HOLMES REGIONAL MEDICAL CENTER: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization: HOLMES REGIONAL MEDICAL CENTER (EIN 59-0624371)
Tax period: 2012-10-01 to 2013-09-30
Filed: 2014-08-13
IRS object ID: 201442259349300129
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 H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Timestamp	2014-08-13T08:20:50-05:00	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 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	ReturnType
Tax Period Begin Date	2012-10-01	TaxPeriodBeginDate

Filer Filer

Field	Value	IRS element (for citing)
EIN	590624371	EIN

Name Name

Field	Value	IRS element (for citing)
Business Name Line1	Holmes Regional Medical Center Inc	BusinessNameLine1

Field	Value	IRS element (for citing)
Name Control	HOLM	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	506340808	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	1931	YearFormation
State Legal Domicile	FL	StateLegalDomicile
Activity Or Mission Description	Our team positively changing the health and well-being of you and your family through excellent and compassionate health care.	ActivityOrMissionDescription
Nbr Voting Members Governing Body	20	NbrVotingMembersGoverningBody
Nbr Independent Voting Members	17	NbrIndependentVotingMembers
Total Nbr Employees	0	TotalNbrEmployees
Total Nbr Volunteers	1175	TotalNbrVolunteers
Total Gross UBI	1725645	TotalGrossUBI
Net Unrelated Business Txbl Income	0	NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year	1456339	ContributionsGrantsPriorYear
Contributions Grants Current Year	1886596	ContributionsGrantsCurrentYear
Program Service Revenue Prior Year	517426910	ProgramServiceRevenuePriorYear
Program Service Revenue CY	496117576	ProgramServiceRevenueCY
Investment Income Prior Year	-2713833	InvestmentIncomePriorYear
Investment Income Current Year	948615	InvestmentIncomeCurrentYear
Other Revenue Prior Year	6149167	OtherRevenuePriorYear
Other Revenue Current Year	5700787	OtherRevenueCurrentYear
Total Revenue Prior Year	522318583	TotalRevenuePriorYear
Total Revenue Current Year	504653574	TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year	31278335	GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY	1142122	GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year	0	BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY	0	BenefitsPaidToMembersCY
Salaries Etc Prior Year	226467613	SalariesEtcPriorYear
Salaries Etc Current Year	227151391	SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year	0	TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY	0	TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year	0	TotalFundrsngExpCurrentYear
Other Expense Prior Year	229727758	OtherExpensePriorYear
Other Expenses Current Year	226400706	OtherExpensesCurrentYear
Total Expenses Prior Year	487473706	TotalExpensesPriorYear
Total Expenses Current Year	454694219	TotalExpensesCurrentYear
Revenues Less Expenses Prior Year	34844877	RevenuesLessExpensesPriorYear
Revenues Less Expenses CY	49959355	RevenuesLessExpensesCY
Total Assets BOY	615097426	TotalAssetsBOY
Total Assets EOY	630530922	TotalAssetsEOY
Total Liabilities BOY	338584666	TotalLiabilitiesBOY
Total Liabilities EOY	328707789	TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY	276512760	NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY	301823133	NetAssetsOrFundBalancesEOY
Info In Schedule O Part III	X	InfoInScheduleOPartIII
Mission Description	Our team positively changing the health and well-being of you and your family through excellent and compassionate health care.	MissionDescription
Significant New Program Services	0	SignificantNewProgramServices
Significant Change	0	SignificantChange
Expense	383591725	Expense
Grants	1142122	Grants
Revenue	495042265	Revenue
Description	Holmes Regional Medical Center (HRMC) features 514 beds and more than500 highly skilled medical staff members. As the region's premiertertiary referral hospital, HRMC offers all patients cutting-edgelife-saving technology.The Heart Center at HRMC offers comprehensive cardiac services and performs more cardiac procedures than all other hospitals in Brevard County. As the only state-accredited Level II trauma center serving Brevard and Indian River Counties, HRMC's trauma center offers 24/7 trauma care and rapid patient transport via First Flight, a Health First operated aero-medical helicopter. Additionally, the birth suites at HRMC includes Brevard's first Level II neonatal ICU for newborns with medical conditions requiring intensive care.HRMC is also the first hospital in Brevard to offer state-of-the-art robotics-assisted surgery for urology, prostate, and gynecological procedures and is currently the only hospital in Brevard to offer anterior hip replacement surgery and reverse shoulder surgery. As a primary stroke center, HRMC offers life-changing interventional neuro-radiology services for advanced stroke treatment. Palm Bay Hospital (PBH) features 152 beds and 195 highly skilled physicians. Focused on cutting-edge technology, PBH offers patients extensive digital diagnostic radiology including digital mammography, x-ray, MRI, CT, ultrasound, nuclear medicine and tele radiology. PBH is the first hospital in Brevard to offer thoracic endograph surgery. PBH also offers a full spectrum of healthcare services, including cardiopulmonary, surgery, rehabilitation, intensive care, emergency and endoscopy services. HRMC and PBH provide high-quality medical services to the community of Brevard County regardless of race, creed, gender, national origin, handicap, age or ability to pay. It is recognized that not all individuals possess the ability to purchase essential medical services and further, that our mission is to serve the community with respect to providing health care services and health care education such as "Healthy Happenings" seminars and support groups for the public.In keeping with this hospital's commitment, to serve all members of its community:1) Free care and/or subsidized care is provided where the need and/or inability to pay exists;2) Care is provided at below cost to persons covered by governmental programs;3) Free healthcare activities and programs are provided to the community. These activities include: wellness programs, communityeducation programs, special programs for elderly, handicapped, and mentally underserved along with a variety of broad community support activities.For a copy of our Health First Community Benefit Report see:Http://hfwww1.health-first.org/about_us/gives_back/community_report.cfm	Description
Total Program Service Expense	383591725	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	0	TermOrPermanentEndowments
Report Land Bldg Equip	1	ReportLandBldgEquip
Report Invest Oth Securities	0	ReportInvestOthSecurities
Report Prog Rel Invest	1	ReportProgRelInvest
Report Other Assets	0	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	0	FundraisingActivities
Gaming	0	Gaming
Hospital	1	Hospital
Financial Stmt Attached	1	FinancialStmtAttached
Grants To Organizations	1	GrantsToOrganizations
Grants To Individuals	0	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	0	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	1	UnrelatedBusinessIncome
Form990-T Filed	1	Form990-TFiled
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	0	QuidProQuoContributions
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	20	NbrVotingGoverningBodyMembers
Number Independent Voting Members	17	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	1	InvestmentInJointVenture
Written Policy Or Procedure	1	WrittenPolicyOrProcedure
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 (35 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	Key EmployeeKeyEmployee	Highest Compensated EmployeeHighestCompensatedEmployee	FormerFormer
William C Potter Esq
Chairman	1.00	3.00	X	X	0	1000	20550
Pamela A Gatto
Vice Chairman	1.00	3.00	X	X	0	4804	9150
Eugene S Cavallucci Esq
Secretary	1.00	3.00	X	X	0	6313	19850
Kevin B Steele
Treasurer	1.00	4.00	X	X	0	0	22800
Brian J Bussen
Director	1.00	3.00	X		0	9110	14300
Catherine A Ford
Director	1.00	3.00	X		0	10640	16050
James C Shaw
Director	1.00	3.00	X		0	9110	27650
Christopher S Rehak MD
Medical Staff President	1.00	0.00	X		0	0	0
Norberto Schechtmann MD
Medical Staff President	1.00	0.00	X		0	0	79100
Robert R Wright
President Community Hosp	13.00	28.00	X	X	0	521533	26132
Jerry Senne
President/CEO (HRMC) (out-going)	40.00	1.00	X	X	0	1089641	9977
Judith A Gizinski
President (PBH)	40.00	1.00	X	X	0	474623	21344
Sean J Gregory
President-HRMC	40.00	1.00	X	X	0	113131	1758
Steven P Johnson
President/CEO HF	1.00	44.00	X	X	0	1320804	13203
James Dwight
Director	1.00	3.00	X		0	0	0
Cathy Eddy
Director	1.00	3.00	X		0	0	0
Donald F Hagen MD
Director	1.00	3.00	X		0	0	10000
A Thomas Hollingsworth PhD
Director	1.00	3.00	X		0	10552	15150
Martin W Isenman MD
Director	1.00	3.00	X		0	0	0
Richard McNeight
Director	1.00	3.00	X		0	0	0
Nicholas E Pellegrino
Director	1.00	3.00	X		0	1487	15300
Frances Pickett
Director	1.00	3.00	X		0	0	0
Kevin S Pruett
Director	1.00	3.00	X		0	800	15200
Bryan R Roub
Director	1.00	3.00	X		0	0	10000
James Stuart Mitchell III
Vice President	1.00	40.00		X	0	582383	9296
Joseph Felkner
EVP/CFO	1.00	40.00		X	0	688796	14134
David E Mathias Esq
SVP/Corporate Counsel	1.00	40.00		X	0	572541	23280
Bonnie J Rudolph
CNO Health First VP Nsg HRMC	40.00	1.00			0	464220	11780	X
Charles Behl
Lead Pharmacist	40.00	0.00			0	170563	20456		X
Tia Marie Rossana
Pharmacist	40.00	0.00			0	180080	11925		X
Valerie A Holloway
VP Customer Community Relation	40.00	0.00			0	190794	16924		X
Jeffrey L Guth
Pharmacist	40.00	0.00			0	165732	15584		X
Jennifer L McCarthy
VP Operations PBH	40.00	0.00			0	167241	6848		X
Judy Killebrew
President/CEO (HRMC)(out-going)	40.00	1.00			0	900575	15925			X
Robert C Galloway
SVP/CFO (out-going)	1.00	40.00			0	274078	8439			X

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	0	TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs	7930551	TotalReportableCompFrmRltdOrgs
Total Other Compensation	502105	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 (2 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1	CityAddressOfContractor/AddressUS/City	StateAddressOfContractor/AddressUS/State	ZIP CodeAddressOfContractor/AddressUS/ZIPCode	Description Of ServicesDescriptionOfServices	CompensationCompensation
Health First Inc
3300 Fiske Blvd	Rockledge	FL	32955	Management Support	442513330
Cape Health Properties Inc
3300 Fiske Blvd	Rockledge	FL	32955	Real Estate Services	169261

Field	Value	IRS element (for citing)
Number Of Contractors GT100 K	2	NumberOfContractorsGT100K
Related Organizations	1060505	RelatedOrganizations
Government Grants	826091	GovernmentGrants
Total Contributions	1886596	TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescription	Business CodeBusinessCode	Total Revenue ColumnTotalRevenueColumn	Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome	Unrelated Business RevenueUnrelatedBusinessRevenue
Patient Service	621110	306659595	306659595
Medicare/Medicaid	621110	177853871	177853871
Pro Health	713940	9826642	9826642
Reference Lab	621500	1075311		1075311
Related Company Rent	531120	702157	702157

Field	Value	IRS element (for citing)
Total Program Service Revenue	496117576	TotalProgramServiceRevenue

Investment Income InvestmentIncome

Field	Value	IRS element (for citing)
Total Revenue Column	194713	TotalRevenueColumn
Exclusion	$194,713	ExclusionAmount

Gross Rents GrossRents

Field	Value	IRS element (for citing)
Real	1765865	Real

Less Rental Expenses LessRentalExpenses

Field	Value	IRS element (for citing)
Real	713443	Real

Rental Income Or Loss RentalIncomeOrLoss

Field	Value	IRS element (for citing)
Real	1052422	Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

Field	Value	IRS element (for citing)
Total Revenue Column	1052422	TotalRevenueColumn
Unrelated Business Revenue	650334	UnrelatedBusinessRevenue
Exclusion	$402,088	ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

Field	Value	IRS element (for citing)
Other	1727693	Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

Field	Value	IRS element (for citing)
Other	973791	Other

Gain Or Loss GainOrLoss

Field	Value	IRS element (for citing)
Other	753902	Other

Net Gain Or Loss Investments NetGainOrLossInvestments

Field	Value	IRS element (for citing)
Total Revenue Column	753902	TotalRevenueColumn
Exclusion	$753,902	ExclusionAmount

Other Revenue Misc OtherRevenueMisc

Field	Value	IRS element (for citing)
Description	Cafeteria	Description
Business Code	722210	BusinessCode
Total Revenue Column	2747795	TotalRevenueColumn
Exclusion	$2,747,795	ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	1900570	TotalRevenueColumn
Exclusion	$1,900,570	ExclusionAmount

Field	Value	IRS element (for citing)
Total Other Revenue	4648365	TotalOtherRevenue

Total Revenue TotalRevenue

Field	Value	IRS element (for citing)
Total Revenue Column	504653574	TotalRevenueColumn
Related Or Exempt Function Income	495042265	RelatedOrExemptFunctionIncome
Unrelated Business Revenue	1725645	UnrelatedBusinessRevenue
Exclusion	$5,999,068	ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

Field	Value	IRS element (for citing)
Total	1142122	Total
Program Services	1142122	ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

Field	Value	IRS element (for citing)
Total	1883008	Total
Management And General	1883008	ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

Field	Value	IRS element (for citing)
Total	573828	Total
Management And General	573828	ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

Field	Value	IRS element (for citing)
Total	168085687	Total
Program Services	151777946	ProgramServices
Management And General	16307741	ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

Field	Value	IRS element (for citing)
Total	3597366	Total
Program Services	3342652	ProgramServices
Management And General	254714	ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

Field	Value	IRS element (for citing)
Total	38774193	Total
Program Services	30422813	ProgramServices
Management And General	8351380	ManagementAndGeneral

Payroll Taxes PayrollTaxes

Field	Value	IRS element (for citing)
Total	14237309	Total
Program Services	12572318	ProgramServices
Management And General	1664991	ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

Field	Value	IRS element (for citing)
Total	2100444	Total
Management And General	2100444	ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

Field	Value	IRS element (for citing)
Total	316608	Total
Management And General	316608	ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

Field	Value	IRS element (for citing)
Total	1385	Total
Management And General	1385	ManagementAndGeneral

Fees For Services Other FeesForServicesOther

Field	Value	IRS element (for citing)
Total	28561391	Total
Program Services	20358613	ProgramServices
Management And General	8202778	ManagementAndGeneral

Advertising Advertising

Field	Value	IRS element (for citing)
Total	626326	Total
Program Services	25241	ProgramServices
Management And General	601085	ManagementAndGeneral

Office Expenses OfficeExpenses

Field	Value	IRS element (for citing)
Total	5878918	Total
Program Services	4519635	ProgramServices
Management And General	1359283	ManagementAndGeneral

Information Technology InformationTechnology

Field	Value	IRS element (for citing)
Total	8343429	Total
Program Services	39336	ProgramServices
Management And General	8304093	ManagementAndGeneral

Occupancy Occupancy

Field	Value	IRS element (for citing)
Total	12148588	Total
Program Services	11398746	ProgramServices
Management And General	749842	ManagementAndGeneral

Travel Travel

Field	Value	IRS element (for citing)
Total	130413	Total
Program Services	45602	ProgramServices
Management And General	84811	ManagementAndGeneral

Conferences Meetings ConferencesMeetings

Field	Value	IRS element (for citing)
Total	102014	Total
Program Services	39961	ProgramServices
Management And General	62053	ManagementAndGeneral

Interest Interest

Field	Value	IRS element (for citing)
Total	12979250	Total
Program Services	12739440	ProgramServices
Management And General	239810	ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

Field	Value	IRS element (for citing)
Total	31240087	Total
Program Services	17916934	ProgramServices
Management And General	13323153	ManagementAndGeneral

Insurance Insurance

Field	Value	IRS element (for citing)
Total	3595996	Total
Management And General	3595996	ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescription	TotalTotal	Program ServicesProgramServices	Management And GeneralManagementAndGeneral
MEDICAL SUPPLIES	93510190	93454506	55684
Maintenance & Repair	8697123	7915597	781526
Florida Indigent Tax	6527541	6527541
Licenses and Taxes	227024	59660	167364

All Other Expenses AllOtherExpenses

Field	Value	IRS element (for citing)
Total	11413979	Total
Program Services	9293062	ProgramServices
Management And General	2120917	ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

Field	Value	IRS element (for citing)
Total	454694219	Total
Program Services	383591725	ProgramServices
Management And General	71102494	ManagementAndGeneral
Fundraising	0	Fundraising

Cash Non Interest Bearing CashNonInterestBearing

Field	Value	IRS element (for citing)
BOY	138307220	BOY
EOY	159661156	EOY

Accounts Receivable AccountsReceivable

Field	Value	IRS element (for citing)
BOY	55871945	BOY
EOY	57281654	EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

Field	Value	IRS element (for citing)
BOY	10642466	BOY
EOY	12572464	EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

Field	Value	IRS element (for citing)
BOY	1935631	BOY
EOY	1828185	EOY

Field	Value	IRS element (for citing)
Land Buildings Equipment Basis	663493483	LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec	390555698	LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

Field	Value	IRS element (for citing)
BOY	289274533	BOY
EOY	272937785	EOY

Investments Program Related InvestmentsProgramRelated

Field	Value	IRS element (for citing)
BOY	109524493	BOY
EOY	114017540	EOY

Intangible Assets IntangibleAssets

Field	Value	IRS element (for citing)
BOY	1120878	BOY
EOY	828133	EOY

Other Assets Total OtherAssetsTotal

Field	Value	IRS element (for citing)
BOY	8420260	BOY
EOY	11404005	EOY

Total Assets TotalAssets

Field	Value	IRS element (for citing)
BOY	615097426	BOY
EOY	630530922	EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

Field	Value	IRS element (for citing)
BOY	61212817	BOY
EOY	55701407	EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

Field	Value	IRS element (for citing)
BOY	84814868	BOY
EOY	76145574	EOY

Other Liabilities OtherLiabilities

Field	Value	IRS element (for citing)
BOY	192556981	BOY
EOY	196860808	EOY

Total Liabilities TotalLiabilities

Field	Value	IRS element (for citing)
BOY	338584666	BOY
EOY	328707789	EOY

Field	Value	IRS element (for citing)
Follow SFAS117	X	FollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	274178004	BOY
EOY	299224421	EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

Field	Value	IRS element (for citing)
BOY	2334756	BOY
EOY	2598712	EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	276512760	BOY
EOY	301823133	EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

Field	Value	IRS element (for citing)
BOY	615097426	BOY
EOY	630530922	EOY

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	X	InfoInScheduleOPartXI
Reconcilation Revenue Expenses	49959355	ReconcilationRevenueExpenses
Reconcilation Other Changes	-24648982	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)
Hospital170b1 Aiii	X	Hospital170b1Aiii

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

Land Land

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	22416868	OtherCostOrOtherBasis
Book Value	22416868	BookValue

Buildings Buildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	370873444	OtherCostOrOtherBasis
Depreciation	153920222	Depreciation
Book Value	216953222	BookValue

Leasehold Improvements LeaseholdImprovements

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1285332	OtherCostOrOtherBasis
Depreciation	845667	Depreciation
Book Value	439665	BookValue

Equipment Equipment

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	267535935	OtherCostOrOtherBasis
Depreciation	235789809	Depreciation
Book Value	31746126	BookValue

Other Land Buildings OtherLandBuildings

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	1381904	OtherCostOrOtherBasis
Book Value	1381904	BookValue

Field	Value	IRS element (for citing)
Total Of Book Value Land Buildings	272937785	TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (4 entries)

DescriptionDescription	Book ValueBookValue	Method Of ValuationMethodOfValuation
Healthcare Related Joint Venture	11232884	C
Demand Note - Health First Inc	99838015	C
Demand Note - Health First Fdn	347929	C
Other Temporarily Restricted Assets	2598712	C

Field	Value	IRS element (for citing)
Total Of Book Value Program Related	114017540	TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescription	AmountAmount
Inter-Company Payable	$34,354,619
Other Noncurrent Liabilities	$1,671,453
Tax-exempt Bonds Held By Health First Inc	$160,834,736

Field	Value	IRS element (for citing)
Total Of Amounts	196860808	TotalOfAmounts
Footnote In Part XIII	X	FootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

Field	Value	IRS element (for citing)
Identifier	Description of Uncertain Tax Positions Under FIN 48:	Identifier
Return Reference	Part X, Line 2:	ReturnReference
Explanation	FIN 48 Footnote: The Company is exempt from Federal and State income taxes applicable under Section 501(a), as an organization described in section 501(c)(3), of the Internal Revenue Code and Section 220.13 of the Florida statutes, respectively. Accordingly, no provision for income taxes is made in the accompanying financial statements. ASC topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC topic 740 provides guidance for recognition threshold and measurement of a tax position taken or expected to be taken in a tax return.	Explanation

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Charity Care Policy	1	CharityCarePolicy
Written Policy	1	WrittenPolicy
Policy Applied To All Hospitals	X	PolicyAppliedToAllHospitals
FPG Reference Free Care	1	FPGReferenceFreeCare
Pcent200	X	Pcent200
FPG Reference Discounted Care	0	FPGReferenceDiscountedCare
Free Disc Care Medically Indigent	1	FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care	1	AmountsBudgetedForCharityCare
Expenses Exceeded Budget	1	ExpensesExceededBudget
Unable To Provide Care	0	UnableToProvideCare
Annual Community Benefit Report	1	AnnualCommunityBenefitReport
Report Publically Available	1	ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

Field	Value	IRS element (for citing)
Total Community Benefit Expense	30143448	TotalCommunityBenefitExpense
Direct Offsetting Revenue	8266163	DirectOffsettingRevenue
Net Community Benefit Expense	21877285	NetCommunityBenefitExpense
Percent Of Total Expense	0.04810	PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

Field	Value	IRS element (for citing)
Total Community Benefit Expense	52264166	TotalCommunityBenefitExpense
Direct Offsetting Revenue	33177536	DirectOffsettingRevenue
Net Community Benefit Expense	19086630	NetCommunityBenefitExpense
Percent Of Total Expense	0.04200	PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

Field	Value	IRS element (for citing)
Total Community Benefit Expense	6527541	TotalCommunityBenefitExpense
Direct Offsetting Revenue	305830	DirectOffsettingRevenue
Net Community Benefit Expense	6221711	NetCommunityBenefitExpense
Percent Of Total Expense	0.01370	PercentOfTotalExpense

Total Charity Care TotalCharityCare

Field	Value	IRS element (for citing)
Total Community Benefit Expense	88935155	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41749529	DirectOffsettingRevenue
Net Community Benefit Expense	47185626	NetCommunityBenefitExpense
Percent Of Total Expense	0.10380	PercentOfTotalExpense

Community Health Services CommunityHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	12945	TotalCommunityBenefitExpense
Net Community Benefit Expense	12945	NetCommunityBenefitExpense
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1537693	TotalCommunityBenefitExpense
Net Community Benefit Expense	1537693	NetCommunityBenefitExpense
Percent Of Total Expense	0.00340	PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

Field	Value	IRS element (for citing)
Total Community Benefit Expense	853435	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4559	DirectOffsettingRevenue
Net Community Benefit Expense	848876	NetCommunityBenefitExpense
Percent Of Total Expense	0.00190	PercentOfTotalExpense

Research Research

Field	Value	IRS element (for citing)
Percent Of Total Expense	0.00000	PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

Field	Value	IRS element (for citing)
Total Community Benefit Expense	1180193	TotalCommunityBenefitExpense
Net Community Benefit Expense	1180193	NetCommunityBenefitExpense
Percent Of Total Expense	0.00260	PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	3584266	TotalCommunityBenefitExpense
Direct Offsetting Revenue	4559	DirectOffsettingRevenue
Net Community Benefit Expense	3579707	NetCommunityBenefitExpense
Percent Of Total Expense	0.00790	PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

Field	Value	IRS element (for citing)
Total Community Benefit Expense	92519421	TotalCommunityBenefitExpense
Direct Offsetting Revenue	41754088	DirectOffsettingRevenue
Net Community Benefit Expense	50765333	NetCommunityBenefitExpense
Percent Of Total Expense	0.11170	PercentOfTotalExpense

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	1	BadDebtExpenseReported
Bad Debt Expense	$8,538,960	BadDebtExpenseAmount
Amount Attributable To	4050230	AmountAttributableTo
Amount Reimbursed By Medicare	149821694	AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare	173641085	CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall	-23819391	MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

Field	Value	IRS element (for citing)
Other	X	Other

Field	Value	IRS element (for citing)
Written Debt Collection Policy	1	WrittenDebtCollectionPolicy
Provision For Charity Care	1	ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivity	Organization Profit Or OwnershipOrganizationProfitOrOwnership	Officers Etc Profit Or OwnershipOfficersEtcProfitOrOwnership	Physicans Profit Or OwnershipPhysicansProfitOrOwnership
1 Doctor's GI Partnership Inc
Out-Patient Surgery	0.80000	0.00000	0.20000
2 Health First Quick Care LLC
Emergent Care Clinic	0.51000	0.00000	0.49000

Field	Value	IRS element (for citing)
Number Of Hospital Facilities	2	NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (2 entries)

Facility NumberFacilityNumber	Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Licensed HospitalLicensedHospital	General Medical And SurgicalGeneralMedicalAndSurgical	Critical Access HospitalCriticalAccessHospital	Er24 HoursEr24Hours
Holmes Regional Medical Center
1	1350 South Hickory Street	Melbourne	FL	32901	X	X	X	X
Palm Bay Hospital
2	1425 Malabar Road NE	Palm Bay	FL	32907	X	X		X

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (2 entries)

Hospital Facility NumberHospitalFacilityNumber	CHNA ConductedCHNAConducted	Community DefinitionCommunityDefinition	Community DemographicsCommunityDemographics	Existing ResourcesExistingResources	How Data ObtainedHowDataObtained	Community Health NeedsCommunityHealthNeeds	Other Health IssuesOtherHealthIssues	Identifying ProcessIdentifyingProcess	Consulting ProcessConsultingProcess	Information GapsInformationGaps	Needs Assessment ConductedNeedsAssessmentConducted	Take Into AccountTakeIntoAccount	Other FacilitiesOtherFacilities	CHNA Widely AvailableCHNAWidelyAvailable	Own WebsiteOwnWebsite	On RequestOnRequest	Adopt Implement StrategyAdoptImplementStrategy	Execute Implement StrategyExecuteImplementStrategy	Develop Community PlanDevelopCommunityPlan	Participate Community PlanParticipateCommunityPlan	Adopt BudgetAdoptBudget	Prioritize Health NeedsPrioritizeHealthNeeds	Prioritize ServicesPrioritizeServices	All Needs AddressedAllNeedsAddressed	Organization Incur Excise TaxOrganizationIncurExciseTax	Eligibility Criteria ExplainedEligibilityCriteriaExplained	Uses FPG FreeUsesFPGFree	FPG Free PercentFPGFreePercent	Uses FPG DiscountedUsesFPGDiscounted	Explains BasisExplainsBasis	Explains Application MethodExplainsApplicationMethod	Includes Publicity MeasuresIncludesPublicityMeasures	Posted On WebsitePostedOnWebsite	Available On RequestAvailableOnRequest	Other PublicityOtherPublicity	Actions On NonpaymentActionsOnNonpayment	Collection ActivitiesCollectionActivities	Notified All PatientsNotifiedAllPatients	Documented DeterminationDocumentedDetermination	Nondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicy	Used Other MethodUsedOtherMethod	Amounts Generally BilledAmountsGenerallyBilled	Gross ChargesGrossCharges
Holmes Regional Medical Center
1	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	0	0	1	1	X	X	X	1	0	X	X	1	X	0	0
Palm Bay Hospital Inc
2	1	X	X	X	X	X	X	X	X	X	12	1	1	1	X	X	X	X	X	X	X	X	X	0	0	1	1	200.000000000000	0	0	1	1	X	X	X	1	0	X	X	1	X	0	0

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

Field	Value	IRS element (for citing)
Number Of Other Facilities	2	NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1	CityAddress/City	StateAddress/State	ZIP CodeAddress/ZIPCode	Facility TypeFacilityType
Pro-Health Fitness Centers
1350 South Hickory Street	Melbourne	FL	32901	Health and Wellness Center
Family Pharmacy
1350 South Hickory Street	Melbourne	FM	32901	Pharmacy

Form990 Schedule H Part VI Form990ScheduleHPartVI (26 entries)

ExplanationExplanation	IdentifierIdentifier
Part I, Line 3c: Health First does make provision for providing discounted care to low income individuals through processes and formularies which include consideration of individuals incomes in comparison to FPG. Discounts range from expected token payments (such as $100) to a 60% discount of billed charges.Part I, Line 5b:Healthsouth of Sea Pines financial assistance expenses did not exceed the budgeted amount.Part I, Line 6a:The Community Benefit Report is prepared by Health First, Inc., the parent company to the organization. The community benefits of this organization are included within that report.Healthsouth of Sea Pines does not prepare a community benefit 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 I, Line 2:Health South of Sea Pines' financial assistance policy is applied uniformly to most Health South of Sea Pines' facilities
Part I, Line 3b:Healthsouth of Sea Pines applies a 300% of FPG to determine eligibility for providing discounted care to low income individuals.
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 local organizations, primarily supporting the various community public health needs. Health First, Inc. also supported the economic development needs, provided other community support, participated in environmental improvements, coalition building projects, supported a community health improvement advocacy, and supported the local workforce development program. Health First, Inc. and its employees also actively support the local United Way in excess of $195k.
Part III, Line 4: Bad Debt at cost is calculated by multiplying actual bad debt write-offs by the filing organization's cost-to-charge ratio.The organization used a cost to charge ratio to determine the cost amount of the bad debt expense. Worksheet 2, ratio of patient care cost to charges, as provided in the IRS instructions was used to validate the cost to charge ratio which approximates internal cost calculation.The organization provides uninsured accounts with a discount for prompt payment. The discount is not collected, nor pursued, and therefore not included in net patient revenue. The remaining balance is pursued, and if not collected, reported as a bad debt expense.The organization does not issue a standalone financial statement; however, it is included as a part of the Health First, Inc. consolidated financial statements. The footnote from the Health First, Inc. consolidated financial statements is as follows: The provision for bad debts and allowance for uncollectible accounts are based upon management's assessment of historical and expected net collections and historical write-off experience by payor and aging category, considering the business and economic conditions, trends in health care coverage, and other collection indicators. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added.The method the organization used to determine the amount that could be attributable to patients who likely would qualify for financial assistance under the hospital's charity care policy if sufficient information had been available to make a determination of their eligibility is based on a collection scoring system. The scoring system attributed a recover score to each patient. It was then determined that patients below a certain score would typically qualify for charity care if they were to provide sufficient information.
Part III, Line 8: The Organization derived its costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare cost report by using cost report worksheets. Medicare costs are determined through the Medicare cost finding process which allocates general service center costs to revenue departments. Routine and ICU costs are determined based on an average cost per day multiplied by the number of Medicare allowable days. Medicare ancillary costs are determined by the ratio of department costs to department charges then the resulting % is applied to Medicare allowable charges. The methodology described in the instructions to Schedule H, Part III, Section B, Line 6 does not take into account all costs incurred by the hospital and does not represent the total community benefit conferred in this area. The reasons Medicare shortfall should be treated as community benefit are: absent the Medicare program, it is likely many of the individuals would qualify for financial assistance or other needs-based government programs; by accepting payment below cost to treat these individuals, the burdens of government are relieved with respect to these individuals; there is a significant possibility that continued reduction in reimbursement may actually create difficulties in access for these individuals; and the amount spent to cover Medicare shortfall is money not available to cover financial assistance and other community benefit needs.
Part III, Line 9b: The organization applies the following procedures in its collection practices for those who may qualify for financial assistance:1. Patients or guarantors desiring to apply for financial assistance will be required to complete a Health First financial assistance application. The application process may begin at pre-admission or at any time thereafter. For financial assistance approval on elective procedures, please refer to policy addendum below.2. Income guidelines for qualification for financial assistance will be based on the Federal Poverty Guideline as furnished annually by the department of HRS.3. AHCA guidelines and documentation requirements will be used in establishing qualification for financial assistance. This documentation may include, but not be limited to, the following:a. Completed and signed financial assistance applicationb. Proof of household incomec. Credit bureau report and/or asset check4. Patients who are eligible for medicaid will not be required to complete a financial assistance application.5. The financial assistance application and supporting documentation will be reviewed for propriety when determining eligibility for financial assistance.6. A notification letter will be sent to the guarantor or patient to communicate eligibility for financial assistance or denial.7. Patients who do not provide information necessary to completely and accurately assess their financial situation and/or who do not cooperate with efforts to secure other third party coverage will not be eligible for financial assistance.8. Patients who are uninsured and do not qualify for full or partial financial assistance will be eligible for Health First's prompt pay discount for self pay patients (PBS 5.12).9. All approved financial assistance applications will be valid for a period of 90 days. Approved tumor clinic applications are valid for a period of one year.Healthsouth of Sea Pines' collection policy does not contain provisions on the collection practices.
Part III, Section A, Line 1:The filing organization reports bad debt in accordance with generally accepted accounting principles (GAAP). Healthcare Financial Management Association Statement 15 is followed to the extent that it aligns with the guidelines set forth by GAAP.
Part V, Section B, Line 3: Part V, Sec B, Line 3:The Health Council of East Central Florida held phone interviews with the following persons who represent the community:Lisa Gurri, Brevard Health AllianceJennifer Floyd, Healthy Start Coalition of Brevard County, Inc.Christine Michaels, Melbourne/Palm Bay Chamber of CommerceHoward Tipton, Brevard County Manager's OfficeAra Deumedjian, MD, Brevard Medical SocietyDr. Kristi Van Sickle, FitDr. Jenny Gessler, Women's CenterLisa Rice, Brevard WorkforceKristin Bakke, Lead BrevardCindy Kane, Corporate Relations, Harris Corp.Shawna Kelsch, Reduce Obesity in Central Florida KidsKay Heimmer, Prevent! of BrevardIan Golden, Brevard County Housing & Human ServicesMaria Stahl, Brevard Co. Health DepartmentDr. Lana Saal, Brevard Public SchoolsJohnette Gindling, Space Coast Health FoundationPaul Ringenberger, Space Coast Volunteers In MedicineDr. John McPherson, Fire Rescue Medical DirectorDr. Rochelle Jones, The Coalition Of The Hungry & Homeless of Brevard County, Inc.Teresa Miles, Children's Home SocietyRob Rains, United Way of Brevard	Holmes Regional Medical Center
Part V, Section B, Line 3: Part V, Sec B, Line 3:The Health Council of East Central Florida held phone interviews with the following persons who represent the community:Lisa Gurri, Brevard Health AllianceJennifer Floyd, Healthy Start Coalition of Brevard County, Inc.Christine Michaels, Melbourne/Palm Bay Chamber Of CommerceHoward Tipton, Brevard County Manager's OfficeAra Deumedjian, MD, Brevard Medical SocietyDr. Kristi Van Sickle, FitDr. Jenny Gessler, Women's CenterLisa Rice, Brevard WorkforceKristin Bakke, Lead BrevardCindy Kane, Corporate Relations, Harris Corp.Shawna Kelsch, Reduce Obesity In Central Florida KidsKay Heimmer, Prevent! Of BrevardIan Golden, Brevard County Housing & Human ServicesMaria Stahl, Brevard Co. Health DepartmentDr. Lana Saal, Brevard Public SchoolsJohnette Gindling, Space Coast Health FoundationPaul Ringenberger, Space Coast Volunteers in MedicineDr. John McPherson, Fire Rescue Medical DirectorDr. Rochelle Jones, the Coalition Of The Hungry & Homeless Of Brevard County, Inc.Teresa Miles, Children's Home SocietyRob Rains, United Way of Brevard	Palm Bay Hospital, Inc.
Part V, Section B, Line 4: Part V, Sec B, Line 4: Cape Canaveral Hospital & Viera Hospital	Holmes Regional Medical Center
Part V, Section B, Line 4: Part V, Sec B, Line 4: Cape Canaveral Hospital & Viera Hospital	Palm Bay Hospital, Inc.
Part V, Section B, Line 7: Part V, Sec B, Line 7: Cancer - Due to existing cancer programs at Health First including Health First Holmes Regional Medical Center, Health First Cape Canaveral Hospital, Hospice Of Health First, and Health First Cancer Care Medical Group. Coronary Heart Disease - Due to risk factors of high blood pressure, high cholesterol and diabetes are same as those associated with cerebrovascular disease and cardiovascular disease and will be addressed in those implementation strategies.Binge drinking, youth substance abuse & youth cigarette smoking - These are being addressed through efforts of several community partners including Circles Of Care, Brevard Tobacco Initiative, And Prevent! Of Brevard	Holmes Regional Medical Center
Part V, Section B, Line 7: Part V, Sec B, Line 7: Cancer - Due to existing cancer programs at Health First including Health First Holmes Regional Medical Center, Health First Cape Canaveral Hospital, Hospice Of Health First, and Health First Cancer Care Medical Group. Coronary Heart Disease - Due to risk factors of high blood pressure, high cholesterol and diabetes are same as those associated with cerebrovascular disease and cardiovascular disease and will be addressed in those implementation strategies.Binge drinking, youth substance abuse & youth cigarette smoking - These are being addressed through efforts of several community partners including Circles Of Care, Brevard Tobacco Initiative, And Prevent! Of Brevard	Palm Bay Hospital, Inc.
Part V, Section B, Line 11: Health First does make provision for providing discounted care to low income individuals through processes and formularies which include consideration of individuals incomes in comparison to FPG. Discounts range from expected token payments (such as $100) to a 60% discount of billed charges.	Holmes Regional Medical Center
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.	Palm Bay Hospital, Inc.
Part V, Section B, Line 14g: Part V, Sec B, Line 14g: Signage is posted in the emergency room, waiting rooms, & admissions, that the financial assistance policy is available upon request.	Holmes Regional Medical Center
Part V, Section B, Line 14g: Part V, Sec B, Line 14g: Signage is posted in the emergency room, waiting rooms, & admissions, that the financial assistance policy is available upon request.	Palm Bay Hospital, Inc.
Part V, Section B, Line 20d: Individuals that do not have insurance are eligible for a 60% prompt pay discount. This discount is approximately the average negotiated commercial insurance rate for those services at the hospital facility.	Holmes Regional Medical Center
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.	Palm Bay Hospital, Inc.
Part VI, Line 2: Health First, Inc. (Parent), on behalf of its member hospital organizations, partners with the Health Council of East Central Florida in assessing the health care needs of our community. The most recent community needs assessment report is available athttp://www.cflhealthymeasures.org./
Part VI, Line 3: It is the policy of Health First to grant financial assistance to eligible individuals who are uninsured, underinsured, ineligible for a government program, or otherwise unable to pay for health care services due to their limited financial resources. It is also the Health First policy to provide, without discrimination, care for emergency medical conditions (as defined by federal law known as "EMTALA") to individuals regardless of their eligibility for financial assistance under this policy.Information about Health First's financial assistance program shall be made available to patients and guarantors by various means, including the publication of notices in patient bills and by posting notices in the emergency and admitting departments, and at other public places the Health First facility may elect. Written summary information describing the policy along with financial assistance contact information will be made available to each patient in all emergency and admitting departments. The policy will also be posted on the Health First website. Such information shall be provided in the primary language spoken by the general populations served by the Health First facility.Any Health First associate or member of the medical staff may refer patients for financial assistance. A patient or a family member, close friend or associate of the patient may also make a request for financial assistance on behalf of the patient.
Part VI, Line 4: Brevard County, also known as the Space Coast, stretches over 70 miles along the Atlantic coast best known as the location of the Kennedy Space Center, the "Space Coast" is also home to Port Canaveral, the world's busiest passenger cruise port. The county is unofficially divided into three sections, North County, comprising of Titusville, Mims, and Port St. John; Central Brevard, which includes Viera, Cocoa, Rockledge, Merritt Island, and Cocoa Beach; and South County, including Melbourne, Palm Bay, Grant, Valkaria and the South Beaches, which stretch to the border of Brevard and Indian River Counties.According to July 2013 US census data, the population of Brevard County was 543,376 in 2010 and has grown to an estimated population of 550,823 in 2013. The county is over 84% white, 11% African American, and 5% other races. Hispanics/Latinos comprise 9%.The average household size is 2.43 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 45 years. In 2012, 12.5% of the residents lived in poverty compared with 15.6% statewide. There were 17.36% receiving SNAP benefits in 2012. According to the U.S. Bureau of Labor Statistics, the unemployment rate was 6.9% in November 2013. Statistics reveal that 90% of Brevard County residents have a high school diploma, compared with 86% statewide.The economy in Brevard County has taken a hit in recent years as has the economy in Florida. In 2010, the Brooking Institution reported that Brevard County ranked in the bottom fifth of the nation's top metro areas based on unemployment, gross metropolitan product, housing prices and foreclosed properties. There are seven acute care hospitals serving patients in Brevard County, Parrish Medical Center located in North County, Cape Canaveral Hospital, Viera Hospital and Wuesthoff Rockledge in Central County and Holmes Regional Medical Center, Wuesthoff Melbourne and Palm Bay Hospital in South County.
Part VI, Line 5: The governing body of Holmes Regional Medical Center, Inc. is comprised of persons who primarily reside in the organization's primary service area and are neither employees nor contractors nor family members of the organization nor its key employees.The organization extends medical staff privileges to all qualified physicians in its community for some or all of its departments.The organization does apply resources throughout the year to support improvements in patient care, medical education and training. The organization spent more than $1.5M to support local students via training, education, and scholarship.Holmes Regional Medical Center, Inc. partnered with local organizations in the community that supported thousands of uninsured or underinsured Brevard esidents who are otherwise unable to pay for healthcare services in excess of $1M in the year.The emergency departments at Holmes Regional Medical Center, Inc had more than 69,000 visits and the emergency department located at the Palm Bay Community Hospital (a department of Holmes Regional Medical Center, Inc.) had more than 40,000 visits during the year regardless of ability to pay. In addition, the organization participates in several government-sponsored health care programs including but not limited to Medicare, Medicaid, Champus, and Tricare.The Heart Center at Holmes performs more cardiac procedures than all other hospitals in Brevard and provides patients with all-private rooms. As the only state-accredited Level II trauma center in Brevard and Indian River Counties, Holmes Trauma Center offers 24/7 trauma care and rapid patient transport via first flight aeromedical helicopter. Additionally, the birth suites mother/baby unit offers Brevard's first Level II neonatal ICU for our tiniest patients.Holmes is also proud to be the first hospital in Brevard to offer state-of-the-art robotics-assisted surgery for urology, prostate, and gynecological conditions, advanced anterior hip replacement and reverse shoulder surgeries. Holmes is currently the only hospital in Brevard to offer life-changing interventional neuro-radiology procedures for advanced stroke treatment.Holmes Regional Medical Center, Inc. reinvests their net operating income to sustain its mission and prepare for the future.
Part VI, Line 6: The roots of Health First run deep in Brevard, dating back to 1931 when Brevard Hospital first opened in Melbourne with 27 beds. Now known as Holmes Regional Medical Center (HRMC), the hospital is Brevard's largest, with 514 beds. Cape Canaveral Hospital (CCH) opened in 1962 with 44 beds, and has since grown to 150 beds. Palm Bay Hospital (PBH) opened in 1992 as a satellite of HRMC with 60 beds and has since grown to 152 beds. Viera Hospital (VH) opened in April of 2011 with 84 beds.Health First was formed when CCH, HRMC, and PBH joined together in August 1995 to create a truly integrated not-for-profit healthcare delivery system and fulfill a common mission of improving the health of our community. The first new services added in the Health First Family were Health First Physicians, opening in late 1995, and Health First Health Plans, opening in January 1996. Since then, we've also added Holmes Regional Trauma Center, Viera Hospital in April of 2011, Vitalwatch - electronic intensive care unit and many other services to our family.Other services include outpatient centers; the county's only trauma center; home care; specialized programs for cancer, diabetes, heart, stroke, and rehabilitative services; central Brevard's largest medical group; three fitness centers; and Medicare advantage, commercial POS, and commercial HMO health plans.Working together in a seamless system, Health First is devoted to integrating quality healthcare services with state-of-the-art technology. Health First also works together with other organizations and physicians in our community.Our associates are also actively building a healthier community through volunteering for organizations dedicated to preventing and treating health concerns such as cancer, diabetes, and heart disease. We're also proud of our associates' charitable giving plan, EAGLES (Every Associate's Gift Leaves Everlasting Spirit), that promotes tissue and organ donor awareness, provides dental services for Brevard Health Alliance patients, and supports the Bright Star Center for grieving children & families.Part VI, Line 7:Not applicable. Neither the filing organization nor any related organization files a community benefit report with any state other than the extent to which community benefit information is included in other reporting requirements, such as information provided to the Florida Hospital Association.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Records Maintained	1	RecordsMaintained

Recipient Table RecipientTable (4 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EIN Of RecipientEINOfRecipient	IRC SectionIRCSection	Amount Of Cash GrantAmountOfCashGrant	Purpose Of GrantPurposeOfGrant
Brevard Health Alliance
3661 Babcock St	Melbourne	FL	32901	900068515	501(c)(3)	732000	Financial assistance to further advance the goals and mission of Brevard Health Alliance.
Health First Foundation
3300 Fiske Blvd	Rockledge	FL	32955	593528774	501(c)(3)	38122	General support
Brevard County Board of Commissioners
400 Fortenberry Rd	Merritt Island	FL	32952	596000523		366000	Health services to Brevard County's Medicaid & underinsured population
The Health Council of East Central Florida
1155 S Semoran Blvd Ste 111	Winter Park	FL	32792	592227752	501(c)(3)	6000	Community Health Needs Assessment

Field	Value	IRS element (for citing)
Total Nbr Of501 C3 And Govt Grants	4	TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations	0	TotalNbrOfOtherOrganizations

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 Holmes Regional Medical Center 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	1	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 (15 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
Robert R Wright
President Community Hosp	0	389982	0	0	0	131551	0	7600	0	18532	0	547665	0	13995
Jerry Senne
President/CEO (HRMC) (out-going)	0	480529	0	0	0	609112	0	0	0	9977	0	1099618	0	0
Judith A Gizinski
President (PBH)	0	224468	0	0	0	250155	0	6092	0	15252	0	495967	0	109186
Steven P Johnson
President/CEO HF	0	1081750	0	0	0	239054	0	0	0	13203	0	1334007	0	21758
James Stuart Mitchell III
Vice President	0	490626	0	0	0	91757	0	0	0	9296	0	591679	0	0
Joseph Felkner
EVP/CFO	0	581832	0	0	0	106964	0	0	0	14134	0	702930	0	0
David E Mathias Esq
SVP/Corporate Counsel	0	353852	0	0	0	218689	0	7600	0	15680	0	595821	0	50357
Bonnie J Rudolph
CNO Health First VP Nsg HRMC	0	260493	0	0	0	203727	0	4504	0	7276	0	476000	0	0
Charles Behl
Lead Pharmacist	0	168791	0	0	0	1772	0	4762	0	15694	0	191019	0	0
Tia Marie Rossana
Pharmacist	0	179930	0	0	0	150	0	5567	0	6358	0	192005	0	0
Valerie A Holloway
VP Customer Community Relation	0	70420	0	0	0	120374	0	1044	0	15880	0	207718	0	0
Jeffrey L Guth
Pharmacist	0	162756	0	0	0	2976	0	3120	0	12464	0	181316	0	0
Jennifer L McCarthy
VP Operations PBH	0	167241	0	0	0	0	0	846	0	6002	0	174089	0	0
Judy Killebrew
President/CEO (HRMC)(out-going)	0	335957	0	0	0	564618	0	2500	0	13425	0	916500	0	0
Robert C Galloway
SVP/CFO (out-going)	0	153417	0	0	0	120661	0	3308	0	5131	0	282517	0	45859

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Part I, Lines 4a-b	The following individuals received a severance payment for their service to Holmes Regional Medical Center, Inc.: Valerie Holloway $119,925 Jennifer McCarthy $101,208 Jerry Senne $382,521 Judy Killebrew $562,500 Bonnie Rudolph $198,500 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 payments 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 amounts: Judith A. Gizinski $3,035 Robert R. Wright 2,613 Robert C. Galloway 3,933 David E. Mathias 22,831 Steven Johnson 183,012 Joseph Felkner 107,078
Part III	Compensation is paid by Health First, Inc. EIN:59-3336894 and reimbursed by Holmes Regional Medical Center, Inc. Salary and benefit expenses disclosed in part IX is allocated to this entity. Amounts reported in Column F represent deferred compensation previously reported on prior years' Form 990. The filing organization relied on Health First for establishing the top management official's compensation. See Core 990, part VI, Section B, Line 15 on Schedule O for further information regarding the process utilized.	Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (11 entries)

Return ReferenceReturnReference	ExplanationExplanation	IdentifierIdentifier
Form 990, Part VI, Section A, line 6	The sole member of Holmes Regional Medical Center, Inc. is Health First, Inc., a Florida not-for-profit corporation that serves as the corporate parent of the health system.
Form 990, Part VI, Section A, line 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 debt or guarantee the debt of another; -Approval of the sale, lease, purchase, conveyance or other disposition of any real or personal property having a total capitalized cost in excess of $1,000,000; -Approval of the sale, lease, purchase, conveyance or other disposition of all or substantially all the assets of the organization; -Approval of annual operating and capital expenditure budgets and any material deviations therefrom; -Appointment or engagement of auditors, legal counsel or consultants; -Creation, acquisition, sale, purchase, dissolution or other disposition of any affiliated or controlled entity or joint venture or any interest in such entity; -Relocation, implementation or discontinuation of a major program service. -Capital expenditures and capital leases exceeding $1,000,000 in total.
Form 990, Part VI, Section B, line 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 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 salaries of our CEO and other Health First executives are reviewed and recommended annually to the Board of Trustees and approved in executive session by the full Bboard 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 to a related tax-exempt -24,912,938. Change in temporarily restricted net assets 263,956.	Changes in Net Assets or Fund Balances:
FORM 990, PART XII, QUESTION 2C, AUDITED FINANCIAL STATEMENT:	The Audit Committee of Health First reviews and approves the annual audit and compliance audit plans then makes its report to the Health First Board of Directors. The Audit Committee is responsible for the selection of the independent auditors. There was no change from prior year.
FORM 990, PART IV, QUESTION 24A, BONDS ISSUED AFTER DECEMBER 31, 2002:	The filing organization is part of an obligated group that had more than $100,000 in bonds issued after December 31, 2002 that were outstanding on the last day of its tax year. The filing organization's share of these obligations is reported on Part X, Line 20 of Health First, Inc. The parent of the obligated group, is filing Schedule K on behalf of itself and all members of the obligated group.
FORM 990, PART V, QUESTION 2A, NUMBER OF EMPLOYEES:	Employees at Holmes Regional Medical Center, Inc. are included in the Form 941 filed by Health First, Inc. Ein: 59-3336894

Schedule R IRS990ScheduleR

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	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Controlled OrgControlledOrg	Direct Controlling Entity NADirectControllingEntityNA
Cape Canaveral Hospital Inc
3300 Fiske Blvd	Rockledge	FL	32955	592477479	Hospital	FL	501(c)(3)	Line 3	Health First Inc	1
Hospice of Health First Inc
3300 Fiske Blvd	Rockledge	FL	32955	591911574	Healthcare	FL	501(c)(3)	Line 9	Health First Inc	1
Health First Foundation Inc
3300 Fiske Blvd	Rockledge	FL	32955	593528774	Fundraising	FL	501(c)(3)	Line 7	Health First Inc	1
Health First Inc
3300 Fiske Blvd	Rockledge	FL	32955	593336894	Support Org	FL	501(c)(3)	Line 11c, III-FI		0	N/A
Viera Hospital Inc
3300 Fiske Blvd	Rockledge	FL	32955	264019868	Hospital	FL	501(c)(3)	Line 3	Health First Inc	1

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1	CityAddressUS/City	StateAddressUS/State	ZIP CodeAddressUS/ZIPCode	EINEIN	Primary ActivityPrimaryActivity	Legal Domicile StateLegalDomicileState	Business Name Line1DirectControllingEntityName/BusinessNameLine1	Predominant Income TypePredominantIncomeType	Share Of Total IncomeShareOfTotalIncome	Share Of EOY AssetsShareOfEOYAssets	Disproportionate AllocationsDisproportionateAllocations	General Or Managing PartnerGeneralOrManagingPartner	Percentage OwnershipPercentageOwnership
Health First Quickcare LLC
3300 Fiske Blvd	Rockledge	FL	32955	900520186	Healthcare	FL	Holmes Regional Medical Center	Related	22779	74613	0	0	0.51000
Doctors GI Partnership Ltd
3300 Fiske Blvd	Rockledge	FL	32955	593758988	Healthcare	FL	Holmes Regional Medical Center	Related	585845	1086141	0	0	0.80000

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	1	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	1	ReimbursementPaidByOtherOrg
Other Transfer To Other Org	0	OtherTransferToOtherOrg
Other Transfer From Other Org	0	OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (9 entries)

Transaction TypeTransactionType	Amount InvolvedAmountInvolved
Health First Foundation Inc
C	1060505
Cape Canaveral Hospital Inc
J	68061
Health First Foundation Inc
J	69230
Health First Physicians Inc
J	411150
Cape Canaveral Hospital Inc
L	797798
Health First Health Plans Inc
L	65466700
Viera Hospital Inc
L	400927
Cape Health Properties Inc
P	169261
Health First Physicians Inc
P	67423

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