GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
- Tax period
- 2012-01-01 to 2012-12-31
- Filed
- 2013-11-14
- IRS object ID
- 201313189349307276
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-11-14T18:05:25-06:00 | Timestamp |
| Tax Period End Date | 2012-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 381357951 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PLANTE & MORAN PLLC | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| 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 | ReturnType |
| Tax Period Begin Date | 2012-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311480941 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HEALTHCARE SYSTEM | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GENE | NameControl |
| Phone | 7404545000 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | PAUL MASTERSON | Name |
| Title | CFO | Title |
| Phone | 7404545000 | Phone |
| Date Signed | 2013-11-13 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | BERNIE OSTROWSKI | Name |
| PTIN | P00366367 | PTIN |
| Phone | 6148493000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | MATTHEW PERRY | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 356857035 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Group Exemption Number | 3727 | GroupExemptionNumber |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.GENESISHCS.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1997 | YearFormation |
| State Legal Domicile | OH | StateLegalDomicile |
| Activity Or Mission Description | 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. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 16 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 11 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3251 | TotalNbrEmployees |
| Total Nbr Volunteers | 477 | TotalNbrVolunteers |
| Total Gross UBI | 665714 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | -250933 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 349173 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 369745 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 306080751 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 336634385 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 7084413 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3570462 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6974580 | OtherRevenuePriorYear |
| Other Revenue Current Year | 15148859 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 320488917 | TotalRevenuePriorYear |
| Total Revenue Current Year | 355723451 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 40000 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 143634510 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 154196929 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 153509050 | OtherExpensePriorYear |
| Other Expenses Current Year | 171023118 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 297143560 | TotalExpensesPriorYear |
| Total Expenses Current Year | 325260047 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 23345357 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 30463404 | RevenuesLessExpensesCY |
| Total Assets BOY | 261394145 | TotalAssetsBOY |
| Total Assets EOY | 280222455 | TotalAssetsEOY |
| Total Liabilities BOY | 130414955 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 142100697 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 130979190 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 138121758 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO PROMOTE CHARITABLE SUPPORT FOR GENESIS HEALTHCARE SYSTEM AS WE SHARE ITS MISSION TO PROVIDE COMPASSIONATE, QUALITY HEALTHCARE. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 154925284 | Expense |
| Grants | 0 | Grants |
| Revenue | 127154004 | Revenue |
| Description | SEE SCHEDULE OGENESIS 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 257 BEDS. TOTAL PATIENTS DISCHARGED FROM THESE UNITS IN 2012 WERE 14,232. OBSTETRICS STAFFS A TOTAL OF 24 BEDS AT THE BETHESDA CAMPUS AND DISCHARGED 1,413 PATIENTS FOR A TOTAL OF 1,353 BIRTHS. THE PEDIATRIC UNIT IS LOCATED AT THE BETHESDA CAMPUS WITH 12 BEDS AND HAD 354 DISCHARGES IN 2012. THERE ARE 21 CRITICAL CARE BEDS BETWEEN THE TWO CAMPUSES AND DISCHARGED 373 PATIENTS DURING THE YEAR AND 25 CARDIOVASCULAR BEDS IN A UNIT LOCATED ON THE GOOD SAMARITAN CAMPUS WITH 1,719 DISCHARGES IN 2012. THERE IS ALSO A CANCER UNIT ON THE GOOD SAMARITAN CAMPUS WITH 928 DISCHARGES IN 2012 AND AN ORTHOPAEDIC UNIT WITH 658 DISCHARGES IN 2012.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 2012 OF 1,244,387. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, AND PET SCAN WITH TOTAL VOLUMES OF 158,342. PHARMACY PRESCRIPTIONS TOTALED 6,821,199.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 2012 WERE 1,845. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 45354910 | Expense |
| Grants | 0 | Grants |
| Revenue | 122746713 | Revenue |
| Description | 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 2012 WERE 3,348. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 19341289 | Expense |
| Grants | 0 | Grants |
| Revenue | 52344490 | Revenue |
| Description | 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 2012 WERE 2,436. | Description |
Activity Other ActivityOther (2 entries)
| ExpenseExpense | GrantsGrants | RevenueRevenue | DescriptionDescription |
|---|---|---|---|
| 13622034 | 40000 | 36922273 | 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 2012 WERE 1,246.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 2012 WERE 1,845. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 13622034 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 40000 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 36922273 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 233243517 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 1 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 1 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 344 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 3251 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 1 | UnrelatedBusinessIncome |
| Form990-T Filed | 1 | Form990-TFiled |
| Foreign Financial Account | 1 | ForeignFinancialAccount |
| Name Of Foreign Country | CJ | NameOfForeignCountry |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 16 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 11 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 1 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 0 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 1 | InvestmentInJointVenture |
| Written Policy Or Procedure | 0 | WrittenPolicyOrProcedure |
| States Where Copy Of Return Is Filed | OH | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MARTI NASH | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 7404545000 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (32 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| MICHAEL BENNETT | ||||||||||
| CHAIR | 3.10 | 0.00 | X | X | 0 | 0 | 0 | |||
| WALTER OFFINGER | ||||||||||
| VICE CHAIR | 2.50 | 0.00 | X | X | 0 | 0 | 0 | |||
| JODY BALLAS | ||||||||||
| TREASURER | 3.60 | 0.00 | X | X | 0 | 0 | 0 | |||
| JERRY NOLDER | ||||||||||
| SECRETARY | 3.50 | 0.00 | X | X | 0 | 0 | 0 | |||
| MARK MOYER | ||||||||||
| EX-OFFICIO | 3.10 | 0.00 | X | 0 | 0 | 0 | ||||
| SR LAURA WOLF | ||||||||||
| EX-OFFICIO | 2.70 | 0.20 | X | 0 | 0 | 0 | ||||
| RANDY COCHRANE | ||||||||||
| EX-OFFICIO | 2.10 | 0.40 | X | 0 | 0 | 0 | ||||
| THOMAS DIEHL MD | ||||||||||
| DIRECTOR | 2.50 | 0.00 | X | 900 | 0 | 0 | ||||
| SR THERESA FELDKAMP | ||||||||||
| DIRECTOR | 1.60 | 0.20 | X | 0 | 0 | 0 | ||||
| ROBERT KESSLER | ||||||||||
| DIRECTOR | 3.40 | 0.00 | X | 0 | 0 | 0 | ||||
| ERIC NEWSOM MD | ||||||||||
| CHIEF OF STAFF | 40.00 | 0.00 | X | 373910 | 0 | 20032 | ||||
| JAMES MCDONALD | ||||||||||
| DIRECTOR | 2.30 | 0.40 | X | 0 | 0 | 0 | ||||
| WILLIAM PHILLIPS | ||||||||||
| DIRECTOR | 1.30 | 0.00 | X | 0 | 0 | 0 | ||||
| WILLIAM SHADE MD | ||||||||||
| DIRECTOR | 12.70 | 0.00 | X | 65725 | 0 | 0 | ||||
| ERIN WELCH | ||||||||||
| DIRECTOR | 1.60 | 0.00 | X | 0 | 0 | 0 | ||||
| WALTER WIELKIEWICZ MD | ||||||||||
| DIRECTOR | 40.00 | 0.00 | X | 251206 | 0 | 10961 | ||||
| MATTHEW PERRY | ||||||||||
| CHIEF EXEC OFFICER | 36.40 | 3.60 | X | 575709 | 0 | 479732 | ||||
| PAUL MASTERSON | ||||||||||
| CHIEF FINANCIAL OFFICER | 35.60 | 4.40 | X | 372090 | 0 | 210320 | ||||
| RICHARD HELSPER | ||||||||||
| CHIEF OPER OFFICER (MAY - DEC) | 40.00 | 0.00 | X | 197426 | 0 | 57070 | ||||
| CASSANDRA PALMER | ||||||||||
| CHIEF HR OFFICER | 40.00 | 0.00 | 275919 | 0 | 391432 | X | ||||
| EDMOND ROMITO | ||||||||||
| CHIEF INFOR OFFICER | 40.00 | 0.00 | 272401 | 0 | 68080 | X | ||||
| ALAN BURNS | ||||||||||
| CHIEF DEVELOPMENT OFFICER | 40.00 | 0.00 | 281717 | 0 | 166641 | X | ||||
| PATRICIA CAMPBELL | ||||||||||
| CHIEF NURSING OFFICER | 39.90 | 0.10 | 268351 | 0 | 368330 | X | ||||
| REGINA PENNINGTON | ||||||||||
| CHIEF QUALITY OFFICER | 39.90 | 0.10 | 224503 | 0 | 55192 | X | ||||
| DANIEL SCHEERER | ||||||||||
| CHIEF MEDICAL AFFAIRS OFFI | 40.00 | 0.00 | 286091 | 0 | 63951 | X | ||||
| TIMOTHY RAYMOND | ||||||||||
| CHIEF ADMIN OFFICER- PHYS | 40.00 | 0.00 | 386845 | 0 | 35898 | X | ||||
| CHARLES ADAMS JR | ||||||||||
| DIRECTOR OF LEAN SIGMA | 40.00 | 0.00 | 154213 | 0 | 18762 | X | ||||
| ABBY NGUYEN | ||||||||||
| DIRECTOR OF NURSING AND CLINICAL SUPPORT SVCS | 40.00 | 0.00 | 142980 | 0 | 22717 | X | ||||
| RAY RYMAN | ||||||||||
| CLINICAL PHARMACIST | 40.00 | 0.00 | 149145 | 0 | 19107 | X | ||||
| DIANNA LEVECK | ||||||||||
| DIRECTOR OF HUMAN RESOURCES | 40.00 | 0.00 | 146666 | 0 | 22447 | X | ||||
| GREGORY PETE HAMILTON | ||||||||||
| DIRECTOR OF PHARMACY SERVICES | 40.00 | 0.00 | 143552 | 0 | 26418 | X | ||||
| ALAN VIERLING | ||||||||||
| FORMER COO | 0.00 | 0.00 | 129744 | 0 | 578 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 4699093 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 2037668 | TotalOtherCompensation |
| Number Individuals GT100 K | 51 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| ACCENTURE LLC | |||||
| 161 CLARK ST | CHICAGO | IL | 60601 | CONSULTING | 3804616 |
| PRIMECARE OF SE OHIO INC | |||||
| 860 BETHESDA DR | ZANESVILLE | OH | 43701 | MEDICAL SERVICES | 3782224 |
| ZANESVILLE ANESTHESIA PHYSICIANS INC | |||||
| 37 S SEVENTH ST | ZANESVILLE | OH | 43701 | MEDICAL SERVICES | 3480863 |
| CARDIA ANESTHESIA ASSOC | |||||
| 800 FOREST AVE | ZANESVILLE | OH | 43701 | MEDICAL SERVICES | 1292319 |
| ARUP LABORATORIES | |||||
| 500 CHIPETA WAY | SALT LAKE CITY | UT | 84108 | MEDICAL SERVICES | 1051883 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 45 | NumberOfContractorsGT100K |
| Related Organizations | 177839 | RelatedOrganizations |
| Government Grants | 191906 | GovernmentGrants |
| Total Contributions | 369745 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICES | 621110 | 336139417 | 336139417 |
| PASSTHROUGH INCOME | 621110 | 494968 | 494968 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 336634385 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3172864 | TotalRevenueColumn |
| Exclusion | $3,172,864 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 972082 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1133584 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | -161502 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -161502 | TotalRevenueColumn |
| Exclusion | -$161,502 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 397598 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 0 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 397598 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 397598 | TotalRevenueColumn |
| Exclusion | $397,598 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Unrelated Business RevenueUnrelatedBusinessRevenue | ExclusionExclusionAmount | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|---|---|
| CAFETERIA SALES | 621110 | 3621160 | 107567 | $3,513,593 | |
| EHR TECHNOLOGY INCOME | 621110 | 3420247 | $3,420,247 | ||
| OCCUPATIONAL HEALTH | 621110 | 1362719 | 1362719 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6906235 | TotalRevenueColumn |
| Related Or Exempt Function Income | 1170376 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 558147 | UnrelatedBusinessRevenue |
| Exclusion | $5,177,712 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 15310361 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 355723451 | TotalRevenueColumn |
| Related Or Exempt Function Income | 339167480 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 665714 | UnrelatedBusinessRevenue |
| Exclusion | $15,520,512 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 40000 | Total |
| Program Services | 40000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1637852 | Total |
| Management And General | 1637852 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 115975042 | Total |
| Program Services | 82652551 | ProgramServices |
| Management And General | 33322491 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6291051 | Total |
| Program Services | 4909994 | ProgramServices |
| Management And General | 1381057 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 21840291 | Total |
| Program Services | 15463800 | ProgramServices |
| Management And General | 6376491 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8452693 | Total |
| Program Services | 5975194 | ProgramServices |
| Management And General | 2477499 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1240740 | Total |
| Program Services | 601069 | ProgramServices |
| Management And General | 639671 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1417436 | Total |
| Management And General | 1417436 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 457105 | Total |
| Management And General | 457105 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 26536386 | Total |
| Program Services | 13229393 | ProgramServices |
| Management And General | 13306993 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 132276 | Total |
| Program Services | 11482 | ProgramServices |
| Management And General | 120794 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 72472256 | Total |
| Program Services | 63105354 | ProgramServices |
| Management And General | 9366902 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5755855 | Total |
| Program Services | 1125115 | ProgramServices |
| Management And General | 4630740 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4449327 | Total |
| Program Services | 325753 | ProgramServices |
| Management And General | 4123574 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 877360 | Total |
| Program Services | 311498 | ProgramServices |
| Management And General | 565862 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2092640 | Total |
| Program Services | 2092640 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 14652897 | Total |
| Program Services | 7980500 | ProgramServices |
| Management And General | 6672397 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 381425 | Total |
| Program Services | 363846 | ProgramServices |
| Management And General | 17579 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| BAD DEBT EXPENSE | 25275939 | 25275939 | |
| HOSPITAL FRANCHISE FEE | 3383899 | 3383899 | |
| PHYSICIAN RECRUITMENT | 3322585 | 3322585 | |
| LAB REFERENCE FEES | 1262842 | 1262842 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7312150 | Total |
| Program Services | 5132648 | ProgramServices |
| Management And General | 2179502 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 325260047 | Total |
| Program Services | 233243517 | ProgramServices |
| Management And General | 92016530 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5412570 | BOY |
| EOY | 1883985 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8796626 | BOY |
| EOY | 7327947 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 855000 | BOY |
| EOY | 855000 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 50608666 | BOY |
| EOY | 58598927 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4410061 | BOY |
| EOY | 5021209 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 9328849 | BOY |
| EOY | 10919798 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 306131108 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 201177532 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97862256 | BOY |
| EOY | 104953576 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 54916565 | BOY |
| EOY | 66651933 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 16905822 | BOY |
| EOY | 14274732 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1703129 | BOY |
| EOY | 1703129 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10594601 | BOY |
| EOY | 8032219 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261394145 | BOY |
| EOY | 280222455 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 27409472 | BOY |
| EOY | 31164867 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 8540401 | BOY |
| EOY | 7702912 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 53943286 | BOY |
| EOY | 57017747 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40521796 | BOY |
| EOY | 46215171 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130414955 | BOY |
| EOY | 142100697 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130979190 | BOY |
| EOY | 138121758 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 130979190 | BOY |
| EOY | 138121758 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 261394145 | BOY |
| EOY | 280222455 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 30463404 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 4664162 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | -27984998 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 1 | DirectContactLegislators |
| Direct Contact Legislators | $167,971 | DirectContactLegislatorsAmount |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $17,480 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 185451 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| 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): 3.0% OF $14,122 ($424) CATHOLIC CONFERENCE OF OHIO: 5.3% OF $2,022 ($107) OHIO HOSPITAL ASSOCIATION: 5.3% OF $73,599 ($3,901) FSCC HEALTHCARE MINISTRY (FOR AHA): 24.0% OF $48,586 ($11,651) AMERICAN ACADEMY OF SLEEP MEDICINE: 8.0% OF $1,125 ($90) SNHPA: 12.0% OF $5,500 ($660) OHIO HOSPICE AND PALLIATIVE CARE ORG: 7.1% OF $7,000 ($497) NATIONAL HOSPICE AND PALLIATIVE ORG: 3.0% OF $4,959 ($150) IN ADDITION, GENESIS HEALTHCARE SYSTEM PAID MATTHEW KALLNER, LOBBYIST, $77,000 DURING THE YEAR FOR GENERAL LOBBYING RELATING TO OHIO STATEHOUSE ISSUES. LASTLY, THE FIRM WILLIAMS AND JENSEN WAS PAID $90,971 FOR SERVICES IN RELATION TO BUILDING AND STRENGTHENING RELATIONSHIPS WITH OHIO MEMBERS OF CONGRESS AND OTHER RELEVANT MEMBERS AND THEIR STAFFS; IDENTIFYING OPPORTUNITIES IN THE ECONOMIC STIMULUS PACKAGE AND WORKING TO ENSURE THE ORGANIZATION IS WELL POSITIONED TO BENEFIT FROM ANY FUNDING FOR WHICH PROJECTS MAY BE ELIGIBLE; ASSIST IN SEEKING FEDERAL FUNDS THROUGH FISCAL YEAR 2012 APPROPRIATIONS REQUESTS; AND MONITOR, REPORT, AND COLLABORATIVELY IDENTIFY NEW OPPORTUNITIES IN THE FEDERAL LEGISLATIVE, REGULATORY AND/OR FUNDING SECTOR; AND ASSIST IN FINDING SOLUTIONS TO REPLACE THE LOSS OF THE MEDICARE WAGE INDEX RECLASSIFICATION THAT WAS EFFECTIVE 10/1/2011. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 7746309 | OtherCostOrOtherBasis |
| Book Value | 7746309 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 48833495 | OtherCostOrOtherBasis |
| Depreciation | 32192109 | Depreciation |
| Book Value | 16641386 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2630655 | OtherCostOrOtherBasis |
| Depreciation | 1083935 | Depreciation |
| Book Value | 1546720 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 243365205 | OtherCostOrOtherBasis |
| Depreciation | 164827957 | Depreciation |
| Book Value | 78537248 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3555444 | OtherCostOrOtherBasis |
| Depreciation | 3073531 | Depreciation |
| Book Value | 481913 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 104953576 | TotalOfBookValueLandBuildings |
Other Securities OtherSecurities (2 entries)
| DescriptionDescription | Book ValueBookValue | Method Of ValuationMethodOfValuation |
|---|---|---|
| OTHER INVESTMENTS | 12221472 | F |
| CORPORATE OBLIGATIONS | 2053260 | F |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Securities | 14274732 | TotalOfBookValueSecurities |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| ACCRUED MINIMUM PENSION LIABILITY | $41,035,410 |
| ACCRUED PROFESSIONAL LIABILITY | $2,241,687 |
| FAIR VALUE OS INTEREST RATE SWAP | $2,582,113 |
| COST REPORT SETTLEMENT PAYABLE | $355,961 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 46215171 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X, LINE 2: | ReturnReference |
| 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, 2012 AND 2011, 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 NOT LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS PRIOR TO FISCAL YEAR 2009. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent100 | X | Pcent100 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent300 | X | Pcent300 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8356211 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 3215795 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 5140416 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01710 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 48929534 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 37045635 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11883899 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03960 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 57285745 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 40261430 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17024315 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05670 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 268859 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 13335 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 255524 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00090 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1228 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1228 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5027830 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4559875 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 467955 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00160 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 0 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 26800 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26800 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 5324717 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4573210 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 751507 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00260 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 62610462 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 44834640 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 17775822 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05930 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 19056 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 19056 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 19056 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 19056 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00010 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 0 | BadDebtExpenseReported |
| Bad Debt Expense | $25,275,939 | BadDebtExpenseAmount |
| Amount Attributable To | 3984089 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 125396851 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 133196851 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -7800000 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 2 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)
| Facility NumberFacilityNumber | Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Licensed HospitalLicensedHospital | General Medical And SurgicalGeneralMedicalAndSurgical | Er24 HoursEr24Hours | OtherOther |
|---|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN HOSPITAL | ||||||||
| 1 | 800 FOREST AVE | ZANESVILLE | OH | 43701 | X | X | X | ACUTE CARE HOSPITAL |
| BETHESDA HOSPITAL | ||||||||
| 2 | 2951 MAPLE AVE | ZANESVILLE | OH | 43701 | X | X | X | ACUTE CARE HOSPITAL |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)
| Hospital Facility NumberHospitalFacilityNumber | Eligibility Criteria ExplainedEligibilityCriteriaExplained | Uses FPG FreeUsesFPGFree | FPG Free PercentFPGFreePercent | Uses FPG DiscountedUsesFPGDiscounted | FPG Discount PercentFPGDiscountPercent | Explains BasisExplainsBasis | Income LevelIncomeLevel | Medical IndigencyMedicalIndigency | Explains Application MethodExplainsApplicationMethod | Includes Publicity MeasuresIncludesPublicityMeasures | Posted On WebsitePostedOnWebsite | Posted In Admission OfficePostedInAdmissionOffice | Available On RequestAvailableOnRequest | Actions On NonpaymentActionsOnNonpayment | Collection ActivitiesCollectionActivities | Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy | Used Other MethodUsedOtherMethod | Amounts Generally BilledAmountsGenerallyBilled | Gross ChargesGrossCharges |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| GOOD SAMARITAN HOSPITAL | |||||||||||||||||||
| 1 | 1 | 1 | 100.000000000000 | 1 | 300.000000000000 | 1 | X | X | 1 | 1 | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
| BETHESDA HOSPITAL | |||||||||||||||||||
| 2 | 1 | 1 | 100.000000000000 | 1 | 300.000000000000 | 1 | X | X | 1 | 1 | X | X | X | 1 | 0 | 1 | X | 0 | 0 |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 5 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (5 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| 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 $ 25275939. | |
| PART II: 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 2012 TO CHARITY WITH SERVICE DATES OF 2011 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. THE SHORTFALL SHOULD BE CONSIDERED COMMUNITY BENEFIT BASED ON THE AGING POPULATION OF THE AREAS THE HOSPITAL SERVES. | |
| PART III, LINE 9B: TRUE SELF-PAY ACCOUNTS AND ACCOUNTS UNDER $500 AFTER INSURANCE HAS PAID RECEIVE THREE STATEMENTS BEFORE GOING TO PRE-COLLECTION (APPROXIMATELY 45 DAYS). BALANCES OVER $500 WITH INSURANCE ARE WORKED IN-HOUSE UNTIL WE REACH APPROXIMATELY DAY 105, AND FIVE STATEMENTS HAVE BEEN ISSUED. ALL ACCOUNTS GO TO FULL COLLECTION AFTER DAY 105 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. EACH OF THE COLLECTION AGENCIES ARE 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 V, SECTION B, LINE 20D: FAP PATIENTS ARE PROVIDED A MINIMUM DISCOUNT OF 30%. INSURED DISCOUNTS CAN VARY, SOME MORE AND SOME LESS THAN 30%. IN SOME CASES, IT COULD BE POSSIBLE THAT THE DISCOUNT TO FAP PATIENTS COULD BE LESS THAN THE INSURED PATIENTS. | GOOD SAMARITAN HOSPITAL |
| PART V, SECTION B, LINE 20D: FAP PATIENTS ARE PROVIDED A MINIMUM DISCOUNT OF 30%. INSURED DISCOUNTS CAN VARY, SOME MORE AND SOME LESS THAN 30%. IN SOME CASES, IT COULD BE POSSIBLE THAT THE DISCOUNT TO FAP PATIENTS COULD BE LESS THAN THE INSURED PATIENTS. | BETHESDA HOSPITAL |
| PART V, SECTION B, LINE 22: THIRD PARTY PAYORS FROM AUTO ACCIDENTS, LIABILITY INJURIES, WORK-RELATED ACCIDENTS IN WHICH PATIENT IS UNWILLING TO REPORT, ELECTIVE PROCEDURES. FINANCIAL ASSISTANCE IS PAYOR OF LAST RESORT. | GOOD SAMARITAN HOSPITAL |
| PART V, SECTION B, LINE 22: THIRD PARTY PAYORS FROM AUTO ACCIDENTS, LIABILITY INJURIES, WORK-RELATED ACCIDENTS IN WHICH PATIENT IS UNWILLING TO REPORT, ELECTIVE PROCEDURES. FINANCIAL ASSISTANCE IS PAYOR OF LAST RESORT. | BETHESDA HOSPITAL |
| 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 A THIRD PARTY THAT WORKS 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 APPROXIMATE 250,000, WITH MUSKINGUM COUNTY (80,000) REPRESENTING THE LARGEST COUNTY. GROWTH IS STABLE. MEDIAN HOUSEHOLD INCOME LEVELS RANGE FROM $6,000 TO $11,000 LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME AND $7,000 TO $12,000 LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME. PEOPLE LIVING BELOW POVERTY LEVEL RANGES FROM 11.4% TO 14.2% IN THE REGION VERSUS 11.7% FOR STATE AND 12.7% 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: 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) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HEALTHCARE FOUNDATION | BusinessNameLine1 |
Address US AddressUS
| 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) |
|---|---|---|
| EIN Of Recipient | 311629304 | EINOfRecipient |
| IRC Section | 501(C)(3) | IRCSection |
| Amount Of Cash Grant | 40000 | AmountOfCashGrant |
| Purpose Of Grant | GRANTS WERE PAID THE RELATED TAX-EXEMPT ORGANIZATION TO HELP SUPPORT ITS PURPOSE. | PurposeOfGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | PROCEDURE FOR MONITORING GRANTS IN THE U.S.: | Identifier |
| Return Reference | PART I, LINE 2: | ReturnReference |
| Explanation | SCHEDULE I, PART I, LINE 2: GRANTS WERE PAID TO GENESIS HEALTHCARE FOUNDATION TO HELP FURTHER THE RELATED TAX-EXEMPT ORGANIZATION'S PURPOSE. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Compensation Committee | X | CompensationCommittee |
| Independent Consultant | X | IndependentConsultant |
| Written Employment Contract | X | WrittenEmploymentContract |
| Compensation Survey | X | CompensationSurvey |
| Board Or Committee Approval | X | BoardOrCommitteeApproval |
| Severance Payment | 1 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (18 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| ERIC NEWSOM MD | ||||||||||||||
| CHIEF OF STAFF | 373910 | 0 | 0 | 0 | 0 | 0 | 5748 | 0 | 14284 | 0 | 393942 | 0 | 0 | 0 |
| WALTER WIELKIEWICZ MD | ||||||||||||||
| DIRECTOR | 251206 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 10961 | 0 | 262167 | 0 | 0 | 0 |
| MATTHEW PERRY | ||||||||||||||
| CHIEF EXEC OFFICER | 485966 | 0 | 89743 | 0 | 0 | 0 | 462418 | 0 | 17314 | 0 | 1055441 | 0 | 0 | 0 |
| PAUL MASTERSON | ||||||||||||||
| CHIEF FINANCIAL OFFICER | 296576 | 0 | 75514 | 0 | 0 | 0 | 192359 | 0 | 17961 | 0 | 582410 | 0 | 0 | 0 |
| RICHARD HELSPER | ||||||||||||||
| CHIEF OPER OFFICER (MAY - DEC) | 197400 | 0 | 26 | 0 | 0 | 0 | 56361 | 0 | 709 | 0 | 254496 | 0 | 0 | 0 |
| CASSANDRA PALMER | ||||||||||||||
| CHIEF HR OFFICER | 220341 | 0 | 55578 | 0 | 0 | 0 | 378828 | 0 | 12604 | 0 | 667351 | 0 | 0 | 0 |
| EDMOND ROMITO | ||||||||||||||
| CHIEF INFOR OFFICER | 220183 | 0 | 52218 | 0 | 0 | 0 | 53462 | 0 | 14618 | 0 | 340481 | 0 | 0 | 0 |
| ALAN BURNS | ||||||||||||||
| CHIEF DEVELOPMENT OFFICER | 224569 | 0 | 57148 | 0 | 0 | 0 | 153798 | 0 | 12843 | 0 | 448358 | 0 | 0 | 0 |
| PATRICIA CAMPBELL | ||||||||||||||
| CHIEF NURSING OFFICER | 214563 | 0 | 53788 | 0 | 0 | 0 | 357830 | 0 | 10500 | 0 | 636681 | 0 | 0 | 0 |
| REGINA PENNINGTON | ||||||||||||||
| CHIEF QUALITY OFFICER | 180797 | 0 | 43706 | 0 | 0 | 0 | 39414 | 0 | 15778 | 0 | 279695 | 0 | 0 | 0 |
| DANIEL SCHEERER | ||||||||||||||
| CHIEF MEDICAL AFFAIRS OFFI | 232304 | 0 | 53787 | 0 | 0 | 0 | 51873 | 0 | 12078 | 0 | 350042 | 0 | 0 | 0 |
| TIMOTHY RAYMOND | ||||||||||||||
| CHIEF ADMIN OFFICER- PHYS | 247047 | 0 | 46338 | 0 | 93460 | 0 | 19522 | 0 | 16376 | 0 | 422743 | 0 | 0 | 0 |
| CHARLES ADAMS JR | ||||||||||||||
| DIRECTOR OF LEAN SIGMA | 121034 | 0 | 33179 | 0 | 0 | 0 | 8062 | 0 | 10700 | 0 | 172975 | 0 | 0 | 0 |
| ABBY NGUYEN | ||||||||||||||
| DIRECTOR OF NURSING AND CLINICAL SUP | 126928 | 0 | 16052 | 0 | 0 | 0 | 10377 | 0 | 12340 | 0 | 165697 | 0 | 0 | 0 |
| RAY RYMAN | ||||||||||||||
| CLINICAL PHARMACIST | 148899 | 0 | 246 | 0 | 0 | 0 | 7329 | 0 | 11778 | 0 | 168252 | 0 | 0 | 0 |
| DIANNA LEVECK | ||||||||||||||
| DIRECTOR OF HUMAN RESOURCES | 138241 | 0 | 8425 | 0 | 0 | 0 | 9298 | 0 | 13149 | 0 | 169113 | 0 | 0 | 0 |
| GREGORY PETE HAMILTON | ||||||||||||||
| DIRECTOR OF PHARMACY SERVICES | 134593 | 0 | 8959 | 0 | 0 | 0 | 10596 | 0 | 15822 | 0 | 169970 | 0 | 0 | 0 |
| ALAN VIERLING | ||||||||||||||
| FORMER COO | 0 | 0 | 0 | 0 | 129744 | 0 | 0 | 0 | 578 | 0 | 130322 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation |
|---|---|
| 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, LINES 4A-B | PART I, LINE 4A: ALAN VIERLING RECEIVED AN INSTALLMENT SEVERANCE PAYMENT OF $129,744 DURING 2012. THIS WAS THE FINAL PAYMENT. TIMOTHY RAYMOND RECEIVED INSTALLMENT SEVERANCE PAYMENTS IN 2012 TOTALING $93,460. FINAL PAYMENTS WERE MADE IN 2012. PART I, LINE 4B: GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: MATTHEW PERRY, $416,429 PAUL MASTERSON, $161,511 CASSANDRA PALMER, $210,277 PATRICIA CAMPBELL, $199,442 EDMOND ROMITO, $32,499 ALAN BURNS, $128,190 REGINA PENNINGTON, $28,197 DANIEL SCHEERER, $35,360 RICHARD HELSPER, $45,500 |
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (3 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| JOK COMPANY INC | |||
| BOARD MEMBER, ROBERT KESSLER, IS A PARTNER OF JOK COMPANY, INC. | 139535 | LEASE PAYMENTS ON OFFICE SPACE | 0 |
| ZANDEX HEALTH CARE CORP | |||
| BOARD MEMBER, WILLIAM SHADE, IS A MEDICAL DIRECTOR OF ZANDEX HEALTH CARE | 476963 | NURSING HOME SERVICES FOR HOSPICE PATIENTS | 0 |
| MUSKINGUM VALLEY HEALTH CENTER (MVHC) | |||
| BOARD MEMBER, RANDY COCHRANE, IS BOARD MEMBER OF MVHC | 106870 | PROFESSIONAL FEES | 0 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (14 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| 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 | WE PLAN TO REVIEW THE DETAILED 990 WITH THE EXECUTIVE COMMITTEE OF THE BOARD IN DECEMBER 2013 DUE TO TIMING OF THE PREPARATION OF THE 990. WE HAVE HISTORICALLY REVIEWED THE 990 WITH THE EXECUTIVE COMMITTEE PRIOR TO FILING AND MADE AVAILABLE UPON REQUEST COMPLETE COPIES TO THE GENESIS HEALTHCARE SYSTEM BOARD MEMBERS. | |
| 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 2012. | |
| FORM 990, PART VI, SECTION C, LINE 18 | FORM 1023, FORM 990, AND FORM 990-T ARE AVAILABLE UPON REQUEST. | |
| 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: | GAIN IN FAIR VALUE OF PERPETUAL TRUST -3,823,699. PLEDGE RECEIVABLE FROM RELATED PARTY -24,011,813. CHANGE IN FAIR VALUE OF INTEREST RATE SWAP AGREEMENT -149,486. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| 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 | SEPARATE RETURN COVERED BY A GROUP RULING: |
| 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 57.5%. | ||
| SCHEDULE L, PART IV, COLUMN B: | BOARD MEMBER WILLIAM SHADE IS A BOARD MEMBER OF ZANDEX HEALTH CARE CORPORATION. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ZANESVILLE SURGERY CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 2907 BELL STREET | AddressLine1 |
| City | ZANESVILLE | City |
| State | OH | State |
| ZIP Code | 43701 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 311620813 | EIN |
| Primary Activities | SURGICAL CENTER | PrimaryActivities |
| Legal Domicile State | OH | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 0 | EOYAssets |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HEALTHCARE SYSTEM | BusinessNameLine1 |
Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| GENESIS HEALTHCARE FOUNDATION | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311629304 | FUNDRAISING FOR GHS | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE SYSTEM | 1 |
| GOOD SAMARITAN MEDICAL CENTER FOUNDATION | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 310969646 | FUNDRAISING FOR GHS | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE FOUNDATION | 1 |
| BETHESDA HOSPITAL FOUNDATION | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 310885513 | FUNDRAISING FOR GHS | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE FOUNDATION | 1 |
| FRANCISCAN SISTERS OF CHRISTIAN CHARITY | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 391530622 | SPONSOR OF GHS | WI | 501(C)(3) | 7 | GOOD SAMARITAN MEDICAL CENTER | 1 |
| 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 | 1 |
| BETHESDA CARE SYSTEM | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311067174 | SPONSOR OF GHS | OH | 501(C)(3) | 9 | GENESIS HEALTHCARE SYSTEM | 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 | 1 |
| ALTERNACARE | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311487187 | STERILIZATIONS | OH | 501(C)(3) | 3 | BETHESDA CARE SYSTEM | 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 | 1 |
| COMMUNITY AMBULANCE SERVICE | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 341773323 | AMBULANCE SERVICE | OH | 501(C)(3) | 9 | GENESIS HEALTHCARE SYSTEM | 1 |
| GENESIS CAREGIVERS | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311282152 | 2 NURSING HOMES & HOME CARE SERVICES | OH | 501(C)(3) | 3 | CARESERVE | 1 |
| BETHESDA HOSPITALITY SHOP | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 316050713 | GIFT SHOP | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE SYSTEM | 1 |
| GENESIS PROFESSIONAL CORPORATION | ||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311599754 | PHYSICIAN PRACTICES | OH | 501(C)(3) | 3 | GENESIS HEALTHCARE SYSTEM | 1 |
Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Controlled OrgControlledOrg | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CARELIFE LLC | |||||||||||||||||
| 2951 MAPLE AVENUE | ZANESVILLE | OH | 43701 | 311128717 | FITNESS CENTER, CHILDCARE SVCS, PHARMACY, DME | OH | GENESIS HEALTHCARE SYSTEM | C | 126690043 | 27144296 | 1.00000 | 0 | |||||
| SOUTHEAST OHIO MEDICAL INSURANCE COMPANY | |||||||||||||||||
| 980436356 | CAPTIVE INSURANCE COMPANY | GENESIS HEALTHCARE SYSTEM | C | 1180731 | 19098311 | 1.00000 | 0 | FIRST CARIBBEAN HOUSE | GEORGE TOWN | CAYMAN ISLANDS | CJ | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 1 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 1 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 1 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (13 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved | Method Of Amt DeterminationMethodOfAmtDetermination |
|---|---|---|
| CARELIFE LLC | ||
| O | 3198960 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| S | 372224 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| R | 373464 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| L | 1187905 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| M | 62460 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| K | 162406 | ACCRUAL TRANSACTION |
| CARELIFE LLC | ||
| P | 5250 | ACCRUAL TRANSACTION |
| GENESIS HEALTHCARE FOUNDATION | ||
| C | 177839 | ACCRUAL TRANSACTION |
| COMMUNITY AMBULANCE SERVICE | ||
| M | 1254153 | ACCRUAL TRANSACTION |
| COMMUNITY AMBULANCE SERVICE | ||
| O | 235098 | ACCRUAL TRANSACTION |
| GENESIS HEALTHCARE SYSTEM GROUP | ||
| R | 1520000 | ACCRUAL TRANSACTION |
| GOOD SAMARITAN MEDICAL CENTER | ||
| S | 840000 | ACCRUAL TRANSACTION |
| BETHESDA CARE SYSTEM | ||
| E | 644426 | ACCRUAL TRANSACTION |
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