VIERA HOSPITAL INC: Form 990, tax year 2013
View the entire original 990 at ProPublica ↗
- Organization
- VIERA HOSPITAL INC (EIN 26-4019868)
- Tax period
- 2013-10-01 to 2014-09-30
- Filed
- 2015-08-13
- IRS object ID
- 201542259349300819
- 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2015-08-13T07:38:53-05:00 | ReturnTs |
| Tax Period End | 2014-09-30 | 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 | McGladrey LLP | BusinessNameLine1 |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 S WACKER DRIVE STE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2013-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264019868 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Viera Hospital Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VIER | BusinessNameControlTxt |
| Phone | 3214345150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Fiske Blvd | AddressLine1 |
| City | Rockledge | City |
| State | FL | State |
| ZIP Code | 32955 | ZIPCode |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | Joseph G Felkner | PersonNm |
| Person Title | Exec VP/CFO | PersonTitleTxt |
| Phone | 3214345150 | PhoneNum |
| Signature | 2015-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (1) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | Wayne Harder | PreparerPersonNm |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2013 | TaxYr |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
| 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 | AddressLine1 |
| City | Rockledge | City |
| State | FL | State |
| ZIP Code | 32955 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $85,290,597 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | WWW.HEALTH-FIRST.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | Our team positively changing the health and well-being of you and your family through excellent and compassionate health care. | ActivityOrMissionDesc |
| Voting Members Governing Body | 18 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 9 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 543 | TotalVolunteersCnt |
| Total Gross UBI | $7,918 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $0 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $5,991 | PYContributionsGrantsAmt |
| CY Contributions Grants | $22,000 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $74,626,624 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $79,518,222 | CYProgramServiceRevenueAmt |
| PY Investment Income | $65,302 | PYInvestmentIncomeAmt |
| CY Investment Income | $28,308 | CYInvestmentIncomeAmt |
| PY Other Revenue | $506,960 | PYOtherRevenueAmt |
| CY Other Revenue | $104,324 | CYOtherRevenueAmt |
| PY Total Revenue | $75,204,877 | PYTotalRevenueAmt |
| CY Total Revenue | $79,672,854 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $5,500 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $0 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $30,580,535 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $27,683,279 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $44,706,599 | PYOtherExpensesAmt |
| CY Other Expenses | $47,029,344 | CYOtherExpensesAmt |
| PY Total Expenses | $75,292,634 | PYTotalExpensesAmt |
| CY Total Expenses | $74,712,623 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | -$87,757 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $4,960,231 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $175,513,280 | TotalAssetsBOYAmt |
| Total Assets EOY | $180,408,182 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $95,425,094 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $100,450,161 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $80,088,186 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $79,958,021 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | Our team positively changing the health and well-being of you and your family through excellent and compassionate health care. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $56,348,935 | ExpenseAmt |
| Revenue | $79,510,304 | RevenueAmt |
| Desc | Viera Hospital opened in April of 2011. The hospital has 84 all-private patient beds, 16 all-private observation beds, a 12-bed intensive care unit, full medical and surgical capabilities, inpatient diagnostic and lab services, Vitalwatch (remote electronic ICU) 2-way audio/video in all ICU rooms and ecaremobile critical care service units for every patient room. The hospital is hurricane hardened construction with state of the art technologies featured throughout. The hospital offers Da-Vinci Robotics Surgery.Viera Hospital is the cornerstone of the Viera Health Park Campus which includes two other integrated health care facilities within walking distance of one another; The Medical Plaza and The Pro-Health & Fitness Center Viera. Cutting edge technology is evident throughout the hospital including the very latest in Electronic Medical Records (EMR) - meaning no more paper records. Viera Hospital provides quality medical healthcare regardless of race, creed, gender, national origin, handicap, age or ability to pay, although reimbursement for services rendered is critical to the operation and stability of Viera Hospital, Inc. 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 healthcare services and healthcare 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, community education 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.cfm | Desc |
| Total Program Service Expenses | $56,348,935 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | 0 | 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 |
| Temp Or Permanent Endowments | 0 | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | 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 | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | 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 | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | 0 | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | 0 | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | 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 | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| 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 |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 18 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 9 | 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 | 0 | InvestmentInJointVentureInd |
| 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 | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3214345584 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Fiske Blvd | AddressLine1 |
| City | Rockledge | City |
| State | FL | State |
| ZIP Code | 32955 | ZIPCode |
Form990 Part VII Section A Form990PartVIISectionAGrp (31 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| James C Shaw | ||||||||||
| Chairman | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $7,719 | $0 | |||
| Catherine A Ford | ||||||||||
| Vice Chairman | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $10,007 | $0 | |||
| Richard McNeight | ||||||||||
| Secretary | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Martin W Isenman MD | ||||||||||
| Treasurer | 1.00 | 3.00 | Yes (X) | Yes (X) | $0 | $2,184 | $0 | |||
| Eugene S Cavallucci Esq | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $13,592 | $0 | ||||
| James Dwight | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $6,456 | $0 | ||||
| Pamela A Gatto | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $2,402 | $0 | ||||
| Frances U Pickett | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $4,663 | $0 | ||||
| Kevin B Steele | ||||||||||
| Director | 1.00 | 4.00 | Yes (X) | $0 | $0 | $0 | ||||
| Frank X Venzara Jr MD | ||||||||||
| Medical Staff President (out-going) | 1.00 | 0.00 | Yes (X) | $0 | $0 | $0 | ||||
| Cathy Eddy | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Donald F Hagen MD | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| William C Potter Esq | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Kevin S Pruett | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Bryan R Roub | ||||||||||
| Director | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Alan Prestwood | ||||||||||
| Director (in-coming) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| James Ridenour | ||||||||||
| Director (in-coming) | 1.00 | 3.00 | Yes (X) | $0 | $0 | $0 | ||||
| Steven P Johnson | ||||||||||
| President/CEO HF | 1.00 | 44.00 | Yes (X) | Yes (X) | $0 | $1,625,823 | $21,847 | |||
| Joseph G Felkner | ||||||||||
| EVP/CFO | 1.00 | 42.00 | Yes (X) | Yes (X) | $0 | $696,970 | $21,175 | |||
| Timothy Laird MD | ||||||||||
| Medical Staff President | 1.00 | 40.00 | Yes (X) | $0 | $258,179 | $2,482 | ||||
| Robert R Wright | ||||||||||
| President Community Hosp (out-going) | 13.00 | 28.00 | Yes (X) | $0 | $609,378 | $23,206 | ||||
| Deborah M Angerami | ||||||||||
| COO Viera Hospital | 40.00 | 0.00 | $0 | $176,702 | $13,004 | Yes (X) | ||||
| Alison La Marre | ||||||||||
| Pharmacist | 40.00 | 0.00 | $0 | $145,057 | $7,231 | Yes (X) | ||||
| Deborah Altenhof | ||||||||||
| Pharmacist (out-going) | 40.00 | 0.00 | $0 | $160,608 | $11,534 | Yes (X) | ||||
| Ricci DePascale | ||||||||||
| Pharmacist | 40.00 | 0.00 | $0 | $150,770 | $11,750 | Yes (X) | ||||
| Patricia Marks | ||||||||||
| Director Clinical Operations | 40.00 | 0.00 | $0 | $139,941 | $16,184 | Yes (X) | ||||
| Alexis A Berndt | ||||||||||
| Clinical Pharmacy Specialist | 40.00 | 0.00 | $0 | $118,927 | $10,153 | Yes (X) | ||||
| Nicholas E Pellegrino | ||||||||||
| Director | 0.00 | 0.00 | $0 | $107,803 | $0 | Yes (X) | ||||
| A Thomas Hollingsworth PhD | ||||||||||
| Director | 0.00 | 0.00 | $0 | $85,981 | $0 | Yes (X) | ||||
| Brian J Bussen | ||||||||||
| Director | 0.00 | 0.00 | $0 | $101,110 | $0 | Yes (X) | ||||
| Christopher S Kennedy | ||||||||||
| President Viera Hospital | 0.00 | 0.00 | $0 | $284,717 | $7,516 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $4,708,989 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $146,082 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | 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 (3 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1 | CityContractorAddress/USAddress/City | StateContractorAddress/USAddress/State | ZIP CodeContractorAddress/USAddress/ZIPCode | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Health First Inc | |||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | Management Support | $56,966,868 |
| Viera Medical Plaza at Viera Healthpark | |||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | Real Estate Services | $639,676 |
| Holmes Regional Medical Center Inc | |||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | Hospital Services | $420,290 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 3 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $22,000 | RelatedOrganizationsAmt |
| Total Contributions | $22,000 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| Patient Services | 621110 | $57,913,006 | $57,913,006 | |
| Medicare/Medicaid | 621110 | $21,213,973 | $21,213,973 | |
| Related Company Rent | 531120 | $383,325 | $383,325 | |
| Reference Lab | 621500 | $7,918 | $7,918 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $79,518,222 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $58,997 | TotalRevenueColumnAmt |
| Exclusion | $58,997 | ExclusionAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $349 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $0 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $349 | RealAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $349 | TotalRevenueColumnAmt |
| Exclusion | $349 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,587,054 | SecuritiesAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $5,601,103 | SecuritiesAmt |
| Other | $16,640 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$14,049 | SecuritiesAmt |
| Other | -$16,640 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$30,689 | TotalRevenueColumnAmt |
| Exclusion | -$30,689 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | Cafeteria/Catering | Desc |
| Business | 722210 | BusinessCd |
| Total Revenue Column | $8,212 | TotalRevenueColumnAmt |
| Exclusion | $8,212 | ExclusionAmt |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $95,763 | TotalRevenueColumnAmt |
| Exclusion | $95,763 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $103,975 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $79,672,854 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $79,510,304 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $7,918 | UnrelatedBusinessRevenueAmt |
| Exclusion | $132,632 | ExclusionAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,215,953 | TotalAmt |
| Management And General | $1,215,953 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $20,252,917 | TotalAmt |
| Program Services | $16,404,032 | ProgramServicesAmt |
| Management And General | $3,848,885 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $335,606 | TotalAmt |
| Program Services | $305,240 | ProgramServicesAmt |
| Management And General | $30,366 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,288,864 | TotalAmt |
| Program Services | $3,316,286 | ProgramServicesAmt |
| Management And General | $972,578 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,589,939 | TotalAmt |
| Program Services | $1,317,977 | ProgramServicesAmt |
| Management And General | $271,962 | ManagementAndGeneralAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $221,772 | TotalAmt |
| Management And General | $221,772 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $48,889 | TotalAmt |
| Management And General | $48,889 | ManagementAndGeneralAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,221,357 | TotalAmt |
| Program Services | $2,340,660 | ProgramServicesAmt |
| Management And General | $1,880,697 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $119,685 | TotalAmt |
| Program Services | $1,313 | ProgramServicesAmt |
| Management And General | $118,372 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $639,854 | TotalAmt |
| Program Services | $437,756 | ProgramServicesAmt |
| Management And General | $202,098 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,272,014 | TotalAmt |
| Program Services | $82,326 | ProgramServicesAmt |
| Management And General | $1,189,688 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,357,559 | TotalAmt |
| Program Services | $1,791,941 | ProgramServicesAmt |
| Management And General | $565,618 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,652 | TotalAmt |
| Program Services | $8,770 | ProgramServicesAmt |
| Management And General | $15,882 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,924 | TotalAmt |
| Program Services | $277 | ProgramServicesAmt |
| Management And General | $9,647 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,198,944 | TotalAmt |
| Program Services | $6,085,456 | ProgramServicesAmt |
| Management And General | $113,488 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,766,109 | TotalAmt |
| Program Services | $6,868,429 | ProgramServicesAmt |
| Management And General | $6,897,680 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $409,784 | TotalAmt |
| Management And General | $409,784 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| Medical Supplies | $13,779,180 | $13,779,180 | $0 |
| Maintenance & Repair | $2,158,640 | $2,037,399 | $121,241 |
| Florida Indigent Tax | $823,340 | $823,340 | |
| Licenses & Taxes | $27,831 | $21,686 | $6,145 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $949,810 | TotalAmt |
| Program Services | $726,867 | ProgramServicesAmt |
| Management And General | $222,943 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $74,712,623 | TotalAmt |
| Program Services | $56,348,935 | ProgramServicesAmt |
| Management And General | $18,363,688 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,942,321 | BOYAmt |
| EOY | $26,680,647 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,083,051 | BOYAmt |
| EOY | $9,244,403 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,323,435 | BOYAmt |
| EOY | $3,488,186 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $314,732 | BOYAmt |
| EOY | $357,938 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $171,600,606 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $41,629,102 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $140,002,301 | BOYAmt |
| EOY | $129,971,504 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,062,235 | BOYAmt |
| EOY | $1,020,578 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,785,205 | BOYAmt |
| EOY | $9,644,926 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,513,280 | BOYAmt |
| EOY | $180,408,182 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,876,297 | BOYAmt |
| EOY | $5,189,743 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $90,548,797 | BOYAmt |
| EOY | $95,260,418 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $95,425,094 | BOYAmt |
| EOY | $100,450,161 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,088,186 | BOYAmt |
| EOY | $79,958,021 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $80,088,186 | BOYAmt |
| EOY | $79,958,021 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $175,513,280 | BOYAmt |
| EOY | $180,408,182 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $4,960,231 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$5,090,396 | 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 | 0 | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
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 D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $124,422,289 | OtherCostOrOtherBasisAmt |
| Depreciation | $16,641,613 | DepreciationAmt |
| Book Value | $107,780,676 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,758,663 | OtherCostOrOtherBasisAmt |
| Depreciation | $638,321 | DepreciationAmt |
| Book Value | $1,120,342 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $45,240,784 | OtherCostOrOtherBasisAmt |
| Depreciation | $24,349,168 | DepreciationAmt |
| Book Value | $20,891,616 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $178,870 | OtherCostOrOtherBasisAmt |
| Book Value | $178,870 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $129,971,504 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| Assets Limited As To Use | $8,566,319 |
| Other Receivables | $1,075,214 |
| Foundation Funds | $3,393 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $9,644,926 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| Inter-Company Payable | $3,530,137 |
| Other Current Liabilities | $6,481,336 |
| Other Noncurrent Liabilities | $239,282 |
| Tax-Exempt Bond Held By Health First, Inc. | $85,009,663 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $95,260,418 | 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: The company 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. 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 attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | 0 | FPGReferenceDiscountedCareInd |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (1) | ExpensesExceedBudgetInd |
| Unable To Provide Care | 0 | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,433,652 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $526,873 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,906,779 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02550 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,764,593 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,017,048 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,747,545 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02340 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $823,340 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $823,340 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,021,585 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,543,921 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,477,664 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05990 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $8,527 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $8,527 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $307,313 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $307,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00410 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $117,277 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $117,277 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00160 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $13,532 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $13,532 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00020 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $446,649 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $446,649 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00600 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $7,468,234 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,543,921 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,924,313 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06590 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $1,419,750 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $680,587 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $19,196,925 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $28,382,722 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$9,185,797 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Viera Hospital | BusinessNameLine1 |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8745 N Wickman Rd | AddressLine1 |
| City | Melbourne | City |
| State | FL | State |
| ZIP Code | 32940 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Viera Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | See Part V, Section C | OwnWebsiteURLTxt |
| Rpt Available Upon Request | Yes (X) | RptAvailableUponRequestInd |
| Adopt Implementation Strategy | Yes (X) | AdoptImplementationStrategyInd |
| Exec Implementation Strategy | Yes (X) | ExecImplementationStrategyInd |
| Develop Community Wide Plan | Yes (X) | DevelopCommunityWidePlanInd |
| Exec Community Wide Plan | Yes (X) | ExecCommunityWidePlanInd |
| Adopt Budget | Yes (X) | AdoptBudgetInd |
| Prioritize Health Needs | Yes (X) | PrioritizeHealthNeedsInd |
| Prioritize Services | Yes (X) | PrioritizeServicesInd |
| All Needs Addressed | 0 | AllNeedsAddressedInd |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Used Deter Elig Free Care | Yes (1) | FPGUsedDeterEligFreeCareInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Used Determ Elig Dscnt Care | 0 | FPGUsedDetermEligDscntCareInd |
| Explained Basis | 0 | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| Posted On Website | Yes (X) | PostedOnWebsiteInd |
| Available On Request | Yes (X) | AvailableOnRequestInd |
| Other Publicity | Yes (X) | OtherPublicityInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (7 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Viera Hospital | Part V, Section 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 |
| Viera Hospital | Part V, Section B, Line 4: Part V, Sec B, Line 4: Holmes Regional Medical Center, Palm Bay Hospital, Cape Canaveral Hospital. |
| Viera Hospital | Part V, Section B, Line 5d: Hospital Websitewww.health-first.org/about_us/chna/viera_chna.pdf |
| Viera Hospital | Part V, Section 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. |
| Viera Hospital | 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. |
| Viera Hospital | Part V, Section B, Line 14g: Signage is posted in the emergency room, waiting rooms, & admissions, that the financial assistance policy is available upon request. |
| Viera Hospital | 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. |
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| 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 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 its current cost accounting system. The cost accounting system addresses all patient segments reported on, including, but not limited to inpatient, outpatient, Medicaid, uninsured, and Medicare.Part II: 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 localorganizations 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 stand alone 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 hospitals 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. |
| 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 align 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 at http://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 US Census data) and has grown to 554,117 persons 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 live 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 Viera Hospital, 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 $307k to support local students via training, education, and scholarship.The emergency department at Viera Hospital, Inc. had more than 18,000 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.Viera Hospital, Inc. reinvests its 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 plan, 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | 0 | 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 (13 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 HF | $0 | $1,204,481 | $0 | $0 | $0 | $421,342 | $0 | $7,800 | $0 | $14,047 | $0 | $1,647,670 | $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 |
| Timothy Laird MD | ||||||||||||||
| Medical Staff President | $0 | $256,521 | $0 | $0 | $0 | $1,658 | $0 | $0 | $0 | $2,482 | $0 | $260,661 | $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 |
| Deborah M Angerami | ||||||||||||||
| COO Viera Hospital | $0 | $176,145 | $0 | $0 | $0 | $557 | $0 | $5,038 | $0 | $7,966 | $0 | $189,706 | $0 | $0 |
| Alison La Marre | ||||||||||||||
| Pharmacist | $0 | $144,661 | $0 | $0 | $0 | $396 | $0 | $4,479 | $0 | $2,752 | $0 | $152,288 | $0 | $0 |
| Deborah Altenhof | ||||||||||||||
| Pharmacist (out-going) | $0 | $139,911 | $0 | $0 | $0 | $20,697 | $0 | $4,457 | $0 | $7,077 | $0 | $172,142 | $0 | $0 |
| Ricci DePascale | ||||||||||||||
| Pharmacist | $0 | $150,357 | $0 | $0 | $0 | $413 | $0 | $4,634 | $0 | $7,116 | $0 | $162,520 | $0 | $0 |
| Patricia Marks | ||||||||||||||
| Director Clinical Operations | $0 | $138,842 | $0 | $0 | $0 | $1,099 | $0 | $4,760 | $0 | $11,424 | $0 | $156,125 | $0 | $0 |
| Nicholas E Pellegrino | ||||||||||||||
| Director | $0 | $487 | $0 | $0 | $0 | $107,316 | $0 | $0 | $0 | $0 | $0 | $107,803 | $0 | $82,700 |
| A Thomas Hollingsworth PhD | ||||||||||||||
| Director | $0 | $8,119 | $0 | $0 | $0 | $77,862 | $0 | $0 | $0 | $0 | $0 | $85,981 | $0 | $54,675 |
| Brian J Bussen | ||||||||||||||
| Director | $0 | $8,211 | $0 | $0 | $0 | $92,899 | $0 | $0 | $0 | $0 | $0 | $101,110 | $0 | $62,971 |
| Christopher S Kennedy | ||||||||||||||
| President Viera Hospital | $0 | $25,265 | $0 | $0 | $0 | $259,452 | $0 | $0 | $0 | $7,516 | $0 | $292,233 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Part I, Line 4a | The following individuals received severance payments for their service to Health First, Inc.: Christopher Kennedy, $168,740 Deborah Altenhof, $20,508 Robert Wright, $193,948 |
| Schedule J, Part II Column F | Compensation is paid by Health First, Inc. EIN: 59-3336894 and reimbursed by Viera Hospital, Inc. Salary and benefit expenses disclosed in Part IX is allocated to this entity. Amounts reported in column (f) represent deferred compensation previousy 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, number 15 for further information regarding the process utilized. |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (11 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of Viera Hospital, 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 7a | Health 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 7b | Per 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 long-term debt or guarantee the debt of another; -approval of the sale, lease, purchase, conveyance or other disposition of any real or personal property having total capitalized cost in excess of $1,000,000; -approval of the sale, lease, purchase, conveyance or other disposition of all or substantially all of 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; -the repeal, amendment, or restatement of articles of incorporation and bylaws of the corporation; and -capital expenditures and capital leases exceeding $1,000,000 in total. |
| Form 990, Part VI, Section B, line 11 | After 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 12c | A 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 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 compensation process is determined by the parent company. The parent company's process is as follows: the salaries of our CEO and other health executives are reviewed and recommended annually to the Board of Directors 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 19 | Quarterly 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 and governing documents 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 -5,132,329. Unrealized gain 41,933. |
| FORM 990, PART XII, QUESTION 2C, AUDITED FINANCIAL STATEMENTS: | 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 Viera Hospital, 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/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Direct Controlling NADirectControllingNACd | Controlled OrganizationControlledOrganizationInd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Health First Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593336894 | Support Org. | FL | 501(C)(3) | Line 11c, III-FI | N/A | 0 | |
| Holmes Regional Medical Center Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 590624371 | Hospital | FL | 501(C)(3) | Line 3 | Yes (1) | Health First Inc | |
| Hospice Of Health First Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 591911574 | Healthcare | FL | 501(C)(3) | Line 9 | Yes (1) | Health First Inc | |
| Health First Foundation Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593528774 | Fundraising | FL | 501(C)(3) | Line 7 | Yes (1) | Health First Inc | |
| Cape Canaveral Hospital Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 592477479 | Hospital | FL | 501(C)(3) | Line 3 | Yes (1) | Health First Inc | |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeTypeTxt | Disproportionate AllocationsDisproportionateAllocationsInd | General Or Managing PartnerGeneralOrManagingPartnerInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Doctors GI Partnership Ltd | ||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593758988 | Healthcare | FL | Holmes Regional Medical Center | Related | 0 | 0 |
| Doctor's Surgical Partnership Ltd | ||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593490279 | Healthcare | FL | Health First Inc | Related | 0 | 0 |
| Health First Quickcare LLC | ||||||||||
| 6450 US Highway 1 | Rockledge | FL | 32955 | 900520186 | Healthcare | FL | Holmes Regional Medical Center | Related | 0 | 0 |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (7 entries)
| Address Line1USAddress/AddressLine1 | CityUSAddress/City | StateUSAddress/State | ZIP CodeUSAddress/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|
| Cape Health Properties Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593086711 | Real Estate | FL | Cape Canaveral Hospital Inc | C | 0 |
| Health First Medical Management Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593348252 | Health Care | FL | Health First Holding Corp | C | 0 |
| Health First Physicians Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593346397 | Health Care | FL | Health First Holding Corp | C | 0 |
| Holmes Regional Enterprises Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 592109953 | Real Estate | FL | Health First Holding Corp | C | 0 |
| Health First Health Plans Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593315064 | Health Care | FL | Health First Holding Corp | C | 0 |
| Health First Insurance Inc | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 453131932 | Health Care | FL | Health First Holding Corp | C | 0 |
| Health First Holding Company & Subs | |||||||||
| 3300 Fiske Blvd | Rockledge | FL | 32955 | 593509709 | Holding Corp. | FL | Health First Inc | C | 0 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | 0 | 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 | Yes (1) | 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 | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | 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 (3 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt |
|---|---|
| Holmes Regional Medical Center Inc | |
| L | $74,456 |
| Holmes Regional Medical Center Inc | |
| M | $330,740 |
| Holmes Regional Medical Center Inc | |
| P | $89,550 |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART V, SCHEDULE R DISCLOSURES: | FormAndLineReferenceDesc |
| Explanation | All transactions reported in this section are based upon corporate books and records which are kept according to Generally Accepted Accounting Standards. | ExplanationTxt |