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GENESIS HEALTH SYSTEM: Form 990, tax year 2021

View the entire original 990 at ProPublica ↗

Organization
GENESIS HEALTH SYSTEM (EIN 36-3616314)
Tax period
2021-07-01 to 2022-06-30
Filed
2023-05-15
IRS object ID
202331359349302943
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 ReturnHeader

FieldValueIRS element (for citing)
Return2023-05-15T14:32:35+00:00ReturnTs
Tax Period End2022-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2021-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN363616314EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Genesis Health System (IL)BusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGENEBusinessNameControlTxt
Phone5634216508PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 Illini DriveAddressLine1Txt
CitySilvisCityNm
State AbbreviationILStateAbbreviationCd
ZIP61282ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOSEPH MALASPersonNm
Person TitleGHS CFO & Asst.TreasurerPersonTitleTxt
Phone5634216508PhoneNum
Signature2023-05-15SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJosephPersonFirstNm
Person LastMalasPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Tax2021TaxYr
Build TS2023-04-26 12:10:37ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Joseph MalasBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 Illini DriveAddressLine1Txt
CitySilvisCityNm
State AbbreviationILStateAbbreviationCd
ZIP61282ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$155,581,710GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressGENESISHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1990FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionGENESIS HEALTH SYSTEM (GHS ILLINOIS) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.ActivityOrMissionDesc
Voting Members Governing Body18VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee867TotalEmployeeCnt
Total Volunteers40TotalVolunteersCnt
Total Gross UBI$496,031TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$76,260NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$454,173PYContributionsGrantsAmt
CY Contributions Grants$4,982,460CYContributionsGrantsAmt
PY Program Service Revenue$137,586,771PYProgramServiceRevenueAmt
CY Program Service Revenue$144,832,847CYProgramServiceRevenueAmt
PY Investment Income$674,223PYInvestmentIncomeAmt
CY Investment Income$238,199CYInvestmentIncomeAmt
PY Other Revenue$3,832,127PYOtherRevenueAmt
CY Other Revenue$3,414,712CYOtherRevenueAmt
PY Total Revenue$142,547,294PYTotalRevenueAmt
CY Total Revenue$153,468,218CYTotalRevenueAmt
PY Grants And Similar Paid$205,576PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$234,065CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$83,862,637PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$93,018,454CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$58,278,001PYOtherExpensesAmt
CY Other Expenses$65,353,046CYOtherExpensesAmt
PY Total Expenses$142,346,214PYTotalExpensesAmt
CY Total Expenses$158,605,565CYTotalExpensesAmt
PY Revenues Less Expenses$201,080PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$5,137,347CYRevenuesLessExpensesAmt
Total Assets BOY$156,568,342TotalAssetsBOYAmt
Total Assets EOY$147,292,721TotalAssetsEOYAmt
Total Liabilities BOY$57,036,116TotalLiabilitiesBOYAmt
Total Liabilities EOY$52,987,238TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$99,532,226NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$94,305,483NetAssetsOrFundBalancesEOYAmt
MissionGENESIS HEALTH SYSTEM (GHS ILLINOIS) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$98,870,861ExpenseAmt
Grant$234,065GrantAmt
Revenue$99,427,394RevenueAmt
DescGENESIS MEDICAL CENTER - SILVIS: HEALTH CARE DELIVERY AND MANAGEMENT, GENERAL/OTHER: GENESIS MEDICAL CENTER - SILVIS, A NOT-FOR-PROFIT ORGANIZATION, IS LICENSED AS A 142-BED ACUTE CARE HOSPITAL AND PROVIDES RELATED HEALTHCARE INPATIENT, EMERGENCY, AND OUTPATIENT ANCILLARY SERVICES. (9,452 PATIENT DAYS and 184,384 OUTPATIENT VISITS)Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$48,970,027ExpenseAmt
Grant$0GrantAmt
Revenue$44,411,987RevenueAmt
DescGenesis Specialty Services operates physician medical practices, convenient care practices, occupational medicine clinic, and provides behavioral health services to the residents of eastern Iowa and western Illinois.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$918,017ExpenseAmt
Grant$0GrantAmt
Revenue$993,466RevenueAmt
DescIllini Hospital Nursing Home (lNH) operated 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.Desc
FieldValueIRS element (for citing)
Total Program Service Expenses$148,758,905TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsfalseTaxExemptBondsInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemfalseBusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document53IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee867EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtfalseSubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members18GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Joseph MalasBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone5634216508PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11227 EAST RUSHOLME STREETAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52803ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
C DANA WATERMAN III
VICE CHAIR1.55.5Yes (X)Yes (X)$0$0$0
DOUGLAS P CROPPER
PRESIDENT/CEO GHS7.054.5Yes (X)Yes (X)$0$1,224,686$42,529
GREGORY J BUSH
TREASURER1.03.0Yes (X)Yes (X)$0$0$0
PETER J BENSON
SECRETARY1.03.0Yes (X)Yes (X)$0$0$0
STEVEN C BAHLS
CHAIR2.06.0Yes (X)Yes (X)$0$0$0
CHRISTOPHER J COX
FORMER DIRECTOR1.03.0Yes (X)$0$0$0
DALE D ZUDE
DIRECTOR1.03.0Yes (X)$0$0$0
DAVID C LARSON
DIRECTOR1.03.0Yes (X)$0$0$0
DAVID HELLER
DIRECTOR1.03.0Yes (X)$0$0$0
EDMUND P COYNE JR
DIRECTOR1.03.0Yes (X)$0$0$0
EDWIN V MOTTO MD
DIRECTOR3.07.0Yes (X)$0$0$0
G CHRISTOPHER WAHLIG
DIRECTOR1.03.0Yes (X)$0$0$0
KAREN FITZSIMMONS
DIRECTOR1.041.0Yes (X)$0$364,318$48,774
LASHONDA POLITE
DIRECTOR1.03.0Yes (X)$0$0$0
MARK C KILMER
DIRECTOR1.03.0Yes (X)$0$0$0
MARK D BAWDEN
DIRECTOR1.04.5Yes (X)$0$0$0
MELISSA PEPPER
DIRECTOR1.03.0Yes (X)$0$0$0
PATRICIA S GROVES
DIRECTOR1.03.0Yes (X)$0$0$0
ROBIN PETERSEN
DIRECTOR1.03.0Yes (X)$0$0$0
JOSEPH MALAS
VP FINANCE, INTERIM CFO4.036.0Yes (X)$0$343,054$21,952
PAUL BOLLINGER
V.P. LEGAL AFFAIRS/ ASST SECRETARY4.036.0Yes (X)$0$382,346$45,846
KURT A ANDERSEN
VP Physician Operations/Chief Medical Officer5.035.0$0$771,583$45,350Yes (X)
ANOOP AGGARWAL
PHYSICIAN40.00$960,186$0$32,325Yes (X)
DAVID SPECTOR
PHYSICIAN40.00$1,198,035$0$52,620Yes (X)
MATTHEW CHRISTOPHERSEN
PHYSICIAN40.00$885,991$0$41,433Yes (X)
MICHAL PORUBCIN
PHYSICIAN40.00$1,079,635$0$52,370Yes (X)
SAMYUKTHA RAMAVARAM
PHYSICIAN40.00$1,058,073$0$4,929Yes (X)
MARK G ROGERS
V.P. FINANCE/CFO GHS/ASST TREASURER4.036.0$0$515,382$907,028Yes (X)
NIDAL HARB
FORMER CHIEF MEDICAL OFFICER5.035.0$0$318,744$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,181,920TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$3,920,115TotReportableCompRltdOrgAmt
Total Other Compensation$1,295,156TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K152IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
EMERGENCY CARE AND HEALTH ORGANIZATION LTD
1S443 SUMMIT AVENUEOAKBROOK TERRACEIL6018124/hr ER Physician Services for GMC-Silvis$3,074,693
Crothall Healthcare Inc
1500 Liberty Ridge DriveWayneIA19087Maintenance/Enviromental Services$1,414,435
LABCORP
PO Box 12140BURLINGTONNC272162140Laboratory Services$1,358,989
Apogee Medical Management Inc
15059 N Scottsdale RoadScottsdaleAZ85254Revenue cycle management and CME services$1,171,196Suite 600
Morrison Healthcare
5801 Peachtree Dunwoody RoadAtlantaGA303421503Nutritional Services$744,627
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K24CntrctRcvdGreaterThan100KCnt
Government Grants$2,790,617GovernmentGrantsAmt
All Other Contributions$2,191,843AllOtherContributionsAmt
Noncash Contributions$2,191,843NoncashContributionsAmt
Total Contributions$4,982,460TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT SERVICES900099$347,692,748$347,692,748
INPATIENT REVENUE900099$95,901,207$95,901,207
NURSING SERVICES621500$14,081,246$13,585,215$496,031
RESIDENT REVENUE623000$959,366$959,366
CONTRACTS W/AFFILIATES900099$1,414,422$1,414,422

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$315,216,142TotalRevenueColumnAmt
Related Or Exempt Func Income-$315,216,142RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$144,832,847TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$238,199TotalRevenueColumnAmt
Exclusion$238,199ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$0RealAmt
Personal$0PersonalAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$0OtherAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$1,963,672GrossSalesOfInventoryAmt
Cost Of Goods Sold$2,113,492CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column-$149,820TotalRevenueColumnAmt
Exclusion-$149,820ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
AMBULANCE621910$1,932,374$1,932,374
OTHER SERVICES900099$1,580,608$1,580,608
EDUCATION624100$44,295$44,295

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$7,255TotalRevenueColumnAmt
Related Or Exempt Func Income$7,255RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$3,564,532OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$153,468,218TotalRevenueColumnAmt
Related Or Exempt Func Income$147,901,348RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$496,031UnrelatedBusinessRevenueAmt
Exclusion$88,379ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$234,065TotalAmt
Program Services$234,065ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
Program Services$0ProgramServicesAmt
Management And General$0ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$83,762,930TotalAmt
Program Services$83,063,566ProgramServicesAmt
Management And General$699,364ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,473,944TotalAmt
Program Services$1,461,534ProgramServicesAmt
Management And General$12,410ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,589,276TotalAmt
Program Services$3,559,056ProgramServicesAmt
Management And General$30,220ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$4,192,304TotalAmt
Program Services$4,160,806ProgramServicesAmt
Management And General$31,498ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$253,168TotalAmt
Program Services$173,069ProgramServicesAmt
Management And General$80,099ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$26,283TotalAmt
Management And General$26,283ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$25,599,776TotalAmt
Program Services$24,940,523ProgramServicesAmt
Management And General$659,253ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,171TotalAmt
Program Services$13,377ProgramServicesAmt
Management And General$1,794ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,001,581TotalAmt
Program Services$863,964ProgramServicesAmt
Management And General$137,617ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$5,874,273TotalAmt
Program Services$386,499ProgramServicesAmt
Management And General$5,487,774ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,144,361TotalAmt
Program Services$4,952,013ProgramServicesAmt
Management And General$192,348ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$293,214TotalAmt
Program Services$289,052ProgramServicesAmt
Management And General$4,162ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$134,008TotalAmt
Program Services$132,733ProgramServicesAmt
Management And General$1,275ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,742TotalAmt
Program Services$4,742ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$4,612,711TotalAmt
Program Services$2,583,730ProgramServicesAmt
Management And General$2,028,981ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$627,445TotalAmt
Program Services$232,820ProgramServicesAmt
Management And General$394,625ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
FEDERAL AND STATE INCOME$25,280$25,280
MEDICAL AND PHARMACEUTICAL SUPPLIES$15,490,769$15,490,188$581
COGS-PATIENT CHARGEABLE SUPPLIES$4,502,707$4,502,707
Food/Beverages and Other Operational Supplies$1,346,699$1,322,074$24,625

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$400,858TotalAmt
Program Services$367,107ProgramServicesAmt
Management And General$33,751ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$158,605,565TotalAmt
Program Services$148,758,905ProgramServicesAmt
Management And General$9,846,660ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$1,310BOYAmt
EOY$1,310EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$69,502,185BOYAmt
EOY$31,632,448EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$30,394,930BOYAmt
EOY$51,689,654EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,435,622BOYAmt
EOY$3,511,897EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$756,099BOYAmt
EOY$1,132,566EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$135,276,622LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$98,529,193LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$34,472,092BOYAmt
EOY$36,747,429EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$9,347,844BOYAmt
EOY$12,781,667EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$8,658,260BOYAmt
EOY$9,795,750EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$156,568,342BOYAmt
EOY$147,292,721EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$36,348,552BOYAmt
EOY$37,172,179EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$5,017,101BOYAmt
EOY$5,881,278EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$15,670,463BOYAmt
EOY$9,933,781EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$57,036,116BOYAmt
EOY$52,987,238EOYAmt

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$99,206,833BOYAmt
EOY$93,996,122EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$325,393BOYAmt
EOY$309,361EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$99,532,226BOYAmt
EOY$94,305,483EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$156,568,342BOYAmt
EOY$147,292,721EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$5,137,347ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$73,364NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$16,032OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$161DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$26,122OtherActivitiesAmt
Total Lobbying Expenditures$26,283TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationPart II-B, Line 1b. PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM, EIN 36-3616314, 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, EIN 36-3616314, ARE ENCOURAGED TO PARTICIPATE IN THE ILLINOIS 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, EIN 36-3616314, REGARDING THIS ACTIVITY. Part II-B, Line 1f. GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES:GHS-IL MADE A CONTRIBUTION TO RENEW MOLINE IN THE AMOUNT OF $500 IN FY 2022. Part II-B, Line 1g. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM, EIN 36-3616314, 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. THE DIRECT COSTS INCLUDED: SALARIES- $161. Part II-B, Line 1i. OTHER LOBBYING ACTIVITIES: LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED; 37% OF MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $18,969 AND 26.47% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $7,153.ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$20,151,902BeginningYearBalanceAmt
Contributions$218,922ContributionsAmt
Investment Earnings Or Losses-$2,392,475InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,000GrantsOrScholarshipsAmt
Other Expenditures$326,837OtherExpendituresAmt
Administrative Expenses$167,722AdministrativeExpensesAmt
End Year Balance$17,478,790EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$16,641,934BeginningYearBalanceAmt
Contributions$455,141ContributionsAmt
Investment Earnings Or Losses$3,878,888InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,000GrantsOrScholarshipsAmt
Other Expenditures$684,952OtherExpendituresAmt
Administrative Expenses$134,109AdministrativeExpensesAmt
End Year Balance$20,151,902EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$15,498,706BeginningYearBalanceAmt
Contributions$528,855ContributionsAmt
Investment Earnings Or Losses$708,245InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,000GrantsOrScholarshipsAmt
Administrative Expenses$88,872AdministrativeExpensesAmt
End Year Balance$16,641,934EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$13,249,655BeginningYearBalanceAmt
Contributions$166,432ContributionsAmt
Investment Earnings Or Losses$739,722InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,000GrantsOrScholarshipsAmt
Administrative Expenses$69,705AdministrativeExpensesAmt
End Year Balance$14,081,104EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.336BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.664PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,790,529OtherCostOrOtherBasisAmt
Book Value$7,790,529BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$63,189,418OtherCostOrOtherBasisAmt
Depreciation$43,823,746DepreciationAmt
Book Value$19,365,672BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,614,211OtherCostOrOtherBasisAmt
Depreciation$1,105,493DepreciationAmt
Book Value$1,508,718BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$58,013,922OtherCostOrOtherBasisAmt
Depreciation$50,119,672DepreciationAmt
Book Value$7,894,250BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,668,542OtherCostOrOtherBasisAmt
Depreciation$3,480,282DepreciationAmt
Book Value$188,260BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$36,747,429TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (6 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN LARSON CENTER PARTNERSHIP$1,291,087F
OTHER INVESTMENTS$4,050,796F
NOTE RECEIVABLE$2,013,652F
LT NOTE RECEIVABLE$2,221,851F
INVESTMENT IN GENRAD ILLINOIS$214,184F
INVESTMENT IN WELLSPIRE LLC$2,990,097F
FieldValueIRS element (for citing)
Total Book Value Securities$12,781,667TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
Other$3,332,848
Interest in the Foundation$309,361
Lease Rights to use Assets$6,153,541
FieldValueIRS element (for citing)
Total Book Value Other Assets$9,795,750TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
THIRD PARTY PAYOR SETTLEMENTS$4,901,059
Medicare Advance Payments$3,863,280
Lease Liabilities$1,169,442
FieldValueIRS element (for citing)
Total Liability$9,933,781TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsGENESIS 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) footnoteUncertainty 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 H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd
Percent200 DYes (X)Percent200DInd
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$989,823TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$989,823NetCommunityBenefitExpnsAmt
Total Expense0.0062TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$28,352,336TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,039,422DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,312,914NetCommunityBenefitExpnsAmt
Total Expense0.0209TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$29,342,159TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,039,422DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,302,737NetCommunityBenefitExpnsAmt
Total Expense0.0271TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$57,846TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$57,846NetCommunityBenefitExpnsAmt
Total Expense0.0004TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$106,825TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,825NetCommunityBenefitExpnsAmt
Total Expense0.0007TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$164,671TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$164,671NetCommunityBenefitExpnsAmt
Total Expense0.0010TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$29,506,830TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$25,039,422DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,467,408NetCommunityBenefitExpnsAmt
Total Expense0.0282TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Community Support CommunitySupportGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Coalition Building CoalitionBuildingGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$5,742,026BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$21,444,263ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$25,805,143CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$4,360,880MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
LARSON CENTER PARTNERSHIP
PROPERTY MANAGEMENT0.8260.174
GENRAD IMAGING ILLINOIS LLC
DIAGNOSTIC IMAGING CENTER0.50.5
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GENESIS MEDICAL CENTER - SILVISBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1801 ILLINI DRIVEAddressLine1Txt
CitySILVISCityNm
State AbbreviationILStateAbbreviationCd
ZIP61282ZIPCd
FieldValueIRS element (for citing)
Website AddressWWW.GENESISHEALTH.COMWebsiteAddressTxt
State License0005413StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1GENESIS MEDICAL CENTER - SILVISBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted21CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (true)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLWWW.GENESISHEALTH.COM/COMMUNITYOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt21ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLWWW.GENESISHEALTH.COM/COMMUNITYStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.0FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care200.0FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.GENESISHEALTH.COMFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.GENESISHEALTH.COMFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.GENESISHEALTH.COMFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 1 - Genesis Medical Center Silvis. 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 , 1Facility , 1 - Unity Point Health-Trinity.
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 1 - Community Health Care.
Schedule H, Part V, Section B, Line 6b Facility , 2Facility , 2 - Quad City Health Initiative.
Schedule H, Part V, Section B, Line 6b Facility , 3Facility , 3 - Rock Island County Health Department.
Schedule H, Part V, Section B, Line 6b Facility , 4Facility , 4 - Scott County Health Department.
Schedule H, Part V, Section B, Line 6b Facility , 5Facility , 5 - Muscatine County Board of Health.
Schedule H, Part V, Section B, Line 11 Facility , 1Facility , 1 - GENESIS MEDICAL CENTER - SILVIS. 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.
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
ILLINI LARSON CENTER
855 ILLINI DRIVESILVISIL61282Outpatient LAB
Gastroenterology Associates
2222 53rd AvenueBettendorfIA52722Ambulatory Surgery Center
Medical Office building 1 and 2
1228 East Rusholme StreetDavenportIA52803Outpatient Surgical Services and Virology Services
ILLINI AMBULANCE SERVICE
730 AVENUE OF THE CITIESEAST MOLINEIL61244AMBULANCE SERVICES
Bettendorf Healthplex
2140 53rd AvenueBettendorfIA52722Outpatient Physician Clinic and Imaging Services
Genesis Pulmonary Associates
1801 E 54th StreetDavenportIA52807Outpatient pulmonary services
ILLINI - BUILDING #4 - WOUND CENTER
1314 10TH STREETSILVISIL61282OUTPATIENT WOUND CLINIC
Genesis Medical Plaza
2535 Maplecrest RoadBettendorfIA52722Outpatient Spine Center and Physician Clinic
Physical Therapy Clinic Moline 7th
4360 7th StreetMolineIL61265Outpatient Physical Therapy Clinic and Sleep Ctr
GENRAD IMAGING ILLINOIS LLC
1970 53RD STREETDAVENPORTIA52807OUTPATIENT RADIOLOGY SERVICES
Physical Therapy Clinic Moline Healthplex
3900 28th AvenueMolineIL61265Outpatient Physical Therapy Clinic
Genesis PT &Sports Medicine
1702 East 53rd StreetDavenportIA52807Outpatient Physical Theraphy Clinic
Central Park Medical Pav I & II
1351 W Central Park AvenueDavenportIA52804Cancer Ctr
CROSSTOWN SQUARE
900 CROSSTOWN SQUARESILVISIL61282INDEPENDENT LIVING FACILITY
Genesis Psychology Associates
4455 E 56th StreetDavenportIA52804Outpatient Counseling Clinic and outpatient therapy
Genesis Cancer Clinic-Clinton
1647 Lincoln WayClintonIA52732Cancer Clinic

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 3cNOT APPLICABLE
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationGENESIS HEALTH SYSTEM (GHS-IOWA) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO)
Schedule H, Part I, Line 7g Subsidized Health ServicesNO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceGENESIS HEALTH SYSTEM (GHS ILLINOIS), 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 ActivitiesNo building activities for tax year 2021.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amountIn 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 MethodologyGenesis Health System (GHS Illinois) 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 footnoteThe 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 costsThe Medicare cost report was used to determine the amount reported in part III, lines 5, 6, and 7 for the hospital. 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 cost incurred by GHS Illinois in providing healthcare services to the elderly. The total Medicare shortfall, which included fee screen services, was $2,003,427. In 2018, the percent of persons 65 years and over in Rock Island and Scott Counties was 15.8%. In accordance with GHS Illinois' mission statement "To provide compassionate, quality health services to all those in need," the elderly were served despite the total Medicare loss of $2,003,427. GHS Illinois 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 Illinois is one of two tax-exempt healthcare organizations in the community who provide access to healthcare for Medicare patients. Accordingly, it is GHS Illinois' position for the reasons stated above that the total Medicare shortfall of $2,003,427 represents a community benefit. Pursuant to the instructions to the form 990, Schedule H, the Medicare shortfall is not included in part 1, line 7. If the total Medicare shortfall was included in part I, line 7, then part I, line 7k, column F would be 2.75%.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistanceEvery 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 - SILVIS: Line 16a URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16b FAP Application website- GENESIS MEDICAL CENTER - SILVIS: Line 16b URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website- GENESIS MEDICAL CENTER - SILVIS: Line 16c URL: WWW.GENESISHEALTH.COM;
Schedule H, Part VI, Line 2 Needs assessmentThe 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.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistanceInformation 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 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 informationGenesis 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.
Schedule H, Part VI, Line 5 Promotion of community healthGenesis 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.
Schedule H, Part VI, Line 6 Affiliated health care systemNature 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 reportIL, IA

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION & TRUST
1227 East Rushome StreetDavenportIA52803391905171501 (C)(3)$182,653CLAIM PAYMENTS
Genesis Health Service Foundation
1227 E Rusholme StDavenportIA52803421421670501 (C)(3)$50,000Funding for CME Program
FieldValueIRS element (for citing)
Total501c3 Org2Total501c3OrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule I, Part I, Line 2 Procedures for monitoring use of grant funds.FormAndLineReferenceDesc
ExplanationTHE GENESIS HEALTH SYSTEM (GHS ILLINOIS) 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

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DOUGLAS P CROPPER
PRESIDENT/CEO GHS$0$853,301$0$232,416$0$138,969$0$22,144$0$20,385$0$1,267,216$0$0
KAREN FITZSIMMONS
DIRECTOR$0$361,255$0$300$0$2,763$0$21,264$0$27,510$0$413,092$0$0
MARK G ROGERS
V.P. FINANCE/CFO GHS/ASST TREASURER$0$0$0$0$0$515,382$0$907,028$0$0$0$1,422,411$0$0
PAUL BOLLINGER
V.P. LEGAL AFFAIRS/ ASST SECRETARY$0$275,460$0$44,449$0$62,438$0$20,396$0$25,450$0$428,192$0$0
JOSEPH MALAS
VP FINANCE, INTERIM CFO$0$255,628$0$34,614$0$52,812$0$6,911$0$15,042$0$365,006$0$0
NIDAL HARB
FORMER CHIEF MEDICAL OFFICER$0$0$0$0$0$318,744$0$0$0$0$0$318,744$0$0
KURT A ANDERSEN
VP Physician Operations/Chief Medical Officer$0$485,307$0$93,930$0$192,347$0$22,146$0$23,205$0$816,934$0$0
DAVID SPECTOR
PHYSICIAN$1,192,959$0$690$0$4,386$0$22,250$0$30,370$0$1,250,655$0$0$0
MICHAL PORUBCIN
PHYSICIAN$1,072,603$0$300$0$6,732$0$22,000$0$30,370$0$1,132,005$0$0$0
ANOOP AGGARWAL
PHYSICIAN$572,060$0$300$0$387,825$0$22,063$0$10,262$0$992,511$0$0$0
MATTHEW CHRISTOPHERSEN
PHYSICIAN$883,948$0$300$0$1,743$0$22,079$0$19,354$0$927,424$0$0$0
SAMYUKTHA RAMAVARAM
PHYSICIAN$1,056,985$0$300$0$788$0$541$0$4,387$0$1,063,002$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part I, Line 4a Severance or change-of-control paymentTHE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY FROM GENESIS HEALTH SYSTEM (GHS IOWA) DURING THE CALENDAR YEAR 2021: MARK ROGERS, $515,382 and Nidal Harb, $253,935. 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 planThe following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2021 sponsored by Genesis health System (GHS IA), a related organization: Paul Bollinger- $40,882, Kurt Andersen- $110,253, and Joe Malas-$32,201. 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), a related organization. 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 J, Part I, Line 3PART I, LINE 3: GENESIS HEALTH SYSTEM (GHS ILLINOIS) RELIES ON GENESIS HEALTH SYSTEM (GHS IOWA) TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS, AND KEY EMPLOYEES. GHS IOWA UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE SUCH COMPENSATION.
Schedule J, Part IIDouglas P. Cropper's compensation was directly paid from Genesis Health System Iowa, EIN 42-1418847. Genesis Health System Iowa is a related organization to Genesis Health System Illinois.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GENVENTURES INC
Joseph Malas is an officer of GenVentures Board$3,560,832PAYMENTS FOR MEDICAL SUPPLIES AND LAUNDRY SERVICESfalse
CARDIOVASCULAR MEDICINE PC
EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC.$369,316HEALTHCARE PROFESSIONAL SERVICESfalse
Quad City Bank & trust
Mark Kilmer is an officer and Peter Benson is an officer of Quad City Bank & Trust/QCR Holdings.$117,270Interest expense, despot account, lock box fees, and interest incomefalse

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescTEMPORARY NURSING STAFF TO ASSIST WITH COVID-19 PANDEMIC RESPONSEDesc
Contribution9939ContributionCnt
Noncash Contributions Rpt F990$2,191,843NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationOther - TEMPORARY NURSING STAFF TO ASSIST WITH COVID-19 PANDEMIC RESPONSE Services counted by hours donatedExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Line 1bThe following Genesis Health System, (GHS Illinois) directors are not independent due to transactions disclosed of form 990, Schedule L of Genesis Health System (GHS, Iowa) a related tax-exempt organization: Steven Bahls, Gregory J. Bush, David Heller, and Robin Petersen.
Form 990, Part VI, Line 11b Review of form 990 by governing bodyPrior 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 policyAny covered person, defined as any director, officer, or member of a board or board committee of Genesis Health System (GHS Illinois), 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 Illinois, 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 compliance with the letter and spirit of this policy, Any covered person found to have a conflict of interest may make presentation at the board or committee meeting to present information and address any question raised by other directors or committee members. Said person shall not be allowed to activity 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 vote on, the applicable transaction or arrangement.
Form 990, Part VI, Line 15a Process to establish compensation of top management officialEach 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 Illinois) 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 Illinois 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 Illinois board of directors, the base compensation of each executive employed by GHS Illinois, at appropriate times. The GHS Illinois board of directors shall establish and adjust, within the range approved by the compensation committee, the base compensation for the CEO of GHS Illinois, 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 publicThe 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 1aGENESIS HEALTH SYSTEM (GHS IOWA), GENESIS MEDICAL CENTER, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENVENTURES, INC., GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS ILLINOIS). 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 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 RevenueBad Debts - Total Revenue: -5742538, Related or Exempt Function Revenue: -5742538, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Charity Care - Total Revenue: -2976036, Related or Exempt Function Revenue: -2976036, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income - Total Revenue: 541840, Related or Exempt Function Revenue: 541840, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Contractuals - Total Revenue: -XXX-XX-XXXX, Related or Exempt Function Revenue: -XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Provider Tax Assessment - Total Revenue: -2694665, Related or Exempt Function Revenue: -2694665, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other and Outreach Revenue - Total Revenue: 3172458, Related or Exempt Function Revenue: 3172458, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous RevenueDiscounts and Rebates - Total Revenue: 1488, Related or Exempt Function Revenue: 1488, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Miscellaneous - Total Revenue: 5767, Related or Exempt Function Revenue: 5767, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other FeesPhysician Services - Total Expense: 2590542, Program Service Expense: 2468771, Management and General Expenses: 121771, Fundraising Expenses: ; NUTRITIONAL SERVICES - Total Expense: 732216, Program Service Expense: 732216, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE SERVICES - Total Expense: 1882866, Program Service Expense: 1882866, Management and General Expenses: , Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 906877, Program Service Expense: 906877, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 7625954, Program Service Expense: 7625954, Management and General Expenses: , Fundraising Expenses: ; AMBULANCE SERVICES - Total Expense: 423205, Program Service Expense: 423205, Management and General Expenses: , Fundraising Expenses: ; HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING SERVICES - Total Expense: 537482, Program Service Expense: , Management and General Expenses: 537482, Fundraising Expenses: ; HEALTHCARE SUPPORT SERVICES - Total Expense: 4744058, Program Service Expense: 4744058, Management and General Expenses: , Fundraising Expenses: ; EMERGENCY MEDICAL SERVICES - Total Expense: 5646962, Program Service Expense: 5646962, Management and General Expenses: , Fundraising Expenses: ; Laundry Services - Total Expense: 10922, Program Service Expense: 10922, Management and General Expenses: , Fundraising Expenses: ; PHYSICAL THERAPY SERVICES - Total Expense: 15510, Program Service Expense: 15510, Management and General Expenses: , Fundraising Expenses: ; Radiology Services - Total Expense: 141396, Program Service Expense: 141396, Management and General Expenses: , Fundraising Expenses: ; Blood Bank Services - Total Expense: 341786, Program Service Expense: 341786, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balancesCHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION - -16032;
Form 990, Part XII, Line 2cTHE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
GENESIS HEALTH SYSTEM (GHS IOWA)
1227 E RUSHOLME STREETDAVENPORTIA52803421418847HEALTHCAREIA501(c)(3)3GENESIS HEALTH SYSTEM (GHS ILLINOIS)Yes (true)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 E RUSHOLME STREETDAVENPORTIA52803391905171EMPLOYEE/BENEFIT/TRUSTIA501(c)(3)Type IGENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
DAVENPORT HOSPITAL AMBULANCE CORPORATION
1204 E HIGH STREETDAVENPORTIA52803421186903AMBULANCE TRANSFERSIA501(c)(3)Type IGENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREETDAVENPORTIA52803421421670CHARITYIA501(c)(3)7GENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
GENESIS PHILANTHROPY
1227 E RUSHOLME STREETDAVENPORTIA52803462452851CHARITYIA501(c)(3)10GENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
GENESIS MEDICAL CENTER ALEDO
309 NW NINTH AVENUEALEDOIL61231454475683HEALTHCAREIL501(c)(3)3GENESIS HEALTH SYSTEM (GHS ILLINOIS)Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
GENGASTRO LLC
2222 53RD AVENUEBETTENDORFIA52722562315623AMBULATORY SURGERY CENTERIANAN/A
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202ADAVENPORTIA52807421483989OUTPATIENT SURGICAL CENTERIANAN/A
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVESILVISIL61282363738454PROPERTY MANAGEMENTILGenesis Health System (GHS Illinois)Related$497,188$2,101,492falseYes (true)0.8262
GENORTHO LLC
2300 53RD AVENUEBETTENDORFIA52722203406994ORTHOPAEDIC SURGERY CENTERIANAN/A
GENRAD IMAGING LLC
1970 E 53RD STREETDAVENPORTIA52807453571628DIAGNOSTIC IMAGING CENTERIANAN/A
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREETDAVENPORTIA52807473785124DIAGNOSTIC IMAGING CENTERILGenesis Health System (GHS Illinois)Related$129,483$211,048falseYes (true)0.5

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
GENVENTURES INC
1227 E RUSHOLME STREETDAVENPORTIA52803421269171SUPPORT SERVICES/PROPERTY MANAGEMENTIANAC Corporationfalse
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREETDAVENPORTIA52803421504979HEALTHCARE MANAGEMENTIANAC Corporationfalse
MISERICORDIA ASSURANCE COMPANY LTD
980457943OTHER FINANCIAL VEHICLENAC CorporationfalseCJ
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREETDAVENPORTIA52803270865075PROPERTY MANAGEMENTIANAC Corporationfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgfalseGiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (15 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GENESIS MEDICAL CENTER ALEDO
A$177,306FMV
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION AND TRUST
B$182,653FMV
LARSON CENTER PARTNERSHIP
J$919,658FMV
GENESIS PHILANTHROPY
B$50,000FMV
LARSON CENTER PARTNERSHIP
K$772,220FMV
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION AND TRUST
L$607,192FMV
DAVENPORT HOSPITAL AMBULANCE
M$286,290FMV
GENESIS HEALTH SYSTEM IOWA
P$144,340,992FMV
GENESIS HEALTH SYSTEM IOWA
Q$112,750,602FMV
GENESIS MEDICAL CENTER ALEDO
Q$227,427FMV
GENRAD ILLINOIS LLC
H$152,720FMV
LARSON CENTER PARTNERSHIP
R$433,732FMV
GENVENTURES INC
S$3,560,832FMV
GENESIS MEDICAL CENTER ALEDO
S$988,465FMV
GENESIS MEDICAL CENTER ALEDO
P$120,666FMV