2024-11-14T10:41:20-06:00 2023-12-31 381357951 PLANTE & MORAN PLLC 250 S HIGH ST SUITE 100 COLUMBUS OH 43215 990 2023-01-01 311480941 GENESIS HEALTHCARE SYSTEM GENE 7404545000 2951 MAPLE AVENUE ZANESVILLE OH 43701 ADAM HOPPER CFO 7404545000 2024-11-13 1 1 AMY CIMINELLO P00796388 6148493000 2024-11-13 2023 2024-10-15 13:58:12Z MATTHEW PERRY 2951 MAPLE AVENUE ZANESVILLE OH 43701 677049016 0 3727 X WWW.GENESISHCS.ORG X 1997 OH IN 1997, GOOD SAMARITAN MEDICAL CENTER AND BETHESDA HOSPITAL ASSOCIATION, A TAX-EXEMPT COMMUNITY HOSPITAL ALSO LOCATED IN ZANESVILLE, AFFILIATED TO FORM GENESIS HEALTHCARE SYSTEM. GENESIS HAS BEEN GRANTED 501C3 STATUS AS A HOSPITAL. ALL HOSPITAL OPERATIONS AND ASSETS OF GOOD SAMARITAN MEDICAL CENTER WERE TRANSFERRED TO GENESIS WITH THE EXCEPTION OF CERTAIN INVESTMENTS. GOOD SAMARITAN MEDICAL CENTER WILL CONTINUE TO HAVE CONTROL OVER CERTAIN INVESTMENTS WHICH ARE BEING USED BY THE GENESIS HEALTHCARE SYSTEM IN FULFILLING ITS TAX-EXEMPT PURPOSE. 16 13 3852 345 263952 0 25402234 18641321 560067276 586584271 4712982 -1156020 20323398 65286643 610505890 669356215 277495 718365 0 0 222050191 237791185 0 0 0 323137455 364370333 545465141 602879883 65040749 66476332 601707220 626849932 372086402 370672998 229620818 256176934 X WE SERVE OUR COMMUNITY BY HELPING EACH PERSON ACHIEVE THEIR OPTIMAL HEALTH AND WELL-BEING BY PROVIDING COMPASSIONATE, EXCEPTIONAL, AND AFFORDABLE HEALTHCARE SERVICES. 0 0 402931027 718365 648135011 GENESIS PROVIDES ACUTE CARE SERVICES INCLUDING MEDICAL, SURGICAL, OBSTETRICAL, PEDIATRIC AND CRITICAL CARE. GENESIS PROVIDES A WIDE RANGE OF DIAGNOSTIC AND SUPPORT SERVICES FOR INPATIENTS AND OUTPATIENTS. THESE SERVICES ARE COMPRISED OF LABORATORY, IMAGING SERVICES, CARDIAC, AND PHARMACY. LABORATORY SERVICES INCLUDE CHEMISTRY, PATHOLOGY, MICROBIOLOGY, HEMATOLOGY, CYTOLOGY, AND PHLEBOTOMY. IMAGING SERVICES INCLUDES RADIOLOGY, NUCLEAR MEDICINE, MRI, ULTRASOUND, CT SCAN, PET SCAN, MAMMOGRAPHY AND BONE DENSITY SCANNING.GENESIS HEART & VASCULAR SERVICES PROVIDE NEEDED HEART CARE FROM PREVENTION TO REHABILITATION. OUR BOARD-CERTIFIED SPECIALISTS INCLUDE CARDIOLOGISTS, CARDIOTHORACIC VASCULAR SURGEONS, ELECTROPHYSIOLOGISTS, INTERVENTIONAL CARDIOLOGISTS, CARDIAC ANESTHESIOLOGISTS AND CARDIAC REHAB SPECIALISTS. THE CARDIOTHORACIC AND VASCULAR SURGICAL TEAMS PERFORM A WIDE VARIETY OF COMPLEX AND HIGH-RISK CARDIAC, THORACIC AND VASCULAR PROCEDURES INCLUDING OPEN HEART SURGERY. OUR CARDIAC TEAM TAKES OUR PATIENTS FROM EVALUATION AND DIAGNOSIS THROUGH LIFESTYLE CHANGES AND TREATMENTS. ALSO INCLUDED IN OUR CARDIAC SERVICES ARE OUR CLINICS AND SPECIALTY PROGRAMS. THESE INCLUDE AN ANTICOAGULATION CLINIC, A CONGESTIVE HEART FAILURE CLINIC, A DEVICE CLINIC, A VEIN CLINIC AND A CARDIAC REHABILITATION PROGRAM. GENESIS IS AN ACCREDITED CHEST PAIN CENTER WITH PCI, AN ACCREDITED ECHOCARDIOGRAPHY FACILITY. RESPIRATORY SERVICES - GENESIS RESPIRATORY & LUNG PROVIDES SERVICES FOR A VARIETY OF LUNG CONDITIONS AND DISEASES INCLUDING LUNG SURGERIES AND RESPIRATORY THERAPY. OUR TEAM, INCLUDING BOARD-CERTIFIED PULMONOLOGISTS, PROVIDE CARE AND TREATMENT FOR PATIENTS WITH PNEUMONIA, LUNG CANCER, BLACK LUNG DISEASE, RESPIRATORY FAILURE, COLLAPSED LUNG, AND OTHER PLEURAL DISEASES. THE GENESIS ORTHOPEDIC TEAM OF BOARD-CERTIFIED SURGEONS, SPECIALLY TRAINED NURSES, AND REHABILITATION THERAPISTS WORK TOGETHER TO DIAGNOSE AND TREAT THE MUSCULOSKELETAL ISSUES OF OUR PATIENTS. SERVICES RANGE FROM ADVANCED IMAGING TESTING THROUGH TO REHABILITATION. SURGICAL SURGERIES INCLUDE NUMEROUS PROCEDURES INCLUDING REPLACEMENT OF THE HIP, KNEE, OR SHOULDER AS WELL AS VARIOUS SURGERIES INVOLVING THE HAND. THE SPECIALIZED REHABILITATION PROGRAM SPEEDS RECOVERY AFTER A SERIOUS INJURY OR SURGERY RELATED TO A BONE, JOINT, LIGAMENT, TENDON OR MUSCLE. IN ADDITION TO PHYSICAL AND OCCUPATIONAL THERAPY, GENESIS ALSO PROVIDES AMPUTEE AND PROSTHETICS THERAPY AND TRAINING. IN 2023, GENESIS COSHOCTON MEDICAL CENTER OPENED. THIS IS A NEWLY CONSTRUCTED ACUTE CARE HOSPITAL FACILITY. COSHOCTION PROVIDES A WIDE RANGE OF SERVICES INCLUDING A 24/7 EMERGENCY DEPARTMENT, AN OUTPATIENT SURGERY CENTER, AN OVERNIGHT OBSERVATION UNIT, A LABORATORY, CARDIAC DIAGNOSTICS, RESPIRATORY THERAPY, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, PHYSICIAN SPECIALISTS, AND AN IMAGING DEPARTMENT THAT OFFERS MRI, CT, X-RAY, 3D MAMMOGRAPHY, AND ULTRASOUND SERVICES. 402931027 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 217 0 1 3852 1 1 1 1 CJ 0 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X ADAM HOPPER 7404544773 2951 MAPLE AVENUE ZANESVILLE OH 43701 X KRISTY RITCHIE MD TRUSTEE 50.00 0.00 X 642484 0 40682 BRANDICE ALEXANDER DO PRESIDENT OF MEDICAL STAFF 50.00 0.00 X 417854 0 26832 ERIN REMSTER DO TRUSTEE 50.00 0.00 X 367487 0 29063 RANDY COCHRANE TRUSTEE 1.38 0.00 X 94927 0 0 TOD KLOTZBACH VICE CHAIR 1.15 0.20 X X 0 0 0 JAMES MCDONALD CHAIR 1.38 0.17 X X 0 0 0 JIM NICHOLSON TREASURER 1.15 0.14 X X 0 0 0 MATT ABBOTT ASST. SECRETARY 1.15 0.00 X X 0 0 0 SCOTT MCCONNAHA EX-OFFICIO 1.38 0.00 X 0 0 0 SR MAUREEN ANNE SHEPARD TRUSTEE 1.38 0.00 X 0 0 0 PATRICK NASH TRUSTEE 1.38 0.20 X 0 0 0 DANA MATZ TRUSTEE 1.27 0.00 X 0 0 0 JOANN BUTCHER TRUSTEE 1.27 0.20 X 0 0 0 HANNAH NISSEN TRUSTEE 1.38 0.00 X 0 0 0 SUSAN HOLDREN TRUSTEE 1.38 0.00 X 0 0 0 WILLIAM NOLL TRUSTEE 1.27 0.00 X 0 0 0 LORI LOWE TRUSTEE 1.15 0.00 X 0 0 0 MATTHEW PERRY PRESIDENT/CEO 49.83 0.17 X 882675 0 41913 SCOTT WEGNER MD CHIEF CLINICAL OFFICER 50.00 0.00 X 820608 0 45415 DIANNA LEVECK CHIEF HUMAN RESOURCES OFFICER 49.00 1.00 X 700899 0 32380 WENDY CEDOZ CHIEF LEGAL OFFICER 48.79 1.21 X 616780 0 26524 MICHAEL NORMAN CHIEF FINANCIAL OFFICER 48.92 1.08 X 550475 0 42443 SHARON PARKER CHIEF OPERATION OFFICER 49.00 1.00 X 527646 0 40793 EDMUND ROMITO CHIEF INFORMATION OFFICER 50.00 0.00 X 507403 0 35652 CHRISTOPHER SCHOELLES CHIEF OPERATION OFFICER 50.00 0.00 X 426491 0 40309 LINDA SUPPLEE DIRECTOR/CPHO 50.00 0.00 X 415732 0 5055 SHON BENDER CHIEF NURSING OFFICER 48.96 0.04 X 370420 0 12810 LES BOYER DIRECTOR 50.00 0.00 X 255300 0 24996 TISHA BABCOCK DIRECTOR 50.00 0.00 X 225268 0 36033 MARIANNE GRAHAM DIRECTOR 50.00 0.00 X 230115 0 28789 GREG MATONAK DIRECTOR 50.00 0.00 X 234411 0 15570 CHARLES ADAMS DIRECTOR 50.00 0.00 X 209876 0 24576 8496851 0 549835 371 0 1 0 CENTRAL OHIO HOSPITALISTS INC 3525 OLENTANGY RIVER RD SUITE 4330 COLUMBUS OH 43214 MEDICAL SERVICES 9830584 GUIDEHOUSE INC 1800 TYSONS BLVD 7TH FLOOR MCLEAN VA 22102 ADVISORY AND DIGITAL SERVICES 6686994 LABORATORY CORPORATION OF AMERICA HOLDIN PO BOX 12140 BURLINGTON NC 27216 LAB SERVICES 2606877 ADVIZEX TECHNOLOGIES LLC PO BOX 72130 CLEVELAND OH 441920002 TECHNOLOGY SERVICES 1155927 BDC ADVISORS LLC 151 N NOB HILL RD STE 465 PLANTATION FL 33324 ADVISORY SERVICES 1070276 24 105581 18528240 7500 18641321 NET PATIENT SERVICES 621110 586584271 586584271 586584271 3718791 3718791 1554570 2817990 -1263420 -1263420 -1263420 1135348 3739463 -1135348 -3739463 -4874811 -4874811 PHARMACY 621110 59906620 59906620 CAFETERIA SALES 621110 3471951 3471951 LABORATORY: UBI 900099 155214 155214 3016278 2907540 108738 66550063 669356215 648135011 263952 2315931 X 718365 718365 9046686 9046686 178698809 115237648 63461161 5429251 3434949 1994302 30509799 19029480 11480319 14106640 8689253 5417387 620487 21628 598859 1574945 696598 878347 353885 156523 197362 100255 44343 55912 70460 31164 39296 72830610 37564437 35266173 1216288 134157 1082131 5193798 602995 4590803 13348 5904 7444 12565850 1065147 11500703 383383 42287 341096 16928 1835 15093 14746990 14746990 22575733 6497296 16078437 5643421 622469 5020952 MEDICAL SUPPLIES 165057561 165057561 0 BAD DEBT EXPENSE 21714047 21714047 0 DUES/LICENSES/SUBSCRIPT 16952698 1869883 15082815 HFF ASSESSMENT 12556846 12556846 0 10182800 7136212 3046588 602879883 402931027 199948856 0 15344365 20358542 7711672 2023993 65082253 72890760 8000150 13026077 10120883 11010667 601964213 284989146 326188575 316975067 106613020 110522782 5905132 18163086 4281450 4281450 52459720 57597508 601707220 626849932 82472568 59501562 258625467 272913078 4800000 5112456 26188367 33145902 372086402 370672998 X 229620818 256176934 229620818 256176934 601707220 626849932 X 66476332 15825153 -55745369 X X 0 1 X 1 1 1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 1 100255 0 1 10713 110968 0 PART II-B, LINE 1: GENESIS HEALTHCARE SYSTEM PAYS MEMBERSHIP DUES AND A PORTION OF THOSE DUES ARE RELATED TO LOBBYING: OHIO HOSPITAL ASSOCIATION - FSCC SHARE (OHA): 6.20% OF $115,960 ($7,190) 340B HEALTH 2020: 6.00% OF $17,505 ($1,050) AMERICAN MEDICAL GROUP ASSOCIATION (AMGA): 10.00% OF $12,000 ($1,200) COLLEGE OF HEALTHCARE INFO MGMT EXECUTIVES (CHIME): 15.19% OF $395 ($60) TRAUMA CENTER ASSOC OF AMERICA (TCAA): 14.00% OF $2,000 ($280) AMERICAN SOCIETY FOR HEALTH CARE ENGINEERING, AMERICAN (ASHI): 22.73% OF $300 ($68) OHIO CHAMBER OF COMMERCE: 30.00% OF $450 ($135) OHIO HOSPICE AND PALLIATIVE CARE ORGANIZATION DBA MIDWEST CARE ALLIANCE (OHPCO): 8.30% OF $8,800 ($730) GENESIS HEALTHCARE SYSTEM PAID SECOND CAPITAL CONSULTING, LLC $100,255 IN 2023 FOR ADVOCACY AND OUTREACH CONSULTING SERVICES. SECOND CAPITAL CONSULTING, LLC HAS PROVIDED ADVOCACY AND OUTREACH CONSULTING SERVICES TO GENESIS HEALTHCARE SYSTEM SINCE 2013. THESE SERVICES ASSIST THE SYSTEM TO ENGAGE, EDUCATE AND COMMUNICATE WITH PUBLIC POLICY MAKERS REGARDING PENDING LEGISLATION OR PROPOSED REGULATIONS, AS WELL AS, ASSIST ELECTED OFFICIALS IN UNDERSTANDING THE IMPACT OF LEGISLATION ON GHCS'S ABILITY TO DELIVER COST EFFECTIVE, QUALITY CARE FOR PATIENTS IN SOUTHEAST OHIO. GENESIS WORKS PRIMARILY THROUGH NATIONAL AND STATE HOSPITAL ASSOCIATIONS, IN WHICH GENESIS HAS MEMBERSHIP, TO UNDERSTAND POTENTIAL POLICIES WHICH COULD NEGATIVELY AFFECT THEIR ABILITY TO WORK WITH THE LOCAL MEDICAL COMMUNITY TO MEET THE HEALTHCARE NEEDS OF THE REGION. SOME ISSUES OF INTEREST INCLUDE THE 340B PROGRAM, MEDICARE & MEDICAID BUDGET DECISIONS AND REGULATIONS, AND INFRASTRUCTURE IMPROVEMENTS AT THE LOCAL LEVEL THAT ENHANCE ACCESS TO THE HOSPITAL. IN FACT, A DIRECT ACCESS LANE OPENED THIS YEAR FOR EMERGENCY VEHICLES, SPEEDING THE TIME CRITICAL TO PATIENTS IN ARRIVING FOR EMERGENCY CARE. 10745900 10745900 285058564 51584720 233473844 8111926 4384805 3727121 275028959 224075433 50953526 23018864 4944188 18074676 316975067 INVESTMENTS IN RELATED AND OTHER HEALTHCARE ORGANIZATIONS 3687016 ASSETS LIMITED AS TO USE 29523828 RIGHT OF USE LEASE ASSETS 14680758 CONSTRUCTION IN PROGRESS 1237302 COST REPORT SETTLEMENT RECEIVABLE 1045307 CAPITAL LEASES 7423297 57597508 ACCRUED MINIMUM PENSION LIABILITY 1497728 ACCRUED PROFESSIONAL LIABILITY 2725715 LEASE LIABILITIES - OPERATING 10913955 LEASE LIABILITIES - FINANCING 5804875 INTERCOMPANY PAYABLES 12203629 33145902 X PART X, LINE 2: THE SYSTEM AND ITS SUBSIDIARIES ARE TAX-EXEMPT ORGANIZATIONS, EXCEPT FOR CARELIFE; ACCORDINGLY, NO TAX PROVISION IS REFLECTED IN THE CONSOLIDATED FINANCIAL STATEMENTS. ACCOUNTING PRINCIPLES GENERALLY ACCEPTED IN THE UNITED STATES OF AMERICA REQUIRE MANAGEMENT TO EVALUATE TAX POSITIONS TAKEN BY THE SYSTEM AND TO RECOGNIZE A TAX LIABILITY IF THE SYSTEM HAS TAKEN AN UNCERTAIN POSITION THAT MORE LIKELY THAN NOT WOULD NOT BE SUSTAINED UPON EXAMINATION BY THE INTERNAL REVENUE SERVICE OR OTHER APPLICABLE TAXING AUTHORITIES. 1 1 X 1 X 1 X 1 1 1 0 1 1 5594536 1596009 3998527 0.00690 122223760 98504474 23719286 0.04080 127818296 100100483 27717813 0.04770 53 306190 1267460 53240 1214220 0.00210 10 1096 2175432 0 2175432 0.00370 11 853 913787 913787 0.00160 74 308139 4356679 53240 4303439 0.00740 74 308139 132174975 100153723 32021252 0.05510 0 21714047 115062966 112070524 2992442 X 1 1 1 1 GENESIS HOSPITAL 2951 MAPLE AVE ZANESVILLE OH 43701 X X X ACUTE CARE HOSPITAL GENESIS HOSPITAL 1 0 0 1 X X X X X X X X X 21 1 0 1 1 X WWW.GENESISHCS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STR X 1 22 1 WWW.GENESISHCS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STR 0 1 X 100.000000000000 300.000000000000 X X X X X 1 1 X X X 1 X HTTPS://WWW.GENESISHCS.ORG/PATIENTS/FINANCIAL-ASSISTANCE X HTTPS://WWW.GENESISHCS.ORG/PATIENTS/FINANCIAL-ASSISTANCE X HTTPS://WWW.GENESISHCS.ORG/PATIENTS/FINANCIAL-ASSISTANCE X X X X X 1 X 0 X X X X 1 X 0 0 GENESIS HOSPITAL PART V, SECTION B, LINE 5: A PARTNERSHIP WAS DEVELOPED TO DO A COMBINED HEALTH DEPARTMENTS AND GENESIS CHNA. THE GENESIS SERVICE AREA (GSA) COUNTY HEALTH DEPARTMENTS AND OHIO UNIVERSITY COLLABORATED TO DESIGN A MECHANISM TO COMPLETE THE 2021 CHNA. THIS PARTNERSHIP BECAME THE SOUTHEASTERN OHIO HEALTH IMPROVEMENT COLLABORATIVE (SOHIC) AND IS MADE UP OF COSHOCTON CITY AND COUNTY HEALTH DEPARTMENTS, GENESIS, MORGAN COUNTY HEALTH DEPARTMENT, NOBLE COUNTY HEALTH DEPARTMENT, PERRY COUNTY HEALTH DEPARTMENT, ZANESVILLE-MUSKINGUM COUNTY HEALTH DEPARTMENT, OHIO ALLIANCE FOR POPULATION HEALTH, OHIO UNIVERSITY'S (OU) COLLEGE OF HEALTH SCIENCES AND PROFESSIONS, AND THE OU'S VOINOVICH SCHOOL OF LEADERSHIP AND PUBLIC SERVICE. SOHIC CONTRACTED WITH THE NORTHWEST HOSPITAL COUNCIL OF OHIO TO DESIGN THE ASSESSMENT TOOLS, ADD RELEVANT SECONDARY AND MORTALITY DATA, AND DEVELOP THE REPORTS. THE INFORMATION CONTAINED IN THE 2021 CHNA REPORT ARE BASED UPON DATA OBTAINED FROM RESPONSES TO WRITTEN COMMUNITY HEALTH SURVEYS (CHS) THAT WERE COLLECTED FROM APRIL THROUGH MAY 2021. THE CHS FOCUSED ON ADULTS AGES 19 AND OLDER. IN ORDER TO MAINTAIN COMPLETE OBJECTIVITY THROUGHOUT THE SURVEY PROCESS, THE COLLABORATIVE ENGAGED THE SERVICES OF THE HOSPITAL COUNCIL OF NORTHWEST OHIO AND OHIO UNIVERSITY TO ADMINISTER THE SURVEYS AND COMPILE THE RESULTS. SURVEYS WERE ALSO CONDUCTED WITH KEY LEADERS FROM THE GSA COUNTIES. THESE SURVEYS WERE INCLUDED IN THE ANALYSIS OF THIS REPORT AND INFORMED PRIORITIZATION OF ALL THE RESULTS TO IDENTIFY THE TOP HEALTH NEEDS OF OUR COMMUNITIES. GENESIS COMMUNITY BENEFIT STEERING COMMITTEE PRIORITIZED THE INFORMATION AND DETERMINED SIX TOP HEALTH NEEDS: MENTAL HEALTH ISSUES, HEART DISEASE, CANCER, STROKE, DIABETES, AND SOCIAL DETERMINANTS OF HEALTH.PROCESS AND METHODS FOR ENGAGING COMMUNITY: MULTIPLE SECTORS, INCLUDING THE GENERAL PUBLIC, WERE ASKED THROUGH EMAIL LIST SERVS, SOCIAL MEDIA, AND PUBLIC NOTICES TO PARTICIPATE IN THE PROCESS, INCLUDING DEFINING THE SCOPE OF THE PROJECT, CHOOSING QUESTIONS FOR THE CHS, REVIEWING INITIAL DATA, PLANNING A COMMUNITY RELEASE, AND IDENTIFYING AND PRIORITIZING NEEDS. SOHIC WORKED TOGETHER TO CREATE ONE COMPREHENSIVE CHNA, WITH MORE THAN 88 COMMUNITY MEMBERS ATTENDING THE COUNTIES' RELEASE OF THE REPORT AND PROVIDING FEEDBACK ON THE KEY ISSUES FOR THE GSA.PRIMARY DATA COLLECTION METHODS:THE FINDINGS IN THE COMMUNITY HEALTH NEEDS ASSESSMENT ARE BASED ON SELF-ADMINISTERED CHS USING A STRUCTURED QUESTIONNAIRE. THE QUESTIONS WERE MODELED AFTER THE SURVEY INSTRUMENTS USED BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) FOR THEIR NATIONAL AND STATE BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS). THE HCNO ASSISTED WITH CHS DEVELOPMENT, GUIDED THE HEALTH ASSESSMENT PROCESS, AND INTEGRATED SOURCES OF PRIMARY AND SECONDARY DATA INTO THE FINAL REPORT. OU SOUGHT INSTITUTIONAL REVIEW BOARD (IRB) APPROVAL FOR THE CHS, ADMINISTERED THE CHS, AND COLLECTED THE DATA.THIS CHS COMPLETION PROCESS WAS CROSS-SECTIONAL IN NATURE AND INCLUDED A WRITTEN CHS OF ADULTS WITHIN COSHOCTON, MORGAN, MUSKINGUM, NOBLE, AND PERRY COUNTIES. FROM THE BEGINNING, COMMUNITY LEADERS AND MEMBERS WERE ACTIVELY ENGAGED IN THE CHS PLANNING PROCESS AND HELPED DEFINE THE CONTENT, SCOPE, AND SEQUENCE OF THE CHS. ACTIVE ENGAGEMENT OF COMMUNITY MEMBERS THROUGHOUT THE CHNA PLANNING PROCESS IS REGARDED AS AN IMPORTANT STEP IN COMPLETING A VALID CHNA.ONE ADULT CHS INSTRUMENT WAS DESIGNED FOR THE CHNA. AS A FIRST STEP IN THE DESIGN PROCESS, HEALTH EDUCATION RESEARCHERS FROM THE UNIVERSITY OF TOLEDO AND STAFF MEMBERS FROM HCNO MET TO DISCUSS POTENTIAL SOURCES OF VALID AND RELIABLE CHS ITEMS THAT WOULD BE APPROPRIATE TO ASSESS THE HEALTH STATUS AND HEALTH NEEDS OF ADULTS. THE INVESTIGATORS DECIDED TO DERIVE THE MAJORITY OF THE ADULT SURVEY ITEMS FROM THE BRFSS. THIS DECISION WAS BASED ON BEING ABLE TO COMPARE LOCAL DATA WITH STATE AND NATIONAL DATA. THE PROJECT COORDINATOR FROM HCNO CONDUCTED A MEETING WITH SOHIC. DURING THIS MEETING, HCNO AND SOHIC REVIEWED AND DISCUSSED BANKS OF POTENTIAL SURVEY QUESTIONS FROM THE BRFSS. BASED ON INPUT FROM SOHIC, THE PROJECT COORDINATOR COMPOSED A DRAFT ADULT CHS CONTAINING 110 ITEMS. IRB APPROVAL WAS GRANTED TO OU BY OU'S SOCIAL AND BEHAVIORAL IRB.THE SAMPLING FRAME FOR THE ADULT CHS CONSISTED OF ADULTS AGES 19 AND OLDER LIVING IN COSHOCTON, MORGAN, MUSKINGUM, NOBLE, AND PERRY COUNTIES. SEE BELOW FOR THE ESTIMATED NUMBER OF PEOPLE AGES 19 AND OLDER LIVING IN EACH COUNTY. THE HCNO STAFF ANALYSTS CONDUCTED A POWER ANALYSIS TO DETERMINE WHAT SAMPLE SIZE WAS NEEDED TO ENSURE A 95% CONFIDENCE LEVEL WITH A CORRESPONDING MARGIN OF ERROR OF 6% (I.E., THERE CAN BE 95% ASSURANCE THAT THE "TRUE" POPULATION RESPONSES ARE WITHIN A 6% MARGIN OF ERROR OF THE CHS FINDINGS)THE RANDOM SAMPLE OF MAILING ADDRESSES OF ADULTS FROM COSHOCTON, MORGAN, MUSKINGUM, NOBLE, AND PERRY COUNTIES WAS OBTAINED FROM MELISSA DATA CORPORATION IN RANCHO SANTA MARGARITA, CALIFORNIA. CHS WERE MAILED IN EARLY APRIL 2021 AND RETURNED THROUGH MID-MAY 2021.PRIOR TO MAILING THE CHS, OU MAILED AN ADVANCE LETTER TO 2,000 ADULTS IN EACH COUNTY (COSHOCTON, MORGAN, MUSKINGUM, NOBLE, AND PERRY). THIS ADVANCE LETTER WAS PRINTED ON SOHIC STATIONERY AND SIGNED ON BEHALF OF THE GROUP BY THE CO-CHAIRS LINDA SUPPLEE OF GENESIS AND ANGELA DEROLPH OF THE PERRY COUNTY HEALTH DEPARTMENT. THE LETTER INTRODUCED THE CHNA PROJECT AND INFORMED READERS THAT THEY MAY BE RANDOMLY SELECTED TO RECEIVE THE CHS. THE LETTER ALSO EXPLAINED THAT THE RESPONDENTS' CONFIDENTIALITY WOULD BE PROTECTED, AND IT ENCOURAGED THE READERS TO COMPLETE AND RETURN THE CHS PROMPTLY IF THEY WERE SELECTED. LETTERS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT TO RECEIVE THE CHS. LASTLY, IT IS IMPORTANT TO NOTE THAT THE ADVANCE WAVE LETTER STATED THAT IF THE RECIPIENT WAS SELECTED TO RECEIVE THE CHS, THEY WOULD RECEIVE A $2 BILL AS A THANK YOU FOR THEIR TIME TO COMPLETE THE CHS. AFTER SENDING THE LETTER, OU ENCOUNTERED PROBLEMS WITH THIS RECRUITMENT STRATEGY DUE TO INSTITUTIONAL RULES ABOUT EXCHANGING MONEY. A GIFT CARD DRAWING REPLACED THE $2 BILL INCENTIVE THAT WAS ORIGINALLY NOTED. THE LETTER INCLUDED ADDITIONAL INFORMATION REGARDING THE DRAWING WITH INFORMATION ON HOW TO ENTER BY FILLING OUT A POSTAGE-PAID CARD THAT WAS INCLUDED IN THE MAILING. INDIVIDUALS RECEIVING THE CHS AND POST CARD WERE ASKED TO PROVIDE EITHER THEIR PHONE NUMBER OR EMAIL ADDRESS AND INSTRUCTED TO MAIL THE POSTAGE PAID, POST CARD SEPARATELY FROM THEIR CHS. THIRTEEN WEEKS FOLLOWING THE ADVANCE LETTER, AN ADDITIONAL MAILING WAS ADMINISTERED. THE MAILING INCLUDED A PERSONALIZED, HAND SIGNED COVER LETTER (ON SOHIC STATIONERY) DESCRIBING THE PURPOSE OF THE CHS AND THE CHANCES OF WINNING A GIFT CARD, THE QUESTIONNAIRE, A SELF-ADDRESSED STAMPED RETURN ENVELOPE, AND A POSTCARD TO ENTER THE DRAWING FOR A $100 OR $25 GIFT CARD. THE MAILING MATERIALS WERE INCLUDED IN A LARGE COLORED ENVELOPE. A TOTAL OF 3,000 CHS PER COUNTY WERE SENT OUT BY OU. HSAS RETURNED AS UNDELIVERABLE WERE NOT REPLACED WITH ANOTHER POTENTIAL RESPONDENT.INDIVIDUAL CHS RESPONSES WERE ANONYMOUS. ONLY GROUP DATA WAS AVAILABLE. ALL DATA WAS ANALYZED BY HEALTH EDUCATION RESEARCHERS AT THE UNIVERSITY OF TOLEDO USING STATISTICAL PRODUCT AND SERVICE SOLUTIONS 26.0 (SPSS). CROSSTABS WERE USED TO CALCULATE DESCRIPTIVE STATISTICS FOR THE DATA PRESENTED IN THIS REPORT. TO BE REPRESENTATIVE OF EACH COUNTY, THE ADULT CHS DATA COLLECTED WAS WEIGHTED BY AGE, GENDER, RACE, AND INCOME USING CENSUS DATA.DATA FROM SAMPLE SURVEYS HAVE THE POTENTIAL FOR BIAS IF THERE ARE DIFFERENT RATES OF RESPONSE FOR DIFFERENT SEGMENTS OF THE POPULATION. IN OTHER WORDS, SOME SUBGROUPS OF THE POPULATION MAY BE MORE REPRESENTED IN THE COMPLETED SURVEYS THAN THEY ARE IN THE POPULATION FROM WHICH THOSE SURVEYS ARE SAMPLED. IF A SAMPLE HAS 25% OF ITS RESPONDENTS BEING MALE AND 75% BEING FEMALE, THEN THE SAMPLE IS BIASED TOWARDS THE VIEWS OF FEMALES (IF FEMALES RESPOND DIFFERENTLY THAN MALES). THIS SAME PHENOMENON HOLDS TRUE FOR ANY POSSIBLE CHARACTERISTIC THAT MAY ALTER HOW AN INDIVIDUAL RESPONDS TO THE SURVEY ITEMS. IN SOME CASES, THE PROCEDURES OF THE SURVEY METHODS MAY PURPOSEFULLY OVER-SAMPLE A SEGMENT OF THE POPULATION IN ORDER TO GAIN AN APPROPRIATE NUMBER OF RESPONSES FROM THAT SUBGROUP FOR APPROPRIATE DATA ANALYSIS WHEN INVESTIGATING THEM SEPARATELY (THIS IS OFTEN DONE FOR MINORITY GROUPS). WHETHER THE OVER-SAMPLING IS DONE INADVERTENTLY OR PURPOSEFULLY, THE DATA NEEDS TO BE WEIGHTED SO THAT THE PROPORTIONED CHARACTERISTICS OF THE SAMPLE ACCURATELY REFLECT THE PROPORTIONED CHARACTERISTICS OF THE POPULATION. IN THE 2021 COSHOCTON, MORGAN, MUSKINGUM, NOBLE, AND PERRY SURVEYS, A WEIGHTING WAS APPLIED PRIOR TO THE ANALYSIS THAT WEIGHTED THE SURVEY RESPONDENTS TO REFLECT THE ACTUAL DISTRIBUTION OF EACH COUNTY BASED ON AGE, SEX, RACE, AND INCOME. GENESIS HOSPITAL PART V, SECTION B, LINE 6B: THE SOUTHEAST OHIO HEALTH IMPROVEMENT COLLABORATIVE (SOHIC) COMMISSIONED AND FUNDED THE COMMUNITY HEALTH NEEDS ASSESSMENT: COSHOCTON CITY HEALTH DEPARTMENT COSHOCTON COUNTY HEALTH DEPARTMENT GENESIS HEALTHCARE SYSTEM MORGAN COUNTY HEALTH DEPARTMENT NOBLE COUNTY HEALTH DEPARTMENT OHIO ALLIANCE FOR POPULATION HEALTH OHIO UNIVERSITY'S (OU) COLLEGE OF HEALTH SCIENCES AND PROFESSIONS OU'S VOINOVICH SCHOOL OF LEADERSHIP AND PUBLIC SERVICE PERRY COUNTY HEALTH DEPARTMENT ZANESVILLE/MUSKINGUM COUNTY HEALTH DEPARTMENT GENESIS HOSPITAL PART V, SECTION B, LINE 7D: THE CHNA REPORT IS AVAILABLE ON OUR WEBSITE AT HTTP://GENESISHCS.ORG, AT THE BOTTOM OF THE FRONT PAGE. THE REPORT WAS SHARED WITH COMMUNITY PARTNERS AND COPIES ARE AVAILABLE FOR FREE UPON REQUEST. GENESIS HOSPITAL PART V, SECTION B, LINE 11: THIS IMPLEMENTATION STRATEGY (IS) OUTLINES THE GENESIS SERVICE LINE'S PLANS TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2021 CHNA. SERVICE LINES CONSIDERED SPECIFIC PROGRAMS, RESOURCES, AND PRIORITIES FOR THE COMMUNITY WHEN DEVELOPING THIS STRATEGY. SERVICE LINES INVOLVED IN THE DESIGN INCLUDE: BEHAVIORAL HEALTH CANCER SERVICES DIABETES & NUTRITION SERVICES EDUCATIONAL SERVICES EMERGENCY SERVICES HEART & VASCULAR SERVICES HOSPICE & PALLIATIVE CARE MARKETING & PUBLIC RELATIONS MISSION NURSELINE ORTHOPEDIC CENTER PATIENT EXPERIENCE PERRY COUNTY EMERGENCY DEPARTMENT POPULATION HEALTH PULMONARY SERVICES REHABILITATION & AMBULATORY SERVICES SPIRITUAL CARE TRAUMA SERVICES, VOLUNTEER SERVICES WOMEN'S & CHILDREN'S SERVICE SIX TOP COMMUNITY HEALTH PRIORITIES WERE IDENTIFIED AND WILL BE OF PRIMARY FOCUS:1. MENTAL HEALTH ISSUES2. HEART DISEASE3. CANCER4. STROKE5. DIABETES6. SOCIAL DETERMINANTS OF HEALTHFOR THOSE NEEDS NOT CAPTURED IN THE TOP SIX PRIORITY FOCUS AREAS, THERE ARE ADDITIONAL COMMUNITY BENEFIT INITIATIVES THAT WILL BE PROVIDED FOR THE OTHER AREAS OF NEEDS. THOSE ADDITIONAL INITIATIVES ARE DEFINED IN THE IMPLEMENTATION STRATEGY. EDUCATIONAL SERVICES EMERGENCY SERVICES HOSPICE & PALLIATIVE CARE MARKETING & PUBLIC RELATIONS MISSION NURSELINE ORTHOPEDIC CENTER PATIENT EXPERIENCE PERRY COUNTY EMERGENCY DEPARTMENT PULMONARY SERVICES REHABILITATION & AMBULATORY SERVICES SPIRITUAL CARE TRAUMA SERVICES, VOLUNTEER SERVICES WOMEN'S & CHILDREN'S SERVICE SCHEDULE H, PART V, LINE 5 CON'T: MULTIPLE SETS OF WEIGHTINGS WERE CREATED AND USED IN THE STATISTICAL SOFTWARE PACKAGE (SPSS 26.0) WHEN CALCULATING FREQUENCIES. FOR ANALYSES DONE FOR THE ENTIRE SAMPLE AND ANALYSES DONE BASED ON SUBGROUPS OTHER THAN AGE, RACE, SEX, OR INCOME THE WEIGHTINGS THAT WERE CALCULATED BASED ON THE PRODUCT OF THE FOUR WEIGHTING VARIABLES (AGE, RACE, SEX, INCOME) FOR EACH INDIVIDUAL. WHEN ANALYSES WERE DONE COMPARING GROUPS WITHIN ONE OF THE FOUR WEIGHTING VARIABLES (E.G., SMOKING STATUS BY RACE/ETHNICITY), THAT SPECIFIC VARIABLE WAS NOT USED IN THE WEIGHTING SCORE THAT WAS APPLIED IN THE SOFTWARE PACKAGE. IN THE EXAMPLE SMOKING STATUS BY RACE, THE WEIGHTING SCORE THAT WAS APPLIED DURING ANALYSIS INCLUDED ONLY AGE, SEX, AND INCOME. THUS, A TOTAL OF EIGHT WEIGHTING SCORES FOR EACH INDIVIDUAL WERE CREATED AND APPLIED DEPENDING ON THE ANALYSIS CONDUCTED. 23 1 - HEALTHPLEX 2800 MAPLE AVENUE ZANESVILLE OH 43701 OUTPATIENT LAB/ IMAGING, PEDIATRIC REHAB 2 - MEDICAL ARTS BUILDING (MAB) II 751 FOREST AVENUE ZANESVILLE OH 43701 OUTPATINT DIAGNOSTIC 3 - MOB II 955 BETHESDA DR ZANESVILLE OH 43701 OUTPATIENT DIAGNOSTIC & EDUCATION 4 - GENESIS PHYISCIAN'S PAVILION 945 BETHESDA DR ZANESVILLE OH 43701 OUTPAIENT CARDOAC REHAB SERVICES; WOUND CARE CENTER 5 - GENESIS BEHAVIORAL HEALTH 2991 MAPLE AVE ZANESVILLE OH 43701 MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT 6 - SARAP CANCER CENTER 2951 MAPLE AVE ZANESVILLE OH 43701 CANCER & PALLATIVE CARE/ WOMEN'S BOUTIQUE 7 - GENESIS SURGERY CENTER 2907 MAPLE AVE ZANESVILLE OH 43701 OUTPATIENT SURGERY 8 - GENESIS ORTHOPEDIC CENTER 2904 BELL STREET ZANESVILLE OH 43701 OUTPATIENT ORTHODIC AND SPORTMEDICINE DIAGNOTICS 9 - GENESIS OUTPATIENT REHAB 3297 NAOKE AVE ZANESVILLE OH 43701 OUTPATIENT REHAB AND IMAGING 10 - GENESIS VEIN CENTER 930 BETHESDA DR ZANESVILLE OH 43701 DIAGNOSTIC AND TREATMENT OF OUTPATIENT VEIN DISORDERS 11 - GENESIS INTERVENTIONAL PAIN MGMT CLINIC 2945 MAPLE AVE ZANESVILLE OH 43701 PAIN MEDICINE SPECIALIZATION; IMAGING TECHNIQUES; SOLUTIONS TO PAIN 12 - CAMBRIDGE HEALTH CENTER 61353 SOUTHGATE PARKWAY CAMBRIDGE OH 43725 IMAGING SERVICES/ LAB SERVICE/ WOUND MANAGEMENT 13 - GENESIS SLEEP DISORDERS CENTER 840 BETHESDA DR ZANESVILLE OH 43701 DIAGNOSTICS AND TREATMENT OF SLEEP DISORDERS 14 - GENESIS HEALTH CENTER - PERRY COUNTY 301 DR MIKE CLOUSE DR SOMERSET OH 43783 DIAGNOSITIC HEALTHCARE SERVICES/ PHYSICAL & OCCUPATIONAL THERAPY 15 - GENEIS ENDOCRINOLOGY 860 BETHESDA DR ZANESVILLE OH 43701 EDUCATION AND OUTPATIENT ENDOCRINOLOGY SERVICES 16 - GENESIS HEALTHCARE CENTER - NEW CONCORD 1 EAST MAIN STREET NEW CONCORD OH 43762 LAB SERVICES 17 - HOSPICE & PALLIATIVE CARE 713 FOREST AVE ZANESVILLE OH 43701 HOSPICE & PALLIATIVE CARE CENTER 18 - GENESIS NEW LEXINGTON DRAW CENTER 401 LINCOLN PARK DR NEW LEXINGTON OH 43764 LAB SERVICES 19 - GENEIS RHEUMAOLOGY CARE CENTER 2525 MAPLE AVE ZANESVILLE OH 43701 EDUCATION AND OUTPATIENT RHEUMATOLOGY SERVICE 20 - GENESIS SPECIALY CENTER 1452 CLARK ST CAMBRIDGE OH 43725 LAB SERVICES 21 - IMAGING MVHC PUTNAM 915 PUTNAM AVE ZANESVILLE OH 43701 LAB SERVICES 22 - IMAGING MVHC MALTA 859 S MAIN ST STE 146 MALTA OH 43758 LAB SERVICES 23 - GENESIS COSHOCTON MEDICAL CENTER 48439 GENESIS DRIVE COSHOCTON OH 43812 MEDICAL CENTER PART I, LINE 7: COSTS OF CHARITY CARE AND COMMUNITY BENEFIT ACTIVITIES WERE CALCULATED USING THE HOSPITAL'S COST ACCOUNTING SYSTEM.PART I, LINE 7, COLUMN (F): PERCENTAGE OF TOTAL EXPENSES WAS CALCULATED BASED ON TOTAL EXPENSES LESS BAD DEBT EXPENSE AS REPORTED ON FORM 990, PART IX.PART I, LINE 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25(A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $21,714,047. PART II, COMMUNITY BUILDING ACTIVITIES: GENESIS HAS AN ACTIVE PRESENCE ON MANY COMMITTEES INVOLVED IN FINDING LOW-COST SOLUTIONS TO PHYSICAL AND MENTAL HEALTH ISSUES PREVALENT IN OUR COMMUNITIES, WITH PARTICULAR FOCUS ON SERVING LOW-INCOME, UNINSURED OR OTHERWISE UNDERSERVED. FOR EXAMPLE, GENESIS FACILITATES BOTH A SOCIAL DETERMINANTS OF HEALTH COLLABORATIVE AND A COMMUNITY HEALTH NEEDS COLLABORATIVE WITH LOCAL HEALTH DEPARTMENTS AND HEALTH PARTNERS AS WELL, TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH AND COMMONLY IDENTIFIED COMMUNITY HEALTH NEEDS INTENTIONALLY AND COLLABORATIVELY. THESE ACTIVITIES ARE CAPTURED IN PART I, LINE 7I AS IN-KIND CONTRIBUTIONS BY THE SERVICE LINES UNDER COMMUNITY HEALTH IMPROVEMENT ACTIVITIES. COMMUNITY BUILDING ACTIVITIES ARE CURRENTLY NOT PART OF THE DOCUMENTATION FOR COMMUNITY BENEFIT, BUT MAY BE DEVELOPED IN THE FUTURE. PART III, LINE 2: BAD DEBT IS CALCULATED USING GROSS CHARGES. PART III, LINE 3: NO BAD DEBT IS ESTIMATED TO RELATE TO CHARITY CARE. PART III, LINE 4: THE FINANCIAL STATEMENT FOOTNOTE RELATED TO BAD DEBT IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENT FOOTNOTE 1 "NATURE OF BUSINESS AND SIGNIFICANT ACCOUNTING POLICIES" GROUPED WITH ACCOUNTS RECEIVABLE ON PAGE 9. PART III, LINE 8: THE SYSTEM TREATS MEDICARE SHORTFALL AS COMMUNITY BENEFIT. THE REASONS FOR THIS TREATMENT INCLUDES (1) NON-NEGOTIABLE MEDICARE RATES ARE SOMETIMES NOT ALIGNED WITH THE TRUE COSTS OF TREATING MEDICARE PATIENTS; (2) THE SYSTEM IS ALLEVIATING THE FEDERAL GOVERNMENT'S BURDEN FOR DIRECTLY PROVIDING MEDICAL SERVICES; AND (3) IRS REV. RUL. 69-545 NOTES THAT IF A HOSPITAL SERVES PATIENTS WITH GOVERNMENT HEALTH BENEFITS, INCLUDING MEDICARE, THIS ACTION INDICATES THE HOSPITAL OPERATES TO PROMOTE THE HEALTH OF THE COMMUNITY. PART III, LINE 9B: ALL PATIENTS ARE OFFERED A PLAIN LANGUAGE SUMMARY (PLS) OF THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY PRIOR TO DISCHARGE FROM THE HOSPITAL. AT LEAST THREE SEPARATE COMMUNICATIONS WILL BE MAILED TO THE LAST KNOWN ADDRESS OF THE RESPONSIBLE PARTY ALSO CONTAINING THE PLS. AT LEAST 60 DAYS WILL LAPSE BETWEEN THE FIRST AND THIRD REQUIRED COMMUNICATION. DETAILED ITEMIZED STATEMENTS WILL BE MADE AVAILABLE UPON REQUEST EXCEPT WHERE PROHIBITED BY STATE OR FEDERAL REGULATIONS. ACCOUNTS WITH ZERO BALANCES WILL NOT RECEIVE THREE SEPARATE COMMUNICATIONS; HOWEVER, THESE ACCOUNT HOLDERS MAY ALSO BE ELIGIBLE TO APPLY FOR FINANCIAL ASSISTANCE. ALL RESPONSIBLE PARTIES WILL RECEIVE WRITTEN NOTIFICATION REGARDING EXTRAORDINARY COLLECTION ACTIONS (ECA) THAT MAY COMMENCE IF ACTION IS NOT TAKEN. THIRTY DAYS WILL LAPSE BETWEEN ISSUANCE OF NOTIFICATION AND COMMENCEMENT OF ECA. ACTION TAKEN BY THE RESPONSIBLE PARTY CONSTITUTES MAKING PAYMENT ARRANGEMENTS FOR THE AMOUNT DUE OR COMPLETING A FINANCIAL ASSISTANCE APPLICATION. ACCOUNTS GO TO FULL COLLECTION AFTER DAY 120 IF NO PRIOR ARRANGEMENTS HAVE BEEN MADE. COLLECTION AGENCIES ARE INSTRUCTED TO MAKE PHONE CALLS AND SEND LETTERS. IF THEY CANNOT RESOLVE THE BALANCE, OR HAVE NOT BEEN ABLE TO MAKE PAYMENT ARRANGEMENTS, THE ACCOUNT IS SENT BACK TO GENESIS AS NON-COLLECTIBLE IN 24 MONTHS. PART VI, LINE 2: GENESIS HEALTHCARE SYSTEM, AS A NOT-FOR-PROFIT HEALTH CARE SYSTEM, IS DEDICATED TO MEETING THE HEALTH NEEDS OF OUR COMMUNITIES, REGARDLESS OF ONE'S ABILITY TO PAY. WE ENCOURAGE AND SUPPORT COLLABORATION WITH OTHER COMMUNITY PARTNERS TO IDENTIFY, RESPOND TO, AND IMPROVE THE HEALTH-RELATED NEEDS OF THE POOR, THE UNDERSERVED, AND THE COMMUNITY AT LARGE. WE PLEDGE ALL AVAILABLE FINANCIAL RESOURCES - AFTER OUR OPERATING EXPENSES ARE MET - TO RESPOND TO THE COMMUNITY'S HEALTH NEEDS WITH SERVICE INITIATIVES, FINANCIAL AND PROFESSIONAL SUPPORT, AND EDUCATION AND WELLNESS PROGRAMS. A COMMUNITY BENEFIT STEERING COMMITTEE COLLABORATES WITH GENESIS ADMINISTRATION, DEPARTMENTS, AND WITH COMMUNITY AGENCIES IN OUR DEFINED GEOGRAPHIC MARKET, INCLUDING BUT NOT LIMITED TO THE PUBLIC HEALTH DEPARTMENTS, MUSKINGUM VALLEY HEALTH CENTERS, AND THE UNITED WAY, TO ASSESS COMMUNITY HEALTH NEEDS AND STRENGTHS; DEVELOP A COMMUNITY BENEFIT PLAN WITH STRATEGIC GOALS AND INTERVENTIONS; MONITOR IMPLEMENTATION OF COMMUNITY BENEFIT ACTIVITIES; EVALUATE COMMUNITY BENEFIT ACTIVITIES; ADVOCATE FOR THE COMMUNITY BENEFIT PROGRAMS; AND ASSIST IN TELLING THE GENESIS HOSPITAL COMMUNITY BENEFIT STORY.GENESIS PARTNERS WITH OUR ENTIRE LOCAL POST-ACUTE COMMUNITY, WHICH ENCOMPASSES SKILLED NURSING FACILITATES, LONG-TERM CARE, AND HOME HEALTH AGENCIES, WITH THE INTENT OF BETTERING THE TRANSITIONS OF CARE OF PATIENTS RECEIVE ONCE THEY LEAVE OUR HOSPITAL AND UNDERSTANDING THE NEEDS THAT ARISE WITHIN THESE FACILITIES IN OUR COMMUNITY. ON A BI-MONTHLY BASIS DATA IS REVIEWED AND REMEDIATION PLANS ARE FORMULATED AROUND ANY UNDERPERFORMING AREAS. WE ALSO PROVIDE ON-SITE, DISEASE-SPECIFIC EDUCATION FOR THOSE AGENCIES THAT DEMONSTRATE A NEED TO FURTHER DEVELOP THEIR STAFF IN THIS REGARD.GENESIS ACTIVELY PARTICIPATES IN MANY COMMUNITY COHORTS FOCUSED ON THE COMMUNITY'S HEALTH NEEDS INCLUDING THE HOMELESS AND HOUSING COMMITTEE, OHIO HEALTH IMPROVEMENT ZONES, COMMUNITY HEALTH WORKER PILOT PROGRAM THROUGH OHIO UNIVERSITY -ZANESVILLE, AND THE HEALTHIER MUSKINGUM COUNTY NETWORK. GENESIS HOSTS A QUARTERLY SOCIAL DETERMINANTS OF HEALTH (SDOH) WORKGROUP WHICH INCLUDES SEVERAL COMMUNITY AGENCIES. THE GOAL BEHIND THIS GROUP IS TO USE GENESIS-PROVIDED SDOH DATA TO IDENTIFY AT-RISK POPULATIONS, AND CREATE ACTION PLANS WITH THE RESOURCES AVAILABLE.GENESIS ALSO LEADS A COMMUNITY HEALTH NEEDS COLLABORATIVE MADE UP OF 5 COUNTY HEALTH DEPARTMENTS FROM THE GENESIS SERVICE AREA, AND GENESIS TEAM MEMBERS. THIS COLLABORATIVE SUPPORTS A COMBINED HEALTH NEEDS ASSESSMENT AND PLANNING PROCESS EVERY THREE YEARS, FOLLOWED BY CONTINUED DISCUSSIONS AND SUPPORT IN MEETING IDENTIFIED NEEDS. THIS GROUP ALSO PROVIDES OPPORTUNITY TO DISCUSS EMERGING NEEDS SEEN IN COMMUNITIES BETWEEN EACH NEEDS ASSESSMENT. PART VI, LINE 3: GENESIS HAS SIGNAGE STRATEGICALLY LOCATED IN THE FACILITY (REGISTRATION AREAS AND CASHIER AREAS) ADVISING OF FREE CARE. BILLING STATEMENTS ALSO CONTAIN THIS INFORMATION ALONG WITH A CHARITY CARE APPLICATION PRINTED ON THE REVERSE SIDE OF THE BILL. THE INFORMATION IS ALSO AVAILABLE ON OUR WEBSITE. WE HAVE REGISTRATION STAFF THAT WORK IN THE EMERGENCY DEPARTMENT TO SCREEN PATIENTS FOR POTENTIAL MEDICAID QUALIFIERS IF THE PATIENT ALLOWS. FOR INPATIENTS, WE HAVE RESOURCE COUNSELING STAFF THAT SCREEN SELF-PAY, UNDERINSURED AND MEDICARE ONLY PATIENTS FOR MEDICAID AND/OR CHARITY. PART VI, LINE 4: OUR GEOGRAPHIC MARKET AREA IS A SIX-COUNTY RURAL REGION OF SOUTHEAST OHIO, INCLUDING MUSKINGUM, MORGAN, PERRY, COSHOCTON, GUERNSEY AND NOBLE COUNTIES. IN 2019, TOTAL MARKET AREA POPULATION WAS APPROXIMATELY 226,453, WITH MUSKINGUM COUNTY (86,131) REPRESENTING THE LARGEST COUNTY. MEDIAN HOUSEHOLD INCOME LEVELS RANGE FROM $46,883 TO $52,105 WHICH IS PREDOMINATELY LOWER THAN THE STATE MEDIAN HOUSEHOLD INCOME OF $58,704 AND EVEN LOWER THAN THE NATIONAL MEDIAN HOUSEHOLD INCOME OF $65,712. 17.8 % PEOPLE LIVING BELOW POVERTY LEVEL IN THE REGION VERSES 14.5% FOR THE STATE AND 13% FOR THE NATION. IN 2019, CHILDREN IN POVERTY RANGE FROM 16% TO 22.2% IN OUR REGION COMPARED TO 18% FOR THE STATE OF OHIO.ALL COUNTIES WE SERVE ARE FEDERALLY DESIGNATED AS APPALACHIAN COUNTIES. COSHOCTON, GUERNSEY, MORGAN, AND PERRY HAVE A DESIGNATED ECONOMIC STATUS OF "AT-RISK" BY THE APPALACHIAN REGIONAL COMMISSION. NOBLE IS DESIGNATED AS "DISTRESSED AND MUSKINGUM IS DESIGNATED AS "TRANSITIONAL." SIMILARLY, ALL COUNTIES ARE DESIGNATED AS HEALTH PROFESSIONAL SHORTAGE AREAS, AND DENTAL AND MENTAL HEALTH PROFESSIONAL SHORTAGE AREAS. PART VI, LINE 5: ONGOING COMMUNITY HEALTH EDUCATION IS PROVIDED THROUGH REGULARLY SCHEDULED HEALTH AND WELLNESS PROGRAMS PRESENTED BY GENESIS STAFF AND AFFILIATED PHYSICIANS. PREVENTATIVE HEALTH SCREENINGS ARE PROVIDED FOR PULSE OX AND I.M.P.A.C.T (IMMEDIATE POST-CONCUSSION ASSESSMENT AND COGNITIVE TESTING). PROGRAM TOPICS ARE BASED ON COMMUNITY NEED AS DETERMINED BY FEEDBACK FROM PARTICIPANTS, THE COMMUNITY BENEIFIT COMMITTEE AND SERVICE LINE LEADERS. GENESIS ALSO REGULARLY PROVIDES HEALTH AND WELLNESS PROMOTION THROUGH COMMUNITY-BASED HEALTH FAIRS AND EVENTS HELD THROUGHOUT THE COMMUNITY. CLINICAL EXPERIENCES ARE OFFERED FOR HEALTHCARE STUDENTS AS WELL AS TRAINING OPPORTUNITIES FOR HEALTHCARE PROFESSIONALS. PART VI, LINE 6: GENESIS COMMUNITY AMBULANCE SERVICE BEGAN GIVING PATIENTS WHO WERE IN NEED OF TRANSPORATION FREE RIDES HOME IN 2021 AS WELL, BECAUSE MANY LOCAL TRANSPORATION AGENCIES (BUSSES, TAXIS) WOULD NOT GIVE RIDES TO PATIENTS WHO MAY HAVE BEEN EXPOSED TO COVID-19, OR TESTED POSITIVE, DURING THEIR HOSPITAL STAY. IN 2022 GENESIS HEALTHCARE SYSTEM BEGAN REIMBURSING THE COSTS OF THESE RIDES AND HAS EXPANDED THE SERVICE TO PATIENTS WHO HAVE NO OTHER MEANS OF TRANSPORTATION. ACCESS TO TRANSPORATION CONTINUES TO BE A GREAT NEED IN THE GENESIS SERVICE AREA.GENESIS HOSPITAL AND ITS AFFILIATES ARE REACHING OUT TO IMPROVE THE HEALTH OF THE COMMUNITY THROUGH COMMUNITY INITIATIVES, MANY BASED ON PREVENTION. SOME EXAMPLES INCLUDE:- PROVIDING CLINICAL EXPERIENCES FOR NURSING, MEDICAL, AND OTHER HEALTH PROFESSIONAL STUDENTS - COMMUNITY HEALTH EDUCATION/HEALTH PROMOTION INITIATIVES ON VARIOUS HEALTH TOPICS - PROVIDE HEALTHCARE SUPPORT SERVICES SUCH AS NURSELINE TO ANSWER COMMUNITY-WIDE HEALTH INQUERIESS 24/7- SUPPORT GROUPS ARE AVAILABLE FOR VARIOUS HEALTH CONDITIONS PART VI, LINE 7, REPORTS FILED WITH STATES OH 1 UNITED WAY OF MPM COUNTIES 526 PUTNAM AVENUE ZANESVILLE OH 43701 314379456 501(C)(3) 15000 0 CORPORATE DONATION FOR PLEDGE CAMPAIGN UNITED WAY OF MPM COUNTIES 402 MAIN STREET COSHOCTON OH 43812 311020838 501(C)(3) 7500 0 CORPORATE DONATION FOR PLEDGE CAMPAIGN CENTRAL AMERICAN MEDICAL OUTREACH 322 WESTWOOD AVENUE ORVILLE OH 44667 341740695 501(C)(3) 0 573477 DONATION OF SUPPLIES MUSKINGUM VALLEY HEALTH CENTER 716 ADAIR AVENUE ZANESVILLE OH 43701 208814374 501(C)(3) 40638 0 CORPORATE DONATION FOR PATIENT CARE CHARITABLE FUNDS MUSKINGUM COUNTY COMMUNITY FOUNDATION 534 PUTMAN AVENUE ZANESVILLE OH 43701 311147022 501(C)(3) 5775 0 GROUNDHOG DAY CELEBRATION ZANESVILLE SPORTS INC 300 SUNRISE CENTER RD ZANESVILLE OH 43701 311280432 501(C)(3) 7500 0 SPONSORSHIP OF FIELDHOUSE FOUNDATION GENESIS HEALTHCARE FOUNDATION 1135 MAPLE AVENUE ZANESVILLE OH 43701 311629034 501(C)(3) 63475 0 DONATION FOR AT RISK COMPENSATION 7 0 PART I, LINE 2: DONATIONS ARE GRANTED TO 501(C)(3) OR RELATED GENESIS HEALTHCARE SYSTEM ORGANIZATIONS. RECIPIENTS ARE REVIEWED AND GRANTS ARE MONITORED WHEN AWARDED FOR PROPER USAGE. X 1 1 X X X X X 0 1 0 0 0 0 0 1 0 MATTHEW PERRY PRESIDENT/CEO 850390 0 32285 0 0 0 9900 0 32013 0 924588 0 0 0 SCOTT WEGNER MD CHIEF CLINICAL OFFICER 723307 0 53750 0 43551 0 9900 0 35515 0 866023 0 43551 0 DIANNA LEVECK CHIEF HUMAN RESOURCES OFFICER 462896 0 23365 0 214638 0 9352 0 23028 0 733279 0 214638 0 KRISTY RITCHIE MD TRUSTEE 606995 0 35489 0 0 0 9686 0 30996 0 683166 0 0 0 WENDY CEDOZ CHIEF LEGAL OFFICER 403322 0 20375 0 193083 0 5645 0 20879 0 643304 0 193083 0 MICHAEL NORMAN CHIEF FINANCIAL OFFICER 492976 0 25000 0 32499 0 9900 0 32543 0 592918 0 32499 0 SHARON PARKER CHIEF OPERATION OFFICER 447420 0 22285 0 57941 0 21974 0 18819 0 568439 0 57941 0 EDMUND ROMITO CHIEF INFORMATION OFFICER 430003 0 21500 0 55900 0 9900 0 25752 0 543055 0 55900 0 CHRISTOPHER SCHOELLES CHIEF OPERATION OFFICER 381813 0 19425 0 25253 0 6276 0 34033 0 466800 0 25253 0 BRANDICE ALEXANDER DO PRESIDENT OF MEDICAL STAFF 385917 0 31937 0 0 0 9900 0 16932 0 444686 0 0 0 LINDA SUPPLEE DIRECTOR/CPHO 352732 0 17500 0 45500 0 3300 0 1755 0 420787 0 45500 0 ERIN REMSTER DO TRUSTEE 339987 0 27500 0 0 0 8609 0 20454 0 396550 0 0 0 SHON BENDER CHIEF NURSING OFFICER 332770 0 16370 0 21280 0 9897 0 2913 0 383230 0 21280 0 LES BOYER DIRECTOR 232168 0 23132 0 0 0 5076 0 19920 0 280296 0 0 0 TISHA BABCOCK DIRECTOR 205198 0 20070 0 0 0 5945 0 30088 0 261301 0 0 0 MARIANNE GRAHAM DIRECTOR 209803 0 20312 0 0 0 6395 0 22394 0 258904 0 0 0 GREG MATONAK DIRECTOR 212796 0 21615 0 0 0 3816 0 11754 0 249981 0 0 0 CHARLES ADAMS DIRECTOR 185070 0 16124 0 8682 0 5117 0 19459 0 234452 0 8682 0 PART I, LINE 1A THE ORGANIZATION PAYS COUNTRY CLUB DUES AND RELATED BUSINESS EXPENSES FOR MEMBERS OF SENIOR LEADERSHIP. PERSONAL USAGE IS PAID BY THE INDIVIDUAL AND THE PERCENTAGE OF DUES RELATED TO PERSONAL USAGE ARE ADDED TO THE INDIVIDUALS W-2. PART I, LINE 7 BOARD REVIEWS BONUSES BASED ON PERFORMANCE. PART I, LINE 4B: A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) WAS SET UP TO PROVIDE ADDITIONAL DEFERRED RETIREMENT INCOME TO THE GENESIS HEALTH CARE SYSTEM SENIOR LEADERSHIP TEAM MEMBERS. THIS PLAN IS FUNDED BY GENESIS AND VESTS WITH SERVICE. GENESIS HEALTHCARE SYSTEM MADE CONTRIBUTIONS TO NONQUALIFIED RETIREMENT PLANS FOR THE FOLLOWING INDIVIDUALS: WENDY CEDOZ: $193,083 DIANNA LEVECK: $214,638 EDMUND ROMITO: $55,900 SHARON PARKER: $57,941 SHON BENDER: $21,280 MICHAEL NORMAN: $32,499 CHRISTOPHER SCHOELLES: $25,253 LINDA SUPPLEE: $45,500 SCOTT WEGNER: $57,941 A COUNTY OF MUSKINGUM OHIO 316400080 628077CK3 2013-05-09 295000000 ACQUIRING, CONSTRUCTING, RENOVATING, INSTALLING AND EQUIPPING HOSP FAC. 0 0 0 A 21860000 294645952 19359285 2016 1 0 0 1 A 0 0 0 0 0.00000 0.00000 0.00000 0 0 0 A 0 0 0 0 0 0 0 0 0 A 1 FORM 990, PART VI, SECTION A, LINE 6 FRANCISCAN SISTERS OF CHRISTIAN CHARITY SPONSORED MINISTRIES, INC., AND BETHESDA CARE SYSTEM ARE THE MEMBERS OF THE ORGANIZATION. FORM 990, PART VI, SECTION A, LINE 7A THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO ELECT OR APPOINT ONE OR MORE MEMBERS OF THE ORGANIZATION'S GOVERNING BODY, WHETHER PERIODICALLY, OR AS VACANCIES ARISE, OR OTHERWISE. FORM 990, PART VI, SECTION A, LINE 7B THE MEMBERS OF THE FILING ORGANIZATION, HAVE THE RIGHT TO APPROVE OR RATIFY DECISIONS OF THE ORGANIZATION'S GOVERNING BODY SUCH AS APPROVAL OF THE GOVERNING'S BODY'S DECISION TO DISSOLVE THE ORGANIZATION. FORM 990, PART VI, SECTION B, LINE 11B THE 990 IS REVIEWED BY THE CFO AND MADE AVAILABLE TO THE BOARD OF DIRECTORS IN ITS ENTIRETY FOR REVIEW. FORM 990, PART VI, SECTION B, LINE 12C ALL POTENTIAL CONFLICTS OF INTEREST OF BOARD MEMBERS AND OFFICERS MUST BE DISCLOSED TO THE BOARD OF DIRECTORS AND THE BOARD WILL DETERMINE IF A CONFLICT EXISTS AND APPROPRIATE PROCEDURES TO MITIGATE THE SITUATION, SUCH AS ALTERNATIVE TRANSACTIONS AND PARTICIPATION AND VOTING RESTRICTIONS. THE COMPLIANCE OFFICER MONITORS AND ENFORCES THESE POLICIES. ALL OFFICERS AND DIRECTORS REVIEW AND SIGN A CONFLICT OF INTEREST DISCLOSURE STATEMENT ANNUALLY. FORM 990, PART VI, SECTION B, LINE 15 THE COMPENSATION OF THE CEO IS MANAGED THROUGH A THIRD PARTY THAT IS A NATIONALLY RECOGNIZED FIRM SPECIALIZING IN COMPENSATION BENCHMARKING AND ANALYSIS. THE FIRM IS RECOGNIZED FOR THEIR EXPERTISE IN EVALUATING TOTAL COMPENSATION AT THE EXECUTIVE LEVEL. THIS FIRM PRESENTS THEIR RECOMMENDATIONS AND ANALYSIS TO THE COMPENSATION COMMITTEE, WHICH IS MADE UP OF INDEPENDENT MEMBERS OF THE GENESIS BOARD OF DIRECTORS. THE COMMITTEE IS RESPONSIBLE FOR MAKING A RECOMMENDATION TO THE BOARD OF DIRECTORS REGARDING THE EXECUTIVE COMPENSATION POLICY AND SPECIFIC COMPONENTS OF THE TOTAL COMPENSATION OF THE CEO. THE CEO IS ACTIVELY INVOLVED IN THE REVIEW, ANALYSIS AND RECOMMENDATION RELATED TO THE TOTAL COMPENSATION FOR THE REMAINING MEMBERS OF THE SENIOR LEADERSHIP TEAM. THE CEO DETERMINES THE COMPENSATION OF THE SENIOR LEADERSHIP TEAM MEMBERS WITHIN THE PARAMETERS ESTABLISHED BY THE COMPENSATION COMMITTEE. THIS COMPENSATION PROCESS WAS LAST COMPLETED IN 2022. FORM 990, PART VI, SECTION C, LINE 19 THE GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, SECTION A: RANDY COCHRANE, TRUSTEE, IS ALSO AN INDEPENDENT CONTRACTOR OF THE ORGANIZATION AND IS PAID SOLELY FOR THE SERVICES HE PROVIDES UNDER THE CONTRACT, NOT FOR HOURS SPENT AS A TRUSTEE. FORM 990, PART IX, LINE 11G BILLING: PROGRAM SERVICE EXPENSES 842,129. MANAGEMENT AND GENERAL EXPENSES 1,061,847. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,903,976. CLEANING: PROGRAM SERVICE EXPENSES 360,896. MANAGEMENT AND GENERAL EXPENSES 455,056. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 815,952. CONSULTING: PROGRAM SERVICE EXPENSES 569,190. MANAGEMENT AND GENERAL EXPENSES 717,697. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,286,887. COURIER: PROGRAM SERVICE EXPENSES 321,267. MANAGEMENT AND GENERAL EXPENSES 405,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 726,355. FOOD & NUTRITION SERVICES: PROGRAM SERVICE EXPENSES 935,378. MANAGEMENT AND GENERAL EXPENSES 1,179,426. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,114,804. INFECTIOUS WASTE REMOVAL: PROGRAM SERVICE EXPENSES 31,899. MANAGEMENT AND GENERAL EXPENSES 40,222. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,121. LABORATORY SERVICES: PROGRAM SERVICE EXPENSES 891,419. MANAGEMENT AND GENERAL EXPENSES 1,123,999. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,015,418. LAUNDRY SERVICES: PROGRAM SERVICE EXPENSES 706,500. MANAGEMENT AND GENERAL EXPENSES 890,833. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,597,333. MAINTENANCE CONTRACTED SERVICES: PROGRAM SERVICE EXPENSES 5,179,187. MANAGEMENT AND GENERAL EXPENSES 6,530,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,709,671. MEDICAL SERVICES FEES: PROGRAM SERVICE EXPENSES 23,965,845. MANAGEMENT AND GENERAL EXPENSES 19,559,742. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 43,525,587. PATIENT SERVICES: PROGRAM SERVICE EXPENSES 83,231. MANAGEMENT AND GENERAL EXPENSES 104,946. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 188,177. PHARMACEUTICAL FEES: PROGRAM SERVICE EXPENSES 771,550. MANAGEMENT AND GENERAL EXPENSES 972,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,744,404. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 1,304,444. MANAGEMENT AND GENERAL EXPENSES 204,630. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 1,509,074. SPONSORSHIP FEES: PROGRAM SERVICE EXPENSES 5,935. MANAGEMENT AND GENERAL EXPENSES 7,484. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,419. TRANSPORATION SERVICES: PROGRAM SERVICE EXPENSES 1,595,567. MANAGEMENT AND GENERAL EXPENSES 2,011,865. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 3,607,432. FORM 990, PART XI, LINE 9: TRANSFERS TO/FROM AFFILIATES -2,415,967. ASSETS RELEASED FROM RESTRICTION 2,064,113. PLEDGE RECEIVABLE FROM RELATED ORG -62,733,942. GAIN IN FAIR VALUE OF PERPETUAL TRUST 7,340,427. FORM 990, PART XII, LINE 2C: THE FINANCE COMMITTEE OVERSEES THE AUDIT OF THE FINANCIAL STATEMENTS AND IS INVOLVED IN THE SELECTION OF THE INDEPENDENT ACCOUNTANT WHICH COMPLETES THE AUDIT. THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PAGE 1, LINE H(D): THIS IS THE PARENT RETURN FOR A GROUP: GENESIS HEALTHCARE SYSTEM GROUP RETURN, EIN: 31-1773259 GENESIS INTEGRATED HEALTH NETWORK LLC 2951 MAPLE AVENUE ZANESVILLE OH 43701 881341428 COORDINATE CARE OH 0 616 GENESIS HEALTHCARE SYSTEM GENESIS HEALTHCARE FOUNDATION 2951 MAPLE AVENUE ZANESVILLE OH 43701 311629304 FUNDRAISING FOR GHS OH 501(C)(3) 3 GENESIS HEALTHCARE SYSTEM 1 GOOD SAMARITAN MEDICAL CENTER FOUNDATION 2951 MAPLE AVENUE ZANESVILLE OH 43701 310969646 FUNDRAISING FOR GHS OH 501(C)(3) 3 GENESIS HEALTHCARE FOUNDATION 1 BETHESDA HOSPITAL FOUNDATION 2951 MAPLE AVENUE ZANESVILLE OH 43701 310885513 FUNDRAISING FOR GHS OH 501(C)(3) 3 GENESIS HEALTHCARE FOUNDATION 1 GOOD SAMARITAN MEDICAL CENTER 2951 MAPLE AVENUE ZANESVILLE OH 43701 314379479 MAINTAINS REAL ESTATE TITLE FOR HOSPITAL OH 501(C)(3) 3 GENESIS HEALTHCARE SYSTEM 1 CARESERVE 2951 MAPLE AVENUE ZANESVILLE OH 43701 311099924 FORMERLY OPERATED 2 NURSING HOMES THAT WERE SOLD PRIOR TO 2012 OH 501(C)(3) 3 GENESIS HEALTHCARE SYSTEM 1 COMMUNITY AMBULANCE SERVICE 2951 MAPLE AVENUE ZANESVILLE OH 43701 341773323 AMBULANCE SERVICE OH 501(C)(3) LINE 11 GENESIS HEALTHCARE SYSTEM 1 GENESIS CAREGIVERS 2951 MAPLE AVENUE ZANESVILLE OH 43701 311282152 HOME CARE SERVICES OH 501(C)(3) 3 CARESERVE 1 BETHESDA HOSPITALITY SHOP 2951 MAPLE AVENUE ZANESVILLE OH 43701 316050713 GIFT SHOP OH 501(C)(3) 3 GENESIS HEALTHCARE SYSTEM 1 CARELIFE LLC 2951 MAPLE AVENUE ZANESVILLE OH 43701 311128717 PHYSICIAN SERVICES, CHILDCARE SERVICES, PHARMACY, DME OH GENESIS HEALTHCARE SYSTEM C -71789651 48102368 1.00000 1 SOUTHEAST OHIO MEDICAL INSURANCE COMPANY FIRST CARIBBEAN HOUSE GEORGE TOWN CAYMAN ISLANDS CJ 980436356 CAPTIVE INSURANCE COMPANY CJ GENESIS HEALTHCARE SYSTEM C 17362578 1.00000 1 0 0 1 1 0 0 0 0 0 1 1 1 1 0 1 1 1 1 1 CARELIFE LLC S 62733942 ACCRUAL TRANSACTION