| FORM 990, PART III, LINE 3 |
EFFECTIVE 1/1/2020 THE MEALS ON WHEELS AND PERSONAL EMERGENCY RESPONSE SERVICE PROGRAMS TRANSFERRED FROM URMHCCS TO UR MEDICINE HOME CARE, COMMUNITY SERVICES, INC., A RELATED ORGANIZATION. |
| FORM 990, PART VI, SECTION A, LINE 6 |
THE SOLE MEMBER OF UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("URMHCCS") IS UR MEDICINE HOME CARE, INC. ("URMHC"). |
| FORM 990, PART VI, SECTION A, LINE 7A |
URMHC, ACTING THROUGH ITS BOARD OF DIRECTORS, HAS THE AUTHORITY TO ELECT THE GOVERNING BODY OF URMHCCS, AND CERTAIN DECISIONS OF THE URMHCCS BOARD OF DIRECTORS ARE SUBJECT TO THE APPROVAL OF THE URMHC BOARD OF DIRECTORS. |
| FORM 990, PART VI, SECTION A, LINE 7B |
AS NOTED IN NOTE 7A, SUCH DECISIONS INCLUDE APPOINTMENT OF THE URMHCCS PRESIDENT AND CEO, AMENDMENT OF THE CERTIFICATE OF INCORPORATION AND BYLAWS, APPROVAL OF EXTRAORDINARY CORPORATE ACTIONS SUCH AS MERGER OR DISSOLUTION, AND APPROVAL OF CAPITAL AND OPERATING BUDGETS, STRATEGIC PLANS, AND INCURRENCE OF CERTAIN DEBT. |
| FORM 990, PART VI, SECTION B, LINE 11B |
THE FORM 990 OF UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("URMHCCS") IS REVIEWED BY URMHCCS'S SENIOR MANAGEMENT PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO URMHCCS'S AUDIT COMMITTEE PRIOR TO FILING. SENIOR MANAGEMENT'S AND THE FINANCE COMMITTEE'S QUESTIONS AND COMMENTS WERE ADDRESSED PRIOR TO FILING. THE FORM 990 WAS ALSO PROVIDED TO URMHCCS'S ENTIRE BOARD OF DIRECTORS PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C |
DIRECTORS, COMMITTEE MEMBERS, OFFICERS, AND KEY EMPLOYEES ARE REQUIRED TO DISCLOSE A CONFLICT OF INTEREST: (A) PRIOR TO VOTING ON OR OTHERWISE DISCHARGING THEIR DUTIES WITH RESPECT TO ANY MATTER INVOLVING THE CONFLICT WHICH COMES BEFORE THE BOARD OR ANY COMMITTEE; (B) PRIOR TO ENTERING INTO ANY CONTRACT OR TRANSACTION INVOLVING THE CONFLICT; (C) AS SOON AS POSSIBLE AFTER THE DIRECTOR, COMMITTEE MEMBER OR OFFICER LEARNS OF THE CONFLICT; AND (D) ON AN ANNUAL CONFLICT OF INTEREST DISCLOSURE FORM. THIS FORM IS DISTRIBUTED ANNUALLY AND REQUIRES DISCLOSURE OF ALL CONFLICTS OF INTEREST, INCLUDING SPECIFIC INFORMATION CONCERNING THE TERMS OF ANY CONTRACT OR TRANSACTION WITH UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("URMHCCS") THAT INVOLVES A POTENTIAL CONFLICT OF INTEREST FOR THE INDIVIDUAL. THE FORMS ARE REVIEWED BY THE CHAIR AND LEGAL COUNSEL, AND CONFLICTS DISCLOSED ON THE FORMS OR ON AN AD HOC BASIS ARE REVIEWED BY THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE. THE BOARD OF DIRECTORS OR EXECUTIVE COMMITTEE CONSIDERS THE MATERIAL FACTS CONCERNING ANY PROPOSED CONTRACT OR TRANSACTION, INCLUDING THE PROCESS BY WHICH THE DECISION WAS MADE TO APPROVE OR RECOMMEND ENTERING INTO THE ARRANGEMENT ON THE TERMS PROPOSED, AND APPROVES SUCH CONTRACTS OR TRANSACTIONS ONLY IF THE TERMS ARE FAIR AND REASONABLE TO URMHCCS AND THE ARRANGEMENTS ARE CONSISTENT WITH THE BEST INTERESTS OF URMHCCS. |
| FORM 990, PART VI, SECTION B, LINE 15 |
WRITTEN SELF-EVALUATION AND PERFORMANCE EVALUATIONS FOR UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("URMHCCS"), OFFICERS ARE REVIEWED BY THE COMMITTEE ON COMPLIANCE AND COMPENSATION OF THE UNIVERSITY OF ROCHESTER MEDICAL CENTER BOARD OF DIRECTORS ANNUALLY. THE COMMITTEE ON COMPLIANCE AND COMPENSATION HAS ACCESS TO THE EVALUATIONS FROM URMHCCS'S BOARD OF DIRECTORS, AND THE CEO OF URMC HEALTH SYSTEM HAS ACCESS TO THE EVALUATION OF THE CEO OF URMHCCS. THE COMMITTEE ON COMPLIANCE AND COMPENSATION REVIEWS AND APPROVES TOTAL COMPENSATION FOR OFFICERS AND CONSIDERS, IN ADDITION TO THE EVALUATIONS, THE SCOPE OF THE INDIVIDUAL'S JOB RESPONSIBILITIES, PREVIOUS COMPENSATION AND COMPARABLE COMPENSATION PAID TO PEOPLE WITH SIMILAR RESPONSIBILITIES AT COMPARABLE INSTITUTIONS. THE COMPARABLE INFORMATION IS PROVIDED BY AN INDEPENDENT CONSULTANT AND IS BASED ON LOCAL REGIONAL AND NATIONAL COMPENSATION SURVEYS. |
| FORM 990, PART VI, SECTION C, LINE 19 |
THE FORM 1023 AND FORM 990 OF UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("URMHCCS") ARE AVAILABLE UPON REQUEST. URMHCCS'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND AUDITED FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII & SCHEDULE J-2 |
THE OFFICERS AND DIRECTORS OF UR MEDICINE HOME CARE, CERTIFIED SERVICES, INC. ("URMHCCS") ARE ALSO OFFICERS AND DIRECTORS OF COMMUNITY CARE OF ROCHESTER ("CCR"), UR MEDICINE HOME CARE, INC. ("URMHC"), FINGER LAKES HOME CARE, INC. ("FLHC"), AND UR MEDICINE HOME CARE, COMMUNITY SERVICES, INC. ("URMHCCSI"), RELATED IRC SECTION 501(C)(3) ORGANIZATIONS. THE OFFICERS AND DIRECTORS DEVOTE TIME EACH WEEK TO EACH OF THESE RELATED ORGANIZATIONS. IN ADDITION, CERTAIN DIRECTORS OF URMHCCS ALSO DEVOTE SIGNIFICANT TIME EACH WEEK TO OTHER RELATED ORGANIZATIONS. NONE OF THE BOARD MEMBERS OF URMHCCS ARE COMPENSATED FOR THEIR BOARD SERVICE. |
| FORM 990, PART IX, LINE 11G |
CONTRACT SERVICES: PROGRAM SERVICE EXPENSES 4,424,815. MANAGEMENT AND GENERAL EXPENSES 957,119. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,381,934. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 1,217,682. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,217,682. |
| FORM 990, PART XI, LINE 9: |
PENSION AND POSTRETIREMENT RELATED CHARGES 125,626. EQUITY TRANSFER FROM FINGER LAKES VISITING NURSE SERVICE, INC. 2,594,826. |
Attach to Form 990 or 990-EZ.