2017-02-15T09:37:26-06:00 2016-06-30 420714325 RSM US LLP 201 N HARRISON STREET SUITE 300 DAVENPORT IA 528011999 990 2015-07-01 421418847 GENESIS HEALTH SYSTEM GENE 5634216508 1227 E RUSHOLME DAVENPORT IA 528032498 MARK G ROGERS V.P. FINANCE/CFO GHS & ASST. TREAS. 5634216508 2017-02-13 1 JOHN J ROMANO P00227323 5638884000 2015 2021-01-29 14:40:06Z MARK G ROGERS 1227 E RUSHOLME DAVENPORT IA 528032498 709696039 0 X WWW.GENESISHEALTH.COM X 1994 IA GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. 19 8 4813 535 1545326 440582 4352559 3766838 466944781 487134364 28934100 17723846 3638302 894191 503869742 509519239 2269908 3162814 0 0 232052767 247704075 0 0 0 210505375 226371609 444828050 477238498 59041692 32280741 790628796 830383136 272330223 302269294 518298573 528113842 X GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. 0 0 335698029 3162814 370819136 GENESIS HEALTH SYSTEM (GHS IOWA) IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA CONSISTING OF THREE HOSPITAL FACILITIES, TWO IN DAVENPORT AND ONE IN DEWITT, IOWA. GENESIS MEDICAL CENTER - DAVENPORT, CONTAINING 502 LICENSED ACUTE CARE BEDS. STATISTICS INCLUDE 74,294 PATIENT DAYS, 19,567 PATIENT DISCHARGES, AND 215,841 OUTPATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS AND 77 LONG-TERM CARE BEDS. STATISTICS INCLUDE 1,943 PATIENT DAYS, 268 PATIENT DISCHARGES, AND 20,378 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING. 97591615 81201002 GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA), CONSISTS OF 45 CLINICS AND 159 PHYSICIANS ENCOMPASSING A WIDE VARIETY OF SPECIALTIES AND FAMILY PRACTICE GROUPS SERVING IOWA, ILLINOIS AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND WESTERN ILLINOIS. STATISTICS INCLUDE TOTAL PRACTITIONER HOURS 276,058 AND RVU'S (RELATIVE VALUE UNITS) 883,930. 25445829 32719716 GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES HOME HEALTH SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING, MEDICAL SOCIAL WORKER VISITS, AND THE HOSPICE HOUSE THAT CARES FOR TERMINALLY ILL PATIENTS. STATISTICS INCLUDE 140,792 HOME HEALTH VISITS AND 56,522 HOSPICE/HOSPICE HOUSE DAYS. 1977393 1412431 GENESIS ACCOUNTABLE CARE ORGANIZATION (ACO) IS A SINGLE MEMBER IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS RELATED TO THE CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM (GHS IOWA) IS THE SOLE MEMBER OF GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC. FOR INCOME TAX AND INFORMATIONAL RETURN PURPOSES, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC IS A DISREGARDED ENTITY AND IS INCLUDED WITHIN THE GHS IOWA'S INCOME TAX AND INFORMATIONAL RETURNS. 1977393 1412431 460712866 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 357 0 1 4813 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 19 8 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 IL X MARK G ROGERS 5634216508 1227 E RUSHOLME DAVENPORT IA 528032498 X STEVEN C BAHLS VICE CHAIR 8.00 X X 0 0 0 MARK D BAWDEN DIRECTOR 4.00 X 0 0 0 PETER J BENSON DIRECTOR 4.00 X 0 0 0 GREGORY J BUSH TREASURER 4.00 X X 0 0 0 CHRISTOPHER J COX DIRECTOR 4.00 X 0 0 0 EDMUND P COYNE JR MD DIRECTOR 4.00 X 0 0 0 DOUGLAS P CROPPER PRESIDENT/CEO GHS 60.00 X X 1066467 0 148024 PATRICIA S GROVES PHD RN DIRECTOR 4.00 X 0 0 0 ROGER J HILL SECRETARY 4.00 X X 0 0 0 MARK C KILMER DIRECTOR 4.00 X 0 0 0 JAMES W KOEHLER DIRECTOR 4.00 X 0 0 0 GEORGE J KONTOS JR MD DIRECTOR 40.00 X 473483 0 21215 DAVID C LARSON DIRECTOR 4.00 X 0 0 0 CHARLENE E MAASKE DIRECTOR 4.00 X 0 0 0 EDWIN V MOTTO MD DIRECTOR 10.00 X 0 0 0 EDWARD J ROGALSKI PHD DIRECTOR 10.00 X 0 0 0 G CHRISTOPHER WAHLIG CHAIR 10.00 X X 0 0 0 C DANA WATERMAN III DIRECTOR 2.10 X 0 0 0 CAROL A WATSON PHD RN CENP FAAN FORMER DIRECTOR 4.00 X 0 0 0 DALE D ZUDE DIRECTOR 4.00 X 0 0 0 MARK G ROGERS V.P. FINANCE/CFO/ASST TREASURER 40.00 X 501445 0 70249 HAROLD L WAGHER CHIEF COMPLIANCE RISK OFFICER/ASST SECRETARY 40.00 X 239704 0 17468 KURT A ANDERSEN MD PRESIDENT GHG 40.00 X 478592 0 82061 CHRISTOPHER CROME PHYSICIAN/DIVISION CHAIR 40.00 X 426310 0 16831 DALE GIESS PHYSICIAN-CARDIOTHORACIC 40.00 X 909409 0 4721 NIDAL HARB CHIEF MEDICAL OFFICER 40.00 X 502046 0 123942 JOSEPH BROOKS PHYSICIAN 40.00 X 480106 0 19129 NATHAN MELOY MD PHYSICIAN 40.00 X 646941 0 19246 MATTHEW NEIL PHYSICIAN 40.00 X 488157 0 22216 TODD RIDENOUR MD PHYSICIAN 40.00 X 866525 0 22407 JACQUELYN SALAS MD PHYSICIAN 40.00 X 516758 0 10651 JACQUELINE K ANHALT FORMER V.P. PATIENT SERVICES 40.00 X 247883 0 80370 WAYNE A DIEWALD FORMER PRESIDENT GMC DAVENPORT 40.00 X 234695 0 487 ROBERT W FRIEDEN FORMER V.P. INFORMATION SERVICES 40.00 X 383400 0 25349 RICHARD M KISHIUE MD FORMER PRESIDENT, GHG 40.00 X 357516 0 12483 GEORGE KOVACH FORMER V.P. MEDICAL STAFF AFFAIRS 40.00 X 151466 0 39693 WILLIAM LANGLEY FORMER EXECUTIVE DIRECTOR ACO 40.00 X 301673 0 52946 JOSEPH L LOHMULLER MD FORMER CHIEF MEDICAL OFFICER 40.00 X 135156 0 0 KEVIN L YOUMANS FORMER PRESIDENT GMC SILVIS 40.00 X 272162 0 79394 9679894 0 868882 270 1 1 0 JE DUNN CONSTRUCTION COMPANY 1001 LOCUST STREET KANSAS CITY MO 64106 CONSTRUCTION SERVICES 13422223 FINDORFF ESTES LLC 300 S BEDFORD MADISON WI 53703 CONSTRUCTION SERVICES 9985221 MEDEFIS INC PO BOX 5068 NEW YORK NY 10087 MEDICAL PROFESSIONAL SERVICES 3158368 RENOVO SOLUTIONS LLC 1801 E PARKCOURT PLACE BLDG D STE SANTA ANA CA 92701 ASSET MANAGEMENT SERVICES 2163039 EMERGENCY CARE AND HEALTH 1S443 SUMMIT AVENUE SUITE 302 OAKBROOK TERRACE IL 60181 ED PROFESSIONAL SERVICES 1557374 55 1273948 1671072 821818 162499 3766838 OUTPATIENT REVENUE 621400 557371712 557371712 INPATIENT REVENUE 900099 488517879 488517879 CLINIC/NURSING REVENUE 621400 201126277 201126277 HOME HEALTH/PROFESSIONAL SERVICES 621400 11362140 9816814 1545326 RESIDENT/LONG TERM CARE 624100 5078557 5078557 -776322201 -776322201 487134364 13037418 13037418 202915100 1511201 198004828 1735045 4910272 -223844 4686428 4686428 767871 436927 330944 330944 VENDOR REBATES 900099 200824 200824 NUTRITIONAL SERVICES 900099 103070 103070 AMBULANCE 900099 44533 44533 214820 214820 563247 509519239 486152285 1545326 18054790 X 3074880 3074880 87934 87934 4773311 2165393 2607918 109576 109576 208282916 203001679 5281237 4052440 4047242 5198 16173873 16167335 6538 14311959 13912230 399729 3518864 1652858 1866006 1565285 1565285 297917 297917 86165 7500 78665 692488 692488 69100269 68352154 748115 1668042 1354610 313432 7901919 7319739 582180 2426271 2320048 106223 17759858 15704642 2055216 2050621 1608293 442328 712879 680706 32173 2502390 2502390 25699570 25385861 313709 763879 763879 FEDERAL AND STATE INCOM 90082 83202 6880 PATIENT SUPPLY COST OF 41327500 41327500 MEDICAL AND PHARMACEUTI 39072150 39070480 1670 FOOD, BEVERAGES, AND OT 6569645 6022155 547490 2565815 2127378 438437 477238498 460712866 16525632 0 14763086 17231068 67759595 83734562 73990866 79517999 30015269 25817168 10734722 11121056 96310167 62848115 684217181 445035136 194139506 239182045 208887795 214111204 63726643 66124874 473348 473348 29827799 30221697 790628796 830383136 59679140 80863740 186717996 179157606 25933087 42247948 272330223 302269294 X 503072280 513775469 15226293 14338373 518298573 528113842 790628796 830383136 X 32280741 -3256088 -19209384 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 1 3000 1 145013 0 1 78665 226678 0 PART II-B, LINE 1: PART II-B, LINE 1B, PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS IOWA) 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. ALSO, ON FEBRUARY 24, 2016, 39 GHS IOWA 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. PART II-B, LINE 1D, MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM (GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GHS IOWA REGARDING THIS ACTIVITY. PART II-B, LINE 1F, GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GENESIS HEALTH SYSTEM (GHS IOWA) PRESENTED ONE GRANT TO ONE ORGANIZATION: 1.) QUAD CITIES CHAMBER - IOWA LEGISLATIVE LUNCHEON 2016, $3,000. PART II-B, LINE 1G, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD 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 RELATED TO THEIR LOBBYING ACTIVITIES INCLUDED: SALARIES - $127,267, AND MILEAGE/TRAVEL EXPENSES - $1,580. ALSO, ON FEBRUARY 26, 2016, 39 GHS IOWA STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO FAIR MEDICAID SYSTEM AND TELEHEALTH ADVANCEMENT. THE DIRECT COSTS INCLUDED: SALARIES - $15,091 AND TRAVEL EXPENSES - $1,075. PART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2015, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM RLW STRATEGIES, LLC AT A COST OF $7,500. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 21% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $26,981, 22.12% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,151, 60% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $7,245, AND VARIOUS OTHER ASSOCIATIONS - $24,788. 11227334 1087419 -178681 55342 12080730 9123481 1985014 118839 11227334 7838024 374838 910619 9123481 7633243 2101 561816 359136 7838024 5519844 2014051 99448 100 7633243 0.44630 0.55370 0 1 1 31133493 31133493 227399761 139019800 88379961 23947809 18812693 5135116 319324461 269497409 49827052 82411657 17705234 64706423 239182045 INVESTMENT IN GENVENTURES, INC 26775761 C INVESTMENT IN MISERICORDIA ASSURANCE COMPANY, LTD. 120000 C INVESTMENT IN HEI COOP 3731142 C INVESTMENT IN SPRING PARK SURGERY CENTER, LLC 3231734 C INVESTMENT IN GENGASTRO, LLC 23628202 C INVESTMENT IN GENORTHO, LLC 1816416 C INVESTMENT IN GENRAD IMAGING, LLC 2973581 C INVESTMENT IN GENESIS ONCOLOGY CO-MANAGEMENT, LLC 66849 C OTHER INVESTMENTS - GMC 28655 F INVESTMENT IN UNIVERSITY OF IOWA HEALTH ALLIANCE, LLC 924525 C INVESTMENT IN DAVITA DIALYSIS, LLC 2828009 C 66124874 ACCRUED PENSION LIABILITY 22100000 ACCRUED INS TRUST LOSSES 1810798 NONQUALIFIED PENSION LIABILITY 15363623 LT DEFERRED EXPENSE CREDIT 353793 RETIREMENT SAVINGS 2619734 42247948 X 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 ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, 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 ILLINIOS, 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, 2012 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, 2012 AND PRIOR. THERE WERE NO UNCERTAIN TAX POSITIIONS AS OF JUNE 30, 2016 AND 2015. CENTRAL AMERICAN AND THE CARIBBEAN 0 0 INVESTMENTS 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 1 X 1 X 1 X 1 1 0 1 1 3672196 3672196 0.00770 76392357 60746569 15645788 0.03280 80064553 60746569 19317984 0.04050 672665 672665 0.00140 3200657 2195563 1005094 0.00210 7966830 6451121 1515709 0.00320 293331 293331 0.00060 581173 581173 0.00120 12714656 8646684 4067972 0.00850 92779209 69393253 23385956 0.04900 34005 34005 0.00010 72157 72157 0.00020 151 151 0.00000 20414 20414 0.00000 22667 22667 0.00000 149394 149394 0.00030 1 12729927 125217923 125486700 -268777 X 1 1 1 GENGASTRO LLC AMBULATORY SURGERY CENTER 0.75000 0.00000 0.25000 2 GENORTHO LLC ORTHOPAEDIC SURGERY CENTER 0.50000 0.00000 0.50000 3 SPRING PARK SURGERY CENTER LLC OUTPATIENT SURGICAL CENTER 0.45000 0.00000 0.55000 4 GENRAD IMAGING LLC DIAGNOSTIC IMAGING CENTER 0.50000 0.00000 0.50000 5 GENESIS ONCOLOGY CO-MANAGEMENT LLC ONCOLOGY PROGRAM MANAGEMENT 0.10000 0.00000 0.90000 6 DAVITA DIALYSIS LLC OUTPATIENT DIALYSIS CENTER 0.20000 0.16000 0.64000 2 1 GENESIS MEDICAL CENTER - DAVENPORT 1227 E RUSHOLME STREET DAVENPORT IA 52803 WWW.GENESISHEALTH.COM 820011H X X X 2 GENESIS MEDICAL CENTER - DEWITT 1118 11TH STREET DEWITT IA 52742 WWW.GENESISHEALTH.COM 230149H X X X X GENESIS MEDICAL CENTER - DAVENPORT 1 0 0 1 X X X X X X X X 15 1 1 1 1 X WWW.GENESISHEALTH.COM/COMMUNITY X 1 15 1 WWW.GENESISHEALTH.COM/COMMUNITY 0 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X WWW.GENESISHEALTH.COM X WWW.GENESISHEALTH.COM X WWW.GENESISHEALTH.COM X X X X 1 X 0 X X X X 1 X 0 0 GENESIS MEDICAL CENTER - DEWITT 2 0 0 1 X X X X X X X X X 13 1 1 0 1 X WWW.GENESISHEALTH.COM/COMMUNITY X 1 13 1 WWW.GENESISHEALTH.COM/COMMUNITY 0 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X WWW.GENESISHEALTH.COM X WWW.GENESISHEALTH.COM X WWW.GENESISHEALTH.COM X X X X X 1 X 0 X X X X 1 X 0 0 GENESIS MEDICAL CENTER - DAVENPORT PART V, SECTION B, LINE 5: FOR OVER A DECADE, COMMUNITY HEALTH CARE, GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), QUAD CITY HEALTH INITIATIVE (QCHI), ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, AND UNITY POINT HEALTH- TRINITY HAVE BEEN COLLABORATING ON IMPROVING HEALTH STATUS AND QUALITY OF LIFE IN THE QUAD CITIES REGION THROUGH THE QUAD CITY HEALTH INITIATIVE (QCHI). OUR COORDINATED ASSESSMENT APPROACH INCLUDED 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 COMMUNITY LEADERS IN SCOTT AND ROCK ISLAND COUNTIES. IN ADDITION, THROUGH QCHI, THE HEALTH SYSTEMS FUNDED A SURVEY AND DATA COLLECTION FOR THE BI-STATE AREA AND HIRED PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) TO CONDUCT THIS WORK. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCORPORATES DATA FROM PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS.THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED 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, ALLOWING FOR DATA TRENDING.TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY - ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS - WAS EMPLOYED. THE PRIMARY ADVANTAGES OF TELEPHONE INTERVIEWING ARE TIMELINESS, EFFICIENCY AND RANDOM-SELECTION CAPABILITIES. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 801 INDIVIDUALS AGE 18 AND OLDER IN THE QUAD CITIES AREA, INCLUDING 402 IN ROCK ISLAND COUNTY AND 399 IN SCOTT COUNTY. IN ADDITION, AN OVERSAMPLE OF 122 ADDITIONAL INTERVIEWS 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 YIELDED A TOTAL OF 87 INTERVIEWS AMONG AFRICAN AMERICAN RESIDENTS AND 101 INTERVIEWS AMONG HISPANIC RESIDENTS (INCLUDING RESPONDENTS REACHED THROUGH BOTH THE RANDOM SAMPLE AND OVERSAMPLE INTERVIEWS). ONCE ALL SURVEYS WERE COMPLETED, THE TOTAL OF 923 INTERVIEWS WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT QUAD CITIES AREA AS A WHOLE. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION AND DATA ANALYSIS WAS CONDUCTED BY PRC.FOR STATISTICAL PURPOSES, THE MAXIMUM RATE OF ERROR ASSOCIATED WITH A SAMPLE SIZE OF 923 RESPONDENTS IS +/-3.3% AT THE 95 PERCENT LEVEL OF CONFIDENCE. IT IS A COMMON AND PREFERRED PRACTICE TO "WEIGHT" THE RAW DATA TO IMPROVE REPRESENTATIVENESS EVEN FURTHER. THIS IS ACCOMPLISHED BY ADJUSTING THE RESULTS OF A RANDOM SAMPLE TO MATCH THE GEOGRAPHIC DISTRIBUTION AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION SURVEYED (POSTSTRATIFICATION), SO AS TO ELIMINATE ANY NATURALLY OCCURRING BIAS. SPECIFICALLY, ONCE THE RAW DATA ARE GATHERED, RESPONDENTS ARE EXAMINED BY KEY DEMOGRAPHIC CHARACTERISTICS (NAMELY GENDER, AGE, RACE, ETHNICITY, AND POVERTY STATUS) AND A STATISTICAL APPLICATION PACKAGE APPLIES WEIGHTING VARIABLES THAT PRODUCE A SAMPLE WHICH MORE CLOSELY MATCHES THE POPULATION FOR THESE CHARACTERISTICS. THUS, WHILE THE INTEGRITY OF EACH INDIVIDUAL'S RESPONSES IS MAINTAINED, ONE RESPONDENT'S RESPONSES MAY CONTRIBUTE TO THE WHOLE THE SAME 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 OBTAINED FROM THE FOLLOWING SOURCES:-CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS (CARES) -CENTERS FOR DISEASE CONTROL & PREVENTION-COMMUNITY COMMONS-ESRI ARCGIS MAP GALLERY-NATIONAL CANCER 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 INVESTIGATION -US DEPARTMENT OF LABOR, BUREAU OF STATISTICSNOTE THAT SECONDARY DATA REFLECT COUNTY-LEVEL DATA. GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 5: TO COMPLETE THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXISTING HEALTH-RELATED DATA WERE COLLECTED VIA THE ONLINE COMMUNITY COMMONS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT TOOL AT HTTP://WWW.COMMUNITYCOMMONS.ORG/MAPS-DATA. THIS SITE ALLOWS FOR IDENTIFICATION OF 87 DISTINCT HEALTH AND SOCIAL INDICATORS AT THE COUNTY LEVEL, ALONG WITH COMPARISONS TO STATE AND NATIONAL DATA, AND HEALTHY PEOPLE 2020 TARGETS, WHERE AVAILABLE. ONCE AN INDICATOR REPORT WAS GENERATED, RELEVANT INDICATORS WERE REVIEWED TO DETERMINE HOW CLINTON AND JACKSON COUNTIES COMPARED TO AVAILABLE STATE/NATIONAL DATA. SEE THE "DETAILED HEALTH INDICATORS" SECTION OF THIS DOCUMENT.INFORMATION GAPS:BECAUSE THIS CHNA RELIES ON EXISTING DATASETS, IT IS LIMITED IN SCOPE TO THOSE INDICATORS CURRENTLY AVAILABLE THROUGH DATABASE COLLECTION. IT DOES NOT INCLUDE A PRIMARY RESEARCH COMPONENT, AND MANY IMPORTANT ISSUES ARE UNADDRESSED (E.G., MENTAL HEALTH, CHILDREN'S HEALTH, ETC.), OR ONLY ADDRESSED MINIMALLY (E.G., ACCESS TO HEALTHCARE). ANOTHER LIMITATION IS THAT MOST MEASURES INCLUDED IN THIS ASSESSMENT REPRESENT DATA THAT ARE SEVERAL YEARS OLD.COMMUNITY STAKEHOLDER INPUT:AS PART OF THIS CHNA, GENESIS MEDICAL CENTER - DEWITT CAMPUS AND JACKSON COUNTY REGIONAL HEALTH CENTER SOUGHT INPUT FROM PUBLIC HEALTH REPRESENTATIVES AND OTHER COMMUNITY STAKEHOLDERS WITH AN INTEREST IN THE HEALTH OF THE COMMUNITY THROUGH A SERIES OF DISCUSSION MEETINGS. ORGANIZATIONS REPRESENTED AT THESE COMMUNITY STAKEHOLDER MEETINGS INCLUDE:-TEDDY CRAWFORD, WESTWING SENIOR LIVING -MICHELE CULLEN, CLINTON COUNTY PUBLIC HEALTH DEPARTMENT -CURT COLEMAN, GMC-DEWITT, ADMINISTRATION -GWEN DEMING, COMMNITY PARTNERSHIP FOR PROTECTING CHILDREN -WANDA HAACK, GMC-DEWITT, PATIENT HEALTH SERVICES JACKSON COUNTY BOARD OF HEALTH -CAROLYN HASSENNMILLER, GMC-DEWITT SOCIAL SERVICES -JENNY KREITER, EARLY CHILDHOOD IOWA/DECAT COORDINATOR -KATHRYN MCKNIGHT, ST. AMBROSE UNIVERSITY SCHOOL OF HEALTH SCIENCES -KATI MCNEME, I-SMILE, VISITING NURSE SERVICES -PAULA RIVER, GMC-DEWITT, COMMUNITY HEALTH LIAISON -LYNN BOPES, JACKSON COUNTY MENTAL HEALTH -CHERYL CURL, JCRHC CHIEF NURSING OFFICER -CURT COLEMAN, JCRHC, ADMINISTRATION -GWEN DEMING, COMMUNITY PARTNERSHIP FOR PROTECTING CHILDREN -PAM DEMOSS, JACKSON COUNTY BOARD OF HEALTH -STEVE FLYNN, JACKSON COUNTY SUPERVISOR -JENNIFER HOPE, JCRHC NURSING SERVICESAN IMPORTANT COMPONENT TO THESE MEETINGS WAS A DISCUSSION OF THE PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. THIS QUALITATIVE INPUT WAS USED TO FURTHER INFORM THE PRIORITIZATION PROCESS DESCRIBED LATER IN THIS SUMMARY. GENESIS MEDICAL CENTER - DAVENPORT PART V, SECTION B, LINE 6A: UNITY POINT HEALTH-TRINITY GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 6A: JACKSON COUNTY REGIONAL HEALTH CENTER GENESIS MEDICAL CENTER - DAVENPORT 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 - DAVENPORT PART V, SECTION B, LINE 11: FOLLOWING THE GENESIS HEALTH SYSTEM'S (GHS IOWA) MISSION ALONG WITH COORDINATING WITH THE QUAD CITY HEALTH INITIATIVE (QCHI) IMPLEMENTATION PLAN, GENESIS MEDICAL CENTER-DAVENPORT WILL BE FOCUSING AND DELIVERING ON THE FOLLOWING PROGRAMS AND RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY:ACCESS TO HEALTHCARE SERVICES:-CARE TEAM CONCEPT TO DEPLOY ALLOWING PROVIDERS TO CARE FOR MORE PATIENTS, MORE EFFICIENTLY-IN ADDITION TO CURRENT CONVENIENT CARE OFFERINGS, RETAIL CLINICS ARE ALSO GOING TO BE DEPLOYED IN HY-VEE FOOD STORES.-NEW HEALTHPLEX COMING TO NORTHWEST DAVENPORT THAT WILL PROVIDE BETTER CARE, CLOSE TO HOMECANCER:-CONTINUED SUPPORT OF THE GENESIS CANCER CARE INSTITUTE, TREATING CANCER WITH THE NEXT GENERATION OF CANCER-FIGHTING TECHNOLOGY--CENTER FOR BREAST HEALTH--CANCER CLINICAL RESEARCH--SUPPORT OF THE GRANT AND VOUCHER PROGRAMS FOR THOSE WITH FINANCIAL NEED-FOUNDING SPONSOR OF THE SUSAN G. KOMENRACE FOR THE CUREHEART DISEASE & STROKE:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL--HEALTH COACHES, NAVIGATORS, CASE MANAGEMENT-TRANSFATFREEQC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM--ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVIS AND MOLINE (41ST ST.), MOLINE (BUTTERWORTH PKWY.)-CONTINUE WORK ON RECRUITING TOP NEUROLOGISTS AND NEUROSURGEONS TO THE QUAD-CITIESNUTRITION, PHYSICAL ACTIVITY, & WEIGHT:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL--HEALTH COACHES, NAVIGATORS, CASE MANAGEMENT-TRANSFATFREEQC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM--ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVIS AND MOLINE (41ST ST.), MOLINE (BUTTERWORTH PKWY.)-METABOLIC SCREENING PROGRAM OFFERED TO COMMUNITY TO REDUCE HEALTH RISK FACTORS, KEEPING COMMUNITY MORE HEALTHY-COLLABORATE/SPONSOR WITH QUAD CITY FOOD HUB TO DEVELOP A "VEGGIE MOBILE" TO BRING AFFORDABLE AND FRESH PRODUCE FROM THE FARMERS' MARKET INTO LOWER-INCOME COMMUNITY "FOOD DESERTS"-GENESIS HEALTHY HEART KITCHEN, EDUCATIONGCOMMUNITY ON HOW TO COOK MORE HEALTHFULLY USING LESS SALT, SUGAR, FAT, ETC.-FLUFREEQC-GENESIS IMMUNIZATION CRM PROGRAM-COMMUNITY HEALTH EDUCATION ON HAND WASHING-RYAN WHITE HIV PROGRAM-SUPPORT OF BE HEALTHY QC AND THE PICH GRANT THROUGH QCHI, TAKING SKIP & SCOUT TO THE CHILDREN OF THE QC TO TEACH ABOUT HEALTHY CHOICES-GENESIS "WELLNESS PROGRAM" OFFERINGS-YMCA MEMBERSHIP DISCOUNT-GENESIS CENTER FOR WEIGHT MANAGEMENT-HEALTHY LIFESTYLE SPONSORSHIPS, SUCH AS: GENESIS FIRECRACKER RUN, BIX 7, AND "INSANE INFLATABLES," AMONG OTHERSMENTAL HEALTH:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL--HEALTH COACHES, NAVIGATORS, CASE MANAGEMENT-GENESIS PSYCHOLOGY ASSOCIATES AND THE EXPANDED IN-PATIENT BEHAVIORAL HEALTH UNIT-SUPPORT OF A MENTAL HEALTH COURT IN SCOTT COUNTY DESIGNED TO KEEP THOSE WITH MENTAL HEALTH NEEDS OUT OF THE CRIMINAL JUSTICE SYSTEM-ADVOCACY IN SUPPORT OF MENTAL HEALTH REFORM-SPONSORSHIP (NAMI)-COMMUNITY HEALTH EDUCATION "MENTAL HEALTH FIRST AID FOR FIRST RESPONDERS" GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 11: FOLLOWING THE GENESIS HEALTH SYSTEM'S (GHS IOWA) MISSION ALONG WITH COORDINATING WITH THE QUAD CITY HEALTH INITIATIVE IMPLEMENTATION PLAN, GENESIS MEDICAL CENTER-DEWITT WILL BE FOCUSING AND DELIVERING ON THE FOLLOWING PROGRAMS AND RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY:NUTRITION, PHYSICAL ACTIVITY & WEIGHT:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL-TRANSFATFREEQC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM-ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVIS AND MOLINE (HEALTHPLEX), MOLINE (BEN BUTTERWORTH PKWY)-COLLABORATE/SPONSOR WITH QUAD CITY FOOD HUB TO FURTHER THE "VEGGIE MOBILE" PROGRAM BRINGING AFFORDABLE AND FRESH PRODUCE FROM THE FARMERS' MARKET INTO LOWER-INCOME "FOOD DESERTS"-GENESIS "WELLNESS PROGRAM" OFFERINGS-YMCA MEMBERSHIP DISCOUNT-GENESIS CENTER FOR WEIGHT MANAGEMENT-HEALTHY LIFESTYLE SPONSORSHIPS, SUCH AS:-GENESIS FIRECRACKER RUN-BIX7-ALCOHOL FREE FAMILY SECTION AT MODERN WOODMEN PARKSUBSTANCE ABUSE - TOBACCO & ALCOHOL:-TOBACCO-SMOKE-FREE CAMPUS-ADVOCACY IN SUPPORT OF SMOKE-FREE PUBLIC PLACES, INCLUDING PARKS-TOBACCO-FREE QC-GENESIS "WELLNESS PROGRAM" OFFERINGS-COMMUNITY HEALTH EDUCATION ON SECOND-HAND SMOKE AND CHILDREN-ALCOHOL-ADVOCACY IN SUPPORT OF TIPS LAW THAT REQUIRES TRAINING FOR THOSE WHO SERVE ALCOHOLIMMUNIZATIONS & INFECTIOUS DISEASES:-FLU FREE QC-GENESIS IMMUNIZATIONS CRM PROGRAM-COMMUNITY HEALTH EDUCATION ON HAND WASHING-RYAN WHITE HIV PROGRAM GENESIS MEDICAL CENTER - DAVENPORT PART V, SECTION B, LINE 22D: GENESIS HEALTH SYSTEM (GHS IOWA) CALCULATES THE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE BASED ON THE HIGHEST COMMERCIAL INSURANCE AND MEDICARE DISCOUNTS. GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 22D: GENESIS HEALTH SYSTEM (GHS IOWA) CALCULATES THE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE BASED ON THE HIGHEST COMMERCIAL INSURANCE AND MEDICARE DISCOUNTS. 72 1 - GENESIS HEART INSTITUTE 1236 E RUSHOLME STREET DAVENPORT IA 52803 O/P CARDIAC DIAGNOSTIC & REHAB CARE 2 - GENESIS IMAGING CENTER 53RD STREET 1970 E 53RD STREET DAVENPORT IA 52507 OUTPATIENT RADIOLOGY SERVICES 3 - CENTRAL PARK MEDICAL PAVILIONS 1 & 2 1351 W CENTRAL PARK AVENUE DAVENPORT IA 52804 O/P CANCER, REHAB, WOUND, NEUROLSURGICAL, & PHYS CLINIC 4 - GENESIS MEDICAL PLAZA 2535 MAPLECREST ROAD BETTENDORF IA 52722 O/P REHAB, PAIN, PHYS THERAPY, SPINE CTR & PHSY CLINIC 5 - VISITING NURSE ASSOC & HOSPICE HOUSE 2535 MAPLECREST ROAD BETTENDORF IA 52272 HOME HEALTH & HOSPICE 6 - ILLINI LARSON CENTER 855 ILLINI DRIVE SILVIS IL 61282 OUTPATIENT LAB & PHYSICIAN CLINIC 7 - BETTENDORF HEALTH PLEX 2140 53RD AVENUE BETTENDORF IA 52722 OUTPATIENT PHYSICIAN CLINIC 8 - VISITING NURSE ASSOC & HOSPICE HOUSE 2546 TECH DRIVE BETTENDORF IA 52722 HOME HEALTH & HOSPICE 9 - BETTENDORF IMAGING CENTER 2140 53RD AVENUE SUITE 40 BETTENDORF IA 52722 OUTPATIENT RADIOLOGY SERVICES 10 - GENESIS HEALTH GROUP 865 LINCOLN ROAD BETTENDORF IA 52722 OUTPATIENT PHYSICIAN CLINIC 11 - MEDICAL OFFICE BUILDING #1 1228 E RUSHOLME STREET DAVENPORT IA 52803 O/P MAMMOGRAPHY & DIALYSIS SERVICES 12 - MOLINE HEALTHPLEX 3900 28TH AVENUE MOLINE IL 61265 OUTPATIENT PHYSICIAN CLINIC 13 - ELDRIDGE FAMILY PRACTICE 301 N 4TH AVENUE ELDRIDGE IA 52748 OUTPATIENT PHYSICIAN CLINIC 14 - VISITING NURSE ASSOC 4711 44TH STREET STE 2 ROCK ISLAND IL 61201 HOME HEALTH & HOSPICE 15 - NORTH FAMILY PRACTICE 210 W 53RD STREET DAVENPORT IA 52806 OUTPATIENT PHYSICIAN CLINIC 16 - GENRAD IMAGING LLC 1970 E 53RD STREET DAVENPORT IA 52807 DIAGNOSTIC IMAGING CENTER 17 - DEWITT WEST WING PLACE 1118 11TH STREET DEWITT IA 52742 OUTPATIENT PHYSICIAN CLINIC 18 - GENGASTRO LLC 2222 53RD AVENUE BETTENDORF IA 52722 AMBULATORY SURGERY CENTER 19 - LOMBARD PHYSICAL THERAPY 1414 W LOMBARD STREET DAVENPORT IA 52804 OUTPATIENT PHYSICAL THERAPY CLINIC 20 - GENESIS HEALTH GROUP - SPECIALTY CLINIC 1007 NW 3RD STREET ALEDO IL 61231 OUTPATIENT REHABILITATION CLINIC 21 - CONVENIENT CARE - DAVENPORT 1520 W 53RD STREET DAVENPORT IA 52806 OUTPATIENT URGENT CARE CLINIC 22 - SCOTT COUNTY YMCA 3800 TANGLEFOOT LANE BETTENDORF IA 52722 OUTPATIENT REHABILITATION CLINIC 23 - GENESIS PHYSICAL REHAB - CROW VALLEY 2300 53RD AVENUE STE LL02 BETTENDORF IA 52722 O/P PHYSICAL THERAPY CLINIC 24 - FAMILY PRACTICE AT WEST CAMPUS 1345 W CENTRAL PARK AVENUE DAVENPORT IA 52804 OUTPATIENT PHYSICIAN CLINIC 25 - DIVISION STREET CLINIC 3618 N DIVISION STREET DAVENPORT IA 52804 OUTPATIENT PHYSICIAN CLINIC 26 - GENORTHO LLC 2300 53RD STREET BETTENDORF IA 52722 ORTHOPEDIC SURGERY CENTER 27 - GENESIS PHYSICAL REHAB - VALLEY FAIR 2300 53RD STREET BETTENDORF IA 52722 O/P PHYSICAL THERAPY CLINIC 28 - ILLINI BUILDING #1 903-05 ILLINI DRIVE SILVIS IL 61282 HOME HEALTH & O/P PHYSICIAN CLINIC 29 - SPRING PARK SURGERY CENTER LLC 3319 SPRING STREET STE 202A DAVENPORT IA 52807 OUTPATIENT SURGICAL CENTER 30 - CONVENIENT CARE - BETTENDORF 4017 DEVILS GLEN ROAD BETTENDORF IA 52722 OUTPATIENT URGENT CARE CLINIC 31 - ILLINI BUILDING #2 1504 10TH STREET SILVIS IL 61282 OUTPATIENT PHYSICIAN CLINIC 32 - GENESIS CONVENIENT CARE - ILLINOIS 2350 41ST STREET MOLINE IL 61265 OUTPATIENT URGENT CARE CLINIC 33 - GENESIS PSYCHOLOGY ASSOCIATES 4455 E 56TH STREET DAVENPORT IA 52804 OUTPATIENT COUNSELING CLINIC 34 - SILVIS ANESTHESIOLOGY 801 ILLINI DRIVE SILVIS IL 61282 OUTPATIENT PHYSICIAN CLINIC 35 - NORTHWEST FAMILY PRACTICE 1520 S 53RD STREET DAVENPORT IA 52806 OUTPATIENT PHYSICIAN CLINIC 36 - GHS OCCUPATIONAL HEALTH - DAVENPORT 3319 SPRING STREET DAVENPORT IA 52807 OUTPATIENT OCCUPATIONAL HEALTH 37 - DEWITT PAVILION 1 1118 11TH STREET DEWITT IA 52742 LONG-TERM NURSING CARE FACILITY 38 - MUSCATINE FAMILY PRACTICE 2104 CEDARWOOD STREET STE 200 MUSCATINE IA 52761 OUTPATIENT PHYSICIAN CLINIC 39 - DEWITT FAMILY PRACTICE 1008 11TH STREET DEWITT IA 52742 OUTPATIENT PHYSICIAN CLINIC 40 - ELDRIDGE PHYSICAL THERAPY 170 S 4TH AVENUE ELDRIDGE IA 52748 OUTPATIENT PHYSICAL THERAPY CLINIC 41 - GHG PULMONARY 1801 E 54TH STREET DAVENPORT IA 52807 OUTPATIENT PHYSICIAN CLINIC 42 - GENESIS CENTER FOR BARIATRIC SURGERY 1230 E RUSHOLME STREET DAVENPORT IA 52803 O/P COMPREHENSIVE BARIATRIC PROGRAM 42 - GHG - MERCY MEDICAL GROUP 221 MAIN AVENUE CLINTON IA 52732 OUTPATIENT PHYSICIAN CLINIC 44 - LECLAIRE FAMILY PRACTICE - RIVERVIEW 200 S CODY ROAD LECLAIRE IA 52751 OUTPATIENT PHYSICIAN CLINIC 45 - IA CITY PEDIATRIC PT CLINIC 2451 CORAL CT CORALVILLE IA 52241 OUTPATIENT PHYSICAL THERAPY CLINIC 46 - SENIOR SERVICES 1345 W CENTRAL PARK AVENUE DAVENPORT IA 52804 OUTPATIENT PHYSICIAN CLINIC 47 - ROCK ISLAND INTERNAL MEDICINE 2560 24TH STREET STE 202 ROCK ISLAND IL 61201 OUTPATIENT PHYSICIAN CLINIC 48 - VISITING NURSE ASSOC & HOSPICE HOUSE 611 N 2ND AVENUE CLINTON IA 52732 HOME HEALTH & HOSPICE 49 - DAVENPORT CLINIC 1820 W 3RD ST DAVENPORT IA 52803 OUTPATIENT PHYSICIAN CLINIC 50 - DEWITT AMBULANCE 1220 11TH STREET DEWITT IA 52742 AMBULANCE SERVICES 51 - DURANT FAMILY PRACTICE 619 5TH STREET DURANT IA 52747 OUTPATIENT PHYSICIAN CLINIC 52 - BLUE GRASS FAMILY MEDICAL 413 S MISSISSIPPI BLUE GRASS IA 52726 OUTPATIENT PHYSICIAN CLINIC 53 - GENESIS OCCUPATIONAL HEALTH 2350 41ST STREET MOLINE IL 61265 OUTPATIENT OCCUPATIONAL HEALTH 54 - GENESIS PHYSICAL THERAPY AT LECLAIRE 1003 CANAL SHORE DRIVE LECLAIRE IA 52751 OUTPATIENT PHYSICAL THERAPY CLINIC 55 - ERIE FAMILY PRACTICE 530 12TH STREET ERIE IL 61205 OUTPATIENT PHYSICIAN CLINIC 56 - GHS - AUGUSTANA PT CLINIC 639 38TH STREET ROCK ISLAND IL 61201 OUTPATIENT PHYSICAL THERAPY CLINIC 57 - DAVENPORT OBGYN (EDGERTON 1510 E RUSHOLME STREET DAVENPORT IA 52803 OUTPATIENT PHYSICIAN CLINIC 58 - GHS - U OF IA PEDIATRIC GASTRO 2222 53RD AVENUE BETTENDORF IA 52722 OUTPATIENT PHYSICIAN CLINIC 59 - EAP - DAVENPORT 1910 E KIMBERLY DAVENPORT IA 52806 COUNSELING SERVICES 60 - GENESIS PLASTIC SURGERY ASSOC 5335 EASTERN AVENUE STE C DAVENPORT IA 52804 OUTPATIENT PHYSICIAN CLINIC 61 - GHG - LOWDEN FAMILY PRACTICE 305 MCKINLEY AVENUE LOWDEN IA 52255 OUTPATIENT PHYSICIAN CLINIC 62 - GENESIS MEDICAL PARK 4017 DEVILS GLEN ROAD STE 100 BETTENDORF IA 52722 OUTPATIENT PHYSICIAN CLINIC 63 - ROCK ISLAND ARSENAL FAMILY PRACTICE 1634 WHITTEMORE STE 101 ROCK ISLAND IL 61299 OUTPATIENT PHYSICIAN CLINIC 64 - PHYSICAL THERAPY & SPORTS MEDICINE 1702 E 53RD STREET DAVENPORT IA 52807 O/P PHYSICAL THERAPY & SPORTS PERF CLINIC 65 - DAV OBGYN 3319 SPRING STREET DAVENPORT IA 52807 OUTPATIENT PHYSICIAN CLINIC 66 - MEDICAL OFFICE BUILDING #2 1230 E RUSHOLME STREET DAVENPORT IA 52803 OUTPATIENT PHYSICIAN CLINIC 67 - ALPHA FAMILY PRACTICE - CAJIGAL A 202 PICARD STREET ALPHA IL 61413 OUTPATIENT PHYSICIAN CLINIC 68 - SILVIS SURGICAL ASSOCIATES 1801 E 54TH STREET DAVENPORT IA 52807 OUTPATIENT PHYSICIAN CLINIC 69 - VISITING NURSE ASSOCIATION KID'S NEST 606 W 2ND STREET DAVENPORT IA 52803 HOME HEALTH (MOM/ BABE PROGRAM) 70 - EAP - MUSCATINE 1605 PLAZA PLACE MUSCATINE IA 52761 COUNSELING SERVICES 71 - EAP - ROCK ISLAND 2100 18TH AVENUE ROCK ISLAND IL 61201 COUNSELING SERVICES 72 - EAP - CLINTON 1127 N 2ND STREET CLINTON IA 52732 COUNSELING SERVICES PART I, LINE 3C: NOT APPLICABLE PART I, LINE 6A: GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) PART I, LINE 7: GENESIS HEALTH SYSTEM (GHS IOWA) UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO. THE CALCULATED COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID. COSTS OF THE "OTHER BENEFITS" REPORTED IN 7E -7I WERE COMPILED THROUGHOUT THE YEAR IN THE COMMUNITY BENEFIT DATABASE (I.E., CBISA) THAT GHS IOWA 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 19.48%, AND THE PERCENTAGE INCREASES TO 45.84% IF MEDICARE COST REPORT ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE. PART II, COMMUNITY BUILDING ACTIVITIES: ECONOMIC DEVELOPMENT (F2): COUNCIL AND CHAMBER - GENESIS HEALTH SYSTEM (GHS IOWA) SUPPORTS EMPLOYEE INVOLVEMENT ON LOCAL COUNCIL AND CHAMBER COMMITTEES.GRANTS TO COMMUNITY BUSINESSES - GHS IOWA SUPPORTS ITS COMMUNITY BY GIVING GRANTS TO LOCAL BUSINESSES TO IMPROVE ECONOMIC DEVELOPMENT AND RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER TAX-EXEMPT ORGANIZATIONS.COMMUNITY SUPPORT (F3): DISASTER READINESS - GHS IOWA PARTICIPATES IN COMMUNITY WIDE DISASTER READINESS DRILLS THROUGHOUT THE YEAR TO ENSURE ITS PREPAREDNESS FOR AN ARRAY OF DISASTERS. JUNIOR ACHIEVEMENT - GHS IOWA PARTICIPATES IN A VOLUNTEER PARTNERSHIP WITH JUNIOR ACHIEVEMENT. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT/SAFETY (F7): HEALTH CARE ADVOCACY - - GENESIS HEALTH SYSTEM (GHS IOWA) MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE WITH THE IOWA AND ILLINOIS STATE GOVERNMENTS AND IN WASHINGTON D.C. GENESIS EMPLOYEES PARTICIPATE IN A VOTER VOICE INITIATIVE TO ALSO ADVOCATE ON IMPORTANT HEALTH ISSUESWORKFORCE DEVELOPMENT (F8): PROGRAMS ON HEALTH CAREERS - GHS IOWA PARTNERS WITH THE LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK FORCE SHORTAGE. GHS IOWA 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 ONPATIENT ACCOUNTS PROVIDED BY THIRD-PARTY PAYERS WERE WRITTEN OFF TO A CONTRACTUAL ALLOWANCE ACCOUNT. PART III, LINE 3: GENESIS HEALTH SYSTEM (GHS IOWA) 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 IOWA POLICY BEFORE BEING DEEMED BAD DEBT. GHS IOWA 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 PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. RECEIVABLES DUE FROM MEDICAL OFFICE BUILDING TENANTS AND FROM COMMERCIAL LAUNDRY CUSTOMERS ARE CARRIED AT THE ORIGINAL INVOICE AMOUNT LESS AN ESTIMATE MADE FOR DOUBTFUL ACCOUNTS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS, AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. GENESIS HEALTH SYSTEM (GHS IOWA) 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. 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 HOSPITALS.NO 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 THE COSTS INCURRED BY GHS IOWA IN PROVIDING HEALTHCARE SERVICES TO THE ELDERLY. THE TOTAL MEDICARE SHORTFALL, WHICH INCLUDES FEE SCREEN SERVICES, WAS $268,777. IN 2010, THE PERCENT OF PERSONS 65 YEARS AND OVER IN ROCK ISLAND AND SCOTT COUNTIES WAS 18.6%. IN ACCORDANCE WITH GHS IOWA'S MISSION STATEMENT, "TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED," THE ELDERLY WERE SERVED DESPITE THE TOTAL MEDICARE LOSS OF $268,777. GHS IOWA 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 IOWA IS ONE OF TWO TAX-EXEMPT HEALTHCARE ORGANIZATIONS IN THE COMMUNITY WHO PROVIDE ACCESS TO HEALTHCARE FOR MEDICARE PATIENTS. ACCORDINGLY, IT IS GHS IOWA'S POSITION FOR THE REASONS STATED ABOVE THAT THE TOTAL MEDICARE SHORTFALL OF $268,777 REPRESENTS A COMMUNITY BENEFIT. PURSUANT TO THE INSTRUCTIONS TO THE FORM 990, SCHEDULE H, THE MEDICARE SHORTFALL IS NOT INCLUDED IN PART I, LINE 7. IF THE TOTAL MEDICARE SHORTFALL WAS INCLUDED IN PART I, LINE 7, THEN PART I, LINE 7K, COLUMN F WOULD BE 4.97%. 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 IOWA) UTILIZES THE COMMUNITY HEALTH NEEDS ASSEMSSMENT (CHNA) CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) IN 2015. THE CHNA WAS FUNDED BY GHS IOWA AND UNITY POINT HEALTH- TRINITY AND SPONSORED BY COMMUNITY HEALTH CARE, GHS IOWA, QUAD CITY HEALTH INITIATIVE (QCHI), ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, AND UNITY POINT HEALTH- TRINITY. QCHI WAS FORMED BY GHS IOWA AND GENESIS HEALTH SYSTEM (GHS ILLINOIS) WHICH HAS HEADQUARTERS IN BOTH SCOTT COUNTY, IOWA, AND ROCK ISLAND COUNTY, ILLINOIS, AND UNITY POINT HEALTH-TRINITY, 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 IOWA) PROVIDES PATIENT FINANCIAL COUNSELORS ON EACH HOSPITAL CAMPUS TO DISCUSS OPTIONS WITH THE PATIENTS. PATIENT FINANCIAL SERVICES PREPARES AND PROVIDES A LETTER TO EACH PATIENT, EXPLAINING THEIR CURRENT BALANCE AND ADVISING THEM OF THEIR OPTIONS. A PHONE NUMBER IS PROVIDED WITH THE LETTER ENCOURAGING THE PATIENT TO CALL IF NEEDED. PART VI, LINE 4: GENESIS HEALTH SYSTEM'S (GHS IOWA) MISSION IS TO PROVIDE QUALITY, COMPASSIONATE CARE FOR ALL THOSE IN NEED. GHS IOWA LIVES ITS MISSION EACH DAY BY SERVING A 10-COUNTY REGION OF EASTERN IOWA AND WESTERN ILLINOIS, INCLUDING BOTH URBAN AND RURAL AREAS. THE REGION SERVED BY GHS IOWA (DAVENPORT-MOLINE-ROCK ISLAND, IA.-IL. MSA HENRY COUNTY, IL., MERCER COUNTY, IL, ROCK ISLAND, IL., AND SCOTT COUNTY, IA.) HAS A POPULATION OF 314,557. ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY FIVE YEAR ESTIMATES (2009-2013), WHITES MADE UP 84.2% OF THE MSA POPULATION WITH 8.4% BLACK OR AFRICAN-AMERICAN AND 8.6% HISPANIC OR LATINO ORIGIN. IN THE QUAD CITIES AREA, 23.7% OF THE POPULATION ARE INFANTS, CHILDREN, ADOLESCENTS (AGE 0-17); ANOTHER 61.5% ARE 18-64, WHILE 14.9% ARE AGE 65 AND OLDER. ACCORDING TO ESTIMATES FROM THE AMERICAN COMMUNITY SURVEY (ACS), 31.7% OF QUAD CITIES AREA RESIDENTS (SCOTT AND ROCK ISLAND COUNTIES) LIVE BELOW THE FEDERAL POVERTY. IN 2015, 1.6% OF QUAD CITIES AREA ADULTS REPORTED THAT THERE WAS A TIME IN THE PAST TWO YEARS WHEN THEY WERE LIVING ON THE STREET, IN A CAR, OR IN A TEMPORARY SHELTER. THE AVERAGE UNEMPLOYMENT RATE IN 2014 WAS 6.0% FOR THE QUAD CITIES AREA.LACK OF HEALTH INSURANCE AMONG ADULTS AGE 18 TO 64 IS REPORTED BY 6.2% OF SCOTT COUNTY, IA RESIDENTS AND 7.6% OF ROCK ISLAND COUNTY, IL RESIDENTS. THE QUAD CITIES AREA PERCENTAGE OF ADULTS WHO SMOKED IN 2015 WAS 18%. THE PERCENTAGE OF ADULTS WHO WERE OBESE IN 2015 WAS 36.0% IN ROCK ISLAND COUNTY, ILLINOIS AND 30.7% IN SCOTT COUNTY, IOWA. OBESITY RATES IN BOTH SCOTT COUNTY, IA AND ROCK ISLAND COUNTY, IL ARE HIGHER THAN NATIONAL BENCHMARKS. PART VI, LINE 5: GENESIS HEALTH SYSTEM'S BOARD OF DIRECTORS IS A DIVERSE REPRESENTATION OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA THAT GENESIS HEALTH SYSTEM SERVES. GENESIS HEALTH SYSTEM EXECUTIVES AND EMPLOYEES SERVE ON DOZENS OF VOLUNTEER BOARDS THROUGHOUT THE REGION ON IMPORTANT PROJECTS AND INITIATIVES, SUCH AS HOMELESS SHELTERS, MENTAL HEALTH, DOWNTOWN REDEVELOPMENT AND EVENTS AND FESTIVALS. GENESIS HEALTH SYSTEM EMPLOYEES SERVE THE COMMUNITIES WHERE THEY LIVE BY SERVING IN ELECTED OFFICES IN CITY AND COUNTY GOVERNMENT.GENESIS HEALTH SYSTEM EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. GENESIS HEALTH SYSTEM HAS ENDEAVORED TO IMPROVE ACCESS TO HEALTH CARE FOR THE COMMUNITIES IT SERVES BY PARTICIPATING IN APPROPRIATE JOINT VENTURES THAT OFFER NEEDED HEALTH CARE SERVICES TO UNDER-SERVED AREAS. GENESIS HEALTH SYSTEM SCHEDULES DOZENS OF HEALTH SCREENINGS AND IMMUNIZATIONS THROUGHOUT THE YEAR AT A REDUCED COST. THESE INCLUDE SCREENINGS FOR DIABETES, STROKE AND HEART DISEASE AND PUBLIC FLU IMMUNIZATION CLINICS.GENESIS HAS DONATED FUNDING FOR OUTDOOR EXERCISE COURSES CALLED GENESIS HEALTHBEAT IN DAVENPORT, IA, MOLINE, IL, ALEDO, IL AND DEWITT, IA. GENESIS IS A KEY COMMUNITY PARTNER IN DEVELOPING LET'S MOVE DAVENPORT, A GROUP FORMED IN 2010 TO PROMOTE HEALTH, FITNESS AND GOOD NUTRITION FOR CHILDREN IN DAVENPORT. THE PROGRAM INCLUDES A NUMBER OF EVENTS IN THE SPRING, SUMMER AND FALL TO KEEP SCHOOL-AGE CHILDREN ACTIVE. THE PROGRAM WAS PATTERNED AFTER LET'S MOVE, THE NATIONAL INITIATIVE OF FIRST LADY MICHELLE OBAMA.GENESIS HEALTH SYSTEM PROVIDES TRANSLATION SERVICES BASED ON A PERCENTAGE OF THE DIVERSITY POPULATION.GENESIS HEALTH SYSTEM SPONSORS GENESIS ADVENTURES IN NURSING (GAIN), A CAMP FOR CHILDREN INTERESTED IN HEALTH CARE CAREERS. GENESIS HEALTH SYSTEM EMPLOYEES SERVE AS MENTORS AND INSTRUCTORS DURING CAMP WEEK.GENESIS AND GILDA'S CLUB OF THE QUAD CITIES SPONSOR CAMP GENESIS, A WEEK AT A LOCAL YMCA CAMP FOR CHILDREN WHO ARE DEALING WITH CANCER IN THEIR FAMILIES. KIDS WHO MAY NOT OTHERWISE HAVE THE OPPORTUNITY TO ENJOY A CAMP EXPERIENCE BECAUSE OF THE FINANCIAL STRESS OF A CLOSE RELATIVE FIGHTING CANCER ARE ABLE TO ENJOY A FREE CAMP EXPERIENCE. GENESIS HEALTH SYSTEM EMPLOYEES MAKE MEDICAL MISSION TRIPS EACH YEAR TO AREAS OF NEED ALL OVER THE WORLD. GENESIS HEALTH SYSTEM EMPLOYEES, HAVE PROVIDED RELIEF TO HAITI AFTER THE EARTHQUAKE AND DURING THE CHOLERA OUTBREAK AND TO TRADITIONALLY IMPOVERISHED COUNTRIES, INCLUDING PERU, ECUADOR, THE DOMINICAN REPUBLIC, HAITI AND TO AFRICAN NATIONS. EACH YEAR, GENESIS HEALTH SYSTEM PROVIDES THE COMMUNITY WITH DOZENS OF CLASSES AND EVENTS PROMOTING HEALTH AND HEALTH EDUCATION. HUNDREDS OF RESIDENTS IN THE REGION SERVED BY GENESIS HEALTH SYSTEM LEARN CPR, FIRST AID, PARENTING SKILLS AND NEWBORN CARE BY ENROLLING IN CLASSES.GENESIS HEALTH SYSTEM LAUNCHED A TOBACCO-FREE PARKS PROJECT IN 2013. A PETITION DRIVE WILL ASK COMMUNITIES TO BAN SMOKING WITHIN A DEFINED DISTANCE FROM PLAYGROUNDS, YOUTH ATHLETIC FIELDS AND OTHER AREAS WHERE CHILDREN PLAY AND ENJOY SPORTS EVENTS. HUNDREDS OF PEOPLE HAVE SIGNED THE PETITION.GENESIS HEALTH SYSTEM SUPPLIES MEDICAL SUPPLIES AND EQUIPMENT TO GLOBUS WHICH IS A THIRD PARTY COMPANY THAT HELPS COMPANIES SHARE AND TRANSFER RESEARCH DATA.GENESIS BECAME THE FOUNDING SPONSOR OF THE KOMEN QUAD CITIES RACE FOR THE CURE IN 2011 AFTER BEING INVOLVED AS A SPONSOR SINCE THE INCEPTION OF THE EVENT. THE EVENT SUPPORTS A VOUCHERS PROGRAM FOR FREE MAMMOGRAMS FROM AREA BREAST HEALTH CENTERS, INCLUDING THE KENNETH H. MCKAY CENTER FOR BREAST HEALTH AT GENESIS.GENESIS HEALTH SYSTEM EMPLOYEES MAKE MEDICAL MISSION TRIPS EACH YEAR TO AREAS OF NEED ALL OVER THE WORLD. GENESIS HEALTH SYSTEM EMPLOYEES HAVE PROVIDED RELIEF TO HAITI AND TO TRADITIONALLY IMPOVERISHED COUNTRIES. GENESIS HEALTH SYSTEM HAS REDUCED ITS ENVIRONMENTAL FOOTPRINT ON THE COMMUNITIES IT SERVES BY IMPLEMENTING BULK WASTE RECYCLING, POLYSTYRENE RECYCLING, REDUCING SHARPS DISPOSAL, IMPLEMENTING WATER RUNOFF MEASURES, AND REDUCING WATER AND CHEMICAL USAGE IN THE MEDICAL LAUNDRY INDUSTRY. CRESCENT LAUNDRY, A COMMERCIAL LAUNDRY BUSINESS UNIT OF GENVENTURES, INC., OWNED ENTIRELY BY GENESIS HEALTH SYSTEM, HAS BEEN RECOGNIZED NATIONALLY FOR ITS CONSERVATION METHODS.GENESIS HEALTH SYSTEM MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE IN IOWA AND ILLINOIS STATE GOVERNMENT AND IN WASHINGTON D.C. GENESIS HEALTH SYSTEM EMPLOYEES ALSO PARTICIPATE IN A VOTER VOICE INITIATIVE TO ADVOCATE ON IMPORTANT HEALTH ISSUES WITH CITY, COUNTY, STATE AND NATIONAL ELECTED OFFICIALS. 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 69 RENTABLE APARTMENTS AND 2 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 75.6% OF LCP.GENVENTURES, INC. (GENVENTURES) IS A WHOLLY-OWNED FOR-PROFIT CORPORATION WHICH OPERATES THE FOLLOWING DIVISIONS, PRIMARILY IN THE QUAD CITIES: GENESIS AT HOME, CONTINUING CARE SELLS AND LEASES HOME MEDICAL EQUIPMENT; PROVIDES INTRAVENOUS THERAPY SERVICES, INCLUDING SALES OF RELATED SOLUTIONS AND SUPPLIES TO PATIENTS; AND PROVIDES RETAIL PHARMACEUTICAL AND OVER-THE-COUNTER PRODUCTS TO PATIENTS AND EMPLOYEES OF THE SYSTEM. GENPROPERTIES OWNS, LEASES AND/OR MANAGES OFFICE SPACE IN 18 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 1 GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST 1227 E RUSHOLME STREET DAVENPORT IA 52803 391905171 501(C)(3) 1366761 CLAIM PAYMENTS GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 501(C)(3) 230836 HEALTHCARE RELATED CONTRIBUTIONS GILDA'S CLUB QUAD CITIES 1234 E RIVER DRIVE DAVENPORT IA 52803 421446989 501(C)(3) 45000 ANNUAL INTIMATE CONVERSATIONS SERIES SPONSORSHIP CORN BELT RUNNING CLUB ROAD RUNNERS CLUB OF AMERICA 315 E GEORGE WASHINGTON BLVD DAVENPORT IA 52803 420823980 501(C)(3) 50000 BIX RACE SPONSORSHIP 2016 SUSAN G KOMEN BREAST CANCER 5005 LBJ FREEWAY DALLAS TX 75244 751835298 501(C)(3) 37090 SPONSORSHIP FOR RACE FOR THE CURE QUAD CITY SYMPHONY 327 BRADY STREET DAVENPORT IA 52801 466017663 501(C)(3) 30000 SPONSORSHIP HOLIDAY POPS CONCERT QUAD CITIES CHAMBER OF COMMERCE 130 WEST SECOND STREET DAVENPORT IA 52801 421500610 501(C)(6) 28000 SPONSORSHIP ICESTRAVAGANZA, IA LEGISLATIVE LUNCHEON, RED WHITE AND BOOM SPONSOR AMERICAN HEART ASSOCIATION 460 N LINDBERGH BLVD ST LOUIS MO 63141 135613797 501(C)(3) 5000 HEARTWALK SPONSORSHIP, GALA S16 SPONSOR EDGERTON WOMEN'S HEALTH CENTER INC 1510 E RUSHHOLME STREET DAVENPORT IA 52803 421001341 501(C)(3) 90000 FAMILY PLANNING AND PREVENTIVE PROGRAM DONATION UNITED WAY OF THE QUAD CITIES AREA 852 MIDDLE ROAD SUITE 400 BETTENDORF IA 52722 362725960 501(C)(3) 17326 2014 PLEDGE DONATION VERA FRENCH FOUNDATION 1441 W CENTRAL PARK AVE DAVENPORT IA 52804 421256448 501(C)(3) 15000 SPONSORSHIP THROUGH MY EYES MENTAL AWARENESS EVENT FIRECRACKER RUN 3725 BLACKHAWK ROAD ROCK ISLAND IL 61201 363807313 501(C)(3) 8000 SPONSORSHIP FOR MOLINE'S FOURTH OF JULY RUN QUAD CITIES SPORTS COMMISSION 1601 RIVER DRIVE SUITE 110 MOLINE IL 61265 364088729 501(C)(3) 5000 SPONSORSHIP FOR MISSOURI VALLEY CONFERENCE GENESIS PHILANTHROPY 1227 E RUSHOLME STREET DAVENPORT IA 52803 462452851 501(C)(3) 1079218 FUNDS TO START A COMMUNITY BOARD DESIGNATED FUND AND HEALTHCARE RELATED CONTRIBUTIONS 13 1 GRANTS FOR RESEARCH STUDIES 50 14504 MEDICAL SUPPLIES TO INDIVIDUALS/MEDICAL MISSION 5854 25030 FAIR MARKET VALUE MEDICAL SUPPLIES CAMP GENESIS PROGRAM-CAMP FOR KIDS THAT HAVE BEEN TOUCHED BY CANCER IN THEIR LIVES 97 48400 PART I, LINE 2: THE GENESIS HEALTH SYSTEM (GHS IOWA) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY. X 0 0 X X X X X 1 1 0 0 0 0 0 0 0 DOUGLAS P CROPPER PRESIDENT/CEO GHS 689191 0 233173 0 144103 0 127323 0 20701 0 1214491 0 0 0 GEORGE J KONTOS JR MD DIRECTOR 440479 0 0 0 33004 0 4800 0 16415 0 494698 0 0 0 MARK G ROGERS V.P. FINANCE/CFO/ASST TREASURER 339662 0 90292 0 71491 0 57691 0 12558 0 571694 0 0 0 HAROLD L WAGHER CHIEF COMPLIANCE RISK OFFICER/ASST S 202534 0 36712 0 458 0 3600 0 13868 0 257172 0 0 0 KURT A ANDERSEN MD PRESIDENT GHG 415574 0 34456 0 28562 0 68332 0 13729 0 560653 0 0 0 CHRISTOPHER CROME PHYSICIAN/DIVISION CHAIR 383971 0 21183 0 21156 0 3600 0 13231 0 443141 0 0 0 DALE GIESS PHYSICIAN-CARDIOTHORACIC 849569 0 50000 0 9840 0 0 0 4721 0 914130 0 0 0 NIDAL HARB CHIEF MEDICAL OFFICER 453476 0 43501 0 5069 0 106530 0 17412 0 625988 0 0 0 JOSEPH BROOKS PHYSICIAN 398396 0 0 0 81710 0 2977 0 16152 0 499235 0 0 0 NATHAN MELOY MD PHYSICIAN 645831 0 0 0 1110 0 3600 0 15646 0 666187 0 0 0 MATTHEW NEIL PHYSICIAN 478480 0 3974 0 5703 0 3600 0 18616 0 510373 0 0 0 TODD RIDENOUR MD PHYSICIAN 813463 0 0 0 53062 0 4400 0 18007 0 888932 0 0 0 JACQUELYN SALAS MD PHYSICIAN 494551 0 3276 0 18931 0 3511 0 7140 0 527409 0 0 0 JACQUELINE K ANHALT FORMER V.P. PATIENT SERVICES 215588 0 31489 0 806 0 63755 0 16615 0 328253 0 0 0 WAYNE A DIEWALD FORMER PRESIDENT GMC DAVENPORT 217165 0 17530 0 0 0 487 0 0 0 235182 0 0 0 ROBERT W FRIEDEN FORMER V.P. INFORMATION SERVICES 252180 0 43358 0 87862 0 8461 0 16888 0 408749 0 0 0 RICHARD M KISHIUE MD FORMER PRESIDENT, GHG 308386 0 27306 0 21824 0 4800 0 7683 0 369999 0 0 0 GEORGE KOVACH FORMER V.P. MEDICAL STAFF AFFAIRS 149999 0 0 0 1467 0 38700 0 993 0 191159 0 0 0 WILLIAM LANGLEY FORMER EXECUTIVE DIRECTOR ACO 248503 0 32185 0 20985 0 37991 0 14955 0 354619 0 0 0 JOSEPH L LOHMULLER MD FORMER CHIEF MEDICAL OFFICER 135156 0 0 0 0 0 0 0 0 0 135156 0 0 0 KEVIN L YOUMANS FORMER PRESIDENT GMC SILVIS 232150 0 39165 0 847 0 64328 0 15066 0 351556 0 0 0 PART I, LINE 1A GENESIS HEALTH SYSTEM (GHS IA) PROVIDES THE FOLLOWING TO INDIVIDUALS REPORTS IN PART VII, SECTION A, LINE 1A: TRAVEL FOR COMPANIONS: IN TAX YEAR 2015, THE FOLLOWING TYPES OF LISTED INDIVIDUALS REPORTED IN PART VII RECEIVED THE TRAVEL FOR COMPANIONS BENEFIT: 7 DIRECTORS, 4 OFFICERS, AND 1 KEY EMPLOYEE. ALL INDIVIDUALS REIMBURSED GHS IOWA IN FULL AND NONE OF THE BENEFIT WAS LISTED AS TAXABLE COMPENSATION. PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY FROM GENESIS HEALTH SYSTEM (GHS IOWA) DURING THE CALENDAR YEAR 2015: WAYNE A. DIEWALD - $210,365 AND JOSEPH L. LOHMULLER - $135,156. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON FORM 990, PART VII AND SCHEDULE J, PART II, IF APPLICABLE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2015 SPONSORED BY GHS IOWA: DOUGLAS P. CROPPER - $122,723, ROBERT W. FRIEDEN - $86,920, AND MARK G. ROGERS - $51,595. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2015. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2015 SPONSORED BY GHS IOWA: KURT ANDERSEN - $64,732, JACQUELINE K. ANHALT - $55,734, DOUGLAS P. CROPPER - $122,723, NIDAL HARB - $101,730, GEORGE KOVACH - $37,500, AND MARK G. ROGERS - $51,595. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2015. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. A IOWA FINANCE AUTHORITY 521699886 46246PLP4 2010-06-24 90995000 REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITY 0 0 0 B IOWA FINANCE AUTHORITY 521699886 46246PMG3 2013-11-26 121000000 CONSTRUCT AND EQUIP EAST CAMPUS TOWER 0 0 0 A 30670000 95545195 1478186 23700000 70367009 2010 1 0 1 1 B 125205892 56237884 1267563 68378129 2017 0 0 0 1 A 0 0 1 1 1 1 0.00910 0.00910 0 0 1 B 0 0 1 1 1 1 0.00910 0.00910 0 0 1 A 0 0 1 0 0 0 0 0 1 B 0 0 1 0 1 0 0 0 1 A 1 B 1 SCHEDULE K, PART I, LINE A, COLUMN E & PART II, LINE 3, COLUMN A: A PREMIUM OF $4,550,195 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE. SCHEDULE K, PART I, LINE A, COLUMN E & PART II, LINE 3, COLUMN B: A PREMIUM OF $3,950,091 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE. FURTHERMORE, $862,397 WAS EARNED BY INVESTING THE RESERVE FUNDS. GENVENTURES INC SEE BELOW IN PART V 26589167 GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST. 0 GENVENTURES INC SEE BELOW IN PART V 17348848 GENESIS HEALTH SYSTEM (GHS IOWA) PAID GENVENTURES, INC. FOR FACILITY LEASE PAYMENTS, MEDICAL SUPPLIES, LAUNDRY SERVICES, AND A LOAN ADVANCE. 0 DAVITA RENAL CARE SEE BELOW IN PART V 194409 INVESTMENT IN DAVITA 0 LANE & WATERMAN LLP SEE BELOW IN PART V 911585 LEGAL SERVICES 0 CARDIOVASCULAR MEDICINE PC SEE BELOW IN PART V 828947 HEALTHCARE PROFESSIONAL SERVICES 0 BUSH CONSTRUCTION COMPANY INC SEE BELOW IN PART V 716818 CONSTRUCTION SERVICES 0 QUAD CITY BANK & TRUST COMPANY SEE BELOW IN PART V 203967 INTEREST EXPENSE, DEPOSIT ACCOUNT, CREDIT CARD SERVICE, LOCK BOX FEES, AND INTEREST INCOME 0 HEALTH ENTERPRISES SEE BELOW IN PART V 101314 HEALTHCARE SUPPORT SERVICES 0 LISA ROGALSKI SEE BELOW IN PART V 109576 REPORTABLE COMPENSATION AS AN EMPLOYEE 0 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 OF GENESIS HEALTH SYSTEM (GHS IOWA) AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, MARK G. ROGERS, ROGER J. HILL, AND JAMES W. KOEHLER WERE OFFICERS OF GENVENTURES, INC. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - DAVITA RENAL CAREEDWIN V. MOTTO, M.D. IS A DIRECTOR ON THE BOARD OF GENESIS HEALTH SYSTEM (GHS IOWA) AND IS ALSO ON THE BOARD OF DAVITA RENAL CARE AND HAS A PERCENTAGE OF OWNERSHIP IN DAVITA RENAL CARE. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - LANE & WATERMAN LLPC. DANA WATERMAN III IS A DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA) AND A MANAGING PARTNER OF LANE & WATERMAN LLP. 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 IOWA) AND IS ALSO A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - BUSH CONSTRUCTION COMPANY, INC.GREGORY J. BUSH IS AN OFFICER OF GENESIS HEALTH SYSTEM (GHS IOWA) AND IS ALSO THE CHAIRMAN OF BUSH CONSTRUCTION COMPANY. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - QUAD CITY BANK & TRUST COMPANYPETER J. BENSON AND MARK C. KILMER ARE DIRECTORS OF GENESIS HEALTH SYSTEM (GHS IA). PETER J. BENSON IS AN OFFICER OF QUAD CITY BANK & TRUST COMPANY, AND MARK C. KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST COMPANY. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - HEALTH ENTERPRISESDOUGLAS P. CROPPER IS THE BOARD PRESIDENT/CEO OF GENESIS HEALTH SYSTEM (GHS IOWA) AND A DIRECTOR ON THE BOARD OF HEALTH ENTERPRISES. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - LISA ROGALSKILISA ROGALSKI IS THE DAUGHTER-IN-LAW OF EDWARD J. ROGALSKI, PH.D., DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA). X MISCELLANEOUS 126 162499 FAIR MARKET VALUE 0 1 0 PART I, COLUMN (B): PART I, COLUMN B IS REPORTED USING A COMBINATION OF NUMBER OF CONTRIBUTIONS AND ITEMS CONTRIBUTED. FORM 990, PART VI, SECTION B, LINE 11 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 A JOINT MEETING OF THE ORGANIZATION'S FINANCE COMMITTEE AND AUDIT & COMPLIANCE COMMITTEE. 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 IOWA) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GHS IOWA, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, 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 IOWA) BOARD OF DIRECTORS APPROVAL. PAY RANGES ARE REVIEWED EACH YEAR TO DETERMINE THE NEED FOR REVISION. WHEN MARKET CONDITIONS SUGGEST AN ADJUSTMENT TO PAY RANGES, DATA WILL BE PRESENTED TO THE COMPENSATION COMMITTEE FOR ITS REVIEW. THE SPECIFIC PAY RANGES ARE SUBJECT TO CEO, COMPENSATION COMMITTEE, AND GHS IOWA BOARD OF DIRECTOR APPROVAL. THE PRESIDENT AND CEO HAS THE AUTHORITY AND RESPONSIBILITY TO ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE AND THE GHS IOWA BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GHS IOWA, AT APPROPRIATE TIMES. THE GHS IOWA BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GHS IOWA, AT APPROPRIATE TIMES. THE LAST TIME THIS PROCESS WAS FORMALLY UNDERTAKEN WAS NOVEMBER 2014. 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 ILLINOIS), GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS IOWA). THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AS WELL AS THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA. FORM 990, PART IX, LINE 11G ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 266,832. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 266,832. BLOOD BANK SERVICES: PROGRAM SERVICE EXPENSES 2,071,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,071,065. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 3,121,026. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,121,026. COLLECTIONS SERIVCES: PROGRAM SERVICE EXPENSES 1,129,461. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,129,461. COMMUNICATIONS SERVICES: PROGRAM SERVICE EXPENSES 327,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 327,340. DIALYSIS SERVICES: PROGRAM SERVICE EXPENSES 546,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 546,367. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 3,258,940. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,258,940. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 108,992. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,992. HEALTH CARE PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 16,017,658. MANAGEMENT AND GENERAL EXPENSES 139,082. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,156,740. HEALTH-RELATED IMAGING SERVICES: PROGRAM SERVICE EXPENSES 11,880,952. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,880,952. HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING: PROGRAM SERVICE EXPENSES 1,644,351. MANAGEMENT AND GENERAL EXPENSES 527,742. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,172,093. IT OUTREACH SERVICES: PROGRAM SERVICE EXPENSES 9,079,045. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,079,045. LAB SERVICES: PROGRAM SERVICE EXPENSES 4,329,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,329,105. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 7,336. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,336. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 8,416,649. MANAGEMENT AND GENERAL EXPENSES 46,436. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,463,085. NUTRITIONAL SERVICES: PROGRAM SERVICE EXPENSES 389,468. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,468. NUTRITIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,029,849. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,029,849. OUTSIDE HEALTHCARE-RELATED SERVICES: PROGRAM SERVICE EXPENSES 2,786,558. MANAGEMENT AND GENERAL EXPENSES 34,855. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,821,413. PATIENT TRANSPORT SERVICES: PROGRAM SERVICE EXPENSES 354,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 354,338. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 139,259. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 139,259. ROOM AND BOARD SERVICES: PROGRAM SERVICE EXPENSES 990,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 990,069. SIGNAGE SERVICES: PROGRAM SERVICE EXPENSES 1,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,306. TRANSCRIPTIONS SERVICES: PROGRAM SERVICE EXPENSES 328,637. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 328,637. VISITING NURSE OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 127,551. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,551. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF RETIREMENT -18,274,440. CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION -772,445. NON-CASH CONTRIBUTIONS NOT REPORTED ON BOOKS -162,499. FORM 990, PART XII, LINE 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. GENESIS ACCOUNTABLE CARE ORGANIZATION LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 454168932 ACCOUNTABLE CARE SERVICES IA -564961 926579 GENESIS HEALTH SYSTEM (GHS IOWA) SPIN ECHO LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 421491373 PROPERTY MANAGEMENT IA 74783 1571829 GENVENTURES INC GENESIS HEALTH SYSTEM (GHS ILLINOIS) 801 ILLINI DRIVE SILVIS IL 61282 363616314 HEALTHCARE IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (GHS IOWA) 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) 1 GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST 1227 E RUSHOLME STREET DAVENPORT IA 52803 391905171 EMPLOYEE/BENEFIT/TRUST IA 501(C)(3) LINE 11A, I GENESIS HEALTH SYSTEM (GHS IOWA) 1 DAVENPORT HOSPITAL AMBULANCE CORPORATION 1204 E HIGH STREET DAVENPORT IA 52803 421186903 AMBULANCE TRANSFERS IA 501(C)(3) LINE 11A, I GENESIS HEALTH SYSTEM (GHS IOWA) 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) 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) 1 GENESIS PHILANTHROPY 1227 E RUSHOLME STREET DAVENPORT IA 52803 462452851 CHARITY IA 501(C)(3) LINE 11A, I GENESIS HEALTH SYSTEM (GHS IOWA) 1 GENGASTRO LLC 2222 53RD AVENUE BETTENDORF IA 52722 562315623 AMBULATORY SURGERY CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 3414930 462955 0 0 0.75000 SPRING PARK SURGERY CENTER LLC 3319 SPRING STREET STE 202A DAVENPORT IA 52807 421483989 OUTPATIENT SURGICAL CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 1167878 1848238 0 0 0.45000 LARSON CENTER PARTNERSHIP 801 ILLINI DRIVE SILVIS IL 61282 363738454 PROPERTY MANAGEMENT IL N/A GENORTHO LLC 2300 53RD AVENUE BETTENDORF IA 52722 203406994 ORTHOPAEDIC SURGERY CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 1673988 1074456 0 0 0.50000 GENRAD IMAGING LLC 1970 E 53RD ST DAVENPORT IA 52807 453571628 DIAGNOSTIC IMAGING CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 2082700 12261466 0 0 0.50000 GENESIS ONCOLOGY CO - MANAGEMENT LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 454456824 ONCOLOGY PROGRAM MANAGEMENT IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED -6874 57977 0 0 0.10000 GENRAD IMAGING ILLINOIS LLC 1970 E 53RD ST DAVENPORT IA 52807 473785124 DIAGNOSTIC IMAGING CENTER IL N/A GENVENTURES INC 1227 E RUSHOLME STREET DAVENPORT IA 52803 421269171 SUPPORT SERVICES/PROPERTY MANAGEMENT IA GENESIS HEALTH SYSTEM (IOWA) C 2691616 42254245 1.00000 1 GENESIS HEART INSTITUTE 1236 E RUSHOLME STREET DAVENPORT IA 52803 421504979 HEALTHCARE MANAGEMENT IA GENESIS HEALTH SYSTEM (IOWA) C 1.00000 1 MISERICORDIA ASSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN CJ 980457943 OTHER FINANCIAL VEHICLE CJ GENESIS HEALTH SYSTEM (IOWA) C 27598477 1.00000 1 MOB 1 OWNERS' ASSOCIATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 270865075 PROPERTY MANAGEMENT IA N/A C 1 1 1 1 0 0 0 0 0 0 1 1 1 1 0 0 1 1 1 1 GENVENTURES INC A 830417 FAIR MARKET VALUE GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST B 1366761 FAIR MARKET VALUE GENESIS HEALTH SERVICES FOUNDATION B 230836 FAIR MARKET VALUE GENESIS PHILANTHROPY B 1079218 FAIR MARKET VALUE GENESIS HEALTH SERVICES FOUNDATION C 700135 FAIR MARKET VALUE GENESIS PHILANTHROPY C 404444 FAIR MARKET VALUE MISERICORDIA ASSURANCE COMPANY LTD F 1356290 FAIR MARKET VALUE GENGASTRO LLC H 3100200 FAIR MARKET VALUE SPRING PARK SURGERY CENTER LLC H 1342281 FAIR MARKET VALUE GENORTHO LLC H 1658500 FAIR MARKET VALUE LARSON CENTER PARTNERSHIP J 505487 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) K 190468 FAIR MARKET VALUE GENVENTURES INC K 6524689 FAIR MARKET VALUE LARSON CENTER PARTNERSHIP K 610630 FAIR MARKET VALUE GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST L 189142 FAIR MARKET VALUE MISERICORDIA ASSURANCE COMPANY LTD M 1823461 FAIR MARKET VALUE DAVENPORT HOSPITAL AMBULANCE M 353645 FAIR MARKET VALUE GENESIS MEDICAL CENTER ALEDO P 2833690 FAIR MARKET VALUE GENESIS SENIOR LIVING ALEDO P 193204 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) P 10200746 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) Q 89101388 FAIR MARKET VALUE GENESIS HEALTH SERVICES FOUNDATION Q 1642741 FAIR MARKET VALUE GENESIS MEDICAL CENTER ALEDO Q 15676144 FAIR MARKET VALUE GENVENTURES INC Q 25758750 FAIR MARKET VALUE GENESIS PHILANTHROPY Q 309664 FAIR MARKET VALUE GENESIS SENIOR LIVING ALEDO Q 2389825 FAIR MARKET VALUE GENVENTURES INC R 10824160 FAIR MARKET VALUE GENESIS HEALTH SERVICES FOUNDATION R 329985 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) S 198348 FAIR MARKET VALUE