2019-08-14T15:02:09-05:00 2018-09-30 420714325 RSM US LLP 1 S Wacker Drive STE 800 Chicago IL 60606 990 2017-10-01 264019868 Viera Hospital Inc VIER 3214345150 3300 Fiske Blvd Rockledge FL 329554305 Michael A Scialdone System VP Finance 3214345150 2019-08-14 1 Rebekuh Eley P01247672 3126343400 108.171.131.187 2019-08-14 10:02:19 CD P DFF5BBACF4BBD5B7E3AD779C72F64A35FD2324DF 7C605E2F418ECD3347EC446B51AB1B1A7CC4F3F2 2017 2019-02-21 02:37:17Z Steven P Johnson 3300 Fiske Blvd Rockledge FL 329554305 114366049 0 X https://hf.org/ X 2009 FL Our team improving the wellness and health of you and your family through excellent and compassionate health care. 19 16 0 379 -28764 -43208 11555 763 103155492 114262998 -33193 0 107701 102288 103241555 114366049 18635 78764 0 0 38527816 40895148 0 0 0 51456539 57074781 90002990 98048693 13238565 16317356 197763380 205918126 105211444 109803117 92551936 96115009 X Our team improving the wellness and health of you and your family through excellent and compassionate health care. 0 0 74172993 78764 114262998 Viera Hospital opened in April of 2011. The hospital has 84 all-private patient beds, 20-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.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. 74172993 1 0 0 0 0 0 0 0 0 0 1 0 0 0 1 1 0 1 0 0 0 0 0 0 0 0 1 1 0 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 1 0 1 0 0 0 0 0 0 0 0 0 0 0 0 0 X 19 16 0 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 0 0 0 X Arthur Craig Springer II 3214345584 3300 Fiske Blvd Rockledge FL 32955 Pamela A Gatto Chair 1.00 3.00 X X 0 29453 0 Kevin B Steele Vice Chair 1.00 4.00 X X 0 0 0 John F Breitfeller Treasurer 1.00 2.00 X X 0 5590 0 William C Potter Esq Secretary 1.00 3.00 X X 0 0 0 Steven P Johnson President/CEO HFI 2.00 38.00 X X 0 1627655 21279 James S Mitchell III Executive VP/COO HFI 2.00 38.00 X X 0 956194 22399 Alan Prestwood Trustee 1.00 3.00 X 0 0 0 Dale A Dettmer Esq Trustee 1.00 3.00 X 0 11105 0 Dana S Kilborne Trustee (Begin 10/2017) 1.00 3.00 X 0 0 0 Taylor K Smith Trustee (Begin 10/2017) 1.00 3.00 X 0 0 0 Frances U Pickett Trustee 1.00 3.00 X 0 8540 0 James C Shaw Trustee 1.00 3.00 X 0 2878 0 Joseph Gurri MD Trustee 1.00 2.00 X 0 5127 0 Martin W Isenman MD Trustee 1.00 3.00 X 0 4714 0 Cathy Eddy Trustee (End 4/2018) 1.00 3.00 X 0 1260 0 Michael McGoohan DO Medical Staff President (End 1/2018) 1.00 3.00 X 0 0 0 Nathan Allison MD Med Staff President (Begin 1/2018) 1.00 40.00 X 0 1390019 43004 Patricia Driscoll Trustee (End 4/2018) 1.00 3.00 X 0 0 0 Robert Henry Trustee 1.00 3.00 X 0 8202 0 Nicholas W Romanello Esq Assistant Secretary 2.00 38.00 X 0 534504 20631 Michael A Scialdone System VP Finance 1.00 47.00 X 0 496955 18631 Aaron S Robinson CEO Community Hospitals 6.00 39.00 X 0 791361 28504 Deborah M Angerami COO Viera Hospital 40.00 0.00 X 0 440916 18047 Cheyana D Fischer VP of Nursing Comm Hospital 40.00 0.00 X 0 168266 19570 Alexis A Berndt Pharmacy Manager 40.00 0.00 X 0 149381 16249 Alison La Marre Clinical Staff Pharmacist 40.00 0.00 X 0 145637 5736 Jennifer M Peterson Clinical Staff Pharmacist 40.00 0.00 X 0 123759 12897 Shawna M Swoope Clinical Pharmacy Specialist 40.00 0.00 X 0 118113 6884 Catherine A Ford Former Trustee (End 9/2017) 0.00 0.00 X 0 170211 0 Richard McNeight Former Trustee/Secretary 0.00 0.00 X 0 126993 0 James Dwight Former Trustee (End 9/2017) 0.00 0.00 X 0 85913 0 0 7402746 233831 0 1 1 0 0 763 763 Patient Services 622110 88605819 88605819 Medicare/Medicaid 622110 25242406 25242406 Related Company Rent 531120 443537 443537 Reference Lab 621500 -28764 -28764 114262998 Gift Shop 453220 102288 102288 102288 114366049 114291762 -28764 102288 78764 78764 593643 593643 30846480 22311259 8535221 559985 405037 154948 6591759 4767819 1823940 2303281 1665963 637318 66454 66454 46311 46311 8868493 6414581 2453912 202934 146782 56152 1181674 854705 326969 2917822 2917822 2684753 1941882 742871 34582 25013 9569 10237 7404 2833 4333997 3134780 1199217 8943238 6468644 2474594 374225 270677 103548 Medical Supplies 18455612 18455612 Maintenance & Repair 3685378 2665634 1019744 Bad Debt 1484969 1484969 Florida Indigent Tax 1215854 1215854 2568248 1857614 710634 98048693 74172993 23875700 0 78931877 90582828 10955192 11476721 3082472 3618052 637894 560113 176188558 76861328 103746021 99327230 409924 353182 197763380 205918126 4992328 5469530 19046 12187 91992148 90403111 8207922 13918289 105211444 109803117 X 92551936 96115009 92551936 96115009 197763380 205918126 X 16317356 -12754283 X X 0 1 X 1 0 X 125130965 35346328 89784637 1758663 1335284 423379 48977873 40179716 8798157 321057 321057 99327230 Inter-Company Payable 6869703 Government Related Payable 900596 Other Current Liabilities 6147990 13918289 X Part X, Line 2: 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. 1 1 X 1 X 1 X 1 1 0 1 1 3946089 107590 3838499 0.03980 4144647 1739697 2404950 0.02490 1215854 0 1215854 0.01260 9306590 1847287 7459303 0.07730 323356 0 323356 0.00330 420469 0 420469 0.00440 119001 0 119001 0.00120 0 0 55607 0 55607 0.00060 918433 918433 0.00950 10225023 1847287 8377736 0.08680 1 508817 179611 25242406 34755891 -9513485 X 1 1 1 1 Viera Hospital 8745 N Wickman Rd Melbourne FL 32940 https://hf.org/hospitals_services/vier FL State License #: 4504 X X X Acute Care Hospital Viera Hospital 1 0 0 1 X X X X X X X X X 15 1 1 0 1 X https://hf.org/about_us/gives-back/chna.cfm X 1 15 1 https://hf.org/about_us/gives-back/chna.cfm 0 1 X 200.000000000000 400.000000000000 X X X X X 1 1 X X X 1 X www.hf.org/hospitals_services/financial_assistance.cfm X www.hf.org/hospitals_services/financial_assistance.cfm X www.hf.org/hospitals_services/financial_assistance.cfm X X X X X X 1 X 0 X X X X 1 X 0 0 Viera Hospital Part V, Section B, Line 5: Primary data was provided by Space Coast Health Foundation based on a survey conducted by Professional Research Consultants (PRC). A telephone interview methodology was used for 600 Brevard County residents age 18 and older for the period of January through April 2016, including respondants reporting an annual income of less than $24,000.The Space Coast Health Foundation's Health Advisory Council, representing community stakeholders listed below, met in April 2016 to review and prioritize the PRC survey results and rank the identified disparities.Lisa Gurri, Brevard Health AllianceElizabeth Donoghue, 211 BrevardJames Whitaker, Circles of CarePaulette Howell, Eastern Florida State CollegeKevin Hachmeister, DMD, Florida Department of Health-Brevard CountyMiranda Hawker, Florida Department of Health-Brevard CountyMaria Stahl, Florida Department of Health-Brevard CountyDr. Kristi Van Sickle, Florida Institute of TechnologyKaren van Caulil, Florida Health Care CoalitionKen Peach, Health Council of East Central FloridaScott Gettings, MD, Health FirstJane Benton, MD, Nemours Children's Specialty CareMelinda Steis, Orlando Veterans AdministrationChris McAlpine, Parrish Medical CenterDr. Lana Saal, Brevard County Public SchoolsJohnette Gindling, Space Coast Health FoundationAudrey Joiner, Space Coast Volunteers in MedicineTricia Romesberg, Space Coast Health FoundationRobert Rains, United Way of BrevardSecondary data was provided via an online community health survey completed by 1,137 residents in our service area. The survey was conducted by Health First in June 2016 consisting of 18 health-related questions. 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:Overweight/Obese or have poor nutrition/lack of physical activity with a focus on children - provide nutrition education and/or fitness activities to 9,600 residents by September 30, 2019.Adults without access to health care services - secure follow-up appointment with Brevard Health Alliance, including behavioral health services, to 7,200 patients without a primary care provider by September 30, 2019.Needs not being addressed with the reasons why:Diabetes: Needs being addressed via Health First Medical Group Diabetic Education CoordinatorOral Health: Needs being addressed via Health First-sponsored adult dental clinic in partnership with Florida Department of Health-Brevard CountySubstance Abuse: Services provided by Circles of Care behavioral health servicesTobacco Use: Needs being addressed via partnership with Brevard Tobacco Initiative & Area Health Education CentersRespiratory Diseases: Needs being addressed as a risk factor associated with overweight/obesityCancer: Needs being addressed via existing cancer programs at Health First Cancer Institute.Potentially Disabling Conditions: Associated with overweight/obesityChronic Kidney Disease: Services provided by existing dialysis centers in Brevard County Part V, Section B, Line 13a Any patient falling between 201% to 400% FPG may be reviewed for discounted care. 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 adresses 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 $ 1,484,969. 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 $1.8M 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 $152K. 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 as follows: the provision for bad debts and allowance for uncollectible accounts are based upon management's assessment of historical and expected net collections and historical write-off experience by payor and aging category, trends in health care coverage, and other collection indicators. Accounts written off as uncollectible are deducted from the allowance and subsequent recoveries are added. The organization provides uninsured accounts with a discount for prompt payment. The discount is not collected, nor pursued, and therefore not included in net patient revenue. The remaining balance is pursued, and if not collected, reported as a bad debt expense.The method the organization used to determine the amount that could be attributable to patients who likely would qualify for financial assistance under the hospitals charity care policy if sufficient information had been available to make a determination of their eligibility is based on a collection scoring system. The scoring system attributed a recover score to each patient. It was then determined that patients below a certain score would typically qualify for charity care if they were to provide sufficient information. Part III, Line 8: The organization derived its costing methodology used to determine the Medicare allowable costs reported in the organization's Medicare cost report by using cost report worksheets. Medicare costs are determined through the Medicare cost finding process which allocates general service center costs to revenue departments. Routine and ICU costs are determined based on an average cost per day multiplied by the number of Medicare allowable days. Medicare ancillary costs are determined by the ratio of department costs to department charges then the resulting % is applied to Medicare allowable charges. The methodology described in the instructions to Schedule H, Part III, Section B, Line 6 does not take into account all costs incurred by the hospital and does not represent the total community benefit conferred in this area. The reasons Medicare shortfall should be treated as community benefit are: absent the Medicare program, it is likely many of the individuals would qualify for financial assistance or other needs-based government programs; by accepting payment below cost to treat these individuals, the burdens of government are relieved with respect to these individuals; there is a significant possibility that continued reduction in reimbursement may actually create difficulties in access for these individuals; and the amount spent to cover Medicare shortfall is money not available to cover financial assistance and other community benefit needs. Part III, Line 9b: The organization applies the following procedures in its collection practices for those who may qualify for financial assistance: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 for emergency room services with total charges of no more than $5,000.4. 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.7. A notification letter will be sent to the guarantor or patient to communicate eligibility for financial assistance or denial.8. Patients who do not provide information necessary to completely and accurately assess their financial situation and/or who do not cooperate with efforts to secure other third party coverage, as determined by a Health First financial counselor, will not be eligible for financial assistance.9. Telephone interviews may be used as a method of clarifying any information listed in the FAP application. Applicants must list a valid telephone number in the FAP application for this purpose.10. Patients who are uninsured and do not qualify for full or partial financial assistance will be eligible for Health First's prompt pay discount for self pay patients (PBS 5.12).11. 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. 12. 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.13. 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: Health First, Inc. (Parent), on behalf of its member hospital organizations, partners with the Space Coast Health Foundation in assessing the health care needs of our community. The most recent community needs assessment report is available at https://hf.org/about_us/gives-back/chna.cfm 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, 2018:- Brevard County's population was estimated to be 596,849;- Race and Hispanic origin: 83.4 percent white, 10.7 percent black or African-American and 5.9 percent other or two or more races. Included in the applicable race categories, is Hispanics/Latinos comprising 10.4 percent;- Age: 18.5 percent are under the age of 18; ages 18 to 64 make up 58.2 percent; and 23.3 percent are 65 years of age or older;- The average household size is 2.47 persons;- 91.7 percent of Brevard County residents, age 25+, are high school graduates or higher;- 12.4 percent of Brevard's residents lived in poverty, compared with 12.3 percent nationwide.According to the U.S. Census Bureau's American Fact Finder 2013-2017 American Community Survey 5-year estimates, Brevard County's median age is 47.1 years; 48.3 percent are married couples living together; 23.7 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 7.6 percent and 11.2 percent 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/fact/table/brevardcountyflorida,US/PST045218US Census Bureau American Fact Finder:https://factfinder.census.gov/faces/nav/jsf/pages/community_facts.xhtml 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 $420k to support local students via training, education, and scholarship.The emergency department at Viera Hospital, Inc. had more than 24,000 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 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. 1 Part I, Line 2: The Health First, Inc. board monitors usage by each entity to assure funds raised are used appropriately. 0 0 0 0 0 0 0 0 0 Steven P Johnson President/CEO HFI 0 1607410 0 0 0 20245 0 7200 0 14079 0 1648934 0 0 James S Mitchell III Executive VP/COO HFI 0 937380 0 0 0 18814 0 7200 0 15199 0 978593 0 0 Nathan Allison MD Med Staff President (Begin 1/2018) 0 1388993 0 0 0 1026 0 24300 0 18704 0 1433023 0 0 Nicholas W Romanello Esq Assistant Secretary 0 447583 0 0 0 86921 0 3343 0 17288 0 555135 0 0 Michael A Scialdone System VP Finance 0 494333 0 0 0 2622 0 0 0 18631 0 515586 0 0 Aaron S Robinson CEO Community Hospitals 0 619338 0 0 0 172023 0 4756 0 23748 0 819865 0 0 Deborah M Angerami COO Viera Hospital 0 435010 0 0 0 5906 0 7200 0 10847 0 458963 0 0 Cheyana D Fischer VP of Nursing Comm Hospital 0 166103 0 0 0 2163 0 1382 0 18188 0 187836 0 0 Alexis A Berndt Pharmacy Manager 0 149271 0 0 0 110 0 4843 0 11406 0 165630 0 0 Alison La Marre Clinical Staff Pharmacist 0 145389 0 0 0 248 0 4663 0 1073 0 151373 0 0 Catherine A Ford Former Trustee (End 9/2017) 0 0 0 0 0 170211 0 0 0 0 0 170211 0 0 Richard McNeight Former Trustee/Secretary 0 0 0 0 0 126993 0 0 0 0 0 126993 0 0 James Dwight Former Trustee (End 9/2017) 0 0 0 0 0 85913 0 0 0 0 0 85913 0 0 Part I, Line 3 The filing organization relied on Health First, Inc. for establishing the top management official's compensation. See Core 990, Part VI, Section B, Line 15, Schedule O for further information regarding the process utilized. Compensation is paid by Health First, Inc. EIN: 59-3336894 and reimbursed by Viera Hospital, Inc. Salary and benefit expenses disclosed in Part IX is allocated to this entity. Form 990, Part VI, Section A, line 6 The 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 7a Health 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 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 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 11b After 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 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 BOD 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 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 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 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 -12,754,283. Form 990, Part XII, Line 2c, Audited Financial Statements The Audit Committee of Health First reviews and approves the annual audit and compliance audit plans then makes its report to the Health First Board of Trustees. The Audit Committee is responsible for the selection of the independent auditors. There was no change froom 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 Health First Inc 3300 Fiske Blvd Rockledge FL 32955 593336894 Support Org FL 501(C)(3) Line 12c, III-FI N/A 0 Holmes Regional Medical Center Inc 3300 Fiske Blvd Rockledge FL 32955 590624371 Hospital FL 501(C)(3) Line 3 Health First Inc 1 Hospice Of Health First Inc 3300 Fiske Blvd Rockledge FL 32955 591911574 Healthcare FL 501(C)(3) Line 10 Health First Inc 1 Health First Foundation Inc 3300 Fiske Blvd Rockledge FL 32955 593528774 Fundraising FL 501(C)(3) Line 7 Health First Inc 1 Cape Canaveral Hospital Inc 3300 Fiske Blvd Rockledge FL 32955 592477479 Hospital FL 501(C)(3) Line 3 Health First Inc 1 Health First Health Plans Inc 3300 Fiske Blvd Rockledge FL 32955 472736029 Healthcare FL 501(C)(4) Health First Inc 1 Health First Administrative Plans Inc 3300 Fiske Blvd Rockledge FL 32955 821851221 Healthcare FL 501(C)(4) Health First Inc 1 Health First Commercial Plans Inc 3300 Fiske Blvd Rockledge FL 32955 821866443 Healthcare FL 501(C)(4) Health First Inc 1 Doctors GI Partnership Ltd 3300 Fiske Blvd Rockledge FL 32955 593758988 Healthcare FL N/A Related 0 0 Doctor's Surgical Partnership Ltd 3300 Fiske Blvd Rockledge FL 32955 593490279 Healthcare FL N/A Related 0 0 Health First Quickcare LLC 6450 US Highway 1 Rockledge FL 32955 900520186 Healthcare FL N/A Related 0 0 Cape Health Properties Inc 3300 Fiske Blvd Rockledge FL 32955 593086711 Real Estate FL N/A C 1 Health First Medical Management Inc 3300 Fiske Blvd Rockledge FL 32955 593348252 Health Care FL N/A C 1 Health First Physicians Inc 3300 Fiske Blvd Rockledge FL 32955 593346397 Health Care FL N/A C 1 Holmes Regional Enterprises Inc 3300 Fiske Blvd Rockledge FL 32955 592109953 Real Estate FL N/A C 1 Health First Insurance Inc 3300 Fiske Blvd Rockledge FL 32955 453131932 Health Care FL N/A C 1 Health First Holding Corporation 3300 Fiske Blvd Rockledge FL 32955 593509709 Holding Corp. FL N/A C 1 Health First Physician Specialties 3300 Fiske Blvd Rockledge FL 32955 263094596 Health Care FL N/A C 1 Health First Administrative Plans Inc 3300 Fiske Blvd Rockledge FL 32955 472881690 Health Care FL N/A C 1 Health First Commercial Plans Inc 3300 Fiske Blvd Rockledge FL 32955 472894653 Health Care FL N/A C 1 Physicians GI Partnership Inc 3300 Fiske Blvd Rockledge FL 32955 593756961 Health Care FL N/A C 1 Physicians' Surgical Partnership Inc 3300 Fiske Blvd Rockledge FL 32955 593539589 Health Care FL N/A C 1 1 1 1 0 0 0 0 0 0 0 1 1 1 0 0 1 1 0 0 Health First Holding Corp K 734927 See Part VII Health First Health Plans Inc L 9933205 See Part VII Health First Commercial Plans Inc L 6113948 See Part VII Holmes Regional Medical Center Inc M 793910 See Part VII Cape Canaveral Hospital Inc P 153366 See Part VII Health First Physicians Inc P 65277 See Part VII Holmes Regional Medical Center Inc P 172455 See Part VII Holmes Regional Enterprises Inc A 4443 See Part VII Form 990, Schedule R, Part V Disclosures: All transactions reported in this section are based upon corporate books and records which are kept according to Generally Accepted Accounting Principles.