2024-06-13T07:09:02-05:00 2022-12-31 440160260 FORVIS MAZARS LLP 500 RIDGEFIELD COURT ASHEVILLE NC 28806 990 2022-01-01 813748483 HB OUTPATIENT REHABILITATIVE SERVICES INC HBOU 9043457600 3599 UNIVERSITY BLVD S JACKSONVILLE FL 32216 J BRITTON TABOR CFO 9043457600 2024-06-05 1 J BRITTON TABOR 999009999 0 AMY BIBBY P00445891 8282542254 2024-06-05 2 AAL1 IAL1 2022 2023-04-26 12:10:37Z X J BRITTON TABOR 3599 UNIVERSITY BLVD S JACKSONVILLE FL 32216 918191 0 X WWW.BROOKSREHAB.ORG X 2016 GA FUND THE OPERATIONS OF OUTPATIENT REHABILITATION FACILITIES IN THE FLORIDA COUNTIES OF FLAGLER AND VOLUSIA 4 3 0 0 0 0 0 0 1386658 918191 0 0 0 0 1386658 918191 0 0 0 0 0 0 0 0 0 682478 778732 682478 778732 704180 139459 1818678 1958137 0 0 1818678 1958137 X TO ENHANCE THE HEALTH AND WELL BEING OF PERSONS REQUIRING REHABILITATION SERVICES THROUGH SUPERIOR OUTCOMES AND SERVICE. 0 0 595314 918191 HALIFAX HEALTH AND BROOKS HEALTH DEVELOPMENT PARTNER TO PROVIDE INTENSIVE REHABILITATION IN THE FLORIDA COUNTIES OF VOLUSIA AND FLAGLER. THE VENTURE WAS CREATED TO COLLABORATIVELY GROW QUALITY SERVICES FOR THE PATIENTS OF THESE COUNTIES. BROOKS IS THE PROVIDER OF CLINICAL SERVICES FOR THE FIVE FACILITIES OF THE JOINT VENTURE.BROOKS CLINICIANS ARE HIGHLY TRAINED TO PROVIDE EXCEPTIONAL PHYSICAL, OCCUPATIONAL, AND SPEECH THERAPIES. HALIFAX/BROOKS OUTPATIENT CENTERS OFFER WHAT FEW CAN - EXPERIENCE APPLYING THE BEST THERAPY TO ACHIEVE THE MOST COMPLETE RECOVERY POSSIBLE. SERVICES UTILIZE A COMBINATION OF EVIDENCED-BASED PRACTICE AND INNOVATIVE TECHNOLOGY TO TREAT THE MOST COMPLEX AND UNIQUE CASES. TRAINED CLINICIANS TREAT A WIDE RANGE OF BOTH NEUROLOGIC AND ORTHOPEDIC CONDITIONS THAT UTILIZE EVIDENCED-BASED TREATMENTS THAT FOCUS ON PATIENT-CENTERED CARE. 595314 1 0 0 0 0 0 0 0 0 0 1 0 0 1 0 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 0 0 0 0 0 0 0 0 0 0 0 0 0 X 4 3 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X X J BRITTON TABOR 9043457600 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 DOUGLAS M BAER PRESIDENT/CHAIRMAN 1.00 X X 0 2402243 64171 JEFF FEASEL VICE CHAIRMAN/SECRETARY 1.00 X X 0 0 0 ERIC PEPBURN MEMBER 1.00 X 0 0 0 DANIEL R CURRAN MEMBER 1.00 X 0 438079 19155 0 2840322 83326 0 0 1 0 0 REHABILITATION CLINIC 621400 918191 918191 918191 918191 918191 0 0 611393 427975 183418 2347 2347 164992 164992 778732 595314 183418 0 97482 96263 2061761 1142593 388162 919168 1333034 942706 1818678 1958137 0 0 X 1818678 1958137 1818678 1958137 1818678 1958137 139459 0 X X 0 1 X 1 0 X X 2 GENESIS HEALTH DEVELOPMENT INC 592249372 10 0 0 389366 EAST VOLUSIA HEALTH SERVICES 050597078 3 0 0 389366 2 0 778732 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 952813 440995 511818 1108948 701598 407350 919168 DUE FROM BROOKS HEALTH 882795 OTHER RECEIVABLES 59911 942706 X PART X, LINE 2: THE ORGANIZATION IS INCLUDED IN THE CONSOLIDATED FINANCIAL STATEMENTS OF GENESIS HEALTH, INC. INCLUDING CORPORATE PARENT AND SUBSIDIARIES. THE FOLLOWING DISCLOSURE APPLIES TO THE SYSTEM AS A WHOLE: GENESIS HEALTH 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. 0 1 0 0 0 0 0 0 0 DOUGLAS M BAER PRESIDENT/CHAIRMAN 0 553510 0 222958 0 1625775 0 47500 0 16671 0 2466414 0 1621914 DANIEL R CURRAN MEMBER 0 311812 0 124783 0 1484 0 13223 0 5932 0 457234 0 0 PART I, LINE 4B THE ORGANIZATION PROVIDES 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 ON A PERCENTAGE OF THE INDIVIDUAL'S ANNUAL BASE SALARY AS APPROVED BY 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, PAYOUTS FROM THE PLAN FOR THE LISTED INDIVIDUALS WERE AS FOLLOWS, (LISTED AS A COMPONENT OF PART II, COLUMN (B)III AND COLUMN F): $1,621,914 - DOUGLAS M. BAER PART ILINE 3: THE ORGANIZATION DOES NOT COMPENSATE ANY OFFICERS OR KEY EMPLOYEES DIRECTLY. CERTAIN BOARD MEMBERS AND MANAGEMENT OFFICIALS ARE COMPENSATED BY GENESIS HEALTH SYSTEM, SOLE MEMBER OF THE 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 MEMBERS OF THE CORPORATION SHALL BE: (I) EAST VOLUSIA HEALTH SERVICES (EVHS), INC, A FLORIDA NOT-FOR-PROFIT CORPORATION AND (II) GENESIS HEALTH DEVELOPMENT, INC. D/B/A BROOKS HEALTH DEVELOPMENT (BROOKS), A FLORIDA NOT-FOR-PROFIT CORPORATION. FORM 990, PART VI, SECTION A, LINE 7A THE BOARD OF DIRECTORS CONSIST OF FOUR (4) MEMBERS, WITH TWO APPOINTED BY EVHS AND TWO APPOINTED BY BROOKS. ANY VACANCY SHALL BE FILLED IN ACCORDANCE WITH THE BYLAWS OF THE RESPECTIVE MEMBER. FORM 990, PART VI, SECTION A, LINE 7B THE FOLLOWING ACTIONS REQUIRE APPROVAL OF ALL THE MEMBERS: 1. A CHANGE IN THE PURPOSE OF THE CORPORATION. 2. A TERMINATION OF THE TAX EXEMPT STATUS OF THE CORPORATION UNDER SECTION 501 (C)(3). 3. THE SALE OR DISPOSITION OF SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION 4. THE DISSOLUTION OR LIQUIDATION OF THE CORPORATION. 5. THE ADDITION OF A MEMBER OF THE CORPORATION. 6. THE MERGER OR CONSOLIDATION OF THE CORPORATION, OR THE ESTABLISHMENT OF A SUBSIDIARY OF THE CORPORATION. 7. THE AMENDMENT OR RESTATEMENT OF THE ARTICLES OF INCORPORATION OR BYLAWS OF THE CORPORATION. FORM 990, PART VI, SECTION B, LINE 11B FORM 990 WAS PREPARED BY MANAGEMENT. THE FORM WAS REVIEWED INTERNALLY. A COPY OF FORM 990 WAS PROVIDED TO EACH MEMBER OF THE GOVERNING BOARD. FORM 990, PART VI, SECTION B, LINE 12C THE ARTICLE OF INCORPORATION ADDRESS CONFLICTS OF INTEREST AND THE ACTIONS FOR COMPLIANCE. FORM 990, PART VI, SECTION B, LINE 15 THE ORGANIZATION DOES NOT COMPENSATE OFFICERS, DIRECTORS. THERE ARE NO EMPLOYEES OF THE CORPORATION. FORM 990, PART VI, SECTION C, LINE 19 THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE AVAILABLE UPON REQUEST. PART XII LINE 2C THIS PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. AMENDMENT TO FORM 990 AN AMENDMENT TO THE FORM 990 HAS BEEN SUBMITTED TO UPDATE AND CLARIFY THE REPORTED COMPENSATION OF THE OFFICERS, DIRECTORS, KEY EMPLOYEES AND TOP FIVE HIGHEST PAID. THIS AMENDMENT PRODUCED CHANGES TO PART VII (COLUMNS D, E, F) OF THE FORM 990 AS WELL AS SCHEDULE J PART II, COLUMNS B(I), B(II) AND F. ADDITIONALLY THERE HAVE BEEN UPDATES MADE TO THE STATEMENT ON SCHEDULE J PART III REGARDING PART I, LINE 4B. GENESIS HEALTH DEVELOPMENT INC 3599 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 592249372 HEALTH CARE REHABILITATION FL 501(C)(3) LINE 10 GENESIS HEALTH INC 0 EAST VOLUSIA HEALTH SERVICES INC 303 N CLYDE MORRIS BLVD DAYTONA BCH FL 32114 050597078 HEALTH CARE FL 501(C)(3) LINE 3 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0