Genesis Health System

“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 the organization's finance committee meeting. 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.”

“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.”

“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 2016.”

“The organization's governing documents, conflict of interest policy, and financial statements are not made available to the public.”

“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.”

“Anesthesia services: program service expenses 1,341,848. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,341,848. Blood bank services: program service expenses 1,911,061. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,911,061. Collection services: program service expenses 3,760,301. Management and general expenses 0. Fundraising expenses 0. Total expenses 3,760,301. Communications services: program service expenses 355,290. Management and general expenses 0. Fundraising expenses 0. Total expenses 355,290. Dialysis services: program service expenses 716,143. Management and general expenses 0. Fundraising expenses 0. Total expenses 716,143. Environmental services: program service expenses 3,335,789. Management and general expenses 3,100. Fundraising expenses 0. Total expenses 3,338,889. Health care professional services: program service expenses 8,719,384. Management and general expenses 152,754. Fundraising expenses 0. Total expenses 8,872,138. Health-related imaging services: program service expenses 13,546,436. Management and general expenses 0. Fundraising expenses 0. Total expenses 13,546,436. Healthcare data system/strategic planning: program service expenses 2,723,612. Management and general expenses 1,934,652. Fundraising expenses 0. Total expenses 4,658,264. It outreach services: program service expenses 9,799,403. Management and general expenses 0. Fundraising expenses 0. Total expenses 9,799,403. Lab services: program service expenses 2,775,838. Management and general expenses 0. Fundraising expenses 0. Total expenses 2,775,838. Laundry services: program service expenses 10,486. Management and general expenses 0. Fundraising expenses 0. Total expenses 10,486. Maintenance services: program service expenses 9,588,004. Management and general expenses 110,344. Fundraising expenses 0. Total expenses 9,698,348. Nutritional services: program service expenses 1,087,470. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,087,470. Outside healthcare-related services: program service expenses 1,520,811. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,520,811. Patient transport services: program service expenses 345,082. Management and general expenses 0. Fundraising expenses 0. Total expenses 345,082. Physical therapy services: program service expenses 119,391. Management and general expenses 0. Fundraising expenses 0. Total expenses 119,391. Room and board services: program service expenses 1,789,929. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,789,929. Signage services: program service expenses 670. Management and general expenses 5,200. Fundraising expenses 0. Total expenses 5,870. Transcriptions services: program service expenses 58,949. Management and general expenses 0. Fundraising expenses 0. Total expenses 58,949. Visiting nurse outside services: program service expenses 127,913. Management and general expenses 0. Fundraising expenses 0. Total expenses 127,913. Translations services: program service expenses 352,973. Management and general expenses 0. Fundraising expenses 0. Total expenses 352,973. Emergency room services: program service expenses 1,354,421. Management and general expenses 0. Fundraising expenses 0. Total expenses 1,354,421.”

“Change in funded status of retirement 7,117,940. Change in net assets of genesis health services foundation 988,544. Non-cash contributions not reported on books -119,943.”

“The oversight and selection process has not changed from the prior tax year.”