VIERA HOSPITAL INC: Form 990, tax year 2018

View the entire original 990 at ProPublica ↗

Organization
VIERA HOSPITAL INC (EIN 26-4019868)
Tax period
2018-10-01 to 2019-09-30
Filed
2020-08-13
IRS object ID
202002269349301715
Schema version
2018v3.2
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 ReturnHeader

FieldValueIRS element (for citing)
Return2020-08-13T13:14:20-05:00ReturnTs
Tax Period End2019-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

FieldValueIRS element (for citing)
Preparer Firm EIN420714325PreparerFirmEIN

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1RSM US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line11 S Wacker Drive STE 800AddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2018-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN264019868EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Viera Hospital IncBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlVIERBusinessNameControlTxt
Phone3214345150PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1Txt
CityRockledgeCityNm
State AbbreviationFLStateAbbreviationCd
ZIP329554305ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonMichael A ScialdonePersonNm
Person TitleEVP/CFOPersonTitleTxt
Phone3214345150PhoneNum
Signature2020-08-13SignatureDt
Discuss With Paid PreparerYes (1)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonRebekuh EleyPreparerPersonNm
PTINP01247672PTIN
Phone3126343400PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address104.181.213.116IPv4AddressTxt
FieldValueIRS element (for citing)
IP2020-08-13IPDt
IP Tm13:03:14IPTm
IP TimezoneCDIPTimezoneCd
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdDA39A3EE5E6B4B0D3255BFEF95601890AFD80709AtSubmissionCreationDeviceId
At Submission Filing Device Id2A28FA2E2A09A40AF4F0A751499BE74D16D20E85AtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2018TaxYr
Build TS2020-09-23 17:36:50ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerSteven P JohnsonPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1Txt
CityRockledgeCityNm
State AbbreviationFLStateAbbreviationCd
ZIP329554305ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$127,636,989GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresshttps://hf.org/WebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation2009FormationYr
Legal Domicile StateFLLegalDomicileStateCd
Activity Or MissionOur team improving the wellness and health of you and your family through excellent and compassionate health care.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent13VotingMembersIndependentCnt
Total Employee0TotalEmployeeCnt
Total Volunteers546TotalVolunteersCnt
Total Gross UBI$85,153TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$763PYContributionsGrantsAmt
CY Contributions Grants$250CYContributionsGrantsAmt
PY Program Service Revenue$114,262,998PYProgramServiceRevenueAmt
CY Program Service Revenue$127,536,283CYProgramServiceRevenueAmt
PY Investment Income$0PYInvestmentIncomeAmt
CY Investment Income$0CYInvestmentIncomeAmt
PY Other Revenue$102,288PYOtherRevenueAmt
CY Other Revenue$100,456CYOtherRevenueAmt
PY Total Revenue$114,366,049PYTotalRevenueAmt
CY Total Revenue$127,636,989CYTotalRevenueAmt
PY Grants And Similar Paid$78,764PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$78,056CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$40,895,148PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$44,914,508CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$57,074,781PYOtherExpensesAmt
CY Other Expenses$63,486,686CYOtherExpensesAmt
PY Total Expenses$98,048,693PYTotalExpensesAmt
CY Total Expenses$108,479,250CYTotalExpensesAmt
PY Revenues Less Expenses$16,317,356PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$19,157,739CYRevenuesLessExpensesAmt
Total Assets BOY$205,918,126TotalAssetsBOYAmt
Total Assets EOY$218,606,123TotalAssetsEOYAmt
Total Liabilities BOY$109,803,117TotalLiabilitiesBOYAmt
Total Liabilities EOY$112,912,119TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$96,115,009NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$105,694,004NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionOur team improving the wellness and health of you and your family through excellent and compassionate health care.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$83,063,755ExpenseAmt
Grant$78,056GrantAmt
Revenue$127,536,283RevenueAmt
DescViera Hospital opened in April of 2011. The hospital has 84 all-private patient beds, 12-bed intensive care unit, full medical and surgical capabilities, inpatient diagnostic and lab services, Vitalwatch (remote electronic ICU) 2-way audio/video in all ICU rooms and ecaremobile critical care service units for every patient room. The hospital is hurricane hardened construction with state of the art technologies featured throughout. The hospital offers Da-Vinci Robotics Surgery.Rated 5 Stars by the Center for Medicare & Medicaid Services 2018, 2019.Viera Hospital is the cornerstone of the Viera Health Park Campus which includes two other integrated health care facilities within walking distance of one another; The Medical Plaza and The Pro-Health & Fitness Center Viera. Cutting edge technology is evident throughout the hospital including the very latest in Electronic Medical Records (EMR) - meaning no more paper records. Viera Hospital provides quality medical healthcare regardless of race, creed, gender, national origin, handicap, age or ability to pay, although reimbursement for services rendered is critical to the operation and stability of Viera Hospital, Inc. It is recognized that not all individuals possess the ability to purchase essential medical services and further, that our mission is to serve the community with respect to providing healthcare services and healthcare education such as "Healthy Happenings" seminars and support groups for the public.In keeping with this hospital's commitment, to serve all members of its community:1) free care and/or subsidized care is provided where the need and/or inability to pay exists;2) care is provided at below cost to persons covered by governmental programs;3) free healthcare activities and programs are provided to the community. These activities include: wellness programs, community education programs, special programs for elderly, handicapped, and mentally underserved along with a variety of broad community support activities.Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

FieldValueIRS element (for citing)
Expense$0ExpenseAmt
FieldValueIRS element (for citing)
Total Program Service Expenses$83,063,755TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B Required0ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying Activities0LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Temp Or Permanent Endowments0TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 FootnoteYes (1)IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (1)ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With Officer Ent0BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (1)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgYes (1)TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document0IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee0EmployeeCnt
Unrelated Bus Incm Over LimitYes (1)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (1)Form990TFiledInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct0RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct0PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member13IndependentVotingMemberCnt
Family Or Business Rln0FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEO0CompensationProcessCEOInd
Compensation Process Other0CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Arthur Craig Springer IIBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone3214345584PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1Txt
CityRockledgeCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32955ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (28 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Pamela A Gatto
Chair1.003.00Yes (X)Yes (X)$0$32,810$0
Kevin B Steele
Vice Chair1.003.00Yes (X)Yes (X)$0$0$0
John F Breitfeller
Treasurer1.003.00Yes (X)Yes (X)$0$10,684$0
William C Potter Esq
Secretary (End 9/2019)1.003.00Yes (X)Yes (X)$0$0$0
Steven P Johnson
President/CEO HFI2.0038.00Yes (X)Yes (X)$0$1,694,934$21,696
James S Mitchell III
Exec VP COO HFI2.0038.00Yes (X)Yes (X)$0$999,146$22,858
Alan L Prestwood
Trustee1.007.00Yes (X)$0$1,129$0
Dale A Dettmer Esq
Trustee (End 9/2019)1.007.00Yes (X)$0$11,837$0
Dana S Kilborne
Trustee1.003.00Yes (X)$0$16,000$0
Taylor K Smith
Trustee1.003.00Yes (X)$0$32,302$0
Frances U Pickett
Trustee (End 9/2019)1.003.00Yes (X)$0$5,466$0
James C Shaw
Trustee (End 9/2019)1.003.00Yes (X)$0$3,353$0
Joseph Gurri MD
Trustee1.003.00Yes (X)$0$12,825$0
Martin W Isenman MD
Trustee1.003.00Yes (X)$0$6,632$0
Nathan Allison MD
Medical Staff President1.0040.00Yes (X)$0$1,283,632$44,033
Robert K Henry
Trustee1.003.00Yes (X)$0$11,687$0
Joseph G Felkner
Exec VP/CFO HFI2.0038.00Yes (X)$0$860,965$22,858
Nicholas W Romanello Esq
Assistant Secretary2.0038.00Yes (X)$0$684,531$24,750
Michael A Scialdone
System VP Finance2.0038.00Yes (X)$0$512,898$19,283
Deborah M Angerami
COO Viera Hospital40.000.00$0$480,298$17,658Yes (X)
Cheyana D Fischer
VP of Nursing Comm Hospital40.000.00$0$196,911$24,591Yes (X)
Alison La Marre
Clinical Staff Pharmacist40.000.00$0$144,442$5,698Yes (X)
Michelle D Harris
Clinical Charge Nurse40.000.00$0$116,483$16,537Yes (X)
Jennifer M Cato
Clinical Staff Pharmacist40.000.00$0$113,960$15,174Yes (X)
Suzanne M Voorhies
Lead Pharmacist40.000.00$0$120,209$4,667Yes (X)
Cathy Eddy
Former Trustee (End 4/2018)0.000.00$0$102,213$0Yes (X)
Aaron S Robinson
Former CEO Comm Hosp (End 9/2018)0.000.00$0$624,621$27,112Yes (X)
Alexis A Berndt
Former Pharm Manager (End 5/2018)0.000.00$0$111,990$11,602Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$0TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$8,191,958TotReportableCompRltdOrgAmt
Total Other Compensation$278,517TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K0IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd
Cntrct Rcvd Greater Than100 K0CntrctRcvdGreaterThan100KCnt
Related Organizations$250RelatedOrganizationsAmt
Total Contributions$250TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (4 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
Patient Services622110$98,344,801$98,344,801
Medicare/Medicaid622110$28,657,666$28,657,666
Related Company Rent531120$448,663$448,663
Reference Lab621500$85,153$85,153
FieldValueIRS element (for citing)
Total Program Service Revenue$127,536,283TotalProgramServiceRevenueAmt

Other Revenue Misc OtherRevenueMiscGrp

FieldValueIRS element (for citing)
DescGift ShopDesc
Business453220BusinessCd
Total Revenue Column$100,456TotalRevenueColumnAmt
Exclusion$100,456ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$100,456OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$127,636,989TotalRevenueColumnAmt
Related Or Exempt Func Income$127,451,130RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$85,153UnrelatedBusinessRevenueAmt
Exclusion$100,456ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$78,056TotalAmt
Program Services$78,056ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$696,435TotalAmt
Management And General$696,435ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$33,744,576TotalAmt
Program Services$24,751,646ProgramServicesAmt
Management And General$8,992,930ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$599,193TotalAmt
Program Services$439,508ProgramServicesAmt
Management And General$159,685ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$7,346,536TotalAmt
Program Services$5,388,684ProgramServicesAmt
Management And General$1,957,852ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$2,527,768TotalAmt
Program Services$1,854,118ProgramServicesAmt
Management And General$673,650ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$94,591TotalAmt
Management And General$94,591ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$51,849TotalAmt
Management And General$51,849ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,901,520TotalAmt
Program Services$7,262,765ProgramServicesAmt
Management And General$2,638,755ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$246,287TotalAmt
Program Services$180,652ProgramServicesAmt
Management And General$65,635ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,465,137TotalAmt
Program Services$1,074,678ProgramServicesAmt
Management And General$390,459ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$3,452,400TotalAmt
Management And General$3,452,400ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$2,641,722TotalAmt
Program Services$1,937,703ProgramServicesAmt
Management And General$704,019ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$32,423TotalAmt
Program Services$23,782ProgramServicesAmt
Management And General$8,641ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$13,200TotalAmt
Program Services$9,682ProgramServicesAmt
Management And General$3,518ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$4,319,777TotalAmt
Program Services$3,168,556ProgramServicesAmt
Management And General$1,151,221ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$8,808,613TotalAmt
Program Services$6,461,118ProgramServicesAmt
Management And General$2,347,495ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$1,079,501TotalAmt
Program Services$791,814ProgramServicesAmt
Management And General$287,687ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
Medical Supplies$21,012,453$21,012,453
Maintenance & Repair$3,811,433$2,795,686$1,015,747
Bad Debt$2,588,159$2,588,159
Florida Indigent Tax$1,254,952$1,254,952

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$2,712,669TotalAmt
Program Services$1,989,743ProgramServicesAmt
Management And General$722,926ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$108,479,250TotalAmt
Program Services$83,063,755ProgramServicesAmt
Management And General$25,415,495ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$90,582,828BOYAmt
EOY$105,681,185EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$11,476,721BOYAmt
EOY$13,393,396EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$3,618,052BOYAmt
EOY$3,497,699EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$560,113BOYAmt
EOY$721,360EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$178,086,832LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$83,162,308LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$99,327,230BOYAmt
EOY$94,924,524EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$353,182BOYAmt
EOY$387,959EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$205,918,126BOYAmt
EOY$218,606,123EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$5,469,530BOYAmt
EOY$6,152,916EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$12,187BOYAmt
EOY$0EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$90,403,111BOYAmt
EOY$88,744,273EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$13,918,289BOYAmt
EOY$18,014,930EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$109,803,117BOYAmt
EOY$112,912,119EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$96,115,009BOYAmt
EOY$105,694,004EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$96,115,009BOYAmt
EOY$105,694,004EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$205,918,126BOYAmt
EOY$218,606,123EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$19,157,739ReconcilationRevenueExpnssAmt
Other Changes In Net Assets-$9,578,744OtherChangesInNetAssetsAmt
Info In Schedule O Part XIIYes (X)InfoInScheduleOPartXIIInd
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS AuditedYes (1)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (1)AuditCommitteeInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule D IRS990ScheduleD

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$125,203,361OtherCostOrOtherBasisAmt
Depreciation$39,963,746DepreciationAmt
Book Value$85,239,615BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,809,144OtherCostOrOtherBasisAmt
Depreciation$1,505,340DepreciationAmt
Book Value$303,804BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$50,709,257OtherCostOrOtherBasisAmt
Depreciation$41,693,222DepreciationAmt
Book Value$9,016,035BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$365,070OtherCostOrOtherBasisAmt
Book Value$365,070BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$94,924,524TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDescAmtAmt
Inter-Company Payable$7,624,910
Government Related Payable$790,224
Other Current Liabilities$9,599,796
FieldValueIRS element (for citing)
Total Liability$18,014,930TotalLiabilityAmt
Footnote TextYes (X)FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart X, Line 2:FormAndLineReferenceDesc
ExplanationFASB 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

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd
Percent400Yes (X)Percent400Ind
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed Budget0ExpensesExceedBudgetInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,827,958TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,171DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,805,787NetCommunityBenefitExpnsAmt
Total Expense0.02650TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$3,811,532TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,341,533DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,469,999NetCommunityBenefitExpnsAmt
Total Expense0.02330TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,267,841TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,267,841NetCommunityBenefitExpnsAmt
Total Expense0.01200TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$7,907,331TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,363,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,543,627NetCommunityBenefitExpnsAmt
Total Expense0.06180TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$282,750TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$282,750NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$406,762TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$406,762NetCommunityBenefitExpnsAmt
Total Expense0.00380TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$157,643TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$157,643NetCommunityBenefitExpnsAmt
Total Expense0.00150TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$40,136TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$40,136NetCommunityBenefitExpnsAmt
Total Expense0.00040TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$887,291TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$887,291NetCommunityBenefitExpnsAmt
Total Expense0.00840TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,794,622TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,363,704DirectOffsettingRevenueAmt
Net Community Benefit Expns$7,430,918NetCommunityBenefitExpnsAmt
Total Expense0.07020TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedYes (1)BadDebtExpenseReportedInd
Bad Debt Expense$722,932BadDebtExpenseAmt
Bad Debt Expense Attributable$234,609BadDebtExpenseAttributableAmt
Reimbursed By Medicare$27,316,133ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$38,560,180CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$11,244,047MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Viera HospitalBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line18745 N Wickman RdAddressLine1Txt
CityMelbourneCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32940ZIPCd
FieldValueIRS element (for citing)
Website Addresshttps://hf.org/hospitals_services/vierWebsiteAddressTxt
State LicenseFL State License #: 4504StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd
OtherAcute Care HospitalOtherDesc

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Viera HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted18CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts0CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLhttps://hf.org/givesbackOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt18ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLhttps://hf.org/givesbackStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care200.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care400.000000000000FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLhttps://hf.org/hospitals_services/financial_assistance.cfmFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLhttps://hf.org/hospitals_services/financial_assistance.cfmFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLhttps://hf.org/hospitals_services/financial_assistance.cfmFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP TranslatedYes (X)FAPTranslatedInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection Activities0CollectionActivitiesInd
Provided Written NoticeYes (X)ProvidedWrittenNoticeInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Viera HospitalPart V, Section B, Line 5: The results of the PRC 2019 Community Health Needs Assessment survey were analyzed and eleven "Areas of Opportunity" were identified. A presentation of the data was made to the Space Coast Health Foundation Advisory Council, Task Force members, as well as community stakeholders during the three meetings held in April and May 2019. Upon review of the findings in each category, health issues were prioritized. The results were determined by averaging multiple criteria ratings (scope/severity and ability to impact). A scale of 1 (low priority) to 10 (high priority) was used as the ranking criteria.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 HospitalPart V, Section B, Line 6a: Cape Canaveral Hospital, Holmes Regional Medical Center, Palm Bay Hospital
Viera HospitalPart 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 29.2 percent of Brevard County residents eat five or more servings of fruits and/or vegetables per day and 23.9 percent found it "very or "somewhat" difficult to buy affordable fresh produce.A total of 27.2 percent of Brevard County adults report no leisure-time physical activity. For low-income households, only 10.2 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 only 29.4 percent, compared to 50.5 percent nationally.These factors contribute to more than 68.8 percent of adults and 26.6 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 and Junior League of South Brevard. 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 47 percent of adults in Brevard County experienced difficulties or delays in receiving needed healthcare due to prescription costs, getting a doctor's appointment and cost of a doctor's visit. The demographics of those with restricted access include 56.4 percent non-white or Hispanic, 57.8 percent low income and 60 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 and Central Florida's Area Health Education Centers with financial and in-kind support.Significant Health Needs Not Addressed:1. Diabetes - Health First Medical Group Diabetic Education Coordinator offers referral-based American Diabetes Association recognized program2. Oral Health - Health First-sponsored adult dental clinic in partnership with the Florida Department of Health-Brevard County3. Substance Abuse - services provided by Circles of Care4. Tobacco Use - Partnership with Tobacco Free Florida's Area Health Education Centers5. Respiratory Diseases - a risk factor associated with weight/obesity6. Cancer - Health First Cancer Institute provides treatment7. Potentially Disabling Conditions - most conditions are associated with weight/obesity8. Mental Health - services provided by Circles of Care
Part V, Section B, Line 13aAny patient falling between 201% to 400% FPG may be reviewed for discounted care.

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 6a:The community benefit report is prepared by Health First, Inc. the parent company to the organization. The community benefits of this organization are included within that report.
Part I, Line 7:The organization calculated the cost amounts noted in Part I, line 7 by utilizing 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 I, Line 7, Column (f):The Bad Debt expense included on Form 990, Part IX, Line 25, Column (A), but subtracted for purposes of calculating the percentage in this column is $ 2,588,159.
Part II, Community Building Activities:Community building activities are primarily subsidized by Health First, Inc. (Parent) and therefore are not reported at each individual hospital. The needs identified are, in part, based on the community needs assessment. Health First, Inc. utilized hours of paid physicians and nurses to support the community while on payroll. In addition, an amount in excess of $1.6M was contributed to various local organizations primarily supporting the various community public health needs. Health First, Inc. also supported the economic development needs, provided other community support, participated in environmental improvements, coalition building projects, supported a community health improvement advocacy, and supported the local workforce development program. Health First, Inc. and its employees also actively support the local United Way in excess of $159K.
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 stand alone financial statement; however, it is included as a part of the Health First, Inc. consolidated financial statements. The footnote from the Health First, Inc. consolidated financial statements is located on pages nine through twelve under Patient Service Revenue.
Part III, Line 8:The organization derived its costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare cost report by using cost report worksheets. Medicare costs are determined through the Medicare cost finding process which allocates general service center costs to revenue departments. Routine and ICU costs are determined based on an average cost per day multiplied by the number of Medicare allowable days. Medicare ancillary costs are determined by the ratio of department costs to department charges then the resulting % is applied to Medicare allowable charges. The methodology described in the instructions to Schedule H, Part III, Section B, Line 6 does not take into account all costs incurred by the hospital and does not represent the total community benefit conferred in this area. The reasons Medicare shortfall should be treated as community benefit are: absent the Medicare program, it is likely many of the individuals would qualify for financial assistance or other needs-based government programs; by accepting payment below cost to treat these individuals, the burdens of government are relieved with respect to these individuals; there is a significant possibility that continued reduction in reimbursement may actually create difficulties in access for these individuals; and the amount spent to cover Medicare shortfall is money not available to cover financial assistance and other community benefit needs.
Part III, Line 9b:The organization applies the following procedures in its collection practices for those who may qualify for financial assistance:A. In determining application acceptance, the following information will be taken into account:1. 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 Health First Patient Business Services, the hospital Emergency Department, hospital registration, or www.hf.org/hospitals_services/financial_assistance.cfm The application process may begin at pre-admission or at any allowable time thereafter. For financial assistance approval on elective procedures, please refer to policy addendum below.Health First Patient Business Services contact information:Telephone: (321) 434-8645Address: 3300 Fiske Blvd., Rockledge, FL 329552. 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.3. AHCA guidelines and documentation requirements will be used in establishing qualification for financial assistance. This documentation may include, but not be limited to, the following: a. Completed and signed financial assistance application b. Proof of household income I. Federal tax returns; II. Paystubs; III. Documentation establishing qualifications for certain specified state means-tested programs; or IV. If the above listed information is not available, the applicant may contact Health First Patient Business services for further information.c. 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 an application is received by Health First to the three previous years.d. Trustworthy methods and sources of information other than the FAP application to include predictive models and algorithms can be used as income verification documentation.e. Patients who file bankruptcy will be eligible for Financial Assistance; andf. Deceased patients with no estate will be eligible for Financial Assistance.4. Patients who are eligible for Medicaid will not be required to complete a full financial assistance application. These patients may contact (321) 434-8645 in order to determine what information they are required to complete.5. Health First asserts sole discretion over determining applicant approval in the financial assist program.6. Documented notes from a trusted outside vendor which gauges the patient's ability to pay for services based on statistical data may be used to determine eligibility.7. Patients who are uninsured and do not qualify for Financial Assistance will be eligible for Health First Discount for Self Pay Patients (PBS 5.12).8. Health First will adhere to a one hundred and twenty (120) day notification period following the patient's first post-discharge billing statement date. During this period, the patient will receive a plain language summary of the FAP as well as notification in their billing statement directing them to this FAP. 9. 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.10. 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 the Health First policy to provide, without discrimination, care for emergency medical conditions (as defined by federal law known as "EMTALA") to individuals regardless of their eligibility for financial assistance under this policy.Information about Health First's financial assistance program shall be made available to patients and guarantors by various means, including the publication of notices in patient bills and by posting notices in the emergency and admitting departments, and at other public places the Health First facility may elect. Written summary information describing the policy along with financial assistance contact information will be made available to each patient in all emergency and admitting departments. The policy will also be posted on the Health First website. Such information shall be provided in the primary language spoken by the general populations served by the Health First facility.Any Health First associate or member of the medical staff may refer patients for financial assistance. A patient or a family member, close friend or associate of the patient may also make a request for financial assistance on behalf of the patient.
Part VI, Line 4:Brevard County 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 543,376 in July 2010. Based on the U.S. Census Bureau's Quick Facts, population estimates, July 1, 2019: - Brevard County's population was estimated to be 601,942 - Race and Hispanic origin: 83.2 percent white, 10.7 percent black or African-American and 6.1 percent other or two or more races. Hispanics/Latinos comprise 10.7 percent - Age: 22.9 percent are under the age of 18; ages 19 to 64 make up 53.4 percent; and 23.7 percent are 65 years of age or older - The average household size is 2.49 persons - 92 percent of Brevard County residents are high school graduates or higher - 22 percent of Brevard's children live in poverty, compared with 12.3 percent nationwideAccording to the U.S. Census Bureau's American Fact Finder 2013-2017 American Community Survey 5-year estimates, Brevard County's median age is 47.2 years; 48.3 percent are married couples living together; 22.3 percent of households in Brevard County have children under the age of 18 living with them. The unemployment rate for the civilian labor force was 2.0 percent in September 2018 according to the State of Florida's labor statistics and 10,956 persons received SNAP benefits.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/factable/brevardcountyflorida,US/PST045218US Census Bureau American Fact Finder:https://www.census.gov/acs/www/data/data-tables-and-tools/american-factfinder/
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 $406k to support local students via training, education, and scholarship.The emergency department at Viera Hospital, Inc. had more than 27,000 visits during the year regardless of ability to pay. In addition the organization participates in several government sponsored health care programs, including, but not limited to, Medicare, Medicaid, 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 514 beds. Cape Canaveral Hospital (CCH) opened in 1962 with 44 beds, and has since grown to 150 beds. Palm Bay Hospital (PBH) opened in 1992 as a satellite of HRMC with 60 beds and has since grown to 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 outpatient centers; the county's only trauma center; home care; specialized programs for cancer, diabetes, heart, stroke, and rehabilitative services; Central Brevard's largest medical group; three fitness centers; and Medicare Advantage, Commercial POS, and Commercial HMO Health Plans.Working together in a seamless system, Health First is devoted to integrating quality healthcare services with state-of-the-art technology. Health First also works together with other organizations and physicians in our community.Our associates are also actively building a healthier community through volunteering for organizations dedicated to preventing and treating health concerns such as cancer, diabetes, and heart disease. We're also proud of our associate giving program, supporting a variety of services and a patient and family care fund.
Part VI, Line 7Not 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

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable

Recipient Business Name RecipientBusinessName

FieldValueIRS element (for citing)
Business Name Line1Central Brevard Sharing Center IncBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1113 Aurora StAddressLine1Txt
CityCocoaCityNm
State AbbreviationFLStateAbbreviationCd
ZIP32922ZIPCd
FieldValueIRS element (for citing)
Recipient EIN591839108RecipientEIN
IRC Section501(c)(3)IRCSectionDesc
Cash Grant$5,250CashGrantAmt
Purpose Of GrantGeneral supportPurposeOfGrantTxt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePart I, Line 2:FormAndLineReferenceDesc
ExplanationThe Health First, Inc. board monitors usage by each entity to assure funds raised are used appropriately.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr Plan0SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments0AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (12 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Steven P Johnson
President/CEO HFI$0$1,673,511$0$0$0$21,423$0$7,200$0$14,496$0$1,716,630$0$0
James S Mitchell III
Exec VP COO HFI$0$981,730$0$0$0$17,416$0$7,200$0$15,658$0$1,022,004$0$0
Nathan Allison MD
Medical Staff President$0$1,282,492$0$0$0$1,140$0$24,750$0$19,283$0$1,327,665$0$0
Joseph G Felkner
Exec VP/CFO HFI$0$847,272$0$0$0$13,693$0$7,200$0$15,658$0$883,823$0$0
Nicholas W Romanello Esq
Assistant Secretary$0$596,941$0$0$0$87,590$0$2,867$0$21,883$0$709,281$0$0
Michael A Scialdone
System VP Finance$0$510,276$0$0$0$2,622$0$0$0$19,283$0$532,181$0$0
Deborah M Angerami
COO Viera Hospital$0$473,462$0$0$0$6,836$0$7,200$0$10,458$0$497,956$0$0
Cheyana D Fischer
VP of Nursing Comm Hospital$0$189,720$0$0$0$7,191$0$5,126$0$19,465$0$221,502$0$0
Alison La Marre
Clinical Staff Pharmacist$0$144,194$0$0$0$248$0$4,624$0$1,074$0$150,140$0$0
Cathy Eddy
Former Trustee (End 4/2018)$0$0$0$0$0$102,213$0$0$0$0$0$102,213$0$0
Aaron S Robinson
Former CEO Comm Hosp (End 9/2018)$0$384,194$0$0$0$240,427$0$7,200$0$19,912$0$651,733$0$0
Alexis A Berndt
Former Pharm Manager (End 5/2018)$0$111,911$0$0$0$79$0$3,424$0$8,178$0$123,592$0$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Part I, Line 3Compensation is paid by Health First, Inc. EIN: 59-3336894 and reimbursed by Viera Hospital, Inc. Salary and benefit expenses disclosed in Part IX is allocated to this entity. The filing organization relied on Health First, 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 4aThe following severance payment is included in taxable compensation reported on 2018 Form W-2: Aaron S. Robinson $137,420

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part VI, Section A, line 6The sole member of Viera Hospital, Inc. is Health First, Inc. (HFI), a Florida not-for-profit corporation that serves as the corporate parent of the health system.
Form 990, Part VI, Section A, line 7aHealth First, Inc., a section 501(c)(3) exempt organization and the parent of the exempt healthcare system, is the sole corporate member of the filing organization. Trustees shall be appointed as provided in the Bylaws by the member to a term as designated at the time of appointment.
Form 990, Part VI, Section A, line 7bPer the Bylaws and the laws of the State of Florida, the administrative power of the Corporation shall be vested in the Board of 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 having total capitalized cost 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 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; -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 11bAfter review and approval by the System Corporate Controller 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 12cA 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 BOT 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 15The compensation process is determined by the parent company. The parent company's process is as follows: the salaries of our CEO 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 Health First. Health First contracts annually with a highly respected national consulting firm to provide these recommendations to ensure that our executives are compensated fairly and competitively when compared with similar roles in other healthcare organizations nationally. The compensation committee is independent for Internal Revenue Code Section 4958 for the individuals whose salary is reviewed. Minutes are kept for all Board of Trustees and compensation committee meetings. The process is documented contemporaneously in the board and committee meetings.
Form 990, Part VI, Section C, line 19Quarterly and annually consolidated financials and consolidated statistical information is filed electronically on www.dacbond.com and is available to the public. In addition, any requests made to the Chief Financial Officer for the above referenced items are provided upon request in a timely manner. A copy of the conflicts of interest policy is available upon request to the compliance officer. Documents are available for the same period of disclosure as provided in section 6104(d).
Form 990, Part XI, line 9:Transfer of net assets to a related tax-exempt -9,578,744.
Form 990, Part XII, Line 2cThe 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.
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, 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, Inc. EIN: 59-3336894

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (8 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
Health First Inc
3300 Fiske BlvdRockledgeFL32955593336894Support OrgFL501(C)(3)Line 10N/A0
Cape Canaveral Hospital Inc
3300 Fiske BlvdRockledgeFL32955592477479HospitalFL501(C)(3)Line 3Yes (1)Health First Inc
Holmes Regional Medical Center Inc
3300 Fiske BlvdRockledgeFL32955590624371HospitalFL501(C)(3)Line 3Yes (1)Health First Inc
Health First Administrative Plans Inc
3300 Fiske BlvdRockledgeFL32955821851221HealthcareFL501(C)(4)Yes (1)Health First Inc
Health First Commercial Plans Inc
3300 Fiske BlvdRockledgeFL32955821866443HealthcareFL501(C)(4)Yes (1)Health First Inc
Health First Health Plans Inc
3300 Fiske BlvdRockledgeFL32955472736029HealthcareFL501(C)(4)Yes (1)Health First Inc
Hospice Of Health First Inc
3300 Fiske BlvdRockledgeFL32955591911574HealthcareFL501(C)(3)Line 10Yes (1)Health First Inc
Health First Foundation Inc
3300 Fiske BlvdRockledgeFL32955593528774FundraisingFL501(C)(3)Line 7Yes (1)Health First Inc

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdPredominant Income TypePredominantIncomeTypeTxtDisproportionate AllocationsDisproportionateAllocationsIndGeneral Or Managing PartnerGeneralOrManagingPartnerInd
Doctors GI Partnership Ltd
3300 Fiske BlvdRockledgeFL32955593758988HealthcareFLN/ARelated00
Doctor's Surgical Partnership Ltd
3300 Fiske BlvdRockledgeFL32955593490279HealthcareFLN/ARelated00

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationInd
Cape Health Properties Inc
3300 Fiske BlvdRockledgeFL32955593086711Real EstateFLN/ACYes (1)
Health First Medical Management Inc
3300 Fiske BlvdRockledgeFL32955593348252Health CareFLN/ACYes (1)
Health First Physicians Inc
3300 Fiske BlvdRockledgeFL32955593346397Health CareFLN/ACYes (1)
Holmes Regional Enterprises Inc
3300 Fiske BlvdRockledgeFL32955592109953Real EstateFLN/ACYes (1)
Health First Insurance Inc
3300 Fiske BlvdRockledgeFL32955453131932Health CareFLN/ACYes (1)
Health First Holding Corporation
3300 Fiske BlvdRockledgeFL32955593509709Holding Corp.FLN/ACYes (1)
Health First Physician Specialties
3300 Fiske BlvdRockledgeFL32955263094596Health CareFLN/ACYes (1)
Physicians GI Partnership Inc
3300 Fiske BlvdRockledgeFL32955593756961Health CareFLN/ACYes (1)
Physicians' Surgical Partnership Inc
3300 Fiske BlvdRockledgeFL32955593539589Health CareFLN/ACYes (1)
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (1)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgYes (1)GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (1)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org0LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other OrgYes (1)AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (1)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (1)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (1)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other Org0TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (5 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Health First Holding Corp
K$757,025See Part VII
Health First Health Plans Inc
L$10,403,232See Part VII
Health First Commercial Plans Inc
L$6,210,107See Part VII
Holmes Regional Medical Center Inc
M$1,070,170See Part VII
Cape Canaveral Hospital Inc
P$102,194See Part VII

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule R, Part V Disclosures:FormAndLineReferenceDesc
ExplanationAll 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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