STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

BROOKS HOME CARE ADVANTAGE: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
BROOKS HOME CARE ADVANTAGE (EIN 26-2216181)
Tax period
2018-01-01 to 2018-12-31
Filed
2019-11-08
IRS object ID
201913129349302546
Schema version
2018v3.1
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 ReturnHeader

FieldValueIRS element (for citing)
Return2019-11-08T14:52:59-06:00ReturnTs
Tax Period End2018-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN560747981PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1DIXON HUGHES GOODMAN LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1500 RIDGEFIELD COURTAddressLine1Txt
CityASHEVILLECityNm
State AbbreviationNCStateAbbreviationCd
ZIP28806ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN262216181EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1BROOKS HOME CARE ADVANTAGE INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlBROOBusinessNameControlTxt
Phone9043457600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13599 UNIVERSITY BLVD SOUTHAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP322164252ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonDANIEL R CURRANPersonNm
Person TitleCFOPersonTitleTxt
Phone9043457600PhoneNum
Signature2019-11-08SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonAMY BIBBYPreparerPersonNm
PTINP00445891PTIN
Phone8282542254PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address24.241.144.70IPv4AddressTxt
FieldValueIRS element (for citing)
IP2019-11-08IPDt
IP Tm14:51:48IPTm
IP TimezoneESIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device IdA22AE24AEF09E58E11297D5713887849BDE471CEAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-04-17 16:48:07ZBuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

FieldValueIRS element (for citing)
Business Name Line1BROOKS REHABILITATION HOME HEALTHBusinessNameLine1Txt
FieldValueIRS element (for citing)
Principal OfficerDOUGLAS M BAERPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13599 UNIVERSITY BLVD SOUTHAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP322164252ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$32,503,083GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.BROOKSREHAB.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2008FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionPROVISION OF HOME HEALTH CARE AND HOME REHABILITATION SERVICESActivityOrMissionDesc
Voting Members Governing Body5VotingMembersGoverningBodyCnt
Voting Members Independent2VotingMembersIndependentCnt
Total Employee682TotalEmployeeCnt
Total Volunteers0TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$4,397NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$0PYContributionsGrantsAmt
CY Contributions Grants$0CYContributionsGrantsAmt
PY Program Service Revenue$30,314,738PYProgramServiceRevenueAmt
CY Program Service Revenue$32,451,652CYProgramServiceRevenueAmt
PY Investment Income$44,357PYInvestmentIncomeAmt
CY Investment Income$51,431CYInvestmentIncomeAmt
PY Other Revenue$0PYOtherRevenueAmt
CY Other Revenue$0CYOtherRevenueAmt
PY Total Revenue$30,359,095PYTotalRevenueAmt
CY Total Revenue$32,503,083CYTotalRevenueAmt
PY Grants And Similar Paid$310PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$22,461,928PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$25,428,424CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$12,229,458PYOtherExpensesAmt
CY Other Expenses$8,469,287CYOtherExpensesAmt
PY Total Expenses$34,691,696PYTotalExpensesAmt
CY Total Expenses$33,897,711CYTotalExpensesAmt
PY Revenues Less Expenses-$4,332,601PYRevenuesLessExpensesAmt
CY Revenues Less Expenses-$1,394,628CYRevenuesLessExpensesAmt
Total Assets BOY$25,458,528TotalAssetsBOYAmt
Total Assets EOY$26,525,455TotalAssetsEOYAmt
Total Liabilities BOY$28,072,103TotalLiabilitiesBOYAmt
Total Liabilities EOY$30,375,348TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY-$2,613,575NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY-$3,849,893NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCHMissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$22,142,950ExpenseAmt
Revenue$32,451,652RevenueAmt
DescIN 2008, BROOKS HEALTH SYSTEM INCORPORATED HOME HEALTH INTO OUR SERVICE OFFERINGS TO MEET THE NEEDS OF THE EXPANDING BABY BOOMER GENERATION. BROOKS HOME CARE ADVANTAGE, INC. IS ONE OF THE LARGEST HOME CARE AGENCIES IN NORTHEAST FLORIDA. WE PROVIDE A FULL SPECTRUM OF SKILLED NURSING AND REHABILITATION SERVICES FOR PATIENTS DISCHARGED FROM THE HOSPITAL, INCLUDING PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY THERAPY AND OCCUPATIONAL THERAPY.SEE CONTIUNUATION ON SCHEDULE O.BROOKS HOME CARE ADVANTAGE OFFERS A FULL SPECTRUM OF SKILLED NURSING AND REHABILITATION OPTIONS WITH CONTINUED HEALTH CARE NEEDS IN THE HOME. SERVICES INCLUDE SKILLED NURSING CARE, PHYSICAL THERAPY, SPEECH THERAPY, RESPIRATORY THERAPY, OCCUPATIONAL THERAPY, INFUSION THERAPY, AND WOUND CARE. ADDITIONAL SERVICES ARE CARDIAC CARE, ORTHOPEDIC REHABILITATION, LYMPHEDEMA CARE, NEUROLOGICAL REHABILITATION, VESTIBULAR THERAPY, CONGESTIVE HEART FAILURE CARE, COPD CARE, AND FALLS PREVENTION. THESE SERVICES PROMOTE, MAINTAIN, OR RESTORE HEALTH, OR MINIMIZE THE EFFECTS OF ILLNESS AND DISABILITY, AND WITH THE ADDITION OF PERSONAL CARE HOME SERVICES, ARE DESIGNED TO PROVIDE A CONTINUUM OF HEALTH CARE SERVICES AS THE PATIENT TRANSITIONS FROM POST- ACUTE AND INPATIENT SKILLED NURSING TO THE HOME. HOME HEALTH PROVIDES MEDICALLY NECESSARY SKILLED CARE IN THE HOME, INTENDED FOR INDIVIDUALS WHO CANNOT EASILY LEAVE THEIR HOME TO RECEIVE NEEDED CARE.BROOKS HOME CARE TAKES GREAT PRIDE IN PROVIDING THE MOST PROFESSIONAL, COMPASSIONATE, AND RELIABLE SERVICES. OUR HOMECARE TEAM IS FOCUSED ON PROVIDING THE BEST PATIENT CARE WITH A PERSONAL TOUCH AND IS COMMITTED TO ENSURING AN EXCELLENT EXPERIENCE WITH EVERY VISIT.BROOKS HOME CARE IS A MEDICARE AND ACHC CERTIFIED HOME CARE AGENCY WITH STELLAR PATIENT CARE AND GREAT OUTCOMES. BROOKS EMPLOYS ONLY THE MOST QUALIFIED NURSING AND THERAPY STAFF SO THAT OUR PATIENTS HAVE THE BEST CHANCE TO RECOVER AND REGAIN INDEPENDENCE. OUR CARE TEAMS INCLUDE: REGISTERED NURSES (RNS) LICENSED PRACTICAL NURSES (LPNS) CERTIFIED NURSES ASSISTANTS (CNAS) SOCIAL WORKERS RESPIRATORY THERAPISTS PHYSICAL THERAPISTS OCCUPATIONAL THERAPISTS SPEECH THERAPISTS IN HOME COMPANION SERVICESAS THE REGION'S LARGEST HOME HEALTH PROVIDER BROOKS HOME CARE PROUDLY SERVES 23 COUNTIES IN NORTH EAST AND CENTRAL FLORIDA. IN 2018, BROOKS HOME CARE HAD APPROXIMATELY 191,000 CERTIFIED HOME VISITS, OF WHICH 140,000 WERE MEDICARE.Desc
Total Program Service Expenses$22,142,950TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate Hospital0OperateHospitalInd
Grants To Organizations0GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt BondsYes (1)TaxExemptBondsInd
Invest Tax Exempt Bonds0InvestTaxExemptBondsInd
Escrow Account0EscrowAccountInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl Ent0RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee682EmployeeCnt
Employment Tax Returns FiledYes (1)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members5GoverningBodyVotingMembersCnt
Independent Voting Member2IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Other WebsiteYes (X)OtherWebsiteInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1DANIEL R CURRANBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone9043457600PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13599 UNIVERSITY BLVD SOUTHAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (11 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeInd
HOWARD C SERKIN
CHAIRMAN1.006.00Yes (X)Yes (X)$0$30,600$0
BRUCE M JOHNSON
MEMBER1.0051.00Yes (X)Yes (X)$0$42,300$0
DOUGLAS M BAER
CEO1.0051.00Yes (X)Yes (X)$0$721,319$253,651
MICHAEL SPIGEL
PRESIDENT/COO1.0049.00Yes (X)Yes (X)$0$535,820$193,964
DANIEL R CURRAN
CFO1.001.00Yes (X)$0$414,830$42,742
KRIS A ROBERTS
SR. V.P. OPERATIONS40.00$0$214,146$28,519Yes (X)
HEATHER L D'AMBROSIO
ACCOUNT EXECUTIVE II40.00$173,666$0$26,962Yes (X)
CINDA STROUT
V.P. SALES/MARKETING40.00$167,213$0$49,246Yes (X)
CHARISMA FERNANDEZ
OCC. THERAPIST40.00$141,188$0$20,665Yes (X)
JOSEPH WHITE
ADMINISTRATOR40.00$115,691$0$23,439Yes (X)
CHRISYL M BRANDNER
MARKETING DIRECTOR40.00$116,549$0$12,469Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$714,307TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$1,959,015TotReportableCompRltdOrgAmt
Total Other Compensation$651,657TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K15IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed0FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (4 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
PROFESSIONAL PLACEMENT RESOURCES
320 FIRST ST 101JACKSONVILLEFL32250RECRUITMENT & EMPLOYMENT$659,438
AVANT HEALTHCARE PROFESSIONALS
1211 SEMORAN BLVDCASSELBERRYFL32707HEALTHCARE STAFFING$381,732
CASAMBA LLC
228 SEVENTH ST SEWASHINGTONDC20003I.T. SERVICES$251,600
MANAGEMENT HEALTH SYSTEMS LLC
1580 SAWGRASS CORP PKY 200SUNRISEFL33323HEALTHCARE STAFFING$151,390
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K4CntrctRcvdGreaterThan100KCnt
Info In Schedule O Part VIIIYes (X)InfoInScheduleOPartVIIIInd

Program Service Revenue ProgramServiceRevenueGrp (2 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
NET PATIENT SERVICE623000$32,402,699$32,402,699
OTHER OPERATING REVENUE623000$48,953$48,953
FieldValueIRS element (for citing)
Total Program Service Revenue$32,451,652TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$51,431TotalRevenueColumnAmt
Exclusion$51,431ExclusionAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$32,503,083TotalRevenueColumnAmt
Related Or Exempt Func Income$32,451,652RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$51,431ExclusionAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$20,328,105TotalAmt
Program Services$15,718,523ProgramServicesAmt
Management And General$4,609,582ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$273,587TotalAmt
Program Services$201,058ProgramServicesAmt
Management And General$72,529ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$3,329,078TotalAmt
Program Services$2,206,692ProgramServicesAmt
Management And General$1,122,386ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$1,497,654TotalAmt
Program Services$1,186,211ProgramServicesAmt
Management And General$311,443ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$27,726TotalAmt
Management And General$27,726ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$16,313TotalAmt
Management And General$16,313ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$206,148TotalAmt
Program Services$17,369ProgramServicesAmt
Management And General$188,779ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$186,384TotalAmt
Program Services$183,786ProgramServicesAmt
Management And General$2,598ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,175,683TotalAmt
Program Services$489,784ProgramServicesAmt
Management And General$685,899ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$24,507TotalAmt
Program Services$21,457ProgramServicesAmt
Management And General$3,050ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$1,052,358TotalAmt
Program Services$360,928ProgramServicesAmt
Management And General$691,430ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$1,259,153TotalAmt
Program Services$1,186,655ProgramServicesAmt
Management And General$72,498ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$41,000TotalAmt
Program Services$14,532ProgramServicesAmt
Management And General$26,468ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$1,214,312TotalAmt
Management And General$1,214,312ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$558,799TotalAmt
Management And General$558,799ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$115,207TotalAmt
Management And General$115,207ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDescTotalTotalAmtManagement And GeneralManagementAndGeneralAmtProgram ServicesProgramServicesAmt
AFFILIATE MANAGMENT FEE$2,029,230$2,029,230
MEDICAL SUPPLIES$550,455$550,455
MISCELLANEOUS EXPENSES$12,012$6,512$5,500

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$33,897,711TotalAmt
Program Services$22,142,950ProgramServicesAmt
Management And General$11,754,761ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$216,589BOYAmt
EOY$1,608,479EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$3,458,457BOYAmt
EOY$3,251,463EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$138,828BOYAmt
EOY$94,689EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$3,627,059LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$3,037,122LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$460,520BOYAmt
EOY$589,937EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$21,079,741BOYAmt
EOY$20,884,234EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$104,393BOYAmt
EOY$96,653EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$25,458,528BOYAmt
EOY$26,525,455EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$1,160,245BOYAmt
EOY$1,408,986EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$10,558,017BOYAmt
EOY$10,239,111EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$16,353,841BOYAmt
EOY$18,727,251EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$28,072,103BOYAmt
EOY$30,375,348EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY-$2,613,575BOYAmt
EOY-$3,849,893EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY-$2,613,575BOYAmt
EOY-$3,849,893EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$25,458,528BOYAmt
EOY$26,525,455EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss-$1,394,628ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$158,310OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2Yes (X)PubliclySupportedOrg509a2Ind

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,361,294CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,265,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,243,654CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,202,499CurrentTaxYearMinus1YearAmt
Current Tax Year$32,451,652CurrentTaxYearAmt
Total$131,524,412TotalAmt

Total509 Total509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,361,294CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,265,313CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,243,654CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,202,499CurrentTaxYearMinus1YearAmt
Current Tax Year$32,451,652CurrentTaxYearAmt
Total$131,524,412TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

FieldValueIRS element (for citing)
Total$0TotalAmt
FieldValueIRS element (for citing)
Public Support Total509$131,524,412PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$112,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,662CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,357CurrentTaxYearMinus1YearAmt
Current Tax Year$51,431CurrentTaxYearAmt
Total$369,860TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$112,449CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$74,662CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$86,961CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$44,357CurrentTaxYearMinus1YearAmt
Current Tax Year$51,431CurrentTaxYearAmt
Total$369,860TotalAmt

Other Income509 OtherIncome509Grp

FieldValueIRS element (for citing)
Current Tax Year Minus1 Year$112,239CurrentTaxYearMinus1YearAmt
Total$112,239TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years$12,473,743CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years$23,339,975CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years$33,330,615CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year$30,359,095CurrentTaxYearMinus1YearAmt
Current Tax Year$32,503,083CurrentTaxYearAmt
Total$132,006,511TotalAmt
FieldValueIRS element (for citing)
Public Support CY5090.99630PublicSupportCY509Pct
Public Support PY5090.99500PublicSupportPY509Pct
Investment Income CY0.00280InvestmentIncomeCYPct
Investment Income PY0.00360InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509Yes (X)ThirtyThrPctSuprtTestsCY509Ind

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Total Lobbying Expenditures$0TotalLobbyingExpendituresAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART II-B, LINE 1:FormAndLineReferenceDesc
ExplanationA PORTION OF THE DUES PAID TO HOME CARE ASSOCIATION OF FLORIDA ARE ALLOCATED FOR LOBBYING EXPENSES.ExplanationTxt

Schedule D IRS990ScheduleD

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$292,538OtherCostOrOtherBasisAmt
Depreciation$174,398DepreciationAmt
Book Value$118,140BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,334,521OtherCostOrOtherBasisAmt
Depreciation$2,862,724DepreciationAmt
Book Value$471,797BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$589,937TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
SWAP VALUATION$250,614
ESTIMATED THIRD PARTY SETTLEMENTS$85,651
DUE TO AFFLIATES$18,390,986
FieldValueIRS element (for citing)
Total Liability$18,727,251TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART X, LINE 2:FormAndLineReferenceDesc
ExplanationTHE ORGANIZATION RECEIVES CONSOLIDATED FINANCIAL STATEMENTS INCLUDING CORPORATE PARENT AND SUBSIDIARIES. THE FOLLOWING DISCLOSURE APPLIES TO THE SYSTEM AS A WHOLE: BROOKS IS COMPRISED OF NOT-FOR-PROFIT CORPORATIONS 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.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment0SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgYes (1)CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (7 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
DOUGLAS M BAER
CEO$0$485,707$0$191,160$0$44,452$0$228,333$0$25,318$0$974,970$0$0
MICHAEL SPIGEL
PRESIDENT/COO$0$364,607$0$141,917$0$29,296$0$173,077$0$20,887$0$729,784$0$0
DANIEL R CURRAN
CFO$0$280,018$0$108,644$0$26,168$0$24,500$0$18,242$0$457,572$0$0
KRIS A ROBERTS
SR. V.P. OPERATIONS$0$167,774$0$42,331$0$4,041$0$8,907$0$19,612$0$242,665$0$0
HEATHER L D'AMBROSIO
ACCOUNT EXECUTIVE II$80,944$0$92,600$0$122$0$9,556$0$17,406$0$200,628$0$0$0
CINDA STROUT
V.P. SALES/MARKETING$127,922$0$34,150$0$5,141$0$36,408$0$12,838$0$216,459$0$0$0
CHARISMA FERNANDEZ
OCC. THERAPIST$139,035$0$0$0$2,153$0$3,897$0$16,768$0$161,853$0$0$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART I, LINE 4BIN 2012, GENESIS HEALTH, INC., A RELATED ORGANIZATION, PROVIDED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN TO CERTAIN KEY EMPLOYEES. THE PLAN IS AN UNFUNDED DEFERRED COMPENSATION PLAN DESCRIBED IN SECTION 457(F) AND IS INTENDED FOR A SELECT GROUP OF MANAGEMENT OR HIGHLY COMPENSATED EMPLOYEES. AT THIS TIME, CONTRIBUTIONS TO AN INDIVIDUAL'S ACCOUNT UNDER THE PLAN ARE ON A PERCENTAGE OF THE INDIVIDUAL'S ANNUAL BASE SALARY AS APPROVED BY 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)): $185,333 DOUGLAS M. BAER $150,384 MICHAEL R. SPIGEL
PART I, LINE 6THE COMPANY HAS A SUCCESS SHARING PLAN THAT INCLUDES MOST EMPLOYEES. PAYMENT IS CALCULATED AS A PERCENTAGE OF COMPENSATION AND IS TRIGGERED BY MEETING SPECIFIC OPERATIONAL AND FINANCIAL GOALS.
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 - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY OR SURVEY - APPROVAL BY COMPENSATION COMMITTEE

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd

Issuer Name IssuerName

FieldValueIRS element (for citing)
Business Name Line1JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSIONBusinessNameLine1Txt
FieldValueIRS element (for citing)
Bond Issued2010-08-17BondIssuedDt
Issue Price$34,100,000IssuePriceAmt
PurposeCAPITAL IMPROV., REFINANCINGPurposeDesc
Defeased0DefeasedInd
On Behalf Of Issuer0OnBehalfOfIssuerInd
Pool Financing0PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Retired$6,456,612RetiredAmt
Total Proceeds$34,374,251TotalProceedsAmt
Issuance Costs From Proceeds$460,224IssuanceCostsFromProceedsAmt
Capital Expenditures$33,913,828CapitalExpendituresAmt
Substantial Completion2013SubstantialCompletionYr
Refunding Tax Exempt BondsYes (1)RefundingTaxExemptBondsInd
Refunding Taxable Bonds0RefundingTaxableBondsInd
Final Allocation Made0FinalAllocationMadeInd
Adequate Books And Rec Maint0AdequateBooksAndRecMaintInd

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Owning Bond Financed Property0OwningBondFinancedPropertyInd
Any Lease ArrangementsYes (1)AnyLeaseArrangementsInd
Mgmt Contract Bond Fincd Prop0MgmtContractBondFincdPropInd
Any Research Agreements0AnyResearchAgreementsInd
Private Bus Use By Others0.00130PrivateBusUseByOthersPct
Total Private Business Use0.00130TotalPrivateBusinessUsePct
Bond Iss Meet Prvt Sec Pymt Test0BondIssMeetPrvtSecPymtTestInd
Change In Use Bond Financed Prop0ChangeInUseBondFinancedPropInd
Procs Nonqualified Bond Remdtd0ProcsNonqualifiedBondRemdtdInd

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Form8038 T Filed0Form8038TFiledInd
Rebate Not Due Yet0RebateNotDueYetInd
Exception To RebateYes (1)ExceptionToRebateInd
No Rebate Due0NoRebateDueInd
Variable Rate IssueYes (1)VariableRateIssueInd
Hedge Identified In Bks And RecYes (1)HedgeIdentifiedInBksAndRecInd

Hedge Provider Name HedgeProviderName

FieldValueIRS element (for citing)
Business Name Line1BBVA COMPASSBusinessNameLine1Txt
FieldValueIRS element (for citing)
Term Of Hedge15.000000000000TermOfHedgePct
Superintegrated HedgeYes (1)SuperintegratedHedgeInd
Hedge Terminated0HedgeTerminatedInd
Gross Proceeds Invested In GIC0GrossProceedsInvestedInGICInd
Gross Proceeds Invested0GrossProceedsInvestedInd
Written Proc To Monitor ReqsYes (1)WrittenProcToMonitorReqsInd

Procedures Corrective Action ProceduresCorrectiveActionGrp

FieldValueIRS element (for citing)
Bond ReferenceABondReferenceCd
Procedures Corrective Action0ProceduresCorrectiveActionInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE K, PART I, DESCRIPTION OF PURPOSE:THE JACKSONVILLE ECONOMIC DEVELOPMENT COMMISSION HEALTH CARE REVENUE BONDS, SERIES 2010 WAS APPROVED AT $65,000,000 TO BE DISBURSED IN THREE SEPARATE ISSUES. THE FIRST FUNDING WAS FOR $34,100,000 ISSUED IN AUGUST 2010, AND WAS ALLOCATED TO THE FILING ORGANIZATION. THE PURPOSE OF THE ISSUE WAS TO: (I) FINANCE A PORTION OF THE COST OF CAPITAL IMPROVEMENTS, (II) REFINANCE CERTAIN INDEBTEDNESS OF THE COMPANY WHICH FINANCED THE ACQUISITION OF BROOKS HOME CARE ADVANTAGE, INC. AND (III) PAY THE COSTS ASSOCIATED WITH THE ISSUANCE OF THE DEBT. THE CAPITAL IMPROVEMENTS WILL CONSIST OF: (I) BUILDING THE INFRASTRUCTURE ON LAND HELD FOR INVESTMENT, (II) IMPROVEMENTS AT THE COMPANY'S EXISTING INPATIENT REHABILITATION HOSPITAL, (III) ROUTINE CAPITAL IMPROVEMENTS TO HEALTH CARE FACILITIES OF THE COMPANY.
SCHEDULE K, PART II, LINE 3: TOTAL PROCEEDS:THE AMOUNT ON PART II, LINE 3 IS PRESENTED NET OF EARNINGS ON INVESTMENT OF BOND PROCEEDS. ISSUE PRICE: $ 34,100,000 INVESTMENT EARNINGS: 274,251 TOTAL TO LINE 3: $ 34,374,251

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 6THE 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 7ATHE 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 7BTHE 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 11BFORM 990 IS UPLOADED TO A SHARED FILE SYSTEM FOR ACCESS BY BOARD MEMBERS. BOARD MEMBERS MAY REQUEST PRINTED COPIES. THE 990 FORM IS REVIEWED IN DETAIL BY THE AUDIT COMMITTEE. A SUMMARY IS PRESENTED TO THE BOARD.
FORM 990, PART VI, SECTION B, LINE 12CEACH 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 15GENESIS HEALTH, INC. USES AN OUTSIDE CONSULTANT FOR ALL OFFICER, EXECUTIVE, AND TOP MANAGMENT COMPENSATION DECISIONS. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS APPROVES ALL DECISIONS REGARDING EXECUTIVE COMPENSATION
FORM 990, PART VI, SECTION C, LINE 18THE 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 19THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST.
FORM 990, PART VIII, LINES 3 AND 4:AMOUNTS PRESENTED ON LINE 3 AND LINE 4 ARE AN ALLOCATION OF INVESTMENT INCOME BASED ON INVESTMENTS HELD BY THE SOLE MEMBER.
FORM 990, PART XI, LINE 9:GAIN ON SWAP VALUATION 158,310.
FORM 990, PART XII, LINE 2C:THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
GENESIS HEALTH INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216592249370HEALTHCAREFL501(C)(3)LINE 12B, IIN/A0
GENESIS REHABILITATION HOSPITAL INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216593284221HEALTHCARE / REHAB CAREFL501(C)(3)LINE 30GENESIS HEALTH INC
PHYSICAL MEDICINE SPECIALISTS INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216593530305HEALTHCARE / PHYSICIANSFL501(C)(3)LINE 12A, I0GENESIS REHABILITATION HOSPITAL INC
GENESIS HEALTH DEVELOPMENT INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216592249372HEALTHCARE / REHAB THERAPYFL501(C)(3)LINE 100GENESIS HEALTH INC
BROOKS SKILLED NURSING INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216264561148HEALTHCARE / SKILLED NURSINGFL501(C)(3)LINE 100GENESIS HEALTH INC
BROOKS SKILLED NURSING FACILITY A INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216272153586HEALTHCARE / SKILLED NURSINGFL501(C)(3)LINE 30BROOKS SKILLED NURSING INC
THE GENESIS HEALTH FOUNDATION INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216592249340SUPPORT / FUNDRAISINGFL501(C)(3)LINE 70GENESIS HEALTH INC
BROOKS SKILLED NURSING FACILITY HOLDINGS A INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216272187557REAL ESTATE HOLDINGFL501(C)(3)LINE 12A, I0BROOKS SKILLED NURSING INC
BROOKS SKILLED NURSING FACILITY HOLDINGS B INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216452623488REAL ESTATE HOLDINGFL501(C)(3)LINE 12A, I0BROOKS SKILLED NURSING INC
BROOKS REHABILITATION CLINICAL RESEARCH CENTER INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216452094888RESEARCHFL501(C)(3)PENDING0GENESIS HEALTH INC

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1ST AUGUSTINE MOB LTDBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line13599 UNIVERSITY BLVD SOUTHAddressLine1Txt
CityJACKSONVILLECityNm
State AbbreviationFLStateAbbreviationCd
ZIP32216ZIPCd
FieldValueIRS element (for citing)
EIN593397507EIN
Primary ActivitiesREAL ESTATE HOLDINGPrimaryActivitiesTxt
Legal Domicile StateFLLegalDomicileStateCd
Direct Controlling NAN/ADirectControllingNACd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (5 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
GH HOLDINGS INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216593007328HOLDING COMPANYFLN/AC0
GH MANAGEMENT INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216592387438HOLDING COMPANYFLN/AC0
GENESIS MANAGEMENT SERVICES INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216592183211MANAGEMENT SERVICESFLN/AC0
GH MEDICAL SERVICES INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216592742895MEDICAL SERVICESFLN/AC0
GH PARTNERSHIP HOLDINGS PPA INC
3599 UNIVERSITY BLVD SOUTHJACKSONVILLEFL32216593075439INVESTMENT HOLDINGSFLN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees SharingYes (1)PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (1)TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd