GENESIS HEALTH SYSTEM: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- GENESIS HEALTH SYSTEM (EIN 36-3616314)
- Tax period
- 2016-07-01 to 2017-06-30
- Filed
- 2018-02-28
- IRS object ID
- 201810599349301456
- Schema version
- 2016v3.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-02-28T15:49:38-06:00 | ReturnTs |
| Tax Period End | 2017-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 N HARRISON STREET SUITE 300 | AddressLine1Txt |
| City | DAVENPORT | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 528011999 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363616314 | 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 | 801 ILLINI DRIVE | AddressLine1Txt |
| City | SILVIS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61282 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK G ROGERS | PersonNm |
| Person Title | V.P. FINANCE/CFO GHS & ASST. TREAS. | PersonTitleTxt |
| Phone | 5634216508 | PhoneNum |
| Signature | 2018-02-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN J ROMANO | PreparerPersonNm |
| PTIN | P00227323 | PTIN |
| Phone | 5638884000 | PhoneNum |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 108.171.131.189 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2018-02-16 | IPDt |
| IP Tm | 10:19:44 | IPTm |
| IP Timezone | CS | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | B876A155820338ED437F0CF2305A406FA7BE98CD | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | 19C5BF97776B62867376EAC7317F804689DFFB56 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2021-01-29 14:40:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK G ROGERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 ILLINI DRIVE | AddressLine1Txt |
| City | SILVIS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61282 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $96,611,188 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | GENESISHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1988 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | GENESIS HEALTH SYSTEM (GHS ILLINOIS) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 821 | TotalEmployeeCnt |
| Total Volunteers | 78 | TotalVolunteersCnt |
| Total Gross UBI | $361,905 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $52,450 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $519,977 | PYContributionsGrantsAmt |
| CY Contributions Grants | $23,327 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $88,347,444 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $93,606,097 | CYProgramServiceRevenueAmt |
| PY Investment Income | $999,323 | PYInvestmentIncomeAmt |
| CY Investment Income | $1,055,071 | CYInvestmentIncomeAmt |
| PY Other Revenue | $1,349,822 | PYOtherRevenueAmt |
| CY Other Revenue | $1,867,235 | CYOtherRevenueAmt |
| PY Total Revenue | $91,216,566 | PYTotalRevenueAmt |
| CY Total Revenue | $96,551,730 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $285,637 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $208,588 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $33,126,422 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $34,406,645 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $52,249,824 | PYOtherExpensesAmt |
| CY Other Expenses | $55,797,109 | CYOtherExpensesAmt |
| PY Total Expenses | $85,661,883 | PYTotalExpensesAmt |
| CY Total Expenses | $90,412,342 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $5,554,683 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $6,139,388 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $96,623,427 | TotalAssetsBOYAmt |
| Total Assets EOY | $97,147,012 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $20,609,940 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $14,934,690 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $76,013,487 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $82,212,322 | NetAssetsOrFundBalancesEOYAmt |
| Mission | GENESIS HEALTH SYSTEM (GHS ILLINOIS) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $61,459,948 | ExpenseAmt |
| Grant | $208,588 | GrantAmt |
| Revenue | $86,248,183 | RevenueAmt |
| Desc | GENESIS MEDICAL CENTER - SILVIS: HEALTH CARE DELIVERY AND MANAGEMENT, GENERAL/OTHER: GENESIS MEDICAL CENTER - SILVIS, A NOT-FOR-PROFIT ORGANIZATION, IS LICENSED AS A 145-BED ACUTE CARE HOSPITAL AND PROVIDES RELATED HEALTHCARE INPATIENT, EMERGENCY, AND OUTPATIENT ANCILLARY SERVICES. (12,424 PATIENT DAYS; 4,557 PATIENT DISCHARGES; 122,311 OUTPATIENT VISITS) | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $8,602,285 | ExpenseAmt |
| Revenue | $8,816,336 | RevenueAmt |
| Desc | ILLINI HOSPITAL NURSING HOME: HEALTH CARE FOR A 92-BED LICENSED NURSING FACILITY AND REHABILITATIVE AND PERSONAL CARE FOR A 28-BED FACILITY (30,656 PATIENT DAYS) WITH ASSISTED LIVING SERVICES CONSISTING OF 64 APARTMENTS AND 3 GUESTROOMS FOR THE ELDERLY (549 RESIDENT MONTHS). | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $70,062,233 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | Yes (1) | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | 0 | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 65 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 821 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | 0 | MembersOrStockholdersInd |
| Election Of Board Members | 0 | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | Yes (1) | LocalChaptersInd |
| Policies Reference Chapters | Yes (1) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| 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 EAST RUSHOLME STREET | AddressLine1Txt |
| City | DAVENPORT | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | 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 |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN C BAHLS | |||||||||
| VICE CHAIR | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARK D BAWDEN | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER J BENSON | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY J BUSH | |||||||||
| TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER J COX | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDMUND P COYNE JR MD | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUGLAS P CROPPER | |||||||||
| PRESIDENT/CEO GHS | 60.00 | Yes (X) | Yes (X) | $0 | $1,070,452 | $29,667 | |||
| PATRICIA S GROVES PHD RN | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| ROGER J HILL | |||||||||
| SECRETARY | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARK C KILMER | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES W KOEHLER | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE J KONTOS JR MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $662,836 | $22,538 | ||||
| DAVID C LARSON | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLENE E MAASKE | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWIN V MOTTO MD | |||||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD J ROGALSKI PHD | |||||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| G CHRISTOPHER WAHLIG | |||||||||
| CHAIR | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| C DANA WATERMAN III | |||||||||
| DIRECTOR | 4.50 | Yes (X) | $0 | $0 | $0 | ||||
| DALE D ZUDE | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| PAUL BOLLINGER | |||||||||
| V.P. LEGAL AFFAIRS/ ASST SECRETARY | 40.00 | Yes (X) | $0 | $0 | $0 | ||||
| MARK G ROGERS | |||||||||
| V.P. FINANCE/CFO GHS/ASST TREASURER | 40.00 | Yes (X) | $0 | $604,244 | $89,329 | ||||
| HAROLD L WAGHER | |||||||||
| FORMER CHIEF COMPLIANCE RISK OFFICER | 40.00 | Yes (X) | $0 | $255,668 | $18,579 | ||||
| NIDAL HARB | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $0 | $694,765 | $22,760 | Yes (X) | ||||
| JACQUELINE K ANHALT | |||||||||
| V.P. PATIENT SERVICES | 40.00 | $0 | $335,387 | $26,520 | Yes (X) | ||||
| KENNETH R CROKEN | |||||||||
| V.P. CORPORATE COMMUNICATIONS | 40.00 | $0 | $381,626 | $25,283 | Yes (X) | ||||
| ROBERT W FRIEDEN | |||||||||
| V.P. INFORMATION SERVICES | 40.00 | $0 | $417,017 | $26,691 | Yes (X) | ||||
| HEIDI S KAHLY-MCMAHON | |||||||||
| V.P. HUMAN RESOURCES | 40.00 | $0 | $348,411 | $20,443 | Yes (X) | ||||
| MIKE L SHARP | |||||||||
| V.P. SUPPORT SERVICES | 40.00 | $0 | $444,591 | $34,112 | Yes (X) | ||||
| GEORGE KOVACH | |||||||||
| FORMER V.P. MEDICAL STAFF AFFAIRS | 40.00 | $0 | $156,856 | $1,098 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,371,853 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $317,020 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 12 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMERGENCY CARE AND HEALTH ORGANIZATION | |||||
| 1S443 SUMMIT AVENUE SUITE 302 | OAKBROOK TERRANCE | IL | 60181 | 24/HR ER PHYSICIAN SERVICES FOR GMC-SILV | $2,884,500 |
| MEDEFIS INC | |||||
| PO BOX 5068 | NEW YORK | NY | 10087 | MEDICAL PROFESSIONAL SERVICES | $358,615 |
| INTERIM PHYSICIANS LLC | |||||
| 12140 WOODCREST EXECUTIVE DR SUITE | ST LOUIS | MO | 63141 | PHYSICIAN SERVICES | $320,183 |
| CARDIOVASCULAR MEDICINE PC | |||||
| 1236 EAST RUSHOLME ST SUITE 305 | DAVENPORT | IA | 52803 | CARDIOLOGY PROGRAM PHYSICIAN MEDICAL SER | $300,001 |
| O'GRADY-PEYTON INTERNATIONAL (USA) INC | |||||
| 12400 HIGH BLUFF DRIVE | SAN DIEGO | CA | 92130 | MEDICAL PROFESSIONAL SERVICES | $210,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 15 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $2,695 | RelatedOrganizationsAmt |
| Government Grants | $20,607 | GovernmentGrantsAmt |
| All Other Contributions | $25 | AllOtherContributionsAmt |
| Noncash Contributions | $2,695 | NoncashContributionsAmt |
| Total Contributions | $23,327 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| OUTPATIENT SERVICES | 900099 | $159,017,525 | $159,017,525 | |
| INPATIENT REVENUE | 900099 | $72,271,903 | $72,271,903 | |
| NURSING SERVICES | 621500 | $24,443,444 | $24,081,539 | $361,905 |
| RESIDENT REVENUE | 623000 | $985,186 | $985,186 | |
| CONTRACTS W/AFFILIATES | 900099 | -$95,483 | -$95,483 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$163,016,478 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$163,016,478 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $93,606,097 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $977,720 | TotalRevenueColumnAmt |
| Exclusion | $977,720 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $77,351 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $0 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $77,351 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $77,351 | TotalRevenueColumnAmt |
| Exclusion | $77,351 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $106,366 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $59,458 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $46,908 | TotalRevenueColumnAmt |
| Exclusion | $46,908 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| AMBULANCE | 621910 | $1,424,534 | $1,424,534 |
| OTHER SERVICES | 900099 | $311,384 | $311,384 |
| EDUCATION | 624100 | $34,820 | $34,820 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $49,589 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $49,589 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $1,820,327 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $96,551,730 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $95,064,519 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $361,905 | UnrelatedBusinessRevenueAmt |
| Exclusion | $1,101,979 | 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 | $208,588 | TotalAmt |
| Program Services | $208,588 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,481,807 | TotalAmt |
| Program Services | $28,675,389 | ProgramServicesAmt |
| Management And General | $806,418 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,761 | TotalAmt |
| Program Services | $72,665 | ProgramServicesAmt |
| Management And General | $2,096 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,740,109 | TotalAmt |
| Program Services | $2,663,202 | ProgramServicesAmt |
| Management And General | $76,907 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,109,968 | TotalAmt |
| Program Services | $2,065,981 | ProgramServicesAmt |
| Management And General | $43,987 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $331,490 | TotalAmt |
| Program Services | $60,042 | ProgramServicesAmt |
| Management And General | $271,448 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $29,560 | TotalAmt |
| Management And General | $29,560 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,476,532 | TotalAmt |
| Program Services | $13,532,371 | ProgramServicesAmt |
| Management And General | $944,161 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $37,483 | TotalAmt |
| Program Services | $20,644 | ProgramServicesAmt |
| Management And General | $16,839 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $671,494 | TotalAmt |
| Program Services | $545,844 | ProgramServicesAmt |
| Management And General | $125,650 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,828,147 | TotalAmt |
| Program Services | $86,690 | ProgramServicesAmt |
| Management And General | $3,741,457 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,980,992 | TotalAmt |
| Program Services | $2,472,842 | ProgramServicesAmt |
| Management And General | $508,150 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,874 | TotalAmt |
| Program Services | $377,485 | ProgramServicesAmt |
| Management And General | $7,389 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $44,982 | TotalAmt |
| Program Services | $43,447 | ProgramServicesAmt |
| Management And General | $1,535 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,191 | TotalAmt |
| Program Services | $165,191 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,845,500 | TotalAmt |
| Program Services | $4,845,500 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $365,214 | TotalAmt |
| Program Services | $313,343 | ProgramServicesAmt |
| Management And General | $51,871 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| FEDERAL AND STATE INCOM | $7,455 | $7,455 | |
| CORPORATE OVERHEAD ALLO | $13,561,895 | $13,561,895 | |
| MEDICAL AND PHARMACEUTI | $8,040,723 | $8,038,221 | $2,502 |
| COGS - PATIENT CHARGEAB | $4,161,030 | $4,161,030 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,864,547 | TotalAmt |
| Program Services | $1,706,303 | ProgramServicesAmt |
| Management And General | $158,244 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $90,412,342 | TotalAmt |
| Program Services | $70,062,233 | ProgramServicesAmt |
| Management And General | $20,350,109 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,825 | BOYAmt |
| EOY | $2,503 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $27,169,361 | BOYAmt |
| EOY | $25,121,755 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,041,854 | BOYAmt |
| EOY | $15,963,364 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,417,233 | BOYAmt |
| EOY | $2,626,801 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $495,347 | BOYAmt |
| EOY | $472,982 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $126,178,247 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $85,059,145 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $41,597,271 | BOYAmt |
| EOY | $41,119,102 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,526,422 | BOYAmt |
| EOY | $11,337,777 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $373,114 | BOYAmt |
| EOY | $502,728 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,623,427 | BOYAmt |
| EOY | $97,147,012 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $11,115,224 | BOYAmt |
| EOY | $5,904,077 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,940,000 | BOYAmt |
| EOY | $5,794,136 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,554,716 | BOYAmt |
| EOY | $3,236,477 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $20,609,940 | BOYAmt |
| EOY | $14,934,690 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $75,754,054 | BOYAmt |
| EOY | $81,935,377 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $259,433 | BOYAmt |
| EOY | $276,945 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,013,487 | BOYAmt |
| EOY | $82,212,322 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $96,623,427 | BOYAmt |
| EOY | $97,147,012 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $6,139,388 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $44,630 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | $14,817 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | Yes (1) | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | Yes (1) | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $2,390 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $29,506 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $31,896 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | PART II-B, LINE 1B, PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS ILLINOIS) HAD THREE STAFF MEMBERS 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, LEGISLATORS, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM (GHS ILLINOIS) ARE ENCOURAGED TO PARTICIPATE IN THE ILLINOIS 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 GHS ILLINOIS REGARDING THIS ACTIVITY. PART II-B, LINE 1G, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS ILLINOIS) HAD THREE STAFF MEMBERS 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 INCLUDED: SALARIES - $1,844 AND MILEAGE/TRAVEL - $54. ON FEBRUARY 22, 2017, 39 GENESIS HEALTH SYSTEM (GHS ILLINOIS) STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO A FAIR MEDICAID SYSTEM AND TELEHEALTH ADVANCEMENT. THE DIRECT COSTS INCLUDED: SALARIES- $492. PART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 39% OF MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $23,882, AND 21.78% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $5,624. | ExplanationTxt |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| 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 Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| 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 Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| 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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| 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 |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $7,633,243 | BeginningYearBalanceAmt |
| Contributions | $2,101 | ContributionsAmt |
| Investment Earnings Or Losses | $561,816 | InvestmentEarningsOrLossesAmt |
| Grants Or Scholarships | $359,136 | GrantsOrScholarshipsAmt |
| End Year Balance | $7,838,024 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.41550 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.58450 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (1) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (1) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $7,417,657 | OtherCostOrOtherBasisAmt |
| Book Value | $7,417,657 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $62,304,496 | OtherCostOrOtherBasisAmt |
| Depreciation | $39,995,211 | DepreciationAmt |
| Book Value | $22,309,285 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,090,594 | OtherCostOrOtherBasisAmt |
| Depreciation | $359,334 | DepreciationAmt |
| Book Value | $1,731,260 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $50,096,252 | OtherCostOrOtherBasisAmt |
| Depreciation | $42,415,602 | DepreciationAmt |
| Book Value | $7,680,650 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $4,269,248 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,288,998 | DepreciationAmt |
| Book Value | $1,980,250 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $41,119,102 | TotalBookValueLandBuildingsAmt |
Other Securities OtherSecuritiesGrp (4 entries)
| DescDesc | Book ValueBookValueAmt | Method ValuationMethodValuationCd |
|---|---|---|
| INVESTMENT IN LARSON CENTER PARTNERSHIP | $1,830,248 | F |
| OTHER INVESTMENTS | $40,684 | F |
| NOTE RECEIVABLE | $820,338 | F |
| LT NOTE RECEIVABLE | $8,646,507 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Securities | $11,337,777 | TotalBookValueSecuritiesAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY PAYOR SETTLEMENTS | $3,186,769 |
| LONG TERM DEFERRED EXPENSE CREDIT | $49,708 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $3,236,477 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | 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. |
| PART X, LINE 2: | GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO), GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO), GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION), GENESIS PHILANTHROPY (PHILANTHROPY) AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) ALL FILE 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 CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINOIS, GSL, ALEDO, GMC, ALEDO, GENESIS FOUNDATION, PHILANTHROPY AND 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, GENESIS FOUNDATION AND WORKERS' COMPENSATION TRUST ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED JUNE 30, 2013 AND PRIOR. GENVENTURES, INC. (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 YEARS JUNE 30, 2013 AND PRIOR. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2017 AND 2016. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,289,097 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,289,097 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01430 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $22,708,142 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,429,072 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,279,070 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $23,997,239 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,429,072 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,568,167 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02840 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $49,446 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $49,446 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $455,878 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $444,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $11,271 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $53,410 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $53,410 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $558,734 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $444,607 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $114,127 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00120 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $24,555,973 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $21,873,679 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,682,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02960 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $108 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $108 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $4,598,748 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $23,623,743 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $24,983,300 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$1,359,557 | 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 (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)
| Primary ActivitiesPrimaryActivitiesTxt | Org Profit Or OwnershipOrgProfitOrOwnershipPct | Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct | Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct |
|---|---|---|---|
| 1 LARSON CENTER PARTNERSHIP | |||
| PROPERTY MANAGEMENT | 0.78100 | 0.00000 | 0.21900 |
| 2 GENRAD IMAGING ILLINOIS LLC | |||
| DIAGNOSTIC IMAGING CENTER | 0.50000 | 0.00000 | 0.50000 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS MEDICAL CENTER - SILVIS | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 801 ILLINI DRIVE | AddressLine1Txt |
| City | SILVIS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61282 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GENESISHEALTH.COM | WebsiteAddressTxt |
| State License | 0005413 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS MEDICAL CENTER - SILVIS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (1) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GENESISHEALTH.COM/COMMUNITY | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 15 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.GENESISHEALTH.COM/COMMUNITY | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.GENESISHEALTH.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.GENESISHEALTH.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.GENESISHEALTH.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GENESIS MEDICAL CENTER - SILVIS | PART V, SECTION B, LINE 5: 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 STATISTICSNOTE: SECONDARY DATA ARE COUNTY LEVEL DATA |
| GENESIS MEDICAL CENTER - SILVIS | PART V, SECTION B, LINE 6A: UNITY POINT HEALTH - TRINITY |
| GENESIS MEDICAL CENTER - SILVIS | PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY HEALTH DEPARTMENT, AND THE SCOTT COUNTY HEALTH DEPARTMENT |
| GENESIS MEDICAL CENTER - SILVIS | PART V, SECTION B, LINE 11: GENESIS HEALTH SYSTEM (GHS ILLINOIS), IN COLLABORATION WITH COMMUNITY ORGANIZATIONS SUCH AS THE QUAD CITY HEALTH INITIATIVE (QCHI), THE HEALTH DEPARTMENTS AND OTHER AGENCIES, CONTINUES TO ADDRESS THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (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 AT THE END OF 2018.-OPENING OF THE WEST DAVENPORT HEALTHPLEX - THIS WILL PROVIDE PRIMARY CARE, URGENT CARE SERVICES, PHYSICAL THERAPY, DIAGNOSTIC IMAGING AND LAB. THIS CONFIGURATION OF SERVICES WILL CARE IN A MORE CONVENIENT SETTING.NEED: CANCER CARE-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. KOMEN RACE FOR THE CURE.NEED: 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.NEED: 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 PARKNEED: 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 9 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - ILLINI LARSON CENTER | ||||
| 855 ILLINI DRIVE | SILVIS | IL | 61282 | I/P PHARMACY & O/P LAB |
| 2 - ILLINI AMBULANCE SERVICE | ||||
| 730 AVENUE OF THE CITIES | EAST MOLINE | IL | 61244 | AMBULANCE SERVICES |
| 3 - ILLINI RESTORATIVE CARE | ||||
| 1455 ILLINI DRIVE | SILVIS | IL | 61282 | L-T INTERMEDIATE, NSG, & SHELTERED CARE |
| 4 - ILLINI - BUILDING #4 - WOUND CENTER | ||||
| 1314 10TH STREET | SILVIS | IL | 61282 | OUTPATIENT WOUND CLINIC |
| 5 - GENESIS SENIOR LIVING ALEDO | ||||
| 409 NW NINTH AVENUE | ALEDO | IL | 61231 | LONG-TERM CARE FACILITY |
| 6 - PHYSICAL THERAPY CLINIC MOLINE | ||||
| 3900 28TH AVENUE | MOLINE | IL | 61265 | OUTPATIENT PHYSICAL THERAPY CLINIC |
| 7 - ILLINI - BUILDING #3 | ||||
| 1414 10TH STREET | SILVIS | IL | 61282 | OUTPATIENT DIAGNOSTIC CLINIC |
| 8 - CROSSTOWN SQUARE | ||||
| 900 CROSSTOWN SQUARE | SILVIS | IL | 61282 | INDEPENDENT LIVING FACILITY |
| 9 - GENRAD IMAGING ILLINOIS LLC | ||||
| 1970 53RD STREET | DAVENPORT | IA | 52807 | OUTPATIENT RADIOLOGY SERVICES |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | NOT APPLICABLE |
| PART I, LINE 6A: | GENESIS HEALTH SYSTEM (GHS-IOWA) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) |
| PART I, LINE 7: | GENESIS HEALTH SYSTEM (GHS ILLINOIS) UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO. THE CALCULATED COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID. COSTS OF THE "OTHER BENEFITS" REPORTED IN 7E -7I WERE COMPILED THROUGHOUT THE YEAR IN THE COMMUNITY BENEFIT DATABASE (I.E., CBISA) THAT GHS ILLINOIS UTILIZES. |
| PART I, LINE 7G: | NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES. |
| PART I, LN 7 COL(F): | 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 27.16%, AND THE PERCENTAGE INCREASES TO 54.79% IF MEDICARE COST REPORT ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | 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. |
| PART III, LINE 2: | 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. |
| PART III, LINE 3: | GENESIS HEALTH SYSTEM (GHS ILLINOIS) USES AVADYNE HEALTH TO PROCESS AGING PATIENT ACCOUNTS. AVADYNE HEALTH'S COLLECTION PROCESS UTILIZES PUBLICLY AVAILABLE INFORMATION TO ENSURE ALL AGING PATIENT ACCOUNTS RECEIVE FINANCIAL ASSISTANCE IN ACCORDANCE TO GHS ILLINOIS POLICY BEFORE BEING DEEMED BAD DEBT. GHS ILLINOIS REPORTED ZERO DOLLARS FOR THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 4: | PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYERS 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 (GHS ILLINOIS) 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. PLEASE SEE PAGE 12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS. |
| PART III, LINE 8: | THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 5, 6, AND 7 FOR THE HOSPITAL. MEDICARE SHORTFALLS WERE INCLUDED IN COMMUNITY BENEFIT, THE MEDICARE COST REPORT SHORTFALL REPRESENTS THE DIFFERENCE BETWEEN THE TOTAL REVENUE RECEIVED FROM MEDICARE BASED ON MEDICARE COST REPORT REIMBURSEMENT RATES AND COST INCURRED BY GHS ILLINOIS IN PROVIDING HEALTHCARE SERVICES TO THE ELDERLY. THE TOTAL MEDICARE SHORTFALL, WHICH INCLUDED FEE SCREEN SERVICES, WAS $1,359,557. IN 2010, THE PERCENT OF PERSONS 65 YEARS AND OVER IN ROCK ISLAND AND SCOTT COUNTIES WAS 18.6%. IN ACCORDANCE WITH GHS ILLINOIS' MISSION STATEMENT "TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED," THE ELDERLY WERE SERVED DESPITE THE TOTAL MEDICARE LOSS OF $1,359,557. GHS ILLINOIS HAS A CLEAR MISSION TO SERVE ALL THOSE IN NEED AND TO IMPROVE THE HEALTH OF THE COMMUNITY INCLUDING THE ELDERLY. FURTHERMORE, THERE ARE NO FOR-PROFIT HOSPITALS IN THE COMMUNITY, AND THEREFORE GHS ILLINOIS IS ONE OF TWO TAX-EXEMPT HEALTHCARE ORGANIZATIONS IN THE COMMUNITY WHO PROVIDE ACCESS TO HEALTHCARE FOR MEDICARE PATIENTS. ACCORDINGLY, IT IS GHS ILLINOIS' POSITION FOR THE REASONS STATED ABOVE THAT THE TOTAL MEDICARE SHORTFALL OF $1,359,557 REPRESENTS A COMMUNITY BENEFIT. PURSUANT TO THE INSTRUCTIONS TO THE FORM 990, SCHEDULE H, THE MEDICARE SHORTFALL IS NOT INCLUDED IN PART 1, LINE 7. IF THE TOTAL MEDICARE SHORTFALL WAS INCLUDED IN PART I, LINE 7, THEN PART I, LINE 7K, COLUMN F WOULD BE 4.47% |
| PART III, LINE 9B: | 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. |
| PART VI, LINE 2: | GENESIS HEALTH SYSTEM (GHS ILLINOIS) UTILIZES THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) IN 2015. THE CHNA WAS FUNDED BY GHS ILLINOIS AND UNITY POINT HEALTH- TRINITY AND SPONSORED BY COMMUNITY HEALTH CARE, GHS ILLINOIS, QUAD CITY HEALTH INITIATIVE (QCHI), ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, AND UNITY POINT HEALTH- TRINITY. QCHI WAS FORMED BY GENESIS HEALTH SYSTEM (GHS IOWA) AND GHS ILLINOIS, WHICH HAS HEADQUARTERS IN BOTH SCOTT COUNTY, IOWA, AND ROCK ISLAND COUNTY, ILLINOIS, AND TRINITY HEALTH SYSTEM, WHICH IS HEADQUARTERED IN ROCK ISLAND COUNTY, ILLINOIS. QCHI IS NOW A COMMUNITY PARTNERSHIP OF OVER 300 COMMUNITY MEMBERS AND LEADERS PURSUING INITIATIVES TO CREATE A HEALTHIER COMMUNITY, SERVING AS A CATALYST FOR IMPROVING THE HEALTH AND OVERALL QUALITY OF LIFE WITHIN THE QUAD CITIES. |
| PART VI, LINE 3: | 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 ILLINOIS) 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. |
| PART VI, LINE 4: | OUR PRIMARY SERVICE AREA (PSA), ALSO CALLED THE BI-STATE REGION, IS DEFINED AS SCOTT COUNTY, IA, AND ROCK ISLAND COUNTY, IL . IN 2017 THIS REGION HAD A 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, WITH A POPULATION OF 592,234, CONSISTS OF THE BI-STATE REGION PLUS CLINTON, DES MOINES, HENRY IL, JACKSON, MUSCATINE, MERCER AND WHITESIDE COUNTIES. OUR TERTIARY SERVICE AREA (TSA), ALSO CALLED THE 17-COUNTY REGION, INCLUDES THE 9-COUNTY REGION 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 |
| PART VI, LINE 5: | GENESIS HEALTH SYSTEM (GHS ILLINOIS) 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.IN ADDITION, GENESIS IS GOVERNED BY A 19-MEMBER COMMUNITY BOARD OF DIRECTORS REPRESENTATIVE OF THE BROADER COMMUNITY. |
| PART VI, LINE 6: | 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 HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC AND GENESIS HEALTH SYSTEM WORKER'S COMPENSATION PLAN AND TRUST, THE SOLE STOCKHOLDER OF GENVENTURES, INC., A MEMBER OF MISERICORDIA ASSURANCE COMPANY, LTD. AND A PARTNER IN GENGASTRO, LLC. GHS ILLINOIS IS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) AND GENESIS SENIOR LIVING, ALEDO (GSL, 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 SYSTEM'S LONG-TERM DEBT. GHS IOWA AND GHS ILLINOIS OPERATE THE FOLLOWING BUSINESS UNITS: GENESIS HEALTH SYSTEM PROVIDES ADMINISTRATIVE, MANAGEMENT, INFORMATION TECHNOLOGY AND OTHER SUPPORT SERVICES TO ITS AFFILIATES. GENESIS CLINICAL SERVICES OPERATES PHYSICIAN MEDICAL PRACTICES, CONVENIENT CARE PRACTICES AND AN OCCUPATIONAL MEDICINE CLINIC AND PROVIDES BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER - DAVENPORT (GMC - DAVENPORT) IS LICENSED AS A 502-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM TWO HOSPITAL FACILITIES LOCATED IN DAVENPORT, IOWA. GENESIS FAMILY MEDICAL CENTER (GFMC) IS A FAMILY PRACTICE RESIDENCY TRAINING PROGRAM THAT OPERATES CLINICS IN DAVENPORT AND BLUE GRASS, IOWA TO PROVIDE A CLINICAL SETTING FOR THE RESIDENTS TO TREAT PATIENTS. GENESIS MEDICAL CENTER - DEWITT (GMC - DEWITT) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 13-ACUTE CARE AND SWING BEDS, AND HAS A 77-BED LONG-TERM CARE FACILITY, WHICH PROVIDES SERVICES FROM ITS FACILITY IN DEWITT, IOWA.GENESIS VISITING NURSE ASSOCIATION AND HOSPICE (VNA) PROVIDES HOME HEALTH CARE, COMMUNITY NURSING SERVICES AND HOSPICE SERVICES TO PATIENTS IN EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER - SILVIS (GMC - SILVIS) IS LICENSED AS A 145-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM ITS FACILITY IN SILVIS, ILLINOIS. ILLINI HOSPITAL NURSING HOME (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 PERSONAL CARE SIMILAR TO AN ASSISTED LIVING FACILITY. CROSSTOWN SQUARE IS AN INDEPENDENT LIVING FACILITY CONTAINING 64 RENTABLE APARTMENTS AND 3 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 BEDS, AS WELL AS A PHYSICAN 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. THE GENESIS FOUNDATION IS REFERRED TO AS THE FOUNDATION. 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 (GHS IOWA) MAINTAINS A 75% OWNERSHIP INTEREST.THE LARSON CENTER PARTNERSHIP (LCP) IS A FOR-PROFIT REAL ESTATE PARTNERSHIP, WHICH OWNS A MEDICAL OFFICE BUILDING ADJACENT TO GMC SILVIS AND LEASES SPACE FOR CLINICS, LABORATORY, PHARMACY AND OFFICES TO GMC SILVIS AND OTHER THIRD-PARTY ORGANIZATIONS. GHS ILLINOIS IS A GENERAL PARTNER AND OWNS APPROXIMATELY 79.8 OF LCP.GENVENTURES, INC. (GENVENTURES) IS A WHOLLY-OWNED FOR-PROFIT CORPORATION WHICH OPERATES THE FOLLOWING DIVISIONS, PRIMARILY IN THE QUAD CITIES: GENESIS AT HOME, CONTINUING CARE SELLS AND LEASES HOME MEDICAL EQUIPMENT; PROVIDES INTRAVENOUS THERAPY SERVICES, INCLUDING SALES OF RELATED SOLUTIONS AND SUPPLIES TO PATIENTS; AND PROVIDES RETAIL PHARMACEUTICAL AND OVER-THE-COUNTER PRODUCTS TO PATIENTS AND EMPLOYEES OF THE SYSTEM. GENPROPERTIES OWNS, LEASES AND/OR MANAGES OFFICE SPACE IN 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 PHILANTHROPY IS A WHOLLY-OWNED TAX-EXEMPT ENTITY FORMED IN 2013, WHICH PARTNERS WITH OTHER HOSPITAL FOUNDATIONS TO FORM A REGIONAL NETWORK TO ATTRACT DONORS TO HELP FUND SPECIFIC HEALTH-RELATED CAUSES AND PROMOTE WELLNESS IN THE REGION.GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) PROVIDES A FUND WHICH 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 GHS IOWA AND AFFILIATES. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL,IA |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST | |||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 391905171 | 501(C)(3) | $196,538 | CLAIM PAYMENTS |
| BIRDIES FOR CHARITY | |||||||
| 15623 COALTOWN ROAD | EAST MOLINE | IL | 61244 | 931332421 | 501(C)(3) | $10,000 | GENERAL SUPPORT TO BE DISTRIBUTED TO LOCAL NON-PROFIT ORGANIZATIONS |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE GENESIS HEALTH SYSTEM (GHS ILLINOIS) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 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 | $0 | $741,435 | $0 | $307,117 | $0 | $21,900 | $0 | $5,750 | $0 | $23,917 | $0 | $1,100,119 | $0 | $0 |
| GEORGE J KONTOS JR MD | ||||||||||||||
| DIRECTOR | $0 | $462,260 | $0 | $0 | $0 | $200,576 | $0 | $6,000 | $0 | $16,538 | $0 | $685,374 | $0 | $0 |
| MARK G ROGERS | ||||||||||||||
| V.P. FINANCE/CFO GHS/ASST TREASURER | $0 | $390,543 | $0 | $128,636 | $0 | $85,065 | $0 | $70,197 | $0 | $19,132 | $0 | $693,573 | $0 | $0 |
| HAROLD L WAGHER | ||||||||||||||
| FORMER CHIEF COMPLIANCE RISK OFFICER | $0 | $220,956 | $0 | $34,016 | $0 | $696 | $0 | $4,500 | $0 | $14,079 | $0 | $274,247 | $0 | $0 |
| NIDAL HARB | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $445,182 | $0 | $109,089 | $0 | $140,494 | $0 | $6,000 | $0 | $16,760 | $0 | $717,525 | $0 | $0 |
| JACQUELINE K ANHALT | ||||||||||||||
| V.P. PATIENT SERVICES | $0 | $233,556 | $0 | $40,933 | $0 | $60,898 | $0 | $9,602 | $0 | $16,918 | $0 | $361,907 | $0 | $0 |
| KENNETH R CROKEN | ||||||||||||||
| V.P. CORPORATE COMMUNICATIONS | $0 | $252,547 | $0 | $61,726 | $0 | $67,353 | $0 | $12,450 | $0 | $12,833 | $0 | $406,909 | $0 | $0 |
| ROBERT W FRIEDEN | ||||||||||||||
| V.P. INFORMATION SERVICES | $0 | $272,069 | $0 | $55,993 | $0 | $88,955 | $0 | $9,578 | $0 | $17,113 | $0 | $443,708 | $0 | $0 |
| HEIDI S KAHLY-MCMAHON | ||||||||||||||
| V.P. HUMAN RESOURCES | $0 | $233,030 | $0 | $54,697 | $0 | $60,684 | $0 | $3,527 | $0 | $16,916 | $0 | $368,854 | $0 | $0 |
| MIKE L SHARP | ||||||||||||||
| V.P. SUPPORT SERVICES | $0 | $199,784 | $0 | $52,116 | $0 | $192,691 | $0 | $21,521 | $0 | $12,591 | $0 | $478,703 | $0 | $78,214 |
| GEORGE KOVACH | ||||||||||||||
| FORMER V.P. MEDICAL STAFF AFFAIRS | $0 | $72,403 | $0 | $0 | $0 | $84,453 | $0 | $695 | $0 | $403 | $0 | $157,954 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY FROM GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION, DURING CALENDAR YEAR 2016: GEORGE KOVACH - $83,653. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II, IF APPLICABLE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL ROTH INDEXED UNIVERSAL LIFE (IUL) PLAN IN 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: JACQUELINE ANHALT - $42,137, ROBERT W. FRIEDEN - $61,593, NIDAL HARB - $82,110, AND HEIDI S. KAHLY-MCMAHON - $42,075. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2016. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: KENNETH R. CROKEN - $64,298, MARK G. ROGERS - $63,005, AND MIKE L. SHARP - $190,746. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2016. 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 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: MARK G. ROGERS - $63,005. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUAL TO THE PLAN IN 2016. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SPLIT-DOLLAR LIFE INSURANCE BENEFIT PLAN SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: DOUGLAS P. CROPPER - $8,529,736. GHS IOWA 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 OR MORE OF THE POLICIES, WHERE THE BORROWING IS MONITORED AND LIMITED SO THE POLICIES DO NOT LAPSE. UPON THE PARTICIPANT'S DEATH, GHS IOWA RECOVERS PREMIUMS PLUS INTEREST PLUS ADDITIONAL KEY-PERSON INSURANCE PROCEEDS. |
| FORM 990, SCHEDULE J, PART I, LINE 3: | PART I, LINE 3: GENESIS HEALTH SYSTEM (GHS ILLINOIS) RELIES ON GENESIS HEALTH SYSTEM (GHS IOWA) TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS, AND KEY EMPLOYEES. GHS IOWA UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE SUCH COMPENSATION. |
| FORM 990, SCHEDULE J, PART II, COLUMN F: | THE FOLLOWING INDIVIDUAL ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2012, 2013, 2014, 2015, AND 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: MIKE L. SHARP - $78,214. THE DOLLAR AMOUNT REPRESENTS PRIOR CONTRIBUTIONS MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUAL TO THE PLAN IN 2012, 2013, 2014, 2015, AND 2016. THIS INFORMATION WAS INCLUDED IN DEFERRED COMPENSATION ON THE PRIOR YEARS' FORM 990, PART VII AND SCHEDULE J, PART II. THE INDIVIDUAL REACHED A SPECIFIED LEVEL OF VESTING IN 2016, SO THE DOLLAR AMOUNT IS NOW INCLUDED IN REPORTABLE COMPENSATION ON THE CURRENT YEAR FORM 990, PART VII AND SCHEDULE J, PART II. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| GENVENTURES INC | |||
| SEE BELOW IN PART V | $420,769 | PAYMENTS FOR MEDICAL SUPPLIES AND LAUNDRY SERVICES | 0 |
| CARDIOVASCULAR MEDICINE PC | |||
| SEE BELOW IN PART V | $292,685 | HEALTHCARE PROFESSIONAL SERVICES | 0 |
| GENVENTURES INC | |||
| SEE BELOW IN PART V | $20,873 | MISCELLANEOUS SUPPLIES | 0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE L, PART IV, COLUMN B: | DESCRIPTION OF RELATIONSHIP - GENVENTURES, INC.MARK G. ROGERS AND ROGER J. HILL ARE OFFICERS AND JAMES W. KOEHLER IS A DIRECTOR, AND MIKE L. SHARP IS A HIGHEST COMPENSATED EMPLOYEE OF GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, MARK G. ROGERS, ROGER J. HILL, JAMES W. KOEHLER, AND MIKE L. SHARP WERE OFFICERS OF GENVENTURES, INC. |
| FORM 990, SCHEDULE L, PART IV, COLUMN B: | DESCRIPTION OF RELATIONSHIP - CARDIOVASCULAR MEDICINE, PCEDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND IS ALSO A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 4 & PART VI, SECTION A, LINE 1B: | THE FOLLOWING GENESIS HEALTH SYSTEM (GHS ILLINOIS) DIRECTORS ARE NOT INDEPENDENT DUE TO TRANSACTIONS DISCLOSED ON FORM 990, SCHEDULE L OF GENESIS HEALTH SYSTEM (IOWA), A RELATED TAX-EXEMPT ORGANIZATION: PETER J. BENSON, GREGORY J. BUSH, MARK C. KILMER, EDWIN V. MOTTO, M.D., EDWARD J. ROGALSKI, PH.D, AND C. DANA WATERMAN, III. |
| FORM 990, PART VI, SECTION B, LINE 11B | INTERNAL MANAGEMENT REVIEW IS COMPLETED OF THE COMPILED INFORMATION PRIOR TO PREPARATION AND REVIEW BY RSM US LLP. FOLLOWING RSM US LLP'S PREPARATION AND REVIEW OF THE FORM 990, IT IS REVIEWED WITH THE ORGANIZATION'S VICE PRESIDENT, FINANCE/CFO; VICE PRESIDENT, LEGAL AFFAIRS; VICE PRESIDENT, HUMAN RESOURCES; AND CHIEF COMPLIANCE RISK OFFICER. THE FORM 990 IS THEN REVIEWED AT THE ORGANIZATION'S FINANCE COMMITTEE MEETING. PRIOR TO SUBMITTING THE FORM 990 TO THE IRS, 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 THESE REVIEWS ARE CONSIDERED FOR INCLUSION IN THE FINAL FORM 990 SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS ILLINOIS) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GHS ILLINOIS, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS 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, SECTION B, 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 ILLINOIS) BOARD OF DIRECTORS APPROVAL. PAY RANGES ARE REVIEWED EACH YEAR TO DETERMINE THE NEED FOR REVISION. WHEN MARKET CONDITIONS SUGGEST AN ADJUSTMENT TO PAY RANGES, DATA WILL BE PRESENTED TO THE COMPENSATION COMMITTEE FOR ITS REVIEW. THE SPECIFIC PAY RANGES ARE SUBJECT TO CEO, COMPENSATION COMMITTEE, AND GHS ILLINOIS 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 ILLINOIS BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GHS ILLINOIS, AT APPROPRIATE TIMES. THE GHS ILLINOIS BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GHS ILLINOIS, AT APPROPRIATE TIMES. THE LAST TIME THIS PROCESS WAS FORMALLY UNDERTAKEN WAS NOVEMBER 2016. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, LINE 1A: | GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENVENTURES, INC., GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS ILLINOIS). THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA. |
| FORM 990, PART IX, LINE 11G | PROFESSIONAL MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,009,420. MANAGEMENT AND GENERAL EXPENSES 279,033. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,288,453. NUTRITIONAL SERVICES: PROGRAM SERVICE EXPENSES 820,224. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 820,224. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 1,924,240. MANAGEMENT AND GENERAL EXPENSES 11,793. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,936,033. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 887,180. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 887,180. LAB SERVICES: PROGRAM SERVICE EXPENSES 3,492,782. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,492,782. AMBULANCE SERVICES: PROGRAM SERVICE EXPENSES 242,594. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 242,594. HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING SERVICES: PROGRAM SERVICE EXPENSES 133,645. MANAGEMENT AND GENERAL EXPENSES 653,335. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 786,980. HEALTHCARE SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 1,024,456. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,024,456. EMERGENCY MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 2,910,549. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,910,549. SENIOR ACTIVITIES SERVICES: PROGRAM SERVICE EXPENSES 43,724. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,724. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 25,427. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 25,427. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 18,130. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 18,130. |
| FORM 990, PART XI, LINE 9: | CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION 17,512. NONCASH CONTRIBUTIONS (NOT ON BOOKS) -2,695. |
| 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 | -$445,758 | $3,706,441 | GENESIS HEALTH SYSTEM (GHS IOWA) |
| SPIN ECHO LLC | |||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421491373 | PROPERTY MANAGEMENT | IA | -$90,551 | $1,943,981 | 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 IOWA) | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421418847 | HEALTHCARE | IA | 501(C)(3) | LINE 3 | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | Yes (1) |
| GENESIS HEALTH SERVICES FOUNDATION | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421421670 | CHARITY | IA | 501(C)(3) | LINE 7 | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
| GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 391905171 | EMPLOYEE/BENEFIT/TRUST | IA | 501(C)(3) | LINE 12A, I | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
| DAVENPORT HOSPITAL AMBULANCE CORP | ||||||||||
| 1204 E HIGH STREET | DAVENPORT | IA | 52803 | 421186903 | AMBULANCE TRANSFERS | IA | 501(C)(3) | LINE 12A, I | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
| GENESIS SENIOR LIVING ALEDO | ||||||||||
| 309 NW NINTH AVENUE | ALEDO | IL | 61231 | 454475803 | SENIOR LIVING SERVICES | IL | 501(C)(3) | LINE 3 | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | Yes (1) |
| GENESIS MEDICAL CENTER ALEDO | ||||||||||
| 409 NW NINTH AVENUE | ALEDO | IL | 61231 | 454475683 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | Yes (1) |
| GENESIS PHILANTHROPY | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 462462851 | CHARITY | IA | 501(C)(3) | LINE 10 | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | 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 | N/A | |||||||
| SPRING PARK SURGERY CENTER LLC | ||||||||||||||
| 3319 SPRING STREET STE 202A | DAVENPORT | IA | 52807 | 421483989 | OUTPATIENT SURGICAL CENTER | IA | N/A | |||||||
| LARSON CENTER PARTNERSHIP | ||||||||||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363738454 | PROPERTY MANAGEMENT | IL | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | RELATED | $450,559 | $1,816,610 | 0 | Yes (1) | 0.75620 | |
| GENORTHO LLC | ||||||||||||||
| 2300 53RD AVENUE | BETTENDORF | IA | 52722 | 203406994 | ORTHOPAEDIC SURGERY CENTER | IA | N/A | |||||||
| GENRAD IMAGING LLC | ||||||||||||||
| 1970 E 53RD ST | DAVENPORT | IA | 52807 | 453571628 | DIAGNOSTIC IMAGING CENTER | IA | N/A | |||||||
| GENRAD IMAGING ILLINOIS LLC | ||||||||||||||
| 1970 E 53RD ST | DAVENPORT | IA | 52807 | 473785124 | DIAGNOSTIC IMAGING CENTER | IL | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | RELATED | -$42,072 | $475,907 | 0 | Yes (1) | 0.50000 | |
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 | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENVENTURES INC | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421269171 | SUPPORT SERVICES/PROPERTY MANAGEMENT | IA | N/A | C | 0 | ||||
| GENESIS HEART INSTITUTE | |||||||||||||
| 1236 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421504979 | HEALTHCARE MANAGEMENT | IA | N/A | C | 0 | ||||
| MISERICORDIA ASSURANCE COMPANY LTD | |||||||||||||
| 980457943 | OTHER FINANCIAL VEHICLE | N/A | C | 0 | PO BOX 1051 | GRAND CAYMAN | CJ | CJ | |||||
| MOB 1 OWNERS' ASSOCIATION | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 270865075 | PROPERTY MANAGEMENT | IA | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (12 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GENESIS MEDICAL CENTER ALEDO | ||
| A | $200,561 | FAIR MARKET VALUE |
| GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST | ||
| B | $195,538 | FAIR MARKET VALUE |
| GENESIS HEALTH SYSTEM (GHS IOWA) | ||
| J | $190,468 | FAIR MARKET VALUE |
| LARSON CENTER PARTNERSHIP | ||
| J | $688,511 | FAIR MARKET VALUE |
| LARSON CENTER PARTNERSHIP | ||
| K | $607,706 | FAIR MARKET VALUE |
| DAVENPORT HOSPITAL AMBULANCE CORPORATION | ||
| M | $188,872 | FAIR MARKET VALUE |
| GENESIS HEALTH SYSTEM (GHS IOWA) | ||
| P | $101,751,229 | FAIR MARKET VALUE |
| GENESIS HEALTH SYSTEM (GHS IOWA) | ||
| Q | $39,693,130 | FAIR MARKET VALUE |
| LARSON CENTER PARTNERSHIP | ||
| R | $529,232 | FAIR MARKET VALUE |
| GENESIS HEALTH SYSTEM (GHS IOWA) | ||
| R | $188,872 | FAIR MARKET VALUE |
| GENVENTURES INC | ||
| S | $420,769 | FAIR MARKET VALUE |
| GENESIS MEDICAL CENTER ALEDO | ||
| S | $482,606 | FAIR MARKET VALUE |