2020-11-03T14:25:37-06:00 2019-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2019-01-01 311480941 GENESIS HEALTHCARE SYSTEM GENE 7404545000 2951 MAPLE AVENUE ZANESVILLE OH 43701 MICHAEL NORMAN CFO 7404545000 2020-11-02 1 AMY CIMINELLO P00796388 6148493000 2020-11-02 74.113.40.52 2020-11-02 08:46:53 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 9620C6601C99D82B50252550C6445223DEA5F6EE 2019 2021-01-29 14:40:06Z MATTHEW PERRY 2951 MAPLE AVENUE ZANESVILLE OH 43701 486292404 0 3727 X WWW.GENESISHCS.ORG X 1997 OH IN 1997, GOOD SAMARITAN MEDICAL CENTER AND BETHESDA HOSPITAL ASSOCIATION, A TAX-EXEMPT COMMUNITY HOSPITAL ALSO LOCATED IN ZANESVILLE, AFFILIATED TO FORM GENESIS HEALTHCARE SYSTEM. GENESIS HAS BEEN GRANTED 501C3 STATUS AS A HOSPITAL. ALL HOSPITAL OPERATIONS AND ASSETS OF GOOD SAMARITAN MEDICAL CENTER WERE TRANSFERRED TO GENESIS WITH THE EXCEPTION OF CERTAIN INVESTMENTS. GOOD SAMARITAN MEDICAL CENTER WILL CONTINUE TO HAVE CONTROL OVER CERTAIN INVESTMENTS WHICH ARE BEING USED BY THE GENESIS HEALTHCARE SYSTEM IN FULFILLING ITS TAX-EXEMPT PURPOSE. 18 14 3727 364 249928 0 768619 669958 414828724 455478706 5340392 4195739 18002684 24415257 438940419 484759660 546402 343077 0 0 171488874 186153313 0 0 0 216610471 241706280 388645747 428202670 50294672 56556990 545108599 607216176 373640996 412395266 171467603 194820910 X TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE 0 0 258767199 343077 471393905 GENESIS PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, PEDIATRIC AND CRITICAL CARE. GENESIS PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR INPATIENTS AND OUTPATIENTS. THESE SERVICES ARE COMPRISED OF LABORATORY, IMAGING SERVICES, CARDIAC, AND PHARMACY. LABORATORY SERVICES INCLUDE CHEMISTRY, PATHOLOGY, MICROBIOLOGY, HEMATOLOGY, CYTOLOGY, AND PHLEBOTOMY. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, PET SCAN, MAMMOGRAPHY AND BONE DENSITY SCANNING.GENESIS HEART & VASCULAR SERVICES PROVIDE NEEDED HEART CARE FROM PREVENTION TO REHABILITATION. OUR BOARD-CERTIFIED SPECIALISTS INCLUDE CARDIOLOGISTS, CARDIOTHORACIC VASCULAR SURGEONS, ELECTROPHYSIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND CARDIAC REHAB SPECIALISTS. THE CARDIOTHORACIC AND VASCULAR SURGICAL TEAMS PERFORM A WIDE VARIETY OF COMPLEX AND HIGH-RISK CARDIAC, THORACIC AND VASCULAR PROCEDURES INCLUDING OPEN HEART SURGERY. OUR CARDIAC TEAM TAKES OUR PATIENTS FROM EVALUATION AND DIAGNOSIS THROUGH LIFESTYLE CHANGES AND TREATMENTS. ALSO INCLUDED IN OUR CARDIAC SERVICES ARE OUR CLINICS AND SPECIALTY PROGRAMS. THESE INCLUDE AN ANTICOAGULATION CLINIC, A CONGESTIVE HEART FAILURE CLINIC, A DEVICE CLINIC, A VEIN CLINIC AND A CARDIAC REHABILITATION PROGRAM. GENESIS IS AN ACCREDITED CHEST PAIN CENTER WITH PCI, AN ACCREDITED ECHOCARDIOGRAPHY FACILITY. RESPIRATORY SERVICES - GENESIS RESPIRATORY & LUNG PROVIDES SERVICES FOR A VARIETY OF LUNG CONDITIONS AND DISEASES INCLUDING LUNG SURGERIES AND RESPIRATORY THERAPY. OUR TEAM, INCLUDING BOARD-CERTIFIED PULMONOLOGISTS, PROVIDE CARE AND TREATMENT FOR PATIENTS WITH PNEUMONIA, LUNG CANCER, BLACK LUNG DISEASE, RESPIRATORY FAILURE, COLLAPSED LUNG, AND OTHER PLEURAL DISEASES. THE GENESIS ORTHOPEDIC TEAM OF BOARD-CERTIFIED SURGEONS, SPECIALLY TRAINED NURSES, AND REHABILITATION THERAPISTS WORK TOGETHER TO DIAGNOSE AND TREAT THE MUSCULOSKELETAL ISSUES OF OUR PATIENTS. SERVICES RANGE FROM ADVANCED IMAGING TESTING THROUGH TO REHABILITATION. SURGICAL SURGERIES INCLUDE NUMEROUS PROCEDURES INCLUDING REPLACEMENT OF THE HIP, KNEE, OR SHOULDER AS WELL AS VARIOUS SURGERIES INVOLVING THE HAND. THE SPECIALIZED REHABILITATION PROGRAM SPEEDS RECOVERY AFTER A SERIOUS INJURY OR SURGERY RELATED TO A BONE, JOINT, LIGAMENT, TENDON OR MUSCLE. IN ADDITION TO PHYSICAL AND OCCUPATIONAL THERAPY, GENESIS ALSO PROVIDES AMPUTEE AND PROSTHETICS THERAPY AND TRAINING. 258767199 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 346 0 1 3727 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 18 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X JENNIFER THOMAS 7405866617 4051 NORTHPOINTE DRIVE BLDG 7 ZANESVILLE OH 43701 MATTHEW PERRY PRESIDENT & CEO 48.56 1.44 X 849081 0 54051 SCOTT WEGNER MD CHIEF CLINICAL OFFICER 50.00 0.00 X 0 790241 43060 EDMUND ROMITO CHIEF INFORMATION OFFICER 50.00 0.00 X 441794 0 217009 DANIEL SCHEERER MD CHIEF MEDICAL AFFAIRS OFFICER 50.00 0.00 X 531254 0 80348 JOHN ZIMMERMAN MD TRUSTEE 49.20 0.80 X 0 492553 60521 DIANNA LEVECK CHIEF HUMAN RESOURCES OFFICER 49.85 0.15 X 462739 0 84079 MICHAEL NORMAN CHIEF FINANCIAL OFFICER 48.56 1.44 X 485656 0 34656 KRISTY RITCHIE MD TRUSTEE 49.20 0.80 X 0 476373 32391 WENDY CEDOZ CHIEF LEGAL OFFICER 49.87 0.13 X 397792 0 99309 SHARON PARKER CHIEF OPERATION OFFICER 49.85 0.15 X 460095 0 36126 CHRISTOPHER SCHOELLES CHIEF OPERATION OFFICER 50.00 0.00 X 377124 0 29878 ERIN REMSTER DO TRUSTEE 50.00 0.00 X 0 284320 19699 SHON BENDER CHIEF NURSING OFFICER 50.00 0.00 X 277605 0 8632 LES BOYER DIRECTOR 50.00 0.00 X 170015 0 30969 CHARLES ADAMS JR DIRECTOR 50.00 0.00 X 175532 0 22119 MARIANNE GRAHAM MANAGER 50.00 0.00 X 173889 0 10583 GREGORY HAMILTON DIRECTOR 50.00 0.00 X 163763 0 16478 WILLIAM SHADE MD TRUSTEE 49.30 0.70 X 137910 0 0 LINDA SUPPLEE DIRECTOR 50.00 0.00 X 115970 0 1471 JODY BALLAS EX-OFFICIO 2.62 1.08 X 0 0 0 JOANN BUTCHER EX-OFFICIO 1.62 0.90 X 0 0 0 JOHN DITTOE TRUSTEE 1.15 0.80 X 0 0 0 COLBY GRAHAM TRUSTEE 1.15 0.70 X 0 0 0 SUSAN HOLDREN TRUSTEE 1.15 0.82 X 0 0 0 MARK MOYER TRUSTEE 1.85 0.12 X 0 0 0 SR MARY ANN NUGENT TRUSTEE 1.15 0.80 X 0 0 0 SHIRLEY VAN WYE TRUSTEE 1.15 0.90 X 0 0 0 SR LAURA WOLF TRUSTEE 0.69 0.80 X 0 0 0 SCOTT MCCONNAHA TRUSTEE 1.69 0.70 X 0 0 0 RANDY COCHRANE CHAIR 2.62 0.98 X X 0 0 0 TOD KLOTZBACH TREASURER 2.31 0.82 X X 0 0 0 PATRICK NASH VICE CHAIR 2.62 0.98 X X 0 0 0 JAMES MCDONALD SECRETARY 1.15 0.00 X X 0 0 0 5220219 2043487 881379 16 0 1 0 HOSPITAL MEDICINE ASSOC LLC PO BOX 634850 CINCINNATI OH 45263 PROFESSIONAL FEES 5800710 ARUP LABORATORIES INC 500 CHIPETA WAY SALT LAKE CITY UT 84127 MEDICAL SERVICES 1349812 CENTRAL OHIO HOSPITALISTS INC 3525 OLENTANGY RIVER RD SUITE 4330 COLUMBUS OH 43214 MEDICAL SERVICES 995796 DIVERSIFIED CLINICAL SERVICES 28525 NETWORK PLACE CHICAGO IL 60673 MEDICAL SERVICES 795995 ZANESVILLE ANESTHESIA PHYSICIANS INC 37 S SEVENTH STREET ZANESVILLE OH 43701 MEDICAL SERVICES 733138 38 83236 586722 669958 NET PATIENT SERVICES 621110 455478706 455478706 455478706 3079586 3079586 1643365 1532744 110621 110621 110621 1116153 0 1116153 1116153 1116153 CAFETERIA SALES 621110 3394835 3394835 340B DISPENSING 621110 2003318 2003318 LABORATORY 621110 102000 102000 18804483 13699260 249928 4855295 24304636 484759660 471393905 249928 12445869 X 343077 343077 5189080 137910 5051170 133355364 94809448 38545916 6168553 265751 5902802 31911270 551062 31360208 9529046 7657173 1871873 492272 444179 48093 717106 717106 8439993 8439993 167420 167420 47462148 32276180 15185968 551698 37221 514477 3309663 522424 2787239 10010223 1589163 8421060 1020490 567855 452635 12812 136 12676 17409878 2047798 15362080 22071478 6178080 15893398 4352114 34110 4318004 MEDICAL SUPPLIES 94368289 89038618 5329671 BAD DEBT EXPENSE 18164243 18164243 DUES/LICENSES/SUBSCRIPT 9102597 1993991 7108606 PHYSICIAN RECRUITMENT 2335594 562680 1772914 1718262 1546100 172162 428202670 258767199 169435471 0 5170413 3072513 21028936 32735511 67274908 78429953 6572872 9456168 7928656 11591840 506428918 209749703 297878321 296679215 92916100 109634918 6733573 6951820 4301523 4281450 35303297 54382788 545108599 607216176 42173762 73910410 478722 0 288621004 271933593 4328569 13289290 38038939 53261973 373640996 412395266 X 171467603 194820910 171467603 194820910 545108599 607216176 X 56556990 15439494 -48643177 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 167420 0 1 29559 196979 0 PART II-B, LINE 1: GENESIS HEALTHCARE SYSTEM PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS. A PORTION OF THE DUES ARE RELATED TO LOBBYING ACTIVITIES. AMERICAN HOSPITAL ASSOCIATION - FSCC SHARE (AHA): 22.98% OF $60,591 ($13,924) OHIO HOSPITAL ASSOCIATION - FSCC SHARE (OHA): 4.60% OF $94.882 ($4,365) SOC FOR HEALTHCARE STRATEGY & MARKET DEVELOPMENT (SHSMD/AHA): 22.98% OF $235 ($54) CATHOLIC CONFERENCE OF OHIO: 4.30% OF $2,060 ($89) CATHOLIC HEALTH ASSOC (FSCC SHARE): 3.76% OF $39,696 ($1,380) CATHOLIC HEALTH ASSOC (FSCC SHARE): 3.93% OF $21,1786 ($832) 340B HEALTH 2016: 8.00% OF $5,360 ($429) ACADEMY OF NUTRITION & DIETETICS: 14.00% OF $225 ($32) AMERICAN ASSOCIATION RESPIRATORY CARE (AARC): 20.00% OF $468 ($94) AMERICAN MEDICAL GROUP ASSOCIATION (AMGA): 20.00% OF $30,207 ($6,041) MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA): 23.00% OF $5,542 ($1,275) TRAUMA CENTER ASSOCIATION OF AMERICA (TCAA): 23.00% OF $2,000 ($460) OHIO HOSPICE AND PALLIATIVE CARE ORGANIZATION DBA MIDWEST CARE ALLIANCE (OHPCO): 7.30% OF 8,000 ($584) GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $167,420 IN 2019 FOR ADVOCACY AND OUTREACH CONSULTING SERVICES. SECOND CAPITAL CONSULTING, LLC HAS PROVIDED ADVOCACY AND OUTREACH CONSULTING SERVICES TO GENESIS HEALTHCARE SYSTEM SINCE 2013. THESE SERVICES ASSIST THE SYSTEM TO ENGAGE, EDUCATE AND COMMUNICATE WITH PUBLIC POLICY MAKERS REGARDING PENDING LEGISLATION OR PROPOSED REGULATIONS, AS WELL AS, ASSIST ELECTED OFFICIALS IN UNDERSTANDING THE IMPACT OF LEGISLATION ON GHCS'S ABILITY TO DELIVER COST EFFECTIVE, QUALITY CARE FOR PATIENTS IN SOUTHEAST OHIO. GENESIS WORKS PRIMARILY THROUGH NATIONAL AND STATE HOSPITAL ASSOCIATIONS, IN WHICH GENESIS HAS MEMBERSHIP, TO UNDERSTAND POTENTIAL POLICIES WHICH COULD NEGATIVELY AFFECT THEIR ABILITY TO WORK WITH THE LOCAL MEDICAL COMMUNITY TO MEET THE HEALTHCARE NEEDS OF THE REGION. SOME ISSUES OF INTEREST INCLUDE THE 340B PROGRAM, MEDICARE & MEDICAID BUDGET DECISIONS AND REGULATIONS, AND INFRASTRUCTURE IMPROVEMENTS AT THE LOCAL LEVEL THAT ENHANCE ACCESS TO THE HOSPITAL. IN FACT, A DIRECT ACCESS LANE OPENED THIS YEAR FOR EMERGENCY VEHICLES, SPEEDING THE TIME CRITICAL TO PATIENTS IN ARRIVING FOR EMERGENCY CARE. 9901714 9901714 233261945 32205213 201056732 4099611 2774208 1325403 246113457 173056471 73056986 13052191 1713811 11338380 296679215 INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS 4019548 ASSETS LIMITED AS TO USE 28217260 RIGHT OF USE LEASE ASSETS 22145980 54382788 ACCRUED MINIMUM PENSION LIABILITY 27785938 ACCRUED PROFESSIONAL LIABILITY 3515127 LEASE LIABILITIES - OPERATING 19964355 LEASE LIABILITIES - FINANCING 1996553 53261973 X PART X, LINE 2: THE SYSTEM AND ITS SUBSIDIARIES ARE TAX-EXEMPT ORGANIZATIONS, EXCEPT FOR CARELIFE; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND TO RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. 1 1 X 1 X 1 X 1 1 0 1 1 2188982 1055168 1133814 0.00280 87465593 67128918 20336675 0.04960 89654575 68184086 21470489 0.05240 51 125381 1723055 59132 1663923 0.00410 8 3003 1387496 0 1387496 0.00340 0 0 0 0 0 0 0 0 10 459 24945 0 24945 0.00010 69 128843 3135496 59132 3076364 0.00760 69 128843 92790071 68243218 24546853 0.06000 0 18164243 0 122307858 119684136 2623722 X 1 1 1 1 GENESIS HOSPITAL 2951 MAPLE AVE ZANESVILLE OH 43701 X X X ACUTE CARE HOSPITAL GENESIS HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 0 0 1 X WWW.GENESISHCS.ORG/ABOUT-US/COMMUNITY X 1 19 1 WWW.GENESISHCS.ORG/ABOUT-US/COMMUNITY 0 1 X 100.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTP://WWW.GENESISHCS.ORG/APP/FILES/PUBLIC/2726/FINANCIAL-ASSISTANCE-SELF-P X HTTP://WWW.GENESISHCS.ORG/APP/FILES/PUBLIC/2660/FIN-ASSIST-FORM-REV.PDF X HTTP://WWW.GENESISHCS.ORG/APP/FILES/PUBLIC/2546/FIN-ASST-SUMMARY.PDF X X X X X 1 X 0 X X X X 1 X 0 0 GENESIS HOSPITAL PART V, SECTION B, LINE 5: A COMMUNITY HEALTH SURVEY WAS CONDUCTED. THE SURVEY GATHERED THE COMMUNITY INPUT ON THEIR PRIORITIES FOR CHRONIC CONDITIONS, RISK FACTORS FOR DISEASE, MOTHERS AND CHILDREN AND ACCESS TO CARE. THE SURVEY WAS COLLECTED ON THE GENESIS WEBSITE IN SEPTEMBER OF 2018 AND USED FACEBOOK, TWITTER, AND THE ZANESVILLE TIMES RECORDER TO PUBLICIZE THE COMMUNITY HEALTH NEEDS SURVEY. 67 COMPLETED SURVEYS WERE COLLECTED FROM THE GENESIS WEBSITE AND FROM INDIVIDUALS WAITING FOR SERVICES AT THE GENESIS HOSPITAL. ALL SIX COUNTIES WERE REPRESENTED IN THE SURVEY. TWO STUDENTS FROM MUSKINGUM UNIVERSITY AND KEY PARTNERS SUCH AS MUSKINGUM VALLEY HEALTH CENTER, THE VETERAN'S CLINIC, SALVATION ARMY, CHRIST'S TABLE, AND UNITED WAY COLLECTED SURVEYS FROM LOCATIONS SERVICING THE UNDERSERVED POPULATION. SIXTY-THREE PERSONS COMPLETED THE SURVEY IN THE UNDERSERVED LOCATIONS. A TOTAL OF 130 SURVEYS WERE COLLECTED.58 KEY INFORMANT SURVEYS WERE COLLECTED IN THE COMMUNITY AND CONTAINED CATEGORIES FOR BEHAVIORAL RISKS, MOMS AND BABIES, MORTALITY RATES AND POVERTY. SPECIAL CARE WAS USED TO IDENTIFY KEY INFORMANTS WITH KNOWLEDGE OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. IN ADDITION, WE HAVE IDENTIFIED THE KEY INFORMANTS SPECIFICALLY AS: (1) PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; (2) REPRESENTATIVES FROM GOVERNMENT OR PUBLIC HEALTH DEPARTMENTS; AND (3) LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS. ALL SIX COUNTIES WERE REPRESENTED IN THE KEY INFORMANT SURVEY.IN ADDITION TO USING COUNTY BASED NEEDS ASSESSMENTS, DUE TO THE LARGE COMMUNITY DEFINED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIAL CARE WAS TAKEN TO INCORPORATE THE VIEWS OF KEY INFORMANTS FROM EACH COUNTY. BELOW ARE EXAMPLES OF THE AGENCIES AND GROUPS COMPLETING THE KEY INFORMANT SURVEYS.COSHOCTON:GENESIS HEALTHCARE SYSTEMCOSHOCTON COUNTY HEALTH DEPARTMENTCOSHOCTON JOB AND FAMILY SERVICESCOSHOCTON UNITED WAYMUSKINGUM VALLEY HEALTH CENTERCOSHOCTON BEHAVIORAL HEALTH CHOICESMUSKINGUM:GENESIS HEALTHCARE SYSTEMTHE CARR CENTERQUALITY CARE PARTNERSZANESVILLE-MUSKINGUM COUNTY HEALTH DEPARTMENTHEART BEATSBIG BROTHERS BIG SISTERSMUSKINGUM COUNTY COMMUNITY FOUNDATIONMUSKINGUM RECREATION CENTERMUSKINGUM COUNTY PORT AUTHORITYSALVATION ARMYBETHEL MISSIONFIRST UNITED METHODIST CHURCHMUSKINGUM VALLEY HEALTH CENTERAMERICAN CANCER SOCIETYWICGUERNSEY:GENESIS HEALTHCARE SYSTEMAMERICAN CANCER SOCIETYMUSKINGUM VALLEY HEALTH CENTERMORGAN:GENESIS HEALTHCARE SYSTEMMORGAN LOCAL SCHOOLSMUSKINGUM VALLEY HEALTH CENTERBUCKEYE HILLSSALVATION ARMYNOBLE:GENESIS HEALTHCARE SYSTEMBUCKEYE HILLS-HOCKING VALLEY REGIONAL DEVELOPMENT DISTRICTCARESOURCEAMERICAN CANCER SOCIETYPERRY:GENESIS HEALTHCARE SYSTEMPERRY COUNTY HEALTH DEPARTMENTNORTHERN LOCAL SCHOOLSHELP ME GROWHOPEWELL HEALTH CENTERCROOKSVILLE SCHOOL NURSESALVATION ARMY GENESIS HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE ON OUR WEBSITE AT HTTP://GENESISHCS.ORG, AT THE BOTTOM OF THE FRONT PAGE. THE REPORT WAS SHARED WITH COMMUNITY PARTNERS AND COPIES ARE AVAILABLE FOR FREE UPON REQUEST. GENESIS HOSPITAL PART V, SECTION B, LINE 11: PLEASE NOTE: THE NEW CHNA WAS COMPLETED IN 2018. A NEW 2019-2012 IMPLEMENTATION STRATEGY IS NOW ON OUR WEBSITE, WAS COMPLETED IN MAY OF 2019. THE INFORMATION BELOW IS FOR THE COMMUNITY BENEFIT 2019-2021 IMPLEMENTATION STRATEGY. IT IS THE WRITTEN PLAN THAT EACH OF THE COMMUNITY HEALTH NEEDS FOR 2018.THE COMMUNITY BENEFIT 2019-2021 IMPLEMENTATION STRATEGY IS A WRITTEN PLAN THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2018 CHNA. THE PLAN HAS BEEN TAILORED TO THE SERVICE LINES OF GENESIS, TAKING INTO ACCOUNT SPECIFIC PROGRAMS, RESOURCES AND PRIORITIES. THE IMPLEMENTATION STRATEGY PLANNING GROUP INCLUDED REPRESENTATION ACROSS SERVICE LINES AND INCLUDED COMMUNITY AGENCIES WHEN NEEDED: THE ADDICTION REDUCTION PLANNING GROUP WAS MERGED INTO A COMMUNITY GROUP FACILITATED BY THE ZANESVILLE-MUCKINGUM COUNTY HEALTH DEPARTMENT TO ADDRESS ADDICTIONS THROUGH COMMUNITY PARTNERSHIPS. GENESIS PLANNING GROUPS INCLUDED: GENESIS BEHAVIORAL HEALTH, CANCER SERVICES, HEART AND VASCULAR SERVICES, TRAUMA SERVICES, NEUROSCIENCE SERVICES, WOMEN'S AND CHILDREN'S SERVICES, POPULATION HEALTH, ORTHOPEDIC AND WELLNESS, PULMONARY ADMINISTRATION, EDUCATIONAL SERVICES, MEDICAL STAFF SERVICES, GENESIS HOSPICE AND PALLIATIVE CARE/CAREGIVERS, MARKETING AND PUBLIC RELATIONS, MISSION, NURSELINE, SPIRITUAL CARE, PATIENT EDUCATION AND VOLUNTEER SERVICES.GIVEN THE EVER CHANGING LANDSCAPE OF HEALTHCARE, THE INITIATIVES IN THIS IMPLEMENTATION STRATEGY MAY CHANGE AND NEW ONES MAY BE ADDED OR OTHERS ELIMINATED BASED ON THE COMMUNITY NEEDS DURING THE 2019-2021 PERIOD. THESE CHANGES WILL BE NOTED EACH YEAR IN THE ANNUAL EVALUATION REPORT.THE COMMUNITY BENEFIT 2019-2021 IMPLEMENTATION STRATEGY OUTCOMES ARE TRACKED QUARTERLY AND ANNUALLY THROUGH THE COMMUNITY BENEFIT'S DATA SYSTEM KNOWN AS THE COMMUNITY BENEFIT INVENTORY OF SOCIAL ACCOUNTABILITY (CBISA). THE INITIAL PROPOSED OUTCOMES IN THE TABLES BELOW WILL BE USED AS A BASELINE FOR PERFORMANCE FOR EACH YEAR AND USED TO GUIDE THE EVALUATION PROCESS AND FUTURE INITIATIVE DEVELOPMENT. THE INITIATIVES AND ANTICIPATED OUTCOMES INCLUDED IN THIS DOCUMENT WILL BE EVALUATED AGAINST THE DATA COLLECTED FOR THE IDENTIFIED MEASURES THROUGH CBISA. THE FOCUS AREA LEADERS WILL ENSURE THAT THE OUTCOMES FOR EACH INITIATIVE ARE REPORTED IN CBISA THROUGH THE COMMUNITY BENEFIT PROGRAM AND SUMMARY REPORTS WILL BE ASSESSED QUARTERLY BY THE GENESIS COMMUNITY BENEFIT COMMITTEE. THE DOCUMENT "2019 COMMUNITY BENEFIT PLAN" CONTAINED THE 2018 EVALUATION OF OUTCOMES AND THE 2019 PROPOSED OUTCOMES OF THE 2019-2021 COMMUNITY IMPLEMENTATION STRATEGY WHICH WAS APPROVED BY THE GENESIS QUALITY COMMITTEE AND THE BOARD OF DIRECTORS IN APRIL OF 2019. THE CHNA IDENTIFIED TOP PRIORITY CHRONIC CONDITIONS, RELATED RISK FACTORS, ISSUES FOR MOTHERS AND CHILDREN AND ACCESS TO CARE ISSUES. THE COMMUNITY BENEFIT 2019-2021 IMPLEMENTATION STRATEGY FOCUSES ON ALL THE MAJOR AREAS OF NEED EXCEPT ACCESS TO CARE (CHNA PAGES 39-41). ACCESS TO CARE IS A FOCUS OF THE GENESIS STRATEGIC PLAN AND INITIATIVES ARE IMPLEMENTED THROUGH ADMINISTRATION, SERVICE LINE DIRECTORS, FINANCIAL ASSISTANCE, AND TRANSFORMATIONAL CARE DEPARTMENTS. THE TOP HEALTH PRIORITIES FROM THE CHNA, WHICH ARE THE FOCUS OF THE 2019-2021 COMMUNITY BENEFIT IMPLEMENTATION STRATEGY, ARE LISTED BELOW ACCOMPANIED BY THE REFERENCE PAGE WHERE THAT PRIORITY AREA IS LOCATED IN THE CHNA DOCUMENT.THE TOP PRIORITY CHRONIC CONDITIONS IDENTIFIED ARE AS FOLLOWS:#1 ADDICTIONS/MENTAL HEALTH PAGE 12#2 HEART DISEASE PAGE14#3 CANCER PAGE 15#3 CHRONIC LUNG CONDITIONS PAGE 17#4 STROKES PAGE 17#5 UNINTENTIONAL INJURIES/ACCIDENTS PAGE 18#6 ALZHEIMER'S DISEASE PAGE 19RISKS ASSOCIATED WITH THE LEADING CHRONIC CONDITIONS ARE AS FOLLOWS:ACCESS TO HEALTHY FOODS PAGE 20ALCOHOL OVERUSE PAGE 20ARTHRITIS PAGE 21BLACK LUNG PAGE 22BULLYING PAGE 22CANCER SCREENING PAGE 23 CHILD NEGLECT/ABUSE PAGE 24COMMUNICABLE DISEASES PAGE 24DOMESTIC VIOLENCE PAGE 26ELDER NEGLECT/ABUSE PAGE 26FALLS PAGE 27FIREARMS PAGE 27HIGH CHOLESTEROL PAGE 28JOINT & BACK PAIN PAGE 29LACK OF SLEEP PAGE 29MENTAL HEALTH PROVIDER RATIO PAGE 30MOTOR VEHICLE ACCIDENTS PAGE 30OPIOID USE PAGE 31OVERWEIGHT/OBESE PAGE 32PHYSICAL INACTIVITY PAGE 33POISONING PAGE 33RESIDENTIAL HOUSING FOR ADDICTIONS PAGE 34SEXUAL ASSAULT PAGE 34SUICIDE PAGE 34TOBACCO USE PAGE 34VIOLENCE PAGE 35WORK RELATED INJURIES PAGE 35TOP PRIORITY HEALTH ISSUES FOR MOTHERS, CHILDREN, AND INFANTS ARE AS FOLLOWS:#1 BABIES BORN THREE OR MORE WEEKS BEFORE IT WAS DUE PAGE 36#2 LOW BIRTH WEIGHT PAGE 37#3 BABIES BORN ADDICTED PAGE 37#4 CHILDREN WITH DISABILITIES PAGE 37#5 FIRST TRIMESTER PRENATAL CARE PAGE 38#6 TEEN BIRTHS PAGE 38#7 CHILDHOOD LEAD PAGE 39#8 UNWED BIRTHS PAGE 39 16 1 - HOSPICE & PALLIATIVE CARE 713 FOREST AVENUE ZANESVILLE OH 43701 HOSPICE & PALLIATIVE CARE CENTER 2 - CTR FOR OUTPATIENT & OCCUPATIONAL REHAB 740 ADAIR AVENUE ZANESVILLE OH 43701 OUTPATIENT REHAB SERVICES 3 - HEALTHPLEX 2800 MAPLE AVENUE ZANESVILLE OH 43701 OUTPATIENT LAB/IMAGING; PEDIATRIC REHAB 4 - GENESIS PHYSICIAN'S PAVILION 945 BETHESDA DRIVE ZANESVILLE OH 43701 OUTPATIENT CARDIAC REHAB SERVICES; WOUND CARE CENTER 5 - GENESIS BEHAVIORAL HEALTH 2991 MAPLE AVENUE ZANESVILLE OH 43701 MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT 6 - GENESIS INTERVENTIONAL PAIN MGT CLINIC 2945 MAPLE AVENUE ZANESVILLE OH 43701 PAIN MEDICINE SPECIALIZATION;IMAGING TECHNIQUES;SOLUTIONS TO PAIN MANAGEMENT 7 - GENESIS SLEEP DISORDERS CENTER 840 BETHESDA DRIVE ZANESVILLE OH 43701 DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS 8 - GENESIS RHEUMATOLOGY CARE CENTER 2525 MAPLE AVENUE ZANESVILLE OH 43701 EDUCATION AND OUTPATIENT RHEUMATOLOGY SERVICES 9 - CAMBRIDGE HEALTH CENTER 61353 SOUTHGATE PARKWAR CAMBRIDGE OH 43725 IMAGING SERVICES/LAB SERVICE/WOUND MANAGEMENT 10 - GENESIS CANCER CENTER 2951 MAPLE AVENUE ZANESVILLE OH 43701 CANCER & PALLATIVE CARE/WOMEN'S BOUTIQUE 11 - GENESIS HEALTHCARE CENTER - NEW CONCORD 1 EAST MAIN STREET NEW CONCORD OH 43762 LAB SERVICES 12 - GENESIS HEALTH CENTER - PERRY COUNTY 301 DR MIKE CLOUSE DRIVE SOMERSET OH 43783 DIAGNOSITC HEALTHCARE SERVICES/PHYSICAL & OCCUPATIONAL THERAPY 13 - GENESIS SURGERY CENTER 2907 MAPLE AVENUE ZANESVILLE OH 43701 OUTPATIENT SURGERY 14 - GENESIS NEW LEXINGTON DRAW CENTER 445 WEST BROADWAY NEW LEXINGTON OH 43764 LAB SERVICES 15 - GENESIS ENDOCRINOLOGY 860 BETHESDA DRIVE BUILDING 2 UNIT 4 ZANESVILLE OH 43701 EDUCATION AND OUTPATIENT ENDOCRINOLOGY SERVICES 16 - GENESIS VAIN CENTER 930 BETHESDA DRIVE BUILDING 4 UNIT 1 ZANESVILLE OH 43701 DIAGNOSIS AND TREATMENT OF OUTPATIENT VEIN DISORDERS PART I, LINE 7: COSTS OF CHARITY CARE AND COMMUNITY BENEFIT ACTIVITIES WERE CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7, COLUMN (F): PERCENTAGE OF TOTAL EXPENSES WAS CALCULATED BASED ON TOTAL EXPENSES LESS BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX. PART II, COMMUNITY BUILDING ACTIVITIES: GENESIS HAS AN ACTIVE PRESENCE ON MANY COMMITTEES INVOLVED IN FINDING LOW COST SOLUTIONS TO PHYSICAL AND MENTAL HEALTH ISSUES PREVALENT IN OUR COMMUNITIES, WITH PARTICULAR FOCUS ON SERVING LOW-INCOME, UNINSURED OR OTHERWISE UNDERSERVED. GENESIS NURSES, THERAPISTS, DIABETES COUNSELORS, ADMINISTRATORS AND OTHER PROFESSIONALS PARTICIPATE IN COMMUNITY COALITIONS AND PREVENTION PROGRAMS, PRIMARILY WITH A FOCUS ON ACCESS TO CARE, TRANSPORTATION, FOOD INSECURITY, HOMELESSNESS, DOMESTIC VIOLENCE, FAMILY SERVICES, WELLNESS INITIATIVES, COUNTY HEALTH COALITIONS, COMMUNITY RESOURCES, ADDICTION REDUCTION, ACCIDENT PREVENTION, AND MENTAL HEALTH. THESE ACTIVITIES ARE ALL CAPTURED IN CBISA. COMMUNITY BUILDING ACTIVITIES INCLUDE MEMBERSHIP IN COMMUNITY GROUPS AND ATTENDING MEETINGS, CONFERENCES, AND COLLABORATIVE COMMUNITY EVENTS AND PARTICIPATION IN THE HEALTH ASSESSMENTS AND PLANNING EFFORTS OF LOCAL HEALTH DEPARTMENTS. COMMUNITY BENEFIT BUILDING ACTIVITIES ARE CURRENTLY NOT PART OF THE DOCUMENTATION FOR COMMUNITY BENEFIT. PART III, LINE 2: BAD DEBT IS CALCULATED USING GROSS CHARGES. PART III, LINE 3: NO BAD DEBT IS ESTIMATED TO RELATE TO CHARITY CARE. PART III, LINE 4: THE FINANCIAL STATEMENT FOOTNOTE RELATED TO BAD DEBT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOOTNOTE 1 "NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES" GROUPED WITH ACCOUNTS RECEIVABLE ON PAGE 8. PART III, LINE 8: CALCULATION WAS BASED ON THE MEDICARE COST TO CHARGE RATIO. PART III, LINE 9B: ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY (PLS) OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE FROM THE HOSPITAL. AT LEAST THREE SEPARATE COMMUNICATIONS WILL BE MAILED TO THE LAST KNOWN ADDRESS OF THE RESPONSIBLE PARTY ALSO CONTAINING THE PLS. AT LEAST 60 DAYS WILL LAPSE BETWEEN THE FIRST AND THIRD REQUIRED COMMUNICATION. DETAILED ITEMIZED STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST EXCEPT WHERE PROHIBITED BY STATE OR FEDERAL REGULATIONS. ACCOUNTS WITH ZERO BALANCES WILL NOT RECEIVE THREE SEPARATE COMMUNICATIONS; HOWEVER, THESE ACCOUNT HOLDERS MAY ALSO BE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. ALL RESPONSIBLE PARTIES WILL RECEIVE WRITTEN NOTIFICATION REGARDING EXTRAORDINARY COLLECTION ACTIONS (ECA) THAT MAY COMMENCE IF ACTION IS NOT TAKEN. THIRTY DAYS WILL LAPSE BETWEEN ISSUANCE OF NOTIFICATION AND COMMENCEMENT OF ECA. ACTION TAKEN BY THE RESPONSIBLE PARTY CONSTITUTES MAKING PAYMENT ARRANGEMENTS FOR THE AMOUNT DUE OR COMPLETING A FINANCIAL ASSISTANCE APPLICATION. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 120 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. COLLECTION AGENCIES ARE INSTRUCTED TO MAKE PHONE CALLS AND SEND LETTERS. IF THEY CANNOT RESOLVE THE BALANCE, OR HAVE NOT BEEN ABLE TO MAKE PAYMENT ARRANGEMENTS, THE ACCOUNT IS SENT BACK TO GENESIS AS NON-COLLECTIBLE IN 18 MONTHS. PART VI, LINE 2: GENESIS HEALTHCARE SYSTEM, AS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, IS DEDICATED TO MEETING THE HEALTH NEEDS OF OUR COMMUNITIES, REGARDLESS OF ONE'S ABILITY TO PAY. WE ENCOURAGE AND SUPPORT COLLABORATION WITH OTHER COMMUNITY PARTNERS TO IDENTIFY, RESPOND TO AND STRIVE TO IMPROVE THE HEALTH-RELATED NEEDS OF THE POOR, THE UNDERSERVED, AND THE COMMUNITY AT LARGE. WE PLEDGE ALL AVAILABLE FINANCIAL RESOURCES - AFTER OUR OPERATING EXPENSES ARE MET - TO RESPOND TO THE COMMUNITY'S HEALTH NEEDS WITH SERVICE INITIATIVES, FINANCIAL AND PROFESSIONAL SUPPORT, AND EDUCATION AND WELLNESS PROGRAMS.THE COMMUNITY BENEFIT COMMITTEE COLLABORATES WITH GENESIS ADMINISTRATION AND DEPARTMENTS AND WITH COMMUNITY AGENCIES IN OUR DEFINED GEOGRAPHIC MARKET, INCLUDING BUT NOT LIMITED TO THE PUBLIC HEALTH DEPARTMENTS, MUSKINGUM VALLEY HEALTH CENTERS, AND THE UNITED WAY, TO ASSESS COMMUNITY HEALTH NEEDS AND STRENGTHS; DEVELOP A COMMUNITY BENEFIT PLAN WITH STRATEGIC GOALS AND INTERVENTIONS; MONITOR IMPLEMENTATION OF COMMUNITY BENEFIT ACTIVITIES; EVALUATE COMMUNITY BENEFIT ACTIVITIES; ADVOCATE FOR THE COMMUNITY BENEFIT PROGRAMS; AND ASSIST IN TELLING THE GENESIS HOSPITAL COMMUNITY BENEFIT STORY. PART VI, LINE 3: GENESIS HAS SIGNAGE STRATEGICALLY LOCATED IN THE FACILITY (REGISTRATION AREAS AND CASHIER AREAS) ADVISING OF FREE CARE. BILLING STATEMENTS ALSO CONTAIN THIS INFORMATION ALONG WITH A CHARITY CARE APPLICATION PRINTED ON THE REVERSE SIDE OF THE BILL. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. WE HAVE REGISTRATION STAFF THAT WORK IN THE EMERGENCY DEPARTMENT TO SCREEN PATIENTS FOR POTENTIAL MEDICAID QUALIFIERS IF THE PATIENT ALLOWS. FOR INPATIENTS, WE HAVE RESOURCE COUNSELING STAFF THAT SCREEN SELF-PAY, UNDERINSURED AND MEDICARE ONLY PATIENTS FOR MEDICAID AND/OR CHARITY. PART VI, LINE 4: OUR GEOGRAPHIC MARKET AREA IS A SIX-COUNTY RURAL REGION OF SOUTHEAST OHIO, INCLUDING MUSKINGUM, MORGAN, PERRY, COSHOCTON, GUERNSEY AND NOBLE COUNTIES. TOTAL MARKET AREA POPULATION IS APPROXIMATELY 226,800, WITH MUSKINGUM COUNTY (86,290) REPRESENTING THE LARGEST COUNTY. MEDIAN HOUSEHOLD INCOME LEVELS RANGE FROM $38,941 TO $43,674 WHICH IS LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME OF $50,674 AND EVEN LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME OF $55,322. PEOPLE LIVING BELOW POVERTY LEVEL RANGE FROM 12.7% TO 18.7% IN THE REGION VERSES 14.6% FOR THE STATE AND 12.7% FOR THE NATION. CHILDREN IN POVERTY RANGE FROM 18.0% TO 28.0% IN OUR REGION COMPARED TO 20.0% FOR THE STATE OF OHIO. PART VI, LINE 5: ONGOING COMMUNITY HEALTH EDUCATION IS PROVIDED THROUGH REGULARLY SCHEDULED HEALTH AND WELLNESS PROGRAMS PRESENTED BY GENESIS STAFF AND AFFILIATED PHYSICIANS. PREVENTATIVE HEALTH SCREENINGS ARE ALSO ROUTINELY SCHEDULED FOR BLOOD PRESSURE, DIABETES, FALL-RISK ASSESSMENTS, THINK-FIRST INJURY PREVENTION FOR CHILDREN AND YOUNG ADULTS, AND I.M.P.A.C.T (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING). PROGRAM TOPICS ARE BASED ON COMMUNITY NEED AS DETERMINED BY FEEDBACK FROM PARTICIPANTS, THE COMMUNITY BENEIFIT COMMITTEE AND SERVICE LINE LEADERS. GENESIS ALSO REGULARLY PROVIDES HEALTH AND WELLNESS PROMOTION THROUGH COMMUNITY-BASED HEALTH FAIRS AND EVENTS HELD THROUGHOUT THE COMMUNITY. CLINICAL EXPERIENCES ARE OFFERED FOR HEALTHCARE STUDENTS AS WELL AS TRAINING OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS. PART VI, LINE 6: GENESIS HOSPITAL AND ITS AFFILIATES ARE REACHING OUT TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH COMMUNITY INITIATIVES, MANY BASED ON PREVENTION. SOME EXAMPLES INCLUDE:- PROVIDING CLINICAL EXPERIENCES WITH AFFILIATED PHYSICIANS FOR MEDICAL STUDENTS- NUMEROUS HEALTH SCREENINGS IN CONJUNCTION WITH AFFILIATED PHARMACY- COMMUNITY PROGRAMS ON VARIOUS HEALTH TOPICES PROVIDED BY AFFILIATED PHYSICIANS- GENESIS COMMUNITY AMBULANCE INITIATIVES INCLUDING PARTICIPATION IN PRESENTATIONS THAT SIMULATE DISTRACTED DRIVING ACCIDENTS AT SCHOOLS AND ORGANIZATIONS, PROMOTING THE WELL-BEING OF THE COMMUNITY THROUGH PARAMEDIC ASSISTS AND STANDBYS AT LOCAL EVENTS AND INCREASING PUBLIC AWARENESS OF EMERGENCY MEDICAL SERVICE THROUGH VARIOUS EFFORTS SUCH AS AMBULANCE TOURS 1 UNITED WAY OF MPM COUNTIES 526 PUTNAM AVENUE ZANESVILLE OH 43701 314379456 501(C)(3) 15000 CORPORATE DONATION FOR PLEDGE CAMPAIGN AMERICAN HEART ASSOCIATION PO BOX 4002907 DES MOINES IA 50340 135613797 501(C)(3) 17000 HEARTCHASE SPONSORSHIP AGREEMENT AMERICAN CANCER SOCIETY 5555 FRANTZ ROAD DUBLIN OH 43017 131788491 501(C)(3) 6000 COUNTY SPONSOR CENTRAL AMERICAN MEDICAL OUTREACH 322 WESTWOOD AVENUE ORVILLE OH 44667 341740695 501(C)(3) 305077 FAIR MARKET VALUE DONATION OF SUPPLIES 4 0 PART I, LINE 2: THE ANNUAL COMMUNITY IMPACT DONATION TO THE UNITED WAY, USUALLY MADE IN 4 QUARTERLY INSTALLMENTS, WAS DISCONTINUED AFTER THE JUNE 2017 PAYMENT AS "GENESIS WILL BE RE-DEPLOYING COMMUNITY BENEFIT IMPACT DOLLARS TO COMMUNITY WELLNESS AND HEALTH PROGRAMS THAT GENESIS IS ACTIVELY PROVIDING. GENESIS WILL CONTINUE TO SUPPORT THE ANNUAL CORPORATE DONATION OF $15,000 IN ADDITION TO THE GENESIS EMPLOYEES ANNUAL DONATIONS. THE AMERICAN HEART ASSOCIATION GRANT IS PART OF A 3 YR COMMITMENT FROM 2016-2018 FOR A TOTAL CONTRIBUTION OF $51,000. THIS COMMITMENT WAS AUTHORIZED BY OUR CEO THROUGH A SIGNED AGREEMENT AND IS TO BENEFIT THE LOCAL HEART CHASE PROGRAM OF WHICH GENESIS IS A SPONSOR AND PARTICIPANT. THE AMERICAN CANCER SOCIETY GRANT IS A SPONSORSHIP OF LOCAL ACS EVENTS IN AREA COUNTIES SERVED BY GENESIS. GENESIS ENCOURAGES COMMUNITY AND EMPLOYEE PARTICIPATION IN THESE EVENTS. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 MATTHEW PERRY PRESIDENT & CEO 733981 0 115100 0 0 0 31525 0 22526 0 903132 0 0 0 SCOTT WEGNER MD CHIEF CLINICAL OFFICER 0 691366 0 98875 0 0 0 16300 0 26760 0 833301 0 0 EDMUND ROMITO CHIEF INFORMATION OFFICER 368577 0 73217 0 0 0 196807 0 20202 0 658803 0 0 0 DANIEL SCHEERER MD CHIEF MEDICAL AFFAIRS OFFICER 357028 0 174226 0 0 0 61000 0 19348 0 611602 0 0 0 JOHN ZIMMERMAN MD TRUSTEE 0 476924 0 15629 0 0 0 25000 0 35521 0 553074 0 0 DIANNA LEVECK CHIEF HUMAN RESOURCES OFFICER 385395 0 77344 0 0 0 66488 0 17591 0 546818 0 0 0 MICHAEL NORMAN CHIEF FINANCIAL OFFICER 412022 0 73634 0 0 0 16101 0 18555 0 520312 0 0 0 KRISTY RITCHIE MD TRUSTEE 0 357092 0 119281 0 0 0 5478 0 26913 0 508764 0 0 WENDY CEDOZ CHIEF LEGAL OFFICER 328697 0 69095 0 0 0 59321 0 39988 0 497101 0 0 0 SHARON PARKER CHIEF OPERATION OFFICER 391000 0 69095 0 0 0 19351 0 16775 0 496221 0 0 0 CHRISTOPHER SCHOELLES CHIEF OPERATION OFFICER 318342 0 58782 0 0 0 12623 0 17255 0 407002 0 0 0 ERIN REMSTER DO TRUSTEE 0 269320 0 15000 0 0 0 4348 0 15351 0 304019 0 0 SHON BENDER CHIEF NURSING OFFICER 249653 0 27952 0 0 0 7739 0 893 0 286237 0 0 0 LES BOYER DIRECTOR 161910 0 8105 0 0 0 2080 0 28889 0 200984 0 0 0 CHARLES ADAMS JR DIRECTOR 143602 0 31930 0 0 0 3084 0 19035 0 197651 0 0 0 MARIANNE GRAHAM MANAGER 165825 0 8064 0 0 0 0 0 10583 0 184472 0 0 0 GREGORY HAMILTON DIRECTOR 156293 0 7470 0 0 0 4526 0 11952 0 180241 0 0 0 PART I, LINE 1A THE ORGANIZATION PAYS COUNTRY CLUB DUES AND RELATED BUSINESS EXPENSES FOR MEMBERS OF SENIOR LEADERSHIP. PERSONAL USAGE IS PAID BY THE INDIVIDUAL AND THE PERCENTAGE OF DUES RELATED TO PERSONAL USAGE ARE ADDED TO THE INDIVIDUALS W-2. PART I, LINE 4B LINE 4B: A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: WENDY CEDOZ: $43,551 DIANNA LEVECK: $48,750 EDMUND ROMITO: $177,123 DANIEL SCHEERER, MD: $44,201 PART I, LINE 7 BOARD REVIEWS BONUSES BASED ON PERFORMANCE. A COUNTY OF MUSKINGUM OHIO 316400080 628077CK3 2013-05-09 295000000 ACQUIRING, CONSTRUCTING, RENOVATING, INSTALLING AND EQUIPPING HOSP FAC. 0 0 0 A 3950000 294645952 28217261 2016 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 6 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., AND BETHESDA CARE SYSTEM (OR THEIR RESPECTIVE SUCCESSORS AN ASSIGNS) ARE THE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED IN ITS ENTIRETY BY THE CFO. AN OVERVIEW OF THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE. A COPY OF FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS VIA A WEB PORTAL FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C THE CONFLICT OF INTEREST POLICY STATES THAT BOARD MEMBERS AND OFFICERS HAVE A DUTY TO GOVERN HONESTLY AND ECONOMICALLY. ALL POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE BOARD WILL DETERMINE IF A CONFLICT EXISTS AND APPROPRIATE PROCEDURES TO MITIGATE THE SITUATION, SUCH AS ALTERNATIVE TRANSACTIONS AND PARTICIPATION AND VOTING RESTRICTIONS. THE COMPLIANCE OFFICER MONITORS AND ENFORCES THESE POLICIES. ALL OFFICERS AND DIRECTORS REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO IS MANAGED THROUGH A THIRD PARTY THAT IS A NATIONALLY RECOGNIZED FIRM SPECIALIZING IN COMPENSATION BENCHMARKING AND ANALYSIS. THE FIRM IS RECOGNIZED FOR THEIR EXPERTISE IN EVALUATING TOTAL COMPENSATION AT THE EXECUTIVE LEVEL. THIS FIRM PRESENTS THEIR RECOMMENDATIONS AND ANALYSIS TO THE COMPENSATION COMMITTEE, WHICH IS MADE UP OF INDEPENDENT MEMBERS OF THE GENESIS BOARD OF DIRECTORS. THE COMMITTEE IS RESPONSIBLE FOR MAKING A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING THE EXECUTIVE COMPENSATION POLICY AND SPECIFIC COMPONENTS OF THE TOTAL COMPENSATION OF THE CEO. THE CEO IS ACTIVELY INVOLVED IN THE REVIEW, ANALYSIS AND RECOMMENDATION RELATED TO THE TOTAL COMPENSATION FOR THE REMAINING MEMBERS OF THE SENIOR LEADERSHIP TEAM. THE CEO DETERMINES THE COMPENSATION OF THE SENIOR LEADERSHIP TEAM MEMBERS WITHIN THE PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE. THIS COMPENSATION PROCESS WAS LAST COMPLETED IN 2019. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART IX, LINE 11G PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 22,260,101. MANAGEMENT AND GENERAL EXPENSES 5,753,896. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 28,013,997. MEDICAL AND PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 9,710,835. MANAGEMENT AND GENERAL EXPENSES 1,646,935. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,357,770. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 17,581. MANAGEMENT AND GENERAL EXPENSES 1,540,570. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,558,151. SECURITY SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 296. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 296. BILLING AND COLLECTION FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,849,842. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,849,842. INPATIENT TRANSPORT: PROGRAM SERVICE EXPENSES 90,680. MANAGEMENT AND GENERAL EXPENSES 809,864. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 900,544. SPONSORSHIP FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 1,868,195. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,868,195. CONSULTING FEES: PROGRAM SERVICE EXPENSES 196,983. MANAGEMENT AND GENERAL EXPENSES 1,045,330. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,242,313. COURIER SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 671,040. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 671,040. FORM 990, PART XI, LINE 9: GAIN IN FAIR VALUE OF PERPETUAL TRUST 14,006,797. PLEDGE RECEIVABLE FROM RELATED PARTY -57,833,203. CHANGE IN ACCOUNTING PRINCIPLE 3,850,058. CONTRIBUTED CAPITAL 40,000. INCOME FROM INVESTMENT IN COMMUNITY AMBULANCE SERVICES 566,480. CHANGE IN FAIR MARKET VALUE INTEREST SWAP -845,961. CHANGE IN PENSION DUE TO SETTLEMENTS -8,427,348. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PAGE 1, LINE H(D): THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259 GENESIS HEALTHCARE FOUNDATION 2951 MAPLE AVENUE ZANESVILLE OH 43701 311629304 FUNDRAISING FOR GHS OH 501(C)(3) 3 GENESIS HEALTHCARE SYSTEM 1 GOOD SAMARITAN MEDICAL CENTER FOUNDATION 2951 MAPLE AVENUE ZANESVILLE OH 43701 310969646 FUNDRAISING FOR GHS OH 501(C)(3) 3 GENESIS HEALTHCARE FOUNDATION 1 BETHESDA HOSPITAL FOUNDATION 2951 MAPLE AVENUE ZANESVILLE OH 43701 310885513 FUNDRAISING FOR GHS OH 501(C)(3) 3 GENESIS HEALTHCARE FOUNDATION 1 FRANCISCAN SISTERS OF CHRISTIAN CHARITY 1415 SOUTH RAPIDS ROAD MANITOWOC WI 542209302 391530622 SPONSOR OF GHS WI 501(C)(3) 7 N/A 0 GOOD SAMARITAN MEDICAL CENTER 2951 MAPLE AVENUE ZANESVILLE OH 43701 314379479 MAINTAINS REAL ESTATE TITLE FOR HOSPITAL OH 501(C)(3) 3 GENESIS HEALTHCARE SYSTEM 1 BETHESDA CARE SYSTEM 2951 MAPLE AVENUE ZANESVILLE OH 43701 311067174 SPONSOR OF GHS OH 501(C)(3) 9 GENESIS HEALTHCARE SYSTEM 1 BETHESDA HOSPITAL ASSOCIATION 2951 MAPLE AVENUE ZANESVILLE OH 43701 314380038 MAINTAINS REAL ESTATE TITLE FOR HOSPITAL OH 501(C)(3) LINE 12B, II GENESIS HEALTHCARE SYSTEM 1 ALTERNACARE 2951 MAPLE AVENUE ZANESVILLE OH 43701 311487187 STERILIZATIONS OH 501(C)(3) 3 BETHESDA CARE SYSTEM 1 CARESERVE 2951 MAPLE AVENUE ZANESVILLE OH 43701 311099924 FORMERLY OPERATED 2 NURSING HOMES THAT WERE SOLD PRIOR TO 2012 OH 501(C)(3) 3 GENESIS HEALTHCARE SYSTEM 1 COMMUNITY AMBULANCE SERVICE 2951 MAPLE AVENUE ZANESVILLE OH 43701 341773323 AMBULANCE SERVICE OH 501(C)(3) LINE 11 GENESIS HEALTHCARE SYSTEM 1 GENESIS CAREGIVERS 2951 MAPLE AVENUE ZANESVILLE OH 43701 311282152 HOME CARE SERVICES OH 501(C)(3) 3 CARESERVE 1 BETHESDA HOSPITALITY SHOP 2951 MAPLE AVENUE ZANESVILLE OH 43701 316050713 GIFT SHOP OH 501(C)(3) 3 GENESIS HEALTHCARE SYSTEM 1 CARELIFE LLC 2951 MAPLE AVENUE ZANESVILLE OH 43701 311128717 PHYSICIAN SERVICES, CHILDCARE SERVICES, PHARMACY, DME OH GENESIS HEALTHCARE SYSTEM C -47975199 55340670 1.00000 1 SOUTHEAST OHIO MEDICAL INSURANCE COMPANY FIRST CARIBBEAN HOUSE GEORGE TOWN CAYMAN ISLANDS CJ 980436356 CAPTIVE INSURANCE COMPANY CJ GENESIS HEALTHCARE SYSTEM C 15579579 1.00000 1 0 0 1 1 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 GENESIS HEALTHCARE SYSTEM GROUP C 83236 ACCRUAL TRANSACTION GENESIS HEALTHCARE SYSTEM GROUP S 2193042 ACCRUAL TRANSACTION GENESIS HEALTHCARE SYSTEM GROUP O 339365 ACCRUAL TRANSACTION CARELIFE LLC R 60109481 ACCRUAL TRANSACTION GENESIS HEALTHCARE FOUNDATION S 2193042 ACCRUAL TRANSACTION