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      <Form990PartVIISectionAGrp>
        <PersonNm>Michael Spigel</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>James Hardison</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>DANIEL R CURRAN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>PATRICIA DEBEAR</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN GALLAGHER</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>ROBERT SHYROCK</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KRIS ROBERTS</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KAREN GREEN</PersonNm>
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      <Form990PartVIISectionAGrp>
        <PersonNm>KIRK HALE</PersonNm>
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        <PersonNm>DEBORAH REBER</PersonNm>
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        <PersonNm>ROBERT ROWE</PersonNm>
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        <PersonNm>DENNIS SMYSER</PersonNm>
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      <ContractorCompensationGrp>
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      <ContractorCompensationGrp>
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    <IRS990ScheduleA documentId="RetDoc1039100001">
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        <SupportedOrganizationName>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
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        <OtherSupportAmt>5118453</OtherSupportAmt>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>BROOKS HOME CARE ADVANTAGE (BHCA)</BusinessNameLine1Txt>
        </SupportedOrganizationName>
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      <SupportedOrgInformationGrp>
        <SupportedOrganizationName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING INC</BusinessNameLine1Txt>
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      <Form990ScheduleAPartVIGrp>
        <FormAndLineReferenceDesc>PART IV, SECTION A, LINE 1</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </Form990ScheduleAPartVIGrp>
    </IRS990ScheduleA>
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        </ContributorBusinessName>
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          <AddressLine1>RESTRICTED</AddressLine1>
          <AddressLine2>RESTRICTED</AddressLine2>
          <City>RESTRICTED</City>
          <State>RESTRICTED</State>
          <ZIPCode>RESTRICTED</ZIPCode>
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    <IRS990ScheduleC documentId="RetDoc1039700001">
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        <FormAndLineReferenceDesc>Part II-B, Line 1:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION IS A MEMBER OF THE JACKSONVILLE CHAMBER OF COMMERCE, AS WELL AS SEVERAL HEALTHCARE ORGANIZATIONS. THESE ORGANIZATIONS ALLOCATE A PORTION OF THEIR MEMBERSHIP DUES TO LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES.</ExplanationTxt>
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        <MethodValuationCd>F</MethodValuationCd>
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        <Desc>Due to Affiliates</Desc>
        <Amt>25551929</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Bond Swap Valuation</Desc>
        <Amt>1482066</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>Third Party Settlements</Desc>
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      <OtherLiabilitiesOrgGrp>
        <Desc>LINE OF CREDIT</Desc>
        <Amt>8479736</Amt>
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      <OtherLiabilitiesOrgGrp>
        <Desc>DUE TO FOUNDATION</Desc>
        <Amt>153448</Amt>
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        <FormAndLineReferenceDesc>Part X, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION RECEIVES CONSOLIDATED FINANCIAL STATEMENTS INCLUDING CORPORATE PARENT AND SUBSIDIARIES. THE FOLLOWING DISCLOSURE APPLIES TO THE SYSTEM AS A WHOLE: BROOKS REHABILITATION HOSPITAL IS A NOT-FOR-PROFIT CORPORATION 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.</ExplanationTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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      <RecipientTable>
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      <RecipientTable>
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          <BusinessNameLine1Txt>BAPTIST HEALTH FOUNDATION</BusinessNameLine1Txt>
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      <RecipientTable>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>DEERWOOD COUNTRY CLUB</BusinessNameLine1Txt>
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      <RecipientTable>
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          <AddressLine1Txt>6803 SOUTHPOINT PARKWAY</AddressLine1Txt>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>FLAGLER HEALTHCARE FOUNDATION INC</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>400 HEALTH PARK BLVD</AddressLine1Txt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <AddressLine1Txt>555 STOCKTON STREET</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
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      <RecipientTable>
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        </RecipientBusinessName>
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          <AddressLine1Txt>830-13 AIA NORTH 126</AddressLine1Txt>
          <CityNm>PONTE VEDRA</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32082</ZIPCd>
        </USAddress>
        <RecipientEIN>264333301</RecipientEIN>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <AddressLine1Txt>100 FESTIVAL PARK AVE</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <RecipientEIN>591163905</RecipientEIN>
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      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>JACKSONVILLE SPORTS MEDICINE</BusinessNameLine1Txt>
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          <AddressLine1Txt>3563 PHILIPS HWY BLDG E STE 502</AddressLine1Txt>
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        <RecipientEIN>592997510</RecipientEIN>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <BusinessNameLine1Txt>JACKSONVILLE SYMPHONY ASSOCIATION INC</BusinessNameLine1Txt>
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          <AddressLine1Txt>300 WEST WATER ST STE 300</AddressLine1Txt>
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          <StateAbbreviationCd>FL</StateAbbreviationCd>
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        <RecipientEIN>596002520</RecipientEIN>
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      <RecipientTable>
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          <BusinessNameLine1Txt>K9S FOR WARRIORS INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>114 CAMP K9 ROAD</AddressLine1Txt>
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        <RecipientEIN>275219467</RecipientEIN>
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      <RecipientTable>
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        <USAddress>
          <AddressLine1Txt>4040 WOODCOCK DRIVE SUITE 147</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
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        <RecipientEIN>131846366</RecipientEIN>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>NATIONAL MULTIPLE SCLEROSIS</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>4237 SALISBURY RD N 406</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
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        <RecipientEIN>596167728</RecipientEIN>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>PGA TOUR INC DBA THE PLAYERS CHAMPIONSHIP</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>100 PGA TOUR BLVD</AddressLine1Txt>
          <CityNm>PONTE VEDRA BEACH</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32082</ZIPCd>
        </USAddress>
        <RecipientEIN>520999206</RecipientEIN>
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        <CashGrantAmt>10150</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>RONALD MCDONALD HOUSE OF CHARITIES OF JACKSONVILLE INC</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>824 CHILDRENS WAY</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <RecipientEIN>592625008</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>155000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>3850 ATLANTIC BLVD</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
        </USAddress>
        <RecipientEIN>590737885</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>5000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
      </RecipientTable>
      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>THINK FIRST FOUNDATION</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>1801 N MILL STREET SUITE F</AddressLine1Txt>
          <CityNm>NAPERVILLE</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60563</ZIPCd>
        </USAddress>
        <RecipientEIN>363730822</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
        <CashGrantAmt>11000</CashGrantAmt>
        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
          <BusinessNameLine1Txt>UNITED WAY OF NE FLORIDA</BusinessNameLine1Txt>
        </RecipientBusinessName>
        <USAddress>
          <AddressLine1Txt>40 EAST ADAMS STREET SUITE 200</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32202</ZIPCd>
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        <RecipientEIN>590637825</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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        </RecipientBusinessName>
        <USAddress>
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          <AddressLine2Txt>E</AddressLine2Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
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        <RecipientEIN>593431724</RecipientEIN>
        <IRCSectionDesc>501(C)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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        <USAddress>
          <AddressLine1Txt>841 PRUDENTIAL DRIVE STE 1802</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32207</ZIPCd>
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        <RecipientEIN>811755188</RecipientEIN>
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        <PurposeOfGrantTxt>OPERATIONAL SUPPORT</PurposeOfGrantTxt>
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      <RecipientTable>
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          <CityNm>CONWAY</CityNm>
          <StateAbbreviationCd>SC</StateAbbreviationCd>
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      <RecipientTable>
        <RecipientBusinessName>
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        <USAddress>
          <AddressLine1Txt>3599 UNIVERSITY BLVD SOUTH</AddressLine1Txt>
          <CityNm>JACKSONVILLE</CityNm>
          <StateAbbreviationCd>FL</StateAbbreviationCd>
          <ZIPCd>32216</ZIPCd>
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        <RecipientEIN>592249340</RecipientEIN>
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      <TotalOtherOrgCnt>3</TotalOtherOrgCnt>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 2:</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH, INC. IS VERY SELECTIVE WHEN SELECTING ORGANIZATIONS FOR CONTRIBUTIONS. ALL ORGANIZATIONS ARE 501(C)(3) OR GOVERNMENT ORGANIZATIONS. ALL FUNDS ARE APPROVED BY MANAGEMENT PRIOR TO DISTRIBUTION. DOCUMENTATION OF ALL GRANTS AND AWARDS ARE MAINTAINED BY MANAGEMENT. AGREEMENTS FOR GRANTS/AWARDS ARE TYPICALLY ENTERED INTO PRIOR TO FUNDING.</ExplanationTxt>
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        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>0</CompReportPrior990FilingOrgAmt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 1a</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION REIMBURSES THE SOCIAL CLUB INITIATION FEES AND ANNUAL DUES FOR THE CEO, COO, AND SYSTEM VICE PRESIDENTS. PAYMENTS ARE GROSSED UP TO REIMBURSE THE EMPLOYEE FOR THE TAXES ASSOCIATED WITH THE PAYMENT.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 4b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN KEY EMPLOYEES. THE PLAN IS AN UNFUNDED DEFERRED COMPENSATION PLAN DESCRIBED IN SECTION 457(F) AND IS INTENDED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. AT THIS TIME, CONTRIBUTIONS TO AN INDIVIDUAL'S ACCOUNT UNDER THE PLAN ARE ON A PERCENTAGE OF THE INDIVIDUAL'S ANNUAL BASE SALARY AS APPROVED BY THE BOARD COMPENSATION COMMITTEE. VESTING IN THE PLAN FOR CURRENT MEMBERS OCCURS JANUARY 1, 2022, PROVIDED EMPLOYMENT IS MAINTAINED, AND DISREGARDING ACCELERATION DUE TO DEATH OR DISABILITY. FOR THE CURRENT TAX YEAR, ALLOCATIONS TO THE PLAN FOR LISTED INDIVIDUALS WERE AS FOLLOWS, (LISTED AS A COMPONENT OF PART II, COLUMN (C)): DOUGLAS BAER - $ 179,080 (38% OF BASE SALARY) MICHAEL SPIGEL - 140,001 (41% OF BASE SALARY)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Part I, Line 6</FormAndLineReferenceDesc>
        <ExplanationTxt>THE COMPANY HAS A SUCCESS SHARING PLAN THAT INCLUDES MOST EMPLOYEES. PAYMENT IS CALCULATED AS A PERCENTAGE OF COMPENSATION AND IS TRIGGERED BY MEETING SPECIFIC OPERATIONAL AND FINANCIAL GOALS.</ExplanationTxt>
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        <BondReferenceCd>A</BondReferenceCd>
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          <BusinessNameLine1Txt>JACKSONVILLE HEALTH FACILITIES AUTHORITY</BusinessNameLine1Txt>
        </IssuerName>
        <BondIssuedDt>2007-12-01</BondIssuedDt>
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      <TaxExemptBondsIssuesGrp>
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        <BondIssuedDt>2015-09-01</BondIssuedDt>
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        <BondReferenceCd>A</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
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        <BondReferenceCd>B</BondReferenceCd>
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      </ProceduresCorrectiveActionGrp>
      <ProceduresCorrectiveActionGrp>
        <BondReferenceCd>C</BondReferenceCd>
        <ProceduresCorrectiveActionInd>0</ProceduresCorrectiveActionInd>
      </ProceduresCorrectiveActionGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART I, DESCRIPTION OF PURPOSE:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE JACKSONVILLE HEALTH FACILITIES AUTHORITY HOSPITAL REVENUE BONDS, SERIES 2007 WERE ISSUED FOR THE PURPOSE OF: (I) FINANCING A PORTION OF THE COST OF THE CAPITAL IMPROVEMENTS, (II) REFINANCING CERTAIN INDEBTEDNESS OF THE COMPANY WHICH FINANCED THE ACQUISITION OF UNIMPROVED LAND FOR FUTURE USE, (III) REFUNDING THE JACKSONVILLE HEALTH FACILITIES AUTHORITY HOSPITAL REVENUE AND REFUNDING BONDS PREVIOUSLY ISSUED TO PROVIDE FINANCING FOR THE BENEFIT OF THE COMPANY, (IV) TO FUND A DEBT SERVICE RESERVE FUND IN CONNECTION WITH THE 2007 BONDS, AND (V) PAYING COSTS ASSOCIATED WITH THE ISSUANCE OF THE 2007 BONDS. THE CAPITAL IMPROVEMENTS WILL CONSIST OF: (I) IMPROVEMENTS AT THE COMPANY'S EXISTING INPATIENT REHABILITATION HOSPITAL, (II) THE ACQUISITION AND CONSTRUCTION OF AN ADMINISTRATIVE SUPPORT BUILDING, AND (III) ROUTINE CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES OF THE COMPANY. LAND PURCHASED BY THE COMPANY IS EXPECTED TO BE USED BY THE COMPANY OR ITS AFFILIATES AS THE FUTURE SITE FOR POST-ACUTE CARE AND RELATED HEALTH CARE FACILITIES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 3, TOTAL PROCEEDS:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE AMOUNT PRESENTED ON PART II, LINE 3 CONTAINS INVESTMENT EARNINGS OVER THE LIFE OF THE ISSUE, NET WITH ORIGINAL ISSUE DISCOUNTES AS FOLLOWS: SALE PROCEEDS FACE VALUE: $ 95,000,000 ORIGINAL ISSUE DISCOUNT: (2,633,936) CUMULATIVE EARNINGS THROUGH 12/31/14: 3,126,521 TOTAL TO PART II, LINE 3: $ 95,492,585</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS:</FormAndLineReferenceDesc>
        <ExplanationTxt>AMOUNTS PRESENT ON LINE 11 WERE PROCEEDS USED TO REFUND A PRIOR SERIES ISSUED IN 1996.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleK>
    <IRS990ScheduleL documentId="RetDoc1042800001">
      <BusTrInvolveInterestedPrsnGrp>
        <NameOfInterested>
          <PersonNm>PAMELA SPIGEL</PersonNm>
        </NameOfInterested>
        <RelationshipDescriptionTxt>FAMILY MEMBER OF OFFICER MICHAEL SPIGEL</RelationshipDescriptionTxt>
        <TransactionAmt>49689</TransactionAmt>
        <TransactionDesc>COMPENSATION AS EMPLOYEE OF ORGANIZATION</TransactionDesc>
        <SharingOfRevenuesInd>0</SharingOfRevenuesInd>
      </BusTrInvolveInterestedPrsnGrp>
    </IRS990ScheduleL>
    <IRS990ScheduleO documentId="RetDoc1044400001">
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section A, line 3</FormAndLineReferenceDesc>
        <ExplanationTxt>AMELIA CONSULTING, A MANAGEMENT COMPANY, WAS HIRED TO PROVIDE AN INTERIM CFO. IN OCTOBER 2016, THE INTERIM CFO BECAME THE PERMANENT CFO OF THE ORGANIZATION.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 11b</FormAndLineReferenceDesc>
        <ExplanationTxt>THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH THE GUIDANCE AND ASSISTANCE OF MANAGEMENT. THE FORM WAS REVIEWED INTERNALLY AND THEN PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW. THE AUDIT COMMITTEE THEN PREPARED A SUMMARY THAT WAS PRESENTED TO THE BOARD OF DIRECTORS ALONG WITH THE FORM 990 PRIOR TO FILING.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 12c</FormAndLineReferenceDesc>
        <ExplanationTxt>EACH YEAR BOARD MEMBERS ARE REQUIRED TO COMPLETE A FORM THAT WILL DISCLOSE ANY RELATIONSHIPS THAT MAY CREATE A CONFLICT OF INTEREST. THE FORMS ARE REVIEWED BY MANAGEMENT AND ANY CONCERNS ARE REFERRED TO THE BOARD IF NECESSARY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section B, line 15</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH, INC. USES AN OUTSIDE CONSULTANT FOR ALL OFFICER, EXECUTIVE, AND TOP MANAGEMENT OFFICIAL COMPENSATION DECISIONS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MUST APPROVE ANY AND ALL DECISIONS REGARDING EXECUTIVE PAY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 18</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM ARE AVAILABLE ON GUIDESTAR.ORG.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Section C, line 19</FormAndLineReferenceDesc>
        <ExplanationTxt>THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, line 9:</FormAndLineReferenceDesc>
        <ExplanationTxt>NET CHANGE IN SWAP VALUATION -1,346,374. BAMS SALARIES AND EXPENSES</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART XII, LINE 2C:</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>OUR SERVICES INCLUDE ONE OF THE REGION'S LARGEST HOME HEALTHCARE AGENCIES, 32 OUTPATIENT REHABILITATION CLINICS, A SKILLED NURSING UNIT DEDICATED TO ORTHOPEDIC REHABILITATION, A CENTER DEDICATED TO INPATIENT REHABILITATION, A REHABILITATION MEDICINE PHYSICIAN PRACTICE, A CAMPUS DESIGNED FOR SENIOR SERVICES WITH SKILLED NURSING, ASSISTED LIVING AND MEMORY CARE, and a skilled nursing facility opened in 2016 adjacent to the campus of the hospital. IN ADDITION, BROOKS OPERATES THE CLINICAL RESEARCH CENTER, WHICH SPECIALIZES IN RESEARCH FOR STROKE, BRAIN INJURY AND SPINAL CORD INJURY TO ADVANCE THE SCIENCE OF REHABILITATION. THE INSTITUTE OF HIGHER LEARNING PROVIDES A COMPREHENSIVE OFFERING OF POST-PROFESSIONAL REHABILITATION EDUCATION, INCLUDING CONTINUING EDUCATION, MULTI-DISCIPLINARY RESIDENCY AND FELLOWSHIP PROGRAMS FOR THE GREATER HEALTHCARE COMMUNITY. IN ADDITION TO PROVIDING COMPREHENSIVE POST-ACUTE CARE TO THE REGION, BROOKS FIRMLY BELIEVES IN THE POWER OF COMMUNITY OUTREACH TO IMPROVE THE HEALTH AND WELL-BEING OF OUR COMMUNITY. WE PROVIDE CHARITY CARE FOR UNINSURED AND THE UNDER INSURED, POST PROFESSIONAL CLINICAL EDUCATION THROUGH ADAPTIVE SPORTS AND WELLNESS PROGRAMMING, VOCATIONAL TRAINING AND SUPPORT FOR BRAIN INJURY SURVIVORS AND OFFER A VARIETY OF SUPPORT GROUPS FOR PATIENTS AND FAMILIES. 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 IN JACKSONVILLE and surrounding communities. Brooks Rehabilitation offers the following community programs at little or no cost: 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 believes in giving back so they are offered at little or no cost to participants of all ages. Adaptive Sports &amp; Recreation Brooks offers the most comprehensive adaptive sports and recreation program in the country, providing fun and fitness for people of all ages living with a physical disability. Program participants can enjoy competitive or recreational team and individual sports, plus a variety of other wellness and fitness activities. Clubhouse The Clubhouse is a community health program that provides for the long-term recovery needs of individuals who have suffered an acquired brain injury. The day-program bridges the gap between medical rehabilitation, vocational training and community reintegration. It is currently the only Brain Injury Clubhouse in Florida and one of only 24 in the world. 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. Wellness Brooks offers Wellness programs focused on fitness and wellness education - some in partnership with the local YMCAs of Florida. Participants receive an assessment from a physical therapist and a customized fitness plan to maintain mobility. These programs are supervised by specialized staff that understands the unique challenges of a life-altering disease or injury. Pediatric Recreation The Pediatric Recreation program offers a supportive environment for youth with physical and/or developmental disabilities. 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. Aphasia Center 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 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. This program will care for approximately 125 new young people each year and another 50 or more through follow up serviices at no cost to them. BROOKS REHABILITATION FALLS PREVENTION PROGRAM BROOKS 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. THE TEAM PERFORMED ASSESSMENTS OF CURRENT FALL PREVENTION PRACTICES, CONDUCTED INTERVIEWS WITH KEY STAKEHOLDERS AND COMPLETED A FALLS DATA ANALYSIS TO HELP IDENTIFY BEST PRACTICES TO INCLUDE IN PROGRAM. BROOKS REHABILITATION STUDENT NURSE ROTATIONS TO HELP ADDRESS THE CRITICAL NURSING SHORTAGE IN FLORIDA, BROOKS HAS PARTNERED WITH THE UNIVERSITY OF NORTH FLORIDA (UNF), FLORIDA COMMUNITY COLLEGE AT JACKSONVILLE AND A CONSORTIUM OF LOCAL HOSPITALS TO EXPAND THE COMMUNITY'S NURSING EDUCATION PROGRAMS. Brooks provides scholarships enabling community nurses to achieve a bachelor's of science degree in nursing. More than 200 nurses from UNF, Jacksonville University and Florida Community College at Jacksonville have participated in clinical rehabilitation-focused rotational shifts within Brooks for hands-on training Other Related Services: Support Groups Support groups provide a unique opportunity for patients to interact and form personal connections with people facing similar challenges. For more information about the programs and the successful outcomes, visit Brookshealth. org.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>GENERAL INFORMATION FOR THE PURPOSE OF THIS REPORT, BROOKS HEALTH SYSTEM (BROOKS) IS COMPRISED 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] - 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. [26-2216181] - BROOKS SKILLED NURSING FACILITY A, INC. [27-2153586] BROOKS REHABILITATION HOSPITAL 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 CLINICAL AREAS OF EXPERTISE 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. THE BRAIN INJURY PROGRAM INCLUDES INTENSIVE INPATIENT REHABILITATION, NEUROLOGICAL DAY TREATMENT, SKILLED NURSING, OUTPATIENT THERAPY AND HOME CARE. 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. 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. HOSPITAL STAFF OUR 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 PROFILE WITH EXPERTISE TO TREAT THE MOST CATASTROPHIC AND COMPLEX PATIENTS, OUR 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. 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 25 PERCENT OF OUR TOTAL VOLUME. BROOKS REHABILITATION HOSPITAL HAS MORE THAN 3,000 ANNUAL DISCHARGES AND IS THE BUSIEST FREE-STANDING REHABILITATION HOSPITAL IN THE COUNTRY. IN 2016,the hospital achieved Magnet Recognition for nursing, to become one of four freestanding inpatient rehabilitation facilities in the country with this credential. 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. HALIFAX HEALTH - BROOKS REHABILITATION CENTER FOR INPATIENT and Outpatient REHABILITATION HALIFAX 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 600 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 three outpatient centers previously operated by Brooks Rehabilitation and two clinics previously operated by Halifax Health. Brooks Rehabilitation provides clinical and management services for the five clinics. BROOKS REHABILITATION AGING SERVICES BROOKS 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 CROSSING BARTRAM 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. "AT BROOKS, OUR STRATEGIC GOAL IS TO OFFER A COORDINATED CONTINUUM OF REHABILITATION SOLUTIONS IN THE MARKETS WE SERVE. THE EXPANSION OF SERVICES ON THE BARTRAM CAMPUS FILLS A CRITICAL GAP IN OUR CARE CONTINUUM ENABLING US TO PROVIDE SEAMLESS TRANSITIONS FOR PATIENTS RECOVERING FROM ACUTE ILLNESS AND INJURY. EFFECTIVELY TREATING PATIENTS IN THE RIGHT SETTING FOR THEIR INDIVIDUAL NEEDS WILL RESULT IN THE BEST POSSIBLE OUTCOMES AT THE LOWEST COST," SAID DOUG BAER, PRESIDENT AND CEO OF BROOKS REHABILITATION. IN 2016, BARTRAM CROSSING HAD APPROXIMATELY 33,000 PATIENT DAYS AND 90% OCCUPANCY. 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. WE MODELED THE GREEN HOUSE RESIDENCES 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 2013, BROOKS OPENED THE FIRST GREEN HOUSES IN FLORIDA. OPERATED AS ASSISTED LIVING WITH THE EXTENDED CONGREGATE CARE LICENSE, THE GREEN HOUSE RESIDENCES OFFER ELDERS THE COMFORTS OF HOME AND A MEANINGFUL LIFE, WHILE RESPECTING INDIVIDUAL PREFERENCES AND HONORING CHOICES. OUR ELDERS' FAMILIES HAVE PEACE OF MIND KNOWING THAT THEIR LOVED ONES ARE BEING NURTURED AND CARED FOR IN A HOME SETTING.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>BARTRAM LAKES 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. OUR RESIDENTS ENJOY THREE DELICIOUS MEALS EACH DAY IN OUR RESTAURANT STYLE DINING ROOM. OUR 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 2016 BARTRAM LAKES ASSISTED LIVING had approximately 20,000 resident days, with 89% occupancy. The Greenhouses had 8,500 days with 97% 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. BROOKS REHABILITATION SKILLED NURSING UNIT BROOKS HAS PARTNERED WITH ST. VINCENT'S Health System TO DEVELOP A UNIQUE 35-BED SKILLED NURSING UNIT TO TREAT JOINT REPLACEMENT AND OTHER ELECTIVE ORTHOPEDIC SURGERIES. LOCATED ON THE 5TH FLOOR OF ST. VINCENT'S MEDICAL CENTER SOUTHSIDE, THE UNIT PROVIDES AN INTENSIVE REHABILITATION PROGRAM AND 24-HOUR NURSING CARE THAT PROMOTES RECOVERY AND REGAINED INDEPENDENCE. THIS IS A ONE-OF-A KIND UNIT THAT ALLOWS INDIVIDUALS TO RECEIVE CARE FROM SPECIALLY TRAINED CLINICIANS AND RETURN HOME IN A QUICK TIME PERIOD. Over 800 patients are admitted to this program annually. BROOKS REHABILITATION HOME CARE ADVANTAGE, INC. IN 2008, BROOKS HEALTH SYSTEM INCORPORATED HOME HEALTH INTO OUR SERVICE OFFERINGS.BROOKS HOME CARE ADVANTAGE, INC. 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. IN 2015, BROOKS HEALTH SYSTEM ACQUIRED AN ADDITIONAL HOME CARE AGENCY. WITH THIS ACQUISITION, WE NOW PROVIDE IN-HOME SERVICES ACROSS 23 COUNTIES. SPECIALTY AREAS INCLUDE LYMPHEDEMA, WOUND CARE AND PSYCHIATRIC NURSING. OUR HOME CARE SERVICES had over 12,000 admissions in 2016, of which 9,400 were Medicare patients. 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 OF CREDENTIALED SPECIALISTS IN REHABILITATION MEDICINE(PHYSIATRISTS). THIS GROUP WAS 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. BROOKS REHABILITATION CLINICAL RESEARCH CENTER THE 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. CLINICAL RESEARCH CENTER STRATEGIC GOALS 1. CREATE A CONTEMPORARY MODEL FOR COLLABORATION AND INTERDISCIPLINARY RESEARCH BETWEEN ACADEMIC PARTNERS, RESEARCH SPONSORS AND OUR REHABILITATION CENTRIC HEALTHCARE SYSTEM. 2. ENGAGE IN INTERDISCIPLINARY RESEARCH ACTIVITIES THAT ARE FOCUSED ON STUDYING, IMPROVING AND CREATING NEW APPROACHES TO TREATMENT THAT CAN IMPROVE THE OUTCOMES AND QUALITY OF LIFE FOR INDIVIDUALS WHO BENEFIT FROM REHABILITATION SERVICES. 3. DEVELOP AN ORGANIZATIONAL STRUCTURE AND CULTURE THAT PROMOTES EVIDENCE-BASED PRACTICE AND THE ADVANCEMENT OF REHABILITATION SCIENCE BY PROVIDING SUPPORT AND INFRASTRUCTURE TO RESEARCHERS AND MENTORSHIP TO FUTURE RESEARCHERS. 4. PROVIDE GUIDANCE AND SUPPORT TO CLINICIANS WHO WISH TO EXPLORE AND PURSUE RESEARCH RELATED ACTIVITIES. 5. CONTRIBUTE TO AN ENVIRONMENT THAT SUPPORTS AND PROMOTES INQUIRY AND CURIOSITY. ACTIVE RESEARCH PROJECTS 1. A NOVEL STRATEGY TO IMPROVE GAIT AND INCREASE FALL RELATED EFFICACY POST STROKE. 2. ADULT SPASTICITY INTERNATIONAL REGISTRY ON BOTOX TREATMENT. 3. BROOKS ACTIVE RESEARCH REGISTRY. 4. CHANGES TO PHYSICAL THERAPY AND FAMILY MEDICINE RESIDENTS' ATTITUDES AND PERCEPTIONS OF COLLABORATIVE PRACTICE DURING RESIDENCY TRAINING. 5. DEVELOPMENT OF A CLINICAL ASSESSMENT TOOL FOR THE MEASUREMENT OF WALKING ADAPTABILITY POST-STROKE. 6. MECHANISMS OF MOTOR CONTROL AND FUNCTION TO PROMOTE REHABILITATION AND RECOVERY IN INDIVIDUALS WITH LOWER LIMB INJURIES. 7. MID-THORACIC SPINE THRUST MANIPULATION FOR INDIVIDUAL'S STATUS POST CERVICAL FUSION. 8. MOTOR CONTROL AND FUNCTIONAL RECOVERY IN INDIVIDUALS WITH NEUROLOGIC IMPAIRMENTS. 9. REHABILITATION OF CORTICOSPINAL CONTROL OF WALKING FOLLOWING STROKE: -ABCS OF WALKING. -BROOKS REHABILITATION INSTITUTE OF HIGHER LEARNING BROOKS INSTITUTE OF HIGHER LEARNING (IHL) PROVIDES A COMPREHENSIVE OFFERING OF POST-PROFESSIONAL REHABILITATION EDUCATION, INCLUDING CONTINUING EDUCATION, MULTI-DISCIPLINARY RESIDENCY AND FELLOWSHIP PROGRAMS FOR THE GREATER HEALTHCARE COMMUNITY. -CONTINUING EDUCATION BROOKS 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, SPORTS, CHRONIC PAIN AND GERIATRICS. FACULTY CONSIST S 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. CURRENTLY, SPEECH LANGUAGE PATHOLOGY ONLINE COURSES EXCEED 15 IN TOTAL AND PROVIDE LEARNING OPPORTUNITIES TO SPEECH LANGUAGE PATHOLOGISTS ALL OVER THE WORLD. RESIDENCY AND FELLOWSHIP PROGRAMS BROOKS IHL OFFERS A MULTIDISCIPLINARY RESIDENCY IN NEUROLOGY (AVAILABLE TO PHYSICAL THERAPISTS AND OCCUPATIONAL THERAPISTS), FIVE PHYSICAL THERAPY RESIDENCIES IN ORTHOPEDICS, SPORTS, WOMEN'S HEALTH, GERIATRICS AND PEDIATRICS, AS WELL AS A FELLOWSHIP PROGRAM IN ORTHOPEDIC MANUAL PHYSICAL THERAPY. THERAPISTS WHO COMPLETE A CLINICAL RESIDENCY PROGRAM AND/OR CLINICAL FELLOWSHIP GENERALLY DEMONSTRATE SUPERIOR CLINICAL SKILLS, ADVANCED KNOWLEDGE IN A SPECIFIC AREA OF CLINICAL PRACTICE AND HAVE THE ABILITY TO ACT AS ADVOCATES AND EDUCATORS AMONG THEIR PEERS AND PATIENTS.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>FORM 990, PART III, LINE 4A:</FormAndLineReferenceDesc>
        <ExplanationTxt>PHYSICAL THERAPY EDUCATOR PROGRAM IN APRIL OF 2008, BROOKS ENTERED INTO A PARTNERSHIP 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 PROGRAM BROOKS 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 STUDENTS INCLUDING, BUT LIMITED TO, OCCUPATIONAL THERAPISTS, OCCUPATIONAL THERAPY ASSISTANTS, PHYSICAL THERAPISTS, PHYSICAL THERAPY ASSISTANTS, SPEECH LANGUAGE PATHOLOGISTS, RECREATIONAL THERAPISTS AND CASE MANAGERS. FORM 990, PART III, LINE 4A: BROOKS HEALTH FOUNDATION THE 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, FLORIDA. THE 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. BROOKS REHABILITATION OUTPATIENT CLINICS BROOKS 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, BALANCE CENTER AND NEURO RECOVERY CENTER. BROOKS ALSO SPECIALIZES IN PEDIATRIC REHABILITATION. IN 2015, BROOKS OPENED THE ORANGE PARK FLAGSHIP SITE, A STATE-OF-THE-ART FACILITY. 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 OUTPATIENT OFFERS WHAT FEW CAN - EXPERIENCE APPLYING THE BEST THERAPY TO ACHIEVE THE MOST COMPLETE RECOVERY POSSIBLE. SERVICES UTILIZE A COMBINATION OF EVIDENCE-BASED PRACTICE AND INNOVATIVE TECHNOLOGY TO TREAT THE MOST COMPLEX AND UNIQUE CASES. EXAMPLES INCLUDE SPORTS INJURIES, BACK PAIN, CHRONIC PAIN, BRAIN INJURY, STROKE, SPINAL CORD INJURY, ALS, DEVELOPMENTAL DISABILITY, PEDIATRIC CONDITIONS, CEREBRAL PALSY, DOWN'S SYNDROME, PARKINSON'S, MS, GENETIC DISORDERS, AMONG OTHERS. 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. BROOKS REHABILITATION OUTPATIENT COMMUNITY SERVICES: BROOKS SPORTS OUTREACH TO ENHANCE OUR COMMITMENT TO SPORTS THERAPY, BROOKS HAS BECOME THE OFFICIAL REHABILITATION PROVIDER FOR THE UNIVERSITY OF NORTH FLORIDA'S ATHLETIC PROGRAM. ATHLETES CAN BE TREATED AT OUR CENTER OF SPORTS THERAPY OR OTHER CONVENIENT CLINIC LOCATIONS. BROOKS ALSO OFFERS EDUCATIONAL PROGRAMS TO TEACH ATHLETES ON HOW THEY CAN REDUCE THEIR CHANCES OF INJURY. BROOKS OUTPATIENT TRANSPORTATION TRANSPORTATION IS PROVIDED TO PATIENTS WITH DISABILITIES TO AND FROM OUTPATIENT CENTERS FOR THOSE WHO QUALIFY FOR CHARITY CARE. THIS PROGRAM IS FUNDED BY BROOKS COMMUNITY HEALTH. PATIENT PROVIDERS CAN SCHEDULE TRANSPORTATION FOR PATIENTS WHO NEED TO RECEIVE TREATMENT OR WHO ARE BEING REFERRED TO OTHER SERVICES FIVE DAYS A WEEK. JACKSONVILLE SPORTS MEDICINE BROOKS, WOLFSON CHILDREN'S HOSPITAL, NEMOURS CHILDREN'S HOSPITAL AND SEVERAL ORTHOPEDIC SURGEONS HAVE PARTNERED TOGETHER TO PROVIDE FUNDING FOR STAFF, SUPPORT SERVICES AND THE FACILITATION OF SPORTS MEDICINE TO SEVERAL HIGH SCHOOLS. THIS PARTNERSHIP SERVES THE DUVAL COUNTY SCHOOL SYSTEM. IN ADDITION, FREE SPORTS PHYSICALS ARE OFFERED TO HUNDREDS OF PUBLIC SCHOOL ATHLETES TO INCREASE INJURY PREVENTION. EDUCATION AND TRAINING ARE ALSO PROVIDED TO SCHOOL COACHES AND EDUCATORS. IN 2016, THE BROOKS REHABILITATION OUTPATIENT NETWORK HAD APPROXIMATELY 292,000 PATIENT VISITS WITH over 1 million UNITS OF SERVICE. FOR MORE INFORMATION, VISIT BROOKS OUTPATIENT THERAPY 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 2016 INCLUDE: ALZHEIMER'S ASSOCIATION AMERICAN CANCER SOCIETY American Heart Association American Red Cross ART &amp; ANTIQUES SHOW SPONSORSHIP ARTHRITIS FOUNDATION BAPTIST HEALTH Bethune-Cookman University Body and Soul Art of Healing CAF CNL Community Hospice of Northeast Florida CORKS &amp; FORKS CUMMER MUSEUM OF ARTS &amp; GARDENS DELICIOUS DESTINATIONS Dreams Come True EPIC Community Services Flagler Healthcare Foundation FRIENDS OF ELDERSOURCE Gateway Community Services Gateway Girl Scout Council GOLF TOURNAMENT HOPE AT HAND Hope Therapy Humane Society of St. Lucie HUMANITARIAN AWARDS DINNER Independent Living Resource Center JAX CHAMBER USA Jacksonville Children's Chorus Jacksonville Community Council JDRF Jacksonville Sports Medicine Jacksonville Symphony Orchestra Junior Achievement of North Florida Juvenile diabetes Research Foundation K-9 for Warriors Kid's Chance of Florida L'Arche Harbor House March of Dimes Foundation MILITARY APPRECIATION LUNCHEON Morocco Shrine Circus Fund NATIONAL MULTIPLE SCLEROSIS ONE JAX Institute Reflex Sympathetic Dystrophy Ronald McDonald House Rotary Foundation Samuel C. 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          <BusinessNameLine1Txt>BROOKS SKILLED NURSING FACILITY HOLDINGS A INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>BROOKS HOME CARE ADVANTAGE INC</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>GENESIS HEALTH FOUNDATION</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>BROOKS SKILLED NURSING INC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS HEALTH DEVELOPMENT INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>GENESIS REHABILITATION HOSPITAL INC</BusinessNameLine1Txt>
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      <TransactionsRelatedOrgGrp>
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          <BusinessNameLine1Txt>PHYSICAL MEDICINE SPECIALISTS INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>379982</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS HOME CARE ADVANTAGE INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
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        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
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        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING FACILITY A INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
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        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS REHABILITATION CLINICAL RESEARCH</BusinessNameLine1Txt>
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        <TransactionTypeTxt>L</TransactionTypeTxt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>HB REHABILIATION SERVICES INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>L</TransactionTypeTxt>
        <InvolvedAmt>820981</InvolvedAmt>
        <MethodOfAmountDeterminationTxt>INTERCO. ALLOCATION</MethodOfAmountDeterminationTxt>
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      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>BROOKS SKILLED NURSING FACILITY A INC</BusinessNameLine1Txt>
        </OtherOrganizationName>
        <TransactionTypeTxt>B</TransactionTypeTxt>
        <InvolvedAmt>91123</InvolvedAmt>
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      </TransactionsRelatedOrgGrp>
      <TransactionsRelatedOrgGrp>
        <OtherOrganizationName>
          <BusinessNameLine1Txt>THE GENESIS HEALTH FOUNDAITON INC</BusinessNameLine1Txt>
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        <MethodOfAmountDeterminationTxt>GRANT</MethodOfAmountDeterminationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART III:</FormAndLineReferenceDesc>
        <ExplanationTxt>GENESIS HEALTH, INC. OWNES 100% OF THE ST. AUGUSTINE MOB, LTD. PARTNERSHIP INDIRECTLY THROUGH ITS OWNERSHIP OF TWO SEPARATE ENTITIES TREATED AS CORPORATIONS.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>SCHEDULE R, PART IV:</FormAndLineReferenceDesc>
        <ExplanationTxt>ALL CORPORATIONS LISTED ON SCHEDULE R, PART IV ARE CONSOLIDATED FOR FEDERAL INCOME TAX PURPOSES. GH HOLDINGS, INC. ACTS AS THE CORPORATE PARENT FOR THE GROUP, AND ALL APPLICABLE INCOME AND DEDUCTION ITEMS ARE ELIMINATED IN CONSOLIDATION. AMOUNTS PRESENTED ON PART IV ARE SHOWN PRE-CONSOLIDATION.</ExplanationTxt>
      </SupplementalInformationDetail>
    </IRS990ScheduleR>
  </ReturnData>
</Return>