VIERA HOSPITAL INC: Form 990, tax year 2021
View the entire original 990 at ProPublica ↗
- Organization
- VIERA HOSPITAL INC (EIN 26-4019868)
- Tax period
- 2021-10-01 to 2022-09-30
- Filed
- 2023-08-15
- IRS object ID
- 202332279349301013
- Schema version
- 2021v4.2
- 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
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2023-08-15T07:49:12-05:00 | ReturnTs |
| Tax Period End | 2022-09-30 | TaxPeriodEndDt |
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2021-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 264019868 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIERA HOSPITAL INC | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Control | VIER | BusinessNameControlTxt |
| Phone | 3214345150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 FISKE BLVD | AddressLine1Txt |
| City | ROCKLEDGE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 329554306 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | BRETT A ESROCK | PersonNm |
| Person Title | CFO/COO | PersonTitleTxt |
| Phone | 3214345150 | PhoneNum |
| Signature | 2023-08-14 | SignatureDt |
Signing Officer SigningOfficerGrp
Person Full Name PersonFullName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person First | BRETT | PersonFirstNm |
| Person Last | ESROCK | PersonLastNm |
| Field | Value | IRS element (for citing) |
|---|---|---|
| SSN | 999009999 | SSN |
Additional Filer Information AdditionalFilerInformation
Trusted Customer TrustedCustomerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Trusted Customer | 3 | TrustedCustomerCd |
| Authentication Assurance Level | AAL1 | AuthenticationAssuranceLevelCd |
| Identity Assurance Level | IAL1 | IdentityAssuranceLevelCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2021 | TaxYr |
| Build TS | 2023-04-26 12:10:37Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | TAYLOR K SMITH | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 FISKE BLVD | AddressLine1Txt |
| City | ROCKLEDGE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 329554306 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $175,495,811 | GrossReceiptsAmt |
| Group Return For Affiliates | 0 | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | HTTPS://HF.ORG/ | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 2009 | FormationYr |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Activity Or Mission | OUR TEAM IMPROVING THE WELLNESS AND HEALTH OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE. | ActivityOrMissionDesc |
| Voting Members Governing Body | 12 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 8 | VotingMembersIndependentCnt |
| Total Employee | 0 | TotalEmployeeCnt |
| Total Volunteers | 360 | TotalVolunteersCnt |
| Total Gross UBI | $224,275 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | $189,384 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $1,599,787 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,357,483 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $156,980,837 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $174,042,221 | CYProgramServiceRevenueAmt |
| PY Investment Income | $0 | PYInvestmentIncomeAmt |
| CY Investment Income | $0 | CYInvestmentIncomeAmt |
| PY Other Revenue | $91,326 | PYOtherRevenueAmt |
| CY Other Revenue | $96,107 | CYOtherRevenueAmt |
| PY Total Revenue | $158,671,950 | PYTotalRevenueAmt |
| CY Total Revenue | $175,495,811 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $110,593 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $125,246 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $53,041,346 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $65,646,229 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $68,869,328 | PYOtherExpensesAmt |
| CY Other Expenses | $76,752,859 | CYOtherExpensesAmt |
| PY Total Expenses | $122,021,267 | PYTotalExpensesAmt |
| CY Total Expenses | $142,524,334 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $36,650,683 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $32,971,477 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $296,417,064 | TotalAssetsBOYAmt |
| Total Assets EOY | $317,937,338 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $162,517,160 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $167,553,680 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $133,899,904 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $150,383,658 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | OUR TEAM IMPROVING THE WELLNESS AND HEALTH OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE. | MissionDesc |
| Significant New Program Srvc | 0 | SignificantNewProgramSrvcInd |
| Significant Change | 0 | SignificantChangeInd |
| Expense | $122,579,844 | ExpenseAmt |
| Grant | $125,246 | GrantAmt |
| Revenue | $173,817,946 | RevenueAmt |
| Desc | HEALTH FIRST'S VIERA HOSPITAL (VH) OPENED IN APRIL OF 2011 AND RECENTLY CELEBRATED THE 11-YEAR ANNIVERSARY OF ITS 20-BED INTENSIVE CARE UNIT, AND FULL MEDICAL AND SURGICAL CAPABILITIES. THE HOSPITAL HAS 84 ALL-PRIVATE PATIENT ROOMS, INPATIENT DIAGNOSTIC LAB SERVICES AND VITALWATCH EICU WHICH COMBINES TELEMEDICINE, SOFTWARE AND 24/7 ELECTRONIC MONITORING TECHNOLOGY. WITH OVER 240 PHYSICIANS IN MORE THAN 30 SPECIALTIES, VH OFFERS DA VINCI ROBOTIC SURGERY AND HAS BEEN RECOGNIZED AS A UROGYNECOLOGY CENTER OF EXCELLENCE IN CONTINENCE CARE FOR WOMEN AND AS AN ACCREDITED COMPREHENSIVE CENTER METABOLIC AND BARIATRIC SURGERY AND QUALITY IMPROVEMENT PROGRAM. VIERA HOSPITAL HAS ALSO RECEIVED PRIMARY STROKE CERTIFICATION FROM THE JOINT COMMISSION.THE HOSPITAL IS HURRICANE HARDENED CONSTRUCTION WITH STATE-OF-THE-ART TECHNOLOGIES FEATURED THROUGHOUT THE FACILITY. INNOVATIVE TECHNOLOGY IS EVIDENT THROUGHOUT THE HOSPITAL INCLUDING THE VERY LATEST IN ELECTRONIC MEDICAL RECORDS (EMR) - MEANING NO MORE PAPER RECORDS.VH IS THE CORNERSTONE OF THE VIERA HEALTH PARK CAMPUS WHICH INCLUDES TWO OTHER INTEGRATED HEALTHCARE FACILITIES WITHIN WALKING DISTANCE OF ONE ANOTHER, THE VIERA MEDICAL PLAZA, WHICH INCLUDE A HEALTH FIRST DIAGNOSTIC CENTER (OUTPATIENT TESTING) AND HEALTH FIRST CANCER INSTITUTE LOCATIONS, AND HEALTH FIRST'S PRO-HEALTH & FITNESS CENTER. THE COVID-19 PANDEMIC PROVIDED MANY CHALLENGES TO THE HEALTHCARE INDUSTRY AND VH PIVOTED QUICKLY TO MEET THE NEEDS OF CARING FOR OUR COMMUNITY. NEGATIVE-PRESSURE ROOMS WERE STOOD UP TO PROVIDE A PROPER CARE ENVIRONMENT FOR PATIENTS. EACH OF THE HEALTH FIRST FACILITIES, INCLUDING VH, ADHERED TO CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) GUIDELINES FOR COVID-19 PRECAUTIONS LIKE SOCIAL-DISTANCING, MASKING, PROPER SANITIZATION, AND ENSURING SAFE ENVIRONMENTS FOR PATIENTS, VISITORS AND ASSOCIATES. FACE MASKS WERE PROVIDED TO THOSE WHO DID NOT HAVE ONE. ALSO, INCREASED ACCESS TO HAND SANITIZING STATIONS WERE PROVIDED THROUGHOUT THE HOSPITAL.VH 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 VH.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.IN KEEPING WITH THE HOSPITAL'S COMMITMENT, TO SERVE ALL MEMBERS OF ITS COMMUNITY:(1) FREE CARE AND/OR SUBSIDIZED CARE IS PROVIDED WHERE THE NEED AND/ORINABILITY TO PAY EXISTS AS DETERMINED BY HEALTH FIRST'S FINANCIAL ASSISTANCE POLICY.(2) CARE IS PROVIDED AT BELOW COST TO PERSONS COVERED BY GOVERNMENTALPROGRAMS SUCH AS MEDICARE AND MEDICAID. (3) FREE WELLNESS AND HEALTH ACTIVITIES AND PROGRAMS ARE PROVIDED TO THE COMMUNITY. THESE ACTIVITIES INCLUDE WELLNESS PROGRAMS, COMMUNITY EDUCATION PROGRAMS, SPECIAL PROGRAMS FOR ELDERLY, HANDICAPPED, ANDMENTALLY UNDERSERVED ALONG WITH A VARIETY OF BROAD COMMUNITY SUPPORT ACTIVITIES.AS A NOT-FOR-PROFIT HOSPITAL, VH IS SUPPORTED IN PART BY CONTRIBUTIONS TO THE HEALTH FIRST FOUNDATION. | Desc |
| Total Program Service Expenses | $122,579,844 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (1) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (1) | ScheduleBRequiredInd |
| Political Campaign Acty | 0 | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (1) | LobbyingActivitiesInd |
| Subject To Proxy Tax | 0 | SubjectToProxyTaxInd |
| Donor Advised Fund | 0 | DonorAdvisedFundInd |
| Conservation Easements | 0 | ConservationEasementsInd |
| Collections Of Art | 0 | CollectionsOfArtInd |
| Credit Counseling | 0 | CreditCounselingInd |
| Donor Rstr Or Quasi Endowments | 0 | DonorRstrOrQuasiEndowmentsInd |
| Report Land Building Equipment | Yes (1) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | 0 | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | 0 | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (1) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (1) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | Yes (1) | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | 0 | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (1) | ConsolidatedAuditFinclStmtInd |
| School Operating | 0 | SchoolOperatingInd |
| Foreign Office | 0 | ForeignOfficeInd |
| Foreign Activities | 0 | ForeignActivitiesInd |
| More Than5000 K To Org | 0 | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | 0 | MoreThan5000KToIndividualsInd |
| Professional Fundraising | 0 | ProfessionalFundraisingInd |
| Fundraising Activities | 0 | FundraisingActivitiesInd |
| Gaming Activities | 0 | GamingActivitiesInd |
| Operate Hospital | Yes (1) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (1) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (1) | GrantsToOrganizationsInd |
| Grants To Individuals | 0 | GrantsToIndividualsInd |
| Schedule J Required | Yes (1) | ScheduleJRequiredInd |
| Tax Exempt Bonds | 0 | TaxExemptBondsInd |
| Engaged In Excess Benefit Trans | 0 | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | 0 | PYExcessBenefitTransInd |
| Loan Outstanding | 0 | LoanOutstandingInd |
| Grant To Related Person | 0 | GrantToRelatedPersonInd |
| Business Rln With Org Mem | 0 | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 0 | BusinessRlnWithFamMemInd |
| Business Rln With35 Ctrl Ent | 0 | BusinessRlnWith35CtrlEntInd |
| Deductible Non Cash Contri | 0 | DeductibleNonCashContriInd |
| Deductible Art Contribution | 0 | DeductibleArtContributionInd |
| Terminate Operations | 0 | TerminateOperationsInd |
| Partial Liquidation | 0 | PartialLiquidationInd |
| Disregarded Entity | 0 | DisregardedEntityInd |
| Related Entity | Yes (1) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (1) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (1) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | Yes (1) | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | 0 | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (1) | ScheduleORequiredInd |
| Info In Schedule O Part V | Yes (X) | InfoInScheduleOPartVInd |
| IRP Document | 0 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Employee | 0 | EmployeeCnt |
| Unrelated Bus Incm Over Limit | Yes (1) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (1) | Form990TFiledInd |
| Foreign Financial Account | 0 | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | 0 | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | 0 | TaxablePartyNotificationInd |
| Nondeductible Contributions | 0 | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | 0 | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | 0 | Form8282PropertyDisposedOfInd |
| Indoor Tanning Services | 0 | IndoorTanningServicesInd |
| Subj To Tax Rmnrtn Ex Prcht Pymt | 0 | SubjToTaxRmnrtnExPrchtPymtInd |
| Subject To Excs Tax Net Invst Inc | 0 | SubjectToExcsTaxNetInvstIncInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 12 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 8 | IndependentVotingMemberCnt |
| Family Or Business Rln | 0 | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | 0 | DelegationOfMgmtDutiesInd |
| Change To Org Documents | 0 | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | 0 | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (1) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (1) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (1) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (1) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (1) | MinutesOfCommitteesInd |
| Officer Mailing Address | 0 | OfficerMailingAddressInd |
| Local Chapters | 0 | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (1) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (1) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (1) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (1) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (1) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (1) | DocumentRetentionPolicyInd |
| Compensation Process CEO | 0 | CompensationProcessCEOInd |
| Compensation Process Other | 0 | CompensationProcessOtherInd |
| Investment In Joint Venture | 0 | InvestmentInJointVentureInd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | KIMBERLY MYERS | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3214345150 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 FISKE BLVD | AddressLine1Txt |
| City | ROCKLEDGE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 329554306 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN P JOHNSON | ||||||||||
| PRESIDENT/CEO HFI | 2.00 | 38.00 | Yes (X) | Yes (X) | $0 | $3,705,202 | $23,656 | |||
| NATHAN ALLISON MD | ||||||||||
| MEDICAL STAFF PRESIDENT (END 8/2022) | 1.00 | 39.00 | Yes (X) | $0 | $1,438,329 | $45,903 | ||||
| BRENDAN PRENDERGAST MD | ||||||||||
| MEDICAL STAFF PRESIDENT (BEG 8/2022) | 1.00 | 39.00 | Yes (X) | $0 | $1,137,836 | $43,777 | ||||
| BRETT A ESROCK | ||||||||||
| PRESIDENT/CEO HFI HOSP. SERVICES | 5.00 | 35.00 | Yes (X) | Yes (X) | $0 | $917,029 | $24,981 | |||
| LARRY S BISHOP MD | ||||||||||
| TRUSTEE (BEG 10/2021) | 1.00 | 39.00 | Yes (X) | $0 | $719,017 | $35,351 | ||||
| TAYLOR K SMITH | ||||||||||
| CHAIR | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $39,045 | $0 | |||
| JAMES C SHAW | ||||||||||
| VICE CHAIR | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $30,474 | $0 | |||
| DANA S KILBORNE | ||||||||||
| TREASURER | 1.00 | 5.00 | Yes (X) | Yes (X) | $0 | $18,000 | $0 | |||
| ROBERT K HENRY | ||||||||||
| SECRETARY | 1.00 | 8.00 | Yes (X) | Yes (X) | $0 | $13,234 | $0 | |||
| JOSEPH GURRI MD | ||||||||||
| TRUSTEE | 1.00 | 5.00 | Yes (X) | $0 | $7,805 | $0 | ||||
| ALAN L PRESTWOOD | ||||||||||
| TRUSTEE | 1.00 | 8.00 | Yes (X) | $0 | $7,206 | $0 | ||||
| SCOTT MIKUEN | ||||||||||
| TRUSTEE | 1.00 | 5.00 | Yes (X) | $0 | $0 | $0 | ||||
| KIM K PATRICK | ||||||||||
| TRUSTEE (BEG 10/2021) | 1.00 | 8.00 | Yes (X) | $0 | $0 | $0 | ||||
| MICHAEL A SCIALDONE | ||||||||||
| EVP/CFO HFI | 2.00 | 38.00 | Yes (X) | $0 | $1,083,940 | $19,803 | ||||
| NICHOLAS W ROMANELLO ESQ | ||||||||||
| ASSISTANT SECRETARY | 2.00 | 38.00 | Yes (X) | $0 | $831,117 | $30,353 | ||||
| DEBORAH M ANGERAMI | ||||||||||
| VP COO COMMUNITY HOSPITALS | 40.00 | 0.00 | $0 | $721,018 | $19,005 | Yes (X) | ||||
| SAKE SONG | ||||||||||
| RN BSN | 40.00 | 0.00 | $0 | $178,273 | $14,351 | Yes (X) | ||||
| KIMBERLY L HUNGER | ||||||||||
| PHARMACY MANAGER | 40.00 | 0.00 | $0 | $161,748 | $23,829 | Yes (X) | ||||
| APRIL D THAYER | ||||||||||
| RN | 40.00 | 0.00 | $0 | $169,223 | $27 | Yes (X) | ||||
| ALISON S LA MARRE | ||||||||||
| CLINICAL STAFF PHARMACIST | 40.00 | 0.00 | $0 | $151,531 | $5,023 | Yes (X) | ||||
| SUZANNE M VOORHIES | ||||||||||
| LEAD PHARMACIST | 40.00 | 0.00 | $0 | $143,173 | $4,411 | Yes (X) | ||||
| JAMES S MITCHELL III | ||||||||||
| FORMER EXEC VP/COO HFI (END 9/2020) | 0.00 | 0.00 | $0 | $1,021,794 | $15,180 | Yes (X) | ||||
| KEVIN B STEELE | ||||||||||
| FORMER TRUSTEE (END 9/2021) | 0.00 | 0.00 | $0 | $697,169 | $0 | Yes (X) | ||||
| PAMELA A GATTO | ||||||||||
| FORMER TRUSTEE (END 9/2021) | 0.00 | 0.00 | $0 | $406,785 | $0 | Yes (X) | ||||
| MARTIN W ISENMAN MD | ||||||||||
| FORMER TRUSTEE (END 9/2021) | 0.00 | 0.00 | $0 | $170,086 | $0 | Yes (X) | ||||
| FRANCES U PICKETT | ||||||||||
| FORMER TRUSTEE (END 9/2019) | 0.00 | 0.00 | $0 | $30,537 | $0 | Yes (X) | ||||
| DALE A DETTMER ESQ | ||||||||||
| FORMER TRUSTEE (END 9/2019) | 0.00 | 0.00 | $0 | $13,884 | $0 | Yes (X) | ||||
| JOHN F BREITFELLER | ||||||||||
| FORMER VICE CHAIR (END 9/2020) | 0.00 | 0.00 | $0 | $13,303 | $0 | Yes (X) | ||||
| CATHERINE A FORD | ||||||||||
| FORMER TRUSTEE (END 9/2017) | 0.00 | 0.00 | $0 | $12,617 | $0 | Yes (X) | ||||
| JOSEPH G FELKNER | ||||||||||
| FORMER EXEC VP/CFO HFI (END 1/2020) | 0.00 | 0.00 | $0 | $532,448 | $0 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $0 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $14,371,823 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $305,650 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 0 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (1) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (1) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | 0 | CompensationFromOtherSrcsInd |
| Cntrct Rcvd Greater Than100 K | 0 | CntrctRcvdGreaterThan100KCnt |
| Government Grants | $1,357,483 | GovernmentGrantsAmt |
| Total Contributions | $1,357,483 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (4 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| PATIENT SERVICES | 621110 | $133,312,703 | $133,312,703 | |
| MEDICARE/MEDICAID | 621110 | $38,876,670 | $38,876,670 | |
| RELATED COMPANY RENT | 531120 | $1,628,573 | $1,628,573 | |
| REFERENCE LAB | 621500 | $224,275 | $224,275 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $174,042,221 | TotalProgramServiceRevenueAmt |
Other Revenue Misc OtherRevenueMiscGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Desc | GIFT SHOP | Desc |
| Business | 453220 | BusinessCd |
| Total Revenue Column | $96,107 | TotalRevenueColumnAmt |
| Exclusion | $96,107 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $96,107 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $175,495,811 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $173,817,946 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $224,275 | UnrelatedBusinessRevenueAmt |
| Exclusion | $96,107 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part IX | Yes (X) | InfoInScheduleOPartIXInd |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $125,246 | TotalAmt |
| Program Services | $125,246 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,388,134 | TotalAmt |
| Management And General | $2,388,134 | ManagementAndGeneralAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $50,519,724 | TotalAmt |
| Program Services | $41,623,201 | ProgramServicesAmt |
| Management And General | $8,896,523 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $783,084 | TotalAmt |
| Program Services | $645,183 | ProgramServicesAmt |
| Management And General | $137,901 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $8,606,350 | TotalAmt |
| Program Services | $7,090,772 | ProgramServicesAmt |
| Management And General | $1,515,578 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,348,937 | TotalAmt |
| Program Services | $2,759,189 | ProgramServicesAmt |
| Management And General | $589,748 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $66,776 | TotalAmt |
| Management And General | $66,776 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,626 | TotalAmt |
| Program Services | $2,626 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $14,324,966 | TotalAmt |
| Program Services | $12,449,299 | ProgramServicesAmt |
| Management And General | $1,875,667 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $165,154 | TotalAmt |
| Program Services | $136,070 | ProgramServicesAmt |
| Management And General | $29,084 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,010,519 | TotalAmt |
| Program Services | $1,656,466 | ProgramServicesAmt |
| Management And General | $354,053 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,881,952 | TotalAmt |
| Program Services | $3,866,540 | ProgramServicesAmt |
| Management And General | $15,412 | ManagementAndGeneralAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,299,079 | TotalAmt |
| Program Services | $3,542,011 | ProgramServicesAmt |
| Management And General | $757,068 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $26,410 | TotalAmt |
| Program Services | $21,759 | ProgramServicesAmt |
| Management And General | $4,651 | ManagementAndGeneralAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,505 | TotalAmt |
| Program Services | $6,183 | ProgramServicesAmt |
| Management And General | $1,322 | ManagementAndGeneralAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,036,328 | TotalAmt |
| Program Services | $3,325,531 | ProgramServicesAmt |
| Management And General | $710,797 | ManagementAndGeneralAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,552,198 | TotalAmt |
| Program Services | $6,553,695 | ProgramServicesAmt |
| Management And General | $998,503 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $405,631 | TotalAmt |
| Management And General | $405,631 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt |
|---|---|---|---|
| MEDICAL SUPPLIES | $25,324,135 | $25,324,135 | |
| BAD DEBT | $5,330,963 | $5,330,963 | |
| MAINTENANCE & REPAIR | $3,798,928 | $3,129,937 | $668,991 |
| FLORIDA INDIGENT TAX | $1,633,981 | $1,633,981 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,885,708 | TotalAmt |
| Program Services | $3,357,057 | ProgramServicesAmt |
| Management And General | $528,651 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $142,524,334 | TotalAmt |
| Program Services | $122,579,844 | ProgramServicesAmt |
| Management And General | $19,944,490 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $143,407,944 | BOYAmt |
| EOY | $158,534,839 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $15,051,643 | BOYAmt |
| EOY | $21,286,146 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $4,093,132 | BOYAmt |
| EOY | $3,668,327 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $476,896 | BOYAmt |
| EOY | $763,711 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $189,300,158 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $94,032,566 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $92,858,550 | BOYAmt |
| EOY | $95,267,592 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,106 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $40,520,793 | BOYAmt |
| EOY | $38,416,723 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,417,064 | BOYAmt |
| EOY | $317,937,338 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,338,646 | BOYAmt |
| EOY | $8,007,607 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $85,209,491 | BOYAmt |
| EOY | $91,703,507 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $69,969,023 | BOYAmt |
| EOY | $67,842,566 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $162,517,160 | BOYAmt |
| EOY | $167,553,680 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows FASB117 | Yes (X) | OrganizationFollowsFASB117Ind |
No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,891,798 | BOYAmt |
| EOY | $150,379,522 | EOYAmt |
Donor Restriction Net Assets DonorRestrictionNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $8,106 | BOYAmt |
| EOY | $4,136 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $133,899,904 | BOYAmt |
| EOY | $150,383,658 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $296,417,064 | BOYAmt |
| EOY | $317,937,338 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $32,971,477 | ReconcilationRevenueExpnssAmt |
| Other Changes In Net Assets | -$16,487,723 | OtherChangesInNetAssetsAmt |
| Info In Schedule O Part XII | Yes (X) | InfoInScheduleOPartXIIInd |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | 0 | AccountantCompileOrReviewInd |
| FS Audited | Yes (1) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (1) | AuditCommitteeInd |
| Federal Grant Audit Required | Yes (1) | FederalGrantAuditRequiredInd |
| Federal Grant Audit Performed | 0 | FederalGrantAuditPerformedInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| 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) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | 0 | VolunteersInd |
| Paid Staff Or Management | 0 | PaidStaffOrManagementInd |
| Media Advertisements | 0 | MediaAdvertisementsInd |
| Mailings Members | 0 | MailingsMembersInd |
| Publications Or Broadcast | 0 | PublicationsOrBroadcastInd |
| Grants Other Organizations | 0 | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | 0 | DirectContactLegislatorsInd |
| Rallies Demonstrations | 0 | RalliesDemonstrationsInd |
| Other Activities | Yes (1) | OtherActivitiesInd |
| Other Activities | $2,626 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $2,626 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | 0 | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART II-B, LINE 1: | FormAndLineReferenceDesc |
| Explanation | AMOUNT REPORTED IS FROM HOSPITAL ASSOCIATION'S MEMBERSHIP DUES USED FOR LOBBYING ACTIVITIES. | ExplanationTxt |
Schedule D IRS990ScheduleD
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $131,984,800 | OtherCostOrOtherBasisAmt |
| Depreciation | $51,472,680 | DepreciationAmt |
| Book Value | $80,512,120 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $1,809,144 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,767,820 | DepreciationAmt |
| Book Value | $41,324 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $54,720,435 | OtherCostOrOtherBasisAmt |
| Depreciation | $40,792,066 | DepreciationAmt |
| Book Value | $13,928,369 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $785,779 | OtherCostOrOtherBasisAmt |
| Book Value | $785,779 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $95,267,592 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (3 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| FOUNDATION FUNDS | $1,357 |
| OTHER RECEIVABLES | $1,289,700 |
| OPERATING LEASE ASSETS | $37,125,666 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $38,416,723 | TotalBookValueOtherAssetsAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)
| DescDesc | AmtAmt |
|---|---|
| INTER-COMPANY PAYABLE | $10,688,230 |
| GOVERNMENT RELATED PAYABLE | $1,301,099 |
| OTHER CURRENT LIABILITIES | $17,687,672 |
| OPERATING LEASE ASSETS | $38,165,565 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $67,842,566 | TotalLiabilityAmt |
| Footnote Text | Yes (X) | FootnoteTextInd |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART X, LINE 2: | FormAndLineReferenceDesc |
| Explanation | FASB ASC 740 FOOTNOTE: THE HOSPITAL IS GENERALLY 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. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (1) | FinancialAssistancePolicyInd |
| Written Policy | Yes (1) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (1) | FPGReferenceFreeCareInd |
| Percent200 | Yes (X) | Percent200Ind |
| FPG Reference Discounted Care | Yes (1) | FPGReferenceDiscountedCareInd |
| Percent400 | Yes (X) | Percent400Ind |
| Free Care Medically Indigent | Yes (1) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (1) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | 0 | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (1) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (1) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $4,430,152 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $372,660 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,057,492 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02850 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,700,182 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,090,744 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,609,438 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01830 | TotalExpensePct |
Unreimbursed Costs UnreimbursedCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,624,994 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,624,994 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01140 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,755,328 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,463,404 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $8,291,924 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05820 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $450,876 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $450,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00320 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $599,845 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $599,845 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00420 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $88,662 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $88,662 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $97,115 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $97,115 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00070 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,236,498 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $1,236,498 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00870 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $12,991,826 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $3,463,404 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $9,528,422 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06690 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | Yes (1) | BadDebtExpenseReportedInd |
| Bad Debt Expense | $126,149 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $301,360 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $35,785,926 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $47,472,867 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$11,686,941 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (1) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (1) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIERA HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 8745 N WICKMAN RD | AddressLine1Txt |
| City | MELBOURNE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32940 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | HTTPS://HF.ORG/HEALTHCARE-HOME/LOCATIO | WebsiteAddressTxt |
| State License | FL STATE LICENSE #: 4504 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
| Other | ACUTE CARE HOSPITAL | OtherDesc |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VIERA HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | 0 | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | 0 | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (1) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 21 | CHNAConductedYr |
| Take Into Account Others Input | Yes (1) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | Yes (1) | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | 0 | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (1) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | HTTPS://HF.ORG/ABOUT-US/GIVING-BACK | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (1) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 21 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (1) | StrategyPostedWebsiteInd |
| Strategy Website URL | HTTPS://HF.ORG/ABOUT-US/GIVING-BACK | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | 0 | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (1) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 200.000000000000 | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 400.000000000000 | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (1) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (1) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Includes Publicity Measures | Yes (1) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | SEE PART V, PAGE 8 | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | SEE PART V, PAGE 8 | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | SEE PART V, PAGE 8 | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Translated | Yes (X) | FAPTranslatedInd |
| FAP Actions On Nonpayment | Yes (1) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | 0 | CollectionActivitiesInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (1) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | 0 | AmountsGenerallyBilledInd |
| Gross Charges | 0 | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| VIERA HOSPITAL | PART V, SECTION B, LINE 5: THE RESULTS OF THE PRC 2022 COMMUNITY HEALTH NEEDS ASSESSMENT SURVEY WERE ANALYZED AND THIRTEEN "AREAS OF OPPORTUNITY" WERE IDENTIFIED. A PRESENTATION OF THE DATA WAS MADE TO THE SPACE COAST HEALTH FOUNDATION BOARD OF DIRECTORS, COMMUNITY PARTNERS AND EQUITY FORUM ATTENDEES DURING THREE MEETINGS HELD IN APRIL AND MAY 2022. UPON REVIEW OF THE FINDINGS IN EACH CATEGORY, THE FOLLOWING HEALTH ISSUES WERE PRIORITIZED. THE RESULTS WERE DETERMINED BY AVERAGING MULTIPLE CRITERIA RATINGS (SCOPE/SEVERITY AND ABILITY TO IMPACT) AS LISTED BELOW. A SCALE OF 1 (LOW PRIORITY) TO 10 (HIGH PRIORITY) WAS USED AS THE RANKING CRITERIA. A PANEL OF 130 LEADERS IN THE COMMUNITY, FROM BOTH PUBLIC AND PRIVATE ORGANIZATIONS, WERE CONSULTED IN THE PROCESS OF IDENTIFYING SIGNIFICANT NEEDS OF THE COMMUNITY.A PANEL OF 65 LEADERS IN THE COMMUNITY, FROM BOTH PUBLIC AND PRIVATE ORGANIZATIONS, WERE CONSULTED IN THE PROCESS OF IDENTIFYING SIGNIFICANT NEEDS OF THE COMMUNITY. |
| VIERA HOSPITAL | PART V, SECTION B, LINE 6A: CAPE CANAVERAL HOSPITAL, HOLMES REGIONAL MEDICAL CENTER, PALM BAY HOSPITAL |
| VIERA HOSPITAL | PART V, SECTION B, LINE 11: BASED ON THE SIGNIFICANT NEEDS IDENTIFIED IN THE MOST RECENTLY CONDUCTED CHNA, HEALTH FIRST WILL ADDRESS THE FOLLOWING:NUTRITION, PHYSICAL ACTIVITY AND WEIGHT -- A HEALTHY DIET HELPS INDIVIDUALS REDUCE THE RISKS FOR MANY HEALTH CONDITIONS AND CHRONIC DISEASES. THE DATA FROM SPACE COAST HEALTH FOUNDATION REVEALED THAT 28.8 PERCENT OF BREVARD COUNTY RESIDENTS EAT FIVE OR MORE SERVINGS OF FRUITS AND/OR VEGETABLES PER DAY AND 27.8 PERCENT FOUND IT "VERY OR "SOMEWHAT" DIFFICULT TO BUY AFFORDABLE FRESH PRODUCE.A TOTAL OF 25 PERCENT OF BREVARD COUNTY ADULTS REPORT NO LEISURE-TIME PHYSICAL ACTIVITY. FOR LOW-INCOME HOUSEHOLDS, ONLY 8.8 PERCENT REGULARLY MET RECOMMENDATIONS FOR PHYSICAL ACTIVITY. AMONG BREVARD COUNTY'S CHILDREN, THE CDC PHYSICAL ACTIVITY GUIDELINES OF ENGAGING IN 60 MINUTES OR MORE OF PHYSICAL ACTIVITY EACH DAY WERE ACHIEVED BY 37.6 PERCENT. THESE FACTORS CONTRIBUTE TO MORE THAN 68.4 PERCENT OF ADULTS AND 25.9 PERCENT OF CHILDREN, AGES 5 TO 17, REPORTED TO BE OVERWEIGHT OR OBESE IN BREVARD COUNTY. BEING OVERWEIGHT OR OBESE INCREASES THE LIKELIHOOD OF HAVING OTHER HEALTH ISSUES THAN THOSE WHO ARE AT A HEALTHY WEIGHT.TO ADDRESS THESE DISPARITIES, THE PLAN IS TO INCREASE THE PREVALENCE OF THOSE MEETING HEALTHY EATING AND ACTIVE LIVING RECOMMENDED GUIDELINES ACROSS SERVICE LINES THROUGH COLLABORATION WITH COMMUNITY PARTNERS INCLUDING BREVARD PUBLIC SCHOOLS, BOYS & GIRLS CLUBS OF CENTRAL FLORIDA, PROMISE IN BREVARD AND JUNIOR LEAGUE OF THE SPACE COAST. HEALTH FIRST SUPPORTS THESE ORGANIZATIONS THROUGH FINANCIAL RESOURCES, IN-KIND RESOURCES AND ADMINISTRATIVE SUPPORT. COMMUNITY PARTNERS ARE CHOSEN BASED ON THEIR DEMONSTRATED ABILITY TO HELP ADDRESS THE ISSUES IDENTIFIED IN THE CHNA RELATED TO HEALTHY EATING AND ACTIVE LIVING, WITH A PREFERENCE TOWARD PROGRAMS SERVING CHILDREN. COMMUNITY PARTNERS ARE ASKED TO ESTABLISH SMART GOALS FOR THE PROGRAMS, AND RESULTS ARE TO BE MEASURED AND REPORTED TO HEALTH FIRST.ACCESS TO HEALTHCARE -- MORE THAN 54 PERCENT OF ADULTS IN BREVARD COUNTY EXPERIENCED DIFFICULTIES OR DELAYS IN RECEIVING NEEDED HEALTHCARE, WITH APPOINTMENT AVAILABILITY AND FINDING A PHYSICIAN IMPACT AMONG THE TOP BARRIERS IDENTIFIED. THE DEMOGRAPHICS OF THOSE WITH RESTRICTED ACCESS INCLUDE 64.6 PERCENT BLACK, 57.9 PERCENT HISPANIC, 63.7 PERCENT LOW INCOME AND 66.9 PERCENT BETWEEN THE AGES OF 18 AND 39.TO ADDRESS THIS DISPARITY, THE PLAN IS TO CONTINUE OUR COMMITMENT TO ENSURE THAT EVERY PATIENT HAS ACCESS TO QUALITY CARE REGARDLESS OF ABILITY TO PAY AND TO ADDRESS THE POTENTIAL FACTORS THAT PREVENT MEMBERS OF OUR COMMUNITY FROM ACCESSING THE CARE THAT THEY NEED. IN ADDITION, HEALTH FIRST WILL PROVIDE OUTREACH SERVICES AND PROGRAMS THAT SPECIFICALLY ADDRESS IDENTIFIED COMMUNITY NEEDS THROUGH PARTNERS INCLUDING BREVARD HEALTH ALLIANCE AS WELL AS SUPPORT OF COMMUNITY ORGANIZATIONS SUCH AS WHO WE PLAY FOR, FLORIDA DEPARTMENT OF HEALTH-BREVARD COUNTY, FAMILY PROMISE OF BREVARD AND WAYS FOR LIFE WITH FINANCIAL AND IN-KIND SUPPORT.SIGNIFICANT HEALTH NEEDS NOT ADDRESSED:1. DIABETES HEALTH FIRST MEDICAL GROUP OFFERS A DIABETES EDUCATION PROGRAM AND MEDICAL NUTRITION THERAPY. RISK FACTORS ASSOCIATED WITH PHYSICAL ACTIVITY AND NUTRITION.2. ORAL HEALTH - HEALTH FIRST-SPONSORED ADULT DENTAL CLINIC IN PARTNERSHIP WITH FLORIDA DEPARTMENT OF HEALTH-BREVARD COUNTY.3. SUBSTANCE ABUSE SERVICES PROVIDED BY CIRCLES OF CARE.4. TOBACCO USE SERVICES PROVIDED BY TOBACCO FREE FLORIDA'S AREA HEALTH EDUCATION CENTERS.5. RESPIRATORY DISEASES RISK FACTOR ASSOCIATED WITH OVERWEIGHT/OBESITY.6. CANCER HEALTH FIRST CANCER INSTITUTE-PROVIDED TREATMENT.7. POTENTIALLY DISABLING CONDITIONS MOST CONDITIONS ARE ASSOCIATED WITH OVERWEIGHT/OBESITY.8. MENTAL HEALTH SERVICES PROVIDED BY CIRCLES OF CARE.9. SOCIAL DETERMINANTS OF HEALTH SERVICES PROVIDED BY SEVERAL COMMUNITY ORGANIZATIONS INCLUDING HEALTH FIRST PARTNER, FAMILY PROMISE OF BREVARD.10. HEART DISEASE/STROKE CARDIOVASCULAR RISK FACTORS ASSOCIATED WITH PHYSICAL INACTIVITY AND OVERWEIGHT/OBESITY.11. INJURY/VIOLENCE SERVICES PROVIDED BY SEVERAL COMMUNITY ORGANIZATIONS INCLUDING SERENE HARBOR AND THE WOMEN'S CENTER. |
| PART V, SECTION B, LINE 13A | ANY PATIENT FALLING BETWEEN 200% TO 400% FPG MAY BE REVIEWED FOR DISCOUNTED CARE. |
| PART V, LINE 16A-16C, FAP WEBSITE: | VIERA HOSPITAL, INC.:HTTPS://HF.ORG/HEALTHCARE-HOME/PATIENTS-VISITORS/PRICE-ESTIMATES-AND-FINANCIAL-ASSISTANCE |
Supplemental Information Detail SupplementalInformationDetail (14 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 6A: | THE COMMUNITY BENEFIT REPORT IS PREPARED BY HEALTH FIRST SHARED SERVICES, 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 THE COST TO CHARGE RATIO ON THE MEDICARE COST REPORT WHICH ADDRESSES ALL PATIENT SEGMENTS REPORTED ON, INCLUDING, BUT NOT LIMITED TO INPATIENT, OUTPATIENT, MEDICAID, UNINSURED, AND MEDICARE. |
| PART II, COMMUNITY BUILDING ACTIVITIES: | COMMUNITY BUILDING ACTIVITIES ARE PRIMARILY SUBSIDIZED BY HEALTH FIRST SHARED SERVICES, 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 SHARED SERVICES, INC. (HFSS) UTILIZED HOURS OF PAID PHYSICIANS AND NURSES TO SUPPORT THE COMMUNITY WHILE ON PAYROLL. IN ADDITION, AN AMOUNT IN EXCESS OF $468K WAS CONTRIBUTED TO VARIOUS LOCAL ORGANIZATIONS PRIMARILY SUPPORTING THE VARIOUS COMMUNITY PUBLIC HEALTH NEEDS. HFSS 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. HFSS AND ITS EMPLOYEES ALSO ACTIVELY SUPPORT THE LOCAL UNITED WAY IN EXCESS OF $112K. |
| PART III, LINE 2: | 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. BAD DEBT AT COST IS CALCULATED BY MULTIPLYING ACTUAL BAD DEBT WRITE-OFFS BY THE FILING ORGANIZATION'S COST-TO-CHARGE RATIO ON THE MEDICARE COST REPORT. THE ORGANIZATION USED A COST TO CHARGE RATIO TO DETERMINE THE COST AMOUNT OF THE BAD DEBT EXPENSE. 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. |
| PART III, LINE 3: | BASED ON THE GUIDANCE PROVIDED FOR HEALTH CARE ENTITIES REVENUE RECOGNITION, HEALTH FIRST PERFORMS AN ANNUAL ANALYSIS ON ALL FOUR OF OUR HOSPITALS. THE ANALYSIS PULLS A PATIENT LEVEL DETAIL OF A POPULATION OF CHARITY WRITE-OFF'S FOR SELF PAY AND NON SELF PAY ACCOUNTS DURING THE FISCAL YEAR. THE CLAIMS ARE REVIEWED BY A THIRD PARTY VENDOR SPECIALIZING IN CAPTURING INCOME AND POVERTY LEVEL SCORES AND PROVIDES RESULTS TO BE COMPARED WITH THE DOCUMENTED CHARITY ACCOUNTS MEETING THE APPROPRIATE POVERTY GUIDELINE REQUIREMENTS PER OUR POLICIES.THIS ANALYSIS ALSO REVIEWS THE INCOME LEVEL OF THOSE ACCOUNTS THAT ARE IN OUR BAD DEBT WRITE-OFF POPULATION OF CLAIMS, FOR EXAMPLE THOSE PATIENT ACCOUNTS THAT MAY NOT INITIALLY PRESENT WITH APPROPRIATE INCOME INFORMATION, AND THEREFORE WRITTEN OFF TO BAD DEBT RATHER THAN CHARITY AT THAT TIME.FROM THERE, FOR THOSE ACCOUNTS IN THE BAD DEBT LIST THAT HAVE A INCOME LEVEL SCORE THAT FALLS WITHIN THE CHARITY SCORES, A PERCENTAGE OF THOSE TOTAL CLAIMS IS DERIVED. THIS PERCENTAGE IS THEN APPLIED TO THE BAD DEBT WRITE-OFFS, TO ESTIMATE THE AMOUNTS IN LINE 3. |
| PART III, LINE 4: | THE ORGANIZATION DOES NOT ISSUE A STANDALONE 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 CAN BE FOUND ON PAGES 11-14 OF THE SEPTEMBER 30, 2022 AUDITED STATEEMENTS WITHIN REVENUE FOOTNOTE. |
| 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: | WITHIN THE POLICY'S REASONABLE COLLECTION EFFORTS, PATIENTS ARE EVALUATED FINANCIALLY TO DETERMINE IF THE PATIENT IS ELIGIBLE FOR CHARITY CARE. THE EVALUATION IS BASED UPON THE CURRENT YEAR'S DEPARTMENT OF HEALTH AND HUMAN SERVICES FEDERAL POVERTY GUIDELINE AND THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY. PATIENTS OR GUARANTORS DESIRING TO APPLY FOR FINANCIAL ASSISTANCE MAY BE REQUIRED TO COMPLETE A HEALTH FIRST FINANCIAL ASSISTANCE APPLICATION THAT CAN BE OBTAINED FROM THE HEALTH FIRST PATIENT BUSINESS SERVICES, THE HOSPITAL EMERGENCY DEPARTMENT, HOSPITAL REGISTRATION, OR HTTPS://HF.ORG/HEALTHCARE-HOME/PATIENTS-VISITORS/PRICE-ESTIMATES-AND-FINANCIAL-ASSISTANCE. COMPLETED APPLICATIONS MAY BE MAILED TO THE ADDRESS BELOW: HEALTH FIRST PATIENT BUSINESS SERVICES FINANCIAL ASSISTANCE DEPARTMENTTELEPHONE: (321)-434-5427ADDRESS: 3300 FISKE BLVD., BUILIDNG AROCKLEDGE, FL 32955EMAIL: HEALTHFIRSTFA@HF.ORGA. INCOME GUIDELINES FOR QUALIFICATION FOR FINANCIAL ASSISTANCE WILL BE BASED ON THE FEDERAL POVERTY GUIDELINE AS FURNISHED ANNUALLY BY THE DEPARTMENT OF HEALTH AND HUMAN SERVICES.B. AGENCY FOR HEALTH CARE ADMINISTRATION (AHCA) GUIDELINES AND DOCUMENTATION REQUIREMENTS MAY BE USED IN ESTABLISHING QUALIFICATIONS FOR PATIENT FINANCIAL ASSISTANCE. PATIENTS WITH HOUSEHOLD INCOMES AT OR BELOW 200% OR WHOSE HOSPITAL-RELATED EXPENSES EXCEED 25% OF THE HOUSEHOLD INCOME WILL BE ENTITLED TO A 100% WRITE OFF OF CHARGES. C. IT IS THE RESPONSIBILITY OF THE PATIENT TO COOPERATE WITH AND FULLY PARTICIPATE IN THE FINANCIAL ASSISTANCE APPLICATION PROCESS. THIS MAY INCLUDE PROVIDING INFORMATION ABOUT THIRD-PARTY HEALTH COVERAGE; PROVIDING IN A TIMELY AND FORTHRIGHT MANNER ALL DOCUMENTATIONS AND CERTIFICATIONS NEEDED TO APPLY FOR FUNDING THROUGH GOVERNMENT OR OTHER PROGRAMS, OR TO DETERMINE THE PATIENT'S ELIGIBILITY FOR OTHER FINANCIAL ASSISTANCE.D. PATIENTS MAY BE REQUIRED TO PROVIDE FINANCIAL INFORMATION TO VERIFY ELIGIBILITY FOR FINANCIAL ASSISTANCE WHICH MAY INCLUDE, BUT IS NOT LIMITED TO:1. COMPLETED AND SIGNED FINANCIAL ASSISTANCE APPLICATION2. PROOF OF HOUSEHOLD INCOME I. FEDERAL TAX RETURNS;II. PAYSTUBS;III. W-2 OR FORM 1099;IV. ANY OTHER VERIFICATION FROM A THIRD-PARTY REGARDING FAMILY INCOME, AWARDS LETTER, BENEFIT STATEMENTS, COURT ORDER, ETC.;V. BANK ACCOUNT, INVESTMENTS, ASSETS, PROPERTY, AUTOMOBILES.E. HEALTH FIRST MAY REQUEST A CREDIT BUREAU REPORT AND/OR ASSET CHECK FROM A REPUTABLE SOURCE. THE REPORT WILL INCLUDE A DATE RANGE FROM THE DATE THE APPLICATION IS RECEIVED BY HEALTH FIRST TO THE THREE PREVIOUS YEARS. F. TRUSTWORTHY METHODS AND SOURCES OF INFORMATION OTHER THAN THE FAP APPLICATION TO INCLUDE PREDICTIVE MODELS AND ALGORITHMS CAN BE USED AS INCOME VERIFICATION DOCUMENTATION.G. PATIENTS WHO ARE ELIGIBLE FOR MEDICAID WILL NOT BE REQUIRED TO COMPLETE A FULL FINANCIAL ASSISTANCE APPLICATION. H. PATIENTS WHO FILE BANKRUPTCY WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE.I. DECEASED PATIENTS WITH NO ESTATE WILL BE ELIGIBLE FOR FINANCIAL ASSISTANCE J. HEALTH FIRST ASSERTS SOLE DISCRETION OVER DETERMINING APPLICANT APPROVAL IN THE FINANCIAL ASSISTANCE PROGRAM. K. DOCUMENTED NOTES FROM A TRUSTED OUTSIDE VENDOR WHICH GAUGES THE PATIENT'S ABILITY TO PAY FOR SERVICES BASED ON STATISTICAL DATA.L. PATIENTS WHO ARE UNINSURED AND DO NOT QUALIFY FOR FINANCIAL ASSISTANCE WILL BE ELIGIBLE FOR HEALTH FIRST DISCOUNT FOR SELF PAY PATIENTS.M. HEALTH FIRST WILL ADHERE TO A ONE HUNDRED TWENTY (120) DAY NOTIFICATION PERIOD FOLLOWING THE PATIENT'S FIRST POST-DISCHARGE BILLING STATEMENT DATE.N. PATIENTS MAY APPLY FOR THE FAP AT ANY TIME BETWEEN ADMITTANCE FOR CARE AND TWO HUNDRED FORTY (240) DAYS AFTER THE POST-DISCHARGE BILLING STATEMENT IS PROVIDED AND THE PATIENT HAS LEFT THE HOSPITAL.O. ALL APPROVED FINANCIAL ASSISTANCE APPLICATIONS WILL BE VALID FOR A PERIOD OF UP TO 12 MONTHS UNLESS THE PATIENT'S CIRCUMSTANCES HAVE CHANGED WHICH WOULD WARRANT UPDATED DETERMINATION. |
| PART VI, LINE 2: | THE HEALTH CARE NEEDS OF THE COMMUNITIES ARE ASSESSED THROUGH COLLABORATION WITH LOCAL COMMUNITY PARTNERS INCLUDING BREVARD HEALTH ALLIANCE, A FEDERALLY QUALIFIED HEALTH CENTER, IN ADDITION TO LEADERSHIP PARTICIPATION ON SEVERAL LOCAL NOT-FOR-PROFIT ORGANIZATION'S BOARDS. |
| 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 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 THEEMERGENCY 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 MADEAVAILABLE 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 FINANCIALASSISTANCE ON BEHALF OF THE PATIENT. |
| PART VI, LINE 4: | BREVARD COUNTY IS THE 15TH-LARGEST COUNTY IN FLORIDA BY AREA, COVERING 1,015 SQUARE MILES. IT STRETCHES MORE THAN 70 MILES ALONG THE ATLANTIC COAST. BEST KNOWN AS THE LOCATION OF THE KENNEDY SPACE CENTER, THE SPACE COAST IS ALSO HOME TO PORT CANAVERAL, ONE OF THE WORLD'S BUSIEST PASSENGER CRUISE PORTS. THE COUNTY IS UNOFFICIALLY DIVIDED INTO THREE SECTIONS: NORTH COUNTY, COMPRISING OF TITUSVILLE, MIMS, AND PORT ST. JOHN; CENTRAL BREVARD, WHICH INCLUDES VIERA, COCOA, ROCKLEDGE, MERRITT ISLAND, AND COCOA BEACH; AND SOUTH COUNTY, INCLUDING MELBOURNE, PALM BAY, GRANT-VALKARIA AND THE SOUTH BEACHES, WHICH STRETCH TO THE SOUTH BREVARD-INDIAN RIVER COUNTY LINE.ACCORDING TO U.S. CENSUS DATA, THE POPULATION OF BREVARD COUNTY WAS 606,612 IN APRIL 2020. BASED ON THE U.S. CENSUS BUREAU'S QUICK FACTS, POPULATION ESTIMATES, JULY 1, 2021:- BREVARD COUNTY'S POPULATION WAS ESTIMATED TO BE 616,628- RACE AND HISPANIC ORIGIN: 82.8 PERCENT WHITE, 11 PERCENT BLACK OR AFRICAN AMERICAN, 11.6 PERCENT HISPANIC OR LATINO, AND 6.3 PERCENT OTHER OR TWO OR MORE RACES. - AGE: 20.1 PERCENT ARE UNDER THE AGE OF 20; AGES 20 TO 64 MAKE UP 55.7 PERCENT; AND 24.2 PERCENT ARE 65 YEARS OF AGE OR OLDER- THE AVERAGE HOUSEHOLD SIZE IS 2.46 PERSONS- 92.5 PERCENT OF BREVARD COUNTY RESIDENTS ARE HIGH SCHOOL GRADUATES OR HIGHER- 11.3 PERCENT OF RESIDENTS LIVE IN POVERTY, COMPARED WITH 11.6 PERCENT NATIONWIDE.ACCORDING TO THE U.S. CENSUS BUREAU'S 2021 AMERICAN COMMUNITY SURVEY 5-YEAR ESTIMATES, BREVARD COUNTY'S MEDIAN AGE IS 47.2 YEARS; 48.8 PERCENT ARE MARRIED COUPLES LIVING TOGETHER; 13.9 PERCENT OF HOUSEHOLDS IN BREVARD COUNTY HAVE CHILDREN UNDER THE AGE OF 18 LIVING WITH THEM. THE UNEMPLOYMENT RATE FOR THE CIVILIAN LABOR FORCE IS 4.8 PERCENT AND 24,677 PERSONS RECEIVED FOOD STAMP/SNAP BENEFITS IN THE PAST 12 MONTHS.THERE ARE SEVEN ACUTE-CARE HOSPITALS SERVING PATIENTS IN BREVARD COUNTY: PARRISH MEDICAL CENTER, LOCATED IN THE NORTH PART OF THE COUNTY; HEALTH FIRST'S CAPE CANAVERAL HOSPITAL, HEALTH FIRST'S VIERA HOSPITAL AND ROCKLEDGE REGIONAL MEDICAL CENTER IN CENTRAL BREVARD COUNTY; AND HEALTH FIRST'S HOLMES REGIONAL MEDICAL CENTER, HEALTH FIRST'S PALM BAY HOSPITAL AND MELBOURNE REGIONAL MEDICAL CENTER IN SOUTH BREVARD.DATA REFERENCES: US CENSUS QUICK FACTS:HTTPS://WWW.CENSUS.GOV/QUICKFACTS/FACT/TABLE/BREVARDCOUNTYFLORIDA,US/PST045218US CENSUS BUREAU AMERICAN COMMUNITY SURVEY DATA: HTTPS://WWW.CENSUS.GOV/PROGRAMS-SURVEYS/ACS/DATA.HTML |
| PART VI, LINE 5: | 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 ORGANIZATION DOES APPLY RESOURCES THROUGHOUT THE YEAR TO SUPPORT IMPROVEMENTS IN PATIENT CARE, MEDICAL EDUCATION AND TRAINING. THE ORGANIZATION SPENT MORE THAN $559K TO SUPPORT LOCAL STUDENTS VIA TRAINING, EDUCATION, AND SCHOLARSHIPS.THE EMERGENCY DEPARTMENT AT VIERA HOSPITAL, INC. HAD MORE THAN 33,482 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, AND TRICARE.VIERA HOSPITAL, INC. REINVESTS ITS NET OPERATING INCOME TO SUSTAIN ITS MISSION AND PREPARE FOR THE FUTURE. |
| PART VI, LINE 6: | 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 550 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 120 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 STATE-OF-THE-ART ROBOTICS-ASSISTED SURGERY FOR CARDIOTHORACIC, GENERAL SURGERY, UROLOGY AND GYNECOLOGICAL PROCEDURES; OUTPATIENT CENTERS; THE COUNTY'S ONLY TRAUMA CENTER; HOME CARE; SPECIALIZED PROGRAMS FOR CANCER, DIABETES, HEART, STROKE, AND REHABILITATIVE SERVICES; STATE-OF-THE-ART WOMEN'S DIAGNOSTIC CENTER FOR PERSONALIZED SERVICES; CENTRAL BREVARD'S LARGEST MEDICAL GROUP; A FITNESS CENTER; ELECTRONIC MEDICAL RECORDS (EMS)AND MEDICARE ADVANTAGE, COMMERCIAL POS AND HMO HEALTH PLANS.WORKING TOGETHER IN A SEAMLESS SYSTEM, HEALTH FIRST IS DEVOTED TO INTEGRATING QUALITY HEALTHCARE SERVICES WITH STATE-OF-THE-ART TECHNOLOGY. HFSS 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 CHARITABLE GIVING PROGRAM, SUPPORTING A VARIETY OF SERVICES AND A PATIENT AND FAMILY CARE FUND. |
| 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 THE COMMUNITY BENEFIT INFORMATION IS INCLUDED IN OTHER REPORTING REQUIREMENTS, SUCH AS INFORMATION PROVIDED TO THE FLORIDA HOSPITAL ASSOCIATION. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (1) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| MACEDONIA COMMUNITY DEVELOPMENT CORP | ||||||||
| PO BOX 482 | MELBOURNE | FL | 32902 | 260898933 | 501(C)(3) | $22,357 | $0 | GENERAL SUPPORT - METCA HEALTHCARE TRAINING PROGRAM |
| RUNNING ZONE FOUNDATION INC | ||||||||
| 3696 N WICKHAM RD | MELBOURNE | FL | 32935 | 263316016 | 501(C)(3) | $18,475 | $0 | GENERAL SUPPORT - RACE SPONSORSHIPS AND REGISTRATION FEES |
| SOUTH BREVARD WOMENS CENTER | ||||||||
| 1565 SARNO RD STE E | MELBOURNE | FL | 32935 | 591628264 | 501(C)(3) | $16,000 | $0 | GENERAL SUPPORT - ASSISTING VICTIMS |
| SCHOOL BOARD OF BREVARD COUNTY | ||||||||
| 2700 JUDGE FRAN JAMIESON WAY | VIERA | FL | 32940 | 596000522 | PUBLIC SCHOOL | $12,500 | $0 | GENERAL SUPPORT - THRIVE BY FIVE |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | PART I, LINE 2: | FormAndLineReferenceDesc |
| Explanation | THE VIERA HOSPITAL BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (1) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (1) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | 0 | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | 0 | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | 0 | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | 0 | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | 0 | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | 0 | AnyNonFixedPaymentsInd |
| Initial Contract Exception | 0 | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (21 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| STEVEN P JOHNSON | ||||||||||||||
| PRESIDENT/CEO HFI | $0 | $3,141,678 | $0 | $542,101 | $0 | $21,423 | $0 | $7,800 | $0 | $15,856 | $0 | $3,728,858 | $0 | $0 |
| NATHAN ALLISON MD | ||||||||||||||
| MEDICAL STAFF PRESIDENT (END 8/2022) | $0 | $1,437,189 | $0 | $0 | $0 | $1,140 | $0 | $26,100 | $0 | $19,803 | $0 | $1,484,232 | $0 | $0 |
| BRENDAN PRENDERGAST MD | ||||||||||||||
| MEDICAL STAFF PRESIDENT (BEG 8/2022) | $0 | $1,136,810 | $0 | $0 | $0 | $1,026 | $0 | $26,100 | $0 | $17,677 | $0 | $1,181,613 | $0 | $0 |
| MICHAEL A SCIALDONE | ||||||||||||||
| EVP/CFO HFI | $0 | $674,516 | $0 | $236,631 | $0 | $172,793 | $0 | $0 | $0 | $19,803 | $0 | $1,103,743 | $0 | $0 |
| JAMES S MITCHELL III | ||||||||||||||
| FORMER EXEC VP/COO HFI (END 9/2020) | $0 | $0 | $0 | $0 | $0 | $1,021,794 | $0 | $0 | $0 | $15,180 | $0 | $1,036,974 | $0 | $0 |
| BRETT A ESROCK | ||||||||||||||
| PRESIDENT/CEO HFI HOSP. SERVICES | $0 | $671,998 | $0 | $234,996 | $0 | $10,035 | $0 | $7,800 | $0 | $17,181 | $0 | $942,010 | $0 | $0 |
| NICHOLAS W ROMANELLO ESQ | ||||||||||||||
| ASSISTANT SECRETARY | $0 | $535,343 | $0 | $189,136 | $0 | $106,638 | $0 | $7,800 | $0 | $22,553 | $0 | $861,470 | $0 | $0 |
| LARRY S BISHOP MD | ||||||||||||||
| TRUSTEE (BEG 10/2021) | $0 | $711,221 | $0 | $0 | $0 | $7,796 | $0 | $26,100 | $0 | $9,251 | $0 | $754,368 | $0 | $0 |
| DEBORAH M ANGERAMI | ||||||||||||||
| VP COO COMMUNITY HOSPITALS | $0 | $562,035 | $0 | $157,273 | $0 | $1,710 | $0 | $7,800 | $0 | $11,205 | $0 | $740,023 | $0 | $0 |
| KEVIN B STEELE | ||||||||||||||
| FORMER TRUSTEE (END 9/2021) | $0 | $0 | $0 | $0 | $0 | $697,169 | $0 | $0 | $0 | $0 | $0 | $697,169 | $0 | $0 |
| JOSEPH G FELKNER | ||||||||||||||
| FORMER EXEC VP/CFO HFI (END 1/2020) | $0 | $37,493 | $0 | $0 | $0 | $494,955 | $0 | $0 | $0 | $0 | $0 | $532,448 | $0 | $0 |
| PAMELA A GATTO | ||||||||||||||
| FORMER TRUSTEE (END 9/2021) | $0 | $0 | $0 | $0 | $0 | $406,785 | $0 | $0 | $0 | $0 | $0 | $406,785 | $0 | $0 |
| SAKE SONG | ||||||||||||||
| RN BSN | $0 | $177,837 | $0 | $0 | $0 | $436 | $0 | $0 | $0 | $14,351 | $0 | $192,624 | $0 | $0 |
| KIMBERLY L HUNGER | ||||||||||||||
| PHARMACY MANAGER | $0 | $161,608 | $0 | $0 | $0 | $140 | $0 | $5,333 | $0 | $18,496 | $0 | $185,577 | $0 | $0 |
| MARTIN W ISENMAN MD | ||||||||||||||
| FORMER TRUSTEE (END 9/2021) | $0 | $0 | $0 | $0 | $0 | $170,086 | $0 | $0 | $0 | $0 | $0 | $170,086 | $0 | $0 |
| APRIL D THAYER | ||||||||||||||
| RN | $0 | $169,223 | $0 | $0 | $0 | $0 | $0 | $0 | $0 | $27 | $0 | $169,250 | $0 | $0 |
| ALISON S LA MARRE | ||||||||||||||
| CLINICAL STAFF PHARMACIST | $0 | $151,025 | $0 | $0 | $0 | $506 | $0 | $4,204 | $0 | $818 | $0 | $156,553 | $0 | $0 |
| FRANCES U PICKETT | ||||||||||||||
| FORMER TRUSTEE (END 9/2019) | $0 | $0 | $0 | $0 | $0 | $30,537 | $0 | $0 | $0 | $0 | $0 | $30,537 | $0 | $0 |
| DALE A DETTMER ESQ | ||||||||||||||
| FORMER TRUSTEE (END 9/2019) | $0 | $0 | $0 | $0 | $0 | $13,884 | $0 | $0 | $0 | $0 | $0 | $13,884 | $0 | $0 |
| JOHN F BREITFELLER | ||||||||||||||
| FORMER VICE CHAIR (END 9/2020) | $0 | $0 | $0 | $0 | $0 | $13,303 | $0 | $0 | $0 | $0 | $0 | $13,303 | $0 | $0 |
| CATHERINE A FORD | ||||||||||||||
| FORMER TRUSTEE (END 9/2017) | $0 | $0 | $0 | $0 | $0 | $12,617 | $0 | $0 | $0 | $0 | $0 | $12,617 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3 | COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. EIN: 59-3336894 AND REIMBURSED BY VIERA HOSPITAL, INC. SALARY AND BENEFIT EXPENSES DISCLOSED IN PART IX IS ALLOCATED TO THIS ENTITY. THE FILING ORGANIZATION RELIED ON HEALTH FIRST SHARED SERVICES, INC. FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. SEE SCHEDULE O NARRATIVE FOR PART VI, LINE 15A FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED. |
| PART I, LINE 4A: | THE FOLLOWING SEVERANCE PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION REPORTED ON 2021 FORM W-2: JOSEPH G. FELKNER: $494,955 JAMES S. MITCHELL III: $1,026,610 |
| PART I, LINE 4B: | THE FOLLOWING INDIVIDUALS PARTICIPATE IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE AGREEMENT IN PLACE OF A TRADITIONAL SERP) AND HAVE ESTABLISHED A PREMIUM DEPOSIT ACCOUNT. THE ACCOUNT IS CONNECTED TO THE INSURANCE POLICY AND WILL BE USED TO PAY FUTURE PREMIUMS ON THE POLICY. THE INDIVIDUALS ARE TAXED ON ANY EARNINGS GENERATED BY THIS ACCOUNT. DURING THE TAX YEAR, THE FOLLOWING INDIVIDUALS RECEIVED TAX WITHDRAWAL AMOUNTS TO COVER THEIR TAX LIABILITY. SEE HEALTH FIRST SHARED SERVICES, INC. (EIN: 59-3336894) FORM 990, AND RELATED SCHEDULES FOR FUTHER DETAILS ON THE PROGRAM. STEVEN P. JOHNSON JAMES S. MITCHELL III BRETT A. ESROCK |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (12 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART IV, LINE 24A, BONDS ISSUED AFTER DECEMBER 31, 2002: | 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 SHARED SERVICES, INC. THE PARENT OF THE OBLIGATED GROUP IS FILING A SCHEDULE K ON BEHALF OF ITSELF AND ALL MEMBERS OF THE OBLIGATED GROUP. |
| PART V, LINE 2A, NUMBER OF EMPLOYEES | EMPLOYEES AT VIERA HOSPITAL, INC. ARE INCLUDED IN THE FORM 941 FILED BY HEALTH FIRST SHARED SERVICES, INC. EIN: 59-3336894 |
| FORM 990, PART VI, SECTION A, LINE 6 | THE SOLE MEMBER OF VIERA HOSPITAL, INC. IS HEALTH FIRST SHARED SERVICES, INC. (HFSS), 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 SHARED SERVICES, INC. (HFSS), A SECTION 501(C)(3) EXEMPT ORGANIZATION AND THE PARENT OF THE EXEMPT HEALTHCARE SYSTEM, IS THE SOLE CORPORATE MEMBER OF THE FILING ORGANIZATION WITH THE POWER TO ELECT OR APPOINT ANY MEMBERS OF THE GOVERNING BODY. |
| 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 TRUSTEES WHICH SHALL HAVE CHARGE, CONTROL AND MANAGEMENT OF PROPERTY, AFFAIRS AND FUNDS OF THE CORPORATION. THE BOARD OF TRUSTEES SHALL NOT TAKE ANY ACTION WITH RESPECT TO THE FOLLOWING WITHOUT APPROVAL OF THE MEMBER: -CHANGE IN THE MISSION, PURPOSE OR SCOPE OF THE CORPORATION AND ITS OPERATION; -INCURRENCE OF DEBT OR GUARANTEE THE DEBT OF ANOTHER; -APPROVAL OF THE SALE, LEASE, PURCHASE, CONVEYANCE OR OTHER DISPOSITION OF ANY REAL OR PERSONAL PROPERTY OF THE CORPORATION HAVING A FAIR MARKET VALUE IN EXCESS OF $250,000; -APPROVAL OF THE SALE, LEASE, PURCHASE, CONVEYANCE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE ASSETS OF THE CORPORATION; -APPROVAL OF ANNUAL OPERATING AND CAPITAL EXPENDITURE BUDGETS OF THE CORPORATION AND ANY MATERIAL DEVIATIONS FROM SUCH BUDGETS; -APPROVAL OF THE ENGAGEMENT OF ANY AUDITOR, LEGAL COUNSEL; OR CONSULTANT; -APPROVAL OF ANY SIGNIFICANT CHANGES OF HUMAN RESOURCE AND EMPLOYEE BENEFIT, ACCOUNTING, FINANCIAL AND OTHER POLICIES AND PROCEDURES; -APPROVAL OF STRATEGIC AND LONG-RANGE PLANS, MAJOR FUND RAISING PROGRAMS AND FINANCIAL COMMITMENTS NOT BUDGETED OR APPROVED BY THE MEMBER; -CREATION, ACQUISITION, SALE, PURCHASE, DISSOLUTION OR OTHER DISPOSITION OF ANY AFFILIATED OR CONTROLLED ENTITY OR JOINT VENTURE OR ANY INTEREST IN SUCH ENTITY; -RELOCATION, IMPLEMENTATION OR DISCONTINUATION OF A MAJOR PROGRAM SERVICE; -THE APPROVAL OF MANAGED CARE AGREEMENTS; -THE REPEAL, AMENDMENT, OR RESTATEMENT OF ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION; -CAPITAL EXPENDITURES AND CAPITAL LEASES EXCEEDING $500,000 ANNUALLY, OR $1,000,000 IN TOTAL. |
| FORM 990, PART VI, SECTION B, LINE 11B | AFTER REVIEW AND APPROVAL BY THE SYSTEM DIRECTOR, ACCOUNTING & FINANCIAL REPORTING, AND CHIEF FINANCIAL OFFICER OF HEALTH FIRST, INC., THE FORM 990 IS SENT TO EACH MEMBER OF THE BOARD OF TRUSTEES ELECTRONICALLY FOR THEIR REVIEW AND APPROVAL PRIOR TO FILING. |
| FORM 990, PART VI, SECTION B, LINE 12C | A COPY OF THE CONFLICT OF INTEREST POLICY IS PROVIDED TO ALL ASSOCIATES, INCLUDING MANAGEMENT, IN WHICH THEY REVIEW AND ELECTRONICALLY ATTEST THAT THEY HAVE AGREED TO THE TERMS NOTED IN THE POLICY ON AN ANNUAL BASIS. IN ADDITION, SENIOR LEADERSHIP AND BOARD OF TRUSTEES MEMBERS ON AN ANNUAL BASIS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PREPARED AND MONITORED BY THE CHIEF COMPLIANCE OFFICER. THE QUESTIONNAIRE REQUIRES AN ATTESTATION STATING THAT 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 HEALTH FIRST SHARED SERVICES, INC. (HFSS). HFSS PROCESS IS AS FOLLOWS: THE SALARIES OF OUR CHIEF EXECUTIVE OFFICER AND OTHER HEALTH FIRST EXECUTIVES ARE REVIEWED AND RECOMMENDED ANNUALLY TO THE BOARD OF TRUSTEES AND APPROVED IN EXECUTIVE SESSION BY THE FULL BOARD OF HFSS. HFSS CONTRACTS ANNUALLY WITH A HIGHLY RESPECTED NATIONAL CONSULTING FIRM TO PROVIDE THESE RECOMMENDATIONS TO ENSURE THAT OUR EXECUTIVES ARE COMPENSATED FAIRLY AND COMPETITIVELY WHEN COMPARED WITH SIMILAR ROLES IN OTHER HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION COMMITTEE IS INDEPENDENT FOR INTERNAL REVENUE CODE SECTION 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED. MINUTES ARE KEPT FOR ALL BOARD OF TRUSTEES 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 IS AVAILABLE UPON REQUEST TO THE CHIEF COMPLIANCE OFFICER. DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS PROVIDED IN SECTION 6104(D). |
| FORM 990, PART IX, LINE 11G | HFMG HOSPITAL SUPPORT EXPENSE: PROGRAM SERVICE EXPENSES 2,196,479. MANAGEMENT AND GENERAL EXPENSES 469,474. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 2,665,953. PURCHASED SERVICES: PROGRAM SERVICE EXPENSES 6,800,583. MANAGEMENT AND GENERAL EXPENSES 668,314. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 7,468,897. PROFESSIONAL FEES: PROGRAM SERVICE EXPENSES 3,452,237. MANAGEMENT AND GENERAL EXPENSES 737,879. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 4,190,116. |
| FORM 990, PART XI, LINE 9: | TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT -16,487,723. |
| FORM 990, PART XII, LINE 2C, AUDITED FINANCIAL STATEMENT: | 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 TRUSTEES. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITORS. THERE WAS NO CHANGE FROM PRIOR YEAR. VIERA HOSPITAL, INC. WAS A SUBJECT TO A SINGLE AUDIT DURING THE YEAR BECAUSE OF FUNDS RECEIVED AS PART OF FEDERAL PROGRAMS RELATED TO COVID-19. THE SINGLE AUDIT WAS CONDUCTED ON A CONSOLIDATED BASIS AND INCLUDED ALL THE ORGANIZATIONS WITHIN HEALTH FIRST THAT RECEIVED FUNDS FROM THE PROGRAMS. |
Schedule R IRS990ScheduleR
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|---|
| CAPE CANAVERAL HOSPITAL INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 592477479 | HOSPITAL | FL | 501(C)(3) | LINE 3 | HEALTH FIRST SHARED SERVICES INC | Yes (1) | |
| HEALTH FIRST FOUNDATION INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 843851693 | FUNDRAISING | FL | 501(C)(3) | LINE 7 | HEALTH FIRST SHARED SERVICES INC | Yes (1) | |
| HEALTH FIRST SHARED SERVICES INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593336894 | SHARED SERVICES | FL | 501(C)(3) | LINE 10 | HEALTH FIRST INC | 0 | |
| HEALTH FIRST INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593528774 | SUPPORT ORG | FL | 501(C)(3) | LINE 12B, II | 0 | N/A | |
| HOLMES REGIONAL MEDICAL CENTER INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 590624371 | HOSPITAL | FL | 501(C)(3) | LINE 3 | HEALTH FIRST SHARED SERVICES INC | Yes (1) | |
| HOSPICE OF HEALTH FIRST INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 591911574 | HEALTHCARE | FL | 501(C)(3) | LINE 10 | HEALTH FIRST SHARED SERVICES INC | Yes (1) | |
| HEALTH FIRST ADMINISTRATIVE PLANS INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 821851221 | HEALTHCARE | FL | 501(C)(4) | HEALTH FIRST SHARED SERVICES INC | Yes (1) | ||
| HEALTH FIRST COMMERCIAL PLANS INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 821866443 | HEALTHCARE | FL | 501(C)(4) | HEALTH FIRST SHARED SERVICES INC | Yes (1) | ||
| HEALTH FIRST HEALTH PLANS INC | |||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 472736029 | HEALTHCARE | FL | 501(C)(4) | HEALTH FIRST SHARED SERVICES INC | Yes (1) | ||
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp
Related Organization Name RelatedOrganizationName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DOCTORS GI PARTNERSHIP LTD | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3300 FISKE BLVD | AddressLine1Txt |
| City | ROCKLEDGE | CityNm |
| State Abbreviation | FL | StateAbbreviationCd |
| ZIP | 32955 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 593758988 | EIN |
| Primary Activities | HEALTHCARE | PrimaryActivitiesTxt |
| Legal Domicile State | FL | LegalDomicileStateCd |
| Direct Controlling NA | N/A | DirectControllingNACd |
| Predominant Income Type | RELATED | PredominantIncomeTypeTxt |
| Disproportionate Allocations | 0 | DisproportionateAllocationsInd |
| General Or Managing Partner | 0 | GeneralOrManagingPartnerInd |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Direct Controlling NADirectControllingNACd | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CAPE HEALTH PROPERTIES INC | ||||||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593086711 | REAL ESTATE | FL | N/A | C | Yes (1) | |||||
| HEALTH FIRST HOLDING CORP | ||||||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593509709 | HOLDING CORP. | FL | N/A | C | Yes (1) | |||||
| HEALTH FIRST INSURANCE INC | ||||||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 453131932 | HEALTH CARE | FL | N/A | C | Yes (1) | |||||
| HEALTH FIRST MEDICAL MANAGEMENT INC | ||||||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593348252 | HEALTH CARE | FL | N/A | C | Yes (1) | |||||
| HEALTH FIRST PHYSICIAN SPECIALTIES | ||||||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 263094596 | HEALTH CARE | FL | N/A | C | Yes (1) | |||||
| HEALTH FIRST PHYSICIANS INC | ||||||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593346397 | HEALTH CARE | FL | N/A | C | Yes (1) | |||||
| HOLMES REGIONAL ENTERPRISES INC | ||||||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 592109953 | REAL ESTATE | FL | N/A | C | Yes (1) | |||||
| PHYSICIANS GI PARTNERSHIP INC | ||||||||||||||
| 3300 FISKE BLVD | ROCKLEDGE | FL | 32955 | 593756961 | HEALTH CARE | FL | N/A | C | Yes (1) | |||||
| SPACE COAST INDEMNITY | ||||||||||||||
| 981612801 | SELF-INSURANCE | N/A | C | Yes (1) | PO BOX 1051 | GRAND CAYMAN | CJ | KY1-1102 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | Yes (1) | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | Yes (1) | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (1) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | 0 | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | 0 | LoansOrGuaranteesFromOthOrgInd |
| Div Related Organization | 0 | DivRelatedOrganizationInd |
| Asset Sale To Other Org | 0 | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | 0 | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | 0 | AssetExchangeInd |
| Rental Of Facilities To Oth Org | 0 | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | 0 | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (1) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | Yes (1) | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | 0 | SharingOfFacilitiesInd |
| Paid Employees Sharing | 0 | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | Yes (1) | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (1) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | 0 | TransferToOtherOrgInd |
| Transfer From Other Org | 0 | TransferFromOtherOrgInd |
Transactions Related Org TransactionsRelatedOrgGrp (5 entries)
| Transaction TypeTransactionTypeTxt | InvolvedInvolvedAmt | Method Of Amount DeterminationMethodOfAmountDeterminationTxt |
|---|---|---|
| HOLMES REGIONAL ENTERPRISES INC | ||
| A | $4,805 | SEE PART VII |
| HEALTH FIRST SHARED SERVICES INC | ||
| K | $827,324 | SEE PART VII |
| HOLMES REGIONAL MEDICAL CENTER INC | ||
| Q | $364,110 | SEE PART VII |
| CAPE CANAVERAL HOSPITAL INC | ||
| Q | $59,423 | SEE PART VII |
| HEALTH FIRST PHYSICIANS INC | ||
| Q | $63,426 | SEE PART VII |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | FORM 990, SCHEDULE R, PART V: | FormAndLineReferenceDesc |
| Explanation | ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES. | ExplanationTxt |
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