GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
- Tax period
- 2013-01-01 to 2013-12-31
- Filed
- 2014-11-13
- IRS object ID
- 201403179349304755
- Schema version
- 2013v3.0
- 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 | 2014-11-13T14:30:13-06:00 | ReturnTs |
| Tax Period End | 2013-12-31 | 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 | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 65 EAST STATE ST STE 600 | AddressLine1 |
| City | COLUMBUS | City |
| State | OH | State |
| ZIP Code | 43215 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-01-01 | 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 | BusinessNameLine1 |
| 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 | AddressLine1 |
| City | ZANESVILLE | City |
| State | OH | State |
| ZIP Code | 43701 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | PAUL MASTERSON | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 7404545000 | PhoneNum |
| Signature | 2014-11-12 | 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 | 2013 | TaxYr |
| Build TS | 2015-11-30 17:44:51Z | 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 | AddressLine1 |
| City | ZANESVILLE | City |
| State | OH | State |
| ZIP Code | 43701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $360,062,486 | 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 | 13 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 3173 | TotalEmployeeCnt |
| Total Volunteers | 404 | TotalVolunteersCnt |
| Total Gross UBI | $592,310 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$300,449 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $369,745 | PYContributionsGrantsAmt |
| CY Contributions Grants | $370,113 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $336,634,385 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $338,078,219 | CYProgramServiceRevenueAmt |
| PY Investment Income | $3,570,462 | PYInvestmentIncomeAmt |
| CY Investment Income | $6,550,579 | CYInvestmentIncomeAmt |
| PY Other Revenue | $15,148,859 | PYOtherRevenueAmt |
| CY Other Revenue | $14,167,794 | CYOtherRevenueAmt |
| PY Total Revenue | $355,723,451 | PYTotalRevenueAmt |
| CY Total Revenue | $359,166,705 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $40,000 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $110,000 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $154,196,929 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $156,097,798 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $171,023,118 | PYOtherExpensesAmt |
| CY Other Expenses | $183,236,127 | CYOtherExpensesAmt |
| PY Total Expenses | $325,260,047 | PYTotalExpensesAmt |
| CY Total Expenses | $339,443,925 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $30,463,404 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $19,722,780 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $280,222,455 | TotalAssetsBOYAmt |
| Total Assets EOY | $542,428,772 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $142,100,697 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $379,542,394 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $138,121,758 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $162,886,378 | 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 | $182,338,755 | ExpenseAmt |
| Grant | $110,000 | GrantAmt |
| Revenue | $139,506,283 | 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 237 BEDS. TOTAL PATIENTS DISCHARGED FROM THESE UNITS IN 2013 WERE 13,208. OBSTETRICS STAFFS A TOTAL OF 24 BEDS AT THE BETHESDA CAMPUS AND DISCHARGED 1,461 PATIENTS FOR A TOTAL OF 1,405 BIRTHS. THE PEDIATRIC UNIT IS LOCATED AT THE BETHESDA CAMPUS WITH 10 BEDS AND HAD 272 DISCHARGES IN 2013. THERE ARE 21 CRITICAL CARE BEDS BETWEEN THE TWO CAMPUSES AND DISCHARGED 363 PATIENTS DURING THE YEAR AND 25 CARDIOVASCULAR BEDS IN A UNIT LOCATED ON THE GOOD SAMARITAN CAMPUS WITH 1,519 DISCHARGES IN 2013. THERE IS ALSO A CANCER UNIT ON THE GOOD SAMARITAN CAMPUS WITH 15 BEDS AND 815 DISCHARGES IN 2013 AND AN ORTHOPAEDIC UNIT WITH 6 BEDS AND 611 DISCHARGES IN 2013.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 2013 OF 1,406,200. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, AND PET SCAN WITH TOTAL VOLUMES OF 157,459. PHARMACY PRESCRIPTIONS TOTALED 6,972,019.GENESIS PROVIDES BEHAVIORAL HEALTH SERVICES FOR PSYCHIATRIC ADULTS ON AN OPEN UNIT AND A PROTECTED UNIT. THERE ARE 8 PSYCHIATRIC INTENSIVE TREATMENT BEDS LOCATED WITHIN THE PROTECTED UNIT. WE HAVE A 14-BED CHILD/ADOLESCENT INPATIENT UNIT, WHICH IS PROTECTED. INPATIENT DETOXIFICATION SERVICES ARE PROVIDED AS WELL AS OUTPATIENT DRUG AND ALCOHOL SERVICES. THERE ARE PARTIAL HOSPITAL PROGRAMS FOR CHILDREN, ADOLESCENTS, ADULTS AND A DUALLY DIAGNOSED PARTIAL PROGRAM FOR ADOLESCENTS. A FULL RANGE OF THERAPEUTIC SERVICES IS OFFERED INCLUDING ART, MUSIC, RECREATION AND OCCUPATIONAL THERAPY. OTHER MISCELLANEOUS PROGRAMS INCLUDE DUI SCHOOL, SHOP LIFTING DIVERSION, UNDERAGECONSUMPTION SCHOOLS AND CLASSES FOR DIVORCING PARENTS AND CHILDREN OF DIVORCE. TOTAL INPATIENTS TREATED IN 2013 WERE 1,721. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $40,310,842 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $112,726,068 | RevenueAmt |
| Desc | CARDIAC SERVICES - GENESIS PROVIDES CARDIAC 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 AND LUNG SURGICAL PROCEDURES. THE TOTAL NUMBER OF CARDIAC CASES TREATED IN 2013 WERE 2,683. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $18,017,875 | ExpenseAmt |
| Grant | $0 | GrantAmt |
| Revenue | $50,385,556 | 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 2013 WERE 2,208. | Desc |
Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (2 entries)
| ExpenseExpenseAmt | GrantGrantAmt | RevenueRevenueAmt | DescDesc |
|---|---|---|---|
| $14,855,133 | $0 | $41,404,875 | ORTHOPEDIC SERVICES - GENESIS HAS COMBINED SEVERAL SERVICES INTO A COMPLETE ORTHOPEDIC PROGRAM. GENESIS HAS SPECIALLY EQUIPPED OPERATING ROOMS, A DEDICATED INPATIENT UNIT, AN ORTHOPEDIC REHAB PROGRAM, A SKILLED NURSING FACILITY AND SPORTS MEDICINE SERVICES. BUT THE MOST IMPORTANT ELEMENT IS A COMMITMENT TO EXCELLENCE IN CLINICAL QUALITY, MADE POSSIBLE BY A TEAM OF WELL-TRAINED AND DEDICATED STAFF. THE TOTAL NUMBER OF ORTHOPEDIC INPATIENT CASES TREATED IN 2013 WERE 1,240.GRANTS WERE PAID TO GENESIS HEALTHCARE FOUNDATION TO HELP FURTHER THE RELATED TAX-EXEMPT ORGANIZATION'S PURPOSE. |
| GENESIS PROVIDES BEHAVIORAL HEALTH SERVICES FOR PSYCHIATRIC ADULTS ON AN OPEN UNIT AND A PROTECTED UNIT. THERE ARE 8 PSYCHIATRIC INTENSIVE TREATMENT BEDS LOCATED WITHIN THE PROTECTED UNIT. WE HAVE A 14-BED CHILD/ADOLESCENT INPATIENT UNIT, WHICH IS PROTECTED. INPATIENT DETOXIFICATION SERVICES ARE PROVIDED AS WELL AS OUTPATIENT DRUG AND ALCOHOL SERVICES. THERE ARE PARTIAL HOSPITAL PROGRAMS FOR CHILDREN, ADOLESCENTS, ADULTS AND A DUALLY DIAGNOSED PARTIAL PROGRAM FOR ADOLESCENTS. A FULL RANGE OF THERAPEUTIC SERVICES IS OFFERED INCLUDING ART, MUSIC, RECREATION AND OCCUPATIONAL THERAPY. OTHER MISCELLANEOUS PROGRAMS INCLUDE DUI SCHOOL, SHOP LIFTING DIVERSION, UNDERAGECONSUMPTION SCHOOLS AND CLASSES FOR DIVORCING PARENTS AND CHILDREN OF DIVORCE. TOTAL INPATIENTS TREATED IN 2013 WERE 1,721. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $14,855,133 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $41,404,875 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $255,522,605 | 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 | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | 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 |
| IRP Document | 352 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (1) | BackupWthldComplianceInd |
| Employee | 3173 | 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 | 13 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 7404545000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2951 MAPLE AVENUE | AddressLine1 |
| City | ZANESVILLE | City |
| State | OH | State |
| ZIP Code | 43701 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (29 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 |
|---|---|---|---|---|---|---|---|---|---|
| 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 | 3.70 | 0.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| MARK MOYER | |||||||||
| EX-OFFICIO | 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 | 40.00 | 0.00 | Yes (X) | $322,513 | $0 | $15,160 | |||
| ROBERT KESSLER | |||||||||
| TRUSTEE | 3.30 | 0.00 | Yes (X) | $0 | $0 | $0 | |||
| ERIC NEWSOM MD | |||||||||
| TRUSTEE | 40.00 | 0.00 | Yes (X) | $466,127 | $0 | $15,708 | |||
| JAMES MCDONALD | |||||||||
| TRUSTEE | 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 | 40.00 | 0.00 | Yes (X) | $203,790 | $0 | $35,305 | |||
| MAX CROWN | |||||||||
| TRUSTEE | 1.20 | 0.40 | Yes (X) | $0 | $0 | $0 | |||
| MATTHEW PERRY | |||||||||
| CHIEF EXEC OFFICER | 36.40 | 3.60 | Yes (X) | $665,548 | $0 | $93,230 | |||
| PAUL MASTERSON | |||||||||
| CHIEF FINANCIAL OFFICER | 35.60 | 4.40 | Yes (X) | $420,736 | $0 | $67,676 | |||
| RICHARD HELSPER | |||||||||
| CHIEF OPER OFFICER | 40.00 | 0.00 | Yes (X) | $398,157 | $0 | $3,891 | |||
| CASSANDRA PALMER | |||||||||
| CHIEF HR OFFICER (THRU AUGUST) | 40.00 | 0.00 | $315,817 | $0 | $265,517 | Yes (X) | |||
| EDMOND ROMITO | |||||||||
| CHIEF INFOR OFFICER | 40.00 | 0.00 | $314,774 | $0 | $22,413 | Yes (X) | |||
| ALAN BURNS | |||||||||
| CHIEF DEVELOPMENT OFFICER | 40.00 | 0.00 | $358,724 | $0 | $55,642 | Yes (X) | |||
| PATRICIA CAMPBELL | |||||||||
| CHIEF NURSING OFFICER (THRU AUGUST) | 39.90 | 0.10 | $314,897 | $0 | $241,784 | Yes (X) | |||
| REGINA PENNINGTON | |||||||||
| CHIEF QUALITY OFFICER | 39.90 | 0.10 | $249,559 | $0 | $85,653 | Yes (X) | |||
| DANIEL SCHEERER MD | |||||||||
| CHIEF MEDICAL AFFAIRS OFFI | 40.00 | 0.00 | $324,674 | $0 | $16,595 | Yes (X) | |||
| ABBY NGUYEN | |||||||||
| DIRECTOR OF NURSING AND CL | 40.00 | 0.00 | $162,898 | $0 | $22,969 | Yes (X) | |||
| DIANNA LEVECK | |||||||||
| DIRECTOR OF HUMAN RESOURCE | 40.00 | 0.00 | $178,687 | $0 | $17,110 | Yes (X) | |||
| CHARLES ADAMS JR | |||||||||
| DIRECTOR OF LEAN SIGMA | 40.00 | 0.00 | $155,177 | $0 | $13,220 | Yes (X) | |||
| RAY RYMAN | |||||||||
| CLINICAL PHARMACIST | 40.00 | 0.00 | $146,785 | $0 | $22,247 | Yes (X) | |||
| GREGORY PETE HAMILTON | |||||||||
| DIRECTOR OF PHARMACY SERVI | 40.00 | 0.00 | $143,128 | $0 | $27,866 | Yes (X) | |||
| MICHAEL NORMAN | |||||||||
| DIRECTOR OF FIN AND REIMB SVCS | 40.00 | 0.00 | $141,820 | $0 | $10,160 | Yes (X) | |||
| SHARON PARKER | |||||||||
| DIRECTOR OF CANCER SERVICES | 40.00 | 0.00 | $153,045 | $0 | $19,228 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,436,856 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $0 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $1,051,374 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 53 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | 0 | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| ZANESVILLE ANESTHESIA PHYSICIANS INC | |||||
| 37 S SEVENTH ST | ZANESVILLE | OH | 43701 | MEDICAL SERVICES | $3,268,816 |
| ACCENTURE LLC | |||||
| 161 CLARK ST | CHICAGO | IL | 60601 | CONSULTING | $2,313,901 |
| CARDIAC ANESTHESIA ASSOC | |||||
| 800 FOREST AVE | ZANESVILLE | OH | 43701 | MEDICAL SERVICES | $1,535,641 |
| BRICKER & ECKLER LLP | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | MEDICAL SERVICES | $1,507,984 |
| ADVIZEX TECHNOLOGIES LLC | |||||
| 860 BETHESDA DR | ZANESVILLE | OH | 43701 | MEDICAL SERVICES | $1,180,420 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 50 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $43,250 | RelatedOrganizationsAmt |
| Government Grants | $201,692 | GovernmentGrantsAmt |
| All Other Contributions | $125,171 | AllOtherContributionsAmt |
| Total Contributions | $370,113 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (2 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt |
|---|---|---|---|
| NET PATIENT SERVICES | 621110 | $337,489,697 | $337,489,697 |
| PASSTHROUGH INCOME | 621110 | $588,522 | $588,522 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $338,078,219 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $6,192,400 | TotalRevenueColumnAmt |
| Exclusion | $6,192,400 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$384,080 | TotalRevenueColumnAmt |
| Exclusion | -$384,080 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $937,276 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $895,781 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $41,495 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $41,495 | TotalRevenueColumnAmt |
| Exclusion | $41,495 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | $742,259 | 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 | $742,259 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $742,259 | TotalRevenueColumnAmt |
| Exclusion | $742,259 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| EHR TECHNOLOGY INCOME | 621110 | $3,583,370 | $3,583,370 | ||
| CAFETERIA SALES | 621110 | $3,542,368 | $99,868 | $3,442,500 | |
| OCCUPATIONAL HEALTH | 621110 | $1,388,275 | $1,388,275 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $5,612,286 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $1,254,471 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $492,442 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,865,373 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $14,126,299 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $359,166,705 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $344,304,335 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $592,310 | UnrelatedBusinessRevenueAmt |
| Exclusion | $13,899,947 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $110,000 | TotalAmt |
| Program Services | $110,000 | ProgramServicesAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $116,809,726 | TotalAmt |
| Program Services | $81,788,096 | ProgramServicesAmt |
| Management And General | $35,021,630 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,080,057 | TotalAmt |
| Program Services | $5,657,515 | ProgramServicesAmt |
| Management And General | $2,422,542 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $22,772,982 | TotalAmt |
| Program Services | $15,945,245 | ProgramServicesAmt |
| Management And General | $6,827,737 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,435,033 | TotalAmt |
| Program Services | $5,906,063 | ProgramServicesAmt |
| Management And General | $2,528,970 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,302,914 | TotalAmt |
| Program Services | $818,328 | ProgramServicesAmt |
| Management And General | $484,586 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,061,723 | TotalAmt |
| Management And General | $2,061,723 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $384,097 | TotalAmt |
| Management And General | $384,097 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $28,691,271 | TotalAmt |
| Program Services | $13,961,433 | ProgramServicesAmt |
| Management And General | $14,729,838 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $307,685 | TotalAmt |
| Program Services | $307,685 | ProgramServicesAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,745,479 | TotalAmt |
| Program Services | $4,677,840 | ProgramServicesAmt |
| Management And General | $6,067,639 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,365,744 | TotalAmt |
| Program Services | $1,107,797 | ProgramServicesAmt |
| Management And General | $5,257,947 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,531,419 | TotalAmt |
| Program Services | $3,026,988 | ProgramServicesAmt |
| Management And General | $1,504,431 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $836,777 | TotalAmt |
| Program Services | $315,762 | ProgramServicesAmt |
| Management And General | $521,015 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,193,238 | TotalAmt |
| Program Services | $2,193,238 | ProgramServicesAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $21,196,590 | TotalAmt |
| Program Services | $18,967,520 | ProgramServicesAmt |
| Management And General | $2,229,070 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,046,632 | TotalAmt |
| Program Services | $1,032,501 | ProgramServicesAmt |
| Management And General | $14,131 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $62,722,139 | $62,722,139 | |
| BAD DEBT EXPENSE | $27,997,179 | $27,997,179 | $0 |
| PHYSICIAN RECRUITMENT | $3,300,516 | $3,300,516 | $0 |
| LAB REFERENCE FEES | $1,338,387 | $1,338,387 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,214,337 | TotalAmt |
| Program Services | $4,348,373 | ProgramServicesAmt |
| Management And General | $3,865,964 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $339,443,925 | TotalAmt |
| Program Services | $255,522,605 | ProgramServicesAmt |
| Management And General | $83,921,320 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,883,985 | BOYAmt |
| EOY | $6,647,860 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,327,947 | BOYAmt |
| EOY | $5,111,085 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $855,000 | BOYAmt |
| EOY | $856,733 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $58,598,927 | BOYAmt |
| EOY | $59,913,257 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,021,209 | BOYAmt |
| EOY | $5,138,075 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,919,798 | BOYAmt |
| EOY | $10,874,232 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $368,039,099 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $222,314,657 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $104,953,576 | BOYAmt |
| EOY | $145,724,442 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $66,651,933 | BOYAmt |
| EOY | $78,459,192 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $14,274,732 | BOYAmt |
| EOY | $13,443,621 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,703,129 | BOYAmt |
| EOY | $1,703,129 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,032,219 | BOYAmt |
| EOY | $214,557,146 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,222,455 | BOYAmt |
| EOY | $542,428,772 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $31,164,867 | BOYAmt |
| EOY | $42,006,589 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,702,912 | BOYAmt |
| EOY | $6,865,423 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $57,017,747 | BOYAmt |
| EOY | $301,754,826 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $46,215,171 | BOYAmt |
| EOY | $28,915,556 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $142,100,697 | BOYAmt |
| EOY | $379,542,394 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,121,758 | BOYAmt |
| EOY | $162,886,378 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $138,121,758 | BOYAmt |
| EOY | $162,886,378 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $280,222,455 | BOYAmt |
| EOY | $542,428,772 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $19,722,780 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $5,177,712 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$135,872 | 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 | $150,071 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $19,882 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $169,953 | 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): 3.31% OF $7,865 ($260) CATHOLIC CONFERENCE OF OHIO: 5.3% OF $858 ($45) OHIO HOSPITAL ASSOCIATION (OHA): 5.3% OF $75,693($4,012) FSCC HEALTHCARE MINISTRY (FOR AHA): 23.65% OF $51,874 ($12,268) AMERICAN ACADEMY OF SLEEP MEDICINE: 7.0% OF $2,200 ($154) HIMSS: 4.01% OF $3,175 ($127) AMERICAN COLLEGE OF HEALTHCARE EXECUTIVES: 1.0% OF $1,125 ($11) AMERICAN COLLEGE OF RADIATION ONCOLOGY: 2.0% OF $255 ($5) AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION: 1.5% OF $1,110 ($17) AMERICAN ORGANIZATION OF NURSE EXECUTIVES: 10.0% OF $220 ($22) ASSOCIATION OF COMMUNITY CANCER CTS (ACCC): 6.0% OF $1,150 ($69) CLINICAL LABORATORY MANAGEMENT ASSOCIATION: 15.0% OF $195 ($29) MEDICAL GROUP MANAGEMENT ASSOCIATION: 15.0% OF $1,095 ($164) NATIONAL QUALITY FORUM: 7.71% OF $5,250 ($405) SOCIETY FOR HUMAN RESOURCE MANAGEMENT: 7.0% OF $345 ($24) SOCIETY OF THORACIC SURGEONS: 17.0% OF $3,200 ($544) TRAUMA CENTER ASSOCIATION OF AMERICA: 29.0% OF $2,000 ($580) ZANESVILLE- MUSKINGUM CO. CHAMBER OF COMMERCE: 10.0% OF $5,000 ($500) OHIO HOSPICE AND PALLIATIVE CARE ORG: 7.0% OF $6,500 ($455) NATIONAL HOSPICE AND PALLIATIVE ORG: 3.03% OF $6,264 ($190) IN ADDITION, GENESIS HEALTHCARE SYSTEM PAID MATTHEW KALLNER, LOBBYIST, $7,000 DURING THE YEAR FOR GENERAL LOBBYING RELATING TO OHIO STATEHOUSE ISSUES. THE FIRM WILLIAMS AND JENSEN WAS PAID $14,499 FOR SERVICES IN RELATION TO BUILDING AND STRENGTHENING RELATIONSHIPS WITH OHIO MEMBERS OF CONGRESS AND OTHER RELEVANT MEMBERS AND THEIR STAFFS. GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $127,631 PLUS $941 IN REIMBURSED EXPENSES TO MIKE BENNETT, PRINCIPAL. SECOND CAPITAL CONSULTING, LLC PROVIDED GENESIS HEALTHCARE SYSTEM GOVERNMENT RELATIONS SERVICES INCLUDING OUTREACH AND ADVOCACY PRIMARILY AT THE STATE AND LOCAL LEVELS IN 2013. ISSUES AT THE LOCAL LEVEL INCLUDED WORKING WITH CITY OFFICIALS REGARDING THE HOSPITAL CONSOLIDATION PROJECT INVOLVING ZONING CODE VARIANCES FOR PARKING, WATER TAP FEES AND TRANSPORTATION INGRESS AND EGRESS FOR PATIENTS, FAMILIES AND THE PUBLIC RELATED TO A SECOND ENTRANCE TO ITS BETHESDA CAMPUS. STATE ISSUES INCLUDED 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 STAGE TWO MEANINGFUL USE CRITERIA FOR ELECTRONIC MEDICAL RECORDS. | 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 | $52,717,577 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,520,394 | DepreciationAmt |
| Book Value | $12,197,183 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,765,989 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,299,926 | DepreciationAmt |
| Book Value | $2,466,063 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $299,854,181 | OtherCostOrOtherBasisAmt |
| Depreciation | $177,204,054 | DepreciationAmt |
| Book Value | $122,650,127 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,797,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $3,290,283 | DepreciationAmt |
| Book Value | $506,760 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $145,724,442 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (4 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DEBT SERVICE FUNDS | $3,860,142 |
| UNAMORTIZED BOND ISSUE COSTS | $4,762,317 |
| INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS | $4,410,256 |
| ASSETS LIMITED AS TO USE | $201,524,431 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $214,557,146 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)
| DescDesc | AmtAmt |
|---|---|
| ACCRUED MINIMUM PENSION LIABILITY | $27,868,335 |
| ACCRUED PROFESSIONAL LIABILITY | $2,224,691 |
| COST REPORT SETTLEMENT PAYABLE | -$1,177,470 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $28,915,556 | 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, 2013 AND 2012, 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 2010. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent100 | Yes (X) | Percent100Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent300 | Yes (X) | Percent300Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,996,028 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,559,347 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $6,436,681 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02070 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $51,830,098 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $41,306,257 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,523,841 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.03380 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $62,826,126 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $45,865,604 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $16,960,522 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05450 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 20 | ActivitiesOrProgramsCnt |
| Persons Served | 31586 | PersonsServedCnt |
| Total Community Benefit Expns | $890,795 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,358 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $842,437 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00270 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 121 | PersonsServedCnt |
| Total Community Benefit Expns | $10,496 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,496 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,314,448 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,015,937 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $298,511 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00100 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $6,250 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $6,250 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 31707 | PersonsServedCnt |
| Total Community Benefit Expns | $5,221,989 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $4,064,295 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,157,694 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00370 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 22 | ActivitiesOrProgramsCnt |
| Persons Served | 31707 | PersonsServedCnt |
| Total Community Benefit Expns | $68,048,115 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $49,929,899 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $18,118,216 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05820 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $58 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReportedInd |
| Bad Debt Expense | $27,997,179 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $749,386 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $93,012,114 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $87,410,295 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | $5,601,819 | 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 | 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 Report Widely AvailableCHNAReportWidelyAvailableInd | Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd | Own Website URLOwnWebsiteURLTxt | Adopt Implementation StrategyAdoptImplementationStrategyInd | Exec Implementation StrategyExecImplementationStrategyInd | Develop Community Wide PlanDevelopCommunityWidePlanInd | Exec Community Wide PlanExecCommunityWidePlanInd | Include Operational PlanIncludeOperationalPlanInd | Adopt BudgetAdoptBudgetInd | Prioritize Health NeedsPrioritizeHealthNeedsInd | Prioritize ServicesPrioritizeServicesInd | All Needs AddressedAllNeedsAddressedInd | Organization Incur Excise TaxOrganizationIncurExciseTaxInd | Elig Criteria ExplainedEligCriteriaExplainedInd | FPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareInd | FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct | FPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareInd | FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct | Explained BasisExplainedBasisInd | Income LevelIncomeLevelInd | Medical IndigencyMedicalIndigencyInd | App Financial Asst ExplnAppFinancialAsstExplnInd | Includes Publicity MeasuresIncludesPublicityMeasuresInd | Posted On WebsitePostedOnWebsiteInd | Attached To InvoiceAttachedToInvoiceInd | Posted In Emergency RoomPostedInEmergencyRoomInd | Posted In Admission OfficePostedInAdmissionOfficeInd | Available On RequestAvailableOnRequestInd | FAP Actions On NonpaymentFAPActionsOnNonpaymentInd | Collection ActivitiesCollectionActivitiesInd | FAP Notified Upon AdmissionFAPNotifiedUponAdmissionInd | FAP Notified All PatientsFAPNotifiedAllPatientsInd | Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd | Other Method UsedOtherMethodUsedInd | Amounts Generally BilledAmountsGenerallyBilledInd | Gross ChargesGrossChargesInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||
| 1 | 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) | Yes (1) | Yes (X) | HTTP://WWW.GENESISHCS.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 100.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 |
| BETHESDA HOSPITAL | |||||||||||||||||||||||||||||||||||||||||||||||||
| 2 | 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) | Yes (1) | Yes (X) | HTTP://WWW.GENESISHCS.ORG | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | Yes (X) | 0 | 0 | Yes (1) | Yes (1) | 100.000000000000 | Yes (1) | 300.000000000000 | Yes (1) | Yes (X) | Yes (X) | Yes (1) | Yes (1) | Yes (X) | Yes (X) | Yes (X) | Yes (1) | 0 | Yes (X) | Yes (X) | Yes (1) | Yes (X) | 0 | 0 | ||
Supplemental Information SupplementalInformationGrp (4 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| GOOD SAMARITAN HOSPITAL | PART V, SECTION B, LINE 7: HTTP://WWW.GENESISHCS.ORG/ABOUT-US/NOT-FOR-PROFIT-STATUS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY/ |
| BETHESDA HOSPITAL | PART V, SECTION B, LINE 7: HTTP://WWW.GENESISHCS.ORG/ABOUT-US/NOT-FOR-PROFIT-STATUS/COMMUNITY-HEALTH-NEEDS-ASSESSMENT/IMPLEMENTATION-STRATEGY/ |
| GOOD SAMARITAN HOSPITAL | PART V, SECTION B, LINE 20D: 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 20D: 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. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 5 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (5 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | 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 SERVICES |
| BETHESDA PHYSICIAN'S PAVILION | ||||
| 945 BETHESDA DRIVE | ZANESVILLE | OH | 43701 | OUTPATIENT CARDIAC REHAB 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 $ 27,997,179. |
| 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 2013 TO CHARITY WITH SERVICE DATES OF 2012 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 60 DAYS UNLESS ACCOUNT HAS BEEN PAID OR REGULAR PAYMENT ARRANGEMENTS ARE ESTABLISHED. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 90 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 $6,000 TO $11,000 LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME AND $11,000 TO $16,000 LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME. PEOPLE LIVING BELOW POVERTY LEVEL RANGES FROM 14.1% TO 18.5% IN THE REGION VERSUS 15.4% FOR STATE AND 14.9% 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, FITNESS CENTER STAFF PROVIDES ADVICE ON EXERCISE AND 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 (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| GENESIS HEALTHCARE FOUNDATION | |||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311629304 | 501(C)(3) | $55,000 | GRANTS WERE PAID THE RELATED TAX-EXEMPT ORGANIZATION TO HELP SUPPORT ITS PURPOSE. |
| UNITED WAY- MUSKINGUM COUNTY | |||||||
| 526 PUTNAM AVENUE | ZANESVILLE | OH | 43701 | 314379456 | 501(C)(3) | $55,000 | GRANTS WERE PAID TO HELP IMPROVE COMMUNITY CONDITIONS THROUGH PARTNERSHIPS IN THE AREAS OF INCOME, EDUCATION AND HEALTH. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 2 | 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 | GRANTS WERE PAID TO GENESIS HEALTHCARE FOUNDATION TO HELP FURTHER THE RELATED TAX-EXEMPT ORGANIZATION'S PURPOSE. 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 (19 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 | $231,438 | $0 | $91,075 | $0 | $0 | $0 | $4,036 | $0 | $11,124 | $0 | $337,673 | $0 | $0 | $0 |
| ERIC NEWSOM MD | ||||||||||||||
| TRUSTEE | $466,127 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $15,708 | $0 | $481,835 | $0 | $0 | $0 |
| WALTER WIELKIEWICZ MD | ||||||||||||||
| TRUSTEE | $189,043 | $0 | $14,747 | $0 | $0 | $0 | $23,000 | $0 | $12,305 | $0 | $239,095 | $0 | $0 | $0 |
| MATTHEW PERRY | ||||||||||||||
| CHIEF EXEC OFFICER | $609,895 | $0 | $55,653 | $0 | $0 | $0 | $76,534 | $0 | $16,696 | $0 | $758,778 | $0 | $0 | $0 |
| PAUL MASTERSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | $356,975 | $0 | $63,761 | $0 | $0 | $0 | $49,819 | $0 | $17,857 | $0 | $488,412 | $0 | $0 | $0 |
| RICHARD HELSPER | ||||||||||||||
| CHIEF OPER OFFICER | $355,641 | $0 | $42,516 | $0 | $0 | $0 | $1,871 | $0 | $2,020 | $0 | $402,048 | $0 | $0 | $0 |
| CASSANDRA PALMER | ||||||||||||||
| CHIEF HR OFFICER (THRU AUGUST) | $268,850 | $0 | $46,967 | $0 | $0 | $0 | $250,691 | $0 | $14,826 | $0 | $581,334 | $0 | $198,081 | $0 |
| EDMOND ROMITO | ||||||||||||||
| CHIEF INFOR OFFICER | $269,224 | $0 | $45,550 | $0 | $0 | $0 | $7,973 | $0 | $14,440 | $0 | $337,187 | $0 | $0 | $0 |
| ALAN BURNS | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | $309,939 | $0 | $48,785 | $0 | $0 | $0 | $41,831 | $0 | $13,811 | $0 | $414,366 | $0 | $0 | $0 |
| PATRICIA CAMPBELL | ||||||||||||||
| CHIEF NURSING OFFICER (THRU AUGUST) | $269,373 | $0 | $45,524 | $0 | $0 | $0 | $229,246 | $0 | $12,538 | $0 | $556,681 | $0 | $177,677 | $0 |
| REGINA PENNINGTON | ||||||||||||||
| CHIEF QUALITY OFFICER | $210,035 | $0 | $39,524 | $0 | $0 | $0 | $68,222 | $0 | $17,431 | $0 | $335,212 | $0 | $0 | $0 |
| DANIEL SCHEERER MD | ||||||||||||||
| CHIEF MEDICAL AFFAIRS OFFI | $275,117 | $0 | $49,557 | $0 | $0 | $0 | $2,550 | $0 | $14,045 | $0 | $341,269 | $0 | $0 | $0 |
| ABBY NGUYEN | ||||||||||||||
| DIRECTOR OF NURSING AND CL | $156,322 | $0 | $6,576 | $0 | $0 | $0 | $4,638 | $0 | $18,331 | $0 | $185,867 | $0 | $0 | $0 |
| DIANNA LEVECK | ||||||||||||||
| DIRECTOR OF HUMAN RESOURCE | $171,677 | $0 | $7,010 | $0 | $0 | $0 | $5,002 | $0 | $12,108 | $0 | $195,797 | $0 | $0 | $0 |
| CHARLES ADAMS JR | ||||||||||||||
| DIRECTOR OF LEAN SIGMA | $123,303 | $0 | $31,874 | $0 | $0 | $0 | $1,250 | $0 | $11,970 | $0 | $168,397 | $0 | $0 | $0 |
| RAY RYMAN | ||||||||||||||
| CLINICAL PHARMACIST | $145,843 | $0 | $942 | $0 | $0 | $0 | $9,546 | $0 | $12,701 | $0 | $169,032 | $0 | $0 | $0 |
| GREGORY PETE HAMILTON | ||||||||||||||
| DIRECTOR OF PHARMACY SERVI | $135,600 | $0 | $7,528 | $0 | $0 | $0 | $11,193 | $0 | $16,673 | $0 | $170,994 | $0 | $0 | $0 |
| MICHAEL NORMAN | ||||||||||||||
| DIRECTOR OF FIN AND REIMB SVCS | $127,704 | $0 | $14,116 | $0 | $0 | $0 | $0 | $0 | $10,160 | $0 | $151,980 | $0 | $0 | $0 |
| SHARON PARKER | ||||||||||||||
| DIRECTOR OF CANCER SERVICES | $146,063 | $0 | $6,982 | $0 | $0 | $0 | $3,844 | $0 | $15,384 | $0 | $172,273 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 1A | THE ORGANIZATION PAYS COUNTRY CLUB DUES AND RELATED BUSINESS EXPENSES FOR FIVE 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 | 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 CASSANDRA PALMER, $33,529 PATRICIA CAMPBELL, $32,499 ALAN BURNS, $18,064 REGINA PENNINGTON, $68,222 |
| PART I, LINE 3: | A RELATED ORGANIZATION, GENESIS HEALTHCARE SYSTEM, ESTABLISHES COMPENSATION OF THE ORGANIZATION'S CEO THROUGH A COMPENSATION COMMITTEE, INDEPENDENT COMPENSATION CONSULTANT, WRITTEN EMPLOYMENT CONTRACTS, COMPENSATION SURVEY/STUDY, AND APPROVAL BY THE BOARD AND COMPENSATION COMMITTEE. |
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 HOSPITAL FACILITIES REVENUE BONDS | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bond Issued | 2013-05-09 | BondIssuedDt |
| Issue Price | $295,000,000 | IssuePriceAmt |
| 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 |
| Retired | $46,879,891 | RetiredAmt |
| Total Proceeds | $295,000,000 | TotalProceedsAmt |
| In Reserve Fund | $18,019,125 | InReserveFundAmt |
| Capitalized Interest | $27,255,403 | CapitalizedInterestAmt |
| Issuance Costs From Proceeds | $5,148,223 | IssuanceCostsFromProceedsAmt |
| Capital Expenditures | $197,697,358 | CapitalExpendituresAmt |
| Substantial Completion | 2016 | SubstantialCompletionYr |
| Current Refunding | 0 | CurrentRefundingInd |
| Advance Refunding | 0 | AdvanceRefundingInd |
| Final Allocation Made | 0 | FinalAllocationMadeInd |
| Adequate Books And Rec Maint | 0 | 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 | 0 | MgmtContractBondFincdPropInd |
| 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 | 0 | 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 |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp
Name Of Interested NameOfInterested
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | JOK COMPANY INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship Description | BOARD MEMBER, ROBERT KESSLER, IS A PARTNER OF JOK COMPANY, INC. | RelationshipDescriptionTxt |
| Transaction | $137,004 | TransactionAmt |
| Transaction | LEASE PAYMENTS ON OFFICE SPACE | TransactionDesc |
| Sharing Of Revenues | 0 | SharingOfRevenuesInd |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 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 MANAGEMENT OF FOOD & NUTRITION AND PLANT OPERATION IS ALSO OUTSOURCED. THE DIRECTORS OF THESE AREAS ALSO REPORT TO A VP OF THE HOSPITAL. |
| 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 AND KEY SCHEDULES ARE REVIEWED WITH THE BOARD OF TRUSTEES 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 2013. |
| 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 16,302,602. PLEDGE RECEIVABLE FROM RELATED PARTY -16,499,531. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT 61,113. OHIO INTEGRATED CARE PROVIDERS, LLC -56. |
| 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%. |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| 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 | OH | -$56 | $94 | ||
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (13 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | 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 | Yes (1) | 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1 | CityForeignAddress/City | Province Or StateForeignAddress/ProvinceOrState | CountryForeignAddress/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARELIFE LLC | |||||||||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311128717 | FITNESS CENTER, CHILDCARE SVCS, PHARMACY, DME | OH | GENESIS HEALTHCARE SYSTEM | C | -$24,939,915 | $27,465,520 | 1.00000 | Yes (1) | |||||
| SOUTHEAST OHIO MEDICAL INSURANCE COMPANY | |||||||||||||||||
| 980436356 | CAPTIVE INSURANCE COMPANY | GENESIS HEALTHCARE SYSTEM | C | $17,520,053 | 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 (13 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| CARELIFE LLC | ||
| O | $3,665,030 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| S | $521,316 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| R | $421,936 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| L | $368,275 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| M | $1,172,072 | ACCRUAL TRANSACTION |
| GENESIS HEALTHCARE SYSTEM GROUP | ||
| Q | $232,747 | ACCRUAL TRANSACTION |
| COMMUNITY AMBULANCE SERVICE | ||
| M | $1,107,474 | ACCRUAL TRANSACTION |
| GENESIS HEALTHCARE SYSTEM GROUP | ||
| R | $4,616,420 | ACCRUAL TRANSACTION |
| GOOD SAMARITAN MEDICAL CENTER | ||
| S | $840,000 | ACCRUAL TRANSACTION |
| BETHESDA CARE SYSTEM | ||
| E | $50,200 | ACCRUAL TRANSACTION |
| BETHESDA HOSPITAL ASSOCIATION | ||
| D | $263,150 | ACCRUAL TRANSACTION |
| GENESIS HEALTHCARE FOUNDATION | ||
| B | $55,000 | ACCRUAL TRANSACTION |
| GENESIS HEALTHCARE FOUNDATION | ||
| S | $3,118,538 | ACCRUAL TRANSACTION |
Comments