2014-02-15T14:06:05-06:00 2013-06-30 420714325 MCGLADREY LLP 201 N HARRISON STREET SUITE 300 DAVENPORT IA 528011999 990 2012-07-01 421418847 GENESIS HEALTH SYSTEM GENE 5634216508 1227 E RUSHOLME DAVENPORT IA 528032498 MARK G ROGERS 5634216508 2014-02-17 1 JOHN J ROMANO P00227323 5638884000 2012 2015-11-30 17:44:51Z MARK G ROGERS 1227 E RUSHOLME DAVENPORT IA 528032498 486427137 0 X WWW.GENESISHEALTH.COM X 1994 IA GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. 18 8 4554 788 1761501 59720 5572279 4442652 439256448 433064842 8889003 14798678 4797192 4480581 458514922 456786753 2524001 2301353 0 0 226001561 226022135 0 0 0 216377085 203029515 444902647 431353003 13612275 25433750 580466570 608334369 172179911 152959064 408286659 455375305 X GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED. 0 0 241028373 2301329 335961198 GENESIS HEALTH SYSTEM (GHS IOWA) IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA, CONSISTING OF THREE HOSPITAL FACILITIES, TWO IN DAVENPORT AND ONE IN DEWITT, IOWA. GENESIS MEDICAL CENTER - DAVENPORT, CONTAINING 502 LICENSED ACUTE CARE BEDS. STATISTICS INCLUDE 73,481 PATIENT DAYS, 18,598 PATIENT DISCHARGES AND 184,631 OUT-PATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS AND 77 LONG-TERM CARE BEDS. STATISTICS INCLUDE 1,130 PATIENT DAYS, 189 PATIENT DISCHARGES, AND 18,217 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING. 85386456 24 71091415 GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) CONSISTS OF 44 CLINICS AND 151 PHYSICIANS ENCOMPASSING A WIDE VARIETY OF SPECIALTIES AND FAMILY PRACTICE GROUPS SERVING IOWA, ILLINOIS AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND WESTERN ILLINOIS. STATISTICS INCLUDE TOTAL PRACTITIONER HOURS 273,312 AND RVU'S (RELATIVE VALUE UNITS) 476,236. 21463775 27365827 GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM ENCOMPASSES HOME HEALTH SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING MEDICAL SOCIAL WORKER VISITS, AND THE HOSPICE HOUSE, WHICH CARES FOR TERMINALLY ILL PATIENTS. STATISTICS INCLUDE HOME HEALTH VISITS 127,442 AND HOSPICE/HOSPICE HOUSE DAYS 55,502. 1498102 1365482 GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC (GENESIS ACO) IS A SINGLE MEMBER IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS AND ANY BUSINESS RELATED TO CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM (GHS IOWA) IS THE SOLE MEMBER OF GENESIS ACO. FOR INCOME TAX AND INFORMATIONAL RETURN PURPOSES, GENESIS ACO IS A DISREGARDED ENTITY AND IS INCLUDED WITHIN THE GHS IOWA'S INCOME TAX AND INFORMATIONAL RETURNS. 1498102 1365482 349376706 1 1 0 1 0 0 0 0 0 1 1 1 0 0 1 1 0 1 0 0 1 0 0 0 0 0 1 1 1 1 1 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 1 1 1 1 0 0 1 X 368 0 1 4554 1 1 1 1 CJ 0 0 0 0 0 0 0 0 X 18 8 0 0 0 0 0 0 0 1 1 0 1 1 1 1 1 1 1 1 1 1 1 1 IL X MARK G ROGERS 5634216508 1227 E RUSHOLME DAVENPORT IA 528032498 X STEVEN C BAHLS 4.00 X 0 0 0 MARK D BAWDEN 10.00 X X 0 0 0 GREGORY J BUSH 4.00 X X 0 0 0 CHRISTOPHER J COX 4.00 X 0 0 0 EDMUND P COYNE JR MD 4.00 X 0 0 0 DOUGLAS P CROPPER 44.00 X X 1289580 0 121303 THOMAS A GILDEHAUS 4.00 X 0 0 0 ROGER J HILL 4.00 X X 0 0 0 MARK C KILMER 4.00 X 0 0 0 JAMES W KOEHLER 4.00 X 0 0 0 GEORGE J KONTOS JR MD 40.00 X 528797 0 28544 CHARLENE E MAASKE 4.00 X 0 0 0 EDWIN V MOTTO MD 10.00 X 0 0 0 EDWARD J ROGALSKI PHD 10.00 X X 0 0 0 G CHRISTOPHER WAHLIG 8.00 X X 0 0 0 C DANA WATERMAN III 4.00 X 0 0 0 CAROL A WATSON PHD RN CENP FAAN 4.00 X 0 0 0 DALE D ZUDE 4.00 X 0 0 0 MARK G ROGERS 40.00 X 567106 0 63788 WAYNE A DIEWALD 40.00 X 414419 0 128153 ROBERT W FRIEDEN 40.00 X 383474 0 30701 RICHARD M KISHIUE MD 40.00 X 341153 0 67417 JUDITH K PRANGER 40.00 X 239206 0 41724 FLORENCE L SPYROW 40.00 X 243634 137045 93976 KURT ANDERSEN 40.00 X 506295 0 16904 NICHOLAS AUGELLI MD 40.00 X 922096 0 29189 JAMES A LEHMAN MD 40.00 X 480883 0 60423 TODD RIDENOUR MD 40.00 X 849098 0 29885 CALVIN J SLOT MD 40.00 X 502576 0 11405 JEFFREY M COOPER 40.00 X 192450 0 15837 HEIDI S KAHLY-MCMAHON 40.00 X 211704 0 64094 WILLIAM LANGLEY MD 40.00 X 281322 0 44399 ROBERT M NELSON MD 40.00 X 357543 0 20958 MIKE L SHARP 40.00 X 207803 0 54679 CRAIG SOMMERS 40.00 X 145766 0 22564 8664905 137045 945943 264 1 1 0 METROPOLITAN MEDICAL LAB 1814 E LOCUST STREET DAVENPORT IA 52803 LAB SERVICES 8502423 CERNER CORPORATION PO BOX 412702 KANSAS CITY MO 64141 SOFTWARE SERVICE AGREEMENTS 6051287 NAVIGANT CONSULTING INC 4511 PAYSPHERE CIRCLE CHICAGO IL 60674 CONSULTING/PROFESSIONAL SERVICE 3883098 MEDICUS EMERGENCY ROOM SERVICE LLC 7 INDUSTRIAL WAY UNIT 5 SALEM NH 03079 PHYSICIAN FEES-MED SERVICES 1618630 COGENT HEALTHCARE OF IOWA PC PO BOX 645037 CINCINNATI OH 45264 PHYSICIAN FEES-MED SERVICES 1522911 74 480857 3014450 947345 43683 4442652 INPATIENT REVENUE 900099 443353342 443353342 OUTPATIENT REVENUE 621400 426022707 426022707 CLINIC REVENUE 621400 141342778 141342778 HOME HEALTH & HOSPICE CARE REVENU 621610 30272101 30272101 OTHER OPERATING REVENUE 624100 8894614 8894614 -616820700 -618577867 1757167 433064842 8210234 8210234 35762822 9914 28863324 320968 6899498 -311054 6588444 6588444 691447 456092 235355 235355 DIETARY 900099 2119885 2115551 4334 OTHER REVENUE 900099 1937242 1937242 HOUSEKEEPING 900099 188099 188099 4245226 456786753 435783922 1761501 14798678 X 2085311 2085311 216042 216042 4258799 1120381 3138418 420995 230242 190753 184700996 155585055 29115941 5625799 4448135 1177664 17593095 15110667 2482428 13422451 10577646 2844805 14356945 8660463 5696482 1956219 1956219 253970 21 253949 120059 25000 95059 1300380 1300380 45116198 38935346 6180852 1109421 183142 926279 40645202 36774446 3870756 7384646 1001664 6382982 14851453 12041331 2810122 2009127 1169884 839243 604031 433603 170428 3862107 3862107 25658588 17887100 7771488 4321658 1601691 2719967 PATIENT SUPPLY COST OF 36522592 36522592 MISCELLANEOUS 2956919 904837 2052082 431353003 349376706 81976297 0 5104363 10945312 49784716 39815025 65432437 76914414 38677310 37580652 9221836 9291429 5881067 6146832 539871303 374511030 165992664 165360273 158409749 176148002 59123202 58633378 22839226 27499052 580466570 608334369 56177867 59623413 87908923 80274879 103649 70499 27989472 12990273 172179911 152959064 X 394832463 441535460 13454196 13839845 408286659 455375305 580466570 608334369 X 25433750 6739554 14915342 X X 0 1 X 1 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 1 0 1 0 0 1 3000 1 109925 1 0 1 92059 204984 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: PART II-B, LINE 1B, PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS IOWA) HAD ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. HIS LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. ALSO, ON FEBRUARY 27, 2013, 75 GENESIS HEALTH SYSTEM STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. PART II-B, LINE 1D, MAILINGS TO MEMBERS, LEGISLATURES, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM (GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GHS IOWA REGARDING THIS ACTIVITY. PART II-B, LINE 1F, GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GENESIS HEALTH SYSTEM (GHS IOWA) PRESENTED ONE GRANT TO OTHER ORGANIZATIONS: 1.) QUAD CITIES CHAMBER - IOWA LEGISLATIVE LUNCHEON IN JANUARY 2013, $3,000. PART II-B, LINE 1G, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD ONE STAFF MEMBER INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. HIS LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS RELATED TO HIS LOBBYING ACTIVITIES INCLUDED: SALARIES - $72,073, AND MILEAGE/TRAVEL EXPENSES - $1,635. ALSO, ON FEBRUARY 27, 2013, 75 GHS IOWA STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE DIRECT COSTS INCLUDED: SALARIES - $33,067, AND BUSINESS EXPENSES - $3,150. PART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2013, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM EIDE & HEISINGER, LLC AT A COST OF $25,000. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 23% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $28,796, 24% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,504, 55% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $9,377, AND VARIOUS OTHER ASSOCIATIONS - $16,382. 7633243 2101 561816 359136 7838024 5519844 2014051 99448 100 7633243 5040858 16614 465988 3616 5519844 5010740 28352 297861 296096 5040857 5224450 30636 -243446 900 5010740 0.49880 0.50120 0.00000 0 1 1 6479379 6479379 198074869 118166129 79908740 19732909 16827103 2905806 286510461 224214140 62296321 29073685 15303658 13770027 165360273 INVESTMENT IN HEALTH ENTERPRISES OF IOWA (HEI) -11388 C INVESTMENT IN GENVENTURES, INC 23824096 C INVESTMENT IN MISERICORDIA ASSURANCE COMPANY, LTD. 120000 C INVESTMENT IN MRIOWA, LLC 249435 C INVESTMENT IN HEI COOP 1897354 C INVESTMENT IN HEI VENTURES 124830 C INVESTMENT IN HEI IOWA ECHO/ULTRASOUND 209022 C INVESTMENT IN HEI BREAST BIOPS 8267 C INVESTMENT IN HEI DIGITAL MAMMOGRAPHY 13044 C INVESTMENT IN SPRING PARK SURGERY CENTER, LLC 4365273 C INVESTMENT IN GENGASTRO, LLC 23051622 C INVESTMENT IN GENORTHO, LLC 1716670 C OTHER INVESTMENTS - GMC, DEWITT 374061 F INVESTMENT IN HEI BONE DENSITY 20075 C INVESTMENT IN GENRAD IMAGING, LLC 2713465 C INVESTMENT IN GENESIS ONCOLOGY CO-MANAGEMENT, LLC 69855 C INVESTMENT IN HEI PHARMACY SERVICES, LC -150781 C OTHER INVESTMENTS - GMC 38478 F 58633378 ACCRUED PENSION LIABILITY 11471578 ACCRUED INS TRUST LOSSES 1518695 12990273 X DESCRIPTION OF INTENDED USE OF ENDOWMENT FUNDS: PART V, LINE 4: GENESIS HEALTH SERVICES FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS ARE AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT AND VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, EMPLOYEE ASSISTANCE, AND PEDIATRIC HOSPICE SERVICES. DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X, LINE 2: GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION), ILLINI HOSPITAL FOUNDATION (ILLINI FOUNDATION) AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUS) ALL FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. UNRELATED BUSINESS TAXABLE INCOME IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINIOS, GENESIS FOUNDATION, ILLINI FOUNDATION AND WORKERS' COMPENSATION TRUST ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINOIS, GENESIS FOUNDATION, ILLINI FOUNDATION AND WORKERS' COMPENSATION TRUST ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED JUNE 30, 2009 AND PRIOR. GENVENTURES, INC. (GENVENTURES) IS A TAXABLE ORGANIZATION AND CURRENTLY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND VARIOUS STATE JURISDICTIONS. GENVENTURES IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS JUNE 30, 2009 AND PRIOR. THERE WERE NO UNCERTAIN TAX POSITIIONS AS OF JUNE 30, 2013 AND 2012. 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1227 E RUSHOLME STREET DAVENPORT IA 52803

WWW.GENESISHEALTH.COM X X X 2 GENESIS MEDICAL CENTER - DEWITT

1118 11TH STREET DEWITT IA 52742

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1236 E RUSHOLME STREET DAVENPORT IA 52803

O/P CARDIAC DIAGNOSTIC & REHAB CARE GENESIS IMAGING CENTER 53RD STREET

1970 E 53RD STREET DAVENPORT IA 52507

OUTPATIENT RADIOLOGY SERVICES CENTRAL PARK MEDICAL PAVILIONS 1 & 2

1351 W CENTRAL PARK AVENUE DAVENPORT IA 52804

O/P CANCER, REHAB, WOUND, NEUROLSURGICAL, & PHYS CLINIC MEDICAL OFFICE BUILDING #1

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O/P MAMMOGRAPHY & DIALYSIS SERVICES GENESIS HEALTH GROUP

865 LINCOLN ROAD BETTENDORF IA 52722

OUTPATIENT PHYSICIAN CLINIC VISITING NURSE ASSOC & HOSPICE HOUSE

2535 MAPLECREST ROAD BETTENDORF IA 52272

HOME HEALTH & HOSPICE GENESIS MEDICAL PLAZA

2535 MAPLECREST ROAD BETTENDORF IA 52722

O/P REHAB, PAIN, PHYS THERAPY, SPINE CTR & PHSY CLINIC VISITING NURSE ASSOC & HOSPICE HOUSE

2546 TECH DRIVE BETTENDORF IA 52722

HOME HEALTH & HOSPICE ILLINI LARSON CENTER

855 ILLINI DRIVE SILVIS IL 61282

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4017 DEVILS GLEN ROAD STE 205 BETTENDORF IA 52722

OUTPATIENT RADIOLOGY SERVICES GENESIS MEDICAL PARK

4017 DEVILS GLEN ROAD STE 100 BETTENDORF IA 52722

OUTPATIENT PHYSICIAN CLINIC GENGASTRO LLC

2222 53RD AVENUE BETTENDORF IA 52722

AMBULATORY SURGERY CENTER CONVENIENT CARE - DAVENPORT

1520 W 53RD STREET DAVENPORT IA 52806

OUTPATIENT URGENT CARE CLINIC DEWITT WEST WING PLACE

1118 11TH STREET DEWITT IA 52742

OUTPATIENT PHYSICIAN CLINIC DIVISION STREET CLINIC

3618 N DIVISION STREET DAVENPORT IA 52804

OUTPATIENT PHYSICIAN CLINIC ELDRIDGE FAMILY PRACTICE

301 N 4TH AVENUE ELDRIDGE IA 52748

OUTPATIENT PHYSICIAN CLINIC VISITING NURSE ASSOS

4711 44TH STREET STE 2 ROCK ISLAND IL 61201

HOME HEALTH & HOSPICE NORTH FAMILY PRACTICE

210 W 53RD STREET DAVENPORT IA 52806

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OUTPATIENT SURGICAL CENTER GENRAD IMAGING LLC

1970 E 53RD STREET DAVENPORT IA 52807

DIAGNOSTIC IMAGING CENTER FAMILY PRACTICE AT WEST CAMPUS

1345 W CENTRAL PARK AVENUE DAVENPORT IA 52804

OUTPATIENT PHYSICIAN CLINIC NORTHWEST FAMILY PRACTICE

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OUTPATIENT PHYSICIAN CLINIC SCOTT COUNTY YMCA

3800 TANGLEFOOT LANE BETTENDORF IA 52722

OUTPATIENT REHABILITATION CLINIC MOLINE VALLEY VIEW

615 VALLEY VIEW DRIVE MOLINE IL 61265

OUTPATIENT PHYSICIAN CLINIC GENESIS PHYSICAL REHAB - VALLEY FAIR

2300 53RD STREET BETTENDORF IA 52722

O/P PHYSICAL THERAPY CLINIC HEDBERG BUILDING - MOLINE FAMILY PRACT

2526 41ST STREET MOLINE IL 61265

OUTPATIENT PHYSICIAN CLINIC & NUERO ENT ILLINI BUILDING #2

1504 10TH STREET SILVIS IL 61282

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2300 53RD STREET BETTENDORF IA 52722

ORTHOPEDIC SURGERY CENTER GENESIS PHYSICAL REHAB - CROW VALLEY

2300 53RD AVENUE STE LL02 BETTENDORF IA 52722

O/P PHYSICAL THERAPY CLINIC CONVENIENT CARE - BETTENDORF

4017 DEVILS GLEN ROAD BETTENDORF IA 52722

OUTPATIENT URGENT CARE CLINIC GENESIS PSYCHOLOGY ASSOCIATES

4455 E 56TH STREET DAVENPORT IA 52804

OUTPATIENT COUNSELING CLINIC SILVIS ANESTHESIOLOGY

801 ILLINI DRIVE SILVIS IL 61282

OUTPATIENT PHYSICIAN CLINIC LOMBARD PHYSICAL THERAPY

1414 W LOMBARD STREET DAVENPORT IA 52804

OUTPATIENT PHYSICAL THERAPY CLINIC GENESIS CONVENIENT CARE - ILLINOIS

2350 41ST STREET MOLINE IL 61265

OUTPATIENT URGENT CARE CLINIC ILLINI BUILDING #1

903-05 ILLINI DRIVE SILVIS IL 61282

HOME HEALTH & O/P PHYSICIAN CLINIC MUSCATINE FAMILY PRACTICE

2104 CEDARWOOD STREET STE 200 MUSCATINE IA 52761

OUTPATIENT PHYSICIAN CLINIC DAVENPORT CLINIC

1820 W 3RD ST DAVENPORT IA 52803

OUTPATIENT PHYSICIAN CLINIC DEWITT FAMILY PRACTICE

1008 11TH STREET DEWITT IA 52742

OUTPATIENT PHYSICIAN CLINIC GENESIS PLASTIC SURGERY ASSOC

5335 EASTERN AVENUE STE C DAVENPORT IA 52804

OUTPATIENT PHYSICIAN CLINIC MOLINE VALLEY VIEW WEST FAMILY PRAC

515 VALLEY VIEW DRIVE MOLINE IL 61265

OUTPATIENT PHYSICIAN CLINIC GENESIS CENTER FOR BARIATRIC SURGERY

1230 E RUSHOLME STREET DAVENPORT IA 52803

O/P COMPREHENSIVE BARIATRIC PROGRAM DEWITT PAVILION 1

1118 11TH STREET DEWITT IA 52742

LONG-TERM NURSING CARE FACILITY ELDRIDGE PHYSICAL THERAPY

170 S 4TH AVENUE ELDRIDGE IA 52748

OUTPATIENT PHYSICIAN CLINIC ROCK ISLAND INTERNAL MEDICINE

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200 S CODY ROAD LECLAIRE IA 52751

OUTPATIENT PHYSICIAN CLINIC GHG - MERCY MEDICAL GROUP

221 MAIN AVENUE CLINTON IA 52732

OUTPATIENT PHYSICIAN CLINIC GHS OCCUPATIONAL HEALTH - DAVENPORT

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2451 CORAL CT CORALVILLE IA 52241

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619 5TH STREET DURANT IA 52747

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AMBULANCE SERVICES BLUE GRASS FAMILY MEDICAL

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OUTPATIENT PHYSICIAN CLINIC VISITING NURSE ASSOC & HOSPICE HOUSE

611 N 2ND AVENUE CLINTON IA 52732

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1003 CANAL SHORE DRIVE LECLAIRE IA 52751

OUTPATIENT PHYSICAL THERAPY CLINIC GENESIS OCCUPATIONAL HEALTH

2350 41ST STREET MOLINE IL 61265

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OUTPATIENT PHYSICIAN CLINIC ALPHA FAMILY PRACTICE - CAJIGAL A

202 PICARD STREET ALPHA IL 61413

OUTPATIENT PHYSICIAN CLINIC GHG - LOWDEN FAMILY PRACTICE

305 MCKINLEY AVENUE LOWDEN IA 52255

OUTPATIENT PHYSICIAN CLINIC GHS - U OF IA PEDIATRIC GASTRO

2222 53RD AVENUE BETTENDORF IA 52722

OUTPATIENT PHYSICIAN CLINIC GHS - AUGUSTANA PT CLINIC

639 38TH STREET ROCK ISLAND IL 61201

OUTPATIENT PHYSICAL THERAPY CLINIC ROCK ISLAND ARSENAL FAMILY PRACTICE

1634 WHITTEMORE STE 101 ROCK ISLAND IL 61299

OUTPATIENT PHYSICIAN CLINIC EAP - DAVENPORT

1910 E KIMBERLY DAVENPORT IA 52806

COUNSELING SERVICES PHYSICAL THERAPY & SPORTS MEDICINE

1702 E 53RD STREET DAVENPORT IA 52807

O/P PHYSICAL THERAPY & SPORTS PERF CLINIC DAV OBGYN

3319 SPRING STREET DAVENPORT IA 52807

OUTPATIENT PHYSICIAN CLINIC SILVIS SURGICAL ASSOCIATES

1801 E 54TH STREET DAVENPORT IA 52807

OUTPATIENT PHYSICIAN CLINIC VISITING NURSE ASSOCIATION KID'S NEST

606 W 2ND STREET DAVENPORT IA 52803

HOME HEALTH (MOM/ BABE PROGRAM) EAP - MUSCATINE

1605 PLAZA PLACE MUSCATINE IA 52761

COUNSELING SERVICES EAP - ROCK ISLAND

2100 18TH AVENUE ROCK ISLAND IL 61201

COUNSELING SERVICES EAP - CLINTON

1127 N 2ND STREET CLINTON IA 52732

COUNSELING SERVICES MEDICAL OFFICE BUILDING #2

1230 E RUSHOLME STREET DAVENPORT IA 52803

OUTPATIENT PHYSICIAN CLINIC PART I, LINE 3C: NOT APPLICABLE PART I, LINE 6A: NOT APPLICABLE PART I, LINE 7: GENESIS HEALTH SYSTEM (GHS IOWA) UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO. THE CALCULATED COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID. COSTS OF THE "OTHER BENEFITS" REPORTED IN 7E -7I WERE COMPILED THROUGHOUT THE YEAR IN THE COMMUNITY BENEFIT DATABASE (I.E., CBISA) THAT GHS IOWA UTILIZES. PART I, LINE 7G: NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES. PART I, L7 COL(F): NO BAD DEBT EXPENSE WAS INCLUDED IN THE DENOMINATOR BECAUSE BAD DEBT WAS REPORTED IN LINE 2F OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 16.78%, AND THE PERCENTAGE INCREASES TO 43.35% IF MEDICARE COST REPORT ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE. PART II: ECONOMIC DEVELOPMENT (F2): COUNCIL AND CHAMBER - GENESIS HEALTH SYSTEM (GHS IOWA) SUPPORTS EMPLOYEE INVOLVEMENT ON LOCAL COUNCIL AND CHAMBER COMMITTEES.GRANTS TO COMMUNITY BUSINESSES - GHS IOWA SUPPORTS ITS COMMUNITY BY GIVING GRANTS TO LOCAL BUSINESSES TO IMPROVE ECONOMIC DEVELOPMENT AND RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER TAX-EXEMPT ORGANIZATIONS.COMMUNITY SUPPORT (F3): DISASTER READINESS - GHS IOWA PARTICIPATES IN COMMUNITY WIDE DISASTER READINESS DRILLS THROUGHOUT THE YEAR TO ENSURE ITS PREPAREDNESS FOR AN ARRAY OF DISASTERS. JUNIOR ACHIEVEMENT GHS IOWA PARTICIPATES IN A VOLUNTEER PARTNERSHIP WITH JUNIOR ACHIEVEMENT. MENTORING PROGRAMS (NON-HEALTH PROFESSIONS) - SEVERAL GHS IOWA EMPLOYEES TRAVEL TO LOCAL COMMUNITY SCHOOLS TO TEACH THE IMPORTANCE OF WORKFORCE READINESS, ENTREPRENEURSHIP, AND FINANCIAL LITERACY. COALITION BUILDING (F6): HOSPITAL REPRESENTATION TO HEALTH COALITIONS - GHS IOWA EXECUTIVES AND EMPLOYEES ARE ACTIVE PARTICIPANTS IN COMMUNITY COALITIONS THAT RELATE TO IMPROVING COMMUNITY HEALTH. THESE ACTIVITIES INCLUDE THE MAYOR'S HUNGER LUNCHEONS THAT ADDRESS THE HOMELESS POPULATION AND PARTNERSHIPS IN NURSING (PIN), A COLLABORATIVE PARTNERSHIP WITH COMMUNITY GROUPS TO IMPROVE THE COMMUNITY NURSING INFRASTRUCTURE WITH A GOAL OF IDENTIFYING AREAS OF REDUCED REPRESENTATION WHILE WORKING TO STRENGTHEN THE EDUCATIONAL AND FACULTY DEVELOPMENT TO BETTER SERVE OUR COMMUNITY AS A WHOLE. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT/SAFETY (F7): HEALTH CARE ADVOCACY - GHS IOWA MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE WITH THE IOWA AND ILLINOIS STATE GOVERNMENTS AND IN WASHINGTON D.C. GHS IOWA EMPLOYEES PARTICIPATE IN A VOTER VOICE INITIATIVE TO ALSO ADVOCATE ON IMPORTANT HEALTH ISSUES.WORKFORCE DEVELOPMENT (F8): PROGRAMS ON HEALTH CAREERS - GHS IOWA PARTNERS WITH THE LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK FORCE SHORTAGE. GHS IOWA WORKS WITH THE LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS COMMUNITY-WIDE WORKFORCE ISSUES BY SUPPORTING JOB CREATION AND TRAINING PROGRAMS. PART III, LINE 2: IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, BAD DEBT IS REPORTED AT THE FULL-ESTABLISHED CHARGE FROM THE MOST RECENT AUDITED FINANCIAL REPORT. PAYMENTS RECEIVED AFTER AN ACCOUNT HAD BEEN WRITTEN OFF TO BAD DEBT WERE CREDITED TO A BAD DEBT RECOVERY ACCOUNT. DISCOUNTS ONPATIENT ACCOUNTS PROVIDED BY THIRD-PARTY PAYERS WERE WRITTEN OFF TO A CONTRACTUAL ALLOWANCE ACCOUNT. PART III, LINE 3: GENESIS HEALTH SYSTEM (GHS IOWA) USES AVADYNE HEALTH TO PROCESS AGING PATIENT ACCOUNTS. AVADYNE HEALTH'S COLLECTION PROCESS UTILIZES PUBLICLY AVAILABLE INFORMATION TO ENSURE ALL AGING PATIENT ACCOUNTS RECEIVE FINANCIAL ASSISTANCE IN ACCORDANCE TO GHS IOWA POLICY BEFORE BEING DEEMED BAD DEBT. GHS IOWA REPORTED ZERO DOLLARS FOR THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PART III, LINE 4: PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. RECEIVABLES DUE FROM MEDICAL OFFICE BUILDING TENANTS AND FROM COMMERCIAL LAUNDRY CUSTOMERS ARE CARRIED AT THE ORIGINAL INVOICE AMOUNT LESS AN ESTIMATE MADE FOR DOUBTFUL ACCOUNTS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS, AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. GENESIS HEALTH SYSTEM (GHS IOWA) DOES NOT CHARGE INTEREST ON PATIENT RECEIVABLES. RECEIVABLES ARE WRITTEN OFF AS BAD DEBTS WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED. PART III, LINE 8: THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 5, 6, AND 7 FOR THE HOSPITALS.IN ADDITION, GENESIS HEALTH SYSTEM (GHS IOWA) CALCULATED ITS MEDICARE SHORTFALL ANOTHER WAY FOR SUPPLEMENTAL INFORMATIONAL PURPOSES. THIS CALCULATION WAS COMPUTED USING THE GROSS PATIENT REVENUE BY PAYOR MIX AND CONVERTED TO COST USING THE COST-TO-CHARGE RATIO FROM PART I, WORKSHEET 2. USING A ZERO BALANCE REPORT FROM JULY 1, 2012 JUNE 30, 2013, THE PAYMENT RATE WAS CALCULATED BY TAKING THE SUM OF THE CONTRACTUALS AND CHARITY CARE AND DIVIDING BY MEDICARE CHARGES, THEN TAKING THE INVERSE. THE SHORTFALL IS THE DIFFERENCE BETWEEN THE PAYMENTS AND THE COSTS. A. THE PAYER MIX AND ZERO BALANCE REPORT FOR GENESIS MEDICAL CENTER - DAVENPORT (GMC - DAVENPORT) HOSPITAL AND GENESIS MEDICAL CENTER - DEWITT (GMC - DEWITT) HOSPITAL WERE USED ALONG WITH THE COST TO CHARGE RATIO CALCULATED USING EACH HOSPITAL'S DATA TO GET A "GLOBAL" COST TO CHARGE RATIO OF 35.09%, RESULTED WITH A MEDICARE SHORTFALL OF $15,431,044.-SECTION B. MEDICARE - GLOBAL (GMC - DAV & GMC - DEWITT)5. TOTAL REVENUE RECEIVED FROM MEDICARE $141,889,737 6. ALLOWABLE COSTS OF CARE $157,320,7827. SURPLUS (SHORTFALL) ($15,431,044) B. UTILIZING A PAYER MIX AND ZERO BALANCE REPORT FOR GMC - DAVENPORT HOSPITAL, GMC - DEWITT HOSPITAL, GENESIS HEALTH GROUP CLINICS, GENESIS FAMILY MEDICAL CENTER, AND GENESIS VISITING NURSE ASSOCIATION AND HOSPICE, AND EACH BUSINESS UNIT'S COST TO CHARGE RATIO, CALCULATED USING WORKSHEET 2, THE COMBINED GHS IOWA MEDICARE SHORTFALL IS $17,270,642.-SECTION B. MEDICARE - ALL INDIVIDUAL ADDED5. TOTAL REVENUE RECEIVED FROM MEDICARE $177,525,818 6. ALLOWABLE COSTS OF CARE $194,796,4607. SURPLUS (SHORTFALL) ($17,270,642)NO MEDICARE SHORTFALLS WERE INCLUDED IN COMMUNITY BENEFIT. THE MEDICARE COST REPORT SHORTFALL REPRESENTS THE DIFFERENCE BETWEEN THE TOTAL REVENUE RECEIVED FROM MEDICARE BASED ON MEDICARE COST REPORT REIMBURSEMENT RATES AND THE COSTS INCURRED BY GHS IOWA IN PROVIDING HEALTHCARE SERVICES TO THE ELDERLY. THE TOTAL MEDICARE SHORTFALL, WHICH INCLUDES FEE SCREEN SERVICES, WAS $8,926,014. IN 2010, THE PERCENT OF PERSONS 65 YEARS AND OVER IN ROCK ISLAND AND SCOTT COUNTIES WAS 18.6%. IN ACCORDANCE WITH GHS IOWA'S MISSION STATEMENT, "TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED," THE ELDERLY WERE SERVED DESPITE THE TOTAL MEDICARE LOSS OF $8,926,014. GHS IOWA HAS A CLEAR MISSION TO SERVE ALL THOSE IN NEED AND TO IMPROVE THE HEALTH OF THE COMMUNITY INCLUDING THE ELDERLY. FURTHERMORE, THERE ARE NO FOR-PROFIT HOSPITALS IN THE COMMUNITY, AND THEREFORE GHS IOWA IS ONE OF TWO TAX-EXEMPT HEALTHCARE ORGANIZATIONS IN THE COMMUNITY WHO PROVIDE ACCESS TO HEALTHCARE FOR MEDICARE PATIENTS. ACCORDINGLY, IT IS GHS IOWA'S POSITION FOR THE REASONS STATED ABOVE THAT THE TOTAL MEDICARE SHORTFALL OF $8,926,014 REPRESENTS A COMMUNITY BENEFIT. PURSUANT TO THE INSTRUCTIONS TO THE FORM 990, SCHEDULE H, THE MEDICARE SHORTFALL IS NOT INCLUDED IN PART I, LINE 7. IF THE TOTAL MEDICARE SHORTFALL WAS INCLUDED IN PART I, LINE 7, THEN PART I, LINE 7K, COLUMN F WOULD BE 7.46%. PART III, LINE 9B: EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF ELIGIBLE, PAYMENT PLANS ARE MADE AVAILABLE BASED ON THEIR RESOURCES AND INCOME. ALL BALANCES OWING AFTER FINANCIAL ASSISTANCE ALLOWANCES HAVE BEEN TAKEN ARE PAYABLE IN MONTHLY PAYMENTS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. GENESIS MEDICAL CENTER - DAVENPORT PART V, SECTION B, LINE 3: FOR OVER A DECADE, COMMUNITY HEALTH CARE, GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), QUAD CITY HEALTH INITIATIVE (QCHI), ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, AND TRINITY REGIONAL HEALTH SYSTEM HAVE BEEN COLLABORATING ON IMPROVING HEALTH STATUS AND QUALITY OF LIFE IN THE QUAD CITIES REGION THROUGH THE QCHI. OUR COORDINATED ASSESSMENT APPROACH INCLUDED PRIMARY DATA COLLECTION, SECONDARY DATA ANALYSIS, AND QUALITATIVE INPUT FROM COMMUNITY LEADERS. EACH HEALTH DEPARTMENT CONVENED A COMMUNITY HEALTH TASK FORCE TO REVIEW AND PRIORITIZE SECONDARY DATA AND COLLECT QUALITATIVE INPUT FROM COMMUNITY LEADERS IN SCOTT AND ROCK ISLAND COUNTIES. IN ADDITION, THROUGH QCHI, THE HEALTH SYSTEMS FUNDED A SURVEY AND DATA COLLECTION FOR THE BI-STATE AREA AND HIRED PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) TO CONDUCT THIS WORK. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCORPORATES DATA FROM PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS.THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY THE SPONSORING ORGANIZATIONS AND PRC, AND IS SIMILAR TO THE PREVIOUS SURVEYS USED IN THE REGION, ALLOWING FOR DATA TRENDING.TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY - ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS - WAS EMPLOYED. THE PRIMARY ADVANTAGES OF TELEPHONE INTERVIEWING ARE TIMELINESS, EFFICIENCY AND RANDOM-SELECTION CAPABILITIES. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 800 INDIVIDUALS AGE 18 AND OLDER IN THE QUAD CITIES AREA, INCLUDING 400 IN ROCK ISLAND COUNTY AND 400 IN SCOTT COUNTY. IN ADDITION, AN OVERSAMPLE OF 120 ADDITIONAL INTERVIEWS WAS IMPLEMENTED AMONG AFRICAN AMERICAN AND HISPANIC ADULTS TO ENSURE THAT THESE POPULATIONS WERE ADEQUATELY REPRESENTED IN THE SAMPLE AND COULD BE ANALYZED INDEPENDENTLY. THIS YIELDED A TOTAL OF 90 INTERVIEWS AMONG AFRICAN AMERICAN RESIDENTS AND 103 INTERVIEWS AMONG HISPANIC RESIDENTS (INCLUDING RESPONDENTS REACHED THROUGH BOTH THE RANDOM SAMPLE AND OVERSAMPLE INTERVIEWS). ONCE ALL SURVEYS WERE COMPLETED, THE TOTAL OF 920 INTERVIEWS WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT QUAD CITIES AREA AS A WHOLE. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION AND DATA ANALYSIS WAS CONDUCTED BY PRC.FOR STATISTICAL PURPOSES, THE MAXIMUM RATE OF ERROR ASSOCIATED WITH A SAMPLE SIZE OF 920 RESPONDENTS IS +/-3.3% AT THE 95 PERCENT LEVEL OF CONFIDENCE. [NOTE THAT ANALYSES OF SUBGROUPS CARRY LARGER ASSOCIATED ERROR; FOR EXAMPLE, THE SAMPLES OF AFRICAN AMERICAN AND HISPANIC RESIDENTS (INCLUDING THE "OVERSAMPLE" INTERVIEWS) CARRY MAXIMUM ERROR RATES OF +/-10.3% AND +/-9.7%, RESPECTIVELY.]IT IS A COMMON AND PREFERRED PRACTICE TO "WEIGHT" THE RAW DATA TO IMPROVE REPRESENTATIVENESS EVEN FURTHER. THIS IS ACCOMPLISHED BY ADJUSTING THE RESULTS OF A RANDOM SAMPLE TO MATCH THE GEOGRAPHIC DISTRIBUTION AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION SURVEYED (POSTSTRATIFICATION), SO AS TO ELIMINATE ANY NATURALLY OCCURRING BIAS. SPECIFICALLY, ONCE THE RAW DATA ARE GATHERED, RESPONDENTS ARE EXAMINED BY KEY DEMOGRAPHIC CHARACTERISTICS (NAMELY GENDER, AGE, RACE, ETHNICITY, AND POVERTY STATUS) AND A STATISTICAL APPLICATION PACKAGE APPLIES WEIGHTING VARIABLES THAT PRODUCE A SAMPLE WHICH MORE CLOSELY MATCHES THE POPULATION FOR THESE CHARACTERISTICS. THUS, WHILE THE INTEGRITY OF EACH INDIVIDUAL'S RESPONSES IS MAINTAINED, ONE RESPONDENT'S RESPONSES MAY CONTRIBUTE TO THE WHOLE THE SAME WEIGHT AS, FOR EXAMPLE, 1.1 RESPONDENTS. ANOTHER RESPONDENT, WHOSE DEMOGRAPHIC CHARACTERISTICS MAY HAVE BEEN SLIGHTLY OVERSAMPLED, MAY CONTRIBUTE THE SAME WEIGHT AS 0.9 RESPONDENTS.A VARIETY OF EXISTING (SECONDARY) DATA SOURCES WAS CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THIS COMMUNITY HEALTH ASSESSMENT. DATA FOR ROCK ISLAND AND SCOTT COUNTIES WERE OBTAINED FROM THE FOLLOWING SOURCES: CENTERS FOR DISEASE CONTROL & PREVENTION GEOLYTICS DEMOGRAPHIC ESTIMATES & PROJECTIONS NATIONAL CENTER FOR HEALTH STATISTICS IOWA DEPARTMENT OF PUBLIC HEALTH / ILLINOIS DEPARTMENT OF PUBLIC HEALTH IOWA DEPARTMENT OF PUBLIC SAFETY / ILLINOIS STATE POLICE US CENSUS BUREAU US DEPARTMENT OF HEALTH AND HUMAN SERVICES US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION NOTE THAT SECONDARY DATA REFLECT COUNTY-LEVEL DATA. GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 3: THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WAS CONDUCTED ON BEHALF OF GMC - DEWITT AND JACKSON COUNTY REGIONAL HEALTH CENTER (JCRHC) AND SPONSORED BY GMC DEWITT AND JCRHC. THIS JOINT CHNA REPORT YIELDS INFORMATION SPECIFIC TO THE COMMUNITIES OF EACH OF THESE HOSPITAL FACILITIES, ALLOWING FOR INDEPENDENT DETERMINATION OF HEALTH PRIORITIES. GMC - DEWITT HAS SERVED DEWITT AND SURROUNDING COMMUNITIES WITH COMPASSIONATE, HIGH QUALITY CARE SINCE 1952. THROUGHOUT THE YEARS, THE HOSPITAL HAS SUCCESSFULLY RESPONDED TO A GROWING POPULATION AND AN EVOLVING HEALTH CARE DELIVERY SYSTEM. GMC - DEWITT IS A NON-PROFIT, CHARITABLE ORGANIZATION GOVERNED BY THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD OF TRUSTEES. AS A MEMBER OF GHS IOWA, GMC - DEWITT PATIENTS HAVE ACCESS TO EXTENDED SERVICES THAT A COMMUNITY HOSPITAL OTHERWISE MAY NOT PROVIDE. THE HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) WHICH ENSURES THAT HIGH STANDARDS OF PATIENT CARE ARE MET.JACKSON COUNTY'S ONLY HOSPITAL, JCRCH BEGAN AS THE RESULT OF A COMMUNITY VISION TO CREATE A MODERN, FULL-SERVICE HOSPITAL TO MEET THE NEEDS OF JACKSON COUNTY RESIDENTS AND THE SURROUNDING AREA. THAT VISION HOLDS TRUE TODAY AS JCRHC STRIVES TO MEET THE EVER CHANGING NEEDS OF THE PEOPLE IT SERVES. TODAY JCRHC IS A 25 BED JOINT COMMISSION-ACCREDITED CRITICAL ACCESS HOSPITAL OFFERING A WIDE RANGE OF INPATIENT, OUTPATIENT, EMERGENCY AND COMMUNITY HEALTH SERVICES. JCRHC HAS BEEN MANAGED BY GHS IOWA SINCE JULY 2010.TO COMPLETE THE CHNA, EXISTING HEALTH-RELATED DATA WERE COLLECTED VIA THE ONLINE COMMUNITY COMMONS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT TOOL AT HTTP://WWW.COMMUNITYCOMMONS.ORG/MAPS-DATA. EIGHTY-SEVEN DISTINCT HEALTH AND SOCIAL INDICATORS AT THE COUNTY LEVEL, ALONG WITH COMPARISONS TO STATE AND NATIONAL DATA, AND HEALTHY PEOPLE 2020 TARGETS, WHERE AVAILABLE. ONCE AN INDICATOR REPORT WAS GENERATED, RELEVANT INDICATORS WERE REVIEWED TO DETERMINE HOW CLINTON AND JACKSON COUNTIES COMPARED TO AVAILABLE STATE/NATIONAL DATA.BECAUSE THIS CHNA RELIES ON EXISTING DATASETS, IT IS LIMITED IN SCOPE TO THOSE INDICATORS CURRENTLY AVAILABLE THROUGH DATABASE COLLECTION. IT DOES NOT INCLUDE A PRIMARY RESEARCH COMPONENT, AND MANY IMPORTANT ISSUES ARE UNADDRESSED (E.G., MENTAL HEALTH, CHILDREN'S HEALTH, ETC.), OR ONLY ADDRESSED MINIMALLY (E.G., ACCESS TO HEALTHCARE). ANOTHER LIMITATION IS THAT MOST MEASURES INCLUDED IN THIS ASSESSMENT REPRESENT DATA THAT ARE SEVERAL YEARS OLD. AS PART OF THIS CHNA, GENESIS MEDICAL CENTER - DEWITT CAMPUS AND JCRHC SOUGHT INPUT FROM PUBLIC HEALTH REPRESENTATIVES AND OTHER COMMUNITY STAKEHOLDERS WITH AN INTEREST IN THE HEALTH OF THE COMMUNITY THROUGH A SERIES OF DISCUSSION MEETINGS. ORGANIZATIONS REPRESENTED AT THESE COMMUNITY STAKEHOLDER MEETINGS INCLUDE: - CLINTON COUNTY HEALTH DEPARTMENT - JACKSON COUNTY BOARD OF HEALTH AN IMPORTANT COMPONENT TO THESE MEETINGS WAS A DISCUSSION OF THE PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. THIS QUALITATIVE INPUT WAS USED TO FURTHER INFORM THE PRIORITIZATION PROCESS DESCRIBED LATER IN THIS SUMMARY. THE FOLLOWING REPRESENT KNOWN EXISTING HEALTH CARE FACILITIES AND RESOURCES THAT ARE AVAILABLE TO RESPOND TO THE HEALTH NEEDS OF THE COMMUNITY. THESE LISTS ARE NOT EXHAUSTIVE AND ARE SUBJECT TO CHANGE, BUT THESE ORGANIZATIONS REPRESENT POTENTIAL PARTNERS IN IMPROVING HEALTH IN CLINTON AND JACKSON COUNTIES:CLINTON COUNTY - AMERICAN RED CROSS - BEHAVIORAL HEALTH & WELLNESS CLINIC - BRIDGEVIEW COMMUNITY MENTAL HEALTH CENTER - CLINTON COUNTY HEALTH DEPARTMENT - CLINTON COUNTY VISITING NURSE ASSOCIATION - CLINTON URGENT CARE - COMMUNITY ACTION OF EASTERN IOWA - CORNERSTONE WELLNESS CENTER - DEWITT FAMILY HEALTH CLINIC - GENESIS MEDICAL CENTER, DEWITT CAMPUS - GIRLING HOME HEALTH CARE - GRAND MOUND AMBULANCE - GUARDIAN FAMILY CARE, INC. - THE HEALING PLACE - LUTHERAN SERVICES IN IOWA - LOST NATION AMBULANCE - MAGGIE'S HOUSE ASSISTED LIVING - MERCY MEDICAL CENTER - PATHWAY LIVING CENTER, INC. - THE PREGNANCY CENTER - SKYLINE CENTER - VISITING NURSE ASSOCIATION - WEST WING PLACE NURSING HOME - WHEATLAND MANOR & LINCOLNWAY VILLA ASSISTED LIVING - WYNDCREST NURSING HOME - WOMEN'S HEALTH SERVICES - YWCAJACKSON COUNTY - GANNON CENTER FOR COMMUNITY MENTAL HEALTH - HILLCREST FAMILY SERVICES - HOME INSTEAD SENIOR CARE - HOSPICE OF JACKSON COUNTY - JACKSON COUNTY BOARD OF HEALTH - JACKSON COUNTY REGIONAL HEALTH CENTER - LUTHERAN SERVICES - MAQUOKETA AREA FAMILY YMCA - MAQUOKETA FAMILY CLINIC - MEDICAL ASSOCIATES OF MAQUOKETA - PHYSICAL & SPORTS THERAPY SERVICES - QUAD CITY KIDNEY - WOMEN'S HEALTH SERVICESAT LEAST EVERY FIVE YEARS, LOCAL BOARDS OF HEALTH LEAD A COMMUNITY-WIDE DISCUSSION WITH STAKEHOLDERS AND RESIDENTS ABOUT THEIR COMMUNITY'S HEALTH NEEDS. AFTER IDENTIFYING NEEDS IN THE COMMUNITY, THE NEXT STEP IS TO IDENTIFY OBJECTIVES AND STRATEGIES TO ADDRESS THOSE NEEDS. THIS PROCESS - COMMUNITY HEALTH NEEDS ASSESSMENT AND HEALTH IMPROVEMENT PLAN (CHNA & HIP) - IS A FUNDAMENTAL ELEMENT IN STATEWIDE PLANNING. CHNA & HIP HAS MORE THAN A 20-YEAR HISTORY IN IOWA AND REPRESENTS LOCAL ACTION TO PROMOTE AND PROTECT THE HEALTH OF IOWANS. TO PRIORITIZE THE CHNA FINDINGS INTERNALLY, EACH HOSPITAL FACILITY CONSULTED A GROUP OF INTERNAL STAKEHOLDERS TO REVIEW THE CHNA FINDINGS AND PRIORITIZE THE IDENTIFIED HEALTH NEEDS TO ESTABLISH WHICH WOULD BE BEST ADDRESSED BY TWO FACILITIES. THE GROUPS CONSIDERED SEVERAL CRITERIA IN DECIDING WHICH OF THE HEALTH NEEDS TO FOCUS ON, INCLUDING THE FOLLOWING: - MAGNITUDE - HOW MANY PEOPLE ARE AFFECTED BY A GIVEN HEALTH ISSUE? HOW DO WE VARY FROM STATE OR NATIONAL BENCHMARKS? HEALTHY PEOPLE 2020 TARGETS? - SERIOUSNESS & IMPACT - TO WHAT DEGREE DOES THIS HEALTH ISSUE LEAD TO DEATH OR DISABILITY, OR IMPAIR QUALITY OF LIFE? TO WHAT DEGREE DOES THIS HEALTH ISSUE IMPACT OTHER QUALITY OF LIFE AND HEALTH-RELATED ISSUES? - FEASIBILITY - WHAT IS THE LIKELIHOOD OF IMPACTING THIS HEALTH ISSUE, GIVEN AVAILABLE RESOURCES? - CONSEQUENCES OF INACTION - WHAT IS THE RISK OF EXACERBATING THE PROBLEM BY NOT ADDRESSING IT AT THE EARLIEST OPPORTUNITY? - COMMUNITY STAKEHOLDER INPUT - WAS THIS ISSUE IDENTIFIED AS A NEED IN THE COMMUNITY STAKEHOLDER MEETINGS? WHAT VULNERABLE POPULATIONS WERE IDENTIFIED? GENESIS MEDICAL CENTER - DAVENPORT PART V, SECTION B, LINE 4: TRINITY REGIONAL HEALTH SYSTEM GENESIS MEDICAL CENTER - DEWITT PART V, SECTION B, LINE 4: NOT APPLICABLE PART V, LINE 5A: GENESIS MEDICAL CENTER - DAVENPORT:HTTPS://WWW.GENESISHEALTH.COM/NEWS/2012/QC-HEALTH-ASSESSMENTGENESIS MEDICAL CENTER - DEWITT:HTTP://WWW.GENESISHEALTH.COM/FACILITIES/DEWITT/INDEX PART VI, LINE 2: GENESIS HEALTH SYSTEM (GHS IOWA) UTILIZES THE COMMUNITY HEALTH NEEDS ASSEMSSMENT (CHNA) CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) IN 2012. THE CHNA WAS FUNDED BY GHS IOWA AND TRINITY REGIONAL HEALTH SYSTEM AND SPONSORED BY COMMUNITY HEALTH CARE, GHS IOWA, QUAD CITY HEALTH INITIATIVE (QCHI), ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, AND TRINITY REGIONAL HEALTH SYSTEM. QCHI WAS FORMED BY GHS IOWA AND GENESIS HEALTH SYSTEM (GHS ILLINOIS) WHICH HAS HEADQUARTERS IN BOTH SCOTT COUNTY, IOWA, AND ROCK ISLAND COUNTY, ILLINOIS, AND TRINITY HEALTH SYSTEM, WHICH IS HEADQUARTERED IN ROCK ISLAND COUNTY, ILLINOIS. QCHI IS NOW A COMMUNITY PARTNERSHIP OF OVER 100 ORGANIZATIONS CONSISTING OF 500 ACTIVE INDIVIDUALS PURSUING INITIATIVES TO CREATE A HEALTHIER COMMUNITY, SERVING AS A CATALYST FOR IMPROVING THE HEALTH AND OVERALL QUALITY OF LIFE WITHIN THE QUAD CITIES. PART VI, LINE 3: INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN VISIBLE LOCATIONS IN THE ADMISSION DEPARTMENTS OF THE HOSPITALS. IN ADDITION, THE HOSPITAL REGISTRATION STAFF MAKE AVAILABLE INFORMATIVE BROCHURES FOR PATIENTS IN THE EMERGENCY ROOM REGISTRATION AREA EXPLAINING THEIR ELIGIBILITY FOR ASSISTANCE. GENESIS HEALTH SYSTEM (GHS IOWA) PROVIDES PATIENT FINANCIAL COUNSELORS ON EACH HOSPITAL CAMPUS TO DISCUSS OPTIONS WITH THE PATIENTS. SHARED BUSINESS SERVICES PREPARES AND PROVIDES A LETTER TO EACH PATIENT, EXPLAINING THEIR CURRENT BALANCE AND ADVISING THEM OF THEIR OPTIONS. A PHONE NUMBER IS PROVIDED WITH THE LETTER ENCOURAGING THE PATIENT TO CALL IF NEEDED. PART VI, LINE 4: GENESIS HEALTH SYSTEM'S (GHS IOWA) MISSION IS TO PROVIDE QUALITY, COMPASSIONATE CARE FOR ALL THOSE IN NEED. GHS IOWA LIVES ITS MISSION EACH DAY BY SERVING A 10-COUNTY REGION OF EASTERN IOWA AND WESTERN ILLINOIS, INCLUDING BOTH URBAN AND RURAL AREAS. THE REGION SERVED BY GHS IOWA (DAVENPORT-MOLINE-ROCK ISLAND, IA.-IL. MSA HENRY COUNTY, IL., MERCER COUNTY, IL, ROCK ISLAND, IL., AND SCOTT COUNTY, IA.) HAS A POPULATION OF 379,690. ACCORDING TO THE 2010 CENSUS, WHITES MADE UP 88.4% OF THE MSA POPULATION WITH 8.3% BLACK OR AFRICAN-AMERICAN AND 7.6% HISPANIC OR LATINO ORIGIN.MEDIAN AGE OF THE POPULATION OF THE REGION IS 40.6 YEARS. MORE THAN 30% OF THE POPULATION OF THE REGION IS GREATER THAN 50 YEARS OLD, WHICH WILL CREATE A CONTINUED AND EXPANDED NEED FOR HEALTH CARE SERVICES IN THE NEXT 20 YEARS. THE PERCENT OF PERSONS 65 YEARS AND OVER WAS 18.6% IN ROCK ISLAND AND SCOTT COUNTIES.ACCORDING TO ESTIMATES FROM THE AMERICAN COMMUNITY SURVEY (ACS), 11.9% OF QUAD CITIES AREA RESIDENTS (SCOTT AND ROCK ISLAND COUNTIES) LIVE BELOW THE FEDERAL POVERTY. IN 2012, 2.0% OF QUAD CITIES AREA ADULTS REPORTED THAT THERE WAS A TIME IN THE PAST TWO YEARS WHEN THEY WERE LIVING ON THE STREET, IN A CAR, OR IN A TEMPORARY SHELTER. THE AVERAGE UNEMPLOYMENT RATE IN 2009 WAS 9.2% FOR ROCK ISLAND COUNTY, ILLINOIS AND 6.6% IN SCOTT COUNTY, IOWA.LACK OF HEALTH INSURANCE IS REPORTED BY 12% OF SCOTT COUNTY, IA RESIDENTS AND 13% OF ROCK ISLAND COUNTY, IL RESIDENTS. THE QUAD CITIES AREA PERCENTAGE OF ADULTS WHO CURRENTLY SMOKED IN 2012 WAS 19.4%. THE PERCENTAGE OF ADULTS WHO WERE OBESE IN 2012 WAS 33.4% IN ROCK ISLAND COUNTY, ILLINOIS AND 33.6% IN SCOTT COUNTY, IOWA. OBESITY RATES IN BOTH SCOTT COUNTY, IA AND ROCK ISLAND COUNTY, IL ARE HIGHER THAN NATIONAL BENCHMARKS. PART VI, LINE 5: GENESIS HEALTH SYSTEM'S (GHS IOWA) BOARD OF DIRECTORS IS A DIVERSE REPRESENTATION OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA THAT GHS IOWA SERVES. GHS IOWA EXECUTIVES AND EMPLOYEES SERVE ON DOZENS OF VOLUNTEER BOARDS THROUGHOUT THE REGION ON IMPORTANT PROJECTS AND INITIATIVES, SUCH AS HOMELESS SHELTERS, MENTAL HEALTH, DOWNTOWN REDEVELOPMENT AND EVENTS AND FESTIVALS. GHS IOWA EMPLOYEES SERVE THE COMMUNITIES WHERE THEY LIVE BY SERVING IN ELECTED OFFICES IN CITY AND COUNTY GOVERNMENT.GHS IOWA EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. GHS IOWA HAS ENDEAVORED TO IMPROVE ACCESS TO HEALTH CARE FOR THE COMMUNITIES IT SERVES BY PARTICIPATING IN APPROPRIATE JOINT VENTURES THAT OFFER NEEDED HEALTH CARE SERVICES TO UNDER-SERVED AREAS. GHS IOWA SCHEDULES DOZENS OF HEALTH SCREENINGS AND IMMUNIZATIONS THROUGHOUT THE YEAR AT A REDUCED COST. THESE INCLUDE SCREENINGS FOR DIABETES, STROKE AND HEART DISEASE AND PUBLIC FLU IMMUNIZATION CLINICS.GHS IOWA HAS DONATED FUNDING FOR OUTDOOR EXERCISE COURSES CALLED GENESIS HEALTHBEAT IN DAVENPORT, IA, MOLINE, IL, ALEDO, IL AND DEWITT, IA. GHS IOWA IS A KEY COMMUNITY PARTNER IN DEVELOPING LET'S MOVE DAVENPORT, A GROUP FORMED IN 2010 TO PROMOTE HEALTH, FITNESS AND GOOD NUTRITION FOR CHILDREN IN DAVENPORT. THE PROGRAM INCLUDES A NUMBER OF EVENTS IN THE SPRING, SUMMER AND FALL TO KEEP SCHOOL-AGE CHILDREN ACTIVE. THE PROGRAM WAS PATTERNED AFTER LET'S MOVE, THE NATIONAL INITIATIVE OF FIRST LADY MICHELLE OBAMA.GHS IOWA SPONSORS GENESIS ADVENTURES IN NURSING (GAIN), A CAMP FOR CHILDREN INTERESTED IN HEALTH CARE CAREERS. GHS IOWA EMPLOYEES SERVE AS MENTORS AND INSTRUCTORS DURING CAMP WEEK.GHS IOWA AND GILDA'S CLUB OF THE QUAD CITIES SPONSOR CAMP GENESIS, A WEEK AT A LOCAL YMCA CAMP FOR CHILDREN WHO ARE DEALING WITH CANCER IN THEIR FAMILIES. KIDS WHO MAY NOT OTHERWISE HAVE THE OPPORTUNITY TO ENJOY A CAMP EXPERIENCE BECAUSE OF THE FINANCIAL STRESS OF A CLOSE RELATIVE FIGHTING CANCER ARE ABLE TO ENJOY A FREE CAMP EXPERIENCE. GHS IOWA EMPLOYEES MAKE MEDICAL MISSION TRIPS EACH YEAR TO AREAS OF NEED ALL OVER THE WORLD. GHS IOWA EMPLOYEES, HAVE PROVIDED RELIEF TO HAITI AFTER THE EARTHQUAKE AND DURING THE CHOLERA OUTBREAK AND TO TRADITIONALLY IMPOVERISHED COUNTRIES, INCLUDING PERU, ECUADOR, THE DOMINICAN REPUBLIC, HAITI AND TO AFRICAN NATIONS. GHS IOWA EMPLOYEES SUPPORT COMMUNITY OUTREACH PROGRAMS THROUGH A PROGRAM CALLED "TAKIN IT TO THE STREETS." PROJECTS HAVE INCLUDED PRIMARY SPONSORSHIP OF A HABITAT FOR HUMANITY HOUSE (280 VOLUNTEERS); COLLECTION OF ITEMS FOR DOMESTIC VIOLENCE SHELTERS AND HUMILITY OF MARY HOMELESS SHELTER; X-STREAM CLEANUP (85 VOLUNTEERS), A CLEANUP PROJECT OF RIVERS AND STREAMS, AND ADOPT A HIGHWAY. EMPLOYEES HAVE USED THEIR COLLECTIVE IMPACT AND GENEROSITY TO SECURE DONATIONS FOR FOOD PANTRIES. EACH YEAR, GHS IOWA PROVIDES THE COMMUNITY WITH DOZENS OF CLASSES AND EVENTS PROMOTING HEALTH AND HEALTH EDUCATION. HUNDREDS OF RESIDENTS IN THE REGION SERVED BY GHS IOWA LEARN CPR, FIRST AID, PARENTING SKILLS AND NEWBORN CARE BY ENROLLING IN CLASSES.GHS IOWA HAS LAUNCHED GENESIS DINEWELL, A HEALTHY EATING PLAN FOR ITS OWN CAFETERIAS AND FOR RESTAURANTS IN THE REGION. GENESIS DINEWELL WILL WORK WITH LOCAL RESTAURANTS TO MAKE INFORMATION PUBLIC ABOUT HEALTHY RECIPES AND MENU ITEMS. THE IDEA IS THAT THE PUBLIC WILL BE BETTER ABLE TO MAKE INFORMED DECISIONS ABOUT THEIR FOOD CHOICES. GHS IOWA DIETITIANS WILL COMPILE HEALTH RECIPES TO PROVIDE TO THE PUBLIC. THERE WILL ALSO BE AN "ASK THE DIETITIAN" FEATURE AVAILABLE AT WWW.GENESISHEALTH.COM.GHS IOWA LAUNCHED A TOBACCO-FREE PARKS PROJECT IN 2013. A PETITION DRIVE WILL ASK COMMUNITIES TO BAN SMOKING WITHIN A DEFINED DISTANCE FROM PLAYGROUNDS, YOUTH ATHLETIC FIELDS AND OTHER AREAS WHERE CHILDREN PLAY AND ENJOY SPORTS EVENTS. HUNDREDS OF PEOPLE HAVE SIGNED THE PETITION.GHS IOWA BECAME THE FOUNDING SPONSOR OF THE KOMEN QUAD CITIES RACE FOR THE CURE IN 2011 AFTER BEING INVOLVED AS A SPONSOR SINCE THE INCEPTION OF THE EVENT. THE EVENT SUPPORTS A VOUCHERS PROGRAM FOR FREE MAMMOGRAMS FROM AREA BREAST HEALTH CENTERS, INCLUDING THE KENNETH H. MCKAY CENTER FOR BREAST HEALTH AT GHS IOWA.GHS IOWA HAS REDUCED ITS ENVIRONMENTAL FOOTPRINT ON THE COMMUNITIES IT SERVES BY IMPLEMENTING BULK WASTE RECYCLING, POLYSTYRENE RECYCLING, REDUCING SHARPS DISPOSAL, IMPLEMENTING WATER RUNOFF MEASURES, AND REDUCING WATER AND CHEMICAL USAGE IN THE MEDICAL LAUNDRY. CRESCENT LAUNDRY, A COMMERCIAL LAUNDRY OWNED BY A FOR-PROFIT ENTITY OF GHS IOWA HAS BEEN RECOGNIZED NATIONALLY FOR ITS CONSERVATION METHODS. GHS IOWA SPONSORS AND HOSTS AN ANNUAL BOY SCOUT MERIT BADGE DAY TO ASSIST SCOUTS IN WORKING TOWARD FIRST AID AND MEDICINE MERIT BADGES. PROFESSIONAL HEALTH CARE STAFF INSTRUCT THE SCOUTS FOR THE DAY.GHS IOWA MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE IN IOWA AND ILLINOIS STATE GOVERNMENT AND IN WASHINGTON D.C. GHS IOWA EMPLOYEES ALSO PARTICIPATE IN A VOTER VOICE INITIATIVE TO ADVOCATE ON IMPORTANT HEALTH ISSUES WITH CITY, COUNTY, STATE AND NATIONAL ELECTED OFFICIALS. IN 2013, GHS IOWA RECEIVED A FEDERAL GRANT TO ASSIST UNINSURED INDIVIDUALS IN THE REGION TO SECURE HEALTH INSURANCE. GHS IOWA PROJECTS IT WILL ASSIST AS MANY AS 11,000 INDIVIDUALS TO GAIN ACCESS TO HEALTH INSURANCE. GHS IOWA HAS ADVOCATED IN SUPPORT OF TRAFFIC ENFORCEMENT CAMERAS IN IOWA. GHS IOWA HAS EXPERIENCED FEWER PATIENTS WITH TRAUMA INJURIES FROM MOTOR VEHICLE ACCIDENTS AND WILL CONTINUE TO ADVOCATE FOR PUBLIC SAFETY.SURPLUS FUNDS RESULTING FROM EFFICIENT OPERATIONS AND COST-CONTAINMENT MEASURES ARE RE-INVESTED IN THE HEALTHCARE OPERATIONS OF GHS IOWA TO IMPROVE THE HEALTHCARE SERVICES THAT GHS IOWA PROVIDES. ADVANCES IN MEDICAL EQUIPMENT AND TECHNOLOGY, STAFF EDUCATION, AND NEW MEDICAL SERVICES ARE EXAMPLES OF OPERATIONAL INVESTMENTS THAT ULTIMATELY IMPROVE THE HEALTH OF THE COMMUNITIES THAT GHS IOWA SERVES. PART VI, LINE 6: GENESIS HEALTH SYSTEM (GHS IOWA) AN IOWA NONPROFIT CORPORATION, AND GENESIS HEALTH SYSTEM (GHS ILLINOIS), AN ILLINOIS NOT-FOR-PROFIT CORPORATION, HAVE IDENTICAL GOVERNING BOARDS, MANAGEMENT AND BYLAWS AND CAN ACT JOINTLY. GHS IOWA IS ALSO THE SOLE MEMBER OF GENESIS HEALTH SERVICES FOUNDATION AND GENESIS HEALTH SYSTEM WORKERS COMPENSATION PLAN AND TRUST, THE SOLE STOCKHOLDER OF GENVENTURES, INC., A MEMBER OF MISERICORDIA ASSURANCE COMPANY, LTD. AND A PARTNER IN GENGASTRO, LLC. GHS ILLINOIS IS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO AND GENESIS SENIOR LIVING, ALEDO AND IS A PARTNER IN THE LARSON CENTER PARTNERSHIP. THE FOLLOWING ENTITIES FORMED DURING THE YEAR ENDED JUNE 30, 2013: GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 22-ACUTE CARE AND SWING BEDS, AS WELL AS A PHYSICIAN CLINIC, WHICH PROVIDES SERVICES FROM ITS FACILITY IN ALEDO, ILLINOIS. ON FEBRUARY 1, 2013, GMC, ALEDO ACQUIRED ALL OF THE ASSETS AND ASSUMED ALL THE LIABILITIES OF THE HOSPITAL IN ALEDO, ILLINOIS FROM MERCER COUNTY, ILLINOIS, FOR NO CONSIDERATION. THE ASSETS ACQUIRED EXCEED THE LIABILITIES ASSUMED BY APPROXIMATELY $2,536,000, A CONTRIBUTION WHICH IS PRESENTED AS A COMPONENT OF OTHER NONOPERATING INCOME. GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO) IS CERTIFIED AS A NURSING FACILITY, WHICH HAS A 92-BED LONG-TERM CARE FACILITY, WHICH PROVIDES SERVICES FROM ITS FACILITY IN ALEDO, ILLINOIS. ON FEBRUARY 1, 2013, GSL, ALEDO ACQUIRED ALL OF THE ASSETS AND ASSUMED ALL THE LIABILITIES OF THE NURSING HOME IN ALEDO, ILLINOIS FROM MERCER COUNTY, ILLINOIS FOR APPROXIMATELY $2,250,000. THE ASSETS ACQUIRED EXCEED THE LIABILITIES ASSUMED AND CONSIDERATION PAID BY APPROXIMATELY $725,000, A CONTRIBUTION WHICH IS PRESENTED AS A COMPONENT OF OTHER NONOPERATING INCOME. GHS IOWA, GHS ILLINOIS, GMC, ALEDO, AND GSL, ALEDO COLLECTIVELY REPRESENT THE OBLIGATED GROUP ON CERTAIN COMPONENTS OF THE OBLIGATED GROUP'S LONG-TERM DEBT. GHS IOWA AND GHS ILLINOIS OPERATE THE FOLLOWING BUSINESS UNITS: GENESIS HEALTH SYSTEM PROVIDES ADMINISTRATIVE, MANAGEMENT, INFORMATION TECHNOLOGY AND OTHER SUPPORT SERVICES TO ITS AFFILIATES. GENESIS CLINICAL SERVICES OPERATES PHYSICIAN MEDICAL PRACTICES, CONVENIENT CARE PRACTICES AND AN OCCUPATIONAL MEDICINE CLINIC AND PROVIDES BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER DAVENPORT (GMC DAVENPORT) IS LICENSED AS A 502-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM TWO HOSPITAL FACILITIES LOCATED IN DAVENPORT, IOWA. GENESIS FAMILY MEDICAL CENTER (GFMC) IS A FAMILY PRACTICE RESIDENCY TRAINING PROGRAM THAT OPERATES CLINICS IN DAVENPORT AND BLUE GRASS, IOWA TO PROVIDE A CLINICAL SETTING FOR THE RESIDENTS TO TREAT PATIENTS. GENESIS MEDICAL CENTER DEWITT (GMC DEWITT) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 13-ACUTE CARE AND SWING BEDS, AND HAS A 77-BED LONG-TERM CARE FACILITY, WHICH PROVIDES SERVICES FROM ITS FACILITY IN DEWITT, IOWA.GENESIS ILLINOIS PROPERTIES (GIP) OWNED LAND LOCATED IN MOLINE, ILLINOIS. DURING THE YEAR ENDED JUNE 30, 2012, GIP SOLD ITS LAND TO GENESIS MEDICAL CENTER ILLINI AND GIP WAS DISCONTINUED AS A BUSINESS UNIT. GENESIS VISITING NURSE ASSOCIATION AND HOSPICE (VNA) PROVIDES HOME HEALTH CARE, COMMUNITY NURSING SERVICES AND HOSPICE SERVICES TO PATIENTS IN EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER ILLINI (GMC ILLINI) IS LICENSED AS A 149-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM ITS FACILITY IN SILVIS, ILLINOIS. ILLINI HOSPITAL NURSING HOME (INH) OPERATES ILLINI RESTORATIVE CARE CENTER AND CROSSTOWN SQUARE. ILLINI RESTORATIVE CARE CENTER IS A 120-BED LICENSED NURSING FACILITY, CONSISTING OF 75 SKILLED CARE BEDS AND 45 SHELTERED CARE BEDS. TWENTY-TWO OF THE SKILLED CARE BEDS ARE DESIGNATED AS HOSPITAL-BASED MEDICARE CERTIFIED BEDS. THE SHELTERED CARE UNIT PROVIDES REHABILITATIVE AND PERSONAL CARE IN A FAMILY-ORIENTED SETTING. CROSSTOWN SQUARE IS AN INDEPENDENT LIVING FACILITY CONTAINING 76 RENTABLE APARTMENTS AND TWO GUEST ROOMS THAT OFFERS SERVICES DESIGNED TO MEET THE NEEDS OF SENIOR ADULTS. GHS IOWA AND GHS ILLINOIS HAVE A CONTROLLING OWNERSHIP INTEREST OR MEMBERSHIP IN THE FOLLOWING ORGANIZATIONS: GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION) IS AN ORGANIZATION WHOSE MISSION IS TO DEVELOP, MANAGE AND GRANT CHARITABLE SUPPORT TO MEET THE HEALTH-RELATED NEEDS OF THE COMMUNITIES SERVED BY GENESIS HEALTH SYSTEM. THE GENESIS FOUNDATION IS REFERRED TO AS THE FOUNDATION. ILLINI HOSPITAL FOUNDATION (ILLINI FOUNDATION) SUPPORTED GMC ILLINI BY PROVIDING FINANCIAL AND FUNDRAISING ASSISTANCE. THE MISSION OF THE ILLINI FOUNDATION WAS TO ASSIST GMC ILLINI IN PROVIDING QUALITY, COMPASSIONATE CARE FOR ALL THOSE IN NEED BY RAISING, MANAGING AND GRANTING CHARITABLE FUNDS. DURING THE YEAR ENDED JUNE 30, 2012, ILLINI FOUNDATION MERGED WITH GENESIS FOUNDATION AND ILLINI FOUNDATION WAS DISSOLVED. GENGASTRO, LLC (D/B/A THE CENTER FOR DIGESTIVE HEALTH) IS A LIMITED LIABILITY COMPANY, WHICH WAS FORMED IN 2003, A SINGLE-SPECIALTY GASTROENTEROLOGY AMBULATORY SURGERY CENTER LOCATED IN BETTENDORF, IOWA. UPON OBTAINING A CONTROLLING INTEREST, THE SYSTEM CONSOLIDATED THE ACCOUNTS OF GENGASTRO, LLC IN ITS CONSOLIDATED FINANCIAL STATEMENTS IN JANUARY 2011. DURING THE YEAR ENDED JUNE 30, 2012, GHS IOWA ACQUIRED AN ADDITIONAL 8.33% INTEREST IN GENGASTRO, LLC FROM NONCONTROLLING INTERESTS AND MAINTAINS A 75% OWNERSHIP INTEREST AS OF JUNE 30, 2013 AND 2012. THE LARSON CENTER PARTNERSHIP (LCP) IS A FOR-PROFIT REAL ESTATE PARTNERSHIP WHICH OWNS A MEDICAL OFFICE BUILDING ADJACENT TO GMC - ILLINI AND LEASES SPACE FOR CLINICS, LABORATORY, PHARMACY AND OFFICES TO GMC - ILLINI AND OTHER THIRD-PARTY ORGANIZATIONS. GHS ILLINOIS IS A GENERAL PARTNER AND OWNS APPROXIMATELY 75.6% OF LCP.GENVENTURES, INC. (GENVENTURES) IS A WHOLLY-OWNED FOR-PROFIT CORPORATION WHICH OPERATES THE FOLLOWING DIVISIONS, PRIMARILY IN THE QUAD CITIES: GENESIS AT HOME, CONTINUING CARE SELLS AND LEASES HOME MEDICAL EQUIPMENT; PROVIDES INTRAVENOUS THERAPY SERVICES, INCLUDING SALES OF RELATED SOLUTIONS AND SUPPLIES TO PATIENTS; AND PROVIDES RETAIL PHARMACEUTICAL AND OVER-THE-COUNTER PRODUCTS TO PATIENTS AND EMPLOYEES OF THE SYSTEM. GENPROPERTIES OWNS, LEASES AND/OR MANAGES OFFICE SPACE IN 15 MEDICAL OFFICE BUILDINGS LOCATED IN BETTENDORF, CLINTON, DAVENPORT, ELDRIDGE, LE CLAIRE AND MUSCATINE, IOWA. CRESCENT LAUNDRY PROVIDES COMMERCIAL LAUNDRY SERVICES TO HEALTH CARE FACILITIES IN EASTERN IOWA AND IN NORTH-CENTRAL ILLINOIS. GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC (GENESIS ACO) IS AN IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS AND ANY BUSINESS RELATED TO CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) PROVIDES A FUND WHICH CAN BE USED TO PAY WORKERS' COMPENSATION CLAIMS AND COSTS FOR THE BENEFIT OF GHS IOWA. MISERICORDIA ASSURANCE COMPANY, LTD. (MISERICORDIA) IS A WHOLLY-OWNED CAYMAN BASED CAPTIVE INSURANCE COMPANY WHICH UNDERWRITES THE GENERAL AND PROFESSIONAL LIABILITY RISKS OF GHS IOWA AND AFFILIATES. DAVENPORT SRS LEASING, LLC (SRS) IS A LIMITED LIABILITY COMPANY, WHICH WAS FORMED IN 2008, WHICH LEASES MEDICAL EQUIPMENT. GHS IOWA MAINTAINED A 93.75% OWNERSHIP INTEREST AS OF JUNE 30, 2011. DURING THE YEAR ENDED JUNE 30, 2012, GMC DAVENPORT ACQUIRED THE REMAINING INTEREST OF SRS, TO OBTAIN 100% OWNERSHIP. UPON OBTAINING 100% OWNERSHIP, THE ASSETS, LIABILITIES AND OPERATIONS OF SRS WERE TRANSFERRED TO GMC DAVENPORT AND SRS WAS DISSOLVED. GENESIS PHILANTHROPY IS A WHOLLY-OWNED TAX-EXEMPT ENTITY FORMED IN 2013, WHICH WILL PARTNER WITH OTHER HOSPITAL FOUNDATIONS TO FORM A REGIONAL NETWORK TO ATTRACT DONORS TO HELP FUND SPECIFIC HEALTH-RELATED CAUSES AND PROMOTE WELLNESS IN THE REGION. GENESIS PHILANTHROPY HAD NO FINANCIAL ACTIVITY FOR THE YEAR ENDED JUNE 30, 2013. REPORTS FILED WITH STATES PART VI, LINE 7 IL,IA 1 GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST 1227 E RUSHOLME STREET DAVENPORT IA 52803 391905171 501(C)(3) 1158697 CLAIM PAYMENTS GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 501(C)(3) 169380 HEALTHCARE RELATED CONTRIBUTIONS BALLET QUAD CITIES 613 17TH STREET ROCK ISLAND IL 61201 421366753 501(C)(3) 7000 SEASONAL SPONSORSHIP CORN BELT RUNNING CLUB ROAD RUNNERS CLUB OF AMERICA 315 E GEORGE WASHINGTON BLVD DAVENPORT IA 52803 420823980 501(C)(3) 40000 2013 BIX RACE SPONSORSHIP SCOTT COUNTY FAMILY Y 606 WEST 2ND STREET DAVENPORT IA 52801 420703278 501(C)(3) 30000 2013 CAMP GENESIS AND PARTNERS WITH YOUTH SPONSORSHIP ST AMBROSE UNIVERSITY 518 WEST LOCUST STREET DAVENPORT IA 52804 420703280 501(C)(3) 218000 CONTRIBUTION TOWARDS HEALTH SCIENCE BUILDING RICK'S HOUSE OF HOPE 1227 E RUSHOLME STREET DAVENPORT IA 52803 241914034 501(C)(3) 18500 SEASONAL SPONSORSHIP GILDA'S CLUB QUAD CITIES 1234 E RIVER DRIVE DAVENPORT IA 52803 421446989 501(C)(3) 43200 2013 CAMP GENESIS SPONSORSHIP FIGGE ART MUSEUM 225 W 2ND ST DAVENPORT IA 52801 426090398 501(C)(3) 5000 2013 NASA/ART 50 YEARS EXPLORATION EXHIBIT SPONSORSHIP SUSAN G KOMEN BREAST CANCER 5005 LBJ FREEWAY DALLAS TX 75244 751835298 501(C)(3) 33549 2013 RACE FOR THE CURE SPONSORSHIP QUAD CITY SYMPHONY 327 BRADY STREET DAVENPORT IA 52801 426017663 501(C)(3) 5000 2013 MASTERWORKS III CONCERT SPONSORSHIP AMERICAN HEART ASSOCIATION 460 LINDBERGH BLVD ST LOUIS MO 63141 135613797 501(C)(3) 5000 2013 HEART WALK SPONSORSHIP DEWITT AREA FOUNDATION 827 6TH AVENUE DEWITT IA 52742 421296691 501(C)(3) 50000 STAR 2013 PLEDGE ARTS & RECREATION IOWA PUBLIC TELEVISION FOUNDATION 6535 CORPORATE DRIVE JOHNSTON IA 50131 421169207 501(C)(3) 50000 QUAD CITIES EVENTS PROGRAMMING QUAD CITY ARTS INC 1715 2ND AVENUE ROCK ISLAND IL 61201 421703278 501(C)(3) 20350 2013 FESTIVAL OF TREES & VISITING ARTS PERFORMANCE SPONSORSHIP FIRECRACKER RUN 3725 BLACKHAWK ROAD ROCK ISLAND IL 61201 363807313 501(C)(3) 8000 2013 GENESIS FIRECRACKER RUN SPONSORSHIP MAQUOKETA AREA CHAMBER OF COMMERCE 117 S MAIN STREET MAQUOKETA IA 52060 420883748 501(C)(6) 5000 2013 FIREWORKS SPONSORSHIP COMMUNITY PROJECTS FOR ALEDO INC 701 NW 3RD STREET ALEDO IL 61231 364175552 5000 DONATION FOR RENOVATION OF GEORGE PRATT MEMORIAL FIELD QUAD CITIES CHAMBER OF COMMERCE 130 WEST SECOND STREET DAVENPORT IA 52801 421500610 501(C)(6) 27500 RED, WHITE, BOOM CELEBRATION; IA & IL LEGISLATIVE LUNCHEON; GOV. STATE OF IA ADDRESS; IA & IL LEGISLATIVE FORUMS TWO RIVERS YMCA 2040 53RD STREET MOLINE IL 61265 362169199 501(C)(3) 5000 2013 ADAPTIVE ROWING PROGRAM SPONSORSHIP HUMANITY OF MARY HOME 1228 E 12TH STREET DAVENPORT IA 52803 010916973 501(C)(3) 5000 DONATION 18 3 MEDICAL SUPPLIES TO INDIVIDUALS 3020 148151 FAIR MARKET VALUE MEDICAL SUPPLIES GRANTS FOR RESEARCH STUDIES 131 67890 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE GENESIS HEALTH SYSTEM (GHS IOWA) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY. X X 1 1 X X X X X 0 1 0 0 0 0 0 0 0 DOUGLAS P CROPPER 610687 0 179153 0 499740 0 98378 0 22925 0 1410883 0 341127 0 GEORGE J KONTOS JR MD 498555 0 3819 0 26423 0 11250 0 17294 0 557341 0 0 0 MARK G ROGERS 292096 0 65263 0 209747 0 50775 0 13013 0 630894 0 132586 0 WAYNE A DIEWALD 376755 0 35497 0 2167 0 113999 0 14154 0 542572 0 0 0 ROBERT W FRIEDEN 239030 0 47365 0 97079 0 11075 0 19626 0 414175 0 0 0 RICHARD M KISHIUE MD 253457 0 19694 0 68002 0 59079 0 8338 0 408570 0 0 0 JUDITH K PRANGER 78120 0 28518 0 132568 0 31939 0 9785 0 280930 0 0 0 FLORENCE L SPYROW 203008 114192 30436 17121 10190 5732 58634 32982 1510 850 303778 170877 0 0 KURT ANDERSEN 390707 0 40187 0 75401 0 8500 0 8404 0 523199 0 0 0 NICHOLAS AUGELLI MD 740268 0 0 0 181828 0 11250 0 17939 0 951285 0 0 0 JAMES A LEHMAN MD 279934 0 53026 0 147923 0 46191 0 14232 0 541306 0 0 0 TODD RIDENOUR MD 830528 0 0 0 18570 0 11000 0 18885 0 878983 0 0 0 CALVIN J SLOT MD 500734 0 0 0 1842 0 2596 0 8809 0 513981 0 0 0 JEFFREY M COOPER 79553 0 0 0 112897 0 5965 0 9872 0 208287 0 0 0 HEIDI S KAHLY-MCMAHON 179762 0 22800 0 9142 0 44405 0 19689 0 275798 0 0 0 WILLIAM LANGLEY MD 227096 0 20385 0 33841 0 30660 0 13739 0 325721 0 0 0 ROBERT M NELSON MD 154361 0 0 0 203182 0 9515 0 11443 0 378501 0 105947 0 MIKE L SHARP 158345 0 24375 0 25083 0 40931 0 13748 0 262482 0 0 0 CRAIG SOMMERS 134858 0 10625 0 283 0 6911 0 15653 0 168330 0 0 0 PART I, LINE 1A GENESIS HEALTH SYSTEM (GHS IOWA) PROVIDES THE FOLLOWING TO INDIVIDUALS REPORTED IN PART VII, SECTION A, LINE 1A: TRAVEL FOR COMPANIONS: IN TAX YEAR 2012, THE FOLLOWING TYPES OF LISTED INDIVIDUALS REPORTED IN PART VII RECEIVED THE TRAVEL FOR COMPANIONS BENEFIT: 7 DIRECTORS, 4 OFFICERS, 2 KEY EMPLOYEES, 1 HIGHEST COMPENSATED EMPLOYEE, AND 2 FORMER KEY EMPLOYEES. ALL INDIVIDUALS REIMBURSED GHS IOWA IN FULL AND NONE OF THE BENEFIT WAS LISTED AS TAXABLE COMPENSATION. GROSS-UP PAYMENTS: THIS BENEFIT IS OFFERED TO QUALIFYING EXECUTIVES WHO HAD CONTRIBUTIONS MADE ON THEIR BEHALF IN THE SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. CONTRIBUTIONS TO THE PLAN ARE INCLUDED WITH REPORTABLE COMPENSATION FOR INDIVIDUALS WITH VESTED CONTRIBUTIONS. JAMES A. LEHMAN RECEIVED THIS BENEFIT IN 2012. SEE ADDITIONAL INFORMATION PROVIDED BELOW. PART I, LINE 4B THE FOLLOWING INDIVIDUAL PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN IN 2012 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA): JAMES A. LEHMAN, M.D. - $116,175. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUAL TO THE PLAN IN 2012 AND THE GROSS-UP PAYMENT TO COVER TAX. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2012 SPONSORED BY GHS IOWA: JEFFREY M. COOPER - $22,429, DOUGLAS P. CROPPER - $480,670, ROBERT W. FRIEDEN - $72,765, ROBERT M. NELSON, M.D. - $ 132,086, JUDITH K. PRANGER - $27,556, MARK G. ROGERS - $190,594 AND MIKE L. SHARP - $16,291. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2012. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2012 SPONSORED BY GHS IOWA: DOUGLAS P. CROPPER - $87,128, WAYNE A. DIEWALD - $113,999, HEIDI S. KAHLY-MCMAHON - $38,543, RICHARD M. KISHIUE, M.D. - $51,090, MARK G. ROGERS - $38,307, MIKE L. SHARP - $16,291, AND FLORENCE L. SPYROW - $80,366. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2012. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. SUPPLEMENTAL INFORMATION PART III PART II, COLUMN F: THE FOLLOWING INDIVIDUALS ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2009, 2010, 2011 AND 2012 SPONSORED BY GENESIS HEALTH SYSTEM (GHS IOWA): DOUGLAS P. CROPPER - $341,127, ROBERT M. NELSON, M.D. - $105,947 AND MARK G. ROGERS - $132,586. THE DOLLAR AMOUNT REPRESENTS THE PRIOR YEAR CONTRIBUTIONS MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2009, 2010 AND 2011. THIS INFORMATION WAS INCLUDED IN DEFERRED COMPENSATION ON THE PRIOR YEARS' FORM 990, PART VII AND SCHEDULE J, PART II. THESE INDIVIDUALS REACHED A SPECIFIED LEVEL OF VESTING IN 2012, SO THE DOLLAR AMOUNT IS NOW INCLUDED IN REPORTABLE COMPENSATION ON THE CURRENT YEAR FORM 990, PART VII AND SCHEDULE J, PART II. THE DOLLAR AMOUNT IS ALSO LISTED AS COMPENSATION REPORTED IN PRIOR FORM 990 ON THE CURRENT YEAR FORM 990, SCHEDULE J, PART II. A IOWA FINANCE AUTHORITY 521699886 46246PLP4 2010-06-24 95545195 REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITY 0 0 0 A 11465000 95545195 1367299 23389253 2010 1 0 1 1 A 0 0 1 1 1 1 0.00910 0.00000 0.00910 0 0 1 A 0 0 1 0 0 0 0 0 1 A 1 GENVENTURES INC SEE BELOW IN PART V 30048401 GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST. 0 GENVENTURES INC SEE BELOW IN PART V 21621792 GENESIS HEALTH SYSTEM (GHS IOWA) PAID GENVENTURES, INC. FOR FACILITY LEASE PAYMENTS, MEDICAL SUPPLIES, LAUNDRY SERVICES, AND A LOAN ADVANCE. 0 NAVIGANT CONSULTING INC SEE BELOW IN PART V 6309156 GENESIS HEALTH SYSTEM (GHS IOWA) USES SERVICES PROVIDED BY NAVIGANT CONSULTING, INC. 0 CARDIOVASCULAR MEDICINE PC SEE BELOW IN PART V 1433031 HEALTHCARE PROFESSIONAL SERVICES 0 LARSON CENTER PARTNERSHIP SEE BELOW IN PART V 1243843 FACILITY LEASE PAYMENTS 0 QUAD CITY BANK & TRUST COMPANY SEE BELOW IN PART V 228689 GENESIS HEALTH SYSTEM (GHS IOWA) USES SERVICES PROVIDED BY QUAD CITY BANK & TRUST COMPANY. 0 EDWARD TED J ROGALSKI SEE BELOW IN PART V 166108 EDWARD J. ROGALSKI RECEIVES COMPENSATION FROM GENESIS HEALTH SYSTEM (GHS IOWA) AS GENESIS MEDICAL CENTER, ALEDO ADMINISTRATOR. 0 HEALTH ENTERPRISES SEE BELOW IN PART V 110750 HEALTHCARE SUPPORT SERVICES 0 LISA ROGALSKI SEE BELOW IN PART V 108662 LISA ROGALSKI RECEIVES COMPENSATION FROM GENESIS HEALTH SYSTEM (GHS IOWA) AS THE DIRECTOR OF MATERIALS MANAGEMENT. 0 BARBARA P PARK SEE BELOW IN PART V 53205 BARBARA P. PARK RECEIVES COMPENSATION FROM GENESIS HEALTH SYSTEM (GHS IOWA) AS A PHYSICAL THERAPIST. 0 ERIN E MOORE-WATERMAN SEE BELOW IN PART V 41908 ERIN E. MOORE-WATERMAN RECIEVES COMPENSATION FROM GENESIS HEALTH SYSTEM (GHS IOWA) AS A MEDICAL LIBRARIAN. 0 FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - GENVENTURES, INC. MARK G. ROGERS AND ROGER J. HILL ARE OFFICERS, FLORENCE L. SPYROW IS A KEY EMPLOYEE, JAMES W. KOEHLER IS A DIRECTOR, AND MIKE L. SHARP IS A FORMER KEY EMPLOYEE OF GENESIS HEALTH SYSTEM (GHS IOWA) AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, MARK G. ROGERS, ROGER J. HILL, JAMES W. KOEHLER, AND MIKE L. SHARP WERE OFFICERS OF GENVENTURES, INC., AND FLORENCE L. SPYROW WAS A DIRECTOR OF GENVENTURES, INC. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - NAVIGANT CONSULTING, INC. THOMAS A. GILDEHAUS IS A DIRECTOR OF NAVIGANT CONSULTING, INC. AND A DIRECTOR OF THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - CARDIOVASCULAR MEDICINE, PC EDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA) AND IS ALSO A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - LARSON CENTER PARTNERSHIP FLORENCE L. SPYROW IS A KEY EMPLOYEE OF GENESIS HEALTH SYSTEM (GHS IOWA) AND THE VOTING REPRESENTATIVE IN THE LARSON CENTER PARTNERSHIP FOR GENESIS HEALTH SYSTEM (GHS ILLINOIS) A PARTNER IN THE LARSON CENTER PARTNERSHIP. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - QUAD CITY BANK & TRUST COMPANY MARK KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST COMPANY AND A DIRECTOR OF THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - EDWARD (TED) J. ROGALSKI EDWARD J. ROGALSKI IS THE SON OF DR. EDWARD ROGALSKI, PAST CHAIRMAN OF GENESIS HEALTH SYSTEM (GHS IOWA). FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - HEALTH ENTERPRISES DOUGLAS P. CROPPER IS THE BOARD PRESIDENT/CEO OF GENESIS HEALTH SYSTEM (GHS IOWA) AND A DIRECTOR ON THE BOARD OF HEALTH ENTERPRISES. FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - LISA ROGALSKI LISA ROGALSKI IS THE DAUGHTER-IN-LAW OF DR. EDWARD ROGALSKI, PAST CHAIRMAN OF GENESIS HEALTH SYTEM (GHS IOWA). FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - BARBARA P. PARK BARBARA P. PARK IS THE DAUGHTER OF JUDITH PRANGER, KEY EMPLOYEE OF GENESIS HEALTH SYSTEM (GHS IOWA). FORM 990, SCHEDULE L , PART IV, COLUMN B DESCRIPTION OF RELATIONSHIP - ERIN E. MOORE-WATERMAN ERIN E. MOORE-WATERMAN IS THE DAUGHTER-IN-LAW OF C. DANA WATERMAN, DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA). X ATEC SAPPHIRE BREAST BIOPSY EQUIPMENT 1 27750 FAIR MARKET VALUE X PHILIPS WIRELESS TRANSDUCERS 11 15933 FAIR MARKET VALUE 0 0 1 0 FORM 990, PART I, LINE 4 & PART VI, SECTION A, LINE 1B: THE FOLLOWING GENESIS HEALTH SYSTEM (GHS IOWA) DIRECTOR IS NOT INDEPENDENT DUE TO TRANSACTIONS WITH GENVENTURES, INC., A RELATED TAXABLE ORGANIZATION: EDWIN V. MOTTO, M.D. FORM 990, PART VI, SECTION B, LINE 11 INTERNAL MANAGEMENT REVIEW IS COMPLETED OF THE COMPILED INFORMATION PRIOR TO PREPARATION AND REVIEW BY MCGLADREY LLP. FOLLOWING MCGLADREY LLP'S PREPARATION AND REVIEW OF THE FORM 990, IT IS REVIEWED WITH THE ORGANIZATION'S VICE PRESIDENT, FINANCE/CFO; VICE PRESIDENT, LEGAL AFFAIRS; VICE PRESIDENT, HUMAN RESOURCES; AND CHIEF COMPLIANCE RISK OFFICER. THE FORM 990 IS THEN REVIEWED AT A JOINT MEETING OF THE ORGANIZATION'S FINANCE COMMITTEE AND AUDIT & COMPLIANCE COMMITTEE. PRIOR TO SUBMITTING THE FORM 990 TO THE IRS, IT IS E-MAILED TO THE ORGANIZATION'S BOARD OF DIRECTORS ONE WEEK IN ADVANCE OF A SCHEDULED MEETING. AT THE BOARD OF DIRECTORS MEETING, INTERNAL MANAGEMENT REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS. SUGGESTED CHANGES FROM ALL OF THESE REVIEWS ARE CONSIDERED FOR INCLUSION IN THE FINAL FORM 990 SUBMITTED TO THE IRS. FORM 990, PART VI, SECTION B, LINE 12C ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS IOWA) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GHS IOWA, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT. FORM 990, PART VI, SECTION B, LINE 15 EACH EXECUTIVE POSITION IS EVALUATED USING A FORMAL EVALUATION PLAN THAT IS ESTABLISHED BY AN OUTSIDE CONSULTANT. AT THE PRESENT TIME, THE CONSULTANT USES A POINT SYSTEM FOR JOB EVALUATION. THE POINT VALUES ARE BASED ON "KNOW HOW", "PROBLEM SOLVING", "ACCOUNTABILITY", AND OTHER JOB ATTRIBUTES SPECIFIC TO THE POSITION. ONCE THE POINT VALUE IS SET FOR A POSITION, MARKET COMPARISONS FOR JOBS WITH THE SAME ORGANIZATIONAL IMPACT CAN BE COMPARED FOR SALARY PURPOSES AND ESTABLISH PAY RANGES. THE DESIGN OF THE PAY RANGES FOR EXECUTIVES IS BASED ON MARKET DATA. THE MIDPOINT OF EACH PAY RANGE IS ESTABLISHED AT THE 50TH PERCENTILE OF THE MARKET COMPARISONS. A MINIMUM AND MAXIMUM ARE ESTABLISHED OFF OF THE MIDPOINT. SPECIFIC PAY RATES FOR EXECUTIVES ARE SUBJECT TO CEO AND COMPENSATION COMMITTEE AND THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD OF DIRECTORS APPROVAL. PAY RANGES ARE REVIEWED EACH YEAR TO DETERMINE THE NEED FOR REVISION. WHEN MARKET CONDITIONS SUGGEST AN ADJUSTMENT TO PAY RANGES, DATA WILL BE PRESENTED TO THE COMPENSATION COMMITTEE FOR ITS REVIEW. THE SPECIFIC PAY RANGES ARE SUBJECT TO CEO, COMPENSATION COMMITTEE, AND GHS IOWA BOARD OF DIRECTOR APPROVAL. THE PRESIDENT AND CEO HAS THE AUTHORITY AND RESPONSIBILITY TO ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE AND THE GHS IOWA BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GHS IOWA, AT APPROPRIATE TIMES. THE GHS IOWA BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GHS IOWA, AT APPROPRIATE TIMES. THE LAST TIME THIS PROCESS WAS FORMALLY UNDERTAKEN WAS NOVEMBER 2012. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC. FORM 990, PART VII, LINE 1A: GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER, ALEDO AND GENESIS SENIOR LIVING, ALEDO HAVE IDENTICAL GOVERNING BOARDS AND AN IDENTICAL EXECUTIVE MANAGEMENT TEAM. THE HOURS REPORTED ON FORM 990, PART VII, SECTION A, COLUMN (B) REPRESENTS THE NUMBER OF HOURS THESE INDIVIDUALS DEVOTE TO ALL FOUR ORGANIZATIONS. FURTHERMORE, THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL FOUR ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AS WELL AS THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA. PROVISION FOR DOUBTFUL ACCOUNTS FORM 990, PART VIII, LINE 2F: GENESIS HEALTH SYSTEM (GHS IOWA) CHANGED ITS METHOD OF PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE AND THE PROVISION FOR DOUBTFUL ACCOUNTS AS A RESULT OF THE ADOPTION OF ACCOUNTING STANDARDS UPDATE NO. 2011-07, PRESENTATION AND DISCLOSURE OF PATIENT SERVICE REVENUE, PROVISION FOR BAD DEBTS, AND THE ALLOWANCE FOR DOUBTFUL ACCOUNTS FOR CERTAIN HEALTHCARE ENTITIES, DURING THE YEAR ENDED JUNE 30, 2013. THEREFORE, EFFECTIVE FOR THE CURRENT TAX YEAR, BAD DEBT EXPENSE IS NETTED WITH PROGRAM SERVICE REVENUES AND INCLUDED IN PART XIII, LINE 2F. FORM 990, PART X, COLUMN B, LINES 4 & 17: IN FISCAL YEAR 2013, GENESIS HEALTH SYSTEM'S (GHS IOWA) AUDITED FINANCIAL REPORT MODIFIED THE PRESENTATION OF AFFILIATES' ACCOUNTS RECEIVABLE AND ACCOUNTS PAYABLE. AS A RESULT OF THIS CHANGE, FORM 990, PART X, COLUMN B (END OF YEAR), LINES 4 AND 17 REFLECT THIS NEW PRESENTATION. ALSO IN ACCORDANCE WITH THE AUDITED FINANCIAL REPORT PRESENTATION, FORM 990, PART X, COLUMN A (BEGINNING OF YEAR), LINES 4 AND 17 WERE NOT RESTATED TO REFLECT THE PRESENTATION CHANGE. OTHER FEES FORM 990, PART IX, LINE 11G OTHER FEES: PROGRAM SERVICE EXPENSES 38,935,346. MANAGEMENT AND GENERAL EXPENSES 6,180,852. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 45,116,198. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: CHANGE IN FUNDED STATUS OF RETIREMENT 13,291,089. CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION 1,624,253. FORM 990, PART XII, LINE 2C: THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR. GENESIS OUTPATIENT PHYSICAL THERAPY LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 208389282 OUTPATIENT PHYSICAL THERAPY SERVICES IA 0 0 GENESIS HEALTH SYSTEM (GHS IOWA) GENESIS ACCOUNTABLE CARE ORGANIZATION LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 454168932 ACCOUNTABLE CARE SERVICES IA 1365482 1365482 GENESIS HEALTH SYSTEM (GHS IOWA) SPIN ECHO LLC 1227 E RUSHOLME STREET DAVENPORT IA 52803 421491373 PROPERTY MANAGEMENT IA 142927 1600877 GENVENTURES INC GENESIS HEALTH SYSTEM (GHS ILLINOIS) 801 ILLINI DRIVE SILVIS IL 61282 363616314 HEALTHCARE IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (GHS IOWA) 1 GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT IA 52803 421421670 CHARITY IA 501(C)(3) LINE 7 GENESIS HEALTH SYSTEM (GHS IOWA) 1 GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST 1227 E RUSHOLME STREET DAVENPORT IA 52803 391905171 EMPLOYEE/BENEFIT/TRUST IA 501(C)(3) LINE 11A, I GENESIS HEALTH SYSTEM (GHS IOWA) 1 DAVENPORT HOSPITAL AMBULANCE CORPORATION 1204 E HIGH STREET DAVENPORT IA 52803 421186903 AMBULANCE TRANSFERS IA 501(C)(3) LINE 11A, I GENESIS HEALTH SYSTEM (GHS IOWA) 1 GENESIS SENIOR LIVING ALEDO 309 NW NINTH AVENUE ALEDO IL 61231 454475803 SENIOR LIVING SERVICES IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (GHS ILLINOIS) 1 GENESIS MEDICAL CENTER ALEDO 409 NW NINTH AVENUE ALEDO IL 61231 454475683 HEALTHCARE IL 501(C)(3) LINE 3 GENESIS HEALTH SYSTEM (GHS ILLINOIS) 1 GENESIS PHILANTHROPY 1227 E RUSHOLME STREET DAVENPORT IA 52803 462452851 CHARITY IA 501(C)(3) LINE 11A, I GENESIS HEALTH SYSTEM (GHS IOWA) 1 GENGASTRO LLC 2222 53RD AVENUE BETTENDORF IA 52722 562315623 AMBULATORY SURGERY CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 3509433 148375 0 0 0.93450 SPRING PARK SURGERY CENTER LLC 3319 SPRING STREET STE 202A DAVENPORT IA 52807 421483989 OUTPATIENT SURGICAL CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 1541617 2745017 0 0 0.74680 LARSON CENTER PARTNERSHIP 801 ILLINI DRIVE SILVIS IL 61282 363738454 PROPERTY MANAGEMENT IL N/A GENORTHO LLC 2300 53RD AVENUE BETTENDORF IA 52722 203406994 ORTHOPAEDIC SURGERY CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 1205370 1018360 0 0 0.52220 GENRAD IMAGING LLC 1970 E 53RD ST DAVENPORT IA 52807 453571628 DIAGNOSTIC IMAGING CENTER IA GENESIS HEALTH SYSTEM (GHS IOWA) RELATED 971467 11286361 0 0 0.50000 GENESIS ONCOLOGY CO - 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