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        <BusinessName>
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        <BusinessName>
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          <AddressLine1Txt>801 ILLINI DRIVE</AddressLine1Txt>
          <CityNm>SILVIS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61282</ZIPCd>
        </USAddress>
        <WebsiteAddressTxt>WWW.GENESISHEALTH.COM</WebsiteAddressTxt>
        <StateLicenseNum>0005413</StateLicenseNum>
        <LicensedHospitalInd>X</LicensedHospitalInd>
        <GeneralMedicalAndSurgicalInd>X</GeneralMedicalAndSurgicalInd>
        <EmergencyRoom24HrsInd>X</EmergencyRoom24HrsInd>
      </HospitalFacilitiesGrp>
      <HospitalFcltyPoliciesPrctcGrp>
        <HospitalFacilityName>
          <BusinessNameLine1Txt>GENESIS MEDICAL CENTER - SILVIS</BusinessNameLine1Txt>
        </HospitalFacilityName>
        <FacilityNum>1</FacilityNum>
        <FirstLicensedCYOrPYInd>false</FirstLicensedCYOrPYInd>
        <TaxExemptHospitalCYOrPYInd>false</TaxExemptHospitalCYOrPYInd>
        <CHNAConductedInd>true</CHNAConductedInd>
        <CommunityDefinitionInd>X</CommunityDefinitionInd>
        <CommunityDemographicsInd>X</CommunityDemographicsInd>
        <ExistingResourcesInd>X</ExistingResourcesInd>
        <HowDataObtainedInd>X</HowDataObtainedInd>
        <CommunityHealthNeedsInd>X</CommunityHealthNeedsInd>
        <OtherHealthIssuesInd>X</OtherHealthIssuesInd>
        <CommunityHlthNeedsIdProcessInd>X</CommunityHlthNeedsIdProcessInd>
        <ConsultingProcessInd>X</ConsultingProcessInd>
        <PriorCHNAImpactInd>X</PriorCHNAImpactInd>
        <CHNAConductedYr>18</CHNAConductedYr>
        <TakeIntoAccountOthersInputInd>true</TakeIntoAccountOthersInputInd>
        <CHNAConductedWithOtherFcltsInd>true</CHNAConductedWithOtherFcltsInd>
        <CHNAConductedWithNonFcltsInd>true</CHNAConductedWithNonFcltsInd>
        <CHNAReportWidelyAvailableInd>true</CHNAReportWidelyAvailableInd>
        <RptAvailableOnOwnWebsiteInd>X</RptAvailableOnOwnWebsiteInd>
        <OwnWebsiteURLTxt>WWW.GENESISHEALTH.COM/COMMUNITY</OwnWebsiteURLTxt>
        <PaperCopyPublicInspectionInd>X</PaperCopyPublicInspectionInd>
        <ImplementationStrategyAdoptInd>true</ImplementationStrategyAdoptInd>
        <ImplementationStrategyAdptYr>18</ImplementationStrategyAdptYr>
        <StrategyPostedWebsiteInd>true</StrategyPostedWebsiteInd>
        <StrategyWebsiteURLTxt>WWW.GENESISHEALTH.COM/COMMUNITY</StrategyWebsiteURLTxt>
        <OrganizationIncurExciseTaxInd>false</OrganizationIncurExciseTaxInd>
        <EligCriteriaExplainedInd>true</EligCriteriaExplainedInd>
        <FPGFamilyIncmLmtFreeDscntInd>X</FPGFamilyIncmLmtFreeDscntInd>
        <FPGFamilyIncmLmtFreeCarePct>200.0</FPGFamilyIncmLmtFreeCarePct>
        <FPGFamilyIncmLmtDscntCarePct>200.0</FPGFamilyIncmLmtDscntCarePct>
        <AssetLevelCriteriaInd>X</AssetLevelCriteriaInd>
        <MedicalIndigencyCriteriaInd>X</MedicalIndigencyCriteriaInd>
        <InsuranceStatusCriteriaInd>X</InsuranceStatusCriteriaInd>
        <UnderinsuranceStatCriteriaInd>X</UnderinsuranceStatCriteriaInd>
        <ExplainedBasisInd>true</ExplainedBasisInd>
        <AppFinancialAsstExplnInd>true</AppFinancialAsstExplnInd>
        <DescribedInfoInd>X</DescribedInfoInd>
        <DescribedSuprtDocInd>X</DescribedSuprtDocInd>
        <ProvidedHospitalContactInd>X</ProvidedHospitalContactInd>
        <ProvidedNonprofitContactInd>X</ProvidedNonprofitContactInd>
        <IncludesPublicityMeasuresInd>true</IncludesPublicityMeasuresInd>
        <FAPAvailableOnWebsiteInd>X</FAPAvailableOnWebsiteInd>
        <FAPAvailableOnWebsiteURLTxt>WWW.GENESISHEALTH.COM</FAPAvailableOnWebsiteURLTxt>
        <FAPAppAvailableOnWebsiteInd>X</FAPAppAvailableOnWebsiteInd>
        <FAPAppAvailableOnWebsiteURLTxt>WWW.GENESISHEALTH.COM</FAPAppAvailableOnWebsiteURLTxt>
        <FAPSummaryOnWebsiteInd>X</FAPSummaryOnWebsiteInd>
        <FAPSummaryOnWebsiteURLTxt>WWW.GENESISHEALTH.COM</FAPSummaryOnWebsiteURLTxt>
        <FAPAvlblOnRequestNoChargeInd>X</FAPAvlblOnRequestNoChargeInd>
        <FAPAppAvlblOnRequestNoChrgInd>X</FAPAppAvlblOnRequestNoChrgInd>
        <FAPSumAvlblOnRequestNoChrgInd>X</FAPSumAvlblOnRequestNoChrgInd>
        <NotifiedFAPCopyBillDisplayInd>X</NotifiedFAPCopyBillDisplayInd>
        <FAPActionsOnNonpaymentInd>true</FAPActionsOnNonpaymentInd>
        <PermitNoActionsInd>X</PermitNoActionsInd>
        <CollectionActivitiesInd>false</CollectionActivitiesInd>
        <ProvidedWrittenNoticeInd>X</ProvidedWrittenNoticeInd>
        <MadeEffortOrallyNotifyInd>X</MadeEffortOrallyNotifyInd>
        <ProcessedFAPApplicationInd>X</ProcessedFAPApplicationInd>
        <MadePresumptiveEligDetermInd>X</MadePresumptiveEligDetermInd>
        <NondisEmergencyCarePolicyInd>true</NondisEmergencyCarePolicyInd>
        <LookBackMedicarePrivateInd>X</LookBackMedicarePrivateInd>
        <AmountsGenerallyBilledInd>false</AmountsGenerallyBilledInd>
        <GrossChargesInd>false</GrossChargesInd>
      </HospitalFcltyPoliciesPrctcGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - GENESIS MEDICAL CENTER - SILVIS. 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 &amp; 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.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Unity Point Health-Trinity.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - Community Health Care.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 2 - Quad City Health Initiative.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 3 - Rock Island County Health Department.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 4 - Scott County Health Department.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6b Facility , 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 5 - Muscatine County Board of Health.</ExplanationTxt>
      </SupplementalInformationGrp>
      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - GENESIS MEDICAL CENTER - SILVIS. With following the Genesis Health System's mission along with coordinating with the Quad City Health Initiative Implementation plan, Genesis Medical Center Silvis will be focusing and delivering on the following programs and resources to address the needs of the community: 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 - Retail clinics such as Hy-Vee food store locations. - 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 - Weekly radio program on WOC Mental Health &amp; Substance Abuse - 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 &amp; Joint Health Center and Physical Therapy - Advocacy in support of mental health reform Nutrition, Physical Activity, &amp; 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 Heart Disease &amp; Stroke - Recruitment of top neurologists &amp; neurosurgeons to QC + John Chapman Fund for heart health screenings - Heart-Safe Hands Only CPR kits - Medic and Genesis - Genesis "Healthbeat" exercise programs -Aledo, Cordova, Davenport, DeWitt, Eldridge, Silvis, Moline (2) Cancer - Continue development of Genesis Cancer Care Institute - Addition of 3 medical oncologists in 2019 - Cancer clinical research - Support of the grant-voucher program for those in financial need - Founding sponsor of Susan B. Komen Race for the Cure - Nurse Navigators - through the cancer experience - Genetic Risk Clinic</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>17</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ILLINI LARSON CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>855 ILLINI DRIVE</AddressLine1Txt>
            <CityNm>SILVIS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61282</ZIPCd>
          </USAddress>
          <FacilityTxt>I/P PHARMACY &amp; O/P LAB</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ILLINI AMBULANCE SERVICE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>730 AVENUE OF THE CITIES</AddressLine1Txt>
            <CityNm>EAST MOLINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61244</ZIPCd>
          </USAddress>
          <FacilityTxt>AMBULANCE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Medical Office building 1 and 2</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1228 East Rusholme Street</AddressLine1Txt>
            <CityNm>Davenport</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52803</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Surgical Services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Genesis Medical Plaza</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2535 Maplecrest Road</AddressLine1Txt>
            <CityNm>Bettendorf</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52722</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Spine Center and Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Genesis Pulmonary Associates</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1801 E 54th Street</AddressLine1Txt>
            <CityNm>Davenport</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52807</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient pulmonary services</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ILLINI - BUILDING #3</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1414 10TH STREET</AddressLine1Txt>
            <CityNm>SILVIS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61282</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT DIAGNOSTIC CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bettendorf Healthplex</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2140 53rd Avenue</AddressLine1Txt>
            <CityNm>Bettendorf</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52722</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>ILLINI - BUILDING #4 - WOUND CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1314 10TH STREET</AddressLine1Txt>
            <CityNm>SILVIS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61282</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT WOUND CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PHYSICAL THERAPY CLINIC MOLINE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3900 28TH AVENUE</AddressLine1Txt>
            <CityNm>MOLINE</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61265</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT PHYSICAL THERAPY CLINIC</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>CROSSTOWN SQUARE</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 CROSSTOWN SQUARE</AddressLine1Txt>
            <CityNm>SILVIS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61282</ZIPCd>
          </USAddress>
          <FacilityTxt>INDEPENDENT LIVING FACILITY</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Physical Therapy Clinic Moline 7th</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4360 7th Street</AddressLine1Txt>
            <CityNm>Moline</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>61265</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physical Therapy Clinic and Sleep Ctr</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Woodlands Family Practice</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4321 53rd Avenue</AddressLine1Txt>
            <CityNm>Bettendorf</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52722</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physician Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Central Park Medical Pav I &amp; II</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1351 W Central Park Avenue</AddressLine1Txt>
            <CityNm>Davenport</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52804</ZIPCd>
          </USAddress>
          <FacilityTxt>Cancer Ctr</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Genesis PT &amp;Sports Medicine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1702 East 53rd Street</AddressLine1Txt>
            <CityNm>Davenport</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52807</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Physical Theraphy Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Genesis Psychology Associates</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4455 E 56th Street</AddressLine1Txt>
            <CityNm>Davenport</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52804</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Counseling Clinic and outpatient therapy</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Genesis Heart Institute</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1236 East Rusholme St</AddressLine1Txt>
            <CityNm>Davenport</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52803</ZIPCd>
          </USAddress>
          <FacilityTxt>O/P Cardiac Diagnostic &amp; Rehab Care</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>GENRAD IMAGING ILLINOIS LLC</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1970 53RD STREET</AddressLine1Txt>
            <CityNm>DAVENPORT</CityNm>
            <StateAbbreviationCd>IA</StateAbbreviationCd>
            <ZIPCd>52807</ZIPCd>
          </USAddress>
          <FacilityTxt>OUTPATIENT RADIOLOGY SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c</FormAndLineReferenceDesc>
        <ExplanationTxt>NOT APPLICABLE</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a Community benefit report prepared by related organization</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH SYSTEM (GHS-IOWA) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7g Subsidized Health Services</FormAndLineReferenceDesc>
        <ExplanationTxt>NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH SYSTEM (GHS ILLINOIS) UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO CHARGE RATIO. THE CALCULATED COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID. COSTS OF THE "OTHER BENEFITS" REPORT IN 7E-7I WERE COMPLIED THROUGHOUT THE YEAR IN THE COMMUNITY BENEFIT DATABASE (I.E., CBISA) THAT GENESIS HEALTH SYSTEM UTILIZES. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 24.64% AND THE PERCENTAGE INCREASE TO 48.17% IF MEDICARE COST REPORT ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>THERE WERE NO COMMUNITY BUILDING EXPENSES FOR TAX YEAR 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>In accordance with Healthcare Financial Management Association Statement No. 15, Bad Debt is reported at the full-established charge from the most recent audited financial report. Payments received after an account had been written off to bad debt were credited to a bad debt recovery account. Discounts on patient accounts provided by third-party payers were written off to a contractual allowance account.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 3 Bad Debt Expense Methodology</FormAndLineReferenceDesc>
        <ExplanationTxt>Genesis Health System (GHS Illinois) uses Avadyne Health to process aging patient accounts. Avadyne Health's collection process utilizes publicly available information to ensure all aging patient accounts receive financial assistance in accordance to Genesis Health System policy before being deemed bad debt. Genesis Health System reported zero dollars for the estimated amount of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>The System determines the transaction price based on standard charges for goods and services provided to patients, reduced by explicit price concessions consisting of contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the System's policy, and/or implicit price concessions provided to uninsured patients based on historical collection experience. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to be collected based on the System's collection history with similar classes of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended June 30, 2020 and 2019, was not material.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The Medicare cost report was used to determine the amount reported in part III, lines 5, 6, and 7 for the hospital. The Medicare cost report surplus represents the difference between the total revenue received from Medicare based on Medicare cost report reimbursement rates and cost incurred by GHS Illinois in providing healthcare services to the elderly. The total Medicare surplus, which includes fee screen services, was $1,253,496.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Every effort is made to determine a patient's eligibility for financial assistance. If eligible, payment plans are made available based on their resources and income. All balances owing after financial assistance allowances have been taken are payable in monthly payments in accordance with the organization's financial assistance policy.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- GENESIS MEDICAL CENTER - SILVIS: Line 16a URL: WWW.GENESISHEALTH.COM;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- GENESIS MEDICAL CENTER - SILVIS: Line 16b URL: WWW.GENESISHEALTH.COM;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- GENESIS MEDICAL CENTER - SILVIS: Line 16c URL: WWW.GENESISHEALTH.COM;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Genesis Health System (GHS Illinois) utilizes the community health needs assessment (CHNA) conducted by professional research consultants, Inc. (PRC) in 2018. The CHNA was funded by GHS Illinois and Unity Point Health-Trinity and sponsored by Community Health Care, GHS Illinois, Muscatine County Board of Health, Quad City Health Initiative (QCHI), Rock Island County Health Department, Scott County Health Department, and Unity Point Health - Trinity. QCHI was formed by Genesis Health System (GHS Iowa) and GHS Illinois, which has Headquarters in both Scott County, Iowa, and Rock Island County, Illinois, and Trinity Health System, which is headquartered in Rock Island County, Illinois. QCHI is now a community partnership of over 300 community members and leaders pursuing initiatives to create a healthier community, serving as a catalyst for improving the health and overall quality of life within the Quad Cities.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>Information on the availability of financial assistance is posted in visible locations in the admission departments of the hospitals. In addition, the hospital registration staff make available informative brochures for patients in the Emergency Room registration area explaining their eligibility for assistance. Genesis Health System provides patient financial counselors on each hospital campus to discuss options with the patients. Patient Financial Services prepares and provides a letter to each patient, explaining their current balance and advising them of their options. A phone number is provided with the letter encouraging the patient to call if needed.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>Genesis Health System's (GHS Illinois) mission is to provide quality, compassionate care for all those in need. GHS Illinois lives its mission each day by serving a 10-County region of Eastern Iowa and Western Illinois, including both urban and rural areas. The region served by GHS Illinois (Davenport-Moline-Rock Island, IA - IL. Metropolitan statistical area - Henry County, IL, Mercer County, IL, Muscatine County IA, Rock Island, IL., and Scott County, IA.) has a population of 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>Genesis Health System's Board of directors is a diverse representation of persons who reside in the primary service area that Genesis Health System serves. Genesis Health System executives and employees serve on dozens of volunteer boards throughout the region on important projects and initiatives, such as homeless shelters, mental health, downtown redevelopment and events and festivals. Genesis Health System employees serve the communities where they live by serving in elected offices in city and county government. Genesis Health System extends medical staff privileges to all qualified physicians in its communities. Genesis Health System has endeavored to improve access to health care for the communities it serves by participating in appropriate joint ventures that offer needed health care services to under-served areas. Genesis Health System schedules dozens of health screenings and immunizations throughout the year at a reduced cost. These include screenings for diabetes, stroke and heart disease and public flu immunization clinics. Genesis Health System providers translation services based on a percentage of the diversity of the population. Each year, Genesis Health System provides the community with dozens of classes and events promoting health and health education. Hundreds of residents in the region served by Genesis Health System learn CPR, First Aid, parenting skills, and newborn care by enrolling in classes. Genesis Health System supplies medical supplies and equipment to Globus, which is a third party company that helps companies share and transfer research data. Genesis Health System maintains an active effort to advocate for access to health care in Iowa and Illinois State government and in Washington D.C. Genesis Health System employees also participate in a voter voice initiative to advocate on important health issues with City, County, State, and National elected officials. Surplus funds resulting from efficient operations and cost-containment measure are re-invested in the healthcare operations of Genesis Health System to improve the healthcare services that Genesis Health System provides. Advances in medical equipment and technology, staff education, and new medical services are examples of operation investments that ultimately improve the health of the communities that Genesis Health System serves.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>Genesis Health System - Iowa (GHS Iowa), an Iowa nonprofit corporation, and Genesis Health System - Illinois (GHS Illinois), an Illinois not-for-profit corporation, have identical governing boards, management and bylaws and can act jointly. GHS Iowa is also the sole member of Genesis Health Services Foundation, Genesis Philanthropy, Genesis Accountable Care Organization, LLC and Genesis Health System Workers' Compensation Plan and Trust, the sole stockholder of GenVentures, Inc., a member of Misericordia Assurance Company, Ltd. and a partner in GenGastro, LLC. GHS Illinois is the sole member of Genesis Medical Center - Aledo (GMC - Aledo), and is a partner in The Larson Center Partnership. GHS Iowa, GHS Illinois, GMC - Aledo and Genesis Senior Living (GSL - Aledo) collectively represent the Obligated Group on certain components of the System's long-term debt. GHS Iowa and GHS Illinois operate the following business units: Genesis Health System provides administrative, management, information technology and other support services to its affiliates. Genesis Clinical Services operates physician medical practices, convenient care practices and an occupational medicine clinic and provides behavioral health services to the residents of eastern Iowa and western Illinois. Genesis Medical Center- Davenport (GMC - Davenport) is licensed as a 502-bed acute care hospital which provides services from two hospital facilities located in Davenport, Iowa. Genesis Family Medical Center (GFMC) is a family practice residency training program that operates clinics in Davenport and Blue Grass, Iowa to provide a clinical setting for the residents to treat patients. Genesis Medical Center- DeWitt (GMC- DeWitt) is certified as a critical access hospital, which has 13-acute care and swing beds, and has a 77-bed long-term care facility, all of which are dually licensed for Medicare and Medicaid services and which provide services from its facility in DeWitt, Iowa. In June 2019, GMC - Dewitt entered into a lease agreement, whereby GMC - Dewitt began leasing the assets and operations of its long-term care facility to a joint venture, Wellspire, LLC. The System has a 40% ownership interest in Wellspire, LLC. Genesis Visiting Nurse Association and Hospice (VNA) provides home health care, community nursing services and hospice services to patients in eastern Iowa and western Illinois. Genesis Medical Center- Silvis (GMC - Silvis) is licensed as a 145-bed acute care hospital which provides services from its facility in Silvis, Illinois. Illini Hospital Nursing Home (lNH) operated 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 licensed for Medicare/Medicaid services. The sheltered care unit provides personal care similar to an assisted living facility. Crosstown Square is an independent living facility containing 64 rentable apartments and three guest rooms that offers services designed to provide independent living apartments for seniors. In June 2019, the assets and operations of Illini Restorative Care Center were contributed to a joint venture, Wellspire, LLC. Wellspire, LLC is also now managing Crosstown Square. Genesis Medical Center - Aledo (GMC - Aledo) is certified as a critical access hospital, which has 22-acute care and swing beds, as well as a physician clinic, which provides services from its facility in Aledo, Illinois. Genesis 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% ownership interest in GenGastro, LLC. The Larson Center Partnership (LCP) is a for-profit real estate partnership which owns a medical office building adjacent to GMC - Silvis and leases space for clinics, laboratory, pharmacy and offices to GMC - Silvis and other third-party organizations. GHS Illinois is a general partner and owns approximately 82.6% of LCP. Gen Ventures, Inc. (Gen Ventures) is a wholly-owned for-profit corporation which operates the following divisions, primarily in the Quad Cities: Genesis at Home, Continuing Care sells and leases home medical equipment, provides intravenous therapy services, including sales of related solutions and supplies to patients, and provides retail pharmaceutical and over-the-counter products to patients and employees of the System. GenProperties owns, leases and/or manages office space in 14 medical office buildings located in Bettendorf, Davenport, Eldridge, LeClaire and Muscatine, Iowa. Crescent Laundry provides commercial laundry services to health care facilities in eastern Iowa and in north-central Illinois. Genesis Accountable Care Organization, LLC (Genesis ACO) is an Iowa limited liability company formed in December 2011. Its purpose is to engage in lawful business related to the creation and organization of a "physician-driven" network to act as, and/or participate in, an Accountable Care Organization within the meaning of the federal Patient Protection and Affordable Care Act. The company is also organized to develop a clinically integrated network of providers including physicians, health professionals, hospitals and ancillary providers working together to promote high quality, coordinated and efficient care to patients including members of various managed care payors and the community at large. Genesis Philanthropy is a wholly-owned tax-exempt entity formed in 2013, which partners with other hospital foundations to form a regional network to attract donors to help fund specific health-related causes and promote wellness in the region. Genesis Health System Workers' Compensation Plan and Trust (Workers' Compensation Trust) provides a fund which is used to pay workers' compensation claims and costs for the benefit of Genesis Health System. Misericordia Assurance Company, Ltd. (Misericordia) is a wholly-owned Cayman-based captive insurance company which underwrites the general and professional liability risks of Genesis Health System and affiliates.</ExplanationTxt>
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        <ExplanationTxt>IL, IA</ExplanationTxt>
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          <AddressLine1Txt>1227 East Rusholme Street</AddressLine1Txt>
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        <FormAndLineReferenceDesc>Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.</FormAndLineReferenceDesc>
        <ExplanationTxt>THE GENESIS HEALTH SYSTEM (GHS ILLINOIS) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY.</ExplanationTxt>
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          <BusinessNameLine1Txt>THERESA MAIN</BusinessNameLine1Txt>
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        <TitleTxt>HOPSITAL PRESIDENT, GMC SILVIS</TitleTxt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>CRISSY MOHR</BusinessNameLine1Txt>
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        <TitleTxt>PHARMACIST</TitleTxt>
        <BaseCompensationFilingOrgAmt>157957</BaseCompensationFilingOrgAmt>
        <CompensationBasedOnRltdOrgsAmt>0</CompensationBasedOnRltdOrgsAmt>
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        <OtherCompensationFilingOrgAmt>288</OtherCompensationFilingOrgAmt>
        <OtherCompensationRltdOrgsAmt>0</OtherCompensationRltdOrgsAmt>
        <DeferredCompensationFlngOrgAmt>3851</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>165020</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
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        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>PART I, LINE 3: GENESIS HEALTH SYSTEM (GHS ILLINOIS) RELIES ON GENESIS HEALTH SYSTEM (GHS IOWA) TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS, AND KEY EMPLOYEES. GHS IOWA UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE SUCH COMPENSATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Douglas P. Cropper's compensation was directly paid from Genesis Health System Iowa, EIN 42-1418847. Genesis Health System Iowa is a related organization to Genesis Health System Illinois.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2019 sponsored by Genesis health System (GHS IA), a related organization: Robert W. Frieden- $67,306, Heidi S. Kahly-McMahon- $53,490, Paul Bollinger- $40,882, Theresa L. S. Main-$54,342, 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 2019. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. The following individuals participated in a supplemental executive retirement savings benefit plan in 2019 sponsored by Genesis health System (GHS IA), a related organization: Mark G. Rogers- $148,668. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2019. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. Split-dollar life insurance participants are Douglas P. Cropper-established in 2016 and sponsored by Genesis Health System(GHS IA), a related organization. GHS IA deposited funds into life insurance policies on the participant's life. During life, and subject to the policies generating sufficient values, the participant can borrow from one of the policies. The borrowing is monitored and limited so the policies do not lapse. At the participant's death, the organization recovers premiums plus interest plus additional key-person insurance proceeds. There were no loans or contributions in 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleL documentId="IRS990ScheduleL" softwareId="19010655" softwareVersionNum="2019v5.0">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>GENVENTURES INC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>MARK ROGERS, ROGER HILL, and JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC.</RelationshipDescriptionTxt>
        <TransactionAmt>384141</TransactionAmt>
        <TransactionDesc>PAYMENTS FOR MEDICAL SUPPLIES AND LAUNDRY SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>CARDIOVASCULAR MEDICINE PC</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC.</RelationshipDescriptionTxt>
        <TransactionAmt>403787</TransactionAmt>
        <TransactionDesc>HEALTHCARE PROFESSIONAL SERVICES</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <BusinessName>
            <BusinessNameLine1Txt>Quad City Bank &amp; trust</BusinessNameLine1Txt>
          </BusinessName>
        </NameOfInterested>
        <RelationshipDescriptionTxt>Mark Kilmer is an officer and Peter Bensonis an officer of Quad City Bank &amp; Trust/QCR Holdings.</RelationshipDescriptionTxt>
        <TransactionAmt>93543</TransactionAmt>
        <TransactionDesc>Interest expense, despot account, lock box fees, and interest income</TransactionDesc>
        <SharingOfRevenuesInd>false</SharingOfRevenuesInd>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="19010655" softwareVersionNum="2019v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 1b</FormAndLineReferenceDesc>
        <ExplanationTxt>The following Genesis Health System, (GHS Illinois) directors are not independent due to transactions disclosed of form 990, Schedule L of Genesis Health System (GHS, Iowa) a related tax-exempt organization: David Heller, Edwin V. Motto, M.D., and Edward J. Rogalski, PH.D.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Prior to submitting the form 990 to the IRS, it is reviewed at the organization's finance committee meeting, and then it is e-mailed to the organization's board of directors' one week in advance of a scheduled meeting. At the board of directors meeting, internal management reviews the form 990 with the board of directors. Suggested changes from all of the reviews are considered for inclusion in the final form 990 submitted to the IRS. Internal management review is also completed of the compiled information and is provided to the vice president, finance/CFO; vice president, legal affairs; vice president, human resources; and chief compliance risk officer of the organization's corporate member.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>Any covered person, defined as any director, officer, or member of a board or board committee of Genesis Health System (GHS Illinois), or an affiliate, should disclose an interest or potential interest as soon as they become aware of a potential transaction that will be considered by management, the board, or a committee of the board. Covered persons are required annually to disclose any possible personal, family, or business relationships that reasonably could give rise to an interest or conflict involving GHS Illinois, or an affiliate, or with respect to designated facilities and activities, and acknowledge by his or her signature that he or she is familiar with and is compliance with the letter and spirit of this policy, Any covered person found to have a conflict of interest may make presentation at the board or committee meeting to present information and address any question raised by other directors or committee members. Said person shall not be allowed to activity and aggressively advocate in his or her own behalf nor shall such person advocate his or her position informally through private contact, communication and discussion with another director. After such presentation, the person shall leave the meeting during the discussion of, and vote on, the applicable transaction or arrangement.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15a Process to establish compensation of top management official</FormAndLineReferenceDesc>
        <ExplanationTxt>Each executive position is evaluated using a formal evaluation plan that is established by an outside consultant. At the present time, the consultant uses a point system for job evaluation. The point values are based on "know how", "problem solving", "accountability", and other job attribute specific to the position. Once the point value is set for a position, market comparisons for jobs with the same organizational impact can be compared for salary purposes and establish pay ranges. The design of the pay ranges for executives is based on market data. The midpoint of each pay range is established at the 50th percentile of the market comparisons. A minimum and maximum are established off of the midpoint. Specific pay rates for executives are subject to CEO and compensation committee and the Genesis Health System (GHS Illinois) board of directors' approval. Pay ranges are reviewed each year to determine the need for revision. When market conditions suggest an adjustment to pay ranges, data will be presented to the compensation committee for its review. The specific pay ranges are subjected to CEO, compensation committee, and GHS Illinois board of director approval. The president and CEO have the authority and responsibility to establish and adjust, within the range approved by the compensation committee and GHS Illinois board of directors, the base compensation of each executive employed by GHS Illinois, at appropriate times. The GHS Illinois board of directors shall establish and adjust, within the range approved by the compensation committee, the base compensation for the CEO of GHS Illinois, at appropriate times, The Last time this process was formally undertaken was November 2018.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The organization's governing documents, conflict of interest policy, and financial statements are not made available to the public.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VII, Section A, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENVENTURES, INC., GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS ILLINOIS). THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Contractuals - Total Revenue: -XXX-XX-XXXX, Related or Exempt Function Revenue: -XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Provider Tax Assessment - Total Revenue: -2574677, Related or Exempt Function Revenue: -2574677, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Rental Income - Total Revenue: 645943, Related or Exempt Function Revenue: 645943, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Charity Care - Total Revenue: -4667592, Related or Exempt Function Revenue: -4667592, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Other Revenue - Total Revenue: 1194444, Related or Exempt Function Revenue: 1194444, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Discounts, Rebates, and Misc. - Total Revenue: 31888, Related or Exempt Function Revenue: 31888, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>Physician Services - Total Expense: 1129493, Program Service Expense: 1033726, Management and General Expenses: 95767, Fundraising Expenses: ; NUTRITIONAL SERVICES - Total Expense: 762764, Program Service Expense: 762764, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE SERVICES - Total Expense: 1599780, Program Service Expense: 1599780, Management and General Expenses: , Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 712793, Program Service Expense: 712793, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 4256312, Program Service Expense: 4256312, Management and General Expenses: , Fundraising Expenses: ; AMBULANCE SERVICES - Total Expense: 316264, Program Service Expense: 316264, Management and General Expenses: , Fundraising Expenses: ; HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING SERVICES - Total Expense: 82578, Program Service Expense: , Management and General Expenses: 82578, Fundraising Expenses: ; HEALTHCARE SUPPORT SERVICES - Total Expense: 981345, Program Service Expense: 981345, Management and General Expenses: , Fundraising Expenses: ; EMERGENCY MEDICAL SERVICES - Total Expense: 4018275, Program Service Expense: 4018275, Management and General Expenses: , Fundraising Expenses: ; Laundry Services - Total Expense: 4800, Program Service Expense: 4800, Management and General Expenses: , Fundraising Expenses: ; PHYSICAL THERAPY SERVICES - Total Expense: 14480, Program Service Expense: 14480, Management and General Expenses: , Fundraising Expenses: ; Radiology Services - Total Expense: 477132, Program Service Expense: 477132, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION - 6933;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleO>
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          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM (GHS IOWA)</BusinessNameLine1Txt>
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          <AddressLine1Txt>1227 E RUSHOLME STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
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        <EIN>421418847</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM (GHS ILLINOIS)</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN &amp; TRUST</BusinessNameLine1Txt>
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          <AddressLine1Txt>1227 E RUSHOLME STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
        </USAddress>
        <EIN>391905171</EIN>
        <PrimaryActivitiesTxt>EMPLOYEE/BENEFIT/TRUST</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>Type I</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM (GHS IOWA)</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>DAVENPORT HOSPITAL AMBULANCE CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>1204 E HIGH STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
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        <EIN>421186903</EIN>
        <PrimaryActivitiesTxt>AMBULANCE TRANSFERS</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>GENESIS SENIOR LIVING ALEDO</BusinessNameLine1Txt>
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          <AddressLine1Txt>309 NW NINTH AVENUE</AddressLine1Txt>
          <CityNm>ALEDO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61231</ZIPCd>
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        <EIN>454475803</EIN>
        <PrimaryActivitiesTxt>SENIOR LIVING SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM (GHS ILLINOIS)</BusinessNameLine1Txt>
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      <IdRelatedTaxExemptOrgGrp>
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          <BusinessNameLine1Txt>GENESIS HEALTH SERVICES FOUNDATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>1227 E RUSHOLME STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
        </USAddress>
        <EIN>421421670</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM (GHS IOWA)</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESIS PHILANTHROPY</BusinessNameLine1Txt>
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          <AddressLine1Txt>1227 E RUSHOLME STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
        </USAddress>
        <EIN>462452851</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM (GHS IOWA)</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESIS MEDICAL CENTER ALEDO</BusinessNameLine1Txt>
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          <AddressLine1Txt>309 NW NINTH AVENUE</AddressLine1Txt>
          <CityNm>ALEDO</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61231</ZIPCd>
        </USAddress>
        <EIN>454475683</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM (GHS ILLINOIS)</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENGASTRO LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2222 53RD AVENUE</AddressLine1Txt>
          <CityNm>BETTENDORF</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52722</ZIPCd>
        </USAddress>
        <EIN>562315623</EIN>
        <PrimaryActivitiesTxt>AMBULATORY SURGERY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>SPRING PARK SURGERY CENTER LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>3319 SPRING STREET STE 202A</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52807</ZIPCd>
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        <EIN>421483989</EIN>
        <PrimaryActivitiesTxt>OUTPATIENT SURGICAL CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>LARSON CENTER PARTNERSHIP LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>801 ILLINI DRIVE</AddressLine1Txt>
          <CityNm>SILVIS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>61282</ZIPCd>
        </USAddress>
        <EIN>363738454</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Genesis Health System (GHS Illinois)</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>Related</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>461167</ShareOfTotalIncomeAmt>
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        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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          <BusinessNameLine1Txt>GENORTHO LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <AddressLine1Txt>2300 53RD AVENUE</AddressLine1Txt>
          <CityNm>BETTENDORF</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
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        </USAddress>
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        <PrimaryActivitiesTxt>ORTHOPAEDIC SURGERY CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
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      <IdRelatedOrgTxblPartnershipGrp>
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        <USAddress>
          <AddressLine1Txt>1970 E 53RD STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
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        <PrimaryActivitiesTxt>DIAGNOSTIC IMAGING CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
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        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENRAD IMAGING ILLINOIS LLC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1970 E 53RD STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52807</ZIPCd>
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        <PrimaryActivitiesTxt>DIAGNOSTIC IMAGING CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        <ShareOfEOYAssetsAmt>319529</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>false</DisproportionateAllocationsInd>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENVENTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1227 E RUSHOLME STREET</AddressLine1Txt>
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          <StateAbbreviationCd>IA</StateAbbreviationCd>
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        <EIN>421269171</EIN>
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        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
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          <BusinessNameLine1Txt>GENESIS HEART INSTITUTE</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1236 E RUSHOLME STREET</AddressLine1Txt>
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          <ZIPCd>52803</ZIPCd>
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        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MISERICORDIA ASSURANCE COMPANY LTD</BusinessNameLine1Txt>
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        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
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      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MOB 1 OWNERS' ASSOCIATION</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>1227 E RUSHOLME STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
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        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>true</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>true</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>true</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>true</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS MEDICAL CENTER ALEDO</BusinessNameLine1Txt>
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        <TransactionTypeTxt>A</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM WORKERS' COMPENSATION AND TRUST</BusinessNameLine1Txt>
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        <TransactionTypeTxt>B</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LARSON CENTER PARTNERSHIP</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM IOWA</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LARSON CENTER PARTNERSHIP</BusinessNameLine1Txt>
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        <TransactionTypeTxt>K</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM WORKERS' COMPENSATION AND TRUST</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>DAVENPORT HOSPITAL AMBULANCE</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM IOWA</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEALTH SYSTEM IOWA</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>Q</TransactionTypeTxt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>GENESIS MEDICAL CENTER ALEDO</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENRAD ILLINOIS LLC</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>LARSON CENTER PARTNERSHIP</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <InvolvedAmt>418823</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENVENTURES INC</BusinessNameLine1Txt>
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        <InvolvedAmt>384141</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS MEDICAL CENTER ALEDO</BusinessNameLine1Txt>
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      </TransactionsRelatedOrgGrp>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
