2014-11-03T13:53:18-06:00 2013-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2013-01-01 592249372 GENESIS HEALTH DEVELOPMENT INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 JAMES HARDISON TREASURER 9043457600 2014-10-28 1 AMY BIBBY P00445891 8282542254 2013 2015-11-30 17:44:51Z BROOKS HEALTH DEVELOPMENT DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 11945961 0 X WWW.BROOKSREHAB.ORG X 1983 FL TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQURING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 4 1 251 0 0 0 0 29116 10444954 11813413 591472 461135 417860 -366094 11454286 11937570 0 195 0 0 9704847 11311782 0 0 0 2426359 2202947 12131206 13514924 -676920 -1577354 5971588 8791185 13751636 18114053 -7780048 -9322868 TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 0 0 11309330 195 11813413 GENESIS HEALTH DEVELOPMENT, INC.'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE HEALTH-RELATED SERVICES TO THE COMMUNITY, INCLUDING ENGAGING IN OUTPATIENT REHABILITATION SERVICES IN CLINICAL SETTINGS IN A NON-PROFIT ENVIRONMENT, PROVIDING EDUCATION ON HEALTH AND OTHER MEDICAL MATTERS TO THE MEDICAL COMMUNITY AND THE COMMUNITY AT LARGE, AND SUCH OTHER ACTIVITIES PERMITTED TO 501(C)(3) CORPORATIONS. 11309330 1 1 0 0 0 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 0 0 0 0 0 0 0 0 0 0 0 0 1 1 0 0 0 1 0 0 1 251 1 0 0 0 0 0 0 0 0 0 0 X 4 1 0 0 0 0 1 1 1 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 DOUGLAS M BAER CHAIRMAN/ PRESIDENT 2.00 38.00 X X 0 481112 77349 MICHAEL SPIGEL VICE PRESIDENT 2.00 38.00 X X 0 377634 49418 MICHAEL DURR SECRETARY/ TREASURER 2.00 38.00 X X 0 232229 14755 GARY W SNEED BOARD MEMBER 2.00 38.00 X 0 35917 0 CYNTHIA E NEVILLE DIR. OF WOMEN'S HEALTH 40.00 X 125170 0 43169 DEBORAH H REBER VP OF CLINICAL SERVICES 40.00 X 131073 0 14780 KRIS ROBERTS DIRECTOR OF REVENUE 40.00 X 108096 0 25387 TRACY MCFARLANE REGIONAL DIR OUTPATIENT 40.00 X 107022 0 20794 MICHAEL IMBIMBO MANAGER PHYSICAL THERAPY 40.00 X 102441 0 26498 573802 1126892 272150 6 0 1 0 0 X 29116 29116 NET PATIENT SERVICE 621400 7643875 7643875 CONTRACT SERVICES 621400 4169538 4169538 11813413 454551 454551 14975 14975 114224 0 114224 114224 114224 8391 -8391 -8391 -8391 OTHER REVENUE 900099 365359 365359 EQUITY INVESTMENT LOSS 900099 -845677 -845677 -480318 11937570 11813413 0 95041 195 195 8538493 6073152 2465341 334833 249062 85771 1797134 1245478 551656 641322 490593 150729 63140 55169 7971 9996 9996 391723 103167 288556 129622 118720 10902 750219 310058 440161 10109 7929 2180 1617858 1136494 481364 58813 30436 28377 44066 24084 19982 222385 222385 395126 395126 67990 67990 AFFILIATE MGMT FEES 1782192 1782192 OTHER 49879 47776 2103 MEDICAL SUPPLIES 46290 46290 BAD DEBT 25840 25840 -3462301 727376 -4189677 13514924 11309330 2205594 0 X 477954 978049 1127570 911469 132049 128525 5523426 4121060 1914479 1402366 623698 558329 3469786 644127 644127 1051711 698534 5971588 8791185 1220861 1302893 203484 289412 2184854 2158989 1396272 1356680 8746165 13006079 13751636 18114053 X -7780048 -9322868 -7780048 -9322868 5971588 8791185 X -1577354 34534 X X 0 1 X 1 0 X 50467 16046 29116 95629 12490008 12176727 11447629 10444954 11813413 58372731 12490008 12227194 11463675 10444954 11842529 58468360 0 0 0 58468360 444818 481487 460080 729416 469526 2585327 444818 481487 460080 729416 469526 2585327 1333376 314659 289611 300380 365359 2603385 14268202 13023340 12213366 11474750 12677414 63657072 0.91850 0.85600 0.04060 0.03830 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1564483 1006718 557765 32183 32183 0 3857572 3082159 775413 69188 69188 1402366 INVESTMENT IN HB REHABILITATIVE SERVICES 3469786 C 3469786 OTHER ASSETS 36859 OTHER RECEIVABLES 633056 UNAMORITIZED BOND ISSUANCE COSTS 28619 698534 DUE TO AFFILIATES 11237034 SWAP VALUATION 86452 OTHER PAYABLES 1682593 13006079 X PART X, LINE 2: THE ORGANIZATION RECEIVES CONSOLIDATED FINANCIAL STATEMENTS INCLUDING CORPORATE PARENT AND SUBSIDIARIES. THE FOLLOWING DISCLOSURE APPLIES TO THE SYSTEM AS A WHOLE: BROOKS REHABILITATION HOSPITAL IS A NOT-FOR-PROFIT CORPORATION AS DESCRIBED IN SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE (IRC) AND IS EXEMPT FROM FEDERAL INCOME TAXES ON RELATED INCOME PURSUANT TO SECTION 501(A) OF THE IRC. 1 1 0 0 0 0 0 0 0 DOUGLAS M BAER CHAIRMAN/ PRESIDENT 0 312253 0 124439 0 44420 0 51785 0 25564 0 558461 0 0 MICHAEL SPIGEL VICE PRESIDENT 0 242799 0 94836 0 39999 0 26554 0 22864 0 427052 0 0 MICHAEL DURR SECRETARY/ TREASURER 0 73224 0 34062 0 124943 0 7659 0 7096 0 246984 0 0 CYNTHIA E NEVILLE DIR. OF WOMEN'S HEALTH 105208 0 19962 0 0 0 29579 0 13590 0 168339 0 0 0 PART I, LINES 4A-B IN 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 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 - $ 111,400 MICHAEL SPIGEL - 82,900 THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT: MIKE DURR - $ 106,614 PART I, LINE 3: THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES 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 FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF THE ORGANIZATION IS GENESIS HEALTH, INC. (DOING BUSINESS AS BROOKS HEALTH SYSTEM), A FLORIDA NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE AFFAIRS OF THE ORGANIZATION ARE GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF NO LESS THAN THREE AND NO MORE THAN TWENTY-FIVE MEMBERS, THE EXACT NUMBER OF DIRECTORS TO BE SPECIFIED IN THE BYLAWS OF THE ORGANIZATION. THE DIRECTORS ARE DESIGNATED BY THE SOLE MEMBER OF THE ORGANIZATION. SEE THE RESPONSE TO LINE 6 ABOVE. FORM 990, PART VI, SECTION A, LINE 7B THE BOARD OF DIRECTORS SHALL NOT, WITHOUT PRIOR APPROVAL OF THE SOLE MEMBER OF THE ORGANIZATION: - APPROVE ANY ANNUAL OR LONG-TERM CAPITAL AND OPERATIONAL BUDGETS OR ANY CHANGES THEREIN EXCEEDING FIVE PERCENT OF THE TOTAL ORIGINAL BUDGET - APPROVE ANY NEW, OR ANY CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE ORGANIZATION - ENGAGE IN, OR ENTER INTO ANY AGREEMENT PROVIDING FOR, ANY TRANSACTION REQUIRING A CERTIFICATE OF NEED - APPROVE A PLAN OF DISSOLUTION OF THE ORGANIZATION - AGREE TO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION WHERE THE AMOUNT INVOLVED EXCEEDS $100,000 - APPROVE A PLAN OF MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER ORGANIZATION - ORGANIZE OR ACQUIRE, OR AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF, ANY SUBSIDIARY OR AFFILIATE 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 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 VI, LINE 1: THE ORGANIZATION IS A SUBSIDIARY OF GENESIS HEALTH, INC., A 501(C)(3) ORGANIZATION. THE BOARD OF DIRECTORS OF THIS ORGANIZATION FAILS TO HAVE A MAJORITY OF INDEPENDENT BOARD MEMBERS PER THE DEFINITION PROVIDED BY THE IRS. PLEASE NOTE, HOWEVER, THAT THE SOLE MEMBER ORGANIZATION HAS A MAJORITY INDEPENDENT BOARD OF DIRECTORS, AND THROUGH ITS MEMBERSHIP PROVIDES GOVERNANCE OVERSIGHT OVER THE FILING ORGANIZATION. PLEASE SEE THE RESPONSES TO FORM 990, PART VI, LINES 6 THROUGH 7B FOR DETAILS ON THE SOLE MEMBER AND ITS AUTHORITY. 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 TWO HOURS FOR THE FILING ORGANIZATION PERFORM AN AVERAGE OF 40 HOURS PER WEEK FOR BROOKS HEALTH SYSTEM. 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 X, LINE 20: TAX EXEMPT BONDS: THE ORGANIZATION REPORTS ON ITS BALANCE SHEET AN ALLOCATION OF TAX-EXEMPT BOND LIABILITIES FROM A SERIES 2007 ISSUE REPORTED IN FULL ON THE SCHEDULE K OF GENESIS HEALTH, INC., THE ORGANIZATION'S CORPORATE PARENT AND SOLE MEMBER. THE ORGANIZATION ALSO REPORTS ON ITS BALANCE SHEET AN ALLOCATION OF TAX-EXEMPT BOND LIABILITIES FROM A SERIES 2010 ISSUE REPORTED IN FULL ON THE SCHEDULE K OF BROOKS HOME CARE ADVANTAGE, A RELATED ORGANIZATION. FORM 990, PART XI, LINE 9: NET CHANGE IN VALUE OF SWAP VALUATION 34,534. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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