GENESIS HEALTH SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH SYSTEM (EIN 42-1418847)
Tax period: 2011-07-01 to 2012-06-30
Filed: 2013-02-28
IRS object ID: 201300599349300525
Schema version: 2011v1.5
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 O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2013-02-28T13:31:36-06:00	Timestamp
Tax Period End Date	2012-06-30	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	2011-07-01	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	2013-02-26	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	2011	TaxYear
Build TS	2016-02-25 16:41:14Z	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	500375532	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 EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	18	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	9	NbrIndependentVotingMembers
Total Nbr Employees	4642	TotalNbrEmployees
Total Nbr Volunteers	840	TotalNbrVolunteers
Total Gross UBI	1842141	TotalGrossUBI
Net Unrelated Business Txbl Income	6688	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	3964542	ContributionsGrantsPriorYear
Contributions Grants Current Year	5572279	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	429053689	ProgramServiceRevenuePriorYear
Program Service Revenue CY	439256448	ProgramServiceRevenueCY
Investment Income Prior Year	7986368	InvestmentIncomePriorYear
Investment Income Current Year	8889003	InvestmentIncomeCurrentYear
Other Revenue Prior Year	5725735	OtherRevenuePriorYear
Other Revenue Current Year	4797192	OtherRevenueCurrentYear
Total Revenue Prior Year	446730334	TotalRevenuePriorYear
Total Revenue Current Year	458514922	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	2535350	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2524001	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	224745550	SalariesEtcPriorYear
Salaries Etc Current Year	226001561	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	207906251	OtherExpensePriorYear
Other Expenses Current Year	216377085	OtherExpensesCurrentYear
Total Expenses Prior Year	435187151	TotalExpensesPriorYear
Total Expenses Current Year	444902647	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	11543183	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	13612275	RevenuesLessExpensesCY
Total Assets BOY	566049515	TotalAssetsBOY
Total Assets EOY	580466570	TotalAssetsEOY
Total Liabilities BOY	154288577	TotalLiabilitiesBOY
Total Liabilities EOY	172179911	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	411760938	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	408286659	NetAssetsOrFundBalancesEOY
Mission Description	GENESIS HEALTH SYSTEM EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	263868736	Expense
Grants	2472294	Grants
Revenue	343780620	Revenue
Description	GENESIS HEALTH SYSTEM 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 BEDS. STATISTICS INCLUDE 74,476 PATIENT DAYS, 18,751 PATIENT DISCHARGES AND 179,098 OUT-PATIENT VISITS; GENESIS MEDICAL CENTER-DEWITT, CONTAINING LICENSED 13 ACUTE BEDS AND 77 SKILLED BEDS. STATISTICS INCLUDE 1,429 PATIENT DAYS, 236 PATIENT DISCHARGES, AND 18,270 OUTPATIENT VISITS. GENESIS HEALTH SYSTEM 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	88074125	Expense
Grants	3015	Grants
Revenue	73435199	Revenue
Description	GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM, CONSISTS OF 45 CLINICS AND 134 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 208,800 AND RVU'S (RELATIVE VALUE UNITS) 743,939.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	20734988	Expense
Grants	48693	Grants
Revenue	24830952	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 AND MEDICAL SOCIAL WORKER VISITS, AND THE HOSPICE HOUSE, WHICH CARES FOR TERMINALLY ILL PATIENTS. STATISTICS INCLUDE HOME HEALTH VISITS 123,763 AND HOSPICE/HOSPICE HOUSE DAYS 52,310.	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	372677849	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	0	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	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	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
Number Forms Transmitted With1096	574	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4642	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	9	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

Form990 Part VII Section A Form990PartVIISectionA (36 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
CHAIRMAN	4.00	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	600993	0	246461	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	535471	0	28016
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 CHAIRMAN	4.00	X	0	0	0	X
G CHRISTOPHER WAHLIG
VICE CHAIRMAN	4.00	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		307527	0	114567	X
WAYNE A DIEWALD
PRESIDENT/CEO, GMC	40.00		196923	0	0		X
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	40.00		325194	0	36395		X
RICHARD M KISHIUE MD
PRESIDENT, GHG	40.00		318350	0	49378		X
JULIE MANAS
PRESIDENT/CEO - GMC	40.00		378736	0	17946		X
JUDITH K PRANGER
V.P. PATIENT SERVICES	40.00		352049	0	70044		X
FLORENCE L SPYROW
PRESIDENT, GMC ILLINI	40.00		165795	141233	103547		X
NICHOLAS AUGELLI MD
PHYSICIAN	40.00		694467	0	29207			X
STEVEN B BASHOR DO
PHYSICIAN	40.00		515720	0	25541			X
ROBERT FIETSAM MD
PHYSICIAN	40.00		524985	0	27549			X
TODD RIDENOUR MD
PHYSICIAN	40.00		847595	0	36361			X
CALVIN J SLOT MD
PHYSICIAN	40.00		479476	0	17148			X
JEFFREY M COOPER
PRESIDENT, GMC DEWITT	40.00		198997	0	32221				X
HEIDI S KAHLY-MCMAHON
V.P. HUMAN RESOURCES	40.00		179576	0	73626				X
WILLIAM LANGLEY MD
EXECUTIVE DIRECTOR	40.00		342221	0	74676				X
ROBERT M NELSON MD
V.P. CLINICAL SERVICES	40.00		246631	0	54548				X
MIKE L SHARP
V.P. SUPPORT SERVICES	40.00		225679	0	72307				X
CRAIG SOMMERS
EXECUTIVE DIRECTOR	40.00		135189	0	22756				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7571574	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	141233	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1132294	TotalOtherCompensation
Number Individuals GT100 K	205	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 EAST LOCUST STREET	DAVENPORT	IA	52803	OUTSIDE SERVICES	9106176
CERNER CORPORATION
PO BOX 412702	KANSAS CITY	MO	64141	SOFTWARE SERVICES AGREEMENTS	5423801
MEDICUS EMERGENCY MEDICINE
7 INDUSTRIAL WAY UNIT 5	SALEM	NH	03079	PHYSICIAN FEES-MED SERVICES	3205301
COGENT HEALTHCARE INC
PO BOX 974451	DALLAS	TX	75397	PHYSICIAN FEES-MED SERVICES	1689646
DAVENPORT SURGICAL GROUP
1228 EAST RUSHOLME STREET	DAVENPORT	IA	52803	OUTSIDE SERVICES	1024490

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	69	NumberOfContractorsGT100K
Related Organizations	485340	RelatedOrganizations
Government Grants	4067529	GovernmentGrants
All Other Contributions	1019410	AllOtherContributions
Total Contributions	5572279	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
OUTPATIENT REVENUE	621400	421742469	421742469
INPATIENT REVENUE	900099	413983481	413983481
CLINIC REVENUE	621400	129913221	129913221
HOME HEALTH & HOSPICE	621610	27895662	27895662
OTHER OPERATING REVENU	624100	6888726	5051920	1836806

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-561167111	TotalRevenueColumn
Related Or Exempt Function Income	-561167111	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	439256448	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	7622353	TotalRevenueColumn
Exclusion	$7,622,353	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	505301	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	340573	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	164728	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	164728	TotalRevenueColumn
Exclusion	$164,728	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	40066731	Securities
Other	2226774	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	38245071	Securities
Other	2781784	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	1821660	Securities
Other	-555010	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	1266650	TotalRevenueColumn
Exclusion	$1,266,650	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	766131	GrossSalesOfInventory
Cost Of Goods Sold	493182	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	272949	TotalRevenueColumn
Related Or Exempt Function Income	272949	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
OTHER REVENUE	900099	2175845	2175845
DIETARY	900099	2068371	2063036	5335
HOUSEKEEPING	900099	115299	115299

Field	Value	IRS element (for citing)
Total Other Revenue	4359515	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	458514922	TotalRevenueColumn
Related Or Exempt Function Income	442046771	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1842141	UnrelatedBusinessRevenue
Exclusion	$9,053,731	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2154328	Total
Program Services	2154328	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	369673	Total
Program Services	369673	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4085846	Total
Program Services	1453705	ProgramServices
Management And General	2632141	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	374922	Total
Program Services	218002	ProgramServices
Management And General	156920	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	181393869	Total
Program Services	155111819	ProgramServices
Management And General	26282050	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	6469725	Total
Program Services	6469725	ProgramServices

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20907888	Total
Program Services	17526159	ProgramServices
Management And General	3381729	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12769311	Total
Program Services	10463984	ProgramServices
Management And General	2305327	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	11975632	Total
Program Services	8541415	ProgramServices
Management And General	3434217	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2308060	Total
Management And General	2308060	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	239230	Total
Management And General	239230	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	112785	Total
Management And General	112785	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1164844	Total
Management And General	1164844	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	36647751	Total
Program Services	31870258	ProgramServices
Management And General	4777493	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1320744	Total
Program Services	1287523	ProgramServices
Management And General	33221	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	40898747	Total
Program Services	37036150	ProgramServices
Management And General	3862597	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7077088	Total
Program Services	831331	ProgramServices
Management And General	6245757	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	15017094	Total
Program Services	12229727	ProgramServices
Management And General	2787367	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	2071734	Total
Program Services	1257491	ProgramServices
Management And General	814243	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	629970	Total
Program Services	519793	ProgramServices
Management And General	110177	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4167876	Total
Program Services	4167857	ProgramServices
Management And General	19	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	25335943	Total
Program Services	17094222	ProgramServices
Management And General	8241721	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3405855	Total
Program Services	1741091	ProgramServices
Management And General	1664764	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PATIENT SUPPLY COST OF	36961818	36961818
PROVISION FOR BAD DEBTS	25008208	25008208
MISCELLANEOUS	2033706	363570	1670136

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	444902647	Total
Program Services	372677849	ProgramServices
Management And General	72224798	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	4559542	BOY
EOY	5104363	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	49269864	BOY
EOY	49784716	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	60717960	BOY
EOY	65432437	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	26667288	BOY
EOY	38677310	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10437231	BOY
EOY	9221836	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	5121663	BOY
EOY	5881067	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	517129637	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	351136973	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	166193212	BOY
EOY	165992664	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	154265413	BOY
EOY	158409749	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	55946811	BOY
EOY	59123202	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	32870531	BOY
EOY	22839226	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	566049515	BOY
EOY	580466570	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	49521584	BOY
EOY	56177867	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	89172645	BOY
EOY	87908923	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	125466	BOY
EOY	103649	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	15468882	BOY
EOY	27989472	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	154288577	BOY
EOY	172179911	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	397635264	BOY
EOY	394832463	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	14125674	BOY
EOY	13454196	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	411760938	BOY
EOY	408286659	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	566049515	BOY
EOY	580466570	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	13612275	ReconcilationRevenueExpenses
Reconcilation Other Changes	-17086554	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
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
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	$13,000	GrantsOtherOrganizationsAmount
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$64,881	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$973	RalliesDemonstrationsAmount
Other Activities	1	OtherActivities
Other Activities	$99,785	OtherActivitiesAmount
Total Lobbying Expenditures IIB	178639	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 - IOWA HAD TWO STAFF MEMBERS INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES ARE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. PART II-B, LINE 1D, MAILINGS TO MEMBERS, LEGISLATURES, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM - 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 GENESIS HEALTH SYSTEM - IOWA REGARDING THIS ACTIVITY. PART II-B, LINE 1F, GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GENESIS HEALTH SYSTEM - IOWA PRESENTED TWO GRANTS TO OTHER ORGANIZATIONS: 1.) COALITION TO PROTECT AMERICA'S HEALTH CARE, $10,000. 2.) QUAD CITIES CHAMBER - IOWA LEGISLATIVE LUNCHEON IN JANUARY 2012, $3,000. PART II-B, LINE 1G, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM - IOWA HAD TWO STAFF MEMBERS INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES ARE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS INCLUDED: SALARIES - $63,290, AND MILEAGE/TRAVEL EXPENSES - $1,591. PART II-B, LINE 1H, RALLIES, DEMONSTRATIONS, SEMINARS, CONVENTIONS, SPEECHES, LECTURES, OR ANY SIMILAR MEANS: ON FEBRUARY 29, 2012, GENESIS HEALTH SYSTEM - IOWA RENTED A BUS TO TRAVEL TO AND FROM DAVENPORT, IOWA, TO THE POLK COUNTY CONVENTION CENTER AND THE IOWA STATE CAPITAL. THIS TRIP ALLOWED THE LOCAL COMMUNITY TO VISIT WITH THEIR IOWA LEGISLATORS, GOVERNMENT OFFICIALS, AND THEIR STAFF. THE DIRECT COSTS INCLUDED: $973 FOR THE BUS RENTAL. PART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2012, GENESIS HEALTH SYSTEM - 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 $28,800, 25% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,576, MEMBERSHIP DUES RELATED TO LOBBYING TO THE SCOTT COUNTY MEDICAL SOCIETY TOTALING $9,229, 65% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $7,985, AND VARIOUS OTHER ASSOCIATIONS - $16,195.	Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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 Minus3 Years CurrentYearMinus3Years

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	0.49980	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.50020	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	6413038	OtherCostOrOtherBasis
Book Value	6413038	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	195846913	OtherCostOrOtherBasis
Depreciation	111653233	Depreciation
Book Value	84193680	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19329398	OtherCostOrOtherBasis
Depreciation	15521130	Depreciation
Book Value	3808268	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	268238588	OtherCostOrOtherBasis
Depreciation	209551891	Depreciation
Book Value	58686697	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	27301700	OtherCostOrOtherBasis
Depreciation	14410719	Depreciation
Book Value	12890981	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	165992664	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (18 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
INVESTMENT IN HEALTH ENTERPRISES OF IOWA (HEI)	-3832	C
INVESTMENT IN GENVENTURES, INC	24178461	C
INVESTMENT IN MISERICORDIA ASSURANCE COMPANY, LTD.	120000	C
INVESTMENT IN MRIOWA, LLC	227071	C
INVESTMENT IN HEI COOP	1697493	C
INVESTMENT IN HEI VENTURES	123008	C
INVESTMENT IN HEI IOWA ECHO/ULTRASOUND	146251	C
INVESTMENT IN HEI BREAST BIOPS	5676	C
INVESTMENT IN HEI DIGITAL MAMMOGRAPHY	9929	C
INVESTMENT IN SPRING PARK SURGERY CENTER, LLC	4439283	C
INVESTMENT IN GENGASTRO, LLC	23118754	C
INVESTMENT IN GENORTHO, LLC	1643312	C
OTHER INVESTMENTS - GMC, DEWITT	325020	C
INVESTMENT IN HEI BONE DENSITY	18972	C
INVESTMENT IN GENRAD IMAGING, LLC	2973277	C
INVESTMENT IN GENESIS ONCOLOGY CO-MANAGEMENT, LLC	6317	C
INVESTMENT IN HEI PHARMACY SERVICES, LC	43634	C
OTHER INVESTMENTS - GMC	50576	F

Field	Value	IRS element (for citing)
Total Of Book Value Securities	59123202	TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$26,427,590
ACCRUED INS TRUST LOSSES	$1,561,882

Field	Value	IRS element (for citing)
Total Of Amounts	27989472	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (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 FOUNDATIONS 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:	GHS IOWA, GHS ILLINOIS, THE GENESIS HEALTH SERVICES FOUNDATION, THE ILLINI HOSPITAL FOUNDATION AND THE GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ALL FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. UNRELATED BUSINESS TAXABLE INCOME IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINOIS, THE GENESIS HEALTH SERVICES FOUNDATION, THE ILLINI HOSPITAL FOUNDATION AND THE GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND 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, THE GENESIS HEALTH SERVICES FOUNDATION, THE ILLINI HOSPITAL FOUNDATION AND THE GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED JUNE 30, 2008 AND PRIOR. GENVENTURES, INC. IS A TAXABLE ORGANIZATION AND CURRENTLY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND VARIOUS STATE JURISDICTIONS. GENVENTURES, INC. IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS JUNE 30, 2008 AND PRIOR. FOR THE YEARS ENDED JUNE 30, 2012 AND 2011, UNCERTAIN TAX POSITIONS HAVE REDUCED INCOME TAX EXPENSE AND HAVE INCREASED EXCESS OF REVENUE OVER EXPENSES BY NONE AND $45,000, RESPECTIVELY. FOR THE YEARS ENDED JUNE 30, 2012 AND 2011, THERE WAS NO INTEREST EXPENSE ASSOCIATED WITH UNCERTAIN TAX POSITIONS. NO AMOUNT HAS BEEN ACCRUED FOR PENALTIES.

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	7625151	TotalCommunityBenefitExpense
Net Community Benefit Expense	7625151	NetCommunityBenefitExpense
Percent Of Total Expense	0.01820	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	54390877	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38240586	DirectOffsettingRevenue
Net Community Benefit Expense	16150291	NetCommunityBenefitExpense
Percent Of Total Expense	0.03850	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	0	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	62016028	TotalCommunityBenefitExpense
Direct Offsetting Revenue	38240586	DirectOffsettingRevenue
Net Community Benefit Expense	23775442	NetCommunityBenefitExpense
Percent Of Total Expense	0.05670	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	462150	TotalCommunityBenefitExpense
Net Community Benefit Expense	462150	NetCommunityBenefitExpense
Percent Of Total Expense	0.00110	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2846494	TotalCommunityBenefitExpense
Direct Offsetting Revenue	1877701	DirectOffsettingRevenue
Net Community Benefit Expense	968793	NetCommunityBenefitExpense
Percent Of Total Expense	0.00230	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	5579670	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4659465	DirectOffsettingRevenue
Net Community Benefit Expense	920205	NetCommunityBenefitExpense
Percent Of Total Expense	0.00220	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	235533	TotalCommunityBenefitExpense
Net Community Benefit Expense	235533	NetCommunityBenefitExpense
Percent Of Total Expense	0.00060	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	761490	TotalCommunityBenefitExpense
Net Community Benefit Expense	761490	NetCommunityBenefitExpense
Percent Of Total Expense	0.00180	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	9885337	TotalCommunityBenefitExpense
Direct Offsetting Revenue	6537166	DirectOffsettingRevenue
Net Community Benefit Expense	3348171	NetCommunityBenefitExpense
Percent Of Total Expense	0.00800	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	71901365	TotalCommunityBenefitExpense
Direct Offsetting Revenue	44777752	DirectOffsettingRevenue
Net Community Benefit Expense	27123613	NetCommunityBenefitExpense
Percent Of Total Expense	0.06470	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	5481	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	5481	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	131688	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	131688	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	8732	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	8732	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Coalition Building CoalitionBuilding

Field	Value	IRS element (for citing)
Total Community Building Expense	24583	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	24583	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	8382	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	8382	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	28683	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	28683	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Other Other

Field	Value	IRS element (for citing)
Total Community Building Expense	0	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue

Total Total

Field	Value	IRS element (for citing)
Total Community Building Expense	207549	TotalCommunityBuildingExpense
Net Community Building Expense	207549	NetCommunityBuildingExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$10,243,078	BadDebtExpenseAmount
Amount Attributable To	0	AmountAttributableTo
Amount Reimbursed By Medicare	102440110	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	113879128	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-11439018	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

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	3	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	Critical Access HospitalCriticalAccessHospital
GENESIS MEDICAL CENTER EAST-DAVENPORT
1	1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	X	X	X
GENESIS MEDICAL CENTER WEST-DAVENPORT
2	1401 WEST CENTRAL PARK	DAVENPORT	IA	52804	X	X	X
GENESIS MEDICAL CENTER-DEWITT
3	1118 11TH STREET	DEWITT	IA	52742	X	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber	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 EAST-DAVENPORT
1	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 WEST-DAVENPORT
2	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
3	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	60	NumberOfOtherFacilities

Other Facilities OtherFacilities (60 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
GENESIS HEART INSTITUTE
1236 EAST RUSHOLME STREET	DAVENPORT	IA	52803	O/P CARDIAC DIAGNOSTICS & REHAB CARE
VISITING NURSE ASSOC & HOSPICE HOUSE
2535 MAPLECREST ROAD	BETTENDORF	IA	52272	HOME HEALTH & HOSPICE
MEDICAL OFFICE BUILDING #1
1228 EAST RUSHOLME STREET	DAVENPORT	IA	52803	O/P MAMMOGRAPHY & DIALYSIS SERVICES
CENTRAL PARK MEDICAL PAVILIONS 1 & 2
1351 WEST CENTRAL PARK AVENUE	DAVENPORT	IA	52804	O/P CANCER, REHAB, WOUND & DR.
GENESIS HEALTH GROUP
865 LINCOLN ROAD	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
GENESIS IMAGING CENTER 53RD STREET
1970 E 53RD STREET	DAVENPORT	IA	52507	OUTPATIENT IMAGING CENTER
GENESIS MEDICAL PLAZA
2535 MAPLECREST ROAD	BETTENDORF	IA	52722	O/P REHAB, PAIN, PHYS THERAPY & DR
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
VISITING NURSE ASSOC & HOSPICE HOUSE
611 NORTH 2ND AVE	CLINTON	IA	52732	HOME HEALTH & HOSPICE
GENESIS MEDICAL PARK
4017 DEVILS GLEN ROAD STE 100	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
DEWITT WEST WING PLACE
1118 11TH STREET	DEWITT	IA	52742	L-T NURSING CARE FACILITY
NORTH FAMILY PRACTICE
210 WEST 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT LAB & PHYSICIAN CLINIC
DIVISION STREET CLINIC
3618 NORTH DIVISION STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
ELDRIDGE FAMILY PRACTICE
301 NORTH 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT LAB & PHYSICIAN CLINIC
SCOTT COUNTY YMCA
3800 TANGLEFOOT LANE	BETTENDORF	IA	52722	OUTPATIENT REHABILITATION CLINIC
CONVENIENT CARE - DAVENPORT
1520 WEST 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT URGENT CARE CLINIC
GENESIS PHYSICAL REHAB - VALLEY FAIR
2300 53RD STREET	BETTENDORF	IA	52722	O/P PHYSICAL THERAPY CLINIC
FAMILY PRACTICE AT WEST CAMPUS
1345 WEST CENTRAL PARK AVENUE	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
NORTHWEST FAMILY PRACTICE
1520 SOUTH 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT PHYSICIAN CLINIC
HEDBERG BUILDING - MOLINE FAMILY PRACTIC
2526 41ST STREET	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
MOLINE VALLEY VIEW
615 VALLEY VIEW DRIVE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
GENESIS PHYSICAL REHAB - CROW VALLEY
2300 53RD AVENUE STE LL02	BETTENDORF	IA	52722	O/P PHYSICAL THERAPY CLINIC
GENESIS PSYCHOLOGY ASSOCIATES
4455 EAST 56TH STREET	DAVENPORT	IA	52804	OUTPATIENT COUNSELING CLINIC
ILLINI BUILDING #1
903-05 ILLINI DRIVE	SILVIS	IL	61282	HOME HEALTH & O/P PHYSICIAN CLINIC
ILLINI BUILDING #2
1504 10TH STREET	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
LOMBARD PHYSICAL THERAPY
1414 WEST LOMBARD STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
CONVENIENT CARE - BETTENDORF
4017 DEVILS GLEN ROAD	BETTENDORF	IA	52722	OUTPATIENT URGENT CARE CLINIC
MUSCATINE FAMILY PRACTICE
2104 CEDARWOOD STREET STE 200	MUSCATINE	IA	52761	OUTPATIENT PHYSICIAN CLINIC
SILVIS ANESTHESIOLOGY
801 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
GENESIS CONVENIENT CARE - ILLINOIS
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT URGENT CARE CLINIC
DAVENPORT CLINIC
1820 WEST 3RD ST	DAVENPORT	IA	52803	OUTPATIENT PHYSICIAN CLINIC
GENESIS PLASTIC SURGERY ASSOC
5335 EASTERN AVENUE STE C	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
DEWITT FAMILY PRACTICE
1008 11TH STREET	DEWITT	IA	52742	HOME HEALTH, COUNSELING SERVICES, & O/P
VISITING NURSE ASSOC & HOSPICE HOUSE
2546 TECH DRIVE	BETTENDORF	IA	52722	HOSPICE HOUSE
DEWITT PAVILION 1
1118 11TH STREET	DEWITT	IA	52742	OUTPATIENT PHYSICAL THERAPY CLINIC
ELDRIDGE PHYSICAL THERAPY
170 SOUTH 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT PHYSICAL THERAPY CLINIC
GENESIS CENTER FOR BARIATRIC SURGERY
1230 EAST RUSHOLME STREET	DAVENPORT	IA	52803	O/P COMPREHENSIVE BARIATRIC PRGM
GENESIS OCCUPATIONAL HEALTH
3319 SPRING STREET	DAVENPORT	IA	52807	OUTPATIENT OCCUPATIONAL HEALTH PROGRAM
ROCK ISLAND INTERNAL MEDICINE
2560 24TH STREET STE 202	ROCK ISLAND	IL	61201	OUTPATIENT PHYSICIAN CLINIC
LECLAIRE FAMILY PRACTICE - RIVERVIEW
200 SOUTH CODY ROAD	LECLAIRE	IA	52751	OUTPATIENT PHYSICIAN CLINIC
MOLINE VALLEY VIEW WEST FAMILY PRAC
515 VALLEY VIEW DRIVE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
DURANT FAMILY PRACTICE
619 5TH STREET	DURANT	IA	52747	OUTPATIENT PHYSICIAN CLINIC
DEWITT AMBULANCE
1220 11TH STREET	DEWITT	IA	52742	AMBULANCE SERVICES
GENESIS OCCUPATIONAL HEALTH
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT OCCUPATIONAL HEALTH PROGRAM
GENESIS PHYSICAL THERAPY AT LECLAIRE
1003 CANAL SHORE DRIVE	LECLAIRE	IA	52751	OUTPATIENT PHYSICAL THERAPY CLINIC
IA CITY PEDIATRIC PT CLINIC
2451 CORAL CT	CORALVILLE	IA	52241	OUTPATIENT PHYSICIAN CLINIC
BLUE GRASS FAMILY MEDICAL
413 SOUTH MISSISSIPPI	BLUE GRASS	IA	52726	OUTPATIENT PHYSICAL THERAPY CLINIC
ERIE FAMILY PRACTICE
530 12TH STREET	ERIE	IL	61205	OUTPATIENT PHYSICIAN CLINIC
ALPHA FAMILY PRACTICE
202 PICARD STREET	ALPHA	IL	61413	OUTPATIENT PHYSICIAN CLINIC
ROCK ISLAND ARSENAL FAMILY PRACTICE
1634 WHITTEMORE STE 101	ROCK ISLAND	IL	61299	OUTPATIENT PHYSICIAN CLINIC
MEDICAL OFFICE BUILDING #2
1230 EAST RUSHOLME STREET	DAVENPORT	IA	52803	OUTPATIENT PHYSICIAN CLINIC
DAV OBGYN
3319 SPRING STREET	DAVENPORT	IA	52807	OUTPATIENT PHYSICIAN CLINIC
GHS-U OF IA PEDIATRIC GASTRO
2222 53RD AVENUE	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
EAP - DAVENPORT
4455 EAST 56TH STREET	DAVENPORT	IA	52806	COUNSELING SERVICES
SILVIS SURGICAL ASSOCIATES
1801 EAST 54TH STREET	DAVENPORT	IA	52807	OUTPATIENT PHYSICIAN CLINIC
VISITING NURSE ASSOCIATION KID'S NEST
606 WEST 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 NORTH 2ND STREET	CLINTON	IA	52732	COUNSELING SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

ExplanationExplanation	IdentifierIdentifier	Return ReferenceReturnReference
PART I, LINE 3C: NOT APPLICABLE
PART I, LINE 6A: NOT APPLICABLE
PART I, LINE 7: GENESIS HEALTH SYSTEM 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. THE COST OF SUBSIDIZED HEALTH SERVICES WAS OBTAINED FROM GENESIS HEALTH SYSTEM'S COST ACCOUNTING SYSTEM (I.E., DECISION SUPPORT SYSTEM) THAT CALCULATES THE PER UNIT REIMBURSEMENT AND COST FOR EACH TYPE OF SERVICE AND SUPPLY THAT THE NON-MEDICARE AND NON-MEDICAID PATIENTS CONSUMED IN THE DEPARTMENTS REPORTED. COSTS OF THE "OTHER BENEFITS" (EXCLUDING SUBSIDIZED HEALTH SERVICES) REPORTED IN 7E -7I WERE COMPILED THROUGHOUT THE YEAR IN THE COMMUNITY BENEFIT DATABASE (I.E., CBISA) THAT GENESIS HEALTH SYSTEM UTILIZES.
PART I, LINE 7G: NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES.
PART I, L7 COL(F): $25,008,208 OF BAD DEBT EXPENSE IS SUBTRACTED FOR PURPOSES OF COMPUTING THE PERCENTAGE IN PART I, LINE 7K, COLUMN F. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES, LESS BAD DEBT, IS 17.12%, AND THE PERCENTAGE INCREASES TO 44.24% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE.
PART II: PHYSICAL IMPROVEMENTS AND HOUSING: GENESIS HEALTH SYSTEM EMPLOYEES PROMOTE THE HEALTH OF THE COMMUNITY BY SUPPORTING COMMUNITY OUTREACH PROGRAMS, INCLUDING HABITAT FOR HUMANITY, AREA SHELTERS FOR THE HOMELESS, SHELTERS FOR ABUSED WOMEN AND DEPENDENT CHILDREN, AND FOOD PANTRIES.ECONOMIC DEVELOPMENT: GENESIS HEALTH SYSTEM EXECUTIVES AND EMPLOYEES SERVE ON VOLUNTEER BOARDS THROUGHOUT THE REGION SUPPORTING IMPORTANT PROJECTS AND INITIATIVES, HOMELESS SHELTERS, MENTAL HEALTH, DOWNTOWN REDEVELOPMENT AND EVENTS AND FESTIVALS.COMMUNITY SUPPORT: GENESIS HEALTH SYSTEM PARTICIPATES IN A VOLUNTEER PARTNERSHIP WITH JUNIOR ACHIEVEMENT. SEVERAL GENESIS HEALTH SYSTEM EMPLOYEES TRAVEL TO LOCAL COMMUNITY SCHOOLS TO TEACH THE IMPORTANCE OF WORKFORCE READINESS, ENTREPRENEURSHIP, AND FINANCIAL LITERACY. GENESIS HEALTH SYSTEM CONDUCTS MULTIPLE DISASTER AND DECONTAMINATION DRILLS THROUGHOUT THE YEAR.COALITION BUILDING: GENESIS HEALTH SYSTEM 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. COMMUNITY HEALTH IMPROVEMENT ADVOCACY: GENESIS HEALTH SYSTEM MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE WITH THE IOWA AND ILLINOIS STATE GOVERNMENTS AND IN WASHINGTON D.C. GENESIS EMPLOYEES PARTICIPATE IN A VOTER VOICE INITIATIVE TO ALSO ADVOCATE ON IMPORTANT HEALTH ISSUES.WORKFORCE DEVELOPMENT: GENESIS HEALTH SYSTEM PARTNERS WITH THE LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK FORCE SHORTAGE. GENESIS HEALTH SYSTEM WORKS WITH THE LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS COMMUNITY-WIDE WORKFORCE ISSUES BY SUPPORTING JOB CREATION AND TRAINING PROGRAMS.
PART III, LINE 4: PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. RECEIVABLES DUE FROM MEDICAL OFFICE BUILDING TENANTS AND FROM COMMERCIAL LAUNDRY CUSTOMERS ARE CARRIED AT THE ORIGINAL INVOICE AMOUNT LESS AN ESTIMATE MADE FOR DOUBTFUL ACCOUNTS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS, AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. THE SYSTEM 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.THE RATIONALE AND COSTING METHODOLOGY USED TO CALCULATE BAD DEBT EXPENSE AT COST (LINE 2) CONSISTED OF MULTIPLYING THE TOTAL BAD DEBT EXPENSE PER THE INCOME STATEMENT BY THE RATIO OF PATIENT CARE COST TO CHARGES TO ARRIVE AT ESTIMATED COST OF BAD DEBT. PAYMENTS RECEIVED AFTER AN ACCOUNT HAD BEEN WRITTEN OFF TO BAD DEBT WERE CREDITED TO A BAD DEBT RECOVERY ACCOUNT. DISCOUNTS ON PATIENT ACCOUNTS PROVIDED BY THIRD-PARTY PAYERS WERE WRITTEN OFF TO A CONTRACTUAL ALLOWANCE ACCOUNT. GENESIS HEALTH SYSTEM CONTRACTS WITH 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 GENESIS HEALTH SYSTEMS' POLICY BEFORE BEING DEEMED BAD DEBT. GENESIS HEALTH SYSTEM REPORTED ZERO DOLLARS FOR THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
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
PART III, LINE 9B: EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF ELIGIBLE, PAYMENT PLANS ARE MADE AVAILABLE BASED ON THEIR RESOURCES AND INCOME. ALL BALANCES OWING AFTER FINANCIAL ASSISTANCE ALLOWANCES HAVE BEEN TAKEN ARE PAYABLE IN MONTHLY PAYMENTS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2: GENESIS HEALTH SYSTEM UTILIZES THE COMMUNITY HEALTH ASSESSMENTS CREATED BY THE QUAD CITY HEALTH INITIATIVE (QCHI) AND THE COMMUNITY VITALITY TASK FORCE OF UNITED WAY. QCHI WAS FORMED BY GENESIS HEALTH SYSTEM, WHICH IS HEADQUARTERED IN SCOTT COUNTY, IOWA, AND TRINITY REGIONAL 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. A COMMUNITY HEALTH ASSESSMENT WAS CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC., IN 2012.
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 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. IN ADDITION, THE GENESIS HEALTH SYSTEM WEBSITE ALSO LISTS THE OPTIONS FOR PAYMENT, AND ON A MONTHLY BASIS A POWER POINT PRESENTATION IS GIVEN TO INCOMING CANCER PATIENTS INFORMING THEM OF THEIR PAYMENT OPTIONS.THE OUTPATIENT PHYSICIAN CLINICS AND THE HOME HEALTH DIVISION MAKE AVAILABLE THEIR FINANCIAL POLICY BROCHURES ALONG WITH DIRECTING PATIENTS TO GOVERNMENT PROGRAMS SUCH AS SCHIP AND HAWK-I.
PART VI, LINE 4: GENESIS HEALTH SYSTEM'S MISSION IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. GENESIS LIVES ITS MISSION EACH AND EVERY DAY BY SERVING A 10-COUNTY REGION OF EASTERN IOWA AND WESTERN ILLINOIS, INCLUDING BOTH URBAN AND RURAL AREAS. THE REGION SERVED BY GENESIS HEALTH SYSTEM HAS A POPULATION OF 379,690. ACCORDING TO THE 2010 CENSUS, WHITES MADE UP 88.4% OF THE 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.THE PERCENTAGE OF PEOPLE AGES 18-64 WHO DID NOT HAVE ANY HEALTH INSURANCE IN 2012 WAS 9.3% IN ROCK ISLAND COUNTY, ILLINOIS AND 11.4% IN SCOTT COUNTY, IOWA. 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.
PART VI, LINE 5: GENESIS HEALTH SYSTEM'S BOARD OF DIRECTORS IS A DIVERSE REPRESENTATION OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA THAT GENESIS HEALTH SYSTEM SERVES. GENESIS EXECUTIVES AND EMPLOYEES SERVE ON DOZENS OF VOLUNTEER BOARDS THROUGHOUT THE REGION ON IMPORTANT PROJECTS AND INITIATIVES, SUCH AS NEW LIBRARY CONSTRUCTION, HOMELESS SHELTERS, MENTAL HEALTH, DOWNTOWN REDEVELOPMENT AND EVENTS AND FESTIVALS. GENESIS EMPLOYEES SERVE THE COMMUNITIES WHERE THEY LIVE BY SERVING IN ELECTED OFFICES IN CITY AND COUNTY GOVERNMENT.GENESIS HEALTH SYSTEM EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. GENESIS HEALTH SYSTEM HAS ENDEAVORED TO IMPROVE ACCESS TO HEALTH CARE FOR THE COMMUNITIES IT SERVES BY PARTICIPATING IN APPROPRIATE JOINT VENTURES THAT OFFER NEEDED HEALTH CARE SERVICES TO UNDER-SERVED AREAS.GENESIS HEALTH SYSTEM SCHEDULES DOZENS OF HEALTH SCREENINGS AND IMMUNIZATIONS THROUGHOUT THE YEAR AT A REDUCED COST. THESE INCLUDE SCREENINGS FOR DIABETES, STROKE AND HEART DISEASE AND PUBLIC FLU IMMUNIZATION CLINICS.GENESIS HAS DONATED FUNDING FOR OUTDOOR EXERCISE COURSES CALLED GENESIS HEALTHBEAT IN DAVENPORT, IA., MOLINE, IL., AND DEWITT, IA. GENESIS IS A KEY COMMUNITY PARTNER IN DEVELOPING LET'S MOVE DAVENPORT, A GROUP FORMED IN 2010 TO PROMOTE HEALTH, FITNESS AND GOOD NUTRITION FOR CHILDREN IN DAVENPORT. THE PROGRAM INCLUDES A NUMBER OF EVENTS IN THE SPRING, SUMMER AND FALL TO GET SCHOOL CHILDREN ACTIVE. THE PROGRAM WAS PATTERNED AFTER LET'S MOVE, THE NATIONAL INITIATIVE OF FIRST LADY MICHELLE OBAMA.GENESIS HEALTH SYSTEM COLLABORATED WITH ST. AMBROSE UNIVERSITY TO BUILD A NEW HEALTH SCIENCES BUILDING ON THE GENESIS HOSPITAL CAMPUS IN DAVENPORT. BY PROVIDING EASY ACCESS TO BOTH CLASSROOM AND CLINICAL EDUCATIONS ON THE SAME SITE, GENESIS HEALTH CARE PROFESSIONALS AND ST. AMBROSE HEALTH SCIENCES STUDENTS ARE ABLE TO ADVANCE THEIR EDUCATION. PATIENTS BENEFIT FROM THE CARE PROVIDED BY ADVANCED EDUCATION NURSES AND TECHNICIANS. THE RELATIONSHIP WITH ST. AMBROSE WILL ALSO ATTRACT AND DEVELOP MORE SKILLED NURSES TO PROVIDE THE CARE THE REGION WILL NEED INTO THE FUTURE.GENESIS SPONSORS GENESIS ADVENTURES IN NURSING (GAIN), A CAMP FOR CHILDREN INTERESTED IN HEALTH CARE CAREERS. GENESIS EMPLOYEES SERVE AS MENTORS AND INSTRUCTORS DURING CAMP WEEK.GENESIS EMPLOYEES MAKE MEDICAL MISSION TRIPS EACH YEAR TO AREAS OF NEED ALL OVER THE WORLD. GENESIS EMPLOYEES, WITH THE SUPPORT OF THE HEALTH SYSTEM, 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.GENESIS HEALTH SYSTEM HAS DONATED THOUSANDS OF DOLLARS WORTH OF MEDICAL SUPPLIES TO EMPLOYEES PARTICIPATING IN MEDICAL MISSION TRIPS AROUND THE WORLD AND EARTHQUAKE RELIEF EFFORTS IN HAITI.GENESIS AND GILDA'S CLUB OF THE QUAD CITIES SPONSOR CAMP GENESIS, A WEEK AT A LOCAL YMCA CAMP FOR CHILDREN WHO ARE DEALING WITH CANCER IN THEIR FAMILIES. KIDS WHO MAY NOT OTHERWISE HAVE THE OPPORTUNITY AS A PARENT, SIBLING OR GRANDPARENT FIGHTS CANCER ARE ABLE TO ENJOY A FREE CAMP EXPERIENCE. GENESIS 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 18,000 ITEMS FOR DOMESTIC VIOLENCE SHELTERS AND HUMILITY OF MARY HOMELESS SHELTER; X-STREAM CLEANUP (85 VOLUNTEERS), A CLEANUP PROJECT OF RIVERS AND STREAMS. EMPLOYEES HAVE USED THEIR COLLECTIVE IMPACT TO SECURE DONATIONS FOR FOOD PANTRIES. IOWA GOVERNOR TERRY BRANSTAD PARTICIPATED IN A SHELTER DONATION PROJECT IN 2011. GENESIS HAS REDUCED ITS ENVIRONMENTAL FOOTPRINT ON THE COMMUNITIES IT SERVES BY IMPLEMENTING BULK WASTE RECYCLING, POLYSTYRENE RECYCLING, REDUCING SHARPS DISPOSAL, IMPLEMENTING WATER RUNOFF MEASURES, REDUCING WATER AND CHEMICAL USAGE IN THE MEDICAL LAUNDRY AND BUILDING A ROOFTOP GREEN SPACE ON A LARGE HOSPITAL ROOF IN DAVENPORT. CRESCENT LAUNDRY, A MEDICAL LAUNDRY OWNED BY A FOR-PROFIT ENTITY OF GENESIS HEALTH SYSTEM, HAS BEEN RECOGNIZED NATIONALLY FOR ITS CONSERVATION METHODS. GENESIS SPONSORS AND HOSTS A VERY POPULAR ANNUAL BOY SCOUT MERIT BADGE DAY TO ASSIST SCOUTS IN WORKING TOWARD FIRST AID AND MEDICINE MERIT BADGES. PROFESSIONAL HEALTH CARE STAFF VOLUNTEER TO INSTRUCT THE SCOUTS FOR THE DAY.GENESIS MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE IN IOWA AND ILLINOIS STATE GOVERNMENT AND IN WASHINGTON D.C. GENESIS EMPLOYEES PARTICIPATE IN A VOTER VOICE INITIATIVE TO ALSO ADVOCATE ON IMPORTANT HEALTH ISSUES WITH CITY, COUNTY, STATE AND NATIONAL ELECTED OFFICIALS. AMONG THE ADVOCACY EFFORTS IN 2011 WAS LOBBYING AGAINST A BAN ON TRAFFIC ENFORCEMENT CAMERAS IN IOWA. GENESIS HAS EXPERIENCED FEWER PATIENTS WITH TRAUMA INJURIES FROM MOTOR VEHICLE ACCIDENTS AND WILL CONTINUE TO ADVOCATE FOR PUBLIC SAFETY.GENESIS BECAME THE FOUNDING SPONSOR OF THE KOMEN QUAD CITIES RACE FOR THE CURE IN 2011 AFTER BEING INVOLVED AS A SPONSOR SINCE THE INCEPTION OF THE EVENT. THE EVENT SUPPORTS A VOUCHERS PROGRAM FOR FREE MAMMOGRAMS FROM AREA BREAST HEALTH CENTERS, INCLUDING THE KENNETH H. MCKAY CENTER FOR BREAST HEALTH AT GENESIS.EACH YEAR, GENESIS PROVIDES THE COMMUNITY WITH DOZENS OF CLASSES AND EVENTS PROMOTING HEALTH AND HEALTH EDUCATION. HUNDREDS OF RESIDENTS IN THE REGION SERVED BY GENESIS LEARN CPR, FIRST AID, PARENTING SKILLS AND NEWBORN CARE BY ENROLLING IN CLASSES AVAILABLE.SURPLUS FUNDS RESULTING FROM EFFICIENT OPERATIONS AND COST-CONTAINMENT MEASURES ARE RE-INVESTED IN THE HEALTHCARE OPERATIONS OF GENESIS HEALTH SYSTEM TO IMPROVE THE HEALTHCARE SERVICES THAT GENESIS 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 GENESIS SERVES.
PART VI, LINE 6: GENESIS HEALTH SYSTEM (TAX ID #42-1418847), AN IOWA NONPROFIT CORPORATION, AND GENESIS HEALTH SYSTEM (TAX ID #36-3616314), AN ILLINOIS NOT-FOR-PROFIT CORPORATION, HAVE IDENTICAL GOVERNING BOARDS, MANAGEMENT AND BYLAWS AND CAN ACT JOINTLY.GENESIS HEALTH SYSTEM (TAX ID #42-1418847) 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. GENESIS HEALTH SYSTEM (TAX ID #36-3616314) IS A PARTNER IN THE LARSON CENTER PARTNERSHIP.GENESIS HEALTH SYSTEM (TAX ID #42-1418847) OPERATES THE FOLLOWING BUSINESS UNITS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES:GENESIS HEALTH SYSTEM PROVIDES ADMINISTRATIVE, MANAGEMENT, INFORMATION TECHNOLOGY AND OTHER SUPPORT SERVICES TO ITS AFFILIATES.GENESIS CLINICAL SERVICES: GENESIS HEALTH SYSTEM OWNS AND OPERATES PHYSICIAN MEDICAL PRACTICES, CONVENIENT CARE PRACTICES, OPERATES 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) OWNS 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 - ILLINOIS (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 GUESTROOMS THAT OFFERS SERVICES DESIGNED TO MEET THE NEEDS OF OUR SENIOR ADULTS. GENESIS HEALTH SYSTEM IOWA AND GENESIS HEALTH SYSTEM 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) SUPPORTS GMC - ILLINI BY PROVIDING FINANCIAL AND FUNDRAISING ASSISTANCE. THE MISSION OF THE ILLINI FOUNDATION IS 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.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 14 MEDICAL OFFICE BUILDINGS LOCATED IN DAVENPORT, ELDRIDGE, LECLAIRE, MUSCATINE AND BETTENDORF, IOWA.CRESCENT LAUNDRY PROVIDES COMMERCIAL LAUNDRY SERVICES TO HEALTH CARE FACILITIES IN EASTERN IOWA AND IN NORTH-CENTRAL ILLINOIS.GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) PROVIDES A FUND WHICH CAN BE USED TO PAY WORKERS' COMPENSATION CLAIMS AND COSTS FOR THE BENEFIT OF GENESIS HEALTH SYSTEM.MISERICORDIA ASSURANCE COMPANY, LTD. (MISERICORDIA) IS A WHOLLY-OWNED CAYMAN BASED CAPTIVE INSURANCE COMPANY WHICH UNDERWRITES THE GENERAL AND PROFESSIONAL LIABILITY RISKS OF GENESIS HEALTH SYSTEM AND AFFILIATES.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. IN DECEMBER 2010, GENESIS HEALTH SYSTEM ACQUIRED AN ADDITIONAL 16.67% INTEREST IN GENGASTRO AND MAINTAINED A 66.67% OWNERSHIP INTEREST AS OF JUNE 30, 2011. 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, GENESIS HEALTH SYSTEM ACQUIRED AN ADDITIONAL 8.33% INTEREST IN GENGASTRO, LLC FROM NONCONTROLLING INTERESTS AND MAINTAINS A 75% OWNERSHIP INTEREST AS OF JUNE 30, 2012.DAVENPORT SRS LEASING, LLC (SRS) IS A LIMITED LIABILITY COMPANY, WHICH WAS FORMED IN 2008, WHICH LEASES MEDICAL EQUIPMENT. GENESIS HEALTH SYSTEM 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 ACCOUNTABLE CARE ORGANIZATION, LLC (GENESIS ACO): THE GENESIS ACO IS AN IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS AND ANY BUSINESS RELATED TO CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYORS AND THE COMMUNITY AT LARGE. THE GENESIS ACO HAD NO FINANCIAL ACTIVITY DURING THE YEAR ENDED JUNE 30, 2012.
IL,IA	REPORTS FILED WITH STATES	PART VI, LINE 7

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (24 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant	Amount Of Non Cash AssistanceAmountOfNonCashAssistance	Method Of ValuationMethodOfValuation	Description Of Non Cash AssistanceDescriptionOfNonCashAssistance
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	391905171	501(C)(3)	617163	CLAIM PAYMENTS
GENESIS HEALTH SERVICES FOUNDATION
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421421670	501(C)(3)	186422	HEALTHCARE RELATED CONTRIBUTIONS; GOLF CHALLENGE SPONSORSHIP	11175	FMV	ADVERTISING SPACE IN THE QC TIMES & DISPATCH/ARGUS NEWPAPERS.
BALLET QUAD CITIES
613 17TH STREET	ROCK ISLAND	IL	61201	421366753	501(C)(3)	7000	SEASONAL SPONSORSHIP
BIX-7 - QUAD CITY TIMES
2685 E KIMBERLY ROAD	BETTENDORF	IA	52722	420823980		40000	SPONSORSHIP FOR BIX RACE
DAVENPORT ONE
130 WEST SECOND STREET	DAVENPORT	IA	52801	421500610	501(C)(6)	50000	SPONSORSHIP - RED, WHITE, & BOOM; BEAUTIFICATION PROJECT - DOWNTOWN STREETSCAPE, IA/IL LEGISLATIVE FORUMS, QC CAMPAIGNS
SCOTT COUNTY FAMILY Y
606 WEST 2ND STREET	DAVENPORT	IA	52801	420703278	501(C)(3)	25500	SPONSORSHIP FOR CAMP GENESIS AND PARTNER WITH YOUTHS
ST AMBROSE UNIVERSITY
518 WEST LOCUST STREET	DAVENPORT	IA	52804	420703280	501(C)(3)	218000	CONTRIBUTION TOWARDS HEALTH SCIENCE BUILDING
TAPE2TAPE SPORTS & ENTERTAINMENT - QC MALLARDS
1201 RIVER DRIVE	MOLINE	IL	61265	364704618		36000	2012 SPONSORSHIP
COMMUNITY HEALTH CARE
500 W RIVER DRIVE	DAVENPORT	IA	52801	421060724	501(C)(3)	50000	DONATION TO ORGANIZATION THAT AIDS INDIVIDUALS WHO DO NOT HAVE MEDICAL OR DENTAL COVERAGE
DEWITT AREA FOUNDATION
PO BOX 260	DEWITT	IA	52742	421296691	501(C)(3)	50000	2012 STAR PLEDGE, ARTS & RECREATION
RICK'S HOUSE OF HOPE
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	241914034	501(C)(3)	19500	SEASONAL SPONSORSHIP
GILDA'S CLUB QUAD CITIES
1234 E RIVER DRIVE	DAVENPORT	IA	52803	421446989	501(C)(3)	33200	SPONSORSHIP FOR CAMP GENESIS
PUTNAM MUSEUM
1717 WEST 12TH STREET	DAVENPORT	IA	52804	420680474	501(C)(3)	25000	SPONSORSHIP FOR DINOSAURS UNLEASHED PROGRAM
RIVERCENTER
136 EAST THIRD STREET	DAVENPORT	IA	52801	421463763		5000	SPONSORSHIP FOR RIVERDANCE
I WIRELESS CENTER
1201 RIVER DRIVE	MOLINE	IL	61265	363482673		20000	SPONSORSHIP: VIDEOWALL/ESCROW & SKATING
FIGGE ART MUSEUM
225 W 2ND ST	DAVENPORT	IA	52801	426090398	501(C)(3)	5000	SPONSORSHIP FOR FINS AND FEATHERS EXHIBIT
SUSAN G KOMEN BREAST CANCER
5005 LBJ FREEWAY	DALLAS	TX	75244	751835298	501(C)(3)	37749	SPONSORSHIP FOR RACE FOR THE CURE
UNIVERSITY OF IOWA MEDICAL SERVICE PLAN
200 HAWKINS DRIVE	IOWA CITY	IA	52242	426004813	501(C)(3)	20000	CONTRIBUTION TOWARD PUBLIC HEALTH BUILDING
WQAD- TV
3313 SOLUTIONS CENTER	CHICAGO	IL	60677	208614101		17500	SPONSORSHIP FOR TERRY SWAILS CHILDREN'S BOOK
QUAD CITIES BICYCLE CLUB
2833 KELLING STREET	DAVENPORT	IA	52804	421074130	501(C)(4)	10000	SPONSORSHIP FOR THE CRITERIUM MEMORIAL DAY BIKE RACES
QUAD CITY SYMPHONY
327 BRADY STREET	DAVENPORT	IA	52801	426017663	501(C)(3)	10000	SPONSORSHIP OF SUPPORT POEMS AND FATE CONCERT
QUAD CITIES RIVER BANDITS
209 GAINES ST	DAVENPORT	IA	52801	113804992		5250	SPONSORSHIP FOR SEASONAL EVENTS DURING THE BANDIT'S GAMES
AMERICAN HEART ASSOCIATION
460 LINDBERGH BLVD	ST LOUIS	MO	63141	135613797	501(C)(3)	5000	HEART WALK 2012 SPONSORSHIP
IOWA - ILLINOIS HIGH SCHOOL BASKETBALL SHOOTOUT LTD
516 EAST DOVER COURT	DAVENPORT	IA	52803	830413194	501(C)(3)	6000	SPONSORSHIP - POWER SPORTS PERFORMANCE SHOOTOUT EVENT

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	16	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	8	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	1244	88512	FAIR MARKET VALUE	MEDICAL SUPPLIES
GRANTS FOR RESEARCH STUDIES	186				281161

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 - 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 (20 entries)

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
560169	0	0	0	40824	0	222056	0	24405	0	847454	0	0	0
GEORGE J KONTOS JR MD
494699	0	0	0	40772	0	9800	0	18216	0	563487	0	0	0
MARK G ROGERS
254279	0	0	0	53248	0	101521	0	13046	0	422094	0	0	0
WAYNE A DIEWALD
21903	0	175000	0	20	0	0	0	0	0	196923	0	0	0
ROBERT W FRIEDEN
230319	0	0	0	94875	0	15894	0	20501	0	361589	0	0	0
RICHARD M KISHIUE MD
278651	0	0	0	39699	0	40245	0	9133	0	367728	0	0	0
JULIE MANAS
190053	0	0	0	188683	0	7157	0	10789	0	396682	0	0	0
JUDITH K PRANGER
183585	0	0	0	168464	0	57689	0	12355	0	422093	0	89919	0
FLORENCE L SPYROW
152780	130146	0	0	13015	11087	54690	46588	1225	1044	221710	188865	0	0
NICHOLAS AUGELLI MD
655608	0	0	0	38859	0	12250	0	16957	0	723674	0	0	0
STEVEN B BASHOR DO
450368	0	10952	0	54400	0	2450	0	23091	0	541261	0	0	0
ROBERT FIETSAM MD
503942	0	0	0	21043	0	9800	0	17749	0	552534	0	0	0
TODD RIDENOUR MD
807091	0	0	0	40504	0	17150	0	19211	0	883956	0	0	0
CALVIN J SLOT MD
426035	0	29700	0	23741	0	7869	0	9279	0	496624	0	0	0
JEFFREY M COOPER
136632	0	0	0	62365	0	11265	0	20956	0	231218	0	0	0
HEIDI S KAHLY-MCMAHON
161960	0	0	0	17616	0	55206	0	18420	0	253202	0	0	0
WILLIAM LANGLEY MD
221240	0	0	0	120981	0	58509	0	16167	0	416897	0	0	0
ROBERT M NELSON MD
178775	0	0	0	67856	0	38686	0	15862	0	301179	0	0	0
MIKE L SHARP
143246	0	0	0	82433	0	57390	0	14917	0	297986	0	39942	0
CRAIG SOMMERS
119500	0	0	0	15689	0	5529	0	17227	0	157945	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
PART I, LINE 1A	GENESIS HEALTH SYSTEM PROVIDES THE FOLLOWING TO INDIVIDUALS REPORTED IN PART VII, SECTION A, LINE 1A: TRAVEL FOR COMPANIONS: THIS BENEFIT IS OFFERED TO ALL EMPLOYEES. THE ORGANIZATION REQUIRES REIMBURSEMENT OF THESE EXPENSES DIRECTLY TO THE ORGANIZATION. 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.
PART I, LINE 4B	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVING BENEFIT PLAN IN 2011 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA: JEFFREY M. COOPER- $46,637, ROBERT W. FRIEDEN - $80,498, WILLIAM LANGLEY, M.D. - $66,768, ROBERT M. NELSON, M.D. - $ 26,086, JUDITH K. PRANGER - $142,899 AND MIKE L. SHARP - $60,684. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2011. 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 2011 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA: DOUGLAS P. CROPPER - $212,256, HEIDI S. KAHLY-MCMAHON - $44,290, RICHARD M. KISHIUE, M.D. - $25,545, ROBERT M. NELSON, M.D. - $26,086, MARK G. ROGERS - $88,100, MIKE L. SHARP - $19,093, AND FLORENCE L. SPYROW - $91,478. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2011. 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, AND 2011 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA: JUDITH K. PRANGER - $89,919 AND MIKE L. SHARP - $39,942. THE DOLLAR AMOUNT REPRESENTS THE PRIOR YEAR CONTRIBUTIONS MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2009 AND 2010. 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 2011, 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

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)
Amount Retired	5605000	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)
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
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
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
Exception To Rebate	1	ExceptionToRebate

Field	Value	IRS element (for citing)
Fed Tax Requirements Compliance	X	FedTaxRequirementsCompliance

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (14 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
WELLMARK HEALTH PLAN OF IOWA INC
SEE BELOW IN PART V	84905790	GENESIS HEALTH SYSTEM (GHS) HAS A PROVIDER SERVICE AGREEMENT FOR PATIENT MEDICAL SERVICES AND RECEIVES ADDITIONAL INCOME FOR QUALITY HEALTHCARE SERVICES FROM WELLMARK HEALTH PLAN OF IOWA, INC.	0
GENVENTURES INC
SEE BELOW IN PART V	26096484	GENVENTURES, INC. PAID GHS AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST.	0
GENVENTURES INC
SEE BELOW IN PART V	24119221	GHS PAID GENVENTURES, INC. FOR LEASE PAYMENTS, MEDICAL SUPPLIES, AND LAUNDRY SERVICES.	0
WELLMARK HEALTH PLAN OF IOWA INC
SEE BELOW IN PART V	23438126	GHS OBTAINS EMPLOYEE HEALTH INSURANCE COVERAGE AND ISSUES REFUNDS FOR OVERPAYMENTS TO WELLMARK HEALTH PLAN OF IOWA, INC.	0
NAVIGANT CONSULTING INC
SEE BELOW IN PART V	3201661	GHS USES SERVICES PROVIDED BY NAVIGANT CONSULTING, INC.	0
LARSON CENTER PARTNERSHIP
SEE BELOW IN PART V	1252644	FACILITY LEASE PAYMENTS	0
BUSH CONSTRUCTION COMPANY INC
SEE BELOW IN PART V	234667	GHS USES SERVICES PROVIDED BY BUSH CONSTRUCTION. COMPANY, INC.	0
HEALTH ENTERPRISES
SEE BELOW IN PART V	158009	HEALTH SUPPORT SERVICES	0
QUAD CITY BANK & TRUST
MARK KILMER IS THE CHAIRMAN OF QCB&T, AND A DIRECTOR OF GHS.	150186	GHS USES SERVICES PROVIDED BY QUAD CITY BANK & TRUST.	0
EDWARD TED J ROGALSKI
EDWARD J. ROGALSKI IS THE SON OF DR. EDWARD ROGALSKI, PAST CHAIRMAN OF GHS.	130650	EDWARD J. ROGALSKI RECEIVES COMPENSATION FROM GHS AS MERCER COUNTY HOSPITAL ADMINISTRATOR.	0
JW KOEHLER ELECTRIC INC
JAMES W. KOEHLER, A DIRECTOR OF GHS, OWNS KOEHLER ELECTRIC.	108475	GHS USES SERVICES PROVIDED BY KOEHLER ELECTRIC.	0
LISA ROGALSKI
SEE BELOW IN PART V	99009	LISA ROGALSKI RECEIVES COMPENSATION FROM GHS AS THE DIRECTOR OF MATERIALS MANAGEMENT.	0
BARBARA P PARK
BARBARA P. PARK IS THE DAUGHTER OF JUDITH PRANGER, KEY EMPLOYEE OF GHS.	50382	BARBARA P. PARK RECEIVES COMPENSATION FROM GHS AS A PHYSICAL THERAPIST.	0
ERIN E MOORE-WATERMAN
SEE BELOW IN PART V	40792	ERIN MOORE-WATERMAN RECIEVES COMPENSATION FROM GHS AS A MEDICAL LIBRARIAN.	0

Form990 Schedule L Part V Form990ScheduleLPartV (8 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - WELLMARK HEALTH PLAN OF IOWA, INC.	DOUGLAS P. CROPPER IS THE BOARD PRESIDENT/CEO OF GHS AND A DIRECTOR ON THE BOARD OF WELLMARK HEALTH PLAN OF IOWA, INC.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - GENVENTURES, INC.	MARK G. ROGERS AND ROGER A. HILL ARE OFFICERS, FLORENCE L. SPYROW IS A KEY EMPLOYEE, JAMES A. KOEHLER IS A DIRECTOR, AND MIKE SHARP IS A FORMER KEY EMPLOYEE OF GHS AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, MARK G. ROGERS, ROGER A. HILL, JAMES W. KOEHLER, AND MIKE 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 - GREGORY J. BUSH	GREGORY J. BUSH, THE TREASURER OF GHS, IS CHAIRMAN OF BUSH CONTRUCTION COMPANY INC.
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 GHS.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - HEALTH ENTERPRISES	DOUGLAS P. CROPPER IS THE BOARD PRESIDENT/CEO OF GHS AND A DIRECTOR ON THE BOARD OF HEALTH ENTERPRISES.
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 GHS BOARD.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - LARSON CENTER PARTNERSHIP	FLORENCE L. SPYROW IS A KEY EMPLOYEE OF GHS-IA AND THE VOTING REPRESENTATIVE IN THE LARSON CENTER PARTNERSHIP FOR GHS-IL, A PARTNER IN THE LARSON CENTER PARTNERSHIP.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - LISA ROGALSKI	LISA ROGALSKI IS DAUGHTER-IN-LAW OF DR. EDWARD ROGALSKI, PAST CHAIRMAN OF GHS.

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
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; AND VICE PRESIDENT, HUMAN RESOURCES. 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) 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, 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 GUIDELINE IS ESTABLISHED AT THE 25TH PERCENTILE, AND A MAXIMUM GUIDELINE IS SET AT THE 75TH PERCENTILE. SPECIFIC PAY RATES FOR EXECUTIVES ARE SUBJECT TO CEO AND COMPENSATION COMMITTEE AND THE GHS 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 GENESIS HEALTH SYSTEM (GHS) 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 BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GHS, AT APPROPRIATE TIMES. THE GHS BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GHS, 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 XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -1,731,787. CHANGE IN FUNDED STATUS OF RETIREMENT -15,464,620. CHANGE IN NET ASSETS OF FOUNDATION 109,853. TOTAL TO FORM 990, PART XI, LINE 5: -17,086,554.	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.
FORM 990, PART VII, LINE 1A	GENESIS HEALTH SYSTEM, EIN 42-1418847, AND GENESIS HEALTH SYSTEM, EIN 36-3616314 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 BOTH 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 BOTH 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 BETWEEN EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GENESIS HEALTH SYSTEM, EIN 42-1418847.

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 EAST RUSHOLME ST	DAVENPORT	IA	52803	208389282	OUTPATIENT PHYSICAL THERAPY SERVICES	IA	0	0	GENESIS HEALTH SYSTEM - 42-1418847
GENESIS ACCOUNTABLE CARE ORGANIZATION LLC
1227 EAST RUSHOLME ST	DAVENPORT	IA	52803	454168932	ACCOUNTABLE CARE SERVICES	IA	0	0	GENESIS HEALTH SYSTEM - 42-1418847
SPIN ECHO LLC
1227 EAST RUSHOLME ST	DAVENPORT	IA	52803	421491373	PROPERTY MANAGEMENT	IA	83862	1614570	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 - ILLINOIS
801 ILLINI DRIVE	SILVIS	IL	61282	363616314	HEALTHCARE	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM 42-1418847	1
GENESIS HEALTH SERVICES FOUNDATION
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421421670	CHARITY	IA	501(C)(3)	LINE 7	GENESIS HEALTH SYSTEM 42-1418847	1
ILLINI HOSPITAL FOUNDATION
801 ILLINI DRIVE	SILVIS	IL	61282	366208583	CHARITY	IL	501(C)(3)	LINE 11A, I	GENESIS HEALTH SYSTEM 36-3616314	1
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE/BENEFIT/TRUST	IA	501(C)(3)	LINE 11A, I	GENESIS HEALTH SYSTEM 42-1418847	1
DAVENPORT HOSPITAL AMBULANCE CORPORATION
1204 EAST HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(C)(3)	LINE 11A, I	GENESIS HEALTH SYSTEM 42-1418847	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 36-3616314	1
GENESIS MEDICAL CENTER ALEDO
409 NW NINTH AVENUE	ALEDO	IL	61231	454475683	HEALTHCARE	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM 36-3616314	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 42-1418847	RELATED	2702990	161232	0	0	0.91340
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	421483989	OUTPATIENT SURGICAL CENTER	IA	GENESIS HEALTH SYSTEM 42-1418847	RELATED	1002987	2754658	0	0	0.75090
LARSON CENTER PARTNERSHIP
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL								N/A
DAVENPORT SRS LEASING LLC
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	261655144	LEASING	IA	GENESIS HEALTH SYSTEM 42-1418847	RELATED	-410568		0	1	0.93750
GENORTHO LLC
2300 53RD AVENUE	BETTENDORF	IA	52722	203406994	ORTHOPAEDIC SURGERY CENTER	IA	GENESIS HEALTH SYSTEM 42-1418847	RELATED	1031617	484880	0	0	0.52220
GENRAD IMAGING LLC
1970 E 53RD ST	DAVENPORT	IA	52807	453571628	OUTPATIENT RADIOLOGY SERVICES	IA	GENESIS HEALTH SYSTEM 42-1418847	RELATED			0	0	0.50000

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	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Direct Controlling Entity NADirectControllingEntityNA
GENVENTURES INC
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	GENESIS HEALTH SYSTEM 42-1418847	C	-1473375	47550226	1.00000
GENESIS HEART INSTITUTE
1236 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421504979	HEALTHCARE MANAGEMENT	IA	GENESIS HEALTH SYSTEM 42-1418847	C			1.00000
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	OTHER FINANCIAL VEHICLE		GENESIS HEALTH SYSTEM 42-1418847	C		27243834	1.00000	PO BOX 1051	GRAND CAYMAN	CJ	CJ
MOB 1 OWNERS' ASSOCIATION
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA		C								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
Sale Of Assets To Other Org	1	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	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	1	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
GENVENTURES INC
A	1019137	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
A	21875	FAIR MARKET VALUE
GENVENTURES INC
A	416653	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS COMPENSATION PLAN & TRUST
B	617163	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
B	197597	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
C	477480	FAIR MARKET VALUE
GENVENTURES INC
D	3822163	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOIS
F	1860599	FAIR MARKET VALUE
GENVENTURES INC
I	416653	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOS
J	229443	FAIR MARKET VALUE
GENVENTURES INC
J	6907046	FAIR MARKET VALUE
LARSON CENTER PARTNERSHIP
J	638394	FAIR MARKET VALUE
LARSON CENTER PARTNERSHIP
J	614250	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
L	129456	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOS
L	8190651	FAIR MARKET VALUE
MISERICORDIA ASSURANCE COMPANY LTD
L	3780845	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
O	691562	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOS
O	6037468	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOS
P	89420979	FAIR MARKET VALUE
GENVENTURES INC
P	24660694	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
P	3262221	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS COMPENSATION PLAN & TRUST
P	1661955	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
P	315879	FAIR MARKET VALUE
MISERICORDIA ASSURANCE COMPANY LTD
P	1702781	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOS
Q	229443	FAIR MARKET VALUE
GENVENTURES INC
Q	6907046	FAIR MARKET VALUE
LARSON CENTER PARTNERSHIP
Q	638394	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
Q	129456	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOS
Q	8190651	FAIR MARKET VALUE
MISERICORDIA ASSURANCE COMPANY LTD
Q	3780845	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOS
Q	89420979	FAIR MARKET VALUE
GENVENTURES INC
Q	24660694	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
Q	3262221	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS COMPENSATION PLAN & TRUST
Q	1661955	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
Q	315879	FAIR MARKET VALUE
MISERICORDIA ASSURANCE COMPANY LTD
Q	1702781	FAIR MARKET VALUE
LARSON CENTER PARTNERSHIP
Q	614250	FAIR MARKET VALUE
GENVENTURES INC
Q	8403418	FAIR MARKET VALUE
GENVENTURES INC
Q	4986594	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
Q	56992	FAIR MARKET VALUE
GENRAD IMAGING LLC
Q	1873277	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM WORKERS COMPENSATION PLAN & TRUST
Q	418863	FAIR MARKET VALUE
GENESIS HEALTH SERVICES FOUNDATION
R	691562	FAIR MARKET VALUE
GENVENTURES INC
R	8403418	FAIR MARKET VALUE
GENVENTURES INC
R	4986594	FAIR MARKET VALUE
DAVENPORT HOSPITAL AMBULANCE CORPORATION
R	56992	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM - ILLINOS
R	6037468	FAIR MARKET VALUE
GENGASTRO LLC
R	2701089	FAIR MARKET VALUE
SPRING PARK SURGERY CENTER LLC
R	969180	FAIR MARKET VALUE
GENORTHO LLC
R	1006125	FAIR MARKET VALUE