HEALTH FIRST SHARED SERVICES INC: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization: HEALTH FIRST SHARED SERVICES INC (EIN 59-3336894)
Tax period: 2024-10-01 to 2024-12-31
Filed: 2025-11-17
IRS object ID: 202543219349305809
Schema version: 2024v5.2
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule F
Schedule J
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2025-11-17T10:19:35-06:00	ReturnTs
Tax Period End	2024-12-31	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Field	Value	IRS element (for citing)
Preparer Firm EIN	440160260	PreparerFirmEIN

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	FORVIS MAZARS LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	120 E PALMETTO PARK ROAD SUITE 403	AddressLine1Txt
City	BOCA RATON	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	33432	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2024-10-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	593336894	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH FIRST SHARED SERVICES INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	HEAL	BusinessNameControlTxt
Phone	3214345150	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3300 FISKE BLVD	AddressLine1Txt
City	ROCKLEDGE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	329554306	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	KRISTEN M PULIO	PersonNm
Person Title	EXECUTIVE VP CFO	PersonTitleTxt
Phone	3214345150	PhoneNum
Signature	2025-11-17	SignatureDt
Discuss With Paid Preparer	Yes (1)	DiscussWithPaidPreparerInd

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	Yes (1)	IRSResponsiblePrtyInfoCurrInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	APRIL ARNOLD	PreparerPersonNm
PTIN	P01559426	PTIN
Phone	8164894235	PhoneNum

Field	Value	IRS element (for citing)
Tax	2024	TaxYr
Build TS	2025-03-06 01:10:19Z	BuildTS

Form 990 IRS990

Doing Business As Name DoingBusinessAsName

Field	Value	IRS element (for citing)
Business Name Line1	HEALTH FIRST	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Principal Officer	TERRY L FORDE	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3300 FISKE BLVD	AddressLine1Txt
City	ROCKLEDGE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	329554306	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$126,810,694	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	HTTPS://HF.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1995	FormationYr
Legal Domicile State	FL	LegalDomicileStateCd
Activity Or Mission	WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	12	VotingMembersIndependentCnt
Total Employee	12163	TotalEmployeeCnt
Total Volunteers	12	TotalVolunteersCnt
Total Gross UBI	$1,702,707	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$613,342	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$442,602	PYContributionsGrantsAmt
CY Contributions Grants	$156,923	CYContributionsGrantsAmt
PY Program Service Revenue	$288,355,019	PYProgramServiceRevenueAmt
CY Program Service Revenue	$65,176,207	CYProgramServiceRevenueAmt
PY Investment Income	$48,985,867	PYInvestmentIncomeAmt
CY Investment Income	$15,204,875	CYInvestmentIncomeAmt
PY Other Revenue	-$276,051	PYOtherRevenueAmt
CY Other Revenue	$1,702,707	CYOtherRevenueAmt
PY Total Revenue	$337,507,437	PYTotalRevenueAmt
CY Total Revenue	$82,240,712	CYTotalRevenueAmt
PY Grants And Similar Paid	$50,000	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$140,684,337	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$30,331,283	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$162,901,326	PYOtherExpensesAmt
CY Other Expenses	$63,852,576	CYOtherExpensesAmt
PY Total Expenses	$303,635,663	PYTotalExpensesAmt
CY Total Expenses	$94,183,859	CYTotalExpensesAmt
PY Revenues Less Expenses	$33,871,774	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$11,943,147	CYRevenuesLessExpensesAmt
Total Assets BOY	$2,043,524,511	TotalAssetsBOYAmt
Total Assets EOY	$2,051,551,035	TotalAssetsEOYAmt
Total Liabilities BOY	$459,420,335	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$440,704,586	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$1,584,104,176	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$1,610,846,449	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	WE EXIST TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$86,041,957	ExpenseAmt
Revenue	$65,176,207	RevenueAmt
Desc	THE PRIMARY EXEMPT PURPOSE OF HEALTH FIRST SHARED SERVICES, INC. (HFSS) IS TO PROVIDE SUPPORT AND SERVICES THAT ENABLE THE INFRASTRUCTURE TO PROVIDE EXCEPTIONAL PATIENT CARE AT HEALTH FIRST'S CAPE CANAVERAL HOSPITAL, HEALTH FIRST'S HOLMES REGIONAL MEDICAL CENTER, HEALTH FIRST'S PALM BAY HOSPITAL, HEALTH FIRST'S VIERA HOSPITAL AND HOSPICE OF HEALTH FIRST, INC. THE SERVICES PROVIDED BY HFSS INCLUDE, BUT ARE NOT LIMITED TO: STRATEGIC PLANNING, MANAGEMENT, ADMINISTRATIVE SUPPORT SERVICES, AND INTEGRAL SERVICES IN IT AND FINANCE.MORE SPECIFICALLY, HFSS SUPPORTS ITS AFFILIATED ORGANIZATIONS WITH:1. COORDINATION OF PATIENT CARE SERVICES TO REDUCE THE DUPLICATION OF RESOURCES AND INCREASE THE COST-EFFICIENCY OF PATIENT CARE OFFERED AT ANY HEALTH FIRST ENTITY;2. PROVISION OF ENHANCED CLINICAL, MARKETING, PLANNING, FINANCIAL AND ORGANIZATIONAL SERVICES AND EXPERTISE, AND;3. SERVICE AREA COMMUNITY HEALTH PLANNING TO ENSURE THAT COLLECTIVELY ALL HEALTH FIRST ENTITIES PROVIDE THE HEALTHCARE SERVICES REQUIRED TO MEET THE NEEDS OF RESIDENTS WHO RESIDE IN BREVARD COUNTY.SOME EXAMPLES OF ENHANCED CLINICAL CARE INCLUDE VIRTUAL VISITS, ATHENAHEALTH, EPIC, AND KYRUUS. THESE ADVANCEMENTS ENSURE THERE IS ACCESS TO CARE WITH EASE AND CONVENIENCE. VIRTUAL VISITS ARE A WAY FOR PHYSICIANS TO OFFER HEALTHCARE TO THOUSANDS OF PEOPLE FROM THE COMFORT OF THEIR OWN HOMES. HEALTH FIRST HAS INVESTED DEEPLY IN THIS TECHNOLOGY TO HELP KEEP OUR COMMUNITY SAFE.THE VIRTUAL VISIT TOOLS WE EFFECTIVELY AND IMMEDIATELY IMPLEMENTED DURING THE FIRST WAVE OF COVID-19 MADE A HUGE IMPACT AS HEALTH FIRST CONTINUED TO PROVIDE QUALITY CARE TO OUR PATIENTS.WITH THE COVID-19 PANDEMIC, THE FUTURE OF VIRTUAL VISITS WAS NO LONGER A "NICE TO HAVE" BUT INSTEAD, A "MUST HAVE," BASED ON THE RESPONSE HEALTH FIRST EXPERIENCED FROM PATIENTS.THE HEALTH FIRST NETWORK HAS EXPANDED THESE SERVICES TO INCLUDE WELL CARE VISITS, CHRONIC DISEASE MANAGEMENT, ACUTE VISITS, AND SPECIALIST CARE. IN 2024, THERE WERE 10,323 VIRTUAL VISIT PATIENTS THAT WERE SEEN BY HEALTH FIRST PROVIDERS.HEALTH FIRST PARTNERED WITH ATHENAHEALTH TO MODERNIZE OUR PATIENT INTAKE PROCESS.ATHENAHEALTH'S ELECTRONIC MEDICAL RECORD (EMR) SYSTEM ENHANCES THE PATIENT EXPERIENCE WITH A STREAMLINED, USER-FRIENDLY PORTAL. PATIENTS CAN CONVENIENTLY CHECK IN ONLINE BEFORE THEIR APPOINTMENT OR USE SELF-SERVICE TOOLS IN THE OFFICE FOR FASTER REGISTRATION. THE SYSTEM ALLOWS SECURE ONLINE PAYMENTS, REAL-TIME UPDATES, AND MESSAGING, SO PATIENTS CAN STAY INFORMED AND WAIT IN THEIR VEHICLES UNTIL THEY ARE NOTIFIED. WITH INTEGRATED TOOLS FOR ACCURATE RECORDKEEPING, ATHENA IMPROVES COMMUNICATION BETWEEN PATIENTS AND THEIR CARE TEAMS. HEALTH FIRST HAS ANNOUNCED THE INVESTMENT OF MORE THAN $160 MILLION AS PART OF A TWO-YEAR TRANSFORMATIVE PLAN TO MODERNIZE AND TRANSFORM BREVARD COUNTY'S HEALTHCARE EXPERIENCE FOR PATIENTS, HEALTH PLANS MEMBERS, PROVIDERS, AND CARE TEAMS.HEALTH FIRST IS PARTNERING WITH HEALTHCARE SOFTWARE VENDOR EPIC TO IMPROVE THE HEALTH AND WELLNESS OF THE COMMUNITIES WE SERVE. EPIC'S ELECTRONIC HEALTH RECORD (EHR) SYSTEM PROVIDES A MODERN, INTUITIVE PLATFORM TO ENHANCE THE PATIENT EXPERIENCE. WITH EPIC'S MYCHART, PATIENTS CAN EASILY CHECK IN ONLINE BEFORE THEIR APPOINTMENT OR USE CONVENIENT SELF-SERVICE OPTIONS IN THE OFFICE FOR FASTER REGISTRATION. THE SYSTEM OFFERS SECURE ONLINE BILL PAYMENTS, REAL-TIME APPOINTMENT UPDATES, AND MESSAGING, ALLOWING PATIENTS TO WAIT IN THEIR VEHICLES UNTIL NOTIFIED IT'S TIME TO ENTER. EPIC'S COMPREHENSIVE TOOLS STREAMLINE COMMUNICATION BETWEEN PATIENTS AND THEIR CARE TEAMS, ENSURING ACCURATE RECORDS AND SEAMLESS CARE COORDINATION.HEALTH FIRST OFFERS AN ENTERPRISE-WIDE PLATFORM FOR OUR ONLINE PROVIDER DIRECTORY NAMED KYRUUS. THE ENHANCED DIRECTORY STREAMLINES OUR ONLINE MEDICAL STAFF PROVIDER DIRECTORY. THE IMPROVEMENT WILL INCORPORATE SEARCH FILTER CRITERIA, MOBILE OPTIMIZATION AND MORE. THIS NOT ONLY INCREASED EASE OF ACCESS TO OUR NETWORK BUT ALSO BOOSTED THE CUSTOMER EXPERIENCE. WITH THE HEALTH FIRST DIRECTORY, CUSTOMERS CAN SEARCH USING KEY WORDS AND ACRONYMS, SUCH AS "PCP" INSTEAD OF "PRIMARY CARE PROVIDER, AND EVEN ABBREVIATIONS, SUCH AS "AFIB" INSTEAD OF "ATRIAL FIBRILLATION." THE SEARCH WILL ALSO INCORPORATE FILTERS SO CUSTOMERS CAN MATCH THEMSELVES WITH THE MOST APPROPRIATE PROVIDER FOR THEIR NEEDS.AS A NOT-FOR-PROFIT HEALTHCARE NETWORK, HEALTH FIRST IS COMMITTED TO IMPROVING THE HEALTH OF OUR COMMUNITY AND PROVIDING SERVICES REGARDLESS OF A PERSON'S ABILITY TO PAY. HEALTH FIRST'S DEDICATION TO HIGH-QUALITY, PATIENT-CENTERED HEALTHCARE IS REFLECTED IN OUR MISSION-DRIVEN COMMUNITY BENEFITS, WHICH IN 2024 TOTALED OVER $30.9 MILLION. THIS INCLUDED OVER $15 MILLION IN CHARITY CARE, PROVIDED AS A "SAFETY NET" FOR THOSE WHO WERE UNINSURED OR UNABLE TO PAY FOR HEALTHCARE SERVICES AND WEREN'T ELIGIBLE FOR PUBLIC/ GOVERNMENT PROGRAMS. EVERY THREE YEARS, HEALTH FIRST CONDUCTS A COMMUNITY HEALTH NEEDS ASSESSMENT. BASED ON THE MOST RECENT REPORT IN 2024, RECOMMENDATIONS WERE MADE BY HEALTH FIRST LEADERSHIP AND APPROVED BY THE HEALTH FIRST BOARD OF TRUSTEES TO ADDRESS THE FOLLOWING HEALTH DISPARITIES IN BREVARD COUNTY: 1- NUTRITION, PHYSICAL ACTIVITY, AND WEIGHT 2- ACCESS TO HEALTHCARE FOR A COPY OF OUR HEALTH FIRST SHARED SERVICES, INC. COMMUNITY BENEFIT REPORT, VISIT: HTTPS://HF.ORG/GIVING-BACK	Desc
Total Program Service Expenses	$86,041,957	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	0	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (1)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	0	OperateHospitalInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	Yes (1)	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	Yes (1)	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	Yes (1)	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	1210	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	12163	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	12	IndependentVotingMemberCnt
Family Or Business Rln	0	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (1)	WrittenPolicyOrProcedureInd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	KIMBERLY MYERS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	3214345150	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3300 FISKE BLVD	AddressLine1Txt
City	ROCKLEDGE	CityNm
State Abbreviation	FL	StateAbbreviationCd
ZIP	329554306	ZIPCd

Field	Value	IRS element (for citing)
Info In Schedule O Part VII	Yes (X)	InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (34 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
TERRY L FORDE
PRESIDENT/CEO BEG 8/5/2024	4.00	36.00	Yes (X)	Yes (X)	$1,073,540	$0	$7,976
TAYLOR K SMITH
SECRETARY BEG 10/2024 FORMER CHAIR/ INTERIM CEO	1.00	6.00	Yes (X)	Yes (X)	$678,744	$0	$0
JAMES C SHAW
VICE CHAIR	1.00	5.00	Yes (X)	Yes (X)	$23,575	$0	$0
DR THEODORE R RICHARDSON III
TRUSTEE BEG 10/2023	1.00	5.00	Yes (X)		$19,625	$0	$0
KIM K PATRICK
TRUSTEE	1.00	8.00	Yes (X)		$18,500	$0	$0
ROBERT K HENRY
TRUSTEE	1.00	5.00	Yes (X)		$17,914	$0	$0
LARRY S BISHOP MD
TRUSTEE	1.00	5.00	Yes (X)		$16,547	$0	$0
JOSEPH GURRI MD
TRUSTEE	1.00	5.00	Yes (X)		$9,932	$0	$0
DANA S KILBORNE
TREASURER	1.00	5.00	Yes (X)	Yes (X)	$4,500	$0	$0
SCOTT T MIKUEN
CHAIR BEG 10/2024 FORMER SECRETARY	1.00	5.00	Yes (X)	Yes (X)	$0	$0	$0
DUANE R DAVIS
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
RANDALL L HAFFNER
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
TODD GOODMAN
TRUSTEE	1.00	0.00	Yes (X)		$0	$0	$0
AUDREY GREGORY
TRUSTEE BEG 6/2024	1.00	0.00	Yes (X)		$0	$0	$0
PAULA B JUST
CHIEF EXPERIENCE OFFICER	30.00	10.00		Yes (X)	$1,014,712	$0	$30,178
KRISTEN M PULIO
EXEC VP CFO BEG 09/2024	4.00	36.00		Yes (X)	$213,908	$0	$1,251
NICHOLAS W ROMANELLO ESQ
SR VP/CORP COUNSEL	4.00	36.00			$1,010,140	$0	$31,967	Yes (X)
MATTHEW F GERRELL
SR VP HEALTH PLANS	5.00	35.00			$1,001,555	$0	$30,178	Yes (X)
MICHAEL W CARR
SR. VP CIO	30.00	10.00			$729,013	$0	$29,785	Yes (X)
CHEYANA D FISCHER
CHIEF CLINICAL OFFICER CNO	20.00	20.00			$705,598	$0	$28,134	Yes (X)
MICHAEL E MULLOWNEY
PRESIDENT HOSPITAL DIVISION BEG 10/24	10.00	30.00			$617,354	$0	$33,876	Yes (X)
MARY JANE BRECKLIN
SYSTEM VP HUMAN RESOURCES	40.00	0.00			$514,390	$0	$36,178		Yes (X)
BRIAN R BOGGS
SYS VP CHIEF ACCOUNTING OFFICER	31.00	9.00			$509,881	$0	$31,348		Yes (X)
DOUGLAS B MCKEE
VP CHIEF MED INFORMATICS	40.00				$488,956	$0	$29,829		Yes (X)
ARTHUR C SPRINGER II
SYS VP CHIEF ACCOUNTING OFFICER	40.00	0.00			$436,739	$0	$35,145		Yes (X)
ANDREW FINK
SR. VP COMMUNITY HEALTH SVCS BEG 8/2024	1.00	39.00			$424,399	$0	$12,751		Yes (X)
STEVEN P JOHNSON
FORMER PRESIDENT/CEO HFI	0.00	0.00			$278,939	$0	$3,102			Yes (X)
MARTIN W ISENMAN MD
FORMER TRUSTEE	0.00	0.00			$20,512	$0	$0			Yes (X)
JOHN F BREITFELLER
FORMER VICE CHAIR	0.00	0.00			$14,866	$0	$0			Yes (X)
PAMELA A GATTO
FORMER TRUSTEE	0.00	0.00			$14,369	$0	$0			Yes (X)
BRETT A ESROCK
FORMER EXEC VP CFO/COO END 7/24	0.00	0.00			$1,236,188	$0	$31,208			Yes (X)
MICHAEL A SCIALDONE
FORMER EVP/CFO HFI	0.00	0.00			$461,162	$0	$11,967			Yes (X)
DREW A RECTOR
FORMER EXEC VP CSO	0.00	0.00			$322,036	$0	$0			Yes (X)
JEFFREY C STALNAKER MD
FORMER SR VP CCO/INTERIM CEO HOSP	0.00	0.00			$540,512	$0	$14,612			Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$12,418,106	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$0	TotReportableCompRltdOrgAmt
Total Other Compensation	$399,485	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	901	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
BREVARD PHYSICIANS ASSOCIATES PLLC
2627 W EAU GALLIE BLVD STE 101	MELBOURNE	FL	32935	OPERATIONAL SERVICES	$20,045,001
COMPASS ONE HEALTHCARE
PO BOX 102289	ATLANTA	GA	303682289	OPERATIONAL SERVICES	$17,253,280
CROTHALL HEALTHCARE INC
13028 COLLECTION CENTER DR	CHICAGO	IL	60693	OPERATIONAL SERVICES	$10,792,155
ALTERA DIGITAL HEALTH INC
2429 MILITARY RD STE 300	NIAGARA FALLS	NY	14304	OPERATIONAL SERVICES	$7,299,269
SODEXO CTM LLC
PO BOX 415000	NASHVILLE	TN	372415000	OPERATIONAL SERVICES	$6,321,765

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	207	CntrctRcvdGreaterThan100KCnt
Related Organizations	$156,923	RelatedOrganizationsAmt
Total Contributions	$156,923	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
SUPPORT SERVICES	561000	$60,516,544	$60,516,544
MSO LEASE REVENUE	561000	$2,437,025	$2,437,025
RELATED COMPANY RENT	532000	$2,222,638	$2,222,638

Field	Value	IRS element (for citing)
Total Program Service Revenue	$65,176,207	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$8,354,258	TotalRevenueColumnAmt
Exclusion	$8,354,258	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$51,420,599	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$44,569,982	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$6,850,617	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$6,850,617	TotalRevenueColumnAmt
Exclusion	$6,850,617	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (2 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt
PRIVIA MGMT SERVICES	561000	$1,351,418	$1,351,418
OPHTHALMOLOGY CENTER	621300	$351,289	$351,289

Field	Value	IRS element (for citing)
Other Revenue Total	$1,702,707	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$82,240,712	TotalRevenueColumnAmt
Related Or Exempt Func Income	$65,176,207	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$1,702,707	UnrelatedBusinessRevenueAmt
Exclusion	$15,204,875	ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,902,495	TotalAmt
Management And General	$1,902,495	ManagementAndGeneralAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$23,329,786	TotalAmt
Program Services	$22,314,940	ProgramServicesAmt
Management And General	$1,014,846	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$3,304,004	TotalAmt
Program Services	$3,160,280	ProgramServicesAmt
Management And General	$143,724	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$1,794,998	TotalAmt
Program Services	$1,716,916	ProgramServicesAmt
Management And General	$78,082	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$2,349,481	TotalAmt
Management And General	$2,349,481	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$603,740	TotalAmt
Management And General	$603,740	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$301,094	TotalAmt
Management And General	$301,094	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$4,876,806	TotalAmt
Program Services	$4,664,665	ProgramServicesAmt
Management And General	$212,141	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$376,300	TotalAmt
Program Services	$359,931	ProgramServicesAmt
Management And General	$16,369	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,188,535	TotalAmt
Program Services	$2,093,333	ProgramServicesAmt
Management And General	$95,202	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$10,858,032	TotalAmt
Program Services	$10,385,708	ProgramServicesAmt
Management And General	$472,324	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$2,691,790	TotalAmt
Program Services	$2,574,697	ProgramServicesAmt
Management And General	$117,093	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$47,571	TotalAmt
Program Services	$45,502	ProgramServicesAmt
Management And General	$2,069	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$3,767	TotalAmt
Program Services	$3,603	ProgramServicesAmt
Management And General	$164	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$1,758,504	TotalAmt
Program Services	$1,682,009	ProgramServicesAmt
Management And General	$76,495	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$4,110,098	TotalAmt
Program Services	$3,931,309	ProgramServicesAmt
Management And General	$178,789	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$8,363,819	TotalAmt
Program Services	$7,999,993	ProgramServicesAmt
Management And General	$363,826	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
SHARED SAVINGS ARRANGEM	$19,750,325	$19,750,325
MAINTENANCE & REPAIR	$1,360,797	$1,301,602	$59,195
LICENSES & TAXES	$672,010	$672,010
UBI TAXES	$27,598	$27,598

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,512,309	TotalAmt
Program Services	$3,357,536	ProgramServicesAmt
Management And General	$154,773	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$94,183,859	TotalAmt
Program Services	$86,041,957	ProgramServicesAmt
Management And General	$8,141,902	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$862,140,711	BOYAmt
EOY	$791,718,653	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

Field	Value	IRS element (for citing)
BOY	$39,348,823	BOYAmt
EOY	$39,570,067	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$4,559,026	BOYAmt
EOY	$4,610,961	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$18,442,664	BOYAmt
EOY	$30,149,789	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$483,915,460	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$244,026,906	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$204,328,004	BOYAmt
EOY	$239,888,554	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$228,773,891	BOYAmt
EOY	$227,627,636	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,792,128	BOYAmt
EOY	$4,792,128	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$681,139,264	BOYAmt
EOY	$713,193,247	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,043,524,511	BOYAmt
EOY	$2,051,551,035	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$123,581,111	BOYAmt
EOY	$91,992,768	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$95,828,725	BOYAmt
EOY	$95,756,110	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$21,604,551	BOYAmt
EOY	$24,223,472	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$218,405,948	BOYAmt
EOY	$228,732,236	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$459,420,335	BOYAmt
EOY	$440,704,586	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$1,584,104,176	BOYAmt
EOY	$1,610,846,447	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
EOY	$2	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$1,584,104,176	BOYAmt
EOY	$1,610,846,449	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$2,043,524,511	BOYAmt
EOY	$2,051,551,035	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$11,943,147	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$26,815,847	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$65,501,267	OtherChangesInNetAssetsAmt
Info In Schedule O Part XII	Yes (X)	InfoInScheduleOPartXIIInd
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Publicly Supported Org509a2	Yes (X)	PubliclySupportedOrg509a2Ind

Gifts Grants Contris Rcvd509 GiftsGrantsContrisRcvd509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$862,903	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$343,895	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$375,197	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$442,602	CurrentTaxYearMinus1YearAmt
Current Tax Year	$156,923	CurrentTaxYearAmt
Total	$2,181,520	TotalAmt

Gross Receipts Admissions GrossReceiptsAdmissionsGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$240,547,904	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$251,111,415	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$307,424,310	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$288,355,019	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,176,207	CurrentTaxYearAmt
Total	$1,152,614,855	TotalAmt

Total509 Total509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$241,410,807	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$251,455,310	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$307,799,507	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$288,797,621	CurrentTaxYearMinus1YearAmt
Current Tax Year	$65,333,130	CurrentTaxYearAmt
Total	$1,154,796,375	TotalAmt

Amounts Rcvd Dsqlfy Person AmountsRcvdDsqlfyPersonGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Substantial Contributors Amt SubstantialContributorsAmtGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Subst And Dsqlfy Prsns Tot SubstAndDsqlfyPrsnsTotGrp

Field	Value	IRS element (for citing)
Total	$0	TotalAmt

Field	Value	IRS element (for citing)
Public Support Total509	$1,154,796,375	PublicSupportTotal509Amt

Gross Investment Income509 GrossInvestmentIncome509Grp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,792,970	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$20,120,755	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$35,048,523	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$45,572,212	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,354,258	CurrentTaxYearAmt
Total	$125,888,718	TotalAmt

Investment Income And UBTI InvestmentIncomeAndUBTIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$16,792,970	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$20,120,755	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$35,048,523	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$45,572,212	CurrentTaxYearMinus1YearAmt
Current Tax Year	$8,354,258	CurrentTaxYearAmt
Total	$125,888,718	TotalAmt

Net Income From Other UBI NetIncomeFromOtherUBIGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$489,947	CurrentTaxYearMinus4YearsAmt
Current Tax Year	$613,342	CurrentTaxYearAmt
Total	$1,103,289	TotalAmt

Total Support Calendar Year TotalSupportCalendarYearGrp

Field	Value	IRS element (for citing)
Current Tax Year Minus4 Years	$258,693,724	CurrentTaxYearMinus4YearsAmt
Current Tax Year Minus3 Years	$271,576,065	CurrentTaxYearMinus3YearsAmt
Current Tax Year Minus2 Years	$342,848,030	CurrentTaxYearMinus2YearsAmt
Current Tax Year Minus1 Year	$334,369,833	CurrentTaxYearMinus1YearAmt
Current Tax Year	$74,300,730	CurrentTaxYearAmt
Total	$1,281,788,382	TotalAmt

Field	Value	IRS element (for citing)
Public Support CY509	0.90090	PublicSupportCY509Pct
Public Support PY509	0.91000	PublicSupportPY509Pct
Investment Income CY	0.09820	InvestmentIncomeCYPct
Investment Income PY	0.08940	InvestmentIncomePYPct
Thirty Thr Pct Suprt Tests CY509	Yes (X)	ThirtyThrPctSuprtTestsCY509Ind

Form990 Schedule A Part VI Form990ScheduleAPartVIGrp

Field	Value	IRS element (for citing)
Form And Line Reference	SCHEDULE A, PART III, SECTION A E 2024	FormAndLineReferenceDesc
Explanation	THE ACCOUNTING PERIOD FOR CALENDAR YEAR 2024 IS A SHORT-TERM CALENDAR YEAR FILING. THE ACCOUNTING PERIOD CHANGED FROM FISCAL YEAR (OCTOBER 1ST - SEPTEMBER 30TH) TO CALENDAR YEAR (JANUARY - DECEMBER). FOR CALENDAR YEAR 2024 FILING THE PERIOD IS COVERING OCTOBER 1, 2024 - DECEMBER 31, 2024. THIS CHANGE WAS NECESSARY TO SIMPLY OPERATIONS AND ENHANCE COMPARIBILITY.	ExplanationTxt

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$41,145,227	OtherCostOrOtherBasisAmt
Book Value	$41,145,227	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$88,736,399	OtherCostOrOtherBasisAmt
Depreciation	$46,636,002	DepreciationAmt
Book Value	$42,100,397	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$4,449,604	OtherCostOrOtherBasisAmt
Depreciation	$2,721,353	DepreciationAmt
Book Value	$1,728,251	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$232,229,308	OtherCostOrOtherBasisAmt
Depreciation	$194,669,551	DepreciationAmt
Book Value	$37,559,757	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$117,354,922	OtherCostOrOtherBasisAmt
Book Value	$117,354,922	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$239,888,554	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (3 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
HEALTHCARE RELATED JOINT VENTURES	$8,118,958	C
INVESTMENT IN AFFILIATES	$181,056,088	C
INVESTMENT LONG-TERM	$38,452,590	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$227,627,636	TotalBookValueProgramRltdAmt

Other Assets Org OtherAssetsOrgGrp (4 entries)

DescDesc	Book ValueBookValueAmt
OTHER RECEIVABLES	$71,721,795
DEPOSITS AND OTHER NON-CURRENT ASSETS	$19,347,332
ASSETS LIMITED AS TO USE	$262,756,564
DUE FROM AFFILIATES	$359,367,556

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$713,193,247	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (3 entries)

DescDesc	AmtAmt
DEMAND NOTES PAY TO AFFILIATES	$148,994,440
MALPRACTICE LIABILITY	$72,529,091
SHARED SAVINGS PAYABLE	$7,208,705

Field	Value	IRS element (for citing)
Total Liability	$228,732,236	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART X, LINE 2:	FormAndLineReferenceDesc
Explanation	FASB ASC 740 FOOTNOTE: HEALTH FIRST SHARED SERVICES, INC. GENERALLY IS EXEMPT FROM FEDERAL AND STATE INCOME TAXES UNDER SECTION 501(A), AS AN ORGANIZATION DESCRIBED IN SECTION 501(C)(3), OF THE INTERNAL REVENUE CODE AND SECTION 220.13 OF THE FLORIDA STATUTES, RESPECTIVELY. 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 F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp

Field	Value	IRS element (for citing)
Region	CENTRAL AMERICA AND THE CARIBBEAN	RegionTxt
Offices	1	OfficesCnt
Type Of Activities Conducted	INVESTMENT	TypeOfActivitiesConductedTxt
Region Total Expenditures	$9,630,010	RegionTotalExpendituresAmt

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	0	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	0	TotalEmployeeCnt
Subtotal Spent	$9,630,010	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$9,630,010	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	0	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 3:	FormAndLineReferenceDesc
Explanation	COST METHOD IS BEING USED FOR INVESTEMENTS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Travel For Companions	Yes (X)	TravelForCompanionsInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Independent Consultant	Yes (X)	IndependentConsultantInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	0	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (22 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
BRETT A ESROCK
FORMER EXEC VP CFO/COO END 7/24	$832,781	$0	$0	$0	$403,407	$0	$9,200	$0	$22,008	$0	$1,267,396	$0	$0	$0
TERRY L FORDE
PRESIDENT/CEO BEG 8/5/2024	$1,073,110	$0	$0	$0	$430	$0	$732	$0	$7,244	$0	$1,081,516	$0	$0	$0
PAULA B JUST
CHIEF EXPERIENCE OFFICER	$737,748	$0	$268,489	$0	$8,475	$0	$9,200	$0	$20,978	$0	$1,044,890	$0	$0	$0
NICHOLAS W ROMANELLO ESQ
SR VP/CORP COUNSEL	$624,475	$0	$228,219	$0	$157,446	$0	$9,200	$0	$22,767	$0	$1,042,107	$0	$0	$0
MATTHEW F GERRELL
SR VP HEALTH PLANS	$623,799	$0	$227,408	$0	$150,348	$0	$9,200	$0	$20,978	$0	$1,031,733	$0	$0	$0
MICHAEL W CARR
SR. VP CIO	$452,046	$0	$166,176	$0	$110,791	$0	$6,154	$0	$23,630	$0	$758,797	$0	$0	$0
CHEYANA D FISCHER
CHIEF CLINICAL OFFICER CNO	$514,748	$0	$188,113	$0	$2,737	$0	$5,679	$0	$22,455	$0	$733,732	$0	$0	$0
TAYLOR K SMITH
SECRETARY BEG 10/2024 FORMER CHAIR/	$0	$0	$0	$0	$678,744	$0	$0	$0	$0	$0	$678,744	$0	$0	$0
MICHAEL E MULLOWNEY
PRESIDENT HOSPITAL DIVISION BEG 10/2	$444,545	$0	$170,363	$0	$2,446	$0	$9,200	$0	$24,676	$0	$651,230	$0	$0	$0
JEFFREY C STALNAKER MD
FORMER SR VP CCO/INTERIM CEO HOSP	$531,682	$0	$0	$0	$8,830	$0	$1,932	$0	$12,680	$0	$555,124	$0	$0	$0
MARY JANE BRECKLIN
SYSTEM VP HUMAN RESOURCES	$384,609	$0	$115,303	$0	$14,478	$0	$9,200	$0	$26,978	$0	$550,568	$0	$0	$0
BRIAN R BOGGS
SYS VP CHIEF ACCOUNTING OFFICER	$408,710	$0	$99,929	$0	$1,242	$0	$9,200	$0	$22,148	$0	$541,229	$0	$0	$0
DOUGLAS B MCKEE
VP CHIEF MED INFORMATICS	$388,889	$0	$95,165	$0	$4,902	$0	$7,375	$0	$22,455	$0	$518,786	$0	$0	$0
MICHAEL A SCIALDONE
FORMER EVP/CFO HFI	$0	$0	$0	$0	$461,162	$0	$0	$0	$11,967	$0	$473,129	$0	$0	$0
ARTHUR C SPRINGER II
SYS VP CHIEF ACCOUNTING OFFICER	$349,020	$0	$86,745	$0	$974	$0	$9,200	$0	$25,945	$0	$471,884	$0	$0	$0
ANDREW FINK
SR. VP COMMUNITY HEALTH SVCS BEG 8/2	$423,506	$0	$0	$0	$893	$0	$4,800	$0	$7,951	$0	$437,150	$0	$0	$0
DREW A RECTOR
FORMER EXEC VP CSO	$1,615	$0	$0	$0	$320,421	$0	$0	$0	$0	$0	$322,036	$0	$0	$0
STEVEN P JOHNSON
FORMER PRESIDENT/CEO HFI	$9,008	$0	$0	$0	$269,931	$0	$0	$0	$3,102	$0	$282,041	$0	$0	$0
KRISTEN M PULIO
EXEC VP CFO BEG 09/2024	$213,722	$0	$0	$0	$186	$0	$854	$0	$397	$0	$215,159	$0	$0	$0
MARTIN W ISENMAN MD
FORMER TRUSTEE	$0	$0	$0	$0	$20,512	$0	$0	$0	$0	$0	$20,512	$0	$0	$0
JOHN F BREITFELLER
FORMER VICE CHAIR	$0	$0	$0	$0	$14,866	$0	$0	$0	$0	$0	$14,866	$0	$0	$0
PAMELA A GATTO
FORMER TRUSTEE	$0	$0	$0	$0	$14,369	$0	$0	$0	$0	$0	$14,369	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (3 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 1A	THE ORGANIZATION PAID FOR TEMPORARY HOUSING FOR ONE TRUSTEE/OFFICER. HOUSING ALLOWANCE FOR A BOARD OF TRUSTEE/OFFICER IS NOT CUSTOMARY FOR THE ORGANIZATION. ALSO, A BOARD OF TRUSTEE/OFFICER HAD A SPOUSE ACCOMPANY THEM DURING TRAVEL. ALL HOUSING PAYMENTS AND TRAVEL FOR COMPANIONS WERE REPORTED IN BOX 1 OF FORM 1099-NEC.
PART I, LINE 3:	COMPENSATION IS PAID BY HEALTH FIRST SHARED SERVICES, INC. AS THE REPORTING AGENT AND REIMBURSED BY SUBSIDIARY TAX-EXEMPT ENTITIES.
PART I, LINE 4A:	THE FOLLOWING SEVERANCE PAYMENTS ARE INCLUDED IN TAXABLE COMPENSATION REPORTED ON 2024 FORM W-2: STEVEN P. JOHNSON - $269,931 DREW A. RECTOR - $320,421 MICHAEL A. SCIALDONE - $466,095 BRETT A. ESROCK - $397,041 PART I, LINE 4B: THE FOLLOWING INDIVIDUALS PARTICIPATE IN CAP-EX (A SPLIT DOLLAR LIFE INSURANCE AGREEMENT IN PLACE OF A TRADITIONAL SERP) AND HAVE ESTABLISHED A PREMIUM DEPOSIT ACCOUNT. THE ACCOUNT IS CONNECTED TO THE INSURANCE POLICY AND WILL BE USED TO PAY FUTRE PREMIUMS ON THE POLICY. THE INDIVIDUALS ARE TAXED ON ANY EARNINGS GENERATED BY THIS ACCOUNT. DURING THE TAX YEAR, THE FOLLOWING INDIVIDUALS RECEIVED TAX WITHDRAWAL AMOUNTS TO COVER THEIR TAX LIABILITY. STEVEN P. JOHNSON $0 PAULA B. JUST $6,949 BRETT A. ESROCK $4,589 MICHAEL A. SCIALDONE $0 JEFFREY C. STALNAKER $0 SEE SCHEDULE L, PART V, FOR A BROADER DESCRIPTION OF THE ARRANGEMENT.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
BREVARD COUNTY HEALTH FACILITIES AUTHORITY
A	592444629	10741LDL7	2014-12-17	$278,143,907	SEE PART VI	0	0	0
BREVARD COUNTY HEALTH FACILITIES AUTHORITY
B	592444629	107416QN2	2022-04-13	$431,703,749	SEE PART VI	0	0	0
BREVARD COUNTY HEALTH FACILITIES AUTHORITY
C	592444629	107416RB7	2023-02-08	$52,044,343	SEE PART VI	0	0	0
BREVARD COUNTY HEALTH FACILITIES AUTHORITY
D	592444629	107416QH5	2024-02-07	$170,884,829	SEE PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt	UnspentUnspentAmt
A	$215,443,907	$278,143,906	$2,129,622	$276,014,284	Yes (1)	Yes (1)	Yes (1)
B		$460,337,725		$31,694,373	Yes (1)	0	Yes (1)	$208,451,408	$220,191,944
C		$52,044,343		$52,044,343	Yes (1)	Yes (1)	Yes (1)
D		$170,884,829		$170,884,829	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Engage Bond Counsel ContractsEngageBondCounselContractsInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	Variable Rate IssueVariableRateIssueInd
A	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)
C	Yes (1)	Yes (1)
D	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	0
B	0
C	0
D	0

Supplemental Information Detail SupplementalInformationDetail (5 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, DESCRIPTION OF PURPOSE	DECEMBER 17, 2014 BOND, SERIES 2014: 1. USE OF THE PROCEEDS SOLELY TO REFINANCE THE SERIES 2009B, ISSUED JULY 1, 2009, AND PARTIAL REFUNDING OF THE SERIES 2005, ISSUED DECEMBER 14, 2005, AND PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE SERIES 2014 BONDS. APRIL 13, 2022 BOND, SERIES 2022A: 1. USE OF THE PROCEEDS TO FINANCE AND REIMBURSE CORPORATION AND OTHER MEMBERS OF THE OBLIGATED GROUP FOR THE PAYMENT OF ALL OR A PORTION OF THE COSTS OF CONSTRUCTION, RENOVATING AND EQUIPPING THEIR RESPECTIVE HEALTH CARE FACILITIES, INCLUDING BUT NOT LIMITED TO THE CONSTRUCTING AND EQUIPPING OF A NEW REPLACEMENT HOSPITAL. 2. REFUND THE REMAINING $30M OF THE BREVARD COUNTY HEALTH FACILITIES REVENUE BONDS, SERIES 2009A WHICH WERE ISSUED ON JUNE 4, 2009, AND REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 30, 2012. 3. PAY CERTAIN COSTS RELATING TO AN INTEREST RATE HEDGE TERMINATION PAYMENT RELATING TO THE SERIES 2009A (S2012B) BONDS. FEBRUARY 8, 2023 BOND SERIES 2023A: 1. USE THE PROCEEDS TO REFUND ALL OF THE OUTSTANDING REFUNDING BONDS, SERIES 2013A. FEBRUARY 7, 2024 BOND SERIES 2024A: 1. USE OF THE PROCEEDS FOR A PARTIAL REFUNDING OF SERIES 2014 ISSUED DECEMBER 17, 2014.
PART II, LINE 1, COL A:	AMOUNT OF BOND RETIRED (REFUNDED) $25,970,000 PAID AS OF 9/30/2023 $10,367,992 BOND PREMIUM AMORTIZED $12,390,915 BOND PREMIUM WRITTEN OFF $166,715,000 REMAINING S2014 LTD TO REFUND $215,443,907 (62,700,000) REMAINING LTD OF S2014
PART II, LINE 3, COLUMN B:	THE S2022 TOTAL PROCEEDS OF ISSUE ON LINE 3, COLUMN B, IS HIGHER THAN THE ISSUE PRICE DUE TO THE ADDITION OF INTEREST INCOME EARNED FROM THE PROJECT FUND.
PART IV, LINE 2C:	ARBITRAGE REPORTS COMPLETED AS OF 12/2024.
PART V, PROCEDURES TO UNDERTAKE CORRECTION ACTION:	THERE IS NO WRITTEN CORPORATE POLICY RELATING TO A CORRECTIVE PLAN; HOWEVER, TO ENSURE THAT VIOLATIONS OF FEDERAL TAX REQUIREMENTS ARE TRULY IDENTIFIED AS PART OF A MONTHLY AND QUARTERLY WORK-FLOW, COMPLIANCE WITH APPLICABLE REGULATIONS FOR TAX-EXEMPT BONDS ARE REVIEWED. ALSO, THERE IS ADDITIONAL OVERSIGHT THROUGH BOND COUNSEL AND DEBT ADVISORS. IF ANY INSTANCE OF NON-COMPLIANCE WAS IDENTIFIED, AN ATTEMPT TO CORRECT THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM WOULD BE PURSUED, IF SELF REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS.

Schedule L IRS990ScheduleL

Loans Btwn Org Interested Prsn LoansBtwnOrgInterestedPrsnGrp (8 entries)

Relationship With OrgRelationshipWithOrgTxt	Loan PurposeLoanPurposeTxt	Loan From OrganizationLoanFromOrganizationInd	Original PrincipalOriginalPrincipalAmt	Balance DueBalanceDueAmt	DefaultDefaultInd	Board Or Committee ApprovalBoardOrCommitteeApprovalInd	Written AgreementWrittenAgreementInd
JOSEPH G FELKNER
FORMER EVP/CFO	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$2,940,053	$3,940,504	0	Yes (1)	Yes (1)
STEVEN P JOHNSON
PRESIDENT/CEO HF INC	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$9,111,939	$12,582,901	0	Yes (1)	Yes (1)
JAMES S MITCHELL III
FORMER EXEC VP/COO HF INC	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$4,360,057	$6,157,299	0	Yes (1)	Yes (1)
JEFFREY C STALNAKER
SR VP HF CHIEF CLINICAL OFFICER	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$1,698,862	$2,323,737	0	Yes (1)	Yes (1)
FRANK S LETHERBY
SR VP CEO COMMUNITY HEALTH SVC.	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$2,110,939	$2,253,135	0	Yes (1)	Yes (1)
BRETT A ESROCK
EXEC VP CFO/FORMER CEO HOSPITAL SVCS	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$4,033,123	$3,752,683	0	Yes (1)	Yes (1)
PAULA B JUST
CHIEF EXPERIENCE OFFICER	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$3,332,943	$3,511,176	0	Yes (1)	Yes (1)
MICHAEL A SCIALDONE
EXEC VP/CHIEF FINANCIAL OFFICER	FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES	Yes (X)	$5,269,846	$5,048,632	0	Yes (1)	Yes (1)

Field	Value	IRS element (for citing)
Total Balance Due	$39,570,067	TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Field	Value	IRS element (for citing)
Sharing Of Revenues	0	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

PART II:

THE ORGANIZATION ACTS AS THE PAYROLL AND BENEFIT AGENT FOR ITS RELATED ORGANIZATIONS TO PROVIDE SUPPLEMENTAL RETIREMENT BENEFITS THROUGH AN ALTERNATIVE FUNDING ARRANGEMENT THE IRS CALLS "COLLATERAL ASSIGNMENT SPLIT DOLLAR" (CASD). ALTHOUGH THE IRS REQUIRES REPORTING IN THE LOAN SECTION OF SCHEDULE L, CASD IS NOT AN ACTUAL LOAN. NO FUNDS ARE TRANSFERRED TO THE EXECUTIVE. RATHER, THE "LOAN" TREATMENT APPLIES BECAUSE AFTER THE EXECUTIVE HAS RECEIVED RETIREMENT BENEFITS, THE ORGANIZATION RECOVERS ALL OF ITS OUTLAYS PLUS INTEREST. THE RECOVERY RIGHT IS A KEY ADVANTAGE OF CASD FOR THE ORGANIZATION. RATHER THAN PAYING RETIREMENT BENEFITS TO THE EXECUTIVE THAT WOULD NEVER BE RECOVERED, UNDER CASD THE ORGANIZATION RECOVERS NOT ONLY ITS OUTLAYS, BUT ALSO CONSIDERATION FOR THE TIME VALUE OF MONEY. THIS ALLOWS THE ORGANIZATION TO PERPETUATE ITS COMMUNITY MISSION.CASD WORKS AS FOLLOWS. THE EO DEPOSITS FUNDS INTO CASH VALUE LIFE INSURANCE POLICIES ON THE EXECUTIVE'S LIFE. DURING LIFE, TO THE EXTENT THE EXECUTIVE FULFILLS SERVICE AND VESTING REQUIREMENTS, THE EXECUTIVE CAN BORROW AGAINST THE CASH SURRENDER VALUE TO SUPPLEMENT RETIREMENT INCOME. POLICY PERFORMANCE IS CLOSELY MONITORED. IF POLICY PERFORMANCE LAGS, THE EXECUTIVE'S BORROWING RIGHTS ARE REDUCED TO PROTECT THE EO'S RECOVERY RIGHTS.AT THE EXECUTIVE'S DEATH, THE POLICY DEATH PROCEEDS ARE FIRST USED TO REPAY THE EO ITS DEPOSITS PLUS COMPOUNDED INTEREST (AT THE IRS LONG-TERM APPLICABLE FEDERAL RATE). THE EXECUTIVE'S BENEFICIARY THEN RECEIVES ANY PROJECTED RETIREMENT BORROWING THE EXECUTIVE DID NOT ACCESS DURING LIFE.

PART II, LOANS TO AND FROM INTERESTED PERSONS:

(A) NAME OF PERSON: JOSEPH G. FELKNER(B) RELATIONSHIP WITH ORGANIZATION: FORMER EVP/CFO(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: STEVEN P. JOHNSON(B) RELATIONSHIP WITH ORGANIZATION: FORMER PRESIDENT/CEO HF INC(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: JAMES S. MITCHELL III(B) RELATIONSHIP WITH ORGANIZATION: FORMER EXEC VP COO HF INC(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: JEFFREY C. STALNAKER(B) RELATIONSHIP WITH ORGANIZATION: FORMER SR VP HF CHIEF CLINICAL OFFICER(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: FRANK S. LETHERBY(B) RELATIONSHIP WITH ORGANIZATION: FORMER SR VP CEO COMMUNITY HEALTH SVC.(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: BRETT A. ESROCK(B) RELATIONSHIP WITH ORGANIZATION: FORMER VP EXEC/CFO (FOMER CEO HF INC HOSPITAL SERVICES)(C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: PAULA B. JUST(B) RELATIONSHIP WITH ORGANIZATION: CHIEF EXPERIENCE OFFICER (C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES(A) NAME OF PERSON: MICHAEL A. SCIALDONE(B) RELATIONSHIP WITH ORGANIZATION: FORMER EXEC VP CHIEF FINANCIAL OFFICER (C) PURPOSE OF LOAN: FUND PURCHASE OF CASH VALUE LIFE INSURANCE POLICIES

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, SECTION A, TAX YEAR:	THE ACCOUNTING PERIOD FOR CALENDAR YEAR 2024 IS A SHORT-TERM CALENDAR YEAR FILING. THE ACCOUNTING PERIOD CHANGED FROM FISCAL YEAR (OCTOBER 1ST - SEPTEMBER 30TH) TO CALENDAR YEAR (JANUARY - DECEMBER). FOR CALENDAR YEAR 2024 FILING THE PERIOD IS COVERING OCTOBER 1, 2024 - DECEMBER 31, 2024. THIS CHANGE WAS NECESSARY TO SIMPLY OPERATIONS AND ENHANCE COMPARIBILITY.
FORM 990, PART VI, SECTION A, LINE 6	HEALTH FIRST SHARED SERVICES, INC. (HFSS) HAS TWO MEMBERS AND TWO RESPECTIVE CLASSES: 1) HEALTH FIRST, INC. [CLASS A] AND 2) ADVENTIST HEALTH SYSTEM SUNBELT HEALTHCARE CORPORATION [CLASS B].
FORM 990, PART VI, SECTION A, LINE 7A	THE CLASS A MEMBER IS ENTITLED TO APPOINT 73 PERCENT OF THE TOTAL NUMBER OF TRUSTEES ROUNDED TO THE CLOSEST WHOLE NUMBER, EXCLUDING THE EX OFFICIO TRUSTEE, AND THE CLASS B MEMBER IS ENTITLED TO APPOINT 27 PERCENT OF THE TOTAL NUMBER OF TRUSTEES ROUNDED TO THE CLOSEST WHOLE NUMBER, EXCLUDING THE EX OFFICIO TRUSTEE. EACH MEMBER SHALL ADVISE THE OTHER MEMBER OF THE APPOINTMENT OF ANY OF ITS TRUSTEES AT THE ANNUAL MEETING OF THE MEMBERS. THOSE TRUSTEES APPOINTED BY THE CLASS A MEMBER SHALL BE REFERRED TO AS THE CLASS A TRUSTEES AND THOSE TRUSTEES APPOINTED BY THE CLASS B MEMBER SHALL BE REFERRED TO AS THE CLASS B TRUSTEES.
FORM 990, PART VI, SECTION A, LINE 7B	THE ACTIONS ENUMERATED BELOW MUST BE APPROVED BY BOTH THE CLASS A MEMBER AND THE CLASS B MEMBER: 1 - THE ISSUANCE OF NEW MEMBERSHIP INTERESTS, OR OF ANY OTHER INTEREST IN HFSS, TO ANY INDIVIDUAL OR ENTITY INCLUDING BUT NOT LIMITED TO THE CURRENT MEMBERS OF THE HFSS; 2 - ANY MERGER OR CONSOLIDATION OF HFSS WITH OR INTO ANY OTHER ENTITY, OR OF ANY OTHER ENTITY WITH OR INTO HFSS; 3 - ANY AMENDMENT TO THE ARTICLES OF INCORPORATION OR THE BYLAWS OF HFSS; 4 - THE FORMATION OF ANY NEW DIRECT OR INDIRECT SUBSIDIARY OF HFSS IF ANY PORTION OF THE EQUITY OF SUCH NEW SUBSIDIARY WILL BE OWNED BY (I) AN ENTITY THAT HOLDS AN ACUTE CARE HOSPITAL LICENSE OR (II) ANY AFFILIATE OF AN ENTITY THAT HOLDS AN ACUTE CARE HOSPITAL LICENSE; 5 - APPROVE THE ONE-TIME BORROWING OF MONEY OR OTHERWISE THE ONE-TIME COMMITMENT OF THE CREDIT OF HFSS OR ANY HFSS AFFILIATE AND/OR THE VOLUNTARY PREPAYMENT OR EXTENSION OF DEBT IN EXCESS OF TWO HUNDRED MILLION AND NO/100 DOLLARS ($200,000,000.00); 6 - ANY CHANGE IN RESPECT TO THE CHOICE OF ENTITY FOR EITHER HFSS OR ANY HFSS AFFILIATE IF SUCH CHANGE WOULD OR COULD REASONABLY BE EXPECTED TO HAVE AN ADVERSE EFFECT ON THE TAX STATUS OF HFSS OR WOULD HAVE A DILUTIVE EFFECT ON EITHER MEMBER'S MEMBERSHIP INTEREST PERCENTAGE IN HFSS; 7 - APPROVE THE SALE, LEASE, TRANSFER, OR MERGER (WHETHER BY OPERATION OF LAW OR OTHERWISE AND REGARDLESS OF THE IDENTITY OF THE SURVIVING ENTITY UNDER SUCH MERGER) OF ANY INTEREST IN AN HFSS AFFILIATE OR ANY TANGIBLE OR INTANGIBLE ASSETS OWNED BY HFSS (EACH A "PROTECTED ASSET") IF THE FAIR MARKET VALUE OF THE PROTECTED ASSET IS GREATER THAN TWENTY PERCENT (20%) OF HFSS'S ENTERPRISE WIDE FAIR MARKET VALUE (FOR PURPOSES OF THIS PROVISION HFSS'S ENTERPRISE FAIR MARKET VALUE WILL BE DETERMINED IN ACCORDANCE WITH THE RELATED PROVISIONS SET FORTH IN THE MEMBERSHIP AGREEMENT); 8 - AUTHORIZE ANY ONE-TIME CAPITAL EXPENDITURE IN EXCESS OF TWO HUNDRED MILLION AND NO/100 DOLLARS ($200,000,000.00); 9 - ANY OF HFSS'S AFFILIATES THAT HOLD A LICENSE UNDER CHAPTER 395 OF THE FLORIDA STATUTES, AS CURRENTLY ENACTED OR AS MAY BE HEREAFTER AMENDED, AS A HOSPITAL ENTERING INTO A TURNKEY MANAGEMENT AGREEMENT WITH ANY THIRD PARTY; AND 10 - THE DISSOLUTION OR LIQUIDATION OF HFSS (EXCLUDING A PARTIAL LIQUIDATION AS AND TO THE EXTENT PERMITTED IN HFSS'S ARTICLES OF INCORPORATION).
FORM 990, PART VI, SECTION B, LINE 11B	THE FORM 990 WAS PREPARED BY HEALTH FIRST'S TAX DEPARTMENT AND THEN REVIEWED BY AN INDEPENDENT ACCOUNTING FIRM. AFTER REVIEW AND APPROVAL BY THE EXECUTIVE VP/CFO, 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, UPON NEW HIRE ORIENTATION AND THEREAFTER AS PART OF THE ANNUAL ELEARNING REQUIRED FOR ALL ASSOCIATES. ALL INDIVIDUALS MUST REVIEW AND ELECTRONICALLY ATTEST THAT THEY HAVE AGREED TO THE TERMS NOTED IN THE POLICY ON AN ANNUAL BASIS. IN ADDITION, SENIOR LEADERSHIP AND BOARD OF TRUSTEES MEMBERS ON AN ANNUAL BASIS ARE REQUIRED TO COMPLETE A CONFLICT OF INTEREST QUESTIONNAIRE PREPARED AND MONITORED BY THE CHIEF COMPLIANCE OFFICER. THE QUESTIONNAIRE REQUIRES AN ATTESTATION STATING THAT THE INDIVIDUAL IS FREE OF CONFLICTS SHOULD THEY NOT REPORT ANYTHING OF CONCERN. THESE FORMS ARE TRACKED AND KEPT ON FILE. SHOULD A CONFLICT ARISE, THE CHIEF COMPLIANCE OFFICER INVESTIGATES THE ISSUE AND DETERMINES A COURSE OF ACTION TO ENSURE ENFORCEMENT OF THE POLICY.
FORM 990, PART VI, SECTION B, LINE 15	THE SALARIES OF OUR CEO AND OTHER HFSS EXECUTIVES ARE REVIEWED AND RECOMMENDED ANNUALLY TO THE BOARD OF TRUSTEES AND APPROVED IN EXECUTIVE SESSION BY THE FULL BOARD OF HFSS. HFSS CONTRACTS ANNUALLY WITH A HIGHLY RESPECTED NATIONAL CONSULTING FIRM TO PROVIDE THESE RECOMMENDATIONS TO ENSURE THAT OUR EXECUTIVES ARE COMPENSATED FAIRLY AND COMPETITIVELY WHEN COMPARED WITH SIMILAR ROLES IN OTHER HEALTHCARE ORGANIZATIONS NATIONALLY. THE COMPENSATION COMMITTEE IS INDEPENDENT FOR INTERNAL REVENUE CODE SECTION 4958 FOR THE INDIVIDUALS WHOSE SALARY IS REVIEWED. MINUTES ARE KEPT FOR ALL BOARD OF TRUSTEES AND COMPENSATION COMMITTEE MEETINGS. THE PROCESS IS DOCUMENTED CONTEMPORANEOUSLY IN THE BOARD AND COMMITTEE MEETINGS.
FORM 990, PART VI, SECTION C, LINE 19	QUARTERLY AND ANNUALLY CONSOLIDATED FINANCIALS AND CONSOLIDATED STATISTICAL INFORMATION ARE FILED ELECTRONICALLY ON WWW.DACBOND.COM AND ARE 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 GOVERNING DOCUMENTS AND CONFLICTS OF INTEREST POLICIES ARE AVAILABLE UPON REQUEST TO THE COMPLIANCE OFFICER. DOCUMENTS ARE AVAILABLE FOR THE SAME PERIOD OF DISCLOSURE AS PROVIDED IN SECTION 6104(D).
PART VII, SECTION A:	TAYLOR K. SMITH: CHAIR (INTERIM PRESIDENT AND CEO TERM 8/2024) SECRETARY 10/2024 FORMER CHAIR JEFFREY C. STALNAKER: FORMER SR VP CCO/INTERIM CEO HOSPITAL DIVISION END 07/31/2024 MIKE E. MULLOWNEY: PRESIDENT HOSPITAL DIVISION BEG. 10/2024 ANDREW FINK: SENIOR VP COMMUNITY HEALTH SERVICE BEG 8/5/2024 DOUGLAS B. MCKEE: VP CHIEF MEDICAL INFORMATICS OFFICER
FORM 990, PART XI, LINE 9:	TRANSFER OF NET ASSETS FROM RELATED TAX-EXEMPT 65,501,267.
FORM 990, PART XII, LINE 2C, AUDITED FINANCIAL STATEMENTS:	THE AUDIT COMMITTEE OF HEALTH FIRST SHARED SERVICES REVIEWS AND APPROVES THE ANNUAL AUDIT AND COMPLIANCE AUDIT PLANS THEN MAKES ITS REPORT TO THE HEALTH FIRST SHARED SERVICES BOARD OF TRUSTEES. THE AUDIT COMMITTEE IS RESPONSIBLE FOR THE SELECTION OF THE INDEPENDENT AUDITORS. THERE WAS NO CHANGE FROM PRIOR YEAR.
FORM 990, PART IV, LINE 24A, BONDS ISSUED AFTER DECEMBER 31, 2002:	THE FILING ORGANIZATION IS PART OF AN OBLIGATED GROUP THAT HAD MORE THAN $100,000 IN BONDS ISSUED AFTER DECEMBER 31, 2002 THAT WERE OUTSTANDING ON THE LAST DAY OF ITS TAX YEAR. THE FILING ORGANIZATION'S SHARE OF THESE OBLIGATIONS IS REPORTED ON PART X, LINE 20 OF HEALTH FIRST SHARED SERVICES, INC. THE PARENT OF THE OBLIGATED GROUP IS FILING SCHEDULE K ON BEHALF OF ITSELF AND ALL MEMBERS OF THE OBLIGATED GROUP.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd	Direct Controlling NADirectControllingNACd
CAPE CANAVERAL HOSPITAL INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	592477479	HOSPITAL	FL	501(C)(3)	LINE 3	HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST FOUNDATION INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	843851693	FUNDRAISING	FL	501(C)(3)	LINE 7	HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593528774	SUPPORT ORG	FL	501(C)(3)	LINE 12B, II		0	N/A
HOLMES REGIONAL MEDICAL CENTER INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	590624371	HOSPITAL	FL	501(C)(3)	LINE 3	HEALTH FIRST SHARED SERVICES INC	Yes (1)
HOSPICE OF HEALTH FIRST INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	591911574	HEALTHCARE	FL	501(C)(3)	LINE 10	HEALTH FIRST SHARED SERVICES INC	Yes (1)
VIERA HOSPITAL INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	264019868	HOSPITAL	FL	501(C)(3)	LINE 3	HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST ADMINISTRATIVE PLANS INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	821851221	HEALTHCARE	FL	501(C)(4)		HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST COMMERCIAL PLANS INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	821866443	HEALTHCARE	FL	501(C)(4)		HEALTH FIRST SHARED SERVICES INC	Yes (1)
HEALTH FIRST HEALTH PLANS INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	472736029	HEALTHCARE	FL	501(C)(4)		HEALTH FIRST SHARED SERVICES INC	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Predominant Income TypePredominantIncomeTypeTxt	Disproportionate AllocationsDisproportionateAllocationsInd	General Or Managing PartnerGeneralOrManagingPartnerInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct
DOCTORS GI PARTNERSHIP LTD
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593758988	HEALTHCARE	FL	N/A	RELATED	0	0
BREVARD DISTRIBUTION LLC
7195 WAELTI DRIVE SUITE 101	MELBOURNE	FL	32940	200050166	HEALTHCARE	FL		RELATED	0	0	HEALTH FIRST SHARED SERVICES INC	$14,966	$1,461,273	0.50000
HEALTH FIRST PRIVIA MEDICAL GROUP LLC
6450 US HIGHWAY 1	ROCKLEDGE	FL	32955	320602652	HEALTHCARE	FL		RELATED	0	0	HEALTH FIRST MEDICAL GROUP LLC			0.51000

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Share Of Total IncomeShareOfTotalIncomeAmt	Share Of EOY AssetsShareOfEOYAssetsAmt	OwnershipOwnershipPct	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
CAPE HEALTH PROPERTIES INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593086711	REAL ESTATE	FL	N/A	C	Yes (1)
DOCTOR'S SURGICAL PARTNERSHIP LLC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593348252	HEALTH CARE	FL		C	Yes (1)	HEALTH FIRST HOLDING CORP	-$140,225	$8,852,400	1.00000
HEALTH FIRST HOLDING CORP
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593509709	HOLDING CORP.	FL		C	Yes (1)	HEALTH FIRST SHARED SERVICES INC	$903,230	$23,613,029	1.00000
HEALTH FIRST MEDICAL MANAGEMENT INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593348252	HEALTH CARE	FL		C	Yes (1)	HEALTH FIRST HOLDING CORP	$2,996,560	-$700,334	1.00000
HEALTH FIRST PHYSICIAN SPECIALTIES
3300 FISKE BLVD	ROCKLEDGE	FL	32955	263094596	HEALTH CARE	FL	N/A	C	Yes (1)
HEALTH FIRST PHYSICIANS INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593346397	HEALTH CARE	FL		C	Yes (1)	HEALTH FIRST HOLDING CORP	$124,793,677	$275,316,066	1.00000
HOLMES REGIONAL ENTERPRISES INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	592109953	REAL ESTATE	FL		C	Yes (1)	HEALTH FIRST HOLDING CORP	$1,122,842	$7,170,112	1.00000
PHYSICIANS GI PARTNERSHIP INC
3300 FISKE BLVD	ROCKLEDGE	FL	32955	593756961	HEALTH CARE	FL	N/A	C	Yes (1)
SPACE COAST INDEMNITY
				981612801	SELF-INSURANCE			C	Yes (1)	HEALTH FIRST SHARED SERVICES INC	$3,333,214	$75,262,077	1.00000	PO BOX 1051	GRAND CAYMAN	CJ	KY1-1102	CJ

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	Yes (1)	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (36 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
VIERA HOSPITAL INC
A	$291,508	SEE PART VII
HEALTH FIRST ADMINISTRATIVE PLANS INC
A	$93,394	SEE PART VII
HOLMES REGIONAL MEDICAL CENTER INC
A	$397,213	SEE PART VII
HOLMES REGIONAL ENTERPRISES INC
A	$55,818	SEE PART VII
CAPE CANAVERAL HOSPITAL INC
A	$6,148	SEE PART VII
HEALTH FIRST PHYSICIANS INC
A	$67,788	SEE PART VII
HEALTH FIRST HOLDING CORP
A	$68,879	SEE PART VII
HOSPICE OF HEALTH FIRST INC
A	$31,676	SEE PART VII
BREVARD DISTRIBUTION LLC
B	$358,056	SEE PART VII
HEALTH FIRST FOUNDATION INC
C	$156,923	SEE PART VII
HEALTH FIRST COMMERICAL PLANS INC
F	$17,816,824	SEE PART VII
HEALTH FIRST HEALTH PLANS INC
F	$30,138,509	SEE PART VII
HEALTH FIRST ADMINISTRATIVE PLANS INC
F	$8,088,505	SEE PART VII
HEALTH FIRST MEDICAL MANAGEMENT INC
L	$8,031,282	SEE PART VII
CAPE CANAVERAL HOSPITAL INC
L	$7,848,233	SEE PART VII
HOSPICE OF HEALTH FIRST INC
L	$433,185	SEE PART VII
VIERA HOSPITAL INC
L	$6,632,728	SEE PART VII
HEALTH FIRST PHYSICIANS INC
L	$234,943	SEE PART VII
HOLMES REGIONAL MEDICAL CENTER INC
L	$35,961,455	SEE PART VII
HEALTH FIRST ADMINISTRATIVE PLANS INC
L	$3,708,974	SEE PART VII
HEALTH FIRST HOLDING CORP
M	$124,128	SEE PART VII
CAPE CANAVERAL HOSPITAL INC
Q	$55,058,579	SEE PART VII
HEALTH FIRST PHYSICIANS INC
Q	$74,944,777	SEE PART VII
HEALTH FIRST ADMINISTRATIVE PLANS INC
Q	$85,629,874	SEE PART VII
DOCTORS GI PARTNERSHIP LTD
Q	$161,853	SEE PART VII
HOLMES REGIONAL MEDICAL CENTER INC
Q	$435,584,822	SEE PART VII
VIERA HOSPITAL INC
Q	$6,630,379	SEE PART VII
HOSPICE OF HEALTH FIRST INC
Q	$6,280,001	SEE PART VII
HOLMES REGIONAL ENTERPRISES INC
Q	$372,765	SEE PART VII
HEALTH FIRST FOUNDATION INC
Q	$178,351	SEE PART VII
HEALTH FIRST MEDICAL MANAGEMENT INC
Q	$177,926	SEE PART VII
HEALTH FIRST FOUNDATION INC
R	$1,429,887	SEE PART VII
CAPE CANAVERAL HOSPITAL INC
S	$7,520,511	SEE PART VII
HOSPICE OF HEALTH FIRST INC
S	$1,714,653	SEE PART VII
VIERA HOSPITAL INC
S	$14,593,652	SEE PART VII
HOLMES REGIONAL MEDICAL CENTER INC
S	$43,259,260	SEE PART VII

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	FORM 990, SCHEDULE R, PART V, DISCLOSURES:	FormAndLineReferenceDesc
Explanation	ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING PRINCIPLES.	ExplanationTxt