GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
- Tax period
- 2016-01-01 to 2016-12-31
- Filed
- 2017-11-14
- IRS object ID
- 201743189349301749
- 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 I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2017-11-14T08:57:18-06:00 | ReturnTs |
| Tax Period End | 2016-12-31 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 381357951 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 250 S High St Suite 100 | AddressLine1Txt |
| City | Columbus | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43215 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-01-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311480941 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HEALTHCARE SYSTEM | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GENE | BusinessNameControlTxt |
| Phone | 7404545000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2951 MAPLE AVENUE | AddressLine1Txt |
| City | ZANESVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43701 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL MASTERSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7404545000 | PhoneNum |
| Signature | 2017-11-13 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Bernie Ostrowski | PreparerPersonNm |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | PhoneNum |
| Preparation | 2017-11-12 | PreparationDt |
Filing Security Information FilingSecurityInformation
IP Address IPAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| I Pv4 Address | 67.59.56.33 | IPv4AddressTxt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| IP | 2017-11-13 | IPDt |
| IP Tm | 09:28:24 | IPTm |
| IP Timezone | ES | IPTimezoneCd |
| Filing License Type | P | FilingLicenseTypeCd |
| At Submission Creation Device Id | DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 | AtSubmissionCreationDeviceId |
| At Submission Filing Device Id | CDA108602048A852A3C7A9C68094104E2D92ED46 | AtSubmissionFilingDeviceId |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2017-02-10 21:41:12Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MATTHEW PERRY | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2951 MAPLE AVENUE | AddressLine1Txt |
| City | ZANESVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $409,968,196 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Group Exemption | 3727 | GroupExemptionNum |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GENESISHCS.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1997 | FormationYr |
| Legal Domicile State | OH | LegalDomicileStateCd |
| Activity Or Mission | IN 1997, GOOD SAMARITAN MEDICAL CENTER AND BETHESDA HOSPITAL ASSOCIATION, A TAX-EXEMPT COMMUNITY HOSPITAL ALSO LOCATED IN ZANESVILLE, AFFILIATED TO FORM GENESIS HEALTHCARE SYSTEM. GENESIS HAS BEEN GRANTED 501C3 STATUS AS A HOSPITAL. ALL HOSPITAL OPERATIONS AND ASSETS OF GOOD SAMARITAN MEDICAL CENTER WERE TRANSFERRED TO GENESIS WITH THE EXCEPTION OF CERTAIN INVESTMENTS. GOOD SAMARITAN MEDICAL CENTER WILL CONTINUE TO HAVE CONTROL OVER CERTAIN INVESTMENTS WHICH ARE BEING USED BY THE GENESIS HEALTHCARE SYSTEM IN FULFILLING ITS TAX-EXEMPT PURPOSE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 17 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 14 | VotingMembersIndependentCnt |
| Total Employee | 3215 | TotalEmployeeCnt |
| Total Volunteers | 369 | TotalVolunteersCnt |
| Total Gross UBI | $2,630,470 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$21,879 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $204,558 | PYContributionsGrantsAmt |
| CY Contributions Grants | $371,813 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $354,489,598 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $387,260,718 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,558,357 | PYInvestmentIncomeAmt |
| CY Investment Income | $3,925,547 | CYInvestmentIncomeAmt |
| PY Other Revenue | $13,606,907 | PYOtherRevenueAmt |
| CY Other Revenue | $16,178,704 | CYOtherRevenueAmt |
| PY Total Revenue | $375,859,420 | PYTotalRevenueAmt |
| CY Total Revenue | $407,736,782 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $0 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $92,394 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $162,730,988 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $164,875,549 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $182,836,903 | PYOtherExpensesAmt |
| CY Other Expenses | $195,063,330 | CYOtherExpensesAmt |
| PY Total Expenses | $345,567,891 | PYTotalExpensesAmt |
| CY Total Expenses | $360,031,273 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $30,291,529 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $47,705,509 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $531,322,335 | TotalAssetsBOYAmt |
| Total Assets EOY | $542,563,079 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $383,169,806 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $385,731,853 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $148,152,529 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $156,831,226 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | TO PROVIDE COMPASSIONATE, QUALITY HEALTH CARE | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $203,631,273 | ExpenseAmt |
| Grant | $92,394 | GrantAmt |
| Revenue | $168,507,650 | RevenueAmt |
| Desc | GENESIS PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, PEDIATRIC AND CRITICAL CARE. TOTAL DISCHARGES FROM MEDICAL/SURGICAL UNITS DURING 2016 WERE 7,298. TOTAL OBSTETRIC DISCHARGES EQUALED 1,559 WITH 1,557 TOTAL BIRTHS AND PEDIATRIC DISCHARGES EQUALED 187. THERE WERE 400 CRITICAL CARE DISCHARGES, 1,335 CARDIOVASCULAR DISCHARGES, 576 ONCOLOGY DISCHARGES AND 926 ORTHOPEDIC DISCHARGES.GENESIS PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR INPATIENTS AND OUTPATIENTS. THESE SERVICES ARE COMPRISED OF LABORATORY, IMAGING SERVICES, CARDIAC, AND PHARMACY. LABORATORY SERVICES INCLUDE CHEMISTRY, PATHOLOGY, MICROBIOLOGY, HEMATOLOGY, AND CYTOLOGY FOR TOTAL VOLUMES IN 2016 OF 1,609,927. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, AND PET SCAN WITH TOTAL VOLUMES OF 174,569. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $40,455,359 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $126,546,727 | RevenueAmt |
| Desc | HEART & VASCULAR SERVICES: THE GENESIS HEART & VASCULAR TEAM PROVIDES CARDIAC, THORACIC, AND VASCULAR SERVICES. HEART TREATMENTS INCLUDE INTERVENTIONAL CARDIOLOGY SUCH AS BALLOON ANGIOPLASTY AND STENTING, ELECTROPHYSIOLOGY TO TREAT ABNORMAL HEART RHYTHMS AND OPEN-HEART SURGERY SUCH AS CORONARY ARTERY BYPASS GRAFTING (CABG) AND VALVE REPAIR AND REPLACEMENT. OTHER SERVICES PROVIDED ARE MEDICAL MANAGEMENT BY OUR CARDIOLOGISTS, AN ANTICOAGULATION CLINIC AND A CARDIAC REHABILITATION PROGRAM. GENESIS HOSPITAL HAS RECEIVED CHEST PAIN CENTER ACCREDITATION, HEART FAILURE ACCREDITATION & ATRIAL FIBRILLATION CERTIFICATION FROM THE SOCIETY OF CARDIOVASCULAR PATIENT CARE. THE TOTAL NUMBER OF HEART & VASCULAR CASES TREATED IN 2016 WERE 2,477. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $17,255,666 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $53,976,733 | RevenueAmt |
| Desc | RESPIRATORY SERVICES - GENESIS RESPIRATORY & LUNG PROVIDES SERVICES FOR A VARIETY OF LUNG CONDITIONS AND DISEASES INCLUDING LUNG SURGERIES AND RESPIRATORY THERAPY. OUR TEAM, INCLUDING BOARD-CERTIFIED PULMONOLOGISTS, PROVIDE CARE AND TREATMENT FOR PATIENTS WITH PNEUMONIA, LUNG CANCER, BLACK LUNG DISEASE, RESPIRATORY FAILURE, COLLAPSED LUNG, AND OTHER PLEURAL DISEASES. THE TOTAL NUMBER OF RESPIRATORY CASES TREATED IN 2016 WERE 1,952. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $14,459,673 | $0 | $45,230,702 | ORTHOPEDIC SERVICES - THE GENESIS ORTHOPEDIC TEAM PROVIDES ALL THE CARE NEEDED FOR MUSCULOSKELETAL SURGERY, FROM IMAGING TESTS TO REHABILITATION. PATIENTS BENEFIT FROM BOARD-CERTIFIED ORTHOPEDIC SURGEONS AND SPECIALLY TRAINED SURGICAL NURSING STAFF. BESIDES GENERAL ORTHOPEDIC SURGERIES, GENESIS OFFERS: KNEE SURGERY, INCLUDING ACL RECONSTRUCTION, KNEE REPLACEMENT, AND MENISCECTOMY AND MENISCUS REPAIR; SHOULDER SURGERY INCLUDING REPLACEMENTS AND ROTATOR CUFF REPAIR; PARTIAL OR TOTAL HIP REPLACEMENT; AND HAND SURGERY INCLUDING CARPAL AND CUBITAL TUNNEL RELEASE. PATIENTS SCHEDULED FOR A HIP OR KNEE REPLACEMENT ARE ABLE TO TAKE PART IN A PREOPERATIVE CLASS THAT EXPLAINS HOW TO PREPARE FOR SURGERY AND HOW TO ENHANCE THEIR RECOVERY. THE TOTAL NUMBER OF ORTHOPEDIC CASES TREATED IN 2016 WERE 1,117. |
| IN 2014, THE NEW GENESIS BEHAVIORAL HEALTH CENTER OPENED BRINGING TOGETHER ALL GENESIS BEHAVIOR HEALTH SERVICES IN ONE LOCATION. THE PREMIER FACILITY IS THE ONLY COMPREHENSIVE BEHAVIORAL HEALTH CENTER IN SOUTHEASTERN OHIO AND OFFERS INPATIENT AND OUTPATIENT ADULT, ADOLESCENT, AND CHILD PSYCHIATRIC CARE; SUBSTANCE ABUSE SUPPORT AND RECOVERY PROGRAMS; PARTIAL HOSPITALIZATION; AND ANGER MANAGEMENT. INPATIENT & PARTIAL HOSPITALIZATION CARE IS PROVIDED IN THREE DISTINCT AREAS; A PRIVATE, SECURE ADULT UNIT; A CLOSED INTENSIVE PSYCHIATRIC UNIT, AND A PEDIATRIC/ ADOLESCENT UNIT. ALONG WITH PRIVATE ROOMS THE NEW CENTER PROVIDES OPEN, QUIET SPACES WITH NATURAL LIGHTING AND EXERCISE EQUIPMENT. THE GENESIS BEHAVIORAL HEALTH TEAM OF PSYCHIATRISTS, PSYCHOLOGISTS, CERTIFIED COUNSELORS, THERAPISTS, NURSES AND SUPPORT STAFF ARE HIGHLY TRAINED AND WORK CLOSELY WITH OTHER COMMUNITY BASED HEALTH AGENCIES TO COORDINATE SERVICES. MISCELLANEOUS PROGRAMS INCLUDE SUBSTANCE ABUSE, SUICIDE AND DATE VIOLENCE PREVENTION AND GRIEF COUNSELING TO AREA SCHOOLS AND CONDUCTING CLASSES ON DEALING WITH DIVORCE REQUIRED FOR FAMILIES GOING THROUGH THIS PROCESS BY THE MUSKINGUM COUNTY COURT SYSTEM. PEOPLE OF ALL AGES AND FROM 33 COUNTIES COME TO GENESIS FOR BEHAVIORAL HEALTH CARE. TOTAL INPATIENTS TREATED IN 2016 WERE 1,601. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $14,459,673 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $0 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $45,230,702 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $275,801,971 | 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 | 0 | 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 | 0 | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (1) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | 0 | InvestTaxExemptBondsInd |
| Escrow Account | 0 | EscrowAccountInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (1) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | 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 |
| IRP Document | 299 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3215 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | Yes (1) | ForeignFinancialAccountInd |
| Foreign Country | CJ | ForeignCountryCd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 17 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 14 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | Yes (1) | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | 0 | 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 | Yes (1) | InvestmentInJointVentureInd |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTI NASH | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7404545000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2951 MAPLE AVENUE | AddressLine1Txt |
| City | ZANESVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43701 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | OfficerOfficerInd | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd |
|---|---|---|---|---|---|---|---|---|---|
| JODY BALLAS | |||||||||
| EX-OFFICIO | 2.62 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| JERRY NOLDER | |||||||||
| TREASURER | 2.31 | 0.00 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| MARK MOYER | |||||||||
| TRUSTEE | 1.85 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR LAURA WOLF | |||||||||
| EX-OFFICIO | 1.69 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| RANDY COCHRANE | |||||||||
| CHAIR | 2.62 | 0.24 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| JAMES MCDONALD | |||||||||
| TRUSTEE | 1.15 | 0.24 | Yes (X) | $0 | $0 | $0 | |||
| ERIN REMSTER MD | |||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $0 | $295,062 | $17,213 | |||
| JOHN DITTOE | |||||||||
| TRUSTEE | 1.15 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| SR MARY ANN NUGENT | |||||||||
| TRUSTEE | 1.15 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| WILLIAM SHADE MD | |||||||||
| VICE CHAIR | 2.85 | 0.00 | Yes (X) | $0 | $1,600 | $0 | Yes (X) | ||
| JOANN BUTCHER | |||||||||
| EX-OFFICIO | 1.62 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| COLBY GRAHAM | |||||||||
| TRUSTEE | 1.15 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| PATRICK NASH | |||||||||
| SECRETARY | 2.08 | 0.04 | Yes (X) | $0 | $0 | $0 | Yes (X) | ||
| SHIRLEY VAN WYE | |||||||||
| TRUSTEE | 2.08 | 0.43 | Yes (X) | $0 | $0 | $0 | |||
| TOD KLOTZBACH | |||||||||
| TRUSTEE | 1.15 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| DANIEL MCGINTY | |||||||||
| EX-OFFICIO | 1.69 | 0.04 | Yes (X) | $0 | $0 | $0 | |||
| JOHN ZIMMERMAN MD | |||||||||
| TRUSTEE | 39.85 | 0.15 | Yes (X) | $0 | $482,593 | $31,838 | |||
| MATTHEW PERRY | |||||||||
| PRESIDENT & CEO | 39.08 | 0.92 | $673,143 | $0 | $100,768 | Yes (X) | |||
| PAUL MASTERSON | |||||||||
| CHIEF FINANCIAL OFFICER | 39.12 | 0.88 | $407,281 | $0 | $66,040 | Yes (X) | |||
| EDMUND ROMITO | |||||||||
| CHIEF INFORMATION OFFICER | 40.00 | 0.00 | $337,719 | $0 | $34,902 | Yes (X) | |||
| ALAN BURNS | |||||||||
| CHIEF DEVELOPMENT OFFICER | 39.85 | 0.15 | $368,688 | $0 | $57,582 | Yes (X) | |||
| DANIEL SCHEERER MD | |||||||||
| CHIEF MEDICAL AFFAIRS OFFICER | 40.00 | 0.00 | $391,782 | $0 | $63,598 | Yes (X) | |||
| ABBY NGUYEN | |||||||||
| CHIEF NURSING OFFICER | 39.81 | 0.19 | $259,690 | $0 | $27,839 | Yes (X) | |||
| DIANNA LEVECK | |||||||||
| CHIEF HUMAN RESOURCES OFFICER | 40.00 | 0.00 | $281,286 | $0 | $21,032 | Yes (X) | |||
| WENDY CEDOZ | |||||||||
| CHIEF LEGAL OFFICER | 40.00 | 0.00 | $285,835 | $0 | $28,561 | Yes (X) | |||
| SLOAN ALBERT | |||||||||
| CHIEF PHYSICIAN NETWORK OFFICER | 40.00 | 0.00 | $372,225 | $0 | $21,601 | Yes (X) | |||
| SHAWN ROARK | |||||||||
| CHIEF TRANSF/POP HEALTH OFFICER | 40.00 | 0.00 | $305,862 | $0 | $17,989 | Yes (X) | |||
| CHARLES ADAMS JR | |||||||||
| DIRECTOR | 40.00 | 0.00 | $153,969 | $0 | $17,808 | Yes (X) | |||
| SHARON PARKER | |||||||||
| DIRECTOR OF CANCER SERVICE | 40.00 | 0.00 | $159,501 | $0 | $19,206 | Yes (X) | |||
| LES BOYER | |||||||||
| DIRECTOR | 40.00 | 0.00 | $149,803 | $0 | $21,236 | Yes (X) | |||
| CHERYL JORGE | |||||||||
| DIRECTOR | 40.00 | 0.00 | $161,870 | $0 | $18,904 | Yes (X) | |||
| GREGORY HAMILTON | |||||||||
| DIRECTOR | 40.00 | 0.00 | $148,856 | $0 | $23,348 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $4,457,510 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $779,255 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $589,465 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 56 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| PRECYSE SOLUTIONS LLC | |||||
| 1275 DRUMMERS LN SUITE 200 | WAYNE | PA | 190871571 | HEALTH INFORMATION MANAGEMENT | $5,603,409 |
| ZANESVILLE ANESTHESIA PHYSICIANS INC | |||||
| 37 S SEVENTH ST | ZANESVILLE | OH | 43701 | MEDICAL SERVICES | $4,212,958 |
| CARDIAC ANESTHESIA ASSOC | |||||
| 800 FOREST AVE | ZANESVILLE | OH | 43701 | MEDICAL SERVICES | $1,710,000 |
| ARUP LABORATORIES | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84127 | LABWORK | $1,059,245 |
| DIVERSIFIED CLINICAL SERVICES | |||||
| 28525 NETWORK PLACE | CHICAGO | IL | 606731285 | MEDICAL PERSONNEL SERVICES | $913,874 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 42 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $113,211 | RelatedOrganizationsAmt |
| Government Grants | $258,602 | GovernmentGrantsAmt |
| Total Contributions | $371,813 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICES | 621110 | $386,963,746 | $386,963,746 |
| PASSTHROUGH INCOME | 621110 | $296,972 | $296,972 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $387,260,718 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $4,859,461 | TotalRevenueColumnAmt |
| Exclusion | $4,859,461 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,400,199 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,297,500 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $102,699 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $102,699 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $102,699 | RelatedOrExemptFuncIncomeAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $933,914 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -$933,914 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$933,914 | TotalRevenueColumnAmt |
| Exclusion | -$933,914 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|---|---|
| CAFETERIA SALES | 621110 | $2,917,285 | $96,965 | $2,820,320 | |
| OCCUPATIONAL HEALTH | 621110 | $1,278,021 | $1,278,021 | ||
| EHR TECHNOLOGY INCOME | 621110 | $1,198,334 | $1,198,334 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $10,682,365 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $4,422,040 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,533,505 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,726,820 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $16,076,005 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $407,736,782 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $394,261,812 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $2,630,470 | UnrelatedBusinessRevenueAmt |
| Exclusion | $10,472,687 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $92,394 | TotalAmt |
| Program Services | $92,394 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,247,233 | TotalAmt |
| Management And General | $1,247,233 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,703,338 | TotalAmt |
| Program Services | $88,620,309 | ProgramServicesAmt |
| Management And General | $31,083,029 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,894,208 | TotalAmt |
| Program Services | $3,585,979 | ProgramServicesAmt |
| Management And General | $1,308,229 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $30,437,528 | TotalAmt |
| Program Services | $22,301,533 | ProgramServicesAmt |
| Management And General | $8,135,995 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,593,242 | TotalAmt |
| Program Services | $6,296,256 | ProgramServicesAmt |
| Management And General | $2,296,986 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $722,652 | TotalAmt |
| Management And General | $722,652 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $428,751 | TotalAmt |
| Management And General | $428,751 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $154,630 | TotalAmt |
| Management And General | $154,630 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $32,493,527 | TotalAmt |
| Program Services | $17,624,460 | ProgramServicesAmt |
| Management And General | $14,869,067 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $489,916 | TotalAmt |
| Program Services | $489,916 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,472,028 | TotalAmt |
| Program Services | $5,034,722 | ProgramServicesAmt |
| Management And General | $5,437,306 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,783,150 | TotalAmt |
| Program Services | $1,453,212 | ProgramServicesAmt |
| Management And General | $6,329,938 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,062,203 | TotalAmt |
| Program Services | $6,681,171 | ProgramServicesAmt |
| Management And General | $4,381,032 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $503,615 | TotalAmt |
| Program Services | $203,040 | ProgramServicesAmt |
| Management And General | $300,575 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,921,222 | TotalAmt |
| Program Services | $14,921,222 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,716,519 | TotalAmt |
| Program Services | $17,633,794 | ProgramServicesAmt |
| Management And General | $4,082,725 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $283,620 | TotalAmt |
| Program Services | $275,571 | ProgramServicesAmt |
| Management And General | $8,049 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $72,335,487 | $71,567,685 | $767,802 |
| BAD DEBT EXPENSE | $14,462,071 | $14,462,071 | |
| LAB REFERENCE FEES | $1,592,079 | $1,588,267 | $3,812 |
| PHYSICIAN RECRUITMENT | $774,662 | $774,662 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,867,198 | TotalAmt |
| Program Services | $2,195,707 | ProgramServicesAmt |
| Management And General | $2,671,491 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $360,031,273 | TotalAmt |
| Program Services | $275,801,971 | ProgramServicesAmt |
| Management And General | $84,229,302 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,771,751 | BOYAmt |
| EOY | $3,865,531 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,303,262 | BOYAmt |
| EOY | $10,305,181 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,083 | BOYAmt |
| EOY | $2,083 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $64,163,472 | BOYAmt |
| EOY | $71,240,238 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,566,927 | BOYAmt |
| EOY | $5,753,526 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,335,414 | BOYAmt |
| EOY | $6,539,873 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $475,063,051 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $165,224,080 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $316,929,775 | BOYAmt |
| EOY | $309,838,971 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $76,303,329 | BOYAmt |
| EOY | $83,537,936 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,935,680 | BOYAmt |
| EOY | $9,247,024 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,109,176 | BOYAmt |
| EOY | $6,109,176 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $35,896,466 | BOYAmt |
| EOY | $36,123,540 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $531,322,335 | BOYAmt |
| EOY | $542,563,079 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,014,307 | BOYAmt |
| EOY | $40,430,754 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,510,444 | BOYAmt |
| EOY | $4,736,012 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $291,245,952 | BOYAmt |
| EOY | $287,707,200 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,900,000 | BOYAmt |
| EOY | $10,825,000 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $38,499,103 | BOYAmt |
| EOY | $42,032,887 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $383,169,806 | BOYAmt |
| EOY | $385,731,853 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,152,529 | BOYAmt |
| EOY | $156,831,226 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $148,152,529 | BOYAmt |
| EOY | $156,831,226 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $531,322,335 | BOYAmt |
| EOY | $542,563,079 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $47,705,509 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $1,277,397 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$40,304,209 | 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 | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | Yes (1) | DirectContactLegislatorsInd |
| Direct Contact Legislators | $158,780 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $21,613 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $180,393 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part II-B, Line 1: | FormAndLineReferenceDesc |
| Explanation | GENESIS HEALTHCARE SYSTEM PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS. A PORTION OF THE DUES ARE RELATED TO LOBBYING ACTIVITIES. AMERICAN HOSPITAL ASSOCIATION - FSCC SHARE (AHA): 21.78% OF $56,117 ($12,222) OHIO HOSPITAL ASSOCIATION - FSCC SHARE (OHA): 3.5% OF $77,721 ($2,720) AMERICAN SOCIETY HEALTHCARE ENGINEERING (ASHE/AHA): 21.78% OF $450 ($98) AMERICAN SOCIETY HEALTHCARE HR ADMIN (ASHHRA/AHA): 21.78% OF $160 ($35) AMERICAN SOCIETY HEALTHCARE RISK MGMT (ASHRM/AHA): 21.78% OF $159 ($35) SOC FOR HEALTHCARE STRATEGY & MARKET DEVELOPMENT (SHSMD/AHA): 21.78% OF $235 ($51) CATHOLIC CONFERENCE OF OHIO: 3.5% OF $3,262 ($114) CATHOLIC HEALTH ASSOC (FSCC SHARE): 3.11% OF $7,898 ($246) ACADEMY OF NUTRITION & DIETETICS (AND): 14.0% OF $234 ($33) AMERICAN ACADEMY OF SLEEP MEDICINE (AASM): 2.0% OF $1,100 ($22) AMERICAN BAR ASSOC (ABA): 2.5% OF $219 ($5) AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA): 5.0% OF $350 ($18) AMERICAN HEART ASSOC (AHA): 6.0% OF $260 ($16) AMERICAN MEDICAL GROUP ASSOCIATION (AMGA): 20.0% OF $9,750 ($1,950) AMERICAN SOCIETY HEALTH-SYSTEM PHARMACISTS (ASHP): 40.0% OF $109 ($43) AMERICAN SPEECH & HEARING ASSOCIATION (ASHA): 4.0% OF $900 ($36) ASSOCIATION OF COMMUNITY CANCER CENTERS (ACCC): 3.0% OF $1,150 ($35) COLLEGE OF HEALTHCARE INFO MGMT EXECUTIVES (CHIME): 8.0% OF $375 ($30) HEALTHCARE INFORMATION & MANAGEMENT SYSTEMS SOCIETY (HIMSS): 2.87% OF $2,813 ($81) MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA): 23.0% OF $779 ($179) OHIO STATE BAR ASSOCIATION (OBA): 5.0% OF $305 ($15) SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY (SDMS): 4.0% OF $160 ($6) SOCIETY OF THORACIC SURGEONS (STS): 18.0% OF $8,250 ($1,485) SOCIETY OF VASCULAR ULTRASOUND (SVU): 20.0% OF $145 ($29) TRAUMA CENTER ASSOCIATION OF AMERICA (TCAA): 29.0% OF $1,667 ($483) ZANESVILLE - MUSKINGUM CO. CHAMBER OF COMMERCE: 10.0% OF $5,833 ($583) ZANESVILLE - MUSKINGUM CO. CHAMBER OF COMMERCE: 10.0% OF $4,590 ($459) OHIO HOSPICE AND PALLIATIVE CARE ORGANIZATION DBA MIDWEST CARE ALLIANCE (OHPCO): 7.3% OF 8,000 ($584) GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $158,780 IN 2016 FOR ADVOCACY AND OUTREACH CONSULTING SERVICES. THESE SERVICES ASSIST GENESIS IN ENGAGING, EDUCATING AND COMMUNICATING WITH PUBLIC POLICY MAKERS REGARDING PENDING LEGISLATION OR PROPOSED REGULATIONS AND ASSIST ELECTED OFFICIALS IN UNDERSTANDING THE IMPACT THESE REGULATIONS HAVE ON GENESIS'S ABILITY TO DELIVER COST EFFECTIVE, QUALITY CARE FOR PATIENTS IN SOUTHEAST OHIO. GENESIS WORKS PRIMARILY THROUGH NATIONAL AND STATE HOSPITAL ASSOCIATIONS, IN WHICH GENESIS HAS MEMBERSHIP, TO UNDERSTAND POTENTIAL POLICIES WHICH COULD NEGATIVELY AFFECT THEIR ABILITY TO WORK WITH THE LOCAL MEDICAL COMMUNITY TO MEET THE HEALTHCARE NEEDS OF THE REGION. SOME ISSUES OF INTEREST INCLUDE THE 340B PROGRAM, MEDICAID REGULATIONS AND INFRASTRUCTURE IMPROVEMENTS AT THE LOCAL LEVEL TO ENHANCE ACCESS TO THE HOSPITAL FOR EMERGENCY VEHICLES, PATIENTS AND FAMILIES, WHILE MINIMIZING TRAFFIC CONGESTION THROUGHOUT THE BUSY COMMERCIAL CORRIDOR IN ZANESVILLE. | ExplanationTxt |
Schedule D IRS990ScheduleD
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $8,108,904 | OtherCostOrOtherBasisAmt |
| Book Value | $8,108,904 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $222,168,695 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,924,704 | DepreciationAmt |
| Book Value | $205,243,991 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $5,101,243 | OtherCostOrOtherBasisAmt |
| Depreciation | $2,425,836 | DepreciationAmt |
| Book Value | $2,675,407 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $226,213,415 | OtherCostOrOtherBasisAmt |
| Depreciation | $144,617,224 | DepreciationAmt |
| Book Value | $81,596,191 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $13,470,794 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,256,316 | DepreciationAmt |
| Book Value | $12,214,478 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $309,838,971 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| UNAMORTIZED BOND ISSUE COSTS | $4,362,683 |
| INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS | $4,272,056 |
| ASSETS LIMITED AS TO USE | $27,488,801 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $36,123,540 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED MINIMUM PENSION LIABILITY | $40,731,184 |
| ACCRUED PROFESSIONAL LIABILITY | $1,301,703 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $42,032,887 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part X, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE SYSTEM AND ITS SUBSIDIARIES ARE TAX-EXEMPT ORGANIZATIONS, EXCEPT FOR CARELIFE; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND TO RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| 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 | $4,684,352 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $11,452,439 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $0 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $75,982,804 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $57,606,437 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,376,367 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05320 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $80,667,156 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $69,058,876 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,376,367 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05320 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 52 | ActivitiesOrProgramsCnt |
| Persons Served | 77482 | PersonsServedCnt |
| Total Community Benefit Expns | $1,359,030 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $57,781 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,301,249 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00380 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 12 | ActivitiesOrProgramsCnt |
| Persons Served | 3220 | PersonsServedCnt |
| Total Community Benefit Expns | $1,267,877 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,267,877 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,607,242 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,472,497 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $134,745 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 1341 | PersonsServedCnt |
| Total Community Benefit Expns | $38,518 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $0 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,518 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 75 | ActivitiesOrProgramsCnt |
| Persons Served | 82043 | PersonsServedCnt |
| Total Community Benefit Expns | $4,272,667 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,530,278 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,742,389 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00800 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 75 | ActivitiesOrProgramsCnt |
| Persons Served | 82043 | PersonsServedCnt |
| Total Community Benefit Expns | $84,939,823 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $70,589,154 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $21,118,756 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06120 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $14,462,073 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $197,265 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $105,377,213 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $108,636,239 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$3,259,026 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2951 MAPLE AVE | AddressLine1Txt |
| City | ZANESVILLE | CityNm |
| State Abbreviation | OH | StateAbbreviationCd |
| ZIP | 43701 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | ACUTE CARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 2 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 15 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | 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.GENESISHCS.ORG/ABOUT-US/COMMUNITY | OwnWebsiteURLTxt |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.GENESISHCS.ORG/ABOUT-US/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 | 100.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 300.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | http://www.genesishcs.org/app/files/public/2726/Financial-Assistance-Self-P | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | http://www.genesishcs.org/app/files/public/2660/Fin-Assist-Form-Rev.pdf | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | http://www.genesishcs.org/app/files/public/2546/Fin-Asst-Summary.pdf | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GENESIS HOSPITAL | Part V, Section B, Line 5: A COMMUNITY HEALTH SURVEY WAS CONDUCTED. THE SURVEY GATHERED THE COMMUNITY INPUT ON THEIR PRIORITIES FOR CHRONIC CONDITIONS, RISK FACTORS FOR DISEASE, MOTHERS AND CHILDREN AND ACCESS TO CARE. THE SURVEY WAS COLLECTED ON THE GENESIS WEBSITE IN SEPTEMBER OF 2015 AND USED FACEBOOK, TWITTER, AND THE ZANESVILLE TIMES RECORDER TO PUBLICIZE THE COMMUNITY HEALTH NEEDS SURVEY. 67 COMPLETED SURVEYS WERE COLLECTED FROM THE GENESIS WEBSITE AND FROM INDIVIDUALS WAITING FOR SERVICES AT THE GENESIS HOSPITAL. ALL SIX COUNTIES WERE REPRESENTED IN THE SURVEY. TWO STUDENTS FROM MUSKINGUM UNIVERSITY AND KEY PARTNERS SUCH AS MUSKINGUM VALLEY HEALTH CENTER, THE VETERAN'S CLINIC, SALVATION ARMY, CHRIST'S TABLE, AND UNITED WAY COLLECTED SURVEYS FROM LOCATIONS SERVICING THE UNDERSERVED POPULATION. SIXTY-THREE PERSONS COMPLETED THE SURVEY IN THE UNDERSERVED LOCATIONS. A TOTAL OF 130 SURVEYS WERE COLLECTED.58 KEY INFORMANT SURVEYS WERE COLLECTED IN THE COMMUNITY AND CONTAINED CATEGORIES FOR BEHAVIORAL RISKS, MOMS AND BABIES, MORTALITY RATES AND POVERTY. SPECIAL CARE WAS USED TO IDENTIFY KEY INFORMANTS WITH KNOWLEDGE OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. IN ADDITION, WE HAVE IDENTIFIED THE KEY INFORMANTS SPECIFICALLY AS: (1) PERSONS WITH SPECIAL KNOWLEDGE OR EXPERTISE IN PUBLIC HEALTH; (2) REPRESENTATIVES FROM GOVERNMENT OR PUBLIC HEALTH DEPARTMENTS; AND (3) LEADERS, REPRESENTATIVES, OR MEMBERS OF MEDICALLY UNDERSERVED, LOW INCOME, AND MINORITY POPULATIONS, AND POPULATIONS WITH CHRONIC DISEASE NEEDS. ALL SIX COUNTIES WERE REPRESENTED IN THE KEY INFORMANT SURVEY.IN ADDITION TO USING COUNTY BASED NEEDS ASSESSMENTS, DUE TO THE LARGE COMMUNITY DEFINED IN THIS COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIAL CARE WAS TAKEN TO INCORPORATE THE VIEWS OF KEY INFORMANTS FROM EACH COUNTY. BELOW ARE EXAMPLES OF THE AGENCIES AND GROUPS COMPLETING THE KEY INFORMANT SURVEYS.COSHOCTON:GENESIS HEALTHCARE SYSTEMCOSHOCTON COUNTY HEALTH DEPARTMENTCOSHOCTON JOB AND FAMILY SERVICESCOSHOCTON UNITED WAYMUSKINGUM VALLEY HEALTH CENTERCOSHOCTON BEHAVIORAL HEALTH CHOICESMUSKINGUM:GENESIS HEALTHCARE SYSTEMTHE CARR CENTERQUALITY CARE PARTNERSZANESVILLE-MUSKINGUM COUNTY HEALTH DEPARTMENTHEART BEATSBIG BROTHERS BIG SISTERSMUSKINGUM COUNTY COMMUNITY FOUNDATIONMUSKINGUM RECREATION CENTERMUSKINGUM COUNTY PORT AUTHORITYSALVATION ARMYBETHEL MISSIONFIRST UNITED METHODIST CHURCHMUSKINGUM VALLEY HEALTH CENTERAMERICAN CANCER SOCIETYWICGUERNSEY:GENESIS HEALTHCARE SYSTEMAMERICAN CANCER SOCIETYMUSKINGUM VALLEY HEALTH CENTERMORGAN:GENESIS HEALTHCARE SYSTEMMORGAN LOCAL SCHOOLSMUSKINGUM VALLEY HEALTH CENTERBUCKEYE HILLSSALVATION ARMYNOBLE:GENESIS HEALTHCARE SYSTEMBUCKEYE HILLS-HOCKING VALLEY REGIONAL DEVELOPMENT DISTRICTCARESOURCEAMERICAN CANCER SOCIETYPERRY:GENESIS HEALTHCARE SYSTEMPERRY COUNTY HEALTH DEPARTMENTNORTHERN LOCAL SCHOOLSHELP ME GROWHOPEWELL HEALTH CENTERCROOKSVILLE SCHOOL NURSESALVATION ARMY |
| GENESIS HOSPITAL | Part V, Section B, Line 6a: THE CHNA WAS CONDUCTED SIMULTANEOUSLY FOR BOTH GENESIS HOSPITAL AND GOOD SAMARITAN HOSPITAL. |
| GENESIS HOSPITAL | Part V, Section B, Line 7d: THE CHNA REPORT IS AVAILABLE ON OUR WEBSITE AT HTTP://GENESISHCS.ORG, UNDER THE TAB "ABOUT US" AT THE BOTTOM OF THE FRONT PAGE, AND THEN UNDER THE "CARING FOR OUR COMMUNITY" TAB. THE REPORT WAS SHARED WITH COMMUNITY PARTNERS AND COPIES ARE AVAILABLE FOR FREE UPON REQUEST. |
| GENESIS HOSPITAL | Part V, Section B, Line 11: THE COMMUNITY BENEFIT 2016-2018 IMPLEMENTATION STRATEGY IS A WRITTEN PLAN THAT ADDRESSES EACH OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2015 CHNA. THE PLAN HAS BEEN TAILORED TO THE SERVICE LINES OF GENESIS, TAKING INTO ACCOUNT SPECIFIC PROGRAMS, RESOURCES AND PRIORITIES. THE IMPLEMENTATION STRATEGY PLANNING GROUPS INCLUDED TWO THAT HAD REPRESENTATION ACROSS SERVICE LINES AND INCLUDED COMMUNITY AGENCIES: (1) THE ADDICTION REDUCTION PLANNING GROUP AND (2) THE OBESITY REDUCTION PLANNING GROUP. OTHER GENESIS PLANNING GROUPS INCLUDED: GENESIS BEHAVIORAL HEALTH, CANCER SERVICES, HEART AND VASCULAR SERVICES, TRAUMA SERVICES, NEUROSCIENCE SERVICES, WOMEN'S AND CHILDREN'S SERVICES, POPULATION HEALTH AND WELLNESS, PULMONARY ADMINISTRATION, EDUCATIONAL SERVICES, MEDICAL STAFF SERVICES, GENESIS HOSPICE AND PALLIATIVE CARE/CAREGIVERS, MARKETING AND PUBLIC RELATIONS, MISSION, NURSELINE, SPIRITUAL CARE, PATIENT EDUCATION AND VOLUNTEER SERVICES.GIVEN THE EVER CHANGING LANDSCAPE OF HEALTHCARE, THE INITIATIVES IN THIS IMPLEMENTATION STRATEGY MAY CHANGE AND NEW ONES MAY BE ADDED OR OTHERS ELIMINATED BASED ON THE COMMUNITY NEEDS DURING THE 2016-2018 PERIOD. THESE CHANGES WILL BE NOTED EACH YEAR IN THE ANNUAL EVALUATION REPORT.THE COMMUNITY BENEFIT 2016-2018 IMPLEMENTATION STRATEGY OUTCOMES ARE TRACKED QUARTERLY AND ANNUALLY THROUGH THE COMMUNITY BENEFIT'S DATA SYSTEM KNOWN AS THE COMMUNITY BENEFIT INVENTORY OF SOCIAL ACCOUNTABILITY (CBISA). THE INITIAL PROPOSED OUTCOMES IN THE TABLES BELOW WILL BE USED AS A BASELINE FOR PERFORMANCE FOR EACH YEAR AND USED TO GUIDE THE EVALUATION PROCESS AND FUTURE INITIATIVE DEVELOPMENT. THE INITIATIVES AND ANTICIPATED OUTCOMES INCLUDED IN THIS DOCUMENT WILL BE EVALUATED AGAINST THE DATA COLLECTED FOR THE IDENTIFIED MEASURES THROUGH CBISA. THE FOCUS AREA LEADERS WILL ENSURE THAT THE OUTCOMES FOR EACH INITIATIVE ARE REPORTED IN CBISA THROUGH THE COMMUNITY BENEFIT PROGRAM AND SUMMARY REPORTS WILL BE ASSESSED QUARTERLY BY THE GENESIS COMMUNITY BENEFIT COMMITTEE. THE DOCUMENT '2016 EVALUATION OF PROGRESS COMMUNITY BENEFIT 2016-2018 IMPLEMENTATION STRATEGY' WAS APPROVED BY THE GENESIS QUALITY COMMITTEE AND THE BOARD OF DIRECTORS IN APRIL OF 2017. IT OUTLINES THE 2016 OUTCOMES FOR EACH INITIATIVE. THE EVALUATION REPORT WAS POSTED ON THE GENESIS WEBSITE MAY 2017.THE CHNA IDENTIFIED TOP PRIORITY CHRONIC CONDITIONS, RELATED RISK FACTORS, ISSUES FOR MOTHERS AND CHILDREN AND ACCESS TO CARE ISSUES. THE COMMUNITY BENEFIT 2016-2018 IMPLEMENTATION STRATEGY FOCUSES ON ALL THE MAJOR AREAS OF NEED EXCEPT ACCESS TO CARE (CHNA PAGES 27-29). ACCESS TO CARE IS A FOCUS OF THE GENESIS STRATEGIC PLAN AND INITIATIVES ARE IMPLEMENTED THROUGH ADMINISTRATION, SERVICE LINE DIRECTORS, FINANCIAL ASSISTANCE, AND TRANSFORMATIONAL CARE DEPARTMENTS. THE TOP HEALTH PRIORITIES FROM THE CHNA, WHICH ARE THE FOCUS OF THE 2016-2018 COMMUNITY BENEFIT IMPLEMENTATION STRATEGY, ARE LISTED BELOW ACCOMPANIED BY THE REFERENCE PAGE WHERE THAT PRIORITY AREA IS LOCATED IN THE CHNA DOCUMENT.THE TOP PRIORITY CHRONIC CONDITIONS IDENTIFIED ARE AS FOLLOWS:1. CANCER (CHNA PAGE 14); PRIORITY RISK FACTOR: TOBACCO USE (CHNA PAGE 15)2. MENTAL HEALTH ISSUES (CHNA PAGE 16); PRIORITY RISK FACTORS: DRUG ADDICTIONS (CHNA PAGE 17) AND ALCOHOL OVERUSE (CHNA PAGE 18)3. DIABETES (CHNA PAGE 18)4. HEART DISEASE (CHNA PAGE 19); PRIORITY RISK FACTORS: OBESITY (CHNA PAGE 20), UNHEALTHY EATING (CHNA PAGE 20), AND PHYSICAL INACTIVITY (CHNA PAGE 21)5. CHRONIC BREATHING PROBLEMS (CHNA PAGE 21)6. JOINT & BACK PAIN (CHNA PAGE 22)7. STROKE (CHNA PAGE 23); PRIORITY RISK FACTOR: HIGH BLOOD PRESSURE (CHNA PAGE 23)THE TOP PRIORITY HEALTH ISSUES FOR MOTHERS AND CHILDREN INCLUDE:1. PREGNANT AND USING TOBACCO (CHNA PAGE 24)2. PREGNANT AND USING ALCOHOL (CHNA PAGE 24)3. PREGNANT AND USING DRUGS (CHNA PAGE 24)4. CHILDREN OVERWEIGHT (CHNA PAGE 25)5. SUPPORT FOR DRUG ADDICTED BABIES (CHNA PAGE 25)6. CHILDREN WITH DISABILITIES (CHNA PAGE 26)AS PLANNING GROUPS FORMED TO DESIGN THE COMMUNITY BENEFIT 2016-2018 IMPLEMENTATION STRATEGY, TWO CROSS AGENCY/CROSS SERVICE LINES PLANNING GROUPS EVOLVED. ONE GROUP FOCUSED ON ADDICTIONS REDUCTION AND BECAME THE ADDICTIONS REDUCTION PLANNING GROUP WHICH INCLUDED ADDICTIONS TO TOBACCO, ALCOHOL AND DRUGS AND INCLUDED ADDICTED MOTHERS AND BABIES. ANOTHER GROUP FORMED TO FOCUS ON ADULT AND CHILDREN OBESITY REDUCTION AND BECAME THE OBESITY REDUCTION PLANNING GROUP. THE OTHER TOP PRIORITY CHRONIC CONDITIONS AND ISSUES FOR MOTHERS AND CHILDREN TOPICS WERE DESIGNED BY THE RELATED SERVICE LINE STAFF LISTED IN THE INTRODUCTION IN THE IMPLEMENTATION STRATEGY SECTION. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 15 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| 1 - HOSPICE & PALLIATIVE CARE | ||||
| 713 FOREST AVENUE | ZANESVILLE | OH | 43701 | HOSPICE & PALLIATIVE CARE CENTER |
| 2 - CTR FOR OUTPATIENT & OCCUPATIONAL REHAB | ||||
| 740 ADAIR AVENUE | ZANESVILLE | OH | 43701 | OUTPATIENT REHAB SERVICES |
| 3 - HEALTHPLEX | ||||
| 2800 MAPLE AVENUE | ZANESVILLE | OH | 43701 | OUTPATIENT LAB/IMAGING/URGENT CARE; PEDIATRIC REHAB |
| 4 - GENESIS PHYSICIAN'S PAVILION | ||||
| 945 BETHESDA DRIVE | ZANESVILLE | OH | 43701 | OUTPATIENT CARDIAC REHAB SERVICES; WOUND CARE CENTER |
| 5 - GENESIS BEHAVIORAL HEALTH | ||||
| 2991 MAPLE AVENUE | ZANESVILLE | OH | 43701 | MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT |
| 6 - GENESIS INTERVENTIONAL PAIN MGT CLINIC | ||||
| 2945 MAPLE AVENUE | ZANESVILLE | OH | 43701 | PAIN MEDICINE SPECIALIZATION;IMAGING TECHNIQUES;SOLUTIONS TO PAIN MANAGEMENT |
| 7 - GENESIS SLEEP DISORDERS CENTER | ||||
| 840 BETHESDA DRIVE | ZANESVILLE | OH | 43701 | DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS |
| 8 - GENESIS RHEUMATOLOGY CARE CENTER | ||||
| 2525 MAPLE AVENUE | ZANESVILLE | OH | 43701 | EDUCATION AND OUTPATIENT RHEUMATOLOGY SERVICES |
| 9 - GENESIS FIRST CARE - SOUTH | ||||
| 23 NORTH MAYSVILLE PIKE | ZANESVILLE | OH | 43701 | URGENT CARE |
| 10 - CAMBRIDGE HEALTH CENTER | ||||
| 61353 SOUTHGATE PARKWAR | CAMBRIDGE | OH | 43725 | IMAGING SERVICES/LAB SERVICE/WOUND MANAGEMENT |
| 11 - GENESIS CANCER CENTER | ||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | CANCER & PALLATIVE CARE/WOMEN'S BOUTIQUE |
| 12 - GENESIS HEALTHCARE CENTER - NEW CONCORD | ||||
| 1 EAST MAIN STREET | NEW CONCORD | OH | 43762 | LAB SERVICES |
| 13 - GENESIS HEALTH CENTER - PERRY COUNTY | ||||
| 301 DR MIKE CLOUSE DRIVE | SOMERSET | OH | 43783 | DIAGNOSITC HEALTHCARE SERVICES/PHYSICAL & OCCUPATIONAL THERAPY |
| 14 - GENESIS SURGERY CENTER | ||||
| 2907 MAPLE AVENUE | ZANESVILLE | OH | 43701 | OUTPATIENT SURGERY |
| 15 - GENESIS NEW LEXINGTON DRAW CENTER | ||||
| 445 WEST BROADWAY | NEW LEXINGTON | OH | 43764 | LAB SERVICES |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 7: | COSTS OF CHARITY CARE AND COMMUNITY BENEFIT ACTIVITIES WERE CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7, COLUMN (F): PERCENTAGE OF TOTAL EXPENSES WAS CALCULATED BASED ON TOTAL EXPENSES LESS BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX. |
| Part II, Community Building Activities: | GENESIS HAS AN ACTIVE PRESENCE ON MANY COMMITTEES INVOLVED IN FINDING LOW COST SOLUTIONS TO PHYSICAL AND MENTAL HEALTH ISSUES PREVALENT IN OUR COMMUNITIES, WITH PARTICULAR FOCUS ON SERVING LOW-INCOME, UNINSURED OR OTHERWISE UNDERSERVED. GENESIS NURSES, THERAPISTS, DIABETES COUNSELORS, ADMINISTRATORS AND OTHER PROFESSIONALS PARTICIPATE IN COMMUNITY COALITIONS AND PREVENTION PROGRAMS, PRIMARILY WITH A FOCUS ON DIABETES, DOMESTIC VIOLENCE, FAMILY SERVICES, WELLNESS INITIATIVES AND MENTAL HEALTH. THESE ACTIVITIES ARE ALL CAPTURED IN COMMUNITY BENEFIT. COMMUNITY BENEFIT BUILDING ACTIVITIES ARE NOT PART OF THE DOCUMENTATION FOR COMMUNITY BENEFIT TO DATE FOR GENESIS. |
| Part III, Line 2: | BAD DEBT IS CALCULATED USING GROSS CHARGES. |
| Part III, Line 3: | THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE WAS ESTIMATED BASED UPON BAD DEBT A/R RECLASSIFIED IN 2016 TO CHARITY WITH DISCHARGE DATES OF 2015 AND PRIOR. |
| Part III, Line 4: | THE FINANCIAL STATEMENT FOOTNOTE RELATED TO BAD DEBT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOOTNOTE 1 "NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES" GROUPED WITH ACCOUNTS RECEIVABLE ON PAGE 8. |
| Part III, Line 8: | CALCULATION WAS BASED ON THE MEDICARE COST TO CHARGE RATIO. |
| Part III, Line 9b: | ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY (PLS) OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE FROM THE HOSPITAL. AT LEAST THREE SEPARATE COMMUNICATIONS WILL BE MAILED TO THE LAST KNOWN ADDRESS OF THE RESPONSIBLE PARTY ALSO CONTAINING THE PLS. AT LEAST 60 DAYS WILL LAPSE BETWEEN THE FIRST AND THIRD REQUIRED COMMUNICATION. DETAILED ITEMIZED STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST EXCEPT WHERE PROHIBITED BY STATE OR FEDERAL REGULATIONS. ACCOUNTS WITH ZERO BALANCES WILL NOT RECEIVE THREE SEPARATE COMMUNICATIONS; HOWEVER, THESE ACCOUNT HOLDERS MAY ALSO BE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. ALL RESPONSIBLE PARTIES WILL RECEIVE WRITTEN NOTIFICATION REGARDING EXTRAORDINARY COLLECTION ACTIONS (ECA) THAT MAY COMMENCE IF ACTION IS NOT TAKEN. THIRTY DAYS WILL LAPSE BETWEEN ISSUANCE OF NOTIFICATION AND COMMENCEMENT OF ECA. ACTION TAKEN BY THE RESPONSIBLE PARTY CONSTITUTES MAKING PAYMENT ARRANGEMENTS FOR THE AMOUNT DUE OR COMPLETING A FINANCIAL ASSISTANCE APPLICATION. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 120 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. COLLECTION AGENCIES ARE INSTRUCTED TO MAKE PHONE CALLS AND SEND LETTERS. IF THEY CANNOT RESOLVE THE BALANCE, OR HAVE NOT BEEN ABLE TO MAKE PAYMENT ARRANGEMENTS, THE ACCOUNT IS SENT BACK TO GENESIS AS NON-COLLECTIBLE IN 18 MONTHS. |
| Part VI, Line 2: | GENESIS HEALTHCARE SYSTEM, AS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, IS DEDICATED TO MEETING THE HEALTH NEEDS OF OUR COMMUNITIES, REGARDLESS OF ONE'S ABILITY TO PAY. WE ENCOURAGE AND SUPPORT COLLABORATION WITH OTHER COMMUNITY PARTNERS TO IDENTIFY, RESPOND TO AND STRIVE TO IMPROVE THE HEALTH-RELATED NEEDS OF THE POOR, THE UNDERSERVED, AND THE COMMUNITY AT LARGE. WE PLEDGE ALL AVAILABLE FINANCIAL RESOURCES - AFTER OUR OPERATING EXPENSES ARE MET - TO RESPOND TO THE COMMUNITY'S HEALTH NEEDS WITH SERVICE INITIATIVES, FINANCIAL AND PROFESSIONAL SUPPORT, AND EDUCATION AND WELLNESS PROGRAMS.THE COMMUNITY BENEFIT COMMITTEE COLLABORATES WITH GENESIS ADMINISTRATION AND DEPARTMENTS AND WITH COMMUNITY AGENCIES IN OUR DEFINED GEOGRAPHIC MARKET, INCLUDING BUT NOT LIMITED TO THE PUBLIC HEALTH DEPARTMENTS, MUSKINGUM VALLEY HEALTH CENTERS, AND THE UNITED WAY, TO ASSESS COMMUNITY HEALTH NEEDS AND STRENGTHS; DEVELOP A COMMUNITY BENEFIT PLAN WITH STRATEGIC GOALS AND INTERVENTIONS; MONITOR IMPLEMENTATION OF COMMUNITY BENEFIT ACTIVITIES; EVALUATE COMMUNITY BENEFIT ACTIVITIES; ADVOCATE FOR THE COMMUNITY BENEFIT PROGRAMS; AND ASSIST IN TELLING THE GENESIS HOSPITAL COMMUNITY BENEFIT STORY. |
| Part VI, Line 3: | GENESIS HAS SIGNAGE STRATEGICALLY LOCATED IN THE FACILITY (REGISTRATION AREAS AND CASHIER AREAS) ADVISING OF FREE CARE. BILLING STATEMENTS ALSO CONTAIN THIS INFORMATION ALONG WITH A CHARITY CARE APPLICATION PRINTED ON THE REVERSE SIDE OF THE BILL. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. WE HAVE RESOURCE COUNSELORS THAT WORK IN THE EMERGENCY DEPARTMENT TO SCREEN PATIENTS FOR CHARITY ASSISTANCE AND LOOK FOR POTENTIAL MEDICAID QUALIFIERS. FOR INPATIENTS, WE ALSO HAVE A THIRD PARTY THAT SCREENS SELF-PAYS, UNDERINSURED AND MEDICARE ONLY PATIENTS FOR MEDICAID AND/OR CHARITY. SELF-PAY, MEDICARE ONLY AND UNINSURED INPATIENTS ARE SCREENED FOR MEDICAID AND/OR CHARITY. |
| Part VI, Line 4: | OUR GEOGRAPHIC MARKET AREA IS A SIX-COUNTY RURAL REGION OF SOUTHEAST OHIO, INCLUDING MUSKINGUM, MORGAN, PERRY, COSHOCTON, GUERNSEY AND NOBLE COUNTIES. TOTAL MARKET AREA POPULATION IS APPROXIMATELY 226,800, WITH MUSKINGUM COUNTY (86,100) REPRESENTING THE LARGEST COUNTY. MEDIAN HOUSEHOLD INCOME LEVELS RANGE FROM $7,400 TO $12,400 LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME AND $11,900 TO $16,800 LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME. PEOPLE LIVING BELOW POVERTY LEVEL RANGES FROM 15.0% TO 19.0% IN THE REGION VERSUS 14.8% FOR STATE AND 13.5% FOR NATION. |
| Part VI, Line 5: | ONGOING COMMUNITY HEALTH EDUCATION IS PROVIDED THROUGH REGULARLY SCHEDULED HEALTH AND WELLNESS PROGRAMS PRESENTED BY GENESIS STAFF AND AFFILIATED PHYSICIANS. PREVENTATIVE HEALTH SCREENINGS ARE ALSO ROUTINELY SCHEDULED. INDIVIDUALS AT RISK ARE ENCOURAGED TO SEE A PHYSICIAN AND PROVIDED ASSISTANCE WITH PHYSICIAN ACCESS AS NEEDED. PROGRAM TOPICS ARE BASED ON COMMUNITY NEED AS DETERMINED BY FEEDBACK FROM PARTICIPANTS, THE COMMUNITY BENEIFIT COMMITTEE AND INTERNAL CLINICAL GROUPS. GENESIS ALSO REGULARLY PROVIDES HEALTH AND WELLNESS EDUCATION THROUGH COMMUNITY-BASED HEALTH FAIRS HELD THROUGHOUT THE COMMUNITY. CLINICAL EXPERIENCES ARE OFFERED FOR HEALTHCARE STUDENTS AS WELL AS TRAINING OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS. |
| Part VI, Line 6: | THE GENESIS ORGANIZATION AND IT'S AFFILIATES ARE REACHING OUT TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH VARIOUS PROGRAMS, MANY BASED ON PREVENTION. THESE FREE PROGRAMS INCLUDE FALL-RISK ASSESSMENTS, THINKFIRST INJURY PREVENTION FOR CHILDREN AND YOUNG ADULTS, AND IMPACT (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING). AS A PART OF THESE PROGRAMS, GENESIS COMMUNITY AMBULANCE SERVICE (CAS) PARTICIPATES IN PRESENTATIONS THAT SIMULATE DISTRACTED DRIVING ACCIDENTS TO SCHOOLS AND ORGANIZATIONS. CAS ALSO PROMOTES THE WELL-BEING OF THE COMMUNITY THROUGH STANDBYS AT LOCAL EVENTS, PARAMEDIC ASSIST, AMBULANCE TOURS AND EFFORTS TO INCREASE PUBLIC AWARENESS OF EMERGENCY MEDICAL SERVICE AND 9-1-1 BEFORE AN EMERGENCY OCCURS. IN ADDITION, GENESIS PROVIDES NUMEROUS HEALTH SCREENINGS THROUGH OUR AFFILIATED PHARMACIES, PARTICIPATES IN COMMUNITY-BASED HEALTH FAIRS, OFFERS REGULAR EDUCATION PROGRAMS ON A VARIETY OF HEALTH TOPICS, AND COOPERATES WITH OUR IN-HOME CARE AFFILIATES TO GENERATEA BETTER QUALITY OF LIFE FOR AREA RESIDENTS WHO MAY OTHERWISE REQUIRE NURSING HOME CARE.System member organizations routinely participate with the hospital in providing health and wellness programs and screenings. Specifically, the retail pharmacy offers ongoing screenings through a well-established wellness program and serves as the hospital's screening partner for community-based initiatives. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| UNITED WAY OF MPM COUNTIES | |||||||
| 526 PUTNAM AVENUE | ZANESVILLE | OH | 43701 | 314379456 | 501(C)(3) | $40,000 | GRANTS WERE PAID TO ASSIST IN COMMUNITY IMPACTGRANTS WERE PAID TO ASSIST IN PROVIDING ASSISTANCE FOR COMMUNITY IMPACT PROJECTS |
| GENESIS HEALTHCARE FOUNDATION | |||||||
| 1135 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311629304 | 501(C)(3) | $13,894 | GRANT PAID TO FUND GENESIS FOUNDATION CAPITAL CAMPAIGN |
| AMERICAN HEART ASSOCIATION | |||||||
| PO BOX 4002907 | DES MOINES | IA | 50340 | 135613797 | 501(C)(3) | $17,000 | HEARTCHASE SPONSORSHIP AGREEMENT |
| AMERICAN CANCER SOCIETY | |||||||
| 5555 FRANTZ ROAD | DUBLIN | OH | 43017 | 131788491 | 501(C)(3) | $6,500 | COUNTY SPONSOR |
| FOUNDATION FOR APPALACHIAN OHIO | |||||||
| PO BOX 456 | NELSONVILLE | OH | 45764 | 311620483 | 501(C)(3) | $5,000 | COMMUNITY FOUNDATINO FOR PERRY CO ENDOW 200 |
| MUSKINGUM VALLEY HEALTH CENTER | |||||||
| 716 ADAIR AVENUE | ZANESVILLE | OH | 43701 | 208814374 | 501(C)(3) | $10,000 | PATIENT CARE CHARITABLE FUND |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Part I, Line 2: | FormAndLineReferenceDesc |
| Explanation | THE UNITED WAY DONATION IS MONITORED THROUGH "METRICS AND DATA" REPORTED TO GHCS AND GHCS APPOINTS ONE "AT-LARGE MEMBER" ANNUALLY TO SERVE ON THE COMMUNITY IMPACT BOARD. THE AMERICAN HEART ASSOCIATION GRANT IS PART OF A 3 YR COMMITMENT FROM 2016-2018 FOR A TOTAL CONTRIBUTION OF $51,000. THIS COMMITMENT WAS AUTHORIZED BY OUR CEO THROUGH A SIGNED AGREEMENT AND IS TO BENEFIT THE LOCAL HEART CHASE PROGRAM OF WHICH GENESIS IS A SPONSOR AND PARTICIPANT. THE AMERICAN CANCER SOCIETY GRANT IS A SPONSORSHIP OF LOCAL ACS EVENTS IN AREA COUNTIES SERVED BY GENESIS. GENESIS ENCOURAGES COMMUNITY AND EMPLOYEE PARTICIPATION IN THESE EVENTS. THE FOUNDATION FOR APPALACHIAN OHIO GRANT IS PART OF GENESIS'S INVESTMENT IN PERRY COUNTY, ONE OF THE SURROUNDING COUNTIES THAT GENESIS SERVES. OUR CEO AND OTHER STAFF MEMBERS ALSO COMMIT TIME AND ENERGY WORKING IN COLLABORATION WITH THE FOUNDATION TO PROMOTE GOOD HEALTH AND WELL-BEING FOR AREA RESIDENTS. THE CONTRIBUTION TO THE MUSKINGUM VALLEY HEALTH CENTER PATIENT CARE CHARITABLE FUND IS JUST ONE OF THE MANY WAYS THAT GENESIS WORKS WITH MVHC TO PROVIDE ACCESS TO PRIMARY AND PREVENTIVE CARE SERVICES FOR UNINSURED AND UNDERINSURED RESIDENTS. OUR CHIEF PHYSICIAN NETWORK OFFICER SERVED ON THE MVHC BOARD DURING 2016. SHE, AS WELL AS SEVERAL PHYSICIANS AND TECHNICAL STAFF MEMBERS, WORKS CLOSELY WITH MVHC TO HELP MEET THE HEALTH NEEDS OF MUSKINGUM COUNTY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | Yes (X) | ClubDuesOrFeesInd |
| Written Policy Ref T And E Expnss | Yes (1) | WrittenPolicyRefTAndEExpnssInd |
| Substantiation Required | Yes (1) | SubstantiationRequiredInd |
| Compensation Committee | Yes (X) | CompensationCommitteeInd |
| Independent Consultant | Yes (X) | IndependentConsultantInd |
| Written Employment Contract | Yes (X) | WrittenEmploymentContractInd |
| Compensation Survey | Yes (X) | CompensationSurveyInd |
| Board Or Committee Approval | Yes (X) | BoardOrCommitteeApprovalInd |
| Severance Payment | 0 | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIN REMSTER MD | ||||||||||||||
| TRUSTEE | $0 | $249,692 | $0 | $45,370 | $0 | $0 | $0 | $2,650 | $0 | $14,563 | $0 | $312,275 | $0 | $0 |
| JOHN ZIMMERMAN MD | ||||||||||||||
| TRUSTEE | $0 | $344,757 | $0 | $137,836 | $0 | $0 | $0 | $7,050 | $0 | $24,788 | $0 | $514,431 | $0 | $0 |
| MATTHEW PERRY | ||||||||||||||
| PRESIDENT & CEO | $673,143 | $0 | $0 | $0 | $0 | $0 | $83,270 | $0 | $17,498 | $0 | $773,911 | $0 | $0 | $0 |
| PAUL MASTERSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $407,081 | $0 | $200 | $0 | $0 | $0 | $47,384 | $0 | $18,656 | $0 | $473,321 | $0 | $0 | $0 |
| EDMUND ROMITO | ||||||||||||||
| CHIEF INFORMATION OFFICER | $337,719 | $0 | $0 | $0 | $0 | $0 | $31,002 | $0 | $3,900 | $0 | $372,621 | $0 | $0 | $0 |
| ALAN BURNS | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $368,688 | $0 | $0 | $0 | $0 | $0 | $42,867 | $0 | $14,715 | $0 | $426,270 | $0 | $0 | $0 |
| DANIEL SCHEERER MD | ||||||||||||||
| CHIEF MEDICAL AFFAIRS OFFICER | $321,480 | $0 | $70,302 | $0 | $0 | $0 | $46,885 | $0 | $16,713 | $0 | $455,380 | $0 | $0 | $0 |
| ABBY NGUYEN | ||||||||||||||
| CHIEF NURSING OFFICER | $259,690 | $0 | $0 | $0 | $0 | $0 | $6,590 | $0 | $21,249 | $0 | $287,529 | $0 | $0 | $0 |
| DIANNA LEVECK | ||||||||||||||
| CHIEF HUMAN RESOURCES OFFICER | $281,286 | $0 | $0 | $0 | $0 | $0 | $6,617 | $0 | $14,415 | $0 | $302,318 | $0 | $0 | $0 |
| WENDY CEDOZ | ||||||||||||||
| CHIEF LEGAL OFFICER | $285,835 | $0 | $0 | $0 | $0 | $0 | $1,962 | $0 | $26,599 | $0 | $314,396 | $0 | $0 | $0 |
| SLOAN ALBERT | ||||||||||||||
| CHIEF PHYSICIAN NETWORK OFFICER | $372,225 | $0 | $0 | $0 | $0 | $0 | $2,479 | $0 | $19,122 | $0 | $393,826 | $0 | $0 | $0 |
| SHAWN ROARK | ||||||||||||||
| CHIEF TRANSF/POP HEALTH OFFICER | $305,862 | $0 | $0 | $0 | $0 | $0 | $638 | $0 | $17,351 | $0 | $323,851 | $0 | $0 | $0 |
| CHARLES ADAMS JR | ||||||||||||||
| DIRECTOR | $127,125 | $0 | $26,844 | $0 | $0 | $0 | $2,578 | $0 | $15,230 | $0 | $171,777 | $0 | $0 | $0 |
| SHARON PARKER | ||||||||||||||
| DIRECTOR OF CANCER SERVICE | $143,292 | $0 | $16,209 | $0 | $0 | $0 | $3,900 | $0 | $15,306 | $0 | $178,707 | $0 | $0 | $0 |
| LES BOYER | ||||||||||||||
| DIRECTOR | $149,777 | $0 | $26 | $0 | $0 | $0 | $1,408 | $0 | $19,828 | $0 | $171,039 | $0 | $0 | $0 |
| CHERYL JORGE | ||||||||||||||
| DIRECTOR | $134,844 | $0 | $27,026 | $0 | $0 | $0 | $4,138 | $0 | $14,766 | $0 | $180,774 | $0 | $0 | $0 |
| GREGORY HAMILTON | ||||||||||||||
| DIRECTOR | $147,416 | $0 | $1,440 | $0 | $0 | $0 | $4,559 | $0 | $18,789 | $0 | $172,204 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 1a | THE ORGANIZATION PAYS COUNTRY CLUB DUES AND RELATED BUSINESS EXPENSES FOR TEN MEMBERS OF LEADERSHIP. PERSONAL USAGE IS PAID BY THE INDIVIDUAL AND THE PERCENTAGE OF DUES RELATED TO PERSONAL USAGE ARE ADDED TO THE INDIVIDUALS W-2. |
| Part I, Line 4b | LINE 4B: A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: MATTHEW PERRY: $77,970 PAUL MASTERSON: $26,000 ALAN BURNS: $22,750 EDMUND ROMITO: $21,125 DANIEL SCHEERER, MD: $40,560 |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
Issuer Name IssuerName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MUSKINGUM COUNTY OHIO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issuer EIN | 316400080 | BondIssuerEIN |
| Bond Issued | 2013-05-09 | BondIssuedDt |
| Issue Price | $294,645,952 | IssuePriceAmt |
| Purpose | SEE PART VI | PurposeDesc |
| Defeased | 0 | DefeasedInd |
| On Behalf Of Issuer | 0 | OnBehalfOfIssuerInd |
| Pool Financing | 0 | PoolFinancingInd |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Total Proceeds | $294,645,952 | TotalProceedsAmt |
| In Reserve Fund | $18,306,939 | InReserveFundAmt |
| Capitalized Interest | $12,464,619 | CapitalizedInterestAmt |
| Refunding Escrow | $46,879,891 | RefundingEscrowAmt |
| Issuance Costs From Proceeds | $4,794,175 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $47,125,926 | CapitalExpendituresAmt |
| Other Spent Proceeds | $324,552 | OtherSpentProceedsAmt |
| Unspent | $62,751 | UnspentAmt |
| Substantial Completion | 2015 | SubstantialCompletionYr |
| Current Refunding | Yes (1) | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | Yes (1) | AdequateBooksAndRecMaintInd |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Owning Bond Financed Property | 0 | OwningBondFinancedPropertyInd |
| Any Lease Arrangements | 0 | AnyLeaseArrangementsInd |
| Mgmt Contract Bond Fincd Prop | Yes (1) | MgmtContractBondFincdPropInd |
| Engage Bond Counsel Contracts | Yes (1) | EngageBondCounselContractsInd |
| Any Research Agreements | 0 | AnyResearchAgreementsInd |
| Private Bus Use By Others | 0.00000 | PrivateBusUseByOthersPct |
| Private Bus Concerning UBI | 0.00000 | PrivateBusConcerningUBIPct |
| Total Private Business Use | 0.00000 | TotalPrivateBusinessUsePct |
| Bond Iss Meet Prvt Sec Pymt Test | 0 | BondIssMeetPrvtSecPymtTestInd |
| Change In Use Bond Financed Prop | 0 | ChangeInUseBondFinancedPropInd |
| Procs Nonqualified Bond Remdtd | 0 | ProcsNonqualifiedBondRemdtdInd |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Form8038 T Filed | 0 | Form8038TFiledInd |
| Rebate Not Due Yet | Yes (1) | RebateNotDueYetInd |
| Exception To Rebate | 0 | ExceptionToRebateInd |
| No Rebate Due | 0 | NoRebateDueInd |
| Variable Rate Issue | 0 | VariableRateIssueInd |
| Hedge Identified In Bks And Rec | 0 | HedgeIdentifiedInBksAndRecInd |
| Gross Proceeds Invested In GIC | 0 | GrossProceedsInvestedInGICInd |
| Gross Proceeds Invested | 0 | GrossProceedsInvestedInd |
| Written Proc To Monitor Reqs | 0 | WrittenProcToMonitorReqsInd |
Procedures Corrective Action ProceduresCorrectiveActionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Reference | A | BondReferenceCd |
| Procedures Corrective Action | 0 | ProceduresCorrectiveActionInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART II, LINE 6 | $46,879,891 WAS SPENT ON THE ISSUE DATE OF THE SERIES 2013 BONDS TO CURRENTLY REFUND A TAXABLE LOAN. THEREFORE, AS OF 12/31/2016, THERE ARE $0 PROCEEDS IN REFUNDING ESCROW. |
| PART I, LINE A(F) | (i) Currently refund a taxable loan for certain hospital revenue bonds; and (ii) finance certain capital improvement projects for hospital facilities |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | SOUTHEAST OHIO MEDICAL INSURANCE COMPANY LTD | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBER, JOHN ZIMMERMAN, M.D., IS A BOARD MEMBER WITH SOMIC | RelationshipDescriptionTxt |
| Transaction | $1,965,714 | TransactionAmt |
| Transaction | ACCRUED INSURANCE PREMIUMS | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (13 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 3 | THE HIM DEPARTMENT WAS OUTSOURCED INCLUDING A DIRECTOR AND A MANAGER. A FIXED MONTHLY FEE IS PAID WHICH INCLUDES ALL PERSONNEL SALARY, WAGE AND BENEFIT COSTS, AND IS BASED ON ANNUAL VOLUMES OF MEDICAL RECORDS PROCESSED. FOR 2016, THE TOTAL FEE WAS $370,597. |
| Form 990, Part VI, Section A, line 6 | FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., AND BETHESDA CARE SYSTEM (OR THEIR RESPECTIVE SUCCESSORS AN ASSIGNS) ARE THE MEMBERS OF THE ORGANIZATION. |
| Form 990, Part VI, Section A, line 7a | THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE. |
| Form 990, Part VI, Section A, line 7b | THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION. |
| Form 990, Part VI, Section B, line 11b | THE 990 IS REVIEWED IN ITS ENTIRETY BY THE CFO. AN OVERVIEW OF THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE. |
| Form 990, Part VI, Section B, line 12c | THE CONFLICT OF INTEREST POLICY STATES THAT BOARD MEMBERS AND OFFICERS HAVE A DUTY TO GOVERN HONESTLY AND ECONOMICALLY. ALL POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE BOARD WILL DETERMINE IF A CONFLICT EXISTS AND APPROPRIATE PROCEDURES TO MITIGATE THE SITUATION, SUCH AS ALTERNATIVE TRANSACTIONS AND PARTICIPATION AND VOTING RESTRICTIONS. THE COMPLIANCE OFFICER MONITORS AND ENFORCES THESE POLICIES. ALL OFFICERS AND DIRECTORS REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. |
| Form 990, Part VI, Section B, line 15 | THE COMPENSATION OF THE CEO IS MANAGED THROUGH A THIRD PARTY THAT IS A NATIONALLY RECOGNIZED FIRM SPECIALIZING IN COMPENSATION BENCHMARKING AND ANALYSIS. THE FIRM IS RECOGNIZED FOR THEIR EXPERTISE IN EVALUATING TOTAL COMPENSATION AT THE EXECUTIVE LEVEL. THIS FIRM PRESENTS THEIR RECOMMENDATIONS AND ANALYSIS TO THE COMPENSATION COMMITTEE, WHICH IS MADE UP OF INDEPENDENT MEMBERS OF THE GENESIS BOARD OF DIRECTORS. THE COMMITTEE IS RESPONSIBLE FOR MAKING A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING THE EXECUTIVE COMPENSATION POLICY AND SPECIFIC COMPONENTS OF THE TOTAL COMPENSATION OF THE CEO. THE CEO IS ACTIVELY INVOLVED IN THE REVIEW, ANALYSIS AND RECOMMENDATION RELATED TO THE TOTAL COMPENSATION FOR THE REMAINING MEMBERS OF THE SENIOR LEADERSHIP TEAM. THE CEO DETERMINES THE COMPENSATION OF THE SENIOR LEADERSHIP TEAM MEMBERS WITHIN THE PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE. THIS COMPENSATION PROCESS WAS LAST COMPLETED IN 2016. |
| Form 990, Part VI, Section C, line 19 | THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. |
| Form 990, Part XI, line 9: | GAIN IN FAIR VALUE OF PERPETUAL TRUST -1,977,947. PLEDGE RECEIVABLE FROM RELATED PARTY -37,143,783. RESERVE FOR COSHOCTON COUNTY MEMORIAL -1,222,479. CONTRIBUTED CAPITAL 40,000. |
| FORM 990, PART XII, LINE 2C: | The finance committee oversees the audit of the financial statements and is involved in the selection of the independent accountant which completes the audit. This process has not changed from the prior year. |
| FORM 990, PAGE 1, LINE H(D): | THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259 |
| PART VI, SECTION B, LINE 16B: | ALTHOUGH THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY REGARDING JOINT VENTURES, LEGAL COUNSEL EVALUATES EACH PROPOSED VENTURE IN ADVANCE AND THE BOARD MUST APPROVE. THE GUIDELINES FOR EACH JOINT VENTURE ARE CLEARLY ARTICULATED IN EACH OF THE OPERATING AGREEMENTS OR RELATED GOVERNANCE DOCUMENTS. CURRENTLY GENESIS HEALTHCARE SYSTEM IS INVOLVED IN ONE JOINT VENTURE. |
| FORM 990, PART IV, LINE 12B: | GENESIS HEALTHCARE SYSTEM IS INCLUDED IN AUDITED CONSOLIDATED FINANCIAL STATEMENTS. OHIO INTEGREATED CARE PROVIDERS (OICP) IS A WHOLLY-OWNED DISREGARDED ENTITY UNDER GENESIS HEALTHCARE SYSTEM AND IS INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS. |
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 |
|---|---|---|---|---|---|---|---|---|---|
| ZANESVILLE SURGERY CENTER | |||||||||
| 2907 BELL STREET | ZANESVILLE | OH | 43701 | 311620813 | SURGICAL CENTER | OH | $0 | $0 | GENESIS HEALTHCARE SYSTEM |
| OHIO INTEGRATED CARE PROVIDERS LLC | |||||||||
| 2951 MAPLE AVE | ZANSVILLE | OH | 43701 | 461795662 | CLINICAL INTEGRATION | OH | $0 | $0 | GENESIS HEALTHCARE SYSTEM |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 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 | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| GENESIS HEALTHCARE FOUNDATION | |||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311629304 | FUNDRAISING FOR GHS | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE SYSTEM | Yes (1) | |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | |||||||||||
| 2951 MAPLE AVENUE | zANESVILLE | OH | 43701 | 310969646 | FUNDRAISING FOR GHS | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE FOUNDATION | Yes (1) | |
| BETHESDA HOSPITAL FOUNDATION | |||||||||||
| 2951 MAPLE AVENUE | zANESVILLE | OH | 43701 | 310885513 | FUNDRAISING FOR GHS | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE FOUNDATION | Yes (1) | |
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY | |||||||||||
| 2951 MAPLE AVENUE | zANESVILLE | OH | 43701 | 391530622 | SPONSOR OF GHS | WI | 501(C)(3) | 7 | 0 | N/A | |
| GOOD SAMARITAN MEDICAL CENTER | |||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 314379479 | MAINTAINS REAL ESTATE TITLE FOR HOSPITAL | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE SYSTEM | Yes (1) | |
| BETHESDA CARE SYSTEM | |||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311067174 | SPONSOR OF GHS | OH | 501(C)(3) | 9 | GENESIS HEALTHCARE SYSTEM | Yes (1) | |
| BETHESDA HOSPITAL ASSOCIATION | |||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 314380038 | MAINTAINS REAL ESTATE TITLE FOR HOSPITAL | OH | 501(C)(3) | Line 12a, I | GENESIS HEALTHCARE SYSTEM | Yes (1) | |
| ALTERNACARE | |||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311487187 | STERILIZATIONS | OH | 501(C)(3) | 3 | BETHESDA CARE SYSTEM | Yes (1) | |
| CARESERVE | |||||||||||
| 2951 MAPLE AVENUE | zANESVILLE | OH | 43701 | 311099924 | FORMERLY OPERATED 2 NURSING HOMES THAT WERE SOLD PRIOR TO 2012 | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE SYSTEM | Yes (1) | |
| COMMUNITY AMBULANCE SERVICE | |||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 341773323 | AMBULANCE SERVICE | OH | 501(C)(3) | Line 10 | GENESIS HEALTHCARE SYSTEM | Yes (1) | |
| GENESIS CAREGIVERS | |||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311282152 | HOME CARE SERVICES | OH | 501(C)(3) | 3 | CARESERVE | Yes (1) | |
| BETHESDA HOSPITALITY SHOP | |||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 316050713 | GIFT SHOP | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE SYSTEM | Yes (1) | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARELIFE LLC | |||||||||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311128717 | PHYSICIAN SERVICES, CHILDCARE SERVICES, PHARMACY, DME | OH | GENESIS HEALTHCARE SYSTEM | C | -$41,687,976 | $26,531,728 | 1.00000 | Yes (1) | |||||
| SOUTHEAST OHIO MEDICAL INSURANCE COMPANY | |||||||||||||||||
| 980436356 | CAPTIVE INSURANCE COMPANY | GENESIS HEALTHCARE SYSTEM | C | $16,143,944 | 1.00000 | Yes (1) | FIRST CARIBBEAN HOUSE | GEORGE TOWN | CAYMAN ISLANDS | CJ | CJ | ||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | Yes (1) | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (1) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (1) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (1) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | Yes (1) | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (7 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CARELIFE LLC | ||
| S | $3,122,454 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| R | $4,672,647 | aCCRUAL TRANSACTION |
| GENESIS HEALTHCARE SYSTEM GROUP | ||
| Q | $113,211 | ACCRUAL TRANSACTION |
| GENESIS HEALTHCARE SYSTEM GROUP | ||
| S | $4,222,580 | ACCRUAL TRANSACTION |
| GENESIS HEALTHCARE SYSTEM GROUP | ||
| O | $273,095 | ACCRUAL TRANSACTION |
| COMMUNITY AMBULANCE SERVICE | ||
| M | $877,296 | ACCRUAL TRANSACTION |
| COMMUNITY AMBULANCE SERVICE | ||
| O | $52,016 | ACCRUAL TRANSACTION |
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