2014-11-03T13:53:18-06:00 2013-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2013-01-01 593284221 GENESIS REHABILITATION HOSPITAL INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 JAMES HARDISON TREASURER 9043457600 2014-10-28 1 AMY BIBBY P00445891 8282542254 2013 2015-11-30 17:44:51Z BROOKS REHABILITATION HOSPITAL DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 81720264 0 X WWW.BROOKSREHAB.ORG X 1994 FL OPERATION OF REHABILITATION HOSPITAL AND CLINICS IN JACKSONVILLE, FL AND SURROUNDING AREAS 15 11 1005 0 0 0 0 0 76661274 78826307 3573898 2650782 233825 243175 80468997 81720264 6000 6000 0 0 38683300 39222175 0 0 0 33593464 36149073 72282764 75377248 8186233 6343016 103454353 108503468 61622422 60738026 41831931 47765442 X TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 0 0 60996374 6000 78826526 GENESIS REHABILITATION HOSPITAL, INC. (DOING BUSINESS AS BROOKS REHABILITATION HOSPITAL) INCLUDES A FREE-STANDING REHABILITATION FACILITY LICENSED FOR 157 BEDS. THE HOSPITAL IS DEDICATED TO TREATING ADULTS AND CHILDREN WITH BRAIN INJURY, STROKE, SPINAL CORD INJURY, HIP FRACTURE, COMPREHENSIVE ORTHOPEDIC PROBLEMS AND OTHER DISABLING CONDITIONS. BROOKS REHABILITATION HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) AND "CARF", THE REHABILITATION ACCREDITATION COMMISSION. THE HOSPITAL IS ONE OF FLORIDA'S ONLY TWO STATE DESIGNATED TREATMENT FACILITIES FOR BRAIN AND SPINAL CORD INJURY FOR CHILDREN AND ADULTS. 60996374 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 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 58 0 1 1005 1 0 0 0 0 0 0 0 0 0 0 X 15 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DOUGLAS M BAER 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 X BRUCE M JOHNSON CHAIRMAN 2.00 4.00 X X 0 20800 0 ERNEST N BRODSKY VICE CHAIR 2.00 2.00 X X 0 24000 0 STANLEY W CARTER SECRETARY 2.00 2.00 X X 0 6118 0 PAMELA S CHALLY PHD BOARD MEMBER 2.00 2.00 X 0 18441 0 CONNIE PRUDENCIO MD BOARD MEMBER 2.00 X 0 0 0 LEE LOMAX BOARD MEMBER 2.00 2.00 X 0 0 8765 TREVOR PARIS MD BOARD MEMBER (SEE SCH. O) 2.00 38.00 X 0 332882 48616 GARY SNEED BOARD MEMBER 8.00 32.00 X 0 35917 0 LYNNE SNEED BOARD MEMBER 2.00 X 0 0 0 FORREST TRAVIS BOARD MEMBER 2.00 2.00 X 0 18600 0 LISA PALMER BOARD MEMBER 2.00 X 0 0 0 ERIC MANN BOARD MEMBER 2.00 X 0 0 0 MICHAEL SPIGEL PRESIDENT 2.00 38.00 X X 0 377634 49418 DOUGLAS M BAER CEO, INTERIM CFO 8.00 32.00 X X 0 481112 77349 PATRICIA DEBEAR HOSP. ADMIN/ SVP 20.00 20.00 X X 0 242684 34075 KERRY MAHER MD DIR. OF MEDICAL ADMISSIONS 40.00 X 220471 0 35220 JOANNE HOERTZ VP OF NURSING & SUPPORT 40.00 X 173379 0 13157 RUSSELL ADDEO DIR. OF BEHAVIORAL MEDICINE 40.00 X 147309 0 21949 VIRGIL WITTMER EXEC. DIR OF BMM 40.00 X 142302 0 19773 CYNTHIA L BEAULIEU DIR. OF CLINICAL INFO 40.00 X 123266 0 24004 DRUSILLA LOVECKY DIR. OF PROGRAM - STROKE 40.00 X 105096 0 37037 EMILY DUNN DIR. ACUTE REHAB PROGRAM 40.00 X 108696 0 31149 1020519 1558188 400512 8 0 1 0 MEMORIAL HOSPITAL OF JACKSONVILLE PO BOX 19055 JACKSONVILLE FL 32245 SUPPORT SERVICES 2365647 ROGERS TOWERS 1301 RIVERPLACE BLVD 1500 JACKSONVILLE FL 32207 LEGAL SERVICES 653651 JACKSONVILLE MEDICAL PLAZA LLC 2372 MOMENTUM PLACE CHICAGO IL 60689 LEASING SERVICES 220142 ALLCRIPTS LLC 24630 NETWORK PLACE CHICAGO IL 60673 SUPPORT SERVICES 205091 DIXON HUGHES GOODMAN LLP PO BOX 602828 CHARLOTTE NC 28260 AUDIT AND TAX SERVICES 196381 5 X NET PATIENT SERVICE 621400 76417169 76417169 OTHER PATIENT SERVICE 900099 1815461 1815461 SPEECH THERAPY 621400 593677 593677 78826307 2421819 2421819 227567 227567 219 0 219 219 219 1396 0 1396 1396 1396 OTHER REVENUE 900099 242956 242956 242956 81720264 78826526 0 2893738 X 6000 6000 442228 221114 221114 29027590 27979266 1048324 1256228 1224272 31956 6215348 6040629 174719 2280781 2244078 36703 83789 83789 39996 39996 11779504 11630315 149189 91943 71244 20699 2919378 2308548 610830 2335 1868 467 1361919 1359494 2425 118185 101029 17156 170175 109007 61168 2319165 2319165 2911601 2831831 79770 540239 540239 AFFILIATE MGMT FEE 8909436 8909436 OVERHEAD ALLOCATIONS 3462301 3462301 MEDICAL SUPPLIES 994091 994091 BAD DEBT 389117 389117 55899 22170 33729 75377248 60996374 14380874 0 X 1287965 788720 7716263 7881453 79985 80390 408775 673814 64970024 43268402 23030112 21701622 7784036 6868711 62379840 69913136 157549 123175 609828 472447 103454353 108503468 9782517 9075926 50614262 49851727 1225643 1810373 61622422 60738026 X 41831931 47765442 41831931 47765442 103454353 108503468 X 6343016 -409505 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 6334 6334 0 PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF VARIOUS HEALTHCARE ORGANIZATIONS, INCLUDING PRIMARILY THE FLORIDA HOSPITAL ASSOCIATION AND AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA), 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 27317696 16118347 11199349 37070311 27150055 9920256 301358 301358 21701622 NET DUE FROM AFFILIATES 69913136 C 69913136 LONG-TERM SWAP VALUATION LIABILITY 1275487 SWAP VALUATION LIABILITY 125587 ESTIMATED 3RD PARTY SETTLEMENTS 409299 1810373 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 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. 1 1 X 1 X 1 X 1 1 0 1 1 2715825 2715825 0.03620 7535523 5307887 2227636 0.02970 10251348 5307887 4943461 0.06590 10251348 5307887 4943461 0.06590 1 389117 389117 45484826 34475662 11009164 X 1 1 1 1 BROOKS REHABILITATION HOSPITAL 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 X INPATIENT REHAB FACILITY BROOKS REHABILITATION HOSPITAL 1 1 X X X X X X X X X 12 1 1 1 X X X X X X X X X 0 0 0 1 200.000000000000 1 400.000000000000 1 X X X X 1 1 X 1 0 0 X X 0 0 BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 3: THE PROCESS INCLUDED DATA FROM THE FOLLOWING SOURCES: -A SURVEY ADMINISTERED TO HOUSEHOLDS IN THE SERVICE AREA -FOCUS GROUPS AND ROUNDTABLE DISCUSSIONS -CLAY COUNTY HEALTH DEPARTMENT -DUVAL COUNTY HEALTH DEPARTMENT -NASSAU COUNTY HEALTH DEPARTMENT -PUTNAM COUNTY HEALTH DEPARTMENT -FLORIDA MEDICAL QUALITY ASSURANCE MEDICARE CLAIM DATA -ELDERSOURCE'S AREA SERVICE NEEDS ASSESSMENT -ER AND ADMISSION RATES FOR YOUTH SPORTS-RELATED CONCUSSIONS REPORT -FLORIDA YOUTH RISK BEHAVIOR SURVEY -THE FLORIDA DEPARTMENT OF HEALTH'S STATE HEALTH IMPROVEMENT PLAN -HOSPITAL CHARITY CARE DATA BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 4: BAPTIST HEALTH, SHANDS JACKSONVILLE MEDICAL CENTER, ST. VINCENT'S HEALTHCARE, AND WOLFSON CHILDREN'S HOSPITAL. BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 7: THE HOSPITAL FACILITY CHOSE TO FOCUS ON THE FOLLOWING HEALTH NEEDS:PHYSICAL ACTIVITYSTROKEMENTAL HEALTH/DEPRESSIONHEAD AND SPINAL CORD INJURY BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 19D: BROOKS REHABILITATION HOSPITAL IS A SUB ACUTE CARE FACILITY AND DOES NOT HAVE EMERGENCY FACILITIES. PART V, SECTION B, LINE 7: COMMUNITY NEEDS ASSESSMENT PRIORITIES/GOALS/OBJECTIVES HEALTH PRIORITY - PHYSICAL ACTIVITYGOAL: ENCOURAGE PEOPLE WITH DISABILITIES TO ADOPT A HEALTHY, ACTIVE LIFESTYLEOBJECTIVE: BY 2015, INCREASE THE NUMBER OF SPORTS, RECREATION AND EXERCISE ACTIVITIES EACH PROGRAM PARTICIPANT ATTENDS BY 10%STRATEGY: PROVIDE ADAPTIVE SPORTS AND RECREATION ACTIVITIES TO THE COMMUNITY THROUGH BROOKS ADAPTIVE SPORTS AND RECREATION PROGRAMINCLUDES ADAPTIVE RUGBY, ADAPTIVE ROWING, ADAPTIVE SURFING, HORSEBACK RIDING, ADAPTIVE TENNIS, ADAPTIVE GOLF, HANDCYCLING, WHEELCHAIR BASKETBALL, ADAPTIVE WATERSKIING AND OTHER RECREATIONAL ACTIVITIESSTRATEGY: PROVIDE AN EXERCISE COMPONENT TO BROOKS BRAIN INJURY CLUBHOUSE PROGRAM. INCLUDES REGULAR EXERCISE CLASSES DURING THE PROGRAM DAY.TRANSPORT MEMBERS TO SPECIAL YMCA ACTIVITIESSTRATEGY: PROVIDE A STROKE WELLNESS PROGRAM THAT INCLUDES REGULAR EXERCISE OPPORTUNITIES WITH SPECIALIZED EQUIPMENT FOR STROKE SURVIVORS IN THE COMMUNITY.PROCESS EVALUATION/MEASURE OF SUCCESSEACH MEMBER AND THEIR ATTENDANCE AT ACTIVITIES WILL BE TRACKED THROUGH SHAPE.NET, A DATA BASE THAT RECORDS INDIVIDUAL PARTICIPATION IN PROGRAM ACTIVITIES HEALTH PRIORITY STROKEGOAL PROVIDE STROKE SURVIVORS THE BENEFITS OF AN ACTIVE LIFESTYLE THROUGH OUR STROKE WELLNESS PROGRAM WHICH HAS SECONDARY BENEFITS OF DECREASED FALLS, PREVENTION OF 2ND STROKE, INCREASED MOBILITY WEIGHT CONTROL, AND BETTER MENTAL HEALTH.OBJECTIVE BY 2015, INCREASE THE NUMBER OF PEOPLE WHO ARE SERVED THROUGH OUR STROKE WELLNESS PROGRAMS BY 100%STRATEGY : COMMUNITY EDUCATION ACTIVITIES INCLUDING ANNUAL CELEBRATE INDEPENDENCE EVENT, PRESENTATIONS BY STROKE STAFF MEMBERS AT VARIOUS COMMUNITY EVENTS AND HEALTH FAIRSSTRATEGY: RECOMMENDATIONS FOR PARTICIPATION IN STROKE WELLNESS PROGRAM BY PATIENT DISCHARGE PLANNING TEAMSTRATEGY: PROMOTE REFERRALS FROM AREA HEALTHCARE PROFESSIONALSSTRATEGY: IDENTIFY PROSPECTIVE PARTICIPANTS THROUGH CARETRACKER PROGRAM THAT FOLLOWS HIGH RISK STROKE SURVIVORS POST DISCHARGE. PROCESS EVALUATION/MEASURE OF SUCCESS: RECORD THE LEVEL OF PARTICIPATIONHEALTH PRIORITY MENTAL HEALTH/DEPRESSIONGOAL: IMPROVE QUALITY OF LIFE FOR PEOPLE LIVING WITH DISABILITIESOBJECTIVES: IMPROVE THE QUALITY OF LIFE FOR PEOPLE WITH DISABILITIES WHO PARTICIPATE IN BROOKS COMMUNITY BASED PROGRAMS. SPECIFICS WILL BE DEVELOPED WHEN QUALITY OF LIFE MEASUREMENT TOOL HAS BEEN DETERMINED.STRATEGY: PROVIDE PURPOSE OF LIFE OPPORTUNITIES FOR SURVIVORS OF BRAIN INJURY THROUGH BROOKS CLUBHOUSESTRATEGY: PROVIDE ADAPTIVE SPORTS AND RECREATION PROGRAMS TO THE DISABILITY COMMUNITYSTRATEGY: PROVIDE WELLNESS AND EXERCISE PROGRAMS TO BRAIN INJURY SURVIVORS THROUGH BI WELLNESS PROGRAMSTRATEGY: PROVIDE WELLNESS AND EXERCISE PROGRAMS TO STROKE SURVIVORS THROUGH STROKE WELLNESS PROGRAMEVALUATION PROCESS/MEASURE OF SUCCESS: WORK WITH OTHER REHAB PROGRAMS AND PROFESSIONALS TO IDENTIFY/DEVELOP A QUALITY OF LIFE MEASUREMENT TOOL THAT CAN BE USED ACROSS THE SYSTEM TO EFFECTIVELY MEASURE THE IMPROVEMENTS IN EACH PARTICIPANT'S PERSPECTIVE ON THEIR QUALITY OF LIFE. HEALTH PRIORITY HEAD AND SPINAL CORD INJURYGOAL: IMPROVE THE HEALTH AND WELLNESS OF PEOPLE LIVING WITH ACQUIRED BRAIN AND SPINAL CORD INJURIES IN THE COMMUNITY BY ENCOURAGING SURVIVORS TO ADOPT A HEALTHY LIFESTYLEOBJECTIVE: BY 2015, INCREASE THE NUMBER OF PEOPLE WITH BI AND SCI WHO PARTICIPATE IN THE BROOKS COMMUNITY BASED BRAIN INJURY AND ADAPTIVE SPORTS AND RECREATION PROGRAMS BY 100%STRATEGY: PROVIDE PURPOSE OF LIFE AND WELLNESS OPPORTUNITIES FOR BROOKS BRAIN INJURY CLUBHOUSE PROGRAM MEMBERS. STRATEGY: OFFER VARIOUS ADAPTIVE SPORTS AND RECREATION PROGRAMS TO THE COMMUNITY, INCLUDING STROKE WELLNESS AND BRAIN INJURY WELLNESS PROGRAMS.STRATEGY: SUPPORT AND PROMOTE SPINAL CORD AND BRAIN INJURY SUPPORT GROUPSEVALUATION PROCESS/MEASURE OF SUCCESS TRACK THE NUMBER OF UNIQUE MEMBERS AND THE NUMBER OF TIMES EACH PERSON ATTENDS AN ACTIVITY THROUGH SHAPE.NET DATA BASE. 12 HEALTH CARE PLAZA OUTPATIENT CLINIC 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 PHYSICAL, OCCUPATIONAL, COGNITIVE THERAPY ORANGE PARK OUTPATIENT CLINIC 550 WELLS RD 4 ORANGE PARK FL 32073 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY SAN PABLO CLINIC 14286 BEACH BLVD SUITE 34 JACKSONVILLE FL 32250 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY MANDARIN OUTPATIENT CLINIC 11701 SAN JOSE BLVD 210 JACKSONVILLE FL 32223 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY ST AUGUSTINE OUTPATIENT CLINIC 190 SOUTHPARK BLVD 100 ST AUGUSTINE FL 32086 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY WESTSIDE OUTPATIENT CLINIC 7749 NORMANDY CROSSING JACKSONVILLE FL 32221 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY CENTER FOR SPORTS THERAPY AT YMCA 10423 CENTURION PKWY NORTH JACKSONVILLE FL 32256 PHYSICAL, ACQUATIC, SPORTS THERAPY NORTHSIDE OUTPATIENT CLINIC 320 DUNDAS DR 8 JACKSONVILLE FL 32218 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY BROOKS BEHAVIORAL MEDICINE 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 COGNITIVE & PAIN THERAPIES, MEDICAL PSYCH, NEURO DAY TREATMENT, BIOFEEDBACK JOHNS CREEK PEDIATRIC OUTPATIENT CLINIC 111 NATURE WALK PKWY ST AUGUSTINE FL 32092 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY ST AUGUSTINE PEDIATRIC OUTPATIENT CLINIC 190 SOUTHPARK BLVD 102 ST AUGUSTINE FL 32086 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY 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 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 FEDERAL POVERTY THRESHOLD. PART I, LINE 7: WORKSHEET 2 OF THE 2013 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 $389,117 THAT HAS BEEN EXCLUDED FROM THE CALCULATION OF PERCENT OF TOTAL EXPENSE ON LINE 7, COL (F). PART III, LINE 2: BAD DEBT REPORTED ON PART III, LINE 2 IS REPORTED AT GROSS CHARGES. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT, ALLOWANCE FOR DOUBTFUL ACCOUNTS, OR ACCOUNTS RECEIVABLE. PART III, LINE 3: AMOUNTS PRESENTED ON PART III, LINE 3 AS BAD DEBTS ATTRIBUTABLE TO COMMUNITY BENEFIT ARE WRITE-OFFS TO MEDICAID PAYORS. 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'S FINANCIAL 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 STRATEGY THAT WAS SET IN MOTION IN 2013. 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, FLORIDA. OUR PATIENTS PRIMARILY TRANSFER FROM ONE OF SEVEN ACUTE CARE FACILITIES, HOWEVER, ANNUALLY PATIENTS COME FROM HOSPITALS ALL OVER NORTH CENTRAL FLORIDA AND SOUTHEAST GEORGIA. IN ADDITION, ADMISSIONS COME FROM SKILLED NURSING FACILITIES WITHIN THE SAME REGION. THE JACKSONVILLE COMMUNITY COUNCIL, INC. ACCORDING TO COUNTY HEALTH RANKINGS, THE UNEMPLOYMENT RATE FOR DUVALL COUNTY, WHICH JACKSONVILLE IS LOCATED IN, IS 10.6%. THE UNINSURED PERCENTAGE IS 19%. THE MEDIAN HOUSEHOLD INCOME IS $45,995. 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 DESGINED TO MEET THE NEEDS OF THE COMMUNITY. DETAIL INFORMATION REGARDING THESE SPECIFIC PROGRAMS IS DESCRIBED ON THIS SCHEDULE AND CAN ALSO BE FOUND ON THE ORGANIZATION'S WEBSITE. PART VI, SUPPLEMENTAL INFORMATION: BROOKS HEALTH SYSTEM (BROOKS REHABILITATION) HAS A LONG-STANDING TRADITION OF PROVIDING QUALITY INPATIENT AND OUTPATIENT REHABILITATION CARE TO THE SOUTHEAST. AS A NON-PROFIT HEALTH SYSTEM, WE ARE DEDICATED TO MEETING THE NEEDS AND IMPROVING THE HEALTH OF OUR COMMUNITY. THIS ROLE SERVES AS THE FOUNDATION FOR EVERYTHING WE DO AS EXPRESSED IN OUR MISSION, "TO EMPOWER PEOPLE TO ACHIEVE THEIR HIGHEST LEVEL OF RECOVERY AND PARTICIPATION IN LIFE THROUGH EXCELLENCE IN REHABILITATION." COMMUNITY MEMBERS BENEFIT DAILY FROM THE SERVICES AND CARE THAT BROOKS REHABILITATION PROVIDES. WHETHER IT IS THROUGH CHARITY CARE, SPONSORING A DIVERSE ADAPTIVE SPORTS AND RECREATION PROGRAM, OR OFFERING FREE CONTINUING EDUCATION TO HEALTHCARE PROFESSIONALS, BROOKS IS ALWAYS WORKING TO IMPROVE ACCESS TO QUALITY HEALTHCARE IN THE COMMUNITIES WE SERVE. WE BELIEVE COMMUNITY PARTICIPATION IS FUNDAMENTAL TO OUR MISSION AND OUR EMPLOYEES SHARE THIS SENTIMENT. WHILE OUR CARE SETTINGS PROVIDE COMMUNITY BENEFIT EACH AND EVERY DAY, BROOKS' IMPACT REACHES FAR BEYOND ITS WALLS THROUGH COMMUNITY PARTNERSHIPS, RESEARCH, TRAINING AND EDUCATION AND COMMUNITY HEALTH PROGRAMMING. 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, INC. [26-4561148] * BROOKS SKILLED NURSING FACILITY A, INC. [27-2153586] * BROOOK SKILLED NURSING FACILITY HOLDINGS A, INC. [27-2187557] * BROOKS REHABILITATION CLINICAL RESEARCH CENTER, INC. [45-2094888] I. GENERAL INFORMATION OUR HISTORYFOR MORE THAN 35 YEARS, BROOKS HAS PROVIDED COMPREHENSIVE REHABILITATION SERVICES IN THE SOUTHEAST. OUR POST-ACUTE SYSTEM OF CARE IS DESIGNED TO MEET EVERY REHABILITATION NEED FROM SPORTS INJURIES, WORK-RELATED INJURIES, AND ORTHOPEDIC POST-SURGICAL RECOVERY TO MORE COMPLEX MEDICAL ISSUES SUCH BRAIN AND SPINAL CORD INJURIES AND STROKE. BROOKS REHABILITATION INCLUDES ONE OF THE LARGEST REHABILITATION HOSPITAL IN THE COUNTRY WITH 157 BEDS, SKILLED NURSING, A HOME HEALTH AGENCY, OVER 25 OUTPATIENT CLINICS, A PHYSICIAN PRACTICE GROUP, AND A RESEARCH GROUP WITH OVER 20 ACTIVE CLINICAL TRIALS. BROOKS REHABILITATION HOSPITALBROOKS REHABILITATION HOSPITAL IS A FREE-STANDING REHABILITATION FACILITY WITH 157 LICENSED BEDS. THE HOSPITAL IS DEDICATED TO TREATING ADULTS AND CHILDREN WITH BRAIN INJURY, STROKE, SPINAL CORD INJURY, HIP FRACTURE, COMPREHENSIVE ORTHOPEDIC PROBLEMS AND OTHER DISABLING CONDITIONS. BROOKS REHABILITATION HOSPITAL IS ACCREDITED BY THE JOINT COMMISSION ON ACCREDITATION OF HEALTHCARE ORGANIZATIONS (JCAHO) AND CARF, THE REHABILITATION ACCREDITATION COMMISSION. THE HOSPITAL IS ONE OF FLORIDA'S ONLY STATE-DESIGNATED TREATMENT FACILITIES FOR BRAIN AND SPINAL CORD INJURY FOR CHILDREN AND ADULTS. PART VI, SUPPLEMENTAL INFORMATION: BROOKS BARTRAM CROSSING IN 2013, BROOKS OPENED BARTRAM CROSSING, A 100-BED SKILLED NURSING FACILITY IN SOUTH JACKSONVILLE. BARTRAM CROSSING FOCUSES ON PROVIDING SHORT-STAY REHABILITATION THROUGH PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. NURSING CARE IS ALSO PROVIDED TO THE LEVEL REQUIRED BY EACH INDIVIDUAL GUEST. THIS CAMPUS ALSO OFFERS ASSISTED LIVING AND MEMORY CARE. BROOKS HOME CAREBROOKS HOME CARE OFFERS A FULL SPECTRUM OF SKILLED NURSING AND REHABILITATION OPTIONS FOR WITH CONTINUED HEALTH CARE NEEDS IN THE HOME. SERVICES INCLUDE SKILLED NURSING CARE, PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, INFUSION THERAPY, AND WOUND CARE.BROOKS OUTPATIENT REHABILITATION BY THE END OF 2013, BROOKS HAD 26 OUTPATIENT CLINICS THROUGHOUT NORTH AND CENTRAL FLORIDA. THESE CLINICS OFFER PATIENTS OF ALL AGES A RANGE OF SERVICES, INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH-LANGUAGE, AND COGNITIVE THERAPIES. SPECIALIZED PROGRAMS AND DAY TREATMENT PROGRAMS ARE ALSO AVAILABLE FOR CHRONIC PAIN, SPORTS INJURIES, BRAIN INJURY AND STROKE, WOMEN'S HEALTH, BALANCE, BACK AND NECK PAIN AND INDUSTRIAL REHABILITATION.BROOKS REHABILITATION MEDICAL GROUP BROOKS' NON-PROFIT PHYSICIAN GROUP IS COMPOSED OF 11 CREDENTIALED SPECIALISTS IN REHABILITATION MEDICINE (PHYSIATRISTS). THE GROUP WAS ESTABLISHED TO PROVIDE OUTPATIENT PHYSICIAN SERVICES TO PATIENTS REQUIRING THIS SPECIALIZED CARE. THESE PHYSICIANS ENGAGE IN DIRECT PATIENT CARE IN THE HOSPITAL AND OUTPATIENT, PROVIDE MEDICAL EDUCATION TO RESIDENTS FROM UNIVERSITY OF FLORIDA AND EDUCATION TO THE MEDICAL COMMUNITY AND THE COMMUNITY AT LARGE.BROOKS CLINICAL RESEARCH CENTERSINCE ITS INCEPTION IN 1999, BROOKS' HAS PARTNERED WITH VARIOUS ACADEMIC INSTITUTIONS TO ADVANCE THE SCIENCE OF REHABILITATION FOR THE COMMUNITY AT LARGE. WE HAVE CONDUCTED OVER 20 CLINICAL RESEARCH TRIALS ON INNOVATIVE AND ADVANCED TREATMENTS AND TECHNOLOGIES TO IMPROVE OUR PATIENT'S QUALITY OF CARE AND HELPS MAXIMIZE THEIR PHYSICAL FUNCTION. THIS ALSO INCREASES BROOKS' ABILITY TO ADVOCATE FOR AND EXPAND ACCESS TO CARE FOR THOSE WITH DISABILITIES. PART VI, SUPPLEMENTAL INFORMATION: II. QUALITY CARE PROVIDED TO PATIENTSBROOKS TAKES GREAT PRIDE IN THE QUALITY CARE WE OFFER OUR PATIENTS EACH YEAR AS ILLUSTRATED IN OUR CLINICAL OUTCOMES AND PATIENT SATISFACTION SCORES. IN 2013:-BROOKS HOSPITAL RETURNED 80% OF PATIENTS BACK TO THE COMMUNITY, WHICH IS MORE THAN OTHER REHABILITATION HOSPITALS NATIONALLY.-PATIENTS IN BROOKS HOSPITAL GAVE AN OVERALL RATING FOR CARE THEY RECEIVED DURING THEIR STAY OF 94.3, AND A 95 RATING FOR LIKELIHOOD OF RECOMMENDING THE BROOKS HOSPITAL TO OTHERS. -IN BROOKS HOME CARE, 82% OF PATIENTS WOULD RECOMMEND BROOKS TO FRIENDS AND FAMILY, COMPARED WITH 79% IN FL-IN BROOKS OUTPATIENT, CUSTOMER SATISFACTION ACROSS ALL CLINICS WAS 93.9, COMPARED TO A 93 GOAL. SOURCE: PATIENT SATISFACTION AS MEASURED BY THE PRESS GANEY PATIENT SATISFACTION SURVEY 2013.III. COMMUNITY BENEFIT PROVIDED IN 2013 BROOKS IS A RESOURCE FOR IMPROVING THE QUALITY-OF-LIFE FOR THOSE LIVING WITH DISABILITIES AND REDUCING THE RISK OF PHYSICAL DISABILITY THROUGH ADVOCACY, AWARENESS, EDUCATION, RESEARCH, AND REHABILITATION SERVICES. PROGRAMS UNDER COMMUNITY BENEFIT INCLUDE: (A) CHARITY, UNDERINSURED AND UNINSURED CARE; (B) RESEARCH; (C) COMMUNITY HEALTH PROGRAMS AND SERVICES; AND (D) EDUCATION PROGRAMS FOR HEALTHCARE PROFESSIONALS. A) CHARITY, UNDERINSURED AND UNINSURED CARE $4,624,981BROOKS REHABILITATION HAS CONTINUED TO INCREASE THE AMOUNT OF FREE CARE TO CHARITY, UNDERINSURED AND UNINSURED PATIENTS EACH YEAR. IN 2013, BROOKS PROVIDED $1,488,687 OF FREE CARE (AT COST) IN THE HOSPITAL, WHICH WAS EQUIVALENT TO 1137 PATIENT DAYS. CHARITY AND OTHER FREE CARE PROVIDED TO OUTPATIENT'S VISITS WERE EQUIVALENT TO $216,914 IN COSTS. ADDITIONAL CHARITY PROVIDED BY BROOKS HOME CARE ADVANTAGE WAS EQUIVALENT TO $193,713 IN COSTS. BROOKS PROVIDES FREE CARE TO MEDICALLY AND FINANCIALLY QUALIFIED CHARITY, UNINSURED, AND UNDERINSURED PATIENTS FALLING BELOW 400% OF THE FEDERAL POVERTY INCOME GUIDELINES. BROOKS ALSO PROVIDES FREE CARE TO PATIENTS WHOSE CHARGES FOR CARE ARE CATASTROPHIC. THIS IS DEFINED AS CHARGES THAT EXCEED 25% OF THE FEDERAL POVERTY THRESHOLD. IN ADDITION, STAFF PROVIDES FUNDING FOR THE NEEDS OF CHARITY PATIENTS THROUGH THEIR PERSONAL DONATIONS. IN 2013, BROOKS' EMPLOYEES DONATED TO A FUND WHICH PROVIDED $85,887 IN FREE AND MEDICALLY NECESSARY EQUIPMENT, MEDICATIONS, WHEELCHAIR RAMPS, AND OTHER MINOR EXPENDITURES NEEDED BY PATIENTS TO RETURN HOME. BROOKS ALSO PROVIDES CARE TO MEDICAID PATIENTS IN THE HOSPITAL AND OUTPATIENT CLINICS. THERE WERE 3303 MEDICAID DAYS PROVIDED IN 2013, INCLUDING 847 MEDICAID HMO DAYS. SINCE THE MEDICAID PROGRAM REIMBURSES AT A RATE SIGNIFICANTLY BELOW THE COST OF CARE, THERE WAS A NET LOSS TO BROOKS IN PROVIDING THIS CARE OF $509,677. 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 PATIENTS 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.B. RESEARCH $1,487,533 CLINICAL RESEARCH AT BROOKS REHABILITATION (2013)THE BROOKS REHABILITATION CLINICAL RESEARCH CENTER IS COMMITTED TO CONDUCTING INNOVATIVE RESEARCH THAT WILL ADVANCE THE SCIENCE OF RECOVERY AND WELLNESS FOR PEOPLE REQUIRING REHABILITATION. OUR RESEARCH ENCOMPASSES MULTIPLE AREAS OF RECOVERY, WELLNESS AND LIFE PARTICIPATION FOR INDIVIDUALS WITH NEUROLOGICAL, ORTHOPEDIC, PAIN OR AGE-RELATED DECLINE. WE SEEK TO BRIDGE THE ADVANCES MADE IN MEDICAL AND SCIENTIFIC RESEARCH TO THE APPLICATION OF CLINICAL PRACTICE AND TO IMPROVE THE QUALITY OF LIFE FUNCTIONAL OUTCOMES FOR THOSE RECOVERING FROM DISABILITY, DECLINE IN FUNCTION, AND ILLNESS. OUR KEY STRATEGIC GOALS AND OBJECTIVES FOR THE BROOKS RESEARCH PROGRAM: -CREATE A CONTEMPORARY MODEL FOR COLLABORATION AND INTERDISCIPLINARY RESEARCH BETWEEN ACADEMIC PARTNERS, RESEARCH SPONSORS, AND OUR REHABILITATION CENTRIC HEALTHCARE SYSTEM;-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-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-PROVIDE GUIDANCE AND SUPPORT TO CLINICIANS WHO WISH TO EXPLORE AND PURSUE RESEARCH RELATED ACTIVITIES-CONTRIBUTE TO AN ENVIRONMENT THAT SUPPORTS AND PROMOTES INQUIRY AND CURIOSITY OUR ACTIVE CLINICAL STUDIES DURING 2013: 1. EFFECT OF VERB STRENGTHENING TREATMENT (VNEST) ON LEXICAL RETRIEVAL IN APHASIA2. TRAUMATIC BRAIN INJURY PRACTICE BASED EVIDENCE3. THE EFFECTS OF GOAL MANAGEMENT WITH MILD TBI VETERANS4. LIFE INTERVENTION AND INDEPENDENCE FOR ELDERS (THE LIFE STUDY)5. THE FRANCE PROJECT (FALLS REDUCTION ADDRESSED BY CONTINUOUS NURSING EDUCATION)6. MECHANISMS OF GAIT VARIABILITY POST-STROKE7. VALIDATION THROUGH CONCURRENT USE OF SPIRITUAL WELLNESS ASSESSMENT WITH SPINAL CORD INJURED INPATIENTS AT THREE REHABILITATION FACILITIES8. IMPLEMENTING PSYCHOLOGICALLY INFORMED PRACTICE PRINCIPLES INTO PHYSICAL THERAPY MANAGEMENT FOR LOW BACK PAIN: EFFECTS OF CLINICIAN TRAINING & COMPARISON OF TREATMENT APPROACHES 9. A BACKWARD WALKING TRAINING PROGRAM TO IMPROVE BALANCE AND REDUCE FALLS IN ACUTE STROKE: A RANDOMIZED CONTROLLED TRIAL 10. ASSESSMENT OF WRITING IMPAIRMENTS IN PERSONS WITH APHASIA: COMPARING WRITING BY HAND TO WRITING ON A COMPUTER PART VI, SUPPLEMENTAL INFORMATION: C. COMMUNITY HEALTH PROGRAMS AND SERVICES BROOKS DEVOTES COMMUNITY HEALTH FUNDING TO PROVIDE A VARIETY OF HEALTH PREVENTION, EDUCATION, SCREENING, SUPPORT, AND COMMUNITY REINTEGRATION SERVICES THAT POSITIVELY IMPACT THE COMMUNITY. BROOKS PARTNERS WITH OTHER ORGANIZATIONS FOR PROJECT DEVELOPMENT AND IMPLEMENTATION AS DESIGNATED BY THE BOARD OF DIRECTORS. THE PROGRAMS ARE RESPONSIBLE FOR REPORTING OUTCOMES ANNUALLY TO INSURE PROGRAM OBJECTIVES ARE MET. BROOKS REVIEWS THESE PROGRAM AND PROJECT OUTCOMES TO DETERMINE IF PROGRAMS WILL CONTINUE.PARTNERSHIP SUPPORT $1,285,834BROOKS SUPPORTS NUMEROUS NONPROFITS WHOSE WORK IS STRATEGICALLY TIED TO OUR MISSION. WE PARTICIPATE IN THEIR HEALTH-RELATED ACTIVITIES, WALKS AND RUNS; CONTRIBUTE TO THEIR EDUCATIONAL EVENTS; AND PARTNER IN OFFERING NEEDED SERVICES. SOME OF THE COMMUNITY BASED ORGANIZATIONS WHO HAVE BENEFITED FROM OUR SUPPORT INCLUDE: THE INDEPENDENT LIVING RESOURCE CENTER, WHOSE FREE "LOAN CLOSET" OF NEEDED EQUIPMENT AND TOOLS FOR THE DISABLED HAS BEEN FUNDED BY BROOKS; RONALD MCDONALD HOUSE; AMERICAN CANCER SOCIETY, AMERICAN HEART ASSOCIATION, THE BRAIN INJURY ASSOCIATION OF FLORIDA, JUVENILE DIABETES RESEARCH FOUNDATION, THE ARTHRITIS FOUNDATION, MULTIPLE SCLEROSIS SOCIETY AND MANY OTHERS. BROOKS CONTINUES TO MAKE PAYMENTS ON ITS 5 YEAR COMMITMENT TO CONTRIBUTE $2.5 MILLION TO FIVE PROVIDERS' COMMUNITY BENEFIT ACTIVITIES. BROOKS ADAPTIVE SPORTS AND RECREATION PROGRAM $572,183 THE BROOKS ADAPTIVE SPORTS AND RECREATION PROGRAM ENABLES ADULTS AND CHILDREN LIVING WITH A PHYSICAL DISABILITY TO ENHANCE THEIR QUALITY OF LIFE THROUGH PARTICIPATION IN SPORTS AND RECREATIONAL ACTIVITIES. OUR MULTI-SPORT PROGRAM PROVIDES DAILY ACTIVITIES AND MONTHLY SPECIAL EVENTS TO INDIVIDUALS OF ALL AGES AND ABILITIES AT NO COST TO THE PARTICIPANTS. ADAPTIVE SPORTS INCLUDES TENNIS, WHEELCHAIR RUGBY, POWER SOCCER, INDOOR AND OUTDOOR ROWING, ARCHERY, HAND CYCLING, ARCHERY, BILLIARDS, BOWLING, YOGA, AQUATICS, AND ZUMBA. WELLNESS PROGRAMS, PROVIDED IN PARTNERSHIP WITH MULTIPLE YMCA LOCATIONS, ARE ALSO AVAILABLE TO THOSE WHO HAVE MULTIPLE SCLEROSIS, PARKINSON'S DISEASE OR WHO HAVE EXPERIENCED A STROKE OR TRAUMATIC BRAIN INJURY. SPECIAL EVENTS INCLUDE SURFING, WATER SKIING, HORSEBACK RIDING, AND MORE.BROOKS BRAIN INJURY CLUBHOUSE $250,546 BROOKS CLUBHOUSE IS A FULL-TIME DAY PROGRAM THAT PROVIDES FOR THE LONG-TERM RECOVERY NEEDS OF INDIVIDUALS WHO HAVE SUFFERED FROM AN ACQUIRED NEUROLOGICAL INJURY. IT EXPANDS THE CONTINUUM OF CARE PROVIDED BY BROOKS REHABILITATION AND SERVES AS A BRIDGE TO COMMUNITY AND VOCATIONAL RE-INTEGRATION. MEMBERS PARTICIPATE IN DAILY ACTIVITIES AND MANAGE CLUBHOUSE OPERATIONS, HELPING THEM REESTABLISH THEMSELVES IN THE COMMUNITY AND PREPARE FOR VOLUNTEER OR WORK RE-ENTRY OPPORTUNITIES.BROOKS SCHOOL RE-ENTRY PROGRAM $110,465INITIATED MANY YEARS AGO, THE BROOKS SCHOOL RE-ENTRY PROGRAM (BSRP) IS AN ONGOING PROGRAM WHICH MAXIMIZES A CHILD'S SUCCESSFUL TRANSITION BACK TO SCHOOL FOLLOWING A DISABLING ILLNESS OR INJURY AND MINIMIZES LOST ACADEMIC LEARNING WHILE IN THE INPATIENT SETTING. BSRP SERVES PATIENTS AT BOTH BRH AND BROOKS' OUTPATIENT CLINICS. BSRP ALSO ACCEPTS LIMITED COMMUNITY REFERRALS FROM LOCAL PHYSICIANS. THIS PROGRAM EMPLOYS A RE-ENTRY COORDINATOR WHO SERVES AS THE LIAISON BETWEEN BROOKS, THE SCHOOL SYSTEM, VARIOUS AGENCIES AND THE FAMILY. BSRP ALSO EMPLOYS A PART-TIME CLINICAL ASSISTANT. THE PROGRAM INCLUDES EDUCATIONAL PROGRAMS FOR CLASSMATES, SCHOOL PROFESSIONALS, AND FAMILIES TO BETTER HELP THEM UNDERSTAND THE CHALLENGES AND NEEDS OF A STUDENT TRANSITIONING BACK INTO SCHOOL AND THEIR COMMUNITY FOLLOWING A TRAUMATIC INJURY OR ILLNESS. INTERVENTIONS ARE PROVIDED AS NEEDED AND ARE DETERMINED BY THE INTERDISCIPLINARY TREATMENT TEAM FOR EACH INDIVIDUAL CHILD. IN 2013, THE PROGRAM SERVED A TOTAL OF 103 NEW PATIENTS; 98 FROM PUBLIC SCHOOLS AND 5 FROM PRIVATE SCHOOLS. THE SERVICES PROVIDED BY THIS PROGRAM IMPACTED 31 SCHOOL DISTRICTS IN 3 STATES.OTHER PROGRAMS: $377,564WELLNESS PROGRAMSRESEARCH SHOWS THAT A HEALTHY LIFESTYLE, INCLUDING EXERCISE AND GOOD NUTRITION, CAN IMPROVE THE LONG TERM HEALTH OF PEOPLE WHO HAVE SUFFERED INJURY OR DISABILITY. BROOKS REHABILITATION HAS IMPLEMENTED SEVERAL WELLNESS PROGRAMS IN COLLABORATION WITH LOCAL YMCA FACILITIES. UNDER THE GUIDANCE OF A BROOKS PHYSICAL THERAPIST AND THE WELLNESS PROGRAM STAFF, PARTICIPANTS ARE INITIALLY EVALUATED AND PROVIDED WITH THEIR OWN PERSONAL FITNESS PLAN, DESIGNED TO START WITH THE PARTICIPANTS CURRENT ABILITIES AND GRADUALLY CHANGE AS STRENGTH AND ENDURANCE IMPROVES. THE PROGRAMS OFFER A SUPERVISED ENVIRONMENT FOR PARTICIPANTS TO CONTINUE BEING ACTIVE IN AN EXERCISE PROGRAM AFTER FORMAL PHYSICAL THERAPY HAS BEEN COMPLETED, AS WELL AS THE OPPORTUNITY TO SOCIALIZE WITH OTHER SURVIVORS AND CAREGIVERS. WELLNESS PROGRAMS ARE OFFERED FOR STROKE, MULTIPLE SCLEROSIS, PARKINSON'S DISEASE, AND BRAIN INJURY. SINCE INCEPTION IN 2009, THE WELLNESS PROGRAMMING HAS EXPANDED TO VARIOUS GEOGRAPHICAL AREAS IN AND AROUND JACKSONVILLE, INCLUDING VOLUSIA COUNTY.SPORTS OUTREACH IN AN EFFORT TO ENHANCE OUR COMMITMENT TO SPORTS THERAPY, BROOKS HAS BECOME THE OFFICIAL REHABILITATION PROVIDER FOR 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 TEACHING STUDENTS HOW THEY CAN REDUCE THEIR CHANCES OF INJURY. OUTPATIENT TRANSPORTATION PATIENTS WITH DISABILITIES WHO NEED TRANSPORTATION TO AND FROM OUTPATIENT CENTERS AND WHO QUALIFY FOR CHARITY CARE, ARE PROVIDED TRANSPORTATION 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 5 DAYS A WEEK. JACKSONVILLE SPORTS MEDICINETHIS PARTNERSHIP BETWEEN WOLFSON CHILDREN'S HOSPITAL, NEMOURS CHILDREN'S HOSPITAL, BROOKS, AND MANY LEADING ORTHOPEDIC SURGEONS SERVES THE DUVAL COUNTY SCHOOL SYSTEM BY FUNDING STAFF, SUPPORT SERVICES, AND FACILITATION OF SPORTS MEDICINE TO MANY HIGH SCHOOLS. THIS PROGRAM PREVENTS INJURIES BY CONDUCTING FREE SPORTS PHYSICALS TO HUNDREDS OF PUBLIC SCHOOL ATHLETES. IT ALSO PROVIDES EDUCATION AND TRAINING FOR EDUCATORS AND COACHES AT THE SCHOOLS TO INCREASE INJURY PREVENTION ACTIVITIES SUPPORT GROUPSBROOKS RECOGNIZES THAT RECOVERY OFTEN INVOLVES PHYSICAL AND PSYCHOLOGICAL AS WELL AS EMOTIONAL COMPONENTS. COMMUNITY-BASED GROUPS PLAY A CRITICAL ROLE IN THE RE-INTEGRATION AND COMPREHENSIVE REHABILITATION OF PEOPLE LIVING WITH DISABILITIES IN NORTHEAST FLORIDA AND SOUTHEAST GEORGIA. AS A RESULT, BROOKS OFFERS OR AIDS A VARIETY OF SUPPORT GROUPS TO ASSIST CURRENT AND FORMER PATIENTS IN REGAINING THEIR ABILITY TO LEAD SUCCESSFUL, INDEPENDENT LIVES. MANY OF OUR LEADERS SERVE AS CONTACT PERSONS AND ORGANIZERS FOR THESE GROUPS. BROOKS LENDS A RANGE OF SUPPORTING RESOURCES TO THESE GROUPS, SUCH AS MEETING ROOMS, PERMANENT OFFICE SPACE, KNOWLEDGE EXPERTS, CATERING SERVICES, AND OTHER EDUCATIONAL PROGRAMMING. BROOKS CURRENTLY MAINTAINS RELATIONSHIPS WITH THE ALS SUPPORT GROUP, GATEWAY STROKE CLUB, SPINAL CORD SUPPORT GROUP OF JACKSONVILLE, PERIPHERAL NEUROPATHY SUPPORT GROUP, AND THE JACKSONVILLE BRAIN INJURY SUPPORT GROUP.CELEBRATE INDEPENDENCE TM CELEBRATE INDEPENDENCE TM IS BROOKS' ANNUAL COMMUNITY CELEBRATION FOR FORMER PATIENTS AND FAMILIES, CARETAKERS, THERAPISTS, SERVICE PROVIDERS, STUDENTS, AND OTHERS INTERESTED IN THE NEEDS OF THE PHYSICALLY DISABLED. THE EVENT SERVES TO CELEBRATE INDIVIDUAL AND COMMUNITY ACCOMPLISHMENTS, AWARD THOSE MAKING A DIFFERENCE IN THE LIVES OF PERSONS WITH DISABILITIES, AND RAISE GENERAL AWARENESS OF THE ISSUES IN OUR AREA. THE EVENT INCLUDES EDUCATIONAL AND INFORMATIONAL EXHIBITS FOCUSING ON RECREATIONAL, CULTURAL, PSYCHOLOGICAL, AND PHYSICAL OPPORTUNITIES TO FURTHER RECOVERY AND IMPROVE QUALITY OF LIFE. BROOKS REHABILITATION OFFERS EDUCATIONAL OPPORTUNITIES FOR ALL CLINICIANS IN THE GREATER JACKSONVILLE AREA AT THIS EVENT. EACH PARTICIPANT IS ELIGIBLE FOR 2 CEU CREDITS AT NO COST. PART VI, SUPPLEMENTAL INFORMATION: THINKFIRST THINKFIRST IS A NATIONAL INJURY PREVENTION FOUNDATION FOUNDED BY AMERICA'S NEUROSURGEONS. BROOKS COLLABORATES WITH UF HEALTH AT JACKSONVILLE MEDICAL CENTER AND OTHERS IN THE MEDICAL COMMUNITY TO OFFER THIS BRAIN AND SPINAL CORD INJURY PROGRAM TO PUBLIC HIGH SCHOOL STUDENTS IN THE REGION. OUR THERAPISTS AND NURSES PROVIDE STUDENTS WITH INFORMATION ON BRAIN AND SPINAL CORD ANATOMY, MECHANISMS OF INJURY AND INJURY PREVENTION BEHAVIORS AND STRATEGIES. PERSONAL STORIES AND GUIDANCE ARE SHARED TO HELP THE TEENS MAKE SAFE, RESPONSIBLE CHOICES AND DECREASE THE LIKELIHOOD OF BECOMING A VICTIM OF A DEVASTATING ACCIDENT RESULTING IN A BRAIN OR SPINAL CORD INJURY. YOUTH LEADERSHIP JACKSONVILLE AND JACKSONVILLE HEALTH AND HUMAN SERVICESIN 2013 BROOKS HOSTED STUDENTS FROM THE YOUTH LEADERSHIP JACKSONVILLE PROGRAM - FIFTY OF THE COMMUNITY'S BEST AND BRIGHTEST FUTURE LEADERS. STUDENTS WERE EXPOSED TO REHABILITATION CENTERED EDUCATIONAL PROGRAMS IN BOTH THE INPATIENT AND OUTPATIENT SETTINGS IN ADDITION TO PREVENTION MESSAGES FROM STAFF AND FORMER PATIENTS. STUDENTS WERE ALSO PROVIDED INFORMATION ON HOW TO RELATE TO AND UNDERSTAND THE NEEDS OF A PEER WITH A DISABILITY. THIS EDUCATIONAL EXPERIENCE INCLUDED INVITED SPEAKERS FROM THE BROOKS' STAFF AND ADMINISTRATION, CURRENT AND FORMER PATIENT TESTIMONIALS, AND THERAPY DEMONSTRATIONS. 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.D. EDUCATION FOR HEALTH CARE PROFESSIONALS $646,753 STUDENT NURSE ROTATIONS TO HELP ADDRESS THE CRITICAL NURSING SHORTAGE IN FLORIDA, BROOKS HAS PARTNERED WITH 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. PLUS MORE THAN 200 NURSES FROM THE UNIVERSITY OF NORTH FLORIDA, JACKSONVILLE UNIVERSITY AND FLORIDA COMMUNITY COLLEGE AT JACKSONVILLE HAVE PARTICIPATED IN CLINICAL REHABILITATION-FOCUSED ROTATIONAL SHIFTS WITHIN BROOKS FOR HANDS-ON TRAINING. CONTINUING EDUCATION THE BROOKS INSTITUTE FOR HIGHER LEARNING PROVIDES OVER 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, AND GERIATRICS. OUR FACULTY CONSISTS OF BOTH NATIONALLY RENOWNED EXPERTS FROM AROUND THE COUNTRY, AS WELL AS NATIONALLY RECOGNIZED CLINICAL EXPERTS THAT CURRENTLY PRACTICE AT BROOKS REHABILITATION. RESIDENCY AND FELLOWSHIP PROGRAMSTHE BROOKS INSTITUTE FOR HIGHER LEARNING CURRENTLY OFFERS TWO PHYSICAL THERAPY RESIDENCIES IN ORTHOPEDICS AND PEDIATRICS, TWO MULTIDISCIPLINARY RESIDENCIES IN NEUROLOGY AND GERIATRICS (AVAILABLE TO PTS, OTS, RNS, AND SLPS), AND A FELLOWSHIP PROGRAM IN ORTHOPEDIC MANUAL PHYSICAL THERAPY. THESE PROGRAMS ARE CERTIFIED BY THE AMERICAN PHYSICAL THERAPY ASSOCIATION (APTA). THERAPISTS WHO COMPLETE A CLINICAL RESIDENCY PROGRAM AND/OR CLINICAL FELLOWSHIP PROGRAM GENERALLY DEMONSTRATE SUPERIOR CLINICAL SKILLS, ADVANCED KNOWLEDGE IN A SPECIFIC AREA OF CLINICAL PRACTICE AND THE ABILITY TO ACT AS ADVOCATES AND EDUCATORS TO THEIR PEERS AND PATIENTS.PHYSICAL THERAPY EDUCATOR PROGRAMIN APRIL OF 2008, BROOKS ENTERED INTO A PARTNERSHIP WITH THE UNF DEPARTMENT OF PHYSICAL THERAPY TO PROVIDE 2 BROOKS PHYSICAL THERAPISTS AS ASSISTANT PROFESSORS IN PT. DUE TO THE EXPERTISE OF BROOKS' PRACTICING CLINICIANS AND THE GROWING NEED FOR PHYSICAL THERAPISTS GRADUATING FROM LOCAL COLLEGES AND UNIVERSITIES TO BE WELL-TRAINED AND READY FOR CLINICAL CARE, THIS EDUCATIONAL INITIATIVE WILL USE TWO BROOKS PHYSICAL THERAPISTS AS PART-TIME EDUCATORS AT UNF TO ASSIST UNIVERSITY FACULTY IN ANATOMY AND CLINICAL SKILLS LABS FOR PHYSICAL THERAPY STUDENTSIN 2013, BROOKS CREATED A PARTNERSHIP WITH JACKSONVILLE UNIVERSITY TO DEVELOP MORE ROBUST EDUCATION IN SPEECH LANGUAGE PATHOLOGY. THE BROOKS REHABILITATION SPEECH LANGUAGE PATHOLOGY PROGRAM OFFERS A MASTER'S PROGRAM WITH BROOKS THERAPISTS ACTING AS FACULTY. THIS UNIQUE PROGRAM ALSO PROVIDES RESEARCH OPPORTUNITIES IN SPEECH REHABILITATION. FUTURE DIRECTIONIN 2012, BROOKS REHABILITATION COLLABORATED WITH THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, FOUR OTHER AREA NON-PROFIT HEALTH SYSTEMS (NINE HOSPITALS TOTAL), AND FOUR PUBLIC HEALTH DEPARTMENTS TO FORM THE JACKSONVILLE METROPOLITAN COMMUNITY BENEFIT PARTNERSHIP. THE PARTNERSHIP CONDUCTED THE FIRST EVER MULTI-HOSPITAL SYSTEM AND PUBLIC HEALTH SECTOR COLLABORATIVE HEALTH NEEDS ASSESSMENT. THE PARTNERSHIP'S VISION IS TO IMPROVE POPULATION HEALTH IN THE REGION BY ELIMINATING THE GAPS THAT PREVENT ACCESS TO QUALITY, INTEGRATED HEALTH CARE AND TO IMPROVE ACCESS TO RESOURCES THAT SUPPORT A HEALTHY LIFESTYLE.AS A RESULT OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, BROOKS REHABILITATION IS FOCUSING ON 4 KEY AREAS TO MEET THE HEALTHCARE NEEDS OF THE COMMUNITY:-PHYSICAL ACTIVITY, THROUGH OUR ADAPTIVE SPORTS AND WELLNESS PROGRAMS-STROKE, THROUGH CONTINUING TREATMENT AND EDUCATION ACROSS THE BROOKS SYSTEM OF CARE-MENTAL HEALTH AND DEPRESSION, THROUGH ENGAGEMENT WITH OUR COMMUNITY BASED PROGRAMS-SPINAL CORD AND BRAIN INJURY, THROUGH OUR SPECIALIZED THERAPY PROGRAMS AND COMMUNITY PROGRAMS THAT SERVE THESE POPULATIONSANNUAL METRICS HAVE BEEN ESTABLISHED FOR EACH OF THESE KEY AREAS, WHICH WILL BE MONITORED FOR A THREE YEAR PERIOD, 2012-2015. AFTER THE THREE YEAR PERIOD, ANOTHER COMMUNITY ASSESSMENT WILL BE CONDUCTED IN ORDER TO UPDATE THE POPULATION HEALTH INFORMATION. 1 THE GENESIS HEALTH FOUNDATION 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249340 501(C)(3) 6000 SUPPORT 1 0 PART I, LINE 2: THE HOSPITAL GRANTS MONEY TO THE BROOKS HEALTH SYSTEM FOUNDATION, A 501(C)(3) ORGANIZATION THAT SUPPORTS THE HEALTH SYSTEM. X X 1 0 0 1 0 0 0 0 0 1 0 TREVOR PARIS MD BOARD MEMBER (SEE SCH. O) 0 253566 0 78071 0 1245 0 24913 0 23703 0 381498 0 0 MICHAEL SPIGEL PRESIDENT 0 242799 0 94836 0 39999 0 26554 0 22864 0 427052 0 0 DOUGLAS M BAER CEO, INTERIM CFO 0 312253 0 124439 0 44420 0 51785 0 25564 0 558461 0 0 PATRICIA DEBEAR HOSP. ADMIN/ SVP 0 154776 0 57315 0 30593 0 17734 0 16341 0 276759 0 0 KERRY MAHER MD DIR. OF MEDICAL ADMISSIONS 183011 0 36219 0 1241 0 23000 0 12220 0 255691 0 0 0 JOANNE HOERTZ VP OF NURSING & SUPPORT 159799 0 13580 0 0 0 1756 0 11401 0 186536 0 0 0 RUSSELL ADDEO DIR. OF BEHAVIORAL MEDICINE 123705 0 23604 0 0 0 9222 0 12727 0 169258 0 0 0 VIRGIL WITTMER EXEC. DIR OF BMM 118149 0 24153 0 0 0 7456 0 12317 0 162075 0 0 0 PART I, LINE 4B 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 SET TO BE 20% OF THE INDIVIDUAL'S ANNUAL BASE SALARY, WITH THE OPTION FOR AS MUCH AS 25% OF ANNUAL BASE SALARY AT THE DISCRETION OF 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 - $ 111,400 MICHAEL SPIGEL - 82,900 PART I, LINE 7 BROOKS OFFERS AN INCENTIVE PLAN WHICH WILL TRIGGER BY MEETING SPECIFIC OPERATIONAL AND FINANCIAL GOALS CALLED SUCCESS SHARING. THE INCENTIVE IS CALCULATED BASED ON A PERCENTAGE OF COMPENSATION. 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 III, LINE 4A BROOKS TAKES GREAT PRIDE IN THE QUALITY CARE WE OFFER OUR PATIENTS EACH YEAR AS ILLUSTRATED IN OUR CLINICAL OUTCOMES AND PATIENT SATISFACTION SCORES. IN 2012: - OVERALL, BROOKS PATIENTS HAVE A SHORTER STAY AT THE HOSPITAL AND RETURN BACK TO THEIR LIVES AND BACK HOME AFTER TREATMENT.** - 95.3% OF PATIENTS RESPONDED POSITIVELY TO THE QUESTION, "LIKELIHOOD OF RECOMMENDING BROOKS".* - BROOKS RETURNS 75% OF PATIENTS BACK TO THEIR HOMES, WHICH IS MORE THAN OTHER REHABILITATION HOSPITALS NATIONALLY.** - PATIENTS ARE ADMITTED FASTER AND CAN BEGIN THE REHABILITATION PROCESS SOONER AT BROOKS THAN IN OTHER REHABILITATION HOSPITALS ACROSS THE NATION.** SOURCES: * PATIENT SATISFACTION AS MEASURED BY THE PRESS GANEY PATIENT SATISFACTION SURVEY 1/12-12/12. ** OUTCOMES DATA FROM E-REHABDATA 1/12-12/12. BROOKS REHABILITATION HAS CONTINUED TO INCREASE THE AMOUNT OF FREE CARE TO CHARITY, UNDERINSURED, AND UNINSURED PATIENTS EACH YEAR. IN 2012, BROOKS PROVIDED $2,079,388 OF FREE CARE AT COST IN THE HOSPITAL, WHICH WAS EQUIVALENT TO 1,661 PATIENT DAYS. CHARITY CARE AND OTHER FREE CARE PROVIDED TO OUTPATIENTS' VISITS WERE EQUIVALENT TO $652,438 IN COSTS. BROOKS ALSO PROVIDED CARE TO MEDICAID PATIENTS IN THE HOSPITAL AND OUTPATIENT CLINICS. THERE WERE 1,912 MEDICAID DAYS PROVIDED IN 2012, INCLUDING 3,249 MEDICAID HMO DAYS. SINCE THE MEDICAID PROGRAM REIMBURSES AT A RATE SIGNIFICANTLY BELOW THE COST OF CARE, THERE WAS A NET LOSS TO BROOKS IN PROVIDING THIS CARE OF $538,075. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS LYNNE SNEED AND GARY W. SNEED HAVE A FAMILY RELATIONSHIP. 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 11 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. 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 BROOKS HEALTH 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. 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 VII, LINE 1: OFFICERS OF THIS ORGANIZATION RECEIVING COMPENSATION FROM A RELATED ORGANIZATION ARE COMPENSATED BY BROOKS HEALTH SYSTEM. THE SYSTEM PROVIDES MANAGERIAL OVERSIGHT TO ITS SUBSIDIARIES, AND OFFICERS IN PART VII SHOWN AS WORKING TWO HOURS FOR THE FILING ORGANIZATION PERFORM AN AVERAGE OF 40 TO 50 HOURS PER WEEK FOR BROOKS HEALTH SYSTEM. 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 72,612. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 72,612. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 11,557,703. MANAGEMENT AND GENERAL EXPENSES 149,189. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 11,706,892. 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 -409,505. 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 11A, I N/A 0 PHYSICAL MEDICINE SPECIALISTS INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593530305 HEALTHCARE / PHYSICIANS FL 501(C)(3) LINE 11A, 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 9 GENESIS HEALTH INC 0 GENESIS HEALTH DEVELOPMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249372 HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 9 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 264561148 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 9 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 BROOKS SKILLED NURSING FACILITY B INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452623130 HEALTHCARE / SKILLED NURSING FL 501(C)(3) PENDING 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 11A, 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) PENDING BROOKS SKILLED NURSING INC 0 HB REHABILITATIVE SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452622986 HEALTHCARE FL 501(C)(3) LINE 3 GENESIS HEALTH 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 PENMAN PLAZA ASSOCIATES LTD 3715 NORTHSIDE PKWY BDLG 300 105 ATLANTA GA 30327 581920735 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 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 PHYSICAL MEDICINE SPECIALISTS INC D 468170 INTERCOMPANY REC.