2012-08-15T10:15:19-05:00 2011-09-30 MCGLADREY LLP 7351 OFFICE PARK PL MELBOURNE FL 32940 990 2010-10-01 591911574 HOSPICE OF HEALTH FIRST INC HOSP 3214345150 3300 FISKE BLVD ROCKLEDGE FL 32955 JOSEPH G FELKNER 3214345150 2012-08-09 THERESA A BURDINE 3217516200 2010 2016-02-24 21:20:13Z MICHAEL D MEANS 3300 FISKE BLVD ROCKLEDGE FL 32955 10252761 0 X WWW.HEALTH-FIRST.ORG X 1978 FL OUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE. 12 9 0 332 0 0 543536 181925 10157622 10049434 25667 20094 8140 1308 10734965 10252761 1558555 1713669 0 0 4416125 4215478 0 0 0 3186662 3253724 9161342 9182871 1573623 1069890 28630163 29552762 2751784 2829751 25878379 26723011 X OUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU ANDYOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE.FOR MORE THAN 25 YEARS, HOSPICE OF HEALTH FIRST HAS BEEN LEADINGHOSPICE CARE IN BREVARD COUNTY, FL. HOSPICE ENABLES PATIENTS TOREMAIN AT HOME DURING MOST OR ALL OF THEIR ILLNESS, RELATIVELY FREEFROM PAIN, SURROUNDED BY FAMILY AND FRIENDS, AND LIVING LIFE AS FULLYAS POSSIBLE. 0 0 8303339 1713669 10049434 HOSPICE OF HEALTH FIRST, INC. PROVIDES COMFORT CARE TO THE TERMINALLY ILL AND THEIR FAMILIES BY FURNISHING PAIN CONTROL AND SYMPTOM MANAGEMENT ACROSS THE HEALTH CARE CONTINUUM (HOSPITAL, HOME, NURSING HOME, & ALF) AS WELL AS EDUCATIONAL AND BEREAVEMENT PROGRAMS TO ENHANCE THE COPING ABILITIES OF FAMILIES.IN FISCAL YEAR 2011, HOSPICE OF HEALTH FIRST INC., WHICH INCLUDES HOMECARE AND THE WILLIAM CHILDS HOSPICE HOUSE PROVIDED 59,284 DAYS OF CARE. CONTINUOUS CARE WAS ALSO PROVIDED IN THE HOME; 1,903 HOURS OF CONTINUOUS CARE (7,612 BILLABLE UNITS) AND 1,944 UNBILLABLE HOURS OF RESPITE CARE. 332 VOLUNTEERS GAVE A TOTAL OF 17,364 HOURS OF SERVICE WHICH EQUALS $316,312 IN COST SAVING DOLLARS. OVER 1,010 SURVIVING CARE GIVERS WERE OFFERED BEREAVEMENT SERVICES; THIS INCLUDED SUDDENLY ALONE SUPPORT GROUPS, NEW BEGINNING SOCIAL GROUPS, AND THE BRIGHT STAR CENTER FOR GRIEVING CHILDREN AND THEIR FAMILIES. MAJOR PROGRAM ACCOMPLISHMENTS INCLUDE:IN AUGUST 2011, THE NEW BRIGHTSTAR CENTER FOR GRIEVING CHILDERN AND THEIR FAMILIES WERE COMPLETED, AND THEY MOVED INTO THEIR NEW PERMANENT HOME.JANUAURY 1, 2011 HOSPICE SUCCESSFULLY IMPLEMENTED A NEW REGULATORY REQUIREMENT OF "FACE TO FACE ENCOUNTER BETWEEN THE HOSPICE PATIENT AND HOSPICE PHYSICIAN" PRIOR TO THE BEGINNING OF THEIR 3RD CERTIFICATION PERIOD, AND EVERY 60 DAYS THEREAFTER.FOR A COPY OF OUR COMMUNITY BENEFIT REPORT SEE: HTTP://HFWWW1.HEALTH-FIRST.ORG/CR/HEALTH-FIRST-COMMUNITY-REPORT-2012.PDF 8303339 1 1 0 0 0 0 0 0 0 1 0 1 0 1 1 0 1 0 0 0 0 0 0 0 0 0 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 X 12 9 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X DWAIN STILSON 3214345150 3300 FISKE BLVD ROCKLEDGE FL 32955 X JOHN H THISTLE IV 1.00 X X 0 0 0 PATRICIA D PRUITT 1.00 X X 0 0 0 ROBIN M PETERSEN ESQ 1.00 X X 0 0 0 MICHAEL D MEANS 1.00 X 0 1408089 57253 EDWARD A ANDRE 1.00 X 0 0 0 MICHAEL C BROWNLIE 1.00 X 0 0 0 REV ROBERT M BRUCKART PHD 1.00 X 0 113611 22579 JOHN CAMPBELL MD 1.00 X 0 45833 110420 MADELINE CHILDS 1.00 X 0 0 0 MARGE KNOPF 1.00 X 0 0 0 LEONOR ZIES MD 1.00 X 0 0 0 STEVE BATCHELOR EMERITUS 1.00 X 0 0 0 ROBERT R WRIGHT 1.00 X 0 326695 140894 ROBERTA VANDUSEN 40.00 X 0 134303 12999 0 2028531 344145 0 0 1 0 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 329554305 MANAGEMENT SUPPORT 6172191 1 181925 181925 PATIENT SERVICE REVENU 624100 10046326 10046326 RENT INCOME FROM AFFIL 531120 3108 3108 10049434 20094 20094 1308 1308 1308 10252761 10049434 0 21402 1713669 1713669 146559 146559 2946736 2858631 88105 143166 120485 22681 722845 661376 61469 256172 237956 18216 43788 43788 9816 9816 665214 564942 100272 15001 6817 8184 1376590 1374754 1836 208325 105983 102342 198142 197242 900 10596 10596 211559 193199 18360 79596 79596 MAINTENANCE & REPAIR 176631 37959 138672 PROVISION FOR BAD DEBT 22732 22732 LICENSES & TAXES 15790 13186 2604 219944 194408 25536 9182871 8303339 879532 0 13805162 14714112 1051030 993594 4803859 1463129 3292392 3340730 10462970 10483064 18609 21262 28630163 29552762 594694 472178 2157090 2357573 2751784 2829751 X 24113916 25133810 1764463 1589201 25878379 26723011 28630163 29552762 X 1069890 -225258 X X 0 1 1 X 0 X 395726 267754 543536 181925 1388941 10952774 11221391 11295466 10157622 10049434 53676687 11348500 11489145 11295466 10701158 10231359 55065628 0 0 0 55065628 495858 350078 78715 28861 20094 973606 495858 350078 78715 28861 20094 973606 35523 4946 1308 41777 11844358 11839223 11409704 10734965 10252761 56081011 0.98190 0.97470 0.01740 0.02460 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 3733164 836881 2896283 261724 24932 236792 808971 601316 207655 3340730 DEMAND NOTE - HEALTH FIRST, INC. 10483064 C 10483064 DUE TO AFFILIATES 2311008 OTHER CURRENT LIABILITIES 46565 2357573 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FIN 48 FOOTNOTE: THE COMPANY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(A), AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), OF THE INTERNAL REVENUE CODE AND SECTION 220.13 OF THE FLORIDA STATUTES. ACCORDINGLY, NO PROVISION FOR INCOME TAXES IS MADE IN THE ACCOMPANYING FINANCIAL STATEMENTS. ASC TOPIC 740, INCOME TAXES, PRESCRIBES THE ACCOUNTING FOR UNCERTAINTY IN INCOME TAX POSITIONS RECOGNIZED IN FINANCIAL STATEMENTS. ASC TOPIC 740 PROVIDES GUIDANCE FOR RECOGNITION THRESHOLD AND MEASUREMENT ATTRIBUTES FOR THE FINANCIAL STATEMENT RECOGNITION AND MEASUREMENT OF A TAX POSITION TAKEN OR EXPECTED TO BE TAKEN IN A TAX RETURN. 1 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593336894 501(C)(3) 1713669 GENERAL SUPPORT 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE HOSPICE OF HEALTH FIRST BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY. X 1 1 0 1 0 0 0 0 0 0 0 MICHAEL D MEANS 0 1389853 0 0 0 18236 0 36951 0 20302 0 1465342 0 7016 JOHN CAMPBELL MD 0 45833 0 0 0 0 0 0 0 0 0 45833 0 0 ROBERT R WRIGHT 0 313655 0 0 0 13040 0 121961 0 18933 0 467589 0 0 PART I, LINE 4B HEALTH FIRST, INC HAS A NON-QUALIFIED SERP FOR CERTAIN EXECUTIVES. BELOW ARE THE 2010 DEFERRED AMOUNTS: MICHAEL D. MEANS $ 23,801 ROBERT R. WRIGHT $ 108,811 SUPPLEMENTAL INFORMATION PART III JOHN CAMPBELL, MD RECEIVED PAYMENTS OF $110,420 FROM HEALTH FIRST, INC REPORTED IN BOX 6 OF 1099-MISC. THIS COMPENSATION IS NOT REPORTED ON SCHEDULE J, PART II. COMPENSATION IS PAID BY HEALTH FIRST, INC. EIN: 59-3336894 AND REIMBURSED BY HOSPICE OF HEALTH FIRST, INC. SALARY AND BENEFIT EXPENSES DISCLOSED IN PART IX IS ALLOCATED TO THIS ENTITY. AMOUNTS REPORTED IN COLUMN F REPRESENT DEFERRED COMPENSATION PREVIOUSLY REPORTED ON PRIOR YEARS' FORM 990. THE FILING ORGANIZATION RELIED ON HEALTH FIRST FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE CORE 990, PART VI, SECTION B, NUMBER 15 FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. FORM 990, PART VI, SECTION A, LINE 6 THE SOLE MEMBER OF HOSPICE OF HEALTH FIRST, INC. IS HEALTH FIRST, INC., A FLORIDA NOT-FOR-PROFIT CORPORATION THAT SERVES AS THE CORPORATE PARENT OF THE HEALTH SYSTEM. FORM 990, PART VI, SECTION A, LINE 7A HEALTH FIRST, INC. (HFI), A SECTION 501(C)(3) EXEMPT ORGANIZATION AND THE PARENT OF THE EXEMPT HEALTHCARE SYSTEM, IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION. 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 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. FORM 990, PART VI, SECTION B, LINE 12C A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL BOD MEMBERS, OFFICERS, MANAGEMENT, AND ASSOCIATES IN WHICH 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 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 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. PART VII, SECTION A, COLUMN B: AVERAGE HOURS PER WEEK DEVOTED TO POSITIONS WITH RELATED ORGANIZATIONS: MICHEAL D. MEANS 40 HOURS HEALTH FIRST, INC & HEALTH FIRST FOUNDATION, INC PATRICIA D. PRUITT 1 HOUR HEALTH FIRST FOUNDATION, INC ROBERT R. WRIGHT 40 HOURS CAPE CANAVERAL HOSPITAL, INC & HEALTH FIRST, INC FORM 990, PART VII, SECTION A, LINE 1A: A PORTION OF JOHN CAMPBELL, MD'S COMPENSATION WAS REPORTED ON SCHEDULE L IN THE PRIOR YEAR. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT -225,258. TOTAL TO FORM 990, PART XI, LINE 5: -225,258. FORM 990, PART XII, QUESTION 2C, AUDITED FINANCIAL STATEMENTS: THE AUDIT COMMITTEE OF HEALTH FIRST REVIEWS AND APPROVES THE ANNUAL AUDIT AND COMPLIANCE AUDIT PLANS THEN MAKES ITS REPORT TO THE HEALTH FIRST BOARD OF DIRECTORS. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITORS. THERE WAS NO CHANGE FROM PRIOR YEAR. FORM 990, PART V, QUESTION 2A, NUMBER OF EMPLOYEES: EMPLOYEES AT HOSPICE OF HEALTH FIRST, INC. ARE INCLUDED IN THE FORM 941 FILED BY HEALTH FIRST, INC. EIN: 59-3336894, WHICH SERVES AS COMMON PAY AGENT. HOLMES REGIONAL MEDICAL CENTER INC 3300 FISKE BLVD ROCKLEDGE FL 32955 590624371 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 CAPE CANAVERAL HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592477479 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 HEALTH FIRST FOUNDATION INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593528774 FUNDRAISING FL 501(C)(3) LINE 7 N/A 1 HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593336894 SUPPORT ORG. FL 501(C)(3) LINE 11C, III-FI N/A 0 VIERA HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FM 32955 264019868 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 CAPE HEALTH PROPERTIES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593086711 REAL ESTATE FL CAPE CANAVERAL HOSPITAL INC C HEALTH FIRST MEDICAL MANAGEMENT INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593348252 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST PHYSICIANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593346397 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HOLMES REGIONAL ENTERPRISES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592109953 REAL ESTATE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST HEALTH PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593315064 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST INSURANCE INC 3300 FISKE BLVD ROCKLEDGE FL 32955 453131932 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST HOLDING COMPANY & SUBS 3300 FISKE BLVD ROCKLEDGE FL 32955 593509709 HOLDING CORP. FL HEALTH FIRST INC C 0 1 1 0 0 0 0 0 0 1 1 1 0 0 1 0 0 0 HEALTH FIRST FOUNDATION INC C 181925 HOLMES REGIONAL MEDICAL CENTER INC O 61232 FORM 990, SCHEDULE R, PART V, SCHEDULE R DISCLOSURES: ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING STANDARDS.