STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

HOLMES REGIONAL MEDICAL CENTER: Form 990, tax year 2013

View the entire original 990 at ProPublica ↗

Organization
HOLMES REGIONAL MEDICAL CENTER (EIN 59-0624371)
Tax period
2013-10-01 to 2014-09-30
Filed
2015-08-13
IRS object ID
201522259349300622
Schema version
2013v4.0
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 ReturnHeader

FieldValueIRS element (for citing)
Return2015-08-13T07:39:53-05:00ReturnTs
Tax Period End2014-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S WACKER DRIVE STE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2013-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN590624371EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Holmes Regional Medical Center IncBusinessNameLine1
FieldValueIRS element (for citing)
Business Name ControlHOLMBusinessNameControlTxt
Phone3214345150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJoseph G FelknerPersonNm
Person TitleExec VP/CFOPersonTitleTxt
Phone3214345150PhoneNum
Signature2015-08-03SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonWayne HarderPreparerPersonNm
PTINP00294296PTIN
Phone3126343400PhoneNum
FieldValueIRS element (for citing)
Tax2013TaxYr
Build TS2016-03-07 17:11:31ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSteven P JohnsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
Gross Receipts$531,294,627GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.HEALTH-FIRST.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1931FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionOur team positively changing the health and well-being of you and your family through excellent and compassionate health care.ActivityOrMissionDesc
Voting Members Governing Body19VotingMembersGoverningBodyCnt
Voting Members Independent11VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers1091TotalVolunteersCnt
Total Gross UBI$2,867,174TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$1,751,342NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,886,596PYContributionsGrantsAmt
CY Contributions Grants$958,727CYContributionsGrantsAmt
PY Program Service Revenue$496,117,576PYProgramServiceRevenueAmt
CY Program Service Revenue$525,943,658CYProgramServiceRevenueAmt
PY Investment Income$948,615PYInvestmentIncomeAmt
CY Investment Income-$452,573CYInvestmentIncomeAmt
PY Other Revenue$5,700,787PYOtherRevenueAmt
CY Other Revenue$3,477,767CYOtherRevenueAmt
PY Total Revenue$504,653,574PYTotalRevenueAmt
CY Total Revenue$529,927,579CYTotalRevenueAmt
PY Grants And Similar Paid$1,142,122PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$1,076,569CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$227,151,391PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$217,879,001CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$226,400,706PYOtherExpensesAmt
CY Other Expenses$226,029,196CYOtherExpensesAmt
PY Total Expenses$454,694,219PYTotalExpensesAmt
CY Total Expenses$444,984,766CYTotalExpensesAmt
PY Revenues Less Expenses$49,959,355PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$84,942,813CYRevenuesLessExpensesAmt
Total Assets BOY$630,530,922TotalAssetsBOYAmt
Total Assets EOY$686,590,294TotalAssetsEOYAmt
Total Liabilities BOY$328,707,789TotalLiabilitiesBOYAmt
Total Liabilities EOY$342,168,741TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$301,823,133NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$344,421,553NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur team positively changing the health and well-being of you and your family through excellent and compassionate health care.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$352,992,818ExpenseAmt
Grant$1,076,569GrantAmt
Revenue$525,943,658RevenueAmt
DescHolmes Regional Medical Center (HRMC) features 514 beds and more than500 highly skilled medical staff members. As the region's premiertertiary referral hospital, HRMC offers all patients cutting-edgelife-saving technology.The Heart Center at HRMC offers comprehensive cardiac services and performs more cardiac procedures than all other hospitals in Brevard County. As the only state-accredited Level II trauma center serving Brevard and Indian River Counties, HRMC's trauma center offers 24/7 trauma care and rapid patient transport via First Flight, a Health First operated aero-medical helicopter. Additionally, the birth suites at HRMC includes Brevard's first Level II neonatal ICU for newborns with medical conditions requiring intensive care.HRMC is also the first hospital in Brevard to offer state-of-the-art robotics-assisted surgery for urology, prostate, and gynecological procedures and is currently the only hospital in Brevard to offer anterior hip replacement surgery and reverse shoulder surgery. As a primary stroke center, HRMC offers life-changing interventional neuro-radiology services for advanced stroke treatment. Palm Bay Hospital (PBH) features 152 beds and 195 highly skilled physicians. Focused on cutting-edge technology, PBH offers patients extensive digital diagnostic radiology including digital mammography, x-ray, MRI, CT, ultrasound, nuclear medicine and tele radiology. PBH is the first hospital in Brevard to offer thoracic endograph surgery. PBH also offers a full spectrum of healthcare services, including cardiopulmonary, surgery, rehabilitation, intensive care, emergency and endoscopy services. HRMC and PBH provide high-quality medical services to the community of Brevard County regardless of race, creed, gender, national origin, handicap, age or ability to pay. It is recognized that not all individuals possess the ability to purchase essential medical services and further, that our mission is to serve the community with respect to providing health care services and health care education such as "Healthy Happenings" seminars and support groups for the public.In keeping with this hospital's commitment, to serve all members of its community:1) Free care and/or subsidized care is provided where the need and/or inability to pay exists;2) Care is provided at below cost to persons covered by governmental programs;3) Free healthcare activities and programs are provided to the community. These activities include: wellness programs, communityeducation programs, special programs for elderly, handicapped, and mentally underserved along with a variety of broad community support activities.For a copy of our Health First Community Benefit Report see:Http://hfwww1.health-first.org/about_us/gives_back/community_report.cfmDesc
Total Program Service Expenses$352,992,818TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related InvstYes (1)ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
Info In Schedule O Part VYes (X)InfoInScheduleOPartVInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members19GoverningBodyVotingMembersCnt
Independent Voting Member11IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint VentureYes (1)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (1)WrittenPolicyOrProcedureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Arthur Craig Springer IIBusinessNameLine1
FieldValueIRS element (for citing)
Phone3214345150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode

Form990 Part VII Section A Form990PartVIISectionAGrp (37 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
James C Shaw
Chairman1.003.00Yes (X)Yes (X)$0$7,719$0
Catherine A Ford
Vice Chairman1.003.00Yes (X)Yes (X)$0$10,007$0
Richard McNeight
Secretary1.003.00Yes (X)Yes (X)$0$0$0
Martin W Isenman MD
Treasurer1.003.00Yes (X)Yes (X)$0$2,184$0
Pamela A Gatto
Director1.003.00Yes (X)$0$2,402$0
Eugene S Cavallucci Esq
Director1.003.00Yes (X)$0$13,592$0
James Dwight
Director1.003.00Yes (X)$0$6,456$0
Frances U Pickett
Director1.003.00Yes (X)$0$4,663$0
William C Potter Esq
Director1.003.00Yes (X)$0$0$0
Kevin B Steele
Director1.004.00Yes (X)$0$0$0
Christopher S Rehak MD
Medical Staff President1.000.00Yes (X)$0$0$0
Cathy Eddy
Director1.003.00Yes (X)$0$0$0
Donald F Hagen MD
Director1.003.00Yes (X)$0$0$0
Kevin S Pruett
Director1.003.00Yes (X)$0$0$0
Bryan R Roub
Director1.003.00Yes (X)$0$0$0
Tamar Ahmed MD
Medical Staff President1.000.00Yes (X)$0$0$0
Alan Prestwood
Director (in-coming)1.003.00Yes (X)$0$0$0
James Ridenour
Director (in-coming)1.003.00Yes (X)$0$0$0
Norberto Schechtmann MD
Medical Staff President (out-going)1.0040.00Yes (X)$0$420,713$16,657
James S Mitchell III
Exec VP COO HF Inc.1.0040.00Yes (X)$0$910,024$19,245
Joseph G Felkner
EVP/CFO1.0042.00Yes (X)Yes (X)$0$696,970$21,175
David E Mathias
SVP/Corporate Counsel1.0041.00Yes (X)$0$527,625$23,956
Sean J Gregory
President HRMC40.001.00Yes (X)Yes (X)$0$577,075$16,156
Steven P Johnson
President/CEO HF1.0044.00Yes (X)Yes (X)$0$1,625,823$21,847
Robert R Wright
President Community Hosp (out-going)13.0028.00$0$609,378$23,206Yes (X)
Judith A Gizinski
COO PBH40.001.00$0$209,524$22,194Yes (X)
Matthew E Troup
COO HRMC40.000.00$0$300,668$14,869Yes (X)
Charles T Behl
Lead Pharmacist40.000.00$0$154,981$21,562Yes (X)
Tia Marie Rossana
Pharmacist40.000.00$0$181,735$12,366Yes (X)
Joseph Albert Gurri
VP Med Affairs HRMC40.000.00$0$388,299$21,507Yes (X)
Marcia S Minnich-Barnes
Pharmacist40.000.00$0$149,050$18,724Yes (X)
Kelly R Breedlove
Interim CNO Admin Dir Nursing40.000.00$0$167,113$19,970Yes (X)
Nicholas E Pellegrino
Director0.000.00$0$107,803$0Yes (X)
Brian J Bussen
Director0.000.00$0$101,110$0Yes (X)
A Thomas Hollingsworth PhD
Director0.000.00$0$85,981$0Yes (X)
Robert C Galloway
SVP CFO0.000.00$0$115,009$0Yes (X)
Jerry Senne
President/CEO HRMC0.000.00$0$794,805$0Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,170,709TotReportableCompRltdOrgAmt
Total Other Compensation$273,434TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (2 entries)

Address Line1ContractorAddress/USAddress/AddressLine1CityContractorAddress/USAddress/CityStateContractorAddress/USAddress/StateZIP CodeContractorAddress/USAddress/ZIPCodeServicesServicesDescCompensationCompensationAmt
Health First Inc
3300 Fiske BlvdRockledgeFL32955Management Support$445,466,640
Health First Physicians Inc
3300 Fiske BlvdRockledgeFL32955Physician Services$124,088
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K2CntrctRcvdGreaterThan100KCnt
Related Organizations$551,051RelatedOrganizationsAmt
Government Grants$407,676GovernmentGrantsAmt
Total Contributions$958,727TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Service621110$319,155,950$318,032,955$1,122,995
Medicare/Medicaid621110$193,591,991$193,591,991
Pro Health713940$9,760,600$9,760,600
Related Company Rent531120$2,382,382$2,382,382
Reference Lab621500$1,052,735$1,052,735
FieldValueIRS element (for citing)
Total Program Service Revenue$525,943,658TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$154,274TotalRevenueColumnAmt
Exclusion$154,274ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,720,715RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$616,467RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$1,104,248RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,104,248TotalRevenueColumnAmt
Unrelated Business Revenue$691,444UnrelatedBusinessRevenueAmt
Exclusion$412,804ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$143,734OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$750,581OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other-$606,847OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column-$606,847TotalRevenueColumnAmt
Exclusion-$606,847ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescCafeteriaDesc
Business722210BusinessCd
Total Revenue Column$673,473TotalRevenueColumnAmt
Exclusion$673,473ExclusionAmt

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,700,046TotalRevenueColumnAmt
Exclusion$1,700,046ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$2,373,519OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$529,927,579TotalRevenueColumnAmt
Related Or Exempt Func Income$523,767,928RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,867,174UnrelatedBusinessRevenueAmt
Exclusion$2,333,750ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$1,076,569TotalAmt
Program Services$1,076,569ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$2,253,574TotalAmt
Management And General$2,253,574ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$164,106,112TotalAmt
Program Services$131,088,133ProgramServicesAmt
Management And General$33,017,979ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,371,146TotalAmt
Program Services$2,912,091ProgramServicesAmt
Management And General$459,055ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$35,068,655TotalAmt
Program Services$26,934,462ProgramServicesAmt
Management And General$8,134,193ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$13,079,514TotalAmt
Program Services$10,897,198ProgramServicesAmt
Management And General$2,182,316ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,707,499TotalAmt
Program Services$33,590ProgramServicesAmt
Management And General$1,673,909ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$361,474TotalAmt
Management And General$361,474ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$29,951,622TotalAmt
Program Services$17,178,242ProgramServicesAmt
Management And General$12,773,380ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$907,314TotalAmt
Program Services$30,185ProgramServicesAmt
Management And General$877,129ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,073,575TotalAmt
Program Services$4,348,891ProgramServicesAmt
Management And General$1,724,684ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$10,943,185TotalAmt
Program Services$814,235ProgramServicesAmt
Management And General$10,128,950ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$12,370,582TotalAmt
Program Services$10,731,596ProgramServicesAmt
Management And General$1,638,986ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$133,137TotalAmt
Program Services$29,489ProgramServicesAmt
Management And General$103,648ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$82,883TotalAmt
Program Services$10,585ProgramServicesAmt
Management And General$72,298ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$10,539,672TotalAmt
Program Services$8,732,524ProgramServicesAmt
Management And General$1,807,148ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$27,957,876TotalAmt
Program Services$20,212,534ProgramServicesAmt
Management And General$7,745,342ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$3,029,918TotalAmt
Management And General$3,029,918ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$99,030,518$99,030,518$0
Maintenance & Repair$7,296,857$6,136,628$1,160,229
Florida Indigent Tax$5,987,696$5,987,696$0
Licenses and Taxes$235,629$51,838$183,791

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$9,419,759TotalAmt
Program Services$6,755,814ProgramServicesAmt
Management And General$2,663,945ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$444,984,766TotalAmt
Program Services$352,992,818ProgramServicesAmt
Management And General$91,991,948ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$159,661,156BOYAmt
EOY$220,470,661EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$57,281,654BOYAmt
EOY$59,048,574EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$12,572,464BOYAmt
EOY$13,676,063EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$1,828,185BOYAmt
EOY$1,737,173EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$671,471,782LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$408,181,171LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$272,937,785BOYAmt
EOY$263,290,611EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$114,017,540BOYAmt
EOY$114,888,199EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$828,133BOYAmt
EOY$775,217EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$11,404,005BOYAmt
EOY$12,703,796EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$630,530,922BOYAmt
EOY$686,590,294EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$55,701,407BOYAmt
EOY$74,135,392EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$76,145,574BOYAmt
EOY$69,313,234EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$196,860,808BOYAmt
EOY$198,720,115EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$328,707,789BOYAmt
EOY$342,168,741EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$299,224,421BOYAmt
EOY$341,562,520EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$2,598,712BOYAmt
EOY$2,859,033EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$301,823,133BOYAmt
EOY$344,421,553EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$630,530,922BOYAmt
EOY$686,590,294EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$84,942,813ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$42,344,393OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$22,416,868OtherCostOrOtherBasisAmt
Book Value$22,416,868BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$374,207,342OtherCostOrOtherBasisAmt
Depreciation$166,257,881DepreciationAmt
Book Value$207,949,461BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,328,670OtherCostOrOtherBasisAmt
Depreciation$933,059DepreciationAmt
Book Value$395,611BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$269,747,488OtherCostOrOtherBasisAmt
Depreciation$240,990,231DepreciationAmt
Book Value$28,757,257BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,771,414OtherCostOrOtherBasisAmt
Book Value$3,771,414BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$263,290,611TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (4 entries)

DescDescBook ValueBookValueAmtMethod ValuationMethodValuationCd
Healthcare Related Joint Venture$11,688,529C
Demand Note - Health First Inc$100,050,164C
Demand Note - Health First Fdn$290,473C
Other Temporarily Restricted Assets$2,859,033C
FieldValueIRS element (for citing)
Total Book Value Program Rltd$114,888,199TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Inter-Company Payable$36,217,635
Other Noncurrent Liabilities$1,196,926
Tax-exempt Bonds Held By Health First Inc.$161,305,554
FieldValueIRS element (for citing)
Total Liability$198,720,115TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationFASB ASC 740 Footnote: The Company is exempt from Federal and State income taxes applicable 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. Accordingly, no provision for income taxes is made in the accompanying financial statements. 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 of a tax position taken or expected to be taken in a tax return.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted Care0FPGReferenceDiscountedCareInd
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$34,018,561TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$8,099,343DirectOffsettingRevenueAmt
Net Community Benefit Expns$25,919,218NetCommunityBenefitExpnsAmt
Total Expense0.05820TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$54,248,440TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$37,819,625DirectOffsettingRevenueAmt
Net Community Benefit Expns$16,428,815NetCommunityBenefitExpnsAmt
Total Expense0.03690TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$5,987,696TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$293,697DirectOffsettingRevenueAmt
Net Community Benefit Expns$5,693,999NetCommunityBenefitExpnsAmt
Total Expense0.01280TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$94,254,697TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,212,665DirectOffsettingRevenueAmt
Net Community Benefit Expns$48,042,032NetCommunityBenefitExpnsAmt
Total Expense0.10790TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$43,926TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$43,926NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,618,887TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,618,887NetCommunityBenefitExpnsAmt
Total Expense0.00360TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,095,937TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,095,937NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,097,523TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,097,523NetCommunityBenefitExpnsAmt
Total Expense0.00250TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,856,273TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$3,856,273NetCommunityBenefitExpnsAmt
Total Expense0.00870TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$98,110,970TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,212,665DirectOffsettingRevenueAmt
Net Community Benefit Expns$51,898,305NetCommunityBenefitExpnsAmt
Total Expense0.11660TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$10,797,793BadDebtExpenseAmt
Bad Debt Expense Attributable$5,296,602BadDebtExpenseAttributableAmt
Reimbursed By Medicare$135,190,928ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$153,823,256CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$18,632,328MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 Doctor's GI Partnership Inc
Out-Patient Surgery0.800000.000000.20000
2 Health First Quick Care LLC
Emergent Care Clinic0.510000.000000.49000
FieldValueIRS element (for citing)
Hospital Facilities2HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndCritical Access HospitalCriticalAccessHospitalIndEmergency Room24 HrsEmergencyRoom24HrsInd
Holmes Regional Medical Center
11350 South Hickory StreetMelbourneFL32901Yes (X)Yes (X)Yes (X)Yes (X)
Palm Bay Hospital
21425 Malabar Road NEPalm BayFL32907Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNumCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndInformation GapsInformationGapsIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndRpt Available Upon RequestRptAvailableUponRequestIndAdopt Implementation StrategyAdoptImplementationStrategyIndExec Implementation StrategyExecImplementationStrategyIndDevelop Community Wide PlanDevelopCommunityWidePlanIndExec Community Wide PlanExecCommunityWidePlanIndAdopt BudgetAdoptBudgetIndPrioritize Health NeedsPrioritizeHealthNeedsIndPrioritize ServicesPrioritizeServicesIndAll Needs AddressedAllNeedsAddressedIndOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Used Deter Elig Free CareFPGUsedDeterEligFreeCareIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Used Determ Elig Dscnt CareFPGUsedDetermEligDscntCareIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndPosted On WebsitePostedOnWebsiteIndAvailable On RequestAvailableOnRequestIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndCollection ActivitiesCollectionActivitiesIndFAP Notified All PatientsFAPNotifiedAllPatientsIndDocumented Elig DeterminationDocumentedEligDeterminationIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndOther Method UsedOtherMethodUsedIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesInd
Holmes Regional Medical Center
1Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.00000000000000Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (1)Yes (X)00
Palm Bay Hospital Inc
2Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)12Yes (1)Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)00Yes (1)Yes (1)200.00000000000000Yes (1)Yes (1)Yes (X)Yes (X)Yes (X)Yes (1)0Yes (X)Yes (X)Yes (1)Yes (X)00

Supplemental Information SupplementalInformationGrp (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Holmes Regional Medical CenterPart V, Section B, Line 3: Part V, Sec B, Line 3:The Health Council of East Central Florida held phone interviews with the following persons who represent the community:Lisa Gurri, Brevard Health AllianceJennifer Floyd, Healthy Start Coalition of Brevard County, Inc.Christine Michaels, Melbourne/Palm Bay Chamber of CommerceHoward Tipton, Brevard County Manager's OfficeAra Deumedjian, MD, Brevard Medical SocietyDr. Kristi Van Sickle, FitDr. Jenny Gessler, Women's CenterLisa Rice, Brevard WorkforceKristin Bakke, Lead BrevardCindy Kane, Corporate Relations, Harris Corp.Shawna Kelsch, Reduce Obesity in Central Florida KidsKay Heimmer, Prevent! of BrevardIan Golden, Brevard County Housing & Human ServicesMaria Stahl, Brevard Co. Health DepartmentDr. Lana Saal, Brevard Public SchoolsJohnette Gindling, Space Coast Health FoundationPaul Ringenberger, Space Coast Volunteers In MedicineDr. John McPherson, Fire Rescue Medical DirectorDr. Rochelle Jones, The Coalition Of The Hungry & Homeless of Brevard County, Inc.Teresa Miles, Children's Home SocietyRob Rains, United Way of Brevard
Palm Bay Hospital, Inc.Part V, Section B, Line 3: Part V, Sec B, Line 3:The Health Council of East Central Florida held phone interviews with the following persons who represent the community:Lisa Gurri, Brevard Health AllianceJennifer Floyd, Healthy Start Coalition of Brevard County, Inc.Christine Michaels, Melbourne/Palm Bay Chamber Of CommerceHoward Tipton, Brevard County Manager's OfficeAra Deumedjian, MD, Brevard Medical SocietyDr. Kristi Van Sickle, FitDr. Jenny Gessler, Women's CenterLisa Rice, Brevard WorkforceKristin Bakke, Lead BrevardCindy Kane, Corporate Relations, Harris Corp.Shawna Kelsch, Reduce Obesity In Central Florida KidsKay Heimmer, Prevent! Of BrevardIan Golden, Brevard County Housing & Human ServicesMaria Stahl, Brevard Co. Health DepartmentDr. Lana Saal, Brevard Public SchoolsJohnette Gindling, Space Coast Health FoundationPaul Ringenberger, Space Coast Volunteers in MedicineDr. John McPherson, Fire Rescue Medical DirectorDr. Rochelle Jones, the Coalition Of The Hungry & Homeless Of Brevard County, Inc.Teresa Miles, Children's Home SocietyRob Rains, United Way of Brevard
Holmes Regional Medical CenterPart V, Section B, Line 4: Part V, Sec B, Line 4: Cape Canaveral Hospital & Viera Hospital
Palm Bay Hospital, Inc.Part V, Section B, Line 4: Part V, Sec B, Line 4: Cape Canaveral Hospital & Viera Hospital
Holmes Regional Medical CenterPart V, Section B, Line 7: Part V, Sec B, Line 7: Cancer - Due to existing cancer programs at Health First including Health First Holmes Regional Medical Center, Health First Cape Canaveral Hospital, Hospice Of Health First, and Health First Cancer Care Medical Group. Coronary Heart Disease - Due to risk factors of high blood pressure, high cholesterol and diabetes are same as those associated with cerebrovascular disease and cardiovascular disease and will be addressed in those implementation strategies.Binge drinking, youth substance abuse & youth cigarette smoking - These are being addressed through efforts of several community partners including Circles Of Care, Brevard Tobacco Initiative, And Prevent! Of Brevard
Palm Bay Hospital, Inc.Part V, Section B, Line 7: Part V, Sec B, Line 7: Cancer - Due to existing cancer programs at Health First including Health First Holmes Regional Medical Center, Health First Cape Canaveral Hospital, Hospice Of Health First, and Health First Cancer Care Medical Group. Coronary Heart Disease - Due to risk factors of high blood pressure, high cholesterol and diabetes are same as those associated with cerebrovascular disease and cardiovascular disease and will be addressed in those implementation strategies.Binge drinking, youth substance abuse & youth cigarette smoking - These are being addressed through efforts of several community partners including Circles Of Care, Brevard Tobacco Initiative, And Prevent! Of Brevard
Holmes Regional Medical CenterPart V, Section B, Line 11: Health First does make provision for providing discounted care to low income individuals through processes and formularies which include consideration of individuals incomes in comparison to FPG. Discounts range from expected token payments (such as $100) to a 60% discount of billed charges.
Palm Bay Hospital, Inc.Part V, Section B, Line 11: Health First does make provision for providing discounted care to low income individuals through processes and formularies which include consideration of individuals incomes in comparison to FPG. Discounts range from expected token payments (such as $100) to a 60% discount of billed charges.
Holmes Regional Medical CenterPart V, Section B, Line 14g: Part V, Sec B, Line 14g: Signage is posted in the emergency room, waiting rooms, & admissions, that the financial assistance policy is available upon request.
Palm Bay Hospital, Inc.Part V, Section B, Line 14g: Part V, Sec B, Line 14g: Signage is posted in the emergency room, waiting rooms, & admissions, that the financial assistance policy is available upon request.
Holmes Regional Medical CenterPart V, Section B, Line 20d: Individuals that do not have insurance are eligible for a 60% prompt pay discount. This discount is approximately the average negotiated commercial insurance rate for those services at the hospital facility.
Palm Bay Hospital, Inc.Part V, Section B, Line 20d: Individuals that do not have insurance are eligible for a 60% prompt pay discount. This discount is approximately the average negotiated commercial insurance rate for those services at the hospital facility.
FieldValueIRS element (for citing)
Facility2FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (2 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeFacilityFacilityTxt
Pro-Health Fitness Centers
1350 South Hickory StreetMelbourneFL32901Health and Wellness Center
Family Pharmacy
1350 South Hickory StreetMelbourneFM32901Pharmacy

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3c:Health First does make provision for providing discounted care to low income individuals through processes and formularies which include consideration of individuals incomes in comparison to FPG. Discounts range from expected token payments (such as $100) to a 60% discount of billed charges.Part I, Line 5b:Financial assistance expenses did not exceed the budgeted amount.Part I, Line 6a:The Community Benefit Report is prepared by Health First, Inc., the parent company to the organization. The community benefits of this organization are included within that report.
Part I, Line 7:The organization calculated the cost amounts noted in Part I, Line 7 by utilizing the cost to charge ratio on worksheet S-10 on the medicare cost report. The cost addresses all patient segments reported on, including, but not limited to impatient, outpatient, Medicaid, uninsured, and Medicare.
Part II, Community Building Activities:Community building activities are primarily subsidized by Health First, Inc. (Parent) and therefore are not reported at each individual hospital. The needs identified are, in part, based on the community needs assessment. Health First, Inc. utilized hours of paid physicians and nurses to support the community while on payroll. In addition, an amount in excess of $1.5M was contributed to various local organizations, primarily supporting the various community public health needs. Health First, Inc. also supported the economic development needs, provided other community support, participated in environmental improvements, coalition building projects, supported a community health improvement advocacy, and supported the local workforce development program. Health First, Inc. and its employees also actively support the local United Way in excess of $180k.
Part III, Line 4:Bad Debt at cost is calculated by multiplying actual bad debt write-offs by the filing organization's cost-to-charge ratio.The organization used a cost to charge ratio to determine the cost amount of the bad debt expense. Worksheet 2, ratio of patient care cost to charges, as provided in the IRS instructions was used to validate the cost to charge ratio which approximates internal cost calculation.The organization provides uninsured accounts with a discount for prompt payment. The discount is not collected, nor pursued, and therefore not included in net patient revenue. The remaining balance is pursued, and if not collected, reported as a bad debt expense.The organization does not issue a standalone financial statement; however, it is included as a part of the Health First, Inc. consolidated financial statements. The footnote from the Health First, Inc. consolidated financial statements is as follows: The provision for bad debts and allowance for uncollectible accounts are based upon management's assessment of historical and expected net collections and historical write-off experience by payor and aging category, considering the business and economic conditions, trends in health care coverage, and other collection indicators. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added.The method the organization used to determine the amount that could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their eligibility is based on a collection scoring system. The scoring system attributed a recover score to each patient. It was then determined that patients below a certain score would typically qualify for charity care if they were to provide sufficient information.
Part III, Line 8:The Organization derived its costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare cost report by using cost report worksheets. Medicare costs are determined through the Medicare cost finding process which allocates general service center costs to revenue departments. Routine and ICU costs are determined based on an average cost per day multiplied by the number of Medicare allowable days. Medicare ancillary costs are determined by the ratio of department costs to department charges then the resulting % is applied to Medicare allowable charges. The methodology described in the instructions to Schedule H, Part III, Section B, Line 6 does not take into account all costs incurred by the hospital and does not represent the total community benefit conferred in this area. The reasons Medicare shortfall should be treated as community benefit are: absent the Medicare program, it is likely many of the individuals would qualify for financial assistance or other needs-based government programs; by accepting payment below cost to treat these individuals, the burdens of government are relieved with respect to these individuals; there is a significant possibility that continued reduction in reimbursement may actually create difficulties in access for these individuals; and the amount spent to cover Medicare shortfall is money not available to cover financial assistance and other community benefit needs.
Part III, Line 9b:The organization applies the following procedures in its collection practices for those who may qualify for financial assistance:1. Patients or guarantors desiring to apply for financial assistance will be required to complete a Health First financial assistance application. The application process may begin at pre-admission or at any time thereafter. For financial assistance approval on elective procedures, please refer to policy addendum below.2. Income guidelines for qualification for financial assistance will be based on the Federal Poverty Guideline as furnished annually by the department of HRS.3. AHCA guidelines and documentation requirements will be used in establishing qualification for financial assistance. This documentation may include, but not be limited to, the following:a. Completed and signed financial assistance applicationb. Proof of household incomec. Credit bureau report and/or asset check4. Patients who are eligible for Medicaid will not be required to complete a financial assistance application.5. The financial assistance application and supporting documentation will be reviewed for propriety when determining eligibility for financial assistance.6. A notification letter will be sent to the guarantor or patient to communicate eligibility for financial assistance or denial.7. Patients who do not provide information necessary to completely and accurately assess their financial situation and/or who do not cooperate with efforts to secure other third party coverage will not be eligible for financial assistance.8. Patients who are uninsured and do not qualify for full or partial financial assistance will be eligible for Health First's prompt pay discount for self pay patients (PBS 5.12).9. All approved financial assistance applications will be valid for a period of 90 days. Approved tumor clinic applications are valid for a period of one year.
Form 990, Schedule H:Part III, Section A, Line 1:The filing organization reports bad debt in accordance with generally accepted accounting principles (GAAP). Healthcare Financial Management Association Statement 15 is followed to the extent that it aligns with the guidelines set forth by GAAP.
Part VI, Line 2:Health First, Inc. (Parent), on behalf of its member hospital organizations, partners with the Health Council of East Central Florida in assessing the health care needs of our community. The most recent community needs assessment report is available athttp://www.cflhealthymeasures.org./
Part VI, Line 3:It is the policy of Health First to grant financial assistance to eligible individuals who are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay for health care services due to their limited financial resources. It is also the Health First policy to provide, without discrimination, care for emergency medical conditions (as defined by federal law known as "EMTALA") to individuals regardless of their eligibility for financial assistance under this policy.Information about Health First's financial assistance program shall be made available to patients and guarantors by various means, including the publication of notices in patient bills and by posting notices in the emergency and admitting departments, and at other public places the Health First facility may elect. Written summary information describing the policy along with financial assistance contact information will be made available to each patient in all emergency and admitting departments. The policy will also be posted on the Health First website. Such information shall be provided in the primary language spoken by the general populations served by the Health First facility.Any Health First associate or member of the medical staff may refer patients for financial assistance. A patient or a family member, close friend or associate of the patient may also make a request for financial assistance on behalf of the patient.
Part VI, Line 4:Brevard County, also known as the Space Coast, stretches over 70 miles along the Atlantic coast best known as the location of the Kennedy Space Center, the "Space Coast" is also home to Port Canaveral, the world's busiest passenger cruise port. The county is unofficially divided into three sections, North County, comprising of Titusville, Mims, and Port St. John; Central Brevard, which includes Viera, Cocoa, Rockledge, Merritt Island, and Cocoa Beach; and South County, including Melbourne, Palm Bay, Grant, Valkaria and the South Beaches, which stretch to the border of Brevard and Indian River Counties.The population of Brevard County was 543,376 (based on July 2010 U.S. Census Data) and has grown to 554,117 in 2014. The county is over 82% White, 10% African American, and 8% other races. Hispanics/Latinos comprise 9%. The average household size is 2.33 persons. The population distribution is as follows: 19% under the age of 18, 59% from ages 18 to 64, and 22% who are 65 years of age or older. The median age is 46.5 years. In 2014, 9% of the residents lived in poverty compared with 12% statewide. There were 17.36% receiving SNAP benefits in 2012. According to the U.S. Bureau of Labor Statistics, the unemployment rate was 6.9% in November 2013. Statistics reveal that 90% of Brevard County residents have a high school diploma, compared with 86% statewide.The economy in Brevard County has taken a hit in recent years as has the economy in Florida. In 2010, the Brooking Institution reported that Brevard County ranked in the bottom fifth of the nation's top metro areas based on unemployment, gross metropolitan product, housing prices and foreclosed properties. There are seven acute care hospitals serving patients in Brevard County, Parrish Medical Center located in North County, Cape Canaveral Hospital, Viera Hospital and Wuesthoff Rockledge in Central County and Holmes Regional Medical Center, Wuesthoff Melbourne and Palm Bay Hospital in South County.
Part VI, Line 5:The governing body of Holmes Regional Medical Center, Inc. is comprised of persons who primarily reside in the organization's primary service area and are neither employees nor contractors nor family members of the organization nor its key employees.The organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments.The organization does apply resources throughout the year to support improvements in patient care, medical education and training. The organization spent more than $1.6M to support local students via training, education, and scholarship.Holmes Regional Medical Center, Inc. partnered with local organizations in the community that supported thousands of uninsured or underinsured Brevard residents who are otherwise unable to pay for healthcare services in excess of $1M in the year.The emergency departments at Holmes Regional Medical Center, Inc had more than 73,000 visits and the emergency department located at the Palm Bay Community Hospital (a department of Holmes Regional Medical Center, Inc.) had more than 42,000 visits during the year regardless of ability to pay. In addition, the organization participates in several government-sponsored health care programs including but not limited to Medicare, Medicaid, Champus, and Tricare.The Heart Center at Holmes performs more cardiac procedures than all other hospitals in Brevard and provides patients with all-private rooms. As the only state-accredited Level II trauma center in Brevard and Indian River Counties, Holmes Trauma Center offers 24/7 trauma care and rapid patient transport via first flight aeromedical helicopter. Additionally, the birth suites mother/baby unit offers Brevard's first Level II neonatal ICU for our tiniest patients.Holmes is also proud to be the first hospital in Brevard to offer state-of-the-art robotics-assisted surgery for urology, prostate, and gynecological conditions, advanced anterior hip replacement and reverse shoulder surgeries. Holmes is currently the only hospital in Brevard to offer life-changing interventional neuro-radiology procedures for advanced stroke treatment.Holmes Regional Medical Center, Inc. reinvests their net operating income to sustain its mission and prepare for the future.
Part VI, Line 6:The roots of Health First run deep in Brevard, dating back to 1931 when Brevard Hospital first opened in Melbourne with 27 beds. Now known as Holmes Regional Medical Center (HRMC), the hospital is Brevard's largest, with 514 beds. Cape Canaveral Hospital (CCH) opened in 1962 with 44 beds, and has since grown to 150 beds. Palm Bay Hospital (PBH) opened in 1992 as a satellite of HRMC with 60 beds and has since grown to 152 beds. Viera Hospital (VH) opened in April of 2011 with 84 beds.Health First was formed when CCH, HRMC, and PBH joined together in August 1995 to create a truly integrated not-for-profit healthcare delivery system and fulfill a common mission of improving the health of our community. The first new services added in the Health First Family were Health First Physicians, opening in late 1995, and Health First Health Plans, opening in January 1996. Since then, we've also added Holmes Regional Trauma Center, Viera Hospital in April of 2011, Vitalwatch - electronic intensive care unit and many other services to our family.Other services include outpatient centers; the county's only trauma center; home care; specialized programs for cancer, diabetes, heart, stroke, and rehabilitative services; central Brevard's largest medical group; three fitness centers; and Medicare advantage, commercial POS, and commercial HMO health plans.Working together in a seamless system, Health First is devoted to integrating quality healthcare services with state-of-the-art technology. Health First also works together with other organizations and physicians in our community.Our associates are also actively building a healthier community through volunteering for organizations dedicated to preventing and treating health concerns such as cancer, diabetes, and heart disease. We're also proud of our associate giving program, supporting a variety of services and a patient and family care fund. Part VI, Line 7:Not applicable. Neither the filing organization nor any related organization files a community benefit report with any state other than the extent to which community benefit information is included in other reporting requirements, such as information provided to the Florida Hospital Association.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
Brevard Health Alliance
3661 Babcock StMelbourneFL32901900068515501(c)(3)$342,081Financial assistance to further advance the goals and mission of Brevard Health Alliance.
Health First Foundation
3300 Fiske BlvdRockledgeFL32955593528774501(c)(3)$48,053General support
Brevard County Board of Commissioners
400 Fortenberry RdMerritt IslandFL32952596000523$657,920Health services to Brevard County's Medicaid & underinsured population
Eastern Florida State College
1519 Clearlake RoadCocoaFL32955590920675501(c)(3)$28,515General Support
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Holmes Regional Medical Center Board monitors usage by each entity to assure funds raised are used appropriately.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (19 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Norberto Schechtmann MD
Medical Staff President (out-going)$0$414,347$0$0$0$6,366$0$0$0$16,657$0$437,370$0$0
James S Mitchell III
Exec VP COO HF Inc.$0$652,202$0$0$0$257,822$0$4,242$0$15,003$0$929,269$0$0
Joseph G Felkner
EVP/CFO$0$605,323$0$0$0$91,647$0$4,274$0$16,901$0$718,145$0$0
David E Mathias
SVP/Corporate Counsel$0$465,350$0$0$0$62,275$0$7,800$0$16,156$0$551,581$0$0
Sean J Gregory
President HRMC$0$489,059$0$0$0$88,016$0$0$0$16,156$0$593,231$0$0
Steven P Johnson
President/CEO HF$0$1,204,481$0$0$0$421,342$0$7,800$0$14,047$0$1,647,670$0$0
Robert R Wright
President Community Hosp (out-going)$0$234,240$0$0$0$375,138$0$4,729$0$18,477$0$632,584$0$0
Judith A Gizinski
COO PBH$0$205,956$0$0$0$3,568$0$5,882$0$16,312$0$231,718$0$0
Matthew E Troup
COO HRMC$0$295,908$0$0$0$4,760$0$0$0$14,869$0$315,537$0$0
Charles T Behl
Lead Pharmacist$0$153,144$0$0$0$1,837$0$4,827$0$16,735$0$176,543$0$0
Tia Marie Rossana
Pharmacist$0$181,580$0$0$0$155$0$5,774$0$6,592$0$194,101$0$0
Joseph Albert Gurri
VP Med Affairs HRMC$0$373,880$0$0$0$14,419$0$3,169$0$18,338$0$409,806$0$0
Marcia S Minnich-Barnes
Pharmacist$0$147,379$0$0$0$1,671$0$2,274$0$16,450$0$167,774$0$0
Kelly R Breedlove
Interim CNO Admin Dir Nursing$0$163,811$0$0$0$3,302$0$3,213$0$16,757$0$187,083$0$0
Nicholas E Pellegrino
Director$0$487$0$0$0$107,316$0$0$0$0$0$107,803$0$82,700
Brian J Bussen
Director$0$8,211$0$0$0$92,899$0$0$0$0$0$101,110$0$62,971
A Thomas Hollingsworth PhD
Director$0$8,119$0$0$0$77,862$0$0$0$0$0$85,981$0$54,675
Robert C Galloway
SVP CFO$0$14,516$0$0$0$100,493$0$0$0$0$0$115,009$0$0
Jerry Senne
President/CEO HRMC$0$67,220$0$0$0$727,585$0$0$0$0$0$794,805$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 4aThe following individuals received a severance payment for their service to Holmes Regional Medical Center, Inc.: Robert R. Wright $193,948 Jerry Senne $161,836
Form 990, Schedule J:Compensation is paid by Health First, Inc. EIN:59-3336894 and reimbursed by Holmes Regional Medical Center, Inc. Salary and benefit expenses disclosed in part IX is allocated to this entity. Amounts reported in Column F represent deferred compensation previously reported on prior years' Form 990. The filing organization relied on Health First for establishing the top management official's compensation. See Core 990, part VI, Section B, Line 15 on Schedule O for further information regarding the process utilized.

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole member of Holmes Regional Medical Center, Inc. is Health First, Inc., a Florida not-for-profit corporation that serves as the corporate parent of the health system.
Form 990, Part VI, Section A, line 7aHealth First, Inc. (HFI), a section 501(c)(3) exempt organization and the parent of the exempt healthcare system, is the sole corporate member of the filing organization.
Form 990, Part VI, Section A, line 7bPer the bylaws and the laws of the state of Florida, the administrative power of the corporation shall be vested in the Board of Directors which shall have charge, control and management of property, affairs and funds of the corporation. The Board of Directors shall not take any action with respect to the following without approval of the member: -Change in the mission, purpose or scope of the corporation and its operation; -Incurrence of debt or guarantee the debt of another; -Approval of the sale, lease, purchase, conveyance or other disposition of any real or personal property having a total capitalized cost in excess of $1,000,000; -Approval of the sale, lease, purchase, conveyance or other disposition of all or substantially all the assets of the organization; -Approval of annual operating and capital expenditure budgets and any material deviations therefrom; -Appointment or engagement of auditors, legal counsel or consultants; -Creation, acquisition, sale, purchase, dissolution or other disposition of any affiliated or controlled entity or joint venture or any interest in such entity; -Relocation, implementation or discontinuation of a major program service. -Capital expenditures and capital leases exceeding $1,000,000 in total.
Form 990, Part VI, Section B, line 11After review and approval by the Chief Financial Officer the Form 990 is sent to each member of the Board of Directors electronically for their review and approval prior to filing.
Form 990, Part VI, Section B, line 12cA copy of the Conflict of Interest policy is provided to all associates, including management, in which they review and electronically attest that they have agreed to the terms noted in the policy on an annual basis. In addition, Senior Leadership and BOD 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 15The salaries of our CEO and other Health First executives are reviewed and recommended annually to the Board of Trustees and approved in executive session by the full Board of Health First. Health First 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 Directors and Compensation Committee meetings. The process is documented contemporaneously in the Board and Committee meetings.
Form 990, Part VI, Section C, line 19Quarterly and annually consolidated financials and consolidated statistical information is filed electronically on www.dacbond.com and is 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 conflicts of interest policy is 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 to a related tax-exempt -42,604,715. Change in temporarily restricted net assets 260,322.
FORM 990, PART XII, QUESTION 2C, AUDITED FINANCIAL STATEMENT:The Audit Committee of Health First reviews and approves the annual audit and compliance audit plans then makes its report to the Health First Board of Directors. The Audit Committee is responsible for the selection of the independent auditors. There was no change from prior year.
FORM 990, PART IV, QUESTION 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, Inc. The parent of the obligated group, is filing Schedule K on behalf of itself and all members of the obligated group.
FORM 990, PART V, QUESTION 2A, NUMBER OF EMPLOYEES:Employees at Holmes Regional Medical Center, Inc. are included in the Form 941 filed by Health First, Inc. Ein: 59-3336894

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (5 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrganizationControlledOrganizationIndDirect Controlling NADirectControllingNACd
Cape Canaveral Hospital Inc
3300 Fiske BlvdRockledgeFL32955592477479HospitalFL501(c)(3)Line 3Health First IncYes (1)
Hospice of Health First Inc
3300 Fiske BlvdRockledgeFL32955591911574HealthcareFL501(c)(3)Line 9Health First IncYes (1)
Health First Foundation Inc
3300 Fiske BlvdRockledgeFL32955593528774FundraisingFL501(c)(3)Line 7Health First IncYes (1)
Health First Inc
3300 Fiske BlvdRockledgeFL32955593336894Support OrgFL501(c)(3)Line 11c, III-FI0N/A
Viera Hospital Inc
3300 Fiske BlvdRockledgeFL32955264019868HospitalFL501(c)(3)Line 3Health First IncYes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeTxtShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerIndOwnershipOwnershipPct
Health First Quickcare LLC
3300 Fiske BlvdRockledgeFL32955900520186HealthcareFLHolmes Regional Medical CenterRelated-$14,322$49,141000.51000
Doctors GI Partnership Ltd
3300 Fiske BlvdRockledgeFL32955593758988HealthcareFLHolmes Regional Medical CenterRelated$607,444$1,268,1810Yes (1)0.80000
Doctor's Surgical Partnership Ltd
3300 Fiske BlvdRockledgeFL32955593490279HealthcareFLHealth First IncRelated00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)

Address Line1USAddress/AddressLine1CityUSAddress/CityStateUSAddress/StateZIP CodeUSAddress/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Entity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Cape Health Properties Inc
3300 Fiske BlvdRockledgeFL32955593086711Real EstateFLCape Canaveral Hospital IncC0
Health First Medical Management Inc
3300 Fiske BlvdRockledgeFL32955593348252Health CareFLHealth First Holding CorpC0
Health First Physicians Inc
3300 Fiske BlvdRockledgeFL32955593346397Health CareFLHealth First Holding CorpC0
Holmes Regional Enterprises Inc
3300 Fiske BlvdRockledgeFL32955592109953Real EstateFLHealth First Holding CorpC0
Health First Health Plans Inc
3300 Fiske BlvdRockledgeFL32955593315064Health CareFLHealth First Holding CorpC0
Health First Insurance Inc
3300 Fiske BlvdRockledgeFL32955453131932Health CareFLHealth First Holding CorpC0
Health First Holding Company & Subs
3300 Fiske BlvdRockledgeFL32955593509709Holding Corp.FLHealth First IncC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other OrgYes (1)AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth OrgYes (1)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (9 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmt
Cape Canaveral Hospital Inc
J$86,463
Cape Canaveral Hospital Inc
L$733,060
Health First Foundation Inc
C$551,051
Health First Foundation Inc
J$69,738
Viera Hospital Inc
L$330,740
Viera Hospital Inc
M$74,456
Viera Hospital Inc
Q$89,550
Cape Canaveral Hospital Inc
Q$342,912
Hospice of Health First Inc
Q$118,664

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule R, Part V, Schedule R Disclosures:FormAndLineReferenceDesc
ExplanationAll transactions reported in this section are based upon corporate books and records which are kept according to Generally Accepted Accounting Standards.ExplanationTxt