2022-05-16T12:42:42-05:00 2021-06-30 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2020-07-01 010932846 GENESIS HEALTHCARE INC GENE 8032543676 8906 TWO NOTCH ROAD COLUMBIA SC 29223 TONY R MEGNA CEO 8032543676 2022-05-16 1 TONY MEGNA 999009999 AMY BIBBY P00445891 8282542254 2022-05-12 2 AAL1 IAL1 2020 2022-09-23 18:48:47Z TONY R MEGNA 8906 TWO NOTCH ROAD COLUMBIA SC 29223 52766901 0 X WWW.GENESISFQHC.ORG X 2009 SC TO PROVIDE MEDICAL, DENTAL, AND PHARMACEUTICAL SERVICES TO THE COMMUNITY SERVED. 12 9 242 11 254949 0 44 88 44882306 51527840 750247 642408 273783 596565 45906380 52766901 0 2001500 0 0 14999883 16491008 0 0 0 12055357 15043248 27055240 33535756 18851140 19231145 66565798 86839184 5047088 6089329 61518710 80749855 X TO PROVIDE TIMELY, AFFORDABLE, COMPASSIONATE, AND QUALITY PRIMARY AND PREVENTATIVE MEDICAL, DENTAL, AND PHARMACEUTICAL SERVICES TO SOUTH CAROLINA'S ECONOMICALLY AND CULTURALLY DIVERSE COMMUNITIES. 0 0 24635281 2001500 52085323 GENESIS HEALTHCARE, INC. ("GHC") IS A NON-PROFIT COMMUNITY HEATLHCARE CENTER DEEPLY COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH PREVENTION, EARLY INTERVENTION, REHABILITATION, AND EDUCATION. OUR COMMUNITY HEALTH CENTERS IN DARLINGTON, OLANTA, LAMAR, WALTERBORO, AND FLORENCE, SOUTH CAROLINA, PROVIDE PRIMARY HEALTHCARE SERVICES TO PATIENTS OF ALL AGES. AS A COMMUNITY HEALTH CENTER, GHC IS STRONGLY COMMITTED TO IMPROVING THE HEALTH OF ITS COMMUNITY THROUGH PREVENTION, EARLY INTERVENTION, REHABILITATION AND EDUCATION. THE SERVICES OFFERED BY GHC INCLUDE:CONTINUED ON SCHEDULE O- GENERAL PRIMARY MEDICAL CARE- BEHAVIORAL HEALTH SERVICES- EMERGENCY MEDICAL SERVICES- DIAGNOSTIC LABORATORY SERVICES- DIAGNOSTIC X-RAYS- DIAGNOSTIC SCREENINGS- ULTRASOUNDS AND ECHOCARDIOGRAPHY- BONE DENSITY TESTIN- CARE COORDINATION- CASE MANAGEMENT- IMMUNIZATIONS- GYNECOLOGICAL CARE- OBSTETRICS- MEDICATION MANAGEMENT- ON-SITE PHARMACY- FOOT CARE CLINIC- PHARMACEUTICALS- PHARMACY SERVICES- PULMONARY FUNCTION TESTIN- TRANSPORTATION TO AND FROM APPOINTMENTS, IF NEEDED- PEDIATRICS- UROLOGY- SUBSTANCE ABUSE SCREENING, REFERRAL, AND TREATMENTIN ADDITION TO THE ABOVE SERVICES, GHC IMPLEMENTED A PROGRAM ENTITLED SAFECARE. SAFECARE IS A PATIENT MANAGEMENT PROGRAM DESIGNED TO IMPROVE THE HEALTH OF PATIENTS WITH CHRONIC ILLNESSES SUCH AS DIABETES, HIGH BLOOD PRESSURE, HEART DISEASE, ASTHMA, COPD, AND HIGH CHOLESTEROL.GHC'S PHARMACY IS CERTIFIED AS A SPECIALTY PHARMACY THROUGH BOTH THE UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC) AND THE ACCREDITATION COMMISSION FOR HEATLH CARE (ACHC).SERVICES PROVIDED BY GHC ARE AVAILABLE TO ALL COMMUNITY RESIDENTS, REGARDLESS OF THEIR FINANCIAL OR INSURANCE STATUS. GHC OFFES A REDUCED SLIDING FEE SCHEDULE BASED ON AN INDIVIDUAL'S INCOME AND FAMILY SIZE. 24635281 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 2 0 1 242 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 9 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X NATHAN PRABHAKAR 8032543676 8906 TWO NOTCH ROAD COLUMBIA SC 29223 THOMAS TC SAWYER CHAIRMAN 1.00 X X 0 0 0 ROOSEVELT SCOTT TREASURER 1.00 X X 0 0 0 BERTIE G NESBITT SECRETARY 1.00 X X 0 0 0 DAVID CORRY VICE CHAIRMAN 1.00 X 0 0 0 RUTH BLOCKER BOARD MEMBER 1.00 X 0 0 0 SCOTT EAGERTON BOARD MEMBER 1.00 X 0 0 0 SARA NELL FLOYD BOARD MEMBER 1.00 X 0 0 0 MAL HYMAN BOARD MEMBER 1.00 X 0 0 0 JOHN KIMBROUGH BOARD MEMBER 1.00 X 0 0 0 JENNIFER POWELL BOARD MEMBER 1.00 X 0 0 0 JOHN C RAMSEY BOARD MEMBER 1.00 X 0 0 0 TONY R MEGNA CHIEF EXECUTIVE OFFICER 40.00 X 828413 0 48146 KATIE NOYES CHIEF ADMINSTRATIVE OFFICE 40.00 X 321576 0 44375 PAUL FULBRIGHT CHIEF INFORMATION OFFICER 40.00 X 326165 0 44375 SHAWN PATTON CHIEF FINANCIAL OFFICER 40.00 X 247986 0 32740 ALEXANDER COHEN CHIEF MEDICAL OFFICER 40.00 X 352951 0 43916 HELEN MILLING-CARROLL COMPLIANCE OFFICER 40.00 X 139358 0 19283 PRISCILLA WELCH MEDICAL DIRECTOR 40.00 X 353527 0 37288 KIMBERLY WEATHERFORD SENOIR DIRECTOR OF OPERATI 40.00 X 151601 0 24329 MARK CALLAHAN SR FM DIRECTOR 40.00 X 208212 0 38194 WARREN M MATTHEWS PHARMACY FINANCE DIRECTOR 40.00 X 214813 0 35664 BRENT BAROODY PHYSICIAN OBGYN 40.00 X 254283 0 16716 BRIAN HEASTER PHYSICIAN 40.00 X 205383 0 14784 PETER O'KELLY PHYSICIAN 40.00 X 248573 0 20676 MICHAEL W BARRETT PHYSICIAN 40.00 X 192554 0 23715 YVROSE VALCOURT PHYSICIAN 40.00 X 238350 0 10911 4283745 0 455112 16 0 1 0 HTR MANAGEMENT LLC 3400 WEST AVE COLUMBIA SC 29203 RENT/LEASE INTEREST PAYMENTS 380552 LCK LLC PO BOX 11129 COLUMBIA SC 29211 LEGAL/GRANT FILINGS 348238 ATHENAHEALTH PO BOX 415615 BOSTON MA 02241 EMR SERVICES 328843 GARDNER ROOFING INC 1329 WEIFT CREEK RD HARTSVILLE SC 29550 CONTRACTOR 161789 GRIFFIN ATTORNEY & COUNSELORS LLC PO BOX 999 COLUMBIA SC 29202 LEGAL 155000 11 88 88 NET PATIENT REVENUE 621400 49487715 49232766 254949 CARES ACT PROVIDER RELIEF FUNDS 621400 853725 853725 HHS ACA ACCESS POINT FUNDS 621400 794119 794119 SCDHHS REVENUE 621400 221675 221675 CARE GRANT (HURRICANE RECOVERY GR 900099 170606 170606 51527840 218974 218974 450 0 450 450 450 423434 0 423434 423434 423434 CONTRACT SERVICES REVENUE 900099 552205 552205 MISCELLANEOUS REVENUE 900099 43910 43910 596115 52766901 51869456 254949 642408 2001500 2001500 3273985 875055 2398930 231265 231265 10283162 8023942 2259220 183326 119162 64164 1753345 1139674 613671 765925 497851 268074 529219 529219 100252 100252 171000 171000 139146 139146 1361176 884764 476412 192353 165424 26929 823186 707940 115246 349863 300882 48981 545060 468752 76308 68828 59192 9636 6939 5968 971 148058 148058 1049567 1049567 187935 161624 26311 SUPPLIES 8435016 7254114 1180902 MISCELLANEOUS EXPENSE 332309 125241 207068 BAD DEBT EXPENSE 317793 317793 REPAIRS AND MAINTENANCE 230218 197987 32231 55330 47584 7746 33535756 24635281 8900475 0 11912201 3995842 18477342 35439713 2323036 2719148 1764507 5850600 679126 284945 15852295 4199842 11680381 11652453 19729205 26896483 66565798 86839184 1518532 2904607 3528556 3184722 5047088 6089329 X 61518710 80749855 61518710 80749855 66565798 86839184 19231145 0 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 171000 0 0 171000 0 PART II-B, LINE 1: DURING THE FISCAL YEAR THE ORGANIZATION HIRED CONSULTANTS TO HELP LOBBY ISSUES THAT COULD IMPACT THE ORGANIZATIONS INDUSTRY AND OPERATIONS. 1386459 1386459 10082120 3258728 6823392 2911697 941114 1970583 1472019 1472019 11652453 DUE FROM RELATED AFFILIATES 103877 AMOUNTS DUE FROM THIRD PARTY PAYERS 110764 ASSETS LIMITED AS TO USE 26681842 26896483 X 52309962 0 52309962 139146 317793 456939 52766901 33078817 0 33078817 139146 317793 456939 33535756 PART X, LINE 2: GENESIS IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENESIS PAYS INCOME TAXES ON ANY UNRELATED BUSINESS INCOME (UBI). NO UBI TAX WAS RECOGNIZED IN 2021 OR 2020 AND THE AMOUNT OF UNUTILIZED UBI NET OPERATING LOSS CARRYFORWARDS IS NOT MATERIAL. AT JUNE 30, 2021, TAX YEARS 2018 THROUGH 2020 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. GENESIS HAD NO UNCERTAIN TAX POSITIONS WITH REGARD TO RELATED OR UNRELATED BUSINESS INCOME AT JUNE 30, 2021 OR 2020. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 317,793. BROKER FEES PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 317,793. BROKER FEES 0 GENESIS COMMUNITY FOUNDATION 115B EXCHANGE STREET DARLINGTON SC 29532 853378589 501(C)(3) 2001500 SUPPORT UNDERSERVED COMMUNITY 1 0 1 X X X X 0 0 0 0 0 0 0 0 0 TONY R MEGNA CHIEF EXECUTIVE OFFICER 514078 0 307375 0 6960 0 30900 0 17246 0 876559 0 0 0 ALEXANDER COHEN CHIEF MEDICAL OFFICER 319539 0 29950 0 3462 0 30900 0 13016 0 396867 0 0 0 PRISCILLA WELCH MEDICAL DIRECTOR 334027 0 19500 0 0 0 30900 0 6388 0 390815 0 0 0 PAUL FULBRIGHT CHIEF INFORMATION OFFICER 296678 0 19500 0 9987 0 30900 0 13475 0 370540 0 0 0 KATIE NOYES CHIEF ADMINSTRATIVE OFFICE 293676 0 19500 0 8400 0 30900 0 13475 0 365951 0 0 0 SHAWN PATTON CHIEF FINANCIAL OFFICER 228486 0 19500 0 0 0 26352 0 6388 0 280726 0 0 0 BRENT BAROODY PHYSICIAN OBGYN 253783 0 500 0 0 0 10328 0 6388 0 270999 0 0 0 PETER O'KELLY PHYSICIAN 245316 0 3257 0 0 0 7660 0 13016 0 269249 0 0 0 WARREN M MATTHEWS PHARMACY FINANCE DIRECTOR 192093 0 20000 0 2720 0 19500 0 16164 0 250477 0 0 0 YVROSE VALCOURT PHYSICIAN 237850 0 500 0 0 0 9534 0 1377 0 249261 0 0 0 MARK CALLAHAN SR FM DIRECTOR 185012 0 19750 0 3450 0 25178 0 13016 0 246406 0 0 0 BRIAN HEASTER PHYSICIAN 204883 0 500 0 0 0 6246 0 8538 0 220167 0 0 0 MICHAEL W BARRETT PHYSICIAN 192054 0 500 0 0 0 7551 0 16164 0 216269 0 0 0 KIMBERLY WEATHERFORD SENOIR DIRECTOR OF OPERATI 131851 0 19750 0 0 0 23488 0 841 0 175930 0 0 0 HELEN MILLING-CARROLL COMPLIANCE OFFICER 138858 0 500 0 0 0 2720 0 16563 0 158641 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE OF THE GHC BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO AND MEDICAL DIRECTORS. STATE AND NATIONAL COMPARABILITY DATA IS USED TO ASSIST IN DETERMINING THE APPROPRIATE COMPENSATION. HTR MANAGEMENT LLC OFFICERS AND EMPLOYEES OF ORGANIZATION ALSO OWN LLC LOAN ASSOCIATED WITH PURCHASE OF VARIOUS PROPERTIES X 4179621 3184722 0 1 1 3184722 MARY MEGNA ARNEMAN FAMILY MEMBER OF TONY MEGNA 46053 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 JULIA FULBRIGHT FAMILY MEMBER OF PAUL FULBRIGHT 61227 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 FORM 990, PART VI, SECTION A, LINE 2 TONY MEGNA AND ALEXANDER COHEN HAVE A BUSINESS RELATIONSHIP IN HTR, LLC. KATIE NOYES, CHIEF ADMINISTRATIVE OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. PAUL FULLBRIGHT, CHIEF INFORMATION OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. WARREN M. MATTHEWS, PHARMACY FINANCE DIRECTOR, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. MARK CALLAHAN SR., FM DIRECTOR, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO EACH BOD MEMBER AT THE REGULARLY SCHEDULED APRIL MEETING PRIOR TO THE MAY FILING DEADLINE. THE MEMBERS ARE REQUESTED TO SUBMIT ANY INQUIRIES WITHIN TWO WEEKS FROM THE MEETING DATE TO ALLOW FOR INQUIRY AND ANY POTENTIAL ADDITIONAL INFORMATION TO BE PROVIDED. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE DECISION OF THE BOARD THAT A CONFLICT OF INTEREST DOES OR DOES NOT EXIST IS FINAL AND CREATES A REBUTTABLE PRESUMPTION THAT ADEQUATE MATERIAL FACTS HAVE BEEN, IN FACT, DISCLOSED TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTURAL OR POSSIBLE CONFLICT OF INTEREST, THE MEMBER WILL BE REMOVED FROM SERVICE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE GHC BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO AND MEDICAL DIRECTORS. STATE AND NATIONAL COMPARABILITY DATA IS USED TO ASSIST IN DETERMINING THE APPROPRIATE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL INFORMATION IS PUBLICLY AVAILABLE VIA FORM 990 AND ANY REQUESTS FOR ADDITIONAL FINANCIAL DATA WILL BE CONSIDERED ON AN INDIVIDUAL BASIS. FORM 990; PART XII; LINE 2C THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.