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GENESEE REGION HOME CARE OF ONTARIO COUNTY: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GENESEE REGION HOME CARE OF ONTARIO COUNTY (EIN 22-3257719)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-07-31
IRS object ID
201212139349300801
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)
Timestamp2012-07-31T13:03:33-07:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN223257719EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GENESEE REGION HOME CARE OF ONTARIO COUNTYBusinessNameLine1
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 Line1Home Care PlusBusinessNameLine1
FieldValueIRS element (for citing)
Name Of Principal Officer PersonPatricia HeffernanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13111 S Winton RoadAddressLine1
CityRochesterCity
StateNYState
ZIP Code146232988ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10550096GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitewww.lifetimecare.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1994YearFormation
State Legal DomicileNYStateLegalDomicile
Activity Or Mission DescriptionProvide home health servicesActivityOrMissionDescription
Nbr Voting Members Governing Body14NbrVotingMembersGoverningBody
Nbr Independent Voting Members13NbrIndependentVotingMembers
Total Nbr Employees480TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year0ContributionsGrantsPriorYear
Contributions Grants Current Year0ContributionsGrantsCurrentYear
Program Service Revenue Prior Year10768329ProgramServiceRevenuePriorYear
Program Service Revenue CY10550096ProgramServiceRevenueCY
Investment Income Prior Year0InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year0OtherRevenuePriorYear
Other Revenue Current Year0OtherRevenueCurrentYear
Total Revenue Prior Year10768329TotalRevenuePriorYear
Total Revenue Current Year10550096TotalRevenueCurrentYear
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 Year10403034SalariesEtcPriorYear
Salaries Etc Current Year10083581SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year1133997OtherExpensePriorYear
Other Expenses Current Year1282665OtherExpensesCurrentYear
Total Expenses Prior Year11537031TotalExpensesPriorYear
Total Expenses Current Year11366246TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-768702RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-816150RevenuesLessExpensesCY
Total Assets BOY939292TotalAssetsBOY
Total Assets EOY939292TotalAssetsEOY
Total Liabilities BOY7930814TotalLiabilitiesBOY
Total Liabilities EOY8746964TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY-6991522NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY-7807672NetAssetsOrFundBalancesEOY
Mission DescriptionProvide home health servicesMissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense644697Expense
Grants0Grants
Revenue569938Revenue
DescriptionHome Health Care: Licensed Services - Provides services in the home for persons who require nursing care. (16,400 Hours)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense9728347Expense
Grants0Grants
Revenue9980158Revenue
DescriptionHome Health Care: Home Health Aides - Provides services in the homes to persons who require trained medical services. (430,685 Hours)Description
FieldValueIRS element (for citing)
Total Of Other Program Service Exp0TotalOfOtherProgramServiceExp
Total Of Other Program Service Grnt0TotalOfOtherProgramServiceGrnt
Total Of Other Program Service Rev0TotalOfOtherProgramServiceRev
Total Program Service Expense10373044TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required0ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip0ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
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 Activities0FundraisingActivities
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 With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees480NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income0UnrelatedBusinessIncome
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 (18 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerFormerFormer
John Biemiller
Director0X000
Jordan Brown
Director0X000
David Klein
CEO0X05208428293024X
William A Johnson Jr
Director0X000
Mordecai Kolko
Director0X000
Jay Mahoney
Director0X000
David Reh
Director0X000
Casper Sedgwick
Director0X000
Hank Stuart
Director0X000
Sy Zivan
Director0X000
Jagat Mehta MD
Director0X000
Leonard Redon
Director0X000
Marilyn Dollinger
Director0X000
Hilda Rosario-Escher
Director0X000
Patricia Heffernan
President40031605737612X
Margaret Cassady
Secretary0027903628087X
Terrence Tehan
CFO/COO40027113746389X
Suzanne Brown
VP Compliance40012234329823X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs6197001TotalReportableCompFrmRltdOrgs
Total Other Compensation434935TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources
Total Contributions0TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHome Health Care ServicesDescription
Business Code621610BusinessCode
Total Revenue Column10550096TotalRevenueColumn
Related Or Exempt Function Income10550096RelatedOrExemptFunctionIncome
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 Revenue10550096TotalProgramServiceRevenue

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other
FieldValueIRS element (for citing)
Total Other Revenue0TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10550096TotalRevenueColumn
Related Or Exempt Function Income10550096RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total8297192Total
Program Services7818463ProgramServices
Management And General478729ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total1163494Total
Program Services1096363ProgramServices
Management And General67131ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total622895Total
Program Services586955ProgramServices
Management And General35940ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total13681Total
Program Services0ProgramServices
Management And General13681ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total19430Total
Program Services0ProgramServices
Management And General19430ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total186350Total
Program Services67936ProgramServices
Management And General118414ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total192253Total
Program Services122197ProgramServices
Management And General70056ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total27722Total
Program Services0ProgramServices
Management And General27722ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total188394Total
Program Services126547ProgramServices
Management And General61847ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total358589Total
Program Services351643ProgramServices
Management And General6946ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total4753Total
Program Services2601ProgramServices
Management And General2152ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total881Total
Program Services0ProgramServices
Management And General881ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total8241Total
Program Services0ProgramServices
Management And General8241ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
Bad Debt Expense231572315700
Education & Training12227953826890
Purchased Health Services12491312491300

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total122074Total
Program Services42731ProgramServices
Management And General79343ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total11366246Total
Program Services10373044ProgramServices
Management And General993202ManagementAndGeneral
Fundraising0Fundraising

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY939292BOY
EOY939292EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY939292BOY
EOY939292EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7930814BOY
EOY8746964EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY7930814BOY
EOY8746964EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY-6991522BOY
EOY-7807672EOY

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)
BOY-6991522BOY
EOY-7807672EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY939292BOY
EOY939292EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-816150ReconcilationRevenueExpenses
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

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13054451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12610623CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11670908CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10768329CurrentTaxYearMinus1Year
Current Tax Year10550096CurrentTaxYear
Total58654407Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13054451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12610623CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11670908CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10768329CurrentTaxYearMinus1Year
Current Tax Year10550096CurrentTaxYear
Total58654407Total
FieldValueIRS element (for citing)
Public Support Total50958654407PublicSupportTotal509

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years13054451CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years12610623CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years11670908CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year10768329CurrentTaxYearMinus1Year
Current Tax Year10550096CurrentTaxYear
Total58654407Total
FieldValueIRS element (for citing)
Public Support Percentage5091PublicSupportPercentage509
Prior Year Support Percentage1PriorYearSupportPercentage
Investment Income Percentage0InvestmentIncomePercentage
Prior Yr Invest Income Percentage0PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDue to Genesee Region Home Care AssociationDescription
Amount$8,746,964Amount
FieldValueIRS element (for citing)
Total Of Amounts8746964TotalOfAmounts

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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
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 (5 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
Terrence Tehan
019254107503903557028492017897031752600
Margaret Cassady
02319380454140168401844609641030712300
Suzanne Brown
0894730303810248909718020105015216600

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
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 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.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Genesee Region Home Care Association IncBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipUnder Common ControlRelationship
Amount Of Transaction5857032AmountOfTransaction
Description Of TransactionPurchased Health ServicesDescriptionOfTransaction
Sharing Of Revenues0SharingOfRevenues

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (5 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 policy 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, conflicts 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.

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 CareBusinessNameLine1

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 Association Inc
165 Court StreetRochesterNY14647160844109Provide 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)170(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
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
Support Services Alliance Incorporated
165 Court StreetRochesterNY14647133033862Benefit Plan AdministrationNYN/AC
Excellus Insurance Agency Inc
165 Court StreetRochesterNY14647161588653Insurance AgancyNYN/AC
MIG Assurance
165 Court StreetRochesterNY14647980210843Long Term Care InsurerN/ACCJ
EBS-RMSCO Insurance Agency Inc
165 Court StreetRochesterNY14647161611043InactiveNYN/AC
Charles A Walker Corporation
165 Court StreetRochesterNY14647150483335BrokerNYN/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 Orgs0RentalOfFacilitiesToOtherOrgs
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