Genesis Senior Living Aledo: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- Genesis Senior Living Aledo (EIN 45-4475803)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-11
- IRS object ID
- 202201319349305285
- Schema version
- 2020v4.0
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-11T15:34:35-05:00 | ReturnTs |
| Tax Period End | 2021-06-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2020-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454475803 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Genesis Senior Living Aledo | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GENE | BusinessNameControlTxt |
| Phone | 5634216508 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 NW 9th Street | AddressLine1Txt |
| City | Aledo | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61231 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Malas | PersonNm |
| Person Title | GHS CFO/Asst Treasurer | PersonTitleTxt |
| Signature | 2022-05-11 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | Joseph | PersonFirstNm |
| Person Last | Malas | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2020 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Final Return | Yes (X) | FinalReturnInd |
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joseph Malas | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 309 NW 9th Street | AddressLine1Txt |
| City | Aledo | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61231 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $0 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GENESISHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS SENIOR LIVING, ALEDO, EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. | ActivityOrMissionDesc |
| Contract Termination | Yes (X) | ContractTerminationInd |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 19 | TotalVolunteersCnt |
| Total Gross UBI | $0 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| CY Contributions Grants | $0 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $149 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $0 | CYProgramServiceRevenueAmt |
| PY Investment Income | $22 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| CY Other Revenue | $0 | CYOtherRevenueAmt |
| PY Total Revenue | $171 | PYTotalRevenueAmt |
| CY Total Revenue | $0 | CYTotalRevenueAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | -$8,190 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $0 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $198,444 | PYOtherExpensesAmt |
| CY Other Expenses | $0 | CYOtherExpensesAmt |
| PY Total Expenses | $190,254 | PYTotalExpensesAmt |
| CY Total Expenses | $0 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$190,083 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $0 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $1,323,286 | TotalAssetsBOYAmt |
| Total Assets EOY | $0 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $1,141,246 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $0 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $182,040 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $0 | NetAssetsOrFundBalancesEOYAmt |
| Mission | GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS SENIOR LIVING, ALEDO, EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $0 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $0 | RevenueAmt |
| Desc | GENESIS SENIOR LIVING, ALEDO (GSL ALEDO) OFFERS A WIDE RANGE OF HEALTH CARE SERVICES, FROM SHORT-TERM REHAB, RESPITE AND HOSPICE CARE, TO LONG-TERM SKILLED NURSING CARE. GSL ALEDO'S SKILLED NURSING FACILITY HOUSES 92 BEDS. REHABILITATION AND RESTORATIVE CARE IS OFFERED SEVEN DAYS A WEEK BY EVALUATING EACH RESIDENT AND DEVELOPING A THERAPY PROGRAM DESIGNED TO FIT THEIR SPECIFIC NEEDS. DIFFERENT TYPES OF OUR REHABILITATION PROGRAMS INCLUDE: STRENGTHENING EXERCISES, AMBULATION, HYDROCOLLATOR PACKS, PARAFFIN BATHS, TRANSFER TRAINING, ASSISTED DINING PROGRAMS, COMMUNICATION PROGRAMS, AND MORE. SERVICES PROVIDED IN TRANSITION CARE INCLUDE: COUNSELING SERVICES FOR RESIDENTS AND FAMILIES, ASSISTANCE WITH ADVANCED DIRECTIVES, ASSISTANCE WITH SECURING NEEDED ITEMS FOR RESIDENTS, TRANSPORTATION COORDINATION, SPECIALIZED GROUP THERAPIES, AND DISCHARGE PLANNING. GSL ALEDO PROVIDES TRANSPORTATION FOR LOCAL APPOINTMENTS AT NO CHARGE IN OUR FULLY EQUIPPED HANDICAPPED ACCESSIBLE VAN. LICENSED STAFF ACCOMMODATE THE MEDICAL NEEDS OF OUR RESIDENTS THROUGH: NURSING ASSESSMENT, PHYSICIAN REFERRAL, MEDICATION ADMINISTRATION, INTER-DEPARTMENTAL EVALUATION, AND FAMILY INPUT. GSL Aledo was sold to a third party on May 31, 2019. | Desc |
| Total Program Service Expenses | $0 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | false | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | false | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | false | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | false | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | false | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | false | OperateHospitalInd |
| Grants To Organizations | false | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | false | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | false | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | false | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | Yes (true) | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | false | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | false | UnrelatedBusIncmOverLimitInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | false | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joseph Malas | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5634216508 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1227 E RUSHOLME STREET | AddressLine1Txt |
| City | DAVENPORT | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52803 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| C DANA WATERMAN III | ||||||||||
| VICE CHAIR | 0.5 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS P CROPPER | ||||||||||
| PRESIDENT/CEO GHS | 2.5 | 59.0 | Yes (X) | Yes (X) | $0 | $948,732 | $53,480 | |||
| GREGORY J BUSH | ||||||||||
| TREASURER | 0.5 | 3.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PETER J BENSON | ||||||||||
| SECRETARY | 0.5 | 3.5 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEVEN C BAHLS | ||||||||||
| CHAIR | 1.0 | 7.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER J COX | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| DALE D ZUDE | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID C LARSON | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID HELLER | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| EDMUND P COYNE JR | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| EDWIN V MOTTO MD | ||||||||||
| DIRECTOR | 1.0 | 9.0 | Yes (X) | $0 | $0 | $0 | ||||
| G CHRISTOPHER WAHLIG | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE J KONTOS JR | ||||||||||
| FORMER DIRECTOR | 0.5 | 41.5 | Yes (X) | $0 | $502,136 | $47,432 | ||||
| KAREN FITZSIMMONS | ||||||||||
| DIRECTOR | 0.5 | 41.5 | Yes (X) | $0 | $362,427 | $52,823 | ||||
| LASHONDA POLITE | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| MARK C KILMER | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| MARK D BAWDEN | ||||||||||
| DIRECTOR | 0.5 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| MELISSA PEPPER | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICIA S GROVES | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| ROBIN PETERSEN | ||||||||||
| DIRECTOR | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| ROGER J HILL | ||||||||||
| FORMER BOARD MEMBER | 0.5 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH MALAS | ||||||||||
| VP FINANCE, INTERIM CFO | 2.0 | 38.0 | Yes (X) | $0 | $115,210 | $7,060 | ||||
| PAUL BOLLINGER | ||||||||||
| V.P. LEGAL AFFAIRS/ASST SECRETARY | 2.0 | 38.0 | Yes (X) | $0 | $351,487 | $48,528 | ||||
| KURT A ANDERSEN | ||||||||||
| VP Physician Operations/Chief Medical Officer | 2.0 | 38.0 | $0 | $668,780 | $48,117 | Yes (X) | ||||
| HEIDI S KAHLY-MCMAHON | ||||||||||
| V.P. HUMAN RESOURCES | 2.0 | 38.0 | $0 | $481,949 | $26,215 | Yes (X) | ||||
| ROBERT W FRIEDEN | ||||||||||
| V.P. INFORMATION SERVICES | 2.0 | 38.0 | $0 | $466,844 | $27,324 | Yes (X) | ||||
| HAROLD WAGHER | ||||||||||
| FORMER CHIEF COMPLIANCE RISK OFFICER | 40.0 | $0 | $259,512 | $24,996 | Yes (X) | |||||
| MARK G ROGERS | ||||||||||
| V.P. FINANCE/CFO GHS/ASST TREASURER | 2.0 | 38.0 | $0 | $804,440 | $47,313 | Yes (X) | ||||
| NIDAL HARB | ||||||||||
| FORMER CHIEF MEDICAL OFFICER | 2.0 | 38.0 | $0 | $659,050 | $26,586 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,620,567 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $409,874 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp
Contractor Name ContractorName
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Morrison Healthcare | BusinessNameLine1Txt |
Contractor Address ContractorAddress
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 5801 Peachtree Dunwoody Rd | AddressLine1Txt |
| City | Atlanta | CityNm |
| State Abbreviation | GA | StateAbbreviationCd |
| ZIP | 303421503 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Services | Nutritional Services | ServicesDesc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Total Contributions | $0 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | NURSING SERVICES | Desc |
| Business | 623000 | BusinessCd |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $0 | TotalProgramServiceRevenueAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $0 | OtherAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $0 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (2 entries)
| DescDesc |
|---|
| FOOD, BEVERAGE, AND OTHER |
| Subscriptions and Licenses |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,416 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,247,870 | BOYAmt |
| EOY | $0 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $0 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $0 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,323,286 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,141,246 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,141,246 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,040 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $182,040 | BOYAmt |
| EOY | $0 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,323,286 | BOYAmt |
| EOY | $0 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $0 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$182,040 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
Other Liabilities Org OtherLiabilitiesOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | DEFERRED EXPENSE CREDIT - LONG TERM | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $0 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | FormAndLineReferenceDesc |
| Explanation | Uncertainty in income taxes: GHS Iowa, GHS Illinois, GSL - Aledo, 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, GSL - Aledo, 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, 2021 and 2020. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | false | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (10 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS P CROPPER | ||||||||||||||
| PRESIDENT/CEO GHS | $0 | $942,542 | $0 | $0 | $0 | $6,190 | $0 | $25,991 | $0 | $27,489 | $0 | $1,002,212 | $0 | $0 |
| GEORGE J KONTOS JR | ||||||||||||||
| FORMER DIRECTOR | $0 | $495,183 | $0 | $0 | $0 | $6,953 | $0 | $25,510 | $0 | $21,922 | $0 | $549,568 | $0 | $0 |
| KAREN FITZSIMMONS | ||||||||||||||
| DIRECTOR | $0 | $360,284 | $0 | $0 | $0 | $2,143 | $0 | $25,917 | $0 | $26,906 | $0 | $415,250 | $0 | $0 |
| MARK G ROGERS | ||||||||||||||
| V.P. FINANCE/CFO GHS/ASST TREASURER | $0 | $470,874 | $0 | $0 | $0 | $333,566 | $0 | $24,144 | $0 | $23,169 | $0 | $851,753 | $0 | $0 |
| HAROLD WAGHER | ||||||||||||||
| FORMER CHIEF COMPLIANCE RISK OFFICER | $0 | $226,483 | $0 | $0 | $0 | $33,029 | $0 | $5,301 | $0 | $19,695 | $0 | $284,508 | $0 | $0 |
| PAUL BOLLINGER | ||||||||||||||
| V.P. LEGAL AFFAIRS/ASST SECRETARY | $0 | $291,756 | $0 | $0 | $0 | $59,731 | $0 | $24,315 | $0 | $24,213 | $0 | $400,015 | $0 | $0 |
| NIDAL HARB | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER | $0 | $387,395 | $0 | $0 | $0 | $271,655 | $0 | $22,992 | $0 | $3,594 | $0 | $685,636 | $0 | $0 |
| KURT A ANDERSEN | ||||||||||||||
| VP Physician Operations/Chief Medical Officer | $0 | $513,463 | $0 | $0 | $0 | $155,317 | $0 | $25,987 | $0 | $22,130 | $0 | $716,897 | $0 | $0 |
| ROBERT W FRIEDEN | ||||||||||||||
| V.P. INFORMATION SERVICES | $0 | $356,908 | $0 | $0 | $0 | $109,936 | $0 | $4,485 | $0 | $22,839 | $0 | $494,168 | $0 | $0 |
| HEIDI S KAHLY-MCMAHON | ||||||||||||||
| V.P. HUMAN RESOURCES | $0 | $296,138 | $0 | $0 | $0 | $185,811 | $0 | $3,150 | $0 | $23,065 | $0 | $508,164 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part I, Line 3 | Genesis Senior Living, Aledo 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 | Dougals 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 Senior Living Aledo. |
| Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan | The following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2020 sponsored by Genesis health System (GHS IA), a related organization: Kurt Andrersen- $78,757, Robert W. Frieden- $67,306, Heidi S. Kahly-McMahon- $53,490, Paul Bollinger- $40,882, and Nidal Harb-$87,136. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2020. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. The following individual participated in a supplemental executive retirement savings benefit plan in 2020 sponsored by Genesis health System (GHS IA), a related organization: Mark G. Rogers- $148,668. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2020. 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 2020. |
Schedule N IRS990ScheduleN
| Field | Value | IRS element (for citing) |
|---|---|---|
| Director Of Successor | false | DirectorOfSuccessorInd |
| Employee Of Successor | false | EmployeeOfSuccessorInd |
| Owner Of Successor | false | OwnerOfSuccessorInd |
| Receive Compensation | false | ReceiveCompensationInd |
| Assets Distributed | Yes (true) | AssetsDistributedInd |
| Required To Notify AG | Yes (true) | RequiredToNotifyAGInd |
| Attorney General Notified | Yes (true) | AttorneyGeneralNotifiedInd |
| Liabilities Paid | Yes (true) | LiabilitiesPaidInd |
| Bonds Outstanding | false | BondsOutstandingInd |
Disposition Of Assets Detail DispositionOfAssetsDetail (5 entries)
| Assets Distri Or Expnss PaidAssetsDistriOrExpnssPaidDesc | DistributionDistributionDt | Fair Market Value Of AssetFairMarketValueOfAssetAmt | Method Of FMV DeterminationMethodOfFMVDeterminationTxt | EINEIN | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | IRC SectionIRCSectionTxt |
|---|---|---|---|---|---|---|---|---|---|
| Stern Therapy Consultants | |||||||||
| LAND | 2019-05-31 | $105,000 | BOOK VALUE | 834709909 | 7B Medical Park Drive | Pomona | NY | 10970 | LLC |
| Stern Therapy Consultants | |||||||||
| Building | 2019-05-31 | $364,534 | Book Value | 834709909 | 7B Medical Park Drive | Pomona | NY | 10970 | LLC |
| Stern Therapy Consultants | |||||||||
| Equipment | 2019-05-31 | $529,968 | Book Value | 837409909 | 7B Medical Park Drive | Pomona | NY | 10970 | LLC |
| Stern Therapy Consultants | |||||||||
| CIP | 2019-05-31 | $78,051 | Book Value | 834709909 | 7B Medical Park Drive | Pomona | NY | 10970 | LLC |
| Stern Therapy Consultants | |||||||||
| Building/Land Improvements | 2019-05-31 | $1,460,686 | Book Value | 834709909 | 7B Medical Park Drive | Pomona | NY | 10970 | LLC |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (10 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Line 1b | The following Genesis Senior Living, Aledo directors are not independent due to transactions disclosed of form 990, Schedule L of Genesis Health System (GHS, Iowa), Genesis Health System (GHS IL), and Genesis Medical Center Aledo, related tax-exempt organizations: Steven C. Bahls, Peter J. Benson, Edmund P. Coyne, Jr. M.D., David Heller, Mark C. Kilmer, Edwin V. Motto, M.D., Dale Zude, and C.Dana Waterman III. |
| Form 990, Part VI, Line 6 Classes of members or stockholders | THE SOLE MEMBER OF GENESIS SENIOR LIVING, ALEDO IS GENESIS HEALTH SYSTEM (GHS ILLINOIS), AN ILLINOIS NONPROFIT CORPORATION. |
| Form 990, Part VI, Line 7a Members or stockholders electing members of governing body | AS THE SOLE MEMBER OF GENESIS SENIOR LIVING, ALEDO (CORPORATION), GENESIS HEALTH SYSTEM (GHS ILLINOIS) HAS THE POWER: 1) TO DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION AND TO ELECT, APPOINT, REMOVE OR FILL THE VACANCIES OF THE BOARD MEMBERS; 2) TO PRESENT AT ANY REGULAR OR SPECIAL BOARD MEETING I) AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, II) A PLAN OF MERGER OR CONSOLIDATION BY THE CORPORATION INTO OR WITH ANY OTHER CORPORATION, III) A PROPOSAL FOR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE CORPORATION'S ASSETS, AND IV) A PROPOSAL FOR DISSOLUTION OF THE CORPORATION AND PLAN OF DISTRIBUTION; 3) TO ESTABLISH SYSTEM WIDE POLICIES AND PROCEDURES REGARDING QUALITY OF CARE, FINANCE, UTILIZATION OF RESOURCES, MANAGED CARE CONTRACTING, STRATEGIC PLANNING, AND EMPLOYEE BENEFITS; 4) TO ASSESS THE CORPORATION EXPENSES OF THE MEMBER ATTRIBUTABLE TO THE CORPORATION AND AFFILIATES AND TO ASSESS TO THE CORPORATION ITS SHARE OF GENERAL OVERHEAD OF THE MEMBER; AND 5) TO DIRECT THE CORPORATION TO TRANSFER FUNDS TO THE MEMBER FOR THE DEVELOPMENT OF SYSTEM WIDE PROJECTS. |
| 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. Internal management review is also completed of the compiled information and is provided to Executive management; including, but not limited to the vice president, finance/CFO; vice president, legal affairs; and chief compliance risk officer of the organization's corporate member. Suggested changes from all of the reviews are considered for inclusion in the final form 990 submitted to the IRS. |
| 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 Senior Living Aledo, 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 Genesis Senior Living, 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 Senior Living, Aledo (GSL, Aledo) 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 GSL, Aledo 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 GSL, Aledo board of directors, the base compensation of each executive employed by GSL, Aledo, at appropriate times. The GSL, Aledo board of directors shall establish and adjust, within the range approved by the compensation committee, the base compensation for the CEO of GSL, Aledo, 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 Health System (GHS Illinois), Genesis Medical Center, Aledo, Genesis Health Services Foundation, Genesis Health Systems Workers' Compensation Plan and Trust, Genventures, Inc., and Genesis Philanthropy are related organizations of Genesis Senior Living, Aledo. The amounts reported as reportable compensation for the officer, 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 amount each organization. All reportable compensation, unless otherwise noted in Part VII, is paid by GHS Iowa. |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Equity Transfer to GHS Iowa - -182040; |
| Form 990, Part XII, Line 2c | The oversight and selection process has not changed from prior tax year. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GENESIS HEALTH SYSTEM (GHS ILLINOIS) | ||||||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363616314 | HEALTHCARE | IL | 501(c)(3) | 3 | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (true) |
| GENESIS HEALTH SYSTEM (GHS IOWA) | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421418847 | HEALTHCARE | IA | 501(c)(3) | 3 | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | Yes (true) |
| GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 391905171 | EMPLOYEE/BENEFIT/TRUST | IA | 501(c)(3) | Type I | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (true) |
| DAVENPORT HOSPITAL AMBULANCE CORPORATION | ||||||||||
| 1204 E HIGH STREET | DAVENPORT | IA | 52803 | 421186903 | AMBULANCE TRANSFERS | IA | 501(c)(3) | Type I | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (true) |
| GENESIS MEDICAL CENTER ALEDO | ||||||||||
| 409 NW 9TH AVENUE | ALEDO | IL | 61231 | 454475683 | HEALTHCARE | IL | 501(c)(3) | 3 | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | Yes (true) |
| GENESIS HEALTH SERVICES FOUNDATION | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421421670 | CHARITY | IA | 501(c)(3) | 7 | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (true) |
| GENESIS PHILANTHROPY | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 462452851 | CHARITY | IA | 501(c)(3) | 10 | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt |
|---|---|---|---|---|---|---|---|---|
| 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 | ||||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363738454 | PROPERTY MANAGEMENT | IL | NA | N/A |
| GENORTHO LLC | ||||||||
| 2300 53RD AVENUE | BETTENDORF | IA | 52722 | 203406994 | ORTHOPAEDIC SURGERY CENTER | IA | 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 | 462452851 | DIAGNOSTIC IMAGING CENTER | IL | NA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|
| 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 | NA | C Corporation | false | CJ | |||||
| MOB 1 OWNERS' ASSOCIATION | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 270865075 | PROPERTY MANAGEMENT | IA | NA | C Corporation | false | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | false | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | false | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | false | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | false | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp
Other Organization Name OtherOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HEALTH SYSTEM IOWA | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | S | TransactionTypeTxt |
| Involved | $182,040 | InvolvedAmt |
| Method Of Amount Determination | fmv | MethodOfAmountDeterminationTxt |