Genesis Health System

“Prior to submitting the form 990 to the IRS, it is reviewed at the organization's finance committee meeting, and then 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 the reviews are considered for inclusion in the final form 990 submitted to the IRS. Internal management review is also completed of the compiled information and is provided to the vice president, finance/CFO; vice president, legal affairs; vice president, human resources; and chief compliance risk officer of the organization's corporate member.”

“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 attribute 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 subjected to CEO, compensation committee, and GHS Iowa board of director approval. The president and CEO have the authority and responsibility to establish and adjust, within the range approved by the compensation committee and 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 2018.”

“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.”

“Contractuals - Total Revenue: -XXX-XX-XXXX, Related or Exempt Function Revenue: -XXX-XX-XXXX, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“Misc - Total Revenue: 651239, Related or Exempt Function Revenue: 651239, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;”

“(Expenses $ 2,452,522 including grants of $)(Revenue $ 4,656,591) 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.”

“Line 15 was purposely marked no based on section 4960 publication, the effective date is for the first taxable year beginning after 12/31/17 in which Genesis first taxable year is 07/01/18-06/30/19; 2018 tax year. therefore, the calendar dates to report wages is between 07/01/18 through 12/31/18; with reportable compensation for Douglas P. Cropper being under $1 million.”

“ANESTHESIA SERVICES - Total Expense: 1093871, Program Service Expense: 1093871, Management and General Expenses: , Fundraising Expenses: ; BLOOD BANK SERVICES - Total Expense: 1660862, Program Service Expense: 1660862, Management and General Expenses: , Fundraising Expenses: ; COLLECTION SERVICES - Total Expense: 4925610, Program Service Expense: 1690998, Management and General Expenses: 3234612, Fundraising Expenses: ; COMMUNICATIONS SERVICES - Total Expense: 410359, Program Service Expense: , Management and General Expenses: 410359, Fundraising Expenses: ; DIALYSIS SERVICES - Total Expense: 625823, Program Service Expense: 625823, Management and General Expenses: , Fundraising Expenses: ; ENVIRONMENTAL SERVICES - Total Expense: 3403032, Program Service Expense: 3361192, Management and General Expenses: 41840, Fundraising Expenses: ; HEALTH CARE PROFESSIONAL SERVICES - Total Expense: 11890475, Program Service Expense: 11758284, Management and General Expenses: 132191, Fundraising Expenses: ; HEALTH-RELATED IMAGING SERVICES - Total Expense: 188136, Program Service Expense: 188136, Management and General Expenses: , Fundraising Expenses: ; HEALTHCARE DATA SYSTEM/STRATEGIC PLANNING: - Total Expense: 2790336, Program Service Expense: 336497, Management and General Expenses: 2453839, Fundraising Expenses: ; IT OUTREACH SERVICES - Total Expense: 5435093, Program Service Expense: , Management and General Expenses: 5435093, Fundraising Expenses: ; LAB SERVICES - Total Expense: 4491399, Program Service Expense: 4491399, Management and General Expenses: , Fundraising Expenses: ; LAUNDRY SERVICES: - Total Expense: 19464, Program Service Expense: 19399, Management and General Expenses: 65, Fundraising Expenses: ; MAINTENANCE SERVICES - Total Expense: 9402362, Program Service Expense: 8803844, Management and General Expenses: 598518, Fundraising Expenses: ; NUTRITIONAL SERVICES - Total Expense: 2305600, Program Service Expense: 2305600, Management and General Expenses: , Fundraising Expenses: ; OUTSIDE HEALTHCARE-RELATED SERVICES - Total Expense: 14879266, Program Service Expense: 14879266, Management and General Expenses: , Fundraising Expenses: ; PATIENT TRANSPORT SERVICES - Total Expense: 368164, Program Service Expense: 368164, Management and General Expenses: , Fundraising Expenses: ; PHYSICAL THERAPY SERVICES - Total Expense: 264124, Program Service Expense: 264124, Management and General Expenses: , Fundraising Expenses: ; ROOM AND BOARD SERVICES - Total Expense: 1037689, Program Service Expense: 1036327, Management and General Expenses: 1362, Fundraising Expenses: ; TRANSCRIPTIONS SERVICES - Total Expense: 200582, Program Service Expense: 5099, Management and General Expenses: 195483, Fundraising Expenses: ; VISITING NURSE OUTSIDE SERVICES - Total Expense: 409046, Program Service Expense: 409046, Management and General Expenses: , Fundraising Expenses: ; TRANSLATIONS SERVICES - Total Expense: 396976, Program Service Expense: 270, Management and General Expenses: 396706, Fundraising Expenses: ; EMERGENCY ROOM SERVICES - Total Expense: 1587748, Program Service Expense: 1587748, Management and General Expenses: , Fundraising Expenses: ;”

“Change in funded status of retirement - 1068563; change in net assets of genesis health services foundation - -172509; non-cash contributions not reported on books - -42335;”

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