GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2014

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
Tax period: 2014-01-01 to 2014-12-31
Filed: 2015-11-11
IRS object ID: 201503159349303315
Schema version: 2014v5.0
Source: Download XML · Original 990 at ProPublica

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

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

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2015-11-11T14:29:48-06:00	ReturnTs
Tax Period End	2014-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	381357951	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	PLANTE & MORAN PLLC	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	65 EAST STATE ST STE 600	AddressLine1Txt
City	COLUMBUS	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43215	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2014-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	311480941	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HEALTHCARE SYSTEM	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	GENE	BusinessNameControlTxt
Phone	7404545000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	PAUL MASTERSON	PersonNm
Person Title	CFO	PersonTitleTxt
Phone	7404545000	PhoneNum
Signature	2015-11-09	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	BERNIE OSTROWSKI	PreparerPersonNm
PTIN	P00366367	PTIN
Phone	6148493000	PhoneNum

Field	Value	IRS element (for citing)
Tax	2014	TaxYr
Build TS	2016-02-25 16:41:14Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	MATTHEW PERRY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$372,943,982	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Group Exemption	3727	GroupExemptionNum
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.GENESISHCS.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1997	FormationYr
Legal Domicile State	OH	LegalDomicileStateCd
Activity Or Mission	IN 1997, GOOD SAMARITAN MEDICAL CENTER AND BETHESDA HOSPITAL ASSOCIATION, A TAX-EXEMPT COMMUNITY HOSPITAL ALSO LOCATED IN ZANESVILLE, AFFILIATED TO FORM GENESIS HEALTHCARE SYSTEM. GENESIS HAS BEEN GRANTED 501C3 STATUS AS A HOSPITAL. ALL HOSPITAL OPERATIONS AND ASSETS OF GOOD SAMARITAN MEDICAL CENTER WERE TRANSFERRED TO GENESIS WITH THE EXCEPTION OF CERTAIN INVESTMENTS. GOOD SAMARITAN MEDICAL CENTER WILL CONTINUE TO HAVE CONTROL OVER CERTAIN INVESTMENTS WHICH ARE BEING USED BY THE GENESIS HEALTHCARE SYSTEM IN FULFILLING ITS TAX-EXEMPT PURPOSE.	ActivityOrMissionDesc
Voting Members Governing Body	16	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	3210	TotalEmployeeCnt
Total Volunteers	421	TotalVolunteersCnt
Total Gross UBI	$805,387	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$183,264	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$370,113	PYContributionsGrantsAmt
CY Contributions Grants	$430,648	CYContributionsGrantsAmt
PY Program Service Revenue	$338,078,219	PYProgramServiceRevenueAmt
CY Program Service Revenue	$351,432,224	CYProgramServiceRevenueAmt
PY Investment Income	$6,550,579	PYInvestmentIncomeAmt
CY Investment Income	$6,490,416	CYInvestmentIncomeAmt
PY Other Revenue	$14,167,794	PYOtherRevenueAmt
CY Other Revenue	$13,692,700	CYOtherRevenueAmt
PY Total Revenue	$359,166,705	PYTotalRevenueAmt
CY Total Revenue	$372,045,988	CYTotalRevenueAmt
PY Grants And Similar Paid	$110,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$40,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$156,097,798	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$156,741,016	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$183,236,127	PYOtherExpensesAmt
CY Other Expenses	$176,700,456	CYOtherExpensesAmt
PY Total Expenses	$339,443,925	PYTotalExpensesAmt
CY Total Expenses	$333,481,472	CYTotalExpensesAmt
PY Revenues Less Expenses	$19,722,780	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$38,564,516	CYRevenuesLessExpensesAmt
Total Assets BOY	$542,428,772	TotalAssetsBOYAmt
Total Assets EOY	$547,383,164	TotalAssetsEOYAmt
Total Liabilities BOY	$379,542,394	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$391,911,824	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$162,886,378	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$155,471,340	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	TO PROMOTE CHARITABLE SUPPORT FOR GENESIS HEALTHCARE SYSTEM AS WE SHARE ITS MISSION TO PROVIDE COMPASSIONATE, QUALITY HEALTHCARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$175,521,152	ExpenseAmt
Grant	$40,000	GrantAmt
Revenue	$141,696,674	RevenueAmt
Desc	GENESIS PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, PEDIATRIC AND CRITICAL CARE. THE MEDICAL/SURGICAL UNITS ARE STAFFED AT BOTH CAMPUSES FOR A COMBINED TOTAL OF 136 BEDS. TOTAL PATIENTS DISCHARGED FROM THESE UNITS IN 2014 WERE 7,838. OBSTETRICS STAFFS A TOTAL OF 24 BEDS AT THE BETHESDA CAMPUS AND DISCHARGED 1,551 PATIENTS FOR A TOTAL OF 1,527 BIRTHS. THE PEDIATRIC UNIT IS LOCATED AT THE BETHESDA CAMPUS WITH 4 BEDS AND HAD 277 DISCHARGES IN 2014. THERE ARE 21 CRITICAL CARE BEDS BETWEEN THE TWO CAMPUSES AND DISCHARGED 371 PATIENTS DURING THE YEAR AND 25 CARDIOVASCULAR BEDS IN A UNIT LOCATED ON THE GOOD SAMARITAN CAMPUS WITH 1,424 DISCHARGES IN 2014. THERE IS ALSO A CANCER UNIT ON THE GOOD SAMARITAN CAMPUS WITH 15 BEDS AND 834 DISCHARGES IN 2014 AND AN ORTHOPAEDIC UNIT WITH 6 BEDS AND 559 DISCHARGES IN 2014.GENESIS PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES ON BOTH CAMPUSES FOR INPATIENTS AND OUTPATIENTS. THESE SERVICES ARE COMPRISED OF LABORATORY, IMAGING SERVICES, CARDIAC, AND PHARMACY. LABORATORY SERVICES INCLUDE CHEMISTRY, PATHOLOGY, MICROBIOLOGY, HEMATOLOGY, AND CYTOLOGY FOR TOTAL VOLUMES IN 2014 OF 1,455,221. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, AND PET SCAN WITH TOTAL VOLUMES OF 166,300. PHARMACY PRESCRIPTIONS TOTALED 7,743,381.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$39,969,631	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$117,178,630	RevenueAmt
Desc	CARDIAC SERVICES - GENESIS PROVIDES CARDIAC, THORACIC, AND VASCULAR SERVICES INCLUDING AN OPEN-HEART SURGERY PROGRAM. THE MOST COMMON OPEN-HEART SURGERY PERFORMED AT GENESIS IS CORONARY ARTERY BYPASS GRAFTING. HOWEVER, OUR BOARD-CERTIFIED SURGEONS PERFORM SEVERAL HEART, LUNG AND VASCULAR SURGICAL PROCEDURES. GENESIS IS SOUTHEASTERN OHIO'S ONLY ACCREDITED CHEST PAIN CENTER ENCOMPASSING NOT ONLY SURGERY BUT ALSO INTERVENTIONAL CARDIOLOGY, ELECTROPHYSIOLOGY, DIAGNOSTIC SERVICES, AND HEART AND VASCULAR REHABILITATION. THE TOTAL NUMBER OF CARDIAC CASES TREATED IN 2014 WERE 2,609.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$18,005,901	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$52,787,747	RevenueAmt
Desc	RESPIRATORY SERVICES - GENESIS TREATS A LARGE VOLUME OF RESPIRATORY CASES ON INPATIENT BASIS. THIS INCLUDES PATIENTS WITH CHRONIC LUNG DISEASE AS WELL AS PNEUMONIA PATIENTS. THE TOTAL NUMBER OF INPATIENT RESPIRATORY CASES TREATED IN 2014 WERE 2,152.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)

ExpenseExpenseAmt	GrantGrantAmt	RevenueRevenueAmt	DescDesc
$15,437,855	$0	$45,259,030	ORTHOPEDIC SERVICES - THE GENESIS ORTHOPEDIC DEDICATED TEAM OFFERS SERVICES RANGING FROM DIAGNOSTIC IMAGING SERVICES TO TOTAL JOINT REPLACEMENT BY PROVIDING STELLAR SURGICAL PROCEDURES, PAIN MANAGEMENT, A PHYSICAL REHABILITATION PROGRAM AND SPORTS MEDICINE SERVICES. THE MOST COMMON ORTHOPEDIC SURGERIES PERFORMED AT GENESIS ARE HIP AND KNEE REPLACEMENTS, ARTHROSCOPIC SURGERY AND ACL SURGERY AS WELL AS ROTATOR CUFF AND CARPAL TUNNEL. IN 2014, A NEW ORTHOPEDIC PROGRAM WAS STARTED TO ENSURE EMERGENCY ORTHOPEDIC CARE IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. THE TOTAL NUMBER OF ORTHOPEDIC INPATIENT CASES TREATED IN 2014 WERE 1,160.GRANTS WERE PAID TO GENESIS HEALTHCARE FOUNDATION TO HELP FURTHER THE RELATED TAX-EXEMPT ORGANIZATION'S PURPOSE.
			IN 2014, THE NEW GENESIS BEHAVIORAL HEALTH CENTER OPENED BRINGING TOGETHER ALL GENESIS BEHAVIOR HEALTH SERVICES IN ONE LOCATION. THE PREMIER FACILITY IS THE ONLY COMPREHENSIVE BEHAVIORAL HEALTH CENTER IN SOUTHEASTERN OHIO AND OFFERS INPATIENT AND OUTPATIENT ADULT, ADOLESCENT, AND CHILD PSYCHIATRIC CARE; SUBSTANCE ABUSE SUPPORT AND RECOVERY PROGRAMS; PARTIAL HOSPITALIZATION; AND ANGER MANAGEMENT. INPATIENT & PARTIAL HOSPITALIZATION CARE IS PROVIDED IN THREE DISTINCT AREAS; A PRIVATE, SECURE ADULT UNIT; A CLOSED INTENSIVE PSYCHIATRIC UNIT, AND A PEDIATRIC/ ADOLESCENT UNIT. ALONG WITH PRIVATE ROOMS THE NEW CENTER PROVIDES OPEN, QUIET SPACES WITH NATURAL LIGHTING AND EXERCISE EQUIPMENT. THE GENESIS BEHAVIORAL HEALTH TEAM OF PSYCHIATRISTS, PSYCHOLOGISTS, CERTIFIED COUNSELORS, THERAPISTS, NURSES AND SUPPORT STAFF ARE HIGHLY TRAINED AND WORK CLOSELY WITH OTHER COMMUNITY BASED HEALTH AGENCIES TO COORDINATE SERVICES. MISCELLANEOUS PROGRAMS INCLUDE SUBSTANCE ABUSE, SUICIDE AND DATE VIOLENCE PREVENTION AND GRIEF COUNSELING TO AREA SCHOOLS AND CONDUCTING CLASSES ON DEALING WITH DIVORCE REQUIRED FOR FAMILIES GOING THROUGH THIS PROCESS BY THE MUSKINGUM COUNTY COURT SYSTEM. PEOPLE OF ALL AGES AND FROM 33 COUNTIES COME TO GENESIS FOR BEHAVIORAL HEALTH CARE. TOTAL INPATIENTS TREATED IN 2014 WERE 1,623.

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$15,437,855	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$45,259,030	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$248,934,539	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Temp Or Permanent Endowments	0	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	Yes (1)	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	0	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	318	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	3210	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	16	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	Yes (1)	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	0	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	OH	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	MARTI NASH	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	7404545000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2951 MAPLE AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (32 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
WALTER OFFINGER
VICE CHAIR	2.50	0.00	Yes (X)	Yes (X)	$0	$0	$0
JODY BALLAS
CHAIR	3.60	0.00	Yes (X)	Yes (X)	$0	$0	$0
JERRY NOLDER
TREASURER	3.20	0.00	Yes (X)	Yes (X)	$0	$0	$0
MARK MOYER
TRUSTEE	2.80	0.00	Yes (X)		$0	$0	$0
SR LAURA WOLF
EX-OFFICIO	2.70	0.20	Yes (X)		$0	$0	$0
RANDY COCHRANE
SECRETARY	2.10	0.40	Yes (X)	Yes (X)	$0	$0	$0
THOMAS DIEHL MD
TRUSTEE	3.10	36.90	Yes (X)		$0	$423,534	$21,096
ROBERT KESSLER
TRUSTEE	3.30	0.00	Yes (X)		$0	$0	$0
JAMES MCDONALD
EX-OFFICIO	2.70	0.40	Yes (X)		$0	$0	$0
ERIN WELCH
TRUSTEE	1.20	0.00	Yes (X)		$0	$0	$0
WALTER WIELKIEWICZ MD
TRUSTEE	1.60	38.40	Yes (X)		$0	$213,281	$35,137
MAX CROWN
TRUSTEE	1.20	0.00	Yes (X)		$0	$0	$0
SHANE BACKUS MD
TRUSTEE	2.10	0.00	Yes (X)		$0	$0	$0
JOHN DITTOE
TREASURER	1.60	0.00	Yes (X)		$0	$0	$0
SR MARY ANN NUGENT
TRUSTEE	1.60	0.20	Yes (X)		$0	$0	$0
WILLIAM SHADE MD
TRUSTEE	2.80	0.00	Yes (X)		$0	$0	$0
MATTHEW PERRY
PRESIDENT & CEO	37.70	2.30		Yes (X)	$642,047	$0	$95,667
PAUL MASTERSON
CHIEF FINANCIAL OFFICER	37.60	2.40		Yes (X)	$371,959	$0	$62,896
EDMOND ROMITO
CHIEF INFOR OFFICER	40.00	0.00			$281,478	$0	$116,170	Yes (X)
ALAN BURNS
CHIEF DEVELOPMENT OFFICER	39.90	0.10			$320,973	$0	$43,703	Yes (X)
REGINA PENNINGTON
CHIEF QUALITY OFFICER	39.90	0.10			$218,211	$0	$35,076	Yes (X)
DANIEL SCHEERER MD
CHIEF MEDICAL AFFAIRS OFFI	40.00	0.00			$381,132	$0	$207,175	Yes (X)
ABBY NGUYEN
DIRECTOR OF NURSING AND CL	39.50	0.50			$223,507	$0	$28,412	Yes (X)
DIANNA LEVECK
DIRECTOR OF HUMAN RESOURCE	40.00	0.00			$227,657	$0	$22,056	Yes (X)
WENDY CEDOZ
CHIEF LEGAL OFFICER	40.00	0.00			$221,654	$0	$23,672	Yes (X)
CHARLES ADAMS JR
DIRECTOR OF LEAN SIGMA	40.00	0.00			$154,741	$0	$16,546		Yes (X)
RAY RYMAN
CLINICAL PHARMACIST	40.00	0.00			$138,079	$0	$18,945		Yes (X)
GREGORY PETE HAMILTON
DIRECTOR OF PHARMACY SERVI	40.00	0.00			$136,534	$0	$28,554		Yes (X)
SHARON PARKER
DIRECTOR OF CANCER SERVICE	40.00	0.00			$147,964	$0	$18,618		Yes (X)
LES BOYER
DIRECTOR	40.00	0.00			$146,587	$0	$16,958		Yes (X)
RICHARD HELSPER
CHIEF OPER OFFICER	40.00	0.00			$233,572	$0	$1,166			Yes (X)
KAREN GREEN
FORMER EMPLOYEE	40.00	0.00			$138,930	$0	$4,358			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,985,025	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$636,815	TotReportableCompRltdOrgAmt
Total Other Compensation	$796,205	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	54	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 (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
DMK DEVELOPMENT GROUP LLC
9200 SHELBYVILLE ROAD	LOUISVILLE	KY	40222	REAL ESTATE DEVELOPERS	$4,526,092
ZANESVILLE ANESTHESIA PHYSICIANS INC
37 S SEVENTH ST	ZANESVILLE	OH	43701	MEDICAL SERVICES	$4,147,236
ADVIZEX TECHNOLOGIES LLC
860 BETHESDA DR	ZANESVILLE	OH	43701	MEDICAL SERVICES	$3,827,840
CARDIAC ANESTHESIA ASSOC
800 FOREST AVE	ZANESVILLE	OH	43701	MEDICAL SERVICES	$1,642,441
BRICKER & ECKLER LLP
500 CHIPETA WAY	SALT LAKE CITY	UT	84108	MEDICAL SERVICES	$950,428

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	45	CntrctRcvdGreaterThan100KCnt
Government Grants	$311,972	GovernmentGrantsAmt
All Other Contributions	$118,676	AllOtherContributionsAmt
Total Contributions	$430,648	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICES	621110	$350,764,778	$350,764,778
PASSTHROUGH INCOME	621110	$667,446	$667,446

Field	Value	IRS element (for citing)
Total Program Service Revenue	$351,432,224	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,705,886	TotalRevenueColumnAmt
Exclusion	$5,705,886	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$910,300	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$897,994	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$12,306	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,306	TotalRevenueColumnAmt
Related Or Exempt Func Income	$12,306	RelatedOrExemptFuncIncomeAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$784,530	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$0	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$784,530	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$784,530	TotalRevenueColumnAmt
Exclusion	$784,530	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA SALES	621110	$3,227,709	$98,260	$3,129,449
EHR TECHNOLOGY INCOME	621110	$2,065,998			$2,065,998
OCCUPATIONAL HEALTH	621110	$1,460,701			$1,460,701

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,925,986	TotalRevenueColumnAmt
Related Or Exempt Func Income	$1,950,852	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$707,127	UnrelatedBusinessRevenueAmt
Exclusion	$4,268,007	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$13,680,394	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$372,045,988	TotalRevenueColumnAmt
Related Or Exempt Func Income	$356,922,081	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$805,387	UnrelatedBusinessRevenueAmt
Exclusion	$13,887,872	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$40,000	TotalAmt
Program Services	$40,000	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$117,474,357	TotalAmt
Program Services	$81,466,650	ProgramServicesAmt
Management And General	$36,007,707	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$5,859,979	TotalAmt
Program Services	$4,063,805	ProgramServicesAmt
Management And General	$1,796,174	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$24,983,347	TotalAmt
Program Services	$17,325,565	ProgramServicesAmt
Management And General	$7,657,782	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,423,333	TotalAmt
Program Services	$5,841,451	ProgramServicesAmt
Management And General	$2,581,882	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,921,688	TotalAmt
Program Services	$1,428,458	ProgramServicesAmt
Management And General	$493,230	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$991,111	TotalAmt
Program Services	$200	ProgramServicesAmt
Management And General	$990,911	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$487,858	TotalAmt
Management And General	$487,858	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$29,077,359	TotalAmt
Program Services	$14,638,655	ProgramServicesAmt
Management And General	$14,438,704	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$192,342	TotalAmt
Program Services	$192,342	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$11,262,737	TotalAmt
Program Services	$5,095,647	ProgramServicesAmt
Management And General	$6,167,090	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$6,741,831	TotalAmt
Program Services	$1,082,594	ProgramServicesAmt
Management And General	$5,659,237	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$5,171,248	TotalAmt
Program Services	$3,454,394	ProgramServicesAmt
Management And General	$1,716,854	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$762,243	TotalAmt
Program Services	$254,443	ProgramServicesAmt
Management And General	$507,800	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,456,134	TotalAmt
Program Services	$2,456,134	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$22,146,644	TotalAmt
Program Services	$20,005,846	ProgramServicesAmt
Management And General	$2,140,798	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	-$1,053,727	TotalAmt
Program Services	-$1,073,946	ProgramServicesAmt
Management And General	$20,219	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt
MEDICAL SUPPLIES	$64,871,402	$64,871,402
BAD DEBT EXPENSE	$19,112,330	$19,112,330
PHYSICIAN RECRUITMENT	$2,828,946	$2,828,946
LAB REFERENCE FEES	$1,299,092	$1,299,092

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,431,218	TotalAmt
Program Services	$4,550,531	ProgramServicesAmt
Management And General	$3,880,687	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$333,481,472	TotalAmt
Program Services	$248,934,539	ProgramServicesAmt
Management And General	$84,546,933	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$6,647,860	BOYAmt
EOY	$5,078,691	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$5,111,085	BOYAmt
EOY	$19,706,108	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$856,733	BOYAmt
EOY	$12,083	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$59,913,257	BOYAmt
EOY	$64,611,351	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$5,138,075	BOYAmt
EOY	$5,570,466	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$10,874,232	BOYAmt
EOY	$6,574,865	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$495,485,727	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$228,514,714	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$145,724,442	BOYAmt
EOY	$266,971,013	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$78,459,192	BOYAmt
EOY	$75,979,914	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$13,443,621	BOYAmt
EOY	$10,007,852	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,703,129	BOYAmt
EOY	$6,109,176	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$214,557,146	BOYAmt
EOY	$86,761,645	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$542,428,772	BOYAmt
EOY	$547,383,164	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$42,006,589	BOYAmt
EOY	$45,571,099	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$6,865,423	BOYAmt
EOY	$6,027,933	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$301,754,826	BOYAmt
EOY	$301,145,952	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$28,915,556	BOYAmt
EOY	$39,166,840	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$379,542,394	BOYAmt
EOY	$391,911,824	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$162,886,378	BOYAmt
EOY	$155,471,340	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$162,886,378	BOYAmt
EOY	$155,471,340	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$542,428,772	BOYAmt
EOY	$547,383,164	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$38,564,516	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,921,756	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$44,057,798	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

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

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

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

Contributor US Address ContributorUSAddress

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

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

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$161,182	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$26,596	OtherActivitiesAmt
Total Lobbying Expenditures	$187,778	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	GENESIS HEALTHCARE SYSTEM PAYS MEMBERSHIP DUES TO THE FOLLOWING ORGANIZATIONS. A PORTION OF THE DUES ARE RELATED TO LOBBYING ACTIVITIES. FSCC HEALTHCARE MINISTRY (FOR CHA): 2.98% OF $15,196 ($453) CATHOLIC CONFERENCE OF OHIO: 3.4% OF $2,060 ($70) OHIO HOSPITAL ASSOCIATION - FSCC SHARE (OHA): 3.4% OF $72,437 ($2,463) AMERICAN HOSPITAL ASSOCIATION - FSCC SHARE (AHA): 22.8% OF $52,087 ($11,876) AMERICAN ACADEMY OF SLEEP MEDICINE (AASM): 2.0% OF $1,350 ($27) AMERICAN COLLEGE OF RADIATION ONCOLOGY (ACRO): 2.0% OF $530 ($11) AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION (AHIMA): 5.0% OF $710 ($36) AMERICAN HOSPITAL ASSOCIATION (AHA): 22.8% OF $400 ($91) AMERICAN ORGANIZATION OF NURSE EXECUTIVE (AONE): 10.0% OF $220 ($22) ASSOCIATION OF COMMUNITY CANCER CENTERS (ACCC): 3.0% OF $1,150 ($35) CLINICAL LABORATORY MANAGEMENT ASSOCIATION (CLMA): 15.0% OF $195 ($29) HEALTHCARE INFORMATION & MANAGEMENT SYSTEMS SOCIETY (HIMSS): 4.01% OF $3,175 ($127) MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA): 20.0% OF $1,140 ($228) NATIONAL QUALITY FORUM: 7.71% OF $3,938 ($304) SOCIETY OF DIAGNOSTIC MEDICAL SONOGRAPHY (SDMS): 12.5% OF $160 ($20) SOCIETY FOR HUMAN RESOURCE MANAGEMENT (SHRM): 6.0% OF $190 ($11) SOCIETY OF THORACIC SURGEONS (STS): 20.0% OF $3,200 ($640) SOCIETY OF VASCULAR ULTRASOUND (SVU): 20.0% OF $290 ($58) TRAUMA CENTER ASSOCIATION OF AMERICA (TCAA): 29.0% OF $2,000 ($580) ZANESVILLE - MUSKINGUM CO. CHAMBER OF COMMERCE: 10.0% OF $4,500 ($450) ZANESVILLE - MUSKINGUM CO. CHAMBER OF COMMERCE: 10.0% OF $2,083 ($208) COALITION TO PROTECT AMERICA'S HEALTH CARE (FSCC SHARE): 100.0% OF $8,000 ($8,000) NATIONAL HOSPICE AND PALLIATIVE CARE ORGANIZATION (NHPCO): 6.5% OF $6,498 ($422) OHIO HOSPICE AND PALLIATIVE CARE ORGANIZATION DBA MIDWEST CARE ALLIANCE: 6.7% OF 6,500 ($436) GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $161,182 IN 2014 FOR SERVICES RELATED TO GOVERNMENT RELATIONS INCLUDING OUTREACH AND ADVOCACY PRIMARILY AT THE STATE AND LOCAL LEVELS. ISSUES AT THE LOCAL LEVEL INCLUDED WORKING WITH CITY OFFICIALS REGARDING THE HOSPITAL CONSOLIDATION PROJECT AND PASSAGE OF A CITY ORDINANCE FOR WATER TAP FEES AND TRANSPORTATION INGRESS AND EGRESS FOR PATIENTS, FAMILIES, AND THE PUBLIC RELATED TO A SECOND ENTRANCE TO THE BETHESDA CAMPUS. STATE ISSUES INCLUDED MAINTAINING MEDICAID EXPANSION, TRANSPORTATION FUNDING AND MONITORING OF GENERAL HEALTHCARE RELATED ISSUES. FEDERALLY, THE ORGANIZATION WORKED PRIMARILY THROUGH NATIONAL HEALTHCARE ASSOCIATIONS IN WHICH IT MAINTAINED MEMBERSHIP AND COMMUNICATED WITH LOCAL CONGRESSIONAL DELEGATION REGARDING ISSUES OF PHARMACEUTICAL ACCESS FOR INDIGENT PATIENTS (340B PROGRAM) RAC AUDIT, APPEAL DELAYS AND SGR REFORM (DOC FIX).	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$7,904,309	OtherCostOrOtherBasisAmt
Book Value	$7,904,309	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$53,290,265	OtherCostOrOtherBasisAmt
Depreciation	$45,848,356	DepreciationAmt
Book Value	$7,441,909	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,088,831	OtherCostOrOtherBasisAmt
Depreciation	$1,756,652	DepreciationAmt
Book Value	$2,332,179	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$426,407,737	OtherCostOrOtherBasisAmt
Depreciation	$177,531,379	DepreciationAmt
Book Value	$248,876,358	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,794,585	OtherCostOrOtherBasisAmt
Depreciation	$3,378,327	DepreciationAmt
Book Value	$416,258	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$266,971,013	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt
UNAMORTIZED BOND ISSUE COSTS	$4,640,368
INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS	$4,352,134
ASSETS LIMITED AS TO USE	$77,769,143

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$86,761,645	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
ACCRUED MINIMUM PENSION LIABILITY	$37,759,145
ACCRUED PROFESSIONAL LIABILITY	$1,407,695

Field	Value	IRS element (for citing)
Total Liability	$39,166,840	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAX AUTHORITIES. MANAGEMENT HAS ANAYLZED THE TAX POSITIONS TAKEN BY THE SYSTEM AND HAS CONCLUDED THAT AS OF DECEMBER 31, 2014 AND 2013, THERE ARE NO UNCERTAIN POSITIONS TAKEN OR EXPECTED TO BE TAKEN THAT WOULD REQUIRE RECOGNITION OF A LIABILITY OR DISCLOSURE IN THE FINANCIAL STATEMENTS. THE SYSTEM IS SUBJECT TO ROUTINE AUDITS BY TAXING JURISDICTIONS; HOWEVER THERE ARE CURRENLTY NO AUDITS FOR ANY TAX PERIODS IN PROGRESS. MANAGEMENT BELIEVES THAT IT IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO FISCAL YEAR 2011.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd
Percent100	Yes (X)	Percent100Ind
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd
Percent300	Yes (X)	Percent300Ind
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	0	ExpensesExceedBudgetInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$8,994,987	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,626,077	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$368,910	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$71,196,349	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$55,979,324	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,217,025	NetCommunityBenefitExpnsAmt
Total Expense	0.04840	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$80,191,336	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$64,605,401	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$15,585,935	NetCommunityBenefitExpnsAmt
Total Expense	0.04960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	10	ActivitiesOrProgramsCnt
Persons Served	22561	PersonsServedCnt
Total Community Benefit Expns	$826,970	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$29,142	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$797,828	NetCommunityBenefitExpnsAmt
Total Expense	0.00250	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	178	PersonsServedCnt
Total Community Benefit Expns	$14,306	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$14,306	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$952,337	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$847,243	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$105,094	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	0	ActivitiesOrProgramsCnt
Persons Served	0	PersonsServedCnt
Total Community Benefit Expns	$0	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	22739	PersonsServedCnt
Total Community Benefit Expns	$1,793,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$876,385	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$917,228	NetCommunityBenefitExpnsAmt
Total Expense	0.00280	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	22739	PersonsServedCnt
Total Community Benefit Expns	$81,984,949	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$65,481,786	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,503,163	NetCommunityBenefitExpnsAmt
Total Expense	0.05240	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$19,112,330	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,022,132	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$95,468,273	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$93,852,694	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$1,615,579	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
GOOD SAMARITAN HOSPITAL
1	800 FOREST AVE	ZANESVILLE	OH	43701	Yes (X)	Yes (X)	Yes (X)	ACUTE CARE HOSPITAL
BETHESDA HOSPITAL
2	2951 MAPLE AVE	ZANESVILLE	OH	43701	Yes (X)	Yes (X)	Yes (X)	ACUTE CARE HOSPITAL

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Information GapsInformationGapsInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Strategy AttachedStrategyAttachedInd	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Residency CriteriaResidencyCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Notice DisplayedFAPNoticeDisplayedInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	FAP Notified All PatientsFAPNotifiedAllPatientsInd	Documented Elig DeterminationDocumentedEligDeterminationInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Other Method UsedOtherMethodUsedInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
GOOD SAMARITAN HOSPITAL
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	HTTP://WWW.GENESISHCS.ORG	Yes (1)	13	Yes (1)	HTTP://WWW.GENESISHCS.ORG/ABOUT-US/NOT-FOR-PROFIT-STATUS/COMMUNITY-HEALTH-N	0	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
BETHESDA HOSPITAL
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	13	Yes (1)	Yes (1)	0	Yes (1)	Yes (X)	HTTP://WWW.GENESISHCS.ORG	Yes (1)	13	Yes (1)	HTTP://WWW.GENESISHCS.ORG/ABOUT-US/NOT-FOR-PROFIT-STATUS/COMMUNITY-HEALTH-N	0	0	Yes (1)	Yes (X)	100.000000000000	300.000000000000	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 11: DURING 2014, THE GOOD SAMARITAN HOSPITAL MADE SIGNIFICANT PROGRESS IN MEETING THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2013 CHNA. OF THE 13 NEEDS IDENTIFIED, CARDIAC DISEASE, SUBSTANCE ABUSE, TOBACCO USE, AND OBESITY RATE RANKED THE HIGHEST. TO ADDRESS THESE NEEDS, AN INCREASED NUMBER OF CARDIOVASCULAR SCREENING EVENTS AND COMMUNITY BASED EDUCATION PROJECTS WERE PERFORMED AND AED EQUIPMENT AND TRAINING DONATED. BEHAVIORAL HEALTH STAFF WORKED WITH VARIOUS AREA COALITIONS TO REDUCE SUBSTANCE ABUSE AND A GRANT FOR A RESIDENTIAL FACILITY FOR SUBSTANCE ABUSE RECOVERY FOR MEN WAS OBTAINED. A TOBACCO TASK FORCE THAT INCLUDES THE ZANESVILLE MUSKINGUM COUNTY HEALTH DEPARTMENT WAS DEVELOPED ALONG WITH TASK FORCE SUBGROUPS, THE TOBACCO FREE CAMPUS AND INPATIENT TOBACCO USE. A GENESIS TOBACCO TREATMENT PROGRAM OPENED JULY 1, 2014 TO THE ENTIRE COMMUNITY. GENESIS ALSO JOINED FORCES WITH THE HEALTH DEPARTMENT TO CREATE AN OBESITY TASK FORCE AND PROVIDED PROGRAMS TO THE COMMUNITY SUCH AS SHAPING FUTURES, FOCUSED ON ENGAGING YOUTH AND GRIP (GENESIS RISK INTERVENTION PROGRAM) WHICH FOCUSES ON HEALTHY LIFESTYLE CHANGES THROUGH DIET AND EXERCISE, AS WELL AS CONTRIBUTING TO THE CARE AND MAINTENANCE OF A COMMUNITY GARDEN THROUGH BOTH FINANCIAL ASSISTANCE AND PERSONNEL TIME.PROGRESS WAS ALSO REPORTED IN MEETING THE OTHER NEEDS IDENTIFIED IN THE ASSESSMENT EXCEPT FOR THAT RELATED TO SEPTICEMIA. THE PROJECT TO CARRYOUT THE IMPLEMENTATION STRATEGY FOR THIS HEALTH NEED WAS TEMPORARILY PLACED ON HOLD UNTIL A PHYSICIAN CHAMPION COULD BE IDENTIFIED.
BETHESDA HOSPITAL	PART V, SECTION B, LINE 11: DURING 2014, BETHESDA HOSPITAL MADE SIGNIFICANT PROGRESS IN MEETING THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2013 CHNA. OF THE 13 NEEDS IDENTIFIED, CARDIAC DISEASE, SUBSTANCE ABUSE, TOBACCO USE, AND OBESITY RATE RANKED THE HIGHEST. TO ADDRESS THESE NEEDS, AN INCREASED NUMBER OF CARDIOVASCULAR SCREENING EVENTS AND COMMUNITY BASED EDUCATION PROJECTS WERE PERFORMED AND AED EQUIPMENT AND TRAINING DONATED. BEHAVIORAL HEALTH STAFF WORKED WITH VARIOUS AREA COALITIONS TO REDUCE SUBSTANCE ABUSE AND A GRANT FOR A RESIDENTIAL FACILITY FOR SUBSTANCE ABUSE RECOVERY FOR MEN WAS OBTAINED. A TOBACCO TASK FORCE THAT INCLUDES THE ZANESVILLE MUSKINGUM COUNTY HEALTH DEPARTMENT WAS DEVELOPED ALONG WITH TASK FORCE SUBGROUPS, THE TOBACCO FREE CAMPUS AND INPATIENT TOBACCO USE. A GENESIS TOBACCO TREATMENT PROGRAM OPENED JULY 1, 2014 TO THE ENTIRE COMMUNITY. GENESIS ALSO JOINED FORCES WITH THE HEALTH DEPARTMENT TO CREATE AN OBESITY TASK FORCE AND PROVIDED PROGRAMS TO THE COMMUNITY SUCH AS SHAPING FUTURES, FOCUSED ON ENGAGING YOUTH AND GRIP (GENESIS RISK INTERVENTION PROGRAM) WHICH FOCUSES ON HEALTHY LIFESTYLE CHANGES THROUGH DIET AND EXERCISE, AS WELL AS CONTRIBUTING TO THE CARE AND MAINTENANCE OF A COMMUNITY GARDEN THROUGH BOTH FINANCIAL ASSISTANCE AND PERSONNEL TIME.PROGRESS WAS ALSO REPORTED IN MEETING THE OTHER NEEDS IDENTIFIED IN THE ASSESSMENT EXCEPT FOR THAT RELATED TO SEPTICEMIA. THE PROJECT TO CARRYOUT THE IMPLEMENTATION STRATEGY FOR THIS HEALTH NEED WAS TEMPORARILY PLACED ON HOLD UNTIL A PHYSICIAN CHAMPION COULD BE IDENTIFIED.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 22D: FAP PATIENTS ARE PROVIDED A MINIMUM DISCOUNT OF 40%. THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.
BETHESDA HOSPITAL	PART V, SECTION B, LINE 22D: FAP PATIENTS ARE PROVIDED A MINIMUM DISCOUNT OF 40%. THE MAXIMUM AMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE ARE THE AMOUNTS GENERALLY BILLED TO INDIVIDUALS WHO HAVE INSURANCE COVERING SUCH CARE.
PART V, SECTION B, LINE 16	FINANCIAL ASSISTANCE POLICY WEBSITE AVAILABILITY
GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.GENESISHCS.ORG/PATIENTS-VISITORS/YOUR-GENESIS-BILL/
BETHESDA HOSPITAL PART V, SECTION B, LINE 16B WEBSITE:	HTTP://WWW.GENESISHCS.ORG/PATIENTS-VISITORS/YOUR-GENESIS-BILL/

Field	Value	IRS element (for citing)
Facility	9	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
HOSPICE & PALLIATIVE CARE
713 FOREST AVENUE	ZANESVILLE	OH	43701	HOSPICE & PALLIATIVE CARE CENTER
RADIATION ONCOLOGY
817 FOREST AVENUE	ZANESVILLE	OH	43701	OUTPATIENT RADIATION TREATMENT CENTER
CTR FOR OUTPATIENT & OCCUPATIONAL REHAB
740 ADAIR AVENUE	ZANESVILLE	OH	43701	OUTPATIENT REHAB SERVICES
HEALTHPLEX
2800 MAPLE AVENUE	ZANESVILLE	OH	43701	OUTPATIENT LAB/IMAGING/URGENT CARE; COMPLIMENTARY MEDICINE; PEDIATRIC REHAB
BETHESDA PHYSICIAN'S PAVILION
945 BETHESDA DRIVE	ZANESVILLE	OH	43701	OUTPATIENT CARDIAC REHAB SERVICES; WOUND CARE CENTER
GENESIS BEHAVIORAL HEALTH
2991 MAPLE AVENUE	ZANESVILLE	OH	43701	MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT
GENESIS INTERVENTIONAL PAIN MGT CLINIC
2945 MAPLE AVENUE	ZANESVILLE	OH	43701	PAIN MEDICINE SPECIALIZATION;IMAGING TECHNIQUES;SOLUTIONS TO PAIN MANAGEMENT
GENESIS SLEEP DISORDERS CENTER
840 BETHESDA DRIVE	ZANESVILLE	OH	43701	DIAGNOSIS AND TREATMENT OF SLEEP DISORDERS
GENESIS RHEUMATOLOGY CARE CENTER
2525 MAPLE AVENUE	ZANESVILLE	OH	43701	EDUCATION AND OUTPATIENT RHEUMATOLOGY SERVICES

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 7:	COSTS OF CHARITY CARE AND COMMUNITY BENEFIT ACTIVITIES WERE CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7, COLUMN (F): PERCENTAGE OF TOTAL EXPENSES WAS CALCULATED BASED ON TOTAL EXPENSES LESS BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX.
PART I, LINE 7, COLUMN (F):	THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 19,112,330.
PART II, COMMUNITY BUILDING ACTIVITIES:	GENESIS HAS AN ACTIVE PRESENCE ON MANY COMMITTEES INVOLVED IN FINDING LOW COST SOLUTIONS TO PHYSICAL AND MENTAL HEALTH ISSUES PREVALENT IN OUR COMMUNITIES, WITH PARTICULAR FOCUS ON SERVING LOW-INCOME, UNINSURED OR OTHERWISE UNDERSERVED. GENESIS NURSES, THERAPISTS, DIABETES COUNSELORS, ADMINISTRATORS AND OTHER PROFESSIONALS PARTICIPATE IN COMMUNITY COALITIONS AND PREVENTION PROGRAMS, PRIMARILY WITH A FOCUS ON DIABETES, DOMESTIC VIOLENCE, FAMILY SERVICES AND WELLNESS INITIATIVES.
PART III, LINE 4:	THE AMOUNT OF BAD DEBT ATTRIBUTABLE TO CHARITY CARE WAS ESTIMATED BASED UPON BAD DEBT A/R RECLASSIFIED IN 2014 TO CHARITY WITH DISCHARGE DATES OF 2013 AND PRIOR. BAD DEBT COST IS CALCULATED USING GROSS CHARGES. THE FINANCIAL STATEMENT FOOTNOTE RELATED TO BAD DEBT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOOTNOTE 1 "NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES" GROUPED WITH ACCOUNTS RECEIVABLE ON PAGE 8.
PART III, LINE 8:	CALCULATION WAS BASED ON THE MEDICARE COST TO CHARGE RATIO.
PART III, LINE 9B:	SELF-PAY ACCOUNTS RECEIVE ONE STATEMENT BEFORE GOING TO PRE-COLLECTION (APPROXIMATELY 30 DAYS). ALL ACCOUNTS ARE ELECTRONICALLY SCREENED FOR FAP ONCE AT PRE-COLLECT STATUS AND ADJUSTMENTS ARE POSTED ELECTRONICALLY BACK IN EPIC. ACCOUNTS STAY IN PRE-COLLECT FOR 90 DAYS UNLESS ACCOUNT HAS BEEN PAID OR REGULAR PAYMENT ARRANGEMENTS ARE ESTABLISHED. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 120 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. EACH OF THE COLLECTION AGENCIES IS INSTRUCTED TO MAKE PHONE CALLS AND SEND LETTERS. IF THEY CANNOT RESOLVE THE BALANCE, OR HAVE NOT BEEN ABLE TO MAKE PAYMENT ARRANGEMENTS, IT IS SENT BACK TO GENESIS AS NON-COLLECTIBLE IN 180 DAYS.COLLECTION PRACTICES DO NOT APPLY TO ACCOUNT BALANCES KNOWN TO QUALIFY FOR CHARITY.
PART VI, LINE 2:	GENESIS HEALTHCARE SYSTEM, AS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, IS DEDICATED TO MEETING THE HEALTH NEEDS OF OUR COMMUNITIES, REGARDLESS OF ONE'S ABILITY TO PAY. WE ENCOURAGE AND SUPPORT COLLABORATION WITH OTHER COMMUNITY PARTNERS TO IDENTIFY, RESPOND TO AND STRIVE TO IMPROVE THE HEALTH-RELATED NEEDS OF THE POOR, THE UNDERSERVED, AND THE COMMUNITY AT LARGE. WE PLEDGE ALL AVAILABLE FINANCIAL RESOURCES - AFTER OUR OPERATING EXPENSES ARE MET - TO RESPOND TO THE COMMUNITY'S HEALTH NEEDS WITH SERVICE INITIATIVES, FINANCIAL AND PROFESSIONAL SUPPORT, AND EDUCATION AND WELLNESS PROGRAMS.THE COMMUNITY BENEFIT COMMITTEE COLLABORATES WITH GENESIS ADMINISTRATION AND DEPARTMENTS AND WITH COMMUNITY AGENCIES IN OUR DEFINED GEOGRAPHIC MARKET, INCLUDING BUT NOT LIMITED TO THE PUBLIC HEALTH DEPARTMENT, MUSKINGUM VALLEY HEALTH CENTERS, AND THE UNITED WAY, TO ASSESS COMMUNITY HEALTH NEEDS AND STRENGTHS; DEVELOP A COMMUNITY BENEFIT PLAN WITH STRATEGIC GOALS AND INTERVENTIONS; MONITOR IMPLEMENTATION OF COMMUNITY BENEFIT ACTIVITIES; EVALUATE COMMUNITY BENEFIT ACTIVITIES; ADVOCATE FOR THE COMMUNITY BENEFIT PROGRAMS; AND ASSIST IN TELLING THE GENESIS COMMUNITY BENEFIT STORY.
PART VI, LINE 3:	GENESIS HAS SIGNAGE STRATEGICALLY LOCATED IN THE FACILITY (REGISTRATION AREAS AND CASHIER AREAS) ADVISING OF FREE CARE. BILLING STATEMENTS ALSO CONTAIN THIS INFORMATION ALONG WITH A CHARITY CARE APPLICATION PRINTED ON THE REVERSE SIDE OF THE BILL. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. WE HAVE RESOURCE COUNSELORS THAT WORK IN THE EMERGENCY DEPARTMENT TO SCREEN PATIENTS FOR CHARITY ASSISTANCE AND LOOK FOR POTENTIAL MEDICAID QUALIFIERS. FOR INPATIENTS, WE ALSO HAVE A THIRD PARTY THAT SCREENS SELF-PAYS, UNDERINSURED AND MEDICARE ONLY PATIENTS FOR MEDICAID AND/OR CHARITY.
PART VI, LINE 4:	OUR GEOGRAPHIC MARKET AREA IS A SIX-COUNTY RURAL REGION OF SOUTHEAST OHIO, INCLUDING MUSKINGUM, MORGAN, PERRY, COSHOCTON, GUERNSEY AND NOBLE COUNTIES. TOTAL MARKET AREA POPULATION IS APPROXIMATELY 227,000, WITH MUSKINGUM COUNTY (85,000) REPRESENTING THE LARGEST COUNTY. MEDIAN HOUSEHOLD INCOME LEVELS RANGE FROM $7,000 TO $10,500 LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME AND $11,500 TO $15,000 LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME. PEOPLE LIVING BELOW POVERTY LEVEL RANGES FROM 15.2% TO 20.3% IN THE REGION VERSUS 15.8% FOR STATE AND 15.4% FOR NATION.
PART VI, LINE 5:	ONGOING COMMUNITY HEALTH EDUCATION IS PROVIDED THROUGH REGULARLY SCHEDULED HEALTH AND WELLNESS PROGRAMS PRESENTED BY GENESIS STAFF AND AFFILIATED PHYSICIANS. PREVENTATIVE HEALTH SCREENINGS ARE ALSO ROUTINELY SCHEDULED. INDIVIDUALS AT RISK ARE ENCOURAGED TO SEE A PHYSICIAN AND PROVIDED ASSISTANCE WITH PHYSICIAN ACCESS AS NEEDED. PROGRAM TOPICS ARE BASED ON COMMUNITY NEED AS DETERMINED BY FEEDBACK FROM PARTICIPANTS, A COMMUNITY ADVISORY GROUP AND INTERNAL CLINICAL GROUP. GENESIS ALSO REGULARLY PROVIDES HEALTH AND WELLNESS EDUCATION THROUGH COMMUNITY-BASED HEALTH FAIRS HELD THROUGHOUT THE COMMUNITY.
PART VI, LINE 6:	THE GENESIS ORGANIZATION AND IT'S AFFILIATES ARE REACHING OUT TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH VARIOUS PROGRAMS, MANY BASED ON PREVENTION. THESE FREE PROGRAMS INCLUDE FALL-RISK ASSESSMENTS, THINKFIRST INJURY PREVENTION FOR CHILDREN AND YOUNG ADULTS, AND IMPACT (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING). AS A PART OF THESE PROGRAMS, GENESIS COMMUNITY AMBULANCE SERVICE (CAS) PARTICIPATES IN PRESENTATIONS THAT SIMULATE DISTRACTED DRIVING ACCIDENTS TO SCHOOLS AND ORGANIZATIONS. CAS ALSO PROMOTES THE WELL-BEING OF THE COMMUNITY THROUGH STANDBYS AT LOCAL EVENTS, PARAMEDIC ASSIST, AMBULANCE TOURS AND EFFORTS TO INCREASE PUBLIC AWARENESS OF EMERGENCY MEDICAL SERVICE AND 9-1-1 BEFORE AN EMERGENCY OCCURS. IN ADDITION, GENESIS PROVIDES NUMEROUS HEALTH SCREENINGS THROUGH OUR AFFILIATED PHARMACIES, PARTICIPATES IN COMMUNITY-BASED HEALTH FAIRS, OFFERS REGULAR EDUCATION PROGRAMS ON A VARIETY OF HEALTH TOPICS, AND COOPERATES WITH OUR IN-HOME CARE AFFILIATES TO GENERATEA BETTER QUALITY OF LIFE FOR AREA RESIDENTS WHO MAY OTHERWISE REQUIRE NURSING HOME CARE.SYSTEM MEMBER ORGANIZATIONS ROUTINELY PARTICIPATE WITH THE HOSPITAL IN PROVIDING HEALTH AND WELLNESS PROGRAMS AND SCREENINGS. SPECIFICALLY, THE RETAIL PHARMACY OFFERS ONGOING SCREENINGS THROUGH A WELL-ESTABLISHED WELLNESS PROGRAM AND SERVES AS THE HOSPITAL'S SCREENING PARTNER FOR COMMUNITY-BASED INITIATIVES.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	UNITED WAY OF MPM COUNTIES	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	526 PUTNAM AVENUE	AddressLine1Txt
City	ZANESVILLE	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	43701	ZIPCd

Field	Value	IRS element (for citing)
Recipient EIN	314379456	RecipientEIN
IRC Section	501(C)(3)	IRCSectionDesc
Cash Grant	$40,000	CashGrantAmt
Purpose Of Grant	GRANTS WERE PAID TO ASSIST IN COMMUNITY IMPACTGRANTS WERE PAID TO ASSIST IN PROVIDING ASSISTANCE FOR COMMUNITY IMPACT PROJECTS	PurposeOfGrantTxt

Field	Value	IRS element (for citing)
Total501c3 Org	3	Total501c3OrgCnt
Total Other Org	0	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE UNITED WAY DONATION IS MONITORED THROUGH "METRICS AND DATA" REPORTED TO GHCS AND GHCD APPOINTS ONE "AT-LARGE MEMBER" ANNUALLY TO SERVE ON THE COMMUNITY IMPACT BOARD.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	0	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (18 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
THOMAS DIEHL MD
TRUSTEE	$0	$302,220	$0	$121,314	$0	$0	$0	$5,830	$0	$15,266	$0	$444,630	$0	$0
WALTER WIELKIEWICZ MD
TRUSTEE	$0	$170,446	$0	$42,835	$0	$0	$0	$18,500	$0	$16,637	$0	$248,418	$0	$0
MATTHEW PERRY
PRESIDENT & CEO	$642,021	$0	$26	$0	$0	$0	$76,634	$0	$19,033	$0	$737,714	$0	$0	$0
PAUL MASTERSON
CHIEF FINANCIAL OFFICER	$371,933	$0	$26	$0	$0	$0	$43,568	$0	$19,328	$0	$434,855	$0	$0	$0
EDMOND ROMITO
CHIEF INFOR OFFICER	$281,452	$0	$26	$0	$0	$0	$99,494	$0	$16,676	$0	$397,648	$0	$0	$0
ALAN BURNS
CHIEF DEVELOPMENT OFFICER	$320,947	$0	$26	$0	$0	$0	$28,559	$0	$15,144	$0	$364,676	$0	$0	$0
REGINA PENNINGTON
CHIEF QUALITY OFFICER	$218,185	$0	$26	$0	$0	$0	$14,248	$0	$20,828	$0	$253,287	$0	$0	$0
DANIEL SCHEERER MD
CHIEF MEDICAL AFFAIRS OFFI	$280,795	$0	$100,337	$0	$0	$0	$190,528	$0	$16,647	$0	$588,307	$0	$0	$0
ABBY NGUYEN
DIRECTOR OF NURSING AND CL	$223,481	$0	$26	$0	$0	$0	$6,749	$0	$21,663	$0	$251,919	$0	$0	$0
DIANNA LEVECK
DIRECTOR OF HUMAN RESOURCE	$227,631	$0	$26	$0	$0	$0	$6,851	$0	$15,205	$0	$249,713	$0	$0	$0
WENDY CEDOZ
CHIEF LEGAL OFFICER	$221,628	$0	$26	$0	$0	$0	$0	$0	$23,672	$0	$245,326	$0	$0	$0
CHARLES ADAMS JR
DIRECTOR OF LEAN SIGMA	$129,715	$0	$25,026	$0	$0	$0	$1,466	$0	$15,080	$0	$171,287	$0	$0	$0
RAY RYMAN
CLINICAL PHARMACIST	$138,053	$0	$26	$0	$0	$0	$2,964	$0	$15,981	$0	$157,024	$0	$0	$0
GREGORY PETE HAMILTON
DIRECTOR OF PHARMACY SERVI	$136,508	$0	$26	$0	$0	$0	$8,740	$0	$19,814	$0	$165,088	$0	$0	$0
SHARON PARKER
DIRECTOR OF CANCER SERVICE	$147,938	$0	$26	$0	$0	$0	$3,900	$0	$14,718	$0	$166,582	$0	$0	$0
LES BOYER
DIRECTOR	$146,561	$0	$26	$0	$0	$0	$410	$0	$16,548	$0	$163,545	$0	$0	$0
RICHARD HELSPER
CHIEF OPER OFFICER	$233,572	$0	$0	$0	$0	$0	$0	$0	$1,166	$0	$234,738	$0	$0	$0
KAREN GREEN
FORMER EMPLOYEE	$138,930	$0	$0	$0	$0	$0	$3,359	$0	$999	$0	$143,288	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART I, LINE 1A

THE ORGANIZATION PAYS COUNTRY CLUB DUES AND RELATED BUSINESS EXPENSES FOR SEVEN MEMBERS OF LEADERSHIP. PERSONAL USAGE IS PAID BY THE INDIVIDUAL AND THE PERCENTAGE OF DUES RELATED TO PERSONAL USAGE ARE ADDED TO THE INDIVIDUALS W-2.

PART I, LINE 4B

A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: MATTHEW PERRY, $71,434 PAUL MASTERSON, $23,606 ALAN BURNS, $18,064 REGINA PENNINGTON, $14,248 EDMUND ROMITO, $91,694 DANIEL SCHEERER, MD, $186,766

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	MUSKINGUM COUNTY OHIO	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	316400080	BondIssuerEIN
Bond Issued	2013-05-09	BondIssuedDt
Issue Price	$294,645,952	IssuePriceAmt
Purpose	SEE PART VI	PurposeDesc
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$294,645,952	TotalProceedsAmt
In Reserve Fund	$18,223,718	InReserveFundAmt
Capitalized Interest	$27,292,801	CapitalizedInterestAmt
Refunding Escrow	$46,879,891	RefundingEscrowAmt
Issuance Costs From Proceeds	$4,794,175	IssuanceCostsFromProceedsAmt
Capital Expenditures	$198,078,495	CapitalExpendituresAmt
Other Spent Proceeds	$108,964	OtherSpentProceedsAmt
Unspent	$47,131,371	UnspentAmt
Substantial Completion	2015	SubstantialCompletionYr
Current Refunding	Yes (1)	CurrentRefundingInd
Advance Refunding	0	AdvanceRefundingInd
Final Allocation Made	0	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Owning Bond Financed Property	0	OwningBondFinancedPropertyInd
Any Lease Arrangements	0	AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop	Yes (1)	MgmtContractBondFincdPropInd
Engage Bond Counsel Contracts	Yes (1)	EngageBondCounselContractsInd
Any Research Agreements	0	AnyResearchAgreementsInd
Private Bus Use By Others	0.00000	PrivateBusUseByOthersPct
Private Bus Concerning UBI	0.00000	PrivateBusConcerningUBIPct
Total Private Business Use	0.00000	TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test	0	BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop	0	ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd	0	ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Form8038 T Filed	0	Form8038TFiledInd
Rebate Not Due Yet	Yes (1)	RebateNotDueYetInd
Exception To Rebate	0	ExceptionToRebateInd
No Rebate Due	0	NoRebateDueInd
Variable Rate Issue	0	VariableRateIssueInd
Hedge Identified In Bks And Rec	0	HedgeIdentifiedInBksAndRecInd
Gross Proceeds Invested In GIC	0	GrossProceedsInvestedInGICInd
Gross Proceeds Invested	0	GrossProceedsInvestedInd
Written Proc To Monitor Reqs	0	WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Procedures Corrective Action	0	ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART II, LINE 6	$46,879,891 WAS SPENT ON THE ISSUE DATE OF THE SERIES 2013 BONDS TO CURRENTLY REFUND A TAXABLE LOAN. THEREFORE, AS OF 12/31/2014, THERE ARE $0 PROCEEDS IN REFUNDING ESCROW.
PART I, LINE A(F)	(I) CURRENTLY REFUND A TAXABLE LOAN FOR CERTAIN HOSPITAL REVENUE BONDS; AND (II) FINANCE CERTAIN CAPITAL IMPROVEMENT PROJECTS FOR HOSPITAL FACILITIES

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (5 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JOK COMPANY INC
BOARD MEMBER, ROBERT KESSLER, IS A PARTNER OF JOK COMPANY, INC.	$294,334	LEASE PAYMENTS ON OFFICE SPACE	0
KESSLER SIGN COMPANY
BOARD MEMBER, ROBERT KESSLER, IS A PARTNER OF KESSLER SIGN COMPANY, INC.	$114,343	LEASED SIGNAGE AND ADVERTISING SERVICES	0
RADIOLOGY ASSOCIATION OF SEO
BOARD MEMBER, SHANE BACKUS, M.D., IS A PARTNER IN RADIOLOGY ASSOC. OF SEO	$840,381	PROFESSIONAL FEES AND PURCHASED SERVICES FROM GHCS & GMG, LLC	0
ZANDEX HEALTHCARE CORP
BOARD MEMBER, WILLIAM SHADE M.D., IS A MEDICAL DIR. OF ZANDEX HEALTHCARE	$267,728	RENT AND PURCHASED SERVICES FROM GHCS & AFFILIATES	0
QUALITY CARE PARTNERS
BOARD MEMBER, WILLIAM SHADE M.D., IS A PHYSICIAN OF QUALITY CARE PARTNERS	$5,151,399	HEALTH INSURANCE AND ADMINISTRATIVE EXPENSES FOR GHCS, MEMBER FEES FOR GMG AND MANAGEMENT FEES FOR OICP	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 3	THE MANAGEMENT OF PHYSICIAN OFFICE SPACE (PROPERTY MANAGEMENT) IS OUTSOURCED AND THE MANAGER REPORTS TO A VP OF THE HOSPITAL. THE LABOR BILLED WAS $47,868 AND THE MANAGEMENT FEE WAS $43,174. THE MANAGEMENT OF FOOD & NUTRITION AND PLANT OPERATION IS ALSO OUTSOURCED. THE DIRECTORS OF THESE AREAS ALSO REPORT TO A VP OF THE HOSPITAL. THERE WERE 3 MANAGERS PROVIDED AND 1 DIETICIAN. LABOR BILLED WAS $333,303 AND THE MANAGEMENT FEE WAS $66,348. THE MANAGEMENT OF ENVIRONMENTAL SERVICES & PATIENT TRANSPORT/SERVICE RESPONSE CENTER ARE ALSO OUTSOURCED. THE ENVIRONMENTAL SERVICES CONSISTED OF 2 MANAGERS. THE LABOR BILLED WAS $332,368 AND THE MANAGEMENT FEE WAS 37,114. FOR THE TRANSPORT SERVICES, THERE WERE 3 MANAGERS PROVIDED. THE LABOR BILLED WAS $190,519 AND THE MANAGEMENT FEE WAS $30,604.
FORM 990, PART VI, SECTION A, LINE 6	FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., AND BETHESDA CARE SYSTEM (OR THEIR RESPECTIVE SUCCESSORS AN ASSIGNS) ARE THE MEMBERS OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7A	THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE.
FORM 990, PART VI, SECTION A, LINE 7B	THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION.
FORM 990, PART VI, SECTION B, LINE 11	THE 990 IS REVIEWED IN ITS ENTIRETY BY THE CFO. AN OVERVIEW OF THE 990 IS REVIEWED WITH THE EXECUTIVE COMMITTEE PRIOR TO FILING THE RETURN.
FORM 990, PART VI, SECTION B, LINE 12C	THE CONFLICT OF INTEREST POLICY STATES THAT BOARD MEMBERS AND OFFICERS HAVE A DUTY TO GOVERN HONESTLY AND ECONOMICALLY. ALL POTENTIAL CONFLICTS OF INTEREST MUST BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE BOARD WILL DETERMINE IF A CONFLICT EXISTS AND APPROPRIATE PROCEDURES TO MITIGATE THE SITUATION, SUCH AS ALTERNATIVE TRANSACTIONS AND PARTICIPATION AND VOTING RESTRICTIONS. THE COMPLIANCE OFFICER MONITORS AND ENFORCES THESE POLICIES. ALL OFFICERS AND DIRECTORS REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY.
FORM 990, PART VI, SECTION B, LINE 15	THE COMPENSATION OF THE CEO IS MANAGED THROUGH A THIRD PARTY THAT IS A NATIONALLY RECOGNIZED FIRM SPECIALIZING IN COMPENSATION BENCHMARKING AND ANALYSIS. THE FIRM IS RECOGNIZED FOR THEIR EXPERTISE IN EVALUATING TOTAL COMPENSATION AT THE EXECUTIVE LEVEL. THIS FIRM PRESENTS THEIR RECOMMENDATIONS AND ANALYSIS TO THE COMPENSATION COMMITTEE, WHICH IS MADE UP OF INDEPENDENT MEMBERS OF THE GENESIS BOARD OF DIRECTORS. THE COMMITTEE IS RESPONSIBLE FOR MAKING A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING THE EXECUTIVE COMPENSATION POLICY AND SPECIFIC COMPONENTS OF THE TOTAL COMPENSATION OF THE CEO. THE CEO IS ACTIVELY INVOLVED IN THE REVIEW, ANALYSIS AND RECOMMENDATION RELATED TO THE TOTAL COMPENSATION FOR THE REMAINING MEMBERS OF THE SENIOR LEADERSHIP TEAM. THE CEO DETERMINES THE COMPENSATION OF THE SENIOR LEADERSHIP TEAM MEMBERS WITHIN THE PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE. THIS COMPENSATION PROCESS WAS LAST COMPLETED IN 2014.
FORM 990, PART VI, SECTION C, LINE 19	THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 9:	LOSS IN FAIR VALUE OF PERPETUAL TRUST -9,360,805. PLEDGE RECEIVABLE FROM RELATED PARTY -28,020,130. OHIO INTEGRATED CARE PROVIDERS, LLC -145,196. RESERVE FOR COSHOCTON COUNTY MEMORIAL -6,531,667.
FORM 990, PART XII, LINE 2C:	THE FINANCE COMMITTEE OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.
FORM 990, PAGE 1, LINE H(D):	THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259
PART VI, SECTION B, LINE 16B:	ALTHOUGH THE ORGANIZATION DOES NOT HAVE A WRITTEN POLICY REGARDING JOINT VENTURES, LEGAL COUNSEL EVALUATES EACH VENTURE IN ADVANCE AND THE BOARD MUST APPROVE. CURRENTLY GENESIS HEALTHCARE SYSTEM IS INVOLVED IN ONE JOINT VENTURE, OF WHICH IT OWNS 50%.
FORM 990, PART IV, LINE 12B:	GENESIS HEALTHCARE SYSTEM IS INCLUDED IN AUDITED CONSOLIDATED FINANCIAL STATEMENTS. OHIO INTEGREATED CARE PROVIDERS (OICP) IS A WHOLLY-OWNED DISREGARDED ENTITY UNDER GENESIS HEALTHCARE SYSTEM AND IS INCLUDED IN THE AUDITED CONSOLIDATED FINANCIAL STATEMENTS.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Total IncomeTotalIncomeAmt	End Of Year AssetsEndOfYearAssetsAmt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ZANESVILLE SURGERY CENTER
2907 BELL STREET	ZANESVILLE	OH	43701	311620813	SURGICAL CENTER	OH	$0	$0	GENESIS HEALTHCARE SYSTEM
OHIO INTEGRATED CARE PROVIDERS LLC
2951 MAPLE AVE	ZANSVILLE	OH	43701	461795662	CLINICAL INTEGRATION	OH	-$145,196	$34,477	GENESIS HEALTHCARE SYSTEM

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
GENESIS HEALTHCARE FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311629304	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	310969646	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE FOUNDATION	Yes (1)
BETHESDA HOSPITAL FOUNDATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	310885513	FUNDRAISING FOR GHS	OH	501(C)(3)	3	GENESIS HEALTHCARE FOUNDATION	Yes (1)
FRANCISCAN SISTERS OF CHRISTIAN CHARITY
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	391530622	SPONSOR OF GHS	WI	501(C)(3)	7		0	N/A
GOOD SAMARITAN MEDICAL CENTER
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	314379479	MAINTAINS REAL ESTATE TITLE FOR HOSPITAL	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
BETHESDA CARE SYSTEM
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311067174	SPONSOR OF GHS	OH	501(C)(3)	9	GENESIS HEALTHCARE SYSTEM	Yes (1)
BETHESDA HOSPITAL ASSOCIATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	314380038	MAINTAINS REAL ESTATE TITLE FOR HOSPITAL	OH	501(C)(3)	11C	GENESIS HEALTHCARE SYSTEM	Yes (1)
ALTERNACARE
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311487187	STERILIZATIONS	OH	501(C)(3)	3	BETHESDA CARE SYSTEM	Yes (1)
CARESERVE
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311099924	FORMERLY OPERATED 2 NURSING HOMES THAT WERE SOLD PRIOR TO 2012	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
COMMUNITY AMBULANCE SERVICE
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	341773323	AMBULANCE SERVICE	OH	501(C)(3)	9	GENESIS HEALTHCARE SYSTEM	Yes (1)
GENESIS CAREGIVERS
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311282152	2 NURSING HOMES & HOME CARE SERVICES	OH	501(C)(3)	3	CARESERVE	Yes (1)
BETHESDA HOSPITALITY SHOP
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	316050713	GIFT SHOP	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)
GENESIS PROFESSIONAL CORPORATION
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311599754	PHYSICIAN PRACTICES	OH	501(C)(3)	3	GENESIS HEALTHCARE SYSTEM	Yes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Entity TypeEntityTypeTxt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	Province Or StateForeignAddress/ProvinceOrStateNm	CountryForeignAddress/CountryCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CARELIFE LLC
2951 MAPLE AVENUE	ZANESVILLE	OH	43701	311128717	PHYSICIAN SERVICES, CHILDCARE SERVICES, PHARMACY, DME	OH	GENESIS HEALTHCARE SYSTEM	C	-$31,834,597	$25,834,453	1.00000	Yes (1)
SOUTHEAST OHIO MEDICAL INSURANCE COMPANY
				980436356	CAPTIVE INSURANCE COMPANY		GENESIS HEALTHCARE SYSTEM	C		$17,734,540	1.00000	Yes (1)	FIRST CARIBBEAN HOUSE	GEORGE TOWN	CAYMAN ISLANDS	CJ	CJ

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

Transactions Related Org TransactionsRelatedOrgGrp (8 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CARELIFE LLC
O	$2,915,453	ACCRUAL TRANSACTION
CARELIFE LLC
S	$862,340	ACCRUAL TRANSACTION
CARELIFE LLC
R	$164,640	ACCRUAL TRANSACTION
GENESIS HEALTHCARE SYSTEM GROUP
Q	$368,977	ACCRUAL TRANSACTION
COMMUNITY AMBULANCE SERVICE
M	$981,029	ACCRUAL TRANSACTION
GENESIS HEALTHCARE SYSTEM GROUP
S	$3,211,783	ACCRUAL TRANSACTION
GOOD SAMARITAN MEDICAL CENTER
S	$840,000	ACCRUAL TRANSACTION
BETHESDA HOSPITAL ASSOCIATION
D	$69,217	LOAN AGREEMENT