GENESIS HEALTH DEVELOPMENT INC: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- GENESIS HEALTH DEVELOPMENT INC (EIN 59-2249372)
- Tax period
- 2011-01-01 to 2011-12-31
- Filed
- 2012-11-12
- IRS object ID
- 201213179349302311
- 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 | 592249372 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | GENESIS HEALTH DEVELOPMENT 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 | CHAIRMAN | Title |
| Phone | 9043457600 | Phone |
| Date Signed | 2012-11-06 | 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 HEALTH DEVELOPMENT | 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 | 12213366 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.BROOKSHEALTH.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1983 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQURING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 4 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 1 | NbrIndependentVotingMembers |
| Total Nbr Employees | 197 | TotalNbrEmployees |
| Total Nbr Volunteers | 0 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 50467 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 16046 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 12176727 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 11447629 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 382378 | InvestmentIncomePriorYear |
| Investment Income Current Year | 340244 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 495616 | OtherRevenuePriorYear |
| Other Revenue Current Year | 409047 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 13105188 | TotalRevenuePriorYear |
| Total Revenue Current Year | 12212966 | 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 | 10927042 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 10354530 | 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 | 2830702 | OtherExpensePriorYear |
| Other Expenses Current Year | 2706042 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 13757744 | TotalExpensesPriorYear |
| Total Expenses Current Year | 13060572 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -652556 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -847606 | RevenuesLessExpensesCY |
| Total Assets BOY | 6726797 | TotalAssetsBOY |
| Total Assets EOY | 5928031 | TotalAssetsEOY |
| Total Liabilities BOY | 12894575 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 13057763 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | -6167778 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | -7129732 | NetAssetsOrFundBalancesEOY |
| 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 | 11835574 | Expense |
| Revenue | 11447629 | Revenue |
| Description | GENESIS HEALTH DEVELOPMENT, INC.'S PRIMARY EXEMPT PURPOSE IS TO PROVIDE HEALTH-RELATED SERVICES TO THE COMMUNITY, INCLUDING ENGAGING IN OUTPATIENT REHABILITATION SERVICES IN CLINICAL SETTINGS IN A NON-PROFIT ENVIRONMENT, PROVIDING EDUCATION ON HEALTH AND OTHER MEDICAL MATTERS TO THE MEDICAL COMMNITY AND THE COMMUNITY AT LARGE, AND SUCH OTHER ACTIVITIES PERMITTED TO 501(C)(3) CORPORATIONS. | Description |
| Total Program Service Expense | 11835574 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | 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 | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | 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 | 0 | Hospital |
| 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 | 1 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 0 | RelatedOrgControlledEntity |
| Transaction Related Entity | 0 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Number Forms Transmitted With1096 | 476 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | 1 | ComplianceWithBackupWitholding |
| Number Of Employees | 197 | 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 | 4 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 1 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | 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 (7 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee |
|---|---|---|---|---|---|---|---|
| DOUGLAS M BAER | |||||||
| CHAIRMAN/ PRESIDENT | 2.00 | X | X | 0 | 493762 | 113383 | |
| MICHAEL SPIGEL | |||||||
| VICE PRESIDENT | 2.00 | X | X | 0 | 378273 | 72792 | |
| BRUCE M BLAKE | |||||||
| SECRETARY/ TREASURER | 2.00 | X | X | 0 | 102760 | 16606 | |
| GARY W SNEED | |||||||
| BOARD MEMBER | 2.00 | X | 0 | 38567 | 0 | ||
| CYNTHIA E NEVILLE | |||||||
| DIR. OF WOMEN'S HEALTH | 40.00 | 132591 | 0 | 13008 | X | ||
| DEBORAH H REBER | |||||||
| VP OF CLINICAL SERVICES | 40.00 | 118834 | 0 | 14689 | X | ||
| SCOTT D HOPKINS | |||||||
| VP OF OPERATIONS | 40.00 | 103638 | 0 | 8140 | X | ||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 355063 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 1013362 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 238618 | TotalOtherCompensation |
| Number Individuals GT100 K | 3 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (4 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| MMODAL SERVICES | |||||
| 9009 CAROTHERS PKWY SUITE C2 | FRANKLIN | TN | 37067 | TRANSCRIPTION/CODING | 125730 |
| RELAY HEALTH | |||||
| 1564 NORTHEAST EXPRESSWAY | ATLANTA | GA | 30329 | COLLECTIONS/BILLING SVC. | 109966 |
| PROFESSIONAL PLACEMENT RESOURCES | |||||
| 333 1ST ST NO 200 | JACKSONVILLE BEACH | FL | 32250 | NURSE STAFFING | 104968 |
| RIVERSIDE SPINE AND PAIN PHYSICIANS | |||||
| 7207 GOLDEN WINGS ROAD 100 | JACKSONVILLE | FL | 32244 | MEDICAL SERVICES | 101563 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 4 | NumberOfContractorsGT100K |
| Related Organizations | 16046 | RelatedOrganizations |
| Total Contributions | 16046 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| NET PATIENT SERVICE | 621400 | 7735333 | 7735333 |
| CONTRACT SERVICES | 621400 | 3712296 | 3712296 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 11447629 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 190826 | TotalRevenueColumn |
| Exclusion | $190,826 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 149818 | TotalRevenueColumn |
| Exclusion | $149,818 | ExclusionAmount |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 119436 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 0 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 119436 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 119436 | TotalRevenueColumn |
| Exclusion | $119,436 | ExclusionAmount |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | 400 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | -400 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -400 | TotalRevenueColumn |
| Exclusion | -$400 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | OTHER REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 289611 | TotalRevenueColumn |
| Exclusion | $289,611 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 289611 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12212966 | TotalRevenueColumn |
| Related Or Exempt Function Income | 11447629 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $749,291 | ExclusionAmount |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7828757 | Total |
| Program Services | 6867833 | ProgramServices |
| Management And General | 960924 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 191777 | Total |
| Program Services | 191777 | ProgramServices |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1745175 | Total |
| Program Services | 1386933 | ProgramServices |
| Management And General | 358242 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 588821 | Total |
| Program Services | 523790 | ProgramServices |
| Management And General | 65031 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4890 | Total |
| Program Services | 2736 | ProgramServices |
| Management And General | 2154 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10400 | Total |
| Management And General | 10400 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 453879 | Total |
| Program Services | 275333 | ProgramServices |
| Management And General | 178546 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 79327 | Total |
| Program Services | 64092 | ProgramServices |
| Management And General | 15235 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 842417 | Total |
| Program Services | 693090 | ProgramServices |
| Management And General | 149327 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1663141 | Total |
| Program Services | 1338018 | ProgramServices |
| Management And General | 325123 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 54337 | Total |
| Program Services | 33491 | ProgramServices |
| Management And General | 20846 | ManagementAndGeneral |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 44339 | Total |
| Program Services | 25103 | ProgramServices |
| Management And General | 19236 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 151556 | Total |
| Management And General | 151556 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 595648 | Total |
| Program Services | 377139 | ProgramServices |
| Management And General | 218509 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 133033 | Total |
| Program Services | 40 | ProgramServices |
| Management And General | 132993 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | Program ServicesProgramServices |
|---|---|---|---|
| AFFILIATE MGMT FEES | 1269738 | 1269738 | |
| OTHER EXPENSES | 50058 | 4408 | 45650 |
| BAD DEBT EXPENSE | 35638 | 35638 | |
| OVERHEAD ALLOCATION | -2682359 | -2657270 | -25089 |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 13060572 | Total |
| Program Services | 11835574 | ProgramServices |
| Management And General | 1224998 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 667364 | BOY |
| EOY | 584918 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1206843 | BOY |
| EOY | 1005621 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 258249 | BOY |
| EOY | 258334 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 5475709 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 3483050 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2135190 | BOY |
| EOY | 1992659 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1245655 | BOY |
| EOY | 945890 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 642302 | BOY |
| EOY | 677938 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 571194 | BOY |
| EOY | 462671 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6726797 | BOY |
| EOY | 5928031 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1472931 | BOY |
| EOY | 1298441 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2233207 | BOY |
| EOY | 2209513 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1430068 | BOY |
| EOY | 1418474 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7758369 | BOY |
| EOY | 8131335 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 12894575 | BOY |
| EOY | 13057763 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6168286 | BOY |
| EOY | -7129732 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 508 | BOY |
| EOY | 0 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | -6167778 | BOY |
| EOY | -7129732 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6726797 | BOY |
| EOY | 5928031 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -847606 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -114348 | 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) |
|---|---|---|
| Publicly Supported Org509a2 | X | PubliclySupportedOrg509a2 |
Gifts Grants Contrib Received509 GiftsGrantsContribReceived509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus1 Year | 50467 | CurrentTaxYearMinus1Year |
| Current Tax Year | 16046 | CurrentTaxYear |
| Total | 66513 | Total |
Gross Receipts From Admissions GrossReceiptsFromAdmissions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11065594 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12052236 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12490008 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12176727 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11447629 | CurrentTaxYear |
| Total | 59232194 | Total |
Total509 Total509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 11065594 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 12052236 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 12490008 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 12227194 | CurrentTaxYearMinus1Year |
| Current Tax Year | 11463675 | CurrentTaxYear |
| Total | 59298707 | Total |
Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Amts From Subst Contributors AmtsFromSubstContributors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Support From DQ Ps Etc SupportFromDQPsEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Total509 | 59298707 | PublicSupportTotal509 |
Gross Investment Income509 GrossInvestmentIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 257536 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 508406 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 444818 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 481487 | CurrentTaxYearMinus1Year |
| Current Tax Year | 460080 | CurrentTaxYear |
| Total | 2152327 | Total |
Investment Income And UBTI InvestmentIncomeAndUBTI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 257536 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 508406 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 444818 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 481487 | CurrentTaxYearMinus1Year |
| Current Tax Year | 460080 | CurrentTaxYear |
| Total | 2152327 | Total |
Other Income509 OtherIncome509
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1138322 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 5005470 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1333376 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 314659 | CurrentTaxYearMinus1Year |
| Current Tax Year | 289611 | CurrentTaxYear |
| Total | 8081438 | Total |
Total Support Total TotalSupportTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 12461452 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 17566112 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 14268202 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 13023340 | CurrentTaxYearMinus1Year |
| Current Tax Year | 12213366 | CurrentTaxYear |
| Total | 69532472 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Public Support Percentage509 | 0.85280 | PublicSupportPercentage509 |
| Prior Year Support Percentage | 0.85030 | PriorYearSupportPercentage |
| Investment Income Percentage | 0.03100 | InvestmentIncomePercentage |
| Prior Yr Invest Income Percentage | 0.02720 | PriorYrInvestIncomePercentage |
| Thirty Three Percnt Tests CY509 | X | ThirtyThreePercntTestsCY509 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
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 | $31 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 31 | 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 THE AMERICAN HEALTH INFORMATION MANAGEMENT ASSOCIATION AND THE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION. A SMALL PORTION OF DUES PAID TO THESE ORGANIZATIONS IS ALLOCATED TO LOBBYING EFFORTS PERFORMED BY THESE ORGANIZATIONS ON BEHALF OF THEIR MEMBERSHIP BODIES. | Explanation |
Schedule D IRS990ScheduleD
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1602320 | OtherCostOrOtherBasis |
| Depreciation | 799663 | Depreciation |
| Book Value | 802657 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 32183 | OtherCostOrOtherBasis |
| Depreciation | 29908 | Depreciation |
| Book Value | 2275 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 3613191 | OtherCostOrOtherBasis |
| Depreciation | 2646420 | Depreciation |
| Book Value | 966771 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 228015 | OtherCostOrOtherBasis |
| Depreciation | 7059 | Depreciation |
| Book Value | 220956 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 1992659 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| OTHER ASSETS | 293560 |
| OTHER RECEIVABLES | 169111 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 462671 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| DUE TO AFFILIATES | $7,805,487 |
| SWAP VALUATION | $147,228 |
| OTHER PAYABLES | $178,620 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 8131335 | 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 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 (2 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 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DOUGLAS M BAER | |||||||||||||
| 0 | 326994 | 0 | 113219 | 0 | 53549 | 0 | 106500 | 0 | 6883 | 0 | 607145 | 0 | 0 |
| MICHAEL SPIGEL | |||||||||||||
| 0 | 256192 | 0 | 94693 | 0 | 27388 | 0 | 67100 | 0 | 5692 | 0 | 451065 | 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 VICE PRESIDENTS THROUGH A PLAN THAT IS, IN PART, BASED ON THE MEASUREMENT OF CERTAIN QUALITY, PATIENT SATISFACTION, AND OTHER NON-FINANCIAL CRITERIA FOR 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 (13 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF THE ORGANIZATION IS GENESIS HEALTH, INC. (DOING BUSINESS AS BROOKS HEALTH SYSTEM), A FLORIDA NOT-FOR-PROFIT CORPORATION. | |
| FORM 990, PART VI, SECTION A, LINE 7A | THE AFFAIRS OF THE ORGANIZATION ARE GOVERNED BY A BOARD OF DIRECTORS COMPOSED OF NO LESS THAN THREE AND NO MORE THAN TWENTY-FIVE MEMBERS, THE EXACT NUMBER OF DIRECTORS TO BE SPECIFIED IN THE BYLAWS OF THE ORGANIZATION. THE DIRECTORS ARE DESIGNATED BY THE SOLE MEMBER OF THE ORGANIZATION. SEE THE RESPONSE TO LINE 6 ABOVE. | |
| FORM 990, PART VI, SECTION A, LINE 7B | THE BOARD OF DIRECTORS SHALL NOT, WITHOUT PRIOR APPROVAL OF THE SOLE MEMBER OF THE ORGANIZATION: - APPROVE ANY ANNUAL OR LONG-TERM CAPITAL AND OPERATIONAL BUDGETS OR ANY CHANGES THEREIN EXCEEDING FIVE PERCENT OF THE TOTAL ORIGINAL BUDGET - APPROVE ANY NEW, OR ANY CHANGES TO EXISTING LONG-TERM OR MASTER INSTITUTIONAL PLANS OF THE ORGANIZATION - ENGAGE IN, OR ENTER INTO ANY AGREEMENT PROVIDING FOR, ANY TRANSACTION REQUIRING A CERTIFICATE OF NEED - APPROVE A PLAN OF DISSOLUTION OF THE ORGANIZATION - AGREE TO ANY CONTRACT OR ENGAGE IN ANY TRANSACTION WHERE THE AMOUNT INVOLVED EXCEEDS $100,000 - APPROVE A PLAN OF MERGER OR CONSOLIDATION OF THE ORGANIZATION WITH ANOTHER ORGANIZATION - ORGANIZE OR ACQUIRE, OR AUTHORIZE OR APPROVE THE ORGANIZATION OR ACQUISITION OF, ANY SUBSIDIARY OR AFFILIATE OF THE ORGANIZATION | |
| FORM 990, PART VI, SECTION B, LINE 11 | THE FORM 990 WAS PREPARED BY AN INDEPENDENT ACCOUNTING FIRM WITH THE GUIDANCE AND ASSISTANCE OF MANAGEMENT. THE FORM WAS REVIEWED INTERNALLY AND THEN PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW. THE AUDIT COMMITTEE THEN PREPARED A SUMMARY THAT WAS PRESENTED TO THE BOARD OF DIRECTORS ALONG WITH THE FORM 990 PRIOR TO FILING. | |
| FORM 990, PART VI, SECTION B, LINE 12C | EACH YEAR BOARD MEMBERS ARE REQUIRED TO COMPLETE A FORM THAT WILL DISCLOSE ANY RELATIONSHIPS THAT MAY CREATE A CONFLICT OF INTEREST. THE FORMS ARE REVIEWED BY MANAGEMENT AND ANY CONCERNS ARE REFERRED TO THE BOARD IF NECESSARY. | |
| FORM 990, PART VI, SECTION B, LINE 15 | 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. | |
| FORM 990, PART VI, LINE 1: | THE ORGANIZATION IS A SUBSIDIARY OF GENESIS HEALTH, INC., A 501(C)(3) ORGANIZATION. THE BOARD OF DIRECTORS OF THIS ORGANIZATION FAILS TO HAVE A MAJORITY OF INDEPENDENT BOARD MEMBERS PER THE DEFINITION PROVIDED BY THE IRS. PLEASE NOTE, HOWEVER, THAT THE SOLE MEMBER ORGANIZATION HAS A MAJORITY INDEPENDENT BOARD OF DIRECTORS, AND THROUGH ITS MEMBERSHIP PROVIDES GOVERNANCE OVERSIGHT OVER THE FILING ORGANIZATION. PLEASE SEE THE RESPONSES TO FORM 990, PART VI, LINES 6 THROUGH 7B FOR DETAILS ON THE SOLE MEMBER AND ITS AUTHORITY. | INDEPENDENCE OF VOTING BOARD MEMBERS: |
| FORM 990, PART VII, LINE 1: | OFFICERS OF THIS ORGANIZATION RECEIVING COMPENSATION FROM A RELATED ORGANIZATION ARE COMPENSATED BY BROOKS HEALTH SYSTEM. THE SYSTEM PROVIDES MANAGERIAL OVERSIGHT TO ITS SUBSIDIARIES, AND OFFICERS IN PART VII SHOWN AS WORKING TWO HOURS FOR THE FILING ORGANIZATION PERFORM AN AVERAGE OF 40 HOURS PER WEEK FOR BROOKS HEALTH SYSTEM. | AVERAGE HOURS PER WEEK FOR RELATED ORGANIZATIONS: |
| 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. | |
| FORM 990, PART XI, LINE 5: | NET UNREALIZED LOSSES ON INVESTMENTS: -12,341. NET CHANGE IN VALUE OF SWAP VALUATION -102,007. TOTAL TO FORM 990, PART XI, LINE 5: -114,348. | CHANGES IN NET ASSETS OR FUND BALANCES: |
| FORM 990, PART XII, LINE 2C: | THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI
Name Of Disregarded Entity NameOfDisregardedEntity
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | BROOKS HALIFAX REHABILITATION SERVICES LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3599 UNIVERSITY BLVD | AddressLine1 |
| City | JACKSONVILLE | City |
| State | FL | State |
| ZIP Code | 32216 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 273655818 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivities |
| Legal Domicile State | FL | LegalDomicileState |
| Total Income | 0 | TotalIncome |
| EOY Assets | 249494 | EOYAssets |
| Direct Controlling Entity NA | N/A | DirectControllingEntityNA |
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 | |
| GENESIS REHABILITATION HOSPITAL INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 593284221 | HEALTHCARE / REHAB CARE | FL | 501(C)(3) | LINE 3 | 0 | GENESIS HEALTH INC | |
| PHYSICAL MEDICINE SPECIALISTS INC | |||||||||||
| 3599 UNIVERSITY BLVD SOUTH | JACKSONVILLE | FL | 32216 | 593530305 | HEALTHCARE / PHYSICIANS | FL | 501(C)(3) | LINE 11A, I | 0 | 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 | |
| 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 | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 1 | 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 | 0 | 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 |