HEALTH FIRST INC: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- HEALTH FIRST INC (EIN 59-3528774)
- Tax period
- 2012-10-01 to 2013-09-30
- Filed
- 2014-08-13
- IRS object ID
- 201402259349300825
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule D
- Schedule G
- Schedule I
- Schedule J
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-08-13T08:19:27-05:00 | Timestamp |
| Tax Period End Date | 2013-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 420714325 | EIN |
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MCGLADREY LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 1 SWACKER DRIVE STE 800 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593528774 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health First Foundation Inc | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | HEAL | NameControl |
| Phone | 3214345150 | Phone |
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 |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Joseph G Felkner | Name |
| Title | Exec VP/CFO | Title |
| Phone | 3214345150 | Phone |
| Date Signed | 2014-07-28 | DateSigned |
| Authorize Third Party | 1 | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | Wayne Harder | Name |
| PTIN | P00294296 | PTIN |
| Phone | 3126343400 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEVEN P JOHNSON | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| 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 | 3017248 | GrossReceipts |
| Group Return For Affiliates | 0 | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.HEALTH-FIRST.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1998 | YearFormation |
| State Legal Domicile | FL | StateLegalDomicile |
| Activity Or Mission Description | The Health First Foundation helps improve the health and well-being of residents in our community by raising funds to support and advance the mission of Health First and its family of charitable healthcare providers.These include four not-for-profit hospitals - Cape Canaveral Hospital, Holmes Regional Medical Center, Palm Bay Hospital, and Viera Hospital - as well as Hospice of Health First, the Health First Aging Institute, and other not-for-profit affiliates. Generous donations help advance patient care, provide lifesaving programs and services, upgrade equipment and technologies and extend health care to anyone in need regardless of their ability to pay. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 28 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 27 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 179 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 2122849 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 2143340 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 0 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 0 | ProgramServiceRevenueCY |
| Investment Income Prior Year | -11730 | InvestmentIncomePriorYear |
| Investment Income Current Year | 130 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 449732 | OtherRevenuePriorYear |
| Other Revenue Current Year | 493816 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 2560851 | TotalRevenuePriorYear |
| Total Revenue Current Year | 2637286 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 1266673 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 1772610 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 837696 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 723632 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 514128 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 325007 | OtherExpensePriorYear |
| Other Expenses Current Year | 291272 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 2429376 | TotalExpensesPriorYear |
| Total Expenses Current Year | 2787514 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 131475 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | -150228 | RevenuesLessExpensesCY |
| Total Assets BOY | 4510593 | TotalAssetsBOY |
| Total Assets EOY | 4511553 | TotalAssetsEOY |
| Total Liabilities BOY | 2192830 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 1842094 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 2317763 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 2669459 | NetAssetsOrFundBalancesEOY |
| Mission Description | Our team positively changing the health and well-being of you andyour family through excellent and compassionate health care. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 1772610 | Expense |
| Grants | 1772610 | Grants |
| Description | In fiscal year 2013, more than 4,000 generous individuals, foundations, corporations, and other organizations supported the Health First Foundation. Their contributions help strengthen and expand Health First's level of service to our patients and our community. Gifts were used to improve and renovate hospital facilities, purchase life-saving medical equipment, enhance patient care, provide continuing nursing education, offer caregiver support and grief counseling for families, as well as provide and award scholarships for students pursuing degrees related to the medical field. | Description |
| Total Program Service Expense | 1772610 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| Subject To Proxy Tax | 0 | SubjectToProxyTax |
| Donor Advised Funds | 0 | DonorAdvisedFunds |
| Conservation Easements | 0 | ConservationEasements |
| Collections Of Art | 0 | CollectionsOfArt |
| Credit Counseling | 0 | CreditCounseling |
| Term Or Permanent Endowments | 1 | TermOrPermanentEndowments |
| Report Land Bldg Equip | 1 | ReportLandBldgEquip |
| Report Invest Oth Securities | 0 | ReportInvestOthSecurities |
| Report Prog Rel Invest | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 1 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 0 | Hospital |
| Grants To Organizations | 1 | GrantsToOrganizations |
| Grants To Individuals | 1 | GrantsToIndividuals |
| Schedule J Required | 1 | ScheduleJRequired |
| Tax Exempt Bonds | 0 | TaxExemptBonds |
| Excess Benefit Transaction | 0 | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | 0 | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | 0 | LoanToOfficerOrDQP |
| Grant To Related Person | 0 | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | 0 | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | 0 | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | 0 | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | 1 | DeductibleNonCashContributions |
| Deductible Contributions Of Art | 0 | DeductibleContributionsOfArt |
| Terminated | 0 | Terminated |
| Partial Liquidation | 0 | PartialLiquidation |
| Disregarded Entity | 0 | DisregardedEntity |
| Related Entity | 1 | RelatedEntity |
| Related Org Controlled Entity | 1 | RelatedOrgControlledEntity |
| Transaction Related Entity | 1 | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | 0 | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | 0 | ActivitiesConductedPartnership |
| Schedule O Required | 1 | ScheduleORequired |
| Info In Schedule O Part V | X | InfoInScheduleOPartV |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 1 | QuidProQuoContributions |
| Quid Pro Quo Disclosure | 1 | QuidProQuoDisclosure |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | 0 | FundsToPayPremiums |
| Premiums Paid | 0 | PremiumsPaid |
| Indoor Tanning Services | 0 | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 28 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 27 | NumberIndependentVotingMembers |
| Family Or Business Relationship | 0 | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | 0 | DelegationOfManagementDuties |
| Changes To Organizing Docs | 0 | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuse |
| Members Or Stockholders | 1 | MembersOrStockholders |
| Election Of Board Members | 1 | ElectionOfBoardMembers |
| Decisions Subject To Approval | 1 | DecisionsSubjectToApproval |
| Minutes Of Governing Body | 1 | MinutesOfGoverningBody |
| Minutes Of Committees | 1 | MinutesOfCommittees |
| Officer Mailing Address | 0 | OfficerMailingAddress |
| Local Chapters | 0 | LocalChapters |
| Form990 Provided To Governing Body | 1 | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | 1 | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | 1 | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | 1 | RegularMonitoringEnforcement |
| Whistleblower Policy | 1 | WhistleblowerPolicy |
| Document Retention Policy | 1 | DocumentRetentionPolicy |
| Compensation Process CEO | 1 | CompensationProcessCEO |
| Compensation Process Other | 1 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Joseph G Felkner | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 3214345150 | TelephoneNumber |
Address US AddressUS
| 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 Form990PartVIISectionA (36 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| Nancy Taylor | |||||||||
| Chairman | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| Rick Theisen | |||||||||
| Vice Chairman | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| Patricia D Pruitt | |||||||||
| Treasurer | 1.00 | 1.00 | X | X | 0 | 0 | 0 | ||
| John K Stark | |||||||||
| Secretary | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| Wendy S Brandon | |||||||||
| Immediate Past Chairman | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Gobivenkata Balaji | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Scott M Baughan Esq | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Richard C Beagley | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Patrick T Biddix | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Larry S Bishop MD | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Kimberly Brown | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Melissa Flammio Clark | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Carl D Coddington Jr | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Linda G Coleman | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Rochelle Cooper | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Robert Dow | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| J Timothy Dwight | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Evelyn E Foster | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Coleman Goatley | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Myra Igo Haley | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Robert J Mandel | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Paula G Molnar | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Barry F Richardson | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Charles F Scanlon | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Kevin B Steele | |||||||||
| Director | 1.00 | 4.00 | X | 0 | 0 | 22800 | |||
| Michael Dana | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Bobbie Dyer | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| William Troner | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Henry T Goode | |||||||||
| Director | 1.00 | 0.00 | X | 0 | 0 | 0 | |||
| Dale A Dettmer Esq | |||||||||
| Vice Chairman (effective May 2013) | 1.00 | 0.00 | X | X | 0 | 0 | 0 | ||
| Steven P Johnson | |||||||||
| President/CEO HF | 1.00 | 44.00 | X | X | 0 | 1320804 | 13203 | ||
| Mindy F Thompson | |||||||||
| Phys Office Svsr Clinic RN | 1.00 | 40.00 | X | 0 | 41220 | 21 | |||
| Jeanene Elizabeth Donilon | |||||||||
| Director Individual Giving | 40.00 | 0.00 | 0 | 118928 | 17062 | X | |||
| Jane McCallum | |||||||||
| Director Corp Annual Giving | 40.00 | 0.00 | 0 | 120584 | 14431 | X | |||
| Michael D Means | |||||||||
| Director (out-going) | 1.00 | 41.00 | 0 | 356373 | 1111 | X | |||
| Larry F Garrison | |||||||||
| EVP/COO (out-going) | 1.00 | 40.00 | 0 | 131995 | 905 | X | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 2089904 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 69533 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 1 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation
Name Of Contractor NameOfContractor
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Health First Inc | BusinessNameLine1 |
Address Of Contractor AddressOfContractor
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 Fiske Blvd | AddressLine1 |
| City | Rockledge | City |
| State | FL | State |
| ZIP Code | 329554305 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description Of Services | Management Support | DescriptionOfServices |
| Compensation | 953948 | Compensation |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 1 | NumberOfContractorsGT100K |
| Fundraising Events | 324526 | FundraisingEvents |
| Related Organizations | 84352 | RelatedOrganizations |
| All Other Contributions | 1734462 | AllOtherContributions |
| Noncash Contributions | 135055 | NoncashContributions |
| Total Contributions | 2143340 | TotalContributions |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 130 | TotalRevenueColumn |
| Exclusion | $130 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Income Fundraising Events | 872590 | GrossIncomeFundraisingEvents |
| Cntrbtns Rprtd Fundraising Events | 324526 | CntrbtnsRprtdFundraisingEvents |
| Fundraising Direct Expenses | 379962 | FundraisingDirectExpenses |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 492628 | TotalRevenueColumn |
| Exclusion | $492,628 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1188 | TotalRevenueColumn |
| Exclusion | $1,188 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 1188 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2637286 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $493,946 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1755610 | Total |
| Program Services | 1755610 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17000 | Total |
| Program Services | 17000 | ProgramServices |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 267034 | Total |
| Management And General | 267034 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 286591 | Total |
| Management And General | 99325 | ManagementAndGeneral |
| Fundraising | 187266 | Fundraising |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10011 | Total |
| Management And General | 1705 | ManagementAndGeneral |
| Fundraising | 8306 | Fundraising |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 116442 | Total |
| Management And General | 22457 | ManagementAndGeneral |
| Fundraising | 93985 | Fundraising |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 43554 | Total |
| Management And General | 5352 | ManagementAndGeneral |
| Fundraising | 38202 | Fundraising |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10320 | Total |
| Management And General | 10320 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 36381 | Total |
| Management And General | 23580 | ManagementAndGeneral |
| Fundraising | 12801 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 24175 | Total |
| Management And General | 1968 | ManagementAndGeneral |
| Fundraising | 22207 | Fundraising |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 23205 | Total |
| Management And General | 2088 | ManagementAndGeneral |
| Fundraising | 21117 | Fundraising |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 50910 | Total |
| Management And General | 31249 | ManagementAndGeneral |
| Fundraising | 19661 | Fundraising |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 75122 | Total |
| Management And General | 1884 | ManagementAndGeneral |
| Fundraising | 73238 | Fundraising |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5035 | Total |
| Management And General | 264 | ManagementAndGeneral |
| Fundraising | 4771 | Fundraising |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1622 | Total |
| Management And General | 120 | ManagementAndGeneral |
| Fundraising | 1502 | Fundraising |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 828 | Total |
| Management And General | 828 | ManagementAndGeneral |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 19159 | Total |
| Management And General | 10332 | ManagementAndGeneral |
| Fundraising | 8827 | Fundraising |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 10870 | Total |
| Management And General | 10870 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Management And GeneralManagementAndGeneral | FundraisingFundraising |
|---|---|---|---|
| Catering | 98679 | 396 | 98283 |
| Maintenance & Repair | 1692 | 1512 | 180 |
| Licenses & Taxes | 458 | 108 | 350 |
| Fundraising Exp Pt VIII | -244907 | -244907 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 177723 | Total |
| Management And General | 9384 | ManagementAndGeneral |
| Fundraising | 168339 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2787514 | Total |
| Program Services | 1772610 | ProgramServices |
| Management And General | 500776 | ManagementAndGeneral |
| Fundraising | 514128 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 986402 | BOY |
| EOY | 584120 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 517003 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 602692 | BOY |
| EOY | 560722 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1524 | BOY |
| EOY | 17500 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 82368 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 72423 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18328 | BOY |
| EOY | 9945 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2901647 | BOY |
| EOY | 2822263 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4510593 | BOY |
| EOY | 4511553 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 162822 | BOY |
| EOY | 145242 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 160884 | BOY |
| EOY | 31946 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1869124 | BOY |
| EOY | 1664906 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2192830 | BOY |
| EOY | 1842094 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 649504 | BOY |
| EOY | 1037665 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1668259 | BOY |
| EOY | 1631794 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2317763 | BOY |
| EOY | 2669459 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4510593 | BOY |
| EOY | 4511553 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -150228 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 501924 | ReconcilationOtherChanges |
| Info In Schedule O Part XII | X | InfoInScheduleOPartXII |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | 0 | AccountantCompileOrReview |
| FS Audited | 1 | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | 1 | AuditCommittee |
| Federal Grant Audit Required | 0 | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Publicly Supported Org170b1 Avi | X | PubliclySupportedOrg170b1Avi |
Gifts Grants Contrib Received170 GiftsGrantsContribReceived170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1123345 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1438265 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 988381 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 889461 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1537360 | CurrentTaxYear |
| Total | 5976812 | Total |
Total170 Total170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 1123345 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 1438265 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 988381 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 889461 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1537360 | CurrentTaxYear |
| Total | 5976812 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Amounts Subst Contributors Total | 877356 | AmountsSubstContributorsTotal |
| Public Support Total170 | 5099456 | PublicSupportTotal170 |
Gross Investment Income170 GrossInvestmentIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 7258 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 225 | CurrentTaxYearMinus3Years |
| Current Tax Year | 130 | CurrentTaxYear |
| Total | 7613 | Total |
Other Income170 OtherIncome170
| Field | Value | IRS element (for citing) |
|---|---|---|
| Current Tax Year Minus4 Years | 64 | CurrentTaxYearMinus4Years |
| Current Tax Year Minus3 Years | 48 | CurrentTaxYearMinus3Years |
| Current Tax Year Minus2 Years | 1332 | CurrentTaxYearMinus2Years |
| Current Tax Year Minus1 Year | 972 | CurrentTaxYearMinus1Year |
| Current Tax Year | 1188 | CurrentTaxYear |
| Total | 3604 | Total |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Support | 5988029 | TotalSupport |
| Public Support Pertcentage170 | 0.85160 | PublicSupportPertcentage170 |
| Public Support Pertcent Prior Year | 0.43470 | PublicSupportPertcentPriorYear |
| Thirty Three Percnt Tests CY170 | X | ThirtyThreePercntTestsCY170 |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| 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) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule D IRS990ScheduleD
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 403279 | BeginningOfYearBalance |
| Contributions | 113094 | Contributions |
| Investment Earnings Or Losses | 654 | InvestmentEarningsOrLosses |
| Administrative Expenses | 25 | AdministrativeExpenses |
| End Of Year Balance | 517002 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 97657 | BeginningOfYearBalance |
| Contributions | 304945 | Contributions |
| Investment Earnings Or Losses | 772 | InvestmentEarningsOrLosses |
| Administrative Expenses | 95 | AdministrativeExpenses |
| End Of Year Balance | 403279 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 97610 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 333 | InvestmentEarningsOrLosses |
| Administrative Expenses | 286 | AdministrativeExpenses |
| End Of Year Balance | 97657 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 47504 | BeginningOfYearBalance |
| Contributions | 50000 | Contributions |
| Investment Earnings Or Losses | 11 | InvestmentEarningsOrLosses |
| Administrative Expenses | -95 | AdministrativeExpenses |
| End Of Year Balance | 97610 | EndOfYearBalance |
Current Year Minus4 Years CurrentYearMinus4Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 50000 | BeginningOfYearBalance |
| Investment Earnings Or Losses | 4 | InvestmentEarningsOrLosses |
| Other Expenditures | 2500 | OtherExpenditures |
| End Of Year Balance | 47504 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Term Endowment EOY Balance | 1.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | 0 | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | 0 | EndowmentsHeldByRelatedOrgs |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 4679 | OtherCostOrOtherBasis |
| Depreciation | 4679 | Depreciation |
| Book Value | 0 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 77689 | OtherCostOrOtherBasis |
| Depreciation | 67744 | Depreciation |
| Book Value | 9945 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 9945 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (2 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Assets limited as to use | 1631794 |
| Other current assets | 1190469 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 2822263 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (3 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Noncurrent Liabilities | $506,693 |
| Due to affiliate | $1,116,747 |
| Annuity payable | $41,466 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 1664906 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Intended Use of Endowment Funds: | Part V, Line 4: | This endowment is used to provide assistance to disadvantaged patients and their families in need of medications, medical supplies, durable medical equipment and other incidentals related to indigent patient care. |
| Description of Uncertain Tax Positions Under FIN 48: | Part X, Line 2: | FIN 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 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. |
Schedule G IRS990ScheduleG
Events Information EventsInformation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Event1 | Benefit Ball | NameOfEvent1 |
| Gross Receipts Event1 | 419672 | GrossReceiptsEvent1 |
| Charitable Contributions Event1 | 68625 | CharitableContributionsEvent1 |
| Gross Revenue Event1 | 351047 | GrossRevenueEvent1 |
| Other Direct Expenses Event1 | 144157 | OtherDirectExpensesEvent1 |
| Name Of Event2 | Grape Escape | NameOfEvent2 |
| Gross Receipts Event2 | 470938 | GrossReceiptsEvent2 |
| Charitable Contributions Event2 | 118541 | CharitableContributionsEvent2 |
| Gross Revenue Event2 | 352397 | GrossRevenueEvent2 |
| Other Direct Expenses Event2 | 176044 | OtherDirectExpensesEvent2 |
| Gross Receipts Other Events | 306506 | GrossReceiptsOtherEvents |
| Charitable Contrib Other Events | 137360 | CharitableContribOtherEvents |
| Gross Revenue Other Events | 169146 | GrossRevenueOtherEvents |
| Other Direct Expenses Other Events | 59761 | OtherDirectExpensesOtherEvents |
| Gross Receipts Total | 1197116 | GrossReceiptsTotal |
| Charitable Contributions Total | 324526 | CharitableContributionsTotal |
| Gross Revenue Total Events | 872590 | GrossRevenueTotalEvents |
| Other Direct Expenses Total Events | 379962 | OtherDirectExpensesTotalEvents |
| Direct Expense Summary Events | 379962 | DirectExpenseSummaryEvents |
| Net Income Summary | 492628 | NetIncomeSummary |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | 1 | RecordsMaintained |
Recipient Table RecipientTable (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| Holmes Regional Medical Center Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 590624371 | 501(c)(3) | 1060504 | Fund Operations |
| Cape Canaveral Hospital Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 592477479 | 501(c)(3) | 51188 | Fund Operations |
| Hospice of Health First Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 591911574 | 501(c)(3) | 573659 | Fund Operations |
| Health First Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 593336894 | 501(c)(3) | 64268 | Fund Operations |
| Viera Hospital Inc | |||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 264019868 | 501(c)(3) | 5991 | Fund Operations |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 5 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part III Form990ScheduleIPartIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Type Of Grant | Scholarships | TypeOfGrant |
| Number Of Recipients | 17 | NumberOfRecipients |
| Amount Of Cash Grant | 17000 | AmountOfCashGrant |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedure for Monitoring Grants in the U.S.: | Identifier |
| Return Reference | Part I, Line 2: | ReturnReference |
| Explanation | Schedule I, Part I, Line 2: The Health First Foundation board monitors usage by each entity to assure funds raised are used appropriately. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (3 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Steven P Johnson | ||||||||||||||
| President/CEO HF | 0 | 1081750 | 0 | 0 | 0 | 239054 | 0 | 0 | 0 | 13203 | 0 | 1334007 | 0 | 21758 |
| Michael D Means | ||||||||||||||
| Director (out-going) | 0 | 230189 | 0 | 0 | 0 | 126184 | 0 | 487 | 0 | 624 | 0 | 357484 | 0 | 47756 |
| Larry F Garrison | ||||||||||||||
| EVP/COO (out-going) | 0 | 76857 | 0 | 0 | 0 | 55138 | 0 | 375 | 0 | 530 | 0 | 132900 | 0 | 38735 |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Part I, Line 4b | 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: Steven P. Johnson, $183,012 | |
| Part III | Compensation is paid by Health First, Inc. Ein: 59-3336894 and reimbursed by Health First Foundation, 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. Form 990, schedule J, Part I, Question 3: The filing organization relied on Health First, Inc. its sole member for establishing the top management official's compensation. See core 990 Part VI Section B Line 15 for further information regarding the process utilized. | Supplemental Information |
Schedule M IRS990ScheduleM
Other Non Cash Contributions Table OtherNonCashContributionsTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Description | SilentAuction | Description |
| Number Of Contributions | 264 | NumberOfContributions |
| Noncash Contribs Rptd F990 | 135055 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | Auction Sale | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | 0 | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | 1 | ReviewProcessUnusualNCGifts |
| Third Parties Used | 0 | ThirdPartiesUsed |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (10 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| Form 990, Part VI, Section A, line 6 | The sole member of Health First Foundation, 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 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 Trustees which shall have charge, control and management of property, affairs and funds of the corporation. The Board of Trustees shall not take any action with respect to the following without approval of the member. -Change in the mission, purpose or scope of the corporation and its operation; -Incurrence of debt or guarantee the debt of another; -Approval of the sale, lease, purchase, conveyance or other disposition of any real or personal property having a total capitalized cost in excess of $1,000,000; -Approval of the sale, lease, purchase, conveyance or other disposition of all or substantially all 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 Trustees electronically for their review and approval prior to filing. | |
| Form 990, Part VI, Section B, line 12c | A copy of the conflict of interest policy is provided to all 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 stating that the individual is free of conflicts should they not report anything of concern. These forms are tracked and kept on file. Should a conflict arise, the Chief Compliance Officer investigates the issue and determines a course of action to ensure enforcement of the policy. | |
| Form 990, Part VI, Section B, line 15 | The 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 is available upon request to the compliance officer. | |
| Form 990, Part XI, line 9: | Transfer of net assets from a related tax-exempt 521,389. Change in temporarily restricted net assets -19,465. | 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 year. | |
| FORM 990, PART V, QUESTION 2A, NUMBER OF EMPLOYEES: | Employees at Health First Foundation, 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/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|---|---|
| Health First Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 593336894 | Support Org. | FL | 501(c)(3) | Line 11c, III-FI | N/A | 0 | |
| Holmes Regional Medical Center Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 590624371 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Health First Inc | |
| Cape Canaveral Hospital Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 592477479 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Health First Inc | |
| Hospice of Health First Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 591911574 | Healthcare | FL | 501(c)(3) | Line 9 | 1 | Health First Inc | |
| Viera Hospital Inc | |||||||||||
| 3300 Fiske Blvd | Rockledge | FL | 329554305 | 264019868 | Hospital | FL | 501(c)(3) | Line 3 | 1 | Health First Inc | |
Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| 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 Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 1 | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | 1 | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | 0 | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | 0 | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 0 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (5 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| Hospice of Health First Inc | |
| B | 573659 |
| Cape Canaveral Hospital Inc | |
| B | 51188 |
| Holmes Regional Medical Center Inc | |
| B | 1060505 |
| Holmes Regional Medical Center Inc | |
| K | 69230 |
| Hospice of Health First Inc | |
| L | 148295 |
Form990 Schedule R Part VII Form990ScheduleRPartVII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Reference | Form 990, Schedule R, Part V, Schedule R Disclosures: | ReturnReference |
| Explanation | All transactions reported in this section are based upon corporate books and records which are kept according to generally accepted accounting standards. | Explanation |