2014-11-06T11:18:43-07:00 2013-12-31 990 2013-01-01 160844109 GENESEE REGION HOME CARE ASSOCIATION INC GENE 5852141000 165 Court Street Rochester NY 14647 Terrence Tehan COO 5852141033 2014-11-06 2013 2015-11-30 17:44:51Z Lifetime Care Patricia Heffernan 3111 Winton Road South Rochester NY 14623 98653936 0 X www.lifetimecare.org X 1960 NY To deliver compassionate, personalized care to adults and children who are ill, injured, dying, or grieving. 14 13 1107 390 0 335846 352432 92054047 96342700 402312 418398 88084 -14435 92880289 97099095 0 0 0 0 53831246 58180969 0 0 23828 37413860 36522157 91245106 94703126 1635183 2395969 47235462 46962705 23187427 20598992 24048035 26363713 X To deliver compassionate, personalized care to adults and children who are ill, injured, dying, or grieving. 0 0 28594094 0 29783903 Home Health Care: - Lifetime Care's Home Health services are provided by professionals with experience in hospitals and nursing homes as well as in-home care: RNs and LPNs, including specialists with advanced training in home infusion, cardiac care, and wound care - Blue Cross, Blue Choice, Medicare, Medicare Blue Choice, Medicaid, and many other health insurance plans offer coverage for services. (192,712 Visits) 15289307 0 21401567 Hospice Care: - At any location, patients receive care in a home-like environment surrounded by family, friends, and professionals who share the goals of relieving pain and achieving comfort; Enhancing quality, rather than quantity of life; Providing compassionate support to patients and family members and; Maintaining dignity. - Patients admitted to Lifetime Care Hospice receive care from a team of professionals who are specially trained to care for people who are terminally ill, team includes patient's personal physician, a Hospice medical director, a hospice nurse, and a social worker. The team also provides the medications, equipment and supplies necessary to ensure the highest quality of patient care. - Lifetime Care does not turn a patient away because of inability to pay or lack of insurance coverage. Medicare, Medicaid, Blue Cross, and Preferred Care are some of the health insurance plans that cover hospice services. (85,003 Days of Care) 921235 0 921235 Health Care Equipment & Supplies Provision: - Equipment, Material/Management - Provides patients with necessary medical related equipment for home care for 365 Days per year. - Supplies - Items necessary for the patient's comfort and care are readily available, such as hospital beds and tables, bedpans and commodes, oxygen supplies, and skin care products. 4174892 0 10500343 Home Health Care: Home Health Aides - Provides services in the home to persons who require trained medical services. (87,319 Visits) 13583719 0 14954630 Home Health Care: Certified Home Health Services - Lifetime Care's certified home health services are provided by professionals with experience in hospitals and nursing homes as well as in-home care: a. Physical therapists, occupational therapists, and speech/language pathologists b. Medical social workers (121,990 Visits). Medicare, Medicaid, Blue Cross, and Preferred Care are some of the health insurance plans that cover hospice services. 3476318 0 4778710 Hospice Care: Hospice Home Care Services - Provides an organized program of Hospice care to patients in their homes under the supervision of their private physicians. (33,408 Days) 3641159 0 3678691 Hospice Care: Hospice Inpatient Services - Provides an organized program of Hospice care to patients who are receiving inpatient care. (3,011 Days of Care) 2806765 0 2806765 Patient & Family Support Programs, General/Other: Compassionet - Provides services to terminally ill children to pay for costs not covered by insurance. (485 Families Served) 6149222 0 7354612 Pharmacy: Provide drugs and pharmacy supplies to patients in their homes. 33832075 0 44073751 78636711 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 256 0 1 1107 1 0 0 0 0 0 0 0 0 0 0 0 0 X 14 13 1 0 1 0 0 0 0 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 X Dorothy Coleman CEO, CFO, and Treasurer 2 40 X X 0 803585 65073 Stephen Sloan Secretary 0.4 40 X X 0 739084 94888 Joseph Kurnath MD Director-Chairman 0 0 X X 0 64900 0 Charles Stuart Director-Vice Chairman 0 0 X X 0 50450 0 Hilda Rosario-Escher Director 0 0 X 0 0 0 John Biemiller Director 0 0 X 0 0 0 Jordon Brown Director 0 0 X 0 3900 0 Marilyn Dollinger Director 0 0 X 0 0 0 Jagat Mehta MD Director 0 0 X 0 0 0 Deborah Minor Director 0 0 X 0 0 0 William A Johnson Jr Director 0 0 X 0 0 0 Mordecai Kolko Director 0 0 X 0 0 0 John Mahoney Director 0 0 X 0 0 0 David Reh Director 0 0 X 0 0 0 Alfred Matt Director 0 0 X 0 52050 0 Manuel Matos MD Director 0 0 X 0 0 0 Patricia Heffernan President 40 0 X 0 369143 81149 Terrence Tehan COO 40 0 X 0 310621 66897 James Haefner Assistant Treasurer 0.4 40 X 0 352141 65027 Margaret Cassady Assistant Secretary 0.4 40 X 0 289536 36931 Jeanne Chirico VP Community Services - HC 40 0 X 156390 0 8290 James Wood Medical Director - Hospice 40 0 X 196626 0 1648 David Wastowicz Director of Infusion Pharmacy 40 0 X 147739 0 24930 Nancy Horn VP Clinical Operations 40 0 X 145379 0 15529 Toni McGhan Director of Branch Operations - HC 40 0 X 145105 0 18782 Barbara Giehl VP Palliative Care and Hospice 40 0 X 143270 0 8110 David Klein Former CEO 0 0 X 0 19881183 149311 934509 22916593 636565 13 1 1 0 Lechase Construction 300 Trolley Boulevard Rochester NY 14606 Building Maintenance 350490 Sibley Nursing Personnel SVC 3111 Winton Road South Rochester NY 14623 Nrsg and Home Hlth Aides 242927 Misys Healthcare 8529 Six Forks Road Raleigh NC 27615 Computer Sytem Support 195823 Interim Healthcare of New York 347 East Avenue Rochester NY 14604 Home Health Aides 161349 Deloitte and Touche LLP 220 Chase Square Rochester NY 14604 Auditing 150864 6 0 0 27861 0 26378 298193 4933 352432 Home Health Care Services 621610 96342700 96342700 0 0 0 0 0 0 96342700 91353 0 0 91353 0 0 0 0 0 0 0 0 12565 0 15993 0 -3428 0 -3428 0 0 -3428 1854886 0 1527841 0 327045 0 327045 0 0 327045 0 27861 11007 -11007 0 -11007 0 97099095 96342700 0 403963 X 48213774 39152863 9044594 16317 298587 240531 58056 6086720 5007530 1077039 2151 3581888 2909399 671244 1245 210833 210833 64028 8784 55244 112697 112697 23093463 21754471 1338992 273361 273361 2112944 1309899 798930 4115 374266 27635 346631 1756627 813777 942850 1855713 1712177 143536 44272 12506 31766 858470 605825 252645 102429 2549 99880 Other Expenses 718889 96070 622819 0 Bad Debt Expense 520227 520227 0 0 Employee Referrals 172303 0 172303 0 Pharmacy Costs 4251635 4251635 0 0 94703126 78636711 16042587 23828 3950 3950 6323197 6055299 0 0 14289771 13472282 783788 898933 8185560 3559955 4942817 4625605 1621722 1905381 6409000 6409000 12861217 13592255 47235462 46962705 19225396 17684549 1069003 1166593 2893028 1747850 23187427 20598992 X 24048035 26363713 0 0 0 0 24048035 26363713 47235462 46962705 2395969 -80291 0 0 0 0 X 0 1 X 1 0 X 514705 1174423 376385 345334 352432 2763279 70539281 75931112 83718775 92054047 96342700 418585915 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 71053986 77105535 84095160 92399381 96695132 421349194 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 421349194 -39911 252788 151535 185575 29407 579394 93354 71827 55760 32206 0 253147 53443 324615 207295 217781 29407 832541 0 0 0 0 0 0 0 0 0 0 0 0 71107429 77430150 84302455 92617162 96724539 422181735 0.99803 0.99747 0.00197 0.00253 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6096 6096 0 Schedule C, Part II-B, Line 1 Dues paid to membership associations are partially used for the purpose of lobbying by those associations. 0 0 0 0 3367170 546234 2820936 0 827881 287060 540821 0 3990509 2726661 1263848 0 0 0 0 4625605 Due from Sibley Nursing Personnel 2952869 Due from Genesee Region Home Care of Ontaio County, Inc. 10639386 13592255 Defined contribution pension obligation 350000 Due to Affiliates 1397850 1747850 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 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 upon the adoption of this interpretation and in subsequent periods. 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 balance sheet. There were no interest and penalties recognized for 2013 or 2012. The Company does not anticipate significant increases or decreases in its uncertain tax positions within the next twelve months. Hospice Harvest Festival 27861 27861 0 0 0 5783 0 475 4749 0 0 27861 27861 0 0 0 5783 0 475 4749 11007 -11007 X 1 1 1 1 1 0 1 1 1 0 0 Dorothy Coleman CEO, CFO, and Treasurer 0 504338 0 291619 0 7628 0 44871 0 20202 0 868658 0 0 Stephen Sloan Secretary 0 428530 0 294728 0 15826 0 73830 0 21058 0 833972 0 0 Patricia Heffernan President 0 256633 0 106518 0 5992 0 62803 0 18346 0 450292 0 Terrence Tehan COO 0 228413 0 80535 0 1673 0 46920 0 19977 0 377518 0 0 James Haefner Assistant Treasurer 0 206764 0 51551 0 93826 0 45140 0 19887 0 417168 0 0 Margaret Cassady Assistant Secretary 0 246344 0 41431 0 1761 0 27444 0 9487 0 326467 0 0 Jeanne Chirico VP Community Services - HC 144446 0 11500 0 444 0 0 0 8290 0 164680 0 0 0 James Wood Medical Director - Hospice 186128 0 7910 0 2588 0 0 0 1648 0 198274 0 0 0 David Wastowicz Director of Infusion Pharmacy 123695 0 23781 0 263 0 0 0 24930 0 172669 0 0 0 Nancy Horn VP Clinical Operations 140466 0 3647 0 1266 0 0 0 15529 0 160908 0 0 0 Toni McGhan Director of Branch Operations - HC 141222 0 3597 0 286 0 0 0 18782 0 163887 0 0 0 Barbara Giehl VP Palliative Care and Hospice 138518 0 3727 0 1025 0 0 0 8110 0 151380 0 0 0 David Klein Former CEO 0 0 0 3094311 0 16786872 0 139415 0 9896 0 20030494 0 584918 Schedule J, Part I, Line 1a A portion of club dues were paid for the President and are included in taxable compensation. Schedule J, Part I, Line 3 The CEO, CFO and Treasurer of the filing organization is also the CFO of a related (parent) organization. The CEO, CFO and Treasurer receives her compensation from the related organization. The CEO, CFO and Treasurer's 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, using an external consultant, and the process is approved by the Board of Directors of the related organization. The filing organization relies upon the related (parent) organization's process used to establish compensation. Schedule J, Part I, Line 4 Line 4a - One individual, D Klein, from Part VII, Section A, Line 1a, received a severance payment in 2013 in the amount of $9,779,978. Line 4b - The following persons from Part VII, Section A, Line 1a participated in supplemental nonqualified retirement plans of a related organization: D Klein, S Sloan, P Heffernan, M Cassady, T Tehan, J Haefner, and D Coleman. Payments totaling $584,918 were made during 2013 to D Klein from these nonqualified plans. Line 4c - The following person from Part VII, Section A, line 1a participated in an equity-based compensation arrangement of a related organization: D Klein. $146,180 in payments were made during 2013 to this individual. Schedule J, Part I, Line 5 Some officers and key employees participate in a company incentive program. Bonuses are established from the Board approved strategic operating plan of the company or related company. Performance against prescribed goals is utilized in determining incentive awards. Schedule J, Part I, Line 6 Some officers and key employees participate in a company incentive program. Bonuses are established from the Board approved strategic operating plan of the company or related company. Performance against prescribed goals is utilized in determining incentive awards. Schedule J, Part II Line 13(ii), Column B(iii) - The amount of $16,786,872 reported for David Klein primarily consists of three items: (1) a payment from a deferred compensation plan that totaled $6,412,147 and represents compensation earned by Mr. Klein over his career that he voluntarily deferred and the earnings on those deferrals; (2) the amount of $9,779,978 which was paid to Mr. Klein pursuant to an Executive Severance Agreement entered into by Mr. Klein and approved by the Board of Directors of the related (parent) organization; and (3) the amount of $584,918 which was paid to Mr. Klein pursuant to a Supplemental Excess Retirement Plan maintained by the related (parent) company. The remainder is for other accrued credits as of his date of termination. Excellus Health Plan Inc Parent 6532000 Management Fees and Purchased Health Services 0 Sibley Nursing Personnel Service Under Common Control 569000 Management Fee and Purchased Services 0 Excellus Health Plan Inc Parent 24141000 Revenue from Parent 0 Excellus Health Plan Inc Parent 748000 Rental of Space 0 Form 990, Part III, Line 4d Please see Schedule O, Statement 1. Form 990, Part VI, Section A, Line 2 Current GRHCA officers Terrance Tehan and Patricia Heffernan have a business relationship with GRHCA officers Deborah Coleman, Stephen Sloan, Margaret Cassady and James Haefner who are also officers of Excellus Health Plan. Form 990, Part VI, Section A, Line 4 Article VII Officers, Section 1 - Added Chief Financial Officer and Assistant Treasurer. Article IX Standing Committees, Section 4 (a) Finance Committee - Added Treasurer role. 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 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 and Key Employees, 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 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. Form 990, Part VII, Section A, Line 1a Dorothy Coleman, James Haefner, Margaret Cassady and Stephen Sloan are Officers of several entities, some of which are listed in Schedule R. Genesee Region Home Care Association is charged 5%, 1%, 1% and 1% of their salaries respectively. Form 990, Part VII, Section B, Line 1(C) Lechase Construction was compensated for both services and materials and the two amounts cannot be serparated. Form 990, Part IX, Line 11g Includes Purchased Health Services of 21,396,692. Lifetime Pharmacy LLC 165 Court Street Rochester NY 14647 264629835 Pharmacy NY 7592542 1605778 Genesee Region Home Care Association Inc Genesee Region Home Care of Ontario County Inc 165 Court Street Rochester NY 14647 223257719 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 North Star Home Health Management Inc 165 Court Street Rochester NY 14647 161548051 Holding Company NY N/A C Lifetime Healthcare Inc 165 Court Street Rochester NY 14647 161514675 Holding Company NY N/A C Excellus Acquisition Inc 165 Court Street Rochester NY 14647 061680689 Holding Company NY N/A C MedAmerica Inc 165 Court Street Rochester NY 14647 161581817 Holding Company NY N/A C Excellus Ventures Inc 165 Court Street Rochester NY 14647 161550984 Holding Company NY N/A C Upstate Professional Liability Corporation 165 Court Street Rochester NY 14647 141783968 Inactive NY N/A C Sibley Nursing Personnel Service Inc 165 Court Street Rochester NY 14647 161447472 Provide Home Health Services NY N/A C Support Services Alliance Inc 165 Court Street Rochester NY 14647 133033862 Benefit Plan Administrator NY N/A C Beacon Network Services Inc 165 Court Street Rochester NY 14647 141830065 Inactive NY N/A C EBS-RMSCO Inc 165 Court Street Rochester NY 14647 161171765 Third Party Administrator NY N/A C 344 South Warren Street Corporation 165 Court Street Rochester NY 14647 010718849 Real Estate Holding Company NY N/A C MedAmerica Insurance Company of New York 165 Court Street Rochester NY 14647 161310986 Long Term Care Insurance NY N/A C MedAmerica Insurance Company 165 Court Street Rochester NY 14647 340977231 Long Term Care Insurance PA N/A C MedAmerica Insurance Company of Florida 165 Court Street Rochester NY 14647 141993330 Long Term Care Insurance FL N/A C Excellus Insurance Agency Inc 165 Court Street Rochester NY 14647 161588653 Insurance Agency NY N/A C MIG Assurance 165 Court Street Rochester NY 14647 980210843 Long Term Care Insurer CJ N/A C Charles A Walker 165 Court Street Rochester NY 14647 150483335 Broker NY N/A C EBS-RMSCO Insurance Agency Inc 165 Court Street Rochester NY 14647 161611043 Inactive NY N/A C Human Care Consortium I Inc 165 Court Street Rochester NY 14647 454039701 Inactive NY N/A C Human Care Consortium II Inc 165 Court Street Rochester NY 14647 454039630 Inactive NY N/A C 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 Sibley Nursing Personnel Service Inc l 569000 Arm's Length Excellus Health Plan Inc m 31421000 Arm's Length Genesee Region Home Care of Ontario County Inc m 6255531 Arm's Length