2014-11-06T11:22:16-07:00 2013-12-31 990 2013-01-01 223257719 GENESEE REGION HOME CARE OF ONTARIO COUNTY GENE 5852141000 165 Court Street Rochester NY 14647 Terrence Tehan COO 5852141033 2014-11-06 2013 2015-11-30 17:44:51Z Home Care Plus Patricia Heffernan 3111 S Winton Road Rochester NY 14647 13291466 0 X www.lifetimecare.org X 1994 NY To deliver compassionate, personalized care to adults and children who are ill or injured. 14 13 624 0 0 0 0 0 10455778 13291466 0 0 0 0 10455778 13291466 0 0 0 0 9972380 12933001 0 0 0 1343304 1390981 11315684 14323982 -859906 -1032516 939292 939292 9606870 10639386 -8667578 -9700094 To deliver compassionate, personalized care to adults and children who are ill or injured. 0 0 837907 0 983775 Home Health Care: Licensed Services - Provides services in the home for persons who require nursing care. (29,952 Hours) 12124904 0 12307692 Home Health Care: Home Health Aides - Provides services in the homes to persons who require trained medical services. (565,166 Hours) 0 0 0 12962811 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 1 624 1 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 & Treasurer 0 40 X X 0 803585 65073 Stephen Sloan Secretary 0 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 0 40 X 0 369143 81149 Terrence Tehan COO 0 40 X 0 310621 66897 James Haefner Assistant Treasurer 0 40 X 0 352141 65027 Margaret Cassady Assistant Secretary 0 40 X 0 289536 36931 David Klein Former CEO 0 0 X 0 19881183 149311 0 22916593 559276 0 1 1 0 0 0 Home Health Care Services 621610 13291466 13291466 0 0 0 0 0 0 13291466 0 0 0 0 0 13291466 13291466 0 0 10698317 9974558 723759 0 1432890 1340446 92444 801794 747551 54243 6074 6074 26655 26655 280628 158540 122088 29901 29901 190811 115396 75415 38545 38545 233580 140528 93052 442064 432321 9743 6151 2929 3222 10609 10609 Other Expenses 77846 21371 56475 0 Bad Debt Expense 29171 29171 0 0 Employee Referrals 18946 0 18946 0 14323982 12962811 1361171 0 939292 939292 939292 939292 9606870 10639386 9606870 10639386 X -8667578 -9700094 0 0 0 0 -8667578 -9700094 939292 939292 -1032516 0 0 0 0 0 X 0 1 X 1 0 X 11670908 10768329 10550096 10455778 13291466 56736577 11670908 10768329 10550096 10455778 13291466 56736577 56736577 11670908 10768329 10550096 10455778 13291466 56736577 1 1 0 0 X Due to Genesee Region Home Care Association 10639386 10639386 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 statement 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. 1 1 1 0 0 0 0 0 0 Dorothy Coleman CEO, CFO & 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 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 Secretary 0 246344 0 41431 0 1761 0 27444 0 9487 0 326467 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 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 II Line 6(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 to a Supplemental Excess Retirement Plan maintained by the related (parent) company. The remainder is for other credits as of his date of termination. Form 990, Part VI, Section A, Line 2 Charles Stuart and Joseph Kurnath MD were board members of a related for-profit entity. Form 990, Part VI, Section A, Line 4 Article VII Officers, Section1 - 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 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. 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 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 Sibley Nursing Personnel Service Inc 165 Court Street Rochester NY 14647 161447472 Provide Home Health Services NY N/A C 1 Beacon Network Services Inc 165 Court Street Rochester NY 14647 141830065 Inactive NY N/A C 1 EBS-RMSCO Inc 165 Court Street Rochester NY 14647 161171765 Third Party Administrator NY N/A C 1 344 South Warren Street Corporation 165 Court Street Rochester NY 14647 010718849 Real Estate Holding Company 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 Support Services Alliance Incorporated 165 Court Street Rochester NY 14647 133033862 Benefit Plan Administration NY 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 EBS-RMSCO Insurance Agency Inc 165 Court Street Rochester NY 14647 161611043 Inactive NY N/A C 1 Charles A Walker Corporation 165 Court Street Rochester NY 14647 150483335 Broker NY N/A C 1 Human Care Consortium I Inc 165 Court Street Rochester NY 14647 454039701 Inactive NY N/A C 1 Human Care Consortium II Inc 165 Court Street Rochester NY 14647 454039630 Inactive NY N/A C 1 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 6255531 Arm's Length