TY 2015 Form 990

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)
(1) STEVEN C BAHLS...................................................................... VICE CHAIR	8.00 .................	X	X	0	0
(2) MARK D BAWDEN...................................................................... DIRECTOR	4.00 .................	X		0	0
(3) PETER J BENSON...................................................................... DIRECTOR	4.00 .................	X		0	0
(4) GREGORY J BUSH...................................................................... TREASURER	4.00 .................	X	X	0	0
(5) CHRISTOPHER J COX...................................................................... DIRECTOR	4.00 .................	X		0	0
(6) EDMUND P COYNE JR MD...................................................................... DIRECTOR	4.00 .................	X		0	0
(7) DOUGLAS P CROPPER...................................................................... PRESIDENT/CEO GHS	60.00 .................	X	X	1,066,467	148,024
(8) PATRICIA S GROVES PHD RN...................................................................... DIRECTOR	4.00 .................	X		0	0
(9) ROGER J HILL...................................................................... SECRETARY	4.00 .................	X	X	0	0
(10) MARK C KILMER...................................................................... DIRECTOR	4.00 .................	X		0	0
(11) JAMES W KOEHLER...................................................................... DIRECTOR	4.00 .................	X		0	0
(12) GEORGE J KONTOS JR MD...................................................................... DIRECTOR	40.00 .................	X		473,483	21,215
(13) DAVID C LARSON...................................................................... DIRECTOR	4.00 .................	X		0	0
(14) CHARLENE E MAASKE...................................................................... DIRECTOR	4.00 .................	X		0	0
(15) EDWIN V MOTTO MD...................................................................... DIRECTOR	10.00 .................	X		0	0
(16) EDWARD J ROGALSKI PHD...................................................................... DIRECTOR	10.00 .................	X		0	0
(17) G CHRISTOPHER WAHLIG...................................................................... CHAIR	10.00 .................	X	X	0	0

(A) Name and Title	(B) Average hours per week (list any hours for related organizations below dotted line)	(C) Position (do not check more than one box, unless person is both an officer and a director/trustee)	(E) Reportable compensation from related organizations (W- 2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) C DANA WATERMAN III........................................................................ DIRECTOR	2.10 .......................	X					0	0
(19) CAROL A WATSON PHD RN CENP FAAN........................................................................ FORMER DIRECTOR	4.00 .......................	X					0	0
(20) DALE D ZUDE........................................................................ DIRECTOR	4.00 .......................	X					0	0
(21) MARK G ROGERS........................................................................ V.P. FINANCE/CFO/ASST TREASURER	40.00 .......................		X				501,445	70,249
(22) HAROLD L WAGHER........................................................................ CHIEF COMPLIANCE RISK OFFICER/ASST SECRETARY	40.00 .......................		X				239,704	17,468
(23) KURT A ANDERSEN MD........................................................................ PRESIDENT GHG	40.00 .......................			X			478,592	82,061
(24) CHRISTOPHER CROME........................................................................ PHYSICIAN/DIVISION CHAIR	40.00 .......................			X			426,310	16,831
(25) DALE GIESS........................................................................ PHYSICIAN-CARDIOTHORACIC	40.00 .......................			X			909,409	4,721
(26) NIDAL HARB........................................................................ CHIEF MEDICAL OFFICER	40.00 .......................			X			502,046	123,942
(27) JOSEPH BROOKS........................................................................ PHYSICIAN	40.00 .......................				X		480,106	19,129
(28) NATHAN MELOY MD........................................................................ PHYSICIAN	40.00 .......................				X		646,941	19,246
(29) MATTHEW NEIL........................................................................ PHYSICIAN	40.00 .......................				X		488,157	22,216
(30) TODD RIDENOUR MD........................................................................ PHYSICIAN	40.00 .......................				X		866,525	22,407
(31) JACQUELYN SALAS MD........................................................................ PHYSICIAN	40.00 .......................				X		516,758	10,651
(32) JACQUELINE K ANHALT........................................................................ FORMER V.P. PATIENT SERVICES	40.00 .......................					X	247,883	80,370
(33) WAYNE A DIEWALD........................................................................ FORMER PRESIDENT GMC DAVENPORT	40.00 .......................					X	234,695	487
(34) ROBERT W FRIEDEN........................................................................ FORMER V.P. INFORMATION SERVICES	40.00 .......................					X	383,400	25,349
(35) RICHARD M KISHIUE MD........................................................................ FORMER PRESIDENT, GHG	40.00 .......................					X	357,516	12,483
(36) GEORGE KOVACH........................................................................ FORMER V.P. MEDICAL STAFF AFFAIRS	40.00 .......................					X	151,466	39,693
(37) WILLIAM LANGLEY........................................................................ FORMER EXECUTIVE DIRECTOR ACO	40.00 .......................					X	301,673	52,946
(38) JOSEPH L LOHMULLER MD........................................................................ FORMER CHIEF MEDICAL OFFICER	40.00 .......................					X	135,156	0
(39) KEVIN L YOUMANS........................................................................ FORMER PRESIDENT GMC SILVIS	40.00 .......................					X	272,162	79,394

(A) Name and business address	(B) Description of services	(C) Compensation
JE DUNN CONSTRUCTION COMPANY 1001 LOCUST STREET KANSAS CITY,MO64106	CONSTRUCTION SERVICES	13,422,223
FINDORFF ESTES LLC 300 S BEDFORD MADISON,WI53703	CONSTRUCTION SERVICES	9,985,221
MEDEFIS INC PO BOX 5068 NEW YORK,NY10087	MEDICAL PROFESSIONAL SERVICES	3,158,368
RENOVO SOLUTIONS LLC 1801 E PARKCOURT PLACE BLDG D STE SANTA ANA,CA92701	ASSET MANAGEMENT SERVICES	2,163,039
EMERGENCY CARE AND HEALTH 1S443 SUMMIT AVENUE SUITE 302 OAKBROOK TERRACE,IL60181	ED PROFESSIONAL SERVICES	1,557,374
2 Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization 55

- TIN:

SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service

Public Charity Status and Public Support

Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
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Attach to Form 990 or Form 990-EZ.
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Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I

Reason for Public Charity Status (All organizations must complete this part.) See instructions.

The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ))

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 11a through 11d that describes the type of supporting organization and complete lines 11e, 11f, and 11g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ..............

Provide the following information about the supported organization(s).

(i)Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i)Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


Total

For Paperwork Reduction Act Notice, see the Instructions for
Form 990 or 990-EZ.

Cat. No. 11285F

Schedule A (Form 990 or 990-EZ) 2015

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any unusual grants.) ....
2	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......
3	The value of services or facilities furnished by a governmental unit to the organization without charge..
4	Total. Add lines 1 through 3
5	The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..
6	Public support. Subtract line 5 from line 4.

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
7	Amounts from line 4..
8	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...
9	Net income from unrelated business activities, whether or not the business is regularly carried on..
10	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..
11	Total support. Add lines 7 through 10.

Gross receipts from related activities, etc. (see instructions) ..................

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................ right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2014 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2015. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2014. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2015. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the facts-and-circumstances test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2014. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 3

Part III

Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
1	Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .
2	Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......
3	Gross receipts from activities that are not an unrelated trade or business under section 513...
4	Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...
5	The value of services or facilities furnished by a governmental unit to the organization without charge..
6	Total. Add lines 1 through 5.
7a	Amounts included on lines 1, 2, and 3 received from disqualified persons...
b	Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.
c	Add lines 7a and 7b..
8	Public support. (Subtract line 7c from line 6.)

Section B. Total Support

Calendar year (or fiscal year beginning in)		(a) 2011	(b) 2012	(c) 2013	(d) 2014	(e) 2015	(f) Total
9	Amounts from line 6...
10a	Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..
b	Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.
c	Add lines 10a and 10b.
11	Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.
12	Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..
13	Total support. (Add lines 9, 10c, 11, and 12.)..

First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization,
check this box and stop here............................................. right arrow

Section C. Computation of Public Support Percentage

Public support percentage for 2015 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2014 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2015 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2014 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2015. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2014. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2015

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)

Section A. All Supporting Organizations

Yes

Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.

Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.

Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.

Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.

Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations.

Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.

Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed; (ii) the reasons for each such action; (iii) the authority under the organization's organizing document authorizing such action; and (iv) how the action was accomplished (such as by amendment to the organizing document).

Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.

Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ).

Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.

Did one or more disqualified persons (as defined in line 9a) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.

Did a disqualified person (as defined in line 9a) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.

10a

Was the organization subject to the excess business holdings rules of section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b below.

10a

Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).

10b

Schedule A (Form 990 or 990-EZ) 2015

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?

11a

A family member of a person described in (a) above?

11b

A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.

Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.

Section C. Type II Supporting Organizations

Yes

Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).

Section D. All Type III Supporting Organizations

Yes

Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?

Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).

By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.

Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.

Parent of Supported Organizations. Answer (a) and (b) below.

Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.

Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI. the role played by the organization in this regard.

Schedule A (Form 990 or 990-EZ) 2015

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

	Section B - Minimum Asset Amount		(A) Prior Year	(B) Current Year (optional)
1	Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year):	1
a	Average monthly value of securities	1a
b	Average monthly cash balances	1b
c	Fair market value of other non-exempt-use assets	1c
d	Total (add lines 1a, 1b, and 1c)	1d
e	Discount claimed for blockage or other factors (explain in detail in Part VI):
2	Acquisition indebtedness applicable to non-exempt use assets	2
3	Subtract line 2 from line 1d	3
4	Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions).	4
5	Net value of non-exempt-use assets (subtract line 4 from line 3)	5
6	Multiply line 5 by .035	6
7	Recoveries of prior-year distributions	7
8	Minimum Asset Amount (add line 7 to line 6)	8

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2015

Page 7

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)

Section D - Distributions		Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity
3 Administrative expenses paid to accomplish exempt purposes of supported organizations
4 Amounts paid to acquire exempt-use assets
5 Qualified set-aside amounts (prior IRS approval required)
6 Other distributions (describe in Part VI). See instructions
7Total annual distributions. Add lines 1 through 6.
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions
9 Distributable amount for 2015 from Section C, line 6
10 Line 8 amount divided by Line 9 amount

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2015	(iii) Distributable Amount for 2015
1 Distributable amount for 2015 from Section C, line 6
2 Underdistributions, if any, for years prior to 2015 (reasonable cause required--see instructions)
3 Excess distributions carryover, if any, to 2015:
a
b
c
d From 2013.......
e From 2014.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2015 distributable amount
i Carryover from 2010 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2015 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2015 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2015, if any. Subtract lines 3g and 4a from line 2 (if amount greater than zero, see instructions)
6 Remaining underdistributions for 2015. Subtract lines 3h and 4b from line 1 (if amount greater than zero, see instructions)
7 Excess distributions carryover to 2016. Add lines 3j and 4c.
8 Breakdown of line 7:
a
b
c Excess from 2013.......
d From 2014.......
e From 2015.......

Schedule A (Form 990 or 990-EZ) (2015)

Schedule A (Form 990 or 990-EZ) 2015

Page 8

Part VI

Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).

Facts And Circumstances Test

Return Reference	Explanation

Schedule A (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

Check if your organization is covered by the General Rule or a Special Rule.
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.

General Rule

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Do not complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... Arrow Bullet

Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).

For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.

Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015) Page 2

Name of organization GENESIS HEALTH SYSTEM

Part I	Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
RESTRICTED	,	$ RESTRICTED	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 3

Name of organization GENESIS HEALTH SYSTEM		Employer identification number 42-1418847

Part II	Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
(a) No.from Part I	(b) Description of noncash property given	(c) FMV (or estimate) (see instructions)	(d) Date received
		$
Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Page 4


Name of organization GENESIS HEALTH SYSTEM			Employer identification number 42-1418847
Part III Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10) that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

(a)
No.from Part I

(b) Purpose of gift

(d) Description of how gift is held

(e) Transfer of gift
Transferee's name, address, and ZIP 4	Relationship of transferor to transferee

Schedule B (Form 990, 990-EZ, or 990-PF) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

If the organization answered "Yes" on Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet

Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet

Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet

Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" on Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet

Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet

Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" on Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet

Section 501(c)(4), (5), or (6) organizations: Complete Part III.

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV.

Political expenditures ...................................................................................................................... SchCMd Bullet

Volunteer hours .............................................................................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b........... SchCMd Bullet

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.

(a) Name	(b) Address	(c) EIN	(d) Amount paid from filing organization's funds. If none, enter -0-.	(e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.
1
2
3
4
5
6

For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.

Cat. No. 50084S

Schedule C (Form 990 or 990-EZ) 2015

Page 2

Part II-A

Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).

A Check SchCMd Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(b) Affiliated group totals
1a	Total lobbying expenditures to influence public opinion (grass roots lobbying) ...............................................
b	Total lobbying expenditures to influence a legislative body (direct lobbying) ...........................................
c	Total lobbying expenditures (add lines 1a and 1b) .......................................................................
d	Other exempt purpose expenditures .........................................................................................
e	Total exempt purpose expenditures (add lines 1c and 1d) ....................................................................
f	Lobbying nontaxable amount. Enter the amount from the following table in both columns.
	If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
	Not over $500,00020% of the amount on line 1e.
	Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
	Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
	Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
	Over $17,000,000$1,000,000.

g	Grassroots nontaxable amount (enter 25% of line 1f) ..........................................................................
h	Subtract line 1g from line 1a. If zero or less, enter -0-. ..........................................................................
i	Subtract line 1f from line 1c. If zero or less, enter -0-. ...........................................................................
j	If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting section 4911 tax for this year? ..............................................................................................................	Yes No

4-Year Averaging Period Under section 501(h) (Some organizations that made a section 501(h) election do not have to complete all of the five columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
	Calendar year (or fiscal year beginning in)	(a) 2012	(b) 2013	(c) 2014	(d) 2015	(e) Total

2a	Lobbying nontaxable amount

b	Lobbying ceiling amount (150% of line 2a, column(e))

c	Total lobbying expenditures

d	Grassroots nontaxable amount

e	Grassroots ceiling amount (150% of line 2d, column (e))

f	Grassroots lobbying expenditures

Schedule C (Form 990 or 990-EZ) 2015

Page 3

Part II-B

Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).

For each "Yes" response on lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.

(a)

Yes

(b)

Amount

During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Yes

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Yes

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Yes

3,000

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Yes

145,013

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

78,665

Total. Add lines 1c through 1i ....................................................................................................

226,678

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? ........................

Part III-A

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).

Yes

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

Part III-B

Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

Part IV

Supplemental Information

Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.

Return Reference	Explanation
PART II-B, LINE 1:	PART II-B, LINE 1B, PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS IOWA) HAD THREE STAFF MEMBERS INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. ALSO, ON FEBRUARY 24, 2016, 39 GHS IOWA STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO A FAIR MEDICAID SYSTEM AND TELEHEALTH ADVANCEMENT. PART II-B, LINE 1D, MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM (GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GHS IOWA REGARDING THIS ACTIVITY. PART II-B, LINE 1F, GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GENESIS HEALTH SYSTEM (GHS IOWA) PRESENTED ONE GRANT TO ONE ORGANIZATION: 1.) QUAD CITIES CHAMBER - IOWA LEGISLATIVE LUNCHEON 2016, $3,000. PART II-B, LINE 1G, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD THREE STAFF MEMBERS INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS RELATED TO THEIR LOBBYING ACTIVITIES INCLUDED: SALARIES - $127,267, AND MILEAGE/TRAVEL EXPENSES - $1,580. ALSO, ON FEBRUARY 26, 2016, 39 GHS IOWA STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO FAIR MEDICAID SYSTEM AND TELEHEALTH ADVANCEMENT. THE DIRECT COSTS INCLUDED: SALARIES - $15,091 AND TRAVEL EXPENSES - $1,075. PART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2015, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM RLW STRATEGIES, LLC AT A COST OF $7,500. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 21% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $26,981, 22.12% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,151, 60% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $7,245, AND VARIOUS OTHER ASSOCIATIONS - $24,788.

Return Reference

Explanation

PART II-B, LINE 1:

PART II-B, LINE 1B, PAID STAFF OR MANAGEMENT: GENESIS HEALTH SYSTEM (GHS IOWA) HAD THREE STAFF MEMBERS INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. ALSO, ON FEBRUARY 24, 2016, 39 GHS IOWA STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO A FAIR MEDICAID SYSTEM AND TELEHEALTH ADVANCEMENT. PART II-B, LINE 1D, MAILINGS TO MEMBERS, LEGISLATORS, OR THE PUBLIC: EMPLOYEES OF GENESIS HEALTH SYSTEM (GHS IOWA) ARE ENCOURAGED TO PARTICIPATE IN THE IOWA HOSPITAL ASSOCIATION'S "IHA ACTION ALERTS." THE EMPLOYEES PARTICIPATE BY RESPONDING TO E-MAIL ALERTS WHICH ALLOWS THEM TO VOICE THEIR OPINIONS TO THEIR STATE REPRESENTATIVES ON HEALTHCARE RELATED MATTERS (NOT CANDIDATE-SPECIFIC). THERE IS NO DIRECT COST TO GHS IOWA REGARDING THIS ACTIVITY. PART II-B, LINE 1F, GRANTS TO OTHER ORGANIZATIONS FOR LOBBYING PURPOSES: GENESIS HEALTH SYSTEM (GHS IOWA) PRESENTED ONE GRANT TO ONE ORGANIZATION: 1.) QUAD CITIES CHAMBER - IOWA LEGISLATIVE LUNCHEON 2016, $3,000. PART II-B, LINE 1G, DIRECT CONTACT WITH LEGISLATORS, THEIR STAFFS, GOVERNMENT OFFICIALS, OR A LEGISLATIVE BODY: GENESIS HEALTH SYSTEM (GHS IOWA) HAD THREE STAFF MEMBERS INVOLVED IN LOBBYING ACTIVITIES ON A PART TIME BASIS. THEIR LOBBYING ACTIVITIES WERE FOCUSED ON SENDING LETTERS OR PUBLICATIONS TO GOVERNMENT OFFICIALS OR LEGISLATORS AND MEETING WITH OR CALLING GOVERNMENT OFFICIALS OR LEGISLATORS ON HEALTHCARE RELATED MATTERS. THE DIRECT COSTS RELATED TO THEIR LOBBYING ACTIVITIES INCLUDED: SALARIES - $127,267, AND MILEAGE/TRAVEL EXPENSES - $1,580. ALSO, ON FEBRUARY 26, 2016, 39 GHS IOWA STAFF MEMBERS TOOK TIME OUT OF THEIR REGULAR BUSINESS HOURS TO VISIT WITH SEVERAL GOVERNMENT OFFICIALS AND LEGISLATORS TO DISCUSS ISSUES RELATED TO FAIR MEDICAID SYSTEM AND TELEHEALTH ADVANCEMENT. THE DIRECT COSTS INCLUDED: SALARIES - $15,091 AND TRAVEL EXPENSES - $1,075. PART II-B, LINE 1I, OTHER LOBBYING ACTIVITIES: IN FISCAL YEAR 2015, GENESIS HEALTH SYSTEM (GHS IOWA) RECEIVED PROFESSIONAL LOBBYING AND GOVERNMENTAL RELATIONS CONSULTING SERVICES FROM RLW STRATEGIES, LLC AT A COST OF $7,500. LOBBYING EXPENDITURES RELATED TO MEMBERSHIP DUES INCLUDED: 21% OF MEMBERSHIP DUES TO THE IOWA HOSPITAL ASSOCIATION, OR $26,981, 22.12% OF MEMBERSHIP DUES TO THE AMERICAN HOSPITAL ASSOCIATION, OR $12,151, 60% OF MEMBERSHIP DUES TO THE AMERICAN MEDICAL ASSOCIATION, OR $7,245, AND VARIOUS OTHER ASSOCIATIONS - $24,788.

Schedule C (Form 990 or 990EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

Complete if the organization answered "Yes," on Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet

Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I

Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" on Form 990, Part IV, line 6.

			(a) Donor advised funds	(b) Funds and other accounts

1	Total number at end of year ....
2	Aggregate value of contributions to (during year)
3	Aggregate value of grants from (during year)
4	Aggregate value at end of year ....

Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ...........

Yes No

Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ............................

Yes No

Part II

Conservation Easements. Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.


a	Total number of conservation easements ......................	2a
b	Total acreage restricted by conservation easements ....................	2b
c	Number of conservation easements on a certified historic structure included in (a) .....	2c
d	Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register ...	2d

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .............................

Yes No

In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" on Form 990, Part IV, line 8.

If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.

If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:

(i)

Revenue included on Form 990, Part VIII, line 1 ......................... SchDMd Bullet

(ii)

Assets included in Form 990, Part X ............................... SchDMd Bullet

If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

Assets included in Form 990, Part X ............................... SchDMd Bullet

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 52283D

Schedule D (Form 990) 2015

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?...

Yes No

Part IV

Escrow and Custodial Arrangements. Complete if the organization answered "Yes" on Form 990, Part IV, line 9, or reported an amount on Form 990, Part X, line 21.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


b	If "Yes," explain the arrangement in Part XIII and complete the following table:		Amount
c	Beginning balance .............................	1c
d	Additions during the year ............................	1d
e	Distributions during the year ..........................	1e
f	Ending balance ................................	1f

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?

Yes No

If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII ........

Part V

Endowment Funds. Complete if the organization answered "Yes" on Form 990, Part IV, line 10.

		(a)Current year	(b)Prior year	(c)Two years back	(d)Three years back	(e)Four years back

1a	Beginning of year balance ....	11,227,334	9,123,481	7,838,024	7,633,243	5,519,844
b	Contributions ...	1,087,419	1,985,014	374,838	2,101	2,014,051
c	Net investment earnings, gains, and losses	-178,681	118,839	910,619	561,816	99,448
d	Grants or scholarships ...				359,136
e	Other expenditures for facilities and programs ...
f	Administrative expenses ....	55,342				100
g	End of year balance ......	12,080,730	11,227,334	9,123,481	7,838,024	7,633,243

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

44.630 %

Permanent endowment SchDMd Bullet

55.370 %

Temporarily restricted endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) unrelated organizations .................

3a(i)

(ii) related organizations .................

3a(ii)

Yes

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

Yes

Describe in Part XIII the intended uses of the organization's endowment funds.

Part VI

Land, Buildings, and Equipment.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11a. See Form 990, Part X, line 10.

Description of property		(a) Cost or other basis (investment)	(b)Cost or other basis (other)	(c) Accumulated depreciation	(d) Book value

1a	Land ...	31,133,493		31,133,493
b	Buildings	227,399,761	139,019,800	88,379,961
c	Leasehold improvements	23,947,809	18,812,693	5,135,116
d	Equipment ...	319,324,461	269,497,409	49,827,052
e	Other ...	82,411,657	17,705,234	64,706,423
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				239,182,045

Schedule D (Form 990) 2015

Page 3

Part VII

InvestmentsOther Securities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b)Book value	(c)Method of valuation: Cost or end-of-year market value
(1)Financial derivatives
(2)Closely-held equity interests
(3)Other (A) INVESTMENT IN GENVENTURES, INC	26,775,761	C
(B) INVESTMENT IN MISERICORDIA ASSURANCE COMPANY, LTD.	120,000	C
(C) INVESTMENT IN HEI COOP	3,731,142	C
(D) INVESTMENT IN SPRING PARK SURGERY CENTER, LLC	3,231,734	C
(E) INVESTMENT IN GENGASTRO, LLC	23,628,202	C
(F) INVESTMENT IN GENORTHO, LLC	1,816,416	C
(G) INVESTMENT IN GENRAD IMAGING, LLC	2,973,581	C
(H) INVESTMENT IN GENESIS ONCOLOGY CO-MANAGEMENT, LLC	66,849	C
(I) OTHER INVESTMENTS - GMC	28,655	F
(J) INVESTMENT IN UNIVERSITY OF IOWA HEALTH ALLIANCE, LLC	924,525	C
(K) INVESTMENT IN DAVITA DIALYSIS, LLC	2,828,009	C
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)	66,124,874

Part VIII

InvestmentsProgram Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

Part IX

Other Assets. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value

(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

Part X

Other Liabilities. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.

1.(a) Description of liability	(b) Book value
(1) Federal income taxes
ACCRUED PENSION LIABILITY	22,100,000
ACCRUED INS TRUST LOSSES	1,810,798
NONQUALIFIED PENSION LIABILITY	15,363,623
LT DEFERRED EXPENSE CREDIT	353,793
RETIREMENT SAVINGS	2,619,734
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	42,247,948
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII

Schedule D (Form 990) 2015

Page 4

Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total revenue, gains, and other support per audited financial statements .......		1
2	Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a	Net unrealized gains (losses) on investments ....	2a
b	Donated services and use of facilities .........	2b
c	Recoveries of prior year grants ...........	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d .....................		2e
3	Subtract line 2e from line 1..................		3
4	Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b .	4a
b	Other (Describe in Part XIII.) ...........	4b
c	Add lines 4a and 4b....................		4c
5	Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ......		5

Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' on Form 990, Part IV, line 12a.
1	Total expenses and losses per audited financial statements ...........		1
2	Amounts included on line 1 but not on Form 990, Part IX, line 25:
a	Donated services and use of facilities .........	2a
b	Prior year adjustments ............	2b
c	Other losses ................	2c
d	Other (Describe in Part XIII.) ............	2d
e	Add lines 2a through 2d....................		2e
3	Subtract line 2e from line 1...................		3
4	Amounts included on Form 990, Part IX, line 25, but not on line 1:
a	Investment expenses not included on Form 990, Part VIII, line 7b ..	4a
b	Other (Describe in Part XIII.) ............	4b
c	Add lines 4a and 4b.....................		4c
5	Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ......		5

Part XIII

Supplemental Information

Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.

Return Reference

Explanation

PART V, LINE 4:

GENESIS HEALTH SERVICES FOUNDATION, A RELATED ORGANIZATION, HOLDS THE ENDOWMENT FUNDS. THE INTENDED USE OF THE FOUNDATION'S ENDOWMENT FUNDS ARE AS FOLLOWS: SCHOLARSHIPS FOR EDUCATION IN THE MEDICAL FIELD, CHARITY CARE FOR THE INDIGENT, EMPLOYEE ASSITANCE, VISITING NURSE, HOSPICE HOUSE, DIABETIC CARE, PEDIATRIC HOSPICE, AND BREAST HEALTH SERVICES.

PART X, LINE 2:

GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO), GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO), GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION), GENESIS PHILANTHROPY (PHILANTHROPY) AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) ALL FILE A FORM 990 (RETURN OF ORGANIZATION EXEMPT FROM INCOME TAX) ANNUALLY. WHEN THESE RETURNS ARE FILED, IT IS HIGHLY CERTAIN THAT SOME POSITIONS TAKEN WOULD BE SUSTAINED UPON EXAMINATION BY THE TAXING AUTHORITIES, WHILE OTHERS ARE SUBJECT TO UNCERTAINTY ABOUT THE MERITS OF THE POSITION TAKEN OR THE AMOUNT OF THE POSITION THAT WOULD ULTIMATELY BE SUSTAINED. EXAMPLES OF TAX POSITIONS COMMON TO HEALTH SYSTEMS INCLUDE SUCH MATTERS AS THE FOLLOWING: THE TAX EXEMPT STATUS OF EACH ENTITY, THE NATURE, CHARACTERIZATION AND TAXABILITY OF JOINT VENTURE INCOME AND VARIOUS POSITIONS RELATIVE TO POTENTIAL SOURCES OF UNRELATED BUSINESS TAXABLE INCOME. UNRELATED BUSINESS TAXABLE INCOME IS REPORTED ON FORM 990T, AS APPROPRIATE. THE BENEFIT OF A TAX POSITION IS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS IN THE PERIOD DURING WHICH, BASED ON ALL AVAILABLE EVIDENCE, MANAGEMENT BELIEVES THAT IT IS MORE LIKELY THAN NOT THAT THE POSITION WILL BE SUSTAINED UPON EXAMINATION, INCLUDING THE RESOLUTION OF APPEALS OR LITIGATION PROCESSES, IF ANY. TAX POSITIONS ARE NOT OFFSET OR AGGREGATED WITH OTHER POSITIONS. TAX POSITIONS THAT MEET THE "MORE LIKELY THAN NOT" RECOGNITION THRESHOLD ARE MEASURED AS THE LARGEST AMOUNT OF TAX BENEFIT THAT IS MORE THAN 50% LIKELY TO BE REALIZED ON SETTLEMENT WITH THE APPLICABLE TAXING AUTHORITY. THE PORTION OF THE BENEFITS ASSOCIATED WITH TAX POSITIONS TAKEN THAT EXCEEDS THE AMOUNT MEASURED AS DESCRIBED ABOVE IS REFLECTED AS A LIABILITY FOR UNCERTAIN TAX BENEFITS IN THE ACCOMPANYING CONSOLIDATED BALANCE SHEETS ALONG WITH ANY ASSOCIATED INTEREST AND PENALTIES THAT WOULD BE PAYABLE TO THE TAXING AUTHORITIES UPON EXAMINATION. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINIOS, GENESIS FOUNDATION, PHILANTHROPY AND WORKERS' COMPENSATION TRUST ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE (IRS) UP TO THREE YEARS FROM THE EXTENDED DUE DATE OF EACH RETURN. FORMS 990 AND 990T FILED BY GHS IOWA, GHS ILLINOIS, GENESIS FOUNDATION AND WORKERS' COMPENSATION TRUST ARE NO LONGER SUBJECT TO EXAMINATION FOR THE FISCAL YEARS ENDED JUNE 30, 2012 AND PRIOR. GENVENTURES, INC. (GENVENTURES) IS A TAXABLE ORGANIZATION AND CURRENTLY FILES INCOME TAX RETURNS IN THE U.S. FEDERAL JURISDICTION AND VARIOUS STATE JURISDICTIONS. GENVENTURES IS NO LONGER SUBJECT TO INCOME TAX EXAMINATIONS FOR YEARS JUNE 30, 2012 AND PRIOR. THERE WERE NO UNCERTAIN TAX POSITIIONS AS OF JUNE 30, 2016 AND 2015.

Schedule D (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE F(Form 990)

Department of the Treasury
Internal Revenue Service

Statement of Activities Outside the United States

Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16. Right pointing arrow large image

Attach to Form 990. Right pointing arrow large image

See separate instructions. Right pointing arrow large image

Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization
GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I

General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.

For grantmakers.Does the organization maintain records to substantiate the amount of its grants and

other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria used

to award the grants or assistance? . . . . . . . . . . . . . . . . . . . . . . . . .

Yes

For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.

Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)

(a) Region		(b) Number of offices in the region	(c) Number of employees, agents, and independent contractors in region	(d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region)	(f) Total expenditures for and investments in region
	CENTRAL AMERICAN AND THE CARIBBEAN	0	0	INVESTMENTS
















3a	Sub-total .....	0	0		0
b	Total from continuation sheets to Part I ...	0	0		0
c	Totals (add lines 3a and 3b)	0	0		0

For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2015

Schedule F (Form 990) 2015

Page 2

Part II

Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.

1 (a) Name of organization		(b) IRS code section and EIN (if applicable)	(a)(c) Region	(b)(d) Purpose of grant	(e) Amount of cash grant	(f) Manner of cash disbursement	(g) Amount of non-cash assistance	(h) Description of non-cash assistance	(i) Method of valuation (book, FMV, appraisal, other)

2	Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter .......
3	Enter total number of other organizations or entities .......................

Schedule F (Form 990) 2015

Schedule F (Form 990) 2015Page 3

Part III

Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.

Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance		(b) Region	(c) Number of recipients	(d) Amount of cash grant	(e) Manner of cash disbursement	(f) Amount of non-cash assistance	(g) Description of non-cash assistance	(h) Method of valuation (book, FMV, appraisal, other)

Schedule F (Form 990) 2015

Page 4

Part IV

Foreign Forms

Schedule F (Form 990) 2015

Page 5

Part V

Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).

ReturnReference	Explanation

Schedule F (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.

Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?

If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:

Yes

100% 150% 200% Other %

Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate

which of the following was the family income limit for eligibility for discounted care: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other %

If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.

Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? . . . . . . . . . . . . .

Yes

Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(c) Total community benefit expense	(d) Direct offsetting revenue	(e) Net community benefit expense	(f) Percent of total expense
a	Financial Assistance at cost (from Worksheet 1) . . .	3,672,196		3,672,196	0.770 %
b	Medicaid (from Worksheet 3, column a) . . . . .	76,392,357	60,746,569	15,645,788	3.280 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	80,064,553	60,746,569	19,317,984	4.050 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	672,665		672,665	0.140 %
f	Health professions education (from Worksheet 5) . . .	3,200,657	2,195,563	1,005,094	0.210 %
g	Subsidized health services (from Worksheet 6) . . . .	7,966,830	6,451,121	1,515,709	0.320 %
h	Research (from Worksheet 7) .	293,331		293,331	0.060 %
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	581,173		581,173	0.120 %
j	Total. Other Benefits . .	12,714,656	8,646,684	4,067,972	0.850 %
k	Total. Add lines 7d and 7j .	92,779,209	69,393,253	23,385,956	4.900 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2015

Schedule H (Form 990) 2015

Page

Part II

Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.

		(c) Total community building expense	(e) Net community building expense	(f) Percent of total expense
1	Physical improvements and housing
2	Economic development	34,005	34,005	0.010 %
3	Community support	72,157	72,157	0.020 %
4	Environmental improvements	151	151	0 %
5	Leadership development and training for community members
6	Coalition building
7	Community health improvement advocacy	20,414	20,414	0 %
8	Workforce development	22,667	22,667	0 %
9	Other
10	Total	149,394	149,394	0.030 %

Part III

Bad Debt, Medicare, & Collection Practices

Section A. Bad Debt Expense

Yes

Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................

Yes

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

12,729,927

Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......

Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.

Section B. Medicare

Enter total revenue received from Medicare (including DSH and IME).....

125,217,923

Enter Medicare allowable costs of care relating to payments on line 5.....

125,486,700

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-268,777

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
11 GENGASTRO LLC	AMBULATORY SURGERY CENTER	75.000 %	0 %	25.000 %
22 GENORTHO LLC	ORTHOPAEDIC SURGERY CENTER	50.000 %	0 %	50.000 %
33 SPRING PARK SURGERY CENTER LLC	OUTPATIENT SURGICAL CENTER	45.000 %	0 %	55.000 %
44 GENRAD IMAGING LLC	DIAGNOSTIC IMAGING CENTER	50.000 %	0 %	50.000 %
55 GENESIS ONCOLOGY CO-MANAGEMENT LLC	ONCOLOGY PROGRAM MANAGEMENT	10.000 %	0 %	90.000 %
66 DAVITA DIALYSIS LLC	OUTPATIENT DIALYSIS CENTER	20.000 %	16.000 %	64.000 %
7
8
9
10
11
12
13

Schedule H (Form 990) 2015

Page

Part VFacility Information

Section A. Hospital Facilities (list in order of size from largest to smallest—see instructions) How many hospital facilities did the organization operate during the tax year?2 Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility)
1	GENESIS MEDICAL CENTER - DAVENPORT 1227 E RUSHOLME STREET DAVENPORT,IA52803 WWW.GENESISHEALTH.COM 820011H	X	X		X
2	GENESIS MEDICAL CENTER - DEWITT 1118 11TH STREET DEWITT,IA52742 WWW.GENESISHEALTH.COM 230149H	X	X	X	X

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	GENESIS MEDICAL CENTER - DAVENPORT
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 15

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Yes

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.GENESISHEALTH.COM/COMMUNITY

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 15

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.GENESISHEALTH.COM/COMMUNITY

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	GENESIS MEDICAL CENTER - DAVENPORT
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.GENESISHEALTH.COM

The FAP application form was widely available on a website (list url):

WWW.GENESISHEALTH.COM

A plain language summary of the FAP was widely available on a website (list url):
WWW.GENESISHEALTH.COM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	GENESIS MEDICAL CENTER - DAVENPORT
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 4

Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)

	GENESIS MEDICAL CENTER - DEWITT
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

Information gaps that limit the hospital facility’s ability to assess the community’s health needs

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 13

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): WWW.GENESISHEALTH.COM/COMMUNITY

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 13

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): WWW.GENESISHEALTH.COM/COMMUNITY

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

12a

Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)?...............................

12a

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

If "Yes" on line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $

Schedule H (Form 990) 2015

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	GENESIS MEDICAL CENTER - DEWITT
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000% and FPG family income limit for eligibility for discounted care of 200.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

Yes

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Included measures to publicize the policy within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

WWW.GENESISHEALTH.COM

The FAP application form was widely available on a website (list url):

WWW.GENESISHEALTH.COM

A plain language summary of the FAP was widely available on a website (list url):
WWW.GENESISHEALTH.COM

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Notice of availability of the FAP was conspicuously displayed throughout the hospital facility

Notified members of the community who are most likely to require financial assistance about availability of the FAP

Other (describe in Section C)

Billing and Collections

Yes

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Schedule H (Form 990) 2015

Page 6

Part VFacility Information (continued)

	GENESIS MEDICAL CENTER - DEWITT
Name of hospital facility or letter of facility reporting group

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

Notified individuals of the financial assistance policy on admission

Notified individuals of the financial assistance policy prior to discharge

Notified individuals of the financial assistance policy in communications with the individuals regarding the individuals’ bills

Documented its determination of whether individuals were eligible for financial assistance under the hospital facility’s financial assistance policy

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

The hospital facility used its lowest negotiated commercial insurance rate when calculating the maximum amounts that
can be charged

The hospital facility used the average of its three lowest negotiated commercial insurance rates when calculating the maximum amounts that can be charged

The hospital facility used the Medicare rates when calculating the maximum amounts that can be charged

Other (describe in Section C)

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2015

Page 7

Part V

Facility Information (continued)

Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference	Explanation
GENESIS MEDICAL CENTER - DAVENPORT	PART V, SECTION B, LINE 5: FOR OVER A DECADE, COMMUNITY HEALTH CARE, GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), QUAD CITY HEALTH INITIATIVE (QCHI), ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, AND UNITY POINT HEALTH- TRINITY HAVE BEEN COLLABORATING ON IMPROVING HEALTH STATUS AND QUALITY OF LIFE IN THE QUAD CITIES REGION THROUGH THE QUAD CITY HEALTH INITIATIVE (QCHI). OUR COORDINATED ASSESSMENT APPROACH INCLUDED PRIMARY DATA COLLECTION, SECONDARY DATA ANALYSIS, AND QUALITATIVE INPUT FROM COMMUNITY LEADERS. EACH HEALTH DEPARTMENT CONVENED A COMMUNITY HEALTH TASK FORCE TO REVIEW AND PRIORITIZE SECONDARY DATA AND COLLECT QUALITATIVE INPUT FROM COMMUNITY LEADERS IN SCOTT AND ROCK ISLAND COUNTIES. IN ADDITION, THROUGH QCHI, THE HEALTH SYSTEMS FUNDED A SURVEY AND DATA COLLECTION FOR THE BI-STATE AREA AND HIRED PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) TO CONDUCT THIS WORK. THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) INCORPORATES DATA FROM PRIMARY RESEARCH (THE PRC COMMUNITY HEALTH SURVEY) AND SECONDARY RESEARCH (VITAL STATISTICS AND OTHER EXISTING HEALTH-RELATED DATA); THESE COMPONENTS ALLOW FOR TRENDING AND COMPARISON TO BENCHMARK DATA AT THE STATE AND NATIONAL LEVELS.THE SURVEY INSTRUMENT USED FOR THIS STUDY IS BASED LARGELY ON THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY THE SPONSORING ORGANIZATIONS AND PRC, AND IS SIMILAR TO THE PREVIOUS SURVEYS USED IN THE REGION, ALLOWING FOR DATA TRENDING.TO ENSURE THE BEST REPRESENTATION OF THE POPULATION SURVEYED, A TELEPHONE INTERVIEW METHODOLOGY - ONE THAT INCORPORATES BOTH LANDLINE AND CELL PHONE INTERVIEWS - WAS EMPLOYED. THE PRIMARY ADVANTAGES OF TELEPHONE INTERVIEWING ARE TIMELINESS, EFFICIENCY AND RANDOM-SELECTION CAPABILITIES. THE SAMPLE DESIGN USED FOR THIS EFFORT CONSISTED OF A STRATIFIED RANDOM SAMPLE OF 801 INDIVIDUALS AGE 18 AND OLDER IN THE QUAD CITIES AREA, INCLUDING 402 IN ROCK ISLAND COUNTY AND 399 IN SCOTT COUNTY. IN ADDITION, AN OVERSAMPLE OF 122 ADDITIONAL INTERVIEWS WAS IMPLEMENTED AMONG AFRICAN AMERICAN AND HISPANIC ADULTS TO ENSURE THAT THESE POPULATIONS WERE ADEQUATELY REPRESENTED IN THE SAMPLE AND COULD BE ANALYZED INDEPENDENTLY. THIS YIELDED A TOTAL OF 87 INTERVIEWS AMONG AFRICAN AMERICAN RESIDENTS AND 101 INTERVIEWS AMONG HISPANIC RESIDENTS (INCLUDING RESPONDENTS REACHED THROUGH BOTH THE RANDOM SAMPLE AND OVERSAMPLE INTERVIEWS). ONCE ALL SURVEYS WERE COMPLETED, THE TOTAL OF 923 INTERVIEWS WERE WEIGHTED IN PROPORTION TO THE ACTUAL POPULATION DISTRIBUTION SO AS TO APPROPRIATELY REPRESENT QUAD CITIES AREA AS A WHOLE. ALL ADMINISTRATION OF THE SURVEYS, DATA COLLECTION AND DATA ANALYSIS WAS CONDUCTED BY PRC.FOR STATISTICAL PURPOSES, THE MAXIMUM RATE OF ERROR ASSOCIATED WITH A SAMPLE SIZE OF 923 RESPONDENTS IS +/-3.3% AT THE 95 PERCENT LEVEL OF CONFIDENCE. IT IS A COMMON AND PREFERRED PRACTICE TO "WEIGHT" THE RAW DATA TO IMPROVE REPRESENTATIVENESS EVEN FURTHER. THIS IS ACCOMPLISHED BY ADJUSTING THE RESULTS OF A RANDOM SAMPLE TO MATCH THE GEOGRAPHIC DISTRIBUTION AND DEMOGRAPHIC CHARACTERISTICS OF THE POPULATION SURVEYED (POSTSTRATIFICATION), SO AS TO ELIMINATE ANY NATURALLY OCCURRING BIAS. SPECIFICALLY, ONCE THE RAW DATA ARE GATHERED, RESPONDENTS ARE EXAMINED BY KEY DEMOGRAPHIC CHARACTERISTICS (NAMELY GENDER, AGE, RACE, ETHNICITY, AND POVERTY STATUS) AND A STATISTICAL APPLICATION PACKAGE APPLIES WEIGHTING VARIABLES THAT PRODUCE A SAMPLE WHICH MORE CLOSELY MATCHES THE POPULATION FOR THESE CHARACTERISTICS. THUS, WHILE THE INTEGRITY OF EACH INDIVIDUAL'S RESPONSES IS MAINTAINED, ONE RESPONDENT'S RESPONSES MAY CONTRIBUTE TO THE WHOLE THE SAME WEIGHT AS, FOR EXAMPLE, 1.1 RESPONDENTS. ANOTHER RESPONDENT, WHOSE DEMOGRAPHIC CHARACTERISTICS MAY HAVE BEEN SLIGHTLY OVERSAMPLED, MAY CONTRIBUTE THE SAME WEIGHT AS 0.9 RESPONDENTS.A VARIETY OF EXISTING (SECONDARY) DATA SOURCES WAS CONSULTED TO COMPLEMENT THE RESEARCH QUALITY OF THIS COMMUNITY HEALTH ASSESSMENT. DATA FOR ROCK ISLAND AND SCOTT COUNTIES WERE OBTAINED FROM THE FOLLOWING SOURCES:-CENTER FOR APPLIED RESEARCH AND ENVIRONMENTAL SYSTEMS (CARES) -CENTERS FOR DISEASE CONTROL & PREVENTION-COMMUNITY COMMONS-ESRI ARCGIS MAP GALLERY-NATIONAL CANCER INSTITUTE, STATE CANCER PROFILES -OPENSTATEMAP (OSM)-US DEPARTMENT OF AGRICULTURE, ECONOMIC RESEARCH SERVICE -IOWA DEPARTMENT OF PUBLIC SAFETY / ILLINOIS STATE POLICE -US CENSUS BUREAU -US DEPARTMENT OF HEALTH AND HUMAN SERVICES -US DEPARTMENT OF JUSTICE, FEDERAL BUREAU OF INVESTIGATION -US DEPARTMENT OF LABOR, BUREAU OF STATISTICSNOTE THAT SECONDARY DATA REFLECT COUNTY-LEVEL DATA.
GENESIS MEDICAL CENTER - DEWITT	PART V, SECTION B, LINE 5: TO COMPLETE THIS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), EXISTING HEALTH-RELATED DATA WERE COLLECTED VIA THE ONLINE COMMUNITY COMMONS COMMUNITY HEALTH NEEDS ASSESSMENT REPORT TOOL AT HTTP://WWW.COMMUNITYCOMMONS.ORG/MAPS-DATA. THIS SITE ALLOWS FOR IDENTIFICATION OF 87 DISTINCT HEALTH AND SOCIAL INDICATORS AT THE COUNTY LEVEL, ALONG WITH COMPARISONS TO STATE AND NATIONAL DATA, AND HEALTHY PEOPLE 2020 TARGETS, WHERE AVAILABLE. ONCE AN INDICATOR REPORT WAS GENERATED, RELEVANT INDICATORS WERE REVIEWED TO DETERMINE HOW CLINTON AND JACKSON COUNTIES COMPARED TO AVAILABLE STATE/NATIONAL DATA. SEE THE "DETAILED HEALTH INDICATORS" SECTION OF THIS DOCUMENT.INFORMATION GAPS:BECAUSE THIS CHNA RELIES ON EXISTING DATASETS, IT IS LIMITED IN SCOPE TO THOSE INDICATORS CURRENTLY AVAILABLE THROUGH DATABASE COLLECTION. IT DOES NOT INCLUDE A PRIMARY RESEARCH COMPONENT, AND MANY IMPORTANT ISSUES ARE UNADDRESSED (E.G., MENTAL HEALTH, CHILDREN'S HEALTH, ETC.), OR ONLY ADDRESSED MINIMALLY (E.G., ACCESS TO HEALTHCARE). ANOTHER LIMITATION IS THAT MOST MEASURES INCLUDED IN THIS ASSESSMENT REPRESENT DATA THAT ARE SEVERAL YEARS OLD.COMMUNITY STAKEHOLDER INPUT:AS PART OF THIS CHNA, GENESIS MEDICAL CENTER - DEWITT CAMPUS AND JACKSON COUNTY REGIONAL HEALTH CENTER SOUGHT INPUT FROM PUBLIC HEALTH REPRESENTATIVES AND OTHER COMMUNITY STAKEHOLDERS WITH AN INTEREST IN THE HEALTH OF THE COMMUNITY THROUGH A SERIES OF DISCUSSION MEETINGS. ORGANIZATIONS REPRESENTED AT THESE COMMUNITY STAKEHOLDER MEETINGS INCLUDE:-TEDDY CRAWFORD, WESTWING SENIOR LIVING -MICHELE CULLEN, CLINTON COUNTY PUBLIC HEALTH DEPARTMENT -CURT COLEMAN, GMC-DEWITT, ADMINISTRATION -GWEN DEMING, COMMNITY PARTNERSHIP FOR PROTECTING CHILDREN -WANDA HAACK, GMC-DEWITT, PATIENT HEALTH SERVICES JACKSON COUNTY BOARD OF HEALTH -CAROLYN HASSENNMILLER, GMC-DEWITT SOCIAL SERVICES -JENNY KREITER, EARLY CHILDHOOD IOWA/DECAT COORDINATOR -KATHRYN MCKNIGHT, ST. AMBROSE UNIVERSITY SCHOOL OF HEALTH SCIENCES -KATI MCNEME, I-SMILE, VISITING NURSE SERVICES -PAULA RIVER, GMC-DEWITT, COMMUNITY HEALTH LIAISON -LYNN BOPES, JACKSON COUNTY MENTAL HEALTH -CHERYL CURL, JCRHC CHIEF NURSING OFFICER -CURT COLEMAN, JCRHC, ADMINISTRATION -GWEN DEMING, COMMUNITY PARTNERSHIP FOR PROTECTING CHILDREN -PAM DEMOSS, JACKSON COUNTY BOARD OF HEALTH -STEVE FLYNN, JACKSON COUNTY SUPERVISOR -JENNIFER HOPE, JCRHC NURSING SERVICESAN IMPORTANT COMPONENT TO THESE MEETINGS WAS A DISCUSSION OF THE PRIMARY AND CHRONIC DISEASE NEEDS AND OTHER HEALTH ISSUES OF UNINSURED PERSONS, LOW-INCOME PERSONS, AND MINORITY GROUPS. THIS QUALITATIVE INPUT WAS USED TO FURTHER INFORM THE PRIORITIZATION PROCESS DESCRIBED LATER IN THIS SUMMARY.
GENESIS MEDICAL CENTER - DAVENPORT	PART V, SECTION B, LINE 6A: UNITY POINT HEALTH-TRINITY
GENESIS MEDICAL CENTER - DEWITT	PART V, SECTION B, LINE 6A: JACKSON COUNTY REGIONAL HEALTH CENTER
GENESIS MEDICAL CENTER - DAVENPORT	PART V, SECTION B, LINE 6B: COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY HEALTH DEPARTMENT, AND THE SCOTT COUNTY HEALTH DEPARTMENT
GENESIS MEDICAL CENTER - DAVENPORT	PART V, SECTION B, LINE 11: FOLLOWING THE GENESIS HEALTH SYSTEM'S (GHS IOWA) MISSION ALONG WITH COORDINATING WITH THE QUAD CITY HEALTH INITIATIVE (QCHI) IMPLEMENTATION PLAN, GENESIS MEDICAL CENTER-DAVENPORT WILL BE FOCUSING AND DELIVERING ON THE FOLLOWING PROGRAMS AND RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY:ACCESS TO HEALTHCARE SERVICES:-CARE TEAM CONCEPT TO DEPLOY ALLOWING PROVIDERS TO CARE FOR MORE PATIENTS, MORE EFFICIENTLY-IN ADDITION TO CURRENT CONVENIENT CARE OFFERINGS, RETAIL CLINICS ARE ALSO GOING TO BE DEPLOYED IN HY-VEE FOOD STORES.-NEW HEALTHPLEX COMING TO NORTHWEST DAVENPORT THAT WILL PROVIDE BETTER CARE, CLOSE TO HOMECANCER:-CONTINUED SUPPORT OF THE GENESIS CANCER CARE INSTITUTE, TREATING CANCER WITH THE NEXT GENERATION OF CANCER-FIGHTING TECHNOLOGY--CENTER FOR BREAST HEALTH--CANCER CLINICAL RESEARCH--SUPPORT OF THE GRANT AND VOUCHER PROGRAMS FOR THOSE WITH FINANCIAL NEED-FOUNDING SPONSOR OF THE SUSAN G. KOMENRACE FOR THE CUREHEART DISEASE & STROKE:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL--HEALTH COACHES, NAVIGATORS, CASE MANAGEMENT-TRANSFATFREEQC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM--ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVIS AND MOLINE (41ST ST.), MOLINE (BUTTERWORTH PKWY.)-CONTINUE WORK ON RECRUITING TOP NEUROLOGISTS AND NEUROSURGEONS TO THE QUAD-CITIESNUTRITION, PHYSICAL ACTIVITY, & WEIGHT:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL--HEALTH COACHES, NAVIGATORS, CASE MANAGEMENT-TRANSFATFREEQC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM--ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVIS AND MOLINE (41ST ST.), MOLINE (BUTTERWORTH PKWY.)-METABOLIC SCREENING PROGRAM OFFERED TO COMMUNITY TO REDUCE HEALTH RISK FACTORS, KEEPING COMMUNITY MORE HEALTHY-COLLABORATE/SPONSOR WITH QUAD CITY FOOD HUB TO DEVELOP A "VEGGIE MOBILE" TO BRING AFFORDABLE AND FRESH PRODUCE FROM THE FARMERS' MARKET INTO LOWER-INCOME COMMUNITY "FOOD DESERTS"-GENESIS HEALTHY HEART KITCHEN, EDUCATIONGCOMMUNITY ON HOW TO COOK MORE HEALTHFULLY USING LESS SALT, SUGAR, FAT, ETC.-FLUFREEQC-GENESIS IMMUNIZATION CRM PROGRAM-COMMUNITY HEALTH EDUCATION ON HAND WASHING-RYAN WHITE HIV PROGRAM-SUPPORT OF BE HEALTHY QC AND THE PICH GRANT THROUGH QCHI, TAKING SKIP & SCOUT TO THE CHILDREN OF THE QC TO TEACH ABOUT HEALTHY CHOICES-GENESIS "WELLNESS PROGRAM" OFFERINGS-YMCA MEMBERSHIP DISCOUNT-GENESIS CENTER FOR WEIGHT MANAGEMENT-HEALTHY LIFESTYLE SPONSORSHIPS, SUCH AS: GENESIS FIRECRACKER RUN, BIX 7, AND "INSANE INFLATABLES," AMONG OTHERSMENTAL HEALTH:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL--HEALTH COACHES, NAVIGATORS, CASE MANAGEMENT-GENESIS PSYCHOLOGY ASSOCIATES AND THE EXPANDED IN-PATIENT BEHAVIORAL HEALTH UNIT-SUPPORT OF A MENTAL HEALTH COURT IN SCOTT COUNTY DESIGNED TO KEEP THOSE WITH MENTAL HEALTH NEEDS OUT OF THE CRIMINAL JUSTICE SYSTEM-ADVOCACY IN SUPPORT OF MENTAL HEALTH REFORM-SPONSORSHIP (NAMI)-COMMUNITY HEALTH EDUCATION "MENTAL HEALTH FIRST AID FOR FIRST RESPONDERS"
GENESIS MEDICAL CENTER - DEWITT	PART V, SECTION B, LINE 11: FOLLOWING THE GENESIS HEALTH SYSTEM'S (GHS IOWA) MISSION ALONG WITH COORDINATING WITH THE QUAD CITY HEALTH INITIATIVE IMPLEMENTATION PLAN, GENESIS MEDICAL CENTER-DEWITT WILL BE FOCUSING AND DELIVERING ON THE FOLLOWING PROGRAMS AND RESOURCES TO ADDRESS THE NEEDS OF THE COMMUNITY:NUTRITION, PHYSICAL ACTIVITY & WEIGHT:-CONTINUE DEVELOPMENT OF "MEDICAL HOME" MODEL-TRANSFATFREEQC RESTAURANT PROMOTION-GENESIS "HEALTHBEAT" EXERCISE PROGRAM-ALEDO, CORDOVA, DAVENPORT, DEWITT, ELDRIDGE, SILVIS AND MOLINE (HEALTHPLEX), MOLINE (BEN BUTTERWORTH PKWY)-COLLABORATE/SPONSOR WITH QUAD CITY FOOD HUB TO FURTHER THE "VEGGIE MOBILE" PROGRAM BRINGING AFFORDABLE AND FRESH PRODUCE FROM THE FARMERS' MARKET INTO LOWER-INCOME "FOOD DESERTS"-GENESIS "WELLNESS PROGRAM" OFFERINGS-YMCA MEMBERSHIP DISCOUNT-GENESIS CENTER FOR WEIGHT MANAGEMENT-HEALTHY LIFESTYLE SPONSORSHIPS, SUCH AS:-GENESIS FIRECRACKER RUN-BIX7-ALCOHOL FREE FAMILY SECTION AT MODERN WOODMEN PARKSUBSTANCE ABUSE - TOBACCO & ALCOHOL:-TOBACCO-SMOKE-FREE CAMPUS-ADVOCACY IN SUPPORT OF SMOKE-FREE PUBLIC PLACES, INCLUDING PARKS-TOBACCO-FREE QC-GENESIS "WELLNESS PROGRAM" OFFERINGS-COMMUNITY HEALTH EDUCATION ON SECOND-HAND SMOKE AND CHILDREN-ALCOHOL-ADVOCACY IN SUPPORT OF TIPS LAW THAT REQUIRES TRAINING FOR THOSE WHO SERVE ALCOHOLIMMUNIZATIONS & INFECTIOUS DISEASES:-FLU FREE QC-GENESIS IMMUNIZATIONS CRM PROGRAM-COMMUNITY HEALTH EDUCATION ON HAND WASHING-RYAN WHITE HIV PROGRAM
GENESIS MEDICAL CENTER - DAVENPORT	PART V, SECTION B, LINE 22D: GENESIS HEALTH SYSTEM (GHS IOWA) CALCULATES THE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE BASED ON THE HIGHEST COMMERCIAL INSURANCE AND MEDICARE DISCOUNTS.
GENESIS MEDICAL CENTER - DEWITT	PART V, SECTION B, LINE 22D: GENESIS HEALTH SYSTEM (GHS IOWA) CALCULATES THE AMOUNTS GENERALLY BILLED (AGB) PERCENTAGE BASED ON THE HIGHEST COMMERCIAL INSURANCE AND MEDICARE DISCOUNTS.

Schedule H (Form 990) 2015

Page 8

Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility (list in order of size, from largest to smallest) How many non-hospital health care facilities did the organization operate during the tax year?72
Name and address		Type of Facility (describe)
1	1 - GENESIS HEART INSTITUTE 1236 E RUSHOLME STREET DAVENPORT,IA52803	O/P CARDIAC DIAGNOSTIC & REHAB CARE
2	2 - GENESIS IMAGING CENTER 53RD STREET 1970 E 53RD STREET DAVENPORT,IA52507	OUTPATIENT RADIOLOGY SERVICES
3	3 - CENTRAL PARK MEDICAL PAVILIONS 1 & 2 1351 W CENTRAL PARK AVENUE DAVENPORT,IA52804	O/P CANCER, REHAB, WOUND, NEUROLSURGICAL, & PHYS CLINIC
4	4 - GENESIS MEDICAL PLAZA 2535 MAPLECREST ROAD BETTENDORF,IA52722	O/P REHAB, PAIN, PHYS THERAPY, SPINE CTR & PHSY CLINIC
5	5 - VISITING NURSE ASSOC & HOSPICE HOUSE 2535 MAPLECREST ROAD BETTENDORF,IA52272	HOME HEALTH & HOSPICE
6	6 - ILLINI LARSON CENTER 855 ILLINI DRIVE SILVIS,IL61282	OUTPATIENT LAB & PHYSICIAN CLINIC
7	7 - BETTENDORF HEALTH PLEX 2140 53RD AVENUE BETTENDORF,IA52722	OUTPATIENT PHYSICIAN CLINIC
8	8 - VISITING NURSE ASSOC & HOSPICE HOUSE 2546 TECH DRIVE BETTENDORF,IA52722	HOME HEALTH & HOSPICE
9	9 - BETTENDORF IMAGING CENTER 2140 53RD AVENUE SUITE 40 BETTENDORF,IA52722	OUTPATIENT RADIOLOGY SERVICES
10	10 - GENESIS HEALTH GROUP 865 LINCOLN ROAD BETTENDORF,IA52722	OUTPATIENT PHYSICIAN CLINIC
11	11 - MEDICAL OFFICE BUILDING #1 1228 E RUSHOLME STREET DAVENPORT,IA52803	O/P MAMMOGRAPHY & DIALYSIS SERVICES
12	12 - MOLINE HEALTHPLEX 3900 28TH AVENUE MOLINE,IL61265	OUTPATIENT PHYSICIAN CLINIC
13	13 - ELDRIDGE FAMILY PRACTICE 301 N 4TH AVENUE ELDRIDGE,IA52748	OUTPATIENT PHYSICIAN CLINIC
14	14 - VISITING NURSE ASSOC 4711 44TH STREET STE 2 ROCK ISLAND,IL61201	HOME HEALTH & HOSPICE
15	15 - NORTH FAMILY PRACTICE 210 W 53RD STREET DAVENPORT,IA52806	OUTPATIENT PHYSICIAN CLINIC
16	16 - GENRAD IMAGING LLC 1970 E 53RD STREET DAVENPORT,IA52807	DIAGNOSTIC IMAGING CENTER
17	17 - DEWITT WEST WING PLACE 1118 11TH STREET DEWITT,IA52742	OUTPATIENT PHYSICIAN CLINIC
18	18 - GENGASTRO LLC 2222 53RD AVENUE BETTENDORF,IA52722	AMBULATORY SURGERY CENTER
19	19 - LOMBARD PHYSICAL THERAPY 1414 W LOMBARD STREET DAVENPORT,IA52804	OUTPATIENT PHYSICAL THERAPY CLINIC
20	20 - GENESIS HEALTH GROUP - SPECIALTY CLINIC 1007 NW 3RD STREET ALEDO,IL61231	OUTPATIENT REHABILITATION CLINIC
21	21 - CONVENIENT CARE - DAVENPORT 1520 W 53RD STREET DAVENPORT,IA52806	OUTPATIENT URGENT CARE CLINIC
22	22 - SCOTT COUNTY YMCA 3800 TANGLEFOOT LANE BETTENDORF,IA52722	OUTPATIENT REHABILITATION CLINIC
23	23 - GENESIS PHYSICAL REHAB - CROW VALLEY 2300 53RD AVENUE STE LL02 BETTENDORF,IA52722	O/P PHYSICAL THERAPY CLINIC
24	24 - FAMILY PRACTICE AT WEST CAMPUS 1345 W CENTRAL PARK AVENUE DAVENPORT,IA52804	OUTPATIENT PHYSICIAN CLINIC
25	25 - DIVISION STREET CLINIC 3618 N DIVISION STREET DAVENPORT,IA52804	OUTPATIENT PHYSICIAN CLINIC
26	26 - GENORTHO LLC 2300 53RD STREET BETTENDORF,IA52722	ORTHOPEDIC SURGERY CENTER
27	27 - GENESIS PHYSICAL REHAB - VALLEY FAIR 2300 53RD STREET BETTENDORF,IA52722	O/P PHYSICAL THERAPY CLINIC
28	28 - ILLINI BUILDING #1 903-05 ILLINI DRIVE SILVIS,IL61282	HOME HEALTH & O/P PHYSICIAN CLINIC
29	29 - SPRING PARK SURGERY CENTER LLC 3319 SPRING STREET STE 202A DAVENPORT,IA52807	OUTPATIENT SURGICAL CENTER
30	30 - CONVENIENT CARE - BETTENDORF 4017 DEVILS GLEN ROAD BETTENDORF,IA52722	OUTPATIENT URGENT CARE CLINIC
31	31 - ILLINI BUILDING #2 1504 10TH STREET SILVIS,IL61282	OUTPATIENT PHYSICIAN CLINIC
32	32 - GENESIS CONVENIENT CARE - ILLINOIS 2350 41ST STREET MOLINE,IL61265	OUTPATIENT URGENT CARE CLINIC
33	33 - GENESIS PSYCHOLOGY ASSOCIATES 4455 E 56TH STREET DAVENPORT,IA52804	OUTPATIENT COUNSELING CLINIC
34	34 - SILVIS ANESTHESIOLOGY 801 ILLINI DRIVE SILVIS,IL61282	OUTPATIENT PHYSICIAN CLINIC
35	35 - NORTHWEST FAMILY PRACTICE 1520 S 53RD STREET DAVENPORT,IA52806	OUTPATIENT PHYSICIAN CLINIC
36	36 - GHS OCCUPATIONAL HEALTH - DAVENPORT 3319 SPRING STREET DAVENPORT,IA52807	OUTPATIENT OCCUPATIONAL HEALTH
37	37 - DEWITT PAVILION 1 1118 11TH STREET DEWITT,IA52742	LONG-TERM NURSING CARE FACILITY
38	38 - MUSCATINE FAMILY PRACTICE 2104 CEDARWOOD STREET STE 200 MUSCATINE,IA52761	OUTPATIENT PHYSICIAN CLINIC
39	39 - DEWITT FAMILY PRACTICE 1008 11TH STREET DEWITT,IA52742	OUTPATIENT PHYSICIAN CLINIC
40	40 - ELDRIDGE PHYSICAL THERAPY 170 S 4TH AVENUE ELDRIDGE,IA52748	OUTPATIENT PHYSICAL THERAPY CLINIC
41	41 - GHG PULMONARY 1801 E 54TH STREET DAVENPORT,IA52807	OUTPATIENT PHYSICIAN CLINIC
42	42 - GENESIS CENTER FOR BARIATRIC SURGERY 1230 E RUSHOLME STREET DAVENPORT,IA52803	O/P COMPREHENSIVE BARIATRIC PROGRAM
43	42 - GHG - MERCY MEDICAL GROUP 221 MAIN AVENUE CLINTON,IA52732	OUTPATIENT PHYSICIAN CLINIC
44	44 - LECLAIRE FAMILY PRACTICE - RIVERVIEW 200 S CODY ROAD LECLAIRE,IA52751	OUTPATIENT PHYSICIAN CLINIC
45	45 - IA CITY PEDIATRIC PT CLINIC 2451 CORAL CT CORALVILLE,IA52241	OUTPATIENT PHYSICAL THERAPY CLINIC
46	46 - SENIOR SERVICES 1345 W CENTRAL PARK AVENUE DAVENPORT,IA52804	OUTPATIENT PHYSICIAN CLINIC
47	47 - ROCK ISLAND INTERNAL MEDICINE 2560 24TH STREET STE 202 ROCK ISLAND,IL61201	OUTPATIENT PHYSICIAN CLINIC
48	48 - VISITING NURSE ASSOC & HOSPICE HOUSE 611 N 2ND AVENUE CLINTON,IA52732	HOME HEALTH & HOSPICE
49	49 - DAVENPORT CLINIC 1820 W 3RD ST DAVENPORT,IA52803	OUTPATIENT PHYSICIAN CLINIC
50	50 - DEWITT AMBULANCE 1220 11TH STREET DEWITT,IA52742	AMBULANCE SERVICES
51	51 - DURANT FAMILY PRACTICE 619 5TH STREET DURANT,IA52747	OUTPATIENT PHYSICIAN CLINIC
52	52 - BLUE GRASS FAMILY MEDICAL 413 S MISSISSIPPI BLUE GRASS,IA52726	OUTPATIENT PHYSICIAN CLINIC
53	53 - GENESIS OCCUPATIONAL HEALTH 2350 41ST STREET MOLINE,IL61265	OUTPATIENT OCCUPATIONAL HEALTH
54	54 - GENESIS PHYSICAL THERAPY AT LECLAIRE 1003 CANAL SHORE DRIVE LECLAIRE,IA52751	OUTPATIENT PHYSICAL THERAPY CLINIC
55	55 - ERIE FAMILY PRACTICE 530 12TH STREET ERIE,IL61205	OUTPATIENT PHYSICIAN CLINIC
56	56 - GHS - AUGUSTANA PT CLINIC 639 38TH STREET ROCK ISLAND,IL61201	OUTPATIENT PHYSICAL THERAPY CLINIC
57	57 - DAVENPORT OBGYN (EDGERTON 1510 E RUSHOLME STREET DAVENPORT,IA52803	OUTPATIENT PHYSICIAN CLINIC
58	58 - GHS - U OF IA PEDIATRIC GASTRO 2222 53RD AVENUE BETTENDORF,IA52722	OUTPATIENT PHYSICIAN CLINIC
59	59 - EAP - DAVENPORT 1910 E KIMBERLY DAVENPORT,IA52806	COUNSELING SERVICES
60	60 - GENESIS PLASTIC SURGERY ASSOC 5335 EASTERN AVENUE STE C DAVENPORT,IA52804	OUTPATIENT PHYSICIAN CLINIC
61	61 - GHG - LOWDEN FAMILY PRACTICE 305 MCKINLEY AVENUE LOWDEN,IA52255	OUTPATIENT PHYSICIAN CLINIC
62	62 - GENESIS MEDICAL PARK 4017 DEVILS GLEN ROAD STE 100 BETTENDORF,IA52722	OUTPATIENT PHYSICIAN CLINIC
63	63 - ROCK ISLAND ARSENAL FAMILY PRACTICE 1634 WHITTEMORE STE 101 ROCK ISLAND,IL61299	OUTPATIENT PHYSICIAN CLINIC
64	64 - PHYSICAL THERAPY & SPORTS MEDICINE 1702 E 53RD STREET DAVENPORT,IA52807	O/P PHYSICAL THERAPY & SPORTS PERF CLINIC
65	65 - DAV OBGYN 3319 SPRING STREET DAVENPORT,IA52807	OUTPATIENT PHYSICIAN CLINIC
66	66 - MEDICAL OFFICE BUILDING #2 1230 E RUSHOLME STREET DAVENPORT,IA52803	OUTPATIENT PHYSICIAN CLINIC
67	67 - ALPHA FAMILY PRACTICE - CAJIGAL A 202 PICARD STREET ALPHA,IL61413	OUTPATIENT PHYSICIAN CLINIC
68	68 - SILVIS SURGICAL ASSOCIATES 1801 E 54TH STREET DAVENPORT,IA52807	OUTPATIENT PHYSICIAN CLINIC
69	69 - VISITING NURSE ASSOCIATION KID'S NEST 606 W 2ND STREET DAVENPORT,IA52803	HOME HEALTH (MOM/ BABE PROGRAM)
70	70 - EAP - MUSCATINE 1605 PLAZA PLACE MUSCATINE,IA52761	COUNSELING SERVICES
71	71 - EAP - ROCK ISLAND 2100 18TH AVENUE ROCK ISLAND,IL61201	COUNSELING SERVICES
72	72 - EAP - CLINTON 1127 N 2ND STREET CLINTON,IA52732	COUNSELING SERVICES

Schedule H (Form 990) 2015

Page 9

Part VI

Supplemental Information

Provide the following information.

1	Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2	Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3	Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4	Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5	Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6	Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7	State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.

Form and Line Reference	Explanation
PART I, LINE 3C:	NOT APPLICABLE
PART I, LINE 6A:	GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO)
PART I, LINE 7:	GENESIS HEALTH SYSTEM (GHS IOWA) UTILIZED WORKSHEET 2 TO CALCULATE ITS COST-TO-CHARGE RATIO. THE CALCULATED COST-TO-CHARGE RATIO WAS USED TO CALCULATE THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID. COSTS OF THE "OTHER BENEFITS" REPORTED IN 7E -7I WERE COMPILED THROUGHOUT THE YEAR IN THE COMMUNITY BENEFIT DATABASE (I.E., CBISA) THAT GHS IOWA UTILIZES.
PART I, LINE 7G:	NO COSTS ASSOCIATED WITH A PHYSICIAN CLINIC WERE REPORTED IN SUBSIDIZED HEALTH SERVICES.
PART I, LN 7 COL(F):	NO BAD DEBT EXPENSE WAS INCLUDED IN THE DENOMINATOR BECAUSE BAD DEBT WAS REPORTED IN LINE 2F OF PART VIII, STATEMENT OF REVENUE. THE ORGANIZATION'S TOTAL COMMUNITY BENEFIT EXPENSE AS A PERCENTAGE OF TOTAL EXPENSES IS 19.48%, AND THE PERCENTAGE INCREASES TO 45.84% IF MEDICARE COST REPORT ALLOWABLE COSTS ARE INCLUDED IN TOTAL COMMUNITY BENEFIT EXPENSE.
PART II, COMMUNITY BUILDING ACTIVITIES:	ECONOMIC DEVELOPMENT (F2): COUNCIL AND CHAMBER - GENESIS HEALTH SYSTEM (GHS IOWA) SUPPORTS EMPLOYEE INVOLVEMENT ON LOCAL COUNCIL AND CHAMBER COMMITTEES.GRANTS TO COMMUNITY BUSINESSES - GHS IOWA SUPPORTS ITS COMMUNITY BY GIVING GRANTS TO LOCAL BUSINESSES TO IMPROVE ECONOMIC DEVELOPMENT AND RELIEVE OR REDUCE THE BURDEN OF GOVERNMENT OR OTHER TAX-EXEMPT ORGANIZATIONS.COMMUNITY SUPPORT (F3): DISASTER READINESS - GHS IOWA PARTICIPATES IN COMMUNITY WIDE DISASTER READINESS DRILLS THROUGHOUT THE YEAR TO ENSURE ITS PREPAREDNESS FOR AN ARRAY OF DISASTERS. JUNIOR ACHIEVEMENT - GHS IOWA PARTICIPATES IN A VOLUNTEER PARTNERSHIP WITH JUNIOR ACHIEVEMENT. ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT/SAFETY (F7): HEALTH CARE ADVOCACY - - GENESIS HEALTH SYSTEM (GHS IOWA) MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE WITH THE IOWA AND ILLINOIS STATE GOVERNMENTS AND IN WASHINGTON D.C. GENESIS EMPLOYEES PARTICIPATE IN A VOTER VOICE INITIATIVE TO ALSO ADVOCATE ON IMPORTANT HEALTH ISSUESWORKFORCE DEVELOPMENT (F8): PROGRAMS ON HEALTH CAREERS - GHS IOWA PARTNERS WITH THE LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS THE HEALTH CARE WORK FORCE SHORTAGE. GHS IOWA WORKS WITH THE LOCAL COMMUNITY COLLEGES AND UNIVERSITIES TO ADDRESS COMMUNITY-WIDE WORKFORCE ISSUES BY SUPPORTING JOB CREATION AND TRAINING PROGRAMS.
PART III, LINE 2:	IN ACCORDANCE WITH HEALTHCARE FINANCIAL MANAGEMENT ASSOCIATION STATEMENT NO. 15, BAD DEBT IS REPORTED AT THE FULL-ESTABLISHED CHARGE FROM THE MOST RECENT AUDITED FINANCIAL REPORT. PAYMENTS RECEIVED AFTER AN ACCOUNT HAD BEEN WRITTEN OFF TO BAD DEBT WERE CREDITED TO A BAD DEBT RECOVERY ACCOUNT. DISCOUNTS ONPATIENT ACCOUNTS PROVIDED BY THIRD-PARTY PAYERS WERE WRITTEN OFF TO A CONTRACTUAL ALLOWANCE ACCOUNT.
PART III, LINE 3:	GENESIS HEALTH SYSTEM (GHS IOWA) USES AVADYNE HEALTH TO PROCESS AGING PATIENT ACCOUNTS. AVADYNE HEALTH'S COLLECTION PROCESS UTILIZES PUBLICLY AVAILABLE INFORMATION TO ENSURE ALL AGING PATIENT ACCOUNTS RECEIVE FINANCIAL ASSISTANCE IN ACCORDANCE TO GHS IOWA POLICY BEFORE BEING DEEMED BAD DEBT. GHS IOWA REPORTED ZERO DOLLARS FOR THE ESTIMATED AMOUNT OF THE ORGANIZATION'S BAD DEBT ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART III, LINE 4:	PATIENT RECEIVABLES DUE DIRECTLY FROM THE PATIENTS ARE CARRIED AT THE ORIGINAL CHARGE FOR THE SERVICE PROVIDED LESS AMOUNTS COVERED BY THIRD-PARTY PAYORS AND LESS AN ESTIMATED ALLOWANCE FOR DOUBTFUL RECEIVABLES BASED ON A REVIEW OF ALL OUTSTANDING AMOUNTS ON A MONTHLY BASIS. RECEIVABLES DUE FROM MEDICAL OFFICE BUILDING TENANTS AND FROM COMMERCIAL LAUNDRY CUSTOMERS ARE CARRIED AT THE ORIGINAL INVOICE AMOUNT LESS AN ESTIMATE MADE FOR DOUBTFUL ACCOUNTS. MANAGEMENT DETERMINES THE ALLOWANCE FOR DOUBTFUL ACCOUNTS BY IDENTIFYING TROUBLED ACCOUNTS, BY HISTORICAL EXPERIENCE APPLIED TO AN AGING OF ACCOUNTS, AND BY CONSIDERING THE PATIENT'S FINANCIAL HISTORY, CREDIT HISTORY AND CURRENT ECONOMIC CONDITIONS. GENESIS HEALTH SYSTEM (GHS IOWA) DOES NOT CHARGE INTEREST ON PATIENT RECEIVABLES. RECEIVABLES ARE WRITTEN OFF AS BAD DEBTS WHEN DEEMED UNCOLLECTIBLE. RECOVERIES OF RECEIVABLES PREVIOUSLY WRITTEN OFF ARE RECORDED AS A REDUCTION OF BAD DEBT EXPENSE WHEN RECEIVED.
PART III, LINE 8:	THE MEDICARE COST REPORT WAS USED TO DETERMINE THE AMOUNT REPORTED IN PART III, LINES 5, 6, AND 7 FOR THE HOSPITALS.NO MEDICARE SHORTFALLS WERE INCLUDED IN COMMUNITY BENEFIT. THE MEDICARE COST REPORT SHORTFALL REPRESENTS THE DIFFERENCE BETWEEN THE TOTAL REVENUE RECEIVED FROM MEDICARE BASED ON MEDICARE COST REPORT REIMBURSEMENT RATES AND THE COSTS INCURRED BY GHS IOWA IN PROVIDING HEALTHCARE SERVICES TO THE ELDERLY. THE TOTAL MEDICARE SHORTFALL, WHICH INCLUDES FEE SCREEN SERVICES, WAS $268,777. IN 2010, THE PERCENT OF PERSONS 65 YEARS AND OVER IN ROCK ISLAND AND SCOTT COUNTIES WAS 18.6%. IN ACCORDANCE WITH GHS IOWA'S MISSION STATEMENT, "TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED," THE ELDERLY WERE SERVED DESPITE THE TOTAL MEDICARE LOSS OF $268,777. GHS IOWA HAS A CLEAR MISSION TO SERVE ALL THOSE IN NEED AND TO IMPROVE THE HEALTH OF THE COMMUNITY INCLUDING THE ELDERLY. FURTHERMORE, THERE ARE NO FOR-PROFIT HOSPITALS IN THE COMMUNITY, AND THEREFORE GHS IOWA IS ONE OF TWO TAX-EXEMPT HEALTHCARE ORGANIZATIONS IN THE COMMUNITY WHO PROVIDE ACCESS TO HEALTHCARE FOR MEDICARE PATIENTS. ACCORDINGLY, IT IS GHS IOWA'S POSITION FOR THE REASONS STATED ABOVE THAT THE TOTAL MEDICARE SHORTFALL OF $268,777 REPRESENTS A COMMUNITY BENEFIT. PURSUANT TO THE INSTRUCTIONS TO THE FORM 990, SCHEDULE H, THE MEDICARE SHORTFALL IS NOT INCLUDED IN PART I, LINE 7. IF THE TOTAL MEDICARE SHORTFALL WAS INCLUDED IN PART I, LINE 7, THEN PART I, LINE 7K, COLUMN F WOULD BE 4.97%.
PART III, LINE 9B:	EVERY EFFORT IS MADE TO DETERMINE A PATIENT'S ELIGIBILITY FOR FINANCIAL ASSISTANCE. IF ELIGIBLE, PAYMENT PLANS ARE MADE AVAILABLE BASED ON THEIR RESOURCES AND INCOME. ALL BALANCES OWING AFTER FINANCIAL ASSISTANCE ALLOWANCES HAVE BEEN TAKEN ARE PAYABLE IN MONTHLY PAYMENTS IN ACCORDANCE WITH THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY.
PART VI, LINE 2:	GENESIS HEALTH SYSTEM (GHS IOWA) UTILIZES THE COMMUNITY HEALTH NEEDS ASSEMSSMENT (CHNA) CONDUCTED BY PROFESSIONAL RESEARCH CONSULTANTS, INC. (PRC) IN 2015. THE CHNA WAS FUNDED BY GHS IOWA AND UNITY POINT HEALTH- TRINITY AND SPONSORED BY COMMUNITY HEALTH CARE, GHS IOWA, QUAD CITY HEALTH INITIATIVE (QCHI), ROCK ISLAND COUNTY HEALTH DEPARTMENT, SCOTT COUNTY HEALTH DEPARTMENT, AND UNITY POINT HEALTH- TRINITY. QCHI WAS FORMED BY GHS IOWA AND GENESIS HEALTH SYSTEM (GHS ILLINOIS) WHICH HAS HEADQUARTERS IN BOTH SCOTT COUNTY, IOWA, AND ROCK ISLAND COUNTY, ILLINOIS, AND UNITY POINT HEALTH-TRINITY, WHICH IS HEADQUARTERED IN ROCK ISLAND COUNTY, ILLINOIS. QCHI IS NOW A COMMUNITY PARTNERSHIP OF OVER 300 COMMUNITY MEMBERS AND LEADERS PURSUING INITIATIVES TO CREATE A HEALTHIER COMMUNITY, SERVING AS A CATALYST FOR IMPROVING THE HEALTH AND OVERALL QUALITY OF LIFE WITHIN THE QUAD CITIES.
PART VI, LINE 3:	INFORMATION ON THE AVAILABILITY OF FINANCIAL ASSISTANCE IS POSTED IN VISIBLE LOCATIONS IN THE ADMISSION DEPARTMENTS OF THE HOSPITALS. IN ADDITION, THE HOSPITAL REGISTRATION STAFF MAKE AVAILABLE INFORMATIVE BROCHURES FOR PATIENTS IN THE EMERGENCY ROOM REGISTRATION AREA EXPLAINING THEIR ELIGIBILITY FOR ASSISTANCE. GENESIS HEALTH SYSTEM (GHS IOWA) PROVIDES PATIENT FINANCIAL COUNSELORS ON EACH HOSPITAL CAMPUS TO DISCUSS OPTIONS WITH THE PATIENTS. PATIENT FINANCIAL SERVICES PREPARES AND PROVIDES A LETTER TO EACH PATIENT, EXPLAINING THEIR CURRENT BALANCE AND ADVISING THEM OF THEIR OPTIONS. A PHONE NUMBER IS PROVIDED WITH THE LETTER ENCOURAGING THE PATIENT TO CALL IF NEEDED.
PART VI, LINE 4:	GENESIS HEALTH SYSTEM'S (GHS IOWA) MISSION IS TO PROVIDE QUALITY, COMPASSIONATE CARE FOR ALL THOSE IN NEED. GHS IOWA LIVES ITS MISSION EACH DAY BY SERVING A 10-COUNTY REGION OF EASTERN IOWA AND WESTERN ILLINOIS, INCLUDING BOTH URBAN AND RURAL AREAS. THE REGION SERVED BY GHS IOWA (DAVENPORT-MOLINE-ROCK ISLAND, IA.-IL. MSA HENRY COUNTY, IL., MERCER COUNTY, IL, ROCK ISLAND, IL., AND SCOTT COUNTY, IA.) HAS A POPULATION OF 314,557. ACCORDING TO THE US CENSUS BUREAU AMERICAN COMMUNITY SURVEY FIVE YEAR ESTIMATES (2009-2013), WHITES MADE UP 84.2% OF THE MSA POPULATION WITH 8.4% BLACK OR AFRICAN-AMERICAN AND 8.6% HISPANIC OR LATINO ORIGIN. IN THE QUAD CITIES AREA, 23.7% OF THE POPULATION ARE INFANTS, CHILDREN, ADOLESCENTS (AGE 0-17); ANOTHER 61.5% ARE 18-64, WHILE 14.9% ARE AGE 65 AND OLDER. ACCORDING TO ESTIMATES FROM THE AMERICAN COMMUNITY SURVEY (ACS), 31.7% OF QUAD CITIES AREA RESIDENTS (SCOTT AND ROCK ISLAND COUNTIES) LIVE BELOW THE FEDERAL POVERTY. IN 2015, 1.6% OF QUAD CITIES AREA ADULTS REPORTED THAT THERE WAS A TIME IN THE PAST TWO YEARS WHEN THEY WERE LIVING ON THE STREET, IN A CAR, OR IN A TEMPORARY SHELTER. THE AVERAGE UNEMPLOYMENT RATE IN 2014 WAS 6.0% FOR THE QUAD CITIES AREA.LACK OF HEALTH INSURANCE AMONG ADULTS AGE 18 TO 64 IS REPORTED BY 6.2% OF SCOTT COUNTY, IA RESIDENTS AND 7.6% OF ROCK ISLAND COUNTY, IL RESIDENTS. THE QUAD CITIES AREA PERCENTAGE OF ADULTS WHO SMOKED IN 2015 WAS 18%. THE PERCENTAGE OF ADULTS WHO WERE OBESE IN 2015 WAS 36.0% IN ROCK ISLAND COUNTY, ILLINOIS AND 30.7% IN SCOTT COUNTY, IOWA. OBESITY RATES IN BOTH SCOTT COUNTY, IA AND ROCK ISLAND COUNTY, IL ARE HIGHER THAN NATIONAL BENCHMARKS.
PART VI, LINE 5:	GENESIS HEALTH SYSTEM'S BOARD OF DIRECTORS IS A DIVERSE REPRESENTATION OF PERSONS WHO RESIDE IN THE PRIMARY SERVICE AREA THAT GENESIS HEALTH SYSTEM SERVES. GENESIS HEALTH SYSTEM EXECUTIVES AND EMPLOYEES SERVE ON DOZENS OF VOLUNTEER BOARDS THROUGHOUT THE REGION ON IMPORTANT PROJECTS AND INITIATIVES, SUCH AS HOMELESS SHELTERS, MENTAL HEALTH, DOWNTOWN REDEVELOPMENT AND EVENTS AND FESTIVALS. GENESIS HEALTH SYSTEM EMPLOYEES SERVE THE COMMUNITIES WHERE THEY LIVE BY SERVING IN ELECTED OFFICES IN CITY AND COUNTY GOVERNMENT.GENESIS HEALTH SYSTEM EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITIES. GENESIS HEALTH SYSTEM HAS ENDEAVORED TO IMPROVE ACCESS TO HEALTH CARE FOR THE COMMUNITIES IT SERVES BY PARTICIPATING IN APPROPRIATE JOINT VENTURES THAT OFFER NEEDED HEALTH CARE SERVICES TO UNDER-SERVED AREAS. GENESIS HEALTH SYSTEM SCHEDULES DOZENS OF HEALTH SCREENINGS AND IMMUNIZATIONS THROUGHOUT THE YEAR AT A REDUCED COST. THESE INCLUDE SCREENINGS FOR DIABETES, STROKE AND HEART DISEASE AND PUBLIC FLU IMMUNIZATION CLINICS.GENESIS HAS DONATED FUNDING FOR OUTDOOR EXERCISE COURSES CALLED GENESIS HEALTHBEAT IN DAVENPORT, IA, MOLINE, IL, ALEDO, IL AND DEWITT, IA. GENESIS IS A KEY COMMUNITY PARTNER IN DEVELOPING LET'S MOVE DAVENPORT, A GROUP FORMED IN 2010 TO PROMOTE HEALTH, FITNESS AND GOOD NUTRITION FOR CHILDREN IN DAVENPORT. THE PROGRAM INCLUDES A NUMBER OF EVENTS IN THE SPRING, SUMMER AND FALL TO KEEP SCHOOL-AGE CHILDREN ACTIVE. THE PROGRAM WAS PATTERNED AFTER LET'S MOVE, THE NATIONAL INITIATIVE OF FIRST LADY MICHELLE OBAMA.GENESIS HEALTH SYSTEM PROVIDES TRANSLATION SERVICES BASED ON A PERCENTAGE OF THE DIVERSITY POPULATION.GENESIS HEALTH SYSTEM SPONSORS GENESIS ADVENTURES IN NURSING (GAIN), A CAMP FOR CHILDREN INTERESTED IN HEALTH CARE CAREERS. GENESIS HEALTH SYSTEM EMPLOYEES SERVE AS MENTORS AND INSTRUCTORS DURING CAMP WEEK.GENESIS AND GILDA'S CLUB OF THE QUAD CITIES SPONSOR CAMP GENESIS, A WEEK AT A LOCAL YMCA CAMP FOR CHILDREN WHO ARE DEALING WITH CANCER IN THEIR FAMILIES. KIDS WHO MAY NOT OTHERWISE HAVE THE OPPORTUNITY TO ENJOY A CAMP EXPERIENCE BECAUSE OF THE FINANCIAL STRESS OF A CLOSE RELATIVE FIGHTING CANCER ARE ABLE TO ENJOY A FREE CAMP EXPERIENCE. GENESIS HEALTH SYSTEM EMPLOYEES MAKE MEDICAL MISSION TRIPS EACH YEAR TO AREAS OF NEED ALL OVER THE WORLD. GENESIS HEALTH SYSTEM EMPLOYEES, HAVE PROVIDED RELIEF TO HAITI AFTER THE EARTHQUAKE AND DURING THE CHOLERA OUTBREAK AND TO TRADITIONALLY IMPOVERISHED COUNTRIES, INCLUDING PERU, ECUADOR, THE DOMINICAN REPUBLIC, HAITI AND TO AFRICAN NATIONS. EACH YEAR, GENESIS HEALTH SYSTEM PROVIDES THE COMMUNITY WITH DOZENS OF CLASSES AND EVENTS PROMOTING HEALTH AND HEALTH EDUCATION. HUNDREDS OF RESIDENTS IN THE REGION SERVED BY GENESIS HEALTH SYSTEM LEARN CPR, FIRST AID, PARENTING SKILLS AND NEWBORN CARE BY ENROLLING IN CLASSES.GENESIS HEALTH SYSTEM LAUNCHED A TOBACCO-FREE PARKS PROJECT IN 2013. A PETITION DRIVE WILL ASK COMMUNITIES TO BAN SMOKING WITHIN A DEFINED DISTANCE FROM PLAYGROUNDS, YOUTH ATHLETIC FIELDS AND OTHER AREAS WHERE CHILDREN PLAY AND ENJOY SPORTS EVENTS. HUNDREDS OF PEOPLE HAVE SIGNED THE PETITION.GENESIS HEALTH SYSTEM SUPPLIES MEDICAL SUPPLIES AND EQUIPMENT TO GLOBUS WHICH IS A THIRD PARTY COMPANY THAT HELPS COMPANIES SHARE AND TRANSFER RESEARCH DATA.GENESIS BECAME THE FOUNDING SPONSOR OF THE KOMEN QUAD CITIES RACE FOR THE CURE IN 2011 AFTER BEING INVOLVED AS A SPONSOR SINCE THE INCEPTION OF THE EVENT. THE EVENT SUPPORTS A VOUCHERS PROGRAM FOR FREE MAMMOGRAMS FROM AREA BREAST HEALTH CENTERS, INCLUDING THE KENNETH H. MCKAY CENTER FOR BREAST HEALTH AT GENESIS.GENESIS HEALTH SYSTEM EMPLOYEES MAKE MEDICAL MISSION TRIPS EACH YEAR TO AREAS OF NEED ALL OVER THE WORLD. GENESIS HEALTH SYSTEM EMPLOYEES HAVE PROVIDED RELIEF TO HAITI AND TO TRADITIONALLY IMPOVERISHED COUNTRIES. GENESIS HEALTH SYSTEM HAS REDUCED ITS ENVIRONMENTAL FOOTPRINT ON THE COMMUNITIES IT SERVES BY IMPLEMENTING BULK WASTE RECYCLING, POLYSTYRENE RECYCLING, REDUCING SHARPS DISPOSAL, IMPLEMENTING WATER RUNOFF MEASURES, AND REDUCING WATER AND CHEMICAL USAGE IN THE MEDICAL LAUNDRY INDUSTRY. CRESCENT LAUNDRY, A COMMERCIAL LAUNDRY BUSINESS UNIT OF GENVENTURES, INC., OWNED ENTIRELY BY GENESIS HEALTH SYSTEM, HAS BEEN RECOGNIZED NATIONALLY FOR ITS CONSERVATION METHODS.GENESIS HEALTH SYSTEM MAINTAINS AN ACTIVE EFFORT TO ADVOCATE FOR ACCESS TO HEALTH CARE IN IOWA AND ILLINOIS STATE GOVERNMENT AND IN WASHINGTON D.C. GENESIS HEALTH SYSTEM EMPLOYEES ALSO PARTICIPATE IN A VOTER VOICE INITIATIVE TO ADVOCATE ON IMPORTANT HEALTH ISSUES WITH CITY, COUNTY, STATE AND NATIONAL ELECTED OFFICIALS.
PART VI, LINE 6:	GENESIS HEALTH SYSTEM (GHS IOWA), AN IOWA NONPROFIT CORPORATION, AND GENESIS HEALTH SYSTEM (GHS ILLINOIS), AN ILLINOIS NOT-FOR-PROFIT CORPORATION, HAVE IDENTICAL GOVERNING BOARDS, MANAGEMENT AND BYLAWS AND CAN ACT JOINTLY. GHS IOWA IS ALSO THE SOLE MEMBER OF GENESIS HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC AND GENESIS HEALTH SYSTEM WORKER'S COMPENSATION PLAN AND TRUST, THE SOLE STOCKHOLDER OF GENVENTURES, INC., A MEMBER OF MISERICORDIA ASSURANCE COMPANY, LTD. AND A PARTNER IN GENGASTRO, LLC. GHS ILLINOIS IS THE SOLE MEMBER OF GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO) AND GENESIS SENIOR LIVING, ALEDO (GSL, ALEDO) AND IS A PARTNER IN THE LARSON CENTER PARTNERSHIP.GHS IOWA, GHS ILLINOIS, GMC, ALEDO, AND GSL, ALEDO COLLECTIVELY REPRESENT THE OBLIGATED GROUP ON CERTAIN COMPONENTS OF THE SYSTEM'S LONG-TERM DEBT. GHS IOWA AND GHS ILLINOIS OPERATE THE FOLLOWING BUSINESS UNITS: GENESIS HEALTH SYSTEM PROVIDES ADMINISTRATIVE, MANAGEMENT, INFORMATION TECHNOLOGY AND OTHER SUPPORT SERVICES TO ITS AFFILIATES. GENESIS CLINICAL SERVICES OPERATES PHYSICIAN MEDICAL PRACTICES, CONVENIENT CARE PRACTICES AND AN OCCUPATIONAL MEDICINE CLINIC AND PROVIDES BEHAVIORAL HEALTH SERVICES TO THE RESIDENTS OF EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER - DAVENPORT (GMC - DAVENPORT) IS LICENSED AS A 502-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM TWO HOSPITAL FACILITIES LOCATED IN DAVENPORT, IOWA. GENESIS FAMILY MEDICAL CENTER (GFMC) IS A FAMILY PRACTICE RESIDENCY TRAINING PROGRAM THAT OPERATES CLINICS IN DAVENPORT AND BLUE GRASS, IOWA TO PROVIDE A CLINICAL SETTING FOR THE RESIDENTS TO TREAT PATIENTS. GENESIS MEDICAL CENTER - DEWITT (GMC - DEWITT) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 13-ACUTE CARE AND SWING BEDS, AND HAS A 77-BED LONG-TERM CARE FACILITY, WHICH PROVIDES SERVICES FROM ITS FACILITY IN DEWITT, IOWA.GENESIS VISITING NURSE ASSOCIATION AND HOSPICE (VNA) PROVIDES HOME HEALTH CARE, COMMUNITY NURSING SERVICES AND HOSPICE SERVICES TO PATIENTS IN EASTERN IOWA AND WESTERN ILLINOIS. GENESIS MEDICAL CENTER - SILVIS (GMC - SILVIS) IS LICENSED AS A 145-BED ACUTE CARE HOSPITAL WHICH PROVIDES SERVICES FROM ITS FACILITY IN SILVIS, ILLINOIS. ILLINI HOSPITAL NURSING HOME (INH) OPERATES ILLINI RESTORATIVE CARE CENTER AND CROSSTOWN SQUARE. ILLINI RESTORATIVE CARE CENTER IS A 120-BED LICENSED NURSING FACILITY, CONSISTING OF 92 SKILLED CARE BEDS AND 28 SHELTERED CARE BEDS. ALL 92 BEDS ARE DUALLY LICENSES FOR MEDICARE/MEDICAID SERVICES. THE SHELTERED CARE UNIT PROVIDES PERSONAL CARE SIMILAR TO AN ASSISTED LIVING FACILITY. CROSSTOWN SQUARE IS AN INDEPENDENT LIVING FACILITY CONTAINING 69 RENTABLE APARTMENTS AND 2 GUEST ROOMS THAT OFFERS SERVICES DESIGNED TO MEET THE NEEDS OF SENIOR ADULTS. GHS IOWA AND GHS ILLINOIS HAVE A CONTROLLING OWNERSHIP INTEREST OR MEMBERSHIP IN THE FOLLOWING ORGANIZATIONS: GENESIS MEDICAL CENTER - ALEDO (GMC - ALEDO) IS CERTIFIED AS A CRITICAL ACCESS HOSPITAL, WHICH HAS 22-ACUTE CARE AND SWING BEDS, AS WELL AS A PHYSICAN CLINIC, WHICH PROVIDES SERVICES FROM ITS FACILITY IN ALEDO, ILLINOIS.GENESIS SENIOR LIVING - ALEDO (GSL - ALEDO) IS CERTIFIED AS A NURSING FACILITY, WHICH HAS A 92-BED LONG-TERM CARE FACILITY, WHICH PROVIDES SERVICES FROM ITS FACILITY IN ALEDO, ILLINOIS.GENESIS HEALTH SERVICES FOUNDATION (GENESIS FOUNDATION) IS AN ORGANIZATION WHOSE MISSION IS TO DEVELOP, MANAGE, AND GRANT CHARITABLE SUPPORT TO MEET THE HEALTH-RELATED NEEDS OF THE COMMUNITIES SERVED BY GENESIS HEALTH SYSTEM. THE GENESIS FOUNDATION IS REFERRED TO AS THE FOUNDATION. GENGASTRO, LLC (D/B/A THE CENTER FOR DIGESTIVE HEALTH) IS A LIMITED LIABILITY COMPANY, WHICH OPERATES A SINGLE-SPECIALTY GASTROENTEROLOGY AMBULATORY SURGERY CENTER LOCATED IN BETTENDORF, IOWA. GENESIS HEALTH SYSTEM (GHS IOWA) MAINTAINS A 75% OWNERSHIP INTEREST.THE LARSON CENTER PARTNERSHIP (LCP) IS A FOR-PROFIT REAL ESTATE PARTNERSHIP, WHICH OWNS A MEDICAL OFFICE BUILDING ADJACENT TO GMC SILVIS AND LEASES SPACE FOR CLINICS, LABORATORY, PHARMACY AND OFFICES TO GMC SILVIS AND OTHER THIRD-PARTY ORGANIZATIONS. GHS ILLINOIS IS A GENERAL PARTNER AND OWNS APPROXIMATELY 75.6% OF LCP.GENVENTURES, INC. (GENVENTURES) IS A WHOLLY-OWNED FOR-PROFIT CORPORATION WHICH OPERATES THE FOLLOWING DIVISIONS, PRIMARILY IN THE QUAD CITIES: GENESIS AT HOME, CONTINUING CARE SELLS AND LEASES HOME MEDICAL EQUIPMENT; PROVIDES INTRAVENOUS THERAPY SERVICES, INCLUDING SALES OF RELATED SOLUTIONS AND SUPPLIES TO PATIENTS; AND PROVIDES RETAIL PHARMACEUTICAL AND OVER-THE-COUNTER PRODUCTS TO PATIENTS AND EMPLOYEES OF THE SYSTEM. GENPROPERTIES OWNS, LEASES AND/OR MANAGES OFFICE SPACE IN 18 MEDICAL OFFICE BUILDINGS LOCATED IN BETTENDORF, CLINTON, DAVENPORT, ELDRIDGE, LE CLAIRE AND MUSCATINE, IOWA. CRESCENT LAUNDRY PROVIDES COMMERCIAL LAUNDRY SERVICES TO HEALTH CARE FACILITIES IN EASTERN IOWA AND IN NORTH-CENTRAL ILLINOIS. GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC (GENESIS ACO) IS AN IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS AND ANY BUSINESS RELATED TO CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYORS AND THE COMMUNITY AT LARGE. GENESIS PHILANTHROPY IS A WHOLLY-OWNED TAX-EXEMPT ENTITY FORMED IN 2013, WHICH PARTNERS WITH OTHER HOSPITAL FOUNDATIONS TO FORM A REGIONAL NETWORK TO ATTRACT DONORS TO HELP FUND SPECIFIC HEALTH-RELATED CAUSES AND PROMOTE WELLNESS IN THE REGION.GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST (WORKERS' COMPENSATION TRUST) PROVIDES A FUND WHICH CAN BE USED TO PAY WORKERS' COMPENSATION CLAIMS AND COSTS FOR THE BENEFIT OF GENESIS HEALTH SYSTEM. MISERICORDIA ASSURANCE COMPANY, LTD. (MISERICORDIA) IS A WHOLLY-OWNED CAYMAN BASED CAPTIVE INSURANCE COMPANY WHICH UNDERWRITES THE GENERAL AND PROFESSIONAL LIABILITY RISKS OF GHS IOWA AND AFFILIATES.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL,IA

Schedule H (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
GENESIS HEALTH SYSTEM

Employer identification number
42-1418847

Part I

General Information on Grants and Assistance

Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ........................

Yes No

Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.

Part II

Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" on Form 990, Part IV, line 21, for any recipient

that received more than $5,000. Part II can be duplicated if additional space is needed.

(a) Name and address of organization or government	(b) EIN	(c) IRC section if applicable	(d) Amount of cash grant	(e) Amount of non-cash assistance	(f) Method of valuation (book, FMV, appraisal, other)	(g) Description of non-cash assistance	(h) Purpose of grant or assistance

(1) GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST 1227 E RUSHOLME STREET DAVENPORT,IA52803	39-1905171	501(C)(3)	1,366,761	CLAIM PAYMENTS
(2) GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT,IA52803	42-1421670	501(C)(3)	230,836	HEALTHCARE RELATED CONTRIBUTIONS
(3) GILDA'S CLUB QUAD CITIES 1234 E RIVER DRIVE DAVENPORT,IA52803	42-1446989	501(C)(3)	45,000	ANNUAL INTIMATE CONVERSATIONS SERIES SPONSORSHIP
(4) CORN BELT RUNNING CLUB ROAD RUNNERS CLUB OF AMERICA 315 E GEORGE WASHINGTON BLVD DAVENPORT,IA52803	42-0823980	501(C)(3)	50,000	BIX RACE SPONSORSHIP 2016
(5) SUSAN G KOMEN BREAST CANCER 5005 LBJ FREEWAY DALLAS,TX75244	75-1835298	501(C)(3)	37,090	SPONSORSHIP FOR RACE FOR THE CURE
(6) QUAD CITY SYMPHONY 327 BRADY STREET DAVENPORT,IA52801	46-6017663	501(C)(3)	30,000	SPONSORSHIP HOLIDAY POPS CONCERT
(7) QUAD CITIES CHAMBER OF COMMERCE 130 WEST SECOND STREET DAVENPORT,IA52801	42-1500610	501(C)(6)	28,000	SPONSORSHIP ICESTRAVAGANZA, IA LEGISLATIVE LUNCHEON, RED WHITE AND BOOM SPONSOR
(8) AMERICAN HEART ASSOCIATION 460 N LINDBERGH BLVD ST LOUIS,MO63141	13-5613797	501(C)(3)	5,000	HEARTWALK SPONSORSHIP, GALA S16 SPONSOR
(9) EDGERTON WOMEN'S HEALTH CENTER INC 1510 E RUSHHOLME STREET DAVENPORT,IA52803	42-1001341	501(C)(3)	90,000	FAMILY PLANNING AND PREVENTIVE PROGRAM DONATION
(10) UNITED WAY OF THE QUAD CITIES AREA 852 MIDDLE ROAD SUITE 400 BETTENDORF,IA52722	36-2725960	501(C)(3)	17,326	2014 PLEDGE DONATION
(11) VERA FRENCH FOUNDATION 1441 W CENTRAL PARK AVE DAVENPORT,IA52804	42-1256448	501(C)(3)	15,000	SPONSORSHIP THROUGH MY EYES MENTAL AWARENESS EVENT
(12) FIRECRACKER RUN 3725 BLACKHAWK ROAD ROCK ISLAND,IL61201	36-3807313	501(C)(3)	8,000	SPONSORSHIP FOR MOLINE'S FOURTH OF JULY RUN
(13) QUAD CITIES SPORTS COMMISSION 1601 RIVER DRIVE SUITE 110 MOLINE,IL61265	36-4088729	501(C)(3)	5,000	SPONSORSHIP FOR MISSOURI VALLEY CONFERENCE
(14) GENESIS PHILANTHROPY 1227 E RUSHOLME STREET DAVENPORT,IA52803	46-2452851	501(C)(3)	1,079,218	FUNDS TO START A COMMUNITY BOARD DESIGNATED FUND AND HEALTHCARE RELATED CONTRIBUTIONS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50055P

Schedule I (Form 990) 2015

Page 2

Part III

Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.

(a) Type of grant or assistance	(b) Number of recipients	(c) Amount of cash grant	(d) Amount of non-cash assistance	(e) Method of valuation (book, FMV, appraisal, other)	(f) Description of non-cash assistance

(1) GRANTS FOR RESEARCH STUDIES	50	14,504
(2) MEDICAL SUPPLIES TO INDIVIDUALS/MEDICAL MISSION	5854		25,030	FAIR MARKET VALUE	MEDICAL SUPPLIES
(3) CAMP GENESIS PROGRAM-CAMP FOR KIDS THAT HAVE BEEN TOUCHED BY CANCER IN THEIR LIVES	97	48,400
(3)
(4)
(5)
(6)
(7)

Part IV

Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.

Return Reference	Explanation
PART I, LINE 2:	THE GENESIS HEALTH SYSTEM (GHS IOWA) STAFF REQUIRES RECEIPTS AND OTHER DOCUMENTATION PRIOR TO RELEASING FUNDS FOR PROJECTS AND SERVICES WITHIN THE SCOPE OF THE ORGANIZATION'S MISSION. PROPER AUTHORIZATION OF GRANT REQUESTS IS ALSO REQUIRED. STAFF FOLLOWS THE ORGANIZATION'S FUNDING ADMINISTRATIVE POLICY TO ENSURE THAT GRANTS ARE BEING APPROVED AND UTILIZED CORRECTLY.

Schedule I (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule J
(Form 990)

Department of the Treasury
Internal Revenue Service

Compensation Information

For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet

Complete if the organization answered "Yes" on Form 990, Part IV, line 23.
SchJMediumBullet

Attach to Form 990.
SchJMediumBullet

Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I

Questions Regarding Compensation

Yes

Check the appropiate box(es) if the organization provided any of the following to or for a person listed on Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain .........

Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..

Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

During the year, did any person listed on Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:

Receive a severance payment or change-of-control payment? ................

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.

Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:

The organization? ...........................

Any related organization?

If "Yes," on line 5a or 5b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:

The organization?

Any related organization? .........................

If "Yes," on line 6a or 6b, describe in Part III.

For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............

Were any amounts reported on Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2015

Page 2

Part II

Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.

For each individual whose compensation must be reported on Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.

(A) Name and Title		(B) Breakdown of W-2 and/or 1099-MISC compensation			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column(B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1DOUGLAS P CROPPERPRESIDENT/CEO GHS	(i) (ii)	689,191 ------------- 0	233,173 ------------- 0	144,103 ------------- 0	127,323 ------------- 0	20,701 ------------- 0	1,214,491 ------------- 0	0 ------------- 0
2GEORGE J KONTOS JR MDDIRECTOR	(i) (ii)	440,479 ------------- 0	0 ------------- 0	33,004 ------------- 0	4,800 ------------- 0	16,415 ------------- 0	494,698 ------------- 0	0 ------------- 0
3MARK G ROGERSV.P. FINANCE/CFO/ASST TREASURER	(i) (ii)	339,662 ------------- 0	90,292 ------------- 0	71,491 ------------- 0	57,691 ------------- 0	12,558 ------------- 0	571,694 ------------- 0	0 ------------- 0
4HAROLD L WAGHERCHIEF COMPLIANCE RISK OFFICER/ASST S	(i) (ii)	202,534 ------------- 0	36,712 ------------- 0	458 ------------- 0	3,600 ------------- 0	13,868 ------------- 0	257,172 ------------- 0	0 ------------- 0
5KURT A ANDERSEN MDPRESIDENT GHG	(i) (ii)	415,574 ------------- 0	34,456 ------------- 0	28,562 ------------- 0	68,332 ------------- 0	13,729 ------------- 0	560,653 ------------- 0	0 ------------- 0
6CHRISTOPHER CROMEPHYSICIAN/DIVISION CHAIR	(i) (ii)	383,971 ------------- 0	21,183 ------------- 0	21,156 ------------- 0	3,600 ------------- 0	13,231 ------------- 0	443,141 ------------- 0	0 ------------- 0
7DALE GIESSPHYSICIAN-CARDIOTHORACIC	(i) (ii)	849,569 ------------- 0	50,000 ------------- 0	9,840 ------------- 0	0 ------------- 0	4,721 ------------- 0	914,130 ------------- 0	0 ------------- 0
8NIDAL HARBCHIEF MEDICAL OFFICER	(i) (ii)	453,476 ------------- 0	43,501 ------------- 0	5,069 ------------- 0	106,530 ------------- 0	17,412 ------------- 0	625,988 ------------- 0	0 ------------- 0
9JOSEPH BROOKSPHYSICIAN	(i) (ii)	398,396 ------------- 0	0 ------------- 0	81,710 ------------- 0	2,977 ------------- 0	16,152 ------------- 0	499,235 ------------- 0	0 ------------- 0
10NATHAN MELOY MDPHYSICIAN	(i) (ii)	645,831 ------------- 0	0 ------------- 0	1,110 ------------- 0	3,600 ------------- 0	15,646 ------------- 0	666,187 ------------- 0	0 ------------- 0
11MATTHEW NEILPHYSICIAN	(i) (ii)	478,480 ------------- 0	3,974 ------------- 0	5,703 ------------- 0	3,600 ------------- 0	18,616 ------------- 0	510,373 ------------- 0	0 ------------- 0
12TODD RIDENOUR MDPHYSICIAN	(i) (ii)	813,463 ------------- 0	0 ------------- 0	53,062 ------------- 0	4,400 ------------- 0	18,007 ------------- 0	888,932 ------------- 0	0 ------------- 0
13JACQUELYN SALAS MDPHYSICIAN	(i) (ii)	494,551 ------------- 0	3,276 ------------- 0	18,931 ------------- 0	3,511 ------------- 0	7,140 ------------- 0	527,409 ------------- 0	0 ------------- 0
14JACQUELINE K ANHALTFORMER V.P. PATIENT SERVICES	(i) (ii)	215,588 ------------- 0	31,489 ------------- 0	806 ------------- 0	63,755 ------------- 0	16,615 ------------- 0	328,253 ------------- 0	0 ------------- 0
15WAYNE A DIEWALDFORMER PRESIDENT GMC DAVENPORT	(i) (ii)	217,165 ------------- 0	17,530 ------------- 0	0 ------------- 0	487 ------------- 0	0 ------------- 0	235,182 ------------- 0	0 ------------- 0
16ROBERT W FRIEDENFORMER V.P. INFORMATION SERVICES	(i) (ii)	252,180 ------------- 0	43,358 ------------- 0	87,862 ------------- 0	8,461 ------------- 0	16,888 ------------- 0	408,749 ------------- 0	0 ------------- 0
17RICHARD M KISHIUE MDFORMER PRESIDENT, GHG	(i) (ii)	308,386 ------------- 0	27,306 ------------- 0	21,824 ------------- 0	4,800 ------------- 0	7,683 ------------- 0	369,999 ------------- 0	0 ------------- 0
18GEORGE KOVACHFORMER V.P. MEDICAL STAFF AFFAIRS	(i) (ii)	149,999 ------------- 0	0 ------------- 0	1,467 ------------- 0	38,700 ------------- 0	993 ------------- 0	191,159 ------------- 0	0 ------------- 0
19WILLIAM LANGLEYFORMER EXECUTIVE DIRECTOR ACO	(i) (ii)	248,503 ------------- 0	32,185 ------------- 0	20,985 ------------- 0	37,991 ------------- 0	14,955 ------------- 0	354,619 ------------- 0	0 ------------- 0
20JOSEPH L LOHMULLER MDFORMER CHIEF MEDICAL OFFICER	(i) (ii)	135,156 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	0 ------------- 0	135,156 ------------- 0	0 ------------- 0
21KEVIN L YOUMANSFORMER PRESIDENT GMC SILVIS	(i) (ii)	232,150 ------------- 0	39,165 ------------- 0	847 ------------- 0	64,328 ------------- 0	15,066 ------------- 0	351,556 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2015

Page 3

Part III

Supplemental Information

Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II. Also complete this part for any additional information.

Return Reference

Explanation

PART I, LINE 1A

GENESIS HEALTH SYSTEM (GHS IA) PROVIDES THE FOLLOWING TO INDIVIDUALS REPORTS IN PART VII, SECTION A, LINE 1A: TRAVEL FOR COMPANIONS: IN TAX YEAR 2015, THE FOLLOWING TYPES OF LISTED INDIVIDUALS REPORTED IN PART VII RECEIVED THE TRAVEL FOR COMPANIONS BENEFIT: 7 DIRECTORS, 4 OFFICERS, AND 1 KEY EMPLOYEE. ALL INDIVIDUALS REIMBURSED GHS IOWA IN FULL AND NONE OF THE BENEFIT WAS LISTED AS TAXABLE COMPENSATION.

PART I, LINES 4A-B

THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY FROM GENESIS HEALTH SYSTEM (GHS IOWA) DURING THE CALENDAR YEAR 2015: WAYNE A. DIEWALD - $210,365 AND JOSEPH L. LOHMULLER - $135,156. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON FORM 990, PART VII AND SCHEDULE J, PART II, IF APPLICABLE. THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2015 SPONSORED BY GHS IOWA: DOUGLAS P. CROPPER - $122,723, ROBERT W. FRIEDEN - $86,920, AND MARK G. ROGERS - $51,595. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2015. THIS INFORMATION IS INCLUDED IN REPORTABLE COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II. THE FOLLOWING INDIVIDUALS ALSO PARTICIPATED IN A SUPPLEMENTAL EXECUTIVE RETIREMENT SAVINGS BENEFIT PLAN IN 2015 SPONSORED BY GHS IOWA: KURT ANDERSEN - $64,732, JACQUELINE K. ANHALT - $55,734, DOUGLAS P. CROPPER - $122,723, NIDAL HARB - $101,730, GEORGE KOVACH - $37,500, AND MARK G. ROGERS - $51,595. THE DOLLAR AMOUNT REPRESENTS THE CURRENT YEAR CONTRIBUTION MADE BY GHS IOWA ON BEHALF OF THE INDIVIDUALS TO THE PLAN IN 2015. THIS INFORMATION IS INCLUDED IN DEFERRED COMPENSATION ON THE FORM 990, PART VII AND SCHEDULE J, PART II.

Schedule J (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule K
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Information on Tax Exempt Bonds

Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet

Attach to Form 990.
SchKMediumBullet

Information about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization
GENESIS HEALTH SYSTEM

Employer identification number
42-1418847

Part I

Bond Issues

(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	(g) Defeased		(h) On behalf of issuer		(i) Pool financing
(a) Issuer name		(b) Issuer EIN	(c) CUSIP #	(d) Date issued	(e) Issue price	(f) Description of purpose	Yes	No	Yes	No	Yes	No
A	IOWA FINANCE AUTHORITY	52-1699886	46246PLP4	06-24-2010	90,995,000	REFUND 12-23-97 AND 08-02-00 BOND ISSUE; RENOVATE AND EQUIP FACILITY		X		X		X
B	IOWA FINANCE AUTHORITY	52-1699886	46246PMG3	11-26-2013	121,000,000	CONSTRUCT AND EQUIP EAST CAMPUS TOWER		X		X		X

Part II

Proceeds

	A		B		C		D
	1 Amount of bonds retired ..................	30,670,000
2 Amount of bonds legally defeased ..............
3 Total proceeds of issue ..................	95,545,195		125,205,892
4 Gross proceeds in reserve funds .............			56,237,884
5 Capitalized interest from proceeds .............
6 Proceeds in refunding escrows ...............
7 Issuance costs from proceeds ...............	1,478,186		1,267,563
8 Credit enhancement from proceeds .............
9 Working capital expenditures from proceeds .............
10 Capital expenditures from proceeds .............	23,700,000		68,378,129
11 Other spent proceeds .............	70,367,009
12 Other unspent proceeds .............
13 Year of substantial completion .............	2010		2017
	Yes	No	Yes	No	Yes	No	Yes	No
14 Were the bonds issued as part of a current refunding issue? ....	X			X
15 Were the bonds issued as part of an advance refunding issue? .....		X		X
16 Has the final allocation of proceeds been made? ..........	X			X
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? ..................	X		X

Part III

Private Business Use

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? .............		X		X
2 Are there any lease arrangements that may result in private business use of bond-financed property? ...............		X		X

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50193E

Schedule K (Form 990) 2015

Page 2

Part III

Private Business Use (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
3a Are there any management or service contracts that may result in private business use of bond-financed property? .............	X		X
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?	X		X
c Are there any research agreements that may result in private business use of bond-financed property? .............	X		X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?	X		X
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government ....	0.910 %		0.910 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government .........
6 Total of lines 4 and 5 .............	0.910 %		0.910 %
7 Does the bond issue meet the private security or payment test? ...		X		X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?.............		X		X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. ..
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? .............
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under Regulations sections 1.141-12 and 1.145-2? ........	X		X

Part IV

Arbitrage

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? ...		X		X
2 If "No" to line 1, did the following apply? ....
a Rebate not due yet? .......		X		X
b Exception to rebate? ........	X		X
c No rebate due? .........		X		X
If "Yes" to line 2c, provide in Part VI the date the rebate computation was performed ......
3 Is the bond issue a variable rate issue? .....		X	X
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?		X		X
b Name of provider ..........
c Term of hedge .........
d Was the hedge superintegrated? ......
e Was the hedge terminated? ........

Schedule K (Form 990) 2015

Page 3

Part IV

Arbitrage (Continued)

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)?		X		X
b Name of provider ..........
c Term of GIC .........
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? ........
6 Were any gross proceeds invested beyond an available temporary period?		X		X
7 Has the organization established written procedures to monitor the requirements of section 148? ...	X		X

Part V

Procedures To Undertake Corrective Action

	A		B		C		D
	Yes	No	Yes	No	Yes	No	Yes	No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations?	X		X

Part VI

Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).

Return Reference	Explanation
SCHEDULE K, PART I, LINE A, COLUMN E & PART II, LINE 3, COLUMN A:	A PREMIUM OF $4,550,195 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE.
SCHEDULE K, PART I, LINE A, COLUMN E & PART II, LINE 3, COLUMN B:	A PREMIUM OF $3,950,091 WAS PAID TO THE ISSUER BY THE BONDHOLDERS AT THE DATE OF SALE. FURTHERMORE, $862,397 WAS EARNED BY INVESTING THE RESERVE FUNDS.

Schedule K (Form 990) 2015

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

Information about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e)Original principal amount	(f)Balance due	(g) In default?		(h) Approved by board or committee?		(i)Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e)Original principal amount	(f)Balance due	Yes	No	Yes	No	Yes	No










Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2015

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) GENVENTURES INC	SEE BELOW IN PART V	26,589,167	GENVENTURES, INC. PAID GENESIS HEALTH SYSTEM (GHS IOWA) AS A COMMON PAYMASTER AND REIMBURSEMENT OF INTEREST.		No
(2) GENVENTURES INC	SEE BELOW IN PART V	17,348,848	GENESIS HEALTH SYSTEM (GHS IOWA) PAID GENVENTURES, INC. FOR FACILITY LEASE PAYMENTS, MEDICAL SUPPLIES, LAUNDRY SERVICES, AND A LOAN ADVANCE.		No
(3) DAVITA RENAL CARE	SEE BELOW IN PART V	194,409	INVESTMENT IN DAVITA		No
(4) LANE & WATERMAN LLP	SEE BELOW IN PART V	911,585	LEGAL SERVICES		No
(5) CARDIOVASCULAR MEDICINE PC	SEE BELOW IN PART V	828,947	HEALTHCARE PROFESSIONAL SERVICES		No
(6) BUSH CONSTRUCTION COMPANY INC	SEE BELOW IN PART V	716,818	CONSTRUCTION SERVICES		No
(7) QUAD CITY BANK & TRUST COMPANY	SEE BELOW IN PART V	203,967	INTEREST EXPENSE, DEPOSIT ACCOUNT, CREDIT CARD SERVICE, LOCK BOX FEES, AND INTEREST INCOME		No
(8) HEALTH ENTERPRISES	SEE BELOW IN PART V	101,314	HEALTHCARE SUPPORT SERVICES		No
(9) LISA ROGALSKI	SEE BELOW IN PART V	109,576	REPORTABLE COMPENSATION AS AN EMPLOYEE		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - GENVENTURES, INC.MARK G. ROGERS AND ROGER J. HILL ARE OFFICERS, AND JAMES W. KOEHLER IS A DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA) AND ARE REPORTED ON THE FORM 990, PART VII. DURING THE TAX YEAR, MARK G. ROGERS, ROGER J. HILL, AND JAMES W. KOEHLER WERE OFFICERS OF GENVENTURES, INC.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - DAVITA RENAL CAREEDWIN V. MOTTO, M.D. IS A DIRECTOR ON THE BOARD OF GENESIS HEALTH SYSTEM (GHS IOWA) AND IS ALSO ON THE BOARD OF DAVITA RENAL CARE AND HAS A PERCENTAGE OF OWNERSHIP IN DAVITA RENAL CARE.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - LANE & WATERMAN LLPC. DANA WATERMAN III IS A DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA) AND A MANAGING PARTNER OF LANE & WATERMAN LLP.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - CARDIOVASCULAR MEDICINE, PCEDMUND P. COYNE, JR., M.D. IS A DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA) AND IS ALSO A DIRECTOR OF CARDIOVASCULAR MEDICINE, PC.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - BUSH CONSTRUCTION COMPANY, INC.GREGORY J. BUSH IS AN OFFICER OF GENESIS HEALTH SYSTEM (GHS IOWA) AND IS ALSO THE CHAIRMAN OF BUSH CONSTRUCTION COMPANY.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - QUAD CITY BANK & TRUST COMPANYPETER J. BENSON AND MARK C. KILMER ARE DIRECTORS OF GENESIS HEALTH SYSTEM (GHS IA). PETER J. BENSON IS AN OFFICER OF QUAD CITY BANK & TRUST COMPANY, AND MARK C. KILMER IS THE CHAIRMAN OF THE BOARD OF QUAD CITY BANK & TRUST COMPANY.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - HEALTH ENTERPRISESDOUGLAS P. CROPPER IS THE BOARD PRESIDENT/CEO OF GENESIS HEALTH SYSTEM (GHS IOWA) AND A DIRECTOR ON THE BOARD OF HEALTH ENTERPRISES.
FORM 990, SCHEDULE L , PART IV, COLUMN B	DESCRIPTION OF RELATIONSHIP - LISA ROGALSKILISA ROGALSKI IS THE DAUGHTER-IN-LAW OF EDWARD J. ROGALSKI, PH.D., DIRECTOR OF GENESIS HEALTH SYSTEM (GHS IOWA).

Schedule L (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE M
(Form 990)

Department of the Treasury

Internal Revenue Service

Noncash Contributions

Complete if the organizations answered "Yes" on Form 990, Part IV, lines 29 or 30.
Right pointing arrow large image

Attach to Form 990.
Right pointing arrow large image

Information about Schedule M (Form 990) and its instructions is at www.irs.gov/form990

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I

Types of Property

	(a) Check if applicable	(b) Number of contributions or items contributed	(c) Noncash contribution amounts reported on Form 990, Part VIII, line 1g	(d) Method of determining noncash contribution amounts
1 Art—Works of art ....
2 Art—Historical treasures .
3 Art—Fractional interests ..
4 Books and publications ..
5 Clothing and household goods .......
6 Cars and other vehicles ..
7 Boats and planes ....
8 Intellectual property ...
9 Securities—Publicly traded .
10 Securities—Closely held stock .
11 Securities—Partnership, LLC, or trust interests ....
12 Securities—Miscellaneous ..
13 Qualified conservation contribution—Historic structures .....
14 Qualified conservation contribution—Other ...
15 Real estate—Residential .
16 Real estate—Commercial ..
17 Real estate—Other ...
18 Collectibles .....
19 Food inventory ...
20 Drugs and medical supplies .
21 Taxidermy ......
22 Historical artifacts ....
23 Scientific specimens ..
24 Archeological artifacts ...
25 Other ( MISCELLANEOUS )	X	126	162,499	FAIR MARKET VALUE
26 Other ( )
27 Other ( )
28 Other ( )

Number of Forms 8283 received by the organization during the tax year for contributions
for which the organization completed Form 8283, Part IV, Donee Acknowledgement

Yes

30a

During the year, did the organization receive by contribution any property reported in Part I, lines 1 through 28, that

it must hold for at least three years from the date of the initial contribution, and which is not required to be used

for exempt purposes for the entire holding period? ..................

30a

If "Yes," describe the arrangement in Part II.

Does the organization have a gift acceptance policy that requires the review of any non-standard contributions?

Yes

32a

Does the organization hire or use third parties or related organizations to solicit, process, or sell noncash

contributions? ..........................

32a

If "Yes," describe in Part II.

If the organization did not report an amount in column (c) for a type of property for which column (a) is checked,

describe in Part II.

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 51227J

Schedule M (Form 990) (2015)

Page 2

Part II

Supplemental Information. Provide the information required by Part I, lines 30b, 32b, and 33, and whether the organization is reporting in Part I, column (b), the number of contributions, the number of items received, or a combination of both. Also complete this part for any additional information.

Return Reference	Explanation
PART I, COLUMN (B):	PART I, COLUMN B IS REPORTED USING A COMBINATION OF NUMBER OF CONTRIBUTIONS AND ITEMS CONTRIBUTED.

Schedule M (Form 990) (2015)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet

Attach to Form 990 or 990-EZ.
MediumBullet

Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public
Inspection

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Return Reference	Explanation
FORM 990, PART VI, SECTION B, LINE 11	INTERNAL MANAGEMENT REVIEW IS COMPLETED OF THE COMPILED INFORMATION PRIOR TO PREPARATION AND REVIEW BY RSM US LLP. FOLLOWING RSM US LLP'S PREPARATION AND REVIEW OF THE FORM 990, IT IS REVIEWED WITH THE ORGANIZATION'S VICE PRESIDENT, FINANCE/CFO; VICE PRESIDENT, LEGAL AFFAIRS; VICE PRESIDENT, HUMAN RESOURCES; AND CHIEF COMPLIANCE RISK OFFICER. THE FORM 990 IS THEN REVIEWED AT A JOINT MEETING OF THE ORGANIZATION'S FINANCE COMMITTEE AND AUDIT & COMPLIANCE COMMITTEE. PRIOR TO SUBMITTING THE FORM 990 TO THE IRS, IT IS E-MAILED TO THE ORGANIZATION'S BOARD OF DIRECTORS ONE WEEK IN ADVANCE OF A SCHEDULED MEETING. AT THE BOARD OF DIRECTORS MEETING, INTERNAL MANAGEMENT REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS. SUGGESTED CHANGES FROM ALL OF THESE REVIEWS ARE CONSIDERED FOR INCLUSION IN THE FINAL FORM 990 SUBMITTED TO THE IRS.
FORM 990, PART VI, SECTION B, LINE 12C	ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF GENESIS HEALTH SYSTEM (GHS IOWA) OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GHS IOWA, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT.
FORM 990, PART VI, SECTION B, LINE 15	EACH EXECUTIVE POSITION IS EVALUATED USING A FORMAL EVALUATION PLAN THAT IS ESTABLISHED BY AN OUTSIDE CONSULTANT. AT THE PRESENT TIME, THE CONSULTANT USES A POINT SYSTEM FOR JOB EVALUATION. THE POINT VALUES ARE BASED ON "KNOW HOW", "PROBLEM SOLVING", "ACCOUNTABILITY", AND OTHER JOB ATTRIBUTES SPECIFIC TO THE POSITION. ONCE THE POINT VALUE IS SET FOR A POSITION, MARKET COMPARISONS FOR JOBS WITH THE SAME ORGANIZATIONAL IMPACT CAN BE COMPARED FOR SALARY PURPOSES AND ESTABLISH PAY RANGES. THE DESIGN OF THE PAY RANGES FOR EXECUTIVES IS BASED ON MARKET DATA. THE MIDPOINT OF EACH PAY RANGE IS ESTABLISHED AT THE 50TH PERCENTILE OF THE MARKET COMPARISONS. A MINIMUM AND MAXIMUM ARE ESTABLISHED OFF OF THE MIDPOINT. SPECIFIC PAY RATES FOR EXECUTIVES ARE SUBJECT TO CEO AND COMPENSATION COMMITTEE AND THE GENESIS HEALTH SYSTEM (GHS IOWA) BOARD OF DIRECTORS APPROVAL. PAY RANGES ARE REVIEWED EACH YEAR TO DETERMINE THE NEED FOR REVISION. WHEN MARKET CONDITIONS SUGGEST AN ADJUSTMENT TO PAY RANGES, DATA WILL BE PRESENTED TO THE COMPENSATION COMMITTEE FOR ITS REVIEW. THE SPECIFIC PAY RANGES ARE SUBJECT TO CEO, COMPENSATION COMMITTEE, AND GHS IOWA BOARD OF DIRECTOR APPROVAL. THE PRESIDENT AND CEO HAS THE AUTHORITY AND RESPONSIBILITY TO ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE AND THE GHS IOWA BOARD OF DIRECTORS, THE BASE COMPENSATION OF EACH EXECUTIVE EMPLOYED BY GHS IOWA, AT APPROPRIATE TIMES. THE GHS IOWA BOARD OF DIRECTORS SHALL ESTABLISH AND ADJUST, WITHIN THE RANGE APPROVED BY THE COMPENSATION COMMITTEE, THE BASE COMPENSATION FOR THE CEO OF GHS IOWA, AT APPROPRIATE TIMES. THE LAST TIME THIS PROCESS WAS FORMALLY UNDERTAKEN WAS NOVEMBER 2014.
FORM 990, PART VI, SECTION C, LINE 19	THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.
FORM 990, PART VII, LINE 1A:	GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER, ALEDO, GENESIS SENIOR LIVING, ALEDO, GENESIS HEALTH SERVICES FOUNDATION, GENESIS PHILANTHROPY AND GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST ARE RELATED ORGANIZATIONS OF GENESIS HEALTH SYSTEM (GHS IOWA). THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR HOURS DEVOTED AS WELL AS THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA.
FORM 990, PART IX, LINE 11G	ANESTHESIA SERVICES: PROGRAM SERVICE EXPENSES 266,832. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 266,832. BLOOD BANK SERVICES: PROGRAM SERVICE EXPENSES 2,071,065. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,071,065. COLLECTION SERVICES: PROGRAM SERVICE EXPENSES 3,121,026. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,121,026. COLLECTIONS SERIVCES: PROGRAM SERVICE EXPENSES 1,129,461. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,129,461. COMMUNICATIONS SERVICES: PROGRAM SERVICE EXPENSES 327,340. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 327,340. DIALYSIS SERVICES: PROGRAM SERVICE EXPENSES 546,367. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 546,367. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 3,258,940. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,258,940. ENVIRONMENTAL SERVICES: PROGRAM SERVICE EXPENSES 108,992. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 108,992. HEALTH CARE PROFESSIONAL SERVICES: PROGRAM SERVICE EXPENSES 16,017,658. MANAGEMENT AND GENERAL EXPENSES 139,082. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 16,156,740. HEALTH-RELATED IMAGING SERVICES: PROGRAM SERVICE EXPENSES 11,880,952. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,880,952. HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING: PROGRAM SERVICE EXPENSES 1,644,351. MANAGEMENT AND GENERAL EXPENSES 527,742. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,172,093. IT OUTREACH SERVICES: PROGRAM SERVICE EXPENSES 9,079,045. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 9,079,045. LAB SERVICES: PROGRAM SERVICE EXPENSES 4,329,105. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,329,105. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 7,336. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,336. MAINTENANCE SERVICES: PROGRAM SERVICE EXPENSES 8,416,649. MANAGEMENT AND GENERAL EXPENSES 46,436. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 8,463,085. NUTRITIONAL SERVICES: PROGRAM SERVICE EXPENSES 389,468. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 389,468. NUTRITIONAL SERVICES: PROGRAM SERVICE EXPENSES 1,029,849. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,029,849. OUTSIDE HEALTHCARE-RELATED SERVICES: PROGRAM SERVICE EXPENSES 2,786,558. MANAGEMENT AND GENERAL EXPENSES 34,855. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,821,413. PATIENT TRANSPORT SERVICES: PROGRAM SERVICE EXPENSES 354,338. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 354,338. PHYSICAL THERAPY SERVICES: PROGRAM SERVICE EXPENSES 139,259. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 139,259. ROOM AND BOARD SERVICES: PROGRAM SERVICE EXPENSES 990,069. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 990,069. SIGNAGE SERVICES: PROGRAM SERVICE EXPENSES 1,306. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,306. TRANSCRIPTIONS SERVICES: PROGRAM SERVICE EXPENSES 328,637. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 328,637. VISITING NURSE OUTSIDE SERVICES: PROGRAM SERVICE EXPENSES 127,551. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 127,551.
FORM 990, PART XI, LINE 9:	CHANGE IN FUNDED STATUS OF RETIREMENT -18,274,440. CHANGE IN NET ASSETS OF GENESIS HEALTH SERVICES FOUNDATION -772,445. NON-CASH CONTRIBUTIONS NOT REPORTED ON BOOKS -162,499.
FORM 990, PART XII, LINE 2C:	THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2015

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047

2015

Open to Public Inspection

Name of the organization

GENESIS HEALTH SYSTEM

Employer identification number

42-1418847

Part I

Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity
(1) GENESIS ACCOUNTABLE CARE ORGANIZATION LLC 1227 E RUSHOLME STREET DAVENPORT,IA52803 45-4168932	ACCOUNTABLE CARE SERVICES	IA	-564,961	926,579	GENESIS HEALTH SYSTEM (GHS IOWA)
(2) SPIN ECHO LLC 1227 E RUSHOLME STREET DAVENPORT,IA52803 42-1491373	PROPERTY MANAGEMENT	IA	74,783	1,571,829	GENVENTURES INC

Part II

Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	Yes	No
(1)GENESIS HEALTH SYSTEM (GHS ILLINOIS) 801 ILLINI DRIVE SILVIS,IL61282 36-3616314	HEALTHCARE	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes
(2)GENESIS HEALTH SERVICES FOUNDATION 1227 E RUSHOLME STREET DAVENPORT,IA52803 42-1421670	CHARITY	IA	501(C)(3)	LINE 7	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes
(3)GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST 1227 E RUSHOLME STREET DAVENPORT,IA52803 39-1905171	EMPLOYEE/BENEFIT/TRUST	IA	501(C)(3)	LINE 11A, I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes
(4)DAVENPORT HOSPITAL AMBULANCE CORPORATION 1204 E HIGH STREET DAVENPORT,IA52803 42-1186903	AMBULANCE TRANSFERS	IA	501(C)(3)	LINE 11A, I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes
(5)GENESIS SENIOR LIVING ALEDO 309 NW NINTH AVENUE ALEDO,IL61231 45-4475803	SENIOR LIVING SERVICES	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes
(6)GENESIS MEDICAL CENTER ALEDO 409 NW NINTH AVENUE ALEDO,IL61231 45-4475683	HEALTHCARE	IL	501(C)(3)	LINE 3	GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Yes
(7)GENESIS PHILANTHROPY 1227 E RUSHOLME STREET DAVENPORT,IA52803 46-2452851	CHARITY	IA	501(C)(3)	LINE 11A, I	GENESIS HEALTH SYSTEM (GHS IOWA)	Yes

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50135Y

Schedule R (Form 990) 2015

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Predominant income(related, unrelated, excluded from tax under sections 512-514)	(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?		(k) Percentage ownership
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity		(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) GENGASTRO LLC 2222 53RD AVENUE BETTENDORF,IA52722 56-2315623	AMBULATORY SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	RELATED	3,414,930	462,955		No			No	75.000 %
(2) SPRING PARK SURGERY CENTER LLC 3319 SPRING STREET STE 202A DAVENPORT,IA52807 42-1483989	OUTPATIENT SURGICAL CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	RELATED	1,167,878	1,848,238		No			No	45.000 %
(3) LARSON CENTER PARTNERSHIP 801 ILLINI DRIVE SILVIS,IL61282 36-3738454	PROPERTY MANAGEMENT	IL	N/A
(4) GENORTHO LLC 2300 53RD AVENUE BETTENDORF,IA52722 20-3406994	ORTHOPAEDIC SURGERY CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	RELATED	1,673,988	1,074,456		No			No	50.000 %
(5) GENRAD IMAGING LLC 1970 E 53RD ST DAVENPORT,IA52807 45-3571628	DIAGNOSTIC IMAGING CENTER	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	RELATED	2,082,700	12,261,466		No			No	50.000 %
(6) GENESIS ONCOLOGY CO - MANAGEMENT LLC 1227 E RUSHOLME STREET DAVENPORT,IA52803 45-4456824	ONCOLOGY PROGRAM MANAGEMENT	IA	GENESIS HEALTH SYSTEM (GHS IOWA)	RELATED	-6,874	57,977		No			No	10.000 %
(7) GENRAD IMAGING ILLINOIS LLC 1970 E 53RD ST DAVENPORT,IA52807 47-3785124	DIAGNOSTIC IMAGING CENTER	IL	N/A

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets		Yes	No
(1) GENVENTURES INC 1227 E RUSHOLME STREET DAVENPORT,IA52803 42-1269171	SUPPORT SERVICES/PROPERTY MANAGEMENT	IA	GENESIS HEALTH SYSTEM (IOWA)	C	2,691,616	42,254,245	100.000 %	Yes
(2) GENESIS HEART INSTITUTE 1236 E RUSHOLME STREET DAVENPORT,IA52803 42-1504979	HEALTHCARE MANAGEMENT	IA	GENESIS HEALTH SYSTEM (IOWA)	C			100.000 %	Yes
(3) MISERICORDIA ASSURANCE COMPANY LTD PO BOX 1051 GRAND CAYMAN CJ 98-0457943	OTHER FINANCIAL VEHICLE	CJ	GENESIS HEALTH SYSTEM (IOWA)	C		27,598,477	100.000 %	Yes
(4) MOB 1 OWNERS' ASSOCIATION 1227 E RUSHOLME STREET DAVENPORT,IA52803 27-0865075	PROPERTY MANAGEMENT	IA	N/A	C				Yes

Schedule R (Form 990) 2015

Page 3

Part V

Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

Yes

b Gift, grant, or capital contribution to related organization(s) ............................

Yes

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

Yes

k Lease of facilities, equipment, or other assets from related organization(s) ......................

Yes

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

Yes

m Performance of services or membership or fundraising solicitations by related organization(s) .................

Yes

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

Yes

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

Yes

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) GENVENTURES INC	A	830,417	FAIR MARKET VALUE
(2) GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST	B	1,366,761	FAIR MARKET VALUE
(3) GENESIS HEALTH SERVICES FOUNDATION	B	230,836	FAIR MARKET VALUE
(4) GENESIS PHILANTHROPY	B	1,079,218	FAIR MARKET VALUE
(5) GENESIS HEALTH SERVICES FOUNDATION	C	700,135	FAIR MARKET VALUE
(6) GENESIS PHILANTHROPY	C	404,444	FAIR MARKET VALUE
(7) MISERICORDIA ASSURANCE COMPANY LTD	F	1,356,290	FAIR MARKET VALUE
(8) GENGASTRO LLC	H	3,100,200	FAIR MARKET VALUE
(9) SPRING PARK SURGERY CENTER LLC	H	1,342,281	FAIR MARKET VALUE
(10) GENORTHO LLC	H	1,658,500	FAIR MARKET VALUE
(11) LARSON CENTER PARTNERSHIP	J	505,487	FAIR MARKET VALUE
(12) GENESIS HEALTH SYSTEM (GHS ILLINOIS)	K	190,468	FAIR MARKET VALUE
(13) GENVENTURES INC	K	6,524,689	FAIR MARKET VALUE
(14) LARSON CENTER PARTNERSHIP	K	610,630	FAIR MARKET VALUE
(15) GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST	L	189,142	FAIR MARKET VALUE
(16) MISERICORDIA ASSURANCE COMPANY LTD	M	1,823,461	FAIR MARKET VALUE
(17) DAVENPORT HOSPITAL AMBULANCE	M	353,645	FAIR MARKET VALUE
(18) GENESIS MEDICAL CENTER ALEDO	P	2,833,690	FAIR MARKET VALUE
(19) GENESIS SENIOR LIVING ALEDO	P	193,204	FAIR MARKET VALUE
(20) GENESIS HEALTH SYSTEM (GHS ILLINOIS)	P	10,200,746	FAIR MARKET VALUE
(21) GENESIS HEALTH SYSTEM (GHS ILLINOIS)	Q	89,101,388	FAIR MARKET VALUE
(22) GENESIS HEALTH SERVICES FOUNDATION	Q	1,642,741	FAIR MARKET VALUE
(23) GENESIS MEDICAL CENTER ALEDO	Q	15,676,144	FAIR MARKET VALUE
(24) GENVENTURES INC	Q	25,758,750	FAIR MARKET VALUE
(25) GENESIS PHILANTHROPY	Q	309,664	FAIR MARKET VALUE
(26) GENESIS SENIOR LIVING ALEDO	Q	2,389,825	FAIR MARKET VALUE
(27) GENVENTURES INC	R	10,824,160	FAIR MARKET VALUE
(28) GENESIS HEALTH SERVICES FOUNDATION	R	329,985	FAIR MARKET VALUE
(29) GENESIS HEALTH SYSTEM (GHS ILLINOIS)	S	198,348	FAIR MARKET VALUE

Schedule R (Form 990) 2015

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(e) Are all partners section 501(c)(3) organizations?		(f) Share of total income	(g) Share of end-of-year assets	(h) Disproprtionate allocations?		(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	(j) General or managing partner?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No

Schedule R (Form 990) 2015

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 2015

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: GENESIS HEALTH SYSTEM (GHS IOWA) EXISTS TO PROVIDE COMPASSIONATE, QUALITY HEALTH SERVICES TO ALL THOSE IN NEED.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	19
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2015 (Part V, line 2a) ......	5	4,813
6	Total number of volunteers (estimate if necessary) .............	6	535
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	1,545,326
b	Net unrelated business taxable income from Form 990-T, line 34 .........	7b	440,582

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	4,352,559	3,766,838
9	Program service revenue (Part VIII, line 2g) .........	466,944,781	487,134,364
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	28,934,100	17,723,846
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	3,638,302	894,191
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	503,869,742	509,519,239
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	2,269,908	3,162,814
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	232,052,767	247,704,075
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	210,505,375	226,371,609
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	444,828,050	477,238,498
19	Revenue less expenses. Subtract line 18 from line 12.......	59,041,692	32,280,741
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	790,628,796	830,383,136
21	Total liabilities (Part X, line 26).............	272,330,223	302,269,294
22	Net assets or fund balances. Subtract line 21 from line 20.....	518,298,573	528,113,842

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 335,698,029 including grants of $ 3,162,814 ) (Revenue $ 370,819,136 )
	GENESIS HEALTH SYSTEM (GHS IOWA) IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA CONSISTING OF THREE HOSPITAL FACILITIES, TWO IN DAVENPORT AND ONE IN DEWITT, IOWA. GENESIS MEDICAL CENTER - DAVENPORT, CONTAINING 502 LICENSED ACUTE CARE BEDS. STATISTICS INCLUDE 74,294 PATIENT DAYS, 19,567 PATIENT DISCHARGES, AND 215,841 OUTPATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS AND 77 LONG-TERM CARE BEDS. STATISTICS INCLUDE 1,943 PATIENT DAYS, 268 PATIENT DISCHARGES, AND 20,378 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING.

4b	(Code: ) (Expenses $ 97,591,615 including grants of $ ) (Revenue $ 81,201,002 )
	GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA), CONSISTS OF 45 CLINICS AND 159 PHYSICIANS ENCOMPASSING A WIDE VARIETY OF SPECIALTIES AND FAMILY PRACTICE GROUPS SERVING IOWA, ILLINOIS AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND WESTERN ILLINOIS. STATISTICS INCLUDE TOTAL PRACTITIONER HOURS 276,058 AND RVU'S (RELATIVE VALUE UNITS) 883,930.

4c	(Code: ) (Expenses $ 25,445,829 including grants of $ ) (Revenue $ 32,719,716 )
	GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES HOME HEALTH SERVICES INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING, MEDICAL SOCIAL WORKER VISITS, AND THE HOSPICE HOUSE THAT CARES FOR TERMINALLY ILL PATIENTS. STATISTICS INCLUDE 140,792 HOME HEALTH VISITS AND 56,522 HOSPICE/HOSPICE HOUSE DAYS.

	(Code: ) (Expenses $ 1,977,393 including grants of $ ) (Revenue $ 1,412,431 )
	GENESIS ACCOUNTABLE CARE ORGANIZATION (ACO) IS A SINGLE MEMBER IOWA LIMITED LIABILITY COMPANY FORMED IN DECEMBER 2011. ITS PURPOSE IS TO ENGAGE IN ANY LAWFUL BUSINESS RELATED TO THE CREATION AND ORGANIZATION OF A "PHYSICIAN-DRIVEN" NETWORK TO ACT AS, AND/OR PARTICIPATE IN, AN ACCOUNTABLE CARE ORGANIZATION WITHIN THE MEANING OF THE FEDERAL PATIENT PROTECTION AND AFFORDABLE CARE ACT. THE COMPANY IS ALSO ORGANIZED TO DEVELOP A CLINICALLY INTEGRATED NETWORK OF PROVIDERS INCLUDING PHYSICIANS, HEALTH PROFESSIONALS, HOSPITALS AND ANCILLARY PROVIDERS WORKING TOGETHER TO PROMOTE HIGH QUALITY, COORDINATED AND EFFICIENT CARE TO PATIENTS INCLUDING MEMBERS OF VARIOUS MANAGED CARE PAYERS AND THE COMMUNITY AT LARGE. GENESIS HEALTH SYSTEM (GHS IOWA) IS THE SOLE MEMBER OF GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC. FOR INCOME TAX AND INFORMATIONAL RETURN PURPOSES, GENESIS ACCOUNTABLE CARE ORGANIZATION, LLC IS A DISREGARDED ENTITY AND IS INCLUDED WITHIN THE GHS IOWA'S INCOME TAX AND INFORMATIONAL RETURNS.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 1,977,393 including grants of $ ) (Revenue $ 1,412,431 )
4e	Total program service expenses460,712,866

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	9,679,894	0	868,882

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	1,273,948
e	Government grants (contributions)		1e	1,671,072

f	All other contributions, gifts, grants, and similar amounts not included above		1f	821,818

g	Noncash contributions included in lines 1a-1f:$ 162,499
h Total.Add lines 1a-1f.......		3,766,838

		Business Code
2a	OUTPATIENT REVENUE	621400	557,371,712	557,371,712
b	INPATIENT REVENUE	900099	488,517,879	488,517,879
c	CLINIC/NURSING REVENUE	621400	201,126,277	201,126,277
d	HOME HEALTH/PROFESSIONAL SERVICES	621400	11,362,140	9,816,814	1,545,326
e	RESIDENT/LONG TERM CARE	624100	5,078,557	5,078,557
f	All other program service revenue.			-776,322,201	-776,322,201
g Total.Add lines 2a–2f.....			487,134,364

3 Investment income (including dividends, interest, and othersimilar amounts) ..........			13,037,418			13,037,418
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents
b	Less: rental expenses
c	Rental income or (loss)
d	Net rental income or (loss)......
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	1,511,201	202,915,100
b	Less: cost or other basis and sales expenses	1,735,045	198,004,828
c	Gain or (loss)	-223,844	4,910,272
d	Net gain or (loss).....			4,686,428			4,686,428
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
	a
b	Less: direct expenses ...b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
	a
b	Less: direct expenses ...b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
	a		767,871
b	Less: cost of goods sold ..b		436,927
c	Net income or (loss) from sales of inventory..			330,944			330,944
Business Code			Miscellaneous Revenue
11a	VENDOR REBATES		900099	200,824	200,824
b	NUTRITIONAL SERVICES		900099	103,070	103,070
c	AMBULANCE		900099	44,533	44,533
d	All other revenue ....			214,820	214,820
e	Total. Add lines 11a–11d ......			563,247
12	Total revenue. See Instructions......			509,519,239	486,152,285	1,545,326	18,054,790

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21	3,074,880	3,074,880
2	Grants and other assistance to individuals in the United States. See Part IV, line 22	87,934	87,934
3	Grants and other assistance to governments, organizations, and individuals outside the United States. See Part IV, lines 15 and 16
4	Benefits paid to or for members
5	Compensation of current officers, directors, trustees, and key employees ....	4,773,311	2,165,393	2,607,918
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ....	109,576	109,576
7	Other salaries and wages	208,282,916	203,001,679	5,281,237
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,052,440	4,047,242	5,198
9	Other employee benefits .......	16,173,873	16,167,335	6,538
10	Payroll taxes ...........	14,311,959	13,912,230	399,729
11	Fees for services (non-employees):
a	Management ......	3,518,864	1,652,858	1,866,006
b	Legal .........	1,565,285	1,565,285
c	Accounting ...........	297,917	297,917
d	Lobbying ...........	86,165	7,500	78,665
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......	692,488		692,488
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	69,100,269	68,352,154	748,115
12	Advertising and promotion ....	1,668,042	1,354,610	313,432
13	Office expenses .......	7,901,919	7,319,739	582,180
14	Information technology ......	2,426,271	2,320,048	106,223
15	Royalties ..
16	Occupancy ...........	17,759,858	15,704,642	2,055,216
17	Travel ............	2,050,621	1,608,293	442,328
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	712,879	680,706	32,173
20	Interest ...........	2,502,390	2,502,390
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	25,699,570	25,385,861	313,709
23	Insurance ...	763,879	763,879
24	Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a	FEDERAL AND STATE INCOM	90,082	83,202	6,880
b	PATIENT SUPPLY COST OF	41,327,500	41,327,500
c	MEDICAL AND PHARMACEUTI	39,072,150	39,070,480	1,670
d	FOOD, BEVERAGES, AND OT	6,569,645	6,022,155	547,490
e	All other expenses	2,565,815	2,127,378	438,437
25	Total functional expenses. Add lines 1 through 24e	477,238,498	460,712,866	16,525,632	0
26	Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			14,763,086	1	17,231,068
2	Savings and temporary cash investments .........			67,759,595	2	83,734,562
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			73,990,866	4	79,517,999
5	Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
					6
7	Notes and loans receivable, net ....			30,015,269	7	25,817,168
8	Inventories for sale or use ........			10,734,722	8	11,121,056
9	Prepaid expenses and deferred charges ......			96,310,167	9	62,848,115
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	684,217,181
b	Less: accumulated depreciation	10b	445,035,136	194,139,506	10c	239,182,045
11	Investments—publicly traded securities .			208,887,795	11	214,111,204
12	Investments—other securities. See Part IV, line 11 .....			63,726,643	12	66,124,874
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............			473,348	14	473,348
15	Other assets. See Part IV, line 11 ...........			29,827,799	15	30,221,697
16	Total assets. Add lines 1 through 15 (must equal line 34)...			790,628,796	16	830,383,136

17	Accounts payable and accrued expenses .....	59,679,140	17	80,863,740
18	Grants payable ...		18
19	Deferred revenue .........		19
20	Tax-exempt bond liabilities .........	186,717,996	20	179,157,606
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
	persons. Complete Part II of Schedule L..		22
23	Secured mortgages and notes payable to unrelated third parties ..		23
24	Unsecured notes and loans payable to unrelated third parties ..		24
25	Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D	25,933,087	25	42,247,948
26	Total liabilities. Add lines 17 through 25..	272,330,223	26	302,269,294

	Organizations that follow SFAS 117 (ASC 958), check here and complete lines 27 through 29, and lines 33 and 34.
27	Unrestricted net assets	503,072,280	27	513,775,469
28	Temporarily restricted net assets ...........	15,226,293	28	14,338,373
29	Permanently restricted net assets		29
	Organizations that do not follow SFAS 117 (ASC 958), check here and complete lines 30 through 34.
30	Capital stock or trust principal, or current funds .....		30
31	Paid-in or capital surplus, or land, building or equipment fund ...		31
32	Retained earnings, endowment, accumulated income, or other funds		32
33	Total net assets or fund balances ...........	518,298,573	33	528,113,842
34	Total liabilities and net assets/fund balances ........	790,628,796	34	830,383,136

1	Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
2	Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to separately file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A). . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
3	Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471). . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
4	Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621) .	Yes	No
5	Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865). . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No
6	Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to separately file Form 5713, International Boycott Report (see Instructions for Form 5713).. . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .	Yes	No