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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 ReturnHeader

FieldValueIRS element (for citing)
Return2022-05-11T15:31:17-05:00ReturnTs
Tax Period End2021-06-30TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2020-07-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN421418847EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Genesis Health SystemBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGENEBusinessNameControlTxt
Phone5634216508PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line11227 E Rusholme StreetAddressLine1Txt
CityDavenportCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52803ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoseph MalasPersonNm
Person TitleGHS CFO & Asst.TreasurerPersonTitleTxt
Signature2022-05-11SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

FieldValueIRS element (for citing)
Person FirstJosephPersonFirstNm
Person LastMalasPersonLastNm
FieldValueIRS element (for citing)
SSN999009999SSN
FieldValueIRS element (for citing)
Tax2020TaxYr
Build TS2022-09-23 18:48:47ZBuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

FieldValueIRS element (for citing)
Business Name Line1Joseph MalasBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11227 E Rusholme StreetAddressLine1Txt
CityDavenportCityNm
State AbbreviationIAStateAbbreviationCd
ZIP52803ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$1,026,143,853GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GENESISHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1994FormationYr
Legal Domicile StateIALegalDomicileStateCd
Activity Or MissionGENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee4518TotalEmployeeCnt
Total Volunteers96TotalVolunteersCnt
Total Gross UBI$1,557,925TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$715,154NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$15,247,216PYContributionsGrantsAmt
CY Contributions Grants$20,199,597CYContributionsGrantsAmt
PY Program Service Revenue$487,154,036PYProgramServiceRevenueAmt
CY Program Service Revenue$514,503,461CYProgramServiceRevenueAmt
PY Investment Income$31,985,953PYInvestmentIncomeAmt
CY Investment Income$19,737,711CYInvestmentIncomeAmt
PY Other Revenue$432,825PYOtherRevenueAmt
CY Other Revenue$2,478,783CYOtherRevenueAmt
PY Total Revenue$534,820,030PYTotalRevenueAmt
CY Total Revenue$556,919,552CYTotalRevenueAmt
PY Grants And Similar Paid$2,426,026PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,438,037CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$265,390,518PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$248,307,255CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$258,974,729PYOtherExpensesAmt
CY Other Expenses$280,609,596CYOtherExpensesAmt
PY Total Expenses$526,791,273PYTotalExpensesAmt
CY Total Expenses$530,354,888CYTotalExpensesAmt
PY Revenues Less Expenses$8,028,757PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$26,564,664CYRevenuesLessExpensesAmt
Total Assets BOY$929,416,357TotalAssetsBOYAmt
Total Assets EOY$1,001,993,046TotalAssetsEOYAmt
Total Liabilities BOY$353,037,374TotalLiabilitiesBOYAmt
Total Liabilities EOY$343,934,036TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$576,378,983NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$658,059,010NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionGENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$274,060,784ExpenseAmt
Grant$1,438,037GrantAmt
Revenue$410,379,160RevenueAmt
DescGENESIS 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

FieldValueIRS element (for citing)
Expense$100,340,703ExpenseAmt
Grant$0GrantAmt
Revenue$69,231,083RevenueAmt
DescGENESIS 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

FieldValueIRS element (for citing)
Expense$23,425,519ExpenseAmt
Grant$0GrantAmt
Revenue$26,942,212RevenueAmt
DescGENESIS 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

FieldValueIRS element (for citing)
Expense$4,682,843ExpenseAmt
Grant$0GrantAmt
Revenue$7,951,006RevenueAmt
DescGenesis 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
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$4,682,843TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue$7,951,006TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$402,509,849TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Donor Rstr Or Quasi EndowmentsYes (true)DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsYes (true)ReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (true)IncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With35 Ctrl EntYes (true)BusinessRlnWith35CtrlEntInd
Deductible Non Cash ContriYes (true)DeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document222IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee4518EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht PymtYes (true)SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst IncfalseSubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersfalseMembersOrStockholdersInd
Election Of Board MembersfalseElectionOfBoardMembersInd
Decisions Subject To ApprovafalseDecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

US Address USAddress

FieldValueIRS element (for citing)
Address Line11227 E RUSHOLMEAddressLine1Txt
CityDAVENPORTCityNm
State AbbreviationIAStateAbbreviationCd
ZIP528032498ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
C DANA WATERMAN III
VICE CHAIR2.52.0Yes (X)Yes (X)$0$0$0
DOUGLAS P CROPPER
PRESIDENT/CEO GHS50.011.5Yes (X)Yes (X)$948,732$0$53,480
GREGORY J BUSH
TREASURER2.02.0Yes (X)Yes (X)$0$0$0
PETER J BENSON
SECRETARY2.02.0Yes (X)Yes (X)$0$0$0
STEVEN C BAHLS
CHAIR4.04.0Yes (X)Yes (X)$0$0$0
CHRISTOPHER J COX
DIRECTOR2.02.0Yes (X)$0$0$0
DALE D ZUDE
DIRECTOR2.02.0Yes (X)$0$0$0
DAVID C LARSON
DIRECTOR2.02.0Yes (X)$0$0$0
DAVID HELLER
DIRECTOR2.02.0Yes (X)$0$0$0
EDMUND P COYNE JR
Director2.02.0Yes (X)$0$0$0
EDWIN V MOTTO MD
DIRECTOR5.05.0Yes (X)$0$0$0
G CHRISTOPHER WAHLIG
DIRECTOR2.02.0Yes (X)$0$0$0
GEORGE J KONTOS JR
Former Director40.02.0Yes (X)$502,136$0$47,432
KAREN FITZSIMMONS
DIRECTOR40.02.0Yes (X)$362,427$0$52,823
LASHONDA POLITE
DIRECTOR2.02.0Yes (X)$0$0$0
MARK C KILMER
DIRECTOR2.02.0Yes (X)$0$0$0
MARK D BAWDEN
DIRECTOR2.03.5Yes (X)$0$0$0
MELISSA PEPPER
DIRECTOR2.02.0Yes (X)$0$0$0
PATRICIA S GROVES
DIRECTOR2.02.0Yes (X)$0$0$0
ROBIN PETERSEN
DIRECTOR2.02.0Yes (X)$0$0$0
ROGER J HILL
FORMER BOARD MEMBER2.02.0Yes (X)$0$0$0
JOSEPH MALAS
VP FINANCE, INTERIM CFO30.010.0Yes (X)$115,210$0$7,060
PAUL BOLLINGER
V.P. LEGAL AFFAIRS/Asst. Secretary30.010.0Yes (X)$351,487$0$48,528
JORDAN VOIGT
HOSPITAL PRESIDENT GMC DAVENPORT40.00$626,282$0$48,158Yes (X)
KURT A ANDERSEN
VP Physician Operations/Chief Medical Officer32.08.0$668,780$0$48,117Yes (X)
ANDREW ANDRESEN
VP MEDICAL STAFF AFFAIRS40.00$507,607$0$22,568Yes (X)
GAUTAM KUKREJA
PHYSICIAN40.00$499,572$0$49,025Yes (X)
IURIE CARAMAN
PHYSICIAN40.00$572,378$0$26,836Yes (X)
NAMRATA MALLIK
PHYSICIAN40.00$530,636$0$8,233Yes (X)
TODD GRAY
PHYSICIAN ADVISOR40.00$517,552$0$19,791Yes (X)
CHRISTOPHER CROME
FORMER PHYSICIAN/DIVISION CHAIR40.00$481,907$0$22,233Yes (X)
HAROLD WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER40.00$259,512$0$24,996Yes (X)
MARK G ROGERS
V.P. FINANCE/CFO/ASST TREASURER30.010.0$804,440$0$47,313Yes (X)
NIDAL HARB
FORMER CHIEF MEDICAL OFFICER32.08.0$659,050$0$26,586Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$8,407,708TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$0TotReportableCompRltdOrgAmt
Total Other Compensation$553,179TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K286IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmtAddress Line2ContractorAddress/USAddress/AddressLine2Txt
Cerner Corporation
PO Box 959156St LouisMO931959156Information Technology Services$17,781,559
Crothall Healthcare Inc
1500 Liberty Ridge DriveWaynePA19087Maintenance/Enviromental Services$6,218,198
H R Accounts Inc
PO Box 672MolineIL612660672Collection Services$3,026,2085320 22nd Avenue
Renovo Solutions LLC
4 Executive CircleIrvineCA92614Maintenance Management Services for Medical Equipment$2,382,253Suite 185
Morrison Healthcare
PO Box 102289AtlantaGA30368Food Management Services$2,197,646
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K90CntrctRcvdGreaterThan100KCnt
Related Organizations$1,014,226RelatedOrganizationsAmt
Government Grants$16,797,775GovernmentGrantsAmt
All Other Contributions$2,387,596AllOtherContributionsAmt
Noncash Contributions$27,053NoncashContributionsAmt
Total Contributions$20,199,597TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT REVENUE621400$761,521,103$761,521,103
INPATIENT REVENUE900099$534,809,574$534,809,574
CLINIC/NURSING REVENUE621400$135,909,569$135,909,569
HOME HEALTH SERVICES621400$30,365,726$30,365,726
PROFESSIONAL HEALTH SERVICES621400$16,191,070$14,633,145$1,557,925

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column-$964,293,581TotalRevenueColumnAmt
Related Or Exempt Func Income-$964,293,581RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$514,503,461TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,961,025TotalRevenueColumnAmt
Exclusion$8,961,025ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

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

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$479,092,813OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$468,316,127OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$0SecuritiesAmt
Other$10,776,686OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,776,686TotalRevenueColumnAmt
Exclusion$10,776,686ExclusionAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$2,112,941GrossSalesOfInventoryAmt
Cost Of Goods Sold$908,174CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,204,767TotalRevenueColumnAmt
Exclusion$1,204,767ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES900099$490,414$490,414
NUTRITIONAL SERVICES900099$68,933$68,933
AMBULANCE900099$58,487$58,487

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$656,182TotalRevenueColumnAmt
Related Or Exempt Func Income$656,182RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$1,274,016OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$556,919,552TotalRevenueColumnAmt
Related Or Exempt Func Income$514,219,552RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$1,557,925UnrelatedBusinessRevenueAmt
Exclusion$20,942,478ExclusionAmt
FieldValueIRS element (for citing)
Info In Schedule O Part IXYes (X)InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,430,674TotalAmt
Program Services$1,430,674ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$7,363TotalAmt
Program Services$7,363ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,656,644TotalAmt
Program Services$415,250ProgramServicesAmt
Management And General$2,241,394ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$41,329TotalAmt
Program Services$41,329ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$214,327,490TotalAmt
Program Services$178,010,737ProgramServicesAmt
Management And General$36,316,753ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$1,907,815TotalAmt
Program Services$1,490,237ProgramServicesAmt
Management And General$417,578ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$15,031,699TotalAmt
Program Services$11,371,493ProgramServicesAmt
Management And General$3,660,206ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$14,342,278TotalAmt
Program Services$11,724,006ProgramServicesAmt
Management And General$2,618,272ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$2,058,318TotalAmt
Program Services$720,886ProgramServicesAmt
Management And General$1,337,432ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$576,194TotalAmt
Management And General$576,194ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$288,996TotalAmt
Management And General$288,996ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$84,523TotalAmt
Management And General$84,523ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$1,031,841TotalAmt
Management And General$1,031,841ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$71,743,349TotalAmt
Program Services$48,624,053ProgramServicesAmt
Management And General$23,119,296ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$770,004TotalAmt
Program Services$114,817ProgramServicesAmt
Management And General$655,187ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$7,867,111TotalAmt
Program Services$4,073,349ProgramServicesAmt
Management And General$3,793,762ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$2,601,619TotalAmt
Management And General$2,601,619ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$20,801,333TotalAmt
Program Services$16,496,823ProgramServicesAmt
Management And General$4,304,510ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,039,917TotalAmt
Program Services$777,515ProgramServicesAmt
Management And General$262,402ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$375,073TotalAmt
Program Services$295,556ProgramServicesAmt
Management And General$79,517ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,772,948TotalAmt
Program Services$6,772,948ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$37,548,726TotalAmt
Program Services$23,176,726ProgramServicesAmt
Management And General$14,372,000ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,810,104TotalAmt
Program Services$294,902ProgramServicesAmt
Management And General$1,515,202ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement 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

FieldValueIRS element (for citing)
Total$8,652,320TotalAmt
Program Services$1,970,332ProgramServicesAmt
Management And General$6,681,988ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$530,354,888TotalAmt
Program Services$407,166,770ProgramServicesAmt
Management And General$123,188,118ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$21,478,246BOYAmt
EOY$19,449,361EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$66,881,971BOYAmt
EOY$77,014,637EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$86,436,500BOYAmt
EOY$95,752,065EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$10,502,217BOYAmt
EOY$13,003,744EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$14,799,634BOYAmt
EOY$13,539,062EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$7,461,008BOYAmt
EOY$8,786,434EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$891,267,176LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$613,970,992LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$297,699,425BOYAmt
EOY$277,296,184EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$282,459,886BOYAmt
EOY$336,365,156EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$68,796,987BOYAmt
EOY$80,607,365EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$506,348BOYAmt
EOY$506,348EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$72,394,135BOYAmt
EOY$79,672,690EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$929,416,357BOYAmt
EOY$1,001,993,046EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$80,797,513BOYAmt
EOY$81,348,206EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$2,360,794BOYAmt
EOY$76,003EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$154,170,709BOYAmt
EOY$145,538,828EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$115,708,358BOYAmt
EOY$116,970,999EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$353,037,374BOYAmt
EOY$343,934,036EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$560,274,455BOYAmt
EOY$638,015,585EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$16,104,528BOYAmt
EOY$20,043,425EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$576,378,983BOYAmt
EOY$658,059,010EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$929,416,357BOYAmt
EOY$1,001,993,046EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$26,564,664ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$40,867,056NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$14,248,307OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$0MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$5,119DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$79,404OtherActivitiesAmt
Total Lobbying Expenditures$84,523TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITYFormAndLineReferenceDesc
ExplanationPart II-B, Line 1b. PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (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

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

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

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$12,080,730BeginningYearBalanceAmt
Contributions$191,448ContributionsAmt
Investment Earnings Or Losses$1,042,683InvestmentEarningsOrLossesAmt
Grants Or Scholarships$5,000GrantsOrScholarshipsAmt
Administrative Expenses$60,205AdministrativeExpensesAmt
End Year Balance$13,249,656EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.307BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.693PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.0TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

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

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$398,826,959OtherCostOrOtherBasisAmt
Depreciation$213,427,732DepreciationAmt
Book Value$185,399,227BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$30,457,371OtherCostOrOtherBasisAmt
Depreciation$22,919,163DepreciationAmt
Book Value$7,538,208BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$419,935,943OtherCostOrOtherBasisAmt
Depreciation$368,858,221DepreciationAmt
Book Value$51,077,722BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$29,057,273OtherCostOrOtherBasisAmt
Depreciation$8,765,876DepreciationAmt
Book Value$20,291,397BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$277,296,184TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (13 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
INVESTMENT IN GENVENTURES, INC$27,926,652C
INVESTMENT IN MISERICORDIA ASSURANCE, LTD.$120,000C
INVESTMENT IN HEI COOP$8,406,998C
INVESTMENT IN SPRING PARK SURGERY CENTER, LLC$3,279,237C
INVESTMENT IN GENGASTRO, LLC$27,922,162C
INVESTMENT IN GENORTHO, LLC$2,619,873C
INVESTMENT IN GENRAD IMAGING, LLC$2,943,082C
OTHER INVESTMENTS - GMC$28,655C
INVESTMENT IN UNIVERSITY OF IOWA HEALTH ALLIANCE, LLC
INVESTMENT IN DAVITA DIALYSIS, LLC$2,572,298C
INVESTMENT IN WELLMARK$901,046C
Investment in Wellspire, LLC$3,218,835C
Investment in Premier Healthcare$668,527C
FieldValueIRS element (for citing)
Total Book Value Securities$80,607,365TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (7 entries)

DescDescBook 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
FieldValueIRS element (for citing)
Total Book Value Other Assets$79,672,690TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDescAmtAmt
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
FieldValueIRS element (for citing)
Total Liability$116,970,999TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule D, Part V, Line 4 Intended uses of endowment fundsGENESIS HEALTH SERVICES FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS ARE AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT, EMPLOYEE EMERGENCY ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, DIALYSIS CARE, AND BREAST HEALTH SERVICES.
Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnoteUncertainty in income taxes: GHS Iowa, GHS Illinois, 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

FieldValueIRS element (for citing)
RegionCentral America and the CaribbeanRegionTxt
Offices0OfficesCnt
Employee0EmployeeCnt
Type Of Activities ConductedInvestmentsTypeOfActivitiesConductedTxt
Region Total Expenditures$0RegionTotalExpendituresAmt
FieldValueIRS element (for citing)
Subtotal Offices0SubtotalOfficesCnt
Subtotal Employees0SubtotalEmployeesCnt
Continuation Total Office0ContinuationTotalOfficeCnt
Continuation Total Employee0ContinuationTotalEmployeeCnt
Total Office0TotalOfficeCnt
Total Employee0TotalEmployeeCnt
Subtotal Spent$0SubtotalSpentAmt
Continuation Spent$0ContinuationSpentAmt
Total Spent$0TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CofalsePassiveForeignInvestmestCoInd
Foreign PartnershipfalseForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,085,925TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,085,925NetCommunityBenefitExpnsAmt
Total Expense0.0058TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$81,005,425TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,829,877DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,175,548NetCommunityBenefitExpnsAmt
Total Expense0.0380TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

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

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$84,091,350TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$60,829,877DirectOffsettingRevenueAmt
Net Community Benefit Expns$23,261,473NetCommunityBenefitExpnsAmt
Total Expense0.0439TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$919,154TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$919,154NetCommunityBenefitExpnsAmt
Total Expense0.0017TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,117,874TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,908,660DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,209,214NetCommunityBenefitExpnsAmt
Total Expense0.0023TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,287,297TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,746,779DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,540,518NetCommunityBenefitExpnsAmt
Total Expense0.0029TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$302,110TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$302,110NetCommunityBenefitExpnsAmt
Total Expense0.0006TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$7,626,435TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$3,655,439DirectOffsettingRevenueAmt
Net Community Benefit Expns$3,970,996NetCommunityBenefitExpnsAmt
Total Expense0.0075TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$91,717,785TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$64,485,316DirectOffsettingRevenueAmt
Net Community Benefit Expns$27,232,469NetCommunityBenefitExpnsAmt
Total Expense0.0513TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

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

Economic Development EconomicDevelopmentGrp

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

Community Support CommunitySupportGrp

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

Environmental Improvements EnvironmentalImprovementsGrp

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

Leadership Development LeadershipDevelopmentGrp

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

Coalition Building CoalitionBuildingGrp

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

Health Improvement Advocacy HealthImprovementAdvocacyGrp

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

Workforce Development WorkforceDevelopmentGrp

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

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

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

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$0TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$0NetCommunityBenefitExpnsAmt
Total Expense0.0TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (true)BadDebtExpenseReportedInd
Bad Debt Expense$12,243,326BadDebtExpenseAmt
Bad Debt Expense Attributable$0BadDebtExpenseAttributableAmt
Reimbursed By Medicare$115,425,540ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$117,124,439CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$1,698,899MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
GENGASTRO LLC
AMBULATORY SURGERY CENTER0.90.00.1
GENORTHO LLC
ORTHOPAEDIC SURGERY CENTER0.40.00.6
SPRING PARK SURGERY CENTER LLC
OUTPATIENT SURGICAL CENTER0.40.00.6
GENRAD IMAGING LLC
DIAGNOSTIC IMAGING CENTER0.50.00.5
DAVITA DIALYSIS LLC
OUTPATIENT DIALYSIS CENTER0.20.00.8
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
GENESIS MEDICAL CENTER - DAVENPORT
21227 E RUSHOLME STREETDAVENPORTIA52803820011HWWW.GENESISHEALTH.COMYes (X)Yes (X)Yes (X)
GENESIS MEDICAL CENTER - DEWITT
11118 11TH STREETDEWITTIA52742WWW.GENESISHEALTH.COM230149HYes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctAsset Level CriteriaAssetLevelCriteriaIndMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndProvided Nonprofit ContactProvidedNonprofitContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndFAP TranslatedFAPTranslatedIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndPrior CHNA ImpactPriorCHNAImpactIndCommuntity Notified FAPCommuntityNotifiedFAPInd
GENESIS MEDICAL CENTER - DAVENPORT
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)18Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)WWW.GENESISHEALTH.COM/COMMUNITYYes (X)Yes (true)18Yes (true)WWW.GENESISHEALTH.COM/COMMUNITYfalseYes (true)Yes (X)200.0200.0Yes (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.COMYes (X)WWW.GENESISHEALTH.COMYes (X)WWW.GENESISHEALTH.COMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
GENESIS MEDICAL CENTER - DEWITT
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)20Yes (true)falsefalseYes (true)Yes (X)WWW.GENESISHEALTH.COM/COMMUNITYYes (X)Yes (true)20Yes (true)WWW.GENESISHEALTH.COM/COMMUNITYfalseYes (true)Yes (X)200.0200.0Yes (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.COMYes (X)WWW.GENESISHEALTH.COMYes (X)WWW.GENESISHEALTH.COMYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)Yes (X)

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1Facility , 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 , 1Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. UNITY POINT HEALTH-TRINITY
Schedule H, Part V, Section B, Line 6b Facility , 1Facility , 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 , 1Facility , 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 , 1Facility , 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 , 1Facility , 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
FieldValueIRS element (for citing)
Facility42FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (42 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
CENTRAL PARK MEDICAL PAVILIONS 1 & 2
1351 W CENTRAL PARK AVENUEDAVENPORTIA52804O/P CANCER, INFUSION, WOUND, & PHYSICIAN CLINIC
BETTENDORF HEALTH PLEX
2140 53RD AVENUEBETTENDORFIA52722OUTPATIENT PHYSICIAN CLINIC AND IMAGING SERVICES
GENESIS MEDICAL PLAZA
2535 MAPLECREST ROADBETTENDORFIA52722O/P REHAB, PAIN, PHYS THERAPY, DIABETES, HOME HEALTH, SPINE CTR & PHSY CLINIC
GENESIS IMAGING CENTER 53RD STREET
1970 E 53RD STREETDAVENPORTIA52807OUTPATIENT RADIOLOGY SERVICES
Davenport HealthPlex
3200 West Kimberly RdDavenportIA52806Outpatient Physician Clinic/Physical Therapy
ILLINI LARSON CENTER
855 ILLINI DRIVESILVISIL61282OUTPATIENT LAB & PHYSICIAN CLINIC
GENESIS HEALTH GROUP
865 LINCOLN ROADBETTENDORFIA52722OUTPATIENT PHYSICIAN CLINIC
MEDICAL OFFICE BUILDING #1 and #2
1228 E RUSHOLME STREETDAVENPORTIA52803O/P MAMMOGRAPHY & DIALYSIS SERVICES
VISITING NURSE ASSOC & HOSPICE HOUSE
2546 TECH DRIVEBETTENDORFIA52722HOME HEALTH & HOSPICE
ELDRIDGE FAMILY PRACTICE
301 N 4TH AVENUEELDRIDGEIA52748OUTPATIENT PHYSICIAN CLINIC
GHG-Valley View Moline
615 valley Vew Dr Suite 305MolineIL61265Outpatient Physician Clinic
GENESIS CONVENIENT CARE - ILLINOIS
2350 41ST STREETMOLINEIL61265OUTPATIENT URGENT CARE CLINIC
GENESIS PHYSICAL REHAB - VALLEY FAIR
2300 53RD STREETBETTENDORFIA52722O/P PHYSICAL THERAPY CLINIC
Genesis PT &Sports Medicaine-Bettendorf
2300 53rs Ave STE LL02BettendorfIA52722Outpatient Physical Therapy Clinic
FAMILY PRACTICE AT WEST CAMPUS
1345 W CENTRAL PARK AVENUEDAVENPORTIA52804OUTPATIENT PHYSICIAN CLINIC
Woodlands Family Practice
4321 53rd AveBettendorfIA52722Outpatient Physician Clinic
GENESIS PSYCHOLOGY ASSOCIATES
4455 E 56TH STREETDAVENPORTIA52804OUTPATIENT COUNSELING CLINIC
Dewitt Family Practice
1008 11th StDewittIA52742Outpatient Physician Clinic
GENGASTRO LLC
2222 53RD AVENUEBETTENDORFIA52722AMBULATORY SURGERY CENTER
NORTH FAMILY PRACTICE
210 W 53RD STREETDAVENPORTIA52806OUTPATIENT PHYSICIAN CLINIC
ELDRIDGE PHYSICAL THERAPY
170 S 4TH AVENUEELDRIDGEIA52748OUTPATIENT PHYSICAL THERAPY CLINIC
GENORTHO LLC
2300 53RD STREETBETTENDORFIA52722ORTHOPEDIC SURGERY CENTER
GENESIS OCCUPATIONAL HEALTH
2350 41ST STREETMOLINEIL61265OUTPATIENT OCCUPATIONAL HEALTH
PHYSICAL THERAPY & SPORTS MEDICINE
1702 E 53RD STREETDAVENPORTIA52807O/P PHYSICAL THERAPY & SPORTS PERF CLINIC
MOLINE HEALTHPLEX
3900 28TH AVENUEMOLINEIL61265OUTPATIENT PHYSICIAN CLINIC
Genesis Physcial Therapy Davenport
1820 West 3rd StDavenportIA52801Outpatient Physical Therapy Clinic and Physician Clinic
GENRAD IMAGING LLC
1970 E 53RD STREETDAVENPORTIA52807DIAGNOSTIC IMAGING CENTER
GHS - AUGUSTANA PT CLINIC
639 38TH STREETROCK ISLANDIL61201OUTPATIENT PHYSICAL THERAPY CLINIC
DEWITT AMBULANCE
1220 11TH STREETDEWITTIA52742AMBULANCE SERVICES
GHS OCCUPATIONAL HEALTH - DAVENPORT
3319 SPRING STREETDAVENPORTIA52807OUTPATIENT OCCUPATIONAL HEALTH
Genesis Physical Therapy at LeClaire
1003 Canal Shore DriveLeClaireIA52753Outpatient Physical Therapy Clinic
Durant FAMILY PRACTICE
619 5thDurantIA52747OUTPATIENT PHYSICIAN CLINIC
LECLAIRE FAMILY PRACTICE - RIVERVIEW
200 S CODY ROADLECLAIREIA52751OUTPATIENT PHYSICIAN CLINIC
Genesis Physical Therapy Clinton
1647 Lincoln WayClintonIA52732Outpatient Physical Therapy Clinic
IA CITY PEDIATRIC PT CLINIC
2451 CORAL CTCORALVILLEIA52241OUTPATIENT PHYSICAL THERAPY CLINIC
BLUE GRASS FAMILY MEDICAL
413 S MISSISSIPPIBLUE GRASSIA52726OUTPATIENT PHYSICIAN CLINIC
VISITING NURSE ASSOC & HOSPICE HOUSE
611 NORTH 2ND AVECLINTONIA52732HOME HEALTH & HOSPICE
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202ADAVENPORTIA52807OUTPATIENT SURGICAL CENTER
ERIE FAMILY PRACTICE
530 12TH STREETERIEIL61205OUTPATIENT PHYSICIAN CLINIC
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREETDAVENPORTIA52803O/P CARDIAC DIAGNOSTIC & REHAB CARE
Conveniet Care Now W Locust
2351 West locust StreetDavenportIA52804Outpatient Urgent Care Clinic
CONVENIENT CARE NOW E KIMBERLY
1823 E KIMBERLY RDDAVENPORTIA52807Outpatient Urgent Care clinic

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organizationGENESIS HEALTH SYSTEM (GHS ILLINOIS) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO)
Schedule H, Part I, Line 7g Subsidized Health ServicesNo costs associated with a physician clinic were reported in subsidized health services.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistanceGenesis Health System (GHS 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 amountIn accordance with Healthcare Financial Management Association Statement No. 15, Bad Debt is reported at the full-established charge from the most recent audited financial report. Payments received after an account had been written off to bad debt were credited to a bad debt recovery account. Discounts on patient accounts provided by third-party payers were written off to a contractual allowance account.
Schedule H, Part III, Line 3 Bad Debt Expense MethodologyGenesis Health System uses Avadyne Health to process aging patient accounts. Avadyne Health's collection process utilizes publicly available information to ensure all aging patient accounts receive financial assistance in accordance to Genesis Health System policy before being deemed bad debt. Genesis Health System reported zero dollars for the estimated amount of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnoteThe System determines the transaction price based on standard charges for goods and services provided to patients, reduced by explicit price concessions consisting of contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the System's policy, and/or implicit price concessions provided to uninsured patients based on historical collection experience. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to be collected based on the System's collection history with similar classes of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended June 30, 2021 and 2020, was not material.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costsNo 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 assistanceEvery effort is made to determine a patient's eligibility for financial assistance. If eligible, payment plans are made available based on their resources and income. All balances owing after financial assistance allowances have been taken are payable in monthly payments in accordance with the organization's financial assistance policy.
Schedule H, Part V, Section B, Line 16a FAP website- GENESIS MEDICAL CENTER - 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 assessmentGenesis 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 assistanceInformation on the availability of financial assistance is posted in visible locations in the admission departments of the hospitals. In addition, the hospital registration staff make available informative brochures for patients in the Emergency Room registration area explaining their eligibility for assistance. Genesis Health System (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 informationGenesis 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 healthGenesis Health System's Board of directors is a diverse representation of persons who reside in the primary service area that Genesis Health System serves. Genesis Health System executives and employees serve on dozens of volunteer boards throughout the region on important projects and initiatives, such as homeless shelters, mental health, downtown redevelopment and events and festivals. Genesis Health System employees serve the communities where they live by serving in elected offices in city and county government. Genesis Health System extends medical staff privileges to all qualified physicians in its communities. Genesis Health System has endeavored to improve access to health care for the communities it serves by participating in appropriate joint ventures that offer needed health care services to under-served areas. Genesis Health System schedules dozens of health screenings and immunizations throughout the year at a reduced cost. These include screenings for diabetes, stroke and heart disease and public flu immunization clinics. Genesis Health System providers translation services based on a percentage of the diversity of the population. Each year, Genesis Health System provides the community with dozens of classes and events promoting health and health education. Hundreds of residents in the region served by Genesis Health System learn CPR, First Aid, parenting skills, and newborn care by enrolling in classes. Genesis Health System supplies medical supplies and equipment to Globus, which is a third party company that helps companies share and transfer research data. Genesis Health System maintains an active effort to advocate for access to health care in Iowa and Illinois State government and in Washington D.C. Genesis Health System employees also participate in a voter voice initiative to advocate on important health issues with City, County, State, and National elected officials. Surplus funds resulting from efficient operations and cost-containment measure are re-invested in the healthcare operations of Genesis Health System to improve the healthcare services that Genesis Health System provides. Advances in medical equipment and technology, staff education, and new medical services are examples of operation investments that ultimately improve the health of the communities that Genesis Health System serves. 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 systemGenesis 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 reportIL, IA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
GENESIS HEALTH SYSTEM WORKER'S COMPENSATION & TRUST
1227 E RUSHOLME STDAVENPORTIA52803391905171501 ( C ) (3)$1,336,038CLAIM PAYMENTS
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STDAVENPORTIA52803421421670501 ( C ) (3)$53,136CME PROGRAM
NAMI Greater Mississippi Valley
1035 W Kimberly Rd Suite 4DAVENPORTIA52806421188963501 (C)(3)$10,000NAMI Walks Event Donation
Quad Cities Community Foundation
852 Middle RoadBETTENDORFIA52722426122716501 (C)(3)$10,000Memorial Scholarship in remembrance of Dr. Pinc
Quad City Symphony
327 bRADY sTDAVENPORTIA52801466017663501 ( C ) (3)$10,000Sponsorships-Seasonal concerts
FieldValueIRS element (for citing)
Total501c3 Org5Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

FieldValueIRS element (for citing)
Grant TypeMEDICAL SUPPLIES TO INDIVIDUALS/MEDICAL MISSIONGrantTypeTxt
Recipient500RecipientCnt
Non Cash Assistance$5,726NonCashAssistanceAmt
Valuation Method UsedFMVValuationMethodUsedDesc
Non Cash AssistanceMEDICAL AND PHARMACEUTICAL SUPPLIES DONATED TO PATIENTS AND MERCY MISSION Genesis Health System 42-1418847 67 5/NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

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

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsfalseAnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (16 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DOUGLAS P CROPPER
PRESIDENT/CEO GHS$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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule J, Part IIBased 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 paymentThe 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 planThe 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 ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
IOWA FINANCE AUTHORITY
A52169988646246PLP42010-06-24$90,995,000REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITYYes (true)falsefalse
IOWA FINANCE AUTHORITY
B52169988646246PMG32013-11-26$121,000,000CONSTRUCT AND EQUIP EAST CAMPUS TOWERfalsefalsefalse
Iowa Finance Authority
C521699886$27,500,000Partially defease 6-24-10 Bondsfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtSubstantial CompletionSubstantialCompletionYrRefunding Tax Exempt BondsRefundingTaxExemptBondsIndRefunding Taxable BondsRefundingTaxableBondsIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintIndCapitalized InterestCapitalizedInterestAmt
A$86,825,000$0$95,545,195$0$1,478,186$23,700,000$70,367,0092010Yes (true)falseYes (true)Yes (true)
B$2,600,000$125,205,892$1,267,563$123,844,3992013falsefalseYes (true)Yes (true)$21,131,117
C$6,810,000$27,500,000$27,500,0002017falseYes (true)Yes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndEngage Bond Counsel ResearchEngageBondCounselResearchIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.00910.00.0091falsefalseYes (true)
BfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.00910.00.0091falsefalseYes (true)
CfalsefalseYes (true)Yes (true)Yes (true)Yes (true)0.00910.00.0091falsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
AfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)
BfalsefalseYes (true)falseYes (true)falsefalsefalseYes (true)
CfalsefalseYes (true)falsefalsefalsefalsefalseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Schedule K, Part II, Line 3Part 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 ActionIssuer 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 ActionIssuer 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 DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
GENVENTURES INC
DOUGLAS P. CROPPER, ROGER HILL, AND JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC.$38,249,861GENVENTURES, 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.$14,295,845GENESIS 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.$1,020,833HEALTHCARE PROFESSIONAL SERVICESfalse
QUAD CITY BANK & TRUST COMPANY
PETER BENSON IS AN OFFICER AND MARK KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST$253,927INTEREST EXPENSE, DEPOSIT ACCOUNT, CREDIT CARD SERVICE, LOCK BOX FEES, AND INTEREST INCOMEfalse
CLAIRE MOTTO
CLAIRE MOTTO IS THE DAUGHER OF EDWIN V. MOTTO, DIRECTOR OF GHS IA$14,567REPORTABLE COMPENSATION AS AN EMPLOYEEfalse
KRISTI SOUTHERLAND
KRISTI SOUTHERLAND IS THE SISTER OF KURT A. ANDERSEN, A KEY EMPLOYEE OF GHS IA$27,610REPORTABLE COMPENSATION AS AN EMPLOYEEfalse
Dewitt Bank and Trust
Roger J. Hill is a Sr.VP/Trust Officer for Dewitt Bank & Trust$134,450interest 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$113,995Sponsorship and ticket purchase expensesfalse
AUGUSTANA COLLEGE
STEVEN C. BAHLS IS AN OFFICER AND C. DANA WATERMAN III IS A BOARD MEMBER OF AUGUSTANA COLLEGE$704,479AUGUSTANA 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$90,000GHS 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$170,144PURCHASE OF VEHICLESfalse

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

FieldValueIRS element (for citing)
Non Cash CheckboxYes (X)NonCashCheckboxInd
DescMiscellaneousDesc
Contribution35ContributionCnt
Noncash Contributions Rpt F990$27,053NoncashContributionsRptF990Amt
Method Of Determining RevenuesMarket valueMethodOfDeterminingRevenuesTxt
FieldValueIRS element (for citing)
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeldInd
Review Process Unusual NC GiftsYes (true)ReviewProcessUnusualNCGiftsInd
Third Parties UsedfalseThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSchedule M, Part I Explanations of reporting method for number of contributionsFormAndLineReferenceDesc
ExplanationOther - 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 ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 15Line 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 bodyPrior to submitting the form 990 to the IRS, it is reviewed at the organization's finance committee meeting, and then it is e-mailed to the organization's board of directors' one week in advance of a scheduled meeting. At the board of directors meeting, internal management reviews the form 990 with the board of directors. Suggested changes from all of the reviews are considered for inclusion in the final form 990 submitted to the IRS. Internal management review is also completed of the compiled information and is provided to the vice president, finance/CFO; vice president, legal affairs; vice president, human resources; and chief compliance risk officer of the organization's corporate member.
Form 990, Part VI, Line 12c Conflict of interest policyANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS 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 officialEach executive position is evaluated using a formal evaluation plan that is established by an outside consultant. At the present time, the consultant uses a point system for job evaluation. The point values are based on "know how", "problem solving", "accountability", and other job attribute specific to the position. Once the point value is set for a position, market comparisons for jobs with the same organizational impact can be compared for salary purposes and establish pay ranges. The design of the pay ranges for executives is based on market data. The midpoint of each pay range is established at the 50th percentile of the market comparisons. A minimum and maximum are established off of the midpoint. Specific pay rates for executives are subject to CEO and compensation committee and the Genesis Health System (GHS 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 publicTHE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1aGENESIS HEALTH SYSTEM (GHS 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 RevenueContractuals/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 RevenueMisc 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 FeesANESTHESIA 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 balancesEquity 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 2cTHE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GENESIS ACCOUNTABLE CARE ORGANIZATION LLC
1227 E RUSHOLME STREETDAVENPORTIA52803454168932ACCOUNTABLE CARE SERVICESIA$3,268,162$8,275,482GENESIS HEALTH SYSTEM (GHS IOWA)
SPIN ECHO LLC
1227 E RUSHOLME STREETDAVENPORTIA52803421491373PROPERTY MANAGEMENTIA$190,639$1,535,578GENVENTURES INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
801 ILLINI DRIVEsilvisIL61282363616314HEALTHCAREIL501(c)(3)3GENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 E RUSHOLME STREETDAVENPORTIA52803391905171EMPLOYEE/BENEFIT/TRUSTIA501(c)(3)Type IGENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
DAVENPORT HOSPITAL AMBULANCE CORPORATION
1204 E HIGH STREETDAVENPORTIA52803421186903AMBULANCE TRANSFERSIA501(c)(3)Type IGENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
GENESIS SENIOR LIVING ALEDO
309 NW NINTH AVENUEALEDOIL61231454475803SENIOR LIVING SERVICESIL501(c)(3)3GENESIS HEALTH SYSTEM (GHS ILLINOIS)Yes (true)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREETDAVENPORTIA52803421421670CHARITYIA501(c)(3)7GENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
GENESIS PHILANTHROPY
1227 E RUSHOLME STREETDAVENPORTIA52803462452851CHARITYIA501(c)(3)10GENESIS HEALTH SYSTEM (GHS IOWA)Yes (true)
GENESIS MEDICAL CENTER ALEDO
309 NW NINTH AVENUEALEDOIL61231454475683HEALTHCAREIL501(c)(3)3GENESIS HEALTH SYSTEM (GHS ILLINOIS)Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtPredominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
GENGASTRO LLC
2222 53RD AVENUEBETTENDORFIA52722562315623AMBULATORY SURGERY CENTERIAGENESIS HEALTH SYSTEM (GHS IOWA)Related$3,604,294$401,474falsefalse0.82
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202ADAVENPORTIA52807421483989OUTPATIENT SURGICAL CENTERIAGENESIS HEALTH SYSTEM (GHS IOWA)Related$616,178$2,998,272falsefalse0.4
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVESILVISIL61282363738454PROPERTY MANAGEMENTILNAN/A
GENORTHO LLC
2300 53RD AVENUEBETTENDORFIA52722203406994ORTHOPAEDIC SURGERY CENTERIAGENESIS HEALTH SYSTEM (GHS IOWA)Related$2,913,368$1,924,140falsefalse0.52
GENRAD IMAGING LLC
1970 E 53RD STREETDAVENPORTIA52807453571628DIAGNOSTIC IMAGING CENTERIAGENESIS HEALTH SYSTEM (GHS IOWA)Related$1,960,197$2,138,135falsefalse0.5
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREETDAVENPORTIA52807462452851DIAGNOSTIC IMAGING CENTERILNAN/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationInd
GENVENTURES INC
1227 E RUSHOLME STREETDAVENPORTIA52803421269171SUPPORT SERVICES/PROPERTY MANAGEMENTIAGENESIS HEALTH SYSTEM (IOWA)C Corporation$3,513,107$45,064,3771Yes (true)
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREETDAVENPORTIA52803421504979HEALTHCARE MANAGEMENTIAGenesis Health Sysytem (Iowa)C Corporation$0$01Yes (true)
MISERICORDIA ASSURANCE COMPANY LTD
980457943OTHER FINANCIAL VEHICLEGenesis Health System (Iowa)C Corporation$0$19,939,8711Yes (true)
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREETDAVENPORTIA52803270865075PROPERTY MANAGEMENTIANAC CorporationYes (true)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (true)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (true)AssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (30 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
GenVentures Inc
A$196,571FMV
Genesis Health Services Foundation
B$53,136FMV
Genesis Health Services Foundation
C$968,414FMV
Gen Gastro LLC
H$3,526,801FMV
Spring Park Surgery Center
H$567,600FMV
GenOrthro LLC
H$2,714,384FMV
GenVentures Inc
K$6,210,446FMV
Larson Center Partnership
K$498,188FMV
Genesis health System Illinois
K$151,023FMV
Larson Center Partnership
J$436,940FMV
Genesis Health System Workers' Compensation and Trust
B$1,336,038FMV
Genesis Health System Workers' Compensation and Trust
L$1,265,795FMV
Davenport Hosptial Ambulance
M$156,098FMV
Genesis Medical Center Aledo
P$16,891,094FMV
Genesis Health System Illinois
P$62,289,643FMV
Davenport Hospital Ambulance
P$74,288FMV
GenVentures Inc
P$1,613,120FMV
Genesis Health System Illinois
Q$107,876,959FMV
Genesis Health System Foundation
Q$2,626,349FMV
Genesis Medical Center Aledo
Q$20,975,993FMV
Genventures Inc
Q$38,053,290FMV
Genesis Philanthropy
Q$439,958FMV
GenVentures Inc
R$6,472,279FMV
GenRad LLC
H$1,916,000FMV
GENESIS HEALTH SERVICES FOUNDATION
R$342,923FMV
GENESIS PHILANTHROPY
R$51,668FMV
GENESIS HEALTH SYSTEM IL
R$80,425FMV
GENESIS SENIOR LIVING ALEDO
R$182,040FMV
MISERICORDIA ASSURANCE COMPANY
M$1,795,892FMV
Genesis Philanthropy
C$45,812FMV