Genesis HealthCare System

What it reported doing in 2024

Genesis provides acute care services including medical, surgical, obstetrical, pediatric and critical care. Genesis provides a wide range of diagnostic and support services for inpatients and outpatients. These services are comprised of laboratory, imaging services, cardiac, and pharmacy. Laboratory services include chemistry, pathology, microbiology, hematology, cytology, and phlebotomy. Imaging services includes radiology, nuclear medicine, mri, ultrasound, ct scan, pet scan, mammography and bone density scanning.genesis heart & vascular services provide needed heart care from prevention to rehabilitation. Our board-certified specialists include cardiologists, cardiothoracic vascular surgeons, electrophysiologists, interventional cardiologists, cardiac anesthesiologists and cardiac rehab specialists. The cardiothoracic and vascular surgical teams perform a wide variety of complex and high-risk cardiac, thoracic and vascular procedures including open heart surgery. Our cardiac team takes our patients from evaluation and diagnosis through lifestyle changes and treatments. Also included in our cardiac services are our clinics and specialty programs. These include an anticoagulation clinic, a congestive heart failure clinic, a device clinic, a vein clinic and a cardiac rehabilitation program. Genesis is an accredited chest pain center with pci, an accredited echocardiography facility. Respiratory services - genesis respiratory & lung provides services for a variety of lung conditions and diseases including lung surgeries and respiratory therapy. Our team, including board-certified pulmonologists, provide care and treatment for patients with pneumonia, lung cancer, black lung disease, respiratory failure, collapsed lung, and other pleural diseases. The genesis orthopedic team of board-certified surgeons, specially trained nurses, and rehabilitation therapists work together to diagnose and treat the musculoskeletal issues of our patients. Services range from advanced imaging testing through to rehabilitation. Surgical surgeries include numerous procedures including replacement of the hip, knee, or shoulder as well as various surgeries involving the hand. The specialized rehabilitation program speeds recovery after a serious injury or surgery related to a bone, joint, ligament, tendon or muscle. In addition to physical and occupational therapy, genesis also provides amputee and prosthetics therapy and training. In 2023, genesis coshocton medical center opened. This is a newly constructed acute care hospital facility. Coshoction provides a wide range of services including a 24/7 emergency department, an outpatient surgery center, an overnight observation unit, a laboratory, cardiac diagnostics, respiratory therapy, physical therapy, occupational therapy, speech therapy, physician specialists, and an imaging department that offers mri, ct, x-ray, 3d mammography, and ultrasound services.genesis has increased in visisbility in hospice and pallitative care in the community. Genesis hospice and palliative care provides special care for people who are terminally ill. This involves a team-oriented approach that addresses the medical, physical, social, emotional, and spiritual needs of the patient. Hospice also provides support to the patient's family or caregiver.

Financial Efficiency

• Mission deployment rate: 68.7%; rating input score 69
• Program expense ratio: 78.5%; rating input score 79
• Fundraising efficiency: Limited

Transparency & Controls

• Consistency checks: 92.3%; rating input score 92; 12th percentile among comparable filings
• Pay-setting controls: 5 of 6 controls in place; rating input score 83
  • Compensation committee: Pass
  • Independent consultant: Pass
  • Other Form 990s reviewed: Missing
  • Written employment contract: Pass
  • Compensation survey or study: Pass
  • Board or committee approval: Pass
• Foreign activity oversight: Limited
• Grant itemization coverage: 96.2%; rating input score 96; 29th percentile among comparable filings
• Major donor itemization: Yes; rating input score 100
• Related-party transparency: Yes; rating input score 100

Accountability

• Independent voting board: 84.2%; rating input score 84; 31st percentile among comparable filings
• Governance controls: 9 of 9 controls in place; rating input score 100
  • Conflict-of-interest policy: Pass
  • Whistleblower policy: Pass
  • Document-retention policy: Pass
  • CEO compensation review process: Pass
  • Other executive compensation review process: Pass
  • Form 990 shared with the board: Pass
  • Board meeting minutes documented: Pass
  • Audit committee oversight: Pass
  • Independent financial-statement audit: Pass

Sustainability

• Operating margin: 12.8%; rating input score 78; 78th percentile among comparable filings
• Total-asset coverage ratio: 1.1; rating input score 43; 43rd percentile among comparable filings
• Liabilities to assets ratio: 0.64; rating input score 25; 25th percentile among comparable filings
• Officer compensation ratio: 1.5%; rating input score 64; 64th percentile among comparable filings

Growth

• Program expense growth: 6% per year; rating input score 100; 49th percentile among comparable filings
• Revenue growth: 6.4% per year; rating input score 100; 55th percentile among comparable filings
• Asset growth: 5.5% per year; rating input score 100; 40th percentile among comparable filings