2024-05-08T07:55:03-05:00 2023-06-30 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-07-01 010932846 GENESIS HEALTHCARE INC GENE 8032543676 8906 TWO NOTCH ROAD COLUMBIA SC 29223 TONY R MEGNA CEO 8032543676 2024-05-08 1 TONY MEGNA 999009999 1 AMY BIBBY P00445891 8282542254 2024-05-08 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z TONY R MEGNA 8906 TWO NOTCH ROAD COLUMBIA SC 29223 65564784 0 X WWW.GENESISFQHC.ORG X 2009 SC TO PROVIDE MEDICAL, DENTAL, AND PHARMACEUTICAL SERVICES TO THE COMMUNITY SERVED. 12 12 271 12 310258 0 32 22 53741526 62534569 -972950 1920803 847427 583139 53616035 65038533 56102 78563 0 0 17281799 19900921 0 0 0 20370530 25320095 37708431 45299579 15907604 19738954 100474165 119491237 6497065 5370365 93977100 114120872 X TO PROVIDE TIMELY, AFFORDABLE, COMPASSIONATE, AND QUALITY PRIMARY AND PREVENTATIVE MEDICAL, DENTAL, AND PHARMACEUTICAL SERVICES TO SOUTH CAROLINA'S ECONOMICALLY AND CULTURALLY DIVERSE COMMUNITIES. 0 0 35280341 78563 62807450 GENESIS HEALTHCARE, INC. ("GHC") IS A NON-PROFIT COMMUNITY HEATLHCARE CENTER DEEPLY COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY THROUGH PREVENTION, EARLY INTERVENTION, REHABILITATION, AND EDUCATION. OUR COMMUNITY HEALTH CENTERS IN DARLINGTON, OLANTA, LAMAR, WALTERBORO, FLORENCE AND GOOSE CREEK, SOUTH CAROLINA, PROVIDE PRIMARY HEALTHCARE SERVICES TO PATIENTS OF ALL AGES. ADDITIONALLY, LOWCOUNTRY PEDIATRICS PROVIDES SERVICES IN GOOSE CREEK, SOUTH CAROLINA. AS A COMMUNITY HEALTH CENTER, GHC IS STRONGLY COMMITTED TO IMPROVING THE HEALTH OF ITS COMMUNITY THROUGH PREVENTION, EARLY INTERVENTION, REHABILITATION AND EDUCATION. THE SERVICES OFFERED BY GHC INCLUDE:CONTINUED ON SCHEDULE O- GENERAL PRIMARY MEDICAL CARE- BEHAVIORAL HEALTH SERVICES- EMERGENCY MEDICAL SERVICES- DIAGNOSTIC LABORATORY SERVICES- DIAGNOSTIC X-RAYS- DIAGNOSTIC SCREENINGS- ULTRASOUNDS AND ECHOCARDIOGRAPHY- BONE DENSITY TESTIN- CARE COORDINATION- CASE MANAGEMENT- IMMUNIZATIONS- GYNECOLOGICAL CARE- OBSTETRICS- MEDICATION MANAGEMENT- ON-SITE PHARMACY- FOOT CARE CLINIC- PHARMACEUTICALS- PHARMACY SERVICES- PULMONARY FUNCTION TESTIN- TRANSPORTATION TO AND FROM APPOINTMENTS, IF NEEDED- PEDIATRICS- UROLOGY- SUBSTANCE ABUSE SCREENING, REFERRAL, AND TREATMENTIN ADDITION TO THE ABOVE SERVICES, GHC IMPLEMENTED A PROGRAM ENTITLED CASE MANAGEMENT. CASE MANAGEMENT IS A PATIENT MANAGEMENT PROGRAM DESIGNED TO IMPROVE THE HEALTH OF PATIENTS WITH CHRONIC ILLNESSES SUCH AS DIABETES, HIGH BLOOD PRESSURE, HEART DISEASE, ASTHMA, COPD, AND HIGH CHOLESTEROL.GHC'S PHARMACY IS CERTIFIED AS A SPECIALTY PHARMACY THROUGH BOTH THE UTILIZATION REVIEW ACCREDITATION COMMISSION (URAC) AND THE ACCREDITATION COMMISSION FOR HEATLH CARE (ACHC).SERVICES PROVIDED BY GHC ARE AVAILABLE TO ALL COMMUNITY RESIDENTS, REGARDLESS OF THEIR FINANCIAL OR INSURANCE STATUS. GHC OFFES A REDUCED SLIDING FEE SCHEDULE BASED ON AN INDIVIDUAL'S INCOME AND FAMILY SIZE. 35280341 1 0 0 1 0 0 0 0 0 0 1 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 1 0 0 1 1 0 0 0 0 0 0 0 0 0 1 3 0 1 271 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 12 12 1 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 0 SC X NATHAN PRABHAKAR 8032543676 8906 TWO NOTCH ROAD COLUMBIA SC 29223 DAVID CORRY CHAIRMAN 2.00 X X 0 0 0 JENNIFER POWELL VICE CHAIRMAN 2.00 X X 0 0 0 MICHAEL S MCMANUS VICE-CHAIRMAN 2.00 X X 0 0 0 ROOSEVELT SCOTT TREASURER 2.00 X X 0 0 0 JOHN KIMBROUGH SECRETARY 2.00 X X 0 0 0 SCOTT EAGERTON BOARD MEMBER 2.00 X 0 0 0 MAL HYMAN BOARD MEMBER 2.00 X 0 0 0 KAREN M LEE BOARD MEMBER 2.00 X 0 0 0 JOHN C RAMSEY BOARD MEMBER 2.00 X 0 0 0 THOMAS TC SAWYER BOARD MEMBER 2.00 X 0 0 0 ERNESTINE FERGUSON BOARD MEMBER 2.00 X 0 0 0 WILBUR COLEMAN BOARD MEMBER 2.00 X 0 0 0 TONY R MEGNA CHIEF EXECUTIVE OFFICER 60.00 X 545181 0 53248 KATHRINE NOYES MILLIGAN CHIEF SPECIAL PROJECTS OFFICER 60.00 X 436150 0 48079 PAUL FULBRIGHT CHIEF INFORMATION OFFICER 60.00 X 443908 0 48079 ALEXANDER COHEN CHIEF MEDICAL OFFICER 60.00 X 467500 0 48079 PRISCILLA WELCH CHIEF MEDICAL OFFICER 60.00 X 472458 0 39977 KIMBERLY WEATHERFORD CHIEF OPERATIONS OFFICER 60.00 X 300660 0 31578 MARK CALLAHAN CHIEF FACILITIES MAINTENANCE OFFICER 60.00 X 304374 0 47038 HELEN MILLING-CARROLL CHIEF COMPLIANCE OFFICER 60.00 X 294253 0 49293 WARREN M MATTHEWS CHIEF OF PHARMACY OPERATIONS 60.00 X 290715 0 39774 CHERI FOWLER CHIEF COMMUNICATIONS OFFICER 60.00 X 165400 0 38204 NATHAN PRABHAKAR EXECUTIVE FINANCE OFFICER 55.00 X 195115 0 38889 ALTHIA MANUEL CLINICAL REVENUE CYCLE OFFICER 50.00 X 139038 0 30010 BRENT BAROODY PHYSICIAN OBGYN 40.00 X 253379 0 17577 MICHAEL W BARRETT PHYSICIAN 40.00 X 189473 0 26929 BRIAN HEASTER PHYSICIAN 40.00 X 202845 0 17369 ISABEL MENDOZA PHYSICIAN 40.00 X 168139 0 12375 PETER O'KELLY PHYSICIAN 40.00 X 321618 0 26238 5190206 0 612736 40 0 1 0 LCK LLC PO BOX 11129 COLUMBIA SC 29211 PROJECT MANAGEMENT 7445144 ADAMS AND REESE LLP 1501 MAIN ST 5TH FLOOR COLUMBIA SC 29201 LEGAL 473397 GRIFFIN ATTORNEYS & COOUNSELORS LLC PO BOX 999 COLUMBIA SC 29202 LEGAL 165000 OMNICELL - 340B LINK LLC PO BOX 123651 DALLAS TX 75312 CONTRACT PHARMACY SERVICES 129865 DIRECT RADIOLOGY LLC PO BOX 1619 COEUR DALENE ID 83816 RADIOLOGY SERVICES 128566 7 22 22 NET PATIENT REVENUE 621400 58511240 58200982 310258 HHS ACA ACCESS POINT FUNDS 621400 2085626 2085626 SCDHHS REVENUE 621400 1623818 1623818 ARPA 900099 306104 306104 CAPITAL ASSISTANCE FOR DISASTER R 900099 7781 7781 62534569 2426522 2426522 82306 20532 61774 61774 61774 505719 -505719 -505719 -505719 CONTRACT SERVICES REVENUE 900099 518543 518543 MISCELLANEOUS REVENUE 900099 2822 2822 521365 65038533 62807450 310258 1920803 78563 78563 4054753 939959 3114794 270463 22378 248085 12099137 10380048 1719089 161143 161143 2277265 1306829 970436 1038160 753116 285044 713976 713976 153250 153250 274946 274946 179268 179268 1327029 1252937 74092 419979 303276 116703 986088 900343 85745 583204 183633 399571 758239 613432 144807 200717 59477 141240 30562 13281 17281 483218 60326 422892 1347838 979262 368576 289644 196099 93545 SUPPLIES 16515942 16442416 73526 BAD DEBT EXPENSE 522723 522723 0 REPAIRS AND MAINTENANCE 276843 200128 76715 MISCELLANEOUS EXPENSE 182922 2547 180375 73707 69568 4139 45299579 35280341 10019238 0 3500000 1477753 27884445 19671171 3110591 3703379 4173345 1144398 502116 933285 31925416 6279824 18886225 25645592 42417443 66915659 100474165 119491237 3386169 4664745 3110896 705620 6497065 5370365 X 93977100 114120872 93977100 114120872 100474165 119491237 19738954 404818 0 X X 0 1 X 1 1 1 X 0 0 0 0 0 0 1 274946 0 0 274946 0 PART II-B, LINE 1: DURING THE FISCAL YEAR THE ORGANIZATION HIRED CONSULTANTS TO HELP EDUCATE ABOUT AND ADVOCATE FOR ISSUES THAT COULD IMPACT THE ORGANIZATION'S INDUSTRY AND OPERATIONS. 1784000 1784000 23743317 3702658 20040659 3202403 2387158 815245 3195696 190008 3005688 25645592 DUE FROM RELATED AFFILIATES 103877 AMOUNTS DUE FROM THIRD PARTY PAYERS 47703 ASSETS LIMITED AS TO USE 66764079 66915659 X 64761892 404818 20532 425350 64336542 179268 522723 701991 65038533 44618120 20532 20532 44597588 179268 522723 701991 45299579 PART X, LINE 2: GENESIS IS CLASSIFIED AS AN ORGANIZATION EXEMPT FROM INCOME TAXES UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE. AS SUCH, NO PROVISION FOR INCOME TAXES HAS BEEN MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. GENESIS PAYS INCOME TAXES ON ANY UNRELATED BUSINESS INCOME (UBI). NO UBI TAX WAS RECOGNIZED IN 2023 OR 2022 AND THE AMOUNT OF UNUTILIZED UBI NET OPERATING LOSS CARRYFORWARDS IS NOT MATERIAL. AT JUNE 30, 2023, TAX YEARS 2020 THROUGH 2022 ARE SUBJECT TO EXAMINATION BY THE INTERNAL REVENUE SERVICE. GENESIS HAD NO UNCERTAIN TAX POSITIONS WITH REGARD TO RELATED OR UNRELATED BUSINESS INCOME AT JUNE 30, 2023 OR 2022. PART XI, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 20,532. PART XI, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 522,723. PART XII, LINE 2D - OTHER ADJUSTMENTS: RENTAL EXPENSES 20,532. PART XII, LINE 4B - OTHER ADJUSTMENTS: BAD DEBT EXPENSE 522,723. 1 EDWARD VIA VIRGINIA COLLEGE OF OSTEOPATHIC MEDICINE 2265 KRAFT DRIVE BLACKSBURG VA 24060 542052107 501(C)(3) 25000 0 GENERAL OPERATIONS RONALD MCDONALD HOUSE CHARITIES 2901 COLONIAL DRIVE COLUMBIA SC 29203 570725736 501(C)(3) 25000 0 GENERAL OPERATIONS AMERICAN HEART ASSOCIATION 887 JONNIE DODDS BLVD SUITE 110 MT PLEASANT SC 29464 135613797 501(C)(3) 15000 0 GENERAL OPERATIONS COLLETON COUNTY RICE FESTIVAL PO BOX 1705 WALTERBORO SC 29488 570691134 501(C)(3) 12500 0 GENERAL OPERATIONS 4 0 PART I, LINE 2: THE ORGANIZATION GRANTS FUNDS TO APPROVED ENTITIES (GOVERNMENTAL OR 501(C)(3)). IN THE EVENT THAT THE ORGANIZATION DETERMINES FUNDS WERE NOT SPENT APPROPRIATELY, FUTURE GRANTS WOULD BE SUSPENDED. 1 X X X X 0 0 0 0 0 0 0 0 0 TONY R MEGNA CHIEF EXECUTIVE OFFICER 493721 0 44500 0 6960 0 32700 0 20548 0 598429 0 0 0 ALEXANDER COHEN CHIEF MEDICAL OFFICER 398000 0 69500 0 0 0 32700 0 15379 0 515579 0 0 0 PRISCILLA WELCH CHIEF MEDICAL OFFICER 402958 0 69500 0 0 0 32700 0 7277 0 512435 0 0 0 PAUL FULBRIGHT CHIEF INFORMATION OFFICER 385900 0 45500 0 12508 0 32700 0 15379 0 491987 0 0 0 KATHRINE NOYES MILLIGAN CHIEF SPECIAL PROJECTS OFFICER 383250 0 44500 0 8400 0 32700 0 15379 0 484229 0 0 0 MARK CALLAHAN CHIEF FACILITIES MAINTENANCE OFFICER 245099 0 55500 0 3775 0 31659 0 15379 0 351412 0 0 0 PETER O'KELLY PHYSICIAN 314118 0 7500 0 0 0 9786 0 16452 0 347856 0 0 0 HELEN MILLING-CARROLL CHIEF COMPLIANCE OFFICER 244253 0 45500 0 4500 0 30019 0 19274 0 343546 0 0 0 KIMBERLY WEATHERFORD CHIEF OPERATIONS OFFICER 250660 0 45500 0 4500 0 31208 0 370 0 332238 0 0 0 WARREN M MATTHEWS CHIEF OF PHARMACY OPERATIONS 243734 0 45500 0 1481 0 20500 0 19274 0 330489 0 0 0 BRENT BAROODY PHYSICIAN OBGYN 245879 0 7500 0 0 0 10300 0 7277 0 270956 0 0 0 NATHAN PRABHAKAR EXECUTIVE FINANCE OFFICER 149615 0 45500 0 0 0 27700 0 11189 0 234004 0 0 0 BRIAN HEASTER PHYSICIAN 196845 0 6000 0 0 0 6180 0 11189 0 220214 0 0 0 MICHAEL W BARRETT PHYSICIAN 183683 0 5790 0 0 0 7655 0 19274 0 216402 0 0 0 CHERI FOWLER CHIEF COMMUNICATIONS OFFICER 119900 0 45500 0 0 0 26500 0 11704 0 203604 0 0 0 ISABEL MENDOZA PHYSICIAN 163189 0 4950 0 0 0 5098 0 7277 0 180514 0 0 0 ALTHIA MANUEL CLINICAL REVENUE CYCLE OFFICER 97538 0 41500 0 0 0 18821 0 11189 0 169048 0 0 0 PART I, LINE 3 THE COMPENSATION COMMITTEE OF THE GHC BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO AND MEDICAL DIRECTORS. STATE AND NATIONAL COMPARABILITY DATA IS USED TO ASSIST IN DETERMINING THE APPROPRIATE COMPENSATION. HTR MANAGEMENT LLC OFFICERS AND EMPLOYEES OF ORGANIZATION ALSO OWN LLC LOAN ASSOCIATED WITH PURCHASE OF VARIOUS PROPERTIES X 4179621 0 0 1 1 DR PRISCILLA WELCH OFFICER OF ORGANIZATION CAPITAL(FINANCING) LEASE AGREEMENT WITH A LIFE ESTATE AGREEMENT X 537817 705620 0 1 1 705620 JOHN MATTHEWS FAMILY MEMBER OF WARREN MATTHEWS 23757 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 MARY MOLLY ARNEMAN FAMILY MEMBER OF TONY MEGNA 68086 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 RACHEL JAGGASSAR FAMILY MEMBER OF CHERI FOWLER 13597 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY FAMILY MEMBER 0 KRISTEN KELLY FAMILY MEMBER OF KIM WEATHERFORD 22378 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 LAUREN GLASS FAMILY MEMBER OF MARK CALLAHAN 68313 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 JULIA FULBRIGHT FAMILY MEMBER OF PAUL FULBRIGHT 67094 COMPENSATION. THE EMPLOYEE IS NOT MANAGED OR OVERSEEN BY THE FAMILY MEMBER. 0 FORM 990, PART VI, SECTION A, LINE 2 TONY MEGNA, CHIEF EXECUTIVE OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. ALEXANDER COHEN, CHIEF MEDICAL OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. KATIE NOYES, CHIEF SPECIAL PROJECTS OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. PAUL FULLBRIGHT, CHIEF INFORMATION OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. WARREN M. MATTHEWS, PHARMACY FINANCE DIRECTOR, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. MARK CALLAHAN SR., CHIEF FACILITIES MAINTENANCE OFFICER, HAS A BUSINESS RELATIONSHIP WITH HTR, LLC WHICH IS MAJORITY OWNED BY OFFICERS OF THE ORGANIZATION. THE DIRECTOR OF ADMINSTRATIVE COMPLIANCE IS THE DAUGHTER-IN-LAW OF THE CHIEF INFORMATION OFFICER. FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 IS PROVIDED TO EACH BOD MEMBER AT THE REGULARLY SCHEDULED APRIL MEETING PRIOR TO THE MAY FILING DEADLINE. THE MEMBERS ARE REQUESTED TO SUBMIT ANY INQUIRIES WITHIN TWO WEEKS FROM THE MEETING DATE TO ALLOW FOR INQUIRY AND ANY POTENTIAL ADDITIONAL INFORMATION TO BE PROVIDED. FORM 990, PART VI, SECTION B, LINE 12C IN CONNECTION WITH ANY ACTUAL OR POSSIBLE CONFLICT OF INTEREST, AN INTERESTED PERSON MUST DISCLOSE THE EXISTENCE OF THE FINANCIAL INTEREST AND BE GIVEN THE OPPORTUNITY TO DISCLOSE ALL MATERIAL FACTS TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. AFTER DISCLOSURE OF THE FINANCIAL INTEREST AND ALL MATERIAL FACTS AND AFTER ANY DISCUSSION WITH THE INTERESTED PERSON, HE/SHE SHALL LEAVE THE GOVERNING BOARD OR COMMITTEE MEETING WHILE THE DETERMINATION OF A CONFLICT OF INTEREST IS DISCUSSED AND VOTED UPON. THE REMAINING BOARD OR COMMITTEE MEMBERS SHALL DECIDE IF A CONFLICT OF INTEREST EXISTS. THE DECISION OF THE BOARD THAT A CONFLICT OF INTEREST DOES OR DOES NOT EXIST IS FINAL AND CREATES A REBUTTABLE PRESUMPTION THAT ADEQUATE MATERIAL FACTS HAVE BEEN, IN FACT, DISCLOSED TO THE DIRECTORS AND MEMBERS OF COMMITTEES WITH GOVERNING BOARD-DELEGATED POWERS CONSIDERING THE PROPOSED TRANSACTION OR ARRANGEMENT. IF THE GOVERNING BOARD OR COMMITTEE HAS REASONABLE CAUSE TO BELIEVE A MEMBER HAS FAILED TO DISCLOSE ACTUAL OR POSSIBLE CONFLICTS OF INTEREST, IT SHALL INFORM THE MEMBER OF THE BASIS FOR SUCH BELIEF AND AFFORD THE MEMBER AN OPPORTUNITY TO EXPLAIN THE ALLEGED FAILURE TO DISCLOSE. IF, AFTER HEARING THE MEMBER'S RESPONSE AND AFTER MAKING FURTHER INVESTIGATION AS WARRANTED BY THE CIRCUMSTANCES, THE GOVERNING BOARD OR COMMITTEE DETERMINES THE MEMBER HAS FAILED TO DISCLOSE AN ACTURAL OR POSSIBLE CONFLICT OF INTEREST, THE MEMBER WILL BE REMOVED FROM SERVICE. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION COMMITTEE OF THE GHC BOARD OF DIRECTORS REVIEWS AND APPROVES THE COMPENSATION OF THE CEO AND MEDICAL DIRECTORS. STATE AND NATIONAL COMPARABILITY DATA IS USED TO ASSIST IN DETERMINING THE APPROPRIATE COMPENSATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION MAKES ITS GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC UPON REQUEST. FINANCIAL INFORMATION IS PUBLICLY AVAILABLE VIA FORM 990 AND ANY REQUESTS FOR ADDITIONAL FINANCIAL DATA WILL BE CONSIDERED ON AN INDIVIDUAL BASIS. PART XII, LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.