2017-11-07T16:27:03-07:00 2016-12-31 990 2016-01-01 160844109 GENESEE REGION HOME CARE ASSOCIATION INC GENE 5852384579 165 Court Street Rochester NY 14647 James Haefner Sr Vice President & Asst Treasurer 5853276505 2017-11-09 206.197.236.42 2016 2021-01-29 14:40:06Z Lifetime Care Paul Eisenstat 165 Court Street Rochester NY 14647 96864441 0 X www.lifetimecare.org X 1960 NY To deliver compassionate, personalized care to adults and children who are ill, injured, dying, or grieving. 13 11 1109 412 0 0 355857 360380 95116444 96133355 336717 364368 -23423 -18822 95785595 96839281 0 0 0 0 60822048 61142516 0 0 21740 33226359 32682800 94048407 93825316 1737188 3013965 50917459 53327368 20467207 19550481 30450252 33776887 To deliver compassionate, personalized care to adults and children who are ill, injured, dying, or grieving. 0 0 28538116 30228565 Home Health Care - Lifetime Care's home Health services are provided by professionals with experience in hospital and nursing homes as well as in-home care; RNs and LPNs, including specialists with advance training in home infusion, cardiac care, and wound care - Blue Cross, Medicare, Medicare Advantage, Medicaid, and many other health insurance plans offer coverage for services. (189,622 Visits) 14748143 20493137 Hospice Care - At any location, patients receive care in a home-like environment surrounded by family, friends, and professionals who share the goals of relieving pain and achieving comfort; Enhancing quality, rather than quantity of life; Providing compassionate support to patients and family members and Maintaining dignity. Patients admitted to Lifetime Care Hospice receive care from a team of professionals who are specially trained to care for people who are terminally ill, team includes patient's personal physician, a Hospice medical director, a hospice nurse, and a social worker. The team also provides the medications, equipment and supplies necessary to ensure the highest quality of patient care. Lifetime Care does not turn a patient away because of inability to pay or lack of insurance coverage. Medicare, Medicaid, Blue Cross, and MVP are some of the health insurance plans that cover hospice services. (77,921 Days of Care) 946536 946536 Health Care Equipment & Supplies Provision: Equipment, Material/Management - Provides patients with necessary medical related equipment for home care for 365 days per year. Supplies - Items necessary for the patient's comfort and care are readily available, such as hospital beds and tables, bedpans and commodes, oxygen supplies, and skin care products. 4194656 5420613 Home Health Care: Home Health Aides - Provides services in the home to persons who required trained medical services. (54,741 Visits) 14105108 21123462 Home Health Care: Certified Home Health Services - Lifetime Care's certified home health services are provided by professionals with experience in hospitals and nursing homes as well as in-home care: a. Physical therapists, occupational therapists, and speech/language pathologists b. Medical social workers. Blue Cross, Medicare, Medicare Blue Choice, Medicaid, and many other health insurance plans offer coverage for services. (131,188 Visits). 4126310 6201887 Hospice Care: Hospice Home Care Services - Provides an organized program of Hospice care to patients in their homes under the supervision of their private physicians. (37,696 Days of Care) 3038764 2824133 Hospice Care: Hospice Inpatient Services - Provides an organized program of Hospice care to patients who are receiving inpatient care. (2,320 Days of Care) 2983883 2946005 Patient & Family Support Programs, General/Other: CompassionNet - Provides services to terminally ill children to pay for costs not covered by insurance. (463 Families Served) 4761954 5949016 Pharmacy: Provides drugs and pharmacy supplies to patients in their homes. 33210675 0 44465116 77443470 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 1 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 0 1 172 0 1 1109 1 0 0 0 0 0 0 0 0 0 0 X 13 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X James Haefner 5853276505 165 Court Street Rochester NY 14647 X Paul Eisenstat CEO & Director 2 40 X X 0 596869 53700 Joseph Kurnath MD Chairman 0 0 X X 0 66800 0 Marilyn Dollinger Director & Vice Chair 0 0 X X 0 0 0 Alfred Matt Director & Vice Chair 0 0 X X 0 82550 0 Charles Stuart Director 0 0 X 0 62800 0 Jordon Brown Director 0 0 X 0 0 0 Mordecai Kolko Director 0 0 X 0 0 0 Manual Matos MD Director 0 X 0 0 0 Jagat Mehta MD Director 0 0 X 0 0 0 Deborah Minor Director 0 0 X 0 0 0 Augustin Melendez Director 0 0 X 0 0 0 James Norman Director 0 0 X 0 62400 0 Peter Paulsen Director 0 0 X 0 0 0 Elane Daly Director 0 0 X 0 0 0 Dorothy Coleman CFO & Treasurer 0.4 40 X 0 1078697 90488 Stephen Sloan Secretary 0.4 40 X 0 847747 139629 James Haefner Assistant Treasurer 0.4 40 X 0 299340 77558 Patricia Heffernan President 40 0 X 0 754445 73255 Stephen Cohen President 20 20 X 0 367205 62515 Terrence Tehan COO 40 0 X 0 602502 68470 Margaret Cassady Assistant Secretary 3.6 40 X 0 304095 35437 Jeanne Chirico VP Community Services 40 0 X 180070 0 9259 Nancy Horn VP Clinical Operations 40 0 X 171132 0 22381 James Wood Medical Director - Hospice 40 0 X 162298 0 1762 Miyeon Oh Assoc Medical Director - Hospice 40 0 X 188244 0 264 Toni McGhan Director of Branch Operations 40 0 X 152365 0 21107 Aaron Olden Medical Director - Pallative Care Services 40 0 X 189040 0 8015 David Wastowicz Director of Infusion Pharmacy 40 0 X 157866 0 22775 David Klein Former CEO 0 0 X 0 5132262 11550 1201015 10257712 698165 21 1 1 0 Lechase Construction 205 Indigo Creek Drive Rochester NY 14626 Building Maintenance 432292 Visiting Nurse Service 2180 Empire Boulevard Webster NY 14580 Home Health Aides 257212 Inspiris of New York Medical Services 1100 Optum Circle Eden Prairie MN 55344 Nurse Practitioners 160449 Deloitte and Touche LLP 910 Bausch and Lomb Place Rochester NY 14604 Auditing 157896 Misys Healthcare 8529 Six Forks Road Raleigh NC 27615 Computer System Support 148301 8 0 0 48272 0 36378 275730 9919 360380 96133355 96133355 0 0 96133355 355526 0 0 355526 0 0 0 0 0 0 0 0 6338 0 8920 0 -2582 0 -2582 0 0 -2582 8842 0 0 0 8842 0 8842 0 0 8842 0 48272 16240 -16240 0 -16240 0 96839281 96133355 0 345546 X 0 0 0 0 0 0 0 0 351202 0 351202 0 50502085 41858099 8631426 12560 0 0 0 0 292371 240252 52119 0 6304486 5194804 1108102 1580 3692372 3034162 657249 961 210000 210000 0 0 16501 320 16181 0 153866 0 153866 0 0 0 0 0 0 0 0 0 0 0 21193551 19394545 1799006 0 294693 2896 291797 0 1792346 1194632 591075 6639 327421 42709 284712 0 0 0 0 0 1776718 720661 1056057 0 1851700 1793929 57771 0 0 0 0 0 50933 15185 35748 0 720 720 0 0 0 0 0 0 674104 345551 328553 0 79991 2491 77500 0 Other expense 776898 121358 655540 0 Bad debt expense 463308 463308 0 0 Employee referrals 212202 0 212202 0 Pharmacy costs 2807848 2807848 0 0 93825316 77443470 16360106 21740 3450 3450 5373286 6668649 0 0 13216337 12803311 0 0 0 0 0 0 0 0 557235 682327 8931781 4521108 4422223 4410673 8290908 8591498 0 0 0 0 6409000 6409000 12645020 13758460 50917459 53327368 17828305 17346956 0 0 1492775 1248693 0 0 0 0 0 0 0 0 0 0 1146127 954832 20467207 19550481 X 30450252 33776887 0 0 0 0 30450252 33776887 50917459 53327368 3013965 312670 0 0 0 0 X 0 1 X 1 0 X 345334 352432 346098 355857 360380 1760101 92054047 96342700 96578419 95116444 96133355 476224965 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 92399381 96695132 96924517 95472301 96493735 477985066 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 477985066 185575 29407 791 -471 -734 214568 32206 0 0 0 0 32206 217781 29407 791 -471 -734 246774 92617162 96724539 96925308 95471830 96493001 478231840 0.99948 0.99902 0.00052 0.00098 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6350 6350 0 Schedule C, Part II-B, Line 1 Dues paid to membership associations are partially used for the purpose of lobbying by those associations. 0 0 0 0 3378560 803291 2575269 0 976979 569454 407525 0 4576242 3148363 1427879 0 0 0 0 4410673 Due from Affiliates 11462 Due from Genesee Region Home Care of Ontario County, Inc. 13746998 13758460 0 Due to Affiliates 604832 Defined contribution pension obligation 350000 954832 X 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 position must meet a more likely than not recognition threshold at the effective date to be recognized upon the adoption of this interpretation and in subsequent periods. This topic also provides guidance on measurement, derecogntion, 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 2016 or 2015. The Company does not anticipate significant increases or decrease in its uncertain tax positions within the next twelve months. Hospice Harvest Festival 48272 0 48272 0 1400 8700 0 1090 5050 0 0 48272 0 48272 0 1400 8700 0 1090 5050 16240 32032 X 1 1 0 1 1 0 0 0 0 0 0 Paul Eisenstat CEO & Director 0 378442 0 216466 0 1961 0 34574 0 19126 0 650569 0 0 Dorothy Coleman CFO & Treasurer 0 562965 0 505344 0 10388 0 66374 0 24113 0 1169184 0 0 Stephen Sloan Secretary 0 473714 0 365374 0 8659 0 116009 0 23620 0 987376 0 0 James Haefner Assistant Treasurer 0 220595 0 75006 0 3739 0 53135 0 24423 0 376898 0 0 Patricia Heffernan President 0 104971 0 181170 0 468304 0 52725 0 20530 0 827700 0 18628 Stephen Cohen President 0 296763 0 65513 0 4929 0 38436 0 24079 0 429720 0 0 Terrence Tehan COO 0 245403 0 87840 0 269259 0 44722 0 23748 0 670972 0 0 Margaret Cassady Assistant Secretary 0 258013 0 43130 0 2952 0 25186 0 10251 0 339532 0 0 Jeanne Chirico VP Community Services 164957 0 14335 0 778 0 0 0 9259 0 189329 0 0 0 Nancy Horn VP Clinical Operations 155349 0 14333 0 1450 0 0 0 22381 0 193513 0 0 0 Miyeon Oh Assoc Medical Director - Hospice 172328 0 15386 0 530 0 0 0 264 0 188508 0 0 0 Toni McGhan Director of Branch Operations 143629 0 8441 0 295 0 0 0 21107 0 173472 0 0 0 Aaron Olden Medical Director - Pallative Care Services 173338 0 15386 0 316 0 0 0 8015 0 197055 0 0 David Wastowicz Director of Infusion Pharmacy 145078 0 12335 0 453 0 0 0 22775 0 180641 0 0 0 James Wood Medical Director - Hospice 141988 0 17024 0 3286 0 0 0 1762 0 164060 0 0 0 David Klein Former CEO 0 0 0 0 0 5132262 0 0 0 11550 0 5143812 0 1967680 Schedule J, Part I, Line 1a A portion of club dues were paid for the President. All amounts are included in taxable compensation. Schedule J, Part I, Line 3 The CEO of the filing organization is compensated by a related organization. His compensation is determined in accordance with a Board of Directors approved Executive Compensation Philosophy. The executive compensation process includes an evaluation of market comparable organizations. The Secretary and CFO and Treasurer of the filing organization are also the Secretary and CFO and Treasurer of the related organization. The process to determine their compensation includes the use of an external consultant and approval of the Board of Directors of the related organization. Schedule J, Part I, Line 4 Line 4b - The following persons from Part VII, Section A, Line 1a participated in a supplemental nonqualified retirement plan of a related organization: D. Klein, P. Heffernan, T. Tehan, D. Coleman, S. Sloan, P. Eisenstat, J. Haefner, M. Cassady and S. Cohen. Line 4c - D. Klein participated in an equity-based compensation arrangement of a related entity that resulted in a 2016 distribution of $3,515,443. Schedule J, Part II Schedule J Part II, Column (B)(iii) - The amount of Other Reportable Compensation for David Klein of $5,132,262 consists primarily of a distribution of $3,515,443 from an equity-based compensation arrangement of a related party and payments of $1,610,815 from a Supplemental Excess Retirement Plan (SERP) maintained by a related party (parent). The SERP payment and $356,865 of the equity-based distribution were reported on a prior 990 and are reflected as such in Column (F). The amount of Other Reportable Compensation of $468,304 for Patricia Heffernan includes a total of $418,929 of imputed income which was not actually received by Ms. Heffernan in 2016. The imputed income for Ms. Heffernan includes the entire amount of the present value of the non-qualified retirement plan benefits that will be paid to Ms. Heffernan over her lifetime as an annuity. This benefit was earned by Ms. Heffernan based upon her length of service and compensation according to provisions of the retirement plan. Ms. Heffernan did not actually receive any portion of this benefit in 2016. As required by IRC Section 3121 regulations, the entire value of the lifetime benefit is recognized in 2016 and applicable FICA and FUTA taxes are paid. There was also a payout of accrued vacation upon her retirement. This payment of $46,360 was also included in Other Reportable Compensation. The amount of Other Reportable Compensation of $269,259 for Terrance Tehan includes a total of $266,295 of imputed income which was not actually received by Mr. Tehan in 2016. The imputed income for Mr. Tehan includes the entire amount of the present value of the non-qualified retirement plan benefits that will be paid to Mr. Tehan over his lifetime as an annuity. This benefit was earned by Mr. Tehan based upon his length of service and compensation according to provisions of the retirement plan. Mr. Tehan did not actually receive any portion of this benefit in 2016. As required by IRC Section 3121 regulations, the entire value of the lifetime benefit is recognized in 2016 and applicable FICA and FUTA taxes are paid. Excellus Health Plan Inc Parent 29265000 Revenue from Parent 0 Excellus Health Plan Inc Parent 5125000 Management Fees and Purchased Health Services 0 Excellus Health Plan Inc Parent 682000 Rental of Space 0 Form 990, Part VI, Section A, Line 2 GRHCA officers Terrence Tehan and Patricia Heffernan are employees of Excellus Health Plan, Inc. ( a related organization). Such employees have a business relationship with GRHCA officers Dorothy Coleman, Paul Eisenstat, Stephen Sloan, James Haefner, Margaret Cassady and Stephen Cohen who are also officers of Excellus Health Plan, Inc. Form 990, Part VI, Section A, Line 6 The organization has a sole corporate Class A member, as well as individual Class B members who are the same individuals serving as Class B directors of the organization. Form 990, Part VI, Section A, Line 7a Pursuant to a resolution of the Board of Directors of Excellus Health Plan, Inc., the sole Class A member of the organization, the Chief Executive Officer of Excellus Health Plan, Inc. is empowered to act on behalf of Excellus Health Plan, Inc. to elect or reelect the organization's Class A directors. The members of the organization elect the Class A and Class B directors at a joint annual meeting of the sole member and Board of Directors of the organization, which is held during the first six months of the year pursuant to the Bylaws of the organization. Form 990, Part VI, Section A, Line 7b Bylaws amendments must be approved by the sole Class A member. Certain governance actions (such as the sale of all or substantially all of the assets of the organization) require approval of the members under the New York Not-for-Profit Corporation Law. 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. Form 990, Part VI, Section B, Line 12c All employee 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. Form 990, Part VI, Section B, Line 15 a) In determining compensation of the organization's CEO, the organization depended on compensation surveys and studies that are completed by Human Resources annually. b) In determining compensation of the organization's Other Officers and Key Employees, the organization depended on compensation surveys and studies that are completed by Human Resources annually Form 990, Part VI, Section C, Line 18 Form 990 is available via Guidestar.org. Form 990, Part VI, Section C, Line 19 Governing documents, conflict of interest policies, and financial statements are available to the public upon request. Form 990, Part VII, Section B, Line 1(C) Lechase Construction was compensated for both services and materials and the two amounts can not be separated. Form 990, Part IX, Line 11g Includes Purchased Health Services of 19,130,824. Lifetime Pharmacy LLC 165 Court Street Rochester NY 14647 264629835 Pharmacy NY 6187316 1522051 Genesee Region Home Care Association Inc Genesee Region Home Care of Ontario County Inc 165 Court Street Rochester NY 14647 223257719 Provides Home Health Services NY 501(c)(3) 509(a)(2) Genesee Region Home Care Association 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 Excellus Health Plan Inc 165 Court Street Rochester NY 14647 150329043 Health Insurer 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 Beacon Network Services 165 Court Street Rochester NY 14647 141830065 Inactive NY N/A C Lifetime Benefit Solutions Inc 165 Court Street Rochester NY 14647 161171765 Third Party Administrator 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 Excellus Insurance Agency Inc 165 Court Street Rochester NY 14647 161588653 Insurance Agency NY N/A C MIG Assurance 165 Court Street Rochester NY 14647 980210843 Long Term Care Insurer CJ N/A C Lifetime Healthcare Companies Workers' Compensation Trust 165 Court Street Rochester NY 14647 161483185 Grantor Trust NY N/A T 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0 Excellus Health Plan Inc m 35072000 Arm's Length Genesee Region Home Care of Ontario County Inc m 4531046 Arm's Length