GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
Tax period
2015-01-01 to 2015-12-31
Filed
2016-11-04
IRS object ID
201633099349300233
Schema version
2015v2.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2016-11-04T09:34:01-05:00ReturnTs
Tax Period End2015-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN381357951PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1250 S High St Suite 100AddressLine1Txt
CityColumbusCityNm
State AbbreviationOHStateAbbreviationCd
ZIP43215ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN311480941EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1GENESIS HEALTHCARE SYSTEMBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlGENEBusinessNameControlTxt
Phone7404545000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12951 MAPLE AVENUEAddressLine1Txt
CityZANESVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43701ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonPAUL MASTERSONPersonNm
Person TitleCFOPersonTitleTxt
Phone7404545000PhoneNum
Signature2016-11-01SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonBernie OstrowskiPreparerPersonNm
PTINP00366367PTIN
Phone6148493000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2017-02-10 21:41:12ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerMATTHEW PERRYPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line12951 MAPLE AVENUEAddressLine1Txt
CityZANESVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43701ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$377,443,724GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Group Exemption3727GroupExemptionNum
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.GENESISHCS.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1997FormationYr
Legal Domicile StateOHLegalDomicileStateCd
Activity Or MissionIN 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 Body17VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee3360TotalEmployeeCnt
Total Volunteers273TotalVolunteersCnt
Total Gross UBI$2,757,085TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,248,118NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$430,648PYContributionsGrantsAmt
CY Contributions Grants$204,558CYContributionsGrantsAmt
PY Program Service Revenue$351,432,224PYProgramServiceRevenueAmt
CY Program Service Revenue$354,489,598CYProgramServiceRevenueAmt
PY Investment Income$6,490,416PYInvestmentIncomeAmt
CY Investment Income$7,558,357CYInvestmentIncomeAmt
PY Other Revenue$13,692,700PYOtherRevenueAmt
CY Other Revenue$13,606,907CYOtherRevenueAmt
PY Total Revenue$372,045,988PYTotalRevenueAmt
CY Total Revenue$375,859,420CYTotalRevenueAmt
PY Grants And Similar Paid$40,000PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$156,741,016PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$162,730,988CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$176,700,456PYOtherExpensesAmt
CY Other Expenses$182,836,903CYOtherExpensesAmt
PY Total Expenses$333,481,472PYTotalExpensesAmt
CY Total Expenses$345,567,891CYTotalExpensesAmt
PY Revenues Less Expenses$38,564,516PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$30,291,529CYRevenuesLessExpensesAmt
Total Assets BOY$547,383,164TotalAssetsBOYAmt
Total Assets EOY$531,322,335TotalAssetsEOYAmt
Total Liabilities BOY$391,911,824TotalLiabilitiesBOYAmt
Total Liabilities EOY$383,169,806TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$155,471,340NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$148,152,529NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO PROVIDE COMPASSIONATE, QUALITY HEALTH CAREMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$189,211,286ExpenseAmt
Grant$0GrantAmt
Revenue$150,687,860RevenueAmt
DescGENESIS PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, PEDIATRIC AND CRITICAL CARE. UNITS WERE STAFFED AT BOTH CAMPUSES DURING THE FIRST HALF OF THE YEAR. ON JUNE 27, 2015, THE GOOD SAMARITAN HOSPITAL BUILDING WAS VACATED AND ALL PATIENTS AND SERVICES WERE MOVED TO THE NEWLY RENOVATED BETHESDA HOSPITAL BUILDING NOW KNOWN AS GENESIS HOSPITAL. TOTAL DISCHARGES FROM MEDICAL/SURGICAL UNITS DURING 2015 FROM BOTH LOCATIONS WERE 7,571. THE OBSTETRICS UNIT AND PEDIATRICS UNIT WERE HOUSED AT THE BETHESDA CAMPUS ONLY THROUGHOUT THE YEAR. TOTAL OBSTETRIC DISCHARGES EQUALED 1,576 WITH 1,558 TOTAL BIRTHS AND PEDIATRIC DISCHARGES EQUALED 245. BETWEEN THE TWO CAMPUSES THERE WERE 409 CRITICAL CARE DISCHARGES AND 1,382 CARDIOVASCULAR DISCHARGES. TOTAL DISCHARGES FOR THE YEAR BETWEEN CANCER UNITS ON BOTH CAMPUSES WERE 633. GENESIS PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES ON BOTH CAMPUSES 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 2015 OF 1,597,754. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, AND PET SCAN WITH TOTAL VOLUMES OF 169,412. PHARMACY PRESCRIPTIONS TOTALED 8,968,028.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$37,313,121ExpenseAmt
Grant$0GrantAmt
Revenue$109,658,024RevenueAmt
DescHEART & 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 2015 WERE 2,322.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$16,969,502ExpenseAmt
Grant$0GrantAmt
Revenue$49,870,983RevenueAmt
DescRESPIRATORY 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 2015 WERE 2,036.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmtGrantGrantAmtRevenueRevenueAmtDescDesc
$16,258,029$0$47,780,065ORTHOPEDIC SERVICES - THE GENESIS NEUROSCIENCE & 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 2015 WERE 1,240.
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 2015 WERE 1,635.
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$16,258,029TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$47,780,065TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$259,751,938TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other AssetsYes (1)ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org MemYes (1)BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document349IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (1)BackupWthldComplianceInd
Employee3360EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial AccountYes (1)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members17GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesYes (1)DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn Body0Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or Procedure0WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldOHStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1MARTI NASHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone7404545000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12951 MAPLE AVENUEAddressLine1Txt
CityZANESVILLECityNm
State AbbreviationOHStateAbbreviationCd
ZIP43701ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
JODY BALLAS
CHAIR2.650.00Yes (X)Yes (X)$0$0$0
JERRY NOLDER
TREASURER1.810.00Yes (X)Yes (X)$0$0$0
MARK MOYER
TRUSTEE1.880.00Yes (X)$0$0$0
SR LAURA WOLF
EX-OFFICIO1.730.09Yes (X)$0$0$0
RANDY COCHRANE
VICE CHAIR2.650.28Yes (X)Yes (X)$0$0$0
THOMAS DIEHL MD
TRUSTEE1.6938.31Yes (X)$0$505,274$19,652
JAMES MCDONALD
EX-OFFICIO1.730.28Yes (X)$0$0$0
ERIN WELCH
TRUSTEE0.690.00Yes (X)$0$0$0
MAX CROWN
TRUSTEE0.690.00Yes (X)$0$0$0
SHANE BACKUS MD
TRUSTEE1.810.00Yes (X)$0$0$0
JOHN DITTOE
TREASURER1.150.00Yes (X)$0$0$0
SR MARY ANN NUGENT
TRUSTEE1.150.00Yes (X)$0$0$0
WILLIAM SHADE MD
SECRETARY2.6537.35Yes (X)Yes (X)$0$6,575$0
JOANN BUTCHER
TRUSTEE1.150.28Yes (X)$0$0$0
COLBY GRAHAM
TRUSTEE1.150.00Yes (X)$0$0$0
PATRICK NASH
TRUSTEE0.150.09Yes (X)$0$0$0
SHIRLEY VAN WYE
TRUSTEE2.080.36Yes (X)$0$0$0
MATTHEW PERRY
PRESIDENT & CEO39.370.63Yes (X)$694,901$0$96,452
PAUL MASTERSON
CHIEF FINANCIAL OFFICER39.460.54Yes (X)$440,345$0$65,788
EDMOND ROMITO
CHIEF INFORMATION OFFICER40.000.00$363,861$0$29,014Yes (X)
ALAN BURNS
CHIEF DEVELOPMENT OFFICER39.850.15$389,777$0$55,105Yes (X)
DANIEL SCHEERER MD
CHIEF MEDICAL AFFAIRS OFFICER40.000.00$421,525$0$58,823Yes (X)
ABBY NGUYEN
CHIEF NURSING OFFICER39.920.08$276,491$0$26,453Yes (X)
DIANNA LEVECK
CHIEF HUMAN RESOURCES OFFICER40.000.00$298,798$0$20,437Yes (X)
WENDY CEDOZ
CHIEF LEGAL OFFICER40.000.00$298,627$0$23,434Yes (X)
SLOAN ALBERT
Chief Physician Network Officer40.000.00$375,767$0$25,043Yes (X)
SHAWN ROARK
Chief Transf/Pop Health Officer40.000.00$171,679$0$4,005Yes (X)
CHARLES ADAMS JR
DIRECTOR OF LEAN SIGMA40.000.00$164,176$0$16,572Yes (X)
RAY RYMAN
CLINICAL PHARMACIST40.000.00$156,066$0$24,507Yes (X)
SHARON PARKER
Director of Cancer Service40.000.00$168,001$0$17,588Yes (X)
LES BOYER
DIRECTOR40.000.00$158,070$0$18,131Yes (X)
MICHAEL NORMAN
DIRECTOR40.000.00$163,236$0$12,979Yes (X)
RICHARD HELSPER
FORMER CHIEF OPERATIONS OFFICER40.000.00$450,000$0$0Yes (X)
REGINA PENNINGTON
CHIEF QUALITY OFFICER40.000.00$194,305$0$8,662Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$5,185,625TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$511,849TotReportableCompRltdOrgAmt
Total Other Compensation$522,645TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K70IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
MERIDIANRX LLC
1 CAMPUS MARTIUS SUITE 750DETROITMI48226PHARMACY BENEFIT MANAGER$5,029,078
PRECYSE SOLUTIONS LLC
1275 DRUMMERS LN SUITE 200WAYNEPA190871571HEALTH INFORMATION MANAGEMENT$4,768,128
ZANESVILLE ANESTHESIA PHYSICIANS INC
37 S SEVENTH STZANESVILLEOH43701MEDICAL SERVICES$3,567,973
GENERAL ELECTRIC CO DBA GE MEDICAL SYSTE
990 W INNOVATION DRWAUWATOSAWI53226ELECTRICAL CONTRACTOR$1,970,389
CARDIAC ANESTHESIA ASSOC
800 FOREST AVEZANESVILLEOH43701MEDICAL SERVICES$1,852,500
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K56CntrctRcvdGreaterThan100KCnt
Government Grants$156,401GovernmentGrantsAmt
All Other Contributions$48,157AllOtherContributionsAmt
Total Contributions$204,558TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES621110$353,886,348$353,886,348
PASSTHROUGH INCOME621110$603,250$603,250
FieldValueIRS element (for citing)
Total Program Service Revenue$354,489,598TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,173,528TotalRevenueColumnAmt
Exclusion$8,173,528ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,137,452RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$969,133RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$168,319RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$168,319TotalRevenueColumnAmt
Related Or Exempt Func Income$168,319RelatedOrExemptFuncIncomeAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$615,171OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$615,171OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$615,171TotalRevenueColumnAmt
Exclusion-$615,171ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES621110$2,975,517$101,408$2,874,109
OCCUPATIONAL HEALTH621110$1,333,009$1,333,009
EHR TECHNOLOGY INCOME621110$707,085$707,085

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$8,422,977TotalRevenueColumnAmt
Related Or Exempt Func Income$1,347,078RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,655,677UnrelatedBusinessRevenueAmt
Exclusion$4,420,222ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$13,438,588OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$375,859,420TotalRevenueColumnAmt
Related Or Exempt Func Income$358,045,089RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,757,085UnrelatedBusinessRevenueAmt
Exclusion$14,852,688ExclusionAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,297,486TotalAmt
Management And General$1,297,486ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$119,768,580TotalAmt
Program Services$86,143,667ProgramServicesAmt
Management And General$33,624,913ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$6,497,952TotalAmt
Program Services$4,623,570ProgramServicesAmt
Management And General$1,874,382ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$26,502,359TotalAmt
Program Services$18,857,558ProgramServicesAmt
Management And General$7,644,801ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,664,611TotalAmt
Program Services$6,165,240ProgramServicesAmt
Management And General$2,499,371ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$583,519TotalAmt
Program Services$50ProgramServicesAmt
Management And General$583,469ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$439,951TotalAmt
Management And General$439,951ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$154,386TotalAmt
Management And General$154,386ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$33,532,024TotalAmt
Program Services$16,675,438ProgramServicesAmt
Management And General$16,856,586ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$393,271TotalAmt
Program Services$393,271ProgramServicesAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$10,852,057TotalAmt
Program Services$6,013,516ProgramServicesAmt
Management And General$4,838,541ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,165,619TotalAmt
Program Services$1,125,746ProgramServicesAmt
Management And General$6,039,873ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$5,209,640TotalAmt
Program Services$3,784,322ProgramServicesAmt
Management And General$1,425,318ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$675,774TotalAmt
Program Services$256,301ProgramServicesAmt
Management And General$419,473ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,727,884TotalAmt
Program Services$8,727,884ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$22,386,049TotalAmt
Program Services$18,831,063ProgramServicesAmt
Management And General$3,554,986ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,364,066TotalAmt
Program Services$1,359,027ProgramServicesAmt
Management And General$5,039ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$67,695,567$67,695,567
BAD DEBT EXPENSE$13,977,163$13,977,163
LAB REFERENCE FEES$1,532,742$1,532,742
PHYSICIAN RECRUITMENT$970,377$970,377

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$7,176,814TotalAmt
Program Services$2,619,436ProgramServicesAmt
Management And General$4,557,378ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$345,567,891TotalAmt
Program Services$259,751,938ProgramServicesAmt
Management And General$85,815,953ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$5,078,691BOYAmt
EOY$2,771,751EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$19,706,108BOYAmt
EOY$6,303,262EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$12,083BOYAmt
EOY$7,083EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$64,611,351BOYAmt
EOY$64,163,472EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$5,570,466BOYAmt
EOY$5,566,927EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$6,574,865BOYAmt
EOY$6,335,414EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$546,819,662LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$229,889,887LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$266,971,013BOYAmt
EOY$316,929,775EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$75,979,914BOYAmt
EOY$76,303,329EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$10,007,852BOYAmt
EOY$10,935,680EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$6,109,176BOYAmt
EOY$6,109,176EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$86,761,645BOYAmt
EOY$35,896,466EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$547,383,164BOYAmt
EOY$531,322,335EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$45,571,099BOYAmt
EOY$38,014,307EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$6,027,933BOYAmt
EOY$5,510,444EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$294,645,952BOYAmt
EOY$291,245,952EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$6,500,000BOYAmt
EOY$9,900,000EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$39,166,840BOYAmt
EOY$38,499,103EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$391,911,824BOYAmt
EOY$383,169,806EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$155,471,340BOYAmt
EOY$148,152,529EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$155,471,340BOYAmt
EOY$148,152,529EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$547,383,164BOYAmt
EOY$531,322,335EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$30,291,529ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$8,728,999NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets-$28,881,341OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (1)DirectContactLegislatorsInd
Direct Contact Legislators$158,886DirectContactLegislatorsAmt
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$20,917OtherActivitiesAmt
Total Lobbying Expenditures$179,803TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart II-B, Line 1:FormAndLineReferenceDesc
ExplanationGENESIS HEALTHCARE SYSTEM PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS. A PORTION OF THE DUES ARE RELATED TO LOBBYING ACTIVITIES. FSCC HEALTHCARE MINISTRY (FOR CHA): 3.11% OF $15,671 ($487) CATHOLIC CONFERENCE OF OHIO: 3.6% OF $2,060 ($74) OHIO HOSPITAL ASSOCIATION - FSCC SHARE (OHA): 3.6% OF $72,629 ($2,615) AMERICAN HOSPITAL ASSOCIATION - FSCC SHARE (AHA): 22.12% OF $55,044 ($12,176) AMERICAN MEDICAL GROUP ASSOCIATION (AMGA): 20.0% OF $9,750 ($1,950) AMERICAN COLLEGE OF RADIATION ONCOLOGY (ACRO): 69.0% OF $305 ($210) AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA): 5.0% OF $525 ($26) AMERICAN SPEECH & HEARING ASSOCIATION (ASHA): 4.0% OF $225 ($9) ASSOCIATION OF COMMUNITY CANCER CENTERS (ACCC): 3.0% OF $1,150 ($35) COLLEGE OF HEALTHCARE INFO.MAGMT EXECUTIVES (CHIME): 11.0% OF $375 ($41) HEALTHCARE INFORMATION & MANAGEMENT SYSTEMS SOCIETY (HIMSS): 2.76% OF $3,175 ($88) MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA): 23.0% OF $380 ($87) OHIO STATE BAR ASSOCIATION (OBA): 5.0% OF $330 ($17) SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY (SDMS): 12.5% OF $160 ($20) SOCIETY FOR HUMAN RESOURCE MANAGEMENT (SHRM): 6.0% OF $190 ($11) SOCIETY OF THORACIC SURGEONS (STS): 18.0% OF $3,400 ($612) SOCIETY OF VASCULAR ULTRASOUND (SVU): 20.0% OF $125 ($25) TRAUMA CENTER ASSOCIATION OF AMERICA (TCAA): 29.0% OF $2,000 ($580) ZANESVILLE - MUSKINGUM CO. CHAMBER OF COMMERCE: 10.0% OF $4,500 ($450) ZANESVILLE - MUSKINGUM CO. CHAMBER OF COMMERCE: 10.0% OF $4,167 ($417) NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO): 5.44% OF $7,264 ($395) OHIO HOSPICE AND PALLIATIVE CARE ORGANIZATION DBA MIDWEST CARE ALLIANCE: 9.1% OF 6,500 ($592) GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $158,886 IN 2015 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis$7,914,309OtherCostOrOtherBasisAmt
Book Value$7,914,309BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$55,818,761OtherCostOrOtherBasisAmt
Depreciation$48,056,240DepreciationAmt
Book Value$7,762,521BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$4,977,372OtherCostOrOtherBasisAmt
Depreciation$2,083,644DepreciationAmt
Book Value$2,893,728BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$474,176,243OtherCostOrOtherBasisAmt
Depreciation$175,957,541DepreciationAmt
Book Value$298,218,702BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,932,977OtherCostOrOtherBasisAmt
Depreciation$3,792,462DepreciationAmt
Book Value$140,515BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$316,929,775TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDescBook ValueBookValueAmt
UNAMORTIZED BOND ISSUE COSTS$4,501,525
INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS$4,955,384
ASSETS LIMITED AS TO USE$26,439,557
FieldValueIRS element (for citing)
Total Book Value Other Assets$35,896,466TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDescAmtAmt
ACCRUED MINIMUM PENSION LIABILITY$37,205,404
ACCRUED PROFESSIONAL LIABILITY$1,293,699
FieldValueIRS element (for citing)
Total Liability$38,499,103TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationTHE 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent100Yes (X)Percent100Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent300Yes (X)Percent300Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$5,348,127TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,510,525DirectOffsettingRevenueAmt
Net Community Benefit Expns-$3,162,398NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$74,269,062TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$57,756,768DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,512,294NetCommunityBenefitExpnsAmt
Total Expense0.04980TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$79,617,189TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$66,267,293DirectOffsettingRevenueAmt
Net Community Benefit Expns$13,349,896NetCommunityBenefitExpnsAmt
Total Expense0.04980TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs38ActivitiesOrProgramsCnt
Persons Served58358PersonsServedCnt
Total Community Benefit Expns$1,381,190TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$51,398DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,329,792NetCommunityBenefitExpnsAmt
Total Expense0.00400TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs5ActivitiesOrProgramsCnt
Persons Served218PersonsServedCnt
Total Community Benefit Expns$49,454TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$49,454NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served0PersonsServedCnt
Total Community Benefit Expns$1,598,097TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,459,260DirectOffsettingRevenueAmt
Net Community Benefit Expns$138,837NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs0ActivitiesOrProgramsCnt
Persons Served410PersonsServedCnt
Total Community Benefit Expns$5,517TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,517NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs43ActivitiesOrProgramsCnt
Persons Served58986PersonsServedCnt
Total Community Benefit Expns$3,034,258TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,510,658DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,523,600NetCommunityBenefitExpnsAmt
Total Expense0.00450TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs43ActivitiesOrProgramsCnt
Persons Served58986PersonsServedCnt
Total Community Benefit Expns$82,651,447TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$67,777,951DirectOffsettingRevenueAmt
Net Community Benefit Expns$14,873,496NetCommunityBenefitExpnsAmt
Total Expense0.05430TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$13,977,163BadDebtExpenseAmt
Bad Debt Expense Attributable$1,120,206BadDebtExpenseAttributableAmt
Reimbursed By Medicare$97,681,137ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$99,704,081CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$2,022,944MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndEmergency Room24 HrsEmergencyRoom24HrsIndOtherOtherDesc
GOOD SAMARITAN HOSPITAL
1800 FOREST AVEZANESVILLEOH43701Yes (X)Yes (X)Yes (X)ACUTE CARE HOSPITAL
BETHESDA HOSPITAL (GENESIS HOSPITAL)
22951 MAPLE AVEZANESVILLEOH43701Yes (X)Yes (X)Yes (X)ACUTE CARE HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtStrategy AttachedStrategyAttachedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndResidency CriteriaResidencyCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Notice DisplayedFAPNoticeDisplayedIndCommuntity Notified FAPCommuntityNotifiedFAPIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
GOOD SAMARITAN HOSPITAL
100Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (1)Yes (1)0Yes (1)Yes (X)http://www.genesishcs.org/app/files/public/2709/CHNA-2015-Final.pdfYes (X)Yes (1)15Yes (1)http://www.genesishcs.org/app/files/public/2873/Implementation-Stategy-201600Yes (1)Yes (X)100.000000000000300.000000000000Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)http://www.genesishcs.org/app/files/public/2726/Financial-Assistance-Self-PYes (X)http://www.genesishcs.org/app/files/public/2660/Fin-Assist-Form-Rev.pdfYes (X)http://www.genesishcs.org/app/files/public/2546/Fin-Asst-Summary.pdfYes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00
BETHESDA HOSPITAL
200Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)15Yes (1)Yes (1)0Yes (1)Yes (X)http://www.genesishcs.org/app/files/public/2709/CHNA-2015-Final.pdfYes (X)Yes (1)15Yes (1)http://www.genesishcs.org/app/files/public/2873/Implementation-Stategy-201600Yes (1)Yes (X)100.000000000000300.000000000000Yes (X)Yes (X)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)http://www.genesishcs.org/app/files/public/2726/Financial-Assistance-Self-PYes (X)http://www.genesishcs.org/app/files/public/2660/Fin-Assist-Form-Rev.pdfYes (X)http://www.genesishcs.org/app/files/public/2546/Fin-Asst-Summary.pdfYes (X)Yes (X)Yes (X)Yes (X)Yes (1)Yes (X)0Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
GOOD SAMARITAN HOSPITALPart 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 CenterMuskingum: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 CenterGuernsey:Genesis HealthCare SystemAmerican Cancer SocietyMuskingum Valley Health CenterMorgan:Genesis HealthCare SystemMorgan Local SchoolsMuskingum Valley Health CenterNoble:Genesis HealthCare SystemBuckeye Hills-Hocking Valley Regional Development DistrictCareSourcePerry:Genesis HealthCare SystemPerry County Health DepartmentNorthern Local SchoolsHelp Me GrowHopewell Health Center.
BETHESDA HOSPITALPart 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 CenterMuskingum: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 CenterGuernsey:Genesis HealthCare SystemAmerican Cancer SocietyMuskingum Valley Health CenterMorgan:Genesis HealthCare SystemMorgan Local SchoolsMuskingum Valley Health CenterNoble:Genesis HealthCare SystemBuckeye Hills-Hocking Valley Regional Development DistrictCareSourcePerry:Genesis HealthCare SystemPerry County Health DepartmentNorthern Local SchoolsHelp Me GrowHopewell Health Center.
GOOD SAMARITAN HOSPITALPart V, Section B, Line 6a: THE CHNA WAS CONDUCTED SIMULTANEOUSLY FOR BOTH BETHESDA HOSPITAL AND GOOD SAMARITAN HOSPITAL.
BETHESDA HOSPITALPart V, Section B, Line 6a: THE CHNA WAS CONDUCTED SIMULTANEOUSLY FOR BOTH BETHESDA HOSPITAL AND GOOD SAMARITAN HOSPITAL.
GOOD SAMARITAN HOSPITALPart 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.
BETHESDA HOSPITALPart 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.
GOOD SAMARITAN HOSPITALPart V, Section B, Line 11: The 2016-2018 Community Benefit 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, Credentialing, and Genesis Hospice and Palliative Care/Caregivers.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 2016-2018 Community Benefit Implementation Strategy outcomes will be 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 Steering Committee. An annual written report will be approved by the Genesis Quality Committee and the Board of Directors.The CHNA identified top priority chronic conditions, related risk factors, issues for mothers and children and access to care issues. The 2016-2018 Community Benefit Implementation Strategy will focus on all the major areas except access to care (CHNA pages 27-29). Access to care is a focus of the Genesis Strategic Plan and initiatives focused on access to care 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)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 2016-2018 Community Benefit 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 for 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.
BETHESDA HOSPITALPart V, Section B, Line 11: The 2016-2018 Community Benefit 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, Credentialing, and Genesis Hospice and Palliative Care/Caregivers.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 2016-2018 Community Benefit Implementation Strategy outcomes will be 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 Steering Committee. An annual written report will be approved by the Genesis Quality Committee and the Board of Directors.The CHNA identified top priority chronic conditions, related risk factors, issues for mothers and children and access to care issues. The 2016-2018 Community Benefit Implementation Strategy will focus on all the major areas except access to care (CHNA pages 27-29). Access to care is a focus of the Genesis Strategic Plan and initiatives focused on access to care 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)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 2016-2018 Community Benefit 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 for 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.
GOOD SAMARITAN HOSPITALPart V, Section B, Line 22d: FAP PATIENTS ARE PROVIDED A MINIMUM DISCOUNT OF 40%. THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.
BETHESDA HOSPITALPart V, Section B, Line 22d: FAP PATIENTS ARE PROVIDED A MINIMUM DISCOUNT OF 40%. THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.
FieldValueIRS element (for citing)
Facility14FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
1 - HOSPICE & PALLIATIVE CARE
713 FOREST AVENUEZANESVILLEOH43701HOSPICE & PALLIATIVE CARE CENTER
3 - CTR FOR OUTPATIENT & OCCUPATIONAL REHAB
740 ADAIR AVENUEZANESVILLEOH43701OUTPATIENT REHAB SERVICES
4 - HEALTHPLEX
2800 MAPLE AVENUEZANESVILLEOH43701OUTPATIENT LAB/IMAGING/URGENT CARE; COMPLIMENTARY MEDICINE; PEDIATRIC REHAB
5 - BETHESDA PHYSICIAN'S PAVILION
945 BETHESDA DRIVEZANESVILLEOH43701OUTPATIENT CARDIAC REHAB SERVICES; WOUND CARE CENTER
6 - GENESIS BEHAVIORAL HEALTH
2991 MAPLE AVENUEZANESVILLEOH43701MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT
7 - GENESIS INTERVENTIONAL PAIN MGT CLINIC
2945 MAPLE AVENUEZANESVILLEOH43701PAIN MEDICINE SPECIALIZATION;IMAGING TECHNIQUES;SOLUTIONS TO PAIN MANAGEMENT
8 - GENESIS SLEEP DISORDERS CENTER
840 BETHESDA DRIVEZANESVILLEOH43701DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS
9 - GENESIS RHEUMATOLOGY CARE CENTER
2525 MAPLE AVENUEZANESVILLEOH43701EDUCATION AND OUTPATIENT RHEUMATOLOGY SERVICES
10 - GENESIS FIRST CARE - SOUTH
23 NORTH MAYSVILLE PIKEZANESVILLEOH43701URGENT CARE
11 - CAMBRIDGE HEALTH CENTER
61353 SOUTHGATE PARKWARCAMBRIDGEOH43725IMAGING SERVICES/LAB SERVICE/WOUND MANAGEMENT
12 - GENESIS CANCER CENTER
2951 MAPLE AVENUEZANESVILLEOH43701CANCER & PALLATIVE CARE/WOMEN'S BOUTIQUE
13 - GENESIS HEALTHCARE CENTER - NEW CONCORD
1 EAST MAIN STREETNEW CONCORDOH43762LAB SERVICES
14 - GENESIS HEALTH CENTER - PERRY COUNTY
301 DR MIKE CLOUSE DRIVESOMERSETOH43783DIAGNOSITC HEALTHCARE SERVICES/PHYSICAL & OCCUPATIONAL THERAPY
15 - GENESIS SURGERY CENTER
2907 MAPLE AVENUEZANESVILLEOH43701OUTPATIENT SURGERY

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 7:COSTS OF CHARITY CARE AND COMMUNITY BENEFIT ACTIVITIES WERE CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7, COLUMN (F): PERCENTAGE OF TOTAL EXPENSES WAS CALCULATED BASED ON TOTAL EXPENSES LESS BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX.
Part I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 13,977,163.
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.
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 2015 TO CHARITY WITH DISCHARGE DATES OF 2014 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:SELF-PAY ACCOUNTS RECEIVE ONE STATEMENT BEFORE GOING TO PRE-COLLECTION (APPROXIMATELY 30 DAYS). ALL ACCOUNTS ARE ELECTRONICALLY SCREENED FOR FAP ONCE AT PRE-COLLECT STATUS AND ADJUSTMENTS ARE POSTED ELECTRONICALLY BACK IN EPIC. ACCOUNTS STAY IN PRE-COLLECT FOR 90 DAYS UNLESS ACCOUNT HAS BEEN PAID OR REGULAR PAYMENT ARRANGEMENTS ARE ESTABLISHED. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 120 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. EACH OF THE COLLECTION AGENCIES IS INSTRUCTED TO MAKE PHONE CALLS AND SEND LETTERS. IF THEY CANNOT RESOLVE THE BALANCE, OR HAVE NOT BEEN ABLE TO MAKE PAYMENT ARRANGEMENTS, IT IS SENT BACK TO GENESIS AS NON-COLLECTIBLE IN 180 DAYS.COLLECTION PRACTICES DO NOT APPLY TO ACCOUNT BALANCES KNOWN TO QUALIFY FOR CHARITY.
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.
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 227,200, WITH MUSKINGUM COUNTY (86,300) REPRESENTING THE LARGEST COUNTY. MEDIAN HOUSEHOLD INCOME LEVELS RANGE FROM $7,000 TO $11,700 LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME AND $11,600 TO $16,400 LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME. PEOPLE LIVING BELOW POVERTY LEVEL RANGES FROM 16.3% TO 19.1% IN THE REGION VERSUS 15.8% FOR STATE AND 14.8% 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, A COMMUNITY ADVISORY GROUP AND INTERNAL CLINICAL GROUP. 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
UNITED WAY OF MPM COUNTIES
526 PUTNAM AVENUEZANESVILLEOH43701314379456501(C)(3)$40,000GRANTS WERE PAID TO ASSIST IN COMMUNITY IMPACTGRANTS WERE PAID TO ASSIST IN PROVIDING ASSISTANCE FOR COMMUNITY IMPACT PROJECTS
GENESIS HEALTHCARE FOUNDATION
1135 MAPLE AVENUEZANESVILLEOH43701311629304501(C)(3)$52,537GRANT PAID TO FUND GENESIS FOUNDATION CAPITAL CAMPAIGN
FieldValueIRS element (for citing)
Total501c3 Org1Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationTHE 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Written Employment ContractYes (X)WrittenEmploymentContractInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
THOMAS DIEHL MD
TRUSTEE$0$298,115$0$207,159$0$0$0$6,054$0$13,598$0$524,926$0$0
MATTHEW PERRY
PRESIDENT & CEO$694,901$0$0$0$0$0$79,890$0$16,562$0$791,353$0$0$0
PAUL MASTERSON
CHIEF FINANCIAL OFFICER$409,159$0$31,186$0$0$0$47,910$0$17,878$0$506,133$0$0$0
EDMOND ROMITO
CHIEF INFORMATION OFFICER$339,896$0$23,965$0$0$0$27,061$0$1,953$0$392,875$0$0$0
ALAN BURNS
CHIEF DEVELOPMENT OFFICER$361,227$0$28,550$0$0$0$41,407$0$13,698$0$444,882$0$0$0
DANIEL SCHEERER MD
CHIEF MEDICAL AFFAIRS OFFICER$318,689$0$102,836$0$0$0$43,519$0$15,304$0$480,348$0$0$0
ABBY NGUYEN
CHIEF NURSING OFFICER$257,256$0$19,235$0$0$0$7,349$0$19,104$0$302,944$0$0$0
DIANNA LEVECK
CHIEF HUMAN RESOURCES OFFICER$279,657$0$19,141$0$0$0$7,477$0$12,960$0$319,235$0$0$0
WENDY CEDOZ
CHIEF LEGAL OFFICER$278,579$0$20,048$0$0$0$1,242$0$22,192$0$322,061$0$0$0
SLOAN ALBERT
Chief Physician Network Officer$361,592$0$14,175$0$0$0$1,045$0$23,998$0$400,810$0$0$0
SHAWN ROARK
Chief Transf/Pop Health Officer$117,679$0$54,000$0$0$0$0$0$4,005$0$175,684$0$0$0
CHARLES ADAMS JR
DIRECTOR OF LEAN SIGMA$136,062$0$28,114$0$0$0$2,640$0$13,932$0$180,748$0$0$0
RAY RYMAN
CLINICAL PHARMACIST$156,040$0$26$0$0$0$7,984$0$16,523$0$180,573$0$0$0
SHARON PARKER
Director of Cancer Service$155,718$0$12,283$0$0$0$4,050$0$13,538$0$185,589$0$0$0
LES BOYER
DIRECTOR$154,341$0$3,729$0$0$0$1,551$0$16,580$0$176,201$0$0$0
MICHAEL NORMAN
DIRECTOR$159,921$0$3,315$0$0$0$0$0$12,979$0$176,215$0$0$0
RICHARD HELSPER
FORMER CHIEF OPERATIONS OFFICER$450,000$0$0$0$0$0$0$0$0$0$450,000$0$0$0
REGINA PENNINGTON
CHIEF QUALITY OFFICER$175,489$0$18,816$0$0$0$0$0$8,662$0$202,967$0$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 1aTHE 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, Lines 4a-bLINE 4A: SEVERANCE PAYMENTS WERE MADE TO THE FOLLOWING INDIVIDUALS: RICHARD HELSPER: $450,000 REGINA PENNINGTON: $71,663 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: $74,5904 PAUL MASTERSON: $25,026 ALAN BURNS: $20,272 EDMUND ROMITO: $19,111 DANIEL SCHEERER, MD: $38,219

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1MUSKINGUM COUNTY OHIOBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issuer EIN316400080BondIssuerEIN
Bond Issued2013-05-09BondIssuedDt
Issue Price$294,645,952IssuePriceAmt
PurposeSEE PART VIPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Total Proceeds$294,645,952TotalProceedsAmt
In Reserve Fund$18,306,939InReserveFundAmt
Capitalized Interest$12,464,619CapitalizedInterestAmt
Refunding Escrow$46,879,891RefundingEscrowAmt
Issuance Costs From Proceeds$4,794,175IssuanceCostsFromProceedsAmt
Capital Expenditures$47,125,926CapitalExpendituresAmt
Other Spent Proceeds$324,552OtherSpentProceedsAmt
Unspent$62,751UnspentAmt
Substantial Completion2015SubstantialCompletionYr
Current RefundingYes (1)CurrentRefundingInd
Advance Refunding0AdvanceRefundingInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec MaintYes (1)AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease Arrangements0AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd PropYes (1)MgmtContractBondFincdPropInd
Engage Bond Counsel ContractsYes (1)EngageBondCounselContractsInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00000PrivateBusUseByOthersPct
Private Bus Concerning UBI0.00000PrivateBusConcerningUBIPct
Total Private Business Use0.00000TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due YetYes (1)RebateNotDueYetInd
Exception To Rebate0ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate Issue0VariableRateIssueInd
Hedge Identified In Bks And Rec0HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor Reqs0WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
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 12/31/2015, 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 (4 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
RADIOLOGY ASSOCIATION OF SEO
BOARD MEMBER, SHANE BACKUS, M.D., IS A PARTNER IN RADIOLOGY ASSOC. OF SEO$885,638PROFESSIONAL FEES AND PURCHASED SERVICES FROM GHCS & GMG, LLC0
ZANDEX HEALTHCARE CORP
BOARD MEMBER, WILLIAM SHADE M.D., IS A MEDICAL DIR. OF ZANDEX HEALTHCARE$352,785PURCHASED SERVICES FROM GHCS & AFFILIATES0
QUALITY CARE PARTNERS
BOARD MEMBER, WILLIAM SHADE M.D., IS A PHYSICIAN OF QUALITY CARE PARTNERS$395,531HEALTH INSURANCE AND ADMINISTRATIVE EXPENSES FOR GHCS, MEMBER FEES FOR GMG AND MANAGEMENT FEES FOR OICP0
MAX CROWN
BOARD MEMBER, MAX CROWN, IS CHAIRMAN OF THE BOARD OF COSHOCTON CO MEMORIAL$3,696,549GHCS HAS A MANAGEMENT AGREEMENT WITH CCMH0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 3THE MANAGEMENT OF PHYSICIAN OFFICE SPACE (PROPERTY MANAGEMENT) IS OUTSOURCED AND THE MANAGER REPORTS TO A VP OF THE HOSPITAL. THE LABOR BILLED WAS $50,257 AND THE MANAGEMENT FEE WAS $41,681. THE MANAGEMENT OF FOOD & NUTRITION AND PLANT OPERATION IS ALSO OUTSOURCED. THE DIRECTORS OF THESE AREAS ALSO REPORT TO A VP OF THE HOSPITAL. THERE WERE 2 MANAGERS PROVIDED AND 1 EXECUTIVE CHIEF. LABOR BILLED WAS $317,398 AND THE MANAGEMENT FEE WAS $66,171. THE MANAGEMENT OF ENVIRONMENTAL SERVICES & PATIENT TRANSPORT/SERVICE RESPONSE CENTER ARE ALSO OUTSOURCED. THE ENVIRONMENTAL SERVICES CONSISTED OF 2 MANAGERS AND 1 SENIOR MANAGER. THE LABOR BILLED WAS $362,986 AND THE MANAGEMENT FEE WAS $36,597. FOR THE TRANSPORT SERVICES, THERE WERE 3 MANAGERS PROVIDED. THE LABOR BILLED WAS $279,642 AND THE MANAGEMENT FEE WAS $30,373. 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 2015, THE TOTAL FEE WAS $380,228.
Form 990, Part VI, Section A, line 6FRANCISCAN 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 7aTHE 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 7bTHE 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 11THE 990 IS REVIEWED IN ITS ENTIRETY BY THE CFO. AN OVERVIEW OF THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE PRIOR TO FILING THE RETURN.
Form 990, Part VI, Section B, line 12cTHE 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 15THE 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 2015.
Form 990, Part VI, Section C, line 19THE 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 1,254,252. PLEDGE RECEIVABLE FROM RELATED PARTY -28,278,248. OHIO INTEGRATED CARE PROVIDERS, LLC -38,468. RESERVE FOR COSHOCTON COUNTY MEMORIAL -1,818,877.
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/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ZANESVILLE SURGERY CENTER
2907 BELL STREETZANESVILLEOH43701311620813SURGICAL CENTEROH$0$0GENESIS HEALTHCARE SYSTEM
OHIO INTEGRATED CARE PROVIDERS LLC
2951 MAPLE AVEZANSVILLEOH43701461795662CLINICAL INTEGRATIONOH-$38,468$0GENESIS HEALTHCARE SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
GENESIS HEALTHCARE FOUNDATION
2951 MAPLE AVENUEZANESVILLEOH43701311629304FUNDRAISING FOR GHSOH501(C)(3)3GENESIS HEALTHCARE SYSTEMYes (1)
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
2951 MAPLE AVENUEzANESVILLEOH43701310969646FUNDRAISING FOR GHSOH501(C)(3)3GENESIS HEALTHCARE FOUNDATIONYes (1)
BETHESDA HOSPITAL FOUNDATION
2951 MAPLE AVENUEzANESVILLEOH43701310885513FUNDRAISING FOR GHSOH501(C)(3)3GENESIS HEALTHCARE FOUNDATIONYes (1)
FRANCISCAN SISTERS OF CHRISTIAN CHARITY
2951 MAPLE AVENUEzANESVILLEOH43701391530622SPONSOR OF GHSWI501(C)(3)70N/A
GOOD SAMARITAN MEDICAL CENTER
2951 MAPLE AVENUEZANESVILLEOH43701314379479MAINTAINS REAL ESTATE TITLE FOR HOSPITALOH501(C)(3)3GENESIS HEALTHCARE SYSTEMYes (1)
BETHESDA CARE SYSTEM
2951 MAPLE AVENUEZANESVILLEOH43701311067174SPONSOR OF GHSOH501(C)(3)9GENESIS HEALTHCARE SYSTEMYes (1)
BETHESDA HOSPITAL ASSOCIATION
2951 MAPLE AVENUEZANESVILLEOH43701314380038MAINTAINS REAL ESTATE TITLE FOR HOSPITALOH501(C)(3)11CGENESIS HEALTHCARE SYSTEMYes (1)
ALTERNACARE
2951 MAPLE AVENUEZANESVILLEOH43701311487187STERILIZATIONSOH501(C)(3)3BETHESDA CARE SYSTEMYes (1)
CARESERVE
2951 MAPLE AVENUEzANESVILLEOH43701311099924FORMERLY OPERATED 2 NURSING HOMES THAT WERE SOLD PRIOR TO 2012OH501(C)(3)3GENESIS HEALTHCARE SYSTEMYes (1)
COMMUNITY AMBULANCE SERVICE
2951 MAPLE AVENUEZANESVILLEOH43701341773323AMBULANCE SERVICEOH501(C)(3)9GENESIS HEALTHCARE SYSTEMYes (1)
GENESIS CAREGIVERS
2951 MAPLE AVENUEZANESVILLEOH43701311282152HOME CARE SERVICESOH501(C)(3)3CARESERVEYes (1)
BETHESDA HOSPITALITY SHOP
2951 MAPLE AVENUEZANESVILLEOH43701316050713GIFT SHOPOH501(C)(3)3GENESIS HEALTHCARE SYSTEMYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPctControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmProvince Or StateForeignAddress/ProvinceOrStateNmCountryForeignAddress/CountryCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARELIFE LLC
2951 MAPLE AVENUEZANESVILLEOH43701311128717PHYSICIAN SERVICES, CHILDCARE SERVICES, PHARMACY, DMEOHGENESIS HEALTHCARE SYSTEMC-$37,888,320$25,462,3961.00000Yes (1)
SOUTHEAST OHIO MEDICAL INSURANCE COMPANY
980436356CAPTIVE INSURANCE COMPANYGENESIS HEALTHCARE SYSTEMC$16,825,8501.00000Yes (1)FIRST CARIBBEAN HOUSEGEORGE TOWNCAYMAN ISLANDSCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgYes (1)LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
CARELIFE LLC
O$3,967,218ACCRUAL TRANSACTION
CARELIFE LLC
S$1,310,948ACCRUAL TRANSACTION
CARELIFE LLC
R$245,086ACCRUAL TRANSACTION
GENESIS HEALTHCARE SYSTEM GROUP
Q$381,360ACCRUAL TRANSACTION
GENESIS HEALTHCARE SYSTEM GROUP
S$6,381,561ACCRUAL TRANSACTION
BETHESDA HOSPITAL ASSOCIATION
D$127,534LOAN AGREEMENT
COMMUNITY AMBULANCE SERVICE
M$948,751ACCRUAL TRANSACTION
COMMUNITY AMBULANCE SERVICE
O$56,425ACCRUAL TRANSACTION
BETHESDA HOSPITAL ASSOCIATION
A$15,570RENTAL AGREEMENT

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