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 593284221 GENESIS REHABILITATION HOSPITAL 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 14:57:26 ES P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A22AE24AEF09E58E11297D5713887849BDE471CE 2018 2020-03-31 21:24:44Z BROOKS REHABILITATION HOSPITAL DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 111928287 0 X WWW.BROOKSREHAB.ORG X 1994 FL OPERATION OF REHABILITATION HOSPITAL AND CLINICS IN JACKSONVILLE, FL AND SURROUNDING AREAS 16 12 1147 0 0 14744 0 0 100548692 108502047 2749104 2772053 560022 654187 103857818 111928287 4150 2500 0 0 50815089 52824976 0 0 0 45728265 48230209 96547504 101057685 7310314 10870602 97531827 108835898 18835382 19187844 78696445 89648054 X TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 0 0 82469297 2500 108502047 BROOKS REHABILITATION HOSPITAL HAS BEEN A LEADER IN REHABILITATION FOR MORE THAN 45 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 BRAIN INJURY PROGRAM INCLUDES INTENSIVE INPATIENT REHABILITATION, NEUROLOGICAL DAY TREATMENT, SKILLED NURSING, OUTPATIENT THERAPY AND HOME CARE. 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.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.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.THE BROOKS CYBERNIC TREATMENT CENTER IS THE ONLY US-BASED FACILITY OFFERING HYBRID ASSISTIVE LIMB TECHNOLOGY TO THOSE WITH A SPINAL CORD INJURY. 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. 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 1.65 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 THREE YEARS, BROOKS HAS EXPANDED THEIR PATIENT POPULATION TO STATES OUTSIDE OF FLORIDA. THIS HAS ALLOWED US TO HELP ADMIT PATIENTS FROM MORE THAN 40 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 2018, BROOKS REHABILITATION HOSPITAL HAD APPROXIMATELY 3,000 DISCHARGES AND APPROXIMATELY 47,500 DAYS OF SERVICE. IT IS THE BUSIEST FREE-STANDING REHABILITATION HOSPITAL IN THE COUNTRY. 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. OUR PATIENT SATISFACTION WAS IN THE 91ST PERCENTILE. 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 2018, THE HOSPITAL PROVIDED 917 PATIENT DAYS OF CHARITY CARE AND APPROXIMATELY 2,600 DAYS OF CARE FOR PATIENTS IN THE MEDICAID PROGRAM. SEE SCHEDULE H FOR MORE INFORMATION REGARDING THE COMMITMENT OF BROOKS REHABILITATION TO ITS PATIENTS. 82469297 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 1147 1 0 0 0 0 0 0 0 0 0 0 0 0 X 16 12 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 26700 0 PAMELA S CHALLY PHD RN VICE CHAIRMAN 2.00 1.00 X X 0 24300 0 STANLEY W CARTER SECRETARY 1.00 1.00 X X 5100 9000 0 BRUCE M JOHNSON MEMBER 1.00 5.00 X 0 42300 0 HOWARD C SERKIN MEMBER 1.00 6.00 X 0 30600 0 THOMAS BROTT MD MEMBER 1.00 1.00 X 0 9900 0 ANDREW KERWIN MD MEMBER 1.00 X 6900 0 0 LEE LOMAX MEMBER 1.00 X 0 22200 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 21300 0 TREVOR PARIS MD MEMBER 1.00 39.00 X 0 384432 41793 LYNNE SNEED MEMBER 1.00 X 6600 0 0 HOWARD B WEISS MEMBER 1.00 X 0 0 0 DOUGLAS M BAER CEO 1.00 51.00 X X 0 721319 253651 MICHAEL R SPIGEL COO 1.00 51.00 X X 0 535820 193964 DANIEL R CURRAN CFO 1.00 49.00 X X 0 414830 42742 PATRICIA C DEBEAR SR VP ADMINISTRATOR(THRU 5/2018) 30.00 20.00 X 0 255548 41074 KAREN GALLAGHER VP HUMAN RESOURCES 1.00 39.00 X 0 241256 35649 KAREN M GREEN DIRECTOR INFOR. TECH. 10.00 30.00 X 0 176015 23613 ROBERT W SHYROCK DIRECTOR MANAGE CARE 10.00 30.00 X 0 200690 24534 JOANNE HOERTZ VP NURSING AND SUPPORT 20.00 25.00 X 0 283391 9819 AMANDA L OSBORNE VP OPERATIONS 40.00 X 0 174341 29427 KERRY AMAHER CONSULTING PHYSICIAN 40.00 X 335609 0 1294 CORRINE C ROMANO VP NURSING 40.00 X 156717 0 23614 RUSSELL R ADDEO DIRECTOR BEHAVIORAL MEDICI 40.00 X 163355 0 35653 VIRGIL T WITTMER EXECUTIVE DIRECTOR BBM 40.00 X 142251 0 35549 ROBERT J MCIVER PHYSICIAN 40.00 X 137828 0 20570 954360 3603042 812946 33 0 1 0 MEMORIAL HEALTHCARE INC UNIVERSITY BLVD JACKSONVILLE FL 30350 HOSPITAL SERVICES 5023767 MORRISONS MANAGEMENT SERVICES 400 NORTHRIDGE RD 600 SANDY SPRINGS GA 32205 LAUNDRY 1978791 CORNERSTONE ADVISORS GROUP PO BOX 419695 BOSTON MA 02241 CONTRACT SERVICES 461442 CROTHALL LAUNDRY SERVICES 1500 LIBERTY RIDGE DR 210 BOSTON PA 19087 LAUNDRY SERVICES 423860 JACKSONVILLE ACUTE PROGRAMS 16343 COLLECTION CENTER DR CHICAGO IL 60693 HOSPITAL SERVICES 381732 10 X NET PATIENT SERVICE 621400 105729932 105729932 OTHER PATIENT SERVICE 900099 2384021 2384021 SPEECH THERAPY 621400 388094 388094 108502047 2772053 2772053 OTHER REVENUE 900099 654187 654187 654187 111928287 108502047 0 3426240 X 2500 2500 13500 13500 39293396 38150628 1142768 1898536 1842869 55667 8594702 8366488 228214 3024842 2953904 70938 44357 44357 42468 42468 13638106 13384252 253854 169774 157514 12260 4320503 3541709 778794 11400 11340 60 1542603 1539351 3252 213684 184644 29040 223917 169611 54306 1749878 1749878 4382338 4143058 239280 1166492 1166492 AFFILIATE MGMT FEE 14453138 14453138 OVERHEAD ALLOCATIONS 3609092 3609092 MEDICAL SUPPLIES 1387865 1387865 BAD DEBT 1040937 1040937 233657 233657 101057685 82469297 18588388 0 X 545032 3208998 15301141 11948618 96138 95046 825628 862818 97720647 60098885 37587865 37621762 41994484 53984365 1181539 1114291 97531827 108835898 8392692 9861526 8862008 8594329 150000 150000 1430682 581989 18835382 19187844 X 78696445 89648054 78696445 89648054 97531827 108835898 X 10870602 81007 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 41122786 21753194 19369592 52336330 36319224 16017106 3980872 2026467 1954405 37621762 NET DUE FROM AFFILIATES 53984365 C 53984365 SWAP VALUATION LIABILITY 210352 ESTIMATED 3RD PARTY SETTLEMENTS 371637 581989 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 1578209 1578209 0.01580 11485056 12768514 0 0.00000 13063265 12768514 1578209 0.01580 1416184 1412937 3247 0.00000 1416184 1412937 3247 0.00000 14479449 14181451 1581456 0.01580 1 1048309 17500 32092572 32747522 -654950 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 0 1 X WWW.BROOKSREHAB.ORG X WWW.HPCNEF.ORG 1 16 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 1 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 HOSPITALDUVAL COUNTY HEALTH DEPARTMENTPUTNAM COUNTY HEALTH DEPARTMENTCLAY COUNTY HEALTH DEPARTMENTNASSAU COUNTY HEALTH DEPARTMENT BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 13B: STATE REGULATIONS 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. 12 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 PART I, LINE 3C: BROOKS 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 2017 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 $1,040,937 THAT HAS BEEN EXCLUDED FROM THE CALCULATION OF PERCENT OF TOTAL EXPENSE ON LINE 7, COL (F). PART III, LINE 2: BAD DEBT EXPENSE IS CALCULATED BASED ON AN AGING OF ACCOUNTS RECEIVABLE. ADDITIONALLY, SPECIFIC PATIENT ACCOUNT REVIEW IS PERFORMED. BAD DEBT 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. OUR 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 THERAPYCHAPLAIN SERVICESCOGNITIVE REHABILITATIONCOMMUNITY RE-ENTRY PROGRAMSFAMILY EDUCATIONNEURO RECOVERY CENTERSNUTRITION COUNSELINGOCCUPATIONAL THERAPYPHYSICAL MEDICINEPHYSICAL THERAPYRECREATION THERAPYREHABILITATION NURSINGSPEECH THERAPYMUSIC THERAPYSUPPORT 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.GENERAL INFORMATIONFOR THE PURPOSE OF THIS REPORT, BROOKS HEALTH SYSTEM (BROOKS) ISCOMPRISED OF THE FOLLOWING NOT-FOR-PROFIT LEGAL ENTITIES* GENESIS HEALTH, INC. D/B/A BROOKS HEALTH SYSTEM [59-2249370]* GENESIS REHABILITATION HOSPITAL, INC. D/B/A BROOKS REHABILITATION HOSPITAL [59-3284221] * GENESIS HEALTH DEVELOPMENT, INC. D/B/A BROOKS HEALTH DEVELOPMENT [59-2249372]GENESIS REHABILITATION HOSPITAL, INC. D/B/A BROOKS REHABILITATION HOSPITAL:* 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 REHABILITATION HOME HEALTH [26-2216181]* BROOKS SKILLED NURSING FACILITY A, INC. [27-2153586] * BROOKS SKILLED NURSING, INC. [26-4561148]* BROOKS REHABILITATION CLINICAL RESEARCH CENTER [45-2094888]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 48,500 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.BROOKS HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATIONOF 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 A CONTINUUM OF CARE TO SUPPORT PATIENTS AND THEIR FAMILIES. SERVICES INCLUDE: PHYSICAL MEDICINE, REHABILITATION NURSING, PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPY, COGNITIVE REHABILITATION, RECREATION THERAPY, NEURO RECOVERY, AND COMMUNITY RE-ENTRY.HALIFAX HEALTH - BROOKS REHABILITATION CENTER FOR INPATIENT REHABILITATIONHALIFAX HEALTH AND BROOKS REHABILITATION PARTNERED TO CREATE A STATE-OF-THE-ART INPATIENT REHABILITATION CENTER WITH HALIFAX HOSPITAL. THE CENTER, LOCATED WITHIN THE HOSPITAL, SPECIALIZES IN TREATING STROKE, SPINAL CORD INJURY, BRAIN INJURY AND OTHER COMPLEX ORTHOPEDIC CONDITIONS FOR MORE THAN 800 PATIENTS A YEAR. THIS PARTNERSHIP ALLOWS FOR PATIENTS WITH ACUTE REHABILITATION NEEDS TO STAY CLOSE TO HOME DURING THEIR RECOVERY. IN OCTOBER 2016, BROOKS REHABILITATION AND HALIFAX HEALTH PARTNERED AGAIN TO PROVIDE QUALITY OUTPATIENT REHABILITATION SERVICES TO THE DAYTONA, FLORIDA AREA. THE PARTNERSHIP CONSISTS OF SIX OUTPATIENT CENTERS. BROOKS REHABILITATION PROVIDES CLINICAL AND MANAGEMENT SERVICES FOR THE SIX CLINICS.BROOKS REHABILITATION AGING SERVICESBROOKS AGING SERVICES DIVISION IS A DYNAMIC DIVISION WITHIN BROOKS REHABILITATION. OUR MISSION IS TO EMPOWER ELDERS TO ACHIEVE THEIR HIGHEST QUALITY OF LIFE THROUGH EXCEPTIONAL REHABILITATION AND EDUCATION. WE SPAN THE SPECTRUM OF SERVICES FOR ELDERS FROM SKILLED NURSING TO ASSISTED LIVING AND MEMORY CARE. OUR BARTRAM CAMPUS OPENED IN 2013 AND OFFERS EACH OF THESE SERVICE LINES:BROOKS BARTRAM CROSSINGBARTRAM CROSSING IS A STATE-OF-THE-ART 100 BED SKILLED NURSING FACILITY LOCATED IN SOUTHERN DUVAL COUNTY. THE FACILITY FEATURES A 4,500 SQUARE FOOT THERAPY GYM, AN OUTDOOR THERAPY COURTYARD, PRIVATE ROOMS AND INTERIOR COURTYARDS TO PROMOTE RECOVERY. THE FACILITY IS DIVIDED INTO THREE NEIGHBORHOODS THAT CREATE A HOMELIKE ENVIRONMENT FOR OUR GUESTS AND RESIDENTS. EACH OF THE THREE NEIGHBORHOODS OFFERS AREAS WHERE RESIDENTS CAN DINE TOGETHER, PARTICIPATE IN ACTIVITIES AND HAVE A DESIGNATED TREATMENT TEAM TRAINED FOR THEIR UNIQUE MEDICAL NEEDS.PATIENTS IN NEED OF SHORT TERM REHABILITATION (DEFINED AS 15-30 DAYS)OCCUPY THE MAJORITY OF ROOMS, WHILE THOSE IN NEED OF LONGER TERM CARE(DEFINED AS PERMANENT RESIDENCY) FORM THEIR OWN "NEIGHBORHOOD."THE CARE TEAM INCLUDES PHYSICAL THERAPISTS, OCCUPATIONAL THERAPISTS,SPEECH THERAPISTS, NURSING STAFF TRAINED IN REHABILITATION, A REGISTERED DIETITIAN, A TEAM OF CASE MANAGERS AND A PHYSICIAN TO OVERSEE EACH INDIVIDUAL CARE PLAN. EFFECTIVELY TREATING PATIENTS IN THE RIGHT SETTING FOR THEIR INDIVIDUAL NEEDS RESULTS IN THE BEST POSSIBLE OUTCOMES AT THE LOWEST COST. IN 2018, BARTRAM CROSSING HAD APPROXIMATELY 34,300 PATIENT DAYS AND 94% OCCUPANCY.THE GREEN HOUSE RESIDENCESBY 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. WE MODELED THE GREENHOUSE RESIDENCES AFTER THE GREENHOUSE 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.BARTRAM LAKES ASSISTED LIVING FACILITY IN 2013, BROOKS OPENED BARTRAM LAKES ASSISTED LIVING FACILITY. THE FACILITY IS LOCATED ADJACENT TO BARTRAM CROSSING SKILLED NURSING FACILITY AND PROVIDES OUR RESIDENTS AND THEIR FAMILIES WITH A CONTINUUM OF CARE. OUR 61-APARTMENT ASSISTED LIVING FACILITY OFFERS RESIDENTS THE AUTONOMY AND INDEPENDENCE THEY DESIRE WHILE PROVIDING THE 24/7 CARE AND SUPPORT THEY NEED. RESIDENTS MOVE INTO BARTRAM LAKES AND DECORATE THEIR APARTMENTS WITH FURNITURE AND ACCESSORIES FROM THEIR PRIOR HOMES. EACH RESIDENT HAS AN INDIVIDUAL CARE PLAN THAT ADDRESSES HIS/HER CARE NEEDS.OUR LICENSED NURSES AND AIDES CAN ASSIST WITH ACTIVITIES OF DAILY LIVING, MEDICATION MANAGEMENT AND TRANSFERS. WITH OUR EXTENDED CONGREGATE CARE LICENSE, WE PROMOTE AN AGE IN PLACE PHILOSOPHY -PROVIDING ASSISTANCE WITH OXYGEN, BRACES AND MORE COMPLICATED MEDICAL NEEDS.THE LIFESTYLE AT BARTRAM LAKES PROMOTES WELLNESS AND PARTICIPATION IN LIFE. RESIDENTS ENJOY THREE DELICIOUS MEALS EACH DAY IN THE RESTAURANT STYLE DINING ROOM. BUS AND VAN TAKE RESIDENTS SHOPPING, TO APPOINTMENTS, OUT TO EAT AND TO ART AND THEATER VENUES. DAYS ARE FULL OF EXERCISE, LIVELY DISCUSSIONS, SOCIAL TIME AND SPIRITUAL SESSIONS.IN 2018 BARTRAM LAKES ASSISTED LIVING HAD APPROXIMATELY 21,650 RESIDENT DAYS, WITH 95% OCCUPANCY. UNIVERSITY CROSSING SKILLED NURSING FACILITYIN 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 HOME HEALTHBROOKS HEALTH SYSTEM INCORPORATES HOME HEALTH INTO OUR SERVICEOFFERINGS.BROOKS REHABILITATION HOME HEALTH IS ONE OF THE LARGEST HOME CARE AGENCIES IN NORTHEAST FLORIDA. WE PROVIDE A FULL SPECTRUM OF SKILLED NURSING AND REHABILITATION SERVICES FOR PATIENTS DISCHARGED FROM THE HOSPITAL, INCLUDING PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY THERAPY AND OCCUPATIONAL THERAPY. BROOKS PROVIDES IN-HOME SERVICES ACROSS 23 COUNTIES. SPECIALTY AREAS INCLUDE LYMPHEDEMA, WOUND CARE AND PSYCHIATRIC NURSING. OUR HOME CARE SERVICES PROVIDED 190,750 IN HOME VISITS IN 2018, 140,200 OF WHICH WERE PROVIDED TO MEDICARE PATIENTS.BROOKS REHABILITATION PHYSICAL MEDICINE SPECIALISTSPHYSICAL MEDICINE SPECIALISTS, INC. (DOING BUSINESS AS BROOKS REHABILITATION SPECIALISTS) IS A 501(C)(3) NONPROFIT PHYSICIAN GROUP. IT IS COMPOSED OF CREDENTIALED SPECIALISTS IN REHABILITATION MEDICINE (PHYSIATRISTS). THIS GROUP WAS GENESIS REHABILITATION HOSPITAL, INC. D/B/A BROOKS REHABILITATION HOSPITAL:ESTABLISHED TO PROVIDE PHYSICIAN CARE TO PATIENTS WITHIN THE BROOKS SYSTEM.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. PART VI, SUPPLEMENTAL INFORMATION: BROOKS REHABILITATION OUTPATIENT CLINICSBROOKS REHABILITATION INCLUDES A NETWORK OF 32 OUTPATIENT CLINICS LOCATED THROUGHOUT JACKSONVILLE, NORTH TAMPA AND ORLANDO. SPECIALIZED CLINICS IN THE BROOKS NETWORK INCLUDE THE MOTION ANALYSIS CENTER,CENTER FOR SPORTS THERAPY, CENTER FOR BACK AND NECK HEALTH, BALANCECENTER AND NEURO RECOVERY CENTER. BROOKS ALSO SPECIALIZES IN PEDIATRIC REHABILITATION. BROOKS CONTINUES TO EXPAND ITS MINISTRY BY LOCATING THESE CLINICS IN AREAS TO PROVIDE ACCESS TO THE COMMUNITIES BROOKS SERVES.OUR CLINICIANS ARE HIGHLY TRAINED TO PROVIDE EXCEPTIONAL PHYSICAL, OCCUPATIONAL AND SPEECH THERAPIES. CLINICIANS TREAT EVERYTHING FROM MINOR INJURIES TO TRAUMATIC, LIFE-ALTERING INJURIES AND ILLNESSES. BROOKS OFFERS A WIDE VARIETY OF THERAPIES AND HIGHLY-CREDENTIALED THERAPISTS - MORE THAN ANY AREA REHABILITATION SYSTEM. OUTPATIENT SERVICES INCLUDE PHYSICAL THERAPY, OCCUPATIONAL THERAPY AND SPEECH LANGUAGE THERAPY. SPECIALTY SERVICES INCLUDE NEUROLOGICAL, GERIATRICS, ORTHOPEDICS, PEDIATRICS, SPORTS, WOMEN'S HEALTH AND VESTIBULAR BALANCE.IN 2018, THE BROOKS REHABILITATION OUTPATIENT NETWORK HAD APPROXIMATELY 400,000 PATIENT VISITS WITH APPROXIMATELY 1.3 MILLION UNITS OF SERVICE. FOR MOREINFORMATION, VISIT BROOKS OUTPATIENT THERAPY.BROOKS REHABILITATION CLINICAL RESEARCH CENTERTHE BROOKS REHABILITATION CLINICAL RESEARCH CENTER (BRCRC) IS COMMITTED TO ENHANCING RECOVERY AND QUALITY OF LIFE THROUGH RESEARCH. THE BRCRC COMBINES THE EXPERIENCE AND EXPERTISE OF ACADEMIC RESEARCHERS, CLINICAL INVESTIGATORS AND PRACTICING CLINICIANS TO CONDUCT RESEARCH THAT POSITIVELY IMPACTS PATIENTS AND THEIR FAMILIES. RESEARCH AT THE BRCRC EMPHASIZES THE LINK BETWEEN RESEARCH AND PRACTICE THROUGH COLLABORATIONS BETWEEN THE BROOKS REHABILITATION SYSTEM OF CARE AND ACADEMIC INSTITUTIONS SUCH AS THE UNIVERSITY OF FLORIDA COLLEGE OF PUBLIC HEALTH AND HEALTH PROFESSIONS 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 TO ADDRESS RESEARCH QUESTIONS THAT DIRECTLY AFFECT CLINICAL PRACTICE AND PATIENT OUTCOMES.ADDITIONALLY, ANOTHER WAY THE BROOKS CLINICAL RESEARCH CENTER ACHIEVES ITS MISSION IS BY HELPING TO CONNECT RESEARCHERS CONDUCTING MULTI-SITE TRIALS WITH BROOKS INVESTIGATORS WHO CAN CONTRIBUTE TO THE OVERALL SUCCESS OF THE TRIAL. BROOKS IS A MEMBER OF THE FLORIDA CONSORTIUM FOR THE NATIONAL INSTITUTE OF HEALTH/NATIONAL INSTITUTE OF NEUROLOGIC DISORDERS AND STROKE (NIH/NINDS) STROKE TRIALS NETWORK, AND HAS ALSO SERVED AS THE PRIMARY SITE FOR LARGE TRIALS SUCH AS THE LOCOMOTION EXPERIENCE APPLIED POST-STROKE (LEAPS) STUDY AND THE LIFESTYLE INTERVENTIONS AND INDEPENDENCE FOR ELDERS (LIFE) STUDY.BROOKS REHABILITATION INSTITUTE OF HIGHER LEARNINGOFFERING OF POST-PROFESSIONAL REHABILITATION EDUCATION, INCLUDING CONTINUING EDUCATION, MULTI-DISCIPLINARY RESIDENCY AND FELLOWSHIP PROGRAMS FOR THE GREATER HEALTHCARE COMMUNITY.CONTINUING EDUCATIONBROOKS IHL PROVIDES MORE THAN 40 POST-PROFESSIONAL CONTINUING EDUCATION COURSES FOR REHABILITATION PRACTITIONERS. COURSE OFFERINGS ARE AVAILABLE IN A WIDE VARIETY OF SPECIALTY AREAS INCLUDING, BUT NOT LIMITED TO, ORTHOPEDICS, NEUROLOGY, WOMEN'S HEALTH, PEDIATRICS, PORTS,CHRONIC PAIN AND GERIATRICS. FACULTY CONSIST OF BOTH NATIONALLY RENOWNED EXPERTS FROM AROUND THE COUNTRY, AS WELL AS NATIONALLY RECOGNIZED CLINICAL EXPERTS CURRENTLY PRACTICING AT BROOKS REHABILITATION. IN 2013, BROOKS IHL CREATED A PARTNERSHIP WITH JACKSONVILLE UNIVERSITY TO DEVELOP A ROBUST EDUCATION PROGRAM IN SPEECH LANGUAGE PATHOLOGY. THE BROOKS REHABILITATION SPEECH LANGUAGE PATHOLOGY PROGRAM OFFERS A MASTER'S PROGRAM WITH BROOKS THERAPISTS SERVING AS FACULTY. THIS UNIQUE PROGRAM ALSO PROVIDES RESEARCH OPPORTUNITIES IN SPEECH REHABILITATION.RESIDENCY AND FELLOWSHIP PROGRAMSTHE BROOKS IHL OFFERS MULTIPLE LEVELS OF EDUCATIONAL TRAINING ALONG THE CONTINUUM FOR CLINICIANS SEEKING TO BROADEN THEIR HORIZONS. EACH PROGRAM IS DESIGNED TO IMPART THE KNOWLEDGE, SKILLS AND ATTITUDES NECESSARY TO FUNCTION AS AN ACADEMIC, CLINICAL, AND PROFESSIONAL LEADER WITHIN THAT SPECIALTY AREA.PHYSICAL THERAPY EDUCATOR PROGRAMBROOKS PARTNERS WITH THE UNIVERSITY OF NORTH FLORIDA PHYSICAL THERAPY DEPARTMENT TO PROVIDE TWO BROOKS PHYSICAL THERAPISTS AS ASSISTANT PROFESSORS FOR THE PROGRAM. THIS PARTNERSHIP WAS DEVELOPED DUE TO THE EXPERTISE OF BROOKS' PRACTICING CLINICIANS AND TO MEET THE GROWING NEED FOR PHYSICAL THERAPISTS TO BE WELL-TRAINED AND READY FOR CLINICAL CARE UPON GRADUATION. CLINICAL STUDENT INTERNSHIP PROGRAMBROOKS IHL MANAGES ALL ASPECTS FOR PLACING CLINICAL STUDENTS WHO COME FROM NATIONAL UNIVERSITIES WITH BROOKS TO RECEIVE CLINICAL EDUCATION TRAINING. ANNUALLY, THE IHL PLACES APPROXIMATELY 400 STUDENTSINCLUDING, BUT NOT LIMITED TO, OCCUPATIONAL THERAPISTS, OCCUPATIONAL THERAPY ASSISTANTS, PHYSICAL THERAPISTS, PHYSICAL THERAPY ASSISTANTS,SPEECH LANGUAGE PATHOLOGISTS, RECREATIONAL THERAPISTS AND CASEMANAGERS. BROOKS REHABILITATION COMMUNITY SERVICES:BROOKS STRONGLY BELIEVES IN A SHARED GOAL OF FOSTERING RELATIONSHIPS AND BUILDING A SENSE OF COMMUNITY. BROOKS BELIEVES IN GIVING BACK SO OFFERS MANY PROGRAMS AT NO OR MINIMAL COST TO THE PARTICIPANT.ADAPTIVE SPORTS & RECREATIONBROOKS REHABILITATION OFFERS ONE OF THE MOST COMPREHENSIVE AND DIVERSE ADAPTIVE SPORTS AND RECREATION PROGRAMS IN THE COUNTRY. WE BELIEVE THAT EVERYONE IN OUR COMMUNITY SHOULD HAVE ACCESS TO THE HEALTH-PROMOTING, LIFE-ENHANCING BENEFITS OF PARTICIPATION IN SPORT AND RECREATION. OUR PROGRAM PROVIDES OPPORTUNITIES FOR FUN, FITNESS AND FRIENDSHIP TO INDIVIDUALS OF ALL AGES AND ABILITIES LIVING WITH PHYSICAL AND/OR VISUAL DISABILITY. OUR ACTIVITIES ENABLE THE ESSENTIAL SOCIAL CONNECTION AND PHYSICAL ACTIVITY THAT PROMOTE HEALTH, WELL-BEING AND QUALITY OF LIFE. INDIVIDUALS MAY ENJOY RECREATIONAL OR COMPETITIVE PARTICIPATION IN YEAR-ROUND TEAM AND INDIVIDUAL ACTIVITIES. NO EXPERIENCE IS REQUIRED AND THERE IS NO COST FOR PARTICIPATION WITH ALL EQUIPMENT, INSTRUCTION AND COACHING PROVIDED FREE TO ALL INDIVIDUALS.CLUBHOUSETHE BROOKS BRAIN INJURY CLUBHOUSE IS THE FIRST AND ONLY ABI (ACQUIRED BRAIN INJURY) CLUBHOUSE IN THE STATE OF FLORIDA AND ONEOF 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 CENTERSBROOKS NEURO RECOVERY CENTERS (NRC) ARE A STATE-OF-THE ART REHABILITATION CENTERS OFFERING SPECIALIZED EQUIPMENT FOR CUSTOMIZED REHABILITATION DURING AND AFTER TRADITIONAL THERAPY HAS BEEN COMPLETED. THESE UNIQUE GYMS ALLOW PATIENTS TO CONTINUE ONGOING EXERCISE AND CONDITIONING TO MAINTAIN AND IMPROVE FUNCTIONAL MOVEMENT AND ABILITIES. MEMBERS RECEIVE ACCESS TO CUTTING EDGE TECHNOLOGY AND CAN UTILIZE THE GYM UP TO SIX DAYS PER WEEK. PART VI, SUPPLEMENTAL INFORMATION: BROOKS SPORTS OUTREACHTHE BROOKS CENTER FOR SPORTS THERAPY (CST) PROVIDES SPECIALIZED ATHLETIC REHABILITATION FOR ATHLETES RANGING FROM CASUAL TO HIGHLY-COMPETITIVE AND ELITE. THE CST IS STAFFED BY CLINICIANS WHO ARE BOARD CERTIFIED IN ORTHOPEDICS AND SPORTS THERAPY. OUR CLINICIANS PROVIDE CARE FOR ATHLETES THROUGHOUT THE CONTINUUM OF CARE, FROM THE FIELD TO THE CLINIC, AND ARE EXPERTS IN RETURN-TO-SPORT PROCEDURES. THE CST IS A PROUD PARTNER WITH THE UNIVERSITY OF NORTH FLORIDA TO PROVIDE REHABILITATION SERVICES FOR ALL ATHLETIC TEAMS. IN ADDITION TO TREATING THE ATHLETIC POPULATION, CLINICIANS HAVE THE EXPERIENCE AND EXPERTISE TO TREAT A WIDE RANGE OF MUSCULOSKELETAL CONDITIONS. STAFF'S EXPERTISE IS COMBINED WITH HIGHLY SPECIALIZED EQUIPMENT TO ALLOW FOR IN-DEPTH EVALUATION AND REHABILITATION OF ATHLETES INCLUDING:BLOOD FLOW RESTRICTION TRAINING: GAME-CHANGING INJURY RECOVERY THERAPY THAT PRODUCES DRAMATIC RESULTS WITH DIMINISHED ATROPHY AND LOSS OF STRENGTH FROM DISUSE AFTER AN INJURY. THIS IS USED TOIMPROVE STRENGTH, ENDURANCE AND HYPERTROPHY AT LOWER LOADS FOR SENSITIVE OR HEALING TISSUES. DARTFISH BIOMECHANICAL ANALYSIS: VIDEO TECHNOLOGY AND A FRAME-BY-FRAME BREAKDOWN ALLOWS THE CLINICIAN TO ANALYZE THE ALIGNMENT, BALANCE AND FORM OF SPECIFIC MOVEMENTS. THIS TECHNOLOGY IS COMMONLY USED TO EVALUATE RUNNING, BASEBALL AND FOOTBALL THROWING AND GOLF SWINGS.ALTERG TREADMILL: BY USING PRESSURIZED AIR AROUND THE MIDSECTION, THIS UNIQUE TREADMILL ALLOWS ATHLETES TO WALK AND RUN EVEN WHEN THEY LACK THE ABILITY TO BEAR FULL WEIGHT. THIS ALLOWS FOR RECONDITIONING TO BEGIN SOONER IN THE RECOVERY PROCESS. BIODEX ISOKINETIC ASSESSMENTS: THIS EVALUATION MEASURES THE PEAK TORQUE OF JOINT MOVEMENTS TO ASSESS MUSCLE STRENGTH. FOR INJURIES TO KNEES, SHOULDERS, WRISTS AND ELBOWS, MUSCLE STRENGTH ASSESSMENTS ALLOW FOR AN OBJECTIVE COMPARISON TO PRE-INJURY STRENGTH. AQUATIC THERAPY: OUR AQUATIC THERAPY POOL IS IDEAL FOR ATHLETES WHO WANT TO CONTINUE CARDIOVASCULAR TRAINING BUT CANNOT BEAR FULL WEIGHT. IT PROVIDES AN INTERIM TRAINING OPTION UNTIL FULL RECOVERY IS ACHIEVED.BROOKS SPORTS MEDICINE PROGRAM: BASED AT THE CST, THE BROOKS SPORTS MEDICINE PROGRAM PARTNERS WITH MANY LOCAL HIGH SCHOOLS AND COMMUNITY SPORT TEAMS TO PROVIDE THEIR SPORTS MEDICINE SERVICES. USING A MULTIDISCIPLINARY APPROACH OF ATHLETIC TRAINERS, PHYSICAL THERAPISTS AND PHYSICIANS, WE HELP ATHLETES OF VARIOUS SPORTS AND BACKGROUNDS ACHIEVE THEIR GOALS ON AND OFF THE FIELD.THE CST ALSO PARTNERS WITH THE BROOKS MOTION ANALYSIS CENTER WHEN A MORE IN-DEPTH ASSESSMENT OF MUSCLE ACTIVITY, FORCE GENERATION AND JOINT ANGLES IS REQUIRED FOR PATIENTS AFTER ACL RECONSTRUCTION. BROOKS REHABILITATION FALLS PREVENTION PROGRAMBROOKS HAS DEVELOPED A FALLS PREVENTION PROGRAM THAT PROVIDES EDUCATIONAL RESOURCES FOR THE COMMUNITY TO DECREASE THE INCIDENCE OF FALLS IN THE OLDER OR FRAIL POPULATION. EDUCATIONAL CLASSES AND FITNESS TRAINING ARE OFFERED TO THE COMMUNITY TO RAISE THE AWARENESS OF RISKY BEHAVIORS AND PREVENTATIVE MEASURES.PROGRAM STAFF WORKS WITH INTERDISCIPLINARY TEAMS IN EACH BROOKS SETTING TO CREATE A COMPREHENSIVE, INTERDISCIPLINARY, EVIDENCE-BASED PROGRAM DESIGNED TO KEEP CLIENTS SAFE DURING THEIR STAY WITH BROOKS AND AFTER DISCHARGE TO THE COMMUNITY. PEDIATRIC RECREATIONTHE 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 CENTERIN 2015, BROOKS REHABILITATION OPENED THE AREA'S FIRST APHASIA CENTER. BROOKS THERAPISTS PROPOSED THE CREATION OF THE APHASIA CENTER BASED ON UNMET NEEDS THEY WERE SEEING IN THEIR PATIENTS. UNTIL OPENING THE BROOKS REHABILITATION APHASIA CENTER, THERE WERE NO COMPREHENSIVE TREATMENT FACILITIES IN THE AREA THAT COULD PROVIDE THE INTENSIVE CARE AND COMMUNITY-BASED LEARNING THAT PEOPLE LIVING WITH APHASIA NEED. AT BROOKS, WE ARE DEDICATED TO HELPING PERSONS WITH APHASIA ACHIEVE THE HIGHEST LEVEL OF RECOVERY AND PARTICIPATION IN LIFE. THE APHASIA CENTER BRIDGES THE GAP BETWEEN MEDICAL REHABILITATION AND COMMUNITY REINTEGRATION. WE ARE DEDICATED TO PROVIDING COMPREHENSIVE SUPPORT TO THOSE AFFECTED BY APHASIA DUE TO STROKE, TRAUMATIC BRAIN INJURY, BRAIN TUMORS OR OTHER NEUROLOGICAL DISORDERS.BROOKS OFFERS TWO SPECIFIC PROGRAMS. THE COMMUNITY APHASIA PROGRAM ENCOURAGES MULTI-MODALITY COMMUNICATION TECHNIQUES AND CONFIDENCE TO HELP LIVE SUCCESSFULLY WITH APHASIA AND LEARN NEW WAYS TO COMMUNICATE. COORDINATED GROUP ACTIVITIES ARE LED BY LICENSED SPEECH-LANGUAGE PATHOLOGISTS. THE INTENSIVE COMPREHENSIVE APHASIA PROGRAM IS A SIX WEEK PROGRAM THAT PROVIDES IMMERSIVE REHABILITATION. RESEARCH INITIATIVES ARE LED BY NATIONALLY RECOGNIZED LEADERS IN APHASIA RECOVERY AND FOCUS ON THE UNDERSTANDING OF BEST PRACTICE CARE AND SUPPORT THROUGH THE COLLECTION OF OUTCOME DATA AND OBSERVATION.BROOKS HEALTH FOUNDATIONTHE GENESIS HEALTH FOUNDATION, INC. (DOING BUSINESS AS BROOKS HEALTH FOUNDATION) IS A 501(C)(3) PUBLICLY SUPPORTED CHARITY ESTABLISHED TO SUPPORT THE MISSION OF GENESIS HEALTH, INC. (DOING BUSINESS AS BROOKS HEALTH SYSTEM) OF JACKSONVILLE, FLORIDATHE FOUNDATION SEEKS TO SUPPORT BROOKS HEALTH SYSTEM IN THE FOLLOWING WAYS:1. SUPPORT OF THE OPERATION OF BROOKS HEALTH SYSTEM AND ITS OUTPATIENT FACILITIES AND AFFILIATES IN THE CARE AND TREATMENT OF THE SICK, DISABLED AND INJURED.2. SUPPORT OF THE OPERATION OF BROOKS HEALTH SYSTEM IN THE CHARITY CARE PROVIDED TO THE SICK, DISABLED AND INJURED.3. SUPPORT OF THE EDUCATION AND TRAINING IN THE CARE AND TREATMENT OF THE SICK, DISABLED AND INJURED.4. SUPPORT OF EDUCATIONAL, SCIENTIFIC AND MEDICAL RESEARCH, RELATED TO THE CARE AND TREATMENT OF SICK, DISABLED AND INJURED.5. PROMOTION AND SUPPORT OF COMMUNITY PROGRAMS RELATED TO THE PREVENTION OF INJURIES AND ILLNESSES ADDRESSED THROUGH REHABILITATION AND RELATED MEDICAL SERVICES. THE BROOKS HEALTH FOUNDATION SUPPORTS THE OPERATION OF BROOKS HEALTH SYSTEM'S PROGRAMS AND SERVICES THROUGH FUNDING RECEIVED FROM INDIVIDUAL DONATIONS, GRANTS AND OTHER FUNDRAISING EVENTS AND INITIATIVES.IN 2018, THE BROOKS HEALTH FOUNDATION RECEIVED $422,000 IN GRANTS AND DONATIONS TO SUPPORT BROOKS COMMUNITY PROGRAMS. BROOKS EMPLOYEES DONATED APPROXIMATELY $177,000 OF THIS AMOUNT WHICH PROVIDED UNINSURED/UNDERINSURED PATIENTS FREE AND MEDICALLY NECESSARY EQUIPMENT, MEDICATIONS, WHEELCHAIR RAMPS, AND OTHER MINOR EXPENDITURES NEEDED BY PATIENTS TO RETURN HOME.BROOKS REHABILITATION PARTNERSHIP SUPPORTBROOKS 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 THEIREDUCATIONAL EVENTS AND PARTNER TOGETHER FOR NEEDED SERVICES. SOME OF THE COMMUNITY-BASED ORGANIZATIONS WHO HAVE BENEFITTED FROM OUR SUPPORT IN 2018 INCLUDE: ALZHEIMER'S ASSOCIATIONAMERICAN CANCER SOCIETYAMERICAN HEART ASSOCIATIONAMYPTROPHIC LATERAL SCEROSISAVANT ARTS INCBAPTIST HEALTHCATHEDRAL ARTS PROJECTCATHOLIC CHARITIES BUREAUCLAY COUNTY COUNCIL ON AGINGCOMMUNITY HOSPICE OF NORTHEAST FLORIDACUMMER MUSEUM OF ARTSDONNA FOUNDATIONDREAMS COME TRUEDUVAL COUNTY MEDICAL SOCIETYELDER SOURCEFHCAFLAGLER HEALTHCARE FOUNDATIONFLORIDA COUNCIL ON ECONOMIC DEVELOPMENTFLORIDA HOSPITAL ASSOCIATIONFOUNDATION FIGHTING BLINDNESSFUNK ZITIELLO FOUNDATIONHEART OF FLORIDA HEALTH CENTERHOPE THERAPYJACKSONVILLE AREA GOLF ASSOCIATION, INCJACKSONVILLE AREA SEXUAL MINORITYJAX CHAMBER USAJACKSONVILLE SPOTS MEDICINEJACKSONVILLE SYMPHONY ORCHESTRAJACKSONVILLE UNIVERSITYJDRFL'ARCHE HARBOR HOUSELEADERSHIP JACKSONVILLEMAKING STRIDES AGAINST BREAST CANCERMARCH OF DIMES FOUNDATIONMOROCCO SHRINE CIRCUS FUNDMUSEUM OF SCIENCE AND HISTORYNASSAU EDUCATION FOUNDATIONNATIONAL MULTIPLE SCLEROSISNONPROFIT CENTERPLAYERS TOURNAMENTREFLEX SYMPATHETIC DYSTROPHYRONALD MCDONALD HOUSEROTARY FOUNDATIONSAMUEL C. TAYLOR FOUNDATIONSHE IS FIERCESPIN2WIN2018ST. VINCENT'S FOUNDATIONUF HEALTH JACKSONVILLEUNF FOUNDATIONUNITED WAY OF NORTHEAST FLORIDAUNIVERSITY OF FLORIDAWE CAREWJCTWOLFSON CHILDREN'S HOSPITAL 1 1 0 0 0 1 0 0 0 TREVOR PARIS MD MEMBER 0 368580 0 0 0 15852 0 24500 0 17293 0 426225 0 0 DOUGLAS M BAER CEO 0 485707 0 191160 0 44452 0 228333 0 25318 0 974970 0 0 MICHAEL R SPIGEL COO 0 364607 0 141917 0 29296 0 173077 0 20887 0 729784 0 0 DANIEL R CURRAN CFO 0 280018 0 108644 0 26168 0 24500 0 18242 0 457572 0 0 PATRICIA C DEBEAR SR VP ADMINISTRATOR(THRU 5/2018) 0 107412 0 21947 0 126189 0 19940 0 21134 0 296622 0 0 KAREN GALLAGHER VP HUMAN RESOURCES 0 143097 0 67971 0 30188 0 24500 0 11149 0 276905 0 0 KAREN M GREEN DIRECTOR INFOR. TECH. 0 147599 0 26685 0 1731 0 10698 0 12915 0 199628 0 0 ROBERT W SHYROCK DIRECTOR MANAGE CARE 0 164724 0 30603 0 5363 0 22668 0 1866 0 225224 0 0 JOANNE HOERTZ VP NURSING AND SUPPORT 0 197564 0 74823 0 11004 0 919 0 8900 0 293210 0 0 AMANDA L OSBORNE VP OPERATIONS 0 168185 0 5881 0 275 0 18500 0 10927 0 203768 0 0 KERRY AMAHER CONSULTING PHYSICIAN 254994 0 72496 0 8119 0 0 0 1294 0 336903 0 0 0 CORRINE C ROMANO VP NURSING 150437 0 5331 0 949 0 9243 0 14371 0 180331 0 0 0 RUSSELL R ADDEO DIRECTOR BEHAVIORAL MEDICI 139712 0 19984 0 3659 0 23498 0 12155 0 199008 0 0 0 VIRGIL T WITTMER EXECUTIVE DIRECTOR BBM 140715 0 0 0 1536 0 24500 0 11049 0 177800 0 0 0 ROBERT J MCIVER PHYSICIAN 105675 0 24480 0 7673 0 3550 0 17020 0 158398 0 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)): $185,333 DOUGLAS M. BAER $150,384 MICHAEL R. SPIGEL SERVERENCE WAS PAID TO THE FOLLOWING INDIVIDUAL: $89,743 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 49,802. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 49,802. OTHER PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 13,334,450. MANAGEMENT AND GENERAL EXPENSES 253,854. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 13,588,304. 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 2007 ISSUE REPORTED IN FULL ON THE SCHEDULE K OF GENESIS HEALTH, INC., THE ORGANIZATION'S CORPORATE PARENT AND SOLE MEMBER. THE ORGANIZATION ALSO 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 -43,749. CHANGE IN NET ASSETS 124,756. 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