GENESIS HEALTH SYSTEM: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH SYSTEM (EIN 42-1418847)
Tax period: 2021-07-01 to 2022-06-30
Filed: 2023-05-15
IRS object ID: 202301359349304430
Schema version: 2021v4.2
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
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-05-15T15:03:54+00:00	ReturnTs
Tax Period End	2022-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2021-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	421418847	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Genesis Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GENE	BusinessNameControlTxt
Phone	5634216508	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E Rusholme Street	AddressLine1Txt
City	Davenport	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	JOSEPH MALAS	PersonNm
Person Title	GHS CFO & Asst.Treasurer	PersonTitleTxt
Phone	5634216508	PhoneNum
Signature	2023-05-15	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	Joseph	PersonFirstNm
Person Last	Malas	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
Tax	2021	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Joseph Malas	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E Rusholme Street	AddressLine1Txt
City	Davenport	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52803	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$1,439,595,127	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GENESISHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4549	TotalEmployeeCnt
Total Volunteers	138	TotalVolunteersCnt
Total Gross UBI	$1,001,056	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$337,613	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$20,199,597	PYContributionsGrantsAmt
CY Contributions Grants	$18,706,089	CYContributionsGrantsAmt
PY Program Service Revenue	$514,503,461	PYProgramServiceRevenueAmt
CY Program Service Revenue	$510,023,398	CYProgramServiceRevenueAmt
PY Investment Income	$19,737,711	PYInvestmentIncomeAmt
CY Investment Income	$10,415,507	CYInvestmentIncomeAmt
PY Other Revenue	$2,478,783	PYOtherRevenueAmt
CY Other Revenue	$2,044,568	CYOtherRevenueAmt
PY Total Revenue	$556,919,552	PYTotalRevenueAmt
CY Total Revenue	$541,189,562	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,438,037	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,597,304	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$248,307,255	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$268,628,496	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$280,609,596	PYOtherExpensesAmt
CY Other Expenses	$296,312,833	CYOtherExpensesAmt
PY Total Expenses	$530,354,888	PYTotalExpensesAmt
CY Total Expenses	$566,538,633	CYTotalExpensesAmt
PY Revenues Less Expenses	$26,564,664	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$25,349,071	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,001,993,046	TotalAssetsBOYAmt
Total Assets EOY	$919,407,007	TotalAssetsEOYAmt
Total Liabilities BOY	$343,934,036	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$340,460,195	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$658,059,010	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$578,946,812	NetAssetsOrFundBalancesEOYAmt
Mission	GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$315,477,221	ExpenseAmt
Grant	$1,597,304	GrantAmt
Revenue	$411,737,235	RevenueAmt
Desc	GENESIS HEALTH SYSTEM (GHS IOWA) IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA CONSISTING OF THREE HOSPITAL FACILITIES, TWO IN DAVENPORT AND ONE IN DEWITT, IOWA. GENESIS MEDICAL CENTER - DAVENPORT, CONTAINING 502 LICENSED ACUTE CARE BEDS. STATISTICS INCLUDE 74,682 PATIENT DAYS AND 225,507 OUTPATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS. STATISTICS INCLUDE 1,361 PATIENT DAYS AND 28,349 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$102,967,130	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$74,631,149	RevenueAmt
Desc	GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES A WIDE VARIETY OF SPECIALTIES AND FAMILY PRACTICE GROUPS SERVING IOWA, ILLINOIS AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND WESTERN ILLINOIS.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$20,656,693	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$23,655,014	RevenueAmt
Desc	GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES HOME HEALTH SERVICES (INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING, MEDICAL SOCIAL WORKER VISITS), COMMUNITY HOSPICE SERVICES, AND THE CLARISSA C. COOK HOSPICE HOUSE LOCATED IN BETTENDORF, IOWA. STATISTICS INCLUDE 96,564 HOME HEALTH SERVICE UNITS AND 41,923 HOSPICE/HOSPICE HOUSE DAYS.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$439,101,044	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Donor Rstr Or Quasi Endowments	Yes (true)	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	Yes (true)	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	237	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4549	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (true)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Joseph Malas	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5634216508	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E RUSHOLME	AddressLine1Txt
City	DAVENPORT	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	528032498	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
C DANA WATERMAN III
VICE CHAIR	4.5	2.5	Yes (X)	Yes (X)	$0	$0	$0
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	50.0	11.5	Yes (X)	Yes (X)	$1,224,686	$0	$42,529
GREGORY J BUSH
TREASURER	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
PETER J BENSON
SECRETARY	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
STEVEN C BAHLS
CHAIR	5.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
CHRISTOPHER J COX
FORMER DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
DALE D ZUDE
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
DAVID C LARSON
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
DAVID HELLER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
EDMUND P COYNE JR
Director	2.0	2.0	Yes (X)		$0	$0	$0
EDWIN V MOTTO MD
DIRECTOR	6.0	4.0	Yes (X)		$0	$0	$0
G CHRISTOPHER WAHLIG
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
KAREN FITZSIMMONS
DIRECTOR	40.0	2.0	Yes (X)		$364,318	$0	$48,774
LASHONDA POLITE
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
MARK C KILMER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
MARK D BAWDEN
DIRECTOR	2.0	3.5	Yes (X)		$0	$0	$0
MELISSA PEPPER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
PATRICIA S GROVES
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
ROBIN PETERSEN
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
JOSEPH MALAS
VP FINANCE, INTERIM CFO	32.0	8.0		Yes (X)	$343,054	$0	$21,952
PAUL BOLLINGER
V.P. LEGAL AFFAIRS/Asst. Secretary	32.0	8.0		Yes (X)	$382,346	$0	$45,846
JORDAN VOIGT
HOSPITAL PRESIDENT GMC DAVENPORT	40.0	0			$700,822	$0	$48,049	Yes (X)
KURT A ANDERSEN
VP Physician Operations/Chief Medical Officer	33.0	7.0			$771,583	$0	$45,350	Yes (X)
BRIAN CADY
PHYSICIAN	40.0	0			$554,127	$0	$46,477		Yes (X)
CHRISTOPHER CROME
PHYSICIAN	40.0	0			$489,366	$0	$20,958		Yes (X)
HEIDI S KAHLY-MCMAHON
V.P. Human Resources	36.0	4.0			$520,969	$0	$25,769		Yes (X)
NAMRATA MALLIK
PHYSICIAN	40.0	1.5			$636,834	$0	$24,160		Yes (X)
TODD GRAY
PHYSICIAN ADVISOR	40.0	0			$472,853	$0	$23,144		Yes (X)
MARK G ROGERS
V.P. FINANCE/CFO/ASST TREASURER	32.0	8.0			$515,382	$0	$907,028			Yes (X)
NIDAL HARB
FORMER CHIEF MEDICAL OFFICER	33.0	7.0			$318,744	$0	$0			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$7,295,086	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,300,037	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	288	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Cerner Corporation
PO Box 959156	St Louis	MO	931959156	Information Technology Services	$18,716,560
Crothall Healthcare Inc
1500 Liberty Ridge Drive	Wayne	PA	19087	Maintenance/Enviromental Services	$6,649,931
Renovo Solutions LLC
4 Executive Circle	Irvine	CA	92614	Maintenance Management Services for Medical Equipment	$2,821,460	Suite 185
H R Accounts Inc
PO Box 672	Moline	IL	612660672	Collection Services	$2,808,975	5320 22nd Avenue
Morrison Healthcare
PO Box 102289	Atlanta	GA	30368	Food Management Services	$2,287,247

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	95	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,034,136	RelatedOrganizationsAmt
Government Grants	$14,335,083	GovernmentGrantsAmt
All Other Contributions	$3,336,870	AllOtherContributionsAmt
Noncash Contributions	$1,418,227	NoncashContributionsAmt
Total Contributions	$18,706,089	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT REVENUE	621400	$820,420,209	$820,420,209
INPATIENT REVENUE	900099	$547,272,926	$547,272,926
CLINIC/NURSING REVENUE	621400	$138,573,623	$138,573,623
HOME HEALTH SERVICES	621400	$26,353,599	$26,353,599
PROFESSIONAL HEALTH SERVICES	621400	$16,631,852	$15,630,796	$1,001,056

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,039,228,811	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$1,039,228,811	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$510,023,398	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,978,162	TotalRevenueColumnAmt
Exclusion	$11,978,162	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$894,773,761	SecuritiesAmt
Other	$211,322	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$896,145,708	SecuritiesAmt
Other	$402,030	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,371,947	SecuritiesAmt
Other	-$190,708	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,562,655	TotalRevenueColumnAmt
Exclusion	-$1,562,655	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$3,726,571	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$1,857,827	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,868,744	TotalRevenueColumnAmt
Exclusion	$1,868,744	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$12,348	$12,348
NUTRITIONAL SERVICES	900099	$67,229	$67,229
AMBULANCE	900099	$61,447	$61,447

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,800	TotalRevenueColumnAmt
Related Or Exempt Func Income	$34,800	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$175,824	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$541,189,562	TotalRevenueColumnAmt
Related Or Exempt Func Income	$509,198,166	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,001,056	UnrelatedBusinessRevenueAmt
Exclusion	$12,284,251	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,570,009	TotalAmt
Program Services	$1,570,009	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$27,295	TotalAmt
Program Services	$27,295	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$4,039,311	TotalAmt
Program Services	$413,092	ProgramServicesAmt
Management And General	$3,626,218	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$45,845	TotalAmt
Program Services	$45,845	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$227,492,765	TotalAmt
Program Services	$186,417,072	ProgramServicesAmt
Management And General	$41,075,693	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,373,418	TotalAmt
Program Services	$4,482,013	ProgramServicesAmt
Management And General	$891,405	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$16,747,490	TotalAmt
Program Services	$13,173,978	ProgramServicesAmt
Management And General	$3,573,512	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$14,929,667	TotalAmt
Program Services	$12,035,457	ProgramServicesAmt
Management And General	$2,894,210	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,543,148	TotalAmt
Program Services	$771,692	ProgramServicesAmt
Management And General	$2,771,456	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$901,921	TotalAmt
Management And General	$901,921	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$288,996	TotalAmt
Management And General	$288,996	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$93,681	TotalAmt
Management And General	$93,681	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$1,045,173	TotalAmt
Management And General	$1,045,173	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$92,570,774	TotalAmt
Program Services	$64,126,248	ProgramServicesAmt
Management And General	$28,444,526	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$995,761	TotalAmt
Program Services	$86,409	ProgramServicesAmt
Management And General	$909,352	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,469,448	TotalAmt
Program Services	$234,356	ProgramServicesAmt
Management And General	$4,235,092	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,122,248	TotalAmt
Program Services	$993,845	ProgramServicesAmt
Management And General	$10,128,403	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$21,545,328	TotalAmt
Program Services	$17,102,970	ProgramServicesAmt
Management And General	$4,442,358	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,403,473	TotalAmt
Program Services	$846,408	ProgramServicesAmt
Management And General	$557,065	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$540,910	TotalAmt
Program Services	$337,752	ProgramServicesAmt
Management And General	$203,158	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$3,619,666	TotalAmt
Management And General	$3,619,666	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$34,736,948	TotalAmt
Program Services	$23,179,392	ProgramServicesAmt
Management And General	$11,557,556	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,677,527	TotalAmt
Program Services	$1,291,855	ProgramServicesAmt
Management And General	$385,672	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Management And GeneralManagementAndGeneralAmt	Program ServicesProgramServicesAmt
FEDERAL AND STATE INCOME TAX	$252,167	$252,167
MEDICAL AND PHARMACEUTICAL	$54,586,948	$308,948	$54,278,000
PATIENT SUPPLY COST OF	$51,721,135		$51,721,135
Food, Beverages, and Other Operational Supplies	$6,345,574	$1,296,323	$5,049,251

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,852,007	TotalAmt
Program Services	$916,970	ProgramServicesAmt
Management And General	$3,935,037	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$566,538,633	TotalAmt
Program Services	$439,101,044	ProgramServicesAmt
Management And General	$127,437,588	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$19,449,361	BOYAmt
EOY	$17,935,967	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$77,014,637	BOYAmt
EOY	$39,911,772	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$95,752,065	BOYAmt
EOY	$94,609,244	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$13,003,744	BOYAmt
EOY	$13,118,900	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,539,062	BOYAmt
EOY	$13,069,550	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$8,786,434	BOYAmt
EOY	$8,267,676	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$921,669,550	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$649,176,854	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$277,296,184	BOYAmt
EOY	$272,492,696	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$336,365,156	BOYAmt
EOY	$297,137,873	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$80,607,365	BOYAmt
EOY	$77,046,493	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$506,348	BOYAmt
EOY	$506,348	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$79,672,690	BOYAmt
EOY	$85,310,488	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,001,993,046	BOYAmt
EOY	$919,407,007	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$81,348,206	BOYAmt
EOY	$110,816,880	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$76,003	BOYAmt
EOY	$433,219	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$145,538,828	BOYAmt
EOY	$142,397,252	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$116,970,999	BOYAmt
EOY	$86,812,844	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$343,934,036	BOYAmt
EOY	$340,460,195	EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$638,015,585	BOYAmt
EOY	$560,575,372	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$20,043,425	BOYAmt
EOY	$18,371,440	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$658,059,010	BOYAmt
EOY	$578,946,812	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,001,993,046	BOYAmt
EOY	$919,407,007	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$25,349,071	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$52,128,990	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,634,137	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$5,212	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$88,469	OtherActivitiesAmt
Total Lobbying Expenditures	$93,681	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY	FormAndLineReferenceDesc
Explanation	Part II-B, Line 1b. PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS Iowa) HAD ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. Part II-B, Line 1d. MAILINGS TO MEMBERS, LEGISLATURES, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM ( GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GENESIS HEALTH SYSTEM (GHS IOWA) REGARDING THIS ACTIVITY. Part II-B, Line 1g. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD ONESTAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS RELATED TO THEIR LOBBYING ACTIVITIES INCLUDED: SALARIES- $5,212. Part II-B, Line 1i. OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2022, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM EIDE & HEISINGER, LLC AT A COST OF $25,000. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED; 18.60% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $23,677, 25.56% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $16,289, 55% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $5,125, AND VARIOUS OTHER ASSOCIATIONS- $18,358.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$20,151,901	BeginningYearBalanceAmt
Contributions	$218,922	ContributionsAmt
Investment Earnings Or Losses	-$2,392,475	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Other Expenditures	$326,837	OtherExpendituresAmt
Administrative Expenses	$167,722	AdministrativeExpensesAmt
End Year Balance	$17,478,789	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$16,641,933	BeginningYearBalanceAmt
Contributions	$455,141	ContributionsAmt
Investment Earnings Or Losses	$3,878,888	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Other Expenditures	$684,952	OtherExpendituresAmt
Administrative Expenses	$134,109	AdministrativeExpensesAmt
End Year Balance	$20,151,901	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$15,498,706	BeginningYearBalanceAmt
Contributions	$528,855	ContributionsAmt
Investment Earnings Or Losses	$708,244	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$88,872	AdministrativeExpensesAmt
End Year Balance	$16,641,933	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,081,104	BeginningYearBalanceAmt
Contributions	$937,158	ContributionsAmt
Investment Earnings Or Losses	$562,187	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$76,743	AdministrativeExpensesAmt
End Year Balance	$15,498,706	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,249,656	BeginningYearBalanceAmt
Contributions	$166,432	ContributionsAmt
Investment Earnings Or Losses	$739,721	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$69,705	AdministrativeExpensesAmt
End Year Balance	$14,081,104	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.336	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.664	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,989,630	OtherCostOrOtherBasisAmt
Book Value	$12,989,630	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$408,247,689	OtherCostOrOtherBasisAmt
Depreciation	$226,715,027	DepreciationAmt
Book Value	$181,532,662	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$30,345,513	OtherCostOrOtherBasisAmt
Depreciation	$23,800,327	DepreciationAmt
Book Value	$6,545,186	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$438,920,397	OtherCostOrOtherBasisAmt
Depreciation	$388,776,401	DepreciationAmt
Book Value	$50,143,996	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$31,166,321	OtherCostOrOtherBasisAmt
Depreciation	$9,885,099	DepreciationAmt
Book Value	$21,281,222	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$272,492,696	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (14 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN GENVENTURES, INC	$26,307,911	C
INVESTMENT IN MISERICORDIA ASSURANCE, LTD.	$120,000	C
INVESTMENT IN HEI COOP	$7,480,381	C
INVESTMENT IN SPRING PARK SURGERY CENTER, LLC	$3,562,769	C
INVESTMENT IN GENGASTRO, LLC	$26,882,962	C
INVESTMENT IN GENORTHO, LLC	$2,733,382	C
INVESTMENT IN GENRAD IMAGING, LLC	$2,695,417	C
OTHER INVESTMENTS - GMC	$28,655	C
INVESTMENT IN UNIVERSITY OF IOWA HEALTH ALLIANCE, LLC
INVESTMENT IN DAVITA DIALYSIS, LLC	$2,525,623	C
INVESTMENT IN WELLMARK	$0	C
Investment in Wellspire, LLC	$1,932,593	C
Investment in Premier Healthcare	$672,702	C
Investment in Exela Holdings	$2,104,098	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$77,046,493	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets of Foundation	$16,701,920
Deferred Compensation Annuity	$23,340,551
Cash surrender Value of Life Insurance	$9,518,304
Goodwill & Covenant Not to Compete	$820,444
Sercurity Escrow and Other Assets	$359,655
Interest Receivable	$360,046
Lease Right of Use Assets	$34,209,568

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$85,310,488	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDesc	AmtAmt
Right of Use Liability	$32,028,452
ACCRUED INS TRUST LOSSES	$1,233,241
NONQUALIFIED PENSION LIABILITY	$23,340,551
Medicare Advanced Funds	$20,869,041
Estimated Third Party Payor Settlements	$7,399,029
GHS FICA Payable - CARES Act LT Portion	$1,952,693
other	-$10,163

Field	Value	IRS element (for citing)
Total Liability	$86,812,844	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

GENESIS HEALTH SERVICES FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS ARE AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT, EMPLOYEE EMERGENCY ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, DIALYSIS CARE, AND BREAST HEALTH SERVICES.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Uncertainty in income taxes: GHS Iowa, GHS Illinois, GMC - Aledo, the Genesis Foundation, Genesis Philanthropy and the Workers' Compensation Trust each files a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax exempt status of each entity, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income. Unrelated business taxable income is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the more likely than not recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for uncertain tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Forms 990 and 990T filed by GHS Iowa, GHS Illinois, GMC - Aledo, the Genesis Foundation, Genesis Philanthropy and the Workers' Compensation Trust are subject to examination by the IRS up to three years from the extended due date of each return. GenVentures is a taxable organization and currently files income tax returns in the U.S. federal jurisdiction and various state jurisdictions. There were no uncertain tax positions as of June 30, 2022 and 2021.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt
Region Total Expenditures	$0	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$0	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$0	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule F, Part I, Line 3 Method used to account for expenditures on org's financial statements	FormAndLineReferenceDesc
Explanation	CENTRAL AMERICA AND THE CARIBBEA	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,695,677	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,695,677	NetCommunityBenefitExpnsAmt
Total Expense	0.0048	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,620,206	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,209,308	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,410,898	NetCommunityBenefitExpnsAmt
Total Expense	0.0396	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$83,315,883	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$58,209,308	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,106,575	NetCommunityBenefitExpnsAmt
Total Expense	0.0443	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$930,847	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$930,847	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,103,782	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,828,521	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,275,261	NetCommunityBenefitExpnsAmt
Total Expense	0.0023	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,523,816	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,666,657	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,857,159	NetCommunityBenefitExpnsAmt
Total Expense	0.0033	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,024,722	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,024,722	NetCommunityBenefitExpnsAmt
Total Expense	0.0018	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$8,583,167	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$3,495,178	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,087,989	NetCommunityBenefitExpnsAmt
Total Expense	0.0090	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$91,899,050	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,704,486	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,194,564	NetCommunityBenefitExpnsAmt
Total Expense	0.0533	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$11,508,216	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$109,576,538	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$123,290,213	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$13,713,675	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
GENGASTRO LLC
AMBULATORY SURGERY CENTER	0.84	0.0	0.16
GENORTHO LLC
ORTHOPAEDIC SURGERY CENTER	0.4	0.0	0.6
SPRING PARK SURGERY CENTER LLC
OUTPATIENT SURGICAL CENTER	0.4	0.0	0.6
GENRAD IMAGING LLC
DIAGNOSTIC IMAGING CENTER	0.5	0.0	0.5
DAVITA DIALYSIS LLC
OUTPATIENT DIALYSIS CENTER	0.2	0.0	0.8

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
GENESIS MEDICAL CENTER - DAVENPORT
2	1227 E RUSHOLME STREET	DAVENPORT	IA	52803	820011H	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)
GENESIS MEDICAL CENTER - DEWITT
1	1118 11TH STREET	DEWITT	IA	52742	WWW.GENESISHEALTH.COM	230149H	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prior CHNA ImpactPriorCHNAImpactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd
GENESIS MEDICAL CENTER - DAVENPORT
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	21	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM/COMMUNITY	Yes (X)	Yes (true)	21	Yes (true)	WWW.GENESISHEALTH.COM/COMMUNITY	false	Yes (true)	Yes (X)	200.0	200.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
GENESIS MEDICAL CENTER - DEWITT
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	20	Yes (true)	false	false	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM/COMMUNITY	Yes (X)	Yes (true)	20	Yes (true)	WWW.GENESISHEALTH.COM/COMMUNITY	false	Yes (true)	Yes (X)	200.0	200.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. The sponsors of this study, Community Health Care, Inc., Genesis Health System, Muscatine County Public Health, Quad City Health Initiative, Rock Island County Health Department, Scott County Health Department and UnityPoint Health-Trinity, collaborate on improving health status and quality of life in the Quad Cities region. This work together is rooted in periodic, comprehensive community health assessments that meet the information and reporting needs of all partners. Understanding our community's health status is the foundation for developing community education, resources, and programs that will advance our community's health. The assessment informs the creation of community health improvement plans for the study sponsors. In addition, the study sponsors encourage other organizations also to use this information to inform strategic planning, grant writing and project development. For the 2021 Quad Cities Community Health Assessment, our coordinated approach included primary data collection, secondary data analysis, and qualitative data gathering from community members in our bi-state area. The study sponsors engaged PRC, Inc. to collect secondary data and implement a community health survey. Select operations data from local providers also were summarized. Special consideration was given to how we could increase our understanding of topics such as the impact of COVID-19, health disparities, and social determinants of health. The following document provides PRC, Inc.'s bi-state findings in detail as well as information obtained through local partners. Documents produced as part of the 2021 Quad Cities Community Health Assessment process are available for review online at quadcities.healthforecast.net. This Community Health Assessment is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Scott, Muscatine, and Rock Island counties - it is a follow-up to similar studies conducted in the Quad Cities Area (Scott and Rock Island counties) in 2002, 2007, 2012, 2015, and throughout the full three-county area in 2018. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. This study was sponsored by a collaboration of local organizations, including: Community Health Care, Inc.; Genesis Health System; Muscatine County Public Health; Quad City Health Initiative; Rock Island County Health Department; Scott County Health Department; and UnityPoint Health-Trinity. The portion of the study conducted by PRC was funded by Genesis Health System and UnityPoint Health-Trinity. The following staff from the sponsoring organizations comprised the assessment Steering Committee. Steering Committee: Brooke Barnes, Scott County Health Department Taryn Bautista, Genesis Health System Sherri Behr DeVrieze, UnityPoint Health-Trinity Tom Bowman, Community Health Care, Inc. Nicole Carkner, Quad City Health Initiative (QCHI) Michele Dane, Genesis Health System Rikki Hetzler, UnityPoint Health-Trinity Muscatine Public Health Janet Hill, Rock Island County Health Department Daniel Joiner, UnityPoint Health-Trinity Cheri Lewis, Quad City Health Initiative (QCHI) Nita Ludwig, Rock Island County Health Department Tiffany Peterson, Scott County Health Department Christy Roby Williams, UnityPoint Health-Trinity Muscatine Public Health The Steering Committee was guided by the input from Stakeholder Committees that were convened to support data collection and the identification of community health priorities. The Steering Committee thanks the following community members who participated in this process. The Steering Committee would like to acknowledge staff from the Scott County Emergency Management Agency for conversations about how this assessment can inform broader community-recovery planning efforts. The Steering Committee also appreciates the contributions of Lara Paxton, MPH student, St. Ambrose University, who supported this assessment as an intern. Rock Island and Scott Counties Stakeholder Committee: Dr. Ron Boesch, Palmer College of Chiropractic Clinics Carol Brenner, MetroLINK Debra Brownson, Skip-a-Long Family and Community Services Denise Bulat, Bi-State Regional Commission Sheriff Gerry Bustos, Rock Island County Sheriff's Department Dave Donovan, Scott County EMA Gina Ekstrom, Davenport Community School District Laura Fontaine, World Relief Quad Cities Linda Frederiksen, Medic EMS Deborah Freiburg, Rock Island County Board of Health Mayor Bob Gallagher, City of Bettendorf Dr. Ann Garton, St. Ambrose Institute for Person-Centered Care Rev. Dr. Melvin Grimes, Churches United of the Quad City Area Dr. Kathleen Hanson, Scott County Board of Health Dr. Kristin Humphries, East Moline School District Jerry Jones, MLK Jr. Community Center Leslie Kilgannon, Quad Cities Housing Cluster Brycie Kochuyt, Alternatives for the Older Adult Sheriff Tim Lane, Scott County Sheriff's Department Shirleen Martin, Davenport NAACP Health Committee Member Dr. Amy Maxeiner, Black Hawk College Mike Miller, River Bend Food Bank Tammy Reed, Rock Island County NAACP Health Committee Chair, TASC Anamaria Rocha, Mercado on Fifth Paul Rumler, Quad Cities Chamber Alicia Sanders, Rock Island-Milan School District Dr. Rachel Savage, Moline-Coal Valley School District Sarah Stevens, The Project of the Quad Cities Brian Strusz, Pleasant Valley School District Kelly Thompson, Quad Cities Community Foundation Dr. Cheryl True, True Lifestyle Medicine Clinic Deb Waymack, Deere & Company Dr. Rich Whitaker, Vera French Community Mental Health Center Marci Zogg, United Way Quad Cities Muscatine County Stakeholder Committee: Brenda Arthur-Miller, West Liberty Community School District Pastor Susan Bantz, Muscatine Ministerial Association Bob Barrett, City of Wilton Steve Brauns, Wilton Ministerial Association Diana Broderson, City of Muscatine Joe Burnett, Wilton Community School District Clint Christopher, Muscatine Community School District Scott Dahlke, Muscatine Center for Social Action Dr. Naomi DeWinter, Muscatine Community College Dennis Duke, UnityPoint Health - Robert Young Center Jerry Ewers, City of Muscatine - Fire and Emergency Medical Services Megan Francis, Muscatine Senior Resources Michelle Garvin, Wester Drug Pharmacy and Wellness Father Guillermo Trevino, Jr., West Liberty St. Joseph Catholic Church Karen Harper RPH, Muscatine County Board of Health Bob Hartman, City of West Liberty Erika Hayes, UnityPoint Health - Trinity Muscatine Rikki Hetzler, UnityPoint Health - Trinity Muscatine Angela Johnson, UnityPoint Health - Trinity Muscatine Anthony Kies, City of Muscatine - Police Department William Koellner, Muscatine County Board of Health Melanie Langley, Iowa Department of Human Services Dana Larue, Non-Emergency Transport Laurie Ludman, Iowa Department of Human Services Dr. Michael Maharry, University of Iowa Hospitals and Clinics Stephanie Martin, West Liberty Chamber of Commerce Kadie McCory, Mississippi Valley Child Protection Center Rosa Mendoza, Diversity Service Center of Iowa Mary Odell, Muscatine Health Support Funds Shane Orr, United Way of Muscatine Damaris Ortega, UnityPoint Health - Trinity Muscatine Occupational Medicine Dr. Dustaff Persaud, Mercy Family Medicine Lindsey Phillips, Trinity Muscatine Foundation Board of Directors Cheryl Plank, Vision 2020 Muscatine Tina Plett, Community Health Care, Inc., Muscatine Medical Clinic Eric Reader, Greater Muscatine Chamber of Commerce and Industry Erick Recinos, UnityPoint Health - Trinity Glenda Reichert - UnityPoint Health - Trinity Muscatine Judge Tom Reidel, 7th Judicial District - Iowa Department of Corrections Sheriff Quinn Reiss, Muscatine County Sherriff's Department Christy Roby Williams, UnityPoint Health - Trinity Muscatine Public Health Daniel Salazar, Racial Justice Fund Committee of Community Foundation of Greater Muscatine Nick Salazar, LULAC - League of United Latin American Citizens of Iowa Santos Saucedo, Muscatine County Board of Supervisors Charla Schafer, Community Foundation of Greater Muscatine Pastor Ty Thomas, Calvary Church Muscatine Felicia Toppert, Muscatine County Community Services Kim Warren, Aligned Impact Muscatine Brandy Werling-Marquez, Wilton Chamber of Commerce Steve Wieskamp, Rock Valley Physical Therapy Destiny Williams, Racial Justice Fund Committee of Community Foundation of Greater Muscatine Brian Wright, Emergency Management Agency
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. UNITY POINT HEALTH-TRINITY
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY HEALTH DEPARTMENT, Muscatine County Board of Health, AND THE SCOTT COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GMC Davenport. With following the Genesis Health System's mission along with coordinating with the Quad City Health Initiative Implementation plan, Genesis Medical Center Silvis will be focusing and delivering on the following programs and resources to address the needs of the community: Community Education and Outreach Health Screening Support Groups Counseling Self-Help Immunizations Other Community Programs Family Support Services In-Home Services Meals/Nutrition Services Transportation Services Cash and In-Kind Donations Medical Education and Research III. Community Health Improvement Initiatives Infant Health: Multi-year plan in coordination with the Quad City Health Initiative, Unity Point QC, the Rock Island and Scott County Health Departments and Community Health Care to reduce the number of low birth weight infants. Form the multi-disciplinary task force - health care organization leaders, providers and target population Understand the size and scope of the health issue Determine the area of focus to reduce low birth weight births Implement strategies Evaluate progress Mental Health: Continue our efforts to support community mental health programs through: - Collaboration with Vera French to support programs such as "ACT" Assertive Community Treatment, MST Multisystemic therapy for teens, etc. - Behavioral health services provided via our emergency department and inpatient unit -Support Family Connects - moms with post-partum depression Participate in the Quad Cities Behavioral Health Coalition programs (e.g.the Zero Suicide Initiative) Advocate for improved funding for mental health services Nutrition, Physical Activity and Weight: Collaborate with community partners to educate the public re the importance of healthy diet and regular exercise such as Be Healthy QC Implement a Food Pharmacy to help diabetic patients with limited resources obtain and use healthy foods to control their diabetes. Provision of exercise equipment at area parks. Continue Genesis programs: -YMCA membership discount for staff and their families -Healthy Lifestyle Sponsorships such as Bix 7 -Center for Weight Management and Bariatric Surgery Access to Healthcare: Continue Genesis support for: -421-DOCS - assistance for finding a primary care provider -Recruiting primary care providers and specialists Expansion of Genesis emergency and convenient care services in growing population areas (e.g. Eldridge Convenient Care Clinic) Expansion of telehealth services for: -Non-emergent, basic health care -Consultations with specialists especially for patients living in rural areas Diabetes Prevention and Treatment: Genesis Health System FY 2022 Strategic Goal - Achieve breakthrough performance in lowering the hemoglobin A1C rate to improve the health of our community. Achieved by: -Continued monitoring of high risk patients -Ongoing education Implementation of a Food Pharmacy to help diabetic patients, with limited resources, obtain and use healthy foods to control their diabetes.
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - Genesis Medical Center Dewitt. Part V, Section B, Line 5: To complete the community health needs assessment, existing health -related data were collected via the online community commons community health needs assessment report tool at HTTP://www.communitycommons.org/maps-data. This site allows for identification of 87 distinct health and social indicators at the county level , along with comparisons to state and national data, and health people 2020 targets, where available. Once an indicators report was generated, relevant indicators were reviewed to determine how Clinton County compared to available state/national data (see the "detailed health indicators" section of this document. Data was also collected by Genesis Health system Business Intelligence and Communications departments. Information gaps: Because this CHNA relies on existing datasets, it is limited in scope to those indicators currently available through database collection. It does not include a primary research component and many important issues are unaddressed (e.g. access to healthcare). Another limitation is that most measures included in this assessment represent data that are several years old. Community Stakeholder Input: Genesis Medical Center DeWitt got input from public health officials and other community stakeholders through a series of meetings. The organizations involved include: * Westwing Senior Living * Clinton County Public Health Department * GMC DeWitt * Patient Health Services Jack County Board of Health * GMC DeWitt Social Services * GMC DeWitt Community Health Liaison Genesis Medical Center Dewitt also conducts a community survey to local organizations for input on CHNA and implementation strategy.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DEWITT:. Genesis Health System, in collaboration with Clinton County Health Department, continues to address the significant needs identified in the most recent CHNA through our ongoing programs and resources. These programs include: Healthy Behaviors: Integrated health, wellness activities, smoking cessation, physical activity and weight status: * Switch program completed for DeWitt area families by extension office * School nurse was provided extension office 5210 healthy eating habits posters for education at DeWitt Schools * Diabetes CCM program * Implementation of Food Pharmacy * Continue Genesis support for primary and specialty care services * Expansion of Genesis emergency and convenient care services in areas of growing population/need * Expansion on telehealth services * Concussion management built into the school's initial assessment for baseline of any student athlete * Coverage for treatment at athletic events (Northeast, DeWitt, and Calamus/Wheatland schools) Decrease Youth Risky Behaviors: Teenage pregnancy, marijuana use: * DeWitt/Camanche coalition attendance provided by Wanda Haack and/or Ann Bixby * Scott Drug provides drop box for unused medication disposal * DeWitt/Camanche Coalition provided education at local schools Mental Health Awareness and Services: Suicide prevention and awareness, medication disposal, education on adverse childhood experience (ACE): * Connections Matter * CNO and RN became educated trainers; provided education to Med/Surg and ED units at GMC-DeWitt and DeWitt Lion's Club * Education provided to VNA staff and hosted at GMC-DeWitt * Respite House support provided through DeWitt and GHS Foundations. House provided through lease agreement with GMC-DeWitt * Continued contract with Eastern Iowa Grant providing telepsyche services within the ED and RN Care Coordination for mental health services from ED to community RN Care Coordinator * Continue efforts to support community mental health programs * Participate in Zero Suicide program * Advocate for improved funding for mental health services

Field	Value	IRS element (for citing)
Facility	42	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (40 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
BETTENDORF HEALTH PLEX
2140 53RD AVENUE	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC AND IMAGING SERVICES
GENESIS IMAGING CENTER 53RD STREET
1970 E 53RD STREET	DAVENPORT	IA	52807	OUTPATIENT RADIOLOGY SERVICES
CENTRAL PARK MEDICAL PAVILIONS 1 & 2
1351 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	O/P CANCER, INFUSION, WOUND, & PHYSICIAN CLINIC
GENESIS MEDICAL PLAZA
2535 MAPLECREST ROAD	BETTENDORF	IA	52722	O/P REHAB, PAIN, PHYS THERAPY, DIABETES, HOME HEALTH, SPINE CTR & PHSY CLINIC
Davenport HealthPlex
3200 West Kimberly Rd	Davenport	IA	52806	Outpatient Physician Clinic/Physical Therapy
MEDICAL OFFICE BUILDING #1 and #2
1228 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P MAMMOGRAPHY & DIALYSIS SERVICES
ILLINI LARSON CENTER
855 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT LAB & PHYSICIAN CLINIC
VISITING NURSE ASSOC & HOSPICE HOUSE
2546 TECH DRIVE	BETTENDORF	IA	52722	HOME HEALTH & HOSPICE
ELDRIDGE FAMILY PRACTICE
301 N 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT PHYSICIAN CLINIC
GENESIS CONVENIENT CARE - ILLINOIS
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT URGENT CARE CLINIC
Woodlands Family Practice
4321 53rd Ave	Bettendorf	IA	52722	Outpatient Physician Clinic
GHG-Valley View Moline
615 valley Vew Dr Suite 305	Moline	IL	61265	Outpatient Physician Clinic
GENESIS HEALTH GROUP
865 LINCOLN ROAD	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
GENESIS PHYSICAL REHAB - VALLEY FAIR
2300 53RD STREET	BETTENDORF	IA	52722	O/P PHYSICAL THERAPY CLINIC
PHYSICAL THERAPY & SPORTS MEDICINE
1702 E 53RD STREET	DAVENPORT	IA	52807	O/P PHYSICAL THERAPY & SPORTS PERF CLINIC
FAMILY PRACTICE AT WEST CAMPUS
1345 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
GENESIS PSYCHOLOGY ASSOCIATES
4455 E 56TH STREET	DAVENPORT	IA	52804	OUTPATIENT COUNSELING CLINIC
Dewitt Family Practice
1008 11th St	Dewitt	IA	52742	Outpatient Physician Clinic
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	AMBULATORY SURGERY CENTER
ELDRIDGE PHYSICAL THERAPY
170 S 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT PHYSICAL THERAPY CLINIC
MOLINE HEALTHPLEX
3900 28TH AVENUE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
GENORTHO LLC
2300 53RD STREET	BETTENDORF	IA	52722	ORTHOPEDIC SURGERY CENTER
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	DIAGNOSTIC IMAGING CENTER
Genesis PT &Sports Medicaine-Bettendorf
2300 53rs Ave STE LL02	Bettendorf	IA	52722	Outpatient Physical Therapy Clinic
GHS OCCUPATIONAL HEALTH - DAVENPORT
3319 SPRING STREET	DAVENPORT	IA	52807	OUTPATIENT OCCUPATIONAL HEALTH
Durant FAMILY PRACTICE
619 5th	Durant	IA	52747	OUTPATIENT PHYSICIAN CLINIC
Genesis Physcial Therapy Davenport
1820 West 3rd St	Davenport	IA	52801	Outpatient Physical Therapy Clinic and Physician Clinic
GENESIS OCCUPATIONAL HEALTH
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT OCCUPATIONAL HEALTH
DEWITT AMBULANCE
1220 11TH STREET	DEWITT	IA	52742	AMBULANCE SERVICES
Genesis Physical Therapy at LeClaire
1003 Canal Shore Drive	LeClaire	IA	52753	Outpatient Physical Therapy Clinic
Genesis Physical Therapy Clinton
1647 Lincoln Way	Clinton	IA	52732	Outpatient Physical Therapy Clinic
GHS - AUGUSTANA PT CLINIC
639 38TH STREET	ROCK ISLAND	IL	61201	OUTPATIENT PHYSICAL THERAPY CLINIC
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	OUTPATIENT SURGICAL CENTER
VISITING NURSE ASSOC & HOSPICE HOUSE
611 NORTH 2ND AVE	CLINTON	IA	52732	HOME HEALTH & HOSPICE
IA CITY PEDIATRIC PT CLINIC
2451 CORAL CT	CORALVILLE	IA	52241	OUTPATIENT PHYSICAL THERAPY CLINIC
BLUE GRASS FAMILY MEDICAL
413 S MISSISSIPPI	BLUE GRASS	IA	52726	OUTPATIENT PHYSICIAN CLINIC
CONVENIENT CARE NOW E KIMBERLY
1823 E KIMBERLY RD	DAVENPORT	IA	52807	Outpatient Urgent Care clinic
Genesis Sports Medicine Rock Island
1025 30th Street	Rock Island	IL	61201	Outpatient Physical Therapy Clinic
Conveniet Care Now W Locust
2351 West locust Street	Davenport	IA	52804	Outpatient Urgent Care Clinic
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P CARDIAC DIAGNOSTIC & REHAB CARE

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO)
Schedule H, Part I, Line 7g Subsidized Health Services	No costs associated with a physician clinic were reported in subsidized health services.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Genesis Health System (GHS Iowa) utilized Worksheet 2 to calculate its cost-to-charge ratio. The calculated cost-to-charge ratio was used to calculate the cost of Charity Care and Unreimbursed Medicaid. Costs of the "Other Benefits" reported in 7e -7i were compiled throughout the year in the community benefit database (i.e., CBISA) that Genesis Health System utilizes.
Schedule H, Part II Community Building Activities	No building activities for tax year 2021.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	In accordance with Healthcare Financial Management Association Statement No. 15, Bad Debt is reported at the full-established charge from the most recent audited financial report. Payments received after an account had been written off to bad debt were credited to a bad debt recovery account. Discounts on patient accounts provided by third-party payers were written off to a contractual allowance account.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Genesis Health System uses Avadyne Health to process aging patient accounts. Avadyne Health's collection process utilizes publicly available information to ensure all aging patient accounts receive financial assistance in accordance to Genesis Health System policy before being deemed bad debt. Genesis Health System reported zero dollars for the estimated amount of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	The System determines the transaction price based on standard charges for goods and services provided to patients, reduced by explicit price concessions consisting of contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the System's policy, and/or implicit price concessions provided to uninsured patients based on historical collection experience. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to be collected based on the System's collection history with similar classes of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended June 30, 2022 and 2021, was not material.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	No Medicare shortfalls were included in community benefit. The Medicare cost report shortfall represents the difference between the total revenue received from Medicare based on Medicare cost report reimbursement rates and the costs incurred by GHS Iowa in providing healthcare services to the elderly. The total Medicare shortfall, which includes fee screen services, was $13,713,675. In 2021, the percent of persons 65 years and over in Rock Island and Scott Counties was 17.0%. In accordance with GHS Iowa's mission statement, "To Provide Compassionate, Quality Health Services to All Those in Need," the elderly were served despite the total Medicare loss of $13,713,675. GHS Iowa has a clear mission to serve all those in need and to improve the health of the community including the elderly. Furthermore, there are no for-profit hospitals in the community, and therefore GHS Iowa is one of two tax-exempt healthcare organizations in the community who provide access to healthcare for Medicare patients. Accordingly, it is GHS Iowa's position for the reasons stated above that the total Medicare shortfall of $13,713,675 represents a Community Benefit. Pursuant to the instructions to the Form 990, Schedule H, the Medicare shortfall is not included in Part I, line 7. If the total Medicare shortfall was included in Part I, line 7, then Part I, line 7k, Column f would be 2.42%.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Every effort is made to determine a patient's eligibility for financial assistance. If eligible, payment plans are made available based on their resources and income. All balances owing after financial assistance allowances have been taken are payable in monthly payments in accordance with the organization's financial assistance policy.
Schedule H, Part V, Section B, Line 16a FAP website	- GENESIS MEDICAL CENTER - DEWITT: Line 16a URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16a URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GENESIS MEDICAL CENTER - DEWITT: Line 16b URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16b URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GENESIS MEDICAL CENTER - DEWITT: Line 16c URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16c URL: WWW.GENESISHEALTH.COM;
Schedule H, Part VI, Line 2 Needs assessment	The sponsors of this study, Community Health Care, Inc., Genesis Health System(GHS Illinois), Muscatine County Public Health, Quad City Health Initiative, Rock Island County Health Department, Scott County Health Department and UnityPoint Health-Trinity, collaborate on improving health status and quality of life in the Quad Cities region. This work together is rooted in periodic, comprehensive community health assessments that meet the information and reporting needs of all partners. Understanding our community's health status is the foundation for developing community education, resources, and programs that will advance our community's health. The assessment informs the creation of community health improvement plans for the study sponsors. In addition, the study sponsors encourage other organizations also to use this information to inform strategic planning, grant writing and project development. For the 2021 Quad Cities Community Health Assessment, our coordinated approach included primary data collection, secondary data analysis, and qualitative data gathering from community members in our bi-state area. The study sponsors engaged PRC, Inc. to collect secondary data and implement a community health survey. Select operations data from local providers also were summarized. Special consideration was given to how we could increase our understanding of topics such as the impact of COVID-19, health disparities, and social determinants of health. The following document provides PRC, Inc.'s bi-state findings in detail as well as information obtained through local partners. Documents produced as part of the 2021 Quad Cities Community Health Assessment process are available for review online at quadcities.healthforecast.net. This Community Health Assessment is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Scott, Muscatine, and Rock Island counties - it is a follow-up to similar studies conducted in the Quad Cities Area (Scott and Rock Island counties) in 2002, 2007, 2012, 2015, and throughout the full three-county area in 2018. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. A Community Health Assessment provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This Community Health Assessment will serve as a tool toward reaching three basic goals: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors that historically have had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. Genesis Medical Center Dewitt utilizes the community health needs assessment (CHNA) conducted by Genesis Health System Business Intelligence and communications department as well partnering with Clinton County Health Department in 2020.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Information on the availability of financial assistance is posted in visible locations in the admission departments of the hospitals. In addition, the hospital registration staff make available informative brochures for patients in the Emergency Room registration area explaining their eligibility for assistance. Genesis Health System (GHS Iowa) provides patient financial counselors on each hospital campus to discuss options with the patients. Patient Financial Services prepares and provides a letter to each patient, explaining their current balance and advising them of their options. A phone number is provided with the letter encouraging the patient to call if needed.
Schedule H, Part VI, Line 4 Community information	Genesis Health System's (GHS Illinois) mission is to provide quality, compassionate care for all those in need. GHS Illinois lives its mission each day by serving a 10-County region of Eastern Iowa and Western Illinois, including both urban and rural areas. The region served by GHS Illinois (Davenport-Moline-Rock Island, IA - IL. Metropolitan statistical area - Henry County, IL, Mercer County, IL, Muscatine County IA, Rock Island, IL., and Scott County, IA.) has a population of 359,208. According to the US Census Bureau American Community Survey Five Year Estimates (2015-2019), Whites made up 84.0% of the MSA population with 8.1% Black or African-American and 7.9% Hispanic or other origin. In the Quad Cities area, 23.4% of the population are infants, children, or adolescents (age 0-17); another 59.6% are 18-64, while 17.0% are age 65 and older. According to estimates from the US Census Bureau American Community Survey, 12.5% of Quad Cities area residents (Scott and Rock Island Counties) live below the Federal poverty Lack of health insurance among adults age 18 to 64 is reported by 5.7% of Scott County, IA residents and 8.7% of Rock Island County, IL residents. The Quad Cities area percentage of adults who smoked in 2021 was 20.5%. The percentage of adults who were obese in 2021 was 40.5% in Rock Island County, Illinois and 42.1% in Scott County, Iowa. Obesity rates in both Scott County, IA and Rock Island County, IL are higher than national benchmarks. GMC DeWitt serves the residents of Clinton County, primarily those residing in Dewitt and the surrounding towns. With a population of 47,218, made of age groups of 0-17 (22.82%), 18-44 (30.03%), 45-64 (28.09%), and 65+ (19.06%). Population living areas were 67.77% in urban and 32.23% in rural. Other statistic was population made up of white (93.77%), black or African American (2.67%), Asian (.73%), and other (2.83%). Statistic percentages are according to the U.S. Census Bureau American Community Survey 2014-18 5 year estimates.
Schedule H, Part VI, Line 5 Promotion of community health	Genesis Health System's Board of directors is a diverse representation of persons who reside in the primary service area that Genesis Health System serves. Genesis Health System executives and employees serve on dozens of volunteer boards throughout the region on important projects and initiatives, such as homeless shelters, mental health, downtown redevelopment and events and festivals. Genesis Health System employees serve the communities where they live by serving in elected offices in city and county government. Genesis Health System extends medical staff privileges to all qualified physicians in its communities. Genesis Health System has endeavored to improve access to health care for the communities it serves by participating in appropriate joint ventures that offer needed health care services to under-served areas. Genesis Health System schedules dozens of health screenings and immunizations throughout the year at a reduced cost. These include screenings for diabetes, stroke and heart disease and public flu immunization clinics. Genesis Health System providers translation services based on a percentage of the diversity of the population. Each year, Genesis Health System provides the community with dozens of classes and events promoting health and health education. Hundreds of residents in the region served by Genesis Health System learn CPR, First Aid, parenting skills, and newborn care by enrolling in classes. Genesis Health System supplies medical supplies and equipment to Globus, which is a third party company that helps companies share and transfer research data. Genesis Health System maintains an active effort to advocate for access to health care in Iowa and Illinois State government and in Washington D.C. Genesis Health System employees also participate in a voter voice initiative to advocate on important health issues with City, County, State, and National elected officials. Surplus funds resulting from efficient operations and cost-containment measure are re-invested in the healthcare operations of Genesis Health System to improve the healthcare services that Genesis Health System provides. Advances in medical equipment and technology, staff education, and new medical services are examples of operation investments that ultimately improve the health of the communities that Genesis Health System serves. As part of Genesis Health System, GMC DeWitt is committed to the promotion of community health. The hospital participates in programs such as housing for persons with mental illness.
Schedule H, Part VI, Line 6 Affiliated health care system	Nature of business: Genesis Health System - Iowa (GHS Iowa), an Iowa nonprofit corporation, and Genesis Health System - Illinois (GHS Illinois), an Illinois not-for-profit corporation, have identical governing boards, management and bylaws and can act jointly. GHS Iowa is also the sole member of Genesis Health Services Foundation, Genesis Philanthropy, Genesis Accountable Care Organization, LLC and Genesis Health System Workers' Compensation Plan and Trust, the sole stockholder of GenVentures, Inc., a member of Misericordia Assurance Company, Ltd. and a partner in GenGastro, LLC. GHS Illinois is the sole member of Genesis Medical Center - Aledo (GMC - Aledo), and is a partner in The Larson Center Partnership. GHS Iowa, GHS Illinois and GMC - Aledo collectively represent the Obligated Group on certain components of the System's long-term debt. GHS Iowa and GHS Illinois operate the following business units: Genesis Health System provides administrative, management, information technology and other support services to its affiliates. Genesis Clinical Services operates physician medical practices, convenient care practices and an occupational medicine clinic and provides behavioral health services to the residents of eastern Iowa and western Illinois. Genesis Medical Center- Davenport (GMC - Davenport) is licensed as a 502-bed acute care hospital which provides services from two hospital facilities located in Davenport, Iowa. Genesis Family Medical Center (GFMC) is a family practice residency training program that operates clinics in Davenport and Blue Grass, Iowa to provide a clinical setting for the residents to treat patients. Genesis Medical Center- DeWitt (GMC - DeWitt) is certified as a critical access hospital, which has 13-acute care and swing beds, which are dually licensed for Medicare and Medicaid services and which provide services from its facility in DeWitt, Iowa. In June 2019, GMC - Dewitt entered into a lease agreement, whereby GMC - Dewitt began leasing the assets and operations of its long-term care facility to a joint venture, Wellspire, LLC. The System has a 40% ownership interest in Wellspire, LLC. Genesis Visiting Nurse Association and Hospice (VNA) provides home health care, community nursing services and hospice services to patients in eastern Iowa and western Illinois. Genesis Medical Center- Silvis (GMC - Silvis) is licensed as a 145-bed acute care hospital which provides services from its facility in Silvis, Illinois. Mini Hospital Nursing Home (INH) operates Crosstown Square. Crosstown Square is an independent living facility containing 64 rentable apartments and three guest rooms that offers services designed to provide independent living apartments for seniors. Crosstown Square is managed by Wellspire, LLC, which is one of the System's joint ventures. GHS Iowa and GHS Illinois have a controlling ownership interest or membership in the following organizations: Genesis Medical Center- Aledo (GMC - Aledo) is certified as a critical access hospital, which has 22-acute care and swing beds, as well as a physician clinic, which provides services from its facility in Aledo, Illinois. Genesis Health Services Foundation (Genesis Foundation) is an organization whose mission is to develop, manage and grant charitable support to meet the health-related needs of the communities served by Genesis Health System. GenGastro, LLC (d/b/a the Center for Digestive Health) is a limited liability company, which operates a single-specialty gastroenterology ambulatory surgery center located in Bettendorf, Iowa. Genesis Health System sold an interest in September 2021 reducing their ownership from 90% to an 83.75% ownership interest in GenGastro, LLC. The Larson Center Partnership (LCP) is a for-profit real estate partnership which owns a medical office building adjacent to GMC - Silvis and leases space for clinics, laboratory, pharmacy and offices to GMC - Silvis and other third-party organizations. GHS Illinois is a general partner and owns approximately 82.6% of LCP. Gen Ventures, Inc. (Gen Ventures) is a wholly-owned for-profit corporation which operates the following divisions, primarily in the Quad Cities: Genesis at Home, Continuing Care sells and leases home medical equipment, provides intravenous therapy services, including sales of related solutions and supplies to patients, and provides retail pharmaceutical and over-the-counter products to patients and employees of the System. GenProperties owns, leases and/or manages office space in 14 medical office buildings located in Bettendorf, Davenport, Eldridge, LeClaire and Muscatine, Iowa. Crescent Laundry provides commercial laundry services to health care facilities in eastern Iowa and in north-central Illinois. Genesis Accountable Care Organization, LLC (Genesis ACO) is an Iowa limited liability company formed in December 2011. Its purpose is to engage in lawful business related to the creation and organization of a "physician-driven" network to act as, and/or participate in, an Accountable Care Organization within the meaning of the federal Patient Protection and Affordable Care Act. The company is also organized to develop a clinically integrated network of providers including physicians, health professionals, hospitals and ancillary providers working together to promote high quality, coordinated and efficient care to patients including members of various managed care payors and the community at large. Genesis Philanthropy is a wholly-owned tax-exempt entity formed in 2013, which partners with other hospital foundations to form a regional network to attract donors to help fund specific health-related causes and promote wellness in the region. Genesis Health System Workers' Compensation Plan and Trust (Workers' Compensation Trust) provides a fund which is used to pay workers' compensation claims and costs for the benefit of Genesis Health System. Misericordia Assurance Company, Ltd. (Misericordia) is a wholly-owned Cayman-based captive insurance company which underwrites the general and professional liability risks of Genesis Health System and affiliates. Genesis Health System and its related organizations are collectively referred to as the System.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL, IA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
GENESIS HEALTH SYSTEM WORKER'S COMPENSATION & TRUST
1227 E Rusholme Street	Davenport	IA	52803	391905171	501 ( C ) (3)	$1,352,317	CLAIM PAYMENTS
Genesis Philanthropy
1227 E Rusholme Street	Davenport	IA	52803	462452851	501 ( C ) (3)	$193,472	HEALTHCARE RELATED CONTRIBUTIONS
Genesis Health Services Foundation
1227 E Rusholme Street	Davenport	IA	52803	421421670	501 ( C ) (3)	$5,620	CME PROGRAM
The Project of the Quad Cities
1701 River Drive	Davenport	IA	52801	421358032	501 (C)(3)	$6,000	Gala Sponsorship
Quad City Symphony
327 BRADY ST	Davenport	IA	52801	466017663	501 ( C ) (3)	$10,000	Sponsorships-Seasonal concerts

Field	Value	IRS element (for citing)
Total501c3 Org	5	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	MEDICAL SUPPLIES TO INDIVIDUALS/MEDICAL MISSION	GrantTypeTxt
Recipient	2729	RecipientCnt
Non Cash Assistance	$27,295	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	MEDICAL AND PHARMACEUTICAL SUPPLIES DONATED TO PATIENTS AND MERCY MISSION	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE GENESIS HEALTH SYSTEM (GHS IOWA) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	$853,301	$0	$232,416	$0	$138,969	$0	$22,144	$0	$20,385	$0	$1,267,216	$0	$0	$0
KAREN FITZSIMMONS
DIRECTOR	$361,255	$0	$300	$0	$2,763	$0	$21,264	$0	$27,510	$0	$413,092	$0	$0	$0
MARK G ROGERS
V.P. FINANCE/CFO/ASST TREASURER	$0	$0	$0	$0	$515,382	$0	$907,028	$0	$0	$0	$1,422,411	$0	$0	$0
PAUL BOLLINGER
V.P. LEGAL AFFAIRS/Asst. Secretary	$275,460	$0	$44,449	$0	$62,438	$0	$20,396	$0	$25,450	$0	$428,192	$0	$0	$0
JOSEPH MALAS
VP FINANCE, INTERIM CFO	$255,628	$0	$34,614	$0	$52,812	$0	$6,911	$0	$15,042	$0	$365,006	$0	$0	$0
NIDAL HARB
FORMER CHIEF MEDICAL OFFICER	$0	$0	$0	$0	$318,744	$0	$0	$0	$0	$0	$318,744	$0	$0	$0
KURT A ANDERSEN
VP Physician Operations/Chief Medical Officer	$485,307	$0	$93,930	$0	$192,347	$0	$22,146	$0	$23,205	$0	$816,934	$0	$0	$0
JORDAN VOIGT
HOSPITAL PRESIDENT GMC DAVENPORT	$398,420	$0	$92,513	$0	$209,888	$0	$21,469	$0	$26,580	$0	$748,871	$0	$0	$0
HEIDI S KAHLY-MCMAHON
V.P. Human Resources	$309,390	$0	$46,516	$0	$165,063	$0	$1,463	$0	$24,306	$0	$546,738	$0	$0	$0
TODD GRAY
PHYSICIAN ADVISOR	$470,672	$0	$300	$0	$1,881	$0	$1,693	$0	$21,451	$0	$495,997	$0	$0	$0
NAMRATA MALLIK
PHYSICIAN	$623,209	$0	$12,890	$0	$735	$0	$20,796	$0	$3,364	$0	$660,995	$0	$0	$0
BRIAN CADY
PHYSICIAN	$552,005	$0	$300	$0	$1,822	$0	$23,765	$0	$22,712	$0	$600,604	$0	$0	$0
CHRISTOPHER CROME
PHYSICIAN	$487,697	$0	$690	$0	$979	$0	$1,904	$0	$19,054	$0	$510,324	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 1a Travel for companions	TRAVEL FOR COMPANIONS: IN TAX YEAR 2021, THE FOLLOWING TYPES OF LISTED INDIVIDUALS REPORTED IN PART VII RECEIVED THE TRAVEL FOR COMPANIONS BENEFIT: 6 DIRECTORS, 3 HCE, 1 KE, AND 1 OFFICERS. ALL INDIVIDUALS REIMBURSED GHS IOWA IN FULL AND NONE OF THE BENEFIT WAS LISTED AS TAXABLE COMPENSATION.
Schedule J, Part I, Line 4a Severance or change-of-control payment	The following individuals received severance pay from Genesis Health System (GHS Iowa) during the calendar year 2021: Nidal Harb, $253,935 and Mark Rogers, $515,382.40. This information is included in reportable compensation on form 990, Part VII and Schedule J, Part II, if applicable.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2021 sponsored by Genesis health System (GHS IA): Kurt A. Andersen- $110,253, Paul Bollinger- $40,882, Jordan Voigt-$92,213, Andrew Andresen-$46,378, and Heidi Kahly-McMahon-$56,165. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2021. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. Split-dollar life insurance participants are Douglas P. Cropper-established in 2016 and sponsored by Genesis Health System(GHS IA). GHS IA deposited funds into life insurance policies on the participant's life. During life, and subject to the policies generating sufficient values, the participant can borrow from one of the policies. The borrowing is monitored and limited so the policies do not lapse. At the participant's death, the organization recovers premiums plus interest plus additional key-person insurance proceeds. There were no loans or contributions in 2021.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
IOWA FINANCE AUTHORITY
A	521699886	46246PLP4	2010-06-24	$90,995,000	REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITY	Yes (true)	false	false
IOWA FINANCE AUTHORITY
B	521699886	46246PMG3	2013-11-26	$121,000,000	CONSTRUCT AND EQUIP EAST CAMPUS TOWER	Yes (true)	false	false
Iowa Finance Authority
C	521699886		2017-12-28	$27,500,000	Partially defease 6-24-10 Bonds	false	false	false
Iowa Finance Authority
D	521699886		2021-07-22	$130,470,000	Entirely defease 11-26-13 Bonds	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$88,395,000	$0	$95,545,195	$0	$1,478,186	$23,700,000	$70,367,009	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$5,215,000	$115,785,000	$125,205,892		$1,267,563	$123,844,399		2013	false	false	Yes (true)	Yes (true)
C	$12,395,000		$27,500,000				$27,500,000	2017	false	Yes (true)	Yes (true)	Yes (true)
D	$4,900,000		$130,470,000		$801,836		$129,668,164	2021	false	Yes (true)	Yes (true)	Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0091	0.0091	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0091	0.0091	false	false	Yes (true)
C	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0091	0.0091	false	false	Yes (true)
D	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0091	0.0091	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)
C	false	false	Yes (true)	false	false	false	false	false	Yes (true)
D	false	false	Yes (true)	false	false	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)
C	Yes (true)
D	Yes (true)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule K, Part II, Line 3	FormAndLineReferenceDesc
Explanation	Part II, Line 3, Column A - Investment earnings are the source of the difference between the issue price and the total proceeds of the issue. Part II, Line 3, Column B - Investment earnings are the source of the difference between the issue price and the total proceeds of the issue.	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (9 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GENVENTURES INC
JOSEPH MALAS IS AN OFFICER OF GENVENTURES, INC.	$34,434,396	GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST.	false
GENVENTURES INC
JOSEPH MALAS IS AN OFFICER OF GENVENTURES, INC.	$16,953,505	GENESIS HEALTH SYSTEM (GHS IOWA) PAID GENVENTURES, INC. FOR FACILITY LEASE PAYMENTS, MEDICAL SUPPLIES, LAUNDRY SERVICES, AND A LOAN ADVANCE.	false
CARDIOVASCULAR MEDICINE PC
EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC.	$1,055,248	HEALTHCARE PROFESSIONAL SERVICES	false
QUAD CITY BANK & TRUST COMPANY
PETER BENSON IS AN OFFICER AND MARK KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST	$268,538	INTEREST EXPENSE, DEPOSIT ACCOUNT, CREDIT CARD SERVICE, LOCK BOX FEES, AND INTEREST INCOME	false
KALYN PETERSEN
CLAIRE MOTTO IS THE DAUGHER OF ROBIN PETERSEN, DIRECTOR OF GHS IA	$19,481	REPORTABLE COMPENSATION AS AN EMPLOYEE	false
KRISTI SOUTHERLAND
KRISTI SOUTHERLAND IS THE SISTER OF KURT A. ANDERSEN, A KEY EMPLOYEE OF GHS IA	$26,364	REPORTABLE COMPENSATION AS AN EMPLOYEE	false
Main Street AmusementsQC River Bandits
David Heller was president/CEO of Main Street Amusements and Co-owner of the QC River Bandits	$105,850	Sponsorship and ticket purchase expenses	false
AUGUSTANA COLLEGE
STEVEN C. BAHLS IS AN OFFICER AND A BOARD MEMBER OF AUGUSTANA COLLEGE	$371,011	AUGUSTANA PAID GHS IA FOR EMPLOYEE ASSITANCE PROGRAM, HEALTH CLINIC, AND COVID-19 TESTING SERVICES.	false
AUGUSTANA COLLEGE
STEVEN C. BAHLS IS AN OFFICER AND A BOARD MEMBER OF AUGUSTANA COLLEGE	$54,250	GHS IA PAID AUGUSTANA COLLEGE FOR RENT SPACE AND PROGRAM UNDERWRITING RADIO SERVICES.	false

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Miscellaneous Supplies	53	$37,847	Market value
Yes (X)	TEMPORARY NURSING STAFF TO ASSIST WITH COVID-19 PANDEMIC RESPONSE	5554	$1,380,380	Market value

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - Miscellaneous Supplies PART I, COLUMN B IS REPORTED USING A COMBINATION OF NUMBER OF CONTRIBUTIONS AND ITEMS CONTRIBUTED. Other - TEMPORARY NURSING STAFF TO ASSIST WITH COVID-19 PANDEMIC RESPONSE Number of Hours	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 11b Review of form 990 by governing body	Prior to submitting the form 990 to the IRS, it is reviewed at the organization's finance committee meeting, and then it is e-mailed to the organization's board of directors' one week in advance of a scheduled meeting. At the board of directors meeting, internal management reviews the form 990 with the board of directors. Suggested changes from all of the reviews are considered for inclusion in the final form 990 submitted to the IRS. Internal management review is also completed of the compiled information and is provided to the vice president, finance/CFO; vice president, legal affairs; vice president, human resources; and chief compliance risk officer of the organization's corporate member.
Form 990, Part VI, Line 12c Conflict of interest policy	ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS IOWA) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GHS IOWA, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT.
Form 990, Part VI, Line 15a Process to establish compensation of top management official	Each executive position is evaluated using a formal evaluation plan that is established by an outside consultant. At the present time, the consultant uses a point system for job evaluation. The point values are based on "know how", "problem solving", "accountability", and other job attribute specific to the position. Once the point value is set for a position, market comparisons for jobs with the same organizational impact can be compared for salary purposes and establish pay ranges. The design of the pay ranges for executives is based on market data. The midpoint of each pay range is established at the 50th percentile of the market comparisons. A minimum and maximum are established off of the midpoint. Specific pay rates for executives are subject to CEO and compensation committee and the Genesis Health System (GHS Iowa) board of directors' approval. Pay ranges are reviewed each year to determine the need for revision. When market conditions suggest an adjustment to pay ranges, data will be presented to the compensation committee for its review. The specific pay ranges are subjected to CEO, compensation committee, and GHS Iowa board of director approval. The president and CEO have the authority and responsibility to establish and adjust, within the range approved by the compensation committee and GHS Iowa board of directors, the base compensation of each executive employed by GHS Iowa, at appropriate times. The GHS Iowa board of directors shall establish and adjust, within the range approved by the compensation committee, the base compensation for the CEO of GHS Iowa, at appropriate times, The Last time this process was formally undertaken was November 2020.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1a	GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS IOWA). THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AS WELL AS THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Charity Care - Total Revenue: -7770902, Related or Exempt Function Revenue: -7770902, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Bad Debt - Total Revenue: -2203617, Related or Exempt Function Revenue: -2203617, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contractuals - Total Revenue: -1044335380, Related or Exempt Function Revenue: -1044335380, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Healthcare related Revenue - Total Revenue: 1681958, Related or Exempt Function Revenue: 1681958, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Partnership Revenue - Total Revenue: -505377, Related or Exempt Function Revenue: -505377, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Program Revenue - Total Revenue: 13904507, Related or Exempt Function Revenue: 13904507, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Misc Revenue - Total Revenue: 34800, Related or Exempt Function Revenue: 34800, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	ANESTHESIA SERVICES - Total Expense: 1476893, Program Service Expense: 1476893, Management and General Expenses: , Fundraising Expenses: ; BLOOD BANK SERVICES - Total Expense: 1649837, Program Service Expense: 1649837, Management and General Expenses: , Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 6208418, Program Service Expense: , Management and General Expenses: 6208418, Fundraising Expenses: ; Signage SERVICES - Total Expense: 9640, Program Service Expense: 3839, Management and General Expenses: 5801, Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 4148232, Program Service Expense: 4017186, Management and General Expenses: 131046, Fundraising Expenses: ; HEALTH CARE PROFESSIONAL SERVICES - Total Expense: 5271155, Program Service Expense: 5097627, Management and General Expenses: 173528, Fundraising Expenses: ; HEALTH-RELATED IMAGING SERVICES - Total Expense: 12925771, Program Service Expense: 12925771, Management and General Expenses: , Fundraising Expenses: ; HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING: - Total Expense: 5244181, Program Service Expense: , Management and General Expenses: 5244181, Fundraising Expenses: ; IT OUTREACH SERVICES - Total Expense: 15737386, Program Service Expense: , Management and General Expenses: 15737386, Fundraising Expenses: ; LAB SERVICES - Total Expense: 5345933, Program Service Expense: 5345933, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY SERVICES: - Total Expense: 29664, Program Service Expense: 29614, Management and General Expenses: 50, Fundraising Expenses: ; MAINTENANCE SERVICES - Total Expense: 9391016, Program Service Expense: 9122926, Management and General Expenses: 268090, Fundraising Expenses: ; NUTRITIONAL SERVICES - Total Expense: 2235964, Program Service Expense: 2235964, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE HEALTHCARE-RELATED SERVICES - Total Expense: 16183138, Program Service Expense: 16183138, Management and General Expenses: , Fundraising Expenses: ; PATIENT TRANSPORT SERVICES - Total Expense: 29545, Program Service Expense: 29545, Management and General Expenses: , Fundraising Expenses: ; PHYSICAL THERAPY SERVICES - Total Expense: 2293974, Program Service Expense: 2293974, Management and General Expenses: , Fundraising Expenses: ; ROOM AND BOARD SERVICES - Total Expense: 632816, Program Service Expense: 630566, Management and General Expenses: 2250, Fundraising Expenses: ; TRANSCRIPTIONS SERVICES - Total Expense: 75709, Program Service Expense: , Management and General Expenses: 75709, Fundraising Expenses: ; VISITING NURSE OUTSIDE SERVICES - Total Expense: 360076, Program Service Expense: 348635, Management and General Expenses: 11441, Fundraising Expenses: ; TRANSLATIONS SERVICES - Total Expense: 343301, Program Service Expense: 15, Management and General Expenses: 343286, Fundraising Expenses: ; EMERGENCY ROOM SERVICES - Total Expense: 950150, Program Service Expense: 950150, Management and General Expenses: , Fundraising Expenses: ; DIALYSIS SERVICES - Total Expense: 1495520, Program Service Expense: 1495520, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE PHAMRACY SERVICES - Total Expense: 289115, Program Service Expense: 289115, Management and General Expenses: , Fundraising Expenses: ; COMMUNICATION SERVICES - Total Expense: 243340, Program Service Expense: , Management and General Expenses: 243340, Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION - -1671984; NON-CASH CONTRIBUTIONS NOT REPORTED ON BOOKS - 37847;
Form 990, Part XII, Line 2c	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GENESIS ACCOUNTABLE CARE ORGANIZATION LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	454168932	ACCOUNTABLE CARE SERVICES	IA	$3,154,003	$9,846,076	GENESIS HEALTH SYSTEM (GHS IOWA)
SPIN ECHO LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421491373	PROPERTY MANAGEMENT	IA	$95,603	$0	GENVENTURES INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
801 ILLINI DRIVE	silvis	IL	61282	363616314	HEALTHCARE	IL	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE/BENEFIT/TRUST	IA	501(c)(3)	Type I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
DAVENPORT HOSPITAL AMBULANCE CORPORATION
1204 E HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(c)(3)	Type I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	CHARITY	IA	501(c)(3)	7	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS PHILANTHROPY
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	462452851	CHARITY	IA	501(c)(3)	10	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS MEDICAL CENTER ALEDO
309 NW NINTH AVENUE	ALEDO	IL	61231	454475683	HEALTHCARE	IL	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$3,277,598	$540,345	false	false	0.82
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	421483989	OUTPATIENT SURGICAL CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$1,078,731	$2,604,257	false	false	0.4
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL	NA	N/A
GENORTHO LLC
2300 53RD AVENUE	BETTENDORF	IA	52722	203406994	ORTHOPAEDIC SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$2,592,187	$1,044,674	false	false	0.52
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$2,391,334	$2,864,572	false	false	0.5
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	462452851	DIAGNOSTIC IMAGING CENTER	IL	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	GENESIS HEALTH SYSTEM (IOWA)	C Corporation	-$1,618,741	$43,906,593	1	Yes (true)
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREET	DAVENPORT	IA	52803	421504979	HEALTHCARE MANAGEMENT	IA	Genesis Health Sysytem (Iowa)	C Corporation	$0	$0	1	Yes (true)
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	OTHER FINANCIAL VEHICLE		Genesis Health System (Iowa)	C Corporation	$0	$18,844,757	1	Yes (true)
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	NA	C Corporation				Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (26 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GenVentures Inc
A	$177,442	FMV
Genesis Health Services Foundation
C	$1,028,025	FMV
Gen Gastro LLC
H	$3,366,432	FMV
Spring Park Surgery Center
H	$1,057,440	FMV
GenOrthro LLC
H	$2,649,857	FMV
GenVentures Inc
K	$6,273,741	FMV
Larson Center Partnership
K	$458,516	FMV
Larson Center Partnership
J	$419,990	FMV
Genesis Health System Workers' Compensation and Trust
B	$1,352,317	FMV
Genesis Health System Workers' Compensation and Trust
L	$1,734,421	FMV
Davenport Hosptial Ambulance
M	$208,547	FMV
Genesis Medical Center Aledo
P	$16,222,248	FMV
Genesis Health System Illinois
P	$112,750,602	FMV
Davenport Hospital Ambulance
P	$74,288	FMV
GenVentures Inc
P	$1,553,512	FMV
Genesis Health System Illinois
Q	$144,340,992	FMV
Genesis Health System Foundation
Q	$1,579,066	FMV
Genesis Medical Center Aledo
Q	$20,577,885	FMV
Genventures Inc
Q	$34,256,954	FMV
Genesis Philanthropy
Q	$529,461	FMV
GenVentures Inc
R	$9,126,252	FMV
GenRad LLC
H	$2,399,650	FMV
GENESIS HEALTH SERVICES FOUNDATION
R	$291,420	FMV
GENESIS PHILANTHROPY
R	$54,178	FMV
MISERICORDIA ASSURANCE COMPANY
M	$2,416,650	FMV
GENESIS PHILANTHROPY
B	$193,472	FMV