SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
Medium right arrow Complete if the organization answered "Yes" on Form 990, Part IV, question 20a.
Medium right arrow Attach to Form 990.
Medium right arrow Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2023
Open to Public Inspection
Name of the organization
GENESIS HEALTHCARE SYSTEM
 
Employer identification number

31-1480941
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .
1a
Yes
 
b
If "Yes," was it a written policy? ......................
1b
Yes
 
2
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.
3
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.
a
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:
3a
Yes
 
%
b
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: . . . . . . . .
3b
Yes
 
%
c
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.
4
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"? . . . . . . . . . . . . .

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during
the tax year? . . . . . . . . . . . . . . . . . . . . . . .

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .
5b
Yes
 
c
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? . . . . . . . . . . . . .
5c
 
No
6a
Did the organization prepare a community benefit report during the tax year? . . . . . . . . .
6a
Yes
 
b
If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
(a) Number of activities or programs (optional) (b) Persons served (optional) (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) . . .
    5,594,536 1,596,009 3,998,527 0.690 %
b Medicaid (from Worksheet 3, column a) . . . . .     122,223,760 98,504,474 23,719,286 4.080 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     127,818,296 100,100,483 27,717,813 4.770 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4). 53 306,190 1,267,460 53,240 1,214,220 0.210 %
f Health professions education (from Worksheet 5) . . . 10 1,096 2,175,432 0 2,175,432 0.370 %
g Subsidized health services (from Worksheet 6) . . . .            
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . . 11 853 913,787   913,787 0.160 %
j Total. Other Benefits . . 74 308,139 4,356,679 53,240 4,303,439 0.740 %
k Total. Add lines 7d and 7j . 74 308,139 132,174,975 100,153,723 32,021,252 5.510 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue
(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and
training for community members
           
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
21,714,047
3
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. ......
3
 
4
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
5
Enter total revenue received from Medicare (including DSH and IME).....
5
115,062,966
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
112,070,524
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
2,992,442
8
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:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
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 .........................

9b

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 %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2023
Schedule H (Form 990) 2023
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?1Name, 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)
Licensed Hospital General Medical and Surgical Children's Hospital Teaching Hospital Critical Access Hospital Research Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 GENESIS HOSPITAL
2951 MAPLE AVE
ZANESVILLE,OH43701
X X         X   ACUTE CARE HOSPITAL  
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
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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 HOSPITAL
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):
1
Yes No
Community Health Needs Assessment
1 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?........................ 1   No
2 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............... 2   No
3 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...................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 21
5 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 ................. 5 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.................................. 6a   No
b 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. ............................ 6b Yes  
7 Did the hospital facility make its CHNA report widely available to the public?.............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 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. ..............
8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 22
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): WWW.GENESISHCS.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT-AND-IMPLEMENTATION-STR
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
11 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   No
b If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c 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) 2023
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Schedule H (Form 990) 2023
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Part VFacility Information (continued)

Financial Assistance Policy (FAP)
GENESIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 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):
a
b
c
d
e
16 Was widely publicized within the community served by the hospital facility?........ 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
HTTPS://WWW.GENESISHCS.ORG/PATIENTS/FINANCIAL-ASSISTANCE
b
HTTPS://WWW.GENESISHCS.ORG/PATIENTS/FINANCIAL-ASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 6
Part VFacility Information (continued)

Billing and Collections
GENESIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
17 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 nonpayment?.................................. 17 Yes  
18 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:
a
b
c
d
e
f
19 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?............ 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
e
20 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):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 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?.................. 21 Yes  
If "No," indicate why:
a
b
c
d
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
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Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
GENESIS HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
22 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.
a
b
c
d
23 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? ............................... 23   No
If "Yes," explain in Section C.
24 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? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 8
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, 16j, 18e, 19e, 20a, 20b, 20c, 20d, 20e, 21c, 21d, 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 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.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
Page 9
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?23
Name and address Type of Facility (describe)
1 1 - HEALTHPLEX
2800 MAPLE AVENUE
ZANESVILLE,OH43701
OUTPATIENT LAB/ IMAGING, PEDIATRIC REHAB
2 2 - MEDICAL ARTS BUILDING (MAB) II
751 FOREST AVENUE
ZANESVILLE,OH43701
OUTPATINT DIAGNOSTIC
3 3 - MOB II
955 BETHESDA DR
ZANESVILLE,OH43701
OUTPATIENT DIAGNOSTIC & EDUCATION
4 4 - GENESIS PHYISCIAN'S PAVILION
945 BETHESDA DR
ZANESVILLE,OH43701
OUTPAIENT CARDOAC REHAB SERVICES; WOUND CARE CENTER
5 5 - GENESIS BEHAVIORAL HEALTH
2991 MAPLE AVE
ZANESVILLE,OH43701
MENTAL HEALTH AND SUBSTANCE ABUSE TREATMENT
6 6 - SARAP CANCER CENTER
2951 MAPLE AVE
ZANESVILLE,OH43701
CANCER & PALLATIVE CARE/ WOMEN'S BOUTIQUE
7 7 - GENESIS SURGERY CENTER
2907 MAPLE AVE
ZANESVILLE,OH43701
OUTPATIENT SURGERY
8 8 - GENESIS ORTHOPEDIC CENTER
2904 BELL STREET
ZANESVILLE,OH43701
OUTPATIENT ORTHODIC AND SPORTMEDICINE DIAGNOTICS
9 9 - GENESIS OUTPATIENT REHAB
3297 NAOKE AVE
ZANESVILLE,OH43701
OUTPATIENT REHAB AND IMAGING
10 10 - GENESIS VEIN CENTER
930 BETHESDA DR
ZANESVILLE,OH43701
DIAGNOSTIC AND TREATMENT OF OUTPATIENT VEIN DISORDERS
11 11 - GENESIS INTERVENTIONAL PAIN MGMT CLINIC
2945 MAPLE AVE
ZANESVILLE,OH43701
PAIN MEDICINE SPECIALIZATION; IMAGING TECHNIQUES; SOLUTIONS TO PAIN
12 12 - CAMBRIDGE HEALTH CENTER
61353 SOUTHGATE PARKWAY
CAMBRIDGE,OH43725
IMAGING SERVICES/ LAB SERVICE/ WOUND MANAGEMENT
13 13 - GENESIS SLEEP DISORDERS CENTER
840 BETHESDA DR
ZANESVILLE,OH43701
DIAGNOSTICS AND TREATMENT OF SLEEP DISORDERS
14 14 - GENESIS HEALTH CENTER - PERRY COUNTY
301 DR MIKE CLOUSE DR
SOMERSET,OH43783
DIAGNOSITIC HEALTHCARE SERVICES/ PHYSICAL & OCCUPATIONAL THERAPY
15 15 - GENEIS ENDOCRINOLOGY
860 BETHESDA DR
ZANESVILLE,OH43701
EDUCATION AND OUTPATIENT ENDOCRINOLOGY SERVICES
16 16 - GENESIS HEALTHCARE CENTER - NEW CONCORD
1 EAST MAIN STREET
NEW CONCORD,OH43762
LAB SERVICES
17 17 - HOSPICE & PALLIATIVE CARE
713 FOREST AVE
ZANESVILLE,OH43701
HOSPICE & PALLIATIVE CARE CENTER
18 18 - GENESIS NEW LEXINGTON DRAW CENTER
401 LINCOLN PARK DR
NEW LEXINGTON,OH43764
LAB SERVICES
19 19 - GENEIS RHEUMAOLOGY CARE CENTER
2525 MAPLE AVE
ZANESVILLE,OH43701
EDUCATION AND OUTPATIENT RHEUMATOLOGY SERVICE
20 20 - GENESIS SPECIALY CENTER
1452 CLARK ST
CAMBRIDGE,OH43725
LAB SERVICES
21 21 - IMAGING MVHC PUTNAM
915 PUTNAM AVE
ZANESVILLE,OH43701
LAB SERVICES
22 22 - IMAGING MVHC MALTA
859 S MAIN ST STE 146
MALTA,OH43758
LAB SERVICES
23 23 - GENESIS COSHOCTON MEDICAL CENTER
48439 GENESIS DRIVE
COSHOCTON,OH43812
MEDICAL CENTER
Schedule H (Form 990) 2023
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Schedule H (Form 990) 2023
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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 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
Schedule H (Form 990) 2023
Additional Data


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