2011-11-02T12:38:48-05:00 2010-12-31 DIXON HUGHES GOODMAN LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2010-01-01 592249372 GENESIS HEALTH DEVELOPMENT INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 DOUGLAS M BAER 9043457600 2011-10-30 1 AMY BIBBY 8282542254 2010 2016-03-07 17:11:31Z BROOKS HEALTH DEVELOPMENT DOUGLAS M BAER 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 322164252 13105188 0 X WWW.BROOKSHEALTH.ORG X 1983 FL TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQURING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 3 1 278 0 0 0 0 50467 12490008 12176727 444818 382378 1333376 495616 14268202 13105188 0 0 0 0 12051452 10927042 0 0 0 3505007 2830702 15556459 13757744 -1288257 -652556 6291968 6726797 11983937 12894575 -5691969 -6167778 TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 0 0 12489995 12176727 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. 12489995 1 1 0 0 0 0 0 0 0 1 0 0 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 0 1 0 0 1 278 1 0 0 0 0 0 0 0 0 0 0 X 3 1 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X DOUGLAS M BAER 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 X DOUGLAS M BAER 1.00 X X 0 416293 145245 MICHAEL SPIGEL 1.00 X X 0 319823 102917 GARY W SNEED 1.00 X 0 36703 0 CYNTHIA E NEVILLE 40.00 X 126836 0 24091 DEBORAH H REBER 40.00 X 108111 0 33622 SCOTT D HOPKINS 40.00 X 101851 0 27017 MICHAEL IMBIMBO 40.00 X 94847 0 25039 336798 772819 332892 3 0 1 0 FICKLING CONSTRUCTION INC 1703 LAMBERT ST JACKSONVILLE FL 32206 CONSTRUCTION 130177 PROFESSIONAL PLACEMENT RESOURCES PO BOX 102656 ATLANTA GA 30368 STAFFING 127825 RELAY HEALTH PO BOX 403421 ATLANTA GA 30384 COLLECTIONS 113134 3 3182 47285 50467 NET PATIENT SERVICE 621400 8039288 8039288 CONTRACT SERVICES 621400 4137439 4137439 12176727 281448 281448 100930 100930 99109 99109 99109 99109 OTHER REVENUE 900099 360817 360817 MANAGEMENT FEES 541610 35690 35690 396507 13105188 12176727 0 877994 8370960 7395510 975450 279541 258205 21336 1649364 1412982 236382 627177 560585 66592 1186281 1186281 17439 8805 8634 9420 9420 506850 285207 221643 77589 65515 12074 858373 693502 164871 1593465 1305350 288115 60684 36160 24524 59910 38145 21765 113814 113814 771956 341276 430680 57799 31 57768 BAD DEBT EXPENSE 36772 36772 OTHER EXPENSES 31955 30790 1165 OVERHEAD ALLOCATION -2551605 21160 -2572765 13757744 12489995 1267749 0 736795 667364 1783516 1206843 21385 258249 5158531 3023341 2223138 2135190 493213 1245655 836412 642302 197509 571194 6291968 6726797 1130545 1472931 2231089 2233207 1430068 8622303 7758369 11983937 12894575 X -5692477 -6168286 508 508 -5691969 -6167778 6291968 6726797 X -652556 176747 X X 0 1 1 X 0 X 50467 50467 8056703 11065594 12052236 12490008 12176727 55841268 8056703 11065594 12052236 12490008 12227194 55891735 0 0 0 55891735 93658 257536 508406 444818 481487 1785905 93658 257536 508406 444818 481487 1785905 258811 1138322 5005470 1333376 314659 8050638 8409172 12461452 17566112 14268202 13023340 65728278 0.85030 0.84380 0.02720 0.02300 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 1562276 681498 880778 32183 28136 4047 3490524 2306648 1183876 73548 7059 66489 2135190 OTHER ASSETS 71966 OTHER RECEIVABLES 499228 571194 DUE TO AFFILIATES 7758369 7758369 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: THE ORGANIZATION RECEIVES CONSOLIDATED FINANCIAL STATEMENTS INCLUDING CORPORATE PARENT AND SUBSIDIARIES. THE FOLLOWING DISCLOSURE APPLIES TO THE SYSTEM AS A WHOLE: GENESIS HEALTH DEVELOPMENT, INC. 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. BROOKS HEALTH SYSTEM ACCOUNTS FOR ALL UNCERTAINTY IN INCOME TAXES IN ACCORDANCE WITH THE AUTHORITATIVE BODIES. 0 1 0 0 0 1 1 1 0 DOUGLAS M BAER 0 297288 0 90782 0 28223 0 125932 0 19313 0 561538 0 0 MICHAEL SPIGEL 0 229479 0 72192 0 18152 0 89432 0 13485 0 422740 0 0 CYNTHIA E NEVILLE 105797 0 20848 0 191 0 10076 0 14015 0 150927 0 0 0 PART I, LINE 4B IN 2010, GENESIS HEALTH, INC., A RELATED ORGANIZATION, ESTABLISHED A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN. 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 - $ 78,682 MICHAEL SPIGEL - 58,682 PART I, LINE 6 IN 2010 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 I, LINE 7 IN 2010 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. SUPPLEMENTAL INFORMATION PART III PART I, LINE 3: THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES DIRECTLY. CERTAIN BOARD MEMBERS AND MANAGEMENT OFFICIALS ARE COMPENSATED BY BROOKS HEALTH SYSTEM, A RELATED ORGANIZATION. THE BOARD OF BROOKS HEALTH SYSTEM USES THE FOLLOWING METHODS TO DETERMINE EXECUTIVE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - FORM 990 OF OTHER ORGANIZATIONS - WRITTEN EMPLOYMENT CONTRACT - COMPENSATION STUDY OR SURVEY - APPROVAL BY COMPENSATION COMMITTEE 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 FILL OUT 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 AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. INDEPENDENCE OF VOTING BOARD MEMBERS: 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. 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 ONE HOUR FOR THE FILING ORGANIZATION PERFORM AN AVERAGE OF 40 HOURS PER WEEK FOR BROOKS HEALTH SYSTEM. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: PRIOR PERIOD ADJUSTMENTS: 112,802. LOSS ON SWAP VALUATION -48,856. OTHER CHANGES 112,801. TOTAL TO FORM 990, PART XI, LINE 5: 176,747. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. 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