2013-11-13T09:21:57-07:00 2012-12-31 990 2012-01-01 223257719 GENESEE REGION HOME CARE OF ONTARIO COUNTY GENE 5852141000 165 Court Street Rochester NY 14647 Terrence Tehan 5852384366 2013-11-15 2012 2016-03-07 17:11:31Z Home Care Plus Patricia Heffernan 3111 S Winton Road Rochester NY 14647 10455778 0 X www.lifetimecare.org X 1994 NY To deliver compassionate, personalized care to adults and children who are ill or injured. 14 13 580 0 0 0 0 0 10550096 10455778 0 0 0 0 10550096 10455778 0 0 0 0 10083581 9972380 0 0 0 1282665 1343304 11366246 11315684 -816150 -859906 939292 939292 8746964 9606870 -7807672 -8667578 To deliver compassionate, personalized care to adults and children who are ill or injured. 0 0 525056 0 533286 Home Health Care: Licensed Services - Provides services in the home for persons who require nursing care. (14,596 Hours) 9812608 0 9922492 Home Health Care: Home Health Aides - Provides services in the homes to persons who require trained medical services. (426,669 Hours) 0 0 0 10337664 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 1 580 1 0 0 0 0 0 0 X 14 13 1 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X Terrence Tehan 5852141033 165 Court Street Rochester NY 14647 X John Biemiller 0 0 X 0 0 0 Jordon Brown 0 0 X X 0 0 0 David Klein 0 40 X X 0 20706291 23729 William A Johnson Jr 0 0 X 0 0 0 Mordecai Kolko 0 0 X 0 0 0 Jay Mahoney 0 0 X 0 0 0 David Reh 0 0 X 0 0 0 Joseph Kurnath MD 0 0 X X 0 45711 0 Hank Stuart 0 0 X X 0 27535 0 Sy Zivan 0 0 X 0 0 0 Jagat Mehta MD 0 0 X 0 0 0 Manuel Matos MD 0 0 X 0 0 0 Marilyn Dollinger 0 0 X 0 0 0 Hilda Rosario-Escher 0 0 X 0 0 0 Suzanne Brown 0 40 X X 0 106198 29613 Patricia Heffernan 0 40 X 0 342804 60156 Margaret Cassady 0 40 X 0 289932 35390 Terrence Tehan 0 40 X 0 292284 55532 Casper Sedgwick 0 0 X 0 68442 0 0 21879197 204420 0 1 1 0 Sibley Staffing Solutions 1100 University Avenue STE 140 Rochester NY 14607 Nrsg and Home Hlth Aides 133981 1 0 Home Health Care Services 621610 10455778 10455778 0 0 0 0 0 0 10455778 0 0 0 0 0 10455778 10455778 0 0 8313632 7821088 492544 54722 51480 3242 978012 920069 57943 626014 588926 37088 9341 9341 19927 19927 328677 229966 98711 23567 23567 166913 101407 65506 30889 30889 199312 134893 64419 406302 397996 8306 6342 4265 2077 321 321 0 Other Expenses 106086 64289 41797 0 Bad Debt Expense 23285 23285 0 0 Employee Referrals 22342 0 22342 0 11315684 10337664 978020 0 939292 939292 939292 939292 8746964 9606870 8746964 9606870 X -7807672 -8667578 0 0 0 0 -7807672 -8667578 939292 939292 -859906 0 0 0 0 0 X 0 1 X 1 0 X 12610623 11670908 10768329 10550096 10455778 56055734 12610623 11670908 10768329 10550096 10455778 56055734 56055734 12610623 11670908 10768329 10550096 10455778 56055734 1 1 0 0 X Due to Genesee Region Home Care Association, Inc. 9606870 9606870 X SchD_P10_S00_L02 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 recogintion 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 2012 or 2011. The Company does not anticipate significant increases or decreases in its uncertain tax positions within the next twelve months. 0 1 1 0 0 0 0 0 0 David Klein 0 1068774 0 2092480 0 17545037 0 14169 0 9560 0 20730020 0 0 Patricia Heffernan 0 255481 0 72579 0 14744 0 47671 0 12485 0 402960 0 Terrence Tehan 0 221242 0 67320 0 3722 0 37636 0 17896 0 347816 0 Margaret Cassady 0 239208 0 49001 0 1723 0 25812 0 9578 0 325322 0 Suzanne Brown 0 89309 0 13892 0 2997 0 9988 0 19625 0 135811 0 Casper Sedgwick 0 14428 0 45810 0 8204 0 0 0 0 0 68442 0 0 SchJ_P01_S00_L04 Schedule J, Part I, Line 4 The 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_P02_S00_L00 Schedule J, Part II Line 1(ii), column B(iii) - The 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. F990_P06_S0A_L02 Form 990, Part VI, Section A, Line 2 Hank Stuart and Joseph Kurnath MD were board members of a related for-profit entity. F990_P06_S0B_L11b 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. F990_P06_S0B_L12c 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. F990_P06_S0B_L15 Form 990, Part VI, Section B, Line 15 a) Key employee compensation is established in conjunction with the Board of Directors by having Human Resources engage independent compensation that provide compensation surveys and information of comparable organizations, as well as market standards and best practices, to make informed compensation decisions on a prospective basis. b) Key employee compensation is established in conjunction with the Board of Directors by having Human Resources engage independent compensation that provide compensation surveys and information of comparable organizations, as well as market standards and best practices, to make informed compensation decisions on a prospective basis. F990_P06_S0C_L19 Form 990, Part VI, Section C, Line 19 Governing documents, conflicts of interest policies, and financial statements are available to the public upon request. F990_P07_S0A_L01b Form 990, Part VII, Section A, Line 1b David Klein is an Officer 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 Community Health Inc 165 Court Street Rochester NY 14647 161500379 Health Insurer NY 501(c)(3) 509(a)(2) 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 5776359 Arm's Length