GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
Tax period: 2024-01-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202503219349306690
Schema version: 2024v5.2
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 H
Schedule I
Schedule J
Schedule K
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T10:37:25-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	250 S HIGH ST SUITE 100	AddressLine1Txt
City	COLUMBUS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43215	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311480941	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HEALTHCARE SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GENE	BusinessNameControlTxt
Phone	7404545000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	ADAM HOPPER	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7404545000	PhoneNum
Signature	2025-11-14	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	AMY CIMINELLO	PreparerPersonNm
PTIN	P00796388	PTIN
Phone	6148493000	PhoneNum
Preparation	2025-11-14	PreparationDt

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW PERRY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$761,724,849	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	3727	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GENESISHCS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	IN 1997, GOOD SAMARITAN MEDICAL CENTER AND BETHESDA HOSPITAL ASSOCIATION, A TAX-EXEMPT COMMUNITY HOSPITAL ALSO LOCATED IN ZANESVILLE, AFFILIATED TO FORM GENESIS HEALTHCARE SYSTEM. GENESIS HAS BEEN GRANTED 501C3 STATUS AS A HOSPITAL. ALL HOSPITAL OPERATIONS AND ASSETS OF GOOD SAMARITAN MEDICAL CENTER WERE TRANSFERRED TO GENESIS WITH THE EXCEPTION OF CERTAIN INVESTMENTS. GOOD SAMARITAN MEDICAL CENTER WILL CONTINUE TO HAVE CONTROL OVER CERTAIN INVESTMENTS WHICH ARE BEING USED BY THE GENESIS HEALTHCARE SYSTEM IN FULFILLING ITS TAX-EXEMPT PURPOSE.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	16	VotingMembersIndependentCnt
Total Employee	4004	TotalEmployeeCnt
Total Volunteers	422	TotalVolunteersCnt
Total Gross UBI	$228,370	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$18,641,321	PYContributionsGrantsAmt
CY Contributions Grants	$1,772,542	CYContributionsGrantsAmt
PY Program Service Revenue	$586,584,271	PYProgramServiceRevenueAmt
CY Program Service Revenue	$657,399,061	CYProgramServiceRevenueAmt
PY Investment Income	-$1,156,020	PYInvestmentIncomeAmt
CY Investment Income	$11,563,560	CYInvestmentIncomeAmt
PY Other Revenue	$65,286,643	PYOtherRevenueAmt
CY Other Revenue	$89,173,421	CYOtherRevenueAmt
PY Total Revenue	$669,356,215	PYTotalRevenueAmt
CY Total Revenue	$759,908,584	CYTotalRevenueAmt
PY Grants And Similar Paid	$718,365	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$572,423	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$237,791,185	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$248,265,468	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$364,370,333	PYOtherExpensesAmt
CY Other Expenses	$413,983,822	CYOtherExpensesAmt
PY Total Expenses	$602,879,883	PYTotalExpensesAmt
CY Total Expenses	$662,821,713	CYTotalExpensesAmt
PY Revenues Less Expenses	$66,476,332	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$97,086,871	CYRevenuesLessExpensesAmt
Total Assets BOY	$626,849,932	TotalAssetsBOYAmt
Total Assets EOY	$728,114,752	TotalAssetsEOYAmt
Total Liabilities BOY	$370,672,998	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$467,221,552	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$256,176,934	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$260,893,200	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE SERVE OUR COMMUNITY BY HELPING EACH PERSON ACHIEVE THEIR OPTIMAL HEALTH AND WELL-BEING BY PROVIDING COMPASSIONATE, EXCEPTIONAL, AND AFFORDABLE HEALTHCARE SERVICES.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$520,594,877	ExpenseAmt
Grant	$572,423	GrantAmt
Revenue	$744,765,373	RevenueAmt
Desc	GENESIS PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, PEDIATRIC AND CRITICAL CARE. GENESIS PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR INPATIENTS AND OUTPATIENTS. THESE SERVICES ARE COMPRISED OF LABORATORY, IMAGING SERVICES, CARDIAC, AND PHARMACY. LABORATORY SERVICES INCLUDE CHEMISTRY, PATHOLOGY, MICROBIOLOGY, HEMATOLOGY, CYTOLOGY, AND PHLEBOTOMY. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, PET SCAN, MAMMOGRAPHY AND BONE DENSITY SCANNING.GENESIS HEART & VASCULAR SERVICES PROVIDE NEEDED HEART CARE FROM PREVENTION TO REHABILITATION. OUR BOARD-CERTIFIED SPECIALISTS INCLUDE CARDIOLOGISTS, CARDIOTHORACIC VASCULAR SURGEONS, ELECTROPHYSIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND CARDIAC REHAB SPECIALISTS. THE CARDIOTHORACIC AND VASCULAR SURGICAL TEAMS PERFORM A WIDE VARIETY OF COMPLEX AND HIGH-RISK CARDIAC, THORACIC AND VASCULAR PROCEDURES INCLUDING OPEN HEART SURGERY. OUR CARDIAC TEAM TAKES OUR PATIENTS FROM EVALUATION AND DIAGNOSIS THROUGH LIFESTYLE CHANGES AND TREATMENTS. ALSO INCLUDED IN OUR CARDIAC SERVICES ARE OUR CLINICS AND SPECIALTY PROGRAMS. THESE INCLUDE AN ANTICOAGULATION CLINIC, A CONGESTIVE HEART FAILURE CLINIC, A DEVICE CLINIC, A VEIN CLINIC AND A CARDIAC REHABILITATION PROGRAM. GENESIS IS AN ACCREDITED CHEST PAIN CENTER WITH PCI, AN ACCREDITED ECHOCARDIOGRAPHY FACILITY. RESPIRATORY SERVICES - GENESIS RESPIRATORY & LUNG PROVIDES SERVICES FOR A VARIETY OF LUNG CONDITIONS AND DISEASES INCLUDING LUNG SURGERIES AND RESPIRATORY THERAPY. OUR TEAM, INCLUDING BOARD-CERTIFIED PULMONOLOGISTS, PROVIDE CARE AND TREATMENT FOR PATIENTS WITH PNEUMONIA, LUNG CANCER, BLACK LUNG DISEASE, RESPIRATORY FAILURE, COLLAPSED LUNG, AND OTHER PLEURAL DISEASES. THE GENESIS ORTHOPEDIC TEAM OF BOARD-CERTIFIED SURGEONS, SPECIALLY TRAINED NURSES, AND REHABILITATION THERAPISTS WORK TOGETHER TO DIAGNOSE AND TREAT THE MUSCULOSKELETAL ISSUES OF OUR PATIENTS. SERVICES RANGE FROM ADVANCED IMAGING TESTING THROUGH TO REHABILITATION. SURGICAL SURGERIES INCLUDE NUMEROUS PROCEDURES INCLUDING REPLACEMENT OF THE HIP, KNEE, OR SHOULDER AS WELL AS VARIOUS SURGERIES INVOLVING THE HAND. THE SPECIALIZED REHABILITATION PROGRAM SPEEDS RECOVERY AFTER A SERIOUS INJURY OR SURGERY RELATED TO A BONE, JOINT, LIGAMENT, TENDON OR MUSCLE. IN ADDITION TO PHYSICAL AND OCCUPATIONAL THERAPY, GENESIS ALSO PROVIDES AMPUTEE AND PROSTHETICS THERAPY AND TRAINING. IN 2023, GENESIS COSHOCTON MEDICAL CENTER OPENED. THIS IS A NEWLY CONSTRUCTED ACUTE CARE HOSPITAL FACILITY. COSHOCTION PROVIDES A WIDE RANGE OF SERVICES INCLUDING A 24/7 EMERGENCY DEPARTMENT, AN OUTPATIENT SURGERY CENTER, AN OVERNIGHT OBSERVATION UNIT, A LABORATORY, CARDIAC DIAGNOSTICS, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, PHYSICIAN SPECIALISTS, AND AN IMAGING DEPARTMENT THAT OFFERS MRI, CT, X-RAY, 3D MAMMOGRAPHY, AND ULTRASOUND SERVICES.GENESIS HAS INCREASED IN VISISBILITY IN HOSPICE AND PALLITATIVE CARE IN THE COMMUNITY. GENESIS HOSPICE AND PALLIATIVE CARE PROVIDES SPECIAL CARE FOR PEOPLE WHO ARE TERMINALLY ILL. THIS INVOLVES A TEAM-ORIENTED APPROACH THAT ADDRESSES THE MEDICAL, PHYSICAL, SOCIAL, EMOTIONAL, AND SPIRITUAL NEEDS OF THE PATIENT. HOSPICE ALSO PROVIDES SUPPORT TO THE PATIENT'S FAMILY OR CAREGIVER.	Desc
Total Program Service Expenses	$520,594,877	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	306	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	4004	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	0	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	16	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADAM HOPPER	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7404545333	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
KRISTY RITCHIE MD
TRUSTEE	50.00	0.00	Yes (X)	$655,571	$0	$42,630
BRANDICE ALEXANDER DO
PRESIDENT OF MEDICAL STAFF	50.00	0.00	Yes (X)	$656,805	$0	$28,913
ERIN REMSTER DO
TRUSTEE	50.00	0.00	Yes (X)	$377,489	$0	$28,777
RANDY COCHRANE
TRUSTEE	1.35	0.00	Yes (X)	$0	$0	$0
TOD KLOTZBACH
VICE CHAIR	1.32	0.20	Yes (X)	$0	$0	$0	Yes (X)
JAMES MCDONALD
CHAIR	1.32	0.52	Yes (X)	$0	$0	$0	Yes (X)
JIM NICHOLSON
TREASURER	1.29	0.46	Yes (X)	$0	$0	$0	Yes (X)
MATT ABBOTT
ASST. SECRETARY	1.17	0.00	Yes (X)	$0	$0	$0	Yes (X)
SCOTT MCCONNAHA
EX-OFFICIO	1.29	0.00	Yes (X)	$0	$0	$0
SR MAUREEN ANNE SHEPARD
TRUSTEE	1.35	0.80	Yes (X)	$0	$0	$0
PATRICK NASH
TRUSTEE	1.35	0.20	Yes (X)	$0	$0	$0
DANA MATZ
TRUSTEE	1.29	0.00	Yes (X)	$0	$0	$0
JOANN BUTCHER
TRUSTEE	1.32	0.49	Yes (X)	$0	$0	$0
HANNAH NISSEN
TRUSTEE	1.26	0.00	Yes (X)	$0	$0	$0
SUSAN HOLDREN
TRUSTEE	1.32	0.00	Yes (X)	$0	$0	$0
WILLIAM NOLL
TRUSTEE	1.35	0.00	Yes (X)	$0	$0	$0
LORI LOWE
TRUSTEE	1.23	0.00	Yes (X)	$0	$0	$0
SUSAN HASSELER PHD
TRUSTEE	1.26	0.00	Yes (X)	$0	$0	$0
MATTHEW PERRY
PRESIDENT/CEO	49.83	0.17		$1,042,506	$0	$35,670	Yes (X)
ADAM HOPPER
CHIEF FINANCIAL OFFICER	50.00	0.00		$130,955	$0	$7,542	Yes (X)
DIANNA LEVECK
CHIEF HUMAN RESOURCES OFFI	49.00	1.00		$873,193	$0	$34,795		Yes (X)
MICHAEL NORMAN
CHIEF FINANCIAL OFFICER	48.92	1.08		$628,779	$0	$42,020		Yes (X)
EDMUND ROMITO
CHIEF INFORMATION OFFICER	50.00	0.00		$633,577	$0	$30,083		Yes (X)
SCOTT WEGNER MD
CHIEF CLINICAL OFFICER	50.00	0.00		$584,948	$0	$45,865		Yes (X)
SHARON PARKER
CHIEF OPERATION OFFICER	49.00	1.00		$599,352	$0	$30,843		Yes (X)
WENDY CEDOZ
CHIEF LEGAL OFFICER	48.79	1.21		$586,741	$0	$32,553		Yes (X)
CHRISTOPHER SCHOELLES
CHIEF OPERATION OFFICER	50.00	0.00		$552,015	$0	$41,089		Yes (X)
LINDA SUPPLEE
DIRECTOR/CPHO	50.00	0.00		$540,465	$0	$7,071		Yes (X)
SHON BENDER
CHIEF NURSING OFFICER	48.96	0.04		$501,021	$0	$17,608		Yes (X)
LES BOYER
DIRECTOR	50.00	0.00		$293,018	$0	$25,103			Yes (X)
GREG MATONAK
DIRECTOR	50.00	0.00		$276,045	$0	$27,851			Yes (X)
MARIANNE GRAHAM
DIRECTOR	50.00	0.00		$246,246	$0	$30,199			Yes (X)
TISHA BABCOCK
DIRECTOR	50.00	0.00		$211,345	$0	$33,495			Yes (X)
CHARLES ADAMS
LEAN SIX SIGMA, DIRECTOR	50.00	0.00		$247,413	$0	$24,194			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$9,637,484	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$566,301	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	304	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	0	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
MED ONE HOSPITAL PHYSICIANS
3525 OLENTAGY RIVER RD STE 330	COLUMBUS	OH	43214	MEDICAL SERVICES	$10,859,551
LABORATORY CORPORATION OF AMERICA HOLDIN
PO BOX 12140	BURLINGTON	NC	27216	LABORATORY SERVICES	$3,003,167
ADVIZEX TECHNOLOGIES LLC
PO BOX 72130	CLEVELAND	OH	44192	MEDICAL SERVICES	$2,323,894
GUIDEHOUSE
4511 PAYSPHERE CIRCLE	CHICAGO	IL	60674	PROFESSIONAL SERVICES	$2,276,901
BDC ADVISORS LLC
151 N HOP HILL RD STE 465	PLANTATION	FL	33324	PROFESSIONAL SERVICES	$1,534,795

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	80	CntrctRcvdGreaterThan100KCnt
Related Organizations	$366,238	RelatedOrganizationsAmt
Government Grants	$1,398,718	GovernmentGrantsAmt
All Other Contributions	$7,586	AllOtherContributionsAmt
Total Contributions	$1,772,542	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp

Field	Value	IRS element (for citing)
Desc	NET PATIENT SERVICES	Desc
Business	621110	BusinessCd
Total Revenue Column	$657,399,061	TotalRevenueColumnAmt
Related Or Exempt Func Income	$657,399,061	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$657,399,061	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,429,911	TotalRevenueColumnAmt
Exclusion	$4,429,911	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$1,500,560	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$1,816,265	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$315,705	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$315,705	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$315,705	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$7,133,049	SecuritiesAmt
Other	$600	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$7,133,049	SecuritiesAmt
Other	$600	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$7,133,649	TotalRevenueColumnAmt
Exclusion	$7,133,649	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	ExclusionExclusionAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PHARMACY	621110	$85,393,302	$85,393,302
CAFETERIA SALES	621110	$1,578,739		$1,578,739
LABORATORY: UBI	900099	$138,606			$138,606

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,378,479	TotalRevenueColumnAmt
Related Or Exempt Func Income	$2,288,715	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$89,764	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$89,489,126	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$759,908,584	TotalRevenueColumnAmt
Related Or Exempt Func Income	$744,765,373	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$228,370	UnrelatedBusinessRevenueAmt
Exclusion	$13,142,299	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	$572,423	TotalAmt
Program Services	$572,423	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$8,447,411	TotalAmt
Management And General	$8,447,411	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$190,761,414	TotalAmt
Program Services	$151,570,007	ProgramServicesAmt
Management And General	$39,191,407	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$3,411,693	TotalAmt
Program Services	$2,688,319	ProgramServicesAmt
Management And General	$723,374	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$30,376,178	TotalAmt
Program Services	$23,424,436	ProgramServicesAmt
Management And General	$6,951,742	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$15,268,772	TotalAmt
Program Services	$11,643,966	ProgramServicesAmt
Management And General	$3,624,806	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$627,998	TotalAmt
Program Services	$27,771	ProgramServicesAmt
Management And General	$600,227	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$634,934	TotalAmt
Management And General	$634,934	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$245,621	TotalAmt
Management And General	$245,621	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$86,500	TotalAmt
Management And General	$86,500	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$71,822,988	TotalAmt
Program Services	$61,198,764	ProgramServicesAmt
Management And General	$10,624,224	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$998,859	TotalAmt
Program Services	$183,191	ProgramServicesAmt
Management And General	$815,668	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$6,195,210	TotalAmt
Program Services	$725,889	ProgramServicesAmt
Management And General	$5,469,321	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,650	TotalAmt
Program Services	$5,868	ProgramServicesAmt
Management And General	$5,782	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$15,326,248	TotalAmt
Program Services	$2,748,721	ProgramServicesAmt
Management And General	$12,577,527	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$373,439	TotalAmt
Program Services	$68,796	ProgramServicesAmt
Management And General	$304,643	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$34,460	TotalAmt
Program Services	$6,320	ProgramServicesAmt
Management And General	$28,140	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$14,638,990	TotalAmt
Management And General	$14,638,990	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$23,254,571	TotalAmt
Program Services	$7,585,641	ProgramServicesAmt
Management And General	$15,668,930	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$7,324,109	TotalAmt
Program Services	$1,343,242	ProgramServicesAmt
Management And General	$5,980,867	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$201,848,666	$201,848,666
BAD DEBT EXPENSE	$33,902,558	$33,902,558
DUES/LICENSES/SUBSCRIPT	$18,502,882	$3,393,433	$15,109,449
HFF ASSESSMENT	$13,447,215	$13,447,215

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$4,706,924	TotalAmt
Program Services	$4,209,651	ProgramServicesAmt
Management And General	$497,273	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$662,821,713	TotalAmt
Program Services	$520,594,877	ProgramServicesAmt
Management And General	$142,226,836	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$20,358,542	BOYAmt
EOY	$24,469,548	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,023,993	BOYAmt
EOY	$14,626,000	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$72,890,760	BOYAmt
EOY	$114,930,944	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$13,026,077	BOYAmt
EOY	$13,423,915	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$11,010,667	BOYAmt
EOY	$17,810,134	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$615,326,142	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$308,021,873	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$316,975,067	BOYAmt
EOY	$307,304,269	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$110,522,782	BOYAmt
EOY	$121,680,322	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$18,163,086	BOYAmt
EOY	$24,066,504	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,281,450	BOYAmt
EOY	$4,860,644	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$57,597,508	BOYAmt
EOY	$84,942,472	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$626,849,932	BOYAmt
EOY	$728,114,752	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$59,501,562	BOYAmt
EOY	$78,513,085	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$0	BOYAmt
EOY	$1,899,198	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$272,913,078	BOYAmt
EOY	$272,612,041	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,112,456	BOYAmt
EOY	$5,376,154	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$33,145,902	BOYAmt
EOY	$108,821,074	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$370,672,998	BOYAmt
EOY	$467,221,552	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$256,176,934	BOYAmt
EOY	$260,893,200	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$256,176,934	BOYAmt
EOY	$260,893,200	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$626,849,932	BOYAmt
EOY	$728,114,752	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$97,086,871	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$7,535,362	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$99,905,967	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	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 (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$86,500	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$32,061	OtherActivitiesAmt
Total Lobbying Expenditures	$118,561	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	GENESIS HEALTHCARE SYSTEM PAYS MEMBERSHIP DUES AND A PORTION OF THOSE DUES ARE RELATED TO LOBBYING: OHIO HOSPITAL ASSOCIATION - FSCC SHARE (OHA): 6.20% OF $115,960 ($7,190) 340B HEALTH 2020: 6.00% OF $17,505 ($1,050) AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA): 5.00% OF $1,489 ($74) COLLEGE OF HEALTHCARE INFO MGMT EXECUTIVES (CHIME): 15.19% OF $870 ($132) MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA): 5.00% OF $23,000 ($1,150) SOC FOR HEALTHCARE STRATEGY & MARKET DEVELOPMENT (ASHE/AHA): 22.98% OF $150 ($34) TRAUMA CENTER ASSOC OF AMERICA (TCAA): 15.00% OF $2,000 ($300) AMERCIAN COLLEGE OF CARDIOLOGY NATIONAL (ACC): 13.16% OF $39,620 ($5,214) AMERICAN COLLEGE OF CARDIOLOGY STATE (ACC): 2.80% OF $39,620 ($1,109) AMERICAN COLLEGE OF OSTEOPATHIC FAMILY PHYSICIANS (ACOFP): 14.00% OF $445 ($62) AMERICAN COLLEGE OF RADIOLOGY (ACR): 9.40% OF $10,500 ($987) AMERICAN COLLEGE OF SURGEONS (ACS): 4.00% OF $61,913 ($2,477) AMERICAN SOCIETY FOR HEALTH CARE ENGINEERING, AMERICAN (ASHI): 22.73% OF $150 ($34) AMERICAN SOCIETY FOR ANESTESIOLOGIST NATIONAL (ASA): 9.00% OF $28,680 ($2,582) AMERICAN SOCIETY FOR ANESTESIOLOGIST STATE (ASA): 21.00% OF $28,680 ($6,022) ASSOCIATION OF COMMUNITY CANCER CENTERS (ACCC): 1.00% OF $630 ($6) OHIO CHAMBER OF COMMERCE: 30.00% OF $1,654 ($497) FINANCIAL HEALTHCARE MANAGEMENT ASSOCIATION (HFMA): 1.90% OF $399 ($8) AMERICAN MEDICAL ASSOCIATION (AMA): 75.00% OF $420 ($315) OHIO ASSOCIATION OF MEDICAL EQUIPMENT SUPPLIES (OAMES): 25.00% OF $995 ($249) VGM GROUP INC: 5.00% OF $3,060 ($153) AMERICAN AMBULANCE ASSOCIATION (AAA): 50.00% OF $4,833 ($2,416) GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $86,500 IN 2024 FOR ADVOCACY AND OUTREACH CONSULTING SERVICES. SECOND CAPITAL CONSULTING, LLC HAS PROVIDED ADVOCACY AND OUTREACH CONSULTING SERVICES TO GENESIS HEALTHCARE SYSTEM SINCE 2013. THESE SERVICES ASSIST THE SYSTEM TO ENGAGE, EDUCATE AND COMMUNICATE WITH PUBLIC POLICY MAKERS REGARDING PENDING LEGISLATION OR PROPOSED REGULATIONS, AS WELL AS ASSIST ELECTED OFFICIALS IN UNDERSTANDING THE IMPACT OF LEGISLATION ON GHCS'S ABILITY TO DELIVER COST EFFECTIVE, QUALITY CARE FOR PATIENTS IN SOUTHEAST OHIO. GENESIS WORKS PRIMARILY THROUGH NATIONAL AND STATE HOSPITAL ASSOCIATIONS, IN WHICH GENESIS HAS MEMBERSHIP, TO UNDERSTAND POTENTIAL POLICIES WHICH COULD NEGATIVELY AFFECT THEIR ABILITY TO WORK WITH THE LOCAL MEDICAL COMMUNITY TO MEET THE HEALTHCARE NEEDS OF THE REGION. SOME ISSUES OF INTEREST INCLUDE THE 340B PROGRAM, MEDICARE & MEDICAID BUDGET DECISIONS AND REGULATIONS, AND INFRASTRUCTURE IMPROVEMENTS AT THE LOCAL LEVEL THAT ENHANCE ACCESS TO THE HOSPITAL. IN FACT, A DIRECT ACCESS LANE OPENED THIS YEAR FOR EMERGENCY VEHICLES, SPEEDING THE TIME CRITICAL TO PATIENTS IN ARRIVING FOR EMERGENCY CARE.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$10,745,900	OtherCostOrOtherBasisAmt
Book Value	$10,745,900	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$286,589,286	OtherCostOrOtherBasisAmt
Depreciation	$58,633,674	DepreciationAmt
Book Value	$227,955,612	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$8,119,071	OtherCostOrOtherBasisAmt
Depreciation	$4,823,432	DepreciationAmt
Book Value	$3,295,639	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$285,773,915	OtherCostOrOtherBasisAmt
Depreciation	$236,918,014	DepreciationAmt
Book Value	$48,855,901	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$24,097,970	OtherCostOrOtherBasisAmt
Depreciation	$7,646,753	DepreciationAmt
Book Value	$16,451,217	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$307,304,269	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (6 entries)

DescDesc	Book ValueBookValueAmt
INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS	$3,687,016
ASSETS LIMITED AS TO USE	$31,425,644
RIGHT OF USE LEASE ASSETS	$41,457,227
CONSTRUCTION IN PROGRESS	$2,163,774
COST REPORT SETTLEMENT RECEIVABLE	$315,037
CAPITAL LEASES	$5,893,774

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$84,942,472	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (5 entries)

DescDesc	AmtAmt
ACCRUED MINIMUM PENSION LIABILITY	$1,533,728
ACCRUED PROFESSIONAL LIABILITY	$5,058,610
LEASE LIABILITIES - OPERATING	$37,262,057
LEASE LIABILITIES - FINANCING	$4,434,675
INTERCOMPANY PAYABLES	$60,532,004

Field	Value	IRS element (for citing)
Total Liability	$108,821,074	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	THE SYSTEM AND ITS SUBSIDIARIES ARE TAX-EXEMPT ORGANIZATIONS, EXCEPT FOR CARELIFE; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND TO RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Persons Served	10017	PersonsServedCnt
Total Community Benefit Expns	$1,638,795	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,638,795	NetCommunityBenefitExpnsAmt
Total Expense	0.00260	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Persons Served	118497	PersonsServedCnt
Total Community Benefit Expns	$93,847,446	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,222,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$27,625,128	NetCommunityBenefitExpnsAmt
Total Expense	0.04390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Persons Served	128514	PersonsServedCnt
Total Community Benefit Expns	$95,486,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,222,318	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$29,263,923	NetCommunityBenefitExpnsAmt
Total Expense	0.04650	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	50	ActivitiesOrProgramsCnt
Persons Served	112536	PersonsServedCnt
Total Community Benefit Expns	$1,162,639	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$61,719	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,100,920	NetCommunityBenefitExpnsAmt
Total Expense	0.00180	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	7	ActivitiesOrProgramsCnt
Persons Served	2630	PersonsServedCnt
Total Community Benefit Expns	$3,032,619	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,032,619	NetCommunityBenefitExpnsAmt
Total Expense	0.00480	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	12	ActivitiesOrProgramsCnt
Persons Served	6116	PersonsServedCnt
Total Community Benefit Expns	$306,827	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$750	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$306,077	NetCommunityBenefitExpnsAmt
Total Expense	0.00050	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	69	ActivitiesOrProgramsCnt
Persons Served	121282	PersonsServedCnt
Total Community Benefit Expns	$4,502,085	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$62,469	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,439,616	NetCommunityBenefitExpnsAmt
Total Expense	0.00710	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	69	ActivitiesOrProgramsCnt
Persons Served	249796	PersonsServedCnt
Total Community Benefit Expns	$99,988,326	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$66,284,787	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$33,703,539	NetCommunityBenefitExpnsAmt
Total Expense	0.05360	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$33,902,558	BadDebtExpenseAmt
Reimbursed By Medicare	$112,770,742	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$110,686,030	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$2,084,712	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Field	Value	IRS element (for citing)
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd
Other	ACUTE CARE HOSPITAL	OtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
Other	Yes (X)	OtherInd
CHNA Conducted	24	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTPS://WWW.GENESISHCS.ORG/SITES/DEFAULT/FILES/2025-01/GENESIS%20HEALTHCARE	OwnWebsiteURLTxt
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	22	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTPS://WWW.GENESISHCS.ORG/SITES/DEFAULT/FILES/2023-01/CCB-2022-2024-IMPLEM	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	100.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	300.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	HTTPS://WWW.GENESISHCS.ORG/PATIENTS/FINANCIAL-ASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTPS://WWW.GENESISHCS.ORG/PATIENTS/FINANCIAL-ASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTPS://WWW.GENESISHCS.ORG/PATIENTS/FINANCIAL-ASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GENESIS HOSPITAL	PART V, SECTION B, LINE 5: HEALTH NEEDS WERE ASSESSED THROUGH A REVIEW OF THE SECONDARY (EXISTING) HEALTH DATA COLLECTED AND ANALYZED PRIOR TO CONDUCTING THE INTERVIEWS, FOCUS GROUPS AND SURVEY (PRIMARY DATA COLLECTION). THE INFORMATION AND DATA FROM BOTH THE SECONDARY AND PRIMARY DATA COLLECTION INFORMS THIS CHNA REPORT AND THE DECISIONS ON HEALTH NEEDS THAT THE SOUTHEASTERN OHIO HEALTH COLLABORATIVE (SOHIC) WILL ADDRESS IN ITS IMPLEMENTATION STRATEGY/IMPROVEMENT PLAN (CHIP). KEY INFORMANT INTERVIEWS WERE USED TO GATHER INFORMATION AND OPINIONS FROM PERSONS WHO REPRESENT THE BROAD INTERESTS OF THE COMMUNITY. WE SPOKE WITH EXPERTS FROM VARIOUS ORGANIZATIONS SERVING THE GENESIS SERVICE AREA (GSA) COMMUNITY, INCLUDING LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND LEADERS FROM LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES. FOCUS GROUPS WERE USED TO GATHER INFORMATION AND OPINIONS FROM SPECIFIC SUB-POPULATIONS IN THE COMMUNITY WHO ARE MOST AFFECTED BY HEALTH NEEDS. FOCUS GROUPS INCLUDED LEADERS AND REPRESENTATIVES OF MEDICALLY UNDERSERVED, LOW-INCOME, MINORITY POPULATIONS, AND LEADERS FROM LOCAL HEALTH OR OTHER DEPARTMENTS OR AGENCIES.
GENESIS HOSPITAL	PART V, SECTION B, LINE 6B: THE SOUTHEASTERN OHIO HEALTH IMPROVEMENT COLLABORATIVE (SOHIC) INCLUDES GENESIS HEALTHCARE SYSTEM (GHS), MORGAN COUNTY HEALTH DEPARTMENT (MCHD), NOBLE COUNTY HEALTH DEPARTMENT (NCHD), PERRY COUNTY HEALTH DEPARTMENT (PCHD), AND ZANESVILLE-MUSKINGUM COUNTY HEALTH DEPARTMENT (ZMCHD).
GENESIS HOSPITAL	PART V, SECTION B, LINE 7D: WIDELY AVAILABLE BY POSTING ON THE HOSPITAL WEBSITE (REPORT WILL BE MADE AVAILABLE IN OTHER FORMATS SUCH AS PAPER UPON REQUEST).
GENESIS HOSPITAL	PART V, SECTION B, LINE 11: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION STRATEGY/IMPROVEMENT PLAN (CHIP) IDENTIFY AND ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS AND HELP GUIDE COMMUNITY BENEFIT ACTIVITIES. THIS IMPLEMENTATION STRATEGY/CHIP EXPLAINS HOW THE SOUTHEASTERN OHIO HEALTH IMPROVEMENT COLLABORATIVE (SOHIC) PLANS TO ADDRESS THE SELECTED PRIORITY HEALTH NEEDS IDENTIFIED BY THE CHNA. SOHIC IS COMMITTED TO MONITORING KEY INDICATORS TO ASSESS IMPACT. OUR REPORTING PROCESS INCLUDES THE COLLECTION AND DOCUMENTATION OF TRACKING MEASURES, SUCH AS THE NUMBER OF PEOPLE REACHED/SERVED AND COLLABORATIVE EFFORTS TO ADDRESS HEALTH NEEDS. A REVIEW OF THE IMPACT OF SOHIC'S ACTIONS TO ADDRESS THESE SIGNIFICANT HEALTH NEEDS WILL BE REPORTED IN THE NEXT SCHEDULED CHNA. SINCE SOHIC CANNOT DIRECTLY ADDRESS ALL THE HEALTH NEEDS PRESENT IN THE COMMUNITY, WE WILL CONCENTRATE OUR RESOURCES ON THOSE HEALTH NEEDS WHERE WE CAN EFFECTIVELY IMPACT OUR REGION GIVEN OUR AREAS OF FOCUS AND EXPERTISE. TAKING EXISTING ORGANIZATION AND COMMUNITY RESOURCES INTO CONSIDERATION, SOHIC WILL NOT DIRECTLY ADDRESS THE REMAINING HEALTH NEEDS IDENTIFIED IN THE CHNA, INCLUDING BUT NOT LIMITED TO CRIME AND VIOLENCE, ACCESS TO CHILDCARE, ENVIRONMENTAL CONDITIONS, INTERNET ACCESS, INJURIES, AND HIV/AIDS AND STIS. WE WILL CONTINUE TO LOOK FOR OPPORTUNITIES TO ADDRESS COMMUNITY NEEDS WHERE WE CAN MAKE A MEANINGFUL CONTRIBUTION. COMMUNITY PARTNERSHIPS MAY SUPPORT OTHER INITIATIVES THAT SOHIC CANNOT INDEPENDENTLY LEAD TO ADDRESS THE OTHER HEALTH NEEDS IDENTIFIED IN THE CHNA. THE IMPLEMENTATION STRATEGY SUPPORTING THE 2024 CHNA WAS ADOPTED IN 2025 AND THAT DATE WILL BE UPDATED ON THE FYE2025 FORM 990.
SCHEDULE H, PART V, LINE 5 CON'T:	MULTIPLE SETS OF WEIGHTINGS WERE CREATED AND USED IN THE STATISTICAL SOFTWARE PACKAGE (SPSS 26.0) WHEN CALCULATING FREQUENCIES. FOR ANALYSES DONE FOR THE ENTIRE SAMPLE AND ANALYSES DONE BASED ON SUBGROUPS OTHER THAN AGE, RACE, SEX, OR INCOME THE WEIGHTINGS THAT WERE CALCULATED BASED ON THE PRODUCT OF THE FOUR WEIGHTING VARIABLES (AGE, RACE, SEX, INCOME) FOR EACH INDIVIDUAL. WHEN ANALYSES WERE DONE COMPARING GROUPS WITHIN ONE OF THE FOUR WEIGHTING VARIABLES (E.G., SMOKING STATUS BY RACE/ETHNICITY), THAT SPECIFIC VARIABLE WAS NOT USED IN THE WEIGHTING SCORE THAT WAS APPLIED IN THE SOFTWARE PACKAGE. IN THE EXAMPLE SMOKING STATUS BY RACE, THE WEIGHTING SCORE THAT WAS APPLIED DURING ANALYSIS INCLUDED ONLY AGE, SEX, AND INCOME. THUS, A TOTAL OF EIGHT WEIGHTING SCORES FOR EACH INDIVIDUAL WERE CREATED AND APPLIED DEPENDING ON THE ANALYSIS CONDUCTED.

Field	Value	IRS element (for citing)
Facility	23	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (23 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - HEALTHPLEX
2800 MAPLE AVENUE	ZANESVILLE	OH	43701	OUTPATIENT LAB/ IMAGING, PEDIATRIC REHAB
2 - MEDICAL ARTS BUILDING (MAB) II
751 FOREST AVENUE	ZANESVILLE	OH	43701	OUTPATINT DIAGNOSTIC
3 - MOB II
955 BETHESDA DR	ZANESVILLE	OH	43701	OUTPATIENT DIAGNOSTIC & EDUCATION
4 - GENESIS PHYISCIAN'S PAVILION
945 BETHESDA DR	ZANESVILLE	OH	43701	OUTPAIENT CARDOAC REHAB SERVICES; WOUND CARE CENTER
5 - GENESIS BEHAVIORAL HEALTH
2991 MAPLE AVE	ZANESVILLE	OH	43701	MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT
6 - SARAP CANCER CENTER
2951 MAPLE AVE	ZANESVILLE	OH	43701	CANCER & PALLATIVE CARE/ WOMEN'S BOUTIQUE
7 - GENESIS SURGERY CENTER
2907 MAPLE AVE	ZANESVILLE	OH	43701	OUTPATIENT SURGERY
8 - GENESIS ORTHOPEDIC CENTER
2904 BELL STREET	ZANESVILLE	OH	43701	OUTPATIENT ORTHODIC AND SPORTMEDICINE DIAGNOTICS
9 - GENESIS OUTPATIENT REHAB
3297 NAOKE AVE	ZANESVILLE	OH	43701	OUTPATIENT REHAB AND IMAGING
10 - GENESIS VEIN CENTER
930 BETHESDA DR	ZANESVILLE	OH	43701	DIAGNOSTIC AND TREATMENT OF OUTPATIENT VEIN DISORDERS
11 - GENESIS INTERVENTIONAL PAIN MGMT CLINIC
2945 MAPLE AVE	ZANESVILLE	OH	43701	PAIN MEDICINE SPECIALIZATION; IMAGING TECHNIQUES; SOLUTIONS TO PAIN
12 - CAMBRIDGE HEALTH CENTER
61353 SOUTHGATE PARKWAY	CAMBRIDGE	OH	43725	IMAGING SERVICES/ LAB SERVICE/ WOUND MANAGEMENT
13 - GENESIS SLEEP DISORDERS CENTER
840 BETHESDA DR	ZANESVILLE	OH	43701	DIAGNOSTICS AND TREATMENT OF SLEEP DISORDERS
14 - GENESIS HEALTH CENTER - PERRY COUNTY
301 DR MIKE CLOUSE DR	SOMERSET	OH	43783	DIAGNOSITIC HEALTHCARE SERVICES/ PHYSICAL & OCCUPATIONAL THERAPY
15 - GENEIS ENDOCRINOLOGY
860 BETHESDA DR	ZANESVILLE	OH	43701	EDUCATION AND OUTPATIENT ENDOCRINOLOGY SERVICES
16 - GENESIS HEALTHCARE CENTER - NEW CONCORD
1 EAST MAIN STREET	NEW CONCORD	OH	43762	LAB SERVICES
17 - HOSPICE & PALLIATIVE CARE
713 FOREST AVE	ZANESVILLE	OH	43701	HOSPICE & PALLIATIVE CARE CENTER
18 - GENESIS NEW LEXINGTON DRAW CENTER
401 LINCOLN PARK DR	NEW LEXINGTON	OH	43764	LAB SERVICES
19 - GENEIS RHEUMAOLOGY CARE CENTER
2525 MAPLE AVE	ZANESVILLE	OH	43701	EDUCATION AND OUTPATIENT RHEUMATOLOGY SERVICE
20 - GENESIS SPECIALY CENTER
1452 CLARK ST	CAMBRIDGE	OH	43725	LAB SERVICES
21 - IMAGING MVHC PUTNAM
915 PUTNAM AVE	ZANESVILLE	OH	43701	LAB SERVICES
22 - IMAGING MVHC MALTA
859 S MAIN ST STE 146	MALTA	OH	43758	LAB SERVICES
23 - GENESIS COSHOCTON MEDICAL CENTER
48439 GENESIS DRIVE	COSHOCTON	OH	43812	MEDICAL CENTER

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTS OF CHARITY CARE AND COMMUNITY BENEFIT ACTIVITIES WERE CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7, COLUMN (F): PERCENTAGE OF TOTAL EXPENSES WAS CALCULATED BASED ON TOTAL EXPENSES LESS BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX.PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $33,902,558.
PART II, COMMUNITY BUILDING ACTIVITIES:	GENESIS HAS AN ACTIVE PRESENCE ON MANY COMMITTEES INVOLVED IN FINDING LOW-COST SOLUTIONS TO PHYSICAL AND MENTAL HEALTH ISSUES PREVALENT IN OUR COMMUNITIES, WITH PARTICULAR FOCUS ON SERVING LOW-INCOME, UNINSURED OR OTHERWISE UNDERSERVED. FOR EXAMPLE, GENESIS FACILITATES BOTH A SOCIAL DETERMINANTS OF HEALTH COLLABORATIVE AND A COMMUNITY HEALTH NEEDS COLLABORATIVE WITH LOCAL HEALTH DEPARTMENTS AND HEALTH PARTNERS AS WELL, TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND COMMONLY IDENTIFIED COMMUNITY HEALTH NEEDS INTENTIONALLY AND COLLABORATIVELY. THESE ACTIVITIES ARE CAPTURED IN PART I, LINE 7I AS IN-KIND CONTRIBUTIONS BY THE SERVICE LINES UNDER COMMUNITY HEALTH IMPROVEMENT ACTIVITIES. COMMUNITY BUILDING ACTIVITIES ARE CURRENTLY NOT PART OF THE DOCUMENTATION FOR COMMUNITY BENEFIT, BUT MAY BE DEVELOPED IN THE FUTURE.
PART III, LINE 2:	BAD DEBT IS CALCULATED USING GROSS CHARGES.
PART III, LINE 3:	NO BAD DEBT IS ESTIMATED TO RELATE TO CHARITY CARE.
PART III, LINE 4:	THE FINANCIAL STATEMENT FOOTNOTE RELATED TO BAD DEBT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOOTNOTE 1 "NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES" GROUPED WITH ACCOUNTS RECEIVABLE ON PAGE 9.
PART III, LINE 8:	THE SYSTEM TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE REASONS FOR THIS TREATMENT INCLUDES (1) NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES NOT ALIGNED WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS; (2) THE SYSTEM IS ALLEVIATING THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES; AND (3) IRS REV. RUL. 69-545 NOTES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS ACTION INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY.
PART III, LINE 9B:	ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY (PLS) OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE FROM THE HOSPITAL. AT LEAST THREE SEPARATE COMMUNICATIONS WILL BE MAILED TO THE LAST KNOWN ADDRESS OF THE RESPONSIBLE PARTY ALSO CONTAINING THE PLS. AT LEAST 60 DAYS WILL LAPSE BETWEEN THE FIRST AND THIRD REQUIRED COMMUNICATION. DETAILED ITEMIZED STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST EXCEPT WHERE PROHIBITED BY STATE OR FEDERAL REGULATIONS. ACCOUNTS WITH ZERO BALANCES WILL NOT RECEIVE THREE SEPARATE COMMUNICATIONS; HOWEVER, THESE ACCOUNT HOLDERS MAY ALSO BE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. ALL RESPONSIBLE PARTIES WILL RECEIVE WRITTEN NOTIFICATION REGARDING EXTRAORDINARY COLLECTION ACTIONS (ECA) THAT MAY COMMENCE IF ACTION IS NOT TAKEN. THIRTY DAYS WILL LAPSE BETWEEN ISSUANCE OF NOTIFICATION AND COMMENCEMENT OF ECA. ACTION TAKEN BY THE RESPONSIBLE PARTY CONSTITUTES MAKING PAYMENT ARRANGEMENTS FOR THE AMOUNT DUE OR COMPLETING A FINANCIAL ASSISTANCE APPLICATION. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 120 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. COLLECTION AGENCIES ARE INSTRUCTED TO MAKE PHONE CALLS AND SEND LETTERS. IF THEY CANNOT RESOLVE THE BALANCE, OR HAVE NOT BEEN ABLE TO MAKE PAYMENT ARRANGEMENTS, THE ACCOUNT IS SENT BACK TO GENESIS AS NON-COLLECTIBLE IN 24 MONTHS.
PART VI, LINE 2:	A COMMUNITY BENEFIT STEERING COMMITTEE COLLABORATES WITH GENESIS ADMINISTRATION, DEPARTMENTS, AND WITH COMMUNITY AGENCIES IN OUR DEFINED GEOGRAPHIC MARKET, INCLUDING BUT NOT LIMITED TO THE PUBLIC HEALTH DEPARTMENTS, MUSKINGUM VALLEY HEALTH CENTERS, AND THE UNITED WAY, TO ASSESS COMMUNITY HEALTH NEEDS AND STRENGTHS; DEVELOP A COMMUNITY BENEFIT PLAN WITH STRATEGIC GOALS AND INTERVENTIONS; MONITOR IMPLEMENTATION OF COMMUNITY BENEFIT ACTIVITIES; EVALUATE COMMUNITY BENEFIT ACTIVITIES; ADVOCATE FOR THE COMMUNITY BENEFIT PROGRAMS; AND ASSIST IN TELLING THE GENESIS HOSPITAL COMMUNITY BENEFIT STORY.GENESIS PARTNERS WITH OUR ENTIRE LOCAL POST-ACUTE COMMUNITY, WHICH ENCOMPASSES SKILLED NURSING FACILITATES, LONG-TERM CARE, AND HOME HEALTH AGENCIES, WITH THE INTENT OF BETTERING THE TRANSITIONS OF CARE OF PATIENTS RECEIVE ONCE THEY LEAVE OUR HOSPITAL AND UNDERSTANDING THE NEEDS THAT ARISE WITHIN THESE FACILITIES IN OUR COMMUNITY. ON A BI-MONTHLY BASIS DATA IS REVIEWED AND REMEDIATION PLANS ARE FORMULATED AROUND ANY UNDERPERFORMING AREAS. WE ALSO PROVIDE ON-SITE, DISEASE-SPECIFIC EDUCATION FOR THOSE AGENCIES THAT DEMONSTRATE A NEED TO FURTHER DEVELOP THEIR STAFF IN THIS REGARD.GENESIS ACTIVELY PARTICIPATES IN MANY COMMUNITY COHORTS FOCUSED ON THE COMMUNITY'S HEALTH NEEDS INCLUDING THE HOMELESS AND HOUSING COMMITTEE, OHIO HEALTH IMPROVEMENT ZONES, COMMUNITY HEALTH WORKER PILOT PROGRAM THROUGH OHIO UNIVERSITY -ZANESVILLE, AND THE HEALTHIER MUSKINGUM COUNTY NETWORK. GENESIS HOSTS A QUARTERLY SOCIAL DETERMINANTS OF HEALTH (SDOH) WORKGROUP WHICH INCLUDES SEVERAL COMMUNITY AGENCIES. THE GOAL BEHIND THIS GROUP IS TO USE GENESIS-PROVIDED SDOH DATA TO IDENTIFY AT-RISK POPULATIONS, AND CREATE ACTION PLANS WITH THE RESOURCES AVAILABLE.GENESIS ALSO LEADS A COMMUNITY HEALTH NEEDS COLLABORATIVE MADE UP OF 5 COUNTY HEALTH DEPARTMENTS FROM THE GENESIS SERVICE AREA, AND GENESIS TEAM MEMBERS. THIS COLLABORATIVE SUPPORTS A COMBINED HEALTH NEEDS ASSESSMENT AND PLANNING PROCESS EVERY THREE YEARS, FOLLOWED BY CONTINUED DISCUSSIONS AND SUPPORT IN MEETING IDENTIFIED NEEDS. THIS GROUP ALSO PROVIDES OPPORTUNITY TO DISCUSS EMERGING NEEDS SEEN IN COMMUNITIES BETWEEN EACH NEEDS ASSESSMENT. FREQUENT MEETINGS ARE CONDUCTED OVER THE YEAR TO PROVIDE UPDATES ON CURRENT PROGRAMS AND THEIR EFFECTIVENESS. ANNUAL RESULTS ARE THEN PUBLISHED ANNUALLY: HTTPS://WWW.GENESISHCS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STRATEGY
PART VI, LINE 3:	GENESIS HAS SIGNAGE STRATEGICALLY LOCATED IN THE FACILITY (REGISTRATION AREAS AND CASHIER AREAS) ADVISING OF FREE CARE. BILLING STATEMENTS ALSO CONTAIN THIS INFORMATION ALONG WITH A CHARITY CARE APPLICATION PRINTED ON THE REVERSE SIDE OF THE BILL. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. WE HAVE REGISTRATION STAFF THAT WORK IN THE EMERGENCY DEPARTMENT TO SCREEN PATIENTS FOR POTENTIAL MEDICAID QUALIFIERS IF THE PATIENT ALLOWS. FOR INPATIENTS, WE HAVE RESOURCE COUNSELING STAFF THAT SCREEN SELF-PAY, UNDERINSURED AND MEDICARE ONLY PATIENTS FOR MEDICAID AND/OR CHARITY.
PART VI, LINE 4:	GENESIS HEALTHCARE SYSTEM DEFINES THEIR PRIMARY SERVICE AREA (GSA) AS BEING MADE UP OF COSHOCTON, GUERNSEY, MORGAN, MUSKINGUM, NOBLE, AND PERRY COUNTIES, OHIO. THESE COUNTIES ARE IN THE SOUTHEASTERN CORNER OF OHIO. ALL COUNTIES WE SERVE ARE FEDERALLY DESIGNATED AS APPALACHIAN COUNTIES. COSHOCTON, GUERNSEY, MORGAN, AND PERRY HAVE A DESIGNATED ECONOMIC STATUS OF "AT-RISK" BY THE APPALACHIAN REGIONAL COMMISSION. NOBLE IS DESIGNATED AS "DISTRESSED", AND MUSKINGUM IS DESIGNATED AS "TRANSITIONAL." SIMILARLY, ALL COUNTIES ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS, AND DENTAL AND MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. THE GSA'S POPULATION IS 224,771. THE POPULATIONS OF BOTH THE GSA AND OHIO REMAINED RELATIVELY THE SAME IN THE PAST 3 YEARS. ON AVERAGE, GSA COUNTIES ARE RANKED 63RD OF 88 RANKED COUNTIES IN OHIO, ACCORDING TO SOCIAL, ECONOMIC, AND HEALTH FACTORS (WITH 1 BEING THE BEST), PLACING IT IN THE BOTTOM THIRD OF THE STATE'S COUNTIES. THE % OF MALES AND FEMALES IS APPROXIMATELY EQUAL. YOUTH AGES 0-19 AND SENIORS 65+ MAKE UP 43% OF THE POPULATION. 6% OF GSA RESIDENTS ARE VETERANS, SLIGHTLY HIGHER THAN THE STATE RATE. IN THE GSA, NEARLY 1 IN 5 RESIDENTS ARE AGE 65+. 96% OF THE POPULATION IN THE GSA SPEAKS ONLY ENGLISH. 1% ARE FOREIGN-BORN. THE MAJORITY (94%) OF THE POPULATION IN THE GSA IDENTIFIES AS WHITE AS THEIR ONLY RACE. THE LIFE EXPECTANCY IN THE GSA OF 74.4 YEARS IS 1.2 YEARS SHORTER THAN IT IS FOR THE STATE OF OHIO. 1 IN 195 GSA RESIDENTS WILL DIE PREMATURELY, WHICH IS APPROXIMATELY THE SAME AS THE OHIO STATE RATE.
PART VI, LINE 5:	1. OPEN MEDICAL STAFF MODELGENESIS OPERATES WITH AN OPEN MEDICAL STAFF MODEL, ALLOWING INDEPENDENT PHYSICIANS TO APPLY FOR PRIVILEGES AND PRACTICE WITHIN THE SYSTEM. 2. COMMUNITY-BASED GOVERNANCEGENESIS HEALTHCARE SYSTEM OPERATES UNDER A COMMUNITY-BASED GOVERNANCE MODEL AND IS JOINTLY SPONSORED BY TWO BOARDS: THE FRANCISCAN SISTERS OF CHRISTIAN CHARITY, A CATHOLIC SPONSOR, AND THE BETHESDA BOARD. THIS DUAL SPONSORSHIP REFLECTS THE SYSTEM'S HISTORICAL ROOTS, FORMED THROUGH THE 1997 AFFILIATION OF GOOD SAMARITAN MEDICAL CENTER AND BETHESDA CARE SYSTEMTWO ORGANIZATIONS THAT HAD SERVED THE COMMUNITY FOR OVER A CENTURY. 3. REINVESTMENT OF SURPLUS FUNDSAS A NOT-FOR-PROFIT HEALTH SYSTEM, GENESIS REINVESTS ANY SURPLUS FUNDS DIRECTLY INTO IMPROVING PATIENT CARE, EXPANDING SERVICES, UPGRADING FACILITIES, AND SUPPORTING COMMUNITY BENEFIT PROGRAMS. THESE REINVESTMENTS HELP SUSTAIN LONG-TERM ACCESS TO QUALITY HEALTHCARE FOR ALL RESIDENTS, REGARDLESS OF THEIR ABILITY TO PAY 4. CHARITY CARE AND FINANCIAL ASSISTANCEGENESIS PROVIDES MILLIONS OF DOLLARS ANNUALLY IN CHARITY CARE AND ABSORBS SIGNIFICANT LOSSES FROM UNDER-REIMBURSED GOVERNMENT PROGRAMS LIKE MEDICARE AND MEDICAID. THIS FINANCIAL COMMITMENT ENSURES THAT VULNERABLE POPULATIONS CONTINUE TO RECEIVE ESSENTIAL HEALTHCARE SERVICES 5. 340B DRUG PRICING PROGRAM PARTICIPATIONTHROUGH PARTICIPATION IN THE FEDERAL 340B PROGRAM, GENESIS IS ABLE TO OFFER DISCOUNTED OUTPATIENT MEDICATIONS TO LOW-INCOME, UNINSURED, AND MEDICAID PATIENTS, FURTHER REDUCING BARRIERS TO CARE 6. EMPLOYEE VOLUNTEERISM AND COMMUNITY ENGAGEMENTGENESIS ENCOURAGES STAFF TO ENGAGE IN COMMUNITY SERVICE THROUGH A FORMAL EMPLOYEE VOLUNTEER PROGRAM. THIS INITIATIVE STRENGTHENS TIES BETWEEN THE HEALTH SYSTEM AND THE COMMUNITY WHILE PROMOTING A CULTURE OF SERVICE AMONG HEALTHCARE PROFESSIONALS.
PART VI, LINE 6:	GENESIS HEALTHCARE SYSTEM PARTNERS WITH A NETWORK OF AFFILIATED ORGANIZATIONS TO EXTEND ITS MISSION OF IMPROVING THE HEALTH OF THE COMMUNITIES IT SERVES. KEY AFFILIATES INCLUDE: GENESIS CHILDREN'S CENTER, WHICH PROVIDES HIGH-QUALITY EARLY CHILDHOOD EDUCATION AND CARE, INCLUDING TODDLER AND PRESCHOOL PROGRAMS, FULL-DAY AND DROP-IN CARE, LATCHKEY SERVICES, AND SUMMER PROGRAMS FOR SCHOOL-AGE CHILDREN. GENESIS OXYGEN & SLEEP THERAPY, OFFERING RESPIRATORY AND SLEEP-RELATED MEDICAL EQUIPMENT AND SUPPORT TO PATIENTS MANAGING CHRONIC CONDITIONS AT HOME. GENESIS PHARMACIES, WHICH PROVIDE PRESCRIPTION SERVICES, HOME MEDICAL EQUIPMENT, AND PHARMACY SUPPORT FOR LONG-TERM CARE FACILITIES, WITH ADDED CONVENIENCES SUCH AS FREE LOCAL DELIVERY AND DRIVE-UP WINDOWS. GENESIS COMMUNITY AMBULANCE SERVICE, LAUNCHED IN 2021 TO PROVIDE FREE TRANSPORTATION HOME FOR PATIENTS WHO HAD TESTED POSITIVE FOR OR WERE EXPOSED TO COVID-19 AND WERE UNABLE TO SECURE RIDES THROUGH TRADITIONAL MEANS. IN 2022, GENESIS BEGAN REIMBURSING THE COST OF THESE RIDES AND EXPANDED THE SERVICE TO INCLUDE PATIENTS WITH NO OTHER MEANS OF TRANSPORTATION. ACCESS TO RELIABLE TRANSPORTATION REMAINS A SIGNIFICANT NEED IN THE GENESIS SERVICE AREA. GENESIS IMAGING, OFFERING A FULL SPECTRUM OF ADVANCED DIAGNOSTIC IMAGING SERVICESINCLUDING MRI, CT, ULTRASOUND, DIGITAL MAMMOGRAPHY, AND NUCLEAR MEDICINE. GENESIS ANESTHESIA PROVIDERS (GAP), A DEDICATED TEAM OF ANESTHESIA PROFESSIONALS SUPPORTING SURGICAL AND PROCEDURAL CARE ACROSS GENESIS FACILITIES. GENESIS MEDICAL GROUP (GMG), A NETWORK OF SPECIALTY PROVIDERS COMMITTED TO DELIVERING COORDINATED, PATIENT-CENTERED CARE THROUGHOUT THE REGION. GENESIS PRIMARY CARE PHYSICIANS (GPCP), A GROUP OF DEDICATED FAMILY MEDICINE AND INTERNAL MEDICINE PROVIDERS FOCUSED ON PREVENTIVE CARE, CHRONIC DISEASE MANAGEMENT, AND LONG-TERM PATIENT RELATIONSHIPS TO SUPPORT OVERALL HEALTH AND WELLNESS. GENESIS EMERGENCY PHYSICIANS (GEP), A TEAM OF BOARD-CERTIFIED EMERGENCY MEDICINE PHYSICIANS AND ADVANCED PROVIDERS PROVIDING 24/7 CARE IN GENESIS EMERGENCY DEPARTMENTS. GENESIS INTEGRATED HEALTH NETWORK, A CLINICALLY INTEGRATED NETWORK THAT BRINGS TOGETHER PHYSICIANS, HOSPITALS, AND OTHER PROVIDERS TO IMPROVE QUALITY, ENHANCE PATIENT OUTCOMES, AND REDUCE HEALTHCARE COSTS. HEALTHYPATH, A COMMUNITY-BASED HEALTH PLAN OFFERED IN PARTNERSHIP WITH GENESIS HEALTHCARE SYSTEM, QUALITY CARE PARTNERS, AND LOCAL BENEFIT ADVISORS. DESIGNED FOR EMPLOYER-SPONSORED HEALTH PLANS WITH FIVE OR MORE ENROLLED EMPLOYEES, HEALTHYPATH COMBINES THE PREDICTABILITY OF A FULLY INSURED PLAN WITH THE COST SAVINGS OF A SELF-INSURED MODEL. IT FEATURES CONCIERGE NETWORK MANAGEMENT, LOW-COST PHARMACY BENEFITS, AND REINSURANCE, WHILE OFFERING MEMBERS $0 DEDUCTIBLES AND $0 COPAYS FOR MOST SERVICES WHEN USING LOCAL HEALTHCARE PARTNERS GENESIS HEALTHCARE FOUNDATION, A NOT-FOR-PROFIT ORGANIZATION THAT SUPPORTS THE MISSION OF GENESIS THROUGH PHILANTHROPIC EFFORTS. THE FOUNDATION RAISES FUNDS TO ENHANCE PATIENT CARE, EXPAND COMMUNITY HEALTH INITIATIVES, AND SUPPORT CAPITAL IMPROVEMENTS AND ADVANCED TECHNOLOGY. THROUGH GENEROUS DONATIONS FROM INDIVIDUALS, BUSINESSES, AND COMMUNITY PARTNERS, THE FOUNDATION HELPS ENSURE THAT HIGH-QUALITY, COMPASSIONATE CARE REMAINS ACCESSIBLE TO ALL.
PART VI, LINE 7, REPORTS FILED WITH STATES	OH

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (10 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Non Cash AssistanceNonCashAssistanceAmt	Purpose Of GrantPurposeOfGrantTxt	Valuation Method UsedValuationMethodUsedDesc
UNITED WAY OF COSHOCTON COUNTY
402 MAIN ST	COSHOCTON	OH	43812	311020238	501(C)(3)	$5,016	$0	CORPORATE DONATION FOR PLEDGE CAMPAIGN
GENESIS HEALTHCARE FOUNDATION
1135 MAPLE AVENUE	ZANESVILLE	OH	43701	311629034	501(C)(3)	$63,919	$0	DONATION FOR AT RISK COMPENSATION
GENESIS HEALTHCARE NURSES LINE
1135 MAPLE AVENUE	ZANESVILLE	OH	43701	311629034	501(C)(3)	$53,392	$0	COMMUNITY NURSES LINE
BUCKEYE VALLEY FAMILY YMCA
1425 NEWARK RD	ZANESVILLE	OH	43701	316053101	501(C)(3)	$55,000	$0	CORPORATE DONATION FOR PLEDGE CAMPAIGN
UNITED WAY OF MPM COUNTIES
526 PUTNAM AVENUE	ZANESVILLE	OH	43701	314379456	501(C)(3)	$20,000	$0	CORPORATE DONATION FOR PLEDGE CAMPAIGN
CENTRAL AMERICAN MEDICAL OUTREACH
322 WESTWOOD AVENUE	ORVILLE	OH	44667	341740695	501(C)(3)	$0	$260,626	DONATION OF SUPPLIES	FMV
MUSKINGUM VALLEY HEALTH CENTER
716 ADAIR AVENUE	ZANESVILLE	OH	43701	208814374	501(C)(3)	$55,000	$0	CORPORATE DONATION FOR PATIENT CARE CHARITABLE FUNDS
MUSKINGUM COUNTY COMMUNITY FOUNDATION
534 PUTMAN AVENUE	ZANESVILLE	OH	43701	311147022	501(C)(3)	$10,000	$0	GROUNDHOG DAY CELEBRATION & HALF MARATHON RACE
OUR TOWN COSHOCTON
PO BOX 1633	COSHOCTON	OH	43812	455063130	501(C)(3)	$20,000	$0	CORPORATE SPONSORSHOP FOR OUR TOWN COSHOCTON
JUNIOR ACHIEVEMENT OF CENTRAL OHIO
68 E 2ND ST AVE	COLUMBUS	OH	43201	314385042	501(C)(3)	$7,500	$0	"INSPIRE" SPONSORSHIP

Field	Value	IRS element (for citing)
Total501c3 Org	10	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	DONATIONS ARE GRANTED TO 501(C)(3) OR RELATED GENESIS HEALTHCARE SYSTEM ORGANIZATIONS. RECIPIENTS ARE REVIEWED AND GRANTS ARE MONITORED WHEN AWARDED FOR PROPER USAGE.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	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	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
MATTHEW PERRY
PRESIDENT/CEO	$980,642	$0	$61,864	$0	$0	$0	$10,350	$0	$25,320	$0	$1,078,176	$0	$0	$0
DIANNA LEVECK
CHIEF HUMAN RESOURCES OFFI	$555,463	$0	$68,335	$0	$249,395	$0	$9,352	$0	$25,443	$0	$907,988	$0	$0	$0
KRISTY RITCHIE MD
TRUSTEE	$379,906	$0	$275,665	$0	$0	$0	$9,866	$0	$32,764	$0	$698,201	$0	$0	$0
BRANDICE ALEXANDER DO
PRESIDENT OF MEDICAL STAFF	$612,177	$0	$44,628	$0	$0	$0	$10,350	$0	$18,563	$0	$685,718	$0	$0	$0
MICHAEL NORMAN
CHIEF FINANCIAL OFFICER	$523,156	$0	$73,124	$0	$32,499	$0	$10,350	$0	$31,670	$0	$670,799	$0	$0	$0
EDMUND ROMITO
CHIEF INFORMATION OFFICER	$514,790	$0	$62,887	$0	$55,900	$0	$10,350	$0	$19,733	$0	$663,660	$0	$0	$0
SCOTT WEGNER MD
CHIEF CLINICAL OFFICER	$414,845	$0	$126,552	$0	$43,551	$0	$10,350	$0	$35,515	$0	$630,813	$0	$0	$0
SHARON PARKER
CHIEF OPERATION OFFICER	$475,653	$0	$65,758	$0	$57,941	$0	$10,350	$0	$20,493	$0	$630,195	$0	$0	$0
WENDY CEDOZ
CHIEF LEGAL OFFICER	$487,322	$0	$59,672	$0	$39,747	$0	$10,350	$0	$22,203	$0	$619,294	$0	$0	$0
CHRISTOPHER SCHOELLES
CHIEF OPERATION OFFICER	$466,906	$0	$59,711	$0	$25,398	$0	$6,139	$0	$34,950	$0	$593,104	$0	$0	$0
LINDA SUPPLEE
DIRECTOR/CPHO	$443,702	$0	$51,263	$0	$45,500	$0	$6,071	$0	$1,000	$0	$547,536	$0	$0	$0
SHON BENDER
CHIEF NURSING OFFICER	$426,726	$0	$52,769	$0	$21,526	$0	$10,350	$0	$7,258	$0	$518,629	$0	$0	$0
ERIN REMSTER DO
TRUSTEE	$343,043	$0	$34,446	$0	$0	$0	$9,714	$0	$19,063	$0	$406,266	$0	$0	$0
LES BOYER
DIRECTOR	$258,703	$0	$34,315	$0	$0	$0	$5,210	$0	$19,893	$0	$318,121	$0	$0	$0
GREG MATONAK
DIRECTOR	$243,144	$0	$32,901	$0	$0	$0	$4,187	$0	$23,664	$0	$303,896	$0	$0	$0
MARIANNE GRAHAM
DIRECTOR	$215,209	$0	$31,037	$0	$0	$0	$6,395	$0	$23,804	$0	$276,445	$0	$0	$0
CHARLES ADAMS
LEAN SIX SIGMA, DIRECTOR	$188,329	$0	$50,178	$0	$8,906	$0	$5,069	$0	$19,125	$0	$271,607	$0	$0	$0
TISHA BABCOCK
DIRECTOR	$179,421	$0	$31,924	$0	$0	$0	$1,253	$0	$32,242	$0	$244,840	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE ORGANIZATION PAYS COUNTRY CLUB DUES AND RELATED BUSINESS EXPENSES FOR MEMBERS OF SENIOR LEADERSHIP. PERSONAL USAGE IS PAID BY THE INDIVIDUAL AND THE PERCENTAGE OF DUES RELATED TO PERSONAL USAGE ARE ADDED TO THE INDIVIDUALS W-2.
PART I, LINE 7	BOARD REVIEWS BONUSES BASED ON PERFORMANCE.
PART I, LINE 4B:	A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: WENDY CEDOZ: $39,747 DIANNA LEVECK: $249,395 EDMUND ROMITO: $55,900 SHARON PARKER: $57,941 SHON BENDER: $21,526 MICHAEL NORMAN: $32,499 CHRISTOPHER SCHOELLES: $25,398 LINDA SUPPLEE: $45,500 SCOTT WEGNER: $43,551 CHARLES ADAMS: $8,906

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
COUNTY OF MUSKINGUM OHIO
A	316400080	628077CK3	2013-05-09	$294,645,952	ACQUIRING, CONSTRUCTING, RENOVATING, INSTALLING AND EQUIPPING HOSP FAC.	0	0	0
COUNTY OF COSHOCTON OHIO
B	316400064	000000000	2024-02-01	$25,000,000	ACQUIRING, CONSTRUCTING, RENOVATING, INSTALLING AND EQUIPPING MEDICAL CENTER	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	In Reserve FundInReserveFundAmt	Capitalized InterestCapitalizedInterestAmt	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
A	$37,610,000	$294,645,952	$18,019,125	$27,255,403	$4,794,175	$197,697,357	$46,879,891	2016	0	Yes (1)	0	Yes (1)
B		$25,000,000	$880,245		$493,610	$4,383,943	$19,242,203	2024	0	Yes (1)	0	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCd	Owning Bond Financed PropertyOwningBondFinancedPropertyInd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Private Bus Concerning UBIPrivateBusConcerningUBIPct	Total Private Business UseTotalPrivateBusinessUsePct	Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)
B	0	0	0	0	0.00000	0.00000	0.00000	0	0	Yes (1)

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	0	0	0	Yes (1)	0	0	0	0	0
B	0	0	0	0	Yes (1)	0	0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE K: ENTITY A: PART IV: LINE 2C	FormAndLineReferenceDesc
Explanation	DATES OF REBATE COMPUTATIONS: 05/25/2018 05/04/2023	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6	FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., AND BETHESDA CARE SYSTEM ARE THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11B	THE 990 IS REVIEWED BY THE CFO AND MADE AVAILABLE TO THE BOARD OF DIRECTORS IN ITS ENTIRETY FOR REVIEW.
FORM 990, PART VI, SECTION B, LINE 12C	ALL POTENTIAL CONFLICTS OF INTEREST OF BOARD MEMBERS AND OFFICERS MUST BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE BOARD WILL DETERMINE IF A CONFLICT EXISTS AND APPROPRIATE PROCEDURES TO MITIGATE THE SITUATION, SUCH AS ALTERNATIVE TRANSACTIONS AND PARTICIPATION AND VOTING RESTRICTIONS. THE COMPLIANCE OFFICER MONITORS AND ENFORCES THESE POLICIES. ALL OFFICERS AND DIRECTORS REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE CEO IS MANAGED THROUGH A THIRD PARTY THAT IS A NATIONALLY RECOGNIZED FIRM SPECIALIZING IN COMPENSATION BENCHMARKING AND ANALYSIS. THE FIRM IS RECOGNIZED FOR THEIR EXPERTISE IN EVALUATING TOTAL COMPENSATION AT THE EXECUTIVE LEVEL. THIS FIRM PRESENTS THEIR RECOMMENDATIONS AND ANALYSIS TO THE COMPENSATION COMMITTEE, WHICH IS MADE UP OF INDEPENDENT MEMBERS OF THE GENESIS BOARD OF DIRECTORS. THE COMMITTEE IS RESPONSIBLE FOR MAKING A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING THE EXECUTIVE COMPENSATION POLICY AND SPECIFIC COMPONENTS OF THE TOTAL COMPENSATION OF THE CEO. THE CEO IS ACTIVELY INVOLVED IN THE REVIEW, ANALYSIS AND RECOMMENDATION RELATED TO THE TOTAL COMPENSATION FOR THE REMAINING MEMBERS OF THE SENIOR LEADERSHIP TEAM. THE CEO DETERMINES THE COMPENSATION OF THE SENIOR LEADERSHIP TEAM MEMBERS WITHIN THE PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE. THIS COMPENSATION PROCESS WAS LAST COMPLETED IN 2024.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VII, SECTION A:	RANDY COCHRANE, TRUSTEE, IS ALSO AN INDEPENDENT CONTRACTOR OF THE ORGANIZATION AND IS PAID SOLELY FOR THE SERVICES HE PROVIDES UNDER THE CONTRACT, NOT FOR HOURS SPENT AS A TRUSTEE.
FORM 990, PART IX, LINE 11G	BILLING: PROGRAM SERVICE EXPENSES 1,112,483. MANAGEMENT AND GENERAL EXPENSES 1,096,140. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,208,623. CLEANING: PROGRAM SERVICE EXPENSES 347,307. MANAGEMENT AND GENERAL EXPENSES 342,205. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 689,512. CONSULTING: PROGRAM SERVICE EXPENSES 1,790,541. MANAGEMENT AND GENERAL EXPENSES 1,764,235. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,554,776. COURIER: PROGRAM SERVICE EXPENSES 513,774. MANAGEMENT AND GENERAL EXPENSES 506,226. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,020,000. FOOD & NUTRITION SERVICES: PROGRAM SERVICE EXPENSES 2,822,050. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,822,050. INFECTIOUS WASTE REMOVAL: PROGRAM SERVICE EXPENSES 129,299. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,299. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 3,218,890. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,218,890. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 1,744,984. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,744,984. MAINTENANCE CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,151,246. MANAGEMENT AND GENERAL EXPENSES 5,075,567. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,226,813. MEDICAL SERVICES FEES: PROGRAM SERVICE EXPENSES 42,185,525. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 42,185,525. PATIENT SERVICES: PROGRAM SERVICE EXPENSES 39,457. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 39,457. PHARMACEUTICAL FEES: PROGRAM SERVICE EXPENSES 275,923. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 275,923. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 36,916. MANAGEMENT AND GENERAL EXPENSES 36,373. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 73,289. SPONSORSHIP FEES: PROGRAM SERVICE EXPENSES 46,943. MANAGEMENT AND GENERAL EXPENSES 46,253. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 93,196. TRANSPORATION SERVICES: PROGRAM SERVICE EXPENSES 1,783,426. MANAGEMENT AND GENERAL EXPENSES 1,757,225. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,540,651.
FORM 990, PART XI, LINE 9:	PLEDGE RECEIVABLE FROM RELATED ORG -99,397,000. ASSETS RELEASED FROM RESTRICTION 2,098,235. TRANSFER TO/FROM AFFILIATES -2,607,202.
FORM 990, PART XII, LINE 2C:	THE FINANCE COMMITTEE OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PAGE 1, LINE H(D):	THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (3 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 INTEGRATED HEALTH NETWORK LLC
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	881341428	COORDINATE CARE	OH	$0	$0	GENESIS HEALTHCARE SYSTEM
GCMC PROPERTIES
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	934718706	REAL ESTATE HOLDING	OH	$0	$0	GENESIS HEALTHCARE SYSTEM
HEALTHYPATH LLC
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	994041848	INSURANCE	OH	-$1,800	$0	GENESIS HEALTHCARE SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 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 HEALTHCARE FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311629304	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	310969646	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE FOUNDATION	Yes (1)
BETHESDA HOSPITAL FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	310885513	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE FOUNDATION	Yes (1)
GOOD SAMARITAN MEDICAL CENTER
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	314379479	MAINTAINS REAL ESTATE TITLE FOR HOSPITAL	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
CARESERVE
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311099924	FORMERLY OPERATED 2 NURSING HOMES THAT WERE SOLD PRIOR TO 2012	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
COMMUNITY AMBULANCE SERVICE
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	341773323	AMBULANCE SERVICE	OH	501(C)(3)	LINE 11	GENESIS HEALTHCARE SYSTEM	Yes (1)
GENESIS CAREGIVERS
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311282152	HOME CARE SERVICES	OH	501(C)(3)	3	CARESERVE	Yes (1)
BETHESDA HOSPITALITY SHOP
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	316050713	GIFT SHOP	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 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	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARELIFE LLC
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311128717	PHYSICIAN SERVICES, CHILDCARE SERVICES, PHARMACY, DME	OH	GENESIS HEALTHCARE SYSTEM	C	-$87,363,653	$62,576,875	1.00000	Yes (1)
SOUTHEAST OHIO MEDICAL INSURANCE COMPANY
				980436356	CAPTIVE INSURANCE COMPANY		GENESIS HEALTHCARE SYSTEM	C		$19,865,393	1.00000	Yes (1)	FIRST CARIBBEAN HOUSE	GEORGE TOWN	CAYMAN ISLANDS	CJ	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	Yes (1)	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	Yes (1)	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	Yes (1)	SharingOfFacilitiesInd
Paid Employees Sharing	Yes (1)	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp

Other Organization Name OtherOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	CARELIFE LLC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Transaction Type	S	TransactionTypeTxt
Involved	$99,397,000	InvolvedAmt
Method Of Amount Determination	ACCRUAL TRANSACTION	MethodOfAmountDeterminationTxt