2015-11-04T11:58:30-07:00 2014-12-31 990 2014-01-01 160844109 GENESEE REGION HOME CARE ASSOCIATION INC GENE 5852384579 165 Court Street Rochester NY 14647 Terrence Tehan COO 5852141033 2015-11-02 2014 2016-03-07 17:11:31Z Lifetime Care Patricia Heffernan 3111 Winton Road South Rochester NY 14623 97104617 0 X www.lifetimecare.org X 1960 NY To deliver compassionate, personalized care to adults and children who are ill, injured, dying, or grieving. 12 4 1128 375 0 0 352432 346098 96342700 96578419 418398 169475 -14435 -14171 97099095 97079821 0 0 0 0 58180969 59245649 0 0 21835 36522157 35387838 94703126 94633487 2395969 2446334 46962705 49531363 20598992 20565214 26363713 28966149 X To deliver compassionate, personalized care to adults and children who are ill, injured, dying, or grieving. 0 0 28716228 0 30195188 Home Health Care: - Lifetime Care's Home Health services are provided by professionals with experience in hospitals and nursing homes as well as in-home care: RNs and LPNs, including specialists with advanced training in home infusion, cardiac care, and wound care - Blue Cross, Blue Choice, Medicare, Medicare Blue Choice, Medicaid, and many other health insurance plans offer coverage for services. (192,783 Visits) 12955421 0 17135511 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. (66,570 Days of Care) 981305 0 981305 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. 7017482 0 10445512 Home Health Care: Home Health Aides - Provides services in the home to persons who require trained medical services. (68,646 Visits) 11086750 0 16731779 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 (120,058 Visits). Medicare, Medicaid, Blue Cross, and MVP are some of the health insurance plans that cover hospice services. 3788999 0 5718240 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. (40,043 Days of Care) 3802328 0 3866118 Hospice Care: Hospice Inpatient Services - Provides an organized program of Hospice care to patients who are receiving inpatient care. (2,836 Days of Care) 3071842 0 3071842 Patient & Family Support Programs, General/Other: Compassionet - Provides services to terminally ill children to pay for costs not covered by insurance. (492 Families Served) 6984094 0 8432925 Pharmacy: Provide drugs and pharmacy supplies to patients in their homes. 35751495 0 48266416 78404449 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 1 221 0 1 1128 1 0 0 0 0 0 0 0 0 0 0 X 12 4 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 NY X X Terrence Tehan 5852141033 165 Court Street Rochester NY 14647 X Dorothy Coleman CFO, Treasurer and CEO 2 40 X X 0 846043 87562 Paul Eisenstat CEO 1.2 40 X X 0 601216 45857 Joseph Kurnath MD Director-Chair 0 0 X X 0 61850 0 Marilyn Dollinger Director-Vice Chair 0 0 X X 0 0 0 Jordon Brown Director 0 0 X 0 3100 0 Mordecai Kolko Director 0 0 X 0 0 0 Manuel Matos MD Director 0 0 X 0 0 0 Alfred Matt Director 0 0 X 0 67550 0 David Reh Director 0 0 X 0 0 0 Jagat Mehta MD Director 0 0 X 0 0 0 Deborah Minor Director 0 0 X 0 0 0 Hilda Rosario-Escher Director 0 0 X 0 0 0 Elane Daly Director 0 0 X 0 0 0 Stephen Sloan Secretary 0.4 40 X 0 774560 105219 James Haefner Assistant Treasurer 0.4 40 X 0 392583 77470 Patricia Heffernan President 40 0 X 0 384780 102875 Terrence Tehan COO 40 0 X 0 325748 83929 Margaret Cassady Assistant Secretary 0.4 40 X 0 299582 36608 Jeanne Chirico VP Community Services 40 0 X 169016 0 8608 Nancy Horn VP Clinical Operations 40 0 X 161653 0 19540 James Wood Medical Director - Hospice 40 0 X 195904 0 1774 Toni McGhan Director of Branch Operations 40 0 X 165912 0 19357 Barbara Giehl VP Palliative Care and Hospice 40 0 X 159863 0 4698 John Cauvel VP of IT Communications 40 0 X 133952 0 19369 David Wastowicz Director of Infusion Pharmacy 40 0 X 129599 0 25051 David Klein Former CEO 0 0 X 0 6389763 159593 1115899 10146775 797510 15 1 1 0 Lechase Construction 205 Indigo Creek Drive Rochester NY 14626 Building Maintenance 366213 Misys Healthcare 8529 Six Forks Road Raleigh NC 27615 Computer System Support 278777 Deloitte and Touche LLP 910 Bauch and Lomb Place Rochester NY 14604 Auditing 116280 Doyle Security System 792 Calkins Road Rochester NY 14623 Security Services 103938 Visiting Nurse Service 2180 Empire Boulevard Webster NY 14580 Home Health Aides 101200 5 0 0 31297 0 31378 283423 9824 346098 96578419 96578419 0 0 96578419 158283 0 0 158283 0 0 0 0 0 0 0 0 10602 0 13495 0 -2893 0 -2893 0 0 -2893 11215 0 23 0 11192 0 11192 0 0 11192 0 31297 11278 -11278 0 -11278 0 97079821 96578419 0 155304 X 330669 330669 48638051 39842272 8783219 12560 286689 231896 54793 6353933 5188371 1163887 1675 3636307 2941320 694026 961 192500 192500 29403 29403 92317 92317 21363834 19812516 1551318 204012 8747 195265 2160807 1438071 716097 6639 375082 24965 350117 1833808 793185 1040623 1983934 1825346 158588 55686 28866 26820 748909 532970 215939 39916 2441 37475 Other Expense 802895 77507 725388 0 Bad Debt Expense 579895 579895 0 0 Employee Referrals 41259 0 41259 0 Pharmacy Costs 4883581 4883581 0 0 94633487 78404449 16207203 21835 3950 3950 6055299 10812328 0 13472282 13081586 898933 868777 8318889 3924372 4625605 4394517 1905381 2123286 6409000 6409000 13592255 11837919 46962705 49531363 17684549 18124927 1166593 1273296 1747850 1166991 20598992 20565214 X 26363713 28946315 0 19834 0 0 26363713 28966149 46962705 49531363 2446334 156102 0 0 0 0 X 0 1 X 1 0 X 1174423 376385 345334 352432 346098 2594672 75931112 83718775 92054047 96342700 96578419 444625053 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 77105535 84095160 92399381 96695132 96924517 447219725 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 447219725 252788 151535 185575 29407 791 620096 71827 55760 32206 0 159793 324615 207295 217781 29407 791 779889 0 0 0 0 0 0 0 0 0 0 77430150 84302455 92617162 96724539 96925308 447999614 0.99826 0.99803 0.00174 0.00197 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 6679 6679 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 3367170 631560 2735610 0 894518 364419 530099 0 4057201 2928393 1128808 0 0 0 0 4394517 Due from Genesee Region Home Care of Ontario County, Inc. 11665005 Due from Affiliates 172914 11837919 Due to Affiliates 816991 Defined contribution pension obligation 350000 1166991 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 positions must meet a more likely than not recognition threshold at the effective date to be recognized. This Topic also provides guidance on measurement, derecognition, classification, interest and penalties, accounting in interim periods, disclosure and transition. The Company recognizes any interest and penalties related to unrecognized tax benefits within the income tax expense line in the accompanying statements of activities and changes in net assets. Accrued interest and penalties are included within the related tax liability line in the consolidated statements of financial position. There were no interest and penalties recognized for 2014 or 2013. The Company does not anticipate significant increases or decreases in its uncertain tax positions within the next twelve months. Hospice Harvest Festival 31297 31297 0 0 0 6650 0 650 3978 0 0 31297 31297 0 0 0 6650 0 650 3978 11278 -11278 X 1 1 1 1 1 0 1 1 1 0 0 Dorothy Coleman CFO, Treasurer and CEO 0 527651 0 308020 0 10372 0 65002 0 22560 0 933605 0 0 Paul Eisenstat CEO 0 357829 0 242182 0 1205 0 28248 0 17609 0 647073 0 0 Stephen Sloan Secretary 0 446057 0 322905 0 5598 0 83004 0 22215 0 879779 0 0 James Haefner Assistant Treasurer 0 211627 0 75705 0 105251 0 55899 0 21571 0 470053 0 0 Patricia Heffernan President 0 260899 0 118886 0 4995 0 82446 0 20429 0 487655 0 0 Terrence Tehan COO 0 234155 0 89887 0 1706 0 63013 0 20916 0 409677 0 0 Margaret Cassady Assistant Secretary 0 253144 0 43532 0 2906 0 27050 0 9558 0 336190 0 0 Jeanne Chirico VP Community Services 148984 0 19324 0 708 0 0 0 8608 0 177624 0 0 0 Nancy Horn VP Clinical Operations 141102 0 19238 0 1313 0 0 0 19540 0 181193 0 0 0 James Wood Medical Director - Hospice 191435 0 1809 0 2660 0 0 0 1774 0 197678 0 0 0 Toni McGhan Director of Branch Operations 158855 0 6773 0 284 0 0 0 19357 0 185269 0 0 0 Barbara Giehl VP Palliative Care and Hospice 157714 0 1673 0 476 0 0 0 4698 0 164561 0 0 0 John Cauvel VP of IT Communications 121270 0 11549 0 1133 0 0 0 19369 0 153321 0 0 0 David Wastowicz Director of Infusion Pharmacy 128208 0 1117 0 274 0 0 0 25051 0 154650 0 0 0 David Klein Former CEO 0 0 0 0 0 6389763 0 145401 0 14192 0 6549356 0 1525324 Schedule J, Part I, Line 1a A portion of club dues were paid for the President and are included in taxable compensation. Schedule J, Part I, Line 3 The CEO of the filing organization is compensated by a related (parent) 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 CFO and Treasurer of the filing organization, who was also CEO during a portion of the year, is also the CFO of a related (parent) organization. The process to determine her compensation additionally included the use of an external consultant and approval by the Board of Directors of the related organization. Schedule J, Part I, Line 4 Line 4a - One individual, B. Giehl, from Part VII, Section A, Line 1a, received severance payment in 2014 in the amount of $70,163. Line 4b - The following persons from Part VII, Section A, Line 1a participated in supplemental nonqualified retirement plans of a related organization: D. Klein, D. Coleman, P. Eisenstat, S. Sloan, J. Haefner, P. Heffernan, T. Tehan, and M. Cassady. Line 4c - D. Klein participated in an equity-based compensation arrangement of a related entity that resulted in a distribution of $164,380 in 2014. 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 is utilized in determining incentive awards. 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 is utilized in determining incentive awards. Schedule J, Part II Line 15 (ii), Column (B)(iii) - The amount of Other Reportable Compensation reported for David Klein of $6,389,763 consists primarily of two items: (1) a payment from a deferred compensation plan of $4,841,382 that represents compensation earned by Mr. Klein over his career (previously reported in public filings, including on Schedule G of New York State's annual financial reports for the affiliated health plan) and voluntarily deferred and the earnings on those deferrals and (2) the amount of $1,525,354 which was paid to Mr. Klein pursuant to a Supplemental Excess Retirement Plan maintained by the related (parent) company. This payment was reported on a prior 990 and thus is also reflected in Column (F). Excellus Health Plan Inc Parent 25779000 Revenue from Parent 0 Excellus Health Plan Inc Parent 6003000 Management Fees and Purchased Health Services 0 Excellus Health Plan Inc Parent 748000 Rental of Space 0 Form 990, Part III, Line 4d Please see Schedule O, Statement 1. Form 990, Part VI, Section A, Line 2 GRCHA 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 and Margaret Cassady who are also officers of Excellus Health Plan, Inc. Form 990, Part VI, Section A, Line 6 Prior submissions incorrectly reflected that the organization had no members. In fact, 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 North Star Home Health Management, Inc., the sole Class A member of the organization, the Chief Executive Officer of North Star Home Health Management, Inc. is empowered to act on behalf of North Star Home Health Management, 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 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 appropirate. 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 cannot be separated. Form 990, Part IX, Line 11g Includes Purchased Health Services of 19,461,808. Lifetime Pharmacy LLC 165 Court Street Rochester NY 14647 264629835 Pharmacy NY 8661560 1648388 Genesee Region Home Care Association Inc Genesee Region Home Care of Ontario County Inc 165 Court Street Rochester NY 14647 223257719 Provide Home Health Services NY 501(c)(3) 509(a)(2) North Star Home Health Management Inc 1 Genesee Valley Group Health Association Inc 165 Court Street Rochester NY 14647 161005419 Provide Health Services NY 501(c)(3) 170(b)(1)(A)(iii) Excellus Health Plan Inc 1 Univera 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 Lifetime Benefit Solutions 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 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 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 1 1 0 0