2013-11-06T05:48:19-06:00 2012-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2012-01-01 592249370 GENESIS HEALTH INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 DOUGLAS M BAER 9043457600 2013-11-06 1 AMY BIBBY P00445891 8282542254 2012 2016-02-24 21:20:13Z BROOKS HEALTH SYSTEM DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 122507790 0 X WWW.BROOKSREHAB.ORG X 1982 FL SUPPORT AND ADMINISTRATION FOR BROOKS REHABILITATION HOSPITAL AND AFFILIATES 14 13 141 0 115228 -43415 1018835 0 10344456 11354158 11455736 15305914 134639 89555 22953666 26749627 286085 3239111 0 0 8038128 8097843 0 0 0 9940139 10984672 18264352 22321626 4689314 4428001 287859044 315772143 120264984 131845517 167594060 183926626 TO ADVANCE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION AND RESEARCH. 0 0 6779173 3239111 11354158 BROOKS HEALTH SYSTEM (BROOKS REHABILITATION) HAS A LONG-STANDING TRADITION OF PROVIDING QUALITY INPATIENT AND OUTPATIENT REHABILITATION CARE TO NORTHEAST AND CENTRAL FLORIDA AND SOUTHEAST GEORGIA. 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.PLEASE SEE THE CONTINUATION OF OUR PROGRAM SERVICE ACCOMPLISHMENTS ON SCHEDULE O. 6779173 1 0 0 1 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 0 1 1 1 1 0 0 1 116 0 1 141 1 1 1 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 0 0 0 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 GARY W SNEED 16.00 24.00 X X 38653 0 0 BRUCE M JOHNSON 2.00 2.00 X X 24600 0 0 STANLEY W CARTER 2.00 2.00 X X 5599 0 0 ERNEST N BRODSKY 2.00 2.00 X 26400 0 0 THOMAS BROTT MD 2.00 X 7800 0 0 J BROOKS BROWN MD 2.00 X 386 0 0 DAVID H BUSSE 2.00 2.00 X 26410 0 0 PAMELA S CHALLY PHD 2.00 2.00 X 18441 0 0 LEE LOMAX 2.00 2.00 X 0 0 7819 KERRY ROMESBURG PHD 2.00 X 8700 0 0 GUY T SELANDER MD 2.00 X 7933 0 0 HOWARD C SERKIN 2.00 2.00 X 19800 0 0 FORREST TRAVIS 2.00 2.00 X 19500 0 0 DOUGLAS M BAER 16.00 24.00 X X 521252 0 129688 MICHAEL SPIGEL 22.00 18.00 X 396850 0 88770 PATRICIA DEBEAR 20.00 20.00 X 262344 0 24515 KAREN GALLAGHER 40.00 X 237364 0 27991 ROBERT B FULLER 40.00 X 185156 0 20635 ROBERT W SHRYOCK 40.00 X 171844 0 32498 ERIC NIXON 40.00 X 154739 0 33254 KEN MCCOSH 40.00 X 128722 0 17637 JOAN PUNCH-FLEMING 40.00 X 121736 0 11003 ROBERT ROWE 40.00 X 119594 0 24974 KIRK HALE 40.00 X 116987 0 16163 SALLY LIAW 40.00 X 112225 0 13478 2733035 0 448425 13 0 1 0 PROFESSIONAL PLACEMENT RESOURCES PO BOX 5935 TROY MI 48007 HUMAN RESOURCES 400132 MAINLINE INFORMATION SYSTEMS PO BOX 11407 BIRMINGHAM AL 35246 INFORMATION SYSTEMS 172066 ENGLAND THIMS & MILLER INC 14775 OLD ST AUGUSTINE RD JACKSONVILLE FL 32258 CONSTRUCTION 146719 AMELIA CONSULTING GROUP LLC 1650 MARGARET ST JACKSONVILLE FL 32204 CONSULTING 119004 ST VINCENT'S HEALTHCARE INC PO BOX 41567 JACKSONVILLE FL 32232 STAFFING 104333 5 MANAGEMENT FEES 541610 10733517 10733517 OTHER OPERATING REVENUE 900099 620641 620641 11354158 2113737 2113737 212853 123298 89555 89555 115228 -25673 108827042 95631672 3193 13195370 -3193 13192177 13192177 26749627 11354158 115228 15280241 3239111 3239111 2536407 2536407 33278 33278 3588778 1422251 2166527 371081 71127 299954 1193834 332956 860878 374465 110058 264407 1186843 189 1186654 26849 26849 1228564 1228564 1415602 200146 1215456 340520 50718 289802 1107088 348217 758871 410460 410460 279033 196701 82332 103718 53618 50100 182255 73297 108958 2519115 2519115 1853466 609049 1244417 16502 16502 OTHER EXPENSE 290788 14588 276200 MEDICAL SUPPLIES 23869 23869 22321626 6779173 15542453 0 665901 581102 15802297 20370928 606230 657412 64799704 7809523 55627684 56990181 212119232 234325208 484265 487965 2553435 2359347 287859044 315772143 4037736 4291634 36500 2312208 11205 57812742 57075260 58378006 68155210 120264984 131845517 X 167594060 183926626 167594060 183926626 287859044 315772143 X 4428001 11588474 316091 X X 0 1 X 1 0 X X X 0 0 0 GENESIS HEALTH DEVELOPMENT INC (BHD) 592249372 9 1 0 THE GENESIS HEALTH FOUNDATION INC (BHF) 592249340 7 1 0 GENESIS REHABILITATION HOSPITAL INC (BRH) 593284221 3 1 0 BROOKS HOME CARE ADVANTAGE (BHCA) 264561148 9 1 0 BROOKS SKILLED NURSING INC 264561148 9 1 0 5 0 SCHEDULE A, PART IV, SUPPLEMENTAL INFORMATION: SCHEDULE A, PART I, LINE 11: THE ORGANIZATION WAS ESTABLISHED AS A SUPPORTING ORGANIZATION TO PROVIDE ADMINISTRATIVE AND MANAGERIAL OVERSIGHT TO THE SUPPORTED ORGANIZATIONS LISTED ON PART I, LINE 11. THE ORGANIZATION SERVES AS THE PRIMARY SOURCE OF PERSONNEL, OFFICE AND FINANCIAL SERVICES FOR THE SUPPORTED ORGANIZATIONS. PLEASE SEE SCHEDULE R, PART V FOR A SUMMARY OF TRANSACTIONS. 0 0 0 0 0 0 0 0 1 5235 5235 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: 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. 33640574 33640574 700000 14484629 1936291 13248338 1192416 345845 846571 9256121 5527387 3728734 5525964 5525964 56990181 DUE TO AFFILIATES 66842286 BOND SWAP VALUATION 938211 THIRD PARTY SETTLEMENTS 374713 68155210 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 AMERICAN HEART ASSOCIATION 5851 ST AUGUSTINE ROAD JACKSONVILLE FL 32207 135613797 501(C)(3) 26421 SUPPORT OF CHARITABLE PURPOSES SHANDS JACKSONVILLE MEDICAL CENTER INC 500 W 8TH ST JACKSONVILLE FL 32209 592142859 501(C)(3) 83333 SUPPORT OF CHARITABLE PURPOSES INDEPENDENT LIVING RESOURCE CENTER 2709 ART MUSEUM DRIVE JACKSONVILLE FL 32207 953255012 501(C)(3) 20000 SUPPORT OF CHARITABLE PURPOSES UNITED WAY OF NE FLORIDA PO BOX 2864228 ORLANDO FL 32886 590637825 501(C)(3) 19601 SUPPORT OF CHARITABLE PURPOSES THE GENESIS HEALTH FOUNDATION INC 3599 UNIVERSITY BLVD S JACKSONVILLE FL 32216 592249340 501(C)(3) 171200 SUPPORT OF CHARITABLE PURPOSES PROJECT HAITI PO BOX 550731 JACKSONVILLE FL 32255 452720052 501(C)(3) 5261 SUPPORT OF CHARITABLE PURPOSES YMCA OF FLORIDA'S FIRST COASTS 12735 GRAN BAY PARKWAY JACKSONVILLE FL 32258 590638514 501(C)(3) 24000 SUPPORT OF CHARITABLE PURPOSES GENSIS REHABILITATION HOSPITAL INC 3599 UNIVERSITY BLVD S JACKSONVILLE FL 32216 593284221 501(C)(3) 52124 SUPPORT OF CHARITABLE PURPOSES 8 0 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: GENESIS HEALTH, INC. IS VERY SELECTIVE WHEN SELECTING ORGANIZATIONS FOR GRANT FUNDS. ALL ORGANIZATIONS ARE 501(C)(3) OR GOVERNMENT ORGANIZATIONS. ALL FUNDS ARE BOARD APPROVED PRIOR TO DISTRIBUTION. DOCUMENTATION OF ALL GRANTS AND AWARDS ARE MAINTAINED BY MANAGEMENT. AGREEMENTS FOR ALL GRANTS/AWARDS ARE ALL ENTERED INTO PRIOR TO FUNDING. X X 1 1 X X X X X X 1 1 0 0 0 1 1 0 0 DOUGLAS M BAER 331210 0 154359 0 35683 0 107500 0 22188 0 650940 0 0 0 MICHAEL SPIGEL 251753 0 117150 0 27947 0 67600 0 21170 0 485620 0 0 0 PATRICIA DEBEAR 166717 0 79742 0 15885 0 8306 0 16209 0 286859 0 0 0 KAREN GALLAGHER 146074 0 67776 0 23514 0 12728 0 15263 0 265355 0 0 0 ROBERT B FULLER 113875 0 59221 0 12060 0 9268 0 11367 0 205791 0 0 0 ROBERT W SHRYOCK 141716 0 30128 0 0 0 22500 0 9998 0 204342 0 0 0 ERIC NIXON 136823 0 0 0 17916 0 17000 0 16254 0 187993 0 0 0 PART I, LINE 1A THE ORGANIZATION REIMBURSES THE SOCIAL CLUB INITIATION FEES AND ANNUAL DUES FOR THE CEO AND SYSTEM VICE PRESIDENTS. PAYMENTS ARE GROSSED UP TO REIMBURSE THE EMPLOYEE FOR THE TAXES ASSOCIATED WITH THE PAYMENT. PART I, LINES 4A-B IN 2012, GENESIS HEALTH, INC. 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 - $ 68,000 MICHAEL SPIGEL - 50,600 PART I, LINE 6 IN 2012 INCENTIVE COMPENSATION ACCRUALS WERE RECORDED FOR THE SYSTEM CEO AND SYSTEM VICE PRESIDENTS THROUGH A PLAN THAT IS, IN PART, BASED ON THE NET EARNINGS OF THE SYSTEM OR INDIVIDUAL ORGANIZATIONS IN THE SYSTEM. A JACKSONVILLE HEALTH FACILITIES AUTHORITY 2007-12-01 95000000 CAPITAL IMPROVEMENTS 0 0 0 A 2180000 95439442 8553076 900000 61956607 23800000 2009 1 0 1 1 A 0 1 0 0 0.00540 0.00000 0.00540 0 0 0 A 0 1 0 0 1 1 MERRILL LYNCH 30.000000000000 0 0 1 MORGAN STANLEY 30.000000000000 1 0 0 SCHEDULE K, PART I, DESCRIPTION OF PURPOSE: 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. SCHEDULE K, PART II, LINE 3, TOTAL PROCEEDS: 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 12/31/12: 3,073,377 TOTAL TO PART II, LINE 3: $ 95,439,442 SCHEDULE K, PART II, LINE 11, OTHER SPENT PROCEEDS: AMOUNTS PRESENT ON LINE 11 WERE PROCEEDS USED TO REFUND A PRIOR SERIES ISSUED IN 1996. PAMELA SPIGEL FAMILY MEMBER OF OFFICER MICHAEL SPIGEL 33278 COMPENSATION AS EMPLOYEE OF ORGANIZATION 0 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 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. 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. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NET CHANGE IN SWAP VALUATION 775,688. OTHER CHANGES IN NET ASSETS -459,597. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. FORM 990, PART III, LINE 4A: BROOKS HEALTH SYSTEM (BROOKS REHABILITATION) HAS A LONG-STANDING TRADITION OF PROVIDING QUALITY INPATIENT AND OUTPATIENT REHABILITATION CARE TO NORTHEAST FLORIDA AND SOUTHEAST GEORGIA. 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 ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION AND RESEARCH." COMMUNITY MEMBERS BENEFIT DAILY FROM THE SERVICES AND CARE THAT BROOKS REHABILITATION PROVIDES. WHETHER IT IS THROUGH CHARITY CARE, SPONSORING A MULTI-SPORT ADAPTIVE SPORTS AND RECREATION PROGRAM, OR HOLDING FREE CONTINUING EDUCATION FOR 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 INPATIENT AND OUTPATIENT SERVICES ARE PROVIDING 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 HISTORY FOR MORE THAN 35 YEARS, BROOKS HAS BEEN THE SOURCE FOR COMPREHENSIVE REHABILITATION SERVICES IN NORTH AND CENTRAL FLORIDA AND SOUTHEAST GEORGIA. WE ARE PROUD OF OUR CARING CULTURE AND COMMUNITY FOCUS. HELPING PATIENTS MAKE THE TRANSITION TO INDEPENDENCE IN AN EASIER AND LESS STRESSFUL WAY IS AN IMPORTANT PART OF OUR WORK. WE ACCOMPLISH THIS THROUGH OUR HOSPITAL PROGRAMS AND NETWORK OF OUTPATIENT THERAPY CLINICS, DESIGNED TO MEET EVERY REHABILITATION NEED FROM SPORTS INJURIES, WORK-RELATED PROBLEMS, AND ORTHOPEDIC POST-SURGICAL RECOVERY TO MORE COMPLEX BRAIN AND SPINAL CORD INJURIES AND STROKE. BROOKS REHABILITATION INCLUDES THE ONLY INPATIENT REHABILITATION HOSPITAL IN THE REGION AND ONE OF THE LARGEST IN THE COUNTRY WITH 157 BEDS, 30 OUTPATIENT REHABILITATION CENTERS, A HOME HEALTH AGENCY, SKILLED NURSING AND A RESEARCH INITIATIVE WITH OVER 20 ACTIVE CLINICAL TRIALS THAT IS SUCCESSFULLY YIELDING PROMISING OUTCOMES. BROOKS REHABILITATION HOSPITAL 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 STATE-DESIGNATED TREATMENT FACILITIES FOR BRAIN AND SPINAL CORD INJURY FOR CHILDREN AND ADULTS. BROOKS OUTPATIENT REHABILITATION BY THE END OF 2012 BROOKS HAD 30 OUTPATIENT CLINICS THROUGHOUT NORTH AND CENTRAL FLORIDA. THESE CONTINUE TO MEET THE NEEDS OF OUR PATIENTS AFTER THEY LEAVE THE REHABILITATION HOSPITAL AS WELL AS SERVE THOSE WHO MAY NOT HAVE REQUIRED HOSPITALIZATION, BUT ARE IN NEED OF REHABILITATION. THE OUTPATIENT CLINICS ARE DESIGNED TO PROVIDE A RANGE OF SERVICES TO PATIENTS OF ALL AGES, INCLUDING PHYSICAL, OCCUPATIONAL, SPEECH-LANGUAGE, AND COGNITIVE THERAPIES. SPECIALIZED PROGRAMS AND DAY TREATMENT PROGRAMS ARE ALSO AVAILABLE FOR CHRONIC PAIN, SPORTS INJURY TREATMENT, BRAIN INJURY AND STROKE, WOMEN'S HEALTH, BALANCE, BACK & NECK PAIN, AND INDUSTRIAL REHABILITATION. BROOKS HOME CARE ADVANTAGE BROOKS HOME CARE ADVANTAGE OFFERS A FULL SPECTRUM OF SKILLED NURSING AND REHABILITATION OPTIONS FOR THOSE LEAVING THE HOSPITAL WITH CONTINUED HEALTH CARE NEEDS THAT CAN BE MET AT HOME. BROOKS HOME CARE ADVANTAGE OFFERS A WIDE ARRAY OF IN-HOME HEALTH SERVICES SUCH AS SKILLED NURSING CARE, PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, INFUSION THERAPY, ENTEROSTOMAL THERAPY, MASSAGE THERAPY AND MORE. BROOKS REHABILITATION SPECIALISTS BROOKS REHABILITATION SPECIALIST IS COMPOSED OF 5 CREDENTIALED SPECIALISTS IN REHABILITATION MEDICINE (PHYSIATRISTS), ESTABLISHED TO PROVIDE INPTATIENT, OUTPATIENT AND SKILLED NURSING PHYSICIAN CARE TO PATIENTS REQUIRING THIS SPECIALIZED CARE. THE PHYSICIANS ENGAGE IN DIRECT PATIENT CARE IN THE HOSPITAL, OUTPATIENT, SKILLED NURSING, PROVIDE MEDICAL EDUCATION TO RESIDENTS FROM UNIVERSITY OF FLORIDA, AND PROVIDE COMMUNITY EDUCATION TO THE MEDICAL COMMUNITY AND THE COMMUNITY AT LARGE. BROOKS CLINICAL RESEARCH CENTER SINCE ITS INCEPTION IN 1999, BROOKS' EFFORTS IN CONJUNCTION WITH THE UNIVERSITY OF FLORIDA CONTINUE 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. BROOKS SKILLED NURSING FACILITY A, INC. IN 2010 BROOKS REHABILITATION ACQUIRED THROUGH BROOKS SKILLED NURSING FACILITY A SAN MARCO TERRACE A 68 BED SKILLED NURSING FACILITY IN ST. AUGUSTINE, FL. RESIDENTS AT SAN MARCO TERRACE RECEIVE PHYSICAL THERAPY, OCCUPATIONAL THERAPIES AND SPEECH THERAPIES IN A VARIETY OF SETTINGS THROUGHOUT CAMPUS. OTHER PROGRAMS THAT RESIDENTS CAN PARTICIPATE IN DEPENDING ON THE TYPE OF CARE THEY REQUIRE INCLUDE: RETRAINING, SKILLED NURSING, IV THERAPY, WOUND CARE, PAIN MANAGEMENT, DISCHARGE PLANNING, RESPITE CARE, LONG TERM CARE, ASSISTANCE WITH MEDICAID AND/OR OTHER BENEFITS AND ASSISTANCE WITH ADVANCED DIRECTIVES. BROOKS IS COMMITTED TO MEETING ITS RESPONSIBILITY TO IMPROVE HEALTHCARE AND HEALTH CARE OUTCOMES IN THE COMMUNITIES IT SERVES THROUGHOUT NORTHEAST FLORIDA AND GEORGIA. THE TANGIBLE IMPACT OF BROOKS IS REPORTED IN THE FOLLOWING PAGES; HOWEVER, THE DAILY IMPACT THAT BROOKS HAS IN THIS REGION IS BEYOND MEASURE. II. QUALITY CARE PROVIDED TO PATIENTS 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.** SOURCE: * PATIENT SATISFACTION AS MEASURED BY THE PRESS GANEY PATIENT SATISFACTION SURVEY 1/12-12/12 ** OUTCOMES DATA FROM E-REHABDATA 1/12-12/12 III. COMMUNITY BENEFIT PROVIDED IN 2012 BROOKS IS NORTHEAST FLORIDA'S 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 $3,198,710 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 AND OTHER FREE CARE PROVIDED TO OUTPATIENT'S VISITS WERE EQUIVALENT TO $167,525 IN COSTS. ADDITIONAL CHARITY PROVIDED BY BROOKS HOME CARE ADVANTAGE WAS EQUIVALENT TO $171,074 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 DONATIONS FOR THIS PURPOSE. IN 2012, BROOKS' EMPLOYEES DONATED TO A FUND WHICH PROVIDED 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 A COMBINED TOTAL OF 3,249 MEDICAID AND MEDICAID HMO DAYS PROVIDED IN 2012. 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. 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, B. RESEARCH $720,278 CLINICAL RESEARCH AT BROOKS REHABILITATION (2012): THE BROOKS REHABILITATION CLINICAL RESEARCH CENTER IS COMMITTED TO CONDUCTING QUALITY RESEARCH PROJECTS THAT WILL ADVANCE THE SCIENCE OF RECOVERY AND WELLNESS FOR PERSONS REQUIRING REHABILITATION. OUR RESEARCH IS PRIMARILY FOCUSED ON STROKE RECOVERY, SPINAL CORD INJURY, BRAIN INJURY, ORTHOPEDIC PROBLEMS, AND CHRONIC PAIN. WE ALSO SEEK TO STUDY WAYS FOR INDIVIDUALS TO MAINTAIN THEIR HEALTH AND WELLNESS AFTER AN INJURY OR WITH ADVANCED AGE. WE SEEK TO BRIDGE THE ADVANCES MADE IN MEDICAL & SCIENTIFIC RESEARCH TO THE APPLICATION OF CLINICAL PRACTICE, AND TO ALSO IMPROVE THE QUALITY OF LIFE AND OUTCOMES FOR THOSE RECOVERING FROM DISABILITIES AND ILLNESSES. OUR KEY STRATEGIC GOALS AND OBJECTIVES FOR THE BROOKS RESEARCH PROGRAM: - CREATE A CONTEMPORARY MODEL FOR COLLABORATIVE AND INTERDISCIPLINARY RESEARCH BETWEEN ACADEMIC PARTNERS AND INDUSTRY 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 FOSTERS EVIDENCE BASED PRACTICE AND THE ADVANCEMENT OF REHABILITATION SCIENCE BY PROVIDING SUPPORT AND INFRASTRUCTURE TO RESEARCHERS. - PROVIDE EDUCATION, GUIDANCE, MENTORSHIP AND SUPPORT FOR PROFESSIONAL CLINICIANS WHO WISH TO EXPLORE AND PURSUE RESEARCH RELATED ACTIVITIES. - CONTRIBUTE TO AN ENVIRONMENT THAT SUPPORTS AND PROMOTES SCIENTIFIC INQUIRY AND INTELLECTUAL CURIOSITY. SOME OF OUR ACTIVE CLINICAL STUDIES DURING 2012: - FUNCTIONAL AMBULATION: STANDARD TREATMENT VS. ELECTRICAL STIMULATION THERAPY (FASTEST) TRIAL IN CHRONIC POST-STROKE SUBJECTS WITH FOOT DROP. - EFFECT OF VERB STRENGTHENING TREATMENT (VNEST) ON LEXICAL RETRIEVAL IN APHA - AEROBIC EXERCISE AND NEURAL PLASTICITY IN APHASIA TREATMENT - TRAUMATIC BRAIN INJURY - PRACTICE BASED EVIDENCE - THE EFFECTS OF GOAL MANAGEMENT WITH MILD TBI VETERANS - LIFE INTERVENTION AND INDEPENDENCE FOR ELDERS (THE LIFE STUDY) - THE FRANCE PROJECT (FALLS REDUCTION ADDRESSED BY CONTINUOUS NURSING EDUCATION) - MECHANISMS OF GAIT VARIABILITY POST-STROKE - VALIDATION THROUGH CONCURRENT USE OF SPIRITUAL WELLNESS ASSESSMENT WITH SPINAL CORD INJURED INPATIENTS AT THREE REHABILITATION FACILITIES - IMPLEMENTING PSYCHOLOGICALLY INFORMED PRACTICE PRINCIPLES INTO PHYSICAL THERAPY MANAGEMENT FOR LOW BACK PAIN: EFFECTS OF CLINICIAN TRAINING & COMPARISON OF TREATMENT APPROACHES - A BACKWARD WALKING TRAINING PROGRAM TO IMPROVE BALANCE AND REDUCE FALLS IN ACUTE STROKE: A RANDOMIZED CONTROLLED TRIAL - ASSESSMENT OF WRITING IMPAIRMENTS IN PERSONS WITH APHASIA: COMPARING WRITING BY HAND TO WRITING ON A COMPUTER C. COMMUNITY HEALTH PROGRAMS AND SERVICES $4,480,181 DUE TO THE EXPANSION OF OUR OUTPATIENT CLINICS, IN 2008 BROOKS COMMUNITY HEALTH HAS EXPANDED ITS REACH TO SOME OF OUR OUTPATIENT CLINICS. BROOKS DEVOTES COMMUNITY HEALTH FUNDING TO ADVANCE THE HEALTH OF THE COMMUNITIES WE SERVE, PARTICULARLY FOR THOSE LIVING WITH DISABILITIES, AND TO PREVENT DISABILITIES AMONG THOSE AT RISK. PROVIDING A VARIETY OF HEALTH PREVENTION, EDUCATION, SCREENING, SUPPORT, AND COMMUNITY REINTEGRATION SERVICES POSITIVELY IMPACTS THE COMMUNITY. THOSE LIVING IN THE COMMUNITY ARE MORE LIKELY TO RETURN TO WORK, ENGAGE IN HEALTHY ACTIVITIES, AND PREVENT FURTHER HEALTH, SOCIAL AND ENVIRONMENTAL PROBLEMS. OUR PAST PATIENTS, FAMILY MEMBERS, AND OTHERS IN THE COMMUNITY ARE CONTRIBUTING TO THE COMMUNITY THROUGH VOLUNTEER AND PAID WORK, EDUCATING OTHERS ABOUT DISABILITY PREVENTION, AND MAKING OUR COMMUNITY A DISABILITY-FRIENDLY PLACE TO LIVE AND WORK. 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 THE PROGRAM WILL CONTINUE. BROOKS SCHOOL RE-ENTRY PROGRAM: INITIATED MANY YEARS AGO, THE BROOKS SCHOOL RE-ENTRY PROGRAM IS AN ONGOING PROGRAM THAT WORKS TO MAXIMIZE A CHILD'S SUCCESSFUL TRANSITION BACK TO SCHOOL FOLLOWING A DISABLING ILLNESS OR INJURY AND MINIMIZES LOST ACADEMIC LEARNING WHILE IN THE INPATIENT SETTING. THIS PROGRAM EMPLOYS A RE-ENTRY COORDINATOR WHO SERVES AS THE LIAISON BETWEEN BROOKS, THE SCHOOL SYSTEM, AND FAMILY. THE PROGRAM INCLUDES EDUCATIONAL PROGRAMS FOR CLASSMATES, EDUCATION PROFESSIONALS, AND FAMILIES TO BETTER 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 2012, THE PROGRAM SERVED A TOTAL OF 119 NEW PATIENTS; 113 FROM PUBLIC SCHOOLS AND 6 FROM PRIVATE SCHOOLS. THE SERVICES PROVIDED BY THIS PROGRAM IMPACTED 32 SCHOOL DISTRICTS IN 3 STATES. PARTNERSHIP SUPPORT: BROOKS SUPPORTED 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; SUPPORT OF FUND-RAISING AND BOARD MEMBERSHIP FOR THE RONALD MCDONALD HOUSE; SUPPORT OF FUND-RAISING EVENTS FOR THE 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. SPORTS OUTREACH: IN AN EFFORT TO ENHANCE OUR COMMITMENT TO SPORTS THERAPY, BROOKS HAS BECOME THE OFFICIAL REHABILITATION PROVIDER FOR 4 LOCAL PUBLIC HIGH SCHOOLS. BROOKS IS WORKING WITH THE HEAD ATHLETIC TRAINER AND TEAM PHYSICIAN TO PROVIDE SPORTS THERAPY TO 12 BOYS AND 10 GIRLS' ATHLETIC PROGRAMS. THE PROGRAM FOCUSES ON PREVENTION TECHNIQUES TO REDUCE THE FREQUENCY OF SPORTS-RELATED INJURY. BROOKS HAS PROVIDED NEW EQUIPMENT NEEDED TO OPERATE THE SPORTS MEDICINE FACILITY AND IS IMPLEMENTING AN ATHLETIC INJURY AND TREATMENT TRACKING SOFTWARE DATABASE. BROOKS ALSO OFFERS EDUCATIONAL PROGRAMS CONCERNING HOW STUDENTS CAN REDUCE THEIR CHANCES OF INJURY. BROOKS ADAPTIVE SPORTS AND RECREATION PROGRAM: 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 WEEKLY ACTIVITIES AND MONTHLY SPECIAL EVENTS TO INDIVIDUALS OF ALL AGES AND ABILITIES AT NO COST TO THE PARTICIPANTS. WEEKLY ACTIVITIES INCLUDE TENNIS, WHEELCHAIR RUGBY, POWER SOCCER, INDOOR AND OUTDOOR ROWING, ARCHERY, HANDCYCLING, BILLIARDS, BOWLING, YOGA, ZUMBA(TM), AND EXERCISE PROGRAMS SPECIFIC TO THOSE WHO HAVE MULTIPLE SCLEROSIS, PARKINSONS DISEASE, OR THOSE WHO HAVE EXPERIENCED A STROKE OR TRAUMATIC BRAIN INJURY. SPECIAL EVENTS INCLUDE SURFING, WATER SKIING, HORSEBACK RIDING, AND MORE. BRAIN INJURY COLLATION FOR KIDS: TOGETHER WITH SHANDS JACKSONVILLE, BROOKS IS DEVELOPING AN UNPARALLELED DATABASE TO GATHER DATA ON THE TREATMENT AND OUTCOMES OF CHILDREN'S TRAUMATIC INJURIES. THIS DATABASE WILL HELP PHYSICIAN AND THERAPISTS ENHANCE THEIR KNOWLEDGE OF POST-INJURY ISSUES, DESIGN MORE EFFECTIVE TREATMENTS, AND FORMULATE STRATEGIES AND PROGRAMS TO PREVENT ACUTE INJURIES. ONCE COMPLETED, THIS DATABASE WILL BE THE ONLY LONG-TERM, ONGOING PEDIATRIC TRAUMA DATABASE IN THE U.S. 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 MEDICINE: THIS 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. IT HAS FUNDED NEW FULL-TIME ATHLETIC TRAINERS AT HIGH SCHOOLS WHO ATTEND ATHLETIC EVENTS ALONG WITH VOLUNTEER PHYSICIAN ATTENDANCE, AND COLLECTS DATA ON INJURY PREVENTION. SUPPORT GROUPS: BROOKS 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 HEALTH SYSTEM 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. THINKFIRST: THINKFIRST IS A NATIONAL INJURY PREVENTION FOUNDATION FOUNDED BY AMERICA'S NEUROSURGEONS. BROOKS HEALTH SYSTEM COLLABORATES WITH SHANDS 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 SERVICES: IN 2012 BROOKS HOSTED STUDENTS FROM THE YOUTH LEADERSHIP JACKSONVILLE PROGRAM, CONSISTING OF 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 WITH 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. BROOKS BRAIN INJURY CLUBHOUSE: 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 REINTEGRATION. MEMBERS PARTICIPATE IN DAILY ACTIVITIES AND MANAGE CLUBHOUSE OPERATIONS, HELPING THEM REESTABLISH THEMSELVES IN THE COMMUNITY AND RETURN TO WORK. BROOKS COMMUNITY RESOURCE CENTER: IN NOVEMBER OF 2008, BROOKS CREATED AN ONLINE COMMUNITY RESOURCE CENTER. IT IS A WEB SITE OF REHABILITATION RESOURCES FOR PATIENTS, PROFESSIONALS, CAREGIVERS AND MEMBERS OF THE COMMUNITY. IT INCLUDES LINKS TO COMMUNITY SERVICES, AN ONLINE RESOURCE LIBRARY OF REHABILITATION SERVICES ORGANIZED BY TOPIC AREA, EDUCATION FOR FAMILY MEMBERS TO LEARN MORE ABOUT THE INJURY AND REHABILITATION OF A FAMILY MEMBER WHO HAS BEEN DISCHARGED FROM THE HOSPITAL, UP-TO-DATE EDUCATION AND RESEARCH INFORMATION RELATED TO THE FULL CONTINUUM OF REHABILITATION CARE FOR THE COMMUNITY AND PATIENTS AND AN ONLINE PEER REVIEWED JOURNAL DATABASE. STROKE WELLNESS PROGRAM: RESEARCH SHOWS THAT A HEALTHY LIFESTYLE, INCLUDING EXERCISE AND GOOD NUTRITION, CAN IMPROVE THE LONG TERM HEALTH OF STROKE SURVIVORS. BROOKS REHABILITATION IMPLEMENTED A STROKE WELLNESS PROGRAM AT ONE LOCAL YMCA IN MAY 2009 IN PARTNERSHIP WITH THE FLORIDA'S FIRST COAST YMCA. UNDER THE GUIDANCE OF A BROOKS PHYSICAL THERAPIST AND THE STROKE WELLNESS PROGRAM STAFF, PARTICIPANTS ARE INITIALLY EVALUATED AND PROVIDED WITH THEIR OWN PERSONAL FITNESS PLAN, WHICH IS DESIGNED TO START WITH THE PARTICIPANTS CURRENT ABILITIES AND GRADUALLY CHANGE AS STRENGTH AND ENDURANCE IMPROVES. THE PROGRAM OFFERS A SUPERVISED ENVIRONMENT FOR COMMUNITY STROKE SURVIVORS 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. THE PROGRAM WAS EXPANDED TO FOUR ADDITIONAL FLORIDA'S FIRST COAST YMCA ASSOCIATION FACILITIES IN 2011 TO MEET THE NEEDS OF COMMUNITY STROKE SURVIVORS IN THE VARIOUS GEOGRAPHICAL AREAS IN AND AROUND JACKSONVILLE. IN 2012, THE PROGRAM WAS EXPANDED TO THE VOLUSIA COUNTY YMCA ASSOCIATION, BASED ON THE MODEL PILOTED IN JACKSONVILLE. D. EDUCATION FOR HEALTH CARE PROFESSIONALS $622,689 STUDENT NURSE ROTATIONS: TO HELP ADDRESS THE CRITICAL NURSING SHORTAGE IN FLORIDA, BROOKS HAS PARTNERED WITH UNF, FLORIDA STATE COLLEGE OF JACKSONVILLE AND A CONSORTIUM OF LOCAL HOSPITALS TO EXPAND THE COMMUNITY'S NURSING EDUCATION PROGRAMS. BROOKS PROVIDES SCHOLARSHIPS ENABLING COMMUNITY NURSES TO ACHIEVE A BACHELORS OF SCIENCE DEGREE IN NURSING. PLUS MORE THAN 200 NURSES FROM THE UNIVERSITY OF NORTH FLORIDA, JACKSONVILLE UNIVERSITY AND FLORIDA STASTE COLLEGE OF 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, AND GERIATRICS. OUR FACULTY CONSISTS OF BOTH NATIONALL RENOWNED EXPERTS, AS WELL AS NATIONALLY RECOGNIZED CLINICAL EXPERITS THAT CURRENTLY PRACTICE AT BROOKS REHABILITATION. RESIDENCY PROGRAMS: THE BROOKS INSTITUTE FOR HIGHER LEARNING CURRENTLY OFFERS TWO PHYSICAL THERAPY RESIDENCIES IN ORTHOPEDICS AND WOMEN'S HEALTH, AS WELL AS TWO MULTIDISCIPLINARY RESIDENCIES IN NEUROLOGY AND GERIATRICS (AVAILABLE TO PTS, OTS, RNS, AND SLPS). PHYSICAL THERAPY RESIDENCY: BEGINNING JANUARY 2007, RESIDENTS BEGAN A 12-MONTH ADVANCED TRAINING PROGRAM THAT CONSISTS OF INTENSE HANDS-ON LEARNING AND CLINICAL MENTORING WITHIN THE SPECIALTY AREA OF ORTHOPEDICS. IN KEEPING WITH OUR VISION OF PROVIDING REHABILITATION LEADERSHIP TO THE COMMUNITY, BROOKS IDENTIFIED THIS PROGRAM AS A CRITICAL METHOD FOR DEVELOPING FUTURE CLINICAL LEADERS IN PHYSICAL THERAPY (PT). AS ONE OF ONLY 33 CLINICAL RESIDENCY AND FELLOWSHIP PROGRAMS IN THE COUNTRY, AND ONE OF ONLY TWO OF WHICH ARE LOCATED IN FLORIDA, 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. THE BROOKS PROGRAM WILL MARKEDLY ADVANCE THE CLINICAL AND CRITICAL THINKING SKILLS OF THE PARTICIPANTS WHO COMPLETE THE PROGRAM AND ALSO DEVELOP FUTURE EDUCATORS. GERIATRIC RESIDENCY: THE GERIATRIC RESICENCY PROGRAM STARTED IN JULY 2010 AND IS THE FIRST MULTIDISCIPLINARY GERIATRIC RESIDENCY IN THE NATION. THIS RESIDENCY PROGRAM PREPARES THE RESIDENTS TO EDUCATE AND CARE FOR AN AGING POPULATION WHO IS LIVING LONGER. ELIGIBLE PRACTITIONERS INCLUDE REHABILITATION NURSES, OCCUPATIONAL THERAPISTS, PHYSICAL THERAPISTS, AND SPEECH LANGUAGE PATHOLOGISTS. WOMEN'S HEALTH RESIDENCY: THE BROOKS WOMEN'S HEALTH RESIDENCY PROGRAM INTEGRATES A COMPREHENSIVE FOCUS ON WOMEN'S HEALTH AND PHYSICAL THERAPY CLINICAL PRACTICE WITHIN A STRONG MUSCULOSKELETAL/ORTHOPEDIC CLINICAL FOUNDATION. THIS PROGRAM CONSISTS OF THREE COMPONENTS THAT INCLUDE DIDACTIC/PSYCHOMOTOR CLASSES, CLINICAL MENTORING AND SUPERVISION, AND DIRECTED LEARNING ACTIVITIES. NEUROLOGIC RESIDENCY: THE NEUROLOGIC RESIDENCY STARTED IN 2007 AND WAS CREDENTIALED BY THE APTA IN MARCH 2009. THIS RESIDENCY PROGRAM WAS DEVELOPED FOR PHYSICAL THERAPISTS AND REQUIRES OVER 300 HOURS COURSE WORK AND HANDS ON LEARNING. ORTHOPEDIC MANUAL PHYSICAL THERAPY FELLOWSHIP PROGRAM: BROOKS REHABILITATION, IN COLLABORATION WITH THE UNIVERSITY OF NORTH FLORIDA, INTRODUCED THE ORTHOPEDIC MANUAL PHYSICAL THERAPY (OMPT) FELLOWSHIP IN JANUARY 2010. THE PROGRAM PROVIDES AN ECLECTIC EDUCATIONAL EXPERIENCE FOR INDIVIDUALS INTERESTED IN ATTAINING INCREASED SKILLS IN THE PRACTICE AREA OF ORTHOPAEDIC MANUAL PHYSICAL THERAPY UNF PHYSICAL THERAPY EDUCATOR PROGRAM: IN 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 STUDENTS FUTURE DIRECTION BROOKS HEALTH SYSTEM HAS MADE AN ONGOING PROMISE TO USE ITS RESOURCES TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE REQUIRING REHABILITATION THROUGHOUT NORTHEAST AND CENTRAL FLORIDA AND SOUTHEAST GEORGIA. IN 2005, BROOKS CONDUCTED INTERVIEWS WITH KEY COMMUNITY LEADERS TO IDENTIFY THE NEEDS AND SET PRIORITIES FOR OUR COMMUNITY BENEFIT ACTIVITIES. THE GROWTH SINCE THEN HAS BEEN BASED ON THIS FEEDBACK AND TRACKED FOR ACHIEVEMENT OF GOALS. AS THIS REPORT DEMONSTRATES, BROOKS HAS SUBSTANTIALLY INCREASED THE AMOUNT OF COMMUNITY BENEFIT PROVIDED THROUGH UNCOMPENSATED CARE, RESEARCH, EDUCATION, COMMUNITY HEALTH PROGRAMMING, AND OTHER INITIATIVES. TO ASSURE THAT WE WERE ADDRESSING THE MOST IMPORTANT COMMUNITY NEEDS RELATED TO OUR MISSION, BROOKS CONDUCTED ANOTHER SURVEY OF THE COMMUNITY IN 2008. WE INTERVIEWED COMMUNITY LEADERS, FORMER PATIENTS, FAMILY MEMBERS, AND OTHER GROUPS SERVING THE DISABLED POPULATION. OUR COMMUNITY HEALTH PLAN WAS BASED ON THE FINDINGS OF THOSE INTERVIEWS AND FEEDBACK ON COMMUNITY NEED. WITH BROOKS UNIQUE MISSION IN OUR COMMUNITY, WE HAVE FOLLOWED CRITERIA TO GUIDE OUR COMMUNITY BENEFIT INVESTMENTS: THEY MUST MEET THE COMMUNITY'S REHABILITATION NEEDS, IT MUST HAVE MAXIMUM IMPACT ON THE COMMUNITY, IT MUST SPAN THE CONTINUUM OF CARE, IT MUST HAVE MEASURABLE OUTCOMES AND IT MUST POSITIVELY IMPACT OUR PARTNERSHIPS AND ROLE IN THE COMMUNITY SERVING THOSE WITH DISABLING CONDITIONS OR INJURIES. IN 2007, WE PRODUCED AND BROADLY DISTRIBUTED A COMMUNITY BENEFIT REPORT TO HELP COMMUNICATE AND ADVANCE THE CAUSE OF SERVING THOSE WITH DISABILITIES, AND MAKING OUR COMMUNITY MORE DISABILITY-FRIENDLY. IN 2012, BROOKS REHABILITATION COLLABORATED WITH THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, FOUR OTHER AREA NON-PROFIT HEALTH SYSTEMS (NINE HOSPTIALS 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 PARTNERSHIPS 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 HAS ADDRESSED THE NEEDS OF THE DISABILITY COMMUNITY THROUGH THE COMMUNITY NEEDS ASSESSMENT STRATEGIC IMPLEMENTATION PLAN THAT WILL BE IMPLEMENTED IN 2013. SAMUEL WELLS MOB LLC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 454274287 REAL ESTATE HOLDING FL 97625 738804 N/A GENESIS REHABILITATION HOSPITAL INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593284221 HEALTHCARE / REHAB CARE FL 501(C)(3) LINE 3 GENESIS HEALTH INC 1 PHYSICAL MEDICINE SPECIALISTS INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593530305 HEALTHCARE / PHYSICIANS FL 501(C)(3) LINE 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 1 GENESIS HEALTH DEVELOPMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249372 HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 9 GENESIS HEALTH INC 1 BROOKS SKILLED NURSING INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 264561148 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 9 GENESIS HEALTH INC 1 BROOKS SKILLED NURSING FACILITY A INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 272153586 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 3 BROOKS SKILLED NURSING INC 1 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 1 THE GENESIS HEALTH FOUNDATION INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249340 SUPPORT / FUNDRAISING FL 501(C)(3) LINE 7 GENESIS HEALTH INC 1 BROOKS SKILLED NURSING FACILITY HOLDINGS A INC 1301 RIVERPLACE BLVD 1500 JACKSONVILLE FL 32207 272187557 REAL ESTATE HOLDING FL 501(C)(3) LINE 11A, I BROOKS SKILLED NURSING INC 1 BROOKS SKILLED NURSING FACILITY HOLDINGS B INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452623488 REAL ESTATE HOLDING FL 501(C)(3) PENDING BROOKS SKILLED NURSING INC 1 HB REHABILITATIVE SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452622986 HEALTHCARE FL 501(C)(3) LINE 3 GENESIS HEALTH INC 1 BROOKS REHABILITATION CLINICAL RESEARCH CENTER INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452094888 RESEARCH FL 501(C)(3) PENDING GENESIS HEALTH INC 1 ST AUGUSTINE MOB LTD 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593397507 REAL ESTATE HOLDING FL GH MEDICAL SERVICES INC EXCLUDED 217550 4545014 0 0 1.00000 PENMAN PLAZA ASSOCIATES LTD 3715 NORTHSIDE PKWY BLDG 300 105 ATLANTA GA 30327 581920735 REAL ESTATE HOLDING FL GH PARTNERSHIP HOLDINGS PPA INC EXCLUDED 15460 -63389 0 1 0.51000 GH HOLDINGS INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593007328 HOLDING COMPANY FL N/A C 2159 -21032488 1.00000 1 GH MANAGEMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592387438 HOLDING COMPANY FL GH HOLDINGS INC C 377394 1.00000 1 GENESIS MANAGEMENT SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592183211 MANAGEMENT SERVICES FL GH HOLDINGS INC C 271156 1.00000 1 GH MEDICAL SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592742895 MEDICAL SERVICES FL GH HOLDINGS INC C 213836 1097654 1.00000 1 GH PARTNERSHIP HOLDINGS PPA INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593075438 INVESTMENT HOLDINGS FL GH HOLDINGS INC C 39254 3081235 1.00000 1 1 1 0 1 1 0 0 0 0 1 0 1 0 1 1 1 1 1 1 BROOKS SKILLED NURSING FACILITY A INC A 90000 CASH GENESIS HEALTH DEVELOPMENT INC A 1780413 CASH PHYSICAL MEDICINE SPECIALISTS INC A 60932 CASH GENESIS REHABILITATION HOSPITAL INC B 52124 CASH THE GENESIS HEALTH FOUNDATION INC B 171200 CASH BROOKS SKILLED NURSING INC D 376842 INTERCOMPANY REC. BROOKS SKILLED NURSING FACILITY A INC D 91123 INTERCOMPANY REC. GENESIS REHABILITATION HOSPITAL INC E 30529815 INTERCOMPANY PAY. THE GENESIS HEALTH FOUNDATION INC E 4985693 INTERCOMPANY PAY. BROOKS HOME CARE ADVANTAGE INC E 7184358 INTERCOMPANY PAY. BROOKS SKILLED NURSING FACILITY HOLDINGS A INC E 2160139 INTERCOMPANY PAY. GENESIS HEALTH DEVELOPMENT INC L 1312199 INTERCO. ALLOCATION GENESIS REHABILITATION HOSPITAL INC L 7715508 INTERCO. ALLOCATION PHYSICAL MEDICINE SPECIALISTS INC L 250000 INTERCO. ALLOCATION BROOKS HOME CARE ADVANTAGE INC L 980369 INTERCO. ALLOCATION BROOKS SKILLED NURSING INC L 160441 INTERCO. ALLOCATION BROOKS SKILLED NURSING FACILITY A INC L 309000 INTERCO. ALLOCATION ST. AUGUSTINE MOB, LTD. OWNERSHIP SCHEDULE R, PART III: GENESIS HEALTH, INC. OWNES 100% OF THE ST. AUGUSTINE MOB, LTD. PARTNERSHIP INDIRECTLY THROUGH ITS OWNERSHIP OF TWO SEPARATE ENTITIES TREATED AS CORPORATIONS. SCHEDULE R, PART IV: ALL CORPORATIONS LISTED ON SCHEDULE R, PART IV ARE CONSOLIDATED FOR FEDERAL INCOME TAX PURPOSES. GH HOLDINGS, INC. ACTS AS THE CORPORATE PARENT FOR THE GROUP, AND ALL APPLICABLE INCOME AND DEDUCTION ITEMS ARE ELIMINATED IN CONSOLIDATION. AMOUNTS PRESENTED ON PART IV ARE SHOWN PRE-CONSOLIDATION.