GENESIS HEALTH SYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH SYSTEM (EIN 42-1418847)
Tax period: 2012-07-01 to 2013-06-30
Filed: 2014-02-15
IRS object ID: 201410499349301536
Schema version: 2012v2.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-02-15T14:06:05-06:00	Timestamp
Tax Period End Date	2013-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	420714325	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MCGLADREY LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N HARRISON STREET SUITE 300	AddressLine1
City	DAVENPORT	City
State	IA	State
ZIP Code	528011999	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2012-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	421418847	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GENE	NameControl
Phone	5634216508	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E RUSHOLME	AddressLine1
City	DAVENPORT	City
State	IA	State
ZIP Code	528032498	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	MARK G ROGERS	Name
Title	VICE PRESIDENT, FINANCE/CFO	Title
Phone	5634216508	Phone
Date Signed	2014-02-17	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	JOHN J ROMANO	Name
PTIN	P00227323	PTIN
Phone	5638884000	Phone

Field	Value	IRS element (for citing)
Tax Year	2012	TaxYear
Build TS	2015-11-30 17:44:51Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	MARK G ROGERS	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	1227 E RUSHOLME	AddressLine1
City	DAVENPORT	City
State	IA	State
ZIP Code	528032498	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	486427137	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.GENESISHEALTH.COM	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1994	YearFormation
State Legal Domicile	IA	StateLegalDomicile
Activity Or Mission Description	GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	8	NbrIndependentVotingMembers
Total Nbr Employees	4554	TotalNbrEmployees
Total Nbr Volunteers	788	TotalNbrVolunteers
Total Gross UBI	1761501	TotalGrossUBI
Net Unrelated Business Txbl Income	59720	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	5572279	ContributionsGrantsPriorYear
Contributions Grants Current Year	4442652	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	439256448	ProgramServiceRevenuePriorYear
Program Service Revenue CY	433064842	ProgramServiceRevenueCY
Investment Income Prior Year	8889003	InvestmentIncomePriorYear
Investment Income Current Year	14798678	InvestmentIncomeCurrentYear
Other Revenue Prior Year	4797192	OtherRevenuePriorYear
Other Revenue Current Year	4480581	OtherRevenueCurrentYear
Total Revenue Prior Year	458514922	TotalRevenuePriorYear
Total Revenue Current Year	456786753	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2524001	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2301353	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	226001561	SalariesEtcPriorYear
Salaries Etc Current Year	226022135	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	216377085	OtherExpensePriorYear
Other Expenses Current Year	203029515	OtherExpensesCurrentYear
Total Expenses Prior Year	444902647	TotalExpensesPriorYear
Total Expenses Current Year	431353003	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	13612275	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	25433750	RevenuesLessExpensesCY
Total Assets BOY	580466570	TotalAssetsBOY
Total Assets EOY	608334369	TotalAssetsEOY
Total Liabilities BOY	172179911	TotalLiabilitiesBOY
Total Liabilities EOY	152959064	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	408286659	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	455375305	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	241028373	Expense
Grants	2301329	Grants
Revenue	335961198	Revenue
Description	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 73,481 PATIENT DAYS, 18,598 PATIENT DISCHARGES AND 184,631 OUT-PATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS AND 77 LONG-TERM CARE BEDS. STATISTICS INCLUDE 1,130 PATIENT DAYS, 189 PATIENT DISCHARGES, AND 18,217 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING.	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	85386456	Expense
Grants	24	Grants
Revenue	71091415	Revenue
Description	GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) CONSISTS OF 44 CLINICS AND 151 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 273,312 AND RVU'S (RELATIVE VALUE UNITS) 476,236.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	21463775	Expense
Revenue	27365827	Revenue
Description	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 HOME HEALTH VISITS 127,442 AND HOSPICE/HOSPICE HOUSE DAYS 55,502.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	1498102	Expense
Revenue	1365482	Revenue
Description	GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC (GENESIS ACO) IS A SINGLE MEMBER 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 PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM (GHS IOWA) IS THE SOLE MEMBER OF GENESIS ACO. FOR INCOME TAX AND INFORMATIONAL RETURN PURPOSES, GENESIS ACO IS A DISREGARDED ENTITY AND IS INCLUDED WITHIN THE GHS IOWA'S INCOME TAX AND INFORMATIONAL RETURNS.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	1498102	TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev	1365482	TotalOfOtherProgramServiceRev
Total Program Service Expense	349376706	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	1	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	1	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	1	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Info In Schedule O Part V	X	InfoInScheduleOPartV
Number Forms Transmitted With1096	368	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4554	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	1	ForeignFinancialAccount
Name Of Foreign Country	CJ	NameOfForeignCountry
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	18	NbrVotingGoverningBodyMembers
Number Independent Voting Members	8	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	0	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	1	LocalChapters
Policies Reference Chapters	1	PoliciesReferenceChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
States Where Copy Of Return Is Filed	IL	StatesWhereCopyOfReturnIsFiled
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	MARK G ROGERS	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	5634216508	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	1227 E RUSHOLME	AddressLine1
City	DAVENPORT	City
State	IA	State
ZIP Code	528032498	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (35 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	OfficerOfficer	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
STEVEN C BAHLS
DIRECTOR	4.00	X	0	0	0
MARK D BAWDEN
CHAIR	10.00	X	0	0	0	X
GREGORY J BUSH
TREASURER	4.00	X	0	0	0	X
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	44.00	X	1289580	0	121303	X
THOMAS A GILDEHAUS
DIRECTOR	4.00	X	0	0	0
ROGER J HILL
SECRETARY	4.00	X	0	0	0	X
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	528797	0	28544
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
PAST CHAIR	10.00	X	0	0	0	X
G CHRISTOPHER WAHLIG
VICE CHAIR	8.00	X	0	0	0	X
C DANA WATERMAN III
DIRECTOR	4.00	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	40.00		567106	0	63788	X
WAYNE A DIEWALD
CHIEF OPERATING OFFICER	40.00		414419	0	128153		X
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	40.00		383474	0	30701		X
RICHARD M KISHIUE MD
PRESIDENT, GHG	40.00		341153	0	67417		X
JUDITH K PRANGER
V.P. PATIENT SERVICES	40.00		239206	0	41724		X
FLORENCE L SPYROW
PRESIDENT, GMC ILLINI	40.00		243634	137045	93976		X
KURT ANDERSEN
PHYSICIAN	40.00		506295	0	16904			X
NICHOLAS AUGELLI MD
PHYSICIAN	40.00		922096	0	29189			X
JAMES A LEHMAN MD
V.P. QUALITY	40.00		480883	0	60423			X
TODD RIDENOUR MD
PHYSICIAN	40.00		849098	0	29885			X
CALVIN J SLOT MD
PHYSICIAN	40.00		502576	0	11405			X
JEFFREY M COOPER
PRESIDENT, GMC DEWITT	40.00		192450	0	15837				X
HEIDI S KAHLY-MCMAHON
V.P. HUMAN RESOURCES	40.00		211704	0	64094				X
WILLIAM LANGLEY MD
EXECUTIVE DIRECTOR	40.00		281322	0	44399				X
ROBERT M NELSON MD
V.P. CLINICAL SERVICES	40.00		357543	0	20958				X
MIKE L SHARP
V.P. SUPPORT SERVICES	40.00		207803	0	54679				X
CRAIG SOMMERS
EXECUTIVE DIRECTOR	40.00		145766	0	22564				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	8664905	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	137045	TotalReportableCompFrmRltdOrgs
Total Other Compensation	945943	TotalOtherCompensation
Number Individuals GT100 K	264	NumberIndividualsGT100K
Formers Listed	1	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
METROPOLITAN MEDICAL LAB
1814 E LOCUST STREET	DAVENPORT	IA	52803	LAB SERVICES	8502423
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64141	SOFTWARE SERVICE AGREEMENTS	6051287
NAVIGANT CONSULTING INC
4511 PAYSPHERE CIRCLE	CHICAGO	IL	60674	CONSULTING/PROFESSIONAL SERVICE	3883098
MEDICUS EMERGENCY ROOM SERVICE LLC
7 INDUSTRIAL WAY UNIT 5	SALEM	NH	03079	PHYSICIAN FEES-MED SERVICES	1618630
COGENT HEALTHCARE OF IOWA PC
PO BOX 645037	CINCINNATI	OH	45264	PHYSICIAN FEES-MED SERVICES	1522911

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	74	NumberOfContractorsGT100K
Related Organizations	480857	RelatedOrganizations
Government Grants	3014450	GovernmentGrants
All Other Contributions	947345	AllOtherContributions
Noncash Contributions	43683	NoncashContributions
Total Contributions	4442652	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
INPATIENT REVENUE	900099	443353342	443353342
OUTPATIENT REVENUE	621400	426022707	426022707
CLINIC REVENUE	621400	141342778	141342778
HOME HEALTH & HOSPICE CARE REVENU	621610	30272101	30272101
OTHER OPERATING REVENUE	624100	8894614	8894614

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-616820700	TotalRevenueColumn
Related Or Exempt Function Income	-618577867	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1757167	UnrelatedBusinessRevenue

Field	Value	IRS element (for citing)
Total Program Service Revenue	433064842	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	8210234	TotalRevenueColumn
Exclusion	$8,210,234	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	35762822	Securities
Other	9914	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	28863324	Securities
Other	320968	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	6899498	Securities
Other	-311054	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	6588444	TotalRevenueColumn
Exclusion	$6,588,444	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	691447	GrossSalesOfInventory
Cost Of Goods Sold	456092	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	235355	TotalRevenueColumn
Related Or Exempt Function Income	235355	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
DIETARY	900099	2119885	2115551	4334
OTHER REVENUE	900099	1937242	1937242
HOUSEKEEPING	900099	188099	188099

Field	Value	IRS element (for citing)
Total Other Revenue	4245226	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	456786753	TotalRevenueColumn
Related Or Exempt Function Income	435783922	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1761501	UnrelatedBusinessRevenue
Exclusion	$14,798,678	ExclusionAmount

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

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2085311	Total
Program Services	2085311	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	216042	Total
Program Services	216042	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4258799	Total
Program Services	1120381	ProgramServices
Management And General	3138418	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	420995	Total
Program Services	230242	ProgramServices
Management And General	190753	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	184700996	Total
Program Services	155585055	ProgramServices
Management And General	29115941	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	5625799	Total
Program Services	4448135	ProgramServices
Management And General	1177664	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	17593095	Total
Program Services	15110667	ProgramServices
Management And General	2482428	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	13422451	Total
Program Services	10577646	ProgramServices
Management And General	2844805	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	14356945	Total
Program Services	8660463	ProgramServices
Management And General	5696482	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1956219	Total
Management And General	1956219	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	253970	Total
Program Services	21	ProgramServices
Management And General	253949	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	120059	Total
Program Services	25000	ProgramServices
Management And General	95059	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1300380	Total
Management And General	1300380	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	45116198	Total
Program Services	38935346	ProgramServices
Management And General	6180852	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1109421	Total
Program Services	183142	ProgramServices
Management And General	926279	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	40645202	Total
Program Services	36774446	ProgramServices
Management And General	3870756	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7384646	Total
Program Services	1001664	ProgramServices
Management And General	6382982	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	14851453	Total
Program Services	12041331	ProgramServices
Management And General	2810122	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2009127	Total
Program Services	1169884	ProgramServices
Management And General	839243	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	604031	Total
Program Services	433603	ProgramServices
Management And General	170428	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	3862107	Total
Program Services	3862107	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	25658588	Total
Program Services	17887100	ProgramServices
Management And General	7771488	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	4321658	Total
Program Services	1601691	ProgramServices
Management And General	2719967	ManagementAndGeneral

Other Expenses OtherExpenses (2 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PATIENT SUPPLY COST OF	36522592	36522592
MISCELLANEOUS	2956919	904837	2052082

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	431353003	Total
Program Services	349376706	ProgramServices
Management And General	81976297	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	5104363	BOY
EOY	10945312	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	49784716	BOY
EOY	39815025	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	65432437	BOY
EOY	76914414	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	38677310	BOY
EOY	37580652	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9221836	BOY
EOY	9291429	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5881067	BOY
EOY	6146832	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	539871303	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	374511030	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	165992664	BOY
EOY	165360273	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	158409749	BOY
EOY	176148002	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	59123202	BOY
EOY	58633378	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	22839226	BOY
EOY	27499052	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	580466570	BOY
EOY	608334369	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	56177867	BOY
EOY	59623413	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	87908923	BOY
EOY	80274879	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	103649	BOY
EOY	70499	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	27989472	BOY
EOY	12990273	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	172179911	BOY
EOY	152959064	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	394832463	BOY
EOY	441535460	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	13454196	BOY
EOY	13839845	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	408286659	BOY
EOY	455375305	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	580466570	BOY
EOY	608334369	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	25433750	ReconcilationRevenueExpenses
Reconciliation Unrealized Invest	6739554	ReconciliationUnrealizedInvest
Reconcilation Other Changes	14915342	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited

FS Audited Basis FSAuditedBasis

Field	Value	IRS element (for citing)
Financial Statement Consolidated	X	FinancialStatementConsolidated

Field	Value	IRS element (for citing)
Audit Committee	1	AuditCommittee
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital170b1 Aiii	X	Hospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	1	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	1	MailingsMembers
Mailings Members	$0	MailingsMembersAmount
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	1	GrantsOtherOrganizations
Grants Other Organizations	$3,000	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$109,925	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$0	RalliesDemonstrationsAmount
Other Activities	1	OtherActivities
Other Activities	$92,059	OtherActivitiesAmount
Total Lobbying Expenditures IIB	204984	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	PART II-B, LINE 1B, PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS IOWA) HAD ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. HIS 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 27, 2013, 75 GENESIS HEALTH SYSTEM STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. 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 OTHER ORGANIZATIONS: 1.) QUAD CITIES CHAMBER - IOWA LEGISLATIVE LUNCHEON IN JANUARY 2013, $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 ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. HIS 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 HIS LOBBYING ACTIVITIES INCLUDED: SALARIES - $72,073, AND MILEAGE/TRAVEL EXPENSES - $1,635. ALSO, ON FEBRUARY 27, 2013, 75 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 THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE DIRECT COSTS INCLUDED: SALARIES - $33,067, AND BUSINESS EXPENSES - $3,150. PART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2013, 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: 23% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $28,796, 24% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,504, 55% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $9,377, AND VARIOUS OTHER ASSOCIATIONS - $16,382.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

Field	Value	IRS element (for citing)
Beginning Of Year Balance	7633243	BeginningOfYearBalance
Contributions	2101	Contributions
Investment Earnings Or Losses	561816	InvestmentEarningsOrLosses
Grants Or Scholarships	359136	GrantsOrScholarships
End Of Year Balance	7838024	EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5519844	BeginningOfYearBalance
Contributions	2014051	Contributions
Investment Earnings Or Losses	99448	InvestmentEarningsOrLosses
Administrative Expenses	100	AdministrativeExpenses
End Of Year Balance	7633243	EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5040858	BeginningOfYearBalance
Contributions	16614	Contributions
Investment Earnings Or Losses	465988	InvestmentEarningsOrLosses
Administrative Expenses	3616	AdministrativeExpenses
End Of Year Balance	5519844	EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5010740	BeginningOfYearBalance
Contributions	28352	Contributions
Investment Earnings Or Losses	297861	InvestmentEarningsOrLosses
Grants Or Scholarships	296096	GrantsOrScholarships
End Of Year Balance	5040857	EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

Field	Value	IRS element (for citing)
Beginning Of Year Balance	5224450	BeginningOfYearBalance
Contributions	30636	Contributions
Investment Earnings Or Losses	-243446	InvestmentEarningsOrLosses
Grants Or Scholarships	900	GrantsOrScholarships
End Of Year Balance	5010740	EndOfYearBalance

Field	Value	IRS element (for citing)
Board Designated EOY Balance	0.49880	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.50120	PermanentEndowmentEOYBalance
Term Endowment EOY Balance	0.00000	TermEndowmentEOYBalance
Endowments Held By Unrelated Orgs	0	EndowmentsHeldByUnrelatedOrgs
Endowments Held By Related Orgs	1	EndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule R	1	AreRelatedOrgsListedScheduleR

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	6479379	OtherCostOrOtherBasis
Book Value	6479379	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	198074869	OtherCostOrOtherBasis
Depreciation	118166129	Depreciation
Book Value	79908740	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19732909	OtherCostOrOtherBasis
Depreciation	16827103	Depreciation
Book Value	2905806	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	286510461	OtherCostOrOtherBasis
Depreciation	224214140	Depreciation
Book Value	62296321	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29073685	OtherCostOrOtherBasis
Depreciation	15303658	Depreciation
Book Value	13770027	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	165360273	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (18 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN HEALTH ENTERPRISES OF IOWA (HEI)	-11388	C
INVESTMENT IN GENVENTURES, INC	23824096	C
INVESTMENT IN MISERICORDIA ASSURANCE COMPANY, LTD.	120000	C
INVESTMENT IN MRIOWA, LLC	249435	C
INVESTMENT IN HEI COOP	1897354	C
INVESTMENT IN HEI VENTURES	124830	C
INVESTMENT IN HEI IOWA ECHO/ULTRASOUND	209022	C
INVESTMENT IN HEI BREAST BIOPS	8267	C
INVESTMENT IN HEI DIGITAL MAMMOGRAPHY	13044	C
INVESTMENT IN SPRING PARK SURGERY CENTER, LLC	4365273	C
INVESTMENT IN GENGASTRO, LLC	23051622	C
INVESTMENT IN GENORTHO, LLC	1716670	C
OTHER INVESTMENTS - GMC, DEWITT	374061	F
INVESTMENT IN HEI BONE DENSITY	20075	C
INVESTMENT IN GENRAD IMAGING, LLC	2713465	C
INVESTMENT IN GENESIS ONCOLOGY CO-MANAGEMENT, LLC	69855	C
INVESTMENT IN HEI PHARMACY SERVICES, LC	-150781	C
OTHER INVESTMENTS - GMC	38478	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	58633378	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$11,471,578
ACCRUED INS TRUST LOSSES	$1,518,695

Field	Value	IRS element (for citing)
Total Of Amounts	12990273	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS:	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 AND VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, EMPLOYEE ASSISTANCE, AND PEDIATRIC HOSPICE SERVICES.
DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	PART X, LINE 2:	GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION), ILLINI HOSPITAL FOUNDATION (ILLINI FOUNDATION) AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUS) 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, ILLINI FOUNDATION 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, ILLINI FOUNDATION AND WORKERS' COMPENSATION TRUST ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED JUNE 30, 2009 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, 2009 AND PRIOR. THERE WERE NO UNCERTAIN TAX POSITIIONS AS OF JUNE 30, 2013 AND 2012.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICAN AND THE CARIBBEAN	Region
Number Of Offices	0	NumberOfOffices
Number Of Employees	0	NumberOfEmployees
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted

Field	Value	IRS element (for citing)
Subtotal Number Of Offices	0	SubtotalNumberOfOffices
Subtotal Number Of Employees	0	SubtotalNumberOfEmployees
Cont Number Of Offices	0	ContNumberOfOffices
Cont Number Of Employees	0	ContNumberOfEmployees
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Subtotal Amount Spent	0	SubtotalAmountSpent
Cont Amount Spent	0	ContAmountSpent
Total Amount Spent	0	TotalAmountSpent
Transfer To Foreign Corp	1	TransferToForeignCorp
Interest In Foreign Trust	0	InterestInForeignTrust
Own Foreign Corp	1	OwnForeignCorp
Passive Foreign Invest Co	0	PassiveForeignInvestCo
Foreign Partnership	0	ForeignPartnership
Boycott Countries	0	BoycottCountries

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	1	FPGReferenceDiscountedCare
Pcent200 D	X	Pcent200D
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	0	ExpensesExceededBudget
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7676828	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	7676828	NetCommunityBenefitExpense
Percent Of Total Expense	0.01780	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	52346254	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41184642	DirectOffsettingRevenue
Net Community Benefit Expense	11161612	NetCommunityBenefitExpense
Percent Of Total Expense	0.02590	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	259258	TotalCommunityBenefitExpense
Direct Offsetting Revenue	72216	DirectOffsettingRevenue
Net Community Benefit Expense	187042	NetCommunityBenefitExpense
Percent Of Total Expense	0.00040	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	60282340	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41256858	DirectOffsettingRevenue
Net Community Benefit Expense	19025482	NetCommunityBenefitExpense
Percent Of Total Expense	0.04410	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	530339	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	530339	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3067704	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2223645	DirectOffsettingRevenue
Net Community Benefit Expense	844059	NetCommunityBenefitExpense
Percent Of Total Expense	0.00200	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	7548292	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5617176	DirectOffsettingRevenue
Net Community Benefit Expense	1931116	NetCommunityBenefitExpense
Percent Of Total Expense	0.00450	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	216376	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	216376	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	723402	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	723402	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12086113	TotalCommunityBenefitExpense
Direct Offsetting Revenue	7840821	DirectOffsettingRevenue
Net Community Benefit Expense	4245292	NetCommunityBenefitExpense
Percent Of Total Expense	0.00990	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	72368453	TotalCommunityBenefitExpense
Direct Offsetting Revenue	49097679	DirectOffsettingRevenue
Net Community Benefit Expense	23270774	NetCommunityBenefitExpense
Percent Of Total Expense	0.05400	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	43429	TotalCommunityBuildingExpense
Net Community Building Expense	43429	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	14361	TotalCommunityBuildingExpense
Net Community Building Expense	14361	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	1296	TotalCommunityBuildingExpense
Net Community Building Expense	1296	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	37280	TotalCommunityBuildingExpense
Net Community Building Expense	37280	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	13291	TotalCommunityBuildingExpense
Net Community Building Expense	13291	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	109657	TotalCommunityBuildingExpense
Net Community Building Expense	109657	NetCommunityBuildingExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$28,397,054	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	107368820	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	114618965	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-7250145	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (5 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
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

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Website AddressWebsiteAddress	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital
GENESIS MEDICAL CENTER - DAVENPORT
1	1227 E RUSHOLME STREET	DAVENPORT	IA	52803	WWW.GENESISHEALTH.COM	X	X	X
GENESIS MEDICAL CENTER - DEWITT
2	1118 11TH STREET	DEWITT	IA	52742	WWW.GENESISHEALTH.COM	X	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Include Operational PlansIncludeOperationalPlans	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	FPG Discount PercentFPGDiscountPercent	Explains BasisExplainsBasis	Income LevelIncomeLevel	Asset LevelAssetLevel	Medical IndigencyMedicalIndigency	Insurance StatusInsuranceStatus	Uninsured DiscountUninsuredDiscount	Medicaid MedicareMedicaidMedicare	State RegulationStateRegulation	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Attached To InvoicesAttachedToInvoices	Posted In Emergency RoomPostedInEmergencyRoom	Posted In Admission OfficePostedInAdmissionOffice	Provided On AdmissionProvidedOnAdmission	Available On RequestAvailableOnRequest	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Lowest Negotiated RatesLowestNegotiatedRates	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
GENESIS MEDICAL CENTER - DAVENPORT
1	1	X	X	X	X	X	X	X	X	11	1	1	1	X	X	X	X	X	X	X	X	X	X	1	0	1	1	200.000000000000	1	200.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	X	X	X	1	0	1	X	0	0
GENESIS MEDICAL CENTER - DEWITT
2	1	X	X	X	X	X	X	X	X	10	1	1	1	X	X	X	X	X	X	X	X	X	X	1	0	1	1	200.000000000000	1	200.000000000000	1	X	X	X	X	X	X	X	1	1	X	X	X	X	X	X	1	0	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	69	NumberOfOtherFacilities

Other Facilities OtherFacilities (69 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
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
MEDICAL OFFICE BUILDING #1
1228 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P MAMMOGRAPHY & DIALYSIS SERVICES
GENESIS HEALTH GROUP
865 LINCOLN ROAD	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN 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
VISITING NURSE ASSOC & HOSPICE HOUSE
2546 TECH DRIVE	BETTENDORF	IA	52722	HOME HEALTH & HOSPICE
ILLINI LARSON CENTER
855 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT LAB & PHYSICIAN CLINIC
BETTENDORF IMAGING CENTER
4017 DEVILS GLEN ROAD STE 205	BETTENDORF	IA	52722	OUTPATIENT RADIOLOGY SERVICES
GENESIS MEDICAL PARK
4017 DEVILS GLEN ROAD STE 100	BETTENDORF	IA	52722	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
DEWITT WEST WING PLACE
1118 11TH STREET	DEWITT	IA	52742	OUTPATIENT PHYSICIAN CLINIC
DIVISION STREET CLINIC
3618 N DIVISION STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
ELDRIDGE FAMILY PRACTICE
301 N 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT PHYSICIAN CLINIC
VISITING NURSE ASSOS
4711 44TH STREET STE 2	ROCK ISLAND	IL	61201	HOME HEALTH & HOSPICE
NORTH FAMILY PRACTICE
210 W 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT PHYSICIAN CLINIC
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	OUTPATIENT SURGICAL CENTER
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	DIAGNOSTIC IMAGING CENTER
FAMILY PRACTICE AT WEST CAMPUS
1345 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
NORTHWEST FAMILY PRACTICE
1520 S 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT PHYSICIAN CLINIC
SCOTT COUNTY YMCA
3800 TANGLEFOOT LANE	BETTENDORF	IA	52722	OUTPATIENT REHABILITATION CLINIC
MOLINE VALLEY VIEW
615 VALLEY VIEW DRIVE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
GENESIS PHYSICAL REHAB - VALLEY FAIR
2300 53RD STREET	BETTENDORF	IA	52722	O/P PHYSICAL THERAPY CLINIC
HEDBERG BUILDING - MOLINE FAMILY PRACT
2526 41ST STREET	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC & NUERO ENT
ILLINI BUILDING #2
1504 10TH STREET	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
GENORTHO LLC
2300 53RD STREET	BETTENDORF	IA	52722	ORTHOPEDIC SURGERY CENTER
GENESIS PHYSICAL REHAB - CROW VALLEY
2300 53RD AVENUE STE LL02	BETTENDORF	IA	52722	O/P PHYSICAL THERAPY CLINIC
CONVENIENT CARE - BETTENDORF
4017 DEVILS GLEN ROAD	BETTENDORF	IA	52722	OUTPATIENT URGENT CARE CLINIC
GENESIS PSYCHOLOGY ASSOCIATES
4455 E 56TH STREET	DAVENPORT	IA	52804	OUTPATIENT COUNSELING CLINIC
SILVIS ANESTHESIOLOGY
801 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
LOMBARD PHYSICAL THERAPY
1414 W LOMBARD STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICAL THERAPY CLINIC
GENESIS CONVENIENT CARE - ILLINOIS
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT URGENT CARE CLINIC
ILLINI BUILDING #1
903-05 ILLINI DRIVE	SILVIS	IL	61282	HOME HEALTH & O/P PHYSICIAN CLINIC
MUSCATINE FAMILY PRACTICE
2104 CEDARWOOD STREET STE 200	MUSCATINE	IA	52761	OUTPATIENT PHYSICIAN CLINIC
DAVENPORT CLINIC
1820 W 3RD ST	DAVENPORT	IA	52803	OUTPATIENT PHYSICIAN CLINIC
DEWITT FAMILY PRACTICE
1008 11TH STREET	DEWITT	IA	52742	OUTPATIENT PHYSICIAN CLINIC
GENESIS PLASTIC SURGERY ASSOC
5335 EASTERN AVENUE STE C	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
MOLINE VALLEY VIEW WEST FAMILY PRAC
515 VALLEY VIEW DRIVE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
GENESIS CENTER FOR BARIATRIC SURGERY
1230 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P COMPREHENSIVE BARIATRIC PROGRAM
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
ROCK ISLAND INTERNAL MEDICINE
2560 24TH STREET STE 202	ROCK ISLAND	IL	61201	OUTPATIENT PHYSICIAN CLINIC
LECLAIRE FAMILY PRACTICE - RIVERVIEW
200 S CODY ROAD	LECLAIRE	IA	52751	OUTPATIENT PHYSICIAN CLINIC
GHG - MERCY MEDICAL GROUP
221 MAIN AVENUE	CLINTON	IA	52732	OUTPATIENT PHYSICIAN CLINIC
GHS OCCUPATIONAL HEALTH - DAVENPORT
3319 SPRING STREET	DAVENPORT	IA	52807	OUTPATIENT OCCUPATIONAL HEALTH
IA CITY PEDIATRIC PT CLINIC
2451 CORAL CT	CORALVILLE	IA	52241	OUTPATIENT PHYSICAL THERAPY CLINIC
DURANT FAMILY PRACTICE
619 5TH STREET	DURANT	IA	52747	OUTPATIENT PHYSICIAN CLINIC
DEWITT AMBULANCE
1220 11TH STREET	DEWITT	IA	52742	AMBULANCE SERVICES
BLUE GRASS FAMILY MEDICAL
413 S MISSISSIPPI	BLUE GRASS	IA	52726	OUTPATIENT PHYSICIAN CLINIC
VISITING NURSE ASSOC & HOSPICE HOUSE
611 N 2ND AVENUE	CLINTON	IA	52732	HOME HEALTH & HOSPICE
GENESIS PHYSICAL THERAPY AT LECLAIRE
1003 CANAL SHORE DRIVE	LECLAIRE	IA	52751	OUTPATIENT PHYSICAL THERAPY CLINIC
GENESIS OCCUPATIONAL HEALTH
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT OCCUPATIONAL HEALTH
ERIE FAMILY PRACTICE
530 12TH STREET	ERIE	IL	61205	OUTPATIENT PHYSICIAN CLINIC
ALPHA FAMILY PRACTICE - CAJIGAL A
202 PICARD STREET	ALPHA	IL	61413	OUTPATIENT PHYSICIAN CLINIC
GHG - LOWDEN FAMILY PRACTICE
305 MCKINLEY AVENUE	LOWDEN	IA	52255	OUTPATIENT PHYSICIAN CLINIC
GHS - U OF IA PEDIATRIC GASTRO
2222 53RD AVENUE	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
GHS - AUGUSTANA PT CLINIC
639 38TH STREET	ROCK ISLAND	IL	61201	OUTPATIENT PHYSICAL THERAPY CLINIC
ROCK ISLAND ARSENAL FAMILY PRACTICE
1634 WHITTEMORE STE 101	ROCK ISLAND	IL	61299	OUTPATIENT PHYSICIAN CLINIC
EAP - DAVENPORT
1910 E KIMBERLY	DAVENPORT	IA	52806	COUNSELING SERVICES
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

Form990 Schedule H Part VI Form990ScheduleHPartVI (22 entries)

ExplanationExplanation	Return ReferenceReturnReference	IdentifierIdentifier
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, L7 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 16.78%, AND THE PERCENTAGE INCREASES TO 43.35% IF MEDICARE COST REPORT ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE.
PART II: 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. MENTORING PROGRAMS (NON-HEALTH PROFESSIONS) - SEVERAL GHS IOWA EMPLOYEES TRAVEL TO LOCAL COMMUNITY SCHOOLS TO TEACH THE IMPORTANCE OF WORKFORCE READINESS, ENTREPRENEURSHIP, AND FINANCIAL LITERACY. COALITION BUILDING (F6): HOSPITAL REPRESENTATION TO HEALTH COALITIONS - GHS IOWA EXECUTIVES AND EMPLOYEES ARE ACTIVE PARTICIPANTS IN COMMUNITY COALITIONS THAT RELATE TO IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES INCLUDE THE MAYOR'S HUNGER LUNCHEONS THAT ADDRESS THE HOMELESS POPULATION AND PARTNERSHIPS IN NURSING (PIN), A COLLABORATIVE PARTNERSHIP WITH COMMUNITY GROUPS TO IMPROVE THE COMMUNITY NURSING INFRASTRUCTURE WITH A GOAL OF IDENTIFYING AREAS OF REDUCED REPRESENTATION WHILE WORKING TO STRENGTHEN THE EDUCATIONAL AND FACULTY DEVELOPMENT TO BETTER SERVE OUR COMMUNITY AS A WHOLE. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT/SAFETY (F7): HEALTH CARE ADVOCACY - 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. GHS IOWA EMPLOYEES PARTICIPATE IN A VOTER VOICE INITIATIVE TO ALSO ADVOCATE ON IMPORTANT HEALTH ISSUES.WORKFORCE 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.
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 2:
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 3:
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 4:
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.IN ADDITION, GENESIS HEALTH SYSTEM (GHS IOWA) CALCULATED ITS MEDICARE SHORTFALL ANOTHER WAY FOR SUPPLEMENTAL INFORMATIONAL PURPOSES. THIS CALCULATION WAS COMPUTED USING THE GROSS PATIENT REVENUE BY PAYOR MIX AND CONVERTED TO COST USING THE COST-TO-CHARGE RATIO FROM PART I, WORKSHEET 2. USING A ZERO BALANCE REPORT FROM JULY 1, 2012 JUNE 30, 2013, THE PAYMENT RATE WAS CALCULATED BY TAKING THE SUM OF THE CONTRACTUALS AND CHARITY CARE AND DIVIDING BY MEDICARE CHARGES, THEN TAKING THE INVERSE. THE SHORTFALL IS THE DIFFERENCE BETWEEN THE PAYMENTS AND THE COSTS. A. THE PAYER MIX AND ZERO BALANCE REPORT FOR GENESIS MEDICAL CENTER - DAVENPORT (GMC - DAVENPORT) HOSPITAL AND GENESIS MEDICAL CENTER - DEWITT (GMC - DEWITT) HOSPITAL WERE USED ALONG WITH THE COST TO CHARGE RATIO CALCULATED USING EACH HOSPITAL'S DATA TO GET A "GLOBAL" COST TO CHARGE RATIO OF 35.09%, RESULTED WITH A MEDICARE SHORTFALL OF $15,431,044.-SECTION B. MEDICARE - GLOBAL (GMC - DAV & GMC - DEWITT)5. TOTAL REVENUE RECEIVED FROM MEDICARE $141,889,737 6. ALLOWABLE COSTS OF CARE $157,320,7827. SURPLUS (SHORTFALL) ($15,431,044) B. UTILIZING A PAYER MIX AND ZERO BALANCE REPORT FOR GMC - DAVENPORT HOSPITAL, GMC - DEWITT HOSPITAL, GENESIS HEALTH GROUP CLINICS, GENESIS FAMILY MEDICAL CENTER, AND GENESIS VISITING NURSE ASSOCIATION AND HOSPICE, AND EACH BUSINESS UNIT'S COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, THE COMBINED GHS IOWA MEDICARE SHORTFALL IS $17,270,642.-SECTION B. MEDICARE - ALL INDIVIDUAL ADDED5. TOTAL REVENUE RECEIVED FROM MEDICARE $177,525,818 6. ALLOWABLE COSTS OF CARE $194,796,4607. SURPLUS (SHORTFALL) ($17,270,642)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 $8,926,014. 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 $8,926,014. 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 $8,926,014 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 7.46%.
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 V, SECTION B, LINE 3: 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 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 - DAVENPORT
PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED ON BEHALF OF GMC - DEWITT AND JACKSON COUNTY REGIONAL HEALTH CENTER (JCRHC) AND SPONSORED BY GMC DEWITT AND JCRHC. THIS JOINT CHNA REPORT YIELDS INFORMATION SPECIFIC TO THE COMMUNITIES OF EACH OF THESE HOSPITAL FACILITIES, ALLOWING FOR INDEPENDENT DETERMINATION OF HEALTH PRIORITIES. GMC - DEWITT HAS SERVED DEWITT AND SURROUNDING COMMUNITIES WITH COMPASSIONATE, HIGH QUALITY CARE SINCE 1952. THROUGHOUT THE YEARS, THE HOSPITAL HAS SUCCESSFULLY RESPONDED TO A GROWING POPULATION AND AN EVOLVING HEALTH CARE DELIVERY SYSTEM. GMC - DEWITT IS A NON-PROFIT, CHARITABLE ORGANIZATION GOVERNED BY THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD OF TRUSTEES. AS A MEMBER OF GHS IOWA, GMC - DEWITT PATIENTS HAVE ACCESS TO EXTENDED SERVICES THAT A COMMUNITY HOSPITAL OTHERWISE MAY NOT PROVIDE. THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) WHICH ENSURES THAT HIGH STANDARDS OF PATIENT CARE ARE MET.JACKSON COUNTY'S ONLY HOSPITAL, JCRCH BEGAN AS THE RESULT OF A COMMUNITY VISION TO CREATE A MODERN, FULL-SERVICE HOSPITAL TO MEET THE NEEDS OF JACKSON COUNTY RESIDENTS AND THE SURROUNDING AREA. THAT VISION HOLDS TRUE TODAY AS JCRHC STRIVES TO MEET THE EVER CHANGING NEEDS OF THE PEOPLE IT SERVES. TODAY JCRHC IS A 25 BED JOINT COMMISSION-ACCREDITED CRITICAL ACCESS HOSPITAL OFFERING A WIDE RANGE OF INPATIENT, OUTPATIENT, EMERGENCY AND COMMUNITY HEALTH SERVICES. JCRHC HAS BEEN MANAGED BY GHS IOWA SINCE JULY 2010.TO COMPLETE THE 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. EIGHTY-SEVEN 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.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. AS PART OF THIS CHNA, GENESIS MEDICAL CENTER - DEWITT CAMPUS AND JCRHC 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: - CLINTON COUNTY HEALTH DEPARTMENT - JACKSON COUNTY BOARD OF HEALTH AN 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. THE FOLLOWING REPRESENT KNOWN EXISTING HEALTH CARE FACILITIES AND RESOURCES THAT ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY. THESE LISTS ARE NOT EXHAUSTIVE AND ARE SUBJECT TO CHANGE, BUT THESE ORGANIZATIONS REPRESENT POTENTIAL PARTNERS IN IMPROVING HEALTH IN CLINTON AND JACKSON COUNTIES:CLINTON COUNTY - AMERICAN RED CROSS - BEHAVIORAL HEALTH & WELLNESS CLINIC - BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER - CLINTON COUNTY HEALTH DEPARTMENT - CLINTON COUNTY VISITING NURSE ASSOCIATION - CLINTON URGENT CARE - COMMUNITY ACTION OF EASTERN IOWA - CORNERSTONE WELLNESS CENTER - DEWITT FAMILY HEALTH CLINIC - GENESIS MEDICAL CENTER, DEWITT CAMPUS - GIRLING HOME HEALTH CARE - GRAND MOUND AMBULANCE - GUARDIAN FAMILY CARE, INC. - THE HEALING PLACE - LUTHERAN SERVICES IN IOWA - LOST NATION AMBULANCE - MAGGIE'S HOUSE ASSISTED LIVING - MERCY MEDICAL CENTER - PATHWAY LIVING CENTER, INC. - THE PREGNANCY CENTER - SKYLINE CENTER - VISITING NURSE ASSOCIATION - WEST WING PLACE NURSING HOME - WHEATLAND MANOR & LINCOLNWAY VILLA ASSISTED LIVING - WYNDCREST NURSING HOME - WOMEN'S HEALTH SERVICES - YWCAJACKSON COUNTY - GANNON CENTER FOR COMMUNITY MENTAL HEALTH - HILLCREST FAMILY SERVICES - HOME INSTEAD SENIOR CARE - HOSPICE OF JACKSON COUNTY - JACKSON COUNTY BOARD OF HEALTH - JACKSON COUNTY REGIONAL HEALTH CENTER - LUTHERAN SERVICES - MAQUOKETA AREA FAMILY YMCA - MAQUOKETA FAMILY CLINIC - MEDICAL ASSOCIATES OF MAQUOKETA - PHYSICAL & SPORTS THERAPY SERVICES - QUAD CITY KIDNEY - WOMEN'S HEALTH SERVICESAT LEAST EVERY FIVE YEARS, LOCAL BOARDS OF HEALTH LEAD A COMMUNITY-WIDE DISCUSSION WITH STAKEHOLDERS AND RESIDENTS ABOUT THEIR COMMUNITY'S HEALTH NEEDS. AFTER IDENTIFYING NEEDS IN THE COMMUNITY, THE NEXT STEP IS TO IDENTIFY OBJECTIVES AND STRATEGIES TO ADDRESS THOSE NEEDS. THIS PROCESS - COMMUNITY HEALTH NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLAN (CHNA & HIP) - IS A FUNDAMENTAL ELEMENT IN STATEWIDE PLANNING. CHNA & HIP HAS MORE THAN A 20-YEAR HISTORY IN IOWA AND REPRESENTS LOCAL ACTION TO PROMOTE AND PROTECT THE HEALTH OF IOWANS. TO PRIORITIZE THE CHNA FINDINGS INTERNALLY, EACH HOSPITAL FACILITY CONSULTED A GROUP OF INTERNAL STAKEHOLDERS TO REVIEW THE CHNA FINDINGS AND PRIORITIZE THE IDENTIFIED HEALTH NEEDS TO ESTABLISH WHICH WOULD BE BEST ADDRESSED BY TWO FACILITIES. THE GROUPS CONSIDERED SEVERAL CRITERIA IN DECIDING WHICH OF THE HEALTH NEEDS TO FOCUS ON, INCLUDING THE FOLLOWING: - MAGNITUDE - HOW MANY PEOPLE ARE AFFECTED BY A GIVEN HEALTH ISSUE? HOW DO WE VARY FROM STATE OR NATIONAL BENCHMARKS? HEALTHY PEOPLE 2020 TARGETS? - SERIOUSNESS & IMPACT - TO WHAT DEGREE DOES THIS HEALTH ISSUE LEAD TO DEATH OR DISABILITY, OR IMPAIR QUALITY OF LIFE? TO WHAT DEGREE DOES THIS HEALTH ISSUE IMPACT OTHER QUALITY OF LIFE AND HEALTH-RELATED ISSUES? - FEASIBILITY - WHAT IS THE LIKELIHOOD OF IMPACTING THIS HEALTH ISSUE, GIVEN AVAILABLE RESOURCES? - CONSEQUENCES OF INACTION - WHAT IS THE RISK OF EXACERBATING THE PROBLEM BY NOT ADDRESSING IT AT THE EARLIEST OPPORTUNITY? - COMMUNITY STAKEHOLDER INPUT - WAS THIS ISSUE IDENTIFIED AS A NEED IN THE COMMUNITY STAKEHOLDER MEETINGS? WHAT VULNERABLE POPULATIONS WERE IDENTIFIED?		GENESIS MEDICAL CENTER - DEWITT
PART V, SECTION B, LINE 4: TRINITY REGIONAL HEALTH SYSTEM		GENESIS MEDICAL CENTER - DAVENPORT
PART V, SECTION B, LINE 4: NOT APPLICABLE		GENESIS MEDICAL CENTER - DEWITT
GENESIS MEDICAL CENTER - DAVENPORT:HTTPS://WWW.GENESISHEALTH.COM/NEWS/2012/QC-HEALTH-ASSESSMENTGENESIS MEDICAL CENTER - DEWITT:HTTP://WWW.GENESISHEALTH.COM/FACILITIES/DEWITT/INDEX	PART V, LINE 5A:
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 (GHS IOWA) BOARD OF DIRECTORS IS A DIVERSE REPRESENTATION OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA THAT GHS IOWA SERVES. GHS IOWA 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. GHS IOWA EMPLOYEES SERVE THE COMMUNITIES WHERE THEY LIVE BY SERVING IN ELECTED OFFICES IN CITY AND COUNTY GOVERNMENT.GHS IOWA EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. GHS IOWA 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. GHS IOWA 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.GHS IOWA HAS DONATED FUNDING FOR OUTDOOR EXERCISE COURSES CALLED GENESIS HEALTHBEAT IN DAVENPORT, IA, MOLINE, IL, ALEDO, IL AND DEWITT, IA. GHS IOWA 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.GHS IOWA SPONSORS GENESIS ADVENTURES IN NURSING (GAIN), A CAMP FOR CHILDREN INTERESTED IN HEALTH CARE CAREERS. GHS IOWA EMPLOYEES SERVE AS MENTORS AND INSTRUCTORS DURING CAMP WEEK.GHS IOWA 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. GHS IOWA EMPLOYEES MAKE MEDICAL MISSION TRIPS EACH YEAR TO AREAS OF NEED ALL OVER THE WORLD. GHS IOWA 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. GHS IOWA EMPLOYEES SUPPORT COMMUNITY OUTREACH PROGRAMS THROUGH A PROGRAM CALLED "TAKIN IT TO THE STREETS." PROJECTS HAVE INCLUDED PRIMARY SPONSORSHIP OF A HABITAT FOR HUMANITY HOUSE (280 VOLUNTEERS); COLLECTION OF ITEMS FOR DOMESTIC VIOLENCE SHELTERS AND HUMILITY OF MARY HOMELESS SHELTER; X-STREAM CLEANUP (85 VOLUNTEERS), A CLEANUP PROJECT OF RIVERS AND STREAMS, AND ADOPT A HIGHWAY. EMPLOYEES HAVE USED THEIR COLLECTIVE IMPACT AND GENEROSITY TO SECURE DONATIONS FOR FOOD PANTRIES. EACH YEAR, GHS IOWA PROVIDES THE COMMUNITY WITH DOZENS OF CLASSES AND EVENTS PROMOTING HEALTH AND HEALTH EDUCATION. HUNDREDS OF RESIDENTS IN THE REGION SERVED BY GHS IOWA LEARN CPR, FIRST AID, PARENTING SKILLS AND NEWBORN CARE BY ENROLLING IN CLASSES.GHS IOWA HAS LAUNCHED GENESIS DINEWELL, A HEALTHY EATING PLAN FOR ITS OWN CAFETERIAS AND FOR RESTAURANTS IN THE REGION. GENESIS DINEWELL WILL WORK WITH LOCAL RESTAURANTS TO MAKE INFORMATION PUBLIC ABOUT HEALTHY RECIPES AND MENU ITEMS. THE IDEA IS THAT THE PUBLIC WILL BE BETTER ABLE TO MAKE INFORMED DECISIONS ABOUT THEIR FOOD CHOICES. GHS IOWA DIETITIANS WILL COMPILE HEALTH RECIPES TO PROVIDE TO THE PUBLIC. THERE WILL ALSO BE AN "ASK THE DIETITIAN" FEATURE AVAILABLE AT WWW.GENESISHEALTH.COM.GHS IOWA 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.GHS IOWA 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 GHS IOWA.GHS IOWA 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. CRESCENT LAUNDRY, A COMMERCIAL LAUNDRY OWNED BY A FOR-PROFIT ENTITY OF GHS IOWA HAS BEEN RECOGNIZED NATIONALLY FOR ITS CONSERVATION METHODS. GHS IOWA SPONSORS AND HOSTS AN ANNUAL BOY SCOUT MERIT BADGE DAY TO ASSIST SCOUTS IN WORKING TOWARD FIRST AID AND MEDICINE MERIT BADGES. PROFESSIONAL HEALTH CARE STAFF INSTRUCT THE SCOUTS FOR THE DAY.GHS IOWA MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE IN IOWA AND ILLINOIS STATE GOVERNMENT AND IN WASHINGTON D.C. GHS IOWA EMPLOYEES ALSO PARTICIPATE IN A VOTER VOICE INITIATIVE TO ADVOCATE ON IMPORTANT HEALTH ISSUES WITH CITY, COUNTY, STATE AND NATIONAL ELECTED OFFICIALS. IN 2013, GHS IOWA RECEIVED A FEDERAL GRANT TO ASSIST UNINSURED INDIVIDUALS IN THE REGION TO SECURE HEALTH INSURANCE. GHS IOWA PROJECTS IT WILL ASSIST AS MANY AS 11,000 INDIVIDUALS TO GAIN ACCESS TO HEALTH INSURANCE. GHS IOWA HAS ADVOCATED IN SUPPORT OF TRAFFIC ENFORCEMENT CAMERAS IN IOWA. GHS IOWA HAS EXPERIENCED FEWER PATIENTS WITH TRAUMA INJURIES FROM MOTOR VEHICLE ACCIDENTS AND WILL CONTINUE TO ADVOCATE FOR PUBLIC SAFETY.SURPLUS FUNDS RESULTING FROM EFFICIENT OPERATIONS AND COST-CONTAINMENT MEASURES ARE RE-INVESTED IN THE HEALTHCARE OPERATIONS OF GHS IOWA TO IMPROVE THE HEALTHCARE SERVICES THAT GHS IOWA PROVIDES. ADVANCES IN MEDICAL EQUIPMENT AND TECHNOLOGY, STAFF EDUCATION, AND NEW MEDICAL SERVICES ARE EXAMPLES OF OPERATIONAL INVESTMENTS THAT ULTIMATELY IMPROVE THE HEALTH OF THE COMMUNITIES THAT GHS IOWA SERVES.
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 AND GENESIS HEALTH SYSTEM WORKERS COMPENSATION PLAN AND TRUST, THE SOLE STOCKHOLDER OF GENVENTURES, INC., A MEMBER OF MISERICORDIA ASSURANCE COMPANY, LTD. AND A PARTNER IN GENGASTRO, LLC. GHS ILLINOIS IS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO AND GENESIS SENIOR LIVING, ALEDO AND IS A PARTNER IN THE LARSON CENTER PARTNERSHIP. THE FOLLOWING ENTITIES FORMED DURING THE YEAR ENDED JUNE 30, 2013: 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 PHYSICIAN CLINIC, WHICH PROVIDES SERVICES FROM ITS FACILITY IN ALEDO, ILLINOIS. ON FEBRUARY 1, 2013, GMC, ALEDO ACQUIRED ALL OF THE ASSETS AND ASSUMED ALL THE LIABILITIES OF THE HOSPITAL IN ALEDO, ILLINOIS FROM MERCER COUNTY, ILLINOIS, FOR NO CONSIDERATION. THE ASSETS ACQUIRED EXCEED THE LIABILITIES ASSUMED BY APPROXIMATELY $2,536,000, A CONTRIBUTION WHICH IS PRESENTED AS A COMPONENT OF OTHER NONOPERATING INCOME. 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. ON FEBRUARY 1, 2013, GSL, ALEDO ACQUIRED ALL OF THE ASSETS AND ASSUMED ALL THE LIABILITIES OF THE NURSING HOME IN ALEDO, ILLINOIS FROM MERCER COUNTY, ILLINOIS FOR APPROXIMATELY $2,250,000. THE ASSETS ACQUIRED EXCEED THE LIABILITIES ASSUMED AND CONSIDERATION PAID BY APPROXIMATELY $725,000, A CONTRIBUTION WHICH IS PRESENTED AS A COMPONENT OF OTHER NONOPERATING INCOME. 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 ILLINOIS PROPERTIES (GIP) OWNED LAND LOCATED IN MOLINE, ILLINOIS. DURING THE YEAR ENDED JUNE 30, 2012, GIP SOLD ITS LAND TO GENESIS MEDICAL CENTER ILLINI AND GIP WAS DISCONTINUED AS A BUSINESS UNIT. 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 ILLINI (GMC ILLINI) 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 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. ILLINI HOSPITAL FOUNDATION (ILLINI FOUNDATION) SUPPORTED GMC ILLINI BY PROVIDING FINANCIAL AND FUNDRAISING ASSISTANCE. THE MISSION OF THE ILLINI FOUNDATION WAS TO ASSIST GMC ILLINI IN PROVIDING QUALITY, COMPASSIONATE CARE FOR ALL THOSE IN NEED BY RAISING, MANAGING AND GRANTING CHARITABLE FUNDS. DURING THE YEAR ENDED JUNE 30, 2012, ILLINI FOUNDATION MERGED WITH GENESIS FOUNDATION AND ILLINI FOUNDATION WAS DISSOLVED. GENGASTRO, LLC (D/B/A THE CENTER FOR DIGESTIVE HEALTH) IS A LIMITED LIABILITY COMPANY, WHICH WAS FORMED IN 2003, 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. DURING THE YEAR ENDED JUNE 30, 2012, GHS IOWA ACQUIRED AN ADDITIONAL 8.33% INTEREST IN GENGASTRO, LLC FROM NONCONTROLLING INTERESTS AND MAINTAINS A 75% OWNERSHIP INTEREST AS OF JUNE 30, 2013 AND 2012. 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 PAYERS 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 GHS IOWA. 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. DAVENPORT SRS LEASING, LLC (SRS) IS A LIMITED LIABILITY COMPANY, WHICH WAS FORMED IN 2008, WHICH LEASES MEDICAL EQUIPMENT. GHS IOWA MAINTAINED A 93.75% OWNERSHIP INTEREST AS OF JUNE 30, 2011. DURING THE YEAR ENDED JUNE 30, 2012, GMC DAVENPORT ACQUIRED THE REMAINING INTEREST OF SRS, TO OBTAIN 100% OWNERSHIP. UPON OBTAINING 100% OWNERSHIP, THE ASSETS, LIABILITIES AND OPERATIONS OF SRS WERE TRANSFERRED TO GMC DAVENPORT AND SRS WAS DISSOLVED. GENESIS PHILANTHROPY IS A WHOLLY-OWNED TAX-EXEMPT ENTITY FORMED IN 2013, WHICH WILL PARTNER WITH OTHER HOSPITAL FOUNDATIONS TO FORM A REGIONAL NETWORK TO ATTRACT DONORS TO HELP FUND SPECIFIC HEALTH-RELATED CAUSES AND PROMOTE WELLNESS IN THE REGION. GENESIS PHILANTHROPY HAD NO FINANCIAL ACTIVITY FOR THE YEAR ENDED JUNE 30, 2013.
IL,IA	PART VI, LINE 7	REPORTS FILED WITH STATES

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (21 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	501(C)(3)	1158697	CLAIM PAYMENTS
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	501(C)(3)	169380	HEALTHCARE RELATED CONTRIBUTIONS
BALLET QUAD CITIES
613 17TH STREET	ROCK ISLAND	IL	61201	421366753	501(C)(3)	7000	SEASONAL SPONSORSHIP
CORN BELT RUNNING CLUB ROAD RUNNERS CLUB OF AMERICA
315 E GEORGE WASHINGTON BLVD	DAVENPORT	IA	52803	420823980	501(C)(3)	40000	2013 BIX RACE SPONSORSHIP
SCOTT COUNTY FAMILY Y
606 WEST 2ND STREET	DAVENPORT	IA	52801	420703278	501(C)(3)	30000	2013 CAMP GENESIS AND PARTNERS WITH YOUTH SPONSORSHIP
ST AMBROSE UNIVERSITY
518 WEST LOCUST STREET	DAVENPORT	IA	52804	420703280	501(C)(3)	218000	CONTRIBUTION TOWARDS HEALTH SCIENCE BUILDING
RICK'S HOUSE OF HOPE
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	241914034	501(C)(3)	18500	SEASONAL SPONSORSHIP
GILDA'S CLUB QUAD CITIES
1234 E RIVER DRIVE	DAVENPORT	IA	52803	421446989	501(C)(3)	43200	2013 CAMP GENESIS SPONSORSHIP
FIGGE ART MUSEUM
225 W 2ND ST	DAVENPORT	IA	52801	426090398	501(C)(3)	5000	2013 NASA/ART 50 YEARS EXPLORATION EXHIBIT SPONSORSHIP
SUSAN G KOMEN BREAST CANCER
5005 LBJ FREEWAY	DALLAS	TX	75244	751835298	501(C)(3)	33549	2013 RACE FOR THE CURE SPONSORSHIP
QUAD CITY SYMPHONY
327 BRADY STREET	DAVENPORT	IA	52801	426017663	501(C)(3)	5000	2013 MASTERWORKS III CONCERT SPONSORSHIP
AMERICAN HEART ASSOCIATION
460 LINDBERGH BLVD	ST LOUIS	MO	63141	135613797	501(C)(3)	5000	2013 HEART WALK SPONSORSHIP
DEWITT AREA FOUNDATION
827 6TH AVENUE	DEWITT	IA	52742	421296691	501(C)(3)	50000	STAR 2013 PLEDGE ARTS & RECREATION
IOWA PUBLIC TELEVISION FOUNDATION
6535 CORPORATE DRIVE	JOHNSTON	IA	50131	421169207	501(C)(3)	50000	QUAD CITIES EVENTS PROGRAMMING
QUAD CITY ARTS INC
1715 2ND AVENUE	ROCK ISLAND	IL	61201	421703278	501(C)(3)	20350	2013 FESTIVAL OF TREES & VISITING ARTS PERFORMANCE SPONSORSHIP
FIRECRACKER RUN
3725 BLACKHAWK ROAD	ROCK ISLAND	IL	61201	363807313	501(C)(3)	8000	2013 GENESIS FIRECRACKER RUN SPONSORSHIP
MAQUOKETA AREA CHAMBER OF COMMERCE
117 S MAIN STREET	MAQUOKETA	IA	52060	420883748	501(C)(6)	5000	2013 FIREWORKS SPONSORSHIP
COMMUNITY PROJECTS FOR ALEDO INC
701 NW 3RD STREET	ALEDO	IL	61231	364175552		5000	DONATION FOR RENOVATION OF GEORGE PRATT MEMORIAL FIELD
QUAD CITIES CHAMBER OF COMMERCE
130 WEST SECOND STREET	DAVENPORT	IA	52801	421500610	501(C)(6)	27500	RED, WHITE, BOOM CELEBRATION; IA & IL LEGISLATIVE LUNCHEON; GOV. STATE OF IA ADDRESS; IA & IL LEGISLATIVE FORUMS
TWO RIVERS YMCA
2040 53RD STREET	MOLINE	IL	61265	362169199	501(C)(3)	5000	2013 ADAPTIVE ROWING PROGRAM SPONSORSHIP
HUMANITY OF MARY HOME
1228 E 12TH STREET	DAVENPORT	IA	52803	010916973	501(C)(3)	5000	DONATION

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	18	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	3	TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrant	Number Of RecipientsNumberOfRecipients	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance	Amount Of Cash GrantAmountOfCashGrant
MEDICAL SUPPLIES TO INDIVIDUALS	3020	148151	FAIR MARKET VALUE	MEDICAL SUPPLIES
GRANTS FOR RESEARCH STUDIES	131				67890

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	SCHEDULE I, 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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	X	TravelForCompanions
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	0	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	0	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	0	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (19 entries)

TitleTitle	Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	610687	0	179153	0	499740	0	98378	0	22925	0	1410883	0	341127	0
GEORGE J KONTOS JR MD
DIRECTOR	498555	0	3819	0	26423	0	11250	0	17294	0	557341	0	0	0
MARK G ROGERS
V.P. FINANCE/CFO	292096	0	65263	0	209747	0	50775	0	13013	0	630894	0	132586	0
WAYNE A DIEWALD
CHIEF OPERATING OFFICER	376755	0	35497	0	2167	0	113999	0	14154	0	542572	0	0	0
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	239030	0	47365	0	97079	0	11075	0	19626	0	414175	0	0	0
RICHARD M KISHIUE MD
PRESIDENT, GHG	253457	0	19694	0	68002	0	59079	0	8338	0	408570	0	0	0
JUDITH K PRANGER
V.P. PATIENT SERVICES	78120	0	28518	0	132568	0	31939	0	9785	0	280930	0	0	0
FLORENCE L SPYROW
PRESIDENT, GMC ILLINI	203008	114192	30436	17121	10190	5732	58634	32982	1510	850	303778	170877	0	0
KURT ANDERSEN
PHYSICIAN	390707	0	40187	0	75401	0	8500	0	8404	0	523199	0	0	0
NICHOLAS AUGELLI MD
PHYSICIAN	740268	0	0	0	181828	0	11250	0	17939	0	951285	0	0	0
JAMES A LEHMAN MD
V.P. QUALITY	279934	0	53026	0	147923	0	46191	0	14232	0	541306	0	0	0
TODD RIDENOUR MD
PHYSICIAN	830528	0	0	0	18570	0	11000	0	18885	0	878983	0	0	0
CALVIN J SLOT MD
PHYSICIAN	500734	0	0	0	1842	0	2596	0	8809	0	513981	0	0	0
JEFFREY M COOPER
PRESIDENT, GMC DEWITT	79553	0	0	0	112897	0	5965	0	9872	0	208287	0	0	0
HEIDI S KAHLY-MCMAHON
V.P. HUMAN RESOURCES	179762	0	22800	0	9142	0	44405	0	19689	0	275798	0	0	0
WILLIAM LANGLEY MD
EXECUTIVE DIRECTOR	227096	0	20385	0	33841	0	30660	0	13739	0	325721	0	0	0
ROBERT M NELSON MD
V.P. CLINICAL SERVICES	154361	0	0	0	203182	0	9515	0	11443	0	378501	0	105947	0
MIKE L SHARP
V.P. SUPPORT SERVICES	158345	0	24375	0	25083	0	40931	0	13748	0	262482	0	0	0
CRAIG SOMMERS
EXECUTIVE DIRECTOR	134858	0	10625	0	283	0	6911	0	15653	0	168330	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	GENESIS HEALTH SYSTEM (GHS IOWA) PROVIDES THE FOLLOWING TO INDIVIDUALS REPORTED IN PART VII, SECTION A, LINE 1A: TRAVEL FOR COMPANIONS: IN TAX YEAR 2012, THE FOLLOWING TYPES OF LISTED INDIVIDUALS REPORTED IN PART VII RECEIVED THE TRAVEL FOR COMPANIONS BENEFIT: 7 DIRECTORS, 4 OFFICERS, 2 KEY EMPLOYEES, 1 HIGHEST COMPENSATED EMPLOYEE, AND 2 FORMER KEY EMPLOYEES. ALL INDIVIDUALS REIMBURSED GHS IOWA IN FULL AND NONE OF THE BENEFIT WAS LISTED AS TAXABLE COMPENSATION. GROSS-UP PAYMENTS: THIS BENEFIT IS OFFERED TO QUALIFYING EXECUTIVES WHO HAD CONTRIBUTIONS MADE ON THEIR BEHALF IN THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. CONTRIBUTIONS TO THE PLAN ARE INCLUDED WITH REPORTABLE COMPENSATION FOR INDIVIDUALS WITH VESTED CONTRIBUTIONS. JAMES A. LEHMAN RECEIVED THIS BENEFIT IN 2012. SEE ADDITIONAL INFORMATION PROVIDED BELOW.
PART I, LINE 4B	THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2012 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA): JAMES A. LEHMAN, M.D. - $116,175. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUAL TO THE PLAN IN 2012 AND THE GROSS-UP PAYMENT TO COVER TAX. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2012 SPONSORED BY GHS IOWA: JEFFREY M. COOPER - $22,429, DOUGLAS P. CROPPER - $480,670, ROBERT W. FRIEDEN - $72,765, ROBERT M. NELSON, M.D. - $ 132,086, JUDITH K. PRANGER - $27,556, MARK G. ROGERS - $190,594 AND MIKE L. SHARP - $16,291. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2012. 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 2012 SPONSORED BY GHS IOWA: DOUGLAS P. CROPPER - $87,128, WAYNE A. DIEWALD - $113,999, HEIDI S. KAHLY-MCMAHON - $38,543, RICHARD M. KISHIUE, M.D. - $51,090, MARK G. ROGERS - $38,307, MIKE L. SHARP - $16,291, AND FLORENCE L. SPYROW - $80,366. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2012. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II.
PART III	PART II, COLUMN F: THE FOLLOWING INDIVIDUALS ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2009, 2010, 2011 AND 2012 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA): DOUGLAS P. CROPPER - $341,127, ROBERT M. NELSON, M.D. - $105,947 AND MARK G. ROGERS - $132,586. THE DOLLAR AMOUNT REPRESENTS THE PRIOR YEAR CONTRIBUTIONS MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2009, 2010 AND 2011. THIS INFORMATION WAS INCLUDED IN DEFERRED COMPENSATION ON THE PRIOR YEARS' FORM 990, PART VII AND SCHEDULE J, PART II. THESE INDIVIDUALS REACHED A SPECIFIED LEVEL OF VESTING IN 2012, SO THE DOLLAR AMOUNT IS NOW INCLUDED IN REPORTABLE COMPENSATION ON THE CURRENT YEAR FORM 990, PART VII AND SCHEDULE J, PART II. THE DOLLAR AMOUNT IS ALSO LISTED AS COMPENSATION REPORTED IN PRIOR FORM 990 ON THE CURRENT YEAR FORM 990, SCHEDULE J, PART II.	SUPPLEMENTAL INFORMATION

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

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

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	IOWA FINANCE AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Issuer EIN	521699886	IssuerEIN
CUSIP Number	46246PLP4	CUSIPNumber
Date Issued	2010-06-24	DateIssued
Issue Price	95545195	IssuePrice
Description Of Purpose	REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITY	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Amount Retired	11465000	AmountRetired
Total Proceeds	95545195	TotalProceeds
Issuance Costs From Proceeds	1367299	IssuanceCostsFromProceeds
Capital Expenditures	23389253	CapitalExpenditures
Year Of Subst Completion	2010	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	0	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	1	MngmentCntrctBondFinancdPrprty
Engage Bond Counsel Contracts	1	EngageBondCounselContracts
Any Research Agreements	1	AnyResearchAgreements
Engage Bond Counsel Research	1	EngageBondCounselResearch
Prcntge Prvt Business Use By Others	0.00910	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00910	TotalPrivateBusinessUse
Bond Iss Meet Prvt Security Pay Test	0	BondIssMeetPrvtSecurityPayTest
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedProp
Non Qualified Bond Remed Procdrs	1	NonQualifiedBondRemedProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiled
Rebate Not Due Yet	0	RebateNotDueYet
Exception To Rebate	1	ExceptionToRebate
No Rebate Due	0	NoRebateDue
Variable Rate Issue	0	VariableRateIssue
Hedge Identified In Books And Recds	0	HedgeIdentifiedInBooksAndRecds
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGIC
Gross Proceeds Invested	0	GrossProceedsInvested
Written Proc To Monitor Reqs	1	WrittenProcToMonitorReqs

Form990 Schedule K Part V Form990ScheduleKPartV

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Proc To Undertk Corrective Action	1	ProcToUndertkCorrectiveAction

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (11 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
GENVENTURES INC
SEE BELOW IN PART V	30048401	GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST.	0
GENVENTURES INC
SEE BELOW IN PART V	21621792	GENESIS HEALTH SYSTEM (GHS IOWA) PAID GENVENTURES, INC. FOR FACILITY LEASE PAYMENTS, MEDICAL SUPPLIES, LAUNDRY SERVICES, AND A LOAN ADVANCE.	0
NAVIGANT CONSULTING INC
SEE BELOW IN PART V	6309156	GENESIS HEALTH SYSTEM (GHS IOWA) USES SERVICES PROVIDED BY NAVIGANT CONSULTING, INC.	0
CARDIOVASCULAR MEDICINE PC
SEE BELOW IN PART V	1433031	HEALTHCARE PROFESSIONAL SERVICES	0
LARSON CENTER PARTNERSHIP
SEE BELOW IN PART V	1243843	FACILITY LEASE PAYMENTS	0
QUAD CITY BANK & TRUST COMPANY
SEE BELOW IN PART V	228689	GENESIS HEALTH SYSTEM (GHS IOWA) USES SERVICES PROVIDED BY QUAD CITY BANK & TRUST COMPANY.	0
EDWARD TED J ROGALSKI
SEE BELOW IN PART V	166108	EDWARD J. ROGALSKI RECEIVES COMPENSATION FROM GENESIS HEALTH SYSTEM (GHS IOWA) AS GENESIS MEDICAL CENTER, ALEDO ADMINISTRATOR.	0
HEALTH ENTERPRISES
SEE BELOW IN PART V	110750	HEALTHCARE SUPPORT SERVICES	0
LISA ROGALSKI
SEE BELOW IN PART V	108662	LISA ROGALSKI RECEIVES COMPENSATION FROM GENESIS HEALTH SYSTEM (GHS IOWA) AS THE DIRECTOR OF MATERIALS MANAGEMENT.	0
BARBARA P PARK
SEE BELOW IN PART V	53205	BARBARA P. PARK RECEIVES COMPENSATION FROM GENESIS HEALTH SYSTEM (GHS IOWA) AS A PHYSICAL THERAPIST.	0
ERIN E MOORE-WATERMAN
SEE BELOW IN PART V	41908	ERIN E. MOORE-WATERMAN RECIEVES COMPENSATION FROM GENESIS HEALTH SYSTEM (GHS IOWA) AS A MEDICAL LIBRARIAN.	0

Form990 Schedule L Part V Form990ScheduleLPartV (10 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - GENVENTURES, INC.	MARK G. ROGERS AND ROGER J. HILL ARE OFFICERS, FLORENCE L. SPYROW IS A KEY EMPLOYEE, JAMES W. KOEHLER IS A DIRECTOR, AND MIKE L. SHARP IS A FORMER KEY EMPLOYEE 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, JAMES W. KOEHLER, AND MIKE L. SHARP WERE OFFICERS OF GENVENTURES, INC., AND FLORENCE L. SPYROW WAS A DIRECTOR OF GENVENTURES, INC.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - NAVIGANT CONSULTING, INC.	THOMAS A. GILDEHAUS IS A DIRECTOR OF NAVIGANT CONSULTING, INC. AND A DIRECTOR OF THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - CARDIOVASCULAR MEDICINE, PC	EDMUND 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 - LARSON CENTER PARTNERSHIP	FLORENCE L. SPYROW IS A KEY EMPLOYEE OF GENESIS HEALTH SYSTEM (GHS IOWA) AND THE VOTING REPRESENTATIVE IN THE LARSON CENTER PARTNERSHIP FOR GENESIS HEALTH SYSTEM (GHS ILLINOIS) A PARTNER IN THE LARSON CENTER PARTNERSHIP.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - QUAD CITY BANK & TRUST COMPANY	MARK KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST COMPANY AND A DIRECTOR OF THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - EDWARD (TED) J. ROGALSKI	EDWARD J. ROGALSKI IS THE SON OF DR. EDWARD ROGALSKI, PAST CHAIRMAN OF GENESIS HEALTH SYSTEM (GHS IOWA).
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - HEALTH ENTERPRISES	DOUGLAS 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 ROGALSKI	LISA ROGALSKI IS THE DAUGHTER-IN-LAW OF DR. EDWARD ROGALSKI, PAST CHAIRMAN OF GENESIS HEALTH SYTEM (GHS IOWA).
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - BARBARA P. PARK	BARBARA P. PARK IS THE DAUGHTER OF JUDITH PRANGER, KEY EMPLOYEE OF GENESIS HEALTH SYSTEM (GHS IOWA).
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - ERIN E. MOORE-WATERMAN	ERIN E. MOORE-WATERMAN IS THE DAUGHTER-IN-LAW OF C. DANA WATERMAN, DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA).

Schedule M IRS990ScheduleM

Other Non Cash Contributions Table OtherNonCashContributionsTable (2 entries)

Non Cash CheckboxNonCashCheckbox	DescriptionDescription	Number Of ContributionsNumberOfContributions	Noncash Contribs Rptd F990NoncashContribsRptdF990	Method Of Determining RevenuesMethodOfDeterminingRevenues
X	ATEC SAPPHIRE BREAST BIOPSY EQUIPMENT	1	27750	FAIR MARKET VALUE
X	PHILIPS WIRELESS TRANSDUCERS	11	15933	FAIR MARKET VALUE

Field	Value	IRS element (for citing)
Number Of8283 Received	0	NumberOf8283Received
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	1	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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 TRANSACTIONS WITH GENVENTURES, INC., A RELATED TAXABLE ORGANIZATION: EDWIN V. MOTTO, M.D.
FORM 990, PART VI, SECTION B, LINE 11	INTERNAL MANAGEMENT REVIEW IS COMPLETED OF THE COMPILED INFORMATION PRIOR TO PREPARATION AND REVIEW BY MCGLADREY LLP. FOLLOWING MCGLADREY 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 2012.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, LINE 1A:	GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER, ALEDO AND GENESIS SENIOR LIVING, ALEDO HAVE IDENTICAL GOVERNING BOARDS AND AN IDENTICAL EXECUTIVE MANAGEMENT TEAM. THE HOURS REPORTED ON FORM 990, PART VII, SECTION A, COLUMN (B) REPRESENTS THE NUMBER OF HOURS THESE INDIVIDUALS DEVOTE TO ALL FOUR ORGANIZATIONS. FURTHERMORE, 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 FOUR ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AS WELL AS THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA.
FORM 990, PART VIII, LINE 2F:	GENESIS HEALTH SYSTEM (GHS IOWA) CHANGED ITS METHOD OF PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE AND THE PROVISION FOR DOUBTFUL ACCOUNTS AS A RESULT OF THE ADOPTION OF ACCOUNTING STANDARDS UPDATE NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTHCARE ENTITIES, DURING THE YEAR ENDED JUNE 30, 2013. THEREFORE, EFFECTIVE FOR THE CURRENT TAX YEAR, BAD DEBT EXPENSE IS NETTED WITH PROGRAM SERVICE REVENUES AND INCLUDED IN PART XIII, LINE 2F.	PROVISION FOR DOUBTFUL ACCOUNTS
FORM 990, PART X, COLUMN B, LINES 4 & 17:	IN FISCAL YEAR 2013, GENESIS HEALTH SYSTEM'S (GHS IOWA) AUDITED FINANCIAL REPORT MODIFIED THE PRESENTATION OF AFFILIATES' ACCOUNTS RECEIVABLE AND ACCOUNTS PAYABLE. AS A RESULT OF THIS CHANGE, FORM 990, PART X, COLUMN B (END OF YEAR), LINES 4 AND 17 REFLECT THIS NEW PRESENTATION. ALSO IN ACCORDANCE WITH THE AUDITED FINANCIAL REPORT PRESENTATION, FORM 990, PART X, COLUMN A (BEGINNING OF YEAR), LINES 4 AND 17 WERE NOT RESTATED TO REFLECT THE PRESENTATION CHANGE.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 38,935,346. MANAGEMENT AND GENERAL EXPENSES 6,180,852. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,116,198.	OTHER FEES
FORM 990, PART XI, LINE 9:	CHANGE IN FUNDED STATUS OF RETIREMENT 13,291,089. CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION 1,624,253.	CHANGES IN NET ASSETS OR FUND BALANCES:
FORM 990, PART XII, LINE 2C:	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI (3 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Total IncomeTotalIncome	EOY AssetsEOYAssets	Business Name Line1DirectControllingEntityName/BusinessNameLine1
GENESIS OUTPATIENT PHYSICAL THERAPY LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	208389282	OUTPATIENT PHYSICAL THERAPY SERVICES	IA	0	0	GENESIS HEALTH SYSTEM (GHS IOWA)
GENESIS ACCOUNTABLE CARE ORGANIZATION LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	454168932	ACCOUNTABLE CARE SERVICES	IA	1365482	1365482	GENESIS HEALTH SYSTEM (GHS IOWA)
SPIN ECHO LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421491373	PROPERTY MANAGEMENT	IA	142927	1600877	GENVENTURES INC

Form990 Schedule R Part II Form990ScheduleRPartII (7 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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

Form990 Schedule R Part III Form990ScheduleRPartIII (6 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Direct Controlling Entity NADirectControllingEntityNA
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	RELATED	3509433	148375	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	1541617	2745017	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	1205370	1018360	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	971467	11286361	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	-1247	69855	0	0	0.76110

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Controlled OrgControlledOrg	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Direct Controlling Entity NADirectControllingEntityNA
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	GENESIS HEALTH SYSTEM (IOWA)	C	-334362	47107805	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
				980457943	OTHER FINANCIAL VEHICLE		GENESIS HEALTH SYSTEM (IOWA)	C		29205556	1.00000	1	PO BOX 1051	GRAND CAYMAN	CJ	CJ
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA		C				1					N/A

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	1	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Dividends Related Organization	0	DividendsRelatedOrganization
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	1	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (50 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
DAVENPORT HOSPITAL AMBULANCE CORPORATION
A	6084	FAIR MARKET VALUE
GENVENTURES INC
A	978604	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
B	1158697	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
B	169380	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
B	73378	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
B	877216	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
C	474617	FAIR MARKET VALUE
GENVENTURES INC
D	616272	FAIR MARKET VALUE
GENVENTURES INC
K	7093303	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
K	284811	FAIR MARKET VALUE
LARSON CENTER PARTNERSHIP
K	623122	FAIR MARKET VALUE
GENESIS SENIOR LIVING ALEDO
L	264016	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
M	12294789	FAIR MARKET VALUE
MISERICORDIA ASSURANCE COMPANY LTD
M	5305470	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
M	312074	FAIR MARKET VALUE
GENESIS SENIOR LIVING ALEDO
M	263590	FAIR MARKET VALUE
GENESIS MEDICAL CENTER ALEDO
M	3200905	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
M	339343	FAIR MARKET VALUE
GENVENTURES INC
Q	29069797	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
Q	1574944	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
Q	84417448	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
Q	2617112	FAIR MARKET VALUE
GENESIS MEDICAL CENTER ALEDO
Q	7649698	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
Q	7652118	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
R	339343	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
R	53353	FAIR MARKET VALUE
GENVENTURES INC
R	3804294	FAIR MARKET VALUE
GENVENTURES INC
R	10107922	FAIR MARKET VALUE
GENVENTURES INC
R	29069797	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
R	1574944	FAIR MARKET VALUE
GENESIS SENIOR LIVING ALEDO
R	263590	FAIR MARKET VALUE
GENESIS MEDICAL CENTER ALEDO
R	3200905	FAIR MARKET VALUE
GENVENTURES INC
R	7093303	FAIR MARKET VALUE
SPRING PARK SURGERY CENTER LLC
R	1509845	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
R	84417448	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
R	12294789	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
R	7652118	FAIR MARKET VALUE
MISERICORDIA ASSURANCE COMPANY LTD
R	5305470	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
R	2617112	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
R	284811	FAIR MARKET VALUE
LARSON CENTER PARTNERSHIP
R	620722	FAIR MARKET VALUE
GENGASTRO LLC
R	3509723	FAIR MARKET VALUE
GENORTHO LLC
R	1161500	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
R	312074	FAIR MARKET VALUE
GENESIS MEDICAL CENTER ALEDO
R	7649698	FAIR MARKET VALUE
GENVENTURES INC
R	616272	FAIR MARKET VALUE
GENVENTURES INC
S	3804294	FAIR MARKET VALUE
GENVENTURES INC
S	10107922	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
S	53353	FAIR MARKET VALUE
GENESIS SENIOR LIVING ALEDO
S	264016	FAIR MARKET VALUE