2024-12-06T15:25:10+00:00 2023-12-31 440160260 Forvis Mazars LLP 500 Ridgefield Court Asheville NC 28806 990 2023-01-01 593284221 GENESIS REHABILITATION HOSPITAL INC GENE 9043457600 3599 UNIVERSITY BLVD SOUTH Jacksonville FL 322164252 J Britton Tabor CFO 9043457600 2024-12-06 true true Amy Bibby P00445891 8282542254 2024-12-06 2023 2024-10-15 13:58:12Z BROOKS REHABILITATION HOSPITAL J Britton Tabor 3599 UNIVERSITY BLVD SOUTH Jacksonville FL 322164252 174964509 false X WWW.BROOKSREHAB.ORG X 1994 FL OPERATION OF REHABILITATION HOSPITAL AND CLINICS IN JACKSONVILLE, FL AND SURROUNDING AREAS 16 9 1499 0 0 0 0 0 139940493 171248502 2952171 3257420 397677 458587 143290341 174964509 0 0 0 0 69429247 78621824 0 0 0 71025247 81341421 140454494 159963245 2835847 15001264 153240462 169350128 23582307 24690709 129658155 144659419 TO ADVANCE THE HEALTH AND WELL-BEING OF PERSONS REQUIRING REHABILITATION THROUGH SUPERIOR OUTCOMES, SERVICE, EDUCATION, AND RESEARCH. false false 128926952 171248502 Brooks Rehabilitation Hospital's University campus is a 160-licensed bed inpatient rehabilitation facility. Brooks opened a second inpatient rehabilitation facility in 2023. With approximately 2,700 annual discharges and 49,000 inpatient days in 2023, the hospital is one of the busiest freestanding rehabilitation hospitals in the country. Brooks Rehabilitation Hospital has been a leader in rehabilitation programs and services for 50 years. The hospital focuses on serving the most complex patients, ranking in the 99th percentile nationally for case mix index (patient acuity). It is the only one of its kind in the region, providing the highest quality rehabilitation and medical care for patients that require intensive therapy. By specializing in traumatic brain injury, spinal cord injury, stroke, pediatrics, orthopedics and neurological disorders, the hospital is a destination for the region for treating acute traumatic or acquired illnesses and injuries. Patients receive 24-hour medical care with daily physician oversight and nursing care. They receive a minimum of three hours of therapy, five days a week, including physical, occupational, and speech therapies. Cognitive rehabilitation, neuropsychology, psychology, and recreation therapy are provided as appropriate to meet patient and family needs. Onsite innovative Neuro Recovery Center, aquatic program, and wheelchair clinic with pressure mapping technology ensure the latest evidence-based treatments. Services include treatments for a wide range of injuries, and illnesses: stroke, mild to catastrophic brain injuries, spinal cord injuries, neurological disorders, amputation, chronic pain, and orthopedic conditions. A hospital level of care is available for pediatric, adolescent, and adult patients. We combine highly trained clinicians with the latest technologies to advance rehabilitation through innovation and research-based practice. Our clinical staff is among the highest trained and educated in the profession for rehabilitation, medical care and nursing. This, combined with our state-of-the-art equipment, supports our commitment to providing the best therapy and care to help patients achieve their highest quality of life. Brooks' care teams understand that a severe injury or illness can be life-altering for patients and their families, which is why Brooks strives to provide the most advanced therapy along with compassion, motivation and hope. Comprehensive care teams include physicians specializing in rehabilitation, specially trained nurses, physical therapists, occupational therapists, speech language pathologists, recreational therapists, social workers, dieticians, neuropsychologists, psychologists, case managers and therapy dogs. Services offered at Brooks Hospital include: Aquatic therapy Chaplain services Cognitive rehabilitation Community re-entry programs Family education Neuro Recovery Centers Nutrition counseling Occupational therapy Physical medicine Physical therapy Recreation therapy Rehabilitation nursing Speech therapy Music Therapy Support groups Patients have access to sophisticated therapeutic settings. Every floor of the hospital contains multiple therapy gyms for daily intensive rehabilitation. Brooks also offers access to our Neuro Recovery Center, which is a specialized gym equipped with the most cutting-edge rehabilitation equipment and technology available. Under the guidance of clinicians with expertise in neurology, our patients and community members can continue to improve their neuroplasticity and maximize long-term recovery. Brooks Rehabilitation Hospital is CARF-accredited in stroke, spinal cord injury, brain injury, pain, pediatrics and general medical rehabilitation. This accreditation reflects proven outcomes achieved through evidence-based practice. Brooks Rehabilitation Hospital provides 24-hour nursing services furnished or supervised by registered nurses. Nursing team members include registered nurses, licensed practical nurses and nursing assistants. Brooks Rehabilitation Hospital achieved Magnet designation from the American Nurses Credentialing Center (ANCC) as a reflection of its nursing professionalism, teamwork, and superiority in patient care. Rehabilitation nurses make a difference in their patients' lives. They work with patients of all ages, and their families or caregivers, soon after the onset of a disabling injury or chronic illness. They restore patients' lives so they have freedom and independence once again. As a collaborator, educator, care coordinator, advocate, and change agent, rehabilitation nurses work with other healthcare team members, including physiatrists, occupational therapists, physical therapists, neuropsychiatrists, speech therapists, and others, to create comprehensive care plans based on patient goals and maximum potential. In 2023, Brooks Rehabilitation Hospital had approximately 2,700 discharges and approximately 49,000 days of service. It is the third largest freestanding rehabilitation hospital in the nation. The facility serves patients who require intensive rehabilitation, with specialization in stroke, spinal cord injury, brain injury, and pediatrics. The hospital has been continuously accredited by the Joint Commission since 1986, the latest for a three-year period beginning September 2019. The Hospital has also maintained continuous accreditation by the Commission on Accreditation of Rehabilitation Facilities since 1982. The Hospital is designated by the State of Florida as a Spinal Cord Injury Rehabilitation Center and a Brain Injury Rehabilitation Center. The Hospital achieved Magnet Redesignation for nursing in 2021, to become one of four freestanding inpatient rehabilitation facilities in the country with this credential. Brooks Rehabilitation provides stellar rehabilitation services of care to all patients. A patient's ability to pay for services is not an impediment to care. In 2023, the Hospital provided 1,334 inpatient days of charity care and 5,848 visits at its outpatient facilities. The cost of this care was approximately $2.6 million. Additionally, 2,406 days of service were provided to Medicaid patients. In 2023, BROOKS REHABILITATION HOSPITAL, BARTRAM CAMPUS had approximately 1,400 discharges and 19,000 days of service. 128926952 true false false true false false false false false true false false true true true false true false false false false false false false false true true false false true false false false false false false false false false false false false false true true false false false true 0 0 1499 true false false false false false false false false false false false false X 16 9 false false false false true true true true true false false true true true true true true true true false X X J Britton Tabor 9043457600 3599 UNIVERSITY BLVD SOUTH Jacksonville FL 32216 Douglas M Baer CEO 5.0 47.0 X X 0 583131 69297 J Britton Tabor CFO 1.0 51.0 X X 0 436599 7929 Bruce M Johnson Board Member 1.0 5.0 X 0 32700 0 Eric Mann Board Member 1.0 4.0 X 0 47700 0 Ernest N Brodsky Vice Chair 1.0 1.0 X 0 27300 0 Geneva Tonuzi MD Board Member 1.0 39.0 X 0 327006 18519 Howard C Serkin Board Member 1.0 6.0 X 0 34200 0 Kenneth Ngo MD Board Member 1.0 39.0 X 0 403750 62338 Kris A Roberts Board Member 1.0 39.0 X 0 280144 33150 Lee Lomax Board Member 1.0 1.0 X 0 24600 0 Michelle Boynton Board Member 1.0 39.0 X 0 13500 0 Pamela S Chally PHD RN Chairperson 2.0 1.0 X 0 26100 0 Parag Shah MD Board Member 1.0 39.0 X 0 383169 56151 Stanley W Carter Secretary 1.0 1.0 X 0 21900 0 Thomas Brott MD Board Member 1.0 1.0 X 0 1800 0 Trevor Paris MD Board Member 1.0 43.0 X 0 428908 55837 Amanda L Osborne V.P. Operations 40.0 X 176187 0 32901 Bryan Murphy V.P. Operations 40.0 X 140134 0 32489 Adam Frances Dir. Of Nursing 40.0 X 128052 0 25987 Btissam Chebli LPN 40.0 X 157484 0 7247 Joshua Schuette Exec. Dir. Workers Comp. 40.0 X 178580 0 42508 Robert McIver Dir. Clinical Technology 40.0 X 135165 0 29885 Russell Addeo Dir. Behavioral Medicine 40.0 X 175190 0 37276 1090792 3072507 511514 92 false true false Memorial Hospital Jacksonville University Blvd Jacksonville FL 32216 Hospital Ancilliary Services 13414989 Hill-Rom Company Inc PO Box 643592 Pittsburgh PA 15264 Medical Rental 845488 MT Medical Florida Inc 1014 Bankton Circle Hanahan SC 29410 Ambulance Services 569409 Global Nurse Agency LLC 3548 Bay Island Circle Jacksonville Beach FL 32250 Nursing recruitment 325000 Summer Medical PO Box 51496 Jacksonville Beach FL 32240 Medical 289366 6 0 Net Patient Service 621400 159092153 159092153 Other Patient Service 900099 12156349 12156349 0 0 0 0 171248502 3257420 3257420 0 0 0 0 Other Revenue 900099 458587 458587 0 0 0 0 458587 174964509 171248502 0 3716007 X 176188 167379 8809 66091539 63449639 2641900 1489861 1415368 74493 5984904 5685659 299245 4879332 4635365 243967 9350 9350 58391 58391 20484328 19593878 890450 0 273301 139384 133917 3772061 2190082 1581979 5899163 5480974 418189 461835 374954 86881 130624 53798 76826 1651618 1651618 7885186 7727482 157704 1947494 840803 1106691 Affiliate Management Fee 19631798 19631798 Overhead Allocations 8825522 8825522 Medical Supplies 4365791 4365791 Other Expenses 2553061 2553061 3391898 1427813 1964085 0 159963245 128926952 31036293 0 661752 587963 25233079 29648513 0 0 0 431287 180588 886125 1744916 169072674 85401402 80480287 83671272 0 7447174 38100758 53516876 153240462 169350128 15563082 16121560 0 8019225 8569149 23582307 24690709 X 129658155 144659419 129658155 144659419 153240462 169350128 15001264 0 X X false true X true false X false false false false false false false false true 1800 1800 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY THE ORGANIZATION IS A MEMBER OF VARIOUS HEALTHCARE ORGANIZATIONS, INCLUDING PRIMARILY THE AMERICAN PHYSICAL THERAPY ASSOCIATION (APTA), AMERICAN MEDICAL REHABILITATION PROVIDERS ASSOCIATION (AMRPA), AND JACKSONVILLE CHAMBER OF COMMERCE. 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. 280659 280659 92921249 32331454 60589795 72924693 50751375 22173318 2946073 2318573 627500 83671272 Other Receivables 285978 Right of Use asset 7855918 Intercompany Receivables 36639216 DPP Receivable 8735764 53516876 Estimated 3rd Party Settlements 376708 Lease Liability 8192441 8569149 X Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote THE ORGANIZATION RECEIVES CONSOLIDATED FINANCIAL STATEMENTS INCLUDING CORPORATE PARENT AND SUBSIDIARIES. THE FOLLOWING DISCLOSURE APPLIES TO THE SYSTEM AS A WHOLE: BROOKS 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. true true true X true X true true true false true true 2972777 2972777 0.0187 14022113 12881055 1141058 0.0072 0 0.0 0 0 16994890 12881055 4113835 0.0259 0 0.0 0 0.0 2656827 490951 2165876 0.0136 0 0.0 0 0.0 0 0 2656827 490951 2165876 0.0136 0 0 19651717 13372006 6279711 0.0395 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0 0 0 0 0.0 true 1084559 44581876 33738809 10843067 X true true 1 1 BROOKS REHABILITATION HOSPITAL 3599 UNIVERSITY BLVD SOUTH Jacksonville FL 32216 X Inpatient Rehab Facility BROOKS REHABILITATION HOSPITAL 1 false false true X X X X X X X X X 21 true true true true X www.brooksrehab.org/community-health-needs-assessment X www.hpcnef.org X true 21 true www.brooksrehab.org false true X 200.0 400.0 X X X X true true X X X true X www.brooksrehab.org X www.brooksrehab.org X www.brooksrehab.org X X X X X true X false X false X X X false false Schedule H, Part V, Section B, Line 3E Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Brooks Rehabilitation Hospital. In July 2011, leaders from Baptist Health, Brooks Rehabilitation, the Clay County Health Department, the Duval County Health Department, Mayo Clinic, the Nassau County Health Department, the Putnam County Health Department, UF Health Jacksonville (then Shands Jacksonville Medical Center), Ascension St. Vincent's, and Wolfson Children's Hospital came together and formed the Jacksonville Metropolitan Community Benefit Partnership (the Partnership) to conduct the firstever multihospital system and public health sector collaborative Community Health Needs Assessment (CHNA). The Partnership's vision is to contribute to improvements in population health across the Northeast Florida Region by addressing gaps that prevent access to quality, integrating health care, and improving access to resources that support a healthy lifestyle. In 2015, partnership membership changed where only the nonprofit hospitals were involved, as such, the group changed the named the Jacksonville Nonprofit Hospital. Partnership, members continued their efforts to collaboratively assess the health needs of the Northeast Florida Region. Some of these collaborative efforts to address identified significant needs have included a museum exhibit at the Museum of Science and History that displayed real time local health data, a safe playground for children in a disadvantaged neighborhood, and offering Mental Health First Aid classes for the local community. The Partnership continues to explore opportunities to collaborate through small and largescale initiatives, improving the health and wellness of the region in a meaningful way. The Partnership actively looks for collaborative projects with which they can leverage the reach and influence of their nonprofit health systems within our community to make a significant impact, either across Northeast Florida or within specific disadvantaged neighborhoods. These projects have varied greatly but all initiatives were based on previous Community Health Needs Assessment data and the engagement of the residents that live in the communities. The CHNA was again conducted in 2021. Primary Data Key Stakeholder Interviews One-on-one interviews were conducted with thirty-one key stakeholders in the five county area between March and April of 2021. These interviews took place on a virtual meeting platform (Zoom) or over the phone; one interview was conducted in person once COVID-19 vaccinations allowed. Stakeholders were selected based on their knowledge of the health needs of particular communities. An effort was made to include participants whose organizations worked with minority, low-income, and underserved populations to gain insights into the needs of specific populations most at risk for health disparities. Key stakeholders included administrators of local health departments, directors of community agencies, social service organizations, behavioral health providers, and local government representatives. Focus Groups A total of 27 focus groups were conducted with 204 participants between March and April of 2021. All focus groups were conducted using a virtual meeting platform (Zoom). Efforts were made to recruit focus group participants in the five county area who represent minority, low-income, veterans, and medically underserved populations most at risk for health disparities and those experiencing challenges in accessing healthcare. Other focus groups included one with the LGBTQ+ population, and one group with people of differing abilities. Community Survey A community survey was disseminated between March and April of 2021 throughout the five county area of northeast Florida. The survey was distributed in English and in Spanish and paper surveys were also available. An electronic survey link and QR code were shared with members of the community in several ways including a press release, a featured segment on local public radio, various social media outlets, traditional broadcasts and other online media outlets. Five thousand postcards with the survey link and QR code were distributed throughout the five county area in hospital waiting rooms, vaccine sites and clinics, and via door-to-door canvassers. Secondary Data Standards for collecting, reviewing, presenting, and analyzing secondary data are based on industry trends that assess health status and risk factors for population health and community wellness. Quantitative data for each county is obtained from the Behavioral Risk Factor Surveillance System (BRFSS), County Health Rankings and Roadmaps (CHR&R), Florida Charts, Florida Department of Health Local Community Health Assessments (CHA), Hospital Utilization Reports, U.S. Census, and the Youth Risk Behavior Surveillance System (YRBSS). Population health measures the physical, mental, environmental, and social well-being of its residents. Collecting, assembling, and analyzing available data that includes statistics on health status, epidemiologic studies of health problems, healthcare utilization, service availability, and self-reported analytics helps to identify unmet needs and emerging needs. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Brooks Rehabilitation Hospital. UF HEALTH (SHANDS) BAPTIST HEALTH MAYO CLINIC, Ascension, St. Vincent's WOLFSON CHILDREN'S HOSPITAL Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Brooks Rehabilitation Hospital. DUVAL COUNTY HEALTH DEPARTMENT PUTNAM COUNTY HEALTH DEPARTMENT CLAY COUNTY HEALTH DEPARTMENT NASSAU COUNTY HEALTH DEPARTMENT Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Brooks Rehabilitation Hospital. Genesis Health Rehabilitation Hospital works with all hospitals in the community to provide rehabilitation care and improve the lives of people recovering from injuries and those living with disabilities. The collaboration with the Jacksonville Nonprofit Hospital Partnership to perform a CHNA allows us to collectively gain a comprehensive understanding of where and how we can improve the health or our community. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Brooks Rehabilitation Hospital. If a patient does not meet the FPG income criteria, the patient may be considered for financial assistance for catastrophic balance: the patient will have a balance due greater than 25% of their annual household income. Schedule H, Part V, Section B, Line 13 Facility , 1 Facility , 1 - Brooks Rehabilitation Hospital. Special Medical Circumstances: If the patient does not meet the FPG income criteria, financial assistance may be provided if the patient is seeking treatment that can only be provided by Brooks Rehabilitation or if the patient would benefit from continued medical services from Brooks for continuity of care. Schedule H, Part V, Section B, Line 21 Facility , 1 Facility , 1 - BROOKS REHABILITATION HOSPITAL. BROOKS REHABILITATION HOSPITAL IS A SUB ACUTE CARE FACILITY AND DOES NOT HAVE EMERGENCY FACILITIES. 14 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 BROOKS BEHAVIORAL MEDICINE 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 COGNITIVE & PAIN THERAPIES, MEDICAL PSYCH, NEURO DAY TREATMENT, BIOFEEDBACK St Johns 104 Ashourian Ave 105 ST AUGUSTINE FL 32092 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY ST AUGUSTINE PEDIATRIC OUTPATIENT CLINIC 190 SOUTHPARK BLVD 102 ST AUGUSTINE FL 32086 PHYSICAL, OCCUPATIONAL, SPEECH THERAPY NEURO RECOVER CENTER 3599 UNIVERSITY BLVD S JACKSONVILLE FL 32216 OCCUPATIONAL, SPEECH, ADAPTIVE SPORTS THERAPY, WHEEL CHAIR CLINIC Motion Analysis Center 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 Physical Therapy, specializing in motion Center for Low Vision 3901 UNIVERSITY BLVD SOUTH JACKSONVILLE FL 32216 Physical Therapy, specializing in vision Schedule H, Part VI Supplemental Information Brooks Rehabilitation Hospital has been a leader in rehabilitation for 50 years. It is the only one of its kind in the region. Our 160-bed hospital provides the highest quality rehabilitation and medical care for people requiring intensive therapy. Brooks provides a full continuum of care to support the comprehensive needs of patients and their families. Services offered at Brooks Hospital include: Physical Medicine Rehabilitation, Nursing, Neuro Recovery Center, Physical Therapy, Occupational Therapy, Speech Therapy, Cognitive Rehabilitation, Recreation Therapy, Aquatic Therapy, Support Groups, Peer Mentoring, Family Education, Nutrition Counseling, Community Re-entry programs, Wheelchair Clinic and Chaplain Services. Brooks Rehabilitation Hospital is CARF accredited in stroke, spinal cord injury, brain injury, pain, pediatrics and general medical rehabilitation. This accreditation reflects proven outcomes achieved through evidenced-based practices. Clinical Areas of Expertise The Spinal Cord Injury Program is one of the only state-designated treatment facilities for spinal cord injuries in both children and adults, offering the most innovative, scientifically supported treatments available. The intensive program helps survivors regain functional independence and transition back into the community. The program is based on scientifically proven techniques. Brooks' System of Care from inpatient to outpatient to post-rehabilitation community programs, is designed to meet each patient's needs at all stages of recovery. The Brain Injury Program includes intensive inpatient rehabilitation, neurological day treatment, skilled nursing, outpatient therapy and home care. Two-thirds of patients come from outside the area seeking Brooks' rehabilitation expertise. Dedication to providing rehabilitative solutions for long-term brain injury recovery sets Brooks Rehabilitation apart. The Disorders of Consciousness program is a specialized short-term program designed for patients who present in a reduced or minimally conscious state. This program allows comprehensive evaluations and therapy for this special population earlier than the usual rehabilitation process. Brooks also offers an array of community programs to provide long-term support for those who have suffered neurological injuries, such as: driver rehabilitation, day treatment, Neuro Recovery Centers, Brooks Clubhouse, Brooks Aphasia Center and Brooks Adaptive Sports & Recreation. Brooks is a leader in Stroke Rehabilitation. One of the primary goals of the program is to help patients and their caregivers adapt and regain independence. The rehabilitation program helps survivors regain functional independence and transition back into the community. Our Pediatric Program has the best pediatric therapists who have specialized training and the unique skills necessary to address developmental disabilities and traumatic injuries from infancy to adulthood. The Orthopedics programs at Brooks Rehabilitation provide more specialized, focused rehabilitation than any other provider in the region. Each patient has an individualized plan of care focused on their specific goals and needs. The Amputee Program provides an integrated, multidisciplinary approach to evaluate, rehabilitate and support people with amputations. Brooks collaborates with primary care physicians, pediatricians, sports medicine doctors, and others to create patient-centered treatment plans. Schedule H, Part VI Supplemental Information Hospital Staff Our staff members are some of the most highly trained professionals in the field. Our comprehensive care teams include physicians specializing in rehabilitation, specially trained nurses, physical therapists, occupational therapists, speech language pathologists, recreational therapists, social workers, dieticians, neuropsychologists, psychologists and case managers. Our care teams understand that a severe injury or illness can be life-altering for a patient and their family, which is why we strive to provide the most advanced therapy along with compassion, motivation and hope. Brooks Rehabilitation Hospital provides 24 hour nursing services furnished or supervised by registered nurses. Rehabilitation nurses make a difference in patients' lives. They work with patients of all ages, and their families or caregivers. They restore patients' lives so they have freedom and independence. In addition, the hospital offers advanced technology, state-of-the-art equipment and a highly credentialed therapy staff for rehabilitation specialization. This allows us to support our commitment to providing the best therapy and care to help patients achieve their highest quality of life. Hospital Profile Brooks Rehabilitation expertise to treat the most catastrophic and complex patients is evidenced by a case mix index that ranks in the 99th percentile. As a result, Brooks is becoming a destination hospital known for empowering people to achieve their highest level of recovery and participation in life. In the last several years, Brooks has expanded their patient population to states outside of Florida. Regional admissions represent 27% of the total volume. Significant programs and patient services offered at the Hospital include: adaptive sports, amputee rehabilitation, aquatic pool therapy, biofeedback therapy, brain injury rehabilitation, cognitive therapy, hip fracture rehabilitation, neurological disorders rehabilitation, neuropsychology, occupational therapy, orthopedic rehabilitation, pediatric rehabilitation, physical therapy, recreational therapy, spinal cord injury rehabilitation, stroke rehabilitation, VitaStim swallowing, robotics, and functional electrical stimulation. Brooks Rehabilitation serves a variety of patients with varying degrees of injury. The majority of patients treated suffer from catastrophic strokes, brain injuries, or spinal cord injuries. In addition to highly specialized services, the Hospital also treats a large number of patients requiring general rehabilitation, transplants, orthopedic and cardiac services, and is the only provider of pediatric rehabilitation in the region. In 2021, Brooks Rehabilitation .Hospital had approximately 2,600 discharges and approximately 48,000 days of service. It is the third largest free-standing rehabilitation hospital in the nation. The facility serves patients who require intensive rehabilitation, with specialization in stroke, spinal cord injury, brain injury, and pediatrics. The hospital has been continuously accredited by the Joint Commission since 1986, the latest for a three year period beginning September 2019. The Hospital has also maintained continuous accreditation by the Commission on Accreditation of Rehabilitation Facilities since 1982. The Hospital is designated by the State of Florida as a Spinal Cord Injury Rehabilitation Center and a Brain Injury Rehabilitation Center. The Hospital achieved Magnet Redesignation for nursing in 2021, to become one of four freestanding inpatient rehabilitation facilities in the country with this credential. There are 12 hospital based outpatient rehabilitation clinics. These clinics offer a full range of services including physical, occupational and speech therapies. The clinics are staffed by clinicians and therapists who are at the top of their fields. These specialists are dedicated to enable patients to reach their highest level of recovery. Covid-19 The impact of the Covid-19 Pandemic carried over into 2021. Decreased patient volumes, supply chain interruptions, inability to discharge to next settings of care, restrictive visitation policies, and quarantine orders significantly disrupted the operations of the Hospital. A Covid-19 Task Force was instituted and met as needed to discuss the impact of and implement protocols for the well-being of patients and employees. Brooks continues to evaluate and respond to the changing environment necessitated by the pandemic. Brooks Rehabilitation provides stellar rehabilitation services of care to all patients. A patient's ability to pay for services is not an impediment to care. In 2021, the Hospital provided 821 inpatient days of charity care and 4,758 visits at its outpatient facilities. The cost of this care was approximately $2.4 million. Additionally, 1,336 days of service were provided to Medicaid patients. Schedule H, Part V, Section B, Line 11 THE HOSPITAL FACILITY CHOSE TO FOCUS ON THE FOLLOWING SIGNIFICANT HEALTH NEEDS: MENTAL HEALTH ACCESS TO HEALTHCARE (CLINICS, FOOD, COST, DENTAL, ETC.) POVERTY CHRONIC DISEASES DIABETES, HEART DISEASE, ASTHMA; OBSESITY/NUTRITION/LIFESTYLE MATERNAL AND CHILD HEALTH The 2021 CHNA report and implementation strategy were undertaken by the hospital to assess and address significant community health needs, and in accordance with Internal Revenue Service (IRS) regulations in Section 501(r) of the Internal Revenue Code. The implementation strategy addresses the significant community health needs described in the CHNA report. It identifies significant needs that the hospital plans to address through various strategic initiatives. The implementation strategy describes how Brooks Rehabilitation plans to address the significant community health needs identified in the 2021 CHNA. The hospital reviewed the CHNA findings and applied the following criteria to determine the most appropriate needs for Brooks Rehabilitation Hospital to address: The extent to which the hospital has resources and competencies to address the need; The impact that the hospital could have on the need (i.e., the number of lives the hospital can impact); The frequency with which stakeholders identified the need as a significant priority; and The extent of community support for the hospital to address the issue and potential for partnerships to address the issue. Brooks Rehabilitation Hospital's 2021 CHNA identified a number of significant health needs in Baker, Clay, Duval, Nassau, and St. Johns counties. The Hospital identified the following areas of focus: Mental Health To address this need, Brooks Rehabilitation will undertake the following program initiatives: Provide ongoing community benefit programming including: - Brooks Rehabilitation Adaptive Sports & Recreation - Brooks Rehabilitation Aphasia Center - Brooks Rehabilitation Neuro Recovery Center - Brooks Rehabilitation Brain Injury Clubhouse - Brooks Rehabilitation Adaptive Wellness Programs - Brooks Rehabilitation Pediatric Recreation - Brooks Rehabilitation Motion Analysis Center - Brooks School Re-entry Program - Brooks Rehabilitation Music Therapy - Brooks Center for Low Vision - Brooks Behavioral Medicine Brooks will provide mental health programming for Community Benefit Program participants and caregivers with mental health and psychotherapy professionals. Brooks will continue to assess and monitor the viability of virtual programming to include opportunities for individuals who are isolated or afraid of public forums. Provide support groups and peer mentors to groups for individuals with similar diagnoses. Brooks will provide creative outlets for emotional expression through lyric analysis, song writing and varying degrees of therapy to improve mental wellbeing through Brooks Rehabilitation Music Therapy. Anticipated Impacts: Improvement in quality of life. Maintain healthy lifestyle through quantifiable outcome measures, which can lead to better overall health and wellness. Increase access to mental health professionals to improve an individual's mental wellbeing. Provide an opportunity for individuals to collaborate in peer-to-peer interactions and group activities to increase confidence. Evaluation Plan: The World Health Organization Quality of Life assessment tool with updated measures will be provided at initial intake, 2 months, 6 months, and 12 months to compare improvements to national standards for appropriate community benefit programs. 2021 Impact: Each of the outlined programs are designed to provide meaningful opportunities to improve quality of life for persons with differing ability. Access Throughout the data collection process, it was clear that the term "access" carries many different meanings. Most of the discussion around access focused on access to health services. However, reliable transportation, proper nutrition and safe and affordable housing emerged as issues that impact one's access to health care. Key Issues Rural counties have fewer primary care providers and fewer specialists, which proves to be a barrier to accessing health services for rural residents. Transportation is the top quality of life issue identified by constituents in the service area according to secondary data and the most mentioned barrier to accessing care from the primary data. Nutritious food is often inaccessible for many individuals because of cost. Proper and safe housing is a priority over health care for many people in the service area for Brooks Rehabilitation To address this need, Brooks Rehabilitation will undertake the following program initiatives: Provide community transportation to Brooks Rehabilitation Community Benefit Programs. Assess the opportunity to provide transportation from Clay County to the Brooks Rehabilitation Brain Injury Clubhouse. For individuals unable to access transportation, Brooks Rehabilitation will continually assess the opportunity to provide access to virtual programming, virtual Community Benefit Programs and telehealth services. Brooks Rehabilitation Low Vision Center will assess and provide mobile therapy services to patients with transportation limitations. Brooks Rehabilitation Brain Injury Clubhouse will provide vocational training for individuals with a traumatic brain injury to improve the access to employment. Helen's House will provide affordable, temporary housing to Brooks's patients and caregivers. Allow individuals who are under or uninsured the opportunity to access Brooks Rehabilitation programs and services through charity care and scholarships. Translation technology provided for individuals needing access to alternate language solutions. Brooks Rehabilitation will assess the opportunity to provide communication devices for individuals to overcome non-verbal communication. Brooks Rehabilitation Adaptive Wellness Programs will provide wellness examinations biannually. Provide ongoing community benefit programming which addresses the lack of services available to individuals with a differing ability through the Brooks Community Benefits Programs, which include: - Brooks Rehabilitation Adaptive Sports & Recreation - Brooks Rehabilitation Aphasia Center - Brooks Rehabilitation Neuro Recovery Center - Brooks Rehabilitation Brain Injury Clubhouse - Brooks Rehabilitation Adaptive Wellness Programs - Brooks Rehabilitation Pediatric Recreation - Brooks Rehabilitation Motion Analysis Center - Brooks School Re-entry Program - Brooks Rehabilitation Music Therapy - Brooks Center for Low Vision - Brooks Behavioral Medicine Anticipated Impacts: Maintain healthy lifestyle through quantifiable outcome measures can lead to better overall health and wellness. Increased participation in Brooks Community Benefit Programs. Increase in an individual's access to obtain medical services that could otherwise not be accessed. Evaluation Plan: Increase in overall activity for participation per unique member in the Brooks Community Benefit Programs. Increased participation of unique members in Brooks Rehabilitation Aphasia Center. Vital measurements, including blood pressure and heart rate will be recorded for individuals who participate within the health screening. Schedule H, Part V, Section B, Line 11 Chronic Disease To address this need, Brooks Rehabilitation will undertake the following program initiatives: Provide ongoing community benefit programming (addressing physical well-being, social interaction, and improved quality of life) through the Brooks Community Benefit Programs, which include: - Brooks Rehabilitation Adaptive Sports & Recreation - Brooks Rehabilitation Aphasia Center - Brooks Rehabilitation Neuro Recovery Center - Brooks Rehabilitation Brain Injury Clubhouse - Brooks Rehabilitation Adaptive Wellness Programs - Brooks Rehabilitation Pediatric Recreation - Brooks Rehabilitation Music Therapy - Brooks Center for Low Vision Brooks Rehabilitation Adaptive Sports & Recreation offers weekly activities designed to meet the needs and interests of our diverse community along age, ability, lifestyle, and personal interest parameters. The Brooks Rehabilitation Adaptive Wellness Programs offers supervised individual exercise program designed for persons who are recovering from the effects of a stroke, brain injury, Parkinson's disease, Multiple Sclerosis, and other diagnoses. The classes will focus on balance, flexibility, strength, and coordination through exercises that is completed seated or standing position. The Brooks Rehabilitation Brain Injury Clubhouse provides members participation in exercise activities for Brain Injury and stroke survivors. The Brooks Rehabilitation Pediatric Recreation offers weekly activities designed to meet the needs and interests of the pediatric population with differing physical and cognitive abilities. The Brooks Rehabilitation Neuro Recovery Center provides an opportunity for individuals with a spinal cord injury to continue ongoing exercise rehabilitation and conditioning to maintain and improve functional movement and abilities. Brooks Rehabilitation will provide employees and patients with a video library of general health and wellness materials. Through Y Healthy Living Centers, Brooks Rehabilitation will work with partners in the healthy living facility to provide education and information on a variety of topics to the community. The Spinal Cord Injury & Related Disorders Day Treatment Program provides nutritional consultation along with interdisciplinary rehabilitation programs designed to for patients who have had a spinal cord injury or similar neurologic disorders. Anticipated Impacts: Improvement in quality of life. Increase in physical activity for adult and pediatric populations. Maintain healthy lifestyle through quantifiable outcome measures, which can lead to secondary benefits of decreased falls, prevention of a second stroke, increased mobility, weight control, and better mental health. Increase children's confidence with the goal to restore a child's confidence in play activities with their peers, promote a healthy body image, and provide education for healthy nutrition and body weight as a child grows. Regular education sessions with assessments on effectiveness at the Y Healthy Living Center. Raise awareness of disease prevention and recovery. Evaluation Plan: Increase in overall activity for participation per unique member in the Brooks Community Benefit Programs. Complete six month reassessments at all wellness programming to ensure members participating maintain or improve outcome measures. Provide healthy snack options at one (1) Brooks Rehabilitation location to determine program viability. If successful, implement at additional locations. Creation and promotion of wellness video library and walking routes. Maternal and Child Health To address this need, Brooks Rehabilitation will undertake the following program initiatives: Participate in Think First, a nationwide injury prevention program that focuses on reducing the number of brain injury and spinal cord injury by educating youth. Brooks Pediatric Recreation Program will provide youth with differing abilities meaningful and accessible recreation opportunities that offer social connection, family empowerment, and community integration to enhance quality of life. Year round programming is offered through weekly classes, monthly activities, and family-friendly special events. Brooks will provide children recovering from a disabling injury or illness, our School Re-entry specialists to work with the various school districts and school personnel to minimize lost academics while coordinating a safe, customizable and successful transition back to school. Many children do not have access to vision examinations. Through the Brooks Low Vision Center, low vision exams will be provided to children for improved health. The Brooks Rehabilitation event, First Coast Cruisers, will provide children with differing abilities the opportunity to apply for an adaptive toy, customized for the child, to facilitate mobility and independence. Anticipated Impacts: Improved knowledge among school aged children regarding Brain Injury and Spinal Cord injury prevention. Increase in physical activity for pediatric populations, improving functionality, mental wellbeing and overall health. Increase access to pediatric health and wellness devices and services. The full Brooks Rehabilitation Community Needs Assessment report for 2021 can be viewed on our website www.brooksrehab.org. Schedule H, Part I, Line 7 Bad Debt Expense excluded from financial assistance calculation 1084559 Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance WORKSHEET 2 OF THE 2023 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). Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount BAD DEBT IS CALCULATED USING AN AGING OF ACCOUNTS METHODOLOGY COUPLED WITH SPECIFIC ACCOUNT REVIEW AND IS REPORTED AT GROSS CHARGES. Schedule H, Part III, Line 3 Bad Debt Expense Methodology Amounts presented as bad debts attributable to community benefit are write-offs to Medicaid payors. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote THE ORGANIZATION'S FINANCIAL STATEMENTS DO NOT INCLUDE A FOOTNOTE ON BAD DEBT, ALLOWANCE FOR DOUBTFUL ACCOUNTS, OR ACCOUNTS RECEIVABLE. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs THE ORGANIZATION USED ITS MEDICARE COST REPORT TO CALCULATE AMOUNTS PRESENTED ON PART III, LINES 5 AND 6. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance 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'SFINANCIAL SITUATION CHANGES OVER THE COURSE OF CARE, THE ORGANIZATION HAS POLICIES IN PLACE TO REQUIRE A REEVALUATION. Schedule H, Part V, Section B, Line 16a FAP website - BROOKS REHABILITATION HOSPITAL: Line 16a URL: www.brooksrehab.org; Schedule H, Part V, Section B, Line 16b FAP Application website - BROOKS REHABILITATION HOSPITAL: Line 16b URL: www.brooksrehab.org; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - BROOKS REHABILITATION HOSPITAL: Line 16c URL: www.brooksrehab.org; Schedule H, Part VI, Line 2 Needs assessment BROOKS REHABILITATION HOSPITAL JOINED THE JACKSONVILLE METROPOLITAN COMMUNITY BENEFIT PARTNERSHIP TO CONDUCT THE FIRST-EVER MULTI-HOSPITAL SYSTEM AND PUBLIC HEALTH SECTOR COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THE PARTNERSHIP CONSISTS OF A NETWORK OF FIVE HEALTH CARE SYSTEMS (NINE NONPROFIT HOSPITALS) AND FOUR PUBLIC HEALTH DEPARTMENTS THAT STAND FOR A SHARED VOICE AND VISION OF IMPROVING HEALTH AND WELLNESS IN THE JACKSONVILLE METROPOLITAN AREA. AS A RESULT OF THIS COMMUNITY HEALTH NEEDS ASSESSMENT, BROOKS REHABILITATION HAS ADDRESSED THE NEEDS OF THE DISABILITY COMMUNITY THROUGH THE IMPLEMENTATION STRATEGIES THE CHNA WAS COMPLETED IN 2018 AND AGAIN IN 2021. SEE THE NARRATIVE FOR SCHEDULE H, PART V. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance PATIENTS ARE EVALUATED IN THE ACUTE CARE SETTING TO DETERMINE ELIGIBILITY FOR CHARITY CARE. ALL HOSPITAL 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. Schedule H, Part VI, Line 4 Community information BROOKS REHABILITATION HOSPITAL IS PHYSICALLY LOCATED IN JACKSONVILLE, FL. PRIMARILY, OUR PATIENTS ARE TRANSFERRED FROM ONE OF SEVEN ACUTE CARE FACILITIES. HOWEVER, PATIENTS ARE RECEIVED FROM ACUTE CARE HOSPITALS ALL OVER NORTH FLORIDA, CENTRAL FLORIDA, AND SOUTHEAST GEORGIA. IN ADDITION, ADMISSIONS COME FROM SKILLED NURING FACILITIES WITHIN THE SAME REGION. THE COUNTIES IN THE JACKSONVILLE'S METROPOLITAN STATISTICAL AREA (MSA) INCLUDE BOTH A HIGH YOUTH POPULATION AND A GROWING ELDERLY POPULATION. Schedule H, Part VI, Line 5 Promotion of community health 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. Schedule H, Part VI, Line 6 Affiliated health care system 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 DESIGNED TO MEET THE NEEDS OF THE COMMUNITY. DETAILed INFORMATION REGARDING THESE SPECIFIC PROGRAMS IS DESCRIBED ON THIS SCHEDULE AND CAN ALSO BE FOUND ON THE ORGANIZATION'S WEBSITE. X X X X X false false false false false true false false false Douglas M Baer CEO 0 579270 0 0 0 3861 0 51959 0 17338 0 652428 0 0 J Britton Tabor CFO 0 432738 0 0 0 3861 0 0 0 7929 0 444528 0 0 Trevor Paris MD Board Member 0 424368 0 0 0 4540 0 30000 0 25837 0 484745 0 0 Kris A Roberts Board Member 0 279136 0 0 0 1008 0 15906 0 17244 0 313294 0 0 Kenneth Ngo MD Board Member 0 403227 0 0 0 523 0 45000 0 17338 0 466088 0 0 Parag Shah MD Board Member 0 382657 0 0 0 512 0 38813 0 17338 0 439320 0 0 Geneva Tonuzi MD Board Member 0 326483 0 0 0 523 0 18519 0 0 0 345525 0 0 Amanda L Osborne V.P. Operations 175736 0 0 0 451 0 21079 0 11822 0 209088 0 0 0 Bryan Murphy V.P. Operations 139938 0 0 0 196 0 15151 0 17338 0 172623 0 0 0 Joshua Schuette Exec. Dir. Workers Comp. 125349 0 52909 0 322 0 22500 0 20008 0 221088 0 0 0 Russell Addeo Dir. Behavioral Medicine 157237 0 16280 0 1673 0 29304 0 7972 0 212466 0 0 0 Btissam Chebli LPN 157349 0 0 0 135 0 7247 0 0 0 164731 0 0 0 Robert McIver Dir. Clinical Technology 134961 0 0 0 204 0 12547 0 17338 0 165050 0 0 0 Adam Frances Dir. Of Nursing 127860 0 0 0 192 0 6699 0 19288 0 154039 0 0 0 Schedule J, Part I, Line 6a Compensation contingent on net earnings of the organization 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. Form 990, Part VI, Line 6 Classes of members or stockholders 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, Line 7a Members or stockholders electing members of governing body 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, Line 7b Decisions requiring approval by members or stockholders 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, Line 11b Review of form 990 by governing body Form 990 is placed on a shared file system for access by all Board members. Board members may request printed copies. Form 990 is reviewed in detail by the Audit Committee. A summary is presented to the Board. Form 990, Part VI, Line 12c Conflict of interest policy 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, Line 15a Process to establish compensation of top management official Genesis Health, Inc. engages an outside consultant for all officer, executive, and top management compensation decisions. The Compensation Committee of the Board of Directors approves all decisions regarding executive compensation. Comparability data utilized includes industry as well as geographical parameters. Form 990, Part VI, Line 15b Process to establish compensation of other employees Genesis Health, Inc. engages an outside consultant for all officer, executive, and top management compensation decisions. The Compensation Committee of the Board of Directors approves all decisions regarding executive compensation. Comparability data utilized includes industry as well as geographical parameters. Form 990, Part VI, Line 19 Required documents available to the public THE ORGANIZATION'S GOVERNING DOCUMENTS, FINANCIAL STATEMENTS, AND CONFLICT OF INTEREST POLICY ARE MADE AVAILABLE TO THE PUBLIC UPON REQUEST. Form 990, Part VII, Section A BOARD MEMBER TREVOR PARIS, MD WAS COMPENSATED BY PHYSICAL MEDICINE SPECIALISTS, A RELATED ORGANIZATION, FOR MEDICAL SERVICES PERFORMED FOR THE ORGANIZATION. Form 990, Part VIII, Line 3 AMOUNTS PRESENTED ON LINE 3 AND LINE 4 ARE AN ALLOCATION OF INVESTMENT INCOME BASED ON INVESTMENTS HELD BY THE SOLE MEMBER. Form 990, Part IX, Line 11g Other Fees Consulting - Total Expense: 83085, Program Service Expense: , Management and General Expenses: 83085, Fundraising Expenses: ; Other Purchased Services - Total Expense: 10335330, Program Service Expense: 9527965, Management and General Expenses: 807365, Fundraising Expenses: ; Patient Services - Total Expense: 10065913, Program Service Expense: 10065913, Management and General Expenses: , Fundraising Expenses: ; Form 990, Part XII, Line 2c Change of oversight process or selection process THE PROCESS HAS NOT CHANGED FROM THE PRIOR YEAR. Form 990, Part VI, Line 18: THE ORGANIZATION'S FORM 990 IS AVAILABLE UPON REQUEST. ADDITIONALLY, RECENT FILINGS OF THE FORM ARE AVAILABLE ON GUIDESTAR.ORG. 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