VIERA HOSPITAL INC: Form 990, tax year 2010
View the entire original 990 at ProPublica ↗
- Organization
- VIERA HOSPITAL INC (EIN 26-4019868)
- Tax period
- 2010-10-01 to 2011-09-30
- Filed
- 2012-08-15
- IRS object ID
- 201212289349300441
- Schema version
- 2010v3.4
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2012-08-15T10:15:50-05:00 | Timestamp |
| Tax Period End Date | 2011-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
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 | 7351 OFFICE PARK PL | AddressLine1 |
| City | MELBOURNE | City |
| State | FL | State |
| ZIP Code | 32940 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2010-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264019868 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIERA HOSPITAL INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | VIER | 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 | CFO | Title |
| Phone | 3214345150 | Phone |
| Date Signed | 2012-08-09 | DateSigned |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | THERESA A BURDINE | Name |
| Phone | 3217516200 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2010 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Initial Return | X | InitialReturn |
| Name Of Principal Officer Person | MICHAEL MEANS | 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 | 23561124 | 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 | 2009 | 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 | 6 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 5 | NbrIndependentVotingMembers |
| Total Nbr Employees | 0 | TotalNbrEmployees |
| Total Nbr Volunteers | 242 | TotalNbrVolunteers |
| Total Gross UBI | 0 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Current Year | 37306 | ContributionsGrantsCurrentYear |
| Program Service Revenue CY | 21259711 | ProgramServiceRevenueCY |
| Investment Income Current Year | 168 | InvestmentIncomeCurrentYear |
| Other Revenue Current Year | 259013 | OtherRevenueCurrentYear |
| Total Revenue Current Year | 21556198 | TotalRevenueCurrentYear |
| Grants And Similar Amnts CY | 0 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Current Year | 15878323 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expenses Current Year | 17164635 | OtherExpensesCurrentYear |
| Total Expenses Current Year | 33042958 | TotalExpensesCurrentYear |
| Revenues Less Expenses CY | -11486760 | RevenuesLessExpensesCY |
| Total Assets EOY | 185014128 | TotalAssetsEOY |
| Total Liabilities EOY | 96480694 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances EOY | 88533434 | 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.VIERA HOSPITAL IS A 84 ALL-PRIVATE BED NOT-FOR-PROFIT HOSPITAL WITH SERVICES INCLUDING 24-HOUR EMERGENCY DEPARTMENT, FULL MEDICAL AND SURGICAL CAPABILITIES, ORTHOPEDICS, DIAGNOSTIC SERVICES AND FULL-SERVICE LABORATORY. VIERA HOSPITAL FEATURES STATE-OF-THE-ART TECHNOLOGIES INCLUDING DA-VINCI ROBOTICS SURGERY. | MissionDescription |
| Significant New Program Services | 0 | SignificantNewProgramServices |
| Significant Change | 0 | SignificantChange |
| Expense | 26483870 | Expense |
| Revenue | 21259711 | Revenue |
| Description | VIERA HOSPITAL OPENED IN APRIL OF 2011. THE HOSPITAL HAS 84 ALL-PRIVATE PATIENT BEDS, 16 ALL-PRIVATE OBSERVATION BEDS, 12-BED INTENSIVE CARE UNIT MEDICAL AND SURGICAL CAPABILITIES, INPATIENT DIAGNOSTIC AND LAB SERVICES, VITALWATCH (REMOTE ELECTRONIC ICU) 2-WAY AUDIO/VIDEO IN ALL ICU ROOMS AND ECAREMOBILE CRITICAL CARE SERVICE UNITS FOR EVERY PATIENT ROOM. THE HOSPITAL IS HURRICANE HARDENED CONSTRUCTION WITH STATE OF THE ART TECHNOLOGIES FEATURED THROUGHOUT. THE HOSPITAL OFFERS DA-VINCI ROBOTICS SURGERY.VIERA HOSPITAL IS THE CORNERSTONE OF THE VIERA HEALTH PARK CAMPUS WHICH INCLUDES TWO OTHER INTEGRATED HEALTH CARE FACILITIES WITHIN WALKING DISTANCE OF ONE ANOTHER; THE MEDICAL PLAZA AND THE PRO-HEALTH & FITNESS CENTER VIERA. VIERA HOSPITAL PROVIDES QUALITY MEDICAL HEALTHCARE REGARDLESS OF RACE, CREED, GENDER, NATIONAL ORIGIN, HANDICAP, AGE OR ABILITY TO PAY, ALTHOUGH REIMBURSEMENT FOR SERVICES RENDERED IS CRITICAL TO THE OPERATION AND STABILITY OF VIERA HOSPITAL, INC. 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 HEALTHCARE SERVICES AND HEALTHCARE EDUCATION SUCH AS "HEALTHY HAPPENINGS" SEMINARS AND SUPPORT GROUPS FOR THE PUBLIC.IN KEEPING WITH THIS HOSPITAL'S COMMITMENT, TO SERVE ALL MEMBERS OF ITSCOMMUNITY:1) FREE CARE AND/OR SUBSIDIZED CARE IS PROVIDED WHERE THE NEED AND/ORINABILITY TO PAY EXISTS;2) CARE IS PROVIDED AT BELOW COST TO PERSONS COVERED BY GOVERNMENTALPROGRAMS;3) FREE HEALTHCARE ACTIVITIES AND PROGRAMS ARE PROVIDED TO THECOMMUNITY. THESE ACTIVITIES INCLUDE: WELLNESS PROGRAMS, COMMUNITYEDUCATION PROGRAMS, SPECIAL PROGRAMS FOR ELDERLY, HANDICAPPED, ANDMENTALLY UNDERSERVED ALONG WITH A VARIETY OF BROAD COMMUNITY SUPPORTACTIVITIES.FOR A COPY OF OUR HEALTH FIRST COMMUNITY BENEFIT REPORT SEE:HTTP://HFWWW1.HEALTH-FIRST.ORG/CR/HEALTH-FIRST-COMMUNITY-REPORT-2012.PDF | Description |
| Total Program Service Expense | 26483870 | TotalProgramServiceExpense |
| Described In501 C3 | 1 | DescribedIn501C3 |
| Schedule B Required | 1 | ScheduleBRequired |
| Political Activities | 0 | PoliticalActivities |
| Lobbying Activities | 0 | LobbyingActivities |
| 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 | 0 | ReportProgRelInvest |
| Report Other Assets | 1 | ReportOtherAssets |
| Report Other Liabilities | 1 | ReportOtherLiabilities |
| Report Fin48 Footnote | 1 | ReportFin48Footnote |
| Independent Audit Financial Stmt | 0 | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | 1 | ConsolidatedAuditFinancialStmt |
| School | 0 | School |
| Foreign Office | 0 | ForeignOffice |
| Foreign Activities | 0 | ForeignActivities |
| More Than5000 K To Organizations | 0 | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividuals |
| Professional Fundraising | 0 | ProfessionalFundraising |
| Fundraising Activities | 0 | FundraisingActivities |
| Gaming | 0 | Gaming |
| Hospital | 1 | Hospital |
| Financial Stmt Attached | 1 | FinancialStmtAttached |
| Grants To Organizations | 0 | 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 |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 0 | NumberOfEmployees |
| Unrelated Business Income | 0 | UnrelatedBusinessIncome |
| Foreign Financial Account | 0 | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTrans |
| Taxable Party Notification | 0 | TaxablePartyNotification |
| Non Deductible Contributions | 0 | NonDeductibleContributions |
| Quid Pro Quo Contributions | 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 | 6 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 5 | 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 | 0 | CompensationProcessCEO |
| Compensation Process Other | 0 | CompensationProcessOther |
| Investment In Joint Venture | 0 | InvestmentInJointVenture |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DWAIN STILSON | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (6 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation |
|---|---|---|---|---|---|---|
| PAMELA A GATTO | ||||||
| CHAIRMAN | 1.00 | X | X | 0 | 4515 | 17850 |
| BRIAN J BUSSEN | ||||||
| VICE CHAIRMAN | 1.00 | X | X | 0 | 8206 | 35725 |
| JUDITH A GEORGE | ||||||
| SECRETARY | 1.00 | X | X | 0 | 9666 | 15850 |
| A THOMAS HOLLINGSWORTH PHD | ||||||
| TREASURER | 1.00 | X | X | 0 | 8972 | 15400 |
| CHRISTOPHER S KENNEDY | ||||||
| PRESIDENT | 40.00 | X | X | 0 | 359813 | 115180 |
| FRANK VENZARA MD | ||||||
| DIRECTOR | 1.00 | X | 0 | 0 | 0 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 0 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 391172 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 200005 | TotalOtherCompensation |
| Number Individuals GT100 K | 0 | NumberIndividualsGT100K |
| Formers Listed | 0 | FormersListed |
| Total Comp GT150 K | 1 | TotalCompGT150K |
| Compensation From Other Sources | 0 | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (3 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 | 21856746 |
| VIERA MEDICAL PLAZA AT VIERA HEALTHPARK | |||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | REAL ESTATE SERVICES | 294844 |
| CAPE CANAVERAL HOSPITAL INC | |||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | HOSPITAL SERVICES | 112411 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 3 | NumberOfContractorsGT100K |
| Related Organizations | 37306 | RelatedOrganizations |
| Total Contributions | 37306 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome |
|---|---|---|---|
| PATIENT SERVICES | 621110 | 15392490 | 15392490 |
| MEDICARE/MEDICAID | 621110 | 5860549 | 5860549 |
| RELATED COMPANY RENT | 531120 | 6672 | 6672 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 21259711 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1789 | TotalRevenueColumn |
| Exclusion | $1,789 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2003305 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2004926 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -1621 | Securities |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1621 | TotalRevenueColumn |
| Exclusion | -$1,621 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | CAFETERIA/CATERING | Description |
| Business Code | 722210 | BusinessCode |
| Total Revenue Column | 182769 | TotalRevenueColumn |
| Exclusion | $182,769 | ExclusionAmount |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 76244 | TotalRevenueColumn |
| Exclusion | $76,244 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 259013 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 21556198 | TotalRevenueColumn |
| Related Or Exempt Function Income | 21259711 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $259,181 | ExclusionAmount |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 431747 | Total |
| Management And General | 431747 | ManagementAndGeneral |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11669488 | Total |
| Program Services | 10839590 | ProgramServices |
| Management And General | 829898 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 288253 | Total |
| Program Services | 219778 | ProgramServices |
| Management And General | 68475 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2508184 | Total |
| Program Services | 2070573 | ProgramServices |
| Management And General | 437611 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 980651 | Total |
| Program Services | 903205 | ProgramServices |
| Management And General | 77446 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 243912 | Total |
| Management And General | 243912 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 468 | Total |
| Program Services | 468 | ProgramServices |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2008321 | Total |
| Program Services | 1408458 | ProgramServices |
| Management And General | 599863 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 63630 | Total |
| Program Services | 7438 | ProgramServices |
| Management And General | 56192 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 3467227 | Total |
| Program Services | 3446469 | ProgramServices |
| Management And General | 20758 | ManagementAndGeneral |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1272053 | Total |
| Program Services | 1067525 | ProgramServices |
| Management And General | 204528 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8897 | Total |
| Program Services | 5126 | ProgramServices |
| Management And General | 3771 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2339283 | Total |
| Program Services | 2339283 | ProgramServices |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6176887 | Total |
| Program Services | 3241228 | ProgramServices |
| Management And General | 2935659 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 170840 | Total |
| Program Services | 140 | ProgramServices |
| Management And General | 170700 | ManagementAndGeneral |
Other Expenses OtherExpenses (3 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PROVISION FOR BAD DEBT | 549330 | 549330 | |
| MAINTENANCE & REPAIR | 493655 | 197981 | 295674 |
| LICENSES & TAXES | 27628 | 13396 | 14232 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 342504 | Total |
| Program Services | 173882 | ProgramServices |
| Management And General | 168622 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 33042958 | Total |
| Program Services | 26483870 | ProgramServices |
| Management And General | 6559088 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1811497 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 5212994 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1818304 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 48842 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 169406403 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 5874837 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 163531566 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 1145547 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 11445378 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 185014128 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 8035737 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 88444957 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 96480694 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 88533434 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 88533434 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 185014128 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | -11486760 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | 100020194 | 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 |
| Audit Committee | 1 | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| 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
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 126127596 | OtherCostOrOtherBasis |
| Depreciation | 2447658 | Depreciation |
| Book Value | 123679938 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 922602 | OtherCostOrOtherBasis |
| Depreciation | 48024 | Depreciation |
| Book Value | 874578 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 42359717 | OtherCostOrOtherBasis |
| Depreciation | 3379155 | Depreciation |
| Book Value | 38980562 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | -3512 | OtherCostOrOtherBasis |
| Book Value | -3512 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 163531566 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| ASSETS LIMITED AS TO USE | 8629733 |
| OTHER RECEIVABLES | 2802270 |
| FOUNDATION FUNDS | 13375 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 11445378 | TotalBookValueOtherAssets |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| INTER-COMPANY PAYABLE | $3,476,734 |
| OTHER CURRENT LIABILITIES | $60,453 |
| OTHER NONCURRENT LIABILITIES | $1,006 |
| TAX-EXEMPT BOND HELD BY HEALTH FIRST INC | $84,906,764 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 88444957 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: | Identifier |
| Return Reference | PART X: | ReturnReference |
| Explanation | 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. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | 1 | CharityCarePolicy |
| Written Policy | 1 | WrittenPolicy |
| 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 | 822366 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 128823 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 693543 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02130 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 913682 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 440997 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 472685 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01450 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1736048 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 569820 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1166228 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03580 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9721 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9721 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 9721 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 9721 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00030 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1745769 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 569820 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1175949 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03610 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | 1 | BadDebtExpenseReported |
| Bad Debt Expense | $101,825 | BadDebtExpenseAmount |
| Amount Attributable To | 61095 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 5419552 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 10276855 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -4857303 | 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 |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIERA HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8745 N WICKHAM RD | AddressLine1 |
| City | MELBOURNE | City |
| State | FL | State |
| ZIP Code | 32940 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIERA HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
Form990 Schedule H Part VI Form990ScheduleHPartVI (12 entries)
| ExplanationExplanation |
|---|
| PART I, LINE 7: SEE BELOWPART I, LINE 3B:INDIVIDUALS WHO DO NOT QUALIFY FOR CHARITY CARE AND WHO DO NOT HAVE INSURANCE ARE ELIGIBLE FOR A 60% PROMPT PAY DISCOUNT.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.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 7, COLUMN (F): THE BAD DEBT EXPENSE INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT SUBTRACTED FOR PURPOSES OF CALCULATING THE PERCENTAGE IN THIS COLUMN IS $ 549330. |
| 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 $1.6M 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, PARTCIPATED 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 $200K. |
| 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 STAND ALONE 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 HOSPITALS 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.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. |
| 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 ALIGN WITH THE GUIDELINES SET FORTH BY GAAP. |
| 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 AT HTTP://WWW.HCECF.ORG/HCDOCS/REV.%20BREVARD%20COUNTY%20PRESENTATION%20-%202009%20ECF%20COMMUNITY%20HEALTH%20SURVEY.PDF |
| 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 SPACECOAST, STRETCHES OVER 70 MILES ALONG THE ATLANTIC COAST, WITH A POPULATION OF MORE THAN 550,000 AND MORE THAN 250,000 HOUSING UNITS (BASED ON JULY 2010 US CENSUS DATA). BEST KNOWN AS THE LOCATION OF THE KENNEDY SPACE CENTER, THE "SPACECOAST" IS ALSO HOME TO PORT CANAVERAL, THE WORLD'S SECOND BUSIEST PASSENGER CRUISE PORT. THE COUNTY IS UNOFFICIALLY DIVIDED INTO THREE SECTIONS, NORTH COUNTY, COMPRISING TITUSVILLE, MIMS, AND PORT ST. JOHN; CENTRAL BREVARD, WHICH INCLUDES COCOA, ROCKLEDGE, MERRITT ISLAND, AND COCOA BEACH; AND SOUTH COUNTY, WHICH INCLUDES MELBOURNE, PALM BAY, GRANT, VALKARIA AND THE SOUTH BEACHES WHICH STRETCH TO THE LINE BETWEEN BREVARD AND INDIAN RIVER COUNTIES. BREVARD COUNTY GREW BY 14% BETWEEN 2000 AND 2010 TO 543,376 PEOPLE. WEST MELBOURNE GREW BY 78%, UNINCORPORATED SUNTREE/VIERA BY 81%. DURING THIS SAME TIME PERIOD, THE HISPANIC POPULATION DOUBLED AND THE AFRICAN AMERICAN POPULATION GREW BY 37%. THE COUNTY IS OVER 84% WHITE, 10% AFRICAN AMERICAN, 5% HISPANIC AND THE REMAINDER, A MIXTURE OF OTHER RACES.OF THE HOUSEHOLDS IN BREVARD COUNTY, OVER 26% HAVE CHILDREN UNDER THE AGEOF 18 LIVING WITH THEM, 53% ARE MARRIED COUPLES LIVING TOGETHER, 10% HAVEA FEMALE HOUSEHOLDER WITH NO HUSBAND PRESENT AND 33% ARE NON-FAMILIES.THE POPULATION DISTRIBUTION IS AS FOLLOWS: 22% UNDER THE AGE OF 18, 6.8%FROM 18 TO 24, 27.1% FROM 25 TO 44, 24.3% FROM 45 TO 64, AND 19.9% WHO ARE65 YEARS OF AGE OR OLDER. THE MEDIAN AGE IS 41 YEARS.IN 2010, 10% OF THE RESIDENTS WERE LIVING IN POVERTY COMPARED WITH 13%STATEWIDE. 90% OF THE RESIDENTS HAD A HIGH SCHOOL DEGREE, COMPARED WITH85% STATEWIDE.THE ECONOMY IN BREVARD COUNTY HAS TAKEN A HIT IN RECENT YEARS AS HAS THEECONOMY IN FLORIDA. IN 2010, THE BROOKING INSTITUTION REPORTED THATBREVARD COUNTY RANKED IN THE BOTTOM FIFTH OF THE NATION'S TOP METRO AREASBASED ON UNEMPLOYMENT, GROSS METROPOLITAN PRODUCT, HOUSING PRICES ANDFORECLOSED PROPERTIES. BY MARCH 2012, ALMOST 80,000 PEOPLE IN THE COUNTY WERE RECEIVING FOOD STAMPS.THERE ARE 7 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 HOLMESREGIONAL MEDICAL CENTER, WUESTHOFF MELBOURNE AND PALM BAY HOSPITAL INSOUTH COUNTY. |
| PART VI, LINE 6: THE GOVERNING BODY OF VIERA HOSPITAL, 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 EMERGENCY DEPARTMENT AT VIERA HOSPITAL, INC. HAD MORE THAN 6,000 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.VIERA HOSPITAL, INC. REINVEST THEIR NET OPERATING INCOME TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. |
| PART VI, LINE 7: 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 ASSOCIATE'S 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 J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | 1 | WrittenPolicyReTAndEExpenses |
| Substantiation Required | 1 | SubstantiationRequired |
| Severance Payment | 0 | SeverancePayment |
| Supplemental Nonqual Retire Plan | 1 | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | 0 | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | 0 | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | 0 | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | 0 | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | 0 | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | 0 | AnyNonFixedPayments |
| Initial Contract Exception | 0 | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | CHRISTOPHER S KENNEDY | NamePerson |
| Base Compensation Filing Org | 0 | BaseCompensationFilingOrg |
| Comp Based On Related Orgs | 355893 | CompBasedOnRelatedOrgs |
| Bonus Filing Org | 0 | BonusFilingOrg |
| Bonus Related Orgs | 0 | BonusRelatedOrgs |
| Other Compensation Filing Org | 0 | OtherCompensationFilingOrg |
| Other Compensation Related Orgs | 3920 | OtherCompensationRelatedOrgs |
| Deferred Comp Filing Org | 0 | DeferredCompFilingOrg |
| Deferred Comp Related Orgs | 101899 | DeferredCompRelatedOrgs |
| Nontaxable Benefits Filing Org | 0 | NontaxableBenefitsFilingOrg |
| Nontaxable Benefits Related Orgs | 13281 | NontaxableBenefitsRelatedOrgs |
| Total Compensation Filing Org | 0 | TotalCompensationFilingOrg |
| Total Compensation Related Orgs | 474993 | TotalCompensationRelatedOrgs |
| Comp Report Prior990 Filing Org | 0 | CompReportPrior990FilingOrg |
| Comp Report Prior990 Related Orgs | 15088 | CompReportPrior990RelatedOrgs |
Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)
| Return ReferenceReturnReference | ExplanationExplanation | IdentifierIdentifier |
|---|---|---|
| PART I, LINE 4B | HEALTH FIRST, INC HAS A NON-QUALIFIED SERP FOR CERTAIN EXECUTIVES. BELOW ARE THE 2010 DEFERRED AMOUNTS: CHRISTOPHER S. KENNEDY $88,749 | |
| PART III | COMPENSATION IS PAID BY HEALTH FIRST, INC. EIN: 59-3336894 AND REIMBURSED BY VIERA HOSPITAL, INC. SALARY AND BENEFIT EXPENSES DISCLOSED IN PART IX IS ALLOCATED TO THIS ENTITY. AMOUNTS REPORTED IN COLUMN F REPRESENT DEFERRED COMPENSATION PREVIOUSY REPORTED ON PRIOR YEARS' FORM 990. THE FILING ORGANIZATION RELIED ON HEALTH FIRST FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990, PART VI, SECTION B, NUMBER 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. | SUPPLEMENTAL INFORMATION |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (12 entries)
| IdentifierIdentifier | ExplanationExplanation | Return ReferenceReturnReference |
|---|---|---|
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF VIERA HOSPITAL, 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. HEALTH FIRST, INC APPROVES THE GOVERNING BOARD OF THE 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 LONG-TERM 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 $1,000,000; -APPROVAL OF THE SALE, LEASE, PURCHASE, CONVEYANCE OR OTHER DISPOSITION OF THE ASSETS OF THE ORGANIZATION; -APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS; -APPOINTMENT OR ENGAGEMENT OF AUDITORS, LEGAL COUNSEL OR CONSULTANTS INVOLVING EXPENDITURES GREATER THAN $50,000 ANNUALLY; -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 GREATER THAN $1,000,000; -CREATION, ACQUISITION, SALE, PURCHASE, DISSOLUTION OR OTHER DISPOSITION OF ANY AFFILIATED OR CONTROLLED ENTITY OR JOINT VENTURE; -RELOCATION, IMPLEMENTATION OR DISCONTINUATION OF A MAJOR PROGRAM SERVICE. | |
| 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. | |
| A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL BOD MEMBERS, OFFICERS, MANAGEMENT, AND ASSOCIATES IN WHICH THE CORPORATE COMPLIANCE EDUCATES ANNUALLY ON THE IMPORTANCE OF AND REQUIREMENT TO REPORT POTENTIAL CONFLICT OF INTEREST. IN ADDITION, ALL MANAGEMENT, OFFICERS, AND BOD MEMBERS ON AN ANNUAL BASIS ARE REQUIRED TO FILL OUT A CONFLICT OF INTEREST QUESTIONNAIRE PREPARED AND MONITORED BY THE CHIEF COMPLIANCE OFFICER. THE QUESTIONNAIRE REQUIRES AN ATTESTATION IN REGARDS TO STATING THE INDIVIDUAL IS FREE OF CONFLICTS SHOULD THEY NOT REPORT ANYTHING OF CONCERN. THESE FORMS ARE TRACKED AND KEPT ON FILE. SHOULD A CONFLICT ARISE, THE CHIEF COMPLIANCE OFFICER INVESTIGATES THE ISSUE AND DETERMINES A COURSE OF ACTION TO ENSURE ENFORCEMENT OF THE POLICY. | FORM 990, PART VI, SECTION B, LINE 12C | |
| 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. OUR CEO AND THE HEALTH FIRST EXECUTIVES' SALARIES ARE REVIEWED AND RECOMMENDED ANNUALLY BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND APPROVED IN EXECUTIVE SESSION BY THE FULL BOARD OF HEALTH FIRST. THE COMPENSATION COMMITTEE CONTRACTS ANNUALLY WITH THE HAY GROUP, A HIGHLY RESPECTED NATIONAL CONSULTING FIRM, TO ENSURE THAT OUR EXECUTIVES ARE COMPENSATED FAIRLY AND COMPETITIIVELY WHEN COMPARED TO 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 AND GOVERNING DOCUMENTS IS AVAILABLE UPON REQUEST TO THE COMPLIANCE OFFICER. | FORM 990, PART VI, SECTION C, LINE 19 | |
| AVERAGE HOURS PER WEEK DEVOTED TO POSITIONS WITH RELATED ORGANIZATIONS: CHRISTOPHER KENNEDY 1 HOUR HEALTH FIRST, INC A. THOMAS HOLLINGSWORTH, PHD 1 HOUR HEALTH FIRST, INC & CAPE CANAVERAL HOSPITAL, INC JUDITH A. GEORGE 1 HOUR HEALTH FIRST, INC & CAPE CANAVERAL HOSPITAL, INC BRIAN J. BUSSEN 1 HOUR HEALTH FIRST, INC & HOLMES REGIONAL MEDICAL CENTER, INC PAMELA A. GATTO 1 HOUR HEALTH FIRST, INC & HOLMES REGIONAL MEDICAL CENTER, INC | PART VII, SECTION A, COLUMN B: | |
| CHANGES IN NET ASSETS OR FUND BALANCES: | NET UNREALIZED GAINS ON INVESTMENTS: 20,193. TRANSFER OF NET ASSETS FROM A RELATED TAX-EXEMPT 100,000,001. TOTAL TO FORM 990, PART XI, LINE 5: 100,020,194. | FORM 990, PART XI, LINE 5: |
| 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 XII, QUESTION 2C, AUDITED FINANCIAL STATEMENTS: | |
| 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 IV, QUESTION 24A, BONDS ISSUED AFTER DECEMBER 31, 2002: | |
| EMPLOYEES AT VIERA HOSPITAL, INC. ARE INCLUDED IN THE FORM 941 FILED BY HEALTH FIRST, INC. EIN: 59-3336894, WHICH SERVES AS COMMON PAY AGENT. | FORM 990, PART V, QUESTION 2A, NUMBER OF EMPLOYEES: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Direct Controlling Entity NADirectControllingEntityNA | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| HEALTH FIRST INC | ||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593336894 | SUPPORT ORG | FL | 501(C)(3) | LINE 11C, III-FI | N/A | 0 |
| HOLMES REGIONAL MEDICAL CENTER INC | ||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 590624371 | HOSPITAL | FL | 501(C)(3) | LINE 3 | N/A | 1 |
| HOSPICE OF HEALTH FIRST INC | ||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 591911574 | HEALTHCARE | FL | 501(C)(3) | LINE 9 | N/A | 1 |
| HEALTH FIRST FOUNDATION INC | ||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593528774 | FUNDRAISING | 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 7 | N/A | 1 |
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 |
|---|---|---|---|---|---|---|---|---|
| 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | 0 | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | 0 | 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 |
| Sale Of Assets To Other Org | 0 | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | 0 | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | 0 | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | 0 | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | 1 | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | 1 | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | 1 | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | 0 | SharingOfFacilities |
| Sharing Of Paid Employees | 0 | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | 1 | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | 1 | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | 0 | OtherTransferToOtherOrg |
| Other Transfer From Other Org | 0 | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)
| Transaction TypeTransactionType | Amount InvolvedAmountInvolved |
|---|---|
| HEALTH FIRST HEALTH PLANS INC | |
| K | 2204457 |
| HOLMES REGIONAL MEDICAL CENTER INC | |
| L | 85214 |
| HEALTH FIRST HOLDING CORP | |
| J | 294844 |
| CAPE CANAVERAL HOSPTIAL INC | |
| L | 112411 |
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 |