statements of financial position. There were no interest and penalties recognized for 2014 or 2013. The Company does not anticipate significant increases or decreases in its uncertain tax positions within the next twelve months. 1 1 1 0 0 0 0 0 0 Dorothy Coleman CFO, Treasurer and CEO 0 527651 0 308020 0 10372 0 65002 0 22560 0 933605 0 0 Stephen Sloan Secretary 0 446057 0 322905 0 5598 0 83004 0 22215 0 879779 0 0 Paul Eisenstat CEO 0 357829 0 242182 0 1205 0 28248 0 17609 0 647073 0 0 Patricia Heffernan President 0 260899 0 118886 0 4995 0 82446 0 20429 0 487655 0 0 James Haefner Assistant Treasurer 0 211627 0 75705 0 105251 0 55899 0 21571 0 470053 0 0 Terrence Tehan COO 0 234155 0 89887 0 1706 0 63013 0 20916 0 409677 0 0 Margaret Cassady Assistant Secretary 0 253144 0 43532 0 2906 0 27050 0 9558 0 336190 0 0 David Klein Former CEO 0 0 0 0 0 6389763 0 145401 0 14192 0 6549356 0 1525324 Schedule J, Part I, Line 3 The CEO of the filing organization is compensated by a related (parent) organization. His compensation is determined in accordance with a Board of Directors approved Executive Compensation Philosophy. The executive compensation process includes an evaluation of market comparable organizations. The CFO and Treasurer of the filing organization, who was also CEO during a portion of the year, is also the CFO of a related (parent) organization. The process to determine her compensation additionally included the use of an external consultant and approval by the Board of Directors of the related organization. Schedule J, Part I, Line 4 Line 4b - The following persons from Part VII, Section A, Line 1a participated in supplemental nonqualified retirement plans of a related organization: D. Klein, D. Coleman, P. Eisenstat, S. Sloan, J. Haefner, P. Heffernan, T. Tehan, and M. Cassady. Line 4c - D. Klein participated in an equity-based compensation arrangement of a related entity that resulted in a distribution of $164,380 in 2014. Schedule J, Part II Line 8(ii), Column (B)(iii) - The amount of Other Reportable Compensation reported for David Klein of $6,389,763 consists primarily of two items: (1) a payment from a deferred compensation plan of $4,841,382 that represents compensation earned by Mr. Klein over his career (previously reported in public filings, including on Schedule G of New York State's annual financial reports for the affiliated health plan) and voluntarily deferred and the earnings on those deferrals and (2) the amount of $1,525,354 which was paid to Mr. Klein pursuant to a Supplemental Excess Retirement Plan maintained by the related (parent) company. This payment was reported on a prior 990 and thus is also reflected in Column (F). Form 990, Part VI, Section A, Line 2 GRCHA officers Terrence Tehan and Patricia Heffernan are employees of Excellus Health Plan, Inc. (a related organization). Such employees have a business relationship with GRHCA officers Dorothy Coleman, Paul Eisenstat, Stephen Sloan and Margaret Cassady who are also officers of Excellus Health Plan, Inc. Form 990, Part VI, Section A, Line 6 Prior submissions incorrectly reflected that the organization had no members. In fact, the organization has a sole corporate Class A member, as well as individual Class B members who are the same individuals serving as Class B directors of the organization. Form 990, Part VI, Section A, Line 7a Pursuant to a resolution of the Board of Directors of North Star Home Health Management, Inc., the sole Class A member of the organization, the Chief Executive Officer of North Star Home Health Management, Inc. is empowered to act on behalf of North Star Home Health Management, Inc. to elect or reelect the organization's Class A directors. The members of the organization elect the Class A and Class B directors 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 7b Bylaws amendments must be approved by the sole Class A member. Certain governance actions (such as the sale of all or substantially all of the assets of the organization) require approval of the members under the New York Not-for-Profit Corporation Law. Form 990, Part VI, Section B, Line 11b A copy of the Form 990 was provided to the Board of Directors prior to filing allowing the opportunity for review. Form 990, Part VI, Section B, Line 12c All employees review the Code of Conduct at an annual mandatory training. Directors and above also complete an annual questionnaire to identify potential conflicts of interest. Any potential policy violations are investigated by compliance personnel and corrective measures are taken as appropriate. Form 990, Part VI, Section B, Line 15 a) In determining compensation of the organization's CEO, the organization depended on compensation surveys and studies that are completed by Human Resources annually. b) In determining compensation of the organization's Other Officers, the organization depended on compensation surveys and studies that are completed by Human Resources annually. Form 990, Part VI, Section C, Line 18 Form 990 is available online via Guidestar.org. Form 990, Part VI, Section C, Line 19 Governing documents, conflict of interest policies, and financial statements are available to the public upon request. Genesee Region Home Care Association Inc 165 Court Street Rochester NY 14647 160844109 Provide Home Health Services NY 501 (c)(3) 509(a)(2) North Star Home Health Management Inc 1 Genesee Valley Group Health Association Inc 165 Court Street Rochester NY 14647 161005419 Provide Health Services NY 501(c)(3) 170(b)(1)(A)(iii) Excellus Health Plan Inc 1 Univera IPA LLC 165 Court Street Rochester NY 14647 454058523 Independent Practice Association NY N/A Excellus Health Plan Inc 165 Court Street Rochester NY 14647 150329043 Health Insurer NY N/A C 1 North Star Home Health Management Inc 165 Court Street Rochester NY 14647 161548051 Holding Company NY N/A C 1 Lifetime Healthcare Inc 165 Court Street Rochester NY 14647 161514675 Holding Company NY N/A C 1 Excellus Acquisition Inc 165 Court Street Rochester NY 14647 061680689 Holding Company NY N/A C 1 MedAmerica Inc 165 Court Street Rochester NY 14647 161581817 Holding Company NY N/A C 1 Excellus Ventures Inc 165 Court Street Rochester NY 14647 161550984 Holding Company NY N/A C 1 Upstate Professional Liability Corporation 165 Court Street Rochester NY 14647 141783968 Inactive NY N/A C 1 Beacon Network Services Inc 165 Court Street Rochester NY 14647 141830065 Inactive NY N/A C 1 Lifetime Benefit Solutions Inc 165 Court Street Rochester NY 14647 161171765 Third Party Administrator NY N/A C 1 MedAmerica Insurance Company of New York 165 Court Street Rochester NY 14647 161310986 Long Term Care Insurance NY N/A C 1 MedAmerica Insurance Company 165 Court Street Rochester NY 14647 340977231 Long Term Care Insurance PA N/A C 1 MedAmerica Insurance Company of Florida 165 Court Street Rochester NY 14647 141993330 Long Term Care Insurance FL N/A C 1 Excellus Insurance Agency Inc 165 Court Street Rochester NY 14647 161588653 Insurance Agancy NY N/A C 1 MIG Assurance 165 Court Street Rochester NY 14647 980210843 Long Term Care Insurer CJ N/A C 1 Sibley Nursing Personnel Service Inc 165 Court Street Rochester NY 14647 161447472 Provide Home Health Services NY N/A C 344 South Warren Street Corporation 165 Court Street Rochester NY 14647 010718849 Real Estate Holding Company NY N/A C 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 Genesee Region Home Care Association Inc l 5392152 Arm's Length