VIERA HOSPITAL INC: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
VIERA HOSPITAL INC (EIN 26-4019868)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-13
IRS object ID
201432259349300533
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-08-13T08:21:34-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

FieldValueIRS element (for citing)
EIN420714325EIN

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1MCGLADREY LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line11 SWACKER DRIVE STE 800AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN264019868EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1Viera Hospital IncBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlVIERNameControl
Phone3214345150Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJoseph G FelknerName
TitleExec VP/CFOTitle
Phone3214345150Phone
Date Signed2014-07-28DateSigned
Authorize Third Party1AuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameWayne HarderName
PTINP00294296PTIN
Phone3126343400Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonSteven P JohnsonNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode
FieldValueIRS element (for citing)
Gross Receipts75717270GrossReceipts
Group Return For Affiliates0GroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.HEALTH-FIRST.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation2009YearFormation
State Legal DomicileFLStateLegalDomicile
Activity Or Mission DescriptionOur team positively changing the health and well-being of you and your family through excellent and compassionate health care.ActivityOrMissionDescription
Nbr Voting Members Governing Body19NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees0TotalNbrEmployees
Total Nbr Volunteers283TotalNbrVolunteers
Total Gross UBI628TotalGrossUBI
Net Unrelated Business Txbl Income-11061NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year21300ContributionsGrantsPriorYear
Contributions Grants Current Year5991ContributionsGrantsCurrentYear
Program Service Revenue Prior Year61073552ProgramServiceRevenuePriorYear
Program Service Revenue CY74626624ProgramServiceRevenueCY
Investment Income Prior Year48002InvestmentIncomePriorYear
Investment Income Current Year65302InvestmentIncomeCurrentYear
Other Revenue Prior Year500339OtherRevenuePriorYear
Other Revenue Current Year506960OtherRevenueCurrentYear
Total Revenue Prior Year61643193TotalRevenuePriorYear
Total Revenue Current Year75204877TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year12771GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY5500GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year29856643SalariesEtcPriorYear
Salaries Etc Current Year30580535SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year40111567OtherExpensePriorYear
Other Expenses Current Year44706599OtherExpensesCurrentYear
Total Expenses Prior Year69980981TotalExpensesPriorYear
Total Expenses Current Year75292634TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-8337788RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-87757RevenuesLessExpensesCY
Total Assets BOY175520186TotalAssetsBOY
Total Assets EOY175513280TotalAssetsEOY
Total Liabilities BOY95306542TotalLiabilitiesBOY
Total Liabilities EOY95425094TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY80213644NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY80088186NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionOur team positively changing the health and well-being of you and your family through excellent and compassionate health care.MissionDescription
Significant New Program Services0SignificantNewProgramServices
Significant Change0SignificantChange
Expense60755985Expense
Grants5500Grants
Revenue74625996Revenue
DescriptionViera hospital opened in April of 2011. The hospital has 84 all-private patient beds, 16 all-private observation beds, 12-bed intensive care unit, full medical and surgical capabilities, inpatient diagnostic and lab services, vitalwatch (remote electronic icu) 2-way audio/video in all icu rooms and ecaremobile critical care service units for every patient room. The hospital is hurricane hardened construction with state of the art technologies featured throughout. The hospital offers Da-Vinci Robotics Surgery.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.For a copy of our Health First Community Benefit Report see:Http://hfwww1.health-first.org/about_us/gives_back/community_report.cfmDescription
Total Program Service Expense60755985TotalProgramServiceExpense
Described In501 C31DescribedIn501C3
Schedule B Required1ScheduleBRequired
Political Activities0PoliticalActivities
Lobbying Activities0LobbyingActivities
Subject To Proxy Tax0SubjectToProxyTax
Donor Advised Funds0DonorAdvisedFunds
Conservation Easements0ConservationEasements
Collections Of Art0CollectionsOfArt
Credit Counseling0CreditCounseling
Term Or Permanent Endowments0TermOrPermanentEndowments
Report Land Bldg Equip1ReportLandBldgEquip
Report Invest Oth Securities0ReportInvestOthSecurities
Report Prog Rel Invest0ReportProgRelInvest
Report Other Assets1ReportOtherAssets
Report Other Liabilities1ReportOtherLiabilities
Report Fin48 Footnote1ReportFin48Footnote
Independent Audit Financial Stmt0IndependentAuditFinancialStmt
Consolidated Audit Financial Stmt1ConsolidatedAuditFinancialStmt
School0School
Foreign Office0ForeignOffice
Foreign Activities0ForeignActivities
More Than5000 K To Organizations0MoreThan5000KToOrganizations
More Than5000 K To Individuals0MoreThan5000KToIndividuals
Professional Fundraising0ProfessionalFundraising
Fundraising Activities0FundraisingActivities
Gaming0Gaming
Hospital1Hospital
Financial Stmt Attached1FinancialStmtAttached
Grants To Organizations0GrantsToOrganizations
Grants To Individuals0GrantsToIndividuals
Schedule J Required1ScheduleJRequired
Tax Exempt Bonds0TaxExemptBonds
Excess Benefit Transaction0ExcessBenefitTransaction
Prior Excess Benefit Transaction0PriorExcessBenefitTransaction
Loan To Officer Or DQP0LoanToOfficerOrDQP
Grant To Related Person0GrantToRelatedPerson
Bsnss Rltnshp With Organization0BsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family Member0BsnssRltnshpThruFamilyMember
Officer Entity With Bsnss Rltnshp0OfficerEntityWithBsnssRltnshp
Deductible Non Cash Contributions0DeductibleNonCashContributions
Deductible Contributions Of Art0DeductibleContributionsOfArt
Terminated0Terminated
Partial Liquidation0PartialLiquidation
Disregarded Entity0DisregardedEntity
Related Entity1RelatedEntity
Related Org Controlled Entity1RelatedOrgControlledEntity
Transaction Related Entity1TransactionRelatedEntity
Transfers To Exempt Non Chrtbl Org0TransfersToExemptNonChrtblOrg
Activities Conducted Partnership0ActivitiesConductedPartnership
Schedule O Required1ScheduleORequired
Info In Schedule O Part VXInfoInScheduleOPartV
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees0NumberOfEmployees
Unrelated Business Income1UnrelatedBusinessIncome
Form990-T Filed1Form990-TFiled
Foreign Financial Account0ForeignFinancialAccount
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTrans
Taxable Party Notification0TaxablePartyNotification
Non Deductible Contributions0NonDeductibleContributions
Quid Pro Quo Contributions0QuidProQuoContributions
Form8282 Property Disposed Of0Form8282PropertyDisposedOf
Funds To Pay Premiums0FundsToPayPremiums
Premiums Paid0PremiumsPaid
Indoor Tanning Services0IndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members19NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business Relationship0FamilyOrBusinessRelationship
Delegation Of Management Duties0DelegationOfManagementDuties
Changes To Organizing Docs0ChangesToOrganizingDocs
Material Diversion Or Misuse0MaterialDiversionOrMisuse
Members Or Stockholders1MembersOrStockholders
Election Of Board Members1ElectionOfBoardMembers
Decisions Subject To Approval1DecisionsSubjectToApproval
Minutes Of Governing Body1MinutesOfGoverningBody
Minutes Of Committees1MinutesOfCommittees
Officer Mailing Address0OfficerMailingAddress
Local Chapters0LocalChapters
Form990 Provided To Governing Body1Form990ProvidedToGoverningBody
Conflict Of Interest Policy1ConflictOfInterestPolicy
Annual Disclosure Covered Persons1AnnualDisclosureCoveredPersons
Regular Monitoring Enforcement1RegularMonitoringEnforcement
Whistleblower Policy1WhistleblowerPolicy
Document Retention Policy1DocumentRetentionPolicy
Compensation Process CEO1CompensationProcessCEO
Compensation Process Other1CompensationProcessOther
Investment In Joint Venture0InvestmentInJointVenture
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1Joseph G FelknerBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number3214345150TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line13300 Fiske BlvdAddressLine1
CityRockledgeCity
StateFLState
ZIP Code32955ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (28 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Robert R Wright
President Community Hosp13.0028.00XX052153326132
Kevin Steele
Treasurer1.004.00XX0022800
Frank X Venzara Jr MD
Medical Staff President1.000.00X000
Steven P Johnson
President/CEO HF1.0044.00XX0132080413203
James C Shaw
Chairman1.003.00XX0911027650
Catherine A Ford
Vice Chairman1.003.00XX01064016050
Eugene Cavallucci Esq
Secretary1.003.00XX0631319850
Pamela A Gatto
Director1.003.00X048049150
A Thomas Hollingsworth PhD
Director1.003.00X01055215150
Brian J Bussen
Director1.003.00X0911014300
James Dwight
Director1.003.00X000
Cathy Eddy
Director1.003.00X000
Donald F Hagen MD
Director1.003.00X0010000
Martin W Isenman MD
Director1.003.00X000
Richard McNeight
Director1.003.00X000
Nicholas E Pellegrino
Director1.003.00X0148715300
Frances Pickett
Director1.003.00X000
William C Potter Esq
Director1.003.00X0100020550
Kevin S Pruett
Director1.003.00X080015200
Bryan R Roub
Director1.003.00X0010000
Christopher S Kennedy
President Viera Hospital40.001.00X054098713134
Deborah M Angerami
COO Viera Hospital40.000.00015768415863X
Alison La Marre
Pharmacist40.000.0001563317495X
Deborah Altenhof
Pharmacist40.000.00015176012522X
Ricci DePascale
Pharmacist40.000.00016383710464X
Jeanette Hammett Hayes
Pharmacist40.000.00014884620189X
Patricia Marks
Director Clinical Operations40.000.00013096318219X
Judith A George
Director1.002.000765191150X
FieldValueIRS element (for citing)
Total Reportable Comp From Org0TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3423080TotalReportableCompFrmRltdOrgs
Total Other Compensation334371TotalOtherCompensation
Number Individuals GT100 K0NumberIndividualsGT100K
Formers Listed1FormersListed
Total Comp GT150 K1TotalCompGT150K
Compensation From Other Sources0CompensationFromOtherSources

Contractor Compensation ContractorCompensation (3 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Health First Inc
3300 Fiske BlvdRockledgeFL32955MANAGEMENT SUPPORT55344903
Viera Medical Plaza at Viera Healthpark
3300 Fiske BlvdRockledgeFL32955REAL ESTATE SERVICES809282
Holmes Regional Medical Center Inc
3300 Fiske BlvdRockledgeFL32955HOSPITAL SERVICES448752
FieldValueIRS element (for citing)
Number Of Contractors GT100 K3NumberOfContractorsGT100K
Related Organizations5991RelatedOrganizations
Total Contributions5991TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
Patient Services6211105453366054533660
Medicare/Medicaid6211102007494820074948
Related Company Rent5311201738817388
Reference Lab621500628628
FieldValueIRS element (for citing)
Total Program Service Revenue74626624TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column75345TotalRevenueColumn
Exclusion$75,345ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real324Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real0Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real324Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column324TotalRevenueColumn
Exclusion$324ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities502350Securities

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities498338Securities
Other14055Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities4012Securities
Other-14055Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-10043TotalRevenueColumn
Exclusion-$10,043ExclusionAmount

Other Revenue Misc OtherRevenueMisc

FieldValueIRS element (for citing)
DescriptionCafeteria/CateringDescription
Business Code722210BusinessCode
Total Revenue Column401665TotalRevenueColumn
Exclusion$401,665ExclusionAmount

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column104971TotalRevenueColumn
Exclusion$104,971ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue506636TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column75204877TotalRevenueColumn
Related Or Exempt Function Income74625996RelatedOrExemptFunctionIncome
Unrelated Business Revenue628UnrelatedBusinessRevenue
Exclusion$572,262ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total5500Total
Program Services5500ProgramServices

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total750461Total
Management And General750461ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total22511008Total
Program Services20495707ProgramServices
Management And General2015301ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total412562Total
Program Services386209ProgramServices
Management And General26353ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total5019011Total
Program Services3933580ProgramServices
Management And General1085431ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total1887493Total
Program Services1652517ProgramServices
Management And General234976ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2400Total
Management And General2400ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total50268Total
Management And General50268ManagementAndGeneral

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total5671Total
Management And General5671ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total3633467Total
Program Services2446245ProgramServices
Management And General1187222ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total82696Total
Program Services2601ProgramServices
Management And General80095ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total590978Total
Program Services459959ProgramServices
Management And General131019ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1122281Total
Program Services5914ProgramServices
Management And General1116367ManagementAndGeneral

Occupancy Occupancy

FieldValueIRS element (for citing)
Total2454532Total
Program Services2016080ProgramServices
Management And General438452ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total25872Total
Program Services14661ProgramServices
Management And General11211ManagementAndGeneral

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total13667Total
Program Services5603ProgramServices
Management And General8064ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6840214Total
Program Services6807784ProgramServices
Management And General32430ManagementAndGeneral

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total13092922Total
Program Services6820412ProgramServices
Management And General6272510ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total611901Total
Management And General611901ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
Medical Supplies11863898118566267272
Maintenance & Repair22744912167203107288
Florida Indigent Tax573339573339
Licenses & Taxes21430150946336

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1446572Total
Program Services1090951ProgramServices
Management And General355621ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total75292634Total
Program Services60755985ProgramServices
Management And General14536649ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY219BOY
EOY10942321EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY6895094BOY
EOY7083051EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2109356BOY
EOY3323435EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY304596BOY
EOY314732EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis169629162LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec29626861LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY151070705BOY
EOY140002301EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY1103891BOY
EOY1062235EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY14036325BOY
EOY12785205EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY175520186BOY
EOY175513280EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY5630099BOY
EOY4876297EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY89676443BOY
EOY90548797EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY95306542BOY
EOY95425094EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY80213644BOY
EOY80088186EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY80213644BOY
EOY80088186EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY175520186BOY
EOY175513280EOY
FieldValueIRS element (for citing)
Reconcilation Revenue Expenses-87757ReconcilationRevenueExpenses
Reconciliation Unrealized Invest-37701ReconciliationUnrealizedInvest
Reconcilation Other Changes0ReconcilationOtherChanges
Info In Schedule O Part XIIXInfoInScheduleOPartXII
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or Review0AccountantCompileOrReview
FS Audited1FSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit Committee1AuditCommittee
Federal Grant Audit Required0FederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis123634546OtherCostOrOtherBasis
Depreciation11850027Depreciation
Book Value111784519BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis1758663OtherCostOrOtherBasis
Depreciation455931Depreciation
Book Value1302732BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis44056254OtherCostOrOtherBasis
Depreciation17320903Depreciation
Book Value26735351BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis179699OtherCostOrOtherBasis
Book Value179699BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings140002301TotalOfBookValueLandBuildings

Other Assets OtherAssets (3 entries)

DescriptionDescriptionBook ValueBookValue
Assets Limited As To Use8582253
Other Receivables4193881
Foundation Funds9071
FieldValueIRS element (for citing)
Total Book Value Other Assets12785205TotalBookValueOtherAssets

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
Inter-Company Payable$4,092,479
Other Current Liabilities$1,370,446
Other Noncurrent Liabilities$110,509
Tax-Exempt Bond Held By Health First, Inc.$84,975,363
FieldValueIRS element (for citing)
Total Of Amounts90548797TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierDescription of Uncertain Tax Positions Under FIN 48:Identifier
Return ReferencePart X, Line 2:ReturnReference
ExplanationFIN 48 Footnote: The company is exempt from federal and state income taxes under Section 501(a), as an organization described in Section 501(c)(3), of the Internal Revenue Code and Section 220.13 of the Florida statutes. Accordingly, no provision for income taxes is made in the accompanying financial statements. ASC Topic 740, Income Taxes, prescribes the accounting for uncertainty in income tax positions recognized in financial statements. ASC Topic 740 provides guidance for recognition threshold and measurement attributes for the financial statement recognition and measurement of a tax position taken or expected to be taken in a tax return.Explanation

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care Policy1CharityCarePolicy
Written Policy1WrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free Care1FPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted Care0FPGReferenceDiscountedCare
Free Disc Care Medically Indigent1FreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity Care1AmountsBudgetedForCharityCare
Expenses Exceeded Budget1ExpensesExceededBudget
Unable To Provide Care0UnableToProvideCare
Annual Community Benefit Report1AnnualCommunityBenefitReport
Report Publically Available1ReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense3049213TotalCommunityBenefitExpense
Direct Offsetting Revenue748057DirectOffsettingRevenue
Net Community Benefit Expense2301156NetCommunityBenefitExpense
Percent Of Total Expense0.03060PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense3209882TotalCommunityBenefitExpense
Direct Offsetting Revenue1841978DirectOffsettingRevenue
Net Community Benefit Expense1367904NetCommunityBenefitExpense
Percent Of Total Expense0.01820PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense575339TotalCommunityBenefitExpense
Net Community Benefit Expense575339NetCommunityBenefitExpense
Percent Of Total Expense0.00760PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense6834434TotalCommunityBenefitExpense
Direct Offsetting Revenue2590035DirectOffsettingRevenue
Net Community Benefit Expense4244399NetCommunityBenefitExpense
Percent Of Total Expense0.05640PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense204160TotalCommunityBenefitExpense
Net Community Benefit Expense204160NetCommunityBenefitExpense
Percent Of Total Expense0.00270PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense196726TotalCommunityBenefitExpense
Net Community Benefit Expense196726NetCommunityBenefitExpense
Percent Of Total Expense0.00260PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense5500TotalCommunityBenefitExpense
Net Community Benefit Expense5500NetCommunityBenefitExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense406386TotalCommunityBenefitExpense
Net Community Benefit Expense406386NetCommunityBenefitExpense
Percent Of Total Expense0.00540PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense7240820TotalCommunityBenefitExpense
Direct Offsetting Revenue2590035DirectOffsettingRevenue
Net Community Benefit Expense4650785NetCommunityBenefitExpense
Percent Of Total Expense0.06180PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense Reported1BadDebtExpenseReported
Bad Debt Expense$1,217,524BadDebtExpenseAmount
Amount Attributable To576619AmountAttributableTo
Amount Reimbursed By Medicare20521075AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare26063886CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-5542811MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
OtherXOther
FieldValueIRS element (for citing)
Written Debt Collection Policy1WrittenDebtCollectionPolicy
Provision For Charity Care1ProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1Viera HospitalBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line18745 N Wickman RdAddressLine1
CityMelbourneCity
StateFLState
ZIP Code32940ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1Viera HospitalBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA Conducted1CHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into Account1TakeIntoAccount
Other Facilities1OtherFacilities
CHNA Widely Available1CHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Participate Community PlanXParticipateCommunityPlan
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs Addressed0AllNeedsAddressed
Organization Incur Excise Tax0OrganizationIncurExciseTax
Eligibility Criteria Explained1EligibilityCriteriaExplained
Uses FPG Free1UsesFPGFree
FPG Free Percent200.000000000000FPGFreePercent
Uses FPG Discounted0UsesFPGDiscounted
Explains Basis0ExplainsBasis
Explains Application Method1ExplainsApplicationMethod
Includes Publicity Measures1IncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On Nonpayment1ActionsOnNonpayment
Collection Activities0CollectionActivities
Notified All PatientsXNotifiedAllPatients
Documented DeterminationXDocumentedDetermination
Nondiscrim Emergency Care Policy1NondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally Billed0AmountsGenerallyBilled
Gross Charges0GrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (18 entries)

ExplanationExplanationIdentifierIdentifier
Part I, Line 3c: Health First does make provision for providing discounted care to low income individuals through processes and formularies which include consideration of individuals incomes in comparison to FPG. Discounts range from expected token payments (such as $100) to a 60% discount of billed charges.
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 its current cost accounting system. The cost accounting system addresses all patient segments reported on, including, but not limited to inpatient, outpatient, Medicaid, uninsured, and Medicare.Part II: 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 $1.5m was contributed to various localorganizations 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 $195k.
Part III, Line 4: Bad debt at cost is calculated by multiplying actual bad debt write-offs by the filing organization's cost-to-charge ratio.The organization used a cost to charge ratio to determine the cost amount of the bad debt expense. Worksheet 2, ratio of 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. 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 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, considering the business and economic conditions, 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 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:1. Patients or guarantors desiring to apply for financial assistance will be required to complete a Health First financial assistance application. The application process may begin at pre-admission or at any time thereafter. For financial assistance approval on elective procedures, please refer to policy addendum below.2. Income guidelines for qualification for financial assistance will be based on the federal poverty guideline as furnished annually by the Department of HRS.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 applicationB. Proof of household incomeC. Credit Bureau report and/or asset check4. Patients who are eligible for Medicaid will not be required to complete a financial assistance application.5. The financial assistance application and supporting documentation will be reviewed for propriety when determining eligibility for financial assistance.6. A notification letter will be sent to the guarantor or patient to communicate eligibility for financial assistance or denial.7. 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 will not be eligible for financial assistance.8. 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)9. All approved financial assistance applications will be valid for a period of 90 days. Approved tumor clinic applications are valid for a period of one year.
Part III, Section A, Line 1: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 align with the guidelines set forth by GAAP.
Part V, Section B, Line 3: The Health Council of East Central Florida held phone interviews with the following persons who represent the community:Lisa Gurri, Brevard Health AllianceJennifer Floyd, Healthy Start Coalition of Brevard County, Inc.Christine Michaels, Melbourne/Palm Bay Chamber of CommerceHoward Tipton, Brevard County Manager's OfficeAra Deumedjian, MD, Brevard Medical SocietyDr. Kristi Van Sickle, FitDr. Jenny Gessler, Women's CenterLisa Rice, Brevard WorkforceKristin Bakke, Lead BrevardCindy Kane, Corporate Relations, Harris Corp.Shawna Kelsch, Reduce Obesity in Central Florida KidsKay Heimmer, Prevent! of BrevardIan Golden, Brevard County Housing & Human ServicesMaria Stahl, Brevard Co. Health DepartmentDr. Lana Saal, Brevard Public SchoolsJohnette Gindling, Space Coast Health FoundationPaul Ringenberger, Space Coast Volunteers in MedicineDr. John McPherson, Fire Rescue Medical DirectorDr. Rochelle Jones, The Coalition of the Hungry & Homeless of Brevard County, Inc.Teresa Miles, Children's Home SocietyRob Rains, United Way of BrevardViera Hospital
Part V, Section B, Line 4: Part V, Sec B, Line 4: Holmes Regional Medical Center, Palm Bay Hospital, Cape Canaveral Hospital.Viera Hospital
Part V, Section B, Line 7: Cancer - due to existing cancer programs at Health First including Health First Holmes Regional Medical Center, Health First Cape Canaveral Hospital, Hospice of Health First, and Health First Cancer Care Medical Group. Coronary Heart Disease - due to risk factors of high blood pressure, high cholesterol and diabetes are same as those associated with cerebrovascular disease and cardiovascular disease and will be addressed in those implementation strategies.Binge Drinking, Youth Substance Abuse & Youth Cigarette Smoking - these are being addressed through efforts of several community partners including Circles of Care, Brevard Tobacco Initiative, and Prevent! of Brevard.Viera Hospital
Part V, Section B, Line 11: Health First does make provision for providing discounted care to low income individuals through processes and formularies which include consideration of individuals incomes in comparison to FPG. Discounts range from expected token payments (such as $100) to a 60% discount of billed charges.Viera Hospital
Part V, Section B, Line 14g: Signage is posted in the emergency room, waiting rooms, & admissions, that the financial assistance policy is available upon request.Viera Hospital
Part V, Section B, Line 20d: Individuals that do not have insurance are eligible for a 60% prompt pay discount. This discount is approximately the average negotiated commercial insurance rate for those services at the hospital facility.Viera Hospital
Part VI, Line 2: Health First, Inc. (Parent), on behalf of its member hospital organizations, partners with the Health Council of East Central Florida in assessing the health care needs of our community. The most recent community needs assessment report is available at http://www.cflhealthymeasures.org./
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, also known as the Space Coast, stretches over 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, the world's busiest passenger cruise port. 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 border of Brevard and Indian River Counties.According to July 2013 U.S. census data, the population of Brevard County was 543,376 in 2010 and has grown to an estimated population of 550,823 in 2013. The county is over 84% White, 11% African American, and 5% other races. Hispanics/Latinos comprise 9%.The average household size is 2.43 persons. The population distribution is as follows: 19% under the age of 18, 59% from ages 18 to 64, and 22% who are 65 years of age or older. The median age is 45 years. In 2012, 12.5% of the residents live in poverty compared with 15.6% statewide. There were 17.36% receiving SNAP benefits in 2012. According to the U.S. Bureau of Labor Statistics, the unemployment rate was 6.9% in November 2013. Statistics reveal that 90% of Brevard County residents have a high school diploma, compared with 86% statewide.The economy in Brevard County has taken a hit in recent years as has the economy in Florida. In 2010, the Brooking Institution reported that Brevard County ranked in the bottom fifth of the nation's top metro areas based on unemployment, gross metropolitan product, housing prices and foreclosed properties. There are seven acute care hospitals serving patients in Brevard County, Parrish Medical Center located in North County, Cape Canaveral Hospital, Viera Hospital and Wuesthoff Rockledge in Central County and Holmes Regional Medical Center, Wuesthoff Melbourne and Palm Bay Hospital in South County.
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 $204k in to support local students via training, education, and scholarship.The emergency department at Viera Hospital, Inc. had more than 17,000 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, Champus, and Tricare.Viera Hospital, Inc. reinvest 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 152 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's charitable giving plan, EAGLES (Every Associate's Gift Leaves Everlasting Spirit), that promotes tissue and organ donor awareness, provides dental services for Brevard Health Alliance patients, and supports the Bright Star Center for Grieving Children & Families.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 community benefit information is included in other reporting requirements such as information provided to the Florida Hospital Association.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance Payment1SeverancePayment
Supplemental Nonqual Retire Plan1SupplementalNonqualRetirePlan
Equity Based Comp Arrangement0EquityBasedCompArrangement
Comp Based On Revenue Of Filing Org0CompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related Orgs0CompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing Org0CompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate Orgs0CompBasedNetEarningsRelateOrgs
Any Non Fixed Payments0AnyNonFixedPayments
Initial Contract Exception0InitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (9 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Robert R Wright
President Community Hosp0389982000131551076000185320547665013995
Steven P Johnson
President/CEO HF010817500002390540001320301334007021758
Christopher S Kennedy
President Viera Hospital0169684000371303014650116690554121028485
Deborah M Angerami
COO Viera Hospital015716400052005192010671017354700
Alison La Marre
Pharmacist01559520003790437203123016382600
Deborah Altenhof
Pharmacist01515460002140514407378016428200
Ricci DePascale
Pharmacist016150700023300374706717017430100
Jeanette Hammett Hayes
Pharmacist014787300097303598016591016903500
Judith A George
Director09762000667570115000077669051025

Form990 Schedule J Part III Form990ScheduleJPartIII (2 entries)

Return ReferenceReturnReferenceExplanationExplanationIdentifierIdentifier
Part I, Lines 4a-bThe following individuals received severance payments for their service to Health First, Inc.: Christopher Kennedy, $214,290 Health First, Inc. has a non-qualified SERP for certain executives. The SERP was terminated during the 2012 tax year, and all amounts deferred were paid out. The payments are included in column B(iii), and there is no representation per column C as the payout was made in the same year. Amounts reported as deferred in prior years have now been paid out with the closure of the plan and are included with column B(iii) and represented per column F due to prior deferral. Below are the 2012 deferred/payout amounts: Robert Wright, $2,613 Steven Johnson, 183,012 Christopher Kennedy, 12,380
Part IIICompensation 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. Amounts reported in column (f) represent deferred compensation previousy reported on prior years' form 990. The filing organization relied on Health First for establishing the top management official's compensation. See core 990, Part VI, Section B, number 15 for further information regarding the process utilized.Supplemental Information

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

Return ReferenceReturnReferenceExplanationExplanation
Form 990, Part VI, Section A, line 6The sole member of Viera Hospital, Inc. is Health First, Inc., a Florida not-for-profit corporation that serves as the corporate parent of the health system.
Form 990, Part VI, Section A, line 7aHealth First, Inc.(HFI), a section 501(c)(3) exempt organization and the parent of the exempt healthcare system, is the sole corporate member of the filing organization.
Form 990, Part VI, Section A, line 7bPer the bylaws and the laws of the state of Florida, the administrative power of the corporation shall be vested in the Board of Directors which shall have charge, control and management of property, affairs and funds of the corporation. The Board of Directors shall not take any action with respect to the following without approval of the member: -change in the mission, purpose or scope of the corporation and its operation; -incurrence of long-term debt or guarantee the debt of another; -approval of the sale, lease, purchase, conveyance or other disposition of any real or personal property having total capitalized cost in excess of $1,000,000; -approval of the sale, lease, purchase, conveyance or other disposition of all or substantially all of the assets of the organization; -approval of annual operating and capital expenditure budgets and any material deviations therefrom; -appointment or engagement of auditors, legal counsel or consultants; -creation, acquisition, sale, purchase, dissolution or other disposition of any affiliated or controlled entity or joint venture or any interest in such entity; -relocation, implementation or discontinuation of a major program service; -the repeal, amendment, or restatement of articles of incorporation and bylaws of the corporation; and -capital expenditures and capital leases exceeding $1,000,000 in total.
Form 990, Part VI, Section B, line 11After review and approval by the Chief Financial Officer, the Form 990 is sent to each member of the Board of Directors electronically for their review and approval prior to filing.
Form 990, Part VI, Section B, line 12cA copy of the conflict of interest policy is provided to all BOD members, officers, management, and associates in which they review and sign that they have agreed to the terms noted in the policy on an annual basis. In addition, all management, officers, and BOD members on an annual basis are required to fill out a conflict of interest questionnaire prepared and monitored by the Chief Compliance Officer. The questionnaire requires an attestation 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 15The compensation process is determined by the parent company. The parent company's process is as follows: the salaries of our CEO and other health executives are reviewed and recommended annually to the Board of Directors 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 Directors and compensation committee meetings. The process is documented contemporaneously in the board and committee meetings.
Form 990, Part VI, Section C, line 19Quarterly and annually consolidated financials and consolidated statistical information is filed electronically on www.dacbond.com and is available to the public. In addition, any requests made to the Chief Financial Officer for the above referenced items are provided upon request in a timely manner. A copy of the conflicts of interest policy and governing documents is available upon request to the compliance officer.
FORM 990, PART XII, QUESTION 2C, AUDITED FINANCIAL STATEMENTS:The Audit Committee of Health First reviews and approves the annual audit and compliance audit plans then makes its report to the Health First Board of Directors. The Audit Committee is responsible for the selection of the independent auditors. There was no change from prior year.
FORM 990, PART IV, QUESTION 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 Schedule K on behalf of itself and all members of the obligated group.
FORM 990, PART V, QUESTION 2A, NUMBER OF EMPLOYEES:Employees at Viera Hospital, Inc. are included in the Form 941 filed by Health First, Inc. Ein: 59-3336894

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusDirect Controlling Entity NADirectControllingEntityNAControlled OrgControlledOrgBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
Health First Inc
3300 Fiske BlvdRockledgeFL32955593336894Support Org.FL501(C)(3)Line 11c, III-FIN/A0
Holmes Regional Medical Center Inc
3300 Fiske BlvdRockledgeFL32955590624371HospitalFL501(C)(3)Line 31Health First Inc
Hospice Of Health First Inc
3300 Fiske BlvdRockledgeFL32955591911574HealthcareFL501(C)(3)Line 91Health First Inc
Health First Foundation Inc
3300 Fiske BlvdRockledgeFL32955593528774FundraisingFL501(C)(3)Line 71Health First Inc
Cape Canaveral Hospital Inc
3300 Fiske BlvdRockledgeFL32955592477479HospitalFL501(C)(3)Line 31Health First Inc

Form990 Schedule R Part IV Form990ScheduleRPartIV (7 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityControlled OrgControlledOrg
Cape Health Properties Inc
3300 Fiske BlvdRockledgeFL32955593086711Real EstateFLCape Canaveral Hospital IncC0
Health First Medical Management Inc
3300 Fiske BlvdRockledgeFL32955593348252Health CareFLHealth First Holding CorpC0
Health First Physicians Inc
3300 Fiske BlvdRockledgeFL32955593346397Health CareFLHealth First Holding CorpC0
Holmes Regional Enterprises Inc
3300 Fiske BlvdRockledgeFL32955592109953Real EstateFLHealth First Holding CorpC0
Health First Health Plans Inc
3300 Fiske BlvdRockledgeFL32955593315064Health CareFLHealth First Holding CorpC0
Health First Insurance Inc
3300 Fiske BlvdRockledgeFL32955453131932Health CareFLHealth First Holding CorpC0
Health First Holding Company & Subs
3300 Fiske BlvdRockledgeFL32955593509709Holding Corp.FLHealth First IncC0
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents Royalties0ReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other Org1GiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other Org1GiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other Org0LoansOrGuaranteesFromOtherOrg
Dividends Related Organization0DividendsRelatedOrganization
Sale Of Assets To Other Org0SaleOfAssetsToOtherOrg
Purchase Of Assets From Other Org0PurchaseOfAssetsFromOtherOrg
Exchange Of Assets0ExchangeOfAssets
Rental Of Facilities To Other Orgs0RentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other Orgs1RentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other Orgs1PerformOfServicesForOtherOrgs
Perform Of Services By Other Orgs1PerformOfServicesByOtherOrgs
Sharing Of Facilities0SharingOfFacilities
Sharing Of Paid Employees0SharingOfPaidEmployees
Reimbursement Paid To Other Org1ReimbursementPaidToOtherOrg
Reimbursement Paid By Other Org1ReimbursementPaidByOtherOrg
Other Transfer To Other Org0OtherTransferToOtherOrg
Other Transfer From Other Org0OtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (4 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
Health First Health Plans Inc
L8336207
Health First Health Plans Inc
K763495
Holmes Regional Medical Center Inc
M400927
Cape Canaveral Hosptial Inc
M64798

Form990 Schedule R Part VII Form990ScheduleRPartVII

FieldValueIRS element (for citing)
Return ReferenceFORM 990, SCHEDULE R, PART V, SCHEDULE R DISCLOSURES:ReturnReference
ExplanationAll transactions reported in this section are based upon corporate books and records which are kept according to Generally Accepted Accounting Standards.Explanation

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