2012-07-31T13:03:33-07:00 2011-12-31 990 2011-01-01 223257719 GENESEE REGION HOME CARE OF ONTARIO COUNTY GENE 5852384366 165 Court Street Rochester NY 14647 Terrence Tehan 5852384366 2012-07-31 2011 2016-02-24 21:20:13Z Home Care Plus Patricia Heffernan 3111 S Winton Road Rochester NY 146232988 10550096 0 X www.lifetimecare.org X 1994 NY Provide home health services 14 13 480 0 0 0 0 0 10768329 10550096 0 0 0 0 10768329 10550096 0 0 0 0 10403034 10083581 0 0 0 1133997 1282665 11537031 11366246 -768702 -816150 939292 939292 7930814 8746964 -6991522 -7807672 Provide home health services 0 0 644697 0 569938 Home Health Care: Licensed Services - Provides services in the home for persons who require nursing care. (16,400 Hours) 9728347 0 9980158 Home Health Care: Home Health Aides - Provides services in the homes to persons who require trained medical services. (430,685 Hours) 0 0 0 10373044 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 1 0 0 0 0 1 1 0 0 0 0 1 0 0 1 480 1 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 0 NY X Terrence Tehan 5852384366 165 Court Street Rochester NY 14647 X John Biemiller 0 X 0 0 0 Jordan Brown 0 X 0 0 0 David Klein 0 X X 0 5208428 293024 William A Johnson Jr 0 X 0 0 0 Mordecai Kolko 0 X 0 0 0 Jay Mahoney 0 X 0 0 0 David Reh 0 X 0 0 0 Casper Sedgwick 0 X 0 0 0 Hank Stuart 0 X 0 0 0 Sy Zivan 0 X 0 0 0 Jagat Mehta MD 0 X 0 0 0 Leonard Redon 0 X 0 0 0 Marilyn Dollinger 0 X 0 0 0 Hilda Rosario-Escher 0 X 0 0 0 Patricia Heffernan 40 X 0 316057 37612 Margaret Cassady 0 X 0 279036 28087 Terrence Tehan 40 X 0 271137 46389 Suzanne Brown 40 X 0 122343 29823 0 6197001 434935 0 1 1 0 0 Home Health Care Services 621610 10550096 10550096 0 0 0 0 0 0 10550096 0 0 0 0 0 10550096 10550096 0 0 8297192 7818463 478729 1163494 1096363 67131 622895 586955 35940 13681 0 13681 19430 0 19430 186350 67936 118414 192253 122197 70056 27722 0 27722 188394 126547 61847 358589 351643 6946 4753 2601 2152 881 0 881 8241 0 8241 Bad Debt Expense 23157 23157 0 0 Education & Training 12227 9538 2689 0 Purchased Health Services 124913 124913 0 0 122074 42731 79343 0 11366246 10373044 993202 0 939292 939292 939292 939292 7930814 8746964 7930814 8746964 X -6991522 -7807672 0 0 0 0 -6991522 -7807672 939292 939292 -816150 X 0 1 1 X 0 X 13054451 12610623 11670908 10768329 10550096 58654407 13054451 12610623 11670908 10768329 10550096 58654407 58654407 13054451 12610623 11670908 10768329 10550096 58654407 1 1 0 0 X 0 Due to Genesee Region Home Care Association 8746964 8746964 SchD_P10_S00_L02 Schedule D, Part X, Line 2 The 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. 0 1 1 0 1 1 1 0 0 David Klein 0 1040735 0 1359120 0 2808573 0 275564 0 17460 0 5501452 0 0 Patricia Heffernan 0 222233 0 86288 0 7536 0 25128 0 12485 0 353670 0 0 Terrence Tehan 0 192541 0 75039 0 3557 0 28492 0 17897 0 317526 0 0 Margaret Cassady 0 231938 0 45414 0 1684 0 18446 0 9641 0 307123 0 0 Suzanne Brown 0 89473 0 30381 0 2489 0 9718 0 20105 0 152166 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, 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_L05 Schedule J, Part I, Line 5 Some 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_L06 Schedule J, Part I, Line 6 Some 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. Genesee Region Home Care Association Inc Under Common Control 5857032 Purchased Health Services 0 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. Any comments were analyzed and incorporated as applicable. 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 Compensation of officers and key employees is established using compensation surveys and studies completed by Human Resources annually. 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. Lifetime Pharmacy LLC 165 Court Street Rochester NY 14647 264629835 Pharmacy NY 6318351 1492425 Genesee Region Home Care 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 0 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 0 Univera Community Health Inc 165 Court Street Rochester NY 14647 161500379 Health Insurer NY 501(c)(3) 509(a)(2) Excellus Health Plan Inc 0 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 North Star Home Health Management Inc 165 Court Street Rochester NY 14647 161548051 Holding Company NY N/A C Lifetime Healthcare Inc 165 Court Street Rochester NY 14647 161514675 Holding Company NY N/A C Excellus Acquisition Inc 165 Court Street Rochester NY 14647 061680689 Holding Company NY N/A C MedAmerica Inc 165 Court Street Rochester NY 14647 161581817 Holding Company NY N/A C Excellus Ventures Inc 165 Court Street Rochester NY 14647 161550984 Holding Company NY N/A C Upstate Professional Liability Corporation 165 Court Street Rochester NY 14647 141783968 Inactive NY N/A C Sibley Nursing Personnel Service Inc 165 Court Street Rochester NY 14647 161447472 Provide Home Health Services NY N/A C Beacon Network Services Inc 165 Court Street Rochester NY 14647 141830065 Inactive NY N/A C EBS-RMSCO Inc 165 Court Street Rochester NY 14647 161171765 Third Party Administrator NY N/A C 344 South Warren Street Corporation 165 Court Street Rochester NY 14647 010718849 Real Estate Holding Company NY N/A C MedAmerica Insurance Company of New York 165 Court Street Rochester NY 14647 161310986 Long Term Care Insurance NY N/A C MedAmerica Insurance Company 165 Court Street Rochester NY 14647 340977231 Long Term Care Insurance PA N/A C MedAmerica Insurance Company of Florida 165 Court Street Rochester NY 14647 141993330 Long Term Care Insurance FL N/A C Support Services Alliance Incorporated 165 Court Street Rochester NY 14647 133033862 Benefit Plan Administration NY N/A C Excellus Insurance Agency Inc 165 Court Street Rochester NY 14647 161588653 Insurance Agancy NY N/A C MIG Assurance 165 Court Street Rochester NY 14647 980210843 Long Term Care Insurer CJ N/A C EBS-RMSCO Insurance Agency Inc 165 Court Street Rochester NY 14647 161611043 Inactive NY N/A C Charles A Walker Corporation 165 Court Street Rochester NY 14647 150483335 Broker NY N/A C Human Care Consortium I Inc 165 Court Street Rochester NY 14647 454039701 Inactive NY N/A C Human Care Consortium II Inc 165 Court Street Rochester NY 14647 454039630 Inactive NY N/A C 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0