2011-11-02T12:38:48-05:00 2010-12-31 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-01-01 262216181 BROOKS HOME CARE ADVANTAGE INC BROO 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 DOUGLAS BAER 9043457600 2011-10-30 1 AMY BIBBY 8282542254 2010 2016-03-07 17:11:31Z DOUGLAS BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 14537760 0 X WWW.BROOKSHEALTH.ORG X 2008 FL PROVISION OF HOME HEALTH CARE AND HOME REHABILITATION SERVICES 5 4 299 0 0 0 0 0 12936955 14531998 61807 3817 7737 1945 13006499 14537760 0 0 0 0 8386730 8328266 0 0 0 2809379 2985431 11196109 11313697 1810390 3224063 13084563 19876105 10077517 13359489 3007046 6516616 TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH 0 0 7332899 14531998 BROOKS HOME CARE ADVANTAGE, INC. OFFERS A FULL SPECTRUM OF SKILLED NURSING AND REHABILITATION OPTIONS FOR THOSE LEAVING THE HOPTIAL WITH CONTINUED HEALTHCARE 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.THE ORGANIZATION IS AFFILIATED WITH BROOKS HEALTH SYSTEM AND BROOKS REHABILITATION HOSPITAL, BOTH 501(C)(3) NON PROFIT ORGANIZATIONS IN JACKSONVILLE, FLORIDA. 7332899 1 0 0 1 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 0 1 0 0 0 0 1 0 0 1 299 1 0 0 0 0 0 0 0 0 0 0 X 5 4 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DOUGLAS BAER 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 X HOWARD C SERKIN 2.00 X 0 25800 0 GARY W SNEED 2.00 X 0 36703 0 DAVID H BUSSE 2.00 X 0 24186 0 BRUCE M JOHNSON 2.00 X 0 20400 0 ERIC NIXON 40.00 X X 0 310461 32042 MICHAEL SPIGEL 2.00 X 0 319823 102917 DOUGLAS M BAER 2.00 X 0 416293 145245 KAREN WRIGHT-BENNETT 40.00 X 0 398935 28157 THERESA GATES 40.00 X 0 145491 9764 SHERRY NIXON 40.00 X 0 111861 27721 JAMIE SEPPALA 40.00 X 0 94643 31676 0 1809953 345846 0 0 1 0 ALLSCRIPTS LLC 8529 SIX FORKS RD RALEIGH NC 27615 SOFTWARE SERVICES 235099 HAMMONDS & CONSOCIATES 1112 HAMPTON WAY NE ATLANTA GA 30324 CONSULTING 105676 2 NET PATIENT SERVICE 623000 14531998 14531998 14531998 3817 3817 OTHER INCOME 900099 1945 1945 1945 14537760 14531998 0 5762 91679 91679 7136913 5751744 1385169 104925 104925 472392 255426 216966 522357 347421 174936 722382 722382 12005 12005 75964 75964 195134 10065 185069 25551 25551 869949 652359 217590 87156 87156 176886 176886 44762 44762 238858 238858 268926 268926 35200 35200 OVERHEAD EXPENSE 185700 185700 BAD DEBT EXPENSE 46958 46958 11313697 7332899 3980798 0 838385 801821 552101 822310 34742 38166 29177 63742 1513122 389988 1013650 1123134 2280958 3182584 5857579 7432888 8602889 1036 285506 13084563 19876105 619798 918170 12274651 9124384 333335 166668 10077517 13359489 X 3007046 6516616 3007046 6516616 13084563 19876105 X 3224063 285507 X X 0 1 1 X 0 X 6757197 12936955 14531998 34226150 6757197 12936955 14531998 34226150 0 0 0 34226150 30060 61807 3817 95684 30060 61807 3817 95684 3101 7737 1945 12783 6790358 13006499 14537760 34334617 X 0.00000 0 0 0 0 0 0 0 0 1 153 153 0 EXPLANATION OF OTHER LOBBYING ACTIVITIES: PART II-B, LINE 1I: THE ORGANIZATION IS A MEMBER OF THE HOME CARE ASSOCIATION OF FLORIDA AND THE CASE MANAGEMENT ASSOCIATION OF AMERICA. THESE ORGANIZATIONS UNDERTAKE LOBBYING EFFORTS ON BEHALF OF THEIR MEMBERSHIP BODIES, AND EACH YEAR A PORTION OF DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING EXPENDITURES. FOR 2010, THE AMOUNT OF DUES ALLOCATED TO THESE EXPENDITURES IS APPROXIMATELY $ 115 TO THE HOME CARE ASSOCIATION OF FLORIDA AND $ 38 TO THE CASE MANAGEMENT ASSOCIATION OF AMERICA. 76635 49114 27521 1394424 340874 1053550 42063 42063 1123134 DUE FROM AFFILIATES 5857579 F 5857579 SWAP VALUATION 285506 285506 OTHER LIABILITIES 166668 166668 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 HOME CARE ADVANTAGE, INC. 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. BROOKS HEALTH SYSTEM ACCOUNTS FOR ALL UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH THE AUTHORITATIVE BODIES. 0 1 0 0 0 0 0 0 0 ERIC NIXON 0 151412 0 133600 0 25449 0 26175 0 5867 0 342503 0 0 MICHAEL SPIGEL 0 229479 0 72192 0 18152 0 89432 0 13485 0 422740 0 0 DOUGLAS M BAER 0 297288 0 90782 0 28223 0 125932 0 19313 0 561538 0 0 KAREN WRIGHT-BENNETT 0 214711 0 175000 0 9224 0 20149 0 8008 0 427092 0 0 THERESA GATES 0 104720 0 39530 0 1241 0 8134 0 1630 0 155255 0 0 PART I, LINE 4B IN 2010, GENESIS HEALTH, INC., A RELATED ORGANIZATION, ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. 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 - $ 78,682 MICHAEL SPIGEL - 58,682 SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS DIRECTLY. CERTAIN BOARD MEMBERS AND MANAGEMENT OFFICIALS ARE COMPENSATED BY BROOKS HEALTH SYSTEM, A RELATED ORGANIZATION. THE BOARD OF BROOKS HEALTH SYSTEM USES THE FOLLOWING METHODS TO DETERMINE EXECUTIVE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY OR SURVEY - APPROVAL BY COMPENSATION COMMITTEE JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION NONEAVAIL 2010-08-17 34100000 CAPITAL IMPROV., REFINANCING 0 0 0 34136906 136134 13574980 20425792 2013 1 0 0 1 0 1 0 0 1 0.00130 0.00000 0.00130 1 0 1 1 COMPASS BANK 15.000000000000 1 0 0 0 0 SCHEDULE K, PART I, COLUMN (E): THE SERIES 2010 ISSUE WAS APPROVED AT A TOTAL OF $65,000,000 TO BE DISBURSED IN THREE SEPARATE ISSUES. THE FIRST FUNDING, PRESENTED ON THIS 2010 SCHEDULE K, WAS FOR $34,100,000 ISSUED IN AUGUST 2010. THE REMAINING FUNDS ARE EXPECTED TO BE ISSUED IN 2011 IN AMOUNTS OF $14,500,000 AND $17,604,000 AND WILL BE REPRESENTED AS PART OF THE ISSUE PRICE WHEN THE DISTRIBUTIONS ARE MADE. SCHEDULE K, PART IV, LINE 6: AS OF THE FILING OF THIS SCHEDULE K, NOT ENOUGH TIME HAS PASSED TO DETERMINE IF THE ISSUE MET A SPENDING EXCEPTION. STALWART LLC OWNED IN PART BY OFFICERS KAREN WRIGHT-BENNETT AND ERIC NIXON 149688 LEASE PAYMENTS 0 GREGORY BENNETT FAMILY MEMBER OF OFFICERS KAREN WRIGHT-BENNETT AND ERIC NIXON 52270 COMPENSATION AS EMPLOYEE 0 JAMES BENNETT FAMILY MEMBER OF OFFICERS KAREN WRIGHT-BENNETT AND ERIC NIXON 39409 COMPENSATION AS EMPLOYEE 0 TC MEDI-CLAIMS LLC OWNERSHIP BY FAMILY MEMBER OF OFFICERS KAREN WRIGHT-BENNETT, ERIC NIXON 42720 NONEMPLOYEE COMPENSATION FOR SERVICES 0 FORM 990, PART VI, SECTION A, LINE 2 THE FOLLOWING BOARD MEMBERS, OFFICERS, AND HIGHLY COMPENSATED EMPLOYEES SHARE A FAMILY RELATIONSHIP: - ERIC NIXON - SHERRY NIXON - JAMIE SEPPALA - KAREN WRIGHT-BENNETT FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS GENESIS HEALTH, INC., A FLORIDA NOT FOR PROFIT CORPORATION DOING BUSINESS AS BROOKS HEALTH SYSTEM AND AN ORGANIZATION RECOGNIZED AS EXEMPT FROM FEDERAL INCOME TAX UNDER SECTION 501(C)(3). FORM 990, PART VI, SECTION A, LINE 7A THE ORGANIZATION SHALL AT ALL TIMES HAVE AT LEAST THREE MEMBERS OF THE BOARD OF DIRECTORS. THE MEMBERS OF THE BOARD OF DIRECTORS SHALL BE ELECTED BY THE SOLE MEMBER AS PROVIDED IN THE BYLAWS OF THE ORGANIZATION. SEE THE RESPONSE TO LINE 6 ABOVE. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS REQUIRE THE APPROVAL OF THE SOLE MEMBER: - A CHANGE IN THE PURPOSE OF THE ORGANIZATION - THE TERMINATION OF THE TAX-EXEMPT STATUS OF THE ORGANIZATION UNDER SECTION 501(C)(3) - THE SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION OR A SUBSIDIARY OF THE ORGANIZATION - THE DISSOLUTION OR LIQUIDATION OF THE ORGANIZATION OR A SUBSIDIARY OF THE ORGANIZATION - THE ADDITION OF A MEMBER OF THE ORGANIZATION - THE MERGER OR CONSOLIDATION OF THE ORGANIZATION OR A SUBSIDIARY OF THE ORGANIZATION OR THE ESTABLISHMENT OF A SUBSIDIARY OF THE ORGANIZATION - THE AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS 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 FILL OUT A FORM THAT WILL DISCLOSE ANY RELATIONSHIPS THAT MAY CREATE A CONFLICT OF INTEREST. THE FORMS ARE REVIEWED BY MANAGEMENT AND ANY CONCERNS ARE REFERRED TO THE BOARD IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 BROOKS HEALTH USES AN OUTSIDE CONSULTANT FOR ALL OFFICER, EXECUTIVE, AND TOP MANAGEMENT OFFICIAL COMPENSATION DECISIONS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS MUST APPROVE ANY AND ALL DECISIONS REGARDING EXECUTIVE PAY. FORM 990, PART VI, SECTION C, LINE 18 THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM ARE AVAILABLE ON GUIDESTAR.ORG. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONS: FORM 990, PART VII, LINE 1: OFFICERS OF THIS ORGANIZATION RECEIVING COMPENSATION FROM A RELATED ORGANIZATION ARE COMPENSATED BY BROOKS HEALTH SYSTEM. THE SYSTEM PROVIDES MANAGERIAL OVERSIGHT TO ITS SUBSIDIARIES, AND OFFICERS IN PART VII SHOWN AS WORKING ONE HOUR FOR THE FILING ORGANIZATION PERFORM AN AVERAGE OF 40 HOURS PER WEEK FOR BROOKS HEALTH SYSTEM. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: GAIN ON SWAP VALUATION 285,507. TOTAL TO FORM 990, PART XI, LINE 5: 285,507. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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