GENESIS HEALTH SYSTEM: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH SYSTEM (EIN 36-3616314)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-09
IRS object ID: 201941299349301744
Schema version: 2017v2.2
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 C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-09T13:34:59-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	363616314	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Genesis Health System (IL)	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	801 Illini Drive	AddressLine1Txt
City	Silvis	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61282	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	2019-05-09	SignatureDt

Field	Value	IRS element (for citing)
Tax	2017	TaxYr
Build TS	2019-02-21 02:37:17Z	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	801 Illini Drive	AddressLine1Txt
City	Silvis	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61282	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$96,071,806	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	GENESISHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1990	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	GENESIS HEALTH SYSTEM (GHS ILLINOIS) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	807	TotalEmployeeCnt
Total Volunteers	79	TotalVolunteersCnt
Total Gross UBI	$825,629	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$115,685	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$23,327	PYContributionsGrantsAmt
CY Contributions Grants	$252,973	CYContributionsGrantsAmt
PY Program Service Revenue	$93,606,097	PYProgramServiceRevenueAmt
CY Program Service Revenue	$92,583,339	CYProgramServiceRevenueAmt
PY Investment Income	$1,055,071	PYInvestmentIncomeAmt
CY Investment Income	$943,147	CYInvestmentIncomeAmt
PY Other Revenue	$1,867,235	PYOtherRevenueAmt
CY Other Revenue	$2,218,661	CYOtherRevenueAmt
PY Total Revenue	$96,551,730	PYTotalRevenueAmt
CY Total Revenue	$95,998,120	CYTotalRevenueAmt
PY Grants And Similar Paid	$208,588	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$205,536	CYGrantsAndSimilarPaidAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$34,406,645	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$33,364,983	CYSalariesCompEmpBnftPaidAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$55,797,109	PYOtherExpensesAmt
CY Other Expenses	$54,300,461	CYOtherExpensesAmt
PY Total Expenses	$90,412,342	PYTotalExpensesAmt
CY Total Expenses	$87,870,980	CYTotalExpensesAmt
PY Revenues Less Expenses	$6,139,388	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$8,127,140	CYRevenuesLessExpensesAmt
Total Assets BOY	$97,147,012	TotalAssetsBOYAmt
Total Assets EOY	$102,265,889	TotalAssetsEOYAmt
Total Liabilities BOY	$14,934,690	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$12,109,259	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$82,212,322	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$90,156,630	NetAssetsOrFundBalancesEOYAmt
Mission	GENESIS HEALTH SYSTEM (GHS ILLINOIS) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$58,417,380	ExpenseAmt
Grant	$205,536	GrantAmt
Revenue	$85,744,582	RevenueAmt
Desc	GENESIS MEDICAL CENTER - SILVIS: HEALTH CARE DELIVERY AND MANAGEMENT, GENERAL/OTHER: GENESIS MEDICAL CENTER - SILVIS, A NOT-FOR-PROFIT ORGANIZATION, IS LICENSED AS A 145-BED ACUTE CARE HOSPITAL AND PROVIDES RELATED HEALTHCARE INPATIENT, EMERGENCY, AND OUTPATIENT ANCILLARY SERVICES. (10,990 PATIENT DAYS and 125,550 OUTPATIENT VISITS)	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$7,974,386	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$8,197,051	RevenueAmt
Desc	ILLINI HOSPITAL NURSING HOME: HEALTH CARE FOR A 92-BED LICENSED NURSING FACILITY AND REHABILITATIVE AND PERSONAL CARE FOR A 28-BED FACILITY (30,555PATIENT DAYS) WITH ASSISTED LIVING SERVICES CONSISTING OF 56 APARTMENTS AND 3 GUESTROOMS FOR THE ELDERLY (566 RESIDENT MONTHS).	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$66,391,766	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	false	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	false	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	false	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	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
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	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	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
IRP Document	66	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	807	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	false	ForeignFinancialAccountInd
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
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	9	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	false	InvestmentInJointVentureInd
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 EAST RUSHOLME STREET	AddressLine1Txt
City	DAVENPORT	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52803	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 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	5.0	56.5	Yes (X)	Yes (X)	$0	$1,518,260	$31,929
STEVEN C BAHLS
VICE CHAIR	2.0	6.0	Yes (X)	Yes (X)	$0	$0	$0
GREGORY J BUSH
TREASURER	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
ROGER J HILL
SECRETARY	1.0	3.0	Yes (X)	Yes (X)	$0	$0	$0
G CHRISTOPHER WAHLIG
CHAIR	3.0	7.0	Yes (X)	Yes (X)	$0	$0	$0
MARK D BAWDEN
DIRECTOR	1.0	4.5	Yes (X)		$0	$0	$0
PETER J BENSON
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
CHRISTOPHER J COX
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
EDMUND P COYNE JR
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
PATRICIA S GROVES
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
MARK C KILMER
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
JAMES W KOEHLER
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
GEORGE J KONTOS JR
DIRECTOR	1.0	41.0	Yes (X)		$0	$543,075	$24,885
DAVID C LARSON
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
CHARLENE E MAASKE
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
C DANA WATERMAN III
DIRECTOR	1.0	3.5	Yes (X)		$0	$0	$0
DALE D ZUDE
DIRECTOR	1.0	3.0	Yes (X)		$0	$0	$0
EDWIN V MOTTO MD
DIRECTOR	3.0	7.0	Yes (X)		$0	$0	$0
EDWARD J ROGALSKI PHD
DIRECTOR	3.0	7.0	Yes (X)		$0	$0	$0
PAUL BOLLINGER
V.P. LEGAL AFFAIRS/ ASST SECRETARY	4.0	36.0		Yes (X)	$0	$356,970	$16,065
MARK G ROGERS
V.P. FINANCE/CFO GHS/ASST TREASURER	4.0	36.0		Yes (X)	$0	$1,021,819	$27,694
NIDAL HARB
CHIEF MEDICAL OFFICER	4.0	36.0			$0	$791,603	$25,851	Yes (X)
JACQUELINE K ANHALT
V.P. PATIENT SERVICES	4.0	36.0			$0	$340,316	$28,963		Yes (X)
KENNETH R CROKEN
V.P. CORPORATE COMMUNICATIONS	4.0	36.0			$0	$363,248	$27,007		Yes (X)
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	4.0	36.0			$0	$403,973	$28,997		Yes (X)
HEIDI S KAHLY-MCMAHON
V.P. HUMAN RESOURCES	4.0	36.0			$0	$384,190	$23,060		Yes (X)
THERESA SUMMERS-MAIN
Hospital President GMC Silvis	38.0	2.0			$354,727	$0	$20,368		Yes (X)
HAROLD WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER		40.0			$0	$254,912	$20,879			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$354,727	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,978,366	TotReportableCompRltdOrgAmt
Total Other Compensation	$275,698	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	0	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
EMERGENCY CARE AND HEALTH ORGANIZATION LTD
1S443 SUMMIT AVENUE	OAKBROOK TERRACE	IL	60181	24/hr ER Physician Services for GMC-Silvis	$2,965,370
Crothall Healthcare Inc
1500 Liberty Ridge Drive	Wayne	IA	19087	Maintenance/Enviromental Services	$1,822,912
Treiber Construction
2728 N Clark St	Davenport	IA	52804	Construction Services	$1,254,909
Morrison Healthcare
5801 Peachtree Dunwoody Road	Atlanta	GA	303421503	Nutritional Services	$818,876
AMN HEALTHCARE INC
12400 HIGH BLUFF DRIVE	SAN DIEGO	CA	92130	MEDICAL PROFESSIONAL SERVICES	$675,046

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	30	CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIII	Yes (X)	InfoInScheduleOPartVIIIInd
Government Grants	$252,573	GovernmentGrantsAmt
All Other Contributions	$400	AllOtherContributionsAmt
Total Contributions	$252,973	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
OUTPATIENT SERVICES	900099	$170,426,498	$170,426,498
INPATIENT REVENUE	900099	$65,361,446	$65,361,446
NURSING SERVICES	621500	$21,357,650	$20,532,021	$825,629
RESIDENT REVENUE	623000	$1,040,389	$1,040,389
CONTRACTS W/AFFILIATES	900099	-$15,560	-$15,560

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$165,587,084	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$165,587,084	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$92,583,339	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$971,814	TotalRevenueColumnAmt
Exclusion	$971,814	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	$13,500	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$42,167	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$0	SecuritiesAmt
Other	-$28,667	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$28,667	TotalRevenueColumnAmt
Exclusion	-$28,667	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$66,257	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$31,519	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$34,738	TotalRevenueColumnAmt
Exclusion	$34,738	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
AMBULANCE	621910	$1,263,471	$1,263,471
OTHER SERVICES	900099	$819,436	$819,436
EDUCATION	624100	$42,570	$42,570

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$58,446	TotalRevenueColumnAmt
Related Or Exempt Func Income	$58,446	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$0	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$2,183,923	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$95,998,120	TotalRevenueColumnAmt
Related Or Exempt Func Income	$93,941,633	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$825,629	UnrelatedBusinessRevenueAmt
Exclusion	$977,885	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	$205,536	TotalAmt
Program Services	$205,536	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$28,690,477	TotalAmt
Program Services	$27,721,821	ProgramServicesAmt
Management And General	$968,656	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$353,672	TotalAmt
Program Services	$341,314	ProgramServicesAmt
Management And General	$12,358	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$2,267,669	TotalAmt
Program Services	$2,188,432	ProgramServicesAmt
Management And General	$79,237	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,053,165	TotalAmt
Program Services	$1,999,990	ProgramServicesAmt
Management And General	$53,175	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$521,251	TotalAmt
Program Services	$78,967	ProgramServicesAmt
Management And General	$442,284	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$28,121	TotalAmt
Management And General	$28,121	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$13,158,051	TotalAmt
Program Services	$12,587,435	ProgramServicesAmt
Management And General	$570,616	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$35,882	TotalAmt
Program Services	$13,396	ProgramServicesAmt
Management And General	$22,486	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$584,256	TotalAmt
Program Services	$460,566	ProgramServicesAmt
Management And General	$123,690	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$4,199,094	TotalAmt
Program Services	$94,602	ProgramServicesAmt
Management And General	$4,104,492	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,912,539	TotalAmt
Program Services	$2,508,310	ProgramServicesAmt
Management And General	$404,229	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$370,876	TotalAmt
Program Services	$364,368	ProgramServicesAmt
Management And General	$6,508	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$46,158	TotalAmt
Program Services	$45,396	ProgramServicesAmt
Management And General	$762	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$134,352	TotalAmt
Program Services	$134,352	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,446,880	TotalAmt
Program Services	$4,446,880	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$308,274	TotalAmt
Program Services	$111,836	ProgramServicesAmt
Management And General	$196,438	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FEDERAL AND STATE INCOM	$29,500	$29,500
CORPORATE OVERHEAD ALLO	$14,316,333		$14,316,333
MEDICAL AND PHARMACEUTI	$7,263,617	$7,263,291	$326
COGS - PATIENT CHARGEAB	$4,023,977	$4,023,977

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,921,300	TotalAmt
Program Services	$1,771,787	ProgramServicesAmt
Management And General	$149,513	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$87,870,980	TotalAmt
Program Services	$66,391,756	ProgramServicesAmt
Management And General	$21,479,224	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$2,503	BOYAmt
EOY	$2,650	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$25,121,755	BOYAmt
EOY	$30,351,571	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$15,963,364	BOYAmt
EOY	$18,484,159	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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$2,626,801	BOYAmt
EOY	$2,782,091	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$472,982	BOYAmt
EOY	$730,103	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$130,294,607	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$89,308,687	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$41,119,102	BOYAmt
EOY	$40,985,920	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$11,337,777	BOYAmt
EOY	$8,413,733	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$502,728	BOYAmt
EOY	$515,662	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$97,147,012	BOYAmt
EOY	$102,265,889	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$5,904,077	BOYAmt
EOY	$3,989,667	EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$5,794,136	BOYAmt
EOY	$4,369,543	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$3,236,477	BOYAmt
EOY	$3,750,049	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$14,934,690	BOYAmt
EOY	$12,109,259	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$81,935,377	BOYAmt
EOY	$89,867,370	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$276,945	BOYAmt
EOY	$289,260	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$82,212,322	BOYAmt
EOY	$90,156,630	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$97,147,012	BOYAmt
EOY	$102,265,889	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$8,127,140	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$20,647	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$203,479	OtherChangesInNetAssetsAmt
Method Of Accounting Other	Yes (X)	MethodOfAccountingOtherInd
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 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	$154	DirectContactLegislatorsAmt
Rallies Demonstrations	false	RalliesDemonstrationsInd
Other Activities	Yes (true)	OtherActivitiesInd
Other Activities	$28,121	OtherActivitiesAmt
Total Lobbying Expenditures	$28,275	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, EIN 36-3616314, 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, EIN 36-3616314, ARE ENCOURAGED TO PARTICIPATE IN THE ILLINOIS 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, EIN 36-3616314, REGARDING THIS ACTIVITY. Part II-B, Line 1g. DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM, EIN 36-3616314, 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. THE DIRECT COSTS INCLUDED: SALARIES- $154. Part II-B, Line 1i. OTHER LOBBYING ACTIVITIES: LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED; 39% OF MEMBERSHIP DUES TO THE ILLINOIS HOSPITAL ASSOCIATION, OR $21,732, AND 21.78% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $6,389.

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

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$13,249,655	BeginningYearBalanceAmt
Contributions	$166,432	ContributionsAmt
Investment Earnings Or Losses	$739,722	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$69,705	AdministrativeExpensesAmt
End Year Balance	$14,081,104	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$12,080,730	BeginningYearBalanceAmt
Contributions	$191,448	ContributionsAmt
Investment Earnings Or Losses	$1,042,682	InvestmentEarningsOrLossesAmt
Grants Or Scholarships	$5,000	GrantsOrScholarshipsAmt
Administrative Expenses	$60,205	AdministrativeExpensesAmt
End Year Balance	$13,249,655	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

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 Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

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

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$7,838,024	BeginningYearBalanceAmt
Contributions	$374,838	ContributionsAmt
Investment Earnings Or Losses	$910,619	InvestmentEarningsOrLossesAmt
End Year Balance	$9,123,481	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.3959	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.6041	PrmnntEndowmentBalanceEOYPct
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	$7,666,161	OtherCostOrOtherBasisAmt
Book Value	$7,666,161	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$67,203,680	OtherCostOrOtherBasisAmt
Depreciation	$42,050,080	DepreciationAmt
Book Value	$25,153,600	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,090,594	OtherCostOrOtherBasisAmt
Depreciation	$498,141	DepreciationAmt
Book Value	$1,592,453	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,014,087	OtherCostOrOtherBasisAmt
Depreciation	$44,215,270	DepreciationAmt
Book Value	$6,798,817	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,320,085	OtherCostOrOtherBasisAmt
Depreciation	$2,545,196	DepreciationAmt
Book Value	-$225,111	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$40,985,920	TotalBookValueLandBuildingsAmt

Other Securities OtherSecuritiesGrp (4 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
INVESTMENT IN LARSON CENTER PARTNERSHIP	$1,430,751	F
OTHER INVESTMENTS	$33,623	F
NOTE RECEIVABLE	$859,478	F
LT NOTE RECEIVABLE	$6,089,881	F

Field	Value	IRS element (for citing)
Total Book Value Securities	$8,413,733	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
THIRD PARTY PAYOR SETTLEMENTS	$3,733,524
LONG TERM DEFERRED EXPENSE CREDIT	$16,525

Field	Value	IRS element (for citing)
Total Liability	$3,750,049	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 percent 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, 2014 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, 2014 and prior. There were no uncertain tax positions as of June 30, 2018 and 2017.

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	$1,246,644	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,246,644	NetCommunityBenefitExpnsAmt
Total Expense	0.0142	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$20,517,061	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,289,132	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,227,929	NetCommunityBenefitExpnsAmt
Total Expense	0.0140	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	$21,763,705	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,289,132	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,474,573	NetCommunityBenefitExpnsAmt
Total Expense	0.0282	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$48,418	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$48,418	NetCommunityBenefitExpnsAmt
Total Expense	0.0006	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

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

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$486,355	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$349,072	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$137,283	NetCommunityBenefitExpnsAmt
Total Expense	0.0016	TotalExpensePct

Research ResearchGrp

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

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,376	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$69,376	NetCommunityBenefitExpnsAmt
Total Expense	0.0008	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$604,149	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$349,072	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$255,077	NetCommunityBenefitExpnsAmt
Total Expense	0.0029	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$22,367,854	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$19,638,204	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$2,729,650	NetCommunityBenefitExpnsAmt
Total Expense	0.0311	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)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Net Community Benefit Expns	$0	NetCommunityBenefitExpnsAmt
Total Expense	0.0	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	$721	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$721	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	$721	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$721	NetCommunityBenefitExpnsAmt
Total Expense	0.0000	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,471,010	BadDebtExpenseAmt
Bad Debt Expense Attributable	$0	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$23,528,974	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$23,197,027	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$331,947	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 (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
LARSON CENTER PARTNERSHIP
PROPERTY MANAGEMENT	0.798	0.208
GENRAD IMAGING ILLINOIS LLC
DIAGNOSTIC IMAGING CENTER	0.5	0.5

Field	Value	IRS element (for citing)
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 MEDICAL CENTER - SILVIS	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	801 ILLINI DRIVE	AddressLine1Txt
City	SILVIS	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61282	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GENESISHEALTH.COM	WebsiteAddressTxt
State License	0005413	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS MEDICAL CENTER - SILVIS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	false	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	false	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (true)	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
CHNA Conducted	15	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	WWW.GENESISHEALTH.COM/COMMUNITY	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	15	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (true)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GENESISHEALTH.COM/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	false	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (true)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.0	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.0	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
Explained Basis	Yes (true)	ExplainedBasisInd
App Financial Asst Expln	Yes (true)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (true)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.GENESISHEALTH.COM	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.GENESISHEALTH.COM	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.GENESISHEALTH.COM	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
FAP Translated	Yes (X)	FAPTranslatedInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	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 (true)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

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 - SILVIS. For over a decade, Community Health Care, Genesis Health System (GHS Iowa) and (GHS Illinois), Quad City Health Initiative, Rock Island County Health Department, Scott County Health Department, and Unity Point Health-Trinity have been collaborating on improving health status and quality of life in the Quad Cities region through the Quad City Health Initiative (QCHI). Our coordinated assessment approach included primary data collection, secondary data analysis, and qualitative input from community leaders. Each health department convened a community health task force to review and prioritize secondary data and collect qualitative input from community leaders in Scott and Rock Island counties. In addition, through QCHI, the health systems funded a survey and data collection for the bi-state area and hired professional research consultant (PRC) to conduct this work. The Community Health Needs Assessment (CHNA) incorporates data from primary research (the PRC Community Health Survey) and secondary research (vital statistics and other existing health-related data); these components allow for trending and comparison to benchmark data at the State and National levels. The survey instrument used for this study is based largely on the Centers for Disease Control and Prevention (CDC) Behavioral Risk Factor Surveillance System (BRFSS), as well as various other public health surveys and customized questions addressing gaps in indicator data relative to health promotion and disease prevention objectives and other recognized health issues. The final survey instrument was developed by the sponsoring organizations and PRC, and is similar to the previous surveys used in the region, allowing for data trending. To ensure the best representation of the population surveyed, a telephone interview methodology - one that incorporates both landline and cell phone interviews - was employed. The primary advantages of telephone interviewing are timeliness, efficiency, and random-selection capabilities. The sample design used for this effort consisted of a stratified random sample of 801 individuals age 18 and older in the Quad Cities area, including 402 in Rock Island County and 399 in Scott County. In addition, an oversample of 122 additional interviews was implemented among African American and Hispanic adults to ensure that these populations were adequately represented in the sample and could be analyzed independently. This yielded a total of 87 interviews among African American residents and 101 interviews among Hispanic residents (including respondents reached through both the random sample and oversample interviews). Once all surveys were completed, the total of 923 interviews were weighted in proportion to the actual population distribution so as to appropriately represent Quad cities area as a whole. All administration of the surveys, data collection and data analysis was conducted by professional research consultants, Inc. (PRC). For statistical purposes, the maximum rate of error associated with a sample size of 923 respondents is plus or minus 3.3% at the 95 percent level of confidence. It is a common and preferred practice to "weight" the raw data to improve representativeness even further. This is accomplished by adjusting the results of a random sample to match the geographic distribution and demographic characteristics of the population surveyed (poststratification), so as to eliminate any naturally occurring bias. Specifically, once the raw data are gathered, respondents are examined by key demographic characteristics (namely gender, age, race, ethnicity, and poverty status) and a statistical application package applies weighting variables that produce a sample which more closely matches the population for these characteristics. Thus, while the integrity of each individual's responses is maintained, one respondent's responses may contribute to the whole the same weight as, for example, 1.1 respondents. Another respondent, whose demographic characteristics may have been slightly oversampled, may contribute the same weight as 0.9 respondents. A variety of existing (secondary) data sources was consulted to complement the research quality of this community health assessment. Data for rock Island and Scott counties were obtained from the following sources: - Centers for Applied Research and environmental Systems (CARES) - Centers for Disease Control & Prevention - Community Commons - ERSI ARCGIS Map Gallery - National Cancer Institute, State Cancer Profiles - OpenStateMap (OSM) - US Department of Agriculture, Economic Research Service - Iowa Department of Public Safety/Illinois State Police - US Census Bureau - US Department of Health and Human Services - US Department of Justice, Federal Bureau of Investigation - US Department of Labor, Bureau of Labor Statistics - Note that secondary data reflect county-level data
Schedule H, Part V, Section B, Line 6a Facility , 1	Facility , 1 - Unity Point Health-Trinity.
Schedule H, Part V, Section B, Line 6b Facility , 1	Facility , 1 - Community Health Care.
Schedule H, Part V, Section B, Line 6b Facility , 2	Facility , 2 - Quad City Health Initiative.
Schedule H, Part V, Section B, Line 6b Facility , 3	Facility , 3 - Rock Island County Health Department.
Schedule H, Part V, Section B, Line 6b Facility , 4	Facility , 4 - Scott County Health Department.
Schedule H, Part V, Section B, Line 11 Facility , 1	Facility , 1 - GENESIS MEDICAL CENTER - SILVIS. 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 Healthcare Services * Care Team Concept to deploy allowing providers to care for more patients, more efficiently * In addition to current Convenient Care offerings, retail clinics are also going to be deployed in Hy-Vee Food Stores * New West Davenport healthplex, opened in 2018, that will provide better care, close to home Cancer * Continued support of the Genesis Cancer Care Institute, treating cancer with the next generation of cancer-fighting technology o Center for Breast Health o Cancer Clinical Research o Support of the grant and voucher programs for those with financial need * Founding sponsor of the Susan G. KomenRace for the Cure Heart Disease & Stroke * Continue development of "medical home" model o health coaches, navigators, case management * Genesis "HealthBeat" exercise program o Aledo, Cordova, Davenport, DeWitt, Eldridge, Silvis and Moline (41stSt.), Moline (Butterworth Pkwy.) * Continue work on recruiting top neurologists and neurosurgeons to the Quad-Cities Nutrition, Physical Activity, & Weight * Continue development of "medical home" model o health coaches, navigators, case management * TransFatFreeQC restaurant promotion * Genesis "HealthBeat" exercise program o Aledo, Cordova, Davenport, DeWitt, Eldridge, Silvis and Moline (41stSt.), Moline (Butterworth Pkwy.) * Metabolic screening program offered to community to reduce health risk factors, keeping community more healthy * FluFreeQC * Genesis Immunization CRM Program * Community Health Education on Hand Washing * Ryan White HIV Program * Support of Be Healthy QC and the PICH grant through QCHI, taking Skip & Scout to the children of the QC to teach about healthy choices * Genesis "Wellness Program" Offerings * YMCA membership discount * Genesis Center for Weight Management * Healthy Lifestyle Sponsorships, such as: o Genesis Firecracker Run o Bix 7 o "Insane Inflatables" ...among others Mental Health * Continue development of "medical home" model o health coaches, navigators, case management * Genesis Psychology Associates and the expanded in-patient Behavioral Health Unit * Support of a Mental Health Court in Scott County designed to keep those with Mental Health needs out of the criminal justice system * Advocacy in support of Mental Health Reform * Sponsorship (NAMI) * Community Health Education "Mental Health First Aid for First Responders"

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
ILLINI LARSON CENTER
855 ILLINI DRIVE	SILVIS	IL	61282	I/P PHARMACY & O/P LAB
ILLINI AMBULANCE SERVICE
730 AVENUE OF THE CITIES	EAST MOLINE	IL	61244	AMBULANCE SERVICES
ILLINI RESTORATIVE CARE
1455 ILLINI DRIVE	SILVIS	IL	61282	L-T INTERMEDIATE, NSG, & SHELTERED CARE
ILLINI - BUILDING #4 - WOUND CENTER
1314 10TH STREET	SILVIS	IL	61282	OUTPATIENT WOUND CLINIC
GENESIS SENIOR LIVING ALEDO
409 NW NINTH AVENUE	ALEDO	IL	61231	LONG-TERM CARE FACILITY
PHYSICAL THERAPY CLINIC MOLINE
3900 28TH AVENUE	MOLINE	IL	61265	OUTPATIENT PHYSICAL THERAPY CLINIC
ILLINI - BUILDING #3
1414 10TH STREET	SILVIS	IL	61282	OUTPATIENT DIAGNOSTIC CLINIC
CROSSTOWN SQUARE
900 CROSSTOWN SQUARE	SILVIS	IL	61282	INDEPENDENT LIVING FACILITY
GENRAD IMAGING ILLINOIS LLC
1970 53RD STREET	DAVENPORT	IA	52807	OUTPATIENT RADIOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (19 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule H, Part I, Line 3c	NOT APPLICABLE
Schedule H, Part I, Line 6a Community benefit report prepared by related organization	GENESIS HEALTH SYSTEM (GHS-IOWA) 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 Costing Methodology used to calculate financial assistance	Genesis Health System (GHS Illinois), 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. No bad debt expense was included in the denominator because bad debt was reported in line 2f of Part VIII, Statement of Revenue. The organization's total community benefit expense as a percentage of total expenses is 25.46%, and the percentage increases to 51.85% if Medicare cost report allowable costs are included in total community benefit expense.
Schedule H, Part II Community Building Activities	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 (GHS Illinois) 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	Patient receivables due directly from the patients are carried at the original charge for the service provided less amounts covered by third-party payors and less an estimated allowance for doubtful receivables based on a review of all outstanding amounts on a monthly basis. Receivables due from medical office building tenants and from commercial laundry customers are carried at the original invoice amount less an estimate made for doubtful accounts. Management determines the allowance for doubtful accounts by identifying troubled accounts, by historical experience applied to an aging of accounts, and by considering the patient's financial history, credit history and current economic conditions. Genesis Health System does not charge interest on patient receivables. Receivables are written off as bad debts when deemed uncollectible. Recoveries of receivables previously written off are recorded as a reduction of bad debt expense when received.
Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs	The Medicare cost report was used to determine the amount reported in part III, lines 5, 6, and 7 for the hospital. 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 Illinois in providing healthcare services to the elderly. The total Medicare surplus, which includes fee screen services, was $331,947.
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 - SILVIS: Line 16a URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16b FAP Application website	- GENESIS MEDICAL CENTER - SILVIS: Line 16b URL: WWW.GENESISHEALTH.COM;
Schedule H, Part V, Section B, Line 16c FAP plain language summary website	- GENESIS MEDICAL CENTER - SILVIS: Line 16c URL: WWW.GENESISHEALTH.COM;
Schedule H, Part VI, Line 2 Needs assessment	Genesis Health System (GHS Illinois) utilizes the community health needs assessment (CHNA) conducted by professional research consultants, Inc. (PRC) in 2015. The CHNA was funded by GHS Illinois and Unity Point Health-Trinity and sponsored by Community Health Care, GHS Illinois, 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.
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 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 Illinois) 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, Rock Island, IL., and Scott County, IA.) has a population of 314,557. According to the US Census Bureau American Community Survey Five Year Estimates (2009-2013), Whites made up 84.2% of the MSA population with 8.4% Black or African-American and 8.6% Hispanic or Latino origin. In the Quad Cities area, 23.7% of the population are infants, children, or adolescents (age 0-17); another 61.5% are 18-64, while 14.9% are age 65 and older. According to estimates from the American Community Survey (ACS), 31.7% of Quad Cities area residents (Scott and Rock Island Counties) live below the Federal poverty. In 2015, 1.6% 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 2014 was 6.0% for the Quad Cities. Lack of health insurance among adults age 18 to 64 is reported by 6.2% of Scott County, IA residents and 7.6% of Rock Island County, IL residents. The Quad Cities area percentage of adults who smoked in 2015 was 18.0%. The percentage of adults who were obese in 2015 was 36.0% in Rock Island County, Illinois and 30.7% in Scott County, Iowa. Obesity rates in both Scott County, IA and Rock Island County, IL are higher than national benchmarks.
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.
Schedule H, Part VI, Line 6 Affiliated health care system	Genesis Health System, (GHS Iowa), an Iowa nonprofit corporation, and Genesis Health System,(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. 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 69 rentable apartments and two guest rooms that offers services designed to meet the needs of senior adults. 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. 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 75.6% 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 15 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 (2 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 & Trust
1227 E Rusholme Street	Davenport	IA	52803	391905171	501 (c) (3)	$194,936	Claim Payments
Birdies for Charity
15623 Coaltown Road	East Moline	IL	61244	931332421	501 (c) (3)	$10,000	General support to distributed to local non-profit organizations

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt

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 ILLINOIS) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
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 (11 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	$0	$796,124	$0	$195,002	$0	$527,134	$0	$5,750	$0	$26,179	$0	$1,550,189	$0	$334,500
GEORGE J KONTOS JR
DIRECTOR	$0	$521,076	$0	$0	$0	$21,999	$0	$6,000	$0	$18,885	$0	$567,960	$0	$0
HAROLD WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER	$0	$211,512	$0	$42,645	$0	$755	$0	$4,500	$0	$16,379	$0	$275,791	$0	$0
PAUL BOLLINGER
V.P. LEGAL AFFAIRS/ ASST SECRETARY	$0	$241,588	$0	$47,847	$0	$67,535	$0	$0	$0	$16,065	$0	$373,035	$0	$0
MARK G ROGERS
V.P. FINANCE/CFO GHS/ASST TREASURER	$0	$417,002	$0	$27,828	$0	$576,989	$0	$7,250	$0	$20,444	$0	$1,049,513	$0	$195,507
NIDAL HARB
CHIEF MEDICAL OFFICER	$0	$454,136	$0	$81,359	$0	$256,108	$0	$6,000	$0	$19,851	$0	$817,454	$0	$0
JACQUELINE K ANHALT
V.P. PATIENT SERVICES	$0	$242,856	$0	$33,179	$0	$64,281	$0	$9,709	$0	$19,254	$0	$369,279	$0	$0
KENNETH R CROKEN
V.P. CORPORATE COMMUNICATIONS	$0	$259,413	$0	$34,438	$0	$69,397	$0	$11,902	$0	$15,105	$0	$390,255	$0	$0
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	$0	$270,450	$0	$41,883	$0	$91,640	$0	$9,563	$0	$19,434	$0	$432,970	$0	$0
HEIDI S KAHLY-MCMAHON
V.P. HUMAN RESOURCES	$0	$266,121	$0	$48,745	$0	$69,324	$0	$3,634	$0	$19,426	$0	$407,250	$0	$0
THERESA SUMMERS-MAIN
Hospital President GMC Silvis	$261,086	$0	$39,436	$0	$54,205	$0	$5,031	$0	$15,337	$0	$375,095	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Schedule J, Part I, Line 3	PART I, LINE 3: GENESIS HEALTH SYSTEM (GHS ILLINOIS) RELIES ON GENESIS HEALTH SYSTEM (GHS IOWA) TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS, AND KEY EMPLOYEES. GHS IOWA UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE SUCH COMPENSATION.
Schedule J, Part II, Column (F)	The following individuals also participated in or continue to have a supplemental executive retirement savings benefit in 2013, 2014, 2015, 2016, and 2017 sponsored by Genesis Health System (GHS IA), a related organization: Douglas P. Cropper-$334,500 and Mark Rogers-$195,507. The dollar amount represents prior contributions made by GHS IA on behalf of the individuals to the plan in 2013, 2014, 2015, 2016, and 2017. 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 2017, 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 I, Line 4b Supplemental nonqualified retirement plan	The following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2017 sponsored by Genesis health System (GHS IA), a related organization: Robert W. Frieden- $63,443, Jacqueline Anhalt-$43,822, Heidi S. Kahly-McMahon- $48,059, Paul Bollinger- $38,933, Theresa L. Summers-Main-$50,316, and Nidal Harb-$83,752. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2017. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II. The following individuals participated in a supplemental executive retirement savings benefit plan in 2017 sponsored by Genesis health System (GHS IA), a related organization: Kenneth R. Croken- $66,227 and Mark G. Rogers- $133,573. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2017. 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), a related organization. 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 2017.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
GENVENTURES INC
MARK ROGERS, ROGER HILL, and JAMES KOEHLER WERE OFFICERS OF GENVENTURES, INC.	$364,804	PAYMENTS FOR MEDICAL SUPPLIES AND LAUNDRY SERVICES	false
CARDIOVASCULAR MEDICINE PC
EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC.	$368,457	HEALTHCARE PROFESSIONAL SERVICES	false
Quad City Bank & trust
Mark Kilmer is an officer and Peter Bensonis an officer of Quad City Bank & Trust/QCR Holdings.	$101,207	Interest expense, despot account, lock box fees, and interest income	false

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Form 990, Part VI, Line 1b	The following Genesis Health System, (GHS Illinois) directors are not independent due to transactions disclosed of form 990, Schedule L of Genesis Health System (GHS, Iowa) a related tax-exempt organization: Edwin V. Motto, M.D., Edward J. Rogalski, PH.D, and Dale D. Zude.
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 Illinois), 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 Illinois, 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 compliance with the letter and spirit of this policy, Any covered person found to have a conflict of interest may make presentation at the board or committee meeting to present information and address any question raised by other directors or committee members. Said person shall not be allowed to activity 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 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 Illinois) 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 Illinois 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 Illinois board of directors, the base compensation of each executive employed by GHS Illinois, at appropriate times. The GHS Illinois board of directors shall establish and adjust, within the range approved by the compensation committee, the base compensation for the CEO of GHS Illinois, at appropriate times, The Last time this process was formally undertaken was November 2016.
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 IOWA), GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENVENTURES, INC., GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS ILLINOIS). 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 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	Miscellaneous - Total Revenue: 58446, Related or Exempt Function Revenue: 58446, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;
Form 990, Part IX, Line 11g Other Fees	PROFESSIONAL MEDICAL SERVICES - Total Expense: 802596, Program Service Expense: 535513, Management and General Expenses: 267083, Fundraising Expenses: ; NUTRITIONAL SERVICES - Total Expense: 812493, Program Service Expense: 812493, Management and General Expenses: , Fundraising Expenses: ; MAINTENANCE SERVICES - Total Expense: 1765560, Program Service Expense: 1752386, Management and General Expenses: 13174, Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 857306, Program Service Expense: 857306, Management and General Expenses: , Fundraising Expenses: ; LAB SERVICES - Total Expense: 3793115, Program Service Expense: 3793115, Management and General Expenses: , Fundraising Expenses: ; AMBULANCE SERVICES - Total Expense: 237898, Program Service Expense: 237898, Management and General Expenses: , Fundraising Expenses: ; HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING SERVICES - Total Expense: 290359, Program Service Expense: , Management and General Expenses: 290359, Fundraising Expenses: ; HEALTHCARE SUPPORT SERVICES - Total Expense: 835216, Program Service Expense: 835216, Management and General Expenses: , Fundraising Expenses: ; EMERGENCY MEDICAL SERVICES - Total Expense: 3216154, Program Service Expense: 3216154, Management and General Expenses: , Fundraising Expenses: ; SENIOR ACTIVITIES SERVICES - Total Expense: 39757, Program Service Expense: 39757, Management and General Expenses: , Fundraising Expenses: ; SECURITY SERVICES - Total Expense: 25897, Program Service Expense: 25897, Management and General Expenses: , Fundraising Expenses: ; PHYSICAL THERAPY SERVICES - Total Expense: 15524, Program Service Expense: 15524, Management and General Expenses: , Fundraising Expenses: ; Radiology Services - Total Expense: 466176, Program Service Expense: 466176, Management and General Expenses: , Fundraising Expenses: ;
Form 990, Part XI, Line 9 Other changes in net assets or fund balances	CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION - 12315; Noncontrolling interst in the Larson Center Partnership - -215794;
Form 990, Part XII, Line 2c	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

Schedule R IRS990ScheduleR

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 IOWA)
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421418847	HEALTHCARE	IA	501(c)(3)	3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	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	NA	N/A
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	421483989	OUTPATIENT SURGICAL CENTER	IA	NA	N/A
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL	Genesis Health System (GHS Illinois)	Related	$478,085	$1,777,273	false	Yes (true)	0.798
GENORTHO LLC
2300 53RD AVENUE	BETTENDORF	IA	52722	203406994	ORTHOPAEDIC SURGERY CENTER	IA	NA	N/A
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA	NA	N/A
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	462452851	DIAGNOSTIC IMAGING CENTER	IL	Genesis Health System (GHS Illinois)	Related		$427,095	false	Yes (true)	0.5

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	Controlled OrganizationControlledOrganizationInd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	NA	C Corporation	false
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREET	DAVENPORT	IA	52803	421504979	HEALTHCARE MANAGEMENT	IA	NA	C Corporation	false
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	OTHER FINANCIAL VEHICLE		NA	C Corporation	false	CJ
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	NA	C Corporation	false

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 (13 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
Genesis Medical Centers Aledo
A	$179,495	Fair market value
Workers' Compensation Plan & Trust
B	$194,936	Fair market value
Larson Center Partnership
J	$741,715	fair market value
Genesis Health System Iowa
J	$209,995	fair market value
Larson Partnership Center
K	$702,049	fair market value
Genesis Health System Iowa
Q	$78,597,819	Fair Market value
Davenport Hospital Ambulance Corporation
M	$180,571	Fair market value
Genesis Health System Iowa
P	$103,638,962	fair market value
Larson Center Partnership
R	$549,651	fair market value
GenVentures Inc
S	$409,282	fair market value
Genesis Medical Center Aledo
S	$503,673	fair market value
Genesis Medical Center Aledo
P	$109,168	fair market value
Genesis Medical Center Aledo
Q	$107,702	fair market value