GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202133199349319653
Schema version: 2020v4.1
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T14:55:12-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 S HIGH ST SUITE 100	AddressLine1Txt
City	COLUMBUS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43215	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311480941	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HEALTHCARE SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GENE	BusinessNameControlTxt
Phone	7404545000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL NORMAN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7404545000	PhoneNum
Signature	2021-11-12	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	NORMAN	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	6148493000	PhoneNum
Preparation	2021-11-12	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW PERRY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$529,584,784	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	3727	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GENESISHCS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	IN 1997, GOOD SAMARITAN MEDICAL CENTER AND BETHESDA HOSPITAL ASSOCIATION, A TAX-EXEMPT COMMUNITY HOSPITAL ALSO LOCATED IN ZANESVILLE, AFFILIATED TO FORM GENESIS HEALTHCARE SYSTEM. GENESIS HAS BEEN GRANTED 501C3 STATUS AS A HOSPITAL. ALL HOSPITAL OPERATIONS AND ASSETS OF GOOD SAMARITAN MEDICAL CENTER WERE TRANSFERRED TO GENESIS WITH THE EXCEPTION OF CERTAIN INVESTMENTS. GOOD SAMARITAN MEDICAL CENTER WILL CONTINUE TO HAVE CONTROL OVER CERTAIN INVESTMENTS WHICH ARE BEING USED BY THE GENESIS HEALTHCARE SYSTEM IN FULFILLING ITS TAX-EXEMPT PURPOSE.	ActivityOrMissionDesc
Voting Members Governing Body	17	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	3566	TotalEmployeeCnt
Total Volunteers	335	TotalVolunteersCnt
Total Gross UBI	$185,077	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$669,958	PYContributionsGrantsAmt
CY Contributions Grants	$36,640,849	CYContributionsGrantsAmt
PY Program Service Revenue	$455,478,706	PYProgramServiceRevenueAmt
CY Program Service Revenue	$455,530,661	CYProgramServiceRevenueAmt
PY Investment Income	$4,195,739	PYInvestmentIncomeAmt
CY Investment Income	$8,373,276	CYInvestmentIncomeAmt
PY Other Revenue	$24,415,257	PYOtherRevenueAmt
CY Other Revenue	$26,952,885	CYOtherRevenueAmt
PY Total Revenue	$484,759,660	PYTotalRevenueAmt
CY Total Revenue	$527,497,671	CYTotalRevenueAmt
PY Grants And Similar Paid	$343,077	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$322,389	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$186,153,313	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$187,475,317	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$241,706,280	PYOtherExpensesAmt
CY Other Expenses	$262,928,052	CYOtherExpensesAmt
PY Total Expenses	$428,202,670	PYTotalExpensesAmt
CY Total Expenses	$450,725,758	CYTotalExpensesAmt
PY Revenues Less Expenses	$56,556,990	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$76,771,913	CYRevenuesLessExpensesAmt
Total Assets BOY	$607,216,176	TotalAssetsBOYAmt
Total Assets EOY	$697,051,307	TotalAssetsEOYAmt
Total Liabilities BOY	$412,395,266	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$481,340,257	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$194,820,910	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$215,711,050	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$279,726,633	ExpenseAmt
Grant	$322,389	GrantAmt
Revenue	$475,560,673	RevenueAmt
Desc	GENESIS PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, PEDIATRIC AND CRITICAL CARE. GENESIS PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR INPATIENTS AND OUTPATIENTS. THESE SERVICES ARE COMPRISED OF LABORATORY, IMAGING SERVICES, CARDIAC, AND PHARMACY. LABORATORY SERVICES INCLUDE CHEMISTRY, PATHOLOGY, MICROBIOLOGY, HEMATOLOGY, CYTOLOGY, AND PHLEBOTOMY. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, PET SCAN, MAMMOGRAPHY AND BONE DENSITY SCANNING.GENESIS HEART & VASCULAR SERVICES PROVIDE NEEDED HEART CARE FROM PREVENTION TO REHABILITATION. OUR BOARD-CERTIFIED SPECIALISTS INCLUDE CARDIOLOGISTS, CARDIOTHORACIC VASCULAR SURGEONS, ELECTROPHYSIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND CARDIAC REHAB SPECIALISTS. THE CARDIOTHORACIC AND VASCULAR SURGICAL TEAMS PERFORM A WIDE VARIETY OF COMPLEX AND HIGH-RISK CARDIAC, THORACIC AND VASCULAR PROCEDURES INCLUDING OPEN HEART SURGERY. OUR CARDIAC TEAM TAKES OUR PATIENTS FROM EVALUATION AND DIAGNOSIS THROUGH LIFESTYLE CHANGES AND TREATMENTS. ALSO INCLUDED IN OUR CARDIAC SERVICES ARE OUR CLINICS AND SPECIALTY PROGRAMS. THESE INCLUDE AN ANTICOAGULATION CLINIC, A CONGESTIVE HEART FAILURE CLINIC, A DEVICE CLINIC, A VEIN CLINIC AND A CARDIAC REHABILITATION PROGRAM. GENESIS IS AN ACCREDITED CHEST PAIN CENTER WITH PCI, AN ACCREDITED ECHOCARDIOGRAPHY FACILITY. RESPIRATORY SERVICES - GENESIS RESPIRATORY & LUNG PROVIDES SERVICES FOR A VARIETY OF LUNG CONDITIONS AND DISEASES INCLUDING LUNG SURGERIES AND RESPIRATORY THERAPY. OUR TEAM, INCLUDING BOARD-CERTIFIED PULMONOLOGISTS, PROVIDE CARE AND TREATMENT FOR PATIENTS WITH PNEUMONIA, LUNG CANCER, BLACK LUNG DISEASE, RESPIRATORY FAILURE, COLLAPSED LUNG, AND OTHER PLEURAL DISEASES. THE GENESIS ORTHOPEDIC TEAM OF BOARD-CERTIFIED SURGEONS, SPECIALLY TRAINED NURSES, AND REHABILITATION THERAPISTS WORK TOGETHER TO DIAGNOSE AND TREAT THE MUSCULOSKELETAL ISSUES OF OUR PATIENTS. SERVICES RANGE FROM ADVANCED IMAGING TESTING THROUGH TO REHABILITATION. SURGICAL SURGERIES INCLUDE NUMEROUS PROCEDURES INCLUDING REPLACEMENT OF THE HIP, KNEE, OR SHOULDER AS WELL AS VARIOUS SURGERIES INVOLVING THE HAND. THE SPECIALIZED REHABILITATION PROGRAM SPEEDS RECOVERY AFTER A SERIOUS INJURY OR SURGERY RELATED TO A BONE, JOINT, LIGAMENT, TENDON OR MUSCLE. IN ADDITION TO PHYSICAL AND OCCUPATIONAL THERAPY, GENESIS ALSO PROVIDES AMPUTEE AND PROSTHETICS THERAPY AND TRAINING.	Desc
Total Program Service Expenses	$279,726,633	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	279	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3566	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	17	GoverningBodyVotingMembersCnt
Independent Voting Member	13	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MICHAEL NORMAN	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7404544773	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MATTHEW PERRY
PRESIDENT/CEO	48.72	1.28	Yes (X)	$954,673	$0	$29,700
SCOTT WEGNER MD
CHIEF CLINICAL OFFICER	50.00	0.00		$703,939	$0	$114,636	Yes (X)
DANIEL SCHEERER MD
CHIEF MEDICAL AFFAIRS OFFICER	50.00	0.00		$521,442	$0	$91,894	Yes (X)
EDMUND ROMITO
CHIEF INFORMATION OFFICER	50.00	0.00		$471,679	$0	$140,264	Yes (X)
DIANNA LEVECK
CHIEF HUMAN RESOURCES OFFICER	49.85	0.15		$494,233	$0	$85,928	Yes (X)
MICHAEL NORMAN
CHIEF FINANCIAL OFFICER	48.97	1.03		$519,826	$0	$30,048	Yes (X)
SHARON PARKER
CHIEF OPERATION OFFICER	49.85	0.15		$498,357	$0	$37,630	Yes (X)
WENDY CEDOZ
CHIEF LEGAL OFFICER	49.86	0.14		$425,666	$0	$65,900	Yes (X)
KRISTY RITCHIE MD
TRUSTEE	50.00	0.00		$0	$441,518	$36,023		Yes (X)
CHRISTOPHER SCHOELLES
CHIEF OPERATION OFFICER	50.00	0.00		$396,084	$0	$35,593	Yes (X)
SHON BENDER
CHIEF NURSING OFFICER	49.92	0.08		$354,889	$0	$8,335	Yes (X)
ERIN REMSTER DO
TRUSTEE	50.00	0.00		$0	$284,261	$21,633		Yes (X)
JONATHAN TONGSON MD
TRUSTEE	50.00	0.00		$285,916	$0	$0		Yes (X)
WILLIAM SHADE MD
TRUSTEE	50.00	0.00		$0	$235,300	$22,564		Yes (X)
LINDA SUPPLEE
DIRECTOR	50.00	0.00		$223,336	$0	$3,633			Yes (X)
GREG MATONAK
DIRECTOR	50.00	0.00		$202,863	$0	$23,440			Yes (X)
CHARLES ADAMS JR
DIRECTOR	50.00	0.00		$182,661	$0	$28,967			Yes (X)
LES BOYER
DIRECTOR	50.00	0.00		$175,911	$0	$34,856			Yes (X)
MARIANNE GRAHAM
MANAGER	50.00	0.00		$179,892	$0	$21,517			Yes (X)
RANDY COCHRANE
EX-OFFICIO	1.67	0.06	Yes (X)	$0	$0	$0		Yes (X)
TOD KLOTZBACH
TREASURER	1.04	0.06	Yes (X)	$0	$0	$0		Yes (X)
PATRICK NASH
CHAIR	1.79	0.14	Yes (X)	$0	$0	$0		Yes (X)
JAMES MCDONALD
VICE CHAIR	1.15	0.14	Yes (X)	$0	$0	$0		Yes (X)
JIM NICHOLSON
SECRETARY	1.21	0.14	Yes (X)	$0	$0	$0		Yes (X)
JOANN BUTCHER
TRUSTEE	1.27	0.20		$0	$0	$0		Yes (X)
JOHN DITTOE
TRUSTEE	1.15	0.00		$0	$0	$0		Yes (X)
COLBY GRAHAM
TRUSTEE	0.98	0.00		$0	$0	$0		Yes (X)
SUSAN HOLDREN
TRUSTEE	1.21	0.06		$0	$0	$0		Yes (X)
SR MARY ANN NUGENT
TRUSTEE	1.15	0.00		$0	$0	$0		Yes (X)
SHIRLEY VAN WYE
TRUSTEE	1.33	0.10		$0	$0	$0		Yes (X)
SCOTT MCCONNAHA
EX-OFFICIO	0.63	0.00		$0	$0	$0		Yes (X)
LORI LOWE
TRUSTEE	1.21	0.00		$0	$0	$0		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$6,591,367	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$961,079	TotReportableCompRltdOrgAmt
Total Other Compensation	$832,561	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	16	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CENTRAL OHIO HOSPITALISTS INC
3525 OLENTANGY RIVER RD SUITE 4330	COLUMBUS	OH	43214	MEDICAL SERVICES	$6,791,031
ARUP LABORATORIES
500 CHIPETA WAY	SALT LAKE CITY	UT	84127	MEDICAL SERVICES	$1,587,805
DVA RENAL HEALTHCARE INC
PO BOX 8500-1607	PHILADELPHIA	PA	19178	MEDICAL SERVICES	$694,872
PLANTE & MORAN PLLC
16060 COLLECTIONS CENTER DRIVE	CHICAGO	IL	60693	PROFESSIONAL SERVICES	$680,507
ADVIZEX TECHNOLOGIES LLC
6480 ROCKSIDE WOODS BLVD 190	INDEPENDENCE	OH	44131	TECHNOLOGY SERVICES	$662,770

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	49	CntrctRcvdGreaterThan100KCnt
Related Organizations	$5,014	RelatedOrganizationsAmt
Government Grants	$36,635,835	GovernmentGrantsAmt
Total Contributions	$36,640,849	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICES	Desc
Business	621110	BusinessCd
Total Revenue Column	$455,530,661	TotalRevenueColumnAmt
Related Or Exempt Func Income	$455,530,661	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$455,530,661	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,927,645	TotalRevenueColumnAmt
Exclusion	$8,927,645	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,068,303	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,532,744	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$464,441	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$464,441	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$464,441	RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$554,369	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$554,369	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$554,369	TotalRevenueColumnAmt
Exclusion	-$554,369	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt
340B DISPENSING	621110	$2,935,054	$2,935,054
CAFETERIA SALES	621110	$2,543,719		$2,543,719
LABORATORY	621110	$25,500	$25,500

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$21,913,053	TotalRevenueColumnAmt
Related Or Exempt Func Income	$17,533,899	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$185,077	UnrelatedBusinessRevenueAmt
Exclusion	$4,194,077	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$27,417,326	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$527,497,671	TotalRevenueColumnAmt
Related Or Exempt Func Income	$475,560,673	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$185,077	UnrelatedBusinessRevenueAmt
Exclusion	$15,111,072	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$322,389	TotalAmt
Program Services	$322,389	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,099,121	TotalAmt
Program Services	$235,330	ProgramServicesAmt
Management And General	$7,863,791	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$135,524,052	TotalAmt
Program Services	$93,490,046	ProgramServicesAmt
Management And General	$42,034,006	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$6,383,431	TotalAmt
Program Services	$2,346,747	ProgramServicesAmt
Management And General	$4,036,684	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$26,545,666	TotalAmt
Program Services	-$108,738	ProgramServicesAmt
Management And General	$26,654,404	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,923,047	TotalAmt
Program Services	$8,741,972	ProgramServicesAmt
Management And General	$2,181,075	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$600,838	TotalAmt
Program Services	$551,493	ProgramServicesAmt
Management And General	$49,345	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$509,695	TotalAmt
Management And General	$509,695	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$9,238,533	TotalAmt
Management And General	$9,238,533	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$165,227	TotalAmt
Management And General	$165,227	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$47,676,640	TotalAmt
Program Services	$31,124,159	ProgramServicesAmt
Management And General	$16,552,481	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$721,762	TotalAmt
Program Services	$64,702	ProgramServicesAmt
Management And General	$657,060	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,833,372	TotalAmt
Program Services	$2,718,946	ProgramServicesAmt
Management And General	$4,114,426	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$9,506,377	TotalAmt
Program Services	$1,627,861	ProgramServicesAmt
Management And General	$7,878,516	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$484,352	TotalAmt
Program Services	$254,968	ProgramServicesAmt
Management And General	$229,384	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$2,909	TotalAmt
Program Services	-$4,497	ProgramServicesAmt
Management And General	$7,406	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$16,343,783	TotalAmt
Program Services	$1,716,154	ProgramServicesAmt
Management And General	$14,627,629	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,693,635	TotalAmt
Program Services	$7,929,464	ProgramServicesAmt
Management And General	$14,764,171	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$3,528,935	TotalAmt
Program Services	$15,263	ProgramServicesAmt
Management And General	$3,513,672	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$109,862,941	$103,893,806	$5,969,135
BAD DEBT EXPENSE	$19,087,956	$19,087,956
DUES/LICENSES/SUBSCRIPT	$10,363,914	$1,895,268	$8,468,646
EMPLOYEE RECOGNITION	$3,331,155	$3,279,008	$52,147

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,976,028	TotalAmt
Program Services	$544,336	ProgramServicesAmt
Management And General	$1,431,692	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$450,725,758	TotalAmt
Program Services	$279,726,633	ProgramServicesAmt
Management And General	$170,999,125	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,072,513	BOYAmt
EOY	$16,816,468	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$32,735,511	BOYAmt
EOY	$116,600,134	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$78,429,953	BOYAmt
EOY	$69,139,538	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$9,456,168	BOYAmt
EOY	$9,963,877	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,591,840	BOYAmt
EOY	$11,353,314	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$504,942,786	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$221,008,743	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$296,679,215	BOYAmt
EOY	$283,934,043	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$109,634,918	BOYAmt
EOY	$121,487,554	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$6,951,820	BOYAmt
EOY	$9,114,220	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,281,450	BOYAmt
EOY	$4,281,450	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$54,382,788	BOYAmt
EOY	$54,360,709	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$607,216,176	BOYAmt
EOY	$697,051,307	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$73,910,410	BOYAmt
EOY	$108,116,570	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$271,933,593	BOYAmt
EOY	$267,717,550	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$13,289,290	BOYAmt
EOY	$4,365,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$53,261,973	BOYAmt
EOY	$101,141,137	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$412,395,266	BOYAmt
EOY	$481,340,257	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$194,820,910	BOYAmt
EOY	$215,711,050	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$194,820,910	BOYAmt
EOY	$215,711,050	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$607,216,176	BOYAmt
EOY	$697,051,307	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$76,771,913	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$3,811,335	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$59,693,108	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	0	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$165,227	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$10,235	OtherActivitiesAmt
Total Lobbying Expenditures	$175,462	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	GENESIS HEALTHCARE SYSTEM PAYS MEMBERSHIP DUES AND A PORTION OF THOSE DUES ARE RELATED TO LOBBYING: OHIO HOSPITAL ASSOCIATION - FSCC SHARE (OHA): 4.60% OF $89,101 ($4,099) CATHOLIC CONFERENCE OF OHIO: 4.30% OF $2,060 ($89) CATHOLIC HEALTH ASSOC (FSCC SHARE): 3.66% OF $37,063 ($1,357) CATHOLIC HEALTH ASSOC (FSCC SHARE): 3.76% OF $36,696 ($1,380) 340B HEALTH 2020: 8.00% OF $10,780 ($862) ACADEMY OF NUTRITION & DIETETICS: 14.00% OF $234 ($33) AMERICAN MEDICAL GROUP ASSOCIATION (AMGA): 10.00% OF $11,250 ($1,125) HEALTHCARE INFORMATION & MGMT SYSTEMS SOCIETY (MIMSS): 1.87% OF $3,375 ($63) TRAUMA CENTER ASSOCIATION OF AMERICA (TCAA): 23.00% OF $2,000 ($460) AMERICAN SOCIETY FOR HEALTH CARE ENGINEERING, AMERICAN (ASHI): 22.73% OF $300 ($68) OHIO HOSPICE AND PALLIATIVE CARE ORGANIZATION DBA MIDWEST CARE ALLIANCE (OHPCO): 2.80% OF 400 ($11) OHIO HOSPICE AND PALLIATIVE CARE ORGANIZATION DBA MIDWEST CARE ALLIANCE (OHPCO): 8.60% OF 8,000 ($688) GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $165,227 IN 2020 FOR ADVOCACY AND OUTREACH CONSULTING SERVICES. SECOND CAPITAL CONSULTING, LLC HAS PROVIDED ADVOCACY AND OUTREACH CONSULTING SERVICES TO GENESIS HEALTHCARE SYSTEM SINCE 2013. THESE SERVICES ASSIST THE SYSTEM TO ENGAGE, EDUCATE AND COMMUNICATE WITH PUBLIC POLICY MAKERS REGARDING PENDING LEGISLATION OR PROPOSED REGULATIONS, AS WELL AS, ASSIST ELECTED OFFICIALS IN UNDERSTANDING THE IMPACT OF LEGISLATION ON GHCS'S ABILITY TO DELIVER COST EFFECTIVE, QUALITY CARE FOR PATIENTS IN SOUTHEAST OHIO. GENESIS WORKS PRIMARILY THROUGH NATIONAL AND STATE HOSPITAL ASSOCIATIONS, IN WHICH GENESIS HAS MEMBERSHIP, TO UNDERSTAND POTENTIAL POLICIES WHICH COULD NEGATIVELY AFFECT THEIR ABILITY TO WORK WITH THE LOCAL MEDICAL COMMUNITY TO MEET THE HEALTHCARE NEEDS OF THE REGION. SOME ISSUES OF INTEREST INCLUDE THE 340B PROGRAM, MEDICARE & MEDICAID BUDGET DECISIONS AND REGULATIONS, AND INFRASTRUCTURE IMPROVEMENTS AT THE LOCAL LEVEL THAT ENHANCE ACCESS TO THE HOSPITAL. IN FACT, A DIRECT ACCESS LANE OPENED THIS YEAR FOR EMERGENCY VEHICLES, SPEEDING THE TIME CRITICAL TO PATIENTS IN ARRIVING FOR EMERGENCY CARE.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,433,728	OtherCostOrOtherBasisAmt
Book Value	$10,433,728	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$230,482,754	OtherCostOrOtherBasisAmt
Depreciation	$32,187,781	DepreciationAmt
Book Value	$198,294,973	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,409,605	OtherCostOrOtherBasisAmt
Depreciation	$3,028,046	DepreciationAmt
Book Value	$2,381,559	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$245,534,875	OtherCostOrOtherBasisAmt
Depreciation	$183,780,844	DepreciationAmt
Book Value	$61,754,031	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$13,081,824	OtherCostOrOtherBasisAmt
Depreciation	$2,012,072	DepreciationAmt
Book Value	$11,069,752	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$283,934,043	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS	$3,687,016
ASSETS LIMITED AS TO USE	$27,975,988
RIGHT OF USE LEASE ASSETS	$22,697,705

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$54,360,709	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED MINIMUM PENSION LIABILITY	$28,153,032
ACCRUED PROFESSIONAL LIABILITY	$5,238,259
LEASE LIABILITIES - OPERATING	$19,882,598
LEASE LIABILITIES - FINANCING	$561,332
MEDICARE ACCELERATED AND ADVANCED PAYMENTS	$47,305,916

Field	Value	IRS element (for citing)
Total Liability	$101,141,137	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE SYSTEM AND ITS SUBSIDIARIES ARE TAX-EXEMPT ORGANIZATIONS, EXCEPT FOR CARELIFE; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND TO RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,007,759	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,018,761	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$988,998	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,367,526	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$80,289,670	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,077,856	NetCommunityBenefitExpnsAmt
Total Expense	0.01640	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$89,375,285	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,308,431	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,066,854	NetCommunityBenefitExpnsAmt
Total Expense	0.01870	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	44	ActivitiesOrProgramsCnt
Persons Served	96025	PersonsServedCnt
Total Community Benefit Expns	$1,593,947	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,539,211	NetCommunityBenefitExpnsAmt
Total Expense	0.00360	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	1863	PersonsServedCnt
Total Community Benefit Expns	$876,867	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$876,867	NetCommunityBenefitExpnsAmt
Total Expense	0.00200	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	9	ActivitiesOrProgramsCnt
Persons Served	386	PersonsServedCnt
Total Community Benefit Expns	$8,433	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$8,433	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	61	ActivitiesOrProgramsCnt
Persons Served	98274	PersonsServedCnt
Total Community Benefit Expns	$2,479,247	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,736	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,424,511	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	61	ActivitiesOrProgramsCnt
Persons Served	98274	PersonsServedCnt
Total Community Benefit Expns	$91,854,532	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$81,363,167	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$10,491,365	NetCommunityBenefitExpnsAmt
Total Expense	0.02430	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$19,087,956	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$115,322,031	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$112,061,448	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,260,583	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	ACUTE CARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	18	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.GENESISHCS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	19	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GENESISHCS.ORG/ABOUT-US/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	SEE PART V, PAGE 8	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	SEE PART V, PAGE 8	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	SEE PART V, PAGE 8	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GENESIS HOSPITAL	PART V, SECTION B, LINE 5: A COMMUNITY HEALTH SURVEY WAS CONDUCTED. THE SURVEY GATHERED THE COMMUNITY INPUT ON THEIR PRIORITIES FOR CHRONIC CONDITIONS, RISK FACTORS FOR DISEASE, MOTHERS AND CHILDREN AND ACCESS TO CARE. THE SURVEY WAS COLLECTED ON THE GENESIS WEBSITE IN SEPTEMBER OF 2018 AND USED FACEBOOK, TWITTER, AND THE ZANESVILLE TIMES RECORDER TO PUBLICIZE THE COMMUNITY HEALTH NEEDS SURVEY. 67 COMPLETED SURVEYS WERE COLLECTED FROM THE GENESIS WEBSITE AND FROM INDIVIDUALS WAITING FOR SERVICES AT THE GENESIS HOSPITAL. ALL SIX COUNTIES WERE REPRESENTED IN THE SURVEY. TWO STUDENTS FROM MUSKINGUM UNIVERSITY AND KEY PARTNERS SUCH AS MUSKINGUM VALLEY HEALTH CENTER, THE VETERAN'S CLINIC, SALVATION ARMY, CHRIST'S TABLE, AND UNITED WAY COLLECTED SURVEYS FROM LOCATIONS SERVICING THE UNDERSERVED POPULATION. SIXTY-THREE PERSONS COMPLETED THE SURVEY IN THE UNDERSERVED LOCATIONS. A TOTAL OF 130 SURVEYS WERE COLLECTED.58 KEY INFORMANT SURVEYS WERE COLLECTED IN THE COMMUNITY AND CONTAINED CATEGORIES FOR BEHAVIORAL RISKS, MOMS AND BABIES, MORTALITY RATES AND POVERTY. SPECIAL CARE WAS USED TO IDENTIFY KEY INFORMANTS WITH KNOWLEDGE OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. IN ADDITION, WE HAVE IDENTIFIED THE KEY INFORMANTS SPECIFICALLY AS: (1) PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; (2) REPRESENTATIVES FROM GOVERNMENT OR PUBLIC HEALTH DEPARTMENTS; AND (3) LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS. ALL SIX COUNTIES WERE REPRESENTED IN THE KEY INFORMANT SURVEY.IN ADDITION TO USING COUNTY BASED NEEDS ASSESSMENTS, DUE TO THE LARGE COMMUNITY DEFINED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIAL CARE WAS TAKEN TO INCORPORATE THE VIEWS OF KEY INFORMANTS FROM EACH COUNTY. BELOW ARE EXAMPLES OF THE AGENCIES AND GROUPS COMPLETING THE KEY INFORMANT SURVEYS.COSHOCTON:GENESIS HEALTHCARE SYSTEMCOSHOCTON COUNTY HEALTH DEPARTMENTCOSHOCTON JOB AND FAMILY SERVICESCOSHOCTON UNITED WAYMUSKINGUM VALLEY HEALTH CENTERCOSHOCTON BEHAVIORAL HEALTH CHOICESMUSKINGUM:GENESIS HEALTHCARE SYSTEMTHE CARR CENTERQUALITY CARE PARTNERSZANESVILLE-MUSKINGUM COUNTY HEALTH DEPARTMENTHEART BEATSBIG BROTHERS BIG SISTERSMUSKINGUM COUNTY COMMUNITY FOUNDATIONMUSKINGUM RECREATION CENTERMUSKINGUM COUNTY PORT AUTHORITYSALVATION ARMYBETHEL MISSIONFIRST UNITED METHODIST CHURCHMUSKINGUM VALLEY HEALTH CENTERAMERICAN CANCER SOCIETYWICGUERNSEY:GENESIS HEALTHCARE SYSTEMAMERICAN CANCER SOCIETYMUSKINGUM VALLEY HEALTH CENTERMORGAN:GENESIS HEALTHCARE SYSTEMMORGAN LOCAL SCHOOLSMUSKINGUM VALLEY HEALTH CENTERBUCKEYE HILLSSALVATION ARMYNOBLE:GENESIS HEALTHCARE SYSTEMBUCKEYE HILLS-HOCKING VALLEY REGIONAL DEVELOPMENT DISTRICTCARESOURCEAMERICAN CANCER SOCIETYPERRY:GENESIS HEALTHCARE SYSTEMPERRY COUNTY HEALTH DEPARTMENTNORTHERN LOCAL SCHOOLSHELP ME GROWHOPEWELL HEALTH CENTERCROOKSVILLE SCHOOL NURSESALVATION ARMY
GENESIS HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE ON OUR WEBSITE AT HTTP://GENESISHCS.ORG, AT THE BOTTOM OF THE FRONT PAGE. THE REPORT WAS SHARED WITH COMMUNITY PARTNERS AND COPIES ARE AVAILABLE FOR FREE UPON REQUEST.
GENESIS HOSPITAL	PART V, SECTION B, LINE 11: PLEASE NOTE: THE CHNA WAS COMPLETED IN 2018. A NEW THE 2019-2021 IMPLEMENTATION STRATEGY ON OUR WEBSITE WAS COMPLETED IN MAY OF 2019. THE INFORMATION BELOW IS FOR THE COMMUNITY BENEFIT 2019-2021 IMPLEMENTATION STRATEGY. IT IS THE WRITTEN PLAN THAT EACH OF THE COMMUNITY HEALTH NEEDS FOR 2018.THE COMMUNITY BENEFIT 2019-2021 IMPLEMENTATION STRATEGY IS A WRITTEN PLAN GENESIS HEALTHCARE SYSTEM THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2018 CHNA. THE IMPLEMENTATION STRATEGY HAS BEEN TAILORED TO THE SERVICE LINES OF GENESIS, TAKING INTO ACCOUNT SPECIFIC PROGRAMS, RESOURCES AND PRIORITIES.THE INITIAL PROPOSED OUTCOMES IN THE TABLES WILL BE USED AS A BASELINE FOR PERFORMANCE FOR EACH YEAR AND USED TO GUIDE THE EVALUATION PROCESS AND FUTURE INITIATIVE DEVELOPMENT.THE COMMUNITY BENEFIT 2019-2021 IMPLEMENTATION STRATEGY OUTCOMES ARE TRACKED QUARTERLY AND ANNUALLY THROUGH THE COMMUNITY BENEFIT'S DATA SYSTEM KNOWN AS THE COMMUNITY BENEFIT INVENTORY OF SOCIAL ACCOUNTABILITY (CBISA). THE INITIAL PROPOSED OUTCOMES IN THE TABLES WILL BE USED AS A BASELINE FOR PERFORMANCE FOR EACH YEAR AND USED TO GUIDE THE EVALUATION PROCESS AND FUTURE INITIATIVE DEVELOPMENT.THE DOCUMENT "2020 COMMUNITY BENEFIT PLAN" CONTAINED THE 2019 EVALUATION OF OUTCOMES AND THE 2020 PROPOSED OUTCOMES OF THE 2019-2021 COMMUNITY IMPLEMENTATION STRATEGY WHICH WAS APPROVED BY THE GENESIS QUALITY.
PART V, LINE 16A, FAP WEBSITE:	HTTPS://WWW.GENESISHCS.ORG/SITES/DEFAULT/FILES/2021-08/FINANCIAL%20ASSISTANCE%20POLICY_%20CURRENT%20REVISED%20AUGUST2021%20UPDATE%20OHIO%20REVISED%20CO%20SECTION%20NUMBER.PDF
PART V, LINE 16B, FAP APPLICATION WEBSITE:	HTTPS://GENESISHCS.NA1.ADOBESIGN.COM/PUBLIC/ESIGNWIDGET?WID=CBFCIBAA3AAABLBLQZHDBPIH48URU3JMCFR7WQBKK7GJU8ZNXDXISNXUI9K9D0SRIFLRKGLQLQIZT3YWWEYA*
PART V, LINE 16C, FAP PLAIN LANGUAGE SUMMARY WEBSITE:	HTTPS://WWW.GENESISHCS.ORG/SITES/DEFAULT/FILES/2021-03/PLAIN-LANGUAGE-SUMMARY.PDF

Field	Value	IRS element (for citing)
Facility	16	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - HOSPICE & PALLIATIVE CARE
713 FOREST AVENUE	ZANESVILLE	OH	43701	HOSPICE & PALLIATIVE CARE CENTER
2 - CTR FOR OUTPATIENT & OCCUPATIONAL REHAB
740 ADAIR AVENUE	ZANESVILLE	OH	43701	OUTPATIENT REHAB SERVICES
3 - HEALTHPLEX
2800 MAPLE AVENUE	ZANESVILLE	OH	43701	OUTPATIENT LAB/IMAGING; PEDIATRIC REHAB
4 - GENESIS PHYSICIAN'S PAVILION
945 BETHESDA DRIVE	ZANESVILLE	OH	43701	OUTPATIENT CARDIAC REHAB SERVICES; WOUND CARE CENTER
5 - GENESIS BEHAVIORAL HEALTH
2991 MAPLE AVENUE	ZANESVILLE	OH	43701	MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT
6 - GENESIS INTERVENTIONAL PAIN MGT CLINIC
2945 MAPLE AVENUE	ZANESVILLE	OH	43701	PAIN MEDICINE SPECIALIZATION;IMAGING TECHNIQUES;SOLUTIONS TO PAIN MANAGEMENT
7 - GENESIS SLEEP DISORDERS CENTER
840 BETHESDA DRIVE	ZANESVILLE	OH	43701	DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS
8 - GENESIS RHEUMATOLOGY CARE CENTER
2525 MAPLE AVENUE	ZANESVILLE	OH	43701	EDUCATION AND OUTPATIENT RHEUMATOLOGY SERVICES
9 - CAMBRIDGE HEALTH CENTER
61353 SOUTHGATE PARKWAR	CAMBRIDGE	OH	43725	IMAGING SERVICES/LAB SERVICE/WOUND MANAGEMENT
10 - GENESIS CANCER CENTER
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	CANCER & PALLATIVE CARE/WOMEN'S BOUTIQUE
11 - GENESIS HEALTHCARE CENTER - NEW CONCORD
1 EAST MAIN STREET	NEW CONCORD	OH	43762	LAB SERVICES
12 - GENESIS HEALTH CENTER - PERRY COUNTY
301 DR MIKE CLOUSE DRIVE	SOMERSET	OH	43783	DIAGNOSITC HEALTHCARE SERVICES/PHYSICAL & OCCUPATIONAL THERAPY
13 - GENESIS SURGERY CENTER
2907 MAPLE AVENUE	ZANESVILLE	OH	43701	OUTPATIENT SURGERY
14 - GENESIS NEW LEXINGTON DRAW CENTER
445 WEST BROADWAY	NEW LEXINGTON	OH	43764	LAB SERVICES
15 - GENESIS ENDOCRINOLOGY
860 BETHESDA DRIVE BUILDING 2 UNIT	ZANESVILLE	OH	43701	EDUCATION AND OUTPATIENT ENDOCRINOLOGY SERVICES	4
16 - GENESIS VAIN CENTER
930 BETHESDA DRIVE BUILDING 4 UNIT	ZANESVILLE	OH	43701	DIAGNOSIS AND TREATMENT OF OUTPATIENT VEIN DISORDERS	1

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTS OF CHARITY CARE AND COMMUNITY BENEFIT ACTIVITIES WERE CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7, COLUMN (F): PERCENTAGE OF TOTAL EXPENSES WAS CALCULATED BASED ON TOTAL EXPENSES LESS BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 19,087,956.
PART II, COMMUNITY BUILDING ACTIVITIES:	GENESIS HAS AN ACTIVE PRESENCE ON MANY COMMITTEES INVOLVED IN FINDING LOW COST SOLUTIONS TO PHYSICAL AND MENTAL HEALTH ISSUES PREVALENT IN OUR COMMUNITIES, WITH PARTICULAR FOCUS ON SERVING LOW-INCOME, UNINSURED OR OTHERWISE UNDERSERVED. THESE ACTIVITIES ARE CAPTURED IN CBISA AS IN-KIND CONTRIBUTIONS BY THE SERVICE LINES UNDER COMMUNITY HEALTH IMPROVEMENT ACTIVITIES. COMMUNITY BUILDING ACTIVITIES ARE CURRENTLY NOT PART OF THE DOCUMENTATION FOR COMMUNITY BENEFIT.
PART III, LINE 2:	BAD DEBT IS CALCULATED USING GROSS CHARGES.
PART III, LINE 3:	NO BAD DEBT IS ESTIMATED TO RELATE TO CHARITY CARE.
PART III, LINE 4:	THE FINANCIAL STATEMENT FOOTNOTE RELATED TO BAD DEBT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOOTNOTE 1 "NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES" GROUPED WITH ACCOUNTS RECEIVABLE ON PAGE 8.
PART III, LINE 8:	CALCULATION WAS BASED ON THE MEDICARE COST TO CHARGE RATIO.
PART III, LINE 9B:	ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY (PLS) OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE FROM THE HOSPITAL. AT LEAST THREE SEPARATE COMMUNICATIONS WILL BE MAILED TO THE LAST KNOWN ADDRESS OF THE RESPONSIBLE PARTY ALSO CONTAINING THE PLS. AT LEAST 60 DAYS WILL LAPSE BETWEEN THE FIRST AND THIRD REQUIRED COMMUNICATION. DETAILED ITEMIZED STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST EXCEPT WHERE PROHIBITED BY STATE OR FEDERAL REGULATIONS. ACCOUNTS WITH ZERO BALANCES WILL NOT RECEIVE THREE SEPARATE COMMUNICATIONS; HOWEVER, THESE ACCOUNT HOLDERS MAY ALSO BE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. ALL RESPONSIBLE PARTIES WILL RECEIVE WRITTEN NOTIFICATION REGARDING EXTRAORDINARY COLLECTION ACTIONS (ECA) THAT MAY COMMENCE IF ACTION IS NOT TAKEN. THIRTY DAYS WILL LAPSE BETWEEN ISSUANCE OF NOTIFICATION AND COMMENCEMENT OF ECA. ACTION TAKEN BY THE RESPONSIBLE PARTY CONSTITUTES MAKING PAYMENT ARRANGEMENTS FOR THE AMOUNT DUE OR COMPLETING A FINANCIAL ASSISTANCE APPLICATION. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 120 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. COLLECTION AGENCIES ARE INSTRUCTED TO MAKE PHONE CALLS AND SEND LETTERS. IF THEY CANNOT RESOLVE THE BALANCE, OR HAVE NOT BEEN ABLE TO MAKE PAYMENT ARRANGEMENTS, THE ACCOUNT IS SENT BACK TO GENESIS AS NON-COLLECTIBLE IN 18 MONTHS.
PART VI, LINE 2:	GENESIS HEALTHCARE SYSTEM, AS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, IS DEDICATED TO MEETING THE HEALTH NEEDS OF OUR COMMUNITIES, REGARDLESS OF ONE'S ABILITY TO PAY. WE ENCOURAGE AND SUPPORT COLLABORATION WITH OTHER COMMUNITY PARTNERS TO IDENTIFY, RESPOND TO AND STRIVE TO IMPROVE THE HEALTH-RELATED NEEDS OF THE POOR, THE UNDERSERVED, AND THE COMMUNITY AT LARGE. WE PLEDGE ALL AVAILABLE FINANCIAL RESOURCES - AFTER OUR OPERATING EXPENSES ARE MET - TO RESPOND TO THE COMMUNITY'S HEALTH NEEDS WITH SERVICE INITIATIVES, FINANCIAL AND PROFESSIONAL SUPPORT, AND EDUCATION AND WELLNESS PROGRAMS.THE COMMUNITY BENEFIT COMMITTEE COLLABORATES WITH GENESIS ADMINISTRATION AND DEPARTMENTS AND WITH COMMUNITY AGENCIES IN OUR DEFINED GEOGRAPHIC MARKET, INCLUDING BUT NOT LIMITED TO THE PUBLIC HEALTH DEPARTMENTS, MUSKINGUM VALLEY HEALTH CENTERS, AND THE UNITED WAY, TO ASSESS COMMUNITY HEALTH NEEDS AND STRENGTHS; DEVELOP A COMMUNITY BENEFIT PLAN WITH STRATEGIC GOALS AND INTERVENTIONS; MONITOR IMPLEMENTATION OF COMMUNITY BENEFIT ACTIVITIES; EVALUATE COMMUNITY BENEFIT ACTIVITIES; ADVOCATE FOR THE COMMUNITY BENEFIT PROGRAMS; AND ASSIST IN TELLING THE GENESIS HOSPITAL COMMUNITY BENEFIT STORY.
PART VI, LINE 3:	GENESIS HAS SIGNAGE STRATEGICALLY LOCATED IN THE FACILITY (REGISTRATION AREAS AND CASHIER AREAS) ADVISING OF FREE CARE. BILLING STATEMENTS ALSO CONTAIN THIS INFORMATION ALONG WITH A CHARITY CARE APPLICATION PRINTED ON THE REVERSE SIDE OF THE BILL. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. WE HAVE REGISTRATION STAFF THAT WORK IN THE EMERGENCY DEPARTMENT TO SCREEN PATIENTS FOR POTENTIAL MEDICAID QUALIFIERS IF THE PATIENT ALLOWS. FOR INPATIENTS, WE HAVE RESOURCE COUNSELING STAFF THAT SCREEN SELF-PAY, UNDERINSURED AND MEDICARE ONLY PATIENTS FOR MEDICAID AND/OR CHARITY.
PART VI, LINE 4:	OUR GEOGRAPHIC MARKET AREA IS A SIX-COUNTY RURAL REGION OF SOUTHEAST OHIO, INCLUDING MUSKINGUM, MORGAN, PERRY, COSHOCTON, GUERNSEY AND NOBLE COUNTIES. FROM 2015-2019, TOTAL MARKET AREA POPULATION IS APPROXIMATELY 226,453, WITH MUSKINGUM COUNTY (86,131) REPRESENTING THE LARGEST COUNTY. MEDIAN HOUSEHOLD INCOME LEVELS RANGE FROM $42,341 TO $50,150 WHICH IS LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME OF $56,602 AND EVEN LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME OF $62,843. PEOPLE LIVING BELOW POVERTY LEVEL RANGE FROM 14% TO 20% IN THE REGION VERSES 13.1% FOR THE STATE AND 11.4% FOR THE NATION. IN 2019, CHILDREN IN POVERTY RANGE FROM 11.4% TO 22% IN OUR REGION COMPARED TO 18% FOR THE STATE OF OHIO.
PART VI, LINE 5:	ONGOING COMMUNITY HEALTH EDUCATION IS PROVIDED THROUGH REGULARLY SCHEDULED HEALTH AND WELLNESS PROGRAMS PRESENTED BY GENESIS STAFF AND AFFILIATED PHYSICIANS. PREVENTATIVE HEALTH SCREENINGS ARE PROVIDED FOR PULSE OX AND I.M.P.A.C.T (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING). PROGRAM TOPICS ARE BASED ON COMMUNITY NEED AS DETERMINED BY FEEDBACK FROM PARTICIPANTS, THE COMMUNITY BENEIFIT COMMITTEE AND SERVICE LINE LEADERS. GENESIS ALSO REGULARLY PROVIDES HEALTH AND WELLNESS PROMOTION THROUGH COMMUNITY-BASED HEALTH FAIRS AND EVENTS HELD THROUGHOUT THE COMMUNITY. CLINICAL EXPERIENCES ARE OFFERED FOR HEALTHCARE STUDENTS AS WELL AS TRAINING OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS.IN MARCH 2020, COVID-19 WAS DECLARED A PANDEMIC. EARLY IN 2020, GENESIS HEALTHCARE SYSTEM REPRESENTATIVES BEGAN MEETING DAILY WITH THE JOINT UNIFIED COMMAND GROUP. THE GROUP INCLUDED REPRESENTATIVES FROM THE ZANESVILLE-MUSKINGUM COUNTY HEALTH DEPARTMENT, THE CITY OF ZANESVILLE, GENESIS COMMUNITY AMBULANCE, MUSKINGUM COUNTY COMMISSIONERS, MUSKINGUM COUNTY EMERGENCY MANAGEMENT, MUSKINGUM COUNTY SHERIFF, ZANESVILLE FIRE DEPARTMENT, ZANESVILLE POLICE DEPARTMENT AND OTHERS. THROUGHOUT THE PANDEMIC, GENESIS HEALTHCARE SYSTEM CONTINUED TO OFFER INNOVATIVE CARE. IN NOVEMBER, THE GENESIS HEALTHCARE SYSTEM COVID-19 INFUSION CLINIC BEGAN TREATING HIGH-RISK PATIENTS WITHIN THREE DAYS OF TESTING POSITIVE WITH A SINGLE DOSE OF MONOCLONAL ANTIBODY. GENESIS HEALTHCARE SYSTEM WAS ONE OF THE FEW HEALTHCARE SYSTEMS IN THE AREA PROVIDING MONOCLONAL ANTIBODIES TO HELP HIGH-RISK PATIENTS WITH COVID-19. THE ANTIBODIES ARE GIVEN THROUGH AN INFUSION TO HELP DECREASE THE SYMPTOMS OF COVID-19 AND KEEP PATIENTS FROM BEING HOSPITALIZED. GENES GENESIS HEALTHCARE SYSTEM LAUNCHED AN AWARENESS CAMPAIGN TO HELP STOP THE SPREAD OF COVID-19. THE STOP THE SPREAD CAMPAIGN HIGHLIGHTS GENESIS HEALTHCARE SYSTEM FRONT-LINE NURSES ENCOURAGED THE COMMUNITY TO WEAR MASKS, SOCIAL DISTANCE AND WASH THEIR HANDS. GENESIS HEALTHCARE SYSTEM ALSO TOOK THE FOLLOWING ACTIONS:- VISITATION POLICY CHANGED TO ONLY ONE VISITOR PER PATIENT TO HELP PREVENT THE SPREAD OF COVID-19 - IMPLEMENTED FREE ON-DEMAND COVID-19 VIRTUAL SCREENING TELEMEDICINE CLINIC- PROCESSED ANTIBODY TESTS FOR THE VIRUS THAT CAUSES COVID-19 - TOOK TEMPERATURES AND SCREENED STAFF, PATIENTS AND VISITORS FOR COVID-19 AT ALL FACILITY ENTRANCES- PROVIDED A FREE ON-DEMAND COVID-19 VIRTUAL SCREENING TELEMEDICINE CLINIC FOR THOSE WHO WERE EXPERIENCING SYMPTOMS OF COVID-19 BUT DID NOT HAVE A PHYSICIAN OR THEIR PHYSICIAN WAS UNAVAILABLE- TOOK EXTRA PRECAUTIONS, INCLUDING ADDITIONAL CLEANING PROTOCOLS, USING A GERM-ZAPPING UV LIGHT ROBOT, SOCIAL DISTANCING, MASK REQUIREMENTS AND OTHER PRACTICES, TO ENSURE ALL PATIENTS AND STAFF REMAINED SAFE - ERECTED A CONVENIENT DRIVE-THROUGH TENT AT GENESIS FIRSTCARE-NORTH TO PROTECT PATIENTS AND EMPLOYEES FROM THE WEATHER DURING COVID-19 TESTING- LAUNCHED THE GENESIS HEALTHCARE SYSTEM COVID-19 EMPLOYER ASSISTANCE PROGRAM TO SUPPORT AREA BUSINESSES AND SCHOOLS. THE PROGRAM PROVIDED FREE COVID-19 SPECIFIC EMPLOYEE HEALTH SERVICES AND PROTOCOLS FOR THE WORKPLACE AND SCHOOLS. THE PROGRAM WAS MADE POSSIBLE DUE TO A PARTNERSHIP BETWEEN GENESIS HEALTHCARE SYSTEM, ZANESVILLE-MUSKINGUM COUNTY HEALTH DEPARTMENT, THE ZANESVILLE-MUSKINGUM COUNTY CHAMBER OF COMMERCE AND NORTHSIDE PHARMACIES. MORE THAN 31,056 COMMUNITY MEMBERS WERE ENROLLED.GENESIS HEALTHCARE SYSTEM WAS NAMED ONE OF 10 SITES ACROSS THE STATE AS A COVID-19 VACCINE DISTRIBUTOR.
PART VI, LINE 6:	GENESIS HOSPITAL AND ITS AFFILIATES ARE REACHING OUT TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH COMMUNITY INITIATIVES, MANY BASED ON PREVENTION. SOME EXAMPLES INCLUDE:- PROVIDING CLINICAL EXPERIENCES FOR NURSING, MEDICAL, AND OTHER HEALTH PROFESSIONAL STUDENTS - COMMUNITY HEALTH EDUCATION/HEALTH PROMOTION INITIATIVES ON VARIOUS HEALTH TOPICS - PROVIDE HEALTHCARE SUPPORT SERVICES SUCH AS NURSELINE- SUBSIDIZED HEALTH SERVICES SUCH AS THE VACCINATIONS FOR COVID-19 AND MEDICAL CLINICS FOR COVID POSITIVE MEMBERS- SUPPORT GROUPS ARE AVAILABLE FOR VARIOUS HEALTH CONDITIONS

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc
UNITED WAY OF MPM COUNTIES
526 PUTNAM AVENUE	ZANESVILLE	OH	43701	314379456	501(C)(3)	$15,000	CORPORATE DONATION FOR PLEDGE CAMPAIGN
CENTRAL AMERICAN MEDICAL OUTREACH
322 WESTWOOD AVENUE	ORVILLE	OH	44667	341740695	501(C)(3)		DONATION OF SUPPLIES	$302,389	FAIR MARKET VALUE
MUSKINGUM VALLEY HEALTH CENTER
716 ADAIR AVENUE	ZANESVILLE	OH	43701	208814374	501(C)(3)	$5,000	CORPORATE DONATION FOR PATIENT CARE CHARITABLE FUNDS	$0

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GENESIS SUPPORTS THE ANNUAL CORPORATE DONATION OF $15,000 IN ADDITION TO THE GENESIS EMPLOYEES ANNUAL DONATIONS. DONATIONS ARE REVIEWED AND MONITORED FOR USAGE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MATTHEW PERRY
PRESIDENT/CEO	$785,472	$0	$169,201	$0	$0	$0	$4,553	$0	$25,147	$0	$984,373	$0	$0	$0
SCOTT WEGNER MD
CHIEF CLINICAL OFFICER	$605,921	$0	$98,018	$0	$0	$0	$3,615	$0	$111,021	$0	$818,575	$0	$0	$0
DANIEL SCHEERER MD
CHIEF MEDICAL AFFAIRS OFFICER	$437,473	$0	$83,969	$0	$0	$0	$71,896	$0	$19,998	$0	$613,336	$0	$0	$0
EDMUND ROMITO
CHIEF INFORMATION OFFICER	$388,231	$0	$83,448	$0	$0	$0	$118,492	$0	$21,772	$0	$611,943	$0	$0	$0
DIANNA LEVECK
CHIEF HUMAN RESOURCES OFFICER	$400,858	$0	$93,375	$0	$0	$0	$52,315	$0	$33,613	$0	$580,161	$0	$0	$0
MICHAEL NORMAN
CHIEF FINANCIAL OFFICER	$426,401	$0	$93,425	$0	$0	$0	$2,372	$0	$27,676	$0	$549,874	$0	$0	$0
SHARON PARKER
CHIEF OPERATION OFFICER	$410,382	$0	$87,975	$0	$0	$0	$20,132	$0	$17,498	$0	$535,987	$0	$0	$0
WENDY CEDOZ
CHIEF LEGAL OFFICER	$348,039	$0	$77,627	$0	$0	$0	$45,302	$0	$20,598	$0	$491,566	$0	$0	$0
KRISTY RITCHIE MD
TRUSTEE	$0	$274,512	$0	$167,006	$0	$0	$0	$5,572	$0	$30,451	$0	$477,541	$0	$0
CHRISTOPHER SCHOELLES
CHIEF OPERATION OFFICER	$324,082	$0	$72,002	$0	$0	$0	$4,873	$0	$30,720	$0	$431,677	$0	$0	$0
SHON BENDER
CHIEF NURSING OFFICER	$294,991	$0	$59,898	$0	$0	$0	$7,434	$0	$901	$0	$363,224	$0	$0	$0
ERIN REMSTER DO
TRUSTEE	$0	$269,261	$0	$15,000	$0	$0	$0	$4,354	$0	$17,279	$0	$305,894	$0	$0
JONATHAN TONGSON MD
TRUSTEE	$0	$0	$0	$0	$285,916	$0	$0	$0	$0	$0	$285,916	$0	$0	$0
WILLIAM SHADE MD
TRUSTEE	$0	$235,300	$0	$0	$0	$0	$0	$4,808	$0	$17,756	$0	$257,864	$0	$0
LINDA SUPPLEE
DIRECTOR	$191,446	$0	$31,890	$0	$0	$0	$1,051	$0	$2,582	$0	$226,969	$0	$0	$0
GREG MATONAK
DIRECTOR	$192,410	$0	$10,453	$0	$0	$0	$1,959	$0	$21,481	$0	$226,303	$0	$0	$0
CHARLES ADAMS JR
DIRECTOR	$149,873	$0	$32,788	$0	$0	$0	$4,503	$0	$24,464	$0	$211,628	$0	$0	$0
LES BOYER
DIRECTOR	$166,802	$0	$9,109	$0	$0	$0	$3,462	$0	$31,394	$0	$210,767	$0	$0	$0
MARIANNE GRAHAM
MANAGER	$170,780	$0	$9,112	$0	$0	$0	$4,226	$0	$17,291	$0	$201,409	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE ORGANIZATION PAYS COUNTRY CLUB DUES AND RELATED BUSINESS EXPENSES FOR MEMBERS OF SENIOR LEADERSHIP. PERSONAL USAGE IS PAID BY THE INDIVIDUAL AND THE PERCENTAGE OF DUES RELATED TO PERSONAL USAGE ARE ADDED TO THE INDIVIDUALS W-2.
PART I, LINE 7	BOARD REVIEWS BONUSES BASED ON PERFORMANCE.
PART I, LINE 4B:	A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: WENDY CEDOZ: $22,426 DIANNA LEVECK: $25,090 EDMUND ROMITO: $36,074 DANIEL SCHEERER, MD: $46,150

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	COUNTY OF MUSKINGUM OHIO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	316400080	BondIssuerEIN
CUSIP	628077CK3	CUSIPNum
Bond Issued	2013-05-09	BondIssuedDt
Issue Price	$295,000,000	IssuePriceAmt
Purpose	ACQUIRING, CONSTRUCTING, RENOVATING, INSTALLING AND EQUIPPING HOSP FAC.	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Retired	$8,105,000	RetiredAmt
Total Proceeds	$294,645,952	TotalProceedsAmt
In Reserve Fund	$28,217,261	InReserveFundAmt
Substantial Completion	2016	SubstantialCompletionYr
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	0	MgmtContractBondFincdPropInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	0	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	Yes (1)	ProceduresCorrectiveActionInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., AND BETHESDA CARE SYSTEM (OR THEIR RESPECTIVE SUCCESSORS AN ASSIGNS) ARE THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS REVIEWED BY THE CFO AND MADE AVAILABLE TO THE BOARD OF DIRECTORS IN ITS ENTIRETY FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY STATES THAT BOARD MEMBERS AND OFFICERS HAVE A DUTY TO GOVERN HONESTLY AND ECONOMICALLY. ALL POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE BOARD WILL DETERMINE IF A CONFLICT EXISTS AND APPROPRIATE PROCEDURES TO MITIGATE THE SITUATION, SUCH AS ALTERNATIVE TRANSACTIONS AND PARTICIPATION AND VOTING RESTRICTIONS. THE COMPLIANCE OFFICER MONITORS AND ENFORCES THESE POLICIES. ALL OFFICERS AND DIRECTORS REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE CEO IS MANAGED THROUGH A THIRD PARTY THAT IS A NATIONALLY RECOGNIZED FIRM SPECIALIZING IN COMPENSATION BENCHMARKING AND ANALYSIS. THE FIRM IS RECOGNIZED FOR THEIR EXPERTISE IN EVALUATING TOTAL COMPENSATION AT THE EXECUTIVE LEVEL. THIS FIRM PRESENTS THEIR RECOMMENDATIONS AND ANALYSIS TO THE COMPENSATION COMMITTEE, WHICH IS MADE UP OF INDEPENDENT MEMBERS OF THE GENESIS BOARD OF DIRECTORS. THE COMMITTEE IS RESPONSIBLE FOR MAKING A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING THE EXECUTIVE COMPENSATION POLICY AND SPECIFIC COMPONENTS OF THE TOTAL COMPENSATION OF THE CEO. THE CEO IS ACTIVELY INVOLVED IN THE REVIEW, ANALYSIS AND RECOMMENDATION RELATED TO THE TOTAL COMPENSATION FOR THE REMAINING MEMBERS OF THE SENIOR LEADERSHIP TEAM. THE CEO DETERMINES THE COMPENSATION OF THE SENIOR LEADERSHIP TEAM MEMBERS WITHIN THE PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE. THIS COMPENSATION PROCESS WAS LAST COMPLETED IN 2020.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 20,521,894. MANAGEMENT AND GENERAL EXPENSES 5,981,760. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 26,503,654. MEDICAL AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 10,442,586. MANAGEMENT AND GENERAL EXPENSES 1,785,575. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,228,161. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 56,131. MANAGEMENT AND GENERAL EXPENSES 1,488,008. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,544,139. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 662. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 662. BILLING AND COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,514,025. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,514,025. INPATIENT TRANSPORT: PROGRAM SERVICE EXPENSES 29,728. MANAGEMENT AND GENERAL EXPENSES 881,304. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 911,032. SPONSORSHIP FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,942,161. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,942,161. CONSULTING FEES: PROGRAM SERVICE EXPENSES 73,820. MANAGEMENT AND GENERAL EXPENSES 1,274,525. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,348,345. COURIER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 684,461. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 684,461.
FORM 990, PART XI, LINE 9:	GAIN IN FAIR VALUE OF PERPETUAL TRUST -1,491,705. PLEDGE RECEIVABLE FROM RELATED PARTY -54,943,292. CONTRIBUTED CAPITAL 40,000. CHANGE IN FAIR MARKET VALUE INTEREST SWAP -40,000. CHANGE IN PENSION DUE TO SETTLEMENTS -3,106,013. OTHER ADJUSTMENTS -152,098.
FORM 990, PART XII, LINE 2C:	THE FINANCE COMMITTEE OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PAGE 1, LINE H(D):	THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
GENESIS HEALTHCARE FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311629304	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	310969646	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE FOUNDATION	Yes (1)
BETHESDA HOSPITAL FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	310885513	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE FOUNDATION	Yes (1)
FRANCISCAN SISTERS OF CHRISTIAN CHARITY
1415 SOUTH RAPIDS ROAD	MANITOWOC	WI	542209302	391530622	SPONSOR OF GHS	WI	501(C)(3)	7		0	N/A
GOOD SAMARITAN MEDICAL CENTER
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	314379479	MAINTAINS REAL ESTATE TITLE FOR HOSPITAL	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
BETHESDA CARE SYSTEM
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311067174	SPONSOR OF GHS	OH	501(C)(3)	9	GENESIS HEALTHCARE SYSTEM	Yes (1)
BETHESDA HOSPITAL ASSOCIATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	314380038	MAINTAINS REAL ESTATE TITLE FOR HOSPITAL	OH	501(C)(3)	LINE 12B, II	GENESIS HEALTHCARE SYSTEM	Yes (1)
ALTERNACARE
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311487187	STERILIZATIONS	OH	501(C)(3)	3	BETHESDA CARE SYSTEM	Yes (1)
CARESERVE
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311099924	FORMERLY OPERATED 2 NURSING HOMES THAT WERE SOLD PRIOR TO 2012	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
COMMUNITY AMBULANCE SERVICE
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	341773323	AMBULANCE SERVICE	OH	501(C)(3)	LINE 11	GENESIS HEALTHCARE SYSTEM	Yes (1)
GENESIS CAREGIVERS
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311282152	HOME CARE SERVICES	OH	501(C)(3)	3	CARESERVE	Yes (1)
BETHESDA HOSPITALITY SHOP
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	316050713	GIFT SHOP	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARELIFE LLC
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311128717	PHYSICIAN SERVICES, CHILDCARE SERVICES, PHARMACY, DME	OH	GENESIS HEALTHCARE SYSTEM	C	-$59,945,007	$49,798,601	1.00000	Yes (1)
SOUTHEAST OHIO MEDICAL INSURANCE COMPANY
				980436356	CAPTIVE INSURANCE COMPANY		GENESIS HEALTHCARE SYSTEM	C		$16,966,675	1.00000	Yes (1)	FIRST CARIBBEAN HOUSE	GEORGE TOWN	CAYMAN ISLANDS	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GENESIS HEALTHCARE SYSTEM GROUP
O	$344,326	ACCRUAL TRANSACTION
CARELIFE LLC
S	$38,561,124	ACCRUAL TRANSACTION