SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
right arrowComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
right arrowAttach to Form 990.
right arrow Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2022
Open to Public Inspection
Name of the organization
BROOKS SKILLED NURSING FACILITY
HOLDINGS A INC
Employer identification number

27-2187557
Part I
Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Total income


(e)
End-of-year assets


(f)
Direct controlling
entity











Part II
Identification of Related Tax-Exempt Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


(c)
Legal domicile (state
or foreign country)

(d)
Exempt Code section


(e)
Public charity status
(if section 501(c)(3))

(f)
Direct controlling
entity

(g)
Section 512(b)(13) controlled entity?
Yes No
(1)GENESIS HEALTH INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
59-2249370
HEALTHCARE FL 501(C)(3) LINE 12C, III-FI N/A
 
No
(2)GENESIS REHABILITATION HOSPITAL INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
59-3284221
HEALTHCARE / REHAB CARE FL 501(C)(3) LINE 3 GENESIS HEALTH INC
 
 
No
(3)PHYSICAL MEDICINE SPECIALISTS INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
59-3530305
HEALTHCARE / PHYSICIANS FL 501(C)(3) LINE 12B, II GENESIS REHABILITATION HOSPITAL INC
 
 
No
(4)BROOKS HOME CARE ADVANTAGE INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
26-2216181
HEALTHCARE / HOME THERAPY FL 501(C)(3) LINE 11 GENESIS HEALTH INC
 
 
No
(5)GENESIS HEALTH DEVELOPMENT INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
59-2249372
HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 11 GENESIS HEALTH INC
 
 
No
(6)BROOKS SKILLED NURSING INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
26-4561148
HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 11 GENESIS HEALTH INC
 
 
No
(7)BROOKS SKILLED NURSING FACILITY A INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
27-2153586
HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 3 BROOKS SKILLED NURSING INC
 
 
No
(8)BROOKS SKILLED NURSING FACILITY B INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
45-2623130
HEALTHCARE / SKILLED NURSING FL 501(C)(3) LINE 3 BROOKS SKILLED NURSING INC
 
 
No
(9)THE GENESIS HEALTH FOUNDATION INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
59-2249340
SUPPORT / FUNDRAISING FL 501(C)(3) LINE 7 GENESIS HEALTH INC
 
 
No
(10)BROOKS SKILLED NURSING FACILITY HOLDINGS B INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
45-2623488
REAL ESTATE HOLDING FL 501(C)(3) LINE 12B, II BROOKS SKILLED NURSING INC
 
 
No
(11)BROOKS REHABILITATION CLINICAL RESEARCH CENTER INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
45-2094888
RESEARCH FL 501(C)(3) LINE 4 GENESIS HEALTH INC
 
 
No
(12)HB OUTPATIENT REHABILITATIVE SERVICES INC
3599 UNIVERSITY BLVD SOUTH

JACKSONVILLE,FL32216
81-3748483
HEALTHCARE / REHAB THERAPY FL 501(C)(3) LINE 12A, I GENESIS HEALTH DEVELOPMENT INC
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2022
Page 2
Schedule R (Form 990) 2022
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



(b)
Primary activity




(c)
Legal
domicile
(state or foreign
country)


(d)
Direct controlling
entity



(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




(g)
Share of end-of-year
assets



(h)
Disproprtionate allocations?




(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?



(k)
Percentage
ownership


Yes No Yes No
(1) ST AUGUSTINE MOB LTD

3599 UNIVERSITY BLVD SOUTH
JACKSONVILLE,FL32216
59-3397507
REAL ESTATE HOLDING FL N/A
        No     No  
(2) HB DELTONA REHABILITATIVE SERVICES

303 N CLYDE MORRIS BLVD
DAYTONA,FL32114
86-2309610
OUTPATIENT REHABILITATION FL N/A
        No     No  










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes No
(1) GH HOLDINGS INC

3599 UNIVERSITY BLVD SOUTH
JACKSONVILLE,FL32216
59-3007328
HOLDING COMPANY FL N/A
C         No
(2) GH MANAGEMENT INC

3599 UNIVERSITY BLVD SOUTH
JACKSONVILLE,FL32216
59-2387438
HOLDING COMPANY FL N/A
C         No
(3) GENESIS MANAGEMENT SERVICES INC

3599 UNIVERSITY BLVD SOUTH
JACKSONVILLE,FL32216
59-2183211
MANAGEMENT SERVICES FL N/A
C         No
(4) GH MEDICAL SERVICES INC

3599 UNIVERSITY BLVD SOUTH
JACKSONVILLE,FL32216
59-2742895
MEDICAL SERVICES FL N/A
C         No
(5) GH PARTNERSHIP HOLDINGS PPA INC

3599 UNIVERSITY BLVD SOUTH
JACKSONVILLE,FL32216
59-3075439
INVESTMENT HOLDINGS FL N/A
C         No




Schedule R (Form 990) 2022
Page 3
Schedule R (Form 990) 2022
Page 3
Part V
Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................
1a
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
 
No
d Loans or loan guarantees to or for related organization(s) ............................
1d
 
No
e Loans or loan guarantees by related organization(s) ............................
1e
Yes
 
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
 
No
l Performance of services or membership or fundraising solicitations for related organization(s) .....................
1l
 
No
m Performance of services or membership or fundraising solicitations by related organization(s) .................
1m
 
No
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................
1n
 
No
o Sharing of paid employees with related organization(s) ............................
1o
 
No
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
r Other transfer of cash or property to related organization(s) ............................
1r
 
No
s Other transfer of cash or property from related organization(s) ............................
1s
 
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved





Schedule R (Form 990) 2022
Page 4
Schedule R (Form 990) 2022
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income




(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership


Yes No Yes No Yes No






























Schedule R (Form 990) 2022
Page 5
Schedule R (Form 990) 2022
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. See instructions.
Return Reference Explanation
Schedule R (Form 990) 2022

Additional Data


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