2012-11-12T14:27:13-06:00 2011-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2011-01-01 592249370 GENESIS HEALTH INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 DOUGLAS M BAER 9043457600 2012-11-12 1 AMY BIBBY P00445891 8282542254 2011 2016-02-24 21:20:13Z BROOKS HEALTH SYSTEM DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 77971874 0 X WWW.BROOKSHEALTH.ORG X 1982 FL SUPPORT AND ADMINISTRATION FOR BROOKS REHABILITATION HOSPITAL AND AFFILIATES 14 13 117 0 134639 -55505 138379 1018835 10006406 10344456 19353695 11455736 147619 134639 29646099 22953666 295185 286085 0 0 7817542 8038128 0 0 0 9235344 9940139 17348071 18264352 12298028 4689314 294392700 287859044 109649287 120264984 184743413 167594060 TO ADVANCE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION AND RESEARCH. 0 0 2689529 286085 10344456 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. 2689529 1 1 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 1 0 0 0 1 1 1 1 0 0 1 452 0 1 117 1 1 1 0 0 0 0 0 0 0 0 0 X 14 13 0 0 0 0 1 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 X GARY W SNEED 2.00 X X 38567 0 0 BRUCE M JOHNSON 2.00 X X 27600 0 0 STANLEY W CARTER 2.00 X X 5662 0 0 ERNEST N BRODSKY 2.00 X 27300 0 0 THOMAS BROTT MD 2.00 X 7800 0 0 J BROOKS BROWN MD 2.00 X 1662 0 0 DAVID H BUSSE 2.00 X 25984 0 0 PAMELA S CHALLY PHD 2.00 X 16794 0 0 LEE LOMAX 2.00 X 0 0 11521 KERRY ROMESBURG PHD 2.00 X 9300 0 0 GUY T SELANDER MD 2.00 X 8541 0 0 HOWARD C SERKIN 2.00 X 26100 0 0 FORREST TRAVIS 2.00 X 18900 0 0 DOUGLAS M BAER 40.00 X X 493762 0 113383 MICHAEL SPIGEL 40.00 X 378273 0 72792 KAREN GALLAGER 40.00 X 218733 0 17941 PATRICIA DEBEAR 1.00 X 230194 0 15284 ROBERT B FULLER 40.00 X 182300 0 14449 CHARLES A SCHAUER 40.00 X 312251 0 7170 ROBERT W SHRYOCK 40.00 X 156923 0 467 KAREN WRIGHT-BENNETT 40.00 X 402596 0 9855 ERIC NIXON 40.00 X 290125 0 21857 JAMIE SEPPALA 40.00 X 138457 0 19410 THERESA GATES 40.00 X 103662 0 1406 KEN MCCOSH 40.00 X 128045 0 11856 3249531 0 317391 12 0 1 0 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 16 318835 700000 700000 1018835 MANAGEMENT FEES 541610 10279198 10279198 OTHER OPERATING REVENU 900099 65258 65258 10344456 324033 324033 2087122 2087122 134639 0 134639 134639 134639 64062789 55018208 9044581 9044581 9044581 22953666 10344456 134639 11455736 286085 286085 2186648 234588 1952060 32477 32477 4027763 1025691 3002072 353607 66842 286765 1059160 273501 785659 378473 97874 280599 102658 4507 98151 62678 35000 27678 987984 987984 1014012 176497 837515 304972 304972 2260856 185771 2075085 270649 79038 191611 79090 40118 38972 103605 50990 52615 2390499 2390499 1832845 74369 1758476 135666 135666 OTHER EXPENSE 394625 26181 368444 18264352 2689529 15574823 0 1178671 665901 17434922 15802297 208593 581843 606230 61681643 6053959 53078136 55627684 219275144 212119232 20000 484265 2615391 2553435 294392700 287859044 3348829 4037736 60000 36500 661051 58510029 57812742 47069378 58378006 109649287 120264984 X 184743413 167594060 184743413 167594060 294392700 287859044 X 4689314 -21838667 X X 0 1 1 X 0 X X X 0 0 0 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 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 TRANSACTION. RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 2533 2533 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. 33633954 33633954 700000 14477986 1460780 13717206 1192416 287022 905394 8091595 4306157 3785438 3585692 3585692 55627684 DUE TO AFFILIATES 56293365 BOND SWAP VALUATION 1713898 THIRD PARTY SETTLEMENTS 370743 58378006 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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) 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 18 2 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 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 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. JACKSONVILLE HEALTH FACILITIES AUTHORITY 2007-12-01 95000000 CAPITAL IMPROVEMENTS 0 0 0 1070000 95023094 4491522 900000 61959607 23800000 2009 1 0 1 1 0 1 0 0 0.00540 0.00000 0.00540 1 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 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 32477 COMPENSATION AS EMPLOYEE OF ORGANIZATION 0 X 1 700000 APPRAISAL 0 0 0 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 CHANGES IN NET ASSETS OR FUND BALANCES: 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. 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. SAMUEL WELLS MOB LLC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 454274287 REAL ESTATE HOLDING FL 700000 696300 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) 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 279476 4334944 0 0 1.00000 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 GH HOLDINGS INC C 377394 1.00000 GENESIS MANAGEMENT SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592183211 MANAGEMENT SERVICES FL GH HOLDINGS INC C 271306 1.00000 GH MEDICAL SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592742895 MEDICAL SERVICES FL GH HOLDINGS INC C 276681 1070737 1.00000 GH PARTNERSHIP HOLDINGS PPA INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593075438 INVESTMENT HOLDINGS FL GH HOLDINGS INC C -2788226 2677935 1.00000 1 0 1 1 1 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 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 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.