GENESIS HEALTH INC: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization: GENESIS HEALTH INC (EIN 59-2249370)
Tax period: 2011-01-01 to 2011-12-31
Filed: 2012-11-12
IRS object ID: 201243179349302309
Schema version: 2011v1.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule I
Schedule J
Schedule K
Schedule L
Schedule M
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2012-11-12T14:27:13-06:00	Timestamp
Tax Period End Date	2011-12-31	TaxPeriodEndDate

Preparer Firm PreparerFirm

Field	Value	IRS element (for citing)
EIN	560747981	EIN

Preparer Firm Business Name PreparerFirmBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	DIXON HUGHES GOODMAN LLP	BusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

Field	Value	IRS element (for citing)
Address Line1	500 RIDGEFIELD COURT	AddressLine1
City	ASHEVILLE	City
State	NC	State
ZIP Code	28806	ZIPCode

Field	Value	IRS element (for citing)
Return Type	990	ReturnType
Tax Period Begin Date	2011-01-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	592249370	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	GENESIS HEALTH INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	GENE	NameControl
Phone	9043457600	Phone

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3599 UNIVERSITY BLVD SOUTH	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	322164252	ZIPCode

Officer Officer

Field	Value	IRS element (for citing)
Name	DOUGLAS M BAER	Name
Title	CEO	Title
Phone	9043457600	Phone
Date Signed	2012-11-12	DateSigned
Authorize Third Party	1	AuthorizeThirdParty

Preparer Preparer

Field	Value	IRS element (for citing)
Name	AMY BIBBY	Name
PTIN	P00445891	PTIN
Phone	8282542254	Phone

Field	Value	IRS element (for citing)
Tax Year	2011	TaxYear
Build TS	2016-02-24 21:20:13Z	BuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

Field	Value	IRS element (for citing)
Business Name Line1	BROOKS HEALTH SYSTEM	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Of Principal Officer Person	DOUGLAS M BAER	NameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

Field	Value	IRS element (for citing)
Address Line1	3599 UNIVERSITY BLVD SOUTH	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	322164252	ZIPCode

Field	Value	IRS element (for citing)
Gross Receipts	77971874	GrossReceipts
Group Return For Affiliates	0	GroupReturnForAffiliates
Organization501c3	X	Organization501c3
Web Site	WWW.BROOKSHEALTH.ORG	WebSite
Type Of Organization Corporation	X	TypeOfOrganizationCorporation
Year Formation	1982	YearFormation
State Legal Domicile	FL	StateLegalDomicile
Activity Or Mission Description	SUPPORT AND ADMINISTRATION FOR BROOKS REHABILITATION HOSPITAL AND AFFILIATES	ActivityOrMissionDescription
Nbr Voting Members Governing Body	14	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	13	NbrIndependentVotingMembers
Total Nbr Employees	117	TotalNbrEmployees
Total Nbr Volunteers	0	TotalNbrVolunteers
Total Gross UBI	134639	TotalGrossUBI
Net Unrelated Business Txbl Income	-55505	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	138379	ContributionsGrantsPriorYear
Contributions Grants Current Year	1018835	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	10006406	ProgramServiceRevenuePriorYear
Program Service Revenue CY	10344456	ProgramServiceRevenueCY
Investment Income Prior Year	19353695	InvestmentIncomePriorYear
Investment Income Current Year	11455736	InvestmentIncomeCurrentYear
Other Revenue Prior Year	147619	OtherRevenuePriorYear
Other Revenue Current Year	134639	OtherRevenueCurrentYear
Total Revenue Prior Year	29646099	TotalRevenuePriorYear
Total Revenue Current Year	22953666	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	295185	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	286085	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	7817542	SalariesEtcPriorYear
Salaries Etc Current Year	8038128	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	9235344	OtherExpensePriorYear
Other Expenses Current Year	9940139	OtherExpensesCurrentYear
Total Expenses Prior Year	17348071	TotalExpensesPriorYear
Total Expenses Current Year	18264352	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	12298028	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	4689314	RevenuesLessExpensesCY
Total Assets BOY	294392700	TotalAssetsBOY
Total Assets EOY	287859044	TotalAssetsEOY
Total Liabilities BOY	109649287	TotalLiabilitiesBOY
Total Liabilities EOY	120264984	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	184743413	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	167594060	NetAssetsOrFundBalancesEOY
Mission Description	TO ADVANCE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION AND RESEARCH.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	2689529	Expense
Grants	286085	Grants
Revenue	10344456	Revenue
Description	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.	Description
Total Program Service Expense	2689529	TotalProgramServiceExpense
Described In501 C3	1	DescribedIn501C3
Schedule B Required	1	ScheduleBRequired
Political Activities	0	PoliticalActivities
Lobbying Activities	1	LobbyingActivities
Subject To Proxy Tax	0	SubjectToProxyTax
Donor Advised Funds	0	DonorAdvisedFunds
Conservation Easements	0	ConservationEasements
Collections Of Art	0	CollectionsOfArt
Credit Counseling	0	CreditCounseling
Term Or Permanent Endowments	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	0	ReportProgRelInvest
Report Other Assets	0	ReportOtherAssets
Report Other Liabilities	1	ReportOtherLiabilities
Report Fin48 Footnote	1	ReportFin48Footnote
Independent Audit Financial Stmt	0	IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt	1	ConsolidatedAuditFinancialStmt
School	0	School
Foreign Office	0	ForeignOffice
Foreign Activities	0	ForeignActivities
More Than5000 K To Organizations	0	MoreThan5000KToOrganizations
More Than5000 K To Individuals	0	MoreThan5000KToIndividuals
Professional Fundraising	0	ProfessionalFundraising
Fundraising Activities	0	FundraisingActivities
Gaming	0	Gaming
Hospital	0	Hospital
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	GrantsToIndividuals
Schedule J Required	1	ScheduleJRequired
Tax Exempt Bonds	1	TaxExemptBonds
Invest Tax Exempt Bonds	0	InvestTaxExemptBonds
Escrow Account	0	EscrowAccount
On Behalf Of Issuer	0	OnBehalfOfIssuer
Excess Benefit Transaction	0	ExcessBenefitTransaction
Prior Excess Benefit Transaction	0	PriorExcessBenefitTransaction
Loan To Officer Or DQP	0	LoanToOfficerOrDQP
Grant To Related Person	0	GrantToRelatedPerson
Bsnss Rltnshp With Organization	0	BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member	1	BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp	0	OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions	1	DeductibleNonCashContributions
Deductible Contributions Of Art	0	DeductibleContributionsOfArt
Terminated	0	Terminated
Partial Liquidation	0	PartialLiquidation
Disregarded Entity	1	DisregardedEntity
Related Entity	1	RelatedEntity
Related Org Controlled Entity	1	RelatedOrgControlledEntity
Transaction Related Entity	1	TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org	0	TransfersToExemptNonChrtblOrg
Activities Conducted Partnership	0	ActivitiesConductedPartnership
Schedule O Required	1	ScheduleORequired
Number Forms Transmitted With1096	452	NumberFormsTransmittedWith1096
Number W2 G Included	0	NumberW2GIncluded
Compliance With Backup Witholding	1	ComplianceWithBackupWitholding
Number Of Employees	117	NumberOfEmployees
Employment Tax Returns Filed	1	EmploymentTaxReturnsFiled
Unrelated Business Income	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
Foreign Financial Account	0	ForeignFinancialAccount
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTrans
Taxable Party Notification	0	TaxablePartyNotification
Non Deductible Contributions	0	NonDeductibleContributions
Quid Pro Quo Contributions	0	QuidProQuoContributions
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOf
Funds To Pay Premiums	0	FundsToPayPremiums
Premiums Paid	0	PremiumsPaid
Indoor Tanning Services	0	IndoorTanningServices
Info In Schedule O Part VI	X	InfoInScheduleOPartVI
Nbr Voting Governing Body Members	14	NbrVotingGoverningBodyMembers
Number Independent Voting Members	13	NumberIndependentVotingMembers
Family Or Business Relationship	0	FamilyOrBusinessRelationship
Delegation Of Management Duties	0	DelegationOfManagementDuties
Changes To Organizing Docs	0	ChangesToOrganizingDocs
Material Diversion Or Misuse	0	MaterialDiversionOrMisuse
Members Or Stockholders	1	MembersOrStockholders
Election Of Board Members	0	ElectionOfBoardMembers
Decisions Subject To Approval	0	DecisionsSubjectToApproval
Minutes Of Governing Body	1	MinutesOfGoverningBody
Minutes Of Committees	1	MinutesOfCommittees
Officer Mailing Address	0	OfficerMailingAddress
Local Chapters	0	LocalChapters
Form990 Provided To Governing Body	1	Form990ProvidedToGoverningBody
Conflict Of Interest Policy	1	ConflictOfInterestPolicy
Annual Disclosure Covered Persons	1	AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement	1	RegularMonitoringEnforcement
Whistleblower Policy	1	WhistleblowerPolicy
Document Retention Policy	1	DocumentRetentionPolicy
Compensation Process CEO	1	CompensationProcessCEO
Compensation Process Other	1	CompensationProcessOther
Investment In Joint Venture	0	InvestmentInJointVenture
Other Website	X	OtherWebsite
Upon Request	X	UponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	DOUGLAS M BAER	BusinessNameLine1

Field	Value	IRS element (for citing)
Telephone Number	9043457600	TelephoneNumber

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3599 UNIVERSITY BLVD SOUTH	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32216	ZIPCode

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	X	InfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (25 entries)

TitleTitle	Average Hours Per WeekAverageHoursPerWeek	Individual Trustee Or DirectorIndividualTrusteeOrDirector	OfficerOfficer	Reportable Comp From OrganizationReportableCompFromOrganization	Reportable Comp From Related OrgsReportableCompFromRelatedOrgs	Other CompensationOtherCompensation	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee
GARY W SNEED
CHAIRMAN	2.00	X	X	38567	0	0
BRUCE M JOHNSON
VICE CHAIR	2.00	X	X	27600	0	0
STANLEY W CARTER
SECRETARY	2.00	X	X	5662	0	0
ERNEST N BRODSKY
BOARD MEMBER	2.00	X		27300	0	0
THOMAS BROTT MD
BOARD MEMBER	2.00	X		7800	0	0
J BROOKS BROWN MD
BOARD MEMBER	2.00	X		1662	0	0
DAVID H BUSSE
BOARD MEMBER	2.00	X		25984	0	0
PAMELA S CHALLY PHD
BOARD MEMBER	2.00	X		16794	0	0
LEE LOMAX
BOARD MEMBER	2.00	X		0	0	11521
KERRY ROMESBURG PHD
BOARD MEMBER	2.00	X		9300	0	0
GUY T SELANDER MD
BOARD MEMBER	2.00	X		8541	0	0
HOWARD C SERKIN
BOARD MEMBER	2.00	X		26100	0	0
FORREST TRAVIS
BOARD MEMBER	2.00	X		18900	0	0
DOUGLAS M BAER
PRES & CEO/INTERIM CFO/ASST. TREAS & SEC	40.00	X	X	493762	0	113383
MICHAEL SPIGEL
COO	40.00		X	378273	0	72792
KAREN GALLAGER
VP OF HR & EDUCATION	40.00			218733	0	17941	X
PATRICIA DEBEAR
SVP OF CLINICAL SERVICES	1.00			230194	0	15284	X
ROBERT B FULLER
VP OF NEW BUSINESS DEVELOP	40.00			182300	0	14449	X
CHARLES A SCHAUER
VP OF SPECIAL PROJECTS	40.00			312251	0	7170	X
ROBERT W SHRYOCK
DIR. OF MANAGED CARE	40.00			156923	0	467	X
KAREN WRIGHT-BENNETT
SENIOR VICE PRESIDENT	40.00			402596	0	9855		X
ERIC NIXON
VP OF FINANCE	40.00			290125	0	21857		X
JAMIE SEPPALA
DIR. OF BUSINESS DEVELOPMENT	40.00			138457	0	19410		X
THERESA GATES
DIR. OF REHABILITATION	40.00			103662	0	1406		X
KEN MCCOSH
DIR. OF DECISION SUPPORT	40.00			128045	0	11856		X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	3249531	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	0	TotalReportableCompFrmRltdOrgs
Total Other Compensation	317391	TotalOtherCompensation
Number Individuals GT100 K	12	NumberIndividualsGT100K
Formers Listed	0	FormersListed
Total Comp GT150 K	1	TotalCompGT150K
Compensation From Other Sources	0	CompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
VALLENCOURT CONSTRUCTION CO INC
PO BOX 65849	ORANGE PARK	FL	32065	CONSTRUCTION	692052
ENGLAND THIMS & MILLER INC
14775 OLD ST AUGUSTINE RD	JACKSONVILLE	FL	32258	CONSTRUCTION	405409
MAINLINE INFORMATION SYSTEMS
PO BOX 11407	BIRMINGHAM	AL	35246	INFORMATION SYSTEMS	314648
O'KEEFE-PAINTER ARCHITECTS LLC
2424 CURFEW ROAD	PALM HARBOR	FL	34683	ARCHITECTUAL SERVICES	285743
JACKSONVILLE JAGUARS
1 EVERBANK FIELD DR	JACKSONVILLE	FL	32202	SPONSORSHIP	279000

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	16	NumberOfContractorsGT100K
Related Organizations	318835	RelatedOrganizations
All Other Contributions	700000	AllOtherContributions
Noncash Contributions	700000	NoncashContributions
Total Contributions	1018835	TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome
MANAGEMENT FEES	541610	10279198	10279198
OTHER OPERATING REVENU	900099	65258	65258

Field	Value	IRS element (for citing)
Total Program Service Revenue	10344456	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	324033	TotalRevenueColumn
Exclusion	$324,033	ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

Field	Value	IRS element (for citing)
Total Revenue Column	2087122	TotalRevenueColumn
Exclusion	$2,087,122	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	134639	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	0	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	134639	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	134639	TotalRevenueColumn
Unrelated Business Revenue	134639	UnrelatedBusinessRevenue

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Securities	64062789	Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Securities	55018208	Securities

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Securities	9044581	Securities

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	9044581	TotalRevenueColumn
Exclusion	$9,044,581	ExclusionAmount

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	22953666	TotalRevenueColumn
Related Or Exempt Function Income	10344456	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	134639	UnrelatedBusinessRevenue
Exclusion	$11,455,736	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	286085	Total
Program Services	286085	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	2186648	Total
Program Services	234588	ProgramServices
Management And General	1952060	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	32477	Total
Program Services	32477	ProgramServices

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	4027763	Total
Program Services	1025691	ProgramServices
Management And General	3002072	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	353607	Total
Program Services	66842	ProgramServices
Management And General	286765	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	1059160	Total
Program Services	273501	ProgramServices
Management And General	785659	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	378473	Total
Program Services	97874	ProgramServices
Management And General	280599	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	102658	Total
Program Services	4507	ProgramServices
Management And General	98151	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	62678	Total
Program Services	35000	ProgramServices
Management And General	27678	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	987984	Total
Management And General	987984	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	1014012	Total
Program Services	176497	ProgramServices
Management And General	837515	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	304972	Total
Management And General	304972	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	2260856	Total
Program Services	185771	ProgramServices
Management And General	2075085	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	270649	Total
Program Services	79038	ProgramServices
Management And General	191611	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	79090	Total
Program Services	40118	ProgramServices
Management And General	38972	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	103605	Total
Program Services	50990	ProgramServices
Management And General	52615	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	2390499	Total
Management And General	2390499	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	1832845	Total
Program Services	74369	ProgramServices
Management And General	1758476	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	135666	Total
Management And General	135666	ManagementAndGeneral

Other Expenses OtherExpenses

Field	Value	IRS element (for citing)
Description	OTHER EXPENSE	Description
Total	394625	Total
Program Services	26181	ProgramServices
Management And General	368444	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	18264352	Total
Program Services	2689529	ProgramServices
Management And General	15574823	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	1178671	BOY
EOY	665901	EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

Field	Value	IRS element (for citing)
BOY	17434922	BOY
EOY	15802297	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	208593	BOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	581843	BOY
EOY	606230	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	61681643	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	6053959	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	53078136	BOY
EOY	55627684	EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

Field	Value	IRS element (for citing)
BOY	219275144	BOY
EOY	212119232	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	20000	BOY
EOY	484265	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	2615391	BOY
EOY	2553435	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	294392700	BOY
EOY	287859044	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	3348829	BOY
EOY	4037736	EOY

Grants Payable GrantsPayable

Field	Value	IRS element (for citing)
BOY	60000	BOY
EOY	36500	EOY

Deferred Revenue DeferredRevenue

Field	Value	IRS element (for citing)
BOY	661051	BOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

Field	Value	IRS element (for citing)
BOY	58510029	BOY
EOY	57812742	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	47069378	BOY
EOY	58378006	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	109649287	BOY
EOY	120264984	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	184743413	BOY
EOY	167594060	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	184743413	BOY
EOY	167594060	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	294392700	BOY
EOY	287859044	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	4689314	ReconcilationRevenueExpenses
Reconcilation Other Changes	-21838667	ReconcilationOtherChanges
Info In Schedule O Part XII	X	InfoInScheduleOPartXII
Method Of Accounting Accrual	X	MethodOfAccountingAccrual
Accountant Compile Or Review	0	AccountantCompileOrReview
FS Audited	1	FSAudited
Audit Committee	1	AuditCommittee
Financial Statement Consolidated	X	FinancialStatementConsolidated
Federal Grant Audit Required	0	FederalGrantAuditRequired

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Supporting Organization509a3	X	SupportingOrganization509a3
Supporting Org509a3 Type1	X	SupportingOrg509a3Type1
Certification Checkbox	X	CertificationCheckbox
Contrib By Controlling Individual	0	ContribByControllingIndividual
Contribution By Related Party	0	ContributionByRelatedParty
Contrib By35 Controlled Entity	0	ContribBy35ControlledEntity

Supported Org Information SupportedOrgInformation (5 entries)

EINEIN	Type Of OrganizationTypeOfOrganization	Listed In Governing DocListedInGoverningDoc	Supported Organization NotifiedSupportedOrganizationNotified	Organized In USOrganizedInUS	AmountAmount
GENESIS HEALTH DEVELOPMENT INC (BHD)
592249372	9	1	1	1	$0
THE GENESIS HEALTH FOUNDATION INC (BHF)
592249340	7	1	1	1	$0
GENESIS REHABILITATION HOSPITAL INC (BRH)
593284221	3	1	1	1	$0
BROOKS HOME CARE ADVANTAGE (BHCA)
264561148	9	1	1	1	$0
BROOKS SKILLED NURSING INC
264561148	9	1	1	1	$0

Field	Value	IRS element (for citing)
Total Number Of Supported Orgs	5	TotalNumberOfSupportedOrgs
Sum Of Amounts	0	SumOfAmounts
General Explanation	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 TRANSACTION.	GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

Field	Value	IRS element (for citing)
Contributor Number	RESTRICTED	ContributorNumber

Contributor Name Business ContributorNameBusiness

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor Address US ContributorAddressUS

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Aggregate Contributions	RESTRICTED	AggregateContributions

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	Volunteers
Paid Staff Or Management	0	PaidStaffOrManagement
Media Advertisements	0	MediaAdvertisements
Mailings Members	0	MailingsMembers
Publications Or Broadcast	0	PublicationsOrBroadcast
Grants Other Organizations	0	GrantsOtherOrganizations
Direct Contact Legislators	0	DirectContactLegislators
Rallies Demonstrations	0	RalliesDemonstrations
Other Activities	1	OtherActivities
Other Activities	$2,533	OtherActivitiesAmount
Total Lobbying Expenditures IIB	2533	TotalLobbyingExpendituresIIB
Not Described In501c3	0	NotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

Field	Value	IRS element (for citing)
Identifier	EXPLANATION OF LOBBYING ACTIVITIES:	Identifier
Return Reference	PART II-B, LINE 1:	ReturnReference
Explanation	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.	Explanation

Schedule D IRS990ScheduleD

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	33633954	OtherCostOrOtherBasis
Book Value	33633954	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Investment Cost Or Other Basis	700000	InvestmentCostOrOtherBasis
Other Cost Or Other Basis	14477986	OtherCostOrOtherBasis
Depreciation	1460780	Depreciation
Book Value	13717206	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1192416	OtherCostOrOtherBasis
Depreciation	287022	Depreciation
Book Value	905394	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	8091595	OtherCostOrOtherBasis
Depreciation	4306157	Depreciation
Book Value	3785438	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	3585692	OtherCostOrOtherBasis
Book Value	3585692	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	55627684	TotalOfBookValueLandBuildings

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
DUE TO AFFILIATES	$56,293,365
BOND SWAP VALUATION	$1,713,898
THIRD PARTY SETTLEMENTS	$370,743

Field	Value	IRS element (for citing)
Total Of Amounts	58378006	TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

Field	Value	IRS element (for citing)
Identifier	DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:	Identifier
Return Reference	PART X:	ReturnReference
Explanation	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.	Explanation

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (20 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
AMERICAN HEART ASSOCIATION
5851 ST AUGUSTINE ROAD	JACKSONVILLE	FL	32207	135613797	501(C)(3)	35000	SUPPORT OF CHARITABLE PURPOSES
BAPTIST HEALTH SYSTEM FOUNDATION
3563 PHILLIPS HWY SUITE A-106	JACKSONVILLE	FL	32207	592487135	501(C)(3)	6000	SUPPORT OF CHARITABLE PURPOSES
DREAMS COME TRUE OF JACKSONVILLE INC
6803 SOUTHPOINT PKWY	JACKSONVILLE	FL	32216	592967803	501(C)(3)	6500	SUPPORT OF CHARITABLE PURPOSES
JACKSONVILLE SYMPHONY ASSOCIATION
300 W WATER ST SUITE 300	JACKSONVILLE	FL	32202	596002520	501(C)(3)	15000	SUPPORT OF CHARITABLE PURPOSES
JACKSONVILLE WOLFSON'S CHILDREN'S HOSPITAL
1325 SAN MARCO BLVD	JACKSONVILLE	FL	32207	591452787	501(C)(3)	22500	SUPPORT OF CHARITABLE PURPOSES
NORTHEAST FLORIDA HEALTH INFORMATION EXCHANGE
555 BISHOP GATE LANE	JACKSONVILLE	FL	32204	030515874	N/A	7000	SUPPORT OF CHARITABLE PURPOSES
FLAGLER HEALTH CARE FOUNDATION INC
400 HEALTH PARK BLVD	ST AUGUSTINE	FL	32086	592440537	501(C)(3)	10000	SUPPORT OF CHARITABLE PURPOSES
SHANDS JACKSONVILLE MEDICAL CENTER INC
500 W 8TH ST	JACKSONVILLE	FL	32209	592142859	501(C)(3)	15000	SUPPORT OF CHARITABLE PURPOSES
ST VINCENT'S FOUNDATION
1 SHIRCLIFF WAY	JACKSONVILLE	FL	32203	592219923	501(C)(3)	20000	SUPPORT OF CHARITABLE PURPOSES
UNIVERSITY OF NORTH FLORIDA FOUNDATION
1 UNF DRIVE HALL NO 2900	JACKSONVILLE	FL	32224	237167701	501(C)(3)	5000	SUPPORT OF CHARITABLE PURPOSES
JACKSONVILLE SEMPER FIDELIS SOCIETY
PO BOX 28188	JACKSONVILLE	FL	32226	593690146	501(C)(3)	25000	SUPPORT OF CHARITABLE PURPOSES
INDEPENDENT LIVING RESOURCE CENTER
2709 ART MUSEUM DRIVE	JACKSONVILLE	FL	32207	953255012	501(C)(3)	20000	SUPPORT OF CHARITABLE PURPOSES
WE CARE JACKSONVILLE INC
900 UNIVERSITY BLVD N 200E	JACKSONVILLE	FL	32211	593431724	501(C)(3)	15000	SUPPORT OF CHARITABLE PURPOSES
UNITED WAY OF NE FLORIDA
PO BOX 2864228	ORLANDO	FL	32886	590637825	501(C)(3)	12000	SUPPORT OF CHARITABLE PURPOSES
GATE RIVER RUN
3931 BAYMEADOWS RD	JACKSONVILLE	FL	32217		N/A	10000	SPONSORSHIP
COUNCIL ON AGING
180 MARINE ST	ST AUGUSTINE	FL	32084	591525829	501(C)(3)	5000	SUPPORT OF CHARITABLE PURPOSES
HEALTH PLANNING COUNCIL OF NE FLORIDA
644 CESERY BLVD 210	JACKSONVILLE	FL	32211	592247189	501(C)(3)	10000	SUPPORT OF CHARITABLE PURPOSES
CHALLENGED ATHLETES FOUNDATION
PO BOX 1608	TARPON SPRINGS	FL	34688	330739596	501(C)(3)	5000	SUPPORT OF CHARITABLE PURPOSES
ARTHRITIS FOUNDATION
13000 AVALON LAKE DR	ORLANDO	FL	32828	590816892	501(C)(3)	5000	SUPPORT OF CHARITABLE PURPOSES
THE GENESIS HEALTH FOUNDATION INC
3599 UNIVERSITY BLVD S	JACKSONVILLE	FL	32216	592249340	501(C)(3)	10000	SUPPORT OF CHARITABLE PURPOSES

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	18	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	2	TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

Field	Value	IRS element (for citing)
Identifier	PROCEDURE FOR MONITORING GRANTS IN THE U.S.:	Identifier
Return Reference	PART I, LINE 2:	ReturnReference
Explanation	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.	Explanation

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Idemnification Gross Up Payments	X	IdemnificationGrossUpPayments
Club Dues Or Fees	X	ClubDuesOrFees
Written Policy Re T And E Expenses	1	WrittenPolicyReTAndEExpenses
Substantiation Required	1	SubstantiationRequired
Compensation Committee	X	CompensationCommittee
Independent Consultant	X	IndependentConsultant
Form990 Of Other Organizations	X	Form990OfOtherOrganizations
Written Employment Contract	X	WrittenEmploymentContract
Compensation Survey	X	CompensationSurvey
Board Or Committee Approval	X	BoardOrCommitteeApproval
Severance Payment	1	SeverancePayment
Supplemental Nonqual Retire Plan	1	SupplementalNonqualRetirePlan
Equity Based Comp Arrangement	0	EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org	0	CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs	0	CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org	1	CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs	1	CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments	0	AnyNonFixedPayments
Initial Contract Exception	0	InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (10 entries)

Base Compensation Filing OrgBaseCompensationFilingOrg	Comp Based On Related OrgsCompBasedOnRelatedOrgs	Bonus Filing OrgBonusFilingOrg	Bonus Related OrgsBonusRelatedOrgs	Other Compensation Filing OrgOtherCompensationFilingOrg	Other Compensation Related OrgsOtherCompensationRelatedOrgs	Deferred Comp Filing OrgDeferredCompFilingOrg	Deferred Comp Related OrgsDeferredCompRelatedOrgs	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg	Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs	Total Compensation Filing OrgTotalCompensationFilingOrg	Total Compensation Related OrgsTotalCompensationRelatedOrgs	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg	Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
DOUGLAS M BAER
326994	0	113219	0	53549	0	106500	0	6883	0	607145	0	0	0
MICHAEL SPIGEL
256192	0	94693	0	27388	0	67100	0	5692	0	451065	0	0	0
KAREN GALLAGER
147772	0	48366	0	22595	0	12361	0	5580	0	236674	0	0	0
PATRICIA DEBEAR
156177	0	52165	0	21852	0	8639	0	6645	0	245478	0	0	0
ROBERT B FULLER
126076	0	40142	0	16082	0	9697	0	4752	0	196749	0	0	0
CHARLES A SCHAUER
152326	0	0	0	159925	0	0	0	7170	0	319421	0	0	0
ROBERT W SHRYOCK
136927	0	18556	0	1440	0	0	0	467	0	157390	0	0	0
KAREN WRIGHT-BENNETT
128137	0	165000	0	109459	0	4104	0	5751	0	412451	0	0	0
ERIC NIXON
143532	0	128600	0	17993	0	16500	0	5357	0	311982	0	0	0
JAMIE SEPPALA
56267	0	64000	0	18190	0	11270	0	8140	0	157867	0	0	0

Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)

Return ReferenceReturnReference	ExplanationExplanation
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 2011, CHARLES A. SCHAUER RECEIVED COMPENSATION FROM A SEVERANCE AGREEMENT. THIS AMOUNT IS REPRESENTED IN PART II, COLUMN (B)(III). IN 2011, 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 2011 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	JACKSONVILLE HEALTH FACILITIES AUTHORITY	BusinessNameLine1

Field	Value	IRS element (for citing)
Date Issued	2007-12-01	DateIssued
Issue Price	95000000	IssuePrice
Description Of Purpose	CAPITAL IMPROVEMENTS	DescriptionOfPurpose
Defeased	0	Defeased
On Behalf Of Issuer	0	OnBehalfOfIssuer
Pool Financing	0	PoolFinancing

Form990 Schedule K Part II Form990ScheduleKPartII

Field	Value	IRS element (for citing)
Amount Retired	1070000	AmountRetired
Total Proceeds	95023094	TotalProceeds
Amount In Reserve Fund	4491522	AmountInReserveFund
Issuance Costs From Proceeds	900000	IssuanceCostsFromProceeds
Capital Expenditures	61959607	CapitalExpenditures
Other Spent Proceeds	23800000	OtherSpentProceeds
Year Of Subst Completion	2009	YearOfSubstCompletion
Current Refunding	1	CurrentRefunding
Advance Refunding	0	AdvanceRefunding
Final Allocation Made	1	FinalAllocationMade
Adequate Books And Recds Maintaind	1	AdequateBooksAndRecdsMaintaind

Form990 Schedule K Part III Form990ScheduleKPartIII

Field	Value	IRS element (for citing)
Owning Bond Financed Property	0	OwningBondFinancedProperty
Any Lease Arrangements	1	AnyLeaseArrangements
Mngment Cntrct Bond Financd Prprty	0	MngmentCntrctBondFinancdPrprty
Any Research Agreements	0	AnyResearchAgreements
Prcntge Prvt Business Use By Others	0.00540	PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI	0.00000	PercentageOfPrvtBusinessReUBI
Total Private Business Use	0.00540	TotalPrivateBusinessUse
Post Issuance Compliance Procdrs	1	PostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV

Field	Value	IRS element (for citing)
Form8038 T Filed	0	Form8038TFiled
Variable Rate Issue	1	VariableRateIssue
Hedge Identified In Books And Recds	1	HedgeIdentifiedInBooksAndRecds

Name Of Hedge Provider NameOfHedgeProvider

Field	Value	IRS element (for citing)
Business Name Line1	MERRILL LYNCH	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of Hedge	30.000000000000	TermOfHedge
Superintegrated Hedge	0	SuperintegratedHedge
Hedge Terminated	0	HedgeTerminated
Gross Proceeds Invested In GIC	1	GrossProceedsInvestedInGIC

Name Of GIC Provider NameOfGICProvider

Field	Value	IRS element (for citing)
Business Name Line1	MORGAN STANLEY	BusinessNameLine1

Field	Value	IRS element (for citing)
Term Of GIC	30.000000000000	TermOfGIC
Regulatory Safe Harbor Satisfied	1	RegulatorySafeHarborSatisfied
Gross Proceeds Invested	0	GrossProceedsInvested
Exception To Rebate	0	ExceptionToRebate

Form990 Schedule K Part VI Form990ScheduleKPartVI (2 entries)

IdentifierIdentifier

ExplanationExplanation

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 11: OTHER SPENT PROCEEDS:

AMOUNTS PRESENT ON LINE 11 WERE PROCEEDS USED TO REFUND A PRIOR SERIES ISSUED IN 1996.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Field	Value	IRS element (for citing)
Name Person	PAMELA SPIGEL	NamePerson

Field	Value	IRS element (for citing)
Relationship	FAMILY MEMBER OF OFFICER MICHAEL SPIGEL	Relationship
Amount Of Transaction	32477	AmountOfTransaction
Description Of Transaction	COMPENSATION AS EMPLOYEE OF ORGANIZATION	DescriptionOfTransaction
Sharing Of Revenues	0	SharingOfRevenues

Schedule M IRS990ScheduleM

Real Estate Commercial RealEstateCommercial

Field	Value	IRS element (for citing)
Non Cash Checkbox	X	NonCashCheckbox
Number Of Contributions	1	NumberOfContributions
Noncash Contribs Rptd F990	700000	NoncashContribsRptdF990
Method Of Determining Revenues	APPRAISAL	MethodOfDeterminingRevenues

Field	Value	IRS element (for citing)
Any Property That Must Be Held	0	AnyPropertyThatMustBeHeld
Review Process Unusual NC Gifts	0	ReviewProcessUnusualNCGifts
Third Parties Used	0	ThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (16 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
FORM 990, PART VI, SECTION A, LINE 6	THE MEMBERS OF THE ORGANIZATION SHALL BE THOSE PERSONS WHO, AT ANY TIME OF DETERMINATION OF THE MEMBERS OF THE ORGANIZATION, ARE MEMBERS OF THE BOARD OF DIRECTORS 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	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.
FORM 990, PART VII: AVERAGE HOURS FOR RELATED ORGANIZATIONS:	THE FOLLOWING VOTING MEMBERS OF THE GOVERNING BODY SERVED ON THE BOARDS OF RELATED ORGANIZATIONS DURING THE TAX YEAR, REPORTED AS AVERAGE HOURS PER WEEK. ERNEST N. BRODSKY - 2 HOURS FOR GENESIS REHABILITATION HOSPITAL DAVID H. BUSSE - 2 HOURS FOR BROOKS HOME CARE ADVANTAGE PAMELA S. CHALLY - 2 HOURS FOR GENESIS REHABILITATION HOSPITAL LEE LOMAX - 2 HOURS FOR GENESIS REHABILITATION HOSPITAL HOWARD C. SERKIN - 2 HOURS FOR BROOKS HOME CARE ADVANTAGE FORREST TRAVIS - 2 HOURS FOR GENESIS REHABILITATION HOSPITAL STANLEY W. CARTER - 2 HOURS FOR GENESIS REHABILITATION HOSPITAL BRUCE M. JOHNSON - 2 HOURS FOR GENESIS REHABILITATION HOSPITAL DOUGLAS M. BAER - 40 HOURS SERVICE TOTAL FOR ALL ENTITIES REPORTED ON SCHEDULE R, PARTS II AND IV GARY W. SNEED - 40 HOURS SERVICE TOTAL FOR ALL ENTITIES REPORTED ON SCHEDULE R, PARTS II AND IV
FORM 990, PART XI, LINE 5:	NET UNREALIZED LOSSES ON INVESTMENTS: -21,633,740. NET CHANGE IN SWAP VALUATION -204,927. TOTAL TO FORM 990, PART XI, LINE 5: -21,838,667.	CHANGES IN NET ASSETS OR FUND BALANCES:
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.[59-3530305] * BROOKS HOMECARE ADVANTAGE, INC. [26-2216181] * BROOKS SKILLED NURSING FACILITY A, INC. [27-2153586] 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, OVER 20 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 2011 BROOKS HAD 27 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, HEAD INJURY, SPORTS INJURY TREATMENT, BRAIN INJURY AND STROKE, 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 MEDICAL GROUP THIS BROOKS' NON-PROFIT PHYSICIAN GROUP COMPOSED OF 5 CREDENTIALED SPECIALISTS IN REHABILITATION MEDICINE (PHYSIATRISTS), ESTABLISHED TO PROVIDE OUTPATIENT PHYSICIAN CARE TO PATIENTS REQUIRING THIS SPECIALIZED CARE. THIS MEDICAL GROUP INCLUDES ONE OF THE FEW CREDENTIALED PEDIATRIC PHYSIATRISTS IN FLORIDA, AND THE ONLY ONE IN JACKSONVILLE. THESE PHYSICIANS ENGAGE IN DIRECT PATIENT CARE IN THE HOSPITAL AND OUTPATIENT, 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 SAN MARCO TERRACE IN 2010 BROOKS REHABILITATION ACQUIRED 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. 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 2011: - OVERALL, BROOKS PATIENTS HAVE A SHORTER STAY AT THE HOSPITAL AND RETURN BACK TO THEIR LIVES AND BACK HOME AFTER TREATMENT.** - 96.1% OF PATIENTS RESPONDED POSITIVELY TO THE QUESTION "LIKELIHOOD OF RECOMMENDING BROOKS."* - BROOKS RETURNS 65% 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 1/11-12/11 ** OUTCOMES DATA FROM E-REHABDATA 1/11-12/11 III. COMMUNITY BENEFIT PROVIDED IN 2011 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 $3,988,851 BROOKS REHABILITATION HAS CONTINUED TO INCREASE THE AMOUNT OF FREE CARE TO CHARITY, UNDERINSURED AND UNINSURED PATIENTS EACH YEAR. IN 2011, BROOKS PROVIDED $1,366,497 OF FREE CARE (AT COST) IN THE HOSPITAL, WHICH WAS EQUIVALENT TO 1,177 PATIENT DAYS. CHARITY AND OTHER FREE CARE PROVIDED TO OUTPATIENT'S VISITS WERE EQUIVALENT TO $652,438 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 DONATIONS FOR THIS PURPOSE. IN 2011, BROOKS' EMPLOYEES DONATED TO A FUND WHICH PROVIDED $48,610 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 1,912 MEDICAID DAYS PROVIDED IN 2011, INCLUDING 1,470 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 $1,727,593. 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 $1,080,995 CLINICAL RESEARCH AT BROOKS REHABILITATION (2011): THE BROOKS CENTER FOR REHABILITATION STUDIES CHANGED ITS NAME TO THE BROOKS REHABILITATION CLINICAL RESEARCH CENTER IN 2010. THE CLINICAL RESEARCH CENTER IS COMMITTED TO CONDUCTING QUALITY RESEARCH PROJECTS THAT WILL ADVANCE THE SCIENCE OF RECOVERY AND WELLNESS FOR PERSONS REQUIRING REHABILITATION. 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 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 INJURY OR WITH AGE. 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 AND OUTCOMES FOR THOSE RECOVERING FROM DISABILITY AND ILLNESS. SOME OF OUR ACTIVE CLINICAL STUDIES DURING 2011: - IMPROVING STROKE REHABILITATION: SPACING EFFECT AND D-CYCLOSERINE. - FUNCTIONAL AMBULATION: STANDARD TREATMENT VS. ELECTRICAL STIMULATION THERAPY (FASTEST) TRIAL IN CHRONIC POST-STROKE SUBJECTS WITH FOOT DROP. - INSULIN RESISTANCE INTERVENTION AFTER STROKE (IRIS) - MECHANISMS OF RESTORING GAIT POST-STROKE: ROLE OF THE ANKLE PLANTARFLEXORS - EFFECT OF VERB STRENGTHENING TREATMENT (VNEST) ON LEXICAL RETRIEVAL IN APHASIA - AEROBIC EXERCISE AND NEURAL PLASTICITY IN APHASIA TREATMENT - LOCOMOTOR ADAPTABILITY AFTER SPINAL CORD INJURY AND TRAINING - TRAUMATIC BRAIN INJURY - PRACTICE BASED EVIDENCE - THE EFFECTS OF GOAL MANAGEMENT WITH MILD TBI VETERANS - PSYCHOSOCIAL FACTORS INFLUENCE ON RESPONSE TO FALLS INTERVENTION PROGRAM IN OLDER ADULTS - MUSCULOSKELETAL PAIN IN OUTPATIENT PHYSICAL THERAPY SETTINGS: PREVALENCE AND RISK FACTORS - INVESTIGATION OF THE START BACK SCREENING TOOL IN PHYSICAL THERAPY SETTINGS - LIFE INTERVENTION AND INDEPENDENCE FOR ELDERS (THE LIFE STUDY) - DEVELOPMENT OF A CLINICAL PREDICTION RULE TO IDENTIFY PATIENTS WITH NECK PAIN LIKELY TO BENEFIT FROM EDUCATION AND EXERCISE
	C. COMMUNITY HEALTH PROGRAMS AND SERVICES $1,318,088 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 TO BE ONGOING. 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 2011, THE PROGRAM SERVED A TOTAL OF 134 NEW PATIENTS; 128 FROM PUBLIC SCHOOLS AND 6 FROM PRIVATE SCHOOLS. THE SERVICES PROVIDED BY THIS PROGRAM IMPACTED 34 SCHOOL DISTRICTS IN 4 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: CHILDREN AND ADULTS LIVING WITH PHYSICAL DISABILITIES INCREASE BODY AWARENESS, BUILD SELF CONFIDENCE AND LEARN NEW LIFE SKILLS BY PARTICIPATING IN SPORTS AND RECREATION OPPORTUNITIES. EXAMPLES OF ADAPTIVE SPORTS PROGRAMS AT BROOKS AS WELL AS PARTNERSHIPS THAT HAVE BEEN DEVELOPED FOR ADAPTIVE SPORTS INCLUDE ADAPTIVE ROWING, WHEELCHAIR BASKETBALL, HANDCYCLING, WHEELCHAIR TENNIS, ADAPTIVE HORSEBACK RIDING, WHEELCHAIR RUGBY, MANY SPECIAL CLINICS AND EVENTS FOR DISABLED ATHLETES, AND PARTNERSHIP WITH THEY WILL SURF AGAIN. 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. IN 2011 WE HELD A FREE EVENT IN CONJUNCTION WITH THE COUNCIL ON AGING TITLED CELEBRATE AGING. OVER 100 SENIORS IN THE ST. AUGUSTINE AREA CAME OUT TO THE EVENING EDUCATIONAL SESSION. CEUS FOR PHYSICAL THERAPISTS WAS ALSO PROVIDED AS PART OF THE COMMUNITY EDUCATION. 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 2011 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 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: OCTOBER 6, 2008, THE BROOKS CLUBHOUSE OPENED. BROOKS COMMUNITY HEALTH BEGAN PLANNING FOR A COMMUNITY CLUBHOUSE FOR INDIVIDUALS LIVING WITH BRAIN INJURY TO REGAIN SOCIAL, PHYSICAL, COGNITIVE AND VOCATIONAL ABILITIES EARLY IN 2006. MEMBERS PARTICIPATE IN ACTIVITIES, AND MANAGE CLUBHOUSE OPERATIONS, HELPING THEM REESTABLISH THEMSELVES IN THE COMMUNITY AND RETURN TO WORK. WORKING SIDE-BY-SIDE WITH PROFESSIONAL STAFF, MEMBERS RUN EVERY ASPECT OF THE CLUBHOUSE, INCLUDING ADMINISTRATION, RESEARCH, ORIENTATION, HIRING, TRAINING AND EVALUATION OF STAFF, PUBLIC RELATIONS AND ADVOCACY. 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. COMMUNITY EDUCATION ON STROKE: BROOKS COMMUNITY HEALTH IS COMMITTED TO THE PREVENTION OF STROKE. IN AN EFFORT TO REACH OUT TO THE COMMUNITY AND GROUPS MOST AFFECTED BY STROKE, BROOKS MEDICAL DIRECTOR, DR. TREVOR PARIS GAVE MULTIPLE TALKS TO CHURCH CONGREGATIONS THROUGHOUT NORTHEAST FLORIDA. MOST PEOPLE DO NOT THINK THEY WILL EXPERIENCE A STROKE; THESE TALKS FOCUSED ON EDUCATION, PREVENTION AND BRINGING AWARENESS TO A TIGHTLY BOUND GROUP OF FAITH-BASED COMMUNITIES. STROKE WELLNESS PROGRAM: LONG TERM EFFECTS OF STROKE CAN INCLUDE GENERAL MUSCLE WEAKNESS, DECREASED ENDURANCE, SLOWER METABOLISM AND DECREASED BLOOD FLOW ON THE AFFECTED SIDE OF THE BODY. 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 $653,268 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 BACHELORS 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: HEALTHCARE PROFESSIONALS WITHIN BROOKS HEALTH SYSTEM DELIVERED MORE THAN 25 CONTINUING EDUCATION PROGRAMS FOR HEALTHCARE PROFESSIONALS IN NORTHEAST FLORIDA AND SOUTHEAST GEORGIA DURING 2011. THESE PROGRAMS WERE OFFERED IN BROOKS' FACILITIES, PHYSICIAN OFFICES AND OTHER FACILITIES THROUGHOUT THE REGION. SOME OF THE PROGRAMS IN 200 INCLUDED BRAIN INJURY: NEW SCIENCES, BEST PRACTICES AND FUTURE INNOVATIONS, CONTINUUM OF CARE, AMPUTATION REHABILITATION, YOGA FOR OCCUPATIONAL THERAPY AND MANY OTHERS. BROOKS BELIEVES STRONGLY IN CONTINUALLY DEVELOPING THE REGION'S HEALTHCARE PROFESSIONALS, AND ALSO IN SHARING THE KNOWLEDGE AND EXPERTISE OF THESE PROFESSIONALS WITH THE LARGER HEALTHCARE COMMUNITY. 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. 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 ORTHOPAEDIC 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 THE BROOKS HEALTH SYSTEM HAS ACCEPTED AN ONGOING PROMISE TO USE ITS RESOURCES TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE REQUIRING REHABILITATION THROUGHOUT 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. AS WE MOVE INTO 2012 WE WILL CONTINUE TO DEVELOP THESE AND NEW PROGRAMS AND PARTNERSHIPS TO MEET SPECIFIC REHABILITATION NEEDS THAT ARE NOT CURRENTLY BEING MET. BROOKS IS ALSO COMMITTED TO PROVIDING CONTINUED FUNDING FOR UNINSURED CARE, TO CONTINUING INVESTMENTS IN RESEARCH AND PROFESSIONAL EDUCATION THAT WILL BENEFIT THE INDUSTRY AND COMMUNITY AT LARGE.

Schedule R IRS990ScheduleR

Form990 Schedule R Part I Form990ScheduleRPartI

Name Of Disregarded Entity NameOfDisregardedEntity

Field	Value	IRS element (for citing)
Business Name Line1	SAMUEL WELLS MOB LLC	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3599 UNIVERSITY BLVD SOUTH	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32216	ZIPCode

Field	Value	IRS element (for citing)
EIN	454274287	EIN
Primary Activities	REAL ESTATE HOLDING	PrimaryActivities
Legal Domicile State	FL	LegalDomicileState
Total Income	700000	TotalIncome
EOY Assets	696300	EOYAssets
Direct Controlling Entity NA	N/A	DirectControllingEntityNA

Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivitiesPrimaryActivities	Legal Domicile StateLegalDomicileState	Exempt Code SectionExemptCodeSection	Public Charity StatusPublicCharityStatus	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg
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)	PENDING	GENESIS HEALTH INC	1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

Field	Value	IRS element (for citing)
Business Name Line1	ST AUGUSTINE MOB LTD	BusinessNameLine1

Address US AddressUS

Field	Value	IRS element (for citing)
Address Line1	3599 UNIVERSITY BLVD SOUTH	AddressLine1
City	JACKSONVILLE	City
State	FL	State
ZIP Code	32216	ZIPCode

Field	Value	IRS element (for citing)
EIN	593397507	EIN
Primary Activity	REAL ESTATE HOLDING	PrimaryActivity
Legal Domicile State	FL	LegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	GH MEDICAL SERVICES INC	BusinessNameLine1

Field	Value	IRS element (for citing)
Predominant Income Type	EXCLUDED	PredominantIncomeType
Share Of Total Income	279476	ShareOfTotalIncome
Share Of EOY Assets	4334944	ShareOfEOYAssets
Disproportionate Allocations	0	DisproportionateAllocations
General Or Managing Partner	0	GeneralOrManagingPartner
Percentage Ownership	1.00000	PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Direct Controlling Entity NADirectControllingEntityNA	Type Of EntityTypeOfEntity	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Percentage OwnershipPercentageOwnership	Business Name Line1DirectControllingEntityName/BusinessNameLine1
GH HOLDINGS INC
3599 UNIVERSITY BLVD SOUTH	JACKSONVILLE	FL	32216	593007328	HOLDING COMPANY	FL	N/A	C	2795	-21052239	1.00000
GH MANAGEMENT INC
3599 UNIVERSITY BLVD SOUTH	JACKSONVILLE	FL	32216	592387438	HOLDING COMPANY	FL		C		377394	1.00000	GH HOLDINGS INC
GENESIS MANAGEMENT SERVICES INC
3599 UNIVERSITY BLVD SOUTH	JACKSONVILLE	FL	32216	592183211	MANAGEMENT SERVICES	FL		C		271306	1.00000	GH HOLDINGS INC
GH MEDICAL SERVICES INC
3599 UNIVERSITY BLVD SOUTH	JACKSONVILLE	FL	32216	592742895	MEDICAL SERVICES	FL		C	276681	1070737	1.00000	GH HOLDINGS INC
GH PARTNERSHIP HOLDINGS PPA INC
3599 UNIVERSITY BLVD SOUTH	JACKSONVILLE	FL	32216	593075438	INVESTMENT HOLDINGS	FL		C	-2788226	2677935	1.00000	GH HOLDINGS INC

Field	Value	IRS element (for citing)
Receipt Of Int Ann Rents Royalties	1	ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org	0	GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org	1	GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org	1	LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org	1	LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org	0	SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org	0	PurchaseOfAssetsFromOtherOrg
Exchange Of Assets	0	ExchangeOfAssets
Rental Of Facilities To Other Orgs	1	RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs	0	RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs	1	PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs	0	PerformOfServicesByOtherOrgs
Sharing Of Facilities	1	SharingOfFacilities
Sharing Of Paid Employees	1	SharingOfPaidEmployees
Reimbursement Paid To Other Org	1	ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	1	OtherTransferToOtherOrg
Other Transfer From Other Org	1	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (16 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved	Method Of Amt DeterminationMethodOfAmtDetermination
BROOKS SKILLED NURSING FACILITY A INC
A	90000	CASH
GENESIS HEALTH DEVELOPMENT INC
A	1755245	CASH
PHYSICAL MEDICINE SPECIALISTS INC
A	67565	CASH
THE GENESIS HEALTH FOUNDATION INC
C	318835	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	7157242	INTERCOMPANY PAY.
BROOKS SKILLED NURSING FACILITY HOLDINGS A INC
E	2160139	INTERCOMPANY PAY.
GENESIS HEALTH DEVELOPMENT INC
K	1269738	INTERCO. ALLOCATION
GENESIS REHABILITATION HOSPITAL INC
K	7400766	INTERCO. ALLOCATION
PHYSICAL MEDICINE SPECIALISTS INC
K	250000	INTERCO. ALLOCATION
BROOKS HOME CARE ADVANTAGE INC
K	732627	INTERCO. ALLOCATION
BROOKS SKILLED NURSING INC
K	65792	INTERCO. ALLOCATION
BROOKS SKILLED NURSING FACILITY A INC
K	300000	INTERCO. ALLOCATION

Form990 Schedule R Part VII Form990ScheduleRPartVII (2 entries)

IdentifierIdentifier	Return ReferenceReturnReference	ExplanationExplanation
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.