GENESIS MEDICAL CENTER ALEDO: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- GENESIS MEDICAL CENTER ALEDO (EIN 45-4475683)
- Tax period
- 2014-07-01 to 2015-06-30
- Filed
- 2016-02-15
- IRS object ID
- 201610479349302211
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-02-15T00:00:00-06:00 | ReturnTs |
| Tax Period End | 2015-06-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Firm EIN | 420714325 | PreparerFirmEIN |
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RSM US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 201 N HARRISON STREET SUITE 300 | AddressLine1Txt |
| City | DAVENPORT | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 528011999 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-07-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 454475683 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS MEDICAL CENTER ALEDO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | GENE | BusinessNameControlTxt |
| Phone | 5634216508 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 NW 9TH AVENUE | AddressLine1Txt |
| City | ALEDO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61231 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MARK G ROGERS | PersonNm |
| Person Title | VP FINANCE/CFO GHS & ASST TREAS | PersonTitleTxt |
| Phone | 5634216508 | PhoneNum |
| Signature | 2016-02-16 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JOHN J ROMANO | PreparerPersonNm |
| PTIN | P00227323 | PTIN |
| Phone | 5638884000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-08-17 19:52:53Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | MARK G ROGERS | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 NW 9TH AVENUE | AddressLine1Txt |
| City | ALEDO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61231 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $14,840,682 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.GENESISHEALTH.COM | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2012 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. | ActivityOrMissionDesc |
| Voting Members Governing Body | 19 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 127 | TotalEmployeeCnt |
| Total Volunteers | 27 | TotalVolunteersCnt |
| Total Gross UBI | $18,332 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $1,705 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $828,470 | PYContributionsGrantsAmt |
| CY Contributions Grants | $892,698 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $12,040,547 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $13,487,565 | CYProgramServiceRevenueAmt |
| PY Investment Income | $7,485 | PYInvestmentIncomeAmt |
| CY Investment Income | $5,124 | CYInvestmentIncomeAmt |
| PY Other Revenue | $521,706 | PYOtherRevenueAmt |
| CY Other Revenue | $455,295 | CYOtherRevenueAmt |
| PY Total Revenue | $13,398,208 | PYTotalRevenueAmt |
| CY Total Revenue | $14,840,682 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,711 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $10,748 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $6,447,049 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $6,201,444 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $6,429,442 | PYOtherExpensesAmt |
| CY Other Expenses | $7,386,843 | CYOtherExpensesAmt |
| PY Total Expenses | $12,882,202 | PYTotalExpensesAmt |
| CY Total Expenses | $13,599,035 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $516,006 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $1,241,647 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $12,600,882 | TotalAssetsBOYAmt |
| Total Assets EOY | $18,160,491 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $9,480,156 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $12,349,643 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $3,120,726 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $5,810,848 | NetAssetsOrFundBalancesEOYAmt |
| Mission | GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $8,784,022 | ExpenseAmt |
| Grant | $10,748 | GrantAmt |
| Revenue | $9,154,302 | RevenueAmt |
| Desc | GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) IS A 22-BED CRITICAL ACCESS HOSPITAL LOCATED IN ALEDO, IL AND SERVES THE HEALTH CARE NEEDS OF MERCER COUNTY RESIDENTS. GMC, ALEDO OFFERS A WIDE RANGE OF INPATIENT, OUTPATIENT, EMERGENCY, AND COMMUNITY HEALTH SERVICES DELIVERED BY HIGHLY-QUALIFIED HEALTH CARE PROFESSIONALS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $1,975,095 | ExpenseAmt |
| Revenue | $4,770,226 | RevenueAmt |
| Desc | THE GENESIS HEALTH GROUP, ALEDO EMPLOYS FIVE PHYSICIANS AND TWO NURSE PRACTITIONERS OFFERING SERVICES IN FAMILY PRACTICE, INTERNAL MEDICINE, PODIATRY, OCCUPATIONAL MEDICINE AND WOMEN'S HEALTH. THIS TEAM OF MEDICAL PROFESSIONALS PROVIDES COMPREHENSIVE GENERAL HEALTH CARE, INCLUDING PHYSICAL EXAMINATION, TREATMENT AND MONITORING OF CHRONIC AND ACUTE HEALTH PROBLEMS, AS WELL AS INJURY THREATMENT, FOR BOTH ADULTS AND CHILDREN. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Expenses | $10,759,117 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | 0 | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (1) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (1) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | Yes (1) | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | 0 | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 24 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 127 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (1) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | 0 | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | 0 | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 19 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | Yes (1) | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | 0 | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (1) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (1) | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARK G ROGERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 5634216508 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1227 E RUSHOLME STREET | AddressLine1Txt |
| City | DAVENPORT | CityNm |
| State Abbreviation | IA | StateAbbreviationCd |
| ZIP | 52803 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | Yes (X) | InfoInScheduleOPartVIIInd |
Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|
| STEVEN C BAHLS | |||||||||
| VICE CHAIRPERSON | 8.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARK D BAWDEN | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| PETER J BENSON | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| GREGORY J BUSH | |||||||||
| TREASURER | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| CHRISTOPHER J COX | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDMUND P COYNE JR MD | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| DOUGLAS P CROPPER | |||||||||
| PRESIDENT/CEO GHS | 60.00 | Yes (X) | Yes (X) | $0 | $752,561 | $121,793 | |||
| ROGER J HILL | |||||||||
| SECRETARY | 4.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| MARK C KILMER | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| JAMES W KOEHLER | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| GEORGE J KONTOS JR MD | |||||||||
| DIRECTOR | 40.00 | Yes (X) | $0 | $486,325 | $24,942 | ||||
| DAVID C LARSON | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| CHARLENE E MAASKE | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWIN V MOTTO MD | |||||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD J ROGALSKI PHD | |||||||||
| DIRECTOR | 10.00 | Yes (X) | $0 | $0 | $0 | ||||
| G CHRISTOPHER WAHLIG | |||||||||
| CHAIRPERSON | 10.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| C DANA WATERMAN III | |||||||||
| DIRECTOR | 2.10 | Yes (X) | $0 | $0 | $0 | ||||
| CAROL A WATSON PHD RN CENP | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| DALE D ZUDE | |||||||||
| DIRECTOR | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| EDWARD TED J ROGALSKI | |||||||||
| GMC, ALEDO ADMINISTRATOR | 40.00 | Yes (X) | $142,416 | $0 | $22,108 | ||||
| MARK G ROGERS | |||||||||
| V.P. FINANCE/CFO GHS/ASST TREASURER | 40.00 | Yes (X) | $0 | $380,544 | $53,516 | ||||
| HAROLD L WAGHER | |||||||||
| CHIEF COMPLIANCE RISK OFFICER/ASST SECRETARY | 40.00 | Yes (X) | $0 | $191,406 | $20,748 | ||||
| JACQUELINE K ANHALT | |||||||||
| V.P. PATIENT SERVICES | 40.00 | $0 | $210,493 | $67,117 | Yes (X) | ||||
| ROBERT W FRIEDEN | |||||||||
| V.P. INFORMATION SERVICES | 40.00 | $0 | $327,792 | $26,460 | Yes (X) | ||||
| GEORGE KOVACH | |||||||||
| V.P. MEDICAL STAFF AFFAIRS | 40.00 | $0 | $151,466 | $30,993 | Yes (X) | ||||
| JOSEPH L LOHMULLER MD | |||||||||
| CHIEF MEDICAL OFFICER | 40.00 | $0 | $281,928 | $19,850 | Yes (X) | ||||
| KEVIN L YOUMANS | |||||||||
| V.P. OUTPATIENT SERVICES | 40.00 | $0 | $192,125 | $60,690 | Yes (X) | ||||
| KAREN BOLTON | |||||||||
| V.P. LEGAL AFFAIRS | 40.00 | $0 | $235,489 | $53,064 | Yes (X) | ||||
| KENNETH R CROKEN | |||||||||
| V.P. CORPORATE COMMUNICATI | 40.00 | $0 | $303,541 | $26,096 | Yes (X) | ||||
| MARC DICKLIN MD | |||||||||
| PHYSICIAN | 40.00 | $231,226 | $0 | $21,727 | Yes (X) | ||||
| HEIDI S KAHLY-MCMAHON | |||||||||
| V.P. HUMAN RESOURCES | 40.00 | $0 | $223,241 | $42,256 | Yes (X) | ||||
| ROBERT D PADGETT MD | |||||||||
| PHYSICIAN | 40.00 | $259,443 | $0 | $16,722 | Yes (X) | ||||
| WAYNE A DIEWALD | |||||||||
| FORMER CHIEF OPERATING OFFICER | 40.00 | $0 | $608,487 | $17,042 | Yes (X) | ||||
| FLORENCE L SPYROW | |||||||||
| FORMER SENIOR VICE PRESIDENT | 40.00 | $0 | $418,478 | $28,526 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $633,085 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,763,876 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $653,650 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 8 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| EMERGENCY DEPARTMENT ASSOCIATES | |||||
| 7032 COLLECTION CENTER DRIVE | CHICAGO | IL | 60693 | ER PHYSICIAN SERVICES | $921,098 |
| RIVERBEND ANESTHESIA | |||||
| 1710 COBBLESTONE DRIVE | MUSCATINE | IA | 52761 | ANESTHETHIC SERVICES | $190,890 |
| HEALTH ENTERPRISES | |||||
| 5825 DRY CREEK LANE NE | CEDAR RAPIDS | IA | 52402 | MRI SCAN SERVICES | $100,950 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $892,424 | GovernmentGrantsAmt |
| All Other Contributions | $274 | AllOtherContributionsAmt |
| Total Contributions | $892,698 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PROFESSIONAL SERVICES | 622110 | $20,673,327 | $20,673,327 | |
| CLINIC REVENUE | 622110 | $4,770,226 | $4,770,226 | |
| NURSING SERVICES | 622110 | $1,490,459 | $1,490,459 | |
| PATIENT ANCILLARY SERVICES | 622110 | $1,142,099 | $1,123,767 | $18,332 |
| LESS: PROV TAX ASSESSMENT | 621110 | -$134,300 | -$134,300 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$14,454,246 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | -$14,454,246 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $13,487,565 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,124 | TotalRevenueColumnAmt |
| Exclusion | $5,124 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| OTHER INCOME | 900099 | $365,784 | $365,784 |
| OUTSIDE SERVICE REVENUE | 900099 | $63,007 | $63,007 |
| VENDING/CAFETERIA SALES | 722212 | $26,504 | $26,504 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $455,295 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,840,682 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $13,924,528 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $18,332 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,124 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,748 | TotalAmt |
| Program Services | $10,748 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $150,056 | TotalAmt |
| Management And General | $150,056 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,039,714 | TotalAmt |
| Program Services | $4,892,032 | ProgramServicesAmt |
| Management And General | $147,682 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $653,160 | TotalAmt |
| Program Services | $653,160 | ProgramServicesAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $358,514 | TotalAmt |
| Program Services | $341,438 | ProgramServicesAmt |
| Management And General | $17,076 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,149,263 | TotalAmt |
| Program Services | $1,149,163 | ProgramServicesAmt |
| Management And General | $100 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66 | TotalAmt |
| Program Services | $66 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,178,258 | TotalAmt |
| Program Services | $1,163,702 | ProgramServicesAmt |
| Management And General | $14,556 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,544 | TotalAmt |
| Program Services | $2,719 | ProgramServicesAmt |
| Management And General | $9,825 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $472,542 | TotalAmt |
| Program Services | $368,818 | ProgramServicesAmt |
| Management And General | $103,724 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $649,578 | TotalAmt |
| Program Services | $8,472 | ProgramServicesAmt |
| Management And General | $641,106 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $373,819 | TotalAmt |
| Program Services | $338,565 | ProgramServicesAmt |
| Management And General | $35,254 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,546 | TotalAmt |
| Program Services | $18,235 | ProgramServicesAmt |
| Management And General | $6,311 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,719 | TotalAmt |
| Program Services | $7,046 | ProgramServicesAmt |
| Management And General | $2,673 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $245,220 | TotalAmt |
| Management And General | $245,220 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $619,637 | TotalAmt |
| Program Services | $619,637 | ProgramServicesAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $144,102 | TotalAmt |
| Management And General | $144,102 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Management And GeneralManagementAndGeneralAmt | Program ServicesProgramServicesAmt |
|---|---|---|---|
| CORPORATE OVERHEAD | $1,288,861 | $1,288,861 | |
| MEDICAL SUPPLIES | $823,329 | $28 | $823,301 |
| COGS - PATIENT SUPPLY | $341,659 | $341,659 | |
| DUES AND SUBSCRIPTIONS | $37,351 | $30,401 | $6,950 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $16,349 | TotalAmt |
| Program Services | $13,406 | ProgramServicesAmt |
| Management And General | $2,943 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,599,035 | TotalAmt |
| Program Services | $10,759,117 | ProgramServicesAmt |
| Management And General | $2,839,918 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,097,987 | BOYAmt |
| EOY | $433,206 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $55,543 | BOYAmt |
| EOY | $9,285 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,994,208 | BOYAmt |
| EOY | $1,960,080 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $281,276 | BOYAmt |
| EOY | $272,573 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $63,170 | BOYAmt |
| EOY | $75,588 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $14,661,557 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $700,273 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,108,698 | BOYAmt |
| EOY | $13,961,284 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $1,448,475 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,600,882 | BOYAmt |
| EOY | $18,160,491 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,815,869 | BOYAmt |
| EOY | $2,866,238 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $102,707 | BOYAmt |
| EOY | $84,312 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,561,580 | BOYAmt |
| EOY | $9,399,093 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,480,156 | BOYAmt |
| EOY | $12,349,643 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,067,582 | BOYAmt |
| EOY | $4,309,229 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | $1,448,475 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $53,144 | BOYAmt |
| EOY | $53,144 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,120,726 | BOYAmt |
| EOY | $5,810,848 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,600,882 | BOYAmt |
| EOY | $18,160,491 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $1,241,647 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | $1,448,475 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule D IRS990ScheduleD
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $53,144 | BeginningYearBalanceAmt |
| End Year Balance | $53,144 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $53,144 | BeginningYearBalanceAmt |
| End Year Balance | $53,144 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $53,144 | BeginningYearBalanceAmt |
| End Year Balance | $53,144 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.81000 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.19000 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.00000 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | 0 | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | 0 | EndowmentsHeldRelatedOrgInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $65,000 | OtherCostOrOtherBasisAmt |
| Book Value | $65,000 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $11,811,470 | OtherCostOrOtherBasisAmt |
| Depreciation | $429,151 | DepreciationAmt |
| Book Value | $11,382,319 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $2,010,979 | OtherCostOrOtherBasisAmt |
| Depreciation | $251,886 | DepreciationAmt |
| Book Value | $1,759,093 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $774,108 | OtherCostOrOtherBasisAmt |
| Depreciation | $19,236 | DepreciationAmt |
| Book Value | $754,872 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $13,961,284 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | INTEREST IN MERCER FOUNDATION FOR HEALTH | Desc |
| Book Value | $1,448,475 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $1,448,475 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| MEDICARE SETTLEMENTS/BLUE CROSS UPP | $757,713 |
| DUE TO GENESIS HEALTH SYSTEM (GHS ILLINOIS) | $8,552,677 |
| DEFERRED EXPENSE CREDITS/RETIREMENT SAVINGS N/C | $88,703 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $9,399,093 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, LINE 4: | THE PERMANENTLY RESTRICTED ENDOWMENT'S INTENDED USE IS FOR THE HOSPITAL'S CAPITAL PROJECTS. |
| PART X, LINE 2: | GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO), GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO), GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION), GENESIS PHILANTHROPY (PHILANTHROPY) AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) ALL FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. UNRELATED BUSINESS TAXABLE INCOME IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINOIS, GSL, ALEDO, GMC, ALEDO, GENESIS FOUNDATION, PHILANTHROPY AND WORKERS' COMPENSATION TRUST ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINOIS, GENESIS FOUNDATION AND WORKERS' COMPENSATION TRUST ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED JUNE 30, 2011 AND PRIOR. GENVENTURES, INC. (GENVENTURES) IS A TAXABLE ORGANIZATION AND CURRENTLY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND VARIOUS STATE JURISDICTIONS. GENVENTURES IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS JUNE 30, 2011 AND PRIOR. THERE WERE NO UNCERTAIN TAX POSITIONS AS OF JUNE 30, 2015 AND 2014. |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent200 D | Yes (X) | Percent200DInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $147,949 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $147,949 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01090 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,767,717 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,912,418 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $855,299 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06290 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,915,666 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,912,418 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,003,248 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07380 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,253 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,253 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00080 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,498 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $4,498 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,177 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $12,177 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $26,928 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,928 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00200 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,942,594 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $1,912,418 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,030,176 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.07580 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,372 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,372 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,443 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $5,443 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00040 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,294 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,294 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,109 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,109 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $677,587 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $4,823,878 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $4,999,434 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$175,556 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS MEDICAL CENTER ALEDO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 409 NW NINTH AVENUE | AddressLine1Txt |
| City | ALEDO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61231 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | WWW.GENESISHEALTH.COM | WebsiteAddressTxt |
| State License | 5868 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Critical Access Hospital | Yes (X) | CriticalAccessHospitalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS MEDICAL CENTER ALEDO | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| CHNA Conducted | 14 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | 0 | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | WWW.GENESISHEALTH.COM | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 14 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.GENESISHEALTH.COM | StrategyWebsiteURLTxt |
| Strategy Attached | 0 | StrategyAttachedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 200.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | WWW.GENESISHEALTH.COM | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | WWW.GENESISHEALTH.COM | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | WWW.GENESISHEALTH.COM | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Lowest Negotiated Rates | Yes (X) | LowestNegotiatedRatesInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (6 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GENESIS MEDICAL CENTER, ALEDO | PART V, SECTION B, LINE 5: FOLLOWING THE 2013 ACQUISITION OF MERCER COUNTY HOSPITAL, GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) BEGAN TO PROCESS ITS FIRST COMMUNITY HEALTH NEEDS ASSESSMENT IN 2014. DATA WAS GATHERED BY GENESIS HEALTH SYSTEM BUSINESS INTELLIGENCE CENTER (DEPARTMENT OF GENESIS HEALTH SYSTEM (GHS-IA)) WHERE THEY WORKED WITH THE FOLLOWING MERCER COUNTY REPRESENTATIVES TO RECEIVE VALUABLE INPUT TO INCLUDE IN THE CHNA. AS A RESULT, THEY CONCLUDED THREE PRIORITY GOALS TO HELP THE COMMUNITY WITH THE FOLLOWING:1. HEALTH RELATED LIFE & WELL-BEING: ACCORDING TO COUNTYHEALTHRANKINGS .COM WHILE MERCER COUNTY RANKS HIGH IN QUALITY OF LIFE, IT RANKS LOW IN LENGTH OF LIFE. PART OF THIS IS RELATED TO HIGHER THAN STATE AVERAGES IN ADULT SMOKING AND ALCOHOL-IMPAIRED DRIVING DEATHS. THE COMMUNITY FELT THAT THESE STATISTICS WARRANTED FURTHER ACTION.2. NUTRITION & WEIGHT STATUS: MERCER COUNTY IS 3% HIGHER THAN THE STATE AVERAGE IN OBESITY. THE COMMUNITY GROUP RECOGNIZES THAT THERE IS A PERCEPTION THAT IT IS EASIER TO EAT UNHEALTHY FOODS THAN IT IS TO EAT HEALTHY. THROUGH EDUCATION AND RAISING AWARENESS OF EXISTING PROGRAMS ALREADY IN THE COMMUNITY, THE COMMUNITY HOPES TO SEE A POSITIVE CHANGE.3. ACCESS TO HEALTHCARE: BECAUSE OF THE SIZE OF THE COMMUNITY IT IS DIFFICULT TO RECRUIT PROVIDERS TO WORK IN MERCER COUNTY. DATA SHOWS THAT THERE IS A SIGNIFICANT SHORTAGE IN PHYSICIANS FOR MERCER COUNTY. GENESIS MEDICAL CENTER, ALEDO IS COMMITTED TO RECRUITING MORE PROVIDERS IN MERCER COUNTY.THE REPRESENTATIVES ARE AS FOLLOWS:GENESIS HEALTH SYSTEM, GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH GROUP, ALEDO, HEALTH DEPARTMENT OF MERCER COUNTY, MERCER FOUNDATION FOR HEALTH, WRMJ, COMMUNITY BIBLE FELLOWSHIP, CRISIS CENTER, ADONAI COMMUNITY SUPPORT SERVICES, TRINITY PRESBYTERIAN CHURCH, YMCA, ALEDO POLICE DEPARTMENT, BROOKSTONE OF ALEDO, COUNTRY FINANCIAL SERVICES, DENNISON FUNERAL HOME, EAGLE VIEW HEALTH, MERCER COUNTY EXTENSION UNIT, AND COMMUNITY MEMBERS. USING EXISTING LOCAL DATA GENERATED FROM THE COMMUNITY COMMONS WEBSITE AT HTTP://WWW.COMMUNITYCOMMONS.ORG, GMC, ALEDO WAS ABLE TO PROCESS DATA THROUGH VARIOUS RESOURCES TO CONDUCT THE STATISTICAL FACTORS TO RELATE TO THE THREE PRIORITIES NEEDED IN THE COMMUNITY TO INCREASE THE VALUE OF HEALTH. STATISTICAL DATA USED FOR DETAILED HEALTH INDICATORS INCLUDED DEMOGRAPHICS, SOCIAL AND ECONOMIC FACTORS, PHYSICAL ENVIRONMENT, CLINICAL CARE, HEALTH BEHAVIORS, AND HEALTH OUTCOMES. IN COMBINATION WITH THE COMMUNITY COMMONS WEBSITE, SECONDARY SOURCES WERE USED AS FOLLOWS:US CENSUS BUREAU, AMERICAN COMMUNITY SURVEY, UNITED STATES CENSUS 2010, 2010 URBAN AND RURAL CLASSIFICATION, DOCUMENTATION TO THE NCES COMMON CORE OF DATA PUBLIC ELEMENTARY/SECONDARY SCHOOL UNIVERSE SURVEY 2011, EDFACTS DATA DOCUMENTATION, A SUMMARY MEASURE OF HEALTH DISPARITY-NATIONAL INSTITUTE OF HEALTH ARTICLE, BUREAU OF LABOR STATISTICS, FEDERAL BUREAU OF INVESTIGATIONS, NATIONAL ENVIRONMENTAL PUBLIC HEALTH TRACKING NETWORK, FOOD ACCESS RESEARCH ATLAS, NATIONAL CANCER INSTITUTE, AND CENTERS FOR DISEASE CONTROL AND PREVENTION |
| GENESIS MEDICAL CENTER, ALEDO | PART V, SECTION B, LINE 11: FOLLOWING THE GENESIS MEDICAL CENTER, ALEDO'S MISSION ALONG WITH COORDINATING WITH THE QUAD CITY HEALTH INITIATIVE IMPLEMENTATION PLAN, GENESIS MEDICAL CENTER, ALEDO WILL BE FOCUSING AND DELIVERING ON THE FOLLOWING PROGRAMS AND RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY:NUTRITION, PHYSICAL ACTIVITY AND WEIGHT:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL-TRANSFATFREEQC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM-ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVIS AND MOLINE (HEALTHPLEX), MOLINE (BEN BUTTERWORTH PKWY.)-COLLABORATE/SPONSOR WITH QUAD CITY FOOD HUB TO FURTHER THE "VEGGIE MOBILE" PROGRAM BRINGING AFFORDABLE AND FRESH PRODUCE FROM THE FARMERS' MARKET INTO LOWER-INCOME "FOOD DESERTS"-GENESIS "WELLNESS PROGRAM" OFFERINGS-YMCA MEMBERSHIP DISCOUNT-GENESIS CENTER FOR WEIGHT MANAGEMENT-HEALTHY LIFESTYLE SPONSORSHIPS, SUCH AS:-GENESIS FIRECRACKER RUN-BIX7-ALCOHOL FREE FAMILY SECTION AT MODERN WOODMEN PARK-AMONG OTHERS SUBSTANCE ABUSE-TOBACCO & ALCOHOL:-TOBACCO-SMOKE-FREE CAMPUS-ADVOCACY IN SUPPORT OF SMOKE-FREE PUBLIC PLACES, INCLUDING PARKS-TOBACCO-FREE QC-GENESIS "WELLNESS PROGRAM" OFFERINGS-COMMUNITY HEALTH EDUCATION ON SECOND-HAND SMOKE AND CHILDREN-ALCOHOL-ADVOCACY IN SUPPORT OF TIPS LAW THAT REQUIRES TRAINING FOR THOSE WHO SERVE ALCOHOLIMMUNIZATIONS & INFECTIOUS DISEASES:-FLU FREE QC-GENESIS IMMUNIZATIONS CRM PROGRAM-COMMUNITY HEALTH EDUCATION ON HAND WASHING-RYAN WHITE HIV PROGRAM |
| PART V, SECTION B, LINE 16 | FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY |
| GENESIS MEDICAL CENTER, ALEDO PART V, SECTION B, LINE 16A WEBSITE: | WWW.GENESISHEALTH.COM |
| GENESIS MEDICAL CENTER, ALEDO PART V, SECTION B, LINE 16B WEBSITE: | WWW.GENESISHEALTH.COM |
| GENESIS MEDICAL CENTER, ALEDO PART V, SECTION B, LINE 16C WEBSITE: | WWW.GENESISHEALTH.COM |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HEALTH GROUP ALEDO | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1007 NW 3RD STREET | AddressLine1Txt |
| City | ALEDO | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 61231 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | OUTPATIENT PHYSICIAN CLINIC | FacilityTxt |
Supplemental Information Detail SupplementalInformationDetail (17 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C: | NOT APPLICABLE |
| PART I, LINE 6A: | GENESIS HEALTH SYSTEM (GHS IOWA) |
| PART I, LINE 7: | GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO. THE CALCULATED COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID. COSTS OF THE "OTHER BENEFITS" REPORTED IN 7E -7I WERE COMPILED THROUGHOUT THE YEAR IN THE COMMUNITY BENEFIT DATABASE (I.E., CBISA) THAT GMC, ALEDO UTILIZES. |
| PART I, LINE 7G: | NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES. |
| PART I, LN 7 COL(F): | NO BAD DEBT EXPENSE WAS INCLUDED IN THE DENOMINATOR BECAUSE BAD DEBT WAS REPORTED IN LINE 2F OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 21.64%, AND THE PERCENTAGE INCREASES TO 58.40% IF MEDICARE COST REPORT ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY SUPPORT (F3): GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) SUPPORTS EMPLOYEE INVOLVEMENT WITH JUNIOR ACHIEVEMENT AND OTHER MENTORING PROGRAMS. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENTS/SAFETY (F7): GMC, ALEDO SUPPORTS EMPLOYEE INVOLVEMENT WITH ILLINOIS HOSPITAL ASSOCIATION MEETINGS.WORKFORCE DEVELOPMENT (F8): GMC, ALEDO SUPPORTS ITS EMPLOYEE INVOLVEMENT ON THE ROCK ISLAND, HENRY AND MERCER COUNTIES WORKFORCE DEVELOPMENT BOARD. |
| PART III, LINE 2: | IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, BAD DEBT IS REPORTED AT THE FULL-ESTABLISHED CHARGE FROM THE MOST RECENT AUDITED FINANCIAL REPORT. PAYMENTS RECEIVED AFTER AN ACCOUNT HAD BEEN WRITTEN OFF TO BAD DEBT WERE CREDITED TO A BAD DEBT RECOVERY ACCOUNT. DISCOUNTS ON PATIENT ACCOUNTS PROVIDED BY THIRD-PARTY PAYERS WERE WRITTEN OFF TO A CONTRACTUAL ALLOWANCE ACCOUNT. |
| PART III, LINE 3: | GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) UTILIZES AVADYNE HEALTH TO PROCESS AGING PATIENT ACCOUNTS. AVADYNE HEALTH'S COLLECTION PROCESS UTILIZES PUBLICLY AVAILABLE INFORMATION TO ENSURE ALL AGING PATIENT ACCOUNTS RECEIVE FINANCIAL ASSISTANCE IN ACCORDANCE TO GMC, ALEDO POLICY BEFORE BEING DEEMED BAD DEBT. GMC, ALEDO REPORTED ZERO DOLLARS FOR THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART III, LINE 4: | PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYERS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. RECEIVABLES DUE FROM MEDICAL OFFICE BUILDING TENANTS AND FROM COMMERCIAL LAUNDRY CUSTOMERS ARE CARRIED AT THE ORIGINAL INVOICE AMOUNT LESS AN ESTIMATE MADE FOR DOUBTFUL ACCOUNTS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS, AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. GENESIS MEDICAL CENTER, ALEDO DOES NOT CHARGE INTEREST ON PATIENT RECEIVABLES. RECEIVABLES ARE WRITTEN OFF AS BAD DEBTS WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. |
| PART III, LINE 8: | THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 5, 6, AND 7 FOR THE HOSPITAL. NO MEDICARE SHORTFALLS WERE INCLUDED IN COMMUNITY BENEFIT. THE MEDICARE COST REPORT SHORTFALL REPRESENTS THE DIFFERENCE BETWEEN THE TOTAL REVENUE RECEIVED FROM MEDICARE BASED ON MEDICARE COST REPORT REIMBURSEMENT RATES AND THE COSTS INCURRED BY GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) IN PROVIDING HEALTHCARE SERVICES TO THE ELDERLY. THE TOTAL MEDICARE SHORTFALL, WHICH INCLUDES FEE SCREEN SERVICES, WAS $175,556. IN ACCORDANCE WITH GMC, ALEDO'S MISSION STATEMENT, "TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED," THE ELDERLY WERE SERVED DESPITE THE TOTAL MEDICARE LOSS OF $175,556. GMC, ALEDO HAS A CLEAR MISSION TO SERVE ALL THOSE IN NEED AND TO IMPROVE THE HEALTH OF THE COMMUNITY INCLUDING THE ELDERLY. FURTHERMORE, THERE ARE NO FOR-PROFIT HOSPITALS IN THE COMMUNITY, AND THEREFORE GMC, ALEDO IS THE ONLY HEALTHCARE ORGANIZATION IN THE COMMUNITY WHO PROVIDES ACCESS TO HEALTHCARE FOR MEDICARE PATIENTS. ACCORDINGLY, IT IS GMC, ALEDO'S POSITION FOR THE REASONS STATED ABOVE THAT THE TOTAL MEDICARE SHORTFALL OF $175,556 REPRESENTS A COMMUNITY BENEFIT. PURSUANT TO THE INSTRUCTIONS TO THE FORM 990, SCHEDULE H, THE MEDICARE SHORTFALL IS NOT INCLUDED IN PART I, LINE 7. IF THE TOTAL MEDICARE SHORTFALL WERE INCLUDED IN PART I, LINE 7, THEN PART I, LINE 7K, COLUMN F WOULD BE 8.87%. |
| PART III, LINE 9B: | EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF ELIGIBLE, PAYMENT PLANS ARE MADE AVAILABLE BASED ON THEIR RESOURCES AND INCOME. ALL BALANCES OWING AFTER FINANCIAL ASSISTANCE ALLOWANCES HAVE BEEN TAKEN ARE PAYABLE IN MONTHLY PAYMENTS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. |
| PART VI, LINE 2: | FOLLOWING THE 2013 ACQUISITION OF MERCER COUNTY HOSPITAL, GENESIS MEDICAL CENTER, ALEDO, A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WAS CONDUCTED IN 2014 BY GENESIS HEALTH SYSTEM BUSINESS INTELLIGENCE ALONG WITH RECEIVING VALUABLE INPUT FROM THE FOLLOWING COMMUNITY REPRESENTATIVES:GENESIS HEALTH SYSTEM, TRINITY PRESBYTERIAN CHURCH, GENESIS MEDICAL CENTER, ALEDO, YMCA, GENESIS SENIOR LIVING, ALEDO, ALEDO POLICE DEPARTMENT, GENESIS HEALTH GROUP, ALEDO, BROOKSTONE OF ALEDO, HEALTH DEPARTMENT OF MERCER COUNTY, COUNTRY FINANCIAL SERVICES, MERCER FOUNDATION FOR HEALTH, DENNISON FUNERAL HOME, WRMJ, EAGLE VIEW HEALTH, COMMUNITY BIBLE FELLOWSHIP, MERCER COUNTY EXTENSION UNIT, CRISIS CENTER, COMMUNITY MEMBERS, AND ADONAI COMMUNITY SUPPORT SERVICES.WITH FOLLOWING THE GMC, ALEDO MISSION STATEMENT ALONG WITH PARTICIPATING WITH THE QUAD CITY HEALTH INITIATIVE IMPLEMENTATION PLAN, GENESIS MEDICAL CENTER, ALEDO WILL BE FOCUSING AND DELIVERING ON THE PROGRAMS AND RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY. |
| PART VI, LINE 3: | INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN VISIBLE LOCATIONS IN THE ADMISSION DEPARTMENT OF THE HOSPITAL. IN ADDITION, THE HOSPITAL REGISTRATION STAFF MAKE AVAILABLE INFORMATIVE BROCHURES FOR PATIENTS IN THE EMERGENCY ROOM REGISTRATION AREA EXPLAINING THEIR ELIGIBILITY FOR ASSISTANCE. GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) PROVIDES A PATIENT FINANCIAL COUNSELOR TO DISCUSS OPTIONS WITH THE PATIENTS. SHARED BUSINESS SERVICES PREPARES AND PROVIDES A LETTER TO EACH PATIENT, EXPLAINING THEIR CURRENT BALANCE AND ADVISING THEM OF THEIR OPTIONS. A PHONE NUMBER IS PROVIDED WITH THE LETTER ENCOURAGING THE PATIENT TO CALL IF NEEDED. IN ADDITION, THE GMC, ALEDO WEBSITE WWW.GENESISHEALTH.COM ALSO LISTS THE OPTIONS FOR PAYMENT. |
| PART VI, LINE 4: | THE MISSION OF GENESIS HEALTH SYSTEM (GHS ILLINOIS), SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO, (GMC, ALEDO) IS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. GMC, ALEDO AND ITS RELATED ORGANIZATIONS LIVE ITS MISSION EACH AND EVERY DAY BY SERVING A 10-COUNTY REGION OF EASTERN IOWA AND WESTERN ILLINOIS, INCLUDING BOTH URBAN AND RURAL AREAS. MERCER COUNTY IS A COUNTY LOCATED IN THE STATE OF ILLINOIS. ACCORDING TO 2014 CHNA REPORT, IT HAS A POPULATION OF 16,421, WHICH IS A DECREASE OF 3.2% FROM 16,957 IN 2000. ITS COUNTY SEAT IS ALEDO. IT IS ONE OF THE FOUR COUNTIES THAT MAKE UP THE DAVENPORT-MOLINE-ROCK ISLAND METROPOLITAN STATISTICAL AREA. IN THE 2014 CHNA REPORT VIA DECENNIAL CENSUS 2010, TOTAL POPULATION OF 16,434 SHOWED 3,655, OR 22.24% LIVED IN URBAN SETTING WITH 12,779 LIVED IN A RURAL SETTING, OR 77.76%. IN THE COUNTY THE POPULATION WAS SPREAD OUT WITH 22.69% UNDER THE AGE OF 18, 6.91% FROM 18 TO 24, 22.20% FROM 25 TO 44, 29.86% FROM 45 TO 64, AND 18.34% WHO WERE 65 YEARS OF AGE OR OLDER. GENDER TOTAL POPULATION SHOWS FEMALE AT 8,312, OR 50.62% OF TOTAL AND MALE AT 8,109, OR 49.38% OF TOTAL.THE RACIAL MAKEUP OF THE COUNTY WAS 97.79% WHITE, 0.53% BLACK OR AFRICAN AMERICAN, 0.12% NATIVE AMERICAN, 0.27% ASIAN, 0.01% PACIFIC ISLANDER, 0.74% FROM OTHER RACES, AND 0.55% FROM TWO OR MORE RACES.ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY 2007-2011, TOTAL FAMILIES OF 4,954, 1,938 SHOW AN ANNUAL INCOME OF $75,000, OR 39.12% OF TOTAL. |
| PART VI, LINE 5: | GENESIS MEDICAL CENTER, ALEDO'S (GMC, ALEDO) BOARD OF DIRECTORS IS A DIVERSE REPRESENTATION OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA THAT GMC, ALEDO AND ITS RELATED ORGANIZATIONS SERVE. GMC, ALEDO AND ITS RELATED ORGANIZATIONS' EXECUTIVES AND EMPLOYEES SERVE ON DOZENS OF VOLUNTEER BOARDS THROUGHOUT THE REGION ON IMPORTANT PROJECTS AND INITIATIVES, SUCH AS HOMELESS SHELTERS, MENTAL HEALTH, DOWNTOWN REDEVELOPMENT, JUNIOR ACHIEVEMENT, AND EVENTS AND FESTIVALS. GMC, ALEDO EMPLOYEES SERVE THE COMMUNITIES WHERE THEY LIVE BY SERVING IN ELECTED OFFICES IN CITY AND COUNTY GOVERNMENT.GMC, ALEDO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. GMC, ALEDO PROVIDES THE COMMUNITY WITH CLASSES AND EVENTS PROMOTING HEALTH AND HEALTH EDUCATION. RESIDENTS IN THE REGION SERVED BY GMC, ALEDO LEARN CPR, FIRST AID, PARENTING SKILLS AND NEWBORN CARE BY ENROLLING IN CLASSES.GMC, ALEDO AND ITS RELATED ORGANIZATIONS HAS REDUCED ITS ENVIRONMENTAL FOOTPRINT ON THE COMMUNITIES IT SERVES BY IMPLEMENTING BULK WASTE RECYCLING, POLYSTYRENE RECYCLING, REDUCING SHARPS DISPOSAL, IMPLEMENTING WATER RUNOFF MEASURES, AND REDUCING WATER AND CHEMICAL USAGE IN THE MEDICAL LAUNDRY.GMC, ALEDO AND ITS RELATED ORGANIZATIONS MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE IN IOWA AND ILLINOIS STATE GOVERNMENT AND IN WASHINGTON D.C. EMPLOYEES ALSO PARTICIPATE IN A VOTER VOICE INITIATIVE TO ADVOCATE ON IMPORTANT HEALTH ISSUES WITH CITY, COUNTY, STATE AND NATIONAL ELECTED OFFICIALS. SURPLUS FUNDS RESULTING FROM EFFICIENT OPERATIONS AND COST-CONTAINMENT MEASURES ARE RE-INVESTED IN THE HEALTHCARE OPERATIONS OF GMC, ALEDO TO IMPROVE THE HEALTHCARE SERVICES THAT GMC, ALEDO PROVIDES. ADVANCES IN MEDICAL EQUIPMENT AND TECHNOLOGY, STAFF EDUCATION, AND NEW MEDICAL SERVICES ARE EXAMPLES OF OPERATIONAL INVESTMENTS THAT ULTIMATELY IMPROVE THE HEALTH OF THE COMMUNITIES THAT GMC, ALEDO SERVES. |
| PART VI, LINE 6: | GENESIS HEALTH SYSTEM (GHS IOWA), AN IOWA NONPROFIT CORPORATION, AND GENESIS HEALTH SYSTEM (GHS ILLINOIS), AN ILLINOIS NOT-FOR-PROFIT CORPORATION, HAVE IDENTICAL GOVERNING BOARDS, MANAGEMENT AND BYLAWS AND CAN ACT JOINTLY. GHS IOWA IS ALSO THE SOLE MEMBER OF GENESIS HEALTH SERVICES FOUNDATION, GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST AND GENESIS PHILANTHROPY, THE SOLE STOCKHOLDER OF GENVENTURES, INC., A MEMBER OF MISERICORDIA ASSURANCE COMPANY, LTD. AND A PARTNER IN GENGASTRO, LLC. GHS ILLINOIS IS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) AND GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO) AND IS A PARTNER IN THE LARSON CENTER PARTNERSHIP.GHS IOWA, GHS ILLINOIS, GMC, ALEDO, AND GSL, ALEDO COLLECTIVELY REPRESENT THE OBLIGATED GROUP ON CERTAIN COMPONENTS OF THE OBLIGATED GROUP'S LONG-TERM DEBT. GHS IOWA AND GHS ILLINOIS OPERATE THE FOLLOWING BUSINESS UNITS: GENESIS HEALTH SYSTEM PROVIDES ADMINISTRATIVE, MANAGEMENT, INFORMATION TECHNOLOGY AND OTHER SUPPORT SERVICES TO ITS AFFILIATES. GENESIS CLINICAL SERVICES OPERATES PHYSICIAN MEDICAL PRACTICES, CONVENIENT CARE PRACTICES AND AN OCCUPATIONAL MEDICINE CLINIC AND PROVIDES BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER - DAVENPORT (GMC - DAVENPORT) IS LICENSED AS A 502-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM TWO HOSPITAL FACILITIES LOCATED IN DAVENPORT, IOWA. GENESIS FAMILY MEDICAL CENTER (GFMC) IS A FAMILY PRACTICE RESIDENCY TRAINING PROGRAM THAT OPERATES CLINICS IN DAVENPORT AND BLUE GRASS, IOWA TO PROVIDE A CLINICAL SETTING FOR THE RESIDENTS TO TREAT PATIENTS. GENESIS MEDICAL CENTER - DEWITT (GMC - DEWITT) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 13-ACUTE CARE AND SWING BEDS, AND HAS A 77-BED LONG-TERM CARE FACILITY, WHICH PROVIDES SERVICES FROM ITS FACILITY IN DEWITT, IOWA.GENESIS VISITING NURSE ASSOCIATION AND HOSPICE (VNA) PROVIDES HOME HEALTH CARE, COMMUNITY NURSING SERVICES AND HOSPICE SERVICES TO PATIENTS IN EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER - SILVIS (GMC - SILVIS) IS LICENSED AS A 149-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM ITS FACILITY IN SILVIS, ILLINOIS. ILLINI HOSPITAL NURSING HOME (INH) OPERATES ILLINI RESTORATIVE CARE CENTER AND CROSSTOWN SQUARE. ILLINI RESTORATIVE CARE CENTER IS A 120-BED LICENSED NURSING FACILITY, CONSISTING OF 75 SKILLED CARE BEDS AND 45 SHELTERED CARE BEDS. TWENTY-TWO OF THE SKILLED CARE BEDS ARE DESIGNATED AS HOSPITAL-BASED MEDICARE CERTIFIED BEDS. THE SHELTERED CARE UNIT PROVIDES REHABILITATIVE AND PERSONAL CARE IN A FAMILY-ORIENTED SETTING. CROSSTOWN SQUARE IS AN INDEPENDENT LIVING FACILITY CONTAINING 76 RENTABLE APARTMENTS AND TWO GUEST ROOMS THAT OFFERS SERVICES DESIGNED TO MEET THE NEEDS OF SENIOR ADULTS. GHS IOWA AND GHS ILLINOIS HAVE A CONTROLLING OWNERSHIP INTEREST OR MEMBERSHIP IN THE FOLLOWING ORGANIZATIONS: GENESIS MEDICAL CENTER - ALEDO (GMC - ALEDO) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 22-ACUTE CARE AND SWING BEDS, AS WELL AS A PHYSICAN CLINIC, WHICH PROVIDES SERVICES FROM ITS FACILITY IN ALEDO, ILLINOIS.GENESIS SENIOR LIVING - ALEDO (GSL - ALEDO) IS CERTIFIED AS A NURSING FACILITY, WHICH HAS A 92-BED LONG-TERM CARE FACILITY, WHICH PROVIDES SERVICES FROM ITS FACILITY IN ALEDO, ILLINOIS.GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION) IS AN ORGANIZATION WHOSE MISSION IS TO DEVELOP, MANAGE AND GRANT CHARITABLE SUPPORT TO MEET THE HEALTH-RELATED NEEDS OF THE COMMUNITIES SERVED BY GENESIS HEALTH SYSTEM. THE GENESIS FOUNDATION IS REFERRED TO AS THE FOUNDATION. GENGASTRO, LLC (D/B/A THE CENTER FOR DIGESTIVE HEALTH) IS A LIMITED LIABILITY COMPANY, WHICH OPERATES A SINGLE-SPECIALTY GASTROENTEROLOGY AMBULATORY SURGERY CENTER LOCATED IN BETTENDORF, IOWA. UPON OBTAINING A CONTROLLING INTEREST, THE SYSTEM CONSOLIDATED THE ACCOUNTS OF GENGASTRO, LLC IN ITS CONSOLIDATED FINANCIAL STATEMENTS IN JANUARY 2011. GENESIS HEALTH SYSTEM (GHS IOWA) MAINTAINS A 75% OWNERSHIP INTEREST AS OF JUNE 30, 2014 AND 2013. THE LARSON CENTER PARTNERSHIP (LCP) IS A FOR-PROFIT REAL ESTATE PARTNERSHIP WHICH OWNS A MEDICAL OFFICE BUILDING ADJACENT TO GMC ILLINI AND LEASES SPACE FOR CLINICS, LABORATORY, PHARMACY AND OFFICES TO GMC ILLINI AND OTHER THIRD-PARTY ORGANIZATIONS. GHS ILLINOIS IS A GENERAL PARTNER AND OWNS APPROXIMATELY 75.6% OF LCP.GENVENTURES, INC. (GENVENTURES) IS A WHOLLY-OWNED FOR-PROFIT CORPORATION WHICH OPERATES THE FOLLOWING DIVISIONS, PRIMARILY IN THE QUAD CITIES: GENESIS AT HOME, CONTINUING CARE SELLS AND LEASES HOME MEDICAL EQUIPMENT; PROVIDES INTRAVENOUS THERAPY SERVICES, INCLUDING SALES OF RELATED SOLUTIONS AND SUPPLIES TO PATIENTS; AND PROVIDES RETAIL PHARMACEUTICAL AND OVER-THE-COUNTER PRODUCTS TO PATIENTS AND EMPLOYEES OF THE SYSTEM. GENPROPERTIES OWNS, LEASES AND/OR MANAGES OFFICE SPACE IN 15 MEDICAL OFFICE BUILDINGS LOCATED IN BETTENDORF, CLINTON, DAVENPORT, ELDRIDGE, LE CLAIRE AND MUSCATINE, IOWA. CRESCENT LAUNDRY PROVIDES COMMERCIAL LAUNDRY SERVICES TO HEALTH CARE FACILITIES IN EASTERN IOWA AND IN NORTH-CENTRAL ILLINOIS. GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC (GENESIS ACO) IS AN IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS AND ANY BUSINESS RELATED TO CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYORS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) PROVIDES A FUND WHICH CAN BE USED TO PAY WORKERS' COMPENSATION CLAIMS AND COSTS FOR THE BENEFIT OF GENESIS HEALTH SYSTEM. MISERICORDIA ASSURANCE COMPANY, LTD. (MISERICORDIA) IS A WHOLLY-OWNED CAYMAN BASED CAPTIVE INSURANCE COMPANY WHICH UNDERWRITES THE GENERAL AND PROFESSIONAL LIABILITY RISKS OF GHS IOWA AND AFFILIATES. GENESIS PHILANTHROPY IS A WHOLLY-OWNED TAX-EXEMPT ENTITY FORMED IN 2013, WHICH PARTNERS WITH OTHER HOSPITAL FOUNDATIONS TO FORM A REGIONAL NETWORK TO ATTRACT DONORS TO HELP FUND SPECIFIC HEALTH-RELATED CAUSES AND PROMOTE WELLNESS IN THE REGION. |
| PART VI, LINE 7, REPORTS FILED WITH STATES | IL,IA |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (17 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS P CROPPER | ||||||||||||||
| PRESIDENT/CEO GHS | $0 | $636,418 | $0 | $0 | $0 | $116,143 | $0 | $101,458 | $0 | $20,335 | $0 | $874,354 | $0 | $0 |
| GEORGE J KONTOS JR MD | ||||||||||||||
| DIRECTOR | $0 | $465,435 | $0 | $0 | $0 | $20,890 | $0 | $7,616 | $0 | $17,326 | $0 | $511,267 | $0 | $0 |
| EDWARD TED J ROGALSKI | ||||||||||||||
| GMC, ALEDO ADMINISTRATOR | $131,821 | $0 | $0 | $0 | $10,595 | $0 | $6,281 | $0 | $15,827 | $0 | $164,524 | $0 | $0 | $0 |
| MARK G ROGERS | ||||||||||||||
| V.P. FINANCE/CFO GHS/ASST TREASURER | $0 | $324,129 | $0 | $0 | $0 | $56,415 | $0 | $40,362 | $0 | $13,154 | $0 | $434,060 | $0 | $0 |
| HAROLD L WAGHER | ||||||||||||||
| CHIEF COMPLIANCE RISK OFFICER/ASST S | $0 | $190,972 | $0 | $0 | $0 | $434 | $0 | $5,978 | $0 | $14,770 | $0 | $212,154 | $0 | $0 |
| JACQUELINE K ANHALT | ||||||||||||||
| V.P. PATIENT SERVICES | $0 | $193,816 | $0 | $0 | $0 | $16,677 | $0 | $49,807 | $0 | $17,310 | $0 | $277,610 | $0 | $0 |
| ROBERT W FRIEDEN | ||||||||||||||
| V.P. INFORMATION SERVICES | $0 | $249,711 | $0 | $0 | $0 | $78,081 | $0 | $8,734 | $0 | $17,726 | $0 | $354,252 | $0 | $0 |
| GEORGE KOVACH | ||||||||||||||
| V.P. MEDICAL STAFF AFFAIRS | $0 | $149,999 | $0 | $0 | $0 | $1,467 | $0 | $30,000 | $0 | $993 | $0 | $182,459 | $0 | $0 |
| JOSEPH L LOHMULLER MD | ||||||||||||||
| CHIEF MEDICAL OFFICER | $0 | $202,893 | $0 | $0 | $0 | $79,035 | $0 | $7,782 | $0 | $12,068 | $0 | $301,778 | $0 | $0 |
| KEVIN L YOUMANS | ||||||||||||||
| V.P. OUTPATIENT SERVICES | $0 | $191,106 | $0 | $0 | $0 | $1,019 | $0 | $44,998 | $0 | $15,692 | $0 | $252,815 | $0 | $0 |
| KAREN BOLTON | ||||||||||||||
| V.P. LEGAL AFFAIRS | $0 | $186,923 | $0 | $45,000 | $0 | $3,566 | $0 | $40,202 | $0 | $12,862 | $0 | $288,553 | $0 | $0 |
| KENNETH R CROKEN | ||||||||||||||
| V.P. CORPORATE COMMUNICATI | $0 | $241,206 | $0 | $0 | $0 | $62,335 | $0 | $11,813 | $0 | $14,283 | $0 | $329,637 | $0 | $0 |
| MARC DICKLIN MD | ||||||||||||||
| PHYSICIAN | $122,552 | $0 | $5,127 | $0 | $103,547 | $0 | $7,639 | $0 | $14,088 | $0 | $252,953 | $0 | $0 | $0 |
| HEIDI S KAHLY-MCMAHON | ||||||||||||||
| V.P. HUMAN RESOURCES | $0 | $202,134 | $0 | $0 | $0 | $21,107 | $0 | $24,884 | $0 | $17,372 | $0 | $265,497 | $0 | $0 |
| ROBERT D PADGETT MD | ||||||||||||||
| PHYSICIAN | $248,400 | $0 | $10,256 | $0 | $787 | $0 | $889 | $0 | $15,833 | $0 | $276,165 | $0 | $0 | $0 |
| WAYNE A DIEWALD | ||||||||||||||
| FORMER CHIEF OPERATING OFFICER | $0 | $321,647 | $0 | $210,365 | $0 | $76,475 | $0 | $9,625 | $0 | $7,417 | $0 | $625,529 | $0 | $0 |
| FLORENCE L SPYROW | ||||||||||||||
| FORMER SENIOR VICE PRESIDENT | $0 | $168,360 | $0 | $10,000 | $0 | $240,118 | $0 | $27,408 | $0 | $1,118 | $0 | $447,004 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINES 4A-B | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY DURING THE CALENDAR YEAR 2014: WAYNE DIEWALD - $19,283, JOSEPH L. LOHMULLER - $60,069, AND FLORENCE L. SPYROW - $159,820. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2014 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: KENNETH R. CROKEN - $59,817, DOUGLAS P. CROPPER - $94,773, ROBERT W. FRIEDEN - $77,471, HEIDI S. KAHLY-MCMAHON - $20,611, MARK G. ROGERS - $31,271, FLORENCE L. SPYROW - $19,063. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUAL TO THE PLAN IN 2014. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2014 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED ORGANIZATION: JACQUELINE K. ANHALT - $39,599, KAREN BOLTON - $38,002, DOUGLAS P. CROPPER - $94,773, HEIDI S. KAHLY-MCMAHON - $20,611, GEORGE KOVACH - $30,000, MARK G. ROGERS - $31,271, FLORENCE L. SPYROW - $19,063, KEVIN YOUMANS - $38,376. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2014. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. |
| FORM 990, SCHEDULE J, PART I, LINE 3: | GENESIS MEDICAL CENTER, ALEDO RELIES ON GENESIS HEALTH SYSTEM (GHS IOWA) TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS, AND KEY EMPLOYEES. GHS IOWA UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE SUCH COMPENSATION. |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (3 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| EDWARD TED J ROGALSKI | |||
| SEE BELOW IN PART V | $150,056 | EDWARD (TED) J. ROGALSKI RECEIVES COMPENSATION FROM GENESIS MEDICAL CENTER, ALEDO AS AN ADMINISTRATOR OF THE ORGANIZATION. | 0 |
| GENVENTURES INC | |||
| SEE BELOW IN PART V | $78,306 | GENESIS MEDICAL CENTER, ALEDO PAID GENVENTURES, INC. FOR MEDICAL SUPPLIES AND LAUNDRY SERVICES. | 0 |
| HEALTH ENTERPRISES | |||
| SEE BELOW IN PART V | $86,650 | HEALTHCARE SUPPORT SERVICES - MRI SCANS | 0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, SCHEDULE L, PART IV, COLUMN B | DESCRIPTION OF RELATIONSHIP - EDWARD (TED) J. ROGALSKIEDWARD (TED) J. ROGALSKI IS THE SON OF EDWARD J. ROGALSKI, PH.D., DIRECTOR OF GENESIS MEDICAL CENTER, ALEDO. |
| FORM 990, SCHEDULE L, PART IV, COLUMN B | DESCRIPTION OF RELATIONSHIP - GENVENTURES, INC.MARK G. ROGERS AND ROGER J. HILL ARE OFFICERS AND JAMES W. KOEHLER IS A DIRECTOR OF GENESIS MEDICAL CENTER, ALEDO AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, MARK G. ROGERS, ROGER J. HILL, AND JAMES W. KOEHLER WERE OFFICERS OF GENVENTURES, INC. |
| FORM 990, SCHEDULE L, PART IV, COLUMN B | DOUGLAS P. CROPPER IS THE BOARD PRESIDENT/CEO OF GENESIS MEDICAL CENTER, ALEDO AND A DIRECTOR ON THE BOARD OF HEALTH ENTERPRISES. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| FORM 990, PART I, LINE 4 & PART VI, SECTION A, LINE 1B: | THE FOLLOWING GENESIS MEDICAL CENTER, ALEDO DIRECTORS ARE NOT INDEPENDENT DUE TO TRANSACTIONS DISCLOSED ON FORM 990, SCHEDULE L OF GENESIS HEALTH SYSTEM (GHS IOWA), A RELATED TAX-EXEMPT ORGANIZATION: PETER J. BENSON, GREGORY J. BUSH, EDMUND P. COYNE, JR., M.D., MARK C. KILMER, EDWIN V. MOTTO, M.D., EDWARD J. ROGALSKI, PH.D., AND C. DANA WATERMAN III. |
| FORM 990, PART VI, SECTION A, LINE 2 | EDWARD J. ROGALSKI, PH.D., A DIRECTOR OF GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO), HAS A FAMILY RELATIONSHIP WITH EDWARD (TED) J. ROGALSKI, GMC, ALEDO ADMINISTRATOR. |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO IS GENESIS HEALTH SYSTEM (GHS ILLINOIS), AN ILLINOIS NONPROFIT CORPORATION. |
| FORM 990, PART VI, SECTION A, LINE 7A | AS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO (CORPORATION), GENESIS HEALTH SYSTEM (GHS ILLINOIS) HAS THE POWER: 1) TO DETERMINE THE NUMBER OF DIRECTORS OF THE CORPORATION AND TO ELECT, APPOINT, REMOVE OR FILL THE VACANCIES OF THE BOARD MEMBERS; 2) TO PRESENT AT ANY REGULAR OR SPECIAL BOARD MEETING I) AMENDMENTS TO THE ARTICLES OF INCORPORATION OR BYLAWS, II) A PLAN OF MERGER OR CONSOLIDATION BY THE CORPORATION INTO OR WITH ANY OTHER CORPORATION, III) A PROPOSAL FOR ANY SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE CORPORATION'S ASSETS, AND III) A PROPOSAL FOR DISSOLUTION OF THE CORPORATION AND PLAN OF DISTRIBUTION; 3) TO ESTABLISH SYSTEM WIDE POLICIES AND PROCEDURES REGARDING QUALITY OF CARE, FINANCE, UTILIZATION OF RESOURCES, MANAGED CARE CONTRACTING, STRATEGIC PLANNING, AND EMPLOYEE BENEFITS; 4) TO ASSESS THE CORPORATION EXPENSES OF THE MEMBER ATTRIBUTABLE TO THE CORPORATION AND AFFILIATES AND TO ASSESS TO THE CORPORATION ITS SHARE OF GENERAL OVERHEAD OF THE MEMBER; AND 5) TO DIRECT THE CORPORATION TO TRANSFER FUNDS TO THE MEMBER FOR THE DEVELOPMENT OF SYSTEM WIDE PROJECTS. |
| FORM 990, PART VI, SECTION B, LINE 11 | INTERNAL MANAGEMENT REVIEW IS COMPLETED OF THE COMPILED INFORMATION PRIOR TO PREPARATION AND REVIEW BY RSM US LLP. FOLLOWING RSM US LLP'S PREPARATION AND REVIEW OF THE FORM 990, IT IS REVIEWED WITH THE ORGANIZATION'S VICE PRESIDENT, FINANCE/CFO; VICE PRESIDENT, LEGAL AFFAIRS; VICE PRESIDENT, HUMAN RESOURCES; AND CHIEF COMPLIANCE RISK OFFICER. THE FORM 990 IS THEN REVIEWED AT A JOINT MEETING OF THE ORGANIZATION'S FINANCE COMMITTEE AND AUDIT & COMPLIANCE COMMITTEE. PRIOR TO SUBMITTING THE FORM 990 TO THE IRS, IT IS E-MAILED TO THE ORGANIZATION'S BOARD OF DIRECTORS ONE WEEK IN ADVANCE OF A SCHEDULED MEETING. AT THE BOARD OF DIRECTORS MEETING, INTERNAL MANAGEMENT REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS. SUGGESTED CHANGES FROM ALL OF THESE REVIEWS ARE CONSIDERED FOR INCLUSION IN THE FINAL FORM 990 SUBMITTED TO THE IRS. |
| FORM 990, PART VI, SECTION B, LINE 12C | ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GMC, ALEDO, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT. |
| FORM 990, PART VI, SECTION B, LINE 15 | EACH EXECUTIVE POSITION IS EVALUATED USING A FORMAL EVALUATION PLAN THAT IS ESTABLISHED BY AN OUTSIDE CONSULTANT. AT THE PRESENT TIME, THE CONSULTANT USES A POINT SYSTEM FOR JOB EVALUATION. THE POINT VALUES ARE BASED ON "KNOW HOW", "PROBLEM SOLVING", "ACCOUNTABILITY", AND OTHER JOB ATTRIBUTES SPECIFIC TO THE POSITION. ONCE THE POINT VALUE IS SET FOR A POSITION, MARKET COMPARISONS FOR JOBS WITH THE SAME ORGANIZATIONAL IMPACT CAN BE COMPARED FOR SALARY PURPOSES AND ESTABLISH PAY RANGES. THE DESIGN OF THE PAY RANGES FOR EXECUTIVES IS BASED ON MARKET DATA. THE MIDPOINT OF EACH PAY RANGE IS ESTABLISHED AT THE 50TH PERCENTILE OF THE MARKET COMPARISONS. A MINIMUM AND MAXIMUM ARE ESTABLISHED OFF OF THE MIDPOINT. SPECIFIC PAY RATES FOR EXECUTIVES ARE SUBJECT TO CEO AND COMPENSATION COMMITTEE AND THE GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) BOARD OF DIRECTORS APPROVAL. PAY RANGES ARE REVIEWED EACH YEAR TO DETERMINE THE NEED FOR REVISION. WHEN MARKET CONDITIONS SUGGEST AN ADJUSTMENT TO PAY RANGES, DATA WILL BE PRESENTED TO THE COMPENSATION COMMITTEE FOR ITS REVIEW. THE SPECIFIC PAY RANGES ARE SUBJECT TO CEO, COMPENSATION COMMITTEE, AND GHS BOARD OF DIRECTOR APPROVAL. THE PRESIDENT AND CEO HAVE THE AUTHORITY AND RESPONSIBILITY TO ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE AND THE GMC, ALEDO BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GMC, ALEDO, AT APPROPRAITE TIMES. THE GMC, ALEDO BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GMC, ALEDO, AT APPROPRIATE TIMES. THE LAST TIME THIS PROCESS WAS FORMALLY UNDERTAKEN WAS NOVEMBER 2014. |
| FORM 990, PART VI, SECTION C, LINE 19 | THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. |
| FORM 990, PART VII, LINE 1A: | GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENVENTURES, INC., GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS MEDICAL CENTER, ALEDO. THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA. |
| FORM 990, PART XI, LINE 9: | CHANGE IN INTEREST OF NET ASSETS OF FOUNDATION 1,448,475. |
| FORM 990, PART XII, LINE 2C: | THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. |
| FORM 990, PART XI, LINE 9, CHANGES IN NET ASSETS: | INTEREST IN MERCER FOUNDATION FOR HEALTH WAS RECORDED DURING TAX YEAR 2014 AS A BALANCE SHEET ADJUSTMENT AND NOT AN OPERATING ITEM. THEREFORE, THE AMOUNT IS REPORTED AS AN OTHER CHANGE IN NET ASSETS. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| GENESIS ACCOUNTABLE CARE ORGANIZATION LLC | |||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 454168932 | ACCOUNTABLE CARE SERVICES | IA | -$369,102 | $404,425 | GENESIS HEALTH SYSTEM (GHS IOWA) |
| SPIN ECHO LLC | |||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421491373 | PROPERTY MANAGEMENT | IA | $105,316 | $1,605,416 | GENVENTURES INC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| GENESIS HEALTH SYSTEM (GHS ILLINOIS) | ||||||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363616314 | HEALTHCARE | IL | 501(C)(3) | LINE 3 | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
| GENESIS HEALTH SYSTEM (GHS IOWA) | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421418847 | HEALTHCARE | IA | 501(C)(3) | LINE 3 | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | Yes (1) |
| GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 391905171 | EMPLOYEE/BENEFIT/TRUST | IA | 501(C)(3) | LINE 11A, I | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
| DAVENPORT HOSPITAL AMBULANCE CORPORATION | ||||||||||
| 1204 E HIGH STREET | DAVENPORT | IA | 52803 | 421186903 | AMBULANCE TRANSFERS | IA | 501(C)(3) | LINE 11A, I | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
| GENESIS SENIOR LIVING ALEDO | ||||||||||
| 309 NW NINTH AVENUE | ALEDO | IL | 61231 | 454475803 | SENIOR LIVING SERVICES | IL | 501(C)(3) | LINE 3 | GENESIS HEALTH SYSTEM (GHS ILLINOIS) | Yes (1) |
| GENESIS HEALTH SERVICES FOUNDATION | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421421670 | CHARITY | IA | 501(C)(3) | LINE 7 | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
| GENESIS PHILANTHROPY | ||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 462452851 | CHARITY | IA | 501(C)(3) | LINE 11A, I | GENESIS HEALTH SYSTEM (GHS IOWA) | Yes (1) |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (6 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|
| GENGASTRO LLC | |||||||
| 2222 53RD AVENUE | BETTENDORF | IA | 52722 | 562315623 | AMBULATORY SURGERY CENTER | IA | N/A |
| SPRING PARK SURGERY CENTER LLC | |||||||
| 3319 SPRING STREET STE 202A | DAVENPORT | IA | 52807 | 421483989 | OUTPATIENT SURGICAL CENTER | IA | N/A |
| LARSON CENTER PARTNERSHIP LLC | |||||||
| 801 ILLINI DRIVE | SILVIS | IL | 61282 | 363738454 | PROPERTY MANAGEMENT | IL | N/A |
| GENORTHO LLC | |||||||
| 2300 53RD AVENUE | BETTENDORF | IA | 52722 | 203406994 | ORTHOPAEDIC SURGERY CENTER | IA | N/A |
| GENRAD IMAGING LLC | |||||||
| 1970 E 53RD STREET | DAVENPORT | IA | 52807 | 453571628 | DIAGNOSTIC IMAGING CENTER | IA | N/A |
| GENESIS ONCOLOGY CO - MANAGEMENT LLC | |||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 454456824 | ONCOLOGY PROGRAM MANAGEMENT | IA | N/A |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GENVENTURES INC | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421269171 | SUPPORT SERVICES/PROPERTY MANAGEMENT | IA | N/A | C | 0 | ||||
| GENESIS HEART INSTITUTE | |||||||||||||
| 1236 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 421504979 | HEALTHCARE MANAGEMENT | IA | N/A | C | 0 | ||||
| MISERICORDIA ASSURANCE COMPANY LTD | |||||||||||||
| 980457943 | OTHER FINANCIAL VEHICLE | N/A | C | 0 | PO BOX 1051 | GRAND CAYMAN | CJ | CJ | |||||
| MOB 1 OWNERS' ASSOCIATION | |||||||||||||
| 1227 E RUSHOLME STREET | DAVENPORT | IA | 52803 | 270865075 | PROPERTY MANAGEMENT | IA | N/A | C | 0 | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | 0 | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | 0 | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | Yes (1) | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | 0 | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (1) | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (6 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| GENESIS HEALTH SYSTEM (GHS ILLINOIS) | ||
| E | $4,287,947 | FAIR MARKET VALUE |
| GENESIS HEALTH SYSTEM (GHS IOWA) | ||
| L | $2,492,727 | FAIR MARKET VALUE |
| GENESIS HEALTH SYSTEM (GHS IOWA) | ||
| P | $21,629,855 | FAIR MARKET VALUE |
| GENVENTURES INC | ||
| P | $78,306 | FAIR MARKET VALUE |
| GENESIS SENIOR LIVING ALEDO | ||
| Q | $456,439 | FAIR MARKET VALUE |
| GENESIS HEALTH SYSTEM (GHS ILLINOIS) | ||
| R | $683,137 | FAIR MARKET VALUE |
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