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HOLMES REGIONAL MEDICAL CENTER: Form 990, tax year 2010

View the entire original 990 at ProPublica ↗

Organization
HOLMES REGIONAL MEDICAL CENTER (EIN 59-0624371)
Tax period
2010-10-01 to 2011-09-30
Filed
2012-08-15
IRS object ID
201222289349301487
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

FieldValueIRS element (for citing)
Timestamp2012-08-15T10:13:58-05:00Timestamp
Tax Period End Date2011-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line17351 OFFICE PARK PLAddressLine1
CityMELBOURNECity
StateFLState
ZIP Code32940ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2010-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN590624371EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1HOLMES REGIONAL MEDICAL CENTER INCBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlHOLMNameControl
Phone3214345150Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 FISKE BLVDAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOSEPH G FELKNERName
TitleCFOTitle
Phone3214345150Phone
Date Signed2012-08-09DateSigned

Preparer Preparer

FieldValueIRS element (for citing)
NameTHERESA A BURDINEName
Phone3217516200Phone
FieldValueIRS element (for citing)
Tax Year2010TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMICHAEL D MEANSNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13300 FISKE BLVDAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
Gross Receipts524321380GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HEALTH-FIRST.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1931YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionOUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE.ActivityOrMissionDescription
Nbr Voting Members Governing Body10NbrVotingMembersGoverningBody
Nbr Independent Voting Members8NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers1200TotalNbrVolunteers
Total Gross UBI1236143TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year768273ContributionsGrantsPriorYear
Contributions Grants Current Year1364259ContributionsGrantsCurrentYear
Program Service Revenue Prior Year499864595ProgramServiceRevenuePriorYear
Program Service Revenue CY515057860ProgramServiceRevenueCY
Investment Income Prior Year179347InvestmentIncomePriorYear
Investment Income Current Year151397InvestmentIncomeCurrentYear
Other Revenue Prior Year5472256OtherRevenuePriorYear
Other Revenue Current Year7021483OtherRevenueCurrentYear
Total Revenue Prior Year506284471TotalRevenuePriorYear
Total Revenue Current Year523594999TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year16277921GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY23450210GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year225410348SalariesEtcPriorYear
Salaries Etc Current Year232313776SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year248964044OtherExpensePriorYear
Other Expenses Current Year246176877OtherExpensesCurrentYear
Total Expenses Prior Year490652313TotalExpensesPriorYear
Total Expenses Current Year501940863TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15632158RevenuesLessExpensesPriorYear
Revenues Less Expenses CY21654136RevenuesLessExpensesCY
Total Assets BOY578685460TotalAssetsBOY
Total Assets EOY602313369TotalAssetsEOY
Total Liabilities BOY359014111TotalLiabilitiesBOY
Total Liabilities EOY361024786TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY219671349NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY241288583NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE.THE ORGANIZATION OPERATES 2 NOT-FOR-PROFIT HOSPITALS: HOLMES REGIONAL MEDICAL CENTER, A 514-BED HOSPITAL WITH MORE THAN 500 PHYSICIANS ON STAFF, AND PALM BAY HOSPITAL, A 152-BED HOSPITAL THAT SERVES RESIDENTS OF PALM BAY AND NEIGHBORING COMMUNITIES. THE HOSPITALS OFFER SERVICES INCLUDING CANCER, HEART, EMERGENCY AND TRAUMA, LABORATORY, ORTHOPEDICS, AND WOMEN AND CHILDREN'S PROGRAMS. THROUGH OUR SERVICES, COMMUNITY CLASSES, SUPPORT GROUPS, AND OTHER EVENTS, WE'RE COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY AND PROVIDING CONVENIENT ACCESS TO HEALTH CARE.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense425337874Expense
Grants23450210Grants
Revenue514437581Revenue
DescriptionHOLMES REGIONAL MEDICAL CENTER (HRMC) FEATURES 514 BEDS AND MORE THAN 500 HIGHLY SKILLED MEDICAL STAFF MEMBERS. AS THE REGION'S PREMIER TERTIARY REFERRAL HOSPITAL, HOLMES OFFERS ALL PATIENTS CUTTING-EDGE, LIFE-SAVING TECHNOLOGY. THE HEART CENTER AT HOLMES 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, PALM BAY HOSPITAL 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 PALM BAY HOSPITAL (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 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 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, COMMUNITY EDUCATION 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/CR/HEALTH-FIRST-COMMUNITY-REPORT-2012.PDFDescription
Total Program Service Expense425337874TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest1ReportProgRelInvest
Report Other Assets0ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations1GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
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Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
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Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members10NbrVotingGoverningBodyMembers
Number Independent Voting Members8NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO0CompensationProcessCEO
Compensation Process Other0CompensationProcessOther
Investment In Joint Venture1InvestmentInJointVenture
Written Policy Or Procedure0WrittenPolicyOrProcedure
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1DWAIN STILSONBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3214345150TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13300 FISKE BLVDAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (13 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployee
JAMES C SHAW
CHAIRMAN1.00XX080020400
PAMELA A GATTO
VICE CHAIRMAN1.00XX0451517850
JERRY SENNE
SECOND VICE CHAIRMAN40.00XX0482525204977
WILLIAM C POTTER ESQ
SECRETARY/TREASURER1.00XX040016900
BRIAN J BUSSEN
DIRECTOR1.00X0820635725
EUGENE S CAVALLUCCI ESQ
DIRECTOR1.00X0015450
CATHERINE A FORD
DIRECTOR1.00X0987418300
JUDITH A GIZINSKI
DIRECTOR40.00X023222399778
JACQUELINE B LLINAS MD
DIRECTOR1.00X000
NORBERTO SCHECHTMANN MD
DIRECTOR1.00X0078750
SCOTT D GETTINGS
VP CHIEF MEDICAL OFFICER40.00035748225238X
JUDY KILLEBREW
CHIEF OPERATING OFFICER HRMC40.00026531820940X
BONNIE J RUDOLPH
CNO HEALTH FIRST VP NSG HRMC40.00025129517102X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs1612638TotalReportableCompFrmRltdOrgs
Total Other Compensation571410TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed0FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
HEALTH FIRST INC
3300 FISKE BLVDROCKLEDGEFL32955MANAGEMENT SUPPORT445037751
CAPE HEALTH PROPERTIES INC
3300 FISKE BLVDROCKLEDGEFL32955REAL ESTATE SERVICES171396
CAPE CANAVERAL HOSPITAL INC
3300 FISKE BLVDROCKLEDGEFL32955HOSPITAL SERVICES132710
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations886230RelatedOrganizations
Government Grants478029GovernmentGrants
Total Contributions1364259TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
PATIENT SERVICE621110316706745316706745
MEDICARE/MEDICAID621110186828416186828416
PRO HEALTH7139401034380410343804
REFERENCE LAB621500620279620279
RELATED COMPANY RENT531120558616558616
FieldValueIRS element (for citing)
Total Program Service Revenue515057860TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column191292TotalRevenueColumn
Exclusion$191,292ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real1843762Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real675782Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real1167980Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column1167980TotalRevenueColumn
Unrelated Business Revenue615864UnrelatedBusinessRevenue
Exclusion$552,116ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Other10704Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Other50599Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Other-39895Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-39895TotalRevenueColumn
Exclusion-$39,895ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCAFETERIADescription
Business Code722210BusinessCode
Total Revenue Column3555357TotalRevenueColumn
Exclusion$3,555,357ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column2298146TotalRevenueColumn
Exclusion$2,298,146ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue5853503TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column523594999TotalRevenueColumn
Related Or Exempt Function Income514437581RelatedOrExemptFunctionIncome
Unrelated Business Revenue1236143UnrelatedBusinessRevenue
Exclusion$6,557,016ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total23450210Total
Program Services23450210ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total2668271Total
Management And General2668271ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total168691780Total
Program Services153929681ProgramServices
Management And General14762099ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7854939Total
Program Services6142327ProgramServices
Management And General1712612ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total38882226Total
Program Services31972446ProgramServices
Management And General6909780ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total14216560Total
Program Services12875227ProgramServices
Management And General1341333ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2906239Total
Program Services175ProgramServices
Management And General2906064ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total263628Total
Program Services12336ProgramServices
Management And General251292ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total23570407Total
Program Services16389437ProgramServices
Management And General7180970ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total510519Total
Program Services95309ProgramServices
Management And General415210ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total112971313Total
Program Services112637817ProgramServices
Management And General333496ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total12051383Total
Program Services11030308ProgramServices
Management And General1021075ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total115392Total
Program Services51521ProgramServices
Management And General63871ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total13877420Total
Program Services11979402ProgramServices
Management And General1898018ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total34969298Total
Program Services23479411ProgramServices
Management And General11489887ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4737864Total
Management And General4737864ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MAINTENANCE & REPAIR1669438581991258495260
PROVISION FOR BAD DEBTS1244388212443882
FLORIDA INDIGENT TAX60606566060656
LICENSES AND TAXES44612781440364687

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total4558364Total
Program Services567820ProgramServices
Management And General3990544ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total501940863Total
Program Services425337874ProgramServices
Management And General76602989ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY66439422BOY
EOY107504459EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY61740745BOY
EOY61102396EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY10024040BOY
EOY10576517EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY1673174BOY
EOY1824381EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis655200503LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec343758440LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY323910482BOY
EOY311442063EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY112315781BOY
EOY107404391EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1529230BOY
EOY1441788EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY1052586BOY
EOY1017374EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY578685460BOY
EOY602313369EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY44485381BOY
EOY30811674EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY87488260BOY
EOY78325863EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY227040470BOY
EOY251887249EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY359014111BOY
EOY361024786EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY217828588BOY
EOY239424424EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY1842761BOY
EOY1864159EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY219671349BOY
EOY241288583EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY578685460BOY
EOY602313369EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses21654136ReconcilationRevenueExpenses
Reconcilation Other Changes-36902ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited
Audit Committee1AuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis22416868OtherCostOrOtherBasis
Book Value22416868BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis371540956OtherCostOrOtherBasis
Depreciation128050705Depreciation
Book Value243490251BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1467618OtherCostOrOtherBasis
Depreciation742176Depreciation
Book Value725442BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis258465411OtherCostOrOtherBasis
Depreciation214965559Depreciation
Book Value43499852BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1309650OtherCostOrOtherBasis
Book Value1309650BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings311442063TotalOfBookValueLandBuildings

Investments Program Related InvestmentsProgramRelated (3 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HEALTHCARE RELATED JOINT VENTURE7595219C
DEMAND NOTE - HEALTH FIRST INC99407345C
DEMAND NOTE - HEALTH FIRST FDN401827C
FieldValueIRS element (for citing)
Total Of Book Value Program Related107404391TotalOfBookValueProgramRelated

Other Liabilities OtherLiabilities (3 entries)

DescriptionDescriptionAmountAmount
INTER-COMPANY PAYABLE$60,305,976
OTHER NONCURRENT LIABILITIES$20,612,420
TAX-EXEMPT BONDS HELD BY HEALTH FIRST INC.$170,968,853
FieldValueIRS element (for citing)
Total Of Amounts251887249TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV

FieldValueIRS element (for citing)
IdentifierDESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48:Identifier
Return ReferencePART X:ReturnReference
ExplanationFIN 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

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget0ExpensesExceededBudget
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense27927201TotalCommunityBenefitExpense
Direct Offsetting Revenue9153711DirectOffsettingRevenue
Net Community Benefit Expense18773490NetCommunityBenefitExpense
Percent Of Total Expense0.03840PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense48555334TotalCommunityBenefitExpense
Direct Offsetting Revenue43171587DirectOffsettingRevenue
Net Community Benefit Expense5383747NetCommunityBenefitExpense
Percent Of Total Expense0.01100PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense6060656TotalCommunityBenefitExpense
Direct Offsetting Revenue1025706DirectOffsettingRevenue
Net Community Benefit Expense5034950NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense82543191TotalCommunityBenefitExpense
Direct Offsetting Revenue53351004DirectOffsettingRevenue
Net Community Benefit Expense29192187NetCommunityBenefitExpense
Percent Of Total Expense0.05970PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense85374TotalCommunityBenefitExpense
Net Community Benefit Expense85374NetCommunityBenefitExpense
Percent Of Total Expense0.00020PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense1588783TotalCommunityBenefitExpense
Net Community Benefit Expense1588783NetCommunityBenefitExpense
Percent Of Total Expense0.00320PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense513967TotalCommunityBenefitExpense
Net Community Benefit Expense513967NetCommunityBenefitExpense
Percent Of Total Expense0.00100PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1146891TotalCommunityBenefitExpense
Net Community Benefit Expense1146891NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense3335015TotalCommunityBenefitExpense
Net Community Benefit Expense3335015NetCommunityBenefitExpense
Percent Of Total Expense0.00670PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense85878206TotalCommunityBenefitExpense
Direct Offsetting Revenue53351004DirectOffsettingRevenue
Net Community Benefit Expense32527202NetCommunityBenefitExpense
Percent Of Total Expense0.06640PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$15,312,868BadDebtExpenseAmount
Amount Attributable To9143238AmountAttributableTo
Amount Reimbursed By Medicare143656829AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare177474622CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-33817793MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (2 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
1 DOCTOR'S GI PARTNERSHIP INC
OUT-PATIENT SURGERY0.400000.000000.60000
2 HEALTH FIRST QUICK CARE LLC
EMERGENT CARE CLINIC0.510000.000000.49000
FieldValueIRS element (for citing)
Number Of Hospital Facilities3NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (3 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalCritical Access HospitalCriticalAccessHospitalEr24 HoursEr24HoursOtherOther
HOLMES REGIONAL MEDICAL CENTER
11350 SOUTH HICKORY STREETMELBOURNEFL32901XXXX
PALM BAY HOSPITAL
21425 MALABAR ROAD NEPALM BAYFL32907XXX
HEALTHSOUTH OF SEA PINES LP
3101 EAST FLORIDA AVENUEMELBOURNEFL32901XACUTE REHAB

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (3 entries)

Hospital Facility NumberHospitalFacilityNumber
HOLMES REGIONAL MEDICAL CENTER
1
PALM BAY HOSPITAL INC
2
HEALTH SOUTH OF SEA PINES LP
3

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities2NumberOfOtherFacilities

Other Facilities OtherFacilities (2 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
PRO-HEALTH FITNESS CENTERS
1350 SOUTH HICKORY STREETMELBOURNEFL32901HEALTH AND WELLNESS CENTER
FAMILY PHARMACY
1350 SOUTH HICKORY STREETMELBOURNEFM32901PHARMACY

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 3B:HEALTHSOUTH OF SEA PINES APPLIES A 400% OF FPG TO DETERMINE ELIGIBILITY FOR PROVIDING DISCOUNTED CARE TO LOW INCOME INDIVIDUALS.PART I, LINE 5B:HEALTHSOUTH OF SEA PINES FINANCIAL ASSISTANCE EXPENSES EXCEEDED THE BUDGET AMOUNT.PART I, LINE 5C:HEALTHSOUTH OF SEA PINES WAS UNABLE TO PROVIDE FREE OR DISCOUNTED CARE TO A PATIENT WHO WAS ELIGIBLE FOR FREE OR DISCOUNTED CARE AS A RESULT OF BUDGET CONSIDERATIONS.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 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 $ 12443882.
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, 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 $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 NOTINCLUDED IN NET PATIENT REVENUE. THE REMAINING BALANCE IS PURSUED, AND IFNOT 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 WILLBE 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 BEBASED ON THE FEDERAL POVERTY GUIDELINE AS FURNISHED ANNUALLY BY THEDEPARTMENT OF HRS.3. AHCA GUIDELINES AND DOCUMENTATION REQUIREMENTS WILL BE USED INESTABLISHING QUALIFICATION FOR FINANCIAL ASSISTANCE. THIS DOCUMENTATIONMAY 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 WILLBE REVIEWED FOR PROPRIETY WHEN DETERMINING ELIGIBILITY FOR FINANCIAL ASSISTANCE.6. A NOTIFICATION LETTER WILL BE SENT TO THE GUARANTOR OR PATIENT TOCOMMUNICATE ELIGIBILITY FOR FINANCIAL ASSISTANCE OR DENIAL.7. PATIENTS WHO DO NOT PROVIDE INFORMATION NECESSARY TO COMPLETELY ANDACCURATELY ASSESS THEIR FINANCIAL SITUATION AND/OR WHO DO NOT COOPERATEWITH EFFORTS TO SECURE OTHER THIRD PARTY COVERAGE WILL NOT BE ELIGIBLE FORFINANCIAL ASSISTANCE.8. PATIENTS WHO ARE UNINSURED AND DO NOT QUALIFY FOR FULL OR PARTIALFINANCIAL ASSISTANCE WILL BE ELIGIBLE FOR HEALTH FIRST'S PROMPT PAYDISCOUNT 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 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 BEMADE AVAILABLE TO PATIENTS AND GUARANTORS BY VARIOUS MEANS, INCLUDING THEPUBLICATION OF NOTICES IN PATIENT BILLS AND BY POSTING NOTICES IN THEEMERGENCY AND ADMITTING DEPARTMENTS, AND AT OTHER PUBLIC PLACES THE HEALTHFIRST FACILITY MAY ELECT. WRITTEN SUMMARY INFORMATION DESCRIBING THE POLICY ALONG WITH FINANCIAL ASSISTANCE CONTACT INFORMATION WILL BE MADEAVAILABLE TO EACH PATIENT IN ALL EMERGENCY AND ADMITTING DEPARTMENTS. THEPOLICY 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 REFERPATIENTS FOR FINANCIAL ASSISTANCE. A PATIENT OR A FAMILY MEMBER, CLOSEFRIEND OR ASSOCIATE OF THE PATIENT MAY ALSO MAKE A REQUEST FOR FINANCIALASSISTANCE 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 AGE OF 18 LIVING WITH THEM, 53% ARE MARRIED COUPLES LIVING TOGETHER, 10% HAVE A 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 ARE 65 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 WITH 85% 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. 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 HOLMES REGIONAL MEDICAL CENTER, WUESTHOFF MELBOURNE AND PALM BAY HOSPITAL IN SOUTH COUNTY.
PART VI, LINE 6: 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. THROUGH ITS PARENT HEALTH FIRST, INC THE ORGANIZATION SPENT MORE THAN $1.3M IN 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 RESIDENTS 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 MORETHAN 83,000 VISITS AND THE EMERGENCY DEPARTMENT LOCATED AT THE PALM BAYCOMMUNITY HOSPITAL (A DEPARTMENT OF HOLMES REGIONAL MEDICAL CENTER, INC.)HAD MORE THAN 38 000 VISITS DURING THE YEAR REGARDLESS OF ABILITY TO PAY.IN ADDITION THE ORGANIZATION PARTICIPATES IN SEVERAL GOVERNMENT SPONSOREDHEALTH CARE PROGRAMS INCLUDING BUT NOT LIMITED TO MEDICARE MEDICAIDCHAMPUS AND TRICARE.THE HEART CENTER AT HOLMES PERFORMS MORE CARDIAC PROCEDURES THAN ALL OTHERHOSPITALS IN BREVARD AND PROVIDES PATIENTS WITH ALL-PRIVATE ROOMS. AS THEONLY STATE-ACCREDITED LEVEL II TRAUMA CENTER IN BREVARD AND INDIAN RIVERCOUNTIES HOLMES TRAUMA CENTER OFFERS 24/7 TRAUMA CARE AND RAPID PATIENTTRANSPORT VIA FIRST FLIGHT AEROMEDICAL HELICOPTER. ADDITIONALLY THE BIRTHSUITES MOTHER/BABY UNIT OFFERS BREVARD'S FIRST LEVEL II NEONATAL ICU FOROUR 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. 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 AUGUST1995 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 TRAUMACENTER; HOME CARE; SPECIALIZED PROGRAMS FOR CANCER, DIABETES, HEART,STROKE, AND REHABILITATIVE SERVICES; CENTRAL BREVARD'S LARGEST MEDICALGROUP; THREE FITNESS CENTERS; AND MEDICARE ADVANTAGE, COMMERCIAL POS, ANDCOMMERCIAL 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 THROUGHVOLUNTEERING FOR ORGANIZATIONS DEDICATED TO PREVENTING AND TREATING HEALTHCONCERNS SUCH AS CANCER, DIABETES, AND HEART DISEASE. WE'RE ALSO PROUD OFOUR ASSOCIATE'S CHARITABLE GIVING PLAN, EAGLES (EVERY ASSOCIATE'S GIFTLEAVES 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

FieldValueIRS element (for citing)
Records Maintained1RecordsMaintained

Recipient Table RecipientTable (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrant
BREVARD HEALTH ALLIANCE
3661 BABCOCK STMELBOURNEFL32901900068515501(C)(3)1102400FINANCIAL ASSISTANCE TO FURTHER ADVANCE THE GOALS AND MISSION OF BREVARD HEALTH ALLIANCE.
HEALTH FIRST INC
3300 FISKE BLVDROCKLEDGEFL32955593336894501(C)(3)22303319GENERAL SUPPORT
HEALTH FIRST FOUNDATION INC
3300 FISKE BLVDROCKLEDGEFL32955593528774501(C)(3)44491GENERAL SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants3TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierPROCEDURE FOR MONITORING GRANTS IN THE U.S.:Identifier
Return ReferencePART I, LINE 2:ReturnReference
ExplanationSCHEDULE 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

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E Expenses1WrittenPolicyReTAndEExpenses
Substantiation Required1SubstantiationRequired
Severance Payment0SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (5 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JERRY SENNE
046929400013231018274802222906875020851
JUDITH A GIZINSKI
02277920004431083096016682033200100
SCOTT D GETTINGS
03531750004307012026013212038272000
JUDY KILLEBREW
0263880000143804900016040028625800
BONNIE J RUDOLPH
024560000056950896708135026839700

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
PART I, LINE 4BHEALTH FIRST, INC HAS A NON-QUALIFIED SERP FOR CERTAIN EXECUTIVES. BELOW ARE THE 2010 DEFERRED AMOUNTS: JERRY SENNE $ 169,598 JUDITH A. GIZINSKI $ 71,863
PART IIICOMPENSATION 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 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)

IdentifierIdentifierExplanationExplanationReturn ReferenceReturnReference
FORM 990, PART VI, SECTION A, LINE 6THE 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 7AHEALTH 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 7BPER 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 11AFTER 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: JUDITH GIZINSKI 1 HOUR HEALTH FIRST, INC JERRY SENNE 1 HOUR HEALTH FIRST, INC BRIAN J. BUSSEN 1 HOUR HEALTH FIRST, INC & VIERA HOSPITAL, INC CATHERINE A. FORD 1 HOUR HEALTH FIRST, INC EUGENE S. CAVALLUCCI 1 HOUR HEALTH FIRST, INC JAMES C. SHAW 1 HOUR HEALTH FIRST, INC PAMELA A. GATTO 1 HOUR HEALTH FIRST, INC & VIERA HOSPITAL, INC WILLIAM C. POTTER 1 HOUR HEALTH FIRST, INCPART VII, SECTION A, COLUMN B
CHANGES IN NET ASSETS OR FUND BALANCES:TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT -36,902. TOTAL TO FORM 990, PART XI, LINE 5: -36,902.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 OUTSTANDING ON THE LAST DAY OF ITS TAX YEAR. THE FILING ORGANIZATION'S SHARE OF THESE OBLIGATIONS IS REPORTED ON PART X, LINE 20. 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 HOLMES REGIONAL MEDICAL CENTER, 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrg
CAPE CANAVERAL HOSPITAL INC
3300 FISKE BLVDROCKLEDGEFL32955592477479HOSPITALFL501(C)(3)LINE 3N/A1
HOSPICE OF HEALTH FIRST INC
3300 FISKE BLVDROCKLEDGEFL32955591911574HEALTHCAREFL501(C)(3)LINE 9N/A1
HEALTH FIRST FOUNDATION INC
3300 FISKE BLVDROCKLEDGEFL32955593528774FUNDRAISINGFL501(C)(3)LINE 7N/A1
HEALTH FIRST INC
3300 FISKE BLVDROCKLEDGEFL32955593336894SUPPORT ORGFL501(C)(3)LINE 11C, III-FIN/A0
VIERA HOSPITAL INC
3300 FISKE BLVDROCKLEDGEFL32955264019868HOSPITALFL501(C)(3)LINE 3N/A1

Form990 Schedule R Part III Form990ScheduleRPartIII

Name Of Related Org NameOfRelatedOrg

FieldValueIRS element (for citing)
Business Name Line1HEALTH FIRST QUICKCARE LLCBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13300 FISKE BLVDAddressLine1
CityROCKLEDGECity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
EIN900520186EIN
Primary ActivityHEALTHCAREPrimaryActivity
Legal Domicile StateFLLegalDomicileState

Direct Controlling Entity Name DirectControllingEntityName

FieldValueIRS element (for citing)
Business Name Line1HOLMES REGIONAL MEDICAL CENTERBusinessNameLine1
FieldValueIRS element (for citing)
Predominant Income TypeRELATEDPredominantIncomeType
Share Of Total Income-16103ShareOfTotalIncome
Share Of EOY Assets30643ShareOfEOYAssets
Disproportionate Allocations0DisproportionateAllocations
General Or Managing Partner0GeneralOrManagingPartner
Percentage Ownership0.51000PercentageOwnership

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntity
CAPE HEALTH PROPERTIES INC
3300 FISKE BLVDROCKLEDGEFL32955593086711REAL ESTATEFLCAPE CANAVERAL HOSPITAL INCC
HEALTH FIRST MEDICAL MANAGEMENT INC
3300 FISKE BLVDROCKLEDGEFL32955593348252HEALTH CAREFLHEALTH FIRST HOLDING CORPC
HEALTH FIRST PHYSICIANS INC
3300 FISKE BLVDROCKLEDGEFL32955593346397HEALTH CAREFLHEALTH FIRST HOLDING CORPC
HOLMES REGIONAL ENTERPRISES INC
3300 FISKE BLVDROCKLEDGEFL32955592109953REAL ESTATEFLHEALTH FIRST HOLDING CORPC
HEALTH FIRST HEALTH PLANS INC
3300 FISKE BLVDROCKLEDGEFL32955593315064HEALTH CAREFLHEALTH FIRST HOLDING CORPC
HEALTH FIRST INSURANCE INC
3300 FISKE BLVDROCKLEDGEFL32955453131932HEALTH CAREFLHEALTH FIRST HOLDING CORPC
HEALTH FIRST HOLDING COMPANY & SUBS
3300 FISKE BLVDROCKLEDGEFL32955593509709HOLDING CORP.FLHEALTH FIRST INCC
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs1RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org1OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (12 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
HEALTH FIRST FOUNDATION INC
C886230
CAPE CANAVERAL HOSPITAL INC
I62926
HEALTH FIRST FOUNDATION INC
I65256
HEALTH FIRST PHYSICIANS INC
I241969
CAPE CANAVERAL HOSPITAL INC
K851236
HEALTH FIRST HEALTH PLANS INC
K73721858
HEALTH FIRST FOUNDATION INC
L71800
HEALTH FIRST PHYSICIANS INC
O77897
CAPE CANAVERAL HOSPITAL INC
O132710
HOSPICE OF HEALTH FIRST INC
P61232
VIERA HOSPITAL INC
K85214
CAPE HEALTH PROPERTIES INC
O171396

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceFORM 990, SCHEDULE R, PART V, SCHEDULE R DISCLOSURES:ReturnReference
ExplanationALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING STANDARDS.Explanation