GENESIS HEALTH SYSTEM: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH SYSTEM (EIN 42-1418847)
Tax period: 2018-07-01 to 2019-06-30
Filed: 2020-05-14
IRS object ID: 202041359349301419
Schema version: 2018v3.1
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2020-05-14T09:30:35-05:00	ReturnTs
Tax Period End	2019-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2018-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	421418847	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Genesis Health System	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GENE	BusinessNameControlTxt
Phone	5634216508	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E Rusholme Street	AddressLine1Txt
City	Davenport	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52803	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK G ROGERS	PersonNm
Person Title	V.P.Finance/CFO & Asst.Treasurer	PersonTitleTxt
Signature	2020-05-14	SignatureDt

Field	Value	IRS element (for citing)
Tax	2018	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Principal Ofcr Business Name PrincipalOfcrBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Mark G Rogers	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E Rusholme Street	AddressLine1Txt
City	Davenport	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52803	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$860,751,166	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GENESISHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1994	FormationYr
Legal Domicile State	IA	LegalDomicileStateCd
Activity Or Mission	GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	10	VotingMembersIndependentCnt
Total Employee	4744	TotalEmployeeCnt
Total Volunteers	403	TotalVolunteersCnt
Total Gross UBI	$1,460,035	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$604,518	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,708,482	PYContributionsGrantsAmt
CY Contributions Grants	$3,109,862	CYContributionsGrantsAmt
PY Program Service Revenue	$503,962,486	PYProgramServiceRevenueAmt
CY Program Service Revenue	$503,499,125	CYProgramServiceRevenueAmt
PY Investment Income	$18,755,930	PYInvestmentIncomeAmt
CY Investment Income	$22,626,272	CYInvestmentIncomeAmt
PY Other Revenue	$934,268	PYOtherRevenueAmt
CY Other Revenue	$1,016,080	CYOtherRevenueAmt
PY Total Revenue	$526,361,166	PYTotalRevenueAmt
CY Total Revenue	$530,251,339	CYTotalRevenueAmt
PY Grants And Similar Paid	$1,909,767	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$1,862,095	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$271,782,415	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$273,641,893	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$237,840,912	PYOtherExpensesAmt
CY Other Expenses	$246,010,356	CYOtherExpensesAmt
PY Total Expenses	$511,533,094	PYTotalExpensesAmt
CY Total Expenses	$521,514,344	CYTotalExpensesAmt
PY Revenues Less Expenses	$14,828,072	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,736,995	CYRevenuesLessExpensesAmt
Total Assets BOY	$848,319,427	TotalAssetsBOYAmt
Total Assets EOY	$866,762,987	TotalAssetsEOYAmt
Total Liabilities BOY	$264,235,718	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$271,240,442	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$584,083,709	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$595,522,545	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$283,657,059	ExpenseAmt
Grant	$1,857,966	GrantAmt
Revenue	$377,254,877	RevenueAmt
Desc	GENESIS HEALTH SYSTEM (GHS IOWA) IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA CONSISTING OF THREE HOSPITAL FACILITIES, TWO IN DAVENPORT AND ONE IN DEWITT, IOWA. GENESIS MEDICAL CENTER - DAVENPORT, CONTAINING 502 LICENSED ACUTE CARE BEDS. STATISTICS INCLUDE 67,151 PATIENT DAYS AND 214,504 OUTPATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS AND 77 LONG-TERM CARE BEDS. STATISTICS INCLUDE 1,424 PATIENT DAYS AND 20,257 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$120,821,288	ExpenseAmt
Revenue	$93,160,056	RevenueAmt
Desc	GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA), CONSISTS OF 44 CLINICS AND 157 PHYSICIANS ENCOMPASSING A WIDE VARIETY OF SPECIALTIES AND FAMILY PRACTICE GROUPS SERVING IOWA, ILLINOIS AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND WESTERN ILLINOIS. STATISTICS INCLUDE TOTAL PRACTITIONER HOURS 282,360 AND RVU'S (RELATIVE VALUE UNITS) 1,015,612.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$26,803,283	ExpenseAmt
Grant	$4,129	GrantAmt
Revenue	$28,427,601	RevenueAmt
Desc	GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES HOME HEALTH SERVICES (INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING, MEDICAL SOCIAL WORKER VISITS), COMMUNITY HOSPICE SERVICES, AND THE CLARISSA C. COOK HOSPICE HOUSE LOCATED IN BETTENDORF, IOWA. STATISTICS INCLUDE 113,381 HOME HEALTH SERVICE UNITS AND 57,523 HOSPICE/HOSPICE HOUSE DAYS.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$2,452,522	ExpenseAmt
Revenue	$4,656,591	RevenueAmt
Desc	GENESIS ACCOUNTABLE CARE ORGANIZATION (ACO) IS A SINGLE MEMBER IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS RELATED TO THE CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM (GHS IOWA) IS THE SOLE MEMBER OF GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC. FOR INCOME TAX AND INFORMATIONAL RETURN PURPOSES, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC IS A DISREGARDED ENTITY AND IS INCLUDED WITHIN THE GHS IOWA'S INCOME TAX AND INFORMATIONAL RETURNS.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$2,452,522	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$4,656,591	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$433,734,152	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	Yes (true)	LobbyingActivitiesInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	Yes (true)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	Yes (true)	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	Yes (true)	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (true)	GrantsToOrganizationsInd
Grants To Individuals	Yes (true)	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (true)	TaxExemptBondsInd
Invest Tax Exempt Bonds	false	InvestTaxExemptBondsInd
Escrow Account	false	EscrowAccountInd
On Behalf Of Issuer	false	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	Yes (true)	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	Yes (true)	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (true)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (true)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	286	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	4744	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	Yes (true)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	Yes (true)	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	false	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	false	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	10	IndependentVotingMemberCnt
Family Or Business Rln	false	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	false	MembersOrStockholdersInd
Election Of Board Members	false	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	Yes (true)	LocalChaptersInd
Policies Reference Chapters	Yes (true)	PoliciesReferenceChaptersInd
Form990 Provided To Gvrn Body	Yes (true)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARK G ROGERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	5634216508	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E RUSHOLME	AddressLine1Txt
City	DAVENPORT	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	528032498	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (36 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	50.0	11.5	Yes (X)	Yes (X)	$1,057,462	$0	$34,754
STEVEN C BAHLS
CHAIR	4.0	4.0	Yes (X)	Yes (X)	$0	$0	$0
GREGORY J BUSH
TREASURER	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
ROGER J HILL
SECRETARY	2.0	2.0	Yes (X)	Yes (X)	$0	$0	$0
C DANA WATERMAN III
VICE CHAIR	2.5	2.0	Yes (X)	Yes (X)	$0	$0	$0
MARK D BAWDEN
DIRECTOR	2.0	3.5	Yes (X)		$0	$0	$0
PETER J BENSON
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
CHRISTOPHER J COX
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
EDMUND P COYNE JR
Director	2.0	2.0	Yes (X)		$0	$0	$0
PATRICIA S GROVES
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
MARK C KILMER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
JAMES W KOEHLER
FORMER DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
GEORGE J KONTOS JR
Director	40.0	2.0	Yes (X)		$514,273	$0	$26,929
DAVID C LARSON
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
CHARLENE E MAASKE
FORMER DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
G CHRISTOPHER WAHLIG
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
DALE D ZUDE
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
EDWIN V MOTTO MD
DIRECTOR	5.0	5.0	Yes (X)		$0	$0	$0
EDWARD J ROGALSKI PHD
DIRECTOR	5.0	5.0	Yes (X)		$0	$0	$0
DAVID HELLER
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
ROBIN PETERSEN
DIRECTOR	2.0	2.0	Yes (X)		$0	$0	$0
PAUL BOLLINGER
LEGAL AFFAIRS VICE PRESIDENT AND ASS	30.0	10.0		Yes (X)	$352,720	$0	$23,923
MARK G ROGERS
V.P. FINANCE/CFO/ASST TREASURER	30.0	10.0		Yes (X)	$662,815	$0	$27,376
NIDAL HARB
CHIEF MEDICAL OFFICER	32.0	8.0			$655,128	$0	$28,791	Yes (X)
KURT A ANDERSEN
PRESIDENT GHG	40.0	0			$561,166	$0	$23,296	Yes (X)
JORDAN VOIGT
HOSPITAL PRESIDENT GMC DAVENPORT	40.0	0			$535,361	$0	$25,852	Yes (X)
EVA PROCTOR
CARDIOTHORACIC PHYSICIAN	40.0	0			$804,522	$0	$17,151	Yes (X)
HEIDI S KAHLY-MCMAHON
	30.0	10.0			$593,322	$0	$24,071		Yes (X)
MICHAEL BURCHETT
PHYSICIAN	40.0	0			$578,726	$0	$23,598		Yes (X)
NATHAN MELOY
PHYSICIAN	40.0	0			$584,590	$0	$21,446		Yes (X)
TODD RIDENOUR
PHYSICIAN	40.0	0			$855,352	$0	$23,972		Yes (X)
WASEEM AHMAD
PHYSICIAN	40.0	0			$661,301	$0	$24,081		Yes (X)
JACQUELINE K ANHALT
FORMER V.P. PATIENT SERVICES	32.0	8.0			$436,122	$0	$25,795			Yes (X)
ROBERT W FRIEDEN
FORMER V.P. INFORMATION SERVICES	32.0	8.0			$402,571	$0	$24,856			Yes (X)
CHRISTOPHER CROME
FORMER PHYSICIAN/DIVISION CHAIR	40.0	0			$420,441	$0	$19,694			Yes (X)
HAROLD WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER	40.0	0			$235,381	$0	$22,524			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,911,253	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$418,109	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	331	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (true)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt	Address Line2ContractorAddress/USAddress/AddressLine2Txt
Cerner Corporation
PO Box 959156	St Louis	MO	931959156	Information Technology Services	$13,018,677
Crothall Healthcare Inc
1500 Liberty Ridge Drive	Wayne	PA	19087	Maintenance/Enviromental Services	$6,244,532
Apogee Medical Management Inc
15059 N Scottsdale Road	Scottsdale	AZ	85254	MEDICAL PROFESSIONAL SERVICES	$4,380,266
H R Accounts Inc
PO Box 672	Moline	IL	612660672	Collection Services	$2,866,211	5320 22nd Avenue
Morrison Healthcare
5801 Peachtree Dunwoody Rd	Atlanta	GA	303421503	Nutritional Services	$2,650,242

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	85	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Related Organizations	$1,211,541	RelatedOrganizationsAmt
Government Grants	$1,066,007	GovernmentGrantsAmt
All Other Contributions	$832,314	AllOtherContributionsAmt
Noncash Contributions	$42,335	NoncashContributionsAmt
Total Contributions	$3,109,862	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT REVENUE	621400	$679,857,468	$679,857,468
INPATIENT REVENUE	900099	$522,559,475	$522,559,475
CLINIC/NURSING REVENUE	621400	$219,887,261	$219,887,261
HOME HEALTH/PROFESSIONAL SERVICES	621400	$41,157,841	$39,697,806	$1,460,035
RESIDENT/LONG TERM CARE	621400	$6,135,325	$6,135,325

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$966,098,245	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$966,098,245	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$503,499,125	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$10,285,074	TotalRevenueColumnAmt
Exclusion	$10,285,074	ExclusionAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt
Personal	$0	PersonalAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$342,522,816	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$330,181,618	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$12,341,198	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,341,198	TotalRevenueColumnAmt
Exclusion	$12,341,198	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$390,760	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$318,209	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$72,551	TotalRevenueColumnAmt
Exclusion	$72,551	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
VENDOR REBATES	900099	$128,031	$128,031
NUTRITIONAL SERVICES	900099	$107,726	$107,726
AMBULANCE	900099	$56,533	$56,533

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$651,239	TotalRevenueColumnAmt
Related Or Exempt Func Income	$651,239	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$943,529	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$530,251,339	TotalRevenueColumnAmt
Related Or Exempt Func Income	$502,982,619	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,460,035	UnrelatedBusinessRevenueAmt
Exclusion	$22,698,823	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$1,848,488	TotalAmt
Program Services	$1,848,488	ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

Field	Value	IRS element (for citing)
Total	$13,607	TotalAmt
Program Services	$13,607	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$5,351,519	TotalAmt
Program Services	$1,362,875	ProgramServicesAmt
Management And General	$3,988,644	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$194,279	TotalAmt
Program Services	$77,896	ProgramServicesAmt
Management And General	$116,383	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$229,846,793	TotalAmt
Program Services	$196,128,725	ProgramServicesAmt
Management And General	$33,718,068	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,915,405	TotalAmt
Program Services	$2,898,179	ProgramServicesAmt
Management And General	$2,017,226	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$17,782,757	TotalAmt
Program Services	$14,781,258	ProgramServicesAmt
Management And General	$3,001,499	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,551,140	TotalAmt
Program Services	$13,053,532	ProgramServicesAmt
Management And General	$2,497,608	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$2,629,385	TotalAmt
Program Services	$1,109,503	ProgramServicesAmt
Management And General	$1,519,882	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$421,147	TotalAmt
Management And General	$421,147	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$307,578	TotalAmt
Management And General	$307,578	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$95,285	TotalAmt
Management And General	$95,285	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$730,009	TotalAmt
Management And General	$730,009	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$67,786,017	TotalAmt
Program Services	$54,885,949	ProgramServicesAmt
Management And General	$12,900,068	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,314,996	TotalAmt
Program Services	$118,419	ProgramServicesAmt
Management And General	$1,196,577	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$7,469,660	TotalAmt
Program Services	$3,956,669	ProgramServicesAmt
Management And General	$3,512,991	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$3,790,713	TotalAmt
Program Services	$1,862,667	ProgramServicesAmt
Management And General	$1,928,046	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$19,997,799	TotalAmt
Program Services	$16,034,338	ProgramServicesAmt
Management And General	$3,963,461	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$1,526,163	TotalAmt
Program Services	$987,513	ProgramServicesAmt
Management And General	$538,650	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$609,489	TotalAmt
Program Services	$458,971	ProgramServicesAmt
Management And General	$150,518	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$7,506,454	TotalAmt
Program Services	$7,506,454	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$32,033,229	TotalAmt
Program Services	$20,039,685	ProgramServicesAmt
Management And General	$11,993,544	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,928,615	TotalAmt
Program Services	$363,619	ProgramServicesAmt
Management And General	$1,564,996	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FEDERAL AND STATE INCOME TAX	$213,103	$213,103
MEDICAL AND PHARMACEUTICAL	$44,273,460	$44,163,754	$109,706
PATIENT SUPPLY COST OF	$44,284,820	$44,284,820
FOOD, BEVERAGES, AND OT	$5,533,918	$4,672,411	$861,507

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,558,516	TotalAmt
Program Services	$2,911,717	ProgramServicesAmt
Management And General	$646,799	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$521,514,344	TotalAmt
Program Services	$433,734,152	ProgramServicesAmt
Management And General	$87,780,192	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,780,270	BOYAmt
EOY	$9,173,566	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$18,913,708	BOYAmt
EOY	$18,408,007	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$101,479,307	BOYAmt
EOY	$112,996,626	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$0	EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$19,509,619	BOYAmt
EOY	$15,762,128	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$12,843,217	BOYAmt
EOY	$12,192,292	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$7,540,930	BOYAmt
EOY	$7,116,896	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$851,008,308	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$539,653,510	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$316,009,212	BOYAmt
EOY	$311,354,798	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$247,952,214	BOYAmt
EOY	$267,840,210	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$63,356,785	BOYAmt
EOY	$65,067,969	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$473,348	BOYAmt
EOY	$506,348	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$44,460,817	BOYAmt
EOY	$46,344,147	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$848,319,427	BOYAmt
EOY	$866,762,987	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$65,574,015	BOYAmt
EOY	$86,633,416	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$24,243	BOYAmt
EOY	$2,516	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$172,842,279	BOYAmt
EOY	$163,716,636	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

Field	Value	IRS element (for citing)
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$25,795,181	BOYAmt
EOY	$20,887,874	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$264,235,718	BOYAmt
EOY	$271,240,442	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows SFAS117	Yes (X)	OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$567,842,611	BOYAmt
EOY	$579,453,955	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$16,241,098	BOYAmt
EOY	$16,068,590	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$584,083,709	BOYAmt
EOY	$595,522,545	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$848,319,427	BOYAmt
EOY	$866,762,987	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,736,995	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$1,700,122	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$853,719	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (true)	AuditCommitteeInd
Federal Grant Audit Required	false	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	false	VolunteersInd
Paid Staff Or Management	Yes (true)	PaidStaffOrManagementInd
Media Advertisements	false	MediaAdvertisementsInd
Mailings Members	Yes (true)	MailingsMembersInd
Mailings Members	$0	MailingsMembersAmt
Publications Or Broadcast	false	PublicationsOrBroadcastInd
Grants Other Organizations	false	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (true)	DirectContactLegislatorsInd
Direct Contact Legislators	$5,134	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$90,151	OtherActivitiesAmt
Total Lobbying Expenditures	$95,285	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Part II-B, Line 1b. PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS Iowa) HAD ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. Part II-B, Line 1d. MAILINGS TO MEMBERS, LEGISLATURES, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM ( GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GENESIS HEALTH SYSTEM (GHS IOWA) REGARDING THIS ACTIVITY. Part II-B, Line 1f. GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GENESIS HEALTH SYSTEM (GHS IOWA) PRESENTED ONE GRANT TO OTHER ORGANIZATIONS: 1.) QUAD CITIES CHAMBER-IOWA LEGISLATIVE LUNCHEON 2018, $3,000. Part II-B, Line 1g. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD ONESTAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS RELATED TO THEIR LOBBYING ACTIVITIES INCLUDED: SALARIES- $4,971. Part II-B, Line 1i. OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2018, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM EIDE & HEISINGER, LLC AT A COST OF $25,000. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED; 21% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $26,248, 21.78% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,447, 55% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $8,339, AND VARIOUS OTHER ASSOCIATIONS- $30,843.

Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY

Part II-B, Line 1b. PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS Iowa) HAD ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. Part II-B, Line 1d. MAILINGS TO MEMBERS, LEGISLATURES, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM ( GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GENESIS HEALTH SYSTEM (GHS IOWA) REGARDING THIS ACTIVITY. Part II-B, Line 1f. GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GENESIS HEALTH SYSTEM (GHS IOWA) PRESENTED ONE GRANT TO OTHER ORGANIZATIONS: 1.) QUAD CITIES CHAMBER-IOWA LEGISLATIVE LUNCHEON 2018, $3,000. Part II-B, Line 1g. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD ONESTAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS RELATED TO THEIR LOBBYING ACTIVITIES INCLUDED: SALARIES- $5,134. Part II-B, Line 1i. OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2019, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM EIDE & HEISINGER, LLC AT A COST OF $25,000. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED; 18.10% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $21,157, 22.73% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $19,305, 60% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $7,337, AND VARIOUS OTHER ASSOCIATIONS- $17,352.

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$14,081,104	BeginningYearBalanceAmt
Contributions	$937,158	ContributionsAmt
Investment Earnings Or Losses	$562,187	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$76,473	AdministrativeExpensesAmt
End Year Balance	$15,498,976	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,249,656	BeginningYearBalanceAmt
Contributions	$166,432	ContributionsAmt
Investment Earnings Or Losses	$739,721	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$69,705	AdministrativeExpensesAmt
End Year Balance	$14,081,104	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,080,730	BeginningYearBalanceAmt
Contributions	$191,448	ContributionsAmt
Investment Earnings Or Losses	$1,042,683	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$60,205	AdministrativeExpensesAmt
End Year Balance	$13,249,656	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$11,227,334	BeginningYearBalanceAmt
Contributions	$1,087,419	ContributionsAmt
Investment Earnings Or Losses	-$178,681	InvestmentEarningsOrLossesAmt
Administrative Expenses	$55,342	AdministrativeExpensesAmt
End Year Balance	$12,080,730	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$9,123,481	BeginningYearBalanceAmt
Contributions	$1,985,014	ContributionsAmt
Investment Earnings Or Losses	$118,839	InvestmentEarningsOrLossesAmt
End Year Balance	$11,227,334	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.3629	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.6371	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.0	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	false	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	Yes (true)	EndowmentsHeldRelatedOrgInd
Related Org List Sch R	Yes (true)	RelatedOrgListSchRInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$39,229,710	OtherCostOrOtherBasisAmt
Book Value	$39,229,710	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$357,939,860	OtherCostOrOtherBasisAmt
Depreciation	$170,863,639	DepreciationAmt
Book Value	$187,076,221	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$29,124,725	OtherCostOrOtherBasisAmt
Depreciation	$21,075,819	DepreciationAmt
Book Value	$8,048,906	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$387,106,842	OtherCostOrOtherBasisAmt
Depreciation	$325,200,040	DepreciationAmt
Book Value	$61,906,802	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$37,607,171	OtherCostOrOtherBasisAmt
Depreciation	$22,514,012	DepreciationAmt
Book Value	$15,093,159	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$311,354,798	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (11 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN GENVENTURES, INC	$25,782,798	C
INVESTMENT IN MISERICORDIA ASSURANCE, LTD.	$120,000	C
INVESTMENT IN HEI COOP	$3,506,340	C
INVESTMENT IN SPRING PARK SURGERY CENTER, LLC	$3,104,532	C
INVESTMENT IN GENGASTRO, LLC	$23,542,672	C
INVESTMENT IN GENORTHO, LLC	$2,384,402	C
INVESTMENT IN GENRAD IMAGING, LLC	$2,999,262	C
OTHER INVESTMENTS - GMC	$28,655	F
INVESTMENT IN UNIVERSITY OF IOWA HEALTH ALLIANCE, LLC	$81,855	C
INVESTMENT IN DAVITA DIALYSIS, LLC	$2,663,970	C
INVESTMENT IN WELLMARK	$853,483	C

Field	Value	IRS element (for citing)
Total Book Value Securities	$65,067,969	TotalBookValueSecuritiesAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
Interest in Net Assets of Foundation	$14,399,069
Deferred Compensation Annuity	$19,620,391
Cash surrender Value of Life Insurance	$8,308,705
Goodwill & Covenant Not to Compete	$912,502
Sercurity Escrow and Other Assets	$2,793,899
Interest Receivable	$309,581

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$46,344,147	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDesc	AmtAmt
ACCRUED PENSION LIABILITY	$0
ACCRUED INS TRUST LOSSES	$1,415,640
NONQUALIFIED PENSION LIABILITY	$19,472,234
LT DEFERRED EXPENSE CREDIT	$0

Field	Value	IRS element (for citing)
Total Liability	$20,887,874	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Schedule D, Part V, Line 4 Intended uses of endowment funds

GENESIS HEALTH SERVICES FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS ARE AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT, EMPLOYEE EMERGENCY ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, DIALYSIS CARE, AND BREAST HEALTH SERVICES.

Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote

Uncertainty in income taxes: GHS Iowa, GHS Illinois, GSL - Aledo, GMC - Aledo, the Genesis Foundation, Genesis Philanthropy and the Workers' Compensation Trust each files 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 financial statements in the period during which, based on all available evidence, management believes that it is more likely than not that the position will be sustained upon examination, including the resolution of appeals or litigation processes, if any. Tax positions are not offset or aggregated with other positions. Tax positions that meet the "more likely than not" recognition threshold are measured as the largest amount of tax benefit that is more than 50% likely to be realized on settlement with the applicable taxing authority. The portion of the benefits associated with tax positions taken that exceeds the amount measured as described above is reflected as a liability for uncertain tax benefits in the accompanying consolidated balance sheets along with any associated interest and penalties that would be payable to the taxing authorities upon examination. Forms 990 and 990T filed by GHS Iowa, GHS Illinois, GSL - Aledo, GMC - Aledo, the Genesis Foundation, Genesis Philanthropy and the Workers' Compensation 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 Foundation and the Workers' Compensation Trust are no longer subject to examination for the fiscal years ended June 30, 2015 and prior. GenVentures is a taxable organization and currently files income tax returns in the U.S. federal jurisdiction and various state jurisdictions. GenVentures is no longer subject to income tax examinations for the fiscal years ended June 30, 2015 and prior. There were no uncertain tax positions as of June 30, 2019 and 2018.

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	Central America and the Caribbean	RegionTxt
Offices	0	OfficesCnt
Employee	0	EmployeeCnt
Type Of Activities Conducted	Investments	TypeOfActivitiesConductedTxt

Field	Value	IRS element (for citing)
Subtotal Offices	0	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	0	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$0	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$0	TotalSpentAmt
Transfer To Foreign Corp	Yes (true)	TransferToForeignCorpInd
Interest In Foreign Trust	false	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (true)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	false	PassiveForeignInvestmestCoInd
Foreign Partnership	false	ForeignPartnershipInd
Boycott Countries	false	BoycottCountriesInd

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (true)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (true)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (true)	ExpensesExceedBudgetInd
Unable To Provide Care	false	UnableToProvideCareInd
Annual Community Bnft Report	Yes (true)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (true)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,817,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,817,294	NetCommunityBenefitExpnsAmt
Total Expense	0.0073	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,042,000	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,559,340	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,482,660	NetCommunityBenefitExpnsAmt
Total Expense	0.0432	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$83,859,294	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$57,559,340	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,299,954	NetCommunityBenefitExpnsAmt
Total Expense	0.0505	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$503,748	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$503,748	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,453,049	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$1,619,954	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,833,095	NetCommunityBenefitExpnsAmt
Total Expense	0.0035	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$10,285,315	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$7,909,647	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,375,668	NetCommunityBenefitExpnsAmt
Total Expense	0.0046	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$183,625	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$183,625	NetCommunityBenefitExpnsAmt
Total Expense	0.0004	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$304,432	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$304,432	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$14,730,169	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$9,529,601	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,200,568	NetCommunityBenefitExpnsAmt
Total Expense	0.0100	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$98,589,463	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$67,088,941	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,500,522	NetCommunityBenefitExpnsAmt
Total Expense	0.0605	TotalExpensePct

Physical Imprv And Housing PhysicalImprvAndHousingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,750	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,750	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$533,275	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$533,275	NetCommunityBenefitExpnsAmt
Total Expense	0.0010	TotalExpensePct

Environmental Improvements EnvironmentalImprovementsGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$12,463	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$12,463	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Other Communtity Building Acty OtherCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$569,488	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$569,488	NetCommunityBenefitExpnsAmt
Total Expense	0.0011	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$657,569	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$124,415,888	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$120,654,028	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$3,761,860	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (true)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (true)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (5 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
GENGASTRO LLC
AMBULATORY SURGERY CENTER	0.821	0.0	0.179
GENORTHO LLC
ORTHOPAEDIC SURGERY CENTER	0.581	0.0	0.419
SPRING PARK SURGERY CENTER LLC
OUTPATIENT SURGICAL CENTER	0.537	0.0	0.463
GENRAD IMAGING LLC
DIAGNOSTIC IMAGING CENTER	0.5	0.0	0.5
DAVITA DIALYSIS LLC
OUTPATIENT DIALYSIS CENTER	0.2	0.16	0.64

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
GENESIS MEDICAL CENTER - DAVENPORT
2	1227 E RUSHOLME STREET	DAVENPORT	IA	52803	820011H	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)
GENESIS MEDICAL CENTER - DEWITT
1	1118 11TH STREET	DEWITT	IA	52742	WWW.GENESISHEALTH.COM	230149H	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Prior CHNA ImpactPriorCHNAImpactInd	Communtity Notified FAPCommuntityNotifiedFAPInd
GENESIS MEDICAL CENTER - DAVENPORT
2	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	18	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM/COMMUNITY	Yes (X)	Yes (true)	18	Yes (true)	WWW.GENESISHEALTH.COM/COMMUNITY	false	Yes (true)	Yes (X)	200.0	200.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
GENESIS MEDICAL CENTER - DEWITT
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	Yes (true)	false	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM/COMMUNITY	Yes (X)	Yes (true)	17	Yes (true)	WWW.GENESISHEALTH.COM/COMMUNITY	false	Yes (true)	Yes (X)	200.0	200.0	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	WWW.GENESISHEALTH.COM	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false	Yes (X)	Yes (X)

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. The sponsors of this study, Community Health Care, Inc., Genesis Health System, Muscatine County Board of Health, Quad City Health Initiative, Rock Island County Health Department, Scott County Health Department and UnityPoint Health-Trinity, collaborate on improving health status and quality of life in the Quad Cities region. This work together is rooted in periodic, comprehensive community health assessments that meet the information and reporting needs of all partners. Understanding our community's health status is the foundation for developing community education, resources and programs that will advance our community's health. The assessment informs the creation of community health improvement plans for the study sponsors. In addition, the study sponsors encourage other organizations to use this information to inform strategic planning, grant writing and project development. For the 2018 Community Health Assessment, our coordinated approach included primary data collection, secondary data analysis, and qualitative data gathering from community leaders and members in our bi-state area. The study sponsors engaged Professional Research Consultants, Inc. (PRC) to collect secondary data and implement a community health survey. In addition, using the Mobilizing for Action through Planning and Partnerships (MAPP) framework, the partners completed local qualitative assessments addressing Community Themes & Strengths, Forces of Change and the Local Public Health System. Select operations data from the two health systems were also summarized. The following document provides PRC's bi-state findings in detail as well as information obtained through local data collection methods. This study was sponsored by a collaboration of local organizations, including: Community Health Care, Inc.; Genesis Health System; Muscatine County Board of Health; Quad City Health Initiative; Rock Island County Health Department; Scott County Health Department; and UnityPoint Health - Trinity. The portion of the study conducted by PRC was funded by Genesis Health System and UnityPoint Health - Trinity. This assessment incorporates data from both quantitative and qualitative sources. Quantitative data input includes primary research (the PRC Community Health Survey) and secondary research (vital statistics and other existing health-related data); these quantitative components allow for trending and comparison to benchmark data at the state and national levels. Qualitative data input includes primary research gathered through Community Stakeholder meetings. Community stakeholder committees including member from community businesses as follows: United way of the QC, Community Plan Iowa, Palmer College of Chiropractic, MetroLink, Rock Island County Sheriff's Office, Medic EMS, QC Chamber of Commerce, Churches United of the QC Area, City of Davenport, Black Hawk College, Bi-State Regional Commission, The Project of the QC, River Bend Foodbank, Community Foundation of the Great River Bend, Scott County Sheriff's Department, World Relief, Pleasant Valley School District, True Lifestyles Medicine Clinic, Alternatives for the Older Adult, and Vera French Community Mental Health Center.
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. UNITY POINT HEALTH-TRINITY
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY HEALTH DEPARTMENT, Muscatine County Board of Health, AND THE SCOTT COUNTY HEALTH DEPARTMENT
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GMC Davenport. With following the Genesis Health System's mission along with coordinating with the Quad City Health Initiative Implementation plan, Genesis Medical Center Silvis will be focusing and delivering on the following programs and resources to address the needs of the community: Access to Care: - Care Team concept continued deployment allowing providers to care for more patients. - "Population Health" model of ACO with care coordination - Expanding care into the Community through: - Convenient Care offerings - Healthplexes, and - Retail clinics such as Hy-Vee food store locations. - Partnerships with Community Health Care to address low-income access - OB access at CHC Edgerton Woman's Clinic - Genesis ACO participant - 421-DOCS - phone line for physician appointments - Support "Family Connects" in home education re health - Jane Folwell Heart of Mercy Fund - transportation and non-medical health needs - Community Health Education (incl. available resources) - Genesis Forum - town halls - Column in QC Times re health topics - Weekly radio program on WOC Mental Health & Substance Abuse - Continue deployment of "medical home" model - Health coaches, navigators, case management - Genesis Psychology Associates - Partnership with Robert Young Center for inpatient behavioral health unit - Promote Scott County Mental Health Court - Support of Live Lead Free QC (to prevent long term mental health issues related to lead exposure) - Support Family Connects - moms with post-partum depression - Support for LISW in Heart Center for anxiety, depression + Support for Rhonda's House - peer respite - Support for "MST" Multisystemic therapy for teens in collaboration with Vera French - PA Fellowship in Behavioral Health - Promote "ACT" - Assertive Community Treatment - Pain management alternatives to opioids at The Spine & Joint Health Center and Physical Therapy - Advocacy in support of mental health reform Nutrition, Physical Activity, & Weight - "Naturally Slim" program scholarships offered to Community - Support of Be Healthy QC to create a "culture of wellness" that supports healthy eating and active living - Healthy Lifestyle sponsorships, such as Genesis Firecracker Run and the Bix 7 - Children's Nutritional Partnership with Hy-Vee stores - Membership discounts to area fitness centers for employees and their families - "Rock Steady Boxing" for Parkinson's patients - Promote/facilitate Community Gardens for healthy food - Advocacy in support of healthy lifestyles Heart Disease & Stroke - Recruitment of top neurologists & neurosurgeons to QC + John Chapman Fund for heart health screenings - Heart-Safe Hands Only CPR kits - Medic and Genesis - Genesis "Healthbeat" exercise programs -Aledo, Cordova, Davenport, DeWitt, Eldridge, Silvis, Moline (2) Cancer - Continue development of Genesis Cancer Care Institute - Addition of 3 medical oncologists in 2019 - Cancer clinical research - Support of the grant-voucher program for those in financial need - Founding sponsor of Susan B. Komen Race for the Cure - Nurse Navigators - through the cancer experience - Genetic Risk Clinic
Schedule H, Part V, Section B, Line 5 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DEWITT. To complete the community health needs assessment, existing health -related data were collected via the online community commons community health needs assessment report tool at HTTP://www.communitycommons.org/maps-data. This site allows for identification of 87 distinct health and social indicators at the county level , along with comparisons to state and national data, and health people 2020 targets, where available. Once an indicators report was generated, relevant indicators were reviewed to determine how Clinton and Jackson Counties compared to available state/national data (see the "detailed health indicators" section of this document. Information gaps: Because this CHNA relies on existing datasets, it is limited in scope to those indicators currently available through database collection. It does not include a primary research component and many important issues are unaddressed (e.g. access to healthcare). Another limitation is that most measures included in this assessment represent data that are several years old. Community Stakeholder Input: Genesis Medical Center DeWitt and Jackson County Regional Health Center (JCRHC) got input from public health officials and other community stakeholders through a series of meetings. The organizations involved include: * Westwing Senior Living * Clinton County Public Health Department * GMC DeWitt * Community Partnership for Protecting Children * Patient Health Services Jack County Board of Health * GMC DeWitt Social Services * Early Childhood Iowa/DECAT Coordinator * St. Ambrose University School of Health Sciences * I-Smile, Visiting Nurse Services * GMC DeWitt Community Health Liaison * Jackson County Mental Health * JCRHC Administration * Jackson County Board of Health * Jackson County Board of Supervisors An important component of the these meetings was the discussion of the primary and chronic disease needs and other health issues of those without health insurance, low income and minority persons (described later in this section).
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DEWITT. JACKSON COUNTY REGIONAL HEALTH CENTER
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - DEWITT:. Genesis Health System, in collaboration with community organizations such as QCHI, the health depts. and other agencies, continues to address the significant needs identified in the most recent CHNA through our ongoing programs and resources. These programs include: Nutrition, Physical Activity and Weight Management * Continued support of the "Medical home" model * Genesis Health Beat Exercise programs/exercise stations located at area parks and walking/biking trails * Metabolic health screening ("Naturally Slim" program) offered to all Genesis employees and members of the public. Low-income individuals can participate via grants from Genesis Philanthropy. * Genesis immunization CRM program * Community health education re: hand washing * Genesis wellness program offerings * Partnerships with area YMCAs to offer programs and discounts to Genesis employees * Genesis Center for Weight Management * Healthy Lifestyle sponsorships such as the Genesis Firecracker Run, Bix 7, and other events. * Alcohol free family section at Modern Woodman Park Substance Abuse - Tobacco and Alcohol * Alcohol free family section at Modern Woodman Park * Smoke free campuses throughout the health system at our sites located throughout the community * Genesis wellness program offerings * Community health education re second hand smoke impact on children Immunizations and Infectious Diseases * Flu Free QC * Genesis immunization CRM program * Community health education re: hand washing * Ryan White HIV Program

Field	Value	IRS element (for citing)
Facility	59	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (59 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CENTRAL PARK MEDICAL PAVILIONS 1 & 2
1351 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	O/P CANCER, REHAB, WOUND, NEUROLSURGICAL, & PHYS CLINIC
GENESIS IMAGING CENTER 53RD STREET
1970 E 53RD STREET	DAVENPORT	IA	52807	OUTPATIENT RADIOLOGY SERVICES
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P CARDIAC DIAGNOSTIC & REHAB CARE
GENESIS MEDICAL PLAZA
2535 MAPLECREST ROAD	BETTENDORF	IA	52722	O/P REHAB, PAIN, PHYS THERAPY, SPINE CTR & PHSY CLINIC
BETTENDORF HEALTH PLEX
2140 53RD AVENUE	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
Davenport HealthPlex
3200 West Kimberly Rd	Davenport	IA	52806	Outpatient Physician Clinic/Physical Therapy
VISITING NURSE ASSOC & HOSPICE HOUSE
2546 TECH DRIVE	BETTENDORF	IA	52722	HOME HEALTH & HOSPICE
ILLINI LARSON CENTER
855 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT LAB & PHYSICIAN CLINIC
VISITING NURSE ASSOC & HOSPICE HOUSE
2535 MAPLECREST ROAD	BETTENDORF	IA	52272	HOME HEALTH & HOSPICE
MEDICAL OFFICE BUILDING #1
1228 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P MAMMOGRAPHY & DIALYSIS SERVICES
GENESIS HEALTH GROUP
865 LINCOLN ROAD	BETTENDORF	IA	52722	OUTPATIENT PHYSICIAN CLINIC
GENESIS CONVENIENT CARE - ILLINOIS
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT URGENT CARE CLINIC
ILLINI BUILDING #1
903-05 ILLINI DRIVE	SILVIS	IL	61282	HOME HEALTH & O/P PHYSICIAN CLINIC
NORTH FAMILY PRACTICE
210 W 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT PHYSICIAN CLINIC
ELDRIDGE FAMILY PRACTICE
301 N 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT PHYSICIAN CLINIC
PHYSICAL THERAPY & SPORTS MEDICINE
1702 E 53RD STREET	DAVENPORT	IA	52807	O/P PHYSICAL THERAPY & SPORTS PERF CLINIC
GHG PULMONARY
1801 E 54TH STREET	DAVENPORT	IA	52807	OUTPATIENT PHYSICIAN CLINIC
GENESIS PHYSICAL REHAB - VALLEY FAIR
2300 53RD STREET	BETTENDORF	IA	52722	O/P PHYSICAL THERAPY CLINIC
Dr cady
615 Valley View Drive	Moline	IL	61265	OUTPATIENT PHYSICIAN CLINIC
SCOTT COUNTY YMCA
3800 TANGLEFOOT LANE	BETTENDORF	IA	52722	OUTPATIENT REHABILITATION CLINIC
DEWITT WEST WING PLACE
1118 11TH STREET	DEWITT	IA	52742	OUTPATIENT PHYSICIAN CLINIC
FAMILY PRACTICE AT WEST CAMPUS
1345 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
GENESIS PSYCHOLOGY ASSOCIATES
4455 E 56TH STREET	DAVENPORT	IA	52804	OUTPATIENT COUNSELING CLINIC
VISITING NURSE ASSOC & HOSPICE HOUSE
611 N 2ND AVENUE	CLINTON	IA	52732	HOME HEALTH & HOSPICE
CONVENIENT CARE - DAVENPORT
1520 W 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT URGENT CARE CLINIC
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	AMBULATORY SURGERY CENTER
SILVIS ANESTHESIOLOGY
801 ILLINI DRIVE	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
DAVENPORT OBGYN (EDGERTON)
1510 E RUSHOLME STREET	DAVENPORT	IA	52803	OUTPATIENT PHYSICIAN CLINIC
Dewitt Family Practice
1008 11th St	Dewitt	IA	52742	Outpatient Physician Clinic
ELDRIDGE PHYSICAL THERAPY
170 S 4TH AVENUE	ELDRIDGE	IA	52748	OUTPATIENT PHYSICAL THERAPY CLINIC
GENESIS CENTER FOR BARIATRIC SURGERY
1230 E RUSHOLME STREET	DAVENPORT	IA	52803	O/P COMPREHENSIVE BARIATRIC PROGRAM
MOLINE HEALTHPLEX
3900 28TH AVENUE	MOLINE	IL	61265	OUTPATIENT PHYSICIAN CLINIC
SENIOR SERVICES
1345 W CENTRAL PARK AVENUE	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	DIAGNOSTIC IMAGING CENTER
VISITING NURSE ASSOC
4711 44TH STREET STE 2	ROCK ISLAND	IL	61201	HOME HEALTH & HOSPICE
GENORTHO LLC
2300 53RD STREET	BETTENDORF	IA	52722	ORTHOPEDIC SURGERY CENTER
IA CITY PEDIATRIC PT CLINIC
2451 CORAL CT	CORALVILLE	IA	52241	OUTPATIENT PHYSICAL THERAPY CLINIC
DEWITT AMBULANCE
1220 11TH STREET	DEWITT	IA	52742	AMBULANCE SERVICES
ILLINI BUILDING #2
1504 10TH STREET	SILVIS	IL	61282	OUTPATIENT PHYSICIAN CLINIC
GHS - AUGUSTANA PT CLINIC
639 38TH STREET	ROCK ISLAND	IL	61201	OUTPATIENT PHYSICAL THERAPY CLINIC
Durant FAMILY PRACTICE
619 5th	Durant	IA	52747	OUTPATIENT PHYSICIAN CLINIC
Family Medical Davenport Clinic
1820 W 3rd St	Davenport	IA	52803	OUTPATIENT PHYSICIAN CLINIC
GENESIS PHYSICAL THERAPY AT LECLAIRE
1003 CANAL SHORE DRIVE	LECLAIRE	IA	52751	OUTPATIENT PHYSICAL THERAPY CLINIC
LECLAIRE FAMILY PRACTICE - RIVERVIEW
200 S CODY ROAD	LECLAIRE	IA	52751	OUTPATIENT PHYSICIAN CLINIC
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	OUTPATIENT SURGICAL CENTER
Conveniet Care Now W Locust
2351 West locust Street	Davenport	IA	52804	Outpatient Urgent Care Clinic
Woodlands Family Practice
4321 53rd Ave	Bettendorf	IA	52722	Outpatient Physician Clinic
GHS OCCUPATIONAL HEALTH - DAVENPORT
3319 SPRING STREET	DAVENPORT	IA	52807	OUTPATIENT OCCUPATIONAL HEALTH
GENESIS OCCUPATIONAL HEALTH
2350 41ST STREET	MOLINE	IL	61265	OUTPATIENT OCCUPATIONAL HEALTH
BLUE GRASS FAMILY MEDICAL
413 S MISSISSIPPI	BLUE GRASS	IA	52726	OUTPATIENT PHYSICIAN CLINIC
Convenient Care - Bett
4017 Devils Glen Rd	Bettendorf	IA	52722	Outpatient Urgent Care clinic
ERIE FAMILY PRACTICE
530 12TH STREET	ERIE	IL	61205	OUTPATIENT PHYSICIAN CLINIC
BETTENDORF IMAGING CENTER
2140 53RD AVENUE SUITE 40	BETTENDORF	IA	52722	OUTPATIENT RADIOLOGY SERVICES
MUSCATINE FAMILY PRACTICE
2104 CEDARWOOD STREET STE 200	MUSCATINE	IA	52761	OUTPATIENT PHYSICIAN CLINIC
GHG - MERCY MEDICAL GROUP
221 MAIN AVENUE	CLINTON	IA	52732	OUTPATIENT PHYSICIAN CLINIC
EAP - DAVENPORT
1910 E KIMBERLY	DAVENPORT	IA	52806	COUNSELING SERVICES
LOMBARD PHYSICAL THERAPY
1414 W LOMBARD STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICAL THERAPY CLINIC
DIVISION STREET CLINIC
3618 N DIVISION STREET	DAVENPORT	IA	52804	OUTPATIENT PHYSICIAN CLINIC
NORTHWEST FAMILY PRACTICE
1520 S 53RD STREET	DAVENPORT	IA	52806	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO)
Schedule H, Part I, Line 7g Subsidized Health Services	No costs associated with a physician clinic were reported in subsidized health services.
Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation	657569
Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance	Genesis Health System (GHS Iowa) 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. Costs of the "Other Benefits" reported in 7e -7i were compiled throughout the year in the community benefit database (i.e., CBISA) that Genesis Health System utilizes. The organization's total community benefit expense as a percentage of total expenses is 18.93%, and the percentage increases to 42.10% if Medicare cost report allowable costs are included in total community benefit expense.
Schedule H, Part II Community Building Activities	Economic Development (F2): Council and Chamber - Genesis Health System (GHS Iowa) supports employee involvement on local council and chamber committees. Grants to Community Businesses - Genesis Health System supports its community by giving grants to local businesses to improve economic development and relieve or reduce the burden of government or other tax-exempt organizations. Community Support (F3): Disaster Readiness - Genesis Health System participates in community wide disaster readiness drills throughout the year to ensure its preparedness for an array of disasters. Junior Achievement - Genesis Health System participates in a volunteer partnership with Junior Achievement. Workforce Development (F8): Programs on Health Careers - Genesis Health System partners with the local community colleges and universities to address the health care work force shortage. Genesis Health System works with the local community colleges and universities to address community-wide workforce issues by supporting job creation and training programs.
Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount	In accordance with Healthcare Financial Management Association Statement No. 15, Bad Debt is reported at the full-established charge from the most recent audited financial report. 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.
Schedule H, Part III, Line 3 Bad Debt Expense Methodology	Genesis Health System uses Avadyne Health to process aging patient accounts. Avadyne Health's collection process utilizes publicly available information to ensure all aging patient accounts receive financial assistance in accordance to Genesis Health System policy before being deemed bad debt. Genesis Health System reported zero dollars for the estimated amount of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.
Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote	During 2018, the System analyzed its past history and identified trends for each of its major payor sources of revenue to estimate the appropriate allowance for doubtful accounts and provision for bad debts. Management regularly reviewed data about these major payor sources of revenue in evaluating the sufficiency of the allowance for doubtful accounts. For receivables associated with services provided to patients who had third-party insurance coverage, the System analyzed contractually due amounts and provided an allowance for doubtful accounts and a provision for bad debts, if necessary (for example, for expected uncollectible deductibles and copayments on accounts for which the third-party payor has not yet paid, or for payors who are known to be having financial difficulties that make the realization of amounts due unlikely). For receivables associated with self-pay patients (which include both patients without insurance and patients with deductible and copayment balances due for which third-party coverage exists for part of the bill), the System recorded a provision for bad debts in the period of service on the basis of its past experience, which indicates that many patients are unable or unwilling to pay the portion of their bill for which they are financially responsible. As part of this process, the System regularly performed hindsight procedures to evaluate historical write-off and collection experience over time to assist in determining the reasonableness of its process for estimating the allowance for doubtful accounts. The difference between the standard rates (or the discounted rates, if negotiated) and the amounts actually collected after all reasonable collection efforts have been exhausted were charged off against the allowance for doubtful accounts. Recoveries of receivables previously written off were recorded as a reduction of the provision for bad debts when received.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The Medicare cost report was used to determine the amount report in Part III, line 5, 6, and 7 for the hospitals. The Medicare cost report surplus represents the difference between the total revenue received from Medicare based on Medicare cost report reimbursement rates and cost incurred by GHS Iowa in providing healthcare services to the elderly. The total Medicare surplus, which includes fee screen services, was $3,761,860.
Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance	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.
Schedule H, Part V, Section B, Line 16a FAP website	- GENESIS MEDICAL CENTER - DEWITT: Line 16a URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16a URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GENESIS MEDICAL CENTER - DEWITT: Line 16b URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16b URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GENESIS MEDICAL CENTER - DEWITT: Line 16c URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16c URL: WWW.GENESISHEALTH.COM;
Schedule H, Part VI, Line 2 Needs assessment	Genesis Health System (GHS Iowa)utilizes the community health needs assessment (CHNA) conducted by professional research consultants, Inc. (PRC) in 2018. The CHNA was funded by GHS Illinois and Unity Point Health-Trinity and sponsored by Community Health Care, GHS Illinois, Muscatine County Board of Health, Quad City Health Initiative (QCHI), Rock Island County Health Department, Scott County Health Department, and Unity Point Health - Trinity. QCHI was formed by Genesis Health System (GHS Iowa) and GHS Illinois, which has Headquarters in both Scott County, Iowa, and Rock Island County, Illinois, and Trinity Health System, which is headquartered in Rock Island County, Illinois. QCHI is now a community partnership of over 300 community members and leaders pursuing initiatives to create a healthier community, serving as a catalyst for improving the health and overall quality of life within the Quad Cities. Genesis Medical Center, DeWitt as the sole hospital within the western Clinton County area, has the resources to influence these issues in its community. As part of a larger health system, GMC DeWitt can leverage resources to address these priorities.
Schedule H, Part VI, Line 3 Patient education of eligibility for assistance	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 (GHS Iowa) provides patient financial counselors on each hospital campus to discuss options with the patients. Patient Financial 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.
Schedule H, Part VI, Line 4 Community information	Genesis Health System's (GHS Iowa) mission is to provide quality, compassionate care for all those in need. GHS Illinois lives its mission each day by serving a 10-County region of Eastern Iowa and Western Illinois, including both urban and rural areas. The region served by GHS Illinois (Davenport-Moline-Rock Island, IA - IL. Metropolitan statistical area - Henry County, IL, Mercer County, IL, Muscatine County IA, Rock Island, IL., and Scott County, IA.) has a population of 360,601. According to the US Census Bureau American Community Survey Five Year Estimates (2009-2013), Whites made up 85.0% of the MSA population with 7.8% Black or African-American and 7.2% Hispanic or other origin. In the Quad Cities area, 23.5% of the population are infants, children, or adolescents (age 0-17); another 60.7% are 18-64, while 15.8% are age 65 and older. According to estimates from the US Census Bureau American Community Survey, 13.3% of Quad Cities area residents (Scott and Rock Island Counties) live below the Federal poverty. In 2018, 3.2% of Quad Cities are adults reported that there was a time the past two years when they were living on the street, in a car, or in a temporary shelter. The average unemployment rate in 2018 was 4.0% for the Quad Cities. Lack of health insurance among adults age 18 to 64 is reported by 6.3% of Scott County, IA residents and 7.7% of Rock Island County, IL residents. The Quad Cities area percentage of adults who smoked in 2018 was 19.8%. The percentage of adults who were obese in 2018 was 38.3% in Rock Island County, Illinois and 36.5% in Scott County, Iowa. Obesity rates in both Scott County, IA and Rock Island County, IL are higher than national benchmarks. GMC DeWitt services the residents of Clinton County, primarily those residing in Dewitt and the surrounding towns. JCRHC serves the residents of Maquoketa and the adjoining communities. While the population is not growing in number, it is growing in terms of people age 65 and older.
Schedule H, Part VI, Line 5 Promotion of community health	Genesis Health System's Board of directors is a diverse representation of persons who reside in the primary service area that Genesis Health System serves. Genesis Health System executives and employees serve on dozens of volunteer boards throughout the region on important projects and initiatives, such as homeless shelters, mental health, downtown redevelopment and events and festivals. Genesis Health System employees serve the communities where they live by serving in elected offices in city and county government. Genesis Health System extends medical staff privileges to all qualified physicians in its communities. Genesis Health System has endeavored to improve access to health care for the communities it serves by participating in appropriate joint ventures that offer needed health care services to under-served areas. Genesis Health System schedules dozens of health screenings and immunizations throughout the year at a reduced cost. These include screenings for diabetes, stroke and heart disease and public flu immunization clinics. Genesis Health System providers translation services based on a percentage of the diversity of the population. Each year, Genesis Health System provides the community with dozens of classes and events promoting health and health education. Hundreds of residents in the region served by Genesis Health System learn CPR, First Aid, parenting skills, and newborn care by enrolling in classes. Genesis Health System supplies medical supplies and equipment to Globus, which is a third party company that helps companies share and transfer research data. Genesis Health System maintains an active effort to advocate for access to health care in Iowa and Illinois State government and in Washington D.C. Genesis Health System employees also participate in a voter voice initiative to advocate on important health issues with City, County, State, and National elected officials. Surplus funds resulting from efficient operations and cost-containment measure are re-invested in the healthcare operations of Genesis Health System to improve the healthcare services that Genesis Health System provides. Advances in medical equipment and technology, staff education, and new medical services are examples of operation investments that ultimately improve the health of the communities that Genesis Health System serves. As part of Genesis Health System, GMC DeWitt is committed to the promotion of community health. The hospital participates in programs such as housing for persons with mental illness.
Schedule H, Part VI, Line 6 Affiliated health care system	Genesis Health System - Iowa (GHS Iowa), an Iowa nonprofit corporation, and Genesis Health System - Illinois (GHS Illinois), an Illinois not-for-profit corporation, have identical governing boards, management and bylaws and can act jointly. GHS Iowa is also the sole member of Genesis Philanthropy, Genesis Health Services Foundation, Genesis Accountable Care Organization LLC, and Genesis Health System Workers' Compensation Plan and Trust, the sole stockholder of GenVentures, Inc., a member of Misericordia Assurance Company, Ltd. and a partner in GenGastro, LLC. Genesis Health System, EIN 36-3616314 is the sole member of Genesis Medical Center, Aledo and Genesis Senior Living, Aledo, and is a partner in The Larson Center Partnership. GHS Iowa, GHS Illinois, GMC Aledo, and GSL Aledo collectivity represent the obligated group on certain components of the obligated group's long-term debt. Genesis Health System provides administrative, management, information technology and other support services to its affiliates. Genesis Clinical Services operates physician medical practices, convenient care practices and 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. In June 2019, GMC Dewitt entered into a lease agreement where GMC Dewitt will lease the assets to a new joint venture, Wellspire, LLC. Genesis Visiting Nurse Association and Hospice (VNA) provide home health care, community nursing services and hospice services to patients in eastern Iowa and western Illinois. Genesis Medical Center - Silvis is licensed as a 145-bed acute care hospital, which provides services from its facility in Silvis, Illinois. Illini Hospital Nursing Home (INH) operates Illini Restorative Care Center and Crosstown Square. Illini Restorative Care Center is a 120-bed licensed nursing facility, consisting of 92 skilled care beds and 28 sheltered care beds. All 92 beds are dually licenses for Medicare/Medicaid services. The sheltered care unit provides rehabilitative and personal care in a family-oriented setting. Crosstown Square is an independent living facility containing 64 rentable apartments and three guest rooms that offers services designed to meet the needs of senior adults. In June 2019, certain assets of INH were contributed to a new joint venture, Wellspire, LLC. GHS Iowa and GHS Illinois have a controlling ownership interest or membership in the following organizations: Genesis Medical Center Aledo (GMC Aledo) is certified as a critical access hospital, which has 22-acute care and swing beads, as well as a physician clinic, which provides services from its facility in Aledo, Illinois. Genesis Senior Living Aledo (GSL Aledo) is certified as a nursing facility, which has a 92 bed long-term care facility, which provides services from its facility in Aledo, Illinois. On May 31, 2019, the System sold its 100% ownership interest in GSL-Aledo to an unrelated third party. 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. GenGastro, LLC (d/b/a the Center for Digestive Health) is a limited liability company, which operates a single-specialty gastroenterology ambulatory surgery center located in Bettendorf, Iowa. Genesis Health System Maintains a 75 percent ownership interest in GenGastro, LLC. 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 79.8% of LCP. GenVentures, Inc. (GenVentures) is a wholly-owned for-profit corporation which operates the following divisions, primarily in the Quad Cities: Genesis at Home, Continuing Care sells and leases home medical equipment; provides intravenous therapy services, including sales of related solutions and supplies to patients; and provides retail pharmaceutical and over-the-counter products to patients and employees of the System. GenProperties owns, leases and/or manages office space in 14 medical office buildings located in Bettendorf, Clinton, Davenport, Eldridge, Le Claire and Muscatine, Iowa. Crescent Laundry provides commercial laundry services to health care facilities in eastern Iowa and in north-central Illinois. Genesis Accountable Care Organization, LLC (Genesis ACO) is an Iowa limited liability company formed in December 2011. Its purpose is to engage in any lawful business and any business related to creation and organization of a "physician-driven" network to act as, and/or participate in, an Accountable Care Organization within the meaning of the federal Patient Protection and Affordable Care Act. The company is also organized to develop a clinically integrated network of providers including physicians, health professionals, hospitals and ancillary providers working together to promote high quality, coordinated and efficient care to patients including members of various managed care payors and the community at large. 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. Genesis Philanthropy is a wholly-owned tax-exempt entity formed in 2013, which will partner with other hospital foundations to form a regional network to attract donors to help fund specific health-related causes and promote wellness in the region.
Schedule H, Part VI, Line 7 State filing of community benefit report	IL, IA

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (true)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (12 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
Genesis Health System Workers' Compensation Plan & trust
1227 E Rusholme St	Davenport	IA	52803	391905171	501 ( c ) (3)	$1,377,453	Claim payments
Genesis Philanthropy
1227 E Rusholme St	Davenport	IA	52803	462452851	501 ( c ) (3)	$336,000	Healthcare Related Contributions
QUAD CITIES CHAMBER OF COMMERCE
130 West 2nd Street	Davenport	IA	52801	421500610	501 ( c ) (3)	$22,500	Sponsorship-Icestravaganza, IA Legislative Lucheon, Red White & Boom Sponsor
BALLET QUAD CITIES
613 17th Street	Rock Island	IL	61201	421366753	501 ( c ) (3)	$20,000	Sponsorships-Seasonal Shows
QUAD CITY SYMPHONY
327 Brady St	Davenport	IA	52801	466017663	501 ( c ) (3)	$20,000	Sponsorships-Seasonal concerts
Vera French Community Mental Health Center
1441 W Central Park	Davenport	IA	52804	420716337	501 ( c ) (3)	$15,000	Sponsorship-Gala
Family Arts Museum
2900 Learning Campus Dr	Bettendorf	IA	52722	611508009	501 ( c ) (3)	$10,000	Sponsor for Luckey Climber Project
Quad City Arts
1715 2nd Ave	Rock Island	IL	61201	363122824	501 ( c ) (3)	$10,000	Mural Sponsorship
HillTop Campus Village
122 East 15th St	Davenport	IA	52803	370761714	501 ( c ) (3)	$8,000	Hoop House Urban Garden II project-community gardening for healthy foods
Center for Active Seniors Inc
1035 W Kimberly Rd	Davenport	IA	52806	421011267	501 ( c ) (3)	$5,500	Sponsorships for Hat Bash and St. Patrick's Day Run
CENTRAL COMMUNITY SCHOOL DIST
331 E 8th Street	Dewitt	IA	52742	426040381	501 ( c ) (3)	$5,000	Sponsorship for performing arts center
Quad Citites trathlon
1314 Red Trail Dr	Verona	WI	53593	271187682	501 ( C ) (4)	$5,000	Race Sponsorship

Field	Value	IRS element (for citing)
Total501c3 Org	11	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp

Field	Value	IRS element (for citing)
Grant Type	MEDICAL SUPPLIES TO INDIVIDUALS/MEDICAL MISSION	GrantTypeTxt
Recipient	1700	RecipientCnt
Non Cash Assistance	$13,607	NonCashAssistanceAmt
Valuation Method Used	FMV	ValuationMethodUsedDesc
Non Cash Assistance	Medical and Pharmaceutical supplies donated to patients and mercy mission	NonCashAssistanceDesc

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds.	FormAndLineReferenceDesc
Explanation	THE GENESIS HEALTH SYSTEM (GHS IOWA) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Written Policy Ref T And E Expnss	Yes (true)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	false	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	false	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	$827,273	$0	$154,917	$0	$75,272	$0	$5,750	$0	$29,004	$0	$1,092,216	$0	$0	$0
GEORGE J KONTOS JR
Director	$475,223	$0	$0	$0	$39,050	$0	$6,000	$0	$20,929	$0	$541,202	$0	$0	$0
HAROLD WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER	$214,802	$0	$19,808	$0	$771	$0	$4,500	$0	$18,024	$0	$257,905	$0	$0	$0
PAUL BOLLINGER
LEGAL AFFAIRS VICE PRESIDENT AND ASS	$253,260	$0	$24,333	$0	$75,127	$0	$5,572	$0	$18,351	$0	$376,643	$0	$0	$0
MARK G ROGERS
V.P. FINANCE/CFO/ASST TREASURER	$437,053	$0	$56,044	$0	$169,718	$0	$5,750	$0	$21,626	$0	$690,191	$0	$0	$0
JACQUELINE K ANHALT
FORMER V.P. PATIENT SERVICES	$244,701	$0	$28,735	$0	$162,686	$0	$4,907	$0	$20,888	$0	$461,917	$0	$71,170	$0
ROBERT W FRIEDEN
FORMER V.P. INFORMATION SERVICES	$280,246	$0	$27,934	$0	$94,391	$0	$3,716	$0	$21,140	$0	$427,427	$0	$0	$0
CHRISTOPHER CROME
FORMER PHYSICIAN/DIVISION CHAIR	$384,952	$0	$0	$0	$35,489	$0	$4,500	$0	$15,194	$0	$440,135	$0	$0	$0
NIDAL HARB
CHIEF MEDICAL OFFICER	$442,974	$0	$47,595	$0	$164,559	$0	$6,125	$0	$22,666	$0	$683,919	$0	$0	$0
KURT A ANDERSEN
PRESIDENT GHG	$402,446	$0	$49,020	$0	$109,700	$0	$4,910	$0	$18,386	$0	$584,462	$0	$0	$0
JORDAN VOIGT
HOSPITAL PRESIDENT GMC DAVENPORT	$379,002	$0	$40,752	$0	$115,607	$0	$4,625	$0	$21,227	$0	$561,213	$0	$0	$0
EVA PROCTOR
CARDIOTHORACIC PHYSICIAN	$653,859	$0	$125,000	$0	$25,663	$0	$4,625	$0	$12,526	$0	$821,673	$0	$0	$0
HEIDI S KAHLY-MCMAHON
	$282,438	$0	$30,565	$0	$280,319	$0	$2,925	$0	$21,146	$0	$617,393	$0	$48,436	$0
MICHAEL BURCHETT
PHYSICIAN	$493,223	$0	$0	$0	$85,503	$0	$4,625	$0	$18,973	$0	$602,324	$0	$0	$0
NATHAN MELOY
PHYSICIAN	$564,523	$0	$0	$0	$20,067	$0	$4,625	$0	$16,821	$0	$606,036	$0	$0	$0
TODD RIDENOUR
PHYSICIAN	$834,982	$0	$0	$0	$20,370	$0	$6,125	$0	$17,847	$0	$879,324	$0	$0	$0
WASEEM AHMAD
PHYSICIAN	$493,024	$0	$121,765	$0	$46,512	$0	$4,500	$0	$19,581	$0	$685,382	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part II, Column (F)	The following individuals also participated in or continue to have a supplemental executive retirement savings benefit in 2014 and 2015 sponsored by Genesis Health System (GHS IA): Jacqueline Anhalt-$71,172 and Heidi Kahly-McMahon-$48,436. The dollar amount represents prior contributions made by GHS IA on behalf of the individuals to the plan in 2014 and 2015. This information included in deferred compensation on the prior years' form 990, Part VII and Schedule J, Part II. The individual reached a specified level of vesting in 2018, so the dollar amount is now included in reportable compensation on the current year form 990, part VII and Schedule J, Part II.
Schedule J, Part II	Based on section 4960 publication, the effective date is for the first taxable year beginning after 12/31/17 in which Genesis first taxable year is 07/01/18-06/30/19; 2018 tax year. therefore, the calendar dates to report wages is between 07/01/18 through 12/31/18; with reportable compensation for Douglas P. Cropper being under $1 million.
Schedule J, Part I, Line 1a Travel for companions	Genesis Health System(GHS Iowa) provides the following to individuals reported in Part VII, Section A, line 1a: Travel for companions: in tax year 2018, the following types of listed individuals reported in Part VII received the travel for companions benefit: 6 directors, 2 officers, 1 key employee, and 1 former key employee. All individuals reimbursed GHS Iowa in full and none of the benefit was listed as taxable compensation.
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan	The following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2018 sponsored by Genesis health System (GHS IA): Robert W. Frieden- $65,345, Jacqueline Anhalt-$44,699, Kurt A. Andersen- $75,727, Paul Bollinger- $38,933, Jordan Voigt-$80,546, Heidi Kahly-McMahon-$50,942, and Nidal Harb-$85,246. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2018. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. The following individual participated in a supplemental executive retirement savings benefit plan in 2018 sponsored by Genesis health System (GHS IA): Mark G. Rogers- $141,586. The dollar amount represents the current year contribution made by GHS IA on behalf of the individual to the plan in 2018. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. Split-dollar life insurance participants are Douglas P. Cropper-established in 2016 and sponsored by Genesis Health System(GHS IA). GHS IA deposited funds into life insurance policies on the participant's life. During life, and subject to the policies generating sufficient values, the participant can borrow from one of the policies. The borrowing is monitored and limited so the policies do not lapse. At the participant's death, the organization recovers premiums plus interest plus additional key-person insurance proceeds. There were no loans or contributions in 2018.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
IOWA FINANCE AUTHORITY
A	521699886	46246PLP4	2010-06-24	$90,995,000	REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITY	Yes (true)	false	false
IOWA FINANCE AUTHORITY
B	521699886	46246PMG3	2013-11-26	$121,000,000	CONSTRUCT AND EQUIP EAST CAMPUS TOWER	false	false	false

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Refunding EscrowRefundingEscrowAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capitalized InterestCapitalizedInterestAmt
A	$52,895,000	$15,525,000	$95,545,195	$16,245,982	$1,478,186	$23,700,000	$70,367,009	2010	Yes (true)	false	Yes (true)	Yes (true)
B	$575,000		$125,205,892		$1,267,563	$123,844,399		2017	false	false	Yes (true)	Yes (true)	$21,131,117

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Any Research AgreementsAnyResearchAgreementsInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0091	0.0091	false	false	Yes (true)
B	false	false	Yes (true)	Yes (true)	Yes (true)	Yes (true)	0.0091	0.0091	false	false	Yes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	false	false	Yes (true)	false	false	false	false	false	Yes (true)
B	false	false	Yes (true)	false	Yes (true)	false	false	false	Yes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (true)
B	Yes (true)

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: IOWA FINANCE AUTHORITY A PREMIUM OF $4,550,195 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE.
Schedule K, Part V Different Procedures to Undertake Corrective Action	Issuer name: IOWA FINANCE AUTHORITY A PREMIUM OF $3,950,091 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE. FURTHERMORE, $953,406 WAS EARNED BY INVESTING THE RESERVE FUNDS.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (10 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GENVENTURES INC
MARK ROGERS, ROGER HILL, AND JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC.	$22,934,411	GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST.	false
GENVENTURES INC
MARK ROGERS, ROGER HILL, AND JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC.	$13,857,640	GENESIS HEALTH SYSTEM (GHS IOWA) PAID GENVENTURES, INC. FOR FACILITY LEASE PAYMENTS, MEDICAL SUPPLIES, LAUNDRY SERVICES, AND A LOAN ADVANCE.	false
CARDIOVASCULAR MEDICINE PC
EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC.	$1,192,336	HEALTHCARE PROFESSIONAL SERVICES	false
QUAD CITY BANK & TRUST COMPANY
PETER BENSON IS AN OFFICER AND MARK KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST	$184,227	INTEREST EXPENSE, DEPOSIT ACCOUNT, CREDIT CARD SERVICE, LOCK BOX FEES, AND INTEREST INCOME	false
LISA ROGALSKI
LISA ROGALSKI IS THE DAUGHTER-IN-LAW OF EDWARD J. ROGALSKI, PH.D., DIRECTOR OF GHS IA.	$116,383	REPORTABLE COMPENSATION AS AN EMPLOYEE	false
CLAIRE MOTTO
CLAIRE MOTTO IS THE DAUGHER OF EDWIN V. MOTTO, DIRECTOR OF GHS IA	$50,752	REPORTABLE COMPENSATION AS AN EMPLOYEE	false
KRISTI SOUTHERLAND
KRISTI SOUTHERLAND IS THE SISTER OF KURT A. ANDERSEN, A KEY EMPLOYEE OF GHS IA	$27,174	REPORTABLE COMPENSATION AS AN EMPLOYEE	false
Dewitt Bank and Trust
Roger J. Hill is a Sr.VP/Trust Officer for Dewitt Bank & Trust	$155,715	interest expense, deposit account, lock box fees, and interest income.	false
Main Street AmusementsQC River Bandits
David Heller was president/CEO of Main Street Amusements and Co-owner of the QC River Bandits	$154,918	Sponsorship and ticket purchase expenses	false
American Hospital Association
Douglas P. Cropper is a director on the board of American Hospital Association	$101,046	Healthcare Support Services	false

Schedule M IRS990ScheduleM

Other Non Cash Contri Table OtherNonCashContriTableGrp (2 entries)

Non Cash CheckboxNonCashCheckboxInd	DescDesc	ContributionContributionCnt	Noncash Contributions Rpt F990NoncashContributionsRptF990Amt	Method Of Determining RevenuesMethodOfDeterminingRevenuesTxt
Yes (X)	Miscellaneous	28	$24,197	Market value
Yes (X)	Piano	1	$18,138	Cost

Field	Value	IRS element (for citing)
Any Property That Must Be Held	false	AnyPropertyThatMustBeHeldInd
Review Process Unusual NC Gifts	Yes (true)	ReviewProcessUnusualNCGiftsInd
Third Parties Used	false	ThirdPartiesUsedInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Schedule M, Part I Explanations of reporting method for number of contributions	FormAndLineReferenceDesc
Explanation	Other - Miscellaneous PART I, COLUMN B IS REPORTED USING A COMBINATION OF NUMBER OF CONTRIBUTIONS AND ITEMS CONTRIBUTED.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part III, Line 4d Description of other program services	(Expenses $ 2,452,522 including grants of $)(Revenue $ 4,656,591) GENESIS ACCOUNTABLE CARE ORGANIZATION (ACO) IS A SINGLE MEMBER IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS RELATED TO THE CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM (GHS IOWA) IS THE SOLE MEMBER OF GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC. FOR INCOME TAX AND INFORMATIONAL RETURN PURPOSES, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC IS A DISREGARDED ENTITY AND IS INCLUDED WITHIN THE GHS IOWA'S INCOME TAX AND INFORMATIONAL RETURNS.
Form 990, Part V, Line 15	Line 15 was purposely marked no based on section 4960 publication, the effective date is for the first taxable year beginning after 12/31/17 in which Genesis first taxable year is 07/01/18-06/30/19; 2018 tax year. therefore, the calendar dates to report wages is between 07/01/18 through 12/31/18; with reportable compensation for Douglas P. Cropper being under $1 million.
Form 990, Part VI, Line 11b Review of form 990 by governing body	Prior to submitting the form 990 to the IRS, it is reviewed at the organization's finance committee meeting, and then 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 the reviews are considered for inclusion in the final form 990 submitted to the IRS. Internal management review is also completed of the compiled information and is provided to the vice president, finance/CFO; vice president, legal affairs; vice president, human resources; and chief compliance risk officer of the organization's corporate member.
Form 990, Part VI, Line 12c Conflict of interest policy	ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS IOWA) 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 IOWA, 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, Line 15a Process to establish compensation of top management official	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 attribute 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 and maximum are established off of the midpoint. Specific pay rates for executives are subject to CEO and compensation committee and the Genesis Health System (GHS Iowa) 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 subjected to CEO, compensation committee, and GHS Iowa board of director approval. The president and CEO have the authority and responsibility to establish and adjust, within the range approved by the compensation committee and GHS Iowa board of directors, the base compensation of each executive employed by GHS Iowa, at appropriate times. The GHS Iowa board of directors shall establish and adjust, within the range approved by the compensation committee, the base compensation for the CEO of GHS Iowa, at appropriate times, The Last time this process was formally undertaken was November 2018.
Form 990, Part VI, Line 19 Required documents available to the public	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
Form 990, Part VII, Section A, Line 1a	GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS IOWA). 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 ALL 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 AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA.
Form 990, Part VIII, Line 2f Other Program Service Revenue	Contractuals - Total Revenue: -XXX-XX-XXXX, Related or Exempt Function Revenue: -XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part VIII, Line 11d Other Miscellaneous Revenue	Misc - Total Revenue: 651239, Related or Exempt Function Revenue: 651239, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	ANESTHESIA SERVICES - Total Expense: 1093871, Program Service Expense: 1093871, Management and General Expenses: , Fundraising Expenses: ; BLOOD BANK SERVICES - Total Expense: 1660862, Program Service Expense: 1660862, Management and General Expenses: , Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 4925610, Program Service Expense: 1690998, Management and General Expenses: 3234612, Fundraising Expenses: ; COMMUNICATIONS SERVICES - Total Expense: 410359, Program Service Expense: , Management and General Expenses: 410359, Fundraising Expenses: ; DIALYSIS SERVICES - Total Expense: 625823, Program Service Expense: 625823, Management and General Expenses: , Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 3403032, Program Service Expense: 3361192, Management and General Expenses: 41840, Fundraising Expenses: ; HEALTH CARE PROFESSIONAL SERVICES - Total Expense: 11890475, Program Service Expense: 11758284, Management and General Expenses: 132191, Fundraising Expenses: ; HEALTH-RELATED IMAGING SERVICES - Total Expense: 188136, Program Service Expense: 188136, Management and General Expenses: , Fundraising Expenses: ; HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING: - Total Expense: 2790336, Program Service Expense: 336497, Management and General Expenses: 2453839, Fundraising Expenses: ; IT OUTREACH SERVICES - Total Expense: 5435093, Program Service Expense: , Management and General Expenses: 5435093, Fundraising Expenses: ; LAB SERVICES - Total Expense: 4491399, Program Service Expense: 4491399, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY SERVICES: - Total Expense: 19464, Program Service Expense: 19399, Management and General Expenses: 65, Fundraising Expenses: ; MAINTENANCE SERVICES - Total Expense: 9402362, Program Service Expense: 8803844, Management and General Expenses: 598518, Fundraising Expenses: ; NUTRITIONAL SERVICES - Total Expense: 2305600, Program Service Expense: 2305600, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE HEALTHCARE-RELATED SERVICES - Total Expense: 14879266, Program Service Expense: 14879266, Management and General Expenses: , Fundraising Expenses: ; PATIENT TRANSPORT SERVICES - Total Expense: 368164, Program Service Expense: 368164, Management and General Expenses: , Fundraising Expenses: ; PHYSICAL THERAPY SERVICES - Total Expense: 264124, Program Service Expense: 264124, Management and General Expenses: , Fundraising Expenses: ; ROOM AND BOARD SERVICES - Total Expense: 1037689, Program Service Expense: 1036327, Management and General Expenses: 1362, Fundraising Expenses: ; TRANSCRIPTIONS SERVICES - Total Expense: 200582, Program Service Expense: 5099, Management and General Expenses: 195483, Fundraising Expenses: ; VISITING NURSE OUTSIDE SERVICES - Total Expense: 409046, Program Service Expense: 409046, Management and General Expenses: , Fundraising Expenses: ; TRANSLATIONS SERVICES - Total Expense: 396976, Program Service Expense: 270, Management and General Expenses: 396706, Fundraising Expenses: ; EMERGENCY ROOM SERVICES - Total Expense: 1587748, Program Service Expense: 1587748, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN FUNDED STATUS OF RETIREMENT - 1068563; CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION - -172509; NON-CASH CONTRIBUTIONS NOT REPORTED ON BOOKS - -42335;
Form 990, Part XII, Line 2c	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GENESIS ACCOUNTABLE CARE ORGANIZATION LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	454168932	ACCOUNTABLE CARE SERVICES	IA	$2,204,069	$5,072,675	GENESIS HEALTH SYSTEM (GHS IOWA)
SPIN ECHO LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421491373	PROPERTY MANAGEMENT	IA	$208,125	$1,969,583	GENVENTURES INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
801 ILLINI DRIVE	silvis	IL	61282	363616314	HEALTHCARE	IL	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE/BENEFIT/TRUST	IA	501(c)(3)	Type I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
DAVENPORT HOSPITAL AMBULANCE CORPORATION
1204 E HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(c)(3)	Type I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS SENIOR LIVING ALEDO
309 NW NINTH AVENUE	ALEDO	IL	61231	454475803	SENIOR LIVING SERVICES	IL	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes (true)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	CHARITY	IA	501(c)(3)	7	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS PHILANTHROPY
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	462452851	CHARITY	IA	501(c)(3)	10	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (true)
GENESIS MEDICAL CENTER ALEDO
309 NW NINTH AVENUE	ALEDO	IL	61231	454475683	HEALTHCARE	IL	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes (true)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Predominant Income TypePredominantIncomeTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	OwnershipOwnershipPct
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$3,770,064	$295,150	false	false	0.75
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	421483989	OUTPATIENT SURGICAL CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$1,191,076	$1,629,332	false	false	0.4
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL	NA	N/A
GENORTHO LLC
2300 53RD AVENUE	BETTENDORF	IA	52722	203406994	ORTHOPAEDIC SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$2,075,410	$1,546,258	false	false	0.5
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	Related	$2,258,340	$12,118,232	false	false	0.5
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	462452851	DIAGNOSTIC IMAGING CENTER	IL	NA	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	GENESIS HEALTH SYSTEM (IOWA)	C Corporation	$81,317	$44,523,243	1	Yes (true)
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREET	DAVENPORT	IA	52803	421504979	HEALTHCARE MANAGEMENT	IA	Genesis Health Sysytem (Iowa)	C Corporation	$0	$0	1	Yes (true)
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	OTHER FINANCIAL VEHICLE		Genesis Health System (Iowa)	C Corporation	$0	$23,683,398	1	Yes (true)
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	NA	C Corporation				Yes (true)

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (true)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (true)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (true)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	false	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	false	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	false	DivRelatedOrganizationInd
Asset Sale To Other Org	false	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	Yes (true)	AssetPurchaseFromOtherOrgInd
Asset Exchange	false	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (true)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (true)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (true)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (true)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	false	SharingOfFacilitiesInd
Paid Employees Sharing	false	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (true)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (true)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (true)	TransferToOtherOrgInd
Transfer From Other Org	Yes (true)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (29 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GenVentures Inc
A	$386,951	fair market value
Workers' Compensation Plan & trust
B	$1,377,453	fair market value
Genesis Philanthropy
B	$336,000	fair market value
Genesis Health Services Foundation
C	$847,614	fair market value
GenGastro LLC
H	$3,824,100	fair market value
Spring Park Surgery Center
H	$1,156,720	fair market value
GenRad Imaging LLC
H	$2,227,000	fair market value
GenOrtho LLC
H	$1,926,000	fair market value
Larson Center Partnership
J	$492,976	fair market value
GenVentures Inc
K	$6,140,803	fair market value
Genesis Health System Illinois
K	$198,409	fair market value
Larson Center Partnerships
K	$537,456	fair market value
Workers' Compensation Plan & Trust
L	$1,520,147	fair market value
Misericordia Assurnance Company
M	$2,093,081	fair market value
Davenport Hospital Ambulance Corporation
M	$253,591	fair market value
Genesis Medical Center Aledo
P	$17,044,753	fair market value
Genesis Senior Living Aledo
P	$2,551,481	fair market value
Genesis Health System Illinois
P	$84,274,652	fair market value
GenVentures Inc
P	$2,115,950	fair market value
Davenport Hospital Ambulance Corporation
P	$96,114	fair market value
Genesis Health System Illinois
Q	$99,225,663	fair market value
Genesis Health Services Foundation
Q	$2,449,834	fair market value
Genesis Medical Center Aledo
Q	$16,970,855	fair market value
GenVentures Inc
Q	$22,547,460	fair market value
Genesis Philanthropy
Q	$426,799	fair market value
Genesis Senior Living Aledo
Q	$2,531,398	fair market value
GenVentures Inc
R	$5,600,887	fair market value
Genesis Health Services Foundation
R	$804,200	fair market value
Genesis Philanthropy
C	$263,842	fair market value