GENESIS HEALTH SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH SYSTEM (EIN 42-1418847)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-09
IRS object ID: 201901299349301840
Schema version: 2017v2.2
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-09T13:34:13-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	421418847	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Genesis Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GENE	BusinessNameControlTxt
Phone	5634216508	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E Rusholme Street	AddressLine1Txt
City	Davenport	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK G ROGERS	PersonNm
Person Title	V.P.Finance/CFO & Asst.Treasurer	PersonTitleTxt
Signature	2019-05-09	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mark G Rogers	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E Rusholme Street	AddressLine1Txt
City	Davenport	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52803	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$891,407,944	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GENESISHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	4775	TotalEmployeeCnt
Total Volunteers	461	TotalVolunteersCnt
Total Gross UBI	$1,672,978	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$633,033	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,842,165	PYContributionsGrantsAmt
CY Contributions Grants	$2,708,482	CYContributionsGrantsAmt
PY Program Service Revenue	$503,574,900	PYProgramServiceRevenueAmt
CY Program Service Revenue	$503,962,486	CYProgramServiceRevenueAmt
PY Investment Income	$20,856,162	PYInvestmentIncomeAmt
CY Investment Income	$18,755,930	CYInvestmentIncomeAmt
PY Other Revenue	$696,999	PYOtherRevenueAmt
CY Other Revenue	$934,268	CYOtherRevenueAmt
PY Total Revenue	$527,970,226	PYTotalRevenueAmt
CY Total Revenue	$526,361,166	CYTotalRevenueAmt
PY Grants And Similar Paid	$2,635,106	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,909,767	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$266,129,736	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$271,782,415	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$234,327,168	PYOtherExpensesAmt
CY Other Expenses	$237,840,912	CYOtherExpensesAmt
PY Total Expenses	$503,092,010	PYTotalExpensesAmt
CY Total Expenses	$511,533,094	CYTotalExpensesAmt
PY Revenues Less Expenses	$24,878,216	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$14,828,072	CYRevenuesLessExpensesAmt
Total Assets BOY	$827,585,234	TotalAssetsBOYAmt
Total Assets EOY	$848,319,427	TotalAssetsEOYAmt
Total Liabilities BOY	$267,083,882	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$264,235,718	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$560,501,352	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$584,083,709	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$351,096,999	ExpenseAmt
Grant	$1,909,767	GrantAmt
Revenue	$373,047,544	RevenueAmt
Desc	GENESIS HEALTH SYSTEM (GHS IOWA) IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA CONSISTING OF THREE HOSPITAL FACILITIES, TWO IN DAVENPORT AND ONE IN DEWITT, IOWA. GENESIS MEDICAL CENTER - DAVENPORT, CONTAINING 502 LICENSED ACUTE CARE BEDS. STATISTICS INCLUDE 75,768 PATIENT DAYS AND 212,291 OUTPATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS AND 77 LONG-TERM CARE BEDS. STATISTICS INCLUDE 1,861 PATIENT DAYS AND 21,287 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$111,655,968	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$93,046,275	RevenueAmt
Desc	GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA), CONSISTS OF 42 CLINICS AND 157 PHYSICIANS ENCOMPASSING A WIDE VARIETY OF SPECIALTIES AND FAMILY PRACTICE GROUPS SERVING IOWA, ILLINOIS AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND WESTERN ILLINOIS. STATISTICS INCLUDE TOTAL PRACTITIONER HOURS 282,360 AND RVU'S (RELATIVE VALUE UNITS) 1,020,512.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$27,439,763	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$30,190,231	RevenueAmt
Desc	GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES HOME HEALTH SERVICES (INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING, MEDICAL SOCIAL WORKER VISITS), COMMUNITY HOSPICE SERVICES, AND THE CLARISSA C. COOK HOSPICE HOUSE LOCATED IN BETTENDORF, IOWA. STATISTICS INCLUDE 126,264 HOME HEALTH SERVICE UNITS AND 54,510 HOSPICE/HOSPICE HOUSE DAYS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$4,062,534	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$6,695,234	RevenueAmt
Desc	GENESIS ACCOUNTABLE CARE ORGANIZATION (ACO) IS A SINGLE MEMBER IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY 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 PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM (GHS IOWA) IS THE SOLE MEMBER OF GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC. FOR INCOME TAX AND INFORMATIONAL RETURN PURPOSES, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC IS A DISREGARDED ENTITY AND IS INCLUDED WITHIN THE GHS IOWA'S INCOME TAX AND INFORMATIONAL RETURNS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$4,062,534	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$6,695,234	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$494,255,264	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	343	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4775	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	9	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK G ROGERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5634216508	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E RUSHOLME	AddressLine1Txt
City	DAVENPORT	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	528032498	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	50.0	11.5	Yes (X)	Yes (X)	$1,518,260	$0	$31,929
STEVEN C BAHLS
VICE CHAIR	4.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
GREGORY J BUSH
TREASURER	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ROGER J HILL
SECRETARY	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
G CHRISTOPHER WAHLIG
CHAIR	5.0	5.0	Yes (X)	Yes (X)	$0	$0	$0
MARK D BAWDEN
DIRECTOR	2.0	3.5	Yes (X)		$0	$0	$0
PETER J BENSON
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
CHRISTOPHER J COX
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
EDMUND P COYNE JR
Director	2.0	2.0	Yes (X)		$0	$0	$0
PATRICIA S GROVES
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
MARK C KILMER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
JAMES W KOEHLER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
GEORGE J KONTOS JR
Director	40.0	2.0	Yes (X)		$543,075	$0	$24,885
DAVID C LARSON
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
CHARLENE E MAASKE
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
C DANA WATERMAN III
DIRECTOR	2.5	2.0	Yes (X)		$0	$0	$0
DALE D ZUDE
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
EDWIN V MOTTO MD
DIRECTOR	5.0	5.0	Yes (X)		$0	$0	$0
EDWARD J ROGALSKI PHD
DIRECTOR	5.0	5.0	Yes (X)		$0	$0	$0
PAUL BOLLINGER
LEGAL AFFAIRS VICE PRESIDENT AND ASS	30.0	10.0		Yes (X)	$356,970	$0	$16,065
MARK G ROGERS
V.P. FINANCE/CFO/ASST TREASURER	30.0	10.0		Yes (X)	$1,021,819	$0	$27,694
NIDAL HARB
CHIEF MEDICAL OFFICER	32.0	8.0			$791,603	$0	$25,851	Yes (X)
KURT A ANDERSEN
PRESIDENT GHG	40.0	0			$558,968	$0	$22,230	Yes (X)
DALE GEISS
PHYSICIAN-CARDIOTHORACIC	40.0	0			$629,095	$0	$10,584	Yes (X)
JORDAN VOIGT
HOSPITAL PRESIDENT GMC DAVENPORT	40.0	0			$508,710	$0	$23,544	Yes (X)
EVA PROCTOR
CARDIOTHORACIC PHYSICIAN	40.0	0			$602,951	$0	$11,248	Yes (X)
JOSEPH BROOKS
PHYSICIAN	40.0	0			$711,221	$0	$28,181		Yes (X)
MICHAEL BURCHETT
PHYSICIAN	40.0	0			$612,158	$0	$19,638		Yes (X)
NATHAN MELOY
PHYSICIAN	40.0	0			$646,834	$0	$20,424		Yes (X)
TODD RIDENOUR
PHYSICIAN	40.0	0			$842,492	$0	$22,681		Yes (X)
WASEEM AHMAD
PHYSICIAN	40.0	0			$563,296	$0	$23,245		Yes (X)
JACQUELINE K ANHALT
FORMER V.P. PATIENT SERVICES	32.0	8.0			$340,316	$0	$28,963			Yes (X)
ROBERT W FRIEDEN
FORMER V.P. INFORMATION SERVICES	32.0	8.0			$403,973	$0	$28,997			Yes (X)
CHRISTOPHER CROME
FORMER PHYSICIAN/DIVISION CHAIR	40.0	0			$491,624	$0	$19,260			Yes (X)
RICHARD M KISHIUE
FORMER PRESIDENT, GHG	40.0	0			$135,139	$0	$6,525			Yes (X)
HAROLD WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER	40.0	0			$254,912	$0	$20,879			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$11,533,416	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$412,823	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
FINDORFF ESTES LLC
300 S BEDFORD	MADISON	WI	53703	CONSTRUCTION SERVICES	$26,455,157
Cerner Corporation
PO Box 959156	St Louis	MO	931959156	Information Technology Services	$15,644,181
Crothall Healthcare Inc
1500 Liberty Ridge Drive	Wayne	PA	19087	Maintenance/Enviromental Services	$8,951,825
Tri-City Electric Company
6225 North Brady Street	Davenport	IA	92130	Construction Services	$3,846,099
Apogee Medical Management Inc
15059 N Scottsdale Road	Scottsdale	AZ	85254	MEDICAL PROFESSIONAL SERVICES	$3,686,728

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	134	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$270,949	RelatedOrganizationsAmt
Government Grants	$1,072,399	GovernmentGrantsAmt
All Other Contributions	$1,365,134	AllOtherContributionsAmt
Noncash Contributions	$61,631	NoncashContributionsAmt
Total Contributions	$2,708,482	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT REVENUE	621400	$629,998,149	$629,998,149
INPATIENT REVENUE	900099	$535,231,455	$535,231,455
CLINIC/NURSING REVENUE	621400	$234,615,759	$234,615,759
HOME HEALTH/PROFESSIONAL SERVICES	621400	$19,718,504	$18,045,526	$1,672,978
RESIDENT/LONG TERM CARE	621400	$5,271,550	$5,271,550

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$920,872,931	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$920,872,931	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$503,962,486	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,227,655	TotalRevenueColumnAmt
Exclusion	$10,227,655	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$373,257,323	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$364,729,048	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$8,528,275	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,528,275	TotalRevenueColumnAmt
Exclusion	$8,528,275	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$562,222	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$317,730	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$244,492	TotalRevenueColumnAmt
Exclusion	$244,492	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$104,027	$104,027
NUTRITIONAL SERVICES	900099	$465,322	$465,322
AMBULANCE	900099	$53,633	$53,633

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$66,794	TotalRevenueColumnAmt
Related Or Exempt Func Income	$66,794	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$689,776	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$526,361,166	TotalRevenueColumnAmt
Related Or Exempt Func Income	$502,979,284	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,672,978	UnrelatedBusinessRevenueAmt
Exclusion	$19,000,422	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,892,754	TotalAmt
Program Services	$1,892,754	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$17,013	TotalAmt
Program Services	$17,013	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$6,349,455	TotalAmt
Program Services	$1,389,628	ProgramServicesAmt
Management And General	$4,959,827	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$192,084	TotalAmt
Program Services	$192,084	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$232,580,390	TotalAmt
Program Services	$229,086,985	ProgramServicesAmt
Management And General	$3,493,405	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,436,246	TotalAmt
Program Services	$1,382,440	ProgramServicesAmt
Management And General	$53,806	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$15,490,117	TotalAmt
Program Services	$14,962,082	ProgramServicesAmt
Management And General	$528,035	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,734,123	TotalAmt
Program Services	$15,311,508	ProgramServicesAmt
Management And General	$422,615	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$3,554,696	TotalAmt
Program Services	$2,124,970	ProgramServicesAmt
Management And General	$1,429,726	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$779,856	TotalAmt
Program Services	$779,856	ProgramServicesAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$276,175	TotalAmt
Program Services	$276,175	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$105,877	TotalAmt
Management And General	$105,877	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$656,949	TotalAmt
Management And General	$656,949	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$66,087,377	TotalAmt
Program Services	$65,217,940	ProgramServicesAmt
Management And General	$869,437	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,724,563	TotalAmt
Program Services	$1,605,815	ProgramServicesAmt
Management And General	$118,748	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,137,986	TotalAmt
Program Services	$7,995,601	ProgramServicesAmt
Management And General	$1,142,385	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,662,818	TotalAmt
Program Services	$3,153,127	ProgramServicesAmt
Management And General	$509,691	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$18,825,343	TotalAmt
Program Services	$17,122,609	ProgramServicesAmt
Management And General	$1,702,734	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,844,800	TotalAmt
Program Services	$1,513,383	ProgramServicesAmt
Management And General	$331,417	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$748,120	TotalAmt
Program Services	$700,747	ProgramServicesAmt
Management And General	$47,373	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,843,110	TotalAmt
Program Services	$7,843,110	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$30,793,846	TotalAmt
Program Services	$30,793,846	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$917,957	TotalAmt
Program Services	$812,358	ProgramServicesAmt
Management And General	$105,599	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FEDERAL AND STATE INCOME TAX	$205,714	$205,714
MEDICAL AND PHARMACEUTICAL	$40,677,417	$40,677,259	$158
PATIENT SUPPLY COST OF	$42,186,963	$42,186,963
FOOD, BEVERAGES, AND OT	$7,101,410	$6,358,255	$743,155

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$709,935	TotalAmt
Program Services	$653,042	ProgramServicesAmt
Management And General	$56,893	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$511,533,094	TotalAmt
Program Services	$494,255,264	ProgramServicesAmt
Management And General	$17,277,830	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$14,422,853	BOYAmt
EOY	$15,780,270	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$31,919,101	BOYAmt
EOY	$18,913,708	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$96,542,919	BOYAmt
EOY	$101,479,307	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$17,792,078	BOYAmt
EOY	$19,509,619	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$11,664,936	BOYAmt
EOY	$12,843,217	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$9,751,609	BOYAmt
EOY	$7,540,930	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$821,753,495	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$505,744,283	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$309,102,454	BOYAmt
EOY	$316,009,212	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$229,843,441	BOYAmt
EOY	$247,952,214	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$69,435,850	BOYAmt
EOY	$63,356,785	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$473,348	BOYAmt
EOY	$473,348	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,636,645	BOYAmt
EOY	$44,460,817	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$827,585,234	BOYAmt
EOY	$848,319,427	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$67,946,253	BOYAmt
EOY	$65,574,015	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$24,243	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$170,260,572	BOYAmt
EOY	$172,842,279	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,877,057	BOYAmt
EOY	$25,795,181	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$267,083,882	BOYAmt
EOY	$264,235,718	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$545,332,569	BOYAmt
EOY	$567,842,611	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$15,168,783	BOYAmt
EOY	$16,241,098	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$560,501,352	BOYAmt
EOY	$584,083,709	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$827,585,234	BOYAmt
EOY	$848,319,427	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$14,828,072	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,047,025	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$4,707,260	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	Yes (true)	GrantsOtherOrganizationsInd
Grants Other Organizations	$3,000	GrantsOtherOrganizationsAmt
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$4,971	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$102,877	OtherActivitiesAmt
Total Lobbying Expenditures	$110,848	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Part II-B, Line 1b. PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS Iowa) HAD ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. Part II-B, Line 1d. MAILINGS TO MEMBERS, LEGISLATURES, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM ( GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GENESIS HEALTH SYSTEM (GHS IOWA) REGARDING THIS ACTIVITY. Part II-B, Line 1f. GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GENESIS HEALTH SYSTEM (GHS IOWA) PRESENTED ONE GRANT TO OTHER ORGANIZATIONS: 1.) QUAD CITIES CHAMBER-IOWA LEGISLATIVE LUNCHEON 2018, $3,000. Part II-B, Line 1g. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD ONESTAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS RELATED TO THEIR LOBBYING ACTIVITIES INCLUDED: SALARIES- $4,971. Part II-B, Line 1i. OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2018, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM EIDE & HEISINGER, LLC AT A COST OF $25,000. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED; 21% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $26,248, 21.78% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,447, 55% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $8,339, AND VARIOUS OTHER ASSOCIATIONS- $30,843.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

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

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,080,730	BeginningYearBalanceAmt
Contributions	$191,448	ContributionsAmt
Investment Earnings Or Losses	$1,042,683	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$60,205	AdministrativeExpensesAmt
End Year Balance	$13,249,656	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,227,334	BeginningYearBalanceAmt
Contributions	$1,087,419	ContributionsAmt
Investment Earnings Or Losses	-$178,681	InvestmentEarningsOrLossesAmt
Administrative Expenses	$55,342	AdministrativeExpensesAmt
End Year Balance	$12,080,730	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,123,481	BeginningYearBalanceAmt
Contributions	$1,985,014	ContributionsAmt
Investment Earnings Or Losses	$118,839	InvestmentEarningsOrLossesAmt
End Year Balance	$11,227,334	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,838,024	BeginningYearBalanceAmt
Contributions	$374,838	ContributionsAmt
Investment Earnings Or Losses	$910,619	InvestmentEarningsOrLossesAmt
End Year Balance	$9,123,481	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.3959	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.6041	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$33,744,540	OtherCostOrOtherBasisAmt
Book Value	$33,744,540	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$356,287,785	OtherCostOrOtherBasisAmt
Depreciation	$158,897,295	DepreciationAmt
Book Value	$197,390,490	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,304,466	OtherCostOrOtherBasisAmt
Depreciation	$20,252,511	DepreciationAmt
Book Value	$4,051,955	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$358,408,058	OtherCostOrOtherBasisAmt
Depreciation	$306,020,898	DepreciationAmt
Book Value	$52,387,160	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$49,008,646	OtherCostOrOtherBasisAmt
Depreciation	$20,573,579	DepreciationAmt
Book Value	$28,435,067	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$316,009,212	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (11 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN GENVENTURES, INC	$25,689,501	C
INVESTMENT IN MISERICORDIA ASSURANCE, LTD.	$120,000	C
INVESTMENT IN HEI COOP	$2,280,317	C
INVESTMENT IN SPRING PARK SURGERY CENTER, LLC	$3,088,232	C
INVESTMENT IN GENGASTRO, LLC	$23,670,899	C
INVESTMENT IN GENORTHO, LLC	$1,973,248	C
INVESTMENT IN GENRAD IMAGING, LLC	$2,944,823	C
OTHER INVESTMENTS - GMC	$28,655	F
INVESTMENT IN UNIVERSITY OF IOWA HEALTH ALLIANCE, LLC	$0	C
INVESTMENT IN DAVITA DIALYSIS, LLC	$2,720,650	C
INVESTMENT IN WELLMARK	$840,460	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$63,356,785	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets of Foundation	$14,571,577
Deferred Compensation Annuity	$19,105,600
Cash surrender Value of Life Insurance	$7,723,808
Goodwill & Covenant Not to Compete	$820,444
Sercurity Escrow and Other Assets	$1,958,886
Interest Receivable	$280,502

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$44,460,817	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$5,531,084
ACCRUED INS TRUST LOSSES	$1,598,256
NONQUALIFIED PENSION LIABILITY	$18,595,085
LT DEFERRED EXPENSE CREDIT	$70,756

Field	Value	IRS element (for citing)
Total Liability	$25,795,181	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

GENESIS HEALTH SERVICES FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS ARE AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT, EMPLOYEE EMERGENCY ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, DIALYSIS CARE, AND BREAST HEALTH SERVICES.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Uncertainty in income taxes: GHS Iowa, GHS Illinois, GSL - Aledo, GMC - Aledo, the Genesis Foundation, Genesis Philanthropy and the Workers' Compensation Trust each files a Form 990 (Return of Organization Exempt from Income Tax) annually. When these returns are filed, it is highly certain that some positions taken would be sustained upon examination by the taxing authorities, while others are subject to uncertainty about the merits of the position taken or the amount of the position that would ultimately be sustained. Examples of tax positions common to health systems include such matters as the following: the tax exempt status of each entity, the nature, characterization and taxability of joint venture income and various positions relative to potential sources of unrelated business taxable income. Unrelated business taxable income is reported on Form 990T, as appropriate. The benefit of a tax position is recognized in the financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50 percent likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for uncertain tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Forms 990 and 990T filed by GHS Iowa, GHS Illinois, GSL - Aledo, GMC - Aledo, the Genesis Foundation, Genesis Philanthropy and the Workers' Compensation Trust are subject to examination by the Internal Revenue Service (IRS) up to three years from the extended due date of each return. Forms 990 and 990T filed by GHS Iowa, GHS Illinois, the Genesis Foundation and the Workers' Compensation Trust are no longer subject to examination for the fiscal years ended June 30, 2014 and prior. GenVentures is a taxable organization and currently files income tax returns in the U.S. federal jurisdiction and various state jurisdictions. GenVentures is no longer subject to income tax examinations for the fiscal years ended June 30, 2014 and prior. There were no uncertain tax positions as of June 30, 2018 and 2017.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$0	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$0	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	false	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,654,707	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,654,707	NetCommunityBenefitExpnsAmt
Total Expense	0.0071	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$81,977,587	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,222,525	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,755,062	NetCommunityBenefitExpnsAmt
Total Expense	0.0328	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$85,632,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,222,525	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$20,409,769	NetCommunityBenefitExpnsAmt
Total Expense	0.0399	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$636,256	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$636,256	NetCommunityBenefitExpnsAmt
Total Expense	0.0012	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,466,402	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,672,536	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,793,866	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$8,485,933	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,149,658	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,336,275	NetCommunityBenefitExpnsAmt
Total Expense	0.0085	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$281,817	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$281,817	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$296,282	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$296,282	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$13,166,690	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$5,822,194	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$7,344,496	NetCommunityBenefitExpnsAmt
Total Expense	0.0144	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$98,798,984	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,044,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,754,265	NetCommunityBenefitExpnsAmt
Total Expense	0.0543	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$25,112	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,112	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$530,029	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$530,029	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,966	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$12,966	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$568,107	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$568,107	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$15,780,542	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$127,396,276	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$126,180,165	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,216,111	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
GENGASTRO LLC
AMBULATORY SURGERY CENTER	0.75	0.0	0.25
GENORTHO LLC
ORTHOPAEDIC SURGERY CENTER	0.5	0.0	0.5
SPRING PARK SURGERY CENTER LLC
OUTPATIENT SURGICAL CENTER	0.4	0.0	0.6
GENRAD IMAGING LLC
DIAGNOSTIC IMAGING CENTER	0.5	0.0	0.5
DAVITA DIALYSIS LLC
OUTPATIENT DIALYSIS CENTER	0.2	0.16	0.64

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
GENESIS MEDICAL CENTER - DAVENPORT
2	1227 E RUSHOLME STREET	DAVENPORT	IA	52803	820011H	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)
GENESIS MEDICAL CENTER - DEWITT
1	1118 11TH STREET	DEWITT	IA	52742	WWW.GENESISHEALTH.COM	230149H	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prior CHNA ImpactPriorCHNAImpactInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Communtity Notified FAPCommuntityNotifiedFAPInd
GENESIS MEDICAL CENTER - DAVENPORT
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	15	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (true)	15	Yes (true)	WWW.GENESISHEALTH.COM/COMMUNITY	false	Yes (true)	Yes (X)	200.0	200.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
GENESIS MEDICAL CENTER - DEWITT
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	Yes (true)	false	Yes (true)	Yes (true)	17	Yes (true)	WWW.GENESISHEALTH.COM/COMMUNITY	false	Yes (true)	Yes (X)	200.0	200.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)	Yes (X)	WWW.GENESISHEALTH.COM/COMMUNITY	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. Genesis Health System (GHS Iowa) and Genesis Health System (GHS Illinois) continue to work with the Quad City Health Initiative (QCHI), Community Health Care, the Rock Island County Health Department, the Scott County Health Department, Unity Point Trinity Bettendorf and other health and social service agencies to improve the health status and quality of life in the Quad City region through the QCHI organization. The coordinated assessment approach includes primary data collection, secondary data analysis, and qualitative input from community leaders. Each health department convened a community health task force to review and prioritize secondary data and collect qualitative input from the community leaders in Scott and Rock Island Counties. In addition, through QCHI, both Genesis and Unity Point health systems funded a survey and data collection for the bi-state area and hired Professional Research Consultants, Inc. (PRC) to perform this work. The community health needs assessment (CHNA) incorporates data from the primary research (the PRC community health survey) and secondary research (e.g. .vital statistics and other health-related data); these components allowed for trending and comparison to state and national data. The survey instrument used for this study is based primarily on the Centers for Disease e Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS) plus other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other health issues. The final survey instrument was developed by the sponsoring organizations and PRC, and is similar to the previous surveys used in the region. This enabled us to analyze trends in the data. Researchers used a telephone interview methodology that incorporated both landline and cell phone interviews to ensure the best representation of the population surveyed. The primary advantages of using the telephone for survey interviews are timeliness, efficiency and the ability to randomly select respondents. The sample design used for this project include a stratified random sample of 801 individuals age 18 and older residing in the Quad City area (402 respondents in Rock Island County and 399 in Scott County). In addition, an oversample of 122 additional interview was implemented among African-American and Hispanic adults to ensure that these populations were adequately represented in the sample and could be analyzed independently. This effort garnered 87 interviews with African-American adults and 101 interviews with Hispanic individuals (including respondents reached through both the random sample and oversample interviews). Once the survey work was completed, the 923 total interviews were weighted in proportion not the actual population distribution so as to appropriate represent the Quad Cities area as a whole. All administration of the survey, data collection and data analysis was performed by PRC. For statistical purposed, the maximum rate of error associated with a sample size of 932 respondents is +/- 3.3% at the 95th percent level of confidence. It is a common and preferred practice to "weight" the raw data to improve the representation of certain groups even more. This is done by adjusting the results of ta random sample to match the geographic distribution and demographic makeup of the population surveyed. (post stratification), to eliminate any naturally occurring bias. Specifically, once the raw data are gathered, respondents are examined by key demographic characteristics (i.e. gender, age, race, ethnicity, and poverty status) and a statistical application paction applies weighting variables that produce a sample, which more closely matches the population for these characteristics. Therefore, while the integrity of each individual's responses is preserved, one respondent's responses may contribute to the whole the weight as, for example, 1.1 respondents. Another respondent, whose demographic characteristics may have been slightly oversampled, may contribute the same weight as 0.9 respondents. A variety of existing (secondary) data sources was consulted to complement the research quality of this community health assessment. Data for Rock Island and Scott Counties were gathered from the following sources: * Center for applied research and environments systems (CARES) * Center for Disease Control and Prevention * Community Commons * ESRI ARCGIS Map Gallery * National Center Institute, State Cancer Profiles * Openstatemap (OSM) * US Department of Agriculture, Economic Research Service * Iowa Department of Public Safety/Illinois State Police * US Census Bureau * Us Department of Health and Human Services * US department of Justice, Federal Bureau of Investigations * US Department of Labor, Bureau of Statistics Note: Secondary data are county level data
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. UNITY POINT HEALTH-TRINITY
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY HEALTH DEPARTMENT, AND THE SCOTT COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - Genesis Medical Center Davenport. Genesis Health System, in collaboration with community organizations such as QCHI, the health depts. and other agencies, continues to address the significant needs identified in the most recent CHNA through our ongoing programs and resources. These programs include: Need: access to health care * The implementation of the team-based care model at Genesis Health Group. This model enables physicians to increase the number of primary care patients seen by using staff more efficiently. * Expansion of telehealth services to the public * Provision of our Genesis Convenient Care Clinic Now located in HyVee grocery store. This clinic provides very basic, urgent care services. A second clinic will be added in calendar year 2019. * Opening of the West Davenport Healthplex - the Healthplex, opened in 2018, provides primary care, urgent care services, physical therapy, diagnostic imaging and lab. This configuration of services offers care in a more convenient setting. Cancer: * Continued support of the Genesis Cancer Care Institute - treating cancer with the next generation of cancer fighting technology. * Center for Breast Health * Cancer clinical trials * Support of the grant and voucher programs for low-income women - part of our work as a founding sponsor of the Susan G. Komenrace for the Cure. Heart Disease and Stroke * Continued development of our heart failure program * Continued support of the "Medical home" model * Provision of health care navigators, coaches and case managers at our Genesis Health Group offices - these individuals monitor the health status of chronically ill patients and intervene as needed to keep patient functioning in their homes. * Genesis Health Beat Exercise programs/exercise stations located at area parks and walking/biking trails. * Establishment of a Genesis health Group neurology practice - this practice is needed to address the demand for neurological care in the region. Nutrition, Physical Activity and Weight Management * Continued support of the "Medical home" model * Provision of health care navigators, coaches and case managers at our Genesis Health Group offices - these individuals monitor the health status of chronically ill patients and intervene as needed to keep patient functioning in their homes. * Genesis Health Beat Exercise programs/exercise stations located at area parks and walking/biking trails. * Metabolic health screening ("Naturally Slim" program) offered to all Genesis employees and members of the public. Low-income individuals can participate via grants from Genesis Philanthropy. * Genesis immunization CRM program * Community health education re: hand washing * Genesis wellness program offerings * Partnerships with area YMCAs to offer programs and discounts to Genesis employees * Genesis Center for Weight Management * Healthy Lifestyle sponsorships such as the Genesis Firecracker Run, Bix 7, and other events. * Alcohol free family section at Modern Woodman Park Mental Health * Continued support of the "Medical home" model * Provision of health care navigators, coaches and case managers at our Genesis Health Group offices - these individuals monitor the health status of patients to identify depression and other mental illness and provide referrals to care as needed. * Genesis Psychology Associates * Expansion of the Genesis inpatient units for children and adolescents and a unit for adults. Plans are being developed for a Geri-psych program * Founder of the Scott County Mental Health Court designed to keep those with mental illnesses out of jail. * Advocacy in support of mental health reform * Sponsorship - NAMI
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DEWITT. To complete the community health needs assessment, existing health -related data were collected via the online community commons community health needs assessment report tool at HTTP://www.communitycommons.org/maps-data. This site allows for identification of 87 distinct health and social indicators at the county level , along with comparisons to state and national data, and health people 2020 targets, where available. Once an indicators report was generated, relevant indicators were reviewed to determine how Clinton and Jackson Counties compared to available state/national data (see the "detailed health indicators" section of this document. Information gaps: Because this CHNA relies on existing datasets, it is limited in scope to those indicators currently available through database collection. It does not include a primary research component and many important issues are unaddressed (e.g. access to healthcare). Another limitation is that most measures included in this assessment represent data that are several years old. Community Stakeholder Input: Genesis Medical Center DeWitt and Jackson County Regional Health Center (JCRHC) got input from public health officials and other community stakeholders through a series of meetings. The organizations involved include: * Westwing Senior Living * Clinton County Public Health Department * GMC DeWitt * Community Partnership for Protecting Children * Patient Health Services Jack County Board of Health * GMC DeWitt Social Services * Early Childhood Iowa/DECAT Coordinator * St. Ambrose University School of Health Sciences * I-Smile, Visiting Nurse Services * GMC DeWitt Community Health Liaison * Jackson County Mental Health * JCRHC Administration * Jackson County Board of Health * Jackson County Board of Supervisors An important component of the these meetings was the discussion of the primary and chronic disease needs and other health issues of those without health insurance, low income and minority persons (described later in this section).
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DEWITT. JACKSON COUNTY REGIONAL HEALTH CENTER
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DEWITT:. Genesis Health System, in collaboration with community organizations such as QCHI, the health depts. and other agencies, continues to address the significant needs identified in the most recent CHNA through our ongoing programs and resources. These programs include: Nutrition, Physical Activity and Weight Management * Continued support of the "Medical home" model * Genesis Health Beat Exercise programs/exercise stations located at area parks and walking/biking trails * Metabolic health screening ("Naturally Slim" program) offered to all Genesis employees and members of the public. Low-income individuals can participate via grants from Genesis Philanthropy. * Genesis immunization CRM program * Community health education re: hand washing * Genesis wellness program offerings * Partnerships with area YMCAs to offer programs and discounts to Genesis employees * Genesis Center for Weight Management * Healthy Lifestyle sponsorships such as the Genesis Firecracker Run, Bix 7, and other events. * Alcohol free family section at Modern Woodman Park Substance Abuse - Tobacco and Alcohol * Alcohol free family section at Modern Woodman Park * Smoke free campuses throughout the health system at our sites located throughout the community * Genesis wellness program offerings * Community health education re second hand smoke impact on children Immunizations and Infectious Diseases * Flu Free QC * Genesis immunization CRM program * Community health education re: hand washing * Ryan White HIV Program

Field	Value	IRS element (for citing)
Facility	60	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (60 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P CARDIAC DIAGNOSTIC & REHAB CARE
GENESIS IMAGING CENTER 53RD STREET
1970 E 53RD STREET	DAVENPORT	IA	52507	OUTPATIENT RADIOLOGY SERVICES
CENTRAL PARK MEDICAL PAVILIONS 1 & 2
1351 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	O/P CANCER, REHAB, WOUND, NEUROLSURGICAL, & PHYS CLINIC
GENESIS MEDICAL PLAZA
2535 MAPLECREST ROAD	BETTENDORF	IA	52722	O/P REHAB, PAIN, PHYS THERAPY, SPINE CTR & PHSY CLINIC
VISITING NURSE ASSOC & HOSPICE HOUSE
2535 MAPLECREST ROAD	BETTENDORF	IA	52272	HOME HEALTH & HOSPICE
ILLINI LARSON CENTER
855 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT LAB & PHYSICIAN CLINIC
BETTENDORF HEALTH PLEX
2140 53RD AVENUE	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
BETTENDORF IMAGING CENTER
2140 53RD AVENUE SUITE 40	BETTENDORF	IA	52722	OUTPATIENT RADIOLOGY SERVICES
GENESIS HEALTH GROUP
865 LINCOLN ROAD	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
VISITING NURSE ASSOC & HOSPICE HOUSE
2546 TECH DRIVE	BETTENDORF	IA	52722	HOME HEALTH & HOSPICE
MEDICAL OFFICE BUILDING #1
1228 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P MAMMOGRAPHY & DIALYSIS SERVICES
MOLINE HEALTHPLEX
3900 28TH AVENUE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
ELDRIDGE FAMILY PRACTICE
301 N 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT PHYSICIAN CLINIC
GHG PULMONARY
1801 E 54TH STREET	DAVENPORT	IA	52807	OUTPATIENT PHYSICIAN CLINIC
GENESIS PHYSICAL REHAB - VALLEY FAIR
2300 53RD STREET	BETTENDORF	IA	52722	O/P PHYSICAL THERAPY CLINIC
PHYSICAL THERAPY & SPORTS MEDICINE
1702 E 53RD STREET	DAVENPORT	IA	52807	O/P PHYSICAL THERAPY & SPORTS PERF CLINIC
NORTH FAMILY PRACTICE
210 W 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT PHYSICIAN CLINIC
SCOTT COUNTY YMCA
3800 TANGLEFOOT LANE	BETTENDORF	IA	52722	OUTPATIENT REHABILITATION CLINIC
GENESIS HEALTH GROUP - SPECIALTY CLIN
1007 NW 3RD STREET	ALEDO	IL	61231	OUTPATIENT REHABILITATION CLINIC
DEWITT WEST WING PLACE
1118 11TH STREET	DEWITT	IA	52742	OUTPATIENT PHYSICIAN CLINIC
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	DIAGNOSTIC IMAGING CENTER
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	AMBULATORY SURGERY CENTER
CONVENIENT CARE - DAVENPORT
1520 W 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT URGENT CARE CLINIC
VISITING NURSE ASSOC
4711 44TH STREET STE 2	ROCK ISLAND	IL	61201	HOME HEALTH & HOSPICE
DIVISION STREET CLINIC
3618 N DIVISION STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
FAMILY PRACTICE AT WEST CAMPUS
1345 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
GENORTHO LLC
2300 53RD STREET	BETTENDORF	IA	52722	ORTHOPEDIC SURGERY CENTER
LOMBARD PHYSICAL THERAPY
1414 W LOMBARD STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICAL THERAPY CLINIC
CONVENIENT CARE - BETTENDORF
4017 DEVILS GLEN ROAD	BETTENDORF	IA	52722	OUTPATIENT URGENT CARE CLINIC
DAVENPORT OBGYN (EDGERTON)
1510 E RUSHOLME STREET	DAVENPORT	IA	52803	OUTPATIENT PHYSICIAN CLINIC
ILLINI BUILDING #1
903-05 ILLINI DRIVE	SILVIS	IL	61282	HOME HEALTH & O/P PHYSICIAN CLINIC
GENESIS CONVENIENT CARE - ILLINOIS
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT URGENT CARE CLINIC
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	OUTPATIENT SURGICAL CENTER
GENESIS PSYCHOLOGY ASSOCIATES
4455 E 56TH STREET	DAVENPORT	IA	52804	OUTPATIENT COUNSELING CLINIC
ILLINI BUILDING #2
1504 10TH STREET	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
SILVIS ANESTHESIOLOGY
801 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
NORTHWEST FAMILY PRACTICE
1520 S 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT PHYSICIAN CLINIC
ELDRIDGE PHYSICAL THERAPY
170 S 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT PHYSICAL THERAPY CLINIC
GHS OCCUPATIONAL HEALTH - DAVENPORT
3319 SPRING STREET	DAVENPORT	IA	52807	OUTPATIENT OCCUPATIONAL HEALTH
DEWITT FAMILY PRACTICE
1008 11TH STREET	DEWITT	IA	52742	OUTPATIENT PHYSICIAN CLINIC
DEWITT PAVILION 1
1118 11TH STREET	DEWITT	IA	52742	LONG-TERM NURSING CARE FACILITY
SENIOR SERVICES
1345 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
GENESIS CENTER FOR BARIATRIC SURGERY
1230 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P COMPREHENSIVE BARIATRIC PROGRAM
VISITING NURSE ASSOC & HOSPICE HOUSE
611 N 2ND AVENUE	CLINTON	IA	52732	HOME HEALTH & HOSPICE
DEWITT AMBULANCE
1220 11TH STREET	DEWITT	IA	52742	AMBULANCE SERVICES
IA CITY PEDIATRIC PT CLINIC
2451 CORAL CT	CORALVILLE	IA	52241	OUTPATIENT PHYSICAL THERAPY CLINIC
GHG - MERCY MEDICAL GROUP
221 MAIN AVENUE	CLINTON	IA	52732	OUTPATIENT PHYSICIAN CLINIC
LECLAIRE FAMILY PRACTICE - RIVERVIEW
200 S CODY ROAD	LECLAIRE	IA	52751	OUTPATIENT PHYSICIAN CLINIC
MUSCATINE FAMILY PRACTICE
2104 CEDARWOOD STREET STE 200	MUSCATINE	IA	52761	OUTPATIENT PHYSICIAN CLINIC
Dr cady
615 Valley View Drive	Moline	IL	61265	OUTPATIENT PHYSICIAN CLINIC
GENESIS PHYSICAL THERAPY AT LECLAIRE
1003 CANAL SHORE DRIVE	LECLAIRE	IA	52751	OUTPATIENT PHYSICAL THERAPY CLINIC
Family Medical Davenport Clinic
1820 W 3rd St	Davenport	IA	52803	OUTPATIENT PHYSICIAN CLINIC
GENESIS OCCUPATIONAL HEALTH
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT OCCUPATIONAL HEALTH
BLUE GRASS FAMILY MEDICAL
413 S MISSISSIPPI	BLUE GRASS	IA	52726	OUTPATIENT PHYSICIAN CLINIC
DURANT FAMILY PRACTICE
619 5TH STREET	DURANT	IA	52747	OUTPATIENT PHYSICIAN CLINIC
Conveniet Care Now W Locust
2351 West locust Street	Davenport	IA	52804	Outpatient Urgent Care Clinic
ERIE FAMILY PRACTICE
530 12TH STREET	ERIE	IL	61205	OUTPATIENT PHYSICIAN CLINIC
GHS - AUGUSTANA PT CLINIC
639 38TH STREET	ROCK ISLAND	IL	61201	OUTPATIENT PHYSICAL THERAPY CLINIC
GHS - U OF IA PEDIATRIC GASTRO
2222 53RD AVENUE	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
EAP - DAVENPORT
1910 E KIMBERLY	DAVENPORT	IA	52806	COUNSELING SERVICES

Supplemental Information Detail SupplementalInformationDetail (18 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO)
Schedule H, Part I, Line 7g Subsidized Health Services	No costs associated with a physician clinic were reported in subsidized health services.
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Genesis Health System (GHS Iowa) utilized Worksheet 2 to calculate its cost-to-charge ratio. The calculated cost-to-charge ratio was used to calculate the cost of Charity Care and Unreimbursed Medicaid. Costs of the "Other Benefits" reported in 7e -7i were compiled throughout the year in the community benefit database (i.e., CBISA) that Genesis Health System utilizes. No bad debt expense was included in the denominator because bad debt was reported in line 2f of Part VIII, Statement of Revenue. The organization's total community benefit expense as a percentage of total expenses is 19.31%, and the percentage increases to 43.98% if Medicare cost report allowable costs are included in total community benefit expense.
Schedule H, Part II Community Building Activities	Economic Development (F2): Council and Chamber - Genesis Health System (GHS Iowa) supports employee involvement on local council and chamber committees. Grants to Community Businesses - Genesis Health System supports its community by giving grants to local businesses to improve economic development and relieve or reduce the burden of government or other tax-exempt organizations. Community Support (F3): Disaster Readiness - Genesis Health System participates in community wide disaster readiness drills throughout the year to ensure its preparedness for an array of disasters. Junior Achievement - Genesis Health System participates in a volunteer partnership with Junior Achievement. Workforce Development (F8): Programs on Health Careers - Genesis Health System partners with the local community colleges and universities to address the health care work force shortage. Genesis Health System works with the local community colleges and universities to address community-wide workforce issues by supporting job creation and training programs.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	In accordance with Healthcare Financial Management Association Statement No. 15, Bad Debt is reported at the full-established charge from the most recent audited financial report. Payments received after an account had been written off to bad debt were credited to a bad debt recovery account. Discounts on patient accounts provided by third-party payers were written off to a contractual allowance account.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Genesis Health System uses Avadyne Health to process aging patient accounts. Avadyne Health's collection process utilizes publicly available information to ensure all aging patient accounts receive financial assistance in accordance to Genesis Health System policy before being deemed bad debt. Genesis Health System reported zero dollars for the estimated amount of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	Patient receivables due directly from the patients are carried at the original charge for the service provided less amounts covered by third-party payors and less an estimated allowance for doubtful receivables based on a review of all outstanding amounts on a monthly basis. Receivables due from medical office building tenants and from commercial laundry customers are carried at the original invoice amount less an estimate made for doubtful accounts. Management determines the allowance for doubtful accounts by identifying troubled accounts, by historical experience applied to an aging of accounts, and by considering the patient's financial history, credit history and current economic conditions. Genesis Health System does not charge interest on patient receivables. Receivables are written off as bad debts when deemed uncollectible. Recoveries of receivables previously written off are recorded as a reduction of bad debt expense when received.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The Medicare cost report was used to determine the amount report in Part III, line 5, 6, and 7 for the hospitals. 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 IOwa in providing healthcare services to the elderly. The total Medicare surplus, which includes fee screen services, was $1,216,111.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	Every effort is made to determine a patient's eligibility for financial assistance. If eligible, payment plans are made available based on their resources and income. All balances owing after financial assistance allowances have been taken are payable in monthly payments in accordance with the organization's financial assistance policy
Schedule H, Part V, Section B, Line 16a FAP website	- GENESIS MEDICAL CENTER - DEWITT: Line 16a URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16a URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GENESIS MEDICAL CENTER - DEWITT: Line 16b URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16b URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GENESIS MEDICAL CENTER - DEWITT: Line 16c URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16c URL: WWW.GENESISHEALTH.COM;
Schedule H, Part VI, Line 2 Needs assessment	Genesis Health System utilizes the CHNA conducted by PRC in 2015 for GMC-Davenport. The CHNA was funded by Genesis Health System and Unity Point Health-Trinity; and sponsored by Community Health Care, Genesis Health System, Quad City Health Initiative, Rock Island County Health Department, Scott County Health Department, and Unity Point Health-Trinity. QCHI was formed by Genesis Health System, EIN 42-1418847, and Genesis Health System, EIN 36-3616314, which has headquarters in both Scott County, Iowa, and Rock Island County, Illinois, and Trinity Health System, which is headquartered in Rock Island County, Illinois. QCHI is now a community partnership of over 300 community members and leaders pursuing initiatives to create a healthier community, serving as a catalyst for improving the health and overall quality of life within the Quad Cities. Genesis Medical Center, DeWitt as the sole hospital within the western Clinton County area, has the resources to influence these issues in its community. As part of a larger health system, GMC DeWitt can leverage resources to address these priorities.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	Information on the availability of financial assistance is posted in visible locations in the admission departments of the hospitals. In addition, the hospital registration staff make available informative brochures for patients in the Emergency Room registration area explaining their eligibility for assistance. Genesis Health System (GHS Iowa) provides patient financial counselors on each hospital campus to discuss options with the patients. Patient Financial Services prepares and provides a letter to each patient, explaining their current balance and advising them of their options. A phone number is provided with the letter encouraging the patient to call if needed.
Schedule H, Part VI, Line 4 Community information	Our Primary Service Area (PSA), also called the Bi-State Region, is defined as Scott County, IA, and Rock Island County, IL with a 2017 population of 320,345 and a projected growth rate of 1.5% from 2017 to 2022. Our Secondary Service Area (SSA), also called the 9-County Region, consists of the Bi-State Region plus Clinton, Des Moines, Henry IL, Jackson, Muscatine, Mercer and Whiteside counties (population 592,234). Our Tertiary Service Area (TSA), also called the 17-County Region, includes our SSA plus Cedar, Henry, Lee, and Louisa counties in IA, and Carroll, Henderson, Knox, and Warren counties in IL. The TSA has a total population of 764,458 and a projected growth rate of 0.2% from 2017 to 2022. While our service area population is not projected to grow significantly over time, the percentage of persons 65 and older is projected to grow 12% from 2017 to 2022. GMC DeWitt services the residents of Clinton County, primarily those residing in Dewitt and the surrounding towns. JCRHC serves the residents of Maquoketa and the adjoining communities. While the population is not growing in number, it is growing in terms of people age 65 and older.
Schedule H, Part VI, Line 5 Promotion of community health	Genesis Medical Center Davenport and the entire Genesis Health System are committed to providing quality, compassionate health care to all those in need. One way this commitment is tangibly expressed is through the promotion of community health through programs such as Flu Free QC, Live Life Lead Free (our newest health program, started in 2018, designed to reduce the incidence of lead poisoning in children); funds allocated to area programs that address community health needs like childhood obesity, mental health programs, provision of emergency and trauma care services and many other health care services. As part of Genesis Health System, GMC DeWitt is committed to the promotion of community health. The hospital participates in programs such as housing for persons with mental illness.
Schedule H, Part VI, Line 6 Affiliated health care system	Genesis Health System (GHS Iowa) an Iowa nonprofit corporation, and Genesis Health System (GHS Illinois) an Illinois not-for-profit corporation, have identical governing boards, management and bylaws and can act jointly. GHS Iowa is also the sole member of Genesis Philanthropy, Genesis Health Services Foundation, Genesis Accountable Care Organization LLC, and Genesis Health System Workers' Compensation Plan and Trust, the sole stockholder of GenVentures, Inc., a member of Misericordia Assurance Company, Ltd. and a partner in GenGastro, LLC. GHS Illinois is the sole member of Genesis Medical Center Aledo and Genesis Senior Living Aledo; and is a partner in The Larson Center Partnership. GHS Iowa, GHS Illinois, GMC Aledo, and GSL, Aledo collectively represent the Obligated Group on certain components of the Obligated Group'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, which provides services from its facility in DeWitt, Iowa. Genesis Visiting Nurse Association and Hospice (VNA) provide home health care, community nursing services and hospice services to patients in eastern Iowa and western Illinois. Genesis Medical Center - Silvis is licensed as a 145-bed acute care hospital, which provides services from its facility in Silvis, Illinois. Illini Hospital Nursing Home (INH) operates Illini Restorative Care Center and Crosstown Square. Illini Restorative Care Center is a 120-bed licensed nursing facility, consisting of 92 skilled care beds and 28 sheltered care beds. All 92 beds are dually licenses for Medicare/Medicaid services. The sheltered care unit provides rehabilitative and personal care in a family-oriented setting. Crosstown Square is an independent living facility containing 69 rentable apartments and two guest rooms that offers services designed to meet the needs of senior adults. GHS Iowa and GHS Illinois have a controlling ownership interest or membership in the following organizations: Genesis Medical Center Aledo (GMC Aledo) is certified as a critical access hospital, which has 22-acute care and swing beads, as well as a physician clinic, which provides services from its facility in Aledo, Illinois. Genesis Senior Living Aledo (GSL Aledo) is certified as a nursing facility, which has a 92 bed long-term care facility, which provides services from its facility in Aledo, Illinois. Genesis Health Services Foundation (Genesis Foundation) is an organization whose mission is to develop, manage and grant charitable support to meet the health-related needs of the communities served by Genesis Health System. GenGastro, LLC (d/b/a the Center for Digestive Health) is a limited liability company, which operates a single-specialty gastroenterology ambulatory surgery center located in Bettendorf, Iowa. Genesis Health System Maintains a 75 percent ownership interest in GenGastro, LLC. The Larson Center Partnership (LCP) is a for-profit real estate partnership which owns a medical office building adjacent to GMC - Illini and leases space for clinics, laboratory, pharmacy and offices to GMC - Illini and other third-party organizations. GHS Illinois is a general partner and owns approximately 75.6% of LCP. GenVentures, Inc. (GenVentures) is a wholly-owned for-profit corporation which operates the following divisions, primarily in the Quad Cities: Genesis at Home, Continuing Care sells and leases home medical equipment; provides intravenous therapy services, including sales of related solutions and supplies to patients; and provides retail pharmaceutical and over-the-counter products to patients and employees of the System. GenProperties owns, leases and/or manages office space in 15 medical office buildings located in Bettendorf, Clinton, Davenport, Eldridge, Le Claire and Muscatine, Iowa. Crescent Laundry provides commercial laundry services to health care facilities in eastern Iowa and in north-central Illinois. Genesis Accountable Care Organization, LLC (Genesis ACO) is an Iowa limited liability company formed in December 2011. Its purpose is to engage in any lawful business and any business related to creation and organization of a "physician-driven" network to act as, and/or participate in, an Accountable Care Organization within the meaning of the federal Patient Protection and Affordable Care Act. The company is also organized to develop a clinically integrated network of providers including physicians, health professionals, hospitals and ancillary providers working together to promote high quality, coordinated and efficient care to patients including members of various managed care payors and the community at large. Genesis Health System Workers' Compensation Plan and Trust (Workers' Compensation Trust) provides a fund, which can be used to pay workers' compensation claims and costs for the benefit of Genesis Health System. Misericordia Assurance Company, Ltd. (Misericordia) is a wholly-owned Cayman based captive insurance company which underwrites the general and professional liability risks of Genesis Health System and affiliates. Genesis Philanthropy is a wholly-owned tax-exempt entity formed in 2013, which will partner with other hospital foundations to form a regional network to attract donors to help fund specific health-related causes and promote wellness in the region.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL, IA

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
AMERICAN CANCER SOCIETY
2010 E 38Th St Suite 203	Davenport	IA	52807	131788491	501 ( c ) (3)	$5,000	Sponsorship-Race
AMERICAN HEART ASSOCIATION
460 N Lindbergh Blvd	St Louis	MO	63141	135613797	501 ( c ) (3)	$10,000	Sponsorship Heartwalk, Gala S18 Sponsor
AUGUSTANA COLLEGE
639 38th Street	Rock Island	IL	61201	362166962	501 ( c ) (3)	$7,000	Sponsorship-Education Conference
QUAD CITIES CHAMBER OF COMMERCE
130 West 2nd Street	Davenport	IA	52801	421500610	501 ( c ) (3)	$30,500	Sponsorship-Icestravaganza, IA Legislative Lucheon, Red White & Boom Sponsor
Vera French Community Mental Health Center
1441 W Central Park	Davenport	IA	52804	420716337	501 ( c ) (3)	$5,000	Sponsorship-Education Conference
QUAD CITY SYMPHONY
327 Brady St	Davenport	IA	52801	466017663	501 ( c ) (3)	$20,000	Sponsorships-Seasonal concerts
VERA FRENCH FOUNDATION
1441 W Central Park	Davenport	IA	52804	421256448	501 ( c ) (3)	$15,000	Sponsorship-Gala
Susan G Komen Breast Cancer
5005 LBJ Freeway	dallas	TX	75244	751835298	501 ( c ) (3)	$18,434	Sponsorship-Race for the Cure
BALLET QUAD CITIES
613 17th Street	Rock Island	IL	61201	421366753	501 ( c ) (3)	$5,000	Sponsorships-Seasonal Shows
MAQUOKETA CHAMBER OF COMMERCE
124 South Main Street	Maquoketa	IA	52060	420883748	501 ( c ) (3)	$5,000	Community fireworks sponsorship
CENTRAL COMMUNITY SCHOOL DIST
331 E 8th Street	Dewitt	IA	52742	426040381	501 ( c ) (3)	$5,000	Sponsorship for performing arts center
IOWA HEALTHIEST STATE INITIATIVE
301 Grand Ave	Des Moines	IA	50309	454570642	501 ( c ) (3)	$25,000	Healthy Choices to the community initiative

Field	Value	IRS element (for citing)
Total501c3 Org	12	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxt	RecipientRecipientCnt	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
GRANTS FOR RESEARCH STUDIES	47	$11,820
MEDICAL SUPPLIES TO INDIVIDUALS/MEDICAL MISSION	649		$5,193	Fair Market Value	Medical and Pharmmceutical Supplies

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE GENESIS HEALTH SYSTEM (GHS IOWA) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	false	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	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	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	$796,124	$0	$195,002	$0	$527,134	$0	$5,750	$0	$26,179	$0	$1,550,189	$0	$334,500	$0
GEORGE J KONTOS JR
Director	$521,076	$0	$0	$0	$21,999	$0	$6,000	$0	$18,885	$0	$567,960	$0	$0	$0
HAROLD WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER	$211,512	$0	$42,645	$0	$755	$0	$4,500	$0	$16,379	$0	$275,791	$0	$0	$0
PAUL BOLLINGER
LEGAL AFFAIRS VICE PRESIDENT AND ASS	$241,588	$0	$47,847	$0	$67,535	$0	$0	$0	$16,065	$0	$373,035	$0	$0	$0
MARK G ROGERS
V.P. FINANCE/CFO/ASST TREASURER	$417,002	$0	$27,828	$0	$576,989	$0	$7,250	$0	$20,444	$0	$1,049,513	$0	$195,507	$0
JACQUELINE K ANHALT
FORMER V.P. PATIENT SERVICES	$242,856	$0	$33,179	$0	$64,281	$0	$9,709	$0	$19,254	$0	$369,279	$0	$0	$0
ROBERT W FRIEDEN
FORMER V.P. INFORMATION SERVICES	$270,450	$0	$41,883	$0	$91,640	$0	$9,563	$0	$19,434	$0	$432,970	$0	$0	$0
CHRISTOPHER CROME
FORMER PHYSICIAN/DIVISION CHAIR	$389,970	$0	$23,889	$0	$77,765	$0	$5,290	$0	$13,970	$0	$510,884	$0	$0	$0
RICHARD M KISHIUE
FORMER PRESIDENT, GHG	$124,189	$0	$0	$0	$10,950	$0	$3,231	$0	$3,294	$0	$141,664	$0	$0	$0
NIDAL HARB
CHIEF MEDICAL OFFICER	$454,136	$0	$81,359	$0	$256,108	$0	$6,000	$0	$19,851	$0	$817,454	$0	$0	$0
KURT A ANDERSEN
PRESIDENT GHG	$388,749	$0	$59,080	$0	$111,139	$0	$4,500	$0	$17,730	$0	$581,198	$0	$0	$0
DALE GEISS
PHYSICIAN-CARDIOTHORACIC	$620,786	$0	$0	$0	$8,309	$0	$6,000	$0	$4,584	$0	$639,679	$0	$0	$0
JORDAN VOIGT
HOSPITAL PRESIDENT GMC DAVENPORT	$350,629	$0	$51,051	$0	$107,030	$0	$4,500	$0	$19,044	$0	$532,254	$0	$0	$0
EVA PROCTOR
CARDIOTHORACIC PHYSICIAN	$569,783	$0	$0	$0	$33,168	$0	$0	$0	$11,248	$0	$614,199	$0	$0	$0
JOSEPH BROOKS
PHYSICIAN	$573,254	$0	$0	$0	$137,967	$0	$4,500	$0	$23,681	$0	$739,402	$0	$0	$0
MICHAEL BURCHETT
PHYSICIAN	$458,571	$0	$0	$0	$153,587	$0	$4,500	$0	$15,138	$0	$631,796	$0	$0	$0
NATHAN MELOY
PHYSICIAN	$627,169	$0	$0	$0	$19,665	$0	$4,500	$0	$15,924	$0	$667,258	$0	$0	$0
TODD RIDENOUR
PHYSICIAN	$822,122	$0	$0	$0	$20,370	$0	$6,000	$0	$16,681	$0	$865,173	$0	$0	$0
WASEEM AHMAD
PHYSICIAN	$543,973	$0	$0	$0	$19,323	$0	$4,500	$0	$18,745	$0	$586,541	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part II, Column (F)	The following individuals also participated in or continue to have a supplemental executive retirement savings benefit in 2013, 2014, 2015, 2016, and 2017 sponsored by Genesis Health System (GHS IA): Douglas P. Cropper-$334,500 and Mark Rogers-$195,507.
Schedule J, Part I, Line 1a Travel for companions	Genesis Health System(GHS Iowa) provides the following to individuals reported in Part VII, Section A, line 1a: Travel for companions: in tax year 2017, the following types of listed individuals reported in Part VII received the travel for companions benefit: 3 directors and 3 officers. All individuals reimbursed GHS Iowa in full and none of the benefit was listed as taxable compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2017 sponsored by Genesis health System (GHS IA): Robert W. Frieden- $63,443, Jacqueline Anhalt-$43,822, Kurt A. Andersen- $45,290, Paul Bollinger- $38,933, Jordan Voigt-$74,579, and Nidal Harb-$83,752. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2017. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. The following individual participated in a supplemental executive retirement savings benefit plan in 2017 sponsored by Genesis health System (GHS IA): Mark G. Rogers- $133,573. The dollar amount represents the current year contribution made by GHS IA on behalf of the individual to the plan in 2017. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. Split-dollar life insurance participants are Douglas P. Cropper-established in 2016 and sponsored by Genesis Health System(GHS IA). GHS IA deposited funds into life insurance policies on the participant's life. During life, and subject to the policies generating sufficient values, the participant can borrow from one of the policies. The borrowing is monitored and limited so the policies do not lapse. At the participant's death, the organization recovers premiums plus interest plus additional key-person insurance proceeds. There were no loans or contributions in 2017.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
IOWA FINANCE AUTHORITY
A	521699886	46246PLP4	2010-06-24	$90,995,000	REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITY	Yes (true)	false	false
IOWA FINANCE AUTHORITY
B	521699886	46246PMG3	2013-11-26	$121,000,000	CONSTRUCT AND EQUIP EAST CAMPUS TOWER	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Current RefundingCurrentRefundingInd	Advance RefundingAdvanceRefundingInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt
A	$45,120,000	$15,525,000	$95,545,195	$16,518,923	$1,478,186	$23,700,000	$70,367,009	2010	Yes (true)	false	Yes (true)	Yes (true)
B			$125,205,892		$1,267,563	$123,844,399		2017	false	false	Yes (true)	Yes (true)	$21,062,123

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0091	0.0091	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0091	0.0091	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: IOWA FINANCE AUTHORITY A PREMIUM OF $4,550,195 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE.
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: IOWA FINANCE AUTHORITY A PREMIUM OF $3,950,091 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE. FURTHERMORE, $953,406 WAS EARNED BY INVESTING THE RESERVE FUNDS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GENVENTURES INC
MARK ROGERS, ROGER HILL, AND JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC.	$24,743,160	GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST.	false
GENVENTURES INC
MARK ROGERS, ROGER HILL, AND JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC.	$14,916,028	GENESIS HEALTH SYSTEM (GHS IOWA) PAID GENVENTURES, INC. FOR FACILITY LEASE PAYMENTS, MEDICAL SUPPLIES, LAUNDRY SERVICES, AND A LOAN ADVANCE.	false
CARDIOVASCULAR MEDICINE PC
EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC.	$848,410	HEALTHCARE PROFESSIONAL SERVICES	false
QUAD CITY BANK & TRUST COMPANY
PETER BENSON IS AN OFFICER AND MARK KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST	$206,219	INTEREST EXPENSE, DEPOSIT ACCOUNT, CREDIT CARD SERVICE, LOCK BOX FEES, AND INTEREST INCOME	false
LISA ROGALSKI
LISA ROGALSKI IS THE DAUGHTER-IN-LAW OF EDWARD J. ROGALSKI, PH.D., DIRECTOR OF GHS IA.	$116,425	REPORTABLE COMPENSATION AS AN EMPLOYEE	false
CLAIRE MOTTO
CLAIRE MOTTO IS THE DAUGHER OF EDWIN V. MOTTO, DIRECTOR OF GHS IA	$46,850	REPORTABLE COMPENSATION AS AN EMPLOYEE	false
KRISTI SOUTHERLAND
KRISTI SOUTHERLAND IS THE SISTER OF KURT A. ANDERSEN, A KEY EMPLOYEE OF GHS IA	$24,349	REPORTABLE COMPENSATION AS AN EMPLOYEE	false
CourtesyKimberly Car City
Dale D. Zude is president/owner of Courtesy/Kimberly Car City.	$126,516	vehicle purchases	false
American Hospital Association
Douglas C. Cropper is a director on the board of American Hospital Association.	$98,506	healthcare support services	false
Dewitt Bank and Trust
Roger J. Hill is a Sr.VP/Trust Officer for Dewitt Bank & Trust	$140,933	interest expense, deposit account, lock box fees, and interest income.	false

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp

Field	Value	IRS element (for citing)
Non Cash Checkbox	Yes (X)	NonCashCheckboxInd
Desc	Miscellaneous	Desc
Contribution	58	ContributionCnt
Noncash Contributions Rpt F990	$61,631	NoncashContributionsRptF990Amt
Method Of Determining Revenues	Market value	MethodOfDeterminingRevenuesTxt

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - Miscellaneous PART I, COLUMN B IS REPORTED USING A COMBINATION OF NUMBER OF CONTRIBUTIONS AND ITEMS CONTRIBUTED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 4,062,534 including grants of $ 0)(Revenue $ 6,695,234) GENESIS ACCOUNTABLE CARE ORGANIZATION (ACO) IS A SINGLE MEMBER IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY 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 PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM (GHS IOWA) IS THE SOLE MEMBER OF GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC. FOR INCOME TAX AND INFORMATIONAL RETURN PURPOSES, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC IS A DISREGARDED ENTITY AND IS INCLUDED WITHIN THE GHS IOWA'S INCOME TAX AND INFORMATIONAL RETURNS.
Form 990, Part VI, Line 15	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 ATTRIBUTES SPECIFIC TO THE POSITION. ONCE THE POINT VALUE IS SET FOR A POSITION, MARKET COMPARISONS FOR JOBS WITH THE SAME ORGANIZATIONAL IMPACT CAN BE COMPARED FOR SALARY PURPOSES AND ESTABLISH PAY RANGES. THE DESIGN OF THE PAY RANGES FOR EXECUTIVES IS BASED ON MARKET DATA. THE MIDPOINT OF EACH PAY RANGE IS ESTABLISHED AT THE 50TH PERCENTILE OF THE MARKET COMPARISONS. A MINIMUM AND MAXIMUM ARE ESTABLISHED OFF OF THE MIDPOINT. SPECIFIC PAY RATES FOR EXECUTIVES ARE SUBJECT TO CEO AND COMPENSATION COMMITTEE AND THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD OF DIRECTORS APPROVAL. PAY RANGES ARE REVIEWED EACH YEAR TO DETERMINE THE NEED FOR REVISION. WHEN MARKET CONDITIONS SUGGEST AN ADJUSTMENT TO PAY RANGES, DATA WILL BE PRESENTED TO THE COMPENSATION COMMITTEE FOR ITS REVIEW. THE SPECIFIC PAY RANGES ARE SUBJECT TO CEO, COMPENSATION COMMITTEE, AND GHS IOWA BOARD OF DIRECTOR APPROVAL. THE PRESIDENT AND CEO HAS THE AUTHORITY AND RESPONSIBILITY TO ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE AND THE GHS IOWA BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GHS IOWA, AT APPROPRIATE TIMES. THE GHS IOWA BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GHS IOWA, AT APPROPRIATE TIMES. THE LAST TIME THIS PROCESS WAS FORMALLY UNDERTAKEN WAS NOVEMBER 2016.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Prior to submitting the form 990 to the IRS, it is reviewed at the organization's finance committee meeting, and then it is e-mailed to the organization's board of directors' one week in advance of a scheduled meeting. At the board of directors meeting, internal management reviews the form 990 with the board of directors. Suggested changes from all of the reviews are considered for inclusion in the final form 990 submitted to the IRS. Internal management review is also completed of the compiled information and is provided to the vice president, finance/CFO; vice president, legal affairs; vice president, human resources; and chief compliance risk officer of the organization's corporate member.
Form 990, Part VI, Line 12c Conflict of interest policy	ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS IOWA) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GHS IOWA, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1a	GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS IOWA). THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AS WELL AS THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Contractuals - Total Revenue: -XXX-XX-XXXX, Related or Exempt Function Revenue: -XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Miscellaneous - Total Revenue: 66794, Related or Exempt Function Revenue: 66794, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	ANESTHESIA SERVICES - Total Expense: 1064147, Program Service Expense: 1064147, Management and General Expenses: , Fundraising Expenses: ; BLOOD BANK SERVICES - Total Expense: 1690916, Program Service Expense: 1690916, Management and General Expenses: , Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 628948, Program Service Expense: 628948, Management and General Expenses: , Fundraising Expenses: ; COMMUNICATIONS SERVICES - Total Expense: 371977, Program Service Expense: 371977, Management and General Expenses: , Fundraising Expenses: ; DIALYSIS SERVICES - Total Expense: 639415, Program Service Expense: 639415, Management and General Expenses: , Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 3605533, Program Service Expense: 3605533, Management and General Expenses: , Fundraising Expenses: ; HEALTH CARE PROFESSIONAL SERVICES - Total Expense: 9608300, Program Service Expense: 9563223, Management and General Expenses: 45077, Fundraising Expenses: ; HEALTH-RELATED IMAGING SERVICES - Total Expense: 12875069, Program Service Expense: 12875069, Management and General Expenses: , Fundraising Expenses: ; HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING: - Total Expense: 6141856, Program Service Expense: 5377603, Management and General Expenses: 764253, Fundraising Expenses: ; IT OUTREACH SERVICES - Total Expense: 11098315, Program Service Expense: 11098315, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 4311224, Program Service Expense: 4311224, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY SERVICES: - Total Expense: 13929, Program Service Expense: 13929, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE SERVICES - Total Expense: 8951066, Program Service Expense: 8896495, Management and General Expenses: 54571, Fundraising Expenses: ; NUTRITIONAL SERVICES - Total Expense: 1604718, Program Service Expense: 1604718, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE HEALTHCARE-RELATED SERVICES - Total Expense: 993515, Program Service Expense: 993515, Management and General Expenses: , Fundraising Expenses: ; PATIENT TRANSPORT SERVICES - Total Expense: 361712, Program Service Expense: 361712, Management and General Expenses: , Fundraising Expenses: ; PHYSICAL THERAPY SERVICES - Total Expense: 153588, Program Service Expense: 153588, Management and General Expenses: , Fundraising Expenses: ; ROOM AND BOARD SERVICES - Total Expense: 1025847, Program Service Expense: 1025847, Management and General Expenses: , Fundraising Expenses: ; SIGNAGE SERVICES - Total Expense: 5536, Program Service Expense: , Management and General Expenses: 5536, Fundraising Expenses: ; TRANSCRIPTIONS SERVICES - Total Expense: 248146, Program Service Expense: 248146, Management and General Expenses: , Fundraising Expenses: ; VISITING NURSE OUTSIDE SERVICES - Total Expense: 352255, Program Service Expense: 352255, Management and General Expenses: , Fundraising Expenses: ; TRANSLATIONS SERVICES - Total Expense: 327741, Program Service Expense: 327741, Management and General Expenses: , Fundraising Expenses: ; EMERGENCY ROOM SERVICES - Total Expense: 13624, Program Service Expense: 13624, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FUNDED STATUS OF RETIREMENT - 3695776; CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION - 1073115; NON-CASH CONTRIBUTIONS NOT REPORTED ON BOOKS - -61631;
Form 990, Part XII, Line 2c	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GENESIS ACCOUNTABLE CARE ORGANIZATION LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	454168932	ACCOUNTABLE CARE SERVICES	IA	$2,632,700	$5,919,957	GENESIS HEALTH SYSTEM (GHS IOWA)
SPIN ECHO LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421491373	PROPERTY MANAGEMENT	IA	$214,043	$1,957,815	GENVENTURES INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
801 ILLINI DRIVE	silvis	IL	61282	363616314	HEALTHCARE	IL	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE/BENEFIT/TRUST	IA	501(c)(3)	Type I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
DAVENPORT HOSPITAL AMBULANCE CORPORATION
1204 E HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(c)(3)	Type I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS SENIOR LIVING ALEDO
309 NW NINTH AVENUE	ALEDO	IL	61231	454475803	SENIOR LIVING SERVICES	IL	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes (true)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	CHARITY	IA	501(c)(3)	7	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS PHILANTHROPY
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	462452851	CHARITY	IA	501(c)(3)	10	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS MEDICAL CENTER ALEDO
309 NW NINTH AVENUE	ALEDO	IL	61231	454475683	HEALTHCARE	IL	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$3,719,378	$351,174	false	false	0.75
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	421483989	OUTPATIENT SURGICAL CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$1,221,446	$1,822,282	false	false	0.4
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL	NA	N/A
GENORTHO LLC
2300 53RD AVENUE	BETTENDORF	IA	52722	203406994	ORTHOPAEDIC SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$1,520,145	$1,360,960	false	false	0.5
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$2,488,955	$11,855,140	false	false	0.5
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	462452851	DIAGNOSTIC IMAGING CENTER	IL	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Share Of Total IncomeShareOfTotalIncomeAmt
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	GENESIS HEALTH SYSTEM (IOWA)	C Corporation	$43,176,401	1	Yes (true)
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREET	DAVENPORT	IA	52803	421504979	HEALTHCARE MANAGEMENT	IA	Genesis Health Sysytem (Iowa)	C Corporation	$0	1	Yes (true)	$0
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	OTHER FINANCIAL VEHICLE		Genesis Health System (Iowa)	C Corporation	$22,694,471	1	Yes (true)	$0
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	NA	C Corporation			Yes (true)

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

Transactions Related Org TransactionsRelatedOrgGrp (29 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GenVentures Inc
A	$505,069	fair market value
Workers' Compensation Plan & trust
B	$1,338,716	fair market value
Genesis Philanthropy
B	$356,000	fair market value
Genesis Health Services Foundation
C	$574,088	fair market value
GenGastro LLC
H	$3,851,250	fair market value
Spring Park Surgery Center
H	$1,229,850	fair market value
GenRad Imaging LLC
H	$2,615,000	fair market value
GenOrtho LLC
H	$1,520,000	fair market value
Larson Center Partnership
J	$499,398	fair market value
GenVentures Inc
K	$6,815,615	fair market value
Genesis Health System Illinois
K	$209,995	fair market value
Larson Center Partnerships
K	$555,157	fair market value
Workers' Compensation Plan & Trust
L	$198,018	fair market value
Misericordia Assurnance Company
M	$1,053,638	fair market value
Davenport Hospital Ambulance Corporation
M	$320,584	fair market value
Genesis Medical Center Aledo
P	$6,663,030	fair market value
Genesis Senior Living Aledo
P	$1,132,433	fair market value
Genesis Health System Illinois
P	$78,597,819	fair market value
GenVentures Inc
P	$1,981,028	fair market value
Davenport Hospital Ambulance Corporation
P	$104,291	fair market value
Genesis Health System Illinois
Q	$103,638,962	fair market value
Genesis Health Services Foundation
Q	$2,331,995	fair market value
Genesis Medical Center Aledo
Q	$17,903,348	fair market value
GenVentures Inc
Q	$24,238,091	fair market value
Genesis Philanthropy
Q	$587,218	fair market value
Genesis Senior Living Aledo
Q	$3,498,325	fair market value
GenVentures Inc
R	$6,119,385	fair market value
Genesis Health Services Foundation
R	$655,685	fair market value
Genesis Philanthropy
C	$263,006	fair market value