2023-05-08T09:36:37-05:00 2022-06-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2021-07-01 010932846 GENESIS HEALTHCARE INC GENE 8032543676 8906 TWO NOTCH ROAD COLUMBIA SC 29223 TONY R MEGNA CEO 8032543676 2023-05-08 1 TONY MEGNA 999009999 AMY BIBBY P00445891 8282542254 2023-05-08 3 AAL1 IAL1 2021 2023-04-26 12:10:37Z TONY R MEGNA 8906 TWO NOTCH ROAD COLUMBIA SC 29223 55046547 0 X WWW.GENESISFQHC.ORG X 2009 SC TO PROVIDE MEDICAL, DENTAL, AND PHARMACEUTICAL SERVICES TO THE COMMUNITY SERVED. 11 11 265 12 238214 0 88 32 51527840 53741526 642408 -972950 596565 847427 52766901 53616035 2001500 56102 0 0 16491008 17281799 0 0 0 15043248 20370530 33535756 37708431 19231145 15907604 86839184 100474165 6089329 6497065 80749855 93977100 X TO PROVIDE TIMELY, AFFORDABLE, COMPASSIONATE, AND QUALITY PRIMARY AND PREVENTATIVE MEDICAL, DENTAL, AND PHARMACEUTICAL SERVICES TO SOUTH CAROLINA'S ECONOMICALLY AND CULTURALLY DIVERSE COMMUNITIES. 0 0 29540808 56102 54350739 GENESIS HEALTHCARE, INC. ("GHC") IS A NON-PROFIT COMMUNITY HEATLHCARE CENTER DEEPLY COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH PREVENTION, EARLY INTERVENTION, REHABILITATION, AND EDUCATION. OUR COMMUNITY HEALTH CENTERS IN DARLINGTON, OLANTA, LAMAR, WALTERBORO, AND FLORENCE, SOUTH CAROLINA, PROVIDE PRIMARY HEALTHCARE SERVICES TO PATIENTS OF ALL AGES. AS A COMMUNITY HEALTH CENTER, GHC IS STRONGLY COMMITTED TO IMPROVING THE HEALTH OF ITS COMMUNITY THROUGH PREVENTION, EARLY INTERVENTION, REHABILITATION AND EDUCATION. THE SERVICES OFFERED BY GHC INCLUDE:CONTINUED ON SCHEDULE O- GENERAL PRIMARY MEDICAL CARE- BEHAVIORAL HEALTH SERVICES- EMERGENCY MEDICAL SERVICES- DIAGNOSTIC LABORATORY SERVICES- DIAGNOSTIC X-RAYS- DIAGNOSTIC SCREENINGS- ULTRASOUNDS AND ECHOCARDIOGRAPHY- BONE DENSITY TESTIN- CARE COORDINATION- CASE MANAGEMENT- IMMUNIZATIONS- GYNECOLOGICAL CARE- OBSTETRICS- MEDICATION MANAGEMENT- ON-SITE PHARMACY- FOOT CARE CLINIC- PHARMACEUTICALS- PHARMACY SERVICES- PULMONARY FUNCTION TESTIN- TRANSPORTATION TO AND FROM APPOINTMENTS, IF NEEDED- PEDIATRICS- UROLOGY- SUBSTANCE ABUSE SCREENING, REFERRAL, AND TREATMENTIN ADDITION TO THE ABOVE SERVICES, GHC IMPLEMENTED A PROGRAM ENTITLED CASE MANAGEMENT. CASE MANAGEMENT IS A PATIENT MANAGEMENT PROGRAM DESIGNED TO IMPROVE THE HEALTH OF PATIENTS WITH CHRONIC ILLNESSES SUCH AS DIABETES, HIGH BLOOD PRESSURE, HEART DISEASE, ASTHMA, COPD, AND HIGH CHOLESTEROL.GHC'S PHARMACY IS CERTIFIED AS A SPECIALTY PHARMACY THROUGH BOTH THE UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC) AND THE ACCREDITATION COMMISSION FOR HEATLH CARE (ACHC).SERVICES PROVIDED BY GHC ARE AVAILABLE TO ALL COMMUNITY RESIDENTS, REGARDLESS OF THEIR FINANCIAL OR INSURANCE STATUS. GHC OFFES A REDUCED SLIDING FEE SCHEDULE BASED ON AN INDIVIDUAL'S INCOME AND FAMILY SIZE. 29540808 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 2 0 1 265 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 11 11 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X NATHAN PRABHAKAR 8032543676 8906 TWO NOTCH ROAD COLUMBIA SC 29223 THOMAS TC SAWYER CHAIRMAN 2.00 X X 0 0 0 DAVID CORRY VICE CHAIRMAN 2.00 X X 0 0 0 BERTIE G NESBITT SECRETARY 2.00 X X 0 0 0 ROOSEVELT SCOTT TREASURER 2.00 X X 0 0 0 SCOTT EAGERTON BOARD MEMBER 2.00 X 0 0 0 MAL HYMAN BOARD MEMBER 2.00 X 0 0 0 JOHN KIMBROUGH BOARD MEMBER 2.00 X 0 0 0 KAREN M LEE BOARD MEMBER 2.00 X 0 0 0 MICHAEL S MCMANUS BOARD MEMBER 2.00 X 0 0 0 JENNIFER POWELL BOARD MEMBER 2.00 X 0 0 0 JOHN C RAMSEY BOARD MEMBER 2.00 X 0 0 0 TONY R MEGNA CHIEF EXECUTIVE OFFICER 60.00 X 660817 0 50498 HELEN MILLING-CARROLL CHIEF COMPLIANCE OFFICER 60.00 X 179888 0 40723 MARK CALLAHAN CHIEF FACILITIES MAINTENANCE OFFICER 60.00 X 236597 0 43135 SHAWN PATTON CHIEF FINANCIAL OFFICER (RESG. 11/21) 40.00 X 241010 0 35540 PAUL FULBRIGHT CHIEF INFORMATION OFFICER 60.00 X 369346 0 46395 ALEXANDER COHEN CHIEF MEDICAL OFFICER 40.00 X 402575 0 46147 PRISCILLA WELCH CHIEF MEDICAL OFFICER 40.00 X 407364 0 38264 WARREN M MATTHEWS CHIEF OF PHARMACY OPERATIONS 60.00 X 235973 0 37625 KIMBERLY WEATHERFORD CHIEF OPERATIONS OFFICER 60.00 X 193659 0 25591 KATIE NOYES MILLIGAN CHIEF SPECIAL PROJECTS OFFICER 60.00 X 363933 0 46876 MICHAEL W BARRETT PHYSICIAN 40.00 X 184066 0 25560 BRIAN HEASTER PHYSICIAN 40.00 X 197200 0 16917 ISABEL MENDOZA PHYSICIAN 40.00 X 163520 0 12123 PETER O'KELLY PHYSICIAN 40.00 X 315378 0 24643 BRENT BAROODY PHYSICIAN OBGYN 40.00 X 246201 0 17176 4397527 0 507213 33 0 1 0 LCK LLC PO BOX 11129 COLUMBIA SC 29211 PROJECT MANAGEMENT 955389 OMNICELL - 340B LINK LLC PO BOX 123651 DALLAS TX 75312 PHARMACY SERVICES 195577 GRIFFIN ATTORNEYS & COUNSELORS LLC PO BOX 999 COLUMBIA SC 29202 LEGAL 180000 LAW OFFICES OF TODD RUTHERFORD 2113 PARK ST COLUMBIA SC 29201 LEGAL 120000 DIXON HUGHES GOODMAN LLP PO BOX 602828 CHARLOTTE NC 28260 ACCOUNTING 110597 5 32 32 NET PATIENT REVENUE 621400 51543826 51305612 238214 HHS ACA ACCESS POINT FUNDS 621400 1270831 1270831 OTHER GRANTS 900099 738807 738807 SCDHHS REVENUE 621400 127712 127712 CARE GRANT (HURRICANE RECOVERY GR 900099 60350 60350 53741526 428646 428646 107423 28916 78507 78507 78507 1401596 -1401596 -1401596 -1401596 CONTRACT SERVICES REVENUE 900099 765398 765398 MISCELLANEOUS REVENUE 900099 3522 3522 768920 53616035 54350739 238214 -972950 56102 56102 3291162 607454 2683708 170528 16472 154056 10975811 9755319 1220492 19543 19543 1919687 1181973 737714 905068 695531 209537 572159 572159 95632 95632 257687 257687 156856 156856 2028755 1204284 824471 180405 99211 81194 680257 598036 82221 599815 223240 376575 631101 521371 109730 111297 80799 30498 11309 6819 4490 164111 37943 126168 1097127 914988 182139 245131 158487 86644 SUPPLIES 12640730 12588423 52307 BAD DEBT EXPENSE 564070 561824 2246 REPAIRS AND MAINTENANCE 288947 189919 99028 TAXES 44631 42103 2528 510 510 37708431 29540808 8167623 0 3995842 3500000 35439713 27884445 2719148 3110591 5850600 4173345 284945 502116 24183190 5296965 11652453 18886225 26896483 42417443 86839184 100474165 2904607 3386169 3184722 3110896 6089329 6497065 X 80749855 93977100 80749855 93977100 86839184 100474165 15907604 -2680359 0 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 257687 0 0 257687 0 PART II-B, LINE 1: DURING THE FISCAL YEAR THE ORGANIZATION HIRED CONSULTANTS TO HELP EDUCATE ABOUT AND ADVOCATE FOR ISSUES THAT COULD IMPACT THE ORGANIZATION'S INDUSTRY AND OPERATIONS. 1714089 1714089 13427765 2771632 10656133 3072364 2363144 709220 5968972 162189 5806783 18886225 DUE FROM RELATED AFFILIATES 103877 AMOUNTS DUE FROM THIRD PARTY PAYERS 99199 ASSETS LIMITED AS TO USE 42214367 42417443 X 50243666 -2680359 28916 -2651443 52895109 156856 564070 720926 53616035 37016421 28916 28916 36987505 156856 564070 720926 37708431 PART X, LINE 2: GENESIS IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENESIS PAYS INCOME TAXES ON ANY UNRELATED BUSINESS INCOME (UBI). NO UBI TAX WAS RECOGNIZED IN 2022 OR 2021 AND THE AMOUNT OF UNUTILIZED UBI NET OPERATING LOSS CARRYFORWARDS IS NOT MATERIAL. AT JUNE 30, 2022, TAX YEARS 2019 THROUGH 2021 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. GENESIS HAD NO UNCERTAIN TAX POSITIONS WITH REGARD TO RELATED OR UNRELATED BUSINESS INCOME AT JUNE 30, 2022 OR 2021. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 28,916. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 564,070. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 28,916. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 564,070. 1 USC SALKEHATCHIE 465 JAMES BRANDT BLVD ALLENDALE SC 29810 576001153 GVT 50000 0 SCHOLARSHIP FUND RONALD MCDONALD HOUSE CHARITIES 2901 COLONIAL DRIVE COLUMBIA SC 29203 570725736 501(C)(3) 5000 0 GENERAL OPERATIONS 2 PART I, LINE 2: THE ORGANIZATION GRANTS FUNDS TO APPROVED ENTITIES (GOVERNMENTAL OR 501(C)(3)). IN THE EVENT THAT THE ORGANIZATION DETERMINES FUNDS WERE NOT SPENT APPROPRIATELY, FUTURE GRANTS WOULD BE SUSPENDED. 1 X X X X 0 0 0 0 0 0 0 0 0 TONY R MEGNA CHIEF EXECUTIVE OFFICER 477919 0 175938 0 6960 0 31100 0 19398 0 711315 0 0 0 ALEXANDER COHEN CHIEF MEDICAL OFFICER 334075 0 68500 0 0 0 31100 0 15047 0 448722 0 0 0 PRISCILLA WELCH CHIEF MEDICAL OFFICER 338864 0 68500 0 0 0 31100 0 7164 0 445628 0 0 0 PAUL FULBRIGHT CHIEF INFORMATION OFFICER 313997 0 44500 0 10849 0 31100 0 15295 0 415741 0 0 0 KATIE NOYES MILLIGAN CHIEF SPECIAL PROJECTS OFFICER 311033 0 44500 0 8400 0 31100 0 15776 0 410809 0 0 0 PETER O'KELLY PHYSICIAN 245512 0 69866 0 0 0 9596 0 15047 0 340021 0 0 0 MARK CALLAHAN CHIEF FACILITIES MAINTENANCE OFFICER 188999 0 44500 0 3098 0 27017 0 16118 0 279732 0 0 0 SHAWN PATTON CHIEF FINANCIAL OFFICER (RESG. 11/21 205030 0 35980 0 0 0 29203 0 6337 0 276550 0 0 0 WARREN M MATTHEWS CHIEF OF PHARMACY OPERATIONS 188753 0 44500 0 2720 0 19500 0 18125 0 273598 0 0 0 BRENT BAROODY PHYSICIAN OBGYN 245901 0 300 0 0 0 10012 0 7164 0 263377 0 0 0 HELEN MILLING-CARROLL CHIEF COMPLIANCE OFFICER 139888 0 40000 0 0 0 22200 0 18523 0 220611 0 0 0 KIMBERLY WEATHERFORD CHIEF OPERATIONS OFFICER 149159 0 44500 0 0 0 24750 0 841 0 219250 0 0 0 BRIAN HEASTER PHYSICIAN 196900 0 300 0 0 0 6009 0 10908 0 214117 0 0 0 MICHAEL W BARRETT PHYSICIAN 183766 0 300 0 0 0 7435 0 18125 0 209626 0 0 0 ISABEL MENDOZA PHYSICIAN 163220 0 300 0 0 0 4959 0 7164 0 175643 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE OF THE GHC BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO AND MEDICAL DIRECTORS. STATE AND NATIONAL COMPARABILITY DATA IS USED TO ASSIST IN DETERMINING THE APPROPRIATE COMPENSATION. HTR MANAGEMENT LLC OFFICERS AND EMPLOYEES OF ORGANIZATION ALSO OWN LLC LOAN ASSOCIATED WITH PURCHASE OF VARIOUS PROPERTIES X 4179621 2393585 0 1 1 DR PRISCILLA WELCH OFFICER OF ORGANIZATION CAPITAL(FINANCING) LEASE AGREEMENT WITH A LIFE ESTATE AGREEMENT X 537817 717311 0 1 1 3110896 LAUREN GLASS FAMILY MEMBER OF MARK CALLAHAN 26363 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 JULIA FULBRIGHT FAMILY MEMBER OF PAUL FULBRIGHT 65779 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 MARY MOLLY ARNEMAN FAMILY MEMBER OF TONY MEGNA 45914 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY FAMILY MEMBER 0 KRISTEN KELLY FAMILY MEMBER OF KIM WEATHERFORD 16472 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 MORGAN MEGNA FAMILY MEMBER OF TONY MEGNA 16000 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 FORM 990, PART VI, SECTION A, LINE 2 TONY MEGNA, CHIEF EXECUTIVE OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. ALEXANDER COHEN, CHIEF MEDICAL OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. KATIE NOYES, CHIEF SPECIAL PROJECTS OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. PAUL FULLBRIGHT, CHIEF INFORMATION OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. WARREN M. MATTHEWS, PHARMACY FINANCE DIRECTOR, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. MARK CALLAHAN SR., CHIEF FACILITIES MAINTENANCE OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO EACH BOD MEMBER AT THE REGULARLY SCHEDULED APRIL MEETING PRIOR TO THE MAY FILING DEADLINE. THE MEMBERS ARE REQUESTED TO SUBMIT ANY INQUIRIES WITHIN TWO WEEKS FROM THE MEETING DATE TO ALLOW FOR INQUIRY AND ANY POTENTIAL ADDITIONAL INFORMATION TO BE PROVIDED. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE DECISION OF THE BOARD THAT A CONFLICT OF INTEREST DOES OR DOES NOT EXIST IS FINAL AND CREATES A REBUTTABLE PRESUMPTION THAT ADEQUATE MATERIAL FACTS HAVE BEEN, IN FACT, DISCLOSED TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTURAL OR POSSIBLE CONFLICT OF INTEREST, THE MEMBER WILL BE REMOVED FROM SERVICE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE GHC BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO AND MEDICAL DIRECTORS. STATE AND NATIONAL COMPARABILITY DATA IS USED TO ASSIST IN DETERMINING THE APPROPRIATE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL INFORMATION IS PUBLICLY AVAILABLE VIA FORM 990 AND ANY REQUESTS FOR ADDITIONAL FINANCIAL DATA WILL BE CONSIDERED ON AN INDIVIDUAL BASIS. PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.