2013-08-14T11:52:57-05:00 2012-09-30 420714325 MCGLADREY LLP 7351 OFFICE PARK PL MELBOURNE FL 32940 990 2011-10-01 591911574 HOSPICE OF HEALTH FIRST INC HOSP 3214345150 3300 FISKE BLVD ROCKLEDGE FL 32955 JOSEPH G FELKNER 3214345150 2013-07-19 1 THERESA A BURDINE CPA P00362629 3217516200 2011 2016-02-25 16:41:14Z STEVEN P JOHNSON 3300 FISKE BLVD ROCKLEDGE FL 32955 9192646 0 X WWW.HEALTH-FIRST.ORG X 1978 FL OUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE.FOR MORE THAN 25 YEARS, HOSPICE OF HEALTH FIRST HAS BEEN LEADINGHOSPICE CARE IN BREVARD COUNTY, FL. HOSPICE ENABLES PATIENTS TOREMAIN AT HOME DURING MOST OR ALL OF THEIR ILLNESS, RELATIVELY FREEFROM PAIN, SURROUNDED BY FAMILY AND FRIENDS, AND LIVING LIFE AS FULLYAS POSSIBLE. 12 9 0 332 0 0 181925 132160 10049434 9040569 20094 18849 1308 1068 10252761 9192646 1713669 1716075 0 0 4215478 4385995 0 0 0 3253724 3101252 9182871 9203322 1069890 -10676 29552762 29713065 2829751 2925330 26723011 26787735 X OUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU ANDYOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE. 0 0 8353682 1716075 9040569 HOSPICE OF HEALTH FIRST, INC. PROVIDES CARE TO THE TERMINALLY ILL AND THEIR FAMILIES BY FURNISHING PAIN CONTROL AND SYMPTOM MANAGEMENT ACROSS THE HEALTH CARE CONTINUUM (HOSPITAL, HOME, NURSING HOME, & ALF) AS WELL AS EDUCATIONAL AND BEREAVEMENT PROGRAMS TO ENHANCE THE COPING ABILITIES OF FAMILIES.IN FISCAL YEAR 2012, HOSPICE OF HEALTH FIRST INC., WHICH INCLUDES HOMECARE AND THE WILLIAM CHILDS HOSPICE HOUSE PROVIDED 52,464 DAYS OF CARE. PATIENTS AND FAMILIES WERE PROVIDED A TOTAL OF 1688 HOURS OF CONTINUOUS (6753 BILLABLE UNITS) IN THE HOME AND 1,944 UNBILLABLE HOURS OF RESPITE CARE. VOLUNTEERS GAVE A TOTAL OF 16,225 HOURS OF SERVICE WHICH EQUALS $294,007 IN COST-SAVING DOLLARS. BEREAVEMENT SERVICES WERE OFFERED TO 980 SURVIVING CARE GIVERS. THIS INCLUDED SUDDENLY ALONE SUPPORT GROUPS, MOVING ALONG SUPPORT GROUPS, NEW BEGINNING SOCIAL GROUPS, MEN AND LADIES BREAKFAST SOCIAL GROUPS AND THE BRIGHT STAR CENTER FOR GRIEVING CHILDREN AND THEIR FAMILIES. MAJOR NEW PROGRAM ACCOMPLISHMENTS INCLUDE:HOSPICE OF HEALTH FIRST HIRED A FULL TIME MEDICAL DIRECTOR. THE MEDICAL DIRECTOR IS AVAILABLE TO MAKE HOME VISITS, CONSULT WITH OTHER PHYSICIANS, AND ACT AS A RESOURCE FOR NURSE CASE MANAGERS. THE MEDICAL DOCTOR IS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK.HOSPICE OF HEALTH FIRST ALSO HIRED A FULL TIME HOSPICE CHAPLAIN WHO WORKS SIDE BY SIDE WITH COMMUNITY CHURCHES, FAITH GROUPS, AND VOLUNTEERS TO PROVIDE SPIRITUAL SUPPORT TO THE PATIENTS AND FAMILIES IN OUR CARE.FOR A COPY OF OUR COMMUNITY BENEFIT REPORT SEE: HTTP://WWW.HEALTH-FIRST.ORG/CR/2013-CR/INDEX.CFM?UTM_SOURCE=WWWHOMEPGBANNER&UTM_MEDIUM=HPBANNER&UTM_CAMPAIGN=CR2013HFWWWHOMEPAGEBANNER 8353682 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 X DWAIN STILSON 3214345150 3300 FISKE BLVD ROCKLEDGE FL 32955 X PATRICIA D PRUITT 1.00 X X 0 0 0 JOHN H THISTLE IV 1.00 X X 0 0 0 ROBIN M PETERSEN ESQ 1.00 X X 0 0 0 ROBERT R WRIGHT 1.00 X X 0 1207403 62878 MICHAEL MEANS PRESIDENTCEO HEALTH F 1.00 X 0 1276520 53292 EDWARD A ANDRE 1.00 X 0 0 0 MICHAEL C BROWNLIE 1.00 X 0 0 0 REV ROBERT M BRUCKART PHD 1.00 X 0 97393 21074 JOHN CAMPBELL MD 1.00 X 0 0 0 MADELINE CHILDS 1.00 X 0 0 0 MARGE KNOPF 1.00 X 0 0 0 LEONOR ZIES MD 1.00 X 0 0 0 STEVEN P JOHNSON PRESIDENTCEO HEAL 1.00 X 0 211659 25391 RUDDY RUIZ MD 1.00 X 0 45833 0 DREW RECTOR 1.00 X X 0 0 0 STEVE BATCHELOR EMERITUS 1.00 X 0 0 0 ROBERTA VANDUSEN 40.00 X 0 124465 11986 0 2963273 174621 0 0 1 0 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 MANAGEMENT SUPPORT 5885414 1 132160 132160 PATIENT SERVICE REVENU 624100 9038973 9038973 RENT INCOME FROM AFFIL 531120 1596 1596 9040569 18849 18849 OTHER INCOME - CORPORA 900099 1068 1068 1068 9192646 9040569 0 19917 1716075 1716075 166602 166602 3057801 2998662 59139 76955 64862 12093 819054 780957 38097 265583 248987 16596 23736 23736 8976 8976 619584 520176 99408 17793 6897 10896 487294 468562 18732 153680 1400 152280 207110 101474 105636 203297 202757 540 216 216 10764 10764 226271 209615 16656 82224 82224 MEDICAL SUPPLIES 782251 781963 288 MAINTENANCE & REPAIR 30987 27999 2988 LICENSES & TAXES 10866 10674 192 236203 212622 23581 9203322 8353682 849640 0 14714112 13414503 993594 1010878 4823439 1672733 3340730 3150706 10483064 10501913 21262 1635065 29552762 29713065 472178 479977 2357573 2445353 2829751 2925330 X 25133810 25169106 1589201 1618629 26723011 26787735 29552762 29713065 X -10676 75400 X X 0 1 1 X 0 X 267754 543536 181925 132160 1125375 11221391 11295466 10157622 10049434 9040569 51764482 11489145 11295466 10701158 10231359 9172729 52889857 0 0 0 52889857 350078 78715 28861 20094 18849 496597 350078 78715 28861 20094 18849 496597 35523 4946 1308 1068 42845 11839223 11409704 10734965 10252761 9192646 53429299 0.98990 0.98190 0.00930 0.01740 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3733164 978474 2754690 261724 50257 211467 828551 644002 184549 3150706 DEMAND NOTE - HEALTH FIRST, INC. 10501913 C 10501913 FOUNDATION FUNDS 16436 ASSETS LIMITED AS TO USE 1618629 1635065 DUE TO AFFILIATES 666040 OTHER CURRENT LIABILITIES 1779313 2445353 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: 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. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. 1 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593336894 501(C)(3) 1716075 GENERAL SUPPORT 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE HOSPICE OF HEALTH FIRST BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY. 1 0 1 0 0 0 0 0 0 0 ROBERT R WRIGHT 0 247816 0 0 0 959587 0 43818 0 19060 0 1270281 0 629608 MICHAEL MEANS PRESIDENTCEO HEALTH F 0 670340 0 0 0 606180 0 36879 0 16413 0 1329812 0 21447 STEVEN P JOHNSON PRESIDENTCEO HEAL 0 206353 0 0 0 5306 0 21758 0 3633 0 237050 0 0 PART I, LINE 4B HEALTH FIRST, INC HAS A NON-QUALIFIED SERP FOR CERTAIN EXECUTIVES. BELOW ARE THE 2011 DEFERRED AMOUNTS: MICHAEL D. MEANS $ 23,955 ROBERT R. WRIGHT $ 31,515 STEVEN P. JOHNSON $ 21,758 SUPPLEMENTAL INFORMATION PART III RUDDY RUIZ RECEIVED PAYMENTS OF $133,133 FROM HEALTH FIRST, INC REPORTED IN BOX 6 OF 1099-MISC. THIS COMPENSATION IS NOT REPORTED ON SCHEDULE J, PART II. COMPENSATION IS PAID BY HEALTH FIRST, INC. EIN: 59-3336894 AND REIMBURSED BY HOSPICE OF HEALTH FIRST, INC. SALARY AND BENEFIT EXPENSES DISCLOSED IN PART IX IS ALLOCATED TO THIS ENTITY. AMOUNTS REPORTED IN COLUMN F REPRESENT DEFERRED COMPENSATION PREVIOUSLY REPORTED ON PRIOR YEARS' FORM 990. THE FILING ORGANIZATION RELIED ON HEALTH FIRST FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990, PART VI, SECTION B, NUMBER 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HOSPICE OF HEALTH FIRST, INC. IS HEALTH FIRST, INC., A FLORIDA NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE CORPORATE PARENT OF THE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 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 FMV IN EXCESS OF $250,000; -APPROVAL OF THE SALE, LEASE, PURCHASE, CONVEYANCE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE ORGANIZATION; -APPROVAL OF THE ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS AND ANY MATERIAL DEVIATONS THEREFROM; -APPOINTMENT OR ENGAGEMENT OF AUDITORS, LEGAL COUNSEL OR CONSULTANTS; -APPROVAL OF CHANGES OF HUMAN RESOURCE, EMPLOYEE BENEFITS, ACCOUNTING, FINANCIAL AND OTHER POLICIES OR PROCEDURES; -APPROVAL OF STRATEGIC AND LONG-RANGE PLANS, MAJOR FUND RAISING PROGRAMS AND FINANCIAL COMMITMENTS NOT BUDGETED; -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 APPROVAL OF MANAGED CARE AGREEMENTS; -THE REPEAL, AMENDMENT, OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; AND -CAPITAL EXPENDITURES AND CAPITAL LEASES EXCEEDING $500,000 ANNUALLY OR $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. 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 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. PART VII, SECTION A, COLUMN B: AVERAGE HOURS PER WEEK DEVOTED TO POSITIONS WITH RELATED ORGANIZATIONS: MICHAEL D. MEANS 40 HOURS HEALTH FIRST FOUNDATION, INC & HEALTH FIRST, INC. STEVEN P. JOHNSON 40 HOURS HEALTH FIRST, INC & HEALTH FIRST FOUNDATION, INC. PATRICIA D. PRUITT 1 HOUR HEALTH FIRST FOUNDATION, INC. ROBERT R. WRIGHT 40 HOURS HEALTH FIRST, INC, HOLMES REGIONAL MEDICAL CENTER, INC, CAPE CANAVERAL HOSPITAL, INC & VIERA HOSPITAL, INC. DREW A. RECTOR 40 HOURS HEALTH FIRST, INC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT 45,972. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 29,428. TOTAL TO FORM 990, PART XI, LINE 5: 75,400. 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 HOSPICE OF HEALTH FIRST, INC. ARE INCLUDED IN THE FORM 941 FILED BY HEALTH FIRST, INC. EIN: 59-3336894. HOLMES REGIONAL MEDICAL CENTER INC 3300 FISKE BLVD ROCKLEDGE FL 32955 590624371 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 CAPE CANAVERAL HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592477479 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 HEALTH FIRST FOUNDATION INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593528774 FUNDRAISING FL 501(C)(3) LINE 7 N/A 1 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593336894 SUPPORT ORG. FL 501(C)(3) LINE 11C, III-FI N/A 0 VIERA HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FM 32955 264019868 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 CAPE HEALTH PROPERTIES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593086711 REAL ESTATE FL CAPE CANAVERAL HOSPITAL INC C HEALTH FIRST MEDICAL MANAGEMENT INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593348252 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST PHYSICIANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593346397 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HOLMES REGIONAL ENTERPRISES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592109953 REAL ESTATE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST HEALTH PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593315064 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST INSURANCE INC 3300 FISKE BLVD ROCKLEDGE FL 32955 453131932 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST HOLDING COMPANY & SUBS 3300 FISKE BLVD ROCKLEDGE FL 32955 593509709 HOLDING CORP. FL HEALTH FIRST INC C 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 HEALTH FIRST FOUNDATION INC C 132160 HOLMES REGIONAL MEDICAL CENTER INC O 63872 FORM 990, SCHEDULE R, PART V, SCHEDULE R DISCLOSURES: ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING STANDARDS.