GENESIS HEALTH SYSTEM: Form 990, tax year 2020
View the entire original 990 at ProPublica ↗
- Organization
- GENESIS HEALTH SYSTEM (EIN 42-1418847)
- Tax period
- 2020-07-01 to 2021-06-30
- Filed
- 2022-05-11
- IRS object ID
- 202221319349305067
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule F
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2022-05-11T15:31:17-05:00 | 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 | 421418847 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Genesis Health System | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GENE | BusinessNameControlTxt |
| Phone | 5634216508 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1227 E Rusholme Street | AddressLine1Txt |
| City | Davenport | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52803 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph Malas | PersonNm |
| Person Title | GHS CFO & Asst.Treasurer | PersonTitleTxt |
| 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
Principal Ofcr Business Name PrincipalOfcrBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joseph Malas | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1227 E Rusholme Street | AddressLine1Txt |
| City | Davenport | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $1,026,143,853 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GENESISHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1994 | FormationYr |
| Legal Domicile State | IA | LegalDomicileStateCd |
| Activity Or Mission | GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 4518 | TotalEmployeeCnt |
| Total Volunteers | 96 | TotalVolunteersCnt |
| Total Gross UBI | $1,557,925 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $715,154 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $15,247,216 | PYContributionsGrantsAmt |
| CY Contributions Grants | $20,199,597 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $487,154,036 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $514,503,461 | CYProgramServiceRevenueAmt |
| PY Investment Income | $31,985,953 | PYInvestmentIncomeAmt |
| CY Investment Income | $19,737,711 | CYInvestmentIncomeAmt |
| PY Other Revenue | $432,825 | PYOtherRevenueAmt |
| CY Other Revenue | $2,478,783 | CYOtherRevenueAmt |
| PY Total Revenue | $534,820,030 | PYTotalRevenueAmt |
| CY Total Revenue | $556,919,552 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $2,426,026 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $1,438,037 | CYGrantsAndSimilarPaidAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $265,390,518 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $248,307,255 | CYSalariesCompEmpBnftPaidAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $258,974,729 | PYOtherExpensesAmt |
| CY Other Expenses | $280,609,596 | CYOtherExpensesAmt |
| PY Total Expenses | $526,791,273 | PYTotalExpensesAmt |
| CY Total Expenses | $530,354,888 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $8,028,757 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $26,564,664 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $929,416,357 | TotalAssetsBOYAmt |
| Total Assets EOY | $1,001,993,046 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $353,037,374 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $343,934,036 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $576,378,983 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $658,059,010 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $274,060,784 | ExpenseAmt |
| Grant | $1,438,037 | GrantAmt |
| Revenue | $410,379,160 | RevenueAmt |
| Desc | GENESIS HEALTH SYSTEM (GHS IOWA) IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA CONSISTING OF THREE HOSPITAL FACILITIES, TWO IN DAVENPORT AND ONE IN DEWITT, IOWA. GENESIS MEDICAL CENTER - DAVENPORT, CONTAINING 502 LICENSED ACUTE CARE BEDS. STATISTICS INCLUDE 71,003 PATIENT DAYS AND 218,584 OUTPATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS. STATISTICS INCLUDE 1,384 PATIENT DAYS AND 24,318 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $100,340,703 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $69,231,083 | RevenueAmt |
| Desc | GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES A WIDE VARIETY OF SPECIALTIES AND FAMILY PRACTICE GROUPS SERVING IOWA, ILLINOIS AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND WESTERN ILLINOIS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $23,425,519 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $26,942,212 | RevenueAmt |
| Desc | GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES HOME HEALTH SERVICES (INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING, MEDICAL SOCIAL WORKER VISITS), COMMUNITY HOSPICE SERVICES, AND THE CLARISSA C. COOK HOSPICE HOUSE LOCATED IN BETTENDORF, IOWA. STATISTICS INCLUDE 110,535 HOME HEALTH SERVICE UNITS AND 53,317 HOSPICE/HOSPICE HOUSE DAYS. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $4,682,843 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $7,951,006 | RevenueAmt |
| Desc | 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. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $4,682,843 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $7,951,006 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $402,509,849 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | Yes (true) | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (true) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (true) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | Yes (true) | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | Yes (true) | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | Yes (true) | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | Yes (true) | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 222 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 4518 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | Yes (true) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | Yes (true) | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | false | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 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 | false | MembersOrStockholdersInd |
| Election Of Board Members | false | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | false | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | Yes (true) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | Yes (true) | WrittenPolicyOrProcedureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joseph Malas | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5634216508 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1227 E RUSHOLME | AddressLine1Txt |
| City | DAVENPORT | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 528032498 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 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 | 2.5 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| DOUGLAS P CROPPER | ||||||||||
| PRESIDENT/CEO GHS | 50.0 | 11.5 | Yes (X) | Yes (X) | $948,732 | $0 | $53,480 | |||
| GREGORY J BUSH | ||||||||||
| TREASURER | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| PETER J BENSON | ||||||||||
| SECRETARY | 2.0 | 2.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| STEVEN C BAHLS | ||||||||||
| CHAIR | 4.0 | 4.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER J COX | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DALE D ZUDE | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID C LARSON | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| DAVID HELLER | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| EDMUND P COYNE JR | ||||||||||
| Director | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| EDWIN V MOTTO MD | ||||||||||
| DIRECTOR | 5.0 | 5.0 | Yes (X) | $0 | $0 | $0 | ||||
| G CHRISTOPHER WAHLIG | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE J KONTOS JR | ||||||||||
| Former Director | 40.0 | 2.0 | Yes (X) | $502,136 | $0 | $47,432 | ||||
| KAREN FITZSIMMONS | ||||||||||
| DIRECTOR | 40.0 | 2.0 | Yes (X) | $362,427 | $0 | $52,823 | ||||
| LASHONDA POLITE | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARK C KILMER | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARK D BAWDEN | ||||||||||
| DIRECTOR | 2.0 | 3.5 | Yes (X) | $0 | $0 | $0 | ||||
| MELISSA PEPPER | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| PATRICIA S GROVES | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROBIN PETERSEN | ||||||||||
| DIRECTOR | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| ROGER J HILL | ||||||||||
| FORMER BOARD MEMBER | 2.0 | 2.0 | Yes (X) | $0 | $0 | $0 | ||||
| JOSEPH MALAS | ||||||||||
| VP FINANCE, INTERIM CFO | 30.0 | 10.0 | Yes (X) | $115,210 | $0 | $7,060 | ||||
| PAUL BOLLINGER | ||||||||||
| V.P. LEGAL AFFAIRS/Asst. Secretary | 30.0 | 10.0 | Yes (X) | $351,487 | $0 | $48,528 | ||||
| JORDAN VOIGT | ||||||||||
| HOSPITAL PRESIDENT GMC DAVENPORT | 40.0 | 0 | $626,282 | $0 | $48,158 | Yes (X) | ||||
| KURT A ANDERSEN | ||||||||||
| VP Physician Operations/Chief Medical Officer | 32.0 | 8.0 | $668,780 | $0 | $48,117 | Yes (X) | ||||
| ANDREW ANDRESEN | ||||||||||
| VP MEDICAL STAFF AFFAIRS | 40.0 | 0 | $507,607 | $0 | $22,568 | Yes (X) | ||||
| GAUTAM KUKREJA | ||||||||||
| PHYSICIAN | 40.0 | 0 | $499,572 | $0 | $49,025 | Yes (X) | ||||
| IURIE CARAMAN | ||||||||||
| PHYSICIAN | 40.0 | 0 | $572,378 | $0 | $26,836 | Yes (X) | ||||
| NAMRATA MALLIK | ||||||||||
| PHYSICIAN | 40.0 | 0 | $530,636 | $0 | $8,233 | Yes (X) | ||||
| TODD GRAY | ||||||||||
| PHYSICIAN ADVISOR | 40.0 | 0 | $517,552 | $0 | $19,791 | Yes (X) | ||||
| CHRISTOPHER CROME | ||||||||||
| FORMER PHYSICIAN/DIVISION CHAIR | 40.0 | 0 | $481,907 | $0 | $22,233 | Yes (X) | ||||
| HAROLD WAGHER | ||||||||||
| FORMER CHIEF COMPLIANCE RISK OFFICER | 40.0 | 0 | $259,512 | $0 | $24,996 | Yes (X) | ||||
| MARK G ROGERS | ||||||||||
| V.P. FINANCE/CFO/ASST TREASURER | 30.0 | 10.0 | $804,440 | $0 | $47,313 | Yes (X) | ||||
| NIDAL HARB | ||||||||||
| FORMER CHIEF MEDICAL OFFICER | 32.0 | 8.0 | $659,050 | $0 | $26,586 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $8,407,708 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $553,179 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 286 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt | Address Line2ContractorAddress/USAddress/AddressLine2Txt |
|---|---|---|---|---|---|---|
| Cerner Corporation | ||||||
| PO Box 959156 | St Louis | MO | 931959156 | Information Technology Services | $17,781,559 | |
| Crothall Healthcare Inc | ||||||
| 1500 Liberty Ridge Drive | Wayne | PA | 19087 | Maintenance/Enviromental Services | $6,218,198 | |
| H R Accounts Inc | ||||||
| PO Box 672 | Moline | IL | 612660672 | Collection Services | $3,026,208 | 5320 22nd Avenue |
| Renovo Solutions LLC | ||||||
| 4 Executive Circle | Irvine | CA | 92614 | Maintenance Management Services for Medical Equipment | $2,382,253 | Suite 185 |
| Morrison Healthcare | ||||||
| PO Box 102289 | Atlanta | GA | 30368 | Food Management Services | $2,197,646 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 90 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,014,226 | RelatedOrganizationsAmt |
| Government Grants | $16,797,775 | GovernmentGrantsAmt |
| All Other Contributions | $2,387,596 | AllOtherContributionsAmt |
| Noncash Contributions | $27,053 | NoncashContributionsAmt |
| Total Contributions | $20,199,597 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OUTPATIENT REVENUE | 621400 | $761,521,103 | $761,521,103 | |
| INPATIENT REVENUE | 900099 | $534,809,574 | $534,809,574 | |
| CLINIC/NURSING REVENUE | 621400 | $135,909,569 | $135,909,569 | |
| HOME HEALTH SERVICES | 621400 | $30,365,726 | $30,365,726 | |
| PROFESSIONAL HEALTH SERVICES | 621400 | $16,191,070 | $14,633,145 | $1,557,925 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$964,293,581 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$964,293,581 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $514,503,461 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $8,961,025 | TotalRevenueColumnAmt |
| Exclusion | $8,961,025 | ExclusionAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
| Personal | $0 | PersonalAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $479,092,813 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $468,316,127 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $0 | SecuritiesAmt |
| Other | $10,776,686 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,776,686 | TotalRevenueColumnAmt |
| Exclusion | $10,776,686 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $2,112,941 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $908,174 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,204,767 | TotalRevenueColumnAmt |
| Exclusion | $1,204,767 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| VENDOR REBATES | 900099 | $490,414 | $490,414 |
| NUTRITIONAL SERVICES | 900099 | $68,933 | $68,933 |
| AMBULANCE | 900099 | $58,487 | $58,487 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $656,182 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $656,182 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $0 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,274,016 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $556,919,552 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $514,219,552 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,557,925 | UnrelatedBusinessRevenueAmt |
| Exclusion | $20,942,478 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,430,674 | TotalAmt |
| Program Services | $1,430,674 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,363 | TotalAmt |
| Program Services | $7,363 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,656,644 | TotalAmt |
| Program Services | $415,250 | ProgramServicesAmt |
| Management And General | $2,241,394 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $41,329 | TotalAmt |
| Program Services | $41,329 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $214,327,490 | TotalAmt |
| Program Services | $178,010,737 | ProgramServicesAmt |
| Management And General | $36,316,753 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,907,815 | TotalAmt |
| Program Services | $1,490,237 | ProgramServicesAmt |
| Management And General | $417,578 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $15,031,699 | TotalAmt |
| Program Services | $11,371,493 | ProgramServicesAmt |
| Management And General | $3,660,206 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,342,278 | TotalAmt |
| Program Services | $11,724,006 | ProgramServicesAmt |
| Management And General | $2,618,272 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,058,318 | TotalAmt |
| Program Services | $720,886 | ProgramServicesAmt |
| Management And General | $1,337,432 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $576,194 | TotalAmt |
| Management And General | $576,194 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $288,996 | TotalAmt |
| Management And General | $288,996 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $84,523 | TotalAmt |
| Management And General | $84,523 | ManagementAndGeneralAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,031,841 | TotalAmt |
| Management And General | $1,031,841 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $71,743,349 | TotalAmt |
| Program Services | $48,624,053 | ProgramServicesAmt |
| Management And General | $23,119,296 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $770,004 | TotalAmt |
| Program Services | $114,817 | ProgramServicesAmt |
| Management And General | $655,187 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,867,111 | TotalAmt |
| Program Services | $4,073,349 | ProgramServicesAmt |
| Management And General | $3,793,762 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,601,619 | TotalAmt |
| Management And General | $2,601,619 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,801,333 | TotalAmt |
| Program Services | $16,496,823 | ProgramServicesAmt |
| Management And General | $4,304,510 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,039,917 | TotalAmt |
| Program Services | $777,515 | ProgramServicesAmt |
| Management And General | $262,402 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $375,073 | TotalAmt |
| Program Services | $295,556 | ProgramServicesAmt |
| Management And General | $79,517 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,772,948 | TotalAmt |
| Program Services | $6,772,948 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,548,726 | TotalAmt |
| Program Services | $23,176,726 | ProgramServicesAmt |
| Management And General | $14,372,000 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,810,104 | TotalAmt |
| Program Services | $294,902 | ProgramServicesAmt |
| Management And General | $1,515,202 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FEDERAL AND STATE INCOME TAX | $114,186 | $114,186 | |
| MEDICAL AND PHARMACEUTICAL | $52,412,071 | $52,295,600 | $116,471 |
| PATIENT SUPPLY COST OF | $46,947,988 | $46,947,988 | |
| PHYSICIAN PRACTIVE OVERHEAD | $17,112,975 | $17,112,975 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,652,320 | TotalAmt |
| Program Services | $1,970,332 | ProgramServicesAmt |
| Management And General | $6,681,988 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $530,354,888 | TotalAmt |
| Program Services | $407,166,770 | ProgramServicesAmt |
| Management And General | $123,188,118 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $21,478,246 | BOYAmt |
| EOY | $19,449,361 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,881,971 | BOYAmt |
| EOY | $77,014,637 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $86,436,500 | BOYAmt |
| EOY | $95,752,065 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,502,217 | BOYAmt |
| EOY | $13,003,744 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,799,634 | BOYAmt |
| EOY | $13,539,062 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,461,008 | BOYAmt |
| EOY | $8,786,434 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $891,267,176 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $613,970,992 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $297,699,425 | BOYAmt |
| EOY | $277,296,184 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $282,459,886 | BOYAmt |
| EOY | $336,365,156 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $68,796,987 | BOYAmt |
| EOY | $80,607,365 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $506,348 | BOYAmt |
| EOY | $506,348 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $72,394,135 | BOYAmt |
| EOY | $79,672,690 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $929,416,357 | BOYAmt |
| EOY | $1,001,993,046 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,797,513 | BOYAmt |
| EOY | $81,348,206 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,360,794 | BOYAmt |
| EOY | $76,003 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $154,170,709 | BOYAmt |
| EOY | $145,538,828 | 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 | $115,708,358 | BOYAmt |
| EOY | $116,970,999 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $353,037,374 | BOYAmt |
| EOY | $343,934,036 | 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 | $560,274,455 | BOYAmt |
| EOY | $638,015,585 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $16,104,528 | BOYAmt |
| EOY | $20,043,425 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $576,378,983 | BOYAmt |
| EOY | $658,059,010 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $929,416,357 | BOYAmt |
| EOY | $1,001,993,046 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $26,564,664 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $40,867,056 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $14,248,307 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | Yes (true) | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | Yes (true) | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (true) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $5,119 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $79,404 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $84,523 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY | FormAndLineReferenceDesc |
| Explanation | Part II-B, Line 1b. PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS Iowa) HAD ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. Part II-B, Line 1d. MAILINGS TO MEMBERS, LEGISLATURES, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM ( GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GENESIS HEALTH SYSTEM (GHS IOWA) REGARDING THIS ACTIVITY. Part II-B, Line 1g. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD ONESTAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS RELATED TO THEIR LOBBYING ACTIVITIES INCLUDED: SALARIES- $5,119. Part II-B, Line 1i. OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2021, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM EIDE & HEISINGER, LLC AT A COST OF $12,500. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED; 17.80% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $22,659, 25.56% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $15,497, 60% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $7,490, AND VARIOUS OTHER ASSOCIATIONS- $21,258. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $16,641,933 | BeginningYearBalanceAmt |
| Contributions | $455,141 | ContributionsAmt |
| Investment Earnings Or Losses | $3,878,888 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| Other Expenditures | $684,952 | OtherExpendituresAmt |
| Administrative Expenses | $134,109 | AdministrativeExpensesAmt |
| End Year Balance | $20,151,901 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $15,498,706 | BeginningYearBalanceAmt |
| Contributions | $528,855 | ContributionsAmt |
| Investment Earnings Or Losses | $708,244 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $88,872 | AdministrativeExpensesAmt |
| End Year Balance | $16,641,933 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $14,081,104 | BeginningYearBalanceAmt |
| Contributions | $937,158 | ContributionsAmt |
| Investment Earnings Or Losses | $562,187 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $76,743 | AdministrativeExpensesAmt |
| End Year Balance | $15,498,706 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $13,249,656 | BeginningYearBalanceAmt |
| Contributions | $166,432 | ContributionsAmt |
| Investment Earnings Or Losses | $739,721 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $69,705 | AdministrativeExpensesAmt |
| End Year Balance | $14,081,104 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $12,080,730 | BeginningYearBalanceAmt |
| Contributions | $191,448 | ContributionsAmt |
| Investment Earnings Or Losses | $1,042,683 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $5,000 | GrantsOrScholarshipsAmt |
| Administrative Expenses | $60,205 | AdministrativeExpensesAmt |
| End Year Balance | $13,249,656 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.307 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.693 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.0 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $12,989,630 | OtherCostOrOtherBasisAmt |
| Book Value | $12,989,630 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $398,826,959 | OtherCostOrOtherBasisAmt |
| Depreciation | $213,427,732 | DepreciationAmt |
| Book Value | $185,399,227 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $30,457,371 | OtherCostOrOtherBasisAmt |
| Depreciation | $22,919,163 | DepreciationAmt |
| Book Value | $7,538,208 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $419,935,943 | OtherCostOrOtherBasisAmt |
| Depreciation | $368,858,221 | DepreciationAmt |
| Book Value | $51,077,722 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $29,057,273 | OtherCostOrOtherBasisAmt |
| Depreciation | $8,765,876 | DepreciationAmt |
| Book Value | $20,291,397 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $277,296,184 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (13 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN GENVENTURES, INC | $27,926,652 | C |
| INVESTMENT IN MISERICORDIA ASSURANCE, LTD. | $120,000 | C |
| INVESTMENT IN HEI COOP | $8,406,998 | C |
| INVESTMENT IN SPRING PARK SURGERY CENTER, LLC | $3,279,237 | C |
| INVESTMENT IN GENGASTRO, LLC | $27,922,162 | C |
| INVESTMENT IN GENORTHO, LLC | $2,619,873 | C |
| INVESTMENT IN GENRAD IMAGING, LLC | $2,943,082 | C |
| OTHER INVESTMENTS - GMC | $28,655 | C |
| INVESTMENT IN UNIVERSITY OF IOWA HEALTH ALLIANCE, LLC | ||
| INVESTMENT IN DAVITA DIALYSIS, LLC | $2,572,298 | C |
| INVESTMENT IN WELLMARK | $901,046 | C |
| Investment in Wellspire, LLC | $3,218,835 | C |
| Investment in Premier Healthcare | $668,527 | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $80,607,365 | TotalBookValueSecuritiesAmt |
Other Assets Org OtherAssetsOrgGrp (7 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Interest in Net Assets of Foundation | $18,373,904 |
| Deferred Compensation Annuity | $28,205,014 |
| Cash surrender Value of Life Insurance | $8,932,388 |
| Goodwill & Covenant Not to Compete | $820,444 |
| Sercurity Escrow and Other Assets | $425,449 |
| Interest Receivable | $277,076 |
| Lease Right of Use Assets | $22,638,415 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $79,672,690 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| Right of Use Liability | $19,262,718 |
| ACCRUED INS TRUST LOSSES | $1,296,285 |
| NONQUALIFIED PENSION LIABILITY | $28,205,014 |
| Medicare Advanced Funds | $64,508,802 |
| Estimated Third Party Payor Settlements | $769,139 |
| GHS FICA Payable - CARES Act LT Portion | $2,929,041 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $116,970,999 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule D, Part V, Line 4 Intended uses of endowment funds | GENESIS HEALTH SERVICES FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS ARE AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT, EMPLOYEE EMERGENCY ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, DIALYSIS CARE, AND BREAST HEALTH SERVICES. |
| Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote | Uncertainty in income taxes: GHS Iowa, GHS Illinois, 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. |
Schedule F IRS990ScheduleF
Account Activities Outside US AccountActivitiesOutsideUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Region | Central America and the Caribbean | RegionTxt |
| Offices | 0 | OfficesCnt |
| Employee | 0 | EmployeeCnt |
| Type Of Activities Conducted | Investments | TypeOfActivitiesConductedTxt |
| Region Total Expenditures | $0 | RegionTotalExpendituresAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Subtotal Offices | 0 | SubtotalOfficesCnt |
| Subtotal Employees | 0 | SubtotalEmployeesCnt |
| Continuation Total Office | 0 | ContinuationTotalOfficeCnt |
| Continuation Total Employee | 0 | ContinuationTotalEmployeeCnt |
| Total Office | 0 | TotalOfficeCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Subtotal Spent | $0 | SubtotalSpentAmt |
| Continuation Spent | $0 | ContinuationSpentAmt |
| Total Spent | $0 | TotalSpentAmt |
| Transfer To Foreign Corp | Yes (true) | TransferToForeignCorpInd |
| Interest In Foreign Trust | false | InterestInForeignTrustInd |
| Foreign Corp Ownership | Yes (true) | ForeignCorpOwnershipInd |
| Passive Foreign Investmest Co | false | PassiveForeignInvestmestCoInd |
| Foreign Partnership | false | ForeignPartnershipInd |
| Boycott Countries | false | BoycottCountriesInd |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,085,925 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,085,925 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0058 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $81,005,425 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,829,877 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $20,175,548 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0380 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $84,091,350 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $60,829,877 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $23,261,473 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0439 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $919,154 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $919,154 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0017 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,117,874 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,908,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,209,214 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0023 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,287,297 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,746,779 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,540,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0029 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $302,110 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $302,110 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0006 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $7,626,435 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,655,439 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $3,970,996 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0075 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $91,717,785 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $64,485,316 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,232,469 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0513 | TotalExpensePct |
Physical Imprv And Housing PhysicalImprvAndHousingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Environmental Improvements EnvironmentalImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Leadership Development LeadershipDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Other Communtity Building Acty OtherCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 0 | ActivitiesOrProgramsCnt |
| Persons Served | 0 | PersonsServedCnt |
| Total Community Benefit Expns | $0 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.0 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (true) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $12,243,326 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $115,425,540 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $117,124,439 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,698,899 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| GENGASTRO LLC | |||
| AMBULATORY SURGERY CENTER | 0.9 | 0.0 | 0.1 |
| GENORTHO LLC | |||
| ORTHOPAEDIC SURGERY CENTER | 0.4 | 0.0 | 0.6 |
| SPRING PARK SURGERY CENTER LLC | |||
| OUTPATIENT SURGICAL CENTER | 0.4 | 0.0 | 0.6 |
| GENRAD IMAGING LLC | |||
| DIAGNOSTIC IMAGING CENTER | 0.5 | 0.0 | 0.5 |
| DAVITA DIALYSIS LLC | |||
| OUTPATIENT DIALYSIS CENTER | 0.2 | 0.0 | 0.8 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 2 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp (2 entries)
| FacilityFacilityNum | Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Website AddressWebsiteAddressTxt | State LicenseStateLicenseNum | Licensed HospitalLicensedHospitalInd | General Medical And SurgicalGeneralMedicalAndSurgicalInd | Emergency Room24 HrsEmergencyRoom24HrsInd | Critical Access HospitalCriticalAccessHospitalInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GENESIS MEDICAL CENTER - DAVENPORT | ||||||||||
| 2 | 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 820011H | WWW.GENESISHEALTH.COM | Yes (X) | Yes (X) | Yes (X) | |
| GENESIS MEDICAL CENTER - DEWITT | ||||||||||
| 1 | 1118 11TH STREET | DEWITT | IA | 52742 | WWW.GENESISHEALTH.COM | 230149H | Yes (X) | Yes (X) | Yes (X) | Yes (X) |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)
| FacilityFacilityNum | First Licensed CY Or PYFirstLicensedCYOrPYInd | Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd | CHNA ConductedCHNAConductedInd | Community DefinitionCommunityDefinitionInd | Community DemographicsCommunityDemographicsInd | Existing ResourcesExistingResourcesInd | How Data ObtainedHowDataObtainedInd | Community Health NeedsCommunityHealthNeedsInd | Other Health IssuesOtherHealthIssuesInd | Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd | Consulting ProcessConsultingProcessInd | CHNA ConductedCHNAConductedYr | Take Into Account Others InputTakeIntoAccountOthersInputInd | CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd | CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd | CHNA Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Paper Copy Public InspectionPaperCopyPublicInspectionInd | Implementation Strategy AdoptImplementationStrategyAdoptInd | Implementation Strategy AdptImplementationStrategyAdptYr | Strategy Posted WebsiteStrategyPostedWebsiteInd | Strategy Website URLStrategyWebsiteURLTxt | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Asset Level CriteriaAssetLevelCriteriaInd | Medical Indigency CriteriaMedicalIndigencyCriteriaInd | Insurance Status CriteriaInsuranceStatusCriteriaInd | Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd | Explained BasisExplainedBasisInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Described InfoDescribedInfoInd | Described Suprt DocDescribedSuprtDocInd | Provided Hospital ContactProvidedHospitalContactInd | Provided Nonprofit ContactProvidedNonprofitContactInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | FAP Available On WebsiteFAPAvailableOnWebsiteInd | FAP Available On Website URLFAPAvailableOnWebsiteURLTxt | FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd | FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt | FAP Summary On WebsiteFAPSummaryOnWebsiteInd | FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt | FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd | FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd | FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd | Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd | FAP TranslatedFAPTranslatedInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Permit No ActionsPermitNoActionsInd | Collection ActivitiesCollectionActivitiesInd | Provided Written NoticeProvidedWrittenNoticeInd | Made Effort Orally NotifyMadeEffortOrallyNotifyInd | Processed FAP ApplicationProcessedFAPApplicationInd | Made Presumptive Elig DetermMadePresumptiveEligDetermInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Look Back Medicare PrivateLookBackMedicarePrivateInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd | Prior CHNA ImpactPriorCHNAImpactInd | Communtity Notified FAPCommuntityNotifiedFAPInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENESIS MEDICAL CENTER - DAVENPORT | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 18 | Yes (true) | Yes (true) | Yes (true) | Yes (true) | Yes (X) | WWW.GENESISHEALTH.COM/COMMUNITY | Yes (X) | Yes (true) | 18 | Yes (true) | WWW.GENESISHEALTH.COM/COMMUNITY | false | Yes (true) | Yes (X) | 200.0 | 200.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.GENESISHEALTH.COM | Yes (X) | WWW.GENESISHEALTH.COM | Yes (X) | WWW.GENESISHEALTH.COM | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | ||
| GENESIS MEDICAL CENTER - DEWITT | |||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | false | false | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 20 | Yes (true) | false | false | Yes (true) | Yes (X) | WWW.GENESISHEALTH.COM/COMMUNITY | Yes (X) | Yes (true) | 20 | Yes (true) | WWW.GENESISHEALTH.COM/COMMUNITY | false | Yes (true) | Yes (X) | 200.0 | 200.0 | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (true) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | WWW.GENESISHEALTH.COM | Yes (X) | WWW.GENESISHEALTH.COM | Yes (X) | WWW.GENESISHEALTH.COM | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (true) | Yes (X) | false | false | Yes (X) | Yes (X) |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. The sponsors of this study, Community Health Care, Inc., Genesis Health System, Muscatine County Board of 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 to use this information to inform strategic planning, grant writing and project development. For the 2018 Community Health Assessment, our coordinated approach included primary data collection, secondary data analysis, and qualitative data gathering from community leaders and members in our bi-state area. The study sponsors engaged Professional Research Consultants, Inc. (PRC) to collect secondary data and implement a community health survey. In addition, using the Mobilizing for Action through Planning and Partnerships (MAPP) framework, the partners completed local qualitative assessments addressing Community Themes & Strengths, Forces of Change and the Local Public Health System. Select operations data from the two health systems were also summarized. The following document provides PRC's bi-state findings in detail as well as information obtained through local data collection methods. This study was sponsored by a collaboration of local organizations, including: Community Health Care, Inc.; Genesis Health System; Muscatine County Board of 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. This assessment incorporates data from both quantitative and qualitative sources. Quantitative data input includes primary research (the PRC Community Health Survey) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for trending and comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through Community Stakeholder meetings. Community stakeholder committees including member from community businesses as follows: United way of the QC, Community Plan Iowa, Palmer College of Chiropractic, MetroLink, Rock Island County Sheriff's Office, Medic EMS, QC Chamber of Commerce, Churches United of the QC Area, City of Davenport, Black Hawk College, Bi-State Regional Commission, The Project of the QC, River Bend Foodbank, Community Foundation of the Great River Bend, Scott County Sheriff's Department, World Relief, Pleasant Valley School District, True Lifestyles Medicine Clinic, Alternatives for the Older Adult, and Vera French Community Mental Health Center. |
| Schedule H, Part V, Section B, Line 6a Facility , 1 | Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. UNITY POINT HEALTH-TRINITY |
| Schedule H, Part V, Section B, Line 6b Facility , 1 | Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY HEALTH DEPARTMENT, Muscatine County Board of Health, AND THE SCOTT COUNTY HEALTH DEPARTMENT |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - GMC Davenport. With following the Genesis Health System's mission along with coordinating with the Quad City Health Initiative Implementation plan, Genesis Medical Center Silvis will be focusing and delivering on the following programs and resources to address the needs of the community: Access to Care: - Care Team concept continued deployment allowing providers to care for more patients. - "Population Health" model of ACO with care coordination - Expanding care into the Community through: - Convenient Care offerings - Healthplexes, and -Eldridge Clinic to expand with adding more providers and extended hours to serve growing community - Partnerships with Community Health Care to address low-income access - OB access at CHC Edgerton Woman's Clinic - Genesis ACO participant - 421-DOCS - phone line for physician appointments - Support "Family Connects" in home education re health - Jane Folwell Heart of Mercy Fund - transportation and non-medical health needs - Community Health Education (incl. available resources) - Genesis Forum - town halls - Column in QC Times re health topics Mental Health & Substance Abuse - participation in the QCHI behavioral health coalition initiatives which included zero suicide prevention program - Continue deployment of "medical home" model - Health coaches, navigators, case management - Genesis Psychology Associates - Partnership with Robert Young Center for inpatient behavioral health unit - Promote Scott County Mental Health Court - Support of Live Lead Free QC (to prevent long term mental health issues related to lead exposure) - Support Family Connects - moms with post-partum depression - Support for LISW in Heart Center for anxiety, depression + Support for Rhonda's House - peer respite - Support for "MST" Multisystemic therapy for teens in collaboration with Vera French - PA Fellowship in Behavioral Health - Promote "ACT" - Assertive Community Treatment - Pain management alternatives to opioids at The Spine & Joint Health Center and Physical Therapy - Advocacy in support of mental health reform Nutrition, Physical Activity, & Weight - "Naturally Slim" program scholarships offered to Community - Support of Be Healthy QC to create a "culture of wellness" that supports healthy eating and active living - Healthy Lifestyle sponsorships, such as Genesis Firecracker Run and the Bix 7 - Children's Nutritional Partnership with Hy-Vee stores - Membership discounts to area fitness centers for employees and their families - "Rock Steady Boxing" for Parkinson's patients - Promote/facilitate Community Gardens for healthy food - Advocacy in support of healthy lifestyles |
| Schedule H, Part V, Section B, Line 5 Facility , 1 | Facility , 1 - Genesis Medical Center Dewitt. Part V, Section B, Line 5: To complete the community health needs assessment, existing health -related data were collected via the online community commons community health needs assessment report tool at HTTP://www.communitycommons.org/maps-data. This site allows for identification of 87 distinct health and social indicators at the county level , along with comparisons to state and national data, and health people 2020 targets, where available. Once an indicators report was generated, relevant indicators were reviewed to determine how Clinton County compared to available state/national data (see the "detailed health indicators" section of this document. Data was also collected by Genesis Health system Business Intelligence and Communications departments. Information gaps: Because this CHNA relies on existing datasets, it is limited in scope to those indicators currently available through database collection. It does not include a primary research component and many important issues are unaddressed (e.g. access to healthcare). Another limitation is that most measures included in this assessment represent data that are several years old. Community Stakeholder Input: Genesis Medical Center DeWitt got input from public health officials and other community stakeholders through a series of meetings. The organizations involved include: * Westwing Senior Living * Clinton County Public Health Department * GMC DeWitt * Patient Health Services Jack County Board of Health * GMC DeWitt Social Services * GMC DeWitt Community Health Liaison Genesis Medical Center Dewitt also conducts a community survey to local organizations for input on CHNA and implementation strategy. |
| Schedule H, Part V, Section B, Line 11 Facility , 1 | Facility , 1 - GENESIS MEDICAL CENTER - DEWITT:. Genesis Health System, in collaboration with Clinton County Health Department, continues to address the significant needs identified in the most recent CHNA through our ongoing programs and resources. These programs include: Healthy Behaviors: Integrated health, wellness activities, smoking cessation, physical activity and weight status: * Switch program completed for DeWitt area families by extension office * School nurse was provided extension office 5210 healthy eating habits posters for education at DeWitt Schools * Diabetes CCM program * Implementation of Food Pharmacy * Continue Genesis support for primary and specialty care services * Expansion of Genesis emergency and convenient care services in areas of growing population/need * Expansion on telehealth services * Concussion management built into the school's initial assessment for baseline of any student athlete * Coverage for treatment at athletic events (Northeast, DeWitt, and Calamus/Wheatland schools) Decrease Youth Risky Behaviors: Teenage pregnancy, marijuana use: * DeWitt/Camanche coalition attendance provided by Wanda Haack and/or Ann Bixby * Scott Drug provides drop box for unused medication disposal * DeWitt/Camanche Coalition provided education at local schools Mental Health Awareness and Services: Suicide prevention and awareness, medication disposal, education on adverse childhood experience (ACE): * Connections Matter * CNO and RN became educated trainers; provided education to Med/Surg and ED units at GMC-DeWitt and DeWitt Lion's Club * Education provided to VNA staff and hosted at GMC-DeWitt * Respite House support provided through DeWitt and GHS Foundations. House provided through lease agreement with GMC-DeWitt * Continued contract with Eastern Iowa Grant providing telepsyche services within the ED and RN Care Coordination for mental health services from ED to community RN Care Coordinator * Continue efforts to support community mental health programs * Participate in Zero Suicide program * Advocate for improved funding for mental health services |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 42 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| CENTRAL PARK MEDICAL PAVILIONS 1 & 2 | ||||
| 1351 W CENTRAL PARK AVENUE | DAVENPORT | IA | 52804 | O/P CANCER, INFUSION, WOUND, & PHYSICIAN CLINIC |
| BETTENDORF HEALTH PLEX | ||||
| 2140 53RD AVENUE | BETTENDORF | IA | 52722 | OUTPATIENT PHYSICIAN CLINIC AND IMAGING SERVICES |
| GENESIS MEDICAL PLAZA | ||||
| 2535 MAPLECREST ROAD | BETTENDORF | IA | 52722 | O/P REHAB, PAIN, PHYS THERAPY, DIABETES, HOME HEALTH, SPINE CTR & PHSY CLINIC |
| GENESIS IMAGING CENTER 53RD STREET | ||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | OUTPATIENT RADIOLOGY SERVICES |
| Davenport HealthPlex | ||||
| 3200 West Kimberly Rd | Davenport | IA | 52806 | Outpatient Physician Clinic/Physical Therapy |
| ILLINI LARSON CENTER | ||||
| 855 ILLINI DRIVE | SILVIS | IL | 61282 | OUTPATIENT LAB & PHYSICIAN CLINIC |
| GENESIS HEALTH GROUP | ||||
| 865 LINCOLN ROAD | BETTENDORF | IA | 52722 | OUTPATIENT PHYSICIAN CLINIC |
| MEDICAL OFFICE BUILDING #1 and #2 | ||||
| 1228 E RUSHOLME STREET | DAVENPORT | IA | 52803 | O/P MAMMOGRAPHY & DIALYSIS SERVICES |
| VISITING NURSE ASSOC & HOSPICE HOUSE | ||||
| 2546 TECH DRIVE | BETTENDORF | IA | 52722 | HOME HEALTH & HOSPICE |
| ELDRIDGE FAMILY PRACTICE | ||||
| 301 N 4TH AVENUE | ELDRIDGE | IA | 52748 | OUTPATIENT PHYSICIAN CLINIC |
| GHG-Valley View Moline | ||||
| 615 valley Vew Dr Suite 305 | Moline | IL | 61265 | Outpatient Physician Clinic |
| GENESIS CONVENIENT CARE - ILLINOIS | ||||
| 2350 41ST STREET | MOLINE | IL | 61265 | OUTPATIENT URGENT CARE CLINIC |
| GENESIS PHYSICAL REHAB - VALLEY FAIR | ||||
| 2300 53RD STREET | BETTENDORF | IA | 52722 | O/P PHYSICAL THERAPY CLINIC |
| Genesis PT &Sports Medicaine-Bettendorf | ||||
| 2300 53rs Ave STE LL02 | Bettendorf | IA | 52722 | Outpatient Physical Therapy Clinic |
| FAMILY PRACTICE AT WEST CAMPUS | ||||
| 1345 W CENTRAL PARK AVENUE | DAVENPORT | IA | 52804 | OUTPATIENT PHYSICIAN CLINIC |
| Woodlands Family Practice | ||||
| 4321 53rd Ave | Bettendorf | IA | 52722 | Outpatient Physician Clinic |
| GENESIS PSYCHOLOGY ASSOCIATES | ||||
| 4455 E 56TH STREET | DAVENPORT | IA | 52804 | OUTPATIENT COUNSELING CLINIC |
| Dewitt Family Practice | ||||
| 1008 11th St | Dewitt | IA | 52742 | Outpatient Physician Clinic |
| GENGASTRO LLC | ||||
| 2222 53RD AVENUE | BETTENDORF | IA | 52722 | AMBULATORY SURGERY CENTER |
| NORTH FAMILY PRACTICE | ||||
| 210 W 53RD STREET | DAVENPORT | IA | 52806 | OUTPATIENT PHYSICIAN CLINIC |
| ELDRIDGE PHYSICAL THERAPY | ||||
| 170 S 4TH AVENUE | ELDRIDGE | IA | 52748 | OUTPATIENT PHYSICAL THERAPY CLINIC |
| GENORTHO LLC | ||||
| 2300 53RD STREET | BETTENDORF | IA | 52722 | ORTHOPEDIC SURGERY CENTER |
| GENESIS OCCUPATIONAL HEALTH | ||||
| 2350 41ST STREET | MOLINE | IL | 61265 | OUTPATIENT OCCUPATIONAL HEALTH |
| PHYSICAL THERAPY & SPORTS MEDICINE | ||||
| 1702 E 53RD STREET | DAVENPORT | IA | 52807 | O/P PHYSICAL THERAPY & SPORTS PERF CLINIC |
| MOLINE HEALTHPLEX | ||||
| 3900 28TH AVENUE | MOLINE | IL | 61265 | OUTPATIENT PHYSICIAN CLINIC |
| Genesis Physcial Therapy Davenport | ||||
| 1820 West 3rd St | Davenport | IA | 52801 | Outpatient Physical Therapy Clinic and Physician Clinic |
| GENRAD IMAGING LLC | ||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | DIAGNOSTIC IMAGING CENTER |
| GHS - AUGUSTANA PT CLINIC | ||||
| 639 38TH STREET | ROCK ISLAND | IL | 61201 | OUTPATIENT PHYSICAL THERAPY CLINIC |
| DEWITT AMBULANCE | ||||
| 1220 11TH STREET | DEWITT | IA | 52742 | AMBULANCE SERVICES |
| GHS OCCUPATIONAL HEALTH - DAVENPORT | ||||
| 3319 SPRING STREET | DAVENPORT | IA | 52807 | OUTPATIENT OCCUPATIONAL HEALTH |
| Genesis Physical Therapy at LeClaire | ||||
| 1003 Canal Shore Drive | LeClaire | IA | 52753 | Outpatient Physical Therapy Clinic |
| Durant FAMILY PRACTICE | ||||
| 619 5th | Durant | IA | 52747 | OUTPATIENT PHYSICIAN CLINIC |
| LECLAIRE FAMILY PRACTICE - RIVERVIEW | ||||
| 200 S CODY ROAD | LECLAIRE | IA | 52751 | OUTPATIENT PHYSICIAN CLINIC |
| Genesis Physical Therapy Clinton | ||||
| 1647 Lincoln Way | Clinton | IA | 52732 | Outpatient Physical Therapy Clinic |
| IA CITY PEDIATRIC PT CLINIC | ||||
| 2451 CORAL CT | CORALVILLE | IA | 52241 | OUTPATIENT PHYSICAL THERAPY CLINIC |
| BLUE GRASS FAMILY MEDICAL | ||||
| 413 S MISSISSIPPI | BLUE GRASS | IA | 52726 | OUTPATIENT PHYSICIAN CLINIC |
| VISITING NURSE ASSOC & HOSPICE HOUSE | ||||
| 611 NORTH 2ND AVE | CLINTON | IA | 52732 | HOME HEALTH & HOSPICE |
| SPRING PARK SURGERY CENTER LLC | ||||
| 3319 SPRING STREET STE 202A | DAVENPORT | IA | 52807 | OUTPATIENT SURGICAL CENTER |
| ERIE FAMILY PRACTICE | ||||
| 530 12TH STREET | ERIE | IL | 61205 | OUTPATIENT PHYSICIAN CLINIC |
| GENESIS HEART INSTITUTE | ||||
| 1236 E RUSHOLME STREET | DAVENPORT | IA | 52803 | O/P CARDIAC DIAGNOSTIC & REHAB CARE |
| Conveniet Care Now W Locust | ||||
| 2351 West locust Street | Davenport | IA | 52804 | Outpatient Urgent Care Clinic |
| CONVENIENT CARE NOW E KIMBERLY | ||||
| 1823 E KIMBERLY RD | DAVENPORT | IA | 52807 | Outpatient Urgent Care clinic |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule H, Part I, Line 6a Community benefit report prepared by related organization | GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) |
| Schedule H, Part I, Line 7g Subsidized Health Services | No costs associated with a physician clinic were reported in subsidized health services. |
| Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance | Genesis Health System (GHS Iowa) utilized Worksheet 2 to calculate its cost-to-charge ratio. The calculated cost-to-charge ratio was used to calculate the cost of Charity Care and Unreimbursed Medicaid. Costs of the "Other Benefits" reported in 7e -7i were compiled throughout the year in the community benefit database (i.e., CBISA) that Genesis Health System utilizes. |
| Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount | In accordance with Healthcare Financial Management Association Statement No. 15, Bad Debt is reported at the full-established charge from the most recent audited financial report. Payments received after an account had been written off to bad debt were credited to a bad debt recovery account. Discounts on patient accounts provided by third-party payers were written off to a contractual allowance account. |
| Schedule H, Part III, Line 3 Bad Debt Expense Methodology | Genesis Health System uses Avadyne Health to process aging patient accounts. Avadyne Health's collection process utilizes publicly available information to ensure all aging patient accounts receive financial assistance in accordance to Genesis Health System policy before being deemed bad debt. Genesis Health System reported zero dollars for the estimated amount of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy. |
| Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote | The System determines the transaction price based on standard charges for goods and services provided to patients, reduced by explicit price concessions consisting of contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the System's policy, and/or implicit price concessions provided to uninsured patients based on historical collection experience. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to be collected based on the System's collection history with similar classes of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended June 30, 2021 and 2020, was not material. |
| Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs | No Medicare shortfalls were included in community benefit. The Medicare cost report shortfall represents the difference between the total revenue received from Medicare based on Medicare cost report reimbursement rates and the costs incurred by GHS Iowa in providing healthcare services to the elderly. The total Medicare shortfall, which includes fee screen services, was $1,698,899. In 2018, the percent of persons 65 years and over in Rock Island and Scott Counties was 15.8%. In accordance with GHS Iowa's mission statement, "To Provide Compassionate, Quality Health Services to All Those in Need," the elderly were served despite the total Medicare loss of $1,698,899. GHS Iowa has a clear mission to serve all those in need and to improve the health of the community including the elderly. Furthermore, there are no for-profit hospitals in the community, and therefore GHS Iowa is one of two tax-exempt healthcare organizations in the community who provide access to healthcare for Medicare patients. Accordingly, it is GHS Iowa's position for the reasons stated above that the total Medicare shortfall of $1,698,899 represents a Community Benefit. Pursuant to the instructions to the Form 990, Schedule H, the Medicare shortfall is not included in Part I, line 7. If the total Medicare shortfall was included in Part I, line 7, then Part I, line 7k, Column f would be 5.46%. |
| Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance | Every effort is made to determine a patient's eligibility for financial assistance. If eligible, payment plans are made available based on their resources and income. All balances owing after financial assistance allowances have been taken are payable in monthly payments in accordance with the organization's financial assistance policy. |
| Schedule H, Part V, Section B, Line 16a FAP website | - GENESIS MEDICAL CENTER - DEWITT: Line 16a URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16a URL: WWW.GENESISHEALTH.COM; |
| Schedule H, Part V, Section B, Line 16b FAP Application website | - GENESIS MEDICAL CENTER - DEWITT: Line 16b URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16b URL: WWW.GENESISHEALTH.COM; |
| Schedule H, Part V, Section B, Line 16c FAP plain language summary website | - GENESIS MEDICAL CENTER - DEWITT: Line 16c URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16c URL: WWW.GENESISHEALTH.COM; |
| Schedule H, Part VI, Line 2 Needs assessment | Genesis Health System (GHS Illinois) utilizes the community health needs assessment (CHNA) conducted by professional research consultants, Inc. (PRC) in 2018. The CHNA was funded by GHS Illinois and Unity Point Health-Trinity and sponsored by Community Health Care, GHS Illinois, Muscatine County Board of Health, Quad City Health Initiative (QCHI), Rock Island County Health Department, Scott County Health Department, and Unity Point Health - Trinity. QCHI was formed by Genesis Health System (GHS Iowa) and GHS Illinois, which has Headquarters in both Scott County, Iowa, and Rock Island County, Illinois, and Trinity Health System, which is headquartered in Rock Island County, Illinois. QCHI is now a community partnership of over 300 community members and leaders pursuing initiatives to create a healthier community, serving as a catalyst for improving the health and overall quality of life within the Quad Cities. Genesis Medical Center Dewitt utilizes the community health needs assessment (CHNA) conducted by Genesis Health System Business Intelligence and communications department as well partnering with Clinton County Health Department in 2020. |
| Schedule H, Part VI, Line 3 Patient education of eligibility for assistance | Information on the availability of financial assistance is posted in visible locations in the admission departments of the hospitals. In addition, the hospital registration staff make available informative brochures for patients in the Emergency Room registration area explaining their eligibility for assistance. Genesis Health System (GHS Iowa) provides patient financial counselors on each hospital campus to discuss options with the patients. Patient Financial Services prepares and provides a letter to each patient, explaining their current balance and advising them of their options. A phone number is provided with the letter encouraging the patient to call if needed. |
| Schedule H, Part VI, Line 4 Community information | Genesis Health System's (GHS Iowa) 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 360,601. According to the US Census Bureau American Community Survey Five Year Estimates (2009-2013), Whites made up 85.0% of the MSA population with 7.8% Black or African-American and 7.2% Hispanic or other origin. In the Quad Cities area, 23.5% of the population are infants, children, or adolescents (age 0-17); another 60.7% are 18-64, while 15.8% are age 65 and older. According to estimates from the US Census Bureau American Community Survey, 13.3% of Quad Cities area residents (Scott and Rock Island Counties) live below the Federal poverty. In 2018, 3.2% of Quad Cities are adults reported that there was a time the past two years when they were living on the street, in a car, or in a temporary shelter. The average unemployment rate in 2018 was 4.0% for the Quad Cities. Lack of health insurance among adults age 18 to 64 is reported by 6.3% of Scott County, IA residents and 7.7% of Rock Island County, IL residents. The Quad Cities area percentage of adults who smoked in 2018 was 19.8%. The percentage of adults who were obese in 2018 was 38.3% in Rock Island County, Illinois and 36.5% in Scott County, Iowa. Obesity rates in both Scott County, IA and Rock Island County, IL are higher than national benchmarks. GMC DeWitt serves the residents of Clinton County, primarily those residing in Dewitt and the surrounding towns. With a population of 47,218, made of age groups of 0-17 (22.82%), 18-44 (30.03%), 45-64 (28.09%), and 65+ (19.06%). Population living areas were 67.77% in urban and 32.23% in rural. Other statistic was population made up of white (93.77%), black or African American (2.67%), Asian (.73%), and other (2.83%). Statistic percentages are according to the U.S. Census Bureau American Community Survey 2014-18 5 year estimates. |
| Schedule H, Part VI, Line 5 Promotion of community health | Genesis Health System's Board of directors is a diverse representation of persons who reside in the primary service area that Genesis Health System serves. Genesis Health System executives and employees serve on dozens of volunteer boards throughout the region on important projects and initiatives, such as homeless shelters, mental health, downtown redevelopment and events and festivals. Genesis Health System employees serve the communities where they live by serving in elected offices in city and county government. Genesis Health System extends medical staff privileges to all qualified physicians in its communities. Genesis Health System has endeavored to improve access to health care for the communities it serves by participating in appropriate joint ventures that offer needed health care services to under-served areas. Genesis Health System schedules dozens of health screenings and immunizations throughout the year at a reduced cost. These include screenings for diabetes, stroke and heart disease and public flu immunization clinics. Genesis Health System providers translation services based on a percentage of the diversity of the population. Each year, Genesis Health System provides the community with dozens of classes and events promoting health and health education. Hundreds of residents in the region served by Genesis Health System learn CPR, First Aid, parenting skills, and newborn care by enrolling in classes. Genesis Health System supplies medical supplies and equipment to Globus, which is a third party company that helps companies share and transfer research data. Genesis Health System maintains an active effort to advocate for access to health care in Iowa and Illinois State government and in Washington D.C. Genesis Health System employees also participate in a voter voice initiative to advocate on important health issues with City, County, State, and National elected officials. Surplus funds resulting from efficient operations and cost-containment measure are re-invested in the healthcare operations of Genesis Health System to improve the healthcare services that Genesis Health System provides. Advances in medical equipment and technology, staff education, and new medical services are examples of operation investments that ultimately improve the health of the communities that Genesis Health System serves. As part of Genesis Health System, GMC DeWitt is committed to the promotion of community health. The hospital participates in programs such as housing for persons with mental illness. |
| Schedule H, Part VI, Line 6 Affiliated health care system | Genesis Health System, (GHS Iowa), an Iowa nonprofit corporation, and Genesis Health System,(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 Philanthropy, Genesis Health Services Foundation, 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. Genesis Health System, EIN 36-3616314 is the sole member of Genesis Medical Center, Aledo and Genesis Senior Living, Aledo, and is a partner in The Larson Center Partnership. GHS Iowa, GHS Illinois, GMC Aledo, and GSL Aledo collectivity represent the obligated group on certain components of the obligated group's long-term debt. 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, and has a 77-bed long-term care facility, which provides services from its facility in DeWitt, Iowa. In June 2019, GMC Dewitt entered into a lease agreement where GMC Dewitt will lease the assets to a new joint venture, Wellspire, LLC. Genesis Visiting Nurse Association and Hospice (VNA) provide home health care, community nursing services and hospice services to patients in eastern Iowa and western Illinois. Genesis Medical Center - Silvis is licensed as a 145-bed acute care hospital, which provides services from its facility in Silvis, Illinois. Illini Hospital Nursing Home (INH) operates Illini Restorative Care Center and Crosstown Square. Illini Restorative Care Center is a 120-bed licensed nursing facility, consisting of 92 skilled care beds and 28 sheltered care beds. All 92 beds are dually licenses for Medicare/Medicaid services. The sheltered care unit provides rehabilitative and personal care in a family-oriented setting. Crosstown Square is an independent living facility containing 64 rentable apartments and three guest rooms that offers services designed to meet the needs of senior adults. In June 2019, certain assets of INH were contributed to a new joint venture, Wellspire, LLC. 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 beads, as well as a physician clinic, which provides services from its facility in Aledo, Illinois. Genesis Senior Living Aledo (GSL Aledo) is certified as a nursing facility, which has a 92 bed long-term care facility, which provides services from its facility in Aledo, Illinois. On May 31, 2019, the System sold its 100% ownership interest in GSL-Aledo to an unrelated third party. 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 Maintains a 75 percent 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 - Illini and leases space for clinics, laboratory, pharmacy and offices to GMC - Illini and other third-party organizations. GHS Illinois is a general partner and owns approximately 79.8% of LCP. GenVentures, Inc. (GenVentures) 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, Clinton, Davenport, Eldridge, Le Claire 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 any lawful business and any business related to 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 Health System Workers' Compensation Plan and Trust (Workers' Compensation Trust) provides a fund, which can be 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 Philanthropy is a wholly-owned tax-exempt entity formed in 2013, which will partner 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. |
| Schedule H, Part VI, Line 7 State filing of community benefit report | IL, IA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| GENESIS HEALTH SYSTEM WORKER'S COMPENSATION & TRUST | |||||||
| 1227 E RUSHOLME ST | DAVENPORT | IA | 52803 | 391905171 | 501 ( C ) (3) | $1,336,038 | CLAIM PAYMENTS |
| GENESIS HEALTH SERVICES FOUNDATION | |||||||
| 1227 E RUSHOLME ST | DAVENPORT | IA | 52803 | 421421670 | 501 ( C ) (3) | $53,136 | CME PROGRAM |
| NAMI Greater Mississippi Valley | |||||||
| 1035 W Kimberly Rd Suite 4 | DAVENPORT | IA | 52806 | 421188963 | 501 (C)(3) | $10,000 | NAMI Walks Event Donation |
| Quad Cities Community Foundation | |||||||
| 852 Middle Road | BETTENDORF | IA | 52722 | 426122716 | 501 (C)(3) | $10,000 | Memorial Scholarship in remembrance of Dr. Pinc |
| Quad City Symphony | |||||||
| 327 bRADY sT | DAVENPORT | IA | 52801 | 466017663 | 501 ( C ) (3) | $10,000 | Sponsorships-Seasonal concerts |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Type | MEDICAL SUPPLIES TO INDIVIDUALS/MEDICAL MISSION | GrantTypeTxt |
| Recipient | 500 | RecipientCnt |
| Non Cash Assistance | $5,726 | NonCashAssistanceAmt |
| Valuation Method Used | FMV | ValuationMethodUsedDesc |
| Non Cash Assistance | MEDICAL AND PHARMACEUTICAL SUPPLIES DONATED TO PATIENTS AND MERCY MISSION Genesis Health System 42-1418847 67 5/ | NonCashAssistanceDesc |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. | FormAndLineReferenceDesc |
| Explanation | THE GENESIS HEALTH SYSTEM (GHS IOWA) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Form990 Of Other Organizations | Yes (X) | Form990OfOtherOrganizationsInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | false | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 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 | $942,542 | $0 | $0 | $0 | $6,190 | $0 | $25,991 | $0 | $27,489 | $0 | $1,002,212 | $0 | $0 | $0 |
| GEORGE J KONTOS JR | ||||||||||||||
| Former Director | $495,183 | $0 | $0 | $0 | $6,953 | $0 | $25,510 | $0 | $21,922 | $0 | $549,568 | $0 | $0 | $0 |
| KAREN FITZSIMMONS | ||||||||||||||
| DIRECTOR | $360,284 | $0 | $0 | $0 | $2,143 | $0 | $25,917 | $0 | $26,906 | $0 | $415,250 | $0 | $0 | $0 |
| MARK G ROGERS | ||||||||||||||
| V.P. FINANCE/CFO/ASST TREASURER | $470,874 | $0 | $0 | $0 | $333,566 | $0 | $24,144 | $0 | $23,169 | $0 | $851,753 | $0 | $0 | $0 |
| HAROLD WAGHER | ||||||||||||||
| FORMER CHIEF COMPLIANCE RISK OFFICER | $226,483 | $0 | $0 | $0 | $33,029 | $0 | $5,301 | $0 | $19,695 | $0 | $284,508 | $0 | $0 | $0 |
| PAUL BOLLINGER | ||||||||||||||
| V.P. LEGAL AFFAIRS/Asst. Secretary | $291,756 | $0 | $0 | $0 | $59,731 | $0 | $24,315 | $0 | $24,213 | $0 | $400,015 | $0 | $0 | $0 |
| JOSEPH MALAS | ||||||||||||||
| VP FINANCE, INTERIM CFO | $101,632 | $0 | $0 | $0 | $13,578 | $0 | $1,794 | $0 | $5,266 | $0 | $122,270 | $0 | $0 | $0 |
| NIDAL HARB | ||||||||||||||
| FORMER CHIEF MEDICAL OFFICER | $387,395 | $0 | $0 | $0 | $271,655 | $0 | $22,992 | $0 | $3,594 | $0 | $685,636 | $0 | $0 | $0 |
| CHRISTOPHER CROME | ||||||||||||||
| FORMER PHYSICIAN/DIVISION CHAIR | $480,930 | $0 | $0 | $0 | $977 | $0 | $4,673 | $0 | $17,560 | $0 | $504,140 | $0 | $0 | $0 |
| KURT A ANDERSEN | ||||||||||||||
| VP Physician Operations/Chief Medical Officer | $513,463 | $0 | $0 | $0 | $155,317 | $0 | $25,987 | $0 | $22,130 | $0 | $716,897 | $0 | $0 | $0 |
| JORDAN VOIGT | ||||||||||||||
| HOSPITAL PRESIDENT GMC DAVENPORT | $407,958 | $0 | $0 | $0 | $218,324 | $0 | $24,375 | $0 | $23,783 | $0 | $674,440 | $0 | $0 | $0 |
| ANDREW ANDRESEN | ||||||||||||||
| VP MEDICAL STAFF AFFAIRS | $428,607 | $0 | $0 | $0 | $79,000 | $0 | $5,500 | $0 | $17,068 | $0 | $530,175 | $0 | $0 | $0 |
| IURIE CARAMAN | ||||||||||||||
| PHYSICIAN | $561,258 | $0 | $0 | $0 | $11,120 | $0 | $4,875 | $0 | $21,961 | $0 | $599,214 | $0 | $0 | $0 |
| TODD GRAY | ||||||||||||||
| PHYSICIAN ADVISOR | $515,616 | $0 | $0 | $0 | $1,936 | $0 | $11,457 | $0 | $8,334 | $0 | $537,343 | $0 | $0 | $0 |
| GAUTAM KUKREJA | ||||||||||||||
| PHYSICIAN | $498,911 | $0 | $0 | $0 | $661 | $0 | $24,375 | $0 | $24,650 | $0 | $548,597 | $0 | $0 | $0 |
| NAMRATA MALLIK | ||||||||||||||
| PHYSICIAN | $530,146 | $0 | $0 | $0 | $490 | $0 | $4,875 | $0 | $3,358 | $0 | $538,869 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule J, Part II | Based on section 4960 publication, the effective date is for the first taxable year beginning after 12/31/17 in which Genesis first taxable year is 07/01/18-06/30/19; 2018 tax year. For tax year 2019, reportable compensation to report would be between date range 7/1/2020-06/30/2021, Doug Cropper's reportable compensation was under one million. |
| Schedule J, Part I, Line 4a Severance or change-of-control payment | The following individual received severance pay from Genesis Health System (GHS Iowa) during the calendar year 2020: 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 2020 sponsored by Genesis health System (GHS IA): Kurt A. Andersen- $78,757, Paul Bollinger- $40,882, Jordan Voigt-$85,381, Andrew Andresen-$49,460, 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): Mark G. Rogers- $148,668. The dollar amount represents the current year contribution made by GHS IA on behalf of the individual 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). 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 K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | CUSIPCUSIPNum | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd |
|---|---|---|---|---|---|---|---|---|
| IOWA FINANCE AUTHORITY | ||||||||
| A | 521699886 | 46246PLP4 | 2010-06-24 | $90,995,000 | REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITY | Yes (true) | false | false |
| IOWA FINANCE AUTHORITY | ||||||||
| B | 521699886 | 46246PMG3 | 2013-11-26 | $121,000,000 | CONSTRUCT AND EQUIP EAST CAMPUS TOWER | false | false | false |
| Iowa Finance Authority | ||||||||
| C | 521699886 | $27,500,000 | Partially defease 6-24-10 Bonds | false | false | false | ||
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | Substantial CompletionSubstantialCompletionYr | Refunding Tax Exempt BondsRefundingTaxExemptBondsInd | Refunding Taxable BondsRefundingTaxableBondsInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd | Capitalized InterestCapitalizedInterestAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $86,825,000 | $0 | $95,545,195 | $0 | $1,478,186 | $23,700,000 | $70,367,009 | 2010 | Yes (true) | false | Yes (true) | Yes (true) | |
| B | $2,600,000 | $125,205,892 | $1,267,563 | $123,844,399 | 2013 | false | false | Yes (true) | Yes (true) | $21,131,117 | |||
| C | $6,810,000 | $27,500,000 | $27,500,000 | 2017 | false | Yes (true) | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Engage Bond Counsel ContractsEngageBondCounselContractsInd | Any Research AgreementsAnyResearchAgreementsInd | Engage Bond Counsel ResearchEngageBondCounselResearchInd | Private Bus Use By OthersPrivateBusUseByOthersPct | Private Bus Concerning UBIPrivateBusConcerningUBIPct | Total Private Business UseTotalPrivateBusinessUsePct | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.0091 | 0.0 | 0.0091 | false | false | Yes (true) |
| B | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.0091 | 0.0 | 0.0091 | false | false | Yes (true) |
| C | false | false | Yes (true) | Yes (true) | Yes (true) | Yes (true) | 0.0091 | 0.0 | 0.0091 | false | false | Yes (true) |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|
| A | false | false | Yes (true) | false | false | false | false | false | Yes (true) |
| B | false | false | Yes (true) | false | Yes (true) | false | false | false | Yes (true) |
| C | false | false | Yes (true) | false | false | false | false | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Schedule K, Part II, Line 3 | Part II, Line 3, Column A - Investment earnings are the source of the difference between the issue price and the total proceeds of the issue. Part II, Line 3, Column B - Investment earnings are the source of the difference between the issue price and the total proceeds of the issue. |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: IOWA FINANCE AUTHORITY A PREMIUM OF $4,550,195 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE. |
| Schedule K, Part V Different Procedures to Undertake Corrective Action | Issuer name: IOWA FINANCE AUTHORITY A PREMIUM OF $3,950,091 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE. FURTHERMORE, $953,406 WAS EARNED BY INVESTING THE RESERVE FUNDS. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (11 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GENVENTURES INC | |||
| DOUGLAS P. CROPPER, ROGER HILL, AND JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC. | $38,249,861 | GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST. | false |
| GENVENTURES INC | |||
| DOUGLAS P. CROPPER, ROGER HILL, AND JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC. | $14,295,845 | GENESIS HEALTH SYSTEM (GHS IOWA) PAID GENVENTURES, INC. FOR FACILITY LEASE PAYMENTS, MEDICAL SUPPLIES, LAUNDRY SERVICES, AND A LOAN ADVANCE. | false |
| CARDIOVASCULAR MEDICINE PC | |||
| EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC. | $1,020,833 | HEALTHCARE PROFESSIONAL SERVICES | false |
| QUAD CITY BANK & TRUST COMPANY | |||
| PETER BENSON IS AN OFFICER AND MARK KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST | $253,927 | INTEREST EXPENSE, DEPOSIT ACCOUNT, CREDIT CARD SERVICE, LOCK BOX FEES, AND INTEREST INCOME | false |
| CLAIRE MOTTO | |||
| CLAIRE MOTTO IS THE DAUGHER OF EDWIN V. MOTTO, DIRECTOR OF GHS IA | $14,567 | REPORTABLE COMPENSATION AS AN EMPLOYEE | false |
| KRISTI SOUTHERLAND | |||
| KRISTI SOUTHERLAND IS THE SISTER OF KURT A. ANDERSEN, A KEY EMPLOYEE OF GHS IA | $27,610 | REPORTABLE COMPENSATION AS AN EMPLOYEE | false |
| Dewitt Bank and Trust | |||
| Roger J. Hill is a Sr.VP/Trust Officer for Dewitt Bank & Trust | $134,450 | interest expense, deposit account, lock box fees, and interest income. | false |
| Main Street AmusementsQC River Bandits | |||
| David Heller was president/CEO of Main Street Amusements and Co-owner of the QC River Bandits | $113,995 | Sponsorship and ticket purchase expenses | false |
| AUGUSTANA COLLEGE | |||
| STEVEN C. BAHLS IS AN OFFICER AND C. DANA WATERMAN III IS A BOARD MEMBER OF AUGUSTANA COLLEGE | $704,479 | AUGUSTANA PAID GHS IA FOR EMPLOYEE ASSITANCE PROGRAM, HEALTH CLINIC, AND COVID-19 TESTING SERVICES. | false |
| AUGUSTANA COLLEGE | |||
| STEVEN C. BAHLS IS AN OFFICER AND C. DANA WATERMAN III IS A BOARD MEMBER OF AUGUSTANA COLLEGE | $90,000 | GHS IA PAID AUGUSTANA COLLEGE FOR RENT SPACE AND PROGRAM UNDERWRITING RADIO SERVICES. | false |
| COURTESY CAR CITY AND KIMBERLY CAR CITY | |||
| DALE D. ZUDE IS OWNER OF COURTEST AND KIMBERLY CAR CITY | $170,144 | PURCHASE OF VEHICLES | false |
Schedule M IRS990ScheduleM
Other Non Cash Contri Table OtherNonCashContriTableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | Yes (X) | NonCashCheckboxInd |
| Desc | Miscellaneous | Desc |
| Contribution | 35 | ContributionCnt |
| Noncash Contributions Rpt F990 | $27,053 | NoncashContributionsRptF990Amt |
| Method Of Determining Revenues | Market value | MethodOfDeterminingRevenuesTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeldInd |
| Review Process Unusual NC Gifts | Yes (true) | ReviewProcessUnusualNCGiftsInd |
| Third Parties Used | false | ThirdPartiesUsedInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Schedule M, Part I Explanations of reporting method for number of contributions | FormAndLineReferenceDesc |
| Explanation | Other - Miscellaneous PART I, COLUMN B IS REPORTED USING A COMBINATION OF NUMBER OF CONTRIBUTIONS AND ITEMS CONTRIBUTED. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4d Description of other program services | (Expenses $ 4,682,843 including grants of $ 0)(Revenue $ 7,951,006) 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. |
| Form 990, Part V, Line 15 | Line 15 was purposely marked no based on section 4960 publication, the effective date is for the first taxable year beginning after 12/31/17 in which Genesis first taxable year is 07/01/18-06/30/19; 2018 tax year. For the calendar year 2019,dates to report wages is between 07/01/19 through 06/30/2020; with reportable compensation for Douglas P. Cropper being under $1 million. |
| Form 990, Part VI, Line 11b Review of form 990 by governing body | Prior to submitting the form 990 to the IRS, it is reviewed at the organization's finance committee meeting, and then it is e-mailed to the organization's board of directors' one week in advance of a scheduled meeting. At the board of directors meeting, internal management reviews the form 990 with the board of directors. Suggested changes from all of the reviews are considered for inclusion in the final form 990 submitted to the IRS. Internal management review is also completed of the compiled information and is provided to the vice president, finance/CFO; vice president, legal affairs; vice president, human resources; and chief compliance risk officer of the organization's corporate member. |
| Form 990, Part VI, Line 12c Conflict of interest policy | ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS IOWA) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GHS IOWA, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT. |
| Form 990, Part VI, Line 15a Process to establish compensation of top management official | Each executive position is evaluated using a formal evaluation plan that is established by an outside consultant. At the present time, the consultant uses a point system for job evaluation. The point values are based on "know how", "problem solving", "accountability", and other job attribute specific to the position. Once the point value is set for a position, market comparisons for jobs with the same organizational impact can be compared for salary purposes and establish pay ranges. The design of the pay ranges for executives is based on market data. The midpoint of each pay range is established at the 50th percentile of the market comparisons. A minimum and maximum are established off of the midpoint. Specific pay rates for executives are subject to CEO and compensation committee and the Genesis Health System (GHS Iowa) board of directors' approval. Pay ranges are reviewed each year to determine the need for revision. When market conditions suggest an adjustment to pay ranges, data will be presented to the compensation committee for its review. The specific pay ranges are subjected to CEO, compensation committee, and GHS Iowa board of director approval. The president and CEO have the authority and responsibility to establish and adjust, within the range approved by the compensation committee and GHS Iowa board of directors, the base compensation of each executive employed by GHS Iowa, at appropriate times. The GHS Iowa board of directors shall establish and adjust, within the range approved by the compensation committee, the base compensation for the CEO of GHS Iowa, at appropriate times, The Last time this process was formally undertaken was November 2020. |
| Form 990, Part VI, Line 19 Required documents available to the public | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| Form 990, Part VII, Section A, Line 1a | GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS IOWA). THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AS WELL AS THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA. |
| Form 990, Part VIII, Line 2f Other Program Service Revenue | Contractuals/Charity Care/Bad Debts - 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: ; |
| Form 990, Part VIII, Line 11d Other Miscellaneous Revenue | Misc Non-operating - Total Revenue: 656182, Related or Exempt Function Revenue: 656182, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; |
| Form 990, Part IX, Line 11g Other Fees | ANESTHESIA SERVICES - Total Expense: 392587, Program Service Expense: 392587, Management and General Expenses: , Fundraising Expenses: ; BLOOD BANK SERVICES - Total Expense: 1499247, Program Service Expense: 1499247, Management and General Expenses: , Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 5757355, Program Service Expense: 2279428, Management and General Expenses: 3477927, Fundraising Expenses: ; Signage SERVICES - Total Expense: 2042, Program Service Expense: , Management and General Expenses: 2042, Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 386824, Program Service Expense: 326040, Management and General Expenses: 60784, Fundraising Expenses: ; HEALTH CARE PROFESSIONAL SERVICES - Total Expense: 2585834, Program Service Expense: 2585834, Management and General Expenses: , Fundraising Expenses: ; HEALTH-RELATED IMAGING SERVICES - Total Expense: 12284565, Program Service Expense: 12284565, Management and General Expenses: , Fundraising Expenses: ; HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING: - Total Expense: 4634775, Program Service Expense: 737490, Management and General Expenses: 3897285, Fundraising Expenses: ; IT OUTREACH SERVICES - Total Expense: 14789425, Program Service Expense: , Management and General Expenses: 14789425, Fundraising Expenses: ; LAB SERVICES - Total Expense: 6036871, Program Service Expense: 6036871, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY SERVICES: - Total Expense: 26335, Program Service Expense: 26335, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE SERVICES - Total Expense: 12050694, Program Service Expense: 11849328, Management and General Expenses: 201366, Fundraising Expenses: ; NUTRITIONAL SERVICES - Total Expense: 2321726, Program Service Expense: 2321726, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE HEALTHCARE-RELATED SERVICES - Total Expense: 1146372, Program Service Expense: 1146372, Management and General Expenses: , Fundraising Expenses: ; PATIENT TRANSPORT SERVICES - Total Expense: 416065, Program Service Expense: 416065, Management and General Expenses: , Fundraising Expenses: ; PHYSICAL THERAPY SERVICES - Total Expense: 2233681, Program Service Expense: 2233681, Management and General Expenses: , Fundraising Expenses: ; ROOM AND BOARD SERVICES - Total Expense: 618963, Program Service Expense: 618963, Management and General Expenses: , Fundraising Expenses: ; TRANSCRIPTIONS SERVICES - Total Expense: 142512, Program Service Expense: , Management and General Expenses: 142512, Fundraising Expenses: ; VISITING NURSE OUTSIDE SERVICES - Total Expense: 462668, Program Service Expense: 462668, Management and General Expenses: , Fundraising Expenses: ; TRANSLATIONS SERVICES - Total Expense: 335965, Program Service Expense: 86, Management and General Expenses: 335879, Fundraising Expenses: ; EMERGENCY ROOM SERVICES - Total Expense: 2535589, Program Service Expense: 2535589, Management and General Expenses: , Fundraising Expenses: ; DIALYSIS SERVICES - Total Expense: 671234, Program Service Expense: 671234, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE PHAMRACY SERVICES - Total Expense: 199944, Program Service Expense: 199944, Management and General Expenses: , Fundraising Expenses: ; COMMUNICATION SERVICES - Total Expense: 212076, Program Service Expense: , Management and General Expenses: 212076, Fundraising Expenses: ; |
| Form 990, Part XI, Line 9 Other changes in net assets or fund balances | Equity Transfer to GHS Illinois - -1131034; CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION - 3938897; NON-CASH CONTRIBUTIONS NOT REPORTED ON BOOKS - -27053; Equity Transfer from Genesis Senior Living Aledo - 182040; Equity Transfer from Genesis Medical Center Aledo - 383210; Equity Transfer to GHS Foundation - -50000; Balance Sheet Adjust of FY20 GSLA closeout - 10952247; |
| Form 990, Part XII, Line 2c | THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| GENESIS ACCOUNTABLE CARE ORGANIZATION LLC | |||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 454168932 | ACCOUNTABLE CARE SERVICES | IA | $3,268,162 | $8,275,482 | GENESIS HEALTH SYSTEM (GHS IOWA) |
| SPIN ECHO LLC | |||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421491373 | PROPERTY MANAGEMENT | IA | $190,639 | $1,535,578 | GENVENTURES INC |
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 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 SENIOR LIVING ALEDO | ||||||||||
| 309 NW NINTH AVENUE | ALEDO | IL | 61231 | 454475803 | SENIOR LIVING SERVICES | 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) |
| GENESIS MEDICAL CENTER ALEDO | ||||||||||
| 309 NW NINTH AVENUE | ALEDO | IL | 61231 | 454475683 | HEALTHCARE | IL | 501(c)(3) | 3 | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | Yes (true) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Predominant Income TypePredominantIncomeTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENGASTRO LLC | |||||||||||||
| 2222 53RD AVENUE | BETTENDORF | IA | 52722 | 562315623 | AMBULATORY SURGERY CENTER | IA | GENESIS HEALTH SYSTEM (GHS IOWA) | Related | $3,604,294 | $401,474 | false | false | 0.82 |
| SPRING PARK SURGERY CENTER LLC | |||||||||||||
| 3319 SPRING STREET STE 202A | DAVENPORT | IA | 52807 | 421483989 | OUTPATIENT SURGICAL CENTER | IA | GENESIS HEALTH SYSTEM (GHS IOWA) | Related | $616,178 | $2,998,272 | false | false | 0.4 |
| LARSON CENTER PARTNERSHIP LLC | |||||||||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363738454 | PROPERTY MANAGEMENT | IL | NA | N/A | |||||
| GENORTHO LLC | |||||||||||||
| 2300 53RD AVENUE | BETTENDORF | IA | 52722 | 203406994 | ORTHOPAEDIC SURGERY CENTER | IA | GENESIS HEALTH SYSTEM (GHS IOWA) | Related | $2,913,368 | $1,924,140 | false | false | 0.52 |
| GENRAD IMAGING LLC | |||||||||||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | 453571628 | DIAGNOSTIC IMAGING CENTER | IA | GENESIS HEALTH SYSTEM (GHS IOWA) | Related | $1,960,197 | $2,138,135 | false | false | 0.5 |
| GENRAD IMAGING ILLINOIS LLC | |||||||||||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | 462452851 | DIAGNOSTIC IMAGING CENTER | IL | NA | N/A | |||||
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENVENTURES INC | ||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421269171 | SUPPORT SERVICES/PROPERTY MANAGEMENT | IA | GENESIS HEALTH SYSTEM (IOWA) | C Corporation | $3,513,107 | $45,064,377 | 1 | Yes (true) |
| GENESIS HEART INSTITUTE | ||||||||||||
| 1236 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421504979 | HEALTHCARE MANAGEMENT | IA | Genesis Health Sysytem (Iowa) | C Corporation | $0 | $0 | 1 | Yes (true) |
| MISERICORDIA ASSURANCE COMPANY LTD | ||||||||||||
| 980457943 | OTHER FINANCIAL VEHICLE | Genesis Health System (Iowa) | C Corporation | $0 | $19,939,871 | 1 | Yes (true) | |||||
| MOB 1 OWNERS' ASSOCIATION | ||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 270865075 | PROPERTY MANAGEMENT | IA | NA | C Corporation | Yes (true) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (true) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (true) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | false | DivRelatedOrganizationInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | Yes (true) | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (true) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (true) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (true) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (30 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GenVentures Inc | ||
| A | $196,571 | FMV |
| Genesis Health Services Foundation | ||
| B | $53,136 | FMV |
| Genesis Health Services Foundation | ||
| C | $968,414 | FMV |
| Gen Gastro LLC | ||
| H | $3,526,801 | FMV |
| Spring Park Surgery Center | ||
| H | $567,600 | FMV |
| GenOrthro LLC | ||
| H | $2,714,384 | FMV |
| GenVentures Inc | ||
| K | $6,210,446 | FMV |
| Larson Center Partnership | ||
| K | $498,188 | FMV |
| Genesis health System Illinois | ||
| K | $151,023 | FMV |
| Larson Center Partnership | ||
| J | $436,940 | FMV |
| Genesis Health System Workers' Compensation and Trust | ||
| B | $1,336,038 | FMV |
| Genesis Health System Workers' Compensation and Trust | ||
| L | $1,265,795 | FMV |
| Davenport Hosptial Ambulance | ||
| M | $156,098 | FMV |
| Genesis Medical Center Aledo | ||
| P | $16,891,094 | FMV |
| Genesis Health System Illinois | ||
| P | $62,289,643 | FMV |
| Davenport Hospital Ambulance | ||
| P | $74,288 | FMV |
| GenVentures Inc | ||
| P | $1,613,120 | FMV |
| Genesis Health System Illinois | ||
| Q | $107,876,959 | FMV |
| Genesis Health System Foundation | ||
| Q | $2,626,349 | FMV |
| Genesis Medical Center Aledo | ||
| Q | $20,975,993 | FMV |
| Genventures Inc | ||
| Q | $38,053,290 | FMV |
| Genesis Philanthropy | ||
| Q | $439,958 | FMV |
| GenVentures Inc | ||
| R | $6,472,279 | FMV |
| GenRad LLC | ||
| H | $1,916,000 | FMV |
| GENESIS HEALTH SERVICES FOUNDATION | ||
| R | $342,923 | FMV |
| GENESIS PHILANTHROPY | ||
| R | $51,668 | FMV |
| GENESIS HEALTH SYSTEM IL | ||
| R | $80,425 | FMV |
| GENESIS SENIOR LIVING ALEDO | ||
| R | $182,040 | FMV |
| MISERICORDIA ASSURANCE COMPANY | ||
| M | $1,795,892 | FMV |
| Genesis Philanthropy | ||
| C | $45,812 | FMV |