2018-02-28T15:49:38-06:00 2017-06-30 420714325 RSM US LLP 201 N HARRISON STREET SUITE 300 DAVENPORT IA 528011999 990 2016-07-01 454475683 GENESIS MEDICAL CENTER ALEDO GENE 5634216508 409 NW 9TH AVENUE ALEDO IL 61231 MARK G ROGERS V.P. FINANCE/CFO GHS & ASST. TREAS. 5634216508 2018-02-16 1 JOHN J ROMANO P00227323 5638884000 108.171.131.189 2018-02-16 09:54:17 CS P B876A155820338ED437F0CF2305A406FA7BE98CD 19C5BF97776B62867376EAC7317F804689DFFB56 2016 2021-01-29 14:40:06Z MARK G ROGERS 409 NW 9TH AVENUE ALEDO IL 61231 14929415 0 X WWW.GENESISHEALTH.COM X 2012 IL GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. 19 8 121 27 8588 360 316767 276945 13545782 14068248 7867 3968 468257 560310 14338673 14909471 9949 2240 0 0 6497709 7239088 0 0 0 8156303 8243546 14663961 15484874 -325288 -575403 17317153 18538796 11831434 13633550 5485719 4905246 GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. 0 0 9581194 2240 10955324 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. 3421835 3320529 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. 13003029 1 1 0 1 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 1 1 0 0 0 0 0 1 1 1 0 0 1 X 30 0 1 121 1 1 1 0 0 0 0 0 0 0 0 0 X 19 8 0 0 0 0 1 1 0 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X MARK G ROGERS 5634216508 1227 E RUSHOLME STREET DAVENPORT IA 52803 X STEVEN C BAHLS VICE CHAIR 8.00 X X 0 0 0 MARK D BAWDEN DIRECTOR 4.00 X 0 0 0 PETER J BENSON DIRECTOR 4.00 X 0 0 0 GREGORY J BUSH TREASURER 4.00 X X 0 0 0 CHRISTOPHER J COX DIRECTOR 4.00 X 0 0 0 EDMUND P COYNE JR MD DIRECTOR 4.00 X 0 0 0 DOUGLAS P CROPPER PRESIDENT/CEO GHS 60.00 X X 0 1070452 29667 PATRICIA S GROVES PHD RN DIRECTOR 4.00 X 0 0 0 ROGER J HILL SECRETARY 4.00 X X 0 0 0 MARK C KILMER DIRECTOR 4.00 X 0 0 0 JAMES W KOEHLER DIRECTOR 4.00 X 0 0 0 GEORGE J KONTOS JR MD DIRECTOR 40.00 X 0 662836 22538 DAVID C LARSON DIRECTOR 4.00 X 0 0 0 CHARLENE E MAASKE DIRECTOR 4.00 X 0 0 0 EDWIN V MOTTO MD DIRECTOR 10.00 X 0 0 0 EDWARD J ROGALSKI PHD DIRECTOR 10.00 X 0 0 0 G CHRISTOPHER WAHLIG CHAIR 10.00 X X 0 0 0 C DANA WATERMAN III DIRECTOR 4.50 X 0 0 0 DALE D ZUDE DIRECTOR 4.00 X 0 0 0 PAUL BOLLINGER V.P. LEGAL AFFAIRS/ASST SECRETARY 40.00 X 0 0 0 MARK G ROGERS V.P. FINANCE/CFO GHS/ASST TREASURER 40.00 X 0 604244 89329 HAROLD L WAGHER FORMER CHIEF COMPLIANCE RISK OFFICER 40.00 X 0 255668 18579 NIDAL HARB CHIEF MEDICAL OFFICER 40.00 X 0 694765 22760 JACQUELINE K ANHALT V.P. PATIENT SERVICES 40.00 X 0 335387 26520 KENNETH R CROKEN V.P. CORPORATE COMMUNICATIONS 40.00 X 0 381626 25283 ROBERT W FRIEDEN V.P. INFORMATION SERVICES 40.00 X 0 417017 26691 HEIDI S KAHLY-MCMAHON V.P. HUMAN RESOURCES 40.00 X 0 348411 20443 MIKE L SHARP V.P. SUPPORT SERVICES 40.00 X 0 444591 34112 EDWARD TED J ROGALSKI FORMER GMC, ALEDO ADMINISTRATOR 40.00 X 154654 0 24106 GEORGE KOVACH FORMER V.P. MEDICAL STAFF AFFAIRS 40.00 X 0 156856 1098 154654 5371853 341126 9 1 1 0 EMERGENCY DEPARTMENT ASSOCIATES 7032 COLLECTION CENTER DRIVE CHICAGO IL 60693 ER PHYSICIAN SERVICES 1021234 BUSH CONSTRUCTION COMPANY 5401 VICTORA AVENUE DAVENPORT IA 52807 CONSTRUCTION SERVICES 316106 RIVERBEND ANESTHESIA 1710 COBBLESTONE DRIVE MUSCATINE IA 52761 ANESTHETHIC SERVICES 270280 3 54304 222641 276945 PROFESSIONAL SERVICES 622110 21957005 21957005 CLINIC REVENUE 622110 6583647 6583647 NURSING SERVICES 622110 929208 929208 PATIENT ANCILLARY SERVICES 622110 180311 171723 8588 LESS: PROV TAX ASSESSMENT 621110 -152029 -152029 -15429894 -15429894 14068248 3968 3968 364061 19944 344117 344117 OTHER INCOME 900099 186719 186719 OUTSIDE SERVICE REVENUE 900099 29474 29474 216193 14909471 14275853 8588 348085 X 2240 2240 179191 179191 6030535 5911454 119081 48617 48617 573296 572798 498 407449 387208 20241 237 237 7284 7284 2854869 2832432 22437 22296 15129 7167 380042 331349 48693 670904 20755 650149 388854 375394 13460 27447 24079 3368 15106 14156 950 382792 382792 1040293 1040293 172935 95768 77167 FEDERAL AND STATE INCOM 488 488 CORPORATE OVERHEAD 1606184 309439 1296745 MEDICAL AND PHARMACEUTI 534407 530352 4055 COGS - PATIENT SUPPLIES 74735 74735 64673 33314 31359 15484874 13003029 2481845 0 244295 236131 3237 3174 2206198 3424764 154802 159361 66198 107420 15871362 2706979 13193789 13164383 1448634 1443563 17317153 18538796 3452282 6252116 65916 47521 8313236 7333913 11831434 13633550 X 3983941 3408539 1448634 1443563 53144 53144 5485719 4905246 17317153 18538796 X -575403 -5070 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 1 0 0 0 0 1 7284 7284 0 PART II-B, LINE 1: 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. 53144 53144 53144 53144 53144 53144 53144 53144 53144 53144 0.81180 0.18820 0.00000 0 0 65000 65000 12752091 1903035 10849056 2278830 784708 1494122 775441 19236 756205 13164383 INTEREST IN MERCER FOUNDATION FOR HEALTH 1443563 1443563 MEDICARE SETTLEMENTS/BLUE CROSS UPP 377234 DUE TO GENESIS HEALTH SYSTEM (GHS ILLINOIS) 6949359 DEFERRED EXPENSE CREDITS/RETIREMENT SAVINGS N/C 7320 7333913 X 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. 1 1 X 1 X 1 X 1 1 1 0 1 1 172879 172879 0.01120 3272876 2128594 1144282 0.07390 3445755 2128594 1317161 0.08510 22066 22066 0.00140 42966 42966 0.00280 65032 65032 0.00420 3510787 2128594 1382193 0.08930 425 425 0.00000 744 744 0.00000 165 165 0.00000 17647 17647 0.00110 4112 4112 0.00030 23093 23093 0.00140 1 650056 4048307 4217389 -169082 X 1 1 1 1 GENESIS MEDICAL CENTER ALEDO 409 NW NINTH AVENUE ALEDO IL 61231 WWW.GENESISHEALTH.COM 5868 X X X X GENESIS MEDICAL CENTER ALEDO 1 0 0 1 X X X X X X X X 14 1 0 0 1 X WWW.GENESISHEALTH.COM/COMMUNITY X 1 14 1 WWW.GENESISHEALTH.COM/COMMUNITY 0 1 X 200.000000000000 200.000000000000 X X X X 1 1 X X X X 1 X WWW.GENESISHEALTH.COM X WWW.GENESISHEALTH.COM X WWW.GENESISHEALTH.COM X X X X X 1 X 0 X X X X 1 X 0 0 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 2 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 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 1 1 0 0 0 0 0 0 0 DOUGLAS P CROPPER PRESIDENT/CEO GHS 0 741435 0 307117 0 21900 0 5750 0 23917 0 1100119 0 0 GEORGE J KONTOS JR MD DIRECTOR 0 462260 0 0 0 200576 0 6000 0 16538 0 685374 0 0 MARK G ROGERS V.P. FINANCE/CFO GHS/ASST TREASURER 0 390543 0 128636 0 85065 0 70197 0 19132 0 693573 0 0 HAROLD L WAGHER FORMER CHIEF COMPLIANCE RISK OFFICER 0 220956 0 34016 0 696 0 4500 0 14079 0 274247 0 0 NIDAL HARB CHIEF MEDICAL OFFICER 0 445182 0 109089 0 140494 0 6000 0 16760 0 717525 0 0 JACQUELINE K ANHALT V.P. PATIENT SERVICES 0 233556 0 40933 0 60898 0 9602 0 16918 0 361907 0 0 KENNETH R CROKEN V.P. CORPORATE COMMUNICATIONS 0 252547 0 61726 0 67353 0 12450 0 12833 0 406909 0 0 ROBERT W FRIEDEN V.P. INFORMATION SERVICES 0 272069 0 55993 0 88955 0 9578 0 17113 0 443708 0 0 HEIDI S KAHLY-MCMAHON V.P. HUMAN RESOURCES 0 233030 0 54697 0 60684 0 3527 0 16916 0 368854 0 0 MIKE L SHARP V.P. SUPPORT SERVICES 0 199784 0 52116 0 192691 0 21521 0 12591 0 478703 0 78214 EDWARD TED J ROGALSKI FORMER GMC, ALEDO ADMINISTRATOR 134619 0 19584 0 451 0 5584 0 18522 0 178760 0 0 0 GEORGE KOVACH FORMER V.P. MEDICAL STAFF AFFAIRS 0 72403 0 0 0 84453 0 695 0 403 0 157954 0 0 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. EDWARD TED J ROGALSKI SEE BELOW IN PART V 178759 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 75508 GENESIS MEDICAL CENTER, ALEDO PAID GENVENTURES, INC. FOR LAUNDRY SERVICES. 0 HEALTH ENTERPRISES SEE BELOW IN PART V 104475 HEALTHCARE SUPPORT SERVICES - MRI SCANS 0 BUSH CONSTRUCTION COMPANY SEE BELOW IN PART V 316106 CONSTRUCTION SERVICES 0 GENVENTURES INC SEE BELOW IN PART V 100600 MISCELLANEOUS SUPPLIES 0 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. 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). GENESIS ACCOUNTABLE CARE ORGANIZATION LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 454168932 ACCOUNTABLE CARE SERVICES IA -445758 3706441 GENESIS HEALTH SYSTEM (GHS IOWA) SPIN ECHO LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 421491373 PROPERTY MANAGEMENT IA -90551 1943981 GENVENTURES INC GENESIS HEALTH SYSTEM (GHS ILLINOIS) 801 ILLINI DRIVE SILVIS IL 61282 363616314 HEALTHCARE IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (GHS IOWA) 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) 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) 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) 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) 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) 1 GENESIS PHILANTHROPY 1227 E RUSHOLME STREET DAVENPORT IA 52803 462452851 CHARITY IA 501(C)(3) LINE 10 GENESIS HEALTH SYSTEM (GHS IOWA) 1 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 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 PO BOX 1051 GRAND CAYMAN CJ 980457943 OTHER FINANCIAL VEHICLE CJ N/A C 0 MOB 1 OWNERS' ASSOCIATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 270865075 PROPERTY MANAGEMENT IA N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 GENESIS HEALTH SYSTEM (GHS IOWA) P 16048779 FAIR MARKET VALUE GENESIS SENIOR LIVING ALEDO P 186724 FAIR MARKET VALUE GENVENTURES INC P 75508 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS IOWA) Q 3682072 FAIR MARKET VALUE GENESIS SENIOR LIVING ALEDO Q 186724 FAIR MARKET VALUE GENVENTURES INC Q 100600 FAIR MARKET VALUE GENESIS HEALTH SYSTEM (GHS ILLINOIS) R 683167 FAIR MARKET VALUE