GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
Tax period
2011-01-01 to 2011-12-31
Filed
2012-11-15
IRS object ID
201213209349304781
Schema version
2011v1.2
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2012-11-15T12:44:04-06:00Timestamp
Tax Period End Date2011-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN381357951EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1PLANTE & MORAN PLLCBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line165 EAST STATE ST STE 600AddressLine1
CityCOLUMBUSCity
StateOHState
ZIP Code43215ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-01-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN311480941EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1GENESIS HEALTHCARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlGENENameControl
Phone7405866731Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line12951 MAPLE AVENUEAddressLine1
CityZANESVILLECity
StateOHState
ZIP Code43701ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NamePAUL MASTERSONName
TitleCFOTitle
Phone7405866731Phone
Date Signed2012-11-14DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
PTINP00366367PTIN
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMATTHEW PERRYNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line12951 MAPLE AVENUEAddressLine1
CityZANESVILLECity
StateOHState
ZIP Code43701ZIPCode
FieldValueIRS element (for citing)
Gross Receipts358142476GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Group Exemption Number3727GroupExemptionNumber
Organization501c3XOrganization501c3
Web SiteWWW.GENESISHCS.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1997YearFormation
State Legal DomicileOHStateLegalDomicile
Activity Or Mission DescriptionIN 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 Body16NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees3126TotalNbrEmployees
Total Nbr Volunteers521TotalNbrVolunteers
Total Gross UBI788780TotalGrossUBI
Net Unrelated Business Txbl Income-237102NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year20582713ContributionsGrantsPriorYear
Contributions Grants Current Year349173ContributionsGrantsCurrentYear
Program Service Revenue Prior Year276615314ProgramServiceRevenuePriorYear
Program Service Revenue CY306080751ProgramServiceRevenueCY
Investment Income Prior Year1791490InvestmentIncomePriorYear
Investment Income Current Year7084413InvestmentIncomeCurrentYear
Other Revenue Prior Year7737809OtherRevenuePriorYear
Other Revenue Current Year6974580OtherRevenueCurrentYear
Total Revenue Prior Year306727326TotalRevenuePriorYear
Total Revenue Current Year320488917TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year5775117GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year135648080SalariesEtcPriorYear
Salaries Etc Current Year143634510SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year134591324OtherExpensePriorYear
Other Expenses Current Year153509050OtherExpensesCurrentYear
Total Expenses Prior Year276014521TotalExpensesPriorYear
Total Expenses Current Year297143560TotalExpensesCurrentYear
Revenues Less Expenses Prior Year30712805RevenuesLessExpensesPriorYear
Revenues Less Expenses CY23345357RevenuesLessExpensesCY
Total Assets BOY262408298TotalAssetsBOY
Total Assets EOY261394145TotalAssetsEOY
Total Liabilities BOY123421792TotalLiabilitiesBOY
Total Liabilities EOY130414955TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY138986506NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY130979190NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionTO PROMOTE CHARITABLE SUPPORT FOR GENESIS HEALTHCARE SYSTEM AS WE SHARE ITS MISSION TO PROVIDE COMPASSIONATE, QUALITY HEALTHCARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense135232976Expense
Grants0Grants
Revenue96632223Revenue
DescriptionSEE 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 245 BEDS. TOTAL PATIENTS DISCHARGED FROM THESE UNITS IN 2011 WERE 14,425. OBSTETRICS STAFFS A TOTAL OF 24 BEDS AT THE BETHESDA CAMPUS AND DISCHARGED 1,453 PATIENTS FOR A TOTAL OF 1,370 BIRTHS. THE PEDIATRIC UNIT IS LOCATED AT THE BETHESDA CAMPUS WITH 14 BEDS AND HAD 373 DISCHARGES IN 2011. THERE ARE 21 CRITICAL CARE BEDS BETWEEN THE TWO CAMPUSES AND DISCHARGED 350 PATIENTS DURING THE YEAR AND 25 CARDIOVASCULAR BEDS IN A UNIT LOCATED ON THE GOOD SAMARITAN CAMPUS WITH 1,709 DISCHARGES IN 2011. THERE IS ALSO A CANCER UNIT ON THE GOOD SAMARITAN CAMPUS WITH 827 DISCHARGES IN 2011 AND AN ORTHOPAEDIC UNIT WITH 730 DISCHARGES IN 2011.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 2011 OF 1,430,463. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, AND PET SCAN WITH TOTAL VOLUMES OF 144,463. PHARMACY PRESCRIPTIONS TOTALED 6,377,285.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense45715581Expense
Revenue120240875Revenue
DescriptionCARDIAC 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 2011 WERE 3,036.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense17858818Expense
Revenue46972167Revenue
DescriptionRESPIRATORY 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 2011 WERE 2,211.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseRevenueRevenueDescriptionDescription
1301442734230477ORTHOPEDIC 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 2011 WERE 1,383.
454512811954573GENESIS 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 2011 WERE 1,784.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp17559555TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev46185050TotalOfOtherProgramServiceRev
Total Program Service Expense216366930TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities1ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote0ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With1096375NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3126NumberOfEmployees
Employment Tax Returns Filed1EmploymentTaxReturnsFiled
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account1ForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members16NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties1DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
States Where Copy Of Return Is FiledOHStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1MARTI NASHBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number7405866731TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12951 MAPLE AVENUEAddressLine1
CityZANESVILLECity
StateOHState
ZIP Code43701ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (31 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
MICHAEL BENNETT
CHAIR3.10XX000
WALTER OFFINGER
VICE CHAIR2.50XX000
JODY BALLAS
TREASURER3.60XX000
JERRY NOLDER
SECRETARY3.50XX000
MARK MOYER
EX-OFFICIO3.10X000
SR LAURA WOLF
EX-OFFICIO2.70X000
RANDY COCHRANE
EX-OFFICIO2.10X000
THOMAS DIEHL MD
DIRECTOR2.50X000
SR THERESA FELDKAMP
DIRECTOR1.60X000
ROBERT KESSLER
DIRECTOR3.40X000
ERIC NEWSOM MD
CHIEF OF STAFF2.70X000
JAMES MCDONALD
DIRECTOR2.30X000
WILLIAM PHILLIPS
DIRECTOR1.30X000
WILLIAM SHADE MD
DIRECTOR2.30X000
ERIN WELCH
DIRECTOR1.60X000
WALTER WIELKIEWICZ MD
DIRECTOR1.60X000
MATTHEW PERRY
CHIEF EXEC OFFICER37.00X6137510174635
PAUL MASTERSON
CHIEF FINANCIAL OFFICER35.50X3692750102965
ALAN VIERLING
COO (JAN-SEPT)40.00X407247023246
CASSANDRA PALMER
CHIEF HR OFFICER40.003494950108848X
EDMOND ROMITO
CHIEF INFOR OFFICER40.00261860064642X
ALAN BURNS
CHIEF DEVELOPMENT OFFICER40.00282701085941X
PATRICIA CAMPBELL
CHIEF NURSING OFFICER40.00337767099416X
REGINA PENNINGTON
CHIEF QUALITY OFFICER40.00216617048514X
DANIEL SCHEERER
CHIEF MEDICAL AFFAIRS OFFI40.00267297052409X
TIMOTHY RAYMOND
CHIEF ADMIN OFFICER- PHYS SVS40.00175590070834X
CRAIG SMALL
CLINICAL PHARMACIST40.00143178019137X
PETE HAMILTON
DIRECTOR OF PHARMACY SERVICES40.00141617022077X
CHUCK ADAMS
DIRECTOR OF LEAN SIGMA40.00141967017029X
KELLI DIALS
DIRECTOR OF NURSING ADMINISTRATION40.0014183807416X
RON WEINER
DIRECTOR OF CORPORATE CONSULTING40.00137293019881X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3987493TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation916990TotalOtherCompensation
Number Individuals GT100 K45NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
ACCENTURE LLC
161 CLARK STCHICAGOIL60601CONSULTING4372591
ZANESVILLE ANESTHESIA PHYSICIANS INC
PO BOX 475ZANESVILLEOH43701MEDICAL SERVICES3399189
ARUP LABORATORIES
500 CHIPETA WAYSALT LAKE CITYUT84108MEDICAL SERVICES1260026
QUADRAMED
12110 SUNSET HILLS RDRESTONVA20190IT SUPPORT SERVICES840715
PRIMECARE OF SE OHIO INC
860 BETHESDA DRZANESVILLEOH43701MEDICAL SERVICES483972
FieldValueIRS element (for citing)
Number Of Contractors GT100 K35NumberOfContractorsGT100K
Related Organizations16539RelatedOrganizations
Government Grants278749GovernmentGrants
All Other Contributions53885AllOtherContributions
Total Contributions349173TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES621110304795957304795957
PASSTHROUGH INCOME62111012847941284794
FieldValueIRS element (for citing)
Total Program Service Revenue306080751TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column3043180TotalRevenueColumn
Exclusion$3,043,180ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1083991Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real1115266Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-31275Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-31275TotalRevenueColumn
Related Or Exempt Function Income-49401RelatedOrExemptFunctionIncome
Unrelated Business Revenue18126UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities20289763Securities
Other20289763Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities17384847Securities
Other19153446Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities2904916Securities
Other1136317Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column4041233TotalRevenueColumn
Exclusion$4,041,233ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events240GrossIncomeFundraisingEvents
Fundraising Direct Expenses0FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column240TotalRevenueColumn
Exclusion$240ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES6211103331699148312$3,183,387
PHARMACY INCOME6211104118164374407442
MGMT FEES FROM AFFILIA900099145010145010

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column3117090TotalRevenueColumn
Unrelated Business Revenue472958UnrelatedBusinessRevenue
Exclusion$2,644,132ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue7005615TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column320488917TotalRevenueColumn
Related Or Exempt Function Income306438792RelatedOrExemptFunctionIncome
Unrelated Business Revenue788780UnrelatedBusinessRevenue
Exclusion$12,912,172ExclusionAmount

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1260636Total
Management And General1260636ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total108252347Total
Program Services78645518ProgramServices
Management And General29606829ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total3846949Total
Program Services2979766ProgramServices
Management And General867183ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total22402326Total
Program Services16154968ProgramServices
Management And General6247358ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7872252Total
Program Services5670383ProgramServices
Management And General2201869ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1149678Total
Program Services1149678ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1499491Total
Program Services469ProgramServices
Management And General1499022ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total504858Total
Management And General504858ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total25668406Total
Program Services13271917ProgramServices
Management And General12396489ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total342307Total
Program Services342307ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total64659830Total
Program Services55868432ProgramServices
Management And General8791398ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total5434981Total
Program Services1208562ProgramServices
Management And General4226419ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total4171720Total
Program Services3337376ProgramServices
Management And General834344ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total758116Total
Program Services253436ProgramServices
Management And General504680ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2268240Total
Program Services2268240ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total14607730Total
Program Services8177136ProgramServices
Management And General6430594ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1834442218344422
PHYSICIAN RECRUITMENT27948842794884
HOSPITAL FRANCHISE FEE22984312298431
LAB REFERENCE FEES14232091423209

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total7582747Total
Program Services4972680ProgramServices
Management And General2610067ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total297143560Total
Program Services216366930ProgramServices
Management And General80776630ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3501934BOY
EOY5412570EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY13687149BOY
EOY8796626EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY3370000BOY
EOY855000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY46536863BOY
EOY50608666EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY4657481BOY
EOY4410061EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY11564043BOY
EOY9328849EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis285059211LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec187196955LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY94118544BOY
EOY97862256EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY54688261BOY
EOY54916565EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY12370164BOY
EOY16905822EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1703129BOY
EOY1703129EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16210730BOY
EOY10594601EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY262408298BOY
EOY261394145EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY28601476BOY
EOY27409472EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY9593192BOY
EOY8540401EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY25084395BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY16541077BOY
EOY53943286EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY43601652BOY
EOY40521796EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY123421792BOY
EOY130414955EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY138986506BOY
EOY130979190EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY138986506BOY
EOY130979190EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY262408298BOY
EOY261394145EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses23345357ReconcilationRevenueExpenses
Reconcilation Other Changes-31352673ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required1FederalGrantAuditRequired
Federal Grant Audit Performed1FederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$232,315DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$18,048OtherActivitiesAmount
Total Lobbying Expenditures IIB250363TotalLobbyingExpendituresIIB
Not Described In501c30NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierPART IV, SUPPLEMENTAL INFORMATION:Identifier
ExplanationPART II-B, LINES 1(G) AND 1(I): 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): 5.2% OF $13,952 ($719) CATHOLIC CONFERENCE OF OHIO: 5.9% OF $2,007 ($118) OHIO HOSPITAL ASSOCIATION: 5.9% OF $73,599 ($4,342) FSCC HEALTHCARE MINISTRY (FOR AHA): 24.6% OF $48,586 ($11,952) OHIO HOSPICE AND PALLIATIVE CARE ORG: 6.6% OF $7,000 ($461) NATIONAL HOSPICE AND PALLIATIVE ORG: 0.8% OF $4,256 ($36) OHIO ASSOCIATION OF REHABILITATION FACILITIES: 20% OF $2,100 ($420) IN ADDITION, GENESIS HEALTHCARE SYSTEM PAID MATTHEW KALLNER, LOBBYIST, $91,100 DURING THE YEAR FOR GENERAL LOBBYING RELATING TO OHIO STATEHOUSE ISSUES. LASTLY, THE FIRM WILLIAMS AND JENSEN WAS PAID $141,215 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 2011 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 IS EFFECTIVE 10/1/2011.Explanation

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis7713399OtherCostOrOtherBasis
Book Value7713399BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis48289930OtherCostOrOtherBasis
Depreciation30567610Depreciation
Book Value17722320BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2273687OtherCostOrOtherBasis
Depreciation788353Depreciation
Book Value1485334BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis223298355OtherCostOrOtherBasis
Depreciation152863381Depreciation
Book Value70434974BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3483840OtherCostOrOtherBasis
Depreciation2977611Depreciation
Book Value506229BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings97862256TotalOfBookValueLandBuildings

Other Securities OtherSecurities (2 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
OTHER INVESTMENTS14377640F
CORPORATE OBLIGATIONS2528182F
FieldValueIRS element (for citing)
Total Of Book Value Securities16905822TotalOfBookValueSecurities

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
ACCRUED MINIMUM PENSION LIABILITY$35,915,235
ACCRUED PROFESSIONAL LIABILITY$2,173,933
FAIR VALUE OS INTEREST RATE SWAP$2,432,628
FieldValueIRS element (for citing)
Total Of Amounts40521796TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent100XPcent100
FPG Reference Discounted Care1FPGReferenceDiscountedCare
Pcent300XPcent300
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense7878193TotalCommunityBenefitExpense
Net Community Benefit Expense7878193NetCommunityBenefitExpense
Percent Of Total Expense0.02650PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense13974318TotalCommunityBenefitExpense
Direct Offsetting Revenue2974318DirectOffsettingRevenue
Net Community Benefit Expense11000000NetCommunityBenefitExpense
Percent Of Total Expense0.03700PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense21852511TotalCommunityBenefitExpense
Direct Offsetting Revenue2974318DirectOffsettingRevenue
Net Community Benefit Expense18878193NetCommunityBenefitExpense
Percent Of Total Expense0.06350PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs15NumberOfActivitiesOrPrograms
Persons Served52254PersonsServed
Total Community Benefit Expense701047TotalCommunityBenefitExpense
Direct Offsetting Revenue53000DirectOffsettingRevenue
Net Community Benefit Expense648047NetCommunityBenefitExpense
Percent Of Total Expense0.00220PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Persons Served89PersonsServed
Total Community Benefit Expense1025TotalCommunityBenefitExpense
Net Community Benefit Expense1025NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense5012202TotalCommunityBenefitExpense
Direct Offsetting Revenue4141523DirectOffsettingRevenue
Net Community Benefit Expense870679NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs1NumberOfActivitiesOrPrograms
Total Community Benefit Expense6720TotalCommunityBenefitExpense
Net Community Benefit Expense6720NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served52343PersonsServed
Total Community Benefit Expense5720994TotalCommunityBenefitExpense
Direct Offsetting Revenue4194523DirectOffsettingRevenue
Net Community Benefit Expense1526471NetCommunityBenefitExpense
Percent Of Total Expense0.00510PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs17NumberOfActivitiesOrPrograms
Persons Served52343PersonsServed
Total Community Benefit Expense27573505TotalCommunityBenefitExpense
Direct Offsetting Revenue7168841DirectOffsettingRevenue
Net Community Benefit Expense20404664NetCommunityBenefitExpense
Percent Of Total Expense0.06860PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Building Expense13877TotalCommunityBuildingExpense
Net Community Building Expense13877NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Building Expense13877TotalCommunityBuildingExpense
Net Community Building Expense13877NetCommunityBuildingExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$6,975,691BadDebtExpenseAmount
Amount Attributable To1318671AmountAttributableTo
Amount Reimbursed By Medicare114089000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare120489000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-6400000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities2NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalEr24 HoursEr24HoursOtherOther
GOOD SAMARITAN HOSPITAL
1800 FOREST AVEZANESVILLEOH43701XXXACUTE CARE HOSPITAL
BETHESDA HOSPITAL
22951 MAPLE AVEZANESVILLEOH43701XXXACUTE CARE HOSPITAL

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelMedical IndigencyMedicalIndigencyExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAvailable On RequestAvailableOnRequestActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
GOOD SAMARITAN HOSPITAL
111100.0000000000001300.0000000000001XX11X101X01
BETHESDA HOSPITAL
211100.0000000000001300.0000000000001XX11X101X01

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities5NumberOfOtherFacilities

Other Facilities OtherFacilities (5 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
HOSPICE & PALLIATIVE CARE
713 FOREST AVENUEZANESVILLEOH43701HOSPICE & PALLIATIVE CARE CENTER
RADIATION ONCOLOGY
817 FOREST AVENUEZANESVILLEOH43701OUTPATIENT RADIATION TREATMENT CENTER
CTR FOR OUTPATIENT & OCCUPATIONAL REHAB
740 ADAIR AVENUEZANESVILLEOH43701OUTPATIENT REHAB SERVICES
HEALTHPLEX
2800 MAPLE AVENUEZANESVILLEOH43701OUTPATIENT LAB, IMAGING, & URGENT CARE SERVICES
BETHESDA PHYSICIAN'S PAVILION
945 BETHESDA DRIVEZANESVILLEOH43701OUTPATIENT CARDIAC REHAB SERVICES

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

ExplanationExplanationIdentifierIdentifier
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 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 2011 TO CHARITY WITH SERVICE DATES OF 2010 AND PRIOR. BAD DEBT COST IS CALCULATED USING THE COST TO CHARGE RATIO. FINANCIAL STATEMENT FOOTNOTE: AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS IS ESTABLISHED ON AN AGGREGATE BASIS BY USING HISTORICAL WRITE-OFF RATE FACTORS APPLIED TO UNPAID ACCOUNTS BASED ON AGING. LOSS RATE FACTORS ARE BASED ON HISTORICAL LOSS EXPERIENCE AND ADJUSTED FOR ECONOMIC CONDITIONS AND OTHER TRENDS AFFECTING THE SYSTEM'S ABILITY TO COLLECT OUTSTANDING AMOUNTS. UNCOLLECTIBLE AMOUNTS ARE WRITTEN OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS IN THE PERIOD THEY ARE DETERMINED TO BE UNCOLLECTIBLE.
PART III, LINE 8: CALCULATION WAS BASED ON THE MEDICARE COST TO CHARGE RATIO. NONE OF THE MEDICARE SHORTFALL IS CONSIDERED TO BE COMMUNITY BENEFIT.
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 19D: FAP PATIENTS ARE PROVIDED A DISCOUNTED FEE FROM GROSS CHARGES THAT MAY BE LESS THAN INSURED PATIENTSGOOD SAMARITAN HOSPITAL
PART V, SECTION B, LINE 19D: FAP PATIENTS ARE PROVIDED A DISCOUNTED FEE FROM GROSS CHARGES THAT MAY BE LESS THAN INSURED PATIENTSBETHESDA HOSPITAL
PART V, SECTION B, LINE 21: 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 21: 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 J IRS990ScheduleJ

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
MATTHEW PERRY
5704730432780001574580171770788386000
PAUL MASTERSON
328885040390000850130179520472240000
ALAN VIERLING
2495260389930118728098860133600430493000
CASSANDRA PALMER
320889028606000948810139670458343000
EDMOND ROMITO
236201025659000505030141390326502000
ALAN BURNS
254095028606000719850139560368642000
PATRICIA CAMPBELL
309061028706000879150115010437183000
REGINA PENNINGTON
194555022062000329810155330265131000
DANIEL SCHEERER
23826602903100042756096530319706000
TIMOTHY RAYMOND
16982705763000511200197140246424000
CRAIG SMALL
1413520182600082940108430162315000
PETE HAMILTON
1366120500500089130131640163694000
CHUCK ADAMS
1377020426500060960109330158996000
RON WEINER
1322920500100087670111140157174000

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanation
PART I, LINE 1ATHE 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-BPART I, LINE 4A: ALAN VIERLING RECEIVED A LUMP-SUM SEVERANCE PAYMENT OF $118,728 DURING 2011. PART I, LINE 4B: GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: MATTHEW PERRY, $133,191 PAUL MASTERSON, $62,309 CASSANDRA PALMER, $80,381 PATRICIA CAMPBELL, $73,954 EDMOND ROMITO, $30,290 ALAN BURNS, $55,172 REGINA PENNINGTON, $25,350 DANIEL SCHEERER, $31,201 TIM RAYMOND: $26,000

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 3THE 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 6GENESIS HEALTHCARE SYSTEM IS THE SOLE MEMBER OF THE ORGANIZATION.
FORM 990, PART VI, SECTION A, LINE 7AGENESIS HEALTHCARE SYSTEM, THE MEMBER OF THE FILING ORGANIZATION, HAS 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 7BGENESIS HEALTHCARE SYSTEM, THE MEMBER OF THE FILING ORGANIZATION, HAS 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 11FORM 990 IS REVIEWED IN DETAIL BY THE CFO AND COPIES ARE OFFERED TO ALL BOARD MEMBERS PRIOR TO FILING.
FORM 990, PART VI, SECTION B, LINE 12CTHE 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 15THE 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 2011.
FORM 990, PART VI, SECTION C, LINE 18FORM 1023, FORM 990, AND FORM 990-T ARE AVAILABLE UPON REQUEST.
FORM 990, PART VI, SECTION C, LINE 19THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART XI, LINE 5:NET UNREALIZED LOSSES ON INVESTMENTS: -3,170,684. GAIN IN FAIR VALUE OF PERPETUAL TRUST -9,989,479. PLEDGE RECEIVABLE FROM RELATED PARTY -18,192,510. TOTAL TO FORM 990, PART XI, LINE 5: -31,352,673.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.
SCHEDULE L, PART IV, COLUMN B:BOARD MEMBER WILLIAM SHADE IS A BOARD MEMBER OF ZANDEX HEALTH CARE CORPORATION.
FORM 990, PAGE 1, LINE H(D):THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259SEPARATE 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 R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

FieldValueIRS element (for citing)
Business Name Line1ZANESVILLE SURGERY CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12907 BELL STREETAddressLine1
CityZANESVILLECity
StateOHState
ZIP Code43701ZIPCode
FieldValueIRS element (for citing)
EIN311620813EIN
Primary ActivitiesSURGICAL CENTERPrimaryActivities
Legal Domicile StateOHLegalDomicileState
Total Income0TotalIncome
EOY Assets0EOYAssets

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GENESIS HEALTHCARE SYSTEMBusinessNameLine1

Form990 Schedule R Part II Form990ScheduleRPartII (13 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
GENESIS HEALTHCARE FOUNDATION
2951 MAPLE AVENUEZANESVILLEOH43701311629304FUNDRAISING FOR GHSOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1
GOOD SAMARITAN MEDICAL CENTER FOUNDATION
2951 MAPLE AVENUEZANESVILLEOH43701310969646FUNDRAISING FOR GHSOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1
BETHESDA HOSPITAL FOUNDATION
2951 MAPLE AVENUEZANESVILLEOH43701310885513FUNDRAISING FOR GHSOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1
FRANCISCAN SISTERS OF CHRISTIAN CHARITY
2951 MAPLE AVENUEZANESVILLEOH43701391530622SPONSOR OF GHSWI501(C)(3)7GOOD SAMARITAN MEDICAL CENTER1
GOOD SAMARITAN MEDICAL CENTER
2951 MAPLE AVENUEZANESVILLEOH43701314379479MAINTAINS REAL ESTATE TITLE FOR HOSPITALOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1
BETHESDA CARE SYSTEM
2951 MAPLE AVENUEZANESVILLEOH43701311067174SPONSOR OF GHSOH501(C)(3)9GENESIS HEALTHCARE SYSTEM1
BETHESDA HOSPITAL ASSOCIATION
2951 MAPLE AVENUEZANESVILLEOH43701314380038MAINTAINS REAL ESTATE TITLE FOR HOSPITALOH501(C)(3)11CGENESIS HEALTHCARE SYSTEM1
ALTERNACARE
2951 MAPLE AVENUEZANESVILLEOH43701311487187STERILIZATIONSOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1
CARESERVE
2951 MAPLE AVENUEZANESVILLEOH437013110999242 NURSING HOMES & HOME CARE SERVICESOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1
GENESIS PROFESSIONAL CORPORATION
2951 MAPLE AVENUEZANESVILLEOH43701311599754PHYSICIAN PRACTICESOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1
COMMUNITY AMBULANCE SERVICE
2951 MAPLE AVENUEZANESVILLEOH43701341773323AMBULANCE SERVICEOH501(C)(3)9GENESIS HEALTHCARE SYSTEM1
GENESIS CAREGIVERS
2951 MAPLE AVENUEZANESVILLEOH437013112821522 NURSING HOMES & HOME CARE SERVICESOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1
BETHESDA HOSPITALITY SHOP
1135 MAPLE AVENUEZANESVILLEOH43701316050713GIFT SHOPOH501(C)(3)3GENESIS HEALTHCARE SYSTEM1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1ZANESVILLE IMAGING CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12800 MAPLE AVEAddressLine1
CityZANESVILLECity
StateOHState
ZIP Code43701ZIPCode
FieldValueIRS element (for citing)
EIN202934562EIN
Primary ActivityIMAGING CAREPrimaryActivity
Legal Domicile StateOHLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1GENESIS HEALTHCARE SYSTEMBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner1GeneralOrManagingPartner
Percentage Ownership1.00000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityProvince Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountryDirect Controlling Entity NADirectControllingEntityNA
CARELIFE LLC
800 FOREST AVENUEZANESVILLEOH43701311128717FITNESS CENTER, CHILDCARE SVCS, PHARMACY, DMEOHGENESIS HEALTHCARE SYSTEMC90861753224483091.00000
SOUTHEAST OHIO MEDICAL INSURANCE COMPANY
980436356CAPTIVE INSURANCE COMPANYGENESIS HEALTHCARE SYSTEMC1180731190983111.00000FIRST CARIBBEAN HOUSEGEORGE TOWNCAYMAN ISLANDSCJCJ
CAREEQUIP INC
800 FOREST AVENUEZANESVILLEOH43701311125841RETAIL & NURSING HOME CONSULTING PHARMACYOHCN/A
PROFESSIONALS PRN LLC
800 FOREST AVENUEZANESVILLEOH43701311282151HOME INFUSION, OXYGEN & MEDICAL EQUIPMENTOHCN/A
GENESIS MEDICAL GROUP LLC
800 FOREST AVENUEZANESVILLEOH43701263428410MEDICAL & HEALTHCARE SERVICESOHCN/A
GENESIS EMERGENCY PHYSICIANS LLC
800 FOREST AVENUEZANESVILLEOH43701264094289MEDICAL & HEALTHCARE SERVICESOHCN/A
GENESIS URGENT CARE PHYSICIANS LLC
800 FOREST AVENUEZANESVILLEOH43701264094224MEDICAL & HEALTHCARE SERVICESOHCN/A
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties1ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org0GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org0GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org1LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees1SharingOfPaidEmployees
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org1OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (21 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CAREEQUIP INC
K76033ACCRUAL TRANSACTION
CAREEQUIP INC
Q277085ACCRUAL TRANSACTION
CARELIFE LLC
K77230ACCRUAL TRANSACTION
CARELIFE LLC
R110154ACCRUAL TRANSACTION
CARESERVE
A58212ACCRUAL TRANSACTION
PROFESSIONALS PRN LLC
Q123245ACCRUAL TRANSACTION
GENESIS MEDICAL GROUP LLC
K340950ACCRUAL TRANSACTION
GENESIS MEDICAL GROUP LLC
N2362235ACCRUAL TRANSACTION
GENESIS EMERGENCY PHYSICIANS INC
N226894ACCRUAL TRANSACTION
COMMUNITY AMBULANCE SERVICE
L1266738ACCRUAL TRANSACTION
PROFESSIONALS PRN LLC
K51479ACCRUAL TRANSACTION
CAREEQUIP INC
R368016ACCRUAL TRANSACTION
GENESIS EMERGENCY PHYSICIANS INC
R1305086ACCRUAL TRANSACTION
GENESIS HEALTH & REHAB
R2728916ACCRUAL TRANSACTION
GENESIS MEDICAL GROUP LLC
R16707960ACCRUAL TRANSACTION
GENESIS EXTENDED CARE & REHAB
Q770045ACCRUAL TRANSACTION
NORTHSIDE OXYGEN & MEDICAL EQUIPMENT
Q100000ACCRUAL TRANSACTION
GENESIS CHILDREN'S CENTER
Q150000ACCRUAL TRANSACTION
ZANESVILLE SURGERY CENTER
Q1107071ACCRUAL TRANSACTION
ZANESVILLE IMAGING CENTER
Q57782ACCRUAL TRANSACTION
GOOD SAMARITAN MEDICAL CENTER
R840000ACCRUAL TRANSACTION

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