GENESIS HEALTHCARE SYSTEM: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
GENESIS HEALTHCARE SYSTEM (EIN 31-1480941)
Tax period
2010-01-01 to 2010-12-31
Filed
2011-11-14
IRS object ID
201113189349303101
Schema version
2010v3.4
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)
Timestamp2011-11-14T11:00:06-06:00Timestamp
Tax Period End Date2010-12-31TaxPeriodEndDate

Preparer Firm PreparerFirm

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 Date2010-01-01TaxPeriodBeginDate

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 Signed2011-11-11DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameBERNIE OSTROWSKIName
Phone6148493000Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-03-07 17:11:31ZBuildTS

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 Receipts349408337GrossReceipts
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 Members13NbrIndependentVotingMembers
Total Nbr Employees3076TotalNbrEmployees
Total Nbr Volunteers521TotalNbrVolunteers
Total Gross UBI925718TotalGrossUBI
Net Unrelated Business Txbl Income-343039NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year11492910ContributionsGrantsPriorYear
Contributions Grants Current Year20582713ContributionsGrantsCurrentYear
Program Service Revenue Prior Year251203273ProgramServiceRevenuePriorYear
Program Service Revenue CY276615314ProgramServiceRevenueCY
Investment Income Prior Year-2712299InvestmentIncomePriorYear
Investment Income Current Year1791490InvestmentIncomeCurrentYear
Other Revenue Prior Year8703790OtherRevenuePriorYear
Other Revenue Current Year7737809OtherRevenueCurrentYear
Total Revenue Prior Year268687674TotalRevenuePriorYear
Total Revenue Current Year306727326TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year12206243GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5775117GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year128235325SalariesEtcPriorYear
Salaries Etc Current Year135648080SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year121794061OtherExpensePriorYear
Other Expenses Current Year134591324OtherExpensesCurrentYear
Total Expenses Prior Year262235629TotalExpensesPriorYear
Total Expenses Current Year276014521TotalExpensesCurrentYear
Revenues Less Expenses Prior Year6452045RevenuesLessExpensesPriorYear
Revenues Less Expenses CY30712805RevenuesLessExpensesCY
Total Assets BOY233836919TotalAssetsBOY
Total Assets EOY262408298TotalAssetsEOY
Total Liabilities BOY109199762TotalLiabilitiesBOY
Total Liabilities EOY123421792TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY124637157NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY138986506NetAssetsOrFundBalancesEOY
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
Expense98197553Expense
Grants5775117Grants
Revenue100691586Revenue
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 144 BEDS. TOTAL PATIENTS DISCHARGED FROM THESE UNITS IN 2010 WERE 7,946. OBSTETRICS STAFFS A TOTAL OF 24 BEDS AT THE BETHESDA CAMPUS AND DISCHARGED 1,510 PATIENTS FOR A TOTAL OF 1,440 BIRTHS. THE PEDIATRIC UNIT IS LOCATED AT THE BETHESDA CAMPUS WITH 26 BEDS AND HAD 453 DISCHARGES IN 2010. THERE ARE 21 CRITICAL CARE BEDS BETWEEN THE TWO CAMPUSES AND DISCHARGED 287 PATIENTS DURING THE YEAR AND 21 CARDIOVASCULAR BEDS IN A UNIT LOCATED ON THE GOOD SAMARITAN CAMPUS WITH 1,383 DISCHARGES IN 2010. THERE IS ALSO A CANCER UNIT ON THE GOOD SAMARITAN CAMPUS WITH 767 DISCHARGES IN 2010 AND AN ORTHOPAEDIC UNIT WITH 813 DISCHARGES IN 2010.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 2010 OF 1,412,943. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, AND PET SCAN WITH TOTAL VOLUMES OF 139,268. PHARMACY PRESCRIPTIONS TOTALED 3,109,502.Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense66127476Expense
Grants0Grants
Revenue109247441Revenue
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 2010 WERE 3,036.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense23709253Expense
Grants0Grants
Revenue39169425Revenue
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 2010 WERE 2,211.Description

Activity Other ActivityOther (2 entries)

ExpenseExpenseGrantsGrantsRevenueRevenueDescriptionDescription
20872582034483036ORTHOPEDIC 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 2010 WERE 1,383.
0GENESIS 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 2010 WERE 1,963.
FieldValueIRS element (for citing)
Total Of Other Program Service Exp20872582TotalOfOtherProgramServiceExp
Total Of Other Program Service Rev34483036TotalOfOtherProgramServiceRev
Total Program Service Expense208906864TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities1LobbyingActivities
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 Assets1ReportOtherAssets
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 Attached0FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals1GrantsToIndividuals
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 Rltnshp1OfficerEntityWithBsnssRltnshp
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 With1096681NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup Witholding1ComplianceWithBackupWitholding
Number Of Employees3076NumberOfEmployees
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 Members13NumberIndependentVotingMembers
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 Venture0InvestmentInJointVenture
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 (27 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
MICHAEL BENNETT
CHAIR3.10XX000
WALTER OFFINGER
VICE CHAIR2.50XX000
JODY BALLAS
TREASURER3.60XX000
JERRY NOLDER
SECRETARY3.00XX000
MARK MOYER
EX-OFFICIO3.10X000
SR LAURA WOLF
EX-OFFICIO2.70X000
RANDY COCHRANE
EX-OFFICIO2.10X000
THOMAS DIEHL MD
DIRECTOR2.00X000
SR THERESA FELDKAMP
DIRECTOR1.60X000
ROBERT KESSLER
DIRECTOR3.00X000
BRIAN LUFT MD
CHIEF OF STAFF2.50X000
JAMES MCDONALD
DIRECTOR2.30X000
WILLIAM PHILLIPS
DIRECTOR1.70X000
WILLIAM SHADE MD
DIRECTOR2.30X000
ERIN WELCH
DIRECTOR1.60X000
WALTER WIELKIEWICZ MD
DIRECTOR1.60X000
MATTHEW PERRY
CHIEF EXEC OFFICER37.00X5986460176071
PAUL MASTERSON
CHIEF FINANCIAL OFFICER35.50X382983094727
ALAN VIERLING
CHIEF OPERATING OFFICER40.00388182076410X
CASSANDRA PALMER
CHIEF HR OFFICER40.00275362062400X
EDMOND ROMITO
CHIEF INFOR OFFICER40.00234873057532X
ALAN BURNS
CHIEF DEVELOPMENT OFFICER40.00255938060353X
PATRICIA CAMPBELL
CHIEF NURSING OFFICER40.00278576056727X
REGINA PENNINGTON
CHIEF QUALITY OFFICER40.00201124047829X
DANIEL SCHEERER
CHIEF MEDICAL AFFAIRS OFFICER40.00243071042327X
ANDREA TURNER
DIRECTOR PHYSICIAN RECRUITMENT40.0013450006725X
CYNTHIA WILKINS
FORMER VICE PRESIDENT0.0011311100X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3106366TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs0TotalReportableCompFrmRltdOrgs
Total Other Compensation681101TotalOtherCompensation
Number Individuals GT100 K43NumberIndividualsGT100K
Formers Listed1FormersListed
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 STCHICAGOIL60601CONSULTING5629255
ZANESVILLE ANESTHESIA PHYSICIANS INC
PO BOX 475ZANESVILLEOH43701MEDICAL SERVICES3414473
PROQUIRE LLC
161 CLARK STCHICAGOIL60601CONSULTING2036878
ARUP LABORATORIES
500 CHIPETA WAYSALT LAKE CITYUT84108MEDICAL SERVICES1278180
PRIMECARE OF SE OHIO INC
860 BETHESDA DRZANESVILLEOH43701MEDICAL SERVICES986833
FieldValueIRS element (for citing)
Number Of Contractors GT100 K79NumberOfContractorsGT100K
Related Organizations19809728RelatedOrganizations
Government Grants772985GovernmentGrants
Total Contributions20582713TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT SERVICES621110275125637275125637
PASSTHROUGH INCOME62111014896771489677
FieldValueIRS element (for citing)
Total Program Service Revenue276615314TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column78251TotalRevenueColumn
Exclusion$78,251ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real2760602Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real2977071Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-216469Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-216469TotalRevenueColumn
Unrelated Business Revenue110070UnrelatedBusinessRevenue
Exclusion-$326,539ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities18457293Securities
Other22959886Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities16733918Securities
Other22970022Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities1723375Securities
Other-10136Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column1713239TotalRevenueColumn
Exclusion$1,713,239ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmountRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
CAFETERIA SALES6211103373854145112$3,228,742
OCCUPATIONAL HEALTH IN62111013772251377225
PHARMACY INCOME62111079231424802767512

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2410885TotalRevenueColumn
Related Or Exempt Function Income1765151RelatedOrExemptFunctionIncome
Unrelated Business Revenue645734UnrelatedBusinessRevenue
FieldValueIRS element (for citing)
Total Other Revenue7954278TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column306727326TotalRevenueColumn
Related Or Exempt Function Income280525202RelatedOrExemptFunctionIncome
Unrelated Business Revenue925718UnrelatedBusinessRevenue
Exclusion$4,693,693ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5775117Total
Program Services5775117ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total1203416Total
Management And General1203416ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total101343840Total
Program Services75089844ProgramServices
Management And General26253996ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total6214611Total
Program Services4795463ProgramServices
Management And General1419148ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total19362502Total
Program Services14383967ProgramServices
Management And General4978535ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total7523711Total
Program Services5592429ProgramServices
Management And General1931282ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total1338932Total
Program Services1338932ProgramServices

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total1026438Total
Management And General1026438ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total429014Total
Management And General429014ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total24939141Total
Program Services12282680ProgramServices
Management And General12656461ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total309176Total
Program Services309176ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total59840651Total
Program Services52180267ProgramServices
Management And General7660384ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total4808151Total
Program Services1673938ProgramServices
Management And General3134213ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total3677100Total
Program Services2941680ProgramServices
Management And General735420ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total664526Total
Program Services232962ProgramServices
Management And General431564ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total2351091Total
Program Services2351091ProgramServices

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12828443Total
Program Services10372826ProgramServices
Management And General2455617ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
BAD DEBT EXPENSE1455095614550956
HOSPITAL FRANCHISE FEE20094122009412
PHYSICIAN RECRUITMENT1934128157881918340
LAB REFERENCE FEES15774711577471
DUES & SUBSCRIPTIONS530409140957389452

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1776285Total
Program Services1291908ProgramServices
Management And General484377ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total276014521Total
Program Services208906864ProgramServices
Management And General67107657ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY5532302BOY
EOY3501934EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY7622089BOY
EOY13687149EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY4225375BOY
EOY3370000EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28198551BOY
EOY46536863EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY11087322BOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY3769620BOY
EOY4657481EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY5739406BOY
EOY11564043EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis270862892LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec176744348LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY90758678BOY
EOY94118544EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY47460612BOY
EOY54688261EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY11619815BOY
EOY12370164EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1703129BOY
EOY1703129EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY16120020BOY
EOY16210730EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY233836919BOY
EOY262408298EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY25124692BOY
EOY28601476EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY9593192EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY29499300BOY
EOY25084395EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY13609996BOY
EOY16541077EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY40965774BOY
EOY43601652EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY109199762BOY
EOY123421792EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY124637157BOY
EOY138986506EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY124637157BOY
EOY138986506EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY233836919BOY
EOY262408298EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses30712805ReconcilationRevenueExpenses
Reconcilation Other Changes-16363456ReconcilationOtherChanges
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)
Amt Of4955 Tax0AmtOf4955Tax
Amt Of4955 Tax On Managers0AmtOf4955TaxOnManagers
Volunteers0Volunteers
Paid Staff Or Management0PaidStaffOrManagement
Media Advertisements0MediaAdvertisements
Mailings Members0MailingsMembers
Publications Or Broadcast0PublicationsOrBroadcast
Grants Other Organizations0GrantsOtherOrganizations
Direct Contact Legislators1DirectContactLegislators
Direct Contact Legislators$177,640DirectContactLegislatorsAmount
Rallies Demonstrations0RalliesDemonstrations
Other Activities1OtherActivities
Other Activities$16,610OtherActivitiesAmount
Total Lobbying Expenditures IIB194250TotalLobbyingExpendituresIIB
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): 4.7% OF $13,306 ($625) CATHOLIC CONFERENCE OF OHIO: 5% OF $1,911 ($96) OHIO HOSPITAL ASSOCIATION: 5% OF $56,319 ($2,816) FSCC HEALTHCARE MINISTRY (FOR AHA): 24.42% OF $47,016 ($11,480) OHIO HOSPICE AND PALLIATIVE CARE ORG: 9% OF $9,176 ($826) NATIONAL HOSPICE AND PALLIATIVE ORG: 0.8% OF $3,944 ($32) OHIO ASSOCIATION OF REHABILITATION FACILITIES: 35% OF $2,100 ($735) 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 $100,640 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 Basis7044811OtherCostOrOtherBasis
Book Value7044811BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis51704975OtherCostOrOtherBasis
Depreciation31229426Depreciation
Book Value20475549BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1434851OtherCostOrOtherBasis
Depreciation501503Depreciation
Book Value933348BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis177765731OtherCostOrOtherBasis
Depreciation142166794Depreciation
Book Value35598937BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32912524OtherCostOrOtherBasis
Depreciation2846625Depreciation
Book Value30065899BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings94118544TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
DEBT SERVICE FUNDS11659007
UNAMORTIZED BOND ISSUE COSTS251575
INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS4300148
FieldValueIRS element (for citing)
Total Book Value Other Assets16210730TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (5 entries)

DescriptionDescriptionAmountAmount
LINE OF CREDIT$5,000,000
ACCRUED BOND INTEREST$190,622
ACCRUED MINIMUM PENSION LIABILITY$27,529,100
CAPITAL LEASES PAYABLE$8,759,795
DUE TO OHIO HEALTH CARDIAC & ZIC$2,122,135
FieldValueIRS element (for citing)
Total Of Amounts43601652TotalOfAmounts

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage300.000000000000FreeOtherPercentage
FieldValueIRS element (for citing)
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 Expense8429914TotalCommunityBenefitExpense
Net Community Benefit Expense8429914NetCommunityBenefitExpense
Percent Of Total Expense0.03220PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12573000TotalCommunityBenefitExpense
Direct Offsetting Revenue2505404DirectOffsettingRevenue
Net Community Benefit Expense10067596NetCommunityBenefitExpense
Percent Of Total Expense0.03850PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense21002914TotalCommunityBenefitExpense
Direct Offsetting Revenue2505404DirectOffsettingRevenue
Net Community Benefit Expense18497510NetCommunityBenefitExpense
Percent Of Total Expense0.07070PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs36NumberOfActivitiesOrPrograms
Persons Served57220PersonsServed
Total Community Benefit Expense767586TotalCommunityBenefitExpense
Net Community Benefit Expense767586NetCommunityBenefitExpense
Percent Of Total Expense0.00290PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Number Of Activities Or Programs2NumberOfActivitiesOrPrograms
Persons Served200PersonsServed
Total Community Benefit Expense1324TotalCommunityBenefitExpense
Net Community Benefit Expense1324NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Number Of Activities Or Programs5NumberOfActivitiesOrPrograms
Total Community Benefit Expense11581632TotalCommunityBenefitExpense
Direct Offsetting Revenue9936099DirectOffsettingRevenue
Net Community Benefit Expense1645533NetCommunityBenefitExpense
Percent Of Total Expense0.00630PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Number Of Activities Or Programs6NumberOfActivitiesOrPrograms
Total Community Benefit Expense112157TotalCommunityBenefitExpense
Net Community Benefit Expense112157NetCommunityBenefitExpense
Percent Of Total Expense0.00040PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs49NumberOfActivitiesOrPrograms
Persons Served57420PersonsServed
Total Community Benefit Expense12462699TotalCommunityBenefitExpense
Direct Offsetting Revenue9936099DirectOffsettingRevenue
Net Community Benefit Expense2526600NetCommunityBenefitExpense
Percent Of Total Expense0.00960PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs49NumberOfActivitiesOrPrograms
Persons Served57420PersonsServed
Total Community Benefit Expense33465613TotalCommunityBenefitExpense
Direct Offsetting Revenue12441503DirectOffsettingRevenue
Net Community Benefit Expense21024110NetCommunityBenefitExpense
Percent Of Total Expense0.08030PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Building Expense18884TotalCommunityBuildingExpense
Net Community Building Expense18884NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs9NumberOfActivitiesOrPrograms
Total Community Building Expense18884TotalCommunityBuildingExpense
Net Community Building Expense18884NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReported
Bad Debt Expense$5,743,262BadDebtExpenseAmount
Amount Attributable To1085873AmountAttributableTo
Amount Reimbursed By Medicare106315000AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare115710000CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-9395000MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV

Name Of Entity NameOfEntity

FieldValueIRS element (for citing)
Business Name Line11 ZANESVILLE SURGERY CTR (OWNED 100 BY THE ORGANIZATION AS OF 113010)BusinessNameLine1
FieldValueIRS element (for citing)
Description Ent Primary ActivitySURGERY CENTERDescriptionEntPrimaryActivity
Organization Profit Or Ownership0.57500OrganizationProfitOrOwnership
Physicans Profit Or Ownership0.42500PhysicansProfitOrOwnership
FieldValueIRS element (for citing)
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

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NOT APPLICABLEBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber

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 (9 entries)

ExplanationExplanation
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 $ 14550956.
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. NONE OF THE BAD DEBT IS CONSIDERED TO BE COMMUNITY BENEFIT.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 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.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records Maintained0RecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1CARESERVEBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line12951 MAPLE AVENUEAddressLine1
CityZANESVILLECity
StateOHState
ZIP Code43701ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient311099924EINOfRecipient
IRC Section501(C)(3)IRCSection
Amount Of Cash Grant5775117AmountOfCashGrant
Purpose Of GrantGENESIS HEALTHCARE SYSTEM PROVIDES SUPPORT TO RELATED ORGANIZATIONS ON A REGULAR BASIS.PurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantSCHOLARSHIP AWARD FOR INDIVIDUALS PURSUING DEGREES IN MEDICAL FIELDSTypeOfGrant
Number Of Recipients12NumberOfRecipients
Amount Of Cash Grant7500AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE I, PART I, LINE 2: DISTRIBUTIONS ARE SCHOLARSHIP AWARDS TO INDIVIDUALS PURSUING DEGREES IN MEDICAL FIELDS, AND TO CERTAIN LOCAL COLLEGES/UNIVERSITIES. GRANTS ARE AWARDED ONLY AFTER EXTENSIVE DOCUMENTATION, INCLUDING TRANSCRIPTS AND ACCEPTANCE LETTERS, ARE REVIEWED BY AN INDEPENDENT COMMITTEE. TO ENSURE THEY ARE BEING USED FOR EDUCATIONAL PURPOSES ONLY, THE CHECKS ARE WRITTEN TO THE INDIVIDUAL'S INSTITUTION OF HIGHER EDUCATION AND CAN ONLY BE DEPOSITED INTO THE APPROPRIATE ACCOUNT. COLLEGES/UNIVERSITIES THAT RECEIVE FUNDING MUST REPORT INFORMATION ON HOW THE MONEY WAS DISTRIBUTED TO THE COMMITTEE ON AN ANNUAL BASIS BEFORE FURTHER FUNDING IS CONSIDERED. ANY UNUSED PORTIONS ARE RETURNED TO THE FOUNDATION.Explanation

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 (10 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
5465260521200001590730169980774717000
PAUL MASTERSON
346381036602000778370168900477710000
ALAN VIERLING
349773038409000605140158960464592000
CASSANDRA PALMER
250717024645000451150172850337762000
EDMOND ROMITO
22800306870000438290137030292405000
ALAN BURNS
231293024645000481980121550316291000
PATRICIA CAMPBELL
253931024645000452720114550335303000
REGINA PENNINGTON
177141023983000332390145900248953000
DANIEL SCHEERER
2349110816000042327000285398000
CYNTHIA WILKINS
000011311100000113111000

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 4B: CYNTHIA WILKINS WAS PAID SEVERANCE OF $159,515. THE SEVERANCE DOCUMENTS INCLUDED A PROVISION TO MAINTAIN TRADE SECRETS AND PROPRIETARY INFORMATION CONFIDENTIAL. PART I, LINE 4B: GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: MATTHEW PERRY, $143,111 PAUL MASTERSON, $49,933 ALAN VIERLING, $41,105 CASSANDRA PALMER, $30,206 PATRICIA CAMPBELL, $30,206 EDMOND ROMITO, $26,986 ALAN BURNS, $40,710 REGINA PENNINGTON, $23,183 DANIEL SCHEERER, $30,550

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (4 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JOK COMPANY INC
BOARD MEMBER ROBERT KESSLER IS A PARTNER OF JOK COMPANY, INC.122996LEASE PAYMENTS ON OFFICE SPACE0
CLAY CITY OUTLET CENTER
BOARD MEMBER ROBERT KESSLER IS A PARTNER OF CLAY CITY OUTLET CENTER, INC.495800LEASE PAYMENTS ON OFFICE/MEDICAL SPACE0
ZANDEX HEALTH CARE CORP
SEE SCHEDULE O318482NURSING HOME SERVICES FOR HOSPICE PATIENTS0
PRIMECARE OF SE OHIO INC
BOARD MEMBER WALTER WIELKIEWICZ IS AN OWNER OF PRIMERCARE OF SE OHIO INC.885818PAYMENTS FOR PHYSICIAN RECRUITMENT0

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (14 entries)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
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 A BOARD COMMITTEE AS WELL AS THE CFO AND COPIES ARE OFFERED TO ALL DIRECTORS OF THE BOARD PRIOR TO FILING.
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 12C
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 2010.FORM 990, PART VI, SECTION B, LINE 15
FORM 1023, FORM 990, AND FORM 990-T ARE AVAILABLE UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 18
THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST.FORM 990, PART VI, SECTION C, LINE 19
CHANGES IN NET ASSETS OR FUND BALANCES:NET UNREALIZED GAINS ON INVESTMENTS: 5,340,692. GAIN IN FAIR VALUE OF PERPETUAL TRUST -831,336. PLEDGE RECEIVABLE FROM RELATED PARTY -6,838,201. NET ASSETS TRANSFER TO AFFILIATE INCLUDED ON PART IX 5,775,117. NET ASSETS TRANSFER FROM AFFILIATE INCLUDED ON PART VIII -19,809,728. TOTAL TO FORM 990, PART XI, LINE 5: -16,363,456.FORM 990, PART XI, LINE 5:
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, PART XII, LINE 2C:
BOARD MEMBER WILLIAM SHADE IS A BOARD MEMBER OF ZANDEX HEALTH CARE CORPORATION.SCHEDULE L, PART IV, COLUMN B:
SEPARATE RETURN COVERED BY A GROUP RULING:THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259FORM 990, PAGE 1, LINE H(D):
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 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 (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeDisproportionate AllocationsDisproportionateAllocationsGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnershipShare Of EOY AssetsShareOfEOYAssets
GENESIS-OHIO HEART HEALTH SERVICES
2951 MAPLE AVEZANESVILLEOH43701311712461CARDIAC SERVICESOHGENESIS HEALTHCARE SYSTEMRELATED142710000.54959
ZANESVILLE SURGERY CENTER
2907 BELL STREETZANESVILLEOH43701311620813SURGICAL CAREOHGENESIS HEALTHCARE SYSTEMRELATED7305834001.000005696738
ZANESVILLE IMAGING CENTER
2800 MAPLE AVEZANESVILLEOH43701202934562IMAGING CENTEROHGENESIS HEALTHCARE SYSTEMRELATED118206011.0000057622

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 SYSTEMC74570705184820041.00000
SOUTHEAST OHIO MEDICAL INSURANCE COMPANY
980436356CAPTIVE INSURANCE COMPANYGENESIS HEALTHCARE SYSTEMC167649981.00000FIRST 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 Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
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 (29 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
CAREEQUIP INC
A95160ACCRUAL TRANSACTION
CAREEQUIP INC
K93468ACCRUAL TRANSACTION
CAREEQUIP INC
Q290989ACCRUAL TRANSACTION
CARELIFE LLC
K118025ACCRUAL TRANSACTION
CARELIFE LLC
L125702ACCRUAL TRANSACTION
CARELIFE LLC
R108164ACCRUAL TRANSACTION
CARESERVE
A61578ACCRUAL TRANSACTION
CARESERVE
K162061ACCRUAL TRANSACTION
CARESERVE
L81042ACCRUAL TRANSACTION
PROFESSIONALS PRN LLC
Q129631ACCRUAL TRANSACTION
GENESIS MEDICAL GROUP LLC
I454235ACCRUAL TRANSACTION
GENESIS MEDICAL GROUP LLC
K340903ACCRUAL TRANSACTION
GENESIS MEDICAL GROUP LLC
N2125023ACCRUAL TRANSACTION
GENESIS EMERGENCY PHYSICIANS INC
N247319ACCRUAL TRANSACTION
COMMUNITY AMBULANCE SERVICE
L1221039ACCRUAL TRANSACTION
GENESIS HEALTH & REHAB
C115091ACCRUAL TRANSACTION
GENESIS CHILDREN'S CENTER
C120716ACCRUAL TRANSACTION
CARELIFE INC
B1021978ACCRUAL TRANSACTION
NORTHSIDE PHARMACY
B900000ACCRUAL TRANSACTION
GENESIS URGENT CARE PHYSICIANS
B229281ACCRUAL TRANSACTION
GENESIS EMERGENCY PHYSICIANS INC
C1540584ACCRUAL TRANSACTION
GENESIS EXTENDED CARE & REHAB
B5775117ACCRUAL TRANSACTION
GENESIS MEDICAL GROUP LLC
C15271940ACCRUAL TRANSACTION
ZANESVILLE SURGERY CENTER
C2540850ACCRUAL TRANSACTION
ZANESVILLE SURGERY CENTER
B4782340ACCRUAL TRANSACTION
GENESIS LIFESTYLE & FITNESS CENTER
N105380ACCRUAL TRANSACTION
GENESIS URGENT CARE PHYSICIANS
N67950ACCRUAL TRANSACTION
CARELIFE INC
C220546ACCRUAL TRANSACTION
PROFESSIONALS PRN LLC
A18115ACCRUAL TRANSACTION

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