2019-11-08T15:01:33-06:00 2018-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2018-01-01 592249370 GENESIS HEALTH INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 DANIEL R CURRAN CFO 9043457600 2019-11-08 1 AMY BIBBY P00445891 8282542254 24.241.144.70 2019-11-08 14:55:44 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A22AE24AEF09E58E11297D5713887849BDE471CE 2018 2020-04-17 16:48:07Z BROOKS HEALTH SYSTEM DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 12825352 0 X WWW.BROOKSREHAB.ORG X 1982 FL SUPPORT AND ADMINISTRATION FOR BROOKS REHABILITATION HOSPITAL AND AFFILIATES 16 13 278 0 63227 -52386 426212 0 22117787 24101664 26529074 -11564308 206638 110477 49279711 12647833 955118 559612 0 0 15995686 18957308 0 0 0 13953246 12549847 30904050 32066767 18375661 -19418934 422572780 381055063 187235612 185069417 235337168 195985646 TO ADVANCE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION AND RESEARCH. 0 0 10527874 559612 24101664 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 40 YEARS. AS A NONPROFIT ORGANIZATION, BROOKS OPERATES ONE OF THE NATION'S LARGEST INPATIENT REHABILITATION HOSPITALS IN THE U.S. WITH 160 BEDS. PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O. 10527874 1 0 0 1 0 0 1 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 0 0 0 1 209 0 1 278 1 1 1 0 0 0 0 0 0 0 0 0 0 0 X 16 13 0 0 0 0 0 0 0 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 BRUCE MJOHNSON CHAIRMAN 2.00 4.00 X X 42300 0 0 HOWARD C SERKIN VICE CHAIRMAN 2.00 5.00 X X 30600 0 0 ERNEST N BRODSKY MEMBER 1.00 1.00 X 26700 0 0 THOMAS BROTT MD MEMBER 1.00 1.00 X 9900 0 0 PAMELA S CHALLY PHD RN MEMBER 1.00 2.00 X 24300 0 0 TIMOTHY COST MEMBER 1.00 X 15000 0 0 LEE LOMAX MEMBER 1.00 1.00 X 22200 0 0 ERIC MANN MEMBER 1.00 1.00 X 20100 0 0 LISA PALMER MEMBER 1.00 1.00 X 9000 0 0 LYNN PAPPAS MEMBER 2.00 X 18300 0 0 FORREST TRAVIS MEMBER 1.00 1.00 X 21300 0 0 GARY W SNEED MEMBER 1.00 2.00 X 17400 0 0 STANLEY W CARTER MEMBER 1.00 1.00 X 9000 5100 0 DOUGLAS M BAER CEO 40.00 12.00 X X 721319 0 253651 MICHAEL SPIGEL PRESIDENT & COO 40.00 12.00 X X 535820 0 193964 DANIEL RCURRAN CFO 40.00 10.00 X X 414830 0 42742 JOANNE HOERTZ SR VP NURSING 10.00 30.00 X 283391 0 9818 KAREN GALLAGHER SR VP HUMAN RESOURCES(THRU 10/18) 39.00 1.00 X 241256 0 35649 ROBERT W SHYROCK DIRECTOR MANAGED CARE 30.00 10.00 X 200690 0 24534 KAREN MGREEN DIRECTOR INFORMATION TECH 30.00 10.00 X 176015 0 23613 PATRICIA DEBEAR SR VP CLINICAL SERVICES(THRU 5/18) 20.00 25.00 X 255548 0 41074 ROBERT H ROWE DIR. CLINICAL EDUCATION 40.00 X 158070 0 46193 DEBORAH H REBER VP CLINICAL SERVICES 40.00 X 172590 0 9134 JOHN C FALCETANO DIRECTOR COMPLIANCE 40.00 X 155998 0 3746 JOSHUA T CLIFTON VP CONTROLLER 40.00 X 146437 0 23239 MICHAEL SHAFER DIRECTOR INTERNAL AUDIT 40.00 X 140309 0 25922 3868373 5100 733279 31 0 1 0 HUEMAN PEOPLE SOLUTIONS LLC 320 FIRST STREET NORTH 101 JACKSONVILLE FL 32250 RECRUITING SERVICES 840875 ROGERS TOWERS 1301 RIVERPLACE BLVD 1500 JACKSONVILLE FL 32207 LEGAL SERVICES 355391 ST ANDREW'S LIGHTHOUSE INC 4599 WORRALL WAY JACKSONVILLE FL 32224 CONTRACT SERVICES 304502 PARK PLACE INTERNATIONAL LLC 100 CROWLEY DR MARLBOROUGH MA 01752 IT SERVICES 254560 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHVILLE NC 28806 AUDIT AND TAX 197130 11 MANAGEMENT FEES 541610 19980235 19980235 OTHER OPERATING REVENUE 900099 4121429 4121429 24101664 -23867787 -23867787 287996 177519 110477 110477 63227 47250 12303479 0 12303479 12303479 12303479 12647833 24101664 63227 -11517058 559612 559612 2828869 634917 2193952 10448937 2570294 7878643 663315 159153 504162 4206347 772841 3433506 809840 253800 556040 250965 71615 179350 134657 134657 946759 946759 1933173 847791 1085382 651222 201570 449652 2904950 782632 2122318 347453 347453 416625 301958 114667 230469 114326 116143 252672 122376 130296 2306712 2306712 1926682 746178 1180504 107362 107362 OTHER EXPENSES 82232 24185 58047 MEDICAL SUPPLIES 57914 57914 32066767 10527874 21538893 0 1495783 2835494 2095005 609851 4559 35011 1156082 939336 82725034 18894189 63441086 63830845 309398154 278073399 14782228 9514876 30199883 25216251 422572780 381055063 8803343 10876436 1492889 555000 37771 37141 168421873 165121104 8479736 8479736 187235612 185069417 X 235337168 195985646 235337168 195985646 422572780 381055063 X -19418934 -19998290 65702 X X 0 1 X 1 0 X X 5 GENESIS HEALTH DEVELOPMENT INC (BHD) 592249372 10 1 0 824613 THE GENESIS HEALTH FOUNDATION INC (BHF) 592249340 7 1 0 0 GENESIS REHABILITATION HOSPITAL INC (BRH) 593284221 3 1 0 7615567 BROOKS HOME CARE ADVANTAGE (BHCA) 264561148 10 1 0 1069231 BROOKS SKILLED NURSING INC 264561148 10 1 0 61429 5 0 9570840 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 PART IV, SECTION A, LINE 1 ALL OF THE SUPPORTED ORGANIZATIONS ARE PART OF BROOKS HEALTH SYSTEM. THIS IS A HISTORIC AND CONTINUING RELATIONSHIP. GENESIS HEALTH IS THE SOLE MEMBER OF THE SUPPORTED ORGANIZATIONS WITH THE POWER TO APPOINT BOARD MEMBERS. THROUGH THIS POWER, THE ORGANIZATIONS OPERATE AS A UNIFIED HEALTH SYSTEM. 0 0 0 0 0 0 0 0 1 51692 51692 0 PART II-B, LINE 1: THE ORGANIZATION PAID BH & ASSOCIATES. X 2 1 0 0 46178461 46178461 1153886 14590229 4385628 11358487 15051365 13058448 1992917 5751093 1450113 4300980 63830845 NET BOND ISSUE COSTS 1700447 OTHER RECEIVABLES 2259443 SELF-INSURANCE RETENTION 1998446 DUE FROM AFFILIATE 18490495 BOND SWAP VALUATION 767420 25216251 LINE OF CREDIT 8479736 8479736 X PART II, LINE 9: THE CONSERVATION EASEMENTS ARE INCLUDED IN LAND HELD FOR DEVELOPMENT ON THE BALANCE SHEET. THE EASEMENTS WERE NOT INCLUDED IN THE INCOME STATEMENT. 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 JACKSONVILLE UNIVERSITY 2800 UNIVERSITY BOULEVARD NORTH JACKSONVILLE FL 32211 590624412 501(C)(3) 700000 OPERATIONAL SUPPORT RONALD MCDONALD HOUSE 824 CHILDRENS WAY JACKSONVILLE FL 32207 592625008 501(C)(3) 100000 OPERATIONAL SUPPORT MAYO CLINIC 4500 SAN PABLO ROAD JACKSONVILLE FL 32224 593337028 501(C)(3) 83333 OPERATIONAL SUPPORT FLAGLER HOSPITAL 400 HEALTH PARK BLVD ST AUGUSTINE FL 32086 592440537 501(C)(3) 88333 OPERATIONAL SUPPORT SHANDS HOSPITAL 655 8TH STREET W JACKSONVILLE FL 32209 592142859 501(C)(3) 83333 OPERATIONAL SUPPORT UNF FOUNDATION 1 UNF DRIVE JACKSONVILLE FL 32224 237167701 501(C)(3) 50000 OPERATIONAL SUPPORT AMERICAN HEART ASSOCIATION 7272 GREENVILLE AVE DALLAS TX 75231 135613797 501(C)(3) 36000 OPERATIONAL SUPPORT JACKSONVILLE SPORTS MEDICINE 3563 PHILIPS HWY BLDG E STE 502 JACKSONVILLE FL 32207 592997510 501(C)(3) 25000 OPERATIONAL SUPPORT FUNK ZITIELLO FOUNDATION 830-13 A1A NORTH 187 PONTE VEDRA BCH FL 32082 813204321 501(C)(3) 20000 OPERATIONAL SUPPORT PLAYERS CHAMPIONSHIP 103 CHAMPIONSHIP WAY PONTE VEDRA BCH FL 32082 590999206 501(C)(3) 16815 OPERATIONAL SUPPORT WE CARE 900 UNIVERSITY BLVD NORTH STE 200 E E JACKSONVILLE FL 32207 593431724 501(C)(3) 15000 OPERATIONAL SUPPORT ST VINCENT'S FOUNDATION 1 SHIRCLIFF WAY JACKSONVILLE FL 32204 592219923 501(C)(3) 12500 OPERATIONAL SUPPORT FLORIDA HOSPITAL ASSOCIATION 306 E COLLEGE AVENUE TALLAHASSEE FL 32301 590690327 501(C)(3) 10000 OPERATIONAL SUPPORT JACKSONVILLE SYMPHONY ORCHESTRA 300 WEST WATER ST STE 300 JACKSONVILLE FL 32202 596002520 501(C)(3) 10000 OPERATIONAL SUPPORT MUSEUM OF SCIENCE AND HISTORY 1025 MUSEUM CIRCLE JACKSONVILLE FL 32207 590651090 501(C)(3) 10000 OPERATIONAL SUPPORT FHCA 307 W PARK AVE TALLAHASSEE FL 32301 591229583 501(C)(3) 8862 OPERATIONAL SUPPORT ALZHEIMERS ASSOCIATION 4237 SALISBURY ROAD STE 310 JACKSONVILLE FL 32216 363487166 501(C)(3) 8500 OPERATIONAL SUPPORT COMMUNITY HOSPICE OF NE FLORIDA 4266 SUNBEAM RD JACKSONVILLE FL 32257 593583920 501(C)(3) 7500 OPERATIONAL SUPPORT DREAMS COME TRUE 6803 SOUTHPOINT PARKWAY JACKSONVILLE FL 32216 592967803 501(C)(3) 7500 OPERATIONAL SUPPORT WOLFSON CHILDRENS HOSPITAL 841 PRUDENTIAL DRIVE STE 1802 JACKSONVILLE FL 32207 811755188 501(C)(3) 6000 OPERATIONAL SUPPORT UNITED WAY OF NE FLORIDA 40 EAST ADAMS STREET SUITE 200 JACKSONVILLE FL 32202 590637825 501(C)(3) 5000 OPERATIONAL SUPPORT 21 PART I, LINE 2: 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. X X 1 1 X X X X X 0 1 0 0 0 1 0 0 0 DOUGLAS M BAER CEO 485707 0 191160 0 44452 0 228333 0 25318 0 974970 0 0 0 MICHAEL SPIGEL PRESIDENT & COO 364607 0 141917 0 29296 0 173077 0 20887 0 729784 0 0 0 DANIEL RCURRAN CFO 280018 0 108644 0 26168 0 24500 0 18242 0 457572 0 0 0 JOANNE HOERTZ SR VP NURSING 197564 0 74823 0 11004 0 918 0 8900 0 293209 0 0 0 KAREN GALLAGHER SR VP HUMAN RESOURCES(THRU 10/18) 143097 0 67971 0 30188 0 24500 0 11149 0 276905 0 0 0 ROBERT W SHYROCK DIRECTOR MANAGED CARE 164724 0 30603 0 5363 0 22668 0 1866 0 225224 0 0 0 KAREN MGREEN DIRECTOR INFORMATION TECH 147599 0 26685 0 1731 0 10698 0 12915 0 199628 0 0 0 PATRICIA DEBEAR SR VP CLINICAL SERVICES(THRU 5/18) 107412 0 21947 0 126189 0 19940 0 21134 0 296622 0 0 0 ROBERT H ROWE DIR. CLINICAL EDUCATION 128896 0 25476 0 3698 0 21868 0 24325 0 204263 0 0 0 DEBORAH H REBER VP CLINICAL SERVICES 140346 0 27251 0 4993 0 8421 0 713 0 181724 0 0 0 JOHN C FALCETANO DIRECTOR COMPLIANCE 144801 0 7027 0 4170 0 1685 0 2061 0 159744 0 0 0 JOSHUA T CLIFTON VP CONTROLLER 139467 0 6750 0 220 0 14541 0 8698 0 169676 0 0 0 MICHAEL SHAFER DIRECTOR INTERNAL AUDIT 128224 0 11682 0 403 0 9060 0 16862 0 166231 0 0 0 PART I, LINE 1A THE ORGANIZATION REIMBURSES CLUB FEES AND DUES FOR THE CEO, COO AND SYSTEM VICE-PRESIDENTS. THESE REIMBURSEMENTS ARE GROSSED UP TO REIMBURSE THESE EMPLOYEES FOR THE TAXES ASSOCIATED WITH THESE PAYMENTS. PART I, LINE 4B 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)): $185,333 DOUGLAS M. BAER $150,384 MICHAEL R. SPIGEL 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. A JACKSONVILLE ECONOMICS DEVELOPMENT COMMISSION 2013-06-27 35000000 CAPITAL IMPROVEMENTS 0 0 0 B CITY OF JACKSONVILLE FLORIDA 596000344 469400BV6 2015-09-01 55095000 CAPITAL IMPROVEMENTS AND REFUND PRIOR ISSUE 0 0 0 C CITY OF JACKSONVILLE FLORIDA 596000344 469400DJ1 2017-10-24 78002940 REVENUE BONDS - SERIES 2017 0 0 0 A 11011610 35008064 214687 34785313 2015 1 0 0 1 B 1525000 53960642 536235 495254 43542247 9501089 2017 1 0 0 1 C 280000 71230000 702572 70527428 2017 1 0 1 1 A 0 0 0 0 0 0 0 B 0 0 0 0 0 0 0 C 0 0 0 0 0 0 0 A 0 1 0 0 0 0 0 0 1 B 0 1 0 0 0 0 0 0 1 C 0 1 0 0 0 0 0 0 1 A 1 B 1 C 1 PAMELA SPIGEL FAMILY MEMBER OF OFFICER MICHAEL SPIGEL 49335 COMPENSATION AS EMPLOYEE OF ORGANIZATION 0 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 XI, LINE 9: NET CHANGE IN SWAP VALUATION 65,702. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART III, LINE 4A: AT BROOKS REHABILITATION, WE'RE DEDICATED TO OFFERING THE MOST ADVANCED THERAPIES FOR ALL OF OUR PATIENTS. OUR COMMITMENT TO PROVIDING THE BEST CARE POSSIBLE IS EXEMPLIFIED BY THE DEPTH AND BREADTH OF PROGRAMS AND SERVICES THAT WE OFFER. 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, AND A VISION 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. 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 AN EARLY TESTER OF THE CMS VALUE BASED PAYMENT MODEL, BUNDLED PAYMENT FOR CARE IMPROVEMENT. THROUGH THIS PROGRAM COSTLY READMISSIONS HAVE BEEN REDUCED, SPECIALIZED TECHNOLOGY AND INTERVENTIONS TO MITIGATE RISK OF POOR OUTCOMES HAVE BEEN DEVELOPED, AND PATIENTS ARE SEEN IN THE MOST APPROPRIATE AND COST EFFECTIVE CARE SETTING. BROOKS REHABILITATION 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. SERVICES OFFERED INCLUDE INPATIENT AND OUTPATIENT REHABILITATION, SKILLED NURSING, AND HOME CARE. GENERAL INFORMATION FOR THE PURPOSE OF THIS REPORT, GENESIS HEALTH, INC. IS COMPRISED OF THE FOLLOWING NOT-FOR-PROFIT LEGAL ENTITIES * GENESIS HEALTH, INC. * GENESIS REHABILITATION HOSPITAL, INC. D/B/A BROOKS REHABILITATION HOSPITAL [59-3284221] * GENESIS HEALTH DEVELOPMENT, INC. D/B/A BROOKS HEALTH DEVELOPMENT [59-2249372] * THE 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, INC. [26-2216181] * BROOKS SKILLED NURSING FACILITY A, INC. [27-2153586] * BROOKS SKILLED NURSING, INC. [26-4561148] * BROOKS REHABILITATION CLINICAL RESEARCH CENTER [45-2094888] BROOKS REHABILITATION HOSPITAL BROOKS REHABILITATION HOSPITAL IS A 160-LICENSED BED INPATIENT REHABILITATION FACILITY. WITH APPROXIMATELY 3,000 ANNUAL DISCHARGES AND 48,500 INPATIENT DAYS, THE HOSPITAL IS ONE OF THE BUSIEST FREE STANDING REHABILITATION HOSPITALS IN THE COUNTRY. BROOKS REHABILITATION HOSPITAL HAS BEEN A LEADER IN REHABILITATION FOR MORE THAN 45 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 PEOPLE REQUIRING 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. 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 2018, TIS FACILITY DISCHARGED 814 PATIENTS AND PROVIDED 11,600 DAYS OF PATIENT CARE. FORM 990, PART III, LINE 4A: 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, DOWN'S SYNDROME, AS WELL AS OTHER CONDITIONS. SPECIALTIES INCLUDE NEUROLOGICAL, GERIATRICS, ORTHOPEDICS, PEDIATRICS, SPORTS THERAPY, WOMEN'S HEALTH, VESTIBULAR PROBLEMS. LOW VISION AND MOBILE THERAPY. 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 2018, THERE WERE 397,000 PATIENT VISITS AT THE CLINIC LOCATIONS, PROVIDING APPROXIMATELY 1,265,000 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 2018, BROOKS HOME CARE HAD APPROXIMATELY 191,000 CERTIFIED HOME VISITS, OF WHICH 140,000 WERE MEDICARE. 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 2018, BARTRAM CROSSING HAD APPROXIMATELY 34,300 PATIENT DAYS AND A 94% 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. 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 2018, BARTRAM LAKES HAD APPROXIMATELY 21,650 RESIDENT DAYS. THE GREEN HOUSE RESIDENCES BY 2025, NEARLY 600,000 PEOPLE IN FLORIDA THAT ARE OVER THE AGE OF 65 ARE PROJECTED TO HAVE ALZHEIMER'S. BROOKS RECOGNIZES THE IMPORTANCE OF PROVIDING HIGHLY-SPECIALIZED MEMORY CARE SERVICES. THE GREEN HOUSES ARE MODELED AFTER THE GREEN HOUSE PROJECT, A NATIONALLY RECOGNIZED BEST PRACTICE MODEL USING THE LATEST EVIDENCE-BASED RESEARCH. THIS MODEL IS A DE-INSTITUTIONALIZATION EFFORT DESIGNED TO MIMIC A PRIVATE HOME SETTING. A COMMUNAL ENVIRONMENT IS ENCOURAGED BY HAVING A UNIVERSAL WORKER, AS WELL AS A SMALLER NUMBER OF STAFF TRAINED IN MULTIPLE OPERATIONAL FUNCTIONS. IT ALSO REDUCES ANXIETY, PRESERVES DIGNITY AND ENHANCES QUALITY FOR MEMORY CARE RESIDENTS. IN 2018, THE GREENHOUSES HAD 8,200 PATIENT DAYS WITH 90% OCCUPANCY. 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 2018, UNIVERSITY CROSSINGS HAD APPROXIMATELY 34,500 PATIENT DAYS AND AN OCCUPANCY OF 85%. 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. THEY ALSO PROVIDE MEDICAL EDUCATION TO UNIVERSITY OF FLORIDA RESIDENTS, THE MEDICAL COMMUNITY AND THE JACKSONVILLE COMMUNITY AT LARGE. FORM 990, PART III, LINE 4A: 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. CLINICAL RESEARCH TRIALS ON INNOVATIVE AND ADVANCED TREATMENTS AND TECHNOLOGIES ARE CONDUCTED TO IMPROVE PATIENTS' QUALITY OF LIFE AND MAXIMIZE THEIR PHYSICAL FUNCTION. 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 HEALTH SYSTEM'S PROGRAMS AND SERVICES. THE FOUNDATION RECEIVES FUNDING PRIMARILY THROUGH INDIVIDUAL DONATIONS AND FUND RAISING EVENTS. 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 $3.5 MILLION IN 2018. 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 & 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. NO EXPERIENCE IS REQUIRES AND THERE IS NO COST FOR PARTICIPATION WITH ALL EQUIPMENT, INSTRUCTION AND COACHING PROVIDED FREE TO ALL INDIVIDUALS. CLUBHOUSE THE BROOKS BRAIN INJURY CLUBHOUSE IS THE FIRST AND ONLY ABI (ACQUIRED BRAIN INJURY) CLUBHOUSE IN THE STATE OF FLORIDA AND ONE OF LESS THAN 20 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. FORM 990, PART III, LINE 4A: 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 REHABILITATION FALLS PREVENTION PROGRAM STEPPING ON IS AN EVIDENCED BASED INTERVENTION PROVEN TO DECREASE THE INCIDENCE OF FALLS. THE 7 WEEK PROGRAM COVERS A RANGE OF TOPICS INCLUDING FALLS AND RISK, STRENGTH AND BALANCE EXERCISES, HOME HAZARDS, SAFE FOOTWEAR AND CLOTHING, VISION AS IT RELATES TO FALLS, COMMUNITY MOBILITY, COPING AFTER A FALL, AND UNDERSTANDING MEDICATION RISKS. BROOKS IS CURRENTLY THE ONLY ORGANIZATION LICENSED TO CONDUCT THE STEPPING ON PROGRAM IN THE STATE OF FLORIDA. 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 OUR MISSION. WE PARTICIPATE IN THEIR HEALTH-RELATED ACTIVITIES, WALKS AND RUNS. WE CONTRIBUTE TO THEIR EDUCATIONAL EVENTS AND PARTNER TOGETHER FOR NEEDED SERVICES. SOME OF THE COMMUNITY-BASED ORGANIZATIONS WHO HAVE BENEFITTED FROM OUR SUPPORT IN 2018 INCLUDE: ALZHEIMER'S ASSOCIATION AMERICAN CANCER SOCIETY AMERICAN HEART ASSOCIATION AMYPTROPHIC LATERAL SCEROSIS AVANT ARTS INC BAPTIST HEALTH CATHEDRAL ARTS PROJECT CATHOLIC CHARITIES BUREAU CLAY COUNTY COUNCIL ON AGING COMMUNITY HOSPICE OF NORTHEAST FLORIDA CUMMER MUSEUM OF ARTS DONNA FOUNDATION DREAMS COME TRUE DUVAL COUNTY MEDICAL SOCIETY ELDER SOURCE FHCA FLAGLER HEALTHCARE FOUNDATION FLORIDA COUNCIL ON ECONOMIC DEVELOPMENT FLORIDA HOSPITAL ASSOCIATION FOUNDATION FIGHTING BLINDNESS FUNK ZITIELLO FOUNDATION HEART OF FLORIDA HEALTH CENTER HOPE THERAPY JACKSONVILLE AREA GOLF ASSOCIATION, INC JACKSONVILLE AREA SEXUAL MINORITY JAX CHAMBER USA JACKSONVILLE SPOTS MEDICINE JACKSONVILLE SYMPHONY ORCHESTRA JACKSONVILLE UNIVERSITY JDRF L'ARCHE HARBOR HOUSE LEADERSHIP JACKSONVILLE MAKING STRIDES AGAINST BREAST CANCER MARCH OF DIMES FOUNDATION MOROCCO SHRINE CIRCUS FUND MUSEUM OF SCIENCE AND HISTORY NASSAU EDUCATION FOUNDATION NATIONAL MULTIPLE SCLEROSIS NONPROFIT CENTER PLAYERS TOURNAMENT REFLEX SYMPATHETIC DYSTROPHY RONALD MCDONALD HOUSE ROTARY FOUNDATION SAMUEL C. TAYLOR FOUNDATION SHE IS FIERCE SPIN2WIN2018 ST. VINCENT'S FOUNDATION UF HEALTH JACKSONVILLE UNF FOUNDATION UNITED WAY OF NORTHEAST FLORIDA UNIVERSITY OF FLORIDA WE CARE WJCT WOLFSON CHILDREN'S HOSPITAL SAMUEL WELLS MOB LLC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 454274287 REAL ESTATE HOLDING FL 224769 4836171 N/A BROOKS AMERICARE MANAGEMENT SERVICES LLC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 477264827 MANAGEMENT SERVICES FL 0 0 N/A GENESIS REHABILITATION HOSPITAL INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593284221 HEALTHCARE / REHAB CARE FL 501(C)(3) LINE 3 GENESIS HEALTH INC 1 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 1 GENESIS HEALTH DEVELOPMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249372 HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 10 GENESIS HEALTH INC 1 BROOKS SKILLED NURSING INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 264561148 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 10 GENESIS HEALTH INC 1 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 1 THE GENESIS HEALTH FOUNDATION INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249340 SUPPORT / FUNDRAISING FL 501(C)(3) LINE 7 GENESIS HEALTH INC 1 BROOKS SKILLED NURSING FACILITY HOLDINGS A INC 1301 RIVERPLACE BLVD 1500 JACKSONVILLE FL 32207 272187557 REAL ESTATE HOLDING FL 501(C)(3) LINE 12A, I BROOKS SKILLED NURSING INC 1 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 1 BROOKS REHABILITATION CLINICAL RESEARCH CENTER INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452094888 RESEARCH FL 501(C)(3) PENDING GENESIS HEALTH INC 1 ST AUGUSTINE MOB LTD 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593397507 REAL ESTATE HOLDING FL GH MEDICAL SERVICES INC EXCLUDED 357368 6062104 0 0 1.00000 GH HOLDINGS INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593007328 HOLDING COMPANY FL N/A C 3574 1.00000 1 GH MANAGEMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592387438 HOLDING COMPANY FL GH HOLDINGS INC C 1.00000 1 GENESIS MANAGEMENT SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592183211 MANAGEMENT SERVICES FL GH HOLDINGS INC C 1.00000 1 GH MEDICAL SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592742895 MEDICAL SERVICES FL GH HOLDINGS INC C 353794 1.00000 1 GH PARTNERSHIP HOLDINGS PPA INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593075438 INVESTMENT HOLDINGS FL GH HOLDINGS INC C 25946 1.00000 1 1 1 1 1 1 0 0 0 0 1 0 1 1 1 1 1 1 1 1 BROOKS REHABILITATION CLINICAL RESEARCH J 70482 INTERCOMPANY TRANS. GENESIS HEALTH DEVELOPMENT L 1561984 INTERCO. ALLOCATION GENESIS REHABILITATION HOSPITAL INC L 13065233 INTERCO. ALLOCATION PHYSICAL MEDICINE SPECIALISTS L 410970 INTERCO. ALLOCATION BROOKS HOME CARE ADVANTAGE L 2029230 INTERCO. ALLOCATION BROOKS SKILLED NURSING L 116583 INTERCO. ALLOCATION BROOKS SKILLED NURSING FACILITY A L 1090226 INTERCO. ALLOCATION SCHEDULE R, PART III: GENESIS HEALTH, INC. OWNES 100% OF THE ST. AUGUSTINE MOB, LTD. PARTNERSHIP INDIRECTLY THROUGH ITS OWNERSHIP OF TWO SEPARATE ENTITIES TREATED AS CORPORATIONS. SCHEDULE R, PART IV: 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.