2016-02-15T00:00:00-06:00 2015-06-30 420714325 RSM US LLP 201 N HARRISON STREET SUITE 300 DAVENPORT IA 528011999 990 2014-07-01 421418847 GENESIS HEALTH SYSTEM GENE 5634216508 1227 E RUSHOLME DAVENPORT IA 528032498 MARK G ROGERS VP FINANCE/CFO GHS & ASST TREAS 5634216508 2016-02-16 1 JOHN J ROMANO P00227323 5638884000 2014 2016-08-17 19:52:53Z MARK G ROGERS 1227 E RUSHOLME DAVENPORT IA 528032498 876440316 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 4741 491 1611593 402674 1959270 4352559 431443917 466944781 29359891 28934100 4310062 3638302 467073140 503869742 1967229 2269908 0 0 236555378 232052767 0 0 0 201697684 210505375 440220291 444828050 26852849 59041692 755430826 790628796 271565694 272330223 483865132 518298573 X GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. 0 0 316315787 2269908 363190563 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 72,418 PATIENT DAYS, 18,703 PATIENT DISCHARGES AND 207,292 OUT-PATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS AND 77 LONG-TERM CARE BEDS. STATISTICS INCLUDE 1,722 PATIENT DAYS, 275 PATIENT DISCHARGES, AND 19,486 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING. 90921358 0 76594759 GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) CONSISTS OF 43 CLINICS AND 153 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 287,664 AND RVU'S (RELATIVE VALUE UNITS) 835,237. 23462858 0 28196232 GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM ENCOMPASSES HOME HEALTH SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING MEDICAL SOCIAL WORKER VISITS, AND THE HOSPICE HOUSE, WHICH CARES FOR TERMINALLY ILL PATIENTS. STATISTICS INCLUDE 138,025 HOME HEALTH VISITS AND 46,968 HOSPICE/HOSPICE HOUSE DAYS. 1359037 0 989936 GENESIS 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 GENESIS HEALTH SYSTEM'S (GHS IOWA) INCOME TAX AND INFORMATIONAL RETURNS. 1359037 0 989936 432059040 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 X 368 0 1 4741 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 CHAIRPERSON 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 752561 0 121793 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 486325 0 24942 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 CHAIRPERSON 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 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 380544 0 53516 HAROLD L WAGHER CHIEF COMPLIANCE RISK OFFICER / ASST SECRETARY 40.00 X 191406 0 20748 JACQUELINE K ANHALT V.P. PATIENT SERVICES 40.00 X 210493 0 67117 ROBERT W FRIEDEN V.P. INFORMATION SERVICES 40.00 X 327792 0 26460 RICHARD M KISHIUE MD PRESIDENT, GHG 40.00 X 443537 0 16694 GEORGE KOVACH V.P. MEDICAL STAFF AFFAIRS 40.00 X 151466 0 30993 JOSEPH L LOHMULLER MD CHIEF MEDICAL OFFICER 40.00 X 281928 0 19850 KEVIN L YOUMANS V.P. OUTPATIENT SERVICES 40.00 X 192125 0 60690 KURT A ANDERSEN MD PHYSICIAN 40.00 X 524118 0 23448 BRIAN CADY MD PHYSICIAN 40.00 X 525023 0 21319 NATHAN MELOY MD PHYSICIAN 40.00 X 645233 0 18585 TODD RIDENOUR MD PHYSICIAN 40.00 X 865314 0 26364 JACQUELYN SALAS MD PHYSICIAN 40.00 X 526249 0 7563 WAYNE A DIEWALD FORMER CHIEF OPERATING OFFICER 40.00 X 608487 0 17042 FLORENCE L SPYROW FORMER SENIOR VICE PRESIDENT 40.00 X 418478 0 28526 7531079 0 585650 251 1 1 0 CERNER CORPORATION 2800 ROCKCREEK PARKWAY KANSAS CITY MO 64117 IT SERVICES 7443871 COGENT HEALTHCARE OF IOWA 1230 E RUSHOLME STREET SUITE 305 DAVENPORT IA 52803 HOSPITALIST MEDICAL SERVICES 3040361 UNIVERSITY OF IOWA 200 HAWKINS DRIVE IOWA CITY IA 52242 PHYSICIAN MEDICAL SERVICES 1253566 RENOVO SOLUTIONS LLC 1801 E PARKCOURT PLACE BLDG D STE SANTA ANA CA 92701 ASSET MANAGEMENT SERVICES 1148446 METROPOLITAN MEDICAL LAB 1814 E LOCUST STREET DAVENPORT IA 52803 LAB SERVICES 1139472 69 1148258 1625095 1579206 74323 4352559 OUTPATIENT REVENUE 621400 512699404 512699404 INPATIENT REVENUE 900099 451278166 451278166 CLINIC REVENUE 621400 150556807 150556807 HOME HEALTH & HOSPICE CARE REVENU 621610 31522859 31522859 OTHER OPERATING REVENUE 624100 4121085 2509492 1611593 -683233540 -683233540 466944781 7040420 7040420 382913675 11080597 371423063 677529 11490612 10403068 21893680 21893680 807214 469982 337232 337232 VENDOR REBATES 900099 1286847 1286847 DIETARY 900099 1199936 1199936 HOUSEKEEPING 900099 94814 94814 719473 719473 3301070 503869742 468971490 1611593 28934100 X 2178132 2178132 91776 91776 4305853 1646670 2659183 96034 96034 194036865 193099117 937748 2439100 2435861 3239 17718058 17678729 39329 13456857 13240756 216101 12182487 11137773 1044714 2302971 2302971 279000 279000 117927 25900 92027 662259 662259 45358797 44137840 1220957 1617362 1587046 30316 12567642 11199386 1368256 6595174 6595174 16361713 15333994 1027719 2166062 1796848 369214 601911 573215 28696 2528368 2528368 27004106 26783345 220761 3734694 1652101 2082593 PATIENT SUPPLY COST OF 39916788 39916788 MEDICAL SUPPLIES 35516262 35515375 887 DUES AND SUBSCRIPTIONS 290662 89551 201111 LICENSES AND CERTIFICAT 177939 108007 69932 523251 29283 493968 444828050 432059040 12769010 0 12779057 14763086 38322724 67759595 75765262 73990866 35193461 30015269 9324528 10734722 116863462 96310167 611839801 417700295 171111220 194139506 201896023 208887795 57005721 63726643 473348 473348 36696020 29827799 755430826 790628796 59178776 59679140 196356967 186717996 16029951 25933087 271565694 272330223 X 469377504 503072280 14487628 15226293 483865132 518298573 755430826 790628796 X 59041692 -7793377 -16814874 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 0 1 3000 1 84476 0 1 89027 176503 0 PART II-B, LINE 1: PART II-B, LINE 1B, PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS IOWA) HAD TWO 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 22, 2015, 41 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 MEDICAID HOSPITAL REBASING, TELEHEALTH, AND THE INTERSTATE PHYSICIAN LICENSURE COMPACT. PART II-B, LINE 1D, MAILINGS TO MEMBERS, LEGISLATURES, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM (GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO 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 2015, $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 TWO 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 - $81,102, AND MILEAGE/TRAVEL EXPENSES - $3,374. ALSO, ON FEBRUARY 25, 2015, 41 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 MEDICAID HOSPITAL REBASING, TELEHEALTH, AND THE INTERSTATE PHYSICIAN LICENSURE COMPACT. THE DIRECT COSTS INCLUDED: SALARIES - $19,011, FOOD EXPENSE - $300, AND BUSINESS EXPENSES - $1,125. 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 EIDE & HEISINGER, LLC AT A COST OF $25,000. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 21% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $26,738, 24% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,309, 55% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $5,660, AND VARIOUS OTHER ASSOCIATIONS - $19,320. 9123481 1985014 118839 11227334 7838024 374838 910619 9123481 7633243 2101 561816 359136 7838024 5519844 2014051 99448 100 7633243 5040858 16614 465988 3616 5519844 0.45230 0.54770 0.00000 0 1 1 29277125 29277125 223049994 131669299 91380695 23203676 18079233 5124443 306467274 251152676 55314598 29841732 16799087 13042645 194139506 INVESTMENT IN HEALTH ENTERPRISES OF IOWA (HEI) 3831 C INVESTMENT IN GENVENTURES, INC 24049698 C INVESTMENT IN MISERICORDIA ASSURANCE COMPANY, LTD. 120000 C INVESTMENT IN HEI COOP 3680396 C INVESTMENT IN HEI VENTURES 666560 C INVESTMENT IN SPRING PARK SURGERY CENTER, LLC 3652163 C INVESTMENT IN GENGASTRO, LLC 23552845 C INVESTMENT IN GENORTHO, LLC 1738238 C OTHER INVESTMENTS - GMC, DEWITT 468975 F INVESTMENT IN GENRAD IMAGING, LLC 2648846 C INVESTMENT IN GENESIS ONCOLOGY CO-MANAGEMENT, LLC 69891 C OTHER INVESTMENTS - GMC 31061 F INVESTMENT IN HEI MEDICAL LABORATORY -117279 C INVESTMENT IN UNIVERSITY OF IOWA HEALTH ALLIANCE, LLC 139000 C INVESTMENT IN DAVITA DIALYSIS, LLC 3022418 C 63726643 ACCRUED PENSION LIABILITY 6350000 ACCRUED INS TRUST LOSSES 1864252 NONQUALIFIED PENSION LIABILITY 14488444 LT DEFERRED EXPENSE CREDIT 220140 RETIREMENT SAVINGS 3010251 25933087 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 EMERGENCY ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, DIALYSIS CARE, AND BREAST HEALTH SERVICES. PART X, LINE 2: GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO), GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO), GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION), GENESIS PHILANTHROPY (PHILANTHROPY) AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) ALL FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. UNRELATED BUSINESS TAXABLE INCOME IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 AND 990T FILED BY GHS IOWA, GHS 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, 2011 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, 2011 AND PRIOR. THERE WERE NO UNCERTAIN TAX POSITIIONS AS OF JUNE 30, 2015 AND 2014. 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 4289361 4289361 0.00960 70272542 57431785 12840757 0.02890 74561903 57431785 17130118 0.03850 584954 0 584954 0.00130 3133634 2135409 998225 0.00220 2037742 1216970 820772 0.00180 278906 278906 0.00060 526442 526442 0.00120 6561678 3352379 3209299 0.00710 81123581 60784164 20339417 0.04560 30301 30301 0.00010 71765 71765 0.00020 55865 55865 0.00010 12091 12091 0.00000 170022 170022 0.00040 1 16039245 0 121425382 123351973 -1926591 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 0.50000 0.00000 0.50000 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 12 1 1 1 1 X WWW.GENESISHEALTH.COM/COMMUNITY X 1 12 1 WWW.GENESISHEALTH.COM/COMMUNITY 0 0 1 X 200.000000000000 200.000000000000 X 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 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 TRINITY REGIONAL HEALTH SYSTEM 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 800 INDIVIDUALS AGE 18 AND OLDER IN THE QUAD CITIES AREA, INCLUDING 400 IN ROCK ISLAND COUNTY AND 400 IN SCOTT COUNTY. IN ADDITION, AN OVERSAMPLE OF 120 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 90 INTERVIEWS AMONG AFRICAN AMERICAN RESIDENTS AND 103 INTERVIEWS AMONG HISPANIC RESIDENTS (INCLUDING RESPONDENTS REACHED THROUGH BOTH THE RANDOM SAMPLE AND OVERSAMPLE INTERVIEWS). ONCE ALL SURVEYS WERE COMPLETED, THE TOTAL OF 920 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 920 RESPONDENTS IS +/-3.3% AT THE 95 PERCENT LEVEL OF CONFIDENCE. [NOTE THAT ANALYSES OF SUBGROUPS CARRY LARGER ASSOCIATED ERROR; FOR EXAMPLE, THE SAMPLES OF AFRICAN AMERICAN AND HISPANIC RESIDENTS (INCLUDING THE "OVERSAMPLE" INTERVIEWS) CARRY MAXIMUM ERROR RATES OF +/-10.3% AND +/-9.7%, RESPECTIVELY.]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: -CENTERS FOR DISEASE CONTROL & PREVENTION -GEOLYTICS DEMOGRAPHIC ESTIMATES & PROJECTIONS -NATIONAL CENTER FOR HEALTH STATISTICS -IOWA DEPARTMENT OF PUBLIC HEALTH / ILLINOIS DEPARTMENT OF PUBLIC HEALTH -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 NOTE THAT SECONDARY DATA REFLECT COUNTY-LEVEL DATA. GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 5: TO COMPLETE THIS 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: TRINITY REGIONAL HEALTH SYSTEM 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: WITH FOLLOWING THE GENESIS HEALTH SYSTEM'S 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:NUTRITION, PHYSICAL ACTIVITY & WEIGHT:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL-HEALTH COACHES, NAVIGATORS, CASE MANAGEMENT-TRANSFATFREE QC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM-ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVISAND MOLINE (41ST ST.), MOLINE (BUTTERWORTH PKWY.)-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 DESSERTS"-GENESIS "WELLNESS PROGRAM" OFFERINGS-YMCA MEMBERSHIP DISCOUNT-GENESIS CENTER FOR WEIGHT MANAGEMENT-HEALTHY LIFESTYLE SPONSORSHIPS, SUCH AS:GENESIS FIRECRACKER RUN, BIX 7, AND "RIDE THE RIVER"TOBACCO:-SMOKE FREE CAMPUS-ADVOCACY IN SUPPORT OF SMOKE-FREE PUBLIC PLACES-TOBACCO-FREE QC-GENESIS "WELLNESS PROGRAM" OFFERINGS-COMMUNITY HEALTH EDUCATION ON SECOND-HAND SMOKE AND CHILDRENMENTAL HEALTH & MENTAL DISORDERS:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL-HEALTH COACHES, NAVIGATORS, CASE MANAGEMENT-GENESIS PSYCHOLOGY ASSOCIATES AND THEEXPANDED IN-PATIENT BEHAVIORAL HEALTH UNIT-ADVOCACY IN SUPPORT OF MENTAL HEALTH REFORM-SPONSORSHIP (NAMI)-COMMUNITY HEALTH EDUCATION "MENTAL HEALTHFIRST AID FOR FIRST RESPONDERS"IMMUNIZATION & INFECTIOUS DISEASE:-FLUFREE QC-GENESIS SCREENINGS & IMMUNIZATION CRM PROGRAM-COMMUNITY HEALTH EDUCATION ON HAND WASHING-RYAN WHITE HIV PROGRAMHEALTH CARE ACCESS FOR LOW-INCOME HOUSHOLDS IMMIGRANT AND REFUGEE HEALTH:-ADVOCACY IN SUPPORT OF MEDICAID EXPANSION-DIRECT ENROLLMENT ASSISTANCE TO THE "NEWLY ELIGIBLE" THROUGH PARTICIPATION IN THE FEDERAL "NAVIGATOR" PROGRAM-COMMUNITY HEALTH EDUCATION ON MEDICAID ENROLLMENT THROUGH THE "ENROLLQC" COALITION-IMPROVED TRANSLATION SERVICES FOR ESL PATIENTSNURSING WORKFORCE DEVELOPMENT:-CONTINUE "SPECIAL RELATIONSHIP" WITH ST. AMBROSE UNIVERSITY SCHOOL OF HEALTH SCIENCES-ADVOCACY IN SUPPORT OF SCOPE OF PRACTICE REFORM-PROVIDE CLINICAL EDUCATION OPPORTUNITIES-SPONSOR CAREER EDUCATION, SUCH AS GENESIS ADVENTURES IN NURSING (G.A.I.N.)-ANNUAL HEALTH SCIENCES JOB FAIRS IN COLLABORATION WITH LOCAL UNIVERSITIES-PROVIDED OVER $1 MILLION IN SCHOLARSHIP ASSISTANCE-EMPLOYEE TUITION REIMBURSMENT PROGRAMENVIRONMENT HEALTH LEAD POISONING IN CHILDREN:-ADVOCACY IN SUPPORT OF REMEDIATION-COMMUNITY HEALTH EDUCATION ON THE HAZARDCANCER, HEART DISEASE & STROKE AND DIABETES"-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL-HEALTH COACHES, NAVIGATORS, CASE MANAGERS-CONTINUED SERVICE LINE INVESTMENT-SCREENINGS & IMMUNIZATIONS-COMMUNITY HEALTH EDUCATION ON "WARNING SIGNS AND PREVENTION GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 11: WITH FOLLOWING THE GENESIS HEALTH SYSTEM'S 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 PART V, SECTION B, LINE 16 FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY GENESIS MEDICAL CENTER - DAVENPORT PART V, SECTION B, LINE 16A WEBSITE: WWW.GENESISHEALTH.COM GENESIS MEDICAL CENTER - DAVENPORT PART V, SECTION B, LINE 16B WEBSITE: WWW.GENESISHEALTH.COM GENESIS MEDICAL CENTER - DAVENPORT PART V, SECTION B, LINE 16C WEBSITE: WWW.GENESISHEALTH.COM GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 16A WEBSITE: WWW.GENESISHEALTH.COM GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 16B WEBSITE: WWW.GENESISHEALTH.COM GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 16C WEBSITE: WWW.GENESISHEALTH.COM 69 GENESIS HEART INSTITUTE 1236 E RUSHOLME STREET DAVENPORT IA 52803 O/P CARDIAC DIAGNOSTIC & REHAB CARE GENESIS IMAGING CENTER 53RD STREET 1970 E 53RD STREET DAVENPORT IA 52507 OUTPATIENT RADIOLOGY SERVICES CENTRAL PARK MEDICAL PAVILIONS 1 & 2 1351 W CENTRAL PARK AVENUE DAVENPORT IA 52804 O/P CANCER, REHAB, WOUND, NEUROLSURGICAL, & PHYS CLINIC VISITING NURSE ASSOC & HOSPICE HOUSE 2535 MAPLECREST ROAD BETTENDORF IA 52272 HOME HEALTH & HOSPICE GENESIS MEDICAL PLAZA 2535 MAPLECREST ROAD BETTENDORF IA 52722 O/P REHAB, PAIN, PHYS THERAPY, SPINE CTR & PHSY CLINIC ILLINI LARSON CENTER 855 ILLINI DRIVE SILVIS IL 61282 OUTPATIENT LAB & PHYSICIAN CLINIC BETTENDORF HEALTH PLEX 2140 53RD AVENUE BETTENDORF IA 52722 OUTPATIENT PHYSICIAN CLINIC MEDICAL OFFICE BUILDING #1 1228 E RUSHOLME STREET DAVENPORT IA 52803 O/P MAMMOGRAPHY & DIALYSIS SERVICES VISITING NURSE ASSOC & HOSPICE HOUSE 2546 TECH DRIVE BETTENDORF IA 52722 HOME HEALTH & HOSPICE GENESIS HEALTH GROUP 865 LINCOLN ROAD BETTENDORF IA 52722 OUTPATIENT PHYSICIAN CLINIC BETTENDORF IMAGING CENTER 2140 53RD AVENUE SUITE 40 BETTENDORF IA 52722 OUTPATIENT RADIOLOGY SERVICES MOLINE HEALTHPLEX 3900 28TH AVENUE MOLINE IL 61265 OUTPATIENT PHYSICIAN CLINIC VISITING NURSE ASSOC 4711 44TH STREET STE 2 ROCK ISLAND IL 61201 HOME HEALTH & HOSPICE FAMILY PRACTICE AT WEST CAMPUS 1345 W CENTRAL PARK AVENUE DAVENPORT IA 52804 OUTPATIENT PHYSICIAN CLINIC GENRAD IMAGING LLC 1970 E 53RD STREET DAVENPORT IA 52807 DIAGNOSTIC IMAGING CENTER ELDRIDGE FAMILY PRACTICE 301 N 4TH AVENUE ELDRIDGE IA 52748 OUTPATIENT PHYSICIAN CLINIC DEWITT WEST WING PLACE 1118 11TH STREET DEWITT IA 52742 OUTPATIENT PHYSICIAN CLINIC GENGASTRO LLC 2222 53RD AVENUE BETTENDORF IA 52722 AMBULATORY SURGERY CENTER CONVENIENT CARE - DAVENPORT 1520 W 53RD STREET DAVENPORT IA 52806 OUTPATIENT URGENT CARE CLINIC GENESIS HEALTH GROUP - SPECIALTY CLINIC 1007 NW 3RD STREET ALEDO IL 61231 OUTPATIENT REHABILITATION CLINIC NORTH FAMILY PRACTICE 210 W 53RD STREET DAVENPORT IA 52806 OUTPATIENT PHYSICIAN CLINIC LOMBARD PHYSICAL THERAPY 1414 W LOMBARD STREET DAVENPORT IA 52804 OUTPATIENT PHYSICAL THERAPY CLINIC DIVISION STREET CLINIC 3618 N DIVISION STREET DAVENPORT IA 52804 OUTPATIENT PHYSICIAN CLINIC SCOTT COUNTY YMCA 3800 TANGLEFOOT LANE BETTENDORF IA 52722 OUTPATIENT REHABILITATION CLINIC GENORTHO LLC 2300 53RD STREET BETTENDORF IA 52722 ORTHOPEDIC SURGERY CENTER GENESIS PHYSICAL REHAB - VALLEY FAIR 2300 53RD STREET BETTENDORF IA 52722 O/P PHYSICAL THERAPY CLINIC GENESIS PHYSICAL REHAB - CROW VALLEY 2300 53RD AVENUE STE LL02 BETTENDORF IA 52722 O/P PHYSICAL THERAPY CLINIC ILLINI BUILDING #2 1504 10TH STREET SILVIS IL 61282 OUTPATIENT PHYSICIAN CLINIC SPRING PARK SURGERY CENTER LLC 3319 SPRING STREET STE 202A DAVENPORT IA 52807 OUTPATIENT SURGICAL CENTER GENESIS PSYCHOLOGY ASSOCIATES 4455 E 56TH STREET DAVENPORT IA 52804 OUTPATIENT COUNSELING CLINIC CONVENIENT CARE - BETTENDORF 4017 DEVILS GLEN ROAD BETTENDORF IA 52722 OUTPATIENT URGENT CARE CLINIC ILLINI BUILDING #1 903-05 ILLINI DRIVE SILVIS IL 61282 HOME HEALTH & O/P PHYSICIAN CLINIC GENESIS CONVENIENT CARE - ILLINOIS 2350 41ST STREET MOLINE IL 61265 OUTPATIENT URGENT CARE CLINIC NORTHWEST FAMILY PRACTICE 1520 S 53RD STREET DAVENPORT IA 52806 OUTPATIENT PHYSICIAN CLINIC SILVIS ANESTHESIOLOGY 801 ILLINI DRIVE SILVIS IL 61282 OUTPATIENT PHYSICIAN CLINIC GHS OCCUPATIONAL HEALTH - DAVENPORT 3319 SPRING STREET DAVENPORT IA 52807 OUTPATIENT OCCUPATIONAL HEALTH DEWITT FAMILY PRACTICE 1008 11TH STREET DEWITT IA 52742 OUTPATIENT PHYSICIAN CLINIC DEWITT PAVILION 1 1118 11TH STREET DEWITT IA 52742 LONG-TERM NURSING CARE FACILITY ELDRIDGE PHYSICAL THERAPY 170 S 4TH AVENUE ELDRIDGE IA 52748 OUTPATIENT PHYSICIAN CLINIC GENESIS CENTER FOR BARIATRIC SURGERY 1230 E RUSHOLME STREET DAVENPORT IA 52803 O/P COMPREHENSIVE BARIATRIC PROGRAM GHG - MERCY MEDICAL GROUP 221 MAIN AVENUE CLINTON IA 52732 OUTPATIENT PHYSICIAN CLINIC DAVENPORT CLINIC 1820 W 3RD ST DAVENPORT IA 52803 OUTPATIENT PHYSICIAN CLINIC LECLAIRE FAMILY PRACTICE - RIVERVIEW 200 S CODY ROAD LECLAIRE IA 52751 OUTPATIENT PHYSICIAN CLINIC ROCK ISLAND INTERNAL MEDICINE 2560 24TH STREET STE 202 ROCK ISLAND IL 61201 OUTPATIENT PHYSICIAN CLINIC IA CITY PEDIATRIC PT CLINIC 2451 CORAL CT CORALVILLE IA 52241 OUTPATIENT PHYSICAL THERAPY CLINIC DEWITT AMBULANCE 1220 11TH STREET DEWITT IA 52742 AMBULANCE SERVICES DURANT FAMILY PRACTICE 619 5TH STREET DURANT IA 52747 OUTPATIENT PHYSICIAN CLINIC VISITING NURSE ASSOC & HOSPICE HOUSE 611 N 2ND AVENUE CLINTON IA 52732 HOME HEALTH & HOSPICE GENESIS PLASTIC SURGERY ASSOC 5335 EASTERN AVENUE STE C DAVENPORT IA 52804 OUTPATIENT PHYSICIAN CLINIC GENESIS OCCUPATIONAL HEALTH 2350 41ST STREET MOLINE IL 61265 OUTPATIENT OCCUPATIONAL HEALTH GENESIS PHYSICAL THERAPY AT LECLAIRE 1003 CANAL SHORE DRIVE LECLAIRE IA 52751 OUTPATIENT PHYSICAL THERAPY CLINIC MUSCATINE FAMILY PRACTICE 2104 CEDARWOOD STREET STE 200 MUSCATINE IA 52761 OUTPATIENT PHYSICIAN CLINIC ERIE FAMILY PRACTICE 530 12TH STREET ERIE IL 61205 OUTPATIENT PHYSICIAN CLINIC BLUE GRASS FAMILY MEDICAL 413 S MISSISSIPPI BLUE GRASS IA 52726 OUTPATIENT PHYSICIAN CLINIC ALPHA FAMILY PRACTICE - CAJIGAL A 202 PICARD STREET ALPHA IL 61413 OUTPATIENT PHYSICIAN CLINIC GHS - AUGUSTANA PT CLINIC 639 38TH STREET ROCK ISLAND IL 61201 OUTPATIENT PHYSICAL THERAPY CLINIC GHS - U OF IA PEDIATRIC GASTRO 2222 53RD AVENUE BETTENDORF IA 52722 OUTPATIENT PHYSICIAN CLINIC EAP - DAVENPORT 1910 E KIMBERLY DAVENPORT IA 52806 COUNSELING SERVICES GHG - LOWDEN FAMILY PRACTICE 305 MCKINLEY AVENUE LOWDEN IA 52255 OUTPATIENT PHYSICIAN CLINIC GENESIS MEDICAL PARK 4017 DEVILS GLEN ROAD STE 100 BETTENDORF IA 52722 OUTPATIENT PHYSICIAN CLINIC ROCK ISLAND ARSENAL FAMILY PRACTICE 1634 WHITTEMORE STE 101 ROCK ISLAND IL 61299 OUTPATIENT PHYSICIAN CLINIC PHYSICAL THERAPY & SPORTS MEDICINE 1702 E 53RD STREET DAVENPORT IA 52807 O/P PHYSICAL THERAPY & SPORTS PERF CLINIC DAV OBGYN 3319 SPRING STREET DAVENPORT IA 52807 OUTPATIENT PHYSICIAN CLINIC SILVIS SURGICAL ASSOCIATES 1801 E 54TH STREET DAVENPORT IA 52807 OUTPATIENT PHYSICIAN CLINIC VISITING NURSE ASSOCIATION KID'S NEST 606 W 2ND STREET DAVENPORT IA 52803 HOME HEALTH (MOM/ BABE PROGRAM) EAP - MUSCATINE 1605 PLAZA PLACE MUSCATINE IA 52761 COUNSELING SERVICES EAP - ROCK ISLAND 2100 18TH AVENUE ROCK ISLAND IL 61201 COUNSELING SERVICES EAP - CLINTON 1127 N 2ND STREET CLINTON IA 52732 COUNSELING SERVICES MEDICAL OFFICE BUILDING #2 1230 E RUSHOLME STREET DAVENPORT IA 52803 OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: NOT APPLICABLE PART I, LINE 6A: NOT APPLICABLE 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 18.24%, AND THE PERCENTAGE INCREASES TO 45.97% 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 $1,926,591. 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 $1,926,591. 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 $1,926,591 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 5.01%. 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 2012. THE CHNA WAS FUNDED BY GHS IOWA AND TRINITY REGIONAL HEALTH SYSTEM AND SPONSORED BY COMMUNITY HEALTH CARE, GHS IOWA, QUAD CITY HEALTH INITIATIVE (QCHI), ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, AND TRINITY REGIONAL HEALTH SYSTEM. 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 TRINITY HEALTH SYSTEM, WHICH IS HEADQUARTERED IN ROCK ISLAND COUNTY, ILLINOIS. QCHI IS NOW A COMMUNITY PARTNERSHIP OF OVER 100 ORGANIZATIONS CONSISTING OF 500 ACTIVE INDIVIDUALS 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. SHARED BUSINESS 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 379,690. ACCORDING TO THE 2010 CENSUS, WHITES MADE UP 88.4% OF THE MSA POPULATION WITH 8.3% BLACK OR AFRICAN-AMERICAN AND 7.6% HISPANIC OR LATINO ORIGIN. MEDIAN AGE OF THE POPULATION OF THE REGION IS 40.6 YEARS. MORE THAN 30% OF THE POPULATION OF THE REGION IS GREATER THAN 50 YEARS OLD, WHICH WILL CREATE A CONTINUED AND EXPANDED NEED FOR HEALTH CARE SERVICES IN THE NEXT 20 YEARS. THE PERCENT OF PERSONS 65 YEARS AND OVER WAS 18.6% IN ROCK ISLAND AND SCOTT COUNTIES.ACCORDING TO ESTIMATES FROM THE AMERICAN COMMUNITY SURVEY (ACS), 11.9% OF QUAD CITIES AREA RESIDENTS (SCOTT AND ROCK ISLAND COUNTIES) LIVE BELOW THE FEDERAL POVERTY. IN 2012, 2.0% 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 2009 WAS 9.2% FOR ROCK ISLAND COUNTY, ILLINOIS AND 6.6% IN SCOTT COUNTY, IOWA.LACK OF HEALTH INSURANCE IS REPORTED BY 12% OF SCOTT COUNTY, IA RESIDENTS AND 13% OF ROCK ISLAND COUNTY, IL RESIDENTS. THE QUAD CITIES AREA PERCENTAGE OF ADULTS WHO CURRENTLY SMOKED IN 2012 WAS 19.4%. THE PERCENTAGE OF ADULTS WHO WERE OBESE IN 2012 WAS 33.4% IN ROCK ISLAND COUNTY, ILLINOIS AND 33.6% 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 HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST AND GENESIS PHILANTHROPY, THE SOLE STOCKHOLDER OF GENVENTURES, INC., A MEMBER OF MISERICORDIA ASSURANCE COMPANY, LTD. AND A PARTNER IN GENGASTRO, LLC. GHS ILLINOIS IS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO AND GENESIS SENIOR LIVING, ALEDO AND IS A PARTNER IN THE LARSON CENTER PARTNERSHIP.GHS IOWA, GHS ILLINOIS, GMC, ALEDO, AND GSL, ALEDO COLLECTIVELY REPRESENT THE OBLIGATED GROUP ON CERTAIN COMPONENTS OF THE OBLIGATED GROUP'S LONG-TERM DEBT. GHS IOWA AND GHS ILLINOIS OPERATE THE FOLLOWING BUSINESS UNITS: GENESIS HEALTH SYSTEM PROVIDES ADMINISTRATIVE, MANAGEMENT, INFORMATION TECHNOLOGY AND OTHER SUPPORT SERVICES TO ITS AFFILIATES. GENESIS CLINICAL SERVICES OPERATES PHYSICIAN MEDICAL PRACTICES, CONVENIENT CARE PRACTICES AND AN OCCUPATIONAL MEDICINE CLINIC AND PROVIDES BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER - DAVENPORT (GMC - DAVENPORT) IS LICENSED AS A 502-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM TWO HOSPITAL FACILITIES LOCATED IN DAVENPORT, IOWA. GENESIS FAMILY MEDICAL CENTER (GFMC) IS A FAMILY PRACTICE RESIDENCY TRAINING PROGRAM THAT OPERATES CLINICS IN DAVENPORT AND BLUE GRASS, IOWA TO PROVIDE A CLINICAL SETTING FOR THE RESIDENTS TO TREAT PATIENTS. GENESIS MEDICAL CENTER - DEWITT (GMC - DEWITT) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 13-ACUTE CARE AND SWING BEDS, AND HAS A 77-BED LONG-TERM CARE FACILITY, WHICH PROVIDES SERVICES FROM ITS FACILITY IN DEWITT, IOWA.GENESIS VISITING NURSE ASSOCIATION AND HOSPICE (VNA) 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 149-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 75 SKILLED CARE BEDS AND 45 SHELTERED CARE BEDS. TWENTY-TWO OF THE SKILLED CARE BEDS ARE DESIGNATED AS HOSPITAL-BASED MEDICARE CERTIFIED BEDS. THE SHELTERED CARE UNIT PROVIDES REHABILITATIVE AND PERSONAL CARE IN A FAMILY-ORIENTED SETTING. CROSSTOWN SQUARE IS AN INDEPENDENT LIVING FACILITY CONTAINING 76 RENTABLE APARTMENTS AND TWO GUEST ROOMS THAT OFFERS SERVICES DESIGNED TO MEET THE NEEDS OF SENIOR ADULTS. GHS IOWA AND GHS ILLINOIS HAVE A CONTROLLING OWNERSHIP INTEREST OR MEMBERSHIP IN THE FOLLOWING ORGANIZATIONS: GENESIS MEDICAL CENTER - ALEDO (GMC - ALEDO) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 22-ACUTE CARE AND SWING 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. UPON OBTAINING A CONTROLLING INTEREST, THE SYSTEM CONSOLIDATED THE ACCOUNTS OF GENGASTRO, LLC IN ITS CONSOLIDATED FINANCIAL STATEMENTS IN JANUARY 2011. GENESIS HEALTH SYSTEM (GHS IOWA) MAINTAINS A 75% OWNERSHIP INTEREST AS OF JUNE 30, 2014 AND 2013. THE LARSON CENTER PARTNERSHIP (LCP) IS A FOR-PROFIT REAL ESTATE PARTNERSHIP WHICH OWNS A MEDICAL OFFICE BUILDING ADJACENT TO GMC ILLINI AND LEASES SPACE FOR CLINICS, LABORATORY, PHARMACY AND OFFICES TO GMC ILLINI AND OTHER THIRD-PARTY ORGANIZATIONS. GHS ILLINOIS IS A GENERAL PARTNER AND OWNS APPROXIMATELY 75.6% OF LCP.GENVENTURES, INC. (GENVENTURES) IS A WHOLLY-OWNED FOR-PROFIT CORPORATION WHICH OPERATES THE FOLLOWING DIVISIONS, PRIMARILY IN THE QUAD CITIES: GENESIS AT HOME, CONTINUING CARE SELLS AND LEASES HOME MEDICAL EQUIPMENT; PROVIDES INTRAVENOUS THERAPY SERVICES, INCLUDING SALES OF RELATED SOLUTIONS AND SUPPLIES TO PATIENTS; AND PROVIDES RETAIL PHARMACEUTICAL AND OVER-THE-COUNTER PRODUCTS TO PATIENTS AND EMPLOYEES OF THE SYSTEM. GENPROPERTIES OWNS, LEASES AND/OR MANAGES OFFICE SPACE IN 15 MEDICAL OFFICE BUILDINGS LOCATED IN BETTENDORF, CLINTON, DAVENPORT, ELDRIDGE, LE CLAIRE AND MUSCATINE, IOWA. CRESCENT LAUNDRY PROVIDES COMMERCIAL LAUNDRY SERVICES TO HEALTH CARE FACILITIES IN EASTERN IOWA AND IN NORTH-CENTRAL ILLINOIS. GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC (GENESIS ACO) IS AN IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS AND ANY BUSINESS RELATED TO CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYORS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) PROVIDES A FUND WHICH CAN BE USED TO PAY WORKERS' COMPENSATION CLAIMS AND COSTS FOR THE BENEFIT OF GENESIS HEALTH SYSTEM. MISERICORDIA ASSURANCE COMPANY, LTD. (MISERICORDIA) IS A WHOLLY-OWNED CAYMAN BASED CAPTIVE INSURANCE COMPANY WHICH UNDERWRITES THE GENERAL AND PROFESSIONAL LIABILITY RISKS OF GHS IOWA AND AFFILIATES. 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. 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) 1441718 CLAIM PAYMENTS GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 501(C)(3) 520212 HEALTHCARE RELATED CONTRIBUTIONS GILDA'S CLUB QUAD CITIES 1234 E RIVER DRIVE DAVENPORT IA 52803 421446989 501(C)(3) 48000 CAMP GENESIS SPONSORSHIP, INTIMATE CONVERSATIONS 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 2015 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) 25000 SPONSORSHIP HOLIDAY POPS CONCERT QUAD CITIES CHAMBER OF COMMERCE 130 WEST SECOND STREET DAVENPORT IA 52801 421500610 501(C)(6) 28000 SPONSORSHIP ICESTRAVAGANZA, IA LEGSITLATIVE LUNCHEON, RED WHITE AND BOOM SPONSOR AMERICAN HEART ASSOCIATION 460 N LINDBERGH BLVD ST LOUIS MO 63141 135613797 501(C)(3) 8000 HEARTWALK SPONSORSHIP, GALA S15 SPONSOR FIGGE ART MUSEUM 225 W 2ND STREET DAVENPORT IA 52801 426090398 501(C)(3) 6700 SELF TAUGHT GENIUS SPONSORSHIP, JUNE GALA SPONSOR GENESIS PHILANTHROPY 1227 E RUSHOLME STREET DAVENPORT IA 52803 462452851 501(C)(3) 8412 HEALTHCARE RELATED CONTRIBUTIONS CHILD PROTECTION RESPONSE CENTER 1230 E RUSHOLME STREET DAVENPORT IA 52803 452386015 501(C)(3) 5000 SANE PROGRAM DONATION 10 1 GRANTS FOR RESEARCH STUDIES 49 17440 MEDICAL SUPPLIES TO INDIVIDUALS/MEDICAL MISSION 598 74336 FAIR MARKET VALUE MEDICAL SUPPLIES 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 X X X X 1 1 0 0 0 0 0 0 0 DOUGLAS P CROPPER PRESIDENT/CEO GHS 636418 0 0 0 116143 0 101458 0 20335 0 874354 0 0 0 GEORGE J KONTOS JR MD DIRECTOR 465435 0 0 0 20890 0 7616 0 17326 0 511267 0 0 0 MARK G ROGERS V.P. FINANCE/CFO/ASST. TREASURER 324129 0 0 0 56415 0 40362 0 13154 0 434060 0 0 0 HAROLD L WAGHER CHIEF COMPLIANCE RISK OFFICER / ASST 190972 0 0 0 434 0 5978 0 14770 0 212154 0 0 0 JACQUELINE K ANHALT V.P. PATIENT SERVICES 193816 0 0 0 16677 0 49807 0 17310 0 277610 0 0 0 ROBERT W FRIEDEN V.P. INFORMATION SERVICES 249711 0 0 0 78081 0 8734 0 17726 0 354252 0 0 0 RICHARD M KISHIUE MD PRESIDENT, GHG 350479 0 0 0 93058 0 6795 0 9899 0 460231 0 0 0 GEORGE KOVACH V.P. MEDICAL STAFF AFFAIRS 149999 0 0 0 1467 0 30000 0 993 0 182459 0 0 0 JOSEPH L LOHMULLER MD CHIEF MEDICAL OFFICER 202893 0 0 0 79035 0 7782 0 12068 0 301778 0 0 0 KEVIN L YOUMANS V.P. OUTPATIENT SERVICES 191106 0 0 0 1019 0 44998 0 15692 0 252815 0 0 0 KURT A ANDERSEN MD PHYSICIAN 407178 0 42983 0 73957 0 7000 0 16448 0 547566 0 0 0 BRIAN CADY MD PHYSICIAN 425090 0 5127 0 94806 0 5246 0 16073 0 546342 0 0 0 NATHAN MELOY MD PHYSICIAN 644103 0 0 0 1130 0 0 0 18585 0 663818 0 0 0 TODD RIDENOUR MD PHYSICIAN 846744 0 0 0 18570 0 7446 0 18918 0 891678 0 0 0 JACQUELYN SALAS MD PHYSICIAN 506608 0 940 0 18701 0 0 0 7563 0 533812 0 0 0 WAYNE A DIEWALD FORMER CHIEF OPERATING OFFICER 321647 0 210365 0 76475 0 9625 0 7417 0 625529 0 0 0 FLORENCE L SPYROW FORMER SENIOR VICE PRESIDENT 168360 0 10000 0 240118 0 27408 0 1118 0 447004 0 0 0 PART I, LINES 4A-B THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY DURING THE CALENDAR YEAR 2014: WAYNE A. DIEWALD - $19,283, JOSEPH L. LOHMULLER - $60,069, AND FLORENCE L. SPYROW - $159,820. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2014 SPONSORED BY GHS IOWA: DOUGLAS P. CROPPER - $94,773, ROBERT W. FRIEDEN - $77,471, RICHARD M. KISHIUE, M.D. - $54,776, MARK G. ROGERS - $31,271 AND FLORENCE L. SPYROW - $19,063. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2014. 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 2014 SPONSORED BY GHS IOWA: JACQUELINE K. ANHALT - $39,599, DOUGLAS P. CROPPER - $94,773, GEORGE KOVACH - $30,000, MARK G. ROGERS - $31,271, FLORENCE L. SPYROW - $19,063, AND KEVIN L. YOUMANS - $38,376. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2014. 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 23955000 95545195 1478186 23700000 70367009 2010 1 0 1 1 B 125205892 89869232 1267563 34519845 2017 0 0 0 1 A 0 0 1 1 1 1 0.00910 0.00000 0.00910 0 0 1 B 0 0 1 1 1 1 0.00910 0.00000 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, $706,669 WAS EARNED BY INVESTING THE RESERVE FUNDS. GENVENTURES INC SEE BELOW IN PART V 24019870 GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST. 0 GENVENTURES INC SEE BELOW IN PART V 17002264 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 11321697 PURCHASE OF ASSETS, MEDICAL INVENTORY, AND MINOR EQUIPMENT FROM GENESIS HEALTH SYSTEM (GHS IA) 0 LANE & WATERMAN LLP SEE BELOW IN PART V 852525 LEGAL SERVICES 0 CARDIOVASCULAR MEDICINE PC SEE BELOW IN PART V 653806 HEALTHCARE PROFESSIONAL SERVICES 0 BUSH CONSTRUCTION COMPANY INC SEE BELOW IN PART V 519651 CONSTRUCTION SERVICES 0 QUAD CITY BANK & TRUST COMPANY SEE BELOW IN PART V 229510 INTEREST EXPENSE, DEPOSIT ACCOUNT, CREDIT CARD SERVICE, LOCK BOX FEES, AND INTEREST INCOME 0 HEALTH ENTERPRISES SEE BELOW IN PART V 119677 HEALTHCARE SUPPORT SERVICES 0 LISA ROGALSKI SEE BELOW IN PART V 93475 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 AND TREASURER OF THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD 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 ON THE GENESIS HEALTH SYSTEM (GHS IA) BOARD; PETER J. BENSON IS ALSO AN OFFICER FOR QUAD CITY BANK & TRUST COMPANY AND SERVES ON THEIR COMMITTEES 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 122 38655 FAIR MARKET VALUE X MISCELLANEOUS 81 35668 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART I, LINE 4 & PART VI, SECTION A, LINE 1B: THE FOLLOWING GENESIS HEALTH SYSTEM (GHS IOWA) DIRECTOR IS NOT INDEPENDENT DUE TO A FAMILY MEMBER'S TRANSACTIONS WITH GHS IOWA REPORTED ON SCHEDULE L: EDWARD J. ROGALSKI, PH.D. 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 M&R OUTSIDE CONTRACTORS: PROGRAM SERVICE EXPENSES 1,338,230. MANAGEMENT AND GENERAL EXPENSES 48,404. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,386,634. OUTSIDE MAITENANCE CONTRACTORS: PROGRAM SERVICE EXPENSES 3,738,834. MANAGEMENT AND GENERAL EXPENSES 275,786. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,014,620. OUTSIDE SERVICES - MISCELLANEOUS: PROGRAM SERVICE EXPENSES 7,708,309. MANAGEMENT AND GENERAL EXPENSES 71,382. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,779,691. LAB SERVICES: PROGRAM SERVICE EXPENSES 3,266,839. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,266,839. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 950,357. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 950,357. AMBULANCE CONTRACT: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 68. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 68. IMAGING SERVICES: PROGRAM SERVICE EXPENSES 95,600. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 95,600. IP ACUTE SERVICES: PROGRAM SERVICE EXPENSES 4,900. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,900. OUTSIDE HOUSKEEPING: PROGRAM SERVICE EXPENSES 64,398. MANAGEMENT AND GENERAL EXPENSES 5,456. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 69,854. OUTSIDE TEMPORARY STAFFING: PROGRAM SERVICE EXPENSES 169,122. MANAGEMENT AND GENERAL EXPENSES 182,461. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 351,583. OUTSIDE SIGNAGE: PROGRAM SERVICE EXPENSES 922. MANAGEMENT AND GENERAL EXPENSES 144. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,066. ROOM AND BOARD SERVICES: PROGRAM SERVICE EXPENSES 1,245,236. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,245,236. CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 19,395,694. MANAGEMENT AND GENERAL EXPENSES 630,853. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 20,026,547. OUTSIDE INSTRUMENT REPAIR: PROGRAM SERVICE EXPENSES 287,965. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 287,965. BLOODBANK EXPENSES: PROGRAM SERVICE EXPENSES 2,197,892. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,197,892. HR RECRUITMENT: PROGRAM SERVICE EXPENSES 16,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,104. TRANSCRIPTION SERVICES: PROGRAM SERVICE EXPENSES 94,133. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 94,133. OUTSIDE SPEAKER'S FEES: PROGRAM SERVICE EXPENSES 36,830. MANAGEMENT AND GENERAL EXPENSES 6,403. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,233. COLLECTION FEES: PROGRAM SERVICE EXPENSES 774,104. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 774,104. PERFUSIONIST FEES: PROGRAM SERVICE EXPENSES 895,687. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 895,687. PHLEBOTOMY SERVICES: PROGRAM SERVICE EXPENSES 371,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 371,306. PHYSICIAN FEES - MEDICAL SERVICES: PROGRAM SERVICE EXPENSES 1,237,463. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,237,463. TRANSLATION SERVICES: PROGRAM SERVICE EXPENSES 247,915. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 247,915. FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF RETIREMENT -17,533,356. CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION 842,805. NON-CASH CONTRIBUTIONS NOT REPORTED ON BOOKS -74,323. CASH CONTRIBUTION NOT REPORTED ON BOOKS -50,000. 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 -369102 404425 GENESIS HEALTH SYSTEM (GHS IOWA) SPIN ECHO LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 421491373 PROPERTY MANAGEMENT IA 105316 1605416 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 3407693 151886 0 0 0.93450 SPRING PARK SURGERY CENTER LLC 3319 SPRING STREET STE 202A DAVENPORT IA 52807 421483989 OUTPATIENT SURGICAL CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 885056 2043871 0 0 0.74680 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 1516844 1051544 0 0 0.52220 GENRAD IMAGING LLC 1970 E 53RD ST DAVENPORT IA 52807 453571628 DIAGNOSTIC IMAGING CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 2006103 11940326 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 -911 67893 0 0 0.76110 GENVENTURES INC 1227 E RUSHOLME STREET DAVENPORT IA 52803 421269171 SUPPORT SERVICES/PROPERTY MANAGEMENT IA GENESIS HEALTH SYSTEM (IOWA) C 1178896 43112195 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 28487741 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 1 0 0 1 1 1 0 0 0 1 1 1 DAVENPORT HOSPITAL AMBULANCE CORPORATION A 6084 FAIR MARKET VALUE GENVENTURES INC A 832381 FAIR MARKET VALUE GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST B 1441718 FAIR MARKET VALUE GENESIS HEALTH SERVICES FOUNDATION B 520212 FAIR MARKET VALUE GENESIS HEALTH SERVICES FOUNDATION C 1138398 FAIR MARKET VALUE GENGASTRO LLC H 3407850 FAIR MARKET VALUE GENORTHO LLC H 1530600 FAIR MARKET VALUE SPRING PARK SURGERY CENTER LLC H 1521842 FAIR MARKET VALUE GENVENTURES INC K 6414853 FAIR MARKET VALUE LARSON CENTER PARTNERSHIP K 1053200 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) K 167820 FAIR MARKET VALUE GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST L 416555 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) M 12987946 FAIR MARKET VALUE MISERICORDIA ASSURANCE COMPANY LTD M 2930039 FAIR MARKET VALUE GENESIS MEDICAL CENTER ALEDO M 2492727 FAIR MARKET VALUE DAVENPORT HOSPITAL AMBULANCE CORPORATION M 349183 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) Q 89521239 FAIR MARKET VALUE GENVENTURES INC Q 23187489 FAIR MARKET VALUE GENESIS MEDICAL CENTER ALEDO Q 21629855 FAIR MARKET VALUE GENESIS HEALTH SERVICES FOUNDATION Q 1930422 FAIR MARKET VALUE GENESIS PHILANTHROPY Q 209170 FAIR MARKET VALUE GENVENTURES INC R 10587410 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) R 199162 FAIR MARKET VALUE GENESIS SENIOR LIVING ALEDO S 2834441 FAIR MARKET VALUE