2013-08-14T11:52:57-05:00 2012-09-30 420714325 MCGLADREY LLP 7351 OFFICE PARK PL MELBOURNE FL 32940 990 2011-10-01 593336894 HEALTH FIRST INC HEAL 3214345150 3300 FISKE BLVD ROCKLEDGE FL 329554305 JOSEPH G FELKNER 3214345150 2013-07-19 1 THERESA A BURDINE CPA P00362629 3217516200 2011 2016-02-24 21:20:13Z STEVEN P JOHNSON 3300 FISKE BLVD ROCKLEDGE FL 329554305 165836405 0 X WWW.HEALTH-FIRST.ORG X 1995 FL OUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU AND YOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE.WORKING TOGETHER IN A SEAMLESS SYSTEM, HEALTH FIRST IS DEVOTED TO INTEGRATING QUALITY HEALTHCARE SERVICES WITH STATE-OF-THE-ART TECHNOLOGY. FOUR NOT-FOR-PROFIT HOSPITALS-CAPE CANAVERAL HOSPITAL IN COCOA BEACH, HOLMES REGIONAL MEDICAL CENTER IN MELBOURNE, PALM BAY HOSPITAL IN PALM BAY, AND VIERA HOSPITAL IN VIERA - FORM THE CORE OF HEALTH FIRST'S FAMILY IN BREVARD COUNTY ON FLORIDA'S SPACE COAST. 16 15 8222 0 0 0 28667637 36334922 98409497 99008021 2110403 -140497 176245 157723 129363782 135360169 1460553 1294038 0 0 63211608 68876770 0 0 0 65049994 95844822 129722155 166015630 -358373 -30655461 481586889 515350247 256457771 248173710 225129118 267176537 X OUR TEAM POSITIVELY CHANGING THE HEALTH AND WELL-BEING OF YOU ANDYOUR FAMILY THROUGH EXCELLENT AND COMPASSIONATE HEALTH CARE. 0 0 154460136 1294038 99008021 THE PRIMARY EXEMPT PURPOSE OF HEALTH FIRST, INC. IS TO SUPPORT CAPE CANAVERAL HOSPITAL, INC. (CCH), HOSPICE OF HEALTH FIRST, INC. (HHF), HOLMES REGIONAL MEDICAL CENTER, INC. (HRMC), PALM BAY HOSPITAL (PBH), AND VIERA HOSPITAL (VH). HEALTH FIRST, INC. PROVIDES STRATEGIC PLANNING, MANAGEMENT AND ADMINISTRATIVE SUPPORT SERVICES TO CCH, HHF, HRMC AND VH. MORE SPECIFICALLY, HEALTH FIRST ASSISTS ITS AFFILIATED ORGANIZATIONS WITH:1. COORDINATION OF PATIENT CARE SERVICES ACROSS ALL ITS HOSPITAL PROVIDER LOCATIONS TO REDUCE 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 LIVE IN CENTRAL AND SOUTH BREVARD COUNTY. ONE EXAMPLE OF ENHANCED CLINICAL CARE IS A SERVICE KNOWN AS VITALWATCH, CENTRAL FLORIDA'S ONLY "EICU" - ELECTRONIC INTENSIVE CARE UNIT. COMBINING TELEMEDICINE, SOFTWARE, AND 24/7 ELECTRONIC MONITORING TECHNOLOGY, THIS SERVICE PROVIDES INPATIENTS CARED FOR IN ALL CRITICAL CARE BEDS AT CCH AND HRMC AN EXTRA LAYER OF EXPERTISE AND OVERSIGHT. CRITICAL CARE PHYSICIANS AND NURSES AT A CENTRALIZED LOCATION MONITOR REAL-TIME VITAL SIGNS, LABORATORY RESULTS, AND COMPLETE ELECTRONIC MEDICAL RECORDS OF PATIENTS IN ALL INTENSIVE CARE UNITS (ICU) AT NO EXTRA COST TO THE PATIENTS.IF NECESSARY, THE VITALWATCH STAFF CAN ALSO DIRECT A PATIENT'S CARE ON THE SPOT VIA LIVE AUDIO AND VIDEO CONNECTIONS TO THE PATIENT'S ROOM. ALL INFORMATION IS TRANSMITTED OVER PRIVATE DATA LINES TO ENSURE PRIVACY AND SECURITY. BEYOND THE WALLS OF ITS HOSPITALS, HEALTH FIRST, INC. SUPPORTS THE BREVARD HEALTH ALLIANCE, THE ONLY FEDERALLY QUALIFIED HEALTHCARE CLINIC IN BREVARD COUNTY, WITH AN ANNUAL DONATION OF $1.1 MILLION IN CASH AND OVER $300,000 IN IN-KIND DIAGNOSTIC SERVICES. THIS FUNDING ALLOWS AREA RESIDENTS WITHOUT HEALTH INSURANCE TO ESTABLISH A MEDICAL HOME FOR PREVENTIVE AND EMERGENY HEALTHCARE SERVICES. IN ADDITION, HEALTH FIRST, INC. IS IN THE MIDST OF FULFILLING A NINE-YEAR PLEDGE OF DONATING ALMOST $2 MILLION TO BREVARD COMMUNITY COLLEGE TO EXPAND THE NURSING PROGRAM OFFERED TO STUDENTS AT THEIR PALM BAY CAMPUS. THIS FUNDING HAS EXPANDED THE CAPACITY OF THE COLLEGE TO PROVIDE MORE STUDENTS THE OPPORTUNITY TO PURSUE A DEGREE IN NURSING AND FILL JOBS AT HEALTH FIRST, INC., HOSPITALS AS WELL AS AT OTHER AREA HOSPITALS, NURSING FACILITIES AND OTHER HEALTHCARE ORGANIZATIONS.HEALTH FIRST, INC. ALSO PARTNERS WITH OTHER COMMUNITY ORGANIZATIONS IN PROGRAMS PROVIDING HEALTH SERVICES AND PREVENTATIVE CARE TO PATIENTS THAT HAVE LIMITED ACCESS TO PREVENTIVE OR PRIMARY HEALTHCARE SERVICES. ANOTHER FORM OF COMMUNITY SUPPORT IS THE CLINICAL TRAINING AND EDUCATION THAT HEALTH FIRST OFFERS TO PHYSICIANS, NURSING STUDENTS, TECHNICIANS AND OTHER HEALTH PROFESSIONALS.ADDITIONAL ACTIVITIES PROVIDED CAPE CANAVERAL HOSPITAL, HOSPICE OF HEALTH FIRST AND HOLMES REGIONAL MEDICAL CENTER BY HEALTH FIRST, INC. INCLUDE ADOPTING OVERALL BUDGETS AND STRATEGIC PLANS, CONTROLLING THE INCURRENCE OF DEBT, DIRECTING CAPITAL ACQUISITION STRATEGIES, DIRECTING MANAGED CARE PURCHASING ARRANGEMENTS AND DIRECTING OR APPROVING MERGERS AND ACQUISITIONS OF ADDITIONAL AFFILIATIONS WITHIN THE GROUP. FOR A COPY OF OUR HEALTH FIRST COMMUNITY BENEFIT REPORT SEE: HTTP://WWW.HEALTH-FIRST.ORG/CR/2013-CR/INDEX.CFM?UTM_SOURCE=WWWHOMEPGBANNER&UTM_MEDIUM=HPBANNER&UTM_CAMPAIGN=CR2013HFWWWHOMEPAGEBANNER 154460136 1 1 0 0 0 0 0 0 0 0 1 0 1 1 1 1 0 1 0 0 1 0 0 0 0 0 0 1 0 1 1 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 0 1 410 0 1 8222 1 0 0 0 0 0 0 0 0 0 0 X 16 15 0 0 0 0 0 0 0 1 1 0 0 1 1 1 1 1 1 1 1 1 0 X DWAIN STILSON 3214345150 3300 FISKE BLVD ROCKLEDGE FL 32955 X RUSSELL E FISCHER 1.00 X 9705 0 17200 JAMES C SHAW 1.00 X X 0 0 23400 CATHERINE A FORD 1.00 X X 11662 0 19800 KEVIN B STEELE 1.00 X X 0 0 21900 BRIAN J BUSSEN 1.00 X 7617 0 12800 JAMES E CARTER MD 1.00 X 8018 0 15400 EUGENE S CAVALLUCCI ESQ 1.00 X X 6738 0 17000 PAMELA A GATTO 1.00 X 4156 0 15600 JUDITH A GEORGE 1.00 X 12367 0 14400 TONY HERNANDEZ III ESQ 1.00 X 6908 0 0 A THOMAS HOLLINGSWORTH PHD 1.00 X 13537 0 16900 GEORGE W LEWIS 1.00 X 11280 0 14700 NICHOLAS E PELLEGRINO 1.00 X 0 0 14950 WILLIAM C POTTER ESQ 1.00 X 800 0 17800 KEVIN S PRUETT 1.00 X 0 0 12800 STEVEN P JOHNSON INCOMING 40.00 X X 211659 0 25391 MICHAEL D MEANS OUTGOING 40.00 X 1276520 0 53292 LARRY F GARRISON OUTGOING 40.00 X 827663 0 44392 JERRY SENNE 1.00 X 2405861 0 219592 JAMES PALERMO 40.00 X 467149 0 103076 ROBERT C GALLOWAY OUTGOING 40.00 X 560908 0 45572 DAVID E MATHIAS 40.00 X 486985 0 54645 RICHARD ROGERS OUTGOING 40.00 X 258003 0 144516 ROBERT R WRIGHT 1.00 X 1207403 0 62878 CHRISTOPHER S KENNEDY 1.00 X 1581123 0 42255 ROBERT W SUTTLES 40.00 X 325361 0 30559 JUDITH A GIZINSKI 1.00 X 197304 0 72831 JAMES STUART MITCHELL III 40.00 X 0 0 0 JOSEPH G FELKNER INCOMING 40.00 X 0 0 0 DREW A RECTOR INCOMING 40.00 X 0 0 0 JAMES SHAFFER 40.00 X 672416 0 32563 THOMAS L MILLS 40.00 X 417726 0 15585 DAVID PHILLIP HURWITZ 40.00 X 247882 0 32855 LYNNE E STOLDT 40.00 X 212159 0 17695 KEITH D LUNDQUIST 40.00 X 230246 0 44316 WILLIAM BRENNAN 0.00 X 92868 0 0 11772024 0 1276663 174 1 1 0 HARRIS IT SERVICES PO BOX 7247 - LB 6768 PHILADELPHIA PA 191706768 INFORMATION TECHNOLOGY 7401718 ECLIPSYS SOLUTIONS CORPORATION PO BOX 8538-0133 PHILADELPHIA PA 191710133 INFORMATION TECHNOLOGY 3924560 HOLLAND & KNIGHT LLP 1499 S HARBOR CITY BLVD MELBOURNE FL 32901 LEGAL SERVICES 2961090 SPACE COAST HOSPITAL SERVICE INC 1895 MURRELL ROAD ROCKLEDGE FL 32955 LAUNDRY/LINEN SERVICES 2202703 QUEST DIAGNOSTICS INCORPORATED PO BOX 740709 ATLANTA GA 303740709 LAB TESTS 2167062 106 36334922 36334922 SUPPORT SERVICES 561000 95399330 95399330 RELATED ORG RENTAL INC 532000 3608691 3608691 99008021 2089947 2089947 166687 8964 157723 157723 157723 28139362 97466 30396498 70774 -2257136 26692 -2230444 -2230444 135360169 99008021 0 17226 1294038 1294038 6342355 6342355 38195946 36607591 1588355 1363570 814388 549182 19356513 19023007 333506 3618386 3418623 199763 4864795 4864795 677032 677032 177112 177112 27644633 26565054 1079579 1150499 1146826 3673 2020020 1890291 129729 21469778 21469778 2659011 2154330 504681 120324 118170 2154 141587 99781 41806 5639922 5639922 14246701 14188033 58668 12594065 12594065 MAINTANENCE & REPAIR 1810641 1791268 19373 LICENSES & TAXES 79081 79081 549621 24063 525558 166015630 154460136 11555494 0 103598595 132102021 528945 472714 5571602 5708426 268408818 177892853 92202330 90515965 206289520 206194887 563574 421996 72832323 79934238 481586889 515350247 28308466 39637397 653387 48395406 44738956 12125356 16946001 167628543 146197969 256457771 248173710 X 225129118 267176537 225129118 267176537 481586889 515350247 X -30655461 72702880 X X 0 1 1 X 0 X X X 0 0 0 HOLMES REGIONAL MEDICAL CENTER INC 590624371 C 1 1 1 104589847 CAPE CANAVERAL HOSPITAL INC 592477479 C 1 1 1 23242188 HOSPICE OF HEALTH FIRST INC 591911574 C 1 1 1 1660156 VIERA HOSPITAL INC 264019868 C 1 1 1 13281250 4 142773441 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 18855288 18855288 50757814 15581637 35176177 1285506 654184 631322 196389987 161657032 34732955 1120223 1120223 90515965 HEALTHCARE RELATED JOINT VENTURE 2676705 C INVESTMENT IN AFFILIATES 203518182 C 206194887 OTHER RECEIVABLES 3497761 DEPOSITS 2914881 INTER-COMPANY RECEIVABLE 37937665 ASSETS LIMITED AS TO USE 35583931 79934238 DEMAND NOTES PAY TO AFFILIATES 131931915 OTHER LIABILITIES 14266054 146197969 DESCRIPTION OF UNCERTAIN TAX POSITIONS UNDER FIN 48: PART X: FIN 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. CENTRAL AMERICA AND THE CARIBBEAN 1 0 INSURANCE SERVICES INSURANCE FOR HEALTH SYSTEMS 1515627 1 0 0 0 1 0 1515627 0 1515627 0 0 1 0 0 0 1 HEALTH FIRST FOUNDATION INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593528774 501(C)(3) 1294038 GENERAL SUPPORT 1 PROCEDURE FOR MONITORING GRANTS IN THE U.S.: PART I, LINE 2: SCHEDULE I, PART I, LINE 2: THE HEALTH FIRST, INC. BOARD MONITORS USAGE BY EACH ENTITY TO ASSURE FUNDS RAISED ARE USED APPROPRIATELY. A POLICY GUIDES THE ABILITY OF HEALTH FIRST, INC. TO OFFER SCHOLARSHIPS TO POTENTIAL CANDIDATES. IF THE CANDIDATE MEETS THE DETAILED REQUIREMENTS THEY MUST COMPLETE AN APPLICATION. THEY MUST ALSO PROVIDE A LETTER OF ACCEPTANCE INTO A NURSING PROGRAM, THEIR MOST RECENT OFFICIAL TRANSCRIPT, TWO LETTERS OF RECOMMENDATION, COMPLETE AN ESSAY, AND PROVIDE AN UPDATED RESUME. IF THE SCHOLARSHIP IS AWARDED THE RECIPIENT MUST SIGN THE LETTER OF AGREEMENT WHICH COVERS THE PERIOD OF THE EDUCATION SCHOLARSHIP. 1 X X X 0 1 0 0 0 0 0 0 0 STEVEN P JOHNSON INCOMING 206353 0 0 0 5306 0 21758 0 3633 0 237050 0 0 0 MICHAEL D MEANS OUTGOING 670340 0 0 0 606180 0 36879 0 16413 0 1329812 0 21447 0 LARRY F GARRISON OUTGOING 449906 0 0 0 377757 0 31905 0 12487 0 872055 0 17338 0 JERRY SENNE 370870 0 0 0 2034991 0 198252 0 21340 0 2625453 0 2007884 0 JAMES PALERMO 360143 0 0 0 107006 0 90589 0 12487 0 570225 0 48288 0 ROBERT C GALLOWAY OUTGOING 331571 0 0 0 229337 0 28880 0 16692 0 606480 0 0 0 DAVID E MATHIAS 264640 0 0 0 222345 0 40553 0 14092 0 541630 0 41486 0 RICHARD ROGERS OUTGOING 252016 0 0 0 5987 0 126712 0 17804 0 402519 0 0 0 ROBERT R WRIGHT 247816 0 0 0 959587 0 43818 0 19060 0 1270281 0 629608 0 CHRISTOPHER S KENNEDY 219646 0 0 0 1361477 0 31219 0 11036 0 1623378 0 1067872 0 ROBERT W SUTTLES 216215 0 0 0 109146 0 17876 0 12683 0 355920 0 5677 0 JUDITH A GIZINSKI 193362 0 0 0 3942 0 57730 0 15101 0 270135 0 0 0 JAMES SHAFFER 666847 0 0 0 5569 0 13150 0 19413 0 704979 0 0 0 THOMAS L MILLS 207308 0 0 0 210418 0 7598 0 7987 0 433311 0 0 0 DAVID PHILLIP HURWITZ 246398 0 0 0 1484 0 11982 0 20873 0 280737 0 0 0 LYNNE E STOLDT 204387 0 0 0 7772 0 8174 0 9521 0 229854 0 0 0 KEITH D LUNDQUIST 203020 0 0 0 27226 0 31536 0 12780 0 274562 0 16939 0 WILLIAM BRENNAN 92868 0 0 0 0 0 0 0 0 0 92868 0 67875 0 PART I, LINE 4B HEALTH FIRST, INC HAS A NON-QUALIFIED SERP FOR CERTAIN EXECUTIVES. BELOW ARE THE 2011 DEFERRED AMOUNTS: LARRY F. GARRISON $ 19,329 MICHAEL D. MEANS $ 23,955 ROBERT GALLOWAY $ 15,730 JUDITH A. GIZINSKI $ 47,788 CHRISTOPHER S. KENNEDY $ 21,427 DAVID MATHIAS $ 27,981 JAMES PALERMO $ 77,946 RICHARD ROGERS $ 114,413 JERRY SENNE $ 185,460 ROBERT SUTTLES $ 6,466 ROBERT R. WRIGHT $ 31,515 KEITH LUNDQUIST $ 20,392 STEVEN P. JOHNSON $ 21,758 SUPPLEMENTAL INFORMATION PART III COMPENSATION IS PAID BY HEALTH FIRST, INC. AND REIMBURSED BY SUBSIDIARY TAX-EXEMPT ENTITIES. AMOUNTS REPORTED IN COLUMN F REPRESENT DEFERRED COMPENSATION PREVIOUSLY REPORTED ON PRIOR YEARS' FORM 990. SEE CORE 990, PART VI, SECTION B, LINE 15 DISCLOSURE ON SCHEDULE O FOR FURTHER INFORMATION REGARDING THE PROCESS UTILIZED FOR ESTABLISHING THE TOP MANAGEMENT OFFICIAL'S COMPENSATION. BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 10741LBP0 2005-12-14 173754107 SEE SCHEDULE O 0 0 0 BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 2009-06-04 70000000 SEE SCHEDULE O 0 0 0 BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 10741LBX3 2009-07-01 84829591 SEE SCHEDULE O 0 0 0 BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 2012-05-09 20555000 SEE SCHEDULE O 0 0 0 173754107 1363425 172390682 2008 0 0 1 1 65041667 70000000 120000 69880000 2010 0 0 1 1 84829591 8585000 1224591 75000000 2011 0 0 1 1 20555000 152517 20402483 1 0 1 1 0 1 1 1 0 0.01520 0.00000 0.01520 1 0 1 1 1 0 0.00000 0.00000 0.00000 1 0 1 1 1 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0 0 0 1 1 COMPASS BANK 7.000000000000 0 1 0 0 0 0 0 0 0 0 0 0 1 1 BB&T 9.000000000000 0 0 0 0 0 FORM 990, SCHEDULE K, PART I, DESCRIPTION OF BOND ISSUE PURPOSE: NOVEMBER 2005 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND JUNE 2009 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND JULY 2009 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND 3. FUND DSR FUND JULY 2010 BOND: REFUNDING THE CAPE CANAVERAL HOSPITAL DISTRICT'S OUTSTANDING REVENUE REFUNDING CERTIFICATES, SERIES 1998 MAY 2012 BOND: USE OF THE PROCEEDS SOLEY TO REFUND THE SERIES 2001 MATURING APRIL 1, 2013, 2014 AND 2021. MAY 2012 BOND: 1. FINANCE OR REFINANCE THE COST OF ACQUISITION, CONSTRUCTION AND EQUIPPING OF CERTAIN CAPITAL IMPROVEMENTS TO THE HEALTH FACILITIES OF THE OBLIGATED GROUP 2. PAY CERTAIN COSTS WITH RESPECT TO THE ISSUANCE OF THE BOND 3. REFUND THE ORIGINAL BOND ISSUE DATED JUNE 4, 2009. FORM 990, SCHEDULE K, PART V: THERE ARE NO WRITTEN CORPORATE POLICY RELATING TO A CORRECTIVE PLAN, HOWEVER TO ENSURE THAT VIOLANTIONS OF FEDERAL TAX REQUIREMENTS ARE TRULY IDENTIFIED AS PART OF MONTHLY & QUARTERLY WORK-FLOW, COMPLIANCE WITH APPLICABLE REGS FOR TAX-EXEMPT BONDS ARE REVIEWED. IF ANY INSTANCE OF NON COMPLIANCE WERE IDENTIFIED AN ATTEMPT TO CORRECT THROUGH THE VOLUNTARY CLOSING AGREEMENT PROGRAM IF SELF REMEDIATION IS NOT AVAILABLE UNDER APPLICABLE REGULATIONS. BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 2012-05-30 65041667 SEE SCHEDULE O 0 0 0 BREVARD COUNTY HEALTH FACILITIES AUTHORITY 592444629 2010-07-16 21835000 SEE SCHEDULE O 0 0 0 65041667 78016 64963651 1 0 1 1 21835000 139921 21695079 1 0 1 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 0 0 0 0.00000 0.00000 0.00000 1 0 1 1 COMPASS BANK 16.000000000000 0 0 0 0 0 0 0 0 0 0 0 FORM 990, PART VI, SECTION B, LINE 11 AFTER 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. FORM 990, PART VI, SECTION B, LINE 12C A 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 15 THE SALARIES OF OUR CEO AND OTHER HEALTH FIRST 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 B, LINE 16B: A FORMAL POLICY HAS BEEN PREPARED AND IS IN THE PROCESS OF BEING ADOPTED BY THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION C, LINE 19 FORM 990, PART VI, SECTION C, LINE 19: QUARTERLY AND ANNUALLY CONSOLIDATED FINANCIALS AND CONSOLIDATED STATISTICAL INFORMATION IS FILED ELECTRONICALLY ON WWW.DACBOND.COM AND IS AVAILABLE TO THE PUBLIC. IN ADDITION, ANY REQUESTS MADE TO THE CHIEF FINANCIAL OFFICER FOR THE ABOVE REFERENCED ITEMS ARE PROVIDED UPON REQUEST IN A TIMELY MANNER. A COPY OF THE CONFLICTS OF INTEREST POLICY IS AVAILABLE UPON REQUEST TO THE COMPLIANCE OFFICER. PART VII, SECTION A, COLUMN B: AVERAGE HOURS PER WEEK DEVOTED TO POSITIONS WITH RELATED ORGANIZATIONS: BRIAN J. BUSSEN 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. & VIERA HOSPITAL, INC. JAMES E. CARTER, MD 1 HOUR CAPE CANAVERAL HOSPITAL, INC. EUGENE S. CAVALLUCCI 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. CHRISTOPHER S. KENNEDY 40 HOURS VIERA HOSPITAL, INC. CATHERINE A. FORD 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. ROBERT C. GALLOWAY 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. LARRY F. GARRISON 1 HOUR HEALTH FIRST FOUNDATION, INC. PAMELA A. GATTO 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. & VIERA HOSPITAL, INC. JUDITH A. GEORGE 1 HOUR CAPE CANAVERAL HOSPITAL, INC. & VIERA HOSPITAL, INC. JUDITH A. GIZINSKI 40 HOURS HOLMES REGIONAL MEDICAL CENTER, INC. TONY HERNANDEZ III, ESQ 1 HOUR CAPE CANAVERAL HOSPITAL, INC. A. THOMAS HOLLINGSWORTH, PHD 1 HOUR CAPE CANAVERAL HOSPITAL, INC. & VIERA HOSPITAL, INC. STEVEN P. JOHNSON 1 HOUR HOSPICE OF HEALTH FIRST, INC. & HEALTH FIRST FOUNDATION, INC. GEORGE W. LEWIS 1 HOUR CAPE CANAVERAL HOSPITAL, INC. DAVID E. MATHIAS 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. MICHAEL D. MEANS 1 HOUR HOSPICE OF HEALTH FIRST, INC. & HEALTH FIRST FOUNDATION. NICHOLAS E. PELLEGRINO 1 HOUR CAPE CANAVERAL HOSPITAL, INC. WILLIAM C. POTTER, ESQ 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. JERRY SENNE 40 HOURS HOLMES REGIONAL MEDICAL CENTER, INC. JAMES C. SHAW 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. KEVIN B. STEELE 1 HOUR CAPE CANAVERAL HOSPITAL, INC. & THE HEALTH FIRST FOUNDATION, INC. ROBERT R. WRIGHT 40 HOURS CAPE CANAVERAL HOSPITAL, INC., HOLMES REGIONAL MEDICAL CENTER, INC., HOSPICE OF HEALTH FIRST, INC. & VIERA HOSPITAL, INC. JAMES STUART MITCHELL III 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. JOSEPH G. FELKNER 1 HOUR HOLMES REGIONAL MEDICAL CENTER, INC. DREW A. RECTOR 1 HOUR HOSPICE OF HEALTH FIRST, INC. CHANGES IN NET ASSETS OR FUND BALANCES: FORM 990, PART XI, LINE 5: NET UNREALIZED GAINS ON INVESTMENTS: 17,396,787. TRANSFER OF NET ASSETS TO A RELATED TAX-EXEMPT 55,306,093. TOTAL TO FORM 990, PART XI, LINE 5: 72,702,880. 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. HOLMES REGIONAL MEDICAL CENTER INC 3300 FISKE BLVD ROCKLEDGE FL 32955 590624371 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 HOSPICE OF HEALTH FIRST INC 3300 FISKE BLVD ROCKLEDGE FL 32955 591911574 HEALTHCARE FL 501(C)(3) LINE 9 N/A 1 HEALTH FIRST FOUNDATION INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593528774 FUNDRAISING FL 501(C)(3) LINE 7 N/A 1 CAPE CANAVERAL HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592477479 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 VIERA HOSPITAL INC 3300 FISKE BLVD ROCKLEDGE FL 32955 264019868 HOSPITAL FL 501(C)(3) LINE 3 N/A 1 CAPE HEALTH PROPERTIES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593086711 REAL ESTATE FL CAPE CANAVERAL HOSPITAL INC C HEALTH FIRST MEDICAL MANAGEMENT INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593348252 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST PHYSICIANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593346397 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HOLMES REGIONAL ENTERPRISES INC 3300 FISKE BLVD ROCKLEDGE FL 32955 592109953 REAL ESTATE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST HEALTH PLANS INC 3300 FISKE BLVD ROCKLEDGE FL 32955 593315064 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST INSURANCE INC 3300 FISKE BLVD ROCKLEDGE FL 32955 453131932 HEALTH CARE FL HEALTH FIRST HOLDING CORP C HEALTH FIRST HOLDING COMPANY & SUBS 3300 FISKE BLVD ROCKLEDGE FL 32955 593509709 HOLDING CORP. FL HEALTH FIRST INC C 1.00000 0 1 1 0 0 0 0 0 1 1 1 1 0 0 0 1 0 1 HEALTH FIRST HEALTH PLANS INC R 11542540 HEALTH FIRST FOUNDATION INC P 715469 HEALTH FIRST MEDICAL MANAGEMENT INC P 2905066 HOLMES REGIONAL ENTERPRISES INC P 2258421 HOSPICE OF HEALTH FIRST INC P 5169914 HEALTH FIRST HEALTH PLANS INC P 33413892 HEALTH FIRST PHYSICIANS INC P 68946531 CAPE CANAVERAL HOSPITAL INC P 69443867 HOLMES REGIONAL MEDICAL CENTER INC P 353140101 HEALTH FIRST INSURANCE INC P 124888 VIERA HOSPITAL INC P 36798888 CAPE HEALTH PROPERTIES INC P 153216 HEALTH FIRST HOLDING CORP INC P 1825802 HEALTH FIRST HEALTH PLANS INC L 1292748 HOLMES REGIONAL ENTERPRISES INC K 303912 HEALTH FIRST PHYSICIANS INC K 3679200 HEALTH FIRST FOUNDATION INC K 386916 HOSPICE OF HEALTH FIRST INC K 715500 HEALTH FIRST MEDICAL MANAGEMENT INC K 7592844 HEALTH FIRST HEALTH PLANS INC K 8916320 CAPE CANAVERAL HOSPITAL INC K 18612276 HOLMES REGIONAL MEDICAL CENTER INC K 79902552 VIERA HOSPITAL INC K 10373232 HEALTH FIRST HOLDING CORP INC K 164832 HEALTH FIRST HEALTH PLANS INC J 353751 HOLMES REGIONAL MEDICAL CENTER INC J 19500 HEALTH FIRST PHYSICIANS INC I 245090 CAPE CANAVERAL HOSPITAL INC I 271778 HOLMES REGIONAL MEDICAL CENTER INC I 2563622 VIERA HOSPITAL INC I 396208 HEALTH FIRST HOLDING CORP INC I 131994 HEALTH FIRST FOUNDATION INC C 80918 HOSPICE OF HEALTH FIRST INC C 1716075 CAPE CANAVERAL HOSPITAL INC C 4823694 HOLMES REGIONAL MEDICAL CENTER INC C 29714235 HEALTH FIRST FOUNDATION INC B 1233388 FORM 990, SCHEDULE R, PART V, SCHEDULE R DISCLOSURES: ALL TRANSACTIONS REPORTED IN THIS SECTION ARE BASED UPON CORPORATE BOOKS AND RECORDS WHICH ARE KEPT ACCORDING TO GENERALLY ACCEPTED ACCOUNTING STANDARDS.