Genesis Health Inc.

“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.”

“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.”

“Genesis health, inc. 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.”

“The organization's form 990 is available upon request. Additionally, recent filings of the form are available on guidestar.org.”

“The organization's governing documents, financial statements, and conflict of interest policy are made available to the public upon request.”

“Net change in swap valuation 1,329,756.”

“The process has not changed from the prior year.”

“Brooks health system (brooks rehabilitation) has a long-standing tradition of providing a system of world-class rehabilitation solutions. As a non-profit health system, we are dedicated to meeting the needs and improving the health of our community. Our mission is, "to empower people to achieve their highest level of recovery and participation in life through excellence in rehabilitation." in addition to providing comprehensive post-acute care to the region, brooks firmly believes in the power of community outreach to improve the health and well-being of our community. We provide charity care for uninsured and the under insured, post-professional clinical education through, adaptive sports and wellness programming, vocational training and support for brain injury survivors, clinical research, various support groups for patients and families, among many others. Brooks' impact reaches far beyond its walls and into the community. For the purpose of this report, brooks health system (brooks) is comprised of the following not-for-profit legal entities: * genesis health, inc. D/b/a brooks health system [59-2249370] * genesis rehabilitation hospital, inc. D/b/a brooks rehabilitation hospital [59-3284221] * genesis health development, inc. D/b/a brooks health development [59-2249372] * the genesis health foundation, inc. D/b/a brooks health foundation [59-2249340] * physical medicine specialists, inc. D/b/a brooks rehabilitation specialists [59-3530305] * brooks home care advantage, inc. [26-2216181] * brooks skilled nursing facility a, inc. [27-2153586] i. General information our history for more than 35 years, brooks has provided comprehensive rehabilitation services in the southeast. Our post-acute system of care is designed to meet every rehabilitation need from sports injuries, work-related injuries, and orthopedic post-surgical recovery to more complex medical issues such brain and spinal cord injuries and stroke. Brooks rehabilitation includes one of the largest rehabilitation hospitals in the country with 157 beds, skilled nursing, a home health agency, over 26 outpatient clinics, a physician practice group, the brooks institute of higher learning, and a research group with over 20 active clinical trials. Brooks rehabilitation hospital brooks rehabilitation hospital is a free-standing rehabilitation facility with 157 licensed beds. The hospital is dedicated to treating adults and children with brain injury, stroke, spinal cord injury, hip fracture, comprehensive orthopedic problems and other disabling conditions. Brooks rehabilitation hospital is accredited by the joint commission on accreditation of healthcare organizations (jcaho) and carf, the rehabilitation accreditation commission. The hospital is one of florida's only state-designated treatment facilities for brain and spinal cord injury for children and adults.”

“Center for inpatient rehabilitation at halifax health halifax health and brooks rehabilitation partnered to create a state-of-the-art inpatient rehabilitation center with the daytona beach hospital. This unit allows patients to receive the best possible care after a hospital stay, without having to leave their community. Brooks bartram park senior services in 2013, brooks opened bartram park campus, a place where seniors can receive the customized care they need. The campus includes a 100-bed skilled nursing facility called bartram crossing. Bartram crossing focuses on providing short-stay rehabilitation through physical, occupational, and speech therapies. Nursing care is also provided to the level required by each individual guest. This campus also offers assisted living with a 61-unit community that provides active living environment with support as needed. In addition the campus is home to the green house residences, which provided specialized memory care to individuals with alzheimer's and dementia. Brooks home care brooks home care offers a full spectrum of skilled nursing and rehabilitation options for with continued health care needs in the home. Services include skilled nursing care, physical therapy, speech therapy, respiratory therapy, occupational therapy, infusion therapy, and wound care. Brooks outpatient rehabilitation by the end of 2014, brooks had 26 outpatient clinics throughout north and central florida. These clinics offer patients of all ages a range of services, including physical, occupational, speech-language, and cognitive therapies. Specialized programs and day treatment programs are also available for chronic pain, sports injuries, brain injury and stroke, women's health, balance, back and neck pain and industrial rehabilitation. Brooks physician group practice brooks' non-profit physician group is composed of 11 credentialed specialists in rehabilitation medicine (physiatrists). The group was established to provide outpatient physician services to patients requiring this specialized care. These physicians engage in direct patient care in the hospital and outpatient, provide medical education to residents from university of florida and education to the medical community and the community at large. Brooks clinical research center since its inception in 1999, brooks' has partnered with various academic institutions to advance the science of rehabilitation for the community at large. We have conducted over 20 clinical research trials on innovative and advanced treatments and technologies to improve our patient's quality of care and helps maximize their physical function. This also increases brooks' ability to advocate for and expand access to care for those with disabilities. Brooks institute of higher learning the institute of higher learning provides a comprehensive offering of post-professional rehabilitation education including, continuing education, multi-disciplinary residency and fellowship programs for the greater healthcare community.”

“Ii. Quality care provided to patients brooks takes great pride in the quality care we offer our patients each year as illustrated in our clinical outcomes and patient satisfaction scores. In 2014: -brooks hospital returned 80% of patients back to the community, which is more than other rehabilitation hospitals nationally. -patients in brooks hospital gave an overall rating for care they received during their stay of 92.4 on a goal of 91.88. The hospital also received a score of 91.3 from patients that they would recommend the facility to family and friends. -in brooks home care, 80% of patients would recommend brooks to friends and family, compared with 79% in fl. -in brooks outpatient, customer satisfaction across all clinics was 94. Source: patient satisfaction measured by the press ganey patient satisfaction survey 2014. Iii. Community benefit provided in 2014 brooks is a resource for improving the quality-of-life for those living with disabilities and reducing the risk of physical disability through advocacy, awareness, education, research, and rehabilitation services. Programs under community benefit include: (a) charity, underinsured and uninsured care; (b) research; (c) community health programs and services; and (d) education programs for healthcare professionals. A) charity, underinsured and uninsured care $2,308,002 brooks rehabilitation has continued to increase the amount of free care to charity, underinsured and uninsured patients each year. In 2014, brooks provided $1,822,862 of free care (at cost) in the hospital, which was equivalent to 1,371 patient days. Charity and other free care provided to outpatient's visits were equivalent to $747,029 in costs. Additional charity provided by brooks home care advantage was equivalent to $112,446 in costs. Brooks provides free care to medically and financially qualified charity, uninsured, and underinsured patients falling below 400% of the federal poverty income guidelines. Brooks also provides free care to patients whose charges for care are catastrophic. This is defined as charges that exceed 25% of the federal poverty threshold. In addition, staff provides funding for the needs of charity patients through their personal donations. In 2014, brooks' employees donated to a fund which provided $114,804 in free and medically necessary equipment, medications, wheelchair ramps, and other minor expenditures needed by patients to return home. Brooks also provides care to medicaid patients in the hospital and outpatient clinics. There were 1822 medicaid days provided in 2014, with an additional 1782 medicaid hmo days. Since the medicaid program reimburses at a rate significantly below the cost of care, there was a net loss to brooks in providing this care of $1,206,025. 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 patients 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.”

“B. Research $934,294 clinical research at brooks rehabilitation (2014) the brooks rehabilitation clinical research center is committed to conducting innovative research that will advance the science of recovery and wellness for people requiring rehabilitation. Our research encompasses multiple areas of recovery, wellness and life participation for individuals with neurological, orthopedic, pain or age-related decline. We seek to bridge the advances made in medical and scientific research to the application of clinical practice and to improve the quality of life functional outcomes for those recovering from disability, decline in function, and illness. Our key strategic goals and objectives for the brooks research program: -create a contemporary model for collaboration and interdisciplinary research between academic partners, research sponsors, and our rehabilitation centric healthcare system; -engage in interdisciplinary research activities that are focused on studying, improving and creating new approaches to treatment that can improve the outcomes and quality of life for individuals who benefit from rehabilitation services -develop an organizational structure and culture that promotes evidence based practice and the advancement of rehabilitation science by providing support and infrastructure to researchers and mentorship to future researchers -provide guidance and support to clinicians who wish to explore and pursue research related activities -contribute to an environment that supports and promotes inquiry and curiosity our active clinical studies during 2014: 1. Life intervention and independence for elders (the life study) 2. Implementing psychologically informed practice principles into physical therapy management for low back pain: effects of clinician training & comparison of treatment approaches 3. A backward walking training program to improve balance and reduce falls in acute stroke: a randomized controlled trial 4. Motor impairments in traumatic brain injury: effects of colossal disconnection 5. Creation of orthopedic physical therapy-investigative network (opt-in) for the optimal screening for prediction of referral outcome (o spro) cohort study 6. Cough and swallow rehabilitations post stroke 7. Accuracy of examining cough function and its relationship to airway protection in those with parkinson's disease 8. Rehabilitation research career development program (k12 award) 9. Rehabilitation of corticospinal control of walking following stroke c. Community health programs and services $2,515,977 brooks devotes community health funding to provide a variety of health prevention, education, screening, support, and community reintegration services that positively impact the community. Brooks partners with other organizations for project development and implementation as designated by the board of directors. The programs are responsible for reporting outcomes annually to insure program objectives are met. Brooks reviews these program and project outcomes to determine if programs will continue. Brooks adaptive sports and recreation program the brooks adaptive sports and recreation program enables adults and children living with a physical disability to enhance their quality of life through participation in sports and recreational activities. Our multi-sport program provides daily activities and monthly special events to individuals of all ages and abilities at no cost to the participants. Adaptive sports includes tennis, wheelchair rugby, power soccer, indoor and outdoor rowing, archery, hand cycling, archery, billiards, bowling, yoga, aquatics, and zumba. Wellness programs, provided in partnership with multiple ymca locations, are also available to those who have multiple sclerosis, parkinson's disease or who have experienced a stroke or traumatic brain injury. Special events include surfing, water skiing, horseback riding, and more. Brooks brain injury clubhouse brooks clubhouse is a full-time day program that provides”

“Brooks school re-entry program initiated many years ago, the brooks school re-entry program (bsrp) is an ongoing program which maximizes a child's successful transition back to school following a disabling illness or injury and minimizes lost academic learning while in the inpatient setting. Bsrp serves patients at both brh and brooks' outpatient clinics. Bsrp also accepts limited community referrals from local physicians. This program employs a re-entry coordinator who serves as the liaison between brooks, the school system, various agencies and the family. Bsrp also employs a part-time clinical assistant. The program includes educational programs for classmates, school professionals, and families to better help them understand the challenges and needs of a student transitioning back into school and their community following a traumatic injury or illness. Interventions are provided as needed and are determined by the interdisciplinary treatment team for each individual child. In 2013, the program served a total of 103 new patients; 98 from public schools and 5 from private schools. The services provided by this program impacted 31 school districts in 3 states. Partnership support brooks supports numerous nonprofits whose work is strategically tied to our mission. We participate in their health-related activities, walks and runs; contribute to their educational events; and partner in offering needed services. Some of the community based organizations who have benefited from our support include: the independent living resource center, whose free "loan closet" of needed equipment and tools for the disabled has been funded by brooks; ronald mcdonald house; american cancer society, american heart association, the brain injury association of florida, juvenile diabetes research foundation, the arthritis foundation, multiple sclerosis society and many others. Brooks continues to make payments on its 5 year commitment to contribute $2.5 million to five providers' community benefit activities. Sports outreach in an effort to enhance our commitment to sports therapy, brooks has become the official rehabilitation provider for university of north florida's athletic program. Athletes can be treated at our center of sports therapy or other convenient clinic locations. Brooks also offers educational programs teaching students how they can reduce their chances of injury. Outpatient transportation patients with disabilities who need transportation to and from outpatient centers and who qualify for charity care are provided transportation funded by brooks community health. Patient providers can schedule transportation for patients who need to receive treatment or who are being referred to other services 5 days a week. Jacksonville sports medicine this partnership between wolfson children's hospital, nemours children's hospital, brooks, and many leading orthopedic surgeons serves the duval county school system by funding staff, support services, and facilitation of sports medicine to many high schools. This program prevents injuries by conducting free sports physicals to hundreds of public school athletes. It also provides education and training for educators and coaches at the schools to increase injury prevention activities support groups brooks recognizes that recovery often involves physical and psychological as well as emotional components. Community-based groups play a critical role in the re-integration and comprehensive rehabilitation of people living with disabilities in northeast florida and southeast georgia. As a result, brooks offers or aids a variety of support groups to assist current and former patients in regaining their ability to lead successful, independent lives. Many of our leaders serve as contact persons and organizers for these groups. Brooks lends a range of supporting resources to these groups, such as meeting rooms, permanent office space, knowledge experts, catering services, and other educational programming. Brooks”

“Thinkfirst thinkfirst is a national injury prevention foundation founded by america's neurosurgeons. Brooks collaborates with uf health at jacksonville medical center and others in the medical community to offer this brain and spinal cord injury program to public high school students in the region. Our therapists and nurses provide students with information on brain and spinal cord anatomy, mechanisms of injury and injury prevention behaviors and strategies. Personal stories and guidance are shared to help the teens make safe, responsible choices and decrease the likelihood of becoming a victim of a devastating accident resulting in a brain or spinal cord injury. Youth leadership jacksonville and jacksonville health and human services in 2013 brooks hosted students from the youth leadership jacksonville program - fifty of the community's best and brightest future leaders. Students were exposed to rehabilitation centered educational programs in both the inpatient and outpatient settings in addition to prevention messages from staff and former patients. Students were also provided information on how to relate to and understand the needs of a peer with a disability. This educational experience included invited speakers from the brooks' staff and administration, current and former patient testimonials, and therapy demonstrations. Falls prevention program brooks has developed a falls prevention program that provides educational resources for the community to decrease the incidence of falls in the older or frail population. Educational classes and fitness training are offered to the community to raise the awareness of risky behaviors and preventative measures. D. Education for health care professionals $817,792 student nurse rotations to help address the critical nursing shortage in florida, brooks has partnered with unf, florida community college at jacksonville and a consortium of local hospitals to expand the community's nursing education programs. Brooks provides scholarships enabling community nurses to achieve a bachelors of science degree in nursing. Plus more than 200 nurses from the university of north florida, jacksonville university and florida community college at jacksonville have participated in clinical rehabilitation-focused rotational shifts within brooks for hands-on training. Continuing education the brooks institute for higher learning provides over 40 post-professional continuing education courses for rehabilitation practitioners. Course offerings are available in a wide variety of specialty areas including, but not limited to, orthopedics, neurology, women's health, pediatrics, and geriatrics. Our faculty consists of both nationally renowned experts from around the country, as well as nationally recognized clinical experts that currently practice at brooks rehabilitation. Residency and fellowship programs the brooks institute for higher learning currently offers two physical therapy residencies in orthopedics and pediatrics, two multidisciplinary residencies in neurology and geriatrics (available to pts, ots, rns, and slps), and a fellowship program in orthopaedic manual physical therapy. Therapists who complete a clinical residency program and/or clinical fellowship program generally demonstrate superior clinical skills, advanced knowledge in a specific area of clinical practice and the ability to act as advocates and educators to their peers and patients. Physical therapy educator program in april of 2008, brooks entered into a partnership with the unf department of physical therapy to provide 2 brooks physical therapists as assistant professors in pt. Due to the expertise of brooks' practicing clinicians and the growing need for physical therapists graduating from local colleges and universities to be well-trained and ready for clinical care, this educational initiative will use two brooks physical therapists as part-time educators at unf to assist university faculty in anatomy and clinical skills labs for p”