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GENESEE REGION HOME CARE ASSOCIATION INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
GENESEE REGION HOME CARE ASSOCIATION INC (EIN 16-0844109)
Tax period
2012-01-01 to 2012-12-31
Filed
2013-11-13
IRS object ID
201323199349303697
Schema version
2012v2.0
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)
Timestamp2013-11-13T09:26:33-07:00Timestamp
Tax Period End Date2012-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2012-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN160844109EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GENESEE REGION HOME CARE ASSOCIATION INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGENENameControl
Phone5852141000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1165 Court StreetAddressLine1
CityRochesterCity
StateNYState
ZIP Code14647ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameTerrence TehanName
TitleCFO/COOTitle
Phone5852384366Phone
Date Signed2013-11-15DateSigned
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1Lifetime CareBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPatricia HeffernanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13111 Winton Road SouthAddressLine1
CityRochesterCity
StateNYState
ZIP Code14623ZIPCode
FieldValueIRS element (for citing)
Gross Receipts94874680GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lifetimecare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1960YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionTo deliver compassionate, personalized care to adults and children who are ill, injured, dying, or grieving.ActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees1083TotalNbrEmployees
Total Nbr Volunteers379TotalNbrVolunteers
Total Gross UBI32206TotalGrossUBI
Net Unrelated Business Txbl Income31206NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year376385ContributionsGrantsPriorYear
Contributions Grants Current Year335846ContributionsGrantsCurrentYear
Program Service Revenue Prior Year83718775ProgramServiceRevenuePriorYear
Program Service Revenue CY92054047ProgramServiceRevenueCY
Investment Income Prior Year157578InvestmentIncomePriorYear
Investment Income Current Year402312InvestmentIncomeCurrentYear
Other Revenue Prior Year101771OtherRevenuePriorYear
Other Revenue Current Year88084OtherRevenueCurrentYear
Total Revenue Prior Year84354509TotalRevenuePriorYear
Total Revenue Current Year92880289TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year48487715SalariesEtcPriorYear
Salaries Etc Current Year53831246SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year22346TotalFundrsngExpCurrentYear
Other Expense Prior Year35277724OtherExpensePriorYear
Other Expenses Current Year37413860OtherExpensesCurrentYear
Total Expenses Prior Year83765439TotalExpensesPriorYear
Total Expenses Current Year91245106TotalExpensesCurrentYear
Revenues Less Expenses Prior Year589070RevenuesLessExpensesPriorYear
Revenues Less Expenses CY1635183RevenuesLessExpensesCY
Total Assets BOY45732477TotalAssetsBOY
Total Assets EOY47235462TotalAssetsEOY
Total Liabilities BOY23232955TotalLiabilitiesBOY
Total Liabilities EOY23187427TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22499522NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY24048035NetAssetsOrFundBalancesEOY
Mission DescriptionTo deliver compassionate, personalized care to adults and children who are ill, injured, dying, or grieving.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense27012906Expense
Grants0Grants
Revenue29471190Revenue
DescriptionHome Health Care: Home Health Skilled Nursing and Related Services - Provides a coordinated program of nursing care to patients in their homes under the supervision of their private physicians. (192,635 Visits)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14471418Expense
Grants0Grants
Revenue20108063Revenue
DescriptionHospice Care: Hospice Skilled Nursing Facility Services - Provides an organized program of Hospice Care to patients in nursing homes. (82,047 Days of Care)Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense905016Expense
Grants0Grants
Revenue905016Revenue
DescriptionHealth Care Equipment & Supplies Provision: Equipment, Material/Management - Provides patients with necessary medical related equipment for homecare. (365 Days per year)Description

Activity Other ActivityOther (6 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
464876908621989Home Health Care: Home Health Aides - Provides services in the home to persons who require trained medical services. (104,339 Visits)
1232010814130735Home Health Care: Certified Home Health Services - Provides for services in the home to persons requiring occupational, physical, and speech therapy, infusion drugs, ambulance service, neurorehab services, drugs and medical social work. (99,266 Visits)
36394185186593Hospice Care: Hospice Home Care Services - Provides an organized program of Hospice care to patients in their homes under the supervision of their private physicians. (36,623 Days)
35632223617820Hospice Care: Hospice Inpatient Services - Provides an organized program of Hospice care to patients who are receiving inpatient care. (3,148 Days of Care)
24904512490451Patient & Family Support Programs, General/Other: Compassionet - Provides services to terminally ill children to pay for costs not covered by insurance. (456 Families Served)
62900357522190Pharmacy: Provide drugs and pharmacy supplies to patients in their homes.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp32952003TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev41569778TotalOfOtherProgramServiceRev
Total Program Service Expense75341343TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities1FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp1OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity1DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096259NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees1083NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members14NbrVotingGoverningBodyMembers
Number Independent Voting Members13NumberIndependentVotingMembers
Family Or Business Relationship1FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders0MembersOrStockholders
Election Of Board Members0ElectionOfBoardMembers
Decisions Subject To Approval0DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters1LocalChapters
Policies Reference Chapters1PoliciesReferenceChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
States Where Copy Of Return Is FiledNYStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonTerrence TehanNamePerson
Telephone Number5852141033TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1165 Court StreetAddressLine1
CityRochesterCity
StateNYState
ZIP Code14647ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (24 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationFormerFormerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
David Klein
CEO0.440.00XX02070629123729
Manuel Matos MD
Director00X000
Hank Stuart
Director-Vice Chairman00XX0275350
Sy Zivan
Director00X000
Hilda Rosario-Escher
Director00X000
John Biemiller
Director00X000
Jordon Brown
Director - Treasurer00XX000
Marilyn Dollinger
Director00X000
Jagat Mehta MD
Director00X000
Joseph Kurnath MD
Director-Chairman00XX0457110
William A Johnson Jr
Director00X000
Mordecai Kolko
Director00X000
Jay Mahoney
Director00X000
David Reh
Director00X000
Suzanne Brown
Former Secretary040X010619829613X
Patricia Heffernan
President0.0040.00X034280460156
Margaret Cassady
Secretary0.0040.00X028993235390
Terrence Tehan
CFO/COO0.0040.00029228455532X
James Wood
Medical Director - Hospice40018353301934X
David Wastowicz
Pharmacist400141794026327X
Jeanne Chirico
VP Community Services-HC40014019807513X
Barbara Giehl
VP Palliative Care and Hospice40013709308216X
Nancy Horn
VP Clinical Operations400135118015878X
Casper Sedgwick
Former Director000684420X
FieldValueIRS element (for citing)
Total Reportable Comp From Org737736TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs21879197TotalReportableCompFrmRltdOrgs
Total Other Compensation264288TotalOtherCompensation
Number Individuals GT100 K10NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Sibley Nursing Personnel SVC
3111 Winton Road SouthRochesterNY14623Nrsg and Home Hlth Aides736646
Interim Healthcare of New York
347 East AvenueRochesterNY14604Home Health Aides334805
Lechase Construction
300 Trolley BoulevardRochesterNY14606Building Maintenance333071
Misys Healthcare
8529 Six Forks RoadRaleighNC27615Computer Sytem Support188223
Rural Metro Medical
177 University AvenueRochesterNY14605Home Health Aides144323
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events48660FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants26378GovernmentGrants
All Other Contributions260808AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions335846TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHome Health Care ServicesDescription
Business Code621610BusinessCode
Total Revenue Column92054047TotalRevenueColumn
Related Or Exempt Function Income92054047RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue92054047TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column106326TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$106,326ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real174808Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real63353Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real111455Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column111455TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue32206UnrelatedBusinessRevenue
Exclusion$79,249ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities2194165Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities1898179Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities295986Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column295986TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$295,986ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events9488GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events48660CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses32859FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column-23371TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion-$23,371ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column92880289TotalRevenueColumn
Related Or Exempt Function Income92054047RelatedOrExemptFunctionIncome
Unrelated Business Revenue32206UnrelatedBusinessRevenue
Exclusion$458,190ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total44975460Total
Program Services36457317ProgramServices
Management And General8501600ManagementAndGeneral
Fundraising16543Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total295278Total
Program Services235570ProgramServices
Management And General59708ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5205441Total
Program Services4335752ProgramServices
Management And General867661ManagementAndGeneral
Fundraising2028Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total3355067Total
Program Services2765886ProgramServices
Management And General587919ManagementAndGeneral
Fundraising1262Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total210000Total
Program Services210000ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total135485Total
Program Services9880ProgramServices
Management And General125605ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total142502Total
Management And General142502ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total27562223Total
Program Services26021031ProgramServices
Management And General1541192ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total317148Total
Management And General317148ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total2207839Total
Program Services1257615ProgramServices
Management And General947711ManagementAndGeneral
Fundraising2513Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total420333Total
Program Services43968ProgramServices
Management And General376365ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1726352Total
Program Services801790ProgramServices
Management And General924562ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total2129735Total
Program Services1949349ProgramServices
Management And General180386ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total52574Total
Program Services14088ProgramServices
Management And General38486ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total925796Total
Program Services635796ProgramServices
Management And General290000ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total3406Total
Program Services3406ProgramServices

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Other Expenses7830831029196801640
Bad Debt Expense49697649697600
Employee Referrals30040803004080

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total91245106Total
Program Services75341343ProgramServices
Management And General15881417ManagementAndGeneral
Fundraising22346Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3950BOY
EOY3950EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7751949BOY
EOY6323197EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY50208BOY
EOY0EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY11328513BOY
EOY14289771EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY801030BOY
EOY783788EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis8111287LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3168470LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6584687BOY
EOY4942817EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY2859401BOY
EOY1621722EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY5109000BOY
EOY6409000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11243739BOY
EOY12861217EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY45732477BOY
EOY47235462EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY19953107BOY
EOY19225396EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY775160BOY
EOY1069003EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY454984BOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2049704BOY
EOY2893028EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY23232955BOY
EOY23187427EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22499522BOY
EOY24048035EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22499522BOY
EOY24048035EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY45732477BOY
EOY47235462EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses1635183ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-86670ReconciliationUnrealizedInvest
Reconcilation Donated Services0ReconcilationDonatedServices
Reconcilation Invest Expenses0ReconcilationInvestExpenses
Reconcilation Prior Adjustment0ReconcilationPriorAdjustment
Reconcilation Other Changes0ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years632547CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years514705CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1174423CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year376385CurrentTaxYearMinus1Year
Current Tax Year345334CurrentTaxYear
Total3043394Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66098769CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years70539281CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years75931112CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year83718775CurrentTaxYearMinus1Year
Current Tax Year92054047CurrentTaxYear
Total388341984Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66731316CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71053986CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years77105535CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84095160CurrentTaxYearMinus1Year
Current Tax Year92399381CurrentTaxYear
Total391385378Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509391385378PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years162761CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years-39911CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years252788CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year151535CurrentTaxYearMinus1Year
Current Tax Year185575CurrentTaxYear
Total712748Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years26165CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years93354CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71827CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year55760CurrentTaxYearMinus1Year
Current Tax Year32206CurrentTaxYear
Total279312Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years188926CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years53443CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years324615CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year207295CurrentTaxYearMinus1Year
Current Tax Year217781CurrentTaxYear
Total992060Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66920242CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years71107429CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years77430150CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year84302455CurrentTaxYearMinus1Year
Current Tax Year92617162CurrentTaxYear
Total392377438Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99747PublicSupportPercentage509
Prior Year Support Percentage0.99644PriorYearSupportPercentage
Investment Income Percentage0.00253InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00356PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators0DirectContactLegislators
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$7,277OtherActivitiesAmount
Total Lobbying Expenditures IIB7277TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierSchC_P2B_S00_L01Identifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationDues paid to membership associations are partially used for the purpose of lobbying by those associations.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3367170OtherCostOrOtherBasis
Depreciation460909Depreciation
Book Value2906261BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis766342OtherCostOrOtherBasis
Depreciation202359Depreciation
Book Value563983BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3977775OtherCostOrOtherBasis
Depreciation2505202Depreciation
Book Value1472573BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis0OtherCostOrOtherBasis
Depreciation0Depreciation
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings4942817TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Due from Sibley Nursing Personnel3254347
Due from Genesee Region Home Care of Ontario County, Inc.9606870
FieldValueIRS element (for citing)
Total Book Value Other Assets12861217TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Defined contribution pension obligation$350,000
Due to Excellus Health Plan, Inc.$2,543,028
FieldValueIRS element (for citing)
Total Of Amounts2893028TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierSchD_P10_S00_L02Identifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationFASB 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 2012 or 2011. The Company does not anticipate significant increases or decreases in its uncertain tax positions within the next twelve months.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1Hospice RegattaNameOfEvent1
Gross Receipts Event158148GrossReceiptsEvent1
Charitable Contributions Event148660CharitableContributionsEvent1
Gross Revenue Event19488GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event13520NonCashPrizesEvent1
Rent Facility Costs Event15282RentFacilityCostsEvent1
Food And Beverage Event110271FoodAndBeverageEvent1
Entertainment Event1700EntertainmentEvent1
Other Direct Expenses Event113086OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total58148GrossReceiptsTotal
Charitable Contributions Total48660CharitableContributionsTotal
Gross Revenue Total Events9488GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events3520NonCashPrizesTotalEvents
Rent Facility Costs Total Events5282RentFacilityCostsTotalEvents
Food And Beverage Total Events10271FoodAndBeverageTotalEvents
Entertainment Total Events700EntertainmentTotalEvents
Other Direct Expenses Total Events13086OtherDirectExpensesTotalEvents
Direct Expense Summary Events32859DirectExpenseSummaryEvents
Net Income Summary-23371NetIncomeSummary

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation SurveyXCompensationSurvey
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement1EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs1CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org1CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs1CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
David Klein
CEO01068774020924800175450370141690956002073002000
Patricia Heffernan
President0255481072579014744047671012485040296000
Margaret Cassady
Secretary02392080490010172302581209578032532200
Terrence Tehan
CFO/COO022124206732003722037636017896034781600
James Wood
Medical Director - Hospice181036000249700019340185467000
David Wastowicz
Pharmacist1200380215030253000263270168121000
Jeanne Chirico
VP Community Services-HC13977400042400075130147711000
Barbara Giehl
VP Palliative Care and Hospice13609700099600082160145309000
Nancy Horn
VP Clinical Operations134469000649000158780150996000
Suzanne Brown
Medicare Project Manager0893090138920299709988019625013581100
Casper Sedgwick
Former Director01442804581008204000006844200

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
SchJ_P01_S00_L01aSchedule J, Part I, Line 1aA portion of club dues were paid for the president and are included in taxable compensation.
SchJ_P01_S00_L04Schedule J, Part I, Line 4The CEO, President and CFO/COO participated in a supplemental non-qualified retirement plan of a related entity. No payments were made under the plan in the year. Additionally, David Klein participated in an equity-based compensation arrangement of a related organization. Payments of 336,460 were made under this arrangement in 2012.
SchJ_P01_S00_L05Schedule J, Part I, Line 5Some 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.
SchJ_P01_S00_L06Schedule J, Part I, Line 6Some 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.
SchJ_P02_S00_L00Schedule J, Part IIThe amount of $17,545,037 reported for David Klein includes a total of $16,918,124 of imputed income which was not actually received by Mr. Klein in 2012. The imputed income for Mr. Klein includes the entire amount of the present value of the non-qualified retirement plan benefits that will be paid to Mr. Klein over his lifetime as an annuity. This benefit was earned by Mr. Klein based upon his length of service and compensation according to provisions of the retirement plan. Mr. Klein did not actually receive any portion of this benefit in 2012. As required by IRC Section 3121 regulations, the entire value of the lifetime benefit is recognized in 2012 and applicable FICA and FUTA taxeas are paid.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Excellus Health Plan Inc
Parent26864000Mangement Fees and Purchased Helath Services0
MedAmerica Insurance Company of New York
Under Common Control1990000Sale of Building0
Sibley Nursing Personnel Service Inc
Under Common Control1662000Management Fee and Purchased Helath Services0
MedAmerica Insurance Company of New York
Under Common Control93000Rental of Space0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
F990_P06_S0A_L02Form 990, Part VI, Section A, Line 2Hank Stuart and Joseph Kurnath MD were board members of a related for-profit entity.
F990_P06_S0B_L11bForm 990, Part VI, Section B, Line 11bA copy of the Form 990 was provided to the Board of Directors prior to filing allowing the opportunity for review.
F990_P06_S0B_L12cForm 990, Part VI, Section B, Line 12cAll 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.
F990_P06_S0B_L15Form 990, Part VI, Section B, Line 15a) 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.
F990_P06_S0C_L19Form 990, Part VI, Section C, Line 19Governing documents, conflict of interest policies, and financial statements are available to the public upon request.
F990_P07_S0A_L01bForm 990, Part VII, Section A, Line 1bDavid Klein is an Officer of several entities, some of which are listed in Schedule R. Genesee Region Home Care Association is charged for 1% of his salary.
F990_P07_S0B_L01CForm 990, Part VII, Section B, Line 1(C)Compensation of Lechase Construction reported on Form 990, Part VII, and Section B includes compensation for both services and materials and two amounts cannot be separated.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1Lifetime Pharmacy LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1165 Court StreetAddressLine1
CityRochesterCity
StateNYState
ZIP Code14647ZIPCode
FieldValueIRS element (for citing)
EIN264629835EIN
Primary ActivitiesPharmacyPrimaryActivities
Legal Domicile StateNYLegalDomicileState
Total Income7769353TotalIncome
EOY Assets1671488EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1Genesee Region Home Care Association IncBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
Genesee Region Home Care of Ontario County Inc
165 Court StreetRochesterNY14647223257719Provide Home Health ServicesNY501(c)(3)509(a)(2)North Star Home Health Management Inc1
Genesee Valley Group Health Association Inc
165 Court StreetRochesterNY14647161005419Provide Health ServicesNY501(c)(3)170(b)(1)(A)(iii)Excellus Health Plan Inc1
Univera Community Health Inc
165 Court StreetRochesterNY14647161500379Health InsurerNY501(c)(3)509(a)(2)Excellus Health Plan Inc1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1Univera IPA LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1165 Court StreetAddressLine1
CityRochesterCity
StateNYState
ZIP Code14647ZIPCode
FieldValueIRS element (for citing)
EIN454058523EIN
Primary ActivityIndependent Practice AssociationPrimaryActivity
Legal Domicile StateNYLegalDomicileState
Direct Controlling Entity NAN/ADirectControllingEntityNA

Form990 Schedule R Part IV Form990ScheduleRPartIV (21 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateDirect Controlling Entity NADirectControllingEntityNAType Of EntityTypeOfEntityLegal Domicile Foreign CountryLegalDomicileForeignCountry
Excellus Health Plan Inc
165 Court StreetRochesterNY14647150329043Health InsurerNYN/AC
North Star Home Health Management Inc
165 Court StreetRochesterNY14647161548051Holding CompanyNYN/AC
Lifetime Healthcare Inc
165 Court StreetRochesterNY14647161514675Holding CompanyNYN/AC
Excellus Acquisition Inc
165 Court StreetRochesterNY14647061680689Holding CompanyNYN/AC
MedAmerica Inc
165 Court StreetRochesterNY14647161581817Holding CompanyNYN/AC
Excellus Ventures Inc
165 Court StreetRochesterNY14647161550984Holding CompanyNYN/AC
Upstate Professional Liability Corporation
165 Court StreetRochesterNY14647141783968InactiveNYN/AC
Sibley Nursing Personnel Service Inc
165 Court StreetRochesterNY14647161447472Provide Home Health ServicesNYN/AC
Support Services Alliance Inc
165 Court StreetRochesterNY14647133033862Benefit Plan AdministratorNYN/AC
Beacon Network Services Inc
165 Court StreetRochesterNY14647141830065InactiveNYN/AC
EBS-RMSCO Inc
165 Court StreetRochesterNY14647161171765Third Party AdministratorNYN/AC
344 South Warren Street Corporation
165 Court StreetRochesterNY14647010718849Real Estate Holding CompanyNYN/AC
MedAmerica Insurance Company of New York
165 Court StreetRochesterNY14647161310986Long Term Care InsuranceNYN/AC
MedAmerica Insurance Company
165 Court StreetRochesterNY14647340977231Long Term Care InsurancePAN/AC
MedAmerica Insurance Company of Florida
165 Court StreetRochesterNY14647141993330Long Term Care InsuranceFLN/AC
Excellus Insurance Agency Inc
165 Court StreetRochesterNY14647161588653Insurance AgencyNYN/AC
MIG Assurance
165 Court StreetRochesterNY14647980210843Long Term Care InsurerN/ACCJ
Charles A Walker
165 Court StreetRochesterNY14647150483335BrokerNYN/AC
EBS-RMSCO Insurance Agency Inc
165 Court StreetRochesterNY14647161611043InactiveNYN/AC
Human Care Consortium I Inc
165 Court StreetRochesterNY14647454039701InactiveNYN/AC
Human Care Consortium II Inc
165 Court StreetRochesterNY14647454039630InactiveNYN/AC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org1SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org1PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities1SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
Sibley Nursing Personnel Service Inc
l1662000Arm's Length
Excellus Health Plan Inc
m26864000Arm's Length
MedAmerica Insurance Company of New York
j93000Arm's Length
Genesee Region Home Care of Ontario County Inc
m5776359Arm's Length
MedAmerica Insurance Company of New York
g1990000Arm's Length