GENESIS HEALTH SYSTEM: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH SYSTEM (EIN 36-3616314)
Tax period: 2009-07-01 to 2010-06-30
Filed: 2011-02-14
IRS object ID: 201130459349301603
Schema version: 2009v1.7
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2011-02-14T14:37:06-06:00	Timestamp
Tax Period End Date	2010-06-30	TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

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

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N HARRISON ST STE 300	AddressLine1
City	DAVENPORT	City
State	IA	State
ZIP Code	52801	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2009-07-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	363616314	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	801 Illini Drive	AddressLine1
City	Silvis	City
State	IL	State
ZIP Code	61282	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	2011-02-14	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	2009	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	801 Illini Drive	AddressLine1
City	Silvis	City
State	IL	State
ZIP Code	61282	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	97795255	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c	X	Organization501c
Web Site	genesishealth.com	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1988	YearFormation
State Legal Domicile	IL	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	941	TotalNbrEmployees
Total Nbr Volunteers	140	TotalNbrVolunteers
Total Gross UBI	256039	TotalGrossUBI
Net Unrelated Business Txbl Income	97219	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	9055	ContributionsGrantsPriorYear
Contributions Grants Current Year	21372	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	86630430	ProgramServiceRevenuePriorYear
Program Service Revenue CY	94598507	ProgramServiceRevenueCY
Investment Income Prior Year	105815	InvestmentIncomePriorYear
Investment Income Current Year	118526	InvestmentIncomeCurrentYear
Other Revenue Prior Year	2617168	OtherRevenuePriorYear
Other Revenue Current Year	2375500	OtherRevenueCurrentYear
Total Revenue Prior Year	89362468	TotalRevenuePriorYear
Total Revenue Current Year	97113905	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	405284	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	398187	GrantsAndSimilarAmntsCY
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	31394306	SalariesEtcPriorYear
Salaries Etc Current Year	34531947	SalariesEtcCurrentYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	54434596	OtherExpensePriorYear
Other Expenses Current Year	53943945	OtherExpensesCurrentYear
Total Expenses Prior Year	86234186	TotalExpensesPriorYear
Total Expenses Current Year	88874079	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	3128282	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	8239826	RevenuesLessExpensesCY
Total Assets BOY	72326303	TotalAssetsBOY
Total Assets EOY	70228519	TotalAssetsEOY
Total Liabilities BOY	29706053	TotalLiabilitiesBOY
Total Liabilities EOY	19464215	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	42620250	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	50764304	NetAssetsOrFundBalancesEOY
Mission Description	GENESIS HEALTH SYSTEM EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	68692344	Expense
Grants	398187	Grants
Revenue	88341681	Revenue
Description	ILLINI HOSPITAL-HEALTH CARE DELIVERY AND MANAGEMENT, GENERAL/OTHER: ILLINI HOSPITAL, A NOT-FOR-PROFIT ORGANIZATION, IS LICENSED AS A 149-BED ACUTE CARE HOSPITAL AND PROVIDES RELATED HEALTHCARE INPATIENT, EMERGENCY, AND OUTPATIENT ANCILLARY SERVICES. (16,325 TOTAL PATIENT DAYS; 99,382 OUTPATIENT VISITS)	Description

Activity2 Activity2

Field	Value	IRS element (for citing)
Expense	7375124	Expense
Revenue	8349312	Revenue
Description	ILLINI HOSPITAL NURSING HOME: HEALTH CARE FOR A 75-BED LICENSED NURSING FACILITY AND REHABILITATIVE AND PERSONAL CARE FOR A 45-BED FACILITY (38,624 PATIENT DAYS) WITH INDEPENDENT LIVING SERVICES CONSISTING OF 76 APARTMENTS AND 2 GUESTROOMS FOR THE ELDERLY (708 RESIDENT MONTHS)	Description

Field	Value	IRS element (for citing)
Total Program Service Expense	76067468	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
Balance Sheet Amounts Reported	1	BalanceSheetAmountsReported
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	1	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	0	TaxExemptBonds
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	0	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	1	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	0	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	0	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	74	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	941	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
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
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	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 EAST RUSHOLME STREET	AddressLine1
City	DAVENPORT	City
State	IA	State
ZIP Code	52803	ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 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
VICE CHAIRMAN	4.00	X	0	0	0	X
DR JAMES A BULL
DIRECTOR	44.00	X	0	201482	24595
GREGORY J BUSH
TREASURER	4.00	X	0	0	0	X
DR EDMUND P COYNE JR
DIRECTOR	4.00	X	0	0	0
DOUGLAS P CROPPER
BOARD PRESIDENT/CEO GHS	44.00	X	0	582439	241529	X
THOMAS A GILDEHAUS
DIRECTOR	4.00	X	0	0	0
ROGER J HILL
SECRETARY	4.00	X	0	0	0	X
MARK C KILMER
DIRECTOR	4.00	X	0	0	0
JAMES W KOEHLER
DIRECTOR	4.00	X	0	0	0
CHARLENE E MAASKE
DIRECTOR	4.00	X	0	0	0
DR EDWIN V MOTTO
DIRECTOR	4.00	X	0	0	0
DR EDWARD J ROGALSKI
CHAIRMAN	10.00	X	0	0	0	X
G CHRISTOPHER WAHLIG
DIRECTOR	4.00	X	0	0	0
C DANA WATERMAN III
DIRECTOR	4.00	X	0	0	0
DR CAROL A WATSON
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		0	335170	103311	X
CHARLES E BRUHN
PRESIDENT, GMC ILLINI	40.00		199007	278801	39899		X
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	40.00		0	298209	31570		X
FLORENCE SPYROW
V.P. OUTPATIENT SERVICES	40.00		0	276918	79962		X
DR FRANK R CLAUDY
V.P. MEDICAL STAFF AFFAIRS	40.00		0	393594	43730			X
KENNETH CROKEN
V.P. CORPORATE COMMUNICATIONS	40.00		0	272895	87317			X
DR JAMES A LEHMAN
V.P. QUALITY	40.00		0	401920	71829			X
JULIE MANAS
PRESIDENT, GMC DAVENPORT	40.00		0	308159	100852			X
ROBERT C TRAVIS
V.P. STRATEGIC DEVELOPMENT	40.00		0	363525	48744			X
DR MICHAEL GIMBEL
PHYSICIAN	40.00		0	140316	20756				X
HEIDI S KAHLY-MCMAHON
ASST. V.P. HUMAN RESOURCES	40.00		0	145899	40562				X
DR ROBERT NELSON
V.P. CLINICAL SERVICES	40.00		0	255357	76191				X
JUDITH PRANGER
V.P. PATIENT SERVICES	40.00		0	182290	91312				X
MIKE SHARP
V.P. SUPPORT SERVICES	40.00		0	196108	77560				X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	199007	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	4633082	TotalReportableCompFrmRltdOrgs
Total Other Compensation	1179719	TotalOtherCompensation
Number Individuals GT100 K	36	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
EMERGENCY CARE AND HEALTH ORGANIZATION
555 WEST COURT STREET STE 410	KANKAKEE	IL	60901	CONTRACTED MEDICAL STAFF	2648376
COGENT HEALTHCARE INC
PO BOX 974451	DALLAS	TX	75397	CONTRACTED MEDICAL STAFF	765538
CHG MEDICAL STAFFING INC
PO BOX 972670	DALLAS	TX	75397	CONTRACTED MEDICAL STAFF	739509
QUEST DIAGNOSTICS
PO BOX 740709	ATLANTA	GA	30374	LAB DIAGNOSTICS	422028
RANDY'S LAWNCARE
5710 230TH STREET NORTH	PORT BYRON	IL	61275	OUTSIDE SERVICES	297584

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Related Organizations	9372	RelatedOrganizations
Government Grants	12000	GovernmentGrants
Noncash Contributions	9372	NoncashContributions
Total Contributions	21372	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Professional Services	900099	152963865	152963865
Nursing Services	900099	26293969	26293969
Ancillary REVENUE	621500	23330886	23074847	256039
RESIDENT REVENUE	623000	1203532	1203532
Contracts W/Affiliates	900099	384347	384347

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	-109578092	TotalRevenueColumn
Related Or Exempt Function Income	-109578092	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Program Service Revenue	94598507	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	118687	TotalRevenueColumn
Exclusion	$118,687	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	564080	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	587977	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	-23897	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	-23897	TotalRevenueColumn
Exclusion	-$23,897	ExclusionAmount

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	161	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	-161	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	-161	TotalRevenueColumn
Exclusion	-$161	ExclusionAmount

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	144084	GrossSalesOfInventory
Cost Of Goods Sold	93212	CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	50872	TotalRevenueColumn
Exclusion	$50,872	ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Ambulance	621910	899080	899080
OTHER SERVICES	900099	779163	779163
AFFILIATE LARSON CENTE	900099	325997	325997

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	344285	TotalRevenueColumn
Related Or Exempt Function Income	344285	RelatedOrExemptFunctionIncome

Field	Value	IRS element (for citing)
Total Other Revenue	2348525	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	97113905	TotalRevenueColumn
Related Or Exempt Function Income	96690993	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	256039	UnrelatedBusinessRevenue
Exclusion	$145,501	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	398187	Total
Program Services	398187	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	227644	Total
Management And General	227644	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	27770324	Total
Program Services	27264252	ProgramServices
Management And General	506072	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	1290634	Total
Program Services	1267119	ProgramServices
Management And General	23515	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	3228295	Total
Program Services	3228131	ProgramServices
Management And General	164	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	2015050	Total
Program Services	1962244	ProgramServices
Management And General	52806	ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

Field	Value	IRS element (for citing)
Total	5381299	Total
Program Services	5307727	ProgramServices
Management And General	73572	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	1976	Total
Management And General	1976	ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

Field	Value	IRS element (for citing)
Total	31975	Total
Management And General	31975	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	24022	Total
Management And General	24022	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1764243	Total
Program Services	1610986	ProgramServices
Management And General	153257	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	17164	Total
Program Services	8724	ProgramServices
Management And General	8440	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	9185697	Total
Program Services	9145576	ProgramServices
Management And General	40121	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	2866788	Total
Management And General	2866788	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	3437063	Total
Program Services	3372941	ProgramServices
Management And General	64122	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	134361	Total
Program Services	131237	ProgramServices
Management And General	3124	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	58806	Total
Program Services	55680	ProgramServices
Management And General	3126	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	1171670	Total
Program Services	1171670	ProgramServices

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	3647575	Total
Program Services	3647575	ProgramServices

Insurance Insurance

Field	Value	IRS element (for citing)
Total	1349667	Total
Program Services	1349667	ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
PROVISION FOR BAD DEBT	7990850	7990850
CORPORATE OVERHEAD ALLO	7299762		7299762
PATIENT CHARGEABLE SUPP	5536991	5536991
MISCELLANEOUS EXPENSE	4044036	2617911	1426125

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	88874079	Total
Program Services	76067468	ProgramServices
Management And General	12806611	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	26824	BOY
EOY	37587	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	14958023	BOY
EOY	10816085	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	14942335	BOY
EOY	17232281	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	1905248	BOY
EOY	2089969	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	375832	BOY
EOY	673203	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	94979527	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	58518034	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	37462002	BOY
EOY	36461493	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	663098	BOY
EOY	663166	EOY

Investments Other Securities InvestmentsOtherSecurities

Field	Value	IRS element (for citing)
BOY	1858627	BOY
EOY	2135990	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	134314	BOY
EOY	118745	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	72326303	BOY
EOY	70228519	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	4258731	BOY
EOY	5379927	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	20803725	BOY
EOY	8821879	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	4643597	BOY
EOY	5262409	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	29706053	BOY
EOY	19464215	EOY

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

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	41925864	BOY
EOY	50019999	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	672386	BOY
EOY	711000	EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	22000	BOY
EOY	33305	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	42620250	BOY
EOY	50764304	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	72326303	BOY
EOY	70228519	EOY

Field	Value	IRS element (for citing)
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	0	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	$4,285	DirectContactLegislatorsAmount
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$27,690	OtherActivitiesAmount
Total Lobbying Expenditures IIB	31975	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part II-B, Line 1i:	Explanation of Other Lobbying Activities:	LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 31% OF MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $21,210, 26% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $5,980, 20% OF MEMBERSHIP DUES TO THE ILLINOIS CHAMBER OF COMMERCE, OR $500.
Part IV, Supplemental Information:		PART II-B, LINE 1(D), MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC: EXECUTIVES OF GENESIS HEALTH SYSTEM - ILLINOIS ARE ENCOURAGED TO PARTICIPATE IN THE ILLINOIS HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS". THE EXECUTIVES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS, WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS THROUGH AN E-MAIL FORMAT. THERE IS NO DIRECT COST TO GENESIS HEALTH SYSTEM - ILLINOIS REGARDING THIS ACTIVITY.

Schedule D IRS990ScheduleD

Current Year CurrentYear

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 Minus1 Year CurrentYearMinus1Year

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	0.63000	BoardDesignatedEOYBalance
Permanent Endowment EOY Balance	0.37000	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	494992	OtherCostOrOtherBasis
Book Value	494992	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	52705189	OtherCostOrOtherBasis
Depreciation	26778915	Depreciation
Book Value	25926274	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	16771	OtherCostOrOtherBasis
Depreciation	4889	Depreciation
Book Value	11882	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	38775893	OtherCostOrOtherBasis
Depreciation	30292620	Depreciation
Book Value	8483273	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	2986682	OtherCostOrOtherBasis
Depreciation	1441610	Depreciation
Book Value	1545072	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	36461493	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$2,568,184
THIRD PARTY PAYOR SETTLEMENTS	$2,103,440
ACCRUED INS TRUST LOSSES	$590,785

Field	Value	IRS element (for citing)
Total Of Amounts	5262409	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
Part V, Line 4:	Description of Intended Use of Endowment Funds:	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.
Part X:	Description of Uncertain Tax Positions Under FIN 48:	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 combined 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 combined 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, 2010 and 2009, the total amount of uncertain tax positions have reduced income tax expense and have increased excess of revenue over expenses by $40,000 and $5,000, respectively. Interest expense associated with uncertain tax positions from the years ended June 30, 2010 and 2009 is approximately $7,000 and $9,000, respectively. No amount has been accrued for penalties. During the years ended June 30, 2010 and 2009, $265,000 and none, 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. Management believes that it is reasonably possible the liability for uncertain tax positions associated with unrelated business income will decrease in the next twelve months as a result of the expiration of statutes of limitations in major jurisdictions. THE CURRENT YEAR GROUP LIABILITY IS $45,000. GENESIS HEALTH SYSTEM - ILLINOIS'S SHARE OF THIS LIABILITY IS $45,000.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	Region
Type Of Activities Conducted	INVESTMENTS	TypeOfActivitiesConducted

Field	Value	IRS element (for citing)
Total Number Of Offices	0	TotalNumberOfOffices
Total Number Of Employees	0	TotalNumberOfEmployees
Total Amount Spent	0	TotalAmountSpent

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	1423522	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	1423522	NetCommunityBenefitExpense
Percent Of Total Expense	0.01760	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	8948329	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5158194	DirectOffsettingRevenue
Net Community Benefit Expense	3790135	NetCommunityBenefitExpense
Percent Of Total Expense	0.04690	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

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

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10371851	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5158194	DirectOffsettingRevenue
Net Community Benefit Expense	5213657	NetCommunityBenefitExpense
Percent Of Total Expense	0.06450	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	14341	TotalCommunityBenefitExpense
Direct Offsetting Revenue	511	DirectOffsettingRevenue
Net Community Benefit Expense	13830	NetCommunityBenefitExpense
Percent Of Total Expense	0.00020	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	4286	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	4286	NetCommunityBenefitExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	136007	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	136007	NetCommunityBenefitExpense
Percent Of Total Expense	0.00170	PercentOfTotalExpense

Research Research

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

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	38091	TotalCommunityBenefitExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Benefit Expense	38091	NetCommunityBenefitExpense
Percent Of Total Expense	0.00050	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	192725	TotalCommunityBenefitExpense
Direct Offsetting Revenue	511	DirectOffsettingRevenue
Net Community Benefit Expense	192214	NetCommunityBenefitExpense
Percent Of Total Expense	0.00250	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	10564576	TotalCommunityBenefitExpense
Direct Offsetting Revenue	5158705	DirectOffsettingRevenue
Net Community Benefit Expense	5405871	NetCommunityBenefitExpense
Percent Of Total Expense	0.06700	PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

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

Economic Development EconomicDevelopment

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

Community Support CommunitySupport

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

Environmental Improvements EnvironmentalImprovements

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

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	697	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	697	NetCommunityBuildingExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

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

Workforce Development WorkforceDevelopment

Field	Value	IRS element (for citing)
Total Community Building Expense	10220	TotalCommunityBuildingExpense
Direct Offsetting Revenue	0	DirectOffsettingRevenue
Net Community Building Expense	10220	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	10917	TotalCommunityBuildingExpense
Net Community Building Expense	10917	NetCommunityBuildingExpense
Percent Of Total Expense	0.00010	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$2,906,176	BadDebtExpenseAmount
Amount Attributable To	48661	AmountAttributableTo
Amount Reimbursed By Medicare	25984274	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	28807699	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-2823425	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	LARSON CENTER PARTNERSHIP LLC	BusinessNameLine1

Field	Value	IRS element (for citing)
Description Ent Primary Activity	PROPERTY MANAGEMENT	DescriptionEntPrimaryActivity
Organization Profit Or Ownership	0.75620	OrganizationProfitOrOwnership
Officers Etc Profit Or Ownership	0.00000	OfficersEtcProfitOrOwnership
Physicans Profit Or Ownership	0.16370	PhysicansProfitOrOwnership

Form990 Schedule H Part V Form990ScheduleHPartV (7 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Er24 HoursEr24Hours	OtherOther
GENESIS MEDICAL CENTER - ILLINI
801 ILLINI DRIVE	SILVIS	IL	61282	X	X	X
ILLINI RESTORATIVE CARE
1455 ILLINI DRIVE	SILVIS	IL	61282				L-T INTERMEDIATE, NSG, & SHELTERED CARE
CROSSTOWN SQUARE
900 CROSSTOWN SQUARE	SILVIS	IL	61282				INDEPENDENT LIVING FACILITY
ILLINI - BUILDING #3
1414 10TH STREET	SILVIS	IL	61282				OUTPATIENT DIAGNOSTIC CLINIC
PHYSICAL THERAPY CLINIC KING PLAZA
3620 AVENUE OF THE CITIES	MOLINE	IL	61265				OUTPATIENT PHYSICAL THERAPY CLINIC
ILLINI LARSON CENTER
855 ILLINI DRIVE	SILVIS	IL	61282				I/P PHARMACY & O/P LAB
ILLINI AMBULANCE SERVICE
730 AVENUE OF THE CITIES	EAST MOLINE	IL	61244				AMBULANCE SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI

Field	Value	IRS element (for citing)
Income Based Criteria	Part I, Line 3c: NOT APPLICABLE	IncomeBasedCriteria
Annual Community Benefit Expln	Part I, Line 6a: NOT APPLICABLE	AnnualCommunityBenefitExpln
Costing Method Used	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.	CostingMethodUsed
Subsidized Health Services Expln	Part I, Line 7g: No costs associated with a physician clinic were reported in subsidized health services.	SubsidizedHealthServicesExpln
Percent Of Total Expense Expln	Part I, Line 7f: $7,990,850 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 13.06%, AND THE PERCENTAGE INCREASES TO 48.68% IF MEDICARE ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNTY BENEFIT EXPENSE.	PercentOfTotalExpenseExpln
Bad Debt Footnote	Part III, Line 4: i. 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. ii. 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. iii. 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. iv. No bad debt amounts were included in community benefit.	BadDebtFootnote
Shortfall As Community Benefit	Part III, Line 8: i. For the hospitals and the home health division, the Medicare cost report was used to compute the total revenue received from Medicare, including the disproportionate share adjustment and indirect medical education adjustment. The Medicare cost report was also used to compute the Medicare allowable costs of care. The Provider Statistical and Reimbursement System (PS&R) Provider Summary Reports were also used to determine charges, costs and reimbursement. ii. 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 $2,823,425. For the third straight year, Genesis Health System was recognized by SDI as one of the nation's Top 100 health systems for integrating services to improve quality and improve efficiency. Accordingly, the loss was not attributable to poor operating practices but from inadequate reimbursements. 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 $2,823,425 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 10.19%.	ShortfallAsCommunityBenefit
Debt Collection Policy	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.	DebtCollectionPolicy
Number Of Facility Type Expln	Part V: All health care facilities were reported in Part V.	NumberOfFacilityTypeExpln
Needs Assessment	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. Each year, 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.	NeedsAssessment
Patient Education Assistance	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.	PatientEducationAssistance
Community Information	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 16.5% 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.	CommunityInformation
Community Building Activities	Part VI, Line 5: Coalition Building: Genesis Health System supports employee involvement with not-for-profit organizations which advocate on behalf of persons with disabilities by donating staff time for special projects. Workforce Development: Genesis Health System and United Township High School co-operate a program that teaches life and job skills to the mentally challenged.	CommunityBuildingActivities
Other Information	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.	OtherInformation
Affiliated Health Care System	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 #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 76% of LCP.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) was formed in October 1999 and shall continue perpetually. Genesis Illinois Properties 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 (tax ID #42-1418847) 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 fourteen 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 owned 55% of SRS as of June 30, 2009. On September 30, 2009, Genesis Health System acquired an additional 38.75% interest in SRS to obtain a 93.75% ownership interest as of June 30, 2010.	AffiliatedHealthCareSystem
Reports Filed With States	IL	ReportsFiledWithStates

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (6 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
BIRDIES FOR CHARITY
15623 COALTOWN ROAD	EAST MOLINE	IL	61244	931332421	501(C)(3)	5000	GENERAL SUPPORT TO BE DISTRIBUTED LOCALLY
GLOBUS RELIEF
1775 WEST 1500 SOUTH	SALT LAKE CITY	UT	84104	841369453	501(C)(3)		GENERAL SUPPORT	16018	FAIR MARKET VALUE	MEDICAL SUPPLIES
GENESIS HEALTH SERVICES FOUNDATION
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421421670	501(C)(3)	5000	GHS FOUNDATION ANNUAL APPEAL
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	391905171	501(C)(3)	339557	CLAIM PAYMENTS
CITY OF MOLINE
619 19TH STREET	MOLINE	IL	61265	366005999	CITY OF MOLINE	20862	DONATION TO PURCHASE EXERCISE EQUIPMENT FOR CITY PARK
GENESIS HEALTH SYSTEM - IOWA
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421418847	501(C)(3)	7025	DONATION FOR PERLMUTTER LIBRARY

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	6	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

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 - ILLINOIS 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
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 (16 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
DR JAMES A BULL
0	160847	0	0	0	40635	0	12113	0	12482	0	226077	0	0
DOUGLAS P CROPPER
0	541243	0	0	0	41196	0	219726	0	21803	0	823968	0	0
MARK G ROGERS
0	221503	0	0	0	113667	0	91064	0	12247	0	438481	0	0
CHARLES E BRUHN
86606	121331	0	0	112401	157470	8928	12508	7690	10773	215625	302082	0	0
ROBERT W FRIEDEN
0	223267	0	0	0	74942	0	13005	0	18565	0	329779	0	0
FLORENCE SPYROW
0	229918	0	25000	0	22000	0	78778	0	1184	0	356880	0	0
DR FRANK R CLAUDY
0	260181	0	0	0	133413	0	27083	0	16647	0	437324	0	0
KENNETH CROKEN
0	188097	0	0	0	84798	0	69579	0	17738	0	360212	0	0
DR JAMES A LEHMAN
0	252408	0	0	0	149512	0	58042	0	13787	0	473749	0	0
JULIE MANAS
0	282411	0	0	0	25748	0	87230	0	13622	0	409011	0	0
ROBERT C TRAVIS
0	221519	0	0	0	142006	0	33985	0	14759	0	412269	0	0
DR MICHAEL GIMBEL
0	114358	0	6197	0	19761	0	9508	0	11248	0	161072	0	0
HEIDI S KAHLY-MCMAHON
0	137980	0	0	0	7919	0	24024	0	16538	0	186461	0	0
DR ROBERT NELSON
0	172488	0	0	0	82869	0	61266	0	14925	0	331548	0	0
JUDITH PRANGER
0	158828	0	0	0	23462	0	79808	0	11504	0	273602	0	0
MIKE SHARP
0	133540	0	0	0	62568	0	64020	0	13540	0	273668	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 4a	THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2009 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA, A RELATED ORGANIZATION: CHARLES E. BRUHN - $228,929, DR. FRANK R. CLAUDY - $107,059, ROBERT W. FRIEDEN - $63,954, DR. JAMES A. LEHMAN - $100,898, AND ROBERT C. TRAVIS - $102,259. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2009 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 ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2009 SPONSORED BY GENESIS HEALTH SYSTEM - IOWA: KENNETH CROKEN - $53,843, DOUGLAS P. CROPPER - $209,926, HEIDI KAHLY-MCMAHON - $16,867, JULIE MANAS - $87,230, DR. ROBERT NELSON - $49,453, JUDITH PRANGER - $28,800, MARK G. ROGERS - $78,661, MIKE SHARP - $35,694, AND FLORENCE L. SPYROW - $76,328. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GENESIS HEALTH SYSTEM - IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2009. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II.
Part III	PART I, LINE 3: GENESIS HEALTH SYSTEM - ILLINOIS RELIES ON GENESIS HEALTH SYSTEM - IOWA TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS, AND KEY EMPLOYEES. GENESIS HEALTH SYSTEM - IOWA UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE SUCH COMPENSATION.	Supplemental Information

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationship	Amount Of TransactionAmountOfTransaction	Description Of TransactionDescriptionOfTransaction	Sharing Of RevenuesSharingOfRevenues
GENVENTURES INC
SEE BELOW ON SCH O	202881	GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM FOR FACILITY MAINTENANCE AND MEDICAL SUPPLIES.	0
GenvenTURES INC
SEE BELOW ON SCH O	291573	GENESIS HEALTH SYSTEM PAID GENVENTURES, INC. FOR LAUNDRY SERVICES.	0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (8 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 RSM MCGLADREY, INC. FOLLOWING RSM MCGLADREY, INC.'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.
Form 990, Part VI, Section B, line 12c	ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GHS, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT.
Form 990, Part VI, Section B, line 15	EACH EXECUTIVE POSITION IS EVALUATED USING A FORMAL EVALUATION PLAN THAT IS ESTABLISHED BY AN OUTSIDE CONSULTANT. AT THE PRESENT TIME, THE CONSULTANT USES A POINT SYSTEM FOR JOB EVALUATION. THE POINT VALUES ARE BASED ON "KNOW HOW", "PROBLEM SOLVING", "ACCOUNTABILITY", AND OTHER JOB ATTRIBUTES SPECIFIC TO THE POSITION. ONCE THE POINT VALUE IS SET FOR A POSITION, MARKET COMPARISONS FOR JOBS WITH THE SAME ORGANIZATIONAL IMPACT CAN BE COMPARED FOR SALARY PURPOSES AND ESTABLISH PAY RANGES. THE DESIGN OF THE PAY RANGES FOR EXECUTIVES IS BASED ON MARKET DATA. THE MIDPOINT OF EACH PAY RANGE IS ESTABLISHED AT THE 50TH PERCENTILE OF THE MARKET COMPARISONS. A MINIMUM GUIDELINE IS ESTABLISHED AT THE 25TH PERCENTILE, AND A MAXIMUM GUIDELINE IS SET AT THE 75TH PERCENTILE. SPECIFIC PAY RATES FOR EXECUTIVES ARE SUBJECT TO CEO AND COMPENSATION COMMITTEE AND THE GHS BOARD OF DIRECTORS APPROVAL. PAY RANGES ARE REVIEWED EACH YEAR TO DETERMINE THE NEED FOR REVISION. WHEN MARKET CONDITIONS SUGGEST AN ADJUSTMENT TO PAY RANGES, DATA WILL BE PRESENTED TO THE COMPENSATION COMMITTEE FOR ITS REVIEW. THE SPECIFIC PAY RANGES ARE SUBJECT TO CEO, COMPENSATION COMMITTEE, AND GENESIS HEALTH SYSTEM (GHS) BOARD OF DIRECTOR APPROVAL. THE PRESIDENT AND CEO HAS THE AUTHORITY AND RESPONSIBILITY TO ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE AND THE GHS BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GHS, AT APPROPRIATE TIMES. THE GHS BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GHS, AT APPROPRIATE TIMES. THE LAST TIME THIS PROCESS WAS UNDERTAKEN WAS JANUARY 2009. IN 2009 THE GHS COMPENSATION COMMITTEE MET, AND THE CEO AND EXECUTIVE MANAGEMENT OPTED TO VOLUNTARILY FOREGO THE ANNUAL SALARY INCREASE IN 2009.
Form 990, Part VI, Section C, line 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 2C	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.
FORM 990, SCHEDULE L, PART IV, COLUMN B	MARK G. ROGERS IS AN OFFICER, CHARLES E. BRUHN AND FLORENCE L. SPYROW ARE KEY EMPLOYEES, AND MIKE SHARP IS A FORMER KEY EMPLOYEE OF GENESIS HEALTH SYSTEM AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, MARK G. ROGERS WAS AN OFFICER OF GENVENTURES, INC., AND CHARLES E. BRUHN, FLORENCE L. SPYROW, AND MIKE SHARP WERE DIRECTORS OF GENVENTURES, INC.	DESCRIPTION OF RELATIONSHIP - GENVENTURES, INC.
FORM 990, PART VII, LINE 1A	Genesis Health System, EIN 42-1418847, and Genesis Health System, EIN 36-3616314 have identical governing boards and an identical executive management team. The hours reported on Form 990, Part VII, Section A, column (B) represents the number of hours these individuals devote to both organizations. Furthermore, the amounts reported as reportable compensation for the officers, key employees, and highly compensated employees, unless otherwise noted elsewhere in PART VII, are for services rendered on behalf of both organizations. It would be administratively impracticable for members of the governing board and the executive team to breakout their hours devoted as well as their reportable compensation between each organization. All reportable compensation, unless otherwise noted in PART VII, is paid by Genesis Health System, EIN 42-1418847.
FORM 990, PART I, LINES 9 & 17, PRIOR YEAR	THE FORM 990, PART I, LINE 9, PRIOR YEAR COLUMN WAS UPDATED TO REFLECT PROGRAM SERVICE REVENUE NET OF CONTRACTUAL ADJUSTMENTS AND CHARITY CARE. THE FORM 990, PART I, LINE 17, PRIOR YEAR COLUMN WAS UPDATED TO REFLECT THE REDUCTION OF EXPENSES RELATED TO THE RECLASSIFICATION OF CONTRACTUAL ADJUSTMENTS AND CHARITY CARE. THE AMOUNTS REPORTED IN THE PRIOR YEAR COLUMN DIFFER FROM THE 2008 (FISCAL YEAR 2009) FILED FORM 990, BUT ARE REFLECTED AS SUCH ON THE CURRENT FISCAL YEAR RETURN FOR COMPARABILITY PURPOSES.

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1
GENESIS HEALTH SYSTEM - IOWA
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421418847	HEALTHCARE	IA	501(C)(3)	3	N/A
GENESIS HEALTH SERVICES FOUNDATION
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	421421670	CHARITY	IA	501(C)(3)	7		GENESIS HEALTH SYSTEM 42-1418847
ILLINI HOSPITAL FOUNDATION
801 ILLINI DRIVE	SILVIS	IL	61282	366208583	CHARITY	IL	501(C)(3)	11/TYPE1	N/A
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE/BENEFIT/TRUST	IA	501(C)(3)	11/TYPE1		GENESIS HEALTH SYSTEM 42-1418847
DAVENPORT HOSPITAL AMBULANCE CORP
1204 EAST HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(C)(3)	11/TYPE1		gENESIS HEALTH SYSTEM 42-1418847

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Direct Controlling Entity NADirectControllingEntityNA	Code VCodeVAmount
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	GENESIS HEALTH SYSTEM 42-1418847	RELATED	2440830	140124	0	0
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	421483989	OUTPATIENT SURGICAL CENTER	IA	GENESIS HEALTH SYSTEM 42-1418847	RELATED	1134953	2840380	0	0
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL		RELATED	280478	2217273	0	1	N/A
DAVENPORT SRS LEASING LLC
1227 EAST RUSHOLME STREET	DAVENPORT	IA	52803	261655144	LEASING	IA	GENESIS HEALTH SYSTEM 42-1418847	RELATED	-664938	7165439	0	0
INTEGRATED HEALTH PARTNERS LLC
2550 MIDDLE ROAD STE 601	BETTENDORF	IA	52722	421513293	MEDICAL SERVICES	IA	GENESIS HEALTH SYSTEM 42-1418847	RELATED	-125787		0	0		-$95,922

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	-293371	47241728	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		26685808	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			0.81700					GENVENTURES INC

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	0	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	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	1	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	0	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 (13 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
B	339557
GENESIS HEALTH SYSTEM - IOWA
I	228523
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
L	95458
LARSON CENTER PARTNERSHIP LLC
J	369712
GENESIS HEALTH SYSTEM - IOWA
O	80177241
MISERICORDIA ASSURANCE COMPANY LTD
O	683212
GENESIS HEALTH SYSTEM - IOWA
P	15103854
GENVENTURES INC
R	202881
ILLINI HOSPITAL FOUNDATION
R	80871
GENVENTURES INC
Q	291573
LARSON CENTER PARTNERSHIP LLC
O	534971
GENESIS HEALTH SYSTEM - IOWA
Q	8938329
larSON CENTER PARTNERSHIP LLC
R	226873