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          <BusinessNameLine1Txt>DOUGLAS P CROPPER</BusinessNameLine1Txt>
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        <TotalCompensationRltdOrgsAmt>997742</TotalCompensationRltdOrgsAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>NAMRATA MALLIK</BusinessNameLine1Txt>
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        <TitleTxt>DIRECTOR</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <BusinessName>
          <BusinessNameLine1Txt>MELINDA M GOWEY</BusinessNameLine1Txt>
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        <TitleTxt>EXECUTIVE DIRECTOR</TitleTxt>
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        <TotalCompensationRltdOrgsAmt>139102</TotalCompensationRltdOrgsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>SPILT-DOLLAR LIFE INSURANCE PARTICIPANTS ARE DOUGLAS P. CROPPER-ESTABLISHED IN 2016 AND SPONSORED BY GENESIS HEALTH SYSTEM(GHS IA), A RELATED Organization. GHS-IA DEPOSITED FUNDS INTO LIFE INSURANCE POLICIES ON THE PARTICIPANT'S LIFE. DURING LIFE, AND SUBJECT TO THE POLICIES GENERATING SUFFICIENT VALUES, THE PARTICIPANT CAN BORROW FROM ONE OF THE POLICIES, THE BORROWING IS MONITORED AND LIMITED SO THE POLICIES DO NOT LAPSE. AT THE PARTICIPANT'S DEATH, THE ORGANIZATION RECOVERS PREMIUMS PLUS INTEREST PLUS ADDITIONAL KEY-PERSON INSURANCE PROCEEDS. THERE WERE NO LOANS OR CONTRIBUTIONS IN 2022.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS PHILANTHROPY 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. AFTER THE TRANSITION AS OF MARCH 1ST, 2023, THE BETTER HEALTH FOUNDATION SEPARATED FROM GHS IOWA AND COMPENSATION FOR OFFICERS BE DETERMINED BY THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part II</FormAndLineReferenceDesc>
        <ExplanationTxt>Dougals P. Cropper's compensation was directly paid from Genesis Health System Iowa, EIN 42-1418847. Genesis Health System Iowa is a related organization to Genesis Philanthropy.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
    <IRS990ScheduleO documentId="IRS990ScheduleO" softwareId="22016089" softwareVersionNum="2022v5.0">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>Genesis Health System (GHS) launched Genesis Philanthropy in 2013 to serve the region by funding prevention and wellness initiatives and was never a traditional, facility-based hospital foundation. With the acquisition of GHS by MercyOne and Trinity Health on March 1, 2023, all interests and operations of GHS became part of MercyOne, except for Genesis Philanthropy. Genesis Philanthropy was required to change its name (now known as Better Health Foundation) (see attached Amended and Restated Articles of Incorporation per instructions), and transitioned to a private foundation from a public charity. Genesis Health System was removed as its sole corporate member, giving Genesis Philanthropy's (now Better Health Foundation) board of directors direct control. Better Health Foundation cannot amend its corporate purposes without prior written consent from Trinity Health.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>THE SOLE MEMBER OF GENESIS PHILANTHROPY IS GENESIS HEALTH SYSTEM (GHS IOWA), AN IOWA NONPROFIT CORPORATION during the FY23 year (July 1, 0222 through February 28, 2023). After the merger with MercyOne and Genesis Health System, Genesis Philanthropy transitioned as a separate organization and renamed to Better Health Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER OF GENESIS PHILANTHROPY, GENESIS HEALTH SYSTEM (GHS IOWA) HAS THE EXCLUSIVE POWER TO CONSIDER CANDIDATES SUBMITTED BY THE BOARD OF DIRECTORS FOR ELECTION TO THE BOARD AS DIRECTORS OF THE CORPORATION AND TO APPOINT, EVALUATE AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION. After the transition, majority of the Genesis Philanthropy stayed on the new board formed under Better Health Foundation. Genesis Health System after February 28, 2023, was no longer sole member over Better Health Foundation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>AS THE SOLE MEMBER OF GENESIS PHILANTHROPY, GENESIS HEALTH SYSTEM (GHS IOWA) HAS THE EXCLUSIVE POWER TO: 1. CONSIDER CANDIDATES SUBMITTED BY THE BOARD OF DIRECTORS FOR ELECTION TO THE BOARD AS DIRECTORS OF THE CORPORATION AND TO APPOINT, EVALUATE AND REMOVE, WITH OR WITHOUT CAUSE, MEMBERS OF THE BOARD OF DIRECTORS OF THE CORPORATION; 2. CALL SPECIAL MEETINGS OF THE BOARD OF DIRECTORS TO CONSIDER AMENDING THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION; 3. APPROVE ANY MERGER OR CONSOLIDATION OF THIS CORPORATION INTO OR WITH ANY OTHER CORPORATION, ORGANIZATION, OR ASSOCIATION; 4. APPROVE THE SALE, LEASE, EXCHANGE, MORTGAGE, PLEDGE, OR OTHER DISPOSITION OF ALL, OR SUBSTANTIALLY ALL, OF THE CORPORATION'S ASSETS; 5. ESTABLISH SYSTEM-WIDE POLICIES AND PROCEDURES TO BE FOLLOWED BY THE CORPORATION AND AFFILIATES REGARDING QUALITY OF CARE, FINANCE, UTILIZATION OF RESOURCES, MANAGED CARE CONTRACTING, STRATEGIC PLANNING, AND EMPLOYEE BENEFITS; 6. ASSESS THE CORPORATION EXPENSES OF THE MEMBER ATTRIBUTABLE TO THE CORPORATION AND AFFILIATES AND TO ASSESS TO THE CORPORATION ITS SHARE OF THE GENERAL OVERHEAD; 7. DIRECT THE CORPORATION TO TRANSFER FUNDS TO THE MEMBER OR PLEDGE THE ASSETS OF THE CORPORATION FOR THE DEVELOPMENT OF SYSTEM WIDE PROJECTS; AND 8. VOTE ON ALL MATTERS WHERE THE VOTE OF THE MEMBER IS REQUIRED UNDER THE ARTICLES OF INCORPORATION, THE BYLAWS OR THE LAWS OF THE STATE OF IOWA. After the transition, Genesis Health System was no longer sole member of Better Health Foundation. All not in the paragraph and not part of the board member's rights.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>PRIOR TO SUBMITTING THE FORM 990 TO THE IRS, IT IS REVIEWED WITH THE ORGANIZATION'S BOARD OF DIRECTORS. AT THE BOARD OF DIRECTORS MEETING, INTERNAL MANAGEMENT REVIEWS THE FORM 990 WITH THE BOARD OF DIRECTORS. SUGGESTED CHANGES FROM ALL OF THE REVIEWS ARE CONSIDERED FOR INCLUSION IN THE FINAL FORM 990 SUBMITTED TO THE IRS. INTERNAL MANAGEMENT REVIEW IS ALSO COMPLETED OF THE COMPILED INFORMATION AND IS PROVIDED TO the organization's CEO.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>ANY COVERED PERSON, DEFINED AS ANY DIRECTOR, OFFICER, OR MEMBER OF A BOARD OR BOARD COMMITTEE OF Better Health Foundation, OR AN AFFILIATE, SHOULD DISCLOSE AN INTEREST OR POTENTIAL INTEREST AS SOON AS THEY BECOME AWARE OF A POTENTIAL TRANSACTION THAT WILL BE CONSIDERED BY MANAGEMENT, THE BOARD, OR A COMMITTEE OF THE BOARD. COVERED PERSONS ARE REQUIRED ANNUALLY TO DISCLOSE ANY POSSIBLE PERSONAL, FAMILY, OR BUSINESS RELATIONSHIPS THAT REASONABLY COULD GIVE RISE TO AN INTEREST OR CONFLICT INVOLVING GENESIS PHILANTHROPY, OR AN AFFILIATE, OR WITH RESPECT TO DESIGNATED FACILITIES AND ACTIVITIES, AND ACKNOWLEDGE BY HIS OR HER SIGNATURE THAT HE OR SHE IS FAMILIAR WITH AND IS IN COMPLIANCE WITH THE LETTER AND SPIRIT OF THIS POLICY. ANY COVERED PERSON FOUND TO HAVE A CONFLICT OF INTEREST MAY MAKE A PRESENTATION AT THE BOARD OR COMMITTEE MEETING TO PRESENT INFORMATION AND ADDRESS ANY QUESTIONS RAISED BY OTHER DIRECTORS OR COMMITTEE MEMBERS. SAID PERSON SHALL NOT BE ALLOWED TO ACTIVELY AND AGGRESSIVELY ADVOCATE IN HIS OR HER OWN BEHALF NOR SHALL SUCH PERSON ADVOCATE HIS OR HER POSITION INFORMALLY THROUGH PRIVATE CONTACT, COMMUNICATION AND DISCUSSION WITH ANOTHER DIRECTOR. AFTER SUCH PRESENTATION, THE PERSON SHALL LEAVE THE MEETING DURING THE DISCUSSION OF, AND THE VOTE ON, THE APPLICABLE TRANSACTION OR ARRANGEMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT MADE AVAILABLE TO THE PUBLIC.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2c</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OVERSIGHT AND SELECTION PROCESS HAS NOT CHANGED FROM THE PRIOR TAX YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XII, Line 2b Change in financial reporting</FormAndLineReferenceDesc>
        <ExplanationTxt>During FY2023, Genesis Health System and MeryOne merged on March 1, 2023. During that transition, Genesis Philanthropy separated from Genesis Health System and renamed the organization to The Better Health Foundation. During the transition, Better Health did not complete an audited financial report and was not included in the MercyOne consolidated audited financial report.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VII, LINE 1A:</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH SYSTEM (GHS IOWA), GENESIS HEALTH SYSTEM (GHS ILLINOIS), GENESIS MEDICAL CENTER, ALEDO, GENVENTURES, INC., GENESIS HEALTH SYSTEM WORKERS' COMPENSATION PLAN AND TRUST, AND GENESIS HEALTH SERVICES FOUNDATION ARE RELATED ORGANIZATIONS OF GENESIS PHILANTHROPY. THE AMOUNTS REPORTED AS REPORTABLE COMPENSATION FOR THE OFFICERS, KEY EMPLOYEES, AND HIGHLY COMPENSATED EMPLOYEES, UNLESS OTHERWISE NOTED ELSEWHERE IN PART VII, ARE FOR SERVICES RENDERED ON BEHALF OF ALL ORGANIZATIONS. IT WOULD BE ADMINISTRATIVELY IMPRACTICABLE FOR MEMBERS OF THE GOVERNING BOARD AND THE EXECUTIVE TEAM TO BREAKOUT THEIR REPORTABLE COMPENSATION AMONG EACH ORGANIZATION. ALL REPORTABLE COMPENSATION, UNLESS OTHERWISE NOTED IN PART VII, IS PAID BY GHS IOWA. AFTER THE MARCH 1, 2023 Transition, GENESIS PHILANTHROPY BCAME THE BETTER HEALTH FOUNDATION AND BECAME A SEPARATE ORGANIZATION FROM THE GENESIS HEALTH SYSTEM.</ExplanationTxt>
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          <BusinessNameLine1Txt>DAVENPORT HOSPITAL AMBULANCE CORPORATION</BusinessNameLine1Txt>
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          <AddressLine1Txt>1204 E HIGH STREET</AddressLine1Txt>
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        <EIN>421421670</EIN>
        <PrimaryActivitiesTxt>CHARITY</PrimaryActivitiesTxt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENGASTRO LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2222 53RD AVENUE</AddressLine1Txt>
          <CityNm>BETTENDORF</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52722</ZIPCd>
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        <PrimaryActivitiesTxt>AMBULATORY SURGERY CENTER</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>SPRING PARK SURGERY CENTER LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>3319 SPRING STREET STE 202A</AddressLine1Txt>
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      <IdRelatedOrgTxblPartnershipGrp>
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          <BusinessNameLine1Txt>GENORTHO LLC</BusinessNameLine1Txt>
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          <AddressLine1Txt>2300 53RD AVEBYE</AddressLine1Txt>
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        <PrimaryActivitiesTxt>ORTHOPAEDIC SURGERY CENTER</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENRAD IMAGING LLC -</BusinessNameLine1Txt>
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          <AddressLine1Txt>1970 E 53RD STREET</AddressLine1Txt>
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          <ZIPCd>52807</ZIPCd>
        </USAddress>
        <EIN>453571628</EIN>
        <PrimaryActivitiesTxt>DIAGNOSTIC IMAGING CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENRAD IMAGING ILLINOIS LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1970 E 53RD STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52807</ZIPCd>
        </USAddress>
        <EIN>473785124</EIN>
        <PrimaryActivitiesTxt>DIAGNOSTIC IMAGING CENTER</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENVENTURES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1227 E RUSHOLME STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
        </USAddress>
        <EIN>421269171</EIN>
        <PrimaryActivitiesTxt>SUPPORT SERVICES/PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEART INSTITUTE</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1236 E RUSHOLME STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
        </USAddress>
        <EIN>421504979</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MISERICORDIA ASSURANCE COMPANY LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <EIN>980457943</EIN>
        <PrimaryActivitiesTxt>OTHER FINANCIAL VEHICLE</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>MOB 1 OWNERS' ASSOCIATION</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1227 E RUSHOLME STREET</AddressLine1Txt>
          <CityNm>DAVENPORT</CityNm>
          <StateAbbreviationCd>IA</StateAbbreviationCd>
          <ZIPCd>52803</ZIPCd>
        </USAddress>
        <EIN>270865075</EIN>
        <PrimaryActivitiesTxt>PROPERTY MANAGEMENT</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IA</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>false</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>true</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>true</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>false</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>false</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>false</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>false</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>false</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>false</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Genesis Health System Iowa</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>P</TransactionTypeTxt>
        <InvolvedAmt>422588</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Genesis Health System Iowa</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>C</TransactionTypeTxt>
        <InvolvedAmt>40000000</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Genesis Health System Iowa</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>125212</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>Genesis Health Services Foundation</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>123979</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>FMV</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part II RELATIONSHIP WITH ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING TAX YEAT 2022, FISCAL YEAR 2023, GENESIS PHILANTHROPY WAS PART OF THE GENESIS HEALTH SYSTEM AND RELATED TO GENESIS'S AFFILIATES. AS OF MARCH 1, 2023 GENESIS HEALTH SYSTEM MERGED WITH MERCYONE AND TRINITY HEALTH ORGANIZATIONS. DURING THE TRANSISTION, GENESIS PHILANTHROPY Separated FROM GENESIS HEALTH SYSTEM AND BECAME an Independent Organization AND RENEMED ITSELF TO THE BETTER HEALTH FOUNDATION. FOR PARTIAL YEAR, THE FOUNDATION WAS RELATED TO GENESIS HEALTH SYSTEM AND its AFFIALTES. AFTER JUNE 30, 2023, THE BETTER HEALTH FOUNDATION WILL NO LONGER HAVE ANY RELATED TRANSACTIONS WITH GENESIS HEALTH SYSTEM AND its AFFIALATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part III RELATIONSHIP WITH ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING TAX YEAT 2022, FISCAL YEAR 2023, GENESIS PHILANTHROPY WAS PART OF THE GENESIS HEALTH SYSTEM AND RELATED TO GENESIS'S AFFILIATES. AS OF MARCH 1, 2023 GENESIS HEALTH SYSTEM MERGED WITH MERCYONE AND TRINITY HEALTH ORGANIZATIONS. DURING THE TRANSISTION, GENESIS PHILANTHROPY Separated FROM GENESIS HEALTH SYSTEM AND BECAME an Independent Organization AND RENEMED ITSELF TO THE BETTER HEALTH FOUNDATION. FOR PARTIAL YEAR, THE FOUNDATION WAS RELATED TO GENESIS HEALTH SYSTEM AND its AFFIALTES. AFTER JUNE 30, 2023, THE BETTER HEALTH FOUNDATION WILL NO LONGER HAVE ANY RELATED TRANSACTIONS WITH GENESIS HEALTH SYSTEM AND its AFFIALATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part IV RELATIONSHIP WITH ORGANZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING TAX YEAT 2022, FISCAL YEAR 2023, GENESIS PHILANTHROPY WAS PART OF THE GENESIS HEALTH SYSTEM AND RELATED TO GENESIS'S AFFILIATES. AS OF MARCH 1, 2023 GENESIS HEALTH SYSTEM MERGED WITH MERCYONE AND TRINITY HEALTH ORGANIZATIONS. DURING THE TRANSISTION, GENESIS PHILANTHROPY Separated FROM GENESIS HEALTH SYSTEM AND BECAME an Independent Organization AND RENEMED ITSELF TO THE BETTER HEALTH FOUNDATION. FOR PARTIAL YEAR, THE FOUNDATION WAS RELATED TO GENESIS HEALTH SYSTEM AND its AFFIALTES. AFTER JUNE 30, 2023, THE BETTER HEALTH FOUNDATION WILL NO LONGER HAVE ANY RELATED TRANSACTIONS WITH GENESIS HEALTH SYSTEM AND its AFFIALATES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule R, Part V REALATIONSHIP WITH ORGANIZATIONS</FormAndLineReferenceDesc>
        <ExplanationTxt>DURING TAX YEAT 2022, FISCAL YEAR 2023, GENESIS PHILANTHROPY WAS PART OF THE GENESIS HEALTH SYSTEM AND RELATED TO GENESIS'S AFFILIATES. AS OF MARCH 1, 2023 GENESIS HEALTH SYSTEM MERGED WITH MERCYONE AND TRINITY HEALTH ORGANIZATIONS. DURING THE TRANSISTION, GENESIS PHILANTHROPY Separated FROM GENESIS HEALTH SYSTEM AND BECAME an Independent Organization AND RENEMED ITSELF TO THE BETTER HEALTH FOUNDATION. FOR PARTIAL YEAR, THE FOUNDATION WAS RELATED TO GENESIS HEALTH SYSTEM AND its AFFIALTES. AFTER JUNE 30, 2023, THE BETTER HEALTH FOUNDATION WILL NO LONGER HAVE ANY RELATED TRANSACTIONS WITH GENESIS HEALTH SYSTEM AND its AFFIALATES.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>
