4A (Expenses $ 315477221 including grants of $ 1597304) (Revenue $ 411737235)
GENESIS HEALTH SYSTEM (GHS IOWA) IS A HEALTH SYSTEM LOCATED IN EASTERN IOWA CONSISTING OF THREE HOSPITAL FACILITIES, TWO IN DAVENPORT AND ONE IN DEWITT, IOWA. GENESIS MEDICAL CENTER - DAVENPORT, CONTAINING 502 LICENSED ACUTE CARE BEDS. STATISTICS INCLUDE 74,682 PATIENT DAYS AND 225,507 OUTPATIENT VISITS; GENESIS MEDICAL CENTER - DEWITT, CONTAINING 13 LICENSED ACUTE CARE AND SWING BEDS. STATISTICS INCLUDE 1,361 PATIENT DAYS AND 28,349 OUTPATIENT VISITS. GHS IOWA ALSO INCLUDES A FAMILY MEDICINE RESIDENCY PROGRAM THAT CONTINUES TO EDUCATE RESIDENTS IN THE HOSPITAL SETTING.

4B (Expenses $ 102967130 including grants of $ 0) (Revenue $ 74631149)
GENESIS HEALTH GROUP, A PHYSICIAN GROUP WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES A WIDE VARIETY OF SPECIALTIES AND FAMILY PRACTICE GROUPS SERVING IOWA, ILLINOIS AND SURROUNDING COMMUNITIES IN EASTERN IOWA AND WESTERN ILLINOIS.

4C (Expenses $ 20656693 including grants of $ 0) (Revenue $ 23655014)
GENESIS AT HOME VNA & HOSPICE, A VISITING NURSE AND HOSPICE CARE PROGRAM WITHIN GENESIS HEALTH SYSTEM (GHS IOWA) ENCOMPASSES HOME HEALTH SERVICES (INCLUDING PHYSICAL THERAPY, OCCUPATIONAL/SPEECH THERAPY, SKILLED NURSING, MEDICAL SOCIAL WORKER VISITS), COMMUNITY HOSPICE SERVICES, AND THE CLARISSA C. COOK HOSPICE HOUSE LOCATED IN BETTENDORF, IOWA. STATISTICS INCLUDE 96,564 HOME HEALTH SERVICE UNITS AND 41,923 HOSPICE/HOSPICE HOUSE DAYS.

Schedule H, Part V, Section B, Line 5 Facility , 1
Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. The sponsors of this study, Community Health Care, Inc., Genesis Health System, Muscatine County Public Health, Quad City Health Initiative, Rock Island County Health Department, Scott County Health Department and UnityPoint Health-Trinity, collaborate on improving health status and quality of life in the Quad Cities region. This work together is rooted in periodic, comprehensive community health assessments that meet the information and reporting needs of all partners. Understanding our community's health status is the foundation for developing community education, resources, and programs that will advance our community's health. The assessment informs the creation of community health improvement plans for the study sponsors. In addition, the study sponsors encourage other organizations also to use this information to inform strategic planning, grant writing and project development. For the 2021 Quad Cities Community Health Assessment, our coordinated approach included primary data collection, secondary data analysis, and qualitative data gathering from community members in our bi-state area. The study sponsors engaged PRC, Inc. to collect secondary data and implement a community health survey. Select operations data from local providers also were summarized. Special consideration was given to how we could increase our understanding of topics such as the impact of COVID-19, health disparities, and social determinants of health. The following document provides PRC, Inc.'s bi-state findings in detail as well as information obtained through local partners. Documents produced as part of the 2021 Quad Cities Community Health Assessment process are available for review online at quadcities.healthforecast.net. This Community Health Assessment is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Scott, Muscatine, and Rock Island counties - it is a follow-up to similar studies conducted in the Quad Cities Area (Scott and Rock Island counties) in 2002, 2007, 2012, 2015, and throughout the full three-county area in 2018. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. This study was sponsored by a collaboration of local organizations, including: Community Health Care, Inc.; Genesis Health System; Muscatine County Public Health; Quad City Health Initiative; Rock Island County Health Department; Scott County Health Department; and UnityPoint Health-Trinity. The portion of the study conducted by PRC was funded by Genesis Health System and UnityPoint Health-Trinity. The following staff from the sponsoring organizations comprised the assessment Steering Committee. Steering Committee: Brooke Barnes, Scott County Health Department Taryn Bautista, Genesis Health System Sherri Behr DeVrieze, UnityPoint Health-Trinity Tom Bowman, Community Health Care, Inc. Nicole Carkner, Quad City Health Initiative (QCHI) Michele Dane, Genesis Health System Rikki Hetzler, UnityPoint Health-Trinity Muscatine Public Health Janet Hill, Rock Island County Health Department Daniel Joiner, UnityPoint Health-Trinity Cheri Lewis, Quad City Health Initiative (QCHI) Nita Ludwig, Rock Island County Health Department Tiffany Peterson, Scott County Health Department Christy Roby Williams, UnityPoint Health-Trinity Muscatine Public Health The Steering Committee was guided by the input from Stakeholder Committees that were convened to support data collection and the identification of community health priorities. The Steering Committee thanks the following community members who participated in this process. The Steering Committee would like to acknowledge staff from the Scott County Emergency Management Agency for conversations about how this assessment can inform broader community-recovery planning efforts. The Steering Committee also appreciates the contributions of Lara Paxton, MPH student, St. Ambrose University, who supported this assessment as an intern. Rock Island and Scott Counties Stakeholder Committee: Dr. Ron Boesch, Palmer College of Chiropractic Clinics Carol Brenner, MetroLINK Debra Brownson, Skip-a-Long Family and Community Services Denise Bulat, Bi-State Regional Commission Sheriff Gerry Bustos, Rock Island County Sheriff's Department Dave Donovan, Scott County EMA Gina Ekstrom, Davenport Community School District Laura Fontaine, World Relief Quad Cities Linda Frederiksen, Medic EMS Deborah Freiburg, Rock Island County Board of Health Mayor Bob Gallagher, City of Bettendorf Dr. Ann Garton, St. Ambrose Institute for Person-Centered Care Rev. Dr. Melvin Grimes, Churches United of the Quad City Area Dr. Kathleen Hanson, Scott County Board of Health Dr. Kristin Humphries, East Moline School District Jerry Jones, MLK Jr. Community Center Leslie Kilgannon, Quad Cities Housing Cluster Brycie Kochuyt, Alternatives for the Older Adult Sheriff Tim Lane, Scott County Sheriff's Department Shirleen Martin, Davenport NAACP Health Committee Member Dr. Amy Maxeiner, Black Hawk College Mike Miller, River Bend Food Bank Tammy Reed, Rock Island County NAACP Health Committee Chair, TASC Anamaria Rocha, Mercado on Fifth Paul Rumler, Quad Cities Chamber Alicia Sanders, Rock Island-Milan School District Dr. Rachel Savage, Moline-Coal Valley School District Sarah Stevens, The Project of the Quad Cities Brian Strusz, Pleasant Valley School District Kelly Thompson, Quad Cities Community Foundation Dr. Cheryl True, True Lifestyle Medicine Clinic Deb Waymack, Deere & Company Dr. Rich Whitaker, Vera French Community Mental Health Center Marci Zogg, United Way Quad Cities Muscatine County Stakeholder Committee: Brenda Arthur-Miller, West Liberty Community School District Pastor Susan Bantz, Muscatine Ministerial Association Bob Barrett, City of Wilton Steve Brauns, Wilton Ministerial Association Diana Broderson, City of Muscatine Joe Burnett, Wilton Community School District Clint Christopher, Muscatine Community School District Scott Dahlke, Muscatine Center for Social Action Dr. Naomi DeWinter, Muscatine Community College Dennis Duke, UnityPoint Health - Robert Young Center Jerry Ewers, City of Muscatine - Fire and Emergency Medical Services Megan Francis, Muscatine Senior Resources Michelle Garvin, Wester Drug Pharmacy and Wellness Father Guillermo Trevino, Jr., West Liberty St. Joseph Catholic Church Karen Harper RPH, Muscatine County Board of Health Bob Hartman, City of West Liberty Erika Hayes, UnityPoint Health - Trinity Muscatine Rikki Hetzler, UnityPoint Health - Trinity Muscatine Angela Johnson, UnityPoint Health - Trinity Muscatine Anthony Kies, City of Muscatine - Police Department William Koellner, Muscatine County Board of Health Melanie Langley, Iowa Department of Human Services Dana Larue, Non-Emergency Transport Laurie Ludman, Iowa Department of Human Services Dr. Michael Maharry, University of Iowa Hospitals and Clinics Stephanie Martin, West Liberty Chamber of Commerce Kadie McCory, Mississippi Valley Child Protection Center Rosa Mendoza, Diversity Service Center of Iowa Mary Odell, Muscatine Health Support Funds Shane Orr, United Way of Muscatine Damaris Ortega, UnityPoint Health - Trinity Muscatine Occupational Medicine Dr. Dustaff Persaud, Mercy Family Medicine Lindsey Phillips, Trinity Muscatine Foundation Board of Directors Cheryl Plank, Vision 2020 Muscatine Tina Plett, Community Health Care, Inc., Muscatine Medical Clinic Eric Reader, Greater Muscatine Chamber of Commerce and Industry Erick Recinos, UnityPoint Health - Trinity Glenda Reichert - UnityPoint Health - Trinity Muscatine Judge Tom Reidel, 7th Judicial District - Iowa Department of Corrections Sheriff Quinn Reiss, Muscatine County Sherriff's Department Christy Roby Williams, UnityPoint Health - Trinity Muscatine Public Health Daniel Salazar, Racial Justice Fund Committee of Community Foundation of Greater Muscatine Nick Salazar, LULAC - League of United Latin American Citizens of Iowa Santos Saucedo, Muscatine County Board of Supervisors Charla Schafer, Community Foundation of Greater Muscatine Pastor Ty Thomas, Calvary Church Muscatine Felicia Toppert, Muscatine County Community Services Kim Warren, Aligned Impact Muscatine Brandy Werling-Marquez, Wilton Chamber of Commerce Steve Wieskamp, Rock Valley Physical Therapy Destiny Williams, Racial Justice Fund Committee of Community Foundation of Greater Muscatine Brian Wright, Emergency Management Agency

Schedule H, Part V, Section B, Line 6a Facility , 1
Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. UNITY POINT HEALTH-TRINITY

Schedule H, Part V, Section B, Line 6b Facility , 1
Facility , 1 - GENESIS MEDICAL CENTER - DAVENPORT. COMMUNITY HEALTH CARE, QUAD CITY HEALTH INITIATIVE, ROCK ISLAND COUNTY HEALTH DEPARTMENT, Muscatine County Board of Health, AND THE SCOTT COUNTY HEALTH DEPARTMENT

Schedule H, Part V, Section B, Line 11 Facility , 1
"Facility , 1 - GMC Davenport. With following the Genesis Health System's mission along with coordinating with the Quad City Health Initiative Implementation plan, Genesis Medical Center Silvis will be focusing and delivering on the following programs and resources to address the needs of the community: Community Education and Outreach Health Screening Support Groups Counseling Self-Help Immunizations Other Community Programs Family Support Services In-Home Services Meals/Nutrition Services Transportation Services Cash and In-Kind Donations Medical Education and Research III. Community Health Improvement Initiatives Infant Health: Multi-year plan in coordination with the Quad City Health Initiative, Unity Point QC, the Rock Island and Scott County Health Departments and Community Health Care to reduce the number of low birth weight infants. Form the multi-disciplinary task force - health care organization leaders, providers and target population Understand the size and scope of the health issue Determine the area of focus to reduce low birth weight births Implement strategies Evaluate progress Mental Health: Continue our efforts to support community mental health programs through: - Collaboration with Vera French to support programs such as ""ACT"" Assertive Community Treatment, MST Multisystemic therapy for teens, etc. - Behavioral health services provided via our emergency department and inpatient unit -Support Family Connects - moms with post-partum depression Participate in the Quad Cities Behavioral Health Coalition programs (e.g.the Zero Suicide Initiative) Advocate for improved funding for mental health services Nutrition, Physical Activity and Weight: Collaborate with community partners to educate the public re the importance of healthy diet and regular exercise such as Be Healthy QC Implement a Food Pharmacy to help diabetic patients with limited resources obtain and use healthy foods to control their diabetes. Provision of exercise equipment at area parks. Continue Genesis programs: -YMCA membership discount for staff and their families -Healthy Lifestyle Sponsorships such as Bix 7 -Center for Weight Management and Bariatric Surgery Access to Healthcare: Continue Genesis support for: -421-DOCS - assistance for finding a primary care provider -Recruiting primary care providers and specialists Expansion of Genesis emergency and convenient care services in growing population areas (e.g. Eldridge Convenient Care Clinic) Expansion of telehealth services for: -Non-emergent, basic health care -Consultations with specialists especially for patients living in rural areas Diabetes Prevention and Treatment: Genesis Health System FY 2022 Strategic Goal - Achieve breakthrough performance in lowering the hemoglobin A1C rate to improve the health of our community. Achieved by: -Continued monitoring of high risk patients -Ongoing education Implementation of a Food Pharmacy to help diabetic patients, with limited resources, obtain and use healthy foods to control their diabetes."

Schedule H, Part V, Section B, Line 5 Facility , 1
"Facility , 1 - Genesis Medical Center Dewitt. Part V, Section B, Line 5: To complete the community health needs assessment, existing health -related data were collected via the online community commons community health needs assessment report tool at HTTP://www.communitycommons.org/maps-data. This site allows for identification of 87 distinct health and social indicators at the county level , along with comparisons to state and national data, and health people 2020 targets, where available. Once an indicators report was generated, relevant indicators were reviewed to determine how Clinton County compared to available state/national data (see the ""detailed health indicators"" section of this document. Data was also collected by Genesis Health system Business Intelligence and Communications departments. Information gaps: Because this CHNA relies on existing datasets, it is limited in scope to those indicators currently available through database collection. It does not include a primary research component and many important issues are unaddressed (e.g. access to healthcare). Another limitation is that most measures included in this assessment represent data that are several years old. Community Stakeholder Input: Genesis Medical Center DeWitt got input from public health officials and other community stakeholders through a series of meetings. The organizations involved include: * Westwing Senior Living * Clinton County Public Health Department * GMC DeWitt * Patient Health Services Jack County Board of Health * GMC DeWitt Social Services * GMC DeWitt Community Health Liaison Genesis Medical Center Dewitt also conducts a community survey to local organizations for input on CHNA and implementation strategy."

Schedule H, Part V, Section B, Line 11 Facility , 1
Facility , 1 - GENESIS MEDICAL CENTER - DEWITT:. Genesis Health System, in collaboration with Clinton County Health Department, continues to address the significant needs identified in the most recent CHNA through our ongoing programs and resources. These programs include: Healthy Behaviors: Integrated health, wellness activities, smoking cessation, physical activity and weight status: * Switch program completed for DeWitt area families by extension office * School nurse was provided extension office 5210 healthy eating habits posters for education at DeWitt Schools * Diabetes CCM program * Implementation of Food Pharmacy * Continue Genesis support for primary and specialty care services * Expansion of Genesis emergency and convenient care services in areas of growing population/need * Expansion on telehealth services * Concussion management built into the school's initial assessment for baseline of any student athlete * Coverage for treatment at athletic events (Northeast, DeWitt, and Calamus/Wheatland schools) Decrease Youth Risky Behaviors: Teenage pregnancy, marijuana use: * DeWitt/Camanche coalition attendance provided by Wanda Haack and/or Ann Bixby * Scott Drug provides drop box for unused medication disposal * DeWitt/Camanche Coalition provided education at local schools Mental Health Awareness and Services: Suicide prevention and awareness, medication disposal, education on adverse childhood experience (ACE): * Connections Matter * CNO and RN became educated trainers; provided education to Med/Surg and ED units at GMC-DeWitt and DeWitt Lion's Club * Education provided to VNA staff and hosted at GMC-DeWitt * Respite House support provided through DeWitt and GHS Foundations. House provided through lease agreement with GMC-DeWitt * Continued contract with Eastern Iowa Grant providing telepsyche services within the ED and RN Care Coordination for mental health services from ED to community RN Care Coordinator * Continue efforts to support community mental health programs * Participate in Zero Suicide program * Advocate for improved funding for mental health services

Schedule H, Part I, Line 6a Community benefit report prepared by related organization
GENESIS HEALTH SYSTEM (GHS ILLINOIS) AND GENESIS MEDICAL CENTER, ALEDO (GMC, ALEDO)

Schedule H, Part I, Line 7g Subsidized Health Services
No costs associated with a physician clinic were reported in subsidized health services.

Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance
"Genesis Health System (GHS Iowa) utilized Worksheet 2 to calculate its cost-to-charge ratio. The calculated cost-to-charge ratio was used to calculate the cost of Charity Care and Unreimbursed Medicaid. Costs of the ""Other Benefits"" reported in 7e -7i were compiled throughout the year in the community benefit database (i.e., CBISA) that Genesis Health System utilizes."

Schedule H, Part II Community Building Activities
No building activities for tax year 2021.

Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount
In accordance with Healthcare Financial Management Association Statement No. 15, Bad Debt is reported at the full-established charge from the most recent audited financial report. Payments received after an account had been written off to bad debt were credited to a bad debt recovery account. Discounts on patient accounts provided by third-party payers were written off to a contractual allowance account.

Schedule H, Part III, Line 3 Bad Debt Expense Methodology
Genesis Health System uses Avadyne Health to process aging patient accounts. Avadyne Health's collection process utilizes publicly available information to ensure all aging patient accounts receive financial assistance in accordance to Genesis Health System policy before being deemed bad debt. Genesis Health System reported zero dollars for the estimated amount of the organization's bad debt attributable to patients eligible under the organization's financial assistance policy.

Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote
The System determines the transaction price based on standard charges for goods and services provided to patients, reduced by explicit price concessions consisting of contractual adjustments provided to third-party payors, discounts provided to uninsured patients in accordance with the System's policy, and/or implicit price concessions provided to uninsured patients based on historical collection experience. The implicit price concessions included in estimating the transaction price represent the difference between amounts billed to patients and the amounts expected to be collected based on the System's collection history with similar classes of patients. Subsequent changes to the estimate of the transaction price are generally recorded as adjustments to patient service revenue in the period of the change. Subsequent changes that are determined to be the result of an adverse change in the patient's ability to pay are recorded as bad debt expense. Bad debt expense for the years ended June 30, 2022 and 2021, was not material.

Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs
"No Medicare shortfalls were included in community benefit. The Medicare cost report shortfall represents the difference between the total revenue received from Medicare based on Medicare cost report reimbursement rates and the costs incurred by GHS Iowa in providing healthcare services to the elderly. The total Medicare shortfall, which includes fee screen services, was $13,713,675. In 2021, the percent of persons 65 years and over in Rock Island and Scott Counties was 17.0%. In accordance with GHS Iowa's mission statement, ""To Provide Compassionate, Quality Health Services to All Those in Need,"" the elderly were served despite the total Medicare loss of $13,713,675. GHS Iowa has a clear mission to serve all those in need and to improve the health of the community including the elderly. Furthermore, there are no for-profit hospitals in the community, and therefore GHS Iowa is one of two tax-exempt healthcare organizations in the community who provide access to healthcare for Medicare patients. Accordingly, it is GHS Iowa's position for the reasons stated above that the total Medicare shortfall of $13,713,675 represents a Community Benefit. Pursuant to the instructions to the Form 990, Schedule H, the Medicare shortfall is not included in Part I, line 7. If the total Medicare shortfall was included in Part I, line 7, then Part I, line 7k, Column f would be 2.42%."

Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance
Every effort is made to determine a patient's eligibility for financial assistance. If eligible, payment plans are made available based on their resources and income. All balances owing after financial assistance allowances have been taken are payable in monthly payments in accordance with the organization's financial assistance policy.

Schedule H, Part V, Section B, Line 16a FAP website
- GENESIS MEDICAL CENTER - DEWITT: Line 16a URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16a URL: WWW.GENESISHEALTH.COM;

Schedule H, Part V, Section B, Line 16b FAP Application website
- GENESIS MEDICAL CENTER - DEWITT: Line 16b URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16b URL: WWW.GENESISHEALTH.COM;

Schedule H, Part V, Section B, Line 16c FAP plain language summary website
- GENESIS MEDICAL CENTER - DEWITT: Line 16c URL: WWW.GENESISHEALTH.COM; - GENESIS MEDICAL CENTER - DAVENPORT: Line 16c URL: WWW.GENESISHEALTH.COM;

Schedule H, Part VI, Line 3 Patient education of eligibility for assistance
Information on the availability of financial assistance is posted in visible locations in the admission departments of the hospitals. In addition, the hospital registration staff make available informative brochures for patients in the Emergency Room registration area explaining their eligibility for assistance. Genesis Health System (GHS Iowa) provides patient financial counselors on each hospital campus to discuss options with the patients. Patient Financial Services prepares and provides a letter to each patient, explaining their current balance and advising them of their options. A phone number is provided with the letter encouraging the patient to call if needed.

Schedule H, Part VI, Line 7 State filing of community benefit report
IL, IA

Schedule H, Part VI, Line 2 Needs assessment
The sponsors of this study, Community Health Care, Inc., Genesis Health System(GHS Illinois), Muscatine County Public Health, Quad City Health Initiative, Rock Island County Health Department, Scott County Health Department and UnityPoint Health-Trinity, collaborate on improving health status and quality of life in the Quad Cities region. This work together is rooted in periodic, comprehensive community health assessments that meet the information and reporting needs of all partners. Understanding our community's health status is the foundation for developing community education, resources, and programs that will advance our community's health. The assessment informs the creation of community health improvement plans for the study sponsors. In addition, the study sponsors encourage other organizations also to use this information to inform strategic planning, grant writing and project development. For the 2021 Quad Cities Community Health Assessment, our coordinated approach included primary data collection, secondary data analysis, and qualitative data gathering from community members in our bi-state area. The study sponsors engaged PRC, Inc. to collect secondary data and implement a community health survey. Select operations data from local providers also were summarized. Special consideration was given to how we could increase our understanding of topics such as the impact of COVID-19, health disparities, and social determinants of health. The following document provides PRC, Inc.'s bi-state findings in detail as well as information obtained through local partners. Documents produced as part of the 2021 Quad Cities Community Health Assessment process are available for review online at quadcities.healthforecast.net. This Community Health Assessment is a systematic, data-driven approach to determining the health status, behaviors, and needs of residents in Scott, Muscatine, and Rock Island counties - it is a follow-up to similar studies conducted in the Quad Cities Area (Scott and Rock Island counties) in 2002, 2007, 2012, 2015, and throughout the full three-county area in 2018. Subsequently, this information may be used to inform decisions and guide efforts to improve community health and wellness. A Community Health Assessment provides information so that communities may identify issues of greatest concern and decide to commit resources to those areas, thereby making the greatest possible impact on community health status. This Community Health Assessment will serve as a tool toward reaching three basic goals: To improve residents' health status, increase their life spans, and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at targeting these individuals may then be developed to combat some of the socio-economic factors that historically have had a negative impact on residents' health. To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care. Genesis Medical Center Dewitt utilizes the community health needs assessment (CHNA) conducted by Genesis Health System Business Intelligence and communications department as well partnering with Clinton County Health Department in 2020.

Schedule H, Part VI, Line 4 Community information
Genesis Health System's (GHS Illinois) mission is to provide quality, compassionate care for all those in need. GHS Illinois lives its mission each day by serving a 10-County region of Eastern Iowa and Western Illinois, including both urban and rural areas. The region served by GHS Illinois (Davenport-Moline-Rock Island, IA - IL. Metropolitan statistical area - Henry County, IL, Mercer County, IL, Muscatine County IA, Rock Island, IL., and Scott County, IA.) has a population of 359,208. According to the US Census Bureau American Community Survey Five Year Estimates (2015-2019), Whites made up 84.0% of the MSA population with 8.1% Black or African-American and 7.9% Hispanic or other origin. In the Quad Cities area, 23.4% of the population are infants, children, or adolescents (age 0-17); another 59.6% are 18-64, while 17.0% are age 65 and older. According to estimates from the US Census Bureau American Community Survey, 12.5% of Quad Cities area residents (Scott and Rock Island Counties) live below the Federal poverty Lack of health insurance among adults age 18 to 64 is reported by 5.7% of Scott County, IA residents and 8.7% of Rock Island County, IL residents. The Quad Cities area percentage of adults who smoked in 2021 was 20.5%. The percentage of adults who were obese in 2021 was 40.5% in Rock Island County, Illinois and 42.1% in Scott County, Iowa. Obesity rates in both Scott County, IA and Rock Island County, IL are higher than national benchmarks. GMC DeWitt serves the residents of Clinton County, primarily those residing in Dewitt and the surrounding towns. With a population of 47,218, made of age groups of 0-17 (22.82%), 18-44 (30.03%), 45-64 (28.09%), and 65+ (19.06%). Population living areas were 67.77% in urban and 32.23% in rural. Other statistic was population made up of white (93.77%), black or African American (2.67%), Asian (.73%), and other (2.83%). Statistic percentages are according to the U.S. Census Bureau American Community Survey 2014-18 5 year estimates.

Schedule H, Part VI, Line 5 Promotion of community health
Genesis Health System's Board of directors is a diverse representation of persons who reside in the primary service area that Genesis Health System serves. Genesis Health System executives and employees serve on dozens of volunteer boards throughout the region on important projects and initiatives, such as homeless shelters, mental health, downtown redevelopment and events and festivals. Genesis Health System employees serve the communities where they live by serving in elected offices in city and county government. Genesis Health System extends medical staff privileges to all qualified physicians in its communities. Genesis Health System has endeavored to improve access to health care for the communities it serves by participating in appropriate joint ventures that offer needed health care services to under-served areas. Genesis Health System schedules dozens of health screenings and immunizations throughout the year at a reduced cost. These include screenings for diabetes, stroke and heart disease and public flu immunization clinics. Genesis Health System providers translation services based on a percentage of the diversity of the population. Each year, Genesis Health System provides the community with dozens of classes and events promoting health and health education. Hundreds of residents in the region served by Genesis Health System learn CPR, First Aid, parenting skills, and newborn care by enrolling in classes. Genesis Health System supplies medical supplies and equipment to Globus, which is a third party company that helps companies share and transfer research data. Genesis Health System maintains an active effort to advocate for access to health care in Iowa and Illinois State government and in Washington D.C. Genesis Health System employees also participate in a voter voice initiative to advocate on important health issues with City, County, State, and National elected officials. Surplus funds resulting from efficient operations and cost-containment measure are re-invested in the healthcare operations of Genesis Health System to improve the healthcare services that Genesis Health System provides. Advances in medical equipment and technology, staff education, and new medical services are examples of operation investments that ultimately improve the health of the communities that Genesis Health System serves. As part of Genesis Health System, GMC DeWitt is committed to the promotion of community health. The hospital participates in programs such as housing for persons with mental illness.

Schedule H, Part VI, Line 6 Affiliated health care system
"Nature of business: Genesis Health System - Iowa (GHS Iowa), an Iowa nonprofit corporation, and Genesis Health System - Illinois (GHS Illinois), an Illinois not-for-profit corporation, have identical governing boards, management and bylaws and can act jointly. GHS Iowa is also the sole member of Genesis Health Services Foundation, Genesis Philanthropy, Genesis Accountable Care Organization, LLC and Genesis Health System Workers' Compensation Plan and Trust, the sole stockholder of GenVentures, Inc., a member of Misericordia Assurance Company, Ltd. and a partner in GenGastro, LLC. GHS Illinois is the sole member of Genesis Medical Center - Aledo (GMC - Aledo), and is a partner in The Larson Center Partnership. GHS Iowa, GHS Illinois and GMC - Aledo collectively represent the Obligated Group on certain components of the System's long-term debt. GHS Iowa and GHS Illinois operate the following business units: Genesis Health System provides administrative, management, information technology and other support services to its affiliates. Genesis Clinical Services operates physician medical practices, convenient care practices and an occupational medicine clinic and provides behavioral health services to the residents of eastern Iowa and western Illinois. Genesis Medical Center- Davenport (GMC - Davenport) is licensed as a 502-bed acute care hospital which provides services from two hospital facilities located in Davenport, Iowa. Genesis Family Medical Center (GFMC) is a family practice residency training program that operates clinics in Davenport and Blue Grass, Iowa to provide a clinical setting for the residents to treat patients. Genesis Medical Center- DeWitt (GMC - DeWitt) is certified as a critical access hospital, which has 13-acute care and swing beds, which are dually licensed for Medicare and Medicaid services and which provide services from its facility in DeWitt, Iowa. In June 2019, GMC - Dewitt entered into a lease agreement, whereby GMC - Dewitt began leasing the assets and operations of its long-term care facility to a joint venture, Wellspire, LLC. The System has a 40% ownership interest in Wellspire, LLC. Genesis Visiting Nurse Association and Hospice (VNA) provides home health care, community nursing services and hospice services to patients in eastern Iowa and western Illinois. Genesis Medical Center- Silvis (GMC - Silvis) is licensed as a 145-bed acute care hospital which provides services from its facility in Silvis, Illinois. Mini Hospital Nursing Home (INH) operates Crosstown Square. Crosstown Square is an independent living facility containing 64 rentable apartments and three guest rooms that offers services designed to provide independent living apartments for seniors. Crosstown Square is managed by Wellspire, LLC, which is one of the System's joint ventures. GHS Iowa and GHS Illinois have a controlling ownership interest or membership in the following organizations: Genesis Medical Center- Aledo (GMC - Aledo) is certified as a critical access hospital, which has 22-acute care and swing beds, as well as a physician clinic, which provides services from its facility in Aledo, Illinois. Genesis Health Services Foundation (Genesis Foundation) is an organization whose mission is to develop, manage and grant charitable support to meet the health-related needs of the communities served by Genesis Health System. GenGastro, LLC (d/b/a the Center for Digestive Health) is a limited liability company, which operates a single-specialty gastroenterology ambulatory surgery center located in Bettendorf, Iowa. Genesis Health System sold an interest in September 2021 reducing their ownership from 90% to an 83.75% ownership interest in GenGastro, LLC. The Larson Center Partnership (LCP) is a for-profit real estate partnership which owns a medical office building adjacent to GMC - Silvis and leases space for clinics, laboratory, pharmacy and offices to GMC - Silvis and other third-party organizations. GHS Illinois is a general partner and owns approximately 82.6% of LCP. Gen Ventures, Inc. (Gen Ventures) is a wholly-owned for-profit corporation which operates the following divisions, primarily in the Quad Cities: Genesis at Home, Continuing Care sells and leases home medical equipment, provides intravenous therapy services, including sales of related solutions and supplies to patients, and provides retail pharmaceutical and over-the-counter products to patients and employees of the System. GenProperties owns, leases and/or manages office space in 14 medical office buildings located in Bettendorf, Davenport, Eldridge, LeClaire and Muscatine, Iowa. Crescent Laundry provides commercial laundry services to health care facilities in eastern Iowa and in north-central Illinois. Genesis Accountable Care Organization, LLC (Genesis ACO) is an Iowa limited liability company formed in December 2011. Its purpose is to engage in 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 payors and the community at large. Genesis Philanthropy is a wholly-owned tax-exempt entity formed in 2013, which partners with other hospital foundations to form a regional network to attract donors to help fund specific health-related causes and promote wellness in the region. Genesis Health System Workers' Compensation Plan and Trust (Workers' Compensation Trust) provides a fund which is used to pay workers' compensation claims and costs for the benefit of Genesis Health System. Misericordia Assurance Company, Ltd. (Misericordia) is a wholly-owned Cayman-based captive insurance company which underwrites the general and professional liability risks of Genesis Health System and affiliates. Genesis Health System and its related organizations are collectively referred to as the System."