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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <Total501c3OrgCnt>24</Total501c3OrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH, INC. IS VERY SELECTIVE WHEN SELECTING ORGANIZATIONS FOR CONTRIBUTIONS. ALL ORGANIZATIONS ARE 501(C)(3) OR GOVERNMENT ORGANIZATIONS. ALL FUNDS ARE APPROVED BY MANAGEMENT PRIOR TO DISTRIBUTION. DOCUMENTATION OF ALL GRANTS AND AWARDS ARE MAINTAINED BY MANAGEMENT. AGREEMENTS FOR GRANTS/AWARDS ARE TYPICALLY ENTERED INTO PRIOR TO FUNDING.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleI>
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      <SubstantiationRequiredInd>1</SubstantiationRequiredInd>
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      <IndependentConsultantInd>X</IndependentConsultantInd>
      <WrittenEmploymentContractInd>X</WrittenEmploymentContractInd>
      <CompensationSurveyInd>X</CompensationSurveyInd>
      <BoardOrCommitteeApprovalInd>X</BoardOrCommitteeApprovalInd>
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      <CompBsdNetEarnsRltdOrgsInd>0</CompBsdNetEarnsRltdOrgsInd>
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      <InitialContractExceptionInd>0</InitialContractExceptionInd>
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        <PersonNm>DOUGLAS M BAER</PersonNm>
        <TitleTxt>CEO</TitleTxt>
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        <PersonNm>MICHAEL SPIGEL</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOANNE HOERTZ</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>ANDREA KAELIN</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>JOSHUA T CLIFTON</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KAREN M GREEN</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>KATHY BARBOUR</PersonNm>
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        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>DEBORAH H REBER</PersonNm>
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        <PersonNm>KEN W STURTZ</PersonNm>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>MICHAEL SHAFER</PersonNm>
        <TitleTxt>DIRECTOR INTERNAL AUDIT</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>PATRICIA DEBEAR</PersonNm>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 1A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REIMBURSES CLUB FEES AND DUES FOR THE CEO, COO AND SOME EXECUTIVE AND SENIOR VICE PRESIDENTS. THESE REIMBURSEMENTS ARE INCLUDED IN TAXABLE WAGES AND ARE GROSSED UP TO REIMBURSE THE EMPLOYEES FOR THE TAXES ASSOCIATED WITH THESE PAYMENTS. CAR ALLOWANCES ARE ALSO PROVIDED TO THESE EMPLOYEES AS NON-ACCOUNTABLE ALLOWANCES.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 4B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN KEY EMPLOYEES. THE PLAN IS AN UNFUNDED DEFERRED COMPENSATION PLAN DESCRIBED IN SECTION 457(F) AND IS INTENDED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. AT THIS TIME, CONTRIBUTIONS TO AN INDIVIDUAL'S ACCOUNT UNDER THE PLAN ARE ON A PERCENTAGE OF THE INDIVIDUAL'S ANNUAL BASE SALARY AS APPROVED BY THE BOARD COMPENSATION COMMITTEE. VESTING IN THE PLAN FOR CURRENT MEMBERS OCCURS JANUARY 1, 2022, PROVIDED EMPLOYMENT IS MAINTAINED, AND DISREGARDING ACCELERATION DUE TO DEATH OR DISABILITY. FOR THE CURRENT TAX YEAR, ALLOCATIONS TO THE PLAN FOR LISTED INDIVIDUALS WERE AS FOLLOWS, (LISTED AS A COMPONENT OF PART II, COLUMN (C)): $525,709 DOUGLAS M. BAER $415,094 MICHAEL R. SPIGEL</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART I, LINE 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY HAS A SUCCESS SHARING PLAN THAT INCLUDES MOST EMPLOYEES. PAYMENT IS CALCULATED AS A PERCENTAGE OF COMPENSATION AND IS TRIGGERED BY MEETING SPECIFIC OPERATIONAL AND FINANCIAL GOALS.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleJ>
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        <BondReferenceCd>A</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>JACKSONVILLE ECONOMICS DEVELOPMENT COMMISSION</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuedDt>2013-06-27</BondIssuedDt>
        <IssuePriceAmt>35000000</IssuePriceAmt>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>B</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF JACKSONVILLE FLORIDA</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuerEIN>596000344</BondIssuerEIN>
        <CUSIPNum>469400BV6</CUSIPNum>
        <BondIssuedDt>2015-09-01</BondIssuedDt>
        <IssuePriceAmt>55095000</IssuePriceAmt>
        <PurposeDesc>CAPITAL IMPROVEMENTS AND REFUND PRIOR ISSUE</PurposeDesc>
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        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsIssuesGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <IssuerName>
          <BusinessNameLine1Txt>CITY OF JACKSONVILLE FLORIDA</BusinessNameLine1Txt>
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        <BondIssuerEIN>596000344</BondIssuerEIN>
        <CUSIPNum>469400DJ1</CUSIPNum>
        <BondIssuedDt>2017-10-24</BondIssuedDt>
        <IssuePriceAmt>78002940</IssuePriceAmt>
        <PurposeDesc>REVENUE BONDS - SERIES 2017</PurposeDesc>
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        <OnBehalfOfIssuerInd>0</OnBehalfOfIssuerInd>
        <PoolFinancingInd>0</PoolFinancingInd>
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      <TaxExemptBondsProceedsGrp>
        <BondReferenceCd>A</BondReferenceCd>
        <RetiredAmt>12580053</RetiredAmt>
        <TotalProceedsAmt>35008064</TotalProceedsAmt>
        <IssuanceCostsFromProceedsAmt>214687</IssuanceCostsFromProceedsAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>PART II, LINE 3</FormAndLineReferenceDesc>
        <ExplanationTxt>INVESTMENT EARNINGS HAVE BEEN INCLUDED IN THIS LINE. BECAUSE OF THIS, THE ISSUE PRICE ON PART I AND THE ISSUE PRICE IN PART II FOR THE SERIES 2015 &amp; 2017 BONDS WILL NOT MATCH.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PAMELA SPIGEL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER MICHAEL SPIGEL</RelationshipDescriptionTxt>
        <TransactionAmt>48911</TransactionAmt>
        <TransactionDesc>COMPENSATION AS EMPLOYEE OF ORGANIZATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
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    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 11B</FormAndLineReferenceDesc>
        <ExplanationTxt>FORM 990 IS PLACED ON A SHARED FILE SYSTEM FOR ACCESS BY ALL BOARD MEMBERS. BOARD MEMBERS MAY REQUEST PRINTED COPIES. FORM 990 IS REVIEWED IN DETAIL BY THE AUDIT COMMITTEE. A SUMMARY IS PRESENTED TO THE BOARD.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 12C</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR BOARD MEMBERS ARE REQUIRED TO COMPLETE A FORM THAT WILL DISCLOSE ANY RELATIONSHIPS THAT MAY CREATE A CONFLICT OF INTEREST. THE FORMS ARE REVIEWED BY MANAGEMENT AND ANY CONCERNS ARE REFERRED TO THE BOARD IF NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION B, LINE 15</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH, INC. ENGAGES AN OUTSIDE CONSULTANT FOR ALL OFFICER, EXECUTIVE, AND TOP MANAGEMENT COMPENSATION DECISIONS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS APPROVES ALL DECISIONS REGARDING EXECUTIVE COMPENSATION. COMPARABILITY DATA UTILIZED INCLUDES INDUSTRY AS WELL AS GEOGRAPHICAL PARAMETERS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM ARE AVAILABLE ON GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART VI, SECTION C, LINE 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XI, LINE 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>DECREASE IN NET ASSETS 391,707.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>BROOKS REHABILITATION IS DEDICATED TO OFFERING THE MOST ADVANCED THERAPIES FOR ALL PATIENTS. BROOKS COMMITMENT TO PROVIDING THE BEST CARE POSSIBLE IS EXEMPLIFIED BY THE DEPTH AND BREADTH OF PROGRAMS AND SERVICES OFFERED. BY LINKING THE BEST MINDS IN REHABILITATION WITH THE LATEST TREATMENTS AND TECHNOLOGY, BROOKS REHABILITATION ENABLES PATIENTS TO ACHIEVE THE HIGHEST QUALITY OF LIFE POSSIBLE. BROOKS REHABILITATION IS A POST-ACUTE SYSTEM OF CARE WITH A STATED MISSION OF EMPOWERING PEOPLE TO ACHIEVE THEIR HIGHEST LEVEL OF RECOVERY AND PARTICIPATION IN LIFE THROUGH EXCELLENCE IN REHABILITATION. BROOKS' VISION IS TO BE A RECOGNIZED LEADER IN PROVIDING A SYSTEM OF WORLD-CLASS REHABILITATION SOLUTIONS, ADVANCING THE HEALTH AND WELL-BEING OF THE COMMUNITIES IT SERVES. THE MISSION AND VISION OF BROOKS IS ACCOMPLISHED THROUGH ITS VALUES OF EXCELLENCE IN CARE, DEMONSTRATED THROUGH INNOVATION, INTEGRITY, SERVICE, COMPASSION, TEAMWORK, ACCOUNTABILITY, AND CONTINUOUS LEARNING. BROOKS REHABILITATION MAINTAINS A STRONG REPUTATION FOR CLINICAL EXCELLENCE, FINANCIAL PERFORMANCE, INNOVATION AND COMMUNITY OUTREACH IN THE MARKETS IT SERVES. BY FOCUSING ON BECOMING A COMPREHENSIVE POST-ACUTE HEALTH SYSTEM, BROOKS REHABILITATION IS UNIQUELY POSITIONED TO SUCCEED IN THE CHALLENGING HEALTHCARE ENVIRONMENT. BROOKS REHABILITATION IS A RECOGNIZED LEADER IN PROVIDING A SYSTEM OF WORLD-CLASS REHABILITATION SOLUTIONS, ADVANCING THE HEALTH AND WELL-BEING OF ITS COMMUNITIES. IN 2020, BROOKS CELEBRATED 50 YEARS OF EXPERTISE EMPOWERING PEOPLE TO ACHIEVE THEIR HIGHEST LEVEL OF RECOVERY AND PARTICIPATION IN LIFE. BROOKS REHABILITATION SYSTEM OF CARE OFFERS UNIQUE CARE SETTINGS FOR EVERY STAGE OF RECOVERY SO PATIENTS CAN STAY WITH BROOKS FOR THEIR ENTIRE REHABILITATION JOURNEY. BROOKS' TEAM OF PHYSICIANS, THERAPISTS AND NURSES HAVE SPECIALIZED EDUCATION FOR PATIENTS' MEDICAL AND REHABILITATION NEEDS. DEDICATED CARE TEAMS WORK WITH PATIENTS AND THEIR FAMILIES TO DEVELOP INDIVIDUALIZED TREATMENT PLANS BASED ON RECOVERY GOALS. EXCELLENCE IN CARE IS DEMONSTRATED THROUGH INNOVATION, COMPASSION AND CONSISTENTLY PROVIDING THE HIGHEST QUALITY OF CARE. BROOKS REHABILITATION PROVIDES A FULL CONTINUUM OF CARE TO SUPPORT THE COMPREHENSIVE NEEDS OF PATIENTS AND THEIR FAMILIES. THE VALUE OF BROOKS' SYSTEM OF CARE LIES IN THE INDIVIDUALIZED CARE FROM EXPERT CLINICIANS AND ITS COMMITMENT TO EXCEPTIONAL SERVICE, GIVING PATIENTS A GREAT EXPERIENCE IN EVERY BROOKS' LOCATION. BROOKS SPECIALIZES IN THE TREATMENT OF: STROKE BRAIN INJURY SPINAL CORD INJURY NEUROLOGICAL DISORDERS ORTHOPEDICS PEDIATRICS BALANCE DISORDERS SPORTS INJURIES CHRONIC PAIN DISORDERS LOW VISION GENERAL INFORMATION GENESIS HEALTH, INC., DOING BUSINESS AS BROOKS REHABILITATION, IS COMPRISED OF THE FOLLOWING NOT-FOR-PROFIT LEGAL ENTITIES: * GENESIS HEALTH, INC. D/B/A BROOKS REHABILITATION [59-2249370] * GENESIS REHABILITATION HOSPITAL, INC. D/B/A BROOKS REHABILITATION HOSPITAL [59-3284221] * GENESIS HEALTH DEVELOPMENT, INC. D/B/A BROOKS HEALTH DEVELOPMENT [59-2249372] * GENESIS HEALTH FOUNDATION, INC., D/B/A BROOKS HEALTH FOUNDATION. [59-2249340] * PHYSICAL MEDICINE SPECIALISTS, INC., D/B/A BROOKS REHABILITATION SPECIALISTS [59-3530305] * BROOKS HOME CARE ADVANTAGE, INC., D/B/A BROOKS REHABILITATION HOME HEALTH [26-2216181] * BROOKS SKILLED NURSING FACILITY A., INC. [27-2153586] * BROOKS REHABILITATION CLINICAL RESEARCH CENTER, INC. [45-2094888] BROOKS REHABILITATION HOSPITAL IS A 160-LICENSED BED INPATIENT REHABILITATION FACILITY. WITH APPROXIMATELY 3,000 ANNUAL DISCHARGES AND 50,700 INPATIENT DAYS IN 2019, THE HOSPITAL IS ONE OF THE BUSIEST FREE STANDING REHABILITATION HOSPITALS IN THE COUNTRY. BROOKS REHABILITATION HOSPITAL HAS BEEN A LEADER IN REHABILITATION PROGRAMS AND SERVICES FOR ALMOST 50 YEARS. THE HOSPITAL FOCUSES ON SERVING THE MOST COMPLEX PATIENTS, RANKING IN THE 99TH PERCENTILE NATIONALLY FOR CASE MIX INDEX (PATIENT ACUITY). IT IS THE ONLY ONE OF ITS KIND IN THE REGION, PROVIDING THE HIGHEST QUALITY REHABILITATION AND MEDICAL CARE FOR PATIENTS THAT REQUIRE INTENSIVE THERAPY. BY SPECIALIZING IN TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, STROKE, PEDIATRICS, ORTHOPEDICS AND NEUROLOGICAL DISORDERS, THE HOSPITAL IS A DESTINATION FOR THE REGION FOR TREATING ACUTE TRAUMATIC OR ACQUIRED ILLNESSES AND INJURIES. PATIENTS RECEIVE 24-HOUR MEDICAL CARE WITH DAILY PHYSICIAN OVERSIGHT AND NURSING CARE. THEY RECEIVE A MINIMUM OF THREE HOURS OF THERAPY, FIVE DAYS A WEEK, INCLUDING PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. COGNITIVE REHABILITATION, NEUROPSYCHOLOGY, PSYCHOLOGY, AND RECREATION THERAPY ARE PROVIDED AS APPROPRIATE TO MEET PATIENT AND FAMILY NEEDS. ONSITE INNOVATIVE NEURO RECOVERY CENTER, AQUATIC PROGRAM, AND WHEELCHAIR CLINIC WITH PRESSURE MAPPING TECHNOLOGY ENSURE THE LATEST EVIDENCE-BASED TREATMENTS. SERVICES INCLUDE TREATMENTS FOR A WIDE RANGE OF INJURIES, AND ILLNESSES: STROKE, MILD TO CATASTROPHIC BRAIN INJURIES, SPINAL CORD INJURIES, NEUROLOGICAL DISORDERS, AMPUTATION, CHRONIC PAIN, AND ORTHOPEDIC CONDITIONS. A HOSPITAL LEVEL OF CARE IS AVAILABLE FOR PEDIATRIC, ADOLESCENT, AND ADULT PATIENTS. WE COMBINE HIGHLY TRAINED CLINICIANS WITH THE LATEST TECHNOLOGIES TO ADVANCE REHABILITATION THROUGH INNOVATION AND RESEARCH-BASED PRACTICE. OUR CLINICAL STAFF IS AMONG THE HIGHEST TRAINED AND EDUCATED IN THE PROFESSION FOR REHABILITATION, MEDICAL CARE AND NURSING. THIS, COMBINED WITH OUR STATE-OF-THE-ART EQUIPMENT, SUPPORTS OUR COMMITMENT TO PROVIDING THE BEST THERAPY AND CARE TO HELP PATIENTS ACHIEVE THEIR HIGHEST QUALITY OF LIFE. BROOKS' CARE TEAMS UNDERSTAND THAT A SEVERE INJURY OR ILLNESS CAN BE LIFE-ALTERING FOR PATIENTS AND THEIR FAMILIES, WHICH IS WHY BROOKS STRIVES TO PROVIDE THE MOST ADVANCED THERAPY ALONG WITH COMPASSION, MOTIVATION AND HOPE. COMPREHENSIVE CARE TEAMS INCLUDE PHYSICIANS SPECIALIZING IN REHABILITATION, SPECIALLY TRAINED NURSES, PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS, SPEECH LANGUAGE PATHOLOGISTS, RECREATIONAL THERAPISTS, SOCIAL WORKERS, DIETICIANS, NEUROPSYCHOLOGISTS, PSYCHOLOGISTS, CASE MANAGERS AND THERAPY DOGS. SERVICES OFFERED AT BROOKS HOSPITAL INCLUDE: AQUATIC THERAPY CHAPLAIN SERVICES COGNITIVE REHABILITATION COMMUNITY RE-ENTRY PROGRAMS FAMILY EDUCATION NEURO RECOVERY CENTERS NUTRITION COUNSELING OCCUPATIONAL THERAPY PHYSICAL MEDICINE PHYSICAL THERAPY RECREATION THERAPY REHABILITATION NURSING SPEECH THERAPY MUSIC THERAPY SUPPORT GROUPS PATIENTS HAVE ACCESS TO SOPHISTICATED THERAPEUTIC SETTINGS. EVERY FLOOR OF THE HOSPITAL CONTAINS MULTIPLE THERAPY GYMS FOR DAILY INTENSIVE REHABILITATION. BROOKS ALSO OFFERS ACCESS TO OUR NEURO RECOVERY CENTER, WHICH IS A SPECIALIZED GYM EQUIPPED WITH THE MOST CUTTING-EDGE REHABILITATION EQUIPMENT AND TECHNOLOGY AVAILABLE. UNDER THE GUIDANCE OF CLINICIANS WITH EXPERTISE IN NEUROLOGY, OUR PATIENTS AND COMMUNITY MEMBERS CAN CONTINUE TO IMPROVE THEIR NEUROPLASTICITY AND MAXIMIZE LONG-TERM RECOVERY. BROOKS REHABILITATION HOSPITAL IS CARF-ACCREDITED IN STROKE, SPINAL CORD INJURY, BRAIN INJURY, PAIN, PEDIATRICS AND GENERAL MEDICAL REHABILITATION. THIS ACCREDITATION REFLECTS PROVEN OUTCOMES ACHIEVED THROUGH EVIDENCE-BASED PRACTICE. BROOKS REHABILITATION HOSPITAL PROVIDES 24-HOUR NURSING SERVICES FURNISHED OR SUPERVISED BY REGISTERED NURSES. NURSING TEAM MEMBERS INCLUDE REGISTERED NURSES, LICENSED PRACTICAL NURSES AND NURSING ASSISTANTS. BROOKS REHABILITATION HOSPITAL ACHIEVED MAGNET DESIGNATION FROM THE AMERICAN NURSES CREDENTIALING CENTER (ANCC) AS A REFLECTION OF ITS NURSING PROFESSIONALISM, TEAMWORK, AND SUPERIORITY IN PATIENT CARE. REHABILITATION NURSES MAKE A DIFFERENCE IN THEIR PATIENTS' LIVES. THEY WORK WITH PATIENTS OF ALL AGES, AND THEIR FAMILIES OR CAREGIVERS, SOON AFTER THE ONSET OF A DISABLING INJURY OR CHRONIC ILLNESS. THEY RESTORE PATIENTS' LIVES SO THEY HAVE FREEDOM AND INDEPENDENCE ONCE AGAIN. AS A COLLABORATOR, EDUCATOR, CARE COORDINATOR, ADVOCATE, AND CHANGE AGENT, REHABILITATION NURSES WORK WITH OTHER HEALTHCARE TEAM MEMBERS, INCLUDING PHYSIATRISTS, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, NEUROPSYCHIATRISTS, SPEECH THERAPISTS, AND OTHERS, TO CREATE COMPREHENSIVE CARE PLANS BASED ON PATIENT GOALS AND MAXIMUM POTENTIAL.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>BROOKS REHABILITATION EXPERTISE TO TREAT THE MOST CATASTROPHIC AND COMPLEX PATIENTS IS EVIDENCED BY A CASE MIX INDEX OF 1.70 AS COMPARED TO THE NATIONAL BENCHMARK OF 1.34. AS A RESULT, BROOKS IS BECOMING A DESTINATION HOSPITAL KNOWN FOR EMPOWERING PEOPLE TO ACHIEVE THEIR HIGHEST LEVEL OF RECOVERY AND PARTICIPATION IN LIFE. IN THE LAST FOUR YEARS, BROOKS HAS EXPANDED THEIR PATIENT POPULATION TO STATES OUTSIDE OF FLORIDA. THIS HAS ALLOWED US TO HELP ADMIT PATIENTS FROM MORE THAN 48 STATES, ACCOUNTING FOR 18 PERCENT OF OUR TOTAL VOLUME. IN 2019, BROOKS REHABILITATION .HOSPITAL HAD APPROXIMATELY 3,000 DISCHARGES AND APPROXIMATELY 50,700 DAYS OF SERVICE. IT IS THE THIRD LARGEST FREE-STANDING REHABILITATION HOSPITAL IN THE NATION. THE FACILITY SERVES PATIENTS WHO REQUIRE INTENSIVE REHABILITATION, WITH SPECIALIZATION IN STROKE, SPINAL CORD INJURY, BRAIN INJURY, AND PEDIATRICS. THE HOSPITAL ACHIEVED MAGNET RECOGNITION FOR NURSING IN 2016, TO BECOME ONE OF FOUR FREESTANDING INPATIENT REHABILITATION FACILITIES IN THE COUNTRY WITH THIS CREDENTIAL. WITH THE HOSPITAL'S EXPERTISE IN TREATING THE MOST CATASTROPHIC AND COMPLEX PATIENTS, ITS CASE MIX INDEX PLACES IT IN THE 99TH PERCENTILE NATIONALLY. BROOKS CONTINUES TO EXCEED PATIENT EXPECTATIONS. THE OVERALL RATING RECEIVED BY THE HOSPITAL WAS 94%, WITH 95% LIKELIHOOD OF RECOMMENDING BROOKS. BROOKS REHABILITATION PROVIDES EXCELLENT SERVICES OF CARE TO ALL PATIENTS. A PATIENT'S ABILITY TO PAY FOR SERVICES IS NOT AN IMPEDIMENT TO CARE. IN 2019, THE HOSPITAL PROVIDED 1,040 PATIENT DAYS OF CHARITY CARE AND APPROXIMATELY 2,500 DAYS OF CARE FOR PATIENTS IN THE MEDICAID PROGRAM BROOKS REHABILITATION PARTNERED WITH HALIFAX HOSPITAL TO PROVIDE INTENSIVE REHABILITATION IN THE DAYTONA, FLORIDA AREA. THE 40 BED UNIT IS LOCATED AT THE HALIFAX HOSPITAL AND SPECIALIZES IN TREATING STROKE, SPINAL CORD INJURIES, AND BRAIN INJURIES. BROOKS REHABILITATION AT HALIFAX HEALTH, A 40- BED UNIT, IS DAYTONA'S ONLY LEVEL II TRAUMA CENTER THAT ALSO HOLDS A COMPREHENSIVE STROKE CENTER DESIGNATION. THIS FACILITY ALLOWS PATIENTS WITH ACUTE REHABILITATION NEEDS TO STAY CLOSE TO HOME DURING THEIR RECOVERY. IN 2019, THIS FACILITY DISCHARGED 883 PATIENTS AND PROVIDED 12,600 DAYS OF PATIENT CARE. BROOKS HEALTH DEVELOPMENT BROOKS REHABILITATION INCLUDES A NETWORK OF OUTPATIENT CLINICS LOCATED THROUGHOUT JACKSONVILLE, NORTH TAMPA AND ORLANDO FLORIDA. BROOKS' CLINICIANS ARE HIGHLY TRAINED TO PROVIDE EXCEPTIONAL PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. THE COMBINATION OF EVIDENCED-BASED PRACTICE AND INNOVATIVE TECHNOLOGY ALLOWS BROOKS TO TREAT THE MOST COMPLEX AND UNIQUE CASES. THE CLINICS INCLUDE A VARIETY OF HIGHLY SPECIALIZED CLINICS, SUCH AS A MOTION ANALYSIS CENTER, CENTER FOR SPORTS THERAPY, PEDIATRIC CENTERS, NEURO RECOVERY CENTER, CENTER FOR LOW VISION, AND BALANCE CENTER. EXPERTS TREAT SPORTS INJURIES, BACK PAIN, STROKE, SPINAL CORD INJURIES, PARKINSON'S, MS, ALS, AUTISM, CEREBRAL PALSY, DEVELOPMENTAL DISABILITY, MOBILITY DISORDERS, ARTHRITIS, DOWNS' SYNDROME, AS WELL AS OTHER CONDITIONS. SPECIALTIES INCLUDE NEUROLOGICAL, GERIATRICS, ORTHOPEDICS, PEDIATRICS, SPORTS THERAPY, WOMEN'S HEALTH, VESTIBULAR PROBLEMS, LOW VISION AND MOBILE THERAPY. THE BROOKS MOTION ANALYSIS CENTER (MAC) IS A SPECIALIZED CLINICAL AND RESEARCH ASSESSMENT FACILITY FOCUSED ON GAIT AND MOVEMENT IMPAIRMENTS IN PEOPLE OF ALL AGES. THROUGH THE USE OF INNOVATIVE TECHNOLOGY, CLINICAL EXAMINATION, AND BIOMECHANICAL ANALYSIS, THE PURPOSE IS TO ADVANCE REHABILITATION SCIENCE AND CLINICAL PRACTICE LEADING TO IMPROVED RECOVERY AND PERFORMANCE IN INDIVIDUALS WITH NEUROLOGIC AND ORTHOPEDIC IMPAIRMENTS. THIS PROGRAM IS ONE OF MANY OFFERED AS COMMUNITY SERVICE BY BROOKS REHABILITATION. BROOKS IS THE OFFICIAL REHABILITATION PROVIDER FOR THE UNIVERSITY OF NORTH FLORIDA'S ATHLETIC PROGRAM. ATHLETES CAN BE TREATED AT THE CENTER FOR SPORTS THERAPY, OR AT ANOTHER OF THE CONVENIENT LOCATIONS. BROOKS ALSO OFFERS EDUCATIONAL PROGRAMS TO TEACH ATHLETES HOW TO REDUCE THEIR CHANCES OF INJURY. TRANSPORTATION IS PROVIDED TO PATIENTS WITH DISABILITIES TO AND FROM OUTPATIENT CENTERS FOR THOSE WHO QUALIFY FOR CHARITY CARE. THIS SERVICE IS FUNDED BY BROOKS COMMUNITY HEALTH, AND IS AVAILABLE FIVE DAYS A WEEK. IN 2019, THERE WERE 429,000 PATIENT VISITS AT THE CLINIC LOCATIONS, PROVIDING APPROXIMATELY 1,399,000 UNITS OF SERVICE. IN OCTOBER 2016, BROOKS REHABILITATION PARTNERED WITH HALIFAX HEALTH TO PROVIDE QUALITY OUTPATIENT REHABILITATION SERVICES TO THE DAYTONA, FLORIDA AREA. THE PARTNERSHIP CONSISTS OF SIX CLINICS. BROOKS PROVIDES CLINICAL AND MANAGEMENT SERVICES FOR THESE CLINICS. BROOKS REHABILITATION HOME HEALTH BROOKS REHABILITATION SERVICES ALSO INCLUDE A HOME HEALTH SERVICES. BROOKS REHABILITATION HOME HEALTH IS ONE OF THE LARGEST HOME CARE AGENCIES IN NORTHEAST FLORIDA, PROVIDING HOME CARE TO PATIENTS ACROSS 23 COUNTIES. SERVICES INCLUDE SKILLED NURSING CARE, PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, INFUSION THERAPY, AND WOUND CARE. ADDITIONAL SERVICES ARE CARDIAC CARE, ORTHOPEDIC REHABILITATION, LYMPHEDEMA CARE, NEUROLOGICAL REHABILITATION, VESTIBULAR THERAPY, CONGESTIVE HEART FAILURE CARE, COPD CARE, AND FALLS PREVENTION. THESE SERVICES PROMOTE, MAINTAIN, OR RESTORE HEALTH, OR MINIMIZE THE EFFECTS OF ILLNESS AND DISABILITY, AND WITH THE ADDITION OF PERSONAL CARE HOME SERVICES, ARE DESIGNED TO PROVIDE A CONTINUUM OF HEALTH CARE SERVICES AS THE PATIENT TRANSITIONS FROM POST- ACUTE AND INPATIENT SKILLED NURSING TO THE HOME. HOME HEALTH PROVIDES MEDICALLY NECESSARY SKILLED CARE IN THE HOME, INTENDED FOR INDIVIDUALS WHO CANNOT EASILY LEAVE THEIR HOME TO RECEIVE NEEDED CARE. BROOKS HOME CARE TAKES GREAT PRIDE IN PROVIDING THE MOST PROFESSIONAL, COMPASSIONATE, AND RELIABLE SERVICES. THE HOME CARE TEAM IS FOCUSED ON PROVIDING THE BEST PATIENT CARE WITH A PERSONAL TOUCH AND IS COMMITTED TO ENSURING AN EXCELLENT EXPERIENCE WITH EVERY VISIT. BROOKS HOME CARE IS A MEDICARE AND ACHC CERTIFIED HOME CARE AGENCY WITH STELLAR PATIENT CARE AND GREAT OUTCOMES. BROOKS EMPLOYS ONLY THE MOST QUALIFIED NURSING AND THERAPY STAFF SO THAT OUR PATIENTS HAVE THE BEST CHANCE TO RECOVER AND REGAIN INDEPENDENCE. OUR CARE TEAMS INCLUDE: REGISTERED NURSES (RNS) LICENSED PRACTICAL NURSES (LPNS) CERTIFIED NURSES ASSISTANTS (CNAS) SOCIAL WORKERS RESPIRATORY THERAPISTS PHYSICAL THERAPISTS OCCUPATIONAL THERAPISTS SPEECH THERAPISTS IN HOME COMPANION SERVICES IN 2019, BROOKS HOME CARE HAD APPROXIMATELY 184,000 HOME VISITS, OF WHICH 142,000 WERE MEDICARE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>BROOKS SKILLED NURSING BROOKS REHABILITATION IS ALSO A LEADING PROVIDER OF SKILLED NURSING SERVICES. THE FOCUS OF BROOKS SKILLED NURSING SERVICES IS TO PROVIDE COMPREHENSIVE REHABILITATION TO IMPROVE THE LONG-TERM QUALITY OF LIFE FOR ITS PATIENTS. BARTRAM CROSSING SKILLED NURSING FACILITY BARTRAM CROSSING IS A 100 BED SKILLED NURSING FACILITY THAT FOCUSES ON SHORT STAY REHABILITATION. THE FACILITY FEATURES A 4,500 SQUARE FOOT GYM, OUTDOOR THERAPY COURTYARD, AND PRIVATE ROOMS. IT IS DESIGNED TO PROVIDE A HOMELIKE ENVIRONMENT FOR THE PATIENTS DURING THEIR REHABILITATION. A DESIGNATED TREATMENT TEAM IS TRAINED FOR THE UNIQUE MEDICAL NEEDS OF THE PATIENTS REQUIRING SHORT TERM REHABILITATION (15-30 DAYS). PATIENTS THAT REQUIRE LONG TERM CARE ARE CARED FOR AS WELL WITH APPROPRIATE PROTOCOLS. THE CARE TEAM INCLUDES PHYSICAL, OCCUPATIONAL AND SPEECH THERAPISTS, NURSING STAFF TRAINED IN REHABILITATION, A REGISTERED DIETITIAN, CASE MANAGERS, AND A PHYSICIAN TO OVERSEE EACH INDIVIDUAL CARE PLAN. THE CONTINUUM OF CARE GOAL ENABLES BROOKS TO PROVIDE SEAMLESS TRANSITIONS FOR PATIENTS RECOVERING FROM ACUTE ILLNESS OR INJURY, RESULTING IN THE BEST OUTCOMES AT THE LOWEST COST. IN 2019, BARTRAM CROSSING HAD APPROXIMATELY 35,000 PATIENT DAYS AND A 96% OCCUPANCY. BARTRAM LAKES ASSISTED LIVING FACILITY BARTRAM LAKES IS AN ASSISTED LIVING FACILITY LOCATED ADJACENT TO BARTRAM CROSSING. THERE ARE 61 APARTMENT UNITS THAT OFFER RESIDENTS AUTONOMY AND INDEPENDENCE WHILE PROVIDING 24/7 CARE AND SUPPORT. THE CARE AND SERVICES PROVIDED ARE CENTERED ON NURTURING THE MIND, SOUL, AND BODY OF THE RESIDENTS. NURSES AND AIDES ASSIST WITH ACTIVITIES OF DAILY LIVING, MEDICATION MANAGEMENT, OXYGEN, BRACES AND OTHER MEDICAL ASSISTANCE. THE LIFESTYLE AT BARTRAM LAKES PROMOTES WELLNESS AND PARTICIPATION IN LIFE. MEALS ARE PROVIDED IN THE DINING ROOM, TRANSPORTATION IS PROVIDED FOR SHOPPING AND EVENTS. ACTIVITIES ARE AVAILABLE TO KEEP THE RESIDENTS ACTIVE AND ENGAGED. IN 2019, BARTRAM LAKES HAD APPROXIMATELY 19,100 RESIDENT DAYS. THE GREEN HOUSE RESIDENCES THE GREEN HOUSE MODEL IS AN INNOVATIVE, NATIONALLY RECOGNIZED MODEL IN LONG-TERM CARE DEVELOPED BY RENOWNED HARVARD-TRAINED GERIATRICIAN, DR. WILLIAM THOMAS. THE MODEL CREATES SMALL HOMES THAT RECOGNIZE THE INDIVIDUALITY OF RESIDENTS AND HONORS THEIR AUTONOMY, CHOICE, PRIVACY AND DIGNITY. THE MODEL HAS GAINED WIDESPREAD RECOGNITION IN THE SENIOR LIVING INDUSTRY. IN 2019, THE GREENHOUSES HAD 6,950 RESIDENT DAYS. UNIVERSITY CROSSING SKILLED NURSING FACILITY IN 2016, BROOKS REHABILITATION OPENED A NEW 111 BED SKILLED NURSING FACILITY ON A CAMPUS ADJACENT TO THE INPATIENT HOSPITAL. EACH OF ITS THREE FLOORS HOUSES A THERAPY GYM, LIVING ROOM, ACTIVITY SPACE, AND DINING ROOM. THE FACILITY ALSO FEATURES WALKING PATHS, A HEALING GARDEN, AND AN OUTDOOR THERAPY COURTYARD, PROVIDING A PEACEFUL SETTING FOR PATIENTS AND THEIR FAMILIES. IN 2019, UNIVERSITY CROSSINGS HAD APPROXIMATELY 35,500 PATIENT DAYS AND AN OCCUPANCY OF 87%. BROOKS REHABILITATION PHYSICAL MEDICINE SPECIALISTS PHYSICAL MEDICINE SPECIALISTS, INC. (DOING BUSINESS AS BROOKS REHABILITATION SPECIALISTS) IS A 501(C)(3) NONPROFIT PHYSICIAN GROUP. IT IS COMPOSED SPECIALISTS IN REHABILITATION MEDICINE (PHYSIATRISTS). THE STAFF IS AMONGST THE MOST HIGHLY TRAINED IN THE PRACTICE OF REHABILITATION MEDICINE. THIS GROUP WAS ESTABLISHED TO PROVIDE PHYSICIAN CARE TO PATIENTS WITHIN THE BROOKS SYSTEM. BROOKS IS HOME TO A CLINICAL STAFF THAT IS AMONGST THE MOST HIGHLY TRAINED IN THE FIELD OF REHABILITATION. BY LINKING THE BEST MINDS IN REHABILITATION AND ENABLING STAFF WITH THE LATEST TECHNOLOGY, OUR CLINICAL EXPERTS PROVIDE THE MOST EFFECTIVE APPROACH TO HELP OUR PATIENTS, RESIDENTS, AND GUESTS ACHIEVE THE HIGHEST QUALITY OF LIFE POSSIBLE. THE PHYSICIAN GROUP OFFERS PATIENT CARE AT BROOKS HOSPITAL, OUTPATIENT CENTERS AND OUR SKILLED NURSING FACILITIES. IN 2019, THE MEDICAL GROUP HAD 76,600 PATIENT ENCOUNTERS. THEY ALSO PROVIDE MEDICAL EDUCATION TO UNIVERSITY OF FLORIDA RESIDENTS, THE MEDICAL COMMUNITY AND THE JACKSONVILLE COMMUNITY AT LARGE. BROOKS REHABILITATION CLINICAL RESEARCH CENTER BROOKS REHABILITATION HAS PARTNERED WITH VARIOUS ACADEMIC INSTITUTIONS TO ADVANCE THE FUTURE OF REHABILITATION AND ENHANCE THE QUALITY OF LIFE. THE BROOKS REHABILITATION CLINICAL RESEARCH CENTER (BRCRC) IS DEVOTED TO CONDUCTING INNOVATIVE RESEARCH STUDIES THAT WILL EXPAND THE KNOWLEDGE AND SCIENCE OF RECOVERY FOR PATIENTS. THE BRCRC COMBINES THE EXPERIENCE AND EXPERTISE OF ACADEMIC RESEARCHERS, CLINICAL INVESTIGATORS AND PRACTICING CLINICIANS TO CONDUCT RESEARCH THAT POSITIVELY IMPACTS PATIENTS AND THEIR FAMILIES. FOCUSED ON ADVANCING THE FUTURE OF REHABILITATION, THE BRCRC TEAM IS DRIVEN BY A MISSION TO GENERATE NEW KNOWLEDGE AND INTEGRATE THE LATEST RESEARCH DISCOVERIES INTO CLINICAL PRACTICES TO IMPROVE PATIENT OUTCOMES AND IMPROVE THEIR QUALITY OF LIFE. AREAS OF FOCUS INCLUDE: STROKE, TRAUMATIC BRAIN INJURY, SPINAL CORD INJURY, ORTHOPEDICS, PARKINSON'S DISEASE, CHRONIC PAIN, MUSCULOSKELETAL CONDITIONS AND AGING. RESEARCH AT THE BRCRC EMPHASIZES THE LINK BETWEEN RESEARCH AND PRACTICE THROUGH COLLABORATIONS BETWEEN BROOKS REHABILITATION SYSTEM OF CARE AND ACADEMIC INSTITUTIONS SUCH AS THE UNIVERSITY OF FLORIDA COLLEGE OF PUBLIC HEALTH AND THE UNIVERSITY OF NORTH FLORIDA BROOKS COLLEGE OF HEALTH. THESE COLLABORATIONS JOIN THE RESEARCH EXPERTISE OF ACADEMIC RESEARCHERS WITH THE CLINICAL EXPERTISE OF HIGHLY SPECIALIZED PRACTICING REHABILITATION PROFESSIONALS FROM A VARIETY OF DISCIPLINES BRCRC GOALS INCLUDE: COLLABORATION AND INTERDISCIPLINARY RESEARCH WITH ACADEMIC PARTNERS AND SPONSORS CREATING AND IMPROVING APPROACHES TO TREATMENT THAT IMPROVE OUTCOMES EVIDENCED-BASED PRACTICES AND ADVANCEMENT OF REHABILITATION SCIENCE SUPPORT FOR CLINICIANS WHO WISH TO PURSUE RESEARCH BROOKS INSTITUTE OF HIGHER LEARNING THE BROOKS INSTITUTE PROVIDES WORLD-CLASS EDUCATIONAL OPPORTUNITIES TO THE LOCAL AND REGIONAL HEALTHCARE COMMUNITY. THE INSTITUTE OFFERS CONTINUING EDUCATION COURSES, CLINICAL STUDENT INTERNSHIPS, AND ACCREDITED POST-GRADUATE RESIDENCY AND FELLOWSHIP PROGRAMS FOR THERAPISTS. COURSE AREAS INCLUDE ORTHOPEDICS, NEUROLOGY, WOMEN'S HEALTH, PEDIATRICS, SPORTS, CHRONIC PAIN AND GERIATRICS. FACULTY INCLUDES BOTH NATIONALLY RENOWNED EXPERTS AS WELL AS RECOGNIZED CLINICAL EXPERTS CURRENTLY PRACTICING AT BROOKS REHABILITATION. BROOKS HEALTH FOUNDATION THE FOUNDATION IS A 501 (C) (3) PUBLICALLY SUPPORTED CHARITY ESTABLISHED TO SUPPORT THE OPERATIONS OF BROOKS REHABILITATION PROGRAMS AND SERVICES. THE FOUNDATION RECEIVES FUNDING PRIMARILY THROUGH INDIVIDUAL DONATIONS AND FUND RAISING EVENTS. IN 2019, THE FOUNDATION RECEIVED APPROXIMATELY $800,000 IN CONTRIBUTIONS, AND $214,000, NET OF EXPENSES, FROM FUND RAISING SPECIAL EVENTS. ADDITIONALLY, BROOKS' EMPLOYEES DONATED APPROXIMATELY $157,000 TO PROVIDE UNINSURED AND UNDERINSURED PATIENTS WITH MEDICALLY NECESSARY EQUIPMENT AND MEDICATIONS. FUNDS RAISED BY THE FOUNDATION HELP SUPPORT THE MANY COMMUNITY SERVICE PROGRAMS OF BROOKS REHABILITATION, SOME OF WHICH ARE HIGHLIGHTED BELOW. HEALTHCARE COMMUNITY IN ADDITION TO A FULL CONTINUUM OF POST-ACUTE SERVICES, BROOKS REHABILITATION IS DEEPLY DEDICATED TO PROVIDING ONGOING PROGRAMS AND RESOURCES FOR PEOPLE LIVING WITH DISABILITIES. AS THE MOST COMPREHENSIVE REHABILITATION SERVICES PROVIDER IN THE REGION, BROOKS HAS TAKEN A LEADERSHIP ROLE IN REINVENTING WAYS TO FURTHER THE CARE OF PEOPLE NEEDING PHYSICAL REHABILITATION AND PREVENTING DISABILITIES WHENEVER POSSIBLE. BROOKS RECOGNIZES THE NEED TO PROVIDE SERVICES AND OPPORTUNITIES FOR PATIENTS AFTER DISCHARGE AND FOR THE REHABILITATION COMMUNITY AT LARGE. BROOKS HAS DEVELOPED NUMEROUS PROGRAMS AND ACTIVITIES CONSISTENT WITH ITS MISSION AND FUNDED ALMOST COMPLETELY BY BROOKS. COMMUNITY BENEFIT COSTS, NET OF REIMBURSEMENT, APPROXIMATED $6 MILLION IN 2019.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>BROOKS REHABILITATION COMMUNITY PROGRAMS BROOKS REHABILITATION IS THE RECOGNIZED LEADER FOR PROVIDING A SYSTEM OF WORLD-CLASS REHABILITATION SOLUTIONS. BROOKS OFFERS A VARIETY OF HEALTH AND WELLNESS PROGRAMS TO PROMOTE THE PHYSICAL, SOCIAL AND EMOTIONAL WELL-BEING OF INDIVIDUALS WITH DISABILITIES. THERE IS A SHARED GOAL OF FOSTERING RELATIONSHIPS AND A BUILDING A SENSE OF COMMUNITY ACROSS ALL OF THE PROGRAMS. BROOKS HOPES TO IMPROVE THE PHYSICAL AND SOCIAL-EMOTIONAL WELL-BEING OF INDIVIDUALS. BROOKS BELIEVES IN GIVING BACK, SO COMMUNITY PROGRAMS ARE OFFERED AT LITTLE OR NO COST. ADAPTIVE SPORTS &amp; RECREATION A SIGNIFICANT OUTREACH EFFORT IS BROOKS ADAPTIVE SPORTS AND RECREATION, WHICH OFFERS COMPETITIVE AND RECREATIONAL SPORTS AND ACTIVITIES AT NO CHARGE TO PARTICIPANTS. ACTIVITIES INCLUDE ADAPTIVE ROWING, QUAD RUGBY, WHEELCHAIR BASKETBALL, WHEELCHAIR TENNIS, POWER SOCCER, WATER SKIING, AND OTHERS. THOSE LIVING WITH DISABILITIES REBUILD THEIR STRENGTH AND SENSE OF INDEPENDENCE WHILE THEY INCREASE BODY AWARENESS, BUILD SELF-CONFIDENCE, LEARN NEW LIFE SKILLS, AND EVEN MAKE NEW FRIENDS. CHILDREN AND ADULTS PARTICIPATE AT BOTH RECREATIONAL AND COMPETITIVE LEVELS. BROOKS SPONSORS ADAPTIVE SPORTING EVENTS AND COMPETITIONS, AS WELL AS INSTRUCTIONAL CLINICS LED BY ATHLETES HOLDING NATIONAL AND WORLD TITLES, GIVING PARTICIPANTS THE CHANCE TO LEARN FROM EXPERTS. THE PROGRAM PROVIDES OPPORTUNITIES FOR FUN, FITNESS AND FRIENDSHIP TO INDIVIDUALS OF ALL AGES AND ABILITIES LIVING WITH PHYSICAL AND/OR VISUAL DISABILITY. ACTIVITIES ENABLE THE ESSENTIAL SOCIAL CONNECTION AND PHYSICAL ACTIVITY THAT PROMOTE HEALTH, WELL-BEING, AND QUALITY OF LIFE. NO EXPERIENCE IS REQUIRED AND THERE IS NO COST FOR PARTICIPATION WITH ALL EQUIPMENT, INSTRUCTION AND COACHING PROVIDED FREE TO ALL INDIVIDUALS. AMPUTEE PROGRAM THE AMPUTEE PROGRAM PROVIDES AN INTEGRATED, MULTIDISCIPLINARY APPROACH TO EVALUATE, REHABILITATE AND SUPPORT PEOPLE WITH AMPUTATIONS. COLLABORATING WITH PHYSICIANS, SCHOOLS, COACHES, TRAINERS, AND PARENTS, INDIVIDUALIZED TREATMENT PLANS ARE DEVELOPED. PEER MENTORS OFFER AMPUTEES OPPORTUNITIES TO CONNECT WITH SOMEONE WHO UNDERSTANDS THE CHALLENGES OF LIVING LIFE WITH AN AMPUTATION. CLUBHOUSE THE BROOKS BRAIN INJURY CLUBHOUSE IS THE FIRST AND ONLY ABI (ACQUIRED BRAIN INJURY) CLUBHOUSE IN THE STATE OF FLORIDA AND ONE OF ONLY 24 WORLDWIDE. THE PROGRAM OFFERS A RANGE OF ACTIVITIES DESIGNED TO HELP THE ONGOING RECOVERY PROCESS FOR INDIVIDUALS WHO HAVE EXPERIENCED A BRAIN INJURY. THE BROOKS CLUBHOUSE HELPS INDIVIDUALS REGAIN SOCIAL, PHYSICAL, COGNITIVE AND VOCATIONAL ABILITIES. NOT ONLY DO MEMBERS CHOOSE TO PARTICIPATE IN A VARIETY OF DIFFERENT ACTIVITIES, (E.G., PERSONAL FITNESS, YOGA, AQUATICS, CREATIVE DANCE, MUSIC, ARTS AND CRAFTS, COGNITIVE ACTIVITIES, GAMES, COMMUNITY OUTINGS, ETC.), BUT THEY ALSO HAVE THE OPPORTUNITY TO MANAGE CLUBHOUSE OPERATIONS BY JOINING ONE OF THE CLUBHOUSE WORK UNITS, HELPING THEM REESTABLISH THEMSELVES IN THE COMMUNITY AND RETURN TO WORK. WORKING SIDE-BY-SIDE WITH PROFESSIONAL STAFF, MEMBERS RUN EVERY ASPECT OF THE CLUBHOUSE INCLUDING MEAL PLANNING AND PREPARATION (CULINARY WORK UNIT), BUSINESS OFFICE WORK UNIT, FACILITIES MAINTENANCE AND PRODUCT PRODUCTION. NEURO RECOVERY CENTERS THE NEURO RECOVERY CENTERS OFFER SPECIALIZED EQUIPMENT FOR CUSTOMIZED REHABILITATION DURING FORMAL THERAPY AND AFTER TRADITIONAL THERAPY HAS BEEN COMPLETED. THIS UNIQUE GYM ALLOWS INDIVIDUALS WITH DISABILITIES TO CONTINUE ONGOING EXERCISE AND CONDITIONING TO MAINTAIN AND IMPROVE FUNCTIONAL MOVEMENT AND ABILITIES. ALL MEMBERS RECEIVE AN EVALUATION BY A NEUROLOGICALLY TRAINED PHYSICAL THERAPIST TO DETERMINE THE MOST EFFECTIVE PROGRAMMING TO MAXIMIZE THEIR POTENTIAL FOR NEUROPLASTICITY, RECOVERY AND WELLNESS. THE EXPERTS AT BROOKS DEVELOP A CUSTOMIZED REHAB PROGRAM TO MEET THE MEMBER'S SPECIFIC NEEDS. PEDIATRIC RECREATION THE PEDIATRIC RECREATION PROGRAM OFFERS A SUPPORTIVE ENVIRONMENT FOR YOUTH WITH PHYSICAL AND/OR DEVELOPMENTAL DISABILITIES SO THEY CAN ENGAGE IN RECREATIONAL ACTIVITIES ALONGSIDE THEIR PEERS. THE PROGRAM INCREASES SOCIALIZATION BY PROVIDING ACTIVITIES THAT FOSTER A HEALTHY LIFESTYLE AND CONNECTION TO THE COMMUNITY. FAMILY SUPPORT IS AVAILABLE FOR THOSE SEEKING OPPORTUNITIES FOR THEIR CHILDREN OUTSIDE OF TRADITIONAL THERAPIES. ALL ACTIVITIES ARE FREE TO FAMILIES IN ORDER TO DECREASE THE BURDEN OF FINANCIAL RESPONSIBILITY AND ENSURE INCLUSION FOR ALL PARTICIPANTS. APHASIA CENTER IN 2015, BROOKS REHABILITATION OPENED THE AREA'S FIRST APHASIA CENTER. BROOKS THERAPISTS PROPOSED THE CREATION OF THE APHASIA CENTER BASED ON UNMET NEEDS THEY WERE SEEING IN THEIR PATIENTS. UNTIL OPENING THE BROOKS REHABILITATION APHASIA CENTER, THERE WERE NO COMPREHENSIVE TREATMENT FACILITIES IN THE AREA THAT COULD PROVIDE THE INTENSIVE CARE AND COMMUNITY-BASED LEARNING THAT PEOPLE LIVING WITH APHASIA NEED. AT BROOKS, WE ARE DEDICATED TO HELPING PERSONS WITH APHASIA ACHIEVE THE HIGHEST LEVEL OF RECOVERY AND PARTICIPATION IN LIFE. THE APHASIA CENTER BRIDGES THE GAP BETWEEN MEDICAL REHABILITATION AND COMMUNITY REINTEGRATION. WE ARE DEDICATED TO PROVIDING COMPREHENSIVE SUPPORT TO THOSE AFFECTED BY APHASIA DUE TO STROKE, TRAUMATIC BRAIN INJURY, BRAIN TUMORS OR OTHER NEUROLOGICAL DISORDERS. BROOKS OFFERS TWO SPECIFIC PROGRAMS. THE COMMUNITY APHASIA PROGRAM ENCOURAGES MULTI-MODALITY COMMUNICATION TECHNIQUES AND CONFIDENCE TO HELP LIVE SUCCESSFULLY WITH APHASIA AND LEARN NEW WAYS TO COMMUNICATE. COORDINATED GROUP ACTIVITIES ARE LED BY LICENSED SPEECH-LANGUAGE PATHOLOGISTS. THE INTENSIVE COMPREHENSIVE APHASIA PROGRAM IS A SIX WEEK PROGRAM THAT PROVIDES IMMERSIVE REHABILITATION. RESEARCH INITIATIVES ARE LED BY NATIONALLY RECOGNIZED LEADERS IN APHASIA RECOVERY AND FOCUS ON THE UNDERSTANDING OF BEST PRACTICE CARE AND SUPPORT THROUGH THE COLLECTION OF OUTCOME DATA AND OBSERVATION. BROOKS SCHOOL RE-ENTRY PROGRAM BROOKS REHABILITATION IS THE SOLE PROVIDER OF SCHOOL RE-ENTRY SERVICES TO CHILDREN IN NORTHEAST FLORIDA WHO HAVE BEEN HOSPITALIZED WITH DISABLING INJURIES OR ILLNESSES. AS A STATE-DESIGNATED TREATMENT FACILITY FOR BRAIN AND SPINAL CORD INJURY FOR CHILDREN, BROOKS REHABILITATION RECEIVES REFERRALS FROM ACUTE CARE FACILITIES IN THE REGION TO PROVIDE THESE SPECIALIZED SERVICES. THE PROGRAM INCLUDES EDUCATION FOR CLASSMATES, SCHOOL PROFESSIONALS AND FAMILIES TO HELP THEM UNDERSTAND THE CHALLENGES AND NEEDS OF A STUDENT TRANSITIONING BACK INTO SCHOOL AND THEIR COMMUNITIES. THIS PROGRAM WILL CARE FOR APPROXIMATELY 125 NEW YOUNG PEOPLE EACH YEAR AND ANOTHER 50 OR MORE THROUGH FOLLOW UP SERVICES AT NO COST TO THEM. BROOKS FAMILY HOUSING HELEN'S HOUSE IN 2017, BROOKS REHABILITATION OPENED A 40-UNIT HOSPITALITY HOUSE OFFERING TEMPORARY LODGING TO BROOKS PATIENTS AND THEIR CAREGIVERS. HELEN'S HOUSE IS NAMED IN HONOR OF HELEN BROWN, THE WIFE OF BROOKS FOUNDER, J. BROOKS BROWN, M.D. THE HOUSE IN MANAGED BY GABRIEL HOUSE OF CARE, A NONPROFIT THAT PROVIDES LODGING FOR PATIENTS AND THEIR FAMILIES RECOVERING FROM SERIOUS ILLNESSES OR INJURIES IN A "COMMUNITY OF HEALING" ENVIRONMENT. RESIDENTS ARE CHARGED ON A SLIDING SCALE, BASED ON THEIR ABILITY TO PAY, WITH THE DEFICIT FUNDED BY BROOKS. THE MAJORITY OF PATIENTS THAT COME FROM OUTSIDE THE REGION HAVE SUFFERED FROM A TRAUMATIC INJURY OR ILLNESS. PROVIDING TEMPORARY HOUSING WHILE THEY ARE IN TREATMENT WILL MAKE THEIR ROAD TO RECOVERY A BIT EASIER. OTHER RELATED SERVICES: SUPPORT GROUPS SUPPORT GROUPS PROVIDE A UNIQUE OPPORTUNITY FOR PATIENTS TO INTERACT AND FORM PERSONAL CONNECTIONS WITH PEOPLE FACING SIMILAR CHALLENGES. BROOKS OFFERS SUPPORT GROUPS FOR PATIENTS WITH THE FOLLOWING CONDITIONS: ALS, BRAIN INJURY, PERIPHERAL NEUROPATHY, SPINAL CORD INJURY, STROKE, PEDIATRIC REHABILITATION AND COMPLEX REGIONAL PAIN SYNDROME, AS WELL AS OTHERS. FOR MORE INFORMATION ABOUT THE PROGRAMS AND THE SUCCESSFUL OUTCOMES, VISIT BROOKSREHAB. ORG. BROOKS REHABILITATION PARTNERSHIP SUPPORT BROOKS REHABILITATION SUPPORTS NUMEROUS NON-PROFITS WHOSE WORK IS STRATEGICALLY TIED TO ITS MISSION. BROOKS PARTICIPATES IN THEIR HEALTH-RELATED ACTIVITIES, WALKS AND RUNS. BROOKS CONTRIBUTES TO THEIR EDUCATIONAL EVENTS AND PARTNERS TOGETHER FOR NEEDED SERVICES. SOME OF THE COMMUNITY-BASED ORGANIZATIONS WHO HAVE BENEFITTED FROM BROOKS SUPPORT IN 2019 INCLUDE: ALZHEIMER'S ASSOCIATION AMERICAN HEART ASSOCIATION ASCENSION ST. VINCENT'S BAPTIST HEALTH BODY AND SOUL DREAMS COME TRUE FLAGLER HEALTHCARE FOUNDATION FUNK ZITIELLO FOUNDATION GATE RIVER RUN HALIFAX HEALTH FOUNDATION JACKSONVILLE SPORTS MEDICINE JACKSONVILLE SYMPHONY ORCHESTRA JACKSONVILLE UNIVERSITY KIDS CHANCE OF FLORIDA MAYO CLINIC PLAYERS TOURNAMENT UF HEALTH JACKSONVILLE UNF FOUNDATION UNITED WAY OF NORTHEAST FLORIDA WE CARE FOR MORE INFORMATION ABOUT THE SERVICES, PROGRAMS, AND VARIOUS ACTIVITIES SUPPORTED BY BROOKS REHABILITATION, PLEASE VISIT THE WEBSITE AT BROOKSREHAB.ORG.</ExplanationTxt>
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          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>477264827</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <TotalIncomeAmt>0</TotalIncomeAmt>
        <EndOfYearAssetsAmt>0</EndOfYearAssetsAmt>
        <DirectControllingNACd>N/A</DirectControllingNACd>
      </IdDisregardedEntitiesGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESIS REHABILITATION HOSPITAL INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>593284221</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE / REHAB CARE</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>PHYSICAL MEDICINE SPECIALISTS INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>593530305</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE / PHYSICIANS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS REHABILITATION HOSPITAL INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROOKS HOME CARE ADVANTAGE INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>262216181</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE / HOME THERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH DEVELOPMENT INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>592249372</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE / REHAB THERAPY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>264561148</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE / SKILLED NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING FACILITY A INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>272153586</EIN>
        <PrimaryActivitiesTxt>HEALTHCARE / SKILLED NURSING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>THE GENESIS HEALTH FOUNDATION INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>592249340</EIN>
        <PrimaryActivitiesTxt>SUPPORT / FUNDRAISING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING FACILITY HOLDINGS A INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>1301 RIVERPLACE BLVD 1500</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <EIN>272187557</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING FACILITY HOLDINGS B INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>452623488</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>LINE 12A, I</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>BROOKS REHABILITATION CLINICAL RESEARCH CENTER INC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>452094888</EIN>
        <PrimaryActivitiesTxt>RESEARCH</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(C)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>PENDING</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GENESIS HEALTH INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>ST AUGUSTINE MOB LTD</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>593397507</EIN>
        <PrimaryActivitiesTxt>REAL ESTATE HOLDING</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH MEDICAL SERVICES INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>EXCLUDED</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>278457</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>6424711</ShareOfEOYAssetsAmt>
        <DisproportionateAllocationsInd>0</DisproportionateAllocationsInd>
        <GeneralOrManagingPartnerInd>0</GeneralOrManagingPartnerInd>
        <OwnershipPct>1.00000</OwnershipPct>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GH HOLDINGS INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>593007328</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingNACd>N/A</DirectControllingNACd>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>2785</ShareOfTotalIncomeAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GH MANAGEMENT INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>592387438</EIN>
        <PrimaryActivitiesTxt>HOLDING COMPANY</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH HOLDINGS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GENESIS MANAGEMENT SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>592183211</EIN>
        <PrimaryActivitiesTxt>MANAGEMENT SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH HOLDINGS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GH MEDICAL SERVICES INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>592742895</EIN>
        <PrimaryActivitiesTxt>MEDICAL SERVICES</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH HOLDINGS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <ShareOfTotalIncomeAmt>275672</ShareOfTotalIncomeAmt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>GH PARTNERSHIP HOLDINGS PPA INC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
        </USAddress>
        <EIN>593075438</EIN>
        <PrimaryActivitiesTxt>INVESTMENT HOLDINGS</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>FL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>GH HOLDINGS INC</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C</EntityTypeTxt>
        <OwnershipPct>1.00000</OwnershipPct>
        <ControlledOrganizationInd>1</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <ReceiptOfIntAnntsRntsRyltsInd>1</ReceiptOfIntAnntsRntsRyltsInd>
      <GiftGrntOrCapContriToOthOrgInd>1</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>1</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>1</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>1</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>0</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>0</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>0</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>0</AssetExchangeInd>
      <RentalOfFacilitiesToOthOrgInd>1</RentalOfFacilitiesToOthOrgInd>
      <RentalOfFcltsFromOthOrgInd>0</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>1</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>1</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>1</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>1</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>1</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>1</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>1</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>1</TransferFromOtherOrgInd>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS REHABILITATION CLINICAL RESEARCH</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>J</TransactionTypeTxt>
        <InvolvedAmt>0</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCOMPANY TRANS.</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEALTH DEVELOPMENT</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1618776</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS REHABILITATION HOSPITAL INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>14723012</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>PHYSICAL MEDICINE SPECIALISTS</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>423298</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS HOME CARE ADVANTAGE</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>2199956</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>0</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING FACILITY A</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>1122934</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
      </TransactionsRelatedOrgGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART III:</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH, INC. OWNES 100% OF THE ST. AUGUSTINE MOB, LTD. PARTNERSHIP INDIRECTLY THROUGH ITS OWNERSHIP OF TWO SEPARATE ENTITIES TREATED AS CORPORATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART IV:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL CORPORATIONS LISTED ON SCHEDULE R, PART IV ARE CONSOLIDATED FOR FEDERAL INCOME TAX PURPOSES. GH HOLDINGS, INC. ACTS AS THE CORPORATE PARENT FOR THE GROUP, AND ALL APPLICABLE INCOME AND DEDUCTION ITEMS ARE ELIMINATED IN CONSOLIDATION. AMOUNTS PRESENTED ON PART IV ARE SHOWN PRE-CONSOLIDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>