BROOKS REHABILITATION HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- BROOKS REHABILITATION HOSPITAL (EIN 59-3284221)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201213179349301886
- Schema version
- 2011v1.2
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-11-12T14:27:13-06:00 | Timestamp |
| Tax Period End Date | 2011-12-31 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 560747981 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DIXON HUGHES GOODMAN LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 500 RIDGEFIELD COURT | AddressLine1 |
| City | ASHEVILLE | City |
| State | NC | State |
| ZIP Code | 28806 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-01-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593284221 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS REHABILITATION HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | GENE | NameControl |
| Phone | 9043457600 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3599 UNIVERSITY BLVD SOUTH | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 322164252 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | DOUGLAS M BAER | Name |
| Title | CEO | Title |
| Phone | 9043457600 | Phone |
| Date Signed | 2012-11-08 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | AMY BIBBY | Name |
| PTIN | P00445891 | PTIN |
| Phone | 8282542254 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKS REHABILITATION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | DOUGLAS M BAER | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3599 UNIVERSITY BLVD SOUTH | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 322164252 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 75823769 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BROOKSHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1994 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | OPERATION OF REHABILITATION HOSPITAL AND CLINICS IN JACKSONVILLE, FL AND SURROUNDING AREAS | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 13 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 8 | NbrIndependentVotingMembers |
| Total Nbr Employees | 693 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 123493 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 4828 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 67674373 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 72220753 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 3318297 | InvestmentIncomePriorYear |
| Investment Income Current Year | 3477363 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 164979 | OtherRevenuePriorYear |
| Other Revenue Current Year | 120825 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 71281142 | TotalRevenuePriorYear |
| Total Revenue Current Year | 75823769 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 0 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 33747746 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 36486559 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 31507615 | OtherExpensePriorYear |
| Other Expenses Current Year | 32426120 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 65255361 | TotalExpensesPriorYear |
| Total Expenses Current Year | 68912679 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 6025781 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 6911090 | RevenuesLessExpensesCY |
| Total Assets BOY | 87793561 | TotalAssetsBOY |
| Total Assets EOY | 94119627 | TotalAssetsEOY |
| Total Liabilities BOY | 61166519 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 61101110 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 26627042 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 33018517 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 54296165 | Expense |
| Revenue | 72220753 | Revenue |
| Description | 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 STATE DESIGNATED TREATMENT FACILITY FOR BRAIN AND SPINAL CORD INJURY FOR CHILDREN AND ADULTS. | Description |
| Total Program Service Expense | 54296165 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 0 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 1 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 0 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 1 | ReportProgRelInvest |
| Report Other Assets | 0 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | GrantsToOrganizations |
| Grants To Individuals | 0 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 0 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 653 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 693 | NumberOfEmployees |
| Employment Tax Returns Filed | 1 | EmploymentTaxReturnsFiled |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributions |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 13 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 8 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 1 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Other Website | X | OtherWebsite |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOUGLAS M BAER | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 9043457600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3599 UNIVERSITY BLVD SOUTH | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 32216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (20 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|---|
| BRUCE M JOHNSON | ||||||||
| CHAIRMAN | 2.00 | X | X | 0 | 27600 | 0 | ||
| ERNEST N BRODSKY | ||||||||
| VICE CHAIR | 2.00 | X | X | 0 | 27300 | 0 | ||
| STANLEY W CARTER | ||||||||
| SECRETARY | 2.00 | X | X | 0 | 5662 | 0 | ||
| PAMELA S CHALLY PHD | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 16794 | 0 | |||
| JEFFREY JOHNS MD | ||||||||
| BOARD MEMBER (SEE SCH. O) | 2.00 | X | 0 | 285920 | 24640 | |||
| LEE LOMAX | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 11521 | |||
| TREVOR PARIS MD | ||||||||
| BOARD MEMBER (SEE SCH. O) | 2.00 | X | 0 | 326642 | 14168 | |||
| GARY SNEED | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 38567 | 0 | |||
| LYNNE SNEED | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 0 | 0 | |||
| FORREST TRAVIS | ||||||||
| BOARD MEMBER | 2.00 | X | 0 | 18900 | 0 | |||
| DOUGLAS M BAER | ||||||||
| CEO, INTERIM CFO | 2.00 | X | X | 0 | 493762 | 113383 | ||
| PATRICIA DEBEAR | ||||||||
| HOSP. ADMIN/ SVP | 40.00 | X | X | 0 | 230194 | 15284 | ||
| MICHAEL SPIGEL | ||||||||
| PRESIDENT | 2.00 | X | X | 0 | 378273 | 72792 | ||
| KERRY MAHER MD | ||||||||
| MEDICAL DIR., ADMISSIONS | 40.00 | 153403 | 0 | 16500 | X | |||
| JOANNE HOERTZ | ||||||||
| VP OF NURSING & SUPPORT | 40.00 | 153267 | 0 | 4752 | X | |||
| RUSSELL ADDEO | ||||||||
| DIR. OF BEHAVIORAL MEDICINE | 40.00 | 145475 | 0 | 14568 | X | |||
| VIRGIL WITTMER | ||||||||
| EXEC. DIR OF BEHAVIORAL MEDICINE | 40.00 | 143040 | 0 | 9107 | X | |||
| VICTOR DERIENZO | ||||||||
| EXEC. DIR OF OP REHAB | 40.00 | 121159 | 0 | 11559 | X | |||
| EMILY A DUNN | ||||||||
| DIR. OF ACUTE REHAB PROGRAMS | 40.00 | 117858 | 0 | 12858 | X | |||
| CYNTHIA L BEAULIEU | ||||||||
| PROGRAM DIRECTOR | 40.00 | 117226 | 0 | 10219 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 951428 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1849614 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 331351 | TotalOtherCompensation |
| Number Individuals GT100 K | 9 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MEMORIAL HOSPITAL OF JACKSONVILLE | |||||
| PO BOX 19055 | JACKSONVILLE | FL | 32245 | SUPPORT SERVICES | 6338388 |
| SODEXO INC AND AFFILIATES | |||||
| PO BOX 905374 | CHARLOTTE | NC | 28290 | CLEANING AND FOOD SERVICES | 2605153 |
| FICKLING CONSTRUCTION INC | |||||
| 1703 LAMBERT STREET | JACKSONVILLE | FL | 32206 | CONSTRUCTION | 654872 |
| OWENS & MINOR | |||||
| 8489 WESTSIDE INDUSTRIAL DR | JACKSONVILLE | FL | 32219 | MEDICAL SUPPLIES | 464509 |
| MEDLINE INDUSTRIES INC | |||||
| 1 MEDLINE PLACE | MUNDELEIN | IL | 60060 | MEDICAL SUPPLIES | 464449 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 27 | NumberOfContractorsGT100K |
| Related Organizations | 4828 | RelatedOrganizations |
| Total Contributions | 4828 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE | 621400 | 70088972 | 70088972 |
| OTHER PATIENT REVENUE | 900099 | 1803586 | 1803586 |
| SPEECH THERAPY | 621400 | 328195 | 328195 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 72220753 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 3203267 | TotalRevenueColumn |
| Exclusion | $3,203,267 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 274096 | TotalRevenueColumn |
| Exclusion | $274,096 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 120825 | TotalRevenueColumn |
| Exclusion | $120,825 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 120825 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 75823769 | TotalRevenueColumn |
| Related Or Exempt Function Income | 72220753 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $3,598,188 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 306672 | Total |
| Program Services | 153336 | ProgramServices |
| Management And General | 153336 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27130361 | Total |
| Program Services | 25901308 | ProgramServices |
| Management And General | 1229053 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1070364 | Total |
| Program Services | 1040014 | ProgramServices |
| Management And General | 30350 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5922626 | Total |
| Program Services | 4977742 | ProgramServices |
| Management And General | 944884 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2056536 | Total |
| Program Services | 2022608 | ProgramServices |
| Management And General | 33928 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9302296 | Total |
| Program Services | 1901530 | ProgramServices |
| Management And General | 7400766 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17269 | Total |
| Program Services | 948 | ProgramServices |
| Management And General | 16321 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59796 | Total |
| Management And General | 59796 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11088044 | Total |
| Program Services | 10870792 | ProgramServices |
| Management And General | 217252 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 111351 | Total |
| Program Services | 111351 | ProgramServices |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3782681 | Total |
| Program Services | 2129758 | ProgramServices |
| Management And General | 1652923 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1367109 | Total |
| Program Services | 1365098 | ProgramServices |
| Management And General | 2011 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36192 | Total |
| Program Services | 31828 | ProgramServices |
| Management And General | 4364 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33975 | Total |
| Program Services | 30837 | ProgramServices |
| Management And General | 3138 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2268296 | Total |
| Management And General | 2268296 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2761238 | Total |
| Program Services | 2517567 | ProgramServices |
| Management And General | 243671 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 339086 | Total |
| Program Services | 24058 | ProgramServices |
| Management And General | 315028 | ManagementAndGeneral |
Other Expenses OtherExpenses (2 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| OTHER EXPENSE | 835360 | 793963 | 41397 |
| BAD DEBT EXPENSE | 423427 | 423427 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 68912679 | Total |
| Program Services | 54296165 | ProgramServices |
| Management And General | 14616514 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1462836 | BOY |
| EOY | 950765 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7565168 | BOY |
| EOY | 7606373 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 97352 | BOY |
| EOY | 89051 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1155916 | BOY |
| EOY | 1168957 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 60374352 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 37786675 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 23474893 | BOY |
| EOY | 22587677 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12689964 | BOY |
| EOY | 10395016 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 40025895 | BOY |
| EOY | 50759706 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1321537 | BOY |
| EOY | 562082 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87793561 | BOY |
| EOY | 94119627 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7993503 | BOY |
| EOY | 8399668 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 51730636 | BOY |
| EOY | 51082762 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1442380 | BOY |
| EOY | 1618680 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 61166519 | BOY |
| EOY | 61101110 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26387399 | BOY |
| EOY | 33018517 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 239643 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 26627042 | BOY |
| EOY | 33018517 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87793561 | BOY |
| EOY | 94119627 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 6911090 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -519615 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | Volunteers |
| Paid Staff Or Management | 0 | PaidStaffOrManagement |
| Media Advertisements | 0 | MediaAdvertisements |
| Mailings Members | 0 | MailingsMembers |
| Publications Or Broadcast | 0 | PublicationsOrBroadcast |
| Grants Other Organizations | 0 | GrantsOtherOrganizations |
| Direct Contact Legislators | 0 | DirectContactLegislators |
| Rallies Demonstrations | 0 | RalliesDemonstrations |
| Other Activities | 1 | OtherActivities |
| Other Activities | $11,903 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 11903 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | 0 | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | EXPLANATION OF LOBBYING ACTIVITIES: | Identifier |
| Return Reference | PART II-B, LINE 1: | ReturnReference |
| Explanation | THE ORGANIZATION IS A MEMBER OF VARIOUS HEALTHCARE ORGANIZATIONS, INCLUDING PRIMARILY THE FLORIDA HOSPITAL ASSOCIATION (FHA) AND THE 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. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 280659 | OtherCostOrOtherBasis |
| Book Value | 280659 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 41360109 | OtherCostOrOtherBasis |
| Depreciation | 23395972 | Depreciation |
| Book Value | 17964137 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2109082 | OtherCostOrOtherBasis |
| Depreciation | 1558659 | Depreciation |
| Book Value | 550423 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 16365325 | OtherCostOrOtherBasis |
| Depreciation | 12832044 | Depreciation |
| Book Value | 3533281 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 259177 | OtherCostOrOtherBasis |
| Book Value | 259177 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 22587677 | TotalOfBookValueLandBuildings |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | DUE FROM AFFILIATES | Description |
| Book Value | 50759706 | BookValue |
| Method Of Valuation | C | MethodOfValuation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Program Related | 50759706 | TotalOfBookValueProgramRelated |
Other Liabilities OtherLiabilities (2 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| LONG-TERM SWAP VALUATION LIABILITY | $906,138 |
| SWAP VALUATION LIABILITY | $712,542 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1618680 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | 1 | FPGReferenceFreeCare |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | 1 | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | 1 | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | 1 | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | 0 | ExpensesExceededBudget |
| Annual Community Benefit Report | 1 | AnnualCommunityBenefitReport |
| Report Publically Available | 1 | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1696979 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1696979 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02480 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6583648 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4544332 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2039316 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02980 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8280627 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4544332 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3736295 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05460 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 8280627 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4544332 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 3736295 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05460 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $423,427 | BadDebtExpenseAmount |
| Amount Attributable To | 696 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 35700934 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 33253826 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | 2447108 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | 1 | WrittenDebtCollectionPolicy |
| Provision For Charity Care | 1 | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKS REHABILITATION HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3599 UNIVERSITY BLVD SOUTH | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 32216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| Other | INPATIENT REHAB FACILITY | Other |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKS REHABILITATION HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | 1 | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 09 | NeedsAssessmentConducted |
| Take Into Account | 1 | TakeIntoAccount |
| Other Facilities | 1 | OtherFacilities |
| CHNA Widely Available | 1 | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Participate Community Plan | X | ParticipateCommunityPlan |
| Include Operational Plans | X | IncludeOperationalPlans |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | 0 | AllNeedsAddressed |
| Eligibility Criteria Explained | 0 | EligibilityCriteriaExplained |
| Uses FPG Free | 1 | UsesFPGFree |
| FPG Free Percent | 200.000000000000 | FPGFreePercent |
| Uses FPG Discounted | 1 | UsesFPGDiscounted |
| FPG Discount Percent | 400.000000000000 | FPGDiscountPercent |
| Explains Basis | 1 | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Insurance Status | X | InsuranceStatus |
| State Regulation | X | StateRegulation |
| Explains Application Method | 1 | ExplainsApplicationMethod |
| Includes Publicity Measures | 1 | IncludesPublicityMeasures |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | 1 | ActionsOnNonpayment |
| Collection Activities | 0 | CollectionActivities |
| Nondiscrim Emergency Care Policy | 0 | NondiscrimEmergencyCarePolicy |
| Other Reason | X | OtherReason |
| Medicare Rate | X | MedicareRate |
| Amounts Generally Billed | 0 | AmountsGenerallyBilled |
| Gross Charges | 0 | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 8 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (8 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| 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 |
Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)
| ExplanationExplanation | IdentifierIdentifier |
|---|---|
| PART I, LINE 3C: 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. | |
| PART I, LINE 7: WORKSHEET 2 OF THE 2011 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 $423,427 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. | |
| PART V, SECTION B, LINE 3: THE PROCESS INCLUDED DATA FROM THE FOLLOWING SOURCES: * CONDUCTED SEVERAL FOCUS GROUPS WITH OVER 50 PARTICIPANTS FOR THE FOLLOWING - ILRS CONSUMERS AND CAREGIVERS - BROOKS/COMMUNITY SUPPORT GROUPS (SURVIVORS AND CAREGIVERS FOR STROKE AND SPINAL CORD INJURY SUPPORT GROUPS) - BROOKS CASE MANAGERS * INTERVIEWS WITH BROOKS' PROGRAM DIRECTORS * SURVEY TO ILRC CONSUMERS * UTILIZED FINDINGS FROM BRAIN INJURY ASSOCIATION OF FLORIDA STRATEGIC PLAN * RESULTS OF STUDY ON PERCEIVED AND ACTUAL NEEDS OF PATIENTS AND CAREGIVERS IN REHAB AND ONCE AT HOME BARBARA LUTZ AT UNIVERSITY OF FLORIDA | BROOKS REHABILITATION HOSPITAL |
| PART V, SECTION B, LINE 7: NEEDS ASSESSMENTS IN 2005 AND 2008 IDENTIFIED THE NEED FOR TRANSITIONAL AND/OR AFFORDABLE PERMANENT HOUSING. THE NEEDS ASSESSMENT IN 2008 ALSO IDENTIFIED THE NEEDS CONCERNING ALCOHOL AND DRUG ADDICTION, FOLLOW-UP CASE MANAGMENT FOR PATIENTS POST-REHAB, AND PRIMARY CARE PRACTICES SPECIALIZING IN DISABILITIES. | BROOKS REHABILITATION HOSPITAL |
| PART V, SECTION B, LINE 18D: BROOKS REHABILITATION HOSPITAL IS A SUB ACUTE CARE FACILITY AND DOES NOT HAVE EMERGENCY FACILITIES. | BROOKS REHABILITATION HOSPITAL |
| PART VI, LINE 2: BROOKS REHABILITIATION HOSPITAL CONDUCTS A NETWORK-WIDE COMMUNITY-BASED NEEDS ASSESSMENT EVERY THREE YEARS. OUR LAST ASSESSMENT WAS CONDUCTED IN 2008, AND INCLUDED DATA FROM THE FOLLOWING SOURCES: - FOCUS GROUPS WITH OVER 50 PARTICIPANTS FOR THE FOLLOWING: * ILRS CONSUMERS AND CAREGIVERS * BROOKS/COMMUNITY SUPPORT GROUPS (SURVIVORS AND CAREGIVERS FOR STROKE AND SPINAL CORD INJURY SUPPORT GROUPS) * BROOKS CASE MANAGERS - INTERVIEWS WITH BROOKS' PROGRAM DIRECTORS - SURVEY TO INDENPENDENT LIVING RESOURCE CENTER CONSUMERS - FINDINGS FROM BRAIN INJURY ASSOCIATION OF FLORIDA STRATEGIC PLAN - RESULTS OF STUDY ON PERCEIVED AND ACTUAL NEEDS OF PATIENTS AND CAREGIVERS IN REHAB INCLUDING BARBARA LUTZ AT THE UNIVERSITY OF FLORDA | |
| PART VI, LINE 3: PATIENTS ARE EVALUATED IN THE ACUTE CARE SETTING TO DETERMINE ELIGIBILITY FOR CHARITY CARE. ALL HOPSITAL 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. REPORTED IN 2010, FOR THE THIRD YEAR, NET NEGATIVE JOB GROWTH AND 10.7% UNEMPLOYMENT RATE THAT IS THE HIGHEST IN THE REGION. THE COUNTIES IN JACKSONVILLE'S MSA HAD BOTH A HIGH YOUTH POPULATION AND A GROWING ELDERLY POPULATION. | |
| 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. |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 1 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 1 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JEFFREY JOHNS MD | |||||||||||||
| 0 | 213438 | 0 | 70884 | 0 | 1598 | 0 | 16500 | 0 | 8140 | 0 | 310560 | 0 | 0 |
| TREVOR PARIS MD | |||||||||||||
| 0 | 225989 | 0 | 98571 | 0 | 2082 | 0 | 7310 | 0 | 6858 | 0 | 340810 | 0 | 0 |
| DOUGLAS M BAER | |||||||||||||
| 0 | 326994 | 0 | 113219 | 0 | 53549 | 0 | 106500 | 0 | 6883 | 0 | 607145 | 0 | 0 |
| PATRICIA DEBEAR | |||||||||||||
| 0 | 156177 | 0 | 52165 | 0 | 21852 | 0 | 8639 | 0 | 6645 | 0 | 245478 | 0 | 0 |
| MICHAEL SPIGEL | |||||||||||||
| 0 | 256192 | 0 | 94693 | 0 | 27388 | 0 | 67100 | 0 | 5692 | 0 | 451065 | 0 | 0 |
| KERRY MAHER MD | |||||||||||||
| 126218 | 0 | 26944 | 0 | 241 | 0 | 16500 | 0 | 0 | 0 | 169903 | 0 | 0 | 0 |
| JOANNE HOERTZ | |||||||||||||
| 135609 | 0 | 17420 | 0 | 238 | 0 | 0 | 0 | 4752 | 0 | 158019 | 0 | 0 | 0 |
| RUSSELL ADDEO | |||||||||||||
| 121146 | 0 | 24100 | 0 | 229 | 0 | 9211 | 0 | 5357 | 0 | 160043 | 0 | 0 | 0 |
| VIRGIL WITTMER | |||||||||||||
| 118174 | 0 | 24189 | 0 | 677 | 0 | 3750 | 0 | 5357 | 0 | 152147 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | IN 2011, 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 2011 INCENTIVE COMPENSATION ACCRUALS WERE RECORDED FOR THE SYSTEM CEO AND SYSTEM VICE PRESIDENTS THROUGH A PLAN THAT IS, IN PART, BASED ON THE NET EARNINGS OF THE SYSTEM OR INDIVIDUAL ORGANIZATIONS IN THE SYSTEM. | |
| 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 | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (16 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| 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 2011: - OVERALL, BROOKS PATIENTS HAVE A SHORTER STAY AT THE HOSPITAL AND RETURN BACK TO THEIR LIVES AND BACK HOME AFTER TREATMENET.** - 96.1% OF PATIENTS RESPONDED POSITIVELY TO THE QUESTION, "LIKELIHOOD OF RECOMMENDING BROOKS".* - BROOKS RETURNS 65% OF PATIENTS BACK TO THEIR HOMES, WHICH IS MORE THAN OTHER REHABILITATION HOSPITALS NATIONALLY.** - PATIENTS ARE ADMITTED FASTER AND CAN BEGIN THE REHABILITATION PROCESS SOONER AT BROOKS THAN IN OTHER REHABILITATION HOSPITALS ACROSS THE NATION.** SOURCES: * PATIENT SATISFACTION AS MEASURED BY THE PRESS GANEY PATIENT SATISFACTION SURVEY 1/11-12/11. ** OUTCOMES DATA FROM E-REHABDATA 1/11-12-11. BROOKS REHABILITATION HAS CONTINUED TO INCREASE THE AMOUNT OF FREE CARE TO CHARITY, UNDERINSURED, AND UNINSURED PATIENTS EACH YEAR. IN 2011, BROOKS PROVIDED $1,366,497 OF FREE CARE AT COST IN THE HOSPITAL, WHICH WAS EQUIVALENT TO 1,177 PATIENT DAYS. CHARITY 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 2011, INCLUDING 1,470 MEDICAID HMO DAYS. SINCE THE MEDICAID PROGRAM REIMBURSES AT A RATE SIGNIFICANTLY BELOW THE COST OF CARE, THERE WAS A NET LOSS TO BROOKS IN PROVIDING THIS CARE OF $1,727,593. |
| 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 ASSITANCE 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 MEMBERS JEFFREY JOHNS, MD AND TREVOR PARIS, MD WERE 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 VII: AVERAGE HOURS FOR RELATED ORGANIZATIONS: | THE FOLLOWING VOTING MEMBERS OF THE GOVERNING BODY SERVED ON THE BOARDS OF RELATED ORGANIZATIONS DURING THE TAX YEAR, REPORTED AS AVERAGE HOURS PER WEEK. GARY W. SNEED - 2 HOURS FOR GENESIS HEALTH, INC. ERNEST BRODSKY - 2 HOURS FOR GENESIS HEALTH, INC. STANLEY W. CARTER - 2 HOURS FOR GENESIS HEALTH, INC. BRUCE M. JOHNSON - 2 HOURS FOR GENESIS HEALTH, INC. 2 HOURS FOR BROOKS HOME CARE ADVANTAGE DOUGLAS M. BAER - 40 HOURS SERVICE TOTAL FOR ALL ENTITIES REPORTED ON SCHEDULE R, PARTS II AND IV PATRICIA DEBEAR - 40 HOURS SERVICE TOTAL FOR ALL ENTITIES REPORTED ON SCHEDULE R, PARTS II AND IV | |
| 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 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -103,673. NET LOSS ON SWAP VALUATION -415,942. TOTAL TO FORM 990, PART XI, LINE 5: -519,615. |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (11 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| 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 | 1 | GENESIS REHABILITATION HOSPITAL INC | |
| BROOKS HOME CARE ADVANTAGE INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 262216181 | HEALTHCARE / HOME THERAPY | FL | 501(C)(3) | LINE 9 | 0 | GENESIS HEALTH INC | |
| GENESIS HEALTH DEVELOPMENT INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 592249372 | HEALTHCARE / REHAB THERAPY | FL | 501(C)(3) | LINE 9 | 0 | GENESIS HEALTH INC | |
| BROOKS SKILLED NURSING INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 264561148 | HEALTHCARE / SKILLED NURSING | FL | 501(C)(3) | LINE 9 | 0 | GENESIS HEALTH INC | |
| BROOKS SKILLED NURSING FACILITY A INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 272153586 | HEALTHCARE / SKILLED NURSING | FL | 501(C)(3) | LINE 3 | 0 | BROOKS SKILLED NURSING INC | |
| BROOKS SKILLED NURSING FACILITY B INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 452623130 | HEALTHCARE / SKILLED NURSING | FL | 501(C)(3) | PENDING | 0 | BROOKS SKILLED NURSING INC | |
| THE GENESIS HEALTH FOUNDATION INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 592249340 | SUPPORT / FUNDRAISING | FL | 501(C)(3) | LINE 7 | 0 | GENESIS HEALTH INC | |
| 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 | 0 | BROOKS SKILLED NURSING INC | |
| BROOKS SKILLED NURSING FACILITY HOLDINGS B INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 452623488 | REAL ESTATE HOLDING | FL | 501(C)(3) | PENDING | 0 | BROOKS SKILLED NURSING INC | |
| HB REHABILITATIVE SERVICES INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 452622986 | HEALTHCARE | FL | 501(C)(3) | PENDING | 0 | GENESIS HEALTH INC | |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ST AUGUSTINE MOB LTD | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3599 UNIVERSITY BLVD SOUTH | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 32216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593397507 | EIN |
| Primary Activity | REAL ESTATE HOLDING | PrimaryActivity |
| Legal Domicile State | FL | LegalDomicileState |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
Form990 Schedule R Part IV Form990ScheduleRPartIV (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Direct Controlling Entity NADirectControllingEntityNA | Type Of EntityTypeOfEntity |
|---|---|---|---|---|---|---|---|---|
| GH HOLDINGS INC | ||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 593007328 | HOLDING COMPANY | FL | N/A | C |
| GH MANAGEMENT INC | ||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 592387438 | HOLDING COMPANY | FL | N/A | C |
| GENESIS MANAGEMENT SERVICES INC | ||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 592183211 | MANAGEMENT SERVICES | FL | N/A | C |
| GH MEDICAL SERVICES INC | ||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 592742895 | MEDICAL SERVICES | FL | N/A | C |
| GH PARTNERSHIP HOLDINGS PPA INC | ||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 593075439 | INVESTMENT HOLDINGS | FL | N/A | C |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 0 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 1 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 0 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 0 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 1 | SharingOfFacilities |
| Sharing Of Paid Employees | 1 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 0 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | PHYSICAL MEDICINE SPECIALISTS INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | D | TransactionType |
| Amount Involved | 468169 | AmountInvolved |
| Method Of Amt Determination | INTERCOMPANY REC. | MethodOfAmtDetermination |