2023-11-14T13:35:16-06:00 2022-12-31 440160260 FORVIS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 593530305 PHYSICAL MEDICINE SPECIALISTS INC PHYS 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 J BRITTON TABOR CFO 9043457600 2023-11-14 1 J BRITTON TABOR 999009999 1 AMY BIBBY P00445891 8282542254 2023-11-07 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z BROOKS REHABILITATION SPECIALISTS J BRITTON TABOR 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 8850359 0 X WWW.BROOKSREHAB.ORG X 1992 FL PHYSICIAN PRACTICES IN SUPPORT OF BROOKS REHABILITATION HOSPITAL 7 3 87 0 0 0 207977 0 7887125 8742139 74491 81402 56638 26818 8226231 8850359 0 0 0 0 7947660 8509076 0 0 0 2468402 2964146 10416062 11473222 -2189831 -2622863 2007904 2164853 9495188 12277016 -7487284 -10112163 X TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQURING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. 0 0 9965789 8742139 PHYSICAL MEDICINE SPECIALISTS, INC. (DOING BUSINESS AS BROOKS REHABILITATION SPECIALISTS) IS A 501(C) (3) NONPROFIT PHYSICIAN GROUP. IT IS COMPOSED OF SPECIALISTS IN REHABILITATION MEDICINE (PHYSIATRISTS). THE STAFF IS AMONGST THE MOST HIGHLY TRAINED IN THE PRACTICE OF REHABILITATION MEDICINE. THIS GROUP WAS ESTABLISHED TO PROVIDE PHYSICIAN CARE TO PATIENTS WITHIN THE BROOKS SYSTEM. BROOKS IS HOME TO A CLINICAL STAFF THAT IS AMONGST THE MOST HIGHLY TRAINED IN THE FIELD OF REHABILITATION. BY LINKING THE BEST MINDS IN REHABILITATION AND ENABLING STAFF WITH THE LATEST TECHNOLOGY, OUR CLINICAL EXPERTS PROVIDE THE MOST EFFECTIVE APPROACH TO HELP OUR PATIENTS, RESIDENTS, AND GUESTS ACHIEVE THE HIGHEST QUALITY OF LIFE POSSIBLE.THE PHYSICIAN GROUP OFFERS PATIENT CARE AT BROOKS HOSPITAL, OUTPATIENT CENTERS AND OUR SKILLED NURSING FACILITIES. IN 2022, THE MEDICAL GROUP HAD 79,000 PATIENT ENCOUNTERS. THEY ALSO PROVIDE MEDICAL EDUCATION TO UNIVERSITY OF FLORIDA RESIDENTS, THE MEDICAL COMMUNITY AND THE JACKSONVILLE COMMUNITY AT LARGE. 9965789 1 0 0 0 0 0 0 0 0 0 1 0 0 0 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 1 0 0 87 1 0 0 0 0 0 0 0 0 0 0 0 0 X 7 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X X J BRITTON TABOR 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 X DOUGLAS M BAER CHAIRMAN/CEO 1.00 51.00 X X 0 2402243 64171 ERIC MANN BOARD MEMBER 2.00 4.00 X 0 29700 0 TREVOR PARIS MD VICE PRESIDENT/MED. DIRECT 10.00 34.00 X X 0 564208 51871 BRUCE JOHNSON BOARD MEMBER 1.00 5.00 X 0 46500 0 HOWARD SERKIN BOARD MEMBER 1.00 5.00 X 0 38400 0 DANIEL R CURRAN SECRETARY/CFO 1.00 51.00 X X 0 438079 19155 J BRITTON TABOR SECRETARY/CFO 1.00 51.00 X X 0 403908 7624 KENNETH NGO MD DIRECTOR MEDICAL PROGRAM 39.00 1.00 X 393814 0 44471 HOWARD WEISS MD MEDICAL DIRECTOR 40.00 X 499145 0 48568 JORGE PEREZ-LOPEZ MD PHYSIATRIST 40.00 X 430067 0 37381 PARAG SHAH MD PHYSIATRIST 40.00 X 363272 0 53421 GENEVA TUNUZI MD PHYSIATRIST 40.00 X 404623 0 21000 CASSANDRA LIST MD PHYSIATRIST 40.00 X 279510 0 30014 IVY GARCIA MD PHYSIATRIST 40.00 X 279039 0 19416 2649470 3923038 397092 27 0 1 0 0 X NET PATIENT SERVICE 621110 7215095 7215095 PHYSICIAN SERVICE REVE 621110 1527044 1527044 8742139 81402 81402 OTHER REVENUE 900099 26818 26818 26818 8850359 8742139 0 108220 892959 819128 73831 6518723 5979753 538970 306560 281213 25347 366630 336317 30313 424204 389131 35073 9816 9816 615609 615609 338371 272825 65546 191 191 77263 13427 63836 5111 1771 3340 148126 135439 12687 44438 22917 21521 20672 18698 1974 94304 84874 9430 86485 86485 PHARMACEUTICALS 1466222 1466222 DUES AND SUBSCRIPTIONS 37442 37442 MEDICAL SUPPLIES 17402 17402 OTHER EXPENSES 2219 2079 140 475 475 11473222 9965789 1507433 0 294722 125312 618194 866856 72161 122765 1545821 495901 993462 1049920 29365 0 2007904 2164853 761404 1091060 8733784 11185956 9495188 12277016 X -7487284 -10112163 -7487284 -10112163 2007904 2164853 X -2622863 -2016 X X 0 1 X 1 0 X X 1 GENESIS REHABILITATION HOSPITAL INC 593284221 3 1 0 9965789 1 0 9965789 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 45884 44299 1585 1450934 451602 999332 49003 49003 1049920 DUE TO AFFILIATES 11185956 11185956 X PART X, LINE 2: THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF GENESIS HEALTH, INC., THE SOLE MEMBER. THE FOLLOWING DISCLOSURE APPLIES TO THE SYSTEM AS A WHOLE: GENESIS HEALTH, INC. IS COMPRISED OF NOT-FOR-PROFIT CORPORATIONS 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. FORM 990, PART X, LINE 13 - PROGRAM RELATED INVESTMENTS GENESIS HEALTH, INC. ISSUED REVENUE BONDS IN 2020. THE AMOUNT OF $563,655 IS RECORDED AS A PROJECT FUND ON THE BOOKS OF THE ORGANIZATION. FORM 990 - PART IV - LINE 11F THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED AUDITED FINANCIAL STATEMENTS OF GENESIS HEALTH, INC. GENESIS IS COMPRISED OF NOT-FOR-PROFIT CORPORATIONS AS DESCRIBED IN SECTION 501(C)(3) EXEMPT FROM FEDERAL TAXES PURSUANT TO SECTION 501(A). 0 0 0 0 0 1 0 1 0 DOUGLAS M BAER CHAIRMAN/CEO 0 2398382 0 0 0 3861 0 47500 0 16671 0 2466414 0 0 TREVOR PARIS MD VICE PRESIDENT/MED. DIRECT 0 558583 0 0 0 5625 0 27000 0 24871 0 616079 0 0 HOWARD WEISS MD MEDICAL DIRECTOR 495336 0 0 0 3809 0 27000 0 21568 0 547713 0 0 0 JORGE PEREZ-LOPEZ MD PHYSIATRIST 429745 0 0 0 322 0 20500 0 16881 0 467448 0 0 0 DANIEL R CURRAN SECRETARY/CFO 0 436595 0 0 0 1484 0 13223 0 5932 0 457234 0 0 KENNETH NGO MD DIRECTOR MEDICAL PROGRAM 393291 0 0 0 523 0 20500 0 23971 0 438285 0 0 0 GENEVA TUNUZI MD PHYSIATRIST 404100 0 0 0 523 0 20500 0 500 0 425623 0 0 0 PARAG SHAH MD PHYSIATRIST 362760 0 0 0 512 0 36750 0 16671 0 416693 0 0 0 J BRITTON TABOR SECRETARY/CFO 0 400344 0 0 0 3564 0 0 0 7624 0 411532 0 0 CASSANDRA LIST MD PHYSIATRIST 279183 0 0 0 327 0 18700 0 11314 0 309524 0 0 0 IVY GARCIA MD PHYSIATRIST 277496 0 0 0 1543 0 11000 0 8416 0 298455 0 0 0 PART I, LINE 6 THE COMPANY HAS A SUCCESS SHARING PLAN THAT INCLUDES MOST EMPLOYEES. PAYMENT IS CALCULATED AS A PERCENTAGE OF COMPENSATION AND IS TRIGGERED BY MEETING SPECIFIC OPERATIONAL AND FINANCIAL GOALS. PART I, LINE 7 IN 2020, DUE TO COVID, THE ORGANIZATION PAID BONUS PAYMENTS AS A HEROES PLAN. PART I, LINE 3: CERTAIN BOARD MEMBERS AND MANAGEMENT OFFICIALS ARE COMPENSATED BY GENESIS HEALTH, INC., THE SOLE MEMBER. THE BOARD OF GENESIS HEALTH USES THE FOLLOWING METHODS TO DETERMINE EXECUTIVE COMPENSATION: - COMPENSATION COMMITTEE - INDEPENDENT COMPENSATION CONSULTANT - 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 REHABILITATION HOSPITAL, INC. (DOING BUSINESS AS BROOKS REHABILITATION HOSPITAL), A FLORIDA NOT FOR PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE AFFAIRS OF THE ORGANIZATION SHALL BE 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 AS PROVIDED IN THE BYLAWS. 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 11B THE FORM 990 WAS PREPARED BY MANAGEMENT. THE FORM WAS REVIEWED INTERNALLY AND THEN POSTED ON A SECURE INTERNAL SITE ACCESSIBLE BY ALL BOARD MEMBERS. THE FORM WAS THEN PRESENTED TO THE AUDIT COMMITTEE FOR REVIEW. THE AUDIT COMMITTEE PREPARED A SUMMARY THAT WAS PRESENTED TO THE BOARD OF DIRECTORS ALONG WITH THE FORM 990 PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C EACH YEAR BOARD MEMBERS ARE REQUIRED TO COMPLETE A FORM THAT WILL DISCLOSE ANY RELATIONSHIPS THAT MAY CREATE A CONFLICT OF INTEREST. THE FORMS ARE REVIEWED BY MANAGEMENT AND ANY CONCERNS ARE REFERRED TO THE BOARD IF NECESSARY. FORM 990, PART VI, SECTION B, LINE 15 GENESIS HEALTH, INC. USES AN OUTSIDE CONSULTANT FOR ALL OFFICER, EXECUTIVE, AND TOP MANAGEMENT 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 REHABILITAITON HOSPITAL, INC., A 501(C)(3) ORGANIZATION. THE BOARD OF DIRECTORS OF THIS ORGANIZATION FAILS TO HAVE A MAJORITY OF INDEPENDENT BOARD MEMBERS PER THE DEFINITION PROVIDED BY THE IRS. PLEASE NOTE, HOWEVER, THAT THE SOLE MEMBER ORGANIZATION HAS A MAJORITY INDEPENDENT BOARD OF DIRECTORS, AND THROUGH ITS MEMBERSHIP PROVIDES GOVERNANCE OVERSIGHT OVER THE FILING ORGANIZATION. PLEASE SEE THE RESPONSES TO FORM 990, PART VI, LINES 6 THROUGH 7B FOR DETAILS ON THE SOLE MEMBER AND ITS AUTHORITY. FORM 990, PART VIII, LINE 3: AMOUNTS PRESENTED ON LINE 3 ARE AN ALLOCATION OF INVESTMENT INCOME BASED ON INVESTMENTS HELD BY THE SOLE MEMBER. FORM 990, PART XI, LINE 9: OTHER CHANGE IN NET ASSETS -2,016. FORM 990, PART XII, LINE 2C: THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. GENESIS HEALTH INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249370 HEALTHCARE FL 501(C)(3) LINE 12B, II N/A 0 GENESIS REHABILITATION HOSPITAL INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593284221 HEALTHCARE / REHAB CARE FL 501(C)(3) LINE 3 GENESIS HEALTH INC 0 BROOKS HOME CARE ADVANTAGE INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 262216181 HEALTHCARE / HOME THERAPY FL 501(C)(3) LINE 10 GENESIS HEALTH INC 0 GENESIS HEALTH DEVELOPMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249372 HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 10 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 264561148 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 10 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING FACILITY A INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 272153586 HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 3 BROOKS SKILLED NURSING INC 0 THE GENESIS HEALTH FOUNDATION INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249340 SUPPORT / FUNDRAISING FL 501(C)(3) LINE 7 GENESIS HEALTH INC 0 BROOKS SKILLED NURSING FACILITY HOLDINGS A INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 272187557 REAL ESTATE HOLDING FL 501(C)(3) LINE 12A, I BROOKS SKILLED NURSING INC 0 BROOKS SKILLED NURSING FACILITY HOLDINGS B INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452623488 REAL ESTATE HOLDING FL 501(C)(3) LINE 12A, I BROOKS SKILLED NURSING INC 0 BROOKS REHABILITATION CLINICAL RESEARCH CENTER INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 452094888 RESEARCH FL 501(C)(3) LINE 4 GENESIS HEALTH INC 0 HB OUTPATIENT REHABILITATIVE SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 813748483 HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 12A, I GENESIS HEALTH DEVELOPMENT INC 0 ST AUGUSTINE MOB LTD 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593397507 REAL ESTATE HOLDING FL N/A 0 0 HB DELTONA REHABILITATIVE SERVICES LLC 303 N CLYDE MORRIS BLVD DAYTONA BEACH FL 32114 863209610 HEALTHCARE / OUTPATIENT REHAB FL N/A 0 0 GH HOLDINGS INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593007328 HOLDING COMPANY FL N/A C 0 GH MANAGEMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592387438 HOLDING COMPANY FL N/A C 0 GENESIS MANAGEMENT SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592183211 MANAGEMENT SERVICES FL N/A C 0 GH MEDICAL SERVICES INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592742895 MEDICAL SERVICES FL N/A C 0 GH PARTNERSHIP HOLDINGS PPA INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 593075439 INVESTMENT HOLDINGS FL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 1 0 0 0