2020-11-16T12:24:42-06:00 2019-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2019-01-01 593284221 GENESIS REHABILITATION HOSPITAL INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 DANIEL R CURRAN CFO 9043457600 2020-11-16 1 AMY BIBBY P00445891 8282542254 2020-11-11 68.189.172.95 2020-11-16 12:21:14 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 083993E8E059FCB3C563BE1594239D73DD9572BD 2019 2021-01-29 14:40:06Z BROOKS REHABILITATION HOSPITAL DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 124963144 0 X WWW.BROOKSREHAB.ORG X 1994 FL OPERATION OF REHABILITATION HOSPITAL AND CLINICS IN JACKSONVILLE, FL AND SURROUNDING AREAS 17 14 1171 0 0 0 0 0 108502047 121459865 2772053 2863846 654187 631618 111928287 124955329 2500 500 0 0 52824976 55055256 0 0 0 48230209 51673297 101057685 106729053 10870602 18226276 108835898 133663588 19187844 25516308 89648054 108147280 X TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 0 0 85499203 500 121459865 BROOKS REHABILITATION HOSPITAL HAS BEEN A LEADER IN REHABILITATION FOR 50 YEARS. IT IS THE ONLY ONE OF ITS KIND IN THE REGION. OUR 160-BED HOSPITAL PROVIDES THE HIGHEST QUALITY REHABILITATION AND MEDICAL CARE FOR PEOPLE REQUIRING INTENSIVE THERAPY. BROOKS PROVIDES A FULL CONTINUUM OF CARE TO SUPPORT THE COMPREHENSIVE NEEDS OF PATIENTS AND THEIR FAMILIES. SERVICES OFFERED AT BROOKS HOSPITAL INCLUDE: PHYSICAL MEDICINE REHABILITATION, NURSING, NEURO RECOVERY CENTER, PHYSICAL THERAPY, OCCUPATIONAL THERAPY, SPEECH THERAPY, COGNITIVE REHABILITATION, RECREATION THERAPY, AQUATIC THERAPY, SUPPORT GROUPS, PEER MENTORING, FAMILY EDUCATION, NUTRITION COUNSELING, COMMUNITY RE-ENTRY PROGRAMS, WHEELCHAIR CLINIC AND CHAPLAIN SERVICES. 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 EVIDENCED-BASED PRACTICES.CLINICAL AREAS OF EXPERTISETHE SPINAL CORD INJURY PROGRAM IS ONE OF THE ONLY STATE-DESIGNATED TREATMENT FACILITIES FOR SPINAL CORD INJURIES IN BOTH CHILDREN AND ADULTS, OFFERING THE MOST INNOVATIVE, SCIENTIFICALLY SUPPORTED TREATMENTS AVAILABLE. THE INTENSIVE PROGRAM HELPS SURVIVORS REGAIN FUNCTIONAL INDEPENDENCE AND TRANSITION BACK INTO THE COMMUNITY. THE PROGRAM IS BASED ON SCIENTIFICALLY PROVEN TECHNIQUES. BROOKS' SYSTEM OF CARE FROM INPATIENT TO OUTPATIENT TO POST-REHABILITATION EXERCISE, IS DESIGNED TO MEET EACH PATIENT'S NEEDS AT ALL STAGES OF RECOVERY. IN 2019, 342 PATIENTS WERE TREATED IN THIS PROGRAM. 71% WERE DISCHARGED TO THE COMMUNITY, COMPARED TO THE NATIONAL 64%.THE BRAIN INJURY PROGRAM INCLUDES INTENSIVE INPATIENT REHABILITATION, NEUROLOGICAL DAY TREATMENT, SKILLED NURSING, OUTPATIENT THERAPY AND HOME CARE. TWO-THIRDS OF PATIENTS COME FROM OUTSIDE THE AREA SEEKING BROOKS' REHABILITATION EXPERTISE. DEDICATION TO PROVIDING REHABILITATIVE SOLUTIONS FOR LONG-TERM BRAIN INJURY RECOVERY SETS BROOKS REHABILITATION APART. BROOKS ALSO OFFERS AN ARRAY OF COMMUNITY PROGRAMS TO PROVIDE LONG-TERM SUPPORT FOR THOSE WHO HAVE SUFFERED NEUROLOGICAL INJURIES, SUCH AS: DRIVER REHABILITATION, DAY TREATMENT, NEURO RECOVERY CENTERS, BROOKS CLUBHOUSE, BROOKS APHASIA CENTER AND BROOKS ADAPTIVE SPORTS & RECREATION. THERE WERE 756 PATIENTS TREATED IN THIS PROGRAM IN 2019.BROOKS IS A LEADER IN STROKE REHABILITATION. ONE OF THE PRIMARY GOALS OF THE PROGRAM IS TO HELP PATIENTS AND THEIR CAREGIVERS ADAPT AND REGAIN INDEPENDENCE. THE REHABILITATION PROGRAM HELPS SURVIVORS REGAIN FUNCTIONAL INDEPENDENCE AND TRANSITION BACK INTO THE COMMUNITY. THERE WERE 796 PATIENTS TREATED IN BROOKS' STROKE RECOVERY PROGRAM IN 2019.OUR PEDIATRIC PROGRAM HAS THE BEST PEDIATRIC THERAPISTS WHO HAVE SPECIALIZED TRAINING AND THE UNIQUE SKILLS NECESSARY TO ADDRESS DEVELOPMENTAL DISABILITIES AND TRAUMATIC INJURIES FROM INFANCY TO ADULTHOOD.THE ORTHOPEDICS PROGRAMS AT BROOKS REHABILITATION PROVIDE MORE SPECIALIZED, FOCUSED REHABILITATION THAN ANY OTHER PROVIDER IN THE REGION. EACH PATIENT HAS AN INDIVIDUALIZED PLAN OF CARE FOCUSED ON THEIR SPECIFIC GOALS AND NEEDS.THE AMPUTEE PROGRAM PROVIDES AN INTEGRATED, MULTIDISCIPLINARY APPROACH TO EVALUATE, REHABILITATE AND SUPPORT PEOPLE WITH AMPUTATIONS. BROOKS COLLABORATES WITH PRIMARY CARE PHYSICIANS, PEDIATRICIANS, SPORTS MEDICINE DOCTORS, AND OTHERS TO CREATE PATIENT-CENTERED TREATMENT PLANS.HOSPITAL STAFFOUR STAFF MEMBERS ARE SOME OF THE MOST HIGHLY TRAINED PROFESSIONALS IN THE FIELD. OUR 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 AND CASE MANAGERS. OUR CARE TEAMS UNDERSTAND THAT A SEVERE INJURY OR ILLNESS CAN BE LIFE-ALTERING FOR A PATIENT AND THEIR FAMILY, WHICH IS WHY WE STRIVE TO PROVIDE THE MOST ADVANCED THERAPY ALONG WITH COMPASSION, MOTIVATION AND HOPE. BROOKS REHABILITATION HOSPITAL PROVIDES 24 HOUR NURSING SERVICES FURNISHED OR SUPERVISED BY REGISTERED NURSES. REHABILITATION NURSES MAKE A DIFFERENCE IN PATIENTS' LIVES. THEY WORK WITH PATIENTS OF ALL AGES, AND THEIR FAMILIES OR CAREGIVERS. THEY RESTORE PATIENTS' LIVES SO THEY HAVE FREEDOM AND INDEPENDENCE. IN ADDITION, THE HOSPITAL OFFERS ADVANCED TECHNOLOGY, STATE-OF-THE-ART EQUIPMENT AND A HIGHLY CREDENTIALED NURSING STAFF FOR REHABILITATION SPECIALIZATION. THIS ALLOWS US TO SUPPORT OUR COMMITMENT TO PROVIDING THE BEST THERAPY AND CARE TO HELP PATIENTS ACHIEVE THEIR HIGHEST QUALITY OF LIFE.HOSPITAL PROFILEBROOKS 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. SIGNIFICANT PROGRAMS AND PATIENT SERVICES OFFERED AT THE HOSPITAL INCLUDE: ADAPTIVE SPORTS, AMPUTEE REHABILITATION, AQUATIC POOL THERAPY, BIOFEEDBACK THERAPY, BRAIN INJURY REHABILITATION, COGNITIVE THERAPY, HIP FRACTURE REHABILITATION, NEUROLOGICAL DISORDERS REHABILITATION, NEUROPSYCHOLOGY, OCCUPATIONAL THERAPY, ORTHOPEDIC REHABILITATION, PEDIATRIC REHABILITATION, PHYSICAL THERAPY, RECREATIONAL THERAPY, SPINAL CORD INJURY REHABILITATION, STROKE REHABILITATION AND VITASTIM SWALLOWING.BROOKS REHABILITATION SERVES A VARIETY OF PATIENTS WITH VARYING DEGREES OF INJURY. THE MAJORITY OF PATIENTS TREATED SUFFER FROM CATASTROPHIC STROKES, BRAIN INJURIES, OR SPINAL CORD INJURIES. IN ADDITION TO HIGHLY SPECIALIZED SERVICES, THE HOSPITAL ALSO TREATS A LARGE NUMBER OF PATIENTS REQUIRING GENERAL REHABILITATION, ORTHOPEDIC AND CARDIAC SERVICES, AND IS THE ONLY PROVIDER OF PEDIATRIC REHABILITATION IN THE REGION. 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.THERE ARE 14 HOSPITAL BASED OUTPATIENT REHABILITATION CLINICS. ADDITIONALLY THERE ARE 18 NON-HOSPITAL BASED CLINICS. THESE CLINICS OFFER A FULL RANGE OF SERVICES INCLUDING PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. THE CLINICS ARE STAFFED BY CLINICIANS AND THERAPISTS WHO ARE AT THE TOP OF THEIR FIELDS. THESE SPECIALISTS ARE DEDICATED TO ENABLE PATIENTS TO REACH THEIR HIGHEST LEVEL OF RECOVERY.BROOKS IS COMMITTED TO: -RAISING AWARENESS OF PHYSICAL AND DEVELOPMENTAL REHABILITATION AND INJURY PREVENTION; -PROVIDING SUPPORT AND RESOURCES THROUGH FREE EDUCATIONAL OPPORTUNITIES IN THE COMMUNITY; -OFFERING SUPPORT GROUPS; -SUPPORTING COMMUNITY BENEFIT PROGRAMS SUCH AS ADAPTIVE SPORTS & RECREATION, ADAPTIVE WELLNESS, APHASIA CENTER, NEURO RECOVERY CENTER, CLUBHOUSE, PEDIATRIC RECREATION AND THINKFIRST INJURY PREVENTION; -ASSISTING WITH SCHOOL RE-ENTRY TO HELP EASE THE TRANSITION BACK TO THE CLASSROOM; -PROVIDING PATIENT SUPPORT SERVICES SUCH AS FINANCIAL GRANTS AND SPECIAL EVENTS THAT FOSTER A SENSE OF COMMUNITY AND EDUCATION;BROOKS HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) AND "CARF," THE REHABILITATION ACCREDITATION COMMISSION. THE HOSPITAL IS ALSO ONE OF ONLY TWO STATE DESIGNATED TREATMENT FACILITIES FOR BRAIN AND SPINAL CORD INJURY FOR CHILDREN AND ADULTS. 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 1040 PATIENT DAYS OF CHARITY CARE AND APPROXIMATELY 2,500 DAYS OF CARE FOR PATIENTS IN THE MEDICAID PROGRAM. SEE SCHEDULE H FOR MORE INFORMATION REGARDING THE COMMITMENT OF BROOKS REHABILITATION TO ITS PATIENTS. 85499203 1 0 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1171 1 0 0 0 0 0 0 0 0 0 0 0 0 X 17 14 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DANIEL R CURRAN 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 X ERNEST N BRODSKY CHAIRMAN 1.00 1.00 X X 0 24300 0 PAMELA S CHALLY PHD RN VICE CHAIRMAN 2.00 1.00 X X 0 22800 0 STANLEY W CARTER SECRETARY 1.00 1.00 X X 0 15900 0 BRUCE M JOHNSON MEMBER 1.00 5.00 X 0 43200 0 HOWARD C SERKIN MEMBER 1.00 6.00 X 0 30000 0 THOMAS BROTT MD MEMBER 1.00 1.00 X 0 8400 0 ANDREW KERWIN MD MEMBER 1.00 X 6600 0 0 LEE LOMAX MEMBER 1.00 1.00 X 0 21600 0 ERIC MANN MEMBER 1.00 1.00 X 0 20100 0 LISA PALMER MEMBER 1.00 1.00 X 0 9000 0 FORREST TRAVIS MEMBER 1.00 1.00 X 0 5100 0 TREVOR PARIS MD MEMBER 1.00 39.00 X 0 403501 29483 LYNNE SNEED MEMBER 1.00 X 6300 0 0 HOWARD WEISS MEMBER 1.00 39.00 X 0 611929 34539 DOUGLAS M BAER CEO 1.00 51.00 X X 0 749114 560207 MICHAEL R SPIGEL COO 1.00 51.00 X X 0 551114 444974 DANIEL R CURRAN CFO 1.00 49.00 X X 0 440464 27353 JOANNE HOERTZ V.P. NURSING ANS SUPPORT 10.00 25.00 X 0 296933 16563 AMANDA L OSBORNE V.P. OPERATIONS 40.00 X 0 174553 14734 KERRY MAHER MD VP PHYSICIAN CONSULTANT 40.00 X 329084 0 8922 RUSELL ADDEO DIR. BEHAVIOR HEALTH 40.00 X 175785 0 13372 CORRINE ROMANO V.P. NURSING 40.00 X 146356 0 19588 ROBERT MCIVER DIR. CLINICAL TECHNOLOGY 40.00 X 137153 0 21289 VIRGIL WITTMER EXEC. DIR. BEHAVIOR HEALTH 40.00 X 142585 0 18266 PATRICIA DEBEAR FORMER SVP 0.00 X 0 122364 0 943863 3550372 1209290 21 1 1 0 MEMORIAL HEALTHCARE INC UNIVERSITY BLVD JACKSONVILLE FL 30350 HOSPITAL ANCILLIARY SRVS 7038101 MORRISONS MANAGEMENT SERVICES 400 NORTHRIDGE ROAD 600 SANDY SPRINGS GA 30068 DIETARY AND HOUSEKEEPING SRV. 2108326 CROTHALL LAUNDRY SERVICES 1500 LIBERTY RIDGE DR 210 BOSTON PA 19087 LAUNDRY SERVICES 417157 JACKSONVILLE ACUTE PROGRAMS 16343 COLLECTION CENTER DR CHICAGO IL 60693 HOSPITAL SERVICES 342693 G4S SECURE SOLUTIONS 3974 WOODSTOCK DR STE 100 JACKSONVILLE FL 32207 SECURITY SERVICES 226342 9 X NET PATIENT SERVICE 621400 118149341 118149341 OTHER PATIENT SERVICE 900099 2915412 2915412 SPEECH THERAPY 621400 395112 395112 121459865 2871661 2871661 7815 -7815 -7815 -7815 OTHER REVENUE 900099 631618 631618 631618 124955329 121459865 0 3495464 X 500 500 12900 12900 40859956 39020080 1839876 1943976 1893685 50291 9163118 8949353 213765 3075306 3013566 61740 43337 43337 45996 45996 13833252 13584781 248471 179145 171881 7264 4862483 4030751 831732 8140 8140 1701133 1701133 200286 179248 21038 173346 118444 54902 1787717 1787717 4574068 4342510 231558 1147177 1147177 AFFILIATE MGMT FEE 16419803 16419803 OVERHEAD ALLOCATIONS 4114062 4114062 MEDICAL SUPPLIES 1523160 1523160 BAD DEBT 887717 887717 172475 172475 106729053 85499203 21229850 0 X 3208998 1967730 11948618 12463314 95046 81993 862818 996519 107052521 65688429 37621762 41364092 53984365 75188330 1114291 1601610 108835898 133663588 9861526 15993807 8594329 8315338 150000 150000 581989 1057163 19187844 25516308 X 89648054 108147280 89648054 108147280 108835898 133663588 X 18226276 272950 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF VARIOUS HEALTHCARE ORGANIZATIONS, INCLUDING PRIMARILY THE AMERICAN PHYSICAL THERAPY ASSOCIATION (APTA), AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA), AND JACKSONVILLE CHAMBER OF COMMERCE. IN ADDITION TO PAYING ANNUAL DUES TO THE FAIR FUND. THESE ORGANIZATIONS UNDERTAKE LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES, AND EACH YEAR A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING EXPENDITURES. 280659 280659 42906069 23811555 19094514 54672111 38727822 15944289 9193682 3149052 6044630 41364092 NET DUE FROM AFFILIATES 75188330 C 75188330 SWAP VALUATION LIABILITY 405720 ESTIMATED 3RD PARTY SETTLEMENTS 651443 1057163 X PART X, LINE 2: THE ORGANIZATION RECEIVES CONSOLIDATED FINANCIAL STATEMENTS INCLUDING CORPORATE PARENT AND SUBSIDIARIES. THE FOLLOWING DISCLOSURE APPLIES TO THE SYSTEM AS A WHOLE: BROOKS IS COMPRISED OF NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. 1 1 1 X 1 X 1 1 1 0 1 1 1900677 1900677 0.01800 12949472 19255800 0 0.00000 14850149 19255800 1900677 0.01800 14850149 19255800 1900677 0.01800 1 890996 15000 38440013 3782737 34657276 X 1 1 1 1 BROOKS REHABILITATION HOSPITAL 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 X INPATIENT REHAB FACILITY BROOKS REHABILITATION HOSPITAL 1 0 0 1 X X X X X X X X X 18 1 1 1 1 X WWW.BROOKSREHAB.ORG/COMMUNITY-HEALTH-NEEDS-ASSESSMENT X WWW.HPCNEF.ORG 1 19 1 WWW.BROOKSREHAB.ORG 0 1 X 200.000000000000 400.000000000000 X X X X 1 1 X X X 1 X WWW.BROOKSREHAB.ORG X WWW.BROOKSREHAB.ORG X WWW.BROOKSREHAB.ORG X X X X 1 X 0 X 0 X X X 0 0 BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 5: IN JULY 2011, LEADERS FROM BAPTIST HEALTH, BROOKS REHABILITATION, THE CLAY COUNTY HEALTH DEPARTMENT, THE DUVAL COUNTY HEALTH DEPARTMENT, MAYO CLINIC, THE NASSAU COUNTY HEALTH DEPARTMENT, THE PUTNAM COUNTY HEALTH DEPARTMENT, UF HEALTH JACKSONVILLE (THEN SHANDS JACKSONVILLE MEDICAL CENTER), ASCENSION ST. VINCENT'S, AND WOLFSON CHILDREN'S HOSPITAL CAME TOGETHER AND FORMED THE JACKSONVILLE METROPOLITAN COMMUNITY BENEFIT PARTNERSHIP (THE PARTNERSHIP) TO CONDUCT THE FIRSTEVER MULTIHOSPITAL SYSTEM ANDPUBLIC HEALTH SECTOR COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA).THE PARTNERSHIP'S VISION IS TO CONTRIBUTE TO IMPROVEMENTS IN POPULATION HEALTH ACROSS THE NORTHEAST FLORIDA REGION BY ADDRESSING GAPS THAT PREVENT ACCESS TO QUALITY, INTEGRATING HEALTH CARE, AND IMPROVING ACCESS TO RESOURCES THAT SUPPORT A HEALTHY LIFESTYLE. IN 2015, PARTNERSHIP MEMBERSHIP CHANGED WHERE ONLY THE NONPROFIT HOSPITALS WERE INVOLVED, AS SUCH, THE GROUP CHANGED THE NAMED THE JACKSONVILLE NONPROFIT HOSPITALPARTNERSHIP, MEMBERS CONTINUED THEIR EFFORTS TO COLLABORATIVELY ASSESS THE HEALTH NEEDS OF THE NORTHEAST FLORIDA REGION. SOME OF THESE COLLABORATIVE EFFORTS TO ADDRESS IDENTIFIED SIGNIFICANT NEEDS HAVE INCLUDED A MUSEUM EXHIBIT AT THE MUSEUM OF SCIENCE AND HISTORY THAT DISPLAYED REAL TIME LOCAL HEALTH DATA, A SAFE PLAYGROUND FOR CHILDREN IN A DISADVANTAGED NEIGHBORHOOD, AND OFFERING MENTAL HEALTH FIRST AID CLASSES FOR THE LOCAL COMMUNITY.THE PARTNERSHIP CONTINUES TO EXPLORE OPPORTUNITIES TO COLLABORATE THROUGH SMALL AND LARGESCALE INITIATIVES, IMPROVING THE HEALTH AND WELLNESS OF THE REGION IN A MEANINGFUL WAY.THE PARTNERSHIP ACTIVELY LOOKS FOR COLLABORATIVE PROJECTS WITH WHICH THEY CAN LEVERAGE THE REACH AND INFLUENCE OF THEIR NONPROFIT HEALTH SYSTEMS WITHIN OUR COMMUNITY TO MAKE A SIGNIFICANT IMPACT, EITHER ACROSS NORTHEAST FLORIDA OR WITHIN SPECIFIC DISADVANTAGED NEIGHBORHOODS. THESE PROJECTS HAVE VARIED GREATLY BUT ALL INITIATIVES WERE BASED ON PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT DATA AND THE ENGAGEMENT OF THE RESIDENTS THAT LIVE IN THE COMMUNITIES.THE CHNA WAS AGAIN CONDUCTED IN 2018.PRIMARY DATAKEY INFORMANT INTERVIEWS:FORTYFOUR KEY INFORMANT INTERVIEWS WERE CONDUCTED BY PHONE FROM MARCH 13, 2018 THROUGH APRIL 23, 2018. PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS, BARRIERS, STRENGTHS, AND OPPORTUNITIES (INCLUDING THE NEEDS OF VULNERABLE AND UNDERSERVED POPULATIONS AS REQUIRED BY IRS REGULATIONS). PEOPLE WITH PUBLIC HEALTH EXPERTISE; THE ABILITY TO SPEAK ON THE NEEDS OF LOWINCOME, UNDERSERVED, OR MINORITY POPULATIONS; AND THE ABILITY TO SPEAK ON THE BROAD INTERESTS OF THE COMMUNITY WERE ASKED TO PARTICIPATE IN KEY INFORMANT INTERVIEWS. OF THE 44 KEYINFORMANT INTERVIEWS CONDUCTED, 34 INTERVIEWS WERE WITH COMMUNITY EXPERTS WHO EITHER SERVED OR REPRESENTED UNDERSERVED COMMUNITIES.THE FREQUENCY WITH WHICH A TOPIC AREA WAS DISCUSSED ACROSS KEY INFORMANT INTERVIEWS WAS USED TO ASSESS THE RELATIVE IMPORTANCE OF THE NEED IN THE COMMUNITY.THE FIVE MOST COMMON ISSUES CODED FROM THE KEY INFORMANT INTERVIEWS WERE RELATED TO (1) ACCESS TO HEALTH SERVICES, (2) MENTAL HEALTH & MENTAL DISORDERS, (3) TRANSPORTATION, (4) LOWINCOME/UNDERSERVED POPULATIONS, AND (5) ECONOMY (WHICH INCLUDES HOUSING, EMPLOYMENT, AND COMMUNITY ECONOMIC CIRCUMSTANCES). OVER HALF OF THE KEY INFORMANTS ALSO MENTIONED ISSUES RELATED TO RACE/ETHNIC GROUP POPULATIONS (WITH SPECIFIC FOCUS ONAFRICANAMERICANS), SUBSTANCE ABUSE, AND CHILDREN'S HEALTH. FOCUS GROUPS:THIRTYONE FOCUS GROUPS WITH A TOTAL OF 296 PARTICIPANTS WERE SELECTED FOR THEIR KNOWLEDGE ABOUT COMMUNITY HEALTH NEEDS AND BARRIERS. THE FOCUS GROUPS WERE SPLIT ALMOST EVENLY INTO TWO CATEGORIES: (1) FOCUS GROUPS OF HOSPITAL STAFF ASSOCIATED WITH THE PARTNERSHIP, AND (2) FOCUS GROUPS OF COMMUNITY MEMBERS WITH WIDE BACKGROUNDS, INCLUDING PERSONS WITH DISABILITIES, VETERANS, PERSONS OF LIMITED INCOME, COMMUNITIES OF COLOR, FAITH COMMUNITIES, AND MORE. OF THE 31 FOCUS GROUPS CONDUCTED, 14 OF THE FOCUS GROUPS INCLUDED COMMUNITY MEMBERS OF UNDERSERVEDCOMMUNITIES OR COMMUNITY ADVOCATES FOR UNDERSERVED COMMUNITIES.FOCUS GROUPS WERE TRANSCRIBED AND ANALYZED BY COMMON THEME. THE FREQUENCY WITH WHICH A TOPIC AREA WAS DISCUSSED WITHIN AND ACROSS FOCUS GROUPS WAS USED TO ASSESS THE RELATIVE IMPORTANCE OF THE NEED IN THE COMMUNITY. COMMUNITY SURVEY:THE COMMUNITY SURVEY WAS DISTRIBUTED PRIMARILY ONLINE. A LIMITED NUMBER OF PAPER SURVEYS WERE ALSO DISTRIBUTED. THE SURVEY ELICITED RESPONSES FROM 971 COMMUNITY MEMBERS ACROSS BAKER, CLAY, DUVAL, NASSAU AND ST. JOHNS COUNTIES.SURVEY RESPONDENTS WERE ASKED ABOUT THEIR VIEWS ON THE COMMUNITY'S HEALTH NEEDS, BARRIERS, AND MOST IMPACTED POPULATIONS. A MAJORITY OF RESPONDENTS CHOSE MENTAL HEALTH AND MENTAL DISORDERS, SUBSTANCE ABUSE,OBESITY/OVERWEIGHT, AND HEARTRELATED DISEASES AS THE MOST PRESSING HEALTH NEEDS IN THE COMMUNITY. ADDITIONALLY, RESPONDENTS CITED ACCESS TO HEALTH SERVICES AND DIET,FOOD AND NUTRITION AS THE MOST IMPACTFUL CONDITIONS OF LIFE.SECONDARY DATASECONDARY DATA USED FOR THIS ASSESSMENT WERE COLLECTED AND ANALYZED FROM A COMMUNITY INDICATOR DATABASE. THE DATABASE, MAINTAINED BY RESEARCHERS AND ANALYSTS INCLUDES OVER 150 COMMUNITY INDICATORS FROM 29 STATE AND NATIONAL DATA SOURCES SUCH AS FLORIDA DEPARTMENT OF HEALTH, FLORIDA BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM, AND AMERICAN COMMUNITY SURVEY. THE INDICATORS COVER OVER 20 TOPICS IN THE AREAS OF HEALTH AND QUALITY OF LIFE. BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 6A: UF HEALTH (SHANDS)BAPTIST HEALTHMAYO CLINIC, ASCENSION, ST. VINCENT'SWOLFSON CHILDREN'S HOSPITAL BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 6B: DUVAL COUNTY HEALTH DEPARTMENTPUTNAM COUNTY HEALTH DEPARTMENTCLAY COUNTY HEALTH DEPARTMENTNASSAU COUNTY HEALTH DEPARTMENT BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 13B: IF THE PATIENT DOES NOT MEET THE FPG INCOME CRITERIA, THE PATIENT MAY BE CONSIDERED ON A CASE-BY-CASE BASIS FOR FINANCIAL ASSISTANCE UNDER THE FOLLOWING CIRCUMSTANCES:- CATASTROPHIC BALANCE: IF THE PATIENT WILL HAVE A BALANCE DUE TO BROOKS REHABILITATION OF GREATER THAN 25% OF THEIR ANNUAL HOUSEHOLD INCOME, THEY MAY BE CONSIDERED FOR FINANCIAL ASSISTANCE. BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 13H: IF THE PATIENT DOES NOT MEET THE FPG OR OTHER INCOME CRITERIA, THE PATIENT MAY BE CONSIDERED ON A CASE-BY-CASE BASIS FOR FINANCIAL ASSISTANCE UNDER THE FOLLOWING CIRCUMSTANCES:- SPECIAL MEDICAL CIRCUMSTANCES: IF THE PATIENT IS SEEKING TREATMENT THAT CAN ONLY BE PROVIDED BY BROOKS REHABILITATION OR THE PATIENT WOULD BENEFIT FROM CONTINUED MEDICAL SERVICES FROM BROOKS FOR CONTINUITY OF CARE, THEY MAY BE CONSIDERED ON A CASE-BY-CASE BASIS FOR FINANCIAL ASSISTANCE FOR THAT SPECIFIC TREATMENT. BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 21D: BROOKS REHABILITATION HOSPITAL IS A SUB ACUTE CARE FACILITY AND DOES NOT HAVE EMERGENCY FACILITIES. PART V, SECTION B, LINE 11: THE HOSPITAL FACILITY CHOSE TO FOCUS ON THE FOLLOWING SIGNIFICANT HEALTH NEEDS:ACCESSBEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE)OBESITY AND PHYSICAL ACTIVITYVUNERABLE POPULATIONSTHE 2018 CHNA REPORT AND IMPLEMENTATION STRATEGY WERE UNDERTAKEN BY THE HOSPITAL TO ASSESS AND ADDRESS SIGNIFICANT COMMUNITY HEALTH NEEDS, AND IN ACCORDANCE WITH INTERNAL REVENUE SERVICE (IRS) REGULATIONS IN SECTION 501(R) OF THE INTERNAL REVENUE CODE. THE IMPLEMENTATION STRATEGY ADDRESSES THE SIGNIFICANT COMMUNITY HEALTH NEEDS DESCRIBED IN THE CHNA REPORT. IT IDENTIFIES SIGNIFICANT NEEDS THAT THE HOSPITAL PLANS TO ADDRESS THROUGH VARIOUS STRATEGIC INITIATIVES. THE IMPLEMENTATION STRATEGY DESCRIBES HOW BROOKS REHABILITATION PLANS TO ADDRESS THE SIGNIFICANT COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2018 CHNA. THE HOSPITAL REVIEWED THE CHNA FINDINGS AND APPLIED THE FOLLOWING CRITERIA TO DETERMINE THE MOST APPROPRIATE NEEDS FOR BROOKS REHABILITATION HOSPITAL TO ADDRESS:THE EXTENT TO WHICH THE HOSPITAL HAS RESOURCES AND COMPETENCIES TO ADDRESS THE NEED;THE IMPACT THAT THE HOSPITAL COULD HAVE ON THE NEED (I.E., THE NUMBER OF LIVES THE HOSPITAL CAN IMPACT);THE FREQUENCY WITH WHICH STAKEHOLDERS IDENTIFIED THE NEED AS A SIGNIFICANT PRIORITY; ANDTHE EXTENT OF COMMUNITY SUPPORT FOR THE HOSPITAL TO ADDRESS THE ISSUE AND POTENTIAL FOR PARTNERSHIPS TO ADDRESS THE ISSUE.BROOKS REHABILITATION HOSPITAL'S 2018 CHNA IDENTIFIED A NUMBER OF SIGNIFICANT HEALTH NEEDS IN BAKER, CLAY, DUVAL, NASSAU, AND ST. JOHNS COUNTIES. THE HOSPITAL IDENTIFIED THE FOLLOWING AREAS OF FOCUS:1. ACCESSTHROUGHOUT THE DATA COLLECTION PROCESS, IT WAS CLEAR THAT THE TERM "ACCESS" CARRIES MANY DIFFERENT MEANINGS. MOST OF THE DISCUSSION AROUND ACCESS FOCUSED ON ACCESS TO HEALTH SERVICES. HOWEVER, RELIABLE TRANSPORTATION, PROPER NUTRITION AND SAFE AND AFFORDABLE HOUSING EMERGED AS ISSUES THAT IMPACT ONE'S ACCESS TO HEALTH CARE. KEY ISSUESRURAL COUNTIES HAVE FEWER PRIMARY CARE PROVIDERS AND FEWER SPECIALISTS, WHICH PROVES TO BE A BARRIER TO ACCESSING HEALTH SERVICES FOR RURAL RESIDENTS.TRANSPORTATION IS THE TOP QUALITY OF LIFE ISSUE IDENTIFIED BY CONSTITUENTS IN THE SERVICE AREA ACCORDING TO SECONDARY DATA AND THE MOST MENTIONED BARRIER TO ACCESSING CARE FROM THE PRIMARY DATANUTRITIOUS FOOD IS OFTEN INACCESSIBLE FOR MANY INDIVIDUALS BECAUSE OF COST.PROPER AND SAFE HOUSING IS A PRIORITY OVER HEALTH CARE FOR MANY PEOPLE IN THE SERVICE AREA FOR BROOKS REHABILITATION TO ADDRESS THIS NEED, BROOKS REHABILITATION WILL UNDERTAKE THE FOLLOWING PROGRAM INITIATIVES:ASSESS THE VIABILITY OF PROVIDING COMMUNITY TRANSPORTATION TO BROOKS REHABILITATION COMMUNITY BENEFIT PROGRAMS. UTILIZING RURAL OUTPATIENT CLINICS FOR HEALTH SCREENINGS DURING THERAPY AND NON-THERAPY HOURS. EXPAND THE BROOKS REHABILITATION APHASIA CENTER TO ST. JOHNS COUNTYPLANNED COLLABORATIONS: IN IMPLEMENTING THE ABOVE INITIATIVES, BROOKS REHABILITATION ANTICIPATES COLLABORATING WITH THE FOLLOWING ORGANIZATIONS: BROOKS REHABILITATION ADAPTIVE SPORTS & RECREATIONCITY OF JACKSONVILLECITY OF JACKSONVILLE, DISABLED SERVICESFIRST COAST YMCAJACKSONVILLE UNIVERSITYST. JOHNS COUNTY COUNCIL ON AGINGUNIVERSITY OF NORTH FLORIDAANTICIPATED IMPACTS:MAINTAIN HEALTHY LIFESTYLE THROUGH QUANTIFIABLE OUTCOME MEASURES CAN LEAD TO BETTER OVERALL HEALTH AND WELLNESS.INCREASED PARTICIPATION IN BROOKS COMMUNITY BENEFIT PROGRAMS.EVALUATION PLAN: INCREASE IN OVERALL ACTIVITY FOR PARTICIPATION PER UNIQUE MEMBER IN THE BROOKS COMMUNITY BENEFIT PROGRAMS.INCREASED PARTICIPATION OF UNIQUE MEMBERS IN BROOKS REHABILITATION APHASIA CENTER.VITAL MEASUREMENTS, INCLUDING BLOOD PRESSURE AND HEART RATE WILL BE RECORDED FOR INDIVIDUALS WHO PARTICIPATE WITHIN THE HEALTH SCREENING.2. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE)TO ADDRESS THIS NEED, BROOKS REHABILITATION WILL UNDERTAKE THE FOLLOWING PROGRAM INITIATIVES:PROVIDE ONGOING COMMUNITY BENEFIT PROGRAMMING INCLUDING:BROOKS REHABILITATION ADAPTIVE SPORTS & RECREATIONBROOKS REHABILITATION APHASIA CENTERBROOKS REHABILITATION NEURO RECOVERY CENTERBROOKS REHABILITATION BRAIN INJURY CLUBHOUSEBROOKS REHABILITATION WELLNESS PROGRAMSBROOKS REHABILITATION PEDIATRIC RECREATIONBROOKS REHABILITATION MOTION ANALYSIS CENTERBROOK SCHOOL RE-ENTRY PROGRAMTHE ABOVE COMMUNITY PROGRAMMING ADDRESSES PHYSICAL WELL-BEING, SOCIAL INTERACTION, MENTAL WELL-BEING, EDUCATION NEEDS, AND PURPOSE OF LIFE.PLANNED COLLABORATIONS: IN IMPLEMENTING THE ABOVE INITIATIVES, BROOKS REHABILITATION ANTICIPATES COLLABORATING WITH THE FOLLOWING ORGANIZATIONS: AIRGASBIG ORANGE CHORUSCHALLENGED ATHLETES FOUNDATIONCHALLENGE ENTERPRISESCITY OF JACKSONVILLECITY OF JACKSONVILLE BEACHCITY OF JACKSONVILLE, DISABLED SERVICESDONNA FOUNDATIONFIRST COAST YMCAFIRST PLACE SPORTSFLORIDA STATE COLLEGE JACKSONVILLEFORT CAROLINE ARCHERY CLUBGANDER MOUNTAIN HAVEN HORSE RANCHHOME SWEET ACCESSIBLE HOMEINTERNATIONAL BRAIN INJURY CLUBHOUSE ALLIANCEINTERNATIONAL PARAPLEGIC CLUBJACKSONVILLE BEACH GOLF CLUBJACKSONVILLE BEACH LIFE GUARDSJACKSONVILLE CLAY TARGET SPORTSJACKSONVILLE ICE & SPORTSPLEXJACKSONVILLE JAGUARSJACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIPJACKSONVILLE UNIVERSITYJAX PARKSLIFE ROLLS ON FOUNDATIONMALIVAI WASHINGTON KIDS FOUNDATIONMS SOCIETYNATIONAL ALLIANCE FOR ACCESSIBLE GOLFROTARY CLUB OF EAST ARLINGTONUCANSKI2UNIVERSITY OF NORTH FLORIDAUNIVERSITY OF ST. AUGUSTINEUNIVERSITY OF FLORIDAWOUNDED WARRIOR PROJECTANTICIPATED IMPACTS:IMPROVEMENT IN QUALITY OF LIFEEVALUATION PLAN: THE WORLD HEALTH ORGANIZATION QUALITY OF LIFE ASSESSMENT TOOL WITH UPDATED MEASURES WILL BE PROVIDED AT INITIAL INTAKE, 2 MONTHS, 6 MONTHS, AND 12 MONTHS TO COMPARE IMPROVEMENTS TO NATIONAL STANDARDS FOR APPROPRIATE COMMUNITY BENEFIT PROGRAMS. PART V, SECTION B, LINE 11: 3. OBESITY AND PHYSICAL ACTIVITYTO ADDRESS THIS NEED, BROOKS REHABILITATION WILL UNDERTAKE THE FOLLOWING PROGRAM INITIATIVES:THE BROOKS REHABILITATION ADAPTIVE SPORTS & RECREATION OFFERS WEEKLY ACTIVITIES DESIGNED TO MEET THE NEEDS AND INTERESTS OF OUR DIVERSE COMMUNITY ALONG AGE, ABILITY, LIFESTYLE, AND PERSONAL INTEREST PARAMETERS.THE BROOKS REHABILITATION STROKE WELLNESS PROGRAM OFFERS SUPERVISED INDIVIDUAL EXERCISE PROGRAM DESIGNED FOR PERSONS WHO ARE RECOVERING FROM THE EFFECTS OF A STROKE. THE BROOKS REHABILITATION BRAIN INJURY WELLNESS PROGRAM OFFERS SUPERVISED INDIVIDUAL EXERCISE PROGRAM DESIGNED FOR PERSONS LIVING WITH A BRAIN INJURY. THE BROOKS REHABILITATION PARKINSON'S WELLNESS PROGRAM OFFERS SUPERVISED INDIVIDUAL EXERCISE PROGRAM DESIGNED FOR PERSONS LIVING WITH PARKINSON'S DISEASE. THE BROOKS REHABILITATION MULTIPLE SCLEROSIS WELLNESS PROGRAM OFFERS GROUP EXERCISE CLASS ADAPTED FOR PERSONS LIVING WITH MULTIPLE SCLEROSIS. THE CHAIR CLASS FOCUSES ON BALANCE, FLEXIBILITY, STRENGTH, AND COORDINATION THROUGH EXERCISES THAT CAN BE COMPLETED SEATED OR STANDING. THE BROOKS REHABILITATION BRAIN INJURY CLUBHOUSE PROVIDES MEMBERS PARTICIPATION IN EXERCISE ACTIVITIES FOR BRAIN INJURY AND STROKE SURVIVORS. THE BROOKS REHABILITATION PEDIATRIC RECREATION OFFERS WEEKLY ACTIVITIES DESIGNED TO MEET THE NEEDS AND INTERESTS OF THE PEDIATRIC POPULATION WITH DIFFERING ABILITIES.BROOKS REHABILITATION WILL INVESTIGATE, PROMOTE, AND PROVIDE HEART HEALTHY SNACK OPTIONS FOR EMPLOYEES AND VISITORS IN THE VENDING MACHINES AND ONSITE DINING AT BROOKS REHABILITATION HOSPITAL. IDENTIFIED WALKING ROUTES OF VARYING DISTANCES WILL BE PROMOTED TO EMPLOYEES AND VISITORS AROUND THE BROOKS REHABILITATION HOSPITAL. THROUGH AN INTERNAL MARKETING CAMPAIGN, EMPLOYEES WILL BE ENCOURAGED TO UTILIZE THE STAIRS AS THEY ARE ABLE. BROOKS REHABILITATION WILL PROVIDE EMPLOYEES AND PATIENTS WITH A VIDEO LIBRARY OF GENERAL HEALTH AND WELLNESS MATERIALS. PLANNED COLLABORATIONS: IN IMPLEMENTING THE ABOVE INITIATIVES, BROOKS REHABILITATION ANTICIPATES COLLABORATING WITH THE FOLLOWING ORGANIZATIONS: AMERICAN HEART ASSOCIATIONAIRGASBIG ORANGE CHORUSCHALLENGED ATHLETES FOUNDATIONCHALLENGE ENTERPRISESCITY OF JACKSONVILLECITY OF JACKSONVILLE BEACHCITY OF JACKSONVILLE, DISABLED SERVICESDONNA FOUNDATIONFIRST COAST YMCAFIRST PLACE SPORTSFLORIDA STATE COLLEGE JACKSONVILLEFORT CAROLINE ARCHERY CLUBGANDER MOUNTAIN HAVEN HORSE RANCHINTERNATIONAL BRAIN INJURY CLUBHOUSE ALLIANCEINTERNATIONAL PARAPLEGIC CLUBJACKSONVILLE BEACH GOLF CLUBJACKSONVILLE BEACH LIFE GUARDSJACKSONVILLE CLAY TARGET SPORTSJACKSONVILLE ICE & SPORTSPLEXJACKSONVILLE JAGUARSJACKSONVILLE NONPROFIT HOSPITAL PARTNERSHIPJACKSONVILLE UNIVERSITYJAX PARKSLIFE ROLLS ON FOUNDATIONMALIVAI WASHINGTON KIDS FOUNDATIONMS SOCIETYNATIONAL ALLIANCE FOR ACCESSIBLE GOLFROTARY CLUB OF EAST ARLINGTONUCANSKI2UNIVERSITY OF NORTH FLORIDAUNIVERSITY OF ST. AUGUSTINEUNIVERSITY OF FLORIDAWE ROCK THE SPECTRUM JACKSONVILLEWOUNDED WARRIOR PROJECTANTICIPATED IMPACTS:INCREASE IN PHYSICAL ACTIVITY FOR ADULT AND PEDIATRIC POPULATIONS.MAINTAIN HEALTHY LIFESTYLE THROUGH QUANTIFIABLE OUTCOME MEASURES.INCREASE CHILDREN'S CONFIDENCE WITH THE GOAL TO RESTORE A CHILD'S CONFIDENCE IN PLAY ACTIVITIES WITH THEIR PEERS, PROMOTE A HEALTHY BODY IMAGE, AND PROVIDE EDUCATION FOR HEALTHY NUTRITION AND BODY WEIGHT AS A CHILD GROWS.EVALUATION PLAN:INCREASE IN OVERALL ACTIVITY FOR PARTICIPATION PER UNIQUE MEMBER IN THE BROOKS COMMUNITY BENEFIT PROGRAMS.COMPLETE SIX MONTH REASSESSMENTS AT ALL WELLNESS PROGRAMMING TO ENSURE MEMBERS PARTICIPATING MAINTAIN OR IMPROVE OUTCOME MEASURES.PROVIDE HEALTHY SNACK OPTIONS AT ONE (1) BROOKS REHABILITATION LOCATION TO DETERMINE PROGRAM VIABILITY. IF SUCCESSFUL, IMPLEMENT AT ADDITIONAL LOCATIONS.CREATION AND PROMOTION OF WELLNESS VIDEO LIBRARY AND WALKING ROUTES.4. VULNERABLE POPULATIONSTO ADDRESS THIS NEED, BROOKS REHABILITATION WILL UNDERTAKE THE FOLLOWING PROGRAM INITIATIVES:PARTICIPATE IN THINK FIRST, A NATIONWIDE INJURY PREVENTION PROGRAM THAT FOCUSES ON REDUCING THE NUMBER OF BRAIN INJURY AND SPINAL CORD INJURY BY EDUCATING YOUTH STEPPING ON/FALLS PREVENTION IS AN EVIDENCE BASED PROGRAM WHICH THROUGH SUPERIOR OUTCOMES AND RESEARCH HAS BEEN PROVEN TO REDUCE THE RATE OF FALLS IN COMMUNITY DWELLING OLDER ADULTS. THIS PROGRAM WILL BE OFFERED IN DUVAL & ST JOHNS COUNTIES.Y HEALTHY LIVING WORK WITH PARTNERS IN THE HEALTHY LIVING FACILITY TO PROVIDE EDUCATION AND INFORMATION ON A VARIETY OF TOPICS TO THE COMMUNITY.THE BROOKS REHABILITATION STROKE WELLNESS PROGRAM OFFERS SUPERVISED INDIVIDUAL EXERCISE PROGRAM DESIGNED FOR PERSONS WHO ARE RECOVERING FROM THE EFFECTS OF A STROKE. PROVIDE MULTILINGUAL INFORMATIONAL BROCHURES AND MATERIALS FOR THE GROWING HISPANIC COMMUNITIES.PLANNED COLLABORATIONS: IN IMPLEMENTING THE ABOVE INITIATIVES, BROOKS REHABILITATION ANTICIPATES COLLABORATING WITH THE FOLLOWING ORGANIZATIONS: AMERICAN HEART ASSOCIATIONBAPTIST HEALTHBROOKS REHABILITATION HOSPITALCITY OF JACKSONVILLE SENIOR SERVICES DIVISIONCLAY COUNTY PUBLIC SCHOOLSDUVAL COUNTY PUBLIC SCHOOLSELDERSOURCEFIRST COAST YMCAFLORIDA BLUEJACKSONVILLE SHERIFF'S OFFICEJACKSONVILLE FIRE AND RESCUE DEPARTMENTNASSAU COUNTY FIRE AND RESCUE DEPARTMENTSTEPPING ONST. JOHNS COUNTY COUNCIL ON AGINGST. JOHNS COUNTY FALLS PREVENTION COALITIONST. JOHNS COUNTY FIRE & RESCUE DEPARTMENTST. JOHNS COUNTY PUBLIC SCHOOLSTHINK FIRSTANTICIPATED IMPACTS: IMPROVED KNOWLEDGE AMONG SCHOOL AGED CHILDREN REGARDING BRAIN INJURY AND SPINAL CORD INJURY PREVENTIONA REDUCTION IN THE PREVALENCE OF FALLS AMONG THE FLORIDA RESIDENTS THAT COMPLETE PARTICIPATION IN THE PROGRAM IN DUVAL AND ST. JOHNS COUNTIES.A REDUCTION IN THE NUMBER OF EMERGENCY ROOM VISITS DUE TO A FALL RELATED INJURY AMONG FLORIDA RESIDENTS THAT COMPLETE THE PROGRAM IN DUVAL AND ST. JOHNS COUNTIES.REGULAR EDUCATION SESSIONS WITH ASSESSMENTS ON EFFECTIVENESS AT THE Y HEALTHY LIVING CENTER.MAINTAIN HEALTHY LIFESTYLE THROUGH QUANTIFIABLE OUTCOME MEASURES CAN LEAD TO SECONDARY BENEFITS OF DECREASED FALLS, PREVENTION OF A SECOND STROKE, INCREASED MOBILITY, WEIGHT CONTROL, AND BETTER MENTAL HEALTH. INCREASE PHYSICAL ACTIVITY.RAISE AWARENESS OF DISEASE PREVENTION AND RECOVERY.EVALUATION PLAN: DETERMINE ANNUAL THINK FIRST IMPLEMENTATION STRATEGY.SIX MONTH/FALLS PREVENTION AND ONE YEAR FOLLOW UP PHONE CALLS WILL BE CONDUCTED POST COMPLETION OF STEPPING ON WORKSHOPS TO DETERMINE NUMBER OF FALLS AND NUMBER OF EMERGENCY ROOM VISITS/HOSPITAL ADMISSIONS DUE TO A FALL RELATED INJURY.VITAL MEASUREMENTS, INCLUDING BLOOD PRESSURE AND HEART RATE, ARE COLLECTED AT EVERY EXERCISE SESSION FOR EVERY INDIVIDUAL, BOTH PRE- AND POST- EXERCISE. THE VITALS ARE RECORDED IN A PERSONAL FILE FOR EACH PARTICIPANT, WHICH INCLUDES MEDICAL HISTORY INFORMATION, PRE- AND POST- EXERCISE VITALS, AND RECORDS OF EXERCISES COMPLETED FROM EACH SESSION.COMPLETE SIX MONTH REASSESSMENTS AT THE BROOKS REHABILITATION STROKE WELLNESS PROGRAM TO ENSURE MEMBERS PARTICIPATING MAINTAIN OR IMPROVE OUTCOME MEASURES.CREATE AND DISTRIBUTE MULTILINGUAL INFORMATIONAL BROCHURES TO CLINICS WITH INCREASED NUMBER OF MULTILINGUAL PATIENTS. 14 1 - HEALTH CARE PLAZA OUTPATIENT CLINIC 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 PHYSICAL, OCCUPATIONAL, COGNITIVE THERAPY 2 - ORANGE PARK OUTPATIENT CLINIC 550 WELLS RD 4 ORANGE PARK FL 32073 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 3 - SAN PABLO CLINIC 14286 BEACH BLVD SUITE 34 JACKSONVILLE FL 32250 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 4 - MANDARIN OUTPATIENT CLINIC 11701 SAN JOSE BLVD 210 JACKSONVILLE FL 32223 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 5 - ST AUGUSTINE OUTPATIENT CLINIC 190 SOUTHPARK BLVD 100 ST AUGUSTINE FL 32086 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 6 - WESTSIDE OUTPATIENT CLINIC 7749 NORMANDY CROSSING JACKSONVILLE FL 32221 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 7 - CENTER FOR SPORTS THERAPY AT YMCA 10423 CENTURION PKWY NORTH JACKSONVILLE FL 32256 PHYSICAL, ACQUATIC, SPORTS THERAPY 8 - NORTHSIDE OUTPATIENT CLINIC 320 DUNDAS DR 8 JACKSONVILLE FL 32218 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 9 - BROOKS BEHAVIORAL MEDICINE 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 COGNITIVE & PAIN THERAPIES, MEDICAL PSYCH, NEURO DAY TREATMENT, BIOFEEDBACK 10 - JOHNS CREEK PEDIATRIC OUTPATIENT CLINIC 111 NATURE WALK PKWY ST AUGUSTINE FL 32092 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 11 - ST AUGUSTINE PEDIATRIC OUTPATIENT CLINIC 190 SOUTHPARK BLVD 102 ST AUGUSTINE FL 32086 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 12 - NEURO RECOVER CENTER 3599 UNIVERSITY BLVD S JACKSONVILLE FL 32216 OCCUPATIONAL, SPEECH, ADAPTIVE SPORTS THERAPY, WHEEL CHAIR CLINIC 13 - MOTION ANALYSIS CENTER 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 PHYSICAL THERAPY, SPECIALIZING IN MOTION 14 - CENTER FOR LOW VISION 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 PHYSICAL THERAPY, SPECIALIZING IN VISION PART I, LINE 3C: IN ACCORDANCE WITH ITS MISSION TO EMPOWER PEOPLE TO ACHIEVE THEIR HIGHEST LEVEL OF RECOVERY THROUGH EXCELLENCE IN REHABILITATION, BROOKS REHABILITATION PROVIDES FREE OR DISCOUNTED CARE TO MEDICALLY AND FINANCIALLY QUALIFIED CHARITY,UNINSURED, AND UNDERINSURED PATIENTS, AS WELL AS TO PATIENTS WHOSE CHARGES FOR CARE ARE CATASTROPHIC. THIS IS DEFINED AS CHARGES THAT EXCEED 25% OF THE PATIENT'S ANNUAL INCOME.ADDITIONALLY, EXCEPTIONS MADE BE MADE FOR PATIENT SERVICES THAT CAN ONLY BE PROVIDED AT BROOKS REHABILITATION, OR FOR CONTINUUM OF CARE. PART I, LINE 7: WORKSHEET 2 OF THE 2019 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE TOTAL COMMUNITY BENEFIT EXPENSE AT COST FOR THE PURPOSES OF LINE 7, COL (C). PART I, LN 7 COL(F): THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $887,717 THAT HAS BEEN EXCLUDED FROM THE CALCULATION OF PERCENT OF TOTAL EXPENSE ON LINE 7, COL (F). PART III, LINE 2: BAD DEBT IS CALCULATED USING AN AGING OF ACCOUNTS METHODOLOGY COUPLED WITH SPECIFIC ACCOUNT REVIEW AND IS REPORTED AT GROSS CHARGES. PART III, LINE 3: AMOUNTS PRESENTED AS BAD DEBTS ATTRIBUTABLE TO COMMUNITY BENEFIT ARE WRITE-OFFS TO MEDICAID PAYORS. PART III, LINE 4: THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT, ALLOWANCE FOR DOUBTFUL ACCOUNTS, OR ACCOUNTS RECEIVABLE. PART III, LINE 8: THE ORGANIZATION USED ITS MEDICARE COST REPORT TO CALCULATE AMOUNTS PRESENTED ON PART III, LINES 5 AND 6. PART III, LINE 9B: THE ORGANIZATION IS A SUB ACUTE CARE FACILITY, AND PATIENTS ENTERING THE FACILITY ARE REFERRED BY OTHER ORGANIZATIONS WHICH HAVE ALREADY PERFORMED FINANCIAL EVALUATIONS IN MOST CASES. IT IS HIGHLY UNLIKELY AND RARE THAT A FULL EVALUATION IS NOT PERFORMED ON THE ORGANIZATION'S PATIENTS PRIOR TO DISCHARGE, AND THEREFORE, THE CHANCE OF THE ORGANIZATION PURSUING COLLECTIONS ON PATIENTS THAT WILL QUALIFY FOR FINANCIAL ASSISTANCE IS LOW; HOWEVER, AS DISCUSSED IN PART VI, LINE 3, IN THE EVENT A PATIENT'SFINANCIAL SITUATION CHANGES OVER THE COURSE OF CARE, THE ORGANIZATION HAS POLICIES IN PLACE TO REQUIRE A REEVALUATION. PART VI, LINE 2: BROOKS REHABILITATION HOSPITAL JOINED THE JACKSONVILLE METROPOLITAN COMMUNITY BENEFIT PARTNERSHIP TO CONDUCT THE FIRST-EVER MULTI-HOSPITAL SYSTEM AND PUBLIC HEALTH SECTOR COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PARTNERSHIP CONSISTS OF A NETWORK OF FIVE HEALTH CARE SYSTEMS (NINE NONPROFIT HOSPITALS) AND FOUR PUBLIC HEALTH DEPARTMENTS THAT STAND FOR A SHARED VOICE AND VISION OF IMPROVING HEALTH AND WELLNESS IN THE JACKSONVILLE METROPOLITAN AREA. AS A RESULT OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, BROOKS REHABILITATION HAS ADDRESSED THE NEEDS OF THE DISABILITY COMMUNITY THROUGH THE IMPLEMENTATION STRATEGIES THE CHNA WAS COMPLETED IN 2015 AND AGAIN IN 2018. SEE THE NARRATIVE FOR SCHEDULE H, PART V. PART VI, LINE 3: PATIENTS ARE EVALUATED IN THE ACUTE CARE SETTING TO DETERMINE ELIGIBILITY FOR CHARITY CARE. ALL HOSPITAL TEAM MEMBERS INCLUDING THE BUSINESS OFFICE TEAM AND CASE MANAGERS UNDERSTAND CHARITY CARE AND WORK WITH THE PATIENTS TO COMPLETE THE NECESSARY DOCUMENTATION IF APPLICABLE. IN THE EVENT A PATIENT'S FINANCIAL DETERMINATION VARIES AFTER ENTRANCE INTO THE FACILITY, HE IS REEVALUATED BY A CASE MANAGER. PART VI, LINE 4: BROOKS REHABILITATION HOSPITAL IS PHYSICALLY LOCATED IN JACKSONVILLE, FL. PRIMARILY, OUR PATIENTS ARE TRANSFERRED FROM ONE OF SEVEN ACUTE CARE FACILITIES. HOWEVER, PATIENTS ARE RECEIVED FROM ACUTE CARE HOSPITALS ALL OVER NORTH FLORIDA, CENTRAL FLORIDA, AND SOUTHEAST GEORGIA. IN ADDITION, ADMISSIONS COME FROM SKILLED NURING FACILITIES WITHIN THE SAME REGION. THE COUNTIES IN THE JACKSONVILLE'S METROPOLITAN STATISTICAL AREA (MSA) INCLUDE BOTH A HIGH YOUTH POPULATION AND A GROWING ELDERLY POPULATION. PART VI, LINE 5: BROOKS CHARGES ITS UNINSURED PATIENTS AT THE AVERAGE DISCOUNTED RATE RECEIVED BY PRIVATE INSURERS, MEDICARE, AND MEDICAID. GENEROUS INCOME GUIDELINES ALONG WITH PATIENT-FRIENDLY BILLING PRACTICES ALLOWS BROOKS TO PROVIDE COMPREHENSIVE REHABILITATION SERVICES TO FLORIDA AND GEORGIA RESIDENTS WHO WOULD NOT OTHERWISE HAVE ACCESS TO THIS LEVEL OF CARE. THESE BENEFITS NOT ONLY IMPROVE THE FUNCTIONAL INDEPENDENCE OF OUR PATIENTS, BUT LEAD THEM TO A BETTER QUALITY OF LIFE. PART VI, LINE 6: BROOKS HEALTH SYSTEM, THE PARENT COMPANY OF BROOKS REHABILITATION HOSPITAL, ADMINISTERS SEVERAL COMMUNITY BENEFIT PROGRAMS SUCH AS A SCHOOL REENTRY PROGRAM, AN ADAPTIVE SPORTS PROGRAM, A CLINICAL EDUCATION PROGRAM, A SPORTS OUTREACH PROGRAM, A STROKE WELLNESS PROGRAM, AND OTHER VARIOUS PROGRAMS DESIGNED TO MEET THE NEEDS OF THE COMMUNITY. DETAILED INFORMATION REGARDING THESE SPECIFIC PROGRAMS IS DESCRIBED ON THIS SCHEDULE AND CAN ALSO BE FOUND ON THE ORGANIZATION'S WEBSITE. PART VI, SUPPLEMENTAL INFORMATION: AT BROOKS REHABILITATION, OUR MISSION IS TO EMPOWER PEOPLE TO ACHIEVE THEIR HIGHEST LEVEL OF RECOVERY AND PARTICIPATION IN LIFE THROUGH EXCELLENCE IN REHABILITATION. WE ARE LOCATED IN JACKSONVILLE, FLORIDA, AND HAVE SERVED THE SOUTHEAST FOR MORE THAN 45 YEARS. A NONPROFIT ORGANIZATION BASED IN JACKSONVILLE, FL, BROOKS OPERATES ONE OF THE NATION'S LARGEST INPATIENT REHABILITATION HOSPITALS IN THE U.S. WITH 160 BEDS, ONE OF THE REGION'S LARGEST HOME HEALTHCARE AGENCIES, 32 OUTPATIENT REHABILITATION CLINICS, A SKILLED NURSING UNIT DEDICATED TO ORTHOPEDIC REHABILITATION, THE BROOKS REHABILITATION MEDICAL GROUP, TWO SKILLED NURSING FACILITIES, ASSISTED LIVING AND MEMORY CARE. IN ADDITION, BROOKS OPERATES THE CLINICAL RESEARCH CENTER, WHICH SPECIALIZES IN RESEARCH FOR STROKE, BRAIN INJURY, SPINAL CORD INJURY AND MORE, TO ADVANCE THE SCIENCE OF REHABILITATION. BROOKS ALSO PROVIDES MANY LOW OR NO COST COMMUNITY PROGRAMS AND SERVICES SUCH AS THE BROOKS CLUBHOUSE, BROOKS APHASIA CENTER AND BROOKS ADAPTIVE SPORTS AND RECREATION TO IMPROVE THE QUALITY OF LIFE FOR PEOPLE LIVING WITH PHYSICAL DISABILITIES. BROOKS REHABILITATION HOSPITAL IS A 160-BED ACUTE, INPATIENT REHABILITATION HOSPITAL, WHICH OFFERS A FULL CONTINUUM OF SERVICES. WITHIN THE HOSPITAL, 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. THE ONSITE INNOVATIVE NEURO RECOVERY CENTER, AQUATIC PROGRAM, AND WHEELCHAIR CLINIC WITH PRESSURE MAPPING TECHNOLOGY ENSURES THE LATEST EVIDENCE-BASED TREATMENTS. BROOKS TREATS A WIDE RANGE OF INJURIES, AND ILLNESSES, INCLUDING; 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. HIGHLY TRAINED CLINICIANS ARE COUPLED WITH THE LATEST TECHNOLOGIES TO ADVANCE REHABILITATION THROUGH INNOVATION AND RESEARCH-BASED PRACTICE. THE CLINICAL STAFF IS AMONG THE HIGHEST TRAINED AND EDUCATED IN THE PROFESSION FOR REHABILITATION, MEDICAL CARE AND NURSING. THIS, COMBINED WITH STATE-OF-THE-ART EQUIPMENT, SUPPORTS BROOKS 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 THEY STRIVE 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 GROUPSPATIENTS HAVE ACCESS TO SOPHISTICATED THERAPEUTIC SETTINGS. EVERY FLOOR OF THE HOSPITAL CONTAINS MULTIPLE THERAPY GYMS FOR DAILY INTENSIVE REHABILITATION. BROOKS ALSO OFFERS ACCESS TO THE 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, 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.CLINICAL AREAS OF EXPERTISE INCLUDE:THE SPINAL CORD INJURY PROGRAM IS ONE OF THE ONLY STATE-DESIGNATED TREATMENT FACILITIES FOR SPINAL CORD INJURIES IN BOTH CHILDREN AND ADULTS, OFFERING THE MOST INNOVATIVE, SCIENTIFICALLY SUPPORTED TREATMENTS AVAILABLE. THE INTENSIVE PROGRAM HELPS SURVIVORS REGAIN FUNCTIONAL INDEPENDENCE AND TRANSITION BACK INTO THE COMMUNITY. PATIENTS CAN BE REFERRED TO THE PROGRAM AFTER THEIR INPATIENT REHABILITATION HOSPITAL STAY OR ONCE THEY ARE ABLE TO TRANSITION FROM HOME HEALTH. THE PROGRAM IS OVERSEEN BY A MEDICAL DIRECTOR, PSYCHOLOGIST, PHYSICAL THERAPIST, OCCUPATIONAL THERAPIST, SPEECH THERAPIST AND A NURSE CASE MANAGER, ALL WITH SPECIALIZED TRAINING IN SPINAL CORD INJURIES. THE SCI-D PROGRAM FOCUSES ON MANAGING ONGOING MEDICAL NEEDS WITH SPECIAL ATTENTION TOWARD HOME AND COMMUNITY REINTEGRATION FOR THOSE IMPACTED BY A SCI.THE BRAIN INJURY PROGRAM INCLUDES INTENSIVE INPATIENT REHABILITATION, NEUROLOGICAL DAY TREATMENT, SKILLED NURSING, OUTPATIENT THERAPY AND HOME CARE. AFTER HOSPITALIZATION, ONE OF THE MOST VALUABLE STEPS A PATIENT CAN TAKE IS TO PARTICIPATE IN BROOKS BRAIN INJURY DAY TREATMENT PROGRAM. THIS PROGRAM HELPS TO EASE THE TRANSITION FROM ACUTE CARE OR INPATIENT REHABILITATION TO HOME. IT WAS CREATED TO HELP PATIENTS IMPROVE COGNITIVE/THINKING, COMMUNICATION ABILITY, SOCIAL SKILLS AND EMOTIONAL STABILITY, ALL WHILE THEY CONTINUE TO REGAIN PHYSICAL ABILITIES. THE PROGRAM CREATES A WONDERFUL ENVIRONMENT FOR GROWTH, RECOVERY, EDUCATION AND CAMARADERIE. THE PEDIATRIC PROGRAM HAS THE BEST PEDIATRIC THERAPISTS WHO HAVESPECIALIZED TRAINING AND THE UNIQUE SKILLS NECESSARY TO ADDRESSDEVELOPMENTAL DISABILITIES AND TRAUMATIC INJURIES FROM INFANCY TO ADULTHOOD. BROOKS HAS BEEN SERVING CHILDREN IN THE SOUTHEAST FOR MORE THAN 47 YEARS. BROOKS' PEDIATRIC THERAPISTS HAVE SPECIALIZED TRAINING AND THE UNIQUE SKILLS NECESSARY TO ADDRESS DEVELOPMENTAL DISABILITIES AND TRAUMATIC INJURIES FROM INFANCY TO ADULTHOOD. BROOKS PROVIDES A FULL COMPLEMENT OF SERVICES THROUGH THE PEDIATRIC PROGRAM. HOSPITAL STAFFBROOKS STAFF MEMBERS ARE SOME OF THE MOST HIGHLY TRAINED PROFESSIONALS IN THE FIELD. 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 AND CASE MANAGERS. 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. IN ADDITION, THE HOSPITAL OFFERS ADVANCED TECHNOLOGY, STATE-OF-THE-ART EQUIPMENT AND A HIGHLY CREDENTIALED NURSING STAFF FOR REHABILITATION SPECIALIZATION TO SUPPORT BROOKS COMMITMENT TO PROVIDING THE BEST THERAPY AND CARE TO HELP PATIENTS ACHIEVE THEIR HIGHEST QUALITY OF LIFE. PART VI, SUPPLEMENTAL INFORMATION: HOSPITAL PROFILEWITH EXPERTISE TO TREAT THE MOST CATASTROPHIC AND COMPLEX PATIENTS, BROOKS CASE MIX INDEX PLACES US IN THE 99TH PERCENTILE NATIONALLY. AS A RESULT, BROOKS IS BECOMING A DESTINATION HOSPITAL KNOWN FOR EMPOWERING PEOPLE TO ACHIEVE THEIR HIGHEST LEVEL OF RECOVERY AND PARTICIPATION IN LIFE. BROOKS HAS EXPANDED ITS PATIENT POPULATION TO STATES OUTSIDE OF FLORIDA, ADMITTING PATIENTS FROM MORE THAN 40 STATES, ACCOUNTING FOR 18 PERCENT OF OUR TOTAL VOLUME.BROOKS REHABILITATION HOSPITAL HAS MORE THAN 3,000 ANNUAL DISCHARGES PROVIDING APPROXIMATELY 50,700 DAYS OF PATIENT CARE.IT IS THE BUSIEST FREE-STANDING REHABILITATION HOSPITAL IN THE COUNTRY. BROOKS IS COMMITTED TO:-RAISING AWARENESS OF PHYSICAL AND DEVELOPMENTAL REHABILITATION AND INJURY PREVENTION;-PROVIDING SUPPORT AND RESOURCES THROUGH FREE EDUCATIONAL OPPORTUNITIES IN THE COMMUNITY;-OFFERING FREE DEVELOPMENTAL SCREENINGS;-SUPPORTING COMMUNITY BENEFIT PROGRAMS SUCH AS ADAPTIVE SPORTS &RECREATION, ADAPTIVE AQUATICS AND THINKFIRST INJURY PREVENTION; -ASSISTING WITH SCHOOL RE-ENTRY TO HELP EASE THE TRANSITION BACK TO THE CLASSROOM;-PROVIDING SUPPORT SERVICES SUCH AS FINANCIAL GRANTS AND SPECIAL EVENTS THAT FOSTER A SENSE OF COMMUNITY AND EDUCATION.RECOVERY AND TREATMENT AT BROOKS BEYOND THE HOSPITAL MAY INCLUDE SKILLED NURSING CARE, HOME CARE, OUTPATIENT THERAPY, DAY TREATMENT, VOCATIONAL REHABILITATION, ADAPTIVE SPORTS AND RECREATION, ASSISTED LIVING AND MEMORY CARE, AND COMMUNITY WELLNESS PROGRAMS.OUTPATIENT THERAPY AT BROOKS REHABILITATION OFFERS PERSONALIZED EXPERIENCES TO EMPOWER PATIENTS' RECOVERY. THERE ARE 14 HOSPITAL BASED OUTPATIENT CLINICS, AS WELL AS 18 NON-HOSPITAL BASED CLINICS IN THE BROOKS REHABILITATION NETWORK. CLINICS ARE STAFFED BY CLINICIANS AND SPECIALISTS WHO ARE AT THE TOP OF THEIR RESPECTIVE FIELDS. THE END GOAL FOR EVERY PATIENT IS FOR THEM TO REACH THEIR HIGHEST LEVEL OF RECOVERY. OUTPATIENT SERVICES AT THE CLINICS INCLUDE PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. SPECIALTIES INCLUDE GERIATRICS, LOW VISION, MOBILE THERAPY, NEUROLOGICAL, ORTHOPEDICS, PEDIATRICS, SPORTS THERAPY, VESTIBULAR/BALANCE, AND WOMEN'S HEALTH.CONDITIONS TREATED INCLUDE ARTICULATION DISORDERS, ARTHRITIS, AUTISM, BRAIN INJURIES, CEREBRAL PALSY, DEVELOPMENTAL DISABILITY, DOWN'S SYNDROME, FEEDING DIFFICULTIES, HAND THERAPY, MOBILE AND GAIT DISORDERS, MULTIPLE SCLEROSIS, PARKINSON'S DISEASE, SPINAL CORD INJURIES, SPORTS INJURIES, STRAINS/SPRAINS, STROKE, AND SWALLOWING DISORDERS. 1 1 0 0 0 1 0 0 0 TREVOR PARIS MD MEMBER 0 403501 0 0 0 0 0 29483 0 0 0 432984 0 0 HOWARD WEISS MEMBER 0 611929 0 0 0 0 0 34539 0 0 0 646468 0 0 DOUGLAS M BAER CEO 0 509483 0 198356 0 41275 0 534109 0 26098 0 1309321 0 0 MICHAEL R SPIGEL COO 0 378927 0 142113 0 30074 0 423494 0 21480 0 996088 0 0 DANIEL R CURRAN CFO 0 289415 0 114210 0 36839 0 8400 0 18953 0 467817 0 0 JOANNE HOERTZ V.P. NURSING ANS SUPPORT 0 207967 0 78760 0 10206 0 6268 0 10295 0 313496 0 0 AMANDA L OSBORNE V.P. OPERATIONS 0 171184 0 0 0 3369 0 5214 0 9520 0 189287 0 0 KERRY MAHER MD VP PHYSICIAN CONSULTANT 265044 0 57903 0 6137 0 7589 0 1333 0 338006 0 0 0 RUSELL ADDEO DIR. BEHAVIOR HEALTH 172060 0 569 0 3156 0 4419 0 8953 0 189157 0 0 0 CORRINE ROMANO V.P. NURSING 146331 0 0 0 25 0 4728 0 14860 0 165944 0 0 0 ROBERT MCIVER DIR. CLINICAL TECHNOLOGY 113461 0 23667 0 25 0 3778 0 17511 0 158442 0 0 0 VIRGIL WITTMER EXEC. DIR. BEHAVIOR HEALTH 141991 0 569 0 25 0 4429 0 13837 0 160851 0 0 0 PATRICIA DEBEAR FORMER SVP 0 0 0 0 0 122364 0 0 0 0 0 122364 0 0 PART I, LINES 4A-B IN 2012, GENESIS HEALTH, INC., A RELATED ORGANIZATION, PROVIDED 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 SERVERENCE WAS PAID TO THE FOLLOWING INDIVIDUAL: $122,364 PATRICIA DEBEAR PART I, LINE 6 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. PART I, LINE 3: THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES DIRECTLY. CERTAIN BOARD MEMBERS AND MANAGEMENT OFFICIALS ARE COMPENSATED BY BROOKS HEALTH SYSTEM, A RELATED ORGANIZATION. THE BOARD OF BROOKS HEALTH SYSTEM USES THE FOLLOWING METHODS TO DETERMINE EXECUTIVE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY OR SURVEY - APPROVAL BY COMPENSATION COMMITTEE FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS GENESIS HEALTH, INC. (DOING BUSINESS AS BROOKS HEALTH SYSTEM), A FLORIDA NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD SHALL BE COMPOSED OF AT LEAST FIVE DIRECTORS. DIRECTORS SHALL BE SELECTED FOR THEIR ABILITY TO PARTICIPATE EFFECTIVELY IN FULFILLING THE BOARD'S RESPONSIBILITY AND WITH THE PURPOSE AND INTENT OF PROVIDING A BOARD OF DIRECTORS THAT IS REPRESENTATIVE OF THE MAJOR SEGMENTS OF THE COMMUNITY SERVICED BY THE HOSPITAL. THE DIRECTORS OF THE ORGANIZATION SHALL BE DESIGNATED BY THE SOLE MEMBER OF THE ORGANIZATION AND SHALL SERVE FOR TERMS OF TWO YEARS. ONE HALF OF THE DIRECTORS SHALL BE DESIGNATED EACH YEAR. AT LEAST ONE DIRECTOR SHALL BE A PHYSICIAN AND AT LEAST TWO DIRECTORS SHALL BE LAYMEN. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS SHALL NOT, WITHOUT PRIOR APPROVAL OF THE SOLE MEMBER OF THE ORGANIZATION: - APPROVE ANY ANNUAL OR LONG-TERM CAPITAL AND OPERATIONAL BUDGETS OR ANY CHANGES THEREIN EXCEEDING FIVE PERCENT OF THE TOTAL ORIGINAL BUDGET - APPROVE ANY NEW, OR ANY CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE ORGANIZATION - ENGAGE IN, OR ENTER INTO ANY AGREEMENT PROVIDING FOR, ANY TRANSACTION REQUIRING A CERTIFICATE OF NEED - APPROVE A PLAN OF DISSOLUTION OF THE ORGANIZATION - AGREE TO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION WHERE THE AMOUNT INVOLVED EXCEEDS $100,000 - APPROVE A PLAN OF MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER ORGANIZATION - ORGANIZE OR ACQUIRE, OR AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF, ANY SUBSIDIARY OR AFFILIATE OF THE ORGANIZATION FORM 990, PART VI, SECTION B, LINE 11B 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. FORM 990, PART VI, SECTION B, LINE 12C 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. FORM 990, PART VI, SECTION B, LINE 15 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. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM ARE AVAILABLE ON GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. FORM 990, PART VII, LINE 1: BOARD MEMBER TREVOR PARIS, MD WAS COMPENSATED BY PHYSICAL MEDICINE SPECIALISTS, A RELATED ORGANIZATION, FOR MEDICAL SERVICES PERFORMED FOR THE ORGANIZATION. FORM 990, PART VIII, LINES 3 AND 4: AMOUNTS PRESENTED ON LINE 3 AND LINE 4 ARE AN ALLOCATION OF INVESTMENT INCOME BASED ON INVESTMENTS HELD BY THE SOLE MEMBER. FORM 990, PART IX, LINE 11G CONSULTING: PROGRAM SERVICE EXPENSES 60,880. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 60,880. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 13,523,901. MANAGEMENT AND GENERAL EXPENSES 248,471. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,772,372. FORM 990, PART X, LINE 20: TAX EXEMPT BONDS: THE ORGANIZATION REPORTS ON ITS BALANCE SHEET AN ALLOCATION OF TAX-EXEMPT BOND LIABILITIES FROM A SERIES 2010 ISSUE REPORTED IN FULL ON THE SCHEDULE K OF BROOKS HOME CARE ADVANTAGE, A RELATED ORGANIZATION. FORM 990, PART XI, LINE 9: NET LOSS ON SWAP VALUATION 473,420. CHANGE IN NET ASSETS -200,470. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. GENESIS HEALTH INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249370 HEALTHCARE FL 501(C)(3) LINE 12B, II N/A 0 PHYSICAL MEDICINE SPECIALISTS INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593530305 HEALTHCARE / PHYSICIANS FL 501(C)(3) LINE 12A, I GENESIS REHABILITATION HOSPITAL INC 1 BROOKS HOME CARE ADVANTAGE INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 262216181 HEALTHCARE / HOME THERAPY FL 501(C)(3) LINE 10 GENESIS HEALTH INC 0 GENESIS HEALTH DEVELOPMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249372 HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 10 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 264561148 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 10 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING FACILITY A INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 272153586 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 3 BROOKS SKILLED NURSING INC 0 THE GENESIS HEALTH FOUNDATION INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249340 SUPPORT / FUNDRAISING FL 501(C)(3) LINE 7 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING FACILITY HOLDINGS A INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 272187557 REAL ESTATE HOLDING FL 501(C)(3) LINE 12A, I BROOKS SKILLED NURSING INC 0 BROOKS SKILLED NURSING FACILITY HOLDINGS B INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452623488 REAL ESTATE HOLDING FL 501(C)(3) LINE 12A, I BROOKS SKILLED NURSING INC 0 BROOKS REHABILITATION CLINICAL RESERACH CENTER INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452094888 RESEARCH FL 501(C)(3) PENDING GENESIS HEALTH INC 0 ST AUGUSTINE MOB LTD 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593397507 REAL ESTATE HOLDING FL N/A GH HOLDINGS INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593007328 HOLDING COMPANY FL N/A C 0 GH MANAGEMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592387438 HOLDING COMPANY FL N/A C 0 GENESIS MANAGEMENT SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592183211 MANAGEMENT SERVICES FL N/A C 0 GH MEDICAL SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592742895 MEDICAL SERVICES FL N/A C 0 GH PARTNERSHIP HOLDINGS PPA INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593075439 INVESTMENT HOLDINGS FL N/A C 0 0 1 1 1 1 0 0 0 0 1 1 1 1 1 1 1 1 1 1