2013-08-14T11:52:57-05:00 2012-09-30 420714325 MCGLADREY LLP 7351 OFFICE PARK PL MELBOURNE FL 32940 990 2011-10-01 593528774 HEALTH FIRST FOUNDATION INC HEAL 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 2821467 0 X WWW.HEALTH-FIRST.ORG X 1998 FL 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. 28 27 0 129 0 0 2142435 2122849 0 0 0 -11730 483812 449732 2626247 2560851 1463585 1266673 0 0 783727 837696 0 0 706808 289683 325007 2536995 2429376 89252 131475 3706049 4510593 1979157 2192830 1726892 2317763 OUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU ANDYOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE. 0 0 1266673 1266673 IN FISCAL YEAR 2012, 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. 1266673 1 1 0 0 0 0 0 0 0 1 1 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 1 1 1 0 0 0 0 0 0 0 0 1 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 1 1 0 0 0 0 X 28 27 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 NANCY TAYLOR 1.00 X X 0 0 0 RICK THEISEN 1.00 X X 0 0 0 PATRICIA D PRUITT 1.00 X X 0 0 0 JOHN K STARK 1.00 X X 0 0 0 WENDY S BRANDON 1.00 X 0 0 0 GOBTVENKATA BALAJI 1.00 X 0 0 0 SCOTT M BOUGHAN ESQ 1.00 X 0 0 0 RICHARD C BEAGLEY 1.00 X 0 0 0 PATRICK T BIDDIX 1.00 X 0 0 0 LARRY S BISHOP MD 1.00 X 0 0 0 KIMBERLY BROWN 1.00 X 0 0 0 MELISSA FLAMMIO CLARK 1.00 X 0 0 0 CARL D CODDINGTON JR 1.00 X 0 1500 0 LINDA G COLEMAN 1.00 X 0 0 0 ROCHELLE COOPER 1.00 X 0 0 0 DALE A DETTMER ESQ 1.00 X 0 0 0 ROBERT DOW 1.00 X 0 0 0 J TIMOTHY DWIGHT 1.00 X 0 0 0 EVELYN E FOSTER 1.00 X 0 0 0 COLEMAN GOATLEY 1.00 X 0 0 0 MYRA IGO HALEY 1.00 X 0 0 0 STEVEN P JOHNSON 1.00 X X 0 211659 25391 ROBERT J MANDEL 1.00 X 0 0 0 PAULA G MOLNAR 1.00 X 0 0 0 BARRY F RICHARDSON 1.00 X 0 0 0 CHARLES F SCANLON 1.00 X 0 0 0 KEVIN B STEELE 1.00 X 0 0 21900 MINDY F THOMPSON 1.00 X 0 43034 1687 MICHAEL B CHAPLIN 1.00 X 0 0 0 LARRY F GARRISON OUTGOING 1.00 X X 0 827663 44392 HENRY T GOODE 1.00 X 0 0 0 MICHAEL D MEANS 1.00 X 0 1276520 53292 CHARLES D RAGLAND 1.00 X 0 0 0 JANE MCCALLUM 40.00 X 0 100845 12846 0 2461221 159508 0 0 1 0 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 MANAGEMENT SUPPORT 1102385 1 286717 1356685 479447 123475 2122849 11730 -11730 -11730 -11730 697646 286717 248886 448760 448760 OTHER OPERATING REVENU 900099 972 972 972 2560851 0 0 438002 1246673 1246673 20000 20000 106238 106238 528265 127330 400935 13407 1977 11430 139663 31315 108348 50123 16140 33983 4560 4560 16176 16176 52516 32448 20068 24644 2184 22460 44409 20256 24153 49850 33912 15938 72518 3204 69314 9795 348 9447 1261 120 1141 1680 1680 31083 20580 10503 15768 15768 CATERING 109900 276 109624 MAINTENANCE & REPAIR 3384 3384 LICENSES & TAXES 446 96 350 FUNDRAISING EXP PT VIII -248886 -248886 135903 17903 118000 2429376 1266673 455895 706808 2114436 986402 97657 758680 602692 1524 82368 64040 40548 18328 694728 2901647 3706049 4510593 114507 162822 114075 160884 1750575 1869124 1979157 2192830 X 678549 649504 1048343 1668259 1726892 2317763 3706049 4510593 X 131475 459396 X X 0 1 1 X 0 X 4252721 2288935 2849617 2142435 2122849 13656557 4252721 2288935 2849617 2142435 2122849 13656557 7709285 5947272 13999 7258 225 21482 597 64 48 1332 972 3013 13681052 0.43470 0.51530 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 97657 304945 772 95 403279 97610 333 286 97657 47504 50000 11 -95 97610 50000 4 2500 47504 1.00000 0 0 4679 4278 401 77689 59762 17927 18328 ASSETS LIMITED AS TO USE 1668259 OTHER CURRENT ASSETS 1233388 2901647 NONCURRENT LIABILITIES 1664169 DUE TO AFFILIATE 204955 1869124 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: 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. BENEFIT BALL 357045 61000 296045 130013 GRAPE ESCAPE 361093 114079 247014 59713 5 266225 111638 154587 59160 984363 286717 697646 248886 248886 448760 1 HOLMES REGIONAL MEDICAL CENTER INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 590624371 501(C)(3) 841794 FUND OPERATIONS CAPE CANAVERAL HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 592477479 501(C)(3) 170500 FUND OPERATIONS HOSPICE OF HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 591911574 501(C)(3) 132160 FUND OPERATIONS HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 593336894 501(C)(3) 80918 FUND OPERATIONS VIERA HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 264019868 501(C)(3) 21300 FUND OPERATIONS. SCHOLARSHIPS 19 20000 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE HEALTH FIRST FOUNDATION BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY. 1 0 1 0 0 0 0 0 0 0 STEVEN P JOHNSON 0 206353 0 0 0 5306 0 21758 0 3633 0 237050 0 0 LARRY F GARRISON OUTGOING 0 449906 0 0 0 377757 0 31905 0 12487 0 872055 0 17338 MICHAEL D MEANS 0 670340 0 0 0 606180 0 36879 0 16413 0 1329812 0 21447 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 LARRY F. GARRISON $ 19,329 STEVEN P. JOHNSON $ 21,758 SUPPLEMENTAL INFORMATION 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 DISCLOSURE ON SCHEDULE O FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. X SILENT AUCTION 219 123475 AUCTION SALE 0 0 1 0 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 SECTION 501(C)(3) EXEMPT ORGANIZATION AND THE PARENT OF THE EXEMPT HEALTH CARE 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: LARRY F. GARRISON 40 HOURS HEALTH FIRST, INC. MICHAEL D. MEANS 40 HOURS HOSPICE OF HEALTH FIRST, INC & HEALTH FIRST, INC. STEVEN P. JOHNSON 40 HOURS HEALTH FIRST, INC & HOSPICE OF HEALTH FIRST, INC PATRICIA D. PRUITT 1 HOUR HOSPICE OF HEALTH FIRST, INC KEVIN B. STEELE 1 HOUR HEALTH FIRST, INC & CAPE CANAVERAL HOSPITAL, INC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT -180,522. CHANGE IN TEMPORARILY RESTRICTED NET ASSETS 639,918. TOTAL TO FORM 990, PART XI, LINE 5: 459,396. 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. 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 N/A 1 CAPE CANAVERAL HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 592477479 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 HOSPICE OF HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 591911574 HEALTHCARE FL 501(C)(3) LINE 9 N/A 1 VIERA HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 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 HOLMES REGIONAL MEDICAL CENTER INC B 841794 HOSPICE OF HEALTH FIRST INC B 132160 CAPE CANAVERAL HOSPITAL INC B 170500 HOLMES REGIONAL MEDICAL CENTER INC J 67214 HOLMES REGIONAL MEDICAL CENTER INC K 61826 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.