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GENESEE REGION HOME CARE ASSOCIATION INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GENESEE REGION HOME CARE ASSOCIATION INC (EIN 16-0844109)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-31
IRS object ID
201202139349300740
Schema version
2011v1.2
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)
Timestamp2012-07-31T13:08:27-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

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
Phone5852384366Phone

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 Signed2012-07-31DateSigned
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

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 Receipts91560976GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lifetimecare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1960YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionProvide home health servicesActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees995TotalNbrEmployees
Total Nbr Volunteers401TotalNbrVolunteers
Total Gross UBI55760TotalGrossUBI
Net Unrelated Business Txbl Income54760NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year1174423ContributionsGrantsPriorYear
Contributions Grants Current Year376385ContributionsGrantsCurrentYear
Program Service Revenue Prior Year75931112ProgramServiceRevenuePriorYear
Program Service Revenue CY83718775ProgramServiceRevenueCY
Investment Income Prior Year252788InvestmentIncomePriorYear
Investment Income Current Year157578InvestmentIncomeCurrentYear
Other Revenue Prior Year103354OtherRevenuePriorYear
Other Revenue Current Year101771OtherRevenueCurrentYear
Total Revenue Prior Year77461677TotalRevenuePriorYear
Total Revenue Current Year84354509TotalRevenueCurrentYear
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 Year43964079SalariesEtcPriorYear
Salaries Etc Current Year48487715SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year19189TotalFundrsngExpCurrentYear
Other Expense Prior Year30945282OtherExpensePriorYear
Other Expenses Current Year35277724OtherExpensesCurrentYear
Total Expenses Prior Year74909361TotalExpensesPriorYear
Total Expenses Current Year83765439TotalExpensesCurrentYear
Revenues Less Expenses Prior Year2552316RevenuesLessExpensesPriorYear
Revenues Less Expenses CY589070RevenuesLessExpensesCY
Total Assets BOY42689268TotalAssetsBOY
Total Assets EOY45732477TotalAssetsEOY
Total Liabilities BOY19874867TotalLiabilitiesBOY
Total Liabilities EOY23232955TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY22814401NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY22499522NetAssetsOrFundBalancesEOY
Mission DescriptionProvide home health servicesMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense22648339Expense
Grants0Grants
Revenue25025288Revenue
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. (176,592 Visits)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense14048176Expense
Grants0Grants
Revenue19960222Revenue
DescriptionHospice Care: Hospice Skilled Nursing Facility Services - Provides an organized program of Hospice Care to patients in nursing homes. (81,856 Days of Care)Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense718777Expense
Grants0Grants
Revenue718777Revenue
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
469636606998632Home Health Care: Home Health Aides - Provides services in the home to persons who require trained medical services. (103,008 Visits)
11717427013768230Home 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. (91,738 Visits)
379453605333755Hospice Care: Hospice Home Care Services - Provides an organized program of Hospice care to patients in their homes under the supervision of their private physicians. (38,077 Days)
336664703452187Hospice Care: Hospice Inpatient Services - Provides an organized program of Hospice care to patients who are receiving inpatient care. (3,239 Days of Care)
233287602332876Patient & Family Support Programs, General/Other: Compassionet - Provides services to terminally ill children to pay for costs not covered by insurance. (423 Families Served)
522885506128808Pharmacy: Provide drugs and pharmacy supplies to patients in their homes.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp31136707TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev38014488TotalOfOtherProgramServiceRev
Total Program Service Expense68551999TotalProgramServiceExpense
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 Entity0RelatedOrgControlledEntity
Transaction Related Entity0TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096115NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees995NumberOfEmployees
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 Relationship0FamilyOrBusinessRelationship
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 Number5852384366TelephoneNumber

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 (23 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Marilyn Dollinger
Director0X000
John Biemiller
Director0X000
Jordon Brown
Director0X000
David Klein
CEO0.4X05208428293024X
William A Johnson Jr
Director0X000
Mordecai Kolko
Director0X000
Jay Mahoney
Director0X000
Jagat Mehta MD
Director0X000
Leonard Redon
Director0X000
David Reh
Director0X000
Casper Sedgwick
Director0X000
Hank Stuart
Director0X000
Sy Zivan
Director0X000
Hilda Rosario-Escher
Director0X000
Patricia Heffernan
President40031605737612X
Margaret Cassady
Secretary40027903628087X
Terrence Tehan
CFO/COO40027113746389X
Barbara Giehl
VP Palliative Care and Hospice40134887014227X
Nancy Horn
VP Clinical Operations40126335015070X
James Wood
Medical Director - Hospice4018196101946X
David Wastowicz
Pharmacist40123114015611X
John Stephens
Pharmacist40180175015570X
Suzanne Brown
VP Compliance40012234329823X
FieldValueIRS element (for citing)
Total Reportable Comp From Org746472TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6197001TotalReportableCompFrmRltdOrgs
Total Other Compensation497359TotalOtherCompensation
Number Individuals GT100 K7NumberIndividualsGT100K
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 SouthRochesterNY14623Nursing and Home Health Aides669242
Interim Healthcare of New York
347 East AvenueRochesterNY14604Home Health Aides244293
Lechase Construction
300 Trolley BoulevardRochesterNY14606Building Maintenance336309
Misys Healthcare
8529 Six Forks RoadRaleighNC27615Computer Sytem Support182682
Rural Metro Medical
177 University AvenueRochesterNY14605Home Health Aides177907
FieldValueIRS element (for citing)
Number Of Contractors GT100 K6NumberOfContractorsGT100K
Federated Campaigns0FederatedCampaigns
Membership Dues0MembershipDues
Fundraising Events49848FundraisingEvents
Related Organizations0RelatedOrganizations
Government Grants26378GovernmentGrants
All Other Contributions300159AllOtherContributions
Noncash Contributions0NoncashContributions
Total Contributions376385TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHome Health Care ServicesDescription
Business Code621610BusinessCode
Total Revenue Column83718775TotalRevenueColumn
Related Or Exempt Function Income83718775RelatedOrExemptFunctionIncome
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 Revenue83718775TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column105524TotalRevenueColumn
Related Or Exempt Function Income105524RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

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)
Real170246Real
Personal0Personal

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real68475Real
Personal0Personal

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real101771Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column101771TotalRevenueColumn
Related Or Exempt Function Income46011RelatedOrExemptFunctionIncome
Unrelated Business Revenue55760UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities7179174Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities7127120Securities
Other0Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities52054Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column52054TotalRevenueColumn
Related Or Exempt Function Income52054RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events10872GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events49848CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses10872FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column84354509TotalRevenueColumn
Related Or Exempt Function Income83922364RelatedOrExemptFunctionIncome
Unrelated Business Revenue55760UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total823362Total
Management And General823362ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total39175933Total
Program Services32309165ProgramServices
Management And General6861949ManagementAndGeneral
Fundraising4819Fundraising

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5524253Total
Program Services4554285ProgramServices
Management And General969255ManagementAndGeneral
Fundraising713Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total2964167Total
Program Services2444866ProgramServices
Management And General518933ManagementAndGeneral
Fundraising368Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total210000Total
Program Services210000ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total179088Total
Program Services2995ProgramServices
Management And General176093ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total131503Total
Management And General131503ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total2027378Total
Program Services241459ProgramServices
Management And General1785919ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total390539Total
Program Services5070ProgramServices
Management And General385469ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1964434Total
Program Services974036ProgramServices
Management And General977109ManagementAndGeneral
Fundraising13289Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total377300Total
Program Services20483ProgramServices
Management And General356817ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total1541729Total
Program Services686820ProgramServices
Management And General854909ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1583345Total
Program Services1427670ProgramServices
Management And General155675ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total72716Total
Program Services33555ProgramServices
Management And General39161ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total876628Total
Program Services577388ProgramServices
Management And General299240ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total107781Total
Program Services1708ProgramServices
Management And General106073ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad Debt Expense21872921872900
Education & Training10050055148453520
Purchased Health Services247660732476607300

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total729981Total
Program Services22549ProgramServices
Management And General707432ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total83765439Total
Program Services68551999ProgramServices
Management And General15194251ManagementAndGeneral
Fundraising19189Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3950BOY
EOY3950EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY2864023BOY
EOY7751949EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY572047BOY
EOY50208EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY10353440BOY
EOY11328513EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY836754BOY
EOY801030EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis9689654LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec3104967LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY6300907BOY
EOY6584687EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY7368672BOY
EOY2859401EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY3308801BOY
EOY5109000EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY11080674BOY
EOY11243739EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY42689268BOY
EOY45732477EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY16394529BOY
EOY19953107EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY673020BOY
EOY775160EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY0BOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY801639BOY
EOY454984EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2005679BOY
EOY2049704EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY19874867BOY
EOY23232955EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY22026442BOY
EOY22499522EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY787959BOY
EOY0EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY22814401BOY
EOY22499522EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY42689268BOY
EOY45732477EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses589070ReconcilationRevenueExpenses
Reconcilation Other Changes-903949ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
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 Years846872CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years632547CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years514705CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1174423CurrentTaxYearMinus1Year
Current Tax Year376385CurrentTaxYear
Total3544932Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years66902268CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66098769CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years70539281CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year75931112CurrentTaxYearMinus1Year
Current Tax Year83718775CurrentTaxYear
Total363190205Total

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 Years67749140CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66731316CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71053986CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year77105535CurrentTaxYearMinus1Year
Current Tax Year84095160CurrentTaxYear
Total366735137Total

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 Total509366735137PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years532217CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years162761CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years-39911CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year252788CurrentTaxYearMinus1Year
Current Tax Year157578CurrentTaxYear
Total1065433Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years25165CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years92354CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year70827CurrentTaxYearMinus1Year
Current Tax Year54760CurrentTaxYear
Total243106Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years532217CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years187926CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years52443CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year323615CurrentTaxYearMinus1Year
Current Tax Year212338CurrentTaxYear
Total1308539Total

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 Years68281357CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years66919242CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years71106429CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year77429150CurrentTaxYearMinus1Year
Current Tax Year84307498CurrentTaxYear
Total368043676Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99644PublicSupportPercentage509
Prior Year Support Percentage0.99580PriorYearSupportPercentage
Investment Income Percentage0.00356InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00420PriorYrInvestIncomePercentage
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$10,435OtherActivitiesAmount
Total Lobbying Expenditures IIB10435TotalLobbyingExpendituresIIB
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 Basis230000OtherCostOrOtherBasis
Book Value230000BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Investment Cost Or Other Basis1769056InvestmentCostOrOtherBasis
Other Cost Or Other Basis3361073OtherCostOrOtherBasis
Depreciation941337Depreciation
Book Value4188792BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis706932OtherCostOrOtherBasis
Depreciation126933Depreciation
Book Value579999BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Investment Cost Or Other Basis0InvestmentCostOrOtherBasis
Other Cost Or Other Basis3622593OtherCostOrOtherBasis
Depreciation2036697Depreciation
Book Value1585896BookValue

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 Buildings6584687TotalOfBookValueLandBuildings

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Due from Sibley Nursing Personnel2496775
Due from Genesee Region Home Care of Ontario County, Inc.8746964
FieldValueIRS element (for citing)
Total Book Value Other Assets11243739TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Defined contribution pension obligation$350,000
Due to Excellus Health Plan, Inc.$1,699,704
FieldValueIRS element (for citing)
Total Of Amounts2049704TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierSchD_P10_S00_L02Identifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationThe Company creates a model to address uncertainty in tax positions and clarifies the accounting for income taxes by prescribing a minimum recognition threshold which all income tax positions must achieve to meet before being recognized in the consolidated financial statements. 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 2011 or 2010. 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 Event160720GrossReceiptsEvent1
Charitable Contributions Event149848CharitableContributionsEvent1
Gross Revenue Event110872GrossRevenueEvent1
Cash Prizes Event10CashPrizesEvent1
Non Cash Prizes Event13411NonCashPrizesEvent1
Rent Facility Costs Event14449RentFacilityCostsEvent1
Food And Beverage Event110548FoodAndBeverageEvent1
Entertainment Event1700EntertainmentEvent1
Other Direct Expenses Event113332OtherDirectExpensesEvent1
Food And Beverage Other Events0FoodAndBeverageOtherEvents
Entertainment Other Events0EntertainmentOtherEvents
Gross Receipts Total60720GrossReceiptsTotal
Charitable Contributions Total49848CharitableContributionsTotal
Gross Revenue Total Events10872GrossRevenueTotalEvents
Cash Prizes Total Events0CashPrizesTotalEvents
Non Cash Prizes Total Events3411NonCashPrizesTotalEvents
Rent Facility Costs Total Events4449RentFacilityCostsTotalEvents
Food And Beverage Total Events10548FoodAndBeverageTotalEvents
Entertainment Total Events700EntertainmentTotalEvents
Other Direct Expenses Total Events13332OtherDirectExpensesTotalEvents
Direct Expense Summary Events32440DirectExpenseSummaryEvents
Net Income Summary-21568NetIncomeSummary

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 (10 entries)

Base 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
01040735013591200280857302755640174600550145200
Patricia Heffernan
022223308628807536025128012485035367000
Margaret Cassady
02319380454140168401844609641030712300
Terrence Tehan
019254107503903557028492017897031752600
James Wood
177120024020243900019460183907000
John Stephens
11632906250001346000155700195745000
Barbara Giehl
130597033200970000142270149114000
Nancy Horn
122675030780582000150700141405000
David Wastowicz
122870000244000156110138725000
Suzanne Brown
0894730303810248909718020105015216600

Form990 Schedule J Part III Form990ScheduleJPartIII (4 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, D Klein from Part VII, Section A, Line 1a participated in an equity-based compensation arrangement of a related organization. No Payments from this arrangement were made during 2011.
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 are utilized in deteriming incentive awards.
SchJ_P01_S00_L06Schedule J, Part I, Line 6Some officers and key employees participated 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 are utilized in determining incentive awards.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
Sibley Nursing Personnel Service Inc
Under Common Control1549000Management Fee and Purchased Health Services0
Excellus Health Plan Inc
Parent24335000Management Fees Purchased Health Services and Rental of Space0
MedAmerica Insurance Company of New York
Under Common Control93000Rental of Space0
Genesee Region Home Care of Ontario County Inc
Under Common Control5857032Purchased Health Services0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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. Any comments were analyzed and incorporated as applicable.
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 15Compensation of officers and key employees is established using compensation surveys and studies 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 Inc is charged for 1% of his salary.
F990_P11_S00_L05Form 990, Part XI, Line 5Unrealized Loss on investments is 185,990. Donation refund is 717,959.

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 Income6318351TotalIncome
EOY Assets1492425EOYAssets

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 Inc0
Genesee Valley Group Health Association Inc
165 Court StreetRochesterNY14647161005419Provide Health ServicesNY501(c)(3)17(b)(1)(A)(iii)Excellus Health Plan Inc0
Univera Community Health Inc
165 Court StreetRochesterNY14647161500379Health InsurerNY501(c)(3)509(a)(2)Excellus Health Plan Inc0

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
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
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