HEALTH FIRST SHARED SERVICES INC: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: HEALTH FIRST SHARED SERVICES INC (EIN 59-3336894)
Tax period: 2020-10-01 to 2021-09-30
Filed: 2022-08-15
IRS object ID: 202232279349302348
Schema version: 2020v4.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule F
Schedule I
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2022-08-15T12:25:47-05:00	ReturnTs
Tax Period End	2021-09-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	420714325	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	RSM US LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	30 SOUTH WACKER DR SUITE 3300	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606063392	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	593336894	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH FIRST SHARED SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HEAL	BusinessNameControlTxt
Phone	3214345150	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3300 FISKE BLVD	AddressLine1Txt
City	ROCKLEDGE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	329554306	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL A SCIALDONE	PersonNm
Person Title	EVP/CFO	PersonTitleTxt
Phone	3214345197	PhoneNum
Signature	2022-08-15	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	MICHAEL	PersonFirstNm
Person Last	SCIALDONE	PersonLastNm

Field	Value	IRS element (for citing)
SSN	XXX-XX-XXXX	SSN

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	REBEKUH ELEY	PreparerPersonNm
PTIN	P01247672	PTIN
Phone	3126343400	PhoneNum
Preparation	2022-08-15	PreparationDt

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	3	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH FIRST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	STEVEN P JOHNSON	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3300 FISKE BLVD	AddressLine1Txt
City	ROCKLEDGE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	329554306	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$496,423,714	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://HF.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	OUR TEAM IMPROVING THE WELLNESS AND HEALTH OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	14	VotingMembersIndependentCnt
Total Employee	11033	TotalEmployeeCnt
Total Volunteers	14	TotalVolunteersCnt
Total Gross UBI	$566,641	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$489,947	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$570,640	PYContributionsGrantsAmt
CY Contributions Grants	$862,903	CYContributionsGrantsAmt
PY Program Service Revenue	$256,667,129	PYProgramServiceRevenueAmt
CY Program Service Revenue	$240,547,904	CYProgramServiceRevenueAmt
PY Investment Income	$28,721,790	PYInvestmentIncomeAmt
CY Investment Income	$29,349,767	CYInvestmentIncomeAmt
PY Other Revenue	$540,136	PYOtherRevenueAmt
CY Other Revenue	$753,516	CYOtherRevenueAmt
PY Total Revenue	$286,499,695	PYTotalRevenueAmt
CY Total Revenue	$271,514,090	CYTotalRevenueAmt
PY Grants And Similar Paid	$20,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$48,071	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$122,437,265	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$142,015,383	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$137,661,393	PYOtherExpensesAmt
CY Other Expenses	$123,605,426	CYOtherExpensesAmt
PY Total Expenses	$260,118,658	PYTotalExpensesAmt
CY Total Expenses	$265,668,880	CYTotalExpensesAmt
PY Revenues Less Expenses	$26,381,037	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,845,210	CYRevenuesLessExpensesAmt
Total Assets BOY	$1,338,092,247	TotalAssetsBOYAmt
Total Assets EOY	$1,676,572,579	TotalAssetsEOYAmt
Total Liabilities BOY	$329,530,312	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$378,163,292	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,008,561,935	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,298,409,287	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	OUR TEAM IMPROVING THE WELLNESS AND HEALTH OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$214,342,967	ExpenseAmt
Grant	$48,071	GrantAmt
Revenue	$240,547,904	RevenueAmt
Desc	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 2021, MORE THAN 107,000 VIRTUAL VISIT PATIENTS 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 FY2020 TOTALED OVER $110 MILLION. THIS INCLUDED OVER $55 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 2019, 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- ACCESS TO HEALTHCARE 2- NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT FOR A COPY OF OUR HEALTH FIRST SHARED SERVICES, INC. COMMUNITY BENEFIT REPORT, VISIT HFGIVESBACK.ORG.	Desc
Total Program Service Expenses	$214,342,967	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	Yes (1)	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
Info In Schedule O Part V	Yes (X)	InfoInScheduleOPartVInd
IRP Document	631	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	11033	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	15	GoverningBodyVotingMembersCnt
Independent Voting Member	14	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ARTHUR CRAIG SPRINGER II	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3214345584	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3300 FISKE BLVD	AddressLine1Txt
City	ROCKLEDGE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	329554306	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
STEVEN P JOHNSON
PRESIDENT/CEO	3.00	37.00	Yes (X)	Yes (X)	$3,198,315	$0	$23,965
TAYLOR KSMITH
CHAIR	1.00	4.00	Yes (X)	Yes (X)	$35,212	$0	$0
PAMELA A GATTO
TRUSTEE	1.00	4.00	Yes (X)		$29,978	$0	$0
DANA S KILBORNE
TREASURER	1.00	4.00	Yes (X)	Yes (X)	$20,578	$0	$0
ROBERT K HENRY
SECRETARY	1.00	7.00	Yes (X)	Yes (X)	$13,451	$0	$0
MARTIN W ISENMAN MD
TRUSTEE	1.00	4.00	Yes (X)		$10,801	$0	$0
JAMES C SHAW
TRUSTEE	1.00	4.00	Yes (X)		$8,571	$0	$0
JOSEPH GURRI MD
TRUSTEE	1.00	4.00	Yes (X)		$6,406	$0	$0
ALAN L PRESTWOOD
TRUSTEE	1.00	7.00	Yes (X)		$4,482	$0	$0
KEVIN B STEELE
TRUSTEE	1.00	4.00	Yes (X)		$0	$0	$0
SCOTT MIKUEN
TRUSTEE	1.00	4.00	Yes (X)		$0	$0	$0
DAVID BANKS
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
DUANE R DAVIS MD
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
DARYL TOL
TRUSTEE (END 2/2021)	1.00	0.00	Yes (X)		$0	$0	$0
TODD GOODMAN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RANDALL L HAFFNER
TRUSTEE (BEG 2/2021)	1.00	0.00	Yes (X)		$0	$0	$0
DREW A RECTOR
EXEC VP CHIEF STRATEGY OFFICER	15.00	25.00		Yes (X)	$1,269,781	$0	$27,915
MICHAEL A SCIALDONE
EVP/CFO HFI	3.00	37.00		Yes (X)	$812,228	$0	$20,115
BRETT A ESROCK
SR VP CEO HOSPITAL SERVICES	28.00	12.00			$966,706	$0	$25,291	Yes (X)
WILLIAM J WALDERS
CIO SR VP OPERATIONS SUPPORT	40.00	0.00			$842,731	$0	$8,060	Yes (X)
PAULA B JUST
EXEC VP/CHIEF ADMIN OFFICER	38.00	2.00			$829,159	$0	$26,377	Yes (X)
JEFFREY C STALNAKER MD
SR VP HF CHIEF CLINICAL OFFICER	20.00	20.00			$789,053	$0	$25,791	Yes (X)
NICHOLAS W ROMANELLO ESQ
SR VP/CORP COUNSEL	3.00	37.00			$769,914	$0	$27,915	Yes (X)
FRANK S LETHERBY
SR VP CEO COMMUNITY HEALTH SVC.	11.00	29.00			$701,466	$0	$27,859	Yes (X)
RICHARD P MCNEIGHT
SENIOR VP STRATEGY	40.00	0.00			$804,183	$0	$28,105		Yes (X)
MATTHEW F GERRELL
SR VP/CEO HFAP	36.00	4.00			$733,557	$0	$29,128		Yes (X)
LEE SCHEINBART
CHIEF MEDICAL OFFICER HOSP DIV	40.00	0.00			$583,769	$0	$27,915		Yes (X)
MARK S ROSENBLOOM
VP CLINICAL TRANSFORMATION	40.00	0.00			$560,222	$0	$23,521		Yes (X)
DOUGLAS B MCKEE
VP CHIEF MED INFORMATICS OFFICER	40.00	0.00			$416,772	$0	$24,349		Yes (X)
JOHN F BREITFELLER
FORMER VICE CHAIR (END 9/2020)	0.00	0.00			$133,945	$0	$0			Yes (X)
CATHY EDDY
FORMER TRUSTEE (END 4/2018)	0.00	0.00			$33,115	$0	$0			Yes (X)
DALE A DETTMER ESQ
FORMER TRUSTEE (END 9/2019)	0.00	0.00			$20,961	$0	$0			Yes (X)
CATHERINE A FORD
FORMER TRUSTEE (END 9/2017)	0.00	0.00			$10,937	$0	$0			Yes (X)
JOSEPH G FELKNER
FORMER EXEC VP/CFO HFI (END 1/2020)	0.00	0.00			$871,162	$0	$14,393			Yes (X)
JAMES S MITCHELL III
FORMER EXEC VP/COO HFI (END 9/2020)	0.00	0.00			$868,918	$0	$24,982			Yes (X)
AARON S ROBINSON
FORMER CEO COMM. HOSP. (END 9/2018)	0.00	0.00			$160,336	$0	$0			Yes (X)
CONSTANCE J BRADLEY
FORMER SR. VP CNO (END 9/2018)	0.00	0.00			$114,098	$0	$3,080			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$15,620,807	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$388,761	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	442	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
SODEXO INC AND AFFILIATES
PO BOX 360170	PITTSBURGH	PA	152516170	OPERATIONAL SERVICES	$23,692,305
ALLSCRIPTS HEALTHCARE LLC
3 EXECUTIVE DRIVE	SOMERSET	NJ	088734090	INFORMATION TECHNOLOGY	$18,835,421
DST HEALTH SOLUTIONS
PO BOX 69300	HARRISBURG	PA	171069300	INFORMATION TECHNOLOGY	$11,357,746
SODEXO CTM LLC
PO BOX 415000	NASHVILLE	TN	372415000	OPERATIONAL SERVICES	$7,736,171
CIELO INC
200 S EXECUTIVE DRIVE 400	BROOKFIELD	WI	530054216	OPERATIONAL SERVICES	$5,349,144

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	156	CntrctRcvdGreaterThan100KCnt
Related Organizations	$331,773	RelatedOrganizationsAmt
Government Grants	$531,130	GovernmentGrantsAmt
Total Contributions	$862,903	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUPPORT SERVICES	561000	$227,736,417	$227,736,417
MSO LEASE REVENUE	561000	$8,473,447	$8,473,447
RELATED COMPANY RENT	532000	$4,338,040	$4,338,040

Field	Value	IRS element (for citing)
Total Program Service Revenue	$240,547,904	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$16,562,888	TotalRevenueColumnAmt
Exclusion	$16,562,888	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$230,082	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$43,207	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$186,875	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186,875	TotalRevenueColumnAmt
Exclusion	$186,875	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$237,653,296	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$224,866,417	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$12,786,879	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$12,786,879	TotalRevenueColumnAmt
Exclusion	$12,786,879	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PRIVIA MGMT SERVICES	561000	$291,893	$291,893
OPHTHALMOLOGY CENTER	621300	$274,748	$274,748

Field	Value	IRS element (for citing)
Other Revenue Total	$566,641	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$271,514,090	TotalRevenueColumnAmt
Related Or Exempt Func Income	$240,547,904	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$566,641	UnrelatedBusinessRevenueAmt
Exclusion	$29,536,642	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$48,071	TotalAmt
Program Services	$48,071	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$10,241,977	TotalAmt
Management And General	$10,241,977	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$86,210,304	TotalAmt
Program Services	$75,002,964	ProgramServicesAmt
Management And General	$11,207,340	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$1,542,811	TotalAmt
Program Services	$1,342,246	ProgramServicesAmt
Management And General	$200,565	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$37,194,648	TotalAmt
Program Services	$32,359,344	ProgramServicesAmt
Management And General	$4,835,304	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$6,825,643	TotalAmt
Program Services	$5,938,309	ProgramServicesAmt
Management And General	$887,334	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$7,673,238	TotalAmt
Management And General	$7,673,238	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$586,054	TotalAmt
Management And General	$586,054	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$999,746	TotalAmt
Management And General	$999,746	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$23,486,727	TotalAmt
Program Services	$20,433,454	ProgramServicesAmt
Management And General	$3,053,273	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$1,277,141	TotalAmt
Program Services	$1,111,113	ProgramServicesAmt
Management And General	$166,028	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$8,244,014	TotalAmt
Program Services	$7,172,292	ProgramServicesAmt
Management And General	$1,071,722	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$32,905,569	TotalAmt
Program Services	$28,627,845	ProgramServicesAmt
Management And General	$4,277,724	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$4,132,465	TotalAmt
Program Services	$3,595,245	ProgramServicesAmt
Management And General	$537,220	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$112,073	TotalAmt
Program Services	$97,504	ProgramServicesAmt
Management And General	$14,569	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$56,922	TotalAmt
Program Services	$49,522	ProgramServicesAmt
Management And General	$7,400	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,831,034	TotalAmt
Program Services	$2,463,000	ProgramServicesAmt
Management And General	$368,034	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,082,686	TotalAmt
Program Services	$15,731,937	ProgramServicesAmt
Management And General	$2,350,749	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$11,863,532	TotalAmt
Program Services	$10,321,273	ProgramServicesAmt
Management And General	$1,542,259	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (3 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MAINTENANCE & REPAIR	$4,878,307	$4,244,127	$634,180
LICENSES & TAXES	$786,488	$786,488
UBI TAXES	$526,375	$526,375

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,163,055	TotalAmt
Program Services	$4,491,858	ProgramServicesAmt
Management And General	$671,197	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$265,668,880	TotalAmt
Program Services	$214,342,967	ProgramServicesAmt
Management And General	$51,325,913	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
EOY	$126,411,828	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$678,975,575	BOYAmt
EOY	$821,930,208	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$24,723,720	BOYAmt
EOY	$32,789,086	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
EOY	$94,202	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$14,287,565	BOYAmt
EOY	$15,418,161	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$326,378,816	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$194,102,623	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$128,045,844	BOYAmt
EOY	$132,276,193	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$218,742,797	BOYAmt
EOY	$203,782,466	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$273,316,746	BOYAmt
EOY	$343,870,435	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,338,092,247	BOYAmt
EOY	$1,676,572,579	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$59,249,884	BOYAmt
EOY	$103,760,533	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
EOY	$10,000	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$46,766,531	BOYAmt
EOY	$45,608,902	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$61,684,983	BOYAmt
EOY	$58,553,657	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$161,828,914	BOYAmt
EOY	$170,230,200	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$329,530,312	BOYAmt
EOY	$378,163,292	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,008,561,935	BOYAmt
EOY	$1,298,409,287	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,008,561,935	BOYAmt
EOY	$1,298,409,287	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,338,092,247	BOYAmt
EOY	$1,676,572,579	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,845,210	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$80,310,692	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$203,691,450	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$144,410	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$228,625	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$270,983	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$570,640	CurrentTaxYearMinus1YearAmt
Current Tax Year	$862,903	CurrentTaxYearAmt
Total	$2,077,561	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$212,525,967	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$216,118,424	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$247,595,396	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$256,667,129	CurrentTaxYearMinus1YearAmt
Current Tax Year	$240,547,904	CurrentTaxYearAmt
Total	$1,173,454,820	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$212,670,377	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$216,347,049	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$247,866,379	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$257,237,769	CurrentTaxYearMinus1YearAmt
Current Tax Year	$241,410,807	CurrentTaxYearAmt
Total	$1,175,532,381	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$1,175,532,381	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,598,836	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,938,422	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,068,676	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,735,153	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,792,970	CurrentTaxYearAmt
Total	$85,134,057	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$14,598,836	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$18,938,422	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$20,068,676	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$14,735,153	CurrentTaxYearMinus1YearAmt
Current Tax Year	$16,792,970	CurrentTaxYearAmt
Total	$85,134,057	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus1 Year	$375,233	CurrentTaxYearMinus1YearAmt
Current Tax Year	$489,947	CurrentTaxYearAmt
Total	$865,180	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$227,269,213	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$235,285,471	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$267,935,055	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$272,348,155	CurrentTaxYearMinus1YearAmt
Current Tax Year	$258,693,724	CurrentTaxYearAmt
Total	$1,261,531,618	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.93180	PublicSupportCY509Pct
Public Support PY509	0.93400	PublicSupportPY509Pct
Investment Income CY	0.06750	InvestmentIncomeCYPct
Investment Income PY	0.06570	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$48,884	OtherActivitiesAmt
Total Lobbying Expenditures	$48,884	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	AMOUNT REPORTED IS FROM VARIOUS HOSPITAL AND HEALTHCARE ASSOCIATION'S MEMBERSHIP DUES USED FOR LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$32,873,372	OtherCostOrOtherBasisAmt
Book Value	$32,873,372	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$86,658,464	OtherCostOrOtherBasisAmt
Depreciation	$36,252,456	DepreciationAmt
Book Value	$50,406,008	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,404,633	OtherCostOrOtherBasisAmt
Depreciation	$2,161,043	DepreciationAmt
Book Value	$2,243,590	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$185,798,926	OtherCostOrOtherBasisAmt
Depreciation	$155,689,124	DepreciationAmt
Book Value	$30,109,802	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$16,643,421	OtherCostOrOtherBasisAmt
Book Value	$16,643,421	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$132,276,193	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEALTHCARE RELATED JOINT VENTURES	$12,464,635	C
INVESTMENT IN AFFILIATES	$191,317,831	C

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$203,782,466	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (5 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$62,670,959
DEPOSITS AND OTHER NON-CURRENT ASSETS	$1,536,463
ASSETS LIMITED AS TO USE	$44,439,493
DUE FROM AFFILIATES	$232,719,724
OPERATING LEASE ASSETS	$2,503,796

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$343,870,435	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEMAND NOTES PAY TO AFFILIATES	$139,891,361
MALPRACTICE LIABILITY	$22,414,025
SHARED SAVINGS PAYABLE	$7,924,814

Field	Value	IRS element (for citing)
Total Liability	$170,230,200	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	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.	ExplanationTxt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	2	OfficesCnt
Type Of Activities Conducted	INVESTMENT	TypeOfActivitiesConductedTxt
Region Total Expenditures	$3,834,556	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	2	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	2	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$3,834,556	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$3,834,556	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III ACCOUNTING METHOD:
PART IV, LINE 3:	DURING THE YEAR ENDED SEPTEMBER 30, 2021, HEALTH FIRST ESTABLISHED SPACE COAST INDEMNITY (SCI), IN THE CAYMAN ISLANDS, TO UNDERTAKE AND CARRY ON THE BUSINESS OF PROFESSIONAL LIABILITY, GENERAL LIABILITY, PRODUCT LIABILITY, AND OTHER KINDS OF INSURANCE OR REINSURANCE BUSINESS. SEE ATTACHED FORM 5471.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt	Non Cash AssistanceNonCashAssistanceAmt	Valuation Method UsedValuationMethodUsedDesc	Non Cash AssistanceNonCashAssistanceDesc
ECONOMIC DEVELOPMENT COMMISSION
6525 3RD ST STE 304	ROCKLEDGE	FL	32955	592946685	501(C)(6)	$37,500	GENERAL SUPPORT - 2021 ACCELERATE BREVARD SPONORSHIP
BREVARD HEALTH ALLIANCE
4315 WOODLAND PARK DR	WEST MELBOURNE	FL	32904	900068515	501(C)(3)		GENERAL SUPPORT - FLU SHOT DONATION	$10,571	COST	FLU SHOT DONATION

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	THE HEALTH FIRST SHARED SERVICES, INC. BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Travel For Companions	Yes (X)	TravelForCompanionsInd
Idemnification Gross Up Pmts	Yes (X)	IdemnificationGrossUpPmtsInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
STEVEN P JOHNSON
PRESIDENT/CEO	$2,770,920	$0	$398,603	$0	$28,792	$0	$7,800	$0	$16,165	$0	$3,222,280	$0	$0	$0
DREW A RECTOR
EXEC VP CHIEF STRATEGY OFFICER	$807,809	$0	$202,427	$0	$259,545	$0	$7,800	$0	$20,115	$0	$1,297,696	$0	$0	$0
BRETT A ESROCK
SR VP CEO HOSPITAL SERVICES	$657,649	$0	$172,791	$0	$136,266	$0	$7,800	$0	$17,491	$0	$991,997	$0	$0	$0
JAMES S MITCHELL III
FORMER EXEC VP/COO HFI (END 9/2020)	$615,170	$0	$0	$0	$253,748	$0	$7,800	$0	$17,182	$0	$893,900	$0	$0	$0
JOSEPH G FELKNER
FORMER EXEC VP/CFO HFI (END 1/2020)	$74,713	$0	$0	$0	$796,449	$0	$1,187	$0	$13,206	$0	$885,555	$0	$0	$0
PAULA B JUST
EXEC VP/CHIEF ADMIN OFFICER	$527,214	$0	$148,184	$0	$153,761	$0	$7,800	$0	$18,578	$0	$855,537	$0	$0	$0
WILLIAM J WALDERS
CIO SR VP OPERATIONS SUPPORT	$559,679	$0	$138,639	$0	$144,413	$0	$5,217	$0	$2,843	$0	$850,791	$0	$0	$0
MICHAEL A SCIALDONE
EVP/CFO HFI	$632,995	$0	$173,993	$0	$5,240	$0	$0	$0	$20,115	$0	$832,343	$0	$0	$0
RICHARD P MCNEIGHT
SENIOR VP STRATEGY	$559,231	$0	$102,100	$0	$142,852	$0	$7,800	$0	$20,305	$0	$832,288	$0	$0	$0
JEFFREY C STALNAKER MD
SR VP HF CHIEF CLINICAL OFFICER	$602,597	$0	$158,963	$0	$27,493	$0	$6,300	$0	$19,491	$0	$814,844	$0	$0	$0
NICHOLAS W ROMANELLO ESQ
SR VP/CORP COUNSEL	$526,506	$0	$139,071	$0	$104,337	$0	$7,800	$0	$20,115	$0	$797,829	$0	$0	$0
MATTHEW F GERRELL
SR VP/CEO HFAP	$463,763	$0	$123,100	$0	$146,694	$0	$7,800	$0	$21,328	$0	$762,685	$0	$0	$0
FRANK S LETHERBY
SR VP CEO COMMUNITY HEALTH SVC.	$543,186	$0	$143,516	$0	$14,764	$0	$7,800	$0	$20,059	$0	$729,325	$0	$0	$0
LEE SCHEINBART
CHIEF MEDICAL OFFICER HOSP DIV	$475,381	$0	$100,596	$0	$7,792	$0	$7,800	$0	$20,115	$0	$611,684	$0	$0	$0
MARK S ROSENBLOOM
VP CLINICAL TRANSFORMATION	$468,579	$0	$71,878	$0	$19,765	$0	$7,800	$0	$15,721	$0	$583,743	$0	$0	$0
DOUGLAS B MCKEE
VP CHIEF MED INFORMATICS OFFICER	$347,868	$0	$61,126	$0	$7,778	$0	$6,286	$0	$18,063	$0	$441,121	$0	$0	$0
AARON S ROBINSON
FORMER CEO COMM. HOSP. (END 9/2018)	$0	$0	$0	$0	$160,336	$0	$0	$0	$0	$0	$160,336	$0	$0	$0
JOHN F BREITFELLER
FORMER VICE CHAIR (END 9/2020)	$0	$0	$0	$0	$133,945	$0	$0	$0	$0	$0	$133,945	$0	$0	$0
CONSTANCE J BRADLEY
FORMER SR. VP CNO (END 9/2018)	$0	$0	$0	$0	$114,098	$0	$0	$0	$3,080	$0	$117,178	$0	$0	$0
CATHY EDDY
FORMER TRUSTEE (END 4/2018)	$0	$0	$0	$0	$33,115	$0	$0	$0	$0	$0	$33,115	$0	$0	$0
DALE A DETTMER ESQ
FORMER TRUSTEE (END 9/2019)	$0	$0	$0	$0	$20,961	$0	$0	$0	$0	$0	$20,961	$0	$0	$0
CATHERINE A FORD
FORMER TRUSTEE (END 9/2017)	$0	$0	$0	$0	$10,937	$0	$0	$0	$0	$0	$10,937	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A:	THE ORGANIZATION HAS PROVIDED REIMBURSEMENT FOR TRAVEL, INCLUDING FIRST CLASS TRAVEL, FOR OFFICERS/EXECUTIVES AND THEIR COMPANIONS. REIMBURSED AMOUNTS HAVE BEEN INCLUDED IN TAXABLE COMPENSATION FOR THE EMPLOYEES. GROSS UP PAYMENTS WERE MADE AS PART OF A MARKET COMPENSATION REMUNERATION CATCH UP FOR ONE EXECUTIVE. GROSS UP PAYMENTS ARE NOT CUSTOMARY FOR THE ORGANIZATION.
PART I, LINE 3:	COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. AND REIMBURSED BY SUBSIDIARY TAX-EXEMPT ENTITIES.
PART I, LINE 4A:	THE FOLLOWING SEVERANCE PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION REPORTED ON 2020 FORM W-2: JOSEPH G. FELKNER: $791,928 JAMES S. MITCHELL III: $225,065 AARON S. ROBINSON: $160,336 CONSTANCE J. BRADLEY: $114,721
PART I, LINE 4B:	THE FOLLOWING INDIVIDUALS PARTICIPATE IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE AGREEMENT IN PLACE OF A TRADITIONAL SERP) AND RECEIVED THE AMOUNTS FOLLOWING THEIR NAMES TO ESTABLISH THE PREMIUM DEPOSIT ACCOUNT. THE ACCOUNT IS CONNECTED TO THE INSURANCE POLICY AND WILL BE USED TO PAY FUTURE PREMIUMS ON THE POLICY. THE INDIVIDUALS ARE TAXED ON ANY EARNINGS GENERATED BY THIS ACCOUNT. STEVEN P. JOHNSON $237,848 FRANK S. LETHERBY $832,943 JAMES S. MITCHELL III $108,719 JEFFREY C. STALNAKER $84,797 SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION OF THE ARRANGEMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd	CUSIPCUSIPNum
BREVARD COUNTY HEALTH FACILITIES AUTHORITY
A	592444629	2012-05-09	$20,555,000	SEE PART VI	0	0	0
BREVARD COUNTY HEALTH FACILITIES AUTHORITY
B	592444629	2012-05-30	$65,041,667	SEE PART VI	0	0	0
BREVARD COUNTY HEALTH FACILITIES AUTHORITY
C	592444629	2013-02-05	$74,287,417	SEE PART VI	0	0	0	10741LCQ7
BREVARD COUNTY HEALTH FACILITIES AUTHORITY
D	592444629	2014-12-17	$278,143,907	SEE PART VI	0	0	0	10741LDL7

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd
A	$19,980,000	$20,555,000	$152,517	$20,402,483	0	Yes (1)	Yes (1)
B	$32,666,667	$65,041,667	$78,016	$64,963,650	0	Yes (1)	Yes (1)
C	$10,045,000	$73,159,250	$1,128,181	$72,031,069	0	Yes (1)	Yes (1)
D	$16,325,000	$276,014,284	$2,129,622	$273,884,662	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct
A	0	Yes (1)
B	0	Yes (1)
C	0	Yes (1)
D	Yes (1)	Yes (1)	0.00030	0.00030

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
BB&T
A	0	0	Yes (1)	0	Yes (1)	Yes (1)	9.000000000000	0	0	0	0	0
COMPASS BANK
B	0	0	Yes (1)	0	Yes (1)	Yes (1)	16.000000000000	0	0	0	0	0
(no name)
C	0	0	0	Yes (1)	Yes (1)	0				0	0	0
(no name)
D	0	0	0	Yes (1)	0	0				0	0	0

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
DATE REBATE COMPUTATION PERFORMED	ISSUER NAME: BREVARD COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 02/05/2018 ISSUER NAME: BREVARD COUNTY HEALTH FACILITIES AUTHORITY DATE THE REBATE COMPUTATION WAS PERFORMED: 12/17/2019
PART 1 - DESCRIPTION OF BOND ISSUE PURPOSE:	MAY 2012 BOND: USE OF THE PROCEEDS SOLELY TO REFUND THE SERIES 2001 MATURING APRIL 1, 2013, 2014 AND 2021 MAY 2012 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND 3. REFUND THE ORIGINAL BOND ISSUE DATED 06/04/2009 FEBRUARY 2013 BOND: 1. USE OF THE PROCEEDS SOLELY TO REFUND THE SERIES 2010 AND REMAINING PRINCIPAL BALANCE OF THE SERIES 2001 AND PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE SERIES 2013A BONDS. DECEMBER 2014 BOND: 1. USE OF THE PROCEEDS SOLELY TO REFINANCE THE SERIES 2009 AND PARTIAL REFUNDING OF THE SERIES 2005 AND PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE SERIES 2014 BONDS.
PART V	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 MONTHLY AND QUARTERLY WORK-FLOW, COMPLIANCE WITH APPLICABLE REGS FOR TAX-EXEMPT BONDS ARE REVIEWED. ALSO THERE IS AN ADDITIONAL OVERSIGHT THROUGH BOND COUNSEL AND DEBT ADVISORS. IF ANY INSTANCE OF NON-COMPLIANCE WERE IDENTIFIED, AN ATTEMPT TO CORRECT THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM, IF SELF REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (7 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
JOSEPH G FELKNER
FORMER EVP/CFO	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$2,940,053	$3,610,913	0	Yes (1)	Yes (1)
STEVEN P JOHNSON
PRESIDENT/CEO HF INC	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$9,111,939	$11,548,202	0	Yes (1)	Yes (1)
JAMES S MITCHELL III
FORMER EXEC VP/COO HF INC	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$4,360,057	$5,655,999	0	Yes (1)	Yes (1)
JEFFREY C STALNAKER
SR VP HF CHIEF CLINICAL OFFICER	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$1,698,862	$2,134,519	0	Yes (1)	Yes (1)
FRANK S LETHERBY
SR VP CEO COMMUNITY HEALTH SVC.	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$2,110,939	$2,759,274	0	Yes (1)	Yes (1)
BRETT A ESROCK
CEO HF INC HOSPITAL SERVICES	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$4,033,123	$3,714,536	0	Yes (1)	Yes (1)
PAULA B JUST
EXEC VP/CHIEF ADMIN OFFICER	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$3,332,943	$3,365,643	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$32,789,086	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Field	Value	IRS element (for citing)
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

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: 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

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART V, LINE 4A:	FINCEN FORM 114, REPORT OF FOREIGN BANK AND FINANCIAL ACCOUNTS, WAS FILED UNDER HEALTH FIRST, INC (HFI). EIN 59-3528774 ON BEHALF OF HEALTH FIRST SHARED SERVICES, INC. AS HFI HAS SIGNATURE AUTHORITY OVER A FINANCIAL ACCOUNT IN THE CAYMEN ISLANDS.
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	AFTER REVIEW AND APPROVAL BY THE SYSTEM VP CORPORATE CONTROLLER AND EXECUTIVE VP CHIEF FINANCIAL OFFICER OF HEALTH FIRST SHARED SERVICES, INC., THE FORM 990 DRAFT 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 BOT 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).
FORM 990, PART XI, LINE 9:	TRANSFER OF NET ASSETS FROM RELATED TAX-EXEMPT 78,691,450. CASH RECEIVED IN SALE OF NONCONTROLLING INTEREST 125,000,000.
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 XII, LINE 3A, SINGLE AUDIT ACT:	HEALTH FIRST SHARED SERVICES, INC. WAS A SUBJECT TO A SINGLE AUDIT DURING THE YEAR BECAUSE OF FUNDS RECEIVED AS PART OF FEDERAL PROGRAMS RELATED TO COVID-19. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS AND INCLUDED ALL THE ORGANIZATIONS WITHIN HEALTH FIRST THAT RECEIVED FUNDS FROM THE PROGRAMS.
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.

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp

Disregarded Entity Name DisregardedEntityName

Field	Value	IRS element (for citing)
Business Name Line1	DOCTOR'S SURGICAL PARTNERSHIP LLC	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3300 FISKE BLVD	AddressLine1Txt
City	ROCKLEDGE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	32955	ZIPCd

Field	Value	IRS element (for citing)
EIN	593490279	EIN
Primary Activities	HEALTHCARE	PrimaryActivitiesTxt
Legal Domicile State	FL	LegalDomicileStateCd
Total Income	-$594,920	TotalIncomeAmt
End Of Year Assets	$3,262,424	EndOfYearAssetsAmt

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH FIRST SHARED SERVICES INC	BusinessNameLine1Txt

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
CAPE CANAVERAL HOSPITAL INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	592477479	HOSPITAL	FL	501(C)(3)	LINE 3	HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST FOUNDATION INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	843851693	FUNDRAISING	FL	501(C)(3)	LINE 7	HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593528774	SUPPORT ORG	FL	501(C)(3)	LINE 12B, II		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	Yes (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	Yes (1)
VIERA HOSPITAL INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	264019868	HOSPITAL	FL	501(C)(3)	LINE 3	HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST ADMINISTRATIVE PLANS INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	821851221	HEALTHCARE	FL	501(C)(4)		HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST COMMERCIAL PLANS INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	821866443	HEALTHCARE	FL	501(C)(4)		HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST HEALTH PLANS INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	472736029	HEALTHCARE	FL	501(C)(4)		HEALTH FIRST SHARED SERVICES INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
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		RELATED	0	0	HEALTH FIRST SHARED SERVICES INC	$903,019	0.50000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt
CAPE HEALTH PROPERTIES INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593086711	REAL ESTATE	FL	N/A	C	Yes (1)
HEALTH FIRST HOLDING CORP
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593509709	HOLDING CORP.	FL		C	Yes (1)	HEALTH FIRST SHARED SERVICES INC	1.00000
HEALTH FIRST INSURANCE INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	453131932	HEALTH CARE	FL	N/A	C	Yes (1)
HEALTH FIRST MEDICAL MANAGEMENT INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593348252	HEALTH CARE	FL	N/A	C	Yes (1)
HEALTH FIRST PHYSICIAN SPECIALTIES
3300 FISKE BLVD	ROCKLEDGE	FL	32955	263094596	HEALTH CARE	FL	N/A	C	Yes (1)
HEALTH FIRST PHYSICIANS INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593346397	HEALTH CARE	FL	N/A	C	Yes (1)
HOLMES REGIONAL ENTERPRISES INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	592109953	REAL ESTATE	FL	N/A	C	Yes (1)
PHYSICIANS GI PARTNERSHIP INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593756961	HEALTH CARE	FL	N/A	C	Yes (1)
SPACE COAST INDEMNITY
				981612801	SELF-INSURANCE			C	Yes (1)	HEALTH FIRST SHARED SERVICES INC	1.00000	PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ	-$77,590	$1,036,921

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (43 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
CAPE CANAVERAL HOSPITAL INC
A	$134,029	SEE PART VII
HEALTH FIRST HOLDING CORP
A	$194,639	SEE PART VII
VIERA HOSPITAL INC
A	$550,696	SEE PART VII
HEALTH FIRST PHYSICIANS INC
A	$454,578	SEE PART VII
HOSPICE OF HEALTH FIRST INC
A	$123,999	SEE PART VII
HOLMES REGIONAL ENTERPRISES INC
A	$212,230	SEE PART VII
HOLMES REGIONAL MEDICAL CENTER INC
A	$1,582,752	SEE PART VII
HEALTH FIRST ADMINISTRATIVE PLANS INC
A	$317,954	SEE PART VII
SPACE COAST INDEMNITY
B	$1,079,910	SEE PART VII
HEALTH FIRST FOUNDATION INC
B	$1,779,810	SEE PART VII
HEALTH FIRST FOUNDATION INC
C	$331,773	SEE PART VII
CAPE CANAVERAL HOSPITAL INC
C	$12,685,588	SEE PART VII
HOSPICE OF HEALTH FIRST INC
C	$1,864,835	SEE PART VII
HOLMES REGIONAL MEDICAL CENTER INC
C	$47,599,548	SEE PART VII
VIERA HOSPITAL INC
C	$18,321,289	SEE PART VII
HEALTH FIRST COMMERICAL PLANS INC
F	$5,713,895	SEE PART VII
HEALTH FIRST HEALTH PLANS INC
F	$12,788,091	SEE PART VII
HEALTH FIRST PHYSICIANS INC
K	$50,680	SEE PART VII
HOLMES REGIONAL ENTERPRISES INC
L	$296,574	SEE PART VII
HEALTH FIRST MEDICAL MANAGEMENT INC
L	$31,534,313	SEE PART VII
HEALTH FIRST HOLDING CORP
L	-$202,238	SEE PART VII
VIERA HOSPITAL INC
L	$21,752,566	SEE PART VII
HEALTH FIRST PHYSICIANS INC
L	$2,133,680	SEE PART VII
HOLMES REGIONAL MEDICAL CENTER INC
L	$133,494,301	SEE PART VII
CAPE CANAVERAL HOSPITAL INC
L	$28,522,550	SEE PART VII
HOSPICE OF HEALTH FIRST INC
L	$2,249,379	SEE PART VII
HEALTH FIRST ADMINISTRATIVE PLANS INC
L	$14,534,917	SEE PART VII
HEALTH FIRST FOUNDATION INC
L	$199,707	SEE PART VII
HOSPICE OF HEALTH FIRST INC
Q	$13,926,465	SEE PART VII
HEALTH FIRST INSURANCE INC
Q	$71,502	SEE PART VII
HOLMES REGIONAL MEDICAL CENTER INC
Q	$549,099,976	SEE PART VII
HEALTH FIRST PHYSICIANS INC
Q	$403,084,154	SEE PART VII
HOLMES REGIONAL ENTERPRISES INC
Q	$4,037,912	SEE PART VII
HEALTH FIRST HEALTH PLANS INC
Q	$393,745	SEE PART VII
HEALTH FIRST ADMINISTRATIVE PLANS INC
Q	$109,045,485	SEE PART VII
HEALTH FIRST SHARED SERVICES INC
Q	$4,435,905	SEE PART VII
HEALTH FIRST MEDICAL MANAGEMENT INC
Q	$15,289,160	SEE PART VII
CAPE CANAVERAL HOSPITAL INC
Q	$92,155,662	SEE PART VII
VIERA HOSPITAL INC
Q	$83,369,837	SEE PART VII
HEALTH FIRST COMMERCIAL PLANS INC
Q	$9,813,807	SEE PART VII
HEALTH FIRST FOUNDATION INC
Q	$1,427,528	SEE PART VII
HEALTH FIRST HOLDING CORP
Q	$196,278	SEE PART VII
DOCTORS GI PARTNERSHIP LTD
Q	$1,976,240	SEE PART VII

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE R, PART V, DISCLOSURES:	FormAndLineReferenceDesc
Explanation	ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.	ExplanationTxt