2013-11-06T05:48:19-06:00 2012-12-31 560747981 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2012-01-01 593284221 GENESIS REHABILITATION HOSPITAL INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 DOUGLAS M BAER 9043457600 2013-11-06 1 AMY BIBBY P00445891 8282542254 2012 2016-02-24 21:20:13Z BROOKS REHABILITATION HOSPITAL DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 80472526 0 X WWW.BROOKSREHAB.ORG X 1994 FL OPERATION OF REHABILITATION HOSPITAL AND CLINICS IN JACKSONVILLE, FL AND SURROUNDING AREAS 13 9 940 0 0 0 4828 0 72220753 76661274 3477363 3573898 120825 233825 75823769 80468997 0 6000 0 0 36486559 38683300 0 0 0 32426120 33593464 68912679 72282764 6911090 8186233 94119627 103454353 61101110 61622422 33018517 41831931 X TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 0 0 59058242 6000 76672943 GENESIS REHABILITATION HOSPITAL, INC. (DOING BUSINESS AS 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 TWO STATE DESIGNATED TREATMENT FACILITIES FOR BRAIN AND SPINAL CORD INJURY FOR CHILDREN AND ADULTS. 59058242 1 0 0 1 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 102 0 1 940 1 0 0 0 0 0 0 0 0 0 0 X 13 9 1 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 BRUCE M JOHNSON 2.00 4.00 X X 0 24600 0 ERNEST N BRODSKY 2.00 2.00 X X 0 26400 0 STANLEY W CARTER 2.00 2.00 X X 0 5599 0 PAMELA S CHALLY PHD 2.00 2.00 X 0 18441 0 CONNIE PRUDENCIO MD 2.00 X 0 0 0 LEE LOMAX 2.00 2.00 X 0 0 7819 TREVOR PARIS MD 2.00 38.00 X 0 300801 29795 GARY SNEED 8.00 32.00 X 0 38653 0 LYNNE SNEED 2.00 X 0 0 0 FORREST TRAVIS 2.00 2.00 X 0 19500 0 DOUGLAS M BAER 8.00 32.00 X X 0 521252 129688 PATRICIA DEBEAR 20.00 20.00 X X 0 262314 24515 MICHAEL SPIGEL 2.00 38.00 X X 0 396850 88770 KERRY MAHER MD 40.00 X 195081 0 28141 JOANNE HOERTZ 40.00 X 156620 0 9446 RUSSELL ADDEO 40.00 X 146413 0 20927 VIRGIL WITTMER 40.00 X 144289 0 16535 AMANDA OSBORNE 40.00 X 126563 0 29905 VICTOR DERIENZO 40.00 X 123413 0 18330 CYNTHIA L BEAULIEU 40.00 X 129465 0 16353 1021844 1614410 420224 7 0 1 0 MEMORIAL HOSPITAL OF JACKSONVILLE PO BOX 19055 JACKSONVILLE FL 32245 SUPPORT SERVICES 5945529 SODEXO INC AND AFFILIATES PO BOX 905374 CHARLOTTE NC 28290 CLEANING AND FOOD SERVICES 2078950 FICKLING CONSTRUCTION INC 1703 LAMBERT STREET JACKSONVILLE FL 32206 CONSTRUCTION 294753 MAINLINE INFORMATION SYSTEMS PO BOX 11407 BIRMINGHAM AL 35246 INFORMATION SYSTEMS 218311 HCA PO BOX 281149 ATLANTA GA 30384 HEALTHCARE SERVICES 156108 5 X NET PATIENT SERVICE 621400 74154286 74154286 OTHER PATIENT SERVICE 900099 1809193 1809193 SPEECH THERAPY 621400 697795 697795 76661274 3242638 3242638 334789 334789 11669 0 11669 11669 11669 3529 -3529 -3529 -3529 OTHER REVENUE 900099 222156 222156 222156 80468997 76672943 0 3796054 X 6000 6000 378146 189073 189073 28749889 27709647 1040242 1134363 1116316 18047 6195206 5966131 229075 2225696 2190614 35082 8368 5493 2875 11050844 10933665 117179 82310 81519 791 2707926 2224677 483249 3020 3020 1338292 1336691 1601 71101 65032 6069 161177 118656 42521 2242019 2242019 2791830 2708518 83312 964364 964364 AFFILIATE MGMT FEE 7715508 7715508 OVERHEAD ALLOCATIONS 2949934 2949934 MEDICAL SUPPLIES 1008140 1008140 BAD DEBT 425736 425736 72895 19380 53515 72282764 59058242 13224522 0 X 950765 1287965 7606373 7716263 89051 79985 1168957 408775 63468176 40438064 22587677 23030112 10395016 7784036 50759706 62379840 157549 562082 609828 94119627 103454353 8399668 9782517 51082762 50614262 1618680 1225643 61101110 61622422 X 33018517 41831931 33018517 41831931 94119627 103454353 X 8186233 627181 X X 0 1 X 1 0 X 0 0 0 0 0 0 0 0 1 12163 12163 0 EXPLANATION OF LOBBYING ACTIVITIES: PART II-B, LINE 1: THE ORGANIZATION IS A MEMBER OF VARIOUS HEALTHCARE ORGANIZATIONS, INCLUDING PRIMARILY THE FLORIDA HOSPITAL ASSOCIATION AND AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA), IN ADDITION TO PAYING ANNUAL DUES TO THE FAIR FUND. 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. 280659 280659 24693937 13169376 11524561 2148776 1620592 528184 36077904 25648096 10429808 266900 266900 23030112 NET DUE FROM AFFILIATES 62379840 C 62379840 LONG-TERM SWAP VALUATION LIABILITY 190307 SWAP VALUATION LIABILITY 801262 ESTIMATED 3RD PARTY SETTLEMENTS 234074 1225643 X DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: 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 X 1 X 1 X 1 1 0 1 1 3198710 3198710 0.04450 6868338 6330263 538075 0.00750 10067048 6330263 3736785 0.05200 10067048 6330263 3736785 0.05200 1 425736 0 43888098 30575968 13312130 X 1 1 1 1 BROOKS REHABILITATION HOSPITAL

3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216

X INPATIENT REHAB FACILITY BROOKS REHABILITATION HOSPITAL 1 1 X X X X X X X X X 12 1 1 1 X X X X X X X X X 0 0 0 1 200.000000000000 1 400.000000000000 1 X X X X 1 1 X 1 0 0 X X 0 0 12 HEALTH CARE PLAZA OUTPATIENT CLINIC

3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216

PHYSICAL, OCCUPATIONAL, COGNITIVE THERAPY ORANGE PARK OUTPATIENT CLINIC

550 WELLS RD 4 ORANGE PARK FL 32073

PHYSICAL, OCCUPATIONAL, SPEECH THERAPY SAN PABLO CLINIC

14286 BEACH BLVD SUITE 34 JACKSONVILLE FL 32250

PHYSICAL, OCCUPATIONAL, SPEECH THERAPY MANDARIN OUTPATIENT CLINIC

11701 SAN JOSE BLVD 210 JACKSONVILLE FL 32223

PHYSICAL, OCCUPATIONAL, SPEECH THERAPY ST AUGUSTINE OUTPATIENT CLINIC

190 SOUTHPARK BLVD 100 ST AUGUSTINE FL 32086

PHYSICAL, OCCUPATIONAL, SPEECH THERAPY WESTSIDE OUTPATIENT CLINIC

7749 NORMANDY CROSSING JACKSONVILLE FL 32221

PHYSICAL, OCCUPATIONAL, SPEECH THERAPY CENTER FOR SPORTS THERAPY AT YMCA

10423 CENTURION PKWY NORTH JACKSONVILLE FL 32256

PHYSICAL, ACQUATIC, SPORTS THERAPY NORTHSIDE OUTPATIENT CLINIC

320 DUNDAS DR 8 JACKSONVILLE FL 32218

PHYSICAL, OCCUPATIONAL, SPEECH THERAPY BROOKS BEHAVIORAL MEDICINE

3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216

COGNITIVE & PAIN THERAPIES, MEDICAL PSYCH, NEURO DAY TREATMENT, BIOFEEDBACK JOHNS CREEK PEDIATRIC OUTPATIENT CLINIC

111 NATURE WALK PKWY ST AUGUSTINE FL 32092

PHYSICAL, OCCUPATIONAL, SPEECH THERAPY ST AUGUSTINE PEDIATRIC OUTPATIENT CLINIC

190 SOUTHPARK BLVD 102 ST AUGUSTINE FL 32086

PHYSICAL, OCCUPATIONAL, SPEECH THERAPY NEURO RECOVER CENTER

3599 UNIVERSITY BLVD S JACKSONVILLE FL 32216

OCCUPATIONAL, SPEECH, ADAPTIVE SPORTS THERAPY, WHEEL CHAIR CLINIC PART I, LINE 3C: BROOKS PROVIDES FREE CARE TO MEDICALLY AND FINANCIALLY QUALIFIED CHARITY, UNINSURED, AND UNDERINSURED PATIENTS, AS WELL AS TO PATIENTS WHOSE CHARGES FOR CARE ARE CATASTROPHIC. THIS IS DEFINED AS CHARGES THAT EXCEED 25% OF THE FEDERAL POVERTY THRESHOLD. PART I, LINE 7: WORKSHEET 2 OF THE 2012 SCHEDULE H INSTRUCTIONS WAS USED TO COMPUTE A COST-TO-CHARGES RATIO USED TO CALCULATE TOTAL COMMUNITY BENEFIT EXPENSE AT COST FOR THE PURPOSES OF LINE 7, COL (C). PART I, L7 COL(F): THE AMOUNT OF TOTAL EXPENSE ON FORM 990, PART IX, LINE 25 CONTAINS A BAD DEBT EXPENSE OF $425,736 THAT HAS BEEN EXCLUDED FROM THE CALCULATION OF PERCENT OF TOTAL EXPENSE ON LINE 7, COL (F). PART III, LINE 4: BAD DEBT REPORTED ON PART III, LINE 2 IS REPORTED AT GROSS CHARGES. THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT, ALLOWANCE FOR DOUBTFUL ACCOUNTS, OR ACCOUNTS RECEIVABLE.AMOUNTS PRESENTED ON PART III, LINE 3 AS BAD DEBTS ATTRIBUTABLE TO COMMUNITY BENEFIT ARE WRITE-OFFS TO MEDICAID PAYORS. PART III, LINE 8: THE ORGANIZATION USED ITS MEDICARE COST REPORT TO CALCULATE AMOUNTS PRESENTED ON PART III, LINES 5 AND 6. PART III, LINE 9B: THE ORGANIZATION IS A SUB ACUTE CARE FACILITY, AND PATIENTS ENTERING THE FACILITY ARE REFERRED BY OTHER ORGANIZATIONS WHICH HAVE ALREADY PERFORMED FINANCIAL EVALUATIONS IN MOST CASES. IT IS HIGHLY UNLIKELY AND RARE THAT A FULL EVALUATION IS NOT PERFORMED ON THE ORGANIZATION'S PATIENTS PRIOR TO DISCHARGE, AND THEREFORE, THE CHANCE OF THE ORGANIZATION PURSUING COLLECTIONS ON PATIENTS THAT WILL QUALIFY FOR FINANCIAL ASSISTANCE IS LOW; HOWEVER, AS DISCUSSED IN PART VI, LINE 3, IN THE EVENT A PATIENT'S FINANCIAL SITUATION CHANGES OVER THE COURSE OF CARE, THE ORGANIZATION HAS POLICIES IN PLACE TO REQUIRE A REEVALUATION. BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 3: THE PROCESS INCLUDED DATA FROM THE FOLLOWING SOURCES: -A SURVEY ADMINISTERED TO HOUSEHOLDS IN THE SERVICE AREA -FOCUS GROUPS AND ROUNDTABLE DISCUSSIONS -CLAY COUNTY HEALTH DEPARTMENT -DUVAL COUNTY HEALTH DEPARTMENT -NASSAU COUNTY HEALTH DEPARTMENT -PUTNAM COUNTY HEALTH DEPARTMENT -FLORIDA MEDICAL QUALITY ASSURANCE MEDICARE CLAIM DATA -ELDERSOURCE'S AREA SERVICE NEEDS ASSESSMENT -ER AND ADMISSION RATES FOR YOUTH SPORTS-RELATED CONCUSSIONS REPORT -FLORIDA YOUTH RISK BEHAVIOR SURVEY -THE FLORIDA DEPARTMENT OF HEALTH'S STATE HEALTH IMPROVEMENT PLAN -HOSPITAL CHARITY CARE DATA BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 4: BAPTIST HEALTH, SHANDS JACKSONVILLE MEDICAL CENTER, ST. VINCENT'S HEALTHCARE, AND WOLFSON CHILDREN'S HOSPITAL. BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 7: THE HOSPITAL IS CURRENTLY IN THE PROCESS OF DRAFTING THE IMPLEMENTATION STRATEGY FOR THE HEALTH NEEDS IDENTIFIED IN THE CHNA. BROOKS REHABILITATION HOSPITAL PART V, SECTION B, LINE 19D: BROOKS REHABILITATION HOSPITAL IS A SUB ACUTE CARE FACILITY AND DOES NOT HAVE EMERGENCY FACILITIES. PART VI, LINE 2: BROOKS REHABILITATION HOSPITAL JOINED THE JACKSONVILLE METROPOLITAN COMMUNITY BENEFIT PARTNERSHIP TO CONDUCT THE FIRST-EVER MULTI-HOSPITAL SYSTEM AND PUBLIC HEALTH SECTOR COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PARTNERSHIP CONSISTS OF A NETWORK OF FIVE HEALTH CARE SYSTEMS (NINE NONPROFIT HOSPITALS) AND FOUR PUBLIC HEALTH DEPARTMENTS THAT STAND FOR A SHARED VOICE AND VISION OF IMPROVING HEALTH AND WELLNESS IN THE JACKSONVILLE METROPOLITAN AREA.AS A RESULT OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, BROOKS REHABILITATION HAS ADDRESSED THE NEEDS OF THE DISABILITY COMMUNITY THROUGHT THE IMPLEMENTATION STRATEGY THAT WILL BE SET IN MOTION IN 2013. PART VI, LINE 3: PATIENTS ARE EVALUATED IN THE ACUTE CARE SETTING TO DETERMINE ELIGIBILITY FOR CHARITY CARE. ALL HOSPITAL TEAM MEMBERS INCLUDING THE BUSINESS OFFICE TEAM AND CASE MANAGERS UNDERSTAND CHARITY CARE AND WORK WITH THE PATIENTS TO COMPLETE THE NECESSARY DOCUMENTATION, IF APPLICABLE. IN THE EVENT A PATIENT'S FINANCIAL DETERMINATION VARIES AFTER ENTRANCE INTO THE FACILITY, HE IS REEVALUATED BY A CASE MANAGER. PART VI, LINE 4: BROOKS REHABILITATION HOSPITAL IS PHYSICALLY LOCATED IN JACKSONVILLE, FLORIDA. OUR PATIENTS PRIMARILY TRANSFER FROM ONE OF SEVEN ACUTE CARE FACILITIES, HOWEVER, ANNUALLY PATIENTS COME FROM HOSPITALS ALL OVER NORTH CENTRAL FLORIDA AND SOUTHEAST GEORGIA. IN ADDITION, ADMISSIONS COME FROM SKILLED NURSING FACILITIES WITHIN THE SAME REGION. THE JACKSONVILLE COMMUNITY COUNCIL, INC. ACCORDING TO COUNTY HEALTH RANKINGS, THE UNEMPLOYMENT RATE FOR DUVALL COUNTY, WHICH JACKSONVILLE IS LOCATED IN, IS 10.6%. THE UNINSURED PERCENTAGE IS 19%. THE MEDIAN HOUSEHOLD INCOME IS $45,995. PART VI, LINE 5: 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. PART VI, LINE 6: BROOKS HEALTH SYSTEM, THE PARENT COMPANY OF BROOKS REHABILITATION HOSPITAL, ADMINISTERS SEVERAL COMMUNITY BENEFIT PROGRAMS SUCH AS A SCHOOL REENTRY PROGRAM, AN ADAPTIVE SPORTS PROGRAM, A CLINICAL EDUCATION PROGRAM, A SPORTS OUTREACH PROGRAM, A STROKE WELLNESS PROGRAM, AND OTHER VARIOUS PROGRAMS DESGINED TO MEET THE NEEDS OF THE COMMUNITY. DETAIL INFORMATION REGARDING THESE SPECIFIC PROGRAMS IS DESCRIBED ON THIS SCHEDULE AND CAN ALSO BE FOUND ON THE ORGANIZATION'S WEBSITE. PART VI, SUPPLEMENTAL INFORMATION: 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. D/B/A BROOKS REHABILITATION SPECIALISTS [59-3530305] * BROOKS HOME CARE ADVANTAGE, INC. [26-2216181] * BROOKS SKILLED NURSING, INC. [26-4561148] * BROOKS SKILLED NURSING FACILITY A, INC. [27-2153586] * BROOOK SKILLED NURSING FACILITY HOLDINGS A, INC. [27-2187557] * BROOKS REHABILITATION CLINICAL RESEARCH CENTER, INC. [45-2094888] I. GENERAL INFORMATION OUR HISTORYFOR 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, 30 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 HOSPITALBROOKS 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 2012 BROOKS HAD 30 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, SPORTS INJURY TREATMENT, BRAIN INJURY AND STROKE, WOMEN'S HEALTH, BALANCE, BACK & NECK PAIN, AND INDUSTRIAL REHABILITATION. BROOKS HOME CARE ADVANTAGEBROOKS 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 SPECIALISTSBROOKS REHABILITATION SPECIALIST IS COMPOSED OF 5 CREDENTIALED SPECIALISTS IN REHABILITATION MEDICINE (PHYSIATRISTS), ESTABLISHED TO PROVIDE INPTATIENT, OUTPATIENT AND SKILLED NURSING PHYSICIAN CARE TO PATIENTS REQUIRING THIS SPECIALIZED CARE. THE PHYSICIANS ENGAGE IN DIRECT PATIENT CARE IN THE HOSPITAL, OUTPATIENT, SKILLED NURSING, 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 CENTERSINCE 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 SKILLED NURSING FACILITY A, INC.IN 2010 BROOKS REHABILITATION ACQUIRED THROUGH BROOKS SKILLED NURSING FACILITY A 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 AND GEORGIA. 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 PATIENTSBROOKS TAKES GREAT PRIDE IN THE QUALITY CARE WE OFFER OUR PATIENTS EACH YEAR AS ILLUSTRATED IN OUR CLINICAL OUTCOMES AND PATIENT SATISFACTION SCORES. IN 2012: - OVERALL, BROOKS PATIENTS HAVE A SHORTER STAY AT THE HOSPITAL AND RETURN BACK TO THEIR LIVES AND BACK HOME AFTER TREATMENT.** - 95.3% OF PATIENTS RESPONDED POSITIVELY TO THE QUESTION "LIKELIHOOD OF RECOMMENDING BROOKS."* - BROOKS RETURNS 75% 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 1/12-12/12** OUTCOMES DATA FROM E-REHABDATA 1/12-12/12III. COMMUNITY BENEFIT PROVIDED IN 2012 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 $3,198,710 BROOKS REHABILITATION HAS CONTINUED TO INCREASE THE AMOUNT OF FREE CARE TO CHARITY, UNDERINSURED AND UNINSURED PATIENTS EACH YEAR. IN 2012, BROOKS PROVIDED $2,079,388 OF FREE CARE (AT COST) IN THE HOSPITAL, WHICH WAS EQUIVALENT TO 1,661 PATIENT DAYS. CHARITY AND OTHER FREE CARE PROVIDED TO OUTPATIENT'S VISITS WERE EQUIVALENT TO $167,525 IN COSTS. ADDITIONAL CHARITY PROVIDED BY BROOKS HOME CARE ADVANTAGE WAS EQUIVALENT TO $171,074 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 2012, BROOKS' EMPLOYEES DONATED TO A FUND WHICH PROVIDED 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 A COMBINED TOTAL OF 3,249 MEDICAID AND MEDICAID HMO DAYS PROVIDED IN 2012. 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 $538,075. 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 $720,278 CLINICAL RESEARCH AT BROOKS REHABILITATION (2012):THE BROOKS REHABILITATION CLINICAL RESEARCH CENTER IS COMMITTED TO CONDUCTING QUALITY RESEARCH PROJECTS THAT WILL ADVANCE THE SCIENCE OF RECOVERY AND WELLNESS FOR PERSONS REQUIRING REHABILITATION. 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 AN INJURY OR WITH ADVANCED AGE. WE SEEK TO BRIDGE THE ADVANCES MADE IN MEDICAL & SCIENTIFIC RESEARCH TO THE APPLICATION OF CLINICAL PRACTICE, AND TO ALSO IMPROVE THE QUALITY OF LIFE AND OUTCOMES FOR THOSE RECOVERING FROM DISABILITIES AND ILLNESSES.OUR 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.SOME OF OUR ACTIVE CLINICAL STUDIES DURING 2012: - FUNCTIONAL AMBULATION: STANDARD TREATMENT VS. ELECTRICAL STIMULATION THERAPY (FASTEST) TRIAL IN CHRONIC POST-STROKE SUBJECTS WITH FOOT DROP. - EFFECT OF VERB STRENGTHENING TREATMENT (VNEST) ON LEXICAL RETRIEVAL IN APHA - AEROBIC EXERCISE AND NEURAL PLASTICITY IN APHASIA TREATMENT - TRAUMATIC BRAIN INJURY - PRACTICE BASED EVIDENCE - THE EFFECTS OF GOAL MANAGEMENT WITH MILD TBI VETERANS - LIFE INTERVENTION AND INDEPENDENCE FOR ELDERS (THE LIFE STUDY) - THE FRANCE PROJECT (FALLS REDUCTION ADDRESSED BY CONTINUOUS NURSING EDUCATION) - MECHANISMS OF GAIT VARIABILITY POST-STROKE - VALIDATION THROUGH CONCURRENT USE OF SPIRITUAL WELLNESS ASSESSMENT WITH SPINAL CORD INJURED INPATIENTS AT THREE REHABILITATION FACILITIES - IMPLEMENTING PSYCHOLOGICALLY INFORMED PRACTICE PRINCIPLES INTO PHYSICAL THERAPY MANAGEMENT FOR LOW BACK PAIN: EFFECTS OF CLINICIAN TRAINING & COMPARISON OF TREATMENT APPROACHES - A BACKWARD WALKING TRAINING PROGRAM TO IMPROVE BALANCE AND REDUCE FALLS IN ACUTE STROKE: A RANDOMIZED CONTROLLED TRIAL - ASSESSMENT OF WRITING IMPAIRMENTS IN PERSONS WITH APHASIA: COMPARING WRITING BY HAND TO WRITING ON A COMPUTER C. COMMUNITY HEALTH PROGRAMS AND SERVICES $4,480,181 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.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 2012, THE PROGRAM SERVED A TOTAL OF 119 NEW PATIENTS; 113 FROM PUBLIC SCHOOLS AND 6 FROM PRIVATE SCHOOLS. THE SERVICES PROVIDED BY THIS PROGRAM IMPACTED 32 SCHOOL DISTRICTS IN 3 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:THE BROOKS ADAPTIVE SPORTS AND RECREATION PROGRAM ENABLES ADULTS AND CHILDREN LIVING WITH A PHYSICAL DISABILITY TO ENHANCE THEIR QUALITY OF LIFE THROUGH PARTICIPATION IN SPORTS AND RECREATIONAL ACTIVITIES. OUR MULTI-SPORT PROGRAM PROVIDES WEEKLY ACTIVITIES AND MONTHLY SPECIAL EVENTS TO INDIVIDUALS OF ALL AGES AND ABILITIES AT NO COST TO THE PARTICIPANTS. WEEKLY ACTIVITIES INCLUDE TENNIS, WHEELCHAIR RUGBY, POWER SOCCER, INDOOR AND OUTDOOR ROWING, ARCHERY, HANDCYCLING, BILLIARDS, BOWLING, YOGA, ZUMBA(TM), AND EXERCISE PROGRAMS SPECIFIC TO THOSE WHO HAVE MULTIPLE SCLEROSIS, PARKINSONS DISEASE, OR THOSE WHO HAVE EXPERIENCED A STROKE OR TRAUMATIC BRAIN INJURY. SPECIAL EVENTS INCLUDE SURFING, WATER SKIING, HORSEBACK RIDING, AND MORE.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. 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 2012 BROOKS HOSTED STUDENTS FROM THE YOUTH LEADERSHIP JACKSONVILLE PROGRAM, CONSISTING OF 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:BROOKS CLUBHOUSE IS A FULL-TIME DAY PROGRAM THAT PROVIDES FOR THE LONG-TERM RECOVERY NEEDS OF INDIVIDUALS WHO HAVE SUFFERED FROM AN ACQUIRED NEUROLOGICAL INJURY. IT EXPANDS THE CONTINUUM OF CARE PROVIDED BY BROOKS REHABILITATION AND SERVES AS A BRIDGE TO COMMUNITY AND VOCATIONAL REINTEGRATION. MEMBERS PARTICIPATE IN DAILY ACTIVITIES AND MANAGE CLUBHOUSE OPERATIONS, HELPING THEM REESTABLISH THEMSELVES IN THE COMMUNITY AND RETURN TO WORK.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.STROKE WELLNESS PROGRAM: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 $622,689 STUDENT NURSE ROTATIONS:TO HELP ADDRESS THE CRITICAL NURSING SHORTAGE IN FLORIDA, BROOKS HAS PARTNERED WITH UNF, FLORIDA STATE COLLEGE OF 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 STASTE COLLEGE OF JACKSONVILLE HAVE PARTICIPATED IN CLINICAL REHABILITATION-FOCUSED ROTATIONAL SHIFTS WITHIN BROOKS FOR HANDS-ON TRAINING. CONTINUING EDUCATION:THE BROOKS INSTITUTE FOR HIGHER LEARNING PROVIDES OVER 40 POST-PROFESSIONAL CONTINUING EDUCATION COURSES FOR REHABILITATION PRACTITIONERS. COURSE OFFERINGS ARE AVAILABLE IN A WIDE VARIETY OF SPECIALTY AREAS INCLUDING, BUT NOT LIMITED TO, ORTHOPEDICS, NEUROLOGY, WOMEN'S HEALTH, AND GERIATRICS. OUR FACULTY CONSISTS OF BOTH NATIONALL RENOWNED EXPERTS, AS WELL AS NATIONALLY RECOGNIZED CLINICAL EXPERITS THAT CURRENTLY PRACTICE AT BROOKS REHABILITATION.RESIDENCY PROGRAMS:THE BROOKS INSTITUTE FOR HIGHER LEARNING CURRENTLY OFFERS TWO PHYSICAL THERAPY RESIDENCIES IN ORTHOPEDICS AND WOMEN'S HEALTH, AS WELL AS TWO MULTIDISCIPLINARY RESIDENCIES IN NEUROLOGY AND GERIATRICS (AVAILABLE TO PTS, OTS, RNS, AND SLPS).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.WOMEN'S HEALTH RESIDENCY:THE BROOKS WOMEN'S HEALTH RESIDENCY PROGRAM INTEGRATES A COMPREHENSIVE FOCUS ON WOMEN'S HEALTH AND PHYSICAL THERAPY CLINICAL PRACTICE WITHIN A STRONG MUSCULOSKELETAL/ORTHOPEDIC CLINICAL FOUNDATION. THIS PROGRAM CONSISTS OF THREE COMPONENTS THAT INCLUDE DIDACTIC/PSYCHOMOTOR CLASSES, CLINICAL MENTORING AND SUPERVISION, AND DIRECTED LEARNING ACTIVITIES.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 ORTHOPEDIC 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 THERAPYUNF 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 STUDENTSFUTURE DIRECTIONBROOKS HEALTH SYSTEM HAS MADE AN ONGOING PROMISE TO USE ITS RESOURCES TO IMPROVE THE HEALTH AND WELL-BEING OF PEOPLE REQUIRING REHABILITATION THROUGHOUT NORTHEAST AND CENTRAL 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. IN 2012, BROOKS REHABILITATION COLLABORATED WITH THE HEALTH PLANNING COUNCIL OF NORTHEAST FLORIDA, FOUR OTHER AREA NON-PROFIT HEALTH SYSTEMS (NINE HOSPTIALS TOTAL), AND FOUR PUBLIC HEALTH DEPARTMENTS TO FORM THE JACKSONVILLE METROPOLITAN COMMUNITY BENEFIT PARTNERSHIP. THE PARTNERSHIP CONDUCTED THE FIRST EVER MULTI-HOSPITAL SYSTEM AND PUBLIC HEALTH SECTOR COLLABORATIVE HEALTH NEEDS ASSESSMENT. THE PARTNERSHIPS VISION IS TO IMPROVE POPULATION HEALTH IN THE REGION BY ELIMINATING THE GAPS THAT PREVENT ACCESS TO QUALITY , INTEGRATED HEALTH CARE AND TO IMPROVE ACCESS TO RESOURCES THAT SUPPORT A HEALTHY LIFESTYLE.AS A RESULT OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, BROOKS REHABILITATION HAS ADDRESSED THE NEEDS OF THE DISABILITY COMMUNITY THROUGH THE COMMUNITY NEEDS ASSESSMENT STRATEGIC IMPLEMENTATION PLAN THAT WILL BE IMPLEMENTED IN 2013. X X 1 0 0 1 0 0 0 1 1 0 0 TREVOR PARIS MD 0 225046 0 74514 0 1241 0 7310 0 22485 0 330596 0 0 DOUGLAS M BAER 0 331210 0 154359 0 35683 0 107500 0 22188 0 650940 0 0 PATRICIA DEBEAR 0 166717 0 79742 0 15855 0 8306 0 16209 0 286829 0 0 MICHAEL SPIGEL 0 251753 0 117150 0 27947 0 67600 0 21170 0 485620 0 0 KERRY MAHER MD 169157 0 24683 0 1241 0 17000 0 11141 0 223222 0 0 0 JOANNE HOERTZ 135255 0 21365 0 0 0 0 0 9446 0 166066 0 0 0 RUSSELL ADDEO 114633 0 23604 0 8176 0 7855 0 13072 0 167340 0 0 0 VIRGIL WITTMER 119736 0 24153 0 400 0 3768 0 12767 0 160824 0 0 0 AMANDA OSBORNE 107611 0 18952 0 0 0 17000 0 12905 0 156468 0 0 0 PART I, LINE 4B 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 - $ 68,000 MICHAEL SPIGEL - 50,600 PART I, LINE 6 IN 2012 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. SUPPLEMENTAL INFORMATION PART III 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 PROGRAM SERVICE STATEMENT FORM 990, PART III, LINE 4A 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 2012: - OVERALL, BROOKS PATIENTS HAVE A SHORTER STAY AT THE HOSPITAL AND RETURN BACK TO THEIR LIVES AND BACK HOME AFTER TREATMENT.** - 95.3% OF PATIENTS RESPONDED POSITIVELY TO THE QUESTION, "LIKELIHOOD OF RECOMMENDING BROOKS".* - BROOKS RETURNS 75% 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.** SOURCES: * PATIENT SATISFACTION AS MEASURED BY THE PRESS GANEY PATIENT SATISFACTION SURVEY 1/12-12/12. ** OUTCOMES DATA FROM E-REHABDATA 1/12-12/12. BROOKS REHABILITATION HAS CONTINUED TO INCREASE THE AMOUNT OF FREE CARE TO CHARITY, UNDERINSURED, AND UNINSURED PATIENTS EACH YEAR. IN 2012, BROOKS PROVIDED $2,079,388 OF FREE CARE AT COST IN THE HOSPITAL, WHICH WAS EQUIVALENT TO 1,661 PATIENT DAYS. CHARITY CARE AND OTHER FREE CARE PROVIDED TO OUTPATIENTS' VISITS WERE EQUIVALENT TO $652,438 IN COSTS. BROOKS ALSO PROVIDED CARE TO MEDICAID PATIENTS IN THE HOSPITAL AND OUTPATIENT CLINICS. THERE WERE 1,912 MEDICAID DAYS PROVIDED IN 2012, INCLUDING 3,249 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 $538,075. FORM 990, PART VI, SECTION A, LINE 2 BOARD MEMBERS LYNNE SNEED AND GARY W. SNEED HAVE A FAMILY RELATIONSHIP. 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 BOARD SHALL BE COMPOSED OF AT LEAST FIVE DIRECTORS. DIRECTORS SHALL BE SELECTED FOR THEIR ABILITY TO PARTICIPATE EFFECTIVELY IN FULFILLING THE BOARD'S RESPONSIBILITY AND WITH THE PURPOSE AND INTENT OF PROVIDING A BOARD OF DIRECTORS THAT IS REPRESENTATIVE OF THE MAJOR SEGMENTS OF THE COMMUNITY SERVICED BY THE HOSPITAL. THE DIRECTORS OF THE ORGANIZATION SHALL BE DESIGNATED BY THE SOLE MEMBER OF THE ORGANIZATION AND SHALL SERVE FOR TERMS OF TWO YEARS. ONE HALF OF THE DIRECTORS SHALL BE DESIGNATED EACH YEAR. AT LEAST ONE DIRECTOR SHALL BE A PHYSICIAN AND AT LEAST TWO DIRECTORS SHALL BE LAYMEN. 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 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, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. EXPLANATION OF BOARD MEMBER COMPENSATION: FORM 990, PART VII, LINE 1: BOARD MEMBER TREVOR PARIS, MD WAS COMPENSATED BY PHYSICAL MEDICINE SPECIALISTS, A RELATED ORGANIZATION, FOR MEDICAL SERVICES PERFORMED FOR THE ORGANIZATION. 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 TWO HOURS FOR THE FILING ORGANIZATION PERFORM AN AVERAGE OF 40 TO 50 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. OTHER FEES FORM 990, PART IX, LINE 11G CONSULTING : PROGRAM SERVICE EXPENSES 137,236. MANAGEMENT AND GENERAL EXPENSES 0. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 137,236. OTHER PURCHASED SERVICES : PROGRAM SERVICE EXPENSES 10,796,429. MANAGEMENT AND GENERAL EXPENSES 117,179. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 10,913,608. 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 HEALTH CARE ADVANTAGE, A RELATED ORGANIZATION. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 9: NET LOSS ON SWAP VALUATION 627,181. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. GENESIS HEALTH INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249370 HEALTHCARE FL 501(C)(3) LINE 11A, I N/A 0 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 0 GENESIS HEALTH DEVELOPMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249372 HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 9 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 264561148 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 9 GENESIS HEALTH INC 0 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 0 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 0 THE GENESIS HEALTH FOUNDATION INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249340 SUPPORT / FUNDRAISING FL 501(C)(3) LINE 7 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING FACILITY HOLDINGS A INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 272187557 REAL ESTATE HOLDING FL 501(C)(3) LINE 11A, I BROOKS SKILLED NURSING INC 0 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 0 HB REHABILITATIVE SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452622986 HEALTHCARE FL 501(C)(3) LINE 3 GENESIS HEALTH INC 0 BROOKS REHABILITATION CLINICAL RESERACH CENTER INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452094888 RESEARCH FL 501(C)(3) PENDING GENESIS HEALTH INC 0 ST AUGUSTINE MOB LTD 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593397507 REAL ESTATE HOLDING FL N/A PENMAN PLAZA ASSOCIATES LTD 3715 NORTHSIDE PKWY BDLG 300 105 ATLANTA GA 30327 581920735 REAL ESTATE HOLDING FL N/A GH HOLDINGS INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593007328 HOLDING COMPANY FL N/A C 0 GH MANAGEMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592387438 HOLDING COMPANY FL N/A C 0 GENESIS MANAGEMENT SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592183211 MANAGEMENT SERVICES FL N/A C 0 GH MEDICAL SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592742895 MEDICAL SERVICES FL N/A C 0 GH PARTNERSHIP HOLDINGS PPA INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593075439 INVESTMENT HOLDINGS FL N/A C 0 0 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 0 0 0 PHYSICAL MEDICINE SPECIALISTS INC D 468170 INTERCOMPANY REC.