GENESIS HEALTH SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH SYSTEM (EIN 42-1418847)
Tax period: 2010-07-01 to 2011-06-30
Filed: 2012-03-28
IRS object ID: 201240889349300644
Schema version: 2010v3.4
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-03-28T17:05:48-05:00	Timestamp
Tax Period End Date	2011-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MCGLADREY & PULLEN 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	2010-07-01	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	2012-03-28	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

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

Field	Value	IRS element (for citing)
Tax Year	2010	TaxYear
Build TS	2016-02-24 21:20:13Z	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	541989530	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	17	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	10	NbrIndependentVotingMembers
Total Nbr Employees	4695	TotalNbrEmployees
Total Nbr Volunteers	745	TotalNbrVolunteers
Total Gross UBI	1759891	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1511240	ContributionsGrantsPriorYear
Contributions Grants Current Year	3964542	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	444894265	ProgramServiceRevenuePriorYear
Program Service Revenue CY	429053689	ProgramServiceRevenueCY
Investment Income Prior Year	8282065	InvestmentIncomePriorYear
Investment Income Current Year	7986368	InvestmentIncomeCurrentYear
Other Revenue Prior Year	7228434	OtherRevenuePriorYear
Other Revenue Current Year	5725735	OtherRevenueCurrentYear
Total Revenue Prior Year	461916004	TotalRevenuePriorYear
Total Revenue Current Year	446730334	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	3509212	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	2535350	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	225867420	SalariesEtcPriorYear
Salaries Etc Current Year	224745550	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	216334185	OtherExpensePriorYear
Other Expenses Current Year	207906251	OtherExpensesCurrentYear
Total Expenses Prior Year	445710817	TotalExpensesPriorYear
Total Expenses Current Year	435187151	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	16205187	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	11543183	RevenuesLessExpensesCY
Total Assets BOY	520487697	TotalAssetsBOY
Total Assets EOY	566049515	TotalAssetsEOY
Total Liabilities BOY	177765873	TotalLiabilitiesBOY
Total Liabilities EOY	154288577	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	342721824	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	411760938	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
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	267683027	Expense
Grants	2438567	Grants
Revenue	337456388	Revenue
Description	GENESIS HEALTH SYSTEM IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA, CONSISTING OF THREE HOSPITALS, TWO BASED IN IOWA: GENESIS MEDICAL CENTER-DAVENPORT, CONTAINING 502 LICENSED ACUTE BEDS. STATISTICS INCLUDE 84,759 PATIENT DAYS, 21,094 PATIENT DISCHARGES AND 179,279 OUT-PATIENT VISITS; GENESIS MEDICAL CENTER-DEWITT, CONTAINING LICENSED 13 ACUTE BEDS AND 77 SKILLED BEDS. STATISTICS INCLUDE 1,490 PATIENT DAYS, 291 PATIENT DISCHARGES, AND 18,240 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	81122115	Expense
Grants	0	Grants
Revenue	71581430	Revenue
Description	GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM, CONSISTS OF 44 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 213,721 AND RVU'S (RELATIVE VALUE UNITS) 766,359.	Description

Activity3 Activity3

Field	Value	IRS element (for citing)
Expense	20770883	Expense
Grants	96782	Grants
Revenue	23568820	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 122,788 AND HOSPICE/ HOSPICE HOUSE DAYS 44,200.	Description

Activity Other ActivityOther

Field	Value	IRS element (for citing)
Expense	444002	Expense
Grants	0	Grants
Revenue	0	Revenue
Description	GENESIS ILLINOIS PROPERTIES, A BUSINESS UNIT WITHIN GENESIS HEALTH SYSTEM, OWNS LAND IN ILLINOIS FOR FUTURE EXPANSION PURPOSES.	Description

Field	Value	IRS element (for citing)
Total Of Other Program Service Exp	444002	TotalOfOtherProgramServiceExp
Total Program Service Expense	370020027	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
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	1	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	1	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	378	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	4695	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	17	NbrVotingGoverningBodyMembers
Number Independent Voting Members	10	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	IA	StatesWhereCopyOfReturnIsFiled
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 (37 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
JAMES A BULL MD
PAST DIRECTOR	40.00	X	191694	0	23426
GREGORY J BUSH
TREASURER	4.00	X	0	0	0	X
EDMUND P COYNE JR MD
DIRECTOR	4.00	X	0	0	0
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	44.00	X	739313	0	291003	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 A KOEHLER
DIRECTOR	4.00	X	0	0	0
GEORGE KONTOS JR MD
DIRECTOR	40.00	X	538454	0	26179
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		326941	0	123452	X
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	40.00		442228	0	31866		X
WILLIAM LANGLEY MD
EXECUTIVE DIRECTOR	40.00		507583	0	69290		X
JULIE MANAS
PRESIDENT/CEO - GMC	40.00		375185	0	137154		X
JUDITH PRANGER
V.P. PATIENT SERVICES	40.00		224436	0	138891		X
FLORENCE L SPYROW
PRESIDENT, GMC ILLINI	40.00		53665	271576	109367		X
NICHOLAS AUGELLI MD
PHYSICIAN	40.00		459598	0	27772			X
MARK HULL MD
PHYSICIAN	40.00		521637	0	31672			X
DARRYL JOHNSON MD
PHYSICIAN	40.00		464485	0	30417			X
TODD RIDENOUR MD
PHYSICIAN	40.00		847339	0	33990			X
WILLIAM SYBESMA MD
PHYSICIAN	40.00		449086	0	18386			X
ANDREW ANDRESEN MD
PHYSICIAN	40.00		268383	0	28216				X
DEAN BUNTING MD
ASSOCIATE DIRECTOR	40.00		187706	0	39013				X
JEFFREY M COOPER
PRESIDENT, GMC DEWITT	40.00		262079	0	28989				X
ALEXANDER JONES MD
PHYSICIAN	40.00		140600	0	11519				X
HEIDI KAHLY-MCMAHON
V.P. HUMAN RESOURCES	40.00		194797	0	78577				X
ROBERT NELSON MD
V.P. CLINICAL SERVICES	40.00		297906	0	57082				X
MIKE SHARP
V.P. SUPPORT SERVICES	40.00		173413	0	95195				X
CRAIG SOMMERS
EXECUTIVE DIRECTOR	40.00		145574	0	20916				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	7812102	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	271576	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1452372	TotalOtherCompensation
Number Individuals GT100 K	197	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	LABORATORY DIAGNOSTICS	8835595
CERNER CORPORATION
2800 ROCKCREEK PARKWAY	KANSAS CITY	MO	64117	COMPUTER SOFTWARE SUPPORT & MAINTENANCE	5187208
DAVENPORT EMERGENCY ROOM PHYSICIANS
2116 MAIN STREET	DAVENPORT	IA	52803	EMERGENCY PHYSICIAN CARE	3326969
COGENT HEALTHCARE
PO BOX 974451	DALLAS	TX	75397	CONTRACTED MEDICAL STAFF	1960503
EXECUTIVE HEALTH RESOURCES
PO BOX 822688	PHILADELPHIA	PA	19182	CONTRACTED SERVICES	1052458

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	72	NumberOfContractorsGT100K
Related Organizations	2770974	RelatedOrganizations
Government Grants	143112	GovernmentGrants
All Other Contributions	1050456	AllOtherContributions
Noncash Contributions	134502	NoncashContributions
Total Contributions	3964542	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
INPATIENT REVENUE	900099	454792531	454792531
OUTPATIENT REVENUE	621400	379718222	379718222
CLINIC REVENUE	621400	121838992	121838992
HOME HEALTH & HOSPICE	621610	26325306	26325306
OTHER OPERATING REVENU	624100	6840921	5081030	1759891

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-560462283	TotalRevenueColumn
Related Or Exempt Function Income	-560462283	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	429053689	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	5592504	TotalRevenueColumn
Exclusion	$5,592,504	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	510986	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	98091	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	412895	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	412895	TotalRevenueColumn
Exclusion	$412,895	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	97038114	Securities
Other	28160	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	94667850	Securities
Other	4560	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	2370264	Securities
Other	23600	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	2393864	TotalRevenueColumn
Exclusion	$2,393,864	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	794074	GrossSalesOfInventory
Cost Of Goods Sold	488695	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	305379	TotalRevenueColumn
Related Or Exempt Function Income	305379	RelatedOrExemptFunctionIncome

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
OTHER REVENUE	900099	2697432	2697432
DIETARY	900099	2133414	2133414
HOUSEKEEPING	900099	176615	176615

Field	Value	IRS element (for citing)
Total Other Revenue	5007461	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	446730334	TotalRevenueColumn
Related Or Exempt Function Income	432606638	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1759891	UnrelatedBusinessRevenue
Exclusion	$8,399,263	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	2209685	Total
Program Services	2209685	ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

Field	Value	IRS element (for citing)
Total	325665	Total
Program Services	325665	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	4188931	Total
Program Services	1617559	ProgramServices
Management And General	2571372	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	457886	Total
Program Services	281615	ProgramServices
Management And General	176271	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	176396317	Total
Program Services	154091540	ProgramServices
Management And General	22304777	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	10634626	Total
Program Services	9912884	ProgramServices
Management And General	721742	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	20439340	Total
Program Services	16917824	ProgramServices
Management And General	3521516	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	12628450	Total
Program Services	10594684	ProgramServices
Management And General	2033766	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	11834672	Total
Program Services	10333977	ProgramServices
Management And General	1500695	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1010945	Total
Management And General	1010945	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	269044	Total
Management And General	269044	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	119034	Total
Management And General	119034	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	563644	Total
Management And General	563644	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	25014855	Total
Program Services	19369967	ProgramServices
Management And General	5644888	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	1410370	Total
Program Services	1351252	ProgramServices
Management And General	59118	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	45552619	Total
Program Services	42158906	ProgramServices
Management And General	3393713	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	7083509	Total
Program Services	787820	ProgramServices
Management And General	6295689	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	18251876	Total
Program Services	17364842	ProgramServices
Management And General	887034	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	1414861	Total
Program Services	1329927	ProgramServices
Management And General	84934	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	358834	Total
Program Services	327886	ProgramServices
Management And General	30948	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	4263233	Total
Program Services	4261109	ProgramServices
Management And General	2124	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	25217693	Total
Program Services	16178497	ProgramServices
Management And General	9039196	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3332296	Total
Program Services	354830	ProgramServices
Management And General	2977466	ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PATIENT SUPPLY COST OF	38563600	38563600
PROVISION FOR BAD DEBTS	21627108	21627108
MISCELLANEOUS	2018058	58850	1959208

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	435187151	Total
Program Services	370020027	ProgramServices
Management And General	65167124	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	3437343	BOY
EOY	4559542	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	40029286	BOY
EOY	49269864	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	62527236	BOY
EOY	60717960	EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

Field	Value	IRS element (for citing)
BOY	20351406	BOY
EOY	26667288	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	9392564	BOY
EOY	10437231	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	3768127	BOY
EOY	5121663	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	493687071	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	327493859	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	170252384	BOY
EOY	166193212	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	129055977	BOY
EOY	154265413	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	35662465	BOY
EOY	55946811	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	20000	BOY
EOY	0	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	45990909	BOY
EOY	32870531	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	520487697	BOY
EOY	566049515	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	46005476	BOY
EOY	49521584	EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	94794486	BOY
EOY	89172645	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	2506	BOY
EOY	125466	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	36963405	BOY
EOY	15468882	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	177765873	BOY
EOY	154288577	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	331777982	BOY
EOY	397635264	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	10943842	BOY
EOY	14125674	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	342721824	BOY
EOY	411760938	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	520487697	BOY
EOY	566049515	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	11543183	ReconcilationRevenueExpenses
Reconcilation Other Changes	57495931	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	0	GrantsOtherOrganizations
Direct Contact Legislators	1	DirectContactLegislators
Direct Contact Legislators	$43,775	DirectContactLegislatorsAmount
Rallies Demonstrations	1	RalliesDemonstrations
Rallies Demonstrations	$775	RalliesDemonstrationsAmount
Other Activities	1	OtherActivities
Other Activities	$74,485	OtherActivitiesAmount
Total Lobbying Expenditures IIB	119035	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
EXPLANATION OF OTHER LOBBYING ACTIVITIES:	PART II-B, LINE 1I:	IN FISCAL YEAR 2011, 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; 21% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $26,932, 24% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,239, 50% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $3,045, AND VARIOUS OTHER ASSOCIATIONS- $7,269.
PART IV, SUPPLEMENTAL INFORMATION:		PART II-B, LINE 1(D), MAILINGS TO MEMBERS, LEGISLATORS, 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 IN AN E-MAIL FORMAT. THERE IS NO DIRECT COST TO GENESIS HEALTH SYSTEM - IOWA REGARDING THIS ACTIVITY.

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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 Minus2 Years CurrentYearMinus2Years

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	0.67000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.33000	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	8878425	OtherCostOrOtherBasis
Book Value	8878425	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	189967263	OtherCostOrOtherBasis
Depreciation	104464894	Depreciation
Book Value	85502369	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	19048024	OtherCostOrOtherBasis
Depreciation	14366546	Depreciation
Book Value	4681478	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	245937167	OtherCostOrOtherBasis
Depreciation	195077555	Depreciation
Book Value	50859612	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	29856192	OtherCostOrOtherBasis
Depreciation	13584864	Depreciation
Book Value	16271328	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	166193212	TotalOfBookValueLandBuildings

Other Securities OtherSecurities (16 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
OTHER INVESTMENTS - GMC	50576	F
INVESTMENT IN GENVENTURES, INC	25620357	C
INVESTMENT IN MISERICORDIA	120000	C
INVESTMENT IN MRIOWA, LLC	221767	C
INVESTMENT IN HEI COOP	1652162	C
INVESTMENT IN HEI VENTURES	105800	C
INVESTMENT IN HEI IOWA ECHO/ULTRASOUND	118806	C
INVESTMENT IN HEI BREAST BIOPS	3264	C
INVESTMENT IN HEI DIGITAL MAMMOGRAPHY	10366	C
INVESTMENT IN DAVENPORT SRS LEASING	1045651	C
INVESTMENT IN SPRING PARK SURGERY CENTER	4254491	C
INVESTMENT IN GENGASTRO LLC	20769194	C
INVESTMENT IN GENORTHO	1646250	C
OTHER INVESTMENTS - DEWITT	321147	C
INVESTMENT IN HEI	-9258	C
INVESTMENT IN HEI BONE DENSITY	16238	C

Field	Value	IRS element (for citing)
Total Of Book Value Securities	55946811	TotalOfBookValueSecurities

Other Assets OtherAssets (8 entries)

DescriptionDescription	Book ValueBookValue
OTHER ASSETS	822978
INTEREST IN NET ASSETS OF FOUNDATION	9991929
UNAMORTIZED BOND COSTS	579508
GOODWILL & COVENANT NOT TO COMPETE	820444
DEFERRED COMPENSATION ANNUITY	6716559
CERTIFICATES OF DEPOSIT	8691616
INTEREST RECEIVABLE	12154
DEBT SERVICE RESERVE FUND	5235343

Field	Value	IRS element (for citing)
Total Book Value Other Assets	32870531	TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
ACCRUED PENSION LIABILITY	$12,340,314
ACCRUED INS TRUST LOSSES	$3,123,806
RETIREMENT SAVINGS	$4,762

Field	Value	IRS element (for citing)
Total Of Amounts	15468882	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 AND ILLINI HOSPITAL FOUNDATION, BOTH RELATED ORGANIZATIONS, HOLD THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATIONS' ENDOWMENT FUNDS IS AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT AND VNA, HOSPICE HOUSE, DIABETES CARE, EMPLOYEE ASSISTANCE, AND PEDIATRIC HOSPICE.
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, 2006 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, 2006 AND PRIOR. AS OF JUNE 30, 2011 AND 2010, THE TOTAL AMOUNT OF UNCERTAIN TAX POSITIONS HAVE REDUCED INCOME TAX EXPENSE AND HAVE INCREASED EXCESS OF REVENUE OVER EXPENSES BY $45,000 AND $40,000, RESPECTIVELY. INTEREST EXPENSE ASSOCIATED WITH UNCERTAIN TAX POSITIONS FROM THE YEARS ENDED JUNE 30, 2011 AND 2010 IS APPROXIMATELY NONE AND $7,000, RESPECTIVELY. NO AMOUNT HAS BEEN ACCRUED FOR PENALTIES. DURING THE YEARS ENDED JUNE 30, 2011 AND 2010, NONE AND $265,000, RESPECTIVELY, IN FEDERAL AND STATE INCOME TAXES WERE PAID FOR UNCERTAIN TAX POSITIONS EXISTING AS OF JUNE 30, 2009 AND 2008, AS AMENDED OR PAST DUE INCOME TAX RETURNS WERE FILED.

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	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
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	8940885	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	8940885	NetCommunityBenefitExpense
Percent Of Total Expense	0.02160	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	49151343	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35560103	DirectOffsettingRevenue
Net Community Benefit Expense	13591240	NetCommunityBenefitExpense
Percent Of Total Expense	0.03290	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	269989	TotalCommunityBenefitExpense
Direct Offsetting Revenue	79960	DirectOffsettingRevenue
Net Community Benefit Expense	190029	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	58362217	TotalCommunityBenefitExpense
Direct Offsetting Revenue	35640063	DirectOffsettingRevenue
Net Community Benefit Expense	22722154	NetCommunityBenefitExpense
Percent Of Total Expense	0.05500	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	385711	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	385711	NetCommunityBenefitExpense
Percent Of Total Expense	0.00090	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	2644076	TotalCommunityBenefitExpense
Direct Offsetting Revenue	2137416	DirectOffsettingRevenue
Net Community Benefit Expense	506660	NetCommunityBenefitExpense
Percent Of Total Expense	0.00120	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	13658899	TotalCommunityBenefitExpense
Direct Offsetting Revenue	10505807	DirectOffsettingRevenue
Net Community Benefit Expense	3153092	NetCommunityBenefitExpense
Percent Of Total Expense	0.00760	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Total Community Benefit Expense	190374	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	190374	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	795103	TotalCommunityBenefitExpense
Net Community Benefit Expense	795103	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	17674163	TotalCommunityBenefitExpense
Direct Offsetting Revenue	12643223	DirectOffsettingRevenue
Net Community Benefit Expense	5030940	NetCommunityBenefitExpense
Percent Of Total Expense	0.01210	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	76036380	TotalCommunityBenefitExpense
Direct Offsetting Revenue	48283286	DirectOffsettingRevenue
Net Community Benefit Expense	27753094	NetCommunityBenefitExpense
Percent Of Total Expense	0.06710	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

Field	Value	IRS element (for citing)
Total Community Building Expense	1478	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	1478	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Economic Development EconomicDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	44569	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	44569	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Community Support CommunitySupport

Field	Value	IRS element (for citing)
Total Community Building Expense	16523	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	16523	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

Field	Value	IRS element (for citing)
Total Community Building Expense	200	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	200	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Leadership Development LeadershipDevelopment

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	144	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	144	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

Field	Value	IRS element (for citing)
Total Community Building Expense	21171	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	21171	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	20699	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	20699	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	104784	TotalCommunityBuildingExpense
Net Community Building Expense	104784	NetCommunityBuildingExpense
Percent Of Total Expense	0.00030	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$8,284,277	BadDebtExpenseAmount
Amount Attributable To	95282	AmountAttributableTo
Amount Reimbursed By Medicare	154141148	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	176695713	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-22554565	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

Name Of Entity NameOfEntity

Field	Value	IRS element (for citing)
Business Name Line1	1 MOB 1 OWNERS' ASSOCIATION	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	PROPERTY MANAGMENT	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.82200	OrganizationProfitOrOwnership
Physicans Profit Or Ownership	0.17800	PhysicansProfitOrOwnership

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	X
GENESIS MEDICAL CENTER - DEWITT
3	1118 11TH STREET	DEWITT	IA	52742	X	X	X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

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

Field	Value	IRS element (for citing)
Hospital Facility Number	1	HospitalFacilityNumber

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
VISITING NURSE ASSOCIATION & HOSPICE
2535 MAPLECREST ROAD	DAVENPORT	IA	52807	HOME HEALTH & HOSPICE
MEDICAL OFFICE BUILDING #1
1228 EAST RUSHOLME STREET	DAVENPORT	IA	52803	O/P MAMMOGRAPHY & DIALYSIS SERVICES
GENESIS HEALTH GROUP
864-866 LINCOLN ROAD	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
CENTRAL PARK MEDICAL PAVILIONS 1 & 2
1351 WEST CENTRAL PARK AVENUE	DAVENPORT	IA	52804	O/P CANCER, REHAB, WOUND & DR.
BETTENDORF IMAGING CENTER
4017 DEVILS GLEN ROAD STE 205	BETTENDORF	IA	52722	OUTPATIENT RADIOLOGY SERVICES
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
HEDBERG BUILDING - MOLINE FAMILY PRACTIC
2526 4TH STREET	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
DIVISION STREET CLINIC
3618 NORTH DIVISION STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
DEWITT WEST WING PLACE
1118 11TH STREET	DEWITT	IA	52742	L-T NURSING CARE FACILITY
GENESIS MEDICAL PARK
4017 DEVILS GLEN ROAD	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
SCOTT COUNTY YMCA
3800 TANGLEFOOT LANE	BETTENDORF	IA	52722	OUTPATIENT REHABILITATION CLINIC
FAMILY PRACTICE AT WEST CAMPUS
1345 WEST CENTRAL PARK AVENUE	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
NORTH FAMILY PRACTICE
210 WEST 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT LAB & PHYSICIAN CLINIC
NORTHWEST FAMILY PRACTICE
1520 SOUTH 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT PHYSICIAN CLINIC
ELDRIDGE FAMILY PRACTICE
301 NORTH 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT LAB & PHYSICIAN CLINIC
GENESIS PHYSICAL REHAB - VALLEY FAIR
2720 WEST LOCUST STREET UNIT 2B	DAVENPORT	IA	52804	O/P PHYSICAL THERAPY CLINIC
CONVENIENT CARE - DAVENPORT
1520 WEST 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT URGENT CARE CLINIC
GENESIS PSYCHOLOGY ASSOCIATES
4455 EAST 56TH STREET	DAVENPORT	IA	52807	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
GENESIS PHYSICAL REHAB - CROW VALLEY
2300 53RD AVENUE STE LL02	BETTENDORF	IA	52722	O/P PHYSICAL THERAPY CLINIC
DAV OBGYN
3319 SPRING STREET	DAVENPORT	IA	52807	OUTPATIENT PHYSICIAN CLINIC
MOLINE FAMILY PRATICE - 7TH STREET
1410 7TH STREET	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
VISITING NURSE ASSOCIATION & HOSPICE
611 NORTH 2ND AVE	CLINTON	IA	52732	HOME HEALTH & HOSPICE
MUSCATINE FAMILY PRACTICE
2104 CEDARWOOD STREET	MUSCATINE	IA	52761	OUTPATIENT PHYSICIAN CLINIC
CONVENIENT CARE - BETTENDORF
4017 DEVILS GLEN ROAD	BETTENDORF	IA	52722	OUTPATIENT URGENT CARE CLINIC
GENESIS OCCUPATIONAL HEALTH
3319 SPRING STREET	DAVENPORT	IA	52807	OUTPATIENT OCCUPATIONAL HEALTH PROGRAM
DEWITT FAMILY PRACTICE
1008 11TH STREET	DEWITT	IA	52742	HOME HEALTH, COUNSELING SERVICES, & O/P
GENESIS PLASTIC SURGERY SPECIALISTS
5335 EASTERN AVE	DAVENPORT	IA	52807	OUTPATIENT PHYSICIAN CLINIC
SILVIS ANESTHESIOLOGY
801 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
CLARISSA C COOK HOSPICE HOUSE
2546 TECH DRIVE	BETTENDORF	IA	52722	HOSPICE HOUSE
GENESIS CENTER FOR BARIATRIC SURGERY
1230 EAST RUSHOLME STREET	DAVENPORT	IA	52803	O/P COMPREHENSIVE BARIATRIC PRGM
MEDICAL OFFICE BUILDING #2
1230 EAST RUSHOLME STREET	DAVENPORT	IA	52803	OUTPATIENT PHYSICIAN CLINIC
CONVENIENT CARE - ILLINOIS
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT URGENT CARE CLINIC
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 OCCUPATIONAL HEALTH
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT OCCUPATIONAL HEALTH PROGRAM
LECLAIRE FAMILY PRACTICE - RIVERVIEW
200 SOUTH CODY	LECLAIRE	IA	52751	OUTPATIENT PHYSICIAN CLINIC
ROCK ISLAND INTERNAL MEDICINE
2560 24TH STREET	ROCK ISLAND	IL	61201	OUTPATIENT PHYSICIAN CLINIC
MOLINE VALLEY VIEW
615 VALLEY VIEW DRIVE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
DEWITT AMBULANCE
1220 11TH STREET	DEWITT	IA	52742	AMBULANCE SERVICES
DAVENPORT CLINIC
1820 WEST 3RD ST	DAVENPORT	IA	52803	OUTPATIENT PHYSICIAN CLINIC
DURANT FAMILY PRACTICE
619 5TH STREET	DURANT	IA	52747	OUTPATIENT PHYSICIAN CLINIC
BLUE GRASS FAMILY MEDICAL
413 SOUTH MISSISSIPPI	BLUE GRASS	IA	52726	OUTPATIENT PHYSICIAN CLINIC
LOMBARD PHYSICAL THERAPY
1414 WEST LOMBARD STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
GENESIS PHYSICAL THERAPY AT LECLAIRE
1003 CANAL SHORE DRIVE	LECLAIRE	IA	52751	OUTPATIENT PHYSICAL THERAPY CLINIC
ERIE FAMILY PRACTICE
530 12TH STREET	ERIE	IL	61205	OUTPATIENT PHYSICIAN CLINIC
ROCK ISLAND ARSENAL FAMILY PRACTICE
1634 WHITTERMORE STE 101	ROCK ISLAND	IL	61201	OUTPATIENT PHYSICIAN CLINIC
ALPHA FAMILY PRACTICE
202 PICARD STREET	ALPHA	IL	61413	OUTPATIENT PHYSICIAN CLINIC
IA CITY PEDIATRIC PT CLINIC
2451 CORAL CT	CORALVILLE	IA	52241	OUTPATIENT PHYSICAL THERAPY CLINIC
GHS-U OF IA PEDIATRIC GASTRO
2222 53RD AVE	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
EAP - DAVENPORT
4455 EAST 56TH STREET	DAVENPORT	IA	52807	COUNSELING SERVICES
MOLINE VALLEY VIEW WEST FAMILY PRACTICE
515 VALLEY VIEW DRIVE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
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)
GENESIS HEART INSTITUTE
1236 EAST RUSHOLME STREET	DAVENPORT	IA	52803	O/P CARDIAC DIAGNOSTICS & REHAB CARE
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): $21,627,108 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 18.39%, AND THE PERCENTAGE INCREASES TO 61.11% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNTY BENEFIT EXPENSE.
PART II: 1. 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.2. 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.3. 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.4. ENVIRONMENTAL IMPROVEMENTS: GENESIS HEALTH SYSTEM'S "TAKIN' IT TO THE STREETS" COMMITTEE ORGANIZED A CREW OF EMPLOYEES AND THEIR FAMILIES TO CLEAN UP THE WATERWAYS OF THE COMMUNITIES IT SERVES.5. COALITION BUILDING: GENESIS HEALTH SYSTEM WAS A LEAD COMMUNITY PARTNER IN THE FLU-FREE QUAD CITIES INITIATIVE WHICH VACCINATED 9,300 ELEMENTARY SCHOOL CHILDREN IN THE REGION FOR SEASONAL INFLUENZA AT NO COST TO THE CHILDREN. FUNDS WERE RAISED THROUGH VARIOUS BUSINESS PARTNERS, GRANTS AND A FLU-FREE TELETHON ON WQAD-TV. 6. 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.7. 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: THE TEXT FROM THE FOOTNOTE TO GENESIS HEALTH SYSTEM'S FINANCIAL STATEMENT IS AS FOLLOWS: PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYERS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. 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. 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. SHARED BUSINESS SERVICES USES A SEPARATE TRANSACTION CODE TO IDENTIFY ACCOUNTS WRITTEN OFF TO BAD DEBT THAT HAVE NO FINANCIAL DOCUMENTATION AND MAY HAVE QUALIFIED FOR CHARITY CARE HAD PAPERWORK BEEN SUBMITTED. THE ESTIMATED AMOUNT OF GENESIS HEALTH SYSTEM'S BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY CARE POLICY (LINE 3) WAS CALCULATED BY TAKING THE TOTAL OF THESE ACCOUNTS AND MULTIPLYING THEM BY THE RATIO OF PATIENT CARE COST TO CHARGES. NO BAD DEBT AMOUNTS WERE INCLUDED IN COMMUNITY BENEFIT.
PART III, LINE 8: THE COSTING METHODOLOGY USED TO DETERMINE THE AMOUNT REPORTED ON PART III, LINE 6, FOR THE HOSPITALS AND THE HOME HEALTH DIVISION, WAS COMPUTED USING THE GROSS PATIENT REVENUE BY PAYOR MIX AND CONVERTED TO COST USING THE COST TO CHARGE RATIO FROM PART I, WORKSHEET 2. THE PAYMENT RATE WAS CALCULATED BY DIVIDING THE MEDICARE PAYMENTS BY MEDICARE CHARGES USING A 12-MONTH ZERO BALANCE REPORT. THE SHORTFALL IS THE DIFFERENCE BETWEEN THE PAYMENTS AND THE COSTS. GENESIS CLINICAL SERVICES AND GENESIS FAMILY MEDICAL CENTER WERE CALCULATED USING A PAYER ANALYSIS REPORT, CONVERTING CHARGES TO COST USING THE COST TO CHARGE RATIO FROM PART I, WORKSHEET 2 AND SUBTRACTING THE PAYMENTS TO OBTAIN THE SHORTFALL. NO MEDICARE SHORTFALLS WERE INCLUDED IN COMMUNITY BENEFIT. THE MEDICARE SHORTFALL REPRESENTS THE DIFFERENCE BETWEEN THE TOTAL REVENUE RECEIVED FROM MEDICARE BASED ON MEDICARE REIMBURSEMENT RATES AND THE COSTS INCURRED BY GENESIS HEALTH SYSTEM IN PROVIDING HEALTHCARE SERVICES TO THE ELDERLY. IN 2009, THE PERCENT OF PERSONS 65 YEARS AND OVER WAS 16.0% IN ROCK COUNTY, ILLINOIS AND 12.7% IN SCOTT COUNTY, IOWA. IN ACCORDANCE WITH GENESIS HEALTH SYSTEM'S MISSION STATEMENT, "TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED," THE ELDERLY WERE SERVED DESPITE THE MEDICARE LOSS OF $22,554,565. GENESIS HEALTH SYSTEM HAS A CLEAR MISSION TO SERVE ALL THOSE IN NEED AND TO IMPROVE THE HEALTH OF THE COMMUNITY INCLUDING THE ELDERLY. FURTHERMORE, THERE ARE NO FOR-PROFIT HOSPITALS IN THE COMMUNITY, AND THEREFORE GENESIS HEALTH SYSTEM IS ONE OF TWO TAX-EXEMPT HEALTHCARE ORGANIZATIONS IN THE COMMUNITY WHO PROVIDE ACCESS TO HEALTHCARE FOR MEDICARE PATIENTS. ACCORDINGLY, IT IS GENESIS HEALTH SYSTEM'S POSITION FOR THE REASONS STATED ABOVE THAT THE MEDICARE SHORTFALL OF $22,554,565 REPRESENTS A COMMUNITY BENEFIT. PURSUANT TO THE INSTRUCTIONS TO THE FORM 990, SCHEDULE H, THE MEDICARE SHORTFALL IS NOT INCLUDED IN PART I, LINE 7. IF THE MEDICARE SHORTFALL WAS INCLUDED IN PART I, LINE 7, THEN PART I, LINE 7K, COLUMN F WOULD BE 12.16%.
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 QCHI IN 2003, AND THEN RE-ASSESSED IN 2007. IN 2010, THE COMMUNITY VITALITY TASK FORCE OF UNITED WAY PRODUCES AN ANNUAL SNAPSHOT OF COMMUNITY INDICATORS, INCLUDING INFORMATION ON THE HEALTH STATUS OF THE COMMUNITIES THAT GENESIS HEALTH SYSTEM SERVES.
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 HAWKEYE.
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 378,163.THE MEDIAN AGE OF THE POPULATION IN 2009 WAS 38.9 IN ROCK ISLAND COUNTY, ILLINOIS AND 36.7 IN SCOTT COUNTY, IOWA. THE PERCENT OF PERSONS 65 YEARS AND OVER WAS 16.0% IN ROCK ISLAND COUNTY, ILLINOIS AND 12.7% IN SCOTT COUNTY, IOWA.THE PERCENT OF FAMILIES LIVING IN POVERTY IN 2009 WAS 5.8% IN ROCK ISLAND COUNTY, ILLINOIS AND 9.8% IN SCOTT COUNTY, IOWA. THE HOMELESS POPULATION IN GENESIS HEALTH SYSTEM'S SERVICE AREA WAS 1,510 IN JANUARY 2010. 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 2009 WAS 12.0% IN ROCK ISLAND COUNTY, ILLINOIS AND 8.2% IN SCOTT COUNTY, IOWA. THE PERCENTAGE OF ADULTS WHO CURRENTLY SMOKED IN 2009 WAS 20.0% IN ROCK ISLAND COUNTY, ILLINOIS AND 17.0% IN SCOTT COUNTY, IOWA. THE PERCENTAGE OF ADULTS WHO WERE OBESE IN 2009 WAS 27.7% IN ROCK ISLAND COUNTY, ILLINOIS AND 21.9% IN SCOTT COUNTY, IOWA.
PART VI, LINE 6: 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. A MAJORITY OF THEM ARE NEITHER EMPLOYEES OR CONTRACTORS OF THE ORGANIZATION, NOR FAMILY MEMBERS THEREOF. 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.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 7: 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 DAVENPORT SRS LEASING, LLC. GENESIS HEALTH SYSTEM (TAX ID #36-3616314) IS THE SOLE MEMBER OF ILLINI HOSPITAL FOUNDATION AND 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. 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 HEALTH SYSTEM IOWA HAS 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.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 THIRTEEN 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 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. DAVENPORT SRS LEASING, LLC (SRS) IS A LIMITED LIABILITY COMPANY, WHICH WAS FORMED IN 2008, WHICH LEASES MEDICAL EQUIPMENT. GENESIS HEALTH SYSTEM IS A GENERAL PARTNER AND OWNS 93.75% AS OF JUNE 30, 2011.GENESIS HEALTH SYSTEM (TAX ID #36-3616314) OPERATES THE FOLLOWING BUSINESS UNITS TO PROMOTE THE HEALTH OF THE COMMUNITIES IT SERVES:GENESIS MEDICAL CENTER - ILLINI (GMC - ILLINI) IS LICENSED AS A 149-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM ITS FACILITY IN SILVIS, ILLINOIS. ILLINI HOSPITAL NURSING HOME (INH) OPERATES ILLINI RESTORATIVE CARE CENTER AND CROSSTOWN SQUARE. ILLINI RESTORATIVE CARE CENTER OPERATES A 75-BED LICENSED NURSING FACILITY WHICH PROVIDES SKILLED AND INTERMEDIATE HEALTH CARE AND RELATED SERVICES TO PATIENTS. TWENTY-TWO OF ILLINI RESTORATIVE CARE CENTER'S BEDS ARE DESIGNATED AS HOSPITAL-BASED MEDICARE CERTIFIED BEDS. ILLINI RESTORATIVE CARE'S SHELTERED CARE UNIT IS A 45-BED FACILITY WHICH 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 (TAX ID #36-3616314) HAS A CONTROLLING OWNERSHIP INTEREST OR MEMBERSHIP IN THE FOLLOWING ORGANIZATIONS: ILLINI HOSPITAL FOUNDATION (ILLINI FOUNDATION) SUPPORTS GENESIS MEDICAL CENTER - 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. 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.
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 (22 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)	1234339	CLAIM PAYMENTS
GENESIS HEALTH SERVICES FOUNDATION
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421421670	501(C)(3)	267547	HEALTHCARE RELATED CONTRIBUTIONS; PLEDGE TOWARDS ROOFSCAPE PROJECT; GOLF CHALLENGE SPONSORSHIP	7900	FMV	ADVERTISING SPACE IN THE QC TIMES & DISPATCH/ARGUS NEWPAPERS.
BALLET QUAD CITIES
613 17TH STREET	ROCK ISLAND	IL	61201	421366753	501(C)(3)	7500	SPONSORSHIP OF FOUR PERFORMANCES
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)	46333	SPONSORSHIP - RED, WHITE, & BOOM; RIVER ROOTS
QUAD CITY ARTS
1715 2ND AVENUE	ROCK ISLAND	IL	61201	363122824	501(C)(3)	11500	SPONSORSHIP - YOUTH EMPLOYMENT & FESTIVAL OF TREES
HABITAT FOR HUMANITY QUAD CITIES
2235 GRANT ST	BETTENDORF	IA	52722	421404937	501(C)(3)	5000	SPONSORSHIP OF HOME PROJECT
SCOTT COUNTY FAMILY Y
606 WEST 2ND STREET	DAVENPORT	IA	52801	420703278	501(C)(3)	66000	SPONSORSHIP FOR VARIOUS PROGRAMS LIKE CAMP GENESIS AND PARTNER WITH YOUTHS
ST AMBROSE UNIVERSITY
518 WEST LOCUST STREET	DAVENPORT	IA	52804	420703280	501(C)(3)	219000	CONTRIBUTION TO HEALTH SCIENCE BUILDING AND WINE FESTIVAL SPONSORSHIP
MIDWEST CARDIOVASCULAR RESEARCH FOUNDATION
1622 E LOMBARD STREET	DAVENPORT	IA	52803	050529623	501(C)(3)	5000	RESEARCH STUDY PROGRAM
TAPE2TAPE SPORTS & ENTERTAINMENT - QC MALLARDS
RIVER DRIVE	MOLINE	IL	61265	421772437		21900	QUAD CITY MALLARDS SPONSORSHIP
COMMUNITY HEALTH CARE
500 W RIVER DRIVE	DAVENPORT	IA	52801	421060724	501(C)(3)	50500	DONATION TO ORGANIZATION THAT AIDES INDIVIDUALS WHO DO NOT HAVE MEDICAL OR DENTAL COVERERAGE.
DEWITT AREA FOUNDATION
PO BOX 260	DEWITT	IA	52742	421296691	501(C)(3)	50000	CONTRIBUTION PLEDGE, 2011 STAR
COMMUNITY FOUNDATION OF THE GREAT RIVER BEND
852 MIDDLE ROAD	BETTENDORF	IA	52722	426122716	501(C)(3)	25000	SPONSORSHIP OF HEALTHCARE EXPO
RICK'S HOUSE OF HOPE
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	241914034	501(C)(3)	30000	YEARLY SPONSORSHIP TO SUPPORT SERVICES AT RICK'S HOUSE OF HOPE.
GILDA'S CLUB QUAD CITIES
1234 E RIVER DRIVE	DAVENPORT	IA	52803	421446989	501(C)(3)	30000	SPONSORSHIP FOR HELEN HUNT EVENT FOR CANCER AWARENESS
PUTNAM MUSEUM & IMAX THEATRE
1717 WEST 12TH STREET	DAVENPORT	IA	52804	420680474	501(C)(3)	8400	SPONSORSHIP FOR MEMBERSHIP PROGRAMS
IOWA-ILLINOIS HIGH SCHOOL BASKETBALL SHOOTOUT LTD
516 EAST DOVER COURT	DAVENPORT	IA	52803	830413194	501(C)(3)	6000	POWER SPORTS PERFORMANCE SHOOT OUT EVENT SPONSORSHIP
I WIRELESS CENTER
1201 RIVER DRIVE	MOLINE	IL	61265	363482673		20000	EVENT SPONSORSHIP: TEMPTATIONS AND TOPS, THOMAS & FRIENDS
THE ADVISORY BOARD COMPANY
PO BOX 79461	BALTIMORE	MD	21279	521468699		20375	ONCOLOGY ROUNDTABLE
IOWA HEALTHCARE COLLABORATIVE
100 EAST GRAND AVE STE 100	DES MOINES	IA	50309	203869767	501(C)(3)	35000	CONTRIBUTION PLEDGE FOR SUPPORT TOWARDS IHC CONFERENCES, RESEARCH, AND EDUCATION
ILLINI HOSPITAL FOUNDATION
801 ILLINI DRIVE	SILVIS	IL	61282	366208583	501(C)(3)	11808	SPONSORSHIP FOR HELEN HUNT EVENT FOR CANCER AWARENESS

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	17	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	21	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	413	145330	FAIR MARKET VALUE	MEDICAL SUPPLIES
GRANTS FOR RESEARCH STUDIES	173				180334

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 (22 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
JAMES A BULL MD
152602	0	0	0	39092	0	11544	0	11882	0	215120	0	0	0
DOUGLAS P CROPPER
567498	0	137967	0	33848	0	269566	0	21437	0	1030316	0	0	0
GEORGE KONTOS JR MD
497978	0	0	0	40476	0	10127	0	16052	0	564633	0	0	0
MARK G ROGERS
232637	0	56242	0	38062	0	111580	0	11872	0	450393	0	0	0
ROBERT W FRIEDEN
223268	0	43193	0	175767	0	13869	0	17997	0	474094	0	0	0
WILLIAM LANGLEY MD
222088	0	37218	0	248277	0	54738	0	14552	0	576873	0	79283	0
JULIE MANAS
310431	0	63590	0	1164	0	120713	0	16441	0	512339	0	0	0
JUDITH PRANGER
172000	0	28501	0	23935	0	127582	0	11309	0	363327	0	0	0
FLORENCE L SPYROW
41898	212029	8137	41177	3630	18370	17707	89607	339	1714	71711	362897	0	0
NICHOLAS AUGELLI MD
420618	0	0	0	38980	0	11921	0	15851	0	487370	0	0	0
MARK HULL MD
480286	0	0	0	41351	0	14415	0	17257	0	553309	0	0	0
DARRYL JOHNSON MD
451942	0	11158	0	1385	0	12250	0	18167	0	494902	0	0	0
TODD RIDENOUR MD
806991	0	0	0	40348	0	17573	0	16417	0	881329	0	0	0
WILLIAM SYBESMA MD
428506	0	0	0	20580	0	2767	0	15619	0	467472	0	0	0
ANDREW ANDRESEN MD
191237	0	34587	0	42559	0	16948	0	11268	0	296599	0	0	0
DEAN BUNTING MD
170507	0	0	0	17199	0	19167	0	19846	0	226719	0	0	0
JEFFREY M COOPER
127531	0	35003	0	99545	0	10771	0	18218	0	291068	0	0	0
ALEXANDER JONES MD
118508	0	0	0	22092	0	6127	0	5392	0	152119	0	0	0
HEIDI KAHLY-MCMAHON
157172	0	27892	0	9733	0	60087	0	18490	0	273374	0	0	0
ROBERT NELSON MD
171852	0	37837	0	88217	0	43643	0	13439	0	354988	0	24727	0
MIKE SHARP
128152	0	31335	0	13926	0	81588	0	13607	0	268608	0	0	0
CRAIG SOMMERS
117370	0	12704	0	15500	0	5818	0	15098	0	166490	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 PLAN IN 2010 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA: JEFFREY M. COOPER - $28,336, ROBERT W. FRIEDEN- $67,420. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2010 AND THE GROSS-UP PAYMENT TO COVER TAX. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVING BENEFIT PLAN IN 2010 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA: JEFFREY M. COOPER- $55,499, ROBERT W. FRIEDEN - $94,525, WILLIAM LANGLEY, M.D. - $184,284, AND ROBERT NELSON, M.D. - $ 57,924. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2010. 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 2010 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA: DOUGLAS P. CROPPER - $260,072, HEIDI KAHLY-MCMAHON - $50,557, JULIE MANAS - $113,363, ROBERT NELSON, M.D. - $30,408, JUDITH PRANGER - $61,119, MARK G. ROGERS - $98,412, MIKE SHARP - $44,191, AND FLORENCE L. SPYROW - $97,572. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2010. 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 AND 2010 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA: WILLIAM LANGLEY, M.D. - $79,283 AND ROBERT NELSON, M.D. - $24,727. THE DOLLAR AMOUNT REPRESENTS THE PRIOR YEAR CONTRIBUTION MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2009. THIS INFORMATION WAS INCLUDED IN DEFERRED COMPENSATION ON THE PRIOR YEAR FORM 990, PART VII AND SCHEDULE J, PART II. THESE INDIVIDUALS REACHED A SPECIFIED LEVEL OF VESTING IN 2010, 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)
Total Proceeds	95545195	TotalProceeds
Issuance Costs From Proceeds	1367299	IssuanceCostsFromProceeds
Capital Expenditures	18162589	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
Any Research Agreements	1	AnyResearchAgreements
Bond Counsel Routinely Engaged	1	BondCounselRoutinelyEngaged
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

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	83630286	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	26843891	GENVENTURES, INC. PAID GHS AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST.	0
GENVENTURES INC
SEE BELOW IN PART V	20908785	GHS PAID GENVENTURES, INC. FOR LEASE PAYMENTS, MEDICAL SUPPLIES, AND LAUNDRY SERVICES.	0
WELLMARK HEALTH PLAN OF IOWA INC
SEE BELOW IN PART V	19246939	GHS OBTAINS EMPLOYEE HEALTH INSURANCE COVERAGE AND ISSUES REFUNDS FOR OVERPAYMENTS TO WELLMARK HEALTH PLAN OF IOWA, INC.	0
JW KOEHLER ELECTRIC INC
JAMES A. KOEHLER, A DIRECTOR OF GHS, OWNS KOEHLER ELECTRIC.	191210	GHS USES SERVICES PROVIDED BY KOEHLER ELECTRIC.	0
EDWARD TED J ROGALSKI
EDWARD J. ROGALSKI IS THE SON OF DR. EDWARD ROGALSKI, DIRECTOR OF GHS.	176271	EDWARD J. ROGALSKI RECEIVES COMPENSATION FROM GHS AS THE DIRECTOR OF NEUROSCIENCE AND MERCER COUNTY ADMINISTRATOR.	0
S & D REAL ESTATE
SEE BELOW IN PART V	158444	DR. MCECHRON HAS AN OWNERSHIP INTEREST IN S & D REAL ESTATE, LLC. GHS RENTS SPACE IN A BUILDING OWNED BY S & D REAL ESTATE.	0
BUSH CONTRUCTION COMPANY INC
SEE BELOW IN PART V	144202	GHS USES SERVICES PROVIDED BY BUSH CONSTRUCTION COMPANY, INC.	0
DR W DAVID MCECHRON
DR. MCECHRON IS THE SPOUSE OF RITA WATTS, FORMER VICE CHAIRMAN OF GHS.	108441	DR. MCECHRON RECEIVES COMPENSATION FROM GHS FOR SERVICES PROVIDED AS A PHYSICIAN.	0
LISA ROGALSKI
LISA ROGALSKI IS DAUGHTER-IN-LAW OF DR. EDWARD ROGALSKI, CHAIRMAN OF GHS.	105617	LISA ROGALSKI RECEIVES COMPENSATION FROM GHS AS THE DIRECTOR OF MATERIALS MANAGEMENT.	0
QUAD CITY BANK & TRUST
MARK KILMER IS THE CHAIRMAN OF QCB&T, AND A DIRECTOR OF GHS.	104583	GHS RECEIVED INTEREST INCOME FROM QUAD CITY BANK & TRUST.	0
BARBARA P PARK
BARBARA P. PARK IS THE DAUGHTER OF JUDITH PRANGER, KEY EMPLOYEE OF GHS.	56588	BARBARA P. PARK RECEIVES COMPENSATION FROM GHS AS A PHYSICAL THERAPIST.	0
QUAD CITY BANK & TRUST
MARK KILMER IS THE CHAIRMAN OF QCB&T, AND A DIRECTOR OF GHS.	56021	GHS INCURRED INTEREST EXPENSE AND OTHER FEES WITH QUAD CITY BANK & TRUST.	0
ERIN E MOORE-WATERMAN
SEE BELOW IN PART V	10968	ERIN MOORE-WATERMAN RECIEVES COMPENSATION FROM GHS AS A MEDICAL LIBRARIAN.	0

Form990 Schedule L Part V Form990ScheduleLPartV (5 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 A. 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 - S AND D REAL ESTATE	DR. W. DAVID MCECHRON IS THE SPOUSE OF FORMER VICE CHAIRMAN OF THE BOARD, RITA WATTS. DR. MCEHRON HAS AN OWNERSHIP INTEREST IN S & D REAL ESTATE.
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.

Schedule M IRS990ScheduleM

Drugs And Medical Supplies DrugsAndMedicalSupplies

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	134502	NoncashContribsRptdF990
Method Of Determining Revenues	VENDOR LIST PRICE/ FMV	MethodOfDeterminingRevenues

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

Form990 Schedule M Part II Form990ScheduleMPartII

Field	Value	IRS element (for citing)
Identifier	METHOD FOR DETERMINING NUMBER OF CONTRIBUTORS:	Identifier
Return Reference	PART I, COLUMN (B):	ReturnReference
Explanation	ON APRIL 15, 2011 GENESIS HEALTH SYSTEM RECEIVED A NON-CASH CONTRIBUTION FROM STRYKER ENDOSCOPY CONSISTING OF: 1.) 5.0 MMX 10 FT CLEAR SASE FIBEROPTIC LIGHT CABLE: $591 EACH, QTY 5 2.) CROSSFIRE CONSOLE: $19,000 EACH, QTY 3 3.) CROSSFIRE FOOTSWITCH: $2,000 EACH, QTY 4 4.) FORMULA SHAVER HANDPIECE (WITH BUTTONS): $10,428 EACH, QTY 5 5.) DICOM ACTIVATION FOR SDC ULTRA: $7,204 EACH, QTY 2	Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (7 entries)

IdentifierIdentifier	ExplanationExplanation	Return ReferenceReturnReference
FORM 990, PART VI, SECTION B, LINE 11	INTERNAL MANAGEMENT REVIEW IS COMPLETED OF THE COMPILED INFORMATION PRIOR TO PREPARATION AND REVIEW BY MCGLADREY & PULLEN, LLP. FOLLOWING MCGLADREY & PULLEN, LLP'S PREPARATION AND REVIEW OF THE FORM 990, IT IS REVIEWED WITH THE ORGANIZATION'S PRESIDENT/CEO; 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.
	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 12C
	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 AUGUST 2010. HOWEVER, INTERNAL REEVALUATIONS ARE PERFORMED ANNUALLY TO ENSURE CONSISTENCY WITH INDUSTRY STATISTICS.	FORM 990, PART VI, SECTION B, LINE 15
	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.	FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:	NET UNREALIZED GAINS ON INVESTMENTS: 18,474,375. CHANGE IN FUNDED STATUS OF RETIREMENT 20,918,020. CHANGE IN NET ASSETS OF FOUNDATION 3,136,904. NON-CASH GRANT NOT RECORDED ON BOOKS 7,900. EXCESS OF FAIR VALUE OVER EQUITY ACQUIRED FOR GENGASTRO, LLC 14,958,732. TOTAL TO FORM 990, PART XI, LINE 5: 57,495,931.	FORM 990, PART XI, LINE 5:
	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.	FORM 990, PART XII, LINE 2C
	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.	FORM 990, PART VII, LINE 1A

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Direct Controlling Entity NADirectControllingEntityNA	Controlled OrgControlledOrg	Business Name Line1DirectControllingEntityName/BusinessNameLine1
GENESIS HEALTH SYSTEM - ILLINOIS
801 ILLINI DRIVE	SILVIS	IL	61282	363616314	HEALTHCARE	IL	501(C)(3)	3	N/A	0
GENESIS HEALTH SERVICES FOUNDATION
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421421670	CHARITY	IA	501(C)(3)	7	N/A	1
ILLINI HOSPITAL FOUNDATION
801 ILLINI DRIVE	SILVIS	IL	61282	366208583	CHARITY	IL	501(C)(3)	11/TYPE I		0	GENESIS HEALTH SYSTEM 36-3616314
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE/BENEFIT/TRUST	IA	501(C)(3)	11/TYPE I	N/A	1
DAVENPORT HOSPITAL AMBULANCE CORPORATION
1204 EAST HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(C)(3)	11/TYPE I	N/A	1

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	N/A	RELATED	2486106	127832	0	0	0.66670
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	421483989	OUTPATIENT SURGICAL CENTER	IA	N/A	RELATED	1039794	2759909	0	0	0.50000
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL		RELATED	428333	2147247	0	0	0.75600	GENESIS HEALTH SYSTEM 36-3616314
DAVENPORT SRS LEASING LLC
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	261655144	LEASING	IA	N/A	RELATED	-1104424	5120059	0	1	0.93750
GENORTHO LLC
2300 53RD AVENUE	BETTENDORF	IA	52722	203406994	ORTHOPAEDIC SURGERY CENTER	IA	N/A	RELATED	714654	412825	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	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Address Line1AddressForeign/AddressLine1	CityAddressForeign/City	CountryAddressForeign/Country	Legal Domicile Foreign CountryLegalDomicileForeignCountry	Business Name Line1DirectControllingEntityName/BusinessNameLine1
GENVENTURES INC
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	N/A	C	-566166	44932581	1.00000
GENESIS HEART INSTITUTE
1236 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421504979	HEALTHCARE MANAGEMENT	IA	N/A	C			1.00000
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	OTHER FINANCIAL VEHICLE		N/A	C		26783849	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			0.82200					GENVENTURES INC

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	0	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	0	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	0	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	1	PerformOfServicesByOtherOrgs
Sharing Of Facilities	0	SharingOfFacilities
Sharing Of Paid Employees	0	SharingOfPaidEmployees
Reimbursement Paid To Other Org	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 (28 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
GENVENTURES INC
A	911585
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
B	1234339
GENESIS HEALTH SERVICES FOUNDATION
B	275447
GENESIS HEALTH SERVICES FOUNDATION
C	2761419
GENESIS HEALTH SYSTEM - ILLINOIS
J	229423
GENVENTURES INC
J	6749819
LARSON CENTER PARTNERSHIP LLC
J	626218
DAVENPORT SRS LEASING LLC
J	1657073
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
L	435143
GENESIS HEALTH SYSTEM - ILLINOIS
O	8234387
GENVENTURES INC
Q	8834180
GENESIS HEALTH SYSTEM - ILLINOIS
P	78990263
GENVENTURES INC
P	25932306
GENESIS HEALTH SERVICES FOUNDATION
P	2756859
MISERICORDIA ASSURANCE COMPANY LTD
P	124001
LARSON CENTER PARTNERSHIP LLC
Q	586734
GENESIS HEALTH SERVICES FOUNDATION
Q	189085
GENVENTURES INC
Q	5324786
GENESIS HEALTH SYSTEM - ILLINOIS
R	6919398
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
P	841721
GENGASTRO LLC
R	2616898
SPRING PARK SURGERY CENTER LLC
R	957280
DAVENPORT HOSPITAL AMBULANCE CORPORATION
L	5498194
DAVENPORT HOSPITAL AMBULANCE CORPORATION
K	255620
DAVENPORT HOSPITAL AMBULANCE CORPORATION
R	64143
GENORTHO LLC
R	601259
MISERICORDIA ASSURANCE COMPANY LTD
O	2716409
GENESIS HEALTH SERVICES FOUNDATION
O	728575