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HOSPICE OF HEALTH FIRST INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
HOSPICE OF HEALTH FIRST INC (EIN 59-1911574)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201402259349300530
Schema version
2012v2.1
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)
Timestamp2014-08-13T08:21:12-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11 SWACKER DRIVE STE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN591911574EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Hospice of Health First IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOSPNameControl
Phone3214345150Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameJoseph G FelknerName
TitleExec VP/CFOTitle
Phone3214345150Phone
Date Signed2014-07-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWayne HarderName
PTINP00294296PTIN
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteven P JohnsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
Gross Receipts10421667GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HEALTH-FIRST.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1978YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionOur team positively changing the health and well-being of you and your family through excellent and compassionate health care.ActivityOrMissionDescription
Nbr Voting Members Governing Body12NbrVotingMembersGoverningBody
Nbr Independent Voting Members9NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers237TotalNbrVolunteers
Total Gross UBI0TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year132160ContributionsGrantsPriorYear
Contributions Grants Current Year573659ContributionsGrantsCurrentYear
Program Service Revenue Prior Year9040569ProgramServiceRevenuePriorYear
Program Service Revenue CY9826310ProgramServiceRevenueCY
Investment Income Prior Year18849InvestmentIncomePriorYear
Investment Income Current Year20426InvestmentIncomeCurrentYear
Other Revenue Prior Year1068OtherRevenuePriorYear
Other Revenue Current Year1272OtherRevenueCurrentYear
Total Revenue Prior Year9192646TotalRevenuePriorYear
Total Revenue Current Year10421667TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year1716075GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year4385995SalariesEtcPriorYear
Salaries Etc Current Year5142757SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year3101252OtherExpensePriorYear
Other Expenses Current Year3254852OtherExpensesCurrentYear
Total Expenses Prior Year9203322TotalExpensesPriorYear
Total Expenses Current Year8397609TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-10676RevenuesLessExpensesPriorYear
Revenues Less Expenses CY2024058RevenuesLessExpensesCY
Total Assets BOY29713065TotalAssetsBOY
Total Assets EOY30191838TotalAssetsEOY
Total Liabilities BOY2925330TotalLiabilitiesBOY
Total Liabilities EOY2678485TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY26787735NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY27513353NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOur team positively changing the health and well-being of you andyour family through excellent and compassionate health care.For more than 25 years, Hospice of Health First has been leadinghospice care in Brevard County, FL. Hospice enables patients toremain at home during most or all of their illness, relatively freefrom pain, surrounded by family and friends, and living life as fullyas possible.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense7705669Expense
Revenue9826310Revenue
DescriptionHospice of Health First, Inc. Provides care to the terminally ill and their families by furnishing pain control and symptom management across the health care continuum (hospital, home, nursing home, & ALF) as well as educational and bereavement programs to enhance the coping abilities of families.In Fiscal Year 2013, Hospice of Health First, Inc., which includes Home Care and The William Childs Hospice House provided 58,280 days of Care. Patients and families were provided a total of 2,878 Crisis Care hours (11,513 billable units) in the home and 1,439 un-billable hours of respite care.Volunteers gave a total of 14,318 hours of service which equals $318,000.00 in cost-saving dollars. Bereavement Services were offered to 1,100 surviving care givers. This included Suddenly Alone Support Groups, Moving Along Support Groups, New Beginning Social Groups, Men and Ladies Breakfast Social Groups and the Bright Star Center for Grieving Children and their families.Major program accomplishments include: Hospice of Health First hired 3Associate Medical Directors. The 1 Full Time and 3 Associate MedicalDirectors are available to make home visits, consult with other physicians, participate in weekly Interdisciplinary Team Meetings and 24 Hour 7 Day a week physician coverage for all patient care settings.For a copy of our Community Benefit Report visit: http://hfwww1.health-first.org/about_us/gives_back/community_report.cfmDescription
Total Program Service Expense7705669TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital0Hospital
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income0UnrelatedBusinessIncome
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members12NbrVotingGoverningBodyMembers
Number Independent Voting Members9NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Joseph G FelknerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3214345150TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (17 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
John H Thistle IV
Vice Chairman1.000.00XX000
Patricia D Pruitt
Chairman1.001.00XX000
Robin M Petersen Esq
Secretary/Treasurer1.000.00XX000
Robert R Wright
President Community Hosp1.0040.00XX052153326132
John Campbell MD
Director1.000.00X000
Edward A Andre
Director1.000.00X000
Michael C Brownlie
Director1.000.00X000
Rev Robert M Bruckart PhD
Director1.0040.00X012966719297
Madeline Childs
Director1.000.00X000
Marge Knopf
Director1.000.00X000
Steven P Johnson
President/CEO HF1.0044.00XX0132080413203
Ruddy Ruiz MD
Director1.000.00X099783146681
Drew Rector
President1.0040.00XX067676116281
Leonor Zies MD
Director1.000.00X000
Steve Batchelor Emeritus
Director Emeritus1.000.00X000
Roberta VanDusen
Executive Director Hospice40.000.0001321946720X
Michael D Means
President CEO HF (out-going)1.0041.0003563731111X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3237115TotalReportableCompFrmRltdOrgs
Total Other Compensation229425TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation

Name Of Contractor NameOfContractor

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Health First IncBusinessNameLine1

Address Of Contractor AddressOfContractor

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
Description Of ServicesManagement SupportDescriptionOfServices
Compensation6623432Compensation
FieldValueIRS element (for citing)
Number Of Contractors GT100 K1NumberOfContractorsGT100K
Related Organizations573659RelatedOrganizations
Total Contributions573659TotalContributions

Program Service Revenue ProgramServiceRevenue (2 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
Patient Service Rev.62410098243549824354
Rent Income53112019561956
FieldValueIRS element (for citing)
Total Program Service Revenue9826310TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column20426TotalRevenueColumn
Exclusion$20,426ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column1272TotalRevenueColumn
Exclusion$1,272ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue1272TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column10421667TotalRevenueColumn
Related Or Exempt Function Income9826310RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$21,698ExclusionAmount

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total3955266Total
Program Services3832829ProgramServices
Management And General122437ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total79293Total
Program Services78060ProgramServices
Management And General1233ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total801937Total
Program Services767239ProgramServices
Management And General34698ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total306261Total
Program Services295409ProgramServices
Management And General10852ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total13356Total
Management And General13356ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total717321Total
Program Services607785ProgramServices
Management And General109536ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total15291Total
Program Services3147ProgramServices
Management And General12144ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total482810Total
Program Services479654ProgramServices
Management And General3156ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total171322Total
Program Services801ProgramServices
Management And General170521ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total223352Total
Program Services121489ProgramServices
Management And General101863ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total219467Total
Program Services218591ProgramServices
Management And General876ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total972Total
Program Services780ProgramServices
Management And General192ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total5064Total
Management And General5064ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total220443Total
Program Services202971ProgramServices
Management And General17472ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total68680Total
Management And General68680ManagementAndGeneral

Other Expenses OtherExpenses (3 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies805432805252180
Maintenance & Repair26241246211620
Licenses & Taxes1285112647204

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total272250Total
Program Services254394ProgramServices
Management And General17856ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total8397609Total
Program Services7705669ProgramServices
Management And General691940ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY13414503BOY
EOY13485423EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY1010878BOY
EOY1463688EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis4840300LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1872931LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY3150706BOY
EOY2967369EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY10501913BOY
EOY10522339EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1635065BOY
EOY1753019EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY29713065BOY
EOY30191838EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY479977BOY
EOY421728EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY2445353BOY
EOY2256757EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY2925330BOY
EOY2678485EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY25169106BOY
EOY25910327EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1618629BOY
EOY1603026EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY26787735BOY
EOY27513353EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY29713065BOY
EOY30191838EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses2024058ReconcilationRevenueExpenses
Reconcilation Other Changes-1298440ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus3 Years543536CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years181925CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year132160CurrentTaxYearMinus1Year
Current Tax Year573659CurrentTaxYear
Total1431280Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11295466CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10157622CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10049434CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9040569CurrentTaxYearMinus1Year
Current Tax Year9826310CurrentTaxYear
Total50369401Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11295466CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10701158CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10231359CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9172729CurrentTaxYearMinus1Year
Current Tax Year10399969CurrentTaxYear
Total51800681Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Total0Total
FieldValueIRS element (for citing)
Public Support Total50951800681PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years78715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28861CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20094CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18849CurrentTaxYearMinus1Year
Current Tax Year20426CurrentTaxYear
Total166945Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years78715CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years28861CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years20094CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year18849CurrentTaxYearMinus1Year
Current Tax Year20426CurrentTaxYear
Total166945Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years35523CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years4946CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years1308CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year1068CurrentTaxYearMinus1Year
Current Tax Year1272CurrentTaxYear
Total44117Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years11409704CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years10734965CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years10252761CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year9192646CurrentTaxYearMinus1Year
Current Tax Year10421667CurrentTaxYear
Total52011743Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99590PublicSupportPercentage509
Prior Year Support Percentage0.98990PriorYearSupportPercentage
Investment Income Percentage0.00320InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00930PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis3733164OtherCostOrOtherBasis
Depreciation1116066Depreciation
Book Value2617098BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis261724OtherCostOrOtherBasis
Depreciation74746Depreciation
Book Value186978BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis845412OtherCostOrOtherBasis
Depreciation682119Depreciation
Book Value163293BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Book Value0BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings2967369TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
DescriptionDemand Note - Health First, Inc.Description
Book Value10522339BookValue
Method Of ValuationCMethodOfValuation
FieldValueIRS element (for citing)
Total Of Book Value Program Related10522339TotalOfBookValueProgramRelated

Other Assets OtherAssets (2 entries)

DescriptionDescriptionBook ValueBookValue
Foundation Funds17272
Assets Limited as to Use1735747
FieldValueIRS element (for citing)
Total Book Value Other Assets1753019TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
Due to Affiliates$535,642
Other Current Liabilities$1,721,115
FieldValueIRS element (for citing)
Total Of Amounts2256757TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationFIN 48 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, respectively. Accordingly, no provision for income taxes is made in the accompanying financial statements. AC 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.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Robert R Wright
President Community Hosp0389982000131551076000185320547665013995
Steven P Johnson
President/CEO HF010817500002390540001320301334007021758
Ruddy Ruiz MD
Director0997830000000009978300
Drew Rector
President05772810009948000016281069304200
Michael D Means
President CEO HF (out-going)0230189000126184048706240357484047756

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Lines 4a-bThe following individuals received severance payments for their service to Health First, Inc.: Roberta VanDusen, $60,925 Health First, Inc. has a non-qualified SERP for certain executives. The SERP was terminated during the 2012 tax year, and all amounts deferred were paid out. The payouts are included in column B(iii), and there is no representation per column C as the payout was made in the same year. Amounts reported as deferred in prior years have now been paid out with the closure of the plan and are included with column B(iii) and represented per column F due to prior deferral. Below are the 2012 deferred/payout amounts: Robert Wright, $2,613 Steven Johnson, 183,012 Drew Rector, 101,719 Ruddy Ruiz, MD received payments of $146,681 from Health First, Inc. reported in Box 6 of 1099-MISC. This compensation is not reported on Schedule J, Part II.
Part IIICompensation is paid by Health First, Inc. EIN: 59-3336894 and reimbursed by hospice of Health First, 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, Number 15 for further information regarding the process utilized.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Form 990, Part VI, Section A, line 6The sole member of Hospice of Health First, 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 all or substantially all of the assets of the organization. -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 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.
Form 990, Part VI, Section B, line 12cA copy of the Conflict of Interest policy is provided to all BOD members, officers, management, and associates in which they review and sign that they have agreed to the terms noted in the policy on an annual basis. In addition, all management, officers, and BOD members on an annual basis are required to fill out a conflict of interest questionnaire prepared and monitored by the Chief Compliance Officer. The questionnaire requires an attestation in regards to stating 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 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 19Form 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.
Form 990, Part XI, line 9:Transfer of net assets to a related tax-exempt -1,282,839. Change in temporary restricted net assets -15,601.Changes in Net Assets or Fund Balances:
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 years.
FORM 990, PART V, QUESTION 2A, NUMBER OF EMPLOYEES:Employees at Hospice of Health First, Inc. are included in the Form 941 filed by Health First, Inc. EIN: 59-3336894.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrgDirect Controlling Entity NADirectControllingEntityNA
Holmes Regional Medical Center Inc
3300 Fiske BlvdRockledgeFL32955590624371HospitalFL501(c)(3)Line 3Health First Inc1
Cape Canaveral Hospital Inc
3300 Fiske BlvdRockledgeFL32955592477479HospitalFL501(c)(3)Line 3Health First Inc1
Health First Foundation Inc
3300 Fiske BlvdRockledgeFL32955593528774FundraisingFL501(c)(3)Line 7Health First Inc1
Health First Inc
3300 Fiske BlvdRockledgeFL32955593336894Support Org.FL501(c)(3)Line 11c, III-FI0N/A
Viera Hospital Inc
3300 Fiske BlvdRockledgeFL32955264019868HospitalFL501(c)(3)Line 3Health First Inc1

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
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 Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org0ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (2 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Health First Foundation Inc
C573659
Health First Foundation Inc
M148295

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceFORM 990, SCHEDULE R, PART V, SCHEDULE R DISCLOSURES:ReturnReference
ExplanationAll transactions reported in this section are based upon corporate books and records which are kept according to Generally Accepted Accounting Standards.Explanation