GENESIS MEDICAL CENTER ALEDO: Form 990, tax year 2016

View the entire original 990 at ProPublica ↗

Organization: GENESIS MEDICAL CENTER ALEDO (EIN 45-4475683)
Tax period: 2016-07-01 to 2017-06-30
Filed: 2018-02-28
IRS object ID: 201800599349301550
Schema version: 2016v3.0
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2018-02-28T15:49:38-06:00	ReturnTs
Tax Period End	2017-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	201 N HARRISON STREET SUITE 300	AddressLine1Txt
City	DAVENPORT	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	528011999	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2016-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	454475683	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS MEDICAL CENTER ALEDO	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	409 NW 9TH AVENUE	AddressLine1Txt
City	ALEDO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61231	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MARK G ROGERS	PersonNm
Person Title	V.P. FINANCE/CFO GHS & ASST. TREAS.	PersonTitleTxt
Phone	5634216508	PhoneNum
Signature	2018-02-16	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	JOHN J ROMANO	PreparerPersonNm
PTIN	P00227323	PTIN
Phone	5638884000	PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	108.171.131.189	IPv4AddressTxt

Field	Value	IRS element (for citing)
IP	2018-02-16	IPDt
IP Tm	09:54:17	IPTm
IP Timezone	CS	IPTimezoneCd
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	B876A155820338ED437F0CF2305A406FA7BE98CD	AtSubmissionCreationDeviceId
At Submission Filing Device Id	19C5BF97776B62867376EAC7317F804689DFFB56	AtSubmissionFilingDeviceId

Field	Value	IRS element (for citing)
Tax	2016	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MARK G ROGERS	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	409 NW 9TH AVENUE	AddressLine1Txt
City	ALEDO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61231	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$14,929,415	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GENESISHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	2012	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	ActivityOrMissionDesc
Voting Members Governing Body	19	VotingMembersGoverningBodyCnt
Voting Members Independent	8	VotingMembersIndependentCnt
Total Employee	121	TotalEmployeeCnt
Total Volunteers	27	TotalVolunteersCnt
Total Gross UBI	$8,588	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$360	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$316,767	PYContributionsGrantsAmt
CY Contributions Grants	$276,945	CYContributionsGrantsAmt
PY Program Service Revenue	$13,545,782	PYProgramServiceRevenueAmt
CY Program Service Revenue	$14,068,248	CYProgramServiceRevenueAmt
PY Investment Income	$7,867	PYInvestmentIncomeAmt
CY Investment Income	$3,968	CYInvestmentIncomeAmt
PY Other Revenue	$468,257	PYOtherRevenueAmt
CY Other Revenue	$560,310	CYOtherRevenueAmt
PY Total Revenue	$14,338,673	PYTotalRevenueAmt
CY Total Revenue	$14,909,471	CYTotalRevenueAmt
PY Grants And Similar Paid	$9,949	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$2,240	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$6,497,709	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$7,239,088	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$8,156,303	PYOtherExpensesAmt
CY Other Expenses	$8,243,546	CYOtherExpensesAmt
PY Total Expenses	$14,663,961	PYTotalExpensesAmt
CY Total Expenses	$15,484,874	CYTotalExpensesAmt
PY Revenues Less Expenses	-$325,288	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$575,403	CYRevenuesLessExpensesAmt
Total Assets BOY	$17,317,153	TotalAssetsBOYAmt
Total Assets EOY	$18,538,796	TotalAssetsEOYAmt
Total Liabilities BOY	$11,831,434	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$13,633,550	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,485,719	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$4,905,246	NetAssetsOrFundBalancesEOYAmt
Mission	GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$9,581,194	ExpenseAmt
Grant	$2,240	GrantAmt
Revenue	$10,955,324	RevenueAmt
Desc	GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) IS A 22-BED CRITICAL ACCESS HOSPITAL LOCATED IN ALEDO, IL AND SERVES THE HEALTH CARE NEEDS OF MERCER COUNTY RESIDENTS. GMC, ALEDO OFFERS A WIDE RANGE OF INPATIENT, OUTPATIENT, EMERGENCY, AND COMMUNITY HEALTH SERVICES DELIVERED BY HIGHLY-QUALIFIED HEALTH CARE PROFESSIONALS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,421,835	ExpenseAmt
Revenue	$3,320,529	RevenueAmt
Desc	THE GENESIS HEALTH GROUP, ALEDO AND ALPHA CLINIC EMPLOYS SIX PHYSICIANS AND FIVE NURSE PRACTITIONERS OFFERING SERVICES IN FAMILY PRACTICE, PEDIATRICS, INTERNAL MEDICINE, PODIATRY, PSYCHOLOGY, INTEGRATIVE WELLNESS, AND WOMEN'S HEALTH. THIS TEAM OF MEDICAL PROFESSIONALS PROVIDES COMPREHENSIVE GENERAL HEALTH CARE, INCLUDING PHYSICAL EXAMINATION, TREATMENT AND MONITORING OF CHRONIC AND ACUTE HEALTH PROBLEMS, AS WELL AS INJURY THREATMENT, FOR BOTH ADULTS AND CHILDREN.	Desc

Field	Value	IRS element (for citing)
Total Program Service Expenses	$13,003,029	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	Yes (1)	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (1)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (1)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	30	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	121	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	19	GoverningBodyVotingMembersCnt
Independent Voting Member	8	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	0	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

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

Field	Value	IRS element (for citing)
Phone	5634216508	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1227 E RUSHOLME STREET	AddressLine1Txt
City	DAVENPORT	CityNm
State Abbreviation	IA	StateAbbreviationCd
ZIP	52803	ZIPCd

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

Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	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
STEVEN C BAHLS
VICE CHAIR	8.00	Yes (X)	Yes (X)	$0	$0	$0
MARK D BAWDEN
DIRECTOR	4.00	Yes (X)		$0	$0	$0
PETER J BENSON
DIRECTOR	4.00	Yes (X)		$0	$0	$0
GREGORY J BUSH
TREASURER	4.00	Yes (X)	Yes (X)	$0	$0	$0
CHRISTOPHER J COX
DIRECTOR	4.00	Yes (X)		$0	$0	$0
EDMUND P COYNE JR MD
DIRECTOR	4.00	Yes (X)		$0	$0	$0
DOUGLAS P CROPPER
PRESIDENT/CEO GHS	60.00	Yes (X)	Yes (X)	$0	$1,070,452	$29,667
PATRICIA S GROVES PHD RN
DIRECTOR	4.00	Yes (X)		$0	$0	$0
ROGER J HILL
SECRETARY	4.00	Yes (X)	Yes (X)	$0	$0	$0
MARK C KILMER
DIRECTOR	4.00	Yes (X)		$0	$0	$0
JAMES W KOEHLER
DIRECTOR	4.00	Yes (X)		$0	$0	$0
GEORGE J KONTOS JR MD
DIRECTOR	40.00	Yes (X)		$0	$662,836	$22,538
DAVID C LARSON
DIRECTOR	4.00	Yes (X)		$0	$0	$0
CHARLENE E MAASKE
DIRECTOR	4.00	Yes (X)		$0	$0	$0
EDWIN V MOTTO MD
DIRECTOR	10.00	Yes (X)		$0	$0	$0
EDWARD J ROGALSKI PHD
DIRECTOR	10.00	Yes (X)		$0	$0	$0
G CHRISTOPHER WAHLIG
CHAIR	10.00	Yes (X)	Yes (X)	$0	$0	$0
C DANA WATERMAN III
DIRECTOR	4.50	Yes (X)		$0	$0	$0
DALE D ZUDE
DIRECTOR	4.00	Yes (X)		$0	$0	$0
PAUL BOLLINGER
V.P. LEGAL AFFAIRS/ASST SECRETARY	40.00		Yes (X)	$0	$0	$0
MARK G ROGERS
V.P. FINANCE/CFO GHS/ASST TREASURER	40.00		Yes (X)	$0	$604,244	$89,329
HAROLD L WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER	40.00		Yes (X)	$0	$255,668	$18,579
NIDAL HARB
CHIEF MEDICAL OFFICER	40.00			$0	$694,765	$22,760	Yes (X)
JACQUELINE K ANHALT
V.P. PATIENT SERVICES	40.00			$0	$335,387	$26,520		Yes (X)
KENNETH R CROKEN
V.P. CORPORATE COMMUNICATIONS	40.00			$0	$381,626	$25,283		Yes (X)
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	40.00			$0	$417,017	$26,691		Yes (X)
HEIDI S KAHLY-MCMAHON
V.P. HUMAN RESOURCES	40.00			$0	$348,411	$20,443		Yes (X)
MIKE L SHARP
V.P. SUPPORT SERVICES	40.00			$0	$444,591	$34,112		Yes (X)
EDWARD TED J ROGALSKI
FORMER GMC, ALEDO ADMINISTRATOR	40.00			$154,654	$0	$24,106			Yes (X)
GEORGE KOVACH
FORMER V.P. MEDICAL STAFF AFFAIRS	40.00			$0	$156,856	$1,098			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$154,654	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$5,371,853	TotReportableCompRltdOrgAmt
Total Other Compensation	$341,126	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (3 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
EMERGENCY DEPARTMENT ASSOCIATES
7032 COLLECTION CENTER DRIVE	CHICAGO	IL	60693	ER PHYSICIAN SERVICES	$1,021,234
BUSH CONSTRUCTION COMPANY
5401 VICTORA AVENUE	DAVENPORT	IA	52807	CONSTRUCTION SERVICES	$316,106
RIVERBEND ANESTHESIA
1710 COBBLESTONE DRIVE	MUSCATINE	IA	52761	ANESTHETHIC SERVICES	$270,280

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	3	CntrctRcvdGreaterThan100KCnt
Government Grants	$54,304	GovernmentGrantsAmt
All Other Contributions	$222,641	AllOtherContributionsAmt
Total Contributions	$276,945	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PROFESSIONAL SERVICES	622110	$21,957,005	$21,957,005
CLINIC REVENUE	622110	$6,583,647	$6,583,647
NURSING SERVICES	622110	$929,208	$929,208
PATIENT ANCILLARY SERVICES	622110	$180,311	$171,723	$8,588
LESS: PROV TAX ASSESSMENT	621110	-$152,029	-$152,029

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$15,429,894	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$15,429,894	RelatedOrExemptFuncIncomeAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$14,068,248	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,968	TotalRevenueColumnAmt
Exclusion	$3,968	ExclusionAmt

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$364,061	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$19,944	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$344,117	TotalRevenueColumnAmt
Exclusion	$344,117	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
OTHER INCOME	900099	$186,719	$186,719
OUTSIDE SERVICE REVENUE	900099	$29,474	$29,474

Field	Value	IRS element (for citing)
Other Revenue Total	$216,193	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$14,909,471	TotalRevenueColumnAmt
Related Or Exempt Func Income	$14,275,853	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,588	UnrelatedBusinessRevenueAmt
Exclusion	$348,085	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	$2,240	TotalAmt
Program Services	$2,240	ProgramServicesAmt

Comp Disqual Persons CompDisqualPersonsGrp

Field	Value	IRS element (for citing)
Total	$179,191	TotalAmt
Management And General	$179,191	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$6,030,535	TotalAmt
Program Services	$5,911,454	ProgramServicesAmt
Management And General	$119,081	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$48,617	TotalAmt
Program Services	$48,617	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$573,296	TotalAmt
Program Services	$572,798	ProgramServicesAmt
Management And General	$498	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$407,449	TotalAmt
Program Services	$387,208	ProgramServicesAmt
Management And General	$20,241	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$237	TotalAmt
Program Services	$237	ProgramServicesAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$7,284	TotalAmt
Management And General	$7,284	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$2,854,869	TotalAmt
Program Services	$2,832,432	ProgramServicesAmt
Management And General	$22,437	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$22,296	TotalAmt
Program Services	$15,129	ProgramServicesAmt
Management And General	$7,167	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$380,042	TotalAmt
Program Services	$331,349	ProgramServicesAmt
Management And General	$48,693	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$670,904	TotalAmt
Program Services	$20,755	ProgramServicesAmt
Management And General	$650,149	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$388,854	TotalAmt
Program Services	$375,394	ProgramServicesAmt
Management And General	$13,460	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$27,447	TotalAmt
Program Services	$24,079	ProgramServicesAmt
Management And General	$3,368	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$15,106	TotalAmt
Program Services	$14,156	ProgramServicesAmt
Management And General	$950	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$382,792	TotalAmt
Program Services	$382,792	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$1,040,293	TotalAmt
Program Services	$1,040,293	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$172,935	TotalAmt
Program Services	$95,768	ProgramServicesAmt
Management And General	$77,167	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
FEDERAL AND STATE INCOM	$488	$488
CORPORATE OVERHEAD	$1,606,184	$309,439	$1,296,745
MEDICAL AND PHARMACEUTI	$534,407	$530,352	$4,055
COGS - PATIENT SUPPLIES	$74,735	$74,735

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$64,673	TotalAmt
Program Services	$33,314	ProgramServicesAmt
Management And General	$31,359	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$15,484,874	TotalAmt
Program Services	$13,003,029	ProgramServicesAmt
Management And General	$2,481,845	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$244,295	BOYAmt
EOY	$236,131	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$3,237	BOYAmt
EOY	$3,174	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$2,206,198	BOYAmt
EOY	$3,424,764	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$154,802	BOYAmt
EOY	$159,361	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$66,198	BOYAmt
EOY	$107,420	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$15,871,362	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,706,979	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$13,193,789	BOYAmt
EOY	$13,164,383	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$1,448,634	BOYAmt
EOY	$1,443,563	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$17,317,153	BOYAmt
EOY	$18,538,796	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$3,452,282	BOYAmt
EOY	$6,252,116	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$65,916	BOYAmt
EOY	$47,521	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,313,236	BOYAmt
EOY	$7,333,913	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$11,831,434	BOYAmt
EOY	$13,633,550	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,983,941	BOYAmt
EOY	$3,408,539	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,448,634	BOYAmt
EOY	$1,443,563	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$53,144	BOYAmt
EOY	$53,144	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,485,719	BOYAmt
EOY	$4,905,246	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$17,317,153	BOYAmt
EOY	$18,538,796	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$575,403	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$5,070	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	Yes (1)	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$7,284	OtherActivitiesAmt
Total Lobbying Expenditures	$7,284	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	PART II-B, LINE 1D: MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC: EMPLOYEES OF GENESIS MEDICAL CENTER, ALEDO 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 MEDICAL CENTER, ALEDO REGARDING THIS ACTIVITY. 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 $6,234 AND 21.78% TO THE AMERICAN HOSPITAL ASSOCIATION, OR $1,050.	ExplanationTxt

Schedule D IRS990ScheduleD

CY Endwmt Fund CYEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$53,144	BeginningYearBalanceAmt
End Year Balance	$53,144	EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$53,144	BeginningYearBalanceAmt
End Year Balance	$53,144	EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$53,144	BeginningYearBalanceAmt
End Year Balance	$53,144	EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$53,144	BeginningYearBalanceAmt
End Year Balance	$53,144	EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

Field	Value	IRS element (for citing)
Beginning Year Balance	$53,144	BeginningYearBalanceAmt
End Year Balance	$53,144	EndYearBalanceAmt

Field	Value	IRS element (for citing)
Board Designated Balance EOY	0.81180	BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY	0.18820	PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY	0.00000	TermEndowmentBalanceEOYPct
Endowments Held Unrelated Org	0	EndowmentsHeldUnrelatedOrgInd
Endowments Held Related Org	0	EndowmentsHeldRelatedOrgInd

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,000	OtherCostOrOtherBasisAmt
Book Value	$65,000	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$12,752,091	OtherCostOrOtherBasisAmt
Depreciation	$1,903,035	DepreciationAmt
Book Value	$10,849,056	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,278,830	OtherCostOrOtherBasisAmt
Depreciation	$784,708	DepreciationAmt
Book Value	$1,494,122	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$775,441	OtherCostOrOtherBasisAmt
Depreciation	$19,236	DepreciationAmt
Book Value	$756,205	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$13,164,383	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp

Field	Value	IRS element (for citing)
Desc	INTEREST IN MERCER FOUNDATION FOR HEALTH	Desc
Book Value	$1,443,563	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$1,443,563	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
MEDICARE SETTLEMENTS/BLUE CROSS UPP	$377,234
DUE TO GENESIS HEALTH SYSTEM (GHS ILLINOIS)	$6,949,359
DEFERRED EXPENSE CREDITS/RETIREMENT SAVINGS N/C	$7,320

Field	Value	IRS element (for citing)
Total Liability	$7,333,913	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART V, LINE 4:

THE PERMANENTLY RESTRICTED ENDOWMENT'S INTENDED USE IS FOR THE HOSPITAL'S CAPITAL PROJECTS.

PART X, LINE 2:

GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO), GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO), GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION), GENESIS PHILANTHROPY (PHILANTHROPY) AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) ALL FILE 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 CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINOIS, GSL, ALEDO, GMC, ALEDO, GENESIS FOUNDATION, PHILANTHROPY AND 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, GENESIS FOUNDATION AND WORKERS' COMPENSATION TRUST ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED JUNE 30, 2013 AND PRIOR. GENVENTURES, INC. (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 YEARS JUNE 30, 2013 AND PRIOR. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2017 AND 2016.

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent200 D	Yes (X)	Percent200DInd
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$172,879	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$172,879	NetCommunityBenefitExpnsAmt
Total Expense	0.01120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,272,876	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,128,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,144,282	NetCommunityBenefitExpnsAmt
Total Expense	0.07390	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,445,755	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,128,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,317,161	NetCommunityBenefitExpnsAmt
Total Expense	0.08510	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$22,066	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$22,066	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,966	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$42,966	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$65,032	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$65,032	NetCommunityBenefitExpnsAmt
Total Expense	0.00420	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,510,787	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$2,128,594	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,382,193	NetCommunityBenefitExpnsAmt
Total Expense	0.08930	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$425	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$425	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$744	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$744	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$165	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$165	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$17,647	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$17,647	NetCommunityBenefitExpnsAmt
Total Expense	0.00110	TotalExpensePct

Workforce Development WorkforceDevelopmentGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,112	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,112	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$23,093	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$23,093	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (1)	BadDebtExpenseReportedInd
Bad Debt Expense	$650,056	BadDebtExpenseAmt
Reimbursed By Medicare	$4,048,307	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$4,217,389	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$169,082	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 (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	409 NW NINTH AVENUE	AddressLine1Txt
City	ALEDO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	61231	ZIPCd

Field	Value	IRS element (for citing)
Website Address	WWW.GENESISHEALTH.COM	WebsiteAddressTxt
State License	5868	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Critical Access Hospital	Yes (X)	CriticalAccessHospitalInd
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 ALEDO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	0	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	0	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	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 (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	WWW.GENESISHEALTH.COM/COMMUNITY	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	200.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	200.000000000000	FPGFamilyIncmLmtDscntCarePct
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Provided Nonprofit Contact	Yes (X)	ProvidedNonprofitContactInd
Includes Publicity Measures	Yes (1)	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 (1)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	0	CollectionActivitiesInd
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

GENESIS MEDICAL CENTER, ALEDO

PART V, SECTION B, LINE 5: FOLLOWING THE 2013 ACQUISITION OF MERCER COUNTY HOSPITAL, GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) BEGAN TO PROCESS ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2014. DATA WAS GATHERED BY GENESIS HEALTH SYSTEM BUSINESS INTELLIGENCE CENTER (DEPARTMENT OF GENESIS HEALTH SYSTEM (GHS-IA)) WHERE THEY WORKED WITH THE FOLLOWING MERCER COUNTY REPRESENTATIVES TO RECEIVE VALUABLE INPUT TO INCLUDE IN THE CHNA. AS A RESULT, THEY CONCLUDED THREE PRIORITY GOALS TO HELP THE COMMUNITY WITH THE FOLLOWING:1. HEALTH RELATED LIFE & WELL-BEING: ACCORDING TO COUNTYHEALTHRANKINGS .COM, WHILE MERCER COUNTY RANKS HIGH IN QUALITY OF LIFE, IT RANKS LOW IN LENGTH OF LIFE. PART OF THIS IS RELATED TO HIGHER THAN STATE AVERAGES IN ADULT SMOKING AND ALCOHOL-IMPAIRED DRIVING DEATHS. THE COMMUNITY FELT THAT THESE STATISTICS WARRANTED FURTHER ACTION.2. NUTRITION & WEIGHT STATUS: MERCER COUNTY'S OBESITY RATE IS 3% HIGHER THAN THE STATE AVERAGE. THE COMMUNITY GROUP RECOGNIZES THAT THERE IS A PERCEPTION THAT IT IS EASIER TO EAT UNHEALTHY FOODS THAN IT IS TO EAT HEALTHY. THROUGH EDUCATION AND RAISING AWARENESS OF EXISTING PROGRAMS IN THE COMMUNITY, THE COMMUNITY HOPES TO SEE A POSITIVE CHANGE.3. ACCESS TO HEALTHCARE: BECAUSE OF THE SIZE OF THE COMMUNITY, RECRUITING PROVIDERS TO WORK IN MERCER COUNTY IS DIFFICULT. DATA SHOWS A SIGNIFICANT SHORTAGE OF PHYSICIANS FOR MERCER COUNTY. GENESIS MEDICAL CENTER, ALEDO IS COMMITTED TO RECRUITING MORE PROVIDERS IN MERCER COUNTY.THE REPRESENTATIVES ARE AS FOLLOWS:GENESIS HEALTH SYSTEM, GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH GROUP, ALEDO, HEALTH DEPARTMENT OF MERCER COUNTY, MERCER FOUNDATION FOR HEALTH, WRMJ, COMMUNITY BIBLE FELLOWSHIP, CRISIS CENTER, ADONAI COMMUNITY SUPPORT SERVICES, TRINITY PRESBYTERIAN CHURCH, YMCA, ALEDO POLICE DEPARTMENT, BROOKSTONE OF ALEDO, COUNTRY FINANCIAL SERVICES, DENNISON FUNERAL HOME, EAGLE VIEW HEALTH, MERCER COUNTY EXTENSION UNIT, AND COMMUNITY MEMBERS. USING EXISTING LOCAL DATA GENERATED FROM THE COMMUNITY COMMONS WEBSITE AT HTTP://WWW.COMMUNITYCOMMONS.ORG, GMC, ALEDO WAS ABLE TO PROCESS DATA THROUGH VARIOUS RESOURCES TO CONDUCT THE STATISTICAL FACTORS TO RELATE TO THE THREE PRIORITIES NEEDED IN THE COMMUNITY TO INCREASE THE VALUE OF HEALTH. STATISTICAL DATA USED FOR DETAILED HEALTH INDICATORS INCLUDED DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE, HEALTH BEHAVIORS, AND HEALTH OUTCOMES. IN COMBINATION WITH THE COMMUNITY COMMONS WEBSITE, SECONDARY SOURCES WERE USED AS FOLLOWS:US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, UNITED STATES CENSUS 2010, 2010 URBAN AND RURAL CLASSIFICATION, DOCUMENTATION TO THE NCES COMMON CORE OF DATA PUBLIC ELEMENTARY/SECONDARY SCHOOL UNIVERSE SURVEY 2011, EDFACTS DATA DOCUMENTATION, A SUMMARY MEASURE OF HEALTH DISPARITY-NATIONAL INSTITUTE OF HEALTH ARTICLE, BUREAU OF LABOR STATISTICS, FEDERAL BUREAU OF INVESTIGATIONS, NATIONAL ENVIRONMENTAL PUBLIC HEALTH TRACKING NETWORK, FOOD ACCESS RESEARCH ATLAS, NATIONAL CANCER INSTITUTE, AND CENTERS FOR DISEASE CONTROL AND PREVENTION.

GENESIS MEDICAL CENTER, ALEDO

PART V, SECTION B, LINE 11: FOLLOWING THE GENESIS MEDICAL CENTER, ALEDO'S MISSION ALONG WITH COORDINATING WITH THE QUAD CITY HEALTH INITIATIVE IMPLEMENTATION PLAN, GENESIS MEDICAL CENTER, ALEDO WILL BE FOCUSING AND DELIVERING ON THE FOLLOWING PROGRAMS AND RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY:NUTRITION, PHYSICAL ACTIVITY AND WEIGHT:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL-TRANSFATFREEQC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM-ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVIS AND MOLINE (HEALTHPLEX), MOLINE (BEN BUTTERWORTH PKWY.)-COLLABORATE/SPONSOR WITH QUAD CITY FOOD HUB TO FURTHER THE "VEGGIE MOBILE" PROGRAM BRINGING AFFORDABLE AND FRESH PRODUCE FROM THE FARMERS' MARKET INTO LOWER-INCOME "FOOD DESERTS"-GENESIS "WELLNESS PROGRAM" OFFERINGS-YMCA MEMBERSHIP DISCOUNT-GENESIS CENTER FOR WEIGHT MANAGEMENT-HEALTHY LIFESTYLE SPONSORSHIPS, SUCH AS:-GENESIS FIRECRACKER RUN-BIX7-ALCOHOL FREE FAMILY SECTION AT MODERN WOODMEN PARK-AMONG OTHERS SUBSTANCE ABUSE - TOBACCO & ALCOHOL:-TOBACCO-SMOKE-FREE CAMPUS-ADVOCACY IN SUPPORT OF SMOKE-FREE PUBLIC PLACES, INCLUDING PARKS-TOBACCO-FREE QC-GENESIS "WELLNESS PROGRAM" OFFERINGS-COMMUNITY HEALTH EDUCATION ON SECOND-HAND SMOKE AND CHILDREN-ALCOHOL-ADVOCACY IN SUPPORT OF TIPS LAW THAT REQUIRES TRAINING FOR THOSE WHO SERVE ALCOHOLIMMUNIZATIONS & INFECTIOUS DISEASES:-FLU FREE QC-GENESIS IMMUNIZATIONS CRM PROGRAM-COMMUNITY HEALTH EDUCATION ON HAND WASHING-RYAN WHITE HIV PROGRAM

Field	Value	IRS element (for citing)
Facility	2	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - GENESIS HEALTH GROUP ALEDO
1007 NW 3RD STREET	ALEDO	IL	61231	OUTPATIENT PHYSICIAN CLINIC
2 - GENESIS HEALTH GROUP ALPHA
202 PICARD STREET BOX 419	ALPHA	IL	61413	OUTPATIENT PHYSICIAN CLINIC

Supplemental Information Detail SupplementalInformationDetail (17 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 3C:	NOT APPLICABLE
PART I, LINE 6A:	GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS)
PART I, LINE 7:	GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) 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 GMC, ALEDO UTILIZES.
PART I, LINE 7G:	NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):	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 22.67%, AND THE PERCENTAGE INCREASES TO 49.91% IF MEDICARE COST REPORT ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT (F2): COUNCIL AND CHAMBER - GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) SUPPORTS EMPLOYEE INVOLVEMENT ON LOCAL COUNCIL AND CHAMBER COMMITTEES. GRANTS TO COMMUNITY BUSINESSES - GMC, ALEDO SUPPORTS ITS COMMUNITY BY GIVING GRANTS TO LOCAL BUSINESSES TO IMPROVE ECONOMIC DEVELOPMENT AND RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER TAX-EXEMPT ORGANIZATIONS.COMMUNITY SUPPORT (F3): GMC, ALEDO SUPPORTS EMPLOYEE INVOLVEMENT WITH DISASTER READINESS FOR THE COMMUNITY.COALITION BUILDING (F6): GMC, ALEDO SUPPORTS ITS EMPLOYEE INVOLVEMENT AS HOSPITAL REPRESENTATIVES TO HEALTH COALITIONS.ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS/SAFETY (F7): GMC, ALEDO SUPPORTS EMPLOYEE INVOLVEMENT WITH ILLINOIS HOSPITAL ASSOCIATION MEETINGS.WORKFORCE DEVELOPMENT (F8): GMC, ALEDO SUPPORTS ITS EMPLOYEE INVOLVEMENT ON THE ROCK ISLAND, HENRY AND MERCER COUNTIES WORKFORCE DEVELOPMENT BOARD.
PART III, LINE 2:	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.
PART III, LINE 3:	GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) UTILIZES 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 GMC, ALEDO POLICY BEFORE BEING DEEMED BAD DEBT. GMC, ALEDO REPORTED ZERO DOLLARS FOR THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYERS 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 REVIEWING HISTORICAL APPLICATIONS OF AGING OF ACCOUNTS, AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY, AND CURRENT ECONOMIC CONDITIONS. GENESIS MEDICAL CENTER, ALEDO 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. PLEASE SEE PAGE 12 OF THE ATTACHED AUDITED FINANCIAL STATEMENTS.
PART III, LINE 8:	THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 5, 6, AND 7 FOR THE HOSPITAL. NO MEDICARE SHORTFALLS WERE INCLUDED IN COMMUNITY BENEFIT. THE MEDICARE COST REPORT SHORTFALL REPRESENTS THE DIFFERENCE BETWEEN THE TOTAL REVENUE RECEIVED FROM MEDICARE BASED ON MEDICARE COST REPORT REIMBURSEMENT RATES AND THE COSTS INCURRED BY GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) IN PROVIDING HEALTHCARE SERVICES TO THE ELDERLY. THE TOTAL MEDICARE SHORTFALL, WHICH INCLUDES FEE SCREEN SERVICES, WAS $169,082. IN ACCORDANCE WITH GMC, ALEDO'S MISSION STATEMENT, "TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED," THE ELDERLY WERE SERVED DESPITE THE TOTAL MEDICARE LOSS OF $169,082. GMC, ALEDO HAS A CLEAR MISSION TO SERVE ALL THOSE IN NEED AND TO IMPROVE THE HEALTH OF THE COMMUNITY INCLUDING THE ELDERLY. FURTHERMORE, THERE ARE NO FOR-PROFIT HOSPITALS IN THE COMMUNITY. THEREFORE, GMC, ALEDO IS THE ONLY HEALTHCARE ORGANIZATION IN THE COMMUNITY WHO PROVIDES ACCESS TO HEALTHCARE FOR MEDICARE PATIENTS. ACCORDINGLY, IT IS GMC, ALEDO'S POSITION FOR THE REASONS STATED ABOVE THAT THE TOTAL MEDICARE SHORTFALL OF $169,082 REPRESENTS A COMMUNITY BENEFIT. PURSUANT TO THE FORM 990, SCHEDULE H INSTRUCTIONS, THE MEDICARE SHORTFALL IS NOT INCLUDED IN PART I, LINE 7. IF THE TOTAL MEDICARE SHORTFALL WERE INCLUDED IN PART I, LINE 7, THEN PART I, LINE 7K, COLUMN F WOULD BE 10.02%.
PART III, LINE 9B:	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 OWED AFTER FINANCIAL ASSISTANCE ALLOWANCES HAVE BEEN TAKEN ARE PAYABLE IN MONTHLY PAYMENTS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2:	FOLLOWING THE 2013 ACQUISITION OF MERCER COUNTY HOSPITAL, GENESIS MEDICAL CENTER, ALEDO, GENESIS HEALTH SYSTEM BUSINESS INTELLIGENCE CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT IN 2014 BY ALONG WITH RECEIVING VALUABLE INPUT FROM THE FOLLOWING COMMUNITY REPRESENTATIVES:GENESIS HEALTH SYSTEM, TRINITY PRESBYTERIAN CHURCH, GENESIS MEDICAL CENTER, ALEDO, YMCA, GENESIS SENIOR LIVING, ALEDO, ALEDO POLICE DEPARTMENT, GENESIS HEALTH GROUP, ALEDO, BROOKSTONE OF ALEDO, HEALTH DEPARTMENT OF MERCER COUNTY, COUNTRY FINANCIAL SERVICES, MERCER FOUNDATION FOR HEALTH, DENNISON FUNERAL HOME, WRMJ, EAGLE VIEW HEALTH, COMMUNITY BIBLE FELLOWSHIP, MERCER COUNTY EXTENSION UNIT, CRISIS CENTER, COMMUNITY MEMBERS, AND ADONAI COMMUNITY SUPPORT SERVICES.IN FOLLOWING THE GMC, ALEDO MISSION STATEMENT ALONG WITH PARTICIPATING WITH THE QUAD CITY HEALTH INITIATIVE IMPLEMENTATION PLAN, GENESIS MEDICAL CENTER, ALEDO WILL BE FOCUSING AND DELIVERING ON THE PROGRAMS AND RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY.
PART VI, LINE 3:	INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN VISIBLE LOCATIONS IN THE ADMISSION DEPARTMENT OF THE HOSPITAL. IN ADDITION, THE HOSPITAL REGISTRATION STAFF MAKE AVAILABLE INFORMATIVE BROCHURES FOR PATIENTS IN THE EMERGENCY ROOM REGISTRATION AREA EXPLAINING THEIR ELIGIBILITY FOR ASSISTANCE. GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) PROVIDES A PATIENT FINANCIAL COUNSELOR 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. IN ADDITION, THE GMC, ALEDO WEBSITE WWW.GENESISHEALTH.COM ALSO LISTS THE OPTIONS FOR PAYMENT.
PART VI, LINE 4:	THE MISSION OF GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO), IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. GMC, ALEDO AND ITS RELATED ORGANIZATIONS LIVE ITS MISSION EACH AND EVERY DAY BY SERVING A 10-COUNTY REGION OF EASTERN IOWA AND WESTERN ILLINOIS, INCLUDING BOTH URBAN AND RURAL AREAS. MERCER COUNTY IS A COUNTY LOCATED IN THE STATE OF ILLINOIS. ACCORDING TO 2014 CHNA REPORT, IT HAS A POPULATION OF 16,421, WHICH IS A DECREASE OF 3.2% FROM 16,957 IN 2000. ITS COUNTY SEAT IS ALEDO. IT IS ONE OF THE FOUR COUNTIES THAT MAKE UP THE DAVENPORT-MOLINE-ROCK ISLAND METROPOLITAN STATISTICAL AREA. IN THE 2014 CHNA REPORT VIA DECENNIAL CENSUS 2010, TOTAL POPULATION OF 16,434 SHOWED 3,655, OR 22.24% LIVED IN URBAN SETTING WITH 12,779 LIVED IN A RURAL SETTING, OR 77.76%. IN THE COUNTY THE POPULATION WAS SPREAD OUT WITH 22.69% UNDER THE AGE OF 18, 6.91% FROM 18 TO 24, 22.20% FROM 25 TO 44, 29.86% FROM 45 TO 64, AND 18.34% WHO WERE 65 YEARS OF AGE OR OLDER. GENDER TOTAL POPULATION SHOWS FEMALE AT 8,312, OR 50.62% OF TOTAL AND MALE AT 8,109, OR 49.38% OF TOTAL.THE RACIAL MAKEUP OF THE COUNTY WAS 97.79% WHITE, 0.53% BLACK OR AFRICAN AMERICAN, 0.12% NATIVE AMERICAN, 0.27% ASIAN, 0.01% PACIFIC ISLANDER, 0.74% FROM OTHER RACES, AND 0.55% FROM TWO OR MORE RACES.ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2007-2011, TOTAL FAMILIES OF 4,954, 1,938 SHOW AN ANNUAL INCOME OF $75,000, OR 39.12% OF TOTAL.
PART VI, LINE 5:	GENESIS MEDICAL CENTER, ALEDO'S (GMC, ALEDO) BOARD OF DIRECTORS IS A DIVERSE REPRESENTATION OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA THAT GMC, ALEDO AND ITS RELATED ORGANIZATIONS SERVE. GMC, ALEDO AND ITS RELATED ORGANIZATIONS' 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, JUNIOR ACHIEVEMENT, AND EVENTS AND FESTIVALS. GMC, ALEDO EMPLOYEES SERVE THE COMMUNITIES WHERE THEY LIVE BY SERVING IN ELECTED OFFICES IN CITY AND COUNTY GOVERNMENT.GMC, ALEDO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. GMC, ALEDO PROVIDES THE COMMUNITY WITH CLASSES AND EVENTS PROMOTING HEALTH AND HEALTH EDUCATION. RESIDENTS IN THE REGION SERVED BY GMC, ALEDO LEARN CPR, FIRST AID, PARENTING SKILLS AND NEWBORN CARE BY ENROLLING IN CLASSES.GMC, ALEDO AND ITS RELATED ORGANIZATIONS HAS REDUCED ITS ENVIRONMENTAL FOOTPRINT ON THE COMMUNITIES IT SERVES BY IMPLEMENTING BULK WASTE RECYCLING, POLYSTYRENE RECYCLING, REDUCING SHARPS DISPOSAL, IMPLEMENTING WATER RUNOFF MEASURES, AND REDUCING WATER AND CHEMICAL USAGE IN THE MEDICAL LAUNDRY.GMC, ALEDO AND ITS RELATED ORGANIZATIONS MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE IN IOWA AND ILLINOIS STATE GOVERNMENT AND IN WASHINGTON D.C. 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 MEASURES ARE RE-INVESTED IN THE HEALTHCARE OPERATIONS OF GMC, ALEDO TO IMPROVE THE HEALTHCARE SERVICES THAT GMC, ALEDO PROVIDES. ADVANCES IN MEDICAL EQUIPMENT AND TECHNOLOGY, STAFF EDUCATION, AND NEW MEDICAL SERVICES ARE EXAMPLES OF OPERATIONAL INVESTMENTS THAT ULTIMATELY IMPROVE THE HEALTH OF THE COMMUNITIES THAT GMC, ALEDO SERVES.
PART VI, LINE 6:	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 HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC AND GENESIS HEALTH SYSTEM WORKER'S COMPENSATION PLAN AND TRUST, THE SOLE STOCKHOLDER OF GENVENTURES, INC., A MEMBER OF MISERICORDIA ASSURANCE COMPANY, LTD. AND A PARTNER IN GENGASTRO, LLC. GHS ILLINOIS IS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) AND GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO) AND IS A PARTNER IN THE LARSON CENTER PARTNERSHIP.GHS IOWA, GHS ILLINOIS, GMC, ALEDO, AND GSL, ALEDO COLLECTIVELY REPRESENT THE OBLIGATED GROUP ON CERTAIN COMPONENTS OF THE SYSTEM'S LONG-TERM DEBT. GHS IOWA AND GHS ILLINOIS OPERATE THE FOLLOWING BUSINESS UNITS: 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) PROVIDES HOME HEALTH CARE, COMMUNITY NURSING SERVICES AND HOSPICE SERVICES TO PATIENTS IN EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER - SILVIS (GMC - 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 PERSONAL CARE SIMILAR TO AN ASSISTED LIVING FACILITY. CROSSTOWN SQUARE IS AN INDEPENDENT LIVING FACILITY CONTAINING 64 RENTABLE APARTMENTS AND 3 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 BEDS, AS WELL AS A PHYSICAN 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. THE GENESIS FOUNDATION IS REFERRED TO AS THE FOUNDATION. 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 (GHS IOWA) MAINTAINS A 75% OWNERSHIP INTEREST.THE LARSON CENTER PARTNERSHIP (LCP) IS A FOR-PROFIT REAL ESTATE PARTNERSHIP, WHICH OWNS A MEDICAL OFFICE BUILDING ADJACENT TO GMC SILVIS AND LEASES SPACE FOR CLINICS, LABORATORY, PHARMACY AND OFFICES TO GMC SILVIS AND OTHER THIRD-PARTY ORGANIZATIONS. GHS ILLINOIS IS A GENERAL PARTNER AND OWNS APPROXIMATELY 79.8% OF LCP.GENVENTURES, INC. (GENVENTURES) IS A WHOLLY-OWNED FOR-PROFIT CORPORATION WHICH OPERATES THE FOLLOWING DIVISIONS, PRIMARILY IN THE QUAD CITIES: GENESIS AT HOME, CONTINUING CARE SELLS AND LEASES HOME MEDICAL EQUIPMENT; PROVIDES INTRAVENOUS THERAPY SERVICES, INCLUDING SALES OF RELATED SOLUTIONS AND SUPPLIES TO PATIENTS; AND PROVIDES RETAIL PHARMACEUTICAL AND OVER-THE-COUNTER PRODUCTS TO PATIENTS AND EMPLOYEES OF THE SYSTEM. GENPROPERTIES OWNS, LEASES AND/OR MANAGES OFFICE SPACE IN 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 PAYERS AND THE COMMUNITY AT LARGE. GENESIS PHILANTHROPY IS A WHOLLY-OWNED TAX-EXEMPT ENTITY FORMED IN 2013, WHICH PARTNERS 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.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 GHS IOWA AND AFFILIATES.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL,IA

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 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	$741,435	$0	$307,117	$0	$21,900	$0	$5,750	$0	$23,917	$0	$1,100,119	$0	$0
GEORGE J KONTOS JR MD
DIRECTOR	$0	$462,260	$0	$0	$0	$200,576	$0	$6,000	$0	$16,538	$0	$685,374	$0	$0
MARK G ROGERS
V.P. FINANCE/CFO GHS/ASST TREASURER	$0	$390,543	$0	$128,636	$0	$85,065	$0	$70,197	$0	$19,132	$0	$693,573	$0	$0
HAROLD L WAGHER
FORMER CHIEF COMPLIANCE RISK OFFICER	$0	$220,956	$0	$34,016	$0	$696	$0	$4,500	$0	$14,079	$0	$274,247	$0	$0
NIDAL HARB
CHIEF MEDICAL OFFICER	$0	$445,182	$0	$109,089	$0	$140,494	$0	$6,000	$0	$16,760	$0	$717,525	$0	$0
JACQUELINE K ANHALT
V.P. PATIENT SERVICES	$0	$233,556	$0	$40,933	$0	$60,898	$0	$9,602	$0	$16,918	$0	$361,907	$0	$0
KENNETH R CROKEN
V.P. CORPORATE COMMUNICATIONS	$0	$252,547	$0	$61,726	$0	$67,353	$0	$12,450	$0	$12,833	$0	$406,909	$0	$0
ROBERT W FRIEDEN
V.P. INFORMATION SERVICES	$0	$272,069	$0	$55,993	$0	$88,955	$0	$9,578	$0	$17,113	$0	$443,708	$0	$0
HEIDI S KAHLY-MCMAHON
V.P. HUMAN RESOURCES	$0	$233,030	$0	$54,697	$0	$60,684	$0	$3,527	$0	$16,916	$0	$368,854	$0	$0
MIKE L SHARP
V.P. SUPPORT SERVICES	$0	$199,784	$0	$52,116	$0	$192,691	$0	$21,521	$0	$12,591	$0	$478,703	$0	$78,214
EDWARD TED J ROGALSKI
FORMER GMC, ALEDO ADMINISTRATOR	$134,619	$0	$19,584	$0	$451	$0	$5,584	$0	$18,522	$0	$178,760	$0	$0	$0
GEORGE KOVACH
FORMER V.P. MEDICAL STAFF AFFAIRS	$0	$72,403	$0	$0	$0	$84,453	$0	$695	$0	$403	$0	$157,954	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINES 4A-B	THE FOLLOWING INDIVIDUAL RECEIVED SEVERANCE PAY FROM GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION, DURING CALENDAR YEAR 2016: GEORGE KOVACH - $83,653. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON FORM 990, PART VII AND SCHEDULE J, PART II, IF APPLICABLE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL ROTH INDEXED UNIVERSAL LIFE (IUL) PLAN IN 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: JACQUELINE ANHALT - $42,137, ROBERT W. FRIEDEN - $61,593, NIDAL HARB - $82,110, AND HEIDI S. KAHLY-MCMAHON - $42,075. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2016. 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 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: KENNETH R. CROKEN - $64,298, MARK G. ROGERS - $63,005, AND MIKE L. SHARP- $190,746. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2016. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: MARK G. ROGERS - $63,005. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUAL TO THE PLAN IN 2016. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SPLIT-DOLLAR LIFE INSURANCE BENEFIT PLAN IN 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: DOUGLAS P. CROPPER - $8,529,736. GHS IOWA 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 OR MORE OF THE POLICIES, WHERE THE BORROWING IS MONITORED AND LIMITED SO THE POLICIES DO NOT LAPSE. AT THE PARTICIPANT'S DEATH, GHS IOWA RECOVERS PREMIUMS PLUS INTEREST PLUS ADDITIONAL KEY-PERSON INSURANCE PROCEEDS.
FORM 990, SCHEDULE J, PART I, LINE 3:	GENESIS MEDICAL CENTER, ALEDO 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.
FORM 990, SCHEDULE J, PART II, COLUMN F:	THE FOLLOWING INDIVIDUAL ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2012, 2013, 2014, 2015, AND 2016 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: MIKE L. SHARP - $78,214. THE DOLLAR AMOUNT REPRESENTS PRIOR CONTRIBUTIONS MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2012, 2013, 2014, 2015, AND 2016. THIS INFORMATION WAS 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 2016, SO THE DOLLAR AMOUNT IS NOW INCLUDED IN REPORTABLE COMPENSATION ON THE CURRENT YEAR FORM 990, PART VII AND SCHEDULE J, PART II.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
EDWARD TED J ROGALSKI
SEE BELOW IN PART V	$178,759	EDWARD (TED) J. ROGALSKI RECEIVES COMPENSATION FROM GENESIS MEDICAL CENTER, ALEDO AS AN ADMINISTRATOR OF THE ORGANIZATION.	0
GENVENTURES INC
SEE BELOW IN PART V	$75,508	GENESIS MEDICAL CENTER, ALEDO PAID GENVENTURES, INC. FOR LAUNDRY SERVICES.	0
HEALTH ENTERPRISES
SEE BELOW IN PART V	$104,475	HEALTHCARE SUPPORT SERVICES - MRI SCANS	0
BUSH CONSTRUCTION COMPANY
SEE BELOW IN PART V	$316,106	CONSTRUCTION SERVICES	0
GENVENTURES INC
SEE BELOW IN PART V	$100,600	MISCELLANEOUS SUPPLIES	0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SCHEDULE L, PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - EDWARD (TED) J. ROGALSKIEDWARD (TED) J. ROGALSKI IS THE SON OF EDWARD J. ROGALSKI, PH.D., DIRECTOR OF GENESIS MEDICAL CENTER, ALEDO.
FORM 990, SCHEDULE L, PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - GENVENTURES, INC.MARK G. ROGERS AND ROGER J. HILL ARE OFFICERS, JAMES W. KOEHLER IS A DIRECTOR, AND MIKE L. SHARP IS A HIGHEST COMPENSATED EMPLOYEE OF GENESIS MEDICAL CENTER, ALEDO AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, MARK G. ROGERS, ROGER J. HILL, JAMES W. KOEHLER, AND MIKE L. SHARP WERE OFFICERS OF GENVENTURES, INC.
FORM 990, SCHEDULE L, PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - HEALTH ENTERPRISESDOUGLAS P. CROPPER IS THE BOARD PRESIDENT/CEO OF GENESIS MEDICAL CENTER, ALEDO AND A DIRECTOR ON THE BOARD OF HEALTH ENTERPRISES.
FORM 990, SCHEDULE L, PART IV, COLUMN B	GREGORY J. BUSH IS AN OFFICER OF GENESIS MEDICAL CENTER, ALEDO AND IS THE CHAIRMAN OF BUSH CONSTRUCTION COMPANY.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART I, LINE 4 & PART VI, SECTION A, LINE 1B:	THE FOLLOWING GENESIS MEDICAL CENTER, ALEDO DIRECTORS ARE NOT INDEPENDENT DUE TO TRANSACTIONS DISCLOSED ON FORM 990, SCHEDULE L OF GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED TAX-EXEMPT ORGANIZATION: PETER J. BENSON, GREGORY J. BUSH, EDMUND P. COYNE, JR., M.D., MARK C. KILMER, EDWIN V. MOTTO, M.D., AND C. DANA WATERMAN III.
FORM 990, PART VI, SECTION A, LINE 6	THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO IS GENESIS HEALTH SYSTEM (GHS ILLINOIS), AN ILLINOIS NONPROFIT CORPORATION.
FORM 990, PART VI, SECTION A, LINE 7A	AS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO (CORPORATION), GENESIS HEALTH SYSTEM (GHS ILLINOIS) HAS THE POWER: 1) TO DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION AND TO ELECT, APPOINT, REMOVE, OR FILL THE VACANCIES OF THE BOARD MEMBERS; 2) TO PRESENT AT ANY REGULAR OR SPECIAL BOARD MEETING I) AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, II) A PLAN OF MERGER OR CONSOLIDATION BY THE CORPORATION INTO OR WITH ANY OTHER CORPORATION, III) A PROPOSAL FOR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE CORPORATION'S ASSETS, AND IV) A PROPOSAL FOR DISSOLUTION OF THE CORPORATION AND PLAN OF DISTRIBUTION; 3) TO ESTABLISH SYSTEM WIDE POLICIES AND PROCEDURES REGARDING QUALITY OF CARE, FINANCE, UTILIZATION OF RESOURCES, MANAGED CARE CONTRACTING, STRATEGIC PLANNING, AND EMPLOYEE BENEFITS; 4) TO ASSESS THE CORPORATION EXPENSES OF THE MEMBER ATTRIBUTABLE TO THE CORPORATION AND AFFILIATES AND TO ASSESS TO THE CORPORATION ITS SHARE OF GENERAL OVERHEAD OF THE MEMBER; AND 5) TO DIRECT THE CORPORATION TO TRANSFER FUNDS TO THE MEMBER FOR THE DEVELOPMENT OF SYSTEM WIDE PROJECTS.
FORM 990, PART VI, SECTION B, LINE 11B	INTERNAL MANAGEMENT REVIEW IS COMPLETED OF THE COMPILED INFORMATION PRIOR TO PREPARATION AND REVIEW BY RSM US LLP. FOLLOWING RSM US LLP'S PREPARATION AND REVIEW OF THE FORM 990, IT IS REVIEWED WITH THE ORGANIZATION'S VICE PRESIDENT, FINANCE/CFO; VICE PRESIDENT, LEGAL AFFAIRS; VICE PRESIDENT, HUMAN RESOURCES; AND CHIEF COMPLIANCE RISK OFFICER. THE FORM 990 IS THEN REVIEWED AT THE ORGANIZATION'S FINANCE COMMITTEE MEETING. PRIOR TO SUBMITTING THE FORM 990 TO THE IRS, 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 THESE REVIEWS ARE CONSIDERED FOR INCLUSION IN THE FINAL FORM 990 SUBMITTED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) 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 GMC, ALEDO, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION, AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15	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 ATTRIBUTES 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 MEDICAL CENTER, ALEDO (GMC, ALEDO) 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 SUBJECT TO CEO, COMPENSATION COMMITTEE, AND GHS 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 THE GMC, ALEDO BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GMC, ALEDO, AT APPROPRAITE TIMES. THE GMC, ALEDO BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GMC, ALEDO, AT APPROPRIATE TIMES. THE LAST TIME THIS PROCESS WAS FORMALLY UNDERTAKEN WAS NOVEMBER 2016.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, LINE 1A:	GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), 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 MEDICAL CENTER, ALEDO. 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 IX, LINE 11G	BLOOD BANK SERVICES: PROGRAM SERVICE EXPENSES 12,578. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 12,578. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 361,170. MANAGEMENT AND GENERAL EXPENSES 6,335. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 367,505. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 110,235. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 110,235. NUTRITIONAL SERVICES: PROGRAM SERVICE EXPENSES 57,176. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 57,176. O/S PHARMACY SERVICES: PROGRAM SERVICE EXPENSES 5,870. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 5,870. O/S LINEN SERVICES: PROGRAM SERVICE EXPENSES 8,415. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,415. ED SERVICES: PROGRAM SERVICE EXPENSES 44,623. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 44,623. ED PHYSICIAN SERVICES: PROGRAM SERVICE EXPENSES 1,160,954. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,160,954. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 48,330. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 48,330. LAB SERVICES: PROGRAM SERVICE EXPENSES 420,440. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 420,440. RADIOLOGY SERVICES: PROGRAM SERVICE EXPENSES 217,335. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 217,335. ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 249,951. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 249,951. EKG/HOLTER SERVICES: PROGRAM SERVICE EXPENSES 15,671. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 15,671. OFFICE TEMP SERVICES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 2,895. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,895. HEALTHCARE SUPPORT SERVICES: PROGRAM SERVICE EXPENSES 116,506. MANAGEMENT AND GENERAL EXPENSES 13,207. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 129,713. OUTSIDE SIGNAGE SERVICES: PROGRAM SERVICE EXPENSES 832. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 832. OUTSIDE TRANSPORTATION SERVICES: PROGRAM SERVICE EXPENSES 2,346. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,346.
FORM 990, PART XI, LINE 9:	CHANGE IN INTEREST OF NET ASSETS OF FOUNDATION -5,070.
FORM 990, PART XII, LINE 2C:	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.
FORM 990, PART XI, LINE 9:	INTEREST IN THE MERCER FOUNDATION FOR HEALTH BALANCE WAS RECORDED DURING THE TAX YEAR 2016 AS A BALANCE SHEET ADJUSTMENT AND NOT AN OPERATING ITEM. THEREFORE, IT SHOWS AS A CHANGE IN NET ASSETS OF ($5,070).

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GENESIS ACCOUNTABLE CARE ORGANIZATION LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	454168932	ACCOUNTABLE CARE SERVICES	IA	-$445,758	$3,706,441	GENESIS HEALTH SYSTEM (GHS IOWA)
SPIN ECHO LLC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421491373	PROPERTY MANAGEMENT	IA	-$90,551	$1,943,981	GENVENTURES INC

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
801 ILLINI DRIVE	SILVIS	IL	61282	363616314	HEALTHCARE	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (1)
GENESIS HEALTH SYSTEM (GHS IOWA)
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421418847	HEALTHCARE	IA	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes (1)
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	391905171	EMPLOYEE/BENEFIT/TRUST	IA	501(C)(3)	LINE 12A, I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (1)
DAVENPORT HOSPITAL AMBULANCE CORPORATION
1204 E HIGH STREET	DAVENPORT	IA	52803	421186903	AMBULANCE TRANSFERS	IA	501(C)(3)	LINE 12A, I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (1)
GENESIS SENIOR LIVING ALEDO
309 NW NINTH AVENUE	ALEDO	IL	61231	454475803	SENIOR LIVING SERVICES	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes (1)
GENESIS HEALTH SERVICES FOUNDATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421421670	CHARITY	IA	501(C)(3)	LINE 7	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (1)
GENESIS PHILANTHROPY
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	462452851	CHARITY	IA	501(C)(3)	LINE 10	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd
GENGASTRO LLC
2222 53RD AVENUE	BETTENDORF	IA	52722	562315623	AMBULATORY SURGERY CENTER	IA	N/A
SPRING PARK SURGERY CENTER LLC
3319 SPRING STREET STE 202A	DAVENPORT	IA	52807	421483989	OUTPATIENT SURGICAL CENTER	IA	N/A
LARSON CENTER PARTNERSHIP LLC
801 ILLINI DRIVE	SILVIS	IL	61282	363738454	PROPERTY MANAGEMENT	IL	N/A
GENORTHO LLC
2300 53RD AVENUE	BETTENDORF	IA	52722	203406994	ORTHOPAEDIC SURGERY CENTER	IA	N/A
GENRAD IMAGING LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	453571628	DIAGNOSTIC IMAGING CENTER	IA	N/A
GENRAD IMAGING ILLINOIS LLC
1970 E 53RD STREET	DAVENPORT	IA	52807	473785124	DIAGNOSTIC IMAGING CENTER	IL	N/A

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
GENVENTURES INC
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	421269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	N/A	C	0
GENESIS HEART INSTITUTE
1236 E RUSHOLME STREET	DAVENPORT	IA	52803	421504979	HEALTHCARE MANAGEMENT	IA	N/A	C	0
MISERICORDIA ASSURANCE COMPANY LTD
				980457943	OTHER FINANCIAL VEHICLE		N/A	C	0	PO BOX 1051	GRAND CAYMAN	CJ	CJ
MOB 1 OWNERS' ASSOCIATION
1227 E RUSHOLME STREET	DAVENPORT	IA	52803	270865075	PROPERTY MANAGEMENT	IA	N/A	C	0

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

Transactions Related Org TransactionsRelatedOrgGrp (7 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
GENESIS HEALTH SYSTEM (GHS IOWA)
P	$16,048,779	FAIR MARKET VALUE
GENESIS SENIOR LIVING ALEDO
P	$186,724	FAIR MARKET VALUE
GENVENTURES INC
P	$75,508	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS IOWA)
Q	$3,682,072	FAIR MARKET VALUE
GENESIS SENIOR LIVING ALEDO
Q	$186,724	FAIR MARKET VALUE
GENVENTURES INC
Q	$100,600	FAIR MARKET VALUE
GENESIS HEALTH SYSTEM (GHS ILLINOIS)
R	$683,167	FAIR MARKET VALUE