2024-08-14T16:12:17-05:00 2023-09-30 440160260 FORVIS MAZARS LLP 120 E PALMETTO PARK ROAD SUITE 403 BOCA RATON FL 33432 990 2022-10-01 593336894 HEALTH FIRST SHARED SERVICES INC HEAL 3214345150 3300 FISKE BLVD ROCKLEDGE FL 329554306 ARTHUR CRAIG SPRINGER II SYS VP CAO 3214345150 2024-08-13 1 0 APRIL ARNOLD P01559426 8164894235 2024-08-13 2022 2024-08-08 14:25:15Z HEALTH FIRST TAYLOR K SMITH 3300 FISKE BLVD ROCKLEDGE FL 329554306 946729430 0 X HTTPS://HF.ORG X 1995 FL OUR TEAM IMPROVING THE WELLNESS AND HEALTH OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE. 13 12 11392 12 -2302419 341303 343895 375197 251111415 307424310 38852565 82944471 792217 -1797874 291100092 388946104 62500 50000 0 0 136575920 149997222 0 0 0 183136303 208002931 319774723 358050153 -28674631 30895951 1587486387 1819267420 433617771 464477268 1153868616 1354790152 X OUR TEAM IMPROVING THE WELLNESS AND HEALTH OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE. 0 0 290986155 50000 307424310 THE PRIMARY EXEMPT PURPOSE OF HEALTH FIRST SHARED SERVICES, INC. (HFSS) IS TO PROVIDE SUPPORT AND SERVICES THAT ENABLE THE INTEGRATED DELIVERY NETWORK TO PROVIDE EXCEPTIONAL PATIENT CARE AT HEALTH FIRST'S CAPE CANAVERAL HOSPITAL, HEALTH FIRST'S HOLMES REGIONAL MEDICAL CENTER, HEALTH FIRST'S PALM BAY HOSPITAL, HEALTH FIRST'S VIERA HOSPITAL AND HOSPICE OF HEALTH FIRST, INC. THE SERVICES PROVIDED BY HFSS INCLUDE, BUT ARE NOT LIMITED TO: STRATEGIC PLANNING, MANAGEMENT, ADMINISTRATIVE SUPPORT SERVICES, AND INTEGRAL SERVICES IN IT AND FINANCE.MORE SPECIFICALLY, HFSS SUPPORTS ITS AFFILIATED ORGANIZATIONS WITH:1. COORDINATION OF PATIENT CARE SERVICES TO REDUCE THE DUPLICATION OF RESOURCES AND INCREASE THE COST-EFFICIENCY OF PATIENT CARE OFFERED AT ANY HEALTH FIRST ENTITY;2. PROVISION OF ENHANCED CLINICAL, MARKETING, PLANNING, FINANCIAL AND ORGANIZATIONAL SERVICES AND EXPERTISE, AND;3. SERVICE AREA COMMUNITY HEALTH PLANNING TO ENSURE THAT COLLECTIVELY ALL HEALTH FIRST ENTITIES PROVIDE THE HEALTHCARE SERVICES REQUIRED TO MEET THE NEEDS OF RESIDENTS WHO RESIDE IN BREVARD COUNTY.SOME EXAMPLES OF ENHANCED CLINICAL CARE INCLUDE VIRTUAL VISITS, PHREESIA AND KYRUUS. THESE ADVANCEMENTS ENSURE THERE IS ACCESS TO CARE WITH EASE AND CONVENIENCE. VIRTUAL VISITS ARE A WAY FOR PHYSICIANS TO OFFER HEALTHCARE TO THOUSANDS OF PEOPLE FROM THE COMFORT OF THEIR OWN HOMES. HEALTH FIRST HAS INVESTED DEEPLY IN THIS TECHNOLOGY TO HELP KEEP OUR COMMUNITY SAFE.THE VIRTUAL VISIT TOOLS WE EFFECTIVELY AND IMMEDIATELY IMPLEMENTED DURING THE FIRST WAVE OF COVID-19 MADE A HUGE IMPACT AS HEALTH FIRST CONTINUED TO PROVIDE QUALITY CARE TO OUR PATIENTS.WITH THE COVID-19 PANDEMIC, THE FUTURE OF VIRTUAL VISITS WAS NO LONGER A "NICE TO HAVE" BUT INSTEAD, A "MUST HAVE," BASED ON THE RESPONSE HEALTH FIRST EXPERIENCED FROM PATIENTS.THE HEALTH FIRST NETWORK HAS EXPANDED THESE SERVICES TO INCLUDE WELL CARE VISITS, CHRONIC DISEASE MANAGEMENT, ACUTE VISITS, AND SPECIALIST CARE. IN 2023, THERE WERE 60,352 VIRTUAL VISIT PATIENTS THAT WERE SEEN BY HEALTH FIRST PROVIDERS.HEALTH FIRST PARTNERED WITH PHREESIA TO MODERNIZE OUR PATIENT INTAKE PROCESS.PHREESIA, A COMPANY PROVIDING AUTOMATED REGISTRATION TOOLS, OFFERS A COMPREHENSIVE CHECK-IN EXPERIENCE FOR OUR PATIENTS, GIVING THEM THE OPTION TO CHECK IN ON THEIR OWN MOBILE DEVICE, BOTH BEFORE THEIR APPOINTMENT AND IN THE OFFICE. PHREESIA OFFERS PATIENTS: 30% FASTER CHECK-IN WHEN THEY USE THEIR OWN MOBILE DEVICE; INCREASED CONVENIENCE BY ALLOWING THEM TO CHECK IN ANYWHERE THEY HAVE ACCESS TO A SMARTPHONE, TABLET OR COMPUTER; THE ABILITY TO MAKE PAYMENTS PRIOR TO THEIR APPOINTMENT; AND THE ABILITY TO WAIT IN THEIR VEHICLE UNTIL THEY RECEIVE A MESSAGE ON THEIR MOBILE DEVICE, WHICH TELLS THEM IT'S TIME FOR THEIR APPOINTMENT.HEALTH FIRST OFFERS AN ENTERPRISE-WIDE PLATFORM FOR OUR ONLINE PROVIDER DIRECTORY NAMED KYRUUS. THE ENHANCED DIRECTORY STREAMLINES OUR ONLINE MEDICAL STAFF PROVIDER DIRECTORY. THE IMPROVEMENT WILL INCORPORATE SEARCH FILTER CRITERIA, MOBILE OPTIMIZATION AND MORE. THIS NOT ONLY INCREASED EASE OF ACCESS TO OUR NETWORK BUT ALSO BOOSTED THE CUSTOMER EXPERIENCE. WITH THE HEALTH FIRST DIRECTORY, CUSTOMERS CAN SEARCH USING KEY WORDS AND ACRONYMS, SUCH AS "PCP" INSTEAD OF "PRIMARY CARE PROVIDER, AND EVEN ABBREVIATIONS, SUCH AS "AFIB" INSTEAD OF "ATRIAL FIBRILLATION." THE SEARCH WILL ALSO INCORPORATE FILTERS SO CUSTOMERS CAN MATCH THEMSELVES WITH THE MOST APPROPRIATE PROVIDER FOR THEIR NEEDS.AS A NOT-FOR-PROFIT HEALTHCARE NETWORK, HEALTH FIRST IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY AND PROVIDING SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY. HEALTH FIRST'S DEDICATION TO HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE IS REFLECTED IN OUR MISSION-DRIVEN COMMUNITY BENEFITS, WHICH IN FY2023 TOTALED OVER $136 MILLION. THIS INCLUDED OVER $60 MILLION IN CHARITY CARE, PROVIDED AS A "SAFETY NET" FOR THOSE WHO WERE UNINSURED OR UNABLE TO PAY FOR HEALTHCARE SERVICES AND WEREN'T ELIGIBLE FOR PUBLIC/ GOVERNMENT PROGRAMS. EVERY THREE YEARS, HEALTH FIRST CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT. BASED ON THE MOST RECENT REPORT IN 2023, RECOMMENDATIONS WERE MADE BY HEALTH FIRST LEADERSHIP AND APPROVED BY THE HEALTH FIRST BOARD OF TRUSTEES TO ADDRESS THE FOLLOWING HEALTH DISPARITIES IN BREVARD COUNTY: 1- NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT 2- ACCESS TO HEALTHCARE FOR A COPY OF OUR HEALTH FIRST SHARED SERVICES, INC. COMMUNITY BENEFIT REPORT, VISIT: HTTPS://HF.ORG/ABOUT-US/GIVING-BACK 290986155 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 1 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 1 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 740 0 1 11392 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 13 12 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 1 X KIMBERLY MYERS 3214345150 3300 FISKE BLVD ROCKLEDGE FL 329554306 X STEVEN P JOHNSON PRESIDENT/CEO HFI (END 2/2023) 3.00 37.00 X X 2183427 0 25072 TAYLOR K SMITH CHAIR / INTERIM CEO HFSS (2/2023) 3.00 37.00 X X 61634 0 0 JAMES C SHAW VICE CHAIR 1.00 5.00 X X 25837 0 0 JOSEPH GURRI MD TRUSTEE 1.00 5.00 X 20735 0 0 DANA S KILBORNE TREASURER 1.00 5.00 X X 18000 0 0 LARRY S BISHOP MD TRUSTEE 1.00 4.00 X 13559 0 0 ROBERT K HENRY TRUSTEE 1.00 5.00 X 12368 0 0 ALAN L PRESTWOOD TRUSTEE 1.00 8.00 X 7891 0 0 SCOTT T MIKUEN SECRETARY 1.00 5.00 X X 0 0 0 DAVID BANKS TRUSTEE 1.00 1.00 X 0 0 0 ROBERT DUANE DAVIS MD TRUSTEE 1.00 1.00 X 0 0 0 KIM K PATRICK TRUSTEE (BEG 10/2021) 1.00 8.00 X 0 0 0 RANDALL L HAFFNER TRUSTEE 1.00 1.00 X 0 0 0 TODD GOODMAN TRUSTEE 1.00 1.00 X 0 0 0 DREW A RECTOR EXEC VP CSO (END 4/2023) 15.00 25.00 X 1166423 0 29300 MICHAEL A SCIALDONE EVP/CFO HFI (END 1/2023) 3.00 37.00 X 896876 0 21100 BRETT A ESROCK EXEC VP CFO/COO (BEG 1/2023) 3.00 37.00 X 735252 0 26499 PAULA B JUST CHIEF EXPERIENCE OFFICER 38.00 2.00 X 639825 0 27130 NICHOLAS W ROMANELLO ESQ SR VP/CORP COUNSEL 3.00 37.00 X 736683 0 29300 JEFFREY C STALNAKER MD SR VP CCO/INTERIM CEO HOSP (BEG 1/2023) 18.00 22.00 X 730001 0 24632 WILLIAM J WALDERS CIO SR VP OPER SUPP (END 4/2023) 40.00 0.00 X 725575 0 12357 FRANK S LETHERBY SR VP CEO COMMUNITY HEALTH 12.00 28.00 X 623512 0 27999 MATTHEW F GERRELL SR VP/CEO HFAP 36.00 4.00 X 622114 0 30395 MARK S ROSENBLOOM VP CLINICAL TRANSFORMATION 40.00 0.00 X 453531 0 24595 CHEYANA D FISCHER CHIEF OPS NURSING OFFICER HD 40.00 0.00 X 376893 0 23796 DOUGLAS B MCKEE VP CHIEF MED INFORMATICS OFFIC 40.00 0.00 X 362875 0 26673 JAMES S MITCHELL III FORMER EXEC VP/COO HFI (EN 0.00 0.00 X 325397 0 5007 MARTIN W ISENMAN MD FORMER TRUSTEE (END 9/2021 0.00 0.00 X 19132 0 0 JOHN F BREITFELLER FORMER VC (END 9/2020) 0.00 0.00 X 14356 0 0 DALE A DETTMER ESQ FORMER TRUSTEE (END 9/2019 0.00 0.00 X 13968 0 0 PAMELA A GATTO FORMER TRUSTEE (END 9/2021 0.00 0.00 X 11172 0 0 LEE SCHEINBART CHIEF MED OFFICER HOSP (END 07/2022) 40.00 0.00 X 268651 0 19450 11065687 0 353305 740 1 1 0 SODEXO CTM LLC PO BOX 415000 NASHVILLE TN 372415000 OPERATIONAL SERVICES 10459753 COMPASS ONE HEALTHCARE PO BOX 102289 ATLANTA GA 303682289 OPERATIONAL SERVICES 9569231 CROTHALL HEALTHCARE INC 13028 COLLECTION CENTER DR CHICAGO IL 60693 OPERATIONAL SERVICES 9021118 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 606731246 INFORMATION TECHNOLOGY 8998585 CIELO INC PO BOX 772348 DETROIT MI 482772348 OPERATIONAL SERVICES 5358319 167 375197 375197 SUPPORT SERVICES 561000 288988031 288988031 MSO LEASE REVENUE 561000 10123477 10123477 RELATED COMPANY RENT 532000 8312802 8312802 307424310 34408162 34408162 640361 135816 504545 504545 504545 606183819 557647510 48536309 48536309 48536309 OPHTHALMOLOGY CENTER 621300 362167 362167 PRIVIA MGMT SERVICES 561000 -2664586 -2664586 -2302419 388946104 307424310 -2302419 83449016 50000 50000 7591064 7591064 95266488 84025042 11241446 1693287 1493479 199808 38008441 33523445 4484996 7437942 6560265 877677 18561575 18561575 787599 787599 1310300 1310300 31652299 27917328 3734971 1421141 1253446 167695 7611967 6713755 898212 38320864 33799002 4521862 10428570 9197999 1230571 183683 162008 21675 66798 58916 7882 4726963 4169181 557782 17678354 15592308 2086046 43736853 38575904 5160949 MAINTENANCE & REPAIR 4023840 3549027 474813 LICENSES & TAXES 576976 576976 SHARED SAVINGS ARRANGEM 233208 233208 UBI TAXES 11351 11351 26670590 23523515 3147075 358050153 290986155 67063998 0 29014362 721394064 700807657 38657262 39322121 6365399 5392896 19619298 15225854 379229506 227725462 153999009 151504044 195738672 222434498 8812383 4792128 442900300 650773860 1587486387 1819267420 75931337 105936484 21528 0 101743221 100975257 34566215 27007811 221355470 230557716 433617771 464477268 X 1153868616 1354790152 1153868616 1354790152 1587486387 1819267420 X 30895951 5535050 164490535 X X 0 1 X 1 1 1 X 270983 570640 862903 343895 375197 2423618 247595396 256667129 240547904 251111415 307424310 1303346154 247866379 257237769 241410807 251455310 307799507 1305769772 0 0 0 1305769772 20068676 14735153 16792970 20120755 35048523 106766077 20068676 14735153 16792970 20120755 35048523 106766077 375233 489947 865180 267935055 272348155 258693724 271576065 342848030 1413401029 0.92380 0.92990 0.07550 0.06940 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 39144900 39144900 88432645 42822296 45610349 4414124 2504885 1909239 218532655 182398281 36134374 28705182 28705182 151504044 HEALTHCARE RELATED JOINT VENTURES 6125063 C INVESTMENT IN AFFILIATES 216309435 C 222434498 OTHER RECEIVABLES 70229063 DEPOSITS AND OTHER NON-CURRENT ASSETS 23091610 ASSETS LIMITED AS TO USE 334169772 DUE FROM AFFILIATES 223283415 650773860 DEMAND NOTES PAY TO AFFILIATES 140913392 MALPRACTICE LIABILITY 57045429 SHARED SAVINGS PAYABLE 32598895 230557716 X PART X, LINE 2: FASB ASC 740 FOOTNOTE: HEALTH FIRST SHARED SERVICES, INC. GENERALLY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(A), AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), OF THE INTERNAL REVENUE CODE AND SECTION 220.13 OF THE FLORIDA STATUTES, RESPECTIVELY. ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. CENTRAL AMERICA AND THE CARIBBEAN 2 0 INVESTMENT 6204621 2 0 0 0 2 0 6204621 0 6204621 1 0 1 0 0 0 PART III ACCOUNTING METHOD: 1 ECONOMIC DEVELOPMENT COMMISSION 6525 3RD ST STE 304 ROCKLEDGE FL 32955 592946685 501(C)(6) 50000 0 GENERAL SUPPORT - 2021 ACCELERATE BREVARD SPONORSHIP 0 1 PART I, LINE 2: THE HEALTH FIRST SHARED SERVICES, INC. BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY. X 1 1 X X X X 1 1 0 0 0 0 0 0 0 STEVEN P JOHNSON PRESIDENT/CEO HFI (END 2/2023) 2162221 0 0 0 21206 0 8200 0 16872 0 2208499 0 0 0 DREW A RECTOR EXEC VP CSO (END 4/2023) 844570 0 0 0 321853 0 8200 0 21100 0 1195723 0 0 0 MICHAEL A SCIALDONE EVP/CFO HFI (END 1/2023) 723726 0 0 0 173150 0 0 0 21100 0 917976 0 0 0 NICHOLAS W ROMANELLO ESQ SR VP/CORP COUNSEL 588875 0 0 0 147808 0 8200 0 21100 0 765983 0 0 0 BRETT A ESROCK EXEC VP CFO/COO (BEG 1/2023) 725700 0 0 0 9552 0 8200 0 18299 0 761751 0 0 0 JEFFREY C STALNAKER MD SR VP CCO/INTERIM CEO HOSP (BEG 1/20 714250 0 0 0 15751 0 6639 0 17993 0 754633 0 0 0 WILLIAM J WALDERS CIO SR VP OPER SUPP (END 4/2023) 612475 0 0 0 113100 0 9760 0 2597 0 737932 0 0 0 PAULA B JUST CHIEF EXPERIENCE OFFICER 633972 0 0 0 5853 0 7684 0 19446 0 666955 0 0 0 MATTHEW F GERRELL SR VP/CEO HFAP 522561 0 0 0 99553 0 8200 0 22195 0 652509 0 0 0 FRANK S LETHERBY SR VP CEO COMMUNITY HEALTH 613517 0 0 0 9995 0 8200 0 19799 0 651511 0 0 0 MARK S ROSENBLOOM VP CLINICAL TRANSFORMATION 439053 0 0 0 14478 0 8200 0 16395 0 478126 0 0 0 CHEYANA D FISCHER CHIEF OPS NURSING OFFICER HD 375753 0 0 0 1140 0 3056 0 20740 0 400689 0 0 0 DOUGLAS B MCKEE VP CHIEF MED INFORMATICS OFFIC 360354 0 0 0 2521 0 6625 0 20048 0 389548 0 0 0 JAMES S MITCHELL III FORMER EXEC VP/COO HFI (EN 37156 0 0 0 288241 0 0 0 5007 0 330404 0 0 0 LEE SCHEINBART CHIEF MED OFFICER HOSP (END 07/2022) 265823 0 0 0 2828 0 7561 0 11889 0 288101 0 0 0 MARTIN W ISENMAN MD FORMER TRUSTEE (END 9/2021 0 0 0 0 19132 0 0 0 0 0 19132 0 0 0 JOHN F BREITFELLER FORMER VC (END 9/2020) 0 0 0 0 14356 0 0 0 0 0 14356 0 0 0 DALE A DETTMER ESQ FORMER TRUSTEE (END 9/2019 0 0 0 0 13968 0 0 0 0 0 13968 0 0 0 PAMELA A GATTO FORMER TRUSTEE (END 9/2021 0 0 0 0 11172 0 0 0 0 0 11172 0 0 0 PART I, LINE 1A THE ORGANIZATION HAS PROVIDED REIMBUSEMENT FOR TRAVEL, INCLUDING FIRST CLASS TRAVEL, FOR OFFICERS. REIMBURSED AMOUNTS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION FOR THE EMPLOYEES AS A FRINGE BENEFIT. PART I, LINE 3: COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. AS THE REPORTING AGENT AND REIMBURSED BY SUBSIDIARY TAX-EXEMPT ENTITIES. PART I, LINE 4A: THE FOLLOWING SEVERANCE PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION REPORTED ON 2022 FORM W-2: JAMES S. MITCHELL III $288,241 PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATE IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE AGREEMENT IN PLACE OF A TRADITIONAL SERP) AND HAVE ESTABLISHED A PREMIUM DEPOSIT ACCOUNT. THE ACCOUNT IS CONNECTED TO THE INSURANCE POLICY AND WILL BE USED TO PAY FUTRE PREMIUMS ON THE POLICY. THE INDIVIDUALS ARE TAXED ON ANY EARNINGS GENERATED BY THIS ACCOUNT. DURING THE TAX YEAR, THE FOLLOWING INDIVIDUALS RECEIVED TAX WITHDRAWAL AMOUNTS TO COVER THEIR TAX LIABILITY. STEVEN P. JOHNSON $2,136 JAMES S. MITCHELL III $4,264 FRANK S. LETHERBY $4,819 PAULA B. JUST $6,679 JEFFREY C. STALNAKER $0 BRETT A. ESROCK $1,566 MICHAEL A. SCIALDONE $0 SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION OF THE ARRANGEMENT. A BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 10741LDL7 2014-12-17 278143907 SEE PART VI 0 0 0 B BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 107416QN2 2022-04-13 431703749 SEE PART VI 0 0 0 C BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 107416RB7 2023-02-08 52044343 SEE PART VI 0 0 0 A 25970000 278143906 2129622 276014284 1 0 1 1 B 443783380 148735015 31694373 263353992 1 0 0 1 C 52044343 52044343 1 0 1 1 A 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 B 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 C 0 0 1 1 0 0.00000 0.00000 0.00000 0 0 1 A 0 0 0 1 1 0 0 0 0 B 0 1 0 0 1 0 0 0 0 C 0 1 0 0 1 0 0 0 0 A 0 B 0 C 0 DATE REBATE COMPUTATION PERFORMED ISSUER NAME: BREVARD COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/17/2019 PART I, DESCRIPTION OF PURPOSE DECEMBER 17, 2014 BOND, SERIES 2014: 1. USE OF THE PROCEEDS SOLELY TO REFINANCE THE SERIES 2009B, ISSUED JULY 1, 2009, AND PARTIAL REFUNDING OF THE SERIES 2005, ISSUED DECEMBER 14, 2005, AND PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE SERIES 2014 BONDS. APRIL 13, 2022 BOND, SERIES 2022A: 1. USE OF THE PROCEEDS TO FINANCE AND REIMBURSE CORPORATION AND OTHER MEMBERS OF THE OBLIGATED GROUP FOR THE PAYMENT OF ALL OR A PORTION OF THE COSTS OF CONSTRUCTION, RENOVATING AND EQUIPPING THEIR RESPECTIVE HEALTH CARE FACILITIES, INCLUDING BUT NOT LIMITED TO THE CONSTRUCTING AND EQUIPPING OF A NEW REPLACEMENT HOSPITAL. 2. REFUND THE REMAINING $30M OF THE BREVARD COUNTY HEALTH FACILITIES REVENUE BONDS, SERIES 2009A WHICH WERE ISSUED ON JUNE 4, 2009, AND REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 30, 2012. 3. PAY CERTAIN COSTS RELATING TO AN INTEREST RATE HEDGE TERMINATION PAYMENT RELATING TO THE SERIES 2009A (S2012B) BONDS. FEBRUARY 8, 2023 BOND SERIES 2023A: USE THE PROCEEDS TO REFUND ALL OF THE OUTSTANDING REFUNDING BONDS, SERIES 2013A. PART II, LINE 3, COLUMN B: THE S2022 TOTAL PROCEEDS OF ISSUE ON LINE 3, COLUMN B, IS HIGHER THAN THE ISSUE PRICE DUE TO THE ADDITION OF INTEREST INCOME EARNED FROM THE PROJECT FUND. PART V, PROCEDURES TO UNDERTAKE CORRECTION ACTION: THERE IS NO WRITTEN CORPORATE POLICY RELATING TO A CORRECTIVE PLAN; HOWEVER, TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TRULY IDENTIFIED AS PART OF A MONTHLY AND QUARTERLY WORK-FLOW, COMPLIANCE WITH APPLICABLE REGULATIONS FOR TAX-EXEMPT BONDS ARE REVIEWED. ALSO, THERE IS ADDITIONAL OVERSIGHT THROUGH BOND COUNSEL AND DEBT ADVISORS. IF ANY INSTANCE OF NON-COMPLIANCE WAS IDENTIFIED, AN ATTEMPT TO CORRECT THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM WOULD BE PURSUED, IF SELF REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. JOSEPH G FELKNER FORMER EVP/CFO FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES X 2940053 3810012 0 1 1 STEVEN P JOHNSON PRESIDENT/CEO HF INC FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES X 9111939 12173333 0 1 1 JAMES S MITCHELL III FORMER EXEC VP/COO HF INC FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES X 4360057 5958898 0 1 1 JEFFREY C STALNAKER SR VP HF CHIEF CLINICAL OFFICER FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES X 1698862 2273157 0 1 1 FRANK S LETHERBY SR VP CEO COMMUNITY HEALTH SVC. FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES X 2110939 2865238 0 1 1 BRETT A ESROCK EXEC VP CFO/FORMER CEO HOSPITAL SVCS FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES X 4033123 3767115 0 1 1 PAULA B JUST EXEC VP/CHIEF ADMIN OFFICER FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES X 3332943 3454340 0 1 1 MICHAEL A SCIALDONE EXEC VP/CHIEF FINANCIAL OFFICER FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES X 5269846 5020028 0 1 1 39322121 0 PART II: THE ORGANIZATION ACTS AS THE PAYROLL AND BENEFIT AGENT FOR ITS SUPPORTED ORGANIZATIONS TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN. NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, THE ORGANIZATION RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE ORGANIZATION. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD THE ORGANIZATION RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY. THIS ALLOWS THE ORGANIZATION TO PERPETUATE ITS COMMUNITY MISSION.CASD WORKS AS FOLLOWS. THE EO DEPOSITS FUNDS INTO CASH VALUE LIFE INSURANCE POLICIES ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST THE CASH SURRENDER VALUE TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE EO'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE EO ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE. PART II, LOANS TO AND FROM INTERESTED PERSONS: (A) NAME OF PERSON: JOSEPH G. FELKNER(B) RELATIONSHIP WITH ORGANIZATION: FORMER EVP/CFO(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: STEVEN P. JOHNSON(B) RELATIONSHIP WITH ORGANIZATION: PRESIDENT/CEO HF INC(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: JAMES S. MITCHELL III(B) RELATIONSHIP WITH ORGANIZATION: FORMER EXEC VP COO HF INC(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: JEFFREY C. STALNAKER(B) RELATIONSHIP WITH ORGANIZATION: SR VP HF CHIEF CLINICAL OFFICER(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: FRANK S. LETHERBY(B) RELATIONSHIP WITH ORGANIZATION: SR VP CEO COMMUNITY HEALTH SVC.(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: BRETT A. ESROCK(B) RELATIONSHIP WITH ORGANIZATION: VP EXEC/CFO (FOMER CEO HF INC HOSPITAL SERVICES)(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: PAULA B. JUST(B) RELATIONSHIP WITH ORGANIZATION: EXEC VP CHIEF ADMIN OFFICER (C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: MICHAEL A. SCIALDONE(B) RELATIONSHIP WITH ORGANIZATION: EXEC VP CHIEF FINANCIAL OFFICER (C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES FORM 990, PART VI, SECTION A, LINE 6 HEALTH FIRST SHARED SERVICES, INC. (HFSS) HAS TWO MEMBERS AND TWO RESPECTIVE CLASSES: 1) HEALTH FIRST, INC. [CLASS A] AND 2) ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION [CLASS B]. FORM 990, PART VI, SECTION A, LINE 7A THE CLASS A MEMBER IS ENTITLED TO APPOINT 73 PERCENT OF THE TOTAL NUMBER OF TRUSTEES ROUNDED TO THE CLOSEST WHOLE NUMBER, EXCLUDING THE EX OFFICIO TRUSTEE, AND THE CLASS B MEMBER IS ENTITLED TO APPOINT 27 PERCENT OF THE TOTAL NUMBER OF TRUSTEES ROUNDED TO THE CLOSEST WHOLE NUMBER, EXCLUDING THE EX OFFICIO TRUSTEE. EACH MEMBER SHALL ADVISE THE OTHER MEMBER OF THE APPOINTMENT OF ANY OF ITS TRUSTEES AT THE ANNUAL MEETING OF THE MEMBERS. THOSE TRUSTEES APPOINTED BY THE CLASS A MEMBER SHALL BE REFERRED TO AS THE CLASS A TRUSTEES AND THOSE TRUSTEES APPOINTED BY THE CLASS B MEMBER SHALL BE REFERRED TO AS THE CLASS B TRUSTEES. FORM 990, PART VI, SECTION A, LINE 7B THE ACTIONS ENUMERATED BELOW MUST BE APPROVED BY BOTH THE CLASS A MEMBER AND THE CLASS B MEMBER: 1 - THE ISSUANCE OF NEW MEMBERSHIP INTERESTS, OR OF ANY OTHER INTEREST IN HFSS, TO ANY INDIVIDUAL OR ENTITY INCLUDING BUT NOT LIMITED TO THE CURRENT MEMBERS OF THE HFSS; 2 - ANY MERGER OR CONSOLIDATION OF HFSS WITH OR INTO ANY OTHER ENTITY, OR OF ANY OTHER ENTITY WITH OR INTO HFSS; 3 - ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR THE BYLAWS OF HFSS; 4 - THE FORMATION OF ANY NEW DIRECT OR INDIRECT SUBSIDIARY OF HFSS IF ANY PORTION OF THE EQUITY OF SUCH NEW SUBSIDIARY WILL BE OWNED BY (I) AN ENTITY THAT HOLDS AN ACUTE CARE HOSPITAL LICENSE OR (II) ANY AFFILIATE OF AN ENTITY THAT HOLDS AN ACUTE CARE HOSPITAL LICENSE; 5 - APPROVE THE ONE-TIME BORROWING OF MONEY OR OTHERWISE THE ONE-TIME COMMITMENT OF THE CREDIT OF HFSS OR ANY HFSS AFFILIATE AND/OR THE VOLUNTARY PREPAYMENT OR EXTENSION OF DEBT IN EXCESS OF TWO HUNDRED MILLION AND NO/100 DOLLARS ($200,000,000.00); 6 - ANY CHANGE IN RESPECT TO THE CHOICE OF ENTITY FOR EITHER HFSS OR ANY HFSS AFFILIATE IF SUCH CHANGE WOULD OR COULD REASONABLY BE EXPECTED TO HAVE AN ADVERSE EFFECT ON THE TAX STATUS OF HFSS OR WOULD HAVE A DILUTIVE EFFECT ON EITHER MEMBER'S MEMBERSHIP INTEREST PERCENTAGE IN HFSS; 7 - APPROVE THE SALE, LEASE, TRANSFER, OR MERGER (WHETHER BY OPERATION OF LAW OR OTHERWISE AND REGARDLESS OF THE IDENTITY OF THE SURVIVING ENTITY UNDER SUCH MERGER) OF ANY INTEREST IN AN HFSS AFFILIATE OR ANY TANGIBLE OR INTANGIBLE ASSETS OWNED BY HFSS (EACH A "PROTECTED ASSET") IF THE FAIR MARKET VALUE OF THE PROTECTED ASSET IS GREATER THAN TWENTY PERCENT (20%) OF HFSS'S ENTERPRISE WIDE FAIR MARKET VALUE (FOR PURPOSES OF THIS PROVISION HFSS'S ENTERPRISE FAIR MARKET VALUE WILL BE DETERMINED IN ACCORDANCE WITH THE RELATED PROVISIONS SET FORTH IN THE MEMBERSHIP AGREEMENT); 8 - AUTHORIZE ANY ONE-TIME CAPITAL EXPENDITURE IN EXCESS OF TWO HUNDRED MILLION AND NO/100 DOLLARS ($200,000,000.00); 9 - ANY OF HFSS'S AFFILIATES THAT HOLD A LICENSE UNDER CHAPTER 395 OF THE FLORIDA STATUTES, AS CURRENTLY ENACTED OR AS MAY BE HEREAFTER AMENDED, AS A HOSPITAL ENTERING INTO A TURNKEY MANAGEMENT AGREEMENT WITH ANY THIRD PARTY; AND 10 - THE DISSOLUTION OR LIQUIDATION OF HFSS (EXCLUDING A PARTIAL LIQUIDATION AS AND TO THE EXTENT PERMITTED IN HFSS'S ARTICLES OF INCORPORATION). FORM 990, PART VI, SECTION B, LINE 11B THE FORM 990 WAS PREPARED BY HEALTH FIRST'S TAX DEPARTMENT AND THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. AFTER REVIEW AND APPROVAL BY THE SYSTEM VICE PRESIDENT CHIEF ACCOUNTING OFFICER, THE FORM 990 IS SENT TO EACH MEMBER OF THE BOARD OF TRUSTEES ELECTRONICALLY FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL ASSOCIATES, INCLUDING MANAGEMENT, UPON NEW HIRE ORIENTATION AND THEREAFTER AS PART OF THE ANNUAL ELEARNING REQUIRED FOR ALL ASSOCIATES. ALL INDIVIDUALS MUST REVIEW AND ELECTRONICALLY ATTEST THAT THEY HAVE AGREED TO THE TERMS NOTED IN THE POLICY ON AN ANNUAL BASIS. IN ADDITION, SENIOR LEADERSHIP AND BOARD OF TRUSTEES MEMBERS ON AN ANNUAL BASIS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PREPARED AND MONITORED BY THE CHIEF COMPLIANCE OFFICER. THE QUESTIONNAIRE REQUIRES AN ATTESTATION STATING THAT THE INDIVIDUAL IS FREE OF CONFLICTS SHOULD THEY NOT REPORT ANYTHING OF CONCERN. THESE FORMS ARE TRACKED AND KEPT ON FILE. SHOULD A CONFLICT ARISE, THE CHIEF COMPLIANCE OFFICER INVESTIGATES THE ISSUE AND DETERMINES A COURSE OF ACTION TO ENSURE ENFORCEMENT OF THE POLICY. FORM 990, PART VI, SECTION B, LINE 15 THE SALARIES OF OUR CEO AND OTHER HFSS EXECUTIVES ARE REVIEWED AND RECOMMENDED ANNUALLY TO THE BOARD OF TRUSTEES AND APPROVED IN EXECUTIVE SESSION BY THE FULL BOARD OF HFSS. HFSS CONTRACTS ANNUALLY WITH A HIGHLY RESPECTED NATIONAL CONSULTING FIRM TO PROVIDE THESE RECOMMENDATIONS TO ENSURE THAT OUR EXECUTIVES ARE COMPENSATED FAIRLY AND COMPETITIVELY WHEN COMPARED WITH SIMILAR ROLES IN OTHER HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION COMMITTEE IS INDEPENDENT FOR INTERNAL REVENUE CODE SECTION 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED. MINUTES ARE KEPT FOR ALL BOARD OF TRUSTEES AND COMPENSATION COMMITTEE MEETINGS. THE PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE BOARD AND COMMITTEE MEETINGS. FORM 990, PART VI, SECTION C, LINE 19 QUARTERLY AND ANNUALLY CONSOLIDATED FINANCIALS AND CONSOLIDATED STATISTICAL INFORMATION ARE FILED ELECTRONICALLY ON WWW.DACBOND.COM AND ARE AVAILABLE TO THE PUBLIC. IN ADDITION, ANY REQUESTS MADE TO THE CHIEF FINANCIAL OFFICER FOR THE ABOVE REFERENCED ITEMS ARE PROVIDED UPON REQUEST IN A TIMELY MANNER. A COPY OF THE GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST TO THE COMPLIANCE OFFICER. DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS PROVIDED IN SECTION 6104(D). PART VII, SECTION A: BRETT A. ESROCK: FORMER SR. VP CEO HOSPITAL SERVICES/ EXEC VP CFO/COO (BEG 1/2023) JEFFREY C. STALNAKER: SR VP CCO/INTERIM CEO HOSPITAL DIVISION (BEG 1/2023) JAMES S. MITCHELL III: FORMER EXEC VP/COO HFI (END 9/2020) FORM 990, PART XI, LINE 9: TRANSFER OF NET ASSETS FROM RELATED TAX-EXEMPT 65,617,035. ADVENT HEALTH EQUITY 100,000,000. DSP NET ASSETS ADJUSTMENT -1,126,500. FORM 990, PART XII, LINE 2C, AUDITED FINANCIAL STATEMENTS: THE AUDIT COMMITTEE OF HEALTH FIRST SHARED SERVICES REVIEWS AND APPROVES THE ANNUAL AUDIT AND COMPLIANCE AUDIT PLANS THEN MAKES ITS REPORT TO THE HEALTH FIRST SHARED SERVICES BOARD OF TRUSTEES. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITORS. THERE WAS NO CHANGE FROM PRIOR YEAR. FORM 990, PART IV, LINE 24A, BONDS ISSUED AFTER DECEMBER 31, 2002: THE FILING ORGANIZATION IS PART OF AN OBLIGATED GROUP THAT HAD MORE THAN $100,000 IN BONDS ISSUED AFTER DECEMBER 31, 2002 THAT WERE OUTSTANDING ON THE LAST DAY OF ITS TAX YEAR. THE FILING ORGANIZATION'S SHARE OF THESE OBLIGATIONS IS REPORTED ON PART X, LINE 20 OF HEALTH FIRST SHARED SERVICES, INC. THE PARENT OF THE OBLIGATED GROUP IS FILING SCHEDULE K ON BEHALF OF ITSELF AND ALL MEMBERS OF THE OBLIGATED GROUP. CAPE CANAVERAL HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592477479 HOSPITAL FL 501(C)(3) LINE 3 HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST FOUNDATION INC 3300 FISKE BLVD ROCKLEDGE FL 32955 843851693 FUNDRAISING FL 501(C)(3) LINE 7 HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593528774 SUPPORT ORG FL 501(C)(3) LINE 12B, II N/A 0 HOLMES REGIONAL MEDICAL CENTER INC 3300 FISKE BLVD ROCKLEDGE FL 32955 590624371 HOSPITAL FL 501(C)(3) LINE 3 HEALTH FIRST SHARED SERVICES INC 1 HOSPICE OF HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 591911574 HEALTHCARE FL 501(C)(3) LINE 10 HEALTH FIRST SHARED SERVICES INC 1 VIERA HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 264019868 HOSPITAL FL 501(C)(3) LINE 3 HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST ADMINISTRATIVE PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 821851221 HEALTHCARE FL 501(C)(4) HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST COMMERCIAL PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 821866443 HEALTHCARE FL 501(C)(4) HEALTH FIRST SHARED SERVICES INC 1 HEALTH FIRST HEALTH PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 472736029 HEALTHCARE FL 501(C)(4) HEALTH FIRST SHARED SERVICES INC 1 DOCTORS GI PARTNERSHIP LTD 3300 FISKE BLVD ROCKLEDGE FL 32955 593758988 HEALTHCARE FL N/A RELATED 0 0 BREVARD DISTRIBUTION LLC 7195 WAELTI DRIVE SUITE 101 MELBOURNE FL 32940 200050166 HEALTHCARE FL HEALTH FIRST SHARED SERVICES INC RELATED 29380 2147165 0 0 0.50000 CAPE HEALTH PROPERTIES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593086711 REAL ESTATE FL N/A C 1 DOCTOR'S SURGICAL PARTNERSHIP LLC 3300 FISKE BLVD ROCKLEDGE FL 32955 593348252 HEALTH CARE FL HEALTH FIRST HOLDING CORP C 3303870 8122878 1.00000 1 HEALTH FIRST HOLDING CORP 3300 FISKE BLVD ROCKLEDGE FL 32955 593509709 HOLDING CORP. FL HEALTH FIRST SHARED SERVICES INC C 4381039 36499525 1.00000 1 HEALTH FIRST INSURANCE INC 3300 FISKE BLVD ROCKLEDGE FL 32955 453131932 HEALTH CARE FL HEALTH FIRST HOLDING CORP C 2826 1931914 1.00000 1 HEALTH FIRST MEDICAL MANAGEMENT INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593348252 HEALTH CARE FL HEALTH FIRST HOLDING CORP C 15286283 16832726 1.00000 1 HEALTH FIRST PHYSICIAN SPECIALTIES 3300 FISKE BLVD ROCKLEDGE FL 32955 263094596 HEALTH CARE FL N/A C 1 HEALTH FIRST PHYSICIANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593346397 HEALTH CARE FL HEALTH FIRST HOLDING CORP C 501065161 264397905 1.00000 1 HOLMES REGIONAL ENTERPRISES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592109953 REAL ESTATE FL HEALTH FIRST HOLDING CORP C 5295698 5001866 1.00000 1 PHYSICIANS GI PARTNERSHIP INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593756961 HEALTH CARE FL N/A C 1 SPACE COAST INDEMNITY PO BOX 1051 GRAND CAYMAN CJ KY1-1102 981612801 SELF-INSURANCE CJ HEALTH FIRST SHARED SERVICES INC C 11442211 39941911 1.00000 1 1 0 1 0 0 1 0 0 0 0 1 1 1 0 0 0 1 1 1 VIERA HOSPITAL INC A 1157509 SEE PART VII HEALTH FIRST HOLDING CORP A 285228 SEE PART VII HEALTH FIRST PHYSICIANS INC A 3711177 SEE PART VII HOSPICE OF HEALTH FIRST INC A 129052 SEE PART VII HOLMES REGIONAL ENTERPRISES INC A 221711 SEE PART VII HOLMES REGIONAL MEDICAL CENTER INC A 1537529 SEE PART VII HEALTH FIRST ADMINISTRATIVE PLANS INC A 367965 SEE PART VII HEALTH FIRST FOUNDATION INC C 375197 SEE PART VII HEALTH FIRST COMMERICAL PLANS INC F 5713895 SEE PART VII HEALTH FIRST HEALTH PLANS INC F 12788091 SEE PART VII HEALTH FIRST ADMINISTRATIVE PLANS INC F 8088505 SEE PART VII HOSPICE OF HEALTH FIRST INC L 2620181 SEE PART VII HEALTH FIRST FOUNDATION INC L 248803 SEE PART VII CAPE CANAVERAL HOSPITAL INC L 38007828 SEE PART VII HEALTH FIRST ADMINISTRATIVE PLANS INC L 12849276 SEE PART VII HEALTH FIRST MEDICAL MANAGEMENT INC L 43280113 SEE PART VII HEALTH FIRST PHYSICIANS INC L 2567362 SEE PART VII HOLMES REGIONAL ENTERPRISES INC L 225733 SEE PART VII HOLMES REGIONAL MEDICAL CENTER INC L 167607679 SEE PART VII VIERA HOSPITAL INC L 29696784 SEE PART VII HEALTH FIRST HOLDING CORP M 374840 SEE PART VII HEALTH FIRST HEALTH PLANS INC Q 12800719 SEE PART VII HEALTH FIRST ADMINISTRATIVE PLANS INC Q 80984553 SEE PART VII CAPE CANAVERAL HOSPITAL INC Q 19487514 SEE PART VII CAPE HEALTH PROPERTIES INC Q 273408 SEE PART VII DOCTORS GI PARTNERSHIP LTD Q 2707285 SEE PART VII HOLMES REGIONAL MEDICAL CENTER INC Q 311627620 SEE PART VII HEALTH FIRST INSURANCE INC Q 128581 SEE PART VII HEALTH FIRST FOUNDATION INC Q 167714 SEE PART VII HEALTH FIRST PHYSICIANS INC Q 424078043 SEE PART VII VIERA HOSPITAL INC Q 43595557 SEE PART VII HEALTH FIRST MEDICAL MANAGEMENT INC Q 32043608 SEE PART VII HEALTH FIRST HOLDING CORP Q 448504 SEE PART VII DOCTOR'S SURGICAL PARTNERSHIP LLC Q 3592660 SEE PART VII HOSPICE OF HEALTH FIRST INC Q 1015941 SEE PART VII HEALTH FIRST COMMERCIAL PLANS INC Q 7015523 SEE PART VII HOLMES REGIONAL ENTERPRISES INC Q 3447852 SEE PART VII HEALTH FIRST FOUNDATION INC R 1492453 SEE PART VII VIERA HOSPITAL INC S 17820235 SEE PART VII HOLMES REGIONAL MEDICAL CENTER INC S 40725225 SEE PART VII CAPE CANAVERAL HOSPITAL INC S 7134358 SEE PART VII HOSPICE OF HEALTH FIRST INC S 1804867 SEE PART VII FORM 990, SCHEDULE R, PART V, DISCLOSURES: ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.