GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
Tax period: 2017-01-01 to 2017-12-31
Filed: 2018-11-08
IRS object ID: 201833129349302863
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-11-08T14:42:11-06:00	ReturnTs
Tax Period End	2017-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

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

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311480941	EIN

Business Name BusinessName

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

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

US Address USAddress

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

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL NORMAN	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7404545000	PhoneNum
Signature	2018-11-07	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BERNIE OSTROWSKI	PreparerPersonNm
PTIN	P00366367	PTIN
Phone	6148493000	PhoneNum
Preparation	2018-11-07	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	74.113.40.52	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-11-07	IPDt
IP Tm	13:56:01	IPTm
IP Timezone	ES	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	DA39A3EE5E6B4B0D3255BFEF95601890AFD80709	AtSubmissionCreationDeviceId
At Submission Filing Device Id	CDA108602048A852A3C7A9C68094104E2D92ED46	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2018-06-14 16:35:46Z	BuildTS

Form 990 IRS990

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

US Address USAddress

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

Field	Value	IRS element (for citing)
Gross Receipts	$417,011,463	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	3727	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GENESISHCS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	IN 1997, GOOD SAMARITAN MEDICAL CENTER AND BETHESDA HOSPITAL ASSOCIATION, A TAX-EXEMPT COMMUNITY HOSPITAL ALSO LOCATED IN ZANESVILLE, AFFILIATED TO FORM GENESIS HEALTHCARE SYSTEM. GENESIS HAS BEEN GRANTED 501C3 STATUS AS A HOSPITAL. ALL HOSPITAL OPERATIONS AND ASSETS OF GOOD SAMARITAN MEDICAL CENTER WERE TRANSFERRED TO GENESIS WITH THE EXCEPTION OF CERTAIN INVESTMENTS. GOOD SAMARITAN MEDICAL CENTER WILL CONTINUE TO HAVE CONTROL OVER CERTAIN INVESTMENTS WHICH ARE BEING USED BY THE GENESIS HEALTHCARE SYSTEM IN FULFILLING ITS TAX-EXEMPT PURPOSE.	ActivityOrMissionDesc
Voting Members Governing Body	18	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	3277	TotalEmployeeCnt
Total Volunteers	390	TotalVolunteersCnt
Total Gross UBI	$1,682,732	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$361,353	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$371,813	PYContributionsGrantsAmt
CY Contributions Grants	$500,784	CYContributionsGrantsAmt
PY Program Service Revenue	$387,260,718	PYProgramServiceRevenueAmt
CY Program Service Revenue	$391,615,569	CYProgramServiceRevenueAmt
PY Investment Income	$3,925,547	PYInvestmentIncomeAmt
CY Investment Income	$6,377,923	CYInvestmentIncomeAmt
PY Other Revenue	$16,178,704	PYOtherRevenueAmt
CY Other Revenue	$17,038,856	CYOtherRevenueAmt
PY Total Revenue	$407,736,782	PYTotalRevenueAmt
CY Total Revenue	$415,533,132	CYTotalRevenueAmt
PY Grants And Similar Paid	$92,394	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$348,283	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$164,875,549	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$165,219,050	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$195,063,330	PYOtherExpensesAmt
CY Other Expenses	$204,581,451	CYOtherExpensesAmt
PY Total Expenses	$360,031,273	PYTotalExpensesAmt
CY Total Expenses	$370,148,784	CYTotalExpensesAmt
PY Revenues Less Expenses	$47,705,509	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$45,384,348	CYRevenuesLessExpensesAmt
Total Assets BOY	$542,563,079	TotalAssetsBOYAmt
Total Assets EOY	$552,431,211	TotalAssetsEOYAmt
Total Liabilities BOY	$385,731,853	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$378,399,620	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$156,831,226	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$174,031,591	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$210,481,841	ExpenseAmt
Grant	$348,283	GrantAmt
Revenue	$172,310,972	RevenueAmt
Desc	GENESIS PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, PEDIATRIC AND CRITICAL CARE. TOTAL DISCHARGES FROM MEDICAL/SURGICAL UNITS DURING 2017 WERE 7,157. TOTAL OBSTETRIC DISCHARGES EQUALED 1,530 WITH 1,510 TOTAL BIRTHS AND PEDIATRIC DISCHARGES EQUALED 188. THERE WERE 405 CRITICAL CARE DISCHARGES, 1,399 CARDIOVASCULAR DISCHARGES, 202 ONCOLOGY DISCHARGES AND 914 ORTHOPEDIC DISCHARGES.GENESIS PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR INPATIENTS AND OUTPATIENTS. THESE SERVICES ARE COMPRISED OF LABORATORY, IMAGING SERVICES, CARDIAC, AND PHARMACY. LABORATORY SERVICES INCLUDE CHEMISTRY, PATHOLOGY, MICROBIOLOGY, HEMATOLOGY, CYTOLOGY, AND PHLEBOTOMY FOR TOTAL VOLUMES IN 2017 OF 1,568,924. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, PET SCAN, MAMMOGRAPHY AND BONE DENSITY SCANNING WITH TOTAL VOLUMES OF 186,326.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$38,958,910	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$123,487,152	RevenueAmt
Desc	GENESIS HEART & VASCULAR SERVICES PROVIDE NEEDED HEART CARE FROM PREVENTION TO REHABILITATION. OUR BOARD-CERTIFIED SPECIALISTS INCLUDE CARDIOLOGISTS, CARDIOTHORACIC VASCULAR SURGEONS, ELECTROPHYSIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND CARDIAC REHAB SPECIALISTS. THE CARDIOTHORACIC AND VASCULAR SURGICAL TEAMS PERFORM A WIDE VARIETY OF COMPLEX AND HIGH-RISK CARDIAC, THORACIC AND VASCULAR PROCEDURES INCLUDING OPEN HEART SURGERY. OUR CARDIAC TEAM TAKES OUR PATIENTS FROM EVALUATION AND DIAGNOSIS THROUGH LIFESTYLE CHANGES AND TREATMENTS. ALSO INCLUDED IN OUR CARDIAC SERVICES ARE OUR CLINICS AND SPECIALTY PROGRAMS. THESE INCLUDE AN ANTICOAGULATION CLINIC, A CONGESTIVE HEART FAILURE CLINIC, A DEVICE CLINIC, A VEIN CLINIC AND A CARDIAC REHABILITATION PROGRAM. GENESIS IS AN ACCREDITED CHEST PAIN CENTER WITH PCI, AN ACCREDITED ECHOCARDIOGRAPHY FACILITY, AND IN 2017 AGAIN RECEIVED THE AMERICAN HEART ASSOCIATION/AMERICAN STROKE ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD PLUS QUALITY ACHIEVEMENT AWARD WITH TARGET: STROKESM HONOR ROLL. THE TOTAL NUMBER OF HEART & VASCULAR CASES TREATED IN 2017 WERE 2,289.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$18,410,912	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$58,356,639	RevenueAmt
Desc	RESPIRATORY SERVICES - GENESIS RESPIRATORY & LUNG PROVIDES SERVICES FOR A VARIETY OF LUNG CONDITIONS AND DISEASES INCLUDING LUNG SURGERIES AND RESPIRATORY THERAPY. OUR TEAM, INCLUDING BOARD-CERTIFIED PULMONOLOGISTS, PROVIDE CARE AND TREATMENT FOR PATIENTS WITH PNEUMONIA, LUNG CANCER, BLACK LUNG DISEASE, RESPIRATORY FAILURE, COLLAPSED LUNG, AND OTHER PLEURAL DISEASES. THE TOTAL NUMBER OF RESPIRATORY CASES TREATED IN 2017 WERE 1,938.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$14,459,210	$0	$45,831,021	THE GENESIS ORTHOPEDIC TEAM OF BOARD-CERTIFIED SURGEONS, SPECIALLY TRAINED NURSES, AND REHABILITATION THERAPISTS WORK TOGETHER TO DIAGNOSE AND TREAT THE MUSCULOSKELETAL ISSUES OF OUR PATIENTS. SERVICES RANGE FROM ADVANCED IMAGING TESTING THROUGH TO REHABILITATION. SURGICAL SURGERIES INCLUDE NUMEROUS PROCEDURES INCLUDING REPLACEMENT OF THE HIP, KNEE, OR SHOULDER AS WELL AS VARIOUS SURGERIES INVOLVING THE HAND. THE SPECIALIZED REHABILITATION PROGRAM SPEEDS RECOVERY AFTER A SERIOUS INJURY OR SURGERY RELATED TO A BONE, JOINT, LIGAMENT, TENDON OR MUSCLE. IN ADDITION TO PHYSICAL AND OCCUPATIONAL THERAPY, GENESIS ALSO PROVIDES AMPUTEE AND PROSTHETICS THERAPY AND TRAINING. THE TOTAL NUMBER OF ORTHOPEDIC CASES TREATED IN 2017 WERE 1,063.
			IN 2014, THE NEW GENESIS BEHAVIORAL HEALTH CENTER OPENED BRINGING TOGETHER ALL GENESIS BEHAVIOR HEALTH SERVICES IN ONE LOCATION. THE PREMIER FACILITY IS THE ONLY COMPREHENSIVE BEHAVIORAL HEALTH CENTER IN SOUTHEASTERN OHIO AND OFFERS INPATIENT AND OUTPATIENT ADULT, ADOLESCENT, AND CHILD PSYCHIATRIC CARE; SUBSTANCE ABUSE SUPPORT AND RECOVERY PROGRAMS; PARTIAL HOSPITALIZATION; AND ANGER MANAGEMENT. INPATIENT & PARTIAL HOSPITALIZATION CARE IS PROVIDED IN THREE DISTINCT AREAS; A PRIVATE, SECURE ADULT UNIT; A CLOSED INTENSIVE PSYCHIATRIC UNIT, AND A PEDIATRIC/ ADOLESCENT UNIT. ALONG WITH PRIVATE ROOMS THE NEW CENTER PROVIDES OPEN, QUIET SPACES WITH NATURAL LIGHTING AND EXERCISE EQUIPMENT. THE GENESIS BEHAVIORAL HEALTH TEAM OF PSYCHIATRISTS, PSYCHOLOGISTS, CERTIFIED COUNSELORS, THERAPISTS, NURSES AND SUPPORT STAFF ARE HIGHLY TRAINED AND WORK CLOSELY WITH OTHER COMMUNITY BASED HEALTH AGENCIES TO COORDINATE SERVICES. MISCELLANEOUS PROGRAMS INCLUDE SUBSTANCE ABUSE, SUICIDE AND DATE VIOLENCE PREVENTION AND GRIEF COUNSELING TO AREA SCHOOLS AND CONDUCTING CLASSES ON DEALING WITH DIVORCE REQUIRED FOR FAMILIES GOING THROUGH THIS PROCESS BY THE MUSKINGUM COUNTY COURT SYSTEM. PEOPLE OF ALL AGES AND FROM 33 COUNTIES COME TO GENESIS FOR BEHAVIORAL HEALTH CARE. TOTAL INPATIENTS TREATED IN 2017 WERE 1,689.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$14,459,210	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$45,831,021	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$282,310,873	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	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
IRP Document	299	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3277	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	18	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	7404545000	PhoneNum

US Address USAddress

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

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
RANDY COCHRANE
CHAIR	2.62	0.18	Yes (X)	Yes (X)	$0	$0	$0
TOD KLOTZBACH
TREASURER	2.31	0.00	Yes (X)	Yes (X)	$0	$0	$0
PATRICK NASH
VICE CHAIR	2.62	0.00	Yes (X)	Yes (X)	$0	$0	$0
WILLIAM SHADE MD
SECRETARY	2.27	0.00	Yes (X)	Yes (X)	$76,250	$0	$0
JODY BALLAS
EX-OFFICIO	2.62	0.08	Yes (X)		$0	$0	$0
JOANN BUTCHER
EX-OFFICIO	1.62	0.18	Yes (X)		$0	$0	$0
JOHN DITTOE
TRUSTEE	1.15	0.00	Yes (X)		$0	$0	$0
COLBY GRAHAM
TRUSTEE	1.15	0.00	Yes (X)		$0	$0	$0
SUSAN HOLDREN
TRUSTEE	1.15	0.18	Yes (X)		$0	$0	$0
JAMES MCDONALD
EX-OFFICIO	1.15	0.18	Yes (X)		$0	$0	$0
DAN MCGINTY
EX-OFFICIO	1.69	0.00	Yes (X)		$0	$0	$0
MARK MOYER
TRUSTEE	1.85	0.00	Yes (X)		$0	$0	$0
SR MARY ANN NUGENT
TRUSTEE	1.15	0.00	Yes (X)		$0	$0	$0
ERIN REMSTER DO
TRUSTEE	40.00	0.00	Yes (X)		$0	$290,836	$20,999
KRISTY RITCHIE MD
TRUSTEE	40.00	0.00	Yes (X)		$0	$501,888	$30,710
SHIRLEY VAN WYE
TRUSTEE	1.15	0.21	Yes (X)		$0	$0	$0
SR LAURA WOLF
EX-OFFICIO	0.69	0.00	Yes (X)		$0	$0	$0
JOHN ZIMMERMAN MD
TRUSTEE	3.15	0.15	Yes (X)		$0	$483,704	$28,015
PAUL MASTERSON
CHIEF FINANCIAL OFFICER	39.17	0.83		Yes (X)	$514,595	$0	$224,560
MATTHEW PERRY
PRESIDENT & CEO	39.17	0.83		Yes (X)	$847,844	$0	$605,363
SLOAN ALBERT
CHIEF PNO: 01/01/17 - 09/19/17	40.00	0.00			$527,346	$0	$23,826	Yes (X)
CHRISTOPHER SCHOELLES
CHIEF PNO: 12/24/17 - 12/31/17	40.00	0.00			$189,876	$0	$16,253	Yes (X)
ALAN BURNS
COO: 01/01/17 - 07/08/17	39.84	0.16			$461,377	$0	$176,456	Yes (X)
SHARON PARKER
COO: 07/09/17 - 12/31/17	40.00	0.00			$206,268	$0	$21,358	Yes (X)
WENDY CEDOZ
CHIEF LEGAL OFFICER	39.79	0.21			$370,039	$0	$37,029	Yes (X)
DIANNA LEVECK
CHIEF HUMAN RESOURCES OFFICER	40.00	0.00			$405,553	$0	$23,109	Yes (X)
ABBY NGUYEN
CHIEF NURSING OFFICER	39.82	0.18			$327,828	$0	$30,710	Yes (X)
EDMUND ROMITO
CHIEF INFORMATION OFFICER	40.00	0.00			$425,552	$0	$48,057	Yes (X)
DANIEL SCHEERER MD
CHIEF MEDICAL AFFAIRS OFFICER	40.00	0.00			$408,301	$0	$65,049	Yes (X)
SHAWN ROARK
VICE PRESIDENT	40.00	0.00			$202,049	$0	$0		Yes (X)
MICHAEL NORMAN
VICE PRESIDENT	40.00	0.00			$191,451	$0	$14,810		Yes (X)
LES BOYER
DIRECTOR	40.00	0.00			$164,046	$0	$27,490		Yes (X)
CHERYL JORGE
DIRECTOR	40.00	0.00			$168,474	$0	$19,878		Yes (X)
GREGORY HAMILTON
DIRECTOR	40.00	0.00			$163,149	$0	$16,164		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$5,649,998	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$1,276,428	TotReportableCompRltdOrgAmt
Total Other Compensation	$1,429,836	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	58	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
HOSPITAL MEDICINE ASSOC LLC
PO BOX 634850	CINCINNATI	OH	45263	PROFESSIONAL FEES	$5,470,857
NTHRIVE INC
PO BOX 733492	DALLAS	TX	75373	REVENUE CYCLE CONSULTING	$5,446,820
ZANESVILLE ANESTHESIA PHYSICIANS INC
37 S SEVENTH STREET	ZANESVILLE	OH	43701	MEDICAL SERVICES	$4,163,652
CARDIAC ANESTHESIA ASSOC OF ZANESVILLE
PO BOX 2684	ZANESVILLE	OH	43701	MEDICAL SERVICES	$1,710,000
ARUP LABORATORIES INC
500 CHIPETA WAY	SALT LAKE CITY	UT	84127	MEDICAL SERVICES	$1,066,569

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	50	CntrctRcvdGreaterThan100KCnt
Related Organizations	$248,256	RelatedOrganizationsAmt
Government Grants	$252,528	GovernmentGrantsAmt
Total Contributions	$500,784	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICES	Desc
Business	621110	BusinessCd
Total Revenue Column	$391,615,569	TotalRevenueColumnAmt
Related Or Exempt Func Income	$391,615,569	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$391,615,569	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,041,675	TotalRevenueColumnAmt
Exclusion	$5,041,675	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,660,245	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,478,331	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$181,914	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$181,914	TotalRevenueColumnAmt
Related Or Exempt Func Income	$181,914	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$1,336,248	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	$1,336,248	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,336,248	TotalRevenueColumnAmt
Exclusion	$1,336,248	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt
340B DISPENSING	621110	$6,398,286	$6,398,286
CAFETERIA SALES	621110	$2,994,125		$101,983	$2,892,142
LABORATORY	621110	$1,941,489	$485,924	$1,455,565

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,523,042	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,304,091	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$125,184	UnrelatedBusinessRevenueAmt
Exclusion	$4,093,767	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$16,856,942	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$415,533,132	TotalRevenueColumnAmt
Related Or Exempt Func Income	$399,985,784	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,682,732	UnrelatedBusinessRevenueAmt
Exclusion	$13,363,832	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	$348,283	TotalAmt
Program Services	$348,283	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$122,747,805	TotalAmt
Program Services	$88,343,028	ProgramServicesAmt
Management And General	$34,404,777	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,936,816	TotalAmt
Program Services	$3,553,084	ProgramServicesAmt
Management And General	$1,383,732	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$28,840,972	TotalAmt
Program Services	$20,757,184	ProgramServicesAmt
Management And General	$8,083,788	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,693,457	TotalAmt
Program Services	$6,256,782	ProgramServicesAmt
Management And General	$2,436,675	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$895,190	TotalAmt
Management And General	$895,190	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$479,753	TotalAmt
Management And General	$479,753	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$161,337	TotalAmt
Management And General	$161,337	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$40,250,672	TotalAmt
Program Services	$24,919,032	ProgramServicesAmt
Management And General	$15,331,640	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$362,682	TotalAmt
Program Services	$362,682	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$10,822,411	TotalAmt
Program Services	$5,222,874	ProgramServicesAmt
Management And General	$5,599,537	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$8,192,510	TotalAmt
Program Services	$1,462,776	ProgramServicesAmt
Management And General	$6,729,734	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$10,156,077	TotalAmt
Program Services	$5,955,317	ProgramServicesAmt
Management And General	$4,200,760	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$446,449	TotalAmt
Program Services	$151,505	ProgramServicesAmt
Management And General	$294,944	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,562,457	TotalAmt
Program Services	$14,562,457	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$21,441,996	TotalAmt
Program Services	$17,645,497	ProgramServicesAmt
Management And General	$3,796,499	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,229,797	TotalAmt
Program Services	$1,219,774	ProgramServicesAmt
Management And General	$10,023	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$72,310,638	$71,534,997	$775,641
BAD DEBT EXPENSE	$11,045,110	$11,045,110
LAB REFERENCE FEES	$1,426,127	$1,426,127
PHYSICIAN RECRUITMENT	$798,339	$798,339

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,999,906	TotalAmt
Program Services	$6,746,025	ProgramServicesAmt
Management And General	$3,253,881	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$370,148,784	TotalAmt
Program Services	$282,310,873	ProgramServicesAmt
Management And General	$87,837,911	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$3,865,531	BOYAmt
EOY	$3,418,982	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$10,305,181	BOYAmt
EOY	$17,557,135	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,083	BOYAmt
EOY	$0	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$71,240,238	BOYAmt
EOY	$73,325,400	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,753,526	BOYAmt
EOY	$5,402,928	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$6,539,873	BOYAmt
EOY	$6,407,340	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$472,499,802	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$171,050,577	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$309,838,971	BOYAmt
EOY	$301,449,225	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$83,537,936	BOYAmt
EOY	$98,319,509	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$9,247,024	BOYAmt
EOY	$8,272,388	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$6,109,176	BOYAmt
EOY	$3,099,034	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$36,123,540	BOYAmt
EOY	$35,179,270	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$542,563,079	BOYAmt
EOY	$552,431,211	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$40,430,754	BOYAmt
EOY	$41,538,816	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$4,736,012	BOYAmt
EOY	$3,850,051	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$287,707,200	BOYAmt
EOY	$286,165,829	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$10,825,000	BOYAmt
EOY	$9,755,000	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$42,032,887	BOYAmt
EOY	$37,089,924	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$385,731,853	BOYAmt
EOY	$378,399,620	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$156,831,226	BOYAmt
EOY	$174,031,591	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$156,831,226	BOYAmt
EOY	$174,031,591	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$542,563,079	BOYAmt
EOY	$552,431,211	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$45,384,348	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$4,976,041	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$33,160,024	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 B IRS990ScheduleB

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$161,437	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$26,056	OtherActivitiesAmt
Total Lobbying Expenditures	$187,493	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	GENESIS HEALTHCARE SYSTEM PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS. A PORTION OF THE DUES ARE RELATED TO LOBBYING ACTIVITIES. AMERICAN HOSPITAL ASSOCIATION - FSCC SHARE (AHA): 22.98% OF $56,611 ($13,009) OHIO HOSPITAL ASSOCIATION - FSCC SHARE (OHA): 4.3% OF $79,421 ($3,415) AMERICAN ORGANIZATION OF NURSE EXECUTIVES (AONE/AHA): 22.98% OF $440 ($101) AMERICAN SOCIETY HEALTHCARE ENGINEERING (ASHE/AHA): 22.98% OF $300 ($69) AMERICAN SOCIETY HEALTHCARE HR ADMIN (ASHHRA/AHA): 22.98% OF $160 ($37) AMERICAN SOCIETY HEALTHCARE RISK MGMT (ASHRM/AHA): 22.98% OF $477 ($110) SOC FOR HEALTHCARE STRATEGY & MARKET DEVELOPMENT (SHSMD/AHA): 22.98% OF $235 ($54) CATHOLIC CONFERENCE OF OHIO: 4.3% OF $2,060 ($89) CATHOLIC HEALTH ASSOC (FSCC SHARE): 3.76% OF $25,414 ($956) CATHOLIC HEALTH ASSOC (FSCC SHARE): 3.93% OF $21,178 ($832) 340B HEALTH 2016: 8.0% OF $5,360 ($429) 340B HEALTH 2017 & 2018: 11.0% OF $14,252 ($1,568) ACADEMY OF NUTRITION & DIETETICS (AND): 14.0% OF $234 ($33) AMERICAN ASSOCIATION RESPIRATORY CARE (AARC): 20.0% OF $223 ($45) AMERICAN ACADEMY OF SLEEP MEDICINE (AASM): 2.0% OF $2,200 ($44) AMERICAN COLLEGE OF RADIATION ONCOLOGY (ACRO): 53.0% OF $305 ($162) AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA): 5.0% OF $370 ($19) AMERICAN MEDICAL GROUP ASSOCIATION (AMGA): 20.0% OF $10,250 ($2,050) COLLEGE OF HEALTHCARE INFO MGMT EXECUTIVES (CHIME): 8.0% OF $375 ($30) HEALTHCARE INFORMATION & MANAGEMENT SYSTEMS SOCIETY (HIMSS): 1.37% OF $3,375 ($46) MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA): 23.0% OF $5,542 ($1,275) OHIO STATE BAR ASSOCIATION (OBA): 5.0% OF $1,263 ($63) TRAUMA CENTER ASSOCIATION OF AMERICA (TCAA): 29.0% OF $2,000 ($580) ZANESVILLE - MUSKINGUM CO. CHAMBER OF COMMERCE: 10.0% OF $4,590 ($459) OHIO HOSPICE AND PALLIATIVE CARE ORGANIZATION DBA MIDWEST CARE ALLIANCE (OHPCO): 7.3% OF 8,000 ($584) GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $161,437 IN 2017 FOR ADVOCACY AND OUTREACH CONSULTING SERVICES. SECOND CAPITAL CONSULTING, LLC HAS PROVIDED ADVOCACY AND OUTREACH CONSULTING SERVICES TO GENESIS HEALTHCARE SYSTEM SINCE 2013. THESE SERVICES ASSIST THE SYSTEM TO ENGAGE, EDUCATE AND COMMUNICATE WITH PUBLIC POLICY MAKERS REGARDING PENDING LEGISLATION OR PROPOSED REGULATIONS, AS WELL AS, ASSIST ELECTED OFFICIALS IN UNDERSTANDING THE IMPACT OF LEGISLATION ON GHCS'S ABILITY TO DELIVER COST EFFECTIVE, QUALITY CARE FOR PATIENTS IN SOUTHEAST OHIO. GENESIS WORKS PRIMARILY THROUGH NATIONAL AND STATE HOSPITAL ASSOCIATIONS, IN WHICH GENESIS HAS MEMBERSHIP, TO UNDERSTAND POTENTIAL POLICIES WHICH COULD NEGATIVELY AFFECT THEIR ABILITY TO WORK WITH THE LOCAL MEDICAL COMMUNITY TO MEET THE HEALTHCARE NEEDS OF THE REGION. SOME ISSUES OF INTEREST INCLUDE THE 340B PROGRAM, MEDICARE & MEDICAID BUDGET DECISIONS AND REGULATIONS, AND INFRASTRUCTURE IMPROVEMENTS AT THE LOCAL LEVEL THAT ENHANCE ACCESS TO THE HOSPITAL. IN FACT, A DIRECT ACCESS LANE OPENED THIS YEAR FOR EMERGENCY VEHICLES, SPEEDING THE TIME CRITICAL TO PATIENTS IN ARRIVING FOR EMERGENCY CARE.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,108,904	OtherCostOrOtherBasisAmt
Book Value	$8,108,904	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$222,300,221	OtherCostOrOtherBasisAmt
Depreciation	$21,254,781	DepreciationAmt
Book Value	$201,045,440	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,090,386	OtherCostOrOtherBasisAmt
Depreciation	$2,202,898	DepreciationAmt
Book Value	$1,887,488	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$225,026,741	OtherCostOrOtherBasisAmt
Depreciation	$146,496,809	DepreciationAmt
Book Value	$78,529,932	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,973,550	OtherCostOrOtherBasisAmt
Depreciation	$1,096,089	DepreciationAmt
Book Value	$11,877,461	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$301,449,225	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
UNAMORTIZED BOND ISSUE COSTS	$4,223,840
INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS	$3,273,954
ASSETS LIMITED AS TO USE	$27,681,476

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$35,179,270	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ACCRUED MINIMUM PENSION LIABILITY	$35,430,217
ACCRUED PROFESSIONAL LIABILITY	$1,659,707

Field	Value	IRS element (for citing)
Total Liability	$37,089,924	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

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

Schedule H IRS990ScheduleH

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$2,512,290	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,701,041	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$811,249	NetCommunityBenefitExpnsAmt
Total Expense	0.00230	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$84,706,406	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$69,059,664	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,646,742	NetCommunityBenefitExpnsAmt
Total Expense	0.04350	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$87,218,696	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$70,760,705	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,457,991	NetCommunityBenefitExpnsAmt
Total Expense	0.04580	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	53	ActivitiesOrProgramsCnt
Persons Served	70276	PersonsServedCnt
Total Community Benefit Expns	$1,217,653	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$54,907	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,162,746	NetCommunityBenefitExpnsAmt
Total Expense	0.00320	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	2750	PersonsServedCnt
Total Community Benefit Expns	$1,237,702	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,237,702	NetCommunityBenefitExpnsAmt
Total Expense	0.00340	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,628,084	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,584,710	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$43,374	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	1778	PersonsServedCnt
Total Community Benefit Expns	$17,113	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,113	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	67	ActivitiesOrProgramsCnt
Persons Served	74804	PersonsServedCnt
Total Community Benefit Expns	$4,100,552	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,639,617	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,460,935	NetCommunityBenefitExpnsAmt
Total Expense	0.00670	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	67	ActivitiesOrProgramsCnt
Persons Served	74804	PersonsServedCnt
Total Community Benefit Expns	$91,319,248	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$72,400,322	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$18,918,926	NetCommunityBenefitExpnsAmt
Total Expense	0.05250	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$11,045,110	BadDebtExpenseAmt
Bad Debt Expense Attributable	$86,190	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$107,800,905	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$112,174,457	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$4,373,552	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

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

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

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GENESISHCS.ORG/ABOUT-US/COMMUNITY	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	16	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GENESISHCS.ORG/ABOUT-US/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTP://WWW.GENESISHCS.ORG/APP/FILES/PUBLIC/2726/FINANCIAL-ASSISTANCE-SELF-P	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.GENESISHCS.ORG/APP/FILES/PUBLIC/2660/FIN-ASSIST-FORM-REV.PDF	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://WWW.GENESISHCS.ORG/APP/FILES/PUBLIC/2546/FIN-ASST-SUMMARY.PDF	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GENESIS HOSPITAL	PART V, SECTION B, LINE 5: A COMMUNITY HEALTH SURVEY WAS CONDUCTED. THE SURVEY GATHERED THE COMMUNITY INPUT ON THEIR PRIORITIES FOR CHRONIC CONDITIONS, RISK FACTORS FOR DISEASE, MOTHERS AND CHILDREN AND ACCESS TO CARE. THE SURVEY WAS COLLECTED ON THE GENESIS WEBSITE IN SEPTEMBER OF 2015 AND USED FACEBOOK, TWITTER, AND THE ZANESVILLE TIMES RECORDER TO PUBLICIZE THE COMMUNITY HEALTH NEEDS SURVEY. 67 COMPLETED SURVEYS WERE COLLECTED FROM THE GENESIS WEBSITE AND FROM INDIVIDUALS WAITING FOR SERVICES AT THE GENESIS HOSPITAL. ALL SIX COUNTIES WERE REPRESENTED IN THE SURVEY. TWO STUDENTS FROM MUSKINGUM UNIVERSITY AND KEY PARTNERS SUCH AS MUSKINGUM VALLEY HEALTH CENTER, THE VETERAN'S CLINIC, SALVATION ARMY, CHRIST'S TABLE, AND UNITED WAY COLLECTED SURVEYS FROM LOCATIONS SERVICING THE UNDERSERVED POPULATION. SIXTY-THREE PERSONS COMPLETED THE SURVEY IN THE UNDERSERVED LOCATIONS. A TOTAL OF 130 SURVEYS WERE COLLECTED.58 KEY INFORMANT SURVEYS WERE COLLECTED IN THE COMMUNITY AND CONTAINED CATEGORIES FOR BEHAVIORAL RISKS, MOMS AND BABIES, MORTALITY RATES AND POVERTY. SPECIAL CARE WAS USED TO IDENTIFY KEY INFORMANTS WITH KNOWLEDGE OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. IN ADDITION, WE HAVE IDENTIFIED THE KEY INFORMANTS SPECIFICALLY AS: (1) PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; (2) REPRESENTATIVES FROM GOVERNMENT OR PUBLIC HEALTH DEPARTMENTS; AND (3) LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS. ALL SIX COUNTIES WERE REPRESENTED IN THE KEY INFORMANT SURVEY.IN ADDITION TO USING COUNTY BASED NEEDS ASSESSMENTS, DUE TO THE LARGE COMMUNITY DEFINED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIAL CARE WAS TAKEN TO INCORPORATE THE VIEWS OF KEY INFORMANTS FROM EACH COUNTY. BELOW ARE EXAMPLES OF THE AGENCIES AND GROUPS COMPLETING THE KEY INFORMANT SURVEYS.COSHOCTON:GENESIS HEALTHCARE SYSTEMCOSHOCTON COUNTY HEALTH DEPARTMENTCOSHOCTON JOB AND FAMILY SERVICESCOSHOCTON UNITED WAYMUSKINGUM VALLEY HEALTH CENTERCOSHOCTON BEHAVIORAL HEALTH CHOICESMUSKINGUM:GENESIS HEALTHCARE SYSTEMTHE CARR CENTERQUALITY CARE PARTNERSZANESVILLE-MUSKINGUM COUNTY HEALTH DEPARTMENTHEART BEATSBIG BROTHERS BIG SISTERSMUSKINGUM COUNTY COMMUNITY FOUNDATIONMUSKINGUM RECREATION CENTERMUSKINGUM COUNTY PORT AUTHORITYSALVATION ARMYBETHEL MISSIONFIRST UNITED METHODIST CHURCHMUSKINGUM VALLEY HEALTH CENTERAMERICAN CANCER SOCIETYWICGUERNSEY:GENESIS HEALTHCARE SYSTEMAMERICAN CANCER SOCIETYMUSKINGUM VALLEY HEALTH CENTERMORGAN:GENESIS HEALTHCARE SYSTEMMORGAN LOCAL SCHOOLSMUSKINGUM VALLEY HEALTH CENTERBUCKEYE HILLSSALVATION ARMYNOBLE:GENESIS HEALTHCARE SYSTEMBUCKEYE HILLS-HOCKING VALLEY REGIONAL DEVELOPMENT DISTRICTCARESOURCEAMERICAN CANCER SOCIETYPERRY:GENESIS HEALTHCARE SYSTEMPERRY COUNTY HEALTH DEPARTMENTNORTHERN LOCAL SCHOOLSHELP ME GROWHOPEWELL HEALTH CENTERCROOKSVILLE SCHOOL NURSESALVATION ARMY
GENESIS HOSPITAL	PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE ON OUR WEBSITE AT HTTP://GENESISHCS.ORG, UNDER THE TAB "ABOUT US" AT THE BOTTOM OF THE FRONT PAGE, AND THEN UNDER THE "CARING FOR OUR COMMUNITY" TAB. THE REPORT WAS SHARED WITH COMMUNITY PARTNERS AND COPIES ARE AVAILABLE FOR FREE UPON REQUEST.
GENESIS HOSPITAL	PART V, SECTION B, LINE 11: THE COMMUNITY BENEFIT 2016-2018 IMPLEMENTATION STRATEGY IS A WRITTEN PLAN THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2015 CHNA. THE PLAN HAS BEEN TAILORED TO THE SERVICE LINES OF GENESIS, TAKING INTO ACCOUNT SPECIFIC PROGRAMS, RESOURCES AND PRIORITIES. THE IMPLEMENTATION STRATEGY PLANNING GROUPS INCLUDED TWO THAT HAD REPRESENTATION ACROSS SERVICE LINES AND INCLUDED COMMUNITY AGENCIES: (1) THE ADDICTION REDUCTION PLANNING GROUP AND (2) THE OBESITY REDUCTION PLANNING GROUP. OTHER GENESIS PLANNING GROUPS INCLUDED: GENESIS BEHAVIORAL HEALTH, CANCER SERVICES, HEART AND VASCULAR SERVICES, TRAUMA SERVICES, NEUROSCIENCE SERVICES, WOMEN'S AND CHILDREN'S SERVICES, POPULATION HEALTH AND WELLNESS, PULMONARY ADMINISTRATION, EDUCATIONAL SERVICES, MEDICAL STAFF SERVICES, GENESIS HOSPICE AND PALLIATIVE CARE/CAREGIVERS, MARKETING AND PUBLIC RELATIONS, MISSION, NURSELINE, SPIRITUAL CARE, PATIENT EDUCATION AND VOLUNTEER SERVICES.GIVEN THE EVER CHANGING LANDSCAPE OF HEALTHCARE, THE INITIATIVES IN THIS IMPLEMENTATION STRATEGY MAY CHANGE AND NEW ONES MAY BE ADDED OR OTHERS ELIMINATED BASED ON THE COMMUNITY NEEDS DURING THE 2016-2018 PERIOD. THESE CHANGES WILL BE NOTED EACH YEAR IN THE ANNUAL EVALUATION REPORT.THE COMMUNITY BENEFIT 2016-2018 IMPLEMENTATION STRATEGY OUTCOMES ARE TRACKED QUARTERLY AND ANNUALLY THROUGH THE COMMUNITY BENEFIT'S DATA SYSTEM KNOWN AS THE COMMUNITY BENEFIT INVENTORY OF SOCIAL ACCOUNTABILITY (CBISA). THE INITIAL PROPOSED OUTCOMES IN THE TABLES BELOW WILL BE USED AS A BASELINE FOR PERFORMANCE FOR EACH YEAR AND USED TO GUIDE THE EVALUATION PROCESS AND FUTURE INITIATIVE DEVELOPMENT. THE INITIATIVES AND ANTICIPATED OUTCOMES INCLUDED IN THIS DOCUMENT WILL BE EVALUATED AGAINST THE DATA COLLECTED FOR THE IDENTIFIED MEASURES THROUGH CBISA. THE FOCUS AREA LEADERS WILL ENSURE THAT THE OUTCOMES FOR EACH INITIATIVE ARE REPORTED IN CBISA THROUGH THE COMMUNITY BENEFIT PROGRAM AND SUMMARY REPORTS WILL BE ASSESSED QUARTERLY BY THE GENESIS COMMUNITY BENEFIT COMMITTEE. THE DOCUMENT "2018 COMMUNITY BENEFIT PLAN" CONTAINS THE 2017 EVALUATION OF OUTCOMES AND THE 2018 PROPOSED OUTCOMES OF THE 2016-2018 COMMUNITY IMPLEMENTATION STRATEGY WHICH WAS APPROVED BY THE GENESIS QUALITY COMMITTEE AND THE BOARD OF DIRECTORS IN APRIL OF 2018. THE CHNA IDENTIFIED TOP PRIORITY CHRONIC CONDITIONS, RELATED RISK FACTORS, ISSUES FOR MOTHERS AND CHILDREN AND ACCESS TO CARE ISSUES. THE COMMUNITY BENEFIT 2016-2018 IMPLEMENTATION STRATEGY FOCUSES ON ALL THE MAJOR AREAS OF NEED EXCEPT ACCESS TO CARE (CHNA PAGES 27-29). ACCESS TO CARE IS A FOCUS OF THE GENESIS STRATEGIC PLAN AND INITIATIVES ARE IMPLEMENTED THROUGH ADMINISTRATION, SERVICE LINE DIRECTORS, FINANCIAL ASSISTANCE, AND TRANSFORMATIONAL CARE DEPARTMENTS. THE TOP HEALTH PRIORITIES FROM THE CHNA, WHICH ARE THE FOCUS OF THE 2016-2018 COMMUNITY BENEFIT IMPLEMENTATION STRATEGY, ARE LISTED BELOW ACCOMPANIED BY THE REFERENCE PAGE WHERE THAT PRIORITY AREA IS LOCATED IN THE CHNA DOCUMENT.THE TOP PRIORITY CHRONIC CONDITIONS IDENTIFIED ARE AS FOLLOWS:1. CANCER (CHNA PAGE 14); PRIORITY RISK FACTOR: TOBACCO USE (CHNA PAGE 15)2. MENTAL HEALTH ISSUES (CHNA PAGE 16); PRIORITY RISK FACTORS: DRUG ADDICTIONS (CHNA PAGE 17) AND ALCOHOL OVERUSE (CHNA PAGE 18)3. DIABETES (CHNA PAGE 18)4. HEART DISEASE (CHNA PAGE 19); PRIORITY RISK FACTORS: OBESITY (CHNA PAGE 20), UNHEALTHY EATING (CHNA PAGE 20), AND PHYSICAL INACTIVITY (CHNA PAGE 21)5. CHRONIC BREATHING PROBLEMS (CHNA PAGE 21)6. JOINT & BACK PAIN (CHNA PAGE 22)7. STROKE (CHNA PAGE 23); PRIORITY RISK FACTOR: HIGH BLOOD PRESSURE (CHNA PAGE 23)THE TOP PRIORITY HEALTH ISSUES FOR MOTHERS AND CHILDREN INCLUDE:1. PREGNANT AND USING TOBACCO (CHNA PAGE 24)2. PREGNANT AND USING ALCOHOL (CHNA PAGE 24)3. PREGNANT AND USING DRUGS (CHNA PAGE 24)4. CHILDREN OVERWEIGHT (CHNA PAGE 25)5. SUPPORT FOR DRUG ADDICTED BABIES (CHNA PAGE 25)6. CHILDREN WITH DISABILITIES (CHNA PAGE 26)GENESIS HAS TWO PLANNING GROUPS THAT INCLUDE COMMUNITY PARTNERS TO COLLABORATIVELY IMPLEMENT INITIATIVES RELATED TO ADDICTIONS AND OBESITY. THE FIRST GROUP, THE "ADDICTIONS REDUCTION GROUP" MEETS QUARTERLY TO COLLABORATE AND ASSESS PROGRESS ON INITIATIVES. THE FOCUS OF THE GROUP INCLUDES ADDICTIONS TO TOBACCO, ALCOHOL, AND DRUGS INCLUDING ADDICTED MOTHERS AND BABIES. THE SECOND GROUP, FORMED ORIGINALLY AS THE "OBESITY REDUCTION GROUP", FOCUSED ON REDUCING BOTH ADULT AND CHILD OBESITY. IN 2017, THIS GROUP MERGED WITH ANOTHER GENESIS COLLABORATION CALLED "MUSKINGUM MOVES". COLLABORATIVE INITIATIVES INCLUDE COMMUNITY INFORMATION DISTRIBUTED THROUGH A FACEBOOK PAGE PROMOTING HEALTHY LIFESTYLES THAT REDUCE OBESITY. ALL GENESIS SERVICE LINE INITIATIVES RELATED TO OBESITY REDUCTION ARE STILL CAPTURED THROUGH CBISA.

Field	Value	IRS element (for citing)
Facility	14	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

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

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTS OF CHARITY CARE AND COMMUNITY BENEFIT ACTIVITIES WERE CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7, COLUMN (F): PERCENTAGE OF TOTAL EXPENSES WAS CALCULATED BASED ON TOTAL EXPENSES LESS BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX.
PART II, COMMUNITY BUILDING ACTIVITIES:	GENESIS HAS AN ACTIVE PRESENCE ON MANY COMMITTEES INVOLVED IN FINDING LOW COST SOLUTIONS TO PHYSICAL AND MENTAL HEALTH ISSUES PREVALENT IN OUR COMMUNITIES, WITH PARTICULAR FOCUS ON SERVING LOW-INCOME, UNINSURED OR OTHERWISE UNDERSERVED. GENESIS NURSES, THERAPISTS, DIABETES COUNSELORS, ADMINISTRATORS AND OTHER PROFESSIONALS PARTICIPATE IN COMMUNITY COALITIONS AND PREVENTION PROGRAMS, PRIMARILY WITH A FOCUS ON ACCESS TO CARE, TRANSPORTATION, FOOD INSECURITY, HOMELESSNESS, DOMESTIC VIOLENCE, FAMILY SERVICES, WELLNESS INITIATIVES, COUNTY HEALTH COALITIONS, COMMUNITY RESOURCES, ADDICTION REDUCTION, ACCIDENT PREVENTION, AND MENTAL HEALTH. THESE ACTIVITIES ARE ALL CAPTURED IN CBISA. COMMUNITY BUILDING ACTIVITIES INCLUDE MEMBERSHIP IN COMMUNITY GROUPS AND ATTENDING MEETINGS, CONFERENCES, AND COLLABORATIVE COMMUNITY EVENTS AND PARTICIPATION IN THE HEALTH ASSESSMENTS AND PLANNING EFFORTS OF LOCAL HEALTH DEPARTMENTS. COMMUNITY BENEFIT BUILDING ACTIVITIES ARE CURRENTLY NOT PART OF THE DOCUMENTATION FOR COMMUNITY BENEFIT.
PART III, LINE 2:	BAD DEBT IS CALCULATED USING GROSS CHARGES.
PART III, LINE 3:	THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE WAS ESTIMATED BASED UPON BAD DEBT A/R RECLASSIFIED IN 2016 TO CHARITY WITH DISCHARGE DATES OF 2015 AND PRIOR.
PART III, LINE 4:	THE FINANCIAL STATEMENT FOOTNOTE RELATED TO BAD DEBT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOOTNOTE 1 "NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES" GROUPED WITH ACCOUNTS RECEIVABLE ON PAGE 8.
PART III, LINE 8:	CALCULATION WAS BASED ON THE MEDICARE COST TO CHARGE RATIO.
PART III, LINE 9B:	ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY (PLS) OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE FROM THE HOSPITAL. AT LEAST THREE SEPARATE COMMUNICATIONS WILL BE MAILED TO THE LAST KNOWN ADDRESS OF THE RESPONSIBLE PARTY ALSO CONTAINING THE PLS. AT LEAST 60 DAYS WILL LAPSE BETWEEN THE FIRST AND THIRD REQUIRED COMMUNICATION. DETAILED ITEMIZED STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST EXCEPT WHERE PROHIBITED BY STATE OR FEDERAL REGULATIONS. ACCOUNTS WITH ZERO BALANCES WILL NOT RECEIVE THREE SEPARATE COMMUNICATIONS; HOWEVER, THESE ACCOUNT HOLDERS MAY ALSO BE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. ALL RESPONSIBLE PARTIES WILL RECEIVE WRITTEN NOTIFICATION REGARDING EXTRAORDINARY COLLECTION ACTIONS (ECA) THAT MAY COMMENCE IF ACTION IS NOT TAKEN. THIRTY DAYS WILL LAPSE BETWEEN ISSUANCE OF NOTIFICATION AND COMMENCEMENT OF ECA. ACTION TAKEN BY THE RESPONSIBLE PARTY CONSTITUTES MAKING PAYMENT ARRANGEMENTS FOR THE AMOUNT DUE OR COMPLETING A FINANCIAL ASSISTANCE APPLICATION. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 120 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. COLLECTION AGENCIES ARE INSTRUCTED TO MAKE PHONE CALLS AND SEND LETTERS. IF THEY CANNOT RESOLVE THE BALANCE, OR HAVE NOT BEEN ABLE TO MAKE PAYMENT ARRANGEMENTS, THE ACCOUNT IS SENT BACK TO GENESIS AS NON-COLLECTIBLE IN 18 MONTHS.
PART VI, LINE 2:	GENESIS HEALTHCARE SYSTEM, AS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, IS DEDICATED TO MEETING THE HEALTH NEEDS OF OUR COMMUNITIES, REGARDLESS OF ONE'S ABILITY TO PAY. WE ENCOURAGE AND SUPPORT COLLABORATION WITH OTHER COMMUNITY PARTNERS TO IDENTIFY, RESPOND TO AND STRIVE TO IMPROVE THE HEALTH-RELATED NEEDS OF THE POOR, THE UNDERSERVED, AND THE COMMUNITY AT LARGE. WE PLEDGE ALL AVAILABLE FINANCIAL RESOURCES - AFTER OUR OPERATING EXPENSES ARE MET - TO RESPOND TO THE COMMUNITY'S HEALTH NEEDS WITH SERVICE INITIATIVES, FINANCIAL AND PROFESSIONAL SUPPORT, AND EDUCATION AND WELLNESS PROGRAMS.THE COMMUNITY BENEFIT COMMITTEE COLLABORATES WITH GENESIS ADMINISTRATION AND DEPARTMENTS AND WITH COMMUNITY AGENCIES IN OUR DEFINED GEOGRAPHIC MARKET, INCLUDING BUT NOT LIMITED TO THE PUBLIC HEALTH DEPARTMENTS, MUSKINGUM VALLEY HEALTH CENTERS, AND THE UNITED WAY, TO ASSESS COMMUNITY HEALTH NEEDS AND STRENGTHS; DEVELOP A COMMUNITY BENEFIT PLAN WITH STRATEGIC GOALS AND INTERVENTIONS; MONITOR IMPLEMENTATION OF COMMUNITY BENEFIT ACTIVITIES; EVALUATE COMMUNITY BENEFIT ACTIVITIES; ADVOCATE FOR THE COMMUNITY BENEFIT PROGRAMS; AND ASSIST IN TELLING THE GENESIS HOSPITAL COMMUNITY BENEFIT STORY.
PART VI, LINE 3:	GENESIS HAS SIGNAGE STRATEGICALLY LOCATED IN THE FACILITY (REGISTRATION AREAS AND CASHIER AREAS) ADVISING OF FREE CARE. BILLING STATEMENTS ALSO CONTAIN THIS INFORMATION ALONG WITH A CHARITY CARE APPLICATION PRINTED ON THE REVERSE SIDE OF THE BILL. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. WE HAVE REGISTRATION STAFF THAT WORK IN THE EMERGENCY DEPARTMENT TO SCREEN PATIENTS FOR POTENTIAL MEDICAID QUALIFIERS IF THE PATIENT ALLOWS. FOR INPATIENTS, WE HAVE RESOURCE COUNSELING STAFF THAT SCREEN SELF-PAY, UNDERINSURED AND MEDICARE ONLY PATIENTS FOR MEDICAID AND/OR CHARITY.
PART VI, LINE 4:	OUR GEOGRAPHIC MARKET AREA IS A SIX-COUNTY RURAL REGION OF SOUTHEAST OHIO, INCLUDING MUSKINGUM, MORGAN, PERRY, COSHOCTON, GUERNSEY AND NOBLE COUNTIES. TOTAL MARKET AREA POPULATION IS APPROXIMATELY 226,800, WITH MUSKINGUM COUNTY (86,818) REPRESENTING THE LARGEST COUNTY. MEDIAN HOUSEHOLD INCOME LEVELS RANGE FROM $37,067 TO $42,017 WHICH IS LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME OF $50,074 AND EVEN LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME OF $53,889. PEOPLE LIVING BELOW POVERTY LEVEL RANGE FROM 15.0% TO 19.0% IN THE REGION VERSES 14.6% FOR THE STATE AND 12.7% FOR THE NATION. CHILDREN IN POVERTY RANGE FROM 18.0% TO 28.0% IN OUR REGION COMPARED TO 20.0% FOR THE STATE OF OHIO.
PART VI, LINE 5:	ONGOING COMMUNITY HEALTH EDUCATION IS PROVIDED THROUGH REGULARLY SCHEDULED HEALTH AND WELLNESS PROGRAMS PRESENTED BY GENESIS STAFF AND AFFILIATED PHYSICIANS. PREVENTATIVE HEALTH SCREENINGS ARE ALSO ROUTINELY SCHEDULED FOR BLOOD PRESSURE, DIABETES, FALL-RISK ASSESSMENTS, THINK-FIRST INJURY PREVENTION FOR CHILDREN AND YOUNG ADULTS, AND I.M.P.A.C.T (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING). PROGRAM TOPICS ARE BASED ON COMMUNITY NEED AS DETERMINED BY FEEDBACK FROM PARTICIPANTS, THE COMMUNITY BENEIFIT COMMITTEE AND SERVICE LINE LEADERS. GENESIS ALSO REGULARLY PROVIDES HEALTH AND WELLNESS PROMOTION THROUGH COMMUNITY-BASED HEALTH FAIRS AND EVENTS HELD THROUGHOUT THE COMMUNITY. CLINICAL EXPERIENCES ARE OFFERED FOR HEALTHCARE STUDENTS AS WELL AS TRAINING OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS.
PART VI, LINE 6:	GENESIS HOSPITAL AND ITS AFFILIATES ARE REACHING OUT TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH COMMUNITY INITIATIVES, MANY BASED ON PREVENTION. SOME EXAMPLES INCLUDE:- PROVIDING CLINICAL EXPERIENCES WITH AFFILIATED PHYSICIANS FOR MEDICAL STUDENTS- NUMEROUS HEALTH SCREENINGS IN CONJUNCTION WITH AFFILIATED PHARMACY- COMMUNITY PROGRAMS ON VARIOUS HEALTH TOPICES PROVIDED BY AFFILIATED PHYSICIANS- GENESIS COMMUNITY AMBULANCE INITIATIVES INCLUDING PARTICIPATION IN PRESENTATIONS THAT SIMULATE DISTRACTED DRIVING ACCIDENTS AT SCHOOLS AND ORGANIZATIONS, PROMOTING THE WELL-BEING OF THE COMMUNITY THROUGH PARAMEDIC ASSISTS AND STANDBYS AT LOCAL EVENTS AND INCREASING PUBLIC AWARENESS OF EMERGENCY MEDICAL SERVICE THROUGH VARIOUS EFFORTS SUCH AS AMBULANCE TOURS

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc
UNITED WAY OF MPM COUNTIES
526 PUTNAM AVENUE	ZANESVILLE	OH	43701	314379456	501(C)(3)	$12,500	GRANTS WERE PAID TO ASSIST IN COMMUNITY IMPACTGRANTS WERE PAID TO ASSIST IN PROVIDING ASSISTANCE FOR COMMUNITY IMPACT PROJECTS
UNITED WAY OF MPM COUNTIES
526 PUTNAM AVENUE	ZANESVILLE	OH	43701	314379456	501(C)(3)	$15,000	CORPORATE DONATION FOR PLEDGE CAMPAIGN
AMERICAN HEART ASSOCIATION
PO BOX 4002907	DES MOINES	IA	50340	135613797	501(C)(3)	$17,000	HEARTCHASE SPONSORSHIP AGREEMENT
AMERICAN CANCER SOCIETY
5555 FRANTZ ROAD	DUBLIN	OH	43017	131788491	501(C)(3)	$6,500	COUNTY SPONSOR
MUSKINGUM VALLEY HEALTH CENTER
716 ADAIR AVENUE	ZANESVILLE	OH	43701	208814374	501(C)(3)		DONATION OF TRIAGE SERVICES	$38,754	FAIR MARKET VALUE
MUSKINGUM VALLEY HEALTH CENTER
716 ADAIR AVENUE	ZANESVILLE	OH	43701	208814374	501(C)(3)	$5,000	PATIENT CARE CHARITABLE FUND
CENTRAL AMERICAN MEDICAL OUTREACH
322 WESTWOOD AVENUE	ORVILLE	OH	44667	341740695	501(C)(3)		DONATION OF SUPPLIES	$253,529	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Total501c3 Org	7	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 ANNUAL COMMUNITY IMPACT DONATION TO THE UNITED WAY, USUALLY MADE IN 4 QUARTERLY INSTALLMENTS, WAS DISCONTINUED AFTER THE JUNE 2017 PAYMENT AS "GENESIS WILL BE RE-DEPLOYING COMMUNITY BENEFIT IMPACT DOLLARS TO COMMUNITY WELLNESS AND HEALTH PROGRAMS THAT GENESIS IS ACTIVELY PROVIDING. GENESIS WILL CONTINUE TO SUPPORT THE ANNUAL CORPORATE DONATION OF $15,000 IN ADDITION TO THE GENESIS EMPLOYEES ANNUAL DONATIONS. THE AMERICAN HEART ASSOCIATION GRANT IS PART OF A 3 YR COMMITMENT FROM 2016-2018 FOR A TOTAL CONTRIBUTION OF $51,000. THIS COMMITMENT WAS AUTHORIZED BY OUR CEO THROUGH A SIGNED AGREEMENT AND IS TO BENEFIT THE LOCAL HEART CHASE PROGRAM OF WHICH GENESIS IS A SPONSOR AND PARTICIPANT. THE AMERICAN CANCER SOCIETY GRANT IS A SPONSORSHIP OF LOCAL ACS EVENTS IN AREA COUNTIES SERVED BY GENESIS. GENESIS ENCOURAGES COMMUNITY AND EMPLOYEE PARTICIPATION IN THESE EVENTS. THE CONTRIBUTION TO THE MUSKINGUM VALLEY HEALTH CENTER PATIENT CARE CHARITABLE FUND IS JUST ONE OF THE MANY WAYS THAT GENESIS WORKS WITH MVHC TO PROVIDE ACCESS TO PRIMARY AND PREVENTIVE CARE SERVICES FOR UNINSURED AND UNDERINSURED RESIDENTS. SEVERAL OF OUR GENESIS PHYSCIANS AND TECHNICAL STAFF MEMBERS WORK CLOSELY WITH MVHC TO HELP MEET THE HEALTH NEEDS OF THE AREA.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	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 (19 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
ERIN REMSTER DO
TRUSTEE	$0	$245,516	$0	$45,320	$0	$0	$0	$5,400	$0	$15,599	$0	$311,835	$0	$0
KRISTY RITCHIE MD
TRUSTEE	$0	$401,403	$0	$100,485	$0	$0	$0	$5,400	$0	$25,310	$0	$532,598	$0	$0
JOHN ZIMMERMAN MD
TRUSTEE	$0	$352,195	$0	$131,509	$0	$0	$0	$8,100	$0	$19,915	$0	$511,719	$0	$0
PAUL MASTERSON
CHIEF FINANCIAL OFFICER	$413,612	$0	$100,983	$0	$0	$0	$196,673	$0	$27,887	$0	$739,155	$0	$0	$0
MATTHEW PERRY
PRESIDENT & CEO	$730,731	$0	$117,113	$0	$0	$0	$583,630	$0	$21,733	$0	$1,453,207	$0	$0	$0
SLOAN ALBERT
CHIEF PNO: 01/01/17 - 09/19/17	$325,572	$0	$93,678	$0	$108,096	$0	$2,427	$0	$21,399	$0	$551,172	$0	$0	$0
CHRISTOPHER SCHOELLES
CHIEF PNO: 12/24/17 - 12/31/17	$179,375	$0	$10,501	$0	$0	$0	$1,625	$0	$14,628	$0	$206,129	$0	$0	$0
ALAN BURNS
COO: 01/01/17 - 07/08/17	$370,422	$0	$90,955	$0	$0	$0	$160,147	$0	$16,309	$0	$637,833	$0	$0	$0
SHARON PARKER
COO: 07/09/17 - 12/31/17	$196,068	$0	$10,200	$0	$0	$0	$3,900	$0	$17,458	$0	$227,626	$0	$0	$0
WENDY CEDOZ
CHIEF LEGAL OFFICER	$295,789	$0	$74,250	$0	$0	$0	$2,694	$0	$34,335	$0	$407,068	$0	$0	$0
DIANNA LEVECK
CHIEF HUMAN RESOURCES OFFICER	$336,055	$0	$69,498	$0	$0	$0	$7,870	$0	$15,239	$0	$428,662	$0	$0	$0
ABBY NGUYEN
CHIEF NURSING OFFICER	$263,478	$0	$64,350	$0	$0	$0	$6,004	$0	$24,706	$0	$358,538	$0	$0	$0
EDMUND ROMITO
CHIEF INFORMATION OFFICER	$342,638	$0	$82,914	$0	$0	$0	$29,876	$0	$18,181	$0	$473,609	$0	$0	$0
DANIEL SCHEERER MD
CHIEF MEDICAL AFFAIRS OFFICER	$328,606	$0	$79,695	$0	$0	$0	$47,260	$0	$17,789	$0	$473,350	$0	$0	$0
SHAWN ROARK
VICE PRESIDENT	$120,000	$0	$82,049	$0	$0	$0	$0	$0	$0	$0	$202,049	$0	$0	$0
MICHAEL NORMAN
VICE PRESIDENT	$182,079	$0	$9,372	$0	$0	$0	$0	$0	$14,810	$0	$206,261	$0	$0	$0
LES BOYER
DIRECTOR	$151,061	$0	$12,985	$0	$0	$0	$104	$0	$27,386	$0	$191,536	$0	$0	$0
CHERYL JORGE
DIRECTOR	$136,925	$0	$31,549	$0	$0	$0	$4,212	$0	$15,666	$0	$188,352	$0	$0	$0
GREGORY HAMILTON
DIRECTOR	$151,402	$0	$11,747	$0	$0	$0	$4,595	$0	$11,569	$0	$179,313	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

THE ORGANIZATION PAYS COUNTRY CLUB DUES AND RELATED BUSINESS EXPENSES FOR MEMBERS OF SENIOR LEADERSHIP. PERSONAL USAGE IS PAID BY THE INDIVIDUAL AND THE PERCENTAGE OF DUES RELATED TO PERSONAL USAGE ARE ADDED TO THE INDIVIDUALS W-2.

PART I, LINES 4A-B

LINE 4A: A SEVERANCE PAYMENT IN THE AMOUNT OF $108,096 WAS REMITTED TO SLOAN ALBERT DURING 2017. LINE 4B: A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: MATTHEW PERRY: $576,136 PAUL MASTERSON: $175,751 ALAN BURNS: $140,564 EDMUND ROMITO: $21,776 DANIEL SCHEERER, MD: $41,860

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

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

Issuer Name IssuerName

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

Field	Value	IRS element (for citing)
Bond Issuer EIN	316400082	BondIssuerEIN
Bond Issued	2017-09-19	BondIssuedDt
Issue Price	$10,000,000	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$2,306,839	TotalProceedsAmt
Issuance Costs From Proceeds	$100,500	IssuanceCostsFromProceedsAmt
Capital Expenditures	$2,206,339	CapitalExpendituresAmt
Substantial Completion	2017	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 6	$46,879,891 WAS SPENT ON THE ISSUE DATE OF THE SERIES 2013 BONDS TO CURRENTLY REFUND A TAXABLE LOAN. THEREFORE, AS OF 12/31/2016, THERE ARE $0 PROCEEDS IN REFUNDING ESCROW.
PART I, LINE A(F)	(I) CURRENTLY REFUND A TAXABLE LOAN FOR CERTAIN HOSPITAL REVENUE BONDS; AND (II) FINANCE CERTAIN CAPITAL IMPROVEMENT PROJECTS FOR HOSPITAL FACILITIES

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	THE HIM DEPARTMENT, INCLUDING A DIRECTOR AND MANAGER, WAS OUTSOURCED IN 2015. DURING 2017, A TOTAL OF $4.65M IN FIXED MONTHLY FEES WAS PAID TO THE MANAGEMENT COMPANY AND INCLUDED ALL PERSONNEL SALARY, WAGE AND BENEFIT COSTS. FEES ARE PART OF AN INITIAL 5 YEAR AGREEMENT AND WERE BASED ON A REVIEW OF ANNUAL VOLUME OF MEDICAL RECORDS PROCESSED.
FORM 990, PART VI, SECTION A, LINE 6	FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., AND BETHESDA CARE SYSTEM (OR THEIR RESPECTIVE SUCCESSORS AN ASSIGNS) ARE THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS REVIEWED IN ITS ENTIRETY BY THE CFO. AN OVERVIEW OF THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE. A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS VIA A WEB PORTAL FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY STATES THAT BOARD MEMBERS AND OFFICERS HAVE A DUTY TO GOVERN HONESTLY AND ECONOMICALLY. ALL POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE BOARD WILL DETERMINE IF A CONFLICT EXISTS AND APPROPRIATE PROCEDURES TO MITIGATE THE SITUATION, SUCH AS ALTERNATIVE TRANSACTIONS AND PARTICIPATION AND VOTING RESTRICTIONS. THE COMPLIANCE OFFICER MONITORS AND ENFORCES THESE POLICIES. ALL OFFICERS AND DIRECTORS REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE CEO IS MANAGED THROUGH A THIRD PARTY THAT IS A NATIONALLY RECOGNIZED FIRM SPECIALIZING IN COMPENSATION BENCHMARKING AND ANALYSIS. THE FIRM IS RECOGNIZED FOR THEIR EXPERTISE IN EVALUATING TOTAL COMPENSATION AT THE EXECUTIVE LEVEL. THIS FIRM PRESENTS THEIR RECOMMENDATIONS AND ANALYSIS TO THE COMPENSATION COMMITTEE, WHICH IS MADE UP OF INDEPENDENT MEMBERS OF THE GENESIS BOARD OF DIRECTORS. THE COMMITTEE IS RESPONSIBLE FOR MAKING A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING THE EXECUTIVE COMPENSATION POLICY AND SPECIFIC COMPONENTS OF THE TOTAL COMPENSATION OF THE CEO. THE CEO IS ACTIVELY INVOLVED IN THE REVIEW, ANALYSIS AND RECOMMENDATION RELATED TO THE TOTAL COMPENSATION FOR THE REMAINING MEMBERS OF THE SENIOR LEADERSHIP TEAM. THE CEO DETERMINES THE COMPENSATION OF THE SENIOR LEADERSHIP TEAM MEMBERS WITHIN THE PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE. THIS COMPENSATION PROCESS WAS LAST COMPLETED IN 2016.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART IX, LINE 11G	BILLING AND COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,570,915. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,570,915. LAUNDRY SERVICE: PROGRAM SERVICE EXPENSES 1,416,881. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,416,881. INPATIENT TRANSPORT: PROGRAM SERVICE EXPENSES 129,688. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,688. COURIER SERVICE: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 722,596. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 722,596. MEDICAL AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 14,630,539. MANAGEMENT AND GENERAL EXPENSES 1,254,303. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,884,842. CONTRACT LABOR: PROGRAM SERVICE EXPENSES 3,172,991. MANAGEMENT AND GENERAL EXPENSES 4,950,753. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,123,744. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 5,172,177. MANAGEMENT AND GENERAL EXPENSES 3,082,704. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,254,881. CONSULTING: PROGRAM SERVICE EXPENSES 396,756. MANAGEMENT AND GENERAL EXPENSES 1,369,337. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,766,093. SPONSORSHIP FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,381,032. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,381,032.
FORM 990, PART XI, LINE 9:	GAIN IN FAIR VALUE OF PERPETUAL TRUST 4,473,538. PLEDGE RECEIVABLE FROM RELATED PARTY -37,929,396. RESERVE FOR COSHOCTON COUNTY MEMORIAL 6,936. CONTRIBUTED CAPITAL 40,000. INCOME FROM INVESTMENT IN COMMUNITY AMBULANCE SERVICES 248,898.
FORM 990, PART XII, LINE 2C:	THE FINANCE COMMITTEE OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PAGE 1, LINE H(D):	THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

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

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARELIFE LLC
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311128717	PHYSICIAN SERVICES, CHILDCARE SERVICES, PHARMACY, DME	OH	GENESIS HEALTHCARE SYSTEM	C	-$37,654,287	$27,854,367	1.00000	Yes (1)
SOUTHEAST OHIO MEDICAL INSURANCE COMPANY
				980436356	CAPTIVE INSURANCE COMPANY		GENESIS HEALTHCARE SYSTEM	C			1.00000	Yes (1)	FIRST CARIBBEAN HOUSE	GEORGE TOWN	CAYMAN ISLANDS	CJ	CJ

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

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CARELIFE LLC
S	$1,408,221	ACCRUAL TRANSACTION
CARELIFE LLC
R	$5,267,265	ACCRUAL TRANSACTION
GENESIS HEALTHCARE SYSTEM GROUP
Q	$248,256	ACCRUAL TRANSACTION
GENESIS HEALTHCARE SYSTEM GROUP
S	$2,091,019	ACCRUAL TRANSACTION
GENESIS HEALTHCARE SYSTEM GROUP
O	$225,256	ACCRUAL TRANSACTION
COMMUNITY AMBULANCE SERVICE
M	$979,447	ACCRUAL TRANSACTION
COMMUNITY AMBULANCE SERVICE
S	$1,236,000	CAPITAL DISTRIBUTION
BETHESDA HOSPITAL ASSOCIATION
S	$144,986	INTERCOMPANY PAYMENT
BETHESDA HOSPITAL ASSOCIATION
Q	$148,000	INTERCOMPANY PAYMENT