Skip to content
Nonprofiteer
← Genesis Health System Workers' Compensation Plan and Trust

Form 990 for tax year 2022

Filed by Genesis Health System Workers' Compensation Plan and Trust.

Totals

Total revenue
$1,340,292
Total expenses
$1,116,592
Contributions and grants received
$1,100,000
Grants paid
$0
Program service revenue
$0
Investment income
$720
Other revenue
$239,572
Total assets, end of year
$15,487,405
Total liabilities, end of year
$8,908,075
Net assets or fund balances, end of year
$6,579,330
Program services expenses (Part IX)
$1,107,108
Management and general expenses
$9,484
Fundraising expenses
$0
Program service expenses (Part III)
$1,107,108

Program services were 99.2% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1d · Related organizations

    $1,100,000

  • 2f · All other program service revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 3 · Investment income

    total $720 · excluded $720

  • 6c · Rental income or loss

    real property $0 · personal property $0

  • 7c · Gain or loss

    securities $0 · other assets $0

  • 11a · Other revenue: Administration Fee

    total $239,572 · related or exempt $239,572

  • 11d · All other revenue

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 11e · Other revenue, total

    $239,572

Functional expenses

Part IX, the statement of functional expenses.

  • 11f · Fees: investment management

    total $4,668 · management and general $4,668

  • 11g · Fees: other

    total $230,087 · program services $230,087 · management and general $0 · fundraising $0

  • 13 · Office expenses

    total $4,816 · management and general $4,816

  • 24a · Other expenses: NET CLAIMS PAID

    total $877,021 · program services $877,021

  • 24e · All other expenses

    total $0 · program services $0 · management and general $0 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $122,219 · end of year $11,461

  • 4 · Accounts receivable

    beginning of year $1,319,974 · end of year $4,310,043

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 9 · Prepaid expenses and deferred charges

    beginning of year $99,285 · end of year $30,061

  • 10a · Land, buildings and equipment: cost or other basis

    $0

  • 10b · Land, buildings and equipment: accumulated depreciation

    $0

  • 10c · Land, buildings and equipment, net

    beginning of year $0 · end of year $0

  • 12 · Investments: other securities

    beginning of year $10,918,395 · end of year $11,135,840

  • 13 · Investments: program-related

    beginning of year $0

  • 15 · Other assets

    beginning of year $0 · end of year $0

  • 17 · Accounts payable and accrued expenses

    beginning of year $8,160,117 · end of year $8,908,075

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $0 · end of year $0

  • 27 · Net assets without donor restrictions

    beginning of year $4,299,756 · end of year $6,579,330

Mission and programs · 2022

Mission

GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST WAS ORGANIZED TO CREATE AND ESTABLISH A FUND FOR PROPER SAFEKEEPING AND INVESTMENT OF MONEY, PROPERTY, AND OTHER ASSETS CONTRIBUTED BY PARTICIPANTS FOR THE PURPOSE OF PROVIDING WORKERS' COMPENSATION CASH RESERVES FOR THE PARTICIPANTS. THE PARTICIPANTS ARE ENCOMPASSED WITHIN GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS MEDICAL CENTER ALEDO, GENESIS HEALTH SYSTEM (GHS ILLINOIS), AND GENVENTURES, INC.

  • FUNDING OF WORKERS' COMPENSATION CLAIMS FOR ITS PARTICIPANTS, GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER ALEDO, AND GENVENTURES, INC.

    Expenses $1,107,108 · Revenue $239,572

As filed on the 2022 return.

Listed in Part VII

  • JOSEPH MALAS

    PLAN ADMIN. & VP FINANCE

    Total calculated
    $457,706
    From this org
    $0
    From related orgs
    $417,538
    Other
    $40,168
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $336,966 related
    Bonus
    $0
    Other
    $0 + $80,572 related
    Deferred
    $0 + $23,068 related
    Nontaxable benefits
    $0 + $17,100 related
    Filer's total
    $0 + $457,706 related

  • BRANDI TIESMAN

    TRUSTEE; Director HR Acute

    Total calculated
    $152,196
    From this org
    $0
    From related orgs
    $127,527
    Other
    $24,669
    Hours/week
    1.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $126,675 related
    Bonus
    $0
    Other
    $0 + $852 related
    Deferred
    $0 + $3,348 related
    Nontaxable benefits
    $0 + $21,321 related
    Filer's total
    $0 + $152,196 related

  • CAROLYN POTTS

    TRUSTEE; Risk Coordinator

    Total calculated
    $107,082
    From this org
    $0
    From related orgs
    $98,068
    Other
    $9,014
    Hours/week
    1.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $87,325 related
    Bonus
    $0 + $1,759 related
    Other
    $0 + $8,984 related
    Deferred
    $0 + $1,068 related
    Nontaxable benefits
    $0 + $7,946 related
    Filer's total
    $0 + $107,082 related

  • HEIDI S KAHLY-MCMAHON

    TRUSTEE; V.P. Human Resources

    Total calculated
    $444,504
    From this org
    $0
    From related orgs
    $413,675
    Other
    $30,829
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $328,143 related
    Bonus
    $0
    Other
    $0 + $85,532 related
    Deferred
    $0 + $5,152 related
    Nontaxable benefits
    $0 + $25,677 related
    Filer's total
    $0 + $444,504 related

  • SIGRID ZAEHRINGER

    TRUSTEE; Associate Counsel

    Total calculated
    $183,756
    From this org
    $0
    From related orgs
    $164,452
    Other
    $19,304
    Hours/week
    1.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $164,157 related
    Bonus
    $0
    Other
    $0 + $295 related
    Deferred
    $0 + $7,804 related
    Nontaxable benefits
    $0 + $11,500 related
    Filer's total
    $0 + $183,756 related

  • THERESA MAIN

    TRUSTEE; Hospital President GMC Silvis

    Total calculated
    $506,476
    From this org
    $0
    From related orgs
    $403,776
    Other
    $102,700
    Hours/week
    1.5 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $328,076 related
    Bonus
    $0
    Other
    $0 + $75,700 related
    Deferred
    $0 + $75,700 related
    Nontaxable benefits
    $0 + $27,000 related
    Filer's total
    $0 + $506,476 related

  • PAUL BOLLINGER

    FORMER TRUSTEE; Legal Affiars Vice President

    Total calculated
    $206,688
    From this org
    $0
    From related orgs
    $180,385
    Other
    $26,303
    Hours/week
    2 + 38 related

    Schedule J breakdown matched by us

    Base
    $0 + $143,953 related
    Bonus
    $0
    Other
    $0 + $36,432 related
    Deferred
    $0 + $14,222 related
    Nontaxable benefits
    $0 + $12,081 related
    Filer's total
    $0 + $206,688 related

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4b · Supplemental nonqualified retirement plan

Answered no

  • 4a · Severance or change-of-control payment
  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 7 · Other non-fixed payments
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
The following individuals participated in a supplemental ROTH indexed universal life(IUL) plan in 2022 sponsored by Genesis health System (GHS IA), a related organization: Joseph Malas- $51,231, Heidi S. Kahly-McMahon- $58,972, and Theresa L. Main-$49,766. The dollar amount represents the current year contribution made by GHS IA on behalf of the individuals to the plan in 2022. This information is included in reportable compensation on the form 990, Part VII and Schedule J, Part II.
Schedule J, Part I, Line 3
GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN & TRUST RELIES ON GENESIS HEALTH SYSTEM (GHS IOWA) TO DETERMINE THE COMPENSATION OF THE ORGANIZATION'S TOP MANAGEMENT OFFICIALS, OFFICERS, DIRECTORS, AND KEY EMPLOYEES. GHS IOWA UTILIZES A COMPENSATION COMMITTEE, AN INDEPENDENT COMPENSATION CONSULTANT, A WRITTEN EMPLOYMENT CONTRACT, A COMPENSATION SURVEY OR STUDY, AND APPROVAL BY THE COMPENSATION COMMITTEE TO DETERMINE SUCH COMPENSATION.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

No itemized grants to organizations on this return.

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

  • GENVENTURES INC

    C Corporation · SUPPORT SERVICES/PROPERTY MANAGEMENT · IA · controlled entity

    Directly controlled by NA

  • GENESIS HEART INSTITUTE

    C Corporation · HEALTHCARE MANAGEMENT · IA · controlled entity

    Directly controlled by NA

  • MISERICORDIA ASSURANCE COMPANY LTD

    C Corporation · OTHER FINANCIAL VEHICLE · controlled entity

    Directly controlled by NA

  • MOB 1 OWNERS' ASSOCIATION

    C Corporation · PROPERTY MANAGEMENT · IA · controlled entity

    Directly controlled by NA

  • Catherine Horan Building Corporation

    C Corporation · Building Management · MA · 1% owned · controlled entity

    Directly controlled by System Coordinated Services Inc

  • Central Valley Health Plan Inc

    C Corporation · HEALTH INSURANCE · CA · 1% owned · controlled entity

    Directly controlled by Saint Agnes Medical Center

  • Des Moines Medical Center Inc

    C Corporation · Real Estate · IA · 1% owned · controlled entity

    Directly controlled by Catholic Health Initiatives - Iowa Corp

  • FHS Services Inc

    C Corporation · Medical Services · NY · 1% owned · controlled entity

    Directly controlled by Franciscan Associates Inc

  • Franciscan Associates Inc

    C Corporation · Medical services · NY · 1% owned · controlled entity

    Directly controlled by St Joseph's Health Center Properties Inc

  • Franciscan Health Support Inc

    C Corporation · Medical Services · NY · 1% owned · controlled entity

    Directly controlled by Franciscan Associates Inc

  • Franciscan Management Services Inc

    C Corporation · MANAGEMENT SERVICES · NY · 1% owned · controlled entity

    Directly controlled by Franciscan Associates Inc

  • Franklin Medical Group PC

    C Corporation · Physician Office · CT · 1% owned · controlled entity

    Directly controlled by Saint Mary's Hospital Inc

  • HACKLEY HEALTH VENTURES INC

    C Corporation · OTHER MEDICAL SERVICES · MI · 1% owned · controlled entity

    Directly controlled by MERCY HEALTH PARTNERS

  • HACKLEY PROFESSIONAL PHARMACY INC

    C Corporation · PHARMACY · MI · 1% owned · controlled entity

    Directly controlled by HACKLEY HEALTH VENTURES INC

  • Health Care Management Administrators Inc

    C Corporation · Health care Management · NY · 1% owned · controlled entity

    Directly controlled by Franciscan Associates Inc

  • HURON ARBOR CORPORATION

    C Corporation · OFFICE RENTAL · MI · 1% owned · controlled entity

    Directly controlled by TRINITY HEALTH-MICHIGAN

  • IHA Affiliation Corporation

    C Corporation · Medical Management · MI · 1% owned · controlled entity

    Directly controlled by IHA Health Services Corporation

  • Langhorne Services II Inc

    C Corporation · General Partner of LMOB Partners, II · PA · 1% owned · controlled entity

    Directly controlled by St Mary Medical Center

  • Langhorne Services Inc

    C Corporation · General Partner of LMOB Partners · PA · 1% owned · controlled entity

    Directly controlled by St Mary Medical Center

  • MacNeal Health Providers Inc

    C Corporation · Medical Services · IL · 1% owned · controlled entity

    Directly controlled by Gottlieb Community Health Services Corporation

  • MARYLAND CARE GROUP INC

    C Corporation · HEALTH CARE HOLDING · MD · 1% owned · controlled entity

    Directly controlled by Holy Cross Health Inc

  • Maxis Health Trenton Inc

    C Corporation · Property holdings · NJ · 1% owned · controlled entity

    Directly controlled by Maxis Health System Inc

  • MCMC Eastwick Inc

    C Corporation · Medical Office Buildings · PA · 1% owned · controlled entity

    Directly controlled by Trinity Health of the Mid-Atlantic Region

  • MEDNOW INC

    C Corporation · Medical Services · ID · 1% owned · controlled entity

    Directly controlled by SAINT ALPHONSUS MEDICAL CENTER-NAMPA INC

  • Mercy Inpatient Medical Associates Inc

    C Corporation · Medical Services · MA · 1% owned · controlled entity

    Directly controlled by System Coordinated Services Inc

  • MERCY MEDICAL SERVICES

    C Corporation · PRIMARY CARE PHYSICIANS · IA · 1% owned · controlled entity

    Directly controlled by MERCY HEALTH SERVICES-IOWA CORP

  • MOUNT CARMEL HEALTH PROVIDERS INC

    C Corporation · MEDICAL SERVICES · OH · 1% owned · controlled entity

    Directly controlled by MOUNT CARMEL HEALTH SYSTEM

  • Nursing Network Inc

    C Corporation · Medical Services · FL · 1% owned · controlled entity

    Directly controlled by Holy Cross Hospital Inc

  • Saint Alphonsus Health Alliance Inc

    C Corporation · Accountable Care Organization · ID · 1% owned · controlled entity

    Directly controlled by Saint Alphonsus Health System Inc

  • Saint Francis Behavioral Health Group PC

    C Corporation · Medical Services · CT · 1% owned · controlled entity

    Directly controlled by Saint Francis Hospital and Medical Center Inc

  • Saint Francis Care Medical Group PC

    C Corporation · Medical Services · CT · 1% owned · controlled entity

    Directly controlled by Saint Francis Hospital and Medical Center Inc

  • Saint Joseph's McAuley Park I LLC

    C Corporation · Property Management · GA · 1% owned · controlled entity

    Directly controlled by Saint Joseph's Health System Inc

  • Samaritan Medical Office Building Inc

    C Corporation · Real Estate · NY · 1% owned · controlled entity

    Directly controlled by LTC (Eddy) Inc

  • Scovill Street Medical Building Association Inc

    C Corporation · Property Management · CT · 1% owned · controlled entity

    Directly controlled by Saint Mary's Hospital

  • SJM Properties Inc

    C Corporation · Property Holdings · NY · 1% owned · controlled entity

    Directly controlled by St James Mercy Health System Inc

  • SJPE Practice Management Services Inc

    C Corporation · MANAGEMENT SERVICES · NY · 1% owned · controlled entity

    Directly controlled by St Joseph's Hospital Health Center

  • SJRMC Holdings Inc

    C Corporation · Property Holdings · IN · 1% owned · controlled entity

    Directly controlled by Saint Joseph Regional Medical Center Inc

  • St Elizabeth Health Support Services Inc

    C Corporation · Medical Services · NY · 1% owned · controlled entity

    Directly controlled by Franciscan Management Services Inc

  • Synanon Inc

    C Corporation · Urgent care · MI · 1% owned · controlled entity

    Directly controlled by Trinity Health Grand Haven Hospital

  • System Coordinated Services Inc

    C Corporation · Lab Services · MA · 1% owned · controlled entity

    Directly controlled by The Mercy Hospital Inc

  • THRE SERVICES LLC

    C Corporation · REAL ESTATE BROKERAGE SERVICES · MI · 1% owned · controlled entity

    Directly controlled by Trinity Health-Michigan

  • TRINITY ASSURANCE LTD

    C Corporation · Self-Insurance · CJ · 1% owned · controlled entity

    Directly controlled by Trinity Health Corporation

  • TRINITY HEALTH ACO INC

    C Corporation · Accountable Care Organization · DE · 1% owned · controlled entity

    Directly controlled by TRINITY HEALTH CORPORATION

  • TRINITY HEALTH EMPLOYEE BENEFIT TRUST

    C Corporation · GRANTOR TRUST · MI · 1% owned · controlled entity

    Directly controlled by TRINITY HEALTH CORPORATION

  • Trinity Senior Services Management Inc

    C Corporation · Senior Services · PA · 1% owned · controlled entity

    Directly controlled by Trinity Continuing Care Services

  • WORKPLACE HEALTH OF GRAND HAVEN Inc

    C Corporation · OCCUPATIONAL HEALTH · MI · 1% owned · controlled entity

    Directly controlled by HACKLEY HEALTH VENTURES INC

Provenance

Return type
form_990
Tax year
2022
Filed
15 May 2024
IRS schema version
2022v5.0
Source object
202401369349305870

Check it against the return as filed: the GivingTuesday Data Lake hosts a public copy of the original XML.

The source document this was parsed from is served over the API, which is where bulk and document access live.