2023-05-15T14:32:35+00:00 2022-06-30 990 2021-07-01 363616314 Genesis Health System (IL) GENE 5634216508 801 Illini Drive Silvis IL 61282 JOSEPH MALAS GHS CFO & Asst.Treasurer 5634216508 2023-05-15 Joseph Malas 999009999 2021 2023-04-26 12:10:37Z Joseph Malas 801 Illini Drive Silvis IL 61282 155581710 false X GENESISHEALTH.COM X 1990 IL GENESIS HEALTH SYSTEM (GHS ILLINOIS) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. 18 9 867 40 496031 76260 454173 4982460 137586771 144832847 674223 238199 3832127 3414712 142547294 153468218 205576 234065 0 83862637 93018454 0 0 58278001 65353046 142346214 158605565 201080 -5137347 156568342 147292721 57036116 52987238 99532226 94305483 GENESIS HEALTH SYSTEM (GHS ILLINOIS) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. false false 98870861 234065 99427394 GENESIS 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) 48970027 0 44411987 Genesis 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. 918017 0 993466 Illini 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. 148758905 true true false true false false false false true true true false true true true false true false false false false false false false false true true true false true false false false false false false false true true false false false false true true true false false true 53 0 true 867 true true true false false false false false false false false false false false X 18 9 false false false false false false false true true false true true true true true true true true true true false IL X Joseph Malas 5634216508 1227 EAST RUSHOLME STREET DAVENPORT IA 52803 C DANA WATERMAN III VICE CHAIR 1.5 5.5 X X 0 0 0 DOUGLAS P CROPPER PRESIDENT/CEO GHS 7.0 54.5 X X 0 1224686 42529 GREGORY J BUSH TREASURER 1.0 3.0 X X 0 0 0 PETER J BENSON SECRETARY 1.0 3.0 X X 0 0 0 STEVEN C BAHLS CHAIR 2.0 6.0 X X 0 0 0 CHRISTOPHER J COX FORMER DIRECTOR 1.0 3.0 X 0 0 0 DALE D ZUDE DIRECTOR 1.0 3.0 X 0 0 0 DAVID C LARSON DIRECTOR 1.0 3.0 X 0 0 0 DAVID HELLER DIRECTOR 1.0 3.0 X 0 0 0 EDMUND P COYNE JR DIRECTOR 1.0 3.0 X 0 0 0 EDWIN V MOTTO MD DIRECTOR 3.0 7.0 X 0 0 0 G CHRISTOPHER WAHLIG DIRECTOR 1.0 3.0 X 0 0 0 KAREN FITZSIMMONS DIRECTOR 1.0 41.0 X 0 364318 48774 LASHONDA POLITE DIRECTOR 1.0 3.0 X 0 0 0 MARK C KILMER DIRECTOR 1.0 3.0 X 0 0 0 MARK D BAWDEN DIRECTOR 1.0 4.5 X 0 0 0 MELISSA PEPPER DIRECTOR 1.0 3.0 X 0 0 0 PATRICIA S GROVES DIRECTOR 1.0 3.0 X 0 0 0 ROBIN PETERSEN DIRECTOR 1.0 3.0 X 0 0 0 JOSEPH MALAS VP FINANCE, INTERIM CFO 4.0 36.0 X 0 343054 21952 PAUL BOLLINGER V.P. LEGAL AFFAIRS/ ASST SECRETARY 4.0 36.0 X 0 382346 45846 KURT A ANDERSEN VP Physician Operations/Chief Medical Officer 5.0 35.0 X 0 771583 45350 ANOOP AGGARWAL PHYSICIAN 40.0 0 X 960186 0 32325 DAVID SPECTOR PHYSICIAN 40.0 0 X 1198035 0 52620 MATTHEW CHRISTOPHERSEN PHYSICIAN 40.0 0 X 885991 0 41433 MICHAL PORUBCIN PHYSICIAN 40.0 0 X 1079635 0 52370 SAMYUKTHA RAMAVARAM PHYSICIAN 40.0 0 X 1058073 0 4929 MARK G ROGERS V.P. FINANCE/CFO GHS/ASST TREASURER 4.0 36.0 X 0 515382 907028 NIDAL HARB FORMER CHIEF MEDICAL OFFICER 5.0 35.0 X 0 318744 0 5181920 3920115 1295156 152 true true false EMERGENCY CARE AND HEALTH ORGANIZATION LTD 1S443 SUMMIT AVENUE OAKBROOK TERRACE IL 60181 24/hr ER Physician Services for GMC-Silvis 3074693 Crothall Healthcare Inc 1500 Liberty Ridge Drive Wayne IA 19087 Maintenance/Enviromental Services 1414435 LABCORP PO Box 12140 BURLINGTON NC 272162140 Laboratory Services 1358989 Apogee Medical Management Inc 15059 N Scottsdale Road Suite 600 Scottsdale AZ 85254 Revenue cycle management and CME services 1171196 Morrison Healthcare 5801 Peachtree Dunwoody Road Atlanta GA 303421503 Nutritional Services 744627 24 2790617 2191843 2191843 4982460 OUTPATIENT SERVICES 900099 347692748 347692748 INPATIENT REVENUE 900099 95901207 95901207 NURSING SERVICES 621500 14081246 13585215 496031 RESIDENT REVENUE 623000 959366 959366 CONTRACTS W/AFFILIATES 900099 1414422 1414422 -315216142 -315216142 0 0 144832847 238199 238199 0 0 0 0 1963672 2113492 -149820 -149820 AMBULANCE 621910 1932374 1932374 OTHER SERVICES 900099 1580608 1580608 EDUCATION 624100 44295 44295 7255 7255 0 0 3564532 153468218 147901348 496031 88379 X 234065 234065 0 0 0 0 83762930 83063566 699364 1473944 1461534 12410 3589276 3559056 30220 4192304 4160806 31498 253168 173069 80099 26283 26283 25599776 24940523 659253 0 15171 13377 1794 1001581 863964 137617 5874273 386499 5487774 5144361 4952013 192348 293214 289052 4162 134008 132733 1275 4742 4742 4612711 2583730 2028981 627445 232820 394625 FEDERAL AND STATE INCOME 25280 25280 MEDICAL AND PHARMACEUTICAL SUPPLIES 15490769 15490188 581 COGS-PATIENT CHARGEABLE SUPPLIES 4502707 4502707 Food/Beverages and Other Operational Supplies 1346699 1322074 24625 400858 367107 33751 0 158605565 148758905 9846660 0 1310 1310 69502185 31632448 30394930 51689654 0 0 0 0 3435622 3511897 756099 1132566 135276622 98529193 34472092 36747429 9347844 12781667 0 8658260 9795750 156568342 147292721 36348552 37172179 0 0 5017101 5881278 15670463 9933781 57036116 52987238 99206833 93996122 325393 309361 99532226 94305483 156568342 147292721 X -5137347 -73364 -16032 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false true false true 0 false false true 161 false true 26122 26283 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY Part 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. 20151902 218922 -2392475 5000 326837 167722 17478790 16641934 455141 3878888 5000 684952 134109 20151902 15498706 528855 708245 5000 88872 16641934 14081104 937158 562187 5000 76743 15498706 13249655 166432 739722 5000 69705 14081104 0.336 0.664 0.0 false true true 7790529 7790529 63189418 43823746 19365672 2614211 1105493 1508718 58013922 50119672 7894250 3668542 3480282 188260 36747429 INVESTMENT IN LARSON CENTER PARTNERSHIP 1291087 F OTHER INVESTMENTS 4050796 F NOTE RECEIVABLE 2013652 F LT NOTE RECEIVABLE 2221851 F INVESTMENT IN GENRAD ILLINOIS 214184 F INVESTMENT IN WELLSPIRE LLC 2990097 F 12781667 Other 3332848 Interest in the Foundation 309361 Lease Rights to use Assets 6153541 9795750 THIRD PARTY PAYOR SETTLEMENTS 4901059 Medicare Advance Payments 3863280 Lease Liabilities 1169442 9933781 X Schedule D, Part V, Line 4 Intended uses of endowment funds GENESIS HEALTH SERVICES FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS ARE AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT, EMPLOYEE EMERGENCY ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, DIALYSIS CARE, AND BREAST HEALTH SERVICES. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote Uncertainty in income taxes: GHS Iowa, GHS Illinois, GMC - Aledo, the Genesis Foundation, Genesis Philanthropy and the Workers' Compensation Trust each files a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax exempt status of each entity, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income. Unrelated business taxable income is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the more likely than not recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for uncertain tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Forms 990 and 990T filed by GHS Iowa, GHS Illinois, GMC - Aledo, the Genesis Foundation, Genesis Philanthropy and the Workers' Compensation Trust are subject to examination by the IRS up to three years from the extended due date of each return. GenVentures is a taxable organization and currently files income tax returns in the U.S. federal jurisdiction and various state jurisdictions. There were no uncertain tax positions as of June 30, 2022 and 2021. true true X true X true X true true false true true 989823 0 989823 0.0062 28352336 25039422 3312914 0.0209 0 0.0 0 0 29342159 25039422 4302737 0.0271 57846 0 57846 0.0004 0 0.0 0 0.0 0 0.0 106825 0 106825 0.0007 0 0 164671 0 164671 0.0010 0 0 29506830 25039422 4467408 0.0282 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 5742026 0 21444263 25805143 -4360880 X true true LARSON CENTER PARTNERSHIP PROPERTY MANAGEMENT 0.826 0.174 GENRAD IMAGING ILLINOIS LLC DIAGNOSTIC IMAGING CENTER 0.5 0.5 1 1 GENESIS MEDICAL CENTER - SILVIS 801 ILLINI DRIVE SILVIS IL 61282 WWW.GENESISHEALTH.COM 0005413 X X X GENESIS MEDICAL CENTER - SILVIS 1 false false true X X X X X X X X X 21 true true true true X WWW.GENESISHEALTH.COM/COMMUNITY X true 21 true WWW.GENESISHEALTH.COM/COMMUNITY false true X 200.0 200.0 X X X X true true X X X X true X WWW.GENESISHEALTH.COM X WWW.GENESISHEALTH.COM X WWW.GENESISHEALTH.COM X X X X X true X false X X X X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 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 , 1 Facility , 1 - Unity Point Health-Trinity. Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Community Health Care. Schedule H, Part V, Section B, Line 6b Facility , 2 Facility , 2 - Quad City Health Initiative. Schedule H, Part V, Section B, Line 6b Facility , 3 Facility , 3 - Rock Island County Health Department. Schedule H, Part V, Section B, Line 6b Facility , 4 Facility , 4 - Scott County Health Department. Schedule H, Part V, Section B, Line 6b Facility , 5 Facility , 5 - Muscatine County Board of Health. Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 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. 16 ILLINI LARSON CENTER 855 ILLINI DRIVE SILVIS IL 61282 Outpatient LAB Gastroenterology Associates 2222 53rd Avenue Bettendorf IA 52722 Ambulatory Surgery Center Medical Office building 1 and 2 1228 East Rusholme Street Davenport IA 52803 Outpatient Surgical Services and Virology Services ILLINI AMBULANCE SERVICE 730 AVENUE OF THE CITIES EAST MOLINE IL 61244 AMBULANCE SERVICES Bettendorf Healthplex 2140 53rd Avenue Bettendorf IA 52722 Outpatient Physician Clinic and Imaging Services Genesis Pulmonary Associates 1801 E 54th Street Davenport IA 52807 Outpatient pulmonary services ILLINI - BUILDING #4 - WOUND CENTER 1314 10TH STREET SILVIS IL 61282 OUTPATIENT WOUND CLINIC Genesis Medical Plaza 2535 Maplecrest Road Bettendorf IA 52722 Outpatient Spine Center and Physician Clinic Physical Therapy Clinic Moline 7th 4360 7th Street Moline IL 61265 Outpatient Physical Therapy Clinic and Sleep Ctr GENRAD IMAGING ILLINOIS LLC 1970 53RD STREET DAVENPORT IA 52807 OUTPATIENT RADIOLOGY SERVICES Physical Therapy Clinic Moline Healthplex 3900 28th Avenue Moline IL 61265 Outpatient Physical Therapy Clinic Genesis PT &Sports Medicine 1702 East 53rd Street Davenport IA 52807 Outpatient Physical Theraphy Clinic Central Park Medical Pav I & II 1351 W Central Park Avenue Davenport IA 52804 Cancer Ctr CROSSTOWN SQUARE 900 CROSSTOWN SQUARE SILVIS IL 61282 INDEPENDENT LIVING FACILITY Genesis Psychology Associates 4455 E 56th Street Davenport IA 52804 Outpatient Counseling Clinic and outpatient therapy Genesis Cancer Clinic-Clinton 1647 Lincoln Way Clinton IA 52732 Cancer Clinic Schedule H, Part I, Line 3c NOT APPLICABLE Schedule H, Part I, Line 6a Community benefit report prepared by related organization GENESIS HEALTH SYSTEM (GHS-IOWA) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) Schedule H, Part I, Line 7g Subsidized Health Services NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance GENESIS HEALTH SYSTEM (GHS 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 Activities No building activities for tax year 2021. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount In accordance with Healthcare Financial Management Association Statement No. 15, Bad Debt is reported at the full-established charge from the most recent audited financial report. Payments received after an account had been written off to bad debt were credited to a bad debt recovery account. Discounts on patient accounts provided by third-party payers were written off to a contractual allowance account. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Genesis Health System (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 footnote The System determines the transaction price based on standard charges for goods and services provided to patients, reduced by explicit price concessions consisting of contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the System's policy, and/or implicit price concessions provided to uninsured patients based on historical collection experience. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to be collected based on the System's collection history with similar classes of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended June 30, 2022 and 2021, was not material. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The 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 assistance Every effort is made to determine a patient's eligibility for financial assistance. If eligible, payment plans are made available based on their resources and income. All balances owing after financial assistance allowances have been taken are payable in monthly payments in accordance with the organization's financial assistance policy. Schedule H, Part V, Section B, Line 16a FAP website - GENESIS MEDICAL CENTER - 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 assessment The sponsors of this study, Community Health Care, Inc., Genesis Health System(GHS Illinois), Muscatine County Public Health, Quad City Health Initiative, Rock Island County Health Department, Scott County Health Department and UnityPoint Health-Trinity, collaborate on improving health status and quality of life in the Quad Cities region. This work together is rooted in periodic, comprehensive community health assessments that meet the information and reporting needs of all partners. Understanding our community's health status is the foundation for developing community education, resources, and programs that will advance our community's health. The assessment informs the creation of community health improvement plans for the study sponsors. In addition, the study sponsors encourage other organizations also to use this information to inform strategic planning, grant writing and project development. For the 2021 Quad Cities Community Health Assessment, our coordinated approach included primary data collection, secondary data analysis, and qualitative data gathering from community members in our bi-state area. The study sponsors engaged PRC, Inc. to collect secondary data and implement a community health survey. Select operations data from local providers also were summarized. Special consideration was given to how we could increase our understanding of topics such as the impact of COVID-19, health disparities, and social determinants of health. The following document provides PRC, Inc.'s bi-state findings in detail as well as information obtained through local partners. Documents produced as part of the 2021 Quad Cities Community Health Assessment process are available for review online at quadcities.healthforecast.net. This Community Health Assessment is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Scott, Muscatine, and Rock Island counties - it is a follow-up to similar studies conducted in the Quad Cities Area (Scott and Rock Island counties) in 2002, 2007, 2012, 2015, and throughout the full three-county area in 2018. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. A Community Health Assessment provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This Community Health Assessment will serve as a tool toward reaching three basic goals: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors that historically have had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Information on the availability of financial assistance is posted in visible locations in the admission departments of the hospitals. In addition, the hospital registration staff make available informative brochures for patients in the Emergency Room registration area explaining their eligibility for assistance. Genesis Health System provides patient financial counselors on each hospital campus to discuss options with the patients. Patient Financial Services prepares and provides a letter to each patient, explaining their current balance and advising them of their options. A phone number is provided with the letter encouraging the patient to call if needed. Schedule H, Part VI, Line 4 Community information Genesis Health System's (GHS Illinois) mission is to provide quality, compassionate care for all those in need. GHS Illinois lives its mission each day by serving a 10-County region of Eastern Iowa and Western Illinois, including both urban and rural areas. The region served by GHS Illinois (Davenport-Moline-Rock Island, IA - IL. Metropolitan statistical area - Henry County, IL, Mercer County, IL, Muscatine County IA, Rock Island, IL., and Scott County, IA.) has a population of 359,208. According to the US Census Bureau American Community Survey Five Year Estimates (2015-2019), Whites made up 84.0% of the MSA population with 8.1% Black or African-American and 7.9% Hispanic or other origin. In the Quad Cities area, 23.4% of the population are infants, children, or adolescents (age 0-17); another 59.6% are 18-64, while 17.0% are age 65 and older. According to estimates from the US Census Bureau American Community Survey, 12.5% of Quad Cities area residents (Scott and Rock Island Counties) live below the Federal poverty Lack of health insurance among adults age 18 to 64 is reported by 5.7% of Scott County, IA residents and 8.7% of Rock Island County, IL residents. The Quad Cities area percentage of adults who smoked in 2021 was 20.5%. The percentage of adults who were obese in 2021 was 40.5% in Rock Island County, Illinois and 42.1% in Scott County, Iowa. Obesity rates in both Scott County, IA and Rock Island County, IL are higher than national benchmarks. Schedule H, Part VI, Line 5 Promotion of community health Genesis Health System's Board of directors is a diverse representation of persons who reside in the primary service area that Genesis Health System serves. Genesis Health System executives and employees serve on dozens of volunteer boards throughout the region on important projects and initiatives, such as homeless shelters, mental health, downtown redevelopment and events and festivals. Genesis Health System employees serve the communities where they live by serving in elected offices in city and county government. Genesis Health System extends medical staff privileges to all qualified physicians in its communities. Genesis Health System has endeavored to improve access to health care for the communities it serves by participating in appropriate joint ventures that offer needed health care services to under-served areas. Genesis Health System schedules dozens of health screenings and immunizations throughout the year at a reduced cost. These include screenings for diabetes, stroke and heart disease and public flu immunization clinics. Genesis Health System providers translation services based on a percentage of the diversity of the population. Each year, Genesis Health System provides the community with dozens of classes and events promoting health and health education. Hundreds of residents in the region served by Genesis Health System learn CPR, First Aid, parenting skills, and newborn care by enrolling in classes. Genesis Health System supplies medical supplies and equipment to Globus, which is a third party company that helps companies share and transfer research data. Genesis Health System maintains an active effort to advocate for access to health care in Iowa and Illinois State government and in Washington D.C. Genesis Health System employees also participate in a voter voice initiative to advocate on important health issues with City, County, State, and National elected officials. Surplus funds resulting from efficient operations and cost-containment measure are re-invested in the healthcare operations of Genesis Health System to improve the healthcare services that Genesis Health System provides. Advances in medical equipment and technology, staff education, and new medical services are examples of operation investments that ultimately improve the health of the communities that Genesis Health System serves. Schedule H, Part VI, Line 6 Affiliated health care system Nature of business: Genesis Health System - Iowa (GHS Iowa), an Iowa nonprofit corporation, and Genesis Health System - Illinois (GHS Illinois), an Illinois not-for-profit corporation, have identical governing boards, management and bylaws and can act jointly. GHS Iowa is also the sole member of Genesis Health Services Foundation, Genesis Philanthropy, Genesis Accountable Care Organization, LLC and Genesis Health System Workers' Compensation Plan and Trust, the sole stockholder of GenVentures, Inc., a member of Misericordia Assurance Company, Ltd. and a partner in GenGastro, LLC. GHS Illinois is the sole member of Genesis Medical Center - Aledo (GMC - Aledo), and is a partner in The Larson Center Partnership. GHS Iowa, GHS Illinois and GMC - Aledo collectively represent the Obligated Group on certain components of the System's long-term debt. GHS Iowa and GHS Illinois operate the following business units: Genesis Health System provides administrative, management, information technology and other support services to its affiliates. Genesis Clinical Services operates physician medical practices, convenient care practices and an occupational medicine clinic and provides behavioral health services to the residents of eastern Iowa and western Illinois. Genesis Medical Center- Davenport (GMC - Davenport) is licensed as a 502-bed acute care hospital which provides services from two hospital facilities located in Davenport, Iowa. Genesis Family Medical Center (GFMC) is a family practice residency training program that operates clinics in Davenport and Blue Grass, Iowa to provide a clinical setting for the residents to treat patients. Genesis Medical Center- DeWitt (GMC - DeWitt) is certified as a critical access hospital, which has 13-acute care and swing beds, which are dually licensed for Medicare and Medicaid services and which provide services from its facility in DeWitt, Iowa. In June 2019, GMC - Dewitt entered into a lease agreement, whereby GMC - Dewitt began leasing the assets and operations of its long-term care facility to a joint venture, Wellspire, LLC. The System has a 40% ownership interest in Wellspire, LLC. Genesis Visiting Nurse Association and Hospice (VNA) provides home health care, community nursing services and hospice services to patients in eastern Iowa and western Illinois. Genesis Medical Center- Silvis (GMC - Silvis) is licensed as a 145-bed acute care hospital which provides services from its facility in Silvis, Illinois. Mini Hospital Nursing Home (INH) operates Crosstown Square. Crosstown Square is an independent living facility containing 64 rentable apartments and three guest rooms that offers services designed to provide independent living apartments for seniors. Crosstown Square is managed by Wellspire, LLC, which is one of the System's joint ventures. GHS Iowa and GHS Illinois have a controlling ownership interest or membership in the following organizations: Genesis Medical Center- Aledo (GMC - Aledo) is certified as a critical access hospital, which has 22-acute care and swing beds, as well as a physician clinic, which provides services from its facility in Aledo, Illinois. Genesis Health Services Foundation (Genesis Foundation) is an organization whose mission is to develop, manage and grant charitable support to meet the health-related needs of the communities served by Genesis Health System. GenGastro, LLC (d/b/a the Center for Digestive Health) is a limited liability company, which operates a single-specialty gastroenterology ambulatory surgery center located in Bettendorf, Iowa. Genesis Health System sold an interest in September 2021 reducing their ownership from 90% to an 83.75% ownership interest in GenGastro, LLC. The Larson Center Partnership (LCP) is a for-profit real estate partnership which owns a medical office building adjacent to GMC - Silvis and leases space for clinics, laboratory, pharmacy and offices to GMC - Silvis and other third-party organizations. GHS Illinois is a general partner and owns approximately 82.6% of LCP. Gen Ventures, Inc. (Gen Ventures) is a wholly-owned for-profit corporation which operates the following divisions, primarily in the Quad Cities: Genesis at Home, Continuing Care sells and leases home medical equipment, provides intravenous therapy services, including sales of related solutions and supplies to patients, and provides retail pharmaceutical and over-the-counter products to patients and employees of the System. GenProperties owns, leases and/or manages office space in 14 medical office buildings located in Bettendorf, Davenport, Eldridge, LeClaire and Muscatine, Iowa. Crescent Laundry provides commercial laundry services to health care facilities in eastern Iowa and in north-central Illinois. Genesis Accountable Care Organization, LLC (Genesis ACO) is an Iowa limited liability company formed in December 2011. Its purpose is to engage in lawful business related to the creation and organization of a "physician-driven" network to act as, and/or participate in, an Accountable Care Organization within the meaning of the federal Patient Protection and Affordable Care Act. The company is also organized to develop a clinically integrated network of providers including physicians, health professionals, hospitals and ancillary providers working together to promote high quality, coordinated and efficient care to patients including members of various managed care payors and the community at large. Genesis Philanthropy is a wholly-owned tax-exempt entity formed in 2013, which partners with other hospital foundations to form a regional network to attract donors to help fund specific health-related causes and promote wellness in the region. Genesis Health System Workers' Compensation Plan and Trust (Workers' Compensation Trust) provides a fund which is used to pay workers' compensation claims and costs for the benefit of Genesis Health System. Misericordia Assurance Company, Ltd. (Misericordia) is a wholly-owned Cayman-based captive insurance company which underwrites the general and professional liability risks of Genesis Health System and affiliates. Genesis Health System and its related organizations are collectively referred to as the System. Schedule H, Part VI, Line 7 State filing of community benefit report IL, IA true GENESIS HEALTH SYSTEM WORKERS' COMPENSATION & TRUST 1227 East Rushome Street Davenport IA 52803 391905171 501 (C)(3) 182653 CLAIM PAYMENTS Genesis Health Service Foundation 1227 E Rusholme St Davenport IA 52803 421421670 501 (C)(3) 50000 Funding for CME Program 2 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. THE 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. true true false false false false false false false DOUGLAS P CROPPER PRESIDENT/CEO GHS 0 853301 0 232416 0 138969 0 22144 0 20385 0 1267216 0 0 KAREN FITZSIMMONS DIRECTOR 0 361255 0 300 0 2763 0 21264 0 27510 0 413092 0 0 MARK G ROGERS V.P. FINANCE/CFO GHS/ASST TREASURER 0 0 0 0 0 515382 0 907028 0 0 0 1422411 0 0 PAUL BOLLINGER V.P. LEGAL AFFAIRS/ ASST SECRETARY 0 275460 0 44449 0 62438 0 20396 0 25450 0 428192 0 0 JOSEPH MALAS VP FINANCE, INTERIM CFO 0 255628 0 34614 0 52812 0 6911 0 15042 0 365006 0 0 NIDAL HARB FORMER CHIEF MEDICAL OFFICER 0 0 0 0 0 318744 0 0 0 0 0 318744 0 0 KURT A ANDERSEN VP Physician Operations/Chief Medical Officer 0 485307 0 93930 0 192347 0 22146 0 23205 0 816934 0 0 DAVID SPECTOR PHYSICIAN 1192959 0 690 0 4386 0 22250 0 30370 0 1250655 0 0 0 MICHAL PORUBCIN PHYSICIAN 1072603 0 300 0 6732 0 22000 0 30370 0 1132005 0 0 0 ANOOP AGGARWAL PHYSICIAN 572060 0 300 0 387825 0 22063 0 10262 0 992511 0 0 0 MATTHEW CHRISTOPHERSEN PHYSICIAN 883948 0 300 0 1743 0 22079 0 19354 0 927424 0 0 0 SAMYUKTHA RAMAVARAM PHYSICIAN 1056985 0 300 0 788 0 541 0 4387 0 1063002 0 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY FROM GENESIS HEALTH SYSTEM (GHS IOWA) DURING THE CALENDAR YEAR 2021: 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 plan The 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 3 PART 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 II Douglas 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. GENVENTURES INC Joseph Malas is an officer of GenVentures Board 3560832 PAYMENTS FOR MEDICAL SUPPLIES AND LAUNDRY SERVICES false CARDIOVASCULAR MEDICINE PC EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC. 369316 HEALTHCARE PROFESSIONAL SERVICES false Quad City Bank & trust Mark Kilmer is an officer and Peter Benson is an officer of Quad City Bank & Trust/QCR Holdings. 117270 Interest expense, despot account, lock box fees, and interest income false X TEMPORARY NURSING STAFF TO ASSIST WITH COVID-19 PANDEMIC RESPONSE 9939 2191843 Market value false true false Schedule M, Part I Explanations of reporting method for number of contributions Other - TEMPORARY NURSING STAFF TO ASSIST WITH COVID-19 PANDEMIC RESPONSE Services counted by hours donated Form 990, Part VI, Line 1b The 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 body Prior to submitting the form 990 to the IRS, it is reviewed at the organization's finance committee meeting, and then it is e-mailed to the organization's board of directors' one week in advance of a scheduled meeting. At the board of directors meeting, internal management reviews the form 990 with the board of directors. Suggested changes from all of the reviews are considered for inclusion in the final form 990 submitted to the IRS. Internal management review is also completed of the compiled information and is provided to the vice president, finance/CFO; vice president, legal affairs; vice president, human resources; and chief compliance risk officer of the organization's corporate member. Form 990, Part VI, Line 12c Conflict of interest policy Any covered person, defined as any director, officer, or member of a board or board committee of Genesis Health System (GHS 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 official Each executive position is evaluated using a formal evaluation plan that is established by an outside consultant. At the present time, the consultant uses a point system for job evaluation. The point values are based on "know how", "problem solving", "accountability", and other job attribute specific to the position. Once the point value is set for a position, market comparisons for jobs with the same organizational impact can be compared for salary purposes and establish pay ranges. The design of the pay ranges for executives is based on market data. The midpoint of each pay range is established at the 50th percentile of the market comparisons. A minimum and maximum are established off of the midpoint. Specific pay rates for executives are subject to CEO and compensation committee and the Genesis Health System (GHS 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 public The organization's governing documents, conflict of interest policy, and financial statements are not made available to the public. Form 990, Part VII, Section A, Line 1a GENESIS HEALTH SYSTEM (GHS 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 Revenue Bad 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 Revenue Discounts 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 Fees Physician 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 balances CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION - -16032; Form 990, Part XII, Line 2c THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. GENESIS HEALTH SYSTEM (GHS IOWA) 1227 E RUSHOLME STREET DAVENPORT IA 52803 421418847 HEALTHCARE IA 501(c)(3) 3 GENESIS HEALTH SYSTEM (GHS ILLINOIS) true GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST 1227 E RUSHOLME STREET DAVENPORT IA 52803 391905171 EMPLOYEE/BENEFIT/TRUST IA 501(c)(3) Type I GENESIS HEALTH SYSTEM (GHS IOWA) true DAVENPORT HOSPITAL AMBULANCE CORPORATION 1204 E HIGH STREET DAVENPORT IA 52803 421186903 AMBULANCE TRANSFERS IA 501(c)(3) Type I GENESIS HEALTH SYSTEM (GHS IOWA) true GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 CHARITY IA 501(c)(3) 7 GENESIS HEALTH SYSTEM (GHS IOWA) true GENESIS PHILANTHROPY 1227 E RUSHOLME STREET DAVENPORT IA 52803 462452851 CHARITY IA 501(c)(3) 10 GENESIS HEALTH SYSTEM (GHS IOWA) true GENESIS MEDICAL CENTER ALEDO 309 NW NINTH AVENUE ALEDO IL 61231 454475683 HEALTHCARE IL 501(c)(3) 3 GENESIS HEALTH SYSTEM (GHS ILLINOIS) true GENGASTRO LLC 2222 53RD AVENUE BETTENDORF IA 52722 562315623 AMBULATORY SURGERY CENTER IA NA N/A SPRING PARK SURGERY CENTER LLC 3319 SPRING STREET STE 202A DAVENPORT IA 52807 421483989 OUTPATIENT SURGICAL CENTER IA NA N/A LARSON CENTER PARTNERSHIP LLC 801 ILLINI DRIVE SILVIS IL 61282 363738454 PROPERTY MANAGEMENT IL Genesis Health System (GHS Illinois) Related 497188 2101492 false true 0.8262 GENORTHO LLC 2300 53RD AVENUE BETTENDORF IA 52722 203406994 ORTHOPAEDIC SURGERY CENTER IA NA N/A GENRAD IMAGING LLC 1970 E 53RD STREET DAVENPORT IA 52807 453571628 DIAGNOSTIC IMAGING CENTER IA NA N/A GENRAD IMAGING ILLINOIS LLC 1970 E 53RD STREET DAVENPORT IA 52807 473785124 DIAGNOSTIC IMAGING CENTER IL Genesis Health System (GHS Illinois) Related 129483 211048 false true 0.5 GENVENTURES INC 1227 E RUSHOLME STREET DAVENPORT IA 52803 421269171 SUPPORT SERVICES/PROPERTY MANAGEMENT IA NA C Corporation false GENESIS HEART INSTITUTE 1236 E RUSHOLME STREET DAVENPORT IA 52803 421504979 HEALTHCARE MANAGEMENT IA NA C Corporation false MISERICORDIA ASSURANCE COMPANY LTD 980457943 OTHER FINANCIAL VEHICLE CJ NA C Corporation false MOB 1 OWNERS' ASSOCIATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 270865075 PROPERTY MANAGEMENT IA NA C Corporation false true true false false false false false true false true true true true false false true true true true GENESIS MEDICAL CENTER ALEDO A 177306 FMV GENESIS HEALTH SYSTEM WORKERS' COMPENSATION AND TRUST B 182653 FMV LARSON CENTER PARTNERSHIP J 919658 FMV GENESIS PHILANTHROPY B 50000 FMV LARSON CENTER PARTNERSHIP K 772220 FMV GENESIS HEALTH SYSTEM WORKERS' COMPENSATION AND TRUST L 607192 FMV DAVENPORT HOSPITAL AMBULANCE M 286290 FMV GENESIS HEALTH SYSTEM IOWA P 144340992 FMV GENESIS HEALTH SYSTEM IOWA Q 112750602 FMV GENESIS MEDICAL CENTER ALEDO Q 227427 FMV GENRAD ILLINOIS LLC H 152720 FMV LARSON CENTER PARTNERSHIP R 433732 FMV GENVENTURES INC S 3560832 FMV GENESIS MEDICAL CENTER ALEDO S 988465 FMV GENESIS MEDICAL CENTER ALEDO P 120666 FMV